Issu
WSDA 013 ly 2 · ju e7
The voice of the Washington State Dental Association
IN PICTURES:
2013 PNDC
A look at our first year in Bellevue ALSO IN THIS ISSUE: Adult Dental Medicaid Restored
th e wsda ne w s · issue 7, july · 2013 · www.wsda.org · 1
news
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....thank you all for a wonderful, amazing, outstanding, crazy good job
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WSDA President Dr. Danny Warner and WSDA Secretary-Treasurer Dr. Bryan Edgar dispense snacks and coffee to exhibitors at the PNDC
WSDA news Cover story by Rob Bahnsen Cover story photos by Meryl Schenker Photography TOC photo by Meryl Schenker Photography
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editorial
5
guest editorial
6-7, 35
in memoriam
8-13
wohf news
14-21
pndc in pictures
22
legislative update
23 newsflash 24
uwsod news
issue 7 · july 2013
27
membership news
29
wdia news
31
the source: mercer advisors
35
clinical corner
36
letter to the editor
39
alliance news
41, 43, 45 46
classifieds parrish or perish
Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings Editorial Advisor y Board Dr. Victor Barry Dr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert Shaw Dr. Mary Krempasky Smith Dr. Timothy Wandell Washington State Dental Association Dr. Danny G. Warner, President Dr. David M. Minahan, President-elect Dr. Gregory Y. Ogata, Vice President Dr. Bryan C. Edgar, Secretary-Treasurer Dr. Rodney B. Wentworth, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Dennis L. Bradshaw Dr. D. Michael Buehler Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Christopher W. Herzog
Dr. Dr. Dr. Dr. Dr. Dr.
Gary E. Heyamoto Mary S. Jennings Bernard J. Larson Christopher Pickel Lorin D. Peterson Laura Williams
Vice President of Government Affairs Bracken Killpack
Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail: info@ wsda.org/w w w.wsda.org
Art Director/Managing Editor Robert Bahnsen
In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com.
WSDA Staff: Executive Director Stephen Hardymon
Manager of Continuing Education and Speaker Ser vices Craig Mathews
Senior Vice President/ Assistant Executive Director Amanda Tran
Government Affairs Coordinator Michael Walsh
Vice President/Chief Financial Officer Peter Aaron
Membership Manager Laura Rohlman
General Counsel Alan Wicks
Exhibits and Sponsorship Ser vices Coordinator Katie Olson
Vice President of Operations Brenda Berlin
Bookkeeper Joline Hartman
Vice President of Communications Kainoa Trotter
Office Coordinator Gilda Snow
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The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2013 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibilit y of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors. Winner: 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists
table of contents issue 7, july 2013
a day in the life
editorial dr. mar y jennings
The “new” PNDC
I just got home from the Pacific Northwest Dental Conference and it was fantastic! I was so worried a few years ago when we learned that WSDA was forced out of the Seattle Convention Center. If you remember, it was because Microsoft wanted our dates. They got them because their meeting sold more hotel rooms. Perhaps it was a blessing in disguise. Our PNDC Committee is lead by Dr. Robin Henderson, and includes Drs. C.R.Anderegg Jr., Dennis Bradshaw, John Darling, Mark Kadoshima, Jeanine McDonald, and Joseph Luchini. Our WSDA staff was lead by the amazing Amanda Tran, and includes Craig Mathews and Katie Olson. The team wasted no time worrying and got straight to work. It wasn’t easy, and they really worked hard to create the “new” PNDC. The conference was split between the Hyatt Hotel and the Meydenbauer Center in Bellevue. I was surprised that both venues felt so much more intimate than Seattle. I think we actually fit better in Bellevue. Instead of seeing my friends in passing on all those elevators, I got to see them in the hallways. It felt more like going to class at dental school! I booked a room at the Hyatt. How easy is that? I could drop off my loot, take a quick break, and go out for more. Riding the shuttle was easy. I only had a few minutes wait. Many of the over 6,000 attendees commented that Bellevue was much cleaner, nicer and easier to drive to. I found I was not as exhausted at the end of a busy convention. I stayed around Friday night for dinner with friends, so even the commute home was easy. I always speaker host, so my lunch is provided. (Hint, hint.) There are so many really great restaurants. I saw many people going to lunch and a enjoying a little shopping together. Our Thursday night Welcome Reception was terrific. We gave away three large HDTVs and all kinds of gift certificates. But aren’t we supposed to be here for the continuing education? Yes! This year we added a special Thursday evening session. That allowed us to offer as many as 16.5 hours of continuing education. Those sessions were so successful that we will do the same next year! This year more people attended workshops than years previously. Several of the workshops sold out. As always, the speakers were outstanding. I like the mix of national and local speakers. We have amazing talent in this state — our Emerald City Lecture Series was very well attended and had very good feedback. We have received very good feedback from our exhibitors and attendees about the exhibits. There were fewer exhibits, and they were more focused on dentistry. Everyone seemed pleased about that. The free coffee stands outside the exhibit hall were also a huge success. Drs. Lou Ann Mercier, Robin Henderson and I had fun picking up nice bottles of wine from the Washington Oral Health Foundation’s “Wall of Wine.” Proceeds go towards purchasing more than 2,500 oral hygiene kits for children who need them across the state. At the Academy of General Dentistry booth I met Eric Statler, an oral cancer survivor and advocate for oral cancer awareness. His enthusiasm is contagious. We discussed the recent news focus on oral cancer and oral sex. He is not a dentist but has a wealth of information. Well done, AGD! We expected glitches our first year and there were some. Now that we are more familiar with the layout, we will be able to fit speakers to rooms better, as some rooms were too small for some speakers, and for others, too large. Remember, it is better to come early and get a seat because it is hard for us to determine speaker popularity. We are already working on communication and signage. We want better Internet connectivity so we can tell you when a room changes or a class is full. We are even working on reducing the size of coffee lines because we want you alert and happy. We are currently sorting through your comment sheets to make next year even better. My friend Lou Ann Mericer said it best - “Reconnecting with friends from the past made the meeting more than just CE. To think, in the hall at the PNDC was the last time I spoke with Terry (Grubb). It still gives me pause. I think the meeting is about supporting our organization and our colleagues — friends really — that give of their time to put this show on. It’s about the connections we make in life, especially friendships, that matter, not the location of meetings! It truly was a wonderful experience.” I couldn’t agree more!
Dr. Mary Jennings Editor, WSDA News
“This year more people attended workshops than years previously. Several of the workshops sold out. As always, the speakers were outstanding. I like the mix of national and local speakers. We have amazing talent in this state. Our Emerald City Lecture Series was very well attended and had very good feedback.”
Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com.
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There is no doubt that the dental profession is under assault from insurance companies — reduced reimbursements, decreased benefits, and diminishing coverage for some procedures are all issues we have to face in our practices. Because of this, we all face financial pressures and threats to our bottom line. In response to these issues, I believe I’ve noticed an increase in the skill of what I call “creative diagnosis.” I hope this is not a trend for our profession. As a board certified pediatric dentist, who has practiced 34 years with both a military and civilian career, I feel I understand the wide range of differences in teaching programs and dental schools across the country. I realize that diagnosis of decay is somewhat subjective, and recall the old joke about any two periodontists who agree on a patient should form their own society. But the disparity of diagnosis I have seen recently is alarming. Consider the 16 year old who graduated from my practice and sought care at her mother’s general dentist. The phone call I received from that dentist asking how I could miss 16 cavities (with a treatment plan of more than $3,000) was alarming. The mother’s call to me was also alarming — what had I been doing all these years? After inviting the mother and daughter back to my office and taking new radiographs I again came up with a diagnosis of NO decay. There were a few incipient lesions in the enamel, some of which had been there five or six years. We reviewed the old radiographs and I showed the mother that some of these incipiencies had actually decreased in size as the patient had aged and started mouth rinses and flossing. At this point, questioning my own skills I showed the radiographs to five fellow dentists representing three different specialties. The range of opinions was zero to four cavities they would restore. The number 16 was off the chart. This same diagnostician had recommended these restorations before the end of the year because of the imminent possibility of endodontics! Another patient brought their daughter to our office for a second opinion. Her two-year old had a full mouth series of radiographs (six x-rays on a two-year old!) and was diagnosed with a cavity requiring restoration and sedation. To begin with, I can’t envision a scenario where a two-year old with no visual decay requires full mouth radiographs. The American Academy of Pediatric Dentistry states “Radiographs should be taken only when there is an expectation that the diagnosis will affect patient care”. This child had no teeth with contact points, you could see all her interproximal surfaces — in fact, her maxillary second molars had not yet erupted! My board-certified partner and I found no decay. And speaking of radiographs, the criteria for panoramic X-rays is not: will the child stand still and is it a covered benefit? Referrals of four year olds to us with panos is maddening — there is no indication for it. Our practice is often referred children who are medically compromised or of a precooperative age requiring general anesthesia for treatment. These are wonderful referrals and a great service to the parents and children. In the past six months my partner and I have been referred three children with extensive treatment plans that we can can find minimal or no decay. I have to wonder what the criteria for caries has become. Many parents come to us on their own seeking second opinions regarding general anesthesia. The majority have minimal decay. Nowhere is creative diagnosis more evident than the occlusal surfaces of permanent first molars. I can identify a patient’s prior dentist by the fact that all the first molars are always restored on every patient I see coming out of that office. I attended a lecture at a national meeting a few years ago on differentiating between sealants and occlusal caries. The take home message from the lecture was — when in doubt always do restorations. Seriously? Whatever happened to minimally invasive dentistry? There is ample evidence based literature that proves minimal decay (if in fact there was decay at all) with a sealant will not progress. If there is a question, I suggest placing a sealant with future evaluations expected. Maybe not as financially beneficial for the dentist, but certainly less invasive for the child. The difficult task for me with all this creative diagnosing is trying to explain to the parent why my treatment plan is hundreds (thousands?) of dollars different than someone else’s treatment plan. I can only cover-up so much with my explanation of different treatment criteria, sharper explorers, conservative vs more aggressive therapy, blah, blah blah. My solution? Look in the mirror. Take radiographs that are necessary, not just covered by insurance. Find decay that another dentist looking over your shoulder would agree with. Treat your patient exactly as you would wish you or your family was treated. And as Hippocrates said, “first, do no harm.” Are you increasing the creative diagnosis portion of your practice? Is creative diagnosing become a new skill in the dental profession? I hope not — for the sake of our patients and profession.
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Dr. Jeffrey Camm Fircrest Children’s Dentistry
“I realize that diagnosis of decay is somewhat subjective, and recall the old joke about any two periodontists who agree on a patient should form their own society. But the disparity of diagnosis I have seen recently is alarming.”
guest editorial dr. jeffrey camm
Creative diagnosis: A new dental skill?
in memoriam issue 7, july 2013
in memoriam to serve in a very time-consuming position for WSDA in the 1990’s I sought Terry’s counsel, since he had been very involved (understatement!) and had encouraged my involvement. I remember well what he said: “Rob, you may be the best possible person for this position, but we can find somebody else who can take your place in it. They may not do the job you would do, but I’d like you to reflect on the fact that while we can find somebody to take your place there, nobody can take your place as a father to your children.” That counsel had a profound positive impact on my life with my children and my family as a whole. I have been blessed through my association with this great and kind colleague.
Dr. Bill Ten Pas, Former 11th District Trustee:
Dr. Terry Grubb shared a laugh with Dr. Linda Edgar at the 2013 PNDC
Editors Note: The WSDA recently lost one of its most respected and beloved members, Dr. R. Terry Grubb, in a tragic motorcycle accident. Grubb was active throughout his career at the local, state and national levels of organized dentistry, serving as president of his component and the WSDA, Second Vice President of the American Dental Association, a Regent on the American College of Dentists, a Fellow in the International College of Dentists and the Pierre Fauchard Society, and a member of the Washington State Dental Quality Assurance Commission, among many others. We reached out to contemporaries and colleagues of this extraordinary man to get their impressions of the person so many people held in high regard. Here is what they had to say. Dr. Grubb’s obituary follows their remarks.
Dr. Rick Crinzi, Past President, WSDA
Like all of Terry’s friends, my wife Debbie and I are so saddened by this news, it seems so unfair. He was a caring, compassionate and concerned man, and an inspiration to so many. He did so many good works, and helped others in such an unselfish way. He was our friend. He will be remembered and deeply missed.
Dr. Vic Barry, Past President, WSDA
I have known Dr. Grubb all my professional life. He was always there, no matter if it was a WSDA Communications Committee meeting or a House of Delegates, or an 11th District Caucus, or a small lunch in Chicago .I leaned on him a lot. He was always there, helping, contributing, and caring. The best definition of responsibility I
have heard is “always doing what you say you are going to do.” The best definition of integrity is always doing it right. Terry epitomized both. Add to that compassion, loyalty, honor and talent and you begin to get a picture of the consummate professional and warm hearted human being he was. He lived his committment to helping his family, others’ families, friends, colleagues, his patients and staff. He was always there. And he always will be.
Dr. Denny Homer, Past President, WSDA
I met Terry through our dental society in 1975. He was always a great mentor and avid promoter of organized dentistry. Terry gave and gave to our profession, contributing mentally and physically in a way that few will match. I sat next to Terry at lunch, less than a week before his accident, and the good example for all of us is that he was doing what he loved — professionally and personally — right up to the end.
Dr. Robert Merrill While I have many good memories of
Terry and his influence upon me, this is the most profound and probably the most important thing I received from working with him — Terry worked across the hall from me when I first began practice in Wenatchee in 1990. I had two preschool age children at home, and before too long we had more as well. Quite soon, I found myself involved in leadership in my professional associations (somehow Terry rubbed off on a person!) When I was asked
Terry always had a smile on his face and kind word. He loved dentistry and his family; especially his wife Sharen. He lived and loved life to the fullest. He was always positive. He was a team player but was unafraid to give you his opinion. I spoke with him at the latest PNDC and he said life was good. His loss has caused a void.
Dr. Laura Williams, WSDA Board of Directors: The shock of Terry’s death is slowly go-
ing away, and I am able to reflect on the good times and be thankful to have had Terry’s guidance and friendship. I am headed to Terry’s service in a couple of hours. While I will be grateful to celebrate what Terry gave to all of us, it will mean I have to accept the finality of his death. Terry was the daddy of our local society. He was the go-to guy with questions about anything. To say he was my mentor is not an adequate description, because he touched all parts of my life, not just the organized dentistry part. Knowing him made me want to be a better person. The one situation that described Terry’s selflessness and true desire to do what is right for our state society is when he was defeated in his bid for ADA Trustee. He ran against Mary Smith — who will readily say that Terry was a significant mentor to her — and lost. Four years later he was her campaign manager in her race for ADA President Elect — and not just in title. He was there for her, standing up front and leading the 11th District in preparing us for the ADA House of Delegates campaign. To me, that is the best way to describe who he was — always thinking of the welfare of others, and putting himself second to them. Terry was happiest when he could share his experience and knowledge with those around him. His booming voice and ca-
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Dr. R. Terry Grubb
Grubb was born at Deaconess Hospital in Wenatchee, Wash. on December 27, 1938, to Lee and Hazel Grubb. He was christened Richard Terry, but he was always known by his middle name. He and his older brother, Ed, had many adventures on their family orchard in Sunnyslope while growing up. Terry attended Sunnyslope School, Wenatchee High School, Wenatchee Valley College, the University of Washington, and the U.W. School of Dentistry, graduating in 1967. He loved living in Wenatchee, and had many fond memories of the years spent with his cousins throughout the Valley. He always enjoyed the family potlucks and gatherings with the Grubbs and Bromileys and their families. He opened a dental practice in September of 1967, and has practiced in the Wenatchee Valley ever since. He deeply cared for his patients and their families, and loved and respected his faithful clinical staff, who colabored with him at the dental office. Grubb became actively involved in the dental community by serving on boards, committees, and as an officer in various dental organizations. His generosity was known by many, even though he preferred to keep those things “under the radar.” A list of his professional accomplishments would be pages long, but some highlights include serving as President of the North Central Washington Dental Society and the Washington State Dental Association. He also served as a Second Vice President of the American Dental Association, a Regent on the American College of Dentists, a Fellow in the International College of Dentists and the Pierre Fauchard Society, and a member of the Washington State Dental Quality Assurance Commission. Grubb loved mentoring other young leaders, and was an inspiration to many in the dental profession, in his church, in the community, and in his family. He was a longtime member of the Wenatchee Free Methodist Church, where he served in multiple volunteer positions. He loved the outdoors and taught his children and grandchildren to respect and enjoy God’s creations. He was on an annual “road trip” with his motorcycle buddies in Oregon when something caused him to veer off the road and into a ravine, where he died instantly. Although the cause of the
accident is unknown, his family is certain it was outside his control because he was a skilled, careful and experienced rider. Grubb is survived by his wife of 32 years, Sharen; his four children: Mindy, Liesl, Mike and Garrett, and their spouses, Darryl Wall, David Bohan, Julie Grubb and Dawn Shores; and 11 grandchildren: Devin Grubb, Spencer, Mitch, Ethan, Nik, Alaina and Maia Wall, Neil and Trent Bohan, and Madi and Molly Grubb.
Dr. William P. “Mitch” Hungate
Dr. William P. “Mitch” Hungate, died April 13 in an avalanche on Granite Mountain, Snoqualmie Pass, Wash. He was 61. Born November 25, 1951 in Ridgewood, NJ, his family moved to the Pacific Northwest in 1956. Hungate graduated from Sammamish High School in 1970, and continued his education at the University of Washington, completing both undergraduate and dental school programs there. Hungate spent seven summers in Alaska, cooking for the cannery workers to earn his way through University. He passed the Dental Board Exam in June of 1978 and went on to an internship in the Navy in Norfolk, Vir., where he served in the Public Health Sector as a Lieutenant DDS. Hungate practiced dentistry in Renton for 34 years. He enjoyed his patients, friends, colleagues and community, winning their trust and esteem. During these years he continued his affiliation with the UW. He was recognized as an Affiliate Professor, volunteering his time helping third and fourth year students in the dental clinic. Teaching came naturally to him. He was an avid Husky fan, never missing a season of football games. An accomplished athlete all his life, Hungate was encouraged to compete in a full Ironman Triathlon and found that he excelled at it. He won slots to the World Championship Ironman in Kona in 2006, 2007 and 2011. He also won admission to the World Championship Half Ironman in Clearwater, Fla. for two consecutive years and again in 2011 in Las Vegas. Mountain climbing was his heart’s delight. It was a mutual love of the mountains that drew him and his wife, Marilynn, together some 17 years ago. Hungate climbed many of the world’s greatest mountains: Aconcagua, McKinley, Kilimanjaro, Mt. Kenya, Pico de Orizaba, the Matterhorn, Mt. Blanc, Mt. Whitney, Mt. Assiniboine, and the major peaks in Wash. and Ore. He climbed Mt. Rainier over a dozen times including two one-day ascents by different routes. He is survived by his wife, Marilynn Hungate; sister, Cheryl Hungate; brother, Robert B. Hungate, Jr.; sister-in-law, Sandra Neely Hungate; neph-
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ew, Adam B. Hungate, PhD; niece, Serenity Hungate Shelby and her husband, H. Allen Shelby; grand-nephew, Micah Burns and grand-niece, Chloe Burns. He is also survived by his step-son, Brody Rutter; stepdaughter, Darcy Sera and husband, Bryan Sera; their children (his grandchildren) Lucelia Sera and Griffin Sera. Editor’s Note: Please see the newsflash section, page 23, for information regarding an appeal to set up a teaching scholorship in Hungate’s name.
Dr. Dale E. Smith
Dale Elwood Smith died in Lake Forest Park, Wash, on Feb. 27, 2013. He was 87. As a professor of prosthodontics at the University of Washington School of Dentistry, Dr. Smith had a profound impact on his students and peers. Smith was born on Nov. 23, 1925, in Blain, Penn, to Charles R. and Margaret A. (Ritter) Smith. Smith graduated from Blain High School in 1943 as valedictorian of his class, and was inducted into the U.S. Army later that year. He served as a military police officer in the 10th Mountain Division in Italy during World War II, and was awarded the Bronze Star. Smith married Rhobie Charlotte Stambaugh in 1946. He attended Shippensburg State College, Pennsylvania State University, and the University of Pittsburgh School of Dentistry, where he graduated cum laude in 1952. Later that year, he joined the U.S. Public Health Service (USPHS) as a dental intern in Staten Island, New York. In 1954, the family moved to Indiana, Pa., where he practiced general dentistry for two years. After rejoining the Public Health Service in 1956, Smith and family moved to New Orleans, La., where Smith practiced prosthodontics and taught at Loyola University. The family came to Seattle in 1960, when Smith began a residency in prosthodontics at the USPHS Hospital on Beacon Hill. Two years later, he earned his MSD degree from the University of Washington. Smith served at the USPHS Hospital for 20 years, receiving the Commendation Medal for Outstanding Service in the Commissioned Corps, attaining the rank of captain, and retiring as its Dental Director. He held faculty appointments at the UW starting in 1960 through 1992. He was a full-time professor of prosthodontics from 1978 to 1988, serving as director of prosthodontics research and the graduate program, and a visiting professor at the University of Toronto in 1987. He retired in 1993 as a professor emeritus. continued on page 35
in memoriam continued
dence of speech are so memorable. He didn’t need a microphone! Though his direct involvement in state leadership was done, he continued to come to our local meetings and share insight about what was happening in the WSDA and Olympia. He loved dentistry and couldn’t stay away!!
wohf news 2013 wohf golf classic
Celebrating the sun:
WOHF GOLF CLASSIC
For the first time in its three-year history, golfers playing in the WOHF Golf Classic presented by AmericanWest Bank weren’t slogging through the rain. The gloom that shrouded the area earlier in the week had completely cleared by the time the tournament started on Saturday, June 15, leaving nothing but blue skies and brilliant sunshine for the 67 golfers from around the state. The event was a success for the Foundation, — but it was also a great success for the players, who got to play in “pristine Pacific Northwest conditions,” according to Ruth Abate, Foundation Co-Director. 8 · th e wsda ne w s · issue 7, july · 2013 · www.wsda.org
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Photos by Meryl Schenker Photography
wohf news 2013 wohf golf classic Left to right: Dr. Lorin Peterson, his wife Karen and Dr. Todd Irwin celebrate a good shot
Photos by Meryl Schenker Photography
wohf news 2013 wohf golf classic, phone a thon donors
Ben Urman takes aim
John Adams sets up a shot as Stuart Silk looks on
Mike Williams of AmericanWest Bank
Dr. Jim Ribary and his wife Linda navigate the course
2013 WOHF PHONE-A-THON DONORS Dr. Jeffrey Abolofia Dr. Steven D. Aeschliman Dr. Steven J. Albright Dr. Paul R. Amato Dr. C. R. Anderegg Jr. Dr. Padmaraj Angolkar Dr. Donald J. Arima Dr. Michael D. Aslin Dr. Donald C. Ausink Dr. David A. Baker Dr. Theron J. Baker Dr. Dexter E. Barnes Dr. Daniel T. Barrett Dr. Ernest E. Barrett Dr. Victor J. Barry Dr. Paul H. Barton Dr. Jerome R. Baruffi Carol Bates
Dr. Steven L. Bates Dr. G. Douglas Beck Dr. Neil Begley Dr. Joel H. Berg Brenda Berlin Dr. Robert G. Berman Dr. Gary E. Berner Dr. Monica E. Berninghaus Dr. Bill N. Bethards Dr. Jennifer G. Bielas Dr. Albert R. Bird Dr. Zachary A. Bird Dr. Mary Elizabeth Bisese Dr. M. Clark Blanchard Dr. Lisa A. Block Dr. Joseph Michael Bordeaux Dr. Martin A. Boudro Dr. George J. Bourekis Dr. Dawn A. Bova Dr. Dennis L. Bradshaw Dr. David W. Branch
Dr. Pardeep S. Brar Dr. Michael Breier Dr. Diane M. Brighton Dr. Laurel T. Brion Dr. Eric Scott Brockman Dr. Paul Thomas Broere Dr. Kenneth L Brossel Dr. Constance M. Brown Dr. Myron L. Brown Dr. Faith R. Bult Dr. Kristina L. Bunch Beverly Byerts Dr. Jeffrey H. Camm Dr. Michael S. Campbell Dr. John B. Carbery Dr. Laura Cardenas Dr. David L. Carsten Dr. Stephen W. Carstensen Dr. Antonio D. Caso Dr. Darlene M. Chan Dr. H. Allen Chen
Dr. Judy C .Chen Dr. L. Alice Chen Dr. Roger Steven Chin Dr. Eugene Choy Dr. Patricia D. Cleavinger Dr. Matthew Clegg Dr. Patrick K. Coe Dr. B. Robert Cohanim Dr. Irving I. Cohen Dr. C. James Coleman Dr. Chad P. Collins Dr. Charlie Collins Dr. Ute Jane Collins Dr. Bruce E. Cooper Dr. David A. Cotant Dr. Ronald J. Cowles Dr. Richard A. Crinzi Dr. Robert S. Croft Dr. Michael H. Crowley Dr. Wilson Dale Crum Dr. David M. Cummins
Dr. Dominick J. Curalli Dr. Ronald D. Dahl Dr. Fred R. Dahm Dr. Clay H. Damon Dr. Derek R. Damon Dr. Christopher Delecki Dr. Munib Y. Derhalli Dr. Anthony G. DiRe Dr. Jane Dieveney-Hinkle Dr. Dawn M. Divano Dr. Blaine D. Dodson Dr. Diane M. Doppel Dr. James P. Dorosh Dr. Ernest A. Dorow Dr. Donald G. Echols Drs. Linda & Bryan Edgar Dr. Dennis A. Edmonds Dr. Theron D. Eichenberger Dr. Randal W. Ellis Dr. Jon B. Engelby Dr. Ola J. Englund
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Left to right: Drs. Spence Jilek and C.R. Anderegg watch Dr. Ron Snyder
We called, you answered, emphatically. Thank you! Dr. Alberto L. Enrico Dr. Ali Etemad Dr. Michael C. Eubanks Dr. Jared D. Evans Dr. Thomas D. Faber Dr. Marcus A. Fairbanks Dr. Fouad N. Farhat Dr. Barry A. Feder Dr. Gary R. Feldman Dr. Will S. Fernyhough Dr. Brett C. Fidler Dr. Jeffrey T. Files Dr. Lyly Fisher Dr. Gary R. Folkman Dr. Larry J. Forsythe Dr. Willis P. Gabel Dr. Chad H. Galbraith Dr. Amir Ali Ganji Dr. Anthony A. Gardiner Dr. Joel Gardner Dr. Nathan E. Gelder
Dr. Michael George Dr. Saman R. Gharai Dr. William D. Gilbert II Dr. Albert C. Goerig Dr. Mark R. Grace Dr. Kristina Grey Dr. Molly A. Gunsaulis, Dr. William M. Hairfield Dr. Charlie V. Hall Dr. Stephen W. Hansen Dr. Lowell W. Hanson Dr. David Haralson Dr. Craig Harder Dr. J. Michael Hardy Sandy & Steve Hardymon Joline Hartman Dr. Garth W. Hatch Dr. Bruce P. Hawley Dr. Christopher W. Herzog Dr. Timothy A. Hess Dr. Sally J. Hewett
Dr. Gary E. Heyamoto Dr. Dennis L. Higgins Dr. Jason L. Hilde Dr. Sarah Hill Dr. Kenny K. Ho Dr. Steven D. Hokett Dr. Tomas E. Holbrook Dr. Susan M. Hollinsworth Dr. Charles A. Holtorf Dr. Denny W. Homer Dr. Karen E. Homitz Dr. Jeffrey R. Hood Dr. William E. Hooe Dr. Dennis L. Hoofnagle Dr. Jack Hou Dr. David E. Houten Dr. Daniel J. Hovorka Dr. Michael W. Huey Dr. Brian S. Hughes Dr. George R. Hussey Dr. John M. Iasella
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Dr. Todd R. Irwin Dr. Susan J. Isaacson Dr. Louis Isquith Dr. Donald M. Jayne Dr. Mary S. Jennings Dr. Spencer S. Jilek Dr. Andrew M. Johnson Dr. Barton S. Johnson Dr. Christine M. Johnson Dr. Mark A. Johnson Dr. Michael W. Johnson Dr. Robert E. Johnson Jr. Dr. Robert L. Johnson Jr. Dr. Craig P. Johnston Dr. Brian Juel Dr. Mark Kadoshima Dr. Paul S. Kahlon Dr. Barry W. Kaimakis Dr. Thomas C. Kang Dr. Heidi K. Kanning Dr. Kevin K. Kay
Dr. Daniel W. Kaylor Dr. Stephen Kern Dr. Timothy S. Kim Dr. Kevin A. King Dr. Robert H. King Jr. Dr. Edward C. Kleffner Dr. Rory A. Knapp Dr. Carol A. Knaup Dr. Douglas J. Knight Dr. Robert L. Knudson Dr. David A. Kosa Dr. Louis F. Kramp Dr. Silvia La Rosa Dr. W. Kurt Labberton Dr. Thomas J. Laney Dr. Gary D. Lange Dr. Bernard J. Larson Dr. Lawrence R. Lawton
continued on next page
wohf news 2013 wohf golf classic, phone a thon donors
Thanks to our Sponsors: The annual WOHF Golf Classic raises money for Foundation programs with Boys & Girls Clubs around the state. Special thanks to the following event sponsors: AmericanWest Bank, Constantine Builders, Inc., Stuart Silk Architects, WDIA, and Lynnwood Honda. The Foundation would also like to thank the following hole sponsors: Enterprise Rental Car, Aurum Ceramic Spokane, Nakanishi Dental Laboratory, Dental Group LLC, Guardian Dental Insurance, Henry Schein Dental, Patterson Dental Supply, Inc., P & G Crest Oral-B, Senzacare, NORDIC, Dentist Management Corporation/Daisy, and Schwartz Brothers Restaurants.
Photo this page by Tom Tidyman
wohf news 2013 wohf golf classic, phone a thon donors
2013 Component Cup winners from Seattle-King County Dental Society, left to right: Drs. Robert Walker, Steve Olson, Steven Kwan and Edmund Kwan
2013 WOHF PHONE-A-THON DONORS
Dr. Christopher LeCuyer Dr. Jean E. Leconte Dr. Aaron J. Lemperes Dr. James E. Leonard Dr. Paola Leone Dr. Edwin M. Leung Dr. D. Andrew Lewis Dr. Jeffrey C. Lingenbrink Dr. Kenneth K. Lo Dr. Jared Lothyan Dr. Peter Lubisich III Dr. Joseph L. Luchini Dr. James M. Lukacs Dr. Elizabeth K .Lyons Dr. W. Jason Madsen Dr. Brian E. Mahoney
Dr. Victor W. Mak Dr. Christian P. Manley Dr. Thomas S. Maring Dr. Melissa D. Marr Dr. Thomas O. Marxen Dr. D. Cody Mast Dr. Martin J. Matovich Dr. Patrick J. McCoy Dr. Shawn R. McDevitt Dr. Keith E. McDonald Dr. Roger G. McKee Dr. Ryan P. McNamara, Dr. Bradley P. McPhee Dr. M. Eric McRory Dr. David S. Mehlhaff Dr. Rex A. Menke Dr. Eric P. Messinger Dr. Lane M. Meyer Dr. Dale E. Miller Jr. Dr. Daryl W. Miller
Dr. D. Kent Moberly Dr. John W. Moore Dr. Darcie L. Morris Mount Baker District Dental Society Dr. Michael J. Mulick Dr. Garry L. Myers Dr. George F. Naden Dr. Richard W. Nash Dr. Jack E. Neal Dr. Michael J. Neary Dr. Robert B. Nevin Dr. James Ng Dr. Thai V. Nguyen Dr. Thoa V. Nguyen Dr. Martin J. Nigrelle Dr. Mostafa Norooz Dr. Gerrarda C. O’Beirne Dr. Daniel N. O’Brien Dr. Robert L. Odegard
Dr. David L. Olausen Dr. Gary R. Olson Dr. Kathrine A. Olson Dr. Richard H. Olson Dr. Gary L. Ostenson Dr. Marvin J. Osterhout Dr. M. Scott Ostler Dr. Dana E. Otterholt Dr. Victoria Tucker Otterholt Dr. Ardon L. Overby Dr. Russell F. Paravecchio Dr. Christopher Parkinson Dr. Jeffrey L. Parrish Dr. Raman Patel Dr. Mark Christopher Paxton Dr. Alan L. Peet Dr. Jason P. Pehling Dr. Blake J. Perry Dr. David G. Petersen Dr. James T. Petersen
Dr. Jeromy A. Peterson Dr. Kurt Peterson Dr. Lorin D. Peterson Dr. Ralph G. Peterson Dr. Gerald S. Phipps Dr. Theodore F. Pilot Dr. Jeffrey R. Prager Dr. Don H. Pratten Dr. Steven Prince Dr. Gregory L. Psaltis Dr. Larry J. Quesnell Dr. Thomas R. Quickstad Dr. Scott W. Ralph Dr. James W. Reid Dr. Shana L. Reidy Dr. James Ribary Dr. Stuart H. Rich Dr. Jansen Richins Dr. Jacob J. Ridl Dr. Doran J. Riehl
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We called, you answered, emphatically. Thank you! Dr. Phillip Roe , MS Dr. Tom S. Rohdy Dr. Bryan K. Roos Dr. Robert L. Rose Dr. Scott T. Rowley Dr. Gregory A. Royack Dr. Benjamin D. Ruder Dr. Frank P. Rudey Dr. Philip L. Rudy Dr. Richard A. Rydman Dr. Gordon A. Sako Dr. Yasaman Sanai Dr. Shahrzad Sarram Dr. Jeffrey A. Schur Dr. Steven G. Schwager Dr. Brian T. Shaffer Dr. Dana R. Shaltry, Dr. Peter A. Shapiro Dr. Patrick Sharkey Dr. Robert R. Shaw
Dr. Gary M. Shellerud Dr. David J Sherrard Dr. Sherwin R. Shinn Dr. Goichi Shiotsu Dr. Jim V. Siemens Dr. Richard E. Sipes Dr. Catherine A. Smith Dr. Curtis F. Smith Fredda Smith Dr. Alan C. Snodgrass Dr. Ronald K. Snyder Dr. Scott L. Soderstrom Spokane District Dental Society Dr. Kathleen A. Stambaugh Dr. Mark W. Stivers Dr. Geoffrey Strange Dr. Jennifer A. Strelow Dr. Ashoka Subedar Dr. Kyle D. Sullivan,
Dr. Benjamin C. Sun Dr. Kris K. Swanson Dr. Kurt R. Swanson Dr. Thomas P. Sweeney Dr. Aaron M. Swenson Dr. Vern H. Swenson Dr. Larry G. Swisher Dr. Robert E. Tanner Dr. Audrey K. Tatt Dr. Amanda L. Tavoularis Dr. Patrick E. Taylor Dr. Ashley S. Tercero Dr. Nicholas R. Thompson Dr. E. Randy Tierney Dr. Charlie E. Toillion Kainoa Trotter Dr. Richard V. Tucker Dr. Richard D. Tucker Dr. Geoffrey T. Tupper Dr. Steven J. Urback
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Dr. Henry J. Vasquez Dr. Gregory A. Vaughn Dr. George J. Velis Dr. Michael C. Velling Dr. Trevor Veltkamp Dr. David S.Verschueren Dr. Richard A. Volwiler Dr. Steven D. Waite Dr. Mark V. Walker Dr. Robert A. Walker Dr. Douglas P. Walsh Katherine J Walsh Dr. Patrick J Walsh Dr. Charles H. Walter Dr. Donald T Walters Dr. Timothy E. Wandell Dr. Danny G. Warner Dr. Michael R. Warner Dr. Thomas F. Weiler Dr. Rodney B. Wentworth
Dr. Steven W. Widman Dr. Jerold C. Wilde Dr. Daniel E. Wilson Dr. Amy M. Winston Dr. Robert C. Woo Dr. Collins Woodside Dr. Leah D. Worstman Dr. Kathryn C. Wright Dr. Rolf M. Wuerch Dr. Andrew J. Wyman Dr. Justin H. Yeates Michael Yoo Dr. Carrie K. York Dr. John D. Young Susan Young Dr. Paul J. Zosel
wohf news 2013 wohf golf classic, phone a thon donors
Photos this page by Meryl Schenker Photography
Outgoing WSDA President Dr. Danny Warner (top left), President-elect Dr. David Minahan (right) and WSDA staff (left to right): Executive Director Steve Hardymon, Director of Insurance Matt French and Vice President of Government Affairs Bracken Killpack
pndc news 2013 pndc in pictures
In pictures:
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pndc news 2013 pndc in pictures
It was a year of firsts at the 2013 Pacific Northwest Dental Conference (PNDC) — from a new host city (Bellevue, Wash.) and all-new venues, to our first evening session and our first BOTOX® workshop, there were many reasons to attendees to get excited. And while there were a few minor hiccups, they were quickly handled by the crack PNDC team — members of the Committee on PNDC, WSDA Staff, event volunteers, and conference partners GES, the Hyatt Regency Bellevue, and the Meydenbauer Center. “We already know what to tweak for next year,” said Tran, who schedules an immediate meeting following every PNDC to look at what can be improved. Ultimately though, the PNDC is all about quality education at a reasonable price by some of the nation’s foremost educators — and between homegrown stars like Dr. Tim Hess, and national powerhouse Anna Pattison, the PNDC served up some sweet values. Of course, all work and no play makes Jill a dull girl, so we threw in a fabulous Welcome Reception with food and beverages to get the Conference started, and offered Pilates and Yoga to help burn off some extra calories!
pndc news 2013 pndc in pictures
From cosmetic dentistry to embezzlement — and everything in between — the PNDC offered plenty of diversity to satisfy everyone’s thirst for highquality continuing dental education!
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pndc news 2013 pndc in pictures
Having fun is a huge component of the PNDC — whether it’s free drawings, humor in lectures and workshops, or a big smile from the Washington Oral Health Foundation’s Science Fair winner!
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pndc news 2013 pndc in pictures
Who knew moving so many people could work so seamlessly? The quick bus ride gave attendees a little time to rest their feet and plan their next move — Another workshop? A free latté? A visit to the Exhibit Hall? Yes, yes, and YES!
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legislative update legislative session closes
Six-month legislative session closes After six months, the 2013 legislative session — a combination of a 105-day regular session and two special sessions — has come to a close. All told, WSDA had a successful session in advancing solutions for dental access and maintaining patient safeguards. WSDA worked with legislators to restore funding for adult dental Medicaid, sustain the state’s impaired practitioner program, improve access to preventive care for home-bound patients, resolve a technical issue with dental staff placing topical anesthetic, strengthen the state’s health practitioner loan repayment program, and prevent the creation of unsupervised dental practitioners with the ability to diagnose. The House and Senate came to a compromise and passed a 2013-15 Biennium Operating Budget only two days before state government would have been forced to shut down. The final $33.6 billion budget includes $1 billion in new court mandated K-12 education funding, a 12 percent funding increase for higher education, and very little revenue generated from new taxes.
State Restores Adult Dental Medicaid and Expands Medicaid Eligibility
The 2013-15 Biennium Budget passed by the legislature includes funding for a comprehensive dental benefit for all Medicaid-eligible adults. Adult dental Medicaid funding will be restored on January 1, 2014. Most Medicaid-eligible adults currently only have access to emergent care. For three years, Medicaid has only provided 38,000 of the states nearly 500,000 Medicaid-eligible adults with a comprehensive dental benefit. Funding for adult dental Medicaid was included in the budgets developed by the Governor, House, and Senate, though at different levels. Initially, the Governor’s and the House’s budgets provided funding to fully restore the dental Medicaid budget to pre-2011 levels, while the Senate’s budget partially restored dental funding for preventive care and dentures. The compromise budget passed in late June fully restored the dental benefit. The legislature also decided to expand Medicaid eligibility to more low income adults. Under the Affordable Care Act, states have the option to expand Medicaid eligibility to all adults who earn less than 138 percent of the federal poverty level. Initially, the federal government will pay 100 percent of the cost of Medicaid benefits for this expansion population. The federal match eventually drops to a 90 percent match in a few years. Restoring a comprehensive dental benefit for the existing
Medicaid-eligible adults allows the state to also provide a comprehensive dental benefit for adults who are newly eligible for Medicaid under Medicaid expansion Restoration of adult dental Medicaid funding will also have a very positive impact on the state’s community health centers, dental residency programs, and the University of Washington School of Dentistry. Medicaid funding is a significant source of revenue which allows these programs to provide dental access to many of the state’s most vulnerable populations. Currently, dental treatment provided by these programs to Medicaid-eligible adults is done without compensation or on a sliding fee schedule based on a patient’s ability to pay. Reinstating adult dental Medicaid funding is the result of persistent advocacy by legislators from both parties and several advocacy organizations. Special recognition must be directed towards the lobbyists and organizations in the Coalition to Fund Dental Access. This coalition was co-created in 2007 by the WSDA, and now includes University of Washington School of Dentistry, Solid Ground, Washington Association of Community and Migrant Health Centers, Poverty Action Network, Washington Dental Service Foundation, Children’s Alliance, Washington State Dental Hygienists Association, and many other organizations.
B&O Tax Surcharge on Dentists Expires
Dentists and several other professions will be paying a lower B&O tax in the 201315 biennium. During the recession, the Legislature added a temporary .30 percent surcharge on the B&O tax paid by many professional businesses to reduce budget cuts to the state’s operating budget. Initially, House Democrats wanted to make the B&O surcharge permanent but ultimately decided not to pursue this option. During the session, WSDA joined with the Recover Washington Coalition to oppose the permanent extension of the surcharge. DentPAC provided funding to the group to help with an advocacy media buy on the issue.
DQAC Adopts Rules for Dental Anesthesia Assistants
In June, the Dental Quality Assurance Commission (DQAC) held a public hearing and formerly adopted rules to begin certification of dental anesthesia assistants. Legislation passed in 2012 authorized DQAC to develop rules for approving training programs, renewing and issuing credentials, and continuing education requirements for dental anesthesia assistants. DQAC has been in the process of writing rules for dental anesthesia assistants since March of
2012. Credentialing of dental anesthesia assistants is expected to begin later this year. Under the adopted rules, dental anesthesia assistant applicants must complete the Dental Anesthesia Assistant National Certification Examination (DAANCE), the Oral and Maxillofacial Surgery Assistants Course provided by the California Association of Oral and Maxillofacial Surgeons, or a “substantially equivalent education and training approved by the commission.” Training must include eight hours of didactic training, including intravenous access, anatomy, technique, risks and complications, and hands-on experience starting and maintaining intravenous lines, with at least ten successful intravenous starts on a human or simulator. Once certified, dental anesthesia assistants may only be supervised by an oral and maxillofacial surgeon or dental anesthesiologist who holds a valid Washington state general anesthesia permit when performing the functions of a dental anesthesia assistant.
Continuing Education Audits
This year, the Dental Quality Assurance Commission (DQAC) resumed audits of dentist’s continuing education. Every month, DQAC staff randomly selects between 10 and 30 dentists who have renewed their dental license that month and asks them for their continuing education documentation from the previous year. Dentists in Washington state are required to complete 21 hours of continuing education each year (WAC 246-817-440). If you are required to undergo an audit, you will need to submit documentation of your continuing education. If any of your CE was completed at the PNDC, a component society event, or any other event where you scanned your WSDA membership card with a WSDA scanner, then the only documentation you need for these CE credits is a printout of your CE credits from The Source. To access your CE records, login using your last name and your WSDA ID number and select “Continuing Education Credit Tracking.” On this page, all of your credits tracked through a WSDA CE scanner will be recorded in one section and all of your manually entered CE will be recorded in a separate section. CE that was not tracked through a WSDA scanner will require additional documentation such as a paper certificate of completion. Audited dentists who have not met the state’s CE requirements will be sent a notice of correction and be required to submit CE documentation for review the following year.
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Dr. Mary Jennings speaks at SAID Conference in Seattle
WSDA Editor Dr. Mary Jennings spoke on Health Care Reform at the recent Society of American Indian Dentists (SAID) conference in Tulalip, Wash. SAID is a national, non-profit organization comprised of oral health professionals and students dedicated to promoting and improving the oral health of the American Indian/ Alaskan Native community, and providing advocacy for the American Indian/Alaskan Native dental professionals across the US. The Conference was sponsored by the UW. Jennings, who is a member of the Chickasaw Nation, was asked to speak because of her expertise in the area of reform — having been a dentist or dental director in community health centers and clinics throughout Washington and Arizona, she has a keen perspective on the needs of underserved populations in the U.S. Also speaking at the event were representatives from Kellogg Foundation, still on message about midlevel therapists. Jennings noted that, while they were “heavy hitters, at least they want their therapists to be supervised and the dentist to be the team leader.” Additionally, the UWSoD’s Dr. Bea Gandara, UW dental students, and their community partners presented a “Toothtastic Dental Camp” for American Indian Youth.
National Dental Practice–Based Research Network Update
The National Dental PBRN is recruiting dental practitioners to participate in one of several clinical studies that will be implemented over the next few months. Enrolled dentists and hygienists will also be able to attend the Western Region’s annual meeting in Seattle this September 27-28 in Seattle. There is no cost to attend the meeting and meals are provided. Continuing education credits are available. Registration priority will be given to National Dental PBRN members that have completed network enrollment. The Network will soon launch the following studies, beginning with the Cracked Teeth Registry: • Cracked Teeth Registry, led by OHSU Drs. Tom Hilton and Jack Ferracane, involves 200-300 dentists nationwide (upto 50 in the Western Region) and 3,000 cracked teeth • Barriers and Facilitators to Isolation Methods During Root Canal Treatment, led by University of Alabama-Birmingham’s Dr. Wynne Norton, involves over 60 dentists/endodontists
• Suspicious Occlusal Caries Diagnosis and Treatment led by University of Alabama-Birmingham’s Dr. Sonia Makhija, involves 40 general dentists • HPV Screening in Dental Offices and Oral Cancer Prevention, pilot study led by Ohio State’s Dr. Maura Gillison, involves 20 general dentists and 1,000 patients • Communication Patterns Among Dental Practitioners, led by Dr. Wynne Norton, involves over 1,000 dentists To join the network or get additional information, visit their website: www.nationaldentalpbrn.org/index.php and click “Enroll Now.” After completing the enrollment questionnaire, you will be contacted by staff from the Western Region of the Network.
Oral Cancer Walk for Awareness
WSDA Member publishes children’s book
WSDA Member Blake McKinley Jr.’s book “Happy Tooth & Sad Tooth” has been getting some good press, including this piece in the Spokesman-Review: http://m. spokesman.com /stor ies / 2013/jun /11/ tooth-in-fiction/. McKinley penned the children’s book a decade ago, and has used it in school presentations, never thinking he would find a publisher. This year he did, and now you can buy it on Amazon.com and through the publisher. “Happy Tooth & Sad Tooth” would make a great addition to any pedo practice’s library, while supporting a colleague. Check it out today!
Hungate Teaching Award appeal
Dr. Mark Drangsholt of the UWSoD is currently collecting donations to create an affiliate (part-time) teaching award in Dr. Mitch Hungate’s name. Hungate, an accomplished athlete, died in an avalanche on April 13 in Snoqualmie, Wash. (see page 7 for his obituary). Hungate competed in triathlons and ironman competitions, and climbed many of the world’s greatest mountains — Aconcagua, McKinley, Kilimanjaro, Mt. Kenya, Pico de Orizaba, the Matterhorn, Mt. Blanc, Mt. Whitney, Mt. Assiniboine, and the major peaks in Wash. and Ore. — including Mt. Rainier, which he climbed more than a dozen times including two one-day ascents by different routes. Drangsholt, who competed with Hungate in triathlons, called him “an amazing competitor,” and noted that “We have the Rothwell awards for full-time faculty, but nothing for part-time, even though we have hundreds of them working every week at the UWSoD.” Funding the endowment requires a minimum of $50,000, and Drangsholt already has some major donors lined up. If you would like to contribute, please email Dr. Drangsholt at drangs@u.washington.edu.
The Oral Cancer Foundation Walk for Awareness-Seattle is a family-friendly fundraising event for the entire community. Please join the Oral Cancer Foundation — along with your colleagues, patients and friends — on Saturday, September 14, at Magnuson Park in Seattle, to learn about oral cancer and make a difference. The Washington State Dental Association has joined the fight against oral cancer by agreeing to be a Platinum-level sponsor of this important community event. Last year, the event had more than 300 participants and raised in excess of $60,000 for the Oral Cancer Foundation. This year, the Oral Cancer Foundation Seattle Walk for Awareness (formerly the Seattle Save the Face Race) will continue those efforts. The event will include free oral cancer screenings provided by Seattle area dentists and hygienists, a silent auction, food and beverages, speakers and more! All participants who register before Saturday, August 24th, will receive a walk tshirt that will be available for pick up the day of the walk. Participants signing up after Saturday, August 24th will receive a t-shirt if they are still available. Cost is Wyoming public Health position open $20 for students, $25 for walkers to pre- The Wyoming Department of Health is register, $30 day of the event. Oral cancer seeking applicants for a Public Health Oral survivors and children five and under are Health Program Manager and State Denfree. Children ages six to ten are $10. tist. This is a great opportunity for some For information and to register, vis- one with a public health degree or expeit here: http://donate.oralcancer.org/ rience and a Wyoming dental license to i n d e x .c f m? f u s e a c t io n = do norD r i v e. build a program from the ground up! event&eventID=562. The link below will take you to the Wyo All proceeds will benefit the Oral Cancer ming Department of Health’s Jobs Website Foundation, a national public service, non- where you can find out more about this exprofit entity designed to reduce suffering and citing opportunity and instructions to apply. save lives through prevention, education, re- http://health.wyo.gov/main/hr/jobs.html. search, advocacy, and support activities.
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newsflash issue 7, july 2013
newsflash
Member Company: American Dental Sales Practice Valuation Study Group Institute of Business Appraisers
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Recently, the UWSoD named two chairs at the dental school — Dr. Thomas B. Dodson and Dr. Rebecca L. Slayton will chair the Department of Oral and Maxillofacial Surgery and the Department of Pediatric Dentistry, respectively.
Dr. Thomas B. Dodson
Dodson, most recently at the Harvard School of Dental Medicine, will begin Sept. 1, 2013, pending affirmation by the UW Board of Regents. Dodson will also become the School of Dentistry’s Associate Dean of Hospital Affairs. Dodson, who is Professor of Oral and Maxillofacial Surgery at Harvard, is also Attending Oral and Maxillofacial Surgeon and Director of the Center for Applied Clinical Investigation in the Department of Oral and Maxillofacial Surgery at Massachusetts General Hospital. “I am thrilled that Dr. Dodson has accepted this exceptionally important position for the School of Dentistry,” Dean Berg said. “His experience and talent in the many skills needed for this role will give us the leadership required to create the premier Department of Oral and Maxillofacial Surgery.” Speaking about his appointment, Dodson, who received both his dental degree and a Master of Public Health degree at Harvard, said, “I am impressed by the caliber of the people I’ve met and the enthusiasm everyone has for delivering the highest quality in patient care and education.” He continued, saying, “As the sole Oral and Maxillofacial Surgery academic program in the area, we need to be viewed as the OMS provider of choice for the most complex cases, as well as a resource for the broader community of oral surgeons.” Dodson completed his oral surgery training at the University of California-San Francisco (UCSF). After residency training, he completed a dental public health residency and a National Institutes of Health (NIH) fellowship in dental clinical epidemiology at UCSF. He has also served on the dental and public health faculties at Emory University in Atlanta, and serves as the associate editor of the Journal of Oral and Maxillofacial Surgery. Dodson is an active researcher with more than 100 journal articles to his credit. He has conducted influential work on assessing risk factors for complications following third molar extraction and implant placement. Other interests include evaluating risks and repair of nerve injury, management of giant cell tumors, and bisphospho-
nate-related osteonecrosis of the jaws. His research has also ranged far outside dentistry, including studies of the efficacy of mandatory seatbelt laws, oral surgical management of HIV-positive patients, and identifying markers for domestic violence. Since 2006, he has also been on the medical team and served as a game doctor for the Boston Bruins of the National Hockey League. He has won the Harvard dental school’s Distinguished Senior Faculty Award, and has twice won the Daniel M. Laskin Award for most outstanding article published in the Journal of Oral and Maxillofacial Surgery.
Dr. Rebecca L. Slayton
Slayton, who helped lay the groundwork for the University of Washington’s $21 million Center for Pediatric Dentistry before leaving the UW in 2008, will return to chair the Department of Pediatric Dentistry and direct The Center, Slayton, now professor and chair of pediatric dentistry at the University of Iowa, will take up her duties at the UW on March 1, 2013, pending approval by the UW Board of Regents. Dr. Slayton was at the UW from 2004 to 2008 as associate professor and graduate program director in the Department of Pediatric Dentistry. She served as chair of the School of Dentistry Faculty Council and on several committees, and was also interim clinical director of the Department of Dental Medicine at Seattle Children’s hospital from 2007 to 2008. From 2002 to 2004, she was chair of pediatric dentistry at Oregon Health & Science University. “Dr. Slayton is an outstanding clinician, teacher and researcher who fully understands the daily realities of both dental practice and education,” Dean Joel Berg said, “She is a model communicator and problem-solver with a varied background that makes her ideally suited to lead our Department of Pediatric Dentistry through its growth, changes and challenges.” During her time at the UW, Slayton was research chair and director of the Early Childhood Oral Health Project. It was the precursor to The Center for Pediatric Dentistry, which opened in September 2010 at Magnuson Park. As the new chair, she will become The Center’s director and will hold the rank of professor with tenure, subject to review by the School’s Appointments, Promotions and Tenure Committee. The Center, which opened in September
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Dodson
Slayton
2010, combines clinical care, education and research, with a focus on early-childhood dental visits starting at age 1. The facility provides a full range of pediatric dental services, and is specially designed to treat patients with special needs up to age 21. Slayton holds a BA in biology from Earlham College and an MS in engineering, a DDS, a certificate in pediatric dentistry and a PhD in genetics, all from the University of Iowa. Her current appointments include consultant to the American Dental Association’s Commission on Dental Accreditation and ad hoc reviewer for several leading dental journals.
uw news department chairs named
UW welcomes Department Chairs
“I am impressed by the caliber of the people I’ve met and the enthusiasm everyone has for delivering the highest quality in patient care and education.” — Dr. Thomas Dodson
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In our continuous effort to bring more value to your membership, the WSDA held its first Job Fair on Friday, May 3. The event was designed to match member dentists with employment or purchasing opportunities to those members with complimentary needs — either seeking to purchase a practice, or obtain an associateship — without the expense of going through a transition company. The evening was broken down into tenminute interview sessions, allowing participants to meet with as many as 12 different hiring/selling dentists over the course of the event. Dentists brought some 25 opportunities to the table, and in turn, they met with member dentists and graduating UW students who were seeking employment or a career transition. Dr. Don Koontz — one of the dentists looking for an associate — heard about the Job Fair through the email campaign for the event. Koontz was impressed, noting, “I thought it was very well planned and I was especially impressed by the quality of young dentists I met at the event. I interviewed eight or ten at the Job Fair, and further interviewed six candidates after the event.” One of those he interviewed was Dr. Katie Jankow, whom he ended up hiring. Koontz commended the WSDA on the Fair, noting that the planning and execution
was professionally done and that he would recommend continuing the service in the future. For Jankow, who also spoke with a similar number of hiring dentists during the evening, the Job Fair was a home run — she explains, “It was great to talk to dentists who are actually looking. Sending in your resume to an ad is so impersonal, and it is hard to connect with employers. I found an associateship with a great dentist I would have never met otherwise. I am so grateful and so excited to start working!” Jankow noted that there seemed to be a lot of variety among the hiring dentists — some wanted a person with more experience, others were happy to hire directly out of school. Additionally, she explained that she was having trouble connecting with dentists who were actually hiring before the event. “This,” she said, “Was the best way to find a job.” Another dentist looking to hire an associate was Dr. John Barrett. Like Koontz and Jankow, Barrett heard about the Job Fair through the email campaign and was excited to participate. He was interested in seeing who was available because, at 67, retirement is in his near future. Barrett hoped to find someone to build the practice with him, and ultimately, take it over. He spoke with two candidates at the event, both of whom he described as “very promising.”
Welcome new members Benton-Franklin Counties Dental Society Dr. Dr. Dr. Dr. Dr.
David Butler Gregory Dorsett Noah Frerichs Tyson Teeples John Wilson
Clark County Dental Society Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Marwan Adjaj Dennis Gillespie Jennifer Hough Eric Kim Kala Madugula Jason Murray Randy Reese J. Kevin Schow Christina Tran
Grant County Dental Society
Dr. Kasey Coulson Dr. Ronald McHargue
Kitsap County Dental Society
Dr. Michael White
Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
North Central District Dental Society
Seattle King County Dental Society
Dr. Lisa Arthur Dr. Melissa Spaulding
Lewis County Dental Society
Dr. James Webb
Pierce County Dental Society Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Amrinder Bahia Tiffany Bass Diantha Berg Paul Bryan Daniel Crossen Cheri Dunham Jennifer Fields Jennifer Granlund Moona Khan Lily Kwee Keane Lindblad Anthony Nguyen
Jeanine Nordeen Craig Smith Karl Smith Jinju Song Mark Stahl Conway Upshur Joshua Walker Jordan Zingerman
Dr. Jae Ahn Dr. Paul Alota Dr. Joseph Ardizzone Dr. Whitney Bator Dr. Shelby Beattie Dr. Daniel Bickel Dr. Donald Blair Dr. Elena Borodyansky Dr. Jordan Brenner Dr. Jared Cottam Dr. Brittany Dean Dr. Thomas Dodson Dr. Charmaine Felix Dr. Hilarie Galloway Dr. Melinda Lam Gershony Dr. Michael Giardino
Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Please join WSDA in welcoming the following new members into the community of organized dentistry
Ryo Hosaka Peichi Hsu Min-Hsiung Huang James Javier Brandon Johnson Sarah Khan Timothy Kim Christopher Kindem Jaehoon Lee Kwansoo Lee Tyler Lee Allison LeGendre Joseph Lin Karen Lovato Junping Ma Joseph Madson Marcus Miller Mike Mirsepasi Majed Moawad Sean Monaghan Sofia Petrov Malavika Prasanna Matthew Richards Juan Carlos Salazar Katherine Sloan Brian Sohn Byungkyu Son John Sorensen Jeffrey Stonebraker
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And, while he expected to find mostly candidates just out of school, he was happy to find just the opposite — both of the dentists he interviewed had some years under their belt. “I thought it was nice to be able to find people who were looking for what I had to offer without having to go through a lot of hassle and expense,” he said, “It was fortuitous and serendipitous to have an event like this one — I feel like I was in the right place at the right time, and I really appreciate that.” Barrett’s practice is in a rural setting (watch next month for a piece on the RIPP program, which Barrett recently participated in), and he notes that “It seems like a lot of students right out of school are more interested in the big city and booming practices, “ he said, continuing, “But our situation isn’t like that - our practice waxes and wanes, and we do well over the long haul, but we have ups and downs.” Barrett feels that he was lucky to “hit the jackpot” at the event, and would recommend future Job Fairs to colleagues, noting that it was a great member benefit. At press time, more offers were in the works because of the program, and we’ll report on those in future issues. Thanks to all who participated in making the event successful!
Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Elham Tabaraie Daniel Tremblay Carrie Tsai Rolanda Ward Brian Williams Stefanie Yi Ju Yon Yi
Snohomish County Dental Society Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Ryan Etue Holly Eydenberg Yogesh Goel Nidaa Hamza Theodore Hennessey Ting-Jen Ji David Kavanagh Mary Lungren Muhammad Nazir Michael O’Neil Charles Spriggs Bing Wan
Spokane District Dental Society Dr. Alicia Burton Dr. Mark Henning Dr. Ryan Love
Dr. Naim Shar Dr. Jonathan Smith Dr. Brett Startin
Thurston-Mason Counties Dental Society Dr. Dr. Dr. Dr. Dr. Dr.
Daniel Choi Rickey Jude Lauren LaBuwi William Marchant Nathan Morgan Ross Sapp
Walla Walla Valley Dental Society
Dr. Rachel Deininger Dr. Jaxon Hoopes Dr. Chad Ordelheide
Yakima Valley Dental Society Dr. Dr. Dr. Dr. Dr. Dr.
Adina Andonie Patricia Labbee Robert Moon Katherine Patry Donald Sunde Nathan Watkins
membership job fair, new members
First WSDA Job Fair hits the mark
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Many dentists and their staff are unsure how healthcare reform will affect their existing group or individual medical coverage while others are unsure how to get health insurance if they currently have none. Washington Dentists’ Insurance Agency (WDIA) is ready to help answer your questions about what to expect with healthcare reform and help you obtain medical insurance for you, your family and your staff. As of January 1, 2014 all Americans will be required to have medical insurance. DO NOT WAIT: apply for coverage in October for a January 1 start date. • As a small business owner, you are not required to offer group medical coverage to employees. • If applying for individual medical insurance, you must enroll during the open enrollment period from October 1, 2013 - March 31, 2014. • Each state is creating an “Exchange” as a marketplace, where small groups and individuals can purchase medical insurance. You can purchase medical insurance either on or off the Exchange. • WDIA can help you purchase medical insurance on and off the Exchange. If you currently have a group medical plan for your office, your current plan and benefits will remain the same until your 2014 renewal. At that renewal, your current plan will no longer be available and your carrier will have new plan options available with which to renew. You can also look at plans available from other carriers both on and off the Exchange (at this time, Kaiser Permanente is the only small group carrier offering plans on the Exchange). If you currently have an individual medical plan, your current plan and benefits will no longer be available as of January 1, 2014 (unless you have a grandfathered plan). Your carrier will have new plans available onto which they will transfer you. You can also look at plans available from other carriers on and off the exchange. If you would like to start a group medical plan for your office, you can purchase a plan on or off the Exchange at any time (at this time, Kaiser Permanente is the only small group carrier offering plans on the Exchange). Please contact WDIA and we will help you obtain group medical quotes. If you need to purchase individual medical coverage, you must sign up during the open enrollment period beginning in October for a January 1, 2014 start date. You may purchase coverage on or off the Exchange. Tax credit and subsidies may be available if you meet eligibility and if you purchase on the exchange. Please contact WDIA at 800-282-9342 or info@wdiains.com for assistance in applying for group or individual medical coverage and for more information on what to except with healthcare reform.
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Matthew French Director of Insurance Services WDIA
“Washington Dentists’ Insurance Agency (WDIA) is ready to help answer your questions about what to expect with healthcare reform and help you obtain medical insurance for you, your family and your staff.”
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Regardless of changes in economic, global, political or tax environments, you will encounter shifts in your wealth management needs as your life evolves. It is important to have corresponding strategies in alignment with these accumulation, protection and distribution stages of your investment lifecycle.
Total Return Strategies – A powerful way to invest
As your investment lifecycle begins, your time horizon is typically long, your primary goal is asset accumulation and, as risk and return are related, you generally can afford to take greater risk to reap more incremental investment reward over time. A total return strategy seeks specifically to deliver betterthan-index (and market) risk-adjusted returns in support of your long-term accumulation objectives while accommodating your identified risk tolerance profile. It is important to recognize that one size does not fit all. Each investor presents with unique financial goals, a personalized life vision, specific investment expectations and personal circumstances that will play out differently over time – in both planned and unexpected scenarios. Your portfolio – whether a single strategy or a combination of strategies – is best managed, reviewed, rebalanced and updated on a regular basis in order to meet your specific, and perhaps changing, needs and profile. What characteristics should you look for in a total return strategy? First and foremost,
it should incorporate academically verified risk premium weightings that tilt toward specific asset classes (i.e., small versus large, value versus growth, and momentum stocks) that allow for incremental return to be optimized for a defined level of risk. Furthermore, the strategy should integrate extreme diversification both across and within asset classes. Asset class diversification has been academically proven to be the single best means of decreasing risk in your portfolio. Broad diversification also provides a more reliable and sustainable method to systematically isolate, capture and compound incremental return over time. Finally, the use of institutional-class mutual funds to execute the portfolio strategy, available through a Registered Investment Advisor like Mercer Advisors, is of longterm benefit to an investor. In addition to providing true asset class purity and noncorrelated performance, these funds also offer significant economy of scale with regard to trading efficiencies and lower operating, research and other internal costs.
Defensive Strategies – A proactive protective approach
Capital preservation is a foundational tenet during each phase of your investment lifecycle. However, at certain times in life, protecting your assets from volatile market downturns may become as important an investment objective as the generation of incremental return. A change in earnings or expenditure flow
th e wsda ne w s · issue 7, july · 2013 · www.wsda.org · 31
(planned or unexpected) or the need to draw regular distributions from an investment portfolio will precipitate the need to focus on attempting to reduce downside portfolio risk. While factoring in adjustments for reduced downside potential, it is important to allow for continued asset accumulation in accordance with newfound risk parameters. Integrating a defensive strategy into your portfolio, as opposed to simply reducing the stock exposure within a total return strategy, allows you to maintain protected exposure to equity markets in order to reap some of the gains available in upward stock markets. A defensive strategy integrates a sophisticated risk management methodology of combining tactical alternative and hedging strategies, including Managed Futures, Low Beta stocks and Risk Parity, with more traditional risk premium investing and broad diversification techniques to mitigate the impact of market volatility on a portfolio’s capital. As such, it can provide buffering value during down markets through the use of low-correlated alternative investment choices while still providing opportunity for targeted similar-to-market returns over time through continued presence in the stock market.
Income Strategies – Tactical income sources
Income strategies can play a vital role in continued on page 33
the source: mercer advisors a lifelong approach to investing
A lifelong approach to investing
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any investment lifecycle phase. When included in a total return or defensive strategy, an income strategy serves as a more aggressive alternative for the overall portfolio’s fixed income allocation. As you enter the distribution phase of your investment lifecycle, the long-term perspective still matters as you could easily be facing a 30+ year timeframe for retirement. The most significant difference in this phase is the fact that your portfolio undergoes the shift from accumulation instrument to distribution vehicle. Income strategies can provide a broad range of yield opportunities during low interest rate environments; they also proactively position your income investments against the negative impact of rising interest rate environments. A Global Income Strategy, best suited for clients who are able to tolerate some fluctuation in principal, seeks to maximize yield using extremely varied income sources, including weightings in short-term, intermediate-term and high yield bonds, emerging markets debt, preferred stock, call writing, senior secured loans and real estate income, in addition to the more traditional incomegenerating vehicles of stock dividends and
bond coupon payments. Total bond strategies, of particular interest to those with a strong aversion to market volatility, seek to generate a consistent source of income specific to a non-taxable or tax-managed account objective. All exposure to equity risk is eliminated through these bond-only strategy options – resulting in more protection for portfolio principal while generating consistent yield.
Tax-managed and tax-efficient strategies
During each investment lifecycle phase, it is important to remain vigilant about tax management and sheltering initiatives within the context of ever-changing tax law to ensure that your assets are subjected to the least amount of taxation possible. There are tax-managed strategies available which provide tax mitigation at both the security and the portfolio level. Again, of particular value are specific institutional tax-managed equity funds (vetted and chosen for their high degree of asset class purity) that employ complex and tactical stock swapping, tax-loss harvesting and dividend avoidance measures in order to shelter assets from unnecessary tax consequence. At
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the portfolio level, it is imperative that extensive periodic reviews be conducted for your entire portfolio to identify and take advantage of rebalancing opportunities that present prudent tax-mitigating benefits. Tax-efficient strategies seek out the most effective vehicles to achieve our asset-optimized strategies. It is for this reason that we utilize municipal bonds. Municipal bonds provide tax-free income at the federal level and a number of states offer tax-free options at the state level for primary residents. For more information regarding the full suite of Mercer Advisors investment strategies and comprehensive wealth management services, please contact Yolanda Carbajal, CFP®, at the Mercer Advisors Bellevue branch office at 888.642.4636 or via email at yolanda.carbajal@merceradvisors. com. Mercer Global Advisors Inc. is registered with the Securities and Exchange Commission and delivers all investment-related services. Mercer Advisors Inc. is the parent company of Mercer Global Advisors Inc. and is not involved with investment services.
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the source: mercer advisors a lifelong approach to investing
mercer advisors, continued from page 31
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In 2009, the Pacific Coast Society for Prosthodontics honored Dr. Smith with its Fred Gulick Distinguished Life Member Award. He and Rhobie were married for 61 years until her passing in 2008. Daughter Gretchen passed away in 2010. Survivors include three children and their spouses, Laurie Smith of Lake Forest Park, Jerry Smith and Sherry Wartelle of Redmond, Jennifer and Daniel Vradenburg of Issaquah; five grandchildren, Emily and Lindsey Smith of Redmond, Nicholas and Alison Vradenburg of Issaquah and Kimberly Newman of Bellevue; and several nieces and nephews.
Dr. William Wallace Miller
William Wallace Miller passed away February 3, 2013. He was 91. Miller graduated from Stanford University and the College of Physicians and Surgeons Dental School in San Francisco in 1947. He married Neva Campbell in Petaluma, Cal. in 1945. He practiced for 45 years in Aberdeen, Wash. He enjoyed spending summer with his family on Flat Read Lake in Mont., traveling, playing golf and the piano. Survivors include his wife of 67 years, his children Janet, Bill and Mel. His brothers James and Charles and numerous nieces and nephews.
Dr. Leonard Daniel Sullivan
Born May 27, 1941 in Seattle; Sullivan died March 19, 2013 Sullivan is survived by Karen, his loving wife of 43 years; his children, Kevin (Margaret) and Kristina (Matt); grandchildren, Daniel, Norah, Henry and Liam; his brother, Dennis (Nancy) and family. Leonard was a graduate of O’Dea High School Class of ‘59, Seattle University and Dental School at Creighton University. He practiced in Burien for 37 years.
Dr. James F. Quigley
James F. Quigley passed away on May 29th, 2013. He was 79. He was passionate about dentistry and volunteering in the community. Through 40 years of dentistry, he was compassionate and always striving for perfection. He was a member of Spokane Rotary #21 and chair of their disabilities committee for many years, and past president of Spokane District Dental Society. He was currently serving on the boards of Spokane Parks and Recreation and Morning Star Boy’s Ranch Foundation. He loved spending time with family and friends, especially if they involved being on or near the water. He is survived by his wife, Rose Marie, of 31 years; children: Michelle (Roy) Lange of Spokane, Colleen (Kraig) Knutzen of
Burlington, Jim Quigley, Norcross, GA, and David (Shawn) Quigley of Bothell; grandchildren, Tyler and Jake Knutzen, Kelly and Kyle Quigley, Taylor and Alexis Quigley and great-grandson Maddox Quigley.
Dr. Theodore M. Johnson
Dr. Johnson, a Tacoma pedodontist, died on Sunday, Feb. 3, 2013. He was 90. Johnson was born October 20, 1922, the second son of Albert and Ella Johnson. After graduation from Stadium High School, he attended the University of Puget Sound, then earned his degree in dentistry in 1946 at the University of Oregon. An enthusiastic golfer with his brother Bob, Dad served as president of Fircrest Golf Club in 1971. Dad is survived by many who loved him, including his wife Jere, son Ted Johnson Jr. (Laura), daughter Tonia Simpson (Brian), daughter Kristine Young (Bob); grandchildren Dana Simpson (David Brodbeck); Molly Albrigo (Kevin); Chip Johnson, Jere Ann Keefe (Drew); Adam Young (Gina); Rodger Johnson; Scott Simpson, great-grandchildren Keirin, Ava, Owen, Eli, Asher, Declan and Teddy, daughter-in-law Ann Johnson, and sisterin-law Betty Johnson;,and his little dog Polly. He was predeceased by his parents and his brothers, Dr. Robert Johnson and Albert Johnson Jr.
History of present illness:
This is a 13-year-old white male who presented for an emergency exam of a large swelling in the left posterior mandible and ramus area. The clinical examination revealed a palpable mass that was slightly painful and was described to have intermittent bleeding episodes. Teeth numbers 18 and 19 were slightly mobile. Patient states the problem started shortly before
the braces were placed and the problem became worse after the braces were placed. Panoramic radiograph showed an ill-defined radiolucency involving the posterior mandible (teeth numbers 17-19) extending superiorly into the ramus (Figure 1). The past medical history is negative. This “Clinical Corner” case was contributed
th e wsda ne w s · issue 7, july · 2013 · www.wsda.org · 35
by Dr. Robert Dixey of Eastside Oral and Maxillofacial Surgery, Bellevue, Wash
Test your knowledge!
An answer to this case study can be found on the University of Washington’s Web site at http://www.dental.washington. edu/departments/oral-surgery/case-of-themonth.html. Click on “Case of the Month” and look for the July 2013 entry.
clinical corner issue 7, july 2013
Ill-defined radiolucency; left posterior mandible and ramus
in memoriam continued
continued from page 7
letter to the editor hooe
Dr. Jennings, Serious challenges are confronting solo and small group dental practices. Third party payers have slashed reimbursement, corporate dental franchises are springing up like weeds, and the debt load facing prospective dental students certainly turns some of the best and brightest away from the profession. The national economy continues an anemic recovery- sputtering economic growth may simply be the new normal. Meanwhile, politicians push for ridiculous methods to address their perception of gaps in dental care to underserved demographics. WSDA has always led the charge in advocating what was in the best interests of dentistry and the citizens of Washington State. Many Washington dentists know at least one of the dedicated individuals that have served on the WSDA Board. We are indebted to the time and energy these dentists spend away from their practices and family, working on our behalf. Since we are practicing dentistry at the height of the information age, it is no wonder groups of passionate and motivated dentists search and review all sorts of data and come together on their own to discuss the changing landscape of dentistry. The midlevel provider issue turned out to be a lightning rod in 2012, especially when WSDA announced HD-13-2012 as a solution. The message from WSDA was that dentistry was on its own in opposition to the midlevel provider. The momentum of pro-midlevel legislators, backed by well-funded groups such as the Kellogg Foundation and the Children’s Alliance, was too much to overcome. Our lobbyists are considered dentistry’s eyes and ears in Olympia, and they were in agreement: The best we could do in 2012 was come to the table with our own midlevel provider bill. It was decided dentistry’s best hope was to preserve a level of supervision by allowing vocationally trained individuals the right to practice dentistry, but only in community health clinics with a dentist somewhere in the building. This was HD-13-2012, the bill proposed by WSDA as a compromise. Since we couldn’t beat them, join them. This sen-
timent is repeated in Dr. Mary Jennings most recent WSDA editorial, “Where’s the beef?” Regarding the midlevel provider, Dr. Jennings’s opines “… The bottom line is that none of us really think they are needed or will be cost effective. The problem is that we stand alone.” But recent events make it clear we are not alone. The patients in our practices scoff at the notion of a minimally trained technician performing dentistry. One patient was heard to ask if midlevel providers would be seen practicing in barbershops like “dentists” of the dark ages. Dental students have also been vocal in their opposition to the concept of a midlevel provider. Although their concerns may be influenced by the future of dental economics, the more timely and central issues on the mind of dental students are academics and training. Better than anyone, they know the rigors of comprehensive dental training and they find the concept of a vocationally trained dental provider unacceptable. Yoni Ahdut, a 3rd year UW dental student at the time, testified against midlevel provider bills in front of the State lawmakers at the House of Representatives. This brings us to our most important allies in the fight against midlevel providers. A group of state legislatures including Representative Cathy Dahlquist, Representative Richard DeBolt, Representative Joe Schmick, Representative Paul Harris, and Representative Mike Hope, have been outspoken supporters of dentistry in their fight against a midlevel provider bill. On Thursday, June 6th, these five State Lawmakers made the trip from Olympia in rush hour traffic, to attend an event hosted by a small group of dentists in the Seattle area. The banquet room was packed with Washington dentists and dental students. The crowd was as diverse as any dental function in the state. All listened with full attention as the Representatives explained their positions and pledged their continuing support against the very concept of a midlevel provider bill. Their perspective is simple- lawmakers should not be deciding who can practice dentistry. Only the den-
tal profession should be making such decisions. Clearly, we are not alone in the fight to provide all of Washington’s citizens with safe, high quality dental care. Collectively, the dentists of Washington State should thank these legislators, and the small and passionate group of dentists that reached out and engaged them face to face. This small group of colleagues took the issue by the horns and dragged it right to Olympia. These dentists refused to compromise their principles, and stood their ground in front of our State lawmakers. I applaud and thank our colleagues. They have gone above and beyond to engage our lawmakers and make dentistry better in Washington State. — William Hooe, DDS, MS Editor’s note: The comment made in the above editorial about “standing alone” was in reference to my May 2013 editorial titled “Where’s the beef?” My comment about “standing alone” was in reference to the fact that WSDA was (and remains) the only organization actively advocating against dental midlevel providers. WSDA applauds all member dentists who have organized and participated in grassroots fundraisers. In the past eighteen months, our members have hosted over a dozen fundraising events for federal and state candidates and political committees. HD-13-2012 was passed by the House of Delegates by a vote of 58 yes, 20 no, 1 abstain. This resolution gave the WSDA leadership the option of legislatively supporting a compromise for a supervised dental extender without the ability to diagnose. WSDA leadership ultimately decided not to exercise this option and has remained opposed to all dental midlevel provider legislation. A complete recounting of WSDA’s actions on dental workforce legislation can be found in the May 2013 edition of the WSDA News in the article titled “Evolution of policy: Midlevel providers” by WSDA President Dr. Danny Warner.
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Kids will spend 11 minutes dressing Spike up like a princess. How about two minutes to brush their teeth? Brushing for two minutes now can save your child from severe tooth pain later. Two minutes, twice a day. They have the time. For fun, 2-minute videos to watch while brushing, go to 2min2x.org.
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www.kitsapbank.com • 800-283-5537
3 8 · th e wsda ne w s · issue 7, july · 2013 · www.wsda.org
We are truly excited to announce changes to the Alliance of the Washington State Dental Association. We want to encourage all of you to participate in our programs and to continue to pay dues as they will help support our state dental community. The mission of the Alliance of the Washington State Dental Association is as follows: The Alliance of the WSDA is a volunteer organization that supports its members and values its partnership with the WSDA in advancing the oral health of the public. As an organization, the Alliance has re-evaluated and revised its programs to meet the needs of our state and communities. We have chosen to end our affiliation with the national Alliance, however, we encourage members to belong to the national organization on their own. The AWSDA will now use the majority of its dues to benefit the state of Washington.
As we begin the reorganization process, our goals for 2013-2014 include: • Statewide, we have created two new funds designated to offer grants for toothbrushes and to support local community dental programs. Each fund will have $5,500 available for grant applications. • Nationally, we will donate $1,500 to the Head-to-Toe Project in New Orleans at the ADA Convention. The AADA will be packing kits filled with hats, socks and dental supplies that will be donated to METRO, an agency serving abused women and children in New Orleans. This is a successful project that began at the Las Vegas ADA Convention and will continue at future ADA Conventions. You can participate by donating supplies or funds in New Orleans, or to AWSDA and we will pass them along. • The AWSDA will continue to prepare dental bags for Dental Action Day in January. WSDA members to legislators and staff distribute the bags as they visit to discuss dental issues. • The AWSDA will continue to donate to WOHF and DentPAC. As we start our new grant programs, we would like to encourage participation from everyone in the state. If you are looking to donate toothbrushes to a local organization near you, please apply for up to 500 toothbrushes by sending your name, organization or group to be served, and how many brushes requested to Susan Minahan at theminahan@ aol.com. An application will be sent to you after receipt of request. If you are looking for financial support for your dental education or dental well being project, please send your name, organization, scope of the project, who will be served. Grants from $500-$1,000 will be awarded. Send your request to Susan Minahan at theminahan@aol.com. An application will be sent to you after receipt of request.
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Mary Ellen Psaltis Alliance of the WSDA
“The Alliance has re-evaluated and revised its programs to meet the needs of our state and communities. We have chosen to end our affiliation with the national Alliance; however, we encourage members to belong to the national organization on their own.”
alliance news the new and improved alliance
The new and improved Alliance of the WSDA
Congratulations on the following successful transitions: Dr. Tulay Kent to Dr. Benjamin Yang & Dr. Joan Kuo Seattle, WA Dr. Ben An to Dr. Zachary Cargill Bellingham, WA Dr. Dennis Luiten to Dr. Rick Nash Burlington, WA
Northgate—NEW
Tri-Cities—NEW PRICE
Sandpoint, Idaho
North Seattle Perio Practice
Western Washington Area
Northgate
Well-established 4 op practice. Average annual collections $432K on 150 days per year. Digital x-ray, no insurance contracts. Space also for sale, if desired.
4 ops, good location, collecting over $400K, strong hygiene base.
East King County
8 ops, $1.7M collections, Net $650K+. Associate to purchase, 4 yr. term. Large office with private Dr’s office, lab, sterilization and break room. Large hygiene base, over $800K in hygiene.
4 ops in a well-established general practice. Just installed all digital! Strong hygiene but room to grow. Motivated seller. Great location with excellent visibility. Bldg. possible in the future. $438,000.
4 day week, 4 ops, 6 days per week hygiene with crown/bridge/implant. Stand alone building owned by practice. (Bldg purchase optional) Well established in community and prefers transition period. Great opportunity in a smaller community.
Well-established general practice in new building. 6 ops, private office, separate consult area and large staff room. Collections over $100K/monthly with net $500K. Seller will stay to assist transition. Newly listed. Very visible location. 3 ops. Digital. Collecting high $700K.
Associate to Purchase option Wenatchee Spokane
Coming Soon
Redmond
4 ops with availability for 3 more. Wellappointed, digital, nice view, located within minutes of Microsoft campus. Poised for growth, seller ready for quick transition. Great start-up opportunity.
Longview
Space Only Spokane
Congratulations to the following successful transitions: West Edge Dental Dr. Nicole Leiker To Dr. Jessica Emard South Seattle—PENDING
Affluent area, stand alone dental bldg, 5 ops, beautifully appointed, digital, x-ray, lots of room to expand
Renton—Re-Listed
2 ops, part-time practice, digital, recently remodeled
Redmond—Re-Listed
Coming Soon Kirkland
Space Only Edmonds Everett
4 large ops, room for 5th, currently 2 days a week, great location in downtown.
Poulsbo
4 ops, in the heart of downtown Poulsbo. Updated Medical/Dental complex
4 0 · th e wsda ne w s · issue 7, july · 2013 · www.wsda.org
OPPORTUNITIES AVAILABLE
OPPORTUNITIES WANTED
POSITION OPEN — Seeking an experienced dentist or prosthodontist to join an established group practice approximately 32 hours per week in Vancouver, Wash. Proficiency in oral surgery and dentures/partials preferred. Please send CV to jennifers@ wendeldental.com.
ORTHODONTIST NEEDED — Looking for a motivated and energetic Orthodontist. Compensation is on partnership basis with excellent earning potential. Please send us your Resume to buriendentist@yahoo.com.
OLYMPIA, WASH — Seeking Associate/ Partner Dentist. We are a well established practice with a large, growing patient base seeking a practitioner with exceptional interpersonal skills that is willing to commit to the potential of a long term partnership. Candidates must be comfortable and competent with all facets of general dentistry and share our passion for excellent patient care and superior dentistry. Our modern and attractive 8 operatory facility is home to a dedicated, skilled, long term team. We take great pride in providing an amazing patient experience and would require the same of any candidate. Experience is a must due to the pace we maintain and level of care we deliver. Please e-mail resume and CV to john@smileolympia.com.
ENDODONTIST NEEDED — Looking for a motivated and energetic Endodontist. Compensation is on partnership basis with excellent earning potential. Please send us your Resume to buriendentist@yahoo.com. ENDODONTIST WANTED — Oregon, Portland. Dynamically growing dental organization with nine offices is seeking an associate endodontist. Part-time (possibly leading to full-time). Opportunity for an endodontist to rotate between dental offices and stay busy. Opened in 2000, our high-energy organization has a reputation for providing excellent care and patient service. Our beautiful stateof-the-art dental offices are located in scenic Portland, Ore., and adjoining Vancouver, Wash. Very competitive compensation and benefits. Applicants are invited to send C.V. to ted@gentechdentist.com. GENERAL DENTIST — Group Specialty Practice looking for general dentist. Opportunity to create your passionate dental career experience in an environment that is all digital and state-of-the-art. We have a focused dental team dedicated to the best patient care and clinical excellence in aesthetic and family dental care. Rapidly growing, beautiful practice. Please forward resume and CV to juliehawken1003@gmail.com or call (253) 981-4950 fax: (253) 981-4954. DENTIST WANTED, SPOKANE, WASH — Spokane Dental Providers is searching for a dentist to run their North Spokane family dental practice. Northpointe Family Dentistry is a five chair, PPO practice in Spokane Washington. Searching for a full time dentist to provide comprehensive, patient focused clinical care. Opened in 2006, the growing practice offers a unique opportunity for a qualified energetic individual to receive generous compensation with future growth incentives. This individual needs to posses strong leadership and communication skills, and able to work independently. One to two years of clinical experience is preffered. Visit our websites: www.northpointefamilydentistry.com, www.libertylakefamilydentistry. com, www.thedentalsavingsplan.com, www. safetzeyewear.com. To apply contact Roxie Couch at (509) 891-5001 or email Roxie at roxie@libertylakefamilydentistry.com. PEDIATRIC DENTIST — South King. Pediatric dentist opportunity. Part time but will eventually lead to full time. Potential to buy in. Please email CV to shahramghaf@yahoo.com.
DENTAL ASSOCIATE POSITIONS AVAILABLE — We are seeking an orthodontist, general dentist and pediatric dentist for part time positions in our busy South King County Offices. Please email CVs to skcpedodds@ gmail.com. OPPORTUNITY AVAILABLE — Opportunity for dentist interested in TMD/facial pain practice. Poulsbo Wa. Call (360) 981-8796, tmdclinic@aol.com. DENTIST OPPORTUNITY IN PORTLAND, ORE — Do the clinical dentistry you want to do. We offer paths in which you can manage or open your own practice with profit sharing. Pdxdentist@yahoo.com. PART TIME — Busy family practice in tri-cities is looking for a part time general dentist. Must be comfortable performing all aspects of general dentistry. WA license is a must. chencess@gmail.com PART-TIME GP IN BELLEVUE — We are looking for an associate in Bellevue to work 2.5 days Wed-Fri. More days possible. We are a top office in our area. Beautiful modern office with state of the art technology. Fantastic patients and team. Fully digital. Must be highly skilled and experienced. Please email resume to bellevuedentists@gmail.com. DENTIST OPPORTUNITY IN GRAHAM, WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110. ASSOCIATE WANTED — Modern practice with offices in two locations. Seeking an exceptional associate dentist to join our fun team. Opportunity for long-term commitment in a fast-paced, growing, full-service general dentistry practice. WA state license required. Experience preferred. Send CV to kjkdmd@gmail.com.
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WANTED — Mobile Dental Clinic Manager, part time or full time in Redmond, Wash. The Mobile Dental Clinic Manager contributes to MTI’s mission by efficiently and safely operating the mobile clinic. Learn more about this position visit our website at www. medicalteams.org. GENERAL DENTIST — Vancouver area dental office seeking an experienced general dentist to join our established practice 1-2 days a week with a possible 3-4 in the future. Candidate should have at least 3 years experience. Email resume to: bgteeth13@gmail. com. DENTIST NEEDED — Growing private dental practice looking for a general dentist - recent graduates will be considered. Must be comfortable in all areas of dentistry. 2-3 flexible days per week. Part time with possibilities of full time if desired. The right person can thrive here if you are someone who wants to grow professionally while working as a team. Please email inquiries and resumes to office@hayday.net. SPECIALISTS WANTED — Gentle Dental has open positions for: Periodontists, Endodontists, and Pediatric Dentists. If you are looking for a career opportunity we encourage you to get to know Gentle Dental. Our dental practices are very much like a private practice working together in a group setting. As a Specialist, you have the ability to focus on building that relationship with your patient without the hassles of practice management. For more information contact: Ron Brush Manager of Doctor Recruitment, Cell: (971) 295-9914 eFax: 877-233-3542 Email: brushr@interdent.com.
classifieds issue 7, july 2013
OPPORTUNITIES AVAILABLE
WSDA NEWS JULY 2013
PROFESSIONAL P RACTICE PECIALISTS, S
INC.
1-800-645-7590
Aaron Pershall - Randy Harrison NEW! BELLEVUE, WA - Biological practice collecting $500K+ annually. This amalgam free/amalgam safe office features 7 ops (5 equipped), digital x-rays and new pano.
NEW! ANCHORAGE, AK – Exceptional G/P collecting $1.2M with low overhead! 5 ops, digital xrays, pano and newer equipment throughout.
NEW! KENAI PENINSULA, AK Wonderful rural G/P collecting around $500K in 2012. Long established practice includes a great staff, digital x-rays, laser, and pano.
NEW! REDMOND, WA – G/P collecting $570K in 2012. Very strong hygiene program! 4 ops and laser. Lots of potential!
FAIRBANKS, AK – Exceptional G/P collecting $1.8M+. Excellent cash flow and 100% fee for service! Newer facilities, CT scanner and more! Flexible transition options.
NEW! JUNEAU, AK – G/P collecting around $1 Million. Great location with plenty of parking. Beautiful office boasts 5 ops, digital xrays, pano, and plenty of space. Seller is willing to work back as needed!
NEW! ANCHORAGE, AK – G/P collecting $550K in 2012. Nicely appointed office boasts 6 ops, pano, and plenty of space. Merge your practice into a beautiful office and add patients!
RURAL ALASKA – High profit practice collecting $350K+ working only 10 weeks per year! Includes small apartment and SUV. Perfect satellite practice!
SW ALASKA – Great G/P situated in a sportsman’s paradise! Collecting $700K+ working only 37 weeks per year! Associateship also available!
www.PracticeSales.com Aaron@PracticeSales.com RandyH@PracticeSales.com 4 2 · th e wsda ne w s · issue 7, july · 2013 · www.wsda.org
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
SELLING YOUR PRACTICE? — Do you want to sell your practice? I am a motivated, private Washington state licensed dentist with approved financing for purchasing a dental practice and building. Email keefejc@gmail. com or call Jason (509) 675-0029. Looking forward to hearing from you.
FOR LEASE — Great location, over 2000 square feet, five operating suites in beautiful Olympia, conveniently located on Martin Way close to St. Peter Hospital. Over 30 years of quality dental care provided here. Contact Don at uncledgh@aol.com.
FOR SALE BELLEVUE — Beautiful Bellevue dental practice near Crossroads Mall. Open and spacious with three existing operative rooms, and room to expand. Pano and Ceph machine in office. Digital x-ray system in place. Convenient location on a main street near Microsoft. For more information, please call (425) 213-6606.
GENERAL DENTIST — General Dentist looking for an office in need of a dentist on Fridays and Saturdays in Western Wash. I have 19 years of private practice experience in all aspects of dentistry. Prefer endo and surgery. Call (360) 402-9370 or Email scubatooth@msn.com. OFFICES FOR SALE OR LEASE FOR LEASE — 3,056 sq. ft. medical office condo for sale or lease in Vancouver,Wash. Access to major Freeways. Class A office built in 2006. Contact: Doug Bartocci, CCIM, NAI Norris, Beggs & Simpson, (360) 852-9621. FOR LEASE — A beautiful dental office for lease in Seattle (Lake Forest Park) beside HWY 522 with the sign exposure of thousands of cars passing by 24 hours . There is no patient base just a location. 1,600 sq. A great location and affordable. Call (206) 5958225 or email amirs@comcast.net. FOR SALE South Tacoma four ops general practice for sale. Practice has been in community since 1968. Annual collection $860K, all digital and paperless office. Please email your resume or question thinguy@gmail.com. START UP OR SATELLITE — Fully equipped, ready to move in 1,630 sq. ft., four ops dental office for sale in the beautiful city of Mukilteo, Wash. $98,000 email: mukoffice@gmail.com. FOR LEASE —Vancouver, Wash. Next to Vancouver Mall. Brand new remodel 2,000 sq. ft., just move in equipment. Built-in cabinets, Pano room, private office. Very nice! neilgray@comcast.net. FOR SALE — Beautiful stand alone redecorated 2,000 sq. ft., open concept bldg with five ops and plumbed with N2O. This practice is nestled in the foothills of Mt. Rainier, just a 50-minute drive from Seattle. The area offers a recreational paradise, with skiing just 40 minutes away and great schools. 0ngoing practice for over 25 years with loyal patients and a experienced staff. For more details call (253) 797-1353. FOR LEASE — Newly remodeled dental space available in North Kirkland. Four chairs currently set up. Plumbed for five chairs. 1800sf includes Pano and lab. Assume lease or sublet. Email: kirklanddentalspace@google.com for details.
FOR LEASE — A great opportunity available for a general dentist or specialist. Office in Marysville building shared with there general dentist, approximately 1800 sq. ft. nitrous, water and air already plumbed. Call (425) 330-2850 gormconn@comcast.net. FOR LEASE — 1,200 sq.ft. Dental Office space, incredible lake view, Kenmore. $21 per sq.ft. (+NNN). Build-out assistance available. Great location with proven track record. (253) 896-4100 or evmcpm@omcwa.com. SPACE FOR LEASE, CENTRALIA — Dental suite available in a premium health-services property. Beautifully appointed 2,982 sf with six operatories plumbed with oxygen, nitrous, water and air. Visible location on main thoroughfare is known for its high-volume practices. Adaptable for specialties, which are needed in the market. Lease rate is $18/ sf/yr, modified expenses. For photographs and more information visit www.Century21Lund.com, or contact Greg Lund at Century 21 Lund, Realtors, office (360) 748-8619 or cell (360) 508-0752. FOR SALE — Attractive dental office: 5701 Bedford St., Pasco, Wash. New construction in 2003. 3,450 sq.ft main level with 1,350 sq.ft basement. Complete details can be obtained from: Victor C. Robisch, DDS, (509) 547-8955 or Derrick Stricker, NAI Tri-Cities, (509) 4308533 or derrick@dirkstricker.com. SPACE SHARING OPPORTUNITY — Presently working three days/ week and have ample room to share space in our five chair downtown Seattle general practice office with in-house lab and technician. Bring your patients and staff and share the rent, utilities and supplies. Contact Rick Nicolini, DDS at (206) 310-5709 or drnicolini@hotmail.com. OFFICE SPACE TO SHARE — Excellent opportunity for specialist who wants to work one or two days a week or a start-up practice for any practitioner. Front office support. Contact Melissa at (425) 481-1038 or email office@gentletouchdental.com. NEXT/ANNIE MILLER & ASSOCIATES — New dental practice listings and sites for sale in Bellevue, Kirkland, Federal Way, Renton and Tukwila. Call today for tours and info. Annie Miller, Re Max Eastside Broker’s Inc. (206) 7151444 or email at annie@nextnw.com.
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OPPORTUNITY — Dental office for sale in Burien. 15+ years in the same location. Grosses over $350,000 a year, six operators and laboratory. Owner is retiring but will stagy for transition. Some financial available. Call JD at (206) 992-8771. FOR LEASE — 300 Pelly Ave N. Dental suite available in Renton, walking distance to the prestigious Landing, as well as Boeing. 1,361 sq. ft. on 2nd floor, with only two other dentists in building. Three operatories, open configuration, plumbed with electrical, air, vacuum, and plumbing. Corner lot with heavy traffic flow. Rate is $23.26/SF/Y NNN, Triple Net is $5.60 (incl utilities). Contact Dennis Schmuland (425) 417-1206. NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valuations. Dental space planning and architecture; real estate leasing and acquisitions, employment benefits; staffing resources and training; financing. Call today for your free consultation…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: annie@nextnw.com. FOR LEASE, BURIEN, WASH — Brand new, 2,700 foot, six op dental office with pano room, lab, break room, two restrooms and private offices. Completely wired and plumbed for state of the art digital dental office. $10/ft, NNN or $2,200/mo. Must see to believe and appreciate. Great opportunity for start up or relocation. Contact (206) 909-3863. FOR LEASE — Five operatory dental suite available in Edmonds, Wash. Property is adjacent to Swedish Edmonds Hospital. 2,091 sq. ft. with waiting area, reception, storage, lab, two restrooms and staff break area. Space has second back employee entrance. Monument signage available. Lease rate is $22.00/SF/yr. NNN. Contact Aaron @ AGM, Inc. (425) 5768700. FOR LEASE — Space available for dentist in Kent, Wash. Property is 2,560 sq. ft. with open space plan, ready to be built to individual dentists specifications. Space has second back employee entrance, abundant parking and great monument and building signage. Landlord willing to contribute toward tenant improvements. Lease rate is $18.00/SF/ yr. NNN. Contact Aaron @ AGM, Inc. (425) 576-8700.
classifieds issue 7, july 2013
OPPORTUNITY WANTED
U n i v e r s i t y
o f
W a s h i n g t o n
sChooL of Dentistry
ContinUing
Professional Management Associates, Inc
CURRENT LISTINGS Lake City Office
Great beginner office, 3 operatories, 20 new patients a month, 3 days a week
D e n taL
eDUCat ion SEPTEMBER 13 Conebeam CT for the General Practitioner Peggy Lee, DDS Johan Aps, DDS, MS, PhD 27 Recreational Drugs Bart Johnson, DDS, MS OCTOBER 4
Downtown Seattle Periodontal office
Very established, beautiful office, 4 days a week, 5 operatories with lots of extra amenities, collections over 1 million
Kitsap Peninsula Office 4 days a week, great location, state of the art facility, 4 operatories
We’re looking for Associates for the greater Seattle area. Call us today!
FALL 2013
Annual Washington Dental Service Practice Management Seminar MoRninG ToPiC: Training for newer Dentists in the Skills necessary to Run
a Successful Dental Practice William van Dyk, DDS
AfTeRnoon ToPiC: Successful Communication in the Dental office
Sandra Phillips, MPA and Tara Aal, CPC, CHCC 11 The Art of Dental Therapeutics Peter Jacobsen, DDS, PhD 25 Untangling the Confusion of Today’s Restorative Materials Ed Swift, DMD, MS NOVEMBER 1
50 oral Lesions every Dental Practitioner Should Know About Dolphine Oda, BDS, MS
2
Digital Dental Photography I-Chung (Johnny) Wang, DDS, PhD
15 Clinical Grand Rounds in oral Medicine Faculty of the UW School of Dentistry Department of Oral Medicine 22 WSDHA Annual Course
Concerned About Fraud? We can help review your records in a discrete manner. Call for a free list of items to help thwart embezzlement in your office.
Linnell Isoshima Steven Kanzaki
MoRninG ToPiC: orofacial Myofunctional Therapy Joy Moeller, BS, RDH AfTeRnoon ToPiC: neck, Back & Beyond: Preventing Pain for Peak Productivity
Bethany Valachi, PT, MS, CEAS This course is co-sponsored by the Washington State Dental Hygienists’ Association. Online Courses at www.uwcde.com including Bloodborne Pathogens! Registration Information: REGISTER Telephone: (206) 543-5448 Toll Free: (866) 791-1278 NOW! For more detailed course information and to register online visit www.uwcde.com
1206 Olympic Avenue Edmonds, WA 98020 Pager: (206) 399-0242 Fax: (425) 712-1859
SCHOOL OF DENTISTRY UNIVERSITY of WASHINGTON
University of Washington is an aDa CerP reCogniZeD ProviDer ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
4 4 · th e wsda ne w s · issue 7, july · 2013 · www.wsda.org
EQUIPMENT WANTED
SERVICES
FOR LEASE — Four to eight operatory dental suite available in Tukwila, Wash. Property is adjacent to Highline Medical Center. 1,582 sq. ft. with waiting area, reception, storage, lab and two restrooms. Space has second back employee entrance. Additional 1,791 sq. ft. available contiguous to the space for a total of 3,373 sq. ft. for larger user. Lease rate is $16.00/SF/yr. NNN. Contact Aaron @ AGM, Inc. (425) 576-8700.
EQUIPMENT WANTED — Looking for w ide ra nge of used equipment. Adec, Kavo, Midmark, Pelton Crane, Midwest, Gendex, Air Techniques, Apollo, Porter, Cerec, Sirona. If you want to sell equipment, call (206) 260-3563.
GUEST DENTIST — Will fill in at your practice for maternity leave, injury, illness, family emergency, etc. 35 years of general dental practice experience. Personable and patient oriented. Dr. Ed Kardong (206) 842-6300.
EQUIPMENT FOR SALE USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, Dentalez, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net. FOR SALE — Planmeca ProOne Panoramic Dental x-ray. In excellent cond. Color graphic interface with touch controls, open design allows for easy accommodations of all patients, DICOM Compliant, Mac OS Compatible. Please call Dr. Echols at (360) 357-9880 for more information. MOBILE DENTAL SYSTEMS — Mobile dental operatory suitable for a variety of locations ie..assisted living, missionaries. Excellent condition stackable containers. Approximately 45 lbs Contact (360) 981-8796.
SERVICES LOCUM TENENS DENTIST — Want to take a vacation? Need a knowledgeable, reliable ad personable dentist to help with your practice while you’re away? Experienced locum tenens dentist will provide exceptional care to your patients. Over 25 years of private practice general dentistry. Serving all of Washington and Oregon. References available upon request. Contact Bob Houtz, DDS at (360) 457-9568. GUEST DENTIST — Time off, vacation, maternity leave? Temporary placement for day, week, or longer. Experienced, team and patient-oriented GP. Joe Schneider, DDS, FAGD. (206) 878-1237.
OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.
MOBILE I.V. SEDATION — Have your patients treated in your office with safe and proven techniques. Set your practice apart from others. Attract new patients. Increase quality referrals. Neil E. Bergstrom, DDS (360) 825-6596.
nothing concrete. How about your local peer review? Well, they might investigate, but the staffer isn’t going to stay anonymous, so there is a job in jeopardy notwithstanding all the lawyers ready to sue you for wrongful termination. Quit? Sure, but the employment market isn’t as robust for someone working in our field as it once was. So they are mostly stuck. Organized dentistry probably should try to figure out an acceptable avenue for this kind of situation to be explored and remedied, but it doesn’t exist at the moment. But I would suggest that while they may be stuck, you are not. You control the situation and have the absolute moral and LEGAL responsibility to do what is right. And what is right? Start with “Golden Rule”— the original one, not the one with “The one with the gold—yadda, yadda.” Would you do this on your blessed mother who suffered through nine long months and diapered you for years and then put up with your being a teenager? I digress again.
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When all else fails, read the directions, i.e., the law. http://apps.leg.wa.gov/rcw/default.aspx?Cite=18.32&full=true http: //apps.leg.wa.gov/ WAC /default. aspx?cite=246-817&full=true Check out what the ADA has to say on ethical matters: http://www.ada.org/4065. aspx and http://www.ada.org/194.aspx. Talk to your colleagues. Talk to your staff — they probably have a lot of great ideas on how to resolve your situation ethically. Above all, don’t assume what you are doing is above reproach. There are lots of times I have had to think awhile about a dilemma raised before coming to what I thought was an ethical decision. But make sure your hygienist isn’t sitting next to me next year because she thinks you are an unethical schmuck.
parrish or perish continued
parrish or perish, continued from page 46
office, temp comes off, assistant covering phones re-cements it just like she did five days prior — all of which is illegal, folks — assistants can’t touch a patient without you there. And let’s not debate whether it is ethical to advertise — that horse left the barn long ago. But most of the concerns expressed were not nitpicks; they were serious issues — especially in the area of treatment planning and pressures to overtreat — coming from various internal and external forces. So if a staff person has concerns with the ethical practices of an office, what avenues do they have to express those concerns? If you have established a safe working environment, they should bring it up for a discussion with you and/or your entire staff. But many of us are “my way or the highway,” so that doesn’t always work. Then what? DQAC complaint? Pretty drastic, but it probably will work if there is also a provable violation of state law involved; that’s a high hurdle to cross in many of these instances: too much “he said, she said,” and
classifieds issue 7, july 2013
OFFICES FOR SALE OR LEASE
parrish or perish
Was your hygienist sitting next to me in Ethics class?
Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.” — George Patton
Ef you take a sword an’ dror it, An’ go stick a feller thru, Guv’ment ain’t to answer for it, God’ll send the bill to you. — James Russell Lowell The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
Who goes to “ethics classes” anyhow? For that matter, who goes to “chemically impaired dentists” classes? From the looks of the crowd at the recent ethics offering at PNDC (nice job Rod, Lorin, Alan, et al), I would guess about two thirds of the audience were not dentists. And many of the situations and questions presented from the audience did not seem like they came from dentists. Why are these staff members so interested in a topic like ethics? I went because I have gone several times before, and it is always an interesting exchange of ideas and information from both the ethical and legal perspective (and they are NOT the same). I must confess I also go to try to get ideas to share with the readers in this vast audience; thanks to all three of you for commenting at PNDC!! But I digress. But ask yourself, “why was your hygienist sitting next to me?” And she was. And I can tell you YOUR name because it was on her name tag. But she didn’t say much, so she didn’t really reveal why she was there. But she didn’t look happy, and nodded a few times in agreement with concerned comments made. Was her interest purely academic in that ethics is something she reads about regularly in Dental Hygiene Today or People Magazine? Now I agree that a “chemically impaired dentist” class may attract folks who have a family member or close friend struggling with alcohol or drugs, so they show up for information. But ethics? When was the last time you were at your kid’s soccer practice and the soccer mom next to you asked, “Do you think it is ethical that Jenny’s mom has her nanny cut up the orange slices when it’s the parents who are supposed to do it?” I think many of those staff members are there because they are concerned about what’s going on in our offices, not necessarily in their private lives. So if my premise is correct, what is she concerned about in your office? The questions presented by supposed staff members were of a wide variety, but you can probably guess most of them: treatment and over treatment planning, who’s doing what, and is it OK, Groupon and other promotions, or what happens when the doc isn’t in but the staff is. And the questions did indicate there are some serious concerns out there. Now I can quarrel with some of ethical nitpicks (Friday, no doc in the continued on page 45
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