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WINTER ISSUE 2017 VOL. 49, NO. 1

Bulletin


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Table of Contents ­Editor Dr. Stephanie Rashewsky Associate Editors Dr. Marcos Cid Dr. Daniel Grode Dr. Tara Meachum Dr. Emily Van Heukelom Advertising Editor Elaine Fleming Executive Secretary WMDDS 161 Ottawa Avenue NW Suite 301 Grand Rapids, MI 49503 (616) 234-5605 efwmdds@aol.com West Michigan District Dental Society Executive Board 2016-2017 President Dr. Leonard Bartoszewicz President-Elect Dr. Brian Mulder Vice President Dr. Lathe Miller Secretary-Treasurer Dr. James Papp Editor Immediate Past President Dr. Steve Conlon Directors Dr. Kevin Rebhan Dr. Kathryn Swan Dr. Sarah Masterson Area Representatives Kent County Ionia-Montcalm County Mecosta County Ottawa County

Dr. Chris Leja Dr. Scott Ribitch Dr. Erick Perroud Dr. Thomas Anderson

Big Rapids Dental Study Club Officers President Dr. Erick Perroud Vice President Dr. Christa Stern Secretary Dr. Christa Stern Treasurer Dr. Erick Perroud Holland-Zeeland Dental Society Officers President Dr. Thomas Anderson Treasurer Secretary Immediate Past President

President’s Message: Spring Forward........................................................................................... 2 In Memoriam...............................................................................................................................   3 Editor’s Thoughts: February is National Children’s Dental Health Month..................................... 4 Trustee Report: Just Blink............................................................................................................. 6 2017 Silent Bell Recipient: Dr. Scott J. Hodges............................................................................. 8 2017 Life Members....................................................................................................................... 13 WMDDS Holiday Event Highlights................................................................................................ 14 Program Review: Rational Selection of Analgesic Regimens........................................................ 16 Oral Medicine: Pemphigus and Pemphigoid: The Unique Role of Dentists................................... 20 NDF News: Report from the 2016 ADA Annual Session on the New Dentist Conference.............. 22 Area Representative Updates........................................................................................................ 24 Practice Management: Assembling the Right Team to Open a New Office................................... 26 Technically Speaking: New Year. New Resolution........................................................................ 28 Financial News: Buying or Building a New Home in 2017............................................................ 30 Financial News: Ten Steps to Improve Financial Health for 2017................................................. 32 2017-2018 WMDDS Continuing Education Programs................................................................... 34 ADA News: Dr. Gary Jeffers Announces Candidacy for ADA President-Elect................................. 36 Classified Ads................................................................................................................................ 38 Advertiser Index............................................................................................................................ 40

About the Cover 2017 Silent Bell Recipient Dr. Scott J. Hodges. Photo by Autumn Johnson, Adam Bird Photographer.

Ionia-Montcalm Dental Study Club Officers President/Treasurer Dr. Kirkwood Faber Kent County Dental Society Officers President Dr. Kathleen Eisin Vice President Dr. Chris Leja Secretary Dr. Veronica Hamilton Treasurer Dr. Sarah Masterson West Michigan Dental Foundation Officers President Dr. Steven Mancewicz Vice President/Secretary Mr. Nicholas Vander Veen Treasurer Mr. Tim Van Laan

The Bulletin of the West Michigan Dental Society is published six times a year (the winter issue, spring issue, summer issue, directory issue, fall issue, and holiday issue). 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, 519 Ada Drive SE., P.O. Box 157, Ada, MI 49301. Requests for purchase of advertising space should be directed to the Advertising Editor, Elaine Fleming, (616) 234-5605. The deadline is the first of the month prior to publication. ©2017-2018 West Michigan District Dental Society Bulletin

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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 i­ nappropriate 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 winter issue, spring issue, summer issue, directory issue, fall issue, holiday issue. Direct submissions or c­ orrespondences to: Dr. Stephanie Rashewsky | 519 Ada Drive SE, P.O. Box 157 | Ada, MI 49301 Phone: 616.676.9177 | FAX 616.676.8836 | Email: stephanierashewsky@gmail.com Include “Newsletter” in the subject line

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President’s Message

Spring Forward By Leonard Bartoszewicz, DDS WMDDS President

The holidays have come and gone. The winter solstice has passed and the days are slowly getting longer. Soon we will need to reset our clocks one hour ahead and “spring forward” in accordance with daylight savings time. While I enjoy the extra hour of sleep in autumn when we adjust our clocks and “fall back,” I am excited for the prospect of more sunshine and getting my Vitamin D the natural way! With spring around the corner, I am also looking forward to the MDA’s Annual Session. Beginning April 27, many dentists and their staff, speakers, leaders in our profession, dental supply reps and exhibitors will gather in Grand Rapids for four days. You can take advantage of numerous continuing education seminars, product demonstrations, social engagements and worthwhile meetings with friends and peers. During the Annual Session, the MDA’s House of Delegates will convene to help shape the future of our profession, especially as it pertains to the way we practice in the state of Michigan. Michigan has historically been a leader in recognizing important issues and proposing solutions to the challenges we face. In fact, many other states across the country pay close attention to see how Michigan acts and reacts to the challenges of our profession. They often follow suit based upon Michigan’s lead. The following is a list of the delegates representing West Michigan and who will attend the House of Delegates when it meets April 27. Delegates: Drs. Thomas Anderson, Leonard Bartoszewicz, Brian Cilla, Veronica Hamilton, Matt Lieto, Sarah Masterson, Lathe Miller, Brian Mulder, Michael Palaszek, James Papp, Erick Rupprecht, and Kathryn Swan. Alternate Delegates: Drs. Patrick Condit, James Hur, Chris Leja, Stephen Mancewicz, Jacob Miller, Stephanie Rashewsky, Trish Roels, and Tom Shannon. 2

It is important to remember that the members of the House of Delegates are charged with acting in the best interests of the MDA. However, we also know there are issues that we face that are more of a local or regional nature. Please feel free to express your feelings and thoughts about any issue to those who are representing you in West Michigan. While the MDA’s Board brings forth a majority of resolutions, any delegate or component can also propose changes (usually by an amendment on the floor of the House) to the way our profession conducts business and how it acts as the face of organized dentistry for us in Michigan. It’s expected that issues such as mid-level providers and the concerns with dental insurance carriers will continue to be debated and need our utmost attention. We also have an opportunity to speak up about the MDA as a whole, how we govern ourselves, and how our dues are allocated and spent. Whether there are concerns with the MDA itself, or with the outside groups attempting to influence our practice of dentistry, we are ultimately more effective if we speak with a unified voice. Now is the time to spring forward and let your voice be heard. Instead of sitting by idly and letting things happen without our input, we must take ownership to affect positive changes regarding our profession. I would also like to encourage my colleagues to use this opportunity to show off Grand Rapids to those who do not live or practice here in West Michigan. Along with all the great things that are happening here on our side of the state, we are also growing as a dental society. We have members who want to get involved and contribute to organized dentistry. Recent figures show that West Michigan has almost 90% participation in joining the MDA. We are well-represented at the state and national level, with many of our local members serving or leading committees for the MDA and the ADA. For example, Dr. Steve Conlon is currently serving as the MDA Editor. Dr. Deb Peters has announced her intention to run for President-elect of the MDA. Dr. Margaret Gingrich WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


President’s Message

contributes by serving as an MDA trustee. Dr. Brian Cilla is running for trustee again (even though he served as a trustee in the past) to fill a one-year seat that will be vacated by a current trustee. In addition, many of our members recently served at the ADA’s House of Delegates last year during the ADA annual meeting in Denver. Some like Dr. Matt Lieto and Dr. Veronica Hamilton have received recognition from the MDA for their efforts and involvement as New Dentist leaders. Others like Dr. Chris Smiley continue to enhance our profession by serving on committees for the ADA and being a resource for us locally, sharing his expertise on matters concerning dental insurance and Medicaid. West Michigan dentists are making an impact in organized dentistry at all levels! I could go on and on, but suffice it to say, I’m thankful to all who serve our profession in one capacity or another. I am very proud to say I am from the West Michigan district, home of so many passionate and effective leaders. Please make it a point to come to the Annual Session this April. You can take advantage of the numerous educational opportunities, and you can spend quality time with your colleagues and your staff. See what’s new in downtown GR. There’s a plethora of new restaurants and breweries opening up all over the city, and there are many cultural attractions to explore to go along with the shopping and dining. At the same time, find out what’s new in dentistry and keep abreast of the wealth of new information in our field. Don’t fall back. Join the movement and witness how our great profession is evolving and progressing. Your participation, whether it’s in a lecture hall, the exhibit floor, the House of Delegates or time you spend with your peers and friends, will be well worth it.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

IN MEMORIAM The West Michigan District Dental Society was saddened by the passing of our colleagues:

Dr. Arnolds Rupert December 6, 2016

Dr. Robert Klinesteker January 11, 2017 Those wishing to make a memorial donation to the West Michigan Dental Foundation in their memory should contact Elaine Fleming at the WMDDS office at 616.234.5605, or checks may be sent made payable to: West Michigan Dental Foundation 161 Ottawa Avenue NW, Suite 301 Grand Rapids, Michigan 49503

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Editor’s Thoughts

February is National Children’s Dental Health Month By Dr. Stephanie Rashewsky Jesin WMDDS Editor

As a pediatric dentist, I love that the month of February is National Children’s Dental Health Month! It is wonderful that there is a focus on children with amazing events such as Give Kids A Smile and campaigns such as “Choose Tap Water for a Sparkling Smile” to keep the mouths and teeth of children healthy. According to the Centers for Disease Control and Prevention, tooth decay is the leading chronic infectious disease among children in the United States, with 60% of children experiencing a cavity by age five. Even more of a problem is that many of the kids are not being treated, and a cavity turns into more serious problems such as pain, missed school days, more complicated interventions, severe infection, and even systemic health concerns. As we all know, cavities are preventable! So I challenge all of the members of the West Michigan District Dental Society (general dentists and specialists) to place an emphasis on serving children this month. Even though West Michigan is fortunate to have a large and diverse group of pediatric dentists, the truth is that there are not enough pediatric dentists to serve the children of our community. Consequently, the majority of children are served by general dentists. So thank you to all of the providers in our community who care for pediatric patients.

• Educate caregivers about infant oral health, including the following: (1) preventing the transmission of bacteria that causes early childhood caries by avoiding saliva sharing habits; (2) describe the risks associated with sugary drinks, foods, and overnight bottles of juice or milk, and; (3) explain the need for parental brushing and flossing of their children’s teeth, ideally with a demonstration. • When needed, refer your pediatric patients to a board certified pediatric dentist. • Participate in National Children’s Dental Health Month in whatever capacity you desire – visit an elementary school to teach the children about oral health, volunteer with Tooth Time at the Grand Rapids Children’s Museum, get involved in a Give Kids A Smile Event, or provide treatment to pediatric patients with Healthy Kids in our own community.

Ideas for Helping Little Mouths During National Children’s Dental Health Month: • The American Dental Association, the American Academy of Pediatric Dentistry, and the American Academy of Pediatrics all recommend the first dental visit by age one, so help your patients by encouraging that their children find a dental home. 4

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Trustee Report

Just Blink By Margaret Gingrich, DDS

Well, I must have blinked because another year has passed. There have been several changes in the Michigan Dental Association this past year. One of the major changes was the new MDA logo brand. Along with that, we now have a new dental professional website, www.michigandental.org. There is also an improved public website at www.smilemichigan.com. If you get a chance to look, you may notice on the public website that attention has been drawn to the “Find-ADentist” tool. This is to help drive potential patients to MDA member dental offices.

Leadership Central The House Nomination Committee has announced its slate of candidates for the positions up for election at the 2017 House of Delegates. These positions include: MDA Trustee, (3) three year term; MDA Trustee, (1) one year term; President-elect, Secretary/Treasurer, Speaker of the House, Editor, and ADA Delegation (17). There are several members from the West Michigan District Dental Society that are running for these positions, including President-elect, Editor, and ADA Delegation. If you are a delegate or alternate for our HOD, please take the time to read the candidate’s CVs. Speaking of the ADA delegation, did you hear our own 9th district trustee, Gary Jeffers D.M.D., M.S., is running for ADA President? His candidacy runs for an entire year, goes coast to coast, and requires a significate amount of support. If you are interested in financially supporting Dr. Jeffers, please make checks payable to Jeffers 2017 ADA President-Elect Campaign and send to: 6

Michigan Dental Association Attention: Brian Stump 3657 Okemos Road, Suite 200 Okemos, MI 48864-9927 Or email him at Jeffersg@ada.org. He will appreciate any support you are willing to give.

MDA Annual Session The annual session is being held in our backyard at DeVos Place, April 26-29, 2017. Online registration is now available, and there are nearly 200 exhibits being planned. If you are interested in becoming a leader in organized dentistry, there is a FREE continuing education/networking session during the MDA Annual Session on Wednesday, April 26 from 5-9 pm at the DeVos Place in Grand Rapids. Our very own Debra Peters, DDS, will be administering the class. There will be one (1) CE credit earned. It is intended to improve your knowledge of proper debate and decorum as well as meeting organizational skills. I attended last year’s CE and found the information very helpful for the House of Delegates that started the next day. Dr. Peters has said it will NOT be a repeat of last year and there will be a drawing for prizes. The candidates for office of the Michigan Dental Association are also planning on attending. So, if you would like to personally meet any of them, here is a great opportunity. For more information go to www.michigandental.org under CE courses. If you are unable to attend, another way to get involved is on the website under “Leadership Central”. I hope to see you there!

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Trustee Report

The MDA continues to grow, and this includes West Michigan District. The numbers of dentists belonging to the MDA has grown by 110 members to 76.4% of the market share statewide. Hopefully, news is spreading about the great services offered by the MDA. This includes the MEWA usage going up slightly and the glove program growing exponentially. If you and/or your office are looking for health insurance, please consider looking at the MEWA. In the near future, a new service to be offered is HIPPA and OSHA compliance. Stay tuned for more information.

Legislative As of the date of this article, there has not been any new legislation started for mid-level providers. Unfortunately, Mr. Shirkey has been quoted saying “Dental therapy is not going away” when referring to last term’s bill 1013. Please continue to keep conversations open with your legislators. We will try to keep you informed as information becomes available. That concludes the trustee update for this issue. I hope everyone has a healthy, happy, New Year! As always, please feel free to contact me at drmargaret04@gmail.com or 231.796.8715 with comments or issues. I am looking forward to an exciting year ahead!

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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2017 Silent Bell Recipient

Dr. Scott J. Hodges, 2017 Silent Bell Recipient Submitted by Distinguished Award Committee The West Michigan District Dental Society’s Distinguished Service Award, or “Silent Bell” is our Association’s highest honor. This year is a homecoming of sorts for the award with its return to West Michigan Endodontists as we honor Dr. Scott Jeffrey Hodges. Past recipients from that practice include Dr. Gerald VanderWall in 1990 and Dr. Lawrence Marcotte, who received the honor in 1996. Scott’s path to this recognition is less about contributions to organized dentistry and more reflective of his humanity and relationships he has built. Scott was raised in Blissfield, MI, the son of Harley and Lorraine Hodges. Scott’s father designed, built and owned golf courses and holds the distinction of being a lifetime PGA Class A Professional. Scott’s mother, Lorraine, ran the household that also included Scott’s brother, Greg, and sister, Denise. Scott grew up playing baseball and golf, and fondly remembers family vacations that allowed him to travel to all 50 states. During high school, he worked side by side with his father from sun up to sun down, six days a week at the family’s 36-hole golf course. In this environment he learned valuable lessons of business, customer relations, and treating others as you would like to be treated. His parents instilled the value of education in opening doors to endless opportunities and the need to work to achieve goals. Scott points out that it took his dad six years to earn his college degree, as he took time off to work and earn enough money to allow him to pay tuition. In tenth grade, a formative trip to the dentist would shape Scott’s career goals. Not only did his tooth need root canal therapy, it also required periodontal care. This served to increase Scott’s interest in dentistry, a career he knew of through another role model, his uncle Dr. Ed Herremans, a longtime orthodontist on the northeast side of Grand Rapids. 8

Following high school, Scott ventured off to college, where he met his wife, Mary, their first semester at Western Michigan University in a Zoology 101 class. He’s quick to add that Mary was a much brighter student than he, as she was on a full academic scholarship. Scott was most impacted by Mary’s strong faith, which she shared and brought into his life. A romance bloomed and they were married between their junior and senior year of college. Living in married student housing with a newborn had its challenges and Scott recalls one morning he was praying for patience when, for some reason, he walked over to a bookshelf to look at his aquarium. Suddenly the whole bookshelf toppled on top of him. Scott couldn’t physically move and had to wait for Mary to come out of the shower to free him. Seeing this as a rather stern answer to a prayer, Scott credits this event for instilling a sense of patience that served him well going forward, including taking his time and improving his performance on the reading portion of the DAT! With two daughters while in dental school, times were tight for the growing Hodges family – but faith and creativity always paved the way. Scott notes with a smile how they would dine out at “Major Magic” on Tuesday nights. Their girls would get a free pizza and Scott and Mary would split a salad then eat what their daughters hadn’t. Following dental school, Scott served as a dentist (Second Lieutenant) in the U.S. Public Health Service/Indian Health Service on a Hopi reservation in Keams Canyon, Arizona. This provided him with a broad exposure to all phases of dentistry and allowed Scott to work closely with several dental specialists to learn clinical skills in a format much like a dental residency. IHS also gave Scott perspective and cultural sensitivity, living for two years with his family as a minority in the Hopi community. Scott returned to the University of Michigan to earn WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


2017 Silent Bell Recipient

a Masters of Endodontics degree in 1991. He has served as an Adjunct Clinical Lecturer and is currently an Adjunct Clinical Assistant Professor. The Hodges family continued to grow as daughters Jennifer and Melissa, and son Daniel were soon joined by siblings Nathaniel, Hannah and Emily. Scott and Mary felt it important to share with their children an appreciation for the blessings they enjoy, and from that grew a family tradition of bringing the kids along on dental mission trips. More recently, Scott participates in three dental mission trips annually and has led or accompanied groups to sites that include Alaska, Guyana, West Bank Jordan, Costa Rica and the Dominican Republic. Scott further shares this passion by incorporating many local practitioners and students on these trips, including pre-dental, dental students, and students from Ferris State University’s Dental Hygiene Program. Scott has included lecturing to dental students and providers in the host communities to help build the skills of those local practitioners and the level of care they deliver. Scott has been very committed to providing care through mission work, be it locally as the dental chair for Michigan’s Mission of Mercy or through trips to Central America or the Middle East. Such commitment is a testimony to his humanity and desire to build relationships.

Although his Christian faith is central to his life, Scott is not judgmental. On a mission to Guyana months after 9/11, it was pointed out to him by the country’s Chief Dental Officer that the Principal Dentist of the government clinic and its future dental school, who was sitting in on the meeting was a Muslim Imam. The chief dentist noted that Scott and this dentist may have “differing opinions on Osama Bin Laden.” Scott simply smiled and said, “I’m confident we both share a passion for dentistry and caring for those in need.” Scott recently returned from a mission to the Middle East, where he cared for Syrian refugees. He was astounded with the level of need but also that these patients, destitute from the ravages of war, once had a very high level of dental care. “These folks have a great appreciation of oral healthcare and now struggle to address their most basic daily needs.” Scott notes, “When someone you care for can give you nothing but a smile and a thank you, that’s when it’s most rewarding.” Scott’s practice sees many patients from local access clinics that are referred to his office for endodontic care. He doesn’t discuss that the care is being provided without charge, and he prefers to have his front office team deliver that message when the patient checks out to allow them to share in the smiles and expressions gratitude. Sometimes mission travel can get in the way of home life. Two of Scott and Mary’s grandchildren were born while Scott was away on missions. Olivia was born prematurely, which necessitated a journey from Sault Ste. Marie to Petoskey where a neonatal unit is located. Because of her early birth, Olivia’s lungs were not fully developed, requiring her to have steroid therapy. An attempt was made to airlift her to Grand Rapids for care, but the weather was too dangerous to fly so they attempted to drive the medication in by ambulance. On the way, the

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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2017 Silent Bell Recipient (continued)

ambulance struck a deer and they had to wait for another ambulance to transport the treatments. Mary chose to drive to Petoskey in this inclement weather to pick up her daughter and bring her to their home in Grand Rapids, and then ferry her back and forth to Helen DeVos Children’s Hospital while Olivia was treated. Scott most admires Mary being a “loving example of Christ that has changed his life forever.” He is humbled by the sacrifices she has made for their family, raising their six children: Jennifer, Melissa, Daniel, Nathaniel, Hannah and Emily; and she is a loving presence in the lives of their nine grandchildren: Abigail, Olivia, Jack, Emma, Maxwell, Evelyn, Isaac, Liam and Parker. Mary enjoys expressing her creativity through crochet and photography, and her discerning artistic eye allows her to be most effective in assessing and competitively showing Rhodesian Ridgeback dogs.

10

Scott and Mary chose to raise their family in the town of Hastings, near where Mary grew up. Scott has been very committed to community service. For close to a decade he was a member of the Hastings Area School Board of Education, including a year as its Vice President. He has also held several roles with Hastings First Baptist Church, including time as an interim youth pastor and a member of its Deacon Board. It is important to note that he does not view this recognition as a capstone, and he plans to continue to embrace the opportunities our profession provides to him to travel throughout the world providing dental care and sharing his faith. Be assured he will also take the time to enjoy his kids and grandkids and provide them with opportunities to share in his experiences.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


SCOTT JEFFREY HODGES, DDS CURRICULUM VITAE EDUCATION 1988 to 1991 1982 to 1986 1978 to 1982

CLINICAL AND PATIENT CARE (continued) The University of Michigan, Rackham School of Graduate Studies, Masters of Endodontics The University of Michigan, School of Dentistry Doctorate of Dental Surgery Western Michigan University, Bachelors of Science

EMPLOYMENT & ACADEMIC APPOINTMENTS 1991 to present West Michigan Endodontists, President 2013 to present Adjunct Clinical Assistant Professor, The University of Michigan, School of Dentistry, Cariology, Restorative Science & Endodontics 2003 to 2013 Adjunct Clinical Lecturer, The University of Michigan, School of Dentistry, Cariology, Restorative Science & Endodontics 1988 to 1991 Adjunct Clinical Lecturer, The University of Michigan, School of Dentistry, Endodontics

MILITARY SERVICE 1986 to 1988

U. S. Public Health Service, Indian Health Service, Staff Dental Officer, Keams Canyon, AZ. Second Lieutenant

MEMBERSHIPS

American Association of Endodontists Michigan Association of Endodontists The University of Michigan, Endodontic Alumni West Michigan Dental Society, Member Pierre Fauchard Academy International College of Dentists American College of Dentists Michigan Dental Association

HONORS AND AWARDS 2014 2012 2008 1988 1987 1985 1982 1980

American Association of Endodontists, Lifetime Spirit of Service Award Michigan Dental Association, Public Service Award American Dental Association Certificate of Recognition for Volunteer Service in a Foreign Country Rackham Fellowship Award U. S. Public Health Service, Isolation and Hardship Award The University of Michigan Table Clinic Mortar Board National Senior Honor Society Russell H. Seibert Research Award, Honors College, Western Michigan University

CLINICAL AND PATIENT CARE 1986 to 1988 1991 to present 1992 to 1994 1999 to present

U.S. Public Health Service, Indian Health Service Keams Canyon, AZ Adult Dental Services, participant dentist West Michigan Dental Society, Adult Dental Services Board Donated Dental Services, participant dentist

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

2009 to present 009 to present 2009 to present 2012 to present 2013 to present

Mel Trotter Dental Clinic, participant dentist Health Intervention Services, participant dentist Baxter Community Center, endodontic treatment Area Agency on Aging of West Michigan, Senior Dental Day Michigan Dental Association/Foundation, Mission of Mercy, Dental Chair

COMMUNITY 2014 to 2015 2012 to 2014 2007 to 2012 2001 to 2005 2001 to 2010 2008 to 2009

Hastings First Baptist Church, Pulpit Committee Hastings First Baptist Church, Deacon Board Hastings First Baptist Church, Deacon Board Hastings First Baptist Church, Deacon Board Hastings Area School System, Board of Education Hastings Area School System, Board of Education Vice President

DENTAL MISSIONS 2013, 2014, 2016 2013-2016 2016 2015 2014 2008, 2014-2015 2007, 2013 2012-2013 2011, 2012 2009, 2012 2004-2005, 2011 2010 2009 2006 1999, 2004

MDA Mission of Mercy Dental Chair Sutton, Alaska Berbice, Guyana West Bank Jordan Jordan (treating Syrian refugees) Hampshire, Guyana Overwinning, Guyana Costa Rica Port Allsworth, Alaska Bath, Guyana Crabwood Creek, Alaska Fryish, Guyana Project Homeless Connect, Grand Rapids, MI Corentyne, Guyana Los Alcarrizos, Dominican Republic

In addition, provided consultation and dental equipment for numerous mission trips throughout the world.

INVITATIONS 2007 to 2012 2015 2016 2014 2012 2009 2008 2007 2006 March 1990

State Board of Specialty Examiners, Orals (Endodontic) Lecture Michigan Dental Assistant Association, Dentistry Here There Anywhere Lecture Guyana Dental Society, Endodontics Lecture Guyana Dental Society, Endodontics Lecture Guyana Dental Society, Endodontics Lecture Guyana Dental Society, Endodontics Lecture Grand Rapids Dental Hygiene Society, Volunteerism Lecture Grand Rapids Dental Hygiene Society, Endodontics Lecture Guyana Dental Society, Endodontics U.S. Public Health Service, Indian Health Service, Juneau, AK

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2017 Silent Bell Recipient (continued)

Silent Bell Past Recipients Otto Lee Ricker, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1981 Willard B. Ver Meulen, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1981 Clifford T. Nelson, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1982 William M. Creason, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1983 Vernor H. Eman, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1984 Julius Franks, Jr., D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1985 Henry L. Homan, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1986 Ray E. Stevens, Jr., D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1987 Orren A. Bolt, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1988 Robert F. Streelman, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1989 Gerald L. Vander Wall, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . 1990 David H. Seibold, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1991 Donald G. Hallas, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1992 Robert E. Reagan, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1993 John R. Cook, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1994 Eugene L. Bonofiglo, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1995 Lawrence R. Marcotte, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1996 Laurence J. Jensen, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1997 Harry H. Luton, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1997 Robert W. Browne, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1998 Harold O. Steele II, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1998 Lawrence J. Manning, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1999

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Arnold Baker, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2000 Robert D. Mitus, Jr., D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2000 Robert W. Klinesteker, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2001 Timothy H. Gietzen, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2002 James L. Wieland, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2003 Charles R. Caldwell, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2004 Henry J. Milanowski, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2005 John J. Stepanovich, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2006 Lonny E. Zietz, D.D.S., M.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2007 Michael H. (Reggie) VanderVeen, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . 2008 William A. Avery, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2009 William F. Rocker, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2009 Robert F. O’Brien, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2010 Marilyn J. Stolberg, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2010 John D. Bouws, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2011 Paul F. Korte, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2012 Chase Klinesteker, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2013 Tom Sommerdyke, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2013 Christopher J. Smiley, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2014 Donald French, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2015 Colette Rumann Smiley, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


2017 Life Members

2017 Life Members Honored The following West Michigan District Dental Society members were awarded ADA and MDA life membership in 2016. Qualifications for life membership are you must be 65 years old. The year you turn 65 qualifies you for life membership for the following membership year if you have maintained 30 consecutive years of membership or have 40 total years of membership. Congratulations to Dr. Daniel Burton, Dr. Williams DeVries, Dr. Kim Erickson, Dr. Cornelius Hoekstra, Dr. Gerald Licari, Dr. Robert C. Payne, Dr. Steven Synder, Dr. Lisa Sostecke, Dr. Robert Sterken, Dr. Patrick Sweeney and Dr. Walter Weber. The new life members were recognized at the WMDDS Holiday Dinner and Award Night on December 1, 2016 at Cascade Hills Country Club. Attending and pictured in the photo are Dr. Steven Snyder and Dr. Kim Erickson.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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WMDDS Holiday Event Highlights Photos by Autumn Johnson, Adam Bird Photographer

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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Program Review

Rational Selection of Analgesic Regimens Submitted by Daniel E. Becker, DDS Associate Director General Practice Residency Miami Valley Hospital Dayton, OH debecker@premierhealth.com

When selecting analgesic regimens, it is essential to revisit the fundamental principles of drug efficacy and potency. The term efficacy refers to the magnitude of clinical effect a drug can provide. Potency relates to the dose of drug required to produce a given intensity of effect and follows an indirect relationship; greater potency requires a smaller dose. The terms dose and dosage are frequently used interchangeably, but dosage more precisely includes both the amount (dose) and frequency of administration. See Figure 1.

16

The intensity of pain relief (efficacy) provided by opioids is unlimited; greater doses continue to provide greater intensity of pain relief, although sides effects may preclude higher doses required to obviate pain. In contrast, nonopioids demonstrate a ceiling to their analgesic efficacy. Once the ceiling is achieved, greater doses will not provide further pain relief.

OPIOIDS NSAIDs

RESPONSE

The opioids produce their analgesic action within the brain by acting as agonists at mu and kappa opioid receptors. This action also accounts for numerous undesirable effects that include sedation, dependence and respiratory depression. The non-opioids include the nonsteroidal antiinflammatory drugs (NSAIDs) and acetaminophen (APAP). These drugs act by inhibiting synthesis of prostaglandins and similar autacoids collectively referred to as prostanoids. The various prostanoids not only mediate pain and inflammation but regulate renal function, platelet activity and protect GI mucosa. Inhibiting their production provides analgesic and antiinflammatory effects but also accounts for potential renal toxicity, gastric ulceration and altered platelet function. Unlike NSAIDs, APAP provides analgesia but has more limited influence on prostanoids that produce inflammation as well as those impacting the kidneys, GI mucosa and platelets. For this reason, APAP is the nonopioid of choice when NSAIDs are contraindicated.

Figure 1. Analgesic Dose-Response

(Pain Intensity Relieved)

The popularity of myriad combination analgesic formulations has undermined an appreciation of the pharmacology and optimal doses when prescribing opioid and non-opioid analgesics. This has generally prevented the ideal use of each of these important drug classes. To prescribe rationally, the dentist must consider each of these drug classes separately.

APAP

D0SE INCREASE (mg)

Drug potency is often credited with undo importance; at times used improperly to imply efficacy or even toxicity. Potency is mostly irrelevant clinically because drug doses are formulated with relative potency predetermined. Drugs within a given class generally demonstrate comparable efficacy, and the intensity of effect will be identical provided equipotent doses are administered by identical routes. The opioids are an excellent example. Intramuscular (IM) injections of morphine 10mg and codeine 130mg will provide identical intensity of pain relief, though the latter is less potent. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Program Review

Given the current concern over the so-called “opioid epidemic” let’s examine the commonly used opioid analgesics. As illustrated in Figure 1, opioids have unlimited efficacy in providing pain relief. As doses are increased greater pain relief is provided, but adverse effects may preclude the use of doses great enough to effectively manage patients experiencing pain of severe intensity. Opioids are identical in their analgesic efficacy at equipotent doses. Morphine 10mg IM and 30mg oral (PO) are regarded as the conventional standard for relief of moderately severe pain. It is a safe dose for reasonably healthy adults (≥ 50kg) and is regarded as the standard reference point when comparing doses of other opioids (see table below). When prescribing opioids, it is prudent to avoid equipotent doses that exceed morphine 30mg PO. DRUG Morphine Codeine Hydrocodone Oxycodone

EQUIPOTENT DOSE (mg) PARENTERAL ORAL 10 30 130 180-200 – 30 – 20

When combined with non-opioids, single doses of opioids rarely (if ever) require a conventional morphine-equivalent when managing postoperative dental pain, but equipotent increments that approach this amount is a reasonable practice. This can be accomplished only by fully appreciating equipotent opioid doses and will be addressed further at the conclusion of this article. The non-opioids provide a ceiling to their analgesic efficacy, and it is important to consider the dose at which this occurs. Acetaminophen (APAP) 1000mg is slightly inferior to ibuprofen 400mg, but both are WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

impressive nonetheless. (Higher doses of NSAIDs, e.g., ibuprofen 600800mg, impart a greater antiinflammatory effect and are frequently justified considering that inflammation is a major contributor to dental pain.) Notwithstanding the ceiling to their analgesic efficacy, the actual intensity of this effect is underappreciated. “NSAIDs are particularly effective when inflammation has caused peripheral and/or central sensitization of pain perception. Thus, postoperative pain or pain arising from inflammation, such as arthritic pain, is controlled well by NSAIDs, whereas pain arising from the hollow viscera usually is not relieved.” 1 Studies have shown repeatedly that 400 mg ibuprofen (or equipotent doses of other NSAIDs) provides pain relief equal to or greater than conventional doses of morphine for musculoskeletal pain. For example, Kleinert et. al.2 conducted an extensive study comparing the efficacy of various doses of the novel analgesic tapentadol using morphine and ibuprofen as comparisons. They found ibuprofen 400 mg superior to both, and reconfirms myriad studies published for decades that document superiority of ibuprofen compared to conventional doses of morphine and meperidine. It is noteworthy that the various NSAIDs are equivalent in their analgesic efficacy. A common misconception is that parenteral ketorolac (Toradol) is superior to other NSAIDs, but studies have confirmed this is simply not the case. For example, Turturro et. al.3 found that ketorolac 60mg IM was comparable to ibuprofen 800mg for traumatic injuries in the emergency department. Ibuprofen is formulated as 200mg, 400mg, 600mg and 800mg tablets, but most other NSAIDs are formulated in only two strengths. Precise equipotency has not been established, but it is reasonable to equate the lower dose of other NSAIDs as approximately equipotent to ibuprofen 400mg and the higher dose equivalent to ibuprofen 800mg. 17


Program Review (continued)

It is underappreciated that the combination of acetaminophen and ibuprofen provides a synergistic analgesic effect in a dose-dependent manner up to 1000mg and 400mg, respectively. An impressive study by Mehlisch et. al.4 found ibuprofen 200mg + APAP 500mg provides greater relief than ibuprofen 400mg or APAP 1000mg alone. And ibuprofen 400mg + APAP 1000mg provides even greater relief. The selection of rational doses of analgesics for dental-related pain can rarely be accomplished using available combination products. Instead, it requires a conscious effort to establish optimal dosages of nonopioids around the clock followed by the addition of incremental doses of opioids as needed for rescue. Data provided by Kleinert et. al.2 and Mehlisch et. al.4 are combined and conceptualized in Figure 2 to illustrate the efficacies of various analgesic dosages and their combinations.

Figure 2. Relative efficacy of various analgesics and their combinations MOR = Morphine IBU = Ibuprofen APAP = Acetaminophen. (Conceptualized from from Kleinert et al.2 and Mehlisch et al.4)

Step 1: NSAID alone Step 2: Add APAP Step 3: Add Opioid increment Steps 1 and 2 employ optimal doses of non-opioids. Dosages must be taken around the clock and must commence before local anesthesia has waned. This dosage pattern must be thoroughly explained to patients to avoid their tendency to follow an as needed (prn) pattern. The goal is to prevent pain or lessen severity, not rescue. The number of days to follow this regimen must be based on empiric judgement of the dentist. Step 3 employs opioid increments for rescue when Steps 1 and 2 prove inadequate or a surgical procedure is more extensive. It is essential that the Step 2 regimen continues to be followed. The opioid dosage is prn and in addition to the continued around-the-clock use of the nonopioids. If choosing a combination opioid for this purpose, the patient must eliminate 1 APAP dose for each dose of the combination product used. My personal preference is to avoid combination products and use oxycodone 5mg, commencing with 1 or 2 tablets q4-6h prn and increasing to up to 20mg maximum total each dose. By using single-entity oxycodone tablets, one avoids issues regarding excessive acetaminophen consumption.

IBU400/APAP1000

IBU200/APAP500

APAP1000

IBU400

MOR 30

RELATIVE ANALGESIC EFFICACY

References

Given our current knowledge regarding the analgesic efficacies of various drug classes, it is irrational and frankly careless to prescribe opioid combination products routinely following most dental procedures including restorations, endodontics and simple extractions. It is wiser to adopt a 3-step approach when managing dental pain, selecting the regimen based on the intensity of the procedure and the anticipated level of postoperative pain: 18

1. Groser T, Smyth E, FitzGerald GA. Anti-inflammatory, Antipyretic, and Analgesic Agents; Pharmacology of Gout. In: Brunton LL, Chabner BA, Knollman BC. Eds. Goodman and Gilman’s The Pharmacological Basis of Therapeutics. 12th edition. New York: McGraw-Hill, 2011. 2. Kleinert R, Lange C, Steup A, Black P, Goldberg J, Desjardins P. Single dose analgesic efficacy of tapentadol in postsurgical dental pain: the results of a randomized, double-blind, placebo-controlled study. Anesth Analg 2008;107:2048-55 3. Turturro MA, Paris PM, Seaberg DC. Intramuscular ketorolac versus oral ibuprofen in acute musculoskeletal pain. Ann Emerg Med. 1995; 26:117-120. 4. Mehlisch DR, Aspley S, Daniels SE, Bandy DP. Comparison of the analgesic efficacy of concurrent ibuprofen and paracetamol with ibuprofen or paracetamol alone in the management of moderate to severe acute postoperative dental pain in adolescents and adults: a randomized, double-blind, placebo-controlled, parallel-group, singledose, two-center, modified factorial study. Clin Ther 2010; 32:882-95.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


DIAGNOSIS AND TREATMENT OF OCCLUSAL PROBLEMS

AND

DESIGNING AN OCCLUSION: WHERE DO I START?

Presented by Dr. Gary DeWood | March 24, 2017 | Frederik Meijer Gardens & Sculpture Park | CE Credits: 7 A native of Toledo, Ohio, Dr. Gary DeWood earned his D.D.S. from Case Western Reserve University in Cleveland in 1980. He completed the University of Florida Facial Pain Center Curriculum from 1992 through 1995, and in 2004 he earned a Master of Science degree at The University of Toledo College of Medicine. He left full-time private practice in 2003 to serve as clinical director at The Pankey Institute, a position he held until 2008 when he joined Frank Spear in Seattle as president of The Seattle Institute. With the merger of The Scottsdale Center and The Seattle Institute to form Spear Education, he relocated to Arizona, and today serves as Executive Vice President and Director of Curriculum for Spear. He maintains a limited private restorative practice on the Spear campus, teaches in the Spear workshops, Spear Online, and in the Spear Study Clubs. He lives in Phoenix with his wife of 38 years, Dr. Cheryl DeWood. Gary has presented to international audiences in the areas of occlusion, temporo-mandibular disorders, bite splint therapy, restorative dentistry, esthetics, financial management, and practice management. MORNING PROGRAM: Target Audience – Doctors, Hygienists, Clinical Assistants Occlusal risk can be the hidden nemesis that destroys predictability and longevity. In many cases, those risks are actually identifiable from the history present in the joints, the muscles, the teeth, and the patient’s presenting condition. This program illustrates and discusses recognizing and addressing those risks. This training program will provide to you: An understanding of when the occlusion is a problem; The ability to identify the etiology of the problem; How to capture and plan for the patient’s occlusal patterns; How to design the therapeutic occlusion to deal with the problem. AFTERNOON PROGRAM: Target Audience – Doctors, Hygienists, Clinical Assistants Designing an occlusion requires a starting reference and a clear visualization of the desired outcome. What teeth contact, when do they contact, and for how long do they contact? The answers to those questions will depend on the patterns and habits exhibited by each patient. This program will discuss the various options and their application. This program will provide participants with: The history of occlusal thought and practice; An understanding of the three reference positions used in dentistry; The skill of identifying when each is indicated and when it is not; The ability to utilize each of the three references in planning; Equilibration techniques for planning and therapy from any reference.

West Michigan District Dental Society is an ADA CERP Recognized Provider.

THANK YOU TO OUR SPONSORS WHO HAVE HELPED TO MAKE THESE PROGRAMS AVAILABLE TO US. Platinum Sponsors:

Gold Sponsor:

Supporting Sponsor:

REGISTRATION FORM NAME

ADDRESS

EMAIL

ADDITIONAL REGISTRANT(S) AT THIS ADDRESS

MDA-member dentist – $225 PAY BY CREDIT CARD: � VISA � Mastercard

WMDDS retired member dentist – $100 CREDIT CARD #

NAME ON CARD

EXPIRATION DATE/SECURITY CODE

1st staff member – $100 2nd-5th staff members – $90 6th-12th staff members – $85

SIGNATURE

13th staff member and over – $80

per non-member dentist – $450

TOTAL:

PAY BY CHECK: Make checks payable to: West Michigan District Dental Society. Remit to: Elaine Fleming | c/o WMDDS | 161 Ottawa NW | Suite 301, Waters Building | Grand Rapids, Michigan 49503 | Questions? Call 616.234.5605 or email efwmdds@aol.com WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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Oral Medicine

Pemphigus and Pemphigoid: The Unique Role of Dentists by Patrick Dunn

Pemphigus and pemphigoid (P/P) are rare, autoimmune blistering diseases that affect a very small percentage of the population. The average patient with P/P sees five doctors over ten months in search of a diagnosis for their condition. Delays in diagnosis and appropriate treatment can lead to a number of complications, including significant functional impairment, resistance to treatment, psychological stress, and a lower likelihood of achieving remission. The majority of P/P patients present with oral symptoms before the onset of skin lesions. Because of this, dentists have a unique opportunity to help shorten diagnosis times by identifying signs and symptoms when they are first encountered. Pemphigus vulgaris (PV) and mucous membrane pemphigoid (MMP) are two forms of P/P with increased presentation in the mouth. Oral

lesions of PV/MMP are often initially misdiagnosed as “allergies” to dental products, foods or environmental agents or “non-specific gingivitis”, further delaying diagnosis (a biopsy) and appropriate treatment. A catch-all clinical descriptor often used in dental practice is “desquamative gingivitis.” This describes a chronic type of gingival inflammation in which the epithelium detaches, leaving exposed ulcers. Desquamative gingivitis can be caused by several diseases that affect the oral cavity, so the practitioner needs to obtain a definitive diagnosis. Consider a diagnosis of P/P when a patient presents with a combination of: • Multiple ulcerated or erythematous oral lesions that don’t resolve in 7-10 days; • Lesions outside the mouth, including those on other mucosal surfaces and the skin; • Lesions that develop following minor trauma (Nikolsky sign), such as gentle lateral pressure, which weakens the adhesion between epithelial cells and the underlying connective tissues.

Care and Maintenance

Moderate appearance of mucous membrane pemphigoid. 20

PV/MMP patients require special care during dental appointments to manage sensitive areas of the mouth and prevent further lesions from forming. Oral lesions can be very painful for patients, making it difficult to brush teeth and maintain proper hygiene. Consequently, patients may experience increased incidence of dental caries and periodontal disease. Dental prophylaxis should be performed on a regular basis, even when lesions are present. Good oral hygiene is very important to positive treatment outcomes. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Oral Medicine

• Oral hygiene instructions for home care should be tailored to the level of mucosal involvement. When significant oral disease is present, gentle home care – including extra-soft toothbrushes, mildly-flavored toothpastes, and mild mouth rinses – may be all the patient can tolerate. Some patients may not be able to floss due to bleeding and pain, so soft interdental brushes may be recommended instead. • If patients are on a soft diet due to presence of oral ulceration and pain, suggest intake of nutritious, non-cariogenic options such as vegetable soups, fruit smoothies, etc.

Later/severe stage pemphigus vulgaris. Care and maintenance tips for dental professionals: • Do a complete oral mucosal examination. Evaluate for any abnormalities, including secondary complications of PV/MMP treatment, such as candidiasis. • Be gentle during maintenance appointments. • Schedule more frequent appointments to control plaque build-up. • Consider scheduling extra time and using local anesthesia, as patients may experience pain and bleeding during dental treatment. • Use simple hand scaling instruments to increase control and minimize trauma to the oral tissues. • Polish teeth with a non-abrasive toothpaste, avoiding harsh abrasives and air polishers, as particles may become embedded in the ulcerated tissue and set off a foreign body reaction. • Avoid alcohol-based mouth rinses. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

The International Pemphigus and Pemphigoid Foundation (IPPF) is the world’s leading organization dedicated to improving the quality of life for all people affected by pemphigus and pemphigoid. More information can be obtained by visiting the IPPF Awareness Campaign website at www.pemphigus.org/awareness or by contacting awareness@pemphigus.org

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NDF News

Report from the 2016 ADA Annual Session on the New Dentist Conference by Veronica Hamilton, DDS MS and Daniel Grode, DDS

This past October, we had the opportunity to attend the New Dentist Conference at the American Dental Association Annual Session in Denver, Colorado. This conference is two days of CE events geared towards recent graduates and networking sandwiched within the ADA Annual Session. This is the second year that the New Dentist Conference has taken place during the annual session. In years past, the New Dentist Conference was a completely separate meeting, in a different city, and on a different date than the annual session. Having the New Dentist Conference at the ADA Annual session allows new dentists to experience a specific track geared towards new dentists, while also allowing them to participate in Annual Session and see all it has to offer. The New Dentist Conference is two full days of continuing education courses catered to dentists who are newer to the profession. The CE courses selected focus more on topics such as leadership development, student loan repayment, associateships/partnerships, employee and patient interactions, and more. The great thing about selecting the New Dentist Conference is that the schedule maximizes your amount of CE credits earned each day and eliminates the stress of planning it yourself. Some of the other benefits included were a reduced admission fee to the ADA Annual Session, access to the new dentist lounge for food and relaxing, and a ticket to the new dentist social event. Each day was loaded with CE’s as well as extracurriculars. On Thursday, we were able to attend the Keynote Speaker, Peter Sheahan at the ADA Annual Session. That afternoon, we had two courses which focused on leadership skills, as well as self-evaluation in specific areas that are important for good leadership. These courses allowed us to evaluate our strengths and our weaknesses. As such, they were especially helpful for new dentists who may have recently purchased or opened a practice and are stepping into their first management role. 22

On Friday, unlike last year, we were able to choose which courses we would like to attend at the New Dentist Conference. Two large conference rooms held courses simultaneously throughout the day. This allowed us to choose whichever course seemed the most significant to us in our current practice. This was a great change from last year, as some of the New Dentist Conference attendees may have graduated from dental school last year, while others may have been practicing for a few years and areas of interest may differ accordingly. Some courses focused on maintaining balance in one’s life as one steps into the role of a dentist or practice owner. Other courses ranged from insurance billing to the importance of informed consent. The course we both found to be the most helpful was the course on personal taxes, financial planning, and investments for new dentists. It was a very popular course, with a room packed full of new dentists with many questions. Later in the afternoon, we had the opportunity to attend the distinguished speaker series and hear from Nobel Peace Prize winner, Malala Yousafzai. The day ended with a New Dentist Reception at Wynkoop Brewing Company where we were able to meet new dentists from all over the country. Friday concluded the New Dentist Conference and left Saturday open to attend any course at the ADA Annual Session. We found this to be one of the advantages of having the New Dentist Conference at the Annual Session. Not only did we get to have a specific track of classes geared toward new dentists and the challenges we face, but we were also able to see what Annual Session has to offer and attend other courses that interested us. Our trip to Denver was an incredible opportunity to learn, meet new people, and explore our areas of interest. We look forward to applying what we have learned in our day-to-day practices. If you are thinking of attending the next ADA Annual Session and are a new dentist, you should consider the New Dentist Conference. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


ANNUAL

SESSION MDA Annual Session Website

NOW LIVE!

The new 2017 MDA Annual Session website is now live with online registration. This is your one-stop-shop for all things MDA Annual Session — making it easier than ever to get the important event information you need. Go online to see the schedule of events, check out the speaker lineup, learn about the exhibitors, and much, much more!

visit: michigandental.org/annual-session WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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Area Representative Updates

Ionia/Montcalm by Scott Ribitch, DDS In the Ionia/Montcalm area we have planned to have a meeting this spring. The office of John C. O’Donald is starting their whitening campaign “Smiles for Life,” where people can donate for whitening treatment. All products are donated and 100% of the funds go to children’s charities locally and nationally.

Holland/Zeeland by Tom Anderson, DDS We ended 2016 with a meeting about Mental Health and the “be nice” campaign. The meeting was put on by the Mental Health Foundation of West Michigan and our speaker was Christy Buck. Great meeting and very informative for both dentists and staff. Two (2) CE credits were earned for this course. We kicked off 2017 with a meeting on branding your practice and the use of social media. Our speaker was Dr. Gindia from NYC. Our next meeting is February 8th, and Bill Sullivan, JD from the MDA will be our speaker. The topic will be mid-level providers and insurance-related questions. We continue to have nice turnouts and would always enjoy seeing some new faces attend the upcoming meetings.

Mecosta by Erick Perroud, DDS

Design your Short Game to Build on the Long Drive Create efficiencies today that strategically impact your assets tomorrow. We educate you on selecting the right stroke: n Save thousands of dollars with lifetime discount n Remove exclusions with advanced underwriting n Longer benefit periods, higher benefit amounts n Learn new features on today’s insurance options

Molly Murray

Protection with Strategy Building the long game by designing a protection strategy that maximizes your income and safeguards your most valuable asset. GLFIA is an ongoing supporter of WMDDS, serving new, growing and retiring dentists. 833 Kenmoor Ave SE, Suite F n Grand Rapids, MI 49546 616.301.2599 n molly.murray@glfia.com www.theinsuranceforprofessionals.com

G L F I A

The study club meeting was cancelled in January due to icy roads. However, our next meeting should be held on February 21st.

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Changing Smiles. Changing Lives. Hands-on Early Treatment Options seminar hosted Spring 2017 in Grand Rapids, MI partnered with AAGO

Why Early Treatment Options?

• Redirect improper facial growth • Enhance airways and improve health • Gain self-worth and confidence

Before

After

Friday lecture and Saturday clinic April 21 - 8am - 5pm | April 22 - 8am - 3pm $1250 for doctors ($1050 prior to 3/21/2017) $190 for auxiliaries. Presented by Wyland Gibbs, DDS, MS & Karen O’ Rourke, DDS HANDS- ON SEMINAR INCLUDES:

• Literature based reasons for treating early*. • Discover underlying causes for breathing and growth disorders. • Methods to prevent malocclusion and airway issues. • Learning the use of appliances for early intervention. • 14 CE credits, breakfasts, lunches and a group dinner.

Details and early bird pricing until March 21:

WMIOrthotropics.org | Questions email: info@WMIOrthotropics.org *Sleep Breath, 2012 Mar; Brockmann PE1, Urschitz MS, Schlaud M, Poets CF. Primary snoring in school children: prevalence and neurocognitive impairments. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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Practice Management

Assembling the Right Team to Open a New Office Submitted by Clint Herrema Carr Healthcare Realty clint.herrema@carrhr.com

One of the most significant business decisions you will make is the strategic choice of your office’s location. In many markets, the incentives offered by landlords to new tenants make relocation more appealing than renewing a lease in your existing space, and before signing any lease renewal you should evaluate all the options in your area. If you decide to open a new office, whether as a relocation, new startup practice, property purchase, or second office, having the right team in place is paramount and can make the process successful, profitable, and maybe even fun!

she will be able to advise you on current market conditions, vacancies, costs to open a new office, and help you avoid common pitfalls in choosing a suitable space. Should you choose to lease an office, your agent’s experience in representing healthcare tenants can also help you achieve concessions that landlords only make available to the highest quality tenants. If the agent is well-connected within the healthcare community, he or she can also introduce you to the other players you will need on your team and help them all to work together on your behalf. Your agent’s services are typically paid for by the landlord or seller, so there is usually no out-of-pocket cost to you.

The unique office needs of healthcare providers are foreign to most real estate brokers, architects, and other service providers. Experienced professionals with a healthcare focus provide the expertise needed to address issues such as patient flow, privacy and compliance, medical technology integration, parking and accessibility requirements, and aesthetics. When choosing your team, seek out experienced, healthcare-focused professionals to fill each role and you will end up with an office that will serve you and your patients for years to come.

Attorney

Here are some guidelines and ideas for putting your team together to help you find the best possible location and terms, keep your costs low, and create an ideal office to meet your patients’ needs.

Lender

Real estate agent The real estate agent helps to make sure the entire new office process goes smoothly, and is one of the first roles you will need to identify and fill. Your agent should provide guidance in choosing the best location, negotiate the most competitive rates and terms with the landlord or seller, and assist in assembling the rest of the team. He or 26

A real estate attorney plays a critical role to ensure that all the legal terms of the lease or purchase are drafted to protect your interests in the short term and long term. Choosing an attorney who specializes in real estate transactions will help the legal negotiations with the landlord or seller to move faster and thereby reduce legal fees.

Many office projects will require financing for additional build-out, equipment and furniture, and operating capital, and it is essential to bring in a practice lending specialist. Many major banks now have special departments who exclusively deal with commercial loans for healthcare providers and are able to provide rates and terms not available to other customers. The lender will be closely involved with the agent and the attorney to ensure that the requirements of the underwriters are included in the terms of the lease or sale, and will help to determine the size and quality of office that you can afford. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Practice Management

Architect An experienced, healthcare-specific architect is the key to transforming your new space into your ideal office. He or she will meet with you, your equipment and technology providers, and building engineers and determine the best way to achieve your design ideas while completing your new office. The architect is responsible for the overall design, obtaining permits and complying with building codes, and is also in charge of coordinating the work of the engineers, contractors and suppliers. Through constant oversight and communi-cation with the whole team, the architect holds everyone accountable to meet deadlines and makes sure your space is done on time, on budget, and will meet your functional and aesthetic requirements.

Equipment and technology providers If your new office will require new equipment or technologies, your providers will meet with the real estate agent and architect early in the process to ensure that the design can accommodate the new equipment, and they will coordinate delivery and installation within the proper timeframe set by the architect. The terms you negotiate during the lease or purchase combined with the loan package you receive will usually determine the amount you can invest in your new office’s initial equipment, so it is very helpful for these providers to work with your lender and real estate agent early in the process as well.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

General contractors and sub-contractors Your architect will be able to recommend several general contractors with a good track record for their quality of service. The contractor has the task of building what was designed – within the budget and on time. Your architect will recommend whether it makes the most sense to hire a general contractor on a negotiated basis, or to competitively bid the project to multiple contractors. In either scenario, costs, communication, and service are key determinants in choosing the right contractor. When you assemble your team, you want to ensure that everyone is an expert in his or her specialty and collaboratively works together with the goal of making the process go as smoothly as possible. Having the right team causes the project to be on time and on budget, and of the highest quality. Equally as important, having the right team protects your time and frees you to focus on your practice and enjoy your new office. Carr Healthcare Realty is the nation’s leading provider of commercial real estate services for healthcare tenants and buyers. Every year, hundreds of medical, dental, veterinary, and other healthcare practices trust Carr Healthcare Realty to help them achieve the most favorable terms on their lease and purchase negotiations. By not representing landlords or sellers, Carr Healthcare Realty is able to strongly advocate for healthcare providers and avoid conflicts of interest while saving their clients hundreds of thousands of dollars. Carr Healthcare Realty’s team of experts can assist with all types of real estate transactions, including lease renewals, expansions, relocations, startup offices, purchases, and practice transitions.

27


Technically Speaking

New Year. New Resolution. Submitted by Greg Feutz, President, DDS Integration Greg Feutz is President of DDS Integration, a Grand Rapids based dental technology company.

55 inch 4K Touchscreen! (4K is a clever play on words with the Resolution part. Get it?) This is a project I’m working on that is still in the infancy stage. It has some serious potential so I thought I’d share it here. Even if it doesn’t work 100% as planned, there will be innovation and with any luck, improved dental treatment planning. This project came from a simple yet powerful question. “Is there anything out there that would allow me to telestrate on screen like they do at ESPN?” I knew immediately the answer was no. ESPN likely has custom software and hardware, if not an entire team devoted just to creating the technology they need. However, I don’t really like that answer. Down the rabbit hole we go… What do we have to work with? Dolphin Imaging, Windows 8 or 10, and no previous cases (dentists like that word) to go from. The challenges will be: 1) getting a touchscreen that big; 2) making it compatible with Dolphin Imaging (which is not built for touch), and most importantly; 3) making it good. The last thing I ever want is technology that gets in the way. That is not impressive. It is not useful. It is expensive and will collect dust and/or be discarded. Round 1 of experimentation (I’m hopeful round 1 is all that’s needed but I’m also realistic) will be a Samsung 5- inch, 4K TV. This is a very nice screen, but still doesn’t help us with touch. To accomplish this we add a screen overlay technology from a company called Tabler, that basically turns any compatible screen into a touchscreen. This combination then give us that aforementioned 55-inch, 4K touchscreen. Yowsa! 28

The next, and maybe coolest part, is that Tabler’s technology also can differentiate between touch (manipulate the screen like you would on a tablet), pen input (circle, arrows, other telestration), and eraser (erase the pen input). Once we’ve drawn on the appropriate image or screen, we’ll use a screen capture program to save and print the treatment presentation. The limitation will still be Dolphin. Doctor will be able to touch his way around Dolphin imaging, but since it’s not designed for touch there may be difficulty in navigating buttons and menus, especially if they are small. At 55-inches, however, I’m feeling pretty good that nothing will be too small on screen to activate via touch. That, and since the screen will still be driven by a computer with keyboard and mouse, Doctor can use those to get to the window he needs and then do his telestrating. I’m getting excited just thinking about it. Let’s be clear. Doctor and I are both being realistic about this. It will probably take some time to get perfected. There may be a learning curve. The hope, as in all innovation, is that it has a meaningful impact on the way he practice’s dentistry and educates his patients. Then, if this works…What’s next? Touchscreens in the treatment rooms? Touchscreen coffee table in the waiting room? I may be getting ahead of myself, but these are the things a dental technology geek thinks about. We’re not looking to implement technology just for the sake of having technology, but what do you think? Is this something that could have a meaningful impact? Thanks for reading. I’ll be updating as this project moves along on our website, facebook, and youtube. Triumphant victory or colossal failure? Tune in to find out!

What are your thoughts? Comment on our Facebook or Youtube. We’d love to hear your opinions on New Year New. New Resolution, or any other topic. Facebook: facebook.com/ddsintegration Youtube: http://tinyurl.com/ddsyoutube WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


ANNUAL SESSION • APRIL 26 - 29, 2017

DEVOS PLACE

GRAND RAPIDS

Which House of Delegates region will raise the most PAC dollars during the 2017 Annual Session? Which Region will have the highest participation rate among members in their district? Who will be victorious? PARTICIPANTS: All MDA members based on your House of Delegates Region. OBJECTIVE: Be the House of Delegates Region to raise the most PAC dollars OR be the Region with the highest participation percentage. Donations made prior to Annual Session must be submitted with this form in order to be entered into the competition. PRIZES: Winners will receive recognition at the MDA House of Delegates second meeting and will be featured in the Journal of the Michigan Dental Association. Plus, all donors will be entered to win prizes based on their contribution level. You do not need to be present to win. DONATION LEVEL: PRIZE DRAWING: Silver ($1 - $249)

iPod Nano

Gold ($250 - $499)

iWatch

Platinum ($500 - $999)

iPad Air & VIP seating at the MDA Annual Session Keynote Address

Presidential Club ($1000+)

iPad Pro, VIP seating at the MDA Annual Session Keynote Address, and name on plaque in MDA building

YES! I am ready to help! *Make check payable to: MDA Dental PAC (payment plans available - contact the MDA for more information)

Name: Address: City: Daytime phone: I would like to donate:

Employer: State:

ZIP:

Email:  $1,000+ President’s Club $500-$999 Platinum Level $250-$499 Gold Level $1-$249 Silver Level Total: $

VISA MC AMEX Card Number:

Exp. Date:

Signature: Questions? Contact: Bill Sullivan or Josh Kluzak 800-589-2632 Send payment to:DENTAL Michigan Association PAC WEST MICHIGAN DISTRICT SOCIETYDental | WINTER ISSUE 2017 Okemos Rd., Ste. 200, Okemos, MI 48864-3927

POLITICAL ACTION COMMITTEE

29


Financial News

Buying or Building a New Home in 2017 By Zac Ellerbroek Loan Originator Lake Michigan Credit Union

Crystal balls are always in high demand for those interested in buying or building a new home. Unfortunately, nobody has created one that can provide a foolproof outlook, but we can make some very reasonable “best guess” predictions going forward in 2017 for the West Michigan market.

First, some baseline realities West Michigan is a unique market that’s getting a lot of national attention. Income expectations for relocating dental professionals are very close to being on par with most major Midwestern cities, but the cost of living is a lot more reasonable. Life amenities are abundant, with the nearby Lake Michigan shoreline, vibrant downtown areas, museums, restaurants, sports and top drawer entertainment venues. We are also fortunate to have so many supportive philanthropic organizations and a diverse business base that offer an economic buffer against hard times, and serve to help keep West Michigan thriving, even when larger cities struggle.

Mortgage rates – where are they headed? A number of local, regional, national and international factors have shaped the recent mortgage rate environment. Looking back over 2016, mortgage rates were starting to slowly increase until BREXIT hit. They retreated back to very close to those all-time lows we became accustomed to. And they stayed there until the 2016 presidential election. Since the election, interest rates have gone up an average of about 3/4%. 30

I believe current rates will be the new norm until at least through April-May, 2017. At that point, the markets will have had enough time to assess how the new administration is going to shape the financial climate with a new president in office. I expect rates will stay in the 4% to 4.75% range through 2017, but 2018 may take us into the 5% range for 30-year fixed rate mortgages.

What drives interest rates? It’s a common misperception that the prime rate drives mortgage rates. In reality, the prime affects shorter term loan rates like lines of credit, credit cards, auto loans and the like. Mortgage rates are far more directly driven by Treasury bond and mortgage backed securities yields. The prime rate only affects mortgage rates over the long term as various vehicles seek a financial equilibrium level. The prime rate is set by the Federal Reserve, which meets each month to consider where to set new rates. That said, I suspect the prime rate will go up in two 1/4% increments in 2017.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Financial News

Some reasonable expectations I also believe that both the government and markets will keep control of Treasury bond yields. If mortgage interest rates rise too rapidly, it could send the housing market into a downward spiral, which they absolutely want no part of. The government has infused far too much money into the markets over the last ten years to let it evaporate. 2017 will be another hot year in real estate, and still very much a sellers market. Inventory of salable homes is rather low and is fueling rising home values. The overall shortage of available existing homes is driving more buyers to consider new construction, which is driving construction costs upward. Vacant land is at a premium. But know that existing home sales and new home construction won’t really start to slow until we see 30-year rates around 5.5% or higher.

About the author Zac Ellerbroek, Loan Originator – Lake Michigan Credit Union NMLS# 138717 Joining LMCU in 2012, Zac Ellerbroek is a 15-year veteran loan officer specializing in assisting dentists, doctors and other medical professionals in securing home purchase financing. He is a Western Michigan University graduate, earning a Bachelor’s degree in Business Administration. Ellerbroek is a Grand Rapids native and lives with his wife and three children in Rockford, MI.

Given all that has happened, I expect 2017 will be an excellent time to take advantage of very reasonable mortgage rates. But it won’t last forever, so time is of the essence.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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Financial News

Ten Steps to Improve Financial Health for 2017 By Brian LaFrenier, CPA, Partner Beene Garter LLP

As you prepare your 2016 tax return, now is a great time to review the financial health of your practice and strategize initiatives for 2017. Consider the following ten actions to help get your practice off to a great start this year.

1. Set a budget.

4. Review insurance policies.

A budget should be used to steer the financial decisions of the practice. Certain aspects of the financial budget should be shared with key members of your staff for buy-in and support. The budget should be reviewed frequently to identify key benchmarks that might indicate the practice is going off-track, or is right on schedule. The simplest way to establish a budget is to rely on historical information as a starting point.

Are your insurance levels adequate? Is it time to raise your liability coverage or apply for more disability? If changes need to be made, don’t wait for a stressful situation to occur. Be proactive about your insurance needs.

2. Set goals.

5. Review internal controls and best practices.

Once the budget is established, set goals for the practice, yourself and your staff. What would you like to accomplish in 2017? Common objectives can inspire greater cooperation, goodwill and enthusiasm in office staff.

Look at your financial reporting and the processes and procedures that impact its accuracy. It can be easy to get complacent when times are good, or overlook the control environment when the practice is busy. The start of the year is an ideal time to review procedures with key staff members and consider task rotation or distribution, if necessary.

3. Review staffing needs and performance.

6. Update your trust and will.

It’s important to schedule annual employee reviews and provide feedback. The labor market is extremely tight – make sure your employees know the tangible and intangible benefits that come with their employment. Make sure you understand their needs, motivators and how you can help them achieve success. 32

Financial goals and outlooks change every year, as do family and practice dynamics. Make sure to revisit your will and trust to ensure your plans are well laid out. If you don’t have a trust or will established, add it to your to-do list.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Financial News

7. Meet with your financial advisor. 10. Celebrate success. Is it time to rebalance your financial portfolio? Take time to meet with your advisor to evaluate current and future goals. Do changes need to be made?

Plan a staff outing to reward and celebrate the achievements of the practice. Your team members are essential to the clinical and financial prosperity of the office. A simple staff outing or event can go a long way in showing your appreciation and inspiring goodwill.

8. Spend time with your accountant.

The key to success is not necessarily the immediate implementation of every tip outlined above. Many individuals and businesses struggle with massive changes, so don’t be afraid to gradually implement new initiatives. You will likely have a better chance at sticking to your goals and creating a stronger practice if you start small. If you fail once, try again – practice success can be made of many re-commitments over the course of the year!

Discuss any changes to the tax code that could impact your practice or your personal life. Review the financial performance of the practice with your CPA to confirm you’re on track to achieving your desired objectives.

9. Consider a succession plan. It’s never too soon to start planning your exit strategy. In many situations you have more than enough time to consider practice transition, but are you prepared if the unexpected happens? What does your succession look like? Does it involve a family member, an associate, or a sale? What are the implications of each decision for yourself and the practice? Start looking at options and their implications now.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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2017-18 WMDDS Continuing Education Programs

F R I D AY, O C T O B E R 2 7, 2 0 1 7

ACHIEVING FINANCIAL INDEPENDENCE Presented by Mr. Brad Kucharo, Associate of John K. McGill & Co., Inc. Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

F R I D AY, J A N U A R Y 1 2 , 2 0 1 8

INTEGRATING “PERSONALIZED PERIODONTAL MEDICINE” TO MINIMIZE SYSTEMIC HEALTH RISKS: DENTISTRY FOR TOTAL BODY WELLNESS Presented by Dr. Doug Thompson Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

F R I D AY, M A R C H 2 3 , 2 0 1 8

“SOME DAYS YOU’RE THE PIGEON … SOME DAYS THE STATUE!” Presented by Dave Weber, President and CEO of Weber Associates Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

Registration forms will be mailed 2 months prior to each course and will also be available online at www.wmdds.org.

34

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


MIDWAY DENTAL SUPPLY

A local source for the brands you trust Office Design | Equipment Repair | Supplies | Financing | Bulk Buy Program

We’re here for you At Midway Dental Supply, our focus is family. We’ve been family owned and operated since 1984, and we want to make you a part of our circle. Even if we’re from different states, we’re cut from the same cloth. That’s why we’re opening more branches in Michigan, and why our corporate headquarters are based here, so we can provide quality service to the people we care about, you.

Come visit us! Grand Rapids Branch 4515 Broadmoor Ave SE Kentwood, MI 49512 (800)-474-6111

Find us online: Corporate Office 32553 Schoolcraft Rd. Livonia, MI 48150 (800)-474-6111

www.midwaydental.com

Find all these brands and more! WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

35


ADA News

Dr. Gary Jeffers Announces Candidacy for ADA President-Elect

Former Michigan Dental Association President (2010-11), Dr. Gary E. Jeffers announced his candidacy for ADA President-Elect at the conclusion of the ADA House of Delegates in Denver last October. Jeffers is currently serving as ADA Ninth District Trustee, representing Michigan and Wisconsin on the ADA Board of Trustees. Gary is Board liaison to the ADA Council on Government Affairs as well as the New Dentist Committee. He also serves a dual role as a member of the ADA Foundation Board and Vice President for Science and Research for the ADAF. Among other duties and assignments, Jeffers is Chair of the ADA Licensure Task Force, Chair of the ADA Audit Committee, and he has been Board liaison to the Council on Scientific Affairs and the Council on Members Insurance and Retirement Programs. Jeffers, a Navy veteran, has been a practicing oral and maxillofacial surgeon and full-time academician at the University of Detroit Mercy, School of Dentistry; training both predoctoral students and OMS residents for more than 30 years. For the last six years, he has been Director of Admissions at UDM. He is well focused on the many challenges currently facing the dental profession. Whether your concern is staggering student debt, portability of licensure, third-party intrusion in the dentist-patient relationship, burdensome government regulation, or the threat of mid-level providers, Gary is prepared to advocate on your behalf, and he will strive to ensure the relevance of the ADA for future generations. With an unwavering commitment to organized dentistry and a proven track record of leadership at the local, state and national level, Gary will work tirelessly to Support Member Success. 36

“I believe dentistry’s best days are ahead of us, and as a candidate for your next ADA President-Elect, I respectfully seek your support.”

– Gary E. Jeffers, DMD, MS Please consider a contribution to the Jeffers campaign. Checks should be made payable to: Jeffers 2017 ADA President-Elect Campaign Send to: Michigan Dental Association Attention: Brian Stump 3657 Okemos Road, Suite 200 Okemos, MI 48864-9927 WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


WMDDS ad Zac 2016revFINAL.pdf

1

12/17/15

1:18 PM

Engelsma Homes is committed to building a carefully constructed home that meets the individual needs of every client. With lots currently available in the Ada, Forest Hills and Rockford communities, we can help you ďŹ nd the perfect property to begin building your dream home. Call or visit our website to learn more about our available lots and homes for purchase.

For more information contact: Jason Engelsma jason@engelsmahomes.com or 616-437-7909

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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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, 301 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. For Sale – Family practice in Grand Rapids NE that is part time with great potential, located in an excellent high- visibility location. There is 2050 sq.ft. with 5 ops and a 6th op is plumbed in. Opportunity for more footage if desired. Call 616.485.4884 for details. Holland, Michigan – Associate dentist needed for busy practice one or two days a week. Would prefer Fridays. A bit early but will be retiring in three to five years. Fee-forservice practice with no medicare/medicaid. Please contact Kate at 616.399.4490. Exciting Opportunities – for dentists, hygienists, and assistants to provide children with quality dental care in schools in Southeast and Western Michigan. No evenings or weekends. Email resumes to: jobs@smileprograms.com. Dental Equipment for Sale – After merging my two offices – I have four rooms full of dental equipment for sale. Everything is in excellent shape and working conditions (no junk). All equipment is still installed and can be tested before you buy it. Dental chairs, delivery units, lights, x-rays, cabinets, panoramic, Dent-X 9000 zoom, compressor, separate air dryer unit, suction, lab equipment and much more. Just ask and there is a chance I have it. Please email your questions to hanyb@juno.com. General Dentists Needed – In busy Dental Dreams Michigan offices. Includes signing bonus of $15-25K. Full-time dentists earn an average of $230k. Associates enjoy freedom over treatment planning in modern, digital offices with established patient bases. Benefits include free dental care, paid 38

vacation, continuing education, and Medical, life, vision & malpractice insurance. Visa & permanent resident sponsorship is available. Please call 312.274.4580 or email kanderson@kosservices.com for more information. Full time, part time, and Saturday only positions are available and new grads and residents are encouraged to apply. Trial Partner Dentist – In $1.5 million, 2 location fee for service office in Grand Rapids Area. Expect $300,000 net per year. All inquiries to Regional Manager Rachel at  hiring1621@gmail.com. Looking for Motivated, Energetic General Dentist Focused on Patient Care – Needed for growing dental office in Traverse City area. Utilizing 2 Cerec units for single day dentistry. Also, general dentistry including lab fabricated crowns and bridges, fills, extractions, and root canals. Four hygienists, great staff. Fun environment. Please send resume to 202 West 17th Street, Traverse City, Michigan 49684. Required experience: Experienced preferred, or new grad if comfortable being alone in office. Required license or certification: DDS. Opening for a Part-Time Dental Associate – in Grand Rapids, MI. Looking for an associate two to three days a week for our beautiful general dentistry office. Well established practice with a large patient base and high earning potential. Excellent working environment, high-tech equipment, wonderful staff and fee-for-service! This is the perfect opportunity for an established dentist looking to add an extra day to their schedule or a dentist just interested in a part-time schedule. If interested please contact Hilary Tien: Hilary@proveerpm.com or 616.309.4567.

Dental Office Condominium for Sale in Zeeland – 3,975 SF professionally designed and decorated office space with premium finishes includes; eight treatment rooms and two doctors’ offices. Facility is suitable for endodontists, orthodontists, oral surgeon or a periodontists group. Sellers are a successful general dentistry group looking to rebuild nearby and would be a great source of referrals for a specialist. 427 Centerstone Court is conveniently located with high visibility from Chicago Drive. Office photos are available online at www.nelsonsmile.com/ office-tour. Please contact Kris DePree at 616.355.3141 or kris.depree@colliers.com for more information. Outstanding Dental Associate Needed in Beautiful West Michigan – We have a Fulltime, Dental Associate opportunity available in our successful, well-established, growing, and privately owned general dentistry practice, located between Holland and Grand Rapids, MI. Hudsonville Family Dentistry offers the entire family a quality dental experience in a friendly & comfortable setting. We are looking for a motivated, positive, and compassionate dentist with an outgoing personality who wants to make a difference in the lives of his/her patients. We are looking for the perfect fit for our office; we are looking for someone who is patient, kind, hardworking, and extremely customer service driven. If you feel you fit this description and are looking for a long-term relationship with growth potential with an outstanding team, please send your resume to: Susan at happypeopleapply@yahoo.com.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


Classified Ads

Seeking Practice Purchase Opportunity – in West Michigan region. GPR training and three years solo private practice experience. Commitment to community, putting patients’ needs first, attention to detail, and practicing emphatic dentistry. Would prefer to work alongside current owner for mentorship and to ensure the continuity of the office and practice culture, open to other options as well. Please contact me at grapdds@gmail.com. Seeking Full or Part-Time Employment – Energetic and eager to produce young dentist seeking an associateship in a West Michigan private practice that values high-quality, patient-centered care. I am currently in an AEGD residency and have received extensive training in all areas of general dentistry including endodontics, implant dentistry, and restorative dentistry. As I transition into private practice, my focus is on using my tremendous work ethic and clinical skill to earn the respect of my patients, and the dental community. I will help your practice to become more successful by being a positive influence on the culture of the office, attracting new patients, and increasing the practice’s productivity. This is an excellent opportunity for the right practice owner! If you would like a copy of my CV, or if you would like to discuss a mutually-beneficial employment opportunity, please email me at coreyjdc@gmail.com.

are that you are passionate about quality dentistry, treat patients as you would want to be treated and have 2+ years of experience. Dental Office Available – in Rockford on 10 Mile Road. Available about April 2015. Approximately 3100 ft of office space and 1500 ft of basement. Call 616.866.0921. A Practice Transition – whether you are purchasing, selling, or seeking an associate position – is one of the most important decisions you will ever make. As a practicing dentist since 1981, I have experienced these transitions firsthand. As a practice transition consultant, I have helped a good many of our colleagues navigate successfully through this delicate process. If you are considering a transition, whether it be now or a few years down the road, I would welcome the opportunity to have a no-obligation, no-pressure consultation with you. All correspondence is kept strictly confidential. I am available days, evenings, and weekends (my clients will attest to this!). You can contact me, Kim Sena DDS, at 616.450.3890, or at kim@legacypracticetransitions.com.

Storage Space for Lease – 400 SF of secure storage space available for lease in the lower level of 1151 East Paris Ave S.E, Grand Rapids. $6.50/SF. 24/7 access. EPS security system. Contact Dr Sam Bander at 616.450.5665. Family Practice For Sale – SE Grand Rapids. Three operatories in a 1200 sq. ft. suite. There are 850 active patients. Asking $150,000. Please contact cedarmoutain50@gmail.com. Associate Dentist Needed for Grand Rapids Office – A busy, growing private practice near downtown Grand Rapids is seeking an associate for two days per week. The surging growth in downtown will immediately provide enough new patient flow to allow the position to eventually grow into full time if desired. The practice is well established with a large patient base, up-todate technology, and a wonderful staff. High earning potential and a guaranteed daily minimum salary. If interested please contact downtowngrdentist@gmail.com.

Dentist (Associate to Partner) – Check us out at www.DrBrennan.net if your objective is to become an associate dentist with the goal of becoming a partner. If you have further interest, please send resumés to smile@drbrennan.net and we can contact you to set up an opportunity to see our office and meet the team. The main requirements WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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ADVERTISER’S INDEX The Bulletin wishes to thank our valued advertisers who support organized dentistry by helping to defray the cost of printing and mailing.

ANNUAL GOLF OUTING FRIDAY, MAY 19, 2017

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.

NEW LOCATION:

The Meadows on the Allendale Campus of Grand Valley State University 9:00 am shotgun start

For information on advertising rates, call Elaine Fleming, WMDDS Executive Secretary at 234-5605. Target your Market – advertise in the Bulletin!

Watch for more information about the golf outing in future issues of the WMDDS Bulletin. Questions? Contact Elaine Fleming at 616.234.5605 | efwmdds@aol.com Mission Statement: An organization dedicated to the improvement of oral health through the financial support of education and service programs to address the needs identified by the dental profession and the communities it serves in Kent, Ottawa, Ionia, Mecosta and Montcalm counties.

Beene Garter......................................... 13 CPR Cheryl Johnson.............................. 39

Shareholder Rick Chrisman - WMDDS.pdf 1 1/16/2017 1:16:35 PM

DDS Integration........... outside back cover Davis Dental Laboratory.....................inside front cover Engelsma Homes ................................. 37 C

Great Lakes Financial............................ 24

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Henry Schein.................. inside back cover

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Hungerford Nichols .............................. 40

“Tell me about your dental practice’s challenges and we can work together towards your success.” ~Rick Chrisman

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Lake Michigan Credit Union.................. 37 MDA IFG................................................ 5 Midway Dental...................................... 35

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Rick Chrisman, CPA, MST - Managing Shareholder Helping dentists grow their practice and acheive their goals. WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017


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Grand Rapids Center 616.791.2358 2689 Walkent Dr. NW, Suite F, Grand Rapids, MI 49544 WEST MICHIGAN DISTRICT DENTAL SOCIETY | WINTER ISSUE 2017

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West Michigan District Dental Society 301 Waters Building Grand Rapids, MI 49503

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Profile for Elaine Fleming

2017 Winter Bulletin  

2017 WMDDS Winter Bulletin http://www.wmdds.org/bulletin/

2017 Winter Bulletin  

2017 WMDDS Winter Bulletin http://www.wmdds.org/bulletin/

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