2019 Dentists’ Day on the - March 11-12,82019 - Page 2 COVID-19 HRHill FAQs — Page
VOL. 32, NO. 7 • NOVEMBER/DECEMBER • MEMBERSHIP ISSUE
A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION
A Perfect Fit:
Organized Dentistry Connects the Pieces to Help Members Succeed
HELPING MEMBERS SUCCEED VOL. 32, NO. 7 • November/December 2020
in every issue 3
Staff Roster
5
President's Message
12
Did You Know?
14
Info Bytes
17
Legislative Corner
18 news@fda 97
Diagnostic Discussion
102 Career Center 103 Advertising Index 104 Off the Cusp
8
COVID HR FAQs
23
Congratulations to Dr. Cesar Sabates!
26
30
Intangible Benefits of Membership
32
The FDA ... A Valuable and Knowledgeable Support System
34
2020-2021 FDA President Dr. Andy Brown
38
67
Donated Dental Services
70
Bento: In-office Plans are Changing the Game
74
Recent HIPAA-enforcement Activity
76
FDC2021 Exhibit Hall
Challenge Accepted
78
43
8 Great Web Resources
44
Prevent Prescription Painkiller Abuse in Florida
48
Workforce Survey Summary
52
Jacksonville 2021 FLA-MOM
Florida Dental Schools
28
57
The FDA Foundation: Giving, Volunteering, Leading
A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION
FDC2021 Speaker Preview: Zygomatic Implants
84
FDC2021 Speaker Preview: QuickBooks Not So Quick?
86
FDC2021 Speaker Preview: Six Ways to Provide an Extraordinary Patient Experience!
91
A Tale of Two Teams at FDC
How is YOUR District a Piece of the Puzzle?
92
COVID-19 Awareness by the Numbers
TODAY'S FDA ONLINE: floridadental.org
American Sensor Tech
FLORIDA DENTAL ASSOCIATION NOVEMBER/DECEMBER 2020 VOL. 32, NO. 7
EDITOR Dr. John Paul, Lakeland, editor
STAFF Jill Runyan, director of publications Jessica Lauria, communications and media coordinator Andrew Gillis, graphic design coordinator
f d oes r a Bo uste Tr
BOARD OF TRUSTEES Dr. Andy Brown, Orange Park, president Dr. Dave Boden, Port St. Lucie, president-elect Dr. Gerald Bird, Cocoa, first vice president Dr. Beatriz Terry, Miami, second vice president Dr. Jeffrey Ottley, Milton, secretary Dr. Rudy Liddell, Brandon, immediate past president Drew Eason, CAE, Tallahassee, CEO/executive director
Dr. Dan Gesek, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Reese Harrison, Lynn Haven • Dr. Bernard Kahn, Maitland Dr. Gina Marcus, Coral Gables • Dr. Irene Marron-Tarrazzi, Miami Dr. Eddie Martin, Pensacola • Dr. Rick Mullens, Jacksonville Dr. Paul Palo, Winter Haven • Dr. Howard Pranikoff, Ormond Beach Dr. Mike Starr, Wellington • Dr. Stephen Zuknick, Brandon Dr. Don Ilkka, Leesburg, speaker of the house Dr. Rodrigo Romano, Miami, treasurer • Dr. John Paul, Lakeland, editor
PUBLISHING INFORMATION
Florida Health: Tobacco Free Florida
Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 . FDA membership dues include a complimentary subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2020 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.
EDITORIAL AND ADVERTISING POLICIES Editorial and advertising copy are carefully reviewed, but publication in this journal does not necessarily imply that the Florida Dental Association endorses any products or services that are advertised, unless the advertisement specifically says so. Similarly, views and conclusions expressed in editorials, commentaries and/or news columns or articles that are published in the journal are those of the authors and not necessarily those of the editors, staff, officials, Board of Trustees or members of the Florida Dental Association.
EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303. FDA office numbers: 800.877.9922, 850.681.3629; fax 850.561.0504; email address, fda@floridadental.org; website address, floridadental.org.
ADVERTISING INFORMATION For display advertising information, contact: Deirdre Rhodes at rhodes@floridadental.org or 800.877.9922, Ext. 7108. For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.877.9922, Ext. 7115.
Today’s FDA is a member publication of the American Association of Dental Editors and the Florida Magazine Association.
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TODAY'S FDA NOVEMBER/DECEMBER 2020
FLORIDADENTAL.ORG
CONTACT THE FDA OFFICE
ff Sta A FD EXECUTIVE OFFICE DREW EASON, Chief Executive Officer/ Executive Director deason@floridadental.org 850.350.7109 GREG W. GRUBER, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111 CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202 JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114
ACCOUNTING BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137 LEONA BOUTWELL, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 DEANNE FOY, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 APRELL GRIFFIN FDAS Commission Coordinator aprell.griffin@fdaservices.com 850.350.7142 MITZI RYE, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139 STEPHANIE TAYLOR, Membership Dues Coordinator staylor@floridadental.org 850.350.7119
COMMUNICATIONS AND PUBLICATIONS RENEE THOMPSON Director of Communications and Marketing rthompson@floridadental.org 850.350.7118 JILL RUNYAN, Director of Publications jrunyan@floridadental.org 850.350.7113 AJ GILLIS, Graphic Design Coordinator agillis@floridadental.org 850.350.7112 JESSICA LAURIA Communications and Media Coordinator jlauria@floridadental.org 850.350.7115
FLORIDA DENTAL ASSOCIATION FOUNDATION R. JAI GILLUM, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117 KRISTIN BADEAU, Foundation Coordinator kbadeau@floridadental.org 850.350.7161
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800.877.9922 OR 850.681.3629 545 John Knox Road, Ste. 200 • Tallahassee, FL 32303
FLORIDA DENTAL CONVENTION AND CONTINUING EDUCATION CRISSY TALLMAN Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103 DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108 EMILY SHIRLEY, FDC Program Coordinator eshirley@floridadental.org 850.350.7106 EMILY SOMERSET, FDC Meeting Assistant esomerset@floridadental.org 850.350.7162
GOVERNMENTAL AFFAIRS JOE ANNE HART Chief Legislative Officer jahart@floridadental.org 850.350.7205 ALEXANDRA ABBOUD Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 TATIANA AHLBUM Legislative Assistant tahlbum@floridadental.org 850.350.7203
INFORMATION SYSTEMS LARRY DARNELL Director of Information Systems ldarnell@floridadental.org 850.350.7102 RACHEL STYS, Systems Administrator rstys@floridadental.org 850.350.7153
MEMBER RELATIONS KERRY GÓMEZ-RÍOS Director of Member Relations krios@floridadental.org 850.350.7121 MEGAN BAKAN Member Access Coordinator mbakan@floridadental.org 850.350.7100 JOSHUA BRASWELL Membership Coordinator jbraswell@floridadental.org 850.350.7110 CHRISTINE TROTTO Membership Concierge ctrotto@floridadental.org 850.350.7136
The last four digits of the telephone number are the extension for that staff member.
FDA SERVICES 800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303
FDA StaffS
Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat
SCOTT RUTHSTROM Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 CAROL GASKINS Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159 MARCIA DUTTON Membership Services Assistant marcia.dutton@fdaservices.com 850.350.7145 PORSCHIE BIGGINS Central Florida Membership Commercial Account Advisor pbiggins@fdaservices.com 850.350.7149 MARIA BROOKS South Florida Membership Commercial Account Advisor maria.brooks@fdaservices.com 850.350.7144 KELLY DEE Atlantic Coast Membership Commercial Account Advisor kelly.dee@fdaservices.com 850.350.7157 MELISSA STAGGERS West Coast Membership Commercial Account Advisor melissa.staggers@fdaservices.com 850.350.7154 TESSA DANIELS Commercial Account Advisor tessa.daniels@fdaservices.com 850.350.7158 LIZ RICH Commercial Account Advisor liz.rich@fdaservices.com 850.350.7171
CARRIE MILLAR Director of Insurance Operations carrie.millar@fdaservices.com 850.350.7155
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 (toll free) 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 305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com RICK D’ANGELO, CIC Director of Sales — West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com
l Regiona s Sale s r Directo
To contact an FDA Board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org. For example, Dr. John Paul: jpaul@bot.floridadental.org.
TODAY'S FDA NOVEMBER/DECEMBER 2020
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PEOPLE.
PURPOSE.
PASSION.
PATHWAYS TO SUCCESS THE OFFICIAL MEETING OF THE FDA
al u n An ntion nve o C
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leadership
FDA MEMBERSHIP ... WHAT IT DOES FOR YOU! “Every man owes a part of his time and money to the business or industry in which he is engaged. No man has the moral right to withhold his support from an organization that is striving to improve conditions within his sphere.” – Theodore Roosevelt I’ve been a member of organized dentistry for 40 years, but not necessarily because of the strongly worded quote above; although in the overarching scheme of things, it does ring true. My cohorts and I became members because useful and updated dental knowledge, support and information were dispersed vertically, as all communication options were archaic as we know it today. Membership roles were filled by almost every dental practitioner where I worked and lived. Mentors were plentiful within each community and support ubiquitous at every turn. Ah, the good old days … I’ve had the pleasure of teaching dental students and residents in Gainesville for 14 years. I always discuss membership within our organizations, and how the combined strength of the whole is so much more than the sum of its parts. Just last week, I asked what the Florida Dental Association (FDA) can do to help them in their journey to begin their practice life and what support they need. I heard about student loan issues, job boards, reviewing contracts for work options, licensure issues and requirements where they
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want to practice. It dawned on me that we already provide great resources for all these topics within the tripartite, and it’s readily available and updated continuously. Perhaps we have a bit of a communication issue still(?), even with all the work the FDA and the American Student Dental Association do these days to disperse the information?
PRESIDENT’S MESSAGE ANDY BROWN, DDS, MS FDA PRESIDENT
Dr. Brown can be reached at abrown@bot.floridadental.org.
Your FDA is an extremely vibrant, successful and sustainable organization, and I am proud to be a part of it! We have a considerable number of volunteer dentists who generously give their personal time to work with the professionals housed in Tallahassee to make all our lives simpler and keep us informed. They are “striving to improve conditions within our sphere” for our members, our profession, and equally importantly, the patients and citizens of Florida. In a way, these professionals have become our new mentors on many germane topics, and they can give us all information we need (and more, if you ask) and support almost 24/7/365 in some cases, if needed. What a resource for members! SEE PAGE 7
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ADA: Practice Transitions ADA s efit Ben
leadership FROM PAGE 5
“The best way to predict the future is to create it.” – Abe Lincoln In a recent discussion with all our FDA council chairs, I challenged the Council on the New Dentist Chair Dr. Jordan Harper to bring us ideas that will keep our new, young dentists supported properly and engaged with the organization. We need ideas that will sustain and empower the next generation of dentists for their 40+ year journeys. in dentistry. We need to show the need and value of being a member as we weather changes in practices styles, dental delivery systems and different advocacy situations at an ever-increasing pace. We need the vision and desires of the young dental minds to sustain the forward movement of our organization.
In finishing this diatribe, I have to fall back on the initial quote again, and reference our own FDA shining light, one who has taken the quote to new heights for all levels of organized dentistry — our own Dr. Cesar Sabates, who will be the first American Dental Association president from Florida next October. Cesar, congratulations from all the Florida dentists you have helped serve in your volunteer journey, and for caring for our profession as you do!
DON’T MISS THE DEADLINE!
MANDATORY CE COURSE DUE BY JAN. 1, 2021
All Florida-licensed dentists and hygienists are required to complete a one-hour course on human trafficking by Jan. 1, 2021. The FDA offers this course at the discounted rate of $35 for FDA members and $55 for team members. Go to floridadental.org/online-ce to access the course.
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human relations
COVID-19 HR FAQS
DEBORAH S. MINNIS
Ms. Minnis practices labor and employment law at Ausley McMullen, and she also represents various local government bodies. She can be reached at dminnis@ausley.com.
The Florida Dental Association (FDA) works to help members succeed and the COVID-19 response resources available at floridadental.org/coronavirus are clear examples. As a reminder, the FDA suggests that dental practices continue operating as outlined in guidance from the American Dental Association (ADA) in its reopening toolkit, which is focused on practicing during the COVID-19 pandemic. In addition, the FDA has developed a toolkit for members whose practices are managing exposure to COVID-19. It can be found on the FDA’s Practice Resources & Forms webpage and includes: n Suggested language and techniques for communicating with staff n Talking points for communicating with patients n Draft text for social media posts n The ADA’s What to Do if Someone on Your Staff Tests Positive for COVID-19 n The ADA’s COVID-19 Hazard Assessment and Hazard Assessment Checklist
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CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS
If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@floridadental.org or 850.350.7202.
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n The Centers for Disease Control and Prevention’s (CDC) Answers to FAQs about Suspected or Confirmed Cases of COVID-19 in the Workplace The following are some FAQs to help you as an employer. Please note, this area of the law is not always black and white, but we are doing our best to offer clear guidance. If you have questions that are not addressed, the FDA is a resource for members.
TODAY'S FDA NOVEMBER/DECEMBER 2020
Can I require masks be worn in my office? Yes, as a private business, you can require that masks be worn; each practice should fully research local ordinances that impact mask requirements. This applies to both patients (you can refuse treatment) and your team members. If a team member does not want to wear a mask, and there is proper documentation from a health care practitioner, you can try to provide accommodations (e.g., wearing a face shield with no mask and moving them to an area where they are not in contact with patients).
Can an employer require a COVID-19 antigen test before permitting employees to enter the workplace? What about antibody testing? Yes, an employer may choose to require a COVID-19 antigen test (viral test that is used to detect the presence of the COVID-19 virus) to employees before they enter the workplace to determine if they have the virus. However, with respect to antibody testing, the short answer is no. The Americans with Disabilities Act requires that any mandatory medical test of employees be “job-related and consistent with business necessity.” Applying this standard, employers may take steps to determine if employees entering the workplace have COVID-19 because they pose a direct threat to the health of others. It’s more important to know if it’s an active case than if the individual had COVID-19 in the past. Employers should ensure that tests are accurate and reliable. For example, employers FLORIDADENTAL.ORG
may review guidance from the U.S. Food and Drug Administration about what may or may not be considered safe and accurate testing, as well as guidance from the CDC or other public health authorities. Employers may need to consider the incidence of false-positives or false-negatives associated with a particular test. Based on guidance from medical and public health authorities, employers should still require — to the greatest extent possible — that employees observe infection control practices in the workplace to prevent transmission of COVID-19. Find additional information and FAQs from the U.S. Equal Employment Opportunity Commission at bit.ly/3mq9T8Q.
What do I do if an employee is exhibiting symptoms? You should send the employee home and encourage him/her to get tested. FLORIDADENTAL.ORG
If you have an employee confirmed as positive for COVID-19, please use the resources and templates available in the FDA’s “Positive COVID-19 Exposure Toolkit,” which can be found under the Communicating with Patients and Staff section of our website.
n Do you have fever or feelings of feverishness?
Should staff members quarantine themselves after taking a vacation?
n Have you experienced recent loss of taste or smell?
It might be best to respond to a staff member reentering the office the same way you would with a patient: Ask a series of questions, take their temperature and use personal protective equipment. In its “Return to Work Interim Guidance Toolkit,” the ADA suggests that dental offices implement a daily health screening checkpoint and log for all employees entering the workplace. This may include temperature scans and asking all persons reporting to work the following questions (remembering to respect confidentiality):
n Are you ill or caring for someone who is ill?
n Have you taken fever-reducing medications? n Do you have shortness of breath or cough?
An affirmative answer to any of the questions or a temperature reading that indicates a fever would prompt the need for a deeper discussion before that individual is allowed to interact with coworkers or patients. Before staff members take vacation, preemptive conversations may be helpful to set expectations and remind them of the responsibilities they have to themselves, their patients and the practice. SEE PAGE 10
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human relations FROM PAGE 9
What type of coverage am I required to provide under the Emergency Family and Medical Leave Act?
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You can find the most up-to-date CDC guidance at bit.y/37Kf8Mm.
These guidelines change frequently, so check this site often and look for updates from the FDA.
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As a reminder, the Families First Coronavirus Response Act (FFCRA) requires certain employers to provide employees with paid sick leave and expanded family and medical leave for specified reasons related to COVID-19. It is separate from the “traditional” Family and Medical Leave Act (FMLA). A poster provided by the U.S. Department of Labor has specifics about what is required under this emergency FMLA related to COVID-19; find it at bit.ly/34vh9tT. Highlights include: n If you send an employee to get tested for COVID-19, he/she is eligible for the emergency leave (you cannot make them take PTO or unpaid leave). However, remember to work with your accountant or payroll processing company to receive tax credits to offset this cost to your business. n Employees who contract COVID-19 are eligible for this emergency leave. Again, you are eligible for the tax credits to offset this cost. n An employee is eligible for the emergency leave if a child’s school or place of care is closed, or child care provider is unavailable, due to COVID-19 related reasons.
TODAY'S FDA NOVEMBER/DECEMBER 2020
Are dentists, hygienists and dental assistants included as health care workers in the new sick leave provisions and emergency FMLA provisions? No. The definition is broad, but it focuses on health care providers and associated personnel who are on the front lines of the COVID-19 crisis. Remember, as an employer, you will get tax credits to reimburse the cost of paying employees for qualifying reasons under the emergency provisions. In addition, it is a best practice to encourage employees who are sick with COVID-19 or have been exposed to the virus to get tested and take appropriate precautions to not spread the virus. To date, there have been no documented cases of the virus being contracted from receiving dental treatment and we would like to keep it that way!
If I am a small business with fewer than 50 employees, am I exempt from the requirements to provide paid sick leave or expanded family and medical leave? According to the Department of Labor, a small business is exempt from mandated paid sick leave or expanded family and medical leave requirements only if ALL of the three following are true: 1. Employer employs fewer than 50 employees 2. Leave is requested because the child’s school or place of care is closed, or child care provider is unavailable, due to COVID-19 related reasons, AND
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3. When providing the leave would jeopardize the viability of the small business as a going concern.
What do the OSHA COVID-19 Guidelines for Dentistry Workers and Employers mean for my practice?
A small business may claim this exemption if an authorized officer of the business has determined that:
The guidelines can be found at bit. ly/2TvEh5a. Much of the information found in these guidelines also is found in the ADA’s “Return to Work Toolkit.” However, these guidelines are guidance and not a standard or regulation. They do NOT create new legal obligations. They contain recommendations as well as descriptions of mandatory safety and health standards. The recommendations are advisory in nature, informational in content, and are intended to assist employers in providing a safe and healthful workplace. As a reminder, OSHA does require employers to comply with safety and health standards and regulations promulgated by OSHA or by a state with an OSHA-approved state plan. In addition, employers are required to provide their employees with a workplace free from recognized hazards likely to cause death or serious physical harm. Thus, the FDA recommends following the ADA’s toolkit when practicing during the pandemic as it was created with these OSHA requirements in mind.
1. The provision of paid sick leave or expanded family and medical leave would result in the small business’s expenses and financial obligations exceeding available business revenues and cause the small business to cease operating at a minimal capacity. 2. The absence of the employee(s) requesting paid sick leave or expanded family and medical leave would entail a substantial risk to the financial health or operational capabilities of the small business because of their specialized skills, knowledge of the business or responsibilities, OR 3. There are not sufficient workers who are able, willing and qualified, and who will be available at the time and place needed, to perform the labor or services provided by the employee(s) requesting paid sick leave or expanded family and medical leave, and these labor or services are needed for the small business to operate at a minimal capacity. This exemption DOES NOT apply if an employee is out due to contracting COVID-19 or if they are out awaiting test results.
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Employers also should keep up to date on changing conditions, including community spread of the virus and testing availability, and implement infection prevention measures accordingly. As an employer you also should assess the hazards to which your teams may be exposed, evaluate the risk of exposure, and select, implement and ensure workers use controls to prevent exposure. The ADA’s Hazard Assessment was created to help you with this. The table on the OSHA website previously mentioned
describes dentistry work tasks associated with the exposure risk levels in OSHA’s occupational exposure risk pyramid, which may serve as a guide to employers in this sector. Remember, however, to always use your best medical judgment.
How does the CDC’s Guidance for Dental Settings affect my practice? You can find the most up-to-date CDC guidance at bit.ly/37Kf8Mm. These guidelines change frequently, so check this site often and look for updates from the FDA. Like OSHA’s guidelines, the CDC’s guidelines do not supersede Florida’s authority to open dental practices for non-emergency care. The CDC does not have regulatory authority over the operation of dental practices, so while this guidance is a non-binding recommendation, the ADA and FDA consider following these guidelines a best practice. We urge all members to exercise their best judgement and caution during this time and to reach out to the FDA with any questions or concerns. Thank you for your commitment to the dental profession and to providing the highest level of care for Florida’s patients. As this situation is continually evolving, our recommendations could evolve as new information is brought forward. The FDA will continue to share updates and communications with our members.
This article is for informational purposes only and is not intended to be a substitute for professional legal advice. If you have a specific concern or need legal advice regarding your dental practice, you should contact a qualified attorney.
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BOD
CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS
If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@ floridadental.org or 850.350.7202.
rty a -p r d r e i Th Pay
CONTRACT ANALYSIS Did you know that the Florida Dental Association (FDA) offers a free dental insurance provider contract analysis service for members through the American Dental Association (ADA)? This service provides you with information concerning a proposed contract so you can better understand and analyze its terms. Receiving a clear, concise explanation of the terms of a dental provider contract may help you decide if participating with such a plan is best for you and your patients, as well as helping you avoid unpleasant surprises under the contract in the future. How does it work? All you need to do is submit an unsigned copy of the third-party payer contract to Ms. Casey Stoutamire at cstoutamire@floridadental.org. The ADA and FDA only offer contract analysis for dental provider contracts with third-party payers (dental insurance companies). We do not offer analysis of employment or associate contracts, as many times both parties to the contract are members of the association and we do not want to put ourselves in the middle. We recommend each party hire his or her own independent legal counsel in that situation. If you need recommendations for an attorney, please contact Ms. Stoutamire.
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TODAY'S FDA NOVEMBER/DECEMBER 2020
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FDA Online Radiography Training Program
Co Ed ntin uc ui ati ng on
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info bytes
WHO”
“WHO’S IN DENTISTRY I remember my parents getting those letters when I was a senior in high school. Some organization wanted to include me in a “Who’s Who” book of national high school scholars. It seemed like a prestigious honor until we realized it was just a paid advertisement.
LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS
Mr. Darnell can be reached at ldarnell@floridadental.org.
Fast forward to 2020 and we are in the “Land of Google.” If someone wants to find out about you and your dental practice — despite great tools like the ADA’s Find-A-Dentist search — people will just Google your name and add on dentist or your city to the end. Google will respond instantaneously with a slew of free information about you and your practice. Some of that information may be accurate, some may be opinions, and some may be wrong and potentially harmful to your dental practice. Google is giving that out for free and with 6 billion searches every day, odds are your information is seen by a lot of prospective patients. I get it. You’re a dentist and you’re incredibly busy. You may not feel like you have time to become an internet guru. However, I certainly recommend you make the time for the following three actions.
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Secondly, make note of the websites that have information about you as a dentist, such as healthgrades.com, vitals.com and doctor.webmd.com, just to name a few. Be prepared to be shocked by what some current and former patients say about you and your practice. Take a deep breath and stop cyberstalking that person who said those nasty things about you. Instead, make sure the information about your practice and the services provided are correct. Most of those sites will give you the opportunity to claim your profile without it costing you any money. It’s free advertising that people are going to use no matter what you do, so make sure it’s accurate.
1 3 First, pretend you are a new or prospective patient and Google yourself. What do they see about you? How easy is it to find the right information about your practice, hours, dental specialty and ways in which they can contact you? When I searched my name, I was shocked to find out I’ll never be
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more popular than an American R&B singer named Larry Darnell. (Truthfully, that’s not even his name — it’s Leo Edward Donald, so a man using my name as a pseudonym is more popular than I ever will be with my actual name. No, I’m not salty at all.) You need to know what Google says about you and fix what you can about what you see. Perhaps it is too hard to find your contact information or your website needs some maintenance, so do what’s necessary to correct faulty or inaccurate information.
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Lastly, you may want to consider investing in a professional website or some other internet services like the nebulous search engine optimization (SEO), the top site on Google they all promise. Companies with huge advertisFLORIDADENTAL.ORG
ing budgets are still investing in websites, SEO or professionally run social media services (Facebook, Instagram, Twitter, etc.), so perhaps you should, too. I’m not saying that because I have a lot of friends who are out of work either. Probably not a job to give to your nephew, Nick (sorry, Nick), so seek out companies that can show you examples of what they have done and will give you monthly performance reports (i.e., analytics). Perhaps all of this has left you a bit bewildered. Let me just say, keep doing a great job taking care of your patients and providing them with outstanding oral health care. Surprisingly, the most common method of choosing a dentist is still word of mouth. I am a member of six community Facebook groups and that question often comes up. A personal reference still carries a lot of weight. So, regardless what Google says about you, I still want you to be in my “Who’s Who” of dentistry.
Your
BACKSTAGE
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You need to know what Google says about you and fix what you can about what you see.
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ng Continui n Educatio
ALL ACCESS
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Celebrating 25 years of advocacy and beyond!
2021 DENTISTS’ DAY ON THE HILL is going VIRTUAL! TUESDAY, MARCH 16, 2021 DDOH will start at 8 a.m. EDT
REGISTER AT: floridadental.org/virtualddoh
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legislative corner
WE ARE THE
TOOTH PARTY Each election cycle seems to bring its own unique experience as candidates vying for political office try to set themselves apart as the best candidate for the job. Whether it’s at the federal or state level, campaigns start to separate themselves through their parties’ political ideologies and, at times, can isolate a number of groups who have different priorities.
JOE ANNE HART FDA CHIEF LEGISLATIVE OFFICER
For additional information about legislative issues, you can reach Joe Anne Hart at jahart@floridadental.org or 850.350.7205.
Dental care is an essential part of overall health care and is something that everyone needs — no matter what political party they represent. Dental decay doesn’t discriminate and affects both Republicans and Democrats alike. As such, the Florida Dental Association Mrs. and Dr. Bird attend ADA Dentist and Student Lobby Day in Washington, D.C. (FDA) has consistently held itself out as the “Tooth Party” and when it comes to supporting political candidates for office, their positions on issues impacting the dental profession and the Tooth Party supersede any of the partisan rhetoric that fills the airways and mailboxes. Over the years, the dental profession has had dental representation in the Florida House of Representatives and the Florida Senate. Without current dental representation in the Florida Legislature, it’s important for FDA grassroots members to engage and educate legislators on the importance of maintaining high dental standards. When legislators are elected, they come with their own preconceived opinions about issues and many are not experts in the subject areas where they will eventually serve during the legislative committee process. As dentists and doctors of oral health, it is critical that you are engaged in the legislative and political process to represent the Tooth Party. Without your involvement, individuals and groups that have their own personal agendas will try to fill the void with misleading information not supported by the FDA. As we process the results of this year’s elections, let’s continue to focus our efforts on being Florida’s oral health experts. And as the Tooth Party, it’s our duty to ensure that Florida maintains its high standards for quality dental care without compromising patient safety. FLORIDADENTAL.ORG
TODAY'S FDA NOVEMBER/DECEMBER 2020
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updates for members
*PLEASE NOTE THAT FDA MEMBERS HAVE THEIR NAMES LISTED IN BOLD.
Has Any of Your Contact Information Changed? With 2020 being a year where things changed rapidly, the Florida Dental Association (FDA) wants to ensure you continue to get the latest information from us. Update your email, cell phone, practice and home addresses at ebusiness.ada.org/myada/myada.aspx using your ADA number as your username or call us at 800.877.9922.
ADA FDC Virtual Connect Conference The ADA FDC Virtual Connect Conference, Oct. 15-17, was a success! More than 5,200 dental professionals came together virtually over three days for learning and networking and there was something for everyone. Did you miss the ADA FDC Virtual Connect Con-
ference? You can still view the virtual content on-demand at the convenience of your home or office. With the “Allaccess Pass” registration, you can take advantage of six hours of continuing education (CE) courses, general sessions, virtual Exhibit Hall and community meetup events, including a wine and beer tasting. The registration fee for ADA FDC 2020 is $199 for FDA members. The deadline to register is Dec. 18 and the content will be available to view until Dec. 31. Learn more at ada.org/ meeting.
ACDDA Unifies with it’s Local Affiliates Starting in 2021, the Atlantic Coast District Dental Association (ACDDA) will unify with its local affiliates: the Broward County Dental Association, Treasure Coast Dental Society and Palm Beach County Dental Association (formally known as North, Central and South Palm Beach Dental Associations).
What does this mean for ACCDA members? The ACDDA will be streamlining the affiliate societies’ administration. Affiliate membership dues of $60 will be included with the renewal of ADA/ FDA/ACDDA membership dues. This will automatically make all ACDDA members a member of an affiliate society and will provide members with the benefit of at least four CE lectures throughout the year. Additionally, your affiliate dues will include three meetings at no additional charge. The affiliate societies will continue to have their own boards, and their duty will be to continue creating the monthly CE lectures and decisions on venues where the lectures will take place. They will not have the burden of collecting dues and verifying membership in the tripartite, and expenses will be paid by the ACDDA.
House of Delegates to Meet Pursuant to the bylaws of the FDA, all FDA members are hereby notified of the upcoming meeting of the FDA House of Delegates (HOD). The HOD will hold its annual session virtually, on Saturday, Jan. 23, 2021 from 8:30 a.m. – 4 p.m. The FDA encourages all members to seek information about the meeting from their component’s delegates to the HOD and trustees to the FDA Board of Trustees. 18
TODAY'S FDA NOVEMBER/DECEMBER 2020
FLORIDADENTAL.ORG
Accepting Nominations for the Next FDA Editor The FDA Leadership Development Committee (LDC) is excited to be accepting nominations for the next FDA editor! The position will begin in June 2021 and all the information regarding the position can be found at bit.ly/3mrKUBV. FDA members are welcome to self-nominate or can be nominated by colleagues. Thank you for encouraging those you see fit to apply, including your own editor! The committee will collect the nominations and make recommendation(s) to the Board of Trustees for selection at their May 2021 meeting. If you have any questions about the position or nomination process, please contact LDC Chair Dr. Angela McNeight at angela.mcneight@gmail.com. Candidates are encouraged to submit their applications to their respective districts for review and forwarding to the LDC. Candidates also may submit their applications and writing samples directly to the LDC. The deadline for submitting nomination forms is Feb. 28, 2021. The mailing address of the LDC: Leadership Development Committee, Florida Dental Association, 545 John Knox Rd., Ste. 200, Tallahassee, FL 32303. Nomination forms also may be faxed to 850.561.0504 or emailed to ldarnell@floridadental.org. The committee looks forward to receiving your nominations!
Welcome New FDA Members
Dr. Matt Kelley, Glendale
Dr. Thida Hnin, Gainesville
The following dentists recently joined the FDA. Their membership allows them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry.
Dr. Aleksander Khasidov, Delray Beach
Dr. Colleen Iverson, Gainesville
Dr. Svitlana Koval, Parkland
Dr. Alejandro Martinez, Melbourne
Dr. Jeffrey Krichmar, Coral Springs
Dr. Wesley McWatters, Gainesville
Dr. Brandin Lieberman, Plantation
Dr. Maxine Moncrieffe, Orlando
Dr. Abigail Matthews,
Dr. Kathy Nguyen, Winter Park
Boca Raton
Dr. Kevin Ogle, Apopka
Atlantic Coast District Dental Association
Dr. Shifat Mirza, West Palm Beach
Dr. Diego Ospina, Orlando
Dr. Maria Murray, Plantation
Dr. Kayla Perez Ortiz, Orlando
Dr. Simone Alencar, Plantation
Dr. Sibel Odabas-Yigit, Boca Raton
Dr. Antonio Rabassa, Melbourne
Dr. Youness Amri, Wellington
Dr. Solongo Purev, Royal Palm Beach
Dr. Angel Rivera Castro, Orlando
Dr. Natalie Angelos, Fort Pierce
Dr. Alejandra Riera De Jesus,
Dr. Matthew Robin, Orlando
Dr. Rachel Blakeley, Davie
Melbourne
Dr. Amy Sagatys, Ocala
Dr. Erika Cuarezma, Fort Lauderdale
Dr. Vanessa Schneider, Sunrise
Dr. Liliana Santana, Casselberry
Dr. Ashley Culver, Davie
Dr. Sarina Soumeeh, Plantation
Dr. Timothy Temple, Orlando
Dr. Leticia De Aguiar, Delray Beach
Dr. Jorge Torrejon, Delray Beach
Dr. Sherin Thamarasseril, Kissimmee
Dr. Joao Victor De Oliveira Matias,
Dr. Blake Willoughby, Jupiter
Dr. Robert Traul Jr., Tallahassee
Melbourne Dr. Thibault de Vernejoul, Fort Lauderdale Dr. Scott Feigenbaum, Stuart Dr. Onni Franco, Sunrise Dr. Sean Geary, Boca Raton Dr. Stacey Hoffman, Jupiter FLORIDADENTAL.ORG
Dr. Ariana Zeb, Gainesville
Central Florida District Dental Association Dr. Mary Ayoub, Champions Gate Dr. Alex Bilunas, Gainesville
Northeast District Dental Association Dr. Gynnekia Booth, Jacksonville
Dr. Justin Darley, Dunnellon
Dr. Bernardo Brasileiro, St. Augustine
Dr. Fatima Dhanani, Gainesville
SEE PAGE 20
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updates for members
Dr. Iya Ladovsky, Hollywood
South Florida District Dental Association
Dr. Maria Martinez Morales, Miami
Dr. Rico Bussey, Appling
Dr. Giraldo Alfonso Cepero, Hialeah
Dr. Maria Marx, Coral Gables
Dr. John Chamberlain, Orange Park
Dr. Maria Aranda, Hialeah
Dr. Arian Melgarejo, Miami
Dr. Varduhi Danielyan, St. Augustine
Dr. Ernesto Bravo Gonzalez,
Dr. Juleini Meneses, Hialeah
Hollywood
Dr. Rachel Miro, Pinecrest
Dr. Luis Breton, Cooper City
Dr. Maira Morales, Miami
Dr. Maria Bueno Alvarado, Miami
Dr. Giselle Oliva, Miami
Dr. Mayra Buttrick, Miami
Dr. Francisco Osorio, Miami
Dr. Diana Carvel, Miami Springs
Dr. Anusri Patel, Miami
Dr. Winy Charles, Miami
Dr. Lien Perez Garcia, Hialeah
Dr. Neil Charnowitz, Hollywood
Dr. Gustavo Piedra, Hialeah
Dr. Josaida Contreras, Miramar
Dr. Allison Rascon, Miami
Dr. Vanessa De la Barca Dominguez,
Dr. Valeria Rivera, Miami
Miami
Dr. Maria Rodriguez, Miami
Dr. Javier De Lapeyra, Miami
Dr. Steven Rosenstein, Aventura
Dr. Sharlene Demehri, Davie
Dr. Sydney Sher, North Miami
Dr. Belanne Estime, Miramar
Dr. William Summey, Davie
Dr. Elisandra Estrada Martinez, Miami
Dr. Adailys Trincado, Miami
Dr. Ionit Feinzaig-Yehoshua, Miami
Dr. Sergio Varela Kellesarian, Miramar
Dr. Alien Fernandez-Cardoso, Miami
Dr. Richard Vazquez, Miami
Dr. Angela Garcia, Miami
Dr. Elsa Yumar, Miami
FROM PAGE 19
Dr. Andrew Fowler, Jacksonville Dr. Sydney Fowler, Jacksonville Dr. Avanika Grover, Jacksonville Dr. Cameron McMillin, Fleming Island Dr. Chantol Peterkin, Gainesville Dr. Tanya Saikaly, St. Augustine Dr. Ahmad Shbeib, Jacksonville Dr. Heather Smith, Jacksonville
Northwest District Dental Association Dr. Iti Agarwal, Milton Dr. Garett Barry, Santa Rosa Beach Dr. Robert Bencic, Tallahassee Dr. Bryant Choe, Defuniak Springs Dr. Amani Halum, Santa Rosa Beach Dr. Elizabeth Hughes, Valparaiso Dr. Ashley Orth, Pensacola Dr. Kush Patel, Tallahassee Dr. Nageen Rak, Gulf Breeze Dr. Justin Tinkler, Santa Rosa Beach
Dr. Rodrigo Garcia, Cutler Bay Dr. Gabriela Gurevich, Miami
West Coast Dental Association
Dr. Annie Herman Perel, Hollywood
Dr. Wylan Bernitt, North Port
Dr. Lorena Hernandez Alemany,
Dr. Winnelle Bonilla, St. Petersburg
Miami
Dr. Casey Cameron, Lakeland
Dr. Wendy Vrijbloed, Miramar Beach
Dr. Mandi Hirsch, Miami Dr. Juan Izquierdo, Pinecrest Dr. Raniya Jamal Aldeen, Davie
Dr. Jade Carter, Tampa Dr. Anthony Decker, Parrish Dr. Stephanie Denis, Sarasota
SEE PAGE 22
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FLORIDADENTAL.ORG
Remembering Dr. Robert Ferris FDA Past President Dr. Robert T. Ferris died on Oct. 1, 2020. Dr. Ferris turned his devotion to dentistry into action to a degree that few others, if any, have been able to achieve. He was a board-certified periodontist in private practice. At various times during his carrier, Bob was among other things: an educator at Case Western Reserve and the University of Florida, published author in dental literature, dental philanthropist, chair of the Florida Board of Dentistry, president of the American Academy of Periodontology, chair of the American Board of Periodontology, vice president of the American Dental Association and president of the Florida Dental Association (1998-1999). This list is far from complete. Bob also was a proud and devoted father and grandfather. Dr. Ferris had an intellect that few could match, but he would put anyone at ease no matter what their station in life. He had a wonderful sense of humor and took pleasure at being the center of a gentle joke. Bob was an exceptional and persuasive debater, whose deep voice would cause others to stop and hear what he had to say. Dr. Ferris was fiercely loyal to his friends but was gentlemanly and courteous even to those who he disagreed with. To that end, Bob was never without an aphorism to set people at ease. One he often used during debate, “He is not my enemy; he is my opponent.” Dr. Ferris took special joy in mentoring others, whether they were students, residents, recent graduates or experienced practitioners. He was kind and never condescending. When reflecting upon his life as a dentist, Bob often put it this way: “I hope I have left the profession in a better condition than when I found it.” Those who knew him best know it was a mission accomplished.
– Dr. Alan Friedel
In Memoriam The FDA honors the memory and passing of the following members: Dr. Kurt Nelson Rock Island, IL Died: 09/15/2020 Age: 99
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Dr. Jerry Klein Lighthouse Point, FL Died: 09/17/2020 Age: 81
Dr. Kenneth Carey Tallahassee, FL Died: 09/20/2020 Age: 49
Rosie Small, previous SFDDA executive director (1999-2006) Williamsburg, VA Died: 09/20/20 Age: 77
Dr. Jim Pewitt Gulf Breeze, FL Died: 09/25/2020 Age: 62
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updates for members FROM PAGE 20
Dr. Aaron Doerner, Myakka City Dr. Matthew Downes, Cape Coral Dr. Claudia Espinosa, Lakeland
Dr. Sarah Houle, St. Petersburg
Dr. Emily Ross, Naples
Dr. Faryal Hussain, Port Charlotte
Dr. Herb Salisbury, Venice
Dr. Olayinka Igun, Fort Myers
Dr. Anna Shahrour, Tampa
Dr. Anna Krizan Fano, Fort Myers
Dr. Munsha Sidhu, Wesley Chapel
Dr. Marc Levicoff, Riverview
Dr. Pablo Silva, Cape Coral
Dr. Ari Levine, Sarasota
Dr. Priscilla Sosa, Sarasota
Dr. Anthony Michelotti, Safety Harbor
Dr. Mckenzi Taylor, St. Petersburg
Dr. Ly Ngo, Largo
Dr. Ernesto Ulloa-Jimenez, Tampa
Dr. Gregory Prior, Clearwater
Dr. Laura Velez Velez, Naples
Dr. Douglas Robinson, St. Petersburg
Dr. Boyd Wilson, Largo
Dr. Yanira Rosario, Tampa
Dr. Shadan Yassine, Tampa
Dr. Gabriela Flores, Punta Gorda Dr. Tiffany Gallegos, Pinellas Park Dr. Grace Garcia, Clearwater Dr. Earving Garibaldi Bernuil, Tampa Dr. Matthew Green, Sebring Dr. Ryan Harris, Fort Myers Dr. Nicole Hernandez, Palm Harbor
Revolvadent
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ada president-elect
CONGRATULATIONS TO DR. CESAR SABATES ON BEING ELECTED ADA PRESIDENT-ELECT! This photo is the culmination of a dream come true: Florida has its first American Dental Association (ADA) President-elect. I thank Drs. Michael Eggnatz (campaign manager and Roman Senator) and Mark Limosani for their unwavering support in making this dream a reality. To Drs. Robin Nguyen and Zack Kalarickal; South Florida District Dental Association (SFDDA) Executive Director Yolanda Marrero; Florida Dental Association (FDA) Executive Director Drew Eason; 17th District Delegation Chair Dr. Chris Bulnes; FDA President Dr. Andrew Brown; members of the 17th District Delegation, FDA Board of Trustees and FDA House of Delegates; and, the FDA and SFDDA team members, thank you for your support. To my wife, Lydia; sons, Albert and Cesar III; daughterin-law, Leysi; and grandson, Bruce — I could not have done this without your love and support. Now we begin the true mission: to continue to advocate for our profession against those who try to minimize or tear down what we have built. We are ESSENTIAL HEALTH CARE.
Drs. Limosani, Eggnatz and Sabates celebrating the victory.
I am honored to have the opportunity to continue to serve our profession.
– Dr. Cesar Sabates
FLORIDADENTAL.ORG
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850.681.2996 TO DISCUSS YOUR DENTAL OFFICE PACKAGE.
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TODAY'S FDA NOVEMBER/DECEMBER 2020
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Dr. Bryan Griffith FDAS Customer Since 2000
“FDA Services has provided me coverage for my entire 18 years of practice. Great customer service with people who care about my practice and personal well-being. Thank you, Rick for your dedication to dentistry.”
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Dr. Richard Mullens FDAS Customer Since 2017
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FDA Foundation
THE FDA FOUNDATION: GIVING, VOLUNTEERING, LEADING
KRISTIN BADEAU FDA FOUNDATION AFFAIRS COORDINATOR
Ms. Badeau can be reached at kbadeau@floridadental.org or 850.350.7161.
Improving the oral health of Floridians has been at the core of the Florida Dental Association (FDA) Foundation’s initiative since the Foundation was established in 1980. As Florida’s premier philanthropic and charitable organization for dentistry, the FDA Foundation serves as a catalyst for uniting people and organizations to make a difference through better health. The FDA is referred to as the member body for dentists in Florida; however, there is much more to the association. “The Florida Dental Association Foundation represents the very essence of the dental community’s altruism. It is a wonderful vehicle for dentists to show their care and compassion. The Board of Trustees is the brain of the FDA and the Foundation is its heart,” said former FDA Foundation President Dr. Robert Payne. As the philanthropic arm of the FDA, the FDA Foundation works incredibly hard to make a difference in the lives of Floridians in communities across the state. The philanthropic work done by the Foundation not only restores smiles and builds self-esteem for members of the community, but it also enhances overall health and increases the quality of life for all. “As members of the FDA, we need to be involved not only in treating our patients, but also helping the needy of our community,” said FDA Foundation President Dr. Natalie Carr Bustillo. “The Foundation provides a way for members to give back to their community through volunteer efforts and sup-
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porting organizations that provide volunteer services.” With a mission of promoting dental health for all Floridians, the Foundation is improving the lives of thousands of people around the state through programs with free or reduced-cost dental services. The Foundation’s signature program, the Florida Mission of Mercy (FLA-MOM), is a two-day, professional dental clinic that provides free care to patients, with the goal of serving the underserved and uninsured in Florida. The event is hosted by a different city in Florida each year. Prior host cities include Tampa, Jacksonville, Pensacola, Fort Myers and Orlando. The total impact since 2014 is $9.43 million in dental services provided to nearly 10,000 patients by more than 8,200 volunteers. “There is no better way for a dentist or their team members to have a sense of pride in their profession than by volunteering at a FLA-MOM event,” said Dr. Terry Buckenheimer, past president of both the FDA and the FDA Foundation, and current FDA Foundation treasurer. “A hug and a smile from the patients we serve is as great a feeling as one can get. It can only be experienced!” According to FDA Foundation staff, the most widely referred program is Project: Dentists Care (PDC). Staff members provide patients with a comprehensive resource guide that lists PDC providers, a community of dentists and organizations organized by county, who provide a safety net of preventive and restorative dental care to those in greatest need. Over the last six years, nearly 34,000 patients FLORIDADENTAL.ORG
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The Board of Trustees is the brain of the FDA and the Foundation is its heart. have received $11.4 million in care from our PDC partners. The FDA Foundation staff receives hundreds of inquiries each year from Floridians who don’t know where to turn. These patients are in pain and do not have the means for treatment. The FDA Foundation provides information about participating dentists and providers who can help, oftentimes recommending the services provided by the Florida Donated Dental Services (DDS) program. The DDS program is jointly funded by the FDA Foundation and Dental Lifeline Network • Florida. This program provides access to comprehensive dental care for people with disabilities or who are elderly or medically fragile and cannot afford treatment. Since 1997, more than 1,900 Floridians in need have received almost $9 million in comprehensive, donated dental treatment. In addition to providing patients in need access to care, the FDA Foundation supports dentists and providers affected by disasters like hurricanes, floods and fires. Florida dentists impacted by a disaster can apply for emergency disaster grants to help meet their urgent needs. In 2018, the FDA Foundation provided grants totaling $122,000 to dentists impacted by Hurricane Michael. Give. Volunteer. Lead. These three words are a call to action for FDA members to encourage them to support the FDA Foundation and its programs. FDA Foundation Board of Trustees member Dr. Bruce Tandy supports the call to action. “The FDA Foundation is a perfect avenue to show the true heart of the FDA members. Communicating that heart is evident with the programs we provide,” he said. “This also gives
FLORIDADENTAL.ORG
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our members an avenue to make donations that will actually be used to benefit the target for these donations.” Dr. Carr Bustillo reflects on the call to action and says that by giving, she receives so much more in return. “I feel that I have been blessed to be in such a wonderful profession. I believe it is our duty to give back to the profession, whether it is in a capacity of leadership, teaching or volunteering to serve the needy. I have provided dental care in foreign countries. Needy people are not just in third-world countries — we have many here at home. The FDA Foundation provides me a way to help the people of Florida receive the dental care they need.” As a longtime FDA Foundation supporter, Dr. Buckenheimer sums up why he is called to give, volunteer and lead. “First, I believe in the work that we do in the Foundation and the service we provide to the communities of Florida. Second, it provides a method by which I can give back to my profession and my community. And third, it gives me great pride in our profession because we support efforts that provide care to those in need, educate the youth about oral health and present a positive image of dentistry for the whole community to see.” Your support of the FDA Foundation is the beat that keeps this heart in motion to help those in need. The events of this year have been extraordinary and life-changing. Now more than ever, your help is needed so that the FDA Foundation can continue to serve those who need support the most. From restoring smiles and building self-esteem to enhancing overall health and increasing quality of life, your support helps create a legacy for better oral health in Florida. Please visit donate.floridadental.org or contact the FDA Foundation at 850.681.3629 to make your donation by phone.
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membership benefits
INTANGIBLE
BENEFITS OF MEMBERSHIP
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As many of you may be discovering, I’ve found that my perspectives change during times of crises. During the COVID-19 pandemic, we’re all struggling to keep our practices open, navigate through new safety protocols, maintain inventory of personal protective equipment (PPE), and protect the safety of our families, patients and teams. I found new appreciation for the friendships I’ve made with my patients who reached out to express their support. I realized how fortunate I am to have my dental team, despite facing the same uncertainties, come together to find workable solutions for our office. Additionally, my perspective of the Florida Dental Association (FDA) and organized dentistry has changed. As a dental student, I remember learning of the benefits of membership like discounts on insurance, access to continuing education and support during state board exams. I joined because I felt like my membership connected me to the bigger picture of dentistry and would be important as I set out to start my practice. After joining as a new dentist, I came to appreciate the networking among peers and the camaraderie at local meetings. Before I knew it, I was involved. I began by volunteering for Children’s Dental Health Month teaching first graders how to brush, doing dental screenings for the Special Olympics and donating care through my local health department to our indigent population. I then began working with our local board of directors, served as a delegate to the FDA, led the Committee on the New Dentist for several years and, ultimately, served as affiliate president of the Dental Society of Greater Orlando. These experiences demonstrated the inner workings of our organization and allowed me to see the impact our organization has on our
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communities and profession. I learned how our profession collectively fought insurance issues, maintained standards for licensure and carefully worked to define the scope of practice for the dental team. I also saw the incredible joy that patients had when we came together at the Florida Mission of Mercy and back-to-school bashes to lend our talents and provide care. Now, amidst the daily stress navigating the challenges of the pandemic, I realize and appreciate another aspect of the FDA that is one of the most relevant and true benefits of our organization. While I’m focused on my day-to-day responsibilities, it’s immensely reassuring to know that our organization is lobbying to improve the terms of recent legislation including the Coronavirus Aid, Relief and Economic Security Act and the Health and Human Services Provider Relief Fund. They’re representing our needs when it comes to acquiring effective PPE, organizing flowcharts to assist us if we have COVID-19 exposure and hosting webinars to answer questions about the changes around us. They’re working to ensure that I can continue practicing, and they’re doing it with collective power that we, as individual dentists, cannot. It’s clear that their effect is directly related to their market share of dental professionals and that’s why our membership matters. Even though nonmembers realize many of the same benefits as members, each nonmember weakens the ability of the FDA to represent our needs while we’re too busy to even recognize the problems. These are the intangible benefits that they always told us about; and during this crisis, we can see firsthand how important they are. To me, this means so much more than a discount on an insurance plan or a better deal for dental supplies. For that reason alone, they can count me in.
TODAY'S FDA
DR. PETE LEMIEUX
Dr. Lemieux is a general dentist in Winter Park, Fla. and can be reached at peterglemieuxdmd@ yahoo.com.
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They’re working to ensure that I can continue practicing, and they’re doing it with collective power that we, as individual dentists, cannot.
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membership benefits
THE
... A VALUABLE AND KNOWLEDGEABLE SUPPORT SYSTEM! 32
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Dr. Johary's office team (L to R): Daniella Hoffman, lead assistant; Courtney Coarsey, assistant; Susan Bell, office administrator; Dr. Edwin F. Johary; Blaire Beville, assistant; Amanda Atkinson, billing/reception; Joyce Welsh, hygienist; and, Erika Maki, reception.
For years, our private dental practice has faithfully paid our annual Florida Dental Association (FDA) membership dues. With a magazine and SUSAN BELL a few reminder Ms. Bell is the office ademails of upcomministrator at Dr. Edwin ing events and the F. Johary, DDS, PA Family Dental. like, our membership seemed rather mundane and a ritual for us.
It wasn’t until COVID-19 came along, that our office fully realized the real benefits of being an FDA member! Immediately at the onset of the pandemic, emails began to arrive at least weekly from the FDA and its president with specific, vital information necessary to manage our dental offices, staff and patients, affecting our very way of life. We now had a valuable and knowledgeable support system, with regular communication from FDA leadership, videos and links to straightforward and detailed information, talking points, templates, helpful signage — all at our fingertips.
With one exception — the window cling, what we call the “silent salesman.” Having come from a retail background, I’ve learned the importance of sale signs and descriptor signs that help identify the features and benefits of merchandise. To me, the annual membership window cling displayed proudly on our entrance door represents our awareness of the greater dental community. That simple sticker serves as a reminder to our patients that we are an active practice, concerned in serving a breadth of patients in the greater Gainesville area.
We then realized that every dentist, staff and practice was being represented in a bigger way. The FDA represented us all, whether small practices or larger multilevel offices, members or nonmembers, the FDA assured us that we had a voice at the state and national levels. Because of the steadfast leadership of the FDA, our state and national government and its agencies heard our financial plight and challenges in this unique time of a pandemic. We had doors open to financial support to carry us during these unprecedented times.
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As we endured through this most difficult time, we were kept informed as we began to turn the corner. With a best practices system presented by the FDA, we knew how to safely reopen our practices. It wasn’t easy, but we emerged with our practice guidelines in place. Our dental team from Dr. Edwin F. Johary’s dental practice encourages those who did not realize the benefits that were afforded to all our dentists and dental practices consider the representation your annual fees allow. The FDA showed its ability to advise and partner at the highest levels of government with skill and determination when we all needed and benefitted from this support. Our practice can unequivocally say that we are proud members of the FDA. Now more than ever, we encourage you to become a member, too! Dr. Johary’s office can be reached at ejoharydentistry@yahoo.com or 352.377.0360.
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Regarding member value, this year alone has proven its worth to all our members — and even nonmembers!
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3. FLORIDADENTAL.ORG
fda president
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2020-2021 FDA President
Dr. Andy Brown FLORIDADENTAL.ORG
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Family Life
5.
6.
I was born Ithaca, N.Y. and am oldest of six kids. My parents were both intimately involved in education — my dad was the dean of students at Ithaca College and Cornell, and my mom was a teacher and subsequent principal, then district principal of the school system we were in. We had no choice to not be educated, and we all took great advantage of it. My siblings are all successful in their own rights. I’m the “black sheep” of the family as “only a dentist,” per se. My children are equally educated and “off my dime” as things are right now. They are scattered around the United States and gainfully employed. My son, Blake, is the new paradigm of a dentist — he is out of school less than 10 years and has been working in numerous practice styles and living and working in numerous locations and countries. He is currently living in Durango, Colo. where he lives with his wife, Ali, and their 2-year-old son, Llewyn. My middle daughter, Jennifer, is a Gator who still loves the South, and is closest in the Atlanta area. She travels the country, sometimes begrudgingly, installing smart systems in airports and large venues throughout the U.S. My youngest, Rachel, is a new resident of Chicago as she has finished her hiatus for her MBA and is reestablishing her employment with the consulting firm, Deloitte. Personally, my wife, Angie (prior Florida Board of Dentistry member for seven years), and I are both confirmed “dental nerds” and continue to live in Jacksonville and try to keep a finger on the pulse — we both care deeply for the occupations and outcomes of all we are involved in.
Goals for the FDA
7.
8. 36
TODAY'S FDA
NOVEMBER/DECEMBER 2020
We’re incredibly lucky that through great decisions made by many of my predecessors, the Florida Dental Association (FDA) is in a wonderful place! Especially regarding member value, this year alone has proven its worth to all our members — and even nonmembers! During the recent COVID-19 timelines, all the advocacy, resources and materials the FDA proposed, accumulated and produced were made available for all, even for some groups outside the dental profession. It’s a wonderful resource for all aspects of dentistry, and these are just the things outwardly apparent to our members. You also have to acknowledge the great value created by FDA Services for putting a great suite of resources together that all our members need, while at the same time being a huge source of non-dues revenue for the members as well. Likewise, our Committee on Conventions and Continuing Education, which organizes meetings and options for education (and FUN!) FLORIDADENTAL.ORG
that we all need to take advantage of as well, and might I also mention a great source of non-dues revenue as well? As for the future, it’s still incumbent upon us, the FDA, to continue to advocate for the best safety and care options for the patients we serve. There is strength in numbers with the talking points we bring to the table at all levels — statewide and local. The voices of individuals can be magnified! We must work with the state’s departments to help bring opportunities to provide care to those who need it the most. We advocated for streamlining opportunities for dentists to have fewer administrative burdens, help with sustainable remuneration for providing necessary care, and lead the charge for outreach opportunities for continued education and prevention. Those should still be the hallmarks of what we are standing for, as well as creating the best overall sustainable health outcomes for patients’ lifetimes. That has been one of the personal windmills I have been charging for the last several years. There are times it’s still a lonely quest, but the FDA does open more doors and initiate more conversations and studies. With the COVID situation, and subsequent shortfalls and stretching of the state’s financial resources as has occurred recently, I worry that our needs will be much more significant in the near future to provide that same needed care at all levels.
Leadership
fda president
Presidential Favorites Hobbies: Most sporting opportunities and outdoor activities Favorite food: Yes! Favorite memory: Summers spent at the camp/lake with siblings as we grew up, and then my own children while they were growing up as well. Favorite guilty pleasure: Reading the newspaper daily. Yes, old school in that regard. Favorite sport/sports team: UNC basketball Favorite leisure activity: Many — beach, mountains, sports, sleep ... Favorite vacation destination: Anywhere with water involved, but particularly Silver Bay, N.Y., where we grew up each summer. Favorite book: Anything Tom Clancy-ish. Favorite drink: Old Fashioned Favorite dessert: Old Fashioned! Favorite candy: Old Fashioned!! Favorite movie: Depends if Angie’s with me or not. Favorite music: Same
n International College of Dentists, 2017 to present n Florida Mission of Mercy (FLA-MOM) Statewide Co-chair, 2017 to present n FLA-MOM Jacksonville Co-chair, 2016
Photo Captions
n FDA Dentist of the Year, 2016
1. Top row: Dr. Brown (second from right) with his brothers (L to R), Tad, John and Geoff; front row: his sisters, Susan (L) and Liz (R), and his father
n Pierre Fauchard Academy, 2016 to present
2. Dr. and Mrs. Angie Brown
n ADA Delegate, 2011 to present
3. Dr. Brown and his father; daughter, Jennifer; son, Blake; daughter-in-law, Ali; and, daughter, Rachel
n American College of Dentists, 2011 to present n FDA Governmental Affairs Committee, 2008 to present
4. Dr. Brown with his staff: Sara, Jessica, Angie, Lisa, Kristina and Monica
n University of Florida Orthodontic Department Clinical Associate Faculty, 2006 to present
5. FDA President Dr. Andy Brown (sitting) with past presidents Drs. Rudy Liddell, Jolene Paramore and Bill D’Aiuto
n American Association of Orthodontics, Southern Association of Orthodontists, Florida Association of Orthodontists (FAO), 1984 to present n FAO Legislative PAC Director, 2013 to present n Past President Clay County Dental Association, 1989
FLORIDADENTAL.ORG
6. Dr. Brown with his grandson, Brady 7. Fun in Sweden 8. FDA current and past presidents: Bill D’Aiuto, Andy Brown, Rudy Liddell, Jolene Paramore, Ralph Attanasi and Rick Stevenson
TODAY'S FDA
NOVEMBER/DECEMBER 2020
37
CHALLENGE ACCEPTED.
ces r u so
Re
Your Florida Dental Association (FDA) has risen to the challenges presented by the COVID-19 pandemic and, in doing so, has clearly illustrated the value of membership. From the beginning, the FDA’s leadership monitored the changing landscape and made sure that members were fully informed. FDA staff experts developed resources, answered questions, dissected federal programs, produced webinars and set up an entirely new COVID-19 section on the FDA website in order to present important information in an easy-to-follow format. In addition to communicating with members, the FDA staff also interacted regularly with local affiliates and the American Dental Association (ADA). In short, the FDA met the challenge.
CHALLENGE: Information was flowing at a break-neck pace. FDA RESPONSE: Frequent email updates were sent to keep members current about details that could impact their practices. And, the COVID-19 section of the website was refreshed with the latest information as it became available, sometimes hourly. CHALLENGE: Dentists wanted to reopen and needed to ensure practices would not be closed again. FDA RESPONSE: Pushed for FDA Immediate Past President Dr. Rudy Liddell to serve on the Governor’s Reopening Task Force to represent the interests of dentists. In addition, interactions with elected officials and others who make decisions about dentistry, such as Governor Ron DeSantis and Florida Surgeon General Scott Rivkees, were designed to reinforce the safety of dental protocols. Throughout, the FDA’s message was consistent and clear — dentists are highly trained medical professionals experienced in infection control. CHALLENGE: It was difficult for dentists to get answers to their questions about federal relief programs, such as Economic Injury Disaster Loans, the Paycheck Protection Program, the CARES Act Provider Relief Fund and others. FDA & ADA RESPONSE: The FDA did research, hosted free webinars, fielded thousands of phone calls and emails, developed Q&A resources and pushed out details, deadlines and other pertinent information to educate members. The ADA engaged more than 150,000 dentists and others to send nearly 600,000 emails to Capitol Hill during COVID-19 deliberations and ensured that dentists were classified by the federal government as essential workers.
CHALLENGE: Dentists needed guidance about best practices when reopening their offices. ADA RESPONSE: Development of the “Return to Work Guidance Toolkit,” which gave dentists a clear direction for how to operate their practices and communicate with patients while ensuring the safety of patients, team members and themselves. Both Dr. Liddell and FDA Executive Director Drew Eason served on the task force that created the toolkit. The ADA also created protocols for a broad range of scenarios, including if a staff member is COVID-19 positive, hazard assessments, patient education and much more. CHALLENGE: Limited supply and high demand for personal protective equipment (PPE) created concern for dentists who needed access to affordable PPE. ADA RESPONSE: The ADA negotiated with FEMA to provide all dentists with free PPE, including the most needed items — KN-95 masks and gowns. Dentists merely had to pay actual shipping costs and processing fees. More than 2.6 million masks and 515,000 gowns were distributed to dentists throughout the nation at a time they were needed most.
CHALLENGE FOR DENTISTS: Support the work of the FDA through your active membership. Don’t just hope that the profession will fare well; instead, actively support your professional association which is working for you to protect your interests. Renew or join today!
In addition to facing the challenges of the COVID-19 pandemic, the Florida Dental Association illustrates the value of membership in numerous other ways, including: • MEDIA — The FDA is the go-to source for media working on stories related to oral health. This allows the FDA to represent members’ interests and serve as the voice of Florida’s dental industry. • ADVOCACY — For the past three years, the FDA has been successful in defeating legislation attempting to create a new licensed dental provider in Florida called a dental therapist (a high school graduate with three years of dental therapy training who would be authorized to do extractions, perform partial root canals and administer local anesthesia). • EDUCATION — The Florida Dental Convention (FDC) released all FDC2019 course recordings on-demand to members for free so they could earn continuing education (CE) credits during the period their offices were closed. In addition, the FDA offers members support for license renewals and reporting to CE Broker. • COMMUNICATIONS — Members receive regular communications from the FDA, including Today’s FDA, an award-winning journal sent to members bimonthly; special alert emails; social media engagement; and News Bites, a monthly digital publication that includes information from FDA departments as well as the ADA and the Florida Board of Dentistry. • FOUNDATION — In addition to providing $50,000 to 14 nonprofit organizations through Project: Dentists Care to provide free or reduced-cost dental care to underserved communities, the FDA Foundation also processed 26 Emergency Disaster Assistance Grants totaling $39,000 to assist Florida dentists impacted by Hurricane Sally.
In order to continue its work on behalf of the dental industry in Florida, the FDA needs the support of every dentist. Please join or renew. Your membership matters. It allows you to have continued access to professional staff at the FDA that is knowledgeable, proactive and able to meet challenges. Together, we can accomplish great things.
We’ve got your back. Always. The FDA, ADA and your local district are here to serve you through COVID-19 and beyond. No matter what’s next, we’ll be there with critical support for you the moment it’s needed. We appreciate our members … It’s nice that they appreciate us, too!
Here’s what FDA members are saying: “There is no doubt that the ADA and the FDA are essential to the profession of dentistry for multiple reasons and none more obvious than the global pandemic we are experiencing … make no mistake about it, I am a grateful member. There is no doubt that there will be changes to the practice of dentistry but together we will overcome any and all challenges.” DR. ALFREDO CALDERON, Miami, Member since 2003
“I greatly appreciate the advice of the FDA during these unprecedented times.” DR. KRISTINE ALLEN, Tarpon Springs, Member since 2006
“This is the time for us all to truly appreciate what organized dentistry is for. Beyond the CE meetings, peer review, insurance resources, journals and practice management guidance, it is through advocacy that the FDA truly benefits all of us. It is comforting for me to know that someone is working hard to protect the interests of dentistry and is available with knowledge to answer questions. I can appreciate that your ability to represent us depends so much on our membership numbers, and I hope that others can now see the value that collective numbers brings to the equations.” DR. PETER LEMIEUX, Winter Park, Member since 1997
“COVID-19 hit all of us hard. From the very beginning, the FDA and ADA were there making sure we were all informed … they provided resources for PPE and relief funds and should be commended for the work they did guiding us through this process. It was tremendous and they continue to work for members. We can’t always anticipate what’s coming, but we can have confidence that the ADA and FDA will be there to respond. This is a testament to why we all should become members — and maintain our memberships.” DR. DEMETRICK LECORN, Ocala, Member since 2002
JOIN OR RENEW at floridadental.org/join
ADA: Practice Transitions
40
TODAY'S FDA NOVEMBER/DECEMBER 2020
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website resources
GREAT WEB RESOURCES #2
#3
COVID-19 Resources
Bento
Career Center
floridadental.org/coronavirus
ada.org/bento
careers.floridadental.org
FAQs for all things related to COVID, including HR, insurance, finances and practice resources.
Customize your in-office plan however you’d like and create as many discount plans as your office wants to cover.
Job seekers can post their resumes for free and employers can list jobs using an online management system with resume searches included.
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Human Trafficking CE & Posters
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Books on the Shelf
floridadental.org/ce
Floridadental.org/books
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floridadental.org/ humantrafficking
Access the required CE course and download posters for your office (in English and Spanish).
Review the latest scientific and clinical information for us and keep the book at no charge!
The FDA offers member dentists FREE online CE opportunities to aid in completing the CE requirements needed for license renewal this upcoming biennium.
#7 Radiography Training Program floridadental.org/radiography
Your employees can train from the comfort of their own homes. Our radiography program costs less than traditional classroom training and eliminates travel.
#8 Legislative Action Center floridadental.org/advocacy Advocacy in action — sign up for legislative alerts, volunteer as a legislative contact dentist and join the FDA Political Action Committee Century Club to invest in the future of the dental profession.
43
is Cris ent agem n a M
OPIOID (OR NARCOTIC) PAINKILLERS ARE HIGHLY ADDICTIVE. CONSIDER NON-NARCOTIC PAINKILLERS AND EXPLORE PAIN MANAGEMENT ALTERNATIVES WITH YOUR DOCTOR. If you have been prescribed an opioid (or narcotic) painkiller in the past, please be aware that you are now likely to be getting an alternative from your prescribing medical professional. Better pain management, less risk of addiction. For more information about preventing painkiller misuse, or what to do if you need help, visit: DoseOfRealityFL.com
Learn more at: DoseOfRealityFL.com A message from the Office of the Florida Attorney General.
ALWAYS FOLLOW SAFE MEDICATION USE TIPS It is important to get your “Dose of Reality” about the risks and dangers of using prescription painkillers, as well as the signs of misuse, before it becomes a problem for you or your loved ones. ○ Understand the purpose of your prescription
and don’t be afraid to ask your prescribing physician follow-up questions, including if a non-narcotic is available;
Learn more at: DoseOfRealityFL.com A message from the Office of the Florida Attorney General.
○ Do not share your prescription painkillers or
other medications with anyone;
○ Do not take someone else’s prescription
medication;
○ When picking up your prescription, read and
examine the label; and
○ Take medications only for as long as they’re
needed, and never more than directed. For even more of a Dose of Reality with regard to prescription painkillers, talk with your doctor, dentist, pharmacist or prescribing medical professional, or visit DoseOfRealityFL.com. In case of emergency, call 9-1-1.
SEE PAGE 46 FLORIDADENTAL.ORG
TODAY'S FDA NOVEMBER/DECEMBER 2020
45
A message from the Office of th
Learn more at: Dose
prescription drugs is from drug dealers. FROM PAGE 45
A message from the Office of the Florida Attorney General.
Learn more at: DoseOfRealityFL.com
For even more of a Dose of Reality with regard to prescription painkillers, talk with your doctor, dentist, pharmacist or prescribing medical professional, or visit DoseOfRealityFL.com. In case of emergency, call 9-1-1.
other medications with anyone;
needed, and never more than directed.
○ Take medications only for as long as they’re
○ When picking up your prescription, read and
○ Do not take someone else’s prescription
○ Do not share your prescription painkillers or
and don’t be afraid to ask your prescribing physician follow-up questions, including if a non-narcotic is available;
○ Understand the purpose of your prescription
examine the label; and
medication;
It is important to get your “Dose of Reality” about the risks and dangers of using prescription painkillers, as well as the signs of misuse, before it becomes a problem for you or your loved ones.
ALWAYS FOLLOW SAFE MEDICATION USE TIPS
For even more of a Dose of Reality with regard to prescription painkillers, talk with your doctor, dentist, pharmacist or prescribing medical professional, or visit DoseOfRealityFL.com. In case of emergency, call 9-1-1.
needed, and never more than directed.
○ Take medications only for as long as they’re
examine the label; and
Unused or expired prescription medications should never be flushed or poured down the drain. These potentially dangerous pharmaceutical substances can contribute to contamination of our water supply if not disposed of properly.
SAFELY DISPOSE OF PRESCRIPTIONS! Unused medications are a disaster waiting to be found. It is vital to safely dispose of unneeded or expired prescriptions. There are safe Drug Take Back disposal sites available throughout Florida. See DoseofRealityFL.com/ Drug-Take-Back.html to find a disposal location near you. Many local sheriff and police departments accept unwanted prescription narcotics too. Always call them first to make sure they are a drug take back location.
PRACTICE SAFE STORAGE WHILE TRAVELING TOO!
Don’t forget to bring your prescriptions with you when traveling. It is important to keep prescriptions secured and out of sight even while traveling. Many hotels have a passcodeprotected hotel room safe or plenty of storage options to ensure your prescriptions are not easily accessible to others. There are also many companies that sell portable medication storage travel containers or bags for individuals who travel with prescriptions often.
46
TODAY'S FDA NOVEMBER/DECEMBER 2020
DOSE OF REALITY: 2 of the most common places addicts get prescription drugs are from family and friends. Visit DoseOfRealityFL.com for more information FLORIDADENTAL.ORG
SPIT ESU
Storing your prescription painkillers and other medications in a lockbox, safe, or locked medicine cabinet is one of the most effective ways to prevent misuse or accidental use. Many companies offer lockable medication storage options.
NEVER FLUSH OR DRAIN!
tuoba ”ytilaeR fo esoD“ ruoy teg ot tnatropmi si tI noitpircserp gnisu fo sregnad dna sksir eht ,esusim fo sngis eht sa llew sa ,srellikniap ruoy ro uoy rof melborp a semoceb ti erofeb .seno devol
LOCK PRESCRIPTIONS UP!
noitpircserp ruoy fo esoprup eht dnatsrednU ○ gnibircserp ruoy ksa ot diarfa eb t’nod dna a fi gnidulcni ,snoitseuq pu-wollof naicisyhp ;elbaliava si citocran-non
Make sure to put medicines away after every use. Never leave medicine out for others to access and ensure the safety cap is locked.
ro srellikniap noitpircserp ruoy erahs ton oD ○ ;enoyna htiw snoitacidem rehto
Keeping your prescription painkillers secure and out of sight can prevent them from falling into the hands of someone who wants to misuse them. It can also prevent someone in your house from accidentally taking the wrong medication.
noitpircserp s’esle enoemos ekat ton oD ○ ;noitacidem
STORE PRESCRIPTIONS OUT OF SIGHT!
dna daer ,noitpircserp ruoy pu gnikcip nehW ○ dna ;lebal eht enimaxe
The bathroom medicine cabinet is a common place where prescriptions are stored; however, keeping them in an easily accessible place means they’re available for children, teens, or others to find and misuse.
DISPOSE OF YOUR PRESCRIPTIONS PROPERLY er’yeht sa gnol sa rof ylno snoitacidem ekaT ○ .detcerid naht erom reven dna ,dedeen
○ When picking up your prescription, read and
SAFE STORAGE drager htiw ytilaeR fo esoD a fo erom neve roF ,rotcod ruoy htiw klat ,srellikniap noitpircserp ot lacidem gnibircserp ro tsicamrahp ,tsitned nI .moc.LFytilaeRfOesoD tisiv ro ,lanoisseforp .1-1-9 llac ,ycnegreme fo esac
medication;
e s o D : t a er o m n r a eL
ht fo ecffiO eht morf egassem A
MYTH: The most common way addicts get
now you know INFORMATION FROM THE FDA is Cris ent agem n a M
GO TO
SUMMARY All health care providers must include non-opioid alternatives for pain and pain management in their discussions with patients before providing anesthesia, or prescribing, ordering, dispensing or administering a schedule II controlled substance for the treatment of pain. Effective July 1, 2019.
OPIOIDS
Non-opioid Alternatives Law bit.ly/2KXvZ2h
HEALTH CARE PROVIDER CHECKLIST INFORM
Non-opioid alternatives for pain treatment, which may include non-opioid medicinal drugs or drug products are available.
Non-opioid interventional procedures or
treatments, which may include: acupuncture, chiropractic treatments, massage, physical or occupational therapy, or other appropriate therapy are available.
DISCUSS
Advantages and disadvantages of non-opioid alternatives.
Patient’s risk or history of controlled
substance abuse or misuse, and patient’s personal preferences.
DOCUMENT IN PATIENT’S RECORD
Non-opioid alternatives considered.
Your
BACKSTAGE
PROVIDE
“Alternatives to Opioids,” an educational
ALL ACCESS
ur FDA YoEXCLUSIVE
information pamphlet created by the Florida Department of Health (required, available at bit.ly/2KXvZ2h) Also, a checklist and poster.
MEMBER BENEFIT
For the latest on opioids, go to: floridadental.org/nyk
GO TO 47
workforce survey
Workforce Survey Summary
4
Hamilton Madison 2 Duval 4 Suwannee 472 12 Taylor Union Clay St. Johns 6 6 Lafayette 99 2 Gilchrist 132 Dixie 4 Alachua Putnam Flagler 211 19 6 55 Levy Marion 10 Volusia 133 222 Citrus Seminole 53 247 Hernando Orange 81 Brevard 605 Pasco Osceola 269 230 132 Pinellas Hillsborough Polk 742 568 Indian River 196 Okeechobee 89 Manatee Hardee St. Lucie 13 10 181 120 Highlands DeSoto 37 Martin Sarasota 6 132 255 Glades Charlotte 2 88 Palm Beach Hendry Lee 998 2 314
Number of Dentists Practicing in Florida by County
Sumter 49 Lake 156
Gadsen Calhoun 12 Leon 122 5 Bay Liberty Wakulla 67 2 6 Franklin
Bradford Nassau 10 36
Columbia 36 Baker 10
Jackson 12
Jefferson 3
Washington 9
Holmes 6
Gulf 4
Walton 30
Okaloosa 47 Santa Rosa 103
Escambia 133
Since 2009, the Florida Department of Health has administered a workforce survey for dentists that provides key findings in the oral health care industry. These results are taken from the 2017-2018 survey and were released August 2020. To access the full survey, go to floridahealth.gov/oral-data.
Collier 235 Monroe 47
48
TODAY'S FDA NOVEMBER/DECEMBER 2020
Broward 1,294 Miami-Dade 1,609
FLORIDADENTAL.ORG
Race/Ethnicity Gender Distribution
65%
35% 59.1% White
3.7% Black
Age Group in Years
8.1% 20-29
18.1% 30-39
22.8% 40-49
23.6% 50-59
23.8% Hispanic
7.9% Asian
23.1% Other
Graduation
23.1% 60-69
4.3% 70+
23.4% UFCD
11% Nova
56.7% Out of State
13.2% Foreign
.9% 2.8% Puerto LECOM Rico/ other U.S. Terr
SEE PAGE 50 FLORIDADENTAL.ORG
TODAY'S FDA NOVEMBER/DECEMBER 2020
49
workforce survey
FROM PAGE 49
Practice Setting
Practice Arrangement
11.3% Co-owner
48.5% Sole Owner
23.8% 13.7% Employee Independent Contractor
2.7% Other
50
12.8% 2-5
12.1% 6-10
12.1% 11-15
11.1% 16-20
TODAY'S FDA NOVEMBER/DECEMBER 2020
36.1% Group
5.3% Safety Net
3.4% Other Governmental Practice
Licensed Dentists Not Practicing in Florida
Years of Active Practice
4.6% 0-1
55.3% Solo
Among those not currently practicing in Florida (2,111), the most common reasons for not using their Florida license were:
47.7% 20+
62.3% Practicing Out of State
12.8% Not Specified
9.9% Retired
80.4% Plan to relocate to Florida
FLORIDADENTAL.ORG
Practice Type by Speciality
Prosthodontics Oral and Maxillo Pathlogy
38.2% 1
FLORIDADENTAL.ORG
26.8% 2
11.8% 3 to 5
1.1% More Than 5
Oral and Maxillo Radiology
Dental Assistants
Dental Hygienists
22.1% None
3
Oral and Maxillo Surgery
12
Endo
170
396
406
Other Pediatric General Public Health Practice
337
Ortho/ Dentofacial Orthopedics
344
General Practice
432
495
6,771
total number: 9,366
1.8% None
20.3% 1
39.8% 2
29.2% 3 to 5
8.9% More Than 5
TODAY'S FDA NOVEMBER/DECEMBER 2020
51
dental schools
LECOM School of Dental Medicine
Florida Dental Schools
NOVA
Southeastern University College of Dental Medicine
f re o u t u F stry i t n De
52
TODAY'S FDA NOVEMBER/DECEMBER 2020
UFCD
University of Florida College of Dentistry FLORIDADENTAL.ORG
Dean Mathew Bateman
History of Your School’s Dental Program LECOM The LECOM School of Dental Medicine (SDM) matriculated its inaugural class in 2012 and has since become one of the most applied to and most affordable private dental schools.
Dean Steven Kaltman
NOVA Founded in 1997, Nova Southeastern University College of Dental Medicine (NSU-CDM) is the first private dental college established in Florida. The CDM coalesces a didactic and clinical curriculum designed to graduate competent and compassionate clinicians devoted to the comprehensive care of each patient.
Dean Isabel Garcia
UFCD Since 1972, the University of Florida College of Dentistry (UFCD) has educated more than 4,700 dental students, residents and fellows — preparing them to provide comprehensive and specialty care to patients, and serve as leaders in their communities and within academia.
SEE PAGE 55 FLORIDADENTAL.ORG
TODAY'S FDA NOVEMBER/DECEMBER 2020
53
FDAS - CyberguardncPlus e Insura s
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dental schools FROM PAGE 53
What’s Going on Now LECOM The LECOM SDM continues to enhance its curriculum using technology and innovative instruction, providing students outstanding didactic and clinical experiences even as we face COVID-19.
Nova True to its mission, the CDM’s urgent care clinic remained opened during the university’s COVID-19 closure. Moreover, following the Centers for Disease Control and Prevention’s and NSU’s guidelines, the CDM was among the first dental colleges that reopened all the clinics and is in the final phase of resuming normal operations.
UFCD UFCD has 365 students, 148 residents and fellows, and offers 16 degree and certificate programs; our research enterprise is ranked fifth in the nation in federal funding and averages $15 million in funding annually. We have made many changes to respond to the COVID-19 pandemic and provide care for patients from all 67 Florida counties through 13 dental centers in the UF Network for Community Oral Health.
Future or Vision for Your Dental Program LECOM The SDM continues to expand opportunities for students to engage in research, clinical care and interprofessional activities with LECOM’s other professional programs.
Nova Our goal of academic preeminence will be achieved by expanding our research contribution and using new oral medicine technologies. For example, three researchers were recruited who brought National Institutes of Health awards of more than $8 million and the CDM is working toward becoming a Center of Excellence for Digital Dentistry.
UFCD Our vision is to be a global leader in dental education, research, patient care and service. We pursue innovative approaches to delivering care and education, and discovering knowledge through research, with strong commitments to community engagement, diversity and inclusion.
What You Want Dentists to Know About You LECOM The LECOM SDM is dedicated to preparing students though its mission of “Excellence in education, research, clinical care and community service,” creating a learning environment that enables students to become skilled and caring dentists.
Nova The NSU-CDM thrives on the diversity of its student body, faculty and the patient communities that we serve. Our academic program
FLORIDADENTAL.ORG
prepares future dentists to provide compassionate, evidence-based and comprehensive oral health care.
UFCD A week after Florida’s COVID-19 emergency order, UFCD launched a teledentistry service, providing consultation and triage for more than 300 patients who may not have received care during the elective care shutdown. We anticipate leveraging UF’s Artificial Intelligence initiative to further improve patient and student outcomes.
TODAY'S FDA NOVEMBER/DECEMBER 2020
55
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districts
How is
YOUR
District a
Piece
?
of the Puzzle FLORIDADENTAL.ORG
TODAY'S FDA NOVEMBER/DECEMBER 2020
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acdda
Atlantic Coast District Dental Association Broward • Indian River • Martin • Okeechobee • Palm Beach • St. Lucie
Dr. Jay Singer, President • Kathy Corrado, Executive Director • k.corrado@acdda.org
How is your district a piece of the puzzle? The ACDDA prides itself on bridging the gap between our
grassroots members to those at the state and national level, as well as ensuring that information and events are communicated to all.
1,336* Members
What are some specific needs that apply to
your district? The ACDDA is always looking for members to get involved in volunteer and leadership roles.
What were/are the challenges your district has faced during COVID-19? Our leadership and staff were always available for any
member regarding questions, concerns and we provided current information from the ADA and FDA.
How have you handled member engagement during COVID-19? ACDDA trustees and staff made wellness calls to our
members during the initial months of the pandemic.
Do you have an annual meeting planned? Our annual meeting is on April 23, 2021 and Dr. Steven
Razner’s presentation will be a mix of clinical and practice management that is appropriate for the whole dental team. *Year-end 2019 total
Voice: 561.968.7714 • Fax: 772.621.8167 • acdda.org 10380 SW Village Center, #408 • Port St. Lucie, FL 34987 58
TODAY'S FDA NOVEMBER/DECEMBER 2020
FLORIDADENTAL.ORG
cfdda
Central Florida District Dental Association Alachua • Brevard • Flagler • Gilchrist • Lake • Levy • Marion • Orange • Osceola • Seminole • Sumter • Volusia
Dr. Suzi Thiems-Heflin, President • Marlinda Fulton, Executive Director • cfdental@cfdda.org
How is your district a piece of the puzzle? CFDDA leadership is engaged locally with our six affiliates, statewide with the FDA and the other districts, and nationally with the ADA. The CFDDA strongly believes in our mission statement: Helping Members Succeed.
1,707* Members
What were/are the challenges your district faced during COVID-19? The CFDDA worked diligently to review all the information being sent from the ADA, FDA, CDC and the state of Florida during the crisis. We then took the major components of the information and compressed it into one communication piece sent via email to membership, almost daily at the begin- ning. The CFDDA continues to do this via our monthly e-news.
How have you handled membership engagement during COVID-19? CFDDA leadership and staff participated in wellness calls to members, delivered a continuous flow of information via emails, newsletters and social media, and researched information for our members to address their questions. CFDDA leaders were onboard 100% to talk with and assist members.
Do you have an annual meeting planned?
We are excited to be having an in-person meeting April 30-May 1 at a beautiful venue, the Hammock Beach Resort, in Palm Coast, Fla. Take a look at the CFDDA ad; more information to follow. See you at the beach!
*Year-end 2019 total
Voice: 407.898.3481 • Fax: 407.895.9712 • cfdda.org 800 N Mills Ave. • Orlando, FL 32803 FLORIDADENTAL.ORG
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nedda
Northeast District Dental Association Bradford • Baker • Clay • Columbia • Dixie • Duval • Hamilton • Lafayette Madison • Nassau • Putnam • St. Johns • Suwannee • Taylor • Union
Dr. Kris Harth, President • Debbie Deville, Executive Director • ddeville@nedda.org
658 Members *
How is your district a piece of the puzzle? We are unified with the ADA and FDA on policy and procedures ensuring that the mission statement of “Helping Members Succeed” is implemented in the Northeast region of Florida.
What are some specific needs that apply to your district?
Like most districts, we struggle to get “new blood” in leadership positions.
*Year-end 2019 total
Thankfully with all the timely information that was sent out by the ADA and FDA, we were able to weather this pretty well. Any questions/issues that arose were handled quickly either at the local level or with the FDA.
What were/are the challenges your district has faced during COVID-19?
How have you handled member engagement during COVID-19? Right after the pandemic hit, our president at the time, Dr. C.J. Henley, set up a Q&A with local attorneys, Orr & Cook. They discussed the impact of COVID-19 on small businesses with a focus on the FMLA amendments, sick leave and the stimulus package. Valuable information was emphasized by (re)sending emails out to members from the district office. Members were encouraged to reach out (and some did) with any questions that they had.
Do you have an annual meeting planned?
Not currently.
Voice: 904.737.7545 • Fax: 904.737.9934 • nedda.org 3733 University Blvd. W Ste. #212 • Jacksonville, FL 32217 60
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nwdda
Northwest District Dental Association Bay • Calhoun • Escambia • Franklin • Gadsden • Gulf • Holmes • Jackson • Jefferson Leon • Liberty • Okaloosa • Santa Rosa • Wakulla • Walton • Washington
Dr. Brittney Craig, President • Angel Estep, Executive Director • nwdda@nwdda.org
511* Members
*Year-end 2019 total
How is your district a piece of the puzzle?
The NWDDA has always been a district of connection through camaraderie, hope, preparedness, strength and growth. These qualities are carried forward in connecting with our colleagues and our patients with positivity, confidence and reliability.
What were/are the challenges your district has faced during COVID-19? The NWDDA’s challenges aren’t too unlike the other districts and the country as a whole. But, as always, the NWDDA’s position has always been one of relentless positive action and maintaining an optimistic stance during the ever-changing social climate of our country and health demands of our patients and staff.
How have you handled member engagement during COVID-19? Again, with relentless positive action! Through unity with the FDA and the ADA, members have always had access to vital information as it pertains to their dental practice, every step of the way.
Do you have an annual meeting planned? The 2021 NWDDA Annual Meeting will be held in person at the Grand Sandestin, Feb. 5-6, 2021. Appropriate to these times, the Annual Meeting is a chance for members, their staffs and guests to “Refresh, Renew, Refocus” with topics including the medical-dental connection, occlusion and airway management, the COVID-19 impact on dentistry, workplace wellness and the business of dentistry, as well as all necessary state-mandated courses. Online registration is open at nwdda.org.
Voice: 850.391.9310 • Fax: 850.391.9311 • nwdda.org 2910 Kerry Forest Parkway, D4-309 • Tallahassee, FL 32309 FLORIDADENTAL.ORG
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sfdda
South Florida District Dental Association Miami-Dade • Monroe • South Broward
Dr. Mariana Velazquez, President • Yolanda Marrero, Executive Director • ymarrero.sfdda@gmail.com.org How is your district a piece of the puzzle?
The SFDDA is the front line for members. As one of the most diverse districts in the state, we do our best to make sure our members feel they are vital and significant in the puzzle.
What were/are the challenges your district has faced during COVID-19? The SFDDA’s challenges during the pandemic are not much different from the rest of the state. However, we have seen an unparalleled resilience that has unified the district. If there is a challenge, it is in the form of trying to get back to holding in-person events. We certainly miss that.
How have you handled member engagement during COVID-19?
We turned every hurdle into an opportunity. We now offer many online lectures through webinars. The SFDDA Officers and Executive Council increased the district’s presence using enhanced out reach through various social media platforms. Using those platforms, we continued to provide members with as much information as possible to help them with their practices, staff and more.
Do you have an annual meeting planned?
The SFDDA is looking forward to holding the “Havana Nights” Annual Business Meeting on April 22-23, 2021. Barring any COVID-19 issues, we hope to prevail — stay tuned!
1,362* Members *Year-end 2019 total
Voice: 305.667.3647 • Fax: 305.665.7059 • sfdda.org 420 S Dixie Highway, #2-E • Coral Gables, FL 33146 62
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FLORIDADENTAL.ORG
wcdda
West Coast District Dental Association Charlotte • Citrus • Collier • DeSoto • Glades • Hardee • Hendry • Hernando Highlands • Hillsborough • Lee • Manatee • Pasco • Pinellas • Polk • Sarasota
Dr. M. Reza Iranmanesh, President • Lissette Zuknick, Executive Director • lissette@wcdental.org
2,351* Members
The WCDDA has information that helps our members understand parts of a difficult question. WCDDA is that colorful piece of the puzzle that is looked at and one immediately thinks, “I know just where that fits.”
How is your district a piece of the puzzle?
What are some specific needs that apply to your district? We could use a monorail system that connects from Collier to Citrus counties.
What were/are the challenges your district has faced during COVID-19?
Some affiliates have opted to limit in-person affiliate meetings. Vendor support is challenging. The affiliates that are meeting have noticed a decreased number of in-person attendees but an increase in virtual attendees. We’ve all been adjusting accordingly.
How have you handled member engagement during COVID-19?
In-person/Virtual Summer Meeting, virtual business meetings, email and phone communication. We've continued to assist members through helping the affiliates during COVID.
Do you have an annual meeting planned? Three fun events planned! Check out our ad on page 65.
*Year-end 2019 total
Voice: 813.654.2500 • Fax: 813.654.2505 • wcdental.org 114 Kyle Wood Lane • Brandon, FL 3511 FLORIDADENTAL.ORG
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FLORIDADENTAL.ORG
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E-VAC Inc.
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FLORIDADENTAL.ORG
donated dental services
FDA MEMBER CHANGES THE LIFE OF A FLORIDA CANCER SURVIVOR THROUGH DONATED DENTAL SERVICES DENTAL LIFELINE NETWORK • FLORIDA
For more than 40 years, Dental Lifeline Network (DLN), a nonprofit organization, has been transforming lives by providing comprehensive dentistry for adults with special needs across the U.S. Through its flagship program Donated Dental Services (DDS), a network of volunteer dentists and labs provide comprehensive dental care to help people in need like Regina. Regina is a widow who lives alone in Tampa. Unfortunately, she has multiple health issues, including diabetes, rheumatoid arthritis, coronary artery disease and hypertension. Recently, she underwent chemotherapy and radiation treatment for cervical cancer and, fortunately, is now in remission. The cancer treatment affected her dental health and her physician was concerned that it was influencing her overall health. She survives on a Social Security disability benefit and had no way to pay for the dental care she desperately needed. While researching online, Regina found DLN • Florida and through the DDS program was connected with FDA member Dr. Amy Creech-Gionis. She provided an alveoplasty, restored two teeth and extracted seven teeth. Then, with the help of Knight Dental Group and Tele-Dent Dental Lab, donated five crowns, a three-unit bridge and a full upper denture. Once a dentist begins volunteering with the DDS program in his or her state, the local coordinator refers one patient per year, on average. Many dentists tell DLN they appreciate how easy their DDS coordinator makes it for them to give back and what a joy it is working with DDS patients. “Regina was a true pleasure to work with and our office really enjoyed it,” said Dr. Creech-Gionis, DDS volunteer. Regina was extremely appreciative of the dental care she received through the DDS program. “This is the nicest dentist office ever and they treat me like a queen! Thank you so much!” said Regina. FLORIDADENTAL.ORG
(L to R): Dr. Amy Creech-Gionis, Sherry Ann Scott-Lazabal with DDS patient Regina.
During this difficult time of uncertainty, we are especially thankful to the more than 15,000 dentists and 3,400 labs who have donated more than $485 million worth of comprehensive donated treatment for more than 159,000 people across the country. Special thanks to the 503 Florida dentists and 224 labs who have donated $9.6 million and provided 2,029 Floridians with care since 1997. DLN • Florida appreciates the dentists who continue to provide care and are full of hope that when the other dentists are ready, they will begin to see our patients again and give them the care they so desperately need! In the meantime, you can learn more at dentallifeline.org and follow @dentallifeline on social media: Facebook, Instagram, Twitter and LinkedIn.
TODAY'S FDA NOVEMBER/DECEMBER 2020
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Cardconnect
DrFirst
bento
IN-OFFICE PLANS ARE CHANGING THE GAME Whether you’re just starting a practice or have been established for years, providing in-office plans can help solve some of the biggest financial challenges your practice will face. In-office plans are a relatively new subscription-based membership model that can generate additional revenue and create lifelong patients, while providing better financial and care solutions for uninsured patients and small businesses around your office.
There Are More Uninsured Patients Now Than Ever LANDON LEMOINE BENTO, VP OF GROWTH
Mr. Lemoine can be reached at 617.575.9031 or landon@bento. net.
It’s a known fact: Americans with access to dental benefits are more likely to go to the dentist, take their children to the dentist, receive restorative care and experience greater overall health, according to The Haves and the Have-Nots: Consumers with and without Dental Benefits by the National Association of Dental Plans.
Fig. 1
Reference: 1), N. (2017, February 04). Who has dental benefits today? Retrieved September 30, 2020, from nadp.org/ Dental_Benefits_Basics/Dental_BB_1.aspx
It’s clear that when provided a dental benefit, patients are motivated to go to the dentist and take a proactive role with their oral health. Fortunately, nearly 77% of Americans have access to a dental benefit through an employer, association, group or by other means.
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However, 23% of Americans are left without dental benefits. In 2017, the American Dental Association (ADA) estimated that more than 100 million American adults fell into this category. A large amount of the U.S. population and your patient pool is not taking the same proactive approach to their oral health as those with benefits. Uninsured individuals are more likely to need extractions or dentures and less likely to have received previous restorative care or treatments for gum disease. Studies have shown that they have reported higher incidences of other illnesses. For example, these individuals are 67% more likely to be diagnosed with heart disease, 50% more likely to have osteoporosis and 29% more likely to have diabetes. Not only is their oral and overall health affected, but these individuals also are missing valuable opportunities for prevention and early treatment. Many dental treatments are bypassing the dental office completely, accounting for more than 2 million emergency room visits annually.1 Yikes!
COVID-19 Has Expanded Demand The COVID crisis has exacerbated this problem. As a result, millions of Americans have filed for unemployment, drastically increasing the quantity of individuals without access to benefits. Since many of these individuals previously had access to a dental benefit, they understand the value of receiving regular, preventive treatment. While the number of uninsured patients continues to grow, patient visits also have decreased drastically. Practices that closed now have patients who missed regular cleanings and preventive visits. As patients begin to resume regular visits, the time missed will lead to more patients needing restorative procedures. A combination of lack of access to benefits and increasing demand for expensive procedures will create even more need for an effective, value-based alternative for your patients.
A Better Option for Dental Practices and Patients Fig. 2
The Florida Dental Association (FDA) knows the frustration our members have with third-party payers. That’s why we’re excited to partner with Bento to support the adoption of a dental benefits administration technology that allows dentists and patients to remove artificial barriers to care and reduce administrative costs while improving oral health. Bento is a modern alternative to traditional dental insurance by enabling employers, groups and individuals access to comprehensive dental coverage through an advanced AI-based digital platform. Unlike traditional insurance companies, Bento works directly with dentists and provides solutions for practices, patients and employers. When creating in-office plans powered by Bento’s tech-enabled platform, dentists have complete control of plan design and pricing, and Bento even provides the tools needed to start selling plans to patients. Creating a plan powered by Bento is completely free, only takes minutes and FDA members receive a discount on administration.
While solutions for uninsured patients exist, buying a traditional dental insurance plan without employer sponsorship can be confusing and expensive. Traditional dental insurance PPO plans have high annual premiums, long waiting periods and often lack the coverage patients need most. For most individuals and families, particularly seniors and lower-income families, traditional PPO plans are not an effective option. Discount cards are a cost-effective option to a traditional insurance plan but present another set of problems. When patients purchase discount cards, dentists have little to no control of the pricing and fee schedules. Not only that, revenue is not guaranteed as the sale SEE PAGE 72
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bento
FROM PAGE 71
of the discount card goes to the middleman. While discount cards provide an increased value to patients, they rarely cover many of the procedures and services that patients really need. As a result, the patient-dentist relationship and continuity of care suffer.
Join Us for a Webinar Learn more about Bento and get your questions answered by joining in a webinar on Dec. 8 (options at 1 p.m. and 6 p.m.). v 1 p.m.: bento.net/fda-1pm v 6 p.m.: bento.net/fda-6pm
A better option for dentists and patients is the in-office plan. In-office plans can reduce dependency on traditional insurance companies by cutting them out of the picture, providing customized dental plans directly to patients. The dentist is in complete control of the services covered and pricing, thus enabling practices to offer plans that focus on value and/ or expanded service offerings to patients. Plans can even be targeted toward specific patient groups. For example, your practice can create an in-office plan dedicated to seniors that provides routine procedures as well as enhanced offerings for dentures or implants. Instead of premiums being wasted on procedures that patients may or may not use, dentists design plans that make the most sense for their patients. Financially, any revenue derived from a plan goes directly to those doing the work — the dental office. Want to learn more about creating an in-office plan for your practice? Visit bento.net or speak to a dedicated plan consultant by calling 800.734.8484 or emailing network@bento.net. Bento works directly with dentists and provides solutions for practices, patients and employers. Bento is proud to be endorsed by the ADA and the FDA.
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FDAS: Abyde
hipaa
Recent HIPAAenforcement Activity Having a HIPAA-compliance program in place, just like insurance, protects your dental practice from HIPAA violations and fines. And while you may not need to use your insurance regularly, you certainly wouldn’t want to go without it.
(OCR) will bring down the hammer in fines and corrective action plans. That’s what happened to the practices that made the news for HIPAA violations this September — and there was a lot of news.
When an uncontrollable incident like a data breach or a patient complaint sparks a HIPAA audit, if your practice doesn’t have that documentation ready, the Office for Civil Rights
In the last two weeks of September alone, the OCR levied eight HIPAA settlements totaling $10,786,500 in fines. September fines now account for 90% of total 2020 HIPAA fines, and
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drive home the OCR’s emphasis on practices keeping HIPAA at the top of their priority lists. These September fines related to practices either improperly providing patient access to records or suffering from a data breach because of “systemic lack of compliance,” as the OCR put it. The fines relating to patients’ right of access were released in one historic five-fine announcement and ranged from $3,500 (the smallest HIPAA fine to date) to $70,000. Each practice affected failed to provide patients or their authorized personal representatives with access to requested medical records within the HIPAA-mandated time frame. In fact, two of the five instances were only resolved after the individuals involved complained a second time to the OCR, and one of the covered entities didn’t provide the requested records until almost three years after the initial request was submitted. To put that in perspective, Florida state law and federal regulations require records to be provided within 30 days of the patient’s request. Because patient access is so important, HIPAA covers specific requirements for when and how to provide records as well as to whom and in what format. If your practice is not familiar with these requirements or does not have a program in place to fulfill requests, ending up on the OCR’s enforcement list is a real possibility. Particularly because these fines were triggered by patient complaints, the practices involved had no way to prevent the incidents except by complying with HIPAA regulations beforehand. The other three September fines all centered around practices that failed to prevent a cyberattack. When the OCR investigated, all three audits revealed that none of the entities had completed even a basic security risk analysis, none had proper technical safeguards in place, and none had any sort of proper incident response. Each cyberattack occurred a little differently — a phishing email for one practice, stolen vendor FLORIDADENTAL.ORG
credentials for another and lastly, by a known hacker group — but all three incidents did not halt hacker access right away, even after being notified. This lack of compliance and proper procedures is a large part of the fines the OCR levied, including the second largest HIPAA fine to date of $6.85 million. Together, all three incidents resulted in the breach and improper access of more than 16.7 million records. As a covered entity, you always run the risk of falling victim to a data breach. While the catalysts of these violations were out of anyone’s control, the long-standing noncompliance discovered was what ultimately led to each settlement. If staff had received proper training on how to handle these incidents, and if proper technical safeguards were in place, the practices would not have received the same fines and scrutiny from the OCR.
How to Protect Your Dental Practice Get a complete HIPAA program in place — before an incident occurs. Only with proper documentation, training and policies can your practice minimize the risk of a breach or complaint, and if one did occur, only the documentation from before the incident can help you avoid a HIPAA fine. Don’t wait untill your practice is in hot water, get in touch with a HIPAA expert today to find out what you’re missing.
Abyde is an FDA Crown Savings endorsed partner and the Abyde software solution is an easy way for any sized dental practice to implement and sustain comprehensive HIPAA-compliance programs. FDA members save 20% on Abyde services that help their practices meet government-mandated HIPAA standards that protect patient health information by identifying and correcting key security safeguards. Visit fdaservices.com/abyde or call 800.594.0883.
MATT DIBLASI PRESIDENT, ABYDE
Contact Abyde for a complimentary HIPAA educational webinar as an FDA member at abyde.com/webinar/fda.
“
Because patient access is so important, HIPAA covers specific requirements for when and how to provide records as well as to whom and in what format.
”
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FDC2021 Speaker Preview
Zygomatic Implants Introduction and Discussion
DR. VISHTASB BROUMAND
Dr. Broumand is an oral and maxilliofacial surgeon in Phoenix, Ariz. and adjunct clinical assistant professor in the department of oral and maxillofacial surgery at the University of Florida College of Dentistry, A.T. Still University-Arizona School of Dentistry and Oral Health, and MD Anderson Cancer Center. He can be reached at vbomfs@gmail.com. Dr. Broumand will be presenting three workshops at the 2021 Florida Dental Convention. On Friday, June 25, he will present his full-day workshop, “Advanced Full-arch Implant Rehab for Atrophic Arches: Solving Serious Problems Using Zygomatic and Conventional Implants Workshop.” On Saturday, June 26, “Mastering Full-arch Surgical Techniques for Predictable Implant Outcomes” will be in the morning and “Suturing Techniques in Dentistry” will be later that afternoon.
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Zygomatic implants were designed by Per‐ Ingvar Brånemark in the late 1980s to allow for implant‐supported fixed prosthetic rehabilitation where maxillary bony support for conventional dental implants and consequent prosthetic rehabilitation is inadequate while wearing a conventional denture is nearly impossible due to inadequate retention and stability.1 Placement of dental implants in patients with tumor- or trauma-related defects, or with vertical and horizontal deficiency of the maxilla often is limited by the extensive pneumatization of the sinus cavities and furthermore, by poor quality and inadequate amounts of remaining bone. Many surgical procedures have been developed to rebuild the atrophic maxilla in order to subsequently place dental implants such as allogeneic bone grafting with mesh, autogenous iliac crest block grafting, Le Fort I osteotomies with interpositional grafts and sinus augmentation procedures. None of these procedures yield immediate results, and complications and failures are common; therefore, acceptance is low. In more contemporary literature, to avoid extensive bone-grafting procedures, angled implants with or without single zygomatic implants have been recommended for the dental rehabilitation and reconstruction of this group of patients. However, the palatal and posterior resorptive pattern of the edentulous maxillae also may limit the hori-
TODAY'S FDA NOVEMBER/DECEMBER 2020
zontal bony volume necessary to successfully place angled endosseous implants.2-4 Severe atrophy of the maxilla can be due to various factors, such as tumor resection, generalized aggressive periodontitis, genetic disorders or syndromes. Fabrication of a prosthesis with adequate retention and stability for patients with an atrophic edentulous maxilla presents a significant challenge for the most skilled surgeon. Treatment concepts with zygomatic implants have evolved as an alternative for bone-augmentation procedures, although initially conceived only as a treatment for the victims of traumas or maxillary resection with significant loss of maxillary structure. Following maxillectomy, many patients retain anchorage regions only in the body of the zygoma or in the frontal extension of the zygomatic bone just as many patients who suffer from extreme maxillary atrophy.5,6 The case shown here illustrates full-mouth rehabilitation using a combination of zygomatic implants and an implant-retained lower hybrid bridge in a 70-year-old female who had been fully edentulous in the maxilla for 40 years. Additionally, she was told she was not a candidate for maxillary dental implants due to severe maxillary hypoplasia. She underwent restoration of the maxillary dentition using four zygomatic implants commonly known as the “quad zygomatic” implant technique. No complications were encountered during the procedure.
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Indications and Protocols Treatment concepts with zygomatic implants have evolved as an alternative for challenging bone-augmentation procedures. A combination of conventional implants and zygomatic implants have been used successfully for restoration of the moderately atrophic maxilla.7-12 Placement of anterior conventional implants without large grafting procedures will be extremely difficult in the severely atrophic premaxilla. In such situations, quadruple zygomatic implants can be used for the dental rehabilitation of the edentulous maxilla.13-16 Quadruple zygomatic implant placement procedures, which do not require any adjunctive procedures such as grafting, have become a logical choice for dental rehabilitation of the severely atrophic maxilla, especially in patients with previous conventional implant or grafting failures. Quadruple zygomatic implant-supported dental rehabilitation can immediately restore oral function, based on implant osseointegration achieved through the zygomatic and malar process rather than the alveolar process of the maxilla.17 Ideally, a single or multiple standard implants inserted in the premaxilla can counteract the long lever arm of zygomatic implants and prevent prosthetic screw loosening as well as increasing the odds of long-term success of the zygomatic implants. In this case, we considered an immediate-load protocol although a delayed-load protocol also is possible.18,19 The immediate one-stage protocol requires the immediate cross-arch splinting of the zygomatic implants at the time of surgery. The patient’s existing or new denture is converted to a hybrid bridge. The denture is altered to accommodate the multi-unit abutments with temporary cylinders in order to splint the zygomatic implants with or without any premaxillary implants by conversion of the patient’s existing denture into a fixed provisional bridge using the same direct or indirect conversion technique described for the conversion protocol used when immediate loading is considered. During the first month of the healing stage, the patient is seen every week to adjust the occlusion, as it must remain equally balanced across the entire arch. After healing of the bone and soft tissues, abutment level final impressions of the zygomatic implants are taken for the fabrication of a definitive fixed hybrid with a titanium bar approximately six months later.20-22 Once the final restorations are delivered, it is recommended to use a Waterpik water flosser twice daily, especially at bedtime. It also is recommended to brush twice daily with a soft manual toothbrush using a non-abrasive, non-whitening toothpaste. Recall FLORIDADENTAL.ORG
Figs. 1-6: The case shown here illustrates full-mouth rehabilitation using a combination of four zygomatic implants and implant-retained lower hybrid Zirconia bridges with five dental implants using an immediate-load protocol. The patient underwent restoration of the maxillary dentition using four zygomatic implants commonly known as the “quad zygomatic” implant technique and a mandibular all on X protocol using a combination of Noris Medical maxillary and Nobel BioCare mandibular implants.
Fig. 1
Fig. 2
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appointments are advised at three months, six months and one year after delivery of the final appliance. At the yearly appointment, the appliance is removed to clean the underside of the hybrid restoration and the multi-unit abutments, especially for patients who have difficulty maintaining hygiene. Periapicals or a panorex are taken each year at the recall appointment for three years following insert, and then once every three years or as deemed necessary thereafter. Numerous companies design and market zygomatic implants worldwide. The implants most commonly used in the United States are available in different lengths between 30 and 57.5 mm in 2.5 mm increments depending on the manufacturer.23 In planning patients with the zygoma implant, a “systematic preoperative evaluation protocol� is required before the surgical treatment.24 Both surgical and prosthetic needs must be considered before initiation of the surgical treatment to allow for a predictable outcome. The overall frequency of complications with zygomatic implants have been studied by retrospective analyses and has been reported to be as high as 9.9%. Intraoral complications accounted for 1.2% of all complications and include orosinusal fistula (0.4%), vestibular cortical fenestration (0.4%) and implant loss (0.4%). Extraoral complications represented 8.7% of all complications and include sinusitis (7.5%), subcutaneous malar emphysema and rarely cutaneous fistula (0.8%), infraorbital nerve paresthesia (0.4%) and rarely orbital penetration.25-27
Fig. 3
References 1. Branemark PI, et al. Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results. Scand J Plast Reconstr Surg Hand Surg. 2004;38:70-85. 2. Fortin Y, Sullivan RM, Rangert BR. The Marius implant bridge: surgical and prosthetic rehabilitation for the completely edentulous upper jaw with moderate to severe resorption: a 5-year retrospective clinical study. Clin Implant Dent Relat Res. 2002;4:69-77. 3. Krekmanov L, et al. Tilting of posterior mandibular and maxillary implants for improved prosthesis support. Int J Oral Maxillofac Implants. 2000;15:405-14. 4. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and Periotest study. Clin Implant Dent Relat Res. 2001;3(1):39-49.
Fig. 4
5. Jensen OT, Brownd C, Blacker J. Nasofacial prostheses supported by osseointegrated implants. Int J Oral Maxillofac Implants 1992; 7:203-211.
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6. Weischer T, Schettler D, Mohr C. Titanium implants in the zygoma as retaining elements after hemimaxillectomy. Int J Oral Maxillofac Implants 1997; 12:211-214. 7. Malevez C, Abarca M, Durdu F, Daelemans P. Clinical outcome of 103 consecutive zygomatic implants: A 6-48 months follow-up study. Clin Oral Implants Res 2004;15:18-22. 8. Bedrossian E. Rehabilitation of the edentulous maxilla with the zygoma concept: A 7-year prospective study. Int J Oral Maxillofac Implants 2010;25:1213-21. 9. Yates JM, Brook IM, Patel RR, Wragg PF, Atkins SA, El-Awa A, et al. Treatment of the edentulous atrophic maxilla using zygomatic implants: Evaluation of survival rates over 5-10 years. Int J Oral Maxillofac Surg 2014;43:237-42. 10. Malo P, de Araujo Nobre M, Lopes A, Ferro A, Moss S. Extramaxillary surgical technique: Clinical outcome of 352 patients rehabilitated with 747 zygomatic implants with a follow-up between 6 months and 7 years. Clin Implant Dent Relat Res 2013. 11. Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, et al. The long-term use of zygomatic implants: A 10-year clinical and radiographic report. Clin Implant Dent Relat Res 2014;16:447-59. 12. Miglioranca RM, Sotto-Maior BS, Senna PM, Francischone CE, Del Bel Cury AA. Immediate occlusal loading of extrasinus zygomatic implants: A prospective cohort study with a follow-up period of 8 years. Int J Oral Maxillofac Surg 2012;41:1072-6.
Fig. 5
13. Davo R, Pons O. Prostheses supported by four immediately loaded zygomatic implants: A 3-year prospective study. Eur J Oral Implantol 2013;6:263-9. 14. Padovan LE, Ribeiro-Junior PD, Sartori IA, Thome G, Sartori EM, Uhlendorf J. Multiple zygomatic implants as an alternative for rehabilitation of extremely atrophic maxilla: A case letter with 55 months of follow-up. J Oral Implantol 2013. 15. Rajan, Gunaseelan, et al. “Full mouth implant rehabilitation of patients with severely atrophic maxilla: Quad zygomatic implants approach.” Journal of Dental Implants, vol. 4, no. 2, 2014, p. 182 16. Louis P, Vega L, Christopher J. Atlas of Operative Oral and Maxillofacial Surgery. Hoboken, NJ, USA: John Wiley & Sons, 2015. Web. 2015;8:42-47. 17. Bedrossian E, et al. Fixed prosthetic implant restoration of the edentulous maxilla: a systematic pretreatment evaluation method. J Oral Maxillofac Surg. 2008;66:112-22 18. Bedrossian E, Stumpel L. Immediate stabilization at phase II of zygomaticus fixtures: a simplified technique. J Prosthet Dent. 2001;86(1):10-4. 19. Chow J, et al. Zygomatic implants-protocol for immediate loading: a preliminary report. J Oral Maxillofac Surg. 2006;64:804-11. 20. Bedrossian E, et al. Immediate function with the zygomatic implant-a graftless solution for the patient with mild to advanced atrophy of the maxilla. Int J Oral Maxillofac Surg. 2006;21:1-6. 21. Zhao Y, Skalak R, Branemark PI. Analysis of a dental prosthesis supported by zygomatic fixtures. Gothenberg: The Institute for Applied Biotechnology. 22. Balshi TJ. The Biotes conversion prosthesis: a provisional fixed prosthesis supported by osseointegrated titanium fixtures for restoration of the edentulous jaws. Quintessence Int. 1985;16:667-77. 23. Bedrossian E, Stumpel LJ (2001) Immediate stabilization at stage II of zygomatic implants: rationale and technique. J Prosthet Dent 86(1):10-14 24. Bedrossian E, et al. Fixed prosthetic implant restoration of the edentulous maxilla: a systematic pretreatment evaluation method. J Oral Maxillofac Surg. 2008;66:112-22.
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Fig. 6
25. Antonio D’Agostino, Lorenzo Trevisiol, Vittorio Favero, Mattia Pessina, Pasquale Procacci, Pier Francesco Nocini. Are Zygomatic Implants Associated with Maxillary Sinusitis? Journal of Oral and Maxillofacial Surgery, Vol. 74, Issue 8, p1562-1573 26. D’Agostino, Antonio; Favero, Vittorio; Nocini, Riccardo; Venco, Jessica; Nocini, Pier Francesco; Trevisiol, Lorenzo. Does Middle Meatal Antrostomy Prevent the Onset of Maxillary Sinusitis After Zygomatic Implant Placement? Journal of Oral and Maxillofacial Surgery, Vol.77(12), pp.2475-2482 27. Humberto Fernández, Andrés Gómez-Delgado, Sergio Trujillo-Saldarriaga, Daniel Varón-Cardona, Jaime Castro-Núñez. Zygomatic Implants for the Management of the Severely Atrophied Maxilla: A Retrospective Analysis of 244 Implants. Journal of Oral and Maxillofacial Surgery, Vol. 72, Issue 5, p887-891.
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QuickBooks Not So Quick? XERO Leaving You Feeling Like a Zero? Why are you and your practice manager/ bookkeeper bogged down in balance sheets that don’t make sense? It’s well known that stress comes at us from different angles. Don’t let your books be one of them.
SONIA MITCHELL
Ms. Mitchell is a CPA and can be reached at smitchell@cricpa. com. She will be presenting her course, “QuickBooks and XERO: Learn How to Get the Most from Your Accounting System,” at FDC2021 on Thursday, June 24.
What are your pain points? As a dentist, you know how many patients you can see per week. You know the amount of deposits needed to cover payroll, debt and general overhead to run the office and equipment. When is the last time you sat down for a quick meeting with your bookkeeper? Let’s reduce the guessing games and keep your staff on point with billings, reconciliations and timely reports to help run your business at a higher profit margin. Surprisingly, these meetings will help your staff feel more appreciated, hold them accountable and earn respect for your leadership. A side benefit of keeping on point with your books and goals? Timely and meaningful tax planning to circumvent last-minute tax surprises! Continuing improvement to your books and your services is a smart business model. These six easy steps will keep you on track to running your practice efficiently.
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1. Ask your practice manager to pull reports from your financial software — balance sheet, statement of cash flow, budget to actual report and a general ledger (transaction detail). If you have multiple dentists or locations, produce these reports by profit center. Are you working as a cash basis practice? Do you track billings and customer/patient accounts with a practice management system? Are you tracking production by dentist or hygienist? How often do you meet and review reports to manage and compensate production?
2. Schedule a 30-minute meeting to review this data. Set expectations for the timeliness of reports and discuss the accuracy.
3. Show appreciation, work toward cohesion and access the books independently. Install an app on your phone or iPad for ease of access.
4. Allow each user to have his or her own login and password.
5. Limit access in your system to only those areas required for personnel to perform their respective positions’ responsibilities.
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6. Set your next meeting date and time before leaving the meeting. Consistency of meetings and respect of your personnel’s time is key. By following these helpful weekly tips, you’ll be setting goals and ensuring you have the proper support staff to obtain these goals. If you need assistance getting on track, your CPA is your trusted advisor and can facilitate working through the pain points you may have with the business side of your practice. Including these six easy steps on a weekly basis will help grow your confidence that your books are up to date and reflective of your operations!
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A side benefit of keeping on point with your books and goals? Timely and meaningful tax planning to circumvent last-minute tax surprises!
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Six Ways to Provide an Extraordinary Patient Experience! We all want great patients — those who never miss an appointment, take your treatment recommendations seriously, refer their friends and family members, and give you five-star reviews online. So, where does this begin? Believe it or not, it does not start with having the “right kind of patients” or those with that mythical “high dental IQ” — it starts with us! DR. RICHARD H. MADOW
Dr. Madow is a co-founder of The Madow Center for Dental Practice Success and will be presenting three courses at the 2021 Florida Dental Convention on Thursday, June 24. His keynote, “ROCK Your Practice to the Top!” will be the first course of the day, followed by “The Insider’s Guide to Dental Practice Success, Part 1” with Part 2 that afternoon. He can be reached at info@madow.com.
According to Dr. Robert Cialdini, worldrenowned expert on the art of influence, the most important factor in getting people to do what you want them to do is reciprocity. So, if we want our patients to do all these great things, it starts with us giving them an outstanding experience every single time they have any contact with our office. There are hundreds of ways to do this, but since you don’t have all day, here are six great ones!
1. Make an Incredible First Impression It’s an old adage, but it’s true: “You don’t get a second chance to make a first impression.” But when is the first impression made? Chances are it’s not at the patient’s first visit. The first impression is made either when the patient calls your office or visits your website.
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A dental website doesn’t have to be super fancy or have a million links describing all different types of dental treatment. Those things often are a distraction and make the potential patient forget why he or she visited the site in the first place! However, your website should always tell patients what type of experience they can look forward to when they visit your office. The “Meet the Doctor” page is incredibly important. Always include a professional picture, preferably in a non-clinical setting. But even more important is the doctor’s biography. It should not read like a CV, beginning with your schooling and academic achievements. Tell the patient how friendly and caring the doctor is, and why he or she goes beyond the usual to make them feel comfortable. And don’t forget to include tons of fantastic testimonials on your site. The telephone is another place where the first impression can be made. Having a potential patient’s call go to voicemail during regular business hours (including lunchtime) is unacceptable and tells the patient you are too busy. Almost as bad is an immediate “HOLD, PLEASE!” As dentists and coaches with more than three decades of experience, we have placed thousands of secret shopper calls, and can report that more than 50% of potential FLORIDADENTAL.ORG
new patient calls fall into these two categories. A friendly, unrushed, caring individual needs to be answering your office phones. More than 90% of new patient calls end without the patient being asked to make an appointment. Don’t let that be the norm in your practice!
2. Use “The Blue Sheet” With the widespread usage of electronic records, “the blue sheet” is no longer on an actual blue index card, but it works the same way. During casual conversation with a patient, be sure to make chart notes about their family, job, hobbies, travel, etc. Keep this in a dedicated chart area called “The Blue Sheet.” Then, the next time they come in, you ask them something about their lives, and you are a hero! Here’s an example. Mrs. Davidson comes in for a cleaning in May, and she is so excited to tell you the news that in October she will become a grandmother! Then, the song “Let it be” comes on your office music system and she starts tapping her foot and tells you she is a huge Beatles fan. So, you make notes on your “blue sheet.”
Four months later she is in for her next visit, and you greet her with a big smile and say, “You must be a new grandma by now!” She is gushing as she pulls out her cellphone to show pictures of her little munchkin. Then, as her checkup continues, you say, “I know you’re a big Beatles fan. Can you believe Ringo just turned 80?” She’s never experienced anything like this before at a doctor’s office, and you’re a hero! The “Blue Sheet” works!
3. Send the “PPV!” Most of us know we should be doing night calls for our patients who have undergone a procedure that day. In my practice the protocol was “injection in the day, call from the
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It’s essential that every single patient feels like they are your most important patient, and it starts with us!
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FDAS: Mercedes
THE PERFECT GIFT! FDA members save up to $3,500* on a new Mercedes-Benz Members are eligible for exclusive savings on a whole host of Mercedes-Benz vehicles. Whatever your heart and driving style desire, now you can make it yours, at significant savings, thanks to this special FDA Member incentive.
ada.org/mercedes | 866.628.7232 *Fleet incentives available for qualified customers on select MY2019 and MY2020 Mercedes-Benz models. Incentive must be used at time of purchase/lease. Eligible person must be the buyer/co-buyer or lessee/co-lessee. Fleet incentives cannot be used in conjunction with Diplomat, European Delivery, Special Demos, Certificate Programs, Seasonal Event Bonus Program and other Fleet Programs, or non-U.S. specification vehicles. All incentive amounts are subject to change without notice and should be confirmed with your dealer at the time of transaction.
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doctor at night.” Well, the PPV technique takes this a major step forward! PPV stands for Pick Postprocedural Video — it’s taught by Chicago-area periodontist Dr. Robert Pick, and it takes the classic “night call” to the next level! Each evening before leaving the office, Dr. Pick and his clinical assistant use a smartphone to create a brief custom video for each patient and text it to them. It doesn’t have to be long; 20 seconds is fine. For example: “Hello Stacy, this is Dr. Pick and Theresa. It was great seeing you today, and we’re glad everything went smoothly. You’re probably still a little bit sore and that’s perfectly normal. Rest up, and if you have any questions, just give us a call. See you next week!” BOOM — you are now the greatest dentist in history.
4. Don’t Use Dental Lingo Don’t forget that the dental terminology that is so natural to us is totally foreign to our patients. Use words like “composite,” “crown margin,” “periodontal disease,” “distal,” etc. and you may as well be speaking Esperanto.* My rule of thumb is everything you say to a patient should be on a level that a sixth grader can understand. Those who want more detail can ask — but there is a great art to explaining things on patientfriendly terms, and it’s always appreciated.
5. Make Sure the Entire Team is on Board The quality of care your patients receive will never exceed the quality of the people providing it. Everyone, including the doctor, needs to be creating an incredible patient experience every second of every day. So, how does a doctor get his or her team performing at this level?
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Clearly communicate goals and expectations. Ask for input. Be friendly, grateful and respectful. Reward positive behavior! Do not tolerate gossip and negativity. Remember that patients won’t love your practice unless the team loves it first! Invest in your team with proper training, continuing education, protocols and coaching. This will pay off 10 times greater than that shiny piece of high-tech equipment you’ve been eyeing up.
6. Never Run Late Whether patients are seated in your reception area or waiting in their cars, nothing says, “We don’t care,” like constantly running late. Make it a point to always run on time and your patients will surely notice. Don’t make excuses — it can and should be done. When your office policy is “We do not run late,” you will schedule, triage and make your decisions appropriately, and your patients will appreciate it. Those are just six of the many things you can be doing to provide an exceptional patient experience. It’s essential that every single patient feels like your most important patient, and it starts with us! And then, you can have a practice full of happy patients who stay with you, accept treatment and refer others!
*Esperanto is an artificial language constructed in 1887 by L.L. Zamenhof, a Polish oculist, and intended for use as an international second language.
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Henry Schein
fdc
A Tale of Two Teams at FDC
Dr. Mark Offenback and staff For the last 36 years, my amazing Wekiva Dental team and I have attended the Florida National Dental Convention (FNDC) and now the FDC en masse. We’ve also made the investment in our staff to allow them to stay at the
FNDC/FDC facility each year. The conference experience is amazing. We enjoy meeting new faces and connecting with older ones. The continuing education credits are a nice bonus that allows many of us to receive a quality education in a short amount of time! But what is best remembered about attending the FNDC/FDC meetings for so many years is the camaraderie gained between staff members enjoying each other’s friendship in a non-clinical setting. Every year, we all anticipate the conference’s approach. We pour over the class schedules and plan our days. Some plan practical jokes to be sprung upon unsuspecting new staff members! Truth be told, we are able to learn as much in the Exhibit Hall as we do sitting in the classrooms, an added value experience. This year was a different time and with sadness, there was no conference to attend due to COVID-19. We are all anxiously anticipating a new start in 2021 with a sparkling FDC make-up conference!
– Dr. Mark Offenback, general dentist in Longwood, Fla.
As a practice owner, I feel it is incredibly important to bring your team members to FDC. At FDC, our team members get to experience valuable dental education as well as receive a great experience on the Exhibit Hall floor. This is a valuable bonding and motivating experience outside the dental office that increases our team members’ overall motivation.
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– Dr. David Campbell, periodontist in Lakeland, Fla.
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covid-19 survey
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The Doctors Company
DRS. MARAM BAWAZIR*, NEEL BHATTACHARYYA, DONALD M. COHEN AND NADIM M. ISLAM
A 52-year-old Caucasian male patient was referred to Dr. Oleg Kalsow, an oral and maxillofacial surgeon in Tampa, for evaluation of a 1x1 cm slow-growing swelling of the right anterior tongue (Fig. 1). The patient mentioned that he first noted the lesion after consuming hot food. The lesion “has been growing for at least the past six to seven months.� Patient denied any history of trauma. No significant medical conditions or current medications were noted in the patient chart. No known drug allergies were reported, and the patient had a non-contributory family medical history. Clinical examination revealed a non-tender, slightly pink, round, soft to firm submucosal mass with a focal area of depapillation on the right side of the dorsal surface of the tongue. The lesion measured approximately 1x1 cm and did not blanch upon pressure. Extraoral examination revealed no facial swelling, asymmetry or regional lymphadenopathy. Fine needle aspiration of the lesion was inconclusive. An incisional biopsy was performed by Dr. Kalsow and submitted to the University of Florida College of Dentistry Oral Pathology Biopsy Service. Microscopic examination revealed intact (non-ulcerated) keratinized stratified squamous epithelium overlying a well-vascularized connective tissue. Numerous proliferative endothelial-lined capillaries with thick, smooth muscle walls were seen interspersed infiltrating between skeletal muscle bundles. Occasionally, the
anomalous appearing capillaries are clustered and separated by thin fibrous septae with a variable amount of fatty tissue (Fig. 2).
Question: Based on the clinical and histologic findings, what is the most likely diagnosis? A. Pyogenic granuloma B. Focal fibrous hyperplasia/fibroma C. Vascular malformation D. Granular cell tumor E. Neurofibroma SEE PAGE 98
Fig. 1: Slightly pink to reddish appearing, round submucosal lesion measuring 1x1 cm involving the right anterior tongue. Fig. 2A: Microscopic image shows keratinized surface epithelium overlying nodular neoplastic proliferation of endothelial lined capillaries. (Hematoxylin and eosin stain, original magnification x40). Fig. 2B: Higher power image displaying proliferative clustered capillaries dissecting the skeletal muscle bundles. (Hematoxylin and eosin stain, original magnification x400).
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diagnostics
FROM PAGE 97
Diagnostic Discussion A. Pyogenic granuloma Incorrect, but a great choice! Recognizing that the lesion is not ulcerated is important in arriving at the correct diagnosis since pyogenic granuloma (PG) almost always is ulcerated. Also, PG most often is caused by chronic irritation or trauma, which was missing in this case. PG is an asymptomatic reddish mass composed of hyperplastic granulation tissue. PG is an exuberant healing response and contains numerous vascular channels somewhat like those seen here. However, PG usually appears as an exophytic growth that varies in size from a few millimeters to several centimeters and not as a submucosal swelling as seen here. Though PG may be seen at any age, a tendency to affect children and young adults is noted. It is more common in females. Approximately 75% of all cases occur on the gingiva, usually due to chronic irritation from calculus or trauma. However, they can occur in any area where trauma occurs, such as lower lip, buccal mucosa and tongue. PGs are not considered to be true neoplasms. The designation of pyogenic granuloma is incorrect because these lesions have no relationship to purulence (pus or pyogenic), nor do they exhibit granulomatous inflammation. They are composed of highly vascular fibrous connective tissue and may eventually mature into more dense fibrous connective tissue. PGs are treated with conservative surgical excision, and the reported recurrence rate is about 16%.
B. Focal fibrous hyperplasia/fibroma Incorrect. Good guess! Fibrous masses on the tongue most frequently are post-traumatic and often represent fibrous hyperplasia. However, these most often present as a pedunculated or sessile mass on the tongue’s surface, unlike the deep submucosal clinical presentation here. Fibroma or focal fibrous hyperplasia (FH) is the most common tumor-like lesion of the oral cavity. They are more common on the buccal mucosa
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along the occlusion line, followed by tongue and gingiva. Most of the cases are reported in the fourth to sixth decades. FHs are asymptomatic and have a smooth, normal-appearing surface mucosa. Pain is not a significant feature seen in FH. Many of the FH arise from preexisting PG, which becomes fibrotic overtime. Microscopically, hyperplastic dense, fibrous connective tissue with occasional blood vessels is seen, which was not consistent with those seen in this case. Treatment of choice for FH is conservative surgical excision, and these lesions exhibit a low rate of recurrence.
C. Vascular malformation Correct! Vascular malformation (VM) comprises approximately 7% of all benign tumors, the majority of which develop in the head and neck region. Most vascular lesions in the oral cavity, especially those seen in adults, represent a VM and not hemangiomas. Hemangioma and VM are terms used interchangeably but should be distinguished since they have vastly different treatment and clinical features. The term hemangioma should be used only for vascular lesions of infancy and early childhood, which usually undergo a growth spurt and then spontaneously involute, usually by the age of 9. In contrast, a VM continues to grow with the growth of the child and does not involute spontaneously. Our case was slowly enlarging over time, and the recent increase in growth was possibly related to trauma. The patient probably had the lesion for many years but did not notice it until a sudden increase in size occurred. The lips, tongue and buccal mucosa are the most common sites intraorally for both types of vascular lesions. However, these lesions are much more common on the skin. Hemangioma typically appears as strawberry angiomas and favor midline locations such as the back of the neck and forehead. VMs typically are more purple in color, occur off midline and usually are deep-seated within the tissue. VMs contain numerous abnormally dilated vascular channels and/ or a plexus of dilated vessels. These can be infiltrating and may involve muscle fibers and adipose tissue, as seen in our case. Due to the deep-seated nature of vascular proliferation, the clinical diagnosis is difficult, and the risk of complications due to uncontrolled bleeding during biopsy procedure is common.
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Evaluation of suspected VM using MRI is highly recommended. Treatment varies from cryotherapy, sclerotherapy, radiation therapy and laser ablation to surgical excision. However, surgical excision with clear margins is the most common treatment, due to the lesion’s infiltrative nature and potential recurrence rate ranging between 9% and 28%.
D. Granular cell tumor Incorrect. Excellent guess! Considering the patient’s age and the site of the lesion, this entity would be regarded as foremost in the differential diagnosis. Granular cell tumor (GCT) is an uncommon, benign soft-tissue tumor of uncertain derivation. It is thought to arise from either Schwann cells or neuroendocrine cells. They show a preference for the skin and the oral cavity, with the tongue being the most favored site. Other oral sites involve the gingiva and floor of the mouth. Rare lesions on the lip also have been reported. GCT usually occurs in the fourth through sixth decades of life. In contrast to our case, GCT demonstrates a female predilection. Clinically, it appears as a solitary, pink to yellow, painless, sessile, long-standing, slow-growing nodule less than 2 cm in diameter. GCT may present as a deep-seated growth on the tongue similar to the lesion seen here. However, a sudden increase in size is usually not reported, as was seen in the present case. Microscopically, GCT easily can be distinguished from vascular malformation. GCT consists of sheets of large polygonal cells containing a distinctly granular, somewhat basophilic cytoplasm with small rounded nuclei. They are arranged in a syncytium with indistinct cell outlines. The granular cells tend to be infiltrative and involve subjacent tissues, including fat or skeletal muscle. Notably, some granular cell tumors may exhibit prominent pseudoepitheliomatous hyperplasia of the surface epithelium that may mimic squamous cell carcinoma. An erroneous diagnosis of carcinoma has been rendered in rare cases creating unnecessary surgery or anxiety in patients. This is especially true of tongue lesions. These lesions typically are treated by conservative surgical excision. Recurrence is seen in less than 7% of cases.
E. Neurofibroma Incorrect. Neurofibroma (NF) is another top contender in the differential diagnosis for a non-tender submucosal tongue lesion, especially when the lesion is non-ulcerated and deep-seated. However, these lesions are rare in the oral cavity. NF can easily be distinguished from vascular malformation based on histology. NF is the most common benign tumor of peripheral nerve sheath origin in humans. It can be solitary or associated with neurofibromatosis type 1 (NF-1), which often presents with multiple lesions. Solitary NF represents nearly 6.7% of neural tumors affecting the oral cavity. Clinically, it may present as an asymptomatic, slow-growing, smooth-surfaced, pink soft-tissue mass with a preference for the tongue (mainly dorsal and ventral surface) followed by buccal mucosa and the lip. Clinical features are like those seen here. Solitary NF affects younger adults with a female predominance. Microscopically, NF usually presents as a well-circumscribed mass composed of interlacing bundles of spindle-shaped cells with a myxoid or delicate collagenous stroma. Solitary NF is not associated with NF-1 and generally demonstrates a low recurrence rate after conservative surgical excision. It is important to note that NF associated with NF-1 may exhibit a serious consequence of malignant transformation that occurs in about 5%-15% of the cases, especially when multiple lesions are present.
References: Campos MS, Fontes A, Marocchio LS, Nunes FD, de Sousa SC. Clinicopathologic and immunohistochemical features of oral neurofibroma. Acta Odontol Scand. 2012;70:577-582. Marocchio LS, Oliveira DT, Pereira MC, Soares CT, Fleury RN. Sporadic and multiple neurofibromas in the head and neck region: a retrospective study of 33 years. Clin Oral Investig. 2007;11:165-169. Mortazavi H, Safi Y, Baharvand M, Rahmani S, Jafari S. Peripheral Exophytic Oral Lesions: A Clinical Decision Tree. Int J Dent. 2017;2017:9193831. Neville BW, Damm D, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology, 4th edition. Philadelphia; W.B. Saunders. Sena Costa NC, Bertini F, Carvalho YR, Almeida JD, Rodrigues Cavalcante AS. Granular cell tumor presenting as a tongue nodule: two case reports. J Med Case Rep. 2012;6:56. Lescura CM, de Andrade BAB, Bezerra KT, et al. Oral intramuscular hemangioma: Report of three cases. J Cutan Pathol. 2019;46:603-608.
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FROM PAGE 99
Diagnostic Discussion is contributed by UFCD professors, Drs. Don Cohen, Indraneel Bhattacharyya and Nadim Islam who provide insight and feedback on common, important, new and challenging oral diseases. DR. COHEN
The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 12,000 specimens the service receives every year from all over the United States. Clinicians are invited to submit cases from their own practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.
DR. BHATTACHARYYA
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Drs. Bhattacharyya, Cohen and Islam, can be reached at oralpath@dental.ufl.edu. Conflict of Interest Disclosure: None reported for Drs. Bhattacharyya, Cohen and Islam. The Florida Dental Association is an ADA CERP Recognized Provider. ADA CERP is DR. ISLAM 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. *Third-year resident in Oral and Maxillofacial Pathology University of Florida College of Dentistry.
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percentage of production. careers.floridadental.org/jobs/14056309. Oral Surgeon — Naples. Private Prosthodontic office is looking for a flexible part time Oral Surgeon. Great opportunity to become a strong team with a Prosthodontist and dedicated staff. Please contact us via email at dentalofficejob@yahoo.com. Must have current active Florida License. Associate General Dentist — Tampa. We are a growing private dental practice in Tampa searching for a skilled and experienced Dentist to join our professional team. Not interested in the “Mega Dental Corporate” route? Our patient focused practice needs a Dentist part-time 1-2 days immediately, eventually full-time. Work within a structured and successful environment. We will consider only the right person- motivated, ambitious, and a self -starter who has “things to do, places to go ,and people to see and who’s glass is always “half -full.” If you fit this description then ... we are excited to meet you! Associate Dentist Requirements: Doctor of Dental Surgery (DDS) or Doctor of Medicine in Dentistry (DMD). State license to practice dentistry. CPR Certification. Proven experience working in a dental practice. The ability to use various dental instruments and equipment. The ability to remain calm in stressful situations. The ability to work in a team. Good hand-eye coordination. Excellent communication skills. Helpful and polite. Job type: Part-time immediately. Independent contractor. Pay: Minimum with percentage of production. Schedule: Starting 1-2 days to eventual full-time. Visit careers.floridadental.org/jobs/14000298. General Dentist — Sign-On Bonus and Relocation Assistance — Merritt Island, FL (Space Coast). If you’re looking to make your professional mark on a community and help continue to lead a wellestablished and successful dental practice, this is your chance. Build valuable relationships with your patients and be involved with the greater community of Merritt Island, FL while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Base salary with performance incentives to earn more. Sign-On Bonus up to $10,000. Relocation package up to $10,000. Full time benefits include yearly CE allowance, paid professional liability, 401K with company match and group health/wellness plans. Practice 4.5 days per week with family friendly days/hours. Full-service center to support you in your mission for providing great care: Marketing, Revenue Cycle, IT, Human ReFLORIDADENTAL.ORG
sources, Accounting, Call Center and Leadership Teams. General Dentist. Prefer Dentist that can place implants and perform molar endo. MillionDollar Production Office. Candidates must be licensed to practice in the State of Florida with no board reprimands or issues. Equal Opportunity Employer/Drug Free Workplace. Job Link: bit.ly/3pdVWNA; puredentalbrands.com. Great Place to Work For Certified! #WeHaveWhatMakesYouSmile. #LoveWhereYouWork. Florida License. Endodontist — Pembroke Pines. Endodontist wanted to join a multispecialty practice in Broward County. Equity position available. Please contact us at 954.474.9660. Endodontist Position OPEN — Tampa. We are a growing Endo office in Tampa, Florida and we are looking for a new Associate Doctor. We have all the latest in technology including CBCT in each office, Digital X-rays, Zeiss Microscopes, etc. We are looking for a motivated People-Person to join our team. We have the patients and need someone ASAP. Full time or Part-Time. Dental Degree. Endo Certificate. Florida State Dental License. Visit careers.floridadental.org/jobs/13942513. GENERAL DENTIST — Crestview. Looking for a well-established dental practice in sunny, no income tax Florida? Look no further! Practice is located adjacent to busy FL Hwy 85 and 3 blocks north of FL Hwy 90 in the heart of the rapidly growing Community of Crestview. Crestview is located approximately 25 miles north of the white sand beaches of the Gulf of Mexico and a comfortable distance from hurricanes. The city features many amenities in addition to Universities and numerous highquality local schools. Eglin Airforce base is nearby. The Dental Office is a generous 2400 Sqft. Including: large waiting room, large reception and record area, large private office with 3/4 bath, washer and dryer, large laboratory area, kitchen and five operatories. Digital radiographs including Planmeca ProMax 2D unit. Experienced staff includes: 2 Dental Hygienists, 2 Certified Expanded Functions Dental Assistants, 1 Receptionist (also RDA), and 1 Office Manager. Opportunity for energetic dentist as: A. Associate B. Purchase Practice C. Purchase office complex, including 2 revenue generating office spaces. Revenue is upwards of 1 million dollars per year, with a four-day work week. Experienced practitioner could move to next level! Practice has been in the same location for over 40 years. Google rates practice 4.4 of 5. Facebook rates practice 5.0 of 5. Please contact: Michelle 850-682-4516, Richie 850-585-5432. MUST HAVE CURRENT ACTIVE FLORIDA DENTAL LISCENCE. Oral Surgeon — Aventura. Established multi-specialty group is looking for a part time Oral Surgeon for our Aventura and North Miami locations. Great opportunity to work with an outstanding group of professionals and dedicated staff. Well-equipped facilities, CBCT on premises, fully digitalized office. Large practices with a robust patient base, in house and external referrals provided. Potential for a substantial amount of production from day one. Please contact us via email at dk1013d@outlook. com or call us at 786-213-5706. Current Active Florida License. Board Certified. Naples, FL General Practice for Sale. If you’ve been looking for the idea practice in southwest Florida, look no further! New to the market is a busy general practice in Naples, FL. Located in a retail center with great visibility this practice is in a desirable part of town. With thirty new patients per month, it certainly isn’t slowing down any time soon. The current doctor is interested in staying on for a smooth transition or open to an affiliation with the right group. For an overview of this practice on the Paradise Coast, read below: 6 operatories; Collections over $1.8
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TODAY'S FDA NOVEMBER/DECEMBER 2020
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off the cusp
JINGLE BELLS 2020
JOHN PAUL, DMD FDA EDITOR
Dr. Paul can be reached at jpaul@bot.floridadental.org
My favorite patient and great American, Mrs. Ima Mae Gruntbuns, always tells me, “Make sure your words are sweet and tender today, for tomorrow you may have to eat them.”
Oh
It might be overly kind to say 2020 has been a burden to us all. Practice closures, behavior mandates, supply shortages followed by price increases, inclement weather (read: catastrophic) and maybe worst of all — virtual everything.
Pull your mask over your nose
What we have no shortage of is dentists willing to step up and do their best, amazing support from the Florida Dental Association, good old-fashioned hard work and ingenuity. I can’t offer more than those resources, so here’s a little ditty I hope will make you smile. Try to sing it with a big finish!
Jingle bells, jingle bells Jingle all the way And stay six feet away! Forty-five named storms The latest just offshore Where will the names come from If we see any more? This year’s a dumpster fire
Jingle bells, jingle bells
Oh
When it’s gone I think I’ll cheer
Jingle all the way
Jingle bells, jingle bells
Let’s hope 2021
Pull your mask over your nose
Jingle all the way
Doesn’t say, “Hey, hold my beer!”
And stay six feet away!
Pull your mask over your nose And stay six feet away!
Oh Jingle bells, jingle bells
Dashing around the town The shelves are all empty
We had a little vote
Jingle all the way
The Clorox is all gone
To choose a president
Pull your mask over your nose
And no TP for me
But cannot figure out
And stay six feet away!
The butcher’s running low
Where all the ballots went
He says they will bring more
No one will concede
We’ll buy hand sanitizer at the liquor store!
The court battle is on The best we can hope for Is the commercials are all gone. JOHN PAUL, DMD, EDITOR, TODAY'S FDA
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