2019 - May/June TFDA by Florida Dental Association

2019 Dentists’ Day on the Hill - March 11-12, 2019 - Page 2 Volunesia: that moment you forget you're volunteering to help change lives because it's changing yours

VOL. 31, NO. 4 • MAY/JUNE 2019 • HELPING HANDS ISSUE

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

2019 FLA-MOM RECAP ANCHORAGE CHILDREN'S HOME THE AMAZING PARADOX OF COMBINING PASSIONS Emerald Club: A Band of Brothers and Sisters

Check Out Page 17 for an FDA History Fact Dentist of the Year Dr. Jerry Bird and his wife, Jerilyn, participate in the Florida Mission of Mercy every year - Pg. 48

We work for you.

recent graduate “withI amnoaexperience or knowledge of disability insurance. Dennis Head was very helpful on multiple occasions. He answered all of my questions and walked me through the process very patiently.

”

— Dr. Justin Mitchell

Dennis Head, Your Central Florida Agent 407.359.9700 | dennis.head@fdaservices.com

Learn more at fdaservices.com.

HELPING MEMBERS SUCCEED VOL. 31, NO. 4 • MAY/JUNE 2019

in every issue 3

Staff Roster

President's Message

10 Did You Know?

FDA Representatives on ADA Councils/Committees/ Commissions

15 Legislative Corner 16 news@fda 28 Get Involved! 66 Compleat Dentistry

The Emerald Club: A Band of Brothers and Sisters

2019 FLA-MOM Recap

13 Info Bytes

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

Helping Hands — Members Volunteering

2019 FLA-MOM Benefactors

2019 Dentist of the Year: Dr. Jerry Bird

68 Diagnostic Discussion 74 Career Center 77 Advertising Index 80 Off the Cusp

Legal Considerations in Pregnancy Leave

Action for Dental Health: Dentists Making a Difference

Anchorage Children's Home ... A Wonderful Place to Serve

The Amazing Paradox of Combining Passions

Fishbein Foundation EmBraces Anti-bullying

Tales From the Other Side of the Negotiating Table

FDC2019 Speaker Preview — Systems Create a Successful and Dynamic Hygiene Department

Exhibitor Marketplace

TODAY'S FDA ONLINE: floridadental.org

FLORIDA DENTAL ASSOCIATION MAY/JUNE 2019 VOL. 31, NO. 4

EDITOR Dr. John Paul, Lakeland, editor

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

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

PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 . FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2019 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.

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

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste 200, Tallahassee, Fla. 32303. FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.561.0504; email address, fda@floridadental.org; website address, floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113. For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.

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

TODAY'S FDA

MAY/JUNE 2019

FLORIDADENTAL.ORG

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

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

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

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

FLORIDA DENTAL CONVENTION (FDC) CRISSY TALLMAN, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 KENLEE BRUGGEMANN, FDC Meeting Assistant kbruggemann@floridadental.org 850.350.7162 BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103 DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108 EMILY SHIRLEY, FDC Program Coordinator eshirley@floridadental.org 850.350.7106

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

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

SCOTT RUTHSTROM, Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 CAROL GASKINS, Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159 ALEX KLINE, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166 MARCIA DUTTON, Administrative Assistant marcia.dutton@fdaservices.com 850.350.7145 PORSCHIE BIGGINS, North Florida Membership Commercial Account Advisor pbiggins@fdaservices.com 850-350-7149 MARIA BROOKS, SFDDA Membership Commercial Account Advisor maria.brooks@fdaservices.com 850.350.7144

INFORMATION SYSTEMS

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

LARRY DARNELL, Director of Information Systems ldarnell@floridadental.org 850.350.7102 RACHEL STYS, Computer Support Technician rstys@floridadental.org 850.350.7153

MEMBER RELATIONS KERRY GÓMEZ-RÍOS, Director of Member Relations krios@floridadental.org 850.350.7121 CHRISTINE TROTTO, Membership Concierge ctrotto@floridadental.org 850.350.7136

MARRISA LEE, Insurance Account Advisor marrisa.lee@fdaservices.com 850.350.7122 EBONI NELSON, CFDDA Membership Commercial Account Advisor eboni.nelson@fdaservices.com 850.350.7151 MELISSA STAGGERS, WCDDA Membership Commercial Account Advisor melissa.staggers@fdaservices.com 850.350.7154 TESSA DANIELS, Commercial Account Advisor tessa.daniels@fdaservices.com 850.350.7158

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

YOUR RISK EXPERTS DAN ZOTTOLI, SBCS Director of Sales — Atlantic Coast 561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com DENNIS HEAD, CIC Director of Sales — Central Florida 877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com MIKE TROUT Director of Sales — North Florida 904.249.6985 Cell: 904.254.8927 mike.trout@fdaservices.com JOSEPH PERRETTI, SBCS Director of Sales — South Florida 305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com RICK D’ANGELO, CIC Director of Sales — West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com

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

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

FLORIDADENTAL.ORG

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

JAMIE SHEEHAN, Governmental Affairs Legislative Assistant jsheehan@floridadental.org 850.350.7203

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

AUSTIN MOSER, Coordinator of Foundation Affairs amoser@floridadental.org 850.350.7161

FDA SERVICES

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

To contact an FDA Board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org. For example, Dr. John Paul: jpaul@bot.floridadental.org.

TODAY'S FDA MAY/JUNE 2019

leadership

SERVING AND PRESERVING OUR PROFESSION … IT’S A TEAM SPORT Do all the good you can. By all the means you can. In all the ways you can. At all the times you can. To all the people you can. As long as ever you can.

PRESIDENT’S MESSAGE

— John Wesley, 1703-1791

JOLENE PARAMORE, DMD FDA PRESIDENT

Alone we can do so little, together we can do so much.

— Helen Keller

Dr. Paramore can be reached at jparamore@ bot.floridadental.org.

There is no “I” in team, but there is a “U” in suck.

— G.W. Hamilton The Power of the Complete Team

— FDC2019 FDA members are givers, we are team players. I am positive of that. We give our best efforts to our patients in order to improve their oral health. We give our energy to serve others in a wide variety of ways, including the FDA Foundation’s Florida Mission of Mercy (FLA-MOM). On March 22-23, under the expert leadership of Drs. Jim Antoon (Rockledge) and Don Ilkka (Leesburg), 1,846 patients received care valued at $2.07 million. If you have not participated in a FLA-MOM, you need to put April 23-24, 2020 on your calendar and get ready to learn about volunesia. It is a team experience like no other. Together, we can do so much.

“Love all, serve all” has been my personal motto since I first saw it on a Hard Rock Cafe button when I was in college. I strive to make it my professional motto. Through the Welcoming Environment (WE) team, the inclusion of all has been a focus at the FDA this year. As we become more diverse in every aspect, it is more important than ever to understand what inclusion really means. If diversity is being invited to attend the dance, inclusion is actually getting to dance. As the second female president in the FDA’s 134 years and one who often is first on the dance floor, I am a testament to inclusion at the highest level of our organization. That SEE PAGE 7

FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

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FROM PAGE 5

is not enough. We have more progress to make. Thanks to efforts by Atlantic Coast: Dr. Doug Starkey; Central Florida: Drs. Ramzy Lotfi and Oscar Morejón; Northeast Florida: Dr. Cecil White; Northwest Florida: Drs. Chinara Garraway and Jordan Harper; South Florida: Dr. Mike Eggnatz; West Coast Florida: Dr. Robin Nguyen, the January 2019 FDA House of Delegates adopted a policy statement on inclusion. Strategies are being developed to ensure our future members and leaders are diverse and included. There is no “I” in team!

From everyone to whom much has been given, much will be required; and from the one to whom much has been entrusted, even more will be demanded.

— Luke 12:48 Our profession offers many personal opportunities — honoring your life’s purpose, making a difference in the world and securing your (and your family’s) future. Professional opportunities abound, including serving our patients and preserving dentistry as a noble profession for future generations, improving the oral health and resulting overall health of all Americans, being the “go-to” source for oral health information, promoting evidence-based care and being an ethical, respected professional. Dentistry holds a special position of trust within society. As a consequence, society affords dentists certain privileges that are not available to members of the public at large. In return, the profession makes a commitment to society that its members will adhere to high ethical standards of conduct. The American Dental Association’s Code of Ethics defines our profession. It allows us to maintain the public’s trust and our personal integrity. More than 161,000 dentists and more than 22,000 dental students pledge to honor the Code. But that’s easier said than done. It’s hard to always put the patient and their needs first, maintain honesty and integrity, never compromise your core values, be accountable especially when a mistake is made. It’s hard to always do the right thing, even if it’s difficult or embarrassing, to honor your commitments, to be humble and generous with FLORIDADENTAL.ORG

your praise of others, to be inclusive, to share your knowledge and experience with others and to understand that you represent your profession to the world and your actions and words affect the perceived reputation of all your peers. Choose your words wisely. You become what they are. — my Mom

Every day, we make decisions and take actions that define our profession in the minds of others and ultimately ourselves. Like it or not, it’s the truth. What will your professional legacy be? How do you honor your role as a professional with your patients? How do you honor your role as a professional with your peers? It’s a dynamic process and it’s up to you to choose. Remember, you are a reflection of all of us. There is a “u” in suck. If your friends don’t make you better, you’d better get some new friends.

— my Dad The opportunity to interact, learn and grow with men and women of all backgrounds, ages and practice models committed to being ethical professionals is priceless. Treat your peers as colleagues, not competitors. Treasure the friendships with your fellow members. Listen when they hold you accountable. The personal and professional RELATIONSHIPS we build with one another are the ultimate benefit of being an FDA member. We are all on the same team … serving our patients while we preserve the profession. “We are The Power of the Complete Team.”

I hope to see you at our Florida Dental Convention (FDC) at Gaylord Palms Resort on June 27-29. We certainly will celebrate the Power of Team FDA. If you have not registered, there is still time. Drs. Bert Hughes and Ed Hopwood and the entire FDC team have a fantastic meeting ready for you! Come for the CE, stay for the fun! I’ll meet you on the dance floor. Together, we can do so much. As always, I remain, yours in the bond,

TODAY'S FDA MAY/JUNE 2019

human relations

LEGAL CONSIDERATIONS IN PREGNANCY LEAVE

When most people think of pregnancy leave, they think of the traditional maternity leave policies, which grant leave in a block after the birth. However, this is not the only leave pregnant employees may be entitled to. Determining what type and how much leave a pregnant employee is entitled to receive can require coordinating up to four different laws. DEBORAH S. MINNIS

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

TODAY'S FDA

Depending on the number of individuals you employ, you may have to consider the Pregnancy Discrimination Act (PDA), the Americans with Disabilities Act (AwDA), the Family and Medical Leave Act (FMLA) and the Fair Labor Standards Act (FLSA) in making decisions about leave for pregnant employees. The laws are not mutually exclusive and frequently overlap.

The Pregnancy Discrimination Act In 1978, Congress expanded the definition of â&#x20AC;&#x153;discrimination on the basis of sexâ&#x20AC;? to include discrimination based on pregnancy, childbirth and related medical conditions. This amendment, known as the Pregnancy Discrimination Act, applies to employers with 15 or more employees. Generally, the PDA does not state that pregnancy leave must be given, but it does require employers to treat pregnancy-related medical conditions the same as they would treat non-pregnancyrelated medical conditions. Leave required based on medical conditions that occur during pregnancy, for the birth of the child and related medical conditions occurring after the birth, must be treated as you would treat leave granted for other medical conditions.

MAY/JUNE 2019

Consider these two different scenarios: An employee suffers a heart attack, and his/her doctor requires him/her to be out of work for five weeks and to be on light duty for three weeks upon returning to work. Another employee suffers complications during pregnancy, and her doctor requires her to be out of work for six weeks through the birth of the child and to be on light duty for two weeks upon returning to work. If you grant leave for the employee who suffered the heart attack, you cannot deny leave for the employee with the pregnancy-related issues. Another example: One employee has a normal pregnancy and has a note from her doctor requiring her to be out of work for four weeks, maybe for postpartum depression or other conditions related to recovering from the pregnancy. Another employee suffers a broken leg, and her doctor requires her to be out for four weeks after the broken leg. You cannot treat these two situations differently. Physical and mental conditions that occur after the birth, including postpartum depression, for example, are protected by the PDA. If you generally allow employees time off as a result of depression, you cannot deny leave for employees suffering from postpartum depression. Also, courts have determined that lactation is a pregnancy-related medical condition. So, if you provide paid time off (PTO) and allow employees to use that time in less than oneday increments and for whatever purpose they choose, you cannot deny the request by an employee to use leave time to breastfeed or to express milk. FLORIDADENTAL.ORG

“

Determining what type and how much leave a pregnant employee is entitled to receive can require coordinating up to four different laws.

”

The Americans with Disabilities Act The AwDA applies to employers with 15 or more employees. It was amended in 2009 to somewhat broaden the definition of disability protected by its provisions to include conditions normally considered to be temporary. Therefore, though they may be temporary, conditions that result from or as a result of the pregnancy and that otherwise meet the definition of a disability under the AwDA should be accommodated. Using the two examples above, when put on notice of a condition that may qualify under the AwDA, you should engage in an interactive process with the employee to determine if there is a reasonable accommodation that can be made. A reasonable accommodation can involve granting leave to the employee.

The Family and Medical Leave Act The FMLA was enacted in 1993 and applies to employers with 50 or more employees. Among other types of leave, the FMLA entitles employees to up to 12 weeks of unpaid leave for serious health conditions related to pregnancy and after the birth to bond with the child. The FMLA also entitles the employee to reinstatement to the same or an equivalent position at the end of the leave period.

The Fair Labor Standards Act

wage and overtime. In 2010, it was amended to specifically require employers to provide reasonable break time for nursing mothers to express milk for up to one year after the child’s birth. The leave does not have to be paid under the FLSA but may have to be paid under the PDA. (See the note relating to lactation.) Trying to work within all these provisions can be a challenge. To accommodate these requirements, employers have found some creative ways to address this issue, such as using temporary employment agencies, cross-training employees or seeking out former employees who have retired to fill in on a temporary basis. Even if your practice does not have the required number of employees to be legally obligated to provide pregnancy leave, you may want to consider offering either paid or unpaid leave, or a combination of paid and unpaid leave. If you offer PTO and short-term disability benefits, you also may consider allowing employees to use these benefits for that purpose. Also, providing some form of job security upon the employee’s return from leave should be considered. Having such a policy can go a long way toward improving office morale and employee retention. Any policy should be thoroughly discussed with all stakeholders, should be reduced to writing and should be consistently applied.

The FLSA applies to any employer required to pay minimum FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

DIDYOU

BOD

INFORMATION ABOUT THE FLORIDA BOARD OF DENTISTRY

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

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

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

TODAY'S FDA

ARE YOU INTERESTED IN BECOMING A BOD MEMBER? Did you know there currently are two open positions on the Florida Board of Dentistry (BOD)? A dentist position and a consumer position are both vacant. The BOD is responsible for licensure, monitoring and ensuring the safe practice of dentists and dental hygienists in their service to the people of the state. The BOD consists of 11 members appointed by the governor and confirmed by the Senate. Seven members must be licensed dentists actively engaged in clinical practice; two members must be actively practicing dental hygienists; and two members must be consumers employed in a field or occupation that is not related to the dental profession. The BOD meets four times a year at various locations around the state and the various committees and councils meet via conference call in between those meetings. If youâ&#x20AC;&#x2122;re interested in becoming a board member, flhealthsource.gov/board-members contains material that provides insight into the duties and responsibilities of the role. If you are interested in applying to become a BOD member or have further questions, please contact the FDA Director of Third Party Payer and Professional Affairs Casey Stoutamire at 850.350.7202 or cstoutamire@floridadental.org.

MAY/JUNE 2019

FLORIDADENTAL.ORG

FDA: Radiography Trainig

info bytes

CAN YOU HEAR ME NOW? So much to say, so many ways to say it and yet we still struggle to get our message across. Direct messages, snaps, tweets, posts, SMS or VMs, technology assuredly has given us more ways to communicate our message than ever before. The days of just phone calls and faxes seem so long ago. Perhaps you are texting your patients’ appointment-time reminders now. You might be answering questions on Facebook and Instagram or Snapchatting with patients. Your website may even have chatbots to engage potential new patients. Yet, someone may call your office and they have to press a button six times before they get to a live person. How did this happen? We have more ways to communicate than ever before and we seem to be communicating less! Have you ever been to a place where there are a lot of billboards around? They can be the fancy “light-up-the-night” variety or the old-school text and a phone number. However, because

LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS

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

there are so many of them, we stopped paying attention to them. The sheer volume of ways to communicate has caused many of us to miss the message entirely. Too many times, we look at communications as though we should use a shotgun approach. Get the message out there in every way we can, as much as we can, as often as we can. Technology has made that possible and even easier to do. However, we should probably use a laser approach: focused, high intensity, in short bursts and only when necessary. Here are three things to remember: n Use a medium of communication that matches your message and receiver. n Reduce the frequency and redundancy of your messaging. n Keep the messaging short, to the point and have a clear call to action — the response. Yes, technology has given us 16 different ways to get our message out there, but it doesn’t help if no one is listening anymore. Can you hear me now? Indeed.

FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

PSC Group, Inc.

legislative corner

LCDs ARE AN IMPORTANT ASSET TO THE FDA!

Dr. Jolene Paramore and Congressman Neal Dunn

Rep. Tracie Davis and Dr. Andy Brown

Sen. Bill Galvano and Dr. Steve Tinsworth

Sen. Gayle Harrell and Dr. Dave Boden

Relationship building can provide substantial benefits to organizations that engage their grassroot members. The Florida Dental Association’s (FDA) Legislative Contact Dentist (LCD) program provides FDA member dentists with an opportunity to establish and foster relationships with elected officials. The LCD program also has proven to be a valuable asset to the FDA’s advocacy efforts each year.

JOE ANNE HART FDA CHIEF LEGISLATIVE OFFICER

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

Are you interested in being an LCD? It’s not hard to do! You will get assistance from the FDA’s Governmental Affairs Office (GAO) staff, who can help guide Dr. Gerald Bird and Rep. Randy Fine you along the way. LCDs help educate legislators on issues important to the FDA. LCDs also can be a resource for elected officials during campaign season by providing support for their re-election campaign, which doesn’t always have to be in the form of financial support. You can provide support by making phone calls or putting in some sweat equity by holding up a campaign sign on election day. It’s important that elected officials hear from individuals who will be directly impacted by the decisions they make on behalf of the dental profession in either Washington, D.C. or Tallahassee. You are a vital component of the future of dentistry. Without your voice, elected officials will be influenced by groups who want to lessen the standards of dentistry in the name of access. Don’t sit by and watch this happen. Get involved! And, do it TODAY! If you are interested in participating in the LCD program, please contact the GAO at gao@floridadental.org or 850.224.1089.

FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

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

Corrections to the March/ April issue: On page 18 in the “In Memoriam” section, there was a typo on the date that Dr. Thomas Ferretti died. It should have read 11/22/18. We apologize for this oversight. Also, an important sentence was inadvertently left out of the “House of Delegates” article on page 23. Please find the addition in bold below.

FDA Inclusion Policy The HOD adopted the following resolution, which created the FDA’s Inclusion Policy:

FDA Inclusion Policy The Florida Dental Association strives to support diversity and inclusiveness in all our endeavors. We believe that these principles foster an innovative and dynamic culture and lead to sustainable results. They allow us to advance the dental profession, improve the oral health of the public, and promote equity and access to oral health care. As a result, we serve and support the different identities, beliefs, perspectives, leadership, workforce and staff, as well as a wide range of communities and organizations. The objective of an inclusive experience in the FDA is to create comprehen-

TODAY'S FDA

MAY/JUNE 2019

sive programs that are reflective of the diversity of our profession and communities served. It should aim to engage members and non-members in association affairs; reducing oral health disparities across population groups; leadership development; diversity education for FDA leaders; and, encouraging under-represented students from diverse backgrounds to pursue dental careers.

teed ocean-front rooms at The Diplomat Beach Resort at a special event rate of $209 per night! Learn more and register at wind2019.com. FDA member price: $350 | Non-member price: $400 | Pricing increases July 1!

Implanting Hope

The FDA will commit time and resources to achieve these objectives.

Free FDC2019 Registration Ends June 14 Discover “The Power of the Complete Team” at the 2019 Florida Dental Convention (FDC), June 27-29, at the Gaylord Palms Resort & Convention Center in Orlando! Course and registration pricing will increase after June 14. FDA member registration will increase to $60 and all FDA free courses, which can be found at bit.ly/2WqVaxZ, will increase to $10. Go to floridadentalconvention. com to register today!

Register Today for WIND2019! The FDA would like to invite you to a full day of peer-to-peer learning on the water, inspired and led by Florida’s women in dentistry. Gather your dental squad and join us for a scientific program composed of experienced female dental speakers that will take you through several relevant topics. Make it a girls’ weekend with beautiful, guaran-

Implanting Hope team members provide dental care to one of their many patients.

What started as a dream became a reality. Implanting Hope, a grassroots 501(c)3 charitable effort, went from a concept to reality in Boynton Beach, Fla. Oral surgeons Drs. David Feinerman, Robert Schaedel and Derek King joined forces with prosthodontists Dr. Ralph Attanasi, past president of the Florida Dental Association, and Dr. Ethan Pansick along with several local general dentists to provide extractions, bone grafting and dental implant placement to patients in need who lacked the financial resources to have these procedures done in a traditional dental setting. The surgeons removed fractured and hopeless teeth and placed Straumann dental implants while the restorative team immediately loaded the newly placed implants with fixed provisional restorations. The implants will be reFLORIDADENTAL.ORG

FDA History Fact In 1921, the Florida State Dental Society (FSDS) made plans for the publication of the first issue of the Quarterly Bulletin. Although some medium for publishing Society papers had been discussed as early as the 1894 State Meeting, it wasn’t until the 38th meeting in 1921 that the FSDS voted to initiate its own publication. stored with definitive restorations after integration at the next Implanting Hope meeting scheduled for November 2019. The care provided — valued at more than $100,000 — was provided at no charge to the patients. Each patient had their own story to tell. One patient was practicing how to smile so that her missing premolars wouldn’t be visible. An older gentleman was excited to once again have posterior teeth so that he could properly chew salads and other foods that he could not currently eat. Another patient was looking forward to having a front tooth so that he could go for a job interview and speak and smile with confidence. At the end of a long day, the entire team of doctors, treatment coordinators, lab technicians and assistants were energized and satisfied with a job well done!

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

Atlantic Coast District Dental Association Michael Abdelmalik, Plantation Hiba Alrubaye, Boynton Beach Jose Alvarez, Palm Beach Gardens FLORIDADENTAL.ORG

J’Nelle Delica, Loxahatchee

Ayza Mahmood, Orlando

Milan Dhanani, Fort Lauderdale

Suzet Montes de Oca Calas, Lake Mary

Renee Gonzalez Paneca, Lake Worth

Bianca Newman, Gainesville

Jorge Mosquera-Castrillon, Lake Worth

Jacob Otis, Gainesville

Yanelis Perez, West Palm Beach

Niranzena Panneer Selvam, Gainesville

Lauren Rinard, Plantation

Kiersten Pannell, Gainesville

Francesca Scarlett, West Palm Beach

Keyurkumar Patel, Orlando

George Sifain, Coral Springs

Arturo Perez Jr., Edgewater

Suzanne Spence-Williams,

Ryan Priemer, Orlando

Jensen Beach

Rekha Reddy, Gainesville

Halah Thanoon, Plantation

Priyanka Roperia, Windermere

George Tolson, Margate

Maxwell Rudie, Gainesville

Christina Vasconez, Coconut Creek

Maria Silva, Gainesville

David Wemmer, Okeechobee

Aileen Smith Ortiz, Orlando

Michael Wiernicki, Riverview

Mailis Soler, Gainesville Tsuyoshi Tanaka, Gainesville

Central Florida District Dental Association

Charles Taylor, Gainesville

Ali Behzadi, Orlando

Doyle Williams, Winter Garden

Bruna Tanello, Gainesville

Spencer Blumberg, Gainesville Vanessa Borgenicht, Windermere Amanda Cobb, Big Pine Key

Northeast District Dental Association

Hector Cuellar Gonzalez, Orlando

Thebis Alvarez, Jacksonville

Erick Di Matteo, Gainesville

Robert Berger, Jacksonville

Sarah Fitzpatrick, Windermere

Timothy Dang, Jacksonville

Annikka Frostad-Thomas, Gainesville

Demetri Howerton, Jacksonville

Patricia Gonzalez, Tavares

Juliana Iral Pineda, St. Augustine

Andy Kang, Gainesville

SEE PAGE 18 TODAY'S FDA MAY/JUNE 2019

updates for members FROM PAGE 17

Adam Danze, Fort Lauderdale

Masaki Sakamoto, Hallandale Beach

Jobran Jobran, Jacksonville

Camila Diaz Molina, Coral Gables

Michelle Santos, Davie

Travis Kinser, Jacksonville

Predrag Dordevic, Key West

Shwan Shawkat, Miramar

Kyle McCaskey, Jacksonville

Rosario Ferrante, Miami

Lauren Steinberg, Hollywood

Sharod Mckinney, Jacksonville

Jimena Frost, Aventura

Ruba Tawil, Miami Lakes

Wajdi Mohammed, Jacksonville

Laura Fuentes, Miami

Andrea Terris, Miami

Veronica Padron, Jacksonville

Susette Fuentes Rodriguez, Miami

Brian Tschirhart, Miami

Kevin Peterson, Jacksonville

Batya Goldwaser, Fort Lauderdale

Josue Vega, Miami

Anastasiya Quimby, Jacksonville

Lynda Gonzalez, Fort Lauderdale

Stephanie Wilson, Dania Beach

Shevin Sheikhmous, Jacksonville

Mohammad Imani Emadi, Davie

Tim Van, St. Johns

Javier Izquierdo Valdes, Miami Abraham Jaskiel, Miami

Northwest District Dental Association

Sean Mccall, Pembroke Pines

Claudia Arboleda, Panama City Beach

Varahram Mehraban, Miami

Mary Mason, Fort Walton Beach

Sofia Mendez Cardenas, Homestead

Paul Lee, Miami

Gloria Ospina, Coral Gables

South Florida District Dental Association

Alejandra Pernia Hernandez, Miami

Mohammad Alkabra, Hollywood

Wendy Pinale Swanson, Miami

Narges Atabakhsh, Weston

Paola Pineros, Sunrise

German Bohorquez, Miami

Teresita Porrata, Coconut Grove

Jaimie Borgenicht, Miramar

John Ritter, Hollywood

Ana Bujila, Miami Beach

Julio Rodriguez, Davie

Bernardo Campos, Hialeah

Jenny Rodriguez Chevrel, Coral Gables

Raisa Cortes Fontanet, Miami

David Rodriguez Gonzalez, Hollywood

Isabel Cruz, South Miami

Heather Ryan, Fort Lauderdale

Ranjan Peeyush, Weston

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

Edwin Hatch Villa Rica, GA Died: 3/15/19 Age: 89

TODAY'S FDA

MAY/JUNE 2019

David G. Parker Punta Gorda, FL Died: 4/14/19 Age: 86

West Coast Dental Association Tasnova Ahmad, Fort Myers Andrea Bermudez, Fort Myers Joshua Burns, Tampa Luis Carrero Cordero, Valrico Ginger Chasolen, Sarasota Sonia Chheda, Tampa Aldo Del Sol Martinez, Riverview Eva Dupay, Lakeland Atom Edenson, Tampa Paul Feit, Port Charlotte Dasha Frias Landa, Naples Adriana Gabaldon, Naples Deena Hawasli, Fort Myers Ratrice Jackson, Riverview Stanley Parker, Largo Khusbu Patel, Naples Kimberly Phelps, Wesley Chapel Efrain Plaza Gonzlez, Cape Coral Flavius Popescu, Naples Shiva Soleimani, Brandon Malissa Vacharakiat, Tampa

FLORIDADENTAL.ORG

THE FDA WELL-BEING COMMITTEE OFFERS YOU CONFIDENTIAL, PROFESSIONAL ASSISTANCE Alcoholism and drug addiction can touch any of us. ADA statistics have shown that almost 20 percent of all dentists will have problems with drugs or alcohol sometime during their careers! The FDA Well-Being Committee is a group of dental professionals with personal experience with these problems who can give complete confidential assistance to members of the profession, their staff and spouses. For more information and/or help, contact Dr. Barton Blumberg anonymously at 352-446-7910. (Private Cell #)

PROBLEMS

WITH DRUGS OR ALCOHOL?

International Pemphigus & Pehmphigoid Foundation

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FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 1 8/29/17 2:56 PM 10937A_Tribute-10th_InfoG-WHITE_Partial 1 8/29/17 2:56 PM

$9,906,

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

$7 MILLION

$7 MILLION to dentists. FDAS: Professional Liability

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

$7 MILLION to dentists.

Are we paying you tribute?

AVERAGE ANNUAL TRIBUTE BALANCE INCREASE.

T 10 PERCENT

What is the Tribute Plan?

The Tribute Plan is an innovative financial reward for members of The Doctors Company that they would not receive if they were with any other national medical liability insurer. This unique award comes from a well-respected, established carrier with a long track record of strong financial management. The Doctors Company is rated A by A.M. Best Company and Fitch Ratings.

How does it work?

are not offered by any other dental malpractice insurer.

The Doctors Company allocates funds into the Tribute Plan loyalty pool to reward members for advancing and protecting the practice of good medicine throughout their careers. Each eligible member will accumulate an individual balance representing his or her share of the loyalty pool and receive their reward when they retire.

lOutline_Dental_082917m2.pdf 10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 1 8/29/17 2:56 PM 10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 1 8/29/17 2:56 PM 10937A_Tribute-10th_Info 1 8/29/17 2:

r r.

720.79 TRIBUTE BALANCE FOR FLORIDA DENTISTS.

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

TRIBUTE BALANCE FOR FLORIDA DENTIS

$7 MILLION to dentists.

$7 MILLI to dentist

AVERAGE ANNUAL TRIBUTE BALANCE INCREASE. T 10 PERCENT

This is the amount The Doctors Company has set aside for Florida dentists! AVERAGE ANNUAL TRIBUTE BALANCE INCREASE. T 10 PERCENT

AVERAGE ANNUAL TRIBU BALANCE INCREA

T 10 PERCEN

G e t a n i n s t a nt p r o f e s s i o n al l i a b il it y q u o t e o nl i n e at :

fda se rv ic es. c om/ de ntal- profe ssional- lia bility

are not offered by any other dental malpractice insurer.

are not offered by a dental malpractice

action for dental health

ACTION FOR DENTAL HEALTH: DENTISTS MAKING A DIFFERENCE COMMUNITY-BASED STRATEGIES FOR DISEASE PREVENTION AND TREATMENT The phrase “access to dental care” has become a cultural cue, which represents political and professional forces of our time. While the dental profession has traditionally focused on individual patients and procedures, the rest of the world has shifted its focus to populations.

DR. RICK STEVENSON

Dr. Stevenson can be reached at drras@bellsouth.net or 904.281.2566.

In response to the multiple variables affecting the oral health of the public in these times, the American Dental Association (ADA) in 2013 developed the Action for Dental Health: Dentists Making a Difference (ADH), which is a suite of initiatives to help address the challenges of dental disease prevention and treatment. These initiatives are designed to provide care now, strengthen the safety net and promote prevention strategies. In addition to continuing to advocate for the necessary political considerations to promote oral health (only 2% of most state budgets are allotted for oral health programs), the ADA has taken a national stance of action. Waiting around only costs us time: loss in worker productivity, missed days of school and escalating hospital emergency department (ED) costs from misguided patients with dental pain. The ADH initiatives are a blend of strategies, collaborative protocols and common sense.

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MAY/JUNE 2019

They involve not only educational programs, but also concerted efforts to quell short-term urgencies with long-range prevention tactics and disease management. The primary ADH initiatives are: p ED referral programs — connect dental patients from the ED into dental offices p educate more community dental health coordinators (CDHCs) p reduce administrative burdens of Medicaid participation p expand community water fluoridation (CWF)

Hospital ED Referral Programs Adults with dental pain are frequently unaware of how or where to access existing dental services. Current data reflects potential savings of more than $1 billion per year when dental pain is deflected from hospital EDs into dental homes. The ADA has partnered with the Practice Committee of the American College of Emergency Physicians (ACEP) to design a development guide for any community to use as a template to begin planning and implementing an ED referral program. FLORIDADENTAL.ORG

The ADA has identified six basic models of ED referral programs, which have successfully diverted dental patients from EDs into offices where definitive solutions exist. A few of those models are listed below: 1. Volunteer for Dental Care Program: Now in its third year, this model currently has more than 20 private practitioners, a strong hospital partnership and a coordinator who manages the program. The population focus is adults with no Medicaid coverage or other types of insurance. Payment for services is accomplished by patients volunteering hours at nonprofit community agencies. 2. Seattle-King County Model: This is a partnership between a health center, a hospital and an oral surgery clinic. With patients going from the ED to the health center for extraction consultation, a decision is made whether to treat immediately or refer to the specialty clinic. This model saved the hospital more than $1.5 million in its first two years of operation. 3. The Voucher Model: In this private practice-based model, hospitals use a third-party, nonprofit agency (such as Catholic Charities) to support with community benefit dollars. The agency then issues vouchers to hospital EDs for those patients to present to a dental office for services. The dentists then send the vouchers to the nonprofit agency for payment.

Is Your District Ready to Confront a CWF Challenge? There is renewed effort on the part of the ADA to expand water fluoridation to more communities. The ADA National Fluoridation Advisory Committee continues to monitor fluoridation challenges around the country and offer customized technical assistance for members defending fluoridation in their communities. ADA members can access a fluoridation toolkit to help design strategies to maintain water fluoridation in their communities.

The Business Case for Medicaid Participation According to data collected by the Health Policy Institute, traditional dental insurance is not showing a strong growth pattern. Medicaid programs represent the main area of growth, which is presenting dramatic new business considerations to dentists. The ADA is working to educate its members on Medicaid program compliance in various ways. One is the online Medicaid Provider Reference Guide, which you can access at bit.ly/ 2mdJuhz.

For a complete review of the various ED referral models, please visit ADA.org.

The Council on Advocacy for Access and Prevention (CAAP) also has Medicaid â&#x20AC;&#x153;boot campsâ&#x20AC;? around the country at regional dental meetings where the Medicaid Provider Advisory Committee is providing an informative array of tactics to help Medicaid participation be as efficient as possible.

Community Water Fluoridation

Community Dental Health Coordinator

The well-established benefits CWF are widely known. While many communities enthusiastically support this health measure, challenges to this effective disease-prevention measure are popping up around the country.

A CDHC is a dental professional with community health worker knowledge and skills. This new member of the dental team may be a dental hygienist or dental assistant who enrolls SEE PAGE 25

FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

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action for dental health

FROM PAGE 23

in an online curriculum, performs a community-based internship and receives a certificate of completion. This program began in 2006 and lead to the development of a three-year pilot series of training and studies, which concluded in December 2012. An analysis of the pilot data revealed that the true value of the program lay in its patient navigation and case management emphasis. In other words, informing people about how to access necessary services and making sure they arrive at those visits, in addition to sharing individual and community-based prevention messages. These activities are not new in the medical world, as most physician groups and hospitals employ a â&#x20AC;&#x153;navigatorâ&#x20AC;? to arrange appointments and/or transportation for patients. This is a newer concept in the dental world. Patients were assumed to have the ability to self-navigate their way into dental offices and assume all responsibility for appointment management. The CDHC pilot revealed that most underserved populations are unaware of how to access available dental services. Most community health center dental departments frequently report double-digit no-shows, yet only 1 out of 5 medical patients report receiving a dental referral. Several work demonstration projects have been performed over the years with an experienced CDHC going into a new area and working for a period of time to demonstrate the usefulness and viability of this new program. Some recent graduates of the program have begun new careers or seen their existing professional duties increase in relevance. Two graduates work for the North Carolina Department of Health, one saw the Idaho Department of Health add a new position for her and one CDHC who works in Arizona with an affiliated dental practice saw the untreated decay rate in one elementary school decrease by 60%.

FLORIDADENTAL.ORG

Community education and stakeholder relationships prompt elevated consumer awareness with resulting increased use of dental services. This strategy can add new patients to any dental practice, be it a public health model or a private practice. More than 17 schools are now in the process of conducting a CDHC program and are looking forward to linking more underserved populations with dental care. There currently are more than 300 dental professionals working with their CDHC skill set and another 150 are working toward a certificate of completion in the program. The ADH clearly provides a roadmap of future strategies that promotes greater access to dental care for underserved populations, while promoting prevention for healthier communities. These initiatives link the dentist to the center of patient care, while emphasizing the connectivity of the mouth to the rest of the body. The outcomes already seen by the ADH initiatives suggest more successes to follow as these opportunities for action expand to additional communities throughout the country. As more patients are able to access dental treatment and learn new prevention strategies, the expected goal is increasing improvement of oral health. With the passage of the ADH legislation in December 2018, a community now has greater potential than ever before to access federal funding to begin one or more of these programs in their district. Moving more people into dental programs can decrease unmet needs, escalate dental use for prevention of disease and keep legislators from wondering how to address workforce issues in their states. As your 17th District CAAP member, I would be happy to answer any questions about the ADH initiatives. If you have one of these initiatives currently operating in your area, please let me know. Each effort in each state can make a dramatic impact on the entire country.

TODAY'S FDA MAY/JUNE 2019

Doctor's Choice

hacking fda representatives

FDA REPRESENTATIVES ON ADA COUNCILS/COMMITTEES/ COMMISSIONS Year indicates term limit

17th District Trustee Dr. Ceasar Sabates – 2020 Advisory Committee on Annual Meetings Dr. Bert Hughes – 2020 American Dental Political Action Committee Dr. Kim Jernigan – 2020 Jerilyn Bird (Alliance*) – 2020 Council on Advocacy for Access and Prevention Dr. Richard Stevenson, vice chair – 2020 Council on Communications Dr. Jeannette Pena Hall – 2020 Council on Dental Benefit Programs Dr. Christopher Bulnes, chair – 2019 Council on Dental Education and Licensure Dr. Linda Niessen (ADEA*), chair – 2021 Dr. David Boden – 2020

Council on Governmental Affairs Dr. Zack Kalarickal – 2020 Dr. Robin Nguyen (new dentist member) – 2019 Committee on Local Arrangements Dr. Bert Hughes, chair in 2020 Council on Member Insurance and Retirement Programs Dr. Cecil White – 2020 Council on Membership Dr. Mike Eggnatz – 2022 Committee on the New Dentist Dr. Robin Nguyen – 2019 Council on Scientific Affairs Dr. William Parker – 2019 Dr. Ana Karina Mascarenhas – 2022 Joint Commission on National Dental Examinations Dr. William Robinson (AADB*), chair – 2020

Council on Dental Practice Dr. Rudolph (Rudy) Liddell, vice chair – 2020

National Commission on Recognition of Dental Specialties and Certifying Boards Dr. Alan E. Friedel (ADA*) – 2022

Council on Ethics, Bylaws and Judicial Affairs Dr. Jay “Drew” Johnson – 2022

*These members are representing other organizations.

FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

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TODAY'S FDA MAY/JUNE 2019

2019 FLA-MOM • 2019 FLA-MOM • 2019 FLA-MOM • 2019 FLA-MOM • 2019

This March, more than 1,300 volunteers from across the state participated in the fifth Florida Mission of Mercy (FLA-MOM), presented by the FDA Foundation. The FLA-MOM is a largescale, two-day, professional dental clinic that provides care to any patient at no cost to them, with the goal of serving the underserved and uninsured in Florida. The FLA-MOM seeks to have a positive impact on those who attend by relieving dental pain and infection, restoring smiles and dignity, and educating patients about the importance of obtaining and maintaining optimal oral health. Held March 22-23 at Edgewater High School in Orlando, the 2019 FLA-MOM provided more than 12,000 procedures to more than 1,800 patients, resulting in $2.07 million in donated care! Thank you to all our volunteers and benefactors who helped make the event a success!

2019 FLA-MOM • 2019 FLA-MOM • 2019 FLA-MOM • 2019 FLA-MOM • 2019

CENTRAL FLORIDA

D I S T R I C T D E N TA L A S S O C I AT I O N A COMPONENT OF THE AMERICAN & FLORIDA DENTAL ASSOCIATIONS

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AN AFFILIATE OF THE CENTRAL FLORIDA DISTRICT, AMERICAN & FLORIDA DENTAL ASSOCIATIONS

BREVARD

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TODAY'S FDA MAY/JUNE 2019

volunteering

ANCHORAGE CHILDREN'S HOME ... A WONDERFUL PLACE TO SERVE When I was approached to write an article about charitable giving, particularly my personal contributions to the Florida Dental Association (FDA) Foundation, I must admit I was hesitant to participate. The absolute last thing I would want anyone to think of me is that any of my works were done for the wrong reasons. After all, I believe “Be careful not to practice your righteousness in front of others to be seen by them. If you do, you will have no reward from your Father in Heaven,” Matthew 6:6. My intent here is not to pat myself on the back; rather, I will await my reward in Eternity. With that in mind, I’d like to take this opportunity to shine light on an organization that I’ve supported for 16 years in hopes that it will encourage you to support similar causes through your time, talents and treasure. DR. DANIEL MELZER

Dr. Melzer is a general dentist in Lynn Haven, Fla. and can be reached at maverik14@hotmail. com.

Anchorage Children’s Home was founded 34 years ago to help abused and neglected children. Sadly, last fiscal year (July 1, 2017 – June 30, 2018) 377 children were removed from their homes due to abuse, neglect or abandonment in our six-county area (Bay, Jackson, Washington, Holmes, Calhoun and Gulf counties). Of those 377 children, 258 were from Bay County where I live — the highest removal rate per capita in the entire state. Through their numerous services, Anchorage Children’s Home served more than 973 children and families this past fiscal year. Programs provided by Anchorage include: Hidle House emergency shelter, Hannah’s Maternity Transitional Living, The Bridge Transitional Living, Street Outreach and Recovery, and the Sibling Group Home, which enables sibling groups to stay together after removal from their homes. Each of these programs focus on the unique needs of each age group and situation as presented. My small part in serving Anchorage is both as a fundraiser and a volunteer dentist. The fundraising portion is the fun part and quite frankly, the easy part. My wife and I organize a New Year’s Eve bash each year that donates all proceeds to Anchorage Children’s Home. However, the volunteer part of serving is not all glitz and glamour. My colleagues, Drs. Scott Heitzmann (oral and maxillofacial surgeon, Panama City Beach) and Rex Harrison (endodontist, Panama City) and I provide compre-

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FLORIDADENTAL.ORG

hensive and emergency dental services free of charge to anyone referred by case workers at Anchorage Children’s Home. I would encourage you to be patient with those you serve. Many of the people you see may be rude, combative and completely ungrateful. However, oftentimes these behaviors result from their unimaginable experiences, and are not directly targeted at you. It’s also an excellent opportunity to counsel these patients while they’re in your chair. Perhaps they’ve never had anyone ask them what their goals are, how they like school or even how their day is going. Showing you care about them is likely just as important to them as a tooth extraction. Let’s face it, dentistry is not affordable and available to everyone. Our profession has an obligation to fill the needs of the whole economic spectrum. I humbly encourage everyone to pick a place like Anchorage Children’s Home and let them know you are available to serve, whether it’s financially or by providing free dental services to those in need. While overseas mission trips are much needed, the same level of charity is probably needed within five miles of your practice. As you know, the FDA Foundation is the philanthropic arm of the FDA, promoting dental health for all Floridians. The Foundation provides opportunities for you to serve through various programs such as the Florida Mission of Mercy, Project: Dentists Care and Donated Dental Services. For more information about Anchorage Children’s Home, please visit anchoragechildrenshome.org.

New living area at Anchorage Children’s Home

Anchorage Children’s Home in Panama City. FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

volunteering

AMAZING

THE PARADOX OF COMBINING PASSIONS Early in my career, I was fortunate to learn from my mentors the idea of trying to be the best part of each person’s day and giving more than you get. Over the years, I’ve learned that when you try to give more than you get, the amazing paradox is that you usually end up getting back more than you gave.

JOHN BEATTIE, DDS, MSD, FACD, FICD

Dr. Beattie is an orthodontist in Orlando and can be reached at jrbeattie2@aol.com. Outside of dentistry and orthodontics, his passion is swimming. At age 58, he still swims competitively. Last summer, he was second in the nation and fifth in the world in the 50-meter butterfly in the 55-59-year-old age group.

Outside the office, my passion is swimming. I come from a family of competitive swimmers: both parents, my brother, my sister and my children all were on or are still swimmers. I started on the swim team at my local YMCA when I was 9 years old and swam all the way through high school and college. After a few years out of the pool, I got back into competitive swimming for adults, known as “masters” swimming — yes, I know, you have to love how they glamorize getting old. I could go on all day about all the benefits of swimming: it’s a great form of exercise, it helps clear your mind, it feels good to be in the water. It also supports many of my other hobbies: water skiing, sailing, diving — most of the things that Florida is known for. But as much as any other benefit, swimming now offers me a wonderful way to give back to the community. In Florida, the water is never too far. We have beaches, lakes, springs, rivers, pools . . . and ponds. But with all that opportunity for all that fun, there is also an opportunity for danger.

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Some statistics: In the United States, drowning is the second-leading cause of unintentional death in children ages 1-14 (according to the Centers for Disease Control and Prevention). Florida ranks No. 4 among all states for fatal drownings. At least 163 children younger than 15 fatally drowned in swimming pools and spas just between Memorial Day and Labor Day in 2017. One of my worries as a new parent (just a few years back) was wondering whether my kids would be safe around water, so we started them on lessons early. I made them both swim on a team until they learned the strokes and were comfortable and competent. After that, it was their choice (one stuck with it, the other chose not to). But not all kids have the same opportunities that mine did. That’s where our local YMCA in Central Florida comes in. Every spring, they present a “Safety Around Water” program free to any kid in the community. The focus is on safety and some basic beginning swimming skills. More than 1,000 children have come through the program over the past four years. That sort of turnout would overwhelm their normal roster of swim instructors, so they recruit some of the adult competitive swimmers to help out. I’ve been fortunate to be one the volunteer instructors.

FLORIDADENTAL.ORG

It’s hard to express how good it feels to see the smiles of those little ones — and some not so little — as they progress through basic skills and learn safe habits around bodies of water. Even on a blustery early spring day, it warms your heart. However, it’s not just children who don’t know how to swim. There are a lot of adults, too. So, not long ago, I got certified to teach adults to swim through United States Masters Swimming (USMS), which is the governing body for adult-age (that’d be “masters!”) competitive swimming. Our foundation, Swimming Saves Lives, supports our charitable mission, which is to help adults who don’t know how to swim through the USMS Adult Learn to Swim Program. I’m now working on setting up introductory swim lessons for adults at a nearby community pool. If you’re interested in learning more about the program, go to USMS.org. For me, teaching swimming has been a great way to combine my passions and I find that, while trying to give more back more than I've got, I end getting back more than I give.

“

Over the years, I’ve learned that when you try to give more than you get, the amazing paradox is that you usually end up getting back more than you gave.

FLORIDADENTAL.ORG

”

TODAY'S FDA MAY/JUNE 2019

volunteering

FISHBEIN FOUNDATION EMBRACES ANTI-BULLYING What led you to start the Fishbein Foundation?

DR. BENJAMIN FISHBEIN

Dr. Fishbein is an orthodontist in Pensacola, Fla. He can be reached at benfishbein@gmail.com.

We kept hearing stories and getting letters about kids being bullied for their teeth or their smiles, and we felt the need to step in and do what we could to help fix these horrible situations. We were already heavily involved with the Pensacola Humane Society and other charities, so we decided to consolidate our efforts into one meaningful foundation.

What is the primary focus of the Fishbein Foundation? We love all the programs we work with, but our EmBraces campaign is the closest to our hearts. A few of our staff members overcame bullying as children themselves. The physical and emotional pain these kids go through is unprecedented. Our everyday job is to straighten teeth, and the best side effect of that is a more confident smile. So, we get to make a difference with what we do on a daily basis.

When was Fishbein Foundation started and how is it funded? We officially started the Fishbein Foundation in 2017, but I’ve given free treatment to kids in need since I started my practice in 2013. The Fishbein Foundation is funded 100% through its parent organization, Fishbein Orthodontics.

How do students/patients know about EmBraces? We support numerous schools across the Panhandle as a Partner in Education. We sponsor the Student of the Month, sports, parent-teacher association events, carnivals and career days. They promote the EmBraces campaign by mentioning it at events and handing out flyers. We also publicize through our practice, social media and local news sources.

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How has EmBraces had an impact on the local community? We’ve had the pleasure of giving free orthodontic treatment to so many kids in need. Once an EmBraces entry wins, they become a FishOrtho Anti-bullying Ambassador and help us spread awareness at their schools and through our social media. We get updates about how treatment has not only changed their lives, but also the students around them as well. We have pledged $1 million in smiles over the course of five years. But after the first year, we’re already on pace to do that in less than four years. We’ll help hundreds of children whose families may not be able to afford treatment otherwise.

Is there a specific success story you can share? Our first grand prize winner’s name is Kyra. Her story was one of the first we received and had the whole office in tears. A girl who once loved to go school was scared and had to switch schools multiple times because of bullies. Receiving braces has changed her tune and her mom has told us that she now is more confident than ever and has stood up to her bullies and moved on, loving school again.

What is one thing you want readers to know about EmBraces? Our main goal is to spread awareness. Bullying is an epidemic that we feel is only getting worse. We want students to know we support them and want their parents and teachers to be conscious of what could be going on when they aren’t looking.

How can someone get involved in the EmBraces program? You can learn more or submit an essay or video on our website at FishOrtho.com/EmBraces.

What does the future of the Fishbein Foundation look like? We’re also getting involved with Rally Pensacola, a childhood cancer research foundation. Together we’re planning big things and hope to increase awareness to such a worthy cause in our community. We want to solve as many problems as possible for as many people as possible. FLORIDADENTAL.ORG

emerald club

THE EMERALD CLUB: A BAND OF BROTHERS AND SISTERS I’ve been asked to write a letter about why I joined the Florida Dental Association Foundation’s Emerald Club. There are several reasons that come to mind, but the most important one is that it fulfills my need to feel that I am giving something back to society. I have been extremely blessed. As someone who didn’t know what I wanted to do in life, I took a wild chance on dentistry. Here I am still loving what I do after 47 years. Dentistry has provided much more that just a wonderful lifestyle. It has given me the ability to give back to those less fortunate in ways that would not be possible outside my profession. In years past, giving back meant giving to the United Way, the Salvation Army and other worthwhile charities. As president of the Foundation for a number of years, I realized that dentistry was where I needed to put my efforts to improve the health of the underserved. After all, the mouth is the gateway to health, and we are what we eat. I believe that most dentists want to give back their time and treasure by providing pro bono dentistry and contributing to worthwhile charities. But we can do so much more by joining together through the Foundation to pool our resources. The Emerald Club provides that venue.

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There are six levels of the Emerald Club, ranging from the basic $125-a-year member all the way up to Legacy Member of $5,000 or more. These pledges can be paid in a number of ways, so that you really don’t even miss it. For those who have a religious faith as I do, it’s similar to tithing. Every dentist can afford to be a part of something special at the basic $125 level, and many of us can afford more. There is another reason why joining the Emerald Club is important. When we band together, we can provide high profile events like the Florida Mission of Mercy to help show those who would control us, the Florida Legislature, that we as dentists are trying to be part of the solution for underserved populations. We are, as they say, willing to put our money where our mouths are.

DR. JAMES F. WALTON III

Dr. Walton is a restorative and cosmetic dentist in Tallahassee, Fla. and a Legacy Emerald Club Member. He can be reach at jwalton409@aol.com.

So, if you really want to feel good about yourself and continue to practice dentistry as we know it, become a member of the Emerald Club. You won’t regret it. Join us! It’s only a click away at emeraldclub.floridadental.org.

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2019 doy

DENTIST OF THE YEAR DR. JERRY BIRD

“

When I was young, my father told me about how great the profession of dentistry was. He would discuss the benefits of a great health care profession that would allow me to take care of patients and run my own business.

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” FLORIDADENTAL.ORG

Tell us about your family and how you spend your leisure time. I’ve been happily married to my wife Jerilyn for 35 years. She manages my oral and maxillofacial surgery practice. We have two children, Kevin (31), who is married to Taylor and they live in Naperville, Ill. They have a 2-year-old son named Carter. Kevin is an OR nurse in Lurie Children’s Hospital in downtown Chicago. Our second child, Stephanie (29), is currently living in Denver working for Lockheed Martin Corporation. During my free time, I like to run, bike, swim and workout at our local YMCA and Planet Fitness. I like to compete in triathlons and road racing anywhere from two miles to a marathon.

How did you end up in dentistry? When I was young, my father told me about how great the profession of dentistry was. He would discuss the benefits of a great health care profession that would allow me to take care of patients and run my own business. By the time I was 10 or 11 years old, I had decided that I wanted to be a dentist. My father was the single most important influence in that decision.

How did you get involved in the FDA? My first assignment in organized dentistry was as chair of Children’s Dental Health Month for the Brevard County Dental Society (BCDS). From there, I ascended the ladder of the BCDS to become president. Next, I became program chair for the Central Florida District Dental Association’s (CFDDA) annual meeting and eventually became president. During my time as a CFDDA officer, I was elected to be an alternate delegate and then delegate to the Florida Dental Association (FDA) and House of Delegates and thus, began my involvement with the FDA.

How has your involvement in organized dentistry influenced your own practice and commitment? When you become involved in organized dentistry you build relationships with fellow leaders from across the state. What I’ve found is that these leaders also happen to be the very best in Florida — both professionally and clinically. Their influence quite naturally drives you to be the best you can be in caring for your patients and truly commit to continued improvement throughout your career.

Christmas shopping with Dr. Bird’s incredible team: (L to R) Shelley, Jill, Glenda, Ashley, Ellery, Jerilyn and Terri.

What are your predictions for dentistry? It’s difficult to predict the future of our profession. The information age is transforming our profession at an extremely fast pace. Dental students and new dentists just out of dental school graduate with extremely high debt, which greatly influences their life choices early in their careers. There are many internal and external factors that are affecting our profession both at the regulatory and legislative levels. What I can predict is that technology will drastically improve the care we are able to provide. What I cannot predict is whether there will be new providers of dental care in our profession.

What advice would you give to dental students? New dentists? I’d advise dental students and new dentists to join organized dentistry immediately upon graduation. No matter what practice model they choose, it’s only if we all unite that we can guide our profession in the direction we want. Once the FDA does not represent the majority of dentists in the state, we will lose our influence in Tallahassee on legislative or regulatory processes. After joining, get to know leaders and members at the local and state level. There is so much to learn from dedicated members of our profession and we are all willing to SEE PAGE 50

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2. FROM PAGE 49

share our knowledge. Be sure to take advantage of that graduated dues structure following graduation!

Why is being an LCD so important and vital to legislative advocacy? It’s extremely important to be a legislative contact dentist (LCD) in these rapidly changing times. Everything we’re allowed to do as a dentist is decided by the Legislature or by the Florida Board of Dentistry. There’ll be continued pressure at the legislative level to alter what we’re able to do in our practices on a day-to-day basis. We face threats from the dental therapist issue, third-party payers, increased regulation, do-ityourself dentistry, and increasing political and social pressures to find ways to care for the underserved in Florida. Becoming an LCD allows you to have personal influence when your legislator comes to you for answers about our profession in which you are the expert.

than we are able do on our own. Political action by our members could not be more relevant and critical to our profession than at any other time in our history. I wish our members would realize how important it is to become involved politically (as a member of FDAPAC and the ADPAC) and become an LCD for a legislator. It’s the only way we can influence the direction of our profession over the next five to 10 years.

Are there any dentists serving in the state House or Senate? Should there be? We currently do not have any dentists serving in our state House or Senate. At one time we did have a dentist in the House and in the Senate. It’s critically important to our profession to find a dentist to serve each of our legislative bodies so that their colleagues can look to them for answers on critical questions about our profession. They can help guide the Legislature in the right direction on issues that affect our profession and our patients.

What is a political action committee and what is its relevance to organized dentistry?

What made you want to become involved in the FDA’s grassroots/ political advocacy?

A political action committee (PAC) is a method of bringing our members together with a unified voice to affect legislative issues both in Tallahassee and in Washington, D.C. It’s our way to be able to pool resources together to have a greater influence in the legislative process

As I ascended to leadership positions both in the BCDS and the CFDDA, I realized the importance of the political process. At the FDA’s first Dentists’ Day on the Hill (DDOH) back in the 90s, a local Brevard County dentist, Dr. Bob Downey, took me and Drs. Larry Nissen and Jim

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Antoon to Tallahassee. The first three years of the program, Bob guided us through the halls of the Capitol and taught us how to interact with our legislators and discuss our legislative issues. More importantly, we visited both Republicans and Democrats, and he introduced us to the concept of the Tooth Party long before it became popular. He was instrumental in teaching us how important it was to be involved with a political process to influence legislation that affected our patients and our profession.

While there are many FDA members, there are not as many involved in advocacy. Do you think it’s important that number increases? Yes, I think it’s critical that we increase the number of FDA members involved in advocacy. They must not only contribute to the FDAPAC, but also become an LCD and attend DDOH. There definitely is strength in numbers, and we need many more members to continue having the necessary influence on our legislators. We have the best governmental affairs team in Joe Anne Hart, Alexandra Abboud and Jamie Sheehan. They cannot do all that is necessary to achieve the FDA’s goals alone. They need the volunteer support and effort by our members to continually complete the FDA’s legislative agenda.

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Photos: 1. Family photo taken at grandson Carter’s baptism in Naperville, Ill. 2. Celebrating a successfull 2019 FLA-MOM with the last patient. 3. Four generations of Bird men: (L to R) Dr. Jerry Bird, father Gerald G. Bird, grandson Carter and son Kevin in Michigan. 4. Heartland Triathlon in Sebring, Fla.: (L to R) Anthony Stamm (Stephanie’s boyfriend), daughter Stephanie, Jerilyn and Dr. Bird. 5. ADPAC friends showing off Tooth Party socks at the 2018 ADA Dentist and Student Lobby Day: (L to R) Drs. Rick Andolina, Tommy Harrison, Steve Ortego, Jerry Bird, David Watson, Bruce Hutchison, Loren Feldner and Frank Graham.

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American Endodontic Society Dr. Gordon Christensen

business negotiation

TALES FROM THE OTHER SIDE OF THE NEGOTIATING TABLE WHAT I’VE LEARNED ABOUT BUYING A SMALL BUSINESS I recently read an article written by a Florida Dental Association member Dr. Nigel Schultz and posted to ADANews* that succinctly described most of the discussions I have with dentists about selling their practices. And while my thoughts on the matter are not meant as a counterpoint to Dr. Schultz’s article, it’s possible my perspective can add some context on what his prospective purchaser might have been thinking. GREG GRUBER, CPA, MBA FDA CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER

Mr. Gruber can be reached at ggruber@floridadental.org.

* “MyView: It’s a good life” was published in the ADANews on March 4, 2019 and can be found at bit.ly/2IpP2BT. Mr. Gruber’s article, which shows another point of view, was sent to and approved by Dr. Schultz prior to publication.

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To begin, my name is Greg Gruber and I am an accountant. In fact, I am your association’s chief accountant. I have both purchased a small business and performed due diligence so others can consider purchasing businesses. I served as chief financial officer for a financial institution for nearly 10 years before moving to Florida from the Midwest, so I’m versed in not only the process of purchasing a business, but also how to finance that purchase. When I first decided I wanted to buy a business, I didn’t know where to begin my search. As a result, my partners and I began scouring trade publications. But, we also hired a consultant. We wanted someone familiar with the industry to help make the search broader and more efficient. I compare it to purchasing a home. Most of us use realtors to purchase homes based on their expertise in both the real estate market and the geographic location. We consider them experts in their fields. I would recommend any dentist considering

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the acquisition of a practice to use an expert in both acquisitions and financing. As part of earning their fee, an acquisition consultant sends out prospect letters and emails either under the purchaser’s name or the consultancy’s name to hundreds of potential sellers. When sellers respond, the consultants are the ones who do the first evaluation of whether the practice being sold meets the criteria set by the prospective purchaser. In short, many of the acquisition inquiries penned under a dentist’s name are probably sent by consultants. Those inquiries appear as if they come from a dentist rather than a consultant because the selling dentists generally seem to dislike the use of acquisition consultants. Additionally, it’s important to note that any inquiry a seller receives is probably one of 200 the consultant sent. Any lack of future communication or follow up — while unprofessional — is probably pretty common as well. Even with all this subterfuge, a seller shouldn’t get discouraged or bothered by the use of a consultant. The use of third parties is becoming more common in these transactions. In fact, an intermediary has the unique ability to have candid conversations with both parties not afforded a buyer and seller during the due diligence period. Consultants can help set expectations for both parties about final outcomes of any sale. They’re also the ones who continue to move the acquisition forward any time it stalls. FLORIDADENTAL.ORG

Being a dentist and owning an effectively run practice can provide a life and lifestyle that few professions can match. In a listing of the 100 best jobs in 2019, U.S. News and World Report ranked four of the top 10 jobs as either a dentist or a dental specialist. But at the most component level, a dental practice is classified as a “small business.” The Small Business Administration (SBA) defines a small business as having no more than 250-1,500 employees or a maximum of $750,000-$38.5 million in revenue. While the number of employees and the top end of the revenue range are generally much larger than almost every dental office, the SBA goes on to state that nearly 90% of U.S. businesses have fewer than 20 employees. This brings me to my second discovery. A buyer and seller will rarely view a business in the same way. On the surface, this seems self-evident, but I still see time and again how sellers believe prospective buyers are looking at a practice the “wrong way” or considering the “wrong things” and buyers think sellers are just “being unrealistic.” Don’t get me wrong, the buyer and seller both want the practice to succeed. However, each one goes about it and defines it differently. A seller who started a dental practice and ushered it through tremendous growth and change over a 30-year career views the practice as a member of the family. It’s the thing that allowed the dentist to purchase a home, raise children, send them to college, improve their patients’ oral health and positively impact the local community. The dentist kept the business going in the aftermath of hurricanes and that termite infestation and during financial crises. It served as the foundation upon which a good and valuable life was built. The buyer, on the other hand, needs to know that this is the right move for them personally, professionally and financially based on the criteria set by the buyer and not by the seller. The buyer needs to know that the business cash flows so that the bank will lend them the money to buy the practice and that the buyer can pay back the bank note and buy new equipment. The buyer will not have the perspective that he/she is buying someone else’s life because they lack the same shared experiences tying them to the practice. Those experiences may get more similar over time, but those shared perspectives won’t exist at the time of acquisition. And during all this analysis,

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the buyer also must make sure that he/she doesn’t miss an opportunity to gain a mentor in the seller if the opportunity presents itself. Neither perspective is right or wrong. They are just different. The successful acquisition/sale occurs when both parties understand the goals and motivations of the other party. A buyer must empathize with a seller who is preparing to lose control over the one thing she had the most influence. It will be difficult not to be in control of the place she has gone for the last 30 years, to see the people she has worked side by side with for decades and have access to the place that helped define the dentist as the person she has become. The seller, on the other hand, must understand the buyer is evaluating a business and not a seller’s life. The buyer must evaluate whether it makes more sense to purchase an existing practice or start a new one. Are the facilities and equipment up to date or will he need to make a substantial investment in both? Has the seller made appropriate investment in making sure there is a viable patient base or has the patient base aged with the seller? The buyer wants to forge his own path and find success in his own way while still having to address the financial considerations of an acquisition or startup and school debt. Transitions are difficult and purchasing/selling a small business is one of the most difficult transitions in anyone’s life. The loss the seller feels is tangible and the anxiety a buyer feels can be nearly overwhelming. Working together and working through any differences before the transaction is finalized is the best way to ensure a smoother transition. The seller must understand that she is giving up control and the buyer must understand that he has a responsibility to the seller’s patients, employees and ultimately, to the seller. A third party can help bring about a much more honest dialogue, but each party must understand and be able to articulate the goals and desires each bring to the negotiating table to identify the common ground. Once you’ve accomplished all of this, then the transaction and transition will be smoother … or at least less bumpy. And, oh yeah … did I mention that the practice needs to cash flow?

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SPEAKER PREVIEW

FDC2019

Systems Create a Successful and Dynamic Hygiene Department DEBRA SEIDEL-BITTKE

Ms. Seidel-Bittke is one of Dentistry Today’s top dental consultants. She is an international coach, speaker and author. She is the CEO of Dental Practice Solutions and can be reached at debra@dentalpracticesolutions.com. Ms. Seidel-Bittke will be speaking at the 2019 Florida Dental Convention and presenting her course, “5 Steps to Stop the Hemorrhaging in Your Schedule,” on Thursday, June 27 at 9 a.m.

A productive and profitable hygiene department is critical to the success of a dental practice and must support the dentist. The hygiene department is an area of each dental practice that provides and maintains the foundation for a strong patient base. It contributes significant revenue streams to overall practice production and is the key to patients having an advocate for optimal care. A productive hygienist should be the dentist’s greatest asset and a supportive dentist will be the hygienist’s greatest asset. The most successful dental practices will consider the hygienist as a partner or associate who benefits both the patients and the practice in many ways.

successful hygiene department. This list is short but includes the must-haves in every dental hygiene department.

What is Your Goal for Treating Hygiene Patients? Improved health, as well as no bleeding upon probing, must be your end-point in treating your hygiene patients. Your written protocol must address the following:

l current health history l annual documentation of the following:

• six-point probing, recession, BOP,

furcations, mobility, muco-gingival involvement, occlusion, current FMX and updated radiographs

Systems for Success Systems are what drive success. To create a successful system, you need to establish goals. In today’s world of dentistry, we do more than treat a tooth, we treat the whole body. If your goal is to treat the whole body, then a periodontal protocol and a system for treating periodontal patients is in order. Many dental offices don’t take time to write a protocol and there isn’t a system for treating the various hygiene patients — most importantly, the patients with active gum disease. The information included here is only a brief list of the numerous systems included in a

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l documentation of the American Academy of

Periodontology classification guidelines

• refer to this resource for latest update: bit.ly/2uhFAbc

Another Success System in the Dental Hygiene Department is Time Management A routine, preventive care hygiene appointment usually has a lot of services provided. It also can feel daunting for a hygienist to complete all the services necessary to provide optimal whole-

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THE POWER OF THE COMPLETE TEAM PATIENT EDUCATION, SCHEDULE NEXT APPOINTMENT, DISMISSAL 5-7 MINUTES

PATIENT CARE 25-35 MINUTES NOTE: DOCTOR EXAM SHOULD BE COMPLETED APPROX. 30-45 MINUTES INTO APPOINTMENT.

DATA COLLECTION 12-15 MINUTES

TREATMENT PLANNING & PRESENTATION 10-12 MINUTES

“A productive hygienist should be the dentist’s greatest asset and a supportive dentist will be the hygienist’s greatest asset.”

DOCTOR EXAM (5-10 MINUTES) TO BE COMPLETED IN THIS TIME FRAME

Fig. 1

body health. If your overarching goal is to provide optimal whole-body health, we need to have an adequate amount of time to assess the patient during the hygiene appointment. Fig. 1 demonstrates an example of time management for a routine, preventive care appointment. This is a scenario created so hygienists can get all the necessary services completed and stay on time during the hygiene patient appointment. It will be helpful for each hygienist to breakdown the preventive care appointment into four areas. These areas are:

l data collection l discussion and collaboration from data collection l patient care l patient education, schedule next appointment and

dismissal of patient to the front desk

Conclusion As important as systems are, they can put many of us to sleep. Most dental practices don’t take advantage of the power a system can provide for creating efficiency. Systems provide accountability with your employees and create success in your business. Imagine how it used to be when we checked into a

Imagine the checkout system at your grocery store. There are various ways to check out. Even your grocery store has a system for every area of the business, including the customer checkout. Airports, airlines and grocery stores are only a few examples of businesses that must run according to protocols and systems. If the system is broken, people will be dramatically affected. What is your success system to run your business like a welloiled machine?

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flight at the airport. How efficiently does an airport run with the TSA screening system we currently have? Can you imagine what the airport terminals would look like if we allowed every member of a family to sit and wait for their sister, mother or brother to board the plane?

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compleat dentistry

THE $22 MARKETING PROGRAM

DR. EDWARD HOPWOOD

Dr. Hopwood is a restorative dentist in Clearwater and can be reached at edwardhopwood@gmail.com. He also is the FDC2019 scientific program chair. Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care. The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing.

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Recently, a friend and I went for a walk in the exhibit hall at a major dental meeting. As we strolled through the displays and exhibits, we counted a large number of displays that were dedicated to marketing a dental practice. My friend was particularly interested in the website design booths and got involved in conversations about search engine optimization, video integration, patient testimonials, mobile platform compatibility and the other technical aspects, which today all fall under the category of “marketing.” One particular company had several attractive options set up for web design and digital packages ranging from $500-2,500 per month. With the upper end of these packages costing $30,000 per year, I was quite pleased with my marketing program, which involved a one-time fee of $22. When we think about marketing a dental practice, the goal is simple: bring new patients into the practice. But if we think a little bit deeper, a good marketing program will address two additional questions: 1. HOW MANY? A brand new, just opened office needs to see a lot of new patients in the first few months just to get the ball rolling. But an established practice does not need a large influx of patients every month. In his new book, “A Better Way,” Dr. Pete Dawson explains that his studies show that 12 new patients a month was a great number for an established practice. I have found that in my practice, eight new patients per month is a

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healthy number for maintaining the status quo, 12 new patients per month means the practice is growing. But most interestingly, Dr. Dawson reports that things start to go wrong and effectiveness begins to decrease when adding more than 15 new patients per month. That is why an established compleat dental practice has no interest in the 30-60 new patients per month that so many marketers promise. 2. WHAT KIND? A few years ago, I enrolled in a year-long management program. During one of the meetings, they reviewed how to grade your patients on an A, B or C scale. So, we went away and graded all our new patients. When we came back three months later, my friend and I reviewed notes: He thought the system was no good because he didn’t get any “A” patients during that time; I thought the system was no good because I only got “A” patients. We were both right — the system was no good. To a compleat dentist, there are only two kinds of patients: “A” patients have the potential to build a relationship. “F” patients have no potential to build a relationship. What is surprising to me is how few patients should be graded as an “F.” How about the snowbird who is visiting from Ohio, has a dentist up north, and wants me to recement a crown before she returns to Ohio next week? Should she be an “F” patient? I’m not so sure, because it is amazing to me how many of those snowbirds schedule a comprehensive

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exam when they return next winter. When I was younger, I tended to think of patients in terms of what they brought me in the way of clinical work to accomplish. As I have matured, my mindset has changed to think of patients in terms of how I can serve them and they all tend to be “A” patients by the time they reach my office. Back to the $22 marketing program. About 15 years ago, I found a little book by Seth Godin entitled “Purple Cow.” Its subtitle says it all: “Transform Your Business by Being Remarkable.” Regular readers of this column know that I am a big fan of Godin and I read his blog every day. His premise is that if you are remarkable, then people will talk about you. And when they talk about you, they will send others to see you. Grow your business one customer (patient) at a time, treating each person as an “A.” It will grow steadily and solidly, as Godin describes: drip by drip. The book retails for $22 (it is cheaper on Amazon). What does it take to be remarkable in dentistry? Well, in this day and age, it is becoming easier and easier. The office next door to me used to lock the doors at lunch; sometimes being remarkable is as simple as offering a cool place to sit. Or, see patients for a comprehensive exam rather than cramming them through a hygiene visit. Look at each patient as a person to serve rather than a case to work on. Complete a consultation that addresses the patient’s concerns rather than a sales pitch designed to get them to buy something. Use a great lab rather than the cheapest one. Find out those things that you feel would make you remarkable and then set out to build a practice filled with people who think that they are remarkable, too. The exciting part of all of this — we all want to practice that way anyway. We all want to do the things we are best at, in a way that is different from others in our town, and to use our

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We all want to do the things we are best at, in a way that is different from others in our town, and to use our talents and skills to the best of our ability.

talents and skills to the best of our ability. And, it’s not just for dentists. Our staff members want to work in an environment that allows them to shine and use their talents. They all want to be a part of something remarkable. Personally, I have no interest in search engine optimization. The only person I want to find me on Google is when they google the words “Hopwood” and “dentist.” The referral doesn’t come from Google, it comes from one of my existing patients. Google is simply a means of connecting us, and I don’t need to pay $30,000 per year for that connection.

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DRS. MARAM BAWAZIR*, NEEL BHATTACHARYYA, DONALD M. COHEN AND NADIM M. ISLAM

A 48-year-old Caucasian male patient presented at the University of Florida Oral and Maxillofacial Surgery Clinic for evaluation of multiple radiolucent lesions in the mandible and maxilla. The patientâ&#x20AC;&#x2122;s medical history was significant for hypertension and hyperlipidemia. In addition, he reported a history of multiple surgical procedures for hernia repair and basal cell carcinomas of the skin. His medications include lisinopril, atorvastatin, aspirin and fluticasone. Intraoral examination revealed a palpable bony expansion in the right side of both maxillary and mandibular posterior areas. Patient reported no history of pain, and no signs or symptoms of infection were noted. Radiographic examination using cone beam computed tomography (CBCT) imaging revealed a large radiolucent, multilocular, partially corticated lesion in the right maxillary sinus encompassing the majority of the sinus, extending up to the orbital floor. The lesion was associated with teeth Nos. 3-5 (Figs. 1-3). The left maxilla also was involved with a separate partially corticated, small radiolucent lesion localized to the anterior aspect extending from teeth Nos. 10-12. Also, a right mandibular lesion was noted that appeared radiolucent, multilocular, partially corticated, expansile and was near the inferior alveolar nerve bundle, causing perforation of the buccal cortex. The mandibular lesion was located apical to teeth Nos. 30-31. An incisional biopsy was performed by Dr. Thomas Bowers and submitted to the University of Florida College of Dentistry Oral Pathology Biopsy Service. Microscopic examination revealed a uniform lining epithelium and supporting connective tissue. The lining epithelium exhibited corrugated keratin in the luminal aspect. The basal layer of the lining epithelium exhibited hyperchromasia and a palisaded pattern of arrangement. Moreover, the lining was fragmented and scattered throughout the specimen (Fig. 4).

Based on the clinical, radiographic and histologic findings, what is the most likely diagnosis? A. Brown tumor of hyperparathyroidism B. Metastatic disease C. Multiple myeloma D. Ameloblastoma E. Nevoid basal cell carcinoma syndrome

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Fig. 2. CBCT axial view showing a large radiolucent, partially corticated lesion in the right maxillary sinus encompassing the majority of the sinus.

Fig. 1. CBCT coronal view shows the mesiodistal and buccolingual dimensions of the maxillary lesions.

Fig. 3. A constructed panoramic view illustrating multiple radiolucencies involving area of teeth Nos. 2-5, 10-12 and 30-31.

Figs. 4 a-c. The epithelial lining is six to eight cells thick, with a hyperchromatic and palisaded basal cell layer. Note the corrugated parakeratotic surface.

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diagnostics FROM PAGE 69

Diagnostic Discussion A. Brown tumor of hyperparathyroidism Incorrect. Great consideration given the multiple radiolucent jaw lesions. However, this diagnosis is not supported by the patient’s age, gender, location and clinical background. Excess production of parathyroid hormone (PTH) results in the condition known as hyperparathyroidism. Primary hyperparathyroidism results from an uncontrolled production of PTH, commonly as a result of a benign parathyroid tumor (typically adenoma) in 90% of the cases followed by hyperplasia of the parathyroid in 10-15%. In contrast, secondary hyperparathyroidism results from continuous production of PTH in response to chronic low levels of serum calcium or high serum phosphate levels. It’s commonly associated with chronic renal disease. Active vitamin D is produced by hydroxylation of 25-dihydroxy vitamin D in the kidney, which is necessary for calcium absorption from the intestine. Malfunctioned kidney fails to form active vitamin D, which results in a decrease in the intestinal calcium absorption, renal tubular reabsorption of calcium and increase renal excursion of phosphate. Hence, lowered serum calcium levels with raised serum phosphate both stimulate PTH production. Hyperparathyroidism is characterized by the classic triad of “stones, bones and groans” representing the formation of renal stones, decreased bone density with a blurring of normal trabecular pattern and abdominal pain (groans). As the disease is persistent, other osseous lesions may develop, such as a brown tumor of hyperparathyroidism. Brown tumors of hyperparathyroidism is a benign tumor-like lesion, which is identical to central giant cell granuloma of the jaws and mostly seen in older patients, 60 years of age or older, in comparison to the sporadic central giant cell lesions of the jaws, which usually affect teenagers and younger adults. They commonly affect the mandible, clavicle, ribs and pelvis. About 70% of cases occur in the mandible where they are common in the anterior portions and frequently cross the midline. Brown tumor earned the name from the dark brown color seen in the lesions due to hemosiderin deposition, which results from hemorrhage within the tumor. These lesions are two to four times more common in females compared to men. Some literature reported the incidence of brown tumor secondary to primary hyperparathyroidism by 4.5-5.9%

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compared by 1.5% in secondary hyperparathyroidism. Radiographically, these central giant cell lesions may present as unilocular or multilocular radiolucencies. Multilocular lesions cannot be radiographically distinguished from ameloblastoma or other known multilocular neoplasms or cysts. Significant cortical expansion can be seen in long-standing lesions. This patient presented with none of the typical clinical features, medical history or histopathologic features that typically are associated with hyperparathyroidism. Treatment of primary hyperparathyroidism mainly involves surgical removal of the hyperplastic or malignant parathyroid gland. Secondary hyperparathyroidism is not managed aggressively unless the patient has symptomatic renal calculi. The treatment of the underlying cause may lead to regression of the jaw lesions. B. Metastatic Disease Incorrect. Great thought — especially with the presentation of multiple intra-bony lesions! Metastatic disease is the most common form of cancer involving the bone. However, this is an unusually rare complication of malignancy seen in the jaws. Metastases are more common to the vertebrae, ribs, pelvis and skull, and far less common in the jaws. Moreover, metastasis to the maxilla is even more uncommon, and most of the jaw lesions (>75%) are reported in the mandible. The most common primary sites of origin of metastatic disease include carcinomas of the breast, lung, colorectal, prostate and kidney. Metastasis to the jawbones clinically presents as a rapidly progressing swelling accompanied by pain and paraesthesia, which are the classic indicators. They have non-specific radiographic appearances. However, most lesions present as radiolucent, moth-eaten or with ill-defined, ragged borders, and occasionally may present with pathologic fractures. In this case, the lack of a supporting history of any prior malignancy makes this diagnosis untenable. However, literature reports that in almost a quarter of the cases of oral lesions of metastasis, the oral lesions were found to be the first indication of malignancy. Submission of tissue for microscopic examination taken from any jaw lesions even when strong clinical indicators are not present is essential and cannot be stressed enough. C. Multiple myeloma Incorrect. A critical entity to include in the differential diagnosis since the patient presented with multiple lytic lesions of the jawbones. However, multiple myeloma is uncommon in patients under the age of 60 and rarely seen before 40 years of age. This hematopoietic malignancy is usually multi-centric in origin, affects adult bones and is highly prevalent in men compared to women. In the United States, it is the most comFLORIDADENTAL.ORG

mon hematologic malignancy within African-Americans. Radiographically, multiple myeloma usually presents as multiple well-defined or punched out radiolucencies, which is somewhat consistent with radiographic findings in our case, but rarely ever are multilocular lesions. Multiple myeloma involves the jaws in 30% of the cases. Microscopic examination will reveal monotonous sheets of neoplastic, differentiated plasmacytoid cells that replace normal tissue. The microscopic findings were not supportive of this diagnosis. Confirmation of the diagnosis of multiple myeloma can be done by screening for circulating light chain protein products (Bence Jones protein) in urine or serum. The neoplastic plasma cells produce monoclonal abnormal immunoglobulin (IgG, IgM or IgA, or, rarely, IgE or IgD) or light chain proteins (kappa or lambda). Besides, soft-tissue damage occurs in multiple myeloma due to amyloid deposition, which is a light chain immunoglobulin protein product. One of the potential early signs of multiple myeloma may be an enlarged tongue (macroglossia) due to amyloid deposition, which has been reported in up to 10-15% of myeloma patients. D. Ameloblastoma Incorrect. Ameloblastoma is an entity that must be considered as a differential diagnosis whenever a patient presents with large destructive expansile radiolucency of the jaw. However, itâ&#x20AC;&#x2122;s highly unusual to see ameloblastoma present as multiple lesions involving both the maxilla and mandible. Ameloblastoma is a benign neoplasm of odontogenic epithelial origin. Itâ&#x20AC;&#x2122;s the most common clinically significant odontogenic tumor and usually is associated with significant morbidity. Conventional ameloblastoma is the most common comprising of about 90% of the cases followed by the unicystic ameloblastoma with 5-15% of cases. The conventional ameloblastoma usually occurs in adults in the third to seventh decades of life. Almost 85% of ameloblastomas arise in the posterior mandibular-ramus areas. About 15-20% of ameloblastomas occur in the posterior maxilla and typically show highly aggressive growth pattern. Ameloblastoma usually is asymptomatic and slow growing. These may show locally aggressive behavior with expansion, causing root resorption and displacement of teeth. They often arise in association with an impacted tooth and often incidentally diagnosed when a permanent tooth fails to erupt. Radiographically, these appear as a well-defined unilocular radiolucency, and when they become larger, they usually present as a multilocular lesion with cortical expansion demonstrating the soap bubble appearance. Radiographic FLORIDADENTAL.ORG

features of unicystic ameloblastoma can resemble many other odontogenic and non-odontogenic cysts or tumors, which can make accurate diagnosis challenging. Microscopic features are another major point of distinction, where variably sized islands of odontogenic epithelium resembling the enamel organ in a background of mature fibrous connective tissue are seen. These islands demonstrate palisading of the peripheral basal cell layer with the reverse polarity of the basilar nuclei and apical vacuolization. Distinct histological patterns are reported; however, it is important to note that microscopic subtypes do not influence the mode of treatment or prognosis. Recurrence is common after conservative surgical enucleation or curettage and may be as high as 30-90%. Therefore, conservative en bloc resection is the gold standard for management of ameloblastoma and usually results in long-term, disease-free status. E. Nevoid basal cell carcinoma syndrome (Gorlin-Goltz syndrome) Correct â&#x20AC;&#x201D; great choice! Nevoid basal cell carcinoma syndrome (NBCCS) is the best fit when we consider the presence of multiple lesions of the jaws and the history of multiple basal cell carcinomas of the skin. In addition, the microscopic description is consistent with odontogenic keratocysts, which is one of the most consistent findings of nevoid basal cell carcinoma syndrome. This syndrome is inherited in an autosomal dominant pattern and is related to a genetic mutation of the PTCH tumor suppressor gene on chromosome 9q22.3-q31. The estimated prevalence of Gorlin syndrome is 1 in 57,000 to 1 in 164,000 births, and no sex predilection has been observed. Sporadic occurrence of NBCCS has been reported in up to 50% of the cases. One of the most common clinical features of NBCCS is the development of multiple odontogenic keratocysts (OKCs) in 70-80% of patients. Moreover, one of the major criteria is the development of multiple basal cell carcinomas (BCCs) in young age that begins at puberty. The presence of multiple BCCs at an early age also may be seen in a variety of rare inherited disorders, which should be considered in the clinical evaluation. BCCs in the setting of NBCCS are indistinguishable clinically and histologically from sporadic-occurring lesions. Furthermore, other major clinical features in NBCCS includes dyskeratotic palmar and plantar pitting, rib and spine abnormalities, and early calcification of the falx cerebri. Characteristic facial features such as frontal bossing, hypertelorism, macrocephaly, and cleft lip and/or palate are reported with some frequency. Isolated (non-syndromic) OKCs can occur in patients in the third to fourth decades of life and are seen SEE PAGE 72 TODAY'S FDA MAY/JUNE 2019

diagnostics

Effiom, O. A., Ogundana, O. M., Akinshipo, A. O., and Akintoye, S. O. (2018). Ameloblastoma: current etiopathological concepts and management. Oral Diseases, 24(3), 307–316. Fujii, K., & Miyashita, T. (2014). Gorlin syndrome (nevoid basal cell carcinoma syndrome): Update and literature review. Pediatrics International, 56(5), 667–674.

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Hirshberg, A., Berger, R., Allon, I., and Kaplan, I. (2014). Metastatic Tumors to the Jaws and Mouth. Head and Neck Pathology, 8(4), 463–474.

in older adults but are distinctly uncommon in children. On the other hand, OKC in the setting of NBCCS commonly develops in patients younger than the normal range. These syndromic cysts often are seen in young people between 1 to 20 years of age and often are multiple. OKC is more common in the posterior body/ramus of the mandible. Usually, OKCs exhibit a brisk recurrence rate with locally destructive clinical behavior. Histologically, regular OKCs present with a uniform layer of stratified squamous epithelium, typically six to eight cells in thickness with parakeratosis and basal/parabasal cell palisading. However, in syndromic OKC, unique features such as increased numbers of satellite cysts, solid islands of epithelial proliferation and odontogenic epithelial rests within the fibrous capsule of the cyst have been reported. Fortunately, most of the anomalies in NBCCS are minor and usually not life-threatening. The management of patients with NBCCS consists of frequent dermatologic surveillance to identify and excise basal cell carcinomas that often develop on non-sunexposed skin, avoidance of UV light and any form of radiation. The prognosis generally depends on the behavior of skin tumors. Few reported cases of aggressive basal cell carcinomas have caused death due to local invasion of vital structures. OKCs seen in association with the syndrome often are treated by enucleation like non-syndromic OKCs , but in many patients, new cysts continue to develop. Hence, surveillance via frequent panoramic radiograph is recommended to detect and treat new cysts. In addition, cranial radiographic screening is suggested annually since patients with NBCCS often develop intracranial medulloblastomas. Considering the nature of NBCCS molecular pathogenesis, targeted therapies have been developed for recurrent, locally aggressive and metastatic basal cell carcinoma. Vismodegib is the latest Food and Drug Administration-approved new generation biologic medications that have been tested in a clinical setting for managing NBCCS cases. However, serious side effects have been reported after their use including hair loss, weight loss and muscle cramps.

Kristine Larsen, A., Bisgaard Mikkelsen, D., Michael Hertz, J., and Bygum, A. (2014). Manifestations of Gorlin-Goltz syndrome. Danish Medical Journal, 61(5), 1–5.

References: Antonoglou, G. N., Sándor, G. K., Koidou, V. P., and Papageorgiou, S. N. (2014). Non-syndromic and syndromic keratocystic odontogenic tumors: Systematic review and meta-analysis of recurrences. Journal of Cranio-Maxillofacial Surgery, 42(7), e364–e371. Bresler, S. C., Padwa, B. L., & Granter, S. R. (2016). Nevoid Basal Cell Carcinoma Syndrome (Gorlin Syndrome). Head and Neck Pathology, 10(2), 119–124.

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Makras, P., & Anastasilakis, A. D. (2018). Bone disease in primary hyperparathyroidism. Metabolism: Clinical and Experimental, 80, 57–65. Nau, K. C., & Lewis, W. D. (2008). Multiple myeloma: diagnosis and treatment. American Family Physician, 78(7), 853–859. Neville, B.W., Damm, D.D., Allen, C.M. and Chi, A.C. (2016) Oral & Maxillofacial Pathology. 4th Edition, WB Saunders, Elsevier. Palla, B., Burian, E., Fliefel, R., and Otto, S. (2018). Systematic review of oral manifestations related to hyperparathyroidism. Clinical Oral Investigations, 22(1), 1–27.

Diagnostic Discussion is contributed by UFCD professors, Drs. Indraneel Bhattacharyya, Don Cohen and Nadim Islam who provide insight and feedback on common, important, new and challenging oral diseases. The dental professors operate a large, DR. BHATTACHARYYA multi-state biopsy service. The column’s case studies originate from the more than 13,500 specimens the service receives every year from all over the United States.

DR. COHEN

Clinicians are invited to submit cases from their own practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter. Drs. Bhattacharyya, Cohen and Islam, can be reached at oralpath@dental.ufl.edu. Conflict of Interest Disclosure: None reported for Drs. Bhattacharyya, Cohen and Islam.

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

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FDA: Eiagnostic Discussion: Read, Learn & Earn!

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career center

The FDA’s online Career Center allows you to conveniently browse, place, modify and pay for your ads online, 24 hours a day. Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads! As an added benefit, we will continue to publish the basic text of paid, online Career Center ads in Today’s FDA, at no additional cost to you. All ads posted to the online career center will be published during the contracted time frame for which you have posted your online classified advertisement. Today’s FDA is published bimonthly; therefore, all active ads online will be extracted from the Career Center on roughly the following dates of each year: ISSUE

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GENERAL DENTIST -- Port Charlotte, FL- Full Time - Sign On Bonus - Relocation -- Student Loan Repayment Program If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Florida’s South Gulf Coast while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Competitive base salary with performance incentives to earn more Sign-on bonus of $5000 Relocation benefit for full time providers Full time benefits include professional liability insurance, CE allowance, and health/wellness plans Student Loan Repayment Program 401k with company match Practice full time, up to 5 days per week with family friendly days/ hours. Apply via this posting or send resume to katieyauss@puredentalbrands.com. www.puredentalbrands. com Equal opportunity employer/drug free workplace. Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. *Prefer 2+ years of general dentistry experience with the ability to perform molar extractions and molar endodontics. GENERAL DENTIST -- North Port, FL- Full Time - Sign On Bonus - Relocation -- Student Loan Repayment Program If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Florida’s South Gulf Coast while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Competitive base salary with performance incentives to earn more Sign-on bonus of $5000 Relocation benefit for full time providers Full time benefits include professional liability insurance, CE allowance, and health/wellness plans Student Loan Repayment Program 401k with company match Practice full time, up to 5 days per week with family friendly days/ hours. Apply via this posting or send resume to katieyauss@puredentalbrands.com. www.puredentalbrands. com Equal opportunity employer/drug free workplace. Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. *Prefer 2+ years of general dentistry experience with the ability to perform molar extractions and molar endodontics. NOTES: Employer will assist with relocation costs. Associate Dentist. Full time General Dentist needed to provide quality, comprehensive dentistry in a busy, seasoned private, family, practice. The dentist should be confident in their abilities to practice general dentistry, work alongside an experienced dentist in a successful team environment to offer a full range of cosmetic and specialized dental services. There is a highly-trained staff to ensure efficient clinical production without the headaches associated with practice management. We take pride in knowing that our team the highest standard of care by enriching the lives of our patients and the community. We are focused on our patients! In addition to offering top performance compensation and benefits, we include a minimum daily guarantee along with reimbursement for Malpractice Insurance and Continuing Education. Sign-On bonus of $5,000 offered for qualified candidates. Florida Dental License and 2 years’ experience. NOTES: 2 openings. Additional Salary Information: Paid on 30% of Collections plus 10% bonus, plus benefits. alex.giannini@yfdoffices.com.

Dentist. We’re on a path to better healthcare. Join us. Career Opportunities for: Dentist, Lee County Main Jail & Core Jail in Ft. Myers, FL. Part-Time Available - 16 Hours Per Week! Why Wellpath? Competitive Compensation, Flexible Scheduling, 401K, Paid Malpractice, So Much More … Responsibilities: Provide and supervise dental care of inmates; Relief of pain and treatment of acute and chronic infections; Extraction of unsalvageable teeth; Provide fillings to eligible persons served, as needed; Provide Phase One Periodontal Services to eligible inmates, as needed. Call or apply online, Rankin S. Holloway (772)-283-1912 or email rholloway@wellpath.us, www. WellpathCareers.com. We are proudly an equal opportunity employer. Qualifications: Graduate of an accredited dental school; Minimum of 3 years of experience, and correctional experience preferred; Unrestricted current dental license from the state of practice - must maintain all certifications, educational requirements, licensing, etc.; Current Drug Enforcement Agency (DEA) registration; Current (and must maintain) lifesaving BLS and PALS (where applicable) certification through AHA. Chief Executive Officer. Klement Family Dental located in beautiful sunny St. Petersburg, FL is looking for a dynamic and inspirational Chief Executive Officer, with a demonstrated commitment to organizational excellence to lead the organization. As a leader of our team, you will experience: Klement Family Dental has been continuously providing care, comfort, and convenience to our patients for 40 years; Chosen by our team members as one of Tampa Bay’s 2018 Top Workplaces and Entrepreneur Magazines Top Company Cultures; A friendly and supportive staff; Flexible hours; Monthly meetings with the entire team where we do team building exercises, group lunches, and training break-out’s; Our annual charity event, Dentistry from The Heart, and the opportunity to participate in other charitable events; The creative ability to bring and share ideas/projects to group meetings and discuss them with the Executive team; Competitive annual bonuses; Mentoring from our founder, Thomas Klement, DMD; Up-to-date technology and a modern, beautiful facility; Guaranteed Salary; Multi Doctor Facility. Overview of Position: The Chief Executive Officer is responsible for creating, communicating and implementing the company’s vision, mission, and overall direction. The CEO reports to the Board of Directors. The CEO is responsible for leading the development and execution of the company’s long-term strategy… with a view of building loyal, happy patients, creating a safe and positive work environment for doctors and team members, while ultimately increasing shareholder value through sustained growth and profitability. Key Responsibilities: Demonstrate leadership through vision, action, and results; Provide inspired leadership company wide; Work with the Board of Directors to support values, mission and strategic plan for short- and long-term goals; Implement high quality business strategies and plans ensuring that are aligned with short-term and long-term objectives; Assure all legal and regulatory documents are filed and monitor compliance with laws and regulations including OSHA, CDC, and labor laws; Enforce adherence to legal guidelines and in-house policies to maintain the company’s business ethics; Oversee the company’s fiscal activity, including budgeting, reporting, and auditing; Develop and implement operational policies in alignment with the strategic plan and company goals; Perform any other projects or duties as recommended by the Board of Directors. What we are looking for in a leader at Klement Family Dental with: Proven experience in a senior managerial position; Experience in developing profitable strategies and imple-

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menting vision; Analytical abilities and problem-solving skills; In-depth understanding of practice finance and performance management principles; Ability to get along with diverse personalities, tactful, and flexible; Strong balance between results and people orientation; Must have high energy level and be comfortable performing multifaceted projects in conjunction with day-to-day activities; DDS or DMD degree or foreign equivalent preferred. Whether you are actively seeking employment or exploring future opportunities you owe it to yourself to take the time to learn about our practice and what makes us successful and unique. Check out our website and see what our patients are saying about us at: http://www. stpetedentist.com/. katelyn@klementdental.com. Dental Clinic Director of Wildlight. The University of Florida, College of Dentistry (UFCD) is recruiting qualified applicants for a Clinical Assistant/Associate Professor and Clinic Director (non-tenure accruing track). This position will oversee all aspects of UF Health Dentistry at Wildlight including providing patient care, working with specialists and scheduling, supervision of clinical and administrative staff, in a new, patient-centered six-operatory dental clinic. The dental clinic will be part of the ambulatory care center located in Wildlight, a new community under development near Yulee, Nassau County, Florida. In addition to offering general dentistry, pediatric dentistry and other dental specialty services, the 40,000 sq. ft. ambulatory care building will include office and medical space with a patient-centered focus on prevention and early diagnosis, an urgent care clinic, imaging services, pediatrics, obstetrics and gynecology, mental health services, and a medical laboratory. Major responsibilities include providing comprehensive dental care with opportunity for teaching and scholarly work, oversight of all clinical functions, and administrative duties associated with management of a clinical practice. The Clinic Director will be responsible for the financial oversight of the clinic and scheduling to ensure efficient rotation of specialty dentists. Applicants must be able to deliver care in all aspects of restorative dentistry including comprehensive treatment planning, operative, fixed and removable prosthodontics. Minimum requirements include a DDS, DMD, or equivalent dental degree, at least five years of private practice experience, commitment to working with and building teams and an active Florida Dental License upon hire. Preferred qualifications include previous experience as an owner/director of a private practice and advanced training (AEGD/GPR). As well as being an experienced clinician, the successful applicant should be organized, familiar with digital dentistry technology and proficient with the use of electronic health records, abreast of current evidence-based dentistry and possess excellent communication and patient management skills. Salary and rank are commensurate with credentials and experience. UFCD is one of the leading dental schools in the United States devoted to improving and promoting oral health throughout Florida, the nation and worldwide through excellence in teaching, research, patient care and service. UFCD currently ranks among the top-five U.S. dental schools in terms of NIH research funding. The University of Florida (UF), a member of the AAU, is the largest and most comprehensive public university in the state of Florida, with large undergraduate, graduate, and postgraduate educational programs. UF currently ranks 8th among the nation’s top-10 public universities. The UF Health Science Center and its six colleges (Dentistry, Medicine, Nursing, Pharmacy, Public Health and Health Professions, Veterinary Medicine) are co-located on the Gainesville campus, with additional teaching, research,

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and patient care sites throughout Florida, and beyond. The review of applications will begin immediately and position is to be filled in November 2019 for a dental clinic opening in January, 2020. To apply, please go to http://jobs.ufl.edu/ and search for job number 44688. Applicants should attach a curriculum vitae, a cover letter describing their interest, and a contact list of three references with their application for consideration. For more information about the University of Florida College of Dentistry, visit: www.dental.ufl.edu. Applicants must be able to deliver care in all aspects of restorative dentistry including comprehensive treatment planning, operative, fixed and removable prosthodontics. Minimum requirements include a DDS, DMD, or equivalent dental degree, at least five years of private practice experience, commitment to working with and building teams and an active Florida Dental License upon hire. Preferred qualifications include previous experience as an owner/director of a private practice and advanced training (AEGD/GPR). As well as being an experienced clinician, the successful applicant should be organized, familiar with digital dentistry technology and proficient with the use of electronic health records, abreast of current evidence-based dentistry and possess excellent communication and patient management skills. Associate Dentist in Busy Northeast Florida Practice. St Johns River Dental is seeking a full-time associate dentist. We are a busy well-established private practice general dentistry office in Palatka, Florida with over 30 years serving our community. This is a great opportunity to practice in a new stand-alone office with state-of-the-art equipment and an incredible staff. Our current associate is moving to be closer to home which means you will be stepping in to a busy position with a full schedule from day one. We perform all facets of general dentistry including extractions, molar endo, removeable prosthetics, and crown and bridge. Compensation is based on collections and you will have the opportunity to make $200K+ your first year. For the right candidate, partnership opportunity is available after 18 months. Experience preferred, but new grads welcome to apply. Visit our website at stjohnsriverdental.com to see our amazing office and staff. Email your resume to derekrmorris@ gmail.com or call at 386-325-5467 to discuss this great opportunity further. DDS or DMD degree with active Florida dental license. NOTES: Additional Salary Information: Guaranteed minimum of $550 per day or based on percentage of monthly collections, whichever is greater. Current associate is making over $200K. General Dentist Associateship - Full Time. Implant Dentistry of Florida is a private practice catering to high end treatment, cosmetics and dental implants. We moved into new facilities with new equipment in December 2018. Having the latest technology, Implant Dentistry of Florida stays on the cutting edge of dental technology and treatment. We offer CEREC one day restorations, Galileos cone-beam 3-D imaging and guided dental implant surgery. We also provide IV conscious sedation for our patients. We are seeking one general dentist for a full-time position. The associate will be hired as an independent contractor on an increasing sliding percentage of production as compensation. The goal is to pay the associate well so that there is no incentive to leave. The ideal associate will have a one or two-year GPR or prosthodontics residency and IV sedation certificate (or willingness to take the required training to get the sedation certificate and license). Please check out the practice at: DrImplant.com. There is also a virtual tour of the office

posted on the site. One or two-year GPR or prosthodontics residency. IV conscious sedation desirable. NOTES: Additional Salary Information: Percentage paid increases with the monthly production. cfb@drimplant.com. Associate Dentist, Full-time. Restorative practice in Sebring, Florida is seeking a full-time associate dentist. Great opportunity to practice in a state of the art facility with a highly-trained team who is committed to the success of the associate. Willing to mentor and transition to equity ownership if so desired. DMD or DDS degree. Current State of Florida Dental License. NOTES: Additional Salary Information: Negotiable salary with incentives. DOCTOR@DAVIDEWILLEYDMD.COM. Associate Dentist. Dr. Minh Pham, Owner of Wesley Chapel Smiles Dentistry, is currently looking for a full-time Associate Dentist to add to his successful and growing practice in Wesley Chapel, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. Pham offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; Dr. Pham pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link below: https://bit.ly/2tVjpYu. General Dentist Associateship - Full Time. Implant Dentistry of Florida is a private practice catering to high end treatment, cosmetics and dental implants. We moved into new facilities with new equipment in December 2018. Having the latest technology, Implant Dentistry of Florida stays on the cutting edge of dental technology and treatment. We offer CEREC one day restorations, Galileos cone-beam 3-D imaging and guided dental implant surgery. We also provide IV conscious sedation for our patients. We are seeking one general dentist for a full-time position. The associate will be hired as an independent contractor on an increasing sliding percentage of production as compensation. The goal is to pay the associate well so that there is no incentive to leave. The ideal associate will have a one or two-year GPR or prosthodontics residency and IV sedation certificate (or willingness to take the required training to get the sedation certificate and license). Please check out the practice at: DrImplant.com. There is also a virtual tour of the office posted on the site. One or two-year GPR or prosthodontics residency. IV conscious sedation desirable. NOTES: Additional Salary Information: Percentage paid increases with the monthly production. cfb@drimplant.com. Associate Dentist. Associate Dentist needed to join growing practice in Port Charlotte, Florida- Earn more in a four-day work week than you would in a big box clinic working five days a week. If you want to change people’s lives through the profession of dentistry, while living and working in a great area, contact us today! Email your resume today to our Clinical Director: Kbennett@ synergyadvisorsus.com.

SEE PAGE 76 TODAY'S FDA MAY/JUNE 2019

career center FROM PAGE 75 Endodontist Opportunity ($450,000+ Income Potential) - Greater Tampa. Seeking an Endodontist for a full time (or part time) role in a turn-key set-up that focuses on providing outstanding patient care. Schedule is 5 day/ week (or 3+ days) in our Greater Tampa locations. Aggressive compensation package (avg. $450,000/annual income w/full time schedule), healthy benefits package, dedicated/trained/traveling Endo staff, strong schedule with a huge referral network of local Tampa Dental offices. High Compensation: 45% production vs. Six Figure Base; Avg. Income of $450,000+ (full time). Benefits/ Perks: Digital Practices; Clinical Freedom and Treatment Autonomy; Established and Growing Patient Foundation; Partnership Model – Long Term Doctor Career Path/ Investment Opportunities; Full Benefits Offered (w/full time schedule) – Healthcare & Dental Benefits, 401K, Short Term / Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Group Practice Camaraderie– Technique Development Assistance, Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www. screencast.com/t/M3xWM5CYN. Apply via this ad! For Questions, Please Contact: Vito Losuriello | Doctor Recruiter | Great Expressions Dental Centers, Phone 847226-4265 | fax 248-203-2349, web www.greatexpressions.com. “Look for the Smile Above Our Name!” Must have a DDS/DMD from an accredited University and active/clear State Dental Board license. Associate Dentist. Dr. Minh Pham, Owner of Dentists of South Naples, is currently looking for a full-time Associate Dentist to add to his successful and growing practice in Naples, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. Pham offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; Dr. Pham pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link: https://pacden.csod.com/ats/careersite/jobdetails.aspx?si. Associate Dentist. Dr. Katie McCann Lee, Owner of Dentists of Riverview, is currently looking for a full-time Associate Dentist to add to her successful and growing practice in Riverview, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. McCann Lee offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; Dr. McCann Lee pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link

TODAY'S FDA

MAY/JUNE 2019

below: https://clinical-pacificdentalservices.icims.com/ jobs/4066/associate-dentist/job?mode=view. Associate Dentist. Pacific Dental Supported Offices are currently looking for a full-time Associate Dentist to add to their successful and growing practice in Royal Palm Beach, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. The Pacific Dental Supported Office offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; The Pacific Dental Supported Office pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link below: https://clinical-pacificdentalservices. icims.com/jobs/7256/associate-dentist/job?mode=view. Associate Dentist. Dr. Katie McCann Lee, Owner of Weston Modern Dentistry, is currently looking for a full-time Associate Dentist to add to her successful and growing practice in CITY, STATE. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. McCann Lee offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; Dr. McCann Lee pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link below: https://bit.ly/2DTLF2P. Bilingual: Spanish. Associate Dentist. Pacific Dental Services Supported Offices are currently looking for a full-time Associate Dentist to add to their successful and growing practice in South Brandon, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. The Supported Office offer: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; The Supported Office pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link below: https://clinical-pacificdentalservices.icims.com/ jobs/6563/associate-dentist/job?mode=view. Associate Dentist. Dr. Katie McCann Lee, Owner of Dentists of Riverview, is currently looking for a full-time Associate Dentist to add to her successful and growing practice in Riverview, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. McCann Lee offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; Dr. McCann Lee pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team.

If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link below: https://clinical-pacificdentalservices.icims.com/ jobs/4066/associate-dentist/job?mode=view. Associate Dentist -- $10,000 Sign-On Bonus. Dr. Minh Pham, Owner of Port Orange Modern Dentistry, is currently looking for a full-time Associate Dentist to add to his successful and growing practice in Port Orange, FL. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. Pham offers: Competitive earning potential, with no earning cap. Benefits, including: Medial, Dental, Vision, 401K; Dr. Pham pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team. If you would like to discuss the opportunity in more detail, please reach out directly by clicking REPLY. If you prefer to apply directly online, you can follow the link below: https://clinical-pacificdentalservices.icims.com/ jobs/2704/associate-dentist/job?mode=view. Pediatric Dentist. D4C Dental Brands is hiring pediatric dentists in Des Moines, Iowa and orthodontists in Ohio. There are also career opportunities in additional states for both pediatric dentists and orthodontists. You’ll have the ability to explore a variety of practice environments within the network of practices. Let 2019 be your year with D4C Dental Brands. Contact us today for more information! https://d4cdentalbrands.com/about-us/. Must be able to practice pediatric dentistry in Iowa and or orthodontics in Ohio. General Dentist- Melbourne, FL - Full Time, Sign On, Student Loan Assistance, Relocation! If you’re looking to make your professional mark on a community, this is your chance. Island-style, beachy community only 1 hour from Orlando, FL. Build valuable relationships with patients and get involved with the greater community of Melbourne, FL while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Base salary with performance incentives to earn more; Relocation assistance for full time team member; Student loan repayment program, up to $50K; $7500 sign on bonus; Full time benefits to include paid professional liability insurance, CE allowance, and health/ wellness plans. Practice full time, 4-5 days per week with family friendly days/hours. Apply via this posting or send resume to katieschmidt@puredentalbrands.com for a confidential review of the opportunity. Equal Opportunity Employer/Drug Free Workplace. www.puredentalbrands. com. All candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. New grads and residency grads welcome to apply! Space share/Partnership/Buy in. Share space in our beautiful office in the heart of Coral Gables. Experience doctor of many years looking for a passionate and motivated doctor with minimum of 5 years’ experience with a desire of owning his or her own practice with the real estate. We have a total of 5 rooms fully equipped plus one plumbed

FLORIDADENTAL.ORG

room with a dental chair used now as a SPA room, CBCT machine for pano and 3D scan. Orthophos Sl Sirona and Cerec machine. Rent can be negotiated as a flat rate or arrangements with a percentage. applicants.partnership@ gmail.com. “Snowbird”/Seasonal Associate (private practice). Ready to retire to Florida but enjoy dentistry too much to quit practicing all together? Relationship based private practice is seeking an associate to help us accommodate our seasonal population and practice. Looking for an associate doctor that is ready to walk in and provide quality dentistry with a supportive team already in place. Ideal Candidate: values integrity, faith, and family; has previously owned their own practice; desires to work 2-3 days a week October-April; interested in working at least 3 more years; enjoys fishing, golfing, and warmer winters. If you’re ready to enjoy the Sunshine State down on the coast of Southwest Florida, send us your contact information and we’ll be in touch! smilesofpg@comcast.net. Pediatric Dentist -Tampa, FL. Available Spring/Summer 2019. Position availability -- Spring/Summer 2019. Private Pediatric dental practice - Two owners, with two office locations in the Tampa area. Newly renovated office has 15 chairs and is 5 days a week. Smaller office has 7 chairs and is 2 days per week. The ideal candidate we are seeking is full time, 4-5 days per week and will work at both office locations. PPO insurance and fee-forservice patients in both practices, no government plans or HMO plans. High-income potential guaranteed $225K ++ in the first year with our compensation structure and

patient volume. Both offices have digital radiographs and digital charting. In office IV-sedation provided on a regular basis with a certified Pediatric Anesthesiologist group. Fully trained and certified pediatric dental staff in place. Orthodontic treatment is provided in both locations by an orthodontist in our practice. Full autonomy over treatment plans. Must have a current Florida dental license, previous experience in private practice is preferred but not necessary. Must be a certified pediatric dentist. Candidate should have excellent communication skills and enjoy a fast pace, fun work environment. We are now interviewing qualified candidates, if interested please email current CV to: sugarbugdude@gmail.com. We look forward to speaking with you. Kind Regards, CV to -- sugarbugdude@gmail.com. Requirements: Must have a current Florida dental license. Previous experience in private or corporate offices is preferred. Must be a pediatric dental specialist. General Dentist’s, limited to children only, need not apply. Excellent communication and people skills are a priority. NOTES: Additional Salary Information: High income potential. Salary and contract details will be discussed only with qualified candidates. General dentist needed Tallahassee, Florida. High quality private dental practice seeking a full-time associate. Our three doctors have an excellent practice with an exceptional staff and state of the art equipment. We are seeking a doctor with experience in all phases of dentistry. Our mission is to provide the highest quality care for each patient. Our professional staff is dedicated to our philosophy of quality care and team work. We do not participate in capitation plans. The doctors are experienced in all

phases of general dentistry with an emphasis on implant placement and restoration and aesthetic procedures. They will provide an excellent mentor-ship opportunity. We are located in beautiful Tallahassee Florida. Tallahassee has a plethora of cultural opportunities with two major universities and a very large community college. It is located a short distance to the Gulf of Mexico. We offer benefits including health, professional liability and disability insurance. We also provide a 401k plan. We pay your continuing education expenses and professional dues. Please fax or mail your resume to: (850) 386-8181, Drs. Chichetti, Torgerson and Hartley, 1305 Thomaswood Drive, Tallahassee, Florida 32308, Tallahasseedentists.net. General Dentist with current Florida License. Experience preferred but will consider recent graduate who is a team player. Must be available for 4.5-day workweek. Seeking Full Time Associate Dentist at Private Practice in North West Pasco County, FL. A fast growing private practice in North-West Pasco County is looking for a full time energetic and patient oriented associate dentist. We offer competitive compensation packages with a great supportive staff and a friendly working environment. If interested please contact us at 727-869-4747.

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TODAY'S FDA MAY/JUNE 2019

Awards Luncheon FRIDAY • JUNE 28, 2019 11:30 AM-1 PM

FLORIDA DENTAL CONVENTION Gaylord Palms Resort & Convention Center Orlando, Florida

2019 AWARD RECIPIENTS  PRESIDENT’S AWARD

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FDA LEADERSHIP AWARDS Dr. Eva Ackley Dr. Leo Cullinan

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HELPING MEMBERS SUCCEED TEAM IMPACT AWARD Ms. Brooke Martin



DENTAL TEAM MEMBER Ms. Dianne Parisi



FDA PUBLIC SERVICE Mr. Clay Archer Ms. Elizabeth Burwell Dr. Michael A. Pikos

OUTGOING TRUSTEES Dr. Suzanne Ebert (NEDDA) Dr. George Kolos (ACDDA) Dr. Tim Marshall (WCDDA) Dr. Roger Robinson (NEDDA) Dr. Rodrigo Romano (SFDDA) Dr. Clayton Roth (ACDDA)

Dr. Jolene O. Paramore

 

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FDA DENTIST OF THE YEAR Dr. Gerald W. Bird J. LEON SCHWARTZ LIFETIME SERVICE AWARD Dr. Terry L. Buckenheimer NEW DENTAL LEADER Dr. Angela McNeight

American Sensor Tech

ADS Chris Brown

FLORIDADENTAL.ORG

TODAY'S FDA MAY/JUNE 2019

off the cusp

GIVING BACK My father was a U.S. Army veteran and he credited his time in service with helping him go from being a sharecropper as a youth to being a vice president in a $500 million company as an adult. All my life I heard, “Join the Army, join the Army, join the Army,” until I graduated from dental school — and then he said, “Son, what you need is a job.” I regret not serving in the armed forces, but I also realize he was right.

JOHN PAUL, DMD FDA EDITOR

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

Photo: Richard Levine and Dr. Paul are ready for the Flight to Honor to Washington, D.C.

I have strong ties to the military — family and friends are on active duty now and others I grew up with are retired after 20 or more years of service. I recognize that I get to do what I do because they were willing to raise their right hand, take the oath and put on the uniform. I want to honor those veterans and that’s why I got involved with Polk County’s Flight to Honor. It’s a nonprofit, not government subsidized, volunteer organization whose goal is to get our military veterans to see their memorials in Washington, D.C. Every veteran regardless of age is paired with a guardian who will see to pretty much their every need during a full day of travel. There is a preliminary briefing to go over the trip and introduce guardians and veterans. The overview of the trip lets us know we’ll try to put two days of sightseeing into 18 hours and that there are 30 wheelchairs — they’re all yellow and we’re responsible for getting them all back. If we’re paying this much attention to the wheelchairs, imagine the attention the veterans are getting. Muster for travel day is at O 3:30. What’s the O for? Oh, my Lord, it’s early. We gather and wait until 5:30 a.m. to board the plane. The vets understand hurry up and wait.

Every one of our trips begins at the WWII Memorial, the one that commemorates our oldest vets and offers a great place for the group photo. Yes, we travel with a professional photographer, paramedic, two nurses and a dentist. Before the day was over we had hiked about 6 miles, seen the WWII, Korean and Vietnam memorials. We did a slow drive by the Iwo Jima Memorial and walked uphill both ways to see the changing of the guard at the Tomb of the Unknown Soldier. When we got back on the plane everyone was smiling, and the smiles got even bigger when they announced mail call. Family and local school kids send mail for the vets to read on the way home. On arrival back in Lakeland, the town has turned out to welcome the vets home. Municipal leaders, the sheriff, police captains, fire captains, ROTC color guards and hundreds of grateful people formed a gauntlet from the charter plane back into the airport terminal. The Polk County orchestra played. The Bomber Girls posed for photos with the veterans in front of a Stearman biplane. Everyone got the chance to say, “Thank You,” and our veterans knew for certain their service was appreciated. One gentleman who was with us told me, “No one was there to greet us, and no one said, ‘Thank You,’ when I came home. This really feels good.” I’ve already turned in my application to be a guardian next year. Want to become one? Go to polkveteranscouncil.com/flight-to-honor. html to apply.

JOHN PAUL, DMD, EDITOR, TODAY'S FDA

TODAY'S FDA

MAY/JUNE 2019

FLORIDADENTAL.ORG

BREATHE EASY, Florida dental school graduates. The FDA has you covered!

THE GIFT OF COVERAGE

Call 800.877.7597 to learn more. All new dental school graduates who become FDA members and practice in Florida will have their first year of professional liability coverage from The Doctors Company completely reimbursed by their FDA colleagues!