2019 - July/August TFDA

We work for you.

It was really fast “service for getting insurance. You also took care of the detail of applying my discount for my first year in private practice.

”

— Dr. Randold Binns

Rick D’Angelo, Your West Coast Florida Agent 813.475.6948 | rick.dangelo@fdaservices.com

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HELPING MEMBERS SUCCEED VOL. 31, NO. 5 • JULY/AUGUST 2019

in every issue 3

Staff Roster

5

President's Message

10 Did You Know?

13 Info Bytes 20 news@fda 32 Get Involved!

70 Compleat Dentistry 75 Diagnostic Discussion 78 Career Center 83 Advertising Index 84 Off the Cusp

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My Co-worker's on Drugs — What Do I Do?

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The 2019 Legislative Session

27

The FDA Says, “Thank You!“

28

House of Delegates Meeting

30

Board of Dentistry

35

Burnout is an “Occupational Phenomenon“

36

FDA Well-Being Program

38

Hackers See Your Practice as Easy Money

40

OMG! You Have How Much Student Loan Debt?

48

Practical Dietary Tips for Health and Longevity

52

The Celiac Patient

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

56

What Time is it?

58

Achieving Balance in the Dental Practice with Yoga

60

Work Hard, Play Hard

63

I Was “Hooked“

64

The Power of Pets

66

You are Overpaying for Your Employees' Health Insurance!

68

“Will You See One Vet“ ...

Join the Campgaign and Support Veterans in Need

72

FDC2019 Recap

TODAY'S FDA ONLINE: floridadental.org

FLORIDA DENTAL ASSOCIATION JULY/AUGUST 2019 VOL. 31, NO. 5

EDITOR Dr. John Paul, Lakeland, editor

STAFF Jill Runyan, director of communications Jessica Lauria, communications and media coordinator Lynne Knight, marketing coordinator

BOARD OF TRUSTEES Dr. Rudy Liddell, Brandon, president Dr. Andy Brown, Orange Park, president-elect Dr. Dave Boden, Port St. Lucie, first vice president Dr. Gerald Bird, Cocoa, second vice president Dr. Beatriz Terry, Miami, secretary Dr. Jolene Paramore, Panama City, immediate past president Drew Eason, CAE, Tallahassee, executive director Dr. Dan Gesek, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Jeannette Pena Hall, Miami • Dr. Bernard Kahn, Maitland Dr. Eddie Martin, Pensacola • Dr. Rick Mullens, Jacksonville Dr. Jeffrey Ottley, Milton • Dr. Paul Palo, Winter Haven Dr. Howard Pranikoff, Ormond Beach • Dr. Mike Starr, Wellington Dr. Stephen Zuknick, Brandon • Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Rodrigo Romano, Miami, Treasurer • Dr. John Paul, Lakeland, editor

PUBLISHING INFORMATION 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 $10 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 2019 Florida Dental Association.

All rights reserved. Today’s FDA is a refereed publication.

POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.

EDITORIAL AND ADVERTISING POLICIES Editorial and advertising copy are carefully reviewed, but publication in this journal does not necessarily imply that the Florida Dental Association endorses any products or services that are advertised, unless the advertisement specifically says so. Similarly, views and conclusions expressed in editorials, commentaries and/or news columns or articles that are published in the journal are those of the authors and not necessarily those of the editors, staff, officials, Board of Trustees or members of the Florida Dental Association.

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste 200, Tallahassee, Fla. 32303.

FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.561.0504; email address, fda@floridadental.org; website address, floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113.

For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.

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

American Association Dental Editors and the Florida Magazine Association.

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TODAY'S FDA

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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, Executive Director deason@floridadental.org 850.350.7109 GREG GRUBER, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111 CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202 JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114

ACCOUNTING BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137 LEONA BOUTWELL, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 DEANNE FOY, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 ALLEN JOHNSON, Accounting Manager allen.johnson@fdaservices.com 850.350.7140 MITZI RYE, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139 STEPHANIE TAYLOR, Membership Dues Coordinator staylor@floridadental.org 850.350.7119 LESYA WILBUR, Commissions Coordinator lesya.wilbur@fdaservices.com 850.350.7142

COMMUNICATIONS AND MARKETING JILL RUNYAN, Director of Communications jrunyan@floridadental.org 850.350.7113 LYNNE KNIGHT, Marketing Coordinator lknight@floridadental.org 850.350.7112

FLORIDA DENTAL CONVENTION (FDC) CRISSY TALLMAN, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103 DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108 EMILY SHIRLEY, FDC Program Coordinator eshirley@floridadental.org 850.350.7106

GOVERNMENTAL AFFAIRS JOE ANNE HART, Chief Legislative Officer jahart@floridadental.org 850.350.7205 ALEXANDRA ABBOUD, Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 JAMIE SHEEHAN, Governmental Affairs Legislative Assistant jsheehan@floridadental.org 850.350.7203

INFORMATION SYSTEMS LARRY DARNELL, Director of Information Systems ldarnell@floridadental.org 850.350.7102 RACHEL STYS, Systems Administrator rstys@floridadental.org 850.350.7153

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

JESSICA LAURIA, Communications and Media Coordinator jlauria@floridadental.org 850.350.7115

FDA SERVICES 800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303 Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat

SCOTT RUTHSTROM, Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 CAROL GASKINS, Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159 ALEX KLINE, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166 MARCIA DUTTON, Membership Services Assistant marcia.dutton@fdaservices.com 850.350.7145 PORSCHIE BIGGINS, North and 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

DAN ZOTTOLI, SBCS Director of Sales — Atlantic Coast 561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com DENNIS HEAD, CIC Director of Sales — Central Florida

MIKE TROUT Director of Sales — North Florida 904.249.6985 Cell: 904.254.8927 mike.trout@fdaservices.com

MARRISA LEE, Insurance Account Advisor marrisa.lee@fdaservices.com 850.350.7122 MELISSA STAGGERS, West Coast Membership Commercial Account Advisor melissa.staggers@fdaservices.com 850.350.7154

LIZ RICH, Commercial Account Advisor liz.rich@fdaservices.com 850.350.7171

YOUR RISK EXPERTS

877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com

KELLY DEE, Atlantic Coast Membership Commercial Account Advisor kelly.dee@fdaservices.com 850.350.7157

TESSA DANIELS, Commercial Account Advisor tessa.daniels@fdaservices.com 850.350.7158

CARRIE MILLAR Director of Insurance Operations carrie.millar@fdaservices.com 850.350.7155

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

FLORIDA DENTAL ASSOCIATION FOUNDATION (FDAF) R. JAI GILLUM, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117 AUSTIN MOSER, Coordinator of Foundation Affairs amoser@floridadental.org 850.350.7161

FLORIDADENTAL.ORG

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

To contact an FDA Board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org.

For example, Dr. John Paul: jpaul@bot.floridadental.org.

TODAY'S FDA JULY/AUGUST 2019

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VOLUNTARY DENTAL WORKFORCE SURVEY NO LONGER PROTECTED

BY PUBLIC RECORDS EXEMPTION

This past session, the Legislature decided not to reinstate the public records exemption for the dental workforce survey.

This means if someone requests a copy of the dental workforce surveys, the Department of Health (DOH) is not required to maintain the anonymity of the respondents’ personal identifying information and responses to the survey.

The dental workforce survey is NOT mandatory.

During dental licensure renewal, dentists and dental hygienists are given the opportunity to complete a voluntary dental workforce survey, which collects information to better understand the dental workforce in Florida.

The information gathered by this survey is compiled by the DOH to provide an overview of the responses from the survey. When the dental workforce survey began in 2009, the FDA passed legislation to make sure any personal identifying information provided by respondents was protected from public records requests. This protection has been removed.

The dental workforce survey is NOT mandatory.

US Dental Transitions

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leadership

THE JOURNEY BEGINS ...

I would first like to say thank you to all my colleagues who have helped me ascend into a position to help lead the Florida Dental Association (FDA) for the coming year.

The 2019 Legislative Session was characterized by both triumphs and challenges for next year. The FDA’s priority legislation, encompassed in Florida’s Action for Dental Health, sought to reestablish the dental student repayment program and to include funding for two positions connected with Donated Dental Services. While we were successful in getting the language passed within a large health care bill (HB 843), the bill did not receive funding this year. That makes our strategy for next year focused on lobbying for funding. The FDA was successful in stalling the dental therapy legislation again this year, but we fully expect that the proponents will return next year with a new strategy, which makes supporting the FDA Political Action Committee with increased donations extremely important. The House passed HB 549, which returned control of opioid continuing education to the Florida Board of Dentistry regarding dentists. The Legislature passed the telehealth bill, which we did not support, because it allows consultation with out-of-state professionals.

On March 22-23, the FDA Foundation held its fifth Florida Mission of Mercy (FLA-MOM) at Edgewater High School in Orlando. I’ve been involved in all five events, and it’s evident that the leadership continuity has been leveraged into operating events that run smoothly and that even unplanned incidences are handled efficiently and quickly. I would personally like to thank Drs. Don Illka, FLORIDADENTAL.ORG

Jim Antoon and Bernie Kahn for being the general co-chairs and the event fundraiser, respectively. Drs. Oscar Menendez and Jerry Bird did an amazing job serving as clinical co-leads. I also would especially like to thank all the countless FDA members, their teams and all the hundreds of volunteers who make the FLA-MOM such a success. How do we define success? Try 1,845 unique patients receiving more than $2 million worth of free dental care!

On April 15-16, I attended the American Dental Association’s (ADA) Dentist and Student Lobby Day in Washington, D.C. along with 13 FDA colleagues (and some spouses) and 19 dental students. The students who attended were third-year students from the University of Florida as well as students from Florida who are attending schools ranging from Columbia, Temple, Detroit Mercy, Midwestern and Roseman. We traveled to lobby in support of a limited repeal of the McCarron-Ferguson Act as it relates to cross-state purchases of medical and dental insurance, support of reauthorizing the Higher Education Act and in support of the Ensuring Lasting Smiles Act. My observation of the attending students is that they’re incredibly aware of the legislative pressures put on our profession and they’re ready to roll up their sleeves and get to work.

PRESIDENT’S MESSAGE RUDY LIDDELL, DMD FDA PRESIDENT

Dr. Liddell can be reached at rliddell@bot.floridadental.org.

This issue of Today’s FDA deals with wellness.

Our profession can be extremely stressful with the day-in, day-out demands placed upon us by our patients, our dental teams and most importantly, by ourselves. Wellness can be defined on many levels — physical SEE PAGE 7 TODAY'S FDA JULY/AUGUST 2019

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leadership FROM PAGE 5

well-being, mental well-being, practice well-being and financial well-being. I found early in my career that physical and mental wellness were fairly easy to maintain, mostly because of being much younger and still enjoying the excitement of being a dentist. With the passage of time, the practice and financial pieces became easier, but the physical and mental aspects became much more difficult. For those of you who struggle with any aspect of wellness, the Council on Dental Practice has a subcommittee titled Health and Wellness. There are many resources available at the ADA’s Center for Professional Success (success.ada.org). Topics covered include ergonomic tips to prevent neck pain, preventing opioid addiction, safety tips to avoid hearing loss, managing stress and a whole suite of subjects to assist with financial aspects of operating a success-

FLORIDADENTAL.ORG

ful practice, just to name a few. These are fantastic resources and can be used by members at no cost.

I would like to close by saying that I am extremely humbled to lead an organization that has become revered at the national level. Working with such a fantastic executive council and Board of Trustees as well as the fantastic Team FDA, I expect that the association’s trajectory will continue upward to bigger and better outcomes.

TODAY'S FDA JULY/AUGUST 2019

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human relations

MY CO-WORKER’S ON DRUGS — WHAT DO I DO? It happens — you notice a change in your co-worker’s behavior. During interactions with a co-worker, you notice that they seem unable to focus, you smell alcohol on their breath, they come to work looking disheveled, or maybe they’ve mentioned or you’ve observed their abuse of drugs or alcohol. What do you do?

DEBORAH S. MINNIS

Ms. Minnis practices labor and employment law at Ausley McMullen, and also represents various local government bodies. She can be reached at dminnis@ausley.com.

This article is for informational purposes only and is not intended to be a substitute for professional legal advice.

If you have a specific concern or need legal advice regarding your dental practice, you should contact a qualified attorney.

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TODAY'S FDA

Mandatory reporting is required for licensed employees. Under Florida laws regulating dentistry, dental hygiene and dental laboratories, all licensed individuals have a duty to report persons they have reason to believe are unable to practice with reasonable skill and safety to patients. These laws specifically state that licensed individuals can be subjected to discipline for failing to report someone they have reason to believe is unable to safely practice due to the use of alcohol, drugs, narcotics, chemicals or any other type of substance.

The law requires the licensee to report these individuals to the appropriate division of the Department of Health (DOH) or to a consultant in the impaired practitioner program. Discipline for failure to report can range from a minimum of a $500 fine to a maximum of one-year probation and a $1,000 fine for a first offense, up to a minimum one-year probation and $3,000 fine to a maximum of one-year suspension followed by one-year probation and a $5,000 fine for a third offense.

JULY/AUGUST 2019

In addition to the legal requirements mentioned above, your employer may have a drug-free workplace policy. One type of test used by employers under such policies is a “reasonable suspicion test” based on a report of drug/alcohol use from a reliable and credible source. In many instances, these sources are the potential troubled employee’s co-workers. The policy may require employees to report reasonable suspicion of drug/alcohol use or abuse and applies to both licensed and unlicensed employees.

Employers also may have general policies relating to an employee’s ability to safely perform his or her duties. Though the policy is not specifically relating to drug or alcohol use, abuse of drugs or alcohol can affect the employee’s ability to safely perform his or her duties and should be reported.

If you, in good faith, suspect a co-worker of using drugs or alcohol you should review your employer’s policies to determine if reporting is required. Failure to do so could lead to discipline. However, regardless of whether your employer has a policy that would require reporting, any reasonable suspicions you have should be reported to management to ensure the safety of the employees in the office, as well as the patients.

FLORIDADENTAL.ORG

Finally, though you may feel like you are being a “tattletale” or invading the co-worker’s privacy, often making such a report can get the person the help they need. As indicated above, the DOH has an impaired practitioner program.

In addition, many employers provide employee assistance programs for employees with substance abuse issues.

What you should not do is engage in gossip about the co-worker’s possible substance abuse issue with other employees or post your suspicions on social media sites.

Such behavior can adversely affect office morale and could potentially expose you personally to claims of defamation.

You also should not make a report to management that you know to be false.

“

Regardless of whether your employer has a policy that would require reporting, any reasonable suspicions you have should be reported to management to ensure the safety of the employees in the office, as well as the patients.

”

ADS Chris Brown

FLORIDADENTAL.ORG

TODAY'S FDA JULY/AUGUST 2019

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DIDYOU

BOD

?

INFORMATION ABOUT THE FLORIDA BOARD OF DENTISTRY

DR. DON ILKKA FDA LIASON TO THE FLORIDA BOARD OF DENTISTRY

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@ floridadental.org or 850.350.7202, or FDA Liaison to the Florida Board of Dentistry Dr. Don Ilkka at donjilkkadds@aol.com or 352.787.4748.

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TODAY'S FDA

HEALTH CARE CLINIC ESTABLISHMENT PERMITS Did you know that if you order prescription drugs for use in your office that you need a Health Care Clinic Establishment (HCCE) permit? The HCCE permit, which is issued by the Department of Business and Professional Regulation (DBPR) and not the Board of Dentistry (BOD), is issued to a place of business at one general physical location that provides health care services and employs a health care practitioner as defined in s. 456.001, F.S. (this definition includes dentists). The HCCE permit allows you to purchase prescription drugs in the name of your business for use by the practitioners of your business. The qualifying practitioner is the person who is legally responsible for the HCCE’s compliance with legal and regulatory requirements related to the purchase, recordkeeping, storage and handling of the prescription drugs.

Whether you are the qualifying practitioner for a multi-doctor office or you practice solo, you will need this permit to purchase prescription drugs.

The application for an HCCE permit can be found at bit.ly/2Xnwrel.

JULY/AUGUST 2019

FLORIDADENTAL.ORG

now you know INFORMATION FROM THE FDA

hot all you need to know about topics all in

one place

The latest news from the Florida Dental Association about major topics that affect dentistry in Florida.

Your exclusive members-only benefit!

 Opioids

go to

 Dental Therapists

 Student Debt

floridadental.org/nyk

 Board of Dentistry

 Medicare/Medicaid For more reading, you can view the latest Today’s FDA, email blasts or Beyond the Bite blog.

Your

EXCLUSIVE FDA MEMBER BENEFIT

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BACKSTAGE

ALL ACCESS

International Pemphigus & Pehmphigoid Foundation

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FLORIDADENTAL.ORG

WHAT DO DROPPED CALLS AND UNSUBSCRIBING FROM EMAIL LISTS HAVE IN COMMON? Hello? Can you still hear me?

We’ve all been there. We’re talking on our cell phones, deep in conversation and then it becomes abundantly clear that you’re talking to yourself. These have been some of my best conversations, then only to realize no one was there anymore. Fortunately, with phone calls, because it is usually two-way, you know when someone has dropped from the conversation.

Now change the communication method to email. Email feels so one way. Email goes out and we assume people get it and then we wait.

Honestly, that’s why so many have moved to SMS (short message service) text and even iMessage-style messaging. I love the immediacy of iMessaging someone and see the responding bubble appear (until it takes forever for them to respond).

Email is complicated by a process called unsubscribing. We are all on a bunch of email lists.

Every place I go, they want my email address to add to their mailing list. Some offer discounts.

I happily give them my email because I know it is a “throw away” address. I seldom check it and if I do, I go on an unsubscribing frenzy. That unsubscribing process seems pretty easy — until it’s not. I’m sure we’ve all done it, though.

We get an email that feels like it doesn’t apply, or we’ve received it a few times already, and we look for the unsubscribe link. What seldom passes through our minds though is that we are eliminating all communication with that one unsubscribe process.

info bytes

email again. We email our member list and we assume everybody that wants our emails gets them. However, we’ve recently discovered that key members and leaders haven’t been getting important email communications from the FDA. The power is in your hands. We give each member their own email preference center to control what emails you receive. You may have inadvertently unsubscribed, as we found in the most recent cases. This can happen a few different ways. One way is by clicking the unsubscribe on your phone or tablet’s email. Mailing lists get an added unsubscribe option and the placement of it leads to a lot of inadvertent unsubscribes. The second way is if you use a general email address like info@drsuccess.com and it’s a centralized office email. Anyone in your practice could unsubscribe you and you’d probably never know.

A third way is if you forward our emails to other people and they click the unsubscribe link, it will unsubscribe YOU. This is the most frequent instance.

LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS

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

When your phone call drops, you can simply call back. But what do you do if you’ve unsubscribed? Review your most recent email communications from the FDA. If you haven’t received what you want, email us at resubscribe@floridadental.org and we’ll look at your email preferences and restore you if needed. It’s important to mention that we use member data directly from Aptify, the American Dental Association’s (ADA) member database and information from that can be updated by you, the ADA, FDA or one of our districts. We encourage you to log in and check Suppose you did that with the Florida Dental your member profile at ada.org/myada to ensure Association’s (FDA) emails. Now you don’t find we have the right contact for you. Communicaout about new opioid requirements or pendtion only works if it is two-way and you’re geting legislation that could directly impact your ting what you want. dental practice. Enter that one-way nature of FLORIDADENTAL.ORG

TODAY'S FDA JULY/AUGUST 2019

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SUPPORT THE FDA FOUNDATION • EMERALDCLUB.FLORIDADENTAL.ORG The FDA Foundation is the philanthropic arm of the Florida Dental Association promoting dental health for all Floridians. A COPY OF THE OFFICIAL REGISTRATION (CH2435) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING 1-800-HELP-FLA TOLL-FREE WITHIN THE STATE OR GO TO www.freshfromflorida.com. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

Quick Email Tips 5 to Keep You Out of Trouble 1.

Never assume that an email is from whom it says it is from. Email can be — and is — easily “spoofed.” A spoof is an email that looks like it came from someone you likely know.

2.

Never blindly click links in any email. No matter if it is from someone you know, your bank, Apple, UPS, FedEx or even your system administrator, you can hover over the link and likely see it is not what it seems to be. If you have a question, call the person or use a separate method to communicate with a company to verify before taking any action. Attachments also can be corrupted, so be extremely cautious of those as well.

3.

Never send information like passwords, your Social Security number, bank information or any other personal data via email. You don’t know who sees it on the other end and potentially while in transit. Unencrypted email is easy to access, even without your email being hacked. Suffice it to say, your email can be “overheard” — similar to someone standing at your door while you are on the phone.

4.

Be extremely cautious when using “Reply All” and forwarding email strings. There may be conversations in the thread that others don’t need to see or may be proprietary. It also may have unintended consequences for other users who use “Reply All” back and didn’t notice all the people on the email.

5.

Often, email can carry a certain tone even if you didn’t mean for it to, so take great consideration before clicking send. It is the same as what you say out loud — once it’s out there, you can’t take it back — and in electronic form, it lives forever.

FLORIDADENTAL.ORG

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

2019 Women Inspiring Dentistry Conference* Join the dental squad for a full day of peer-to-peer learning on the water, inspired and led by Florida’s women in dentistry!

The scientific program, worth five continuing education (CE) hours, is composed of experienced female dental speakers that will take you through several relevant topics. Make it a girls’ weekend at the beautiful Diplomat Beach Resort in Hollywood, Fla. Learn more and register at wind2019.com. *Depending when you receive your copy of Todays FDA, the WIND Conference will happen soon or has already occured.

(We are sorry you missed this great FDA event!)

Thank You for Attending FDC2019!

On behalf of the Florida Dental Convention (FDC) committee and staff, we hope you and your team enjoyed discovering “The Power of the Complete Team” at FDC2019! Go to bit.ly/2NQo0ro and use your Registration ID to access your FDC2019 CE certificate. CE credits were awarded for attendees who stayed in the course a minimum of 50 of the 60 minutes. Full and partial credit was reported to CE Broker no later than July 27. If you believe your credits are inaccurate, please contact Brooke Martin at bmartin@floridadental.org or 850.350.7103.

FDC2019 course recordings are available for purchase! You may purchase individual courses for $20 per course or all recorded courses for $199. Go to bit.ly/2xDrR08 to purchase your course recordings today.

Save the date: Oct. 15-18, 2020 the Florida Dental Association (FDA) and the American Dental Association (ADA) will combine annual meetings to present the ADA FDC Annual Meeting. The Annual Meeting will feature free registration, exceptional education courses and a bustling Exhibit Hall in Orlando. Registration will open in spring 2020.

FDA Awards Nominations Now Open Deadline for nominations: Aug. 31, 2019 Nominate a deserving colleague for recognition by the FDA. It’s simple! Let’s give those who are helping the public and the

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profession some well-deserved recognition. Follow these three simple steps, and in just three minutes — your nomination is complete!

1. Go to https://bit.ly/2JKWUNf for the nomination form.

2. Read the brief description for each award.

3. Enter in your nominee information and click “Send Nomination.”

FDAS Alert: Are You Covered for Hurricane Season?

Over the last several years, Florida has seen some very active hurricane seasons. That’s why making sure your practice is properly insured is more important than ever. Confirming your office insurance includes wind coverage is crucial during hurricane season! Give your FDA Services agent a call at 800.877.7597. We can help you make sure you have the right coverage in place.

Go to bit.ly/2xDMjhC to get an office insurance quote.

This year’s updated issue of Storm Proof will help you prepare your practice for a big storm with guides, resources and tools for any of your storm prep and post-storm problems. Go to bit. ly/32e8Wax to check out Storm Proof: 2019 Practice Readiness Guide.

Annual Mission Trip A Success On June 29, Dr. Robert Payne, five FDA member dentists and 31 dental students from the University of Florida College of Dentistry traveled to Las Matas de Farfán, Dominican Republic to provide dental care to residents. During their week-long trip, they were able to treat more than 700 patient, as well as provide fluoride varnish to approximately 60 children at a local orphanage.

FLORIDADENTAL.ORG

FDA History Fact In November 1954, the Florida State Dental Society played host for the first time to a full meeting of the American Dental Association (ADA) in Miami. Join us next year in Orlando for the ADA and FDA’s combined annual meetings to present the ADA FDC Annual Meeting on Oct. 15-18, 2020!

Welcome New FDA Members

Dr. Diana Singmaster, Orlando

Dr. Mahmood Mahmood, Miami Beach

These dentists recently joined the FDA. Their membership allows them to develop a strong network of fellow professionals who understand the dayto-day triumphs and tribulations of practicing dentistry.

Dr. Laif Toland, Melbourne

Dr. Nicole Moo Young, South Miami

Atlantic Coast District Dental Association Dr. Isabella Anderson, Lighthouse Point Dr. Rebecca Dresner, Boca Raton Dr. Alexandre Gaeta, Jupiter Dr. Richard Heinl, Loxahatchee Dr. Rebecca Kagan, East Northport Dr. Alisa Kleiman, Melbourne

Dr. Norris Navoa, Cutler Bay

Northeast District Dental Association

Dr. Alexander Ramirez, Miami

Dr. Arace Assadoghli, Jacksonville

Dr. Emilio Rivero, Miami

Dr. James Bolton III, Ponte Vedra Beach

West Coast District Dental Association

Dr. Jagdeep Dhall, Jacksonville

Dr. Effat Ahmadi, Bradenton

Dr. Luis Franceschi, Jacksonville

Dr. Katalina Beltran, New Port Richey

Dr. Sharod Mckinney, Jacksonville

Dr. Cody Chase, St. Petersburg

Dr. Olexandra Ovsiy, Jacksonville

Dr. Luis Congote, Winter Haven

Dr. Avinash Patel, Jacksonville

Dr. Lori Conrad, Sarasota

Dr. Thomas Pike, Jacksonville

Dr. Takashi Dixon, Riverview

Dr. Nodesh Shyamsunder, Jacksonville Beach

Dr. Paradis Esfandiari, Tampa Dr. Xiaoxiao Hong, Vero Beach

Dr. Shirley Spater, Boca Raton

Northwest District Dental Association

Dr. Jacob Klamut, Cape Coral

Dr. Gregg Weinstein, Boca Raton

Dr. Nancy Phillips, Tallahassee

Dr. Tong Liu, Toledo

Dr. Ross Ruder, Santa Rosa Beach

Dr. Ricky Pan, Trinity Dr. Anthony Riggio, Naples

Dr. Carlos Aniceto, Orlando

South Florida District Dental Association

Dr. Matthew Robison, Tampa

Dr. Francisco Chumpitaz, Oviedo

Dr. Lauren Alfred, North Miami

Dr. Ronald Schram, Bradenton

Dr. Ryan Donley, Port Orange

Dr. Alejandro Alvarado, Medley

Dr. Oleg Semeryuk, Seminole

Dr. Mark Dreyer, Kissimmee

Dr. Matthew Anderson, South Miami

Dr. Nathanel Shammay, Cooper City

Dr. Adam Greenberg, Apopka

Dr. Mailin Anton, Miami

Dr. Bao Truc Sybo, Tampa

Dr. Abdulaziz Hakeem, Gainesville

Dr. Giselle Cabrera, Miami

Dr. Maria Tibavinsky, Clearwater

Dr. Luis Labrada Bello, Orlando

Dr. Ayleen Cirion Morejon, Hialeah

Dr. Lauren Valancy, St. Petersburg

Dr. Eugene Lee, Gainesville

Dr. Thomas Crowgey, Pembroke Pines

Dr. Morgan Woytowitz, Bradenton

Dr. Valerie Lemus, Satellite Beach

Dr. Abelardo Daya Attie, Plantation

Dr. Luis Perez, Vero Beach

Central Florida District Dental Association

FLORIDADENTAL.ORG

Dr. Noor Jawad, Tampa

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Your

BACKSTAGE

ALL ACCESS

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PNC Bank

TAKE THE HEADACHE OUT OF HEALTH INSURANCE FDAS: HealthiestYou

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FDA Online Radiography Training Program

volunteers

THE FDA SAYS, “THANK YOU!“ OUTGOING 2018-2019 COUNCIL/COMMITTEE VOLUNTEERS The Florida Dental Association (FDA) would like to thank each of our council and committee members who have completed their terms with the groups listed below.

Many of them are returning to continue their service with other FDA leadership groups.

The FDA appreciates your time and dedication for serving in this capacity.

Audit Committee

Council on Financial Affairs

n

n

Dr. Tim Marshall, Treasurer – WCDDA

Committee on Conventions & CE n

n n

Dr. Bert Hughes, General Chair – CFDDA Dr. Edward Hopwood – WCDDA Dr. Samuel Markham – CFDDA

Council on Ethics, Bylaws & Judicial Affairs n n

Dr. Mike Elliott – ACDDA Dr. Brad Jergins – WCDDA

FLORIDADENTAL.ORG

Dr. Jean Woo – NWDDA

Governmental Action Committee n

Dr. Mike Eggnatz – SFDDA

FDAS n

Dr. George Kolos – ACDDA Dr. Orlando Dominguez – SFDDA

Council on Dental Benefits & Care n

Dr. Craig Kara – CFDDA

Council on Dental Education & Licensure n n

Dr. Eva Ackley – WCDDA Dr. Jeffery Albert – ACDDA

Council on Membership n n

n n n

Dr. Oscar Peguero – SFDDA Dr. Rodrigo Romano – ADA COM Liaison Ms. Lindsay Thomas – LECOM Mr. Andrew Sadek – NSU Mr. Eric Rabinowitz – UFCD

Council on the New Dentist n n n n

Dr. Rob Pellosie – CFDDA Dr. Jenna Schwibner – ACDDA Ms. Priscilla Sosa – LECOM Mr. RJ Gonzalez – UFCD

FDA Foundation Board of Directors n n

Dr. Ralph Attanasi – ACDDA Dr. Leo Cullinan – WCDDA

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HOD meeting

House of Delegates June 28-29, 2019 On June 28-29, the Florida Dental Association (FDA) House of Delegates (HOD) met at the Gaylord Palms Resort & Convention Center in Orlando. FDA President Dr. Jolene Paramore presented Drs. Bert Hughes and Kim Jernigan with the President’s Choice Award. The HOD discussed many issues, including the following business:

Report of the 17th District Trustee Dr. Cesar Sabates gave an update on the work being done by the ADA Board of Trustees. He mentioned several issues facing the profession, including direct-to-consumer dentistry, dental therapy and Federal Trade Commission actions, and gave an overview of the ADA strategic plan.

Election of Secretary Dr. Beatriz Terry was elected as FDA Secretary.

Report of the Newly Installed FDA President Dr. Rudy Liddell gave the presidential address. He shared what he would like to accomplish in regard to: n FDA Services

He stated that it’s important to always follow the FDA’s strategic plan when moving forward with a new initiative.

Consent Agenda and Items of New Business FDA NONMEMBER PANEL/VALUE PROPOSITION OBJECTIVES n The House ADOPTED resolution 2018H-035: [Policy] RESOLVED, that the FDA’s House of Delegates requests that each component hold a nonmember panel discussion; and be it further [Policy] RESOLVED, that each component’s Board of Trustees member report back to the Board of Trustees, any Value Proposition Objectives that the Components created from the panel.

n member market share

BYLAWS CHANGE: ANNUAL BYLAWS REVIEW

n third-party payer issues

n The House ADOPTED resolution 2018H-032A:

n the Welcoming Environment Task Group n FDA councils n defeating dental therapy

[Policy] RESOLVED, that the FDA adopt the updates to the FDA Bylaws recommended by the Council on Ethics, Bylaws, and Judicial Affairs with the following amendment on page 102, line 38:

n continuing the success of the Florida Mission of Mercy

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B. QUALIFICATIONS 1. Candidates for president-elect, first vice president, second vice president, secretary, treasurer and treasurerelect must be voting members of the FDA, live or practice within the component which they will represent, and meet other qualifications (if any) stated in these Bylaws and required by the Component.

2. Candidates for trustee must be voting members of the FDA and live or practice within the component of which they are going to represent. and meet other qualifications (if any) stated in these Bylaws and required by the Component.

DIY Dentistry Policy n The House ADOPTED resolution 2018H-036: [Policy] RESOLVED, that the FDA strongly discourages the practice of do-it-yourself and direct-to-consumer dental laboratory services because of the potential for irreversible harm to patients; and be it further [Policy] RESOLVED, that the FDA strongly encourage the Florida Board of Dentistry to define what constitutes a patient of record under Florida law; and be it further

[Policy] RESOLVED, that the FDA strongly encourage the Florida Board of Dentistry to update its rules to incorporate and define supervision levels of scans and impressions taken digitally; and be it further [Policy] RESOLVED, that the FDA strongly encourage the Legislature to provide coverage for all regulatory board members to protect them in an anti-trust lawsuit; and be it further [Policy] RESOLVED, that the FDA strongly encourage its members, all dentists and their patients to report instances of individuals being harmed by do-it-yourself and/or direct to consumer dental laboratory services to: n Florida Board of Dentistry: bit.ly/2jAcrR7 or call 850.245.4474 n Unlicensed Activity Bureau at the Department of Health: bit.ly/1L5hYIl n Food and Drug Administration: bit.ly/1KGErtT Go to bit.ly/2Gfkelv to view FDA Bylaws. Please note: You must be logged in to access the website.

Date of Next House of Delegates Meeting The next meeting will be held Jan. 24-25, 2020 at the Tampa Airport Marriott Hotel.

FLORIDADENTAL.ORG

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BOD meeting

FLORIDA BOARD OF DENTISTRY MEETS IN ORLANDO The Florida Board of Dentistry (BOD) met in Orlando on Friday, May 17, at 7:30 a.m.

The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Don Ilkka and Director of Third Party Payer and Professional Affairs Casey Stoutamire. Other FDA members in attendance included Drs. Andy Brown and Paul Palo. Students from the Valencia College hygiene program also were in attendance.

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@floridadental.org or 850.350.7202.

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Eight of the BOD members were present, which included: Dr. Claudio Miro, chair; Dr. Naved Fatmi, vice chair; Drs. Matt Freedman, Nick Kavouklis and Nick White; Ms. Cathy Cabanzon and Ms. Angie Sissine, hygiene members; and, consumer member, Mr. Fabio Andrade. Dr. TJ Tejera was absent. There is one dentist position and one consumer position open on the board that the governor has not yet filled.

BOD Executive Director Ms. Jennifer Wenhold updated the board on legislation that passed or failed to pass that impacted the profession. There was much discussion on the telehealth legislation and how it will impact dentistry. Ms. Sissine, Rules Committee chair, has scheduled an in-person Rules Committee meeting on Aug. 22 so the committee can begin working on rule language to tackle this issue. Ms. Wenhold also attended a meeting at the American Dental Association in Chicago where there was discussion on an interstate licensure compact. The compact, which would require legislative action, would not be licensure reciprocity. Instead, it

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would allow for a more streamlined licensure process for those dentists and hygienists moving between states who are part of the compact. There was no discussion by the board because this would first require action by the Legislature.

Ms. Wenhold then updated the BOD on the transition of the Anesthesia Inspection Program to the Enforcement Bureau within the Department of Health (DOH). The transition is still moving forward to create consistency and standardization among inspectors throughout the state. All inspections will be done by dentists, who now will be employed by the DOH, and the board still will have authority over the inspectors and the inspection process via rulemaking authority and will receive updates on the program at every BOD meeting. The Boards of Medicine and Pharmacy already have their inspections done through the Enforcement Bureau within the DOH. The BOD is extremely behind in its inspections and the hope is that moving the program to the DOH will help the inspections run more smoothly and relieve the backlog. This issue was discussed during an Anesthesia Committee conference call on May 28 at 12:30 p.m., and will be on the Aug. 23 board meeting agenda to allow for interested parties to testify about their concerns.

Ms. Sissine reviewed the Rules Committee proposal to update Rule 64B5-25.002 and 003, which covers sterilization. The board did not have issues with the language, as the edits FLORIDADENTAL.ORG

The next BOD meeting is scheduled for Friday, Aug. 23 at 7:30 a.m. EDT in Jacksonville. were to bring the rule in compliance with new federal guidelines, but there was concern by board counsel and staff that the economic impact would reach the threshold for legislative ratification. Thus, board counsel will research this issue and the board will discuss this item again at its August meeting.

Finally, the BOD held a rule hearing on the proposal for Restorative Function Dental Auxiliary (RFDA) for dental assistants. Various representatives from the Florida Dental Hygiene Association (FDHA) and the Florida Allied Dental Educators (FADE) spoke in opposition to the proposed rule.

On a December conference call, the BOD approved the rule for dental assistants and at its February meeting, the BOD approved the following rule for dental hygienists; this rule hearing was only the proposed rule for dental assistants. After hearing the testimony and a short discussion, the BOD did not change its position on the proposed rule and it will continue making its way through the rulemaking process. This rule will allow both assistants and hygienists with certain qualifications (including on-the-job trained dental assistants) to attend a program to become an RFDA. After a dentist has prepared a tooth, a dentist may delegate to a dental hygienist or dental assistant, who has met the mandatory training requirements of the rule, the task of placing, packing and contouring amalgam and composite restorations and the fitting and contouring of stainless-steel crowns. However, stainless steel crowns may not be permanently cemented by the RFDA. The FDA first proposed this type of rule to the BOD in 2011, supports the creation of the RFDA and thanks the BOD, and specifically Ms. Angie Sissine, chair of the Rules Committee, for its hard work on this important issue.

If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. It is much better to be a spectator than a participant in BOD disciplinary cases.

FLORIDADENTAL.ORG

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FDA: Get Involved!

ADS

burnout

BURNOUT

IS AN “OCCUPATIONAL PHENOMENON” The World Health Organization (WHO), the directing and coordinating authority on international health within the United Nations system, works worldwide to promote health, keep the world safe and serve the vulnerable. WHO is entrusted with the International Classification of Diseases, which is the foundation for the identification of health trends and statistics globally, and the international standard for reporting diseases and health conditions. It is the diagnostic classification standard for all clinical and research purposes, and defines the universe of diseases, disorders, injuries and other related health conditions.

In May 2019, burnout was included in the International Classification of Diseases 11th Revision (ICD-11) as an occupational phenomenon. It is not classified as a medical condition.

It’s described in the chapter, “Factors influencing health status or contact with health services,” which includes reasons for which people contact health services, but that are not classed as illnesses or health conditions.

FLORIDADENTAL.ORG

Burnout is defined in the ICD-11 as follows: “Burnout is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions: l feelings of energy depletion or exhaustion l increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job l reduced professional efficacy Burnout refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life.”

Burnout also was included in ICD-10, in the same category as in ICD-11, but the definition is now more detailed.

WHO is about to embark on the development of evidencebased guidelines on mental well-being in the workplace.

Burnout is an “occupational phenomenon”: International Classification of Diseases. (2019, May 30). Retrieved from who.int/mental_health/evidence/burn-out/en/.

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FDA WELL-BEING PROGRAM PROVIDES CONFIDENTIAL HELP FOR DENTISTS, THEIR FAMILIES AND STAFF

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addiction DR. BARTON BLUMBERG

According to the American Dental Association’s (ADA) statistics, 19% of all dentists will have problems with drugs or alcohol sometime during their careers. These numbers may have grown in the past few years due to the opioid epidemic. The fallout from this not only affects their health and well-being, but also that of their patients, staff and families. Ultimately, they can be in jeopardy of losing their licenses, their health or even their lives.

Alcoholism and addiction are diseases, just as diabetes, cancer and heart disease are. There is good scientific evidence that there is a genetic predisposition for addiction. All addictions affect the brain in the same way by stimulating the production of dopamine, which in turn stimulates the pleasure or euphoria centers. This repeated exposure essentially hijacks the brain in an individual with addiction potential and prevents them from making rational choices when faced with the consequences of using their drug of choice. Most of us have heard that we all have obsessive-compulsive behavior about something, but when it interferes with our routine activities of daily living to the point of creating unintended consequences, it can be considered an addiction, whether it is drugs and alcohol, gambling, sex, overeating, over-exercising, etc.

Part of the disease process is an individual’s strong denial that they have a problem. Sometimes the first ones to notice that they have a problem are staff or family members. They might see some of the warning signs: the doctor showing up late or completely missing unscheduled days off. They may show physical signs, such as unusual irritability with patients or staff or slurred speech. However, staff or family members are reluctant to confront the individual for fear of repercussions.

The Florida Dental Association’s (FDA) Well-Being Program has been in effect for almost two years and is a non-threatening way for dentists to get help with their illness. Again, this is a disease and we would not expect someone close to us not to seek help for cancer or heart disease. So why should they not receive help for their addiction? There are many psycho-social

FLORIDADENTAL.ORG

aspects to this disease. But, the individual suffering from this disease doesn’t have the ability to fully see and understand that they have a problem, so it’s up to those closest to an addict to help them get treatment.

A recovering addict has a unique first-hand perspective on treatment and recovery. As someone in recovery for more than 12 years, I can tell you that I’ve had the opportunity to work with many others, including health care professionals, who have suffered and then recovered from this disease. I can tell you that our lives are so much better in every way. I’m grateful that my family and career have survived my addiction. I have wonderful relationships with my family, patients and staff in ways that I never could’ve dreamed possible — even better than before my addiction problems. Every day, my personal growth, health and peace of mind is incredible and is something that I wish everyone could enjoy. When I first came into recovery, I was told that alcohol and drugs were only a symptom of my disease. Although it may be hard for others outside of the recovery process to understand, I can tell you that it is absolutely true!

The FDA Well-Being Program is a project under the Council on Ethics, Bylaws and Judicial Affairs. This program is designed for a dentist or their staff and family to contact a trusted source in recovery who understands dentistry and its difficult challenges. The conversations can be on an anonymous basis and will always be kept confidential. Doctors are not required to give their name or membership information, and there is no stigma or judgement attached to doctors or their loved ones who reach out to the well-being consultant.

These communications also are protected as non-discoverable.

There is no need to suffer the consequences of addiction to your health, your patients, your family or your license. The hardest part is admitting you have a problem! From then on, help is available. Any dentist in recovery who would like to be on this committee, or anyone who needs information or help can anonymously and confidentially contact me at 352.446.7910.

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HACKERS SEE YOUR PRACTICE AS EASY MONEY

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hacking ROBERT MCDERMOTT, PRESIDENT AND CEO, ICORECONNECT

There are reports from around the country of dentists being hacked. One dentist reported that her patients received “aggressive” emails telling them they owed money for services they never received and to send money immediately. The practice had been hacked.

Hackers know they can go after Gmail, Outlook, Yahoo! etc. because those communications exist on a public domain. That makes the message and protected health information (PHI) accessible by hackers.

So, what do you do, knowing just how quickly “business as usual” can become detrimental to you, your patients and your practice? How do you protect yourself?

Take Appropriate Technical Compliance Steps m Store your data in secure, private data centers rather than on your practice computer. m Comply with federal law, including the federal government’s five HIPAA technical safeguards:

1. Transmission Security: PHI is encrypted at the highest levels when shared

2. Authentication: senders and recipients are always verified

3. Access Control: only authorized persons can view secure data

4. Integrity: PHI is unaltered and protected

5. Audit Control: all user access/activity is tracked in detail

Prevent Human Error 1. Educate your staff to immediately stop and assess the situation anytime a suspicious link or information request comes through email.

2. If possible, contact email senders outside the email thread to ask about links or attachments in an email that appear unusual in any way (strange subject lines, unusual wording or topics, etc.).

3. Even if the email looks legit, make sure your team raises the question prior to sharing any confidential information, like account details.

It’s not just you and your computer that are affected by hackers. The moment you click on a malware link, you hand a hacker a key to access and take down your entire practice. You may even reveal pathways for them to victimize your colleagues and other contacts. But don’t panic — with the right knowledge and applications, you can keep your practice and your patients’ information safe. iCoreConnect’s fully HIPAA-compliant email, iCoreExchange, is vetted and endorsed by FDA Crown Savings. iCoreExchange not only meets, but also exceeds all five technical safeguards and all data is protected on its own private domain and server. For more information, please go to icoreconnect.com/fda.

FLORIDADENTAL.ORG

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!

OMG

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student loan debt

YOU HAVE HOW MUCH STUDENT LOAN DEBT?!

If there’s one statement that holds true for all dentists who have graduated in the last 10 years, it’s this: “My goodness, it takes a lot of money to go to dental school!” Many of you reading this may be out of school a few years and others 10 years or more, and you’re trying to figure out the most efficient way to manage your student loan debt. Some of you may be paying it down aggressively — but are you doing it right? Others may be considering a refinance but are not 100% confident that the terms being offered are optimal for your financial situation. Here are several tips to consider when confronting your student loan obligations and making decisions on how to manage them.

Pay down debt, but be smart how you go about it.

Many people get overwhelmed by debt and don’t make smart choices when applying extra money to pay down debt faster. Some will simply put payments toward the largest loan balance, and others will put them toward the smallest. A smart way to choose which loans to pay down first is to pull your statements and analyze the interest rates for each of your loans.

Then, rank your student loans from the highest rate to the lowest rate and apply any extra funds toward the loan with the highest interest rate first. When you’ve paid off the first loan in full, move on to the second. The loans with the FLORIDADENTAL.ORG

highest interest rates are costing you the most and applying extra payments toward them will give you the most “bang for your extra bucks.”

As a side note, you should check with all your lenders before applying extra funds toward loans to ensure that those funds are properly handled, and that your payments are doing what you want them to. Some lenders require additional principal payments to be mailed separately, or even to another address. Always check with your lender to see how they apply additional funds before sending any payments.

Finally, if you have credit card debt, you should pay down that debt first. Credit card debt can be a major factor in your credit score (both positive and negative) and typically has some of the highest rates in your debt portfolio.

JONATHAN BURNS VICE PRESIDENT

Bank of America Practice Solutions

JASON NUNEZ VICE PRESIDENT

To refinance or not to refinance — that is the question.

The number of companies marketing student loan refinance programs has increased significantly in recent years. As you consider whether to refinance your loans, you should be aware of a few things before pulling the trigger: 1. Once you refinance out of federal student loans, you’re no longer able to participate in government repayment programs such as the Income Based Repayment (IBR) program. Be-

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student loan debt FROM PAGE 41

fore you refinance, it’s a good idea to look into federal repayment programs for your federal student loans and be aware of the repayment plans available to you. A good resource can be found at studentaid.ed.gov/sa/repay-loans/understand/plans.

2. Not all student loan refinance programs are created equal.

Some companies offer longer terms than others, some offer better rates, and some even offer an ecosystem of other borrowers to network with and learn from. You need to speak to a few to figure out the right fit for you.

3. Choose a less restrictive term now with the flexibility to pay the loan off earlier, when you are better established financially.

Many of the dentists that come to Bank of America for a dental practice loan choose an aggressive term to pay their debt back — some as low as five years — because the rate is lower.

On its surface, that may seem like a good decision. However, if you later want to borrow more money for practice ownership or home ownership, lenders will look at your large monthly payment and the new debt payment to determine if you can afford both. It can sometimes be difficult to make the math

Aftco

work. It may make more sense to choose a longer term, say 15 or 20 years, with the flexibility to pay off the debt earlier. That provides you with a manageable monthly payment along with the flexibility to pay debt down more aggressively when the timing is right. You often see this logic applied with consumers who purchase homes. Most mortgages are on a 30-year term, not a 15-year term, because the payment is more manageable.

The same idea holds true with your student loan refinance, which could be as much as a home purchase in some cases!

The sun doesn’t always shine, so don’t forget about that rainy-day fund.

If you’re a young associate just starting out, you almost certainly have aspirations outside of your profession, like owning a home, moving to a nicer apartment or buying a car that doesn’t smell like old pizza from your days as a resident. If you foresee some larger purchases in the next few years, you should consider not paying down your loans so aggressively and start a savings account specifically for your life goals. Saving just a few hundred dollars per month can build over time, and many people see that accumulated cash as a great motivation to continue to save going forward.

Debt can be intimidating, but it doesn’t have to be. I would argue that your student loan debt was the best investment you made, because it helped get you where you are today! Debt, when managed correctly and used the right way, can be a great financial tool in life. Learn to use it responsibly and manage it effectively by being inquisitive, getting advice from financial professionals and making sure you’ve done your homework before making any major decisions.

Reprinted with permission from Bank of America.

This article is for informational purposes only. Please consult your tax advisor, as neither Bank of America, its affiliates, nor their employees provide legal, accounting and tax advice. Bank of America is a trademark of Bank of America Corporation.

Bank of America Practice Solutions is a division of Bank of America Corporation. ©2019 Bank of America Corporation.

FLORIDADENTAL.ORG

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THANK YOU TO PRESENTING BENEFACTOR

2019

ORLANDO MARCH 22-23

We work for you.

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Call us 800.877.7597 and protect your loved ones with the promise of security.

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Doctor's Choice

healthy eating

PRACTICAL DIETARY TIPS FOR HEALTH AND LONGEVITY A well-balanced diet and regular exercise are necessary for health and longevity. Obesity, diabetes, kidney disease and heart disease, as well as some gastrointestinal cancers, are all interrelated and are leading causes of premature death and morbidity.

A Growing Health Crisis DR. JAY R. SINGER

Dr. Singer is the president-elect of the Atlantic Coast District Dental Association. He is an orthodontist in Coral Springs and a Diplomate on the American Board of Orthodontics.

He has been practicing and studying the art of healthy eating his entire adult life due to a family history of diabetes, heart disease and kidney disease. He can be reached at drsinger@ singersmiles.com.

References Healthy Eating, A guide to the new nutrition, A Harvard Medical School Special Health Report. The e-book can be downloaded for $18 at health.harvard.edu/special-healthreports/healthy-eating-a-guide-tothe-new-nutrition Wikepedia/Nutrition: en.wikipedia. org/wiki/Nutrition Healthline.com MayoClinic.org: mayoclinic.org/ healthy-lifestyle/nutrition-andhealthy-eating/expert-answers

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TODAY'S FDA

The prevalence of obesity is at epidemic levels and according to the 2017 National Center for Health Statistics report, 39.8% of U.S. adults are obese. Obesity and excess weight are associated with type 2 (adultonset) diabetes. The number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014 and now afflicts 9% of the population. Type 2 diabetes is caused by insulin resistance due to genetics, excess weight in what is commonly seen in metabolic syndrome, and/or chronic exposure to elevated levels of excess blood glucose (blood sugar). Diabetes is associated with comorbidities and is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation. Heart disease is responsible for one in four deaths, according to the Centers for Disease Control and Prevention. Our current eating style, known as the “Western diet,” contributes to these levels of disease.

The Macro and Micro Nutrients Macronutrients are proteins, carbohydrates and fats. Micronutrients are required in relatively small amounts and are vitamins, minerals, fiber and phytochemicals. There are healthy, “good” sources of the macronu-

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trients and unhealthy, “bad” sources. The bad macronutrients contribute to multiple health problems like obesity, cardiovascular disease, diabetes and cancer, and are discussed below.

Let’s Be Pro-lean for Protein There are 20 amino acids that are constituents of human protein, but only nine are essential that our bodies cannot synthesize and need to be consumed. The best source of protein is from eating a variety of vegetables and legumes. Legumes are dry fruits that grow in pods like lentils, soybeans, peas, snow peas and peanuts. Soybeans alone, from which soy milk and tofu are made, provide all nine of the 20 essential amino acids we need. Pairing of other vegetables, such as rice and beans as in Latin cuisines or rice and lentils as in Indian dishes, also provide all the essential amino acids. In other words, we are not dependent on animal protein.

Regarding animal sources of protein, the dietary guidelines for Americans recommend no more than 5 ½-6 oz. of lean meat, fish, seafood or skinless poultry per day and that it be a side dish, not the main dish. Quality animal proteins are found in unprocessed poultry and fish. Skinless chicken and turkey are lower in saturated fat than red meat.

Fish also is low in saturated fats, chemical preservatives, hormones and antibiotics.

Fatty fish like salmon and seafood (shellfish) contain long-chain omega-3 polyunsaturated fatty acids, which help prevent heart disease and stroke, lower triglycerides and contain antioxidants. However, large predator fish FLORIDADENTAL.ORG

contain proportionally higher levels of mercury (from air and water pollution) than smaller fish (biomagnification). Therefore, avoid predator fish like swordfish, shark, marlin and giant mackerel. Albacore tuna and snapper have moderate amounts of mercury, so pregnant woman should limit these fish to four times per week. Flounder and farm-raised salmon can be eaten without limitation.

Red meat contains higher levels of saturated fat and sodium and has been found to cause higher levels of cardiovascular disease and cancer with increased consumption. If you like your beef, choose extra-lean, non-marbled cuts like eye of the roast and top sirloin steak. Prime and choice cuts are the most marbled. Avoid organ meats, like liver, which are high in cholesterol. Ground beef as in hamburgers, meatballs and meatloaf have higher levels of saturated fat. High-heat grilling causes the formation of heterocyclic amines linked to colon cancer. Another problem with beef is the use of antibiotics, which contributes to the growing problem of antibiotic resistance. Environmentally, the beef industry also contributes to climate change due to the generation of high levels of methane greenhouse gas emissions. The least healthy of all meats are processed meats such as bacon, ham, hot dogs, bologna, pastrami, salami, sausage, bratwurst and pepperoni. In late 2015, the World Health Organization concluded that processed meats are a Class 1 carcinogen for colon cancer. Processed meats are salted, smoked, fermented, cured or nitrate preserved.

The Low Down on High Sugar Carbohydrates provide energy and are constituents of our cells. The glycemic index (GI) of a food is the measure of how much and how fast the food raises blood glucose (see graph on right). Pure glucose has the highest GI of 100. The bad carbs have a GI more than 70; medium is 55-70. Good carbs have a GI less than 55. High GI diets are linked to diabetes, cardiovascular disease, and breast, prostate, pancreatic and colorectal cancers. “Good” carbohydrates are complex carbs found in vegetables and legumes and have low GIs. Potatoes and corn are exceptions in that they have high GIs. “Bad” carbohydrates come from highly processed and refined sugars (from cane, beet and corn) and refined and highly processed grains, such as white flour and white rice, from unprocessed starches like potatoes and corn, as well as fruit juices, which concentrate the fruit’s natural sugars.

Glycemic Index and Glycemic Loads (GL) for Common Foods Based on Serving Size Food

GI

Serving Size

Net Carbs

GL

glucose

100

(50 g)

50

50

raisins

64

1 small box (43 g)

32

20

white rice

64

1 cup (186 g)

52

33

sugar (sucrose)

68

1 tbsp (12 g)

12

8

white bread

70

1 slice (30 g)

14

10

watermelon

72

1 cup (154 g)

11

8

popcorn

72

2 cups (16 g)

10

7

baked potato

85

1 medium (173 g)

33

28

raisins

64

1 small box (43 g)

32

20

peanuts

14

4 oz (113 g)

15

2

bean sprouts

25

1 cup (104 g)

4

1

grapefruit

25

1/2 large (166 g)

11

3

pizza

30

2 slices (260 g)

42

13

low-fat yogurt

33

1 cup (245 g)

47

16

apples

38

1 medium (138 g)

16

6

spaghetti

42

1 cup (140 g)

38

16

carrots

47

1 large (72 g)

5

2

oranges

48

1 medium (131 g)

12

6

bananas

52

1 large (136 g)

27

14

potato chips

54

4 oz (114 g)

55

30

Snickers bar

55

1 bar (113 g)

64

35

brown rice

55

1 cup (195 g)

42

23

honey

55

1 tbsp (21 g)

17

9

oatmeal

58

1 cup (234 g)

21

12

ice cream

61

1 cup (72 g)

16

10

macaroni and cheese

64

1 serving (166 g)

47

30

The Facts on Fats Fats are a subgroup of lipids called triglycerides. Triglycerides are the ester from glycerol and three fatty acids. The essential fatty acids that we cannot synthesize are the omega-3s and -6s, where the double bond carbons are three or six units from the end of the chain, respectively. If there are one or more carbon double bonds, the fat is unsaturated, liquid at room SEE PAGE 50

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healthy eating

l eliminating the dairy recommendation. l increasing the vegetable portion. l specifying the kind of protein as healthy (no red or processed meat).

FROM PAGE 49

temperature and called an oil. These are the “good” fats. Good fats are vegetable oils with low levels of saturated fatty acids and higher levels of monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA) like olive oil. Olive and canola oils contain mostly monounsaturated oils (73% and 61%, respectively) and are considered healthy components of a good diet. Olive oil in particular is thought to be one of the healthiest foods for your heart (Mediterranean diet). It lowers blood pressure, protects against heart disease and strokes, has anti-inflammatory properties, protects LDL particles from oxidation, has large amounts of antioxidants and may reduce unwanted clotting.

l specifying the grains as whole. l adding olive and canola oils while limiting the use of butter. l adding water and exercise.

Fig. 1: MyPlate (left), developed by the USDA, is flawed.

Harvard Medical School’s model, Healthy Eating Plate (below), is more specific, comprehensive and more scientifically based.

“Bad” fats are usually from animal sources. Saturated triglycerides raise bad cholesterol and clog your blood vessels by growing atherosclerotic plaques. Endothelial injury from high blood pressure and inflammatory conditions, such as autoimmune conditions, also play a role. Saturated fats are found mostly in red meats and dairy products like whole milk, creams, butter, as well as in tropical oils like coconut and palm oils. Tropical oils are the vegetable exception and contain more saturated fats than pig lard (92% compared to 41%). Beware of some movie theater chains that use coconut oil to pop their popcorn.

The Food Groups and Putting Your Plate Together The U.S. Department of Agriculture (USDA) has provided food guidelines since the 1940s. Most of us remember the food pyramid. In 2011, MyPlate made conceptualizing proper meal proportions easier (Fig. 1). Unfortunately, while the USDA recommendations have improved over the years to be more scientifically based, all their recommendations have been heavily influenced by industry lobbying efforts and money, particularly by the big sugar, beef and dairy councils. Accordingly, the Healthy Eating Plate was created by Harvard Health Publishing and nutrition experts at the Harvard School of Public Health. The Harvard Healthy Eating Plate improves upon MyPlate by:

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The major portion of any meal — about a third of your plate — should consist of a variety of vegetables. Vegetables are the structural parts of plants like leaves, stems and roots (other than the fruit/seed reproductive parts), and consist of primarily complex carbohydrates and micronutrients like fiber (a mostly non-digestible carb that lowers cholesterol, controls blood sugar, reduces risk of cancer and helps peristalsis) and phytochemicals.

The typical American breakfast is based on bad fat and bad carbs from cereal (including instant oatmeal), waffles, pancakes, pastry, bagels, croissants, muffins, sweet fruit yogurts, donuts and fruit juice. If you are diabetic or prediabetic, you

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have special rules for breakfast. Your days of breakfast as usual are over. You must eliminate or severely limit all grain-based breakfasts to prevent diabetes. If you must have your cereal, avoid cereals with over 26 g of carbohydrates and 4 or more grams of sugar per serving. Several brand name sweeteners use the natural sweetener, stevia, or Rebaudioside A, in place of sugar, which has a GI of 0. You can subtract the fiber from the carb number. Measure your portion per the label — ½ or ¾ cup. Scoop your whole grain bagels and limit your whole grain toast or English muffin to one slice. Veggie omelets take priority. Danishes, muffins and donuts are out. No fruit juice either — have a whole orange instead.

The typical American lunch and dinner makes a meat protein the centerpiece of the plate. Under the new Healthy Eating Plate design paradigm, it’s the vegetables and legumes that are the main course. Vegetables like celery sticks and carrots can be eaten fresh with hummus dip as part of any meal. Vegetables can be grilled, stewed, steamed or roasted in olive oil for 30 minutes at 375 degrees. Roasted vegetables can be bought ready-to-eat at Whole Foods, Lucky’s and The Fresh Market groceries around town. For quick steamed veggies with any meal, wrap them in a wet paper towel and microwave for 6090 seconds, sprinkle with parmesan and spray butter. Voilà!

A quarter of the plate should consist of healthy protein. This can be another portion of vegetables, legumes or a healthy animal protein, such as skinless baked poultry or fish. Choose shrimp, shellfish, canned light tuna (lower in mercury than albacore) packed in water, salmon, pollock and catfish.

The next portion of your plate, another quarter portion, is whole grains. Whole grain is a grain of any plant that contains the endosperm, germ and bran, not just the endosperm.

Whole grains are found in whole grain bread and brown rice.

Avoid refined grains like white flour products, such as white bread, plain bagels, pizza, regular pasta and white rice, which are digested quickly. Zucchini pasta can be substituted for grain pasta. Purchase thinly sliced bread for your sandwiches and scoop out your bagels.

The next portion of your plate is 15-20% fruits. Although fruits have sucrose, which is glucose and fructose bonded together, they also have free fructose, which is incompletely converted to glucose through a different metabolic pathway, resulting in a lower GI than sucrose. Also, the fiber, pulp and

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other micronutrients in fruit buffer the sucrose in fresh fruits compared with fruit juice or the added sugars in soda or confections. Choose fruits with lower GIs (melons and bananas are high) and different colors for phytochemical benefits.

Fruits make good snacks but avoid eating anything within three hours of bedtime to allow your body to burn off the sugar in your system.

Dairy is overrated and has been eliminated in the Harvard model plate. Dairy products have protein and are high in calcium for bone health, but also are high in saturated fat unless low-fat versions are used. They are high in sugar and present a lactose problem for intolerant people. Dairy can be laden with antibiotics and lead to antibiotic resistance. High consumption of whole milk has been linked to prostate and ovarian cancer. The calcium in dairy can be sourced instead from beans, lentils, almonds and leafy greens. Almond and soy milks are good substitutes for dairy milk without the high fat and sugar content.

The Healthy Eating Plate promotes olive and canola oils, which are absent in MyPlate. Avoid solid fat and high saturated fat products like butter and margarines with trans fats or high saturated fats, mayonnaise, heavy creams, tropical oils and cooking with a trans-fat shortening, which clogs your coronary arteries. Use olive oil or Pam cooking spray for stove-top cooking. Use an oil-based, no-fat spray butter for flavor on many dishes.

The Healthy Eating Plate emphasizes water. We need eight 8 oz. glasses per day — known as the 8 x 8 rule. This equals 2 liters or ½ gallon in general depending on weight, activity and ambient factors. Adequate water is necessary for kidney health. Lemon juice in the water also helps prevent stones.

Unsweetened coffee without cream and tea are a good source of water. Sweetened sodas and alcohol are not.

Also incorporated into the Harvard Healthy Eating Plate model is the need for exercise to complement a healthy diet.

Aim for at least four to five 30-minute aerobic workout sessions per week and more than 7,500 steps per day. Get regular blood tests to check cholesterol, creatinine, fasting glucose and A1C levels. Monitor at home as needed.

Yours for good health through good nutrition, Dr. Jay R. Singer

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celiac patient

THE CELIAC PATIENT: OUR ROLE IN REFERRAL, DIAGNOSIS AND TREATMENT

DR. ANNA HILL-MOSES

Dr. Hill-Moses is a recent graduate of the University of Tennessee Health Service Center and was the ASDA District 4 trustee and chapter secertary when this article was first published.

Wheat, barley and rye are my archnemeses.

Since being diagnosed with celiac disease in 2014, I look for these common ingredients in everything I eat. Every single meal. Every single day. Luckily, I am not alone. Celiac disease is an autoimmune disorder estimated to affect one in every 141 people in the United States, according to the October 2012 issue of The American Journal of Gastroenterology — and most people don’t know they have it.

top priority. But my body had other plans.

Pink raised papules would wax and wane on my stomach. Fatigue and lethargy were at an all-time high. Neuropathy in my hands and legs happened so often I forgot it wasn’t normal. Aphthous ulcers became as common as checking my mail (11 ulcers at once was my record). And without getting into too much detail, my bathroom habits were far from normal.

Glutenin and gliadin compose gluten, a protein found in wheat, barley and rye. Glutenin is comparable to glue, giving gluten strength and elasticity. Gliadin triggers an autoimmune response. Celiac patients’ antibodies attack more than just the gliadin found in gluten; they attack the villi of their small intestines. This leads to bloating, fatigue, constipation, chronic diarrhea, iron-deficient anemia, peripheral neuropathy, intra-oral sores, dental enamel defects, dermatitis herpetiformis and, ultimately, malnutrition and a leaky gut, according to the Celiac Disease Foundation. While there is no cure, a gluten-free diet will relieve symptoms, lead to soft-tissue repair and stop the destructive process.

I eventually convinced myself it wasn’t just stress. A gastroenterologist took a blood sample and told me my tTG-IGA antibody count was 10 times that of the average person. The diagnosis? Celiac disease. The only treatment? Cut gluten. Things started getting better within two weeks. The rashes disappeared, ulcers became non-existent and I regained a positive relationship with the bathroom. My physician even applauded me when I gained 12 lbs.

The year preceding my diagnosis was stressful. Between teaching high school full time, taking the DAT and preparing my application for dental school, my health was not my

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Serology testing is a common first step in celiac diagnosis, but an endoscopy is the standard. It’s usually an outpatient procedure in which the physician takes several biopsies of the small intestine to examine villi damage. The results of the endoscopy are only accurate if the patient has been eating gluten.

After being gluten-free for seven months, I rejoiced when my physician instructed me to eat gluten for one week. My body was FLORIDADENTAL.ORG

displeased, but my taste buds were happy. Sure enough, the pathology results matched my serology tests and I was officially diagnosed with celiac disease.

I share my story because it’s common. It took me about a year and a half to figure out what was going on. As dentists, we should be on the frontlines to help one of the 2.5 million Americans who are undiagnosed with celiac disease.

In April 2011, Rashid, et. al. published a clinical guide of oral manifestations of celiac disease in the Journal of the Canadian Dental Association. Oral symptoms are diverse, but the most commonly seen are enamel defects and recurrent aphthous stomatitis. Among celiac patients, 51% have enamel defects (myself included). At times, these oral manifestations are the only symptoms of the disease, so dentists must be aware of these clinical presentations.

In addition to recurrent ulcers and enamel defects, dentists should pay special attention to hypomineralization and hypoplasia on the incisors and molars of permanent teeth. These oral manifestations also are common with celiac disease. If you notice these, ask your patient if celiac disease runs in their family and inform them of your suspicion. Encourage them to get tested. Undiagnosed and untreated celiac disease can lead to a long list of additional health problems and even premature death due to celiac’s link to cancers of the small intestine and non-Hodgkin’s lymphoma, particularly enteropathy-associated T-cell lymphoma. A study completed by the Mayo Clinic College of Medicine in Minnesota, published in the 2010 issue of The American Journal of Gastroenterology, examined patients with endoscopy-diagnosed celiac disease. Those who strictly adhered to a gluten-free diet with confirmed mucosal recovery had lower mortality than those who cheated on the diet. Diagnosis of celiac disease is key to prevent to prevent early death.

Dentists treating celiac patients must be knowledgeable about the products used in their practice. Many materials used in

dentistry are not ingested, but they can still affect the patient’s body. A November 2013 case study published in Clinical Pediatrics illustrates the importance of knowing your materials. A 9-year-old female patient received a diagnosis of celiac disease.

She was placed on a strict gluten-free diet and had serology panel seven months later. Her tTG-IGA levels improved but were still 10 times the level of the average person. Eventually, they discovered the culprit: her retainer. The retainer was made of plasticized methacrylate polymer. Gluten is a common additive in plasticized methacrylate polymer. She discontinued use and her tTG-IGA levels returned within normal limits.

Make sure the products you use will not harm your patient. If you do not know the specifics of the materials you are using with a patient with gluten sensitivities, call the manufacturers. Ensure your hygienist uses gluten-free polishing paste and fluoride. Confirm you are providing your patients with the right samples. Crest states that all their toothpastes, white strips and floss are gluten-free. Colgate also has stated that all Colgate, Ultrabrite and PreviDent toothpastes and Colgate mouthwashes are gluten-free.

The Celiac Foundation states that there are more than 200 symptoms of the disease. This make diagnosis difficult. As dentists, we need to know the signs and when to refer to a physician. Educate your staff. Provide products that manufacturers guarantee are gluten-free. And the next time you eat a fluffy glazed donut, please dedicate it to me, my lack of aphthous ulcers and my 100% gluten-free diet.

For more information on gluten-free oral care products and dental materials, visit the Celiac Foundation’s website at celiac. org.

This article was originally published in the September 2018 (Vol. 2, No. 8) issue of Contour magazine, and is reprinted with permission from the American Student Dental Association.

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Your

BACKSTAGE

hobbies

?

•

WHAT TIME IS IT “What time is it?”

“Tuesday ... no wait, I think it’s Wednesday.”

Asking what time it is and responding with a day of the week is a bit of a running joke on my boat. But the truth is, it’s not a joke. The reality is we really don’t know what day of the week it is, let alone the time of day. When your vacation is bareboat sailing, you can literally leave a lot of technology and troubles behind. Time just slips away. Your worries about your dental practice are carried away with the wind. This is real relaxation.

I learned to sail about 40 years ago on Hobie catamarans and in Ohio, of all places. Just 16 ft. long, these boats were all sail, lightweight and therefore, incredibly fast. You had to learn good sailing technique quickly or you were more wet than dry. I graduated to a club racing J-24 when we followed the winds to Florida. Like most new hobbies, you learn by finding a mentor, doing a little reading and practicing your craft. When sailing, you are either racing or cruising, coastal or crossing. But the quiet joy of sailing is the same. Gliding through the water using only 15th century technology gives you real peace and relaxation. There is something empowering and refreshing about being at the whim of the wind and the sea, yet in control.

Around 1992, we started chartering by demise. Ok, I hate that term. I prefer the term bareboat chartering. The concept is you fly somewhere exotic, borrow a sailboat for a week then return it mostly intact. You are the captain and your family or friends are the crew. We introduced our sons to these adventures when they were only about 5 years old. It became our annual family retreat — no phones, no electricity, no Wi-Fi, no video games. We only had the “wind, a tall ship and a star to steer by.” What a great way to bond and explore new areas. I would not trade those memories for anything. We have sailed “unsalted” in the Great Lakes and Canada. We ventured to the Virgins — British, Spanish and U.S. We sailed the Saints — Barts, Kitts, Martin and Lucia. Not only did the kids learn sailing skills, but I also feel they learned life lessons, self-esteem and confidence.

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Now that the kids are older and have moved out, we’ve introduced bareboat sailing to other adult couples. Four couples easily fit in a 48-ft.

SailCat with room to spare. It really is like “glamping” (glamorous camping). Everything happens slowly on purpose. On a good tack, the boat might go 8 knots. I’ve seen powerboats “dock” at this speed. On a typical day, we have breakfast on board then move the boat for a “lunch hook” and explore our own private sandy island. In the afternoon, we sail to a sheltered angelic anchorage for the night, and dingy ashore for dinner. And now for the next day, let’s see which way the wind is blowing. Did I mention the sailboat seems to be powered by a bottle of rum per day?

DR. HUGH WUNDERLICH

Dr. Wunderlich is a general dentist in Palm Harbor and can be reached at htwdds@gmail. com.

Except, wait ... what time is it again?

Superior Dental Design Services

FLORIDADENTAL.ORG

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57

hobbies

ACHIEVING BALANCE IN THE DENTAL PRACTICE WITH YOGA Dentistry has been an immensely rewarding as a career for me. However, as enriching as the profession can be, most professionals in the field inevitably face common physical ailments and mental stressors. Whether clinician or administrator, the demanding postures we hold for hours on end can not only compromise physical well-being and make us more prone to injury, but if not addressed, also can negatively affect peak performance in our practice. Over time, these issues can compromise the ability to achieve and maintain the same rewards that make dentistry such a great profession.

The rigors of dentistry are subtle but profound — members of the clinical team find themselves faced with managing precision hand-eye coordination to perform intricate procedures, while often contorting themselves to better visualize the treatment area. Those in administrative roles are taxed with long hours behind a screen in a static

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position. In both cases, it’s a constant struggle to ward off the effects of compromised posture, the unilateral tension associated with repetitive procedures and poor circulation that comes with sitting for long periods. Over a career, this strain can lead to significant and debilitating imbalances. In addition, the underlying emotional effect of working with fearful patients suffering from dental pain and anxiety can increase stress for the dental team.

My Story Throughout my career as a restorative dentist, I’ve stayed physically active by surfing, free diving, spearfishing, and doing other exercise like jogging and circuit training. After 15 years of practice, minor injuries from my hobbies started to linger longer, and working comfortably became increasingly difficult. I began to realize the ergonomics (or lack thereof) were causing me aches and pains, which were evident outside the workplace, too.

It wasn’t until after an unexpected change took place in my personal life, that I sought balance for my professional well-being. With a sudden transition out of my 18-year marriage, I immediately entered the world of single-parenting.

Along with running a growing business, I was now single-handedly running a household, shuttling two growing kids to and from after-school activities, overseeing homework, and managing meals, birthday parties and sleepovers.

With little to no time for exercise, hobbies or social interaction, minor stresses and ailments became more pronounced, leaving me overwhelmed without even the slightest bit of balance. During that time, a patient who I’d known for quite some time came in for a cleaning. During her hygiene check, she suggested I try yoga. As a yoga instructor and part owner of a local studio, she sold me on the benefits, assuring me that it would not only provide relief for aches and pains, but also could ease mental and FLORIDADENTAL.ORG

emotional stress. Before ending our conversation, she casually suggested that I might even meet a nice yoga girl!

With an open mind, I ventured out to her studio for a one-hour hot vinyasa class. The instructor presented the idea of setting an “intention” for focus and reflection during our class. Whether finding an appreciation for the positivity in life, or simply striving for rhythm of breath, this intention was ours to choose. For better or worse, taking time out to practice both gratitude and solitude had become lost on me, and yoga was beautiful reminder of that.

As a beginner, I appreciated the many variations offered for each pose, or asana. Showing up as a first-time student can be intimidating, but it was evident that this was a judgementfree zone. We were encouraged to work at our own pace, using our breath to relax and clear the mind. By the end of class, I was hooked — and equally humbled.

Without a doubt, yoga provided a great workout and lifted my spirits. Unlike other activities that left me tight and made the workday more challenging, I became more limber and comfortable while practicing dentistry. After a few more classes a couple times a week, I was noticeably more balanced at work. On days following yoga, my aches and pains were minimal, and I felt more refreshed. Plus, the concept of setting an intention became a habit outside the yoga studio, and I began seeing things in a more positive light both in the office and at home.

It had become clear that the more I practiced yoga, the more relaxed and centered I was.

As a bonus, I’m now in a relationship with a woman who shares my passion for yoga and the positive mindset it promotes.

The Benefits

controlled synchronized breathing, yoga might be considered simply stretching. The word yoga itself is translated from a Sanskrit word meaning to unite or integrate. This integration of mind, body and breath allows the body to harmonize. It’s been scientifically proven that the practice of yoga detoxifies the body, strengthens the heart, lungs and immune system, releases muscle tension, and improves focus and situational awareness.

The resulting increased flexibility improves posture, which reduces strain on the back, neck and shoulders. It improves blood flow and enhances cardiovascular function. Yoga has been linked with reducing osteoporosis, improving sleep and decreasing blood pressure.

DR. BRENT HARRIS

Dr. Harris is a general dentist in St. Lucie West, Fla. and can be reached at harris4119@ bellsouth.net. He welcomes you to join him after work for yoga on Monday evenings at 5:306:30 p.m. at his office, S.A.H. Dentistry, if you are in the area.

In the Office After a few years of practicing, I wanted to share the benefits of yoga with my dental team, and so I proposed the idea of weekly after-work yoga sessions in the parking lot every Monday. For a minimal investment, workplace yoga — or in our case, “Asphalt Asana” — is the perfect way to decompress and positively connect with team members in a non-dental environment. I was able to negotiate a flat rate with a great local instructor for our team, and we eventually extended a drop-in rate for friends and other colleagues to join us.

Our new weekly routine has become a phenomenal way to connect and fosters a new form of motivation. On Mondays, our dental team comes to work energized, looking forward to our group yoga session at the end of the work day. As a business owner, it’s also been neat to see how our yoga program has reinforced our brand as an innovative, health-conscientious environment for our dental team as well as our patients.

Yoga is an ancient Indian practice of combining movements and postures with rhythmic breathing and techniques. Without the FLORIDADENTAL.ORG

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hobbies

WORK HARD, PLAY HARD Time is the most valuable thing we have. How we choose to use it is up to us. A friend of mine once asked, “What are you up to?” I said, “Killing time,” to which he responded, “No, son, time is killing you.” Our parents told us when we were younger that time flies; I think we can all attest to that fact now. The older we get, the faster the years seem to go by. Days at work are so busy adhering to a strict time schedule that when I get off, I don’t like to be on any schedule at all.

I was asked to write an article on how I relax after a stressful week at the office.

I enjoy a lot of different hobbies such as hunting, fishing, bicycling, snorkeling, and looking for fossils and artifacts. One of the hobbies I really enjoy is snorkeling, which I have been doing for more than 40 years. I became involved in snorkeling at a young age while helping a family friend collect data on the Conecuh River for his doctoral thesis on the Alabama map turtle.

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Snorkeling is incredibly peaceful and doesn’t take a lot effort (as long as you aren’t swimming against the current).

When I go to different meetings in the state, U.S. or even out of the country, I always look for possible places to snorkel. Last year while attending the Florida Academy of Dental Practice Administration meeting in Bermuda, I was able to snorkel on the shipwreck HMS Vixen and the coral reefs along Church Bay. Coral reefs offer some of the best experiences you will ever find. The vivid colors of different fish and coral are truly breathtaking — you may want to invest in an underwater camera to capture some of these moments. Another great spot to snorkel around the coral reefs is St. John, U.S. Virgin Islands. I’ve already been twice and spent a week each time. I plan to make another trip this summer.

There are numerous beaches all over the island where you can just walk in from the shore and snorkel the reefs. More than 80% of the island is protected and cannot be developed. A good book to

help plan your daily travels and adventures while on the island is “St. John: Off the Beaten Track.”

We are blessed with having so many places to snorkel in Florida. I’ve found that our natural springs offer some of the best water clarity. In the Panhandle, we have several within driving distance from Pensacola. I have snorkeled Vortex Springs, Ponce de Leon Springs, Morrison Springs and Jackson Blue Springs.

My favorite is Jackson Blue Springs, a first magnitude spring, which means it’s one of the largest springs. It’s the head of eight smaller springs that feed and make up Merritt’s Mill Pond. The entire area is crystal clear and offers incredible snorkeling. If I had to pick one spot in the state to snorkel, it would be Itchetucknee Springs State Park in Fort White.

The tubing and snorkeling season is from Memorial Day weekend until Labor Day weekend. I try to go about three times a year. I prefer to snorkel the full-length trip, which usually takes FLORIDADENTAL.ORG

about three and half hours. This trip takes you right through the middle of the entire state property while enjoying beautiful scenery and wildlife. You can go to floridasprings.org to find a spring near you.

Many times, I combine a canoeing or kayaking trip along with my snorkeling. We have several great trips in the Panhandle: Holmes Creek in Vernon, Spring Creek and Chipola River in Marianna, and Econfina Creek above Panama City are just a few places to enjoy. To find a paddle trip near you, check out paddleflorida.net. During any trip, I take time to look for fossils and Indian artifacts. On some trips, I have found prehistoric shark teeth, bones, pottery shards and even some arrow heads.

However, you’ll have to find and adhere to the rules and regulations of whichever area you are in to determine if you are able to keep your findings.

DR. EDDIE MARTIN

Dr. Martin is a general dentist in Pensacola and can be reached at jemartin33@yahoo.com.

I feel that we work hard, and we should play hard. We should have hobbies that allow us to completely escape from our dayto-day routines. Whether we are at work or play, we should be all in 100%. Stay in the moment. God bless.

THE OFFICIAL BEYOND THE BITE QUIZ (check all that apply):  1. Are you creative?  2. Are you well-informed?  3. Do you have opinions that need a place to be heard (or, actually, to be read)?  4. Can you write a “Hemingway” sentence (short, pithy, a complete thought)?  5. Do you have a funny bone begging for exercise?  6. Perhaps, you write dental haikus?  7. Can you tell a great story?  8. Are you the go-to expert on an issue?  9. Did you check any of the above boxes?

(If you did, you should write for Beyond the Bite! Send your ideas, how-tos, opinions, tall tales, poems and funny stories to FDA Director of Communications Jill Runyan at jrunyan@floridadental.org.

beyond the bite THE OFFICIAL BLOG OF THE FDA You can find Beyond the Bite at blog.floridadental.org FLORIDADENTAL.ORG

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PSC Group, Inc.

hobbies

I WAS “HOOKED” I’ve been fishing since I was 10. Back then, I used to ride my bike to the nearby Miami canals, using bacon and chicken as bait since that was all I could pull from the house fridge. I caught my fair share of catfish, gar and mudfish, and I was “hooked.” A lot has changed since then! Almost 50 years later, I am still fishing — but now it’s by boat with expensive rods, reels and live bait, and traveling to faraway places to catch (and usually release) exotic saltwater fish for fun.

DR. EDY A. GUERRA

Dr. Guerra is a general dentist in Coral Gables and can be reached at dredyaguerradds@ gmail.com.

Fishing has been an incredible asset to both my personal and professional life. Personally, it has created a strong and special bond with my family. I raised my three kids to love the ocean and to enjoy spending time on it with me. You’d think getting up at 5 a.m. to catch that first bite would be a challenge for young kids, and now young adults, but they rarely complain or make excuses not to be out there with me. They’ve grown up with a passion for fishing and truly enjoy spending time with their dad. I think I had a lot to do with that and recognize how blessed I am.

Professionally, fishing allows me to get away from the physical and mental stresses that dentistry sometimes provides. Fridays are my days off and you’ll usually catch me in the flats, trying to catch that permit or bonefish just for pleasure. In addition, we have a place in the Florida Keys, where we spend many weekends fishing. My boys love to spearfish, which is something I loved to do as a young man as well.

As most people know, fishing, like dentistry, can be difficult. It requires a lot of patience and persistence to catch that “big fish.” I often think that I enjoy dentistry because I have what it takes to try and try again to succeed in an oftentimes difficult profession. I credit fishing for allowing me to be mentally prepared for dentistry’s challenges and for providing me with the rest and relaxation that I need when I’m away from it.

Several years ago, I joined a professional sailfish and marlin team as an angler. Fishing and socializing with other fishing teams has been a great networking experience. I’ve made many friends — and patients — from all walks of life, from mates to millionaires.

I’m blessed with the opportunity to enjoy two great passions: dentistry and fishing. For those of you who are interested in getting involved with fishing, all it takes is a rod and reel. If you prefer getting into it more seriously, consider chartering a fishing captain who will teach you the ropes.

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THE POWER OF PETS

Wake up.

Hug pet.

Have a good day.

Repeat.

Pets keep your heart healthy. reduces stress

lowers heart rate

decreases blood pressure

increases your chance of surviving a heart attack and speeds up recovery

lowers cholesterol

Increasing your activity level also will help protect against obesity, osteoporosis and rheumatoid arthritis.

Pet owners consider their pet to be a member of the family.

Pets encourage you to stay active.

98%

Pets give your well-being a boost.

increases serotonin

increases dopamine

enhances the ability to overcome obstacles

improves mental health

REDUCES

BENEFITS depression

sadness

loneliness

anxiety

Animals — specifically cats — in the home can help human immunity to asthma and other allergies. Having a pet can lower a child’s likelihood of developing related allergies by as much as 33%.

68% U.S. households that own at least one pet.

JESSICA LAURIA COMMUNICATIONS AND MEDIA COORDINATOR

Ms. Lauria volunteers at the Tallahassee Animal Service Center and is an active animal advocate. She can be reached at jlauria@floridadental.org or 850.350.7115.

Pets are our best friends.

They provide: unconditional love companionship comfort support improved self-esteem

Number of U.S. households that own a pet, by type of animal (in millions):

Pets connect and you to a community are an

“What kind of dog is that?”

instant ice breaker.

Service dogs can change (and even save) lives.

SERVICE

Therapy dogs, while different than service dogs, can help people as well. Did you know that therapy dogs can help ease your patients’ dental anxiety? Check out “The Dogtor Will See You Now” in the Sept/Oct 2018 issue of Today’s FDA at bit.ly/2ZHb606 for details.

A service dog is trained to complete specific tasks that provide help to individuals with disabilities and assist with their life functions.

Some examples include: guiding the blind assisting those in wheelchairs alerting diabetics to low blood sugar warning those with epilepsy of upcoming seizures reassuring those suffering with PTSD during panic attacks Sources: mentalhealthamerica.net/blog/better-mental-health-experience-pet-effect • mindbodygreen.com/0-21308/9-reasonspet-owners-are-healthier-happier-people.html • humana. com/prevention-and-care/healthy-living-and-prevention/ emotional-health/pets • heart.org/en/healthy-living/ healthy-lifestyle/mental-health-and-wellbeing/can-your-pethelp-you-be-healthier • cdc.gov/healthypets/health-benefits/ index.html • iii.org/fact-statistic/facts-statistics-pet-statistics

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dog

47.1

cat

12.5

freshwater fish

7.9

bird

6.7

small animal

4.7

reptile

2.6

horse

2.5

saltwater fish

insurance

YOU ARE OVERPAYING FOR YOUR EMPLOYEES’ HEALTH INSURANCE!

CARRIE MILLAR FDA SERVICES DIRECTOR OF INSURANCE OPERATIONS

Ms. Millar can be reached at 850.350.7155 or carrie.millar@ fdaservices.com.

Let me clarify that statement. You are not going to get the same coverage for less money.

Since the Affordable Care Act went into place, small-business employers with less than 50 employees can no longer shop for health insurance and get lower rates without lowering coverage. The days of comparing carrier to carrier are gone. However, you’re most likely paying for more insurance than what most of your employees need and/or are using. You are overpaying, and it’s time to switch to a benefit allowance program (BAP).

What is a Benefit Allowance Program?

Instead of providing health insurance to your full-time employees and paying a percentage of premiums or all the premiums, you pay a set dollar allowance for employee benefits.

You then work with your benefit agent to customize an employee benefits package based on your office needs. Employees get to choose the plans they need and pay the cost for plans that exceed the allowance.

Example Old plan: FDA Dental Office has eight full-time employees and two part-time employees. They currently have a health plan where they pay 100% of the employee premium. The costs have been increasing every year, and the dental office has absorbed the increase. The current employee premium for a Gold Plan with six employees enrolled

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is $2,500 per month. The plan has a $1,500 deductible and not every employee is happy, because the cost to add dependents is high.

Annual total $30,000 BAP: To control costs and give employees the benefits they want, FDA Dental Office works with FDA Services to start a BAP with an allowance of $350 per employee for medical.

Employees can then pick from two different plans and if they want to buy up to the more expensive plan, they can. FDA Dental Office also decides to add an ancillary bundle for $18 a month that includes vision, life insurance and an Employee Assistance Program for all full-time employees and the Healthiest You Virtual Health Tool for all employees (their families automatically included) for $9.

Annual Cost $28,000

How does it save the employer money?

This saves the employer money when they first set up the BAP and even more in the future. By switching to a BAP, employees no longer assume that you will pay for 100% of their health insurance costs. This allows the employer to pass down all or some of the health insurance rate increases to the employee. It also puts the weight of decision, benefits versus cost, on the employee.

Absenteeism and Presenteeism When choosing a BAP, FDA Services recommends that all small-business employers also FLORIDADENTAL.ORG

add the Healthiest You Virtual Health Tool. One of the biggest costs to small-business owners is absenteeism from sickness (going to the doctor, pharmacy, taking care of sick kids) and presenteeism (employees coming in when they are sick and contagious). Healthiest You has a $0 copay for virtual visits that cover all employees and their families. This reduces the amount of time employees are at the doctors’ office, allowing evening and weekend access to care, and since it is free, even employees with high-deductible plans can use it.

Paragon

Keeps Employees Happy Most small businesses that are not absorbing the cost of medical insurance increases are either cancelling their group health insurance plan, which forces employees to get expensive coverage on the marketplace, or they are choosing lower benefit plans without employees understanding why. By putting the choice into the employees’ hands while adding ancillary items, the employees feel like you are looking out for all their needs and allowing them to make the decision.

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donated dental services

“WILL YOU SEE ONE VET” ...

JOIN THE CAMPAIGN AND SUPPORT VETERANS IN NEED DENTAL LIFELINE NETWORK • DONATED DENTAL SERVICES

Dental Lifeline Network (DLN) proudly joined all Americans this past Fourth of July in remembering and honoring military personnel who have serviced our country. In this time of celebration, DLN launched an important volunteer recruitment campaign in honor of veterans called Will You See One Vet.

HOW TO GET INVOLVED Visit WillYouSeeOneVet. org and fill out our short form.

Donate at dentallifeline. org/donate.

DLN encourages dentists across the country to get involved by honoring and serving our current veterans with special needs through their Donated Dental Services (DDS) program. From clearing up painful dental infections to being able to eat again, providing comprehensive dental care will make a life-changing difference for veterans in need — like Herbert.

Herbert, a veteran of the U.S. Army who served our country in Vietnam, exemplifies how volunteering with DDS can make a difference in the lives of veterans. Now 70, Herbert suffers from diabetes, orthopedic pain and neuropathy. Herbert also had oral health issues. His oral upper denture was cracked and no longer fit properly, and his remaining six bottom teeth were warn, broken and decayed due to his diabetes.

He was ineligible for dental assistance through Veterans Affairs and could not afford the necessary dental treatment. Dr. Mark Berger, a Florida DDS volunteer dentist, stepped in to donate his time and services to help restore Herbert’s oral health. Rebour Dental Lab also got involved and fabricated full upper and lower dentures for Herbert at no cost.

Lack of dental care can lead to the inability to have a life-saving surgery, eat again or contribute to the community. For many of these veterans, volunteer dental professionals are their only hope. Through the Will You See One Vet campaign, DLN • DDS hopes to expand its network of dentists and their teams to volunteer to see ONE veteran with special needs one time per year.

“Treating Herbert has been an absolute pleasure. Our entire office is appreciative and thankful for the years of service Herbert gave to our country,” says Dr. Berger. “Giving any veteran a new smile is something that we were very proud to be able to do and this program definitely facilitated this goal.”

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Too many people and veterans, like Herbert, are unable to access the dental care they need. If you are a dental professional interested in providing care to those in need, we want your help to serve the more than 11,000 people on our wait list.

“This awareness campaign showcases the life-changing difference our volunteers have made in the lives of veterans,” said Fred Leviton, chief executive officer of DLN. “We hope sharing this message will inspire even more volunteers to participate in our program, allowing DLN to serve a greater number of veterans in our communities with disabilities, who are elderly or medically fragile.”

For more than 30 years, DLN • DDS has facilitated donated, comprehensive dental care to vulnerable people with disabilities, the elderly or those who are medically compromised.

Every day, a network of 15,000 volunteer dentists and 3,500 volunteer laboratories work together to make a difference.

According to the most recent U.S. Census, there are 18.2 million veterans in the United States. Because of congressional limitations, many of our veterans do not qualify for full dental benefits through the Department of Veterans Affairs. In fact, the need is so great that homeless veterans list dental care among their top three unmet needs.

In order to recruit more volunteer dentists, DLN developed the Will You See One Vet campaign. The campaign, which includes targeted outreach, media and advertising, uses imagery of veterans telling their life-changing stories after receiving comprehensive dental care. One component of the campaign, a radio public service announcement, began distributing to media outlets nationwide in May. In addition, print and digital advertising is being placed in national and state outlets across the county.

DDS patient Herbert and Dr. Berger

If you are a general dentist or specialist, getting involved with DLN’s Will You See One Vet campaign is easy. You can become a volunteer and donate your services, or you can make a direct donation to DLN.

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compleat dentistry

I WOULDN’T PLAY WITH FIRE

DR. EDWARD HOPWOOD

Dr. Hopwood is a restorative dentist in Clearwater and can be reached at edwardhopwood@gmail.com.

Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused

by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care.

The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing.

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Recently, I read an article about a young woman who is part of the FIRE (financial independence, retire early) movement. She’s an attorney and lives alone in a studio apartment close to her work, so she doesn’t need a car. She was proud to review the many “life hacks” she uses to trim her expenses. She orders a big bag of rice each month because it is much cheaper than buying it weekly. She has no cable television, she doesn’t eat at restaurants. The target? She hopes that in about five years, when she is 40, she’ll have saved enough money that she’ll no longer have to work anymore. Then she will start traveling and enjoying the good life.

On one hand, I admire financial prudence. I am a big fan of “The Millionaire Next Door,” the book by Stanley and Danko that espouses living within one’s means. The FIRE movement seems to be the pendulum swinging back from the blatant excesses of the 1980s when we all loved to watch and dream about “Lifestyles of the Rich and Famous.” Profligate spending beyond one’s financial ability tends to create internal stresses that cause broken bank accounts, broken marriages and broken people.

I can’t help but feel that the pendulum may have swung too far with the FIRE movement.

Living a meager lifestyle in a studio apartment by yourself, eating rice every day for 15 years, after seven years of a student’s lifestyle — it seems to me as if this young woman has given up a significant chunk of her life.

She’s spent 22 years of her young life walking to and from work, occasionally accompanied by a 25-lbs. bag of rice. Trying to get through this time with the light at the end of the tunnel being financial independence and

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retirement. Even if she never wanted to have kids or a family, how many relationships were thwarted when a potential suitor didn’t share her same affinity for a spartan apartment and a daily rice ration?

Unfortunately, school sets us up to believe that we are working toward a goal and we should try and get there as fast as possible.

It seems as if young adults are caught up in the “finish line” mentality. High schoolers are rushing to graduate early or finish two years of college before they graduate high school. Then, college students are rushing to get done with college, so they can start their careers. The FIRE movement is just moving the “finish line” mentality to a career: Let me rush through my career so I can get to the good stuff.

Now, I agree that financial independence is something we should all work toward and that we should live within our means. But we need to get out of the “finish line” mentality. Life is not a race to the finish; rather, it should be enjoyed along the way. I think that the best life is one that seeks balance: a lifestyle that still lives within one’s means, but where there is a gradual increase in spending as well. A lifestyle that is enriched by relationships and travel along the way to financial independence. Life is not something to be “hacked.”

For a balanced life, we seek to enjoy the process of each phase of life, not hurry on to the next phase. To me, the best high schoolers take the courses that challenge them, but also participate in the school sports and plays and proms and part-time jobs that are part of being a high schooler. And then, they move FLORIDADENTAL.ORG

on to college and seek the same balance, not just the requisite credits to get the diploma. I believe that about half of what we learn in college is in the classroom, the rest is in our experiences. It’s a great age to cultivate leadership skills, develop relationships and explore different subjects. Sure, you can get the requirements done in two years, but that only gets you the half that you learn in the classroom­— the other half of college education is lost. I was encouraged to complete college in two years and when I refused, I was encouraged to finish in three years. I opted to stay for all four years and I’ve never regretted it. Yes, it was expensive. Yes, I had student loans. But I wouldn’t change a thing.

Now, we are starting to learn that it’s not just about specializing and completing our 10,000 hours of deliberate practice to become a master. In the great new book, “Range” by David Epstein, we learn that the best performers are well-rounded.

For example, Steve Jobs happened to take a class in calligraphy when he was in college. Because of that, the Macintosh computers were made with a beautiful collection of varied fonts and we’ve all benefitted from the ability to use different typefaces. I’m glad he wasn’t in a rush to get his diploma and he wasn’t afraid to deviate from the required courses.

As dentists, we are all so fortunate to work in a profession where we can seek balance in our careers. We can balance a family and work life with saving and spending. Sure, we can work toward financial independence, but we also can enjoy the process. Some of the most rewarding parts of my life have been during my years of practice. Some of those rewards were financial — most were not — and I most certainly would have missed them if I was simply hurrying to get to the next stage of my life.

Profligate spending beyond one’s financial ability tends to create internal stresses that cause broken bank accounts, broken marriages and broken people.

For the sake of the FIRE crowd, I hope they don’t hurry through retirement, because the stage after that is eternal.

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FDC2019 RECAP The 2019 Florida Dental Convention (FDC), “The Power of the Complete Team,” was held June 27-29 at the Gaylord Palms Resort & Convention Center in Orlando, where 8,000 dental professionals — including more than 1,500 Florida Dental Association (FDA) members — came together for ample learning, networking and buying opportunities.

This year featured more than 130 courses ranging from hands-on workshops and mini-residencies to Dawson Seminar 1 and courses for the entire dental team. The Exhibit Hall thrived each day with attendees learning about the latest technologies and buying products from 350+ leading dental companies. Each day concluded with an exciting family-friendly social event. On Thursday, attendees jammed out to their favorite hits with Howl2Go Dueling Pianos. On Friday, attendees partied like pirates at Pirate Island featuring live music, mermaids and fun for all. It was a can’t-miss event! On Friday afternoon, FDA members honored their fellow colleagues at the annual Awards Luncheon, including Dentist of the Year, Dr. Gerald Bird, and J. Leon Schwartz Lifetime Service Award recipient, Dr. Terry Buckenheimer, surrounded by cohorts, family and friends.

Each year, FDC is an unforgettable event, and 2019 was no exception! Plan to join us Oct. 15-18, 2020 for the FDC and the American Dental Association combined annual meetings: ADA FDC Annual Meeting. The Annual Meeting will feature free registration, exceptional education courses and a bustling Exhibit Hall right here in Orlando. Registration will open in spring 2020.

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DRS. DONALD COHEN, SHANKAR VENKAT*, NEEL BHATTACHARYYA AND NADIM ISLAM

A 41-year-old African American female presented to Dr. Martin J. Milne, an oral and maxillofacial surgeon in Clearwater, Fla., with extensive decay, pain and facial swelling in relation to tooth No. 11. Radiographic examination revealed a multilocular mixed radiolucent/radiopaque lesion involving the anterior mandible, extending along the right ramus body (Fig 1.). An excisional biopsy was performed by Dr. Milne (Fig 2.) and was submitted to the University of Florida Oral Pathology laboratory biopsy service.

Question:

Fig. 1: Well-demarcated multilocular radiolucent/radiopaque lesion involving the anterior mandible and right body of mandible.

Based on the above history and radiographic findings, what would be the most likely diagnosis?

A. Calcifying epithelial odontogenic tumor B. Calcifying odontogenic cyst C. Adenomatoid odontogenic tumor D. Cemento-ossifying fibroma E. Benign fibro-osseous lesion and associated traumatic bone cyst

Fig. 2: Intra-operative photograph shows an a somewhat "empty" cavitation of the right mandible.

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diagnostics FROM PAGE 75

Diagnostic Discussion A. Calcifying epithelial odontogenic tumor Incorrect. A calcifying epithelial odontogenic tumor (CEOT) is an uncommon lesion widely known as a Pindborg tumor.

It accounts for less than 1% of all odontogenic tumors. As in this case, these tumors usually are seen in patients between 30 and 50 years old. However, the majority of CEOT occurs in the posterior mandible. CEOT are rarely multilocular as seen here. Also, these tumors often are associated with an impacted tooth, most commonly mandibular molars. A common radiographic feature seen in CEOTs are a “driven-snow” pattern of the calcifications, which gives it a radio-opaque appearance, unlike the present case. Extraosseous CEOTs have been reported and they appear as non-specific, sessile gingival masses involving the anterior gingiva.

B. Calcifying odontogenic cyst Incorrect, but a good guess! Calcifying odontogenic cysts (COCs) occur with uniform frequency between the maxilla and mandible, also known as a Gorlin cyst. Just like the present case, about 65% of cases are found in the incisor and canine areas. COCs most often occur in the third and fourth decade like this patient’s lesion. They often are associated with odontomas in younger patients. They appear radiographically as well-defined unilocular or multilocular radiolucent/ radiopaque lesions, unlike the totally lucent lesion seen in this patient. In one-half of cases, the radiopacities are associated with either irregular calcifications or tooth structures. In the rest of the cases, the radiolucent lesions are associated with an unerupted tooth, most often the canine. Extraosseous type of COCs also appear as localized sessile or pedunculated gingival masses with no distinctive clinical features. The most distinguishing histologic feature of COC is the presence of varying numbers of “ghost cells” (cells devoid of a nucleus) within the epithelial component.

C. Adenomatoid odontogenic tumor Incorrect. Adenomatoid odontogenic tumors (AOTs) make up 3-7% of odontogenic tumors that unlike in the present patient, occurs in younger patients with 70% occurring in teens. Also,

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this tumor does have a striking tendency to occur in the anterior portions of the jaws, but much more commonly is associated with an impacted maxillary canine with a 2:1 female predilection. Radiographically, it appears as a well-delineated unilocular radiolucency often around the crown of an unerupted tooth (follicular type). In about one-quarter of the cases, it’s not associated with an impacted tooth (extrafollicular type). AOTs frequently look like dentigerous cysts. However, they contain fine calcifications (snowflake), a feature that is helpful in differentiating an AOT from a dentigerous cyst.

D. Cemento-ossifying fibroma Incorrect, but a good guess! These lesions predominantly occur in females, just as in this clinical case. Cemento-ossifying fibroma (COF) is a true neoplasm that occurs over a broad age group. Unlike the present case, it often appears as a welldefined mixed radiolucent/radio-opaque lesion. It can be unilocular or multilocular. The mandibular premolar and molar area are the most common sites. It closely resembles the developmental lesion focal cemento-osseous dysplasia (FCOD).

Unlike FCOD, it often causes significant expansion. Histologically, a cellular fibrous tissue with mineralized products may include a mixture of osteoid, bone and basophilic acellular (or “cementum-like”) spherules. The bony trabeculae vary in size and frequently demonstrate both woven and lamellar patterns.

The cementum-like spherules often reveal a brush-border appearance that blends into the adjacent connective tissue.

E. Benign Cemento-osseous Dysplasia with an associated Traumatic Bone Cyst Correct! Benign cemento-osseous dysplasia with an associated traumatic bone cyst (COD with TBC) is a rare combined entity, which presents clinically as a swelling that may or may not be painful. The multilocular presentation of TBC seen in this case is also unusual. Usually these combined lesions are unilocular and display variably mineralized opacification.

Patients with the severe florid or multifocal form of COD are highly susceptible to developing expansile traumatic bone cysts within these fibro-osseous lesions. There is a marked predilection for middle-aged African American females. The lesions often are present for a long period before they develop signs of expansion and/or pain heralding the development of a TBC. Unlike pure COD, which is non-expansile and appears mixed lucent and opaque on the radiograph, this combined lesion often demonstrates single or multiple large expansile radiolucencies admixed with classical COD. The expansile FLORIDADENTAL.ORG

lesions often have a scalloped border and significant buccal expansion along the body and angle of the mandible. Cystic lining epithelium is not found (Figs. 3a-b).

The etiology of TBC with COD is different when compared to a TBC alone. In TBC with COD, there is a disorderly bone production that results in the obstruction to drainage of interstitial fluid; thus, leading to cyst like formation. Since the bone in the area displays altered vasculature, it is possible to introduce infection and as a result the area is vulnerable to osteomyelitis.

Though other common odontogenic and fibro-osseous lesions such as central ossifying fibroma, ameloblastoma, odontogenic keratocyst, etc. could be considered based on the radiographic and histological presentations of this lesion, the presence of multiple locular curvilinear periapical radiolucencies admixed with radio-opaque lesions and multifocal areas of hypercementosis of the teeth should alert the clinicians about the true nature of these lesions.

References: Mahomed, Farzana., et al. Journal of Oral and Maxillofacial Surgery. Volume 63, Issue 10, 1549-1554, 2005 Neville, BW., et al. Oral and Maxillofacial Pathology. Elsevier, 2016 M. Miyauchi., et al. Florid cemento-osseous dysplasia with concomitant simple bone cyst: Journal of Oral Pathology and Medicine 1995: 24: 285-287

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

DR. COHEN

DR. BHATTACHARYYA

The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 12,000 specimens the service receives every year from all over the United States.

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

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

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

4X Fig. 3a: Microscopic section exhibiting myxofibrous connective tissue with granulation tissue and surgical hemorrhage.

The Florida Dental Association is an ADA CERP Recognized Provider. ADA DR. ISLAM CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp. *Resident in oral and maxillofacial pathology at the University of Florida College of Dentistry.

10X Fig. 3b: Higher power view exhibiting a fibrillar, lacey osteoid/ cementoid layer in the peripheral aspect of the myxofibrous tissue.

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

General Dentist — Brandon. Overview: Let us allow you to do what you do best by doing the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 $390,000. Apply Today. Apply now or contact a recruiter anytime. We’d love to chat, get to know you and share more about us. Testimonial: “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.”— Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2XxWkwe.

General Dentist — Wildwood. Overview: Let us allow you to do what you do best by doing the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 $390,000. Apply Today. Apply now or contact a recruiter anytime. We’d love to chat, get to know you and share more about us. Testimonial: “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.” — Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/30m8sNy.

General Dentist or Pediatric Dentist Associate Needed.

Private family dental practice in Valdosta continues to grow! Presently seeking a FT Associate Pediatric Dentist to join our practice! Good income potential – up to $300k minimum guarantee, good schedule 4.5 days and a good team to support you. We value excellent clinical skills, good communication skills, and a gentle disposition. Valdosta is named one of six America’s Friendliest Cities by Rand McNally and USA Today’s Best of the Road contest in 2011, Valdosta is a vibrant and scenic city, where southern charm meets twenty-first century innovation. Valdosta also named one of Georgia’s first “Cities of Excellence” for being one of the state’s “best managed and most livable cities” for quality-of-life.

Go ahead, take your next best step in your career as a Pediatric Dentist, where you do not need to go further in debt to get started on making a good living, please send your resume to Colleen@dmacares.com be considered.

We look forward to hearing from you soon! GEORGIA DENTAL LICENSE.

Dentist Associate — Clearwater. Ideal candidate enjoys children and speaks Spanish. All aspects of general dentistry, looking for a long-term relationship with potential for equity ownership if desired. We have lots of toysSolea laser, CBCT scan, LANAP laser, all digital, Cerec, implants. Fee for service with plenty of new patients.

This is not a “job or short-term associate position”, this opening has potential for you to start a career. Check out our web site – myclearwaterfamilydental.com. Our office practices general all age dentistry with a more natural, biological viewpoint- more info on our web site. Job type full time, four days week, possible one evening or Saturday morning. Salary #$100k - $200,000 year.

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Dentist- General limited to children — Dade City. Our Mission: To provide accessible health care services to all. Our Vision: To have a community where everyone is healthy. Core Values: Teamwork; Respect; Integrity; Compassion; Excellence. Patient hours: Monday: 7am-7pm, Tues-Fri: 7am-4pm. SUMMARY: To examine, diagnose and provide treatment, counseling and educa-

tion to patients in a comprehensive manner. ESSENTIAL DUTIES AND RESPONSIBILITIES: includes the following, other duties may be assigned. Complete comprehensive full mouth exams; Examine patient’s teeth; Diagnosing patients’ dental conditions; Use of various instruments, such as x-rays; Follow all guidelines and protocols of the Dental Clinic (OSHA, charting, radiographs, etc.); Educating patients on oral healthcare; Explain patients needs; Establish a treatment plan; Educate patient on plan and after care; Assess treatment planning options and discuss with patient; Carrying out agreed clinical treatments; Restoring teeth affected by decay; Treating gum disease; Maintaining patients’ dental records; Documentation in patients Electronic health record (EHR); Reviewing medical history; Keeps abreast of new developments in dentistry through structured continuing professional developments; Ensure patient confidentiality and EMR security at all times; Maintain patient information within HIPAA; Keep other care team members informed when situations occur that disrupts timely patient flow through site; Consistently participates in and actively adheres to patient care expectations to attain clinical goals set forth in the PCHG Health Care Plans and the Quality Improvement / Quality Assurance (QI/QA). SUPERVISORY RESPONSIBILITIES: None. GENERAL DEVELOPMENT: Maintains a professional relationship and positive attitude with co-workers, the public, patients and the entire organization; Maintains the highest professional and work ethics; Displays enthusiasm toward the work, mission and vision of the organization. PROFESSIONAL KNOWLEDGE, SKILLS AND ABILITIES: 1. Graduate of an approved dental school. 2. Florida Licensed Dental Practitioner. 3. A minimum of three (3) years dental experience. 4. Current Basic Life Support (BLS) certification. 5.

Basic understanding of dental/medical terminology and documentation. 6. Ability to use basic mathematical skills.

7. Able to perform repetitive tasks. COMMUNICATIONS SKILLS: 1. Exceptional Customer Service skills. 2. Ability to communicate effectively, verbally and in writing. 3. Excellent grammar, spelling and interpersonal skills. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally.

Ability to sit for long periods of time. Direct exposure to computer screen. May be exposed to contagious/infec-

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tious diseases. This job description in no way states or implies that these are the only duties to be performed by the employee(s) serving in this position. Employee(s) will be required to follow any other job-related instructions and to perform any job-related duties requested by any person authorized to give instructions or assignments. jflorez@hcnetwork.org.

Pediatric Dentist. Heart of Florida Health Center, Ocala, FL. HFHC is a Federally Qualified Health Center with Patient Centered Medical Home designation, providing primary care, behavioral health, and dental services to the residents of Marion County regardless of their ability to pay. The Health Center also provides support services available to patients including the drug assistance program, and the We Care program for specialty referrals.

The Health Center Clinics are open Monday through Friday 8:00 – 5:00. We have 9 locations in Marion County.

The Pediatric Dentist provides outpatient pediatric dentistry in our community health center. Requirements: Graduate of an accredited school of dentistry. Pediatric Residency. Current licensure as a Dentist by the Florida Board of Dentistry. Approved NHSC site, competitive pay/ benefits. Must be proficient at navigating EMR and be willing to contract with Medicaid PDHPs. How to Apply: Please send cover letter and resume to judy.devine@myhfhc.org, Fax 352-433-2916. Graduate of an accredited school of dentistry. Pediatric Residency. Current licensure as a Dentist by the Florida Board of Dentistry. Approved NHSC site, competitive pay/benefits. Must be proficient at navigating EMR and be willing to contract with Medicaid PDHPs. Dental Assistant — Sanford. Overview: Responsibilities: Perform functions in accordance with the applicable state’s Dental Auxiliaries Table of Permitted Duties; Actively participate in the Perfect Patient Experience by striving to keep your patients focused on optimal treatment while attending to their individual needs and concerns; Escort patients to/from the front desk and introduce them to other team members as appropriate. Maintain a clean, sterile, and cheerful environment; Record patient charting and all of the dentist’s notes in the digital patient chart as directed by the dentist; Maintain strict compliance with State, Federal, and other regulations, (e.g., OSHA, WC, Dental Board, HIPAA, ADA, DOL, HR policies and practices). Qualifications: Necessary industry certifications and education; Possess outstanding time management, communication, and technical skills; Can-do attitude, a proactive nature, a strong sense of ownership and integrity and a desire to continue to learn and grow; Demonstrate knowledge of dental terminology, instruments and equipment. Benefits: Medical, dental and vision insurance; Continuing Education (CE Units); Paid time off; Tuition Reimbursement; Child care assistance; 401K; Paid time to volunteer in your local community. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2LJpb9B. Registered Dental Hygienist — Mount Dora. Overview: Are you ready to take your career as a hygienist further than you ever thought possible? Do you get excited about working closely with dentists and dental staff to provide the best care that will keep your patients

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healthy and happy? If the answer is yes, then joining our practice as a hygienist is for you. This collaborative and well-supported office will help you grow your skills as a hygienist while providing a rewarding and exciting career.

About the opportunity: If you care about your career as much as you care about your patients, join our practice, an office supported by Pacific Dental Services®, and build relationships that will keep patients coming back for years to come. As a hygienist, you are a vital part of patient care. As such, you deserve to work for a practice that cares about their employees as much as they care about their patients. You will receive ongoing technical training, have access to the latest technology, and have a balanced lifestyle that leaves you feeling ready to greet each new opportunity with a smile. Add on competitive compensation and benefits, including healthcare, dental and vision insurance, paid time off, retirement savings plans, child care assistance, and the fact that PDS® is one of the fastest growing companies in the US, and you’ll wonder why you didn’t find us sooner! About you: As a registered dental hygienist with our team, you need to have a current state license. You will have a desire to always be learning and want to stay on top of the latest technology. You should also have outstanding time management and communication skills. To excel, you’ll bring a can-do attitude, a strong desire to treat and educate your patients, and a strong sense of ownership and integrity. Ready to get started? We are too! Apply today!

Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2JlNV67.

DENTIST — Miami. Dentist serves as a member of an integrated Health Care team, under the supervision of a Dental Director. Utilizing their knowledge and clinical skills, they provide basic comprehensive professional dental services. Provide comprehensive professional dental diagnosis and treatment involving all standard procedures, except in situations requiring treatment by a dental specialist. Procedures include, but may not be limited to placement of restorations, extractions, endodontic therapy, periodontal evaluation and treatment, radiographic interpretation and diagnosis and treatment of various conditions affecting oral health. Responsibilities include making proper referrals to other dental specialties, medical providers and other agencies. Provide direct supervision of chair side Dental Assistants. When applicable participate in appropriate continuing education, in-service training, Quality Improvement Program activities. Maintain current licensure and/or certification. Performance includes utilization of management information system to facilitate proper administrative services. Maintains 80% productivity monthly. Provides accurate and timely documentation in patient charts within the same day of intervention. Adheres to Confidentiality Policies and Procedures / HIPAA Regulations.

Performs other duties as assigned. Graduate from an ADA Accredited School of Dentistry. Current licensure to practice dentistry issued by the Florida Board of Dentistry.

Considerable skill and knowledge of general clinical dentistry and public health practices. Ability to supervise Dental hygienist and Assistants while promoting patient participation in the program. CPR Certification from the American Heart Association (BLS Healthcare Provider). cgcastillo@chisouthfl.org.

Dentist — Tallahassee. Coordinates With: Dental Staff which includes: Dentist/s, Hygienist/s, Assistant/s. Also with Center staff which includes: CMO, Providers, Clinical Support - LPNs, Medical Assistants, Phlebotomists, Registered Nurse; Intake Specialists, Pharmacy staff and Leadership team to include CAO and CEO. PURPOSE: A full time, non-exempt position responsible for administering, maintaining and expanding a program of primary (and in selected instances, secondary care) and preventive dental care in a community health center setting.

The Dentist supervises the dental staff of the community health center and represents the dental staff to the Chief Administrative Officer. Essential Functions: Examines individuals requesting care, diagnoses their dental/oral conditions, prescribes and carries out, or directs others in carrying out, appropriate dental/oral treatment, or refers individuals for specialty consultation or treatment in conformance with approved clinical protocols and guidelines. Records patient-dentist transactions as they occur in the patient’s dental record so that the dental record accurately and completely reflects the nature of the contact, the condition of the patient and the care or treatment provided. In addition, the Dentist shall complete referrals, data collections instruments and other records or paper works as shall be required from time to time by the corporation. Educates individuals in the nature of oral health related conditions and in the general promotion of oral health related disease prevention.

Serves on the dental staff and other center committees as assigned. Serves as Chair of the Dental Department’s PI committee and Peer Review Committee. Prepares and submits monthly written reports on Dental Department issues, concerns, program status, initiatives, and progress to the Clinical Director for submission to the Chief Administrative Officer and the Board of Directors. Prepares specific reports as requested by the community health center’s Chief Administrative Officer. Assists in the provision of continuing education, on-the-job training, and the orientation of community health center staff as requested. Designs, develops, and implements appropriate Dental Department policies, protocols and procedures which are in compliance with the most current accepted professional standards. Assists in the provision of technical assistance and health education to the community as requested. Participates in short- and long-term program planning for the Dental Department and the agency, including development of goals and objectives. Performs periodic evaluations of all Dental Department professional providers as directed by the policy of the corporation. Responsible for personal as well as Departmental full compliance with all applicable federal, state, local and center rules, regulations, protocols and procedures governing the practice of dentistry and the clinical provision of dental care as well as those relating to, but not limited to, personnel issues, work place safety, public health and confidentiality. As directed by the Dental Director, performs other related and/or necessary tasks to achieve organizational and programmatic goals and objectives. Education and Training: Graduation from an accredited dental school; Completion of an accredited general practice residency program is preferred; Minimum of five years clinical experience preferred; Ability to be clinically fluent in Spanish preferred; Knowledge of public health principles and practices preferred; Excellent interpersonal and written communication skills required; Ability to maintain appropriate clinical privileges required, hospital privileges preferred; FTCA coverage or private

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FROM PAGE 79 professional malpractice insurance obtainable. Licensure and Credentials: Unrestricted license to practice dentistry in the State of Florida. Current CPR (BLS) certifications.

ACLS preferred. Florida DPS and DEA registrations. Medicare and Medicaid provider numbers. Skills and Abilities: Requires a comprehensive knowledge of primary dental care in outpatient settings; Knowledge of the Principles and Practice of modern dentistry as related to public health organizations and community health programs as well as current social and economic problems pertaining to public health and their impact on primary health care.

The Dentist must be cognizant of the prevalent stressors and their impact on both the professional provider and the patient populations in the community health center primary care settings. The individual in this position must also be aware of pressures, economic and other wise, from private, public and legislative arenas as they mold the climate in which public health agencies operate.

The Dentist of the center must be able to creatively work with other health care professionals from a variety of disciplines to achieve maximal productivity and programmatic effectiveness while continuously promoting the growth and development of fellow professionals, exercising appropriate supervisory control and displaying good work judgment. PHYSICAL DEMANDS/WORKING CONDITIONS: Prolonged sitting or standing may be required. Those physical movements and the degree of mobility normally associated with the practice of primary care dentistry will be performed on a repetitive basis.

The ability to distinguish letters and symbols, as well as the ability to utilize telephones, computer terminals, and copiers is required. Work under stressful conditions as well as irregular hours may be required. Frequent exposure to communicable diseases, body fluids, toxic substances, medicinal preparations, radiation and other conditions common to a clinical environment may routinely be encountered. OSHA Blood Borne Pathogen Exposure Classification: Category I. The center reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization. SPECIFIC REQUIREMENTS: Read, write and speak the English language. Organize work. Work harmoniously with other personnel. Give clear verbal and written instructions. Work independently. Knowledgeable in the use of computers and Dental Software System / Dentrix.

Move intermittently throughout the workday. Sit for long periods of time. Cope with interruptions, be flexible and be a team player. Possesses sight/hearing senses or uses prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Possesses flexibility, personal integrity and the ability to work effectively with other staff members.

Work in an office environment for long periods of time.

NOTES: Telecommuting is allowed. sclement@bondchc. com.

General Dentist — Perry. 1. Deliver all phases of general dental care in accord with FSS 466G (Contract will specify procedures dentist is able to perform). 2. Administer anesthetics to limit the amount of pain experienced by patients during procedures. 3. Advise and instruct patients regarding preventive dental care, the causes and treatment of dental problems, and oral health care

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services. 4. Analyze and evaluate dental needs to determine changes and trends in patterns of dental disease. 5.

Apply fluoride and sealants to teeth. 6. Bleach, clean or polish teeth to restore natural color. 7. Design, make, and fit prosthodontic appliances such as space maintainers, bridges, and dentures, or write fabrication instructions or prescriptions for denturists and dental technicians. 8.

Diagnose and treat diseases, injuries, and malformations of teeth, gums and related oral structures, and provide preventive and corrective services. 9. Eliminate irritating margins of fillings and correct occlusions, using dental instruments. 10. Examine teeth, gums and related tissues, using dental instruments, x-rays, and other diagnostic equipment, to evaluate dental health diagnose diseases or abnormalities, and plan appropriate treatments. 11. Fill pulp chamber and canal with endodontic materials. 12.

Procedures as outlined and approved on the Delineation of Privileges found in the providers credentialing file. hrdepartment@nfmc.org.

General Dentist — Crestview. 1. Deliver all phases of general dental care in accord with FSS 466G (Contract will specify procedures dentist is able to perform.). 2. Administer anesthetics to limit the amount of pain experienced by patients during procedures. 3. Advise and instruct patients regarding preventive dental care, the causes and treatment of dental problems, and oral health care services. 4. Analyze and evaluate dental needs to determine changes and trends in patterns of dental disease. 5.

Apply fluoride and sealants to teeth. 6. Bleach, clean or polish teeth to restore natural color. 7. Design, make, and fit prosthodontic appliances such as space maintainers, bridges, and dentures, or write fabrication instructions or prescriptions for denturists and dental technicians. 8.

Diagnose and treat diseases, injuries, and malformations of teeth, gums and related oral structures, and provide preventive and corrective services. 9. Eliminate irritating margins of fillings and correct occlusions, using dental instruments. 10. Examine teeth, gums and related tissues, using dental instruments, x-rays, and other diagnostic equipment, to evaluate dental health diagnose diseases or abnormalities, and plan appropriate treatments. 11. Fill pulp chamber and canal with endodontic materials. 12.

Procedures as outlined and approved on the Delineation of Privileges found in the providers credentialing file. hrdepartment@nfmc.org.

Dentist. Leesburg, Fl. — Our thriving Dental office has an immediate opening. An excellent opportunity for a general dentist to join a busy private dental office in Leesburg Fl. We have a modern office, with a wonderful patient base, and a great hard-working dental team. We provide excellent patient care with the latest technology (digital paperless records, digital x-rays, intraoral cameras, laser, Invisalign, Itero scanner). We do all aspects of dentistry including Cosmetic, ortho, surgery, endo, dentures, and implants. Our office is committed to excellent service.

We are PPO and Fee for service office. This is a great opportunity for an individual interested in working part time.

New grads are welcome too. Please email or fax resume to: hlbdental@yahoo.com/ Fax: 352-787-9036.

Dental Assistant — Sanford. 1. Assist the dentist during examination and treatment of patients. 2. Provide diagnostic aid, including exposing and developing radiographs, taking and recording medical and dental histories, recording vital signs and taking preliminary impressions for study casts as needed. 3. Perform prophylaxis and fluoride treatments on children and give oral hygiene instructions. 4. Prepare operatory, instruments, and

patient for dental treatment. 5. Coordinate arrival and departure of patient with receptionist. 6. Properly clean and sterilize (or disinfect when appropriate) instrument equipment, operatory, and laboratory as patient flow or procedures dictate. 7. Five post-operative instructions to the patient as prescribed by the dentist. 8. Possess a working knowledge of medical emergencies and assist in the management of them. 9. Assist dentist in screening and education programs, including off-site. 10. Restock and order supplies and maintain inventory control as assigned by the Center Manager with input from dentist.

11. Responsible for maintenance of autoclave, x-ray developer, and water system at specified intervals. NOTES: 2 openings. hrdepartment@nfmc.org.

Dentist Needed — Jacksonville, FL. Are you a Dentist seeking a Full-Time opportunity to provide quality patient care in a neighborhood setting? Join our busy, multispecialty dental team! Compensation: Six Figure Annual Amount vs. Production Percentage. Benefits / Perks: Clinical Freedom; Established and Growing Patient Foundation; Partnership Model – Investment Opportunities / Doctor Career Path; Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term / Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Group Practice Camaraderie – Technique Development assistance, Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: screencast.com/t/M3xWM5CYN. Please apply via this ad for consideration! Vito Losuriello | Doctor Recruiter | Great Expressions Dental Centers, Phone 847226-4265 | fax 248-203-2349, web www.greatexpressions.com, email Vito.Losuriello@greatexpressions.com.

DDS & DMD Required.

DENTIST - Flexible 16 hours per week. Dentist - Part-time Hours Needed! We are flexible with your schedule!

Location: Sarasota County Jail. Provides and oversees direct dental diagnosis, treatment, procedures and care in a correctional setting. Essential Functions: Provides and manages direct dental patient care, including oral examinations, evaluations, assessments, diagnoses and treatment for a specified population. Prescribes pharmaceuticals, and treatment regimens as appropriate to assessed oral conditions. Manages the daily operations of the dental clinic at the facility. Directs and coordinates the patient care activities of dental technical and support staff as required. Follows established policies, procedures, continuous quality improvement and safety, environmental and infection control standards.

Participates and directs health promotion, education and/or prevention programs for inmates and provides in-service training for health staff members. Maintains dental records and charts documenting all dental services rendered. Respond to requests from Security Staff as well as Armor Staff in accordance with Armor and Facility Guidelines. This includes following the rules and regulations for employee conduct/behavior and chain of command set forth by the command staff at all times while working within the detention/correctional facility.

Performs other duties as assigned. Skills, Knowledge and Abilities Required: Ability to supervise and train employees, to include organizing, prioritizing and scheduling work assignments. Ability to maintain quality, safety and infection control standards. Ability to foster a cooperative work environment. Knowledge of dental diagnostic and patient care services. Ability to develop and present inservice educational programs to clinic staff. Knowledge of current principles, methods and procedures for the

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delivery of dental diagnosis and treatment. Effective verbal and written communication skills. Ability to work observe, assess, and record symptoms, reactions and progress using the SOAP method of charting. Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients on correct usage. Knowledge of legal and ethical standards for the delivery of dental surgical care. Knowledge of federal, state, correctional accrediting body standards and institutional regulations and guidelines for the provision of dental outpatient services. Educational and Experience Requirements: Graduation from an accredited school of dental medicine. Currently licensed in the state.

CPR certified. One year experience in general dentistry preferred. Other relevant professional experiences or educational backgrounds will be considered as deemed appropriate. However, when licensure is required by local, state, federal or contractual guidelines, we will not alter our position on those requirements. aprescott@ armorcorrectional.com.

Orthodontist — Lake Nona. Description: Now is the time to join Nona Dentists. You will have opportunities to learn new skills from our team of experienced professionals. If you’re ready to take your career to the next level and gain valuable experience, apply today! Overview: You’ve invested the time to become a great orthodontist.

Now let us help you take your career further with more opportunity, excellent leadership and one of the best practice models in modern dentistry. As an orthodontist supported by Pacific Dental Services®, you can rely on a great number of referrals as you will be providing owner dentists the ability to provide excellent and comprehensive care under one roof. You will have the autonomy to provide your patients the care they deserve and provide you with the opportunity to earn excellent income and have a balanced lifestyle without the worries of running a practice. The Opportunity: You became a dentist to provide excellent patient care and an orthodontist to have a career that will serve you for a lifetime. As a PDS®-supported orthodontist, you will have a balanced lifestyle, fantastic income opportunities and you’ll work for offices that care about people, patients and their community. You won’t have to spend your time navigating practice administration. Instead, you’ll focus on your patients and your well-being. The Future: As an orthodontist, you will receive ongoing training to keep you informed and utilizing the latest technologies and dentistry practices. PDS® is one of the fastest growing companies in the US which means we will need excellent specialists like you to continue to provide clinical excellence in the future. Apply Today: Apply now or contact a recruiter anytime, we’d love to chat, get to know you and share more about us. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2LIlaCs. Endodontist — Orlando. Description: Now is the time to join the Central Florida Region. You will have opportunities to learn new skills from our team of experienced professionals. If you’re ready to take your career to the next level and gain valuable experience, apply today!

Overview: You’ve invested the time to become a great endodontist, now let us help you take your career further with more opportunity, excellent leadership and one

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of the best practice models in modern dentistry. As an endodontist working in an office supported by Pacific Dental Services®, you can rely on a great number of referrals as you will be providing PDS®-supported owner dentists the ability to provide excellent and comprehensive care under one roof. You will have the autonomy to provide your patients the care they deserve and provide you with the opportunity to earn excellent income and have a balanced lifestyle without the worries of running a practice. The Opportunity: You became a dentist to provide excellent patient care and an endodontist to have a career that will serve you for a lifetime. As a PDS-supported endodontist, you have the opportunity to work full-time or part-time, fantastic income opportunities and you’ll work with an organization that cares about their people, their patients and their community. You won’t have to spend your time navigating practice administration, scheduling, or any other administrative tasks.

Instead you’ll, set your hours and focus on your patients and your well-being. The Future: As an endodontist you will receive ongoing training to keep you informed and utilizing the latest technologies and dentistry practices.

PDS is one of the fastest growing companies in the US which means we will need excellent specialists like you to continue our clinical excellence in the future. Apply Today: Apply now or contact a recruiter anytime, we’d love to chat, get to know you and share more about us.

Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2NGiV58.

Oral Surgeon — Melbourne. Description: Now is the time to join a fast growing organization. You will have opportunities to learn new skills from our team of experienced professionals. If you’re ready to take your career to the next level and gain valuable experience, apply today! Overview: You’ve invested the time to become a great oral surgeon. Now let us help you take your career further with more opportunity, excellent leadership and one of the best practice models in modern dentistry. As an oral surgeon supported by Pacific Dental Services®, you can rely on a great number of referrals, as you will be providing owner dentists the ability to provide excellent and comprehensive care under one roof. You will have the autonomy to provide your patients the care they deserve and provide you with the opportunity to earn excellent income and have a balanced lifestyle without the worries of running a practice. The Opportunity: You became a dentist to provide excellent patient care and an oral surgeon to have a career that will serve you for a lifetime. As a PDS®-supported oral surgeon, you will have a balanced lifestyle, fantastic income opportunities and you’ll work for offices that care about people, patients and their communities. You won’t have to spend your time navigating practice administration and instead, you’ll focus on your patients and your well-being. The Future: As an oral surgeon supported by PDS, you will receive ongoing training to keep you informed and utilizing the latest technologies and dentistry practices. PDS is one of the fastest growing companies in the US which means we will need excellent specialists like you to continue to provide clinical excellence in the future. Apply Today: Apply now or contact a recruiter anytime, we’d love to chat, get to know you and share more about us. Pacific Dental Services is an equal opportunity employer and

does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2LbYniD. General Dentist — Orlando. Overview: Let us allow you to do what you do best by doing the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 - $390,000. Apply Today: Apply now or contact a recruiter anytime. We’d love to chat, get to know you and share more about us. Testimonial: “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.” — Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2S0MUDp. General dentist needed Tallahassee, Florida. High quality private dental practice seeking a full time associate. Our three doctors have an excellent practice with an exceptional staff and state of the art equipment. We are seeking a doctor with experience in all phases of dentistry. Our mission is to provide the highest quality care for each patient. Our professional staff is dedicated to our philosophy of quality care and team work. We do not participate in capitation plans. The doctors are experienced in all phases of general dentistry with an emphasis on implant placement and restoration and aesthetic procedures.

They will provide an excellent mentor-ship opportunity.

We are located in beautiful Tallahassee Florida. Tallahassee has a plethora of cultural opportunities with two major universities and a very large community college.

It is located a short distance to the Gulf of Mexico. We offer benefits including health, professional liability and disability insurance. We also provide a 401k plan. We pay your continuing education expenses and professional dues. Please fax or mail your resume to: (850) 386-8181, Drs. Chichetti, Torgerson and Hartley 1305 Thomaswood Drive Tallahassee, Florida 32308. Tallahasseedentists.net.

General Dentist with current Florida License. Experience preferred but will consider recent graduate who is a team player. Must be available for 4.5 day workweek.

General Dentist — Lakeland. 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

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career center FROM PAGE 81 our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 $390,000. Apply Today: Apply now or contact a recruiter anytime. We’d love to chat, get to know you and share more about us. Testimonial: “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.” — Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2YEW0Ik. General Dentist — Lutz. Overview: Let us allow you to do what you do best by doing the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 $390,000. Apply Today: Apply now or contact a recruiter anytime. We’d love to chat, get to know you and share more about us. Testimonial: “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.” —Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2YJCGtI. General Dentist — Lake Mary. 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: Competi-

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tive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 $390,000. Apply Today: Apply now or contact a recruiter anytime. We’d love to chat, get to know you and share more about us. Testimonial: “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.” — Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2G248ey.

General Dentist — Stuart, FL. Non-profit clinic seeking to add part-time general dentist for 1 or 2 days per week. The clinic provides routine dental care to low income and Medicaid patients. Dentists are paid on an hourly rate consistent with the market rate and not based on receipts. This is an excellent opportunity for a recent graduate to receive immediate income as well as gain valuable experience in restorative and prosthetic dentistry as well as oral surgery. This is also an excellent opportunity for an experienced dentist who wants to slow down but is not yet ready to retire completely but wants to be free of the administrative stress or overhead.

Candidates must be licensed to practice in Florida and be free of any board reprimands or issues, and must carry profession liability insurance, as well as be or become a Florida Medicaid provider. The dentist will be an independent contractor. The clinic also utilizes volunteer dentists on Friday mornings from 8:30AM-11:00AM to provide free extractions to low income people. All dentists serving on Fridays pro bono receive sovereign immunity from the state health department eliminating the need for personal liability insurance. NOTES: 2 openings. ccccenter@bellsouth.net.

Pediatric Dentist — Tampa, FL. Available Spring/Summer 2019. Position availability — Fall of 2019. Private Pediatric dental practice - Two owners, with two office locations in the Tampa area. Newly renovated office has 15 chairs and is 5 days a week. Smaller office has 7 chairs and is 2 days per week. The ideal candidate we are seeking is full time, 4-5 days per week and will work at both office locations. PPO insurance and fee-for-service patients in both practices, no government plans or HMO plans.

High-income potential, guaranteed $225K+ in the first year with our compensation structure and patient volume. Both offices have digital radiographs and digital charting. In office IV-sedation provided on a regular basis with a certified Pediatric Anesthesiologist group.

Fully trained and certified pediatric dental staff in place.

Orthodontic treatment is provided in both locations by an orthodontist in our practice. Full autonomy over treatment plans. Must have a current Florida dental license, previous experience in private practice is preferred but not necessary. Must be a certified pediatric dentist. Candidate should have excellent communication skills and enjoy a fast pace, fun work environment. We are now interviewing qualified candidates, if interested please email current CV to: sugarbugdude@gmail.com. We look forward to speaking with you. Kind Regards, CV to sugarbugdude@gmail.com. Requirements: Must have a current Florida dental license. Previous experience in private or

corporate offices is preferred. Must be a pediatric dental specialist. General Dentist’s, limited to children only, need not apply. Excellent communication and people skills are a priority. NOTES: Additional Salary Information: High income potential. Salary and contract details will be discussed only with qualified candidates.

Associate Dentist in Busy Northeast Florida Practice.

St. Johns River Dental is seeking a full-time associ-ate dentist. We are a busy well-established private practice general dentistry office in Palatka, Florida with over 30 years serving our community. This is a great opportunity to practice in a new stand-alone office with state-ofthe-art equipment and an incredible staff. Our current associate is moving to be closer to home which means you will be stepping in to a busy position with a full schedule from day one. We perform all facets of general dentistry including extractions, molar endo, removeable pros-thetics, and crown and bridge. Compensation is based on collections and you will have the opportuni-ty to make $200K+ your first year. For the right candidate, partnership opportunity is available after 18 months.

Experience preferred, but new grads welcome to apply.

Visit our website at stjohnsriverden-tal.com to see our amazing office and staff. Email your resume or questions to derekRmor-ris@gmail.com or call at 386-325-5467 to discuss this great opportunity further. Job Requirements: DDS or DMD degree with active Florida dental license.

Oral Surgeon — Miami. Description. Now is the time to join a fast growing organization. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

Overview: You've invested the time to become a great oral surgeon. Now let us help you take your career further with more opportunity, excellent leadership and one of the best practice models in modern dentistry. As an oral surgeon supported by Pacific Dental Services®, you can rely on a great number of referrals, as you will be providing owner dentists the ability to provide excellent and comprehensive care under one roof. You will have the autonomy to provide your patients the care they deserve and provide you with the opportunity to earn excellent income and have a balanced lifestyle without the worries of running a practice. The Opportunity: You became a dentist to provide excellent patient care and an oral surgeon to have a career that will serve you for a lifetime. As a PDS®-supported oral surgeon, you will have a balanced lifestyle, fantastic income opportunities and you'll work for offices that care about people, patients and their communities. You won't have to spend your time navigating practice administration and instead, you'll focus on your patients and your well-being. The Future: As an oral surgeon supported by PDS, you will receive ongoing training to keep you informed and utilizing the latest technologies and dentistry practices. PDS is one of the fastest growing companies in the US which means we will need excellent specialists like you to continue to provide clinical excellence in the future. Apply Today: Apply now or contact a recruiter anytime, we'd love to chat, get to know you and share more about us. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2LdOeC7.

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PEDIATRIC DENTIST – Brandon. FSLA: EXEMPT. Under the direct supervision of the Pediatric Dental Director and the indirect supervision of the Dental Director, the incumbent is to provide direct patient-centered and quality-oriented comprehensive pediatric dental services and supervise the NYU Lutheran Medical Centers/ Dental Medicine Postdoctoral Pediatric dental residents. Job Duties: Takes after hour emergency calls from SCHC patients of record and affiliated hospitals on a rotating basis; Provides necessary dental care for affiliated hospitals pediatric dental; Directly supervises members of their dental team and works in a professional, cooperative, and congenial manner with the dental auxiliary staff; Performs in a timely manner the administrative duties associated with the practice of dentistry, including administrative duties set forth by Suncoast CHC policies; Maintain s continuing dental education according to the requirements set forth by the Florida Board of Dentistry and the American Board of Pediatric Dentistry; Maintains a satisfactory level or better performance for annual evaluations, while maintaining licensure and appropriate credentialing; Supervises Residents as assigned according to the established ADA CODA requirements and complies with all facility policies and procedures, including but not limited to those addressing HIPAA and Compliance; Supervises residents during the round, case presentations, chart reviews and staff; Attending supervision is documented via attestation of supervision and countersignature of specified documents in the medical record (i.e., history and physical exams, admitting notes, discharge summaries and operative notes) and/or documentation that the attending has seen the patient and concurs with the diagnosis and treatment plan and/or modifies such with additions, corrections or The attending must also demonstrate his/her continued supervision of the resident by appropriate ongoing documentation in the chart; Participates in the pediatric dental resident selection process; Participates in the Quality Improvement program in compliance with Suncoast; Other duties as assigned. Job Requirements: Florida Dental License; Graduate of an ADA accredited Advanced Education in Pediatric Dentistry; Board Eligible/Certified preferred; Florida Pediatric Conscious Sedation Permit preferred; Current DEA Certificate; Eligible for active staff medical appointment at affiliated hospitals; Maintain membership with American Board of Pediatric Dentistry; BLS, PALS certification required; ACLS certification preferred; Ability to deliver high quality, pediatric dental care in both a clinical and hospital setting. anizamoff@suncoast-chc.org.

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off the cusp

FORGING A BALANCE Put two dentists in a room and the conversation will turn to dentistry. Excelling in this profession requires a significant amount of attention, so it’s no surprise the topic pervades many aspects of our lives. Editing this edition of the journal has been a lot of fun. Not only has the communications department at the home office done an excellent job making my part easier, but I got to read stories about what my friends do for fun, besides dentistry.

When I’m not in the office, I’m often in my shop. I have many tools that can turn wood into sawdust. I’m a decent carpenter and my wife appreciates custom-made closets and pergolas, so my dance card is rather full. Left up to my own devices though, I would be a blacksmith.

JOHN PAUL, DMD FDA EDITOR

Dr. Paul can be reached at jpaul@bot.floridadental.org.

I’ve dreamed about it since 1991 when I attended the Texarkana College Bill Moran School of Bladesmithing. For two weeks, about 15 men of varying ages beat hot metal into knives and cut things with them. There were a few folks who had blacksmithing experience — one fellow was a stone carver who worked on the National Cathedral and had engraved guns for Browning.

We had a blast, and they had to run us out of the forge every day at closing.

I made two mistakes. I told them when I was back in the real world I was a dentist, and I understood phase diagrams. It took me most of a week to break my classmates from calling me doctor. I think they did it to remind me I didn’t really work for a living, but I was having too much fun hammering steel and they finally let it slide. By the time we were done, everyone had forged and ground a blade that was sharpened, hardened and tempered. Then, we used that blade to shave the hair from our arm, chop a free-hanging 1-in. rope, chop through a 2x4, repeat the chop through a free-hanging rope, repeat the shave test and then withstand a 90-degree bend without breaking.

On our last night in Arkansas, we told stories about using our new skills back home. Everyone planned on making some knives and a few fellows planned to make a living at it. One gentleman whose legend was that he had more than 30 years’ experience as a blacksmith agreed with me that there were several new ideas we could both use when we got home to our dental practices. All that time, and he never let on that he also was a dentist. I asked him why, and he said, “Well, I didn’t want to talk about dentistry.”

JOHN PAUL, DMD, EDITOR, TODAY'S FDA

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