Issuu

SPRING ISSUE 2009 VOL. 41, NO. 4

Bulletin

Contents Editor

Bruce Weny

Associate Editors

Jeff Smith Tara Meachum Seth Vruggink James Papp

Advertising Editor

Elaine Fleming Executive Secretary WMDDS 511-F Waters Building Grand Rapids, MI 49503 (616) 234-5605 efwmdds@aol.com

West Michigan District Dental Society Executive Board 2008-2009 President Doug Killian President-Elect Douglas Klein Vice President Seth Vruggink Secretary-Treasurer Ryan Lebster Editor Bruce Weny Immediate Past Amy De Young President Directors Larissa Bishop Tylor Wolf Christopher Morgan Area Representatives Kent County Brant Erbentraut Ionia-Montcalm Kathleen Ellsworth County Mecosta County Margaret Gingrich Ottawa County Thomas Phares MDA IV District Trustees

Connie Verhagen Norman Palm

Big Rapids Dental Study Club Officers, 2008-2009 President Erick Perroud Vice President Erick Perroud Secretary Christa Stern Treasurer Erick Perroud Holland-Zeeland Dental Society Officers, 2008-2009 President Ryan Lebster Treasurer Robert Ankerman Secretary Immediate Past President Ionia-Montcalm Dental Study Club Officers, 2008-2009 President-Secretary Lowell Swartz Vice PresidentKirkwood Faber Treasurer Kent County Dental Society Officers, 2008-2009 President Paul O’Grady Vice President Brant Erbentraut Secretary David Armbrecht Treasurer Lathe Miller West Michigan Dental Foundation Officers President Thomas Harmon Vice President Donald Vander Linde Secretary Matthew Gietzen Treasurer Carl Kruyswyk The Bulletin of the West Michigan Dental Society is published six times a year (Directory issue, Sept./Oct., Nov./Dec., Jan./Feb., Mar./Apr., and May/June). The opinions expressed in The Bulletin are not necessarily the opinions of the West Michigan District Dental Society. Contributions to The Bulletin are welcome and should be addressed to The Bulletin Editor, 255 Washington SE, Grand Rapids, MI 49503. Requests for purchase of advertising space should be directed to the Advertising Editor, Elaine Fleming, (616) 234-5605. The deadline is the 1st of the month prior to publication. © 2008-2009 West Michigan District Dental Society Bulletin

President’s Message ...................................................................................................... 2 Editor’s Thoughts......................................................................................................... 3 When To Use Bite Splints ............................................................................................ 4 The Kois Center............................................................................................................ 6 WMDF News................................................................................................................10 Importance of Organizational Culture.......................................................................13 Tooth Time 2009 ..........................................................................................................14 Trustee Report ..............................................................................................................16 Program Review ...........................................................................................................18 WMDDS Dental Education Committee Update........................................................20 Classified Ads................................................................................................................22 Advertiser Index ...........................................................................................................23 2009 – 2011 WMDDS Continuing Education Programs ..........................................24

Mission Statement The Bulletin is the newsletter of the WMDDS and its mission is to inform the membership of upcoming and recent events, state & local issues related to dentistry, and as a forum for its officers, representatives, and members to discuss appropriate topics of interest to the membership. Communication & Advertising Policy The Bulletin will publish submitted articles from members and others that relate to the practice of dentistry, small business, social, or political issues affecting dentists, or other subjects of interest to the membership. All published items are subject to space restrictions and the community standards of the WMDDS. The editors reserve the right to reject any article or advertisement deemed inappropriate and to edit submissions as they see fit. Submission & Publication Policy: Articles and advertisements must be submitted no later than the 1st of the month preceding publication date. The Bulletin has six publications: the directory issue, fall issue, holiday issue, winter issue, spring issue, and summer issue. Direct submissions or correspondences to: Dr. Bruce Weny • 255 Washington SE • Grand Rapids, MI 49503 Phone: 616.451.2336 FAX 616.222.1345 • Email: Bweny@aol.com Include “Newsletter” in the subject line.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

PRESIDENT’S MESSAGE

ProphyJet Coffee Stout By Dr. Doug Killian, WMDDS President

think this is the only way I can tie dentistry into home brewing. That is, brew beer dark enough to require regular dental visits to clean the stain off. In reality, the hobby of home brewing is quite similar to the practice of dentistry. It combines chemistry, engineering, and craftsmanship to produce a superb end result that will put smiles on people’s faces. You also have the ability to choose the procedures you enjoy and patients you like, just as you brew the beer you like to drink. It begins with using quality materials or ingredients, and purchasing them from a reputable supplier. In my case, I always begin with fresh malted grains, hops, and specialty yeasts from brewgadgets.com, a local supplier. Your equipment must be kept in good working condition, and be presentable to the public. All grain beer brewing equipment includes a hot liquor tank, a mash tun, a boil kettle, spoon, turkey fryer or other heat source, and a fermentation vessel with airlock. Sanitation is always of utmost importance to your patients. It is also necessary in brewing to prevent the spread of nasty little bugs that will affect the flavor and longevity of your beer. Dentistry and beer brewing have both been around for a long time, and though technology has improved the process, the basic principles remain unchanged. So once you decide what

you are brewing, your grain bill of base and specialty malts will provide the fermentable sugars that help produce the final beer, including its color, flavor, and body. In the left picture, the hot liquor tank is running (sparging) 170° water over the grain bed inside the cooler mash tun, which pushes the sugars down and the wort into the boil kettle at the bottom. The malted grains, when heated to different temperatures with your water, will release enzymes that break down the starches in the grains to simple sugars and become available to produce the alcohol in the final beer. Therefore, the amount of grain used, and the efficiency of your system will determine the potential alcohol of your beer. Hopping the beer is a science in itself, but the basics include bittering and aroma hops which are added during the boil of the collected wort from the mash tun. It’s critical to watch close as your boil begins to avoid a sticky boil over. Especially if you are in your kitchen.

Once your beer has boiled and cooled its ready for yeast in the fermenting bucket, and after 2-4 weeks, should be ready for bottles or kegs. Like dentistry, beer brewing requires patience, attention to detail, frequent practice, some science mixed with creativity, and of course, a lot of friends or patients with which to share the smiles! If anyone ever wants to brew, give me a call!

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

EDITOR’S THOUGHTS

I Have Changed My Mind By Dr. Bruce Weny, WMDDS Editor

efore the House of Delegates is a proposal to change the Mission Statement of the Michigan Dental Association from: “The Michigan Dental Association is to encourage the improvement of the oral health of the public; to enhance its members’ ability to provide ethical care to the public through education, training, and services; and to promote the science and art of dentistry” to, “Helping member dentists succeed.”

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

In a previous Bulletin, I criticized the new mission statement because it did not mention any responsibility to the public. When you think about it, the responsibility to the public is our job. The MDA is a first tier supplier, much like a dental supply house or dental laboratory. We need to be the ones who respond to our patients or clients, as I have heard the public called, needs. This means the citizens of our state who paid the taxes for our dental schools, or in a broader sense, any person who populates this earth and is in need. I am thinking of the many dentists who volunteer time in and out of the country. The MDA can play a roll, if asked, to help us, but the primary responsibility is ours and ours alone. I am all for the new Mission Statement.

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When To Use Bite Splints “When and Which Bite Splint to Use” was a lecture given by Dr. DeWitt Wilkerson, DMD, who teaches at the Dawson Center in Florida. In September 2008, Dr. Wilkerson gave a lecture at the D. H. Baker Dental Laboratory in Traverse City. This is a synoptic review of that course.

entric relation is the start of all occlusal treatment. Bruxism starts as clenching. Sustained loading creates a breakdown of the joint ligaments. The central nervous system, the muscles, the TM joints, and the occlusion all affect one another. There are several types of splints: 1. The SRS – The Superior Repositioning Splint. This is meant to allow the mandible to slide up and into the fossa. There is a ramp for the mandibular incisors to fit into that pushes the mandible in a posterior direction (centric relation). (This is similar, but not exactly the same as the splints we use in West Michigan.) 2. The “B” Splint or Bruxing Splint. A standard flat plane bite splint, the most common splint. It is a full-coverage splint, but hits the two mandibular central incisors. This is similar to the NTI, except for the full coverage. There probably would be with some type of coverage on the mandibular incisors. (The is not a flat plane splint, as is often used in West Michigan.) 3. The ARS – The Anterior Repositioning Splint. This splint is meant to allow the mandible to slide forward to a more anterior position. It has a ramp that fits lingual to the mandibular incisors to drive the mandible forward, or in the protrusive direction. 4. The Lucia Jig – A flat plane splint that fits on the maxillary centrals or central and laterals and has a flat plane to opposing occlusion. It is a partial arch splint, and will cause muscles to relax and deprogram. The posterior teeth do not touch at all. 5. NTI – A splint similar to the Lucia Jig, but with a point contact on the mandibular incisors. This also acts as a muscle deprogrammer.

Goals of Splint Therapy 1. Decrease muscle hyperactivity. 2. Decrease sustained joint loading. 3. Decrease noxious teeth contacts. 4. Increase neuromuscular harmony. The Appliance erases the “bite” from the equation. The practitioner must determine if the problem is a muscle/occlusal problem or a joint problem. One would start with a deprogrammer (Lucia Jig) to reduce muscle memory and spasms. This reduces lateral pterygoid activity and differentiates joint problems (lack of pain reduction) from muscle problems (jaw soreness and headache reduction). If the diagnosis is outside the joint (extra-capsular) due to muscle/occlusal problems or parafunction, the use of a “B” splint, either an upper or upper/lower combined for a month every night initially would be used. Physical therapy and/or muscle relaxation medications could be used. Occlusal correction and a splint night guard would follow if it were determined that the problem was caused by interference in the occlusion. If just parafunction were thought to exist with no bite component, then a “B” splint night guard would be used. If the diagnosis is inside the joint (intracapsular), it needs to be determined if this is a “lateral pole” disc displacement or a “medial pole” disc displacement. An “MRI” or “CT” scan will give this information. The “Piper” classification of joint disorders is explained on the next page. However, look for clicking or pain in the joint on loading. If the patient is off the disc,

There are several factors that can precipitate a TMD event: 1. A neuro-muscular disorder leading to parafunction (bruxing/ clenching). 2. An occlusal-muscle disorder leading to parafunction 3. Joint derangement 4. Joint derangement with occlusal changes 5. Neuro-muscular, occlusal-joint disorders which can lead to dysfunction, derangement and para-function.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

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an “NTI” will make it worse! There is likely to be a parafunction contribution the problem as well. If it is decided that the problem is a lateral pole displacement, then a superior repositioning splint (SRS) should be used to seat the condyle in the fossa. If it is determined that the medial pole is displaced, then either an SRS or an ARS (anterior repositioning splint) can be used. This is done for six to twelve weeks with occlusal correction to follow, and an SRS to be used for night time use. The Piper classification of joints is as follows: 1. Stage I: The disc is between the medial and lateral poles in its normal position atop and anterior to the condyle. No pain or clicks, normal load and range of motion. Patients may still be uncomfortable due to occlusal interferences. 2. Stage II: The disc is sliding to the medial pole due to laxity of the lateral discal ligament. Intermittent clicking and temporal headaches are common on awakening associated with nocturnal bruxing. 3. Stage IIIa: The lateral pole has a click. The retrodiscal tissue is atop the lateral pole while the disc has slipped to the medial pole. This may progress to a closed-lock. 4. Stage IIIb: Known as the lateral pole lock, the lateral pterygoid muscle has pulled the disc over the medial pole and the posterior ligament is covering the condyle. The patient had a click but it disappeared. 5. Stage IVa: Known as the medial pole click, the disc is sliding on and off the medial pole. There is a reciprocal click. The MRI may be used as a diagnostic step. 6. Stage IVb: Retrodiscal tissue is on top on the medial pole with the disc off of the lateral and medial poles, as the MRI will show. Pain is from compression of the retrodiscal tissue. Surgical consultation is indicated. A splint may lead to a pseudodisc formation and improvement in the symptoms. 7. Stage Va: No click with rough grating sounds. This is bone on bone. At this stage permanent irreversible changes in the occlusion are contraindicated. Stability of the TMJ’s must be achieved. Degenerative joint disease is present. Use a full splint with contact on all the teeth at a treatment position for the TMJ. This is often helpful in reducing discomfort. WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

8. Stage Vb: This is perforation with chronic degeneration of the joint disease. What one sees here is bone to bone with wear on the bone surfaces. On occasion, there will be a heed for an occlusal readjustment to maintain a peaceful neuromuscular harmony. Use the SRS with Stage III and IV cases. Nightly use of an NTI for eight weeks reduced migraine and tension-type headaches in 77% to 82% if medically DX migraine pts. Andrew Blumenfeld, M.D., stated that “afferent pain from masticatory muscles affect a CNS sympathetic response leading to increased blood flow. This can result in migraines. In children, look to see if the lower incisors have erupted. Use the NTI on the lower and check frequently. Guard against ingestion or inhaling. If a “B” splint is worn during the day, take out for meals to prevent tooth movement. Do not use this splint if the joints are unstable, clicking, are painful, or have load test pain. Typically, daytime usage is temporary, 1-4 weeks. Nighttime usage can be indefinite with no harmful effects: this is for parafunction/bruxism. When the lower front teeth are sore, use an upper and lower splint. If the TMJ’s cannot comfortably accept firm loading, find out why. Even if the TMJ’s cannot accept loading, insure they are stable before completing occlusal therapy. If the bite does not remain stable, the TMJ’s are not stable and vice-versa. The degree of joint degeneration is directly parallel to the severity of retrognathia in most cases. Possible Surgical Cases 1. If the joint feels like it will explode on loading. 2. A young person who had an injury or is getting off the disc. 3. Bone breakdown and bone change. 4. If the disc comes off to the medial, it may cause blood supply decrease. DeWitt C. Wilderson, DMD; The Dawson Academy Reducing Muscle Sensory Feedback Can Reduce Migraines as Well as Tension Type Headaches; by Andrew Blumenfeld M.D. Director, The Headache Center of Southern California. Headache and Pain Symposium, November 2005 Functional Occlusion: From TMJ to Smile Design; Peter E. Dawson, Mosby

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The Kois Center Submitted by Betsy Bakeman, D.D.S.

he Kois Center features a comprehensive, postwhen he was hosted by the Vedder Society. At the time, I was graduate, nine-course curriculum that encompasses all pursuing accreditation in the American Academy of Cosmetic areas of dentistry – treatment planning, periodontics, Dentistry and there were certain skills concerning the perioperative dentistry, occlusion, implant dentistry, esthetics, odontal/restorative interface that I needed to master in order removable and fixed prosthodontics. Throughout the courses, to be successful in the accreditation process. After hearing Dr. Dr. John Kois, the founder and director of the Kois Center, Kois speak on the subject, I was confident that he was a permaintains a laser-like focus on patient-centered care and son from whom I could learn more. He demonstrated a level scientifically-driven treatment deciof skill and knowledge like no one sions. Participants are encouraged I had ever heard before. I found to evaluate each patient’s risk for that he had a teaching center in disease in a variety of areas as an Seattle, Washington that fostered essential part of establishing an intimate group learning, and accurate diagnosis. The informasigned up for my first course. tion gathered is then used to estabThe education was beyond lish a prognosis for the patient’s compare. Ironically, before attendexisting situation as well as to ing my first course, I had no intencreate a foundation for establishing tion of taking additional courses recommended treatment protothere. I had already taken countcols. The patients are the ultimate less hours of continuing education beneficiaries, but dentists, techniat many fine teaching centers and cians, and their associated teams programs around the country. I also benefit by experiencing the joy had been through all of the of delivering quality service and care. Dawson courses, a comprehensive The Kois Center attracts stuesthetic continuum at Baylor, and dents from all over the world: several implant courses to name a Hong Kong, Japan, Australia, New few. However, within a few days at Zealand, Saudi Arabia, United the Kois Center I realized that this Arab Emirates, Germany, England, was a different level of education Ireland, Canada, Denmark, Poland and learning. Though I was and all fifty states. Interestingly, Dr. Kois utilizes the fully-equipped demonstration operatory to attending a course on the perimore dentists from Michigan have demonstrate the use of the Kois Facial Analyzer on a patient. odontal/restorative interface, there attended courses at the Kois Center than from any other state were discussions concerning treatment planning and occlueast of the Rocky Mountains. Word of mouth recommendasion that caused me to have questions. I had the overwhelmtions and referrals keep the Kois Center fully scheduled ing feeling that I had found my dental ‘home’ for continuing months in advance. education. While I received more than my money’s worth of The courses are not just for general dentists. Many specialinformation concerning the course I was attending, I couldn’t ists attend the Kois Center as well. Orthodontists, oral surwait to return to Seattle and study the other subjects taught at geons, periodontists, prosthodontists, all sit side-by-side genthe Center. eral dentists, eager to learn. Dental technicians, a partner in so Countless people agree that Dr. Kois has an unparalleled much we do in dentistry, are also welcome at the Kois Center. scope of knowledge and an extraordinary ability to teach. Dr. I made the decision to attend the Kois Center after hearing Ron Wilkins of Salt Lake City, Utah says, “I consider my assoDr. Kois speak in San Diego and then here again in Michigan ciation with the Kois Center to be the single best thing I have

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

F E AT U R E A R T I C L E

done in my dental career. I attended my first class because I heard John Kois was a good teacher. In the first thirty minutes of that first class, it became obvious that John Kois is one of the most exceptional teachers in the world. I have been a student at the Kois Center for over thirteen years. Every time I attend a class, I come home with a notebook full of new ideas and tools to use when I get back to the office. Dr. Kois teaches a system of diagnosis and treatment planning that completely changed the way I think about dentistry. He continually updates his material to keep his students on the cutting edge of our ever-changing profession.” Dr. Kois does the majority of the didactic teaching at the center. Mentors and clinical instructors assist students by answering questions before, during, and after the courses. The Mentors and clinical instructors also work with students during participatory components and help them prepare to present their treatment planning case to the entire group. The opportunity to bring a fully-documented case to the center and share it with the group is a tremendous opportunity for growth and learning. Typically students bring a challenging case that has them somewhat baffled with the diagnosis or aspects of the treatment plan. Dr. Kois leads each presenting student through the diagnostic protocols as well as the ten-step

Dr. Kois explains the importance of verifying proper orientation of the Kois Facial Analyzer in order to accurately transfer all three planes of facial information. WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

The intimate size of the Kois Center allows students to fully engage in the learning process.

management approach to treatment planning that he has developed. Often, students will return at a later date to share documentation of the completed case. I became a mentor at the center in 2004, and a clinical instructor in 2006. It is a responsibility that I take seriously, and an honor that I cherish. I usually assist with four courses each year in a variety of disciplines. Mentors and clinical instructors must demonstrate a thorough understanding of the principles taught at the Kois Center. In addition, mentors and instructors are required to stay abreast of current literature and recommendations. They do so in part by attending the annual symposium each summer where Dr. Kois spends three days updating participants with a comprehensive literature review. I and most of the other attendees consider the annual symposium ‘not to be missed,’ and work our summer vacations around the scheduled dates. Dr. Michael Sesemann, President-Elect of the American Academy of Cosmetic Dentistry says, “The Annual Mentor Symposium provides ‘high octane’ information – distilled, powerful, practical, and highvoltage.” Any graduate that has completed the entire Kois curriculum is eligible to attend the annual symposium. All participants, whether they are students, mentors, or clinical instructors are encouraged to learn, grow, and reach their full potential. Dr. Ed Borio of Bloomfield Hills, Michigan says, “I feel The Kois Center influence daily. The core values of the Kois Center are in alignment with my values and permeate everything in the organization. The desire to grow, striving for

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excellence, and compassion for others all while maintaining the highest level of integrity are taught and lived continually at the Kois Center. The culture at the Kois Center helps to guide my decision making not only in dentistry, but in my daily activities. I am a better person as a result of attending the Kois Center.” The Kois Center distinguishes itself from other teaching institutions by offering a comprehensive curriculum that encompasses all aspects of dentistry. There is no need to go elsewhere for the finest that dentistry has to offer. In addition to the core curriculum, adjunct courses expand the learning for those that want more in-depth participatory learning. The networking that goes on at the Kois Center is also beyond compare. At any given course you can find participants that teach or are extremely knowledgeable on a variety of subjects – photography, implants, diagnostic imaging, direct restorations, and esthetics to name a few. In keeping with the philosophy of the Kois Center, all are eager and willing to share information. Dr. Sam Bander of Grand Rapids, Michigan says, “I will continue my education at the center. The Kois Center has changed my life. I have more confidence and knowledge to treat complex patients. I have less stress in my life knowing that the procedures I have learned will provide my patients with predictable, long-lasting results.” The outlook for dentistry has never been brighter. More and more patients are keeping their teeth for their lifetimes.

The profession has access to highly esthetic materials and techniques that when used appropriately allow us to predictably exceed our patients expectations. The incorporation of implants and multidisciplinary dentistry is exploding. We are more often able to conservatively treat complex problems. We more actively take a preventive approach to manage patients that are susceptible to disease. The Kois Center teaches a solid method in which to triage all of the complex diagnostic information that we as health care providers must assimilate in order to establish a diagnosis and develop an appropriate treatment plan. In addition, a Kois Center education enables clinicians to fold everything that they have learned into a predictable system of treatment that centers on serving the best interests of each patient. Dr. Mark Benavides, a member of the American Academy of Restorative Dentistry shares, “After attending the Kois Center, I’m more thorough and comprehensive in my treatment planning. I have some patients who can afford this and conversely, some that need to stage treatment over time. I have learned how to predictably phase treatment so that I can provide the best for my patients.” Dr. Brad Olson, former Chairman of Accreditation for the American Academy of Cosmetic Dentistry says, “I can say without reservation that I would highly recommend the Kois Center for dentists and laboratory technicians in their professional growth journey.”

Students at the Kois Center sit comfortably at desk spaces large enough to accommodate the taking of notes as well as hands-on exercises. This class includes West Michigan attendees Dr. Larry Majznerski, Dr. Chris VerMeulen, and ceramist Sandra Mosey, owner of North Kent Dental Arts.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

WMDF NEWS

West Michigan Dental Foundation: Our Point of View By Dr. Donald Vander Linde, WMDF President

First, we are passing on the news that you may have already surmised. Our endowment has suffered the ravages of the stock market decline. The Grand Rapids Community Foundation, where the West Michigan Dental Foundation endowment is held, has suffered losses in the markets and will continue to do so until we all experience a recovery. The WMDF Board of Trustees has, however, taken actions over the past years which have provided us a strong cash position. Secondly, the West Michigan Dental Foundation is committed to making community grants in the communities it serves in Kent, Ottawa, Ionia, Mecosta and Montcalm counties and will be doing so again this year. The Foundation will also continue its long tradition of providing tuition grants to students pursing careers as dentists, dental assistants and dental hygienists. Thirdly, we need your help. The WMDF Board of Trustees is proceeding with spending at our historic levels for commu-

nity and tuition grants. We desire to increase our community grant spending this year. The foundation has never been able to fully satisfy the requests for funding these grant requests. The mission of our foundation is greater now than ever. One way you can help is by supporting our West Michigan Dental Foundation golf outing at Egypt Valley Country Club on Friday, June 5th. Purchasing raffle tickets for the fabulous prizes at this event, soliciting sponsors, or just golfing with your colleagues all raise money for our foundation. If you overlooked our annual campaign or are able to make an additional donation at this time, please consider a donation now. Your support will be greatly appreciated. Please complete the form below and send your check to: West Michigan Dental Foundation 161 Ottawa Avenue NW Suite 511-F Grand Rapids MI 49503

YES! I will support the West Michigan Dental Foundation. West Michigan Dental Foundation 161 Ottawa Avenue NW, Suite 511-F Grand Rapids, Michigan 49503

Total Gift Amount $________________ Amount Enclosed $________________ Balance to be Paid $________________

Charge my gift of $______________ to my MasterCard/Visa Card #_________________________ Exp. Date___________ Signature ___________________________________________

Make Checks payable to: West Michigan Dental Foundation This gift is in the memory/honor of: ____________________________________ Person to notify _____________________________________________________ Address____________________________________________________________

Gift Categories Presidents Club Platinum Level Gold Level Silver Level Patron Level

$501 – $999 $301 – $500 $151 – $300 $ 51 – $150 $ 50 and under

City ________________________________ State ________ Zip ______________

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

MARK YOUR CALENDAR West Michigan Dental Foundation Annual Golf Outing FRIDAY, June 5, 2009 Returning to beautiful Egypt Valley Country Club Registration begins at 10:30 am Lunch 11:30 am â€˘ Golf 12:30 pm $200 per golfer Fee includes golf, lunch, on-course beverages, and dinner

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

Skilled human resources experts helping your practice hire, align, measure, develop and retain the right employees.

For more information, contact getclear@getcleartalent.com or call 616.915.9880

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

HUMAN RESOURCES NEWS

Importance of Organizational Culture By J. Devereaux Butler, Ph.D., Managing Partner, ClearTalent, LLC Dear Org Doctor: I recently left a smaller dental office to join a larger, more successful practice. Wow, are things different! At my old office, I felt like we were all in synch, we understood each other. At my new practice, I’m not so sure … — “Not in Kansas Anymore” in Allegan County Dear “Not in Kansas Anymore”: How long have you been at the new practice? Perhaps you just need to get acclimated. However, if you’ve been there more than a few months, you may be out of synch with the “organizational culture.” Don’t overlook the importance of culture in your organization. The companies we most admire, Southwest Airlines, Coca-Cola, Apple, Nordstrom’s, Mayo Clinic all have specific, intentional cultures that make them successful. Culture can be described as the set of underlying assumptions and beliefs members have about their organization, how it operates, and what is valued. Culture is so pervasive – and we are so surrounded by it – we often can’t even see it. As the old saying goes, “when fish get together, they don’t talk about the water.” Sure, your office has inspirational artwork on the wall, a catchy tag line about customers coming first, and perhaps even a noble mission/value statement posted for all to see. That is not culture. Instead, these are artifacts of a culture, what “you say you believe.” The real question, of course, is what you really believe – what are the implicit organizational assumptions and values? Looking at the following dimensions will help you understand your new culture. Space: How does your office use space? Are more important people separated from those less important? Is one office or suite better than another? Does it have better equipment? Is it bigger with a better view? Who’s allowed to use that space? Are there barriers (doors, people, distance) between important and less important spaces? Where is your office located? Is it in a professional building (“we are skilled professionals”), a strip mall (“we are an affordable service easily available to all”), or a downtown office WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

building (“we cater to white collar workers from 8 am to 5pm”)? What does your entrance and reception area look like? Is it warm and inviting? Cold and clinical? Time: How is time used/conveyed in your office? What does “arriving late” mean? Is 5 minutes late? Twenty minutes? An hour? When staff members say they’ll do something, how specific is the timeframe? Is it due “next week?” Next Wednesday? Next Wednesday by 3:00pm? How do you talk about the history of the organization? Do you talk about last month? Last year? Eight years ago? Back in “my daddy’s day?” Likewise, how do you talk about the future? Do you talk about next month, next year? Five or ten years from now? Attention: To what do the leaders pay attention? Many organizations say “customers are number one” and then start every staff meeting reviewing the budget. Evidently, financial numbers are most important. What do leaders ask about? Do they ask about patients? Operations? Quality indicators ? Insurance reimbursements? What you learned at the last conference? How the weekend went? Rewards: How are people rewarded in the organization? What are they rewarded for? Longevity? Loyalty? Expertise? Production? Innovation? Squeaking the loudest? Do you reward superhuman efforts (“they worked all weekend”) and ignore the steady performer who gets work done on time with little fuss? Do you talk about teamwork but then reward individuals? View of Human Nature: How does leadership view staff members and patients? Are staff viewed as generally lazy and trying to avoid work, Or are they dedicated people striving for success and seeking more responsibility? What patients are on the schedule? A “crown and two fillings”? Or Mrs. Smith who needs dental work done before her daughter’s wedding next month? Asking yourself these questions – and answering them honestly – is a great start to identifying and understanding your office culture. You can then take measures to align the organizational culture to your mission, vision, and values. Organizations with strong, intentional cultures are necessary to create sustained results and long-term value. The “OrgDoctor” is written by ClearTalent, an HR company helping organizations to hire, measure, align, and develop employees for business results. You can contact ClearTalent at getclear@getcleartalent.com.

C H I L D R E N ’ S D E N TA L H E A LT H N E W S

Tooth Time 2009 Submitted by Dr. Kurt Schabes, Co-Chair, Tooth Time Task Force

ecord attendance for Tooth Time! The Grand Rapids Children’s Museum was once again the host for this year’s “Tooth Time,” an interactive, educational event that attracted over 1500 teachers, children, and parents. The hands-on, informative stations provided a fun-filled atmosphere for the kids to learn about the importance of dental health. The Tooth Time Task Force was on hand to make certain the event was a huge success and to witness the courageous Captain Fluoride and the beautiful Tooth Fairy battle the infamous Cavity Critter and the sly Ginger Vitis. In addition to task force volunteers, other dentists present included Dr. Lathe Miller, Drs. Scott & Jennifer Van Timmeren, Dr. Katie Swan, and Drs. Andrew & Katie Van Haren. Help was also provided by 20 Grand Rapids Community College dental assisting and dental hygiene students along with eight students from the Pre-Dental Club at Grand Valley State University and staff members from the offices of Dr. Kurt Schabes, Dr. Tom Williams, and Dr. David Huyser. The continued success of “Tooth Time” would not have been possible without the generous donations from the following companies and organizations:

The Cavity Critter at the Tooth Fairy Necklace Table.

West Michigan Dental Foundation West Michigan District Dental Society Colgate Henry Schein Dental Patterson Dental / Casey Systems Crest / Oral B Dr. John’s Sugar Free Candies Dentsply Benco Dental Supply A final thank you goes out to all the members of the 2009 Tooth Time Task Force: Dr. Kurt Schabes, co-chairperson Dr. Tom Williams, co-chairperson Dr. Heather Cadorette Dr. Tom Phares Dr. Robert Strobel Dr. Paul O’Grady Dr. Chris VerMeulen Dr. David Huyser Dr. Stephanie Benton Abbi Wilson, Director of Play Education GRCM

Picking out a Tooth Time Tattoo can be a lot of fun.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

C H I L D R E N â€™ S D E N TA L H E A LT H N E W S

Dr. Kathryn Swan gives patients the WOW factor about sealants.

Dr. Scott Van Timmeren at the Intra Oral Camera.

Ginger Vitis (Sara Bosse, RDH) and the Tooth Fairy Kailene Schabes.

Volunteers from GRCC help at the Open Wide Exhibit.

Aspiring young dentists try their hands at Dr. Drill and Fill.

Dr. Bob Strobel relives his childhood at the Drill and Fill.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

TRUSTEE REPORT

Highlights of December 2008 Board of Trustees Meeting and MDA Strategic Planning Process By Dr. Norm Palm, MDA Trustee

n this report I want to talk to you about the actions of the Board of Trustees at the February 13 meeting, the topics discussed at the Executive Committee meeting on March 13, and lastly mention a number of issues about access to care, with which I am heavily involved. First, I want to welcome Brian Cilla to the MDA Board as your new district IV trustee. Brian will be replacing Connie Verhagen as a trustee as Connie moves on to Vice President of the MDA. Brian is a person I have enjoyed working with in the past on the WMDDS Board and I will be looking forward to his camaraderie. His great ability at reading issues and forming opinions that are credible and concise will suit us well at the MDA level. He is quick to smile, laugh and his affable good nature will be well received by the rest of the Board, I know. Separately, I want to extend my congratulations to Connie VerHagen as she becomes MDA Vice-President. I know I have commented in this space before that I have known Connie since the early 1990’s thru MDA service and fervently feel that there is no one at the MDA that I have more respect for than her. She works to represent you, the member, in a totally unselfish manner and is thoughtful and poised. We will be well represented by her and I will consider it a privilege to continue to work with her at the MDA. In February at the BOT meeting and at the EC meeting in March, we heard comments and considered our options regarding the commercialization of teeth whitening by nonprofessionals. As early as 2001, the MDA had written the Board of Dentistry with our concerns about these practices by non-dental sources. The purveyors of these whitening services are very good at avoiding any intimation that they are providing the service. Without touching the patient, product or

delivery tray they skirt any appearance that they are providing a dental service. Rather, the purchaser is preparing and delivering the product for their own use. In Michigan, the BOD does not regulate non-licensed professionals and has refused to take up this issue. The Attorney General says the BOD must provide oversight if this practice of whitening by non-dental professionals constitutes the practice of dentistry. The MDA has started referring member complaints directly to the BOD. We will continue to pursue this matter at the state level. The BOT authorized $20,000 from non-reserve funds to continue the development of a digital radiography training component as an addition to the existing MDA radiography training kit. New training modalities as well as a possible i-tunes delivery opportunity as offered by the University of Michigan School of Dentistry are being looked at as part of the program’s update for your future use. Trustee Bob Coleman from Detroit is doing an admiral job with this task force. As part of a change of the mission of the Committee on Governmental Affairs, that committee’s name has been changed to the Committee on Governmental and Insurance Affairs. The MDA continues to hear your complaints on thirdparty relationship issues and is striving to do its utmost to serve your needs. As legal counsel, Dan Schulte has commented in the MDA Journal, there are limits to what we can do and say as an Association or even an informal group of dentists without breaching FTC rules. We maintain a dialogue with Delta and Blue Cross in an effort to voice member concerns in a concerted manner. We have watched the recent settlement by New York attorney general Cuomo with United Health Care about manipulated usual and customary fee determinations for out of panel medical providers. A United Health subsidiary, Ingenix, sold such data, known to be inaccurate, to other insurers as part of a conspiracy to defraud patients and providers. The $350 million dollar settlement allowed these insurers to escape federal racketeering charges. The ADA continues to monitor this settlement although no dental fee fixing has been intimated. Our own Chris Smiley is a member of the ADA Council on Dental Benefits. Before I close, I want to update you on access to care issues here in Michigan. A little over a year ago, President Dater asked me to head a task force to investigate access issues. That group generated a report to the BOT last June. Since that time, WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

TRUSTEE REPORT

a Special Committee on Access to Care (SpCAC) has been put into place, given the mission to investigate, and make recommendations to the MDA on all manner of ways to improve access to care for the underserved in Michigan. As chair of this committee, I can tell you that this issue is complex and brings into play the politics and agendas of numerous interests in and out of dentistry. Most recently, the MDA found it necessary to withdraw from the ADA pilot project for the Community Dental Health Coordinator in the inner city of Detroit. This was necessary for a combination of reasons that in total were beyond our control. It appears the pilot will be moving possibly to Philadelphia at this time. Pilots for the CDHC for rural and native American populations started in the second half of 2008. As a profession, we remain in the awkward position of constantly reacting to other decisionmakers on this issue. Dentistry does not speak with one voice on matters of access. There is no case development on the nature and depth of the problem that includes an appropriate assessment from which to develop credible solutions to access problems for Michigan residents that are underserved. At this time, the SpCAC is developing a broad public policy statement on access to care so that we can articulate the problem and possible solutions from our perspective as practicing dentists, greatly concerned about the public’s unmet needs. The study will be far reaching and facilitated by Public Sector Consultants, a Lansing-based think tank on health care issues. We hope to engage all the representative voices of dentistry in the project as well as medical providers, hospitals, social service agencies, business and labor. In the end, through the writing of such a statement, the profession will be able to advocate to the public and public policy decision-makers the opportunities to improve access from our prospective, allow the MDA to speak with authority and credibility on the issue, and build much needed social capital as well as new allies for the initiatives that will come from the completion of this public policy statement. This access problem cannot be solved by dentistry’s efforts alone. Your roll as a member is to stay informed and engaged on the issue, the single most important issue facing dentistry today, and capable of changing your scope of practice of dentistry. You have no further to look than Minnesota to see of what I speak. The Minnesota Dental Association in one year’s WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

time has gone from being opposed to a midlevel provider to endorsing such a provider that is authorized to provide irreversible services under the direct dentist supervision. If you would like to be kept further informed of matters related to access, send me your email address and I will forward you timely information on the issue. My best regards and thank you for your support. Questions? stsorminnorman@msn.com.

Calling all........ Dental Professionals, Dental Hygienists, and Dentists! As the economy continues to spiral downward, more and more Americans find themselves out of work and unable to pay for their family’s health care. We are needed more than ever to volunteer our services. Community organizations and neighborhood clinics are all feeling the effects as well. There is less money donated to purchase supplies and necessary equipment, and more people in need of services. One way anyone can help is to make a financial commitment. However, we are blessed. We have the necessary skills to perform the services that so many people need. Please, think of what you can do for your community and seek out a site where you can feel good about volunteering your time. Don’t wait for a call, the time that we are needed is now. Let’s all do our part in this time of need. Some organizations in need of volunteers and/or financial support are: Mel Trotter Ministries Dental Clinic Clinica Santa Maria Baxter Community Center Cherry Street Clinic Schools Be creative, call and ask what you can do. Respectfully submitted by Cheryl Bentley, RDH President, Grand Rapids Dental Hygienists’ Society

PROGRAM REVIEW

Bringing in Spring with Dr. Michael Sesemann By Dr. Seth Vruggink

arch 20th marked the end of a long, cold winter and the beginning of what we can hope is a wonderful spring. It was also the day that over a hundred West Michigan dentists gathered at Frederik Meijer Gardens & Sculpture Park to hear Dr. Michael R. Sesemann lecture on Oral Art and Design: The Synergy of Esthetics and Function. Dr. Sesemann is a Fellow in the American Academy of Cosmetic Dentistry and started the Nebraska Institute of Cosmetic Dentistry. Dr. Sesemann used his own cases and experience (both successes and failures) to explain his philosophy of comprehensive dentistry. Presenting everything from simple esthetic cases to complex full-mouth reconstructions involving traumatic TMJ injuries, Dr. Sesemann took the crowd through his entire treatment protocol. From the data collection to the final cementation, Dr. Sesemann’s approach emphasizes quality and defines the word comprehensive. The data collection appointment for Dr. Sesemann’s protocol is incredibly thorough and extensive. Routine PVS impression for study models, a series of twelve to sixteen photographs, and even MRI imaging of the TMJ are just a few examples of the data Dr. Sesemann will collect on comprehensive cases. One of the most interesting tools used in his practice is what he calls “The Diagnostic Tracing Analysis.” To accomplish this, an anterior view of a patients’ smile is projected onto paper at ten times its actual size. The teeth are then traced onto the paper. Specific measurements of

tooth and tissue height and width are recorded as well as height to width ratios. The enlarged image allows the dentist to more easily recognize visual disharmonies, plot new measurements for proposed changes, confirm the workability of those changes, and actually sketch the changes onto the current smile. Dr. Sesemann accomplishes a great deal of his smile design using the Diagnostic Tracing Analysis. As part of his data collection, Dr. Sesemann strongly recommends the Kois Facial Analyzer to orient the maxillary arch from the patient to the articulator. Bimanual manipulation of the mandible is then used to determine what maxillomandibular relationship has the TMJ positioned in centric relation. An MRI can be used to verify that this occlusal relationship is truly the healthiest for the TMJ. An emphasis was placed on the fact that successful treatment of a comprehensive case must be completed three times; first in wax, second in plastic and third in material. Dr. Sesemann specifically stressed creating a condensation silicone guide of the diagnostic wax-up to function as a three-dimensional communication device. This guide can be given to an orthodontist, surgeon, laboratory technician, or anyone involved in the case to demonstrate where the case is headed before treatment has to begin. Once the necessary data has been collected and smile design completed, the treatment phase can begin. Dr. Sesemann stressed the need to have patient understanding of what comprehensive treatment truly is. Often, patients who want a quick smile makeover must accept that orthodontic intervention, periodontal surgery, or lengthy temporization are just a few things that may be involved in achieving predictable long-term success. Once the patient is on board and understands the meaning of comprehensive treatment, the case can be planned and taken to completion. While reviewing several cases involving everything from the most common to the most unique and complex esthetic deficiencies, Dr. Sesemann brought up several important guidelines he tries to adhere to during treatment. One such WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

PROGRAM REVIEW

point involved the importance of maintaining facial enamel whenever possible during preparation. A study was cited that showed removal of proximal enamel having no affect on crown rigidity. Complete removal of facial enamel, however, lead to a dramatic increase in tooth flexibility and tensile stresses. This is a setup for restorative failure. Dr. Sesemann took the audience through a tour of his favorite esthetic materials as well. He addressed the changes being brought about by CAD/CAM materials, and the pros and cons of the different families of CAD/CAM materials. It is his belief that the CAD/CAM boom is the future of esthetic dentistry.

Attendees of Dr. Sesemannâ€™s course were shown just how far dentistry has come and just how far we can go as dental professionals given the proper education, dedication, and passion. Dr. Sesemann is a great representation of an uncompromising practitioner of comprehensive care. His cases speak volumes for his training and for the training that is available to all dentists who have the passion for cosmetic dentistry.

COMMITTEE NEWS

WMDDS Dental Education Committee Update By Dr. Thomas Lambert, Chairperson cialist’s offices. Our committee would like to challenge every office to say yes to Julie and her great program. Let’s get her phone ringing by calling 234-4542, taking a student into your office and start “Paying it Forward.” Together we can make a difference!

ur committee’s mission is to work with the dental programs and students in our area to promote the field of dentistry. As dentists, we all have a vested interest in the success of these programs as they are the future of our practices and our profession. Our committee members have long-standing relationships with GRCC, Ferris State University, and Grand Valley State University. We would like to update you on these three programs. GRCC Dental Hygiene Programs Graduates 32 Students The Grand Rapids Community College Dental Hygiene program recently graduated 32 students. Program Director, Eve Sidney, reports that during these tough economic times it has become more challenging to place her students, but she remains optimistic. GRCC has no plans to reduce its class size this coming year. Good news, beginning in 2010 all dental hygiene students will receive Nitrous Oxide and Dental Anesthesia certification as a part of their regular program. In the past this has been primarily a post-graduate program, but will soon become a regular part of the curriculum. GRCC Dental Assistant Program For many years the GRCC Dental Assistant program has been under the very capable direction of Julie Bera. Students from GRCC graduate with a Registered Dental Assistant degree and are able to utilize all of the expanded functions skills allowed by the state. The ADA Commission on Dental Accreditation states that DA students must receive 300 hours of clinical externship experience. Julie has told us that one of her most challenging jobs is to place her students in offices right here in West Michigan. She particularly has a pressing need to place students in spe-

Reduced Class Size For Ferris’ Hygiene Program Ferris State University has decided to reduce its dental hygiene class from 58 to 40 students this upcoming academic year (2009-2010). Numerous reasons went into this decision, but the majority of them are related to the current economic conditions and job market awaiting their graduates. A large percentage of their graduates cannot secure positions in Michigan and must relocate out of state. Ferris will continue to evaluate the economic environment in future years as it determines its enrollment. Ferris Offers New Online BS degree in Dental Hygiene Ferris State University Dental Hygiene program has been approved to offer a new online Bachelor of Science degree completion program. Dental Hygienists who obtain the BS degree can pursue teaching opportunities in their field. All required courses are offered through Ferris’s distance learning platform so students can reside anywhere and are not required to come to the Big Rapids campus. This degree program is in addition to and will not replace their current associate degree program. They will continue to offer the associate degree each year to prepare dental hygienists for initial licensure and practice. Grand Valley Pre-Dent Students Eager to Connect Our committee has developed a working relationship with Grand Valley State University and the pre-dental counselors and students. We have facilitated students to attend West Michigan continuing education programs and the MDA annual session, volunteer at the Baxter Clinic, and shadowing dentists in their offices. We currently have several students who like to shadow dentists for one-week periods. Please call my office at 364-6490 to “Pay it Forward” and truly make a difference. Thank you for the opportunity to serve as the Chairperson for the WMDDS Dental Education Committee. WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

CLASSIFIED ADS

The classified ad rate is $10.00 up to and including 30 words; additional words 15¢ each. Space permitting, WMDDS members may place ads free of charge as a membership service. Ads should be submitted in writing and sent with payment to Elaine Fleming, WMDDS, 511-F Waters Building, Grand Rapids, MI 49503. Telephone numbers and hyphenations count as two words, abbreviations count as one word. Ads received after the first of the month prior to publication may appear in the following issue. Grand Haven – It can be a slow start for young dentists in private practice in this economy, but the rewards are there if you are willing to work towards them. We are two general dentists in our late 50’s who are looking for a full-time associate who would buy into our practice over a 3-5 year period. Ten ops, 4 hygienists, and as nice a hightech family practice as they come. It would be important to us that you live in and are an active part of our wonderful community. Please send your resumé to Drs. Kennard Creason and Walter Weber, 333A Jackson Street, Grand Haven, MI 49417. Call 616.842.0822. Dental Equipment Sale – Five operatories of dental equipment for sale. 5 Dental Ez chairs, 4 Pelton Crane Track lights, one chair mounted light, 3 Forest over the patient dental units, 2 assistant dental carts, 5 Telecam Intra Oral Cameras & 5 wall mounted Mitsubishi TV’s, photo printer, 5 assistant stools, 5 operator stools, 2 SS White x-ray machines, 2 rear delivery units, all other operatory cabinetry, vacuum pump, compressor, reception room furniture, 5 business office chairs, doctors office and business office desk/bookshelf cabinetry, conference table, 2 large patient records file cabinets, and more! Call 887.7389. Space for Lease – Holland (great north side neighborhood location). Previous tenant was a family practice dentist. High visibility sign available. Building interior is ready for equipment installation. Three ops and small lab. Owner is willing to adapt building to needs. Call 616.245.9098 or 800.669.0717.

Kentwood, Muskegon, Fowlerville – We have three practices for sale. These opportunities are excellent starters and satellite offices. Kentwood and Fowlerville have buildings also for purchase. Starting gross of $470,000 to $600,000. Financing and working capital available. Contact Dr. Jim David, Henry Schein PPT Sales at 586.530.0800 or daviddental@comcast.net. Office Space for Lease – Great location! 2426 Burton St. SE, 915 sq. ft., 3 operatories, lab, private office, reception, business office, basement. Contact Dr. Sam Bander at 616.949.5980 or email at drsam@sbcglobal.net West Michigan: Associate Wanted with Transition to Partner – Very busy, modern practice with eleven operatories and three full-time hygienists, seeking ambitious dentist who is committed to serving the general dentistry needs of our surrounding rural community. Our practice is located in an attractive lakeside village with a municipal airport. We are looking for a general dentist with some experience to work 2–3 days a week to start. Transition to 4–5 days per week as senior partner shifts towards retirement. Contact draper@pathwaynet.com or wjwinget@hotmail.com with resumé and contact information. Associate/Partnership – Great opportunity for a full / part time general dentist. Profitable, fee for service office. This is a well established family practice. Excellent location in Spring Lake/ Grand Haven area. Call 616.842.1562 or e-mail dmirwin@chartermi.net.

Storage Space for Lease – Safe, secure, 24/7 access. Ideal for records, models, or just stuff you need to store. Located in the basement at 1151 East Paris Ave. Contact Dr. Sam Bander at 616.949.5980 or drsam@sbcglobal.net for more information. Dental Practice For Sale – Jenison, Michigan. Established and growing dental practice on major Jenison traffic route. Great income potential. Call for details 616.245.2767 or cell 616.485.1348. Half of Building (2,424 Square Feet) for Lease. Other half is a full-service dental laboratory. Two year old building, excellent for a dental practice. Great location in Kentwood on the corner of Breton and 32nd Street. If interested please call 447.0190. Established Dentist with an Existing Office in Grand Rapids Wants to Buy – in or partner with another dentist. Open to all options. Please contact P.O. Box 141661, Grand Rapids, MI, 49514-1661. Grandville: 2000+ sq. ft. office space available for lease in exclusive professional office building. Other tenants include endodontist, family dentist, pediatric dentist, oral surgeon and orthodontist. Building partnership buy-in also possible as investment. Call 616.531.6377 or 616.531.1260. Dental Practices Wanted to Buy – Two dentists separately looking for a practice to buy in the Grand Rapids area. Contact Greg McGlaun of Proveer at 616.425.5523 or gmcglaun@proveerpm.com.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

CLASSIFIED ADS

Dental Office Suite/Three Operatories for Lease – Desirable SE Grand Rapids location. Some shared space (reception room, lab, etc.) with two other general dentists. Great opportunity for general, specialty, or start-up. Excellent terms. Call 616.949.8990. General Dentist – An excellent opportunity to join a progressive, fast-pace, well-established, practice in Grant, Michigan. Immediate opening for full-time or part-time general dentist (new grads welcome). Compensation commensurate with experience. Send resume and letter of interest to: Human Resources, Baldwin Family Health Care, Inc., 1615 Michigan Avenue, Baldwin MI 49304, whelminiak@familyhealthcare.org, or FAX 231.745.3690. Grand Rapids Area – I am looking to purchase a dental practice with or with out a transition. please call Dr. Martin 616.406.9399. General Dentist – Family Health Care, a federally qualified health center, has an excellent opportunity to join a progressive, fast-pace, well-established practice in northwest Michigan. Immediate openings in our Grant and White Cloud offices for full-time or part-time general dentist (new grads welcome). Compensation commensurate with experience. Send CV and letter of interest to: Human Resources, Baldwin Family Health Care, Inc., 1615 Michigan Avenue, Baldwin MI 49304. Email: whelminiak@familyhealthcare.org. FAX: 231.745.3690. For Lease – Desirable SE Grand Rapids location. Some shared space (reception room, lab, etc.) with two other general dentists. Great opportunity for general, specialty, or start-up. Excellent terms. Call 616.949.8990.

RDH/RDA – Dental professional with over 5 years experience seeking fulltime, part-time or subbing opportunities where I will be able to utilize my professional experience with patients. Please contact me at 616.262.8719. Opening a Satellite Office. Looking for a good used panoramic x-ray and some other used equipment (in good shape). Please email: hanyb@juno.com or call my office at 616.774.9402 or cell phone 616.307.2213 (leave message). $190,000 Medical/Dental Office Building for Sale – Just south of 28th St. off Eastern Ave. in Grand Rapids. 2,345 sq. ft. For more information call Tyler DeGraaf at NAI West Michigan 616.242.1118. Gorgeous Brand New 9120SF Class A Office Condo for Sale – Income producing! 3769SF new medical tenant on 5-year lease, 5351SF available to occupy. High traffic corner. Norton Shores. Call 616.776.0100.

For Sale – 1998 Gendex GX-Pan, $4500. Also available: 1970 Moss Lateral Ceph. Make offer. Call 538.5920 Mon.–Thurs.

ADVERTISER INDEX The Bulletin wishes to thank our valued advertisers who support organized dentistry by helping to defray the cost of printing and mailing. Advertising in the Bulletin is seen by over 90% of the dentists in the West Michigan District. This includes five of the fastest growing counties in the state: Kent, Ottawa, Ionia, Montcalm and Mecosta. For information on advertising rates, call Elaine Fleming, WMDDS Executive Secretary at 234-5605. Target your Market – advertise in the Bulletin! Cleartalent .........................................11

RDH – 19 years hygiene experience, professional demeanor with excellent chairside manner with patients. Seeking part-time or substitute opportunities. Flexible, proven individual/team performer, strong references. Call Kathy at 616.682.1967.

CPR Collections, Inc.........................11

Dental Vacuum Pump – 2 Hp Matrix Model Max-2000. Excellent condition. Recently appraised at $1200. Will take $800 or best offer. Contact Chase Klinesteker at 949-8665 or ckspoonpl1@aol.com.

MDA IFG........................................... 9

Davis Dental Laboratory................inside front cover Founders Bank & Trust .................... 3 Henry Schein ............inside back cover

Professional Solutions .................outside back cover ProNational .......................................21 Tech Trust ..........................................12

Dental Office for Lease – Sparta, MI. 2,000 sq ft with $75,000 improvements, includes two X-ray machines, vacuum extraction, cabinetry, laboratory. $1795.00/mo, plus utilities. Traffic flow/14,000 daily. 616.874.4192.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

2 0 0 9 – 2 0 1 1 W M D D S C O N T I N U I N G E D U C AT I O N P R O G R A M S

OCTOBER 16, 2009

Dr. Witt Wilkerson Frederik Meijer Gardens & Sculpture Park, Grand Rapids | 8:00 am–4:00 pm | 7 CEU’S For information, call Elaine Fleming at 616.234.5605 or e-mail at efwmdds@aol.com

JANUARY 8, 2010

Dr. John Molinari Frederik Meijer Gardens & Sculpture Park, Grand Rapids | 8:00 am–4:00 pm | 7 CEU’S For information, call Elaine Fleming at 616.234.5605 or e-mail at efwmdds@aol.com

MARCH 12, 2010

Dr. Jeffrey Morley Frederik Meijer Gardens & Sculpture Park, Grand Rapids | 8:00 am–4:00 pm | 7 CEU’S For information, call Elaine Fleming at 616.234.5605 or e-mail at efwmdds@aol.com

OCTOBER 1, 2010

Dr. Jamison Spencer Frederik Meijer Gardens & Sculpture Park, Grand Rapids | 8:00 am–4:00 pm | 7 CEU’S For information, call Elaine Fleming at 616.234.5605 or e-mail at efwmdds@aol.com

JANUARY 28, 2011

Katherine Eitel Frederik Meijer Gardens & Sculpture Park, Grand Rapids | 8:00 am–4:00 pm | 7 CEU’S For information, call Elaine Fleming at 616.234.5605 or e-mail at efwmdds@aol.com

MARCH 11, 2011

Drs. John Farah and John Powers Frederik Meijer Gardens & Sculpture Park, Grand Rapids | 8:00 am–4:00 pm | 7 CEU’S For information, call Elaine Fleming at 616.234.5605 or e-mail at efwmdds@aol.com 24

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SPRING ISSUE 2009

WEST MICHIGAN DENTAL SOCIETY 511-F Waters Building Grand Rapids, MI 49503

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