Page 1




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,,I !


6. 1"/i8u3n;E- R. Love Scj~\O'J: of :)e~. . tistry -L';,)n",2.:::',

volume 75

July - September 1998


Number 3

TABLE OF CONTENTS 4 5 6 7 11 12 14 15 18 22 24 25 27 29 31 32 34 36 37 38 39 39 40 48

Editorial Letters to the Editor Message From the President Abstracts Infection Control & Environmental Safety ADA Awareness Campaign VDA June Committee Meetings VDA Library Executive Council Actions in Brief VDA Annual Meeting Hygiene Issues Revisited MCVNCU Names New Dental Dean Gilmore Names Board Appointees From the Executive Director Upcoming Continuing Education Legislative Update Membership Benefit Highlight: Practice Management Resources DR News VDANews Alliance News VDA Assistants News CDHANews Component News & Specialty News Classified Advertising COVER: Site of 139th ADA Annual Session, San Franciso, California. PUBLICATION TEMPLATE: C:\Change

THE VIRGINIA DENTAL JOURNAL (ISSN 0049 6472) is published quarterly (January-March. April-June, July-Sep1ember, October-December) by the Virginia Dental Association, 5006 Monument Avenue, PO Box 6906, Richmond, Virginia 23230-0906, Telephone (804)358-4927 SUBSCRIPTION RATES Annual: Members, $6.00. Others $12.00 in U.S., $24.00 Outside U.S. Single copy: $6.00. Second class postage paid at Richmond, Virginia. Copyright Virginia Dental Association 1996 POSTMASTER: Send address changes to: Virginia Dental Journal, PO Box 6906. Richmond, VA 23230-0906 MANUSCRIPT AND COMMUNICATION for publications: Editor, PO Box 6906, Richmond. VA 23230-0906. ADVERTISING COPY, insertion orders, contracts and related information: Business Manager, PO Box 6906. Richmond. VA 23230-0906





Ralph L. Anderson James R. Batten Cramer L. Boswell James H. Butler Gilbert L. Button Charles L. Cuttino III Frank H. Farrington Barry I. Griffin Jeffrey L. Hudgins Wallace L. Huff Lindsay M. Hunt, Jr. Thomas E. Koertge James R. Lance Daniel M. Laskin Travis T. Patterson III W. Baxter Perkinson, Jr. Lisa Samaha David Sarrett Harvey A. Schenkein James R. Schroeder Harlan A. Schufeldt John A. Svirsky Ronald L. Tankersley Douglas C. Wendt Roger E. Wood

Annual Meeting Bruce R. Hutchison

Direct Reimbursement Benita A. Miller

Auxiliary Education & Relations T. Andrew Thompson

Infection Control & Environmental Sal Paul F. Supan

Budget and Financial Investments Raymond L. Meade

Ethics and Judicial Affairs M. Joan Gillespie

Cancer and Hospital Dental Service James A. Pell

History and Necrology French H. Moore III

Caring Dentists

Harry D. Simpson, Jr.

Institutional Affairs Elizabeth A. Bernhard

Constitution and Bylaws/Nominating William H. Allison

Journal Staff Leslie S. Webb, Jr.

Dental Benefits Programs Fred A. Coots, Jr.

Legislative T. Wayne Mostiler

Dental Delivery for the Special Needs Patient AI J. Stenger

Membership H. Reed Boyd III

Dental Health and Public Information AI J. Rizkalla

New Dentist Carolyn C. Herring

Dental Practice Regulation Albert L. Payne

Peer Review and Patient Relations Neil J. Small

Dental Trade and Laboratory Relations George L. Nance, Jr.

Planning William H. Allison

Search Committee for VA Board of Dentistry William H. Allison VDA Foundation Ralph L. Howell, Jr.

Relief Foundation Scott H. Francis Virginia Dental Services Corporation Jeffrey Levin, President

1998ADADELEGAnON Delegates:

/39th ADA Session, October24路 2~

William H. Allison (1999) Wallace L. Huff (1998) Ronald L. Tankersley (1999)

/99~ SanFrancisco,


Gary R. Arbuckle (1998) Emanuel W. Michaels (1999) Raleigh H. Watson, Jr. (1998)

M. Joan Gillespie (2000) Leslie S. Webb, Jr. (2000) Richard D. Wilson (1999)

David C. Anderson (1998) D. Christopher Hamlin (1998) Gus C. Vlahos (1998)

Thomas S. Cooke III (1999) Lindsay M. Hunt, Jr. (1999) Andrew J. Zimmer (1 999)

Alternate Delegates: Anne C. Adams (1998) Charles L. Cuttino III (2000) Bruce R. Hutchison (1999)

Representing and serving member dentists by fostering quality oral health care and education.


President: Wallace L. Huff, Blacksburg President Elect: Charles L. Cuttino III, Richmond Immediate Past President: William H. Allison, Warrenton Secretary- Treasurer: Thomas S. Cooke III, Sandston Executive Director: William E. Zepp, CAE P.O. Box 6906, Richmond, 23230-0906 EXECUTIVE COUNCIL


Includes officers and councilors listed and: David C. Anderson, Alexandria -Vice Chairman Gus C. Vlahos, Dublin Richard H. Wood, Richmond Andrew J. Zimmer, Norfolk


Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: D. Christopher Hamlin, Norfolk Dean, School of Dentistry: Lindsay M. Hunt, Jr., Richmond



Edward J. Weisberg, Norfolk Bruce R. DeGinder, Williamsburg Harold J. Neal,Jr., Emporia James R. Lance, Richmond Daniel E. Grabeel, Lynchburg-Chairman Ronnie L. Brown, Abingdon VII William J. Viglione, Charlottesville VIII Rodney J. Klima, Burke





Tidewater, I

James W. Baker 2995 Churchland Blvd Chesapeake, VA 23321

Ralph Howell, Jr. 102 Western Avenue Suffolk, VA 23434-4434

James H. Nottingham, Jr. 142 W. York St, Ste 705 Norfolk, VA 23510

Peninsula, 11

Guy G. Levy 367 Denbigh Blvd Newport News, VA 23608

Wayne E. "AJ" Booker 6632 Geo Wa Mem Hwy Grafton, VA 23692

Lawrence A. Warren 106 Yorktown Road Tabb, VA 23693

Southside, III

John M. Bass 212 N. Mecklenburg Ave South Hill, VA 23970

Scott E. Gerard 9401 Courthouse Road Chesterfield, VA 23832

John R. Ragsdale III 9 Holy Hill Drive Petersburg, VA 23805

Richmond, IV

Gary R. Hartwell P.O. Box 980566 Richmond, VA 23298

Charles E. Gaskins III 703 I~. Courthouse Rd,#201 Richmond, VA 23228

William J. Redwine 6808 Stoneman Road Richmond, VA 23236

Piedmont, V

Frank C. Crist, Jr. 8116 Timberlake Road Lynchburg, VA 24502

Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112

Frank C. Crist, Jr. 8116 Timberlake Road Lynchburg, VA 24502

William B. Thompson P.O. Box 318 Chilhowie, VA 24318

Dana Chamberlain 645 Park Blvd. Marion, VA 24354

Paul T. Umstott 300 W Valley Street Abingdon, VA 24210

Shenandoah Valley, VII

Gerald J. Brown 1871 Amherst Street Winchester, VA 22601

J. Darwin King 1220 N Augusta Street Staunton, VA 244010

Alan Robbins P.O. Box 602 Timberville, VA 22853

Northern Virginia, VIII

Kirk M. Norbo 6200 Wilson Blvd, #114 Falls Church, VA 22044

Neil J. Small 9940 Main Street Fairfax, VA 22031

Paul N. Zimmet 5206 Dawes Avenue Alexandria. VA 22311


_ . Southwest, VI

Decision Time! The American Dental Association Awareness Campaign to let members pre­ view a $30,000,000 per year dental advertising promotion continues by means of a videotape presentation to each VDA component and ADA NEWS articles. In our last Virginia Dental Journal, Dr. Reed Boyd, chairman of the VDA Mem­ bership Committee, wrote an article on why he supports the ADA awareness initiative. In this issue, an article provides information on the Awareness Cam­ paign; and in a letter to the editor, Dr. Richard Hewitt, 16th District member of the ADA Council on Communications, urges support forthe campaign. At the VDA annual membership meeting on Sunday morning, September 20 in Williamsburg, Clay Mickel, director of the Council on Communications, will review the Awareness Campaign for our mem­ bers. Then the VDA House of Delegates will debate and vote on this issue. Their vote will give direction to your ADA delegates for their vote in San Francisco in October. To be funded, a two-thirds vote of the House is required. How will adoption of the Awareness Campaign affect you? Certainly it has financial implications. Cur­ rent ADA dues ($365) and VDA dues ($235) total $600. To this add component dues and badly needed PAC contributions (both VADPAC and ADPAC). This year's ADA House will also be debating a dues increase potentially in the $50 to $80 range to fund needed reserves, asbestos removal in the ADA building and other programs. To this, add the $300 annual increase to pay for the Awareness Cam­ paign during the next three years. Will you support this dues increase? It is tax deductible,but it does come out of your income. Will it cause a membership decline leading to reduced political clout and severe impact on tight budgets at each tripartite level- or will it increase membership? Will its adop­ tion cause curtailment of other needed ADA programs, such as DR promotion and membership ser­ vices in an effort to restrain costs? Will it put patients into your office? Research from the campaign will only show the ad recognition value not numbers of patients influenced to visit the dentist. Will it elevate the oral health of our citizens? Will it have a positive affect on the image of dentistry? No one can absolutely answer any of the above questions, but we must make a decision. This decision will affect you and our profession. As a Virginia ADA delegate who will cast a vote, I ask you to let your delegates know how you feel. I am surprised how little comment I am receiving on such an important issue to dentistry. It is neither right nor wrong to support or oppose this advertising campaign. It is your opinion that is important. Let your' voice be heard! profession.

Then, when the decision is made, let us unite to keep dentistry a strong

Leslie 5. Webb, Jr., D.D.S. Editor

4 Virginia Dental Journal

[:: :-



How You Gonna Stop 'Em From Not Gain'? (Why We Need a Public Awareness Campaign) Years ago when Yogi Berra, the famous Yankee catcher, was managing the hapless, winless Mets, he was complaining about the empty stadium game after game. "But," he moaned, "how you gonna stop 'em from not goin'?" Such is the challenge we face daily in our practices-how to get millions ot patients who need treatment (but aren't seeking it) in our chairs so we can educate them on what dentistry can do to improve their lives. For most people, payment for a trip to the dentist comes 'from their discretionary funds - that is, what is left over after the necessities such as food, shelter, clothing, etc. This means we are in compe足 tition with vacations, dinners out, Air Jordan sneakers, and Beanie Babies. Will mom spend $75 on a Tommy Hilfiger shirt, or will she schedule Johnnie's sealant appointment? Will dad buy the $450 Big Bertha driver, or make the appointment for the crown he has needed for years? The ADA, in response to increasing demand from the membership, is meeting this challenge full force. After a year of intense effort, a national Public Awareness Campaign has been developed and is being taken around the country, state by state, to be shown to as many members as possible to determine if the membership wants to present the campaign to the public. The purpose of the campaign is simple: to improve the image of dentistry, to increase the public's awareness of the many dental services that are available, to elevate the importance of seeking this care, and to encourage them to seek it from an ADA member dentist. It is a top flight, professionally done campaign designed to include national prime time TV, cable TV, leading magazines and print media, and coordinated in-office educational material. If you think it is time for the ADA to begin helping you promote dentistry and your practice, then this campaign is just what you've been looking for. Is there a cost? Sure - about $300 per member per year. For a national prime time campaign of this caliber, that's a bargain. Considering it's a before taxes expense and therefore will actually cost only about $150-$175, that makes it a steal. It just might be the best practice promotion dollars you ever spent. If you missed it when it was presented in Virginia in January, make sure you see the video summary (ask Bill Zepp), and then tell your ADA delegate to support it this fall when it comes up for a vote. How do you stop 'em from not goin'? Easy. You "stop 'em from not knowin'" all the good things you can do for them and the importance of gettin' them done. Put into English: You have a National Awareness Campaign. And if you think this one is long overdue, tell your ADA delegate to support it on your behalf. The ADA is your Association, and this campaign just may become one of the most important benefits of your membership. Richard Hewitt, D.D.S.

Or. Hewitt represents the 16th District (Virginia, North Carolina, and South Carolina) on the ADA Council on Communications, and he is past president of the South Carolina Dental Association.

Virginia Dental Journal 5


As I prepare my remarks for the next issue of the Virginia Dental Journal we have just completed our June committee meetings in Virginia Beach. I hope that all the dentists were able to spend some quality time with their spouses and children (family) on the beach. I want to thank all the Northern Virginia member dentists who volunteered their time to participate in the USA Today dental hotline. Without your support in answering callers questions and concerns on oral health issues, it would not have been possible to perform this important service to the public. From all accounts it was a tremendous success, and dentistry received several days of positive coverage from this one day event. This is a good example of when "working together, we can become even stronger and a more effective force for our profession." At the time of this writing, the ADA backed Patient Access to Responsible Care Art (PARCA) as a bill appears to be in trouble. I received a fax this week stating that Rep. Charlie Norwood has set aside PARCA, choosing instead to support the House GOP leadership bill. That bill and the democratic leadership bill are now the most viable patient protection proposals. Both of these bills have short-comings that could be addressed through revision or amendment. But time is short for the 105th congress and it will be all too easy for congressional leaders to "run out the clock" before any bill reaches the house floor. Regardless of PARCA's outcome, I feel that it has been tremendously successful as a vehicle that brought the issue of patient protections to the forefront. With bipartisan cosponsors, congress has and is being forced to deal with important patient protections, e.g. choice, accountability and anti-discrimination. As the ADA President, our own Dave Whiston stated, we will not support a bill that doesn't adequately address these needs-choice for patients and accountability from health plans. By this time I hope that everyone has viewed the ADA public awareness video at least one time. As you are aware, the 1996 ADA HOD directed the ADA to explore the feasibility of such a campaign and the 1997 HOD endorsed the results of this study and recommended that a year long member education initiative be carried out before taking a house vote on a national campaign. Also the board sent out a survey in May to approximately 38,000 member dentists that will be used to gauge member sentiment about the campaign including whether or not they will maintain membership if the campaign is approved. The survey was sent out in May in order that there would be adequate time for a follow up to insure a valid statistical sample of all categories and to have time for the results to be tabulated for the pre-1998 ADA HOD caucuses. Therefore, I urge each member to watch this video closely and then discuss it with your delegates to the ADA House. Also look at the results from the member survey to help you gauge your opinion whether this campaign should be undertaken. It is not my intention to influence a single members decision on this important matter (either for or against). We know that this campaign will cost $30 million annually for three years (which equals to approximately $300.00 a year/member for three years). While this is a small figure compared to what most dentists spend on practice promotion, it never the less requires your close evaluation of all the information provided to make an informed decision which will be in the best interest of your patients and your profession. Finally, I would remind all members to mark their calendar for the VDA annual meeting held September 16-20 at the Colonial Williamsburg Lodge and Conference Center. An additional presentation of the proposed public awareness campaign will be presented at the opening session of the VDA HOD. Wallace L. Huff, D.D.S. VDA President

6 Virginia Dental Journal

The following abstracts were provided by the Department of Periodontics at VCUIMCV School of Dentistry. We appreciate the contribution that these individuals have made to the Journal.

Elter JR, Lawrence HP, Offenbacher S, Beck JD. Meta-analysis of the effect of systemic metronidazole as an adjunct to scaling and root planing for adult periodontitis. J Periodont Res 1997; 32:487-496.

Abstract AIMS: To summarize existing data to determine whether the effect of systemic metronidazole (S-MET) in conjunction with S/RP is superior to S/RP alone in reducing PD, and preventing clinical attachment loss (CAL) in adult periodonti­ tis (AP) patients as it relates to time to evaluation. METHODS: Studies were deemed eligible for meta-analy­ sis if they evaluated S-MET as an adjunct to S/RP in adult humans; employed randomization of persons, quadrants or halves of mouths to treatment groups; reported results for lengths of follow-up between 4 and 26 weeks; and reported results as differences in PD or CAL. 8 clinical trials were chosen based upon a priori selection criteria, and 2 out­ comes, reduction in PD and gain in clinical attachment level, were analyzed. Results for each outcome were stratified by initial PD 1-3 mm, 4-6 mm, or?7 mm and length of follow-up 4-6, 9-13, or 14-26 weeks. RESULTS: S-MET + S/RP was superior to S/RP alone in reducing PD where initial PD=4-6 mm and length of follow-up was 9-13 weeks (0.31 mm) and where initial PD?7 mm and length of follow-up was 4-6 weeks (0.70 mm). No significant heterogeneity of effect was present at any level of initial PD or length of follow-up. No significant advantage was observed for S-MET for reducing PD where initial PD < 4 mm or follow­ up was longer than 13 weeks. S-MET + S/RP was superior to S/RP alone in reducing CAL where initial PD=4-6 mm and length of follow-up was 4-6 (0.29 mm) and 9-13 weeks (0.32 mm). No significant heterogeneity of effect was present at any level of initial PD or length of follow-up. No significant dose-response relationship was observed. CONCLUSIONS: The results suggest that S-MET + S/RP may offer benefit over S/RP alone in treatment of AP pa­ tients in managing pockets of 4 mm or greater, but the addi­ tional benefit was not evident if PD was less than 4 mm or follow-up was beyond 13 weeks.

Becker W, Becker BE, Israelson H, Lucchini JP,

Handelsman M, Ammons W, Rosenberg E, Rose L,Tucker

LK, Lekholm U.

One-step surgical placement of Branemark implants: A pro­

spective multicenter clinical study.

Int J Oral Maxillofac Implants 12: 454-462; 1997.


AIM: To evaluate the clinical outcomes after placement

and restoration of I -step Branemark implants into the max­

illae and mandibles of completely and partially edentulous


METHODS: Six periodontal treatment center participated

in this study. Partially edentulous patients underwent com­

prehensive periodontal examinations as well as periodontal

treatment as deemed necessary. Sixty-three patients par­

ticipated in the study. During the surgery the bone quantity

and quality were evaluated according to Lekhohn and Zarb's

classification system. A total of 135 Branemark implants

were placed into the prepared sites in one surgical step. A

midbuccal measurement was taken from the top of the im­

plant cylinder to the alveolar crest. Patients were seen for

evaluation after 3 or 6 months. All patients were evaluated

on average 12 months after implant restoration. Bone height

measurements were digitized to determine bone loss

around implants. For each radiograph taken at abutment

connection and follow-up, bone height was measured from

the bottom of the implant head to the first mesial and distal

bone to make implant thread contact.

RESULTS: 62 patients with 134 implants were available

for evaluation (45 maxillary and 90 mandibular implants, 53

patients were partially edentulous and 12 were completely

edentulous). Six implants were lost prior to loading, result­

ing in a 95.6% success rate at one year. To evaluate cr­

estal bone changes, 54 midbuccal bone crest sites were

remeasured following prosthetic abutment connection.

Crestal bone changes in the maxilla and mandible were

statistically and clinically insignificant. Radiographic evalu­

ation of marginal bone loss was performed at abutment con­

nection and at 6 and 17 months after loading. For man­

dibular implants, the mean radiographic bone level at pros­

thetic abutment connection was 1.07 mm; after loading, it

was 1.35 mm. For maxillary implants, the mean radio­

graphic bone height at prosthetic abutment connection was

1.16 mm; after loading, it was 1.36 mm. These changes

were not statistically significant.

CONCLUSION: One-step Braneinark implants may be con­

sidered a viable alternative to 2-step implants.

Bottom Line Systemic metronidazole in conjuction with S/RP was more effective than S/RP alone in managing pockets of 4 mm or greater, but the additional benefit was not evident if PD was less than 4 mm or follow-up was beyond 13 weeks.

Bottom Line The one-year outcomes from this patient series indicate that one-step Branemark implants provide excellent clini­ cal results (95.6% success rate) when placed in completely and partially edentulous patients with good bone quality and quantity.

Dr. Augusto Araujo is a 3rd year postdoctoral student.

Dr. Sharon Kasprzak is a 2nd year postdoctoral student.

Virginia Dental Journal 7

ABSTRACTS cont. Zhang M, Powers RM, Wolfinbarger L.

Effects of the demineralization process on the osteoinductivity

of demineralized bone matrix.

J Periodontol1997; 68: 1085-1092.

Simion M, Jovanovic S, Trisi P, Scarano A, Piattelli A.

Vertical ridge augmentation around dental implants using a

membrane technique and autogenous bone or allografts in


Int J Periodontics Restorative Dent 1998; 18: 9-23.


AIMS: To investigate the beneficial effect on vertical bone

formation of the addition of DFDBA or autogenous bone to


the reinforced membrane technique.

AIMS: To investigate the relationships between residual METHODS: 20 partially edentulous patients, 34-66 years,

calcium levels and particle size of ground demineralized bone with vertical jawbone deficiencies were selected. Patients

matrix and its osteoinductive potential using in vitro and in were divided into two groups of 10. DFDBA(group A) and

vivo assays. The effects of variable residual calcium levels, autogenous bone(group B) were used as grafting materials.

variable particle sizes, and donor age and gender were also Group A had a total of 26 implants and Group B had 32. 22


implants extended 1.5-4.5mm superior to the original bone

METHODS: Ground bone matrix was demineralized at dif­ crest in Group A. Group B had 15 implants placed simulta­

ferent levels by exposure to diluted hydrochloric acid. Differ­ neously as the graft, and 15 were inserted after augmenta­

ent particle sizes were then obtained ranging from < 250 tion. 30 implants in Group B were 2-7.5mm superior to the

microns to 850 microns. Demineralized bone matrix was original bone crest. In five sites of each group, a Ti miniscrew

implanted into muscle pouches of ten-week old mice for the protruded to improve membrane support and provide a bi­

in vivo portion of this study. Demineralized bone matrix was opsy for histologic exam. Ti reinforced e-PTFE covered the

incubated with human periosteal cells for the in vitro portion defects, and flaps were sutured tension-free.

of the study. The osteoinductive potential of the bone-de­ RESULTS: The overall percentage of healing complications

rived biomaterial was assessed by measuring the degree of was 18%, in the forms of membrane exposures and ab­

new bone formation (change in percent calcium content after scesses. Clinical: In the remaining sites, there was no

4 weeks of implantation) in the in vivo assay and levels of evidence of inflammatory reaction in the tissue at membrane

alkaline phosphatase activity in the in vitro assay. In addi­

removal. The new tissue resembled bone covered with a thin

tion the donor age and gender were included for statistical soft tissue layer. The site was curetted until bone was de­


tected. The clinical measurements from Group A showed a

RESULTS: Slightly demineralized bone matrix and overly mean vertical bone gain of 3.14mm with a mean bone gain of

demineralized bone matrix possessed a degree of 124%. Group B had a mean vertical bone gain of 5.02mm

osteoinductive potential whereas bone demineralized to lev­

and mean percentage of 95%. All 58 implants were

els of approximately 2% residual calcium provided for maxi­ osseointegrated at the abutment connection. Histology:

mum osteoinductive potential in both assay systems. Par­ Specimens demonstrating pre-existing cortical bone had a

ticles ranging in size from 500 to 710 microns provided for mean density of 53.1 % and showed large trabeculae com­

the highest level of calcium deposition (increase of 8.1% posed of a core of woven bone and graft particles surrounded

weight percent calcium). The study indicated that deminer­ by lamellar or parrallel-fibered bone. The demarcation be­

alized bone matrix from female donors in the 31 to 40 age tween the original bone and new bone was easily distinguish­

group and males in the 41 to 50 age group possess the able. Specimens with pre-existinq spongious bone showed

highest osteoinductive potential.

a thin bony trabeculae hardly distinguishable from the pre­

CONCLUSIONS: The results of this study indicated that existing bone. The medium bone density was 36.6%. The

the level of demineralization, particle size, and age of the mean percentage of bone contact with the retrieved screws

donor were all significant factors in determining the was 39.1%.

osteoinductive potential of demineralized bone matrix.

CONCLUSION: There is a beneficial effect of the addition of

DFDBA or autogenous bone particles to vertical ridge aug­

Bottom Line mentation procedures in humans.

The results of this study indicated that the level of demineral­ ization, particle size, and age of the donor were all signifi­ Bottom Line cant factors in determining the osteoinductive potential of There is a beneficial effect of the addition of DFDBA or au­ demineralized bone matrix. togenous bone particles to vertical ridge augmentation pro­

Dr. Ben Duval is a 2nd year postdoctoral student.

cedures in humans. The clinical measurements from DFDBA showed a mean vertical bone gain of 3.14mm with a mean bone gain of 124%. The group with autogenous bone had a mean vertical bone gain of 5.02mm and mean percentage of 95%. Dr. Gabriel Yeung is a 2nd year postdoctoral student.

8 Virginia Dental Journal

METHODS: This study used data from the ongoing longitu­

dinal study on I\IIDDMand periodontal disease among a popu­

lation of Pima Indians. SUbjects were included who had 20

or more teeth, lost no teeth during the study and had less

than 25% radiographic bone loss at baseline. A total of 362

subjects were included, 338 who did not have I\IIDDM and 24


who did have NIDDM. The percentage of bone loss was

AIMS: To study the potential for periodontopathogenic or­

recorded on each tooth and given a score of 0-4. These

ganisms from tooth sites to cross-infect implant sites in the

scores corresponded to bone loss of 0%, 1-24%, 25-49%,

same mouth.

50-74%, and >75%. Change in bone score category was

METHODS: 9 subjects (I 5 teeth; 16 implants) with at least

computed as the change in worst bone score reading after 2

I ossteointegrated Branemark implant present for at least 2

years. Age, calculus, NIDDM status, time to follow-up exam,

weeks following stage" surgery were selected. Oral exami­

and baseline worst bone score were variables studied.

nation which included periodontal charting, presence of BOP,

RESULTS: Overall, a higher percentage of subjects with

suppuration and gingival reddness was performed for each

NIDDM showed an increase in worst bone score over the two

test site. Each test site was assigned to a clinical category

years of study. For subjects that experience bone loss,

based on the results of the oral exam: 1) healthy teeth (TH);

there is a tendency for the bone loss to be more severe

2) healthy implants (IH); 3) gingivitis teeth (TG); 4) periodonti­

among those with NIDDM. The cumulative odds ratio for

tis teeth (T p); 5) periodontitis implants (Ipj); and 6) ailing im­

I\IIDDM was found to be 4.23.

plants (IA ) . Plaque samples from both tooth and implant

CONCLUSIONS: The results of this study support the hy­

sites were tested for the following organisms using DNA pothesis that I\IIDDM is a significant risk factor for more se­

probes: Aa, Pg, Pi, Ec, Fn, Td, Cr. vere alveolar bone loss progression during a 2-year period of

RESULTS: The presence of Aa or Ec at the tooth site pre­ dicted the presence of the same organisms at the implant examination.

site 100% of the time. If Pi and Fn were found at the tooth site, there was an 83% and 87% chance, respectively that Bottom Line

they would be detected at the implant site. On an individual The results of this study support the hypothesis that NIDDM

basis, 5/9 subjects showed a high likelihood of transmission is a significant risk factor for more severe alveolar bone loss

from tooth to implant sites. The same 5 patients exhibited progression during a 2-year period of examination.

high numbers of periodontopathic organisms at their tooth Dr. Bijan Kooshki is a 1st year postdoctoral student.

test sites. DISCUSSION: The results of this study support the propo­ sition that transmission of periodontopathic organisms from periodontitis sites to implant sites in the same mouth is a likely event. Iyama S, Takeshita F, Ayukawa Y, Kido M, Suetsugu T, and

Tanaka T.

Bottom Line A study of the regional distribution of bone formed around

The results of this study support the proposition that trans­

mission of periodontopathic organisms from periodontitis hydroxyapatite implants in the tibiae of streptozotocin

induced diabetic rats using multiple fluorescent labeling and

sites to implant sites in the same mouth is a likely event.

confocal laser scanning microscopy.

.. I Periodontol1997; 68:1169-1175.

Dr. Tracy Ginsburg is a 2nd year postdoctoral student.

Gouvoussis J, Sindhusake D, Yeung S.

Cross-infection from periodontitis sites to failing implant sites

in the same mouth.

J Oral Maxillofac Implants 1997,12: 666-673.


Taylor GW, Burt BA, Becker MD, Genco RJ, Shlossman M.

Knowler WC, Pettit DJ.

Non-insulin dependent diabetes mellitus and alveolar bone

loss progression over 2 years.

..I Periodontol1998, 69: 76-83


AIMS: To extend previous findings on non-insulin dependent

diabetic Pima Indians and to test the hypothesis that per­

sons with non-insulin dependent diabetes mellitus (NIDDM)

have greater risk of more severe alveolar bone loss progres­

sion than do those without NIDDM over a 2-year period.

AIM: To compare the amount and regional distribution of

bone formation around hydroxyapatite (HA) implants in nor­

mal (control) rats with that of animals with diabetes mellitus

(DM), induced by streptozotocin.

METHOD: Ten male Wistar King A rats were divided into 2

groups of 5 each consisting of DM group and a control nor­

mal group. Blood was obtained twice from the tunica con­

junctiva palpebra, before implantation and at time of sacri­

fice to confirm whether or not diabetes had been induced.

Cylindrical dense HA implants (diam. 1.0 mm; height 1.5

mm) were inserted into the tibiae of all rats. The rats were

time labeled with fluorochrome by injecting with calcein, al­

izarin complexone, and tetracycline. At 28 days after im­

plantation, the animals were sacrificed and specimens were

fixed and processed for analysis under the confocal laser

scanning microscopy (CLSM).

Virginia Dental Journal 9

ABSTRACTS cont. RESULTS: In both groups, bone formation developed from the HA surface to the endosteum, periosteum, or bone mar­ row. In the control group, around the HA close to the endos­ teum and periosteum. the new bone showed an extensive lamination pattern of three color layers (CAL, AL, and TC), but in the DM group the labeling density of TC on the 21st day was low. In contrast, on the lateral part of the HA sur­ face (away from the endosteum and periosteum), there was considerably less bone formation in the control group, and in the DM group it was almost completely suppressed. CONCLUSION: Bone formation around the HA was initiated from the HA surface in the control group, while in the DM group. bone formation along the lateral part of the HA away from the endosteum and periosteum was almost completely suppressed. Bottom Line In both groups, bone formation developed from the HA sur­

face to the endosteum, periosteum, or bone marrow. In the

control group, around the HA close to the endosteum and

periosteum, the new bone showed an extensive lamination

pattern of three color layers (CAL, AL, and TC), but in the

DM group the labeling density of TC on the 21st day was

low. In contrast, on the lateral part of the HA surface, there

was considerably less bone formation in the control group,

and in the DM group it was almost completely suppressed.

Dr. John Lee is a 1st year postdoctoral student.

Ferreira C, Grossi S. Novaes A, Dunford R, Feres-Filho E.

Effect of mechanical treatment on healing after third molar


Int J Periodontics Restorative Dent 1997; 17: 25 1-259.

Abstract AIMS: To evaluate the effect of SRP in promoting healing on the distal surface of second molars after extraction of erupted third molars. METHOD: Twenty-eight patients with contralateral erupted third molars in need of extraction and periodontal lesions on the distal surface of the second molars participated in the study. Patients received oral hygiene instructions and moni­ toring for 3 weeks. Baseline measurements of PD, relative AL (RAL), BOP and the presence or absence of supragingival plaque were recorded. Contralateral sites were randomly assigned to experimental or control treatment. Experimen­ tal sites received extraction followed by subgingival SRP with Ia 13/14 Gracey curette. Control sites received extraction :only. Sutures were placed after extraction in both groups. Postoperative assessment was performed 2 months follow­ ling extraction and included all clinical parameters assessed lat baseline.

I 0 Virginia Dental Journal

RESULTS: Following treatment, the experimental sites showed 32% improvement in plaque accumulation compared to only 11 % in controls. BOP was reduced by 61 % in ex­ perimental sites versus 29% in controls. Experimental sites showed a 2.54 mm reduction in mean PD compared to only O. 73 mm in controls. Change in RAL was O. 62 mm in experimental sites versus 0.10 mm in controls. No differ­ ences were found between maxillary and mandibular sites. CONCLUSIONS: Experimental sites showed less plaque accumulation, less BOP, a greater reduction in pocket depth and a greater gain in attachment level compared to unscaled control sites. Bottom Line Scaling and root planing the distal surface of second molars after extraction of erupted third molars can result in less plaque accumulation (32% improvement in experimental sites vs. 11% in controls). less BOP (61% reduction vs. 29%) , a greater reduction in PD (2.54 mm vs. O. 73 mm) and a greater gain in attachment (0.62 mm vs. 0.10 mm) compared to unsealed control sites. Dr. Valerie Smith is a 1st year postdoctoral student.





Ii [I




Dr. Andrew B. Martott, Infection Control & Environmental Safety Committee Member Dental Care Workers continue to have an occupational risk be­ cause of infectious pathogens in the patient population. Our risk is similar to, but in some areas different than health care workers in general. This paper will discuss some of the most prevalent and important pathogens that we encounter. They include: viral hepatitis, HIV, tuberculosis, and two other less fre­ quent bacteria, methicillin resistant staphloccus aureas, and vancomycin resistant enterococcus. Hepatitis B continues to be the most threatening pathogen to which health care workers are exposed. Since 1990 over 600 health care workers have become occupationally infected. The vaccine for hepatitis B has been around since the early 80's and all health care workers including dental personnel should be vaccinated. Immunization with hepatitis B vaccine is consid­ ered to have occurred if a concentration of surface antibodies greater than 101UlL developed. Antibody levels are expected to decrease over time to even measures that are barely detect­ able. Current thinking is that for individuals that have measur­ able amounts of circulating antibodies, they are considered im­ mune. If personnel are exposed occupationally to a blood expo­ sure and do not have measurable antibodies, a booster is rec­ ommended. There appears to be a less than half percent chance (.05%) of somebody contracting hepatitis B, who has once had an measurable immune titer. Those individuals who do be­ come infected do not develop chronic or persistent hepatitis and they have a much milder course. Hepatitis C or non-A, non-B, as it used to be called, is also spread by a blood borne route. It appears to be on the increase among health care workers and dentists, especially in oral surgeons. There is currently no im­ munization available for hepatitis C. The disease seems to be less severe but is more likely to form a persistent or chronic state. There are 3 or 4 other kinds of hepatitis out there and they will be further defined as the viral information becomes avail­ able. Currently, there is a serologic test for hepatitis C and a serologic test for the delta antigen which is a protein portion of the viral hepatitis D particle. Universal precautions have been shown to be effective in lowering or precluding the transmission of these viruses in the dental setting. HIV has continued to increase in numbers through the United States and the world. Patients are living longer on the multiple drug therapies. Many of the individuals who are receiving mul­ tiple drugs have no measurable viral load. The patient's relative infectivity to health care workers and others, is thought to be proportionate to their viral load. However, the virus is continually mutating and becoming resistant to antiviral therapy. The con­ cern is those individuals who then start to produce a measur­ able viral titer represent evolving virus that is no longer sensitive to antiviral modalities. There is only one documented case of HIV transmission in a dental office and that was the Orlando dentist (Dr. Acer) who infected 4 or 5 of his patients. No other dental patient or dental health care provider has become in­ fected in the dental care industry. The salivary proteins tend to diminish the virulence of the virus and therefore, dental health care workers have very, very low risk for developing HIV from a occupational exposure. Post exposure of a dental health care worker to the blood or saliva of a known HIV+ patient should be considered for immediate prophylaxis based on the severity of the exposure and the viral status of the patient to which the worker was exposed. This should be started immediately with

verification of the patient's HIV status. This can best be accom­ plished by the internist who takes care of your overall health needs. Tuberculosis continues to increase in numbers since the early 90's. Additionally there appears to be an increase in multiple drug resistant mycobacterium tuberculosis. Dental offices con­ tinue to be a very low risk area for exposure to tuberculosis. Much different, for instance, than in-patient facilities that treat patients with acute tuberculosis infections. Certainly all dental health care workers should be tested annually for a change in their PPD skin test. Reactivity for those who have never been reactive suggest infection. A patient history will detect most individuals who are under active treatment or have been previ­ ously infected with tuberculosis. Review of a patient's medical history of cough, weight loss, and night sweats, suggest undi­ agnosed tuberculosis. Resistant organism strains are emerg­ ing, and tend to be most prevalent in nosocomial infections and institutionalized patients. In the age of increased antibiotic usage resistant bacterial patho­ gens are becoming more prevalent as nosocomial infections. The two most concerning strains of these organisms are methi­ cillin resistant staphloccus aureus, (MRSA) and vancomycin re­ sistant enterococcus (VRE). Hospital care workers can become occupationally infected and then represent a risk to their pa­ tients. The number of patients that are infected is small. (If you treat a patient with MRSA or VRE in your practice you should use universal precautions. Special room cleaning with a hospital grade glutaraldehyde solution and leave the wet surface to air dry. That should also be the last patient seen that day in that operatory.) All dental health care workers can reduce their risk for occupa­ tional infection by vaccination against (or have documented im­ munity to) hepatitis B, Influenza, Measles, Mumps, Rubella, and Varicella. Additionally frequent hand washing between patients, barrier techniques, universal precautions and removal of clinic attire after patient care is completed, further lower your risk for becoming occupationally infected.

Dr. Andy Martof of the Univeristy of Virginia (right), Dr. Julia Sharp of MCV(center), and VDA staff Elizabeth Keith (left) review some of the latest Natural Rubber Latex allergy find­ ings in the ADA News.

Virginia Dental Journal 11


You probably know that the ADA is explor­ ing the possibility of a national public awareness campaign to educate the pub­ lic about new dental techniques and pro­ cedures and to enhance the profession's image. At the direction of the 1997 ADA House of Delegates, a year-long member educa­ tion initiative on the campaign is now un­ derway. This year's House will vote on whether to proceed with the three-year campaign, beginning in 1999. Live presentations on the campaign, in­ cluding TV spots, magazine ads and in office materials, will be made in all 50 states. Virginia's presentation January13, 1998 was the first state presentation to take place. On Sunday, September 20 a second presentation will be given at the VDA Annual Meeting in Williamsburg. In addition, videos and printed materials ex­ plaining the campaign will be distributed to each state dental society, information and materials will be on ADA ONLINE (http://www.ada/org), and there will be cov­ erage in the ADA News. After a thorough screening process, the ADA selected Jordan Associates, an Okla­ homa City-based advertising agency, to develop and implement the campaign. "It is not the American Dental Association's intent to influence your decision on this important matter," says Dr. David A. Whiston, ADA president. "But with a pos­ sible price tag of $30 million annually for three years, this project merits your close study. We will try to provide all the infor­ mation that you will need to make an in­ formed decision, in the best interest of both your patients and the profession."

Research· Understanding Consumer Motivation Extensive research was conducted to identify the target audience, promotable services, leverageable messages, com­ munication effectiveness and motivation potential. From the research, the recommended tar­ get audience was identified as adults 25­ 34 (With a slight female skew); working parents (employed full- or part-time), and $30,000 plus annual household income. The research also established five areas

12 Virginia Dental Journal

that will provide direction for the proposed campaign: •

Concern for dental health is a national issue, regional differences are rela­ tively minor.

The mobility of Americans and the effect of HMOs can influence dentistry.

Several consumer attitudes act as barriers to regular dental care.

Consumer education can positively influence patients' desire for regular care.

Consumers are receptive to informa­ tion on new developments in dentistry, want to perceive dentists as health care providers, and are less recep­ tive to information about cosmetic pro­ cedures used to promote "superficial beauty."

Two conclusions drawn from the research are that the potential for a national cam­ paign is significant, and that such a cam­ paign can make a difference through posi­ tive education which could help change attitudes and provide motivation.

Creative Strategies ­ Communicate the Message The proposed campaign's key message is the importance of maintaining good oral health. This message will be supported by others that increases awareness of ADA member dentists, enhance the level of dental health relevance, focus on the latest preventive treatments, and stimu­ late a desire to explore cosmetic options. The messages are designed to achieve several objectives, the overall one being to increase public awareness, followed by creating a favorable predisposition to­ ward ADA member dentists and today's dental health options, peaking consumer interest in the latest procedures, and stimulating consumers to take action by asking ADA member dentists for more information about these procedures. The campaign is called "For Keeps" to build on the research-supported con­ sumer feeling that it is important to go to the dentist regularly to keep one's teeth. The creative implementation of the cam­ paign includes two 30-second TV spots emphasizing the relevance of dental health in people's lives and increasing receptivity to news about technology and services; magazine ads featuring more detailed information on the latest preven­

tive treatments and cosmetic procedures; and dental office merchandising materi­ als (brochure racks, posters and table tents) to remind consumers about what they have seen and heard in the campaign and to educate them about additional ser­ vices available. The imagery in the TV spots, a picket fence in one and piano keys in the other, is paired with scenes of friendly, professional den­ tists using current technology to commu­ nicate that dental advancements should be further investigated. The theme of the spots is "For the Look That Will Last," which reinforces the key message of "keeping your teeth" that consumer focus groups related to so strongly. Magazine ads in consumer publications (such as Newsweek, TIME, People, Fam­ ily Circle, Redbook, Parents) and news­ paper delivered magazines (such as Pa­ rade) will support the television advertis­ ing with more information, including urgings to consult an ADA member den­ tist, call an 800 number that will bounce to the state society serving the caller's area code, and visiting ADA ONLINE for a searchable member directory and more information. The campaign will further reach consum­ ers through quality in-office merchandis­ ing materials provided free to each mem­ ber dentist that will have the look of the TV spots and magazine ads and will prompt patients to ask for more information on treatments and cosmetic procedures.

Media Planning. Maximizing Investment It is recommended that the proposed pub­ lic awareness program run for a minimum of three years to gain sufficient exposure and message communication. At that point, based on similar campaigns, mes­ sage awareness could be expected to lead to changes in perceptions and atti­ tudes, which only then would result in a change in consumer behavior. The primary media objectives in the program's first year would be to provide national exposure for the message, maxi­ mize the efficiency of media purchases, and reach the most people possible, as many times as possible, These objec­ tives would be accomplished by heavy advertising in February, May and August on network and cable television and In Sunday magazine inserts, and by continu­

ous advertising in all months in various national magazines. TV spots would air an estimated 50 times in February, May and August; cable spots would air 45-60 times in those same months; Sunday magazine inserts would appear in 848 newspapers in those months, and na­ tional magazine ads would appear five to seven times each month of the year. The selection of February, May and August coincides with National Children's Den­ tal Health Month and planning for family activities at the end and the beginning of the school year respectively. Purchasing national network television ad­ vertisements is more efficient than pur­ chasing advertising on a market-to-mar­ ket basis because the ADA would get some 20 percent more for its money, and another 20 percent more in message ef­ fectiveness due to spots being placed at breaks in programs rather than between programs. The spots would appear in news programs, family-oriented com­ edies, dramas and movie specials As extensive as national network televi­ sion advertising is, the Sunday magazine inserts reach 69 percent of all U.S. house­ holds, which is the highest one-time reach of any media vehicle available. Cable television is seen as an excellent frequency medium because of its many loyal viewers tuning in to their favorite cable networks daily. And national maga­ zine advertisements reach targeted demo­ graphic groups and generate) high in­ volvement from readers taking an interest in relevant messages.

In-Office Material/Public Relations $240,000 Research $165,000 TOTAL 32.29 Million Media Commission Rebate $2.325 million Total Cost to ADA $29.965 million Thus, the ADA receives a $32 million cam­ paign for less than $30 million. Yes or No? It's Your Decision The ADA House of Delegates votes on whether or not to fund this campaign at the 1998 ADA Annual Session in San Fran­ cisco. Educate yourself about the campaign,discuss it with your fellow members, and let your opinion be known so that the House of Delegates can vote wisely when it meets in October.

The materials you see in reduced size to the right and below include still photos from a proprosed TV commer­ cial, a magazine ad, an advertising poster and table tent suitable for in­ office use and an in-office brochure rack.

In the first-year media plan, 63 percent of the budget would be allocated to network television, 17 percent to national maga­ zines, 8 percent to newspaper magazines, and 12 percent to cable television. In the first year, 97 percent of the target audience would be exposed to ADA advertising messages an average of 23 times. Budget Plan ­ Year One The budqet proposed for the first year of the proposed campaign is $30 million, to be allocated as follows:

Media $31 million Network TV Cable TV Newspaper magazines National Magazines

19.3 million 3.7 million 2.6 million 5.4 million

Creative/Production $885,000

Virginia Dental Journal 13

VDA JUNE COMMITTEE MEETINGS Dr. Thomas S. Cooke III, VDA Secretary-Treasurer The Virginia Dental Association June Committee Meetings were held June 12-14, 1998. The weekend was for both commit足 tee work and beach time. VDA committees met and presented their proposals and budgets for 1999. Dr. Charles Cuttino, VDA President-elect, met with the incoming Component Presidents for lunch on Friday and Dr. Wally Huff, VDA President, met with all VDA and Component officers on Saturday. He also hosted a cocktail party on Saturday night celebrating the birthdays of several of our members and spouses. This meeting, while important for the VDA, is also a lot of fun and a time when you can informally gather and renew acquaintances. It is open to all members and we hope to see more of you next year.

f Drs. Miller, Miller.and Miller? Drs. Mike and Benita Miller proudly show off the newest edition to the Miller family. Anne.



Dr. AI Rizkalla. chairman. and the Dental Health and Public Information Committee members discuss areas where their committee can get involved.

Dr. Richard Wood's children enjoy the President's Reception while Dad continues to talk shop.

Chuck Duvall, VDA lobbyist, gets the Legislative Committee up to date on legislative issues which affect the VDA.

Dr. Wally Huff. VDA President. responds to a comment during the Executive Coun足 cil Meeting.

14 Virginia Dental Journal




The following titles are available for you to check out at the Virginia Dental Association Central Office:

AUDIO VISUAL LIBRARY Dental Education for Children 1. The Barnyard Snacker 2. Dudley's Classroom Adventure 3. Toothbrushing with Charlie Brown 4. It's Dental Flossophy Charlie Brown 5. Flash that Smile 6. Showdown at Sweet Rock 7. The Munchers: A Fable 8. Dudleys Visit to the Dentist 9. The Haunted Mouth 10. Dudley and Dee Dee in Nutritionland 11. Brushing with Dudley and Dee Dee 12. Protect Your Winning Smile (Grade School)* 13. Protect Your Winning Smile (High School)* * Guide to Establishing Mouthguard Programs Available Child Abuse & Maltreatment 1. Child Maltreatment: Perspectives For the Dental Community 2. Conversations on Child Abuse & Neglect 3. Recognizing Child Maltreatment 4. The Visual Identification of Non-accidental Trauma

3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26.

Caregivers Guide to Oral Health Careers in Dentistry I Dentistry: Healthcare that Works DEA - A Profile Allied Dental Careers for your Future TV Spots for Dental Hygiene Video News Release on Health System Reform Dental Assisting Dental Assisting - A Career for You Safety in the Dental Office & Back to School Dental Exams Bottle Bills are History Speak Your Mind - PAC Video Trouble with Insurance Hard Talk about Soft Drink Taxes Portrait of the ADA ADA Walking Tour The Joan Beck Case: How Peer Review Works 60 Minutes Wisconsin Dental Association Commercial Spots 48 Hours: "Fatal Secret" ADA Action Teams: On the Front Line Issues in Managed Care for Dentists Membership That Matters (ADA) The High Road to Collections (I.C. System)

Smokeless Tobacco & Drugs 1. Smokeless Tobacco (Booklet "Up to Snuff") 2. DEA: Say No to Drugs (it's your decision) ADA Risk Management Series* (*booklet available) 1. Even Good Guys Get Sued 2. Risk Management Techniques for Endodontic Procedures 3. Professional Liability Aspects of the Doctor Patient Relationship 4. Diagnosing and Managing the Periodontal Patient 5. Risk Management Techniques for Oral Surgery Procedures Saliva in Oral Health 1. Saliva in Oral Health (Conference) 2. Saliva in Oral Health (Promo)

PMP 1. Perioral Musculature Phenomenon Part 1 2. Perioral Musculature Phenomenon Part 2

1. 2.

Miscellaneous Dental Amalgam & Alternative Restorative Materials Controlled Substances: Medicine or Drugs of Abuse

OSHA 1. ADA OSHA Infection Control in the Dental Environment Kit includes: • 2 Videos • "Principles and Fundamentals of Infection Control" • • • •

"Clinical Procedures" Infection Control Workbook Accepted Hand Antiseptics and Hand Cleaners Guide Answers to Your Legal Questions About OSHA

2. OSHA "WHAT YOU MUST KNOW" includes: • 2 Videos Part 1 & 2 •


Other Kits 1. Skills of Daily Mouth Care Kit includes: • Caregivers Guide Video

• • •

Xerostomia Memo "Caregivers Guide Booklet" "Oral and Dental Care Manual"

Virginia Dental Journal 15

2. Bite into Dental Health Kit includes: • Bite into Dental Health Video • Brochures on Elderly Oral Health • Activity Pages to be xeroxed

5. Personal and Professional Success Through Strategic Planning and Goal Setting 6. Practice Growth Through Partnerships. Group Practices and Shared Office Arrangements

• Posters • Announcement 3. Effective Infection Control kit includes:

OSHA: 1. Regulatory Compliance Manual With Updates a. Infection Control b. Hazard Communication c. Medical Waste Disposal

• •

Video Workbook SLIDES

1. Nursing Bottle Mouth 2. Nutrition and Oral Health Seminar 3. IPA Research - 1997 (Prepared by Dr. Fred Coots) • • •

Slides Script 1996 Statement of Antitrust Enforcement Policy in Health Care

Practice Management Series: 1. Successful Dental Office Design 2. The Successful Dental Practice: An Introduction

Feel free to call the VDA Central Office, if interested in checking out any of the above titles, 800-552-3886.


Dental Practice library: 1. Building A Financial Foundation for Your Practice 2. Building Successful Associateships 3. Computers in the Dental Office 4. Financial Management in the Successful Dental Practice

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References available.



16 Virginia Dental Journal

Virginia Dental Journal 17

EXECUTIVE COUNCIL ACTIONS IN BRIEF June 12 and 14, 1998 The Following Recommendations Were Considered: 10.

Approved a recommendation that the VDA Policy con­ cerning the administrative progression for presiding officer during elections will be the President, Presi­ dent-Elect, Secretary/Treasurer, and Immediate past­ President when the appropriate presiding officer is involved in an election.


illmroved a recommendation that the VDA Constitu­ tion and Bylaws be amended as follows:


Article VIII, Section 1. C. Administrative Standing Committees Strike out and renumber.

1. IlistOF1' aRd Necrology Committee Article IV, Section 4-C.g Insert the word and after Budget and Financial Invest­ ments Committee and delete the remainder of the sentence after Annual Meeting Committee to read as follows:


Article V Section 1. The number of Delegates to the House of Delegates of the American Dental Association is pro­ portional to the membership of this Association and is determined by the American Dental Association. The number of Alternate Delegates shall equal the number of Delegates. TAe Deal" of the MCV School of DeRtistry shall be reeommeFlded for nominBtiOA to seFde as aR AltemBte Delegate.

Add Section 4-C.k to read as follows:



18 Virginia Dental Journal

Approved a recommendation that the VDA Constitution and Bylaws be amended as follows: Article VIII, Section 4A.12 Strike out the last sentence and insert "the chairman shall be the most senior past president serving on the Committee." to read as follows: Article VIII Section 4 A. REGULAR STANDING COMMITTEES 12. Planning Committee a. Membership: This Committee shall consist of the President-Elect, four Immediate Past Presidents, and four members-at-Iarge, two who shall be appointed for two-year terms by the President-Elect. One of these at-large members shall have graduated from a dental school within the past ten years. The Committee shall from amoRg t"'e four elect its OWl" ChBirmaA aAFlually Past PrcsideFlts. The Chairman shall be the most se­

Article VIII, Section 4 C. ADMINISTRATIVE STANDING COMMITTEES Strike out and renumber History aAd ~4ecrology Committee a. Members~ip: T~is Committee shall cOAsist of at least eight memoers, iRcludiAg ORe represeAtati'v'e from each compoFleFlt society aAd such other mem Bers of t~e AssociatioFl as may show a sf}eeial inter est aFld be appoiRted by the PresideAt. ORe of these may be especially desigMted as IlistoriaR by the President. The Secretary Treasurer shall Be aR ex official member of this Committee.

illm.royed a recommendation that the VDA Constitution and Bylaws be amended as follows: Strike out last sentence under Article V, Section I to read as follows:

g. Serve as an ex officio member of the Budget and Financial Investments Committee and the An­ nual Meeting Committee. aAd t~e Histm'y' aAd Necrol ogy Committee.

Perform the duties previQuslv assigned to the History and Necrologv Committee including the fol­ lowing: stimulating interest in outstandinQ personali­ ties and events in Virginia dentistry Qf the past: f3rranlJ­ ing the commemoration of such events Qr persons through publication of articles or the placing of suit­ able memorials; collection and preservation of items of histQrical interest in Virginia dentistry; reviewing questions involving conflict of views or facts in Vir­ ginia dental history; and publishing or seeking publi­ cation of various historical accounts of general inter­ est to the public and profession. The SecretarylTreasurer shall report to the Annual Meeting all deaths of members of the Association during the year and handle appropriate correspondence with the families of these members,

Duties: The duties of this Committee shell iA elude the follo"iAg: stimulating interest iA out staAdiFlg persoAalities aRd e'veRts iA VirgiRia deAtistry of t~e past; arraAgiAg for the com memoratioA of sue'" eveAts or persoRs through publicatioFl of articles or the placiFlg of suit able memorials; eollectioA aAd preseFdation of items of "'istorical interest iR VirgiAia deFl tistry; review'iAg questioFls iA'v'ol'v'iRg cOAflict of views of facts iA VirgiFliB deFltal history; aAd publis~iRg or seel<iFlg puolicatiOR of vBrious historical accouFlts of geReral iAlerest to the public aRd professioA. This Committee shall report to the AFlAual MeetiRg all deaths of members of the AssociatioFl duriAg t"'e 1'ear. The Committee ChairmaR shall haAdle af} propriate correspoAdeAee with t~e families of these memoers.!

nior past president serving on the Committee. 14.

Approved a recommendation that the VDA Constitution and Bylaws be amended as follows:

the definitions of Dentistry and the Special Areas of Dental Practice Be recognized by state dental licensing boards and included in the rules and regulations of said boards;

Article VIII Section 1 A. Regular Standing Committees Addition of Dental Continuing Education Committee In­ sert after 15 to read as follows:

THEREFORE, be it resolved that the Virginia Dental Association, in concert with the eight recognized Spe­ cial Areas of Dental Practice, respectfully request that these definitions be adopted by the Virginia Board of Dentistry and incorporated into the rules and regula­ tions of the Board.

15. Dental Continuing Education Committee Article VIII Section 4 A. REGULAR STANDING COMMITTEES Insert 15 to read as follows: 37.

Approved a recommendation that the VDA fund a total of $1,300.00 for the VDA Science Talent Award Pro­ gram, in order to recognize the sixteen program semi­ finalists and a $50.00 award each, in addition to the $500.00 Malbon Prize.


Approved a recommendation that the VDA's upcoming Annual Meeting schedule be confirmed as follows:

Dental Continuing Education Committee a. Membership: This Committee shall consist of 10 members including one representative from each component society and 2 members from the MCVNCU School of Dentistry. b. Duties: Establishment of continuing edu­ cation programs for member dentists and their staffs: monitoring VDA's central calendar of all continuing education programs in Virginia: continual review of new technological ad­ vances in CE presentations: and serve as a repository for potential CE speakers.

1998 1999 2000 2001 2002

Colonial Williamsburg Lodge Williamsburg Hyatt Regency Reston Colonial Williamsburg Lodge Williamsburg Crystal City Hyatt Regency Marriott Norfolk


Approved a motion that there be a regular agenda item of the Executive Council that the Chairman of the VDA Delegation to the ADA House of Delegates, or a mem­ ber of the VDA Delegation, give verbal and written re­ ports to the Executive Council of the position and re­ sults of the prioritized issues that have been or will be voted upon at the ADA House of Delegates meeting.

Approved a recommendation that the VDA House of Delegates approve the ADA National Awareness Cam­ paign at the VDA House of Delegates Second Session Sunday, September 20, 1998.


Approved a recommendation that the Executive Coun­ cil refer the definition of the Affiliate Staff/Surviving Spouse membership classification to its legal counsel for review and its recommendations.

The Executive Council recommends adoption of the above recommendations by the House of Delegates.


Approved a recommendation by the Dental Benefits Program Committee that the VDA contact the ADA to explore the possibility of establishing a COT Code (fac­ ulty code) for Mobile Dental Services.


Approved a recommendation that in 1999, the annual meeting registration fees for hygienists, dental assis­ tants and office staff be increased by $5.00 on and off site. All other fees will remain the same.


Approved a recommendation that the 1999 Virginia Dental Association Proposed Budget be approved as presented.


Approved a recommendation that the 1999 Direct Re­ imbursement Proposed Budget be approved as pre­ sented.


The Following Recommendations Were Approved: 34.

Approved a recommendation that the editorial in the CURET newsletter and the response by the VDA Sec­ rstary/Treasurer be published in the VDA Journal.


Approved a recommendation that the VDA President present the VDAA President a $500.00 donation to the ADAA Foundation in honor of the 50th anniversary of theVDAA.

VSOMS DDS-VDA DDS - Non VDA DDS - Non ADA Hygienists

Approved a recommendation that the following Reso­ lution be presented to the Virginia Board of Dentistry:



WHEREAS, the 1997 House of Delegates of the Ameri­ can Dental Association adopted a definition of Den­ tistry; and WHEREAS, definitions of the eight recognized Special Areas of Dental Practice have been adopted by the American Dental Association; and WHEREAS, it is both informative and appropriate that

$ 90

Office Staff - Non VDAA 43.

90 190 290 50 20 20

$140 140 240 340

60 30 40

AQRroved a recommendation that each component's VDA delegates and alternate delegates participate in a phone survey asking VDA members their views regard­ ing the ADA Public Awareness Campaign. The callers should also update other information beneficial to the VDA, such as fax numbers, etc. This effort should be coordinated by the VDA Membership Committee.

Virginia Dental Journal 19


Approved a recommend that the VDA sponsor an ADA Peer Review Assistance Workshop at the January 1999 Committee Meetings. If possible, the Commit­ tee asks that the workshop be open to all VDA mem­ bers and that consideration be given to continuing education credit for this program.


3. 45.



Approved a recommendation that the Planning Com­ mittee, in consultation with other association re­ sources, will be the planning and implementation source for the ongoing development of non-traditional accredited dental hygiene educational programs within the Commonwealth. Approved a recommendation that the general mem­ bership approve the ADA National Awareness Cam­ paign at the VDA General Business Meeting Sunday, September 20, 1998. Approved a recommendation that the by-virtue seats will be elected en masse after all other elections are held.



Received as information only the Committee For Di­ rect Reimbursement decided to renew its member­ ship in the ADRP for 1999.


Received as information only that the Committee For Direct Reimbursement will continue Direct Reim­ bursement advertisements in the Virginia Health Care Buyer and the Virginia Business Magazine.


Received as information only that whereas the latex allergy issues, OSHA bulk mercury collection and other concerns have legal ramifications, the Infection Control and Environmental Safety Committee requests that the VDA subscribe to the ADA Legal Advisor Pub­ lication and that this publication be made available to the Committee.


Received as information only that whereas bulk mer­ cury collection programs have been shown to be able to reduce free unused mercury from the dental office environment, the Infection Control and Environmental Safety Committee will further investigate the possibil­ ity of initiating a bulk mercury collection project in the state of Virginia.


Received as information only that the Infection Control and Environmental Safety Committee approved that the summary report developed by Dr. Andrew Martof on infectious diseases affecting the health of dental care workers be considered for publication in the Vir­ ginia Dental Journal.


Received as information only that the Legislative Com­ mittee continues to monitor the following legislative issues:

The Following Recommendation Was Referred To Committee:


Referred to the Constitution & Bylaws Committee a recommendation that the Fellows Committee be as­ signed to the "other Committee" category, comparable to VADPAC, with all appropriate rights and privileges.

The Following Recommendations were Received as Infor­ mation Only:


The following slate of names were submitted by the Nominating Committee for nomination at the 1998 Annual Session Sunday, September 20, 1998 at the Williamsburg Lodge, Williamsburg, Virginia: President-Elect:

Dr. Daniel E. Grabeel Dr. Andrew J. Zimmer

Member-At-Large, Executive Council: Dr. William J. Viglione Dr. Gus C. Vlahos Dr. Richard H. Wood


ADA Delegate: (3 yr. 1999-2000-2001)

Dr. David C. Anderson Dr. Charles L. Cuttino III Dr. Wallace L. Huff

ADA Alternate Delegate: (2 yr. 1999-2000)

Dr. Anne C. Adams Dr. Bruce R. DeGinder Dr. Rodney J. Klima Dr. Edward J. Weisberg

Received as information only the Constitution and By­ laws Committee was unable to create meaningful lan­ guage for the creation of an affiliate staff/surviving spouse membership category, due to the following considerations: 1.

Are the parameters of affiliate staff and sur­ viving spouse the same? We feel that there

20 Virginia Dental Journal

should be greater limits established for affili­ ate staff than surviving spouses. This is a legal question. The name of the membership category is confusing and difficult to define. This is an­ other legal question. The word affiliate is confusing and difficult to define. This Committee recommends that VDA le­ gal counsel should review the language of this membership category.

Assignment of Benefits Dental Services Medicaid Reimbursement Rate Reimbursement For General Anesthesia For Spe­ cial Needs Dental Care Dental Hygiene Funding Point Of Service 18.

Received as information only from the Membership Committee a recommendation that the VDA recog­ nize components with the lowest percentage of non­ renewals and the components with the highest per­ centage of increase in new members in a Virginia Dental Journal membership article.


Received as information only that in the event that the VDA survey continues to demonstrate a high level of interest in an awareness campaign, and the ADA Pub­ lic Awareness Campaign does not take place, the

Dental Political Action Committee:

VDA Membership Committee will establish a subcom­ mittee to gather preliminary information on the devel­ opment of a statewide public awareness campaign. 20.



To amended Section 2 to read as follows: Section 2- Candidates for membership

Received as information only that the Peer Review Committee would like to conduct a one-day Peer Re­ view Assistance Workshop at the January 1999 Com­ mittee Meetings.

Candidates for membership shall be subject to ap­ proval by the Board of Directors and to the payment of prescribed minimum dues annually. Categories of dues shall be established bv the Board of Directors as theY deem appropriate.

Received as information---.illliY that the Planning Com­

mittee directs the Chairman of the Committee with the

President and President-Elect of the VDA to:

A Solicit information personally from those ac­

tively engaged in non-traditional dental hygiene education programs (i.e., Wisconsin, Ken­ tucky, etc.). B. Meet with Dr. Oliver of the Community College System to discuss such programs. C. Meet to review such meeting, information, etc. and develop with input of the Planning Com­ mittee, an action plan to be submitted to the Executive Council and VDA House of Del­ egates at next meeting in September 1998. Received as information only that the Dental Delivery For The Special Needs Patient Committee would like to establish an annual community service award to rec­ ognize an individual who meets certain criteria to be established by the Committee at a later date. The Com­ mittee is encouraging the membership through their respective Committee Chairmen to bring forward names and biographic information as possibilities for the naming of the award.

SectioA 3 Dues - Delete Dues shall be: Active Membership $5B $100 (plus Active CommOA'Nealth Club Membership Dues) Section 4 - Contributions Renumber to Section 3 ­ Contributions Contributions to VADPAC shall be subject to the ap­ proval of the Board of Directors and such funds shall be disbursed at its discretion. In accordance with the Constitution and Bylaws of the Virginia Dental Political Action Committee, a written copy of these amendments will be mailed to the full commit­ tee for their approval. 25.

Received as information only that beginning 1999, ac­ tive VADPAC membership dues will be increased from $50 ($25 VADPAC and $25 ADPAC) to $60 ($35 VADPAC and $25 ADPAC).

The Following Was Postponed Definitely:



Received as information only that the Dental Delivery For The Special Needs Patient Committee would like the names of dentists who volunteer in free clinics to be published annually in the Virginia Dental Journal. Received as information only that the VADPAC Com­ mittee recommends the following amendments be made to the Constitution and Bylaws of the Virginia


Postponed definitely to the next meeting of the Execu­ tive Council a recommendation that the VDA allow for monthly payment of membership dues through bank draft or credit card beginning in the year of 1999. This will allow the Secretary-Treasurer time to determine the financial impact and if such a monthly system can be implemented.

Looking for info on upcoming CE courses?

What's happening at the VDA?

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questions... and much, much more.

Virginia Dental Journal 21

Colonial Williamsburg Lodge

September 16-20,1998

Greetings from the Annual Meeting Chairman

Dear Members, On behalf of the members of the Annual Meeting Committee, I would like to invite all of you to Colonial Williamsburg for the 129th Annual Meeting of the Virginia Dental Association. This session promises to be exciting and educational. We will kick off this session with a Golf and Tennis tournament at the Golden Horseshoe on Wednes足 day. The House of Delegates will meet on Thursday morning with Reference Committee meetings in the afternoon. The Grand Opening Membership Session will be held Thursday evening followed by the opening of the Exhibit Hall and a Member's Reception. We are very fortunate to have Dr. Frank Spear and Dr. Robert Winter speak for two days on the "Art and Science of Exceptional Restorative Dentistry." Dr. Lynn Mouden will also speak on the topic of recog足 nition and prevention of child abuse. Friday evening will be quite special with the introduction of the 1st Annual Casino Night. All proceeds from this event will benefit the Virginia Dental Association Foundation. Participants will enjoy food, fellowship, and an opportunity to win many wonderful prizes. Several prizes include: a free weekend and brunch for two at the Virginia Beach Resort and-Conference Center, a framed original Water Color painting by Dr. Baxter Perkinson, burr kits from Brassier, a handpiece from Adec, and many more. Saturday evening we will honor Dr. Wally Hufffor his year as President of the Virginia Dental Association with a dinner and dance. The entertainment for the evening will be "Baby Huey and the Babysitters". The meeting will conclude on Sunday with the General Membership Meeting, election of new officers, and House of Delegates second Session. Discussion surrounding the national public awareness campaign as well as other important matters of the Association will be debated throughout the weekend; therefore, it is very important that you attend as we, the VDA, 'prepare for revolutionary change.' Looking forward to seeing you in September,

Ralph RalphL. Howell, Jr., D.D.S.

JUSTAREMINDER.." The 1998 VDA Annual Meeting planned for September 16-20,1998 in Williamsburg promises to be a well attended event. An outstanding CE Program and discussion on the proposed ADA Public Awareness Campaign should bring out our members in large numbers. All exhibit space was sold out by May! This is great for our meeting but will undoubtedly cause a problem with room availability. Be aware of this and make your reservations early. Hope to see you there.

e.: Bruce Hutchison, D.D.S.

VDA Annual Meeting Committee Chairman

22 Virginia Dental Journal


Schedule of Events WEDNESDAY, SEPTMEBER 16, 1998 8:00am Executive Corrunittee Meeting 11:00am Golf Exhibition l2:30pm Golf Tournament 1:OOpm Registration and Ticket Sales Tennis Tournament 2:00pm 5:30pm Golf & Tennis Reception THURSDAY, SEPTEMBER 17, 1998 8:00am 8:00am 8:00am 1O:00am 1O:30am l2:00pm 1:30pm 5:00pm 6:15pm 7:30pm

Registration and Ticket Sales Board of Dentistry Meeting Executive Council Meeting Credentials Committee VDA House of Delegates VDA Fellows Luncheon VDA Reference Committees 129 th Annual Meeting Opening Session Exhibition Hall Opens/Member's Reception American College of Dentists Dinner & Dance

FRIDAY, SEPTEMBER 18,1998 7:00am 7:00am 7:30am 8:00am 8:30am 9:30am lO:OOam 11:30am 11:30am 1:30pm 1:30pm 1:30pm 4:30pm 4:30pm 5:00pm 5:00pm 7:00pm

Registration and Ticket Sales Risk Management Course Virginia Academy of General Dentistry Breakfast Board of Dentistry Meeting Spear Course - Art and Science of Exceptional Restorative Dentistry Alliance Meeting Exhibition Hall Opens Luncheon for Leaming ADA 16th District Delegation Meeting Spear Course - Art and Science of Exceptional Restorative Dentistry Mouden Course - How the Dental Team Succeeds at Preventing Child Abuse & Neglect Virginia Association of Orthontists Board Meeting Constitution & Bylaws Corrunittee Meeting Virginia Academy of General Dentistry Board Meeting Reception with Exhibitors P.A.N.D.A. Coalition Casino Night

SATURDAY, SEPTEMBER 19,1998 6:30am 7:00am 7:30am 8:30am 8:30am 9:00am lO:OOam 11:30am l2:00pm 1:30pm 1:30pm 2:00pm 4:30pm 6:30pm 7:30pm

Fun RunlWalk Registration and Ticket Sales International College of Dentists Breakfast Winter Course - Art and Science ofExceptionaJ Restorative Dentistry Mouden Course - Dentistry's Involvement in Preventing Child Abuse & Neglect Alliance Business Meeting Exhibit Hall Opens Pierre Fauchard Academy Luncheon CDHS Luncheon & Annual Meeting Winter Course - Art and Science of Exceptional Restorative Dentistry Endodontist Meeting DANB ICE Examination Relief Foundation Board Meeting VDA & MCV Reception President's Banquet & Dance

SUNDAY, SEPTEMBER 20, 1998 7:00am 8:00am 8:00am 8:30am 10:00am 1:00pm

VADPAC Breakfast Registration VDHA Board Meeting VDA Annual Business Meeting House of Delegates Executive Council

Virginia Dental Journal 23


In The Virginia Curet, Vol. 21, No.1, March 1998, the newsletter of the Virginia Dental Hygienists' Association, the following statements were made by the VDHA Past President, Debbie Nastelli: "1. VDHA does support local anesthesia for dental hygienists UNDER THE DIRECTION of a dentist. In fact, in May 1996 all licensed RDH in the Commonwealth were surveyed on this issue. Of those who responded 47.5% were not mem足 bers of ADHA. VDHA mailed 2196 surveys, 525 were returned with 88.19% in favor of local anesthesia for dental hygienists. 2. At the American Dental Association meeting in Oct. 1996, VDA passed three resolutions supporting the establishment of non-accredited dental hygiene programs based on a preceptorship model. (See Ladder to Preceptorship) One of these resolutions was submitted by the Virginia Dental Association. 3. VDHA does not support independent practice, in fact, policy was adopted against this in 1983. VDHA does however, support other states rights to change restrictive requirements and open access to care. 4. VDHA neither supports nor opposes managed care, this is an individual decision that must be made on quality of care. This is a choice your employers makes whether or not to participate in managed care as they are the ones who sign the contract with the managed care company. 5. VDHA was not present at the Senate Education and Health Committee meeting in October 1996 urging the passage of House Bill 826 which removed the post test because in August 1996 testimony was sent to Del. Ruff not opposing this legislation therefore permitting the use of our legislative dollars elsewhere. 6. The Commonwealth Dental Hygiene Society mailed a newsletter to all licensed hygienists in the Commonwealth. The questions that were asked on local anesthesia have been answered many times over. The survey results that were printed never stated how hygienists were surveyed, what organization did the respondents belong to, how many re足 sponses did they receive. The lack of information makes this an invalid survey. Also this small group of hygienists share the same bulk mail permit number as the Virginia Dental Association." In response to the above statements, VDA Secretary-Treasurer Dr. Tom Cooke addressed the following letter to Debbie Nastelli: Dear Ms. Nastelli: I read with some interest and disappointment your last President's Message in The Virginia Curet. In the letter you made six points and I would like to respond point by point. 1. The VDA and VDHA will have to agree to disagree on the issue of anesthesia. 2. At the ADA meeting in October, three resolutions were passed concerning hygiene programs but only one had non足 accredited language. A resolution was submitted by another state in the Sixteenth District, not by Virginia. The Virginia Delegation did manage to get the language changed to say accredited programs. The VDA does not support the establishment of any non-accredited hygiene program. The model is based on the Wisconsin, not Alabama model. 3. While the VDHA may not support independent practice, the ADHA has publicly stated this as their goal. 4. Again, the stated policy of the ADHA is to support managed care. 5. We are glad that we were able to help in getting the post-test legislation changed, we realized it was demeaning to hygienists. 6. I'm not sure why this has been brought up again, both you and your lobbyist have been informed that we do not pay any CDHA bills. They use the same mailing service and the permit belongs to that service, not the VDA. The organizations are billed separately. The letter ends stating that no matter how many times the facts are published, they get lost or misconstrued. Recent events have worked to separate the VDA and VDHA and this is both counterproductive and distasteful. It seems that the misrepresentation of facts in The Virginia Curet will serve to accelerate this process rather than prevent it. I hope we can come to some common ground and develop dialogue that will bring our two organizations closer together- I will sincerely work to this goal. Sincerely, Thomas S. Cooke III SecretaryfT reasurer Virginia Dental Association

24 Virginia Dental Journal






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MCUNCU NAMES NEW DENTAL DEAN Thomas Burke, VCUlMCV School of Dentistry Assistant Dean Virginia Commonwealth University has named Dr. Ronald J. Hunt as the fourteenth Dean of the School of Dentistry. Dr. Hunt will assume his responsibilities on September 1. He succeeds Dr. Lindsay M. Hunt, who is stepping down after 13 years service to the School. Dr. Ronald Hunt comes to the Medical Campus of VCU from the University of North Carolina at Chapel Hill, where he is Professor and Associate Dean for Academic Affairs at the School of Den­ tistry. Dr. Hunt received his DDS degree in 1973 from the University of Iowa. Upon graduation, Dr. Hunt established a private dental practice in Iowa before pursuing a career in public health and dental education. He completed a master degree in dental public health in 1982 from the University of Iowa. Dr. Hunt is a board-certified public health dentist, and has held academic and administra­ tive positions in the dental schools at both the University of Iowa and the University of North Carolina. Since 1983, Dr. Hunt has been an active dental educator, researcher, clinician, and administrator. His teaching expertise includes courses in epidemiology, dental public health, and research meth­ odology, while also conducting research aimed at the evaluation of oral health and oral disease in older adults. Having conducted both federally and commercially funded research projects, Dr. Hunt has also published more than 40 scientific papers in the dental and public health literature.

Dr. Ronald J. Hunt

During the 1995-96 academic year, Dr. Hunt led the UNC School of Dentistry's self-study and reaccreditation process for its predoctoral, advanced, and allied dental programs. Dr. Hunt was awarded a prestigious William J. Gies Educational Fellowship at the American Association of Dental Schools in Washington, D.C., where he researched and studied issues affecting dental school faculties. Recently, he spearheaded the development of the school's Electronic Course Syllabus for DDS students at UNC. At VCU, Dr. Hunt will be named the Harry Lyons Professor in the School of Dentistry and Professor of Preventive Medicine and Community Health in the School of Medicine. "I plan to focus my initial efforts on strengthening the research enterprise, increasing diversity, bolstering the scholarship in graduate programs, and completing the renovation of several clinical and preclinical facili­ ties. Maureen and I are looking forward to becoming part of the VCU, VDA, and Richmond communities."



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26 Virginia Dental Journal




!! GILMORE NAMES BOARD APPOINTEES ( .•-.-----..- ----..--..-.;,;.,.;.,~~~~;;;.;;;;~.;.;;;;;;;;;;;;~~~~~~~~~~;;;;;;;;~;;;;o;;;~~;;;;o;;;;;;;o;;;~~~;;,;;;;;;~~~~....~~~!.! Governor James S. Gilmore III appointed Dr. Richard D. Wilson to the Virginia Board of Dentistry. Dr. Wilson has been in the private practice of general dentistry in Richmond since his graduation from Temple University School of Dentistry in 1958. He has recently completed 29 years as Clinical Profes­ sor at the Scool of Dentistry, VCU and has just finished four year terms on the ADA Council on Dental Education and the Commission of Dental Accreditation, the last two years serving as Chair of both.

Dr. Wilson plays an active role at various levels of organized dentistry, including Fellow of the American College of Dentists, Fellow of the VDA, and delegate to the American Dental Association House of Delegates. He also served eight years as the Editor of the Virginia Dental Journal. Dr. Wilson is married and the father of five children. Governor James S. Gilmore III appointed Dr. James R. Schroeder to the State Board of Health. Dr. Schroeder is in the private practice of general dentistry in Richmond. He received his D.D.S. degree from MCV/vCU School of Dentistry and completed his residency program at UVA. Dr. Schroeder served as Secretary-Treasurer of the Richmond Dental Society and is part-time faculty at MCV/vCU School of Dentistry. Dr. Schroeder currently serves as Chairman of the Chesterfield County School Board. He is married with four children and resides in Chesterfield County.

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Virginia Dental Journal 27

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28 Virginia Dental Journal

lliFROM THE EXECUTIVE DIRECTOR. ·~t While it is certainly true that the volume of incoming calls from members is greatly reduced after we pass Independence Day, the dog days of summer are but a staging area for the Virginia Dental Association Fall Tour. The VDA June Com­ mittee Meetings and the Annual Sessions of the Virginia Association of Orth­ odontists and the Virginia Society of Oral & lVIaxillofacial Surgeons are (mostly) pleasant memories; we have now turned our collective attention to September, October and November. Registration materials for the 129th Annual Meeting of the VDA will reach you prior to this issue of the Journal. We anticipate a very full house; the trade show has been sold out since April and Liz Keith could fill another forty slots if the space were available. We have added additional rooms in the Providence Wing of the Inn and at both the Woodlands and the Governor's Inn, since our block appears to be filling fast. The Annual Meeting really is outgrowing a number of our traditional venues. As this is written, we are preparing to finalize materials for the 27th Meeting of the VDA House of Delegates. Speaker of the House Christy Hamlin and Bonnie Anderson work throughout the year to insure that all appro­ priate business is placed before the House in proper form, as well as helping to assemble the various groups and committees which assist in the operation of the House. The effort and attention have certainly been visible in the last several sessions. Several VDA staff members will participate in ADA Management Conference week activities in mid-July. Lisa Finnerty has been invited to participate in the ADA Contact Program, which provides a complete orientation to ADA operations and a chance to meet with ADA staff from all areas. The Contact Program was originally designed for Executive Directors, but has been expanded to include key staff members. Lisa will also attend the Management Conference sessions. Connie Jungmann will also attend Management Conference ses­ sions and will participate in the Micro-Membership Users Group meeting and the ASCDE (Executive Direc­ tors) meeting. Ronya Edwards will join me after the abovementioned meetings for the For Profit Subsidiaries Conference. In addition to giving the VDA a place at the table, which is essential, these meetings increase the background and expertise of the staff serving you, the membership. Before August is over, VDA leadership and staff will participate in the ADA Direct Reimbursement Days Con­ ference and the Annual Presidents Conference, as well as Component Meetings in both Southwest and Tide­ water Virginia. I will attend the Annual Meeting of the American Society of Association Executives in Nashville, the Association Executives version of the ADA Annual Meeting. VDA will also host a DMAS Advisory Council meeting and the semi-annual Staff Council, not to mention the ever-increasing business of the VDSC. So, while things may slow down on the telephone lines, the activity level of the VDA continues at a relatively fast pace. A (mostly) pleasant digression, if I may (I may, it's my column): As the attendees at the VSOMS AnnuallVleeting settled in the IMAX theater at the Virginia Marine Science Museum to watch Rodney and friends seek the Great White Shark, a young lady very confidently extended a special welcome to the "Virginia Society of Oral & Malfacial Surgeons." It certainly makes more sense to me than that tongue-tying "maxillo" thing. Onward to September ... Regards,

William E. Zepp, CAE

Executive Director

Virginia Dental Journal 29






presented by

Mercy Medical Center Dental Division &

Maryland Academy of General Dentistry Continuing Education Program

John Hammer, DDS - Private practice periodontics, Denver, Colorado. Benjamin E Hammond, DDS, PhD - Medical College of Pennsylvania and Temple University School of Dentistry. Walter Loesche, DDS, PhD - Marcus Ward Professor of Dentistry, School of Dentistry and Professor of Microbiology and Immunology, School of Medicine, University of Michigan. Lawrence R. Page, DDS, PhD - private practice periodontics, Ellicott City, Maryland. Attending Periodontist, Mercy Medical Center. Clinical Professor Periodontology, Temple University School of Dentistry. Thomas E. Rams, DDS, MHS - Professor and Chairman, Department of Periodontology, Director Oral Microbiology Testing Service Laboratory, Temple University School of Dentistry.

Controlling periodontal infections may reduce the risk of death from heart attack and stroke, pregnancy complications as well as loss of teeth. Anti足 infective periodontal therapy is a strategy which will readily achieve this goal without traditional pocket resective surgery. Radiographic and probing depth comparisons of long-term results over 4-16 years of anti-infective periodontal therapy will be presented. In addition to a review of the biology of disease, this course introduces you to using diagnostic microbiology and anti-microbial agents as well as mechanical methods to predictably control pathogenic periodontal infections. Friday, August 28, 1988, 8:30am-5:30pm

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Sept. 9, 1998

Southside (3)

Business Meeting Country Club of Petersburg

Sept. 16-20, 1998


Annual Meeting

Williamsburg Lodge, Williamsburg

Sept. 16-20, 1998


Annual Meeting

New Orleans, LA

Oct. 24-28, 1998


Annual Session

San Francisco, CA

Oct. 30, 1998

Tidewater (1)

CE Program


Dr. Joe H. Camp, "Management of Traumatic Injuries & Pulpal Involvement of Primary and Young Permanent Teeth"

Lynchburg Hilton

Dr. David A. Felton, "Update in Fixed Prosthodontics"

VDA co-sponsored

Oct. 30, 1998

Peidmont (5)

CE Program VDA co-sponsored


Drs. Frank Spear & Robert Winter and Dr. Lynn Douglas Mouden

Nov. 13,1998

Southwest (6)

CE Program

Donaldson Brown ConferenceCenter, Blacksburg

Dr. Hugh Doherty, "How to Play the Game of Business....and Win!"

Dec. 4, 1998

Richmond (4)

CE Program

TBA, Richmond

Dr. Ross Nash, "Esthetic Dentistry"

Feb. 5, 1999

Richmond (4)

CE Program

TBA, Richmond

Dr. Charles Blair, "Practice Finances"

March 6, 1999

NOVA (8)

CE Program


Dr. John Svirsky

Newport News

Dr. John Svirsky

VDA co-sponsored

March 12, 1999

Peninsula (2)

CE Program VDA co-sponsored

March 12, 1999

Southwest (6)

CE Program

Van Dyke Center, Emory

Dr. Jeffrey Hutter, "Facial Space Infections of Dental Origin & Traumatic Injury Update"

March 26, 1999

Richmond (4)

CE Program

TBA, Richmond

Dr. Dan Fisher, "Everyday Adhesive Dentistry"

Apr. 3D-May 1, 1999

Piedmont (5)

CE Program

The Homestead

Dr. Daniel Becker, "Update in Pharmacology for the Dentist"

May 14-16, 1999

Southwest (6)

CE Program

Pipestem State Park, Pipestem, WV

Dr. Dave Chance

Aug. 13, 1999

Southwest (6)

CE Program

Higher Educational Center, Abingdon

Dr. Samuel B. Low, "Successful Management of the Perio Patient"

Donaldson Brown ConferenceCenter, Blacksburg

Dr. Michael V. Dishman, "Bleaching & Cosmetic Dentistry"

VDA co-sponsored

Nov. 12, 1999

Southwest (6)

CE Program

AIDA C-E-R.-P CONTINUING EDUCATION RECOGNITION PROGRAM -roE.- \fut I:. r~C(Jor,;zec: C:, c. '::':t:.,.~ :flee' spon.::;~ C路 cor:li~-i,J'r;c ocnrc ::'=J::0颅 ~ iCJr, :)1' :Jo-r' ~roE:"A~f C::::RC :.;n:. -cn,;_ h::Clocrr'路 c': ,;.~~n::.:-c ~~~n-+:Si'-'\

Virginia Dental Journal 31

LEGISLATIVE UPDATE Chuck Duvall, Jr., VDA Lobbyist

Lisa M. Finnerty, VDA Public Affairs Coordinator

Though everyone's attention is focused on vacations and the 1999 session of the Virginia General Assembly seems like a distant thought, VDA is making preparations now for the upcoming session. We thought we might give you a general overview of the status of several of the items presently being actively pursued. Medicaid Dental Service Reimbursements - The Medicaid Dental Health Coalition, established in the 1998-2000 budget, will have had two meetings by the time this document reaches your desk. Representing VDA in deliberations with Medicaid staff are Dr. Joseph A. Paget, Jr. (Blacksburg), Dr. Vicki Tibbs (Quinton), William E. Zepp, CAE, VDA Executive Director. Representing the Virginia Association of Orthodontists are Dr. William Horbaly (Charlottesville) and Dr. Thomas E. Spillers (Richmond). The 1998-2000 budget approved an increase of over 10 million dollars in Medicaid reimbursements. The initial sessions have been spent reviewing the new Medicaid reimbursement rates, setting a strategy for involving more dentists in the area of treating Medicaid patients and looking to the future to try to establish an even more appropriate Medicaid reimbursement rate. Over the weeks and months ahead we will be reporting to you in more details about these deliberations. Kid Care - Governor Gilmore signed the 1998-2000 Budget Bill which outlined the Kid Care program. Highlights of the Kid Care program include: • Coverage for over 83,000 uninsured children, • Medicaid style program up to 150% of the poverty level, • Up to 185% of the poverty level will be on a co-pay arrangement, • State funds in the program total approximately $37 million, $57 million in federal matching funds. Governor Gilmore has submitted the outline for his Children's Medical Security Insurance Program to HCFA. There is a broad outreach program underway that will include a lot of community based operations such as homeless shelters and headstart centers. Outreach also will include the establishment of a toll free hotline number where recipients can secure additional information. It is important to note that all Medicaid services including dental services will be covered under this program. Special Need Dental-Care Reimbursement for General Anesthesia - A working group has been established to provide appropri­ ate information to the Special Advisory Commission on Mandated Health Insurance in the Bureau of Insurance. The Mandates Commission is the agency created by the General Assembly to allow a more detailed review of insurance mandates. HB 931, introduced at the VDA's request during the 1998 session of the Virginia General Assembly by Delegate Jim Shuler (D­ Blacksburg), has been referred to the Mandates Commission. A VDA working group is being formed to provide appropriate information the Mandates Commission and to make selected contacts. Members of the Mandates Commission include: The Honorable Stephen H. Martin; The Honorable James M. Shuler; The Honorable H. Russell Potts, Jr.; The Honorable Vivian E. Watts; John T. Ashley, MD; Duval Dickinson; Matthew D. Jenkins; Johanna B. Chase; Rowena J. Fullinwider; Bill McCall; Kelley Osborn; George W. Dawson; Charles B. Garber; Myrna McLaughlin and Ex Officio Members Alfred W. Gross and Randolph L. Gordon, MD, MPH. If you know any of the Commission members well enough to contact them about this issue, we would appreciate you advising Lisa Finnerty at the VDA office (800/552-3886) at your earliest convenience. Assignment of Benefits - You may recall that the VDA had introduced during the 1998 session of the Virginia General Assembly HB1230. This measure, patroned by Delegate John Tate (D-Marion), was not approved. A very similar measure will be introduced during 1999. This legislation is being driven by the fact that one insurance carrier in this Commonwealth is refusing to honor assignment of benefits. This third party payer's refusal to honor assignment of benefits seeks to generate procedural obstacles and attempts to create a negative change in the traditional patient/provider relationship. Both the patient and the provider are being penalized for exercising their freedom of choice. As we approach the 1999 session of the Virginia General Assembly many of you will be asked to make contacts with members of the Virginia House of Delegates and State Senate to advise them of your interest in this particular issue. VADPAC Update - VADPAC is moving ahead in a commendable fashion. Thus far - though we are having a good year, we only have 42% of VDA members that are participating in the program. If you wish to become a member of VADPAC or have questions about your VADPAC membership status please contact Lisa Finnerty at the VDA office (800/552-3886); she will be glad to provide you with the appropriate information so that you can join your colleagues in becoming a member. In 1999 the entire House of Delegates and State Senate stand for election. It is vital that VADPAC be in a position to assist in selected campaigns.

32 Virginia Dental Journal


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Virginia Dental Journal 33



Kimberly S. Swanson, D.D.S., VDA Membership Task Force We have all made a serious commitment in time, energy, and money for our education. This is especially evident to recent dental school graduates! Effective practice management and marketing are essential for a successful professional career. Practice management assistance is a primary benefit of membership in organized dentistry. The ADA continually re­ searches and develops strategies and techniques to help you serve your patient base and attract new patients. Members have access to seminars, publications, and resources on associateships, retirement plans, how to start a practice, how to sell one, successful patient communications, and financial planning. ADA staff experts also offer information resources to assist in selecting practice management consultants and recruiting and retaining office staff. Call the Council on Dental Practice at extension 2895, or Dental Practice Marketing, extension 2662. The ADA Catalog contains more than 40 expert practice management and marketing publications. The ADA's Dental Practice Series offers guidebooks for ensuring your practice's success, including: • The Successful Dental Practice: An Introduction • Building Successful Associateships • Successful Valuation of a Dental Practice •

Building a Financial Foundation for Your Practice

Practice Growth Through Partnerships, Group Practices and Shared Office Arrangements

Computers in the Dental Office

Financial Management in the Successful Dental Practice

• Successful Dental Office Design The Marketing Handbook Series offers several guidebooks on building your patient base. • Effective Yellow Page Advertising for the Dental Practice • Measuring Patient Satisfaction in the Dental Practice •

Effective Direct Mail Programs for the Dental Practice

• Topic Outlines for Powerful Presentations • How to Develop a Practice Newsletter To order any of these publications, request more information, or to obtain a free copy of the latest Catalog, call ADA Catalog Customer Service staff at 1-800-947-4746. The Following resources are available free to members: Referral Guidelines, General Guidelines for Written Employment Agreements Between Dentists and Employees, Communicating Infection Control to Your Patients, Flexible Benefit Plans in Dental Offices, Directory of Dental Practice Appraisers, Dental Marketing Resources, and Marketing Tactics to Help Build Your Practice. Call the Council on Dental Practice, extension 2895. Customized state and county level demographic reports provide population statistics and numbers of dentists and their occupational status for specific states and counties. This information would be useful to members who are deciding where to open a practice or a satellite office. Call the ADA Survey Center for a current publication list, extension 2568. Book loans and journal articles on practice management are available to members by mail. Contact the ADA Library, extension 2653. The ADA can give you extra assistance in locating a position or office. A good place to start is with classified advertising in the Journal of the American Dental Association as well as the Virginia Dental Journal and your local dental society newsletter. In addition, the ADA's Council on Dental Practice publishes the Directory of Dental Placement Services, free to members. To request the directory, call the Council at ext.2895. For more information on the many benefits of membership in organized dentistry, call the ADA at (312) 440-2500 or use the members-only 800 number listed on the back of your membership card. You may also call the Virginia Dental Association at (804) 358-4927 or your local dental society. Membership matters!

34 Virginia Dental Journal

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Connie Jungmann, VDA Assistant Executive Director

Virginia, Pennsylvania and Montana top new clients. We are pleased to announce that the fol­ lowing Virginia employers have chosen DR as the plans....

The June-July 1998, issue of ADA's publication plan of choice for their employees: Direct Reimbursement News provided the follow­

ing status report on the ADA's national DR media David R. McGeorge Car Co. - Richmond - SAl referral' C.L. Lewis Co. - Lynchburg - ADA referral; and ' and direct campaign:

Perma Treat -

"Between January 1 and May 20, New York and

California led the pack with the highest number of

campaign-related DR leads, but Virginia, Pennsyl­

vania and Montana are tops when it comes to ac­

tual DR plans implemented so far this calendar

year. ADA records show that l\lew York has re­

ceived 152 leads, California received 132, and Illi­

nois received 123 - impressive numbers that

speak to the strong potential for DR in these states.

Virginia leads the way with five new campaign-re­

lated implementations this year, and Pennsylvania

and Montana follow with four each.

Fredericksburg - ADA referral.

Referrals from VDA dentists down.... While both the ADA and VD~s advertising cam­ paigns continue to generate serious interest in DR among business decision makers, the number of DR referrals from dentists have declined. In their report to the Committee on Direct Reimbursement at its June meeting, Jon Swan and Cork Coyner (BAI) reported that during the first half of 1998, VDA member dentists had generated 12 DR referrals, down from 51 during the first half of 1997.

SAl further reported that brokers are beginning to respond to the ADA promotion, and SAl is looking California continues to lead the number of total ex­

isting DR dental plans. Our updated records show very favorably to developing a productive broker approximately 350 DR plans (almost 19,000 lives) network throughout Virginia. operating in that state. North Carolina boasts the

most covered lives, with over 40,000 lives (approxi­ Knowing that the dentist referral is still considered to be the best "door opener" into a company to talk mately 120 plans) covered by DR."

with them about DR, the Committee is formulating During this same reporting period, Mobil Oil (a Vir­ a plan with the help of the local component DR com­ ginia-based employer) effected it's DR plan to cover mittees to educate VDA member dentists and their its 15,000+ U.S. employees and their dependents. staff about DR and to get them actively involved in Although we do not have precise numbers, it is safe its promotion. to estimate that with both Mobil Oil and Wachovia

Corporation bringing DR to their Virginia-based If your office is interested in getting involved with employees, there are now at least 10,000 people the promotion of DR, please contact Connie Jungmann or Ronya Edwards at the VDA Office. in the Commonwealth covered by a DR plan.

Brochures and other DR educational materials are available to VDA member dentists at no cost upon Three more choose DR....

Benefits Administration, Inc. has recently added request. three more clients to their ever growing list of DR

36 Virginia Dental Journal





_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _1)

Note these dates: VDA 129th Annual Meeting Williamsburg, VA September 16-20, 1998 ADA 139th Annual Session San Francisco, CA October 24-28, 1998 VDA Leadership Conference Wintergreen, VA November 5-8,1998 VDA January Committee Meetings Richmond, VA January 29-31, 1998

Planning Ahead The Fall Leadership Conference will be held November 5 - 8, 1998 at the Wintergreen Resort in Win颅 tergreen, Virginia. Please con颅 tact the VDA Central Office with questions about this conference, 800-552-3886. The Leadership Conference is open to the entire VDA membership.





139th Annual Session October 24 - 28, I 998 Pte-sessions. Fi'-day Uctobet 23 1998

Technology Dav路Team BUildlniJ Conference

~---------------------Please send information on the 1998 Annual Session



Questions about the Annual Session ADA Membership, if applicable

For further information call (800) 621-8099, and ask for the following extensions: Address

Business Session/House of Delegates Hotel Information U.S. Registration Information Scientific Program Ticket Sales Tours

For Further Information: 139th Annual Session American Dental Association 211 East Chicago Avenue, Suite 200 Chicago,IL60611-2678 Tel: (312) 440-2758 Fax: (312) 440-2707 ADA ONLINE http://www. adaorg/session







For Further Information about the San Francisco area, contact: San Francisco Convention and Visitors Bureau Visitor Information Lower Level Hallidie Plaza, Union Square 900 Market Street San Francisco, CA 94102 415-391-2000

CIty, State, Zip

Country, il not USA

Return to:

Council on ADA Sessions

and lnternationa' Programs

American Dental Association

211 East Chicago Avenue

SUIte 200

"",go. 111'001, 6061 1路2678 USA


Virqinia Dental Journal 37

VDA ALLIANCE NEWS Alliance of the VDA Meeting Schedule Thursday, September 17 11:00am

Friday, September 18 9:00am 5:00pm 10:00am 12:00pm 12:3Opm 1:30pm 2:00pm 3:30pm 1O:00am 4:00pm

Dutch Treat Lunch at the Boxwood Inn and a Tour of Lee Hall Mansion. Lee Hall is the only large mid足 nineteenth century plantation house remaining on Virginia's lower peninsula. The home of affluent planter Richard Decauter Lee, Lee Hall, became a command center for Confederate generals John Bankhead Magruder and Joseph E. Johnston during the 1862 Peninsula Campaign. Lee Hall stands today as a symbol of Newport News' pastoral past and the war that forever changed the Peninsula social, political and economic fabric. (Limited to 20 people.)

Registration AVDA Board Meeting AVDA Board Luncheon Seminar, "Caring for Aging Parents" Hospitality Suite Open

Saturday, September 19 8:00am 12:00pm Registration 11 :3Oam P.A.N.D.A. Course - Dr. Mouden, the ADA spokesman on child abuse prevention, will present his seminar 8:30am entitled "How Dentistry Succeeds in Preventing Child Abuse and Neglect." The program is designed to provide a positive view of this difficult topic. Annual AVDA Meeting & Luncheon 12:00pm Adjourn 1:30pm Free to visit Colonial Williamsburg, outlet malls, Williamsburg Pottery. 1:30pm Non-AVDA members are welcome to attend any of these meetings.

Please make reservations by September 1, 1998.

Mail to:

Checks payable to: AVDA

Sandy Parks 25 Museum Drive Newport News, VA 23601 Telephone: 757-595-5438 Name:




Phone Number: _ _ I plan _ _ I plan _ _ I plan _ _ I plan

Amount Enclosed: Zip Code:



to attend the Boxwood Inn luncheon and tour of Lee Hall Mansion to attend the Seminar "Caring for Aging Parents" to attend the Mouden "P.A.N.D.A." Course to attend the AVDA Annual Meeting Luncheon

38 Virginia Dental Journal



No Charge No Charge $25


-- --

Virginia Dental Assistants Association Schedule Thursday, September 17 8:00am 6:00pm 5:00pm 6:15pm 6:15pm 7:15pm 7:30pm 9:30pm Friday, September 18 7:00am 5:00pm 11:30am 8:30am I 1:30am 1:30pm 4:30pm 1:3Opm 2:00pm 3:30pm 3:45pm 4:30pm 4:45pm 5:15pm 5:30pm 6:30pm 6:30pm 12:ooam Saturday, September 19 6:30am 7:30am 7:00am 5:00pm 8:00am 8:15am 11:3Oam 8:30am 8:30am 11:3Oam 12:00pm 1:30pm 2:00pm 4:30pm 2:15pm 4:30pm 1:30pm 4:30pm 5:00pm 6:00pm 6:30pm 10:00pm Sunday, September 20 7:30am 9:00am 9:15am l1:ooam

11 :OOam 12:00pm

VDA & VDAA Registration - East Gallery, Williamsburg Lodge VDA Opening Session - Auditorium, Williamsburg Lodge Opening of Trade Show - Virginia Ballroom, Williamsburg Lodge VDAA Preconvention Board Meeting Registration & Ticket Sales - East Gallery, Williamsburg Lodge Spear Course - Auditorium, Williamsburg Lodge Exhibits & lunch or ACD Luncheon for Learning - Tidewater, Williamsburg Lodge Spear Course Cont. - Auditorium, Williamsburg Lodge VDAA First House ADAAJVDAA Forum Balloting President's Social VDA Casino Night - N0l1hBallroom, Williamsburg Lodge VDA Fun RunlWalk - East Gallery, Williamsburg Lodge Registration - East Gallery, Williamsburg Lodge Balloting Mouden Course (Staff) - Korth Ballroom, Williamsburg Lodge Winter Course - Auditorium, Williamsburg Lodge Past Presidents Luncheon DANB ICE Exam - $40 - Room F,Williamsburg Lodge OSHA Update (Members & Students) Carolyn Prosise Winter Course Continued - Auditorium, Williamsburg Lodge Student Reception President's Banquet Past President Breakfast, Dr. Thomas Butterfoss (Dentistry-Bland Mission) - $12 VDAA 2nd House(including Installation of Officers) Post Convention Board Meeting


CDHA NEWS Commonwealth Dental Hygienists Society Schedule Friday, September 18 8:00am 5:00pm 8:30am II :30am 11:30am 1:30pm 4:30pm 1:3Opm 5:00pm 6:30pm 12:(XYdJ11 6:30pm Saturday, September 19 8:00am 5:00pm 8:30am 11 :3Oam 8:30am 11:30'dJ11 I 2:00pm I:3Opm 4:30pm

Registration Spear Course ACD Luncheon for Learning Spear Course Reception with exhibitors Casino Night

Registration Mouden Course Winter Course Luncheon/Annual Meeting ($15) Winter Course

Luncheon fee should be made payable to CDHS and mailed to: Gerryann Priest 2406 Crowncrest Dr. Richmond, VA 23233

Virginia Dental Journal 39

Component II Peninsula Component I Tidewater Dr. A.J. Booker, Editor No news reported. Dr. Barry Einhorn, Editor As I write this report the heat index in Tidewater is 105. I remember writing in my last report that I wish summer would finally arrive. Enough said on the weather! This has been a productive year for the Tidewater Dental Association. We have had three outstanding continuing edu­ cation programs. One of which was held in conjunction with the Peninsula Den­ tal Society. We held a very successful Dental Health Fair for Children's Dental Health Month. Our members have taken an active role in many VDA activities and continue to do so. We look for­ ward to serving as co-hosts for the VDA annual meeting in Williamsburg in Sep­ tember. Our annual meeting will be held on August 19 at the Norfolk Airport Hilton Hotel. We are extremely proud of our Col­ league Dr. David Paul for his academic accomplishments. In December 1993 he received his MBA degree and this summer he was awarded a PHD. His doctoral dissertation was entitled "Mea­ surement of Perceived-Service Quality of Selected Dental Specialists." He is threatening to get his law degree next. In closing I would like to leave you with a bit of humor. A Spanish lady gave birth to identical twins but was unable to raise them both. She named one Juan and the other Amhal. She kept Juan and Amhal was adopted by an Arab family. Years later her husband wondered aloud as to what Amhal looked like. His wife replied , "Since they are identical, if you've seen "Juan, you've seen Amhal." Have a great summer!!

Component III Southside

Dr. Reed Boyd, Editor The Southside Dental Society has had an eventful spring and is now gearing down for the summer months. Recently it has been hot in this part of the state and it is only early June. I cannot imag­ ine what August will bring, only time will tell. Back in June, we hosted our semi-an­ nual CE Course with Dr. VanArsdale from Pennsylvania. This was an inter­ esting CE Course from several aspects. The material presented was stimulating to all of the attendees; there was some­ thing for everyone, general practitioners, oral surgeons, periodontists, pedodontists and orthodontists. Rarely does a course hold something for ev­ eryone, but this one did. We adjourned in the early afternoon for the Pork Fes­ tival. Several of our members, Harold Neal and Roger Palmer live in Emporia and with their wives, Jamie and Janice they graciously opened their homes t~ us for the afternoon and evening as well and we thank them for their hospitality. We are preparing for our semi-annual business meeting to be held in early September. We are looking at several possible format changes for this meet­ ing. We are considering an afternoon outing of golf and tennis with a barbeque buffet and business meeting to follow. I will keep you updated on the success of this event. Summer is busy and full of vacations so I have no personal or social news to

40 Virginia Dental Journal

report. However, as Chairman of the Membership Committee would like to urge each VDA member to take 25 min­ utes to view the ADA video on the pro­ posed Awareness Campaign. These videos can be gotten from your component's president or membership chairman, the VDA Central Office, or myself. With the video is a yellow sur­ vey card with a few short questions. Please mail this card, the postage is prepaid and it is self addressed, back to the VDA Office. Please contact your Component's Del­ egates and Alternate Delegates to the VDA House of Delegates and make your opinions known to them about the Awareness Campaign and any other is­ sue in the VDA. Their job is to repre­ sent you and your opinions and they cannot do this effectively if they do not know how you feel. Along that same line, the Membership Committee will be contacting each of the Delegates and the Alternate Delegates requestingthem to contact you to discuss all of the is­ sues with you, in particular the Aware­ ness Campaign. Please look at the Awareness Campaign as just that, a public awareness campaign. It is not designed nor intended to be an adver­ tising campaign. It is a campaign to expose our profession, reintroduce the entire profession of dentistry, not we as individual dentists, in a positive light to the public we serve and depend on. I urge you to make an INFORMED deci­ sion on this issue. The Membership Committee asks that you look past the dues increase. We realize this campaign carries a heavy pricetag, estimated at $300 a year for three years. The campaign will have an impact on the membership of the VDA no matter how it settles out. The Membership Committee has proposed some alternative dues payment meth­ ods to the Executive Council for their consideration to soften the financial hardship of our members. Please real­ ize that this campaign, if broken down on a monthly basis, is approximately $15 per month. We can all afford that for the good of our entire profession, Please judge this campaign on the merits of the campaign itself, which naturally must include the costs of the campaign, and what it will do for den­

tistry as a whole. If you have any ques­ tions or comments please do not hesi­ tate to contact me directly. The Annual Meeting of the VDA is scheduled for the weekend of Septem­ ber 16 - 20 in Williamsburg. Hope to see all of you there. The House of Del­ egates will be meeting, the election of officers of the VDA will be held and there will be some outstanding CE Courses as will as Commercial Exhibitors. Please mark your calendars for this important weekend of activity, learning and fun. Have a great summer! Please be careful on the highways! Component IV Richmond

Dr. Charles E. Gaskins III, Editor As summer vacations continue, several "post-notes" related to the Component are in order. First, congratulations are in order to Mike and Benita Miller. In May they became the proud parents of their first child, Anne Alexandra. Next, a big round of thanks to all of the mem­ bers, corporate sponsors, and everyone else who helped to plan, direct, and support the annual golf, tennis, and cookout outing; which was held on May 15th at the Country Club of Virginia's James River Course. The event was well supported, and many faces from both MCV, and outside of the component, were spotted in attendance. With the 1997-1998 "organizational year" coming rapidly to a close, many other thanks also need to be offered at this time. The current officers: Executive Councilor; Parliamentarian, those many members who chaired and/or staffed our component-level, state-level, and na­ tional-level committees; our Executive Secretary; and the general membership all should be thanked for their signifi­ cant individual and group hard work and financial support. An enormous cumu­ lative effort (often untold, and therefore unrecognized by many) goes into mak­ ing an "organizational year" enjoyable, productive, and successful for members.

At the next monthly membership meet­ ing on September 11 th, the following component leadership will be installed for 1998-1999: Dr. John S. Kittrell will become President; President-Elect will be Dr. Charles E. Gaskins III; Dr. H. A. "Jack" Dunlevy will become Secretary; Dr. Russell N. Mosher, Jr. will continue as Treasurer and Dr. James R. Lance will continue as Executive Councilor. Dr. Norman Marks and the Dental Edu­ cation and Continuing Education Com­ mittee have proposed yet another ter­ rific slate of CE programs and speak­ ers for the upcoming year. Members always receive a great professional value return when they attend these Component functions. Many thanks to both Norman, and the many general practice and dental specialty practice committee members, who collectively forge the annual CE schedule. Between swimming, golfing, relaxing, etc. this summer, Richmond Dental So­ ciety members are reminded to finalize their plans to attend the 129th VDA Annual Meeting in Williamsburg, from September 16th to the 20th, at the Williamsburg Lodge. See you there! Editor's post-script: This column marks the end of my two years as Component IV's JVDA Associate Editor. As previ­ ously cited, in September Dr. Jack Dunlevy will become RDS Secretary (and the Component JVDA Associate Editor). He will do a great job, both for the Component, and for the Journal. Somewhere during the times that I at­ tempted to compile and publish the many events that have concerned Com­ ponent IV, I began to realize how large and diverse our membership has be­ come. Indeed, Component IV geo­ graphically covers a lot of square miles. Component IV lists members that serve many varied populations, with their var­ ied dental needs, goals, and demograph­ ics. Member communication with the RDS office is essential if the elected leadership is to be aware of, and sub­ sequently responsive to, the needs and desires of both the membership and the public that we serve. Many services are available through organized dentistry, but members need to avail themselves of them. By becoming personally in­ volved in organized dentistry over the

years, I feel that I have been rewarded by a greater understanding of many of the things that can effect the conditions under which we all practice. If you are not personally involved with organized dentistry at this time, please consider becoming involved. YOU will benefit greatly from your efforts, so will your colleagues and your patients. Best Wishes to all, and thank you for allow­ ing me to serve these last two years. --Charlie Component V Piedmont

Dr. Barry Cutright, Editor Our component met on May 1st in Roanoke, Dr. Paul Belvedere presented his "bag of tricks" on how to do the per­ fect posterior composite for those who don't want their patient's dentition to resemble a piano keyboard. First you do this, then you do that- somewhat reminiscent of the late Dr. Bill Fitzhugh in senior dental school clinic. The pre­ sentation format was good-a lecture/ hands-on combination. But, I have to confess, I'm a little burned out on this subject. And, although Dr. Belvedere's patient had a beautiful MOD composite on #4-he still had a gold inlay/onlay on #5 ten years down the road. In the big cosmetic picture I see #5 before #4 so I left wondering what about #5? In the end, Dr. Belvedere did mention that, "your own clinical observation is more important than what you are told." During our business meeting, Dr. Scott Ward was nominated to serve on the Executive Council from Roanoke. Dr. Mike O'Keefe was nominated to serve as our councilor. Dr. Mark Crabtree was nominated as president. Dr. Fred Coots was nominated as president elect of this component. Fast forward to October 1998 and mark your calendar for the 30th. Our speaker will be Dr. David Felton, Chairman of the L1NC Prosthodontics Department. We plan to meet in Lynchburg.

Virginia Dental Journal 41

A special thanks to Dr. Donna Helton for her role in staffing the clinic for the VWCC-DCC Joint Venture Dental Hy­ giene Program. Year-to-Date report on the VWCC-DCC program next issue. Also, Dr. Tonya Reed has joined Dr. George Stermer in the practice of gen­ eral dentistry. As summer unfolds let's make an effort to hit home runs and whenever possible avoid sliding into first or running from home to third as my left handed son does in Tee-Ball. Whatever your agenda is, stay on the team. OUCH! Errata last issue Cornett-Icon not Toon. I must need a new ribbon in my printer.

Component VI Southwest

Component six will want to be well-rep­ resented at the state meeting as we honor, one of our own, Dr. Wallace L. Huff for his outstanding service to den­ tistry as President of the Virginia Den­ tal Association.

Component VII Shenandoah Valley

The final component meeting of the year will be held in Blacksburg on November 13th, with the program being presented by Dr. Hugh Doherty.

Dr. Bob Hall, Editor

To all members, I hope you have won­ derful summer vacations and hope to see you in Abingdon or this fall in Williamsburg. The below photos were taken at Com­ ponent VI's May meeting at Pipestem Resort and State Park, Pipestem, West Virginia.

The annual meeting of the Virginia Den­ tal Association will be held in Williamsburg on September 16-20. The following members of Component six will serve as delegates: Dr. Dana Chamberlain Dr. Susan O'Connor Dr. Anne Johnston Dr. Robert Schuster Dr. David Stepp Dr. Bill Thompson Dr. Paul Umstott

42 Virginia Dental Journal

Our summer component meeting was recently held in Winchester, where we were fortunate to have Dr.James Coffey, who gave an excellent presentation on fixed prosthodontics. Mr. Chuck Duvall gave us a VADPAC update and the ADA Awareness Campaign video was shown. All members are strongly urged to view this tape. Help is also needed with the Donated Dental Services program. Our fall meeting will be held in Charlottesville at the Holiday Inn on Fri­ day, September 11 tho The speaker will be Harold Crosley.

Dr. Robert G. Schuster, Editor Gregory Peck was a recent visitor to southwest Virginia for a performance at the historic Barter Theater in Abingdon. Abingdon will also be the site for our component's next meeting. The sum­ mer meeting will be held at the Virginia Highlands Community College Higher Education Conference Center on August 14. The meeting coincides with the Vir­ ginia Highlands Arts and Crafts Festival also held in Abingdon. The featured speakers will be Dr. Jasper Lewis and Ms. Anne Page Griffith, founders of Practicon. Their topic will be, "Secrets to Managing the Accelerated Dental Practice".

Component VII VDA committee mem­ bers recently attended the VDA work­ shop in Virginia Beach. Our thanks to the VDA staff members and officers who made this meeting a success.

Posing proudly on the 18th hole are: (from left to right), Bill Haynes, seminar speaker; Dr. Tom Haller, golf tournament organizer; Dr. Pete Mowbray and Dr. Joe Paget.

Component VIII Northern Virginia

Dr. Melanie Love, Editor

Component's VI's 8th Annual Captain's Choice Golf Tournament at Pipestem Resort in West Virginia, May 16, 1998. Join us next year May 14·16, 1999 for a weekend of education and family fun.


Golfers were able to enjoy a traditional family barbecue while being entertianed by the band "The New River Boys".

Greetingsfrom Component 8! Our mem­ bers have had a busy spring with fre­ quent viewings of the ADA Public Awareness Campaign. It has received mixed reviews,although most have been supportive. We encourage as many members as possible to express their opinions after viewing the campaign, which is available on video. This year NVDS's Science Talent Awards Program recognized 64 young researchers from almost 1,500 entries. Six NVDS members were judges for the VDA's Science Talent Awards Program at the Virginia State Science and Engi­ neering Fair held in April. Both NSTAP and VSTAP "seek to recognize the sci­

ence talent of Virginia's high school stu­ dents while, simultaneously encourag­ ing them to consider dentistry and den­ tal research as a career." Dr. Will Allison represented the VDA at the State Fair awards ceremony. There he presented sixteen VSTAP awards including one winner from each of thirteen internation­ ally recognized science categories and a three-member team project. Component 8 would like to welcome the following new members: Nina Hirshman, DDS Long Kim Hoang, DDS Peter J. Lanzaro, DDS Glen Miller, DDS Bhavana Mistry, DDS Zoltan Rusznak, DDS Su-En Thlick, DMD We are saddened to report the tragic death of Dr. Miles Merritt who was killed in an airplane accident on May 19, at the Manassas Regional Airport. Dr. Merritt was performing an air show for students when the accident occurred. He was a NVDS member since 1979 and practiced in Burke.

,.---._---------­ VAE NOTES

Gary R. Hartwell, D.D.S.,

Elected Director of the American

Board of Endodontics

May 11, 1998, Chicago - During the 55th Annual Session of the American Asso­ ciation of Endodontists (AAE), held May 6-10 in New York, Dr. Gary R. Hartwell was elected to the Board of Directors of the American Board of Endodontics (ABE). The ABE is the certifying board for the dental specialty of endodontics that is recognized by the American Dental Association and the AAE. Dr. Hartwell has been a very active mem­ ber of the AAE since 1971. He has served on the Board of Directors and has been involved with several commit­ tees. He has been on the Editorial Board

of the Journal of Endodontics since 1991 and on the Scientific Advisory Board since 1985. Dr. Hartwell is also involved in several state and local den­ tal organizations. He is currently a del­ egate to the Virginia Dental Associa­ tion and President of the Richmond Dental Society. Dr. Hartwell is currently the Chairman of the Department of Endodontics and Director of the Advanced Education Pro­ gram in Endodontics at the Virginia Commonwealth University School of Dentistry where he has been a part of the faculty since 1987. He is also a retired,Colonel of the U.S. Army Dental Corps.

years. His field-tested techniques have benefited many orthodontic practices across the country as well as here in the Commonwealth. He offered a fresh insight on communications to both pa­ tients and referring dentists for the prac­ ticing orthodontist. For questions re­ garding Dr. O'Neil's services, he can be reached at 757-565-2277.

Among the many honors bestowed upon him, Dr. Hartwell is an active member of many honorary societies, lncluoinq Omicron Kappa Upsilon and the Pierre Fauchard Academy, and he is a life member of both Delta Sigma Delta and Alpha Epsilon Delta. Dr. Hartwell is also a Fellow of both the American College of Dentists and the International College of Dentists.

What do three-time Olympic volleyball gold medalists, Karch Kiraly, Scott Mitchell (quarterback for the Detroit li­ ons), and Temmu Selanne (one of the leading scorers in the NHL) have in com­ mon? They all attribute their increased speed, flexibility, and injury prevention to Adrian Crook. Adrian, a movement and flexibility consultant discussed and demonstrated ways to reduce occupa­ tional injuries through proper stretching techniques. His daily 30 minute stretching workout is good for both the professional athlete and those profes­ sions, such as ours, that are suscep­ tible to back and neck injuries. For those interested in ordering his instruc­ tional/workout videos you can call 1-800­ 463-5393.

Dr. Hartwell received his DDS degree from West Virginia University School of Dentistry in 1966, earned his Certificate in Endodontics from the Madigan Army Medical Center in 1973, and received his MS degree in Oral Biology from George Washington University in 1974. In 1980, he earned his Diplomate sta­ tus from the ABE.

Other than the outstanding weather, the highlight of the meeting was the Earl Williams Band who provided musical entertainment one evening. We also had the highest stakes for any golf tour­ nament as many manufacturers donated prizes from archwires to curing lights! A tennis tournament and fun run rounded out the athletic events for the meeting.

Dr. Hartwell and his wife, Nancy, live in Richmond and have two daughters, Christie and Carrie.

Several motions were adopted by the general membership, mainly in the area of restructuring of By-Laws. The Med­ icaid increase was discussed and a motion was made regarding fees and treatment indices which are intended to encourage orthodontists to become Medicaid providers. For those who al­ ready are Medicaid providers reimburse­ ment rates have increased approxi­ mately 30%. New VAO officers were voted in and they include: Dr. Alan Bagden, President; Dr. RodKlima, Vice President; Dr. David Jones, Sec­ retary-Treasurer; Dr. Steve Hearne, Di­ rector; Dr. Bill Dabney, Director; Dr. Steve Garrett, SAO State Director. Other board members include Dr. Bob Miller, Immediate Past President; Dr.

Dr. Robert Miller, Past President The Virginia Association of Orthodon­ tists had their annual meeting at The Westin Resort on Hilton Head Island, S.C. The meeting was well attended by members and their families. Our featured speaker, Dr.Joseph O'Neil, discussed marketing strategies for the optimized orthodontic practice. Joe maintains a full-time consulting busi­ ness in Williamsburg after practicing restorative dentistry in Louisiana for 22

Virginia Dental Journal 43

For most oral and maxillofacial sur­ geons, the summer months bring a cer­ tain "seasonality" to our practices that is both welcomed at its commencement and often ushered-out just as enthusi­ astically once the Labor Day weekend approaches. During this time when we juggle a bulging surgical schedule with a plethora of personal and family respon­ sibilities, it was great to see the faces of colleagues who attended the recent VSOMS annual meeting in Virginia Beach. Dr. Pat Dolan presided over the agenda with aplomb as he did through­ out the year at each of the board meet­ ing. Many thanks Pat for a year of hard work and a job well done.

dation, returned to one of his many train­ ing grounds to endure the banter of a number of historical "co-residents," such as me, while attempting to educate the group on various aspects of pediatric maxillofacial surgery. Dr. Steinberg's material was relevant, interesting and up-to-date, leaving us to realize that he truly has become one of the gifted "subspecialists" in our profession. Other notable guest speakers included our District 3 Trustee, Dr. Larry Nissen who brought us up to speed on pertinent is­ sues facing our specialty and the Boards outlook for the future and Dr. Stem Holmes presented a very informative insight on how AAOMS Nationallnsur­ ance continues to grow, fight for its insureds and consequently keep our malpractice premiums reasonable. Fri­ day evening's cocktail reception was both a culinary and social success that gave Benita and me an opportunity to introduce our two month-old daughter, Anne, to many of the friends we unfor­ tunately only see on a seemingly an­ nual basis. Everyone seemed to enjoy the Saturday night seafood buffet as well as the excursion to the Marine Science Museum for the walking tour, IMAX pre­ sentation "SHARKS", and the dessert reception that followed. Sunday morn­ ing brought the conclusion of our busi­ ness agenda along with the election of officers for the coming year. Dr. Paul Hartmann was named President-elect, Dr. Robert O'Neill selected as Secre­ tary-Treasurer and Drs. Steve Paulette and Kimberley Swanson added to our list of Councilors-at-Iarge. Congratula­ tions! I also thank the various exhibi­ tors who helped sponsor our meeting and help to educate us on what's new with materials and instrumentation ­ many kudos for this wonderful addition to our meetings. A very special and much deserved THANK YOU goes out to Mr. Bill Zepp, our executive director, along with his wife Pat who labored dili­ gently to pull off a well-run and pleasant annual meeting once again!

This year's annual meeting took place at the Sheraton Hotel, which appeared to be a quite popular alternative to the Ramada Inn and Cavalier Hotels that were venues in past years. Our guest speaker Dr. Barry Steinberg braved the Florida Wildfires, and not without trepi­

The 1998 AAOMS Leadership Confer­ ence, a bi-annual event sponsored by our parent organization and held in Chi­ cago was recently attended by Dr. Paul Hartmann and myself. A brief synop­ sis of the salient issues presented at this meeting is warranted. The contem­

Mac McCorkle, Past President; Dr. Eddie Ross, AAO Delegate. I would encourage you to contact one of these board members if you want to express a concern regarding the VAO. I would like to take this opportunity to thank each of you for supporting me during my tenure as your president. I would like to particularly thank Dr. Alan Bagden for his efforts arranging our fea­ tured speaker and also for his help with last years winter seminar. We are in very able and experienced hands as, he serves as our next president.

Dates of upcoming meetings: Southern Association of Orthodontists Annual Meeting October 16-20, 1998 at Grove Park Inn, Ashville, NC. Virginia Association of Orthodontists Winter Seminar January 17-24,1999 at Big Sky, Montana

Dr. Michael E. Miller, President

44 Virginia Dental Journal

porary scope of our specialty requires that the current ADA recognized defi­ nitions of dentistry and its specialties be adopted by the state boards of Den­ tistry and this issue is currently being addressed in Virginia. A close work­ ing relationship with our own Board is essential as well as our future interac­ tions with the VDA to insure that our state remains current on this issue. The AAOMS is also developing Clini­ cal Pathways and Outcomes Assess­ ments and already has drafts for the treatment of third molars, mandibular retrognathia, mandibular fractures, and the administration of office-based an­ esthesia; these are continuing to be modified and will be available to the pro­ fession in the near future. Our liaisons on Capitol Hill are helping the ADA in its efforts to push a meaningful healthcare bill through Congress this session and we hope that these efforts ensure that a few simple patient pro­ tections such as point-of-serviceoptions and accountability of insurance provid­ ers remain within such badly needed legislation. A "courageous" third molar study is also underway, sponsored by the AAOMS and the OMFS Founda­ tion; this will take place at multiple teaching and private-practice sites across the country, span 4-5 years and hopefully provide the information nec­ essary to deal better with this area of our practice in the managed-care arena. Dr.Hartmann and I also engaged in a roundtable discussion with Dr. Larry Nissen and many other southeastern surgeons to elucidate what the con­ cerns are of those practicing in our re­ gion. The conference delivered excel­ lent insights into an abundance of as­ pects of our profession and was an enjoyable trip as well. To the members of the VSOMS, I thank you for the opportunity to work for our specialty in Virginia. I am excited that we have planned to coordinate next years annual meeting in conjunction with the VDA Annual Meeting in Reston, Virginia. This combined con­ ference will be sponsored by Implant Innovations Inc. and should prove to be a well-attended. fun and educational venue for our members and colleagues. Have a safe and successful summer.

(' \.


'1 )

Dr. Steven L. Saunders, President The Virginia Society of Periodontists held its annual summer meeting at the Tides Inn, July 25-26, 1998. The edu­ cational portion of our program included: Saturday, July 25 Dr. Tom Waldrop; Periodontal Regen­ eration: Criteria for Success Dr. John Burmeister; Local Drug Deliv­ ery Systems:How Do We Use Them. Dr. Harvey Shenkein; Inheritance as a Determinant of Susceptibility for Peri­ odontitis. Sunday. July 26 Dr. Gary Maynard led the group in a dis­ cussion on The Future of Periodontics. As always the Tides Inn provided our group with a wonderful environment within which to share education as well as relaxation. Our spring meeting was held April 4, 1998. The V.S.O.P. challenged our speaker Dr. Edward "Pat" Allen to con­ tribute to the School of Dentistry's Ex­ cellence Through Research- and Invest­ ment in Our Future campaign. He gra­ ciously agreed to contribute $1,000.00. The members of the V.S.O.P. then agreed to a matching contribution. The members of the V.S.O.P. would now like to challenge the other specialty groups of Virginia to consider contribut­ ing to this most worthwhile campaign in a similar manner. Our 84th annual American Academy of Periodontology meeting will be held in Boston. Massachusetts September 12-16, 1998. Early registration is en­ couraged. To receive registration infor­ mation, contact AAP's Department of Meetings and Membership Services at 312/573/3210 or 3216.



l PUBLIC HEALTH NOTES) Dr. Karen C. Day, Director Division of Dental Health

Joe and Helen Doherty Honored... A special tribute and luncheon was held in honor of Joseph and Helen Doherty in October 1997, during the Annual Meeting of the American Association of Public Health Dentistry to present them both with the Distinguished Ser­ vice Award, the Association's highest honor. Helen was honored for her 14 years of service as Administrative Sec­ retary to the Association and Joe was awarded for his distinguished career in dental public health and service to the Association. Helen was the Association's first employee and estab­ lished the Association's national office in 1984. Joe held every elected office in the Association and for the past four years served as Special Consultant to the President(Executive Director) for the Association. Dr. Doherty served as Director for the Division of Dental Health, Virginia De­ partment of Health, for 17 years (1977 ­ 1994). During that time, he was active in dental affairs on the local, state and national levels. On the local level, he served as President of the Richmond Dental Society. At the state level, he served on many of the committees of the Virginia Dental Association and at­ tended all of the Executive Council meetings of that Association. On the national level, he served on the Ameri­ can Board of Dental Public Health and was its President in 1988. Dr. Doherty is a Diplomat of the American Board of Dental Public Health and a member of the American College of Dentists, the Pierre Fauchard Society and is a fellow of the Virginia Dental Association. He is still active in his "retirement". He presently represents the Richmond Dental Society on the Central Virginia Health Planning Agency, having just been elected its first Vice-President. He is Chairman of the Virginia Dental Association Practice Regulation Com­ mittee and Chairman of the Legislative Committee of the Virginia Public Health Association. Joe is still working part-

time as a Consultant to the Division of Dental Health. The Division of Dental Health would like to express its appreciation to Joe and Helen Doherty for their support, hard work and leadership for the American Association of Public Health Dentistry.

Photograph (left to right) at the Awards Lun­ cheon: Rhys Jones, Immediate Past President of American Association of Public Health Den­ tistry (AAPHD): Joe Doherty, Special Consult­ ant to the President, AAPHD; Helen Doherty, Administrative Secretary, AAPHD;Robert Collins, President, AAPHD; Myron Allukian, Host and Past President, AAPHD.




Tom Burke, Assistant Dean NATIONAL INSTITUTES OF HEALTH AWARD MAJOR RESEARCH GRANT Dr. David R. Burns receives $825,000 grant

Dr. David R. Burns, Associate Profes­ sor of Prosthodonticshas been awarded a R-01 research grant of $825,000, to study a variety of dental implant sup­ ported overdentures. This grant will fund clinical investigations that will be conducted over a five year period. I'JIH grant funding for clinical research is dif­ ficult to acquire and this grant is the only one of its kind in the field of Pros­ thodontics within the United States. Dr. Burns is the Director of the Post­ graduate Prosthodontic Residency Pro­ gram and has been on the dental fac­ ulty for thirteen years. His study will involve a number of investigators from the MCV campus including colleagues Virginia Dental Journal 45

in the School of Dentistry and Medicine. The study will enroll thirty edentulous patients. Each patient will receive four dental implants in the anterior mandible. The widely variable dental implant-den­ ture treatment modalities offer a range of complexity that will be evaluated and analyzed. The study is designed to provide scien­ tific data surrounding the number of den­ tal implants required to support and re­ tain lower dentures when treating pa­ tients who have lost all their teeth. Ad­ ditionally, research will be conducted that will identify the best methods for connecting lower dentures to dental implants. Thus, by evaluating these hypotheses, it is hoped that the results may provide dentists and patients with less complex and expensive treatments while maintaining effective treatment outcomes. "EXCELLENCE THROUGH RE­ SEARCH - AN INVESTMENT IN OUR FUTURE CAMPAIGN" UPDATE $4 Million Goal Achieved

The "Excellence Through Research - An Investment In Our Future Campaign" continues to receive support from alumni and friends of the School. ''The goal for the Campaign was to raise $4 Million. I am very pleased to report that as of June 30, we achieve our goal, said Dr. Jeff Levin, Campaign Chairman. While we have reached the $4 Million mark in cash and pledges, we still need addi­ tional support to meet the Willie Crockett Scholarship Fund goal of $220,000. To date we have raised $123,000 dedicated to this goal and will continue our efforts in this area. The other goal, I would like to see accom­ plished is the establishment of an en­ dowment for the research center. This will require a major gift from a special donor who wishes to establish a named endowment fund for the Institute for Oral and Craniofacial Molecular Biology." The construction of the Institute is scheduled to begin in the spring of 1999. Dr. Francis Macrina, Chairman and Di­ rector of the new Institute has been in­ volved with the design of the new facili­ ties. "I am very pleased with the progress of this campaign and want to

46 Virginia Dental Journal

express my appreciation for the support of the alumni and friends of the School. I will do everything in my power to en­ sure that this Institute will provide cut­ ting-edge molecular research in the field of head and neck cancers. It is my in­ tention to collaborate with colleagues in the Massey Cancer Center and the School of Medicine to facilitate our re­ search efforts." The Campaign has received supportfrom over 800 alumni and friends of the School. A complete list of contributors of $500 or more is published in the Sum­ mer edition of the School of Dentistry Newsletter. "This Campaign has been a huge success based on the involve­ ment of many alumni and friends of the School. However, one individual whom deserves special attention for his efforts is Dr. Levin," said Tom Burke, Assis­ tant Dean for Development and CEo "He is a remarkable fellow when you con­ sider all of his commitments with the VDA, his patients, and his community work. He is a living example of the ex­ pression 'if you want to get something done - find someone busy to do it.' On behalf of the alumni, faculty, friends, and students of the School of Dentistry, we thank him for his commitment and lead­ ership of this Campaign." DR. RONALD HUNT


Dr.Ronald Hunt has been selected Dean of the School of Dentistry. Dr. Hunt will be succeeding Dr. Lindsay Hunt effec­ tive September 1. Dr. Hunt is currently, Associate Dean for Academic Affairs at the University of North Carolina School of Dentistry. Dr. Hunt will become the fourteenth Dean of the School of Den­ tistry. A complete story on Dr. Hunt is published in this edition of the Journal. Please welcome Dr. Hunt to our dental family in Virginia THREE ALUMNI RECEIVE


Three School of Dentistry Alumni were recognized during this year's Home­ coming and Commencement activities. Dr. French Moore, Jr. was presented the Universities highest honor during com­ mencement by President Eugene P.

Trani. Dr. Moore was presented the Edward A. Wayne Medallion for his out­ standing contributions to the University Community. Dr. Moore served on the VCU Board of Visitors for eight years and served as its Rector from 1989 to 1992. He also co-chaired the University's "Partners for Progress" Campaign forthe MCV Campus. Two alumni were also recognized dur­ ing Homecoming festivities. Dr. Cyril R. Mirmelstein was presented with the Medical College of Virginia Alumni As­ sociations' Alumnus of the Year Award. He was selected for this honor due to his many years of dedicated and self­ less service to the School and the Uni­ versity. In 1989, Dr. Mirmelstein estab­ lished the Mirmelstein Ethics Lecture­ ship which is dedicated to ethics and professionalism, and is held annually in August. Dr. Sanford Lefcoe, was also recognized during this years' Homecoming Ban­ quet. Dr. Lefcoe was presented with the dental division of the MCV Alumni Association Outstanding Dental Alum­ nus Award. Dr. Lefcoe was selected for this honor based on his service to the School, organized dentistry, and to the international community. Dr. Lefcoe also recently established an endowment fund to support dental student research activities in conjunction with the Insti­ tute for Oral and Craniofacial Molecular Biology. All three of these alumni are proud ex­ amples of individuals who have dedi­ cated a signficant portion of their pro­ fessionallives to volunteer service and leadership.

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classified ads

Classified Advertising Classified advertising rates are $30 for up to 30 words. Additional words .25 each. All advertisements must be prepaid and cannot be accepted by phone or fax. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 15th of December, March, June, and September. Example: September 15, at 5pm is the closing date for the October-November-De­ cember Journal issue. After the deadline closes, the Jour­ nal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is firm. As a membership service, ads are restricted to VDA and ADA members and are restricted to non-commercial copy. Advertising copy must be typewritten and sent to: Journal Classified Department, Virginia Dental Association, P.O. Box 6906, Richmond, VA 23230-0906. The Virginia Dental Association reserves the right to edit copy and does not assume liability for the contents of classified advertising.

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Opportunities Wanted Opportunity Wanted - Central Virginia - Person­ able and motivated orthodontist with professional ex­ perience seeking full or part-time associateship in an orthodontic, multi-specialty, general or pediatric den­ tistry practice. Flexible with respect to work schedule and contract arrangements. Send confidential replies to: CJS, 10283 Aynhow Court, Mechanicsville, VA 23111.

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Virginia Dental Journal  

Journal of the Virginia Dental Association