Issue 3 wsda news january 2016

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WSDA ry nua · ja e3

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The voice of the Washington State Dental Association

NOW THAT’S TEAM SPIRIT!

The 2016 PNDC offers a full-day th e wsda ne w s ·for issue your 3, januarentire y · 2016 · dental www.wsda.org ·1 experience team

news

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Dr. Greg Miller’s office · Photo by Ryan Lindberg

WSDA news

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editorial

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cover story

Cover story by Rob Bahnsen Cover story photos by Scott Eklund, Ryan Lindberg, and Jeremy and Sarah Vasquez

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legislative news

On the Cover: Dr. Shelly Self and her team in Poulsbo, WA

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membership news

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guest editorial

continuing education

issue 3 · january 2016

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nordic news

31

ada huddle highlights

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in memoriam

35, 37, 39, 41 42

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. Bryan C. Edgar, President Dr. Bernard J. Larson, President-elect Dr. D. Michael Buehler, Secretary-Treasurer Dr. Gregory Y. Ogata, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Gary E. Heyamoto Dr. Eric J. Kvinsland

Dr. Dr. Dr. Dr. Dr.

Randall H. Ogata Cynthia R. Pauley James W. Reid Ashley L. Ulmer Amy M. Winston

WSDA Staff: Executive Director Bracken Killpack Senior Vice President/ Assistant Executive Director Amanda Tran

Vice President of Government Affairs Anne Burkland

Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/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.

Manager of Continuing Education and Speaker Ser vices Craig Mathews Government Affairs Coordinator Michael Walsh

Vice President/Chief Financial Officer Peter Aaron

Public Policy Coordinator Emily Lovell

General Counsel Alan Wicks

Membership Ser vices Coordinator Rachel Gunderson

Vice President of Operations Brenda Berlin

Membership and Communications Coordinator Emma Brown

Vice President of Communications Kainoa Trotter

Bookkeeper Joline Hartman

th ee wsda wsda ne ne w w ss ·· issue issue 3, 3, januar januaryy ·· 2016 2016 ·· www.wsda.org www.wsda.org ·· 3 3 th

The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2016 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: 2015: Platinum Pencil Award Honorable Mention, 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversity and Inclusion, 2013: Journalism Award, Platinum Pencil, 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 3, januar y 2016

a day in the life

editorial dr. mar y jennings

Shifting the subsidy paradigm

“In the last ten to fifteen years, dental school budgets have been severely cut, while advancing dental technology and its costs have fiercely increased and the economy has plummeted.”

My definition of a dental school after I graduated in 1990 was pretty much “That’s where we house our revered dental scholars, do some research, and get our learning.” Things were quite different then.

Curriculums were strongly set, even if they were not effective. There was not that much discussion about funding, and there was seemingly very little interest in change.

The average student debt of my Case Western Reserve class was $60,000. Dental life in all its components felt secure and predictable.

Not so today. In the last 10 to 15 years, dental school budgets have been severely cut, while advancing dental technology and its costs have fiercely increased and the economy has plummeted. Even though tuition and student debt continue to grow, the biggest financial burden of dental education is still placed directly on the university.

State universities get funding from tuition, research, patients, students, private and public donors, grants, and the state Legislature. The UW decides how that money is divided. A dean’s job is to make sure his school is as financially independent as possible without internally burdening the institution. I understand that the UW School of Dentistry is strongly subsidized by the UW. It is in dentistry’s best interest to change this paradigm. The UWSoD is determined to make this so.

Dental schools are uniquely positioned to charge for patient care. One would think that would go a long way in covering costs.

At present, the UW’s adult patient load is more than 50 percent Medicaid. Due to unmet need, Medicaid patients often present as wonderful teaching cases. Dean Joel

Berg tells me that the school is proud to help the access-to-care issue, while allowing its students insight into the impact of poverty on dental disease. The problem is that Medicaid payment is shamefully low, and even the most efficient practices cannot survive on this level of payment.

Many people would like to see dental schools get the enhanced rate that Federally Qualified Health Centers (FQHC) receive. I spoke to several experts at the ADA. That legislation is written too specifically to include the schools. FQHCs must have both medical and dental clinics, a board comprised of 51 percent users, translation and transportation services, and a litany of other requirements. But there is absolutely no reason not to try to carve out a federalenhanced rate for all dental schools. Funding that serves two purposes has potential.

This would be a good project for our 11th ADA district to work on with other states and ADEA. Hint, hint.

Our Washington state Legislature has a huge impact on dental education. They have the authority to legislate funding directly to the school, increase the RIDE and residency programs, and enhance Medicaid reimbursement. That is where we could have the biggest impact.

The University of Washington is the only dental school in the WWAMI Network of Washington, Wyoming, Alaska, Montana, and Idaho. Its goal is to get quality healthcare out to rural areas. The RIDE program is the dental arm of this program. Since its launch in 2007, it has made tremendous strides, and that success needs to grow.

RIDE students greatly impact the care community health centers are able to of-

Dr. Mary Jennings Editor, WSDA News

fer to our state’s low-income patients. More than 70 percent of its graduates have continued to practice in rural areas. I think that can be counted as one of the few ideas that have actually worked to bolster our state’s safety net for low-income people.

I am impressed by how the UWSoD has stepped up from “just” being a learning center to being an important piece of our profession’s infrastructure and our region’s safety net. I am delighted that such care has been taken to expose students to all facets of dentistry.

What can the WSDA do to help our state’s only dental school? Dean Berg has some great ideas. There is space in the nursing school to add 10 dental simulation units. That would mean 10 more dentists graduate per year, and their tuition helps the bottom line.

We need to really look at how we can encourage both state and federal legislators to understand the value a full-spectrum dental school has to the Medicaid community and enhance those fees!

In the meantime, there may be ways to partner with FQHCs and tribal programs that already have enhanced reimbursement rates. This is exciting because these patients and their dental home clinics have the hardest time accessing the higher levels of care that universities provide so well.

What answers do you have? We will be in Olympia for Dental Action Day on Jan. 29, asking to expand the RIDE program.

But that is just a start. This conversation will continue after the session. Please join us and help our most valuable resource and partner, our University of Washington School of Dentistry.

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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wdia time for an insurance review?

IS IT TIME FOR AN INSURANCE REVIEW? USE THIS CHECKLIST As your practice grows, your earnings increase or your family gains new members, your insurance needs increase as well. Many dentists forget to keep their insurance coverage in step with their life and business changes, which can leave them in a difficult financial situation if an accident occurs.

Washington Dentists’ Insurance Agency recommends that all dentists review their insurance coverage at least once each year to determine if what they currently have meets their present and future needs.

Things we’ll cover in your annual review include: • Have you added to your family?

• Are you purchasing or selling a practice?

• Was there any change in your marital status or dependents during the year? (children, parents or other relatives) • Should you update your will?

• Have you inherited considerable funds or gifts?

• Do you feel you have adequate Life Insurance for your practice and family?

• Do you feel you have adequate Personal Disability Insurance to replace your earnings due to sickness or accident?

• Do you feel you have adequate Long Term Care Insurance for yourself, your parents or other family members?

sole broker for NORDIC

If you would like to review your current insurance needs, please contact the Washington Dentists’ Insurance Agency at 800-282-9342 or wdia@wsda.org.

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OFFICE VISIT: DRS. JEROME & AUSTIN BARUFFI, TUKWILA, WA

NOW THAT’S TEAM SPIRIT!

The 2016 PNDC offers a fullday experience for your entire dental team

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Bellevue Grand Hyatt Meydenbauer Center wsda.org/pndc

Every year the men and women of the Committee on Pacific Northwest Dental Conference work diligently with PNDC staff at WSDA to create a conference experience that is unparalleled in the region and rivals the biggest conferences in the country. The group has produced some amazing meetings in years past, but they’ve outdone themselves this year. Dr. Carrie York, the committee on PNDC’s driven and energetic chairperson, is especially excited about the expansion of the conference to three days for dentists and hygienists, the range of material being presented, and the staggering 23.5 CE credits that dentists and hygienists can earn. “The value of the PNDC’s educational and social opportunities is off the charts this year. We’re really proud of the event,” she says.

Pictured: Drs. Jerome and Austin Baruffi and their dental team

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Photo by Scott Eklund/Red Box Pictures

Exhibit Hall · June 16, 17

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2016 PNDC · June 16, 17, 18

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OFFICE VISIT: DR. SHELLY SELF, POULSBO, WA

“Having a cohesive staff is one of the most important things to have in an office. Working well as a team helps create a fun, positive environment. It ensures that we are focused on our patients and giving them the best care and experience possible.”

— Skana Sloman, Office Manager, Poulsbo

Drs. Jumani, Stonebreaker and McLaughlin with their staff

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Photos this page by Scott Eklund/Red Box Pictures · opposite page, Ryan Lindberg

OFFICE VISIT: DRS. McLAUGHLIN, STONEBREAKER & JUMANI, REDMOND, WA

other on a personal level, which ultimately builds a stronger, unified, happier team.” Having a cohesive team is important to the women, who even have an acronym for it. “Without a cohesive team, everything falls apart. In our practice we believe that T.E.A.M. means ‘Together Everyone Achieves More,’” says Self.

Skana Sloman, Self’s office manager agrees, saying, “I think it’s one of the most important things to have in an office. Working well as a team helps create a fun, positive environment. It ensures that we are focused on our patients and giving them the best care and experience possible.” Sloman loves the PNDC because it’s a time to catch up with friends, swap stories, tips, and techniques with peers, and get a great education. But the learning doesn’t end in Bellevue. Once back in the office, the team meets to discuss the classes they took and what they learned, and delves into the ways they can utilize this education in their regular office policies and protocols.

Gathering up a big team

A little closer to Bellevue, we met up with Dr. Shreya Jumani,

“It’s a nice experience just to be together. The course work is interesting and we learn at the conference, but the social aspects of the meeting are just as important.”

— Dr. Greg Miller

Across the sound

Over in Poulsbo, Dr. Shelly Self leads a boisterous, tight-knit group of women in her artfully painted pediatric office. The group loves to laugh, and were naturals during our photo shoot.

Self takes her staff to the conference every year, and prepares for the event by poring over the official program and preselecting lectures for them to attend. But she also allows them the option of choosing something on their own, as long as it pertains to their role in the office. For Self, the most important aspects of the conference are: spending quality learning time with her staff outside the office; networking with other dental professionals; and keeping up with the ever-changing dental profession. Last year she signed up the entire staff for a Dentrix workshop so they could learn together.

Making it special

“The PNDC provides me with the opportunity to show my staff how much I appreciate them, and how important it is for me to invest in their education and personal and professional development. We stay in Bellevue overnight, and I arrange a special night out,” says Self. “It is a wonderful way to get to know each

an associate at a large, thriving practice, Redmond Signature Dentistry. One of three doctors at the practice owned by Drs. Anthony McLaughlin and Jeff Stonebreaker, Jumani has been practicing for a little over a year, after graduating from the UWSoD. With 18 team members, having a cohesive unit is especially important, and the PNDC helps facilitate that in a number of ways. Jumani explains, “We need to make sure that everyone is communicating effectively. We close the office one day of the conference so that everyone can attend and grow in their respective fields. Last year one of our hygienists attended a lecture on anesthesia techniques, and we had a follow-up in our office where we sat down with all the doctors and hygienists to talk about the doctor’s techniques, and what the hygienist had learned at the PNDC.” That’s exactly the kind of experience York and the committee are hoping for — one where doctors and staff can share and grow through quality continuing education. Jumani was able to incorporate information she learned on anterior composites into her practice, and was especially interested to hear more about this year’s 360° Total Team Experience. “Last year there were some really great speakers with valuable information that we were able

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Training its sights on creating the ultimate team experience, the committee worked to ensure that all members of the dental staffs in attendance would have a selection of lectures and workshops tailored specifically to them. Additionally, the PNDC will host a program called 360° Total Team Experience in conjunction with Dentsply (read about it on page 14). “It’s an innovative program that combines learning with your peers along with team exercises,” says York.

We wanted to find out why so many of you bring your entire dental team to the PNDC year after year. We reached out to five practices across the state, in both eastern and western Washington, to pick their brains about what they like, how the conference strengthens their team as a unit, and what they hope to see in the future. If you’ve never brought your team to Bellevue en masse, this may well be the best year to do it. And if you have in the past, we’d like to show you how valuable a tool the conference can be – educationally, socially, and as a team-building exercise that will pay off in ways you might not have imagined.

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to bring to the practice and incorporate into our daily routine the Monday following the PNDC,” Jumani says. “This year I’m really excited to learn more about the Team program because I’ve never heard of anything like it.” In years past, the team has met for a meeting the Monday after the PNDC, sharing with the group and teaching what they learned. Staff members are encouraged to attend workshops because of the practical, hands-on learning they receive there, which often makes it easier to teach techniques to the other dental team members.

Amanda Englehart, an assistant in Jumani’s office, couldn’t agree more about group cohesion, noting that in such a large practice, things have to run smoothly and in sync in order for the staff to provide the best patient care. For her, the PNDC is much more than a learning experience, although that’s important, too. “Aside from the lecture and workshops, I like touring the booths, learning from the sales reps, and the great deals we find at the exhibit hall,” she explains. “I have a role in making

and lunches together. “We almost always find something that we can put into action when we return to the practice on Monday morning,” he says. “Last year we attended the lab workshop with one of the staff members who had taken on additional lab-related duties, and that was terrific.”

Nici Roberts, Miller’s office manager and surgical assistant, loves the PNDC experience because it’s different than what they typically do together, and it cements the group as a team. “We come back to work with fresh ideas, ready to implement what we’ve learned. We do fun things together as a group, but our big trip together is to the PNDC,” says Roberts. “We meet for lunch and dinner while at the PNDC and talk about any gems we picked up during the day. Then when we get back, we talk about new information we gleaned at the conference and make assignments based on what we learned. We try to have assistants go to the same courses, and hygienists go to the same courses, but if they decide to divide and conquer, we encourage them to

“We look forward to getting away from the office and doing activities as a team that are different than what we normally do.

We come back to work with fresh ideas, ready to implement what we’ve learned. We do fun things together as a group, but our big trip together is to the PNDC.” — Nici Roberts Office Manager/Surgical Assistant, Spokane

purchasing decisions. I am responsible for bur purchases, so it’s been nice to find great deals at past conferences, and the doctor lets us make the decisions about ordering what we need. Because we are decision-makers for the office, we find that the exhibitors are very helpful.” This year, she’s hoping for lectures and workshops on Cerec — the practice uses two Cerec machines. “I love the tech, and patients love that they can come in and have a crown the same day without having to get a temporary. It’s a longer appointment, but they’re happier to come in just once,” she explains, “and because I am so involved in the Cerec process, it’s important for me to be completely up to date in new software and any changes in Cerec technology.”

Making the trip from Eastern Washington

For Dr. Greg Miller in Spokane, bringing his entire office to the PNDC is an opportunity for everyone to be together outside of the office. “The course work is interesting, and we learn at the conference, but the social aspects of the meeting are just as important,” he says. Miller has brought his staff both days, encouraging them to take lectures that will expand their area of expertise. He makes sure they have fun by scheduling dinners

share what they’ve learned with each other.” For Roberts, the big surgery and implant lectures are the most exciting because the practice does so many of those types of procedures, and keeping current makes her a stronger asset to Miller.

Small town dentistry, big town expertise

Dr. Paul Kwon also brings his staff from eastern Washington, from the town of Quincy, to be exact. Being a small-town dentist often means having to master many procedures, and Jeanie Redberg, Kwon’s assistant, wants to make sure she’s up to the task. “Quincy is very small, but what is so exciting for us is that we have all of the latest technology that you would find in an urban practice,” says Redberg. “Dr. Kwon is purchasing a Cerec machine, and we have a cone beam CT machine. We see a great mix of young and old patients. We pretty much do it all, (and) we seldom refer out for any procedure. Dr. Kwon’s focus has been to keep things in-house. Medicine is so specialized, but it’s incredible that we can offer endo, oral surgery, and a huge range of services right in our small community.”

To that end, the PNDC has proven to be a very capable education resource for the 26-year dental veteran, who has seen enor-

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OFFICE VISIT: DR. PAUL KWON, QUINCY, WA

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Dr. Paul Kwon and his dental team

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Photos by Velasquez Photography

ence personally. You can learn a lot and build your skills there, but it is also a very exciting team-building experience.”

— Jeanie Redberg, Assistant Quincy

“Aside from the lecture and workshops.

I like touring the booths, learning from the sales reps, and the great deals we find at the exhibit hall. We have a role in making purchasing decisions. I am responsible for bur purchases, so it’s been nice to find great deals at past conferences, and the doctor lets us make the decisions about ordering what we need. And because we are decisionmakers for the office, we find that the exhibitors are very helpful.”

— Amanda Englehart, Assistant, Redmond

mous changes in technology and techniques over her career. “I really want to enrich my experience as an assistant,” says Redberg.

“I want to be able to help the doctor be more efficient at what he does. Dentistry is a business, and I’m very interested in being able to help him do his job efficiently and quickly. I’ve also found the personal enrichment classes to be very useful because that helps you learn how to understand patients and staff better.” Like the other staff members we spoke with, Redberg loves the social aspect of the meeting, too. “The conference is a great experience personally. You can learn a lot and build your skills there, but it is also a very exciting team-building experience,” she says. “We typically add a couple of fun events, as well. That helps us bond as a group. It’s a social experience, too. I see people I used to work with and reps on the exhibit hall floor that I have known for years.”

For his part, Kwon says, “The PNDC is an important event where we … learn, see the exhibits, meet new people, share ideas, and have fun. It is a great bonding experience for our team, and we especially enjoy walking the floor to compare products and equipment together. We use the opportunity to test products out and plan equipment purchases for the year. It is really nice to get everyone’s opinion in one place.”

In the South Sound

In Seattle, Dr. Austin Baruffi values the PNDC for what it offers him that dental school didn’t. “I’ve always enjoyed continuing education, especially being a young dentist,” he says. “It’s amazing how much more dentistry there is outside of dental school.

And it’s a way for us to get together outside the office, celebrate, talk, and learn as a group. We get to learn more about each other

in a more indirect way, as opposed to just here in the practice.”

Baruffi, who joined his father’s thriving practice as an associate, told us his father has been bringing his staff to PNDC for more than 16 years, and he sees it as an integral part of the team experience. “The speakers they bring to the PNDC are some of the top speakers in the country,” he told us. “They do a terrific job of vetting the speakers, and they’re presented in a way that is both educational and fun.” Tammy White, who has worked for the elder Baruffi for years, likens the dentist/assistant dynamic to a relationship, saying, “When you’re knee to knee with the doctor for so many hours a day, it’s like a marriage. You need to be on your toes, and the PNDC helps us to develop skills and grow as a team.” The team at Baruffi’s practice sees the PNDC as an opportunity to learn and improve their skills.

Bring your team, you’ll be glad you did

“Regardless of whether you have a big team like Jumani’s or a smaller one like Kwon’s, the PNDC can be an important bonding experience for all of your staff,” says Dr. Carrie York. “We’ve worked hard to add value to the show this year, and by ensuring that dentists and hygienists can fulfill their entire year of CE in just three days without leaving Washington, we know we’ve created the ultimate team experience.”

Editor’s note: The PNDC’s full schedule will be available online later this month, and the Offical Program mails in February!

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Photo by Scott Eklund/Red Box Pictures

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OFFICE VISIT: DRS. McLAUGHLIN, STONEBREAKER & JUMANI, REDMOND, WA

New – Continuing Education (CE) Verification Code!

In order to reduce waste and improve your PNDC experience, we won’t provide hard copies of CE forms. A verification code will be given at the end of each session, and your CE certificate can be obtained from the PNDC mobile app or the WSDA website.

For new dentists

2016 PNDC One-Day Pankey Experience Understanding Aesthetic Materials, Methods, and Madness Michael Fling, DDS

Hygiene Experiences Up in Smoke: Current Trends in Smoking Habits Affecting Oral and Systemic Health

Affordable CE at $150, and earn up to 23.5 Credits before April 30!

Few life events are as thrilling as launching your career. We understand the ever-changing landscape facing dental practices, so the PNDC committee has put together a program that you’ll find affordable, with quality CE targeted directly to you. You must be a new WSDA member dentist who has been out of dental school for five years or less.

Betsy Reynolds, RDH

Program Highlights:

Back to Basics: Inflammation & Repair

Financial Strategies for Newer Dentists

Sam Martin, CPA, The Dental Group Jenna Ermey, Director of Business Development, SoFi

Enhanced Oral Cancer Detection: Guide Your Practice to Thrive While Saving Lives!

Drugstore Addiction: The Abuse of Prescription and Over-the-Counter Medications Betsy Reynolds, RDH

Karen Siebert, RDH

Instrumentation Trends: A Hands-On Experience with XP Technology Karen Siebert, RDH

Jonathan Bregman, DDS

Enhanced Oral Cancer Detection: A Hands-On Experience Jonathan Bregman, DDS

Being All That We Can Be: Changing Perspective to Change Reality Kirk Behrendt

Posterior Preparation Design WSDA Academy Lee Ann Brady, DMD

Saturday program highlights – New Event!

The Committee on PNDC is bringing you more CE for your dollar – Saturday has been added to the PNDC schedule with the following exciting sessions.

Dentist Experiences Live Dentistry Stage ­ Digital Implant Dentistry: A Live Patient Surgical Demonstration Geoffrey Berg, DMD

New Dentist Reception – New Event!

An Evening of Network & Play at The Parlor Rated “Best Pool Hall” by King 5 Best of Western WA

New dentists (those who have been a dentist for 10 years or less) are invited to enjoy complimentary drinks and conversation at the New Dentist Reception. This is a perfect way to unwind with friends and colleagues after a day of brain-boosting education. You must register for the PNDC to get your ticket, which includes appetizers and drinks, plus access to billiards.

Must be 21 years old. Ticket required for entry.

Friday, June 17 4:30 p.m. – 6:30 p.m.

The Parlor at Lincoln Square, 3rd Floor

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New and notable at the

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Dr. Douglas Lambert

Dr. Edwin “Mac” MacDonald

Ms. Lois Banta

Ms. Monica Monsantofils, RDH

Total Team Experience

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The program

Program attendees will spend their morning attending lectures that provide clinical education specifically targeted to their role in the practice. She explains, “We utilize quality educators to teach dental teams tips, techniques, and advances in materials, using products and materials from Dentsply, CareCredit, and Solution Reach along with many other companies,” explains Kittleson.

At noon, all program attendees will attend a hosted lunch together, followed by an afternoon program centered around creating the “ultimate patient experience.” Attendees will receive an Action Plan template to use in their office when they return on Monday morning. They will work on that together, recording their “Aha” moments from the day – time-saving tools and new techniques. All four in-

A program like this is only as good as the educators who provide it, and Kittleson has worked hard to gather a remarkable group who teach both nationally and internationally. “I selected speakers not only for the level of quality education that they provide, but also as a group of people that I knew would work well together. We need people to create a flow of continuity through the day, so the selection process is very careful and strategic,” she says, “It’s not just about four speakers providing hours of CE, it’s about four speakers developing and teaching program content together.”

To that end, Kittleson selects speakers who are great teachers and educators, who are really interested in teaching others, not just showing how great they are. “All of the speakers enjoy sharing tips and techniques, materials and information that will streamline office efficiencies and synergies, she says, “Dr. Doug Lambert is a wellknown educator in restorative and cosmetic dentistry and has been recognized as a top dental educator in the industry for 14 years; Dr. Mac MacDonald has been lecturing on topics specific to assistants for years, and also teaches occlusion in other courses. Ms. Lois Banta has more than 37 years’ experience in dentistry and specializes in all aspects of dental practice management. And Monica Monsantofils works for Dentsply as a clinical educator about hygiene topics.”

More than just great speakers, Kittleson knows each of the 360° Total Team Expereince educators professionally, and respects their passion for dentistry and people. She’s been to all of their practices and likes how they’re run because they all put theory and technique into action on a daily basis. Moreover, she says, “I like their passion to share and give back to the dental community. They all wanted to be involved in this program. When I discussed with them what I wanted to develop and how I wanted to develop it, they were all very

“The program creates office synergy through teaching together based on role-specific courses, and it has far exceeded our expectations. We see a lot of people bringing their teams back because they have enjoyed it so much.”

— Terry Kittleson, Dentsply structors will work with the teams to help them develop a list of opportunities they can utilize in their offices. “We ask them to create ways to make opportunities happen, and they select a team member who can guide them to making the opportunity happen when they’re back in the office, complete with a target date to accomplish the goal,” explains Kittleson, “We encourage the team to celebrate every goal achieved with some type of reward – from free lattes at Starbucks to bigger rewards for bigger achievements. Set your own goals, opportunities, timelines and rewards.”

The 360° Experience provides a structured opportunity to become a more cohesive, synergistic office. ‘We teach them to take all of the tools they’ve learned individually, discuss them, put a plan together, develop better office synergy, and create an ultimate team experience with stronger relationships among themselves and with their patients,” says Kittleson

excited about being a part of the team. They’re easy to work with and their passion is what I was looking for.”

Regional start

“We initially developed the program regionally, because we found that when dentists attended CE programs they would often shut down their practice for a day, meaning a day lost to production,” says Kittleson, “We wanted to develop a program that was clinically sound and offered education for all of the team members to bring everyone together to learn together.” Because of the regional success of the program, the company chose to expand it and offer it to the attendees at state and national conferences. “It has morphed a bit in content since its inception,” she says, “but it has stayed true to the concept of creating a total team experience in a clinical education format.”

At the WSDA, we’re excited to bring this innovative, creative team experience to the PNDC!

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360° total team experience

Terry Kittleson is excited about the 360° Total Team Experience, and with good reason — it is a program she helped create and nurture. Kittleson has been with DENTSPLY International Inc, whom she calls a “leading dental manufacturer and distributor of dental and other consumable healthcare products,” for 28 years, working first in sales and later as a liaison among educators, researchers and schools across the U.S. It’s a position she still juggles along with her duties with this innovative program. We called to find out what the 360° Total Team Experience is, exactly, and why it makes great sense to spend your Thursday at the PNDC with the team of instructors she helped curate for the program.

The speakers

cover stor y

Editor’s note: This year PNDC committee members chose to bring Dentsply’s exciting 360° Total Team Experience program to the PNDC. We met up with the program’s designer, Terry Kittleson of Dentsply to find out more about the program.

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Editor’s Note: A recent editorial in the WSDA News concerning midlevel providers unintentionally caused offense to some leaders in the tribal community; this was not the intent of the piece. In the following editorial, Brian Cladoosby, Swinomish Indian Tribal Community Chairman and President of the National College of American Indians, states his case for the Dental Health Aide Therapist. WSDA remains committed to working with tribes from across our state to find solutions for the oral health disparities that still exist in tribal communities.

“Sovereignty in motion” is a term to describe forward-leaning, Indian-led solutions to complicated problems that have burdened Indian Country for many, many years. The dynamism, energy and innovation that exists among Indians today is something to behold, and I believe there is much that can be accomplished when tribes exercise our right to create our own laws and be governed by them.

One of the ways my tribe, the Swinomish Indian Tribal Community, is harnessing the positive power of our sovereignty by launching our own Tribal Dental Therapist program, and I ask the members of WSDA to join us in our historic effort.

For decades, historical traumas have created a growing oral health crisis in Indian Country. Oral health research shows that Indians lead the nation in oral disease rates, with Indian children today suffering tooth decay at three times the national average.

By age five, 75 percent of American Indians and Alaska Natives experience tooth decay.

Low-dentist-to-patient ratios in Indian Country mean that many Indians lack access to regular dental treatment and prevention services. There are not enough dentists in Indian Country to address this crisis.

We cannot have healthy communities without access to reliable, high-quality and culturally competent dental care. We must break the cycle of poor oral health, and while it may take a generation, we must start now.

Dental Health Aide Therapists were first authorized to practice in Alaska. Over the past decade, the program has expanded care to more than 45,000 Alaska Natives.

We must import this success. Just this summer, we sent a Swinomish Tribal member to Alaska to begin her training.

When she returns in two years, she will be

a Swinomish provider serving the Swinomish community in a dental clinic built by the Tribe on Swinomish sovereign land.

The Swinomish community has the right as a sovereign nation to address the oral health needs of its people by training and employing its own dental therapists. We believe the Washington Legislature should endorse this model for other tribes, which is why we are urging WSDA members to join us in supporting Senate Bill 5159, the Tribal Dental Health Aide Therapist bill.

Some have claimed the DHATs practicing in Indian Country would cause dentists to lose patients – and therefore business – or would compromise patient safety. Understanding these fears, I do not believe they are well-founded. Wherever there’s a shortage of critical health services at the expense of those most at risk, we must find ways to bring more trained professionals to meet the need.

When the medical profession faced a shortage of providers, lawmakers authorized a scope of practice for nurse practitioners and physicians assistants to address pressing healthcare needs.

While the effort was initially opposed by some in the medical industry, today we all know and rely on nurse practitioners and physicians assistants, and time has shown that adding more providers to address a backlog of need does not take business away from anyone – it brings more people through the door while bringing care to those who need it most.

Just like nurse practitioners and physicians assistants, DHATs are highly trained, midlevel professionals. They complete more than three thousand hours of training and education, and perform at least four-hundred hours of residency-like care under a

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 17

Brian Cladoosby Chairman, Swinomish Indian Tribal Community

supervising dentist. In a practice setting, in the procedures they are certified to perform, they have at least as much clinical experience as dentists.

An independent evaluation found that DHATs in Alaska provide quality care on a par with dentists for the procedures they are trained to perform, and have both increased patient access and lowered patient costs.

Since programs in Alaska and Minnesota launched, there have been no adverse patient events and no reports of patient safety being compromised – all this while increasing the financial health of their clinics.

In spite of this evidence, WSDA continues to oppose SB5159. I would ask WSDA members to consider whether this position reflects your views, and, if not, to make your voice heard among the leadership of your professional association.

The bottom line: American Indians face an oral health crisis. While most Washington tribes have too few professionals to meet the needs of their communities, WSDA leadership is opposing attempts to bring more dental care to more Indians, even though doing so would cause no adverse impact to their livelihoods.

Does this position truly reflect your values?

SB5159 is a solution to our crisis that’s based on tribal sovereignty and cultural competence, that integrates continuity of care by providers, and that supports the needs and financing of tribal communities.

It is the very definition of “sovereignty in motion.” Rather than spending years mired in divisiveness, I ask WSDA members to move forward in partnership with us in the Legislature to create the best, self-sustaining DHAT model for all Washington tribes.

guest editorial brian cladoosby

Solving the oral health crisis in Indian Country

legislative news dental action day

DENTAL ACTION D A Y

1/29/2016 Join us for Dental Action Day (DAD).

DAD is a FREE grassroots lobbying event where WSDA will help you meet with your legislators to talk about the issues important to the dental profession.

Event Details

Friday, January 29, 2016 State Capitol, Olympia, WA On-site check in and briefing begins at 7:00 a.m.

Register online at: tinyurl.com/dad-2016 The 2016 legislative session is scheduled to begin on January 11th and last for 60-days. After a record-breaking long session in 2015, legislators are anxious to get home quickly and start their reelection campaigns. Yet, many big issues that could fundamentally change the delivery of oral health care in our state will be before the Legislature. It is imperative that dentists from across our region get involved, contact their legislators, talk to their component societies, and join us for Dental Action Day.

TAKE ACTION MAKE AN IMPRESSION MAKE A DIFFERENCE 1 8 路 th e wsda ne w s 路 issue 3, januar y 路 2016 路 www.wsda.org

legislative news dental action day

Let’s face it: going to a meeting with your local lawmaker in Olympia can seem like a daunting experience. You’re on their turf, talking their language.

You probably think you have to be knowledgeable about all things political in order to have an impact, but you’d be wrong. Sure, it helps to know the issues facing your legislators, but trust us, they’ll tell you about what they’re up against. And listening’s the key, says Dr. Mary Smith, WSDA past president and longtime DAD attendee. “Let the legislator do the talking. Too often the novice attendee tries to go in and spurt out all their issues, “ she says. “You’re trying to build a relationship. It’s more important to listen to what their issues are first. They will always ask you what your issues are before you leave.”

Don’t forget, as a dentist you have expertise that a legislator lacks. Dr. Theresa Cheng says, “Because of DAD I have a greater understanding of the legislative impact on my job. Back in the day, I was hesitant to go because Jeff Parrish was a knowledgeable person from the area who attended, so I didn’t think I would add anything. What I learned was that the legislators are laypeople with no expertise in dentistry, and they’re looking for people they can contact when they have a question, and I could contribute in that way. My experience, my perspective, my work life were a relevant and important part of the conversation.”

Socialize, have fun!

Kathie Wang, a third-year student at the UWSoD, explains that talking to the legislators can even be a secondary part of the experience. “As a student, it can be intimidating to stand in front of a state lawmaker and speak on behalf of our profession. Even if you don’t get a chance to voice your opinion to a legislator, Dental Action Day is a fantastic opportunity to learn about dentistry outside of school,” she says. “Take the time to talk with dentists throughout the day to gain their perspective on critical issues and how (the issues) will affect all of us as future dentists. It’s up to us to protect and advance our field once we graduate, and it starts with taking the first step to educate ourselves.”

Pair up with a pro

For a better experience, make sure you go with someone who has been to DAD more than once, advises WSDA vice president Dr. BJ Larson, adding, “Go with an open mind. You might be a little apprehensive, but listen and learn It is way more fun that you would imagine, and it’s a cool way to connect with your politicians. It’s a great social day with your peers. Connect with someone in your community and ride share to Olympia. That can be a lot of fun, too.”

Larson also recommends that when you get back to your practice (or the UW), you renew that connection by sending a thank you note along with your business card. It cannot be stated enough: A simple gesture like a handwritten thank you can be the start of a long and fruitful relationship with your local legislator. “You would be surprised what an impact that alone makes,” says Smith. “No one writes anymore, so it is remembered.” He also suggests learning the names of the staff members for your local legislators, saying, “I would recommend that people introduce themselves to the Olympia staff.

You’ll want to give them a card as well. That staff doesn’t always stay with the same legislator, but if you build a network of staff members, it can be amazing.

It sounds corny, but people remember you when you remember them. Thank the staff members who help you and make the effort to remember them, and you’ll have an advantage.”

Making contact outside of session

Legislators care about what their constituents have to say. That’s where you come in – invite your lawmaker to stop by your office or attend one of their events in district. Outside of session and when they’re back home, lawmakers will have a lot more time to get to know you and issues affecting oral health care in Washington.

2016 DENTAL ACTION DAY:

Tips from the pros: DAD vets (and one UWSoD student) talk about their experiences

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membership news the benefits of membership

The benefits of membership in the WSDA

From advocacy and education to insurance products and outreach, the Washington State Dental Association and its partners work in concert to create a membership experience like no other. We know the business of dentistry intimately — we know what dentists need to run their practices effectively, how to forestall or create change with lawmakers in the Legislature, the type of insurance products dentists need at every stage of their career, and are working to create avenues for dentists to help in their communities when they want to give back. We are your Association.

Washington State Dental Association · wsda.org • Advocacy: WSDA advocates on your behalf before the State Legislature. We work to ensure the equity of your practice stays with you, not out-of-state corporate shareholders. We advocate for high-quality care delivered by dentists, and we protect against tax increases that will negatively affect dental practices.

• Regulatory & Legal Compliance: WSDA actively monitors and updates members on regulatory changes. WSDA staff is available to answer member questions to ensure dentists are in compliance with state laws.

• Peer Review: This works to resolve disagreements through doctor/patient mediation in the hope of resolving the dispute before a formal complaint is filed with the state.

• The Source (wsdasource.org): Created exclusively for our members, The Source is a resource center containing information, services, member discounts, tools, and webinars, all geared towards helping our members succeed during every stage of their career.

• Legal Consulting: WSDA employs legal counsel who offers free advice and assistance to members regarding issues pertaining to dentistry.

• WSDA Academy: Created by new dentists, for new dentists, the WSDA Academy offers free CE courses for WSDA members zero to 10 years out of dental school or their graduate/specialty program.

• Discounted Interest Rates: Members can receive a 0.125% rate discount when they refinance their student loan debt with SoFi. • Annual License Renewal Reminder: Forgetting to renew your dental license could cost you up to $10,000, based on the loss of one week of insurance revenue. The WSDA sends a renewal reminder a month before your birthday via email.

• Find-a-Dentist: Promote yourself and your practice to potential patients via the ADA’s award-winning consumer site, mouthhealthy.org.

• Job Fair and Practice for Sale Events: In addition to the WSDA’s large classified section, the association holds two annual events that pair members looking for employment or to purchase a practice with members looking to hire or sell. The Practice for Sale event will be held on Feb. 20, 2016. The Job Fair will take place on March 5, 2016.

Washington State Dental Association wsda.org (206) 448-1914 Serving 4,000 dentists across the state, the WSDA advocates on behalf of its members on all issues related to the dental profession.

Washington Dentists' Insurance Agency wdiains.com (206) 441-6824 A wholly-owned subsidiary of the WSDA. WDIA is a full-service insurance brokerage devoted to the needs of dentists.

Washington Dentists' Insurance Agency · wdiains.com • WDIA, wholly owned by the WSDA, is the only insurance agency that is specifically geared to meet the needs of Washington dentists, their families, and their staff.

• As a member benefit, WDIA staff will simplify the process of selecting the right insurance for you at a reasonable price.

• All revenue WDIA earns over operating costs goes back to the WSDA to help serve the dental community.

• Contact WDIA for quotes and insurance information or to meet with us to discuss your insurance needs.

WDIA offers many insurance products, including: • NORDIC Professional Liability and Business Owners Policies • Medical • Disability (10 percent discount for members) • Term Life • Surety Bonds • CyberSecurity • Long Term Care • Travel Insurance

2 0 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

WDIA: For your insurance needs

Pacific Northwest Dental Conference · wsda.org/pndc • Offering some of our nation’s finest continuing education, the PNDC accounts for nearly 40 percent of the WSDA’s revenue • The conference is expanded to three days in 2016!

June 16, 17, 18 in Bellevue, WA • WSDA members receive exclusive pricing. A full conference badge ($250) allows you to earn up to 23.5 CE hours. Attend as many lectures as you want and visit the exhibit hall at no extra cost. The nonmember price is $1,835.

• Pankey Institute lectures • Live patient demonstration stage • New dentist reception on Friday evening • No charge for dental residents • Conference badge discount for new dentists (zero to 5 years out of school) • Thursday evening courses available

• Free exhibit hall reception on Thursday evening with complimentary drinks and appetizers

The PNDC: An amazing value!

WOHF: Educating children

Washington Oral Health Foundation · wohf.org • Many of our members are distinguished leaders in their communities who want to give back to those who need it most. As a WSDA member, you'll have assistance from the Washington Oral Health Foundation to pursue your unique philanthropic endeavors.

• Any WSDA member hosting a Medical Teams International dental van in his/her city is eligible to receive a matching grant from the Foundation.

• Want to do an oral health presentation at a school in your area? As a WSDA member you have year-round access to the Foundation’s education resources at no cost. This includes educational videos, hygiene kits, interactive displays, teaching guides, and props.

• The Outreach program assists low-income elderly and disabled people, connecting potential patients with WSDA members.

• The Adopt-a-School program provides members with the opportunity to adopt schools in their neighborhood and work with children experiencing emergent dental needs.

• The Foundation’s partnership with the Washington Boys & Girls Club gives members opportunities to connect with community centers in their neighborhood.

• New dentist reception on Friday evening with complimentary drinks and appetizers

Pacific Northwest Dental Conference wsda.org/pndc (206) 448-1914 The Pacific Northwest Dental Conference offers three days of continuing education for dentists and their staff every year in June.

Washington Oral Health Foundation wohf.org (206) 448-1914 The Foundation's mission includes helping provide educational materials to children across the state and outreach to the underserved.

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membership news the benefits of membership

WSDA: Your Association!

member news academy, practice for sale/job fair, dues

WSDA Academy Schedule The WSDA Academy, a program created specifically for young dentists, offers free CE credits for WSDA members 0-10 years out of their graduate or specialty program. The WSDA Academy is focused on developing scholars who are distinctly prepared to succeed in every aspect of their professional lives by creating a community of young dentists committed to continued learning and the Academy ideals, “aliqua, virtus, amicitia” (education, excellence, friendship).

Each course is limited to 20 attendees, and complimentary dinner is provided.

Preliminary 2016 Academy Schedule January 13 Pediatric Dentistry Update for the General Dentist

June 16 Posterior Preparation Design

Dr. Chris Delecki 6-9 p.m. · WSDA Office 3 CE credits

Dr. Lee Ann Brady NOTE: this is a PNDC Hands-On Workshop (must be registered for PNDC. Online registration for PNDC opens late January) 6-8:30 p.m. · PNDC in Bellevue 2.5 CE credits

March 23 Acing the Anterior Implant

July 20 Everything You’ve Always Wanted to Know About Gum Grafting

Dr. Brad Weinstein 6-9 p.m. · WSDA Office 3 CE credits

May 4 Introduction to Therapeutic and Aesthetic Uses of Neurotoxins and Dermal Fillers Dr. Tim Hess 6-9 p.m. · WSDA Office 3 CE credits

Dr. Brad Weinstein 6-9 p.m. · WSDA Office 3 CE credits

August 10 Understanding Socket Prevention Dr. David Zhu 6-9 p.m. · WSDA Office 3 CE credits

May 11 Invisalign for the General Practitioner Dr. Blake Davis, Dr. Paola Leone, and Dr. Gregory Vaughn 6-9 p.m. · WSDA Office 3 CE credits

September 28 Understanding the Money Flow in Your Office Mr. Sam Martin and Mrs. Maggie Boyle, The Dental Group, LLC 6-9 p.m. · WSDA Office 3 CE credits

For more information and to register, visit wsdasource.org/continuing-education/wsda-academy.

Email Sean Kolar at sean@wsda.org with any questions.

2 2 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

Practice for Sale Event · February 20 Sponsored by Columbia Bank

Are you looking to buy or sell a practice in 2016? Look no further! The WSDA is hosting a Practice for Sale Event on February 20 to help you do just that.

This free, members-only event will bring both members interested in selling a practice together with members interested in purchasing, in a “speed dating” atmosphere. Prospective buyers will be able to sign up for 12-minute appointments with practice sellers to make connections and explore potential sales. Please note that space is limited for this popular event, so RSVP as soon as possible!

Event Details

Saturday, February 20, 2016 · 9:00 a.m. to 1:00 p.m.

WSDA Office, 126 NW Canal St, Seattle, WA 98107 Doors will open at 8:00 a.m. for appointment sign-ups Refreshments Provided We encourage members from all areas of the state to attend this event to explore potential purchases or sales in a variety of Washington cities.

Learn more and register: wsdasource.org/events/practiceforsale

Job Fair Event · March 5 Sponsored by Dental Group, LLC

The WSDA will also host a members-only Job Fair on March 5.

Learn more and register: Visit wsdasource.org/events/jobfair for more information.

Contact Emma Brown at emma@wsda.org or at (206) 973-5218 with questions.

Thank you to the Seattle-King County Dental Society for partnering with the WSDA to put on these events.

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 23

member news academy, practice for sale/job fair, dues

Practice for Sale/Job Fair Events

member news academy, practice for sale/job fair, dues

Membership

Make sure to renew your WSDA membership for 2016!

The January 1 deadline to renew your membership by mail or fax has now passed. You may still renew your membership by credit card quickly and easily online at www.wsdasource.org or by calling us directly at (206) 448-1914.

Please note that if you have recently retired or plan to retire before March 31, 2016, you must contact Rachal Gunderson at (206) 973-5210 or at rachal@wsda.org to update your membership status.

Please contact Rachal Gunderson to request waivers for both disability and financial hardship, or to inquire about reduced dues if you are an active life member making less than 50 percent of your income from dentistry.

WSDA NEWS JANUARY 2016

Contact Rachal Gunderson at (206) 973-5210 or at rachal@wsda.org with any questions regarding your annual membership dues.

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www.PracticeSales.com Aaron@PracticeSales.com RandyH@PracticeSales.com 2 4 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

Members-Only Discounts on Student Loan Refinancing Are you looking to refinance your student loans? Your tri-

partite membership offers you two options to consider: WSDA-endorsed SoFi or ADA-endorsed DRB, either of which could save you more than $30,000.

WSDA members can earn a 0.125% rate discount when they refinance their student loans with SoFi. To learn more, visit tinyurl.com/wsdarefinance.

ADA members can earn a 0.25% rate discount when they refinance their student loans with DRB. To learn more, visit tinyurl.com/adarefinance.

If you are considering refinancing, we highly suggest exploring both options to see which will offer you a better opportunity to save money.

th e wsda ne w s 路 issue 3, januar y 路 2016 路 www.wsda.org 路 25

member news academy, practice for sale/job fair, dues

Student loan refinancing options

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F E AT U R E D S P E A K E R S Brian Novy, DDS – The Potty Mouth Predicament Scott MacLean, DDS – Channeling New Technology to Improve the Treatment Workflow Susan Maples, DDS – Total Health – Wellness Beyond the Mouth; Innovate with Clinical Technology William van Dyk, DDS – Clinical Quality & Exceptional Science: How the Whole Team Works to Create Successful Practice

Erin Jack – Schedule Management in Dentistry – Fill Your Schedule, Increases Profitability!

Paula Bradison – Coding Principles: Optimizing Reimbursements Through Accurate Coding

Fun social events for you and your team – don’t miss AKMOM scavenger hunt on February 20th!

O N L I N E R E G I S T R AT I O N A N D P R O G R A M I N F O R M AT I O N AT

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2 6 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

Seattle-King County Dental Society

Snohomish County Dental Society

January 26, 2016 Improving Case Acceptance: Moving Past Insurance Entitlement

Wednesday, February 17 SCDS General Meeting The Do’s & Don’ts of Sedation Dentistry

Dr. Mark T. Murphy, DDS, FAGD

Dr. Mostafa Norooz

The DoubleTree Southcenter, 16500 Southcenter Pkwy., Tukwila 6:00 – 9:00 p.m.

(CE Credits: 2)

Mill Creek Country Club Speaker & topic TBA (CE Credits: 1)

March 4 The Christensen Bottom Line 2016

Friday, March 4 Annual Seminar · The Christensen Bottom Line 2016

Dr. Gordon J. Christensen

Dr. Gordon Christensen

Lynnwood Convention Center, 3711 196th Street SW, Lynnwood 8:30 a.m. – 4:30 p.m.

(CE Credits: 7) Co-presented by SKCDS, UW and the Snohomish County Dental Society

April 19 Annual Officer Installation & Member Recognition Evening Dr. Bryan Edgar

Stone Manor, 15208 52nd Ave S, Tukwila 6 p.m. – 9 p.m.

Lynnwood Convention Center, 3711 196th Street SW, Lynnwood, 8:30 a.m. – 4:30 p.m.

(CE Credits: 7) Co-sponsored with SKCDS & UWSoD.

Wed., March 16 Sleep Apnea from a Dental Perspective David Russian, MD

Mill Creek Country Club (CE Credits: 1)

Wed., April 20 SCDS General Meeting Navigating Today’s Clinical Challenges Mary Lontchar RDH

Topic TBD, Mill Creek Country Club Joint meeting with Snohomish Co. Dental Hygiene Society (CE Credits: 1)

EXPERIENCED AND SPECIALIZED REPRESENTATION OF THE DENTAL PROFESSION

Friday, April 29 BLS for Healthcare Providers & First Aid Courses BLS is 8:30 a.m. - 11:30 a.m.

First Aid is Noon - 3:00 p.m.

Presented by I Know CPR

Contact the SCDS office to register

Wed., May 18th – SCDS General Meeting WSDA Update & Current Issues

John C. Versnel, III

Dr. Bryan Edgar, WSDA President (CE Credits: 1)

Mount Baker District Dental Society Malpractice Defense

Practice Transactions

Disciplinary Proceedings (DQAC)

Personal Injury Actions

Employment Claims

Business Litigation

1800 One Convention Place | 701 Pike St. | Seattle, WA 98101 206-621-3485 • jcv@leesmart.com

February 12 Mid-Winter Meeting

Dr. Jose-Luis Ruiz on restorative

March 8 Potpourri of Allergy for Dentistry Dr. David Elkayam

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 27

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DENTAL APPLIANCE MANUFACTURERS AUDIT SYSTEM FDA COMPLIANCE & QUALITY MANAGEMENT SYSTEM

You’ve just arrived at your practice to begin a new day and notice you have a new pa-

tient on the schedule. Great! Until you meet her and realize she’s pregnant. Is your reaction “Aw!” or “Oh!”? And then do you start your mental evaluation of what procedures you can safely provide her and during what trimester of her pregnancy?

Over the years, there has been so much conflicting and incorrect information about how and when to treat pregnant women that dentists and physicians alike are confused, and ultimately the patient winds up in the middle. There are many published evidencebased guidelines from well-respected organizations such as the American Dental Association and the American Congress of Obstetricians and Gynecologists that clearly demonstrate providing preventative, diagnostic and restorative care during all trimesters of pregnancy meets the standard of care.

Treating pregnant patients does not require that they be medically cleared prior to dental care. Clearly if a woman’s health is or becomes compromised, e. g. pulmonary disease, diabetes, or hypertension, you will want to manage her care collaboratively with her physician. But an otherwise-healthy patient’s treatment can be managed as you would with any of your patients. That being said, why wouldn’t you develop relationships with the obstetricians and family practitioners in your community? If a medical provider knows you and that you’re willing to deliver sound, quality care to their patients, guess who they’re going to refer their patients to?

As a woman’s pregnancy advances, for her comfort you will want to keep her appointments shorter and avoid prolonged dental treatments. During her third trimester, keep her in a semi-seated position to decrease the risk of gastric aspiration, and place a small pillow under her right hip to prevent supine hypotensive syndrome.

Radiographs may be taken to examine, diagnose and create a treatment plan during all phases of pregnancy. As you already do, take radiographs only when necessary and use proper guidelines such as appropriate exposure and the protective use of a lead apron and thyroid collar.

If you have a pregnant patient in an emergency situation, you do not need to counsel with her obstetrician first before providing care. Address the patient’s pain and treat. It is appropriate to address periodontal infection or any other acute dental issue, regardless of the patient’s trimester.

Counseling moms and mothers to be about the benefits of having a healthy mouth before and during pregnancy is very important. Many patients do not realize that they can transmit bad bacteria from their mouths to their baby’s, effectively increasing their child’s risk for caries. And existing oral issues frequently become more exacerbated during pregnancy.

And finally, because the standard of care establishes that there is no reason to defer care because of pregnancy, if you do, it’s possible you could be setting yourself up for a greater risk of malpractice exposure than if you had just simply treated the patient. Historically, medical malpractice claims from these patients has been virtually nonexistent.

So welcome your new patient into your practice and do what you do well; provide sound, compassionate treatment.

For more information about evidence based guidelines, please refer to: California Dental Association Foundation Guidelines, 2010 http://www.cdafoundation.org/Portals/0/pdfs/poh_guidelines.pdf American Congress of Obstetricians and Gynecologists, 2013 http://www.acog.org/About-ACOG/News-Room/News-Releases/2013/Dental-X-RaysTeeth-Cleanings-Safe-During-Pregnancy National Consensus Statement, 2012 – ADA, ACOG, HRSA http://mchoralhealth.org/PDFs/Oralhealthpregnancyconsensusmeetingsummary.pdf

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 29

Melissa Moore Sanchez Manager, Sales and Marketing NORDIC

“Over the years, there has been so much conflicting and incorrect information about how and when to treat pregnant women, that dentists and physicians alike are confused, and ultimately the patient winds up in the middle.”

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JADA Study Finds Orofacial Pain Affects 1 in 6 Patients

In The Journal of the American Dental Association’s October cover story, researchers measured the prevalence of orofacial pain in more than 1,600 patients who visited a clinic in a dental practice-based research network. Data showed 1 in 6 patients visiting a general dentist had experienced orofacial pain during the preceding year.

JADA editor Michael Glick provides a brief video overview of this and other highlights from the current issue here: https://www. youtube.com/watch?v=QjEb6HtAELg. Read more here: http://jada.ada.org/ article/S0002-8177%2815%2900432-8/ fulltext?source=Morning_Huddle),

Dentistry Student Seeks Better Oral Cancer Treatment

CBC News (CAN) (9/28) reported on its website that a fourth-year University of Saskatchewan dentistry student is seeking a more effective and less invasive method to treat oral cancer. According to the article, Dania Alkhani is “working on a compound that is 10 times more effective at killing some cancer cells than an anti-cancer drug currently used.” Alkhani presented her research at ADA 2015 – America’s Dental Meeting last November in Washington, D.C. The Saskatoon (CAN) StarPhoenix (9/29, Charlton) reports that although Compound 4 will not be available to the public for about two decades, it “could eventually offer a better treatment for oral cancer.”

Read more here: http://www.thestarphoenix.com/health/student+works+better+oral +cancer+treatment/11397853/story.html

Three ADA Members Selected as FDI Leaders

The ADA News (9/25) reported that “ADA member Dr. Kathy Kell was elected Sept. 24 president-elect of the FDI World Dental Federation.” The article noted that this “is the first time in three decades that an ADA member will serve as presidentelect.” Dr. Kell said, “I’d like to thank the American Dental Association for nominating me and for all they’ve done to support my candidacy.” ADA president Dr. Maxine Feinberg said, “Dr. Kell is a strong and committed leader, one who embraces the ideas and cultures of all members,” adding, “She also knows how important it is to build on the FDI’s value so it remains the world’s advocate for oral health.” According to the article, the FDI Council appointed ADA members Dr. Tom Hart and Dr. Marshall Gallant to serve on the FDI Science Committee and the FDI Public Health Committee, respectively.

New White Paper Provides Guidance on Ethics at Charitable Events

The ADA News (9/23, Burger) reported that the Council on Ethics, Bylaws, and Judicial Affairs, the ADA agency focused on enhancing the ethical conscience of dentists, released a new white paper addressing the ethical issues to consider when planning charitable dental events, such as Missions of Mercy and Give Kids a Smile.

According to the article, the white paper, titled “The Ethics of Temporary Charitable Events,” provides “advice based on the ADA’s Principles of Ethics and Code of Professional Conduct.”

Read the white paper here: http://www.ada. org/~/media/ADA/About%20the%20ADA/ Files/ADA-Charitable-Event-White-Paper

Expert, ADA Refute Norwegian Study on Dental Filling Harm

Yahoo! Health (10/30, Capetta) reported that a recent study from Norway published in Journal of Dentistry found 60 percent of the volunteers experienced tooth decay in the enamel or dentine in teeth neighboring one with a recent filling. The study has been making headlines in the UK, such as one that read, “Fillings could rot your teeth!”

However, experts and the American Dental Association have weighed in on the study, calling into question these findings. Mark Wolff, DDS, PhD, professor and chair in the Department of Cariology and Comprehensive Care at New York University College of Dentistry, told Yahoo Health, “What this study says is people who received fillings are at very high risk of getting decay in the tooth right next to it. But it’s not because they got the filling. It’s because the diseased state that got the decay there in the first place hasn’t been interfered with.”

Additionally, the ADA told Yahoo Health, “The researchers observed that the risk of developing subsequent caries was higher in patients with poor or medium oral hygiene.

The reason a tooth is filled in the first place is because it is decaying (rotting). Had the decayed tooth not been filled, it would have continued to decay, may have led to oral and other health issues, and ultimately could have been lost.”

The ADA also provided tips for preventing tooth decay and subsequent cavity development.

Read the Yahoo health piece here: https://www.yahoo.com/health/can-yourfillings-be-rotting-your-teeth-160444416. html Read the Norwegian study here: http:// www.ncbi.nlm.nih.gov/pubmedhealth /

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 31

behindtheheadlines/news/2015-10-26-fillings-can-do-more-harm-than-good-researchers-warn/

Study: Children Living With Smokers More Likely to Develop Caries

Reuters (10/31, Rapaport) reported in continuing coverage that a study by researchers at Kyoto University in Japan found young children living in households with smokers were more likely to develop caries.

The study found that children living with smokers were more than twice as likely to develop dental caries at 3 years of age than those who lived in nonsmoking households.

American Dental Association spokesperson Jonathan Shenkin said the study adds to the evidence that there is an association between secondhand smoke exposure and caries development in children.

The ADA (10/23) reported that “consistent with previous reports, infants exposed to secondhand smoke at 4 months old seem more likely to develop caries by 3 years of age,” according to the study, which is published in the BMJ. Read the Reuters piece here: http://www. reuters.com/article/us-health-smokingkids-cavities-idUSKCN0SO20G20151030 Read the BMJ article here: http://www. bmj.com/content/351/bmj.h5397

Trendy Diets May Negatively Impact Oral Health

The Dallas Morning News (11/3, Jacobs) reported that “diets that many consider healthy — liquid cleanses, low-carb diets like Atkins or Paleo, vegan or raw diets — may not always be so healthy for the teeth and gums.” Connie Mobley, associate dean of research at the School of Dental Medicine at the University of Nevada, Las Vegas, wrote a 2008 article in The Journal of the American Dental Association titled, “Fad Diets: Facts for Dental Professionals,” where she said she “believes that dentists are becoming more attuned to the connection between nutrition and oral health,” but “patients need to understand the connection, too, and get dental professionals’ guidance on how to keep teeth healthy.”

The article provides information on the impact of juicing, low-carb, and vegan diets, “and steps you can take to help counteract the side effects.” The ADA provides more information on the link between nutrition and oral health at MouthHealthy.org.

Read the article here: http://www.dallasnews.com/lifestyles/health-and-fitness/ health/20151102-how-fad-diets-and-faultynutrition-can-spell-dental-doom.ece

ada news morning huddle highlights

Morning Huddle highlights

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 DENTAL EDUCATION WINTER 2016

While we handle Accounting Marketing Human Resources

Is your passion taking care of patients?

Would you enjoy spending your days working with patients without the burden of handling the every-day running of the business – not to mention the financial stress of owning your own practice?

Smiles Dental is offering opportunities to great doctors to live our mission, vision and values while serving our patients. If you have a desire of service, we have an amazing opportunity for you!

Ultimate Service Superior Performance Positive Impact

JANUARY 31 Implant Systems Study Club, Evening 3 A panel of presenters are lined up for this 23 Improving the Oral Health of Your Older hands-on course for restorative dentists Patients using today’s most successful implant O. Ross Beirne, DMD, PhD; Bea Gandara, systems.

DDS, MSD; Kurt Labberton, DDS; and Rod The course is offered in partnership with Wentworth, DDS the Washington Academy of General 28 Implant Systems Study Club, Evening 2 Dentistry. Register at washingtonagd.org.

A panel of presenters are lined up for this hands-on course for restorative dentists APRIL using today’s most successful implant 1 Law/Lewis Lecture in Pediatric systems.

Dentistry The course is offered in partnership with Dental Trauma and Pulp Revascularization the Washington Academy of General Nestor Cohenca, DDS, FIADT Dentistry. Register at washingtonagd.org.

2 Restorative Endodontics: A Modern Standard of Care for Long-Term FEBRUARY Success – with optional hands-on 19-21 The Art and Science of Anxiolysis workshop and Sedation in 2016 and Beyond – Alex Fleury, DDS Nitrous Oxide and Oral Sedation 8 Untangling the Confusion of Today’s Fred Quarnstrom, DDS, FADSA, FAGD, Restorative Materials FICD, FACD, CDC; David Donaldson, BDS, Edward J. Swift, Jr., DMD, MS FDSRCS, MDS, FADSA, FACD, FAAOP, 15 Stay Out of Jail: Avoid Coding Errors FICD; Mark Donaldson, BSP, PHARM D, and Excel in Insurance FASHP, FACHE Charles Blair, DDS 27 Biopsy Techniques – What, When, This course will be offered in Tacoma, How – includes afternoon hands-on Washington. workshop 16 Digital Dental Photography Jasjit Dillon, MD, DDS, BDS, FDSRCS Geoff Greenlee, DDS, MSD, MPH and Scott MARCH Henderson, Photographer 4 THE CHRISTENSEN BOTTOM LINE – 2016 29 Innovative Periodontics: Creating Success in Today’s Dental Practice Gordon Christensen, DDS, MSD, PhD Samuel B. Low, DDS, MS, MEd This course is offered in partnership with This course is offered in partnership with the Seattle-King and Snohomish County the Seattle-King County Dental Society Dental Societies. Register at skcds.org. and the Washington Academy of General 5 Oral Surgery for the General Dentistry. Register at skcds.org.

Practitioner – includes afternoon hands-on workshop Karl Koerner, DDS, MS 25 Ernest M. Jones Memorial Lecture Morning topic: Avoiding Restorative Failure Afternoon topic: Today’s Top Clinical Tips Lee Ann Brady, DMD

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

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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.

3 2 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

Dr. Harold R. Holm passed away on Nov. 7, 2015 at his home. The death was unexpected.

Holm grew up in Hoquiam, WA. The son of Harold and Florence Holm, he is survived by his wife of 44 years, Barbara; sisters Alice (Don) Sampson of Tumwater and Elaine Steele of Palm Springs, Calif.; nieces Tyra Taff, Jan Lunn, and Laurie Lunn; nephews Michael and Daniel Steele and John and Mike Lunn, and Tony (Mitzi) Sampson. are part of his extended family.

Holm loved his wife, his family, his many friends, his staff, his patients, his farm, and his dogs and cats.

He enjoyed fishing trips to Alaska and fly fishing all over the western United States. He was a voracious reader, reading about four books a week; The New York Times was a daily source of enjoyment. He was a Democrat and a Christian, and those values guided everything he did in life. He helped so many people in so many ways. In his dental practice, he treated people who needed help and couldn’t pay, amounting to thousands of dollars yearly. If a friend or neighbor needed help, he was there for them no matter what time, what task, or how much. He hired homeless people in addition to donating to many charities.

Besides his love of dentistry, Holm loved to build things. He built three barns and the pride of his life, his house. He milled the beams from timber off his farm and labored

for 10 years, almost finishing it before his death. He was a hands-on guy who knew a lot about everything, given enough time.

Holm is deeply missed by all who knew him. If he could tell everyone who loved him, he would say: If you have type 2 diabetes, HBP or sleep apnea, please deal with it ASAP! Because life is worth it.

member of the Howard Gilbert Crown and Bridge Study Club, and the Ralph Plummer Gold Foil Study Club.

After retiring from dentistry in 1980, Williams and his wife, Eddy, moved to their home on Lopez Island, WA., which they had been building since the mid1970s. They also were snow birds on the Big Island of Hawaii and, for almost 25 Dr. John H. “Jack” Williams years, in Oro Valley (near Tucson), Arizo Dr. John Handley “Jack” Williams, na. He could golf all winter long in ArizoDMD, died unexpectedly on Dec. 9, 2015 na. They had many friends in many parts in Lacey, WA. He was born on Feb. 14, of the U.S., and had 35 years of retirement 1921 in Yakima, WA., to Dr. John H. and As a young father, family activities were Gertrude Williams. Dr. Williams Sr. was a always foremost in Williams’ life. They indentist in Yakima, and Mrs. Williams was cluded snow and water skiing, swimming, a homemaker. boating, pheasant hunting, golfing, wood Williams took his pre-dental training working, remodeling homes, and showing at Washington State College (now Univer- Morgan and Tennessee Walking Horses on sity). He graduated from the North Pacific the West Coast, including British ColumCollege of Dentistry in Portland, Ore., on bia and Alberta.

Oct. 11, 1943 and was in the top five of his Williams is survived by his youngest class. He was initiated into Omicron Kappa daughter, Kathy Jean Williams, of OlymUpsilon, the National Dental Honorary So- pia, WA.; grandson Trevor Oster, his wife, ciety. After graduation he spent 2 ½ years Jami, and great-granddaughter Joanna of as a Navy dental officer during World War Seattle; younger sister Barbara McArdle of II. Whidbey Island, WA.; sister-in-law Mary Upon honorable discharge from the Williams of Portland, Ore.; and many niecNavy as a lieutenant, Williams started his es and nephews. private dental practice in Northeast Seattle, Williams’ wife of 71 years, Edna “Eddy” and enjoyed 37 years of performing general Brooks Williams, passed away on Sept. 1, dentistry. He was on the original commit- 2013 in Olympia at the age of 92. Their oldtee that led to the formation of the Ameri- est daughter, Christy Lynn, passed away WA-DEC-2015.pdf 1 12/2/15 AM can Academy of Gold Foil Operators and a on Dec. 17, 20098:53 in Seattle.

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th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 33

in memoriam drs. holm, williams

Dr. Harold R. Holm

3 4 路 th e wsda ne w s 路 issue 3, januar y 路 2016 路 www.wsda.org

CURRENT LISTINGS Olympia

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ASSOCIATESHIP/PARTNERSHIP — New graduate position available! Opportunity to work with one of Seattle’s top cosmetic dentists: Shawn Keller DDS, LVIF. Work in a state of the art practice learning cutting edge advanced Dentistry. Dr. Shawn Keller is looking for an associate to take on more of the general dentistry part of the practice as he is doing more implants, full mouth reconstruction, and smile makeovers. We are a high end dental practice offering the best technology to our patients. Great opportunity for a new Doctor to learn everything Dr. Keller has learned over the years.

Fun office, great team. Email Dr. Shawn and come check out the office. Office located in Redmond, Washington near Seattle, WA. The job is 3-4 days a week and a potential starting salary 300+k /year.

Website : shawnkellerdds.com. Email resume and references to: drshawnkeller@outlook.com.

PORTLAND, ORE. — Dentist opportunity. 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.

PEDIATRIC ASSOCIATE POSITION AVAILABLE — Established, modern, and busy Pediatric Dental Office in North Seattle Area looking for part time position. Excellent compensation. Thursdays, Fridays, and some Saturdays (8-noon). However, some flexibility of fixed days (Mondays or Wednesdays, for example) may be possible if it is a good fit. Pediatric Dental certificate required. Please email CV and cover letter to NorthSeattleDentist@gmail. com.

RENTON ASSOCIATE — Position Available Wednesday & Thursday Established practice looking for part-time associate dentist. Opportunity to partner in or buy out in future. Email CV to info@scottbabindds.com.

DENTISTS NEEDED — Large Dental Group seeks both part and full time dentists (general and specialized) throughout Washington, Oregon, California, Hawaii, Arizona, Nevada and Oklahoma.

For more information or to apply, please email griffint@InterDent.com or call 360-449-5618.

PERIODONTIST — Four dentist group is seeking a periodontist to come work with us in one of our three private practice locations on the east side.

We would like to bring someone in one day per week to place implants, perform grafting, do extractions, and care for our perio patients. We will provide necessary equipment. We have a CBCT and prefer guided implants. We will refer 100% of our cases to you! Email merkeldds@gmail.com.

GENERAL DENTIST NEEDED — Seattle dental practice seeking general dentist to part of an established busy general dentistry practice. We are looking for a dentist with a minimum of four years’ experience with strong leadership, communication, and patient education skills. Applicants must be open to working between doctor’s two practices located in Seattle and Tacoma, with eventual full time hours at Seattle practice. Please send CV and references to: seawado@gmail.com.

DENTIST NEEDED — Growing general dental offices are seeking caring, competent dentist with great people skills to join our team at greater Seattle area.

Excellent opportunity for potential partnership.

Please email resume to mydental88@gmail.com.

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 35

RENTON/DESMOINES — Full/Part time position available for experienced dentist. Must be able to perform all phases of dentistry. Good salary.

Please contact at (425) 226-9770 or baljinderbuttar1@gmail.com.

GENERAL DENTIST — Seeking general dentist for our office in Port Orchard, WA. We have an outstanding part time opportunity, leading to full time position in future. Long term position with excellent compensation. Must have experience with all phases of Dentistry including Molar RCT and Third Molar Extractions. Please email resume to Dentalofc47@gmail.com.

ASSOCIATE NEEDED — Successful private practice in NE Washington is looking for an associate to partner dentist or assoc. only. To learn more please send a CV and contact information to browncoppell@gmail.com or contact Patti at 509684-3736. www.healthyexpressionsdental.com.

SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com.

DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula.

No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.

LAB TECH/DENTURIST — Full time position available for full denture Laboratory Technician or Denturist. Competitive salary based on experience. Please email a resume and letter of interest to hlincoln@umich.edu www.fairytaledental. com/jobs.

A REFRESHING PERSPECTIVE — When you work at Willamette Dental Group, the organization’s progressive approach frees you to do what matters to you — and your patients. What makes this multispecialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. Combined with a dedication to leveraging scientific data, skill, and the experience to make them happen, when you embrace the organization’s guiding philosophy, you free yourself to facilitate health outcomes—and open yourself up to a world of professional growth and success. Please visit www.willamettedental.com/careers or send your resume to agrundy@willamettedental.com.

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parrish or perish continued

parrish, continued from page 42

clinical boards weed out the appropriate folks and get the others on their way to providing care. And how many folks who fail a board never ultimately pass a board?

What additional training did they have between the two boards to improve their skill set? I would strongly argue that those who practice substandard care throughout their careers do so because of a lack of ethics and/or proper diagnosis, as opposed to lack of skill. I’ve seen it too often.

And my next question to you is: Does 21 hours of CDE annually assure we maintain skills and are practicing appropriately?

I seriously doubt it. It is too easy to take some fluff pathway or class that doesn’t assure we have learned anything useful to improve skills. Yes, it’s appropriate to have an update in basic life support from an accredited agency from time to time, but does going to a class really assure we are “safe”?

I’m not saying we should not continue to learn and acquire new skills, but those who are inclined to do so, do that. Those who skate, skate anyhow.

So how can a state agency responsible

for assuring we are safe practitioners determine throughout our practice lifetime that we remain safe? Now I know I’m going to send lots of you into apoplectic fits with this suggestion, but hear me out: Why not require the presentation of a portfolio of work to an examiner every five years or so (similar to California’s option now for graduating dental students)? If an examiner were to come into your office and select 10 charts at random and evaluate your care, do you not think your treatment would be better? Record- keeping certainly would be, and that’s a real problem for many, especially us older types used to an antiquated system of charting. If the chart had to explain your treatment planning and decision-making processes, things would not get ignored, dropped, or done out of appropriate sequence without justification. Right now the only people who know whether we are really competent are the specialists to whom we refer, and they’re guessing half the time.

Word has it that there sits on a shelf in Olympia a plan that could actually execute

such a portfolio-relicensing system. But I doubt seriously it would ever be implemented. Aside from costs, how would retired licensed folks like me, without an office, be checked? And what about clinics where not one dentist provides all the care, and therefore the responsibility? Lump them all into one check? Are specialists the only ones who could evaluate specialists?

There are probably too many exceptions for this to be a reasonable system. But these facts remain: The initial board probably proves little or nothing; CE is not a reasonable system to prove we are safe; some adjustment to the system should probably be considered. If we are honest, some other system of initial and continued licensure needs to be developed. And let’s not get started on the use of live patients on board exams!

Parrish note: : Thanks to Dr. Bruce Kinney, examiner extraordinaire, for a lively discussion and much input on this topic.

ISDA’s 120th Annual Session Speakers Thursday Gordon J. Christensen DDS MSD PhD: “The Christensen Bottom Line-2016” Noel Kelsh, RDH: “Infection Control with a Twist” & “Eliminating Boxed Thinking: Becoming a Change Agent in the Dental Office” Christopher Verbiest: “Risk Management” Wendy Hirai: “Practice Transitions: A Practical Roadmap”

Friday

Registration opens in February!

Find more information online at www.TheISDA.org

The Madow Brothers: “ROCK Your Practice to the Top!” Dr. Mark Benavides: “The Internet – Steps To Protect Personal, Patient and Office Privacy” & “Digital Photography for the Dental Team: From Capture to Conversion” Dr. Salah Huwais:“Rethinking Implant Surgical Instrumentation and Introducing Osseodensification”

Idaho State Dental Association is an ADA CERP Recognized Provider

Dr. Lisa Alverto: “Maximizing Efficiency While Increasing Patient Satisfaction”

3 6 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

OPPORTUNITIES AVAILABLE

OFFICES FOR LEASE OR SALE

PEDIATRIC DENTIST — Pediatric dentist wanted for busy multi-doctor practice. Beginning shifts available Monday 7.30-4.30; Saturday 8.00-3.30 to increase to four days a week. Our office is in beautiful Olympia, Washington. Please contact Dr. Jones directly at (360) 789-4841.

DENTIST WANTED — Full time associate general dentist for a busy dental office (tri-cities). The professional staff allows a doctor to focus solely on dentistry. You’ll soon be on your way to running an effective dental office with a large patient base.

Email to coolingcoil@hotmail.com.

FOR LEASE — Office space for lease in Walla Walla WA. 1950 square feet. Attractive newer building located near General Hospital. Great location for a dental specialist. southpoint@gohighspeed.com.

ASSOCIATE GENERAL DENTIST — Opportunity in Spokane. Exceptional hand skills, experience and confidence in oral surgery, root canal therapy, cosmetic construction and implant placement/ restoration design. This South Hill location has been a reputable private practice in Spokane for over 10 years; providing quality dentistry and patient care in a traditional dental setting as well as an out patient surgery center. Please submit a resume explaining your experience in all aspects of general dentistry, abroad experiences, and future continuing education goals. Opportunity for 3-4 days a week. Email: employment@sleepdentistryspokane.com.

GENERAL DENTIST, SUNNYSIDE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee.

Great opportunity to expand skill set as you work or a perfect opportunity for an experienced dentist to utilize a wide range of skills. For more information, please contact Jolene Babka at jbabka@ applesmiles.com.

BUSY FAMILY PRACTICE — Currently operating with one dentist, but is in need of an associate dentist to join our team. We’ve been voted Roseburg’s Reader’s Choice #1 Favorite Dentist for the past six years. Our building was newly built as of Jan. 2008 & we’re up to date with the latest dental equipment & procedures. We have a large patient database & we keep growing. Recent dental school graduates are encouraged to apply, as well as, those with a more substantial work history. Potential candidate must possess an excellent work ethic, friendly chairside manner & a team player attitude. Continuing Education is offered & encouraged. Guaranteed base pay with great incentive potential. Hours will begin as Part-Time, but could increase to Full-Time in the future. We handle the marketing & new patient generation. Contact us today! jody@drrandol.com.

DENTIST NEEDED — Creekside Dental Yakima, looking for a fill in dentist for the following Monday through Thursday dates: Feb 22nd through Feb 25th 2016 July 18th through July 21st 2016 We are open Monday thru Wednesday, 8-5 and Thursday 8-4. If interested, please contact Leslee T., Office Manager, (509) 577-8279.

ASSOCIATE NEEDED — General dentist associate opportunity in Puyallup. Exceptional hand skills, experience and confidence in implant restoration design, simple oral surgery, root canal therapy, and cosmetic construction. The Rhodes practice is a reputable private practice in Puyallup for 40 years; providing quality dentistry, and patient care in a clean modern office. Please submit resume’ and cover letter explaining your experience in all aspects of general dentistry, abroad experiences, and future continuing education goals.

Opportunity for 3 days per week and grow to more. Email: dentaljobfit@gmail.com.

FULL-TIME ASSOCIATE IN BELLEVUE — We are looking for full time associate in Bellevue to work 4+ days a week . 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.

Ready to learn and be a part of the team. Outstanding earning potential. Please email resume to bellevuedentists@gmail.com.

DENTAL SPACE $13 sq/ft— Two individual units, 880 & 1,000 sq/ft, available separately or as one unit. Excellent visibility and marketability in 25 mph commuter zone on 251 South Burlington Blvd. Close to high school and downtown Burlington. Dentist prior tenant (in 1,000 sq/ft) who recently retired and space now available. Chiropractor office with existing lease in building. Building being updated and nearly completed. New exterior paint, roof updated, replacing HVAC and hot water tanks, new landscaping.Willing to allocate funds towards tenant improvements depending on length of lease. Contact Jason: 360-391-1201 or JasonHilde@gmail.com.

GENERAL DENTIST — Great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary of $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Position available in coveted Pasco, Washington facility this Spring. Please send inquiries to jbabka@ applesmiles.com GENERAL DENTIST, SPOKANE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee.

Learn as you work or a great opportunity for an experienced dentist. For more information, please contact Jolene Babka at jbabka@applesmiles.com.

DENTIST OPPORTUNITY IN WESTERN 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.

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FOR LEASE — Beautiful new 1,800 sq ft turnkey space available in Kent, Washington. Space includes three fully furnished operatories with space plumbed for a fourth. Includes new call light system, new computers, Dentrix, Dexis, and all equipment needed to start your practice. Custom cabinetry and high-end furnishings included as well. Please contact Rod for details at 206-9792660.

GENERAL PRACTICE FOR SALE: Marysville Smokey Point. Attractive, 7 year-old start-up practice, collecting $980k. Easy freeway access from I-5 in a rapidly growing area. 5 operatories and approximately 1,800 sq. ft. For more details/information please contact: Jennifer Paine at (425) 2161612 or Jennifer@cpa4dds.com.

GENERAL PRACTICE FOR SALE: West SeattleAlki. An outstanding general practice in a spectacular location. Collecting $1.3M. 1,800 sq/foot (approx) practice is located in the Alki neighborhood of West Seattle. 4 fully-equipped, digital operatories with a 5th possible. Commercial condominium also for sale or lease (by owner). For more details/information please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

GENERAL PRACTICE FOR SALE: Olympia. Remarkable general practice in the heart of Olympia.

Approx. 2,500 sq/feet. Collecting $975k on two days/per week. 5 fully-equipped operatories with Adec chairs and digital radiography. For more details/information please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

PERIODONTAL PRACTICE FOR SALE: SeattleNorth. Outstanding periodontal/implant practice for sale, North of Seattle collecting $750k. Located in the center of a busy medical/dental area near major medical facilities with high visibility.

360 patients in perio recall. 37% of production are implant procedures. 5 fully-equipped operatories.

Digital radiography. Features private meeting room (study clubs). Owner occupied. Real Estate also available. For more details/information please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

SEATTLE PRACTICE FOR SALE - Beautiful Downtown General Practice For Sale. Established practice collecting over $1M. Interested parties please email js0610@aol.com.

BUILDING FOR SALE — Tacoma 2,100 sq. ft. built in 2008, for sale at $299,000. Rent to own option.

Email: hughbc@gmail.com. Call (206) 280-4582.

FOR SALE — Dental office with apartment for sale, Port Angeles, WA. 1,710 SF office plumbed and wired ready for new dental equipment. Mostly finished basement. 3 bed, 1 bath apartment upstairs, 1,480 SF. A steal at $259,000. Contact Brent or Amy Powell at Caldwell Banker Uptown Realty, (360) 775-5826.

classifieds issue 3, januar y 2016

OPPORTUNITIES AVAILABLE

We invite you to join us at the 2016 Oregon Dental Conference.

Connect. Learn. Grow.

An Event for the Entire Dental Team Earn up to 18 credits!

More than 90 courses over 3 days.

Oregon Dental Association 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. The Oregon Dental Association designates this activity for a maximum of 18 continuing education credits. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

Gerald Campo, DDS (Seller)

Chelsea Mortell, DMD (Buyer)

April 7–9, 2016 Oregon Convention Center—Portland

Here’s a small sampling of what we’re planning: Karen Baker, MS Pharmacology Katherine Eitel Practice Management Charl Els, MBChB, FCPsych Addiction Kevin Henry Assisting Mark Hyman, DDS Practice Management Mark Latta, DMD, MS Materials Martin Levin, DMD Endodontics David Little, DDS Implants

Bringing buyers & sellers together since 1997!

“To anyone looking for help with your transition, I would, without hesitation, recommend Rob Stanbery to guide you along the way. I do not see how I could have done it without his knowledge, experience and dedication.”

Gerald Campo, DDS - Kirkland, WA

Brian Novy, DDS Restorative Uche Odiatu, DMD Health & Wellness Greg Psaltis, DDS Pediatric Dentistry Paul Rosen, DMD, MS Periodontics Neil Warshawsky, DDS, MS Orthodontics

PLUS required courses: CPR, Infection Control, Medical Emergencies, and Risk Management.

Visit www.oregondental.org for more information.

Registration open January 2016.

BRUSH 2 MINUTES, TWICE A DAY BRUSH 2 MINUTES, TWICE A DAY ©2013 Healthy Mouths, Healthy Lives

call us or visit our website to learn more Robert Stanbery Owner

888.789.1085

©2013 Healthy Mouths, Healthy Lives

www.practicetransitions.com 3 8 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

.O

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

FOR SALE — For a list of Washington Plumbed and equipped spaces available - e-mail Steve Kikikis at Omni Healthcare Real Estate - steve@omni-pg.com.

FOR LEASE — Auburn dental office with 1 year free rent, TI package available. Five operatories, sterile, on/off site parking. Dental equipment not included. Asking $2,843.75 per month. email Steve Kikikis steve@omni-pg.com.

FOR SALE- The great outdoors and a large GP practice. NE Washington, Modern building, eight operatories, computer ready, 7,000 sq ft with a squash/racket ball court. $700,000 + on four day week. Low overhead. This practice is 50 years old. Experienced staff that works hard and smart. Little competition. You will hit the ground running with this one. Skiing, boating and the great outdoors within minutes. Do you want it all? Building is also available. Contact Michael McLaughlin at (509) 447-3756.

FOR LEASE — Existing 3,267 sq. ft. medical/dental office space available. Building currently occupied by two family practice dentists and is located in a highly visible shopping center. Approximately 25,000 vehicles per day. Anchored by Applebee’s, Office Depot and Kohl’s, as well as other professional, medical, and retail businesses. Situated on the busy corner of SE 270th PL and 172nd Ave SE in the busy and rapidly growing city of Covington, WA. Contact: Mike Kirkland, MK Property Services, L.L.C. Office: (425) 888-2993, cell: (425) 455-4271 or email: mike@mkps.net.

FOR SALE — Skagit County General Dental Practice for sale. Annual collections over $1 million.

Great visibility in stand alone duplex office building. Adjusted income over $350,000. Hygiene over 35% of collections. Four fully equipped operatories in 1,900 sq. ft. space. Real Estate may also be for sale. Call Rod Johnston of Omni Practice Group at 206-979-2660 or e-mail rod@omni-pg.com.

FOR SALE — Turn-key practice, North Seattle for sale. Two fully equipped operatories, two plumbed operatories, and one operatory with Kavo overflow chair. Busy, corner location, great visibility. Email Steve Kikikis steve@omni-pg.com.

FOR LEASE — Auburn office space available in East Main Professional Center. Great office or medical/dental lab or professional office. Features courtyard, reception, waiting, bullpen, bathroom, lab/ work area. email Steve Kikikis steve@omni-pg.com.

FOR SALE — Fully equipped dental office for sale in Des Moines. Three operatories, dental chairs, panoramic x-ray machine, and sterilization, equipment included in purchase. No Patients Included. Approx. 810 sq.ft plus storage room. Asking $160,000.

Email Steve Kikikis steve@omni-pg.com.

FOR SALE — Visible Whatcom County general dentistry practice, Average annual collections of $540,000. Four operatories. Refers out most root canals and oral surgery. Restores implants, doesn’t place them. e-mail Rod Johnston rod@omni-pg.com.

FOR LEASE — Highly visible Kent dental/medical office off 104th Ave SE available signage for lease. TI allowance available, 1,288 sq.ft on modified gross lease. Contact Steve Kikikis at steve@omni-pg.com.

FOR LEASE — Kent dental/medical suite along Pacific Highway for lease. 1,300 sq.ft with three exam rooms, darkroom, lab and asking $2,275.00 per month-modified gross. Contact Steve Kikikis at steve@omni-pg.com.

FOR SALE — Full leased investment opportunity in Maple Valley for sale. Mix of office and retail uses Asking price is $1,400,000.00 for this visible building on .95 acres is 6,400 sq.ft Contact Steve Kikikis at steve@omni-pg.com.

FOR LEASE _ Highly visible Lynnwood Dental office for lease. Plumbed for four operatories, including nitrous and O2. 1,400 sq.ft. $24 per sq.ft and $3.62 NNN. email Steve Kikikis steve@omni-pg.com.

FOR LEASE — Class A Medical/Dental space in Tukwila. Blocks from I-5, top floor with 5,000 sq.ft, second floor with 2,500 sq.ft. TI available, $24 per sq.ft, $6 NNN. email Steve Kikikis steve@ omni-pg.com.

SOUTHWEST WA — Fantastic opportunity for a comprehensive dentist or two or three dentists with blended skills. Collections near $1.5 million.

Seven ops, completely digital, 3D Galileos, Cerec, and much more. Contact John Van LeeuwenGreen Sail Transitions, Inc., Phone: 503-320-8991, www.greensailtransitions.com.

FOR LEASE/OWNERSHIP — Multi-tenant commercial building. Location! Location! Location!

This professional building is located in a large shopping complex that is anchored by Haggen Grocery, Starbucks, and McDonalds. This complex is located in a growing and developing area just east of Mill Creek and near the new Glacier Peak High School.

It is ideal for medical/dental tenants needing between 2,000 to 6,500 SF to complement existing general dentist and Providence Medical Clinic. Partial ownership opportunity is available for a qualified tenant. Christian@KoviSolutions.com.

GENERAL PRACTICE FOR SALE North Seattle, Wash. An outstanding opportunity in a prime location. Three fully equipped, digital ops, room for four. Real estate also for sale. Please contact SeattleDentalOfficeSale@gmail.com.

FOR SALE — SE Washington general dental practice for sale. Annual collections of approximately $360,000. Four operatories. Be the only dentist in town. Small rural setting with outdoor activities.

Jim Vander Mey at (877) 866-6053 Ext 2 or e-mail jim@omni-pg.com.

BELLEVUE/FACTORIA — General dentistry/specialist office for lease. 1,249 sq. ft. three ops. (Or, 2,100 sq. ft. for ? ops) Winner location. Easy I-90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd. Available T.I. required for conversion. Landlord will contribute to concession (206) 915-2263 Mark.

FOR SALE — South Sound Perio practice and real estate available for sale. Collections over $1.5 million. Great referrals and low overhead. Building is also for sale. Call Rod at Omni 206-979-2660 or rod@omni-pg.com.

SOUTHCENTER – Well-established, mature patient base, well run! Desirable, growing location –ample free parking – Beautiful spacious facility! Four ops, could be six. Please email piega@delaneytransitions. com.

FOR SALE — Flagstaff, AZ Sunny mountain town dental practice. Excellent office with five ops. Updated tech, secure network, and prime location.

Annually grossing $1M+ with strong new patient growth. Email sheffieldday2@gmail.com.

th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 39

G/P PRACTICE FOR SALE IN BONNEY LAKE/ ENUMCLAW AREA — Annual collections over $550,000. 1,500 SF office with four fully equipped operatories plus digital X-rays. Well trained staff will continue and assist with the transition. Well established practice that has been in the same location for over 43 years. Excellent cash flow, outstanding collection policy, only dental office in town. Seller would consider selling building at same time as practice sale or give a right to purchase for a later date. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

PERIODONTAL PRACTICE, SPOKANE, WASH. — If you love the outdoors and want a great place to raise a family then this practice is for you. Annual collections close to $1.3M per year. Tons of cash flow in this high net-low overhead practice. Centrally located office just off the main freeway to better serve the community. Well tenured, experienced staff will assist with the transition and stay with the practice.

Selling doctor will stay with the practice for up to six months to introduce the buyer to all the referral sources to ensure a smooth transition. Under-utilized satellite office serving a large insurance area waiting to be re-energized. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

PROSTHODONTIC PRACTICE FOR SALE — Greater Seattle area. Outstanding practice with high gross & high net. Building is in a great location with plenty of parking and visibility. Building could eventually be for sale to prospective buyer.

Experienced staff will stay on with the practice.

Owner would stay on 1-2 days per week for up to a year to ensure a smooth and complete transition.

Contact: Buck Reasor, DMD, Reasor Professional Dental Services, (503) 680-4366, info@reasorprofessionaldental.com.

G/P PRACTICE FOR SALE IN LINCOLN COUNTY — Owner is selling two separate practices both within 35 miles of Spokane, WA. Annual collections over $430,000. Four operatories. Well trained staff will assist with the transition and will stay with the practice after the transition. Excellent collection policy in place. Excellent cash flow for a practice of this size. Please contact Buck Reasor, DMD. Cell: 503-680-4366, email:info@reasorprofessionaldental.com, www.reasorprofessionaldental.com.

DENTAL OFFICE SPACE FOR LEASE IN KENT — 1,800 sq ft complete dental office with five ops, lab, break room, two restrooms and private office including all brand new cabinetry throughout the office. Completely wired and plumbed for state of the art digital dental office. Great opportunity for start up or relocation. Contact (206) 909-3863.

classifieds issue 3, januar y 2016

OFFICES FOR SALE OR LEASE

Specializing in

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Current listings TACOMA — NEW! 4 ops, currently part-time, poised for growth, central Tacoma location.

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Small, efficient, profitable practice, tremendous base to grow larger practice, 150 new patients YTD, Eaglesoft, great visibility, ample parking, most PPO plans!

SAY HELLO TO YOUR NEW BEST FRIEND

S. KING COUNTY Well established practice desireable/ high-traffic location, drawing patients from both Bellevue and Seattle.

• Hands-free fluid evacuation • Wider & longer mouth openings

BELLEVUE/CROSSROADS Space only. 7 ops, 5 fully equipped, new computer system, Cerac, two reception areas.

S.W. SNOHOMISH COUNTY — PENDING Beautifully appointed, 4 ops, family practice, highly profitable with strong HYG, expected Over $950k in collections this year, lease or ownership available, Largely fee for service!

• Greater access to the patient’s mouth • More comfortable patient experience

425-890-8271 piega@delaneytransitions.com delaneytransitions.com

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4 0 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org

OFFICES FOR SALE OR LEASE

SERVICES

G/P PRACTICE FOR SALE IN THE LONGVIEWKELSO AREA — General practice for sale with four fully equipped operatories. Annual collections over $550,000. Great location with excellent visibility.

Well established practice that has been in same location for over 38 years. Well trained staff will assist with the transition. Seller owns building and would sell now or would sell in the future. Outstanding collection policy. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Call Diana at Medical Centers Management (253) 508-1293

CONSULTING SERVICES — Dental consulting and business solutions: negotiations, marketing, websites, business management, HR solutions, bookkeeping, start-ups. Call Julie at 206.595.6425 or email dentalconsultantwa@gmail.com.

FOR SALE, AUBURN, WASH. — General dentistry practice for sale in Auburn, Wash. Annual collections over $260,000, excellent collection policy in place, fee-for-service with no PPOs. Outstanding location with great visibility, selling doctor would like to sell building at same time as practice.

Contact: Buck Reasor, DMD, Reasor Professional Dental Services at info@reasorprofessionaldental. com, or call (503) 680-4366.

FOR SALE — West Seattle. Newly upgraded dental practice in West Seattle for sale. $725,500.00.

Five+ ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last fee-for-service practices left. Seller will pay for new floor covering throughout, leave the security deposit for the new buyer on the lease assessment and help with the transition. Call today for a tour.

Annie Miller, (206)-715-1444.

SPACE SHARING OPPORTUNITY DOWNTOWN SEATTLE – Looking for a dentist with an existing practice to share our office space. This is not an Associate position. Restorative practice with In-House C&B, and denture processing lab, and technician. Modern downtown Seattle five chair office. Lease ending soon? Decrease your overhead now! Opportunity to buy into the facility for the right person. drnicolini@hotmail.com.

FOR LEASE, OLYMPIA — Ideal location on Martin Way near St. Peter Hospital, 2,000+ sq. ft. Five ops including chairs, panex and more. Perfect for startup/satellite office, future purchase possible.

Contact Don at uncledgh@aol.com.

FOR LEASE — Quality professional office Space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/ or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth. Call (206) 595-9100.

AVAILABLE, SOUTHCENTER — Just available.

1200 square foot fully equipped 4 operatory dental space. Cerec , Panoral, 4 chairs, lights, nitrous, air and vacuum all available and in place. Please call Diana at Medical Centers Management (253) 508-1293.

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 — Bellingham Wash. Prosthodontic/ Adult restorative practice. Excellent location in building with other specialists and general dentists.

Seller owns space; sell now or later. Well established practice for 37 years. Contact: ethorp@meridiandentalcenter.com. (360) 733-2303 or (360) 594-1916.

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.

FOR LEASE — New construction. Professional building in Lynnwood by Alderwood Mall. 2,0006,000 sq ft available. Ample parking. Private entry.

High visibility and high traffic count. Each unit has up to 40 sq ft of signage on main-street. Ideal for specialist and/or group practice. Call Dr. Nguyen at (206) 250-3282 or email datman1@mac.com.

EQUIPMENT FOR SALE FOR SALE — New EDAN Dental Patient Monitors with CO2 capability and 12” HD screen with special WSDA promotional pricing for only $ 3295.00. Also available new Criticare monitors with CO2 and standalone CO2 monitors. Pacwestmed has been serving the Pacific Northwest dental market for 30 years. Contact Scott Bowsher at (425) 985-4091 or email scott@ pacificwestmedical.com.

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 — Used but in good condition equipment for sale : 2 Den-Tal-EZ Chair set ($1300 each), 2 Ritter X-Ray Unit($200 each), 1 Belmont X-Ray Head($200 each), 1 SciCan HydrIM Instrument Washer ($300), 1 firesafe file cabinet ($200), and a few office chairs. Please call 206-406-6954 or 425-228-1620 for more additional information.

SERVICES GENDEX/DEXIS REPAIR — Gendex and Dexis Intraoral X-Ray sensor repair. Specialize in repairing Gendex & Dexis dental X-Ray sensors. Repair & save $1,000’s over replacement cost. We purchase old/broken Sensors www.RepairSensor.com / (919) 924-8559.

KODAK/CARESTREAM/SCHICK REPAIR ­— Kodak, Carestream and Schick Intraoral X-Ray sensor repair. Specialize in repairing Schick CDR & Kodak / Carestream RVG 5100 & 6100 dental XRay sensors. Repair & save $1,000’s over replacement cost. We purchase old/broken sensors. www.

RepairSensor.com / (919) 924-8559.

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BOOST PRODUCTION — Want to boost your in-house production by not referring out your patients? General dentist with over 25 years of experience in private practice with strong skills in oral surgery and endodontics available to an office in need on Fridays and Saturdays. Call (360) 4029370 or e-mail scubatooth@msn.com.

HAVE SEDATION, WILL TRAVEL! — Make fearful patients comfortable with IV Conscious Sedation.

I am set up to come to your office and sedate your patients so that you can perform needed treatments the patients avoid due to fear. I have over 19 years experience providing safe IV Conscious Sedation.

Serving Washington & Oregon. Richard Garay, DDS. (360) 281-0204, garaydds@gmail.com.

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.

ALLIED CLINIC BUILDERS — Premier healthcare contractors in the PNW for over 35 years.

On time, on budget and providing quality that you can afford. Call today for consultation George McBee - Allied clinicbuilders@comcast.net (425) 941-3088.

CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 9735220 to submit your credit card information (sorry, no check payments), and your ad will be placed.

Sell your practice or fill a position quickly?

Don’t worry, you’re only charged for the ads that run. We’re flexible, and the process is painless and cost effective.

Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30.

Non-members: $100 for the first 30 words, $1 per word for each word over 30.

classifieds issue 3, januar y 2016

OFFICES FOR SALE OR LEASE

parrish or perish

Most of Us Have Done It, But Soon Fewer Will Have To

Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.”

— George Patton

“We all know excellent practitioners in school who had difficulty with a board exam and others “less talented” who flew through. Was the exam reliable as a determiner of one’s true skills? That has been argued since the beginning of exams.“

One of the hurdles most of us faced early on in our careers was some board exam. It might have been a state board or a regional board, but someone, somewhere needed to certify we were safe to practice even though we had passed all the requirements of a particular dental school. Since the ancient days when I took the Washington State Board, the entire licensing system has been turned upside down. Most states, including Washington, are now involved in a regional board or boards, instead of their own state’s exam. But a hurdle of some variety is still there.

The landscape is changing more with the emergence of California’s portfolio model and Minnesota’s OSCE (Objective Structured Clinical Examination) model, which is the national licensing exam in Canada. Additionally, there is an expansion of the so-called PGY-1 avenue of licensure. PGY-1 stands for “Post Graduate Year-1” and involves a year or more of practice/education/evaluation in an accredited residency program. To quote the ADA’s website on the subject: “New York does not require a clinical examination, but requires applicants to complete an accredited postgraduate dental education program of at least one year in length (PGY-1). California, Colorado, Minnesota and Ohio offer licensure applicants the option of completing an accredited postgraduate education program, at least one year in length, in lieu of a clinical examination. Washington has an option for PGY1 completed in that state in specific settings. (Emphasis added.) Delaware requires completion of a PGY1 and a state-specific clinical examination.”

The “specific settings” available in Washington right now are associated with residencies in so-called “underserved areas.” The WSDA (with House of Delegates approval) will encourage state legislation this year to allow all GPR and AEGD residency programs in the state to offer licensure via a PGY-1 avenue. After all, if there are appropriate controls and calibration, why should one otherwise accredited residency program have the perk and another not? At least that’s the argument. Or to counter the argument, is there really meaningful learning/evaluation going on here, or is it a means of driving dentists into settings to provide reduced-cost care to improve access? And does it “extend dental school” to a mandatory fifth year? I will leave these discussions for another day.

But I will suggest another question for consideration: Do board exams really prove anything? We all know excellent practitioners in school who had difficulty with a board exam, and others “less talented” who flew through. Was the exam reliable as a determiner of one’s true skills? That has been argued since the beginning of exams. Our anecdotes do not prove that boards are unreliable, but I am unaware of any good studies that prove continued on page 36

The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.

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th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org · 43

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4 4 · th e wsda ne w s · issue 3, januar y · 2016 · www.wsda.org