4 Mistakes to Avoid in Leading Your Dental Team Development Page 32 Everyday
Wellness Made Easy for the Entire Dental Team
DENTAL TEAM ISSUE
30 Everyday Wellness Made Easy for the Entire Dental Team
4 Mistakes to Avoid in Leading Your Dental Team Development
36 Do’s, Don’ts, Tips and Tricks for Building an Effective Dental Team
38 Building Dental Revenue Cycle Confidence for the Dental Team
42 The Role of the Dental Team in Addressing Intimate Partner Violence
46 FLA-MOM 2025: A Special Thank You to Our 2025 Benefactors
49 FLA-MOM 2025 Leadership
50 FLA-MOM 2025 Recap
53 The FDA’s Member Assistance Program
56 FDC2025 Speaker – Bridging the Divide: The 5 Pillars of Respectful Collaboration for Dental Pros
58 FDC2025 Speaker – Is Your Patient Financial Policy Hurting Your Practice?
60 FDC Exhibit Hall
62 Reflections on 50 Years in Dentistry: From the First UF Class to Today's Changing Profession
76 Off the Cusp
EDITOR
Dr. Hugh Wunderlich, CDE
Palm Harbor
BOARD OF TRUSTEES
PRESIDENT
Dr. Jeffrey Ottley
Milton
FIRST VICE PRESIDENT
Dr. Dan Gesek Jacksonville
SPEAKER OF THE HOUSE
Dr. Don lIkka Leesburg
17TH DISTRICT TRUSTEE
Dr. Andy Brown Jacksonville
PRESIDENT-ELECT
Dr. John Paul Lakeland
IMMEDIATE PAST PRESIDENT
Dr. Beatriz Terry Miami
TREASURER
Dr. Rodrigo Romano Miami
EXECUTIVE DIRECTOR Drew Eason, CAE Tallahassee
TRUSTEES
Dr. Tom Brown Orange Park
Dr. John Cordoba Lake Mary
Dr. Bethany Douglas Jacksonville
Dr. Fred Grassin Spring Hill
Dr. Bertram Hughes Gainesville
Dr. Richard Mufson Miami
Dr. Christopher Bulnes Tampa
Dr. Sam DeSai Cape Coral
Dr. Karen Glerum Boynton Beach
Dr. Reese Harrison Lynn Haven
Dr. Eddie Martin Pensacola
Dr. John Pasqual Delray Beach
To contact an FDA board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org. For example, to email Dr. Hugh Wunderlich, his email would be hwunderlich@bot.floridadental.org.
To call a specific staff member below, dial 850.350. followed by their extension.
EXECUTIVE OFFICE
Drew Eason • chief executive officer/executive director deason@floridadental.org Ext. 7109
Dan Zottoli, SBCS, DIF, LTCP director of sales • Atlantic Coast 561.791.7744 • cell: 561.601.5363 dan.zottoli@fdaservices.com
Dennis Head, CIC director of sales • Central Florida 877.843.0921 • cell: 407.927.5472 dennis.head@fdaservices.com
Mike Trout director of sales • North Florida cell: 904.254.8927 mike.trout@fdaservices.com
Joseph Perretti, SBCS director of sales • South Florida cell: 305.721.9196 joe.perretti@fdaservices.com
Rick D’Angelo, CIC director of sales • West Coast 813.475.6948 • cell: 813.267.2572 rick.dangelo@fdaservices.com
Awards Luncheon 2025
Outgoing FDA Treasurer
DR. RODRIGO ROMANO
Dental Student Award
MR. CARTER BEDINGHAUS
Dental Team Member Award
MS. HINDY RICHANY
Public Service Awards
DR. ZACK KALARICKAL
DR. MATTHEW RASMUSSEN
NSU COLLEGE OF DENTAL MEDICINE
New Dental Leader
DR. MONIQUE BELIN
Leadership Awards
DR. BERNIE KAHN
DR. ROBIN NGUYEN
Special Recognition
DR. TOM BROWN
Helping Members Succeed Team Impact Award
MRS. TESSA POPE
President’s Award
DR. JEFF OTTLEY
Dentist of the Year
DR. BETHANY DOUGLAS
J. Leon Schwartz Lifetime Service Award
DR. GERALD BIRD
JOIN IN THE RECOGNITION OF YOUR COLLEAGUES
Friday, June 20 | 11:30 AM – 1:00 PM • Gaylord Palms Resort and Convention Center, Orlando, FL
Individual tickets are $55 or reserve a table of 10 for $550. Purchase tickets through your FDC registration or contact Lianne Bell at lbell@floridadental.org or 850.681.3629 by June 6
It Takes a Team:
How Collaboration and Care Create Exceptional Dentistry
By FDA President Jeff Ottley, DMD
Practicing dentistry is one of the most rewarding professions when you have the opportunity to deliver treatment with a compassionate, supportive, effective and efficient dental team on your side. These teams are not just found, lucked into or created by accident; they require a commitment to improvement, collaboration, continuing education (CE) and developing a family atmosphere.
The commitment to improvement begins with establishing protocols and best practices to increase efficiencies, delivering clear expectations for success to your team members, and being consistent in how you, the dentist, practice daily. Detailed job descriptions and an
office policy manual clearly define roles within the dental team. In addition, morning huddles and monthly team meetings are the best opportunities to stay on track daily. Then, we review monthly and make minor corrections for any team members or schedule conflicts such as vacations or absences.
As your team stays and grows comfortable in their positions, they become more productive and begin collaborating amongst themselves, improving morale and increasing the practice’s overall efficiency. They build a teamwork-first mentality, care for each other and celebrate small achievements and birthdays with little parties, such as treats or restaurants, each enjoys. As the team leader, it’s essential that the dentist takes the time and effort to encourage team unity by creating opportunities for these celebrations and attending when possible.
Also, as the team leader, the dentist needs to lead when it comes to CE for the entire team. As a Florida Dental Association (FDA) member, we have an excellent opportunity each year in June to take advantage of the complete team education approach at the Florida Dental Convention (FDC). During meetings like the FDC, team members can build unity by attending as a team and sharing in the education and events designed to promote fun and team activities. The excellent continuing education received can be taken back to the office to improve how they practice and integrate into the overall success of the dental practice. All team members appreciate being a vital part of the overall team, and every time they get an opportunity to improve the dental care they deliver to our patients.
After more than 25 years of practice, with many members of my team with me the entire time, I feel like they are my family. We have enjoyed success and battled through tough times, illnesses and injuries. We have celebrated the births of children, weddings, many birthdays and retirements. When you have a team that works together to improve patient care and collaborates to increase the entire dental practice’s efficiencies, the patients appreciate the dentist, love the team members, and feel at home when they experience the love at each visit.
FDA President Dr. Ottley can be reached at jottley@bot.floridadental.org
Dental Record FAQs did you know?
By FDA Chief Legal Officer Casey Stoutamire
Many of the calls I receive are on the topic of dental records. How long do I keep them? Can I charge to copy them? I’m retiring, how do I notify my patients? Below is a list of some of those frequently asked questions and their answers. It is not an exhaustive list because, as you can imagine, many scenarios are fact specific. As always, you can contact me to discuss your particular situation.
What should be included in a dental record?
The Board of Dentistry (BOD) rule states: A dentist shall maintain patient dental records in a legible manner and with sufficient detail to clearly demonstrate why the course of treatment was undertaken. The dental record shall contain sufficient information to record each patient/dentist in person or teledentistry encounter, identify the patient, support the diagnosis, identify and justify the treatment and document the course and results of treatment accurately, by including, at a minimum, patient histories; X-rays (if taken); examination results; test results; records of drugs prescribed, dispensed or admin-
istered; reports of consultation or referrals; identification of all treatments and procedures performed and when they were performed; and copies of records or reports or other documentation obtained from health care practitioners at the request of the dentist and relied upon by the dentist in determining the appropriate treatment of the patient. Rule 64B5=17.002(1).
Remember, your best defense against patient complaints and lawsuits is a complete and thorough dental record that accurately describes and justifies your treatment. With the rise of artificial intelligence (AI) systems to assist with the creation of the dental record, it will be incumbent upon you to verify the accuracy and thoroughness of the record.
How long do I need to keep dental records?
The BOD requires you to maintain the written dental record of a patient for four years, which is calculated from the date the patient was last examined or treated. (Rule 65B5-17.002(4)) However, the Florida Dental Association (FDA) and your malpractice carrier recommend retaining the dental record for seven years due to the statute of limitations.
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In addition, each dentist shall retain a copy of each entry in his or her patient appointment book or such other log, calendar, book, file or computer data, used in lieu of an appointment book, for a period of no less than four years from the date of each entry thereon. (Rule 65B517.002(5).0
Is it different for pediatric patients?
No, the retention period in Florida does not differ for pediatric patients.
I’m changing locations, do I need to post an advertisement in the newspaper?
Yes, however, the rule was recently updated to allow the notice to be published on your website. Within one month of a dentist’s relocation of practice outside the local telephone directory service area of his or her current practice, a notice shall be published in the newspaper of greatest general circulation in the county where the dentist practiced, or a prominent notice on the terminated/relocating dentist’s websites, which advises patients of the dentist’s termination of practice or relocation. The notice shall advise patients that they may obtain copies of their dental records and specify the name, physical address, email address and telephone number of the person from whom copies of records may be obtained. The website notice shall appear at least once a week for four consecutive weeks. (Rule 64B5-17.001(4).
However, if a dentist relocates their practice but maintains a listing in the same local telephone directory used in his previous practice location, notice of relocation shall be clearly posted at their practice location for one month prior to relocation. The notice shall state the date of relocation and the address to which the office is being relocated. (Rule 64B5-17.001(5).
I’m retiring; how do I notify my patients?
The FDA recommends notifying your patients of your retirement once the decision is made. However, the BOD rule only requires that within one month of your termination of practice, a notice shall be published in the newspaper of greatest general circulation in the county where the dentist practiced, or a prominent notice on the terminated/relocating dentist’s websites, which advises patients of the dentist’s retirement. The notice shall ad-
vise patients that they may obtain copies of their dental records and specify the name, physical address, email address and telephone number of the person from whom copies of records may be obtained. The website notice shall appear at least once a week for four consecutive weeks. (Rule 64B5-17.001(4).
Who owns the records in a multi-dentist practice?
All dental records and any additional records maintained in the course of practicing dentistry shall be the property of the owner dentist of the dental practice in which the dental patient is seen or treated and the owner dentist shall be ultimately responsible for all record keeping requirements set forth by statute or rule. The owner dentist is responsible for the records of patients seen or treated by any employee, associate or visiting dentist. If there are multiple owners, then they are severally and equally responsible for the records of patients seen or treated with the dental practice of that dental group. However, a lessor or owner dentist is not responsible for the records of an independent dentist who is merely leasing or renting space or staff services for the operation of a separate dental practice within the owner dentist’s physical facility. (Rule 64B5-17.002-7).
Can I charge to reproduce/copy records? How quickly must I provide them to the patient?
What if the patient has an outstanding balance?
You may charge a fee for copying reports or records not to exceed the cost per page charged by the Clerk of the County Court where the dentist practices. The fee for copies of X-rays shall not exceed the actual cost of duplication. (Rule 64B5-17.009(2).
You must comply with a patient’s written request for copies of records and reports in a timely manner, with due regard for the patient’s health needs. In the absence of circumstances beyond the control of the licensee, timely shall mean less than 30 days. (Rule 64B5-17.009(3).
However, you CANNOT withhold patient records if the patient has an outstanding balance. You must provide their dental records at their request. (Rule 65B5-17.009(1).
FDA Chief Legal Officer Casey Stoutamire can be reached at cstoutamire@floridadental.org
FLORIDA’S ACTION for DENTAL HEALTH legislative action
By FDA Chief Legislative Officer Joe Anne Hart
Florida’s Action for Dental Health is a comprehensive effort developed by the Florida Dental Association to improve the oral health and resulting overall health of all Floridians.
The Florida Dental Association (FDA), in partnership with the American Dental Association, has released the January 2025 edition of Florida’s Action for Dental Health. This initiative is designed to improve oral and overall health outcomes throughout the state by increasing access to quality, patient-centered dental care.
Key Objectives Include:
1. Expanding Access to Care:
The FDA is working to connect more Floridians, especially those who are uninsured or underserved, to dental services. This includes strengthening collaborations between dentists, physicians, hospitals and local organizations to ensure timely and appropriate care is available to those who need it most.
2.
Optimizing the Dental Workforce:
The initiative promotes the effective use of existing dental professionals. This includes advocating for expanded duties for dental assistants under general supervision and integrating Community Dental Health Coordinators into care teams to better support patients and reduce barriers to care.
3.
Strengthening Public Health Dentistry:
Efforts continue to enhance support for county health department dental programs, maintain and expand community water fluoridation, and improve oral health education across schools, community health initiatives and public assistance programs.
4. Educating and Protecting the Public:
The FDA emphasizes the importance of seeing licensed dental professionals and warns against the growing trend of seeking care through unlicensed, direct-to-consumer methods. Public awareness efforts aim to help patients make informed decisions and understand the value of professional dental oversight.
The report also highlights the role of organized dentistry in advocating for policies that benefit patients, providers and the broader healthcare system. The FDA continues to work closely with state lawmakers, community stakeholders and public health leaders to ensure that every Floridian has the opportunity to achieve and maintain good oral health.
For more information, read Florida’s Action for Dental Health Report bit.ly/42a4CtQ.
FDA Chief Legislative Officer Joe Anne Hart can be reached at jahart@floridadental.org.
Top 8 Healthcare Cybersecurity Threats (Plus How to Mitigate Them)
By iCoreConnect President and CEO Robert McDermott
At the end of the night, you may lock up your practice, check the doors, shut down equipment and believe your practice is quiet and secure. The reality? Your practice likely isn’t as safe as you think.
In fact, the health care industry is facing a frightening rise in cybersecurity threats, with cyber attacks becoming more relentless and without a clear understanding of those threats, it’s difficult to take the necessary measures to protect your patience and practice.
Healthcare data is valuable for hackers as Private Health Information (PHI) may be worth hundreds of dollars. As a result, dental practices have become a goldmine for malicious actors seeking to profit from personal health data, leading to more frequent and sophisticated attacks.
Unfortunately, many practices have a tech foundation built on outdated security measures, legacy systems and
preventive action
underfunded IT teams. And despite a growing digital transformation to improve efficiency, there’s a new complicating factor: an increased attack surface. As a result, some dental practices are unwittingly inviting these threats into their operations, creating opportunities for intrusion that are wholly avoidable.
The good news is you need not fall prey to attacks. Understanding the risks can help you prepare the best defense.
1. Ransomware Threats: Ransomware often enters through phishing emails, encrypting critical data and locking access. Protection measures include strong encryption, regular HIPAA-compliant backups, multi-factor authentication (MFA), employee training and timely software updates.
2. Phishing Attacks: Cybercriminals use deceptive emails to steal credentials or spread malware. Defense strategies include email filtering, staff training on recognizing suspicious messages and MFA to block unauthorized access.
3. Insider Threats: Employees may intentionally or unintentionally compromise data security. Mitigation includes strict access controls, monitoring tools to detect unusual activity and regular audits of access logs.
4. Cloud Security: Storing patient data in the cloud poses risks of breaches due to weak security. Protection includes choosing HIPAA-compliant providers with encryption, regular security audits and enforcing strong access controls with MFA.
5. Supply Chain Attacks: Hackers exploit third-party vendors to access healthcare networks. Preventative steps include vetting vendors for strong security practices, requiring BAAs and implementing network segmentation to limit damage.
6. IT Device Vulnerabilities: Connected medical devices are often weak points for cyberattacks. Protection
And despite a growing digital transformation to improve efficiency, there’s a new complicating factor: an increased attack surface.
includes updating devices with security patches, encrypting transmitted data, segmenting IoT from critical systems and using management solutions for monitoring.
7. HIPAA Compliance Risks: Non-compliance can lead to fines and reputational damage. Preventive measures include encrypting sensitive data, enforcing need-to-know access and conducting regular HIPAA risk assessments.
8. Artificial Intelligence (AI) and Automation Attacks: AI systems risk privacy breaches, bias, and system failures. Safeguards include testing algorithms for fairness, maintaining transparency and enforcing strict data governance policies to protect patient data.
At the end of the day, many dental practices will see cyberattacks or efforts to access their data through various ever-evolving methods. However, smart choices and the right tools and resources can keep your practice safe.
Florida Dental Association (FDA) Crown Savings Endorsed Partner iCoreConnect helps practices like yours protect against cyber threats with iCoreExchange for HIPAA-compliant email. FDA also offers members discounted pricing on iCoreExchange HIPAA-compliant email. Book a demo of FDA-endorsed iCoreExchange at iCoreConnect.com/FL23 or call 888.810.7706. And don’t forget to visit the iCoreConnect team at the Florida Dental Convention!
FDC2025
THINGS TO KNOW BEFORE YOU GO
1. ON-SITE BADGE PICKUP HOURS & LOCATIONS
Wed., June 18 – 4-9 PM (Hotel Lobby)
Thurs., June 19 – 6:30 AM-8 PM (City Hall Lobby)
Fri., June 20 – 7 AM-6 PM (City Hall Lobby)
Sat., June 21 – 7 AM-3 PM (City Hall Lobby)
• If you are registered as “Exhibit Hall Only,” you will pick up your badge at the first-floor rotunda outside the Exhibit Hall on Thurs., 10 AM-5 PM, Fri., 8 AM-5 PM or Sat., 8 AM-1 PM.
2. ELECTRONIC FINGERPRINTING APPOINTMENTS ARE AVAILABLE!
• Legislation was passed during the 2024 Florida Legislative Session establishing background screening requirements for Florida licensed dentists and hygienists. Beginning July 1, 2025, all healthcare practitioners, including those not previously screened, must comply with electronic fingerprinting requirements when applying for licensure renewal.
• One-hour electronic fingerprinting appointment windows are offered each day of FDC and are estimated to take no more than 5 minutes. Add an appointment to your FDC2025 registration. You MUST arrive during your scheduled appointment window and no REFUNDS will be given for no-shows. Save time and create your CHAI account prior to coming onsite.
• You must bring a valid, unexpired government issued photo ID with you. This could be a drivers license, passport or state ID.
• For more information, visit floridadental.org/fingerprinting.
3. FREE OFFSITE PARKING & SHUTTLE SERVICE
• Free parking and shuttle service to the Gaylord Palms is available for attendees at Disney’s Blizzard Beach Water Park located at 1534 Blizzard Beach Dr., Orlando, FL 32836. Please allow ample time, at least one hour before the course starts, for parking and shuttle service.
SHUTTLE HOURS:
Thurs., June 19 – 7 AM-11:30 PM
Fri., June 20 – 7 AM- 11 PM Sat., June 21 – 7 AM-6 PM
4. FDC2025 FREE MOBILE APP
• Download the mobile app by searching “FDC2025” in the Apple App Store or Google Play one week prior to FDC. To view your personalized course schedule and course/event location, you must log into the app with your registration ID and last name.
• You can also download handouts, search exhibitors, view the event schedule, access the Gaylord Palms maps and more with the app! Be sure to turn on your notifications for on-site updates.
5. COURSE HANDOUTS
• Course handouts will be available within your online registration dashboard two weeks prior to FDC. FDC will not provide handouts onsite. Please print, download on your mobile device or view in the mobile app on-site.
• Note: some handouts may be too large to view within the mobile app. Please download and save to your device or print ahead of time.
Sat., June 21 – 9 AM-2 PM
• View the current exhibitor listing and find FDC-exclusive exhibitor coupons at exhibithall.floridadentalconvention.com.
• Exhibit Hall concessions are available daily from 11 AM-2 PM (Purchase lunch and use your lunch voucher here!)
7. SOCIAL EVENTS INCLUDED IN YOUR REGISTRATION
• Make plans to attend the social events included in your registration!
THURS., JUNE 19
• Puppy Break – 3-5:30 PM
• Welcome Cocktail Reception – 4-6 PM (a drink ticket for this event will be loaded on your badge)
• Dueling Pianos Party*– 8-11 PM
FRI., JUNE 20
• Puppy Break – 3-5:30 PM
• Alumni Receptions – 5-7 PM
• Big Easy Bash Party* – 7:30-10:30 PM
• The After Party – 10 PM-12 AM
* Events are not included in the free “Exhibit Hall Only” registration.
8. ATTENDEE LUNCH VOUCHERS
• If you have purchased a Thursday morning and afternoon course or have signed up to be a speaker host, you will receive a $25 lunch voucher for Exhibit Hall concessions. Vouchers can be used in the Exhibit Hall on Thursday through Saturday, 11 AM-2 PM. Your lunch voucher will be automatically loaded onto your badge.
9. CE VERIFICATION/REPORTING
• Per the Florida Board of Dentistry, you must be present in a course 50 of 60 minutes to receive 1 hour of CE credit. Your badge will be scanned when you enter and exit a course to calculate your hours attended.
• Your CE certificate will be emailed to you by Monday, June 24. CE certificate printing stations will be available on-site Thursday and Friday, 9 AM-6 PM and Saturday, 9 AM-5:30 PM.
• CE credit will be reported to CE Broker for all Florida-licensed attendees by July 21, 2025.
10. GET STEP-BY-STEP DIRECTIONS AT THE GAYLORD PALMS
• Need help navigating to your FDC courses at the Gaylord Palms? Download the “Gaylord Hotels” app in the Apple App Store or Google Play.
• Select the hotel “Gaylord Palms” and then click “Find My Way” to have the app access your location and give you step-by-step navigation to your courses.
dental benefits spotlight
Don’t Get Drenched Taking Insurance Plans
By Bertram J. Hughes, DMD
The dental benefit marketplace has become more complex in recent years. Low reimbursement has been the focus of many dental offices, which often try to navigate staffing challenges, running a practice and addressing additional administrative burdens. One of the insurance tactics to increase their footprint is network leasing. This is when one insurance carrier allows another carrier you do not have a direct contract with to use their network, thus extending the number of patients you will see eligible for discounted services. Taking advantage of an “Umbrella” plan is a way of leveraging network leasing to your advantage and increasing your bottom line. In this scenario, the dental practice would contract with an umbrella-type insurance company, such as Connections Dental. They tend to offer a higher reimbursement rate when compared to the major carriers. Concurrently, the practice ends the direct
Taking advantage of an “Umbrella” plan is a way of leveraging network leasing to your advantage and increasing your bottom line.
contractual relationship with the major carriers that network lease through Connections Dental. Patients under the major carriers involved can still see you in the network but at a higher reimbursement rate for the practice because the reimbursement part of the agreement will be through the leased contract of the umbrella company.
Dr. Bert Hughes is the FDA’s representative on the ADA Council on Dental Benefits program and can be reached at berthughes@me.com
Creating a Thriving Dental Team: Through Leadership, Culture
and Constant Communication in Practice
By ArNelle Wright, DMD, MS
We can all agree that in dentistry our clinical skills are necessary, but clinical skills alone are not enough to yield complete success. The willingness and ability to lead, support and cultivate a strong dental team that follows a strong office culture directly impacts the success of your practice and the overall patient experience. From my work as a practicing dentist to my newest role as a practice management and patient experience thought leader, one lesson has become clear: Dentistry is a business, and the business revolves around our people.
Your team is the foundation of your practice’s success. Without engaged, motivated and empowered team members, no amount of clinical excellence will create the patient experience or practice growth you desire. How you communicate, the culture you build and the leadership you embody determine whether your practice thrives or merely survives.
The Power of Culture in Dental Teams
Culture is often described as an intangible force, yet it influences every aspect of daily practice operations. It’s how your team interacts with one another, how patients feel when they walk through your doors, and how effectively your systems run, especially in your absence. When culture is strong, team members take ownership of their roles, patient trust
increases and efficiency improves. When it’s weak, however, turnover is high, morale suffers and patients sense the disconnection.
So, how do we intentionally shape the culture of our practices? I use the pillars of my C.R.E.A.T.E. acronym and framework to guide the process:
• C – Communication
• R – Responsibility
• E – Expressed expectations
• A – Accountability
• T – Teamwork
• E – Engagement
Focusing on these six pillars can foster a culture where people feel valued, supported and motivated to perform at their best.
1. Verbal Communication Sets the Tone for Your Team
Communication is the foundation of every great team and, as we all know it, of every great relationship. Although words matter significantly, communication goes beyond words, as body language, tone and clarity play a role. Studies show that 93% of communication is non-verbal, meaning your team is not just listening to what you say but how you say it.
Ask yourself:
• Do I make time for open dialogue with my team?
• Do my words align with my actions?
• Am I creating an environment where feedback is encouraged?
The most successful dentists understand that their leadership, communication and efforts towards culture-building directly impact their patient experience and bottom line.
One simple but effective strategy is daily huddles. These short, structured meetings align the group, identify potential challenges and create opportunities for collaboration. In this first point, I urge you to be mindful of your body language, while also being intentional a bout sharing your requests with the team so that everyone is clear. It’s when we communicate intentionally that we can realistically expect specific outcomes. However, when we keep our thoughts inside our minds, we leave certain decisions up to the team, leading to frustration.
2. Responsibility: Lead by Example
Your leadership ultimately sets the tone. If you want your team to be accountable, proactive and patient-centered, you must embody those qualities yourself. Remember: “What you do is what will be done.” For my new dentists, reading this here reminds us that our team members are constantly taking notes on how we navigate patient encounters and respond to internal challenges. Furthermore, the team notices when
we fail to congratulate the collective success.
Team members are also watching:
• How you handle stress
• How we treat patients and staff
• Whether you follow through on commitments
When you lead with consistency and integrity, your team follows suit.
3. Expressed Expectations: Define Your Non-Negotiables
Point 3 is closely timed to the first pillar, communication. Every great dental practice operates on clear expectations. Your team shouldn’t have to guess what’s important—in order to reinforce it, you need to define it, and follow up on it.
In your next monthly meeting, I encourage you to ask yourself:
• What are my top three non-negotiables regarding patient care?
• What positive behaviors do I want to see from my team daily?
• Do I communicate these expectations clearly and consistently?
When expectations are clearly defined, team members feel empowered to perform confidently within their roles. When they’re not, though, we create easy openings for excuses, forgetfulness and lack of accountability, which leads me to our fourth pillar!
4. Accountability: Create a Culture of Ownership
Many dentists struggle with holding their teams accountable because they fear conflict. We’re all humans and want to take great care of our patients. Accountability isn’t a derogatory term, nor is it all about punishment. Instead, it’s about consistency and ownership.
When building a culture of accountability, this could mean the following:
• Team members take pride in their role therefore; they own the tasks associated with the role and their performance.
• Although mistakes will happen, the team sees them as opportunities to learn, grow and improve, and not as an opportunity to play the lame game.”
• There are clear systems established for feedback and improvement, and if you’re just getting started, this is one to build immediately.
A simple strategy? Give frequent, constructive feedback. Instead of waiting for annual reviews, create a culture where real-time coaching, congratulations and encouragement become the norm.
5. Teamwork Starts with Strong Internal Relationships
My favorite quote as it relates to the workplace is: ‘Teamwork makes the dream work.” Patients don’t just experience their interactions with you, the doctor — they experience your entire team dynamic and meet
the team long before they meet you. I truly believe that strong internal relationships coupled with refined skills lead to better patient care.
Consider this:
• A dental assistant who feels appreciated is more likely to go the extra mile for patients.
• A front desk team that collaborates well creates a seamless patient check-in experience.
• A hygienist who trusts the doctor communicates treatment plans more effectively during routine visits.
Creating a culture of mutual respect, trust and support strengthens the team from the inside out. In order to learn your team, it’s important to start with pillar #1 — asking them what makes them feel appreciated, heard, and understood.
6. All Previous Roads Lead to Increased Engagement
A disengaged team leads to high turnover, poor patient experiences and, ultimately, lower productivity. Engaged teams, on the other hand, are more motivated, efficient and committed. I love experiencing the teams that laugh throughout the day and help each other with tasks that may be unrelated to their primary focus. Those are the environments where patients feel most comfortable, and quite frankly, this allows the doctor to serve the patient even better.
Ways to boost engagement and retain positivity in the background:
• Professional development opportunities, such as continuing education courses and role-playing.
• Recognizing and celebrating achievements (both big and small).
• Empowering team members to contribute ideas and improvements.
Dear doctor, your team wants to feel valued, yet challenged, and invested
in. When they do, I believe they’ll show up daily, ready to give their best.
At the end of the day, your practice is only as strong as the team behind it. The most successful dentists understand that their leadership, communication and efforts towards culture-building directly impact their patient experience and bottom line. Here’s your challenge: Identify one key area from the C.R.E.A.T.E. framework where you can make an immediate impact within your office. Whether improving communication,
setting clear expectations or fostering teamwork, small, intentional changes can lead to huge transformations in your practice.
Because in the business of dentistry, the real investment isn’t in equipment or marketing — it’s in your people.
Dr. ArNelle Wright is the FDA's 17th District Alternate Delegate to the ADA and serves as chair of the FDA New Dentist Task Force. She can be reached at
arnellewrightdmd@gmail.com
LEADERS EMERGING AMONG DENTISTRY
REGISTRATION OPENS
OCTOBER 1ST
SAVE THE DATE
Friday, January 16, 2026 | Orlando, FL
Leaders Emerging Among Dentistry (LEAD) is the FDA’s signature leadership development program. LEAD equips participants with essential leadership and interpersonal skills through comprehensive training sessions while providing a backstage pass to your Florida Dental Association and leadership opportunities within the organization.
The Room Where It Happens:
Why the FDA House of Delegates Matters to You
By Vrinda Shah, DMD
What if I told you that some of the most important decisions affecting your dental license, continuing education (CE) requirements and even how you practice in Florida … happen in a room full of your peers? That room is the House of Delegates (HOD).
Have you ever wondered how the Florida Dental Association (FDA) makes decisions? Or how the FDA truly represents its members’ interests? Let’s take a closer look at the FDA HOD — and why it should matter to you.
What Is the House of Delegates?
Twice a year, 103 elected delegates gather for a two-day
meeting to shape the future of dentistry in Florida. The HOD is the FDA’s legislative body, structured around parliamentary principles and designed to ensure the diverse voices of our profession are heard.
The FDA’s House is composed of:
• 100 delegates from the FDA’s six regional components.
• One delegate from each of Florida’s three accredited dental schools.
Delegates propose, debate and vote on resolutions that can shape policies on advocacy, professional standards, ethics, CE and more. Adopted resolutions are forwarded to the FDA Board of Trustees and passed to a council or committee for implementation.
The HOD also elects the FDA’s officers — including the President-elect, Secretary, Treasurer and Editor — as well as at-large trustees and American Dental Association (ADA) HOD. In short, it’s where key leadership and policy decisions are made.
Why It Matters
Active participation in the HOD is essential for both the association and its members because it helps:
1. Influence Policy: Shapes the direction and issues being addressed related to dentistry in Florida.
2. Ensure Representation: The HOD is a part of the democratic governance structure within the FDA. It ensures that decisions are made collectively, with input from member representatives. Every region and voice has a seat at the table.
3. Develop Leadership: Serving as a delegate offers members a unique opportunity for professional growth. It allows them to develop leadership skills, gain a deeper understanding of parliamentary procedures and network with peers who share similar professional interests.
4. Ensure Accountability: The HOD holds the association’s leadership accountable. Through electing officers and trustees, delegates ensure that the FDA remains focused on its mission, Helping Members Succeed.
The House isn’t just a formality — it’s the foundation of the FDA’s democratic governance.
Why I Serve
I got involved in the HOD because I wanted to understand how things worked and find a way to contrib-
Whether you’re a new member or a seasoned dentist, your voice matters. Step into the room where decisions are made — and help shape the future of our profession.
ute beyond the dental operatory. I’ve served as a student delegate, a component alternate and now a component delegate. One moment that stands out for me was being part of the discussion that led to the creation of the FDA’s New Dentist Task Group during the January 2024 HOD. That resolution sought to directly address the challenges new dentists face, and knowing I had a voice in shaping that initiative was incredibly meaningful. Participating in the House has given me a deeper understanding of how organized dentistry operates — and the confidence to know that I’m helping to move it forward. It reminds me that our voices as members genuinely make a difference.
How to Get Involved
Each delegate is selected by one of the FDA’s six regional components. If you’re interested in serving, contact your component executive:
• South Florida District: Yolanda Marrero –ymarrero.sfdda@gmail.com
• West Coast District: Lissette Zuknick –lissette@wcdental.org
Not Quite Ready? Try LEAD
If you’re not ready to jump into delegate service, consider attending the FDA’s Leaders Emerging Among Dentistry training. Hosted by the FDA Leadership Development Committee, this annual event is a great introduction to leadership and governance.
For more information or to register, visit floridadental.org/lead or call 850.681.3629.
Dr. Shah can be reached at vrindashah108@gmail.com.
From Chaos to Cash Flow:
How One Practice Slashed $114,000 in AR in Just Two Months
By David Rice, DDS
Client Overview
Imagine a practice that woke up with the goal of improving overall practice systems, increasing profitability and achieving financial stability. But don’t imagine; this is a real practice like so many we’ve come to know. In the initial phase of our relationship, we focused on tackling this practice’s enormous Accounts Receivable (AR) — a critical first step to improve cash flow and lay the groundwork for long-term financial success.
The Challenge: This practice’s AR was out of control, causing the doctor cash flow issues and stress. She often worried about meeting payroll, paying herself and unexpected purchases needed for the office, despite a full schedule and solid production. There were no clear, consistent systems for billing, collections or patient communication, and team members lacked accountability regarding financial processes.
The Solution: As part of Phase 1, we prioritized AR reduction and financial system development:
• Implemented structured AR processes for patient balances, insurance claims and payment follow-ups.
• Conducted team training on financial policies, patient payment conversations and insurance resolution techniques.
• Established accountability systems, including bi-weekly AR meetings with goal tracking and clear team responsibilities.
• Created ongoing support, with regular check-ins to monitor progress, troubleshoot challenges and ensure the systems were being followed consistently.
The Results (in just two months):
$114,000 reduction in AR balances.
36% decrease in overall AR.
Improved cash flow, allowing the doctor to reduce her financial stress and start enjoying everything she was working so hard for.
A confident, system-driven team that understands and executes their financial responsibilities effectively.
Dr. David Rice
The Key Takeaways:
• Cash flow stability is the foundation. Mastering AR in a dental practice provides financial relief, freeing the doctor to focus on other growth areas.
• Systems drive success. Consistent processes empower dental teams to efficiently handle billing, insurance and collections.
• Accountability fuels results. Bi-weekly AR check-ins ensure progress, build team confidence and foster a culture of ownership.
Our Client Feedback
“I can’t express enough how transformative our experience with IGNITEDDS has been for my practice. After partnering with them, we saw an incredible increase in our accounts receivable collections numbers in just a few months! Their expertise in outlining our practice procedures and policies provided a solid foundation for our team, streamlining our operations significantly. What truly set IGNITEDDS apart was their step-by-step guidance on practice ownership tactics. They took the time to understand our unique challenges and tailored their
approach to fit our needs perfectly. Their insights not only improved our financial health but also enhanced our team’s efficiency and morale.”
The Conclusion
While true, new patient growth and production matter, AR mastery unlocks cash flow stability and team accountability. Besides, you’ve already done the work! With a solid foundation in place, your dental practice can position you for long-term financial success, operational excellence and living the self-determined future we set out to live — one system at a time. If you’re a dentist struggling with inconsistencies in collections, production or processes, you don’t need to. Schedule a no-obligation chat here.
Dr. David Rice, founder and CEO of IgniteDDS, has more than 30 years of dental practice experience, has extensive dental training, is a published writer and sought after presenter. The Florida Dental Association (FDA) partnered with Dr. Rice and IgniteDDS to provide coaching and practice management skills for Florida dentists looking to successfully manage their practices and improve their operations. FDA members get a 10% discount; learn more at floridadental.org/member-center/member-resources/ ignitedds. Dr. Rice can be reached at david.rice@ignitedds.com.
April Showers Bring ... June Hurricanes?
In Florida, they just might. Now’s the time to make sure your office insurance is storm ready. Hurricane season kicks off June 1, and standard office insurance does not cover flooding, so be sure to purchase a separate flood policy from Florida Dental Association Services (FDAS). Coverage has gotten tougher to secure in Florida, but FDAS works with as many carriers as possible to keep your options open. Go to bit.ly/4jb4dxh to review FDAS’s Hurricane Guide and let FDAS help you protect your practice before the first warning cone hits. Visit FDAS at fdaservices.com to learn more or call/text 850.681.2996 to request an insurance review.
Smile Smart Campaign: Helping Floridians Make Informed Dental Choices
SMILE SMART
The FDA is thrilled to announce the launch of our latest initiative, the Smile Smart campaign, aimed at helping Floridians navigate the often-complex world of dental insurance and plan options. Understanding dental insurance can be daunting, but with the correct information, we can help patients make informed decisions and prioritize their oral health.
Smile Smart is designed to help patients navigate dental plans and alternatives to find the best plan for their specific needs. By increasing awareness of the various dental insurance and plan options and encouraging patients to consult their FDA dentist with questions, we can help Floridians make a plan to get the care they need.
The campaign runs from late April through June, reaching both English- and Spanish-speaking audiences through social media, YouTube and streaming television ads. Our ads
will drive Floridians to English-language (bit.ly/434l26b) and Spanish-language (bit.ly/4jJdXza) landing pages, where they can learn more about their coverage options.
As FDA members and leaders in your communities, we invite you to share this ready-made content (which you can download at bit.ly/4cu5ITD) on your social media channels and encourage patients to explore their dental plan options to ensure they are taking care of their oral health. Members can also seamlessly re-share content directly from the FDA’s social media channels.
This is a great opportunity to share helpful dental insurance and plan information with your patients and spread the word to help more Floridians understand their options. For questions or additional support, email FDA Chief Legal Officer Casey Stoutamire at cstoutamire@floridadental.org or benefits@floridadental.org.
Thank you for supporting and promoting oral health and helping Florida patients Smile Smart!
Register Now - FDA's Business Of Dentistry Event September 19 In Clearwater Beach
Strengthen your skills beyond the dental chair! Elevate your dental practice and optimize your profits with the FDA’s “Filling the Gaps: Simplifying the Business of Dentistry Event” Friday, Sept. 19, at the Opal
Sol Resort in Clearwater Beach. Learn from industry experts and fellow dentists to help you expand your patient base, grow your revenue, avoid legal risks, secure your data, employee wages and pay compliance. Both new and seasoned dentists will gain valuable insights into operating a successful practice! Register and learn more at floridadental.org/ business.
Utilize the FDA’s Jumpstart Program in Solving Workforce Challenges
The FDA’s Jumpstart program is an initiative to connect member dentists with pre-dental students interested in volunteering or working with dental offices. It’s a creative solution to assist in solving workforce challenges faced by Florida dentists. Jumpstart is a fast pass for students to gain real-world experience, connect with dentists and master skills that will help them stand out in the dental school application process and the competitive field of dentistry. All this while providing staffing for offices that may have difficulty hiring the right people. A true win-win!
As a result of the FDA’s efforts, members can access a student directory at floridadental.org/jumpstart. It notes students’ geographic location, interests and roles they could fill. If you are interested in engaging any of these students, please contact them directly and make suitable arrangements. If you know pre-dental students who may be interested in registering, encourage them to visit floridadental.org/jumpstart to sign up and learn more about transforming their enthusiasm into expertise.
ADA Find-a-Dentist: Help Patients Find You
ADA Find-a-Dentist has a new look and enhanced search features, making it easier for patients to discover you. Patients can now search by address or zip code and filter by dental specialty, languages spoken, insurance accepted and distance. This powerful marketing tool is included in your member benefits. To increase your visibility and stand out by keeping your profile updated, log in to your ADA account portal.
Make sure to check the “Include in Find-a-Dentist” box to appear in search results. Learn more at findadentist.ada.
Where in the World is Today’s FDA?
Thank you, Dr. Sam Desai, for taking Today's FDA to India!
Do you have vacation plans this year? On your next trip, take a copy of Today’s FDA with you, take a photo and send it to jrunyan@floridadental.org to see it featured in an upcoming issue.
Where will Today’s FDA venture next?
Welcome New FDA Members
Learn more by visiting our virtual Member Center at floridadental.org
The following dentists recently joined the Florida Dental Association (FDA). Their memberships allow them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry.
Atlantic District
Dental Association
Dr. Kaitlin Deidrick, Plantation
Dr. Carly Doyle, Lake Worth
Central Florida District
Dental Association
Dr. Jacob Buenning, Gainesville
Dr. Adriana Cadelo, Orlando
Dr. Paulo Henrique da Rocha Duque, Kissimmee
Dr. Eldrey Leal, Gainesville
Dr. Alexis Pagan, Gainesville
Dr. Andreina Paz, Orlando
Dr. Xianrui Yang, Gainesville
Northeast District
Dental Association
Dr. Mohammed Elwir, Jacksonville
Dr. Tyler Huntsman, Jacksonville
South Florida District
Dental Association
Dr. Laura Monteagudo, Hialeah
Dr. Laura Dos Santos, Doral
Dr. Edek Gonzalez, South Miami
Dr. Mariandreina Goncalves, Miramar
Dr. Gianella Augustina, Sunrise
Dr. Erica Ivo Sampaio, Davie
Dr. Navila Valladares, Miami Lakes
Dr. Labib Martinez, North Miami Beach
Dr. Shaban Burgoa, Miami
Dr. Grigory Tokarev, Miami
Dr. Romina Gonzalez Zambrano
West Coast District
Dental Association
Dr. Lia Cavalcanti, Sarasota
Learn About Your FDA Wellness Benefits
New in 2025, the Florida Dental Association (FDA) offers a Member Assistance Program. It can help you reduce stress, improve mental health and make life easier.
• Learn more about the Member Assistance Program.
• Meet your Membership Coordinator.
• Update your contact information.
• Ask questions about benefits that elevate you and your practice.
Everyday Wellness Made Easy for the Entire Dental Team
By Life and Career Coach Julie Morris
Whether you’re a dentist, assistant, hygienist, office manager or support staff, your well-being matters — for yourself and for the patients who count on your care.
Working in a dental office can be fast-paced and demanding, whether you’re at the front desk, assisting chairside, managing hygiene schedules or handling lab work. That’s why it’s so important for the entire dental team to prioritize health and well-being. Small, simple habits can make a big impact, helping you feel more energized, focused and resilient at work and home. Here are some easy wellness tips that everyone in the dental office can benefit from.
Start Your Day with Mindful Meditation
A few quiet minutes of mindfulness each morning can improve focus and reduce stress throughout the day. Taking time to center yourself helps you respond more calmly to patients and challenges — a powerful tool for anyone in a high-pressure environment. For more mindful information, visit bit.ly/4deezdC.
Drink Lemon Water in the Morning
Hydration is key to feeling alert and energized. Add a squeeze of lemon to your water for a refreshing boost of vitamin C and flavor — a great way to cut back on sugary drinks and start your day hydrated. For more information regarding the benefits of drinking lemon water, visit bit.ly/4dhivu7.
Boost Nutrition with Super Greens
Add super greens powder to smoothies or snacks for an easy dose of essential nutrients. These blends are
a convenient way to support your immune system and energy levels during busy clinic days.
Practice Gratitude
Journaling
Spend a few minutes each day jotting down what you’re grateful for. This habit can boost your mood, reduce stress and help you focus on the positive, which makes a big difference during hectic or challenging workdays. For more information regarding journaling, visit bit.ly/44AOfrM.
Stick to a Sleep Routine
Getting enough sleep is essential for everyone on the dental team. A consistent bedtime and wake-up time, even on weekends, helps improve focus, productivity and emotional
balance. To learn more about sleep routines, visit bit.ly/3GPgUj7.
Prioritize Skin Care
From the front desk to the clinical staff, daily skin care can protect your skin from irritation, dryness and long-term damage. Cleanse, moisturize and don’t forget sunscreen — even indoors.
Build Strength with Bodyweight Exercises
Simple exercises like push-ups and squats can improve strength, posture and endurance — great for those long days on your feet or at your desk. No equipment needed, and you can fit them in at home or during breaks. For more information regarding exercises, visit bit.ly/3H5VUo4
Take Care of Your Oral Health
As dental professionals, it’s important to practice what we teach. Brush, floss and schedule regular dental checkups to maintain strong teeth and healthy gums.
By incorporating even a few of these habits into your routine, you’re investing in a healthier, more balanced life. Whether you’re a dentist, assistant, hygienist, office manager or support staff, your well-being matters — for yourself and the patients who count on your care.
Ms. Julie Morris is a life and career coach and can be reached at jmorris@juliemorris.org
4 Mistakes to Avoid in Leading Your Dental Team Development
By Gary M. DeWood DDS, MS
Successful dental practices don’t just happen — they are built through strong leadership and a commitment to continuous team development. As a dentist, you are not only responsible for clinical excellence but also for fostering an environment in which your team development will thrive.
The most effective dental leaders cultivate high-performing, patient-centered dentistry from their team that collaborates seamlessly, adapts to change and takes ownership of their roles. As the dental leader of your practice, you set the tone, mission and objectives. You budget the necessary team development time and resources, and you monitor individual team development so you can motivate and mentor each individual toward success.
McKinsey’s report provides valuable insight into why leadership development often falls short. I encourage dentists and practice managers to think about the following four common mistakes they might be making.
1. Neglecting Leadership Development in Relation to Your Practice’s Unique Needs
Leadership development should align with an organization’s specific needs. In a dental practice, this means recognizing its unique challenges. Are you currently focused on improving patient satisfaction, streamlining workflows, integrating new technology or expanding your practice? Each goal requires different leadership development skills.
For example, a practice struggling with patient retention should develop communication and empathy skills within its team for patient-centered dentistry. One
dental team
implementing new digital systems must prioritize training in change management and technology adoption. Identify the two or three competencies that would have the greatest impact immediately on your practice success and focus training on them in priority order.
2. Decoupling Team Development from Actual Work
We learn something best when we need to know it, and team development training alone can have a limited impact. Leadership development is most effective when tied to real-world projects. Just as The Pankey Institute courses aim to have dental professionals take home new knowledge and skills they can immediately implement in their dental practice, dentists should aim to integrate team development training into practical initiatives that solve problems.
For example, in addition to sending team members to a practice management course, involve them in projects that actively and directly impact successful practice management. Assign leadership roles in improving patient scheduling, streamlining workflows, implementing new Hygiene protocols, lab bench skills or launching a marketing campaign for patient-centered dentistry. When team members apply newly learned skills in real situations, both individual growth and improvement in practice management follow. Make every major project a leadership development opportunity.
3. Underestimating the Mindset of Patient-Centered Dentistry
Behavior change requires addressing underlying mindsets. Discomfort is often necessary for growth. In dental practices, this means challenging ingrained habits and beliefs. Challenge yourself. Cultivate a learning mindset in your practice by communicating the value YOU place on learning, sharing experiences, exchanging information, emotional awareness, collaboration and mentoring. Challenge others to grow by exposing yourself to others’ concepts, approaches to patient-centered dentistry, the benefits of immersing yourself in optimal communication styles, and so on.
Challenge others to grow by exposing yourself to others’ concepts, approaches to patient-centered dentistry, the benefits of immersing yourself in optimal communication styles, and so on.
Don’t overlook emotions and beliefs that may hinder progress. For example, a team may be resistant to adopting new technology. Simply training them on software may not be enough. Address their anxieties about their ability to learn the technology by creating a safe space for open discussions and addressing concerns directly. Inviting frequent feedback leads to more effective change.
4. Overlooking the Measurement of Practice Management Success
McKinsey’s report stresses the importance of tracking the effectiveness of leadership development efforts. If your goal is to improve patient satisfaction, track patient feedback scores before and after training. If you aim to streamline workflows, measure appointment wait times or patient processing efficiency. A data-driven approach ensures that leadership initiatives have a tangible impact and that you are able to spot when a team member needs support (encouragement, more time or more training) to succeed. Let information, understanding, and compassion guide your gut and brain in conversations to kick the ball farther down the field.
You cannot abdicate leadership, but you can share it. Become a more competent and confident dental leader!
Reprinted with permission by The Pankey Institute.
Dr. Gary Dewood can be reached at info@pankey.org.
Patient Financing
BOOTH 414
Credit Card Processing
BOOTH 830
HIPAA & OSHA Compliance
BOOTH 614
Practice Financing
BOOTH 715
The DDS program allows me to help those in need with dentistry in my own office. Everyone should volunteer, it’s so gratifying and the patients truly appreciate you.
Volunteering with DLN is easy. We handle the details, you provide the care.
W
Do’s, Don’ts, Tips and Tricks for Building an Effective Dental Team
By Saimon Ramos, DMD, FAGD
An effective dental team is the backbone of a successful practice. When a team works cohesively, patients receive better care, workflow becomes smoother and job satisfaction increases.
An effective dental team is the backbone of a successful practice. When a team works cohesively, patients receive better care, workflow becomes smoother and job satisfaction increases. Here’s how to strengthen your team’s effectiveness through key dos, don’ts, tips and tricks.
Do’s:
• Communicate Clearly and Often: Open, honest and regular communication fosters trust and minimizes errors. Use daily huddles, weekly meetings and shared notes to stay aligned.
• Define Roles Clearly: Every team member should understand their responsibilities, from the dentist to the front desk. This avoids confusion and ensures accountability.
A well-functioning dental team doesn’t happen by accident — it’s built through intention, mutual respect and a shared commitment to excellence.
• Invest in Training: Continuous education keeps the team updated on new techniques, tools and best practices. It also shows your commitment to their professional growth.
• Celebrate Wins: Recognize achievements, big or small. A quick shout-out during a morning huddle can boost morale and encourage a culture of appreciation.
Don’ts:
• Avoid Micromanaging: Trust your team to handle their roles. Micromanagement undermines confidence and stifles growth.
• Ignore Conflict: Unresolved tension can poison the workplace. Address issues promptly and professionally before they escalate.
• Neglect Front Office Staff: They’re patients’ first point of contact and crucial to a seamless experience. Treat them as vital members of the team.
• Assume Everyone Understands Expectations: Never rely on assumptions — set clear expectations, protocols and goals to avoid misunderstandings.
Tips:
• Cross-Train Staff: Training team members in multiple roles adds flexibility during absences or peak times, reducing stress and improving coverage.
• Leverage Technology: Use practice management software to streamline appointments, billing and communication. It saves time and reduces errors.
• Practice Active Listening: Encourage feedback and listen to team concerns with an open mind. This improves team dynamics and fosters trust.
Tricks:
• Create a Positive Culture: Small acts like celebrating birthdays, offering coffee breaks or team outings can improve morale and camaraderie.
• Use Visual Aids: Implement checklists, flowcharts or whiteboards to keep everyone aligned. Remember — people learn in different ways, and presenting information in multiple formats can boost clarity and retention. In my practice, we especially love checklists — they’re simple, effective and help ensure nothing gets overlooked.
• Role Play Difficult Scenarios: Practicing patient objections or emergency procedures sharpens skills and builds confidence.
A well-functioning dental team doesn’t happen by accident — it’s built through intention, mutual respect and a shared commitment to excellence. But even the best teams require ongoing care. Like a finely tuned handpiece, a great team needs regular attention, communication and occasional recalibration to keep running smoothly. By embracing these practices and continually refining your approach, you’ll foster a collaborative, motivated and high-performing team that elevates patient care and workplace satisfaction.
Dr. Saimon Ramos, FAGD, can be reached at sramos@btdentist.com
Building Dental Revenue Cycle Confidence for the Dental Team
By iCoreConnect President and CEO Robert McDermott
Opening or taking over a dental practice is an exciting and daunting milestone. For many dentists, the clinical side is second nature, but when it comes to the business side, particularly managing dental revenue cycle management (RCM), it’s easy to feel overwhelmed.
Navigating insurance claims, tracking payments and ensuring a steady cash flow can seem like a far cry from
what you learned in dental school. But the good news is that mastering RCM doesn’t have to be intimidating. With the right strategies and tools, you can build confidence in managing your practice’s finances and focus on what you do best: caring for your patients.
Dental RCM refers to the entire financial process a dental practice uses to track patient care from the initial appointment to the final payment. This process is crucial for maintaining a healthy cash flow in a practice by ensuring that services provided are appropriately billed and
paid for in a timely manner. For new dentists, mastering RCM can feel overwhelming, but it’s essential for a solo practice’s financial success and sustainability.
Additionally, unlike clinical dentistry, dentists often lack formal education in financial management and business operations. This lack of familiarity can make the nuances of RCM — such as understanding dental insurance coding, claims submission and reimbursement timelines — seem like a maze. Missteps in these areas can lead to costly errors, delayed payments and significant cash flow issues that jeopardize the sustainability of a practice.
Not to mention, the evolving landscape of dental insurance adds another layer of complexity. Navigating the differences between in-network and out-of-network reimbursements, handling patient co-pays and understanding denial management can feel like an endless administrative burden.
For a practice to thrive, it needs a steady and reliable cash flow to cover operational expenses, invest in new technology and ensure the entire team is well-supported. A mismanaged RCM process can lead to delayed payments, denied claims and revenue shortfalls, quickly disrupting the practice’s ability to provide top-tier patient care.
Unfortunately, a poorly managed RCM system can create backlogs in billing, leading to frustration for both the practice and the patients. Patients may experience delays in receiving accurate bills, face confusion over what they owe, or even deal with surprise bills months after treatment. This not only damages patient trust but also makes it harder for the practice to retain loyal patients.
In contrast, when RCM is optimized, the administrative side of the practice runs smoothly, reducing stress for both the dentist and the team. This allows more focus on patient care than chasing down payments or dealing with insurance disputes.
For dentists at the start of their career or opening a new practice, developing a strong command of dental reve-
Regular staff education on industry updates and RCM processes ensures everyone is on the same page and working efficiently.
A well-trained team can spot and prevent billing issues before they become costly mistakes.
nue cycle management (RCM) is essential for long-term success. Understanding how RCM affects every aspect of the practice — from day-to-day operations to patient relationships — can be crucial in building the confidence needed to manage their business successfully.
Fortunately, by adopting the right strategies, it’s possible to streamline these processes and reduce the anxiety associated with managing the business side of a practice.
1. Invest in the Right RCM Software: Comprehensive dental RCM software can automate routine tasks like appointment scheduling, insurance verification and claim submission. The right software provides real-time analytics, allowing you to monitor the financial health of your practice with ease.
2. Understand Dental Insurance Plans: To confidently manage RCM, it’s important to understand the various insurance plans your practice accepts and how they impact your revenue. This knowledge will allow you to communicate effectively with insurers and patients about coverage, co-pays and out-of-pocket costs, minimizing billing issues.
3. Train Your Team on RCM Best Practices: Proper training regarding insurance coding, claims submission and follow-up is essential. Regular staff education on industry updates and RCM processes ensures everyone is on the
NEW BACKGROUND SCREENING REQUIREMENT FOR LICENSURE RENEWAL
All health care practitioners, including dentists and hygienists, will be required to have a background screening and fingerprinting in order to renew their licenses for February 28, 2026
Fingerprinting & Background Screening Requirement
Florida Dental License Renewal:
Per 2024 legislation, all Florida-licensed dentists and dental hygienists must complete a Level 2 background screening every five years. This includes electronic fingerprinting through a state-approved provider
Deadline:
Must be completed by February 28, 2026. Recommend completing at least 21 days in advance to avoid delays.
Who Must Comply:
All licensed health professionals in Florida, including dentists and hygienists. Dentists must complete this every other biennium.
Approved Vendors Only:
Fingerprinting must be done through a Florida Department of Law Enforcement (FDLE)-approved Livescan provider that is photo-capable and participates in the Care Provider Background Screening Clearinghouse.
Medicaid Providers:
May be required to complete fingerprinting; depends upon past screenings. Prior screenings must be within five
years and through an FDLE/Clearinghouse-compliant provider. You must have your Transaction Control Number (TCN) during licensure renewal. Only the fingerprint provider you used can issue that information.
Concealed Weapon Permits Do Not Qualify:
Fingerprints submitted for concealed weapon permits cannot be used for licensure screening.
Privacy Statement Required:
The privacy statement on your renewal application must be signed. Without it, results cannot be shared with the Florida Department of Health.
How to Complete Your Screening:
• Register in the CHAI system.
• Create or update your profile.
• Schedule an appointment with an FDLE- approved Livescan provider.
• Bring your ORI number (EDOH4560Z) to the appointment
• Keep your TCN which is required when renewing your license.
required by the Florida Legislature.
dental team
same page and working efficiently. A well-trained team can spot and prevent billing issues before they become costly mistakes.
4. Track Key Performance Indicators (KPIs): KPIs, like days in accounts receivable (AR), claim denial rates and patient collection ratios provide valuable insights into where improvements are needed. By quickly and regularly reviewing KPIs, you can identify bottlenecks and take proactive steps to optimize your RCM process.
5. Outsource When Necessary: Outsourcing can lead to higher reimbursement rates and faster payment cycles, helping to stabilize your practice’s finances and decrease the administrative burden on your staff.
6. Prioritize Patient Communication: Before treatments, provide detailed cost estimates, explain insurance coverage and outline payment options. Automated insurance verifications can help you complete these tasks and schedule procedures and treatments before the next ap pointment, knowing those items are already covered.
7. Stay Updated on Industry Changes: It’s important to stay informed about changes in dental coding, insurance reimbursements, and health care laws that could affect your practice. Subscribe to dental industry newsletters, attend relevant webinars and network with peers to keep up with the latest developments.
With these strategies, dentists can confidently take control of their RCM processes, ensuring their practices remain financially sound while providing excellent patient care. When it comes to software that can assist with dental RCM, coding assistance, which helps ensure accurate coding, including medical cross-coding for dental, can be a huge asset.
FDA Crown Savings Endorsed Partner iCoreConnect offers expert solutions to help practices optimize their RCM. FDA endorses iCoreConnect’s encrypted HIPAA email, iCoreExhange, and offers special member discounts to members. Reach out to the experts to learn more and book a demo at iCoreConnect.com/FL24, or
Catch up on expert-led sessions from past Florida Dental Conventions, or preorder the FDC2025 course recordings today! Gain valuable insights from top speakers on essential topics to stay successful in your practice.
COURSE RECORDING TOPICS INCLUDE:
Practice Transitions
Oral Pathology
Implant Therapy
Aesthetic Dentistry
Patient Communication
& much more!
dental team
The Role of the Dental Team in Addressing Intimate Partner Violence
By Florida Partnership to End Domestic Violence Chief Program Officer Tanesha McDonald
If a patient discloses abuse, thank them for sharing, validate that the abuse is not their fault, and provide them with the Florida Domestic Violence Hotline: 1.800.500.1119 (available 24/7).
As dental professionals, you are uniquely positioned to identify and respond to intimate partner violence (IPV), as research indicates that up to 75% of physical IPV injuries occur on the head, face and neck — areas routinely examined during dental visits (Futures Without Violence, 2023). Recognizing these signs not only supports early intervention but also connects patients with vital resources. The Florida Partnership to End Domestic Violence (FPEDV) offers training and resources to help you identify IPV and support survivors, contributing to a statewide coordinated response that empowers victims and holds abusers accountable.
Recognizing the Signs of IPV in Dental Patients
IPV can present in both physical and behavioral ways. Some key indicators include:
Physical Indicators:
• Unexplained or inconsistent explanations for bruises, fractures or lacerations around the mouth, jaw or face.
• Injuries in various stages of healing, suggesting repeated trauma.
• Damage to teeth, gums or oral tissues consistent with forced trauma.
• Jaw dislocations or fractures resulting from direct blows.
Behavioral Indicators:
• Patients who appear anxious, fearful or hesitant when discussing their injuries.
• The presence of a controlling partner who insists on speaking for the patient or refuses to leave the room.
• Repeatedly missed appointments or delays in seeking treatment for significant dental injuries.
How to Safely Support and Refer Patients
If you suspect IPV, consider the RADAR approach recommended by Futures Without Violence (2023):
• Routinely ask patients about safety and IPV in a private setting.
• Ask direct but non-judgmental questions (e.g., “Because abuse is common, I ask all my patients if they feel safe at home.”).
• Document findings clearly and objectively in patient records.
• Assess the patient’s immediate safety and readiness to seek help.
• Refer them to local and national resources.
Resources
If a patient discloses abuse, thank them for sharing, validate that the abuse is not their fault, and provide them with the Florida Domestic Violence Hotline: 1.800.500.1119 (available 24/7). It is also recommended that you familiarize yourself with your local certified domestic violence center at fpedv.org/get-help/, which can offer emergency shelter and additional non-residential services.
Brochure: A Health Guide and Support for Dental Visits
This brochure is designed for the evidence-based CUES Intervention (bit.ly/4c6I6W2). It can be stocked in exam rooms to be shared by oral health staff, providing trauma-informed tips, strategies and national resources on domestic violence, medical care and health centers. This brochure can be downloaded at bit.ly/4237ebJ or ordered by contacting csanchez@futureswithout violence.org.
A Guide to Support Dental Patients Experiencing Violence and Abuse
This fact sheet offers guidance on providing inclusive, sensitive care to survivors of IPV, human trafficking or
exploitation by outlining staff roles before and during patient visits and suggesting strategies for developing partnerships with community programs to improve access to safety. This brochure can be downloaded at bit.ly/4iL7pzA.
Florida Partnership to End Domestic Violence (FPEDV) is committed to supporting dentists through training, resources and collaborative opportunities that strengthen your response to IPV in clinical settings. For more information, visit www.fpedv.org or contact IPV directly to learn how to integrate awareness into your dental practice.
FPEDV is Florida’s federally designated domestic violence coalition, dedicated to creating a future free from domestic violence through advocacy, education and support for service providers. As a statewide leader, FPEDV works to strengthen the capacity of domestic violence centers and community organizations by offering comprehensive technical assistance, training and resources. Visit www. fpedv.org for more information and resources.
The Florida Partnership to End Domestic Violence’s Chief Program Officer, Tanesha McDonald, can be reached at taneshamcdonald@ fpedv.org.
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PLATINUM BENEFACTORS
STATE OF FLORIDA DEPARTMENT OF HEALTH GOLD BENEFACTORS
Mr. Ken & Mrs. Gail Artin
Dr. Monique Belin
Dr. Gerald & Mrs. Jerilyn Bird
Mr. Kevin Bowler
Ms. Paula Britten
Dr. James & Mrs. Tara Bryan
Ms. Beth Burwell
Dr. John Craig
Dr. Marcos Diaz
Dr. Daniel Gesek, Jr.
Dr. Bertram Hughes
Dr. Jason Larkin
Mr. L. Gale Lemerand
Dr. Bruce Manne
Dr. Brent Mayer
PATRONS
Dr. Jim & Mrs. Susan Antoon Chick-fil-A
Dr. Roy Clarke, Jr.
Colgate-Palmolive
Dr. John Cordoba
Daytona Heart Group
Dr. Karen Glerum
Mr. Adam Kennedy
Dr. Joseph Kilman
Ladies Professional Golf Association
Dr. Rudy Liddell, III
Dr. Nitish Mathew
Medical Disposal Systems
Miranda & Ortega Dental Group
Realty Pros Assured
Rice Law Firm
Rotary Club of Daytona Beach
Dr. Barry Setzer
Dr. Richard Weiss
Dr. Oscar Menendez
Dr. Joe Mirante & Dr. Michael Munier
Drs. Gregory & Isabell Oxford Parrish Family Dentistry
Dr. Thomas Plunkett
Dr. Joe Richardson
Dr. John and Mrs. Elizabeth Watret
CHAIR SPONSORS FRIENDS OF FLA-MOM
Dr. Scott Cohen
Mr. Drew & Mrs. Joanne Eason
Dr. Sravanthi Ganne
Dr. Kassandra Ingram
Dr. Brenna Kever
Dr. Paul Miller
Patterson Dental - Orlando
Dr. Paul Palo
Dr. Robert Payne
Dr. Eugene Rhee
Dr. Lee Sheldon
Mr. Vaughn & Mrs. Jaime Stoll
Dr. Donald Thomas
Ms. Sheila Tunney
Mr. Don & Mrs. Carolyn Williams
Dr. James G. Wilson, II
Argo Advisors, LLC
Ms. Janet Cochran
Friends of the Avis Family
Dr. Troy Gessner
Dr. Kristie Johnson
Mr. August “AJ” Krull
Ms. Tracey McCalla
Dr. Katie Miller
Dr. Matthew Munro
Mr. Marty & Mrs. Michelle Myers
Dr. Patricia Pereira
Mr. Arian Ibarra Rodriguez
Dr. Guillermo Rodriguez
Dr. Sara Sardano
Dr. Shelby Sox
Dr. David Sutton
Odyssey Travel
Ms. Elizabeth Traylor
Dr. Wendy Tresher
True Access Primary Care
Dr. Marvin and Mrs. Marie Wells
2025 FLA-MOM IMPACT
DAYTONA BEACH
Florida Mission of Mercy (FLA-MOM) is the state’s largest charitable dental clinic. FLA-MOM provides care to any patient at no cost, with the goal of serving the underserved and uninsured in Florida. The 2025 FLA-MOM was held in Daytona Beach on March 21 - 22.
PROCEDURES
PATIENTS TREATED
$1.92 MILLION
1,511 VALUE OF CARE
PATIENTS TREATED
10,264 VOLUNTEERS
2,070
FLA-MOM Leadership
Thank you to the amazing volunteers who contributed their time and talents to make the 2025 Florida Mission of Mercy a great success!
Dr. Tom Brown
Ms. Stephanie Chieppa
Dr. John Cordoba
Dr. Marcos Diaz
Dr. Bethany Douglas
Dr. Sam Elias
Dr. Tim Garvey
Dr. Dan Gesek
2025 FLA-MOM LEADERSHIP
Dr. Bertram Hughes ▪ 2025 Co-Chair
Dr. Joe Richardson ▪ 2025 Co-Chair
Dr. Chris Bulnes ▪ Statewide Co-Chair
Dr. Andy Brown ▪ Statewide Co-Chair
Dr. Oscar Menendez ▪ Statewide Co-Chair
2025 FLA-MOM COMMITTEE
Dr. Brandon Alegre
Ms. Diana Alter
Mr. Clay Archer
Dr. Monique Belin
Mr. Richard Blackman
Dr. Dan Branca
Mr. Joshua Braswell
Ms. Karen Buckenheimer
Dr. Terry Buckenheimer
Ms. Kelsey Bulnes
Ms. Beth Burwell
Ms. Amanda Burwell
Dr. Natalie Carr Bustillo
Dr. Brad Cherry
Dr. Alana Humberson
Dr. Don Ilkka
Ms. Kathy Ilkka
Dr. Reza Iranmanesh
Ms. Megan Kane
Mr. David Keough
Dr. Lee Anne Keough
Dr. Erika King
Dr. Steve Krist
Dr. Jason Larkin
Dr. David Lloyd
Dr. Rod MacIntyre
Dr. Bruce Manne
Dr. Stephanie Mazariegos
Ms. Jenna Milavickas
Ms. Lisa Mims
Dr. Oscar Morejon
Ms. Abby Morken
Dr. John Obeck
Dr. Paul Palo
Dr. Jolene Paramore
Dr. John Paul
Ms. Katie Schutte
Dr. Vrinda Shah
Dr. Bruce Tandy
Dr. Vanessa Watts
Dr. ArNelle Wright
Dr. Steve Zuknick
FDA FOUNDATION STAFF
Ms. R. Jai Gillum ▪ Director of Foundation Affairs
Ms. Kristin Badeau ▪ Foundation Coordinator
Ms. Madelyn Espinal ▪ Foundation Assistant
fla-mom 2025
This March, more than $1.92 million in donated dental care was provided to Floridians at the 10th Florida Mission of Mercy (FLA-MOM), presented by the Florida Dental Association (FDA) Foundation. FLA-MOM is the state’s largest charitable dental clinic, providing care to any patient at no cost, with the goal of serving the underserved and uninsured in Florida. The 2025 FLA-MOM was held in Daytona Beach at Mainland High School March 21-22.
Thank you to the more than 2,000 volunteers and benefactors from across the state who provided 10,264 procedures to 1,511 patients during the two-day clinic. Patients, including Gerard Semola, USAF Honorably Discharged Veteran, were treated in Daytona Beach.
“Thank you SO MUCH for your generous services for my fellow veterans,” Semola wrote in an email. “I really, REALLY APPRECIATE you all and what you are doing for SO MANY.” Semola indicated that he had been in pain for years and was eagerly awaiting the opening of the clinic. “All went extremely well! I had two teeth extracted and I feel so much better now. EXCELLENT volunteers! Dentists and assistants were INCREDIBLE. The entire process was PERFECT! AWESOME JOB! God bless you and the team.”
Please visit flamom.org to pre-register to volunteer for the 2026 FLA-MOM in Jacksonville May 15-16.
Starting Jan. 1, 2025, FDA members have free, confidential access to AllOne Health‘s counseling and work/life services.
The Florida Dental Association’s (FDA) Member Assistance Program (MAP) can help you reduce stress, improve mental health and make life easier by connecting you to the right information, resources and referrals.
All services are confidential and available to you and your household as an FDA member benefit. This includes access to short-term counseling and the wide range of services listed below:
Mental Health Sessions
Manage stress, anxiety and depression; resolve conflict, improve relationships and address personal issues. Choose from in-person sessions, video counseling or phone counseling.
Life Coaching
Reach personal and professional goals, manage life transitions, overcome obstacles, strengthen relationships and achieve greater balance.
Financial Consultation
Build financial wellness related to budgeting, buying a home, paying off debt, resolving general tax questions, preventing identity theft and saving for retirement or tuition.
Legal Referrals
Receive referrals for personal legal matters including estate planning, wills, real estate, bankruptcy, divorce, custody and more.
Work-Life Resources and Referrals
Obtain information and referrals when seeking childcare, adoption, special needs support, eldercare, housing, transportation, education and pet care.
Personal Assistant
Save time with referrals for travel and entertainment, professional services, cleaning services, home food delivery and managing everyday tasks.
Medical Advocacy
Get help navigating insurance, obtaining doctor referrals, securing medical equipment and planning for transitional care and discharge.
Member Portal
Access your benefits 24/7/365 through the member portal with online requests and chat options. Explore thousands of self-help tools and resources including articles, assessments, podcasts and resource locators.
FDA Career Center
coastal luxury meets professional growth at WIND 2025. Get CE in style with peer-to-peer learning led by Florida’s women in dentistry.
Friday, September 19, 2025
Opal Sol Resort • Clearwater Beach, FL
Education 8:30 am-5 pm • Reception 5-6 pm $399 for FDA Members • $449 for Non-Members
Bridging the Divide:
The 5 Pillars of Respectful Collaboration for Dental Pros
By CEO of Work. Meaningful Justin Jones-Fosu, MBA
Dentistry isn’t just about bright smiles and straight teeth — it’s also about navigating the sometimes-sticky situations that come with working closely with humans. You know, the ones who always “floss daily.”
Whether it’s dealing with a patient who’s “read a lot on Google” or convincing your staff that Friday isn’t an optional workday, finding ways to respectfully disagree is crucial. Based on I Respectfully Disagree, here are the “5 Pillars of Bridging the Divide” tailored to help Florida Dental Association members build stronger teams and happier practices — while keeping the stress cavities at bay.
1. Challenge Your Perspective
Let’s face it, sometimes we think we’re right about everything. But what if — brace yourself — you’re not? The first
pillar encourages us to look beyond our own views and consider others. Even Karen in billing might have a good point (once in a while).
For Your Practice: If your hygienist suggests a different way to handle a tricky patient or your assistant questions a procedure, pause before you roll your eyes. Ask yourself: “Is there merit to their suggestion, or am I just annoyed because I haven’t had my coffee yet?” This simple step can transform disagreements into breakthroughs or at least fewer awkward silences.
2. Be the Student
Nobody likes a know-it-all, even if you really do know it all. Being the student means staying humble enough to
learn — even from that patient who swears by coconut oil for everything.
For Your Practice: When a patient asks why you recommend fluoride and then says, “Well, Dr. YouTube said it’s a scam,” resist the urge to sigh loudly. Instead, channel your inner Mr. Rogers and ask, “That’s an interesting perspective — what did you learn?” Then, calmly explain how science (and, you know, dental school) supports fluoride’s benefits. Bonus: this also works for staff who insist that TikTok trends should guide treatment planning.
3. Cultivate Your Curiosity
Instead of assuming someone’s opinion is ridiculous (even when it totally is), try swapping judgment for curiosity. You might learn something surprising — like why your hygienist eats tuna sandwiches every single day.
For Your Practice: Let’s say a colleague proposes a new scheduling system that sounds overly complicated. Instead of immediately vetoing it, ask, “How do you see this making things better for us?” You’ll either uncover a brilliant idea or a chance to bond over how much you both hate paperwork.
4. Seek the Gray Life isn’t all black-and-white (except maybe on X-rays). Somewhere between “I’m always right” and “You’re always wrong” is the glorious gray zone where collaboration lives. Spoiler alert: this is where the magic happens.
For Your Practice: Imagine your office is divided on the question of holiday decorations: Team Tinsel wants lights everywhere, while Team Grinch prefers minimalist decor. Instead of picking sides, propose a middle ground: a tasteful wreath and one inflatable reindeer (preferably with a toothbrush in its mouth). Seeking the gray doesn’t mean everyone gets exactly what they want — but it beats a full-scale Christmas war.
5. Agree to Respect
Respect is the secret sauce in any disagreement. (No, not barbecue sauce — though that helps at office cookouts.) The fifth pillar reminds us that even when we disagree, we can still honor each other’s humanity. After all, your receptionist probably didn’t mean to schedule three root canals back-to-back on a Monday morning … right?
For Your Practice: Set ground rules for disagreements, like no interrupting, no personal attacks and absolutely no using “because I said so” as your closing argument. When things get heated, remind yourself and your team: “We’re on the same side here — Team Teeth!”
How to Use the 5 Pillars in Your Practice (Without Losing Your Sanity)
Team Meetings: Kick off meetings with an example of respectful disagreement (like debating the best lunch spot). Practice letting everyone have a say — even if someone insists on sushi every time.
Patient Communication: Equip your team with scripts for handling tricky conversations. For example, “I hear you’re worried about fluoride — here’s what the science says” sounds way better than, “Well, that’s just silly.”
Celebrate Wins: When someone successfully applies the pillars, celebrate it! “Best Use of Curiosity” deserves at least a shoutout — or maybe even a gold star. Hey, dentists love shiny things.
Why This Matters
Dentistry isn’t just about molars and crowns — it’s about people. When we bridge divides with respect and humor, we create practices where everyone feels valued: patients, staff, and yes, even Karen in billing. The “5 Pillars of Bridging the Divide” aren’t just tools for conflict resolution — they’re the foundation for thriving in a profession where smiles are our business.
So, go ahead and try these pillars in your practice. Who knows? You might not only solve your toughest challenges but also make your workplace a little more fun. And isn’t that something worth smiling about?
Mr. Justin Jones-Fosu earned his bachelor’s degree from Morgan State University and a master’s degree in business administration from the University of Baltimore. He is the founder and CEO of Work. Meaningful and can be reached at justin@workmeaningful.com
Mr. Jones-Fosu will present the keynote session “Work to a Different Beat Keynote” (NC06) Friday, June 20, at 7:45 a.m. This keynote session is free for all registered attendees. Learn more and register at floridadentalconvention.com
Is Your Patient Financial Policy Hurting Your Practice?
By CEO Cash Flow Strategies, Inc. David Wiener
As a dental practice owner or manager, ensuring the financial health of your practice is critical to delivering exceptional care and maintaining growth. A well-crafted, written financial policy plays a pivotal role in achieving this objective. Let’s explore the benefits of a comprehensive, effective and compliant
financial policy and why it should be consistently applied to all patients.
Some
Key Elements of an Effective Financial Policy
An effective financial policy should clearly outline the following (and more):
1. Payment Options and Methods
Accepted: Clearly specify the types of payment your practice accepts,
such as cash, check, credit card or third-party financing. This information helps patients plan their payment methods accordingly.
2. Insurance Acceptance and Billing Procedures: Detail the insurance plans your practice accepts and the procedures for filing claims, billing and handling reimbursements. Outline patient responsibilities for co-payments and deductibles.
3. Co-payment and Deductible Requirements: Provide a clear understanding of co-payment and deductible amounts for patients, as well as when these payments are due.
4. Expectations for Non-Covered Services and Elective Procedures: Inform patients of their financial responsibilities for non-covered services and elective procedures, emphasizing the importance of discussing treatment plans and costs before proceeding.
5. Financing Options or Payment Plans: If your practice offers financing options or payment plans, provide a detailed explanation of the terms, conditions and application process.
6. Guidelines for Missed Appointments, Cancellations and Late Arrivals: Establish expectations for attendance and punctuality, including any fees or charges associated with missed appointments, late cancellations or repeated tardiness.
7. Payments Required Before Service: Inform patients if your practice
requires payment in full or a deposit before rendering certain services. This can help prevent misunderstandings or disagreements regarding payment expectations.
8.
Special
Circumstances (Minor Patients
and Divorce Situations): Provide guidelines for handling situations involving minor patients, divorce or legal guardianship to ensure proper authorization and responsibility for financial obligations.
9. Self-Pay Discounts: If your practice offers discounts for self-pay patients, outline the eligibility requirements, discount amounts and any conditions or limitations.
10. Returned Check Charges: Clearly state any fees or charges associated with returned checks, including the amount and when the fee applies.
Compliance with Regulatory Standards
Your financial policy should comply with applicable laws, regulations and ethical standards, such as the Health Insurance Portability and Accountability Act (HIPAA). A compliant policy helps avoid legal entanglements and fosters a culture of trust and ethical behavior within your practice.
Uniform Application to All Patients
Applying your financial policy uniformly ensures fairness and consistency for all patients. By requiring all new guarantors to sign and date the policy before any services are rendered, you establish a clear understanding of financial responsibilities
So, ask yourself, is your Patient Financial Policy hurting or helping your practice’s success?
and eliminate ambiguity. Moreover, updating and re-signing the policy annually guarantees patients remain informed of any changes or updates.
Implementing a Patient Financial Policy
To effectively implement your financial policy:
• Train Your Team: Ensure your entire staff is well-versed in the financial policy’s details, enabling them to answer patient questions and address concerns confidently.
• Make it Accessible: Provide easy access to the financial policy on your practice’s website, in the patient portal or as printed copies in your waiting area.
• Communicate Proactively: Discuss the financial policy with patients during their initial visit and when changes occur, highlighting its importance and benefits.
• Obtain Written Consent: Request new patients to sign and date the financial policy, indicating their agreement and understanding. Store these signed documents securely and update them as necessary.
Conclusion
A comprehensive, effective and compliant financial policy benefits
both your dental practice and your patients. It promotes transparency, fosters trust and safeguards against potential disputes. By consistently applying the policy to all patients, you demonstrate fairness and professionalism while maintaining the financial health of your practice.
Evaluating your current financial policy and implementing necessary changes is the first step to reducing your accounts receivable, making your practice more profitable and protecting your important patient relationships and satisfaction. So, ask yourself, is your Patient Financial Policy hurting or helping your practice’s success?
Mr. David Wiener earned his bachelor’s degree in business management from the University of Akron. He is a fellow of the American College of Healthcare Trustees. Mr. Wiener is the president and CEO of Cash Flow Strategies Inc. and can be reached at David.wiener@cashflow strategies.us.
Mr. Wiener will be presenting the course “Maximizing Effective Collections in the Dental Office” (NC23) Saturday, June 21 at 2 p.m during the Florida Dental Convention. Learn more and register at floridadentalconvention.com.
FLORIDA DENTAL CONVENTION | EXHIBIT HALL
JUNE 19-21, 2025 – GAYLORD PALMS RESORT - ORLANDO
Visiting the FDC Exhibit Hall is an invaluable opportunity for you to experience a comprehensive showcase of the latest advancements in the dental field, from cutting-edge technology to innovative treatment options. Stay up-to-date on industry trends, expand your skills, and discover products and services that can enhance patient care and the overall dental practice experience all under one roof at FDC2025. Support the companies that support the Florida Dental Convention!
A-C
3D-DENTAL TECH & MEDIT
A TITAN INSTRUMENTS
A1 HANDPIECE SPECIALISTS
A2Z IMAGING
ABYDE
ACE DENTAL GROUP INC.
ADFUEL INC.
ADIT
ADS DENTAL SYSTEM INC.
AIR TECHNIQUES INC.
ALIGN TECHNOLOGY INC.
ALIGNEROFF LLC
ALLITON/VEREX DENTAL
ALPHAEON CREDIT
ALWAYS NYE
AMD LASERS
AMERICAN DENTAL INSTITUTE
ANDAU MEDICAL
APEX PAYMENT SOLUTIONS
APEX REIMBURSEMENT SPECIALISTS
AR INSTRUMED USA LLC
ARCHY
ARMOR DENTAL CORPORATION
ARTCRAFT DENTAL INC.
ASEPTICO
ATLANTA DENTAL SUPPLY
ATLANTIC DENTAL SOLUTIONS/BREWER COMPANY
ATOMICA TECHNOLOGY INC.
AUGMA BIOMATERIALS
AUTOREMIND
BALLARD GLOBAL
BANK OF AMERICA PRACTICE SOLUTIONS
BARKSDALE DENTAL LAB
BAUSCH ARTICULATING PAPERS INC.
BAYFIRST
BAYSHORE DENTAL STUDIO
BENCO
BEST CARD
BEST INSTRUMENTS USA
BIEN-AIR DENTAL
BIOCLEAR
BIOGAIA PROBIOTICS
BIOHORIZONS
BIOLASE
BISCO INC.
BMO
BQ ERGONOMICS LLC
BRANDMAX
BRASSELER USA
BTI OF AMERICA
CAD-RAY
CARECREDIT
CARESTREAM DENTAL
CARR INC.
CENTURION HEALTH
CHERRY PAYMENT PLANS
CHOICE TRANSITIONS LLC
CITY NATIONAL BANK
CLIX THERAPY
CLOUD DENTISTRY
COASTAL PROFESSIONAL CONTRACTING INC.
COLGATE
COLTENE/SCICAN
CORE SCIENTIFIC
CREST + ORAL-B
CROWN CONSULTING
CROWN TENANT ADVISORS
CULTURE DENTAL ADVISORS
CURVE DENTAL
CUTCO CUTLERY
D-F
DADDY D PRO MIAMI
DANB AND THE DALE FOUNDATION
DANDY
DDS MATCH FLORIDA
DEMEOLA TEMPLE CPA GROUP
DENTAL BUYING POWER
DENTAL DYNAMIC STAFFING
DENTAL EQUIPMENT LIQUIDATORS
DENTAL INTELLIGENCE
DENTAL LIFELINE NETWORK FLORIDA
DENTAL PITCH BROKERAGE
DENTAL TRIBUNE AMERICA
DENTALEZ-DSX
DENTALMAX SOLUTIONS
DENTALREE.COM INTERNATIONAL INC.
DENTAQUEST
DENTISTRY TODAY
DENTIUM USA
DENTLIGHT INC.
DESIGNS FOR VISION INC.
DEXIS
DIGI SEARCH
DIGITAL DOC
DIGITAL HEALTHCARE PROFESSIONALS
DOCTOR MULTIMEDIA
DOCTOR’S CHOICE PRACTICE TRANSITIONS
DOCTORSINTERNET
DORAL REFINING CORPORATION
DR. MARKETING
DREVE AMERICA
EASSIST DENTAL SOLUTIONS
EDGEENDO
EKOS DENTAL GROUP
ELEVATE ORAL CARE
ELEVATIC
ELITE PAYMENT GROUP
ELITE PRACTICE
EMS DENTAL
EPDENT AMERICA INC.
ESTHETIC PROFESSIONALS
EVENLY
FGM DENTAL GROUP
FIRST COMMAND FINANCIAL SERVICES
FLORIDA ACADEMY OF GENERAL DENTISTRY
FLORIDA BOARD OF DENTISTRY
FLORIDA COMBINED LIFE
FLORIDA DENTAL ASSOCIATION (FDA)
FDA FOUNDATION
FDAPAC
FDA SERVICES INC.
FLORIDA MEDICAL ADVISORS
FLORIDA PDMP FOUNDATION/E-FORCSE
FLORIDA PROBE CORP.
FOUR QUADRANTS ADVISORY G-K
GARFIELD REFINING
GARRISON DENTAL SOLUTIONS
GC AMERICA INC.
GLIDEWELL DENTAL
GLOBAL STRATEGIC
GLOBALNET TECHNOLOGIES
GREATER NEW YORK DENTAL MEETING LLC
GUANGDON JINME MEDICAL TECHNOLOGY CO
GUARDIAN
GUMLINE MARKETING
H&H COMPANY
HALEON
HALYARD
HAWAIIAN MOON
HEARTLAND DENTAL
HENRY SCHEIN DENTAL
HENRY SCHEIN DENTAL PRACTICE TRANSITIONS
HENRY SCHEIN ONE
HIOSSEN
HISPANIC DENTAL ASSOCIATION
HUFRIEDYGROUP
HUMANA
HUNTINGTON BANK PRACTICE FINANCE
HUNZA DENTAL
ILLUCO USA
IMEDCLAIMS LLC
IMPLADENT LTD
IMPLANT DIRECT
IMPLANT EDUCATORS
IMPLANT SEMINARS
IMTEC CORPORATION
INTELLIDENT SYSTEMS INC.
INTERACTIVE ACCOUNTANTS LLC
IOTECH INTERNATIONAL
ITXPROS
IVOCLAR VIVADENT INC.
JIM O’BRIEN ARCHITECTURE & INTERIORS
JMU DENTAL INC.
KALEIDOSCOPE SERVICES
KARL SCHUMACHER DENTAL
KAVO
KENWOOD/WIRED FOX TECHNOLOGIES
KERR DENTAL
KETTENBACH LP
KOMET USA
KWIKLY DENTAL STAFFING
L-Q
LEGALLY MINE
LEIXIR DENTAL LABORATORY GROUP
LIGHTSCAPEL
LUETZOW PLASTICS
LUMADENT INC.
MAN & MACHINE INC.
MEDIANV
MEDILOUPES
MEDS 2U PHARMACY: EMERGENCY DENTAL KITS
MEGAGEN AMERICA
MEISINGER USA
MERCHANT PREFERRED ZERO
MICROCOPY
MILLENNIUM DENTAL TECHNOLOGIES INC.
MODERN DOC MEDIA
MONSTER DENTAL SUPPLY
MUTUAL OF OMAHA
MYRIAD CAPITAL
NADA PAYMENTS
NEER
NEOCIS
NEW TEETH NOW
NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
DEPARTMENT OF DENTAL HYGIENE & DENTAL
ASSISTING
NEXHEALTH
NOBEL BIOCARE USA
NSK AMERICA
NSU-COLLEGE OF DENTAL MEDICINE
NUCHAIR INC.
OCEANVIEW BUILDING GROUP
OLYMPUS DENTAL
OOMA INC.
OPAL REEF LLC
ORALMEGA MANUFACTURING
ORASCOPTIC
OVERJET
PATIENT NEWS
PATTERSON DENTAL
PEARL
PHILIPS SONICARE AND ZOOM WHITENING
PLANMECA
POWER DENTAL GROUP
PPO PROFITS
PRACTICE BY NUMBERS
PREMIUM PLUS DENTAL SUPPLIES
PRODIA DENTAL
PROFESSIONAL SALES ASSOCIATES INC.
PROVIDE
Q-OPTICS & QUALITY ASPIRATORS
R-S
R&D SURGICAL USA / XENOSYS USA
REALTIME CPAS
REVENUEWELL
RGP DENTAL INC.
RITTER DENTAL
ROYAL DENTAL GROUP
SAGE DENTAL
SAIBERDENT
SALVIN DENTAL SPECIALTIES LLC
SGA DENTAL PARTNERS
SHAMROCK DENTAL CO. INC.
SHATKIN F.I.R.S.T. LLC
SHOFU DENTAL CORPORATION
SIKANDER & BROTHER COMPANY
SMILE DESIGN DENTISTRY
SMILES AT SEA
SNAP ON OPTICS
SOLMETEX/STERISIL/DRYSHIELD
SOLUTIONREACH
SOUTHERN DENTAL REFINING
SP RECONSTRUCTION SERVICES INC.
SPECIAL OLYMPICS FLORIDA
SPINCYCLE
SPRINTRAY
STELLALIFE
STESZEWSKI LAW
STRATUS
STRAUMANN
STRAUSS DIAMOND INSTRUMENTS INC.
STREAMHEALTH GROUP
SUMMIT HANDPIECE EXPRESS
SUNBIT
SUNRISE DENTAL EQUIPMENT INC.
SURGICALLY CLEAN AIR
SURGITEL
T-Z
TATUM SURGICAL
TD BANK
THE ARGEN CORPORATION
THE DAWSON ACADEMY
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Reflections on 50 Years in Dentistry: From the First UF Class to Today’s Changing Dental Education
By Paul Benjamin, DMD
If we live long enough, all of us will face it — hanging up our explorer and riding off into the sunset of “dental retirement.” I’m old enough to have grown up with westerns, so I can’t help clinging to the cowboy cliché.
It’s hard to believe, but it was more than half a century ago — August 1972, to be exact — when I walked
into the basement of Gainesville’s Shands Hospital late at night to peek into the anatomy lab and see the cadavers waiting for me. The next day, I would begin my dental journey at the University of Florida (UF), with anatomy as my first stop at 8 a.m.
I was honored to be one of 24 students in the first class of the first
dental school in Florida. At the time, I had no idea of the immense effort many dentists had put into launching this new project. A special thanks to Atkins, Farber, Kaplan and others who planted the acorn that grew into my new school. I was excited, nervous and proud to be part of that first charter class — 22 men and just two women.
It was a time of real strife and anxiety. The Vietnam War was still a few years away from ending, political demonstrations were ongoing and a presidential election loomed, with the Watergate break-in beginning to peek into the national consciousness but not yet entirely on the radar. However, there was only one pressing concern: Can I really make it in dental school? Or, more precisely, what the heck did I get myself into?
Don’t get me wrong — the next four years, like for every dental student, weren’t easy. But I must admit, our dean, the truly lovely Jose Medina, set a great tone on the very first day. In a small classroom at Shands, he said to us, “Look to your right, now look to your left. These are not your competitors but your colleagues — and hopefully, your friends.” That was a fantastic start. It helped stop the competitive mentality and encouraged us to work together, forming bonds that would last a lifetime.
In such a small class, this was possible. I imagine it’s much harder today with larger class sizes, which is a real shame.
Our school introduced a new philosophy: a self-paced curriculum with no traditional grades, education through the cutting-edge concept of videotaped lectures (which we could watch at any time, but only in the library — yes, we had a key), and a heavy emphasis on ergonomics. The idea was to utilize dental assistants so we could be more efficient and, importantly, prevent musculoskeletal problems that could cut our careers short. Well, it worked for me! Sadly, this concept has taken a back seat in recent years, as dental assistants are now a rarity, whether working with dental students or residents.
To launch our school, we were fortunate to have extraordinary professors, such as Lundeen, Gibbs, Proffit, Mahan, Henderson, Grainger, Stanley and Vertucci — to name a few. At the time, I had no idea how significant these “mostly old dudes” were to the advancement of dental education. Because our class was so small, I had the privilege of getting one-on-one time with all of them. It felt like too much one-on-one time back then, but looking back, I wish I could go back and ask them more questions. It’s funny how time shifts your perspective.
During our first year, we shared classes with medical students, as our philosophy was dentistry is a part of medicine. Hence, the dental school itself was integrated into the Shands Hospital complex. However, the dental building wasn’t completed until our senior year. For the first three years, we worked out of trailers and the basement of the psychology building to learn our skills. Still, I had
my own operatory, which was a big plus.
Since the curriculum was self-paced, some students in later classes graduated in three years. However, for the charter class — also called the “Alpha Class” (a name that didn’t stick) — graduating early wasn’t an option. Many of our learning modules weren’t ready in time, which slowed our progress. These delays, however, gave us more time to dive deeper into our education, dissecting cadavers with Mahan, having electrodes attached to our masticatory muscles for Lundeen and Gibbs to prove
the envelope of function theory, or spending an extra week or two learning gold foil techniques with Medina. Like I said, a lot of one-on-one time.
Now, to the topic I was asked to discuss comparing my class of 1972 with the class of 2024. First, a bit of background — I had a general private practice in the same downtown Miami location for 39 years before returning to the mother ship, UF, to spend a decade embracing education. I was a clinical associate professor in a two-year international
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Advanced Education in General Dentistry program run by UF in Hialeah.
Comparing my 1972 class to the class of 2024 feels almost impossible. A half-century is such a vast period. I couldn’t relate to what my grandfather was doing in 1922, so I imagine today’s students feel the same about my 1972 experience. Yet, I see similarities: the same excitement, nervousness and pride I felt. While today’s students have no idea about gold foil and amalgam which is vanishing as I write this, they’re learning techniques that neither I nor H.G. Wells could have imagined.
This brings me to a question I once asked my dentist dad: What changes did you see during your 35 years of practice (he retired in 1976)? He said there were two major ones. First, the advent of the air-driven handpiece — no more belt motors. Can you imagine prepping teeth using only a slow-speed handpiece? And second, air conditioning. Yes, air conditioning! Try working with a belt-driven handpiece in a 90-degree Miami summer. I can’t even fathom that. Sure, he mentioned composites as well, but only as an afterthought.
While I surpassed him in technological advancements during my 50 years, today’s students are navigating an entirely different world. They start learning about scanning and milling technology, and then 3D printing pops its head up. Another new technology to master! Implants
reflections in dentistry
and Cone Beam Computed Tomography imaging are commonplace, and genetics is poised to revolutionize our profession. The skills they’re developing straddle the analog and digital worlds, which require entirely different mindsets and competencies. I don’t envy the challenge of teaching or learning these new tasks.
Of course, technical advancements are transforming dentistry. Still, two other significant shifts are impossible to ignore: First, the cost of dental education is on another planet from what I paid. I can only hope sanity returns to these costs, as they are unsustainable. Second, the demographics of our profession have undergone a remarkable transformation. Today, half or more dental school classes are female, faculty demographics are moving in the same direction, and our last two deans have been women. While we’re not yet fully reflective of the population, it’s significantly improved over the years.
Maybe when someone from the class of 2024 writes their 50-year retirement reflections in 2074, they’ll have achieved what Dr. Medina told us on that hot August day in 1972: “Your mission as dental professionals is to put ourselves out of business.” I’m not sure we talk that way anymore, but we certainly did then.
To close, I need to get something off my chest — something that has bothered me almost as much as
the lack of dental assistants (sorry, I can’t help myself). It’s a saying I hear far too often: “Those who can, do; those who can’t, teach.” When I compare my class of 1972 to 2024, one constant in both is the presence of dedicated teachers, as I mentioned earlier. I do not doubt that those educators could have been highly successful practitioners in any era, but being a competent professor requires an entirely different skill level and commitment.
I’ve done both, and I remain in awe of what our educators achieve with such limited resources and funding. It’s time to retire that dismissive phrase and start compensating our colleagues for what they truly deserve. We continue to neglect the enhancement and recognition of our educators at the peril of our profession, especially as new dental schools continue to pop up across the country.
But that’s a topic for another day.
Dr. Paul Benjamin is a retired dentist and can be reached at pteethgator@aol.com.
Photos:
1. Dr. Paul Benjamin and his wife Alexis.
2. The 1972 new charter school at UF.
3. Gator 5 UF 50th Anniversary.
diagnostic discussion
Diagnostic Quiz
By Lauren Smolenski, DDS*, Nadim M. Islam, DDS, Indraneel Bhattacharyya, DDS and Sumita Sam, DDS
A 35-year-old male was seen by Dr. Skyler Clark, an Advanced Education in General Dentistry resident at the University of Florida in St. Petersburg, for evaluation of a “golf-ball-sized” lesion on the floor of the mouth. The lesion had a reported duration of 17 years. The patient reported that the lesion disrupted his sleep by causing breathing difficulties. His medical history was non-contributory. During the excisional biopsy, a significant amount of pus-like fluid was drained. The lesion was excised, the area was irrigated with sterile saline, and the underlying mucosa was reapproximated using a 3-0
Fig. 1: Clinical image shows a smooth-surfaced midline swelling on the floor of the mouth.
Fig. 3: Histopathologic examination shows orthokeratinized stratified squamous epithelium with an area of sebaceous glands within the cyst wall (H&E 20X).
chromic gut suture. The specimen was submitted to the University of Florida College of Dentistry Oral and Maxillofacial Biopsy Service for microscopic evaluation.
Question:
What is the most likely diagnosis based on the clinical image and accompanying findings?
A. Ranula
B. Lipoma
C. Sialolith
D. Dermoid cyst
E. Thyroglossal duct cyst
Fig. 2: Histopathologic examination shows a cystic lining covered by a thickened layer of orthokeratin (red arrow) (H&E 1.3X, inset: 10X).
Fig. 4: Histopathologic examination shows abundant amounts of orthokeratin within the cystic lumen (H&E 10X).
diagnostic discussion
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A. Ranula
Incorrect. This term is used when a mucocele arising from the sublingual gland is noted on the floor of the mouth. Most ranulas are seen in children and young adults, with a slightly higher female gender predilection. Clinically, they appear as fluctuant dome-shaped swellings, often showing a blue hue. Ranulas may enlarge significantly and occupy the entire floor of the mouth, resulting in tongue elevation. Ranulas usually arise lateral to the midline of the tongue and appear fluid-filled when palpated. Although a ranula is an excellent differential in this case, the midline location and lack of significant fluctuance suggest an alternate diagnosis. Histologically, ranulas will show an area of spilled mucin with foamy macrophages surrounded by granulation tissue. The surrounding salivary gland parenchyma often shows scattered chronic inflammation. These features are identical to a mucocele. Ranulas are treated by surgical excision, including the removal of the feeding sublingual gland. Sometimes, marsupialization is performed, which allows drainage of the cystic contents. To reduce the likelihood of recurrence, it is important to ensure partial or complete excision of associated salivary glands.
B. Lipoma
Incorrect. A lipoma is a benign tumor of fat, most commonly found on the trunk and proximal areas of the extremities. The buccal mucosa and vestibule are the most common in the oral cavity. Less common sites include the tongue, lips and floor of the mouth. Lipomas are asymptomatic, slow-growing lesions. They appear as soft, smooth-surfaced nodular masses with a yellow or pink hue. Lipomas are most commonly seen after the fifth decade, with a relatively equal gender distribution. While a lipoma is a differential diagnosis for the current
case, the age of onset is much earlier than expected for a lipoma. Histologically, lipomas are often surrounded by a thin fibrous capsule and contain a distinct lobular arrangement of mature fat cells (adipocytes). Lipomas can have different microscopic variants, including fibrolipoma, angiolipoma, spindle cell lipoma, pleomorphic lipoma, intramuscular lipoma and sialolipoma, with most microscopic variants not affecting the prognosis. Treatment generally consists of conservative local excision, and recurrence is uncommon.
C. Sialolith
Incorrect. Sialoliths, also termed salivary calculi or salivary stones, are best described as calcified structures that develop within a salivary ductal system. Most sialoliths develop within the submandibular gland ductal system. Still, they may also be found within the minor salivary glands, such as those on the upper lip and buccal mucosa. Young and middle-aged adults are most affected, with a male predilection. Clinically, most sialoliths found in the submandibular gland are symptomatic, causing episodic pain and swelling of the affected gland. Sialoliths in minor salivary glands may cause localized swelling and tenderness. Upon palpation, a solitary hard mass may be felt under the mucosa. The lesions can be found along the length of the ductal system or within the gland. Radiographically, sialoliths are usually radiopaque, though smaller calcifications may not be visible. An occlusal radiograph is often used for submandibular lesions. Computed tomography (CT) scans, ultrasounds, and sialography may help identify the precise location of the lesion. Histologically, a central nidus of amorphous debris surrounded by concentric laminations is seen. Reactive periductal inflammation and ductal metaplasia may be observed if the associated duct is removed. In
contrast to the present case, a sialolith typically lacks a dome-shaped, symmetrical appearance and is often firm upon palpation. Treatment of sialoliths can vary depending on their size and location. Smaller calcifications found within the major glands can be gently massaged out using a milking technique of the stone towards the orifice of the duct. Conservative management also includes moist heat, increased fluids and sialagogues. Larger lesions are usually surgically excised, often with partial or complete removal of the feeder gland. Recurrence of a sialolith is relatively uncommon.
D. Dermoid cyst
Correct! This is an uncommon development cystic malformation and is considered a teratoma, or a developmental tumor composed of more than one germ layer. These lesions are most seen in children and young adults, with about 15% of cases found congenitally. The most common location is the skin, near the periorbital region. Clinically, these lesions are painless and slow growing, with a rubbery or doughy feel upon palpation. These lesions can cause secondary infection if they drain intraorally or onto the skin. Imaging, including magnetic resonance imaging (MRI) or CT scans, can help to identify the lesion’s extent and assess the best surgical approach. In the oral cavity, these lesions are most commonly found on the midline of the floor of the mouth, though occasionally, they may be displaced laterally. If the lesion develops above the geniohyoid muscle, a sublingual swelling is seen, which may cause tongue displacement towards the roof of the mouth (Fig. 1). As noted in the current case, this can create difficulty in speaking, eating or breathing. If the lesion develops below the geniohyoid muscle, it can cause a submental swelling that gives the appearance of a double chin. Histologically, dermoid cysts are characterized by a cystic lining of orthokeratinized stratified squamous epithelium showing a prominent granular cell layer. Orthokeratin lacks nuclei in the keratin layer, which distinguishes it from parakeratin. The cyst wall shows fibrous connective tissue that contains dermal adnexal structures, such as sebaceous glands, hair follicles and sweat glands. In this case, the cyst wall contains a few foci of sebaceous glands (Fig. 3). The presence of adnexal structures distinguishes a dermoid cyst from an epidermoid cyst, which can also be seen on the skin or within the oral cavity. These cystic lesions are
treated by local surgical excision. Upon excision, keratin is frequently seen and may resemble pus, as noted in the present case. Lesions above the geniohyoid muscle may be treated intraorally, and those below the muscle often necessitate an extraoral approach. Recurrence and malignant transformation are rare, and only a few documented cases show transformation into squamous cell carcinoma.
E. Thyroglossal duct cyst
Incorrect. A thyroglossal duct cyst is a benign congenital malformation. It arises during embryonic development due to failure of the thyroglossal duct epithelium to involute after the thyroid gland descends from the foramen cecum. This residual epithelium may give rise to cyst formation. It is the most common congenital mass of the neck. These cysts are commonly diagnosed in children and young to middle-aged adults, with no significant gender predilection. Clinically, the cyst will appear as a painless, fluctuant, movable swelling of the midline neck. The floor of the mouth is a highly unusual site for a thyroglossal duct cyst, with only a few cases documented in literature. If found in the floor of the mouth, it may cause laryngeal obstruction and tongue and floor of mouth elevation. Histologically, these lesions are lined by either ciliated columnar epithelium, stratified squamous epithelium or respiratory epithelium. Sometimes, a combination of these epithelial types may be observed. Thyroid tissue and follicles should be identified in the cyst wall. For lesions in the oral cavity, treatment involves local surgical excision. Imaging, such as a CT scan, helps to ensure complete removal. Thyroglossal duct cysts located within the neck are best treated via the Sistrunk procedure, which removes the cyst, along with the midline segment of the hyoid bone and skeletal muscle along the thyroglossal tract. The recurrence rate is under 10% but may be higher with less aggressive surgical removal. The risk of malignant transformation is approximately 1-3%, most commonly progressing to papillary thyroid adenocarcinomas, with very rare metastasis.
Diagnostic Discussion is contributed by University of Florida College of Dentistry professors and Drs. Indraneel Bhattacharyya, Nadim Islam and Sumita Sam who provide insight and feedback on common, important new and challenging oral diseases.
diagnostic discussion
The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 16,000 specimens the service receives annually from all over the United States.
Clinicians are invited to submit cases from their practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.
Conflict of Interest Disclosure: None reported for Drs. Islam, Bhattacharyya and Sam.
*Resident in Oral & Maxillofacial Pathology
Drs. Islam, Bhattacharyya and Sam can be reached at oralpath@dental.ufl.edu.
The Florida Dental Association is an American Dental Association (ADA) CERP Recognized Provider. ADA CERP is a service of the ADA 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 continuing education provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp
References:
Costa FW, Carvalho FS, Chaves FN, et al. Epidermoid Cyst Arising in the Buccal Mucosa: Case Report and Literature Review. Acta Stomatol Croat. 2015;49(1):65-73.
Dokania V. A Giant Epidermoid Cyst in the Floor of Mouth Mimicking Ranula. Cureus. 2023;15(8):e43741.
Dillon JR, Avillo AJ, Nelson BL. Dermoid Cyst of the Floor of the Mouth. Head Neck Pathol. 2015;9(3):376-378.
Fuenmayor, LG, et al. Thyroglossal Duct Cyst in the Floor of Mouth: An Unusual Finding. Modern Approaches in Dentistry and Oral Health Care.2018;1(5):91-93
Kerr J, Niermeyer WL, Baker PB, Chiang T. Floor of mouth thyroglossal duct cyst: a rare embryologic course. J Surg Case Rep. 2019;2019(11):rjz303.
Neville BW, Damm DD, Allen CM, and Chi AC. (2024) Oral and Maxillofacial Pathology. 5th ed., WB Sanders, Elsevier
Dr. Bhattacharyya
Dr. Islam
Dr. Sam
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General Dentist-Specializes in Children's Dental Health, Orlando. Creating Healthy Smiles, ONE CHILD AT A TIME. Is this your mission too? We'd love to meet you if you're an outgoing, positive, and self-motivated Pedodontist or a General Dentist passionate about providing high-quality, lifelong patient care! We are a small, private pediatric dental office with four offices in the Orlando area. Two board-certified Pediatric Dentists own and support us. We are currently seeking a full-time General Dentist or Pediatric Dentist to join our dedicated team. Why Join Our Team? Autonomy: Diagnose and treatment plan your cases with full autonomy, with access to support and guidance if needed.Excellent Compensation: Earn an outstanding income with a guaranteed salary.Focused Practice: Superior non-clinical administrative support, so you can focus on delivering exceptional clinical care to your patients.Our Ideal Candidate Will Have: A commitment to providing comprehensive pediatric dental care. A passion for helping children establish good oral health habits at an early age. A DMD or DDS from an accredited dental school. A valid state dental license (or in the process of obtaining one). We offer a competitive compensation package and are committed to supporting your professional and personal growth. Visit careers.floridadental.org/ job/general-dentist-specializes-in-orlandoflorida-0274
Tampa Bay Area, FL Dental
Practice for Sale. Situated in the Tampa Bay Area, known for its picturesque waterfronts and thriving economic landscape, this general dental practice near Clearwater represents a prime opportunity for DSOs and dentists seeking a well-established business. Operating in the community for nearly forty years, the practice boasts a strategic location in a free-standing building adjacent to a popular shopping center, ensuring high visibility and foot traffic. Equipped with six operatories, the facility presents significant potential for expansion, appealing to buyers looking to scale operations. Furthermore, the real estate associated with the practice is also on offer, adding to the investment’s attractiveness. The practice maintains a robust patient base of 4,415 active individuals, and despite minimal advertising, it continues to attract 15-20 new patients monthly. With over $430,000 in EBITDA and supporting multiple dental providers, this practice offers a lucrative opportunity in one of Florida’s most dynamic regions. The current owner-doctor is flexible with transition options, making this an ideal acquisition for those looking to either step in or gradually take the lead.
This dental practice not only promises substantial financial returns but also the chance to continue a legacy of quality dental care in the Tampa Bay Area.Highlights of the Tampa Bay Area practice: 6 operatories with room for expansion. Collections of $1.753 million. EBITDA of $435,000. Real estate available. Multiple dental providers. The Tampa Bay area offers a blend of cultural richness, thriving arts scene, and abundant outdoor activities, including water sports and professional sporting events. Residents benefit from a competitive cost of living, strong school systems, and a favorable business environment marked by a notable lack of competition in certain sectors. Recently recognized for its economic growth and quality of life, Tampa Bay is an attractive locale for dentists seeking both lifestyle and professional opportunities. Interested in learning more about this Tampa Bay Area practice? Contact Professional Transition Strategies to review the prospectus. Contact Bailey Jones: bailey@professionaltransition.com or call: 719.694.8320. Reference #FL20525. We look forward to speaking with you! Visit careers.floridadental.org/job/tampa-bay-area-fl-dental-practice-tampa-colorado-0272.
Clinical Supervisor, Health
Sciences – Dental Hygiene,
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Review health histories and coordinate care in alignment with risk management standards. Participate in the development and review of clinical curricula to meet accreditation standards. Serve on campus and college-wide committees during non-clinical hours. Implement College policies and procedures related to clinical operations. ualifications to Empower and Inspire: Doctorate degree in General Dentistry and a current license to practice in the State of Florida. All degrees must be from a regionally accredited institution. Minimum of three (3) years of prior clinical experience. Malpractice insurance for the teaching environment must be current. Strong communication, leadership, and organizational skills. Knowledge of accreditation requirements, clinical risk management, and educational best practices. Technologically savvy with a working knowledge of instructional and administrative systems. Additional Information: Foreign transcript evaluations must be submitted from NACES or AICE approved agencies. MDC values diversity and is committed to fostering an inclusive environment for all. Be a Catalyst for Change in Dental Education. Join MDC and help mold the next generation of dental hygiene professionals— where your leadership creates a ripple effect across communities and careers. Visit careers.floridadental.org/job/clinical-supervisor-health-sciences-miami-florida-0271.
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Looking for an experienced general dentist to join our awesome team in Bradenton Florida. We need someone part-time to start with an opportunity for potential future buy-in. This busy dental office is a balanced fee-for-service and insurance based practice with room for growth. Our long term staff has been in place for years and is well-trained and ready to help in all procedures. We will market for your preferred services and skills. We have all the latest technology including CBCT, lasers, and digital workflow. This awesome location is located in a busy highly visible location with heavy traffic driving by. Visit careers.floridadental.org/job/ associate-dentist-bradenton-florida-0270.
Associate Dentist, Keystone
Heights. I am looking for an Associate Dentist who cares about patients and provides quality dental care efficiently. I have lived in this area since I was 12 years old and have practiced general dentistry in it since 1994, when I graduated from UFCD. In this community, our team has built a strong goodwill and trusted reputation for the dental care we provide. During my career, I have been an associate, partner, and solo practitioner owner, which gives me a well-rounded perspective
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from all these angles. Ideally, I am seeking someone who plans to stay in this area and could see themselves buying in as an owner within 5 years. My plan is to work side by side with the associate, and over the next 5 years phase out my workdays to allow the associate to continue to build relationships with our patients, continue to welcome new patients, and accomplish speed in their procedures performed. Our Office Environment: Our patients are treated like family, and some are personal friends and actual family since I am from the area. We have created a calm, relaxing environment in which to visit and work. We are a productive, small town solo practice choosing patient’s needs to drive quality production instead of high-volume quantity quotas. It is by no means perfect, but our team really is drama free and work well together. I have had the privilege of working with some dental professionals for 20-30 years of their career, and watch them step into their retirement. Standing in their positions are new dental professionals whom I have been blessed to now work alongside with
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I Have S.P.A.M.
By FDA Editor Hugh Wunderlich, DDS, CDE
I was checking my e-mails and noticed a reference in the “subject” to a serious condition. It is Stress, Pain and Misery: S.P.A.M. I think I have a whole can of it. This is how it manifests:
On my way to check a hygiene patient in Room #1, I notice a small dead roach in the hallway, so I duck into Room #2 for a paper towel to pick it up where Mary happened to be waiting to help me place a final polyvinyl impression, so after placing the tray, she tells me there is a problem in the bathroom, but I decide to check the other hygiene patient on the way and notice some splatter on my loupes and stop at the sink to wash them and reach for a towel as the water warms, but my hands are so wet that the last of the paper towels tears, so I go back to the lab where the Sam’s Club list hangs next to the vacuum machine and add C-folds to the list, but first I should suck down that night guard on that afternoon patient, but the stone model needs a trim first so I reach for my safety glasses, but water pressure seems low in the model trimmer and could it be an endo film stuck in the feed slot not letting the water shut off in the automatic film processor (I really should go digital), so before checking that I pass by the sink and smell a strong “rotten-egg smell” and run some water to rinse the aroma away, but I see the plaster trap needs changing or the odor will be all over the office, but I need that special wrench to remove the trap that is in the toolbox in the copy room next to the fax machine so I bend down to pick up one of five incoming faxes on the floor and see that this fax looks important (How important can fax be?), but I cannot read it without my reading glasses, so I go to my desk and find my coffee cup that now is cold from a morning brew, so I head to the break room to warm up my coffee in the microwave and find a Michelina’s Chicken Marsala that was left in the microwave all weekend and walk past the window on the way to put it in the trash and see the “red-bag” guy pulling into the parking lot so I head to the supply room for a new red bag to line the box, but in the hallway I see a “blinking light” on the AED indicating a new
battery is needed and go to the closet for that special $249 Welch-Allyn battery, but first I need a screw driver from the toolbox in the copy room to remove the cover to the battery case, but my assistant Mary tells me the numbness is now gone on the endo patient and for some reason the “first-file periapical” is not up yet, so I lift the rubber dam to give another block and the clamp rips his papilla off and lands next to that bug in the hallway.
It is now the end of the day:
• I haven’t had time for coffee.
• Two hygiene patients are still waiting for an examination.
• My hands are wet, and we are out of C-fold towels.
• There is a guy wandering the hall with an impression tray in his mouth and a pint of drool on his shirt.
• The red bag guy and dental laboratory girl are both waiting for pick-ups.
• A rotten-egg smell has merged with a burnt plastic odor from a sheet of night guard plastic that melted over my loupes on the vacuum machine.
• Water is running in the hall sink, lab sink, patients’ toilet and X-ray processor.
• My reading glasses are in the microwave.
• A fax is in the red bag.
• My coffee cup is in the toolbox.
• My AED now is beeping.
• The guy in Room #3 is bleeding.
• There still is a dead roach in the hallway.
I am really puzzled because I know I was busy all day and I am really tired, but I didn’t seem to get anything done. This is another S.P.A.M. day. I know this is a serious problem, and I don’t know how it started, but first I’ll just check my e-mail and delete my SPAM folder.
FDA Editor Dr. Hugh Wunderlich can be reached at hwunderlich@bot.floridadental.org
