2021 - Sept/Oct TFDA by Florida Dental Association

2019 Dentists’ on the Hill March 11-12, 2019 - Page 2 The Long Game: What ifDay the Solution Was -Not Recruiting and Hiring? Page 30

VOL. 33, NO. 5 • SEPT/OCT • THE MANY FACES OF DENTISTRY

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

The Many Faces of Dentistry

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HELPING MEMBERS SUCCEED VOL. 33, NO. 5 • September/October 2021

in every issue 3 Staff Roster 5 President's Message 10 Did You Know? 14 Legislative Corner 16 Preventive Action 18 news@fda 71 Diagnostic Discussion 74 Career Center 76 Advertising Index 80 Off the Cusp

Is Diversity Really That Important?

The Long Game: What if the Solution Was Not Recruiting and Hiring?

Florida Dental Association by the Numbers!

Diversity and Inclusion in Organized Dentistry ... My Journey

Tears of Gratitude

My Path, My Patients, My Community

Life is a Box Full of Surprises

Transforming Smiles

Cyberattacks Threaten Health Care Organizations, Patient Data at Risk

Journey to Giving Back

More Than I Envisioned

Florida BOD Discusses Guidelines for Forcible Felonies and Anti-trust Issues

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

44 46

Dentistry Was Not on My To-do List

FLA-MOM Impact Jacksonville, Florida

FLA-MOM: A Special Thank You to Our 2021 Benefactors

DLN • Florida Reaches $10 Million in Dontated Dental Treatment to Floridians with Special Needs

The Many Faces of Google

Why Cavemen “Needed No” Braces

Removing Cultural Blinders to Create Change

TODAY'S FDA ONLINE: floridadental.org

FLORIDA DENTAL ASSOCIATION SEPTEMBER/OCTOBER 2021 VOL. 33, NO. 5

EDITOR Dr. Hugh Wunderlich, Palm Harbor, editor

Aftco

STAFF Jill Runyan, director of publications Jessica Lauria, communications and media coordinator Andrew Gillis, graphic design coordinator

BOARD OF TRUSTEES Dr. Dave Boden, Port St. Lucie, president Dr. Gerald Bird, Cocoa, president-elect Dr. Beatriz Terry, Miami, first vice president Dr. Jeffrey Ottley, Milton, second vice president Dr. John Paul, Lakeland, secretary Dr. Andy Brown, Orange Park, immediate past president Drew Eason, CAE, Tallahassee, executive director Dr. Christopher Bulnes, Tampa • Dr. Bethany Douglas, Jacksonville Dr. Dan Gesek, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Reese Harrison, Lynn Haven • Dr. Bertram Hughes, Gainesville Dr. Bernard Kahn, Maitland • Dr. Gina Marcus, Coral Gables Dr. Irene Marron-Tarrazzi, Miami • Dr. Eddie Martin, Pensacola Dr. Paul Palo, Winter Haven • Dr. Mike Starr, Wellington Dr. Don Ilkka, Leesburg, speaker of the house Dr. Rodrigo Romano, Miami, treasurer • Dr. Hugh Wunderlich, Palm Habor, editor

PUBLISHING INFORMATION

American Sensor Tech

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 2021 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. Hugh Wunderlich, 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.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

FLORIDADENTAL.ORG

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

EXECUTIVE OFFICE DREW EASON, 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

FLORIDA DENTAL CONVENTION AND CONTINUING EDUCATION

FDA SERVICES

CRISSY TALLMAN Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105

800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303

BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103

Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat

CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202

MACKENZIE JOHNSON, FDC Meeting Assistant mjohnson@floridadental.org 850.350.7162

JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123

DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108

LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114

EMILY SHIRLEY, FDC Program Coordinator eshirley@floridadental.org 850.350.7106

CAROL GASKINS Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159

ACCOUNTING

GOVERNMENTAL AFFAIRS

BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137

JOE ANNE HART Chief Legislative Officer jahart@floridadental.org 850.350.7205

MARCIA DUTTON Membership Services Assistant marcia.dutton@fdaservices.com 850.350.7145

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 JAMIE IDOL, FDAS Support Services Coordinator jamie.idol@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

ALEXANDRA ABBOUD Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204

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

SCOTT RUTHSTROM Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146

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@fd3aservices.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 RYAN WHITE Commercial Account Advisor ryan.white@fdaservices.com 850.350.7151

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

DAVIS PERKINS Commercial Account Advisor davis.perkins@fdaservices.com 850.350.7145

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

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. Hugh Wunderlich: hwunderlich@bot.floridadental.org.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

in the sulcus

THE MANY FACES OF DENTISTRY — OUR PROFESSION IS WHAT UNITES US Like so many of you, I enjoy traveling. It can be frustrating at times, but if I take some time to look away from my phone or laptop, the best part of the journey begins at the airport or train station. People-watching is so much more fun than scrolling through a phone screen. At times, it’s easy to get so caught up in our own personal world that we forget we are surrounded by so many other personal worlds. Do you get curious about the lives of the strangers sitting next to you? Striking up a conversation with someone you don’t know is an unpracticed art today. It’s not only entertaining to do so, but you’ll always learn something new. I often must fly to Mexico, which involves spending layover time in Miami, Mexico City and Houston mega international airports. So many cultures. So many languages. So many stories. All with interesting lives. In the past 10 years, the variety of people has rapidly evolved. The United States has become a

truly international country. Please note that I do not call it multinational, because we are one nation of many cultures. Despite the debates surrounding racism, sexism, ageism and all kinds of x-isms du jour, each day I witness just the opposite through observing interactions of everyday people. I enjoy their uniqueness. It’s our different backgrounds that have made this country so strong. We are bound not by one common ethnic culture, so typical of many monocultural countries, but by a united passion for the freedoms our Constitution guarantees. Despite our many ethnic backgrounds, freedom is our common culture, unique to our United States. To ensure the freedom culture, we must embrace respect and trust. When we all agree we are free Americans, that opens us up to hearing our differences. We have the opportunity to earn each other’s respect and trust, even if we disagree.

PRESIDENT’S MESSAGE DAVE BODEN, DDS, MS FDA PRESIDENT

Dr. Boden can be reached at dboden@bot.floridadental.org.

SEE PAGE 7 FLORIDADENTAL.ORG

TODAY’S FDA SEPTEMBER/OCTOBER 2021

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in the sulcus

FROM PAGE 5

I’ve observed this at dental meetings as well. We have a vast range of ages and backgrounds, particularly here in Florida. All have interesting ideas, if only we will listen to each other. Just like our country, diverse backgrounds and ideas are what make the Florida Dental Association (FDA) strong. You don’t have to necessarily agree with someone’s ideas, but as intelligent doctors, we all deserve each other’s respect. Frankly, when it comes to ideas involving dentistry, we need to remind ourselves we have far more in common than different. Our profession is what unites us. When you meet someone new and different, whether at a dental meeting or anywhere else, smile, offer your handshake and introduce yourself. Be the curious one. Realize that their mind is more important than how they look or speak, and far more interesting. Enjoy meeting as many of your Florida colleagues as you can. I have. You’ll discover we have many faces in the FDA, but only one culture that counts: We’re all Florida dentists healing our patients.

FLORIDADENTAL.ORG

“

When we all agree we are free Americans, that opens us up to hearing our differences. We have the opportunity to earn each other’s respect and trust, even if we disagree.

”

TODAY’S FDA SEPTEMBER/OCTOBER 2021

human relations

IS DIVERSITY REALLY THAT IMPORTANT?

DEBORAH S. MINNIS

Ms. Minnis practices labor and employment law at Ausley McMullen, and she also represents various local government bodies. She can be reached at dminnis@ausley.com. This article is for informational purposes only and is not intended to be a substitute for professional legal advice. If you have a specific concern or need legal advice regarding your dental practice, you should contact a qualified attorney.

Everyone is familiar with labels of the generation gaps: baby boomers, Generation X, millennials. Baby boomers are ages 57-75, Gen Xers are 41-56, and millennials are 2540 years of age. While boomers made up the largest segment of population in America for many years, they’ve been overtaken by millennials as America’s largest living adult generation. Make no mistake — boomers are still a strong force in the world, but they are an aging group and are on their way out of the workforce, while Gen Xers and millennials are its future. You’re probably wondering what all this has to do with the topic of this article. While baby boomers continue to have a significant impact in the medical area as patients, the future of a practice, its employees and its patients rests on the shoulders of the millennial generation.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

Benefits While all generations have many significant things in common, there is a real divide in some thought processes among the generations. In contrast to earlier generations, the members of the millennial generation are generally very socially and globally focused. Millennials seem to be more attuned to what would be termed “soft skills,” particularly when selecting employment and service providers. They view soft skills, like the ability to empathize with and collaborate with people who are different from them, as an important indication of the type of work culture or treatment culture they can expect from an employer or a practice. For millennials, a practice’s soft skills often will overshadow its hard or technical skills. One litmus test used by millennials in evaluating a practice’s soft skills is whether there is diversity in the

FLORIDADENTAL.ORG

practice’s staff and patients. Some see a lack of diversity as a negative indicator of whether the practice will be able to understand them or empathize with their concerns and needs. In addition to acknowledging that diversity is important for a practice to remain competitive in employee and patient recruitment and maintenance in a culture populated by millennials, society in general is a much more diverse and mobile place. Having a diverse workforce can put a practice in the position to have broader patient appeal across the community. Workforce diversity will allow the practice to better understand the needs and concerns of a diverse patient population. Aside from the practical benefits provided by a diverse workplace discussed above, there are other, less obvious benefits. In many instances, diversity drives innovation and creativity by bringing new ways to look at problems or practices. Having a substantial diversity and inclusion strategy can help organizations attract top talent, decrease employee turnover and increase employee engagement and retention — all resulting in positive outcomes.

Potential Downsides and Legal Considerations With a diverse workplace, however, come cultural and other differences that can sometimes lead to misunderstandings among employees. Failing to handle misunderstandings quickly and effectively, as well as tolerating racist, xenophobic or insensitive comments about employees’ color or religion, can lead to litigation and potential liability. For practices with 15 or more employees, both Title VII and the Florida Civil Rights Act protect employees from discrimination based on race, color, national origin and religion, in addition to gender. Though smaller practices are not covered by these anti-dis-

crimination laws, unhappy employees or employees who feel or believe they have been mistreated often find other avenues to express their displeasure, perhaps in the form of overtime or whistleblower claims.

Steps to Take A written anti-harassment policy, even for small practices, is a crucial step in preventing litigation. The policy should state that harassment of any type will not be tolerated. It should provide a clear process for employees who believe they have been subjected to harassment to report it. All reports of harassment should be investigated, and a resolution should be reached with the parties. Just as important as having a clear anti-harassment policy is setting an example for staff by fostering an atmosphere of inclusion in the office. This can be done by allowing employees to honor cultural and other celebratory events that are a part of their heritage, and by encouraging such activities. Finally, discourage employees from perpetuating or fostering stereotypes about other nationalities or cultures. This is not a matter of political correctness but is a simple matter of respect for others. In my practice, I have seen instances where comments perceived as offensive were made with no intention of being derogatory or harassing — the individual was, unfortunately, simply repeating misinformation/stereotypes they’d heard. Maintaining an open-door policy, encouraging all employees to report any issues or concerns, and treating all employees and any concerns in an equitable and fair manner will go a long way toward promoting diversity, equity and inclusion in the workplace. And yes, diversity really is that important.

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In many instances, diversity drives innovation and creativity by bringing new ways to look at problems or practices.

FLORIDADENTAL.ORG

”

TODAY’S FDA SEPTEMBER/OCTOBER 2021

BOD

did you know? ANESTHESIA RULES DR. JOE CALDERONE FDA LIAISON TO THE FLORIDA BOARD OF DENTISTRY

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact FDA Liaison to the Florida Board of Dentistry Dr. Joe Calderon at drcalderone@gmail.com or 407.509.1493 or Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@floridadental.org or 850.350.7202.

Did you know that the Florida Board of Dentistry’s anesthesia rules changed last year? Several updates were made including changes to the continuing education requirements that are now effective. For a list of changes, please visit bit.ly/3m7SZir. Please note: While this list is extensive, it is not meant to be exhaustive. Please make sure to read the rules in their entirety. The new, updated rules can be found at bit.ly/3kieCtZ.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

FLORIDADENTAL.ORG

OPIOIDS information from the FDA

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.

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

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

NON-OPIOID ALTERNATIVES r You FDA ve R lusi exc EMBE ! M EFIT BEN

LAW: FOR THE LATEST ON OPIOIDS, GO TO:

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GO TO bit.ly/2KXvZ2h

ARE YOU A MEMBER OF FDAPAC CENTURY CLUB? Join now: floridadental.org/centuryclub

A portion of your required dues is transferred to the Florida Dental Association Political Action Committee (FDAPAC). FDAPAC provides campaign contributions to dental-friendly candidates. FDAPAC Century Club members provide additional financial support of $150 or more for state campaigns. FDAPAC dues and contributions are not deductible for federal income-tax purposes. Dr. Rudy Liddell FDAPAC Chair

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

FDA Foundation: Amazon Smile

TODAY’S FDA SEPTEMBER/OCTOBER 2021

FLORIDADENTAL.ORG

legislative corner

ELECTRONIC PRESCRIBING MANDATE ONLY IF YOU MAINTAIN AN EHR Effective July 1, 2021, all health care practitioners (including dentists) who are prescribing practitioners and maintain electronic health records (EHR), are required to generate and transmit all prescriptions electronically. An EHR is a digital version of a patient’s dental record. Typically, an EHR consists of computer hardware and software that is purchased or leased. Dentists who do not maintain EHRs are not required to prescribe prescriptions electronically and are not required to do anything further. Additionally, pharmacies are not authorized to deny your patients their prescriptions if presented on prescription paper (legitimately). The Board of Pharmacy continues to communicate this message to all pharmacists and pharmacies. JOE ANNE HART FDA CHIEF LEGISLATIVE OFFICER

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

If you are a dentist who maintains an EHR and may not be able to comply with the law, you can request a waiver from complying with the electronic prescribing law. The waiver, if granted, will only be valid for no more than one year. The waiver form is available on the Board of Dentistry’s website at floridasdentistry.gov under “Resources” and then “Forms & Requests.” The following are basis for a waiver request: n Demonstrated economic hardship. You must provide a signed statement of no more than one page that describes the facts of the economic hardship that prevents you from electronically prescribing medicinal drugs. n Technological limitations that are not reasonably within your control. You must provide a signed statement of no more than one page that sets for the technological limitations that are not within your control that prevent you from electronically prescribing medicinal drugs. n Other demonstrated exceptional circumstance. State the circumstance that prevents you from electronically prescribing. You must provide a signed statement of no more than one page that describes the exceptional circumstance that prevents you from electronically prescribing medicinal drugs.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

FLORIDADENTAL.ORG

legislative corner

If you meet any of the following listed below, you are not required to prescribe electronically: n the practitioner or patient determines that it’s in the best interest of the patient to compare prescription drug prices among area pharmacies, and such determination is documented in the patient’s medical record. n the practitioner and the dispenser are the same entity. n the prescription cannot be transmitted electronically under the most recently implemented version of the National Council for Prescription Drug Programs SCRIPT program. n the practitioner had been issued a waiver by the Department of Health, not to exceed one year, due to demonstrated economic hardship or technological limitations not reasonably within the practitioner’s control or other exceptional circumstances. n the practitioner determines that it’s impractical for a patient to obtain in a timely manner a drug electronically prescribed and that the delay would adversely impact the patient’s medical condition. n the practitioner is prescribing a drug under a research protocol. n the prescription is for a drug for which the Food and Drug Administration requires the prescription to contain elements that may not be included in electronic prescribing.

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An EHR is a digital version of a patient’s dental record. Typically, an EHR consists of computer hardware and software that is purchased or leased.

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n the prescription is issued to an individual receiving hospice care or who is a resident of a nursing home facility.

FLORIDADENTAL.ORG

TODAY’S FDA SEPTEMBER/OCTOBER 2021

preventive action

HIPAA: THE GREAT

MISCONCEPTION

SCOTT RUTHSTROM FDA SERVICES CHIEF OPERATING OFFICER

Mr. Ruthstrom can be reached at scott.ruthstrom@fdaservices. com or 850.350.7146.

During our recent Florida Dental Convention, I spoke with attendees and our preferred vendor partner, Abyde (whose mission is to revolutionize HIPAA compliance), and I realized that there seems to be a major lack of understanding about what being HIPAA compliant actually entails. Sure, some practices maintain a strong culture of compliance but unfortunately, it often takes a security incident — like a data breach or an audit from the government — before compliance is taken seriously. Due to the lack of resources along with the massive amount of misinformation out there, it’s obvious that HIPAA laws are not accurately being interpreted and followed by the average practice. Due to misconceptions or not, the bottom line is HIPAA noncompliance can result in serious consequences for a dental practice. Whether it’s the fact that many dentists assume their IT company/person “handles HIPAA,” or that implementing a compliant electronic health record (EHR) system ensures their practice is adhering to all standards, these misconceptions can come

TODAY’S FDA SEPTEMBER/OCTOBER 2021

in many different forms. It’s also commonly confused that having staff participate in annual training seminars or complete modules every now and again covers an organization’s necessary compliance efforts. So, if you’ve ever said anything similar, you’re most likely falling short of necessary requirements. Now that we’ve identified what true compliance isn’t, let’s talk about what it is and how to get there. A few of the mandatory components to a “complete HIPAA program” consist of the following: a comprehensive security risk analysis HIPAA training for dentists and staff

policies and procedures specific to the organization business associate agreements with all third-party vendors As previously mentioned, a lot of practices might already have some of these to-do list items checked off and are taking steps to protect patient privacy and security. But the only FLORIDADENTAL.ORG

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The only way to pass an audit is having all the pieces of the complete HIPAA puzzle in place, and the proper documentation to back it up.

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way to pass an audit is having all the pieces of the complete HIPAA puzzle in place, and the proper documentation to back it up.

why it’s so essential that all dental organizations have the proper education to implement a comprehensive compliance program.

As data breaches, patient complaints and government enforcement efforts continue to weigh heavy on the health care industry, having the necessary procedures in place to protect practices and their patients is vital. The FDA values protecting members from falling victim to a HIPAA violation or data breach, but also recognizes the confusion around what constitutes true compliance. By partnering with Abyde, the FDA has made sure members have access to a comprehensive, all-in-one solution that makes HIPAA compliance a breeze. Abyde provides an incredibly easy-to-use software solution (think TurboTax for HIPAA), as well as the educational tools, resources, and support necessary to understand and navigate through HIPAA’s complexities. Add in exclusive member discounts and you can see why Abyde truly makes HIPAA stress-free.

Scan the QR code to read a case study fron Abyde.

Whether you decide to jump on board with our preferred compliance partner, Abyde, or are planning to tackle HIPAA yourself, the FDA strongly urges all members to avoid falling for those common misconceptions and take HIPAA requirements seriously. Protecting your practice and your patients means taking preventive action before it’s too late, which is

FLORIDADENTAL.ORG

Call or text FDA Services at 850.681.2996 for a disability insurance quote or visit fdaservices.com/disability for more information. FDA Services is a wholly owned subsidiary of the FDA. We strive to be the source for information about insurance for our member dentists. Revenue from insurance sales goes directly toward helping FDA programs and lobbying efforts that are important to members, and to keep dues at their lowest possible level.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

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

videos to make them your own and share them on your personal and/or business social channels.

FDA Governance Task Force Met with Board of Trustees

Visit the member marketing resources page on our website at bit.ly/3nf3mBB to download the videos and access suggested social media posts. Please follow, share posts and tag the FDA’s social media channels where appropriate.

Some members of the Governance Task Force met with the Florida Dental Association (FDA) Board of Trustees in Orlando at their meeting in August to discuss the future of the FDA’s governance structure.

FDA Educational Opportunities The FDA offers member dentists many online continuing education (CE) opportunities to assist in your personal and professional growth, as well as aid you in completing the CE requirements needed for license renewal this upcoming biennium. n Today’s FDA (TFDA) “Diagnostic Discussions”: Earn up to seven hours of FREE CE by reading the popular TFDA “Diagnostic Discussion” articles and answering a five-question quiz at floridadental.org/online-ce.

L to R: Dr. Drew Johnson (CFDDA); Dr. Makeba Earst (NWDDA); Dr. Andy Brown (FDA Immediate Past President); Dr. Katie Miller (CFDDA); Dr. Tom Brown (NEDDA); Dr. Mariana Velazquez (SFDDA); Dr. Eddie Martin (BOT Liaison); Dr. Melissa Grimaudo (WCDDA); Dr. Michael Gallery (consultant)

FDA Young Professionals Social Media Campaign You know you’re really an adult when you schedule your own appointment to the dentist! As part of our ongoing advertising efforts to engage Floridians to find and see their FDA member dentist, we have launched a fall ad campaign using fun and engaging videos to target young adults and professionals. As our members, we want you to take advantage of this ready-made content to share on your own social media platforms and encourage young people to take charge of their dental health. You can share campaign content from the FDA’s social channels or download these

TODAY’S FDA SEPTEMBER/OCTOBER 2021

n FDC2021 Course Recordings: Take advantage of 75+ course recordings from the 2021 Florida Dental Convention (FDC) at the convenience of your home or office. These courses can be purchased for $20 each or $249 for the entire convention package at podiumcast.com/store/ events/florida-dental-2021. You can self-report credit for courses watched.

Make Your FDC2022 Hotel Reservations! The FDC2022 room block at the Gaylord Palms is now open! Reserve your room for the discounted rate of $209, including FREE self-parking. Make your reservation early so you don’t miss out on staying in the middle of the action. To make your hotel reservation, visit bit.ly/3ngOQsR or contact the hotel directly at 877.491.0442.

Relief Funds for Louisiana The FDA Foundation (FDAF) Board of Directors voted to donate $10,000 to the Louisiana Dental Association (LDA) to assist them in their work to help members affected by Hurricane Ida. As some of you might recall, the LDA donated $5,000 to the FDA Foundation after Hurricane Michael in 2018. This is what organized dentistry is all about. Thank you, FDAF!

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Welcome New FDA Members The following dentists recently joined the FDA. Their memberships allow them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry. Names listed in blue are members in dental residency.

Dr. Christina Nisivoccia, Fort Lauderdale Dr. Elaine Pérez Gutierrez, Wellington Dr. Aaron Price, Delray Beach Dr. Siera Reiner, Vero Beach Dr. Michael Rizk, Manalapan Dr. Carlos Rodriguez, Wellington Dr. Ashley Rynar, Greenacres Dr. Helya Sadati, Margate Dr. Ronik Seecharan, Boca Raton Dr. Viviana Sepulveda, Greenacres Dr. Harjaap Singh, Plantation Dr. Michelle Snodgress, Plantation Dr. Nekki Soltanian, Davie

Dr. Kelsey Gwin, Maitland Dr. Richard Handal, Boca Raton Dr. Ashley Heller, Gainesville Dr. Thierry Lamour, Maitland Dr. Mynhan Le, Sanford Dr. Maeve Luken, Orlando Dr. Christine Monir, Maitland Dr. Jennifer Nguyen, Orlando Dr. Ali Nili, Melbourne Dr. Ana Paula Ott, Windermere Dr. Daniel Overfelt, Anthony Dr. Mayank Pahadia, Gainesville Dr. Ankit Parikh, Daytona Beach Shores

Atlantic Coast District Dental Association

Dr. George Soropoulos, Boca Raton

Dr. Jai Patel, Orlando

Dr. Sway Sure, Miami

Dr. Kanishka Patel, Orlando

Dr. Mariana Abreu, Wellington

Dr. Laura Suris, Miami Gardens

Dr. Ruchi Patel, St. Cloud

Dr. Raul Trujillo, Lake Worth

Dr. Taimoor Peerzada, Orlando

Dr. Chandlor Bearden, Plantation Dr. Eric Bender, Sunrise Dr. Colby Bradford, West Palm Beach Dr. Oliver Bsirini, Vero Beach Dr. Renan Buitrago, Coral Springs Dr. Alfredo Castano, Sunrise

Dr. Romaisa Waseem, Davie

Dr. Daniela Perez, Gainesville

Dr. Ariel Woytanowski, Tamarac

Dr. Megan Perez, Lake Mary

Dr. Sergei Yuryk, Sunny Isles Beach

Dr. Lacy Petersen, Ocala

Dr. Jenna Zacharewicz, Parkland

Dr. Jay Chokshi, West Palm Beach

Central Florida District Dental Association

Dr. Cody Craig, Deerfield Beach

Dr. Shawki Abed, Gainesville

Dr. Alejandro Diaz Tejeda, Boca Raton

Dr. Juan Acosta, Fort Myers

Dr. Sarbpreet Chahal, Coral Springs

Dr. Karley Post, Gainesville Dr. Dakota Pottle, Winter Garden

Dr. Daniel Dimitriu, Parkland

Dr. Sulaiman Alshaar, Ocala

Dr. Bushra Dinkha, Fort Lauderdale

Dr. Sandra Badrous, Eustis

Dr. Debra Eddington, Jensen Beach

Dr. Catherine Baitinger, Clermont

Dr. Hannah Eder, Pompano Beach

Dr. Amit Bajwa, Melbourne

Dr. Nicole Etcheverry, Boca Raton

Dr. Kristine Barrett, Gainesville

Dr. Michael Farag, Plantation

Dr. Reema Bassoumi, Orlando

Dr. Charlene Fosteris, Fort Lauderdale

Dr. Elhaine Beato, Gainesville

Dr. Luis Franceschi, Boynton Beach

Dr. Beatriz Berrios Ouslan, Orlando

Dr. Christopher Getchell, Stuart

Dr. Damian Black, Summerfield

Dr. Sandra Ghattas, Fort Lauderdale

Dr. Brandon Brue, Gainesville

Dr. Shawn Ghods, Port St. Lucie

Dr. Christina Bukata, Gainesville

Dr. Sara Qureshi, Orlando Dr. Kamyar Raiss Giglou, Winter Park Dr. Raishka Ramirez, Melbourne Dr. Aaron Ramon, Gainesville Dr. Richard Rampi, Winter Garden Dr. Arianne Rick, Ocala Dr. George Ringhoff, Gainesville Dr. Nilka Rodriguez, Kissimmee Dr. Kerwin Scott, Gainesville Dr. Karina Serrano, Ocala Dr. Vrinda Shah, Melbourne Dr. K Alana Shields, Deltona Dr. Stephen Slade, Titusville Dr. Kilian Stingle, Winter Garden Dr. Hoa Tran, Gainesville

Dr. Stephanie Gonzalez, Malabar

Dr. Bhawna Chandra, Orlando

Dr. Roberto Gonzalez Yumar, Lake Worth

Dr. Lauren Cuculino, Rockledge

Dr. Pinky Vanmali, Gotha Dr. Sivakumar Venkatachalam, Wildwood

Dr. Astrid Daher Achi, Gainesville

Dr. Catherine Vukelich, Winter Garden

Dr. Anna Dao, Windermere

Dr. Qi Wang, Kissimmee

Dr. Josue Dieuveille, Palm Bay

Dr. Karl Wiese, Orlando

Dr. Misha Gul, Parkland Dr. Ana Hernandez-Ortiz, Pembroke Pines Dr. Gabriella Hurov, West Palm Beach Dr. Kathryn Kaleel, Boynton Beach Dr. Robert Kelley, Fort Lauderdale Dr. Omair Khan, Fort Lauderdale Dr. Melissa LaPato, Boca Raton Dr. Massiel Madrigal, Boca Raton Dr. Deepika Mann, Davie Dr. Gabriela Moffett, Tamarac Dr. Michael Newman, Delray Beach Dr. Frank Nguyen, Riviera Beach

FLORIDADENTAL.ORG

Dr. Andre Edwards, Kissimmee

Dr. Jordan Wirth, Orlando

Dr. Emily Farris, Gainesville

Dr. Mehrshad Yousefi, Oviedo

Dr. Jessica Garcia, Orlando Dr. Kiara Garcia Cabrera, Winter Garden Dr. Shannon Gardner, Gainesville Dr. Stephen George, Leesburg Dr. Victor George, Orlando Dr. Fathallah Ghattas, Wildwood Dr. Michael Godoy, Orlando Dr. Osmell Gonzalez, San Juan

Northeast District Dental Association Dr. Ailleen Acosta Gonzalez, Jacksonville Dr. Natalia Caballero, Jacksonville Dr. Taelor Chaney, St. Augustine

SEE PAGE 20 TODAY’S FDA SEPTEMBER/OCTOBER 2021

updates for members FROM PAGE 19 Dr. Sushma Chaudhari, Live Oak Dr. Van Che, Jacksonville Dr. Brandon Chin, Jacksonville Dr. Nicholas Chung, Jacksonville Dr. Varsha Desai, Yulee Dr. Michael Dubuc, Jacksonville Dr. Thomas Farrell IV, Jacksonville Dr. Sarah Hagerty, Jacksonville Dr. Timmy Howard, Atlantic Beach Dr. Rachel Lowery, Jacksonville Dr. Pruthul Patel, Orange Park

Dr. Brittney Atlas, Weston

Dr. Kevin Lujan, Miami

Dr. Navtej Atwal, Miami Beach

Dr. Jose Machado Cespedes, Miami

Dr. Zoey Barrett, Weston

Dr. Sandra Marimoto, Weston

Dr. Deborah Berenguer Fleites, Miami

Dr. Claudia Marin Baez, Miami Lakes

Dr. Florencia Biaggi, North Bay Village

Dr. Nichole Martin, Hialeah

Dr. Gabriel Broche, Miami

Dr. Yannelys Martin, Pembroke Pines

Dr. Jena Cabrera, Miami

Dr. Christian Martinez, Davie

Dr. Arlene Calcagno, Miami

Dr. Liuvis Martinez, Davie

Dr. Alfredo Calderon, Miami

Dr. Doris Martinez Gil, Miami

Dr. Christopher Cannady, Davie

Dr. Stacey Mendigutia, Miami Lakes

Dr. Katherine Cardelles, Miami

Dr. German Mendoza, Hollywood

Dr. Michelle Cavalaris, Miami Beach

Dr. Hind Naami, Davie

Dr. Marisa Chanin, Davie

Dr. Manju Natarajan, North Miami Beach

Dr. Khadijah Cheema, Davie

Dr. Andrey Niznik, Miami

Dr. Lisandra Companioni, Hialeah

Dr. Maidelys Oliva, Miami

Dr. Pablo Companioni Delgado, Miami

Dr. Gloria Ospina, Coral Gables

Dr. Shelby Sox, Jacksonville Beach Dr. Purvi Vadaliya, Jacksonville Dr. Nicholas Wallace, Jacksonville

Dr. Gisselle Cuevillas Guerra, Miami

Dr. Brianna Patel, Davie

Dr. Maria Cutanda Puigvert, North Miami Beach

Dr. Mehran Payandeh, Miami

Dr. Ashton Dahms, Miami Dr. Chione Daniel, Miami

Northwest District Dental Association Dr. Robert Angerer, Tallahassee Dr. Diana Arias, Panama City Beach Dr. Kenjula Brown, Tallahassee Dr. Benjamin Crawford, Freeport

Dr. Javier de la Barca Suarez, Hialeah Dr. Rocio De Los Rios, Miami Dr. Gretchen De Vales, Hialeah Dr. Christopher Devilliers, Cooper City Dr. Vanessa Diaz, Miami

Dr. Paula Gardner, Santa Rosa Beach

Dr. Thelma Diaz Arencibia, Miami Springs

Dr. Ryan Harren, Defuniak Springs

Dr. Ana Dominguez, Coral Gables

Dr. Jacob Harrison, Panama City

Dr. Jose Dominguez, Pembroke Pines

Dr. Abraham Khalil, Tallahassee

Dr. Sergio Elias, Aventura

Dr. Nadege Lum, Niceville

Dr. Meilys Farinas, Miami

Dr. Styl Perez, Fort Lauderdale Dr. Yerany Plasencia-Mirabal, Miami Dr. Jeanmarys Prohenza Betancourt, Miami Dr. Adeleydis Quintana Fernandez, Homestead Dr. Mariela Ramos Soler, Miramar Dr. Beatriz Ravelo, Miami Lakes Dr. Lucas Reed, Miami Dr. Adrian Reyes, Hialeah Dr. Benjamin Richards, Davie Dr. Katherina Riestra, Davie Dr. Carlos Rincon, Miami Dr. Hector Romero, North Miami Beach

Dr. Zaki Mustacchi, Oakhurst

Dr. Liset Frias Fiquerede, Miami

Dr. Taylor Newman, Pensacola

Dr. Jared Friedman, Hollywood

Dr. Amanda Panousis, Panama City

Dr. Camila Garcia-Bango, Miami

Dr. Maulin Patel, Quincy

Dr. Ashlyn Ghazal, Miami

Dr. Raj Patel, Panama City Beach

Dr. Yeendy Gil, Miramar

Dr. Duhwan Rasmussen, Tallahassee

Dr. Juan Gomez Pantoja, Miami

Dr. Megan Salzlein, Santa Rosa Beach

Dr. Silvia Gomez Saavedra, Sunny Isles Beach

Dr. Gabriela Sangiovanni, Miami

Dr. Stephen Smith, Pensacola Dr. Lora Soliman, Indianapolis

Dr. Janet Gonzalez, Miami Lakes Dr. Zahra Hanif, Doral

Dr. Poorandai Shivbaran, Palmetto Bay

Dr. Dallen Strong, Pensacola

Dr. Mohamad Hasan, Doral

South Florida District Dental Association

Dr. Gabriella Perez, Miami

Dr. Zachary Heller, Davie Dr. Lianet Hernandez, Miami

Dr. Maya Abdin, Davie

Dr. Veronica Hernandez, Pembroke Pines

Dr. Mustafa Alameri, Miami

Dr. Dailin Hernandez Valle, Miami

Dr. Lubna Alhalaseh, Hollywood

Dr. Marco Irimia, Miami

Dr. Claudia Alpizar Nieves, Doral

Dr. Hallie Landy, Davie

Dr. Alex Alvarez, Davie

Dr. Ernesto Leon Caba, Davie

Dr. Carolyne Alvarez, Miami Lakes

Dr. Dina Lipkin, Miami Beach

Dr. Gretel Alvarez, Miami

Dr. Gili Litwack, Hollywood

Dr. Anamary Alvarez Testar, Miami

Dr. Lorena Lorenzo, Miami

Dr. Ileana Arias, Davie

Dr. Jonathan Lucas, Pinecrest

TODAY’S FDA SEPTEMBER/OCTOBER 2021

Dr. Christina Rostant, Miami Dr. Reena Rothman, Hollywood Dr. Sheldon Rozman, Aventura Dr. Andrew Sadek, Davie Dr. Amaury Sanchez-Cifuentes, Hollywood Dr. Jennifer Shamsian, Miami Dr. Ingrid Simon, Miami Dr. Michael Somma, Hallandale Beach Dr. Mark Tadros, Davie Dr. Rasha Touma, North Miami Beach Dr. Dominique Tsikis, Davie Dr. Amanda Vaglio, Miami Dr. Alismei Valdes, Miami Dr. Gielen Valdes Perez, Miami Dr. Gricel Vazquez, Hialeah Dr. Daniel Vega, Miami Dr. Amelia Velazco, Hialeah Dr. Marley Zayon, Miami

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West Coast Dental Association Dr. Geena Addison Valdes, Fort Myers Dr. Timothey Albright, Tampa Dr. Mohammed Atra, Lecanto Dr. Grace Bauer, St. Petersburg Dr. Branden Bennett, Sarasota Dr. Brett Birch, St. Petersburg Dr. Jessica Brewer, Tampa Dr. Kathryn Broecker, Odessa Dr. Alexis Byers, Lakeland Dr. Roberta Carlman Machado, St. Petersburg Dr. Zachary Carter, Tampa Dr. Kenneth Chen, Sebring Dr. Erica Chillemi, Naples Dr. Riya Choksi, Tampa Dr. Priya Chopra, Tampa Dr. Armando Cid, Tampa Dr. Rachel Courson, Port Charlotte Dr. Christopher Coutu, Lake Alfred Dr. Garrett Crawford, St. Petersburg Dr. Reema Daas, Tampa Dr. Brooke Denton, Pinellas Park Dr. Timothy DeSanto, Bradenton Dr. Megan Duhon, St. Petersburg

Dr. Sarah Mahammad, Winter Haven

Dr. Rachel Shepard, Odessa

Dr. Karla Matamoros, Seminole

Dr. Robert Sheridan, Spring Hill

Dr. Maninder Matharu, Tampa

Dr. Affan Siddiqui, Tampa

Dr. Jessica Melo, Pinellas Park

Dr. Omar Siddiqui, Sarasota

Dr. Ariana Merchi, Riverview

Dr. Sophia Sidhom, Spring Hill

Dr. Elizabeth Morrison, Tampa

Dr. Shane Simpson Jr, New Port Richey

Dr. George Mousa, Oldsmar

Dr. Michael Sofianos Jr, Moore Haven

Dr. Mina Nashed, Naples

Dr. Lauren Suehr, Nokomis

Dr. Truc Nguyen, Largo

Dr. Amber Sun, Ponte Vedra

Dr. Kaitlyn O'Connell, Brandon

Dr. Miseanne Tang, Seminole

Dr. Cristina Parsons, Odessa

Dr. Richard Valera, Belle Glade

Dr. Dhara Patel, Plant City

Dr. Paridhie Vasudevan, Tampa

Dr. Amy Perry, Naples

Dr. Laura Vergara Campero, Naples

Dr. Efrain Plaza, Fort Myers

Dr. Kirsten Vieira-Martinez, Cape Coral

Dr. Kristen Presswood, Naples

Dr. Claudia Villanueva, Naples

Dr. Taylor Pringle, Tarpon Springs

Dr. Yamile Villavicencio, Cape Coral

Dr. Oliver Putzeys, Fort Myers

Dr. Jorden Vinger, Port Charlotte

Dr. Nicole Ricart, Ave Maria

Dr. Ashley Wagler, Sarasota

Dr. Kristen Riehl, Seminole

Dr. Gabrielle Westerman, Bradenton

Dr. Tyler Rubino, Bradenton

Dr. Gaff Wiltshire, Fort Myers

Dr. Ammar Sakka, Clearwater

Dr. Sarah Youssef, Palm Harbor

Dr. Grethel Samper, Sarasota

Dr. Michail Zakher, Oldsmar

Dr. Wendy Sarduy, Tampa

Dr. Nan Zhong, Tampa

Dr. Robert Seraita, Cape Coral

Dr. Joseph Zwickel, Mercer

Dr. Jere Seralde, Sebring

Dr. Christy Dunham, Tarpon Springs Dr. Rick Escobar, Tampa Dr. Matthew Figueroa, Tampa Dr. Taylor Fisher, Crystal Beach Dr. Courtney Fridella, Tampa Dr. Shohreh Ghassemi, Venice Dr. Nagabis Gonzales, Pinellas Park Dr. Elizabeth Guadagni, Fort Myers Dr. Megan Guerra, Tampa Dr. Arin Haghverdian, Brandon Dr. Mary Hand, Fort Myers Dr. Bita Hassani, Tampa Dr. Heather Hays, Venice

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

Dr. Tristan Hensley, Lutz Dr. Francesca Hernandez, Tampa Dr. Hai Huynh, Lakeland

Dr. Richard Johnson

Dr. Stephen Selle

Dr. Jesus Lastra

Dr. Karen Ibrahim, Cape Coral

Macclenny

Boca Raton

Miami

Died: 07/04/2021

Died: 07/19/2021

Died: 07/22/2021

Age: 88

Age: 72

Age: 93

Dr. Mona Javeed, Tarpon Springs Dr. Zayna Javeed, Clearwater Dr. Avraham Katz, Lakeland Dr. John Keigher, Tampa Dr. Amit Khetan, Estero

Dr. Reuben Hertz

Dr. Carl Taylor

Dr. Kathryn Kiskaddon, Tarpon Springs

Fort Lauderdale

Ocala

Died: 08/07/2021

Died: 08/26/2021

Age: 81

Age: 87

Dr. Thai Lam, Venice Dr. Charles Laun, Riverview Dr. Carla Leon, Sarasota Dr. Magdalena Lewicki, Naples Dr. Luke Lloyd, Clearwater Dr. Cody Lowe, Valrico Dr. Austin Lyman, Tampa

FLORIDADENTAL.ORG

TODAY’S FDA SEPTEMBER/OCTOBER 2021

Came for the insurance ... stayed to support my profession.

FDAS: Cyber Coverage

FDAS Partners with Coalition to Bring You New Cyber Coverage Coalition policyholders experience less than one-third the frequency of claims when compared to other carriers in the market.

To request a quote, go to bit.ly/37ardcu.

Addressing Cyber-risk Matters for Everyone Cybercrime is increasing like never before. Business email compromise incidents led the way with the frequency of reported incidents up 51% throughout the first half of last year. Ransomware is growing in severity. The average ransom demand made to our policyholders in the first half of 2021 was $1.2 million. That is a large price to pay for any organization, and is a nearly 170% increase from the average demand in the first half of 2020.

Smaller companies are increasingly targeted. As criminals are able to extort ever-growing amounts from organizations following ransomware attacks, and as attacks become increasingly automated, it has become more profitable for criminals to target more small and midsize organizations. Dental offices continue to be targeted by criminals because they often are exposed to the public internet and have patient health information that make them targets. It’s more important than ever that dental offices take the time to understand their cyber-risk!

Looking Ahead: Cybercrime in 2021 and Beyond Ransomware will remain the single biggest threat for all dental offices. Ransomware remains the most lucrative cybercriminal activity, and the widespread use of poorly secured remote access protocols and tools on the internet will continue to leave organizations open to ransomware attacks. As a result, we expect ransomware frequency to increase moderately. The cyber insurance market will continue to harden throughout the year. It will be harder to qualify for cyber insurance, and the implementation of many common cybersecurity controls will increasingly be required as a condition of coverage. Price increases, coinsurance and sublimits on critical coverages are already happening, and will continue throughout 2021.

Supply chain attacks will be more common. Criminals will increase their targeting of software and service providers that other organizations rely upon. Supply chain attacks allow criminals to victimize a large number of organizations at once, rather than just one. Most cyberattacks will continue to be easily avoidable. Despite frequent claims by compromised companies that they’ve fallen victim to highly sophisticated attacks, most cyberattacks will remain anything but sophisticated. Basic controls to secure email, enable multi-factor authentication, and frequently patch software will remain the most effective controls for the foreseeable future.

Call or text us at 850.681.2996.

cyberattacks

CYBERATTACKS THREATEN HEALTH CARE ORGANIZATIONS, AND PUT PATIENT DATA AT RISK PRESENTED BY FDA SERVICES ENDORSED PARTNER We may be in the middle of hurricane season in Florida, but there is more at risk than extreme weather conditions — the most significant risk facing many small dental practices is a cybersecurity incident (or cyberattack). Over the last 18 months, health care organizations have seen a rise in cyber threats. Organizations in charge of protecting sensitive patient data are seeing a surge in ransomware attacks during the early months of the COVID-19 pandemic,1 which means cybersecurity matters for health care organizations now more than ever. The past year has seen radical changes to the nature of work and the cyber landscape. Due to criminals exploiting new and insecure technologies, small businesses have increasingly fallen victim to devastating ransomware attacks. Using cybersecurity best practices is crucial to remain secure in an increasingly connected world. The proper security measures can help protect your organization and reduce the likelihood of a cyberattack in the first place.

Increased Risk for Small-business Owners Historically, smaller businesses often weren’t the targets of criminals. However, cybercrime is a lucrative business model that is always changing and can be difficult to keep up with. As the business impact of attacks like ransomware has grown, so has the leverage attackers have to demand larger ransoms. It’s becoming more profitable for criminals to target smaller businesses. As a result, Coalition has seen a material uptick in claims targeting small businesses. Coalition reported a 57% increase in claims frequency for organizations with 250 employees or less in the H1 2021 claims report for the first half of 2021.

Rise of Ransomware Ransomware has reshaped the way we view cyber-risk. Attacks make headlines daily, impacting everything from critical infrastructure to small businesses. It has become clear that everyone is at risk. Coalition has seen a steep increase in the cost of ransomware: the first half claims report for 2021 found the average ransomware demand made to Coalition policyholders in the first half of 2021 was $1.2 million, a nearly 170% increase from the year before. While small dental practices may not view themselves as a target, they are actually impacted more often than larger organizations, and are the least able to defend themselves and recover quickly. According to Coveware, 70% of ransomware attacks impact organizations with fewer than 1,000 employees, which may be more vulnerable.

Remote Access, Email Insecurity Leads to Compromised Networks Throughout 2020, many companies shifted to remote work and moved most of their business communications over to email. Unfortunately, the speed with which this transition took place resulted in many organizations overlooking security risks, failing to recognize that the technologies that allowed their employees to work from home efficiently also gave access to attackers. Criminals seized these new opportunities, opting to target smaller businesses, crafting more sophisticated social engineering scams. Health care organizations are increasingly a target due to the high volume of sensitive data they hold to maintain patient care and operations.

Cybercriminals are opportunistic, and they are more likely to target a business based on the technology they use than their industry.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

FLORIDADENTAL.ORG

Despite being crucial for all businesses, email is a very insecure form of communication. Generally, funds transfer fraud (FTF) events, a crime that manipulates businesses to send payments to accounts controlled by a criminal, begin with an email. Email accounts contain a treasure trove of sensitive information. Criminals will send fake emails to steal your email login information, pretending to be someone you know, such as a coworker or vendor. From here, attackers can use several different tactics to trick you into paying them. In 2020, Coalition found email to be the initial point of entry for 48% of claims. Email is an extremely insecure method of communication. To help keep your email secure, turn on multi-factor authentication (MFA), a risk mitigation tool that requires multiple forms of verification before signing in a user. MFA will help your organization avoid being part of the roughly 80% of email intrusion incidents resulting from weak or stolen passwords. Additionally, you should verify email requests to alter payment information using a defined procedure. Ideally, these procedures should include calling the requesting party on a known good number to confirm the demand — never use the contact information provided in an email, as these often are manipulated during business email compromise incidents.

Increased Risk for Health Care Organizations Attackers also are increasingly targeting health care organizations. According to The Wall Street Journal2, U.S. Department of Health and Human Services (HHS) data showed monthly data breaches of health care organizations impacted nearly 1 million people with each leak. The CEO of health care compliance platform Protenus reported to Forbes that, according to their data, hacking incidents in health care climbed for the fifth straight year in 2020, jumping 42%3. Coalition also has seen a rise in cyber incidents for health care organizations: The claims frequency increased from 2% in 2020 to 2.2% in 2021. In 2020, the average claim severity for health care was $185,000. Ransomware attacks hold the potential to be especially devastating for health care organizations as the downtime businesses experience can impact patients. After more than 30 years in business, one morning a Coalition policyholder in the health care industry turned on their computer to find all their files encrypted, including their backups, making restoration impossible. Coalition Incident Response (CIR) quickly determined they had fallen victim to “HelloKitty.” This devastating new FLORIDADENTAL.ORG

ransomware makes business data inaccessible and bombards the victim with calls and requests to pay. Without backups, the policyholder had no choice but to pay the ransom. Thankfully, CIR negotiated a lower ransom payment, reducing the ransom demand down by nearly 75% from $750,000 to $200,000. Coalition covered the cost to respond to the incident, recover lost data and pay the extortion. Cyber extortion is not the only money at risk due to a ransomware event. If an organization finds itself unable to bill patients because financial records have become compromised or encrypted, their ability to generate revenue is impacted. The events of the past year have shown that health care organizations cannot neglect cybersecurity basics. Ransomware is not the only attack vector threatening organizations. Attacks resulting from compromised email accounts can lead to ransomware or FTF events. Data breaches resulting from an attack can lead to fines and regulatory action — under the Health Insurance Portability and Accountability Act, organizations that handle patient data must report breaches involving 500 people or more to HHS within 60 days.

How to Fight Back Ransomware will likely remain the most prominent threat organizations face. Coalition recommends companies take the following steps to protect themselves. Implement MFA to secure your email: MFA immediately increases the security of email and other businesscritical systems by requiring multiple forms of verification before signing in a user. Update your software: Ensure technical vulnerabilities like old, unpatched software or insecure remote access tools are unavailable for attackers to exploit. Maintain good data backups: Develop and implement a data backup plan tailored to your business before a ransomware event occurs and maintain an offline backup for critical business data. Use a password manager: Password managers are essentially vaults that encrypt and store all passwords and generate new ones randomly. Train employees on cyber-risk: Many incidents start with human error, which is avoidable by creating a culture of cyber-risk awareness and using a cybersecurity awareness training program. SEE PAGE 27 TODAY’S FDA SEPTEMBER/OCTOBER 2021

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cyberattacks FROM PAGE 25

FDA: Well-being program

Protect Your Business with Cyber Insurance Risk mitigation is critical — no technology is 100% secure, and organizations cannot predict if they will be the target of a cyber event. Buying a cyber insurance policy that meets your unique business needs can keep you secure if the worst happens and ensure your organization is poised to recover. FDA Services’ preferred carrier is Coalition. To learn more about cyber insurance or our preferred vendor, Coalition, call FDA Services at 800.877.7597.

References: 1. infosecurity-magazine.com/news/half-us-hospitals-shut-networks/ 2. wsj.com/articles/hospitals-suffer-new-wave-of-hacking-attempts11612261802?mod=tech_lead_pos13 3.forbes.com/sites/forbestechcouncil/2021/06/07/increased-cyberattacks-on-healthcare-institutions-shows-the-need-for-greatercybersecurity/?sh=34f462b85650

FDA: Diantostic Discussion

Read, Learn and Earn! Visit floridadental.org/online-ce for this FREE, MEMBERS-ONLY BENEFIT. You will be given the opportunity to review the “Diagnostic Discussion” and its accompanying photos. Answer five multiple choice questions to earn one hour of CE.

Contact FDC Marketing Coordinator Brooke Martin at bmartin@floridadental.org or 800.877.9922.

FLORIDADENTAL.ORG

TODAY’S FDA

SEPTEMBER/OCTOBER 2021

BOD

BOARD OF DENTISTRY DISCUSSES GUIDELINES FOR FORCIBLE FELONIES AND ANTI-TRUST ISSUES The Florida Board of Dentistry (BOD) met in Orlando on Friday, Aug. 13, at 7:30 a.m. The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Joe Calderone and Director of Third Party Payer and Professional Affairs Casey Stoutamire. Drs. Andy Brown and Steve Hochfelder also were in attendance. The BOD members present included: Dr. Nick White, chair; Mr. Fabio Andrade (consumer member), vice chair; Drs. Christine Bojaxhi, Tom McCawley, Claudio Miro, Jose Mellado, Brad Cherry and T.J. Tejera; and hygiene members, Ms. Angela Johnson and Ms. Karyn Hill. There is one consumer position open on the board that the governor has not yet filled. The board approved proposed disciplinary guidelines for being convicted of a serious forcible felony. As a reminder, if a provider is arrested for one of the serious forcible felonies enumerated in the statute passed during the 2021 Legislative Session, then his or her license is temporarily suspended. In addition, the proposed disciplinary guidelines for a person li-

censed and practicing in another state but providing telehealth services within Florida (who is registered with the applicable board) were approved. This is only disciplining their registration status, and the state they are licensed in will have to determine if further discipline is necessary. Mr. Lawrence Harris, BOD attorney, discussed the anti-trust issues of the Georgia BOD case, which affirmed the decision of a lower court allowing Smile Direct Club to continue its anti-trust case against the Georgia BOD both as a board and against the board members personally. He also discussed President Joe Biden’s order creating the White House Competition Council, whose goal is to promote competition in the American economy. Specifically, the council will coordinate, promote and advance federal government efforts to address overconcentration, monopolization, and unfair competition in or directly affected by the American economy. To that end, dental licensure and practice act issues wil l be looked at very closely and anti-trust enforcement by all regulatory boards also will be stepped up. Dr. Guy Shampaine, who represented the Commission on Dental Competency Assessments (CDCA), gave an update on the merger of the CDCA, which administers the American Board of Dental Examiners (ADEX) exam in Florida, and the Western Regional Exam Board (WREB). Beginning in

The next BOD meeting is scheduled for Friday, Nov. 19 at 7:30 a.m. EDT at the Rosen Plaza Hotel in Orlando. 2023, the WREB exam will no longer be given; thus, making the ADEX exam available in almost every state. He also updated the board on the prevalence of the non-patient-based exam, which is now accepted in all but three states: Florida, Wyoming and Nevada. Ms. Hill gave the Council on Dental Hygiene report. The council requested the board to outline the characteristics of a study that would be acceptable in considering the use of lasers by hygienists. However, Mr. Harris counseled the board to not opine on the parameters of a study and the board took no further action. Toward the end of the meeting, Dr. Tejera reiterated that the Anesthesia Committee plans to hold a meeting before November. It will discuss the request from the anesthesia inspectors regarding the amount of epinephrine needed in the dental office. Currently, the rule states an “adequate amount.” This objective standard is causing some confusion and leading to different inspectors requiring dentists to have different amounts upon inspection. The FDA will continue to monitor and update its members accordingly. There were nine disciplinary cases, one informal hearing, which was dismissed, one motion for reconsideration, four petitions for modification of final orders and three voluntary relinquishments dealing with failing to meet the minimum standard of care, the death of a patient under anesthesia and failing to keep adequate records. If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. It is much better to be a spectator than a participant in BOD disciplinary cases.

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.

PEER REVIEW c

Patient calls district dental association office with a concern.

District staff determine if the situation falls under the duties of peer review and can start the paperwork.

c c

The case is sent to the peer review chair (volunteer dentist) in the area near the patient. The peer review chair calls the patient to discuss the issue.

The peer review chair then calls the dentist to discuss the issue and see if the dentist is willing to settle by refunding all or some of the fee.

If not in agreement, the chair If there is an agreement, the peer convenes a peer review panel and review chair neg otiates a settlement collects information from the dentist to which the patient and dentist who treated the patient. both agree. The district notifies the patient of the proceeding’s outcome.

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You often can avoid costly legal fees and malpractice suits by using this free service available only to members. Section 466.022(1), Florida Statutes, states (among other things) that “a professional organization or association of dentists which sponsors, sanctions, or otherwise operates or participates in peer review activities is hereby afforded the same privileges and immunities afforded to any member of a duly constituted medical review committee by s. 766.101(3).” Section 766.101(3)(a), Florida Statutes, provides that “[t]here shall be no monetary liability on the part of, and no cause of action for damages shall arise against, any member of a duly appointed medical review committee, or any health care provider furnishing any information, including information concerning the prescribing of substances listed in s. 893.03(2), to such committee, or any person, including any person acting as a witness, incident reporter to, or investigator for, a medical review committee, for any act or proceeding undertaken or performed within the scope of the functions of any such committee if the committee member or health care provider acts without intentional fraud.” These statutory protections are intended to encourage good faith participation in the peer review process without fear of liability. However, it is important to remember that records generated in the peer review process may be subject to disclosure in response to a subpoena or other legal process, and the original records (patient’s chart and dental records) and underlying facts of a matter submitted to peer review are almost always discoverable.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

LONG THE GAME: WHAT IF THE

WAS NOT RECRUITING AND HIRING? In our last article, we discussed recruiting and hiring challenges facing dental offices and that there is a “short game,” namely, doing whatever you can now to fill the openings. Our focus with this article is the “long game.”

Question: Which of these two is more important to the success of your practice? Learning recruiting and hiring tactics (assuming they exist), so you can effectively pick the “needle from the haystack” of candidates every time, or

The long game is: 1) focusing on developing quality employees, and 2) putting conscious effort into employee engagement and creating the type of organizational culture that supports long-term retention, thus reducing the need to recruit. A big reason to take the long game seriously is that there is no “silver bullet” or guaranteed, fool-proof set of tactics for recruiting and hiring. Another significant factor is that you have control over the long game.

Being the kind of employer with an organizational culture that supports long-term retention of quality employees, so you rarely need to recruit and hire? Kind of a no-brainer, right? What if you didn’t have turnover? Turnover is not the guaranteed, inevitable consequence of having employees. Many practices experience little to no turn-

TODAY’S FDA SEPTEMBER/OCTOBER 2021

over. Many practices only go through the hiring process because of growth or someone retiring or relocating. Solely focusing all your energy on hiring and recruiting is like putting the cart before the horse and ignoring the foundational importance of the kind of employer you are. It also ignores the organizational culture you have. This is analogous to a patient only focusing on wanting white teeth, while ignoring his/her underlying periodontal disease. Or, spending all kinds of time, energy and money getting patients in for hygiene visits, only to lose them through the cracks and holes in your re-care retention program, resulting in a low return on investment.

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recruiting and hiring Relative to human resources, long-term success and lower stress is more associated with the type/kind of employer you are and the type/kind of organizational culture you have. Ask yourself: What is my reputation as an employer? Not what you think or wish it is, but what it really is. Why would someone come to work for me rather than someone else down the street? Once you answer those, then, try this one: Would I work for me? Many practices aren’t finding it hard to hire new employees. Why? Because they have a reputation as a great place to work, and thus, have resumes of potential employees who’ve said, “When you have an opening, I’d like to come to work for you.” These practices effectively avoid the financial and emotional toll of turnover. Your leadership and organizational culture goal and the “magic” of employee retention is employee engagement. Employee engagement is characterized by the extent to which employees: feel valued (appreciation and recognition). enjoy and believe in what they do (making a difference). are committed to something or someone in the practice. will stay in or with the practice based on that commitment. The extent and degree to which each of the above is true is the extent to which you have (or don’t have) high employee engagement.

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The benefits of increased employee engagement, in addition to lower turnover, are:

• commitment • loyalty • pride • contribution • sense of ownership • sense of belonging • employees who won’t go somewhere else

In other words, long-term retention with little to no turnover.

“But I pay them well — isn’t that good enough?” No. Today, like it or not, that isn’t good enough. Today, your people represent your primary source of competitive advantage. And an engaged workforce (i.e., team) is the true competitive edge; it’s the path to consistent, high-level quality service and sustainability. Achieving an engaged team is not exclusively about pay.

TIM TWIGG, PRESIDENT BENT ERICKSEN & ASSOCIATES

Mr. Twigg is the president of Bent Ericksen & Associates, the dental industry’s “go-to” resource for human resources and employment compliance. To receive a complimentary copy of the company’s quarterly newsletter or to learn more, contact them at 800.679.2760 or at bentericksen.com.

To be successful at the long game, a leader or employer’s primary focus must be on his/her people and outcomes, not just results. This means the leader’s focus and commitment must be on increasing employee engagement through communication, mentoring, coaching, problem-solving and supporting his/her employees. Success with employee engagement boils down to you, your leadership and the organizational culture you create. Successful practices provide employees with a sense of purpose and belonging. Coveted employees aren’t interested in working for practices that don’t provide motivation, opportunity or trust them. Focusing on employee retention (leadership, culture and engagement) may be a little more work than just tactics of recruiting and hiring but is well worth it in the long run.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

LEAD LEADERS EMERGING AMONG DENTISTRY

10.29.2021

SAVE THE DATE

Great leadership skills can create tremendous success in your practice and in life, but these skills don’t always come naturally and they take time and training to develop. The Florida Dental Association’s Leadership Development Committee will again host the Leaders Emerging Among Dentistry (LEAD) training. This is a free, half-day virtual program. Please register for the Oct. 29, 2021 program. Visit floridadental.org/lead for more information.

florida dental association by the numbers! OVERALL MEMBERSHIP .1%

.4%

.1% 2%

73%

5% 6%

5% 12%

23%

4% 2%

56%

BOARD OF TRUSTEES PEDIATRIC AF

ORTHODONTICS & DENTOFACIAL ORTHOPEDICS

AN AMERICA RIC

IC AN

ITE

GENERAL

HIS P

PERIODONTICS

ENDODONTICS

AVERAGE AGE - 51 MEDIAN AGE - 48

AVERAGE YEARS IN PRACTICE

ORAL & MAXILLOFACIAL SURGERY

HOUSE OF DELEGATES 58%

53%

31%

13%

DR. CAROLINE GORDY MCHUGH

Dr. Gordy McHugh is a general dentist in Orlando and can be reached at cgordy@gmail.com.

Photo caption: Dr. Gordy McHugh (center, left), her father, Dr. Chaney Gordy (center, right), and their dental team.

MY PATH, MY PATIENTS, MY COMMUNITY I began my career as an engineer in New York City. Despite exposure to my dad’s dental practice growing up, I didn’t consider this career path until four years later. As I reevaluated my career, I reflected on his practice and how it allowed him to serve his community and care for others — personal connections that were lacking in my work as an engineer. Growing up, I certainly watched my dad care for families in Orlando through his practice, but my mom’s influence also played a large part in my move to dentistry. My mom was always actively involved with various nonprofits in our community. She works with the homeless, establishing personal relationships with individuals who are less fortunate. Her persistent community outreach was ingrained in me and my siblings as we grew up looking for opportunities to serve others in a personal way. The dental chair has proven to be an avenue to show empathy to others, hear their life stories and serve the community.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

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“

tying it all together

I’ve found that it’s important to set appropriate boundaries with your time, implement a structured daily schedule, and have a network of friends and family who will be your support system and step in and help when the unexpected patient emergency arises.

”

As a female dentist and mother of two young daughters, I’ve learned a lot over the years about balancing home and work life. Presently, more than half of dental school graduates are female. That said, my advice would apply to both male and female practitioners. I’ve found that it’s important to set appropriate boundaries with your time, implement a structured daily schedule, and have a network of friends and family who will be your support system and step in to help when the unexpected patient emergency arises. These guiding principles enabled me to fully pursue my passion for dentistry while being able to spend time with my girls and watch them grow up. When joining or buying a practice, my best advice is to find a good partner. You and your partner(s) should align on the overall “feel” of the practice. By this, I mean establishing or joining a culture that matches with your personal goals and dental philosophies. Our practice values treating patients with empathy and kindness more than anything else. My dad, Dr. Chaney Gordy, and I aim to treat our patients and staff like family, and it takes time and patience to build loyalty. We look for staff who are like-minded — those who believe in the mentality of the practice. While managing people is a constant part of my job, it’s a wellfought effort to find staff who are loyal and work hard to maintain the feel of the practice. Another aspect of dentistry I value is the opportunity it affords me to get involved in my community. I’m president of the Dental Society of Greater Orlando and volunteer for the Dental Health Care Access Foundation, treating patients who don’t have access to dental care. I also serve as a University of Central Florida mentor, where students from the pre-dental society are able to shadow a licensed dentist. Additionally, last summer I had the unique opportunity to serve as the dentist for the National Basketball Association while it conducted its “bubble” season at Walt Disney World due to the pandemic. A true once-in-a-lifetime opportunity. - rewarding one. I’ve used valuable While I may not have initially planned for a career in dentistry, the decision has been a truly life lessons learned from watching my parents throughout the years to set my own career path. A path that has enabled me to not only care for my patients, but also give back to my community that has done so much for me and my family.

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TODAY’S FDA SEPTEMBER/OCTOBER 2021

paths

LIFE IS A BOX FULL OF SURPRISES

I’ve wanted to be a dentist for as long as I can remember. My dolls’ mouths were broken because I poked them several times “to remove the cavities.” I pretended the patio concrete little holes were mouths; they became deeper and wider as I dug out “cavity bugs” with any little tool or pick I could find nearby. In the words of Albert Einstein, “Logic will get you from A to B. Imagination will take you everywhere.” I could not agree more. Many years later, I have a DDS degree and a master’s in health science from the University of Brasilia, Brazil, in addition to the DDS diploma from the University of Florida (UF). In Brazil, although the master’s pro-

TODAY’S FDA SEPTEMBER/OCTOBER 2021

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“

We should all embrace our past, culture and passions with the determination, joy and awe as when were children, simply enjoying the ride, with its ups and downs, straight long lines and winding roads.

gram is not a requirement for dentists who want to practice dentistry, I embraced the program as an opportunity to advance my knowledge in pediatric dentistry and a possibility to pursue an academic career as a professor. Nevertheless, life is a box full of surprises. By the time I completed my master’s, I met my husband, who is an engineer and resided in Florida. We were married a year later. I’m the only one in my family living abroad and my parents were supportive of my personal decisions, as long as I kept one promise: I would continue my career in dentistry. The admission to the Foreign Trained Dental Program at UF was the next step after my arrival in the U.S. in 2001. It took me a year and half to prepare for the national dental boards, the test of English as a foreign language and all the university requirements. The day I learned I was accepted to the UF program was one of the happiest days in my life. The basic, preventive and restorative knowledge obtained in my home country was fundamental. It was the main core where I stood, facing the new technologies, new pace and different philosophies taught in the United States. I’m deeply honored and thankful for the best professors and mentors I had at both universities, in addition to The Dawson Academy, as they molded the general dentist practitioner I have become. As much as I love dentistry, I also love art and books. These last two have been my newest companions in the last five or six years. After meeting another multitalented Gator dentist in town, Dr. Remedios Santos, I attended oil painting classes with a group of local artists. The appreciation for art in general and the FLORIDADENTAL.ORG

”

contact with local and international artists have made me transition to read more books outside the scope of dentistry. Gradually, I ventured toward researching, writing and publishing my first historical novel, “Standing Tall.” This book is the story of Cecilia Grierson, a remarkable woman and pioneering doctor from Buenos Aires, Argentina. Grierson broke all the glass ceilings when she became the first woman to be admitted to medical school in her country and later went on to forge a stellar career focusing on the physical, social and mental health, along with the education of women in South America. Rather than focus on Gierson’s incredible academic success, I presented the human side of this woman through her relationships with her friends, colleagues and, in particular, the two men who affected her personal life throughout the years.

DR. DEBORA G. DE FARIAS

Dr. de Farias is a general dentist in Ponte Vedra, Fla. and can be reached 904.819.1527 or dgfarias@yahoo.com. “Standing Tall” is her debut novel, published in January 2021, and is available on Amazon or through her website at defariasbooksandarts.com.

Books and art have benefited me personally and professionally because they challenge me to be creative and innovative; embracing different values and approaches both in my office and out seems to come more naturally now. It’s said that “every dentist is an artist,” therefore, tapping into my creative and artistic side has been an incredible journey. It’s also an incredible way to release the daily stress and relax. I honestly believe life is truly an amazing adventure, where one should never stop dreaming, imagining and learning. With that in mind, we should all embrace our past, culture and passions with the determination, joy and awe as when were children, simply enjoying the ride, with its ups and downs, straight long lines and winding roads. TODAY’S FDA SEPTEMBER/OCTOBER 2021

FDAS: TDSC

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The Doctors Company

TRAN FORMING

SMILES DR. NURIA OTERO DMD, CAGS, MSC

Dr. Otero is a prosthodontist in Aventura, Fla. and can be reached at nuriaotero@ aventuradentalarts.com.

As a prosthodontist specializing in aesthetics for the last 18 years, I’ve acquired valuable experience working with people from all walks of life who needed aesthetic dental restorations for a variety of reasons. These reasons ranged from a simple broken front tooth, which caused embarrassment, to full-mouth restorations to correct more serious dental issues related with their health and physical and emotional well-being. My interest in dentistry started as a teen, motivated by an aesthetic doctor I had the pleasure of observing in my hometown of Valencia, Venezuela. His skills in transforming smiles inspired me to want to do the same and thus, I studied dentistry in Valencia for five years, where I acquired my basic clinical and professional skills. I worked in an environment where we had to be creative and even find our own patients to work on who would be willing to be our “guinea pigs.” After graduating and encouraged by my parents to specialize more in the dental field, I was accepted to study advanced prosthodontics at the Goldman School of Dentistry at the University of Boston for three years.

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transforming

Hard work, a strong work ethic and dedication to the profession I loved were the ingredients to my success as a student and since becoming a professional. My background as a competitive rhythmic gymnast was paramount to being disciplined and striving for perfection (with a little help from my British mom). My Venezuelan upbringing and later work experience after I graduated from Boston and went back home, brought me endless life lessons that have enriched my personal and professional experience, now that I’m in the U.S. Forced to leave my country because of the political situation there, I had to find a way to be able to realize my profession, which I had worked so hard for. While working in Venezuela in my own surgery practice, which by then had five different specialty chairs, I had to study for the national board exams, Florida license exams, find work sponsors and — by the way — take care of two children in their teens. Determination and the capacity to adapt to new circumstances have guided my approach to my work: No case is too difficult to solve. I now work in Aventura, Fla. at Aventura Dental Arts. We have a diverse population of clients, which includes large Jewish and Latin communities. Each culture has its idiosyncrasies and ways of looking at things. As Venezuelans, we tend to be very sociable and personable, and this made me realize that the relationship with the patient is one of the most important aspects of being a good dentist and inspiring trust. Going to the dentist is, in itself, a traumatic experience for some, and my emphasis is to inspire confidence in my patients and make them part of the decision-making process in their own

treatment plan. Doing a mock-up and delivering provisional teeth the same day that look natural and attractive makes them enthusiastic as to what to expect when their treatment is finalized. Teamwork is an integral part of being an aesthetic dentist, so I work closely with a team of highly qualified professionals: endodontists, periodontists, orthodontists and oral surgeons, who can help to solve other issues that need attention before aesthetic work can begin. Function as well as form are essential components of my work. One of my passions is to teach my skills to other dentists or dental professionals interested in aesthetics, so I frequently give live sessions on Instagram (@dranuriaoteroficial) and full courses on Zoom, as well as giving conferences at universities and dental associations so that other dentists can improve and perfect their skills. This is one of the ways I like to be able to give back to my community here in the U.S. and especially in Venezuela, where so many dentists have few opportunities for professional development, so online allows me to do this from a distance. Dentistry is an art as well as science and gives me the opportunity to apply my artistic skills to dental science to achieve excellence and perfection. Changing smiles actually changes lives and brings people back their confidence and self-esteem. The greatest satisfaction for me is to bring about that change and participate in their joy.

“

As Venezuelans, we tend to be very sociable and personable, and this made me realize that the relationship with the patient is one of the most important aspects of being a good dentist and inspiring trust.

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”

TODAY’S FDA SEPTEMBER/OCTOBER 2021

the journey

1. 2.

JOURNEY TO GIVING BACK The story started in 1973: I was born in Bogota, Colombia to a family of dentists; mom, Dr. Alexandra Pachon, worked for the government and dad, Dr. Rodolfo Olmos, had a private practice. Early in my childhood I played in my dad’s office with mercury (material mixed to blend and create dental amalgams) and wax to DR. RODOLFO OLMOS fabricate teeth that would turn into Dr. Olmos is a general dentist in beautiful dental restorations with Orlando and can be reached at gold. (Dentistry that is becoming dr.rodolfoolmos@gmail.com. part of the past of our profession.) So, the path was clear early on that I would become a dentist. My passion was music and art, but dentistry gave me the opportunity of enjoying both. Dental school was a lot of fun — six full years of information, clinics and social work. Like the United States, dental services are always needed in Colombia, and the cost makes it difficult to access.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

My first extraction was in my first year of dental school. I didn’t really know what I was doing, but Dr. Yepes, an extremely experienced dentist and a medical student, was there to guide me. It was then that I found the importance of mentorship and how much easier things can be when you have the right guide. Mentorship has given me the opportunity to serve as an alternate delegate for the 17th District (the best district in the U.S., by far) as well as be part of Dentists’ Day on the Hill (DDOH) and talk with politicians, those who lead our profession and so many others. A promising future was waiting for me … at least that’s what I thought. About two years before I graduated, the Colombian government passed a law socializing dentistry and, ever since, changed the route and future of dentistry in my country. Full of dreams but having low expectations, I decided to embark on a second journey. I left my friends, my family and my country and flew to Orlando, where I still live and currently have three dental offices (at one time, there were 11).

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I took the dental boards; I really don’t want to remember how many exams from TOFEL to TSE to bench exams to this and that until I got accepted to New York University in 2001. Yes, Sept. 11; we all know where we were that morning. Life went fast and the opportunity to live in one of the biggest cities in the world gave me a good perspective of culture, language, religion, beliefs and dreams. At the same time, I was available to discuss cases with dentists whom I admired and refer to as game changers. In 2003, I decided to open my own practice, and like most of us after dental school, I had no money and a huge debt. But the dreams had grown and my “little angels” as I called them came to the rescue. I bought a practice with money from my dad and another dentist who believed in me. Once financed, I worked, worked and worked. Twenty-four hours emergency services and yes, I was there at 3 a.m. and then at 7 a.m. Monday through Monday, enjoying every minute of it. For almost 12 years, dentistry ran through my veins; it was my life, my everything. After that, I continued acquiring offices, but I lost my north star. I found myself empty and without a real purpose. I then realized that money wasn’t the goal. It was more about changing smiles; not only the ones of my patients, but also those of my staff. I was a good dentist, but how could I be a better person, a better boss, a better husband, a better son, a better dad? In 2012, Jacobo Olmos, my first and only son, was born. In his preschool graduation ceremony, I saw him telling his classmates he wanted to be a dentist. So, I understood that my happiness came from sharing. Sharing my knowledge, my mistakes, my achievements and my losses. I am proud to have served within my group practices more than 750,000 patients in the past 18 years, from Medicaid to extremely wealthy, from little ones to more than 100 years old, and working at Nemours Children Hospital with special needs patients. I’ve been blessed to work with so many talented dentists, hygienists, dental assistants and other dental staff members. I’ve seen foreign dentists like me start out as dental assistants and then open their own practices, celebrate the closing of their first home, the birth of their first kid and many more fantastic accomplishments. Even becoming a “YouTuber” and advising foreign dentists from all over the world on the process of becoming a dentist in the U.S.

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Now I’m living my third journey. This journey is giving back: Give Kids a Smile, Freedom Day, Dental Lifeline Network, Florida Mission of Mercy, DDOH, as scientific program chair of the 2024 Florida Dental Convention and so many more projects. Approximately two years ago I became an alternate delegate for the FDA, and everything has been phenomenal. There is still so much to learn, but I’m learning from the best. I’m so proud of what the FDA does for our profession, the wonderful people involved in so many committees, projects and events, and how vital it is to us, people who are passionate about what we do. People who care and are willing to take some time out of their busy practices, time from family and their own personal agenda to help those in need. As dentists, we’re in need of good regulations that will protect our profession and those we serve. Because yes, I hope Jacobo will follow my steps here in the United States. I don’t want to see him fly like I had to. We live in a changing world, a world full of opportunities, where we can learn from and help each other, where we should fight to get closer not further apart, where we can give and receive. It’s our duty to be involved and to care about what we do. It’s easy because there are always little angels willing to help!

Photos: 1. Dr. Olmos getting an early start in his career. 2. Dr. Olmos’ son, Jacobo, following in his dad’s footsteps. 3. Dr. Olmos’ first mission trip with Dr. Yepes.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

ships of mercy

MORE THAN I

ENVISIONED DR. RUSSELL WALTHER

Dr. Walther is a oral and maxillofacial surgeon in Tallahassee and can be reached at russell@ rhofs.com.

My academic path to practice isn’t exceptionally interesting; however, my selection of Tallahassee, and now my practice and professional activities are based on different motivations than one would expect. Florida has been home for more than a decade. After completing dental school at Baylor College of Dentistry, I was fortunate to match at the University of Florida (UF) for oral and maxillofacial surgery (OMFS). UF OMFS provided a tremendous opportunity, training under Drs. Frank Dolwick and BJ Schlott. At UF, I was provided a solid, broad-based, surgical foundation that has allowed me to enjoy my practice tremendously. There were different areas I considered when looking to establish practice. My wife, Dr. Kirstin Walther, and I met when she was completing dental school at UF. She hails from the Tampa area and was open to practice in Texas or Florida. Both states are great, and we looked everywhere for an opportunity that matched our motivation.

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I settled on Tallahassee for two primary reasons. The first was the observation that a significant portion of patients at UF were driving more than two hours from Tallahassee for what I consider routine, broad-scope, oral and maxillofacial surgery. I wanted to practice in an environment with opportunities to continue spending considerable time in the operating room. This generally means being remote from a large academic medical center, and oftentimes in a more rural environment. The second is based on my long-term objective of spending time overseas as a volunteer surgeon. I have a habit of periodically entering a bookstore, randomly selecting a book without reading the back cover, and reading it cover to cover. My favorite book, selected by total fate in 2012, is “Ships of Mercy,” which chronicles the history of Mercy Ships. Mercy Ships is a humanitarian organization that provides surgical and dental relief work, delivered primarily through a facility (ship) FLORIDADENTAL.ORG

“

‘Ships of Mercy,’ which chronicles the history of Mercy Ships, reaffirmed my motivation for practice and altered the course of my career.

”

that spends eight to 10 months at a time in the same port. I was running late for a return flight to Jacksonville after taking the second step of my medical boards in Houston. I randomly selected the book at the entrance of a Half Price Books, purchased it and opened the cover page on the flight back home. Dr. Gary Parker is featured in the book extensively. Dr. Parker, an oral and maxillofacial surgeon, serves as the chief medical officer of Mercy Ships, having volunteered with them starting in 1986 for what he thought would be three months of service — and he is still with the organization. That book selection reaffirmed my motivation for practice and altered the course of my career.

Beyond practice, Tallahassee has offered me another unique opportunity in organized dentistry. I’ve spent considerable time on behalf of the Florida Society of Oral and Maxillofacial Surgeons (FSOMS) engaging legislators about topics important to dentistry and OMFS. What most dentists don’t realize, and what I am immensely proud of, is that FSOMS works alongside the Florida Dental Association on many of the topics that are important to our day-to-day practices. My (and many other Tallahassee dentists’!) “Day on the Hill,” continues well before and after the annual event, with continued engagement on topics important to us. Practicing in the capital city affords me this wonderful opportunity.

My practice environment in Tallahassee has enabled me to expand on the initial set of skills I obtained in residency. Though COVID has interrupted Mercy Ships for the time being, I’ve made annual trips with their organization, and plan to increase my activity in the future. The level of pathology encountered with Mercy Ships is unfathomable at first. The surgeons and anesthetists who regularly volunteer with the organization are fearless mentors who turn surgical mountains into molehills for patients in the poorest corners of the world. I enjoy my practice in Tallahassee, which doubles to keep the proverbial knife sharpened for Mercy Ships.

My practice is more than I envisioned. I’m grateful to all my mentors and peers who continue to motivate me every day.

2. FLORIDADENTAL.ORG

Photos: 1). In front of Africa Mercy in Dakar, Senegal, 2019. 2). Dr. Walther and his wife, Dr. Kirstin Walther. 3). Drs. Walther and Marcus Joy with their team at the Florida Mission of Mercy in Jacksonville.

3. TODAY’S FDA SEPTEMBER/OCTOBER 2021

my path

DENTISTRY WAS NOT ON MY

TO-DO LIST DR. JACINTA D. WATKINS-LAMONTAGNE, DDS, MSPH, DTM

Dr. Watkins-Lamontagne can be reached at info@exciteexcellence.org.

For the past decade, I have been practicing as a general dentist in private, group, corporate and community health practices. I hope this article will inspire you to think differently about dentistry and your life.

ter of Science in Public Health program at Tulane University School of Public Health and Tropical Medicine.

Why did you become a dentist?

I learned that dentistry had significant access-to-care challenges compared to the medical profession.

Many years ago, I decided that I wanted to become a forensic DNA analyst. Dentistry was not on my to-do list!

I wanted to help, but not become a dentist! However, after shadowing a few practices, I decided to give dentistry a chance.

When I completed my bachelor’s in biology from the University of North Carolina at Greensboro, I relocated to New Orleans to work in a forensic DNA laboratory. One of my co-workers encouraged me to apply for a science-based public health program that she enjoyed. I was accepted into the Mas-

TODAY’S FDA SEPTEMBER/OCTOBER 2021

When I shared the exciting news with my employer, I was told that “It was unacceptable for me to work and go to school.” I was devasted, for about five minutes. I decided to attend the program while working my full-time job. Eventually, I took the leap of faith and quit my job to become a full-time student.

During the application process, Hurricane Katrina made landfall in New Orleans. As a displaced student with no financial aid from college, I did not have the funds to pay for the supplemental application fees. I called every school that I applied to and asked if my supplemental application fees could be waived due to the extenuating circumstances. The only school that agreed to waive the supplemental fee was Howard FLORIDADENTAL.ORG

University College of Dentistry. I realized that if they supported their applicants, they would support their students. I was accepted and the rest is history!

Who influenced your career? My amazing husband, Josue Lamontagne, who is the love of my life, has been the most important mentor for me personally and professionally. He has always encouraged me to be the absolute best version of myself, regardless of what challenges may arise. He pushes me to go to the next level in my career. The accomplishments that I have achieved after dental school would not have been completed without his love, patience and support. As the president of my dental school class, my college deans Drs. Leo Rouse, DDS, FACD and Cecile Skinner, DDS, Ph.D., FACD, taught me how to be a leader both inside and outside of the classroom. There are too many great mentors at Howard to list here, but you know who you are! Paula Fischer, RDH helped me to become more vocal in public health dentistry with stakeholders about the needs of our patients and the dental profession.

How was your path different from other dentists? My path to dentistry was through public health that eventually led to private practice. I had the opportunity to successfully manage large community health dental programs to improve the oral health of underserved individuals. I realized that I needed to incorporate other skill sets to avoid provider burnout and give back to the profession, so I became a certified holistic life, business and executive coach, associate certified coach with the International Coaching Federation and a distinguished toastmaster with Toastmasters International. I founded Excite Excellence Inc., which provides public speaking and coaching services to individuals in the health care industry. Recently, I was featured on the Florida Dental Association’s (FDA) “Chew on This” segment to discuss public speaking tips for dentists with FDA Executive Director Drew Eason, which can be viewed at it.ly/3A8adAg.

How did you become involved with organized dentistry? I developed an appreciation for organized dentistry when I was selected as one of two dental students in the USA to serve FLORIDADENTAL.ORG

“

Stay engaged in the profession and advocate for our future.

”

as a Washington National Health Policy extern. It was a great experience! I interacted with many congressional leaders to advocate for the dental profession. I worked closely with the American Dental Political Action Committee and observed the tremendous amount of time and energy that their team spends on advocating for our profession!

What advice or thoughts do you have that could benefit others? First, try not place yourself in a “health care box.” In my opinion, the “health care box” is when we limit ourselves only to the health care industry and neglect to develop other talents and skill sets that can create a more balanced life. Dentists are extremely talented individuals and leaders in our society and profession. I would encourage you to answer the following questions: l What activities bring excitement to my life? l Where do I see myself personally and professionally in six months or one year? l What skills do I need to achieve my goals? l How can I start living this version of myself today? Second, stay engaged in the profession and advocate for our future. The dental profession stands out in the health care industry because we can operate as individual practice owners. There are many medical colleagues who wish they could practice this way.

Photos: 1. Dr. Watkins speaking at her alma mater’s graduation ceremony at Howard University in 2010. 2. Capitol Hill visit in 2009 (l to r): Robert J. Burns, Dr. Brittany (Bensch) Dean, Senate Majority Leader Harry Reid (D-NV) and Dr. Watkins. TODAY’S FDA SEPTEMBER/OCTOBER 2021

representation

REMOVING CULTURAL BLINDERS TO CREATE CHANGE “A lot of people think my life is pretty random because it’s horses and dentistry. They wonder how those two things mix,” said Dr. Shayla Wilson. “I think it’s all about following what inspires and interests you while caring for others, whether they be people or horses.” At one point, Wilson’s life was fully in the equestrian world. FDA COMMUNICATIONS While she was completing a AND MEDIA four-year apprenticeship as a COORDINATOR horse trainer in Ocala, an inciMs. Lauria and can be reached dent left an impression on her. A at jlauria@floridadental.org or pony kicked one of the employ850.350.7115. ees in the mouth and shattered his teeth. While her first response was to gather his teeth and take him to the dentist, he refused her offer and insisted he was fine. His refusal was connected to his immigration status. JESSICA LAURIA

“Even though we were in this country with so many resources and opportunities, I very quickly realized that not everyone has the same access to health care,” said Wilson. “It was so sad to see him covering his mouth while speaking. It really impacted me. I watched his self-esteem dwindle and felt powerless to help him. I hadn’t been considering dentistry before that time, but it was a very impactful moment in my life.” Wilson continued training horses at different farms afterward and, although she loved what she did, she couldn’t help feeling unfulfilled. When her sister told her of a youth equestrian program near her home in Los Angeles, the Compton Junior Posse, Wilson was intrigued. The program provides leadership skills to at-risk inner-city kids, with the goal of “keeping kids on horses and off the streets.” Wilson began volunteering with the program every time she visited her sister and was eventually offered a full-time position.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

“I felt like it would be so much more fulfilling. I could help sculpt the minds and bodies of these young equestrian athletes in an unexpected environment,” Wilson said of her position with the program. “I was drawn to work with horses in a setting that had people who looked like me. Typically, there weren’t many faces that looked like mine in the horse world. I think the same feeling is true in other settings, too.” The Compton Junior Posse relied on support from the community to keep the program running, so the participants were constantly in front of cameras and important people who would provide funding. Unfortunately, some of the children had poor oral health, and she saw how it affected their selfesteem having to be in front of people who decided the fate of the program. This, too, left an impression on Wilson and caused her to feel like there was more she could be doing. It ultimately helped her decide to go back to school to pursue a dental career. Wilson attended Florida A&M University (FAMU), a historically Black college or university (HBCU), to complete the necessary science courses to apply to dental school. As an HBCU, it catered to the needs of a diverse population by teaching students how to become competitive. It was her advisor, Mrs. Banks, who instilled confidence in Wilson so she felt like she was in control over whether she would be accepted into dental school. One summer, she completed an externship through the Health Careers Opportunity Program (HCOP), mentored by Dr. Deirdre Young. The HCOP helped her prepare for the Dental Admissions Test and provided clear steps to admission into dental school. It was through this program as well as her advisors that she felt prepared for what was expected on the other side of her undergrad. An opportunity to participate in a revolutionary program, Tour for Diversity in Medicine (T4D), founded by Harvard Medical School Assistant Dean Dr. Alden Landry and Veterans Health Administration Chief Medical Officer Dr. Kameron Matthews, came to FAMU. T4D is a grassroots effort to educate, inspire and cultivate future physicians, dentists, and FLORIDADENTAL.ORG

2. 1.

pharmacists of diverse racial and ethnic backgrounds by forming local connections in order to fulfill a national need.1 Before COVID-19, a bus full of physicians of many different backgrounds would tour the country visiting schools to talk about the admissions process and how to develop a portfolio to apply to medical school. T4D now hosts virtual events and webinars to reach students during the pandemic. It turned out that Dr. Young was part of the program and was scheduled to speak at the event — at the time, she was the only dentist. Instead of just attending, Wilson volunteered at the event. “I wanted to be there all day and night, just to soak it all in.” Thanks to mentoring and preparation, Wilson was accepted into dental school at Meharry Medical College, another HBCU and her first choice. When she became a dental student, she also applied to become part of T4D. The timing was perfect. “T4D was trying to branch out to get more people aware of dentistry as an option for a career. Even at FAMU, not a lot of people knew about dentistry as a career. It was weird; there were hundreds of kids interested in medicine, but our dental class was only about 10 or less per semester,” Wilson remembers. It’s crucial to create awareness that dentistry is a viable option to those interested in health care. Wilson felt the benefits of mentorship from Black doctors and wanted to be that person for others. “There wasn’t anybody else around me; I didn’t know how I fit into that world … I had many things that I couldn’t relate to … so, I always knew that I wanted to be able to expose other people of color to [the opportunity].” Representation in health care is twofold. Wilson brings up imposter syndrome, which is a pervasive feeling of self-doubt, insecurity and incompetence despite evidence that you are skilled and successful, according to the American Psychological Association.2 “There’s a lot of people who feel like someFLORIDADENTAL.ORG

thing isn’t necessarily meant for them because they can’t relate to the people who are doing that thing. And I want to directly address that: You can do this; this is meant for you … You can be yourself and be a part of this world. Because I felt that way, too, especially during the dental school application process. I thought, ‘What if they’re not looking for someone like me?’” T4D’s purpose is to encourage those students at HBCUs to consider careers in health care; to build up their confidence and show them that not only can they achieve remarkable things, but also that they are needed in their communities. Having a diverse population of health care practitioners is imperative in understanding and relating to patients within the contexts of culture, race, gender identity, sexual orientation, religion and socioeconomic status. America is a melting pot and in order for some patients to feel seen, heard and understood in their various identities and realities, they want to be treated by a health care system that reflects their diversity. It’s important that people feel comfortable receiving health care they can trust from providers who are respectful and knowledgeable about their specific needs. According to an analysis done by the Association of American Medical Colleges in 2020, a breakdown of active practitioners shows that more than half of practicing physicians are white, 22% are Asian, 7% are Black and 6% are Hispanic (2% reported Other, which includes the “multiple race/ethnicity” category).3 Similarly, the American Dental Association’s Health Policy Institute Dentist Workforce Survey (2020) reports white (70.2%) and Asian (18%) dentists are proportionally more represented in the profession when compared to the U.S. population. Hispanic (5.9%) and Black (3.8%) dentists, as well as dentists who identify themselves as another race or ethnicity (2.2%), are proportionally less represented.4 While research SEE PAGE 51 TODAY’S FDA SEPTEMBER/OCTOBER 2021

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representation

If you’re interested in learning more or volunteering with Tour for Diversity in Medicine, visit tour4diversity.org or email info@tour4diversity.org. FROM PAGE 49

on sexual orientation, gender identity and religious affiliation among practitioners is limited, diversity in these realms also is important for developing good bedside manner and providing quality care.5 Evidence shows that patients feel better about the quality of their health care when their doctors look like them.6 A lack in diverse providers may make some patients feel more intimidated and, therefore, less likely to receive the care and treatment they need, regardless of how vital it may be. Research on primary care physician distribution shows that practitioners who are from minority racial and ethnic groups are much more likely to work in underserved communities than their white counterparts.5 Health care has a long way to go to be representative of the general population, but Wilson is part of a movement to close that gap. “I definitely think we need to have more faces like us to at least be representative of the population … as well as to have other people be more comfortable being around people like us, and accepting us for who we are, as we are.” After graduating from Meharry, Wilson worked in Kentucky for some time before finally finding her way back to Florida. She currently works in the Community Health Centers of Pinellas in St. Petersburg and finds it very fulfilling. Wilson’s experience in Kentucky was enlightening. There were times when some patients expressed they weren’t comfortable being treated by her or would call her inappropriate names. It revealed that it was just as important for people to be served by professionals who don’t look like them. Thankfully, her experience in Florida has been very positive. “The culture of the health center is amazing. For me, it’s a joy to work somewhere everyone is accepted. The health center FLORIDADENTAL.ORG

serves a diverse patient population, and the practitioners and support staff consider themselves a safety net of the community,” said Wilson. “I feel good about what I do at the end of the day, where I’m treating patients based on their needs. We don’t turn anyone away, and we always try to help or put them in contact with resources. We go so far beyond just dental care. We try to screen for everything, because this might be the first time they’ve been in a medical-type facility in many years.” When asked about her patients’ reactions to meeting her, she describes it as mostly positive. The patients are either surprised of how youthful she looks or thrilled that someone who looks like them is going to be their dentist. Through her work, Dr. Wilson is a living example to inspire the future generation of underrepresented populations to pursue careers in health care. And in doing so, this will encourage patients to seek out the health care they need from practitioners who look like them.

Photos: 1. At a volunteer event, Dr. Wilson shows you can be an African American with natural hair and a dentist at the same time. 2. Dr. Wilson (center) with the Compton Junior Posse. 3. Dr. Wilson and T4D on tour.

References: 1. Tour for Diversity in Medicine, 2021. tour4diversity.org. 2. Robinson, A. “Overcoming imposter syndrome.” American Psychological Association, November 2017. bit.ly/3nFOZXe. 3. Association of American Medical Colleges (AAMC), Data and Analysis, Total Graduates by U.S. Medical School and Race and Ethnicity (Alone), 2016-2020. bit.ly/3EsSOVM. 4. American Dental Association Health Policy Institute. “The Dentist Workforce — Key Facts.” February 2021. bit.ly/3nG2EgI. 5. “The Importance of Diversity in Health Care: Medical Professionals Weigh In.” St. George’s University, Aug. 19, 2021. bit.ly/3tJ4mPC. 6. Satyanarayana, Megha “Black Doctors Trying to Improve Their Ranks Share Their Own Experiences,” STAT, Feb. 7, 2018, bit.ly/3AhAoVr.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

my journey

DIVERSITY AND INCLUSION IN ORGANIZED DENTISTRY ...

MY JOURNEY

On a brisk fall evening, I entered the room of my first meeting with the Tidewater Dental Association (TDA) in Virginia Beach. Once inside, I saw no one who looked like me ... I mean, no one. The room was filled with approximately 30 white men — all with white hair, wearing blue blazers, white or light blue shirts, khaki pants and dark shoes. In addition, each of them had at least one to 10 lapel pins on his blazer. My first instinct was to make a U-turn and forget about becoming active with this association. However, a little voice within me encouraged me to go find a seat, sit down and stay until the end of the meeting. So, with a smidgeon of fear and anxiety, I found a seat in the back of the room, next to one of the “Step-

TODAY’S FDA SEPTEMBER/OCTOBER 2021

ford-like” white men with white hair, wearing a blue blazer, khaki pants and one to 10 lapel pins. What happened next was something I didn’t expect: The man sitting next to me leaned over toward me, smiled and whispered in my ear, “Welcome!” I returned his greeting with a somewhat puzzled look on my face, and before I turned my attention back to the meeting, I couldn’t help but notice one of his many lapel pins. It read, “Make a difference.” Next to it, his nametag: Dr. Bud Zimmer. Although Dr. Zimmer’s acknowledgement of my presence might seem normal to most people, what it said to me was that I belong and I’m in the right place. And that’s not all. Once FLORIDADENTAL.ORG

the meeting adjourned, Dr. Zimmer took me by the hand and said, “Come with me.” Not knowing where he was taking me or why he even showed an interest in me, I agreed to go with him. He took me around the room and introduced me as the newest member of the TDA. At this point, I no longer cared that there was no one in this meeting room that looked like me. In fact, I learned so much that night about diversity and inclusion in action! This was not just lip service or window dressing! That evening not only was I “invited to the party, but I also was asked to dance” (Vernᾱ Myers). The TDA afforded me the opportunity to feel like I belonged. I was able to serve on their executive board first as secretary, then treasurer, vice-president, president-elect and then as the first African American female president of the TDA. Oh yes, there were still members who belittled me, and some who even stopped attending the executive board meetings while I was president, but their behaviors did not deter me from continuing to work with this association to “make a difference.” Today, I’m happy to say that I had the opportunity to make a difference working with these dental associations: Tidewater (TDA), Virginia (VDA), American (ADA) and now Florida (FDA and FDA Foundation). I’m able to work toward a change in the way an association looks by becoming actively involved with the many volunteer events available through organized dentistry. To date, I have

completed five Missions of Mercy, served as chair for the Council on Sessions (VDA), pounded the legislative floors at the Day on the Hill (VDA), served at state conferences and meetings as speaker/room host (VDA, FDA), served on the Board of Directors (FDA Foundation), volunteered with the Joint Commission on National Dental Examinations as a Test Constructor (ADA) and graduated from the ADA’s Institute for Diversity in Leadership program. It’s my hope that all components within organized dentistry will work toward becoming more diverse and inclusive. Why? Because there are more dentists, dental hygienists, dental office staff, students and community service leaders who look like me who are willing to roll up their sleeves and serve alongside members and administrators of organized dentistry to “make a significant difference” and improvement in all communities for the people we serve. No more lip service or window dressing when it comes to diversity and inclusion; it’s time to come to the table and “do the work.” As the late Dr. Martin Luther King Jr. advised, “An individual has not started living until he can rise above the narrow confines of his individualistic concerns to the broader concerns of all humanity.”

DR. SHARON COLVIN

Dr. Colvin is an assistant professor of restorative dentistry at LECOM School of Dental Medicine in Bradenton, Fla. and can be reached at scolvin@lecom.edu.

Putting forth a genuine effort in the area of diversity and inclusion within organized dentistry is the way.

“

No more lip service or window dressing when it comes to diversity and inclusion; it’s time to come to the table and ‘do the work.’

FLORIDADENTAL.ORG

”

TODAY’S FDA SEPTEMBER/OCTOBER 2021

TEARS

Gratitude gratitude

Drs. Jessica Stilley and Reza Iranmanesh awarding Dr. Phan the Daniel Bertoch Leadership Award.

Dr. Phan, her mother and father at the Vietnam War Memorial in Westminster, CA.

TODAY’S FDA

SEPTEMBER/OCTOBER 2021

(L to R: Dr. Phan’s husband, mother, Dr. Phan and her father). Dr. Phan’s father’s reunion of Vietnamese 81st Airborne Ranger/Special Forces in Houston, TX.

Dr. Phan’s father’s reunion of Vietnamese National Military Academy in Orange County, CA. FLORIDADENTAL.ORG

Walking into the elegant lobby of the Ritz Carlton in Naples, I felt a sense of excitement. It was a humid, balmy day DR. QUEANH PHAN in August in South Florida, yet our West Coast District Dental Association (WCDDA) summer meeting was so important this year that we willingly braved the heat. Missing many personal and professional meetings during the pandemic, the very idea that our WCDDA leaders would travel from faraway places showed their spirit of commitment. At our table, I enjoyed the lively atmosphere of my colleagues. We laughed, we caught up on news and listened to speakers with great interest. And then something happened that almost made me spill my water glass. Dr. Reza Iranmanesh was announcing the name for the Daniel Bertoch Leadership Award. When he called my name, I was stunned with happiness and joy. Suddenly, another surprise: Tears were running down my face — tears of gratitude. It’s difficult for me to express why this honor from my peers would bring such emotion. But to explain it, I had to make the connection to my family’s history. In 1975, millions of Vietnamese people were in tears because of the Fall of Saigon. After a treacherous war, more than 500,000 South Vietnamese were placed in forced labor outposts called Re-education Camps. The word “education” here is a cruel description because FLORIDADENTAL.ORG

of what went on inside. Notorious, back-breaking work was forced upon prisoners. Every day they were starved or beaten, living with the constant threat of never going home again. Among these prisoners of war was my father, a Green Beret who was captured because he was fighting for the freedom of South Vietnam. After surviving six years of detention, he was released. Despite the trauma of war and imprisonment, he somehow kept all his natural charm to convince my mother, a pretty nurse who cared for him while he recovered in the hospital, to marry him. It was good they had each other, because the late 1970s to 1980s was the darkest period for Vietnam as 2 million people fled the country and 400,000 boat people died at sea desperately trying to escape. In 1993, my parents and I immigrated to the U.S. through Humanitarian Operation, which was a program sponsoring detained former officers who were imprisoned. Our refugee family came to this country with three bags of luggage and the hope for a better life. For years, my parents struggled with English as I tried to walk the line between fitting in with the American kids while keeping my Vietnamese traditions. Poverty was especially hard. When I was 6 years old, I remember waiting for hours in a Medicaid office to see a doctor. When we were finally seen, what I recall most was his kindness. He asked questions, he showed concern and by the time my family left the clinic, I knew I wanted to become that doctor; the doctor who helps everyone and brings a smile to their patients. Another turning point happened when I was 16 and visited Vietnam. While trav-

eling through the countryside one day, I saw hundreds of people waiting in front of a school. With curiosity, I asked them why and they said there was a medical missionary team of doctors and dentists. Villagers walked for 15 miles or more just to seek their care. The dentists especially inspired me and today I am one. Throughout my education and professional career, I’ve been fortunate to have great mentors who provided me the right tools, guidance and support. I wish to recognize them with my gratitude now. Dr. Ira Kotch, my professor in dental school, has been my greatest supporter and has guided me throughout my clinical and business experiences. Drs. Iranmanesh and Zack Kalarickal inspired me to get involved with social impact. Their humanitarian work is admirable. Programs like the Florida Mission of Mercy help thousands of the same struggling people that my family once was. The tears on these patients are the same tears of gratitude I felt, and I’m grateful to have the opportunity to work alongside the Florida Dental Association to help my community. Finally, I thank the Lord who has protected my family to this land of freedom. I am thankful for this country that raised me to become the person that I am today. And I thank all the people who have supported me throughout my professional career. This brings me back to the feelings I had while accepting the award and I cried tears of grateful joy from my heart. Thank you! Dr. Phan is general dentist in Naples, Fla. and can be reached at dr.phan@fantasticdentalarts.com.

TODAY’S FDA

SEPTEMBER/OCTOBER 2021

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Dr. Shawn Perce Dr. Howard Pranikoff Dr. Henry Pruett, Jr. Dr. Sanford Rosenberg Dr. Cesar Sabates Dr. Barry Stevens Dr. Bruce & Mrs. Susan Tandy Dr. Donald Thomas Dr. Catherine Wiechecki Vergara Dr. Jean Woo

FRIENDS OF FLA-MOM Dr. Brandon Alegre Mr. Paul & Mrs. Kristin Badeau Dr. Megan Bakan Dr. Jason Battle Dr. John Bindeman Ms. Sanela Boyce Dr. Steven Bryan Dr. Susan Byrne Dr. Barry Cates Dr. Brittney Craig Distinct Association Management, Inc. Dr. Nidal Elias Ms. R. Jai Gillum Dr. Joanne Green Mr. Greg Gruber

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Dr. Cecilia Hines Dr. Nathan Hall Ms. Joe Anne Hart Dr. Reza Iranmanesh Dr. Kenneth Jandik Ms. Pamela Jarrett Dr. Craig Kara Dr. Toshihisa Kawai Dr. Robert Klement Dr. George Kolos Dr. George Kostakis Dr. Michael Lamp Dr. John Lazzara Ms. Vickie Mangin Dr. Samuel Markham Dr. Paul Miller

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FLA-MOM LEADERSHIP A TREMENDOUS THANK YOU TO THE AMAZING LEADERS WHO CONTRIBUTED THEIR TIME AND TALENTS TO MAKE THE 2021 FLORIDA MISSION OF MERCY A GREAT SUCCESS!

2021 FLA-MOM LEADERSHIP

Dr. Brian Nitzberg n Clinical Co-Lead Dr. Paul Palo n Dental Triage Co-Manager

Dr. Dan Gesek n 2021 Local Chair

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Dr. Noel Rodriguez n Prosthodontics Co-Manager

2021 FLA-MOM COMMITTEE Dr. Brandon Alegre n Patient Reg Lead Mr. Clay Archer n Data Services Lead Dr. Dan Branca n Routing Co-Manager Dr. Tom Brown n Endodontics Manager Ms. Karen Buckenheimer n Oral Health Education Dr. Terry Buckenheimer n FLA-MOM Consultant Ms. Beth Burwell n Patient Registration Exit Manager Dr. Brad Cherry n Oral Surgery Co-Manager

Ms. Katie Schutte n Sterilization Co-Manager Dr. Flavio Soares n Pediatrics Co-Manager Dr. Rick Stevenson n Infection Control & Safety Lead Dr. Don Thomas n Restorative Co-Manager Dr. Linda Trotter n Volunteer Co-Lead Dr. Claudio Varella n Facilities Lead Dr. Vanessa Watts n Oral Surgery Co-Manager Mr. Bruce Wells n Parking Manager Dr. Steve Zuknick n Routing Co-Manager

STATEWIDE FUNDRAISING COMMITTEE

Dr. Steve Cochran n Pediatrics Co-Manager Dr. Margaret Dennis n Restorative Co-Manager Dr. Marcos Diaz n Oral Surgery Co-Manager Dr. Bethany Douglas n Patient Registration Co-Manager Dr. Sam Elias n Prosthodontics Co-Manager Dr. Monica Franklin n Hygiene Manager Ms. Stacy Gesek n Hospitality Lead Ms. Linda Harvey n Volunteer Co-Lead Dr. Bert Hughes n Central Supply Co-Manager

Dr. Dan Gesek n Dr. Bert Hughes Dr. Andy Brown n Dr. Rick Mullens Dr. Sol Brotman n Dr. Jolene Paramore Mr. Kirk Gravelle n Dr. Rick Stevenson

FDA STAFF

Dr. Reza Iranmanesh n Prosthodontics Co-Manager

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dental lifeline

DLN • FLORIDA REACHES $10 MILLION IN DONATED DENTAL TREATMENT TO FLORIDIANS WITH SPECIAL NEEDS DENTAL LIFELINE NETWORK • FLORIDA

Dental Lifeline Network • Florida is part of a national organization and a strategic partner of the American Dental Association. More than 15,000 volunteer dentists and 3,400 laboratories participate in DLN’s DDS programs nationwide. To volunteer or support Dental Lifeline Network: n Visit WillYouSeeOne.org. To donate: n Visit DentalLifeline.org.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

Dental Lifeline Network • Florida (DLN) recently celebrated a milestone having reached $10 million in donated dental treatment from the more than 500 volunteer dentists and nearly 230 dental laboratories who have volunteered their time and resources through the Florida Donated Dental Services (DDS) program. Since the launch of the state’s DDS program 24 years ago, in conjunction with the Florida Dental Association (FDA), the program has exceeded $10 million worth of life-changing treatment to almost 2,100 Floridians. “I consider reaching the $10 million mark in Florida a great milestone in teamwork and service for our Florida Dental Association,” said Dr. Michael Eggnatz, DLN • FL president. “This great milestone has been a sustained effort of generosity built on the shoulders of our predecessors and it is a privilege to continue the great work they started. It reminds us that the best gift we can give is our humanity and how fortunate we are to be able to help those less fortunate than ourselves.” Vincent, an Air Force veteran from Kissimmee, who suffers from multiple health issues was one of the 2,080 DDS program patients to benefit from comprehensive care. A volunteer dentist and lab provided full upper and lower dentures to restore his smile and help him eat comfortably again. “I’ve worked closely with the DDS program in both Michigan and Florida. Additionally, I serve on the DLN national board. This milestone is the culmination of so many great servant leaders,” said FDA Executive Director Drew Eason. “The dentists, labs and others involved have done so much to help put smiles back on the faces of those in need. I find it humbling to be surrounded by such giving people and look forward to helping DLN reach that next milestone.”

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The $10 million in donated dental treatment by the volunteers across Florida is a significant contribution to the cumulative celebration happening for the DDS program nationally. For 35 years, DLN has partnered with volunteer dentists and laboratories across the country and connected people with special needs to comprehensive dentistry. This September DLN reached a new milestone: $500 million in donated dental treatment! That’s half a billion dollars of care, which has helped 165,000 individuals! DLN • Florida is so thankful to the volunteers and supporters across the state for the time and resources invested in helping others. These contributions have made a positive impact in changing the lives of people who needed it most.

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TODAY’S FDA SEPTEMBER/OCTOBER 2021

google

The Many Faces of

Google How to Own Real Estate on Google When a Patient Searches for a New Dentist WHITEBOARD MARKETING

Google is the most widely used search engine in the world. According to Semrush,* Google receives more than 40,000 search queries per second, equating to more than 3.5 billion searches a day. When patients look for a new dentist, they’ll most likely turn to Google for their search. Making it easy for patients to discover you on Google is essential in growing your practice. Understanding your options for Google real estate will help you determine what techniques yield the largest return on investment. All options can all be found in one place: a search engine results page (SERP). A SERP is the results and websites that populate after a patient enters a specific keyword into the search bar on Google. For example, if a patient searches “Fort Lauderdale dentist,” Google will provide a list of dentists and their websites that meet the standards for that specific keyword. “Because nobody goes to the second or third page of Google, it’s important to try to have some space on that first page,” says Sean White, CEO of Whiteboard Marketing. Dentists must ensure they own as much real estate as possible on Google to convert new patients, increase scheduling for services and retain current patients.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

The most critical areas to own real estate on Google’s search engine results page include Pay-Per-Click, the local 3-pack, map ads and search engine optimization (SEO) results.

Google Pay-Per-Click The first opportunity a dentist has to show up on a SERP is Google Pay-Per-Click. These are the advertisements found at the very top of the page with an “Ad” label next to their website link. “If you just started your practice or you haven’t done any digital marketing before, you will want to invest in proactive lead generation, such as Google pay-per-click. Once your campaign is set up, you turn the switch on and it can start delivering ads fairly quickly,” White says. Each time a patient “clicks” into the ad, Google will charge a specific amount based on the competition of the keyword searched. “It’s important to talk to your marketing partner about the budget you should invest in for your PPC [Pay-Per-Click] ads. Our PPC department always recommends spending at least $1,000 per month,” White says. “If you’re really trying to move the needle and generate new patients, you will need to be strategic in the budget you put behind your PPC ads to bring in phone calls, new patient forms and beat out competition that may be bidding higher on keywords.”

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Local 3-Pack The next opportunity a dentist can find on a SERP is the local 3-pack. When patients search “dentist near me,” a map of the surrounding area will populate with three local business profiles. “The local 3-pack consists of the three Google My Business knowledge panels that will populate based on the relevancy of your search, the proximity of where you are physically searching from and how many reviews your practice has,” White says. A Google My Business profile offers business information like phone numbers, office hours and reviews from Google, Facebook and other review websites. It’s important that you claim and optimize your Google My Business profile to ensure your practice is seen above or before your competitor in the local 3-pack.

Search Engine Optimization The last area your practice can own real estate on Google is the SEO results. SEO is the practice of improving a website’s user experience and content to generate more organic traffic to the site. By driving more patients to your website, you increase opportunities to convert them into a new patient. Google has more than 200 ranking factors, and it’s important to stay up to date on the best practices from Google for optimal performance. “These results are 60% to 70% of what your prospects will actually click on a search engine results page, so it’s definitely important to do what you can from an SEO perspective to show up one or more times in that area,” White says.

Map ads are members of the Pay-Per-Click family, and they can be found within the local 3-pack section of a SERP.

Google has many faces and understanding each of these is important to help your practice own as much real estate as possible on a SERP. Being featured in Pay-Per-Click ads, the local 3-pack, map ads and SEO results provides your practice more visibility on a search page when patients are looking for a new dentist. The more real estate you can own, the easier it is for potential patients to discover you, learn more about you and convert into a new patient of yours.

“You can bid on keywords to buy your way to the very top of the local 3-pack,” White says. “If your practice is struggling to populate within the local 3-pack and you want to guarantee that you will show up for certain keywords on the map area, you can bid on those keywords to outrank your competitors.”

Whiteboard Marketing is a dental practice marketing firm in Dublin, Ohio that partners with dentists nationwide to develop and implement practice marketing strategies that increase new patient acquisition and build brand awareness. Visit whiteboard-mktg.com for more information.

Map Ads

*semrush.com/blog/google-search-statistics/

It’s important to talk to your marketing partner about the budget you should invest in for your PPC [Pay-Per-Click] ads.

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TODAY’S FDA SEPTEMBER/OCTOBER 2021

cavemen

WHY CAVEMEN “NEEDED NO”

BRACES

BY DR. SANDRA KAHN AND PAUL R. EHRLICH

Crooked teeth are a modern phenomenon and a telltale sign of an underlying epidemic. Modern industrialized societies are plagued by crowded, illaligned teeth, a condition that the dental profession refers to as “malocclusion” — which translates literally to “bad bite.” Survey data from 1998 suggests that as much as a fifth of the U.S. population has significant malocclusion, more than half of which require at least some degree of orthodontic intervention. Braces, tooth extractions, and retainers are the bread and butter for all the dentists and orthodontists tasked with setting straight our dental deviations. Having braces as a child has become so common in the Western world that it can seem a rite of passage — today, an estimated 50% to 70% of U.S. children will wear braces before adulthood. But what did humans do to fix their teeth before modern dentistry, before Novocain, gauze and rubber spacers? As it turns out, our ancestors did not suffer from crooked teeth to the same extent that we do today. Our species’ fossil record reveals a telling story: The epidemic of crooked teeth developed in humans over time. Evolutionary biologist, Daniel Lieberman, notes the pattern in his book, “The Story of the Human Body”: The museum I work in has thousands of ancient skulls from all over the world. Most of the skulls from the last

TODAY’S FDA SEPTEMBER/OCTOBER 2021

few hundred years are a dentist’s nightmare: They are filled with cavities and infections; the teeth are crowded into the jaw and about one-quarter of them have impacted teeth. The skulls of preindustrial farmers also are riddled with cavities and painful-looking abscesses, but less than 5% of them have impacted wisdom teeth. In contrast, most of the hunter-gatherers had nearly perfect dental health. Apparently, orthodontists and dentists were rarely necessary in the Stone Age.

Ample evidence abounds in support of Lieberman’s observations. A comparison of 146 medieval skulls from abandoned Norwegian graveyards with modern skulls indicated a trend toward bad bite in our more recent forebears. The skulls of people scored as being in “great” or “obvious” need of orthodontic treatment made up 36% of the medieval sample and 65% of the modern sample. And evidence of malocclusion in still earlier human fossils is vanishingly rare. The jaws of hunter-gatherers nearly uniformly reveal roomy, perfect arches of well-aligned teeth, with no impacted wisdom teeth — a movie star’s dream smile, 15,000 years before the movies! So, what’s happening to our mouths? Why do we today face an epidemic of crowded, unruly, crooked teeth? The answer, as it turns out, has been lying right under our noses the whole time: The problem is our jaws. A key precipitating factor for malocclusion relates to the size of our jaws. For healthy development, jaws must be able to FLORIDADENTAL.ORG

provide sufficient room for all 32 teeth that grow in the mouth. Over time, our teeth have grown crooked because our jaws have grown smaller. Why? The epidemic’s roots lie in cultural shifts in important daily actions we seldom think about; things like chewing, breathing, or the position of our jaws at rest, and these changes have in turn been brought about by much bigger sociohistorical developments — namely, industrialization. Our upper jaw, which is technically known as our maxilla, seems as if it is just the base of our skull, but it is actually formed by two bones, one on each side, fused together. Our lower jaw, technically the mandible, is likewise made by the fusion of two bones. If the jaws develop correctly they have ample room for all of the teeth, and the teeth fit together well. Both upper and lower jaws can move and change in the process of development. But that process has been gradually altered ever since our ancestors began to use tools, cook, cease their mobile hunting-gathering lives and settled down to practice agriculture some 10,000 years ago. Anthropologists have reported that the size of the human mouth has long been shrinking. Because human beings have been using stone tools for at least 3.3 million years, that may represent the time during which the shrinkage has occurred. Stone tools permitted a greater shift to a carnivorous diet because the ability to cut meat into small pieces reduced the amount of chewing required to extract nourishment. Less chewing reduced the need for large, powerful jaws. The advent of agriculture accelerated this trend. As anthropologist Clark Larsen noted, “There has been a dramatic reduction in the size of the face and jaws wherever humans have made the transition from foraging to farming.” The superficial result, as we have seen, is malocclusion. At its root, the problem we face is that we have entered a space age world with Stone Age genes — genes that evolved to produce jaws adapted to a hunter-gatherer diet. Today’s jaws epidemic is concealed behind the commonplace. Its most obvious symptoms are oral and facial: crooked teeth (and the accompanying very common use of braces), receding jaws, a smile that shows a lot of gums, mouth breathing and interrupted breathing during sleep. A bother, but hardly an “epidemic” — at least until one recognizes the relationship between malocclusion and a veritable host of downstream health consequences. If the jaws fail to develop properly, the receding mandible can put stress on the airway. The problems associated with modern jaw-face-airway development are only now beginning to be uncovered, largely through the work of a series of dedicated FLORIDADENTAL.ORG

scientists and practitioners who have observed dramatic changes in facial structure that correlate with higher incidence of chronic diseases. Reducing the size of the airway can, for instance, eventually lead to breathing problems, such as sleep apnea, which itself has become a significant factor in public health. Some 20% of American adults are afflicted, and about 3% have a sufficiently serious case to cause daytime sleepiness. But sleepiness is the least of it: As many as half of all cardiac patients suffer from the disease. Sleep apnea also appears to generate mental problems, including lowered IQ, shortened attention span and difficulties with memory. That the diseases just noted are related to modern civilization is strongly indicated by the near absence of their symptoms in the evolutionary and historical records. Our hunter-gatherer ancestors had spacious jaws, with a continuous smoothly curved arch of teeth in each jaw, including third molars at the back ends of the arches. Today, the failure of these last molars to erupt — for our wisdom teeth to emerge healthfully from the gum — has become an all-too-common phenomenon that often leads to dental extraction and the attendant burdens of pain, swelling, bruising, infection and general discomfort. But with proper attention to diet, eating habits, breathing patterns, and overall oral posture (how we hold our jaws together at rest), many aspects of this epidemic, like molar impaction, could be ameliorated or avoided entirely. Jaws could return to their hunter-gatherer patterns of growth. The bottom line is that our health and happiness (and that of our children) may be at risk due to habits which most of us never give a second thought. But how we eat can be just as important as what we eat; how we breathe can be just as important as what’s in the air we breathe; how we sleep can be just as important as how long we sleep. These are all key aspects of the jaws epidemic and part-and-parcel of overall oral-facial health. It’s often said that the face is the window to the soul, but it is also a window on the health status of the person behind the face. Gummy smiles, crooked teeth and agape mouths are all visible signals that belie potentially much more serious underlying health problems. To address these problems our focus must be on the healthy development of our jaws. Reprinted with permission by Stanford University Press blog and can be found at bit.ly/3wWMgJH. This post has been adapted from “Jaws: The Story of a Hidden Epidemic” by Dr. Sandra Kahn and Paul R. Ehrlich.

TODAY’S FDA SEPTEMBER/OCTOBER 2021

Doctor's Choice

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

Read, Learn and Earn!

A 12-year-old female presented to periodontist Dr. Ana L. Roca evaluation of a lesion on the maxillary The Visitfor floridadental.org/online-ce forgingiva. this FREE, MEMBERS-ONLY BENEFIT. You will be given the patient was receiving orthodontic treatment and her health opportunity to review the “Diagnostic Discussion” and its accompanying photos. Answer five history was unremarkable. The lesion was painless and was multiple questions earnafter one hour of CE. first noted bychoice the patient around twoto months initiating the orthodontic treatment. Clinical examination revealed a red, exophytic, papillomatous and ulcerated lesion on the facial interdental papillae of teeth Nos. 6 and 7 (Fig. 1). An excisional biopsy was performed and submitted to the University of Florida Oral Pathology Laboratory Biopsy Service for a Contact FDC Marketing Coordinator Brooke Martin diagnosis.

at bmartin@floridadental.org or 800.877.9922.

Question: Based on the above history and clinical presentation what is the most likely diagnosis? A. Pyogenic granuloma B. Peripheral ossifying fibroma C. Gingival fibroma D. Localized juvenile spongiotic gingival hyperplasia

Fig. 1: Localized erythematous, velvety, ulcerated lesion on the facial interdental papillae of teeth Nos. 6-7.

SEE PAGE 72

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diagnostics FROM PAGE 71

Diagnostic Discussion A. Pyogenic granuloma

is composed of inflamed fibrous connective tissue and/or granulation tissue containing foci of calcified material such as cementum, osteoid and/or bone, in which this feature was not seen in the present case. The recurrence rate is estimated to be up to 20%. Therefore, it is advisable to treat these lesions with excision down to the periosteum since recurrence is more likely if the base of the lesion is allowed to remain.

C. Gingival fibroma

Incorrect. Pyogenic granuloma is however a great choice, as it is most common in children and young adults. There is a female preponderance. Pyogenic granuloma is considered to be an exuberant healing response to chronic irritation or trauma. Therefore, it is considered to be reactive in nature rather than a true neoplasm. The name pyogenic granuloma is a misnomer because these lesions are not related to pus formation (pyogenic) nor true granulomas (like tuberculosis with epithelioid giant cells). They are composed of well-vascularized fibrous connective tissue and eventually mature into a dense fibrous connective tissue mass. Two-thirds of pyogenic granulomas occur on the gingiva, mostly on the anterior maxilla. Clinically, they appear as red or pink exophytic growths that vary in size from a few millimeters to several centimeters. Also, 95% of pyogenic granulomas are ulcerated and covered by a whitish yellow fibrino-purulent exudate as seen in this patient. As pyogenic granulomas age, they tend to get more fibrous and less vacular and can appear as smooth, mucosal-colored nodules. Finally, the histology would be a match except for the finding of intercellular edema (spongiosis) with neutrophils exocytosis seen in this patient’s biopsy sample.

Incorrect. Gingival fibroma is a relatively common gingival growth that is considered reactive rather than neoplastic in nature. The pathogenesis of this lesion is uncertain. Gingival fibroma is very similar to peripheral ossifying fibroma, however, many pathologists consider this lesion to represent a “pre-peripheral ossifying fibroma” or a peripheral ossifying fibroma-like lesion. These lesions probably arise from the periosteum or periodontal ligament and therefore, exhibit a modest rate of recurrence in the range of 10% to 20%. They occur exclusively on the gingiva and are usually seen on the anterior facial aspects of both the maxillary and mandibular gingiva. It presents as a nodular mass, either pedunculated or sessile with the surface being frequently, but not always, ulcerated. It is predominantly seen in children and young adults with an almost equal gender predilection. Microscopically, a highly cellular fibrous proliferation with a myxomatous background rich in acid mucopolysaccharides is noted with a variable number of inflammatory cells. It is advisable to treat these lesions with excision down to the periosteum since recurrence is more likely if the base of the lesion is allowed to remain.

B. Peripheral ossifying fibroma

D. Localized juvenile spongiotic gingival hyperplasia

Incorrect, but peripheral ossifying fibroma is a great guess. Peripheral ossifying fibroma is a common hyperplastic growth occurring exclusively on the gingiva. Like the other bumps on the gum, it is considered to be reactive in nature rather than a true neoplasm. Frequently caused by chronic irritation (i.e., calculus, ill-fitting crown, orthodontic appliances) and/ or trauma. Half of all cases occur in the incisor-cuspid area of the maxillary arch. Children and young adults are commonly affected with the peak incidence range between 10-19 years. These lesions tend to occur much more frequently in females. Clinically, peripheral ossifying fibroma appears as red/pink sessile or pedunculated nodular mass that is firm or hard on palpation. Microscopically peripheral ossifying fibroma

TODAY’S FDA SEPTEMBER/OCTOBER 2021

Correct. Localized juvenile spongiotic gingival hyperplasia (LJSGH) was first introduced in 2007 as non-plaque-induced gingival overgrowth that affects children and young adults. LJSGH has distinct clinical and microscopic features. Although the exact etiology is unclear, it has been hypothesized that a disruption in the junctional or sulcular epithelium by local factors, such as mouth breathing or orthodontic bands, as seen in our case can cause LJSGH. Clinically, LJSGH appears on the attached gingiva as a localized, bright red velvety, with a slight papillary, granular or ulcerated surface. LJSGH exhibits an affinity for the facial aspect of the anterior maxillary gingiva. The majority of cases are isolated; however, multifocal

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involvement has been reported. LJSGH can affect both sexes, however, significant female predominance has been reported. Most of the cases are diagnosed in patients under the age of 20. The lesion is generally biopsied because of the lack of resolution with conservative oral hygiene therapeutic measures and aesthetic concerns. Microscopically, the epithelium is similar to the junctional or sulcular region. The epithelium is hyperplastic with a papillary surface. Intercellular edema (spongiosis) with neutrophils exocytosis are diagnostic features of LJSGH. Conservative excision is the treatment of choice, however, a recurrence rate of 6% to 16.7% has been documented.

References: Bawazir M, Islam MN, Cohen DM, Fitzpatrick S, Bhattacharyya I. Gingival Fibroma: An Emerging Distinct Gingival Lesion with Well-Defined Histopathology. Head Neck Pathol. 2021;15(3):917-922. doi:10.1007/s12105021-01315-7 Neville, BW, Damm DD, Allen CM, and Chi AC. (2016) Oral and Maxillofacial Pathology. 4th edition, WB Sanders, Elsevier Ribeiro JL, Moraes RM, Carvalho BFC, Nascimento AO, Milhan NVM, Anbinder AL. Oral pyogenic granuloma: An 18-year retrospective clinicopathological and immunohistochemical study. J Cutan Pathol. 2021;48(7):863-869. doi:10.1111/cup.13970 Theofilou VI, Pettas E, Georgaki M, Daskalopoulos A, Nikitakis NG. Localized juvenile spongiotic gingival hyperplasia: Microscopic variations and proposed change to nomenclature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;131(3):329-338. doi:10.1016/j.oooo.2020.10.024

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 Drs. Cohen, Bhattacharyya and Islam, can

be reached at oralpath@dental.ufl.edu. Conflict of Interest Disclosure: None reported for Drs. Cohen, Bhattacharyya, and Islam. The Florida Dental Association is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals DR. ISLAM 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. * Fellow in Oral and Maxillofacial Pathology University of Florida College of Dentistry

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career center The FDA’s online Career Center allows you to conveniently browse, place, modify and pay for your ads online, 24 hours a day. Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads! Post an ad on the FDA Career Center and it will be published in our journal, Today’s FDA, at no additional cost! Today’s FDA is bimonthly; therefore the basic text of all active ads will be extracted from the Career Center on roughly the 10th of every other month (e.g., Jan. 10 for the Jan/Feb issue, March 10 for the March/April issue, etc). Please note: Ads for the Nov/Dec issue must be received no later than Nov. 1. Please visit the FDA’s Career Center at careers.floridadental.org.

Associate Dentist — Ormond Beach. Unbelievable opportunity! Growing Florida Beach Community. We need another Doctor. Our current Dentist earn $250,000 to $350,000 on a 4 1/2 day week. We are a successful private practice and can get you busy on day one! We offer a daily guarantee and a percentage of production plus benefits. Great staff, great location, and great income. Don’t miss out! If this sounds like something you would be interested in please email your C.V. to Cassie Simon or call 386-672-0955. Florida License required. Visit careers.floridadental.org/jobs/15406847/associate-dentist. ASSOCIATE DENTIST OR PARTNER WANTED (New Tampa, Florida). Private Practice PPO/FFS office seeking a full-time associate general dentist looking for a long-term position. This is an opportunity for a new dentist to gain experience with mentoring or an excellent opportunity for a seasoned dentist to join the team. Partnership buy in option available and encouraged. 30% commission plus additional benefits. Looking for someone friendly and has great communication skills, great clinical skills, is a team player, and will be involved in the local community. This is a modern dental practice, single location, well-established, sole owner, thriving private practice. Please email inquiries to newtampadentalresume@gmail.com. This is an opportunity for a new dentist to gain experience with mentoring or an excellent opportunity for a seasoned dentist to join the team. Visit careers.floridadental.org/jobs/15276356/associate-dentist-or-partner-wantednew-tampa-florida. General Dentist — Clermont. Overview: Let us allow you to do what you do best by doing the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 - $390,000. Testimonial from Dr. Callaway-Nelson: “Partnering with PDS has given me the opportunity to realize my dream of practice ownership. I am able to do the dentistry that I love.” Pacific Dental Services is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members. Apply here: bit.ly/3jZwoTN. Clinical Supervisor, Health Sciences – Dental Hygiene. Miami Dade College, Medical Campus is looking for a highly motivated individual for the Clinical Supervisor, Health Sciences – Dental Hygiene position. This position is responsible for the management of clinical operations of the On-Campus Clinic. Duties and Responsibilities: Participates in the development and implementation of college policies, procedures, and guidelines. Provides clinically related training for employees and supervises OSHA compliance. Identifies resources necessary for the successful operation of a Clinic. Examines and reviews records of all new and returning patients, and gives referrals when required. Manages clinical emergencies that may arise as result of treatment of patients in the clinic. Assists clinical instructors in the instruction and evaluation of students in all clinical courses. Consults with students and instructors regarding patients’ medical histories, examinations, and treatment. Reviews health histories of all students working in the clinic. Participates in the development and implementation of clinical curricula to meet accreditation standards. Reviews current literature for information on risk management. Supervises

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management of the clinic’s inventory and maintenance of the clinic equipment. Assists in the supervision of clinic staff and participates in faculty meetings. Assists in the Self-study for re-accreditation of the program and supervises students in the Dental Hygiene Clinic. Doctorate degree in General Dentistry and a current license to practice in the State of Florida, with a minimum of three (3) years prior clinical experience. Visit careers.floridadental.org/jobs/15340715/clinical-supervisor-health-sciences-dental-hygiene. Registered Dental Hygienist — The Villages. Overview: Responsibilities: Actively participate in the Perfect Patient Experience™ by striving to keep your patients focused on optimal treatment while attending to their individual concerns and promoting the good qualities of your doctor. Remove deposits and strains from teeth by scaling and root planning. Select and use appropriate fluoride treatments and polish tooth restorations. Assist in the prevention and control of dental caries (decay) and gum disease. Obtain and review dental history and/or records from patient (review patient health history and care slips). Ensure that the health history is updated for all returning patients. Educate patients regarding the importance of oral hygiene, as well as instruction and demonstration of effective oral hygiene methods. Maintain strict compliance with State, Federal, and other regulations, (e.g., OSHA, WC, Dental Board, HIPAA, ADA, FEHA, DOL, HR policies and practices). Qualifications: Degree or certification for Hygiene from an accredited college or technical school; or equivalent combination of education and experience sufficient to meet state licensure requirements. Commitment to continuing education for hygiene and dentistry. Valid and current Registered Dental Hygienist license in accordance with applicable state licensure requirements. Advanced degree (e.g., Masters) for Hygiene from an accredited college or technical school; or equivalent combination of education and experience preferred. Benefits: Medical, dental and vision insurance; Paid time off; Tuition Reimbursement; Child care assistance; 401K. Pacific Dental Services is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members. Apply here: bit.ly/3A2tJhJ. Faculty Position, Assistant Professor — Midwestern University College of Dental Medicine-Illinois. Midwestern University, Downers Grove, seeks a full-time faculty member responsible for teaching in one-to-one, small group and plenary settings; demonstration and facilitation related to clinical situations; and the use of electronic media as needed. Candidates must possess a DDS/DMD degree and be eligible for licensure in Illinois. The successful candidate will possess an enthusiasm for dentistry; excellent clinical, communication and interpersonal skills; and the ability to embrace new technology. Previous teaching experience not required, but candidate must have a history of clinical experience. Also hiring for the following specialties: Oral and Maxillofacial Surgeon, Discipline-Focused, Pediatric Dentist, Orthodontist. Midwestern University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race; color; religion; creed; national origin or ancestry; ethnicity; sex (including pregnancy); gender (including gender expressions, gender identity; and sexual orientation); marital status; age; disability; citizenship; past, current, or prospective service in the uniformed services; genetic information; or any other protected class, in accord with all federal, state and local laws, including 41 C.F.R. 60-1.4(a), 250.5(a), 300.5(a) and 741.5(a). Midwestern University complies with the Smoke-Free Arizona Act (A.R.S. 36-601.01) and the Smoke Free Illinois Act (410 ILCS 82/). Midwestern University complies with the Illinois Equal Pay Act of 2003 and Arizona Equal Pay Acts. Visit careers. floridadental.org/jobs/15182331/faculty-position-assistant-professor.

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Concierge-type General Practice including Real Estate For Sale — Belleview. 10 year Fee For Service General Dental Practice is centrally located among several 55+ communities including The Villages. 950 Sq. Ft. free-standing building built in 2008 has two modern operatories, and a third is plumbed. 1 acre lot has plenty of room for an addition or even a second building. 500 homes, an AdventHealth ER, and a new Publix are being built in the immediate vicinity. Chartless office is equipped with new Patterson Fuse cloud-based software and digital sensors. This would be a great open slate for a midcareer practitioner looking for quality of life or for a young dentist wanting low overhead to develop into the dream practice. Please message for pics. $500k includes practice and real estate. Visit careers.floridadental.org/jobs/13686503/concierge-type-generalpractice-including-real-estate-for-sale. Associate Dentist — Jacksonville. Argyle Dental Associates prides itself on providing high-quality den-tistry and outstanding patient care. We’re proud to have an exceptional team of general dentists. Our warm, friendly staff creates a pleasant, relaxing atmosphere that our patients truly appreciate. And everyone in our office strives to make every patient feel comfortable, as well as completely confident that their dental care needs will be met with the highest standard of treatment. Outstanding Full-Time Associate Opportunity for an experienced General Dentist to join one of our highly successful affiliated practices in Jacksonville, FL. Strong commitment to long-term dental care for the whole family! We have been working diligently to ensure all our patients and staff feel safe and protected while in our office. We now have Plexi-glass Barriers in the reception area and in selected clinical areas. We have all the proper PPE for the staff and are CDC COVID-19 compliant. Be chair side and make money from day one. Highly trained and dedicated staff to support you. No Day-to-Day headaches of Managing a Prac-tice. Excellent compensation pkg. with performance based incentives. Well-established and growing patient base. Full Time Dentist Benefits Package: Company paid professional liability insurance; DCA sponsored continuing education; Medical Insurance; Dental Plan; Life Insurance; Vision Insurance; Long Term Disability; Section 125 - Flexible Spending Account; 401K; EAP Program; DCA Voluntary Sup-plemental Insurance Products. At DCA we don’t just accept differences — we celebrate them and rec-ognize the value this brings to our patients and employees. DCA is proud to be an equal opportunity workplace. Equal opportunity and consideration are afforded to all qualified applicants and employees. We won't unlawfully discriminate on the basis of gender identity or expression, race, ethnicity, reli-gion, national origin, age, sex, marital status, physical or mental disability, Veteran status, sexual orien-tation, and any other category protected by law. The DCA team is best characterized by the relation-ships we have with our patients and each other. We embrace collaboration which is necessary to inno-vate in today’s changing world of dentistry. Our culture encourages participation, diversity of thought, innovation, and strong execution. Go further with an Ally. Visit ca-reers.floridadental.org/jobs/15412778/associate-dentist.

now. Great location in a small professional building. Full time, at least 2 years’ experience. Visit careers.floridadental.org/jobs/15432991/associate. OPS Dentist — Crawfordville. This dentist position, located in beautiful Crawfordville, Florida, provides dental treatment to children and some adults primarily in the dental clinic and supports the school based program. Services provided are diagnostic, preventive, basic restorative and extractions. The schedule is 3 days per week 8am-5pm, lunch 12-1pm. Job Requirements: Active and clear Florida dental license or eligible for limited Florida license to work in a health access setting. Visit careers.floridadental.org/ jobs/15448240/ops-dentist. Endodontist — Coral Springs. Overview: $10,000 sign on/relocation bonus.* You've invested the time to become a great endodontist, now let us help you take your career further with more opportunity, excellent leadership and one of the best practice models in modern dentistry. As an endodontist working in an office supported by Pacific Dental Services®, you can rely on a great number of referrals as you will be providing PDS®supported owner dentists the ability to provide excellent and comprehensive care under one roof. You will have the autonomy to provide your patients the care they deserve and provide you with the opportunity to earn excellent income and have a balanced lifestyle without the worries of running a practice. The Opportunity: You became a dentist to provide excellent patient care and an endodontist to have a career that will serve you for a lifetime. As a PDS-supported endodontist, you have the opportunity to work full-time or part-time, fantastic income opportunities and you'll work with an organization that cares about their people, their patients and their community. You won't have to spend your time navigating practice administration, scheduling, or any other administrative tasks. Instead you'll, set your hours and focus on your patients and your well-being. The Future: As an endodontist you will receive ongoing training to keep you informed and utilizing the latest technologies and dentistry practices. PDS is one of the fastest growing companies in the US which means we will need excellent specialists like you to continue our clinical excellence in the future. Pacific Dental Services is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members. *Terms and conditions apply. Offer subject to change. Apply here: bit.ly/3CeYBfr.

Paragon Dental Practice Transitions

Associate Dentist — Ocala. Advanced Dental Care of Ocala prides itself on providing high-quality den-tistry and outstanding patient care. With a knowledgeable team of dentists and staff, we’re patient-oriented with the skill and the experience to go along with it. Our warm, friendly staff creates a pleas-ant, relaxing atmosphere that our patients truly appreciate. And everyone in our office strives to make every patient feel comfortable, as well as completely confident that their dental care needs will be met with the highest standard of treatment. Outstanding Full-Time Associate Opportunity for an expe-rienced General Dentist to join one of our highly successful affiliated practice in Ocala. Strong commit-ment to long-term dental care for the whole family! ADC of Ocala is a highly successful affiliated prac-tice of Dental Care Alliance (DCA), supported by Dr. Dennis Corona, our Florida Dental Director. We have been working diligently to ensure all our patients and staff feel safe and protected while in our office. We now have Plexiglass Barriers in the reception area and in selected clinical areas. We have all the proper PPE for the staff and are CDC COVID-19 compliant. Outstanding Full-Time Associate Op-portunity for an experienced General Dentist to work in our affiliated Ocala practice. Strong commit-ment to long-term dental care for the whole family. Be chair side and make money from day one. Highly trained and dedicated staff to support you. No Day-toDay headaches of Managing a Practice. Excellent compensation pkg. with performance based incentives. Well-established and growing pa-tient base. Full Time Dentist Benefits Package: Company paid professional liability insurance; DCA sponsored continuing education; Medical Insurance; Dental Plan; Life Insurance; Vision Insurance; Long Term Disability; Section 125 - Flexible Spending Account; 401K; EAP Program; DCA Voluntary Sup-plemental Insurance Products. Job Requirements: Licensed to practice dentistry in the State of Florida. Visit careers.floridadental.org/jobs/15412804/associate-dentist. Associate — Orange Park. Associate dentist needed to join well established (39 years) family practice in Orange Park. Associate position with equity opportunity after one year. Full time 4 days/week. Tired of corporate dentistry? Come join a practice with an opportunity to treat patients as you would like to be treated with a friendly, dedicated staff. Six treatment rooms with completely booked hygiene schedule. Room to expand services as we do very little endo or third molar extractions and no Invisalign. Shopping for a scanner

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FDC2021 Course Recordings PEOPLE.

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Couldn’t make it in person to the 2021 Florida Dental Convention? Want your team to listen to courses they couldn’t attend? FDC2021 offers course recordings for you to purchase! Listen to the FDC2021 courses at the convenience of your home or office with these MP4 audio recordings! Course recordings are $20 each, or purchase all 75+ recorded sessions for $299. Purchase your course recordings today at education.floridadentalconvention.com.

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off the cusp

On Sept. 10, 2001, it was the end of day number 5,328 in dental practice. I had just completed the perfect molar preparation, pushed away from the chair, holstered my handpiece and I was sad. I was three years into my mid-life moment. Not a crisis, just a moment. Nothing that I had to act upon. I didn’t run out and buy a DeLorean. It was the garden variety course of mid-life reflections. My life was half over, and I had not cured cancer or won a Nobel prize. My mini moment was sad because I didn’t have the right to feel depressed. My marriage and practice were both healthy. I had been doing all the right things in life, yet I did not feel heroic. I was just feeling the transience of life and happiness. All that would change the very next day.

On Sept. 11, 2001, the shrinking world got smaller. While millions watched, the actions of a few killed thousands of people and altered world markets. Most died because they worked in great symbols of American life. They were a target because they were Americans. Many have called them heroes. I offer that they were heroes before Sept. 11. They all were living and working the American life. Each was a nurturer and a provider to a family. As we recently observed the 20-year anniversary, we realize that the world that matters is smaller than we thought. It is the small world that you can touch. It is interacting with the people you see every day. Twenty years ago, those worlds were taken from nearly 3,000 Americans. Be a hero in your own world.

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