2019 Washington AGD Winter Newsletter

ISSUE 39 | WINTER 2019

IMPLANT STUDY CONTINUUM Alan Yassin, DDS MS MSD PAGE 19

IN THIS ISSUE WHY MANDIBULAR MOLARS FRACTURE PAGE 8

THE STEM OF DENTISTRY PART 2 PAGE 16

ENGINEERING A MORE CONNECTED PROFESSIONAL PAGE 24

GOING ABOVE AND BEYOND IN DENTISTRY

GENERAL DENTISTRY

PROSTHODONTIC

PEDIATRIC

COSMETIC DENTISTRY

ORTHODONTIC

ORAL SURGERY

ENDODONTIC

MAXILLOFACIAL SURGERY

PERIODONTIC

206.957.4400 2 O | WASHINGTON OFB GENERAL WINTER C N S TA NACADEMY TINE U I LDENTISTRY D E R S| . C O M2019

PREMIER BUILDER DENTAL FACILITIES

CONTENTS 4

A Note From the Editor

by Dr. Carl Youngquist

5

The Three Equations of Increased Treatment Acceptance

by Bernie Stoltz

8

Why Mandibular Molars Fracture

by James E. Newman Jr, DDS, MAGD, ABGD

10

Increasing Treatment Acceptance Communicating the Value of Your Care

by Debra Engelhardt-Nash

The WASHINGTON AGD TRANSCEND magazine is published quarterly as a service to the membership of the Washington Academy of General Dentistry

WASHINGTON AGD 2015-2019 LEADERSHIP ROSTER

24

Engineering a More Connected Profession

by Kelsey Henke

14

by WIDA

15

President’s Message

by Teresa Kang, DDS

16

The Stem of Dentistry Part 2

by Herbert Edwards, DDS, MS, MAGD

Puneet S. Aulakh, DDS, MAGD, Past President 2017-2019, Webmaster, CDE Orthodontic Program Coordinator Dzon M. Nguyen, DDS, MAGD, President-Elect 2017-2019 Steven L. Thomas, DMD, MAGD, At Large Board Member 2017-2020, CDE Committee

27

Kimandeep K. Raked, DDS, At Large Board Member 2016-2019

by Dentist’s Advantage

Gary E. Heyamoto, DDS, MAGD, CE Chairperson, MasterTrack Program Coordinator, At Large Board Member September 2016-2019

How to Help Drug-Seeking Patients Without Becoming a Victim

Prasith Kim-Aun, DMD, Treasurer 2016-2019 Carl W. Youngquist, DDS, MAGD, Editor

Guy M. Hanson, DDS, MBA, MAGD, Region 11 AGD Trustee November 2017

30

Upcoming Events for The Pacific Northwest

Herbert Edwards, DDS, MS, MAGD, PACE Program Approval Representative, Dental Care Chair, At Large Board Member September 2017-2020 Ravi S. Sinha, DDS, Region 11 AGD Regional Director November 2017 Valerie Bartoli, ED, CDA, Executive Director, Region 11 AGD Executive Director Bryan C. Edgar, DDS, MAGD, Legislative Chairperson

31-35

Upcoming Continuing Education Classes

Theron A. Manson, DDS, Membership Chairperson, At Large Board Member September 2015-2018 Thanh Dung N. Nguyen, DMD, MAGD, Public Relations Officer, At Large Board Member September 2016-2019 Ernesto Ricardo Schwedhelm, DDS, U of WA Dental Student Coordinator, At Large Board Member September 2017-2020

36

AGD Member Benefits Why You Need Life Insurance

Teresa K. Kang, DDS, President 2017-2019, CDE Committee & Gala Chair

Timothy A. Hess, DDS, MAGD, U of WA AGD Student Chapter Chair

WASHINGTON AGD TRANSCEND COMMITTEE

37

2019 AGD Membership Application

38

AGD Member Savings & Offers

Sir Speedy Print/Signs/Marketing, Publisher Carl W. Youngquist, DDS, MAGD, Editor Valerie Bartoli, ED, CDA, Editor

News contributions, information, advertising and letters to the editor are welcome.

Readers are encouraged to submit letters to the editor on any topic. All submissions may be edited at the discretion of the Editor and TRANSCEND MAGAZINE Committee and may be published on a space available basis.

The opinions expressed by the authors in the Washington AGD TRANSCEND magazine do not necessarily reflect the official position of the Washington Academy of General Dentistry. Advertisers are not necessarily endorsed by the Washington AGD. The Washington Academy of General Dentistry Committee reserves the right to refuse advertising.

39

Applying for PACE Approval

18

A Closer Look At Dr. Alan Yassin

19

Implant Study Continuum

with Alan Yassin, DDS, MS, MSD

21

Mastering the Business of Dentistry with Dennis Marvel, AAMS, MTC

Find us online Washingtonagd.org Follow us on Twitter @AGDWashington Find us on Facebook facebook.com/WashingtonAGD Find us on LinkedIn Washington AGD

SEND ALL CONTRIBUTIONS TO: Washington Academy of General Dentistry TRANSCEND Magazine 19415 International Blvd, Floor 4-Suite #410, SeaTac, WA 98188 FOR INFORMATION ABOUT ADVERTISING CONTACT Valerie Bartoli at (206) 212-4969 or info@washingtonagd.org www.washingtonagd.org

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 3

A NOTE FROM THE

r o t i d E

Carl Youngquist, DDS, MAGD

Do you have something you’d like to share in Transcend?

In this issue of Transcend, you will find two special articles authored by Washington AGD members. Dr. Jim Newman Jr. writes about the occlusal and morphological factors that predispose mandibular molars to fracture. He discusses aspects of dental anatomy that a first-year dental student would not truly appreciate, but an experienced dentist would. Dr. Herbert Edwards writes the second part of his STEM of Dentistry series where he challenges us to use our STEM skill sets to understand the why and how, not just the what we do in dentistry. The Washington AGD is composed of outstanding dentists like Dr. Edwards and Dr. Newman. If you have something you would like to share in Transcend, be it academic, clinical, outreach, administrative, humor, or something else, let me know! Just send an email to: youngquistcarl@gmail.com. ■

Where the sky is the limit

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Preferred dental General ContraCtor of the WaGd WWW .B iG s ky n orthWest . Com

4 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

206-259-0937

BUSINESS SPONSORED ARTICLE

The Three Equations of Increased Treatment Acceptance BERNIE STOLTZ, CEO of Fortune Management

There is a saying, “Life is a math equation. In order to gain the most, you have to know how to change the negatives into positives.” I’m not proposing that patients’ decision to accept, delay or decline care can be explained by a mathematical formula, but I’ve found that there are three equations that, when in proper balance, add up to increased treatment acceptance.

1

Experience > Expectations Patients’ expectations are based on the sum of all their experiences, including all the times they’ve been to a dentist, restaurant, store, doctor, or have called the plumber or their insurance company. I believe people’s expectations are pretty low today because it seems, as a whole, consumers now experience more situations where they receive less than passionate, personal service. So, when exceptional service is delivered, it is noticed and appreciated.

The good news is being passionate about dentistry is easy. It is a vocation that can significantly and positively impact people. You can’t help but be passionate about patients and their experience at your practice when you truly believe you make a difference in people’s lives. And when you’re passionate about patients and the patient experience, it’s natural for you and your team to figure out ways you can add more value than any other dentist. Your systems, processes, communications, training and technology should focus on adding value for the patient; they are the center and purpose of everything you do. For example, think about how your team answers the telephone, which is the gateway through which all patients flow. Consumers today form an initial opinion, and initial expectations, based on the first 30 seconds of interaction. If your team is trained in the spirit of hospitality and if they are passionate about patients, they answer the phone not as an obligation but as an opportunity to serve.

“Mrs. Smith! It’s a great day at Miller Family Dentistry. How can I help you smile today?”

The practice must foster a culture of pride, passion and hospitality. When you have this mindset, not only do your patients thoroughly enjoy their time in your practice, but your team will, too.

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BUSINESS SPONSORED ARTICLE

2

Value > Cost When considering making a purchase, the perceived value of an item or service needs to be greater than the cost or people are not likely to buy. When it comes to dentistry, patients need to have a clear understanding of what’s happening in their mouth. If there is no discomfort, patients often don’t feel they have a problem that needs to be solved, therefore they don’t value the diagnosis. Using visual aids that enable patients to literally “see” the issues with their teeth can be very beneficial. Asking questions that confirm patients understand their oral problem, the clinical solution, and consequences of inaction will help your team determine if patients truly understand the value of treatment.

All patients have a “core value,” which is what matters most to them apart from the clinical aspects of dentistry. To find out a patient’s core value, you simply need to ask.

“Mrs. Smith, what’s most important to you about your oral health and the dental care you would like to receive?”

“Well, I’m pretty busy; I work and have three kids. So I don’t have a lot of time for dental visits.”

This question and the subsequent answer will help the team identify the patient’s core values, which typically are related to five specific things: money, time/convenience, quality, comfort or relationships. The next question identifies the rules in which this patient has for that core value.

A follow up question would be, “I understand that time is extremely valuable to you. Would you mind sharing with me what has to happen in order for you to feel we have valued your time?” This patient might reply by saying, “I would love to be seen on time and, if possible, to have all my care done in as little visits as possible.” Once you have identified the patient’s core values and their rules, you can then identify what your practice can offer that aligns with the patient’s most important wants. In Mrs. Smith’s case, it is time. So, when you present recommended treatment, you would explain the clinical and health value of the dentistry, but also detail how the technology you have in your practice will enable Mrs. Smith to enjoy one-day crowns, minimizing her time investment at the practice.

“Mrs. Smith, as you know, I’m recommending we put crowns on two of your teeth that have cracks. I’ve showed you on the monitor how serious this issue is and shared with you my concerns that if you don’t take care of this now, one or both may break and not only cause discomfort but additional expense. You indicated you want to get this taken care of, but also mentioned time is very valuable to you. The good news is we have technology that will enable us to do your crowns in just one visit so we don’t interrupt your work schedule or take too much time away from your family.”

Page 2

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2

Care > Treatment Theodore Roosevelt said, “People don’t care how much you know until they know how much you care.” This is especially true in dentistry. Dentists and their teams have to make sure the patient knows that you care about them and that you really, really care about getting the patient healthy. In addition to delivering an exceptional experience that centers around the patient and providing value, here are a few ways you can let patients know your goal is to care for them, not treat them: Always use the word “care” instead of “treatment.”

Always make care as easy as possible. This may mean being available for appointments beyond traditional work hours or offering financing solutions.

“Mrs. Smith, the cost for your two crowns is $1,025 after applying what your insurance will contribute to your care. We accept cash, checks, credit cards and we do have special financing with CareCredit. We never want the cost of care to cause a patient to delay care.

Your oral health means too much to us.”

Always follow up with patients after their appointment.

Always keep great notes in the patient’s file. Know who their family is, key dates and important events in their lives.

Always, always, always show appreciation. A simply “thank you for choosing our practice as your dental home” can go a long way.

When you add it all up — delivering a great patient experience that exceeds expectations, providing value that exceeds cost and showing patients you’re more interested in caring for them than treating them — it equals patients who accept recommended care and become long-term, loyal patients.

Bernie Stoltz A seasoned motivator, public speaker and acclaimed coach with over 30 years of business leadership, Bernie Stoltz is one of the nation’s most recognized and sought after authorities on practice management. As CEO of Fortune Management, the world’s largest executive coaching organization for Doctors, Bernie leads more than 70 coaches in over 50 cities throughout the United States and Canada. Bernie has conducted thousands of training programs across the country to help thousands of people become their personal and professional best.

Bernie Stoltz, CEO of Fortune Management, and The Three Equations of Increased Treatment Acceptance are not endorsed by the American Dental Association, ADA Business Resources or your State Association/Association affiliate.

This content is subject to change without notice and offered for informational use only. You are urged to consult with your individual business, financial, legal, tax and/or other advisors with respect to any information presented. Synchrony Financial and any of its affiliates, including CareCredit, (collectively, “Synchrony”) makes no representations or warranties regarding this content and accept no liability for any loss or harm arising from the use of the information provided. All statements and opinions in The Three Equations of Increased Treatment Acceptance are the sole opinions of the author. Your receipt of this material constitutes your acceptance of these terms and conditions. Bernie Stoltz collaborates with CareCredit to develop educational materials for the dental industry.

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WHY MANDIBULAR MOLARS FRACTURE

By James E. Newman Jr. D.D.S., MAGD, ABGD University of Washington School of Dentistry Seattle, Washington

T

he incidence of tooth fracture is increasing due to an increased aging population who are retaining their teeth. Currently, it is the third most common form of tooth loss behind caries and periodontal disease.1 Causes of tooth fracture are numerous. Some of the major ones are bruxism, caries, tooth wear, tooth morphology, localized masticatory force, cavity preparation design, and traumatic occlusion with occlusal interferences.1,3 Tooth fractures occur primarily on posterior teeth, most specifically molars with a predilection towards mandibular molars.2, 3, 4 I will focus on the occlusal and morphological factors that predispose mandibular molars to fracture.

One of the most basic tenants of occlusion is the “lever principle�.1 This principle states that posterior teeth which are closer to the fulcrum of mandibular closure are subject to more masticatory force than teeth that are farther from the fulcrum. For example, mandibular second molars have more masticatory force than mandibular first premolars.

This becomes particularly relevant if posterior teeth occlude in excursive movements. In an ideal occlusal scheme, posterior teeth should only contact in maximum intercuspation and disclude in lateral movements by canine contact and in protrusive movements by incisor contact. If the anterior teeth do not contact in excursive movements then additional force is placed on the posterior teeth. Lack of anterior tooth contact occurs if there is an anterior open

Fig 1.

bite, malposed canines, Class II or III malocclusion, or a posterior end-to-end occlusion.1 There are other reasons for increased force on mandibular posterior teeth. The mandible is a smaller movable arch occluding against the maxillary arch that is a larger fixed arch more capable of absorbing and distributing occlusal force.3 The mandibular teeth will receive more force when these bodies occlude.

Another reason for increased force on the mandibular teeth is that mandibular teeth have less root surface area than maxillary teeth for stress absorption.3 Also the mandibular teeth are embedded in harder cortical bone than are the maxillary teeth that are embedded in softer cancellous bone. The occlusal surfaces of the mandibular molars are larger than other posterior teeth, which means that there is more force to them. The larger mesio-lingual cusps of the maxillary molars also exert a strong wedging effect between the buccal and lingual cusps of mandibular molars.1 Mandibular molars often have developmental fissures, which predispose them to weak structural planes that are prone to fracture.1 In mandibular molars, non-functional lingual cusps are considered more prone to fracture than functional buccal cusps.3 Generally, neither functional nor nonfunctional cusps have a predilection to tooth fracture. There are several explanations for this phenomenon unique to the mandibular molars. The mandibular molars are lingually

inclined, which exposes the lingual cusps to forces of mastication at an unfavorable, unsupported inclination (Fig.1).

Fig 1. Photograph of a mandibular second molar from the mesial.

Please note the lingual inclination of the crown relative to the vertical inclination of the root. Buccal and lingual surfaces are identified.

L

B

This lingual inclination of the mandibular posterior teeth is larger than the corresponding buccal inclination of the maxillary arch.3 The lingual cusps of a mandibular molar are smaller and have greater cuspal inclines than their counterparts (Fig.2).3 They can also be more pointed.3

8 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

Fig 2.

B

Fig 2. Photograph of sectioned mandibular first molar through the mesiobuccal cusp tip. The buccal cusp is 53% and the lingual cusp is 47% of the total B-L width of the tooth. Also, note that the buccal slope of the lingual cusp is steeper than the lingual slope of the buccal cusp.

L

To further understand the importance of tooth morphology in the role of cuspal fracture we need to look at mandibular second premolars. They have a lower fracture rate than the mandibular molars and this may be explained by the factors of cuspal inclination and enamel thickness.1,3 Significantly, their functional and nonfunctional cusps have almost identical cuspal inclines and enamel thickness reducing their propensity for fracture.

The incidence of fracture may not be related to whether a cusp is functional or nonfunctional, but rather to the size, strength, crown angulation, and cuspal inclines of the cusp.3 Small weakened lingual cusps of mandibular molars should be restored with cuspal coverage whenever there is any question about their ability to resist fracture. ■ Acknowledgements: The author would like to thank Dr. Albert Chung, Professor, University of Washington School of Dentistry, for his assistance with the tooth sectioning References: 1. Ellis SG, McCord JF, Burke FJ. Predisposing and Contributing Factors for Complete and Incomplete Tooth Fractures. Dent Update. 1999 May;26(4):150-158

3. Khers SC, Carpenter CW, Vetter JD, Staley RN. Anatomy of cusps of posterior teeth and their fracture potential. J Prosth Dent.

1990 Aug;64(2):139-147

2. Lubisich EB, Hilton TJ, Ferracane J; Northwest Precedent.

Cracked teeth: a review of the literature. J Esthet Restor Dent. 2010 Jun;22(3):158-167

4. Braly BV, Maxwell EH. Potential for tooth fracture in restorative dentistry. J Prosth Dent. 1981 April;45(4):411-412

Dr. Newman Jr. is currently Director of Dental Anatomy and Occlusion at the University of Washington School of Dentistry. He is currently a Diplomate of the American Board of General Dentistry and has achieved Mastership status in the Academy of General Dentistry. He is a former Director of the AGD–12-Month Residency Program at JBLM.

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 9

BUSINESS SPONSORED ARTICLE

Increasing Treatment Acceptance — Communicating the Value of Your Care

By Debra Engelhardt–Nash

❙

Co-Founder of The Nash Institute for Dental Learning and Practice Management Expert

Imagine how healthy your patients — and practice — would be if you could increase patient treatment acceptance by 10–15%. This is a real possibility, especially if your team is trained to effectively communicate the value of care as it relates to the patient’s own dental goals and health.

Treatment acceptance starts by creating relationships with patients that encourage them to be open and receptive to dental care and then providing patients with the information they need – in the way they need it — to understand how the dentistry benefits them.

In my opinion 80% of gaining treatment acceptance is the ability to connect with patients in a relationship-based experience. People buy from people they like and people who make them feel as though they matter. A patient begins choosing their dental home the minute they contact your practice for an appointment. Even on the phone the patient is looking for a quality experience that indicates they are going to be valued and receive quality care.

INITIAL CONTACT — THE TELEPHONE When the patient picks up the telephone to call your office, they have already chosen your care. It now becomes the responsibility of the person answering the telephone to validate their decision.

This is a two-way conversation to learn the patient’s expectations and discover how the practice can meet their needs as well as their wants. So, your very first questions should uncover a) how the patient found your practice and b) what they are looking for in a new dentist.

“Mrs. Jones, we are so happy you have chosen to find out more about our practice. May I ask which one of our patients referred you to us?”

“May I be the first to welcome you to our practice?” “So that we are sure to meet and exceed your expectations, may I ask you a few questions?” “What inspired you to seek our care (or what inspired you to call our office)?”

Avoid launching into potential patient conversations by listing the “rules and regulations” of becoming a patient, or launch into a health history questionnaire. Gathering data is secondary to making a warm and welcoming first impression. The call should provide inspiring information about the practice and the doctor as it relates to the information they provided you on what they want and need from their new dentist. Use this time as an opportunity to share how patients Continued >>

10 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

appreciate your approach to their treatment and the high level of care and attention they receive Increasing Treatment Acceptance — during their visit. Introducing your philosophy of care in an easily understandable way is the start of gaining better treatment acceptance.

Communicating the Value of Your Care “Mrs. Jones, thank you for sharing your information with me. May I tell you a bit about our office

❙

Co-Founder of The Nash Institute for Dental

By Debra Engelhardt–Nash and doctor? We want you to be comfortable and confident you have chosen the right office

Learning and Practice Management Expert for your care. We believe in creating a stress-free environment. And what I mean by that is an

environment that is comfortable for your schedule, your family and your budget. Wait until you meethow Dr. Brown. arepatients going to— love hispractice caring nature and be his ifapproach to increase your care.patient ” Imagine healthyYou your and — would you could treatment acceptance by 10–15%. This is a real possibility, especially if your team is trained to A quick note: always ask permission before asking questions or providing information. “May I tell effectively communicate the value of care as it relates to the patient’s own dental goals and health. you a little bit more about our office?” or “So that I may schedule the proper appointment for you, may Treatment acceptance starts by creating relationships with patients that encourage them to be I ask you a few questions?” are excellent ways to initiate conversations. open and receptive to dental care and then providing patients with the information they need – in the way they need it — to understand how the dentistry benefits them.

CREATING THE RIGHT ENVIRONMENT

In my opinion 80% of gaining treatment acceptance is the ability to connect with patients in a When the patient arrives at the practice for their first appointment — their new patient experience relationship-based experience. People buy from people they like and people who make them feel — they immediately begin validating their choice from the moment they open the door. Create the as though they matter. A patient begins choosing their dental home the minute they contact your right atmosphere in your office to engage the patient’s visceral senses — how do they feel when practice for an appointment. Even on the phone the patient is looking for a quality experience that they walk in? Is the office pleasant and professional? Does it have a pleasant aroma? Is it consistent indicates they are going to be valued and receive quality care. with the quality of care of you provide? Your patient’s senses are keying in with their “learning sensors” to all of these validation points.

INITIAL CONTACT — THE TELEPHONE

As the patient begins their new patient experience, the first step is a conversation where When the patient picks up the telephone to call your office, they have already chosen your care. It the team learns about the patient and the patient about the practice. The team should focus now becomes the responsibility of the person answering the telephone to validate their decision. on understanding who the patient is, their previous dental experiences and their treatment This is a two-way conversation to learn the patient’s expectations and discover how the practice expectations. The information gathered during the initial phone call where the patient expressed can meet their needs as well as their wants. So, your very first questions should uncover a) how the what she/he was looking for in a new dental home should be recorded and shared with the entire patient found your practice and b) what they are looking for in a new dentist. team the day of the appointment during the morning huddle. This will enable every team member to greet welcome new patient into the office and a starting point for the discussion.

“Mrs.and Jones, we are the so happy you have chosen to find outhave more about our practice.

May I ask Oncewhich the team more in-depth insight the patient, they will be better equipped to share one has of our patients referred you on to us?” details on the practice, the doctor and team in a meaningful way that is relevant to that specific “May I be the first to welcome you to our practice?” “So that we are sure to meet and exceed patient’s needs and wants. This conversation should happen in an atmosphere that encourages your expectations, may I ask you a few questions?” “What inspired you to seek our care (or patients to share their concerns, expectations and questions, and gives the dental team the ability what inspired you to call our office)?” to talk about potential treatment possibilities. The goal is to help the patient feel comfortable and confident they have chosen the right practice for their care.

Avoid launching into potential patient conversations by listing the “rules and regulations” of becoming a patient, or launch into a health history questionnaire. Gathering data is secondary

PRESENTING TREATMENT to making a warm and welcoming first impression. The call should provide inspiring information about the practice the doctor it relates toshould the information they provided you on what they The second part of and the new patientasexperience focus on the clinical examination, diagnosis wanttreatment and needrecommendation. from their new dentist.

Use this to time as an opportunity share how and It’s important have enough time to to introduce thepatients patient Continued >>

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 11

BUSINESS SPONSORED ARTICLE

to treatment possibilities and give them the information they need to make the right choices in treatment before clinical procedures commence. Always present the doctor’s preferred or ideal treatment option first. If you never share with the patient what ideal treatment is, they will never choose it. Make sure you have enough time to talk with patients, not talk at them. Asking for a substantial dental investment on their part deserves time and attention. (And for some patients, $500 is substantial.) Remember to present the treatment as a solution that is relevant to the needs, wants, problems or expectations they previously shared with you.

Avoid unnecessary details. Put the treatment plan in “patient-speak” and avoid a lot of dental terminology. If you have a treatment plan on the monitor or printed, use it as a reference. But speak to the patient, not the paper or the screen.

Utilizing visual aids is important when talking to patients about treatment recommendations.

Most patients are visual learners, which means they have to see what you’re referencing in order to understand. Photographs, intra-oral cameras and media learning improve patient communication and information retention. Showing them before and after photographs of completed treatment (with smiling full-face pictures) helps them visualize the treatment for themselves. Because patient understanding is enhanced when you incorporate conversation and photographs or other visual aids into treatment discussion, your treatment acceptance rate is likely to improve.

There should be no outside interruptions when presenting treatment to patients. Body language is important. Sitting near the patient (not too close!) and leaning slightly forward signifies the conversation is important and the focus is on the patient. Avoid sitting too far away from, or with your back to, the patient, staring at the computer monitor or study models on an articulator. The focus should be totally on the patient.

Once you present your treatment plan, give the patient an opportunity to respond and listen with intent. The goal here is to make sure your team has clearly communicated the value of care from the patient’s perspective. Give them time to process what you have told them and be careful not to assume that silence is negative. A great way to encourage patients to share any misunderstandings, questions or concerns they have is to ask.

“Mrs. Jones, we have shared a lot of information with you about your treatment.

What questions can I answer for you?” or “How are you feeling about the dentistry we have recommended?”

If the patient doesn’t have any questions or the questions are “When can we start?” or “How much is this going to cost?” then all that is left is helping them manage time and finances. If the patient has a lot of questions or is still not sure, there may have been a miscommunication along the way — either the patient was not entirely open about their needs or personal restrictions, or the treatment plan may not have been effectively communicated.

Continued >>

12 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

The next step is to ask a very important question: “Mrs. Jones, may I ask what is preventing you from moving forward with your care?” or “What are your particular concerns about Doctor’s recommended treatment for you?”

Then listen as the patient responds. It may be they understand the value but have other barriers to care such as fear, cost or time.

TRACKING SUCCESS In order to track an increase in treatment acceptance, a baseline percentage must be determined.

An important statistic to monitor is what percentage of treatment plans are currently being accepted. This means of all treatment presented, what did the patient ACTUALLY commit to by making financial arrangements and scheduling the appointment?

Most dental software companies provide this report as long as treatment plans are being entered into the system. The administrative team can then compare the total treatment plan amounts by the total amount collected upon and appointed. This will provide the office with the Treatment Presented versus Treatment Accepted rate. If the Treatment Acceptance rate is below 75–80%, there is potential patient treatment that is not being appointed. Discovering where the treatment acceptance obstacles are and learning how to enhance treatment presentation skills will dramatically improve patient compliance to recommended treatment.

Presenting treatment to patients so they accept it and pay for it requires skills training. The more prepared the dental team is in helping patients understand and appreciate the dental care being offered, the more confident and competent the team will become. Spend time learning how to talk to patients about ideal treatment. The patient will benefit from the outstanding care they receive and the practice will benefit from increased productivity.

Debra Engelhardt-Nash is a management consultant and seminar leader. She is a frequent contributor to dental literature, and is a member of the Academy of Dental Practice Administration.

She is a founding member and served two terms as President of the Academy of Dental Management Consultants. She serves on the board of the American Dental Assistants Association Foundation and is a recipient of the American Dental Assistants Association Journal Award in 1993 and 2000, recognized as one of the top 25 women in dentistry in 2014 by Dental Product Reports and the 2015 recipient of the Gordon Christensen award. She has been included in Leaders in Dental Consulting and Leaders in Dentistry with Dentistry Today every year since 2008.

This content is subject to change without notice and offered for informational use only. You are urged to consult with your individual business, financial, legal, tax and/or other advisors with respect to any information presented.

Synchrony Financial and any of its affiliates, including CareCredit, (collectively, “Synchrony”) makes no representations or warranties regarding this content and accept no liability for any loss or harm arising from the use of the information provided. All statements and opinions in Increasing Treatment Acceptance — Communicating The Value of Your Care are the sole opinions of the author. Your receipt of this material constitutes your acceptance of these terms and conditions.

Debra Engelhardt-Nash collaborates with CareCredit to develop educational materials for the dental industry.

Compliments of ®

www.carecredit.com

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 13

BUSINESS SPONSORED ARTICLE

WHY YOU NEED LIFE INSURANCE

By WDIA

Life Insurance coverage is an essential tool for protecting your family and your practice by making sure that your loved ones will be taken care of in the event of your death. Life Insurance ensures that their financial future is not left to chance. Having coverage can mean the difference between your family keeping their family home, your children having money for college and your spouse having a means to retire.

If you have a spouse, children, parents or anyone else who depends on your salary

BELOW ARE A FEW MORE REASONS NOT TO WAIT ON PURCHASING LIFE INSURANCE: ■■ You are the main income earner for your family and they are dependent on your income. If you were to die tomorrow, your family would have trouble meeting their basic needs.

■■ You have significant debt due to the home mortgage, student loans, practice loan, etc. that you do not want to burden your family with if you passed away tomorrow.

each month, you need Life Insurance.

■■ You do not want your family to be burdened with estate or other taxes that would reduce the estate your family receives when you die.

Although people are told by their financial planner, spouse and others that they need Life Insurance, they still find reasons for putting off purchasing a policy. But WDIA’s advice is to buy it now. First, the premiums for the same coverage will increase the older you become so it will be less expensive for you to buy it now verses next year. Second, the longer you wait, the more you risk developing health issues that could increase your premium or make you ineligible for coverage at all.

■■ You have a special needs child who depends on your income for his or her care, probably for the rest of his or her life.

40% OF AMERICAN HOUSEHOLDS WOULD IMMEDIATELY HAVE TROUBLE MEETING THEIR BASIC LIVING EXPENSES IF A PRIMARY WAGE EARNER PASSED AWAY.

■■ You are saving for your children’s private school or college education. If you passed away, the kind of education that you would like to provide for them would be out of reach.

Even if you are experiencing some financial challenges, Life Insurance should never be thought of as a non-essential expense. If a family loses a main breadwinner, the financial consequences could range from simply challenging to totally devastating. Life Insurance is one of the most important things you can have to ensure that your family will be taken care of if something happens to you. ■

If you are ready to look at your Life Insurance options or need Disability, Medical or Long Term Care Insurance, please contact: Washington Dentists’ Insurance Agency at 1-800-282-9342 or info@wdiains.com

14 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

PRESIDENT’S MESSAGE

by Teresa Kang, DDS

Our primary focus for 2018 was the construction of the Washington AGD Learning Center. I am happy to state that we have officially completed construction! (A big thank you to Henry Schein for help on every aspect of planning and construction.)

HIGHLIGHTS OF THIS STATE-OF-THE-ART FACILITY INCLUDE: LECTURE SPACE FOR UP TO 125 PARTICIPANTS STATE OF THE ART CBCT (Thank you to Kavo-Kerr)

FIVE CLINICAL CHAIRS

(One each donated by: A-dec, DCI, Dental-Ez, Midmark, and Pelton Crane)

CATERING CAPABILITIES

STERILIZATION CENTER

HANDS-ON AND LECTURES COURSES SIMULTANEOUSLY

Located in the City of Sea-Tac, the Learning Center is only minutes from the airport. Multiple hotels are within walking distance. Public transit, such as the Link light rail, can take attendees of the Learning Center to and from Seattle.

The main purpose of the Learning Center is to be a continuing dental education facility, offering both lecture and participation courses. It is primarily used for Washington AGD dentist CE courses, but also hosts CE for all players in the dental team (hygienists, assistants, office managers), and other disciplines. In addition, the Learning Center hosts dental outreach events, study clubs, social events, and serves as the Washington AGD headquarters.

I also want to take the time to ask our membership to consider donations to the learning center. As many of you know it is costly to do a dental build-out and as a non-profit organization we rely strongly on generous donations. ■

Do you want YOUR name on the Learning Center DONOR WALL? Just make a donation of $100 or more. Donate online at: https://tinyurl.com/wagddonorwall

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 15

SCIENCE • TECHNOLOGY • ENGINEERING • MATH

Dr. Edwards graduated from Loma Linda University School of Dentistry class of 2007 on an Air Force HPSP scholarship.

He then worked as an Air Force dentist (both active duty and reserve) until 2012 before becoming a full time private practitioner. He currently owns two dental practices in Walla Walla, Washington.

In 2016 he achieved AGD Fellowship status and attained his AGD Mastership in 2018. He is actively involved with mentoring pre-dental university students on materials and microbiology projects related to dentistry and spends a significant portion of his free time studying dental materials topics.

OF DENTISTRY

W

(PART 2)

THE

By Herbert Edwards, DDS, MS(biol), MAGD

e continue with the last half of our two-part series on the value of our STEM skill sets we have as dentists. This part of our STEM series looks at how we can apply our science, technology, engineering, and mathematics knowledge to solve real world clinical and laboratory challenges.

Presented here are just a few examples of simple projects that have saved thousands of dollars, taken a minimal amount of time to complete, and work effectively. Saliva and blood contaminants can interfere with proper delivery of indirect restorations and a particular concern often cited is the phospholipids that have an affinity for zirconia restorations during try-in. These phospholipids can weaken the ability of adhesives to interact properly with the intaglio surface of the restoration unless they are properly removed. If a luting option is not ideal for a particular situation, then the clinician will opt for an adhesive option and two popular methods of removing these try-in contaminants exist when the adhesive option is the better choice. One is to use air abrasion followed by an ultrasonic cleaning and rinse, drying the restoration, then proceeding with the proper priming and adhesive protocol. The second is to use a cleaning paste. An example of one such cleaning paste is Ivoclar Vivadent’s Ivoclean which is scrubbed onto the intaglio surface of the restoration, rinsed off, and the restoration dried before continuing with the priming and adhesive protocol. The costs of either method can add up. A review of the technical data for the cleaning paste reveals some key details as to what its composition is. The ingredients are listed by percentage and the pH is given. After a discussion with a professional chemist and placing an order for the relevant food grade (i.e. safe) components, we mixed up a batch of our own zirconia cleaning paste. The pH of the final product was verified with a pH meter, the handling is good, and it cost us one lunch break to make about $600 worth of product for approximately $10 worth of materials. It was fun and successful application of our STEM knowledge.

16 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

Those dentists who are involved with 3D printing know that post-curing of prints is critical to a high quality outcome. Many companies sell postcuring light boxes that range in cost from a few hundred dollars to several thousands of dollars. Looking at the technical data sheets of the printing resins we were using, we realized we could create our own light curing box for about $45 using off-the-shelf materials. Since our initial prototype (depicted here) we have tested two improved designs. All three designs work well and cost far less than commercially available models. STEM wins again.

A final example of a practical STEM project is the creation of a composite warmer using readily available materials. The benefits of heated composites are well known. We have tested, and continue testing, several of our own simple designs. The three best prototypes work well and cost as little as 5% and up to about 15% of the models available from dental supply companies. Participants of the Mastertrack course at the Washington AGD Education Center in SeaTac will get to learn more about this ongoing testing at a future class session.Reach into your STEM toolbox and enjoy your profession. Your patients will benefit and you’ll have fun all while saving some money without compromising on quality. ■

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 17

A Closer Look At

DR. ALAN YASSIN Periodontist and Oral Surgeon Fellow, International Association of Oral & Maxillofacial Surgeons Clinical Instructor/University of Washington Diplomate, American Board of Periodontology eligibility Diplomate, German Board of Oral Implantology DGZI

D

r. Alan Yassin is our new face at the Washington Academy of General Dentistry. He is the director of our Implant Study Continuum program where he and his oral surgeon wife Dr. Layla Yassin share their surgery knowledge with general practitioners and specialists, teaching surgical skills at the beginner and advanced levels and everywhere in between. This innovative course involves lectures, hands on, and live surgeries. It is an unparalleled, one of a kind experience. His students appreciate his lectures with slew of information, hands-on approach to education, and all-encompassing fervor for surgery.

Dr. Yassin is a dual trained dentist in both Periodontics and Oral & Maxillofacial Surgery. After his graduation from the Dental School at the University of Aleppo in, he pursued his master’s degree in Oral and Maxillofacial Surgery in 2006 from Damascus Hospital and his second master’s degree in Periodontics in 2017 from University of Washington in Seattle. He is a diplomate of the German Board of Oral Implantology and currently he is practicing periodontics and implant dentistry in Seattle, besides his position as an affiliate clinical instructor at the University of Washington.

Having a pediatric surgeon as a father and a dentist as an eldest sibling, Dr. Yassin has known he would be a dental surgeon since adolescence and he pursued his dream relentlessly since then. Dr. Yassin’s impressive career includes a long span from private practice to academia to community outreach. Having recently participated in the Washington Academy of General Dentistry’s inaugural Smiles for Veterans event. Dr. Yassin’s commitment to his community is evident by the free dental care he has provided in his years in the Seattle

18 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

area, annually volunteering at the Seattle King County Clinic, the Red Cross, and MHP dental van. His heart for the people around him is clear, from his family to his staff and to his patients.

He regularly shares his wealth of knowledge with students both locally and internationally. Dr. Yassin has continued to increase his academic accomplishments by publishing research, peer-reviewing articles for multiple scholarly journals. His passion for dentistry is unparalleled, save for his passion for teaching.

Dr. Yassin’s treatment philosophy revolves around providing patients with the best possible care available, utilizing the latest evidence-based techniques, and teaching his students to do the same. His attention to detail, surgical efficiency, and continued pursuit of perfection are valued by his patients and staff alike.

He holds deeply to a set of core values that lead him to never stop learning, continue his personal, surgical, and academic development without pause, and to always give back to those around him.

Outside of dentistry, Dr. Yassin’s hobbies include photography, swimming, soccer, and music. His contagious sense of humor and positivity keep everybody around him smiling along with him. He enjoys spending his weekends with his wife, Layla, and their son Medo. Together, they enjoy going to concerts, trying new foods, playing soccer, and exploring all that the beautiful Washington has to offer, the place they proudly call home. ■

Implant Study Continuum PER SESSION TUITION: $299 LECTURE OR LECTURE & HANDS ON $995 February 8th-9th Biohorizons

“Soft Tissue Management in Implant Dentistry” Basic and advanced soft tissue grafting techniques Hands-on & Live Surgery Course

March 8th – 9th Biohorizons

“Implants in the Esthetic Zone” Surgical and restorative principles in the esthetic zone Hands-on & Live Surgery Course

April 5th – 6th Straumann

“Digital Implant Dentistry” Digital work flow and computer guided implant dentistry Hands-on & Live Surgery Course

May 10th – 11th Noble Biocare

“Full Arch Solutions in Implant Dentistry” Treatment planning, restorative and surgical approach Hands-on & Live Surgery Course

June 14th – 15th Biohorizons

“Complications in Implant Dentistry” Surgical and restorative complications Hands-on & Live Surgery Course

DESCRIPTION: Target Audience: For dentists seeking a well-balanced handson interdisciplinary implant education, this study continuum will answer that call!

LOCATION: Washington AGD Educational Center 19415 International Blvd, #410 “Heyamoto Room” SeaTac, WA 98188

SUBJECT CODE: Implants TUITION: FRIDAY • LECTURE ONLY: AGD Member Dentist: $299 and Non-AGD Members: $399 and UWSOD AGD Dental Student Member: $100 (Refundable after Completion of the Course) CREDIT HOURS: 8 (Breakfast & Lunch included with Tuition)

TUITION: FRIDAY, LECTURE AND SATURDAY, HANDS ON with Pig Jaws and Live Patients, Surgery by Dr. Alan Yassin! Includes Social Hour & Dinner, Friday night.

(All Materials, Breakfast, Lunch & Dinner included with Tuition) AGD Member Dentist: $995 and Non-AGD Members: $1250 and UWSOD AGD Dental Student Member: $100 (Tuition for both days is Non-Refundable) CREDIT HOURS: 16

To learn more about the curriculum, visit:

www.WashingtonAGD.org

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 19

COURSE DIRECTOR

ALAN YASSIN DDS MS MSD

Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2017-5/31/2024).

Periodontist and Oral Surgeon Fellow, International Association of Oral & Maxillofacial Surgeons Clinical Instructor/University of Washington Diplomate, American Board of Periodontology eligibility Diplomate, German Board of Oral Implantology DGZI

Dr. Yassin is dual trained dentist in both Periodontics and Oral & Maxillofacial Surgery.

He received his master’s degree in Oral and Maxillofacial Surgery in 2006 and his second master’s degree in Periodontics in 2017 from University of Washington in Seattle.

Since his graduation from the Dental School at the University of Aleppo in 2001, Dr. Yassin has been practicing dentistry and oral surgery in private practices, hospitals and academic institutions. Currently he is practicing periodontics and implant dentistry in Washington State Seattle.

Besides his outstanding academic and clinical skills, Dr. Yassin is also committed to his passion for teaching, sharing expertise with his students and colleagues. From serving as a clinical attending in the Oral Surgery Departments at Damascus Hospitals for 5 years, to his recent position as affiliate faculty at the Periodontics Department of the University of Washington, Dr. Yassin lectures on esthetics and advanced implant surgery at national and international conferences and symposiums, in addition to extensive online courses and webinars.

REGISTER FOR: FEBRUARY 8TH LECTURE

r $299 AGD Member r $399 Non-AGD Member r $100 UWSOD AGD Dental Student

FEBRUARY 8TH-9TH LECTURE AND HANDS ON

r $995 AGD Member r $1250 Non-AGD Member r $100 UWSOD AGD Dental Student

REGISTER TODAY FOR

MULTIPLE SESSIONS & WORKSHOPS

Implant Study Continuum

MARCH 8TH LECTURE

Name:________________________________ Washington AGD#_______

MARCH 8TH – 9TH LECTURE AND HANDS ON

Address:__________________________________________________

r $299 AGD Member r $399 Non-AGD Member r $100 UWSOD AGD Dental Student r $995 AGD Member r $1250 Non-AGD Member r $100 UWSOD AGD Dental Student

City:_____________________________ ST________ ZIP____________

APRIL 5TH – 6TH LECTURE

r $299 AGD Member r $399 Non-AGD Member r $100 UWSOD AGD Dental Student

APRIL 5TH – 6TH LECTURE AND HANDS ON

Phone:____________________________________________________

r $995 AGD Member r $1250 Non-AGD Member r $100 UWSOD AGD Dental Student

Email:____________________________________________________

MAY 10TH LECTURE

Method of Payment:

r $299 AGD Member r $399 Non-AGD Member r $100 UWSOD AGD Dental Student

MAY 10TH – 11TH LECTURE AND HANDS ON

r $995 AGD Member r $1250 Non-AGD Member r $100 UWSOD AGD Dental Student

JUNE 14TH LECTURE

r $299 AGD Member r $399 Non-AGD Member r $100 UWSOD AGD Dental Student

JUNE 14TH – 15TH LECTURE AND HANDS ON

r $995 AGD Member r $1250 Non-AGD Member r $100 UWSOD AGD Dental Student Total: $_____________________________________

r Check Enclosed

r Visa

r Mastercard

Card#____________________________________________________ Expiration Date:________________3-digit security code:__________

TO REGISTER: PHONE: 206-212-4969 ONLINE: Washingtonagd.org

20 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

MAIL: Washington AGD Educational Center 19415 International Blvd, #410 SeaTac, WA 98188

Mastering the Business of Dentistry DATES: APRIL 19, SEPTEMBER 6, AND NOVEMBER 8, 2019 FRIDAY, APRIL 19, 2019: OPERATIONAL EXCELLENCE zz

Scheduling Methodologies that improve efficiency

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Creating massive Recare Effectiveness

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Amplify your Patient Experience

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Create Effective Job descriptions

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Training and development system

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Talent Sourcing and accountability system

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Create a culture of Excellence

FRIDAY, SEPTEMBER 6, 2019: THE ART OF MARKETING zz

Improve you Branding and Identity

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Internal Marketing

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External Marketing

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Digital Media Marketing

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Master the Art of Patient Enrollment

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Master case presentation using the skills of Elegant influence

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Handling Objections

FRIDAY, NOVEMBER 8, 2019: FINANCIAL MASTERY zz

Rev up the financial engine of your practice

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Create a money mastery mindset

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Mastering Metrics and evidentiary leadership

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Mastering Financial Freedom

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Business Intelligence

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Creating Consistent Results

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Unravel the Myth of investing and wealth creation.

DESCRIPTION: The business of dentistry is changing dramatically. While clinical excellence is required for success, it does not insure it. It is no longer possible to keep running your practice as usual while expecting a change in your success. This course will help you Master the business of dentistry, build the practice of your dreams, and transform your success!

Each class will focus on the one of the 4 cornerstones of building a highly successful dental business.

I. The Roadmap to Accelerate Success II. Operational Excellence III. The art of Marketing IV. Financial Mastery TIME: 9:00 AM — 4:00 PM per Session (Lunch Provided) TUITION: AGD Member Dentist: $299, Non-AGD Member Dentist: $399 and Active Military Dentist: $269 per session.

SUBJECT CODE: 550 CREDIT HOURS: 7 per Session LOCATION: Washington AGD Educational Center 19415 International Blvd, #410 SeaTac, WA 98188

To learn more about the curriculum, visit:

www.WashingtonAGD.org

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 21

REGISTER TODAY FOR

THE BUSINESS TRACK

Mastering the Business of Dentistry COURSE DIRECTOR

Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2017-5/31/2024).

DENNIS MARVEL AAMS, MTC

Dennis has an uncanny ability to make complex business concepts simple and to turn data into clear actionable priorities that transforms business results. Dennis is a Managing Partner and Director of Fortune Practice Management which is the nations largest and oldest dental practice consulting firm. Dennis works with doctors to help them achieve extraordinary business outcomes. Dennis believes that business should not be intimidating and that your business should serve your life, not run it.

Prior to Joining Fortune, Dennis acquired extensive business experience through his own entrepreneurial ventures and diverse positions in the financial services industry. He served as a Principal of the New York Stock Exchange, as a First Vice President of American Express and was a Vice President of Dean Witter Reynolds, The CEO of TILT Inc. and as the Organizer of TEDx Seattle.

In addition to a BS in Business, Dennis is a graduate of The Wharton Schools Financial Management and Executive Leadership Programs as well as the acclaimed Coaches Training Institute. He holds numerous specialist designations and possesses considerable expertise in practice development, marketing, economics, business generation, consumer behavior, corporate finance and capital markets.

REGISTRATION FORM THE BUSINESS TRACK MASTERING THE BUSINESS OF DENTISTRY REGISTER FOR: FRIDAY, APRIL 19, 2019 OPERATIONAL EXCELLENCE r $299 AGD Member r $399 Non-AGD Member r $269 Active Military

FRIDAY, SEPTEMBER 6, 2019 THE ART OF MARKETING r $299 AGD Member r $399 Non-AGD Member r $269 Active Military

FRIDAY, NOVEMBER 8, 2019 FINANCIAL MASTERY

Name:________________________________ Washington AGD#_______ Address:__________________________________________________ City:_____________________________ ST________ ZIP____________ Phone:____________________________________________________ Email:____________________________________________________ Method of Payment:

r Check Enclosed

r Visa

r Mastercard

Card#____________________________________________________

r $299 AGD Member r $399 Non-AGD Member r $269 Active Military

Expiration Date:________________3-digit security code:__________

PHONE: 206-212-4969

Total: $________________

TO REGISTER:

22 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

ONLINE: Washingtonagd.org

MAIL: Washington AGD Educational Center 19415 International Blvd, #410 SeaTac, WA 98188

Washington Academy of General Dentistry

VENDOR FAIR Friday, March 15, 2019 from 12:00 PM to 2:00 PM

The Vendor Fair is an event where dental professionals can meet & learn more about the wonderful companies supporting our dental community at the Washington AGD Educational Center. This event will premiere the latest products & technology with our Vendor Partners. Lunch is provided by our Preferred Provider, Henry Schein Dental! Please RSVP online at www.washingtonagd.org CONTACT

Washington AGD 206-212-4969 info@washingtonagd.org www.washingtonagd.org

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WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 23

AGD IMPACT ARTICLE | DEC 2018

Engineering a More Connected Profession New AGD President Neil Gajjar’s Ambitions for Organized Dentistry

24

AGD Impact | December 2018

24 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

By Kelsey Henke

N

eil Gajjar, BSc, DDS, MAGD, FADI, FPFA, FICD, FACD, hails from a family of engineers. “Building and construction were always of interest to me,” he says. For Gajjar, dentistry — with its combined emphasis on technique and technology — is its own form of engineering.

As AGD’s new president, Gajjar intends to bring the same industriousness to the organization, building and strengthening its network of dentists and making more resources available to empower both dentists and the general public to advocate for oral health.

Gajjar earned his undergraduate degree in chemistry from the University of Toronto and his Doctor of Dental Surgery from Howard University in Washington, D.C. After working as an associate for two years, he established his own private practice in Mississauga, Ontario. Today, his practice staffs six associate dentists, a prosthodontist, an orthodontist, an anesthesiologist and a denturist. “We’re a bread-and-butter family dental practice,” said Gajjar. Since it opened in 2002, the practice has grown to offer a range of pediatric and adult services, including sedation dentistry and dental implants, and, after a 2015 expansion, has grown from six operatories to 12.

For Gajjar, details matter. “Anything we can do to make things easier, faster or more comfortable for patients, we look into," he said. Gajjar’s office — from the position of the entrance to the orientation of the dental chairs — was designed according to Vaastu Shastra, Hindu architectural principles, to foster positive energy. His practice was among the earliest to offer Wi-Fi to patients, and it recently phased out magazines from the waiting room, replacing them with public-use iPads. His staff members collectively speak nine languages — English, Hindi, Gujarati, Punjabi, Italian, Persian, Arabic, Laotian and Urdu. “Second-language skills are an asset,” said Gajjar. “When we hire people with these skills, we can deliver care to a greater demographic.”

Gajjar is active in his local community: he makes visits to local schools; he has sponsored a local badminton league; and he has received the City of Mississauga’s Civic Award of Recognition for his volunteerism. For Gajjar, approachability and relationship-building are integral to providing quality care. “We concentrate a lot on the human element,” he said. “It’s important to understanding where people are coming from and to let them know that we will work with them. And it’s important

to let them know why they need care and what options they have; that’s where it starts.”

His community focus extends into professional development. Gajjar has been active in organized dentistry since he graduated in 1999. He’s held leadership roles and committee positions at regional and North American dental associations, including the Ontario Dental Association, the Canadian Dental Protective Association, the Ontario AGD, the Academy of Dentistry International and the Royal College of Dental Surgeons of Ontario.

In the early 2000s, he helped found the South Asian Dental Association. “There were, and still are, a lot of new dentists coming from overseas to the Greater Toronto area. So, we created an opportunity for dentists of a similar background, who were treating a similar patient pool, to exchange ideas and skills. The idea was that they are able to learn from each other and from our courses,” he said.

During his term as president of the Ontario AGD, Gajjar championed new membership recruitment and strengthening the constituency’s continuing education programs.

Gajjar’s leadership team helped the Ontario AGD expand its membership measurably, and it earned AGD’s Constituent of the Year Award, Constituent Editors Award and honorable mentions for the Continuing Education Award of Excellence and the Membership Award. Recognizing AGD’s unique position to empower dentists across national borders, he has since continued to scale up his scope of influence, serving AGD as regional director, Region 15/16, from 2010 to 2015, as secretary, 2015 to 2016 and as vice president, 2016 to 2017. Says Gajjar, “Dentists in Canada and the U.S. often face similar issues, and fostering communication and sharing resources through AGD allows both countries to benefit.”

The first South Asian and youngest dentist elected AGD president, Gajjar hopes to see AGD expand its reach and look to technology to support its mission. “Our members want to be connected to other dentists,” he said.

“They want to know what should be done in specific clinical situations, which courses they should take, which courses are worth their money, and which ones will make them better dentists. We need to incorporate technology to give them what they need.” F Kelsey Henke is associate editor of AGD Impact. To comment on this article, email impact@agd.org.

agd.org/impact

25

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 25

AGD2019 THE PREMIER MEETING FOR GENERAL DENTISTRY

MOHEGAN SUN CONNECTICUT JULY 18-20 • AGD2019.ORG

FREE REGISTRATION, FREE LECTURES, LASTING CONNECTIONS AGD2019, the premier meeting for general dentistry, will be held at the beautiful Mohegan Sun Casino and Resort in Connecticut on July 18-20.

EDUCATION TAILORED TO YOUR NEEDS

Students, residents and 2019 graduates not only receive free registration and free lectures at the AGD2019, but they also gain exclusive access to the New Dentist Lounge.

New Dentist Lounge featuring: • Three days of networking including a mentorship event and a reception

NETWORKING EVENTS EXCLUSIVE TO YOU

• Free courses on new dental procedures, practice management, and leadership • Food, drinks, and the chance to build lifelong connections

REGISTER TODAY FOR AGD2019 agd2019.org 26 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

Academy of General Dentistry Nationally Approved PACE Program Provider for FAGD/MAGD credit.

Approval does not imply acceptance by any regulatory authority or AGD endorsement.

6/1/2018 to 5/31/2024 Provider ID# 216217

BUSINESS SPONSORED ARTICLE

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RISK MANAGEMENT ARTICLE

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RISK MANAGEMENT ARTICLE

How to help drug-seeking patients without becoming a victim

According to the National Survey on Drug Use and Health, Don’t be a victim How to help drug-seeking patients without becoming a victim 22.6 million people age 12 or older used illicit drugs in the Be cautious so you avoid contributing to a person’s drug past month, representing 8.9 percent of the population in that addiction. For example, never write prescriptions for those According to the National onthat Drug Use and Don’t be a patients. victim People who are seeking age group. Given those numbers,Survey it’s likely you’ll need to Health,who are not your regular 22.6 million people or in older illicit drugs in the Be to cautious solate youinavoid address the patient with age drug 12 abuse yourused practice, if you drugs may come the office the daycontributing saying they’reto a person’s dr past month, thatout of town addiction.

For never write prescriptions for t haven’t already.representing 8.9 percent of the population infrom and have lostexample, their prescription.

Or, they may say their current dentist is unavailable.

Verify the facts before age group.

Given those numbers, it’s likely that you’ll need to who are not your regular patients.

People who are see If you fail to properly assess patients or miss a drug-seeking treating. If you decide to treat theto patient, complete history addressyou thecould patient withshould drug injury abuseoccur in your practice, drugs may come the office lateain the day saying th behavior, be liable to the patient if you and document the situation in the medical record. or someone else. Here’s what you need to know to provide

haven’t already.

from out of town and have lost their prescription. Or, t

The scope of drug abuse

for opioids over a short period of time. See these pati

quality care while protecting yourself from litigation.

Be alert to your patients whodentist need several prescriptions sayown their current is unavailable.

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Be alert to your own patients who need several presc prescription medications.

According yourself to the National on know you are busy in the hopes of catching you off guard.

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Know that patients wh heroin, hallucinogens, inhalants, and the nonmedical use of respectively, among those age 12 or older.

• Before prescribing opioids, carefully review the

seeking drugs may try to call during the weekend or w

prescription According to drugs the National Survey on Of the 7 million medications. people who take prescription for patient’s past medication know you are history. busy in the hopes of catching you off gu Drug Use and Health, marijuana and nontherapeutic nontherapeutic purposes, most (5.1 million) take analgesics, use of • Don’t prescribe over the phone without seeing the patient. followed by tranquilizers, stimulants, prescription drugs account for and the sedatives. majority Narcotic of illicit drug use Other steps you take to areas avoidorbeing a victim of dr • Don’t keep prescription padscan in treatment analgesics such as hydrocodone and oxycodone are leading in the United States, with 76.8 percent and 2.7 percent use, controlledseeking behavior include: substances in unlocked cabinets. causes of drug abuse in the United prescribers of respectively, among those ageStates; 12 orasolder.

• Use electronic prescribing when possible so patients • Before prescribing opioids, carefully review the narcotics, dentists must be vigilant to the potential misuse of can’t alter a written prescription. drugs that7 are meantpeople to help.who For instance, dentists commonly Of the million take prescription drugs for patient’s past medication history. of patients in the medical prescribe opioids forpurposes, pain after third extraction;take these nontherapeutic mostmolar (5.1 million) analgesics,• Keep photo •identification Don’t prescribe over the phone without seeing the record for future identification. drugs could by easily be abused. stimulants, and sedatives. Narcotic followed tranquilizers, Don’t keepseeking prescription pads in treatment areas o • Understand •that patients drugs may Dentists also need aware of drug abuse because of the analgesics suchtoasbehydrocodone and oxycodone are leading be manipulative. controlled substances in unlocked cabinets. toll it can take on dental health. Patients with abuse problems causes of drug abuse in the United States; as prescribers of

can neglect dental care, creating serious problems. Certain • Use electronic prescribing when possible so patie If you narcotics, dentists must be vigilant to the potential misuse of suspect abuse drugs, such as cocaine, can damage teeth and oral tissues. can’t aalter a written prescription.

Addiction is considered disease, so you have a responsibility drugs that are meant to help. For instance, dentists commonly to help a patient you think might be abusing drugs.

• Keep photo identification of patients in the medic Aprescribe healthy suspicion opioids for pain after third molar extraction; these When raising the issue with someone, it’s best to remain Adrugs carefulcould historyeasily can help to identify patients with drug abuse; record for future identification. be abused. nonjudgmental and keep to the facts. If the patient has dental update the history on an annual basis. Ask about prescription • Understand that patients seeking drugs may you might share your findings from your oral exam Dentists also need touse be on aware of drug abuse because of problems, the and nonprescription drug the health history and ask how his or her teeth got in that condition.

Or, you be manipulative. questionnaire, as well whether the patient is currently toll it can take on as dental health.

Patients with abuse problems might say that you have seen this type of damage with drug undergoing treatment drugcreating addictionserious or has ever been can neglect dentalfor care, problems.

Certain abuse and askIfifyou that’s the caseabuse in this situation. suspect treated in the past for addiction.

drugs, such as cocaine, can damage teeth and oral tissues.

Addiction is considered disease, solocal you have a respo Refer the patient to a treatment program.aContact your Consider whether the problems you find on physical emergency department staff or state dental society for the to help a patient you think might be abusing drugs. examination might be caused by drug abuse. For instance, A healthy suspicion names of treatment programs in your area.

When raising the issue with someone, it’s best to rema marijuana can cause greenish gold stains on teeth.

A careful history can help to identify patients with drug abuse; Methamphetamines can be particularly hard on oral health, nonjudgmental and keep to the facts.

If the patient ha update the history on an annual basis. Ask about prescription causing extensive caries and tooth loss. problems, you might share your findings from your ora and nonprescription drug use on the health history questionnaire, as well as whether the patient is currently undergoing treatment for drug addiction or has ever been treated in the past for addiction.

Consider whether the problems you find on physical examination might be caused by drug abuse. For instance, marijuana can cause greenish gold stains on teeth.

Methamphetamines can be particularly hard on oral health, causing extensive caries and tooth loss.

and ask how his or her teeth got in that condition. Or, might say that you have seen this type of damage wit abuse and ask if that’s the case in this situation.

Refer the patient to a treatment program. Contact you emergency department staff or state dental society fo names of treatment programs in your area.

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 27

BUSINESS SPONSORED ARTICLE

Documentation Proper documentation will help defend yourself in the case Documentation of legaldocumentation action, and willwill helphelp thedefend patientyourself by tracking thecase Proper in the progression of what youhelp find the andpatient the interventions of legal action, and will by trackingyou thetake. progression of what you find and the interventions you take.

Document any conversations you have with patients about

recommending treatment. Be you factual. instance, Patient Document any conversations haveFor with patients about states, “I startedtreatment. taking meth I like the wayPatient it makes recommending Bebecause factual. For instance, me feel.

Patient taking given names and phone numbers states, “I” started meth because I like the wayfor it makes three treatment States, “I’llphone call asnumbers soon as for I leave.” me feel. ” Patient centers. given names and Unfortunately, many cases the“I’ll patient at”least three treatmentincenters.

States, call aswon’t sooncall, as I but leave. you have documented Unfortunately, in manyyour casesattempts. the patient won’t call, but at least you have your attempts.

If you feeldocumented a patient is abusing drugs and is not amenable to addiction can decide him or her.to If you feeltreatment, a patient isyou abusing drugsnot andtoistreat not amenable However, avoid charges of decide abandonment, you need give addiction to treatment, you can not to treat him ortoher. sufficient notice, the patient to the state dental However, to avoidrefer charges of abandonment, you needsociety to give to obtain thenotice, name refer of a dentist, and document steps in theto sufficient the patient to the stateyour dental society medical record. obtain the name of a dentist, and document your steps in the medical Patients record. in treatment People Patientsinintreatment treatmentfor drug abuse have a right to proper dental but it canforbedrug challenging to manage their pain.

People care, in treatment abuse have a right to proper Try contacting physician treating the patient to discuss dental care, butthe it can be challenging to manage their pain. options.

Remember that you treating must keep related to Try contacting the physician theinformation patient to discuss drug abuse treatment confidential. options.

Remember that you must keep information related to drug abuse treatment confidential.

Preventing abuse

Dentists canabuse help prevent drug abuse by following guidelines Preventing from the can American Dental drug Association (ADA), completing Dentists help prevent abuse by following guidelines education programsDental on theAssociation topic, teaching patients to properly from the American (ADA), completing secure andprograms dispose ofonprescription drugs (more thantohalf of education the topic, teaching patients properly those prescription pain drugs killers(more obtainthan them from securewho and abuse dispose of prescription half of a friend or relative), and encouraging patients to take part when those who abuse prescription pain killers obtain them from a organizations collect for proper friend or relative), andprescription encouragingdrugs patients to takedisposal. part when Following ADAcollect guidelines will helpdrugs protect from litigation. organizations prescription for you proper disposal.

For example, guidelines state belitigation. mindful Following ADA guidelines willthat helpdentists protect should you from of potential for abusestate of opioids.

First consider if amindful Forthe example, guidelines that dentists should be nonsteroidal anti-inflammatory drug First will relieve theif pain of the potential for abuse of opioids. consider a of third-molar before prescribing an opioid. nonsteroidalextraction anti-inflammatory drug will relieve theThe painADA of also recommends that dentists who prescribe opioids should third-molar extraction before prescribing an opioid.

The ADA periodically reviewthat their compliance with Drugopioids Enforcement also recommends dentists who prescribe should Administration recommendations andwith regulations. periodically review their compliance Drug Enforcement Administration and regulations.

A responsibilityrecommendations to help Dentists have a to responsibility to provide quality care for A responsibility help patients they have a drug abuse problem.

However, Dentists even have if a responsibility to provide quality care for you can protect yourself yourself should patients even if theyfrom have liability—and a drug abuse defend problem.

However, you you be named in a lawsuit—through careful assessment, can protect yourself from liability—and defend yourself should treatment recommendations, and proper documentation. you be named in a lawsuit—through careful assessment, treatment recommendations, and proper documentation.

Signs of drug abuse Drug-seeking characteristics include: Signs of drug abuse Drug-seeking characteristics include: area (tell your staff • Unusual behavior in the reception

signs of drug as demanding immediate • about Unusual behavior inuse, the such reception area (tell your staff attention, and notify if as they see it in patients) about signs of to drug use,you such demanding immediate and to notify you if they see it in patients) • attention, Unusual appearance: extremely overdressed or slovenly dressed • Unusual appearance: extremely overdressed or dressed • slovenly Giving vague or evasive answers to questions about health history • Giving vague or evasive answers to questions about health history that the patient is receiving the same • Any indication drug from another • Any indication thatprescriber the patient is receiving the same drug from another prescriber • Unusually knowledgeable about controlled asking for a drug by name or dose • substances; Unusually knowledgeable about controlled substances;to asking for information a drug by name or other dose • Reluctance provide about • healthcare Reluctance providers to provideseen information about other healthcare providers seen • Exaggeration of symptoms • Exaggeration of symptoms Failure to keep appointments • Failure to keep appointments Preventing misuse of prescription drugs The American Dental Association (ADA) Preventing misuse of prescription drugsoffers these tips for helping to prevent misuse of prescription drugs: The American Dental Association (ADA) offers these tips for helping to prevent misuse prescription drugs: • Tell patients about the of dangers of using prescription for nonmedical Many patients don’t • drugs Tell patients about thepurposes. dangers of using prescription know such use is purposes. illegal andMany dangerous. drugs that for nonmedical patients don’t that such use is illegal and dangerous.

• know Be judicious in prescribing opioids.

When you do them, tell patientsopioids. how toWhen properly • prescribe Be judicious in prescribing yousecure do them and them, how totell dispose of them. prescribe patients how to properly secure how to dispose them. may be seeking • them Learn and to recognize when aofpatient

drugs for nontherapeutic • prescription Learn to recognize when a patient mayuse. be seeking prescription drugs for nontherapeutic • Suggest patients visit the Prescriptionuse.

Drugs section of ADA’spatients Mouth Healthy (www.mouthhealthy.

• the Suggest visit thewebsite Prescription Drugs section of org/en/az-topics/p/prescription-drugs.aspx), which the ADA’s Mouth Healthy website (www.mouthhealthy. includes how patients can help keep their prescription org/en/az-topics/p/prescription-drugs.aspx), which medications being abused. includes howfrom patients can help keep their prescription medications from being abused.

Resources Access Continuing Education, Inc. Substance abuse—chemical dependency.

Resources http://www.accesscontinuingeducation.com/ACE6010-11/c1/index.htm.

Access Continuing Education, Inc. Substance abuse—chemical dependency.

American Dental Association. Prescription drug abuse. http://www.ada.org/7541.aspx. http://www.accesscontinuingeducation.com/ACE6010-11/c1/index.htm.

American of drug ethicsabuse. and code of professional conduct. 2012.

American Dental Dental Association.

Association. Principles Prescription http://www.ada.org/7541.aspx. http://www.ada.org/194.aspx.

American Dental Association. Principles of ethics and code of professional conduct. 2012.

Cynthia Saver, MS, RN, President, http://www.ada.org/194.aspx.

CLS Development, Columbia, Maryland Cynthia Saver, MS, RN, President, CLS Development, Columbia, Maryland

© Dentist’s Advantage, 2014 © The National Society of Dental Practitioners, 2014 Risk Management services are provided

by Dentist’s Advantage the NSDP to2014 assist the insured in fulfilling his or her responsibilities for the control of potential loss-producing situations involving their dental operations. The information © Dentist’s Advantage, 2014 © The National Society of Dentaland Practitioners, contained in this document is not intended as legal advice. Laws are under constant review by courts and the states and are different in each jurisdiction. For legal advice relating to any subject addressed in this document, dentists are advised Risk Management services are provided by Dentist’s Advantage and the NSDP to the insured in fulfilling hisand or her responsibilities theNSDP control of potential loss-producing situations involvingwith theirregard dentaltooperations.

The information to seek the services of a local personal attorney. The information is provided “AS assist IS” without warranty of any kind Dentist’s Advantageforand expressly disclaims all warranties and conditions any information contained, contained in implied this document is notofintended as legaland advice.

Laws under constant review by courts and the states are different in each jurisdiction.

For legal advice relating to anyorsubject in this document, dentists advised including all warranties merchantability fitness forare a particular purpose.

Dentist’s Advantage and NSDPand assume no liability of any kind for information and data contained for anyaddressed legal course of action you may take orarediagnosis to treatment seek the services a local personal contained, or made inofreliance thereon. attorney. The information is provided “AS IS” without warranty of any kind and Dentist’s Advantage and NSDP expressly disclaims all warranties and conditions with regard to any information X-13105-0218 including all implied warranties of merchantability and fitness for a particular purpose. Dentist’s Advantage and NSDP assume no liability of any kind for information and data contained or for any legal course of action you may take or diagnosis or treatment made in reliance thereon.

X-13105-0218

28 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

AGD2019 AGD2019 THE PREMIER MEETING THE PREMIER FOR MEETING FOR GENERAL DENTISTRY GENERAL DENTISTRY

MOHEGAN SUN CASINO AND RESORT

CONNECTICUT JULY 18-20 AGD2019.ORG

MOHEGAN SUN CASINO AND RESOR

CONNECTICU JULY 18-20 AGD2019.OR

REGISTRATION IS NOW OPEN “Experience all AGD has to offer.”

Neil Gajjar AGD President Elect Mississauga, ON Canada Member Since 1999

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 29

UPCOMING EVENTS COURSE

SPEAKER

DATE

CATEGORY

CODE

Soft Tissue Management in Implant Dentistry

Alan Yassin

2/8/2019

Implants

690

Oral Surgery for the General Dentist-Hands On Workshop

Karl Koerner

3/1/2019

Oral Surgery

310

Comprehensive Hands-On Orthodontic for GP’s! 12 Sessions-1 Year

Binh Tran

3/1/2019

Ortho

370

Implants in the Esthetic Zone

Alan Yassin

3/8/2019

Implants

690

Dental Vendor Fair

Henry Schein

3/15/2019

Elective

130

Digital Implant Dentistry

Alan Yassin

4/5/2019

Implants

690

Operational Excellence

Dennis Marvel

4/19/2019

Practice Management

550

Membership MTG: Online Reputation Management

McNickle/WeoMedia

4/25/2019

Practice Management

550

Science & Engineering of Contemporary Removable Prosthodontics

Nadim Baba

4/25/2019

Removable Prosthodontics

670

Assistant TracK: Owner/Blamer & Digital Photography

Fournier/Heyamoto

4/26/2019

Elective

130

Pediatric Oral Pathology: Most Common Oral Diseases in Children

Oda & Kutcipal

4/26/2019

Pediatric Dentistry

430

How to Do Endo

John West

4/27/2019

Endo

70

William Howard Memorial Lecture

Lois Banta

5/3/2019

Practice Management

550

PNWOMS

PNWOMs

5/3/2019

Affiliate Rental

310

Full Arch Solutions in Implant Dentistry

Alan Yassin

5/10/2019

Implants

690

Opioid Substance Abuse

Taylor

5/31/2019

Elective

130

Suicide Prevention

Seattle Public Health

5/31/2019

Elective

130

Complications in Implant Dentistry

Alan Yassin

6/14/2019

Implants

690

Atraumatic Extractions for the G.P

Steven Rasner

8/23/2019

Oral Surgery

310

Financial Mastery

Dennis Marvel

9/6/2019

Practice Management

550

PNWOMS

PNWOMS

9/13/2019

Affiliate Rental

310

Interdisciplinary Esthetic Zone Implants

Dennis Tarnow

9/13/2019

Implants

690

Membership MTG: to Key Strategies & Best Practices for Multiple Locations

McNickle/WeoMedia

9/19/2019

Practice Management

550

MasterTrack: Orafacial Pain Management

Pending

9/19/2019

Orofacial Pain

430

Assistant Track: Dental Sleep Apena

Rice/Henry

9/20/2019

Elective

130

Treatment Planning & Occlusion

Kevin Kewincin

9/20/2019

Occlusion

180

Laser electrosurgery

Peter Vitruk

9/21/2019

Elective

130

A Night in Havana

Fred Grandados

10/4/2019

Auction

Auction

The Art of Marketing

Dennis Marvel

11/8/2019

Practice Management

550

PNWOMS

PNWOMS

11/1/2019

Affiliate Rental

310

Membership Mtg: Facebook & Instragram Best Practices

McNickle/WeoMedia

11/14/2019

Practice Management

550

Assistant Track: CAD/CAM & Digital Scanning

Kevin Henry

11/15/2019

Fixed Prosthodontics

670

AssistantTrack: Digital & Regular Impression

Kevin Henry

1/24/2020

Operative

250

AssistantTrack: Oral Surgery

Yassin/Henry

4/24/2020

Oral Surgery

310

30 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

REGISTER TODAY

4.26.2019

DIGITAL PHOTOGRAPHY & OWNING THE DA CROWN SPEAKERS: Lorraine Fournier & Dr. Gary Heyamoto DATE: Friday, May 31, 2019 TIME: 9:00 AM - 4:00 PM

Join IgniteDA & Washington AGD on Friday, April 26, 2019 for this is a hands on workshop. Our goal is to help dental assistants empower, enlighten and educate in their role and flourish in businesses and their careers.

TUITION: Early Bird Tuition: $99.00 Dental Assistants, RDA, CDA or EFDA, until, April 24, 2019 &Dentists: $199.00 until, April 24, 2019

SUBJECT CODE: 130 (Elective) CREDIT HOURS: 6

PARTICIPANTS WILL LEARN: ■■ Opportunity to use a SLR camera clinically on

Breakfast, Lunch, Parking & All Materials

Owning the DA Crown, Course Description: What would it look like to have the best job ever and love your career more every day? It’s easy to fall into habits at work that do not support your happiness. Why not learn simple steps to lead you towards a fulfilling career, better work place relationships, better communication with your doctors, co-workers and patients. The steps are easy and simple, all you have to do is want it! Come and spend some time with us for this open conversation about having your career be exactly as you want it.

Educational Center 19415 International Blvd, #410, SeaTac, WA 98188 (FellowTrack Room)

This course is designed to go over photographic skills using a SLR camera. Proper angle techniques with mirrors and cheek retractors to achieve the AACD’s Photographic Accreditation protocol will be covered.

INCLUDED WITH REGISTRATION:

AM SESSION (9:00 AM-12:00 PM)

LOCATION: Washington AGD

■■

other participants using their newly acquired knowledge. A critique session will follow to hone their observational skills for acceptable photos for each of the aforementioned uses.

Come learn valuable skills that can increase case acceptance, promote insurance coverage and document treatment.

PM SESSION (1:00 PM-4:00 PM)

Photographic Course Description: In the past, dental photography has been practiced by only a few; however, with today’s popularity of digital cameras, dental photos are being used in Insurance claim justifications, initial case documentation, treatment planning, patient case presentations, lab communication, esthetic/cosmetic imaging, patient/colleague education and marketing.

FOR MORE INFORMATION: Valerie Bartoli Washington AGD 206-212-4969 info@washingtonagd.org

TO REGISTER:

PHONE: 206-212-4969 EMAIL: Info@washingtonagd.org OR ONLINE: Washingtonagd.org

As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their services to our Washington AGD educational program, do not necessarily state or reflect those of the Washington AGD. Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2018-5/31/2024).

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 31

REGISTER TODAY

4.27.2019

HOW TO DO ENDO “THE ONLY ENDODONTIC WORKSHOP YOU WILL EVER NEED TO TAKE”, JOHN WEST, DDS, MSD SPEAKER: Dr. John West, DDS, MSD DATE: April 27, 2019 TIME: 9:00 AM to 5:00 PM The number one problem of endodontic predictability and ease is failure to grasp the principles and techniques of endodontic mechanics.

TUITION: Early Bird Tuition (until April 22, 2019: AGD Member Dentist: $299, Non-AGD Member Dentist: $399, Active Military Dentist (Proof of Military ID Required): $269 *UW Dental Student-AGD Membership Required:

$100 (Refundable Deposit upon Completion of the Course) Contact: David Chi, UWSOD AGD Student Chapter President to be entered into the Lottery for a Limited Slots of 10 attendees.

SUBJECT CODE: Endodontic

LOCATION:

Washington AGD Educational Center 19415 International Blvd, #410, SeaTac, WA 98188

Manual and mechanical glide path preparation will become second nature once you learn the four manual motions for glide path preparation. You will learn the magic of WaveOne: registered: Gold technology to prepare elegant shapes that are easy to three-dimensionally obturate. Finally, you will learn how to immediately implement these newfound skills into your practice.

TO REGISTER:

PHONE: 206-212-4969 EMAIL: Info@washingtonagd.org OR ONLINE: Washingtonagd.org

CREDIT HOURS: 7 (Participation) INCLUDED WITH REGISTRATION:

Breakfast, Lunch, Parking & All Materials

COURSE DESCRIPTION:

Dr. West teaches dentists the critical skill sets of “Finding, Following and Finishing” endodontic canals.

Dr. West will demonstrate the three skills, followed by a hands-on opportunity for clinicians to practice themselves and have their work reviewed to ensure they have grasped the three skills.

FOR MORE INFORMATION: Valerie Bartoli Washington AGD 206-212-4969 info@washingtonagd.org

32 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

Co-Sponsored by: Dentsply Sirona and the Washington AGD.

As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their services to our Washington AGD educational program, do not necessarily state or reflect those of the Washington AGD. Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2018-5/31/2024).

REGISTER TODAY

5.31.2019 HIGH IMPACT COMMUNCATION:

WORDS TO USE...

AND WORDS TO LOSE

SPEAKER: Dr. Lois Banta DATE: Friday, May 31, 2019 TIME: 8:30 AM- 4:30 PM

Is your method of communication causing patients to say ‘No!’ to dentistry? Are your cancellations and failed appointments on the rise? Are accounts receivable figures growing while case acceptance is decreasing?

TUITION: Early Bird Tuition (until May 17, 2019):

LOCATION:

Washington AGD Educational Center 19415 International Blvd, #410, SeaTac, WA 98188

PARTICIPANTS WILL LEARN: ■■ Know the difference between job descriptions and job duties

■■ Identify the elements of good job ■■

*Dentist: $299, *Staff with Dentist: $199 *Staff without Dentist: $299

SUBJECT CODE: 550 (Practice Management)

■■

CREDIT HOURS: 7

■■

Breakfast, Lunch, Parking & All Materials

■■

DESCRIPTION: Understanding ‘what to say’ and ‘how

■■

INCLUDED WITH REGISTRATION:

to say it’ is the first step toward practice success. Explore effective communication techniques for improving scheduling and reducing open time, increasing case acceptance, and fine-tuning financial arrangements.

Poor communication can result in complications with patients and even team members. It may be simple to identify where we have difficulty communicating in the practice, but converting difficult situations into positive ones - that’s another story.

Learn protocols and systems for retraining the troublesome patient (including knowing when it’s time to release a patient from your care.) Discover how to recognize and resolve difficult situations with patients, insurance companies and even your own team members.

FOR MORE INFORMATION: Valerie Bartoli Washington AGD 206-212-4969 info@washingtonagd.org

■■ ■■

description and job duties Make personal performance and corrective interviews a position experience Learn the difference between structured and surprise bonus systems Cross training for optimal performance, including CE opportunities Perfect the ‘hand off’ - team to team - in the practice Plan effective morning huddles and team meetings Learn to maximize your CE opportunities Gain ideas for “knock your socks off” team retreats

TO REGISTER:

PHONE: 206-212-4969 EMAIL: Info@washingtonagd.org OR ONLINE: Washingtonagd.org

Hosted by the University of Washington, School of Dentistry and the Washington AGD.

As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their services to our Washington AGD educational program, do not necessarily state or reflect those of the Washington AGD. Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2018-5/31/2024).

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 33

REGISTER TODAY

8-23 & 8-24

ATRAUMATIC ORAL SURGERY EXTRACTIONS FOR THE G.P. TESTIMONIAL, DR. FRANK SPEAR “STEVE IS A LIVING EXAMPLE OF WHAT HAPPENS WHEN INTENSITY COUPLED WITH HIS ABILITY TO MOTIVATE BOTH STAFF AND PATIENTS ARE PUT INTO MOTION.”

SPEAKER: Dr. Steven Rasner LOCATION:

Washington AGD Educational Center 19415 International Blvd, #410, SeaTac, WA 98188

TUITION: Early Bird Tuition: AGD Member Dentist: $895, Non-AGD Dentist: $995, Military Dentist with Proof of Military ID: $805.50

SUBJECT CODE: 310 CREDIT HOURS: 16 (Lecture & Participation) COURSE DESCRIPTION: Is it possible to

master in two days multiple surgical procedures that you’re currently referring out? The answer is a resounding yes. This action-packed two day class, will provide a step-by-step blueprint for success at a wide array of oral surgical procedures. It will be a question-inviting atmosphere. From pre-op patient preparation to scheduling to post-op instructions, you will leave prepared to return to your practice and immediately provide these procedures.

The course has been carefully designed to integrate didactic, audio and visual aides, and extensive hands-on attendee participation with a wide range of procedures for each individual.

DATE: August 23 & 24, 2019 TIME: 8:00 AM to 5:00 PM

PARTICIPANTS WILL LEARN: ■■ Safe patient selection ■■ Oral sedation protocol ■■ Red flags ■■ Antibiotic coverage ■■ Atraumatic extractions ■■ Teeth broken below the gingiva ■■ Multiple extractions ■■ Teeth adjacent to delicate esthetic restorations ■■ Teeth with immediate implant placement ■■ Socket grafting ■■ A review of angiogenesis ■■ Surgical implant surgery introduction ■■ Suturing l 01: Interrupted, Continuous, Horizontal ■■ ■■

& Vertical Mattress: Where - When - How Case presentation and fees Appropriate legal documentation

TO REGISTER:

PHONE: 206-212-4969 EMAIL: Info@washingtonagd.org OR ONLINE: Washingtonagd.org

Hosted by the University of Washington, School of Dentistry and the Washington AGD.

FOR MORE INFORMATION: Valerie Bartoli Washington AGD 206-212-4969 info@washingtonagd.org

34 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their services to our Washington AGD educational program, do not necessarily state or reflect those of the Washington AGD. Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2018-5/31/2024).

REGISTER TODAY

9.13.2019

IMMEDIATE EXTRACTION SOCKET MANAGEMENT IN THE ESTHETIC ZONE & MOLARS “WHAT WE KNOW, WHAT WE THINK WE KNOW, AND WHAT WE DON’T KNOW ABOUT” & “INTERDISCIPLINARY APPROACH FOR TREATING THE ESTHETICALLY COMPROMISED PATIENT” SPEAKER: Dr. Dennis P. Tarnow LOCATION: Rainier Golf and Country Club

11133 Des Moines Memorial Drive, Seattle, WA 98168

TUITION:

$595: AGD Member Dentist, before June 30, Tuition increase on July 1: $695 Non-AGD Member Dentist: $795 before June 30, Tuition increase on July 1: $895 Staff with AGD Dentist: $299 before June 30, Tuition Increase on July 1: $399 Staff with Non-AGD Member Dentist: $399 before June 30, Tuition Increase on July 1: $499

* DUE TO THE HIGH DEMAND ON THIS COURSE: THERE WILL BE NO REFUNDS IF CANCELED 14 DAYS PRIOR TO THE EVENT DATE.

SUBJECT CODE: Esthetics CREDIT HOURS: 8 (Lecture) INCLUDED WITH REGISTRATION:

Breakfast & Lunch Provided Check-In & Breakfast starts at 7:30am

TO REGISTER: Phone: 206-212-4969 or Online: Washingtonagd.org (NO WALK-INS-PLEASE)

COURSE OUTLNE: MORNING SESSION:

Immediate placements of implants into extraction sockets is an exciting treatment alternative for our patients. However, there are many potential short and particularly long-term risks which the practitioner must be fully aware of. This presentation will focus on the potential problems and benefits both clinically and biologically when the choice of immediate socket placement is made for single and multiple sites. This will be an evidence-based presentation that will be objective about the best and simplest way to treat these types of cases.

FOR MORE INFORMATION: Valerie Bartoli Washington AGD 206-212-4969 info@washingtonagd.org

DATE: September 13, 2019

TIME: 8:00 AM to 4:30 PM

UPON COMPLETION OF THIS PRESENTATION PARTICIPANTS SHOULD BE ABLE TO:

■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■

Identify what type of healing takes place against the implant in immediate socket placement Know how to minimize recession with immediate provisionalization Know the proper crown contour for immediate provisional Know if the gap distance really matters Know if primary closure should be attempted or should it be left open?

Know if membranes should be utilized?

Know what type of graft material if any should be utilized?

Identify what are the potential short and long term risks involved with immediate placement of implants?

AFTERNOON SESSION:

The treatment planning of complex cases requires the highest level of knowledge and skill of the treating team. It is an orchestration of procedures including proper sequencing and timing that makes the difference. An envisionment of the final case before starting is required to know where the goal of treatment will be directed. This in conjunction with the patient’ needs and clinical situation comprise the decision making process for what is the best treatment for the patient.

PROBLEMS FACING THE TEAM SUCH AS:

■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■

Which teeth to save or extract?

Should implants be placed immediately or in a delayed protocol?

Should multiple implants be placed in the aesthetic zone?

When and how to include orthodontics if needed for sight development Should pink ceramic be used or should ridge augmentation be performed?

Should the case be splinted or broken up into separate bridges or individual teeth?

How to provisionalize the case throughout treatment When to immediate load cases versus do a serial extraction case

THESE CONCERNS WILL BE ADDRESSED IN THIS INTERDISCIPLINARY APPROACH TO OUR MOST CHALLENGING CASES.

As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their services to our Washington AGD educational program, do not necessarily state or reflect those of the Washington AGD. Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or Washington AGD endorsement. Washington AGD PACE Provider (6/1/2018-5/31/2024).

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 35

AGD Member MEMBERBenefits BENEFITS The Academy of General Dentistry (AGD) is the only organization that exclusively represents the interests and serves the needs

The Academy of General Dentistry (AGD) is the only organization that exclusively of the general dentist. Start taking advantage of our member represents the interests and serves the needs of the general dentist. Start taking benefits today—join the AGD by visiting www.agd.org or calling advantage of our member benefits today—join the AGD by visiting www.agd.org 888.AGD.DENT (888.243.3368). or calling 888.AGD.DENT (888.243.3368).

Continuing Education

Discover quality continuing education (CE) opportunities—at both the local and national level, and in a variety of formats—to help you provide the best patient care, learn about the latest technologies and procedures, and emerge as the educated voice of general dentistry. Plus, you can submit CE to the AGD in a variety of convenient ways—via the Web, email, mail, or fax—and we’ll track your courses with our members-only CE transcripts.

Achievement Awards

Stand out among the competition, gain instant credibility in your profession, and establish your commitment to lifelong learning and quality patient care with the prestigious AGD Fellowship and Mastership awards, the only achievement-based awards in general dentistry.

Advocacy and Representation

Join the organization that serves as the voice of general dentistry. The AGD ensures that general dentists and supporters of the profession can speak up when it matters most, helping members unite their voices on legislative and regulatory activities affecting their right to practice within the United States.*

Annual Meeting

Take advantage of discounted registration to the AGD’s annual meeting, where you can earn CE, checkout the latest products and technology, and network with your colleagues.

Practice Tools

Access a variety of tools to help you manage your practice more efficiently: Check the AGD Product Review Directory before you buy, download sample consent, employee, and practice policy forms from the AGD’s Practice Management Library, and get personalized assistance with third party payer problems, as well as free insurance contract analysis.

888.AGD.DENT

Career Tools

Take advantage of the AGD Marketplace & Career Center, where dental connections are made. Search available job listings, buy a practice or equipment, post your own résumé at no cost, and find additional resources to help you plan for your next career move.

Patient Resources

Get enrolled in the Find an AGD Dentist directory, which is searchable by prospective patients through KnowYourTeeth. com, the AGD’s consumer-facing website. You also may direct your current patients to learn more about their oral health through www.2min2x.org, an educational website created by the Partnership for Healthy Mouths, Healthy Lives—of which the AGD is a proud member—and the Ad Council. Plus, offer educational reading materials in your waiting room with AGD oral health fact sheets, which cover a range of topics and are customized with your practice information.

Publications and Media

Stay informed on the latest general dentistry news and research with complimentary subscriptions to the AGD’s awardwinning print publications, AGD Impact and General Dentistry, along with extra content available exclusively in the digital editions. You also can listen to the AGD Podcast series and read our blog, The Daily Grind.

Member Savings

Receive immediate access to the AGD Member Savings & Offers program, which provides you with exclusive savings and special offers on the personal and professional products and services you need most. *Canadian dues rates reflect limited advocacy benefits.

membership@agd.org

36 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

www.agd.org

PROMOTIONAL CODE: _______________

REFERRAL INFORMATION If you were referred to the AGD by a current member, please note his or her information below:

Member’s name

2019 AGD Membership Application

City, state/province, or U.S. Federal Services branch

Join online at agd.org, or call us at 888.243.3368 or 312.440.4300.

MEMBER INFORMATION First name

MI

Last name

Designation (e.g. DDS, DMD, BDS)

Do you currently hold a valid U.S./Canadian dental license?

Type of membership: (Check one.) ¨ Active general dentist

¨ No

Date of birth (mm/dd/yyyy) Required for access to the members-only sections of the AGD website

¨ Yes: ________________________________________________________________________ License number

State/province

¨ Associate (dental specialist)

¨ Resident

Date renewed (mm/yyyy)

¨ Dental student

¨ Affiliate

If you are not in general practice, please indicate your specialty: __________________________________________________________________________________ Current dental practice environment: (Check one.)

¨ Solo ¨ Associateship

¨ Other ____________________________________

¨ Group practice

¨ Hospital

¨ Faculty ___________________________________

¨ Resident

¨ Corporate

¨ Federal Services ___________________________

Please indicate institution

Please indicate branch

If you are a member of the Canadian Forces Dental Service, please indicate your preferred constituent: ¨ U.S. military counterpart ¨ Local Canadian constituent

CONTACT INFORMATION

Preferred billing/mailing address: ¨ Business ¨ Home Preferred method of contact: ¨ Email ¨ Mail ¨ Phone

Your AGD constituent is determined by your business address, unless one is not available.

Business address

City

Name of business (If applicable)

State/province

ZIP/postal code

Phone

Fax

ZIP/postal code

Home address

City

State/province

Phone

Primary email

Website address

EDUCATIONAL INFORMATION

Are you a graduate of an accredited* U.S./Canadian dental school?

Dental school

State/province

Country

Are you a graduate of (or resident in) an accredited** U.S. or Canadian postdoctoral program? ¨ Yes ¨ No ¨ Currently enrolled Type: ¨ AEGD ¨ GPR ¨ Other Postdoctoral institution

State/province

OPTIONAL INFORMATION

DUES INFORMATION

Please check membership type applying for: U.S./ Canada ¨ Active General International (in Canadian dollars) Puerto Rico Dentist ...................................... $400 ............................$443 ............................... $324 ¨ Associate ................................... 400 .............................. 443 .................................. 324 ¨ Affiliate........................................ 200 .............................. 221 .................................. 162 ¨ Resident ........................................ 80 ................................. 89 ..................................... 65 ¨ 2018 Graduate .......................... 80 ................................. 89 ..................................... 65 ¨ 2017 Graduate ....................... 160 .............................. 177 .................................. 130 ¨ 2016 Graduate ....................... 240 .............................. 266 .................................. 194 ¨ 2015 Graduate ....................... 320 .............................. 354 .................................. 259 ¨ Dental Student.......................... 20 ................................. 22 ..................................... 20

1. AGD Headquarters Dues: .................................................................... $________ 2. AGD Constituent Dues: ........................................................................ $________ 3. AGD Component Dues: ........................................................................ $________ Please refer to back side for constituent and component dues.

Total Amount Enclosed:............................................................... $________ Dues rates effective through September 30, 2019.

¨ No

¨ Currently enrolled

Date of graduation (mm/yyyy)

*Official accreditation is given by CODA in the U.S. and CDAC for all Canadian provinces. **Accredited dental residencies qualify for the resident membership rate. Official proof of enrollment must be provided to AGD.

Country

Gender: ¨ Male ¨ Female Ethnicity: ¨ American Indian ¨ Asian ¨ African-American ¨ Hispanic ¨ Caucasian I am interested in participating in the AGD Mentor Program as a: ¨ Mentor ¨ Mentee

¨ Yes

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

Stay Social With the AGD! ¨ Other

Search “Academy of General Dentistry” to connect with us on:

I hereby certify that all of the above information is correct, and that by signing this application, I agree to all terms of membership including completion of 75 hours of continuing education every three years for active general dentist and associate members.

Signature

Date

Please sign this application and submit payment to: Academy of General Dentistry 560 W. Lake St., Sixth Floor Chicago, IL 60661-6600

Note: Check payment is required with hard copy applications. To pay with credit card, apply online atACADEMY agd.org/join-agd.

If you DENTISTRY have any questions, WINTER 2019please | WASHINGTON OF GENERAL | 37 please contact our Membership Services Center at 888.243.3368.

For more information, visit www.agd.org/savings.

AGD Marketplace & Career Center The place where dental connections are made.

AGD Marketplace & Career Center: A 20 percent discount on online postings

All-Star Dental Academy:

$400 discount on dental team online training program

CareCredit: Offices can enroll for only $25 to offer patient financing Dentist’s Advantage:

A free year of professional liability coverage for new graduates, 10 percent discount on premium for AGD members, 15 percent discount on premiums for AGD Fellows, and 20 percent discount on premiums for AGD Masters

Dental Card Services Alliance:

Free terminal and no termination fee for AGD members on credit card processing

Earnest:

$400 welcome bonus for refinancing student load debt

Engel Institute:

A 5 percent discount on implant training courses

Hagan Barron Intermediaries:

Discounts on health, life, disability, and other personal insurances

Healthy Paws: 10% discount on policy premium to insure your pet Hotel Storm:

Exclusive savings on hotels - up to 55% off other travel sites

Liberty Mutual Insurance:

Discounts on auto and home insurance

Officite:

Up to a 40 percent discount on website, social media marketing, and search engine optimization services

The Online Practice:

Up to a 50 percent discount on website templates and online visibility services

Solutionreach:

$1 activation fee and additional subscription discounts on patient relationship management tools

Vatech America:

Discounts on training, support, and education with the purchase of a 2-D or 3-D digital imaging scanner

Virgin Hotels Chicago:

A rate of $155 to $220 per night for a room and a 20 percent discount on suites

38 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | WINTER 2019

Washington Academy of General Dentistry 19415 International Blvd, #410, SeaTac, WA 98188 P: 206-212-4969 | E: info@washingtonagd.org

APPLYING FOR PACE APPROVAL Approval for CE Credits from the Academy of General Dentistry (AGD).

The Academy of General Dentistry (AGD) Program Approval for Continuing Education (PACE) was created to assist members of the AGD and the dental profession in identifying and participating in quality continuing dental education (CDE). PACE approves program provider organizations, not speakers or specific courses. The program provider approval mechanism is an evaluation for the educational processes used in designing, planning, and implementing CE. Approval by the AGD does not imply endorsement of course content, products, or therapies presented, nor does this approval imply that a state or provincial board of dentistry will accept courses. Approved program providers are expected to comply with all relevant state and federal laws. CE offered by approved program providers will be accepted by the AGD for Fellowship/Mastership credit.

GET THE APPLICATION

Go to www.agd.org Click on the Education tab and then PACE Apply/Renew Tab to get the application. To qualify for PACE approval, all organizations should have offered a planned program of CDE activities for at least 12 months.

Note:Â If your organization has not offered a planned program of continuing dental activities during the 12 months immediately preceding the application date, you may apply for a maximum of one year approval.

FEE

AGD Members: If you are an AGD Member or Associate Member (Specialists are Associates) the FEE is $195 for

4 years. Please make your check out to Washington AGD. AGD Members do have access to the AGD membership database.

Non-AGD Members: If you are NOT an AGD Member or Associate Member the FEE is $595 for 4 years. Please

make your check out to Washington AGD. Non-AGD Members do not have access to the AGD membership database. If you would like to become an AGD member, please submit the enclosed membership application along with the membership dues. Please make your check out to the AGD.

YOUR PACE APPLICATION

Two (2) copies of your PACE Application must be mailed to the Washington AGD along with One (1) copy of your membership application with the appropriate checks.

Mail to: Washington Academy of General Dentistry

19415 International Blvd, #410, SeaTac, WA 98188 You may fill out your form electronically and e-mail to: info@washingtonagd.org

CE credits that are PACE approved are state approved for the Washington State Continuing Education Requirement If you have questions call 206-212-4969.

WINTER 2019 | WASHINGTON ACADEMY OF GENERAL DENTISTRY | 39

Constituent of the Academy of General Dentistry 19415 International Blvd, #410, SeaTac, WA 98188 P: 206-212-4969 | E: info@washingtonagd.org

Find us online Washingtonagd.org

Follow us on Twitter @AGDWashington

Find us on Facebook facebook.com/WashingtonAGD

Find us on LinkedIn Washington AGD

OUR MISSION: To serve as an advocate for general dentists, to promote improved delivery of patient care by fostering continuing education and to increase public awareness of quality dentistry and those who provide it throughout the State of Washington.