WSDA News · Issue 8 · August 2016

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The voice of the Washington State Dental Association

news

DR. LOREE BOLIN

2016 CITIZEN OF THE YEAR

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PREMIER BUILDER OF DENTAL FACILITIES

Working with Constantine Builders was one of the best decisions that we made.

CBI performed with the highest level of integrity and excellence throughout the project and made it virtually stress free.

DRS. CHRISTIAN AND MICHELLE WILSON 2 路 th e wsda ne206.957.4400 w s 路 issue 8, august 路 2016 路 www.wsda.org | CONSTANTINEBUILDERS. CONSTANTINEBUILDERS.COM

Dr. Loree Bolin, your 2016 Citizen of the Year

WSDA news

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editorial

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guest editorial

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Cover story by Rob Bahnsen Cover story & DQAC story photos by Craig Mitchelldyer

cover story

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hod coverage

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oral cancer awareness walk

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dqac news

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clinical corner

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regulatory news

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endorsed company news

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classifieds

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in memoriam

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parrish or perish

ada morning huddle highlights

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 Assistant Executive Director Kainoa Trot ter Vice President/Chief Financial Of ficer Peter Aaron Vice President of Government Affairs Mellani McAleenan

Government Af fairs Coordinator Michael Walsh Public Policy Coordinator Emily Lovell Membership Ser vices Coordinator Rachel Gunderson Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/wsda.org

General Counsel Alan Wicks Vice President of Operations Brenda Berlin Ar t Director/Managing Editor Robert Bahnsen

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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.

The WSDA N ews is pub lishe d 8 time s ye arl y by t he Washington State Dental Association. Copyright © 2016 by the Washington State Dental Association, all rights reser ved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility 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: 2016: Platinum Pencil Award, 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 8, august 2016

a day in the life

editorial dr. mar y jennings

Understanding Section1557

Dr. Mary Jennings Editor, WSDA News

“Signs are one thing. Making “qualified” translation services for fifteen languages and sign language in every dental clinic in the nation is another. It is important to get this right.”

Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com.

Section 1557 of the Affordable Care Act (ACA) “prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain healthcare programs.” On July 18, the U.S. Department of Health and Human Services’ Office of Civil Rights (OCR) implemented its rules for providers who receive federal monies for healthcare. This includes the approximately 42 percent of U.S. dentists who accept Medicaid and work with the CHIP program.

Many of the rules for compliance and punitive actions are new. The ACA did not change any of the long-established laws surrounding discrimination. We are still working under Title VI of the Civil Rights Act of 1964 (race, color, and national origin); Title IX of the Education Amendments of 1972 (sex); the Age Discrimination Act of 1975 (age); and Section 504 of the Rehabilitation Act of 1973 (disability).

To me, these rules are less about discrimination and more about sensitivity and inclusion. The proper term in healthcare is equity. Everyone needs to have a fair opportunity to receive healthcare and we all benefit from early intervention and better outcomes. Protected classes of people have historically not fared so well in our current system.

There was emphasis in this set of rules surrounding the LGBTQ community. Things like repeatedly calling someone by the wrong name or pronoun is not acceptable. I have to admit that my team has inadvertently done this in three of the community clinics I have worked in. Each time was an oversight, but it was insensitive and hurt feelings. I never want that to happen again.

The most significant rules for us surround “meaningful access” to language translation services and nondiscrimination signage for our offices. By October 16, we are to have nondiscrimination signs in our offices and on any website or significant publication or communication we produce. We must have taglines in the top fifteen non-English languages spoken in our state that say translation services are available at no cost to our patients.

The OCR has kindly listed the top fifteen languages and provided the taglines. The ADA has done a great job in providing links to this information at ADA.org/1557 and here: wsdasource.org/blog/attention-medicaid-providers.

Signs are one thing. Making “qualified” translation services for fifteen languages and sign language in every dental clinic in the nation is another. It is important to get this right. The OCR has set up a formal complaint process for patients and intends “continued robust enforcement of 1557.” Punishment for not following the rules ranges from simply being dropped as a provider to being prosecuted by the Department of Justice “to bring proceedings to enforce any right of the U.S. and any other means authorized by law.”

Complaints can be compounded. For example, an older woman from another country who complains of discrimination could be adjudicated and sanctioned by all three sets of rules regarding age, sex, and national origin - not as just a single complaint. Furthermore, the law allows some discrimination cases to be tried in civil court, too.

I was disappointed to learn that “qualified” interpreters do not include my patient’s under-aged children, friends, or even some of my bilingual staff. Don’t judge me. My staff and I do not inherently know when a new patient needs an interpreter Many of my immigrant patients are so polite and respectful that they tell me they understand then, in time, we realize clearly that they do not. Communication and understanding for me is often a journey.

We must “reasonably determine” that the translators can interpret “effectively, accurately, and impartially.” They must also comply with HIPPA regulations, and the rules surrounding privacy. It is our responsibility to ensure they are in compliance, and it is best to document compliance.

By rule, non-English-speaking patients cannot bear any of the cost for language services. I was wounded to read that the OCR acknowledges that the cost to providers could exceed the profit made. It didn’t seem to bother them at all. It bothers me. Will the rules eventually apply to non-federally funded patients?

Fortunately, Medicaid covers translation services in our state. We can use phone, in person and video services. If the patient does not want a translator but the doctor does, that is covered. If the patient is not covered by Medicaid, or for some reason a patient falls between the cracks and the doctor has to pay, the hourly rates I checked were between continued on page 27

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I always appreciate the opportunity to write an editorial. Not because I like to write or find it easy to write, but because it gives me cause to think about what I should be writing about. I thought about summarizing the many successes that the ADA has accomplished recently, like the roll out of Aptify and integrated websites, production of the Guidelines for Practice Success in the Center for Practice Success, the DRB loan refinancing program for our newest colleagues, phenomenal growth in ADPAC and its influential role on Capitol Hill, growth in the New Dentist Conferrence with a move to an annual session, and the growing recognition of Health Policy Institute as a highly respected resource on the dental landscape.

And I thought about sharing additional information about the latest works in progress at ADA, like the continued upgrading of resources and accessibility of library services in support of EBD like Dynamed, the ramp up of the Advanced Dental Admission Test and the credentialing service, the collaboration with ASDA Lobby Day and our WLC, streamlining our Constitution and Bylaws, and renewed vigor of promotion of our ADA Seal Program.

But I have decided to share with you my views on an upcoming challenge. Other challenges that I will leave for another time will be those regarding portability and testing for licensure, specialty recognition, anesthesia guidelines, the changing marketplace of practice models, the role of research in the profession, third-party payment plans, and the future delivery of CE. What I want to share with you today are my thoughts of where some of these come into meaningful interaction, and that is our dental education system.

So let me begin.

Dental education has seen some remarkable changes in recent years. With the proclamation by business pundits that orthodontics and dentistry are the top two professions (orthodontics is not part of dentistry?), it’s no wonder that the number of dental schools, dental school applications, and enrollments continue to grow. The good news is that we continue to attract the best and the brightest into dental careers. In fact, we are fast approaching the total enrollment peak of the early 1980s, and are projected to eclipse that high-water mark very soon, even as dental school tuition and expenses are also reaching all-time highs. Student debt is at the highest levels ever, but it is not having much of an effect in stifling applications to dental school. However, if the lack of growth in overall dental expenditures does not change dramatically very soon, that may change, and our most recent graduates may end up paying the price in more ways than one. As state support for dental schools continues to decline to the lowest levels ever seen, increases in tuition and enrollments have been the short-term fix in many dental schools. This is a short-term strategy, not a solution. As third-party payers gain more influence in the market by putting increasing pressures on efficiencies and outcomes of health improvement for reimbursements, our participation in Dental Quality Assurance becomes all the more important. “Pay for performance” is here or just around the corner, like it or not. This is having the effect of changing the marketplace in which we all practice today. It remains to be seen how much further this change will go, but I believe that there very likely will continue to be a shift in the near term towards the consolidation of solo private practice into groups. This can lead to some efficiencies that all payers want to see in terms of reigning in the cost per unit of care, but we need to keep a keen eye on the quality of that care, as well. The efficiency of group practice is creating more opportunities of higher initial salaries for new graduates who need this to pay off their student loans.

My point in all of this is to point out the trends and realities of our current trajectory: We are headed into an oversupply of dentists. In a private communication with Marko Vujicic, director of our HPI, he agreed that without significant changes, we will experience a surplus of dentists in the not-so-distant future.

So as a profession, what do we do now? The key to the predictions and forecasts is “without significant changes.” We must look into the future and anticipate what opportucontinued on page 27

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Dr. Rickland Asai 11th District Trustee

“We are headed into an oversupply of dentists. In a private communication with Marko Vujicic, director of our HPI, he agrees that without significant changes we will experience a surplus of dentists in the not so distant future.”

guest editorial dr. rickland asai

In the balance: my perspective

dr. loree bolin, 2016 citizen of the year cover stor y

“Strength. Power. Focus. Go.” Whether pushing through a rough spot in an Ironman competition (she’s done eight, more on that later), or toughing it out while performing dentistry in the sub-Saharan heat of Tanzania, Dr. Loree Bolin, WSDA’s Citizen of the Year for 2016, uses a powerful mantra to get through any challenge: “Strength. Power. Focus. Go.” Bolin, a retired Lake Stevens dentist, was nominated by peers and colleagues to receive the WSDA’s highest honor for her years of volunteer dental service. Since 2007, the intrepid world traveler, athlete, and dentist has volunteered her services on 13 relief trips to Haiti, the Philippines, Honduras, Uganda, and Tanzania while with Medical Relief International (MRI), and later to Nepal and Tanzania with the Health & Hope Foundation (HHF), which she created. In Tanzania, she works with communities in the Ngorongoro Crater (Maasai) and Mwanza.

Cover story photos by Craig Mitchelldyer

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2016 CITIZEN OF THE YEAR

dr. loree bolin, 2016 citizen of the year

DR. LOREE BOLIN

dr. loree bolin, 2016 citizen of the year cover stor y

Photo top: The women of Mwanza crash rock to earn a living. Photo bottom: Dr. Bolin riding in an Ironman competition.

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For Bolin, the gritty fieldwork is a natural fit. She explains, “The reason it was perfect was because all of the whistles and bells were stripped away. I loved the challenge of providing dental care out of a lawn chair propped up with sandbags, and making do with what we had. I like roughing it, and I like not having stuff. I think that’s what attracted me to it when I went on my first trip. I do better when I am in the moment and problem solving. I’ve always been an adventure seeker and done things the hard way.” Bolin is an endurance athlete, and at one point even considered becoming a PE teacher. Instead, she followed in her father’s footsteps (he graduated in the University of Washington’s first four-year class), and became the first daughter of a UWSoD graduate to attend the dental school.

She started running marathons in dental school and has now run a marathon on each of the seven continents. Eleven years ago Bolin completed her first Ironman competition. “It’s my meditative time,” she explains. “If I have a problem, I’ll take it on a run or a bike ride. That’s when I problem solve. I like the competition and the racing, and I’ve learned a lot about myself in the process. Starting at dawn, we swim 2½ miles, bike 112 miles, and finally run 26.2 miles. During the course of the day, all of your layers strip away, your ego is gone. You have good times and bad, ecstasy and despair. I had some years with injuries, but I have accepted the personal challenge of completing a race every year since I turned 50, and I’m 62 this year.” Bolin isn’t a casual competitor. She won her division in Brazil, which qualified her for the Ironman World Championship in Kona, where she placed 10th in the world in her division. That drive and tenacity carry over into her foundation work, and has helped make Health & Hope what it is today, just two short years after its formation.

Creating the Health & Hope Foundation

Bolin enjoyed her work with MRI, but began thinking about making a more lasting impact in a community. So after much careful thought, she created the Health & Hope Foundation in 2014, which is dedicated to improving the lives of widows and orphans in a small village within Mwanza. Additionally, HHF was proud to be the first NGO (non-governmental organization) to coordinate with local leadership to deliver medical, dental, and vision care to Maasai villagers within the Ngorogoro Crater. Bolin says, “I chose Tanzania because I had been to five different locations there with MRI, and in each and every case I had the same interpreters.

They were from Mwanza, and both had created organizations that helped widows in their village, and they were connected with chil-

Setting out on her own: helping the weakest

But why start a foundation, when so many others out there are doing similar work and have the infrastructure in place? Bolin explains, “While I respected the work of many groups out there, including MRI, I knew that I wanted to run things with a different focus, and I wanted to channel my energies very specifically. I also knew that while doing extractions in communities around the world was absolutely a vital thing, it wasn’t addressing the problem. After going on so many trips to different countries, I saw that the problems were identical, and that if we focused on prevention and education, dental caries could be substantially reduced.” Bolin, who loves performing surgeries on patients and understands that getting people out of pain is essential, says that the treat-andleave model of care wasn’t comprehensive enough, and she wanted to do more. “I’ve taken out thousands of teeth, but I don’t feel it is where the person is best served. I wanted to pick a community, focus more on prevention and education than surgery, while working to make the community and its people healthier and more self-sufficient.”

As she points out, the need for adequate dental and medical care across the globe is mind-boggling and won’t soon be met. “When you’re in a developing country putting on a mobile clinic, there are hundreds in need,” she says. “If you let yourself think about that, you would go crazy. My goal is to help communities create leadership structure and maintain sustainable change.”

Bolin decided to target widows and orphans because in Africa, they’re the weakest and most vulnerable people, and have few advocates. As a woman, Bolin wanted to influence these forgotten lives for the better. Often, she explains, the widows are left to care for their grandchildren because the middle generation has been lost to AIDS and other illnesses. Bolin set out to help the community in key ways that included clean water, healthcare, education, women’s business development, and sports programs. Today, the foundation runs a school and myriad programs she set in motion.

Healthcare

After completing so many years of work around the globe, Bolin was well prepared for the logistics of bringing healthcare to remote areas. To that end she brings a phalanx of volunteers, including dentists, doctors, optometrists, carpenters, electricians, and “just regular folks” on each of her visits to the area, along with some 1,300 pounds of supplies in 24 containers. They carry mobile dental units, 600 pairs of glasses, antibiotics, painkillers, school supplies, and more. “Some say we do too much. But I don’t see how you can hope to have a holistic program without doing this much….and more,” says Bolin. “We’re community-based, and we’re taking care of the community.” In addition to her volunteer force, Bolin has boots on the ground in Mwanza. Her in-country leadership includes Jonathan Okoth, pastor and head teacher for the foundation school, along with other teachers, interpreters, and local doctors.

Annual visits

Each year when the foundation’s volunteers come to Mwanza,

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dr. loree bolin, 2016 citizen of the year

Grit and determination

dren’s education efforts, too. Given this established local base, I knew it would be a good place for me to really serve a population.”

Bolin estimates that Health and Hope volunteers have 800 patient encounters every clinic week, but clarifies that patients will often have several visits between medical, dental, and vision resources the organization supplies.

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Bolin volunteered with MRI from 2007 to 2014, going on healthcare missions and serving as the group’s medical director, while also initiating programs for in-country students to attend dental schools in the Philippines and Tanzania. She ultimately decided to strike out on her own. She says she loves foundation work because the need is great in developing countries and the people are magnificent. “I’m excited about this honor because it will open more opportunities for the people in Tanzania. They are such joyous, grateful people. They make do with what they’ve got and sing along the way, but given an opportunity they’ll take it and fly,” she says. “Each life we touch creates a legacy. Beyond meeting one person one time in a dental chair, it’s given us a chance to become a part of the community and introduce the people of Tanzania to those who are near and dear to me. It’s not just my legacy, it’s everyone’s. We’re all connected.”

dr. loree bolin, 2016 citizen of the year

Cover story photos by Craig Mitchelldyer

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“She is the most positive person I have ever met. She looks forward to the future with such positive energy.” ­— Dr. Sabrina Mandage “Her vast accomplishments and the level to which she has dedicated her life to serving others is truly inspiring.”

— Judy Bangs, Executive Director SCDS “Loree Bolin has provided an example of the definition a Neo Renaissance person who makes use of all her education and experiences to create a better life for those fortunate enough to share time with her. May other explorers follow this one of many examples of what can be accomplished and what lives can be affected in the most positive way.”

— Dr. Christopher Jean

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dr. loree bolin, 2016 citizen of the year

“Loree has a big heart, works hard for others, and brings out smiles all over the world! I am proud to be her colleague and friend. She is very well deserving of this honor.”

— Olga Ortuzar, DDS, MS

dr. loree bolin, 2016 citizen of the year cover stor y

they close the school for a week and set up multiple clinics to address the needs of the local and neighboring populations. Bolin hopes the foundation will eventually “catch up” with the dental needs (and some of the medical needs) of the widows and orphans she sees yearly, but understands the magnitude of the health crisis in the surrounding area. “It doesn’t take that long to see improvement in dental health in these communities,” she says. “The core group of people that we see have fairly lovely teeth because they have toothbrushes, and because we’ve done prophys and fluorides on them. The scope of practice is still nearly 100 percent extractions, or at the very best 85 percent extractions, and we try to make some time for restorative work. That will change as we continue to go back to the same area every year, but in truth people travel great distances to receive help, so there will always be a population needing extractions.”

For the medical doctors, it can be an exercise in frustration because they can only perform nonsurgical procedures, and the enormity of the problem can be overwhelming. Bolin says, “Much of what they find necessitates ongoing treatment, which we cannot provide at this time. If a patient is diabetic or hypertensive, we don’t give medications because we can’t follow up with them, nor can we ensure that they will have a proper supply of the medications. It’s a tough decision to have to make.” Regardless, the presence of a U.S.-trained medical doctor on the team is vital, even if the scope of care is limited. Bolin says, “Just having the opportunity to talk with a U.S. doctor is very important to the locals. It can be bring great relief just to be heard. Some of what we see we can’t fix in a few weeks, and even when we refer them to a local hospital, they often don’t have the proper diagnostic equipment.”

In Mwanza the most common medical issues the volunteers will see are skin infections, GI worms, musculoskeletal problems from an injury, dietary issues related to malnutrition/dehydration, and drinking unclean water. Initially, many of the older women have strikingly similar ailments: burning eyes and sore backs, knees, shoulders, and hands. Bolin learned that they were all “crashing rock,” which is essentially serving as a human gravel-making machine. Using their hands, they gradually break large boulders down into gravel, which is then used in construction projects. It is backbreaking, common labor for the village’s widows. And while Bolin has been trying steadfastly to introduce them to alternative sustainable businesses that aren’t so punishing on the body, she says some of the women enjoy the work and continue to do it even after they learn new skills. “It’s social, too,” says Bolin. “They work and chat all day.”

HHF is proud to offer vision services for near- and far-sighted corrections, something not many in the area do. The foundation works with a Tanzanian optometrist with an uncanny knack for knowing what certain areas will need in terms of corrective lenses. “Our eye doctors make a determination and either dispense glasses or connect (people) with local resources, if it is something requiring more serious care. Last year HHF donors funded 29 follow-up cataract surgeries for diagnoses made by our ophthalmologist. Last year we distributed 395 pairs of glasses. This year we distributed 600 pairs,” says Bolin. Additionally, Health and Hope team members went to Texas with an organization called Visual Compassion to learn how to diagnose and provide glasses so that they can assist or fill in when the optometrist isn’t available.

Setting priorities: Clean water

Bolin found that the most pressing need for the entire community was an adequate and reliable source of safe drinking water and an inexpensive way to test what they had. Locals didn’t know how to test water for safety, and they lacked the resources to pu-

rify it in a manner that wasn’t ultimately harmful to the environment, like boiling, or didn’t taste foul, like traditional purification chemicals.

First, Bolin started searching for a cheap, easy way to test water to determine if it was safe to drink. Mwanza has plenty of water — it sits on the shore of Lake Victoria, the source of the Nile River connecting Kenya, Uganda, and Tanzania. Although beautiful, the lake has been polluted by blast mining and sewage. Bolin won’t even swim in it, much less drink from it. And while the village does have pumped water available, it can be unreliable because of leaks in the pipes that allow biologic contaminants in. People in the small villages often boil their water to make it safe to drink, but firewood and coal are costly, and all of sub-Saharan Africa is becoming deforested from climate change, moving populations, and communities that burn wood for fire and to make coal. Reforestation efforts are just starting with the help of the government, but change is slow within the community. Bolin knew the key was finding inexpensive ways to test the water and alternatives to boiling and chemical purification of contaminated water. She and her cadre of volunteers teach solar water pasteurization, which adds another solution to the water contamination problem.

The MIT connection

Focusing her efforts on simple solutions for testing local drinking water led Bolin to MIT’s water engineering department, which had already developed such a kit. “Microbiology testing is generally very expensive. The individual tests that you can get online can cost $30 and require an incubator. MIT wanted to spearhead the assembly and distribution of the kits themselves, but didn’t have the manpower, so they asked if we would do it,” says Bolin.

The kits, which test for E. coli and other contaminants, require a 24-hour “body heat” incubation period to test the water samples.

Health & Hope sells each kit, which can do 25 tests, for $200 to other NGOs. Bolin takes the kits everywhere she goes in the developing world. Last year, HHF water test kits were used to check 220 water sites not only in Tanzania, but also in places like Siberia and Malawi by other NGOs.

Next up: Creating ways for women to flourish

Bolin knew the women in the community had drive and skills, but they needed a boost to take them beyond “rock crashing.” She says, “Some knew how to sew, others had poultry skills, and others sold dried fish. They lacked the seed money to get anything off the ground, however.” So in 2011, as she was ending her first visit to Mwanza, Bolin put her money where her mouth was and created a seed grant program with $1,000 of her own money. “I wanted to see what would happen if we invested a little bit and tried to help the women diversify their businesses. We hoped to improve their standard of living and create a way for them to get a little more food,” she says.The modest investment would later become the community’s microloan program.

Bolin split the $1,000, giving $500 to a group of women who chose to work independently because they mistrusted other women in the community, and $500 to women who worked together in groups of three to five, collaborating and helping one another. The second group attended business classes that were offered in the church every other week, learning principles like profit-and-loss theory, sharing, and working cooperatively. “We wanted ladies who were starting a poultry business to connect with ladies who were baking and needed eggs, and the ladies who were baking to connect with ladies making cereals, etc.,” says Bolin. “We wanted them to network, which they did, earning enough to put some

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Education: more than just the three Rs

Education through sports

Housed in what was once a chicken coop (“a very large chicken coop,” says Bolin, with a smile), the foundation’s Tumaini Tutor School serves many purposes. The first, of course, is education.

The 120 students attend either full or part time; 85 percent also go to the government school. None of the students have fathers, and some have lost both of their parents and are being cared for by a guardian. The children, ages 4 to 17, are taught in half-day shifts and attend school six days a week. Small-group tutoring helps the students catch up. “We established this school because these kids were behind their peers because of their erratic ability to attend school,” explains Bolin. “For some it was because they lacked the money to pay the government school tuition and uniform costs.

For others it was because their family was sick, or they were. Kids in Mwanza get malaria often, some kids are living with AIDS, and a lot of kids get waterborne illnesses, which is why clean drinking water is so important.” Tumaini means “hope” in Swahili, and the school has become a secure home base for the orphaned students.

HHF’s school meal program has significantly improved the nutritional status of 25 of the most deprived students.

Health & Hope offers vocational bridge schooling for older students and young adults, which can help them get jobs in the community. Young men and women attend skill classes equally, and for many it’s the first time they’ve ever handled scissors or a hammer.

In the carpentry class, they learn how to make Tippy Tap handwash stations using inexpensive materials. They stations provide a way for the village residents to wash their hands with clean water outside community latrines and cooking areas. [Editor’s Note: To view a video showing how to make a Tippy Tap handwash station, visit: https://www.youtube.com/watch?v=t6bP7JYPOzM] In the sewing class, students learn how to sew and repair uniforms and make feminine hygiene kits, which can be sold to neighboring communities to help sustain the school. “The beautiful thing that has come out of that experience of making uniforms and the feminine hygiene kits is that we use it as a tool,” says Bolin.

“When we distribute the kits in sexual education class, it’s a way to open a cultural conversation about sexual safety, which some girls have never had.”

All girls take an age-appropriate class. With the older girls, educators talk about all kinds of sexuality problems and field questions such as, “Can you get AIDS from having sex in the water?” or “Does water protect you?“ “We’ve helped to foster open conversations for the girls in the community, and the ladies as well,” says Bolin “especially those who are getting supplies for their granddaughters. We’re able to have candid conversations about sex and the methods they can use to decide if sex is right for them, and how to thwart unwanted sexual advances. Girls are generally reluctant to discuss these things.”

Health & Hope also tries to structure programming and opportunities at the school to create self-sufficiency. For instance, a

As an elite athlete, Bolin knows that sports can bring people together and teach much more than just the game or camaraderie.

She figured if she had the girls in the school play net ball against the older women, it could become a break in the daily survival of life in Africa and promote cross-generational sharing. “When I first went there, I found that as a white woman, they weren’t necessarily open to talking with me about women’s issues. We found an entrance through sports, and opened up lines of communication between the younger girls and the women, some of whom were married with dowries of cattle, but they had lost their husbands and were forced to go it alone. They have life experience that the young girls don’t, and through sports they’re able to chat and share with these young orphan girls who lack mentors. One of the most alarming statistics is that 71 percent of all new HIV infections in sub-Saharan Africa occur in adolescent girls. Between the older women talking during games and our sex ed programming, we’re finding new ways to reach this most vulnerable age group.

It’s opening so many fabulous surprises in such a grand fashion, and it’s helping to a level that wasn’t intended, but has turned out so magnificently.”

Similarly, the foundation has begun to reach out to the boys in school and during sports play, but there are other hurdles to conquer. “The interaction that we’ve seen foster between the girls and women through sports is something that we’re going to roll into the boys’ soccer program soon,” says Bolin. “We’re seeking a couple of younger men to work with and coach the boys. We found that with Tanzanian boys, you have to have the right person telling the story for it to be absorbed. We want and need someone who has lived the advice. It’s not enough to just tell the story.

Educating while we’re building Tippy Taps has been great, but we need more opportunities for conversation, so we’ll use sports to deliver the message next.”

Next up?

Bolin wants to keep expanding programs in Mwanza, and continue to work with other NGOs, specifically those in Washington, but she admits funding for a young foundation can be tough. She’s currently developing a “shoe library” for the Tumaini Tutor School students so that they can pass down their outgrown shoes and get a new pair in their size. Bolin says, “Shoes are so precious. Children are generally barefoot, contributing to the need to deworm our students every three to six months, depending on their age.

Worms make it into the body through their feet and rob them of their nutrients.”

With her drive and determination, we know Bolin will continue to be successful with each and every additional service she brings to Mwanza and the people of Tanzania. We’re in awe of her dedication to those who have so little, and are proud to call her the 2016 Citizen of the Year

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dr. loree bolin, 2016 citizen of the year

refrigerator was added to cool the solar pasteurized water the students make because they can bottle and sell it to the locals. They make and repair uniforms to earn money while learning a skill.

The foundation is working with other NGOs to add internet service to the school, not only for the children, but also for the community at large. Bolin explains, “Microsoft has a program called 4Africa that offers online programs. If we can get reliable internet service at the school, orphan student education can be offset by teaching English and computer skills to the community for a fee, which pays to keep the school running. It’s all about creating a self-sustaining environment.”

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money in their savings for the future. Today, that money is used to fund new women entering the program. It has become selfsustaining, which is more than I ever hoped for.”

Today, the Women’s Business Program has an elected leadership team that interviews women who are interested in joining the group. Each of the leaders has a number of programs they oversee, and all of the women are committed to the work of the group. Interestingly enough, the women who chose to work independently ended up with about $12 each, which they all spent. They saw the error of their ways first hand, and many of them later applied to join the business program.

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Health & Hope Foundation: How you can help

Get the word out Dr. Loree Bolin would like to continue to grow the number of orphaned Tumaini students sponsored by Washington residents to enable government school enrollment. Currently, there are 15, with many more deserving on the wait list.

Sponsorship can cover government school costs, the Tumaini School’s meal program, and other basic expenses.

Bolin herself is sponsoring one former Tumaini student’s college education. For more information about any of these volunteer opportunities, please visit: healthandhopefoundation.org.

Bolin says, “Even having our members know that the Health & Hope Foundation exists is a good start. We have a fantastic website that tells our story really beautifully, Healthandhopefoundation.org.

Volunteer in Tanzania

“We can use volunteers for the clinics, regardless of whether they’re dentists or not.

We’ve had everyone from 13-year-old to 72-year-old volunteers who were fabulous,” she says. “If you are a dentist, you really can help us. Dentists have a wealth of knowledge to share. Our next Tanzanian trip will be June 2017.”

Donate

Bolin says, “Donations are always wonderful because they allow us to get the things we need most, and usually for less money than you can. For instance, dental supplies are great, but we can get those from the major distributors for less than dentists can, so their donated dollars can go farther with us. That said, if you want to donate supplies, we’ll make sure they get used! I don’t like saying no to in-kind donations. I have a stockroom, and we always buy in bulk to save money.”

Volunteer at home

Bolin says, “We currently have about 40 volunteers working here in Washington with the foundation. We have both individuals and families involved in making washable feminine hygiene kits for delivery in Tanzania.”

Sponsor a child in school

“It’s a fabulous way to get involved, and it only costs about $350 for the entire year,” says Bolin. “That covers tuition, books, uniform, a small medical fund for them, and a food budget.

Join the Tumaini Pen Pal Team

“The kids write in longhand, and we scan the letters to email to their pen pals, which helps them practice English composition, handwriting, and some computer skills. They love getting and reading mail from overseas, too. It’s the best thing ever,” says Bolin.

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w a s h i n g t o n · s t a t e · d e n t a l · a s s o c i a t i o n

SEMI AH MOO th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 15

2016

wsda house of delegates

september22-24

b l a i n e , w a s h i n g t o n

open positions, resolutions hod news

OPEN POSITIONS The following elective positions are to be filled at the 2016 WSDA House of Delegates meeting: President-elect: One year and three years as ADA Delegate Secretary-Treasurer: One position, three-year term and three years as ADA Delegate Board of Directors: Four positions, three-year terms Committee on Budget and Finance: One position, four-year term Committee on Government Affairs: Two positions, one three-year term, one two-year term Delegates to the ADA House: Two positions, three-year terms beginning January 2017 Nominations were solicited from all component dental societies.

RESOLUTIONS REGULAR BUSINESS

The following resolutions are submitted every year as part of the regular business of the House of Delegates HD-01-2016 Rules for the House of Delegates – September 2016

Establishes the rules for the 2016 House of Delegates. Submitted by the President.

HD-02-2016 Committees and Parliamentarian for Annual Meeting of House of Delegates - September 2016

Names members of Credentials Committee, Rules and Order Committee, Reference Committees, and appoints a parliamentarian for the House of Delegates. Submitted by the President.

HD-03-2016 Acceptance of WSDA Audit For the Year Ending September 30, 2015

Submitted by the Committee on Budget and Finance.

HD-04-2016 WSDA 2016/2017 Budget

Proposes the operating budget for 2016/2017 fiscal year. Submitted by the Committee on Budget and Finance.

can be made from the floor. Submitted by the Task Force on Nominations.

HD-07-2016 Location of the 2019 House of Delegates

To be proposed by the Committee on Budget and Finance.

HD-08-2016 WSDA Legislative Agenda for 2017

Reaffirms the policy in determining its annual legislative agenda, and adopts legislative positions in preparation for the 2017 session of the Washington State Legislature. Submitted by the Committee on Government Affairs.

2016 RESOLUTIONS

The following resolutions were submitted by various entities.

HD-09-2016 Staff Recognition

Establishes which staff members will be honored at the 2016 HOD per HD-10-2015.

HD-10-2016 Nomination for Honorary Membership

HD-05-2016 WSDA Dues for 2017 (Bylaw Amendment)

Calls for Ms. Judy Bangs, hired in 1989 as Executive Director of the Snohomish County Dental Society, to be made an honorary member of the WSDA following her 27 years of exemplary service to her component.

HD-06-2016 Nominations for Elective Office

HD-11-2016 Encouragement for Nonprofit Governance Training for Component Leadership and Executive Staff

Proposes a schedule of dues. Submitted by the Committee on Budget and Finance.

Submits names for nomination for offices indicated in the resolution, with the understanding that further nominations

Encourages governance training for component leaders and WSDA executive staff.

Submitted by the Task Force on Nonprofit Compliance

HD-12-2016 Dentists’ Role in Reducing Opioid Abuse in Washington State

Proposes a series of steps WSDA members can take in reducing opioid abuse in the state.

Submitted by the Seattle-King County Dental Society

HD-13-2016 Take 5 Program

Proposes that WSDA members actively adopt the Take 5 program for Medicaid patients in the state.

Submitted by the Seattle-King County Dental Society

HD-14-2016 Expansion of the ABCD Program

Proposes an expansion of the state’s ABCD program for children.

HD-15-2016 Formal Adoption of Community Dental Health Coordinator Model Proposes that the WSDA formally adopts the ADA’s Community Dental Health Coordiantor as a member of the dental team.

Submitted by the WSDA Board of Directors.

HD-16-2016 Concerning Clinical Licensure Examinations

Proposes that the WSDA support the change from the current licensure exam model and adopt a portfolio examination model and the Objective Structured Clinical Examination.

Submitted by the University of Washington ASDA, WSDA Members: Kathie Wang, Hakan Gem, Julie Vu, Amelia Skifstad, Daniel Estrada, Julian Nguyen, Van-Anh La, Andy Keith, Kalob Lesh, Timothee Cousin, Sohaib Soliman

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President-elect Dr. Ron Dahl Current Positions WSDA Board of Directors, ‘12 - present Mt Baker District Dental Society Executive Committee, ‘07 - present Delegate, ADA House of Delegates, ‘14, ‘16-‘18 Delegate, WSDA House of Delegates, ‘94-‘95, ‘11 - present University of Washington School of Dentistry Affiliate Faculty, ‘83-present Former Positions WSDA Committee on Government Affairs, ‘10-‘12 Mt Baker District Dental Society President, ‘08-‘09 WSDA Committee on Strategic Planning Chairman, ‘93-‘94 Leadership Institute Mentor, ‘14-‘15 Associated Ferrier Study Clubs President, ‘07-‘08 Professional Affiliations American College of Dentists International College of Dentists Pierre Fauchard Academy Academy of R V Tucker Study Clubs Education DDS, UWSoD, ‘83 Other Boys & Girls Clubs of Whatcom County Foundation: Board of Directors ‘12 - present Secretary/Treasurer ‘13 - present Robert L Bruna Dental Seminar, ‘88 - present President ‘94-‘95, ‘06-‘07 Whatcom Project Access Dental Advisory Board, ‘12-‘16 Candidate Statement To quote the WSDA Mission Statement, “The Washington State Dental Association, through its members, exists to promote oral health of the highest quality.” To fulfill this mission, WSDA serves as our united voice and a valuable resource for information and communication in today’s

fast-paced world. When addressing issues that affect the quality of care and safety of our patients, the powerful resolve of our united voice is derived from the involvement of our broad and diverse membership.

To remain effective, we must reverse the trend of declining market share of dentists in our state.

Without a strong membership base, we will no longer be a viable professional association, and will have at best a weak voice when confronting the issues we face. You’ve heard the phrase, “all politics is local.” I believe “all recruitment is local.”

It will take WSDA support and a concerted grassroots effort to grow our membership. Many times a simple phone call or a brief encounter is all it takes to remind a nonmember of the value of membership.

A WSDA empowered by a growing and diverse membership will remain a powerful advocate on our behalf as we tackle the issues that threaten the delivery of highest quality oral healthcare to our patients and the preservation of the values, freedom, and independence we enjoy as practicing dentists. To this end, even as we deal with the multiple issues before us, recruitment and retention must remain a high priority. Our very future and fulfillment of our mission depend upon it.

Dr. Cynthia Pauley Current Positions Board of Directors WSDA, ‘14 - present Delegate to WSDA, ‘02-‘05, ‘08-‘15 President, Seattle King County Dental Society Foundation, ‘15 - present DentPAC board, ‘15 - present Affiliate Instructor: University of Washington School of Dentistry, ‘15 - present, ‘93-‘04 (Affiliate Assistant Professor) Former Positions Health Care Committee Member AWB (Association of Washington Business), ‘13 - present Commissioner, City of Redmond, ‘14 - ‘16 President Seattle King County Dental Society, ‘11 Roanoke Board Member, ‘12 - present (annual convention of statewide legislators) Chairperson of the Pacific Northwest Dental Conference (PNDC),‘00

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Dr. Nathan Russell Professional Affiliations ADA WSDA SKCDS AWB Pierre Fauchard Academy Education BA, Psychology, UW, ‘88 DDS, University of the Pacific, ‘92 Candidate Statement Right now the stakes have never been higher for determining the future of dentistry. We are facing unprecedented interference by insurance companies getting between the dentist and their ability to deliver quality care to their patients. I worked in Olympia with dentists and key legislators to write and pass the first proactive legislation to hold the insurance companies more accountable — House Bill 1002 will take effect this year.

We are also facing a looming and well-financed threat from corporations wanting to own and operate dental practices, untethered by the laws that currently restrict this from happening. I have testified in front of the Senate Healthcare Committee and lobbied against unrestricted corporate dental practice. We have multiple threats to our scope of practice that we must fight to ensure continued quality of service to our patients.

I have worked hard as a board member and a member of DentPAC to ensure that we have a stronger voice in Olympia. We need to maintain the high ground with legislators in Olympia and with the public at large. We need a robust public image reboot that coordinates the Washington State Dental Association Foundation (formerly WOHF) with component societies to highlight the good works and free care that the dentists of this state provide.

candidate profiles

Dr. Cynthia Pauley

Dr. Ron Dahl

candidate profiles hod news

Dr. William “Patrick” Sharkey

Secretary-Treasurer Dr. Nathan Russell Current Positions WDIA Board of Directors, ‘16 - present WSDA Committee on Budget and Finance, ‘14 - present WSDA Delegate, ‘13 - present Kitsap County Dental Society Exec Committee, ‘07-16 Former Positions President, KCDS, ‘10-‘11 WSDA Midlevel Provider Taskforce, ‘08 ADA ADPAC Board of Trustees, ‘01-03 WSDA Student Delegate, ‘01, ‘02 ADA Student Delegate New Orleans, ‘02 Professional Affiliations ADA WSDA Kitsap County Dental Society AGD USAF-Reserves Medical Corps Education Executive MBA, UW Foster School of Business, ‘13 DDS, UW School of Dentistry, ‘03 BS Biology and Finnish, UW, ‘99 Candidate Statement Thank you for your consideration as a nominee for the Secretary/Treasurer position within the Washington State Dental Association. I have been in private practice for 10 years now and involved with the WSDA in some capacity for nearly 17 years. I am loyal to the WSDA and to all those who have mentored me along the way. I am committed to the success of our professional association.

The Secretary/Treasurer is a critical position on the Executive Committee of the association. It plays a vital financial management role in maintaining the association’s fiscal relevance and position. Our profession and this association will face many challenges ahead. My desire is to use my

Dr. Linda Edgar

Dr. Todd Irwin

educational background and experience from the Committee on Budget and Finance to ensure our professional association’s financial stability and relevance in the years to come.

It would be an honor to serve and be elected to this position. I would serve willingly and aim to maintain the WSDA’s fiscal integrity. I know firsthand what a stable position we are currently in and promise to continue the strength.

WSDA when I was on the Committee on Budget and Finance (‘07 – ‘12) and I believe that experience gives me the back ground to be successful as Secretary-Treasurer.

I do not have a political agenda but I do want to see that dentistry remains in the hands of dentists and remains one of the most-respected professions, as it still is today. I have owned my own business since graduation from Oregon Health Sciences University in 1987. I brought in a partner in ‘09; last year we hired two associate dentist to help us run three locations, one in Oregon and two in Washington. Yes, I understand bureaucracy and will do everything in my power to keep it to a minimum. I also understand commitment. I have been married to my college sweetheart going on 31 years, and we have raised three fine children who have blessed us with one granddaughter, so far. I am a working dentist and understand the struggles you make each and every day. I hope you will support me in running for Secretary-Treasurer of the WSDA, Thank you.

Dr. William “Patrick” Sharkey Former Positions WSDA Delegate, ‘09 - ‘15 WSDA Committee on Budget and Finance, ‘07 - ‘12 Chair, WSDA Committee on Budget and Finance, ‘11 - ‘12 Walla Walla Dental Society President, ‘06 - ‘07 Professional Affiliations American General Dentistry, ‘10 - present Pierre Fauchard Academy, ‘07 - present International College of Dentist, ‘14 - present Education Eastern Oregon State University, ‘80-‘83 DMD, Oregon Health Sciences University School of Dentistry, ‘87

WSDA Board

Other Volunteer Dentist, Medical Teams International, ‘99 – present Assistant Scout Master, Boy Scouts of America Troop 305, ‘10 – present Lector, St Patrick’s Catholic Church, ‘96 – present Member of Guatemala Commission for the Spokane Diocese, ‘14 - present

Current Positions ADA Delegate WAGD Sponsor Approval Chair AGD National Past President Academy of General Dentistry Foundation Board

Candidate Statement I am running for the office of Secretary – Treasurer because I enjoy being involved with our association and the people that make it what it is today. I believe that I bring a common-sense element to the table, just as I did when I was involved on the Committee on Budget and Finance. I learned a lot about the different elements that make up the

Dr. Linda Edgar

Former Positions ADA Delegate WSDA Delegate Chair PNDC Committee SKCDS President Professional Affiliations Academy of General Dentistry ICD ACD Pierre Fauchard Academy ADI

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Education DDS, University of Washington, ‘92 MEd, University of Washington, ‘76 Other President, AGD, ‘11-‘15 National Secretary, AGD, ‘07-‘11 Chair, AGD Professional Relations Committee, ‘15 SKCDS Access Committee Member, ‘09-‘12 Co-Chair, UW Dental School $22 million campaign, ‘00-‘10 Candidate Statement As a SCKDS delegate for over 18 years I have had the opportunity to see WSDA develop into one of the most respected and progressive constituencies in the nation. As an ADA delegate for 14 years, I have been involved in writing resolutions.

As SKCDS President I encouraged our foundation to help fund the Swedish Hospital Clinic to help with real access and help kidney patients get their dental work done. That same year we wrote resolutions to increase residencies and loan repayments to help with positive solutions for access and student debt. These programs are now national models.

My experience and connections as the National Past President of the Academy of General Dentistry will allow me to bring information to the WSDA Board that might help. As AGD Past President I have provided and will continue to provide access to studies and information that can help us continue to fight the dental therapist legislation. It is only through positive solutions and respectful communications that we can continue to develop programs to help access and help our members with their needs so they think it is worth it to write their ADA dues check every year.

I am also very conservative and would like us to do our best to keep dues from increasing and even look for ways to become more efficient and possibly decrease dues. There is much more to do and I have the time and energy to help.

I respectfully ask for your vote.

Dr. Ashley Ulmer

Dr. Christine Kirchner Dr. Todd Irwin Current Positions WSDA Delegate, ‘99-present WSDA Leadership Institute ‘15 Former Positions WSDA/ADA New Dentist Conference, San Antonio, ‘02 WSDA grassroots efforts, ‘01 WSDA Leadership Conference ‘01 Professional Affiliations WSDA ADA Fellow, Pierre Fauchard Dental Academy Fellow, International College of Dentists Education DMD, University of Louisville, ‘97 Other VIMO Dental Clinic, volunteer dentist, current WDS ABCD, dentist for underserved children as needed, current.

OLYCAP Dental Clinic, volunteer dentist, ‘97-‘11 Candidate Statement It has been my honor and pleasure to serve the WSDA as a delegate for 17 years. Through the years I’ve been encouraged by our success rate in defending our profession. I’ve always felt that we were on a steady path. Recently I’ve realized we aren’t. I believe there are wolves at the door, and they come in the form of insurance companies and corporate dental organizations. It will take strong relationships and leadership to tackle these issues.

I’ve built those relationships and possess the leadership skills to be effective in Olympia. I hope to continue moving in the right direction.

Quality dentistry: Our credibility is dependent on the product that walks out of our doors. Corporations like DSOs and insurance companies don’t want to pay for excellence and don’t mind that our image has been tarnished. Education and accountability should be supported.

Protecting the private practice model: I believe

in choices. Working for a DSO, HIS, or community health clinic are options that are alive and well. Being a solo practitioner or in a partnership is getting more difficult. Fee-for-service dentistry is eroding because corporate dentistry doesn’t have the best interest of our patients in mind.

Access to care: This has always been important. Our credibility depends on it. The residency programs throughout the state are one example of thinking outside of the box to help solve the access issues. Of course, we would all be able to do more if the reimbursement rates were reasonable.

Dr. Eric Kvinsland Current Positions WSDA, Board of Directors, 3 years WDIA, Board of Directors, 4 years The Point Defiance Zoo Society, Board of Trustees, 6 years Communities in Schools, Board of Trustees, 8 years Former Positions President, PCDS Board of Directors, 3 years Professional Affiliations Pierce Fauchard Academy Spear Study Club Education BA, Washington State University, ‘97 Pacific Lutheran University, ‘98-‘00 DDS, UWSoD, ‘04 Candidate Statement It has been a great pleasure serving the last three years on the Board of the WSDA. I would like to be considered for the next term so I can continue to fight for the dentists of Washington.

Organized dentistry is essential to the future of dentistry and the hope of continuing to practice the way we believe. Without a strong organization that is willing to advocate for the individual dentists, we are at the whim of the Legislature and groups that are determined to change the high regard we hold for our practices. While these threats have been ever-present, it seems they are espe-

continued on page 20

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candidate profiles

Dr. Eric Kvinsland

candidate profiles hod news

Dr. Ron Marsh

Dr. William Petersen

cially pointed lately. By staying strong as a unified voice with diverse viewpoints, we can continue to be effective in delivering the care we believe is best for your patients, and our practice.

I hope you will allow me to continue to represent the dentists of Washington for the next term.

me a cross-country scholarship, so I continue to support the team and have served on the athletic advisory board. WSDA has promoted the interests of dentists as decision makers, patient care providers and small business people so I want to join the WSDA Board to continue serving the interests of organized dentistry.

As a solo practitioner for 17 years, I have worked through two recessions, WDS cutbacks, hygiene shortages, and other issues facing dentists as small business owners. WSDA needs to provide proactive positive press about the actions of organized dentists fighting for better Medicaid coverage, supporting non-profit operations, and serving the entire community. As a DentPAC Board member, I see how political involvement helps guide the future of dentists who want the option to practice as independent providers. By building relationships with state legislators, I know the impact we have on decisions impacting our profession. I believe in the need to maintain and protect independence in treatment decisions and business operations to provide optimal patient care rather than operate at the whim of insurance providers.

I enjoy being a small business owner and a primary care provider and would like to preserve that option for future generations of dentists. I would appreciate your vote for the WSDA Board of Directors.

Dr. Christine Kirchner Current Positions DentPAC Board, ‘13-‘16 Former Positions Delegate to the WSDA ‘12-‘15 Seattle-King County Dental Foundation Board of Directors ‘09-‘15, President ‘12-‘15 Seattle-King County Event Planning Committee ‘03-‘08, Chair ‘05-‘08 Professional Affiliations Premier Study Club Clinical Research Associates, Inc The Dawson Academy American Academy of Cosmetic Dentistry University of the Pacific Alumni Association American Dental Association Washington State Dental Association King County Dental Association Education BA Biology, Central Washington University, ‘95 DDS, University of the Pacific School of Dentistry, ‘99 Other Central Washington University Alumni Association Central Washington University Athletic Advisory Board, ‘02-‘07 Candidate Statement I know that my successes come with the help of others. I believe in supporting those organizations that helped me, so that they can continue to help others in their personal and professional development. Central Washington University gave

Dr. Ashley Ulmer Current Positions WSDA Board of Directors, 3 years, ‘13 - present House of Delegates, Delegate, 7 years, ‘08 - present Former Positions Spokane Executive Council member, 8 years, ‘05-‘13 WSDA Government Affairs Committee, 12-‘13 WSDA Leadership Institute, ‘11-‘12 SDDS Foundation, 4 years ‘07-‘12, Secretary, ‘11 Professional Affiliations Pierre Fauchard Academy Fellow, International College of Dentists

Dr. Joseph DeJesus Education GPR, UW/Seattle WA, ‘04-‘05 AEGD, San Antonio VA, ‘03-‘04 DDS, UW, ‘03 BA German, minor Chemistry, EWU, ‘99 Candidate Statement It has been a privilege and an honor to serve WSDA as a member of the Board for the last three years!

I want to continue to represent you and speak for you in a second term.

I belong to the Spokane District Dental Society.

I own and run a private general dental practice in Spokane. I have been active in leadership and representing the Spokane District Dental Society since starting in practice in 2005. In 2012 I served on the WSDA Government Affairs Committee.

I believe in the WSDA. I believe the strength and integrity of our profession lies in our ability, as members, to work together to protect the way we provide care to our patients, recruit and retain new members to the association and serve our communities.

WSDA is facing new challenges as several aspects of the association have changed. The key to our success as an organization is to listen to our members and represent their interests and diversity in our activity.

Our board is committed to this important work.

I want to be your voice at the table debating and discussing critical issues and making decisions that will keep our organization strong.

I want to continue to make our association better and am respectfully asking for your vote.

Committee on Budget and Finance Dr. Ron Marsh Current Positions Washington State Dental Association,

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delegate, 14 years WSDA Committee for Government Affairs, member, 1 year Washington State Dental Quality Assurance Commission, Commissioner, new Kadlec Regional Medical Center, Staff Surgeon, 24 years Central Washington Cleft Palate Team, Team Surgeon, 20 years Former Positions President, Benton-Franklin County Dental Society, 1 year Columbia Basin College Dental Hygiene Program, Assistant Professor, 12 years Trios Hospital, Staff Surgeon, 24 years Benton-Franklin County Dental Society, Vice President, 1 year Benton-Franklin County Dental Society, Secretary-Treasurer, 1 year Professional Affiliations American Dental Society of Anesthesiology-Board Certified American Association of Oral and Maxillofacial Surgeons-Board Certified American Dental Association Cleft-Lip and Palate Association International Science Fair (ISEF)/Finalist and Judge Education Bachelor of Science-Biology, Washington State University, ‘79 Doctor of Dental Surgery, Loyola University- Chicago, ‘88 Magna Cum Laude Certificate in Oral and Maxillofacial Surgery, University of Kentucky, ‘92 Other USA Hockey, Assistant and Head Coach, 15 years Boy Scouts of America, Assistant Scoutmaster, 12 years Association of the U.S. Army, Retired-USAR, 17 years

Dr. Gregory Y. Ogata American Association of Disabled Dentists, President, 1 year Tri-City Cancer Center, Dental Advisor, 2 years Candidate Statement It is with great respect that I request to continue to serve the WSDA as a committee member. I have humble admiration for the delegates and the association’s leadership. The countless hours of selfsacrifice that you devote to our great profession has been a constant source of personal inspiration.

I plan on using the examples of your outstanding service as motivation as I instruct students at the University of Washington School of Dentistry.

In a step of transition, I strongly desire to continue my service and become a member of the WSDA Committee in Budget and Finance. My experience as a practice owner for 25 years has given me a great foundation in good fiscal responsibility.

I have served as a member of the House of Delegates for over 14 years and have served on multiple Reference committees. The legislative process is well known to me, and I know the steps to take to get effective results. My leadership experience is found in my many years of military experience leading combat arms troops, both overseas and in the United States.

I humbly ask for your vote and promise to treat this position with respect and honor. All I can say is I will carry out the responsibilities of a committee member with the same determination as I had when leading soldiers of our armed forces.

Dr. William Petersen Current Positions WSDA House of Delegates, ‘15-‘17 SDDS Executive Council, ‘15-‘17 Secretary-Treasurer, SDDS, ‘16- present Former Positions Treasurer, SDDS, ‘74-‘75 Committee on Budget and Finance, SDDS Continued Education Committee, SDDS Deputy, Chief Clinic 11 UW, ‘68-‘69

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Dr. Lorin Peterson Professional Affiliations ADA WSDA SDDS Education UW Dental School, ‘66 Rotating Hospital Internship, UW ‘67 Other Manito Cannon Hill Neighborhood Council, 2 years Instructor UW Dental School ‘68-‘69 Candidate Statement I am running for the open position on the Committee on Budget and Finance. I am currently representing Spokane as a member of the House of Delegates. I am the newly-elected Secretary-Treasurer and have just completed two years on the Executive Council. While serving in this position, I saw the importance of the necessity of the WSDA to have a strong financial position. This allows the WSDA to implement new programs as well as maintain current ones.

Our profession is facing many challenges in the present and future. These include: (1) corporate dentistry (2) midlevel providers (3) reduced insurance payments (4) increased overhead and (5) decreased membership. For the most part, these challenges will require input from individuals working collaboratively to resolve issues, so that both the dentist and patient benefit. WSDA needs a strong financial base, which will allow it to implement new programs, as well as maintain current ones. I would recommend that we seek out those individuals who have been successful and see if their knowledge would apply to our needs and allow our investments to increase with minimal risk. My past experience of serving on the SDDS’s Committee on Budget and Finance will help to contribute and to strengthen the financial position of the WSDA. I thank you In advance for considering me as a candidate for the open position on the Committee on Budget and Finance and respectfully ask for your vote.

candidate profiles

Dr. Daniel Tremblay

candidate profiles hod news

AEGD cert, University of California San Francisco, ‘95 Ortho cert/MSD, University of the Pacific, ‘00 Other Tumwater Rotary member, ‘04 - present Attendant Dental Action Day, dentist/advocate, ‘07 - present Seattle-King County Clinic, volunteer dentist, ‘15 - present Studio West Dance Academy, parent/performer, ‘07 - present Studio West Dance Guild Board, ‘16 - present

Dr. Laura Williams

Committee on Government Affairs Dr. Joseph DeJesus Current Positions WSDA Committee on Government Affairs, ‘14 - present WSDA House of Delegates, TMCDS Delegate, ‘09 - present Thurston-Mason Counties Dental Society, Board member, ‘09 - present South Puget Sound Community College Dental Assisting Program Advisory Board, ‘10 - present President/orthodontist, DeJesus Orthodontics, ‘03 - present Former Positions U.S. Air Force, Major/dentist/orthodontist, ‘95-‘03 WSDA House of Delegates, TMCDS Alternate Delegate, ‘06-‘09 President, Thurston-Mason Counties Dental Society, ‘11-‘12 WSDA Leadership Institute, ‘15 ADA House of Delegates, Alternate Delegate, ‘15 Professional Affiliations American Dental Association, ‘90 - present American Association of Orthodontists/Pacific Coast Society of Orthodontists/Washington State Society of Orthodontists, ‘98 - present Washington State Dental Association, ‘03 - present Thurston Mason Counties Dental Society, ‘03 - present Education BS Marine Biology, Occidental College, ‘88 BS Dentistry, University of California, San Francisco, ‘94 DDS, University of California, San Francisco, ‘94

Candidate Statement Controversial issues and challenges to the practice of dentistry continue to arise within and around the Washington State Legislature from influential non-provider organizations. A vigilant, informed, and enthusiastic WSDA Committee on Government Affairs is critical in maintaining relationships with legislators and to facilitating their endorsement of dentists’ concerns for Washington state residents’ oral health as it relates to our area of expertise and responsibility.

As a many-term delegate to the WSDA House, I have committed myself to seeking, and continuing to increase, my knowledge and understanding of the issues, and developing relationships within the dental community and the Legislature. Past experience in large group practice, and current ongoing experiences in solo practice and dental leadership have provided me varied perspectives on dentistry’s issues, while current entrepreneurial debt ensures I have skin in this game.

My goal as a member of the Committee will be to continue to enhance my knowledge of new and ongoing issues/influences on dental practice policies and the Legislature, and to utilize that knowledge, my time, and energies to help influence the direction of policy decisions to hold dentistry’s place as a respected and trusted profession of providers committed to the health of Washington residents.

Dr. Daniel Tremblay Current Positions WSDA New Dentist Think Tank, ‘14 - present WSDA DentPAC Liaison for SKCDS, ‘15 - present SKCDS Leadership Committee, ‘13 - present SKCDS Delegate, ‘14 - present SKCDS Membership Committee, ‘13 - present Former Positions WSDA Committee on Government Affairs, ‘10-‘12, ‘13-‘15 WSDA DentPAC Committee, ‘10-‘12 WSDA Taskforce on Membership Committee, ‘13-‘14 Professional Affiliations University of Washington Dental Alumni Alpha Omega International Dental Fraternity Spears Study Club Dental Project Study Club ADA, WSDA, SKCDS Education DDS, UWSoD, ‘12 AEGD, Northwest AEGD Program, ‘13 BA Spanish, BS Biology, UW, ‘08

Candidate Statement I am running for WSDA Government Affairs because I have a passion and ability to actively listen to the needs of our members, increase participation by new dentists, and work towards effective legislative changes for our profession.

There are a number of issues facing dentistry, but one of the most pressing continues to be the midlevel provider. Government Affairs must analyze the access to care issues in Washington and lead the development of sustainable solutions to address these issues, such as through the expansion of dental residency programs. As a former resident in a Yakima Valley Farm Workers Clinic, I can attest to the effectiveness of using residents to deliver comprehensive care to underserved populations with minimal fiscal impact to the state.

Moving forward, we must continue to advocate against DSOs and corporate interests that threaten patient safety and care, as well as work to preserve and strengthen the definition of dentistry in Washington.

Furthermore, we need to investigate ways to proactively introduce measures that address increasing student debt load, recognizing its potential influence on graduates and their job choices.

By doing so, we can work to preserve the integrity of our profession by advocating against changes that would hinder dentists’ ability to provide quality care to all individuals.

I am confident that my leadership skills, as well as firsthand experience with the challenges young dentists face will allow me to excel in this position and bring a fresh perspective to Government Affairs, while working to serve all Washington dentists.

ADA Delegates Dr. Linda Edgar Current Positions ADA Delegate WAGD Sponsor Approval Chair AGD National Past President Academy of General Dentistry Foundation Board Former Positions ADA Delegate WSDA Delegate Chair PNDC Committee SKCDS President Professional Affiliations Academy of General Dentistry ICD ACD Pierre Fauchard ADI Education DDS, UWSoD, ‘92 MEd, University of Washington, ‘76 Other AGD National Presidents, ‘11-‘15 AGD National Secretary, ‘07-‘11 Chair, AGD Professional Relations Committee, ‘15 SKCDS Access Committee, ‘09-‘12

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Dr. Gregory Y. Ogata Current Positions Immediate Past President WSDA American Dental Association Political Action Committee (ADPAC) Delegate, American Dental Association Delegate, WSDA HOD Former Positions Past President, WSDA Past President, Seattle-King County Dental Association Past Chairman, AAO Government Affairs Professional Affiliations Seattle King County Dental Association (SKCD) WSDA American Dental Association American Association of Orthodontists Pacific Coast Society of Orthodontists Education University of Washington, ‘92 St. Louis University, School of Orthodontics, ‘97 Other American Board of Orthodontists International College of Dentists American College of Dentists Pierre Fauchard Academy

Dr. Lorin Peterson Former Positions WSDA Board of Directors ‘09-‘15 ADA Alternate Delegate to the ADA House, ‘11, ‘13, ‘14, ‘15 Joint Commission on National Dental Board Exams, ‘10-‘14 Dental Quality Assurance Commission, ‘00-‘07 President, Western Regional Examining Board, ‘05 Professional Affiliations ADA, ‘80 - present WSDA, ‘80 - present International College of Dentists, ‘10 - present American College of Dentists, ‘03 - present Pierre Fauchard Academy, ‘08 - present Education DDS, University of Washington, ‘80 BS, University of Washington, ‘76 Other President, Cle Elum Kiwanis, ‘84-’85 Cle Elum Chamber of Commerce, ‘84, ‘85, ‘89 Cle Elum-Roslyn School Board of Directors, ‘93-‘97 Candidate Statement I am running for the position of ADA Delegate.

The ADA is currently being challenged by a number of major ongoing issues. Some of these issues include a push for midlevel providers, the everincreasing student debt, dealing with third party payers, and trying to maintain membership numbers, especially with our younger dentists.

Dentistry continues to be a great profession in spite of the challenges that we face. I have been actively involved in dentistry in a variety of ways throughout my career. I have served on the Dental Quality Assurance Commission, the Western Regional Examining Board, the WSDA Board of Directors, and as an ADA Delegate and Alternate Delegate.

These collective involvements at the state and national levels make me well qualified to serve as an ADA delegate. I promise to be fully committed to the position if elected, and I respectfully ask for your vote.

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Dr. Laura Williams Current Positions Delegate/Alternate, ADA House of Delegates, 8 years Caucus Chair, ADA District XI House of Delegates, 1 year Delegate, WSDA House of Delegates, 16 years Former Positions President, Vice President, Secretary-Treasurer, North Central District Dental Society, ‘95-‘97 WSDA Strategic Planning Committee, ‘98-‘01 WSDA Committee on Budget and Finance, Member ‘03-‘06, Chair ‘07 WSDA Board of Directors, ‘07-‘13 ADA Council on Ethics, Bylaws, and Judicial Affairs, ‘11-‘15 Professional Affiliations American College of Dentists International College of Dentists Pierre Fauchard Academy Education BS, Biology, University of Nevada, Reno, ‘83 DMD, Oregon Health and Science University, ‘87 Hospital Dental Residency, University of California, San Francisco, ‘88 Candidate Statement One of the most important and rewarding things I have done in my professional career is volunteering in organized dentistry. I am proud to be associated with a respected and esteemed profession. Without the strong association we have in the ADA we would definitely not have the public trust we enjoy.

I have had the privilege of serving as an ADA Delegate, Alternate, or Secretary for eight years.

This year I will serve as Caucus Chair, which I consider a great honor to be appointed to do.

I feel so lucky to have been able to get up every working day and look forward to going to work. I want the dentists graduating from dental school now to enjoy their profession as I do. I see our professional autonomy and diagnostic authority threatened by regulatory bodies that don’t understand the practice of dentistry. Additionally, the infringement of midlevel providers and insurance companies directing treatment choices has the potential to change our practice lives in the same way other healthcare professionals have unfortunately suffered. My hope is to continue to fight these threats, and others, for those that will practice long after I retire.

I believe my experience, dedication to keeping dentistry the strong, respected profession we know and the ability to donate the time necessary to do the job qualify me to serve as your representative to the ADA governing body. I humbly ask for your support and vote for ADA Delegate. Thank you!

candidate profiles

Candidate Statement Although I wrote the resolution in ‘15 to develop a position for a first-time delegate, I also feel strongly that District 11 needs at least five important things for their delegates to be effective and make a difference for our patients and profession; 1. Experience as an ADA delegate 2. Someone who is active in bringing positive solutions and writing resolutions 3. A person who looks at the detail of resolutions; one word can make a huge difference; 4. A person who is well connected with delegates in other districts to allow collaborative efforts to improve ADA policy and 5. Someone who is willing to speak up at the ADA HOD and at Reference committees. I think my experience as a President at the national level has allowed me to speak personally with the Department of Education, HRSA, etc., about possibilities that will help develop a grant program to help the underserved patients as well as the dental students that have mounting debt.

I have been active in the defeat of resolutions and legislation to promote midlevel therapists for over 15 years and was involved in writing resolutions to increase residencies and loan repayment programs as possible solutions to access several years ago. As chair of the AGD Professional Relations committee, and past AGD president, I am able to call on friends from across the nation to collaborate on resolutions. There is so much left to do. I hope I have earned your trust and will earn your VOTE.

Candidate Statement The position of Delegate to the ADA is a very unique and important one. Although you are one of 500 voices, there is definitely the opportunity to help shape policies and form consensus within our profession. Now we don’t always agree on issues and things can move much slower (ie., think the sloths from Zootopia) than we would like, but the bottom line is out here in the Pacific Northwest, we tend to be more progressive and are not afraid of change. This leads to disagreements over differing viewpoints, which often require patience and persuasion. And I want to do it. Because I believe our Profession is worth it, and the ADA truly is “our” voice in our nation.

hod news

Co-Chair, UW Dental School $22 million campaign, ‘00-‘10

schedule, future dates hod news

HOUSE SCHEDULE Thursday, September 22, 2016 Golf Tournament (Registration Required) Sponsored by Constantine Builders

9 a.m. – 3 p.m.

Loomis Trail Golf Course

Hospitality Suite · Sponsored by WDIA

Committee on Budget and Finance

2 p.m. - 11 p.m.

Victoria

4 – 5 p.m.

Pender

Dinner Buffet

5 – 6:30 p.m.

Seaview Terrace

New Delegate Orientation (New delegates encouraged, open to all)

6:30 p.m.

Blakely/Cypress

Critical Issues & Candidates Forum

7 p.m.

Blakely/Cypress

Friday, September 23, 2016 Breakast

6:30 a.m. - 9:30 a.m. Victoria

Delegate Registration (All delegates must register)

8 a.m.

Blakely/Cypress

First Business Session

8:30 a.m.

Blakely/Cypress

Luncheon (Sponsored by NORDIC)

12 p.m.

Peace Arch Deck Tent

Reference Committee Hearings

1 p.m. – Completion

Blakely/Cypress

Hospitality Suite · Sponsored by WDIA

2 p.m. - 11 p.m.

Victoria

Citizen of the Year Award Reception

5:30 p.m.

Peace Arch Deck Tent

Citizen of the Year Award Dinner

6:30 p.m.

Peace Arch Deck Tent

Saturday, September 24, 2016 Breakast

6:30 a.m. - 9:30 a.m. Victoria

Delegate Registration (All delegates must register)

7:30 a.m.

Blakely/Cypress Foyer

Second Business Session

8 a.m. – Completion

Blakely/Cypress

HOD FUTURE DATES 2017 · September 14-16 · Skamania Lodge, Stevens, WA 2018 · September 20-22 (date change) · Murano Hotel, Tacoma, WA 2017 · September 26-28 · Davenport Hotel, Spokane, WA (Pending 2016 HOD approval)

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WSDA President Dr. Bryan Edgar pens Seattle Times Op-Ed Recently, the Seattle Times published an

UW needs Affiliate Faculty

2016 Seattle-King County Clinic Update

Learn more and register at donate.oralcancer.org/event/washington2016 Where

Saturday, October 1 Juanita Beach Park 9703 NE Juanita Drive Kirkland, WA 98033

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Cost

Walker/Runner:

Students:

Children 6-10: Children 5 and under: Oral cancer survivors:

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th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 25

Volunteer Sign up: volunteers.seattlecenter.org

issue 8, august 2016

Help raise funds for the Oral Cancer Foundation by participating in their third annual Walk for Awareness on October 1! WSDA would love to see as many members as possible attend this family-friendly fundraising event. Walkers are encouraged to create a team with family, friends or coworkers to set a fundraising goal prior to the walk. Prizes will be awarded to the top fundraisers!

Along with speakers, music and prizes, there will also be free public oral cancer screenings held during the event.

Volunteers are needed for the Seattle/ King County Clinic, held October 27-30, 2016 in Key Arena at Seattle Center! Dental professionals needed include dentists, oral surgeons, hygienists, EFDAs and assistants.

The Seattle/King County Clinic is Washington state’s largest free health services clinic, providing dental, medical and vision services to thousands of individuals over four days. The clinic provides volunteers with meals and parking, as well as most equipment and supplies.

newsflash

You are invited to become more active with the UW School of Dentistry as an affiliate faculty member. Reap the benefits of helping train the next generation of dentists. As an affiliate faculty member, you’ll be part of the UW’s innovative new curricula and clerkship model, learning along with the students. Additionally, you’ll have access to a host of other benefits, including online access to library resources, CE discounts, and use of the IMA (recreational center).

Dr. Rolf Christensen of the UWSoD said “Your peers will be impressed with your dedication and service to the UWSoD, and you’ll come to like and love the students you teach.”

Clinics are 9:30 a.m.- noon and 1:304:30 p.m. For more information, call or email Rolf Christensen, DDS at rolfc@ uw.edu or Dalila Sebring (206) 543.6501 or dalila@uw.edu.

ioral cancer awareness walk

Op-Ed by WSDA President Dr. Bryan Edgar titled “Forget the Floss? Not so fast.” Edgar wrote the piece in response to a recent flurry of news stories that suggested it might be okay to not floss. Citing the factors that make flossing an essential part of everyone’s daily oral health regimen, Edgar’s approach in the piece is accessible, informative, and warm.

Read the Op Ed here: https://www.wsdasource.org/blog/forget-the-floss-not-so-fast

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2016 oral cancer walk

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2 6 · th e wsda ne w s · issue 8, august · 2016 · www.wsda.org

$45 and $55 dollars an hour plus transportation fees or $1.20 a minute via phone. I might opt for the phone in order not to lose a patient visit and to keep in compliance.

Many things bother me about the new rules and the times we live in. It is hard to be preached to by the OCR when most of us do not discriminate and work hard to make the world a better place. My heart is in the right place but I still make mistakes.

Doctors are the last person in the office to physically see the patients and set the tone.

I suspect we bear the responsibility for any comments or actions our staff make. I hate to be put in a “gotcha” situation with patients I care about and for. But then again,

forms. It has formed a coalition with many other dental specialty groups and is pleading with director Jocelyn Samuels and the OCR to delay implementation and better define the rules so we do things right in a timely manner and are not punished for poor implementation. At this writing, the coalition has asked 40,000 ADA grassroots members to contact their members of Congress for their help. Please visit the ADA. org/1557 and the ADA’s Engage Legislative Action Center and add your voice. Everyone wants fair and just healthcare, but the rules have to be fair, just and realistic for the people who provide care too. It is important on so many levels to get this right.

efficiencies, it is unlikely that the level of fee increases that occurred in the 1980s to sustain dental incomes will be duplicated.

As I see it, we must begin to look at our professional education systems and the centers for learning we know as dental schools.

They are going to need both guidance and support in anticipation of a lowering of need for more dental graduates in the nottoo-distant future. And I think we can all appreciate that it will take some lead time to

tamp down the recent growth in dental enrollments. There needs to be a better overall scheme in managing the enrollment needs to better match the dental care needs of the U.S. going forward. There are many questions, and no clear-cut answers.

There is still time to balance the future supply and demand of dentists. The time to start looking at this issue is now, not later.

With careful planning and implementation, I believe we can manage this future problem, but we must start to address it very soon.

guest editorial, continued from page 5

nities we have to best influence the future, so that dentistry as a learned profession continues to be held in high regard by the public. We can do this best by balancing the need and demand for dental services such that colleagues of the future can still provide for their livelihoods. The oversupply of dentists in the early 1980s led to an increase in dental fees, not a drop in fees as normal supply-and-demand might suggest. With the increasing pressures for cost

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continued

it’s not just about me. Our nation has a lot of wounds to heal.

It troubles me to add such a severe burden to the safety net. Medicaid is unpopular with dentists because of its low reimbursement, cumbersome billing practices, and controversial audits. Adding more regulations and punitive actions could be the tipping point for many doctors to just say no to federal poverty programs, and that’s a shame.

But the bottom line is that we should be sensitive, and do the right thing for all of our patients, not just those that are in federally funded programs.

The ADA opposes discrimination in all

editorial, guest editorial

editorial, continued from page 4

colleen madden, dqac’s chair dqac news

CHAIRING DQAC:

COLLEEN MADDEN TALKS TO THE NEWS 2 8 · th e wsda ne w s · issue 8, august · 2016 · www.wsda.org

Recently, for the first time in the history of the commission, Colleen Madden, a public member, was elected by the commission to chair the group. We wanted to find out what motivates someone with no background in dentistry to serve on the commission, how serving as a public member is different than serving as a dentist, and what is satisfying about the work. We met up with Madden to talk about her years of service and how she got started.

Madden, who has a background in restaurant and hotel management, never thought she would sit on a dental commission. She was a stay-at-home mom looking to find a way to interact with adults again when a friend suggested working with her on one of the smaller healthcare boards, where a position had just opened up. Madden applied, but it was during serious budget cuts, and the work of the board was put on hiatus. Once in the system, she was tapped to work on other commissions, but the workload was too much given the ages of her children. Then DQAC called. “They were interested in doing a six-month pilot project to expand the disciplinary panels from two to three, to try and avoid overlap on cases,” she explains. “I knew that I could commit to six months, so I agreed. The work was so interesting and compelling to me. They extended the project, and I ended up completing two pro tem appointments. A full-time opening came up that I applied for, and I was appointed by the governor.”

Madden is now in the last year of her second appointment, and will have served 10 years by the time she finishes. “My kids were little when I started, and I loved the idea of interacting with adults again and using my brain, functioning in a different manner,” she says. “But if you’re going to be away from your family when your kids are little, you want to know that what you’re doing counts for something, that you’re being a force for good. I think that we all hope that we can make a difference in life.” Plus, the self-described “law nerd” found much about the work of the commission compelling. “I am a curious person, and the idea of public advocacy was new to me, as was the whole process of the regulation of public health and health professionals was something I didn’t know anything about. I found I liked the process of it. I’m opinionated and passionate about a lot of things, so it fits in with my personality. I also like laws, the making of laws, and the nit-picking of words. It’s such a weird combination, I know, but there were so many aspects of it that spoke to me, and I have found it constantly interesting.”

Jennifer Santiago, Program Manager for DQAC, said this about Madden, “She works collaboratively with the dentists and always provides thoughtful insight from the patient’s point of view. Most of the time she views the cases from the patient’s guardian’s point of view. She always asks, “Would you take your daughter there?’

She often takes the perspective of her children into consideration, and I think the commission appreciates that because it helps them keep their public protection hat on, versus thinking, ‘Well, this is what dentistry is.’ Whether it is a policy decision, a rule change, or a disciplinary position, Colleen always brings a fresh perspective. We constantly evaluate rules to see if they still meet the standard of care or minimum competency for dentistry, and Colleen’s perspective is, ‘Is that good enough for a patient?’ I think Colleen provides a lot of background and thoughtful research behind her opinions. Over the time of her years on the commission, she has taken the time to learn a lot about dentistry, which has helped her serve on the commission.”

Additionally, commission members admire the public members for their work on the commission. Dr. Bob Shaw, former WSDA president, DQAC chair, and current commission member, says, “The public members have a different outlook than we do, and we need their perspective so that we don’t have tunnel vision and see this only as a dentist would. We want to be sure that the process is open, fair, and solid. It gives the commission some validity, and shows that we’re doing the right thing. Public members don’t have a vested interest in the outcome. All of us feel like we’re a more valid board because of the public members.”

In offering her perspective, Madden echoes the sentiments of Shaw and Santiago, saying, “We’re very different, but ultimately our roles are the same. A lot of people don’t understand the purpose of the commission and where the public members fit into that. Professional members bring their viewpoint as a dentist to the commission. They have a breadth of knowledge that you can only get by practicing dentistry, and that is essential. The public members bring something different, and that is a lay person’s perspective on industry practices that are accepted because they are familiar to everyone, but may or may not be still appropriate.” Madden says it’s good to shine a fresh light on issues, because it serves to build the public

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continued on page 31

colleen madden, dqac’s chair

tionally, dentist members provide a professional knowledge of dentistry, and public members advocate for patients and the public.

dqac news

The Dental Quality Assurance commission was created in 1994 by combining the Dental Disciplinary Board and the Board of Dental Examiners. At that time, each board had one consumer (public) member. Today, the board is comprised of 12 dentists, two Expanded Function Dental Assistants (EFDAs), and two public members. All members (dentists, EFDAs, and public members) are mandated to protect the public’s health and safety and to promote the welfare of the state by regulating the competency and quality of professional healthcare providers. Addi-

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trust. “When public members are involved in every aspect including leadership, I think it really helps to show the that the commission is acting in the public’s best interest. Every member’s role is to put the public’s safety before the needs of he profession. So while we may come from extremely different viewpoints, we should all act as public members.”

We wondered: How would Madden’s responsibilities grow as chair of the commission? “As chair, it’s important to express my viewpoint, expose holes and problems, and get others to look at them,” she explains, “but also, I serve an important role as facilitator. Every one of these people is intelligent, articulate, and committed. They’re on the commission because they care about dentistry

Background on DQAC Work on the commission is divided into two parts: public meetings that occur every six or seven weeks, and private disciplinary panels that occur on the same day as the public meetings, but later in the afternoon. According to Dr. Bob Shaw, who has helmed not only the WSDA, but also DQAC, and still serves as a commission member, “A lot of the really indispensable work happens in the three confidential discipline panels, where we discuss complaints and cases and their actions. That’s when commission members really have to do their work. The case files for the panels can be amazingly large, as many as 1,500 pages, with cases routinely 50200 pages long.” And while some cases do delve into technical aspects of dentistry, far more deal with other challenges between patient and dentist.

Jennifer Santiago, Program Manager for DQAC, says, “In years past it was very infrequent to give a public member a disciplinary case because they didn’t have the background in dentistry. But there are so many cases now that are just straight up ethics issues or records release issues, and you don’t need to be a dentist to recognize a violation in those cases. So today public members are able to review many of the cases and bring them to a panel for a final decision.”

For each case being reviewed, a member of the commission serves as the RCM, or Reviewing Commission Member. It is the RCM’s duty to read the file and make recommendations based upon his or her review of the case file. The RCM will note if there appears to have been a violation of the law and, if so, what remedy should be made. Options include restitution to the patient, additional CE to train them properly, and assessment of fines in addition to the cost for the investigation. From there, the case is discussed among panel members who ascertain if the RCM’s assessment is fair and balanced, and they in turn make a final recommendation. Finally, one of the other three disciplinary panels reviews the case to ensure impartiality and fairness. Other times, however, cases are moved to what is called a Stipulation to Informal Disposition (STID). A STID is an agreement between DQAC and the respondent that is an alternative to formal discipline action of a Statement of Charges, though a hearing can be requested if a Statement of Charges is issued later. With a STID, the respondent is not required to plead guilty. STID sanctions include, but are not limited to, restitution and additional education.

Whenever possible, the commission tries to resolve issues through a STID. Shaw says, ”We show the charges, the laws broken, the remedy and the fines. They don’t have to admit guilt, but if they commit the same infraction again, they will face harsher consequences. After that, the respondent can decide if they want

to sign the terms or negotiate them. We go into a monitoring phase after that to make sure they’re complying with the order – approving the CE that have to take, for instance. Additionally, there is a compliance officer at the department of health who monitors them. We want to make sure they take a legitimate course and fulfill the requirements. They also have to send in their proof of attendance for the courses they are assigned.”

Time commitment

The time commitment can be challenging, depending on where you live and practice, where you are in your career arc, and your personal aspirations. For Madden, who lives in Olympia, the challenges and time commitment were doable. She says, “I have a greater time commitment now because I’m on a committee that meets more frequently. You have to prep for the meetings, and there are usually some side things going on. It’s not really that much. Right now it might be a few hours a week, sometimes more if an emerging issue requires attention. Overall, there’s not that heavy a time commitment, but there is an emotional commitment.

You’re always thinking about it and working on it. I feel like it takes up a lot of time in my head.” Santiago says, “The time commitment is easier for the public members most of the time.

They’re not generally running a business, seeing patients, and having emergency calls. If they are working, they don’t usually have careers as intense as dentists. They may have a career, be a stay-at-home parent, or have retired. In my experience, for the public members, it’s about community involvement. They want to be a part of health regulations. A lot of the time they don’t even know that such a thing exists. And sometimes they’ve been on the other side as a patient and had a bad experience, and they way to be more involved.”

Shaw lives in Eastern Washington, practices full-time, teaches part-time, is a WREB examiner, and serves on the commission.

He says, “Time is a big part of it. I typically work 30 hours on commission business every six to eight weeks, but it is satisfying work. I feel like we’re corralling some of the bad apples, and letting them impact the public less. In some cases, we’re even taking their licenses away. But I get much more satisfaction from working with someone who has screwed up, acknowledges it, goes through classes and learns the law, and we never hear about them again.

They’re back out in the public doing good dentistry, staying out of trouble. It’s tough to contemplate taking someone’s license away when it is what they have done all their lives, but in some cases it’s what we have to do.”

th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 31

colleen madden, dqac’s chair

Becoming chair

and public health. In the beginning I had so little experience, I had no specific goals other than serving, educating myself, and asking a lot of questions. I wanted to contribute as much as I could with the knowledge I had at the time. Now, I look at the incredible resources in the room and do my best to draw them out, encourage discussion, and contribute to the work of the commission. As chair, you’re looking to take that collective resource and use it in the best way possible to protect the public.”

The WSDA is thankful for the work Madden has done on behalf of the people of Washington, organized dentistry, and in the service of the state dental commission for the past 10 years.

We would encourage dentists and members of the public to find out more about serving on the commission, or any of the other state boards. Public service is good service!

dqac news

madden, continued from page 29

wdia insurance for ever y stage of your career

INSURANCE FOR EVERY STAGE OF YOUR CAREER

STAGE TWO: BUYING A PRACTICE

3 2 路 th e wsda ne w s 路 issue 8, august 路 2016 路 www.wsda.org

Insurance experts

French, Seims, and Johnson are the insurance experts. They will get you everything that is required and can detail the optional policies you might want to have in place in the event something goes wrong, from personal health issues to natural disasters. The WSDA News recently sat down with them to review the types of policies that people looking to buy a practice will need and to find out what pitfalls, if any, new buyers can expect.

“It’s so important to call us early,” says French. “We can set the stage for you, explain the products and timelines, and work with everyone on your transition team.” Not even sure what a transition team is? Between them, the three have been working in the business for decades, and they know some of the top people in the field. “Dentists are going to need to have an insurance team, an attorney, an accountant, a banker, and then a transition company,” says French. “Some of these things they may not have. We’re fortunate enough to have worked with so many talented and reliable companies and individuals in the area that we can often give several names to interview and consider.”

New buyers’ “must haves”

As we said before, having life insurance isn’t just a good idea, it’s essential to the process of purchasing a practice. Banks require loan collateral, and one of the most common ways of obtaining enough capital to buy a practice is by collateralizing your life insurance for the amount of the loan over its term. “Typically, practice loans range from $500,000 to $1 million, and are generally written for a 10-year term, so buyers will need to have life insurance in that amount for the same term,” says French.

But banks also want to protect their investment by requiring dentists to carry disability insurance, and French says the best type of policy for that is Business Loan Protection. Should you become disabled while you still have a practice loan, it will pay the bank back directly on a monthly basis for a specific term. “Let’s say you have a $500,000 loan for a 10-year term, and you’re paying $6,000 a month,” says Johnson. “The Business Loan Protection policy will pay $6,000 a month directly to the bank in the event that you’re disabled and can no longer practice.” It’s cost effective, allows you to sell the practice without having to pay off the loan, and you get to keep all the proceeds from the sale. So while the policy is in place to protect the bank’s interest, it protects yours, too. One note of caution. “Banks will sometimes offer to collateralize a dentist’s personal disability, but we never want that to happen,” says French. “That policy is for the dentists and their families and serves a different need.”

Hazards can be real

Let’s face it, every day, practices are destroyed by any number of hazards, and you want to make sure that your practice is fully covered in the event that you’re unfortunate enough to experience one of them. That’s where a Business Owner’s Policy, or BOP, comes in.

“It’s much like homeowners’ insurance for your practice, including things like liability insurance in case someone trips and falls,” says French. BOP policies will also cover things like burglaries, fires, vandalism, and more.

Additional policies you should consider

French, Seims, and Johnson can walk you through what’s best for you and your practice. They will often recommend the following policies because of the extended coverage they afford a dentist;

• Disability

“We generally recommend that dentists also get Business Overhead Protection, which covers overhead costs like having a locum tenens come in when they are disabled, utilities, staff salaries, and office expenses,” says Seims. This type of policy doesn’t cover associates on payroll because, in essence, they generate their own income, and it won’t cover outside lab fees. “You can get a benefit of up to $50,000 a month, and we typically write the policy for a maximum of 12 months,” says Seims.

Why does the policy have an end date? “Most dentists facing disability spend the first six months assessing their possible recovery.

After that, if they’re not going to be able to return to the practice, they have six months to sell,” says French. “For many dentists in Washington, that’s generally an adequate amount of time to sell a practice.”

• Employment Practices Liability

If an employee sues for sexual harassment, wrongful termination, or anything of that nature, Employment Practices Liability (EPLI) is the policy that protects you. It’s additional coverage, but it is a smart option. As an employer, you’ll have some coverage in your BOP plan, but it’s minimal at best. WDIA always recomcontinued on page 35

th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 33

wdia insurance for ever y stage of your career

As a young dentist, time may be one of the things you don’t have enough of — between starting a family, trying to buy a practice and grow your career, and developing personal and professional relationships within organized dentistry. Unfortunately, according to Matt French, Kerri Seims, and Heath Johnson of the Washington Dentists’ Insurance Agency (WDIA), time is one of the most important elements when it comes to buying a practice, and it’s the one thing that many new buyers don’t factor in. French explains, “It’s not just the time required to find the right practice with a good match in terms of staff, culture, and patient base. Securing financing and locking down the kind of coverage banks require to write the loan takes time, too.”

Seims agrees, saying, “Buying a practice is a complex business, more so than most dentists realize. Many, for instance, assume they can just call up and order a life insurance policy.” The reality, she says, is that life insurance typically takes six to eight weeks to obtain, and that amount of time could easily derail a practice deal with both the bank and the transition company involved. And while time is important, so is knowing exactly what you need to buy. Some insurance policies will be required by your lender, and additional insurance will further protect yourself, your family, and your practice. But it’s tricky. There are many policies by myriad companies, and knowing which policy to choose can quickly get confusing. That’s why you need insurance experts.

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mend EPLI to dentists purchasing a practice — and getting it sooner rather than later. French explains, “Let’s say you buy from a dentist who was in practice for 30 years, but you choose not to keep all of the staff. It’s not uncommon for people who are released after a sale to file suit, and you want to be protected. EPLI policies cover the cost to defend the claim.” Seims also recommends purchasing a robust cyber security policy, saying, “The fallout from a cyber breach can be enormous, and the onus falls on the practice owner to mitigate. The costs can be astronomical.”

Both EPLI and cyber security policies come in $500,000 or $1 million versions, depending on the number of employees you have, the gross income of the practice, and other factors. The WDIA team can break it all down for you.

• PLLC/Corporate Liability

PLLC/Corporate Liability coverage protects the practice when you have an associate who is being sued. Typically, attorneys for the plaintiff in a malpractice case will

sue not only the associate, but also the practice he or she works in. This coverage incorporates your malpractice limits with your corporation, protecting you when a suit is brought against an associate working in your practice.

• Partnerships

If you’re buying into a partnership, you’ll want to at least consider some additional coverage to protect you in the event that your partner becomes disabled, cannot work, or dies. “You’ll need a buy/sell agreement, which is a policy that all partners in the practice purchase that will pay off the part of the practice owned by the partner who died,” explains French. “As people realize the value in economies of scale that partnerships can provide, between shared overhead costs and shared staffing costs, we’ll see the need grow for policies like this.”

• Health Insurance

Lastly, as a practice owner, you may want to offer some type of medical insurance for your employees, and you will definitely

need to insure yourself and your family.

The experts at WDIA can break down the options and their costs, and help you determine what products make the most sense for you. “Keep in mind,” says Seims, “we’ll want to do periodic evaluations of all of your insurance policies to make sure you have the right coverage for your growing family and practice.”

Here for you

French, Seims, and Johnson know that insurance isn’t the most fascinating of subjects, and all the choices and decisions can be daunting, but getting the right mix is important. “You really can’t put a price on knowing that your family and your practice are covered in the event that something changes to impede your ability to work, whether it’s a fire, a disability, or even death,” says French. “We can help guide you and simplify the process, and we’ll be here to answer any questions you might have.”

New ADA Professional Product Review Finds 100 Times More BPA From Air Than Dental Sealants

American Dental Association guidelines recommend dental sealants for all children and teens due to the tremendous effectiveness of sealants to prevent and arrest the progression of caries. The oral health community and the public have been con-

Testing by the ADA Science Institute found: BPA detected at trace levels on dental sealants BPA exposure from dental sealants is 100 times lower than BPA present in the air BPA levels in dental sealants tested were well below the daily exposure level set by the EPA Read the full report in the new online edition of the ADA Professional Product Review and share this helpful infographic on the safety of dental sealants with your patients. Find the report here: http://jada. ada.org/article/S0002-8177(16)30473-1/ abstract?source=Morning_Huddle

th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 35

NYT article provides insight, raises “unwarranted” concerns

The ADA states that a recent article in the New York Times “provides readers with the useful insight that dental X-rays are likely not required at every visit to the dentist,” although “the alarm set off about overuse of X-rays by dentists is unwarranted.”

In the article, titled, “You probably don’t need dental X-rays every year,” Austin Frakt, a health economist, writes that the ADA provides guidelines addressing Xrays, which serve as a resource for dentists.

The ADA states that there is no “one size fits all” when determining the interval between dental X-rays since “how often Xrays should be taken depends on specific factors such as an individual’s current oral health, age, risk for disease and any signs or symptoms of oral disease.”

The Oral Health Topics on ADA.org and MouthHealthy.org provide additional information on X-rays for dental professionals and for patients.

morning huddle highlights

Fox News reports that dentists and other medical professionals are warning against using a DIY teeth whitening method that “involves smearing a charcoal-derived black mixture on teeth.” The method has become more popular since the posting of a YouTube video, that has been watched more than 1.5 million times. The article reports that dentists say using this DIY method “may lead to enamel deterioration and tooth erosion,” noting “the American Dental Association has currently not evaluated or approved any charcoal teeth whitening products.”

cerned about the potential adverse effects associated with the release of BPA from resin-based dental sealants.

ada news

ADA Morning Huddle Highlights Fox News: Charcoal Teeth Whitening Products Do Not Have ADA Seal Of Acceptance.

wdia cotinued

wdia, continued from page 33

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CLINICAL CORNER Contributed by

Drs. Srinivasa Chandra and Mathew Callan Oral & Maxillofacial Surgery, Harborview Medical Center and Bremerton, WA

History of present illness

This is a 44-year-old Caucasian female who presented to the clinic “to figure out what the big black spot on the jaw X-ray was” (Figure 1). The patient reported no pain, no swelling or drainage, and no difficulty in mouth opening or sensory perception. She also reported no history of any injury to this region; this condition was noted on a routine radiographic examination at the general dentist’s office. She had third molars removed years ago.

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3 8 路 th e wsda ne w s 路 issue 8, august 路 2016 路 www.wsda.org

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CONTINUING DENTAL EDUCATION FALL 2016 AUGUST 26 – 27 Oral Surgery for the General Dentist – Making it Easier, Faster & More Predictable Karl Koerner, DDS *The course is offered in partnership with the Washington Academy of General Dentistry. Register for this course through the Washington Academy of General Dentistry.

SEPTEMBER 23 Diagnosis Benign? Not So Fast: Challenging Oral Diseases and the Tools to Decipher Them Dolphine Oda, BDS, MS 30 WISHA-OSHA Compliance for the Dental Office & CDC Guidelines for Infection Control Samuel Barry, DMD This course will be presented in Tacoma, Washington.

OCTOBER 7 Untangling the Confusion of Today’s Restorative Materials Edward J. Swift, Jr., DMD, MS This course will be presented in Fife, Washington. *This course is offered in partnership with the Seattle-King and Pierce County Dental Societies. Register for this course through Seattle-King County Dental Society.

22 Improving the Oral Health of Your Older Patients O. Ross Beirne, DMD, PhD; Beatrice Gandara, DDS, MS; W. Kurt Labberton, DDS and Rod Wentworth, DDS This course will be presented in Spokane, Washington. *This course is offered in partnership with the Washington Dental Service Foundation. Please call or email us to register.

28 The New Wellness Approach to Perio: How to Change the Life of Your Practice and Your Patients Timothy Donley, DDS, MSD 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

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.

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th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 39

Increasing Number Of Adults Turning To Braces.

US News & World Report reports that adults are increasingly “getting braces to straighten their teeth, fix their bites and improve their smiles.” The article reports that “adults made up a record high of nearly 1.5 million orthodontics patients in the U.S. and Canada,” according to a 2014 survey from the American Association of Orthodontists. According to the article, “This rising popularity” is due in part to “orthodontic options that make braces inconspicuous.”

MouthHealthy.org provides additional information for patients on braces.

Evidence Indicates Children Strongly Benefit From Sealants.

The ADA News reports that the August edition of The Journal of the American Dental Association contains “a systematic review” of the use of sealants as well as “clinical practice guidelines” that have been updated as a result of that review, which indicate the benefit of using sealants to prevent and manage occlusal caries in children and adolescents. “The guidelines show that sealants are more effective in managing pit and fissure caries than fluoride treatments, such as varnish,” said the article’s lead author, Dr. John Timothy Wright. “They also show that benefits are obtained by the variety of materials currently marketed in the United States for sealant use (e.g. resin based materials, glass ionomer materials, polyacid-modified resin, and resin-modified glass ionomers).”

According to the article, the analysis indicated that “children treated with sealants have about a 70 to 80 percent reduction in the incidence of occlusal caries compared with children that do not receive sealants.”

The ADA Catalog (http://ebusiness.ada. org/productcatalog) offers three illustrated handouts to help explain sealant benefits to patients: the brochure “Dental Sealants: Protecting Teeth, Preventing Decay,” (W291); the mini-brochure “Seal Out Decay” (W191); and the “Sealants Quick Reference,” a two-sided card (W276).

MouthHealthy.org provides additional information on sealants.

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in Health Programs and Activities Final Rule — What you need to know What is the Nondiscrimination in Health Programs and Activities final rule?

Published by the U.S. Department of Health and Human Services on May 18, 2016 and effective July 18, 2016, this final rule implements Section 1557 of the Affordable Care Act (ACA) which seeks to protect individuals from discrimination in health coverage and care on the basis of race, color, national origin, age, disability, and sex, including discrimination based on pregnancy, gender identity and sex stereotyping. The final rule also increases language assistance for individuals with limited English proficiency and protects individuals with disabilities.

If you are receiving certain government payments such as Medicaid, CHIP or “meaningful use” payments under the Medicare and Medicaid Electronic Health Records Incentive Program, you will need to comply with this new rule.

This rule applies to me, so what do I need to do?

• Ensure meaningful access for individuals with limited-English proficiency

Covered entities need to take reasonable steps to provide meaningful access to individuals with limited-English proficiency. Providing language assistance services such as oral and written translations would be considered reasonable steps.

• Verify that all translators or interpreters utilized in your practice are qualified under the final rule

Qualified interpreters and translators: • Are proficient in English and the non-English language • Are able to interpret/translate effectively, accurately and impartially • Know dental vocabulary, terminology and phrases • Adhere to principles of interpreter/translator ethics, including client confidentiality1

The Washington State Health Care Authority (HCA), our state’s Medicaid administrator, pays for interpreter services for clients provided the patient is an eligible Medicaid client, the interpreter is certified or recognized by DSHS, and the services provided are covered by the agency. HCA currently contracts with CTS Language Link to provide interpreters to limited-English-proficient clients receiving care through HCA, DSHS, and other eligible agencies.

If providing interpreter services through video-remote interpreting services, your connection will need to meet all of the requirements of the new rule.

• Ensure accessibility of technology

All technology used by your practice to deliver services to your patients must also be accessible to individuals with disabilities, unless making such technology accessible would result in an undue financial or administrative burden for your practice.

• Ensure effective communications with individuals with disabilities

This involves making sure your practice has the necessary communication tools available to individuals with disabilities. Communication tools could include taped texts, a reader for an individual with a visual impairment or a sign language interpreter.

• Develop and implement a grievance procedure (Only if you have 15 or more employees)

A grievance procedure is a way to develop office protocol to respond to and resolve allegations of noncompliance with Section 1557.

• Post notices of nondiscrimination and taglines

Effective Oct. 16, 2016, you will need to post notices of nondiscrimination in your office, on your website (if applicable) and in all major publications and communications. Taglines in Washington state’s top 15 non-English languages stating that your office will provide translation or interpretation services will also need to be posted in the aforementioned places. There is an abbreviated notice of nondiscrimination available for shorter publications which only require taglines in Washington state’s top two non-English languages.

Notices of nondiscrimination, taglines, and abbreviated notices of non-discrimination in Washington state’s top 15 non-English languages can be found on The Source at wsdasource.org/blog/attention-medicaid-providers. * Since the effective date of this rule, the ADA has written a letter to the Office for Civil Rights requesting an extension of the implementation deadlines, rule clarification, and limiting the regulations to larger practices.

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th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 41

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4 4 · th e wsda ne w s · issue 8, august · 2016 · www.wsda.org

tips for new dental school grads

Editor’s Note: Lynne Nelson of Columbia Bank, a WSDA preferred lender, shares six tips to help dental school post-grads prepare for a career.

The last two years of dental school are often the most stressful. Between completing clinical requirements and passing board exams, it’s easy to get lost in the mire of day-to-day responsibility. In my 25 years of experience, I have found that keeping the following tips in mind will help prepare you for post-graduation success in the dental industry.

Gain experience

Lynne Nelson, Vice President of Professional Banking, Columbia Bank

Build your team

Having a seasoned and reliable team of professionals on your team is essential to building a successful dental practice. Even if you’re not planning to start your own practice now, investing in relationships with accountants, attorneys, brokers and bankers will help you develop a network of reliable service partners to engage down the road.

Seek advice

Whether it’s fellow students, established professionals, or professors, finding individuals you look up to in the industry and asking them for advice is one of the best ways to get ahead by learning from their mistakes, and gathering industry knowledge. Most often, people want to share their wisdom and will be happy to sit down with you.

Check your credit score

Familiarity with your credit score is imperative in advance of making a large purchase. Your credit score is impacted by many different factors – it can go up and down based on how much revolving credit you carry, how many credit inquiries you have, and being late on a late student loan payment. When paying off student loans, take care to check and make sure you show a zero balance within 30 days. There can be residual interest that is tacked on at the end of the month following a payment, and can result in a late payment.

Create a personal financial statement

A personal financial statement is a spreadsheet that outlines your financial position at a given point. Creating a personal financial statement clearly shows a breakdown of your total assets and liabilities, and will help you understand your financial situation from a big-picture view. Don’t be discouraged if you have a negative net worth. Most graduates come out with student loan debt.

Network, network, network

Get involved in the dental community through state dental associations (like the WSDA!), non-profit organizations, and professional development programs such as study clubs and local society meetings. You never know where you will meet a mentor or future business partner. Getting involved will help equip you with the best tools and relationships to create a successful and meaningful career in dentistry.

Lynne Nelson is a Vice President of Professional Banking serving Columbia Bank’s growing client base of dentists, veterinarians and physicians in Washington. She has more than 25 years of experience in the dental industry and works with a team of dental experts across the Pacific Northwest to provide targeted insight and financial solutions.

Connect with Lynn today at LJNelson@columbiabank.com to learn more about starting your dental practice.

Member FDIC/Equal Housing Lender

th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 45

“Whether it’s fellow students, established professionals, or professors, finding individuals you look up to in the industry and asking them for advice is one of the best ways to get ahead by learning from their mistakes and gathering industry knowledge.”

columbia bank

Internships and residency programs can expand your experience and bolster your CV for associateship positions or purchasing opportunities in the future.

endorsed companies

Six

Join the Celebration for the

150th Anniversary of the ADA Code of Ethics

Proudly promote your ADA membership in your office.

When a person has a better understanding of the Code of Ethics, 69% are more likely to choose an ADA member dentist.*

There are 5 promises all ADA member dentists make to their patients. Share them today by linking to MouthHealthy.org/ ADAmember.

Visit the ADA Member Center during the ADA Annual Meeting for 150th Code of Ethics information and commemorative giveaways.

*2015 American Dental Association Code of Ethics Consumer Survey

The fundamental purpose of the ADA Code of Ethics is to put the welfare of patients first. We do that by following 5 guiding principles:

Respect a Patient’s Wants and Needs

Do No Harm

Do Good

Be Fair

Be Truthful

4 6 · th e wsda ne w s · issue 8, august · 2016 · www.wsda.org

CURRENT LISTINGS Olympia

OPPORTUNITIES AVAILABLE

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.

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.

PROSTHODONTIST/GENERAL DENTIST OPPORTUNITY — Downtown specialist practice is relocating to a beautiful brand new facility and has an opening for a Prosthodontist or experienced General Dentist. Office is in prime downtown Seattle location and has great potential for new patients, referrals and long term opportunities.

Office is scheduled to open August/September.

Part-time or full-time applicants with long term interests are invited to send their portfolio, resume, cover letter, and a list of your in-network insurance companies to richardalva917@gmail.com.

General practice in Olympia, three operatories, recently remodeled, state of the art facility, a unique practice with some of its patients.

SEEKING ASSOCIATE DENTIST —Shelton and Elma, WA. We are looking for a long term associate/partner who understands and prefers working in a team environment. We are a multi doctor, fullservice general dental practice with two locations, Shelton and Elma, WA. Compensation is based on your production. 25 percent. If you are interested, please email your CV to sdc.efd.nh@gmail.com.

Redmond

ASSOCIATE DENTIST — Privately owned family practice looking for the right person to join our team for maternity coverage that could lead into full time position. The associate will have the freedom to grow their practice and will have the opportunity to buy in partnership. No weekends. Must be comfortable with all aspects of dentistry. Our primary focus is our patient’s well being and our great team environment. Please email your resume and cover letter. Email puyallupdentalopportunity@gmail. com.

Shared space in a beautiful office.

Space that is shared is reception room and staff lounge.

Completely ready to use.

Tacoma - University Place Five operatories, newly remodeled, four days a week.

Associate positions available at once!

Concerned About Fraud?

We can help review your records in a discrete manner. Call for a free list of items to help thwart embezzlement in your office.

Linnell Isoshima Steven Kanzaki 1206 Olympic Avenue Edmonds, WA 98020 Pager: (206) 399-0242 Fax: (425) 712-1859

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.

ASSOCIATE — Associate position available in dual office practice. We are looking for a self-motivated, independent and well-rounded dentist to work in our Edmonds office on Mondays 8-5 and in our Renton office on Wednesdays 10-7 & Thursdays 7-4. Plan is to add Tuesdays to Edmonds for a 4-day/week position. 3-5 years experience requested. Email CV to info@scottbabindds.com.

POSITIONS OPEN — Full time and part time associates position available. General dentist offices through out Greater Seattle area is seeking associates with good working ethic, great clinical skills, good chairside manner, and great people skills to join our busy offices and be par of our team. Partnership is available for the right individual. Sponsorship for H1B Visa, Green Card will be considered for the right individual as well. Please email your resume and references to seekingdentalassociates@gmail.com

GENERAL DENTIST — State of the art, multi-specialty facility looking for a general dentist to work in a “Sleep Dentistry” facility and “Implant Center”. Operating Room experience is preferred but not mandatory. Applicants should be comfortable with third molar surgery, basic dental-alveolar surgery, implant surgery, advanced restorative dentistry care. IV Sedation permit is also preferred but not mandatory.

This position is a full time position , four days a week and salary will be commensurate with experience, credentialing and training. Full benefits and potential for generous bonus structure. Must be energetic and willing to work in an exciting team atmosphere.

Please email CV to nwisdspokane@gmail.com.

PEDODONTIST NEEDED — We are seeking a pedodontist to provide excellent patient care 1-2 days per month. Our office, built in 2012 is equipped with digital xrays, IOC, new equipment, nitrous, etc. Pedodontist will serve patients, including AppleCare, for preventative, restorative, and surgical treatments.

Applicants must love working with children and always put patient needs first. Please send CV to johnstundds@yahoo.com.

ASSOCIATE NEEDED — Associate position available in Kitsap County - Bremerton/Bainbridge Island) Experience necessary in all aspects of general dentistry, especially in molar endo. GPR/AEGD trained dentist is a plus. Western Puget Sound is the best place to live and raise a family. Email for more information russelldds@yahoo.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 and we’re up to date with the latest dental equipment and procedures. We have a large patient database and 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 and a team player attitude. Continuing Education is offered and 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 and new patient generation. Contact us today! jody@drrandol.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.

th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 47

ASSOCIATE OPPORTUNITY — Kent General Dental Office seeking Associate for one to two days a week. Opportunity for future purchase. Established office with past seven years in new location on Kent East Hill. Call (253) 854-7100 for information.

classifieds issue 8, august 2016

Professional Management Associates, Inc

OPPORTUNITIES AVAILABLE

in memoriam bales, juel, stamey

in memoriam Dr. David Jefferson Bales

Retired Colonel David Jefferson Bales, 83, passed away peacefully on the morning of March 14, 2016, in Redmond, WA. Bales was born to Dan, Sr., and Hilda Bales on July 13, 1932, in Klickitat, Washington, the middle child of seven. He spent his school-age years in Klickitat before leaving for college.

Bales married Darlyne Pagel in March 1953 and revered her throughout their 63 years of marriage. Together, they valued their faith and were active participants in church, serving in a variety of roles and instilling a strong foundation in each of their children.

He graduated with a BA in 1953 from Central Washington University, with a DDS in 1957 from the UW, and with an MSD in 1972 from Indiana University.

Bales was a respected dentist, retiring as a Colonel from the Air Force after 22 years of distinguished service in 1983. He held faculty appointments at the University of Texas (1968-69, 1974-83) and at the University of Washington (1983-2008).

He received multiple awards and commendations throughout his careers in the Air Force and at the UW. As an officer, he was recognized as a National Civilian Consultant in Operative Dentistry and Dental Materials to the United States Air Force Surgeon General (1987-1991) and served as the Director of Dental Services (1980-83) at the Wilford Hall USAF Medical Center.

As a professor, Bales directed the general dentistry residency training program at the UW from 1974-1980 and chaired the Department of Restorative Dentistry from 1983-1993. He received the ASDA Outstanding Faculty Award in 2000 and induction into OKU in 1987. In 1992, he received the UW Dental Alumni Association’s Distinguished Alumnus Award. He also enjoyed national stature as an active researcher and contributor to textbooks and journals. He served as the editor of the Journal of Operative Dentistry from 1986 -1992. His outstanding record as a clinician was recognized in 1994 with the Award of Excellence from the Academy of Operative Dentistry.

Bales is survived by his devoted wife, Darlyne, and their children Jeff, Diantha, Jamie, and Darice; by his brother John and sister Nancy; and by their nine grandchildren and one great-grandchild.

Bales is preceded in death by his parents Dan, Sr., and Hilda; brothers Richard, Dan, Jr., and James; sister Dorothy; and by his son, Damon.

Dr. Glen Juel

Dr. Glen Juel died June 17, 2016 at the age of 96. He had a wonderful life with his wife Betty and family. He was one of six brothers raised in Scobey, MT. He was very bright, and hard working and became a successful dentist, farmer, and craftsman. Juel had expertise in many fields. He was very generous of his time and talents for family and friends and donated a 40 acre farm that is now Juel Park near Redmond. He is survived by daughters Karen Kopp and Linda Brain, sons Randy and Brian, 10 grandchildren and four great grandchildren.

Dr. Arthur Frederick Alexander Stamey, Jr.,

Arthur Frederick Alexander Stamey, Jr., passed away peacefully on July 5, 2016 in Seattle, WA at the age of 88. He was born in Seattle on April 19, 1928 to Arthur and Lucy (Beasley) Stamey, and resided in Seattle and Edmonds for the rest of his life.

He was a proud alumnus of Queen Anne High School Class of 1946. He served in the Army in Korea from 1946 to 1948 and upon returning to Seattle, he enrolled in the new University of Washington (UW) School of Dentistry and graduated in 1954 as a Doctor of Dental Surgery.

While at the UW, he went on a blind date with B. Janice Knudsen and they were married December 28, 1951 at Phinney Ridge Lutheran Church in Seattle, less than eight months from their first date. Art practiced dentistry for 37 years in Lynnwood, WA during which time he became an expert in advanced restorative dental procedures, specializing in such during his last 20 years of practice. He directed study clubs for practicing dentists in the U.S., and served as clinician of study groups in Europe for several years. He was an Assistant Professor of Dentistry at the UW from 1974 to 1979. His loyal office staff included Donna Sonnenberg and Marlene Curley.

Stamey loved to travel and visited approximately 70 countries and all seven continents, the last being Antarctica in 2012. France held a special place in his and Janice’s hearts, especially after the family’s transformative year living in Grenoble, 1970-71. While he lectured and taught in

English and French, the latter which he taught himself with the help of Assimil tapes, the children attended French public schools and Janice embraced French cooking. The family of seven logged many miles exploring Europe in their VW camper and Art and Janice made many return trips to France, visiting friends while savoring the country’s culture, cuisine and wine.

Stamey was a true outdoorsman and enjoyed downhill skiing, climbing Mt. Rainier (twice), extensive backpacking and hiking trips, such as Mt. Rainier’s Wonderland Trail, New Zealand’s Milford Track and the UK’s Coast to Coast. His biggest adventures were his solo sailing trips to Hawaii and his 54-day nonstop voyage to Tahiti in 1992. When asked what he loved most about his travels, he said it was the people he met and many were drawn to his warm personality. As a close friend said upon hearing of his passing: “Art was a beautiful soul, a soft-spoken leader, and someone who inspired others to be good just by his caring and sunny presence.”

Stamey enjoyed classical music (especially Beethoven and Schubert) and attended many seasons of Seattle Symphony and UW Meany Hall Piano Series concerts.

He was a person with a quiet, strong faith and was a dedicated member of Trinity Lutheran Church in Lynnwood, where he served in several leadership roles. He also spent 18 years on the Board of Trustees of the Lutheran Bible Institute of Seattle and three years on the Board of Trustees of Luther Child Center. When he and Janice moved to the Hearthstone at Green Lake in 2013, they rejoined Phinney Ridge Lutheran Church, where they were married 61 years earlier.

Stamey is survived by his wife of 64 years, Janice, daughters Joan (Dave) Cottingham, Virginia (Dale Johnson) StameyJohnson, Sara (Winston Saunders) and Alison (W.C. Twig Mills), son Paul (Deborah), and grandchildren Chris (Sanja) and Matthew Cottingham, Alison and Samuel Saunders, Arthur Stamey-Mills, and Alexander and Graham Stamey.

He is preceded in death by his brothers Jack and Bill, and sisters Helen Shoemaker, Frances Taylor and Shirley Smith.

4 8 · th e wsda ne w s · issue 8, august · 2016 · www.wsda.org

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.

ASSOCIATE OPPORTUNITY — Exceptional opportunity in beautiful Silverdale, WA. Large, well established private multi-specialty group practice seeking a motivated, ethical associate dentist full or part-time with opportunity for partnership. Digital practice with CBCT and highly skilled staff. We recently moved into our brand new state of the art facility! Please send resume to silverdaledental@ hotmail.com.

ASSOCIATE DENTIST — A busy and expanding office in the Bellingham area is looking to hire a fulltime associate dentist. Experience is preferred, but not required. If you’re looking for a multi-specialty office where you can use all of your skills, contact us with your resume and a short cover letter! Email lynsey.premierdental@hotmail.com.

PERIODONTIST NEEDED — Large private group practice in brand new state of the art building looking for part time periodontist in Silverdale, WA. Digital office with CBCT. Thriving practice in need of a specialist to come in 2-4 days per month. Please send CV to silverdaledental@hotmail.com.

ASSOCIATE ENDODONTIST, GREATER SEATTLE AREA — Well established busy endodontic private practice seeking long term (career) full time associate. Please email cover letter and CV to kingcountyendo@gmail.com.

ASSOCIATE OPPORTUNITY, YAKIMA — We have a 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. Opportunities to earn much more with our full schedules! Both positions have the opportunity to earn well above $200,000.

Full benefits package. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Full time opportunity available. Moving expense reimbursement offered.

Please send inquiries to jbabka@applesmiles.com.

GENERAL DENTIST REQUESTED, MAPLE VALLEY — Our multi-doctor, family practice is looking for an outgoing, professional doctor skilled in all aspects of dentistry to join our team. Our beautiful, modern office has been providing excellent dental care to our ever growing community for over 10 years. We offer a generous compensation package along with the opportunity to work with an established, efficient and personable team. Please email your resume to wendyloconnell@yahoo.com or you may fax it to 425-413-8599.

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.

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

DENTIST NEEDED — Yakima Neighborhood Health Services (YNHS) , a Community Health Center in Central Washington State, is looking for a full time dentist to serve low income and underserved individuals and families in a new dental clinic in Granger, WA. Provide full scope preventive and restorative care all ages, six months to elderly. YNHS is an eligible site for National Health Service Corp and Washington State Health Professional loan repayment programs. YNHS also has a special focus to serve the homeless of Yakima County. Dental providers work alongside committed HCH staff to care for high needs homeless individuals. Full time for providers is 40 hours per week. YNHS offers a competitive compensation package, inclusive of malpractice coverage, paid leave, CME, retirement / life / disability. See our website at www.ynhs.org for the breadth in our services and diversity in our staff. We are looking for individuals who share a sense of compassion for the underserved, and passion for quality.

GENERAL DENTIST NEEDED — We are interviewing for a general dentist position in our growing practice. We have two dental clinics – South Seattle & Kent. The dentist should have at least five years of experience and should feel comfortable doing molar root canals and surgical extractions. Please send us your resume to buriendentist@yahoo.com or call (425) 647-4318.

GENERAL DENTIST, TRI CITIES — 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.

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 wellequipped 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.

GENERAL DENTIST, SPOKANE — We have a 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 up to $150,000 for new grads plus bonuses.

Base salary of $175,000 plus bonuses for experienced dentists. Opportunies to earn much more with our full schedules! 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. Full time and part time opportunities available. Moving expense reimbursement offered. Please send inquiries to jbabka@applesmiles.com.

OPPORTUNITIES AVAVILABLE — CHC of Snohomish County Dentist openings: Clinical Director/Dentist – Arlington Dental Clinic, Arlington, WA Clinical Director/Dentist – Everett-South Dental Clinic, Everett, WA Apply at www.CHCsno.org under the Employment tab.

th e wsda ne w s · issue 8, august · 2016 · www.wsda.org · 49

ASSOCIATE POSITION Established general practice in a modern, beautiful space with great staff. Seeking an associate dentist to be a “Dentist Doppleganger” while senior doctor is opening a second location. Alternating schedule of 2 weeks on, 2 weeks off - Mon, Tues, Wed, some Thurs, with eventual half days on Fridays and Saturdays.

Get 10 days of patient care in, then take 2 weeks off! Compensation negotiable, and based on production. Possible future ownership. Great patient base with wonderful long term relationships.

Strong professional partnership with all types of specialists for referrals. Please email dr.mep012@ hotmail.com with your resume and a cover letter if this opportunity excites you.

ASSOCIATE TO PARTNER — Pullman, WA. Our mission: give patients the BEST dental experience they’ve ever had. We’ve built an excellent reputation in our small community and we are growing like crazy! Our team is amazing and we want to hire an associate interested in a “partner track” to build the practice together. Experience is ideal, but I’m willing to mentor the right candidate. We keep most specialties in house because we do them very well: full bony 3rds, gum grafting, invisalign, implants (placement & restoration), etc. Our standards are high, but we’ll help you hone your skills... just be ready to learn. Check out our team, practice and example cases at JonnyFisherDDS. com then email me your CV if you’re interested.

I’ll then send you a detailed questionnaire that will help us see if we are a good fit for each other.

Contact: Dr Jonny Fisher, Phone: 509-330-0711.

Email: JonnyFisherDDS@gmail.com. Location: Pullman, Washington (JonnyFisherDDS.com).

DENTIST NEEDED — Avenue Dental Care is currently seeking a quality oriented, experienced general dentist for our rapidly growing practice.

We have multiple Seattle area locations with opportunities available. Molar Endo and surgical extractions skills needed. Benefits include health insurance. Cosmetics, Implants and IV sedation are an integral part of our practice. If you want to grow your skills in those fields under guidance this might be the opportunity you have been looking for. If you are inquiring about locations, or are interested in our practice opportunities please email: varuneok1@gmail.com Visit www.avenuedentalgroup.com to learn about the practice.

ASSOCIATE OPPORTUNITY — Exceptional opportunity in beautiful Silverdale, WA. Large, well established private multi-specialty group practice seeking a motivated, ethical associate dentist full or part-time with opportunity for partnership.

Digital practice with CBCT and highly skilled staff. We recently moved into our brand new state of the art facility! Please send resume to silverdaledental@hotmail.com.

ORTHODONTIST NEEDED — We are looking for an orthodontist with at least five years of experience. We have two busy practices in Burien and Kent. Potential to earn $4k+ per day based on collection. Please send us your resume to buriendentist@yahoo.com or call (425) 647-4318.

classifieds issue 8, august 2016

OPPORTUNITIES AVAILABLE

parrish or perish continued

parrish, continued from page 50

“So muster up your courage, study up, learn from some recent grads, take a good hands-on seminar and try something new.”

If it takes 17 years to get change from lab to chairside, how much of that 17 is directly in our “chairside hands” as being resistors of change? A lot, I would propose.

And that means we are not delivering the best, most comfortable, and most reliable care to our patients, as we could if we were willing to try new things and not stay stuck in our dogma. I know I am guilty of saying, “I cannot handle another new bonding system” or “Can’t someone just settle on a porcelain and call it good.” You can imagine (or maybe you cannot, if you are a relative “pup”) the angst and resistance of changing from amalgam posterior restorations to composite that we went through.

And don’t get me started on sealants. They were either the greatest thing since fluoride or absolute malpractice foisted off on unsuspecting kids to condemn their teeth to certain occlusal decay!

So muster up your courage, study up, learn from some recent grads, take a good hands-on seminar, and try something new.

I realize it was much easier to “experiment” in dental school, but our learning and changing cannot stop upon graduation. It’s a disservice to our patients and a practice killer in the long run. But I must admit I just got rid of my flip phone six months ago. I am now a frustrated iPhone 6 user!

Can’t I just make and receive a call without clicking on something that screws the whole thing up?!

Now back to Kathy’s class. Yes, I did learn a few things, and I even used a couple techniques on the MTI van the other day: short needles only and shoot higher than you think! And my med school son-in-law?

He impressed a couple of dental student friends when he discussed the Articaine controversy and Gow-Gates technique. A day well spent for both of us.

Support your practice.

Earn more points.

Enjoy the rewards.

Dentists count on the ADA Visa Signature® card to deliver the rewards that matter to them and the benefits they deserve. Use your card everywhere Visa is accepted to earn: • 2 points for every net $1 spent on all ADA purchases • 1 point for every net $1 spent on everything else3 Redeem points for the rewards of your choice, including dining, gift certificates, name-brand merchandise, cash back and even travel on more than 150 airlines with no blackout dates. Just 25,000 points = up to a $450 ticket. Plus, enjoy exclusive benefits such as Travel Accident Insurance, Auto Rental Insurance, 24-hour concierge service, travel discounts and upgrades, shopping discounts and much more!4

Apply for the ADA Visa card today and earn 10,000 bonus points after you spend $3,000 in the first 90 days!1

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Call 888-327-2265 ext. 94595 | Visit usbank.com/ADA94595 We may change APRs, fees, and other Account terms in the future based on your experience with U.S. Bank National Association and is affiliates as provided under the Cardmember Agreement and applicable law. (1) Subject to credit approval. Accounts must be open and in good standing (not past due) to redeem points. (2) Your 0% introductory APR applies to balance transfers made within 30 days of account opening. A Balance Transfer fee of 3% of each transfer ($5 minimum) will apply. The introductory APR does not apply to purchases or cash advances. The rate will end early and increase to the APR for Balance Transfers or to a Penalty Rate APR if you make a late payment, make a payment that is returned, or your account exceeds its credit limit. Thereafter, the APR may vary and as of 1/1/2015, the undiscounted variable APR for Balance Transfers is 9.99%- 23.99% (based on your creditworthiness)]. We apply your payments to balances with lower APRs first. (3) Net purchases are purchases minus credits and returns. (4) Certain restrictions, limitations, and exclusions apply. Cardmembers are responsible for the cost of any goods or services purchased by Visa Signature Concierge on cardmembers’ behalf.

The creditor and issuer of the American Dental Association Card is US. Bank National Association, pursuant to a license from Visa U.S.A. Inc © 2015 U. S. Bank National Association.

ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc.. (ADABEl), a wholly owned subsidiary of the American Dental Association. ADA is a registered trademark of the American Dental Association.

5 0 · th e wsda ne w s · issue 8, august · 2016 · www.wsda.org

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

DENTIST NEEDED — Join our mission driven team of ten dentists and well trained support staff in providing quality, comprehensive general and restorative dental care to our patients. 4/10 hour workdays provide a good life work balance and the opportunity to enjoy the areas recreational activities with your family. Comprehensive benefits, sign on bonus, Employer match 401(k), relocation, generous paid leave and CDE. HPSA score 23. Potential for loan repayment. Start date: September 2016. For more information contact : Colleen Hazel, PHR, HR Generalist / 509.764.6105/chazel@ mlchc.org. Or visit our website at www.mlchc.org to apply online.

FOR LEASE – Kennewick partially equipped fully plumbed, four operatories, approx. 2200 sq ft, Email Steve Kikikis steve@omni-pg.com.

FOR SALE - Grays Harbor - Fee For Service General Dental practice for sale. Annual collections over $200,000, four operatories, lots of parking on busy street. Contact Rod Johnston of Omni Practice Group at 206-979-2660 or e-mail rod@omni-pg.com.

OPPORTUNITIES WANTED OPPORTUNITY WANTED — TMJ/orofacial pain specialist/dental sleep: 2-yr residency in orofacial pain and oral medicine from USC. Seeking suitable opportunities, full or part-time, near greater seattle area. Contact me at jsahni@usc.edu or (213) 2844953. https://www.linkedin.com/in/jasjot-narula072778b6.

FOR LEASE – Maple Valley Dental office for lease. start-up or move your existing practice. Fully built out with 5 operatories, Plenty of parking in plaza.

Approximately 1,524 sq. ft. with favorable lease terms. Email Steve Kikikis steve@omni-pg.com.

FOR LEASE – EAST KENT PROFESSIONAL CENTER High visibility office with space with signage.

Approx 1288 sq. ft. on a modified gross lease, This building is right off of 104th Ave SE and SE 248st .TI allowance available. 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.

GENERAL DENTIST — 2016 Roseman University College of Dental Medicine. I would like to practice in Bellevue, Renton, or Issaquah. View my CV here: www.dropbox.com/s/6af31hrkwjvuekk/ CV.docx?dl=0.

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.

GENERAL DENTIST — 2016 University of Michigan graduate. I would like to practice in the greater Seattle area. View my CV here: www.dropbox. com/s/4nnlehrt4mg892c/Yizhou%20Zhu%20Resume%202016.docx?dl=0.

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.

ASSOCIATESHIP — Seeking Associateship in King and Snohomish County- will graduate from UWSoD early June, 2016. Contact Se Jin An (206)8564703 or email sejinan89@gmail.com.

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

GENERAL DENTIST – Seeking general dentist position in greater Seattle area with ten years of dental experience and three years prosthodontics residency training. View my CV: https://goo.gl/J0iocd Ema. OPPORTUNITY WANTED — 2016 USC graduate looking for an Endodontist position in Endodontic office or GP office. View my CV here: docs.google. com/document/d/1363Zn09JEFt8Jfxw1AlTfDpfUG ZKBgBR0VgMMDaMuFs/edit?usp=sharing.

OPPORTUNITY WANTED — 2005 UWSOD grad seeking associateship and/or practice buy in opportunity. Please contact Steven at 206-306-3430 or syoon2005@yahoo.com.

OPPORTUNITY WANTED — GPR-trained GP looking for full-time associate position. Three years experience. Proficiency in molar endo, all extractions, implant placement/restoration, CEREC, same-day dentistry, and all bread and butter. Email TRandolphRossDDS@gmail.com. il: sunjjj111@gmail.com Mobile: (502) 314-5196.

OFFICES FOR LEASE OR SALE FOR LEASE — Beautiful first floor office in a three story professional building. Has been the location for an Oral and Maxillofacial surgeon for nearly 30 years. Two surgical and three exam rooms with lots of parking. Post op room and private door to drive up. One block from Medical center and hospital. Park like setting with private gardens and floor to ceiling windows. Owner of the building is a General Dentist who is an owner occupant. Also an endodontist, orthodontist and other general dentists in the building. There is a need for another Oral surgeon in the valley! Owner will make the lease attractive. Call for more details and a showing. (509) 670-7593.

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@omnipg.com.

FOR SALE — Full leased investment opportunity in Maple Valley for sale. Mix of office and retail uses Asking price is 1.4 million for this visible building on .95 acres is 6,400 sq.ft Contact Steve Kikikis at steve@omni-pg.com.

FOR LEASE — Woodmont Place Shopping Kent dental/medical suite along Pacific Highway for lease.

1,300 sq.ft with three exam rooms, darkroom, lab and asking $2,275 per month-modified gross. Contact Steve Kikikis at steve@omni-pg.com.

FOR SALE — Whatcom County General Dental Practice For Sale – Located in busy shopping complex and growing area. Annual collections over $500,000. 4 equipped operatories, lots of opportunity for growth. Contact Rod Johnston @rod@ omni-pg.com.

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.

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 360-941-2341 or e-mail jim@ omni-pg.com.

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FOR SALE - West Olympic Peninsula General dental practice for sale. Annual collections over $800,000. Be the only dentist in town with no nearby competition. Good overhead, building also for sale, great staff. Contact Rod Johnston of Omni Practice Group at 206-979-2660 or e-mail rod@omni-pg.com.

FOR SALE —Outdoor lifestyle for sale with general dental practice. Work 3 days/wk with little competition, enjoy the outdoors the other 4 days/ week. Annual collections over $400k without trying. Low overhead. Contact Jim Vander Mey at jim@omni-pg.com NEW LISTING – Bellevue dental office space up to 3,204 sq. ft. Plumbed for 7 operatories. Great parking and signage. Close to Microsoft, Group Health and other eastside businesses. Contact Steve at steve@omni-pg.com EDMONDS — Plumbed office space for lease in Edmonds. Three ops expandable to 4 or 5. Located on high traffic street going into Edmonds.

Great visibility and signage. Contact Steve at steve@omni-pg.com.

FOR SALE— Woodinville office. Four operatories, doing Invisaline.sediation, implants. Areas to expand are exits and endo. Four days a week.

Eight days of hygiene. Collecting $900,000 On Main Street of Woodinville, ample patient parking . Well established practice. Email: Lisoshima@ gmail.com or call (206) 399-0242.

OFFICE FOR LEASE, UNIVERSITY PLACE — University Place GP five op mature practice. Office performs implants, endo, ortho and extractions.

Collections $800k on three days a week (ortho 1 day). Rent is $1,800/month includes utilities.

Prime location. Email: Lisoshima@gmail.com or call 206-399-0242.

FOR SALE, ELLENSBURG — Ellensburg, WA 3 Ops, one hygiene, two restorative; digital xrays (schick) & pano, Open Dental PMS, newer equipment. Net production hovers around 600K. Very conservative bread and butter dentistry with some implants and wisdom teeth extractions. $425,000.

Please email uwdentaldoc@hotmail.com.

FOR LEASE, WALLA WALLA - Professional office space; 1,850 sq/ft in medical/dental building.

Desirable location near hospitals and clinics. Opportunity in town for specialist satellite or start up.

Contact (509) 520-9451.

FOR SALE OR LEASE — Spokane Dental Office.

Nearly turn-key opportunity with major equipment in all 5 identical operatories. Building is located in the prime center location of a beautifully landscaped and maintained dental/medical office complex. On street visibility and signage exposure with ample free parking. The main floor is 2,450 sq ft with an identical footprint in the daylight lower level. Has full telecom services including CAT-5 computer networking. Contact: Gary Kuster, Dowers Commercial Real Estate Group Inc., 509-8698100, kuster@dowersgroup.com.

BELLINGHAM — Lease turnkey dental suite. Formerly successful pediatric and orthodontic Class-A office space. Save $200,000+ construction costs.

Ample parking. Interstate-5 access. High-traffic/visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@gmail.com.

classifieds issue 8, august 2016

OPPORTUNITIES AVAILABLE

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OFFICES FOR SALE OR LEASE

SERVICES

BELLEVUE/FACTORIA general dentistry/specialist office for lease. 1,249 sq. ft. 3-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.

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.

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

FOR LEASE, RENTON — Dental clinic with seven operating stations. Fully built out. 2200 SF. Lots of parking. Great location close to city hall with 7,000 cars a day visibility. New apartment complex in fast growing area. Amenities include dog park, fitness room and common areas. $1.40 SF. Call Chris at (206) 595-5791.

GENERAL PRACTICE FOR SALE North Seattle, WA. 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.

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 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.

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.

NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valuations. Dental space planning and architecture; real estate leasing and acquisitions, employment benefits; staffing resources and training; financing. Call today for your free consultation…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: annie@nextnw. com.

G/P PRACTICE FOR SALE IN LINCOLN COUNTY — Annual collections over $430,000. Four operatories, doctor works three days per week.

Practice is located within 35 miles of Spokane.

Practice has been in same location since mid-60’s.

Doctor owns the building and will sell it now or in the future. Well-trained staff will assist with the transition and will stay with the practice after the transition. Well-established practice with an excellent collection policy in place. Excellent cash flow for a practice of this size. Please contact Buck Reasor, DMD, cell: 503-680-4366, Fax: 888317-7231, email :info@ reasorprofessionaldental. com, www.reasorprofessionaldental.com. PO Box 14276, Portland, OR 97293.

FOR SALE — Tukwila. Newly upgraded dental practice in Tukwila for sale. $725,500.00. Six ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last feefor-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 inhouse 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 — 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.

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.

FOR SALE — Well established general practice for sale. Excellent opportunity located in a rapidly growing area of Pierce County. Two Doctors, six operatories, open 58 hours a week with a well trained staff . The practice has been in the same location for 20 years grossing $3.4 million a year. For more information call Patty at (360) 528-0324 or email spstewart528@hotmail.com.

INTRAORAL X-RAY SENSOR REPAIR We specialize in repairing Kodak/Carestream, Dexis, Gendex & Schick CDR sensors. Repair & save thousands over replacement cost. We purchase old/broken sensors. www.RepairSensor.com / (919) 924-8559.

EQUIPMENT FOR SALE FOR SALE — Pelton and Crane Chairman chairs with the traverse feature (which is awesome). I have three in good working order and nice upholstery. $600.00 each OBO 425-881-7574.

FOR SALE — SybronEndo Equipment and Technic as taught by Dr. Mounce, $2 K OBO, Elements Obturation Unit, Nouvag Endo III Motor, Spring head Hand Piece. All DVD’s Manuals and Extensive Sundries. Essentially all equipment and supplies are new. Treat three cases and it’s paid for. (509) 9241325; Email@info@peerlessdentistry.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.

VACATION RENTAL FOR RENT — Marriott Vacation Club Penthouse Ocean View Guest Room for the week of November 12 to November 19. Sleeps up to four with balcony deck and a galley kitchen. It normally rents for $439 a night, we are asking $275 a night. This resort on Oahu can be internet searched for @Marriott Ko Olina vacation beach club and be sure to find the ocean view penthouse. Please respond to: complete dental16@gmail.com.

EQUIPMENT FOR SALE USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net.

FOR SALE — SybronEndo Equipment and Technic as taught by Dr. Mounce, $2500.00. Elements Obturation Unit, Nouvag Endo III Motor, Spring head Hand Piece. All DVD’s Manuals and Extensive Sundries.

Essentially all equipment and supplies are new. Treat three cases and it’s paid for. (509) 924-1325; Email@ info@peerlessdentistry.com

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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 8, august 2016

OFFICES FOR SALE OR LEASE

parrish or perish

Old

dogs can learn new tricks… but puppies get set in their ways early on

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

— George Patton

“I’ve always thought there should be a CE course “How To Retrain Your Dogma” — Kathy Bassett, RDH, MEd

During last month’s PNDC, my medical school son-in-law was in town for a short visit.

As I wanted to attend PNDC and be with him, I asked him if he wanted to take a “dental” class that might have some application to his future endeavor as an RD. After looking through the program of classes offered, he decided on a local anesthesia class.

While recognizing I certainly don’t know everything there is to know about local anesthesia, I wasn’t overly enthused that I was going to learn much about a topic that I have utilized tens of thousands of times throughout my time as a dentist. Well, I was wrong, but more on that later.

It has been estimated that a worthwhile medical idea backed by good research takes nearly 17 years to be translated into practice utilized by the majority of practitioners. Seventeen years! That’s half a career for many folks. That is a slow uptake of positive change that is not benefitting our patients. Does dentistry take that long? I’d guess we are not far off that number. I recall initial research into implants while I was in school (an advisor was working with them on monkeys), but they were not ready for “prime time” until some years after I had graduated. And we were doing bridges as the first line of replacement for much more than a decade after I graduated, so I’m guessing we were easily pushing 17 years before implants were well recognized. I would bet today there are still dentists who insist implants all fail and why in the world would we even recommend them. A nice three-unit bridge is more predictable!

So the old dogs continue on their merry way, changing only when the evidence is overwhelming, and they finally decide to take a class or seminar on a new technique or material, and maybe muster up the courage to try it. And if it fails at first…back to the old ways.

Now for the young pups. Kathy Bassett, RDH, MEd, one of the instructors of the local anesthetic course, relayed a very interesting story about teaching her hygiene students to use the Wand to deliver anesthetic. For those of you old dogs, the Wand is a “painless computer-assisted anesthesia injection system (which) helps dentists build their practice and patients to feel more comfortable during visits,” to quote from their website. In other words, the human places the needle and the computer essentially does the rest. It was first introduced in 1997 and has been modified several times since. It was first reported in JADA in 2005 (so there’s eight years). I am unable to find when it was first proved effective in initial research.

In Ms. Bassett’s introductory local anesthetic class for hygiene students, there were enough Wands to let half the class learn the technique before picking up a syringe; the other half learned via the traditional syringe. Halfway through, they switched: The Wand group used the syringe, and the syringe group, the Wand. So everyone eventually mastered both devices. And everyone had the opportunity to be numbed using both techniques. Now comes the interesting part. Overwhelmingly, the students preferred the Wand when receiving an injection, but equally overwhelmingly preferred giving the injection via the device they FIRST learned. The results were the same when repeated over five classes and five years.

Recognizing that this is not a randomized double-blind study, but merely a reported preference, what does it say about us as human learners, when we immediately gravitate to that which we first learned even though we personally experienced another technique/ product that is preferable? These were very early learners who had barely mastered either technique, yet they resisted change. How much more difficult is it after one has done a thousand? Ten thousand? continued on page 50

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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INSURANCE FOR EVERY STAGE OF YOUR CAREER: Stage Two: Purchasing a practice

There are a lot of moving parts to buying a practice — from

making sure you have the right coverage for your new practice, your staff and your family, to having the right team in place to make sure that all the details of the purchase are handled properly.

At WDIA, we can help you navigate the intricacies of insurance and make sure that you have everything you need in order to protect all of your interests.

Are you covered?

• Business Overhead Protection • Life Insurance • Business Loan Protection • Business Owners Policy • Disability Insurance • Employment Practices Liability • PLLC/Corporate Liability • Buy/Sell Agreements • Health Insurance

Matt French · Kerri Seims Heath Johnson 206.441.6824 · 800.282.9342 www.wdiains.com

Sole broker for:

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Washington State Dental Association 126 NW Canal Street Seattle, WA 98107

PRESORTED STANDARD U.S. POSTAGE PA ID SEATTLE, WA PERMIT NO. 8115

CHANGE SERVICE REQUESTED

We're not the norm…

Anytime we discover exposures our doctors are facing beyond professional liability, we work to develop and offer exceptional dentist-specific products.

For instance, NORDIC was one of the first northwest companies to offer dentists comprehensive cyber risk coverage.

Can the big box companies say that?

For more information about cyber coverage, call ……

NORDIC – the Gold Standard

800-662-4075 nordicins.com melissa.sanchez@nordicins.com

Sole broker for NORDIC

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