2021 - Nov/Dec TFDA

Helping Members Succeed

2019 Dentists’ Day on the Hill - March 11-12, 2019 - Page 2

VOL. 33, NO. 6 • NOV/DEC • MEMBERSHIP ISSUE

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

Meet FD Dr. D A Preside ave B n oden t

TEAM An Extension of Your Team

r ofws" e w o P The Intervie y "Sta

2021 F Mission lorida of Mer cy

Quiz c i t s o n g a Di

Dr. Ce sa ADA Pr R. Saba A Flor resident tes, ida F : irst

Of the many benefits the FDA affords its members, one is offering high quality insurance coverages that we need for our practices. Mr. Dennis Head is highly competent and a pleasure to work with. He’ll no doubt be able to help with your insurance needs.

– Dr. Chris Williams, Winter Park

Dentists have great things to say about

CAME FOR THE INSURANCE ...

STAYED TO SUPPORT MY PROFESSION. FDA Services offers exceptional service, quality insurance products and competitive prices … all while also supporting organized dentistry. Your FDA Services agent understands what dentists need to protect themselves and their practices. Learn more by contacting Dennis Head today.

CONTACT dennis head - Central Florida 407.359.9700 | dennis.head@fdaservices.com fdaservices.com/insurance-programs | Follow us on

HELPING MEMBERS SUCCEED VOL. 33, NO. 6 • November/December 2021

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

TEAM An Extension of Your Team

in every issue 3 Staff Roster 5 President's Message 10 Did You Know?

13 Legislative Corner 22 Preventive Action 24 news@fda 88 Diagnostic Discussion 92 Career Center 93 Advertising Index 95 Off the Cusp

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How Important is Human Resources?

15

2022 Legislative Issues

18

FDA Task Group Comes to Agreement About Good Goverance

32

Team FDA — An Extension of Your Team

35

56

Stay Connected with the FDA

FDA Districts

37

64

Florida Dental Association by the Numbers!

38

2021 FDA President Dr. Dave Boden

44

Dr. Cesar R. Sabates, ADA President: A Florida First

48

The Power of “Stay Interviews“

68

FDC2021 Speaker Preview: The Peel Technique

70

FDC2021 Speaker Preview: Are You Meeting Just to Meet?

72

Exhibit Hall

Engaging Floridians to See Their FDA Member Dentist

76

50

2021 FLA-MOM Recap

52

The Costly, Psychological Effect of Cybercrime

Just Reboot Your Computer

84

How to Build an Effective Practice Marketing Strategy

TODAY'S FDA ONLINE: floridadental.org

American Sensor Tech

FLORIDA DENTAL ASSOCIATION NOVEMBER/DECEMBER 2021 VOL. 33, NO. 6

EDITOR Dr. Hugh Wunderlich, Palm Harbor, editor

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 All Florida Dentists are encouraged to take this free course, through CE Broker or the FMA.

Florida PDMP Foundation, Inc.

Improving Best Practices for Patient Care: Optimizing Use of the PDMP Database COURSE OBJECTIVES • Discuss the E-FORCSE® database and the role of the Florida PDMP Foundation • Review laws and rules surrounding the prescribing and dispensing of controlled substances

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.

• Understand disciplinary actions related to PDMP requirements • Understand the value of PDMP database information • Discuss prescribing information technology • Review of the best practices for PDMP utilization

ONE HOUR CE

Information Technology Solu-

The course can be accessed via CE Broker at https://tinyurl.com/adcvzfmw OR via the FMA at https://tinyurl.com/28m6jcra

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.

The Florida PDMP Foundation produced this course with funding through the Cooperative 2012-2013 Prescription Drug Monitoring Program Agreement Number 6NU17CE925020 from the Centers for Disease Control and Prevention. Its Annual Report contents are solely the responsibility of the authors (FL) and do not necessarily represent the official views of the Centers for Disease Control and Prevention.

Rick Scott Governor

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

John H. Armstrong, MD, FACS RICK SCOTT State Surgeon General & Secretary Governor Rebecca Poston, BPharm, MHL J O H N H . AManager RMSTRONG, MD, FACS Program

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December 1, 2013

Surgeon General & Secretary Florida Department of Health

E-FORCSE® 4052 Bald Cypress Way, Bin C-16 REBECCA POSTON, BPharm, MHL Tallahassee, FL 32399 Program Manager (850) 245-4444 x 3700

TODAY’S FDA NOVEMBER/DECEMBER 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

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

FLORIDADENTAL.ORG

ALEXANDRA ABBOUD Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 JAMIE GRAVES Legislative Assistant jgraves@floridadental.org 850.350.7203

INFORMATION SYSTEMS LARRY DARNELL Director of Information Systems ldarnell@floridadental.org 850.350.7102 CHARLES VILARDEBO, Systems Administrator cvilardebo@floridadental.org 850.350.7153

MEMBER RELATIONS KERRY GÓMEZ-RÍOS Director of Member Relations krios@floridadental.org 850.350.7121 MEGAN BAKAN Member Access Coordinator mbakan@floridadental.org 850.350.7100 JOSHUA BRASWELL Membership Coordinator jbraswell@floridadental.org 850.350.7110 CHRISTINE TROTTO Membership Concierge ctrotto@floridadental.org 850.350.7136

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

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

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 NOVEMBER/DECEMBER 2021

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FDAS: Mercedes-Benz

THE PERFECT GIFT! FDA members save up to $1,250 on a new Mercedes-Benz

1

This is the season to get out and go – and take advantage of special offers on the 2021 Mercedes-Benz GLE SUV and E-Class Sedan.

Roomy yet elegant, the 2021 GLE SUV comes with features like DYNAMIC SELECT® driving modes, 64-color LED ambient lighting and the technologically advanced Mercedes-Benz User Experience (MBUX), a user-friendly infotainment system.

As MotorTrend’s 2021 Car of the Year®, the redesigned E-Class Sedan offers advancements to help make every drive safer, smoother, and more satisfying.

Better still, with up to $1,2501 in FDA membership incentives toward a purchase or lease on one of these vehicles, this is your opportunity to make this season even more special.

ada.org/mercedes | 866.628.7232 Fleet incentives available only for qualified customers on certain MY20 and MY21 Mercedes-Benz models. Incentive must be used at time of purchase/lease. Eligible person must be the buyer/co-buyer or lessee/co-lessee. Star AccessSM incentives cannot be used in conjunction with Diplomat, European Delivery, Special Demos, Certificate Programs, Mercedes-Benz Incentive Bonus Cash and other Fleet programs, or nonU.S. specification vehicles. Incentive amounts are subject to change on a monthly basis and should be confirmed with your dealer at the time of transaction. Amount of actual savings may vary depending on model selected. Offer expires December 31, 2021.

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in the sulcus

GIVE AND TAKE Too often, when I discuss the importance of membership in the Florida Dental Association (FDA), dentists ask me, “So, what’s in it for me?” That always takes me aback. It seems to assume being a member of your professional association is a business decision rather than a professional one.

Yes, being a member has certain and very persuasive business advantages. Membership truly pays for itself. Reduced malpractice and office insurance rates, free continuing education and attendance to the FDA’s spectacular annual convention — even dental supplies — all cover the cost of membership. Frequent and accurate research regarding the pandemic saved members time, money and alleviated aggravation amid massive misinformation.

Then there is the huge advantage of access to the FDA Peer Review process. Peer Review can save you years of time, legal costs and reputation beyond calculation. These reasons alone make membership a valuable business choice.

The hardworking Council on Membership and FDA staff are constantly asking how we can provide even more value to being a member, and it is a frequent topic at the Board of Trustees meetings. In fact, our FDA Services division is completely dedicated to finding ways to reduce costs for your practice, whether you are the practice owner or an associate.

However, this assumes the definition of value of membership is a gain of monetary means.

FLORIDADENTAL.ORG

Consider for a moment that for a professional doctor, the real meaning of value is what we gain by giving back to our patients, profession and communities.

Do you remember the inner thrill you felt the first time someone addressed you as doctor?

Being a doctor awards you instant and expected respect, not to mention a nice income.

That is the “take” our society gives you as a member of our profession.

But being a doctor caries certain obligations. You must contribute to the health of your patients and assume leadership in your community and your profession. That “give” is your obligation as a doctor. To not give diminishes your entitlement to the take.

Historically, true professionals, including engineers, teachers and physicians, have been obligated to belong to professional societies.

This ensured they would continue to learn together, advance the future of their profession and improve the society they serve. This holds true for dentistry and is why membership in a professional society such as the FDA is so important.

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

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

The great news is that your “give” is so easy to do. You are fortunate to be part of one of the most organized professional societies I have observed: the FDA. You have the opportunity through the FDA Foundation to give a little of your time and services through our annual Florida Mission of Mercy (FLA-MOM) events,

SEE PAGE 7 TODAY’S FDA NOVEMBER/DECEMBER 2021

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in the sulcus

FROM PAGE 5

Donated Dental Services and Project: Dentists Care. Through our Governmental Affairs Office, you can help keep outside influencers from interfering with doctors’ care of patients by your involvement with Dentists’ Day on the Hill (DDOH), or even more directly as a legislative contact dentist. And finally, you can help keep our profession on the right track by volunteering time within the FDA. We are constantly looking for innovative ideas and new leaders, young and old.

What other ways can we give? You can teach, whether to your patients, staff, local community, local colleagues or at a university. You can give by example by being an ethical role model for those around you, often observed without you even noticing. Use your leadership talents and your earned respect to lead in your faith, school board or community efforts, such as fluoridation. Finally, if your time is tight, you also can give indirectly by writing a check to the FDA Foundation and the FDA Political Action Committee.

So, “What’s in it for me?” Everything, doctors. Giving back may seem like an obligation, which it surely is, but those who have done so will freely answer when asked that they take so much more than they give. That is true value.

I can’t wait to see all of you in Tallahassee for DDOH on Feb. 1, 2022, and FLA-MOM on March 11-12. 2022. Go to floridadental.org and get started.

Your Colleague,

“

Consider for a moment that for a professional doctor, the real meaning of value is what we gain by giving back to our patients, profession and communities.

”

David F. Boden, DDS, M.S.

FLORIDADENTAL.ORG

TODAY’S FDA NOVEMBER/DECEMBER 2021

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HOW IMPORTANT IS HUMAN RESOURCES? SETTING THE TONE FOR YOUR PRACTICE Unlike any other period in history, the advent of COVID-19 has spotlighted the unrecognized power employees have in the workplace. Prior to the pandemic, the balance was tilted in favor of employers with, for the most part, a seemingly endless supply of applicants to choose from for any position sought to be filled. This balance seems to have shifted in a postCOVID-19 society. Good, capable and reliable employees have become a rare commodity, and may be a practice’s number

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TODAY’S FDA NOVEMBER/DECEMBER 2021

one asset. Properly appreciating and managing those assets will help your practice prosper and grow.

That’s where human resources comes in. In today’s environment, and potentially going forward, effectively managing the practice’s human resources is not only critical in managing exposure to potential employment claims, but also in ensuring the practice’s continued viability. Employees touch all aspects of a practice and can both aid and hinder its success; failure to FLORIDADENTAL.ORG

human relations take management of this valuable resource can lead to unexpected and unpleasant consequences.

Many practices with established HR departments are designed in such a way that HR is isolated from other departments and employees. This can result in many employees feeling that HR does not have anything to do with them and is not there to assist them if they have an issue or concern. Such thoughts can, and do, often lead to morale issues.

Ensuring that members of the practice’s HR department — whether a group of employees, a single employee, or the owner him/ herself — are clearly known by all employees will go a long way toward combating negative morale issues. The people holding these positions should understand that his/her duties are not limited to just assisting the practice to comply with applicable laws; they also include regularly interfacing with employees.

Another tool to combat potential morale issues is to have clearly stated employment policies setting out the practice’s expecta-

tions. The individuals managing HR should be familiar with these policies and be able and available to answer questions employees have related to them. The policies should be contained in a handbook and should be readily available to the employees for review.

Other useful tools are to promote an opendoor policy when employees have concerns and to ensure that the policies are consistently followed and applied. Employees may not always agree with a decision that is made, but if they believe it to have been made in a thoughtful and fair manner, they are more likely to accept it.

DEBORAH S. MINNIS

In general, employees spend at least one-half of their waking hours at work. Although wages are important to employees, for a majority, the way in which they are treated is equally as important. Having the reputation as a workplace where policies are clearly known and are applied consistently, and where employees feel they are heard, can not only engender loyalty, but put your practice ahead in the recruitment game.

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.

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.

“

Employees may not always agree with a decision that is made, but if they believe it to have been made in a thoughtful and fair manner, they are more likely to accept it.

”

FLORIDADENTAL.ORG

TODAY’S FDA NOVEMBER/DECEMBER 2021

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BOD

DID YOU KNOW? 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.

CASEY STOUTAMIRE DISCUSS FDA DIRECTOR OF Advantages and disadvantages of non-opioid alternatives.

THIRD PARTY PAYER & PROFESSIONAL AFFAIRS Patient’s risk or history of controlled substance abuse or misuse, and patient’s personal preferences.

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.

THIRD-PARTY PAYMENT METHODS

DOCUMENT IN PATIENT’S RECORD Non-opioid alternatives considered.

PROVIDE

SUMMARY:

“Alternatives to Opioids,” an educational information pamphlet created by the Florida Department of Health printed or in electronic format If you have any questions, please Did you know that you do not have to accept an electronic payment or virtual credit card (required, available at bit.ly/2KXvZ2h). Also, a checklist and poster. contact FDA Liaison to the Florida

instead of a physical check or electronic fund transfer (EFT) from an insurance plan? In recent Board of Dentistry Dr. Joe Calderon NON-OPIOID years, third-party payers (insurance plans) have started paying health care providers using at drcalderone@gmail.com or ALTERNATIVES 407.509.1493 or Director of Third virtual credit cards. While they may seem convenient, when you “cash” these virtual credit Party Payer and Professional cards, you are most likely charged a convenience fee (usually 3%), which makes LAW:your reimAffairs Casey Stoutamire, Esq. r u o A Y bursement from the plan that much less. Although health care providers currently have the at cstoutamire@floridadental.org FD iveability s or 850.350.7202. u R to request physical checks or EFT payments, many are unaware that this option exists. If l c E

ex

GO TO MB T! FOR THE LATEST ON OPIOIDS, GO TO: ME you FIdo not wish to be paid via virtual credit card, contact the plan and tell them to pay you via E FLORIDADENTAL.ORG/NYK bit.ly/2KXvZ2h BENEFT or physical check.

If you receive push back from a plan, please contact the Florida Dental Association (FDA) Director of Third Party Payer and Professional Affairs Casey Stoutamire at cstoutamire@floridadental.org or 850.350.7202.

In 2018, the FDA House of Delegates passed a resolution stating: The FDA supports legislation to ensure third-party payers cannot require a provider to accept an electronic payment or virtual credit card instead of a physical check; require the third-party payer to inform providers they have the ability to choose whether to receive an electronic payment or physical check; and ensure the default payment method from a third-party payer to a provider is a physical check. The Governmental Affairs Committee will determine if and when this legislation would be most appropriate to pursue.

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TODAY’S FDA NOVEMBER/DECEMBER 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:

FLORIDADENTAL.ORG/NYK

GO TO bit.ly/2KXvZ2h

11

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 E-VAC INC.

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TODAY’S FDA NOVEMBER/DECEMBER 2021

FLORIDADENTAL.ORG

legislative corner

THE FDA ADDRESSES WORKFORCE CHALLENGES Workforce issues have become a common topic of discussion. The COVID-19 pandemic brought to light a dilemma that is impacting every industry from health care to hospitality. Initially, it appeared that some workforce issues would be temporary, and things would go back to “normal” once vaccines were widely available and immunity was built up for the virus. Unfortunately, this is not the case. Many industries are still trying to figure out how to address the current workforce shortages and grapple with the demands presented to get people back to work.

As businesses contemplate the right formula of incentives and benefits to offer potential employees, it’s evident that the way things were done in the past will not be enough going forward in the future. The pandemic has invited people to look at employment in a different light and pushed some employers to implement lucrative propositions to address their staffing issues. This has created a new phenomenon that is challenging the status quo and has forced businesses to be open-minded about alternative work options to accommodate employees’ desire for more flexibility. These new demands and expectations have stressed the labor market into a workforce epidemic.

The Florida Dental Association (FDA) is aware that workforce challenges may be impacting dental offices across the state.

During the June annual meeting, the House of Delegates (HOD) adopted a resolution to examine the opportunities that may be FLORIDADENTAL.ORG

fostered by supporting educational programs that help recruit talented candidates to pursue a career in dentistry. It is evident that the current educational system for dental auxiliaries is not sufficient enough to meet the demand. The FDA’s Workforce Innovation Task Group has been meeting with dental stakeholders to evaluate the current state of the dental workforce and educational opportunities. The task group will provide a report of its findings to the January 2022 FDA HOD. If you are interested in sharing feedback about dental workforce challenges you may be experiencing, please send your comments to jahart@floridadental.org.

Resolution adopted by the June 2021 FDA HOD:

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.

DENTAL AUXILIARY WORKFORCE The House ADOPTED WITH AMENDMENT resolution 2020H-035: [Policy] RESOLVED, that the FDA supports innovation in educational programs and active recruitment of talented candidates for careers as dental hygienists, dental assistants, and dental laboratory technicians, and be it further, RESOLVED, that the FDA President refer to the Workforce Innovation Task Group the duty of examining dental auxiliary workforce within Florida and making recommendations as appropriate to the FDA BOT and report back to the January 2022 FDA House of Delegates.

TODAY’S FDA NOVEMBER/DECEMBER 2021

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2022 LEGISLATIVE ISSUES* FDA SUPPORTS SUPPORT FUNDING FOR THE DENTAL STUDENT LOAN REPAYMENT PROGRAM (ch. 381.4019) & DONATED DENTAL SERVICES (ch 381.40195) In 2019, the Florida Dental Association (FDA) was successful in passing into law legislation to reinstate the Dental Student Loan Repayment Program and codify in statute the Donated Dental Services (DDS) program. Unfortunately, the Legislature did not appropriate any funding necessary to implement these programs. Based on an estimate provided by the Florida Department of Health (DOH) in 2019, the state would need to allocate approximately $773,000 to fund these programs.

Dental Student Loan Repayment Program This program encourages dentists to work as full-time Medicaid providers in rural and underserved areas around the state. In exchange for this commitment, dentists will be eligible to receive financial assistance in the amount of $50,000 for the repayment of their dental student loans.

This program was very successful in the early 1990s, but due to budget shortfalls, the funding was cut and because the statute was inactive for many years, the statute was eventually removed in 2012.

Since Florida has a robust workforce with more than 14,000 licensed dentists and three dental schools graduating more than 300 new dentists each year, there is a great opportunity for the Legislature to invest in a program that will help increase access to comprehensive dental care by investing in Florida’s current workforce.

Donated Dental Services Program The DDS program provides a platform for dentists and dental labs to donate free, comprehensive dental treatment to people who are disabled, elderly or medically compromised, and are unable to afford dental care.

To continue providing services to individuals who would qualify for this program, the FDA supports state funding for two full-time coordinators and operational expenses.

The DDS program is administered through Dental Lifeline Network, which works with all 50 states to help facilitate dental care to those in need.

Florida’s DDS program is currently active with more than 500 volunteer dentists and more than 200 dental labs; however, there is only one parttime employee managing the requests for care. The FDA Foundation is providing resources necessary to help keep the program functioning.

The DDS programs that are the most successful are the ones that have dedicated funding from the state.

SUPPORT FUNDING FOR COMMUNITY WATER FLUORIDATION The FDA supports $200,000 in state funding for community water fluoridation efforts administered through the DOH. Community water fluoridation has proven for more than 75 years to significantly reduce the amount of tooth decay among individuals of all ages, especially those without access to routine dental care. Fluoride is naturally present in all water sources. Community water fluoridation is simply the adjustment of fluoride to the level recommended

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for optimal health. Communities that invest in water fluoridation save an average of $32.19 per capita in dental treatment costs. In fact, the average lifetime costs per person to fluoridate a water system is less than the cost of one dental filling. For more information about community water fluoridation, visit floridafluoridation.org.

SUPPORT REDUCING INSURERS’ RECOVERY OF OVERPAYMENT TO PROVIDERS (CLAWBACK) SB 440 by Sen. Gayle Harrell (R-Stuart) The FDA supports shortening the clawback period to 12 months in which the insurer can recover an overpayment to a health care provider.

Currently in Florida, an insurer can recover an overpayment made to a health care provider, in good faith, 30 months from the date of overpayment. This practice is known as a clawback. Since clawbacks can occur several years after a service was provided and can occur with little to no warning to providers, it makes it difficult for providers to maintain financial stability for their businesses if overpayments have to be paid back retroactively to insurance plans.

Fourteen other states have legislation dictating how many months an insurer can look back/clawback to recover an overpayment from a provider. The times vary from six months to 24 months. In contrast, a provider has, on average, 90 days to submit a claim to an insurance plan if he/she wants to be reimbursed.

While contractually a plan has the authority to recover an overpayment made to a provider (which is the manner in which managed-care plans operate), the FDA believes that the 30-month period in Florida is an outlier and is not in line with look-back/clawback provisions in other states. Shortening the clawback period to 12 months will not prevent dental plans from retracting payment for fraudulent billing, nor will it prevent dental plans from retracting claims by seeking judicial intervention if there is legal cause. It would simply set a limit on how long dental plans have to recover payments made in good faith.

SUPPORT NON-PATIENT BASED DENTAL LICENSURE EXAM HB 517 by Rep. Tyler Sirois (R-Merritt Island) The FDA supports the use of the non-patient (high fidelity restorative CompeDont™ human tooth simulation) American Board of Dental Examiners (ADEX) exam as administered by the Commission on Dental Competency Assessments (CDCA) for licensure in the state of Florida.

Currently, dental students who seek licensure in Florida must find a patient to come in person on the day of their dental licensure exam. This patient must have specific dental decay outlined by the ADEX that the dental student must treat in order to pass his or her examination. Finding these types of specific

patients has become a burden for students. Many of these patients do not show up on the date of the exam, and if they do, they arrive with the expectation of payment from the dental student after the examination is over.

During the height of the COVID-19 pandemic, the governor of Florida issued two executive orders that suspended the in-person, live-patient component of licensure exams for various health care industries, including dental. Florida’s dental schools used the ADEX CompeDont™ human tooth

SEE PAGE 17 TODAY’S FDA NOVEMBER/DECEMBER 2021

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Henry Schein Professional Practice Transitions

2022 legislative issues FROM PAGE 15 simulation during this time for dental licensure exams. Since then, data has been collected and presented to show the comparability of live-patient to non-patient dental licensure exams. Forty-seven other states accept the use of the non-patient-based ADEX exam. Based on this information, the FDA supports moving to the CompeDont™ model exam for dental licensure in Florida.

SUPPORT INCREASING MEDICAID DENTAL FUNDING Florida’s Medicaid program does not provide adequate resources to fund dental care. The FDA supports an increase in the overall funding allocation for dental care in the Medicaid program, along with a thorough assessment of the policies and administration of the program. Currently, Florida ranks near the bottom of all states for Medicaid reimbursement rates. Dentists who participate as Medicaid providers may receive 25 cents on every dollar spent to provide dental care. This is not sustainable and has caused many dentists to leave the program. Whether dental care is a stand-alone program or embedded with medical care, a larger portion of funds must be designated for dental care to allow for increased reimbursement rates.

Without making significant adjustments to the program, it will continue to be a challenge to recruit dentists to participate.

SUPPORT MAINTAINING EDUCATIONAL STANDARDS FOR INTERNATIONALLY TRAINED DENTISTS Current law requires that graduates of non-accredited dental schools complete a two-year supplemental general dentistry education program before taking the Florida licensure exam. The purpose of the supplemental education program is to: 1) ensure that internationally trained dentists attain the same knowledge and skills as graduates of accredited programs and 2) familiarize internationally trained dentists with the oral health care delivery system in the U.S., including the techniques, procedures and standards of oral health care.

In the past, there have been legislative efforts that tried to create a “backdoor” pathway to licensure in Florida for internationally trained dentists.

There have been proposed changes to the current law that would provide exemptions for the internationally trained dentists who agree to treat Medicaid recipients in exchange for bypassing the supplemental education requirement. The FDA believes that all Floridians should have access to the same standard of care regardless of economic status. These supplemental education programs are offered to ensure that a minimum standard of care for Floridians is consistently achieved for all dental licensees in the state.

The FDA supports maintaining the current supplemental education requirement for internationally trained dentists.

MONITOR DO-IT-YOURSELF DENTISTRY/DIRECT-TO-CONSUMER DENTISTRY For years, consumers have engaged in do-it-yourself (DIY) services in many different aspects of their lives. It’s now more prevalent than ever that many DIY services are encroaching over to medical and dental services.

While there are several at-home products that can be safely used, directly by consumers, there is a growing desire for consumers to try services at home that may be better administered in a dental office to garner the desired results.

In 2019, the American Dental Association (ADA) launched a public awareness campaign discouraging DIY dentistry. According to the ADA, DIY dental treatments can affect the gums, bones and ligaments that support the teeth or the teeth themselves. Depending on the oral health issue being addressed and the nature of the treatment, there may be risks for long-term issues, including jaw problems, abnormal bite, tooth decay and loss, as well as gum disease. If teeth are improperly aligned, gum tissue may be negatively impacted or stripped away from teeth, causing additional gum problems.

It’s unfortunate that many people have suffered major dental setbacks with DIY dentistry, which eventually costs them more in the end. Consumers should always seek the opinion of a licensed dentist first before using unconventional dental methods or products.

FDA OPPOSES OPPOSE DENTAL THERAPY LEGISLATION SB 184 by Sen. Jeff Brandes (R-St. Petersburg) The FDA does not support adding dental therapists as new licensed dental providers in Florida. Proponents claim that this is a solution to address access to dental care in underserved and rural areas. Unlike the extensive training required to be a dentist, dental therapists are educated for only three years out of high school and would be authorized to administer local anesthesia and perform surgery or major irreversible procedures like extractions and partial root canals. Lowering the standard of care for dentistry — particularly among our state’s most vulnerable populations, who often suffer from some of the most complex medical issues and higher rates of tooth decay — is not a viable solution for Florida.

*AS OF 11/5/21

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governance

FDA TASK GROUP COMES TO AGREEMENT ABOUT GOOD GOVERNANCE

DR. DREW JOHNSON, FDA GOVERNANCE TASK GROUP CHAIR

Questions or comments about the governance review process?

Feel free to reach out to Governance Task Group Chair Dr. Drew Johnson at jajomfs@aol.com or FDA Executive Director Drew Eason at deason@floridadental.org.

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In 2020, then-Florida Dental Association (FDA) President Dr. Andy Brown reached out to me about chairing a new FDA task group that would analyze FDA governance.

He chose me, in part, because I served as chair of the FDA Council on Ethics, Bylaws and Judicial Affairs. In that council, we did extensive work relating to the FDA’s Bylaws and Governance Manual, so he knew about my interest in the nitty gritty, inner workings of the association. Dr. Brown also appointed the rest of the task group, which included a young, diversified recruitment of two members from each district.

The charge of the newly developed FDA Governance Task Group was to review all areas of the FDA’s governance and make recommendations to either keep things the same or suggest changes. With the help of

TODAY’S FDA NOVEMBER/DECEMBER 2021

well-respected, nationally recognized facilitator Michael Gallery, Ph.D. and the efforts of a team of invested, engaged FDA members, there has been much progress.

From the beginning, the plan was to be objective. We didn’t want to take action or make changes just to do it, but because it was necessary. So, we started with defining good governance. We asked questions like, “What principles and performance requirements should the FDA’s governance structure meet?” By determining which elements are most important for good governance, we could compare our structure to see how we measure up.

Task group members worked cooperatively and independently through meetings, homework assignments and facilitated FLORIDADENTAL.ORG

discussions. We came to agreement about governance performance requirements for the FDA — concepts like the following: n The governance system facilitates a constant stream of communication among all elements of the governance system.

Members of the FDA Governance Task Group

n Term limits achieve a balance between the need for new leadership and the need for continuity within leadership. n The governance structure ensures that decision-makers are provided the appropriate knowledge, information and time to make informed and timely decisions. n Committees are formed (or disbanded) and structured based on the strategic plan and/or needs of the association.

A list of 20 specific performance requirements drafted by the task group was presented to the FDA Board of Trustees (BOT) in May for review. The BOT approved the performance requirements to be used as a basis for evaluating the association’s current governance structure. Those same performance requirements were presented to the House of Delegates (HOD) in June and were approved.

What Comes Next?

The next steps in the process included comparing current FDA practices and systems with the newly defined ideal performance requirements. The exercise was to compare “what is” with “what should be.” Areas the FDA did not fully meet were defined as gaps. Critical gaps between what is and what should be were defined as problems. Problems need to be addressed.

But we shouldn’t talk about solutions until we understand and agree on the problems. So, the critical gaps identified by the task group must be presented to the BOT and the HOD. We finished the gap analysis and presented our findings to the BOT in August; the gaps identified by the task group were approved. Next, the gap analysis will be presented to the HOD in January 2022. If both the BOT and HOD approve the gaps, the task group will shift our focus to solutions. What can the FDA do to address these differences between the status quo and ideal governance? Which gaps should be addressed? What are the potential solutions?

This is when the work becomes even more detailed. We’ll have to look at our bylaws and governance manuals and potentially propose meaningful changes. But it’s important to note that

Dr. Drew Johnson, chair (CFDDA)

Dr. Katie Miller (CFDDA)

Dr. Doug Starkey (ACDDA)

Dr. George Kolos (ACDDA)

Dr. Kaitlin Blackburn (NWDDA)

Dr. Makeba Earst (NWDDA)

Dr. Tom Brown (NEDDA)

Dr. Kris Harth (NEDDA)

Dr. Mariana Velazquez (SFDDA)

Dr. Joseph Pechter (SFDDA)

Dr. Reza Iranmanesh Dr. Melissa Grimaudo (WCDDA) (WCDDA) (continued)

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(continued) FROM PAGE 19

having a gap doesn’t necessarily mean that we must take action. The ultimate deciding body is the HOD, and they could decide to accept or modify the gap analysis. They represent the entire FDA membership and are responsible for going back to their local members to keep them informed, get input, etc.

One positive thing about this process is that it has been — and will continue to be — fully transparent.

While the task group started out as an initiative developed by Dr. Brown, current FDA President Dr. Dave Boden has taken the ball and run with it. He has done an excellent job encouraging the group, educating the membership and ensuring the process is moving forward.

Dr. Eddie Martin (FDA BOT liaison/ nonvoting)

Dr. Don Ilkka (FDA HOD liaison/ nonvoting)

Dr. Andy Brown (FDA immediate past president/nonvoting)

Dr. Dave Boden (FDA president/ nonvoting)

Why Should Members Care?

Throughout this process, led by a facilitator, our task group (and, by extension, our BOT and HOD) are coming to agreement about good governance. That’s not only best practice, it’s also healthy and productive. Every organization that has bylaws and a governance structure, including the FDA, should regularly review the structure to ensure it is running as well as possible.

It’s important for our association to operate efficiently, and that impacts every single member. I, for one, am proud that the FDA is committed to running the tightest ship.

It says so much that members of the task group were willing to commit their time and energy to work toward improving the FDA. Over a period of months, we’ve had numerous Zoom calls, countless email exchanges, individual assignments and much more. They all jumped directly into the deep end and, together, we’ve been able to accomplish a great deal. We’re not anywhere close to being finished, but we’ve certainly learned a lot along the way. I look forward to continuing our work with additional guidance from our governing bodies.

I am confident that this governance exercise will ensure that the FDA is a forward-thinking and nimble organization for years to come. I am honored to be a part of it and to serve with such an outstanding group.

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Governance Reorganization Process Step 1: Establish Performance Requirements Step 2: Approval of Performance Requirements Step 3: Identify Gaps Between Performance

Requirements and Current Structure Step 4: Approval of Gaps Step 5: Revise Structure to Address Gaps Step 6: Approval of Structure Step 7: Revise Bylaws Consistent with

New Structure Step 8: Approval of Bylaws

TODAY’S FDA NOVEMBER/DECEMBER 2021

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preventive action

HAVE YOU HEARD?

SCOTT RUTHSTROM FDA SERVICES CHIEF OPERATING OFFICER

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

I recently had my usual six-month cleaning and after my personal dentist completed my oral examination, he remarked “Scott, your staff has been so easy to work with.” You see, my dentist has not always been a client of FDA Services (FDAS). He was a loyal client of an agent who serviced much of Northwest Florida. After a lengthy career, this agent recently retired and FDAS was fortunate enough to acquire her book of dental clients — nearly 200 dentists and all their insurance policies. This agent was well aware of our good reputation, and she fully endorsed her clients moving to FDAS as their insurance home.

That’s pretty much been the name of the game since our initial founding in 1986: Provide FDA members with quality insurance products coupled with best-in-class customer service! That’s not a cliché either, it’s quite literally what your predecessors expected to achieve when this agency was imagined.

We routinely poll our clients and solicit measurable feedback to determine their level of satisfaction and willingness to recommend FDAS to a colleague. The tabulated results we receive form the basis of our Net Promoter Score (NPS). The higher the NPS score, the more loyal your clients tend to be. Except for USAA, the insurance industry has never been known for particularly high NPS scores, but FDAS does very well and compares

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TODAY’S FDA NOVEMBER/DECEMBER 2021

favorably to high-scoring companies like Costco, Publix and Tesla.

Sustaining success and staying relevant takes a lot of effort, but we know we are succeeding because every month we receive dozens of testimonials describing the great customer service clients are receiving from FDAS, and most of the time they mention our staff members by name. No other insurance agency is as dedicated to protecting dental offices in Florida than FDAS — and we’ve partnered with insurance companies that are equally invested in that mission.

It was nice to hear my own dentist express his appreciation for the level of expertise and service he is receiving from our representatives, and his sentiments are indicative of the thousands of dentists we protect. If you have ever wondered what sets us apart … well, now you know!

FDA Services is a wholly owned subsidiary of the Florida Dental Association. 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.

Call or text FDA Services at 850.681.2996 for a disability insurance quote or visit fdaservices.com/disability for more information.

FLORIDADENTAL.ORG

e and v o b a re ent Rick w take great ca d to ough beyon alked me thr ly W igh of me. e process H ! tir the en mended him 021 recom since 2 stomer

— Cu

Joseph Perretti, Director of Sales (FDA) has been an exceptional professional, always there when I need him, providing solutions without hesitation.

— Customer since 2021

FDA Services is efficient, responsive, and friendly! I haven’t met a single team member who isn’t eager to help and competent in doing so. I would recommend this team to any colleague (and have)!

— Customer since 2017

Dennis was ve ry hel my fir pful th st den rough tal pra As a fi out ctice rst tim p u rchase e comfo busine . rtable ss own er I f having broad e D l t ennis insura tackle nce la half. H t n he dscap e was e on m very p sional. y berompt Now I and pr am a v my ow ofesery pr n prac oud ow tice. C n er of ouldn' t be h — Cus a ppier! tomer since 2020

in reviewly e m ti n e e b Always have ur insurance o g n ti a lu a v e ing and en great on ex e b e 'v u o Y . s d nee us make the g in lp e h d n a plaining ge. I apprera e v o c n o n right decisio d guidance. n a lp e h e th ll ciate a er since 1994 — Custom

Quick to respond, straight to the point, straight talk from a straight shooter! Great customer support, and of course honest with all costs and expectations.

— Customer since 2016

t service a e r g d a h s y a lw Mike: I've a s. Mike te a r e v ti ti e p m o c and provided top of it, takes n o y ll ta to is t u Tro ork, and is my w is h in e id r p t grea ance services!!! r su in r fo O T GO 019 — Customer

since 2

They helped me to get my malpractice insurance, responded in no time through emails, very attentive and on top of the application, I really appreciate their good service.

— Customer since 2021

Dan has been the years! amazing over So glad to have him in my life!

—C

—

Whenever I call for information or request service, I always a get a quick and prompt response. I can feel the friendliness and professionalism. FDAS has served me very well for many years. I definitely recommend FDAS to all dentists of the FDA. — Customer since 1996

ustomer si

nce 2011

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

Dr. Irene Marron-Tarrazzi Selected for FDI General Assembly Leadership Position The FDI World Dental Federation’s General Assembly elected Dr. Irene Marron-Tarrazzi as a member of the FDI Membership Liaison & Support Committee, where she hopes to help be a bridge between the FDI and other national dental organizations.

The FDI has five standing committees, each with a particular sphere of activity and expertise. Dr. Marron-Tarrazzi’s committee, which reports to the FDI Council, monitors and advises the council on communications and support to FDI members. The committee monitors member needs, expectations and performance in advocating the FDI’s oral health policies and manages the Travel Grant Project. It consists of six FDI members, plus one liaison councilor.

Much like the American Dental Association (ADA) House of Delegates, the FDI General Assembly is the supreme legislative and governing body of the FDI that meets once a year to approve the budget, hold elections, set FDI policies and the strategic plan, missions and aims, and monitors progress on their achievement. The FDI World Dental Federation comprises about 200 national dental associations, including the ADA, from more than 130 countries. It represents the voice of more than 1 million dentists worldwide.

Congratulations, Dr. Marron-Tarrazzi!

Dr. Alan Friedel Honored with an ADA Presidential Citation For the third time in his career, Dr. Alan Friedel received an ADA Presidential Citation for his efforts as chair of the

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TODAY’S FDA NOVEMBER/DECEMBER 2021

National Commission on Recognition of Dental Specialties and Certifying Boards on behalf of the entire ADA membership during the COVID-19 pandemic and the obstacles that it created. The ADA Presidential Citation recognizes individuals in the profession who have contributed to dentistry in an exemplary manner. Congratulations, Dr. Friedel!

Dr. Bart Carey Memorial Scholarship Established at Tallahassee Community College Dr. Bart Carey, a Tallahassee dentist, died on Sept. 20, 2020. He was just 49 years old.

In 2003, Dr. Carey joined his father, Dr. Jim Carey, and Dr. Jeffrey Jones at Drs. Carey and Jones Pediatric Dentistry and Orthodontics. He soon became involved in the Tallahassee Community College (TCC) Dental Hygiene Program, where he was a frequent lecturer and mentor to many.

Dr. Carey was known for his generous heart and dry sense of humor. His loss was devastating to family and friends, and they knew that they wanted to do something to honor him. A poker tournament was put together to raise funds to create a scholarship in his memory. The scholarship idea was brought to the TCC Foundation. His friend and poker tournament organizer, Chuck Urban, said, “Bart was a teacher at TCC and spoke of it often. He was dedicated to the dental industry, and I thought it was an appropriate way to honor him in perpetuity by creating scholarships for dental hygiene students. He was proud of his work with TCC, and I think he would love helping students in this way.”

The poker tournament raised $30,000. When Dr. Carey’s father learned what the group of friends were doing, he donated FLORIDADENTAL.ORG

$10,000, bringing the total to $40,000 to start the Dr. Bart Carey Memorial Scholarship at TCC. The funds will be used to support students entering TCC’s dental programs.

Workers’ Compensation Rates Set to Decrease in 2022 For the sixth time since 2016, rates are set to decrease again for most workers’ compensation class codes, including dental offices. To learn more, visit bit.ly/3DaSMAR. Additionally, FDA Services (FDAS) has worked with The Zenith, a workers’ compensation carrier, to offer a 25% upfront dividend to all dental practices that have been claims-free for three years and have premiums of more than $500. This program supports organized dentistry and if you aren’t insured with FDAS, we encourage you to call or text 850.681.2996 to switch now.

Join Us for An Upcoming Webinar Join us on Tuesday, Dec. 14, at 6 p.m. ET for a webinar presented by Whiteboard Marketing, “Local Patient Search and How Google Impacts Your Practice.” This webinar will help FDA members master the use of Google to promote their practices and ultimately drive traffic from new patients to their websites. It’s offered as a member benefit, so there’s no cost to register. Visit bit.ly/FMdTuW to register. Those who register but are unable to attend live will receive a link to a recording of the webinar to watch on demand.

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.

Atlantic Coast District Dental Association Dr. Avraham Amsalem, Sunrise Dr. Andrea Boucher, Jupiter Dr. Alyssa Cabanas, Oakland Park

Dr. Jessica Capellan, Royal Palm Beach Dr. Bekim Cela, Miami Dr. Carmen Childers, Palm Beach Gardens Dr. Sean Coyle, Deerfield Beach Dr. Farid Cumplido, Jensen Beach Dr. Carl Durand, Palm Beach Gardens Dr. Mikhail Gankin, Palm Beach Gardens Dr. Ryan Germann, Fort Lauderdale Dr. Beatriz Gill, Margate Dr. Joshua Golden, Sunrise Dr. Kelly Gonzalez, Davie Dr. Khaled Hendous, Royal Palm Beach Dr. Don Ho, Loxahatchee Dr. Ryan Jaffe, Jupiter Dr. Katherine Lozada-Flynn, Oakland Park Dr. Michael Montanaro, Palm Beach Dr. Kristina Montemale, Wilton Manors Dr. Marcela Newman, Hollywood Dr. Francesco Piccione, Pompano Beach Dr. Ruslan Rusanov, Pompano Beach Dr. Alessandra Sigillo, Fort Lauderdale Dr. Jessica Soares, Pompano Beach Dr. Narian Viamontes, Miami Dr. Nazanin Zangeneh, Riviera Beach

Central Florida District Dental Association Dr. Omeir Ansari, Davenport Dr. Maya Ayoub, Oviedo Dr. Aissatou Barry-Blocker, Gainesville Dr. Natalia Besada, Winter Park Dr. Rewan Bowen, Lake Mary Dr. Alexandre Cabrera da Silva, Gainesville Dr. Priscilla Carpenter, Gainesville Dr. Hien Chao, Orlando Dr. William Clokey, Gainesville Dr. Marissa Crandall Cruz, Orlando Dr. Terryl Crawford, Orlando Dr. Quinta Davis, Wildwood Dr. Krishna Dipnarine, Orlando Dr. Logan Dubnick, Gainesville Dr. Chantall Duvert, Kissimmee SEE PAGE 26

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Dr. Carlos Rodriguez, Davenport

updates for members FROM PAGE 25

Dr. Shannon Rooney, Satellite Beach

Northwest District Dental Association

Dr. Jesse Rosario, Orlando

Dr. Victor Chou, Quincy

Dr. Alexander Samuel, Orlando Dr. Tyler Serres, Gainesville

Dr. Jonathan Elmore, Orlando Dr. Peter Fereg, Orlando

Dr. Benjamin Song, Orlando Dr. Alexandros Tapper, Lady Lake Dr. Dayanna Tomich, Orlando

Dr. Patrick Fitzgerald, Gainesville

Dr. Vinh Tran, Gainesville

Dr. Naoko Fukushima, Orlando

Dr. Trae Pappas, Crestview Dr. Maria Paz, Milwaukee Dr. Thu Trang Pham, Tallahassee Dr. Maryam Rezaie, Tallahassee

Dr. Nga Vu, Clermont

South Florida District Dental Association

Dr. Rutvi Vyas, Gainesville

Dr. Blanca Acosta Hernandez, Miami

Dr. Riha Wadhwa, Port St. Lucie

Dr. Giovanni Aldama, Miami

Dr. Taylor Windley, Gainesville

Dr. Omar Alomran, Miami

Dr. Tamara Jandali, Gainesville

Dr. Mateusz Witelus, Melbourne

Dr. Anthony Azadi, Davie

Dr. David Jensen, Newberry

Northeast District Dental Association

Dr. Luis Veloz, Clermont

Dr. Imran Hameedi, Lake Mary Dr. Michael Hoang, Melbourne Dr. Eden-Hazira Hussin-Biswas, Windermere Dr. Mina Ihsan, Orlando

Dr. Jerin Joseph, Lady Lake Dr. George Jusu, Winter Park

Dr. Chase Aaron, Jacksonville

Dr. Joseph Karlen, Gainesville Dr. Christie LaTulippe, Port Orange Dr. Thien Le, Mount Dora Dr. Kerry Leonard, Ponce Inlet Dr. Hsin-Yi Cindy Liu, Wildwood Dr. Lauren Lockhart, Orlando Dr. Ramzy Lotfi, Ocoee Dr. Paul Martin, Newberry Dr. Sung Nam, Orlando Dr. Pritesh Nathoo, Orlando Dr. Tuan Nguyen, Ocoee Dr. Miriam Ohakam, Gainesville Dr. Darshan Patel, Daytona Beach

Dr. Sohib Ahmed, Jacksonville Dr. Zohaib Ahmed, Jacksonville Dr. Marwan Alareqi, Jacksonville Dr. Yassar Al-Fatlawi, Jacksonville Dr. Chiara Contreras Romanelli, Jacksonville Dr. Mohammed Fathi, Jacksonville Dr. Daniel Forbes, St. Augustine Dr. Daniel Frost, Jacksonville Dr. Jennifer Huynh, Jacksonville Dr. Basil Jan, Jacksonville Dr. Arlene Lemoine, Jacksonville Dr. Ana Carolina Machado,

Dr. Jai Dev Patel, Orlando Dr. Miten Patel, Wildwood Dr. Nishka Patel, Lake Mary Dr. Ruchi R. Patel, Lakeland Dr. Ruchi M. Patel, Mount Dora Dr. Vicky Patel, Oviedo Dr. Lisa Peters-Seppala, Orlando

St. Augustine Dr. Noor Mansouri, Jacksonville Dr. Camilo Mosquera Giraldo, Jackson ville Dr. Christina Peters, Jacksonville Dr. Kevon Rennie, St. Augustine

Dr. Quyen Pham, Orlando Dr. Raishka Ramirez, Melbourne Dr. Karolina Rincon, Winter Springs

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Dr. Kenneth Liu, Panama City

TODAY’S FDA NOVEMBER/DECEMBER 2021

Dr. Lauren Wager, Jacksonville

Dr. Robert Batdorf, Davie Dr. Geanys Batista Gomez, Miami Dr. Gabrielle Bekov, Sunny Isles Beach Dr. John Bender, Davie Dr. Daniel Berenstein, Miami Dr. Dafna Brzoza, Miami Dr. Jenevieve Bunassar, Miami Dr. Cynthia Bustillo, Homestead Dr. Alfredo Calderon, Miami Dr. Yanet Calero Diaz, Miramar Dr. Asharie Campbell, Miami Dr. Edisnel Carrazana Garces, Miami Dr. Rolando Casas Fundora, Miami Dr. Jeffery Coon, Miramar Dr. Carly Cotten, Davie Dr. Malaika Davidson, Miami Dr. Milena De La Providencia-Gascon, Miami Dr. Tania De Oliveria Silva, Miami Dr. Jordan Eckardt, Miami Shores Dr. Humberto Espinosa, Homestead Dr. Ivonne Esteva, Miami Lakes Dr. Robert Faine, Miami Dr. Salome Fraga, Miami Dr. Marchella Frascello, Coral Gables Dr. Mahmoud Gad, Miami

FLORIDADENTAL.ORG

Dr. Victoria Gandarillas,

Dr. Guilherme Ribeiro, Davie

Dr. Joseph Habib, Palm Harbor

Pembroke Pines

Dr. Mike Roig, Miami Shores

Dr. Stephen Hartzog, Brandon

Dr. Carolina Garces, Doral

Dr. Gilberto Roque Jr., Hialeah

Dr. Chauncey Hensley, Riverview

Dr. Adrian Garcia, Miami

Dr. Flor de Maria Salinas Miranda,

Dr. Tina Jose, Lutz

Dr. Julia Geaumont, Fort Lauderdale

Hialeah

Dr. Jenna Lavin, Venice

Dr. Nathaniel Gonzales, Miami Shores

Dr. Alexander Segui Ulloa, Miami

Dr. Caclinh Le, Tampa

Dr. Yurixander Gonzalez-Alvarez,

Dr. Zainab Shaghati, Aventura

Dr. Dowon Lee, Fort Myers

Opa Locka

Dr. Henrique Silva, Cutler Bay

Dr. Roland Leong, Bradenton

Dr. Gabrielle Greenough, Naples

Dr. Josiah Smith, Hollywood

Dr. Rohan Madhyani, St. Petersburg

Dr. Luis Guerrero, Miami Springs

Dr. Viviana Stellenwerf, Miami

Dr. Kari Mann, Port Charlotte

Dr. Javier Guillen Ramirez, Miami

Dr. Renier Suarez, Miami

Dr. Donna Mansour, Sarasota

Dr. Raquel Hadad, Miami

Dr. Nelvis Suarez Rodriguez, Miami

Dr. Sophia Mikhail, Tampa

Dr. Iskra Maria Iglesias Barreto,

Dr. Renae Sweeney, Miami

Dr. Ashley Mull, Largo

Weston

Dr. Lauren Tink, Miami

Dr. Karthik Muppalla, Bradenton

Dr. Geylin Izquierdo Jimenez, Miami

Dr. Gabrielle Torgerson, Dania

Dr. Catherine Nguyen, Bradenton

Dr. Avery Jaffe, Pembroke Pines

Dr. Sam Tover, Miami

Dr. Joshua Orgill, Naples

Dr. Farah Khan, Miami

Dr. Omar Vasquez, Miami

Dr. Reshma Patel, Lutz

Dr. Elana Laks, North Miami Beach

Dr. Monica Vigon, Miami

Dr. Viktor Pavlidakey, Clearwater

Dr. Katherine Lorenzo-Machado,

Dr. Fatimah Waseem, Deerfield Beach

Pembroke Pines

Dr. Rekha Penmetcha, Tampa

Dr. James Whiting, South Miami

Dr. Ledia Mara, Miami

Dr. Ganesh Rajagopalan, Lakeland

Dr. Gianandrea Wotfe, Miami

Dr. Andrew Martinez, Miami

Dr. Blake Reed, Seminole

Dr. Neal Zabiegalski, Davie

Dr. Sagar Mauskar, Coral Gables

Dr. Shavone Rhoden, Jacksonville

Dr. Luanna Zambrana Aviles, Hialeah

Dr. Gabriel Rodriguez, Pinellas Park

Dr. Dionne May, Doral Dr. Andre Medina, Miami

West Coast Dental Association

Dr. Maria Mendoza Cavero, Miami

Dr. Bashar Adeinat, Lutz

Dr. Andreina Merino Alaimo,

Dr. Mustafa Adel, Tampa

North Miami Beach

Dr. Carrol Anton, St. Petersburg

Dr. Nicol Miranda, Pembroke Pines

Dr. Jeffrey Barrazueta, Tampa

Dr. Angela Noboa, Pembroke Pines

Dr. Amanda Boodhoo, Dade City

Dr. Mohammad Okasha, Miami Shores

Dr. Pierpont Brown, Estero

Dr. Milaidys Pedraja, Miami

Dr. Andrew Dermarkarian, Apopka

Dr. Madiolys Perez Alvarez, Miami

Dr. James DiMarino, Naples

Dr. Teresa Perez-Suarez, Miami

Dr. Hamed El-Jabali, Brandon

Dr. Minh Pham, Miami Shores

Dr. Joanna Ferguson, Naples

Dr. Helena Pocaterra, Miami

Dr. Amir Ghazavi, Lutz

Dr. Diana Proenza Rodriguez, Miami

Dr. Tyler Griffith, Fort Myers

Dr. Beatriz Reyes Barrios, Miami

Dr. Anna Ronderos, Largo Dr. Caroline Samaan, Bradenton Dr. Yashri Sanghani, Lakeland Dr. Irvin Singh, Palm Harbor Dr. Jackson Sullivan, Longboat Key Dr. Yaniel Torres, Cape Coral Dr. Zahabiyah Tsiamwala, St. Petersburg Dr. Zulema Valdivia, Naples Dr. Yamile Villavicencio, Cape Coral Dr. Austin Wheatley, Riverview Dr. Susan Yasrebi, Tampa Dr. Joseph Zeidan, Lady Lake Dr. EleFortherios Zervoudakis, Dunedin

Welcome new members!

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27

Date of Next House of Delegates Meeting The next meeting will be virtual and take place on Jan. 22, 2022.

House of Delegates May Consider Bylaws Changes The Council on Ethics, Bylaws and Judicial Affairs will perform its annual review of the FDA bylaws and propose changes if necessary.

In Memoriam The FDA honors the memory and passing of the following members: Gilbert Bardfeld Boca Raton Died: 09/07/2021 Age: 89

Charles McNamara Winter Park Died: 09/27/2021 Age: 67

William Kent Zellwood Died: 09/17/2021 Age: 86

Jeffrey Feingold Delray Beach Died: 10/08/2021 Age: 75

Robert Selz Asheville, NC Died: 10/28/2021 Age: 84

FDA: Well-being program Tobacco Free Florida

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TODAY’S FDA NOVEMBER/DECEMBER 2021

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29

FDAS: The Doctors Company

$100 MILLION PAID TO MEMBERS AN UNRIVALED MEMBER BENEFIT—A REMARKABLE MILESTONE Unlike commercial insurance companies, which look for ways to reward shareholders, The Doctors Company is dedicated to rewarding our members. In 2007 we created the Tribute Plan, an unrivaled financial benefit that rewards you and your fellow dentists for your loyalty and dedication to superior patient care. ®

As an organization committed to providing the best imaginable service, we are profoundly honored to have now attained an industry-leading achievement—the distribution of more than $100 million in Tribute Plan awards. While other insurers have attempted to follow our lead, The Doctors Company is by far the only dental malpractice insurer that celebrates the careers of dentists with rewards of this magnitude.

Tribute Plan projections are not a forecast of future events or a guarantee of future balance amounts. For additional details, see thedoctors.com/tribute.

No other insurer pays

GREATER TRIBUTE TO FLORIDA DENTISTS.

TO LEARN MORE ABOUT TRIBUTE: Visit thedoctors.com/tribute

TEAM FDA

Kerry Gómez-Ríos

The staff at the Florida Dental Association (FDA) — or Team FDA, as we are sometimes called — is proud to support the dental profession in Florida. We wholeheartedly believe in what we do, which is “Helping Members Succeed.” In good times or in bad, members have the full support of Team FDA along with the American Dental Association and their district dental association helping them along the way.

We don’t want any dentist to be weathering any situation alone. Your membership guarantees that no matter what comes your way, we’ve got your back — always. As an FDA member, consider us an extension of your team.

The beauty of this team is that you have a deep bench of knowledgeable experts available to you. We’re in your corner so that you can have peace of mind and focus on your patients while balancing other professional demands as well as your personal life. Be sure to make us your first call whatever the situation. More often than not, we have the answer, or we can quickly help you find the solution.

Use this reference list below to contact your Team FDA experts for some of our more commonly asked questions:

General question or need to update your contact information?

Call the FDA main line at 850.681.3629 and speak to a real person!

Megan Bakan

COVID-19 questions relating to HR or federal loan programs?

Call Greg Gruber at 850.350.7111.

Greg Gruber

Third-party payer issues?

Call in-house expert Casey Stoutamire at 850.350.7202.

Casey Stoutamire

Insurance questions?

The FDA Services team is ready to help.

Simply call or text 850.681.2996.

Carrie Millar

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Contact Brooke Martin at 850.350.7103.

Brooke Martin

Want to know more about what’s included with your membership?

Ask the Member Relations team by calling 850.681.3629.

Christine Trotto

Joshua Braswell

Legislative questions or want to be more involved with advocacy?

Contact Joe Anne Hart at 850.350.7205.

JOe Anne Hart

Want to volunteer or become more involved?

Ask Lianne Bell about the FDA’s Leaders Emerging Among Dentistry (LEAD) program by calling 850.350.7114.

Lianne Bell

Want to participate in the Florida Mission of Mercy?

R. Jai Gillum can share all the details. Call her at 850.350.7117.

R. Jai Gillum

Challenges logging onto floridadental.org?

Ask for help by calling 850.681.3629.

Larry Darnell At the FDA, we believe dentists are better off as members, so if you’re not yet a member, we invite you to join us by visiting floridadental.org/join or by calling one of our friendly membership experts at 850.681.3629.

Remember that Team FDA is also Team YOU. We thank you for serving us and our fellow Floridians throughout the state, and we look forward to serving you in 2022!

AN EXTENSION OF YOUR TEAM

Curious about CE or your 2022 licensure renewal?

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HELPING MEMBERS SUCCEED

RENEW YOUR MEMBERSHIP FOR 2022 TODAY!

We have your back. Always.

Dr. Casey Lynn Chair, FDA Council on Membership Pediatric Dentist – Apollo Beach, FL

THREE EASY WAYS TO PAY: Online: Visit floridadental.org/dues.

Mail: Return blue envelope with statement and payment.

Phone: Dial 850.681.3629 to speak to our friendly membership team.

PAYMENT PLAN: Choose from a variety of monthly installment plans.

AUTO-RENEWAL: Set it and forget it! Your membership will automatically renew each year with the credit card you put on file.

membership

STAY CONNECTED WITH THE FDA The dental world can be a lonely place when you are isolated from your colleagues and working daily in a single office. Leading a team, managing a business and navigating a minefield of things outside of your control can be daunting sometimes! The good news is, the Florida Dental Association (FDA) can help with the day-to-day challenges as well as your overall career. Organized dentistry can be intimidating to those not involved, but the main thing we work on at the FDA is our members and how we can help them succeed. The FDA community is dedicated to helping our members in all aspects of dentistry.

Are you looking to meet other dentists, build connections and open doors that can catapult your career? We have many networking events designed to make this easy and fun. The FDA also provides numerous resources to help members succeed. Our Member Benefits Guide is a one-stop shop to see everything the FDA has at your fingertips. If you have a question and can’t find the answer online, call our headquarters in Tallahassee and our amazing team can connect you to the right resource! Some of the biggest challenges facing our industry are not discussed in public forums. Difficult patients and a litigious world can lead to frivolous complaints to the Board of Dentistry (BOD); as an FDA member, Peer Review is available to help settle any issues before they get to the BOD — a huge benefit for any practicing dentist.

DR. CASEY LYNN

Dr. Lynn is the chair of the FDA Council on Membership. He is a pediatric dentist in Apollo Beach, Fla. and can be reached at cclynn09@gmail.com.

The advocacy aspect of the FDA is one of the largest “silent” benefits our members have. Our team works tirelessly to make sure any legislative issues that can affect the dental profession are addressed, lobbied on and controlled before they affect members. Each year, our team navigates the political world, and we make sure they advocate on your behalf!

I have been an FDA member since dental school, and proudly stay involved so I can have a seat at the table as a “younger” dentist. It’s helped me stay connected, provided numerous opportunities to better my career and facilitated the growth of my startup practice. All of which I feel are invaluable. For newer dentists, the career outlook is vastly different than our more seasoned members. It’s imperative that we all support our organization so we can keep this amazing profession what it is, and work to make it better every day. As an organization, we make a significant impact on the future of our profession!

For those looking to get a more in-depth look into what the FDA does, I recommend reaching out to any component of organized dentistry, as we are always looking for members who want to make a difference. For those who are not interested in dedicating time or energy to the FDA, your membership has a powerful impact on what the organization can do for YOU and all our member dentists. Although many of us work in an isolated environment, the FDA can help you connect, manage you career and THRIVE. Please contact me or anyone at the FDA if you have any questions or would like to get more involved.

FLORIDADENTAL.ORG

TODAY’S FDA NOVEMBER/DECEMBER 2021

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Hinman

March 17–19 | Atlanta, Georgia We have all missed being together. Being apart has reminded us that we need each other and the vital human connections that enrich our personal and professional lives.

Join us in person and experience our extraordinary hospitality as our Hinman Dental Society members volunteer their time to make your visit memorable and unique.

Hinman is an incredible value offering low registration fees for the entire practice (only $195 for any practicing dentist and $75 for hygienists, assistants and office staff registering before February 17). With 80+ free courses and an expansive Exhibit Hall unlike any other, it’s an incredible value for three days of CE and fellowship!

Registration opens December 7. Book your hotel now at Hinman.org.

florida dental association by the numbers!

OVERALL MEMBERSHIP .1%

.4%

4%

.1% 2%

73%

2%

5% 6%

5% 12%

5%

23%

4% 2%

56%

BOARD OF TRUSTEES PEDIATRIC AF

N

ORTHODONTICS & DENTOFACIAL ORTHOPEDICS

AN AMERICA RIC

25

WH

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%

7%

4%

2%

4%

5%

6%

7%

9%

13%

1.

2021 2.

FDA PRESIDENT Tell us where you were born and raised, and about your family and career.

I was born in Port Huron, MI and grew up a “Detroit Gearhead.” I always loved working with my hands, taking things apart, fixing them and putting them back together again, which is what I did multiple times with the engine of an old Volkswagen Beetle I had in high school and college. I just do that on a more micro scale now.

My mom was a registered nurse and my father was an organic chemist. My father infused me with the wonders of science.

My mother fed my interest in health care by allowing me to spend time in the doctors’ offices where she worked. Add to that, I had exposure to a neighbor who was an oral surgeon, Dr. Malcolm Gibson. He didn’t have children, so he “halfadopted” me, my brother and my sister. A lifelong mentor and friend, I interned in his office when I was a teenager, and he took me under his wing.

When deciding on a profession, I strongly considered becoming a physician and looked very closely at dentistry. I truly believe that I found the sweet spot with periodontics.

When I finished dental school at the University of Michigan (U-M), they asked me to stay on and teach. So, I taught oral diagnosis and radiology, and even contemplated becoming an educator as a career. At that time, I also had a small general practice in Ann Arbor. I decided that I wanted to take my education further and applied to periodontics schools throughout the country, but was convinced to stay at U-M. I earned my master’s degree and met my wife, Carmen, who was getting a master’s in endodontics. The two of us aren’t the only dentalfocused members of our family. My brother, Steve, is a dentist in Kalamazoo, MI and my sister, Amy Druskovich, is married to a dentist, Carl, who practices in Decatur, MI. Carmen and I moved to Florida in 1985, first settling in Venice where I worked in an associateship for a year. I then decided to open my own practice in Port St. Lucie, and we made the move to where we raised our family: son, Franciso (who is now married to our daughter-in-law, Melissa) and daughter, Maria. Carmen and I keep tight connections with both our Michigan and Mexican families. Recently, our family expanded with the birth of our first grandchild, Lucas Fitzgerald.

SEE PAGE 40

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TODAY’S FDA NOVEMBER/DECEMBER 2021

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3.

4.

DR. DAVE BODEN

5.

FLORIDADENTAL.ORG

6.

TODAY’S FDA

NOVEMBER/DECEMBER 2021

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FROM PAGE 39

I’ve continued teaching throughout my career, including at Indian River State College in Fort Pierce. For a decade, I have served as an adjunct instructor of periodontics teaching classes weekly at Nova Southeastern University. I really enjoy teaching young dentists and hygienists.

What are your goals for the FDA? I want to ensure the entire organization runs as smoothly as possible. I also want to give voices to our members, the Board of Trustees (BOT), the House of Delegates (HOD) and other leaders. One of my goals is to build on the wonderful work others have done before me. And, in doing so, I hope to leave something better for those who follow me.

Another goal is for the FDA to be forward-facing. We must look for future opportunities and ways to head off potential problems. As dentists, we tend to get caught up in the day to day and what is right in front of our face (which is the way that we’ve been trained and conditioned through our work). I want a paradigm shift so that we’re planning far out and thinking strategically.

When it comes to leadership, I like to give credit to others for the work that’s done. I also think it is the first job of a leader to ensure there are people who can take their place. I’ve been extremely impressed with the strength of our leaders up and down the ladder in addition to members of the BOT and HOD, and of course, our wonderful FDA staff. We can all be proud the FDA is now the leader in the nation.

7.

Education: n University of Michigan Rackham School of Graduate Studies, Ann Arbor, MI n M.S. in periodontics, 1985 n University of Michigan School of Dentistry, Ann Arbor, MI n DDS, 1981 n Oakland University, Rochester, MI n B.S. in biology, with honors, 1977

Councils/Committees/Leadership/Volunteering: n Treasure Coast Dental Society president, vice president, secretary/treasurer, 1997-2000 n Florida Dental Association n secretary, vice president, president-elect, president, 2017-present

8.

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TODAY’S FDA NOVEMBER/DECEMBER 2021

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n liaison, Florida Department of Health, 2012-14 n trustee, 2009-15 n alternate trustee, 2005-09

Presidential Favorites

n chair, Council on Communications, 2003-04 n

FDA Services, Inc. Board of Directors, 2006-15

n

American Dental Association

n delegate, 2015-present n alternate delegate, 2004-15 n member, Council on Dental Education and Licensure, 2016-20 n chair, Council on Ethics, Bylaws and Judicial Affairs, 2009-10

Hobbies: Biking, sailing, hiking.

Food: Authentic Mexican cuisine, especially Mexican seafood.

Memories: Climbing the Camino Pyrenees with my wife, Carmen; bicycling the West Coast of the U.S. as a college student; the births of my children and grandchild.

Guilty pleasure: Binge-watching spy movies.

n member, Council on Ethics, Bylaws and Judicial Affairs for the 17th District, 2006-10

Sports team: University of Michigan Wolverines.

n member, Joint Subcommittee on Ethics in Education and Dental Practice, 2007-10

also enjoy reading.

Leisure activities: Carmen and I enjoy walking; I Vacation destinations: Spain, all over the U.S.,

n member, American Dental Educators Association Task Force on Professionalism in Dental Education, 2008-09

Latin America. I like going everywhere!

n member, American Dental Educators Association Task Force on Ethics in Dental Education, 2007-08

Flower: Roses (I try to grow them).

Books: The Bible; Tom Clancy books.

Dessert: Apple pie and ice cream — our family used

Photos:

to make 20-30 apple pies at a time via kitchen assembly line and freeze them to eat all winter.

1. Family photo, (l to r): Drs. Carmen and Dave Boden; daughter-in-law, Melissa; son, Francisco; and daughter, Maria.

Candy: Chocolate.

2. Dr. Boden hiking around Lake Superior, MI.

Drink: I like gin and tonic, or rum and coke and,

3. Dr. Boden on his sailboat.

every once in a while, scotch.

4. Drs. Dave and Carmen Boden attending FDC.

Movie: “Patton.”

5. Abuelo with new grandson, Lucas.

Music: Everything except rap; I’m very eclectic.

6. Drs. Carmen and Dave Boden in Pyrenees Mountains.

7. Carmen in la Chiapaneca: The traditional dress from Chiapas, Mexico.

Artist: Eagles.

Pet: None, but I love dogs.

8. Drs. Nolan Allen, Dave Boden and Fred Grassin cycling in St. Pete.

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Doctor's Choice

DR. CESAR R. SABATES, ADA PRESIDENT: A FLORIDA FIRST What do you see as the greatest challenge for you as the president of the American Dental Association (ADA)?

Although there may be complex issues to handle, I wouldn’t call them challenges — I’d call them opportunities. These are areas where I’d like to see the ADA get stronger in service to our members and their patients. I would say the three biggest opportunities ahead for the ADA are dealing with the continued realities of the COVID-19 pandemic; third-party payer issues, which often rank among members’ top concerns; and optimizing the ADA’s business model to adapt to the evolving needs of 21st century dentists and patients.

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TODAY’S FDA NOVEMBER/DECEMBER 2021

What gives you the most joy in this role?

I consider it a blessing to be able to give back to a profession and a community that has given me so much. The work is very important, and I also derive a sense of joy from getting to know dental colleagues all around the country. There’s something about meeting a fellow dentist and feeling the immediate connection because it’s likely that we have the same passion for patients.

ADA members span four generations. How does the ADA meet the needs of such diverse members?

The generational diversity within the ADA is one of the many topics we’re facing right now. And meeting the needs of a FLORIDADENTAL.ORG

diverse membership requires us to understand our members’ values and identify where there is common ground. We certainly want to be a more inclusive organization, where our leadership reflects the makeup and varied perspectives of our overall membership. Arriving at this point means embracing different backgrounds and points of view.

In my opinion, there are some things that matter to everyone, no matter their age or career stage — everyone wants to thrive, everyone wants equitable opportunities to contribute and everyone wants to feel supported in their professional endeavors by their association. Everything we do is in service to our mission of helping all dentists succeed.

What is one piece of advice you would give to a new dentist? A midcareer dentist?

One nearing retirement?

Find ways to give back. I believe that before anything else, dentists are agents of helping and healing. We should do everything we can to promote the health of our communities and to bolster dentistry’s role in the big picture of health care.

Giving back can take a number of forms. Maybe you volunteer with your dental association at the state, local or national level.

Maybe you volunteer with projects like Give Kids A Smile or Donated Dental Services. Or offer a helping hand to a colleague who may need support.

After a cancer diagnosis in 2015, I would have needed to close my practice to undergo treatment out of state. But my friends stepped in and offered to help me. It meant the world to me, and it also meant everything to the team I work with and the patients we cared for, many of whom I’d known for decades.

Generosity — whether it is with your time or talent — doesn’t have just a singular impact. It creates a ripple effect that goes beyond one act of kindness and reaches so many others.

Your service on a committee or council could result in good changes for our overall profession. Volunteering to provide dental services to underserved children can alleviate a burden on their entire families. I even say that my colleagues saved my life; because of them, I could focus on healing. My family, my team and my patients felt the love.

Many dentists are experiencing challenges in finding hygienists, assistants and other team members. Is the ADA addressing that?

The pandemic has certainly compounded the staffing shortages facing many dental practices around the country. Yes, the ADA is working to address this issue and we’re looking to support state societies in strengthening the dental workforce.

It’s certainly on our radar and there’s more to come.

SEE PAGE 47

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2.

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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.

FDC2021 Course Recordings PEOPLE.

PURPOSE.

PASSION.

PATHWAYS TO SUCCESS

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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“

Find ways to give back. I believe that before anything else, dentists are agents of helping and healing. We should do everything we can to promote the health of our communities and to bolster dentistry’s role in the big picture of health care.

FROM PAGE 45

In your opinion, what is the No. 1 reason to belong to organized dentistry?

The sense of community. I consider the dental community a professional family. The relationships that I’ve cultivated have been priceless, and I believe that everyone who is a member of the ADA should experience that sense of warmth and belonging.

I’ve talked about the ADA being a “third place” for dentistry.

The third place is a sociological concept that posits the importance of providing communities a chance to gather aside from home or work. We often take for granted the connections we make in places like our book clubs, coffee houses, social clubs, or sports teams that we or our children are involved in. But these third places are where we convene on ideas and engage with others who share our passions, and they’re vital for keeping a community strong. I want the ADA to be a third place for all dentists — it’s where they can connect on their passion for patients and for moving our profession forward.

In addition to the interpersonal benefits of being an ADA member, there’s also the recognition of strength in our numbers. The greatest example of this has been during the COVID-19 pandemic — we were able to do more together as an association than any one dentist could have accomplished on his or her own. The ADA amplified dentists’ voices before federal agencies, and we were able to secure small business relief for practice owners and have dentists prioritized for personal protective equipment. We were able to provide the dental perspective to the White House, the U.S. Centers for Disease Control and Prevention, U.S. Department of Health

FLORIDADENTAL.ORG

”

and Human Services, and groups like the National Academies of Sciences, Engineering, and Medicine. These agencies have been instrumental in leading our nation’s pandemic recovery effort — from infection control protocols to vaccine distribution — and the ADA has their ear. That’s the value of being part of the ADA: Dentists’ voices are heard. Their perspectives are shared and taken into account, which means everything in times of crisis and otherwise.

Why is it important to have a tripartite structure — one that requires membership at the local, state and national level?

At the ADA, when we talk about the tripartite, we often refer to the phrase, “The Power of Three.” And, at its essence, the tripartite structure is about the strength and value provided to members at all three levels and leveraging it for overall good.

It’s about creating relevant member experiences at the national, state, and local levels where members receive valuable benefits and resources from the level best suited to provide it and in ways that complement each other. It’s supporting locationspecific advocacy that benefits all members wherever they live.

Dentists’ concerns and challenges may vary city by city, state by state. The district and constituent societies work to address these issues where they are. The ADA supports the states and local districts on their efforts, along with driving federal advocacy and big-picture issues that have broad impact.

Photos by EZ Event Photography, courtesy ADA News. © 2021 American Dental Association.

TODAY’S FDA NOVEMBER/DECEMBER 2021

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ENGAGING FLORIDIANS TO SEE THEIR FDA MEMBER DENTIST During the past year, the Florida Dental Association (FDA) and the Moore agency engaged in proactive media and advertising campaigns to educate Floridians on the safety and importance of routine dental visits and encourage them to find and see their FDA member dentist.

2020-2021 PUBLIC & MEDIA RELATIONS SUCCESS HIGHLIGHTS Ongoing public relations, advocacy and media efforts reinforced the FDA as Florida’s advocate and expert on oral health, member dentists’ commitment to the safety and well-being of their patients, and the importance of not delaying routine dental care.

120+ media hits

35+

local, statewide & national media outlets

59+

million media impressions

Dentists’ primary goal is to provide the care that their patients need.

“We live in these communities,” said Dr. Andrew Brown, [then-] president of the Florida Dental Association. “We want to keep everyone safe.”

Dentists continue to urge those who have not been in for their usual checkups and cleanings during the pandemic to make appointments. According to them, dental care and oral health are essential to overall health.

“Those patients who have delayed treatments have come back with greater cavities and inflammation of their gums or gum disease that require more advanced treatment,” said Dr. Cesar Sabates, recently [installed as president] of the American Dental Association.

— Florida Dentists Continue To Provide Care Amid Pandemic Florida NPR stations, Florida Trend Health Care, Nov. 30, 2020

2021 FLORIDA MISSION OF MERCY

40+ media hits 35+ million media impressions 880 shares of media stories 48

on social media

“We try to get people out of pain,” explained 2021 Florida Mission of Mercy chair and oral surgeon Dr. Dan Gesek.

— Clinic performs $1.6M in free dental work for more than 1,100 patients in need News 4 Jax, July 31, 2021

2020-2021 DIGITAL ADVERTISING SUCCESS HIGHLIGHTS Ongoing digital ad campaigns reached targeted consumers throughout the state, driving them to find and see their FDA dentist using the FDA Find-A-Dentist search directory.

In addition to paid search (Google Adwords) advertising, we engaged in two creative campaigns displayed on Facebook, Instagram, Snapchat and TikTok: •

Getting Back to Routine: Reached targeted audiences, including families and older adults, to encourage them to get back to their dental routines and not let their dental benefits go unused.

•

Welcome Back: Targeted young professionals to encourage them to not put off dental visits and build habits of going to the dentist.

CAMPAIGN HIGHLIGHTS

3.79+

million targeted impressions

92K+

campaign landing page views

67K+ ad clicks

43K+

clicks to the FDA member dentist search

AS AN FDA MEMBER, YOU CAN TAKE ADVANTAGE OF THESE EFFORTS BY: •

completing your ADA/FDA member profile so your profile rises to the top of the search directory.

To complete your profile, visit ada.org/myada or contact fda@floridadental.org.

•

displaying your FDA member logo on your website, social media platforms and marketing efforts.

Log in to the member section of the FDA website and select “Download member logo.”

•

connecting with the FDA on Facebook, Instagram, Twitter and LinkedIn to share FDA content on your own social media channels, and check your FDA communications for campaign content.

49

Just Reboot computers

Your

Computer

“

When you shutdown or reboot your computer, that closes all open processes, clears this RAM out, and refreshes the computer back to the condition when you first turned it on.

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If you’ve ever had a computer issue, the first action tech support people suggest is to reboot your computer. Where did this word “reboot” even come from anyway? Did you know that PCs have a startup procedure called the bootstrap procedure? It comes from a phrase “pulling yourself up by the bootstraps.” It refers to the startup process that occurs after a computer is powered on or the power is reset (like a light switch off and then on again). That bootstrap process or booting for short, loads software programming and instructions into temporary memory locations we know as RAM (random access memory). When you shutdown or reboot your computer, that closes all open processes, clears this RAM out, and refreshes the computer back to the condition when you first turned it on.

Why does this reboot seem to work in 75% of the issues or problems that people encounter?

Every electronic device has some form of temporary memory, and because the software programming is designed by humans, there often are problems with applications closing properly. I opened the task manager on my PC the other day and I had 12 Chrome (a web browser) processes and eight PDF Element processes, but I had no web browser or PDFs open! You wonder why your computer is so slow. That is 20 processes still open and basically taking up space in my computer’s brain. It’s like how I can still remember my middle school locker combination and my first telephone number 50 years ago. Things are taking up space in my head that I can no longer use. If only I could reboot my brain some days.

LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS

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

So, when you reboot your computer, those processes close out and everything starts fresh. By the way, did I mention that a reboot could help you with every electronic device you own? It’s true. Your phone not acting right? Power it off and power it on again. That tablet not performing as expected … reboot. This works for watches, routers, printers, cable modems, thermostats, doorbell cameras and more. How do I know? I have rebooted all those things just this week. The problems that existed before “magically” went away. Now, make no mistake, not every problem is resolved by a reboot. It’s a first step. So, here are three tips to rebooting a device.

1.

Reboot a device whenever you notice a performance loss or an issue you cannot explain.

2. If possible, it’s better to fully power off the device, count to 30 and then power it on again. Some electronics take a while to fully shutdown, so counting to 30 is not magic,

just helpful. You can restart your computer, but I like the full shutdown option best if you have the time.

I suggest rebooting your computer daily. Other devices weekly even if there are no known issues. I also reboot my phone every two days. Those are the two devices I use the most, so I prefer to have them at optimum performance.

3.

As I mentioned, this does not solve all problems — but if you call for technical support, you can be one step ahead of the game and tell them, “Yes, I have rebooted, and it still doesn’t work.”

Congratulations, you are now an IT pro.

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marketing

HOW TO BUILD AN EFFECTIVE PRACTICE MARKETING STRATEGY WHITEBOARD MARKETING

Investing in a strong dental marketing program has become more important than ever to achieve your goals and establish a strong future for your practice. “The top priority for a majority of our clients is to attract, acquire and retain new patients,” says Sean White, CEO of Whiteboard Marketing. “However, strategic marketing efforts also are important for improving and building your brand, connecting and developing relationships with patients, and establishing yourself as an expert in the industry. A practice marketing strategy creates a roadmap and action items that help you accomplish what is most important to you and your practice.”

Setting goals and determining the top priorities for your practice will help you develop an actionable plan as you start to shape your marketing strategy. “When we take a client through strategic marketing planning, we always ask three key questions,” says Kristi Simone, CMO of Whiteboard Marketing. “Where do you want to go? Where are you now? And how will you get there? These three questions help uncover rich

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and fulfilling insights as you consider a marketing approach for your practice.”

When developing your practice marketing strategy, the most essential elements to consider are your goals, your budget, the marketing tactics that best fit your practice and how you will track success.

Step 1: Establish Your Goals First, where do you want to go? Consider what your ultimate goal is for your practice’s marketing plan. “What are the goals you’d like to achieve in terms of patient acquisition and retention, and the services you’d like to promote and generate revenue from in the future? Knowing crucial demographics about your current patients will help you be more strategic where you allocate your time and energy for marketing efforts,” says Simone.

Next, where are you now? Take time to audit your marketing practice efforts and consider what is and isn’t working. “There are special auditing resources and tools that exist to help critiFLORIDADENTAL.ORG

cally evaluate your marketing tactics and point you in the right direction,” says White.

Step 2: Determine Your Budget “How much you spend is truly up to your practice,” says White. “It’s rare to not see some form of a return on investment in a well-thought, intentional, data-driven marketing plan. The industry standard for dental marketing expenditures is generally 3%-6% percent of your revenue. Expenses across the board generally include search engine optimization (SEO), dynamic call and form tracking, social media management, Facebook boosting, online review and reputation management, local SEO and business listings management and email marketing. Larger spends come with the introduction of pay-per-click (PPC) advertisements, website chat and blog writing.”

It’s important to consider what this spend looks like for your practice. If you’re a new practice or are still determining what you want to accomplish with your strategy, starting on the lower end of the budget spectrum may be best.

Step 3: Select the Marketing Tactics That Best Fit Your Practice Once you have established your goals and budget, determine how you will get there. “Depending on the budget you’re willing to set for marketing, we always recommend that our clients use multiple methods to ensure they are creating targeted campaigns to receive the highest return on investment possible,” says White. “SEO, social media and Google PPC advertising, social media content strategy, online patient reviews and reputation management, Google My Business and business listing management, website design and update, and dynamic call and form tracking are all marketing tactics used to create a comprehensive marketing strategy that drives results.”

team uses Google Analytics to track how many people have visited your site each month, where they are looking on your site, what pages have the highest traffic and more. Our digital marketing specialists use social media insights to understand what content people are liking, sharing and commenting on across your social channels.”

Tracking your marketing and your spending is fundamental to the ultimate success of your efforts. Keep a close eye on what tactics work for you, and what doesn’t. If one is working better than another, you may want to consider allocating part of your budget toward that instead.

It’s important to set goals, determine your budget, select the marketing tactics that best fit your practice, and track your success in order to create a comprehensive marketing program that yields results. Ultimately, building an effective practice marketing strategy will help you attract new patients, keep current patients coming back and continue to reach your practice goals.

Additionally, join the Florida Dental Association and Whiteboard Marketing CEO Sean White and CMO Kristi Simone on Tuesday, Dec. 14, at 6 p.m. ET for a webinar, “Local Patient Search and How Google Impacts Your Practice.” Participants will: understand how Google views dental practices and what Google provides to help dentists show up during the patient search process. discover what your practice Google My Business page is and how to claim, optimize and use it to attract patients, increase phone calls and requests for directions, request reviews and more. learn how to incorporate SEO, online reviews and marketing strategies to help Google find you when a patient searches for a new dentist.

“In today’s world of immediacy, you’ll also want to include immediate conversion opportunities for patients,” says Simone.

“Website chat, online scheduling, patient forms on your website and online bill pay are all excellent ways to help website visitors convert into new patients without having to wait.”

You can register now at bit.ly/3FMdTuW. Those who register but are unable to attend live will receive a link to a recording of the webinar to watch on demand.

Step 4: Track Your Success

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.

“Each marketing tactic that you incorporate into your marketing program has a specialized platform to measure performance and effectiveness,” says White. “For example, our SEO

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FDA: Radiography

AMATEUR PHOTOGRAPHY IS GREAT FOR VACATIONS (JUST NOT GREAT FOR RADIOGRAPHY) If you’re doing radiography without the proper training, it’s really more like amateur photography. There’s no room for amateurs in dentistry and it violates Florida law. The Florida Dental Association (FDA) Online Radiography Training Program provides you the formal training you need, with the professional development you want. This training enriches your career path while contributing a vital service to your patients and dental team. It’s the most convenient and economical way to get the radiography training required by Florida law. No travel. No time away from work. Train online, at your own pace. It’s affordably priced, too — just $285 per student for FDA members!

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stay interviews

THE

POWER OF “STAY INTERVIEWS” Question:

JODI SCHAFER, SPHR, SHRM-SCP, HRM SERVICES

I’m trying to fill a hygienist position and am not having a lot of luck. When I talk to my colleagues, it seems I’m not alone in my recruiting struggle. There are several factors at play — inadequate numbers to meet current hiring demands, inflated unemployment payments due to the federal subsidy, and ongoing fears and/or family demands due to COVID-19. While I’m trying to work every angle, the clock is ticking. My team is doing more with less, and I can see the signs of burnout all around me. The worst thing that could happen is for me to lose one of my existing staff at this stressful point in time.

What can I do to retain my current team in this challenging environment?

Answer: As you know from talking with other dentists, hiring for certain positions has become incredibly difficult and very expensive. The drop in applicant numbers has led to a supply/demand dilemma, and starting wages are rising drastically as a result. Some practices have grown so desperate that they’ve started poaching employees from colleagues in the community. You are right to worry about hanging on to the staff you have. Losing them to burnout or the practice down the street is a very real threat.

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To ward off unwanted departures, you need to find out how your staff perceives their job responsibilities, their workload, your management style, the practice policies and protocols, their wages and benefits, etc., before it’s too late. Talking to your current team members, one at a time, for the purposes of retaining them is referred to as a “stay interview.” These conversations provide insight into why an employee chooses to stay with your practice and what might cause them to leave. While pay may be one factor that needs adjusting as a result of the current job market, it is probably not the only change, nor the most meaningful change, that you could make to improve overall job satisfaction.

If you’ve never conducted a stay interview before, it can be a little nerve-wracking. You may be anxious to hear what employees will say, and employees may be hesitant to tell you the truth. It’s best to set the stage for a stay interview in advance of the actual meeting. Let your staff know that you recognize the stress and added demands that have been placed up on them over the last 16-plus months and that you want to do what you can to support them and make your practice a great place to work. Then, introduce that you’ll be having an informal talk with each of them to find out how they’re doing, what

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they like about their job and the work environment, and what you could do to make things even better.

When the time comes to speak with your employees, follow the 80/20 rule. Spend 80% of the time listening and 20% of the time probing further and taking notes. This is about them and their perspectives, so allow them to do most of the talking. Use these five classic stay interview questions to get you started, but feel free to dive deeper based on the responses provided:

• • • • •

What do you look forward to each day when you come to work?

What are you learning here, and what do you want to learn?

To close the stay interview, thank your employee for their honesty, summarize the key points you heard, and let them know what you plan to do with the information. Remember, not acting on the feedback you receive is worse than never having asked for their opinion in the first place. Consider communicating the results of your interviews in aggregate along with any planned changes so that your staff knows that their efforts and vulnerability weren’t in vain. The time you invest in this process will pay dividends in retaining key staff and boosting moral during a difficult time.

Reprinted with permission from the Journal of the Michigan Dental Association, July 2021 issue.

Why do you stay here?

When is the last time you thought about leaving us, and what prompted it?

What can I do to make your job better for you?

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W m d

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Want to refer to that information you saw in an FDA email? Need to refresh your memory about recent Special Alerts? Can’t find the email or was it accidentally deleted?

Easily find all Special Alerts archived on the FDA website for your convenience at Want to refer to that information you saw in an FDA email? Need to refresh your floridadental.org/specialalerts. memory about recent Special Alerts? Can’t find the email or was it accidentally

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Easily find all Special Alerts archived on the FDA website for your convenience at floridadental.org/specialalerts.

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FDC2022 | SPEAKER preview

The PEEL Technique – TM

A New Paradigm in Pediatric Tongue-tie Treatment

DR. ROBERT CONVISSAR

Dr. Convissar is general dentist in New York, N.Y. and can be reached at laserbobdds@gmail. com.

One of the reasons I became a general practitioner rather than a specialist is because I love to do a little bit of everything. I love placing a mouthful of porcelain veneers.

This is a procedure that not only changes patients’ smiles, but also changes their whole outlook on life, giving them more confidence and making them feel so much better about themselves. I enjoy bringing a patient’s mouth back into full function by restoring implants with crowns, bridges or All-on-4s so that the patient can now eat well, talk and smile for the first time in a long time. I feel gratified when a patient comes into the office in excruciating pain, and I can perform endodontic therapy to make the pain disappear; but there is nothing in the world that makes me prouder to be a dentist than treating the family of a tongue-tied newborn baby.

Though you may think that I treat just the baby, it’s the entire family that is affected.

Mom and Dad — and usually Grandma as well — come into the office exhausted and sleep deprived because the baby is attempting to feed every two to three hours. The baby isn’t thriving or gaining weight as he or she should. Mom’s breasts are engorged — and she might have mastitis. Nursing, a process that she was told by all her friends and family is the most wonderful thing a mother can

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do with a baby, releasing endorphins and forging a permanent mother-child bond, is near impossible. Mom’s nipples are red, sore, cracked, misshapen, bleeding and very tender. She may be suffering from post-partum depression because she feels that she is failing as a mother — she cannot nourish her baby.

She walks into the office crying because she feels like a failure. She leaves the office a short while later crying again — only this time, it’s tears of joy because for the first time in her life, she successfully nursed her baby. AND I MADE THAT HAPPEN! Tongue-tie release is not simply performing a frenectomy on a 3-day-old infant. There is an entire diagnostic/assessment process the dentist must go through before treatment. Is an anterior tongue-tie present? A posterior tongue-tie? A maxillary anterior lip-tie? A mandibular anterior lip-tie? Are the buccinator attachments involved? Unilateral?

Bilateral? Do I release all of them at once? At sequential appointments? What about postoperative care? How do I prevent the frenum from reattaching? What about exercises?

Stretches? Does the baby need the services of a craniosacral therapist? A pediatric chiropractor? What about analgesia? I know I cannot use benzocaine topical on a baby, for fear of methemoglobulinemia. Did the baby have

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“

„

Tongue-tie release is not simply performing a frenectomy on a 3-day-old infant. There is an entire diagnostic/assessment process the dentist must go through before treatment.

a Vitamin K shot? Vitamin K drops? I don’t need a 3-day-old baby with uncontrolled bleeding due to Vitamin K deficiency in my office. Was it a home birth? Did the baby have routine blood work at birth, or will I be the first person to find out that the baby is a hemophiliac? Has sickle cell disease?

There is so much knowledge one needs to learn before attempting such a procedure. How do we go from here (Fig. 1) to here (Fig. 2):

Fig. 1

Fig. 2

Note the lack of elevation of the tongue in the first photo, preventing baby from compressing mom’s nipple against his palate to create a seal and breastfeed successfully. Note the full elevation of the tongue immediately after the procedure. Now the baby can breastfeed successfully.

That’s why dentistry is more than just fixing teeth and gums. It’s enabling the tiniest, most helpless patients to grow and thrive.

Learn more about this procedure at the 2022 Florida Dental Convention, where Dr. Convissar will be presenting, “The Peel TechniqueTM— A New Paradigm in Pediatric Tongue-tie Treatment: A Two-day Mini-residency” on Thursday, June 23 and Friday, June 24 from 9 a.m.-5 p.m., both days.

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FDC2022 | SPEAKER preview

are you meeting just to meet?

The Key to Productive Team Meetings Communication is a key element in a happy team environment. Many times, we receive feedback from the team regarding poor interoffice collaboration, lack of team meetings and overall need for more interaction among colleagues. At Practice Dynamics, we are firm believers of effective communication and know this is not something that comes easily to everyone. One of the ways to ensure great communication is through productive team meetings, and I’ve outlined our yearly key team meetings below.

The Big Once a Year: Strategic Planning Session LACI PHILLIPS NEWLAND, PRACTICE DYNAMICS, FOUNDING PARTNER

Ms. Phillips Newland is a national dental coach and speaker in Aztec, N.M. and can be reached at laci.phillips@ practicedynamics.net.

This is the perfect meeting to start your year off on the right foot. We recommend having this all-team meeting in the third quarter of the year to plan your strategies for the next 12 months. Plan for two to four hours of activities and exercises to generate ideas for goals and growth.

Quarterly: Touch Base with The Big Goal This meeting is all about touching base with the team on the progress of your Big Yearly Goal. Plan to meet with the team for two hours to review the goals you set in your strategic session. You can update your tracking board and perhaps set a few new goals to get you to closer to that Big Yearly Goal.

Monthly: Lunch and Learns We love our lunch and learns and schedule six internal and six external throughout the year. Your six internal meetings consist of each department in your office: doctors, administrative, business, clinical, hygiene and marketing to give a one-hour session focusing on key items the entire team should be aware of and participating in.

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“

„

One of the ways to ensure great communication is through productive team meetings.

There is much communication that could — and should — happen in the office to manage a happy team.

Weekly: Lead Check In Checking in with your leads will ensure you are always aware of all components of the practice. This is a 15-minute check-in at the end of the week: was last week, were there any issues with patients or • How team members I should be aware of?

• How does the next week look?

• Any team members out on PTO? • What do you need from me?

• Here is what I need from you.

Daily: Huddle This is your morning or afternoon huddle and shouldn’t take longer than 15 minutes. It’s designed to start the day with communication for the entire team. Your agenda should be short, sweet and to the point.

• How was yesterday — what worked, what didn’t? does today look? Anything we need to change or • How adjust?

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can we put emergencies this morning • Where and this afternoon?

• Daily opportunities for growth.

• Wrap up with a leadership statement.

There is much communication that could — and should — happen in the office to manage a happy team. If your team may need more or better communication, start with our list of productive meetings. And, as always, we are here to help you be more effective and efficient with your systems, teams and technology.

Ms. Philips Newland is presenting several courses at the 2022 Florida Dental Convention. On Thursday, June 23, “Your Practice Through the Patients’ Eyes,” will be at 2 p.m. On Friday, June 24, “Creating Leaders in Your Practice: Three Keys Systems to a Perfect Team,” will be at 9 a.m. and “Communications, Coding and Collections: The 3 C’s to a Profitable Practice,” will be at 2 p.m. On Saturday, June 25, “Systems, Teams and Technology: Creating Balance-driven Success in your Practice” will be at 9 a.m. and “Constantly Plugged in and Desperately Seeking Balance” will be at 2 p.m.

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EXHIBIT HALL The 2022 Florida Dental Convention (FDC) presents industry leading exhibitors with the latest products, services and technologies. Stop by the booths of your current suppliers and connect with new ones for exclusive convention-only deals and to thank them for their support of FDC. Support the companies that support the Florida Dental Convention!

A A-DEC INC. ACTEON NORTH AMERICA ADS DENTAL SYSTEM INC. ADVANTAGE TECHNOLOGIES AFFORDABLE DENTURES & IMPLANTS AIR TECHNIQUES ALIGN TECHNOLOGY INC. ARGEN REFINING ARTCRAFT DENTAL INC. ASEPTICO INC. ATLANTA DENTAL SUPPLY AUGMA BIOMATERIALS

B

VIEW THE CURRENT EXHIBITOR PRODUCT categories!

FLORIDADENTALCONVENTION.COM

BANK OF AMERICA PRACTICE SOLUTIONS BARKSDALE DENTAL LAB BENCO DENTAL BIOLASE, INC. BIOTECH DENTAL BIRDEYE BISCO BRASSELER USA

C CARR COAST DENTAL COGENT BANK COLGATE COLTENE CREDITBENCH POWERED BY FIRST HOME BANK CREST+ORAL-B CUTCO CUTLERY

D DANDY DENTAL LAB DENTAL EQUIPMENT LIQUIDATORS DENTAL TRIBUNE AMERICA DENTAQUEST DESIGNS FOR VISION INC. DIGITAL DOC LLC DIGITAL RESOURCE DOCTOR MULTIMEDIA DOCTOR’S CHOICE PRACTICE TRANSITIONS LLC DOCTORSINTERNET DORAL REFINING CORPORATION DPC TECHNOLOGY

E-G EASSIST DENTAL SOLUTIONS ELEVATE ORAL CARE ENOVA ILLUMINATION ESTHETIC PROFESSIONALS FAIRFIELD ORTHODONTICS FLORIDA COMBINED LIFE FLORIDA DENTAL ASSOCIATION (FDA) FDA FOUNDATION FDAPAC FDA SERVICES INC. FLORIDA PROBE CORPORATION FOUR QUADRANTS ADVISORY GARFIELD REFINING GARRISON DENTAL SOLUTIONS GC AMERICA INC. GETSEE & DEMEOLA CPA BUSINESS ADVISORS GLIDEWELL DENTAL GRACEY-BACKER INSURANCE

H-K HALYARD GLOBAL PRODUCTS HAWAIIAN MOON HENRY SCHEIN PRACTICE TRANSITIONS HUFRIEDYGROUP HUNTINGTON PRACTICE FINANCE HUNZA DENTAL IMPLADENT LTD. IMPLANT EDUCATORS ACADEMY INTELLISCAN 3D KAVO DENTAL TECHNOLOGIES KEATING DENTAL LAB KENWOOD/CGX RADIOS KETTENBACH

L-N LEIXIR DENTAL GROUP - SOUTH LIBERTY DENTAL PLAN LUMADENT INC. M.A.R.S BIO-MED PROCESSES INC. MAVRIK DENTAL SYSTEMS MEDI LOUPES MGE MANAGEMENT EXPERTS MICROCOPY MODERN DOC MEDIA MYOFUNCTIONAL RESEARCH MYRIAD CAPITAL

NORIS MEDICAL NORTH AMERICAN DENTAL GROUP NSK AMERICA CORPORATION

O-Q ORASCOPTIC PETER J. FREULER JR., PA, CPA PHARMACISTS MUTUAL INSURANCE COMPANY PHILIPS SONICARE AND ZOOM WHITENING PORTER INSTRUMENT PORTER ROYAL SALES POWER DENTAL USA INC. PREDICTABLE SURGICAL TECHNOLOGIES PROVIDE PULPDENT CORPORATION Q-OPTICS & QUALITY ASPIRATORS QUINTESSENCE PUBLISHING CO. INC.

R-S RADIATION DETECTION CO. RGP DENTAL INC. RITTER DENTAL USA ROYA.COM SALVIN DENTAL SPECIALITIES INC. SCICAN/COLTENE SHATKIN F.I.R.S.T LLC SHOFU DENTAL CORPORATION SIMPLIFEYE SIZEMORE & ASSOCIATES, CPA’S LLC SMILE DESIGN DENTISTRY SNAP ON OPTICS SOLMETEX STANDARD COMPUTER STRAUMANN GROUP SUMMUS MEDICAL LASER SUNCOAST CREDIT UNION SUPERIOR DENTAL DEISGN & UPHOLSTERY SURGITEL

T-Z TCG DENTAL REPAIR THE DAWSON ACADEMY THE DOCTORS COMPANY THE TRANSITION GROUP LLC TOKUYAMA DENTAL AMERICA ULTRADENT PRODUCTS INC. ULTRALIGHT OPTICS INC. VAKKER DENTAL INC. VATECH AMERICA INC. VIDEO DENTAL CONCEPTS VIRTUS FINANCIAL PARTNERS WATER PIK INC. WELLS FARGO PRACTICE FINANCE XENOSYS USA

EXHIBITORS AS OF OCTOBER 29, 2021

FDC2022 EXHIBIT HALL HOURS & EVENTS Times are subject to change.

THURSDAY, JUNE 23 11 AM-6 PM Exhibit Hall Open to Attendees 2-4:45 PM Corporate Learning Corners 4-6 PM Welcome Cocktail Reception

FRIDAY, JUNE 24 8:45 AM-6 PM Exhibit Hall Open to Attendees 9-11:45 AM & 2-2:45 PM Corporate Learning Corners

SATURDAY, JUNE 25 9 AM-2 PM Exhibit Hall Open to Attendees 9-11:45 AM Corporate Learning Corners

EXHIBITORS IN RED ARE FDAS CROWN SAVINGS MERCHANTS.

FDA SERVICES INC. IS A MAJOR SPONSOR OF THE FLORIDA DENTAL CONVENTION.

FDAS: Bank of America

Maggiano’s Little Italy 203 Westshore Plaza Tampa, FL 33609

Buyer Seminar

Thursday, January 20th, 2022 6:00pm-9:15pm

Seller Seminar

Friday, January 21st, 2022 9:00am-12:15pm

Funky Buddha 1201 NE 38th St Oakland Park, FL 33334

Buyer Seminar

Wednesday, April 20th, 2022 6:00pm-9:15pm

Seller Seminar

Thursday, April 21st, 2022 6:00pm-9:15pm

Maggiano’s Little Italy 10367 Mid Town Parkway Jacksonville, FL 32246

Buyer Seminar

Thursday, May 12th, 2022 6:00pm-9:15pm

Seller Seminar

Friday, May 13th, 2022 9:00am-12:15pm

Greg Jones

Doctor’s Choice Dental Praccce Broker

Jason Kaplan

Palm Beach Law Group Dental AAorney

Mike DeMeola

Getsee & DeMeola, LLC. CPA, CVA, CFE

Jason Nunez

Bank of America VP Dental Acquisiions

Gaylord Palms Resort Florida Dental Convention State Meeting 6000 W. Osceola Pkwy, Kissimmee, FL 34746

Buyer & Seller Seminar Friday, June 24th, 2022 2:00pm-5:00pm

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ben-pat

2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-M

This July, more than 1,100 volunteers from across the state participated in the sixth Florida Mission of Mercy (FLA-MOM), presented by the FDA Foundation. FLA-MOM is a large-scale, two-day, professional dental clinic that provides care to any patient at no cost to them, with the goal of serving the underserved and uninsured in Florida. FLA-MOM seeks to have a positive impact on those who attend by relieving dental pain and infection, restoring smiles and dignity, and educating patients about the importance of obtaining and maintaining optimal oral health. Held July 30-31 at the Prime F. Osborn III Convention Center in Jacksonville, the 2021 FLA-MOM safely provided 9,864 procedures to 1,130 patients — resulting in $1.6 million in donated care!

Thank you to all our volunteers and benefactors who helped make the event a success! Please visit flamom.org to get information about the 2022 FLA-MOM taking place in Tallahassee this spring.

2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-M

MOM • 2021 FLA-MOM • 2021 FLA-MOM 2021 FLA-MOM • 2021

MOM • 2021 FLA-MOM • 2021 FLA-MOM 2021 FLA-MOM • 2021

2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-

2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-MOM • 2021 FLA-

Books Books SHELF SHELF We need your help! bookshelf is overflowingand and we we are of of space!

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Select a text from a long list of the latest scientific and clinical information provided by Quintessence Publishing.

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Your requested book is sent to you to read and review. Book review guidelines are provided on floridadental. org/books.

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cybercrime

The Costly,

Psychological Effect of Cybercrime Four Ways to Beat Cybercriminals at Their Own Game No one likes to be manipulated, yet we are subjected to invasive tactics in our email to get us to click a link, give access to sensitive data or share confidential information. These aren’t just spam emails. Cybercriminals are using an email approach called “social engineering,” which is designed to feel and look familiar to quickly gain your trust.

ROBERT MCDERMOTT PRESIDENT AND CEO, ICORECONNECT

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even your employees. Once they have enough information, they send out a targeted email campaign, called phishing. The email is just close enough to a real email that the recipient may trust its legitimacy and take a requested action, like opening an attachment or clicking a link.

Dental and medical practices are among the most vulnerable to these attacks. Protected health information (PHI) is a high-dollar commodity, selling for hundreds of dollars per record. Practices also may be crippled by cybercriminals who hold your data for a high ransom.

Let’s look at one specific example. In a phishing attempt impersonating Amazon, cybercriminals claim a package was shipped to the wrong address and are requesting a call back to fix the issue. If you take action, those bad actors immediately work to steal money, compromise your data and perhaps cripple your practice operations.

Here’s how cybercriminals socially engineer their attacks: they tend to gather information about your industry, your business and

Here are four ways you can quickly determine when email has been socially engineered to trick you.

NOVEMBER/DECEMBER 2021

FLORIDADENTAL.ORG

1. Can you verify the sender? Does the name or email address look suspicious?

Notice the sender address on the left is similar to the actual “Amazon.com” address. Whether you’ve received a questionable email from an apparent colleague or friend, or an attempt like this one, you’ll notice that the email address may closely resemble a known company or domain, but something is always amiss. The big differences include a slight altering of name or spelling, spacing or punctuation issues, and/or omitting of a few characters.

2. Look for generic greetings, incorrect spelling and poor grammar.

Dear Customer/Sir or Madam, this email is a trick.

Well, they may not be that direct, but the “Dear Customer” or “Sir and Madam” types of greetings may be a tip off. Most legit companies will insert your name in the greeting. In this phishing attempt, like most others, there are spacing issues in the body of the email, repetitive content and missing punctuation.

3. Be wary of unusual information.

Check out the delivery address. It says, “San Antonio San Pedro,” which isn’t a real place. It’s good to ask yourself questions when something feels off. For instance, why would a known vendor share another person’s personal information with you?

FLORIDADENTAL.ORG

4. Don’t click the links.

In the case of the Amazon spoof, the links take you to Amazon, but not to your supposed order. The goal of this, and many phishing attacks, is to get you to call a phone number or click an attachment or often, a link containing malware. The attack attempt here drives you to call them. That’s when they will likely ask you to verify credit card or bank account information. Clicking a link can install malicious bugs to steal your data, like PHI, or shut down your entire practice.

In addition to educating your staff to identify suspicious emails, make sure your practice is using a truly HIPAAcompliant secure email with multi-layered security to prevent phishing attempts from even making it to your inbox. A high encryption level of 2048-bit and a built-in user verification process will make your practice email almost impossible for a cybercriminal to access.

Awareness, staff education and fully HIPAA-compliant email will keep your practice and patient information safe from those who stand to profit from an unintentional click of a link or phone call to a cybercriminal.

The Florida Dental Association (FDA) endorses iCoreExchange HIPAA-compliant email. iCoreExchange not only meets or exceeds every compliance and security requirement, but it also allows you to attach as many large files as you want to any single email. Speed up your workflow, protect patients and your practice. Check out this convenient and compliant service at land.icoreconnect.com/FL08 or 888.810.7706. FDA members receive a substantial discount on iCoreExchange.

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DRS. LAUREN A. RUDDOCKS*, NEEL BHATTACHARYYA, DONALD M. COHEN AND NADIM M. ISLAM

Oral Pathology Biopsy Service at University of Florida College of Dentistry in Gainesville. The microscopic features included atypical cartilaginous material, bone and cells resembling osteoblasts (Fig. 4).

Read, Learn and Earn!

A 40-year-old male presented to oral and maxillofacial surgeon Dr. Stephanie Reeder Henley in Jacksonville. His Visit floridadental.org/online-ce for this FREE, MEMBERS-ONLY BENEFIT. You will be given the Question: chief complaint was a two-week history of swelling affectopportunity review “Diagnostic Discussion” and its above accompanying photos. Answer five ing his lower jaw,to with minimalthe associated pain. Tooth Based on the history, clinical photograph and imaging No. 30 had choice been extracted six months Clinimultiple questions topreviously. earn one hour of CE.findings, what is the most likely diagnosis? cal examination revealed a firm expansion of the right A. Fibrous dysplasia mandible with mobility of teeth Nos. 29 and 31 (Fig. 1).

No contents were retrieved upon aspiration of the swellB. Osteoblastoma ing. A panoramic radiograph revealed an ill-defined mixed C. Ossifying fibroma radiolucent-radiopaque lesion with extension superiorly into the soft tissues and causing inferior displacement D. Osteomyelitis Contact FDC Marketing Coordinator Brooke Martin of the inferior alveolar canal (Fig. 2). Buccal and lingual at bmartin@floridadental.org or 800.877.9922.

E. Osteosarcoma cortical destruction as well as irregular deposition of bone on the buccal and superior surfaces of the mandibular body is seen on CT imaging (Fig. 3). Dr. Reeder Henley performed an incisional biopsy that was submitted to the

Fig. 2: Ill-defined mixed density lesion in the area of missing tooth No. 30, causing inferior displacement of the inferior alveolar canal.

Fig. 1: Swelling of the right mandible.

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FLORIDADENTAL.ORG

Fig. 3A: Cross-sectional CT images at 3 mm intervals showing an ill-defined, mixed lytic-sclerotic lesion, perforation of the buccal cortex and sunburst periosteal reaction.

Fig. 3B: (CT) Axial view showing a “moth-eaten,” mixed lytic-sclerotic lesion, perforation of the buccal and lingual cortices, and sunburst periosteal reaction on the buccal surface of the mandible.

Fig. 3C: (3D volume rendering) Buccal view showing a “moth-eaten” lesion with irregular bone deposition superior to the alveolar crest.

Fig. 3D: (3D volume rendering) Lingual view showing an ill-defined “moth-eaten” lesion with perforation of the lingual cortical plate.

Fig. 4: Atypical cartilaginous matrix and osteoblastic cells.

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diagnostics FROM PAGE 89

Diagnostic Discussion A. Fibrous dysplasia Incorrect, but good thought. Fibrous dysplasia (FD) is a benign fibro-osseous lesion associated with mutations in the GNAS gene. It typically presents in patients younger than ours, with most cases presenting within the first three decades of life; however, it can be seen in patients of any age. Craniofacial involvement is common, with the maxilla affected more frequently than the mandible. The condition can affect one bone (monostotic) or multiple bones (polyostotic). The monostotic form accounts for 80-85% of cases, typically presenting unilaterally. As in our case, bony expansion is the presenting feature, with or without pain. Other symptoms resulting from nerve compression can be seen in FD, including vision and hearing loss. Radiographically, the lesions of FD have indistinct borders and may be radiolucent, radiopaque or a combination of both. However, they often exhibit a characteristic “groundglass” appearance. In contrast to osteosarcoma, the cortical bone is thinned but intact, and a periosteal reaction is not seen. Tooth displacement may occur, but root resorption is not a feature of FD. CT imaging is the gold standard for evaluation of craniofacial FD. Microscopically, the condition is characterized by curvilinear trabeculae of woven bone set within fibrous tissue. Antiresorptive drugs and monoclonal antibodies have shown success in slowing progression of the condition. Deformity is corrected by complete removal of affected bone and bone grafting.

B. Osteoblastoma Incorrect, but a reasonable consideration. Osteoblastoma (OB) is a benign bone neoplasm with some clinical similarities to osteosarcoma. The spine is the most commonly involved location within the body, but in the craniofacial region, OB has a propensity to involve the posterior mandible. The average age of affected patients is younger than that of those with osteosarcoma, at around 25 years. However, cases have been reported in patients across a wide age range from 3 to 61 years (Cale Jones, 2006). As with osteosarcoma, the lesion typically presents with bony expansion accompanied by pain. Differentiation between OB and low-grade osteosarcoma can pose difficulty, as OB presents as a radiolucent, mixed radiolucent-ra-

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diopaque, or radiopaque lesion that can be well- or ill-defined, with cortical thinning and/or destruction. This is a particular problem in cases of “aggressive osteoblastoma,” reported to occur in older patients and to exhibit locally aggressive behavior.

Microscopic examination of OB reveals deposition of trabecular bone by osteoblasts in a background of fibrous tissue.

Although significant cellular atypia is not expected in benign lesions such as these, bizarre-looking osteoblasts have been reported in cases of aggressive OB, further blurring the distinction with osteosarcoma. However, even cases of aggressive OB should demonstrate a distinct microscopic boundary with normal bone, unlike osteosarcoma. Submission of representative sections of the entire lesion and providing the pathologist with a comprehensive clinical history are both critical to facilitate accurate diagnosis. Recurrence rates of OB are low (10-15%) but they are thought to be higher for aggressive OB. Treatment for both types of OBs consist of surgical resection.

C. Ossifying fibroma Incorrect, but certainly among the differential diagnoses.

Ossifying fibroma (OF), also known as cemento-ossifying fibroma, is another benign fibro-osseous lesion characterized by bony expansion. Conventional OF usually presents in the mandible in patients around the age of ours, but it is much more common in females than males. In contrast to osteosarcoma, OF presents as a well-demarcated, mixed radiolucentradiopaque, typically symmetrically expansile lesion. Cortical perforation and periosteal reaction are absent in conventional OF. Microscopic examination reveals irregular trabeculae and droplets of cementum-like material, typically surrounded by osteoblasts, in a background of fibrous tissue. Treatment is by enucleation, with lesions frequently reported to “shell-out” easily. Conventional OF does not tend to recur if completely excised.

D. Osteomyelitis Incorrect, but good thought. Osteomyelitis (OM) is the inflammation of bone, usually caused by infection. OM and osteosarcoma share several clinical features, including pain, swelling and sometimes paresthesia. OM of the jaws presents most commonly in males between the ages of 50 and 70 years.

Radiographic features of OM also overlap with those of osteosarcoma: Acute OM shows irregular, “moth-eaten” radiolucencies, while sclerotic change, a periosteal reaction and Codman triangle can be present once the disease becomes chronic.

Cortical destruction is another feature seen in both OM and osteosarcoma. Although widening of the PDL space can be seen in OM, it does not tend to affect the entire PDL space of FLORIDADENTAL.ORG

the teeth in the affected area, as is the case in osteosarcoma. In addition, the periosteal reaction of OM typically has a laminated or “onion-skin” appearance in contrast to the sunburst appearance of osteosarcoma. Root resorption is not a feature of osteomyelitis. Microscopically, the presence of an inflammatory infiltrate and fibrous replacement of bone marrow are suggestive of OM. Clinical correlation is required for definitive diagnosis. Successful treatment typically requires aggressive debridement of necrotic bone and administration of intravenous antibiotics.

Adjuvant radiation and/or chemotherapy can be beneficial in cases where there is difficulty achieving clear margins. Reported five-year survival rates range from 25% to 50%, with lower rates of metastasis and better outcomes seen in head and neck cases compared to those of the long bones. However, the recurrence rate of osteosarcoma of the jaws is higher than that of extragnathic tumors.

References: Availabe upon request

Diagnostic Discussion is contributed

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

E. Osteosarcoma Correct — well done! Osteosarcoma is the most common primary malignancy of bone. It arises most often in the long bones and is relatively rare in the craniofacial skeleton. When it does occur in this region, it most frequently affects those between the ages of 20 and 50 years. The tumor is seen in the maxilla and mandible with roughly equal frequency, while males are affected slightly more often than females. Osteosarcoma of the jaws usually presents with swelling, with or without features such as pain, paresthesia, tooth mobility and nasal obstruction (when tumors involve the maxilla). Enlargement of the swelling in the weeks following tooth extraction has been reported, as seen in our case. There is no single typical radiographic presentation of osteosarcoma, but rather a spectrum from completely radiopaque through mixed radiolucent-radiopaque to completely radiolucent. Lesional borders are ill-defined or “moth-eaten” in appearance. The presence of a periosteal reaction with a characteristic “sunburst” appearance may raise suspicion for osteosarcoma; however, this is seen in only around 25% of cases within the jaws. It’s evident on CT imaging in our case but is absent from the panoramic radiograph. Additional features include symmetrical widening of the periodontal ligament (PDL) space, expansion and destruction of cortical bone, and the Codman triangle: the elevation of periosteum from the cortex due to new bone formation over the rapidly growing tumor. Tooth roots may exhibit sharp, “spiking” resorption and symmetrical widening of the PDL space. Imaging modalities, including CT and MRI, are essential in the evaluation of suspected osteosarcoma. Our case is an example of the chondroblastic type of osteosarcoma, characterized histologically by the deposition of cartilaginous matrix as well as abnormal osteoid (the unmineralized precursor to bone) by malignant osteoblasts. Treatment of osteosarcoma of the head and neck consists of wide resection.

The dental professors operate a large, DR. BHATTACHARYYA 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. COHEN

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

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

The Florida Dental Association is an ADA CERP Recognized Provider. ADA CERP is 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.

*Third-year resident 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.

Dentist — Middleburg. Walmart, the Fortune #1 Company and the Nation’s largest private employer, is helping people save money and live better — and healthier lives. Walmart strives to be a center of wellbeing in the communities we serve, and we have a unique opportunity to provide access to affordable healthcare to millions of people. We need passionate health care professionals to help us achieve our mission. WH FL Dental PLLC, the dental provider to Walmart Health, is looking to hire several Dentists. Minimum Qualifications: Graduation from Accredited School of Dentistry; Current, unrestricted licensed in State where practicing; Lack of sanctions or adverse action against licenses held in other states within the past 5 years; Valid DEA; Valid CDS if applicable to state; Current BLS, ALS and PAL certification if performing conscious sedation. Join our community: WH FL Dental PLLC/Walmart Health, offers a competitive package including base salary, bonus, relocation, and more!

The transformation Walmart is making to the way health care is delivered at affordable, transparent pricing will impact individuals and communities for years to come — this is a chance to be part of something special!

The opportunities presented by applying our resources and commitment to an area like H&W is limitless ... impacting the lives of consumers ... saving them money and helping them live better. You really can make a difference! Visit careers.floridadental.org/jobs/15721277.

Faculty Position, Assistant Professor, Midwestern University, College of Dental Medicine — Illinois. We are seeking full time dental faculty members who are responsible for working with students in a patient clinic setting. We are seeking full-time and part-time dental faculty members who are responsible for teaching in one-to-one, small group and plenary settings; who are able to demonstrate dental procedures in clinical situations; who have strong clinical experience in the use of CAD/CAM dentistry and lasers. Candidates must possess a DDS/DMD degree, be eligible for licensure in Illinois, and have at least 5 years of experience in general dentistry or their respective discipline. 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. Positions are available within the following areas: Clinical and Preclinical Faculty, Oral and Maxillofacial Surgeon, Discipline-Focused, Pediatric Dentist, Orthodontist. Interested applicants may apply online at midwestern.edu/faculty-and-staff/

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employment. Inquires may be sent to Dr. Rebecca Siscel, Associate Dean at rsisce@midwestern.edu, or call 630-743-4958 for more information.

General Dentist — Pembroke Pines. 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; Health care 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/3BQ5sLS. General Dental Practice in the Greater Orlando, FL Market. Central Florida is known for its fun atmosphere, great weather — and new to the market is a general dental practice in the greater Orlando market! The practice is less than an hour from downtown Orlando and offers a great community feel with an excellent restaurant scene. The current doctor loves practicing and is interested in exploring transition options. They would be interested in a short transition period and would therefore entertain affiliation or a straight buy-out. Located in a professional office park, the real estate is also for sale if desired. Finally, with no marketing aside from patient referrals, the practice sees 45 new patients per month!

FOR AN OVERVIEW OF THIS GENERAL DENTAL PRACTICE IN THE ORLANDO, FL AREA, READ BELOW: 6 fully equipped operatories; Recently remodeled in 2020; Collections of $2.2 million; EBITDA (TTM) over $440,000; 8400 active patients; 45 new patients per month. TO LEARN MORE ABOUT THIS BUSY GENERAL DENTAL PRACTICE IN CENTRAL FLORIDA, GREATER ORLANDO AREA PLEASE CONTACT PROFESSIONAL TRANSITION STRATEGIES: SAM@PROFESSIONALTRANSITION.COM OR CALL: 719.694.8320. WE LOOK FORWARD TO SPEAKING WITH YOU!

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OPS Dentist — Florida Department of Health in Bradford County. This is a professional position working in the Florida Department of Health in Bradford County, which is a federally qualified health center. The position requires a team approach in developing and implementing a dental medical home program in Bradford County. Provider is responsible to diagnose and perform preventive, restorative, and extractions on children 21 years old and younger. There is an established school-based program in the county that will refer patients to the clinic. The program also serves patients with special needs. Potential for program growth.

Licensed as a dentist in accordance with Florida Statute 466. Currently certified in CPR. Preferred- current DEA license, 1 year or more experience providing dental treatment to children, currently credentialed as a Medicaid provider. Visit careers.floridadental.org/jobs/15615560.

General Dentist Office for Sale in Greater Orlando Metropolitan Area.

For Sale: a well-established solo General dental practice located in one of the fastest growing population areas in the US. Attractive, up-to-date office in a free-standing building of 4000 sq. ft. with seven operatories and an additional one plumbed. Over 2300 active patients with an annual gross collections of $1,572,000 and approximately $750,000 net income. Visit careers.floridadental.org/jobs/15609843.

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.

General Dentist — Lake Mary. Lake Mary, fee for service, 5 star, highend practice is looking for a part-time/full-time dentist. Applicant must have knowledge of, or would be willing to learn holistic/biological dentistry. We spend quality time with our patients and are not in a rush to treat them fast. We develop trusting relationships that are long lasting. In addition, we have up-to-date equipment to help provide quality dentistry! If you are interested in a great opportunity please contact us at 407.333.1335 and provide us with a resume at timtiralosi@tiralosidental. com.

Associate Dentist — Fort Pierce. Associate Dentist Full Time in Private Practice, Fort Pierce. Full- time Associate Dentist position available, 3-5 days, centrally located in the Florida beachside community of Fort Pierce in the heart of the beautiful Treasure Coast. Ideal candidate would be lifelong learner, interested in CE and mentorship opportunities in oral surgery, selective implant placement, some endo, Invisalign, children of all ages, Botox, dermal fillers and all phases of general dentistry. Offering $650 per day or 35% of collections whichever is greater, also applies during credentialing. This practice prefers a W-2 classification. Practice pays all lab bills. Long established prominent private practice with consistent growth and collections ranking in the top 1% nationally providing excellent potential for a candidate looking for more than just a job. The office is freestanding, in a professional neighborhood across the street from a regional HCA trauma capable hospital. A $1,000,000 complete renovation of the 3000 square foot office space was finished four years ago, to include 10 ops including a dedicated surgical suite, all Adec equipment, and two private doctor offices each with private bath. The office is fully digital including Itero scanners, intraoral x-rays, cone beam, and

FLORIDADENTAL.ORG

EHRs. We are fully engaged with an active social media presence. Work with a well-trained staff of 18, half of whom have been with the practice between 20 and 30 years. There are many longstanding patient relationships, providing wonderful opportunities for a rewarding work experience. Visit careers.floridadental.org/jobs/15484492.

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. Many new homes are under construction in the immediately vicinity, and a new AdventHealth ER and Publix have just opened. Chartless office is equipped with new Patterson Fuse cloudbased software and digital sensors. This would be a great open slate for a mid-career practitioner looking for quality of life or for a young dentist wanting low overhead to develop into the dream practice. Please message for pics. $525k includes practice and real estate. Visit careers. floridadental.org/jobs/13686503.

Support Our Journal Advertisers ADA Practice Transitions 29 American Sensor Tech 2 Augmaflix 54 Ben-Pat Institute 75 Doctor’s Choice 43 Envolve Dental 66 E-Vac Inc. 12 FDA: Online Radiography Training Program 55 FDA: Well-being Program 28 FDA Foundation: AmazonSmile 83 FDAS: Bank of America 74 FDAS: Crown Savings 82 FDAS: Insurance Checkup 62 FDAS: Tribute Plan 30 & 31 FDAS: Mercedes-Benz 4 Florida PDMP Foundation Inc 2 Henry Schein Professional Practice Transitions 16 Hinman 36 iCore Exchange 83 My Dental Tek 63 The Paragon Program 86 PSC Group Inc. 87 The Doctors Company 94 Tobacco Free Florida 28

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WHOSE INTERESTS does your malpractice insurer have at heart?

Yet another of Florida’s medical liability insurers has transitioned from focusing on doctors to focusing on Wall Street. This leaves you with an important question to ask: Do you want an insurer that’s driven by investors?

Or do you want an insurer that’s driven to serve you—one that’s already paid $120 million in awards to its members when they retire from the practice of medicine?

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

off the cusp

CUE MUSIC: INTRODUCING

HUGH WUNDERLICH, DDS, CDE FDA EDITOR

DR. CESAR R. SABATES

Dr. Wunderlich can be reached at hwunderlich@bot.floridadental.org.

In October, our own Cesar R. Sabates, DDS, was installed as the 158th president of the American Dental Association. It occurred to me that this position requires a working knowledge of … well, everything. I can think of no better way to introduce you to Dr. Sabates than to relate his qualifications in the same way Gilbert and Sullivan presented their supremely qualified major general. A QR code is provided below, to stimulate your memory and cadence of the music. Even if you have never seen this comedic operetta, everyone has likely heard this patter song from “Pirates of Penzance” and can appreciate the knowledge base the job requires.

I understand the policies both the simple and recrudescent About Medicare and benefits I’m teeming with a lot o’ news With many cheerful facts about my oh so many interviews

Chorus: With many cheerful facts about my oh so many interviews With many cheerful facts about my oh so many interviews With many cheerful facts about my oh so many interviews

My little brain is brimming with an overactive thalamus All the people are like lemmings with my attractive halitus In short, in matters that could overfill a circus tent I am the very model of a modern dental president I am the very model of a modern dental president I have information that could overfill a circus tent I know the dental districts and the states they represent From Providence to Caribou, in order that I frequent I’m very well acquainted, too, with rongeur to a great extent

FLORIDADENTAL.ORG

Chorus: In short, in matters that could overfill a circus tent He is the very model of a modern dental president SEE PAGE 96

TODAY’S FDA NOVEMBER/DECEMBER 2021

95

off the cusp

off the cusp

FROM PAGE 95

In fact, when I know what is meant by “mamelon” and “minipin”

I know my dental history, GV Black and Doc Holliday,

When I can tell at sight a twisted arch wire from a bobby pin

My Thomas notch is distally, my wax ups look like macramé

When such affairs as parties and surprises I’m more wary at

I quote in Spanish all the signs and cells that can expel a pus

And when I know precisely what is meant by “proletariat”

A separated endo file will in Latin compel a cuss

When I have learnt what progress has been made in money summary

When the boardroom is filled with the fogs of idiocrasies I can heal all the drama with the Frogs of Aristophanes No task is beneath me in, a crab boat I can skin a boar My PPE is often, a lab coat or a pinafore

Chorus: His PPE is often, a lab coat or a pinafore His PPE is often, a lab coat or a pinafore His PPE is often, a lab coat or a pinafore

I can understand a proposal in legislative cuneiform And find incipient decay with my detective’s uniform

When I know more tactics to get rid of the funny flummery In short, when I’ve a smattering of an accounting strategy You’ll say a better dental president had never sat a gee

Chorus: You’ll say a better dental president had never sat a gee You’ll say a better dental president had never sat a gee You’ll say a better dental president had never sat a gee

Though I am plucky and adventury and for those who know me best

In short, in matters that could overfill a circus tent

I may have some ham, but I am a Cuban that will not be pressed

I am the very model of a modern dental president

But still, in matters that could overfill a circus tent I am the very model of a modern dental president

Chorus: In short, in matters that could overfill a circus tent

Chorus:

He is the very model of a modern dental president

But still, in matters that could overfill a circus tent He is the very model of a modern dental president.

96

TODAY’S FDA NOVEMBER/DECEMBER 2021

FLORIDADENTAL.ORG

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

Every Partnership Wins with a Fully Insured Buy/Sell Agreement!

One of the most important steps in any partner or co-owner practice arrangement is setting up succession planning via a buy/sell agreement. Doing so ensures that each partner’s surviving family has a smooth sale of business interests if one of the partners were to pass away. The best funding method to the agreement is a life insurance policy on each partner to create a sum of money at the partner’s death to fund the agreement. The proceeds from the life insurance will be used to pay the family of the deceased partner the value of their ownership interest, thus ensuring a smooth transition of ownership.

How it works:

Other tips:

n Life insurance policies are purchased on each owner/partner based on an agreed upon valuation of the practice. n If a partner dies, the designated beneficiary receives the death benefits from the life policy. n The surviving partner uses those benefits to pay the deceased partner’s surviving family members for the business interests per the buy/sell agreement.

n Keeping track of your buy/sell agreement — a reminder needs to be set up to make sure that the life insurance premiums are being paid and the policies are still in force. n Business interests need to be evaluated. The value of the practice can increase over time so the amount needed to buy out your interest will need to be re-assessed. Additional insurance might need to be purchased. n If sufficient cash values have been built up, the funds can be used to purchase your interest following retirement or disability.

Call or text FDA Services today to discuss partnership life insurance policies 850.681.2996.