WSDA News · ISSUE 6 · MAY 2017

Issu

WSDA 17 · 20 ay ·m e6

The voice of the Washington State Dental Association

news

DENTISTRY IN 2040: THROUGH THE LOOKING GLASS

Also in this issue: PNDC ONSITE GUIDE PULL OUT SECTION th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 1

P R E M I E R B U I L D E R S D E N TA L FAC I L I T I E S

Throughout the construction, they were very organized and well-coordinated with vendors and designers.

The project was completed with high quality, in a timely manner, and right on budget. I really appreciate the level of professionalism, knowledge and honesty. The quality of completed work is outstanding. ~Ramtin Amini DMD, DDS, MD & Patrick Wang DMD, DDS, MD

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C O N S TA N T I N E B U I L D E R S . C O M

a day in the life

The 2017 PNDC is fast approaching! Save the pull-out section and take it with you to the conference!

WSDA news Cover story by Rob Bahnsen

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editorial

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guest editorial

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letters to the editor

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legislative news

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regulatory news

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delta dental information session

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member news

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cover story

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pndc news

issue 6 · may, 2017

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pndc onsite guide

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member news

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in memoriam

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classifieds

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clinical corner

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first person: dr. stephen lee

Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings

Dr. Ashley L. Ulmer Dr. Amy M. Winston

Continuing Education and Events Coordinator Sarah Quigley

Editorial Advisor y Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joseph Vaughn

WSDA Staff:

Membership Ser vices Coordinator Rachel Gunderson

Washington State Dental Association Dr. Bernard J. Larson, President Dr. Cynthia R. Pauley, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Bryan C. Edgar, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Christopher Delecki Dr. Linda J. Edgar Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Eric J. Kvinsland Dr. Randall H. Ogata Dr. James W. Reid

Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter Controller Peter Aaron Director of Government Affairs Mellani McAleenan Director of Operations Brenda Berlin

Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Administration and Financial Coordinator Tom Harshbarger Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/wsda.org

Ar t Director/Managing Editor Robert Bahnsen Director of Continuing Education and Events Emily Rademacher, CMP Government Affairs Associate Emily Lovell

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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 © 2017 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 Diversit y 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 6, may 2017

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editorial dr. mar y jennings

Community Health in 2040

Dr. Mary Jennings Editor, WSDA News

“The Community Health world is still struggling. Why do over 45 percent of privately insured and Medicaid children NOT visit the dentist? What keeps them home? Why do wonderfully crafted plans fail?”

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

The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

The WSDA is considering what the dental world will look like in 2040. It begs the question, what will community health look like in 22½ years?

There are so many problems surrounding poverty that it is really hard to decide what to focus on. I am going to narrow this discussion down to people and the sociopolitical system.

Technology moves fast. People, not so much. I started my career on the Gila River Indian Reservation in January of 1991. Early childhood caries is one of the big oral health problems facing Native American communities. The brilliant minds from Indian Health Service, Centers for Disease Control, and the National Institutes of Health developed a great multidimensional plan to solve it called “Healthy People 2010.” I know we made progress, but we failed to meet that goal.

The community health world is still struggling. Why do over 45 percent of privately insured and Medicaid children NOT visit the dentist? What keeps them home? Why do wonderfully crafted plans fail? What are we missing? Is it still fear and pain or are there other factors? Why are we not engaging this population?

On the Gila River, mothers still brought their babies to the clinic in beautifully beaded or pigment-painted cradle boards. It was not considered unkind to papoose board children.

In 1994, I got a memo that “rodeo dentistry” was inhumane, and we had to have consent and be very thoughtful in how we presented restraint.

Now we use the great new glass ionomers, silver diamine fluoride, and atraumatic restorations to tide children over until they are more mature. I think that is great in a well-managed dental community. The families of these children must be compliant or the treatment will fail and, more importantly, we will fail that child.

Sometimes dental compliance gets lost in the fragile world of poverty with the competing issues of job, food, and shelter insecurity. So many people are just one small calamity away from homelessness.

More parents request general anesthesia. I see siblings and what I crassly call “repeat offenders” coming back for general anesthesia. Clearly, these families are not getting the prevention message.

Am I really helping or just providing semiannual, convenient, one-stop shopping for these patients? Where are we going here? Is it too much, too little, too scary, too expensive? We have improved so many things. I feel the profession is advancing, but we are not improving the health of people in poverty. If we are going to make any progress toward Healthy People 2040, we have to resolve this disconnect.

I just took a class called “Undoing Racism.” We discussed the sociopolitical structure that has historically controlled the money and power that ultimately provides jobs, food, housing, and a sense of belonging for people of color in the United States. It was an intense two days. I am not sure I completely understand and agree with every premise in the course, but it still made me think and try to view the world through a different lens.

I notice more things. The proposed repeal of the Affordable Care Act would take away money that refunds the Indian Healthcare Improvement Act, which has historically never fully covered the 2.2 million indigenous people that it provides healthcare for.

Poverty feels different than it used to. We have a new wave of immigrants who have arrived here for many of the same reasons my German grandfather did.

I hate to admit it, but I occasionally hear myself saying things like “the regular poor” to differentiate changes. Most community health people will tell you that it doesn’t really matter where people come from and why they are poor. People need help, we help them.

But in many ways it does matter. You can’t plan for what you don’t understand. I agree with the Undoing Racism class that we have opportunities to help set people up for success or set hurdles for failure.

Poverty is multidimensional, and so is the solution. Prevention alone hasn’t solved the problem. We need to look at oral health as part of a whole set of problems facing the poor. We need to break through the “us and them” disconnect. We must end the paternal concept of what we think our patients need, and find what they truly need. We must understand and work with a political system that responds better to loud political pressure than to quiet individual suffering.

In 2040, I want to see Medicaid funding that actually covers the cost of delivering care. I want transparency so normal human beings can understand the complex offsets of taxes, healthcare, and hospital finance, and make better decisions. I want us to educate employers to understand and demand insurance policies that are more than glorified Groupons. I want all patients to understand that healthcare costs everyone. Prevention saves us all money and suffering and ensures a better future for children who may live well past 100. In short, I want it all….for everyone.

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The difference in earnings between men and women is a hotly debated topic. There are several methods by which different researchers estimate the gender earnings gap. One oft-quoted statistic is that women earn 79 percent of what men earn. When differences in hours worked, years of experience, and education levels are taken into account, the gap is smaller. And when the wage gap is examined for specific occupations and job titles, the gap shrinks to about 5 percent. Washington is no exception to the gender gap. Recent statistics indicate that women earn 77 percent of what men earn in the Evergreen State.

Regardless of what statistic you use, the fact is that a gap in earnings persists.

There are various opinions as to why there is a gender gap. Sheryl Sandberg, Facebook’s Chief Operating Officer, suggests that women keep themselves from advancing, in part, because they do not have the self-confidence and drive that men do, and ultimately hold themselves back. Others suggest that the story is more complicated, and that the cultural norms and societal forces influencing women’s career decisions are extremely genderbiased. These biases lead to “gender sorting” across occupations, ultimately resulting in earnings disparities between women and men.

With this in mind, we take a closer look at the gender earnings gap in dentistry.

The chart below displays the difference between male and female dentists in average net income per hours worked. We present the data based on the time since a dentist graduated from dental school. The data is for general practice dentists who are sole or part owners, and we accounted for differences in hours worked, years of experience, specialty, and ownership status. Even after controlling for these differences, the size of the gender gap in dentist earnings is quite striking. When dentists are five to nine years out of dental school, male dentists earn, on average, 37 percent more than female dentists. Even 20plus years out of dental school, male dentists continue to earn, on average, 20 percent more per hour than female dentists.

Chart: Gender Gap in Dentist Earnings

Notes: Gender gap in dentist earnings. Based on Health Policy Institute Survey of Dental Practice pooled data for 2013 through 2015. Data represents the difference in average net income per hour between male and female dentists expressed as a percentage of the average for male dentists. Data is for general practice dentists who are sole or part owners and are weighted to adjust for oversampling and nonresponse bias. Differences are statistically significant at the 1 percent level for all three experience levels.

A study in the April issue of the Journal of the American Dental Association found that the gender earnings gap for dentists is narrowing over time. However, this trend can be attributed to female dentists “looking” more like male dentist in terms of hours worked and experience. However, a persistent “unexplained” part of the earnings gap remains unchanged. A separate study from 2013 compared dentistry to several other healthcare occupations and found that the gender gap in dentistry was 40 percent. This was higher than any other healthcare occupation.

The question before us is, what is going on in that “unexplained” part of the earnings gap? What are the potential reasons for the gender gap persisting after accounting for hours worked, experience, specialty, and practice ownership?

First, existing research might fail to measure important differences between female and male dentists that drive earnings. For example, all else equal, there is evidence that female dentists are more likely to treat Medicaid patients than male dentists. Given that Medicaid reimbursement is, on average nationally, 62 percent of private dental insurance reimbursement, this could account for some of the unexplained gap. Additionally, there is evidence that female dentists, all else equal, focus more on preventive procedures than their male colleagues. Preventive procedures are typically reimbursed at lower rates than more complex interventions.

Second, female dentists might simply be compensated less for the exact same work that male dentists do. They might charge lower fees than their male counterparts, or may encontinued on page 6

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Cassandra Yarbrough, MPP Lead Public Policy Analyst, Health Policy Institute, American Dental Association

“There are several methods by which different researchers estimate the gender earnings gap. One oft-quoted statistic is that women earn 79 percent of what men earn. When differences in hours worked, years of experience, and education levels are taken into account, the gap is smaller.”

The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

guest editorial cassandra yarbrough

The gender gap and dentistry

guest editorial continued letters to the editor issue 6

guest editorial, continued from page 5

ter into ownership or partnership arrangements with less-favorable financial terms than male dentists. We are not aware of any research that explores these issues, but informal, anecdotal opinions from several dentists suggest these factors are relevant.

Dentistry is going through a major gender transformation. In 2006, 20 percent of professionally active dentists in Washington were female. By 2016, this number increased to 30 percent. As discussed above, female dentists are more likely to participate in Medicaid and focus on prevention, and Medicaid is dentistry’s fastest-growing market. Furthermore, with continued negotiations regarding healthcare legislation from our nation’s capital, it appears that the healthcare industry must continue to provide more value-based services, indicating that prevention will increasingly be rewarded as the system continues to change.

For these and countless other reasons, dentistry must continue to attract women to the profession. While more research is warranted, we now know enough to acknowledge that dentistry’s gender earnings gap is a problem that requires continued discussion and strategies aimed at addressing it.

Kessler G. Here are the Facts Behind that ’79 Cent’ Pay Gap Factoid. The Washington Post. April 14, 2016. Available at: https:// www.washingtonpost.com/news/fact-checker/wp/2016/04/14/ here-are-the-facts-behind-that-79-cent-pay-gap-factoid/?utm_ term=.5bf8e30c4230. Accessed May 5, 2017.

National Partnership for Women & Families. Washington Women and the Wage Gap. Fact Sheet: April 2016. Available at: http:// www.nationalpartnership.org/research-library/workplace-fairness/fair-pay/4-2016-wa-wage-gap.pdf. Accessed May 5, 2017.

Sandberg S. Lean In: Women, Work, and the Will to Lead. New York, NY: Alfred A. Knopf; 2013.

Blau FD, Kahn LM. The gender wage gap: extent, trends, and explanations. Institute for the Study of Labor (IZA). Discussion Paper. January 2016. Available at: http://ftp.iza.org/dp9656.pdf.

Accessed May 5, 2017.

Lam B. What Gender Pay-Gap Statistics Aren’t Capturing. The Atlantic. July 27, 2016. Available at: https://www.theatlantic.com/ business/archive/2016/07/paygap-discrimination/492965/.

Accessed May 5, 2017.

Nguyen Le TA, Lo Sasso AT, Vujicic M. Trends in the Earnings Gender Gap Among Dentists, Physicians, and Lawyers. JADA. 2017; 148(4):257-262.

Seabury SA, Chandra A, Jena AB. Trends in the Earnings of Male and Female Health Care Professionals in the United States, 1987 to 2010. JAMA Intern Med. 2013;173(18):1748-1750 Nicholson S, Vujicic M, Wanchek T, Ziebert A, Menezes A. The effect of education debt on dentists’ career decisions. JADA. 2015; 146(11):800-807 Health Policy Institute. Medicaid Fee-for-Service (FFS) Reimbursement and Provider Participation for Dentists and Physicians in Every State. Health Policy Institute Infographic. American Dental Association. April 2017. Available at: http://www.ada.org/~/ media/ADA/Science percent20and percent20Research/HPI/Files/ HPIgraphic_0417_1.pdf. Accessed May 5, 2017.

Riley JL, Gordan VV, Rouisse KM, McClelland J, Gilbert GH. Differences in Male and Female Dentists’ Practice Patterns Regarding Diagnosis and Treatment of Dental Caries. JADA. 2011;142(4):429440.

Internal analysis of the Health Policy Institute Survey of Dental Practice. Available upon request.

Wall T, Vujicic M. U.S. Dental Spending up in 2015. Health Policy Institute Research Brief. American Dental Association. December 2016. Available at: http://www.ada.org/~/media/ADA/Science percent20and percent20Research/HPI/Files/HPIBrief_1216_2. pdf?la=en. Accessed May 5, 2017.

Guay AH. Where is Dentistry Going? JADA. 2016;147(11):853-855.

Vujicic M. What the ADA can Learn from the NBA. JADA. 2015;146(7):555-557.

letters to the editor Dr. Mary Jennings,

I read with interest your editorial on legacy dentists. I wish to offer another viewpoint on this. I did not have any exposure to dentistry, other than as a patient, when I decided to pursue this profession.

My background was commercial fishing.

My dad was a commercial crab fisherman for 50 years. I did not know a thing about dentistry, but I knew how to work.

A large percentage of my classmates (1977 UW) had a legacy. Coming in green forced me to apply myself to the point of understanding the nuts and bolts of dentistry. On top of that, I moved to a community where I knew no one and opened a private practice right out of school. I’ve been in that practice 39 years because, as I mentioned earlier, I knew how to work.

The legacy classmates usually joined a waiting practice that required no effort on their part. To me, they seemed a little complacent in that they did not have to work to build something. Also, a lot of my legacy colleagues seemed a little arrogant when times got tough for their patients. It’s as if they feel they are immune to economic variances. I try to remind them that when these “common people” can’t afford to walk through their doors, their days are numbered.

I have helped at least 10 students get into dental school by letter of recommendation.

Not one was a legacy, and all have become excellent dentists. One case involved the neighbor who I recommended for admission to UWSoD. She was not selected or placed on an alternate list. This surprised me, as I felt she was the strongest candidate I recommended.

I called the Dean of Admissions of UW to see what happened, and I requested that he set up a meeting with the candidate. He suggested she retake the DAT. By the way, upon meeting her, he hired her to work for him. She retook the DAT and got the second-highest score in the nation, 100 percent on all but one section. The next year she was the first selection for her class (quite a jump from a no show to first selection), and graduated second in her class.

She went on to become an orthodontist, again, through the UW program. Another of the 10 became an excellent pedodontist.

Again, these students worked hard, knowing they had been offered a great opportunity. Many of the legacy classmates had a lackadaisical attitude because their future was sitting and waiting for them.

Because of these experiences and observations, I feel it is vital to have a program that is open to those who qualify. The UWSoD is a big jump from the deck of a crab boat or a farm field in eastern Washington, but the talent is out there. We don’t want to shut the talent out. These nonlegacy students will only make our profession stronger.

Respectfully, Richard A. Rydman, DDS Dr. Jennings,

I read with interest your and Dean Burnett’s articles about the state board, and it brought back some vivid memories of my own state board experience. The year was 1966, and I had just graduated from Marquette University School of Dentistry.

I previously graduated from Seattle Prep and Seattle University before heading for Milwaukee. As I was packing my things at school before heading west, one of the faculty members asked me where I was going to practice. I said, “Seattle.” I was immediately informed to be prepared to take the board more than once. I was told I would flunk the first time since I had not gone to the University of Washington. Fortunately, I had finished high enough in my class that I was able to get a much sought-after internship in the U.S. Public Health Service, and had been assigned to the USPHS Hospital in Seattle. I didn’t have to look far for a board patient, as my mother had just the perfect teeth for an amalgam, an inlay, and a foil. It was not a good feeling taking the board knowing that I was probably going to fail, and fail I did. Numerical grades were given, and 75 was passing. I received 74 on the three fillings, as well as the denture setup. Wow, so close!

Should have tried a little harder. I did have my internship, so I kept working until the January board was given. I did take “the class,” along with some of the other interns from one of the operative instructors at the UW for a couple hundred bucks, and second time around we all passed with flying colors. I still remember the names of the four board examiners who failed those of us from out of state. By the way, when my mother died a few years ago at age 95, she still had my board foil and inlay. I had replaced the amalgam with another gold inlay some 20 years after the board.

— Tony Zimmerman, DDS

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legislative news hb1411 From left to right: Carrie Tellefson, Trent House, Brent Ludeman (all three are WSDA contract lobbyists), Rep. Eileen Cody (Chair of House Health Care and Wellness Committee and prime sponsor of our bill), Kendra Coburn, Jim Justin (WSDA contract lobbyist), Mellani McAleenan, Governor Jay Inslee, Kristen Federici (Providence), Dr. Amy Winston, Dr. Noah Letwin, Dr. Bryan Edgar

GOV. INSLEE SIGNS RESIDENCY BILL

TIRELESS WORK BY WSDA MEMBERS CREATES NEW PATH TO LICENSURE

House Bill (HB) 1411, sponsored by House of Representatives Health Care and Wellness Committee Chair Eileen Cody (D-34), at the request of WSDA, passed the Legislature unanimously and was signed into law by Gov. Jay Inslee on Friday, May 5. The bill changes the requirements for the residency programs that may be completed in lieu of examination for applicants for dental licensure. With the passage of this legislation, an applicant may forego the examination requirement if he or she completes a general practice, pediatric, or

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advanced education in general dentistry residency, which may now be one year long rather than between one and three years. The program must serve predominately low-income patients, but no longer must be located in a community health clinic or a dental care health professional shortage area. We would like to thank Dr. Amy Winston of Seattle for her many trips to Olympia to testify at hearings and speak to legislators in support of the bill, which takes effect on July 23, 2017.

regulator y news mccarran-ferguson act update

McCarran-Ferguson Act update

Emily Lovell Government Affairs Associate

“Operating under the antitrust exemption, insurers are allowed to share information that would typically be prohibited by antitrust laws, such as pooling historic loss information in order to project future losses and set prices for products, as well as jointly developing policy forms.”

There is a great deal of concern among healthcare providers that the McCarran-Ferguson Act negatively affects competition, drives up the prices of premiums for patients, and hinders the ability of providers to address antitrust concerns regarding insurers with federal enforcers. Further, while this exemption allows insurers to share information and agree on pricing for premiums, healthcare providers may not collectively share and discuss their fee schedules to increase their negotiating power because that would be considered a violation of antitrust law. Congressman and fellow dentist Paul Gosar (R-Arizona) seeks to address this disparity.

Established in 1945, the McCarran-Ferguson Act is a federal law that exempts the business of insurance from most federal regulation, including federal antitrust laws, by giving states the power to regulate the “business of insurance.” The act states: “No act of Congress shall be construed to invalidate, impair, or supersede any law enacted by any State for the purpose of regulating the business of insurance, or which imposes a fee or a tax upon such business.”

While the act places most regulatory authority of insurance with the states, federal antitrust laws would apply should there be instances of insurance business that are not regulated by state law. In order for insurance activities to qualify for the antitrust exemption under the act, the activity in question must fall within the business of insurance, the activity must be regulated by state law, and the activity must not involve boycott, coercion, or intimidation. The insurance industry is still regulated by the Federal Trade Commission and the Department of Justice for antitrust enforcement surrounding mergers and acquisitions.

Operating under the antitrust exemption, insurers are allowed to share information that would typically be prohibited by antitrust laws, such as pooling historic loss information in order to project future losses and set prices for products, as well as jointly developing policy forms.

Not surprisingly, several attempts have been made over the years to repeal the act. Most recently, Gosar sponsored H.R. 372, “The Competitive Health Insurance Reform Act,” which would allow, in the absence of action by state regulators, the Federal Trade Commission and Justice Department to enforce antitrust laws against health insurance companies that engage in anticompetitive conduct. The American Dental Association, a major proponent of H.R. 372, has actively advocated for the passage of this legislation, calling attention to the need for competition in the insurance marketplace and the consumer benefits generated by such competition.

H.R. 372 was introduced in the House of Representatives on Jan. 9, 2017 and passed the House by a vote of 416-7 on March 22. The White House has since released a statement of policy in support of the legislation. The bill is now in the Senate and has been referred to the Committee on the Judiciary, where it will await its fate.

To stay up-to-date on the progress of this legislation and other federal legislation monitored by the ADA, visit ADA’s Advocacy page at ada.org/en/advocacy/stay-informed.

Sources: Insurance Information Institute, Antitrust Law and Insurance: http://www.iii.org/article/antitrust-law-and-insurance ADA’s Statement for the Record, Subcommittee on Regulatory Reform, Commercial and Antitrust Law, Committee on the Judiciary: http://www.ada.org/~/media/ADA/Advocacy/Files/170216_115hr372_judiciary_mcf

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The Washington State Dental Association is excited to announce an information session that will be held at the 2017 Pacific Northwest Dental Conference to discuss a new Association initiative concerning Washington Dental Service (Delta Dental of Washington).

We have heard from many of our members who are also members of Washington Dental Service that Washington Dental Service is taking certain actions that negatively affect patient care and patient access to care in the state, while, at the same time and at the expense of patients, increasing administrative overhead beyond what is necessary.

The purpose of this information session is to discuss how these actions are harming patients and how the Association and providers can work with all stakeholders to ensure these problems are solved. The overarching goal of this important initiative is to advance the articulated mission of Washington Dental Service, including: Expanding access to oral healthcare; and Providing access to the highest quality care.

Further, this initiative seeks to more closely align Washington Dental Service with the patients it exists to serve and ensure those members of Washington Dental Service most knowledgeable about oral health and patient care have a voice when it comes to the best interests of patients.

INFORMATION SESSION DETAILS Friday, June 16 11:30 a.m. to 12:45 p.m.

Hyatt Regency Bellevue A complimentary lunch will be provided to all meeting attendees.

Please RSVP for the information session by visiting www.wsda.org/delta-rsvp

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This information session is open to all WSDA member dentists, as well as nonWSDA member dentists who are Washington Dental Service members. Registration at the Pacific Northwest Dental Conference is not required to attend the information session. Due to the anticipated interest in the event, attendance will be limited to dentists and WSDA-invited guests.

More information about the event, including the room location, will be shared with registered attendees and also online at www.wsda.org/delta when it is available.

member news delta dental information session

DELTA DENTAL INFORMATION SESSION

member news barnes, minahan honored

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DEAN’S CLUB HONORS DRS. BARNES AND MINAHAN HONORED AT UW DEAN’S CLUB FETE

Dr. Dexter “Deck” E. Barnes and Dr. David M. Minahan, both members and past presidents of the Washington State Dental Association, were recently honored by the University of Washington School of Dentistry’s Dean’s Club. The Dean’s Club was established in 1983 with a core mission to maintain and enhance the school’s international reputation for excellence in dental education.

Barnes was given the 2017 Honorary Lifetime Member award in recognition of his outstanding service to the school. Minahan received the Dental Alumni Association’s Distinguished Alumnus Award, the group’s top honor. According to a recent article in the UWSoD’s Dental Alumni News, both men have exemplified the kind of service and commitment to the university rarely seen.

“Deck Barnes has been a powerful voice in organized dentistry,” said Dean Joel Berg. “However, his impact on our school through the Jones Lectureship has been equally powerful, and it’s very gratifying to see him honored by the Dean’s Club for this service.”

Calling his impact to the UWSoD unique, the article noted that Barnes has chaired the Ernest M. Jones Memorial Lectureship speaker selection committee for more than two-thirds of the signature event’s 47-year span. During that time, he worked to secure internationally renowned speakers such as Dr. Gordon Christensen and Dr. John Kois. The article went on to say that, “Over

the years, the lectureship has become the Pacific Northwest’s premiere dental education event, establishing the Jones Lectureship as a ‘must’ calendar item for Washington dentists and their staffs.”

The article highlights Barnes’ other efforts on behalf of the school and organized dentistry, citing his work with the WSDA, the International College of Dentists, and the Alumni Association’s Executive Committee.

Dr. David M. Minahan also is well-known to the WSDA community and beyond, having served at the local, state, and national levels (see more about his current service to the ADA in Washington D.C. on page 35). The Dental Alumni News article says, “As WSDA President in 2013-2014, he displayed his exceptional people skills and persuasive abilities, helping the WSDA to convince legislators that access to dental care would be better served by residency programs and other measures in lieu of a midlevel provider.” Moreover, the article lauds Minahan for his service to the WSDA-UW Dental Alumni Association Mentor program, which “…has provided numerous predoctoral students with invaluable guidance by professional dentists as they navigate the difficult terrain of dental school.”

Hats off to Drs. Barnes and Minahan for their exemplary service to organized dentistry in the state. You make us proud! © Photos copyright 2017 Steve Steinberg and the Dental Alumni News. Used with permission.

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member news barnes, minahan honored

Photos left to right: Dr. David Minahan and Dr. Mark DiRe, Dr. Dexter Barnes (left) and Dr. Jeff Parrish. Background photo: Dean Club Dinner at the Boeing Museum of Flight, Seattle.

cover stor y dentistr y 2040

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THROUGH THE LOOKING GLASS

If the Jetsons, the cartoon series from the 60s, is at all predictive, in 45 years we’ll be flying our cars, have robot maids, and live and work in buildings suspended in space.

That being said, we already have Roomba, a robotic vacuum; self driving cars are quickly moving from theoretical to actual; and CNN recently ran a piece about a building designed to be suspended from an asteroid circling the earth. Nothing, it seems, is impossible any longer. We wondered then, what lies ahead for dentists in the year 2040? Not quite the time of the Jetsons, but far enough out that we could expect to see real change. thth e ewsda wsdanene ww s s· ·issue issue6,6,may may· 2017 · 2017· www.wsda.org · www.wsda.org· 13 · 13

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We wondered specifically about critical issues facing dentistry, including debt and financing, licensure, technology and innovation, integration of medicine and dentistry, and insurance.

We figured that dentists, being the curious, analytical types that they are, would also wonder what was in store, so for this issue we reached out to Dr. Dave Preble, Vice President of the ADA’s Practice Institute, Marko Vujicic, Chief Economist and Vice President of the ADA Health Policy Institute, Dr. Mark Koday, Chief Dental Officer for the Yakima Valley Farm Workers Clinic (YVFWC), and Dr. Jeremy Horst, postdoctoral fellow in the DeRisi Lab at the University of California San Francisco Department of Biochemistry and Biophysics, to elicit their predictions for the future. (In the next issue, we’ll continue to look into the future with additional interviews.)

is satisfactory. The basic rules don’t change, however. The cavity should not touch the pulp; if it does, we have root canals and extractions. If the cavity is in the pulp or knocking on the door of the pulp, then we still need our advanced techniques.”

Short of that, Horst says, the medicine is amazing. He has used silver diamine fluoride on more than 400 patients. He seals up bigger cavities with a glass ionomer cement. “I don’t like the word synergy, but I can’t figure out any other way to describe what’s going on,” he says. “We have 2-year-olds that I treated with silver fluoride twice and then shoved the filling material in with my finger; three years later the filling looks perfect. Normally, the filling material would have fallen out, and the cavity would have started growing again. So there’s some kind of magic there. So if there’s a hole, we fill it. If there’s not a hole, we do topical treatment only.”

Dr. Jeremy Horst, postdoctoral fellow in the DeRisi Lab at the UCSF Department of Biochemistry and Biophysics

Current usage

Silver diamine fluoride research

Dr. Jeremy Horst, a UWSoD graduate, has spent the last three years as a postdoc at UCSF, creating guidelines and doing research on the use of silver diamine fluoride (SDF). You’ve probably heard about it, and may even be using it. It’s a clear liquid that you brush onto cavities to inhibit the cavity’s growth, while strengthening the tooth. It’s truly Jetsonian, if you will, and currently in use by about 10 percent of dentists in the country. Its most obvious drawback is that it turns the decay jet black, but it raises questions, too, such as, why do some cavities appear continue to grow despite treatment, and why do people who are treated get less new cavities? Lately, much of Horst’s research has been focused on figuring out why silver diamine fluoride doesn’t work all the time. “I don’t have the answer yet,” he says. “Everything that we assumed is wrong, and we’re still scratching our heads and testing hypotheses. Still, it stops 80 to 90 percent of all caries.”

Using the compound is relatively simple. The affected area is dried with air or cotton, and the practitioner applies microliters of the product to the affected area. The cavity turns black, but the healthy part of the tooth stays white. Of course, dentists have all sorts of tricks to cover up the black part, if that is desired. “What’s been shocking to all of us, including myself, is how little patients and parents don’t really care about whether there is a black spot on a baby tooth that is going to fall out, when faced with general anesthetic and a visit to the hospital to get a filling done on a 3-year old,” says Horst.

One of the things the compound does best is harden the cavity dramatically. Says Horst, “In our research we discovered that the silver casts wires within the dentin porosities, which end up working like rebar. Imagine cement without rebar, and being able to paint something on that casts the rebar in situ, without drilling.

That’s exactly what’s happening, and it’s really cool. At the very least SDF hardens cavities, and for most it stops all the activity, but sometimes it doesn’t. So it seems like the best approach with permanent teeth is to seal when there is an actual cavitation. When there is not actually a hole, then it appears that brushing on SDF

Currently, Horst says, 7 to 8 percent of dentists nationwide have a bottle of the medicine in their practice, and that number is approaching 50 percent in Oregon. Based upon sales figures alone, he explains, silver diamine fluoride has been adopted even faster than the high-speed handpiece. There is plenty of high-quality clinical trial evidence showing that it works for treatment and prevention. The problem, he says, is that researchers are not entirely sure how it works, or how well it works. “Dentists are mechanistic people. We want to understand how something works to figure out how to optimize it,” he says. “Both the ADA and the Academy of Pediatric Dentistry have written policy statements about the use of silver diamine fluoride that will be voted on at the upcoming annual meetings, and the Indian Health Services has adopted a policy that I helped develop to promote use in their patients across the many Native nations.”

Still, questions about the material abound. Horst says, “We don’t really know how it works. We understand the basics, but how does that translate into optimizing a protocol? This is intense stuff. It’s high-concentration silver, ammonia, and fluoride, so we don’t just slather it over people’s teeth as many dentists do with fluoride varnish. We want to focus this on high-risk surfaces in high-risk patients. Dental providers want to know: once a patient is in front of me, how exactly do I place SDF? What should I look out for? How frequently should we apply the medicine, a bunch of times at the beginning, and then decrease with time? There are many parameters that haven’t been worked out. We know that it kills all the bacteria, and seems to soak up differentially in the most weakened parts of the tooth. But, additionally, we’ve observed in two clinical trials that by treating cavities only, patients get less new cavities on untreated surfaces without changing anything about the patient’s lifestyle. So far, I’ve been shocked that the mechanisms we expected don’t appear to be the explanation. The studies have been pretty short term, but we still don’t know how that is happening. If we did, it would help form other approaches to managing caries, and we would be able to move forward a little better.”

Uncovering the mystery

One of the confusing pieces is that when you look at the clinical

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trial data at six months, 45 percent of cavities look like they have stopped. At a year it’s about 60 percent, and at two years it’s 80 to 90 percent. So the question Horst wants answered is, “What about that other 10 to 20 percent? If 55 percent of cavities don’t look like they’ve stopped at six months, but they will stop later, and yet others won’t stop, what should the dentists do, when, and how can we differentiate those? That’s the hard part. When do you make the switch back to a normal filling? It’s the big hairy question. At the six month follow-up, how do we make the decision to treat using more traditional operative methods or keep doing the medical treatment for the one tooth?” Again, one option is to combine the technique with glass ionomer fillings, for which much of the cavity can be left in place.

The good news is that nearly everyone can apply silver diamine fluoride. It’s that easy. “It’s hard to place sealants, and slow. This can be done more easily, and fast. It doesn’t appear to be quite as good at preventing cavities as sealants, but it’s close, and it is a lot more cost effective,” says Horst. “There have been a couple clinical trials showing that you can just rub a little of this on the molars when they first come in, and those molars get less cavities.

Similarly, for older adults, there are a few trials showing simply wiping SDF on healthy root surfaces prevents the formation of cavities. The bottom line is that SDF is a cost-effective procedure that you don’t need a dentist to do. A dental assistant can do this, a hygienist can do this, and a nurse can do this. We can see this going out to nursing homes and schools, bringing dentistry to the populations that need it, where they are.”

Incentivizing invasive procedures

The other issue, of course, is will this relatively inexpensive treatment translate into cost savings for either providers or patients, and how will it be billed? That’s where things get a little wonky. How much does a filling cost? That depends on the practice, the insurance, and the plan. Horst says, “The insurance companies are setting the prices for silver diamine now. It’s cheaper and a lot simpler than a filling, so the cost should be lower. But we’ll have to apply it over time, which changes things. For instance, for a kid with really bad cavities, I’ll apply it during the first appointment, then two weeks later, then at one month, then three months, then six months, and then every six months thereafter. We’re basically increasing time between treatments, but how do I bill for that? Do I bill every time I see the patient, or do I bill per tooth?”

Obviously, it’s a huge question that has yet to be worked out, and it shifts our discussion away from silver diamine fluoride to insurance models. “Our incentives are all backwards,” Horst explains. “We are incentivized to do more procedures for our patients, though there have been groups who are actively working to change that. There is a group in Oregon that has had capitation going for 25 years, and the biggest Medicaid provider in the country just bought them. If we got paid to keep people healthy, how would that change what we do? I can think of five different ways to slow down cavities in someone’s mouth that don’t involve expensive procedures. And if dentists actually get paid more to

help people manage their disease and keep their tooth structure, then we’re going to see them do cost-effectiveness analysis so they get paid more, and we’ll have a shift in what procedures are done.

The economic model will guide what people will do. There are other incentives besides money. I hope that by 2040 we’ll change things around in terms of how things are done to the point where we will be incentivized to get and keep people healthy, and to provide treatment that doesn’t hurt patients to get them out of pain.

We need to figure out how to decrease the amount of pain that we cause to get patents out of pain, and silver diamine fluoride enables this.”

Affecting change today

While researchers like Horst are trying to unlock the mysteries of silver diamine fluoride, the one thing they do know is how it is affecting change already. Horst explains, “In my practice the amount of times that I take kids to general anesthesia or even use local anesthetic has dropped dramatically. This is the central piece about silver diamine fluoride. It is the medicine that has enabled a medical approach to managing caries. There are other aspects of care, like working with people to change their sugar intake, for example, but this is the thing that has made that approach work.

Before this we were all kind of scratching our heads, and not making much progress. SDF has enabled us to tip the scales back in our favor, instead of the disease’s.”

Horst says that social media is the driving force behind the changes he expects to see in the next couple of years. “Patient demand will change dentists’ behaviors. Because of social media like Facebook and Twitter, parents are informed about new procedures like this one, and they’re demanding it more often,” he says.

“They see the posts of other parents who were able to avoid taking their child to the hospital, and the pain associated with traditional methods. The ADA has established guidelines and those are helpful, but it’s probably going to be the patients who are guiding the expectations of what dentists provide.”

A look to the future · medical advances and more

What else does Horst think will change in the future? The delivery model. “In 2040, I would guess that there are going to be way more practitioners going to the patients. We see this currently in elementary schools and nursing facilities, but that’s expanding,” he says. “The biggest change is with big internet factories in cities like San Francisco, where every day dental vans go to Facebook, Apple, and Twitter, decreasing the time that someone has to be out of the office. Since these people are app friendly, they can get a text letting them know when their appointment is running early or late. They optimize their time, the company saves money, and people actually get to the dentist. In fact, at one of the companies, the workers were too wrapped up in their work to go out of the building, so they figured out a way to get the dentist into their office for routine screenings.”

Much more is happening medically, as well. Horst says, “About 20 years ago, the cavity experts from around the world started getting together and saying that fluoride was not enough. We need

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antimicrobials that we can paint on somebody’s mouth or tooth.

Adding silver to fluoride is just one example that seems to work.

But this overall philosophy of adding materials that can control the bacteria in our mouth to supplement the effects of fluoride seems to be working. For instance, we found that chlorhexidine doesn’t seem to be effective, but there is great promise with iodine, which is the most readily available antiseptic in the world.

It turns out that using iodine before a fluoride varnish decreases new cavities in little kids dramatically, and so they’re starting more studies on that now. There has been a lot of work on trying to engineer biologically inspired treatments for cavities, and there has been failure. But we’ve finally seen the first clinical trial of a new peptide that self-assembles and aggregates within carious dentin into structured forms, and then promotes remineralization from within. It’s not perfect, but there is no drilling. I think we’re going to see some of these new approaches sorted out in the very near future. Overall, I think there’s going to be a lot less drilling in the future, and it’s going to challenge us to figure out where the balance is between the side of the physician and the side of the surgeon in our training and our practices.”

Marko Vujicic, Chief Economist and Vice President, ADA Health Policy Institute Debt and funding

With dental tuition soaring and leaving new grads in debt for years, we reached out to Marko Vujicic for his insight on the future of debt and funding, and we got a little tough love right off the bat. “The one thing that it is important for the dental community to realize is that this is not unique to dentistry. It’s happening in medicine, law, veterinary medicine, and pharmacy,” he says. “A lot of fields are seeing this, it’s just a higher education trend. This first question I would ask is, ‘What is the problem?’”

Obviously, says Vujicic, more student debt is a bad thing, but when you look at the rate of return for dental education compared to other fields, it’s still pretty competitive. The most important thing pre-dent students can do is educate themselves. He says, “People applying to dental school should go into this thing with their eyes wide open. There should be much more financial literacy and knowledge of the typical debt load, and a clear understanding of the typical earnings when you graduate. When I talk with dental students across the country, they’re not even aware of this. Not fourth-years, they know, but people just applying to dental school. To avoid surprises, it’s important to put out more information. I don’t see anything major on the horizon to change the trajectory of rising tuition and student debt.”

What he is seeing, he says, is that the percent of loans that get paid down every year hasn’t changed much. Because students are starting with a higher debt load, it takes longer to pay down debt.

Earnings have an important implication on that, so debt loads could take even longer to pay down if new grads opt for lowerpaying jobs. Regardless, Vujicic doesn’t predict any major uptick

in dentists’ earnings, noting that income has remained flat for several years after declining.

Debt loads and influence

We wondered, are high-debt loads influencing the decision to enter dental school or a postgrad career track? Not as much as you might think, says Vujicic, explaining, “The research we’ve done shows that debt has an impact on some career decisions, like whether you specialize. It does not have an impact on the likelihood to own a practice, which surprised us. And it doesn’t affect your probability of accepting Medicaid.” Gender, age, ethnicity, and whether your parent was a dentist were far more influential than debt load. The good news, says Vujicic, is that the ADA has responded to the debt issue in a positive way, by partnering with a company that allows students to refinance their student debt, and even saves ADA members a portion of a percent, bringing costs down even further. It’s a step in the right direction, according to Vujicic, because it’s saving dentists money. (WSDA members should check out our endorsed company, SoFi, at https://tinyurl.com/WSDASOFI.) Beyond that, when he talks with policymakers in Washington, D.C., he promotes the idea of creative loan repayment programs that incentivize service in shortage areas. “The problem,” he says, “is that a lot of students with a high debt load feel the need to make a lot of money, which they equate to being in a high-end practice in an urban area. You have a disincentive to take a lower-paying job, so I think there is a role for policymakers to step in and tie these loan repayment options to areas with true shortages of providers for a finite period, perhaps three to five years.”

Do other innovations exist?

“I wish I knew of some, but dental education is not really my expertise” says Vujicic. “I’m OK saying that I’m somewhat underwhelmed by innovations in dental education. I feel that we’re not aggressively pursuing disruptive innovation. Do we need four years of investment to train a dentist, or can we use some type of different model? It is something we urgently need to explore. How can we bring tuition down? Again, I am not an expert in this area, but the evidence supports that having fewer, and much larger, schools reduces costs. Because of economies of scale, the bigger schools are more efficient. But that gets into political economy and the mission of the school, and facility costs come into play. There are no easy solutions. We should explore other, more innovative options, like shorter education and more residency, which would get students out in the field faster.”

Dr. Mark Koday, Chief Dental Officer for the Yakima Valley Farm Workers Clinic (YVFWC) Integration of medical and dental services

Integration of medical and dental services is on a lot of minds these days, with Drs. Joel Berg, Mark Koday, and Jeremy Horst including similar principals in their conversations with the WSDA

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News. For Koday and the YVFWC, it’s further along in their Oregon clinics, where hygienists are allowed to perform more procedures. “We’re doing it for two reasons,” Koday explains. “The biggest reason is to improve oral health. When I look at current oral health delivery for high-risk populations, it’s a failed system. We failed because we’re not accessing the population very well, and we’ve failed to have a significant impact on reducing caries rates.

In Yakima County there are a lot of private dentists and health centers working on the Medicaid population. We’ve increased access for Medicaid children to 68 percent, which is the highest in the state, and one of the highest in the country. When you look at the data, the unfilled caries rates are lower and the filled rates are higher, but the rampant decay data hasn’t changed in years.”

In 2016, the cost to deliver care to Yakima County was $26 million, an amount Koday says is not sustainable if costs keep rising.

“We’re working hard,” he says, “but we’ve failed to deliver what we wanted to.” So what exactly does integration of medical and dental look like in Koday’s vision? He’s starting by putting a hygienist on the medical side to work with pediatricians during their patients’ yearly checkups. “We’re looking to address the kids who aren’t getting into dental,” he explains. “In Yakima County if 68 percent are getting dental, then 32 percent aren’t. You could easily argue that the 32 percent are the highest-risk most at-need kids. However, they’re more likely to visit a physician than they are a dentist because of immunization programs and the WIC program, and because medical departments are typically three to four times the size of the dental department.”

Koday is a big proponent of the Community Dental Health Coordinator (CDHC) model, and hopes to one day have a cadre of CDHC dental assistants out in the community doing some primary prevention, and hygienists trained as CDHCs in medical clinics as part of the primary team. “Because we can’t access the population we need to right now to any full degree,” Koday explains, “we hope to put them in medical. In Oregon, hygienists are employed by the dental team, but work in medical. They do assessments, place temporary fillings and glass ionomers, and can use silver diamine fluoride, keeping patients at low risk. Obviously, some patients won’t be appropriate candidates for the low-risk treatments, so those will be sent to dental. This isn’t just my idea. We’re looking at what Dr. Paul Glassman is doing down in California, and there’s a pediatrician named Dr. Dee Robertson who is working with the IHS on a national health level. Again, if you look at the current system, we’re trying to drill and fill our way out with a population we can’t access to a full degree. I’m a big proponent of access, but it’s not the only answer because the decay rate is out of control. There are so many factors involved.”

Referring to Maslow’s “Hierarchy of Needs,” Koday says, “Most of our patients are still at Maslow’s first or second level, trying to get their most basic needs met. Sometimes we’ll see two or three families living in the same house, and the kids who live in these situations are so overwhelmed that the message to brush and floss isn’t getting through. I’ve only met a handful of what I would call

bad parents. Most of the parents I’ve met are really good people, they’re just struggling.” Integrating dental with medical would help to assure that the most difficult-to-reach patients get at least a fighting chance at access, but there’s a way to go before any of this becomes a reality.

Like everyone, Koday has to show that the programming is sustainable and financially viable, and that embedded hygienists can generate enough work to pay for their salaries. “We have to develop metrics, which aren’t cheap. They can cost $12,000 to $15,000 every time you develop an automatic metric report, but I need to develop all the necessary reports to prove the program’s viability,” he says. “On paper, it all works, but reality is a different story.

If it works in Oregon, then we’ll bring it to Washington to try.

In Washington, there would need to be some regulatory changes, but they’re not huge, and other states have successfully made the changes needed. But until then we can still have hygienists in medical, but doing primary and not secondary prevention services.” If everything pans out, Koday hopes to have the program in Washington clinics by sometime next year, which he admits is ambitious. “It will require a paradigm shift, and I have a hierarchy to prove things to first,” he says. “I don’t know if that’s being too optimistic, but there’s more and more talk in our clinic about the need to do something.”

The referral process

One way Koday promotes the integration process is through the referral process. “All pregnant women are offered dental, and they’re highly encouraged to have dental appointments. The same is true of our WIC department. We run metrics of how many kids we refer to dental, and how many actually get into a dental chair, and try to figure out why there is a difference in the numbers,” he says. “We also try to do what we call warm hand-offs as often as we can. If there is a dentist available that day, we can walk them down to dental and have them seen immediately.”

Some obstacles to iron out

As Koday notes, YVFWC has 20 medical facilities, but only half have dental, which makes integration difficult. “You can still carry out the health education aspect,” he explains, “but the process that I would really like to see is an integral link of medical and dental.

To really make this work, you need medical and dental clinics that share the same facility, otherwise it’s much harder.”

Additionally, he notes, there’s some resistance to integration on the part of both dentists and physicians because it is new, untested, and unfamiliar, so Koday is working to get the concept taught in medical and dental schools, with some success. He says, “This coming year we’re hoping that our dental residents and our local medical students will work together on some joint projects. The dental residents will teach them about oral health, and the medical students will teach them about how to refer better to physicians.

We need to start at that level to be successful.”

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DENTISTRY IN 2040 Dr. David Preble, Vice President of the ADA’s Practice Institute Insurance

“The first thing you need to understand,” Dr. David Preble told us, “is that dental insurance is not insurance. Insurance is when somebody purchases an assignment of risk. Someone else is taking the risk for something happening. Dental insurance is a defined benefit. They pay certain amounts for certain things up to a typical yearly max of $1,500. So that’s not really accepting the full risk of dental treatment, which can range from just a couple of hundred dollars for a cleaning and an exam, to tens of thousands for a full-mouth reconstruction. Dental insurance doesn’t cover that, so it’s not really insurance.”

In 2040, Preble tells us, what is at least possible is that we will have true dental insurance that will cover everything. “We would anticipate that as it starts to align closer to what medical coverage is, certain things would be incentivized by higher payments,” he explains. “For instance, it’s now being shown that preventions in the dental side of things can affect the medical side, which could translate into better dental insurance.” Preble goes on to say that if dental were to become real insurance, you would imagine there could be higher incentives for certain procedures at that point.

“Dentistry has been very good at prevention,” he says. “I would say much better than medicine. It’s part of what they do every day, whereas it seems to me that medicine is so busy trying to treat disease that they tend to forget about prevention. Still, the prevention that dentistry does so well is not compensated for. If we want to flip the paradigm from prevention of disease instead of treatment of disease, we’re going to have to realign our financial incentives, and I think that will happen by 2040.”

Preble’s insights apply only to insurers carrying both medical and dental books of business, not standalone dental insurers.

“Dental insurance companies without a medical side may have to look at their business model differently. There are some who have said that standalone dental without both lines of business are not going to exist by 2040. I’m not sure about that because the benefit companies have shown themselves to be nimble when faced with going out of business,” he says. “The only way I can conceive that you can go to a model without any annual maximums like real insurance is if it was merged with medical, and you had a larger group of money amassed over a larger population. While there’s a lot of money spent by people on dental in this country, it’s still a miniscule fraction of what is spent on medicine. There is plenty of room to put more money into oral health and not break the bank, but there has to be an appetite for it.”

Most dental plans sold in the country are purchased by employers, and they’re very sensitive about what they have to spend.

They want to give employees benefits, but they don’t want to pay more than they have to. “We can’t just say we’re overhauling the dental insurance business, and now your dental plans are going to cost you twice as much per person,” he says. “They would say no thanks. There are still a lot of things to be worked out.”

The truth is that nobody knows how real dental insurance might work. As Preble said, if they find out that by spending more

dollars in dental they save money in medical, a multi-line carrier could implement and save money. But, if a standalone carrier incentivizes prevention, they may have to change the benefits for the actual treatment. The reality is that not all dental disease is going to be prevented. Patients aren’t always going to do what the doctor says, so we’re still going to need treatments, meaning you can’t put all of the money in prevention. “We don’t have the answers about how this kind of shift in insurance will work,” Preble says. “These are the basic themes that I see moving forward. Possibly moving toward a prevention model, possibly finding ways to incentivize prevention even more than we do now, while at the same time not destroying the ability to get actual care when it is needed.”

Other opportunities

Preble says that some companies are looking at merging and buying dental practices, serving as both the provider and the insurer. He explains, “They see it as having the best of both worlds.

They deliver the right treatment for the right reasons, but can massage the financial incentives so that it works for both sides of the equation. That’s how standalone dental insurers could stay in business.” Would that work in a state like Washington, where a dentist has to own the practice? “Sure,” says Preble. “They would align with a dentist, so they wouldn’t necessarily have to buy a practice. They could be paid to provide a suite of management services, while not controlling what the doctor does. Alternatively, they could work with a consortium, for instance. I’m sure that people will be able to figure out ways to do that. There are wholly doctor-owned groups that do both now. It’s not the only way to skin it, but it’s a different way of doing things.”

Diagnostic coding

Before any real insurance benefits can be paid, the industry is going to expect real data that can only be delivered through the use of diagnostic coding in dentistry. The code set exists, but it’s not in common use for data collection at this point. Once it is in place, insurance companies will be able to track outcomes of procedures. You can’t track outcomes unless you know where you started, and diagnostic coding provides a clear benchmark.

And that’s one of the things Preble says will absolutely change by 2040. “If your goal is to get and keep patients healthy, you’ll be able to track what procedures resulted in less dental disease. It’s already being done in some dental schools very successfully,” he explains.“For instance, we already know that dental sealants work because we’ve been able to track their success over a population.

If the percentage of kids that get dental sealants goes up, then the incidence of dental decay usually goes down. If we’re able to use diagnostic coding, we’ll be able to track many other, more complex treatments.”

More next issue

Next issue we’ll continue the conversation with the rest of our experts and get their take on changes in the licensure process, plaque biofilm research, curriculum and funding issues for dental schools, and more.

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Have you ever wondered how to get more involved with the WSDA or ADA? Now is your chance!

We encourage members to apply as a candidate for an open state or national elected position.

open positions: During the 2017 WSDA House of Delegates the House will vote to fill the following elected positions. For a complete description of any position, please email Brenda Berlin at brenda@wsda.org.

To run for any of the following open positions, please complete and return our candidate nomination packet by June 30, 2017: http://tinyurl.com/2017NomPack Candidates should be present during the WSDA House of Delegates, held September 14-16 at Skamania Lodge in Stevenson, WA. All terms begin when the WSDA House of Delegates adjourns on September 16, 2017, with the exception of the ADA Delegates, whose terms begin on January 1, 2018, and 11th District Trustee, whose term begins at the 2018 ADA House of Delegates.

Please email Brenda Berlin at brenda@wsda. org with any questions.

11th District Trustee to the ADA Board of Trustees

Open Positions: 1 Term: 4 years (beginning October 2018) Requirements: WSDA member The 11th District Trustee position rotates among all five states in the 11th District. Once every 12 years, Washington selects the 11th District Trustee.

President-elect

Term: 1 year as President-elect, 1 year as President, 1 year as Immediate Past President, 3 years as ADA Delegate Requirements: WSDA member. Must have been a member for the preceding five consecutive years.

Board of Directors

Open Positions: 4 · Term: 3 years Requirements: WSDA member

Committee on Budget and Finance Open Positions: 1 · Term: 4 years Requirements: WSDA member

Committee on Government Affairs Open Positions: 1 · Term: 3 years Requirements: WSDA member

Delegate to the ADA House of Delegates

Open Positions: 4 · Term: 3 3-year, 1 2-year (beginning January 2018) Requirements: Per WSDA bylaws, one delegate position will be reserved for a person that has never been elected to the ADA House and has previously served at least one year as a WSDAappointed alternate delegate, ASDA delegate, or alternate delegate to the ADA House.

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house of delegates news call for nominatios

Call for nominations

pndc news courses the pndc committee won’t miss, part 2

2017 PACIFIC NORTHWEST DENTAL CONFERENCE

COURSES THE PNDC COMMITTEE WON’T MISS, PART 2 2 0 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org

Dr. John Lo

Dr. Kevin Suzuki

Dr. Carrie York

The PNDC is rapidly approaching! We’re just two weeks away from one of the best values in continuing education in the Northwest, where you can actually earn MORE credits than you’ll need to satisfy your yearly licensing requirements for just $350. The good news is, if you haven’t already registered, you can do so online (wsda.org/pndc), or onsite.

Even if you’ve already registered, with so many lectures and workshops to choose from, we thought you might want some recommendations from the group that makes it all happen, the Committee on PNDC. The WSDA News recently sat down with the rest of the members of the committee (we talked with some of them back in March) to discuss their favorite speakers coming this June. Dr. John Lo, Dr. CR Anderegg, Dr. Carrie York, and Dr. Kevin Suzuki round out this second interview.

Dr. John Lo · Lectures with broad appeal

Dr. John Lo’s interests include lectures and workshops for his entire team. As he notes, in his practice, dental team members pinch-hit at the front desk when needed, so it’s important for everyone to have a heightened awareness about issues like reimbursement. One of Lo’s picks, Tom Limoli, is a well-known insurance presenter who will address reimbursement strategies. “Everyone wants to know how to be more efficient,” Lo says. “My assistants and hygienists help out up front, too, so the information would be relevant to them. As doctors, we want to make sure that claims are coded properly so that we don’t have to resubmit, and we’re paid properly. Limoli is well known, has been a speaker for a long time, and people like him and the way he delivers information.” Lo says Limoli’s lectures would be of interest mostly to doctors and their front-office team, but notes, “If everyone on your team pinch-hits at the front desk occasionally, it could be of value to them, as well.”

Lo has covered a lot of ground, scouting lecturers at shows across the country. For instance, he saw Betsy Reynolds, RDH, MS in Washington, D.C., and liked her dynamic, accessible lecturing style. “She lectures about stress and how it affects the mouth,” Lo explains. “When I scouted her, she covered a lot of information without being dry. She’s very conversational, and she tries to make learning fun. I was impressed. I think the oral health information

she lectures about will be relevant to all kinds of dental professionals. There is a universal appeal to some of her topics.”

Lo also really likes Elizabeth Somer’s (MA, RD) offerings for the dental team. He explains, “Food, diet, mood is very popular.

When we’ve brought this type of speaker in the past, the courses always fill up.”

Weight loss is a central theme in many people’s lives these days, and food plays an important role in our health, mood, and energy levels. The correlation is constantly being explored and redefined, so it’s important to stay on top of the latest findings. Additionally, Lo says, “It’s a great nontechnical option for your staff. I know that within my staff, I have people who want technical content and others who want to have fun, and Somer’s lecture is a good option for those people. As primary care providers, we talk to our patients about diet, so it’s good information for dentists, too. We have a lot of options for the entire team. Whenever I go to a convention, that’s what I like to see, a variety of lectures and workshops with broad appeal. I get a lot of technical content, but I do self-improvement content,too. I’ve attended lectures that teach about attitude and communications and how important they are.

If I have an issue with staff or family, I find that a lot of time it’s rooted in miscommunication, which makes taking less-technical content useful for all.”

Dr. CR Anderegg · Focusing on specialties

Dr. CR Anderegg, a seasoned scout who has served on the committee for four years, is most excited about the PNDC bringing Dr. Oscar Gonzalez-Martin to the U.S. from Madrid. Anderegg first encountered Gonzalez-Martin in Los Angeles while attending a University of Southern California implant symposium. “In the perio community, we see so many lecturers from Europe, especially Spaniards. They thrive on education, and their schools are

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pndc news courses the pndc committee won’t miss, part 2

Dr. CR Anderegg

pndc news courses the pndc committee won’t miss, part 2

great. They’re really into the technical aspects, and the presentations they give are of such high quality, it’s almost like watching a movie. I was just mesmerized by him, by the things he was talking about, and the quality of the presentation. I don’t know how they do it. They must have an IT person working with them. Back when I gave lectures, we had slides, but it was pretty basic.” Recently, while visiting his daughter in Madrid, Anderegg took the opportunity to visit Gonzalez-Martin at his practice. “He was educated in the U.S., and I asked if he was interested in coming back to lecture in Seattle,” Anderegg says. “He’d never been here and said he was open to it, so I got Kainoa Trotter, WSDA’s Assistant Executive Director, in touch with him. Even when I’m not officially scouting a conference, I’m always looking for talented presenters we might be able to use.”

At the PNDC, Gonzalez-Martin will offer two lectures and a workshop, covering the relationship between prosthetics and periodontal therapy, which will be a first at the PNDC. “We’ve had one or the other, but not both together,” Anderegg explains. “He’s a dual specialist, and he’s able to marry the two specialities in this offering. In the States, we tend to stick to our specialities. I might talk about the periodontal aspect, and another doctor would talk about the prosthetics. If you look at the description of his classes, the content fits both. He’ll obviously appeal more to the GP than to the specialist, but it’s nice to get the flavor of the specialty in there. GPs will definitely benefit from it.”

Anderegg also likes Shannon Brinker, CDA, CDD, a great presenter and PNDC favorite. Brinker is a champion for assistants, something they solely need, says Anderegg. “Our dental assistants don’t get enough kudos, and Shannon is a presenter who trumpets their abilities. I can’t do my job unless I have somebody helping me, and Shannon is great at shining a light on their role within the team. Most dentists don’t say thank you enough, but we should.”

Brinker is blazing hot on the national circuit, and Anderegg has scouted her in Vancouver, British Columbia. . He likes her because she’s knowledgeable, enthusiastic, and motivational, and he says that assistants who attend her lectures like her, too. “Assistants leave her lectures confident and ready to hit the practice on Monday morning,” Anderegg says. “In the past, we were reluctant to repeat a speaker because we were focused on always getting new people in. If they’re popular, why not bring them back?”

Anderegg is excited for the future of the conference, and looks forward to providing a great education at a fair price. He hopes to continue bringing internationally renowned speakers to the PNDC, saying, “A lot of conferences get the local dog-and-pony show, but there are some great people working in Vancouver, Toronto, and Europe. We need a combination of home run hitters and players who can get on base. We need to step outside the box and bring in well-known international speakers. The world is getting smaller, and we need to take better advantage of that. It’s expensive to travel to Europe, so we’ll bring speakers here, so even more people can take advantage of their expertise.”

Dr. Carrie York, Chair, Committee on the PNDC

Dr. Carrie York was a leading proponent of expanding the PNDC into Saturday, knowing that many practices are open five days a week, especially those dentists just starting out. “The Saturday series is especially good for dentists and hygienists who work on Thursday and Friday because they still have an opportunity to get their CE for the year, especially if they combine it with evening options,” she says. “The whole point of expanding to include Saturdays was to appeal to younger dentists and people who work five days a week.”

On Saturday you’ll hear speakers like Dr. John Kanka. “I’ve heard him speak,” York says. “He’s always good with practical content. He’s very knowledgeable and focused almost entirely on the dentist. He’s a fun speaker with good delivery.”

Endo for the GP

“Dr. Gary Glassman,” she says “does a really good job discussing endodontics, including practical root canal procedures that are easy to do and make a lot of sense. This lecture would be appropriate for any dentists wanting to add root canals to their practice. His workshop is great because attendees will get hands-on endodontic experience. It can be really useful, especially if you practice someplace where there aren’t a lot of endodontists to refer out to.”

York’s final recommendation is the all-day UW Series led by Dr. Natasha Flake. In this series, faculty members from different departments of the UWSoD will come to the PNDC to discuss what they’re teaching at the school, and how it differs from training in the past. York says, “Since we’re training the dentists of the future, we need to always keep moving forward. This lecture will focus on the state-of-the-art procedures that are being taught and the different specialties. It should be interesting because they’ll cover multiple topics over the course of the day.”

Dr. Kevin Suzuki · A fresh perspective

Dr. Kevin Suzuki, one of the newest members of the committee, is especially excited about the homegrown offerings at the Emerald City Lecture Series, where WSDA members are given 50 minutes to discuss a topic that’s of interest to them. This year, speakers will tackle practice management, implants, forensic dentistry, idiopathic resorption, treating the disabled/disability, cavity prevention, and endodontics. For his part, Suzuki is planning to queue up for Dr. Bradley Weinstein’s implant lecture on Friday. He explains, “This course not only addresses a comprehensive list of vital concepts for the most difficult implant situation a practitioner will face, but it is taught by a well-respected clinician with an impressive CV and balanced clinical and research background. Dr. Weinstein has a very pleasant, humble teaching style and an honest, sincere desire to elevate the knowledge base of his audience.”

Suzuki is also looking forward to the PNDC’s annual Ethics Panel, an interactive lecture where attendees are encouraged to submit questions in advance, or at the time of the lecture. A panel comprised of dentists, attorneys, and others will offer their advice and suggestions on how to deal with specific real-world issues.

Suzuki says, “Being able to participate in an ethics panel with multiple experts is such an invaluable experience. This course is a unique opportunity, especially for practitioners earlier in their career who may be less experienced in dealing with ethical dilemmas in everyday practice. Our profession is only as good as each individual dentist who participates in the front lines of patient care….If every practitioner can operate from a universal moral compass, it’s a win-win situation for patients and the profession alike.” (Attendees are encouraged to submit questions prior to the PNDC by emailing dentalethics@gmail.com.)

See you at the conference!

We hope that you have enjoyed these recommendations from our experienced PNDC committee members, and we look forward to getting your feedback on all of the offerings at the 2017 PNDC. Remember, if you haven’t already registered, you still can do so online at wsda.org/pndc.

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Purpose: The award exists to recognize a member dentist who has given outstanding service to a domestic and/or foreign community; to encourage others toward such activity; to reinforce values of volunteer service desirable in society; and to promote the image of dentistry.

Nominations: • Nominations can be made online: wsda.org/coy-nomination-form

Criteria for Selection: • The nominee must be a WSDA member • The award will be based on civic activities, elective and volunteer, including, but not limited to:

2017 WSDA CITIZEN OF THE YEAR AWARD

Service organizations Youth groups Schools Non-salaried government positions Church-sponsored community services Personal commitment to community service through volunteering Service to all 501(c)(3) Foundations • Priority will be given to nominees whose service has been in Washington state

Nominations: • Nominations may be made by an individual member or a component dental society. Former nominees may be renominated. Letters of support from organizations with which the candidate has been involved are encouraged.

• Nomination deadline: The first Friday in June of each year (June 2, 2017)

Selection: • Selection of the state award winner will be made by the Task Force on Recognition of the Washington State Dental Association

Presentation: • The award will be presented at the annual House of Delegates meeting September 15, 2017, Skamania Lodge in Stevenson, Wash.

Pictured: Dr. Loree Bolin WSDA’s 2016 Citizen of the year

th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 23

coy news 2017 citizen of the year nominations

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#PNDC17

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2017 PACIFIC NORTHWEST DENTAL CONFERENCE

DOWNLOAD THE PNDC APP SCHEDULES · DESCRIPTIONS LOCATIONS · HANDOUTS · CERTIFICATES

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Dental Assisting 101

From How…to WOW!

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Exposed & Vulnerable: Managing Dentin…

Review of CDC Guidelines for Infections…

New & More Efficient Ways to Perform …

Interdisciplinary Approach to Advanced Cases …

This Can All Be Easier: A Dozen Projects...

The Top Five Successful Traits…

WOW NOW: Jaw-Dropping Patient Service Excellence

Simplifying Posterior Composite Restorations…

Complementary and Alternative Local Anesthesia

Food, Mood, Mind, and Memory

Advances in Dental Pharmacology… Part 1

Handling Medical Emergencies in the Dental Office

Advances in Dental Pharmacology… Part 2

Interdisciplinary Solutions for Correction of Narrow…

Mid-Career to Life After Dentistry

Complete Records Visit

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Creating the Ultimate Doctor-Patient Hygiene Exam

Review of CDC Guidelines for Infections Control…

Dental Office Performance by Design

Communication Excellence

Efficient and Predictable Provisionals

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Complementary and Alternative Local Anesthesia

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DQAC - Dental Rule Changes

Prescription Monitoring - A Tool in Patient Care

Saving Your Autonomy: How to Evolve Your Practice...

Some Day You Will do a Dental Transition …

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Dental Photography and Digital Processing Workshop

BLS for Healthcare Providers

Heartsaver First Aid

Assisting in Implant Surgery

Simplifying Posterior Composite Restorations…

Dental Photography and Digital Processing Workshop

Difficult Denture Patients: Real-World Solutions Workshop

BLS for Healthcare Providers

Standing Out as an Elite Practice Through Social Media

Faster and Easier Orthodontia, continued

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Yurth Cole Cole Gambardella Lowe Yurth Folse Cole Couden Koerner

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Akimoto Borromeo Bundy Brinker Trost Folse Davis Barry Koerner Martin Ahearn Savage Vrla Lowe Bassett Somer Baker Norooz Baker Yousefian Martin Brinker Martin Davis Barry Ahearn Vrla Trost Sanchez Bassett Somer Shaw Garrety Yen Fettig

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The Business Side of Dentistry…

THURSDAY LECTURES TIME INSTRUCTOR

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Dental Photography Medical Emergencies Medical Emergencies Assistants Restorative Dental Photography Dentures Medical Emergencies Social Media Oral Surgery

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Implants Social Media Wellness Assistants Assistants Dentures Hygienists Infection Control Oral Surgery Perio Restorative Practice Management Practice Management Practice Management Restorative Anesthesia Wellness Pharmacology Medical Emergencies Pharmacology Orthodontics Finance Assistants Esthetics Hygienists Infection Control Practice Management Practice Management Provisionals Risk Management Anesthesia Wellness Regulatory Substance Misuse Finance Finance

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Assistants Esthetics Hygienists Implants Periodontics TMD/Sleep

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Assisting in Implant Surgery (Repeat)

Aesthetic Crown Lengthening in the Esthetic…

The Secret to Power, Precision & Prevention:…

Implant Overdentures and All-on-Four …

Elements of Composite Art – Learning Effective…

Nightguards, Splints, Snore Guards, and…

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Gambardella Martin Millar Strong Milnar Spencer

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The Periodontal Co-therapist: Contemporary …

Implant Overdentures and All-on-Four Prosthetics

Simplify Reimbursement With More New Codes? …

Dawson Academy Presents: The Implant-Occlusal…

Early Detection of Oral Cancer in the Dental Practice

If You Do Not PRE-pare, You Will Need to RE-pair!

Healthy Teams Helping Patients Make Healthy Choices

Up in Smoke: Current Trends in Smoking Habits…

Obstructive Sleep Apnea: Looking Beyond

Wowing Patients From Our Side…

Aesthetic Crown-Lengthening in the Esthetic Zone - Lecture

Treating the Full Mouth Case with Much Less…

Staging Comprehensive Treatment

ECLS: Easier, More Predictable Protocol…*

ECLS: Communicating Adverse Events to Patients…*

Sleep Apnea, TMJ, and Periodontal…

Beyond Burnout: Invigorating Your…

ECLS: Treating the Developmentally Disabled…*

ECLS: Minimally Invasive Endodontics*

ECLS: Idiopathic Resorption: Diagnosis, Potential…*

ECLS: Acing the Anterior Implant*

ECLS: Forensic Odontology - What is it?*

Financial Strategies for Newer Dentists

The Art of the Anterior, Posterior, Single …

Minimally-Invasive, Image-Guided Endodontics

Implant Therapy and the RDH

Dental Insurance Reimbursement

Dawson Academy Presents: The Implant-Occlusal…

Another Way of Looking at Lumps and Bumps…

Broken Appointments: The Black Holes of …

Skills for Difficult Conversations

Supra-Gingival Dentistry: Excellence with Metal-free…

Treating Worn Smiles

Understanding Cyber Risk in the Dental Office

The Virtues and Values of Volunteerism

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ECLS: If You Become Disabled Today, Are You Prepared?*

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Milnar 7:30 a.m. - 10:30 a.m. Wentworth 7:30 a.m. - 10:30 a.m.

Millar 7:30 a.m. - 10:30 a.m.

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Strong 7:30 a.m. - 10:30 a.m.

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Spencer 7:30 a.m. - 10:30 a.m.

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Martin 7:30 a.m. - 10:30 a.m Ruiz 7:30 a.m. - 10:30 a.m.

Nosti 8:00 a.m. - 8:50 a.m.

Miloslavskiy 8:00 a.m. - 8:50 a.m.

Evans 8:00 a.m. - 11:00 a.m.

Savage 8:00 a.m. - 10:30 a.m.

Bundy 9:00 a.m. - 9:50 a.m.

Bovio 9:00 a.m. - 9:50 a.m.

Ottosen 10:00 a.m. - 10:50 a.m.

Hagel-Bradway 10:00 a.m. - 10:50 a.m.

Weinstein 1:00 p.m. - 1:50 p.m.

Hampl 1:00 p.m. - 3:30 p.m.

Martin 1:00 p.m. - 4:00 p.m.

Brinker 1:00 p.m. - 4:00 p.m.

Khademi 1:00 p.m. - 4:00 p.m.

Hempton 1:00 p.m. - 4:00 p.m.

Limoli 1:00 p.m. - 4:00 p.m.

Cranham 1:00 p.m. - 4:00 p.m.

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Ishimoto 1:00 p.m. - 4:00 p.m.

Osborne 1:00 p.m. - 4:00 p.m.

Ruiz 1:00 p.m. - 4:00 p.m.

Nosti 1:00 p.m. - 4:00 p.m.

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Endodontic Solutions: Shaping and Cleaning Workshop Adhesive Dentistry 2K17 Glassman Kanca 1:00 p.m. - 4:00 p.m.

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Flake Glassman Kanca Reynolds Johnson Nosti Reynolds Flake

UW Clinical Symposium Endodontic Breakthroughs: Shaping and Cleaning Protocols…

Reliable, Successful Everyday Dentistry Points on Piercing: Oral Health …

The Art and Science of Full and Partial Dentures…

Anterior All Ceramics: From Case Selection to Cementation The Stress Mess: The Impact of Stress…

UW Clinical Symposium

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Cascade Tower Second Floor: Balsam

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Maple

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Executive Board Room Juniper Laurel Larch Madrona

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Second Floor: Theatre

Meeting rooms

Third Floor: Cottonwood

EXHIBIT HALL ACTIVITIES Sip & Save Happy Hour · Thursday, June 15 · 5 – 7:30 p.m.

Meydenbauer Center · Exhibit Hall

Giveaways: Apple Watch Series 2 · GoPro HERO5

Enter to win one of two great prizes! Every attendee is eligible and entry is easy.

• Detach the “drawing” ticket that comes attached to your conference badge and drop it into the “Giveaway Bin” in the back right corner of the Exhibit Hall (you may enter once per day) • Drawings will take place inside the Exhibit Hall. You must be present to win.

Giveaway Drawing Schedule:

• Thursday, June 15 at 1 p.m.

• Thursday, June 15 at 6:30 p.m.

• Friday, June 16 at 12:15 p.m.

PNDC Selfie Station

Visit the PNDC Selfie Station at the Meydenbauer Center and take fun photos with your team. We have a variety of props so you can add your own creative touch to your photos!

FUTURE DATES/SPEAKERS 2018 Speaker Highlights:

Future dates in Bellevue, WA

Dr. Lee Ann Brady · Restorative Dr. Gordon Christensen · Materials Dr. Harold Crossley · Pharmacology Dr. Tieraona Low Dog · Wellness Ms. Kristy Menage Bernie · Hygiene Dr. Uche Odiatu · Wellness

2018 Conference Exhibits

June 21 - 23 June 21 & 22

2019 Conference Exhibits

June 20 - 22 June 20 & 21

2 8 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org

EXHIBITORS 3M Oral Care......................................116

DoWell Dental Products.........................533

PDT/Paradise Digital Technologies..........324

ACTEON North America.......................323

DSN Software, Inc................................401

Patientmatic..........................................602

A-dec..................................................219

Eclipse Loupes and Products...................305

Patterson Dental....................................514

ADS Equipment IT Services.....................104

Elevate Oral Care.................................313

Pelton & Crane.....................................437

Aflac...................................................205

ePracticeManager.................................334

Peterson Sales......................................518

ALCO Supplies / GloveeXpress..............126

Exorvision, Inc......................................502

Philips - Sonicare and Zoom Whitening...228

Amazon Business..................................527

Garfield Refining Company....................410

Physicians & Dentists Credit Bureau*....... 129

Anesthesiology Services for Dentistry.......118

Garrison Dental Solutions.......................236

Planmeca USA, Inc................................329

Aseptico, Inc........................................418

GC America Inc....................................604

Porter Royal Sales.................................231

Aurum Ceramic Dental Laboratories........302

Geozy Solutions, LLC.............................532

Power Dental USA, Inc..........................614

Belmont Equipment................................303

GlaxoSmithKline Consumer Healthcare....433

Practice by Numbers.............................300

Benco Dental........................................426

Golden Dental Solutions.........................425

Prexion Inc...........................................525

Best Card, LLC*....................................123

Greater New York Dental Meeting..........232

Pro Photo Supply...................................325

Beutlich Pharmaceuticals, LLC.................512

Greenway & Company P.S*...................132

Professional Sales Associates, Inc............109

BioHorizons.........................................409

Harris Biomedical................................... 114

Q-Optics & Quality Aspirators Inc...........402

Biolase................................................321

Hawaiian Moon, Inc.............................529

Quintessence Publishing Co, Inc.............503

Birdeye................................................208

Henry Schein Dental..............................101

RGP Dental..........................................419

Bisco Dental Products.............................. 307

Henry Schein Practice Solutions..............204

Richardson Group.................................201

Brasseler USA.......................................224

Heraeus Kulzer.....................................513

Rose Micro Solutions.............................327

Briway Seattle/Fidalab..........................508

Hiossen................................................137

SciCan Inc...........................................608

Burkhart Dental.....................................211

HomeStreet Bank*................................222

Seattle Institute of Dental Implantology.....421

CareCredit*............................................ 301

Hu-Friedy.............................................106

Sesame Communications*.....................218

Carestream Dental.................................. 207

Infinite Trading Inc.................................420

Shikosha Dental Lab..............................203

Carl Zeiss Meditec, Inc..........................521

Invisalign iTero......................................423

Solutionreach.......................................431

Carr Healthcare Realty..........................128

Isolite Systems.......................................509

Straumann............................................. 428

Central Medical Gases..........................523

Ivoclar Vivadent, Inc..............................424

Surgically Clean Air..............................400

Cleartooth Digital X-Ray.........................308

Hidow.................................................500

Surgitel................................................322

Clinicwear...........................................606

KaVo Dental.........................................434

The Dental Files....................................430

Colgate...............................................212

KaVo Kerr - Imaging/Gendex................. 432

The Dental Group LLC*............................ 1

Columbia Bank*...................................125

Kerr Corporation...................................436

The Knutzen-McVay Group.....................515

Consani Associates...............................336

Kettenbach............................................. 315

The Oral Solution LLC............................223

Constantine Builders, Inc*......................319

Lighthouse 360....................................... 225

Therapulse...........................................237

ContacEZ.............................................524

LightScalpel LLC....................................229

Tokuyama Dental America...................... 332

Cosmetics Expo....................................429

LumaDent, Inc.......................................612

U.S Jaclean..........................................405

CRC Technologies.................................100

M and J Distributing..............................528

UBS Financial Services..........................510

Crest+Oral-B........................................131

Max Technologies.................................130

Ultradent Products, Inc...........................412

DenMat...............................................108

Meisinger USA.....................................406

Ultralight Optics....................................427

Dental Professionals...............................209

Miles Global*......................................127

Valumax International............................206

Dental Temps Staffing Solutions LLC.........102

MIS Implants Technologies, Inc...............408

VOCO America, Inc..............................306

DentalEZ Integrated Solutions.................610

MME Consulting, Inc.............................522

Water Pik Inc........................................333

Dentech...............................................311

Nakanishi Dental Laboratory, Inc............ 115

WDIA*................................................... 119

Dentsply Sirona...................................... 328

National Institute of Dental and Craniofacial

Weave.................................................506

Dentsply Sirona Implants........................113

Research (NIDCR)/National Institutes of

WEO Media........................................504

DesignLine Dental Systems.....................511

Health.................................................331

Willamette Dental Group.......................413

Designs for Vision, Inc...........................105

NORDIC* .............................................. 119

Zarifa USA.................................... 330,404

DEXIS..................................................337

NSK America.......................................227

Ziemek Laboratories..............................136

DH Cubed............................................411

NW Dental Staffing...............................403

Zimmer Biomet Dental............................309

Digital Doc LLC.....................................230

O’Brien Dental Lab, Inc..........................233

DiMartino............................................226

Olympic Orthodontic Laboratory.............422

Doctor.com...........................................505

Omni Practice Group.............................600

Doctor Multimedia.................................407

OraCoat XyliMelts (OraHealth Corp.)......519

Doral Refining Corp..............................304

Orascoptic...........................................210

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BOLD denotes sponsor * denotes Endorsed/Preferred

EXHIBITOR CLASSIFICATIONS Abrasives, abrasive disks, points, & wheels

Peterson Sales................................. 518

Dental base/reline & repair resins

Porter Royal Sales............................ 231

Tokuyama Dental America................. 332

ContacEZ........................................ 524

Professional Sales Associates, Inc....... 109 RGP Dental .................................... 419

Dental CPA

Air compressors

Zarifa Corporation................... 330, 404

Greenway & Co. P.S........................ 132

Peterson Sales................................. 518

Alloys, precious & non-precious Doral Refining Corp......................... 304

The Dental Group, LLC.......................... 1

Collections Physicians & Dentists Credit Bureau.... 129

Dental dealers Benco Dental................................... 426

Garfield Refining Company............... 410

Composite resin products Bisco Dental Products....................... 307

Henry Schein Dental......................... 101

Analgesia equipment & supplies

GC America Inc............................... 604

Valumax International....................... 206

Doral Refining Corp......................... 304

Professional Sales Associates, Inc....... 109

Heraeus Kulzer................................ 513

Analgesics

Tokuyama Dental America................. 332

Anesthesiology for Dentistry.............. 118

Ivoclar Vivadent, Inc......................... 424 Ultradent Products, Inc...................... 412

Dental hygiene materials (not otherwise classified) Burkhart Dental................................ 211

VOCO America, Inc......................... 306

Hu-Friedy........................................ 106

Align Technology, Inc ....................... 423

Computer hardware

Dental laboratories

Anesthetics, locals & accessories

Cleartooth Digital X-Ray.................... 308

Anatomical models

ADS Equipment IT Services................ 104

Beutlich Pharmaceuticals, LLC............ 512

CRC Technologies............................ 100

Bonding agents

Exorvision, Inc................................. 502

3M Oral Care................................. 116 Bisco Dental Products....................... 307 GC America Inc............................... 604 Heraeus Kulzer................................ 513

Dentech.......................................... 311 Max Technologies............................ 130 MME Consulting, Inc........................ 522

ADS Equipment IT Services................ 104

Bone grafting materials, synthetic & implants

Cleartooth Digital X-Ray.................... 308

Birdeye........................................... 208 Dentech.......................................... 311

DoWell Dental Products.................... 533

DEXIS............................................. 337

Golden Dental Solutions.................... 425

DSN Software, Inc........................... 401

MIS Implants Technologies, Inc.......... 408

Practice by Numbers........................ 300 Patientmatic Media......................... 602

Books, professional/scientific

Solutionreach.................................. 431

Quintessence Publishing Co, Inc........ 503

The Dental Files............................... 430 Weave............................................ 506

Garrison Dental Solutions ................. 236

Construction – new / remodel

KaVo Dental.................................... 434

Constantine Builders ........................ 319

Meisinger USA................................ 406

DesignLine Dental Systems................ 511

Business systems, equipment

Continuing education & training

ePracticeManager............................ 334

Aurum Ceramic Dental Laboratories... 302

The Dental Files............................... 430

Briway Seattle/Fidalab..................... 508

Weave............................................ 506

Dentech.......................................... 311

Cabinets

DH Cubed....................................... 411 ePracticeManager............................ 334

A-dec............................................. 219

Harris Biomedical............................ 114

Belmont Equipment........................... 303

National Institute of Dental and

Pelton & Crane................................ 437

Craniofacial Research (NIDCR).......... 331

Cements, all types

Seattle Institute of Dental Implantology..... 421

3M Oral Care................................. 116

Crowns and crown & bridge materials

Bisco Dental Products....................... 307

Aurum Ceramic Dental Laboratories... 302

GC America Inc............................... 604

ContacEZ........................................ 524

Ivoclar Vivadent, Inc......................... 424

Garfield Refining Company............... 410

Chairs & accessories A-dec............................................. 219 Belmont Equipment........................... 303 Benco Dental................................... 426 DentalEZ Integrated Solutions............ 610 Patterson Dental............................... 514 Pelton & Crane................................ 437

Briway Seattle/Fidalab..................... 508 DiMartino....................................... 226 Nakanishi Dental Laboratory, Inc....... 115 O’Brien Dental Lab, Inc..................... 233 Ziemek Laboratories......................... 136

Dental telescopes Designs for Vision, Inc...................... 105

Computer software

VOCO America, Inc......................... 306

Burs, all types

Aurum Ceramic Dental Laboratories... 302

Golden Dental Solutions.................... 425 Kettenbach...................................... 315 Shikosha Dental Lab......................... 203

Curing lights 3M Oral Care................................. 116 Ivoclar Vivadent, Inc. 424 Ultradent Products, Inc...................... 412

Q-Optics & Quality Aspirators Inc...... 402

Dentifrice Crest+Oral-B................................... 131 Colgate.......................................... 212 GlaxoSmithKline Consumer Healthcare.433

Dentinal Desensitizers Elevate Oral Care............................ 313 Tokuyama Dental America................. 332

Diagnostic equipment (not otherwise classified) Biolase........................................... 321 DEXIS............................................. 337 Exorvision, Inc................................. 502 Invisalign iTero................................. 423 KaVo Kerr - Imaging/Gendex............ 432

Disks & mandrels & strips ContacEZ........................................ 524 Meisinger USA................................ 406

Disposable products ALCO Supplies / GloveeXpress......... 126 Valumax International....................... 206

Educational materials, patient, doctor National Institute of Dental and Craniofacial Research (NIDCR)............................ 331

Employment services Dental Professionals.......................... 209 The Dental Files............................... 430 Willamette Dental Group.................. 413

Endodontic instruments & supplies Biolase........................................... 321

Equipment repair & maintenance Burkhart Dental................................ 211

Ergonomics Q-Optics & Quality Aspirators Inc...... 402

Eyewear protective LumaDent, Inc.................................. 612 Q-Optics & Quality Aspirators Inc...... 402

Fiber optic illumination products Q-Optics & Quality Aspirators Inc...... 402

Financial services UBS Financial Services..................... 510 Best Card ....................................... 123 Columbia Bank ............................... 125 HomeStreet Bank............................. 222 The Dental Group, LLC ........................ 1

Fluoride products Elevate Oral Care............................ 313 VOCO America, Inc......................... 306

Gloves ALCO Supplies / GloveeXpress......... 126 Valumax International....................... 206

Handpieces, operating & laboratory Aseptico......................................... 418 Brasseler USA.................................. 224 DentalEZ Integrated Solutions............ 610 Eclipse Loupes and Products.............. 305 KaVo Dental.................................... 434 NSK America.................................. 518 Peterson Sales................................. 518 Zimmer Biomet Dental....................... 309

Implants & accessories BioHorizons.................................... 409 Dentsply Sirona Implants................... 113 Hiossen........................................... 137 MIS Implants Technologies, Inc.......... 408 Nakanishi Dental Laboratory, Inc....... 115 Zimmer Biomet Dental....................... 309 3M Oral Care................................. 116 Kettenbach...................................... 315

Infection control products Kerr Corporation.............................. 436 SciCan Inc...................................... 608 Surgically Clean Air......................... 400 Valumax International....................... 206

Instruments, diamond Brasseler USA.................................. 224 DenMat.......................................... 108 DoWell Dental Products.................... 533

Instruments, operating & accessories Align Technology, Inc........................ 423 Eclipse Loupes and Products.............. 305 Golden Dental Solutions.................... 425 Power Dental USA, Inc..................... 614 PDT/Paradise Digital Technologies..... 324

Brasseler USA.................................. 224 Kerr Corporation.............................. 436

3 0 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org

EXHIBITOR CLASSIFICATIONS

Insurance

Operating lights (extra oral)

Practice sales

Units & accessories

Aflac.............................................. 205

Belmont Equipment........................... 303

Consani Associates.......................... 336

A-dec............................................. 219

NORDIC......................................... 119

LumaDent, Inc.................................. 612

Omni Practice Group........................ 600

Belmont Equipment........................... 303

The Dental Group................................ 1

Jlbinvestments/Hidow....................... 500

The Knutzen-McVay Group................ 515

Porter Royal Sales............................ 231

WDIA............................................. 119

Integration, computer, digital ADS Equipment IT Services................ 104 CRC Technologies............................ 100

Intra-oral cameras ACTEON North America.................. 323

Optical aids DenMat.......................................... 108

Richardson Group............................ 201

Oral hygiene aids

Preventive dentistry products

OraCoat XyliMelts (OraHealth Corp.).519

Align Technology, Inc........................ 423

Philips – Sonicare and Zoom Whitening 228

Beutlich Pharmaceuticals, LLC............ 512

Whitener

Briway Seattle/Fidalab..................... 508

Heraeus Kulzer................................ 513

The Oral Solution LLC....................... 223

Ultradent Products, Inc...................... 412

Prophylaxis angles & kits

X-ray films, intra oral & extra oral

Biolase........................................... 321

Oral irrigation devises

Carestream Dental........................... 207

Water Pik Inc................................... 333

DEXIS............................................. 337 Digital Doc, LLC............................... 230

Other Services

Patterson Dental............................... 514

Isolite Systems ................................. 509

Laboratory equipment (not otherwise classified)

Orthodontic/pedodontic materials

Surgically Clean Air......................... 400

ContacEZ........................................ 524

Lasers Biolase........................................... 321 DenMat.......................................... 108 LightScalpel LLC............................... 229

Lights, other A-dec............................................. 219 Designs for Vision, Inc...................... 105 Eclipse Loupes and Products.............. 305 LumaDent, Inc.................................. 612 Porter Royal Sales............................ 231 Q-Optics & Quality Aspirators Inc...... 402 Rose Micro Solutions........................ 327 Surgitel........................................... 322 Ultralight Optics............................... 427

Magnification loupes Carl Zeiss Meditec, Inc..................... 521 Designs for Vision, Inc...................... 105 LumaDent, Inc.................................. 612 Orascoptic...................................... 210

Water Pik Inc................................... 333

Restorative materials & accessories (not otherwise classified)

Benco Dental................................... 426

Kerr Corporation.............................. 436

Carestream Dental........................... 207

Kettenbach...................................... 315

KaVo Kerr - Imaging/Gendex............ 432

Oxygen and/or anesthesia equipment

Zimmer Biomet Dental....................... 309

Patterson Dental............................... 514

Central Medical Gases..................... 523

Patient motivation products Align Technology, Inc........................ 423 ePracticeManager............................ 334 Solutionreach.................................. 431

Scaling/stain removal devices ACTEON North America.................. 323 ContacEZ........................................ 524

Sharpening Stones

The Oral Solution LLC....................... 223

PDT/Paradise Digital Technologies..... 324

Periodontal instruments & supplies

Sterilizing & disinfecting solutions

Biolase........................................... 321

Harris Biomedical............................ 114

Personal healthcare products

Sterilizing Accessories

OraCoat XyliMelts (OraHealth Corp.).519 Zarifa Corporation................... 330, 404

PDT/Paradise Digital Technologies..... 324

Amazon Business............................. 527 Biolase........................................... 321 CareCredit...................................... 301 Carr Healthcare Realty..................... 128 Cosmetic Expo................................. 429 Dentsply Sirona............................... 328 Doctor Multimedia............................ 407 Doral Refining Corp......................... 304 Garfield Refining Company............... 410 Greater New York Dental Meeting..... 232

DentalEZ Integrated Solutions............ 610

Infinite Trading Inc............................ 420

Beutlich Pharmaceuticals, LLC............ 512

Surgical supplies

Straumann...................................... 428

Practice management

Toothbrushes, hand

Carestream Dental........................... 207

Crest+Oral-B................................... 131

Doctor.com...................................... 505

Elevate Oral Care............................ 313

DSN Software, Inc........................... 401

Hu-Friedy........................................ 106 Power Dental USA, Inc..................... 614

Henry Schein Practice Solutions......... 204

Toothbrushes, power

Miles Global .................................. 127

Crest+Oral-B................................... 131

Carl Zeiss Meditec, Inc..................... 521

Practice by Numbers........................ 300

Peterson Sales................................. 518

DoWell Dental Products.................... 533

Solutionreach.................................. 431

Philips – Sonicare and Zoom Whitening 228

The Knutzen-McVay Group................ 515

Water Pik Inc................................... 333

Milling

Anesthesiology for Dentistry.............. 118

Pharmaceuticals (drugs)

Teeth, artificial

Microscopes, surgical, etc.

Other

A-dec............................................. 219

Aseptico......................................... 418

Doral Refining Corp......................... 304

Prexion, Inc..................................... 525

Stools, all types

Portable delivery systems

Metal recovery, refining

Planmeca USA, Inc........................... 329

Hawaiian Moon.............................. 529

Rose Micro Solutions........................ 327

Valumax International....................... 206

Aseptico......................................... 418

Olympic Orthodontic Laboratory........ 422

Pro Photo Supply.............................. 325

ALCO Supplies / GloveeXpress......... 126

Align Technology, Inc........................ 423 Belmont Equipment........................... 303

Surgitel........................................... 322

Masks

Cleartooth Digital X-Ray.................... 308 ACTEON North America.................. 323

Garrison Dental Solutions.................. 236

Rose Micro Solutions........................ 327 Ultralight Optics............................... 427

Professional Sales Associates, Inc....... 109

ContacEZ........................................ 524

Align Technology, Inc........................ 423

Photographic equipment, supplies, accessories

Q-Optics & Quality Aspirators Inc...... 402

Vacuums

Richardson Group............................ 201

Nakanishi Dental Laboratory, Inc....... 115

Willamette Dental Group.................. 413

Ultrasonic equipment, prophylaxia, laboratory

Mouthwashes

Practice marketing

DoWell Dental Products.................... 533

Elevate Oral Care............................ 313

Birdeye........................................... 208

Office supplies

Lighthouse 360................................ 225

Doctor.com...................................... 505

Dental Temps Staffing Solutions LLC.... 102

Patientmatic..................................... 602

NW Dental Staffing.......................... 403

Sesame Communications.................. 218

Hu-Friedy........................................ 106

Uniforms & gowns ALCO Supplies / GloveeXpress......... 126 Valumax International....................... 206

WEO Media................................... 504

th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 31

Geozy Solutions, LLC........................ 532

M and J Distributing......................... 528 Therapulse...................................... 237 U.S Jaclean..................................... 405

5 THINGS YOU NEED TO KNOW SPONSORS Mobile App:

Download the app from the Apple App Store or Google Play Store to get conference updates on your phone and access special app-only content.

Shuttle Service:

We have a quick and easy shuttle service to transport you between the Hyatt and Meydenbauer Center.

Free Espresso: Find free espresso stations at both the Hyatt and Meydenbauer Center.

CE Codes:

Make sure to record the CE code given at the end of each lecture - you’ll need it to access your certificate online at wsda.org/pndc or in the PNDC app.

Free WiFi:

Free WiFi is available in both the Hyatt and Meydenbauer Center.

Password is: pndc2017

SHUTTLE BOARDING LOCATIONS Hyatt Regency Bellevue Pick up and drop off: NE 10th Street, which is on the same floor as the Evergreen ballroom and foyer.

Meydenbauer Center Pick up and drop off: NE 6th Street on the south side of the building.

ONSITE SCHEDULE Wednesday, June 14 Session · 6-8:30 p.m. · Meydenbauer

Thursday, June 15

Onsite Registration · 7 a.m.-5:30 p.m. · Hyatt/Meydenbauer Sessions · 8 a.m.-9 p.m. · Hyatt/Meydenbauer Exhibit Hall · 10 a.m.-7:30 p.m. · Meydenbauer Lunch Break (on your own) · 11 a.m.-2 p.m.

Sip & Save Happy Hour · 5-7:30 p.m. · Meydenbauer

Friday, June 16

Onsite Registration · 7 a.m.-3 p.m. · Hyatt/Meydenbauer Sessions · 7:30 a.m.-4 p.m. · Hyatt/Meydenbauer Exhibit Hall · 9 a.m.-3 p.m. · Meydenbauer Lunch Break (on your own) · 10:30 a.m.-1 p.m.

Saturday, June 17 Onsite Registration · 7 a.m.-2 p.m. · Meydenbauer Sessions · 8:30 a.m.-4 p.m. · Meydenbauer

PACE ACCREDITATION Approved PACE Program Provider FAGD/MAGD credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 9/1/2013 to 8/31/2017. Provider ID# 219279.

3 2 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org

The new ADA Find-a-Dentist tool is live, making it easier than ever for patients to find you. This new tool is the focus of the ADA’s $18 million, three-year digital advertising campaign to bring more patients to your practice. Beginning this summer, paid digital ads encouraging patients to make more regular dental visits will drive them to Find-a-Dentist.

To get the full benefits of this campaign, you’ll want to update your profile as soon as possible, as completed profiles with photos are prioritized in the search results, increasing the chance that patients will click on your profile. Profiles with photos also get 11 times more clicks than those without, so make sure you have images to use.

For help updating your profile, contact the ADA Member Service Center at 1-800-621-8099.

Fill a Form, Fill a Chair

You told the ADA you wanted to see more patients, so this spring, we are launching an enhanced Find-a-Dentist tool to help new patients find you.

By taking 5 minutes to update your member profile, patients can more easily search by geography, specialty and payment and benefit plans. The new tool also prioritizes completed profiles in the search results, and you will have the ability to track how many views your profile receives.

Complete your ADA® Find-a-Dentist™ profile by May 1, 2017 to be entered for a chance to win a Mercedes Benz C class sedan or GLC SUV 12-month lease or $10,000 cash award!*

ADA.org/MyADA Login to complete your profile for the chance to win! *All active licensed members practicing in the U.S. are eligible to win. Visit ADA.org/fadrules for official rules.

th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 33

member news find-a-dentist campaign

HOW FIND-A-DENTIST WILL BENEFIT YOU AND YOUR PRACTICE

member news ser ving nationally

ADA SERVICE: MEET WSDA MEMBERS WHO HOLD NATIONAL POSTS IN THIS SERIES

While most ADA councils meet in Chicago, the Council on Government Affairs meets in Washington, D.C.

3 4 路 th e wsda ne w s 路 issue 6, may 路 2017 路 www.wsda.org

Dr. Bruce Kinney

Dr. David Minahan

Editor’s note: At the American Dental Association (ADA), there are 10 councils whose work is to define what the Association does for its members in areas such as advocacy, education, and ethics. Most councils are composed of one member from each of the 17 trustee districts of the Association. All must be active, life, or retired members of the Association in good standing. Most councils meet twice a year, either at the ADA headquarters in Chicago or in the Washington, D.C., office.

by phone or email. “The review committees do all the hard work,” Kinney says, “reviewing policy matters pertaining to their educational discipline, including site visits, progress reports, and applications for accreditation.” The review committees present to the commission, and their recommendations are voted upon. And while it’s not often that a program will lose its accreditation outright, affiliate schools will drop accredited programs that are underperforming, and others are required to make adjustments to their programming if issues are found. Kinney explains, “Once programs get through the process of accreditation, they’re reevaluated every seven years (oral surgery programs are reevaluated every five years). They either get approval without reporting requirements, meaning they have achieved or exceeded requirements for accreditation, or they get approval with reporting requirements, which means that deficiencies or weaknesses have been defined in one or more areas that need to be addressed. They need to provide evidence of compliance in those areas. If the problems are not corrected within the time frame given, accreditation would be withdrawn, but that’s rare.

They usually address the issues.” Accreditation, Kinney notes, is a complex process.

“Schools spend a lot of time and money on it. It’s the institution that is being accredited, not an individual certification, credential, or degree,” he says. “The commission uses experts in the fields of dentistry and dental education to evaluate the program for standards of performance, and then they measure compliance.”

National Board of Examiners (now called the American Association of Dental Boards or AADB). In fact, he was appointed to his three-year term by the AADB as an examiner member. He explains, “My expertise is in bringing the point of view of a practicing dentist and as a licensure examiner, so it’s a little different perspective. Accreditation has a steep learning curve because of all the standards that have to be learned. I’m still learning a lot about it. I do my homework, read, talk to folks, watch, listen, and learn. I’ve been in three meetings, and I’m still processing and looking for opportunities to contribute. It’s a smooth-running organization. We don’t spend a lot of time debating. The recommendations we receive from the review committees are very professional, well-organized, and thoughtfully presented.” Kinney loves the opportunity to work with incredible colleagues from around the country, and gets satisfaction from bringing the expertise and experience he has to the table.

In several recent issues, we introduced you to WSDA members serving on ADA councils and committees. We’re excited about the influence our state is having on dialogue and policies at the national level, where we’ve often been viewed as outsiders and firebrands. In this issue, we meet three more members: and Dr. Bruce Kinney, who serves on the Commission on Dental Accreditation; Dr. David Minahan, who serves on the Council on Government Affairs; and Dr. Brittany Dean, who serves on the New Dentist Committee. (We’ll wrap up the series in Issue 7.)

Dr. Bruce Kinney Commission on Dental Accreditation

As Dr. Bruce Kinney will tell you, the Commission on Dental Accreditation (CODA) is different than the others because it is a semi-autonomous accrediting agency that is housed within the ADA. And while it is an agency of the ADA, it gets its authority from the U.S. Department of Education, and its decisions are independent of the ADA. The ADA doesn’t accredit dental schools or oral surgery programs, CODA does. As you’re likely aware, all dental schools, advanced education programs, and allied programs are accredited

by CODA, which has 30 members, including representation from all communities of interest, and some public members. They meet in person twice a year for two-day meetings. Review committees and standing subcommittees meet more frequently

A wealth of experience

Kinney brings a wealth of experience to the commission as a dental examiner. He served on the state examining board for years, then on DQAC (where he helped move the state to the WREB), served on the WREB board, and later became its president, and later served as president for the

th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 35

Dr. David Minahan Council on Government Affairs

Dr. David Minahan has served in myriad positions at the component, state, and ADA levels during his dental career. Not only did he rise through the chairs at the WSDA, he’s been a staunch supporter of the UWSoD, and has been an ADA delegate for years. Universally well-liked, Minahan is a congenial statesman well suited for national service. He knows his way around the issues, has battled many of them personally while serving at the state level, and understands that a cool head is the better option. It makes him a standout on the Council on Government Affairs (CGA).

Unlike the other councils, CGA meets in Washington, D.C., not Chicago, and has three face-to-face meetings, including ADA Lobby Day, where some 500 ADA members and 500 ASDA members converge on the continued on page 37

member news ser ving nationally

Dr. Brittany Dean

Since 1968

We are pleased to announce...

Richard R. Busto, D.D.S. & Angel A. Vega, D.D.S. have merged their practices Olympia, Washington

We are pleased to have represented both parties in this transition.

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capital to meet with lawmakers — much like our Dental Action Day. The council includes members from every district, as well as representatives from the ADA Board of Trustees, New Dentist Committee, ASDA, Alliance, ADPAC, and the council it most interacts with, Council on Access, Advocacy, and Prevention (CAAP). The council has staff in D.C. and Chicago (the lion’s share is in DC), four full-time federal lobbyists, and additional staff who work on regulatory and legislative issues. All, Minahan says, are extraordinary at preparing the Council members on the issues.

“We’re very hands- on with the lobbyists.

They have the knowledge base, but they’re very open about any questions during our roundtable conversations. They spend a lot of time on the Hill during the week,” he says. “We have outside consultants who provide the lobbyists with analysis of what’s happening politically, so we’re able to look at all sides of an issue, from both sides of the aisle.”

For their part, council members are actively involved, contacting legislators, committees, and agencies like the Office of Civil Rights on issues such as interpreter requirements, the ACA, Medicaid and Medicare, and the repeal of the McCarranFerguson Act. Of McCarran-Ferguson, Minanhan notes that they’re starting to see the fruits of their efforts, adding, “Through the repeated efforts over many years, both by grassroots dentists and our lobbyists, it’s on the radar of many more legislators now.

I’m not going to say that it’s going to change imminently, but we feel like we’re finally getting more attention. The insurance lobby is very strong and is pushing their agenda, as well, but we’re shining a light on the inequity of the antitrust exemption.”

Additionally, the Council recently worked on a position statement for the ADA regarding the ACA and the repeal-and- replace efforts currently underway. That statement was vetted through the ADA’s D.C. office and signed off by the board of trustees before being signed by the ADA president and executive director, and delivered to the new administration.

Additionally, Minahan serves on the State Governmental Affairs subcommittee that handles State Public Affairs (SPA) funding, where all the states report on challenges they’re facing in their areas.

“For instance,” Minahan explains, “Washington has been at the forefront of the

midlevel provider issue for so long that we understand the inner workings of the issue very well. Now there are southeastern states that are beginning to face similar issues, and we’re able to help them strategize and plan for the challenges ahead. As we well know, there are many moving parts to the issue. We’re hearing a lot about the realities of midlevel providers of Maine and Minnesota. For all of the positive press, the programs aren’t working out that well. It’s a complicated issue, and Pew and Kellogg have spent a lot of money promoting it to the public. We’re working to help other states avoid it.”

Dr. Brittany Dean New Dentist Committee

Dr. Brittany Dean is well-known in the state, having served as American Student Dental Association (ASDA) vice president while attending the UWSoD, and having remained active in state and component activities. The New Dentist Committee, she explains, is different from the ADA councils because they’re actually a committee of the Board, whose role it is to serve as advisors to the ADA Board of Trustees. Committee members hail from all 17 districts, are within 10 years of graduation, and are all appointed to their position by district trustees. “I got experience on a national level through my involvement with ASDA. Since ASDA has liaisons to each of the councils, I was able to sit on three different councils in my time,” Dean says. “Because of my ASDA service, I understood the scope of what the ADA does, which many dentists take for granted, and how much of that is only possible because of the work the ADA does on our behalf. I found it truly exciting to be part of a policy conversation at the national level, and part of a group that was working to reshape the public’s view of dentistry as a profession.”

Dean is mindful of and thrilled by the evolution of her national service. “Being on the New Dentist Committee has been great because when I was a student, I was representing a cohort of my peers, and now I’m doing the same thing, but for a new phase of our lives. I like being an advocate for the same group. It’s been rewarding to get positive feedback from the ADA board and get the sense that they really want to know what we have to say, and then actually make changes based upon that. It’s a great time to be a new dentist leader in the ADA.”

th e wsda ne w s · issue 5, april · 2017 · www.wsda.org · 37

The role of the New Dentist Committee is changing, says Dean. “When we started out, our main purpose was planning the new dentist conference each year, but now the board is looking to us to define what needs of new dentists aren’t being met, and how to reach out to them and figure out what is working and what is not for that population. Also, we play a role as coordinators and resources for state new dentist committees.” That role can vary, depending on whether the district represents a single-state district like California or Pennsylvania, or one like ours, which represents five states. Committee members try to collaborate at the state level to help them find leaders, and connect with the existing resources. As for the new dentists conference, the council is looking at ways to improve its function and effectiveness.

“We’re trying to determine how much time we should put into a new dentist conference versus focusing on leadership and coming up with new resources and ideas for the ADA,” Dean says. “The ADA has been doing a pilot where they hold the new dentist conference simultaneously with the ADA meeting. There are a couple of days set aside for new dentist programming, and a couple of open days so that new dentists can take part in the ADA meeting and exhibit floor. We’ve been reflecting on the advantages of the new model, as well as the disadvantages. For instance, with the new model, focusing on leadership and networking among new dentists just isn’t possible. There’s just too much going on. It will be interesting to see what model works the best for participants.”

Like the other councils, this one meets twice a year, once in Chicago, the other wherever the ADA’s annual meeting is being held. Additionally, council members are expected to serve on one of three subcommittees, and as a liaison on one of the other ADA councils. It’s a heavy load for anyone, and more so for Dean, who recently was accepted to a residency. “It’s a lot of time away from my practice,” she says, “but I love it, and I hope that I can make it all work.”

We’re proud of the work done by all of members working with ADA nationally. They bring prominence and respect to our corner of the country, and highlight that we’re not just different, we’re thoughtful and compassionate about dentistry and service!

member news ser ving nationally

serving nationally, continued from page 35

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Dr. Steven A. Brazeau

Dr. Steven Alby Brazeau passed away on Feb. 28, 2017. He was 64.

Brazeau was born on Aug. 6, 1952 to Lila Freiboth Brazeau and Ruben Alby Brazeau, and was raised in Kingston, Wash. He attended the University of Washington in 1970, and received his bachelor’s degree in biology with honors. He stayed on at the UW to earn his DDS in 1978.

During his years as a UW student, he worked as an oiler in the engine rooms of the Washington State Ferries and, in 1973, married his true love, Janice Cathleen Otten.

Brazeau practiced dentistry in Carnation, Wash., from 1978 to 1989, after which he sold his practice and home and moved his family to the Dominican Republic, where he worked as a Christian missionary dentist and church planter from 1990 to 1993. In 1993 he and his family settled in Yakima, Wash., where he worked for the Yakima Valley Farmworkers Clinic and enjoyed the good hunting in Yakima’s foothills.

In 1996, Brazeau purchased a dental practice from Dr. Raymond Haight and, later, the practice of Dr. Harold Clark. He moved both practices into Clark’s office in the iconic Korach Building on 16th and Yakima, where he practiced until his death.

In Carnation, he and Jan started Carnation Bible Church with neighbors Don and Bev Unruh, NWCBA church planter Jerry Back, and evangelist Elmer Magnussen. Brazeau served as an elder at Memorial Bible Church (MBC) in Yakima for many years. The Brazeaus participated in two MBC mission trips to Mexico and, in 2000 and 2001, they worked with Haiti Medical Team’s outreach to the Dominican Republic. Brazeau also enthusiastically volunteered at the Union Gospel Mission Dental Clinic in Yakima.

Brazeau is survived by his wife, Janice; daughters Melissa (Jameson) Green and Sara (Douglas) Lorig; son Steve, Jr. (Laura Eastman); grandchildren Mikaela (Zachary), Hailey, Evelyn, Arden, Nathan and Tess; mother Lila; a brother (whose name is not disclosed); and niece Amy. He was predeceased by his father, Ruben, in 1986.

Dr. George E. Goll, BDS, MSD

Dr. George Edmund Goll died this year.

He was born in London, England, in 1951 to Edmund and Halina Goll. Edmund Goll served in the Polish Army during World

War II and immigrated to England in 1947 with Halina and their only child at the time, Hania. As a result, George Goll grew up in a household filled with Polish influences, from language to participation in the Polish Boy Scouts to neighborhood bazaars and holiday celebrations. He was one of four siblings and maintained a close relationship with all of them throughout his life.

When it came time to choose a career, Goll decided to pursue dentistry and earned a place at University College Hospital London, where he excelled as a student.

After completing his dental undergraduate degree in 1974, he was selected to become House Officer and then Senior House Officer at UCH, an 18-month internship that eventually fueled his desire to pursue a postgraduate master’s degree. During this time, Goll maintained a real interest in athletics. He grew up cycling and racing with his father and brother in London-based clubs, ran the London Marathon and, upon entering university, started rowing competitively. He held a record at the prestigious Henley Royal Regatta for more than 20 years, and represented Great Britain’s national rowing squad in Europe.

In 1978, he left London to obtain a postgraduate degree at the University of Washington School of Dentistry. It was while pursuing a doctorate in prosthodontics that he met his wife, Rebecca, who was studying to become an endodontist at the same time. The two married in 1981 and had three children. Goll went on to start a successful private practice in downtown Seattle. He had a commitment to continuing education in his profession, and was an active member of the Pacific Coast Society of Prosthodontics and the Washington State Society of Prosthodontics. He was also named a Diplomat for the American Board of Prosthodontics, an honor that is bestowed only after examination.

Goll’s greatest passions were his family and friends. He had an active social life and liked to spend his leisure time cycling with local clubs in the Seattle area, riding motorbikes with his son, and going on ski trips that took him all around the world. He had a thirst for adventure, something that stayed with him even when battling cancer toward the end of his life. His friends will remember him as somebody who was always quick with a joke and willing to lend a hand when needed.

th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 39

Goll is survived by his children, Amanda, Emily, and Spencer; siblings Hania, Grazyna, and Andrew; and nieces and nephews.

Dr. Dale L. Olson

Dr. Dale L. Olson died this year. He was born on Sept. 18, 1927, to Lulu and Oscar of Wild Rose, North Dakota. They moved to Marysville, Wash., in 1937. Olson graduated from Marysville High School, served at a U.S. Naval Hospital, attended Washington State University, and married the love of his life, Velma Lorraine Allen of Arlington, Wash. He graduated from the UW Dental School in 1953 and provided care in Marysville for 27 years.

Olson is survived by his wife, Velma; children Loree, Leeann, Brooke, and Allen; grandsons Taylor, Andy, Riley, and Nicholas; niece and nephew Jackie and Keith; and brother-in-law Jack Allen.

Dr. Gordon D. Raisler

Dr. Gordon D. Raisler passed away on March 27, 2017, in Wenatchee, Wash. He was 87. Raisler was born on June 3, 1929, to John and Esther (Norris) Raisler, the eldest of four brothers in Beach, North Dakota.

He attended high school in Conrad, Montana, enlisted in the U.S. Marine Corps, and graduated from University of Montana. He then went on to the University of Washington School of Dentistry, graduating in 1954. He met his devoted wife of 64 years, Ruth Ann Richardson, in Sun Valley, Idaho, and they married on Nov. 6, 1953.

The couple first lived in Seattle and then in Bellevue, Wash. They raised two daughters while Raisler maintained his dental practice in downtown Seattle. He took great pride in providing exceptional care to his many generations of devoted patients. He was a founding member of the Dr. Spratley Gold Foil Study Club and was appointed to the Washington State Board of Dental Examiners by then-Gov. Dan Evans.

Raisler loved the outdoors and Sun Valley ski trips with Ruth, and hunting and fishing trips with lifelong dental school classmates, family, and friends. Lake Chelan became their summer getaway when they had a condo at Spader Bay. He also loved the “Inca Maru,” their inboard-outboard cuddy cabin cruiser that made many trips to Neah Bay and to the San Juan and Gulf islands. After retirement, the Raislers

in memoriam drs. brazeau, goll, olson, raisler, weber and wilcox

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took off in their RV for snowbird winters in Arizona, and made several trips to explore our beautiful country.

Raisler is survived by his wife, Ruth; daughters Jill (Dr. Barry) Raisler Wise, J.D. and Jana (Robert) Raisler Noges, DDS; brother Richard Raisler DDS of La Conner, WA; and granddaughters Clare E. and Mattie L. Wise; and brother Richard Raisler, DDS, of La Conner, Wash. He was preceded in death by his parents and brothers Jack and Warren.

Dr. Charles Eric Webber

Dr. Charles E. “Chuck” Webber died on Jan. 10, 2017 at a Gig Harbor, Wash., memory care center. He was born on Sept. 16, 1936 in Seattle to Mildred and Albert Webber. He was a graduate of Roosevelt High School.

Webber graduated from the University of Washington School of Dentistry. He served as President of the Seattle-King County Dental Association, and President of Seattle Crown and Bridge Study Club.

He was chairman of the Peer Review Committee for many years, and was honored with a Seattle-King County Dental Society service award in appreciation of his service to the community and the dental profes-

sion. He was a fellow of the International College of Dentists and of the Pierre Fauchard Academy.

Webber was a stubborn Swede with a great sense of humor. He enjoyed skiing and sailing with his family and friends.

He is survived by his wife of 55 years, Dede; son Jeffery (Stacey) of Gig Harbor; and daughter Laura (Justin) and son Kairo of San Diego.

Dr. Robert E. Wilcox

Dr. Robert E. Wilcox passed away on March 25, 2017. He was born on Oct. 10, 1930 in Powell, Wy. Wilcox had four great loves in his life.

First was his family. He was married to his wife, Dee, for 66 years. Together they had a son, Rob, and a daughter, Jill, along with four grandchildren and nine great-grandchildren. Boating was his second love, and he spent many memorable hours sailing near the San Juan Islands and in the Canadian Gulf Islands.

Wilcox also served the city of Monroe for 40 years in one capacity or another, including 23 years on the city council. He loved dentistry, too, and practiced for 47 years.

He will be remembered for his wit, oneliners, and passion for saving teeth.

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th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 41

in memoriam drs. brazeau, goll, olson, raisler, weber and wilcox

In memoriam, continued

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4 2 路 th e wsda ne w s 路 issue 6, may 路 2017 路 www.wsda.org

States join to voice regulatory concerns

Recently, every state dental association in the country joined together to sign a letter sent to Secretary of Health and Human Services Thomas Price drawing attention to issues adversely affecting access to oral health care and the provision of dental care in the United States.

The state associations sent the letter because they believe that the federal regulations in question unnecessarily contribute to the cost of providing care, making it more difficult for our members to deliver oral health care services at an affordable price.

Regulations detailed include Medicare Mandated Enrollment and Section 1557 of the Affordable Care Act. Read the letter in its entirety here: https://tinyurl. com/2017PriceLetter.

WSDA wins membership award

WSDA recently received a Membership Outreach Award for converting the highest number of diverse dentists to membership for a state with 2,001 to 3,500 active members.

Thank you to all of our members, especially those who assist in our recruitment efforts. This award is for you, and couldn’t be won without you!

HB 1314 signed into law

WSDA congratulates fellow dentist and Rep. Michelle Caldier on the passage of House Bill 1314, which was signed into law

by Gov. Inslee on May 15.

This bill, which passed both the House and Senate unanimously, directs the Health Care Authority to meet standards regarding Medicaid-auditing practices relating to the recovery of payments, auditing timelines, the use of statistical sampling, and the submission of records. It also establishes requirements related to expertise and reporting for contractors performing the audits on behalf of the Health Care Authority.

The importance of contracts

The ADA Council on Dental Benefit Programs receives many letters and calls from often-frustrated member dentists regarding contracts, said Dr. Ronald Riggins, council chair. Many of the questions are about third-party payer contracts. Some examples of the complaints include: schedules of benefits; predetermination of benefits; the bundling of codes and downcoding; and reduced fees for services. Some of those dentists are unclear of the terms of the contracts they sign, he said.

“When dentists receive a third-party payer contract, they should read, understand, and evaluate it thoroughly to determine if signing the contract is a sound business decision,” said Riggins. “When you sign a contract, you make promises that will be binding in a court of law. If you fail to do what you promise to do in the contract, the other party may be able to terminate the contract or, in a worst-case scenario, initiate legal action against you for breach of contract. It is therefore essential that you review any contract carefully before you sign it.”

ADA.org has resources to help member dentists navigate the contract process to help them make the best choices for their practices and, ultimately, their patients.

One good place to start is an article called “What Every Dentist Should Know Before Signing a Dental Provider Contract,” available at ADA.org/Thirdpartycontract.

“While the article is not intended to be legal advice — dentists are strongly urged to consult their personal attorney before signing any contract — it provides a good overview of questions to ask during the contract-signing process,” said Riggins.

In addition, the ADA recommends that member dentists use the ADA Contract Analysis Service, a free service that will provide them with information concerning a proposed contract so they can better understand and analyze its terms. The

th e wsda ne w s · issue 6, may · 2017 · www.wsda.org · 43

service can be used by submitting a copy of the unsigned contract and an analysis request to the dentist’s state society, which will then send the information to the ADA Division of Legal Affairs. For more information, dentists can call the ADA Member Service Center at 1-800-621-8099 or email dentalbenefits@ada.org.

2017 Oral Cancer Foundation Walk for Awareness

Please join the Oral Cancer Foundation for its 3rd Annual Walk for Awareness on Sept. 30 in Kirkland, Wash.!

Register online at https://tinyurl. com/2017OCFWalk.

The event will feature free oral cancer screenings, speakers, and music.

There are several ways to get involved, including registering to walk, creating a team, volunteering, or fundraising. Learn more here: https://donate.oralcancer.org.

Online registration closes at noon on Sept. 29. After this date, you must register in person the morning of the walk with cash/check/money order made payable to The Oral Cancer Foundation.

Dental benefit videos

Have you wondered about the clauses in network dental plan contracts, such as “most favored nations” and “hold harmless agreements”? Have you ever had a claim bundled or downcoded?

To learn about these topics and a whole lot more, check out the dental benefit video series at Success.ADA.org. These informative videos are designed to address common issues that dental offices experience with third-party payers.

For individual assistance with a thirdparty issue, please call the Center for Dental Benefits, Coding, and Quality at 800-6218099 or email dentalbenefits@ada.org.

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PART-TIME PERIODONTIST NEEDED — Well established periodontal practice in Renton WA is looking for a part-time periodontist. Please email resume to info@valleyimplants.com if interested. Thank you.

HYGIENIST NEEDED — We are experiencing daily growth in our dental practice and are in need of a parttime Dental Hygienist. This opportunity is available in Brewster, WA. Your schedule will be two (10hr) days, Wednesdays and Thursdays from 8-6, with potential of more days to fill out our 4 days per week working schedule. Please let us hear from you by sending your resume to atomareredds@gmail.com.

OPPORTUNITY! Could This Be Yours? We are looking for an Associate Dentist in the beautiful and sunny Tri-Cities (Eastern Washington). Our award winning practice ranks in the top 1 percent nationally, where our associates enjoy one of the highest earning potentials you’ll find. The Tri-Cities offers over 300 days of sunshine annually with award winning wineries at the confluence of three breath taking rivers. We pride ourselves on being one of the most technologically advanced offices in our area. We have a stunning office with enough chair space and patients to keep you busy. We are not your corporate dentistry. We offer 401k, medical and continuing education. Take a moment and look us and our area up online. You’ll be glad you did! We are Lifetime Dental Care the office of Dr. Michael Breier DMD. We look forward to hearing from you. Call (509) 628-1144 www.LifetimeDentalCareTriCities.com www.VisitTri-Cities.com.

LOCUM TENENS — Family dental practice, in the heart of Ballard, seeking a temporary dentist to cover Wednesdays during my maternity leave through july 26th. Please send CV to jenniferohsiedds@live.com.

ASSOCIATE NEEDED — Three days a week in rural family practice in Northeast Washington, 40 minutes north of Spokane. Should be proficient in all aspects of dentistry including crowns, bridges, dentures, molar root canals, and third molar extractions. A minimum of three years clinical experience required. 30 year well established practice.

Please send resume to newportdental@povn.com.

ASSOCIATE NEEDED — Established Seattle Dental office looking for an Associate Dentist to work 3-4 days a week. Clinical staff consists of two Dental Assistants and a Licensed Denturist. Please email your Resume to HealthySmilesDDC@comcast. net if interested. New graduates welcome to apply.

DENTIST OPPORTUNITY — Central Washington, Seeking experienced dentist for a busy, well established successful multi-specialty group dental practice to work 3+days a week. Come join our professional, modern office and become apart of our wonderful team. Please send resume and direct any inquiries to felixzario509@yahoo.com.

EAST VANCOUVER — Experienced, motivated dentist needed for busy and growing private practice, 4-5 days/week. Private and state insurances seen. Modern, new equipment, digital office. $10K/month base salary or 30 percent production.

Email resume or inquire at: drkussad@gmail.com.

OPPORTUNITY AVAILABLE — We are seeking a periodontist to perform periodontal surgeries 1-2 days a month to support two large practices in Snohomish County. We have several cases ready to be scheduled. Please contact Dr. Doug Brajcich at 425-334-6912 or email excellentdentalcare@ gmail.com. Thank you!

DENTIST NEEDED — Young, energetic, business minded general dentist wanted in the Bothell/Mill Creek area. Part time/full time option available. Please email resume to: dmgdentaldesign@gmail.com.

DENTIST NEEDED — Seeking skilled dental associate with 2+ years experience. 3-4 days/week for a general practice. Offices in Lynnwood / North Seattle. Must be able to work on Saturdays. Please send resumes to dentaladsml@gmail.com.

GENERAL DENTIST ASSOCIATE POSITION — Option to buy. Existing DDS with is looking to be retired within the next year or sooner. This private practice (30+ year patient base) is open Mon-Thurs (Mon-Wed 8-5, and Thurs 9-3). Prefers someone with at least five years of experience. Part time to start, (3 days) building into full time. Substantial patient base!

Salary DOQ. Email: lori.leonarddds@outlook.com.

PART TIME ENDODONTIST — Looking for a parttime Endodontist to work a day or two day a month.

Nice modern office located in Bothell Area. Please respond with resume to bellevuedentists@gmail.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.

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MERGER OPTION — Have you thought of scaling back, retiring, or getting rid of the overhead? We are a solid well established Tacoma office looking for a like-minded merger with your practice or outright buy out. Open to your suggestion and discussion.

Let’s talk, we LOVE what we do! All interested parties in greater Tacoma and surrounding areas please email Michelle at topinvisaligndoc@gmail.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.

MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. We currently have openings in Oregon and Washington for General Dentists, Endodontists, Oral Surgeons, Pediatric Dentists, and Locum Tenens Dentists. As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are competitive guaranteed compensation, benefits, paid vacation, malpractice insurance, in-house CEs, and an in-house loan forgiveness program.

Please contact Kelly Musick at kmusick@willamettedental.com and visit www.willamettedental. com/careers to learn more!

PART- TIME DENTIST — Needed 2-3 days per week in Spokane Valley general practice. We value someone with excellent clinical and interpersonal skills to join North Pines Dental Care. Please email: rosemaryosborn@comcast.net.

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.

classifieds issue 6, may 2017

OPPORTUNITIES AVAILABLE

ou at See y 2017 PNDC #115 h Boot

David Anderson, CDT Implants Implant Department Manager

Intentionally Simplifying

Nakanishi Dental Laboratory is the Pacific Northwest’s premiere dental implant resource for the clinician.

Simplifying Implant Communication

Request an Implant Rx pad from your driver or contact us at 800-735-7231 or info@nakanishidentallab.com

Download an Implant Rx from www.nakanishidentallab.com/implant-rx or from your Doctor’s Portal.

Simple xes check bo

Implant Technical Support Implant experts are always accessible by phone, email or in person at the lab.

Implant Parts We stock over $250,000 of implant parts that are fully warrantied. We do not mark-up the manufacturers’ prices and offer free local pickup and delivery with free loaner instruments to further simplify the process.

203 E. Meeker St. | Kent, WA 98032 2959 Northup Way | Bellevue, WA 98004

4 8 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org

(800) 735-7231 www.nakanishidentallab.com

ASSOCIATE OPPORTUNITY, SPOKANE VALLEY — 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 plus 30% production bonus for new grads. Base salary of $175,000 plus 30% production bonus for experienced dentists. Opportunities to earn much more with our full schedules! 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 in Spokane Valley. Moving expense reimbursement offered. Position starts August 1, 2017. Please send inquiries to jbabka@applesmiles.com.

GENERAL DENTIST NEEDED — for busy Community Health Center in Yakima County. Dentist will see all ages, children and adults. Support staff include bilingual dental assistants, Registered Hygienists, and connection to a strong integrated team of medical and behavioral health, nutrition, optical, and essential needs providers. Clinic has integrated Electronic Health Records, and state of the art equipment. Looking for compassionate individual interested in serving low income individuals, including agricultural works and homeless. Dentist works four 10-hour days, competitive compensation package. YNHS is an eligible site for National Health Service Corps scholars, loan repayment, and Washington Health Loan Repayment. Contact rhonda.hauff@ynhs.org.

GENERAL DENTIST OPPORTUNITY —Spokane, Washington This is a fantastic opportunity in beautiful Eastern Washington for a General Dentist. We are seeking a part-time 1-2 days a week, flexible schedule associate to be apart of our growing family dental practice in north Spokane. Dr. Robb Heinrich and the team are seeking an ideal candidate that is experienced in all aspects of general dentistry and dedicated to providing patients with compassionate care. Eastern Washington is ideal for enjoying outdoor activities from snow skiing, water skiing, hiking, and fishing. Email at Julie@trgcoaching.com..

SEEKING GENERAL DENTIST — To provide healthcare for everyone. Join our dynamic, growing team providing preventive & restorative care to children &/or adults at our community health center in beautiful Bellingham, WA. Work in newly remodeled facilities with digital radiology & without the work & overhead costs of running your own practice. Please view our website at www.unitycarenw.org/careers for details & help us increase the years of healthy life in the people & communities we serve!

DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties.

Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

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

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.

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.

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, 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.

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.

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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 WANTED OPPORTUNITY WANTED — 2017 Loma Linda School of Dentistry graduate looking for a general dentist position near Seattle or Vancouver, WA .

View my CV here: http://drive.google.com/open?id =0B8MoBCY5AYWtclhjSFc0SFNoaUk OFFICES FOR SALE OR LEASE LOOKING TO BUY — Dental offices in University Place, Fircrest. If you are ready to retire and want to sell your practice or patient charts, please contact us @ updentaloffice2607@gmail.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.

GENERAL DENTAL PRACTICE FOR SALE, SPOKANE, WA — Single Provider. Immediately available - well-established, beautifully appointed 4-Op Dental office with a spa like feeing in charming neighborhood surroundings. Centrally located, this practice has easy access to shopping, businesses and major arterials with ample onsite parking.1800 square feet is the footprint for this 4 operatory practice offering a sizable business center, comfortable reception area, private doctor office; plumbed with the ability for expansion, separate lab, sterilization room, 2 bathrooms (employee/patient) and combined employee lounge/laundry. This is a one of a kind opportunity ideal for any dentist whether it be a new graduate, an associate looking for ownership or someone relocating and looking for a turnkey business and facility without the hassles of starting from scratch. Making patients feel welcome and special, a strong referring patient base is catered to by offering the best materials, procedures, state of the art technology; including Cerec, and many added extras. Owner is willing to stay on to ensure a smooth transition and sign a non-competitive agreement as well as offer a competitive interest rate to finance. Contact us for more details: dentistrypracticeforsale@gmail.com.

classifieds issue 6, may 2017

OPPORTUNITIES AVAILABLE

clinical corner issue 6, may 2017

CLINICAL CORNER Expansile radiolucency, right posterior mandible Contributed by

Dr. Gary Feldman , Oral & Maxillofacial Surgery, Seattle, WA

History of present illness

This is a 64-year-old male who presented to a periodontal office for evaluation of right mandibular edentulous bicuspid area for implant placement. A well-demarcated expansile radiolucency was identified in the area and the patient was referred for a biopsy.

Cone beam computed tomography (CBCT) was taken and shows a relatively well-demarcated expansile radiolucency in the right posterior mandible (Figure 1 & 2). The lesion was otherwise asymptomatic. The patient’s past medical history is not contributory.

Test your knowledge!

Figure 1

Visit https://dental.washington.edu/oral-pathology/case-of-themonth/ and see if your assessment of the case is correct.

Figure 2

Our Commitment is to YOUR success

Over 65 years of expertise, offering short and long-term individual detail practice management, as well as transitions and associateships.

Western WA:

Western WA (continued):

Kirkland

Grays Harbor County

New Bellingham Updated North Seattle Re-Listed Bellingham (Adult Restorative)

Re-Listed

East King County Longview

Pending

Congratulations on our recent transitions:

Eastern WA: New Updated

Yakima

Northgate

Yakima

Bothell

Tri-Cities Associateship

Burien

Lake Chelan

Central WA General Practice

Richland (Dental Space Only - Lease)

Tacoma (Pediatric)

Oregon:

SE King County

find us on

Reduced Price

June 15 -16 | Booth #515 Meydenbauer Center, Bellevue

Reduced Price Pending

Everett Associateship

San Juan Islands

Visit us at the PNDC!

NE Oregon Associate to Purchase Opportunity

knutzenmcvaygroup.com

Dr. Michael Hrankowski to Dr. Meisam Nejad Edmonds, WA

Dr. Dale Reite to Dr. Paul Sauvage

Alaska: Homer

Updated

Seattle, WA

Dr. Thomas Mitchell to Dr. James Aichlmayr Gig Harbor, WA

(800) 953-7296 5 0 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

DT REDMOND LEASE, $20K BACK TO YOU AT SIGNING! — Downtown Redmond lease available. Located at the base of Education Hill, dense family population! Four operatories, private office. Equipped with Nitrous, vacuum/compressor and CBCT, recently remodeled (2014). Rent: $45k per year includes operating expenses. Will give $20,000 upon signing for working capital. Great start up opportunity or local dentist interested in relocating and reducing overhead expenses. Please email redmonddds@gmail.com.

FOR SALE, VANCOUVER — General dentistry practice for sale in Vancouver WA. Practice is well established and has been in the same location since 1980s. Practice has low rent and low overhead. Three operatories, paperless, digital ( dexis) X rays, wireless intraoral camera. Practice is in a busy intersection across from Safeway. Annual collections $ 430,000. Well trained staff. Please email indentation534@gmail.com.

FOR SALE — General practice in Battle Ground WA. Three fully equipped operatories, busy main street location. Contact Vicki at (360) 521-8057 or lyledkelstrom@gmail.com

PRICE REDUCED FOR QUICK SALE — Office appraised above $250,000, now listing for $125,000.

For sale or sublease. Attractive, fully equipped, modern five operatory dental office in UW/Laurelhurst area. Exceptionally well-designed, and maintained – 1,900 sf office with separate consultation op, sterilization room, private office for two DDS, handicap bathroom, full laboratory for technicians, and staff room. Attractive third floor location provides excellent natural lighting in every operatory. Sale includes all dental and office equipment (dental chairs, lights, units, handpieces, instruments, x-ray equipment, office furniture and built-in cabinetry throughout, plus everything else that makes this office “Truly Turnkey.” Excellent value for relocation of established DDS or starter office for new grad. Email rleemfp@gmail. com for photos and additional information or call/ text 206-949-2958.

FOR LEASE — Great Bellevue location, four ops, fully equipped, warm and inviting dental office for sale. Perfect for a start-up practice. Instruments and supplies included. 70K. Long-term lease available per negotiation with landlord. Contact nwicd@aol.com.

FOR LEASE — 3000 SF space in Class A building close to Swedish Edmonds Hospital available immediately. Ideal for dental specialist. Building has a GP, endodontist and pediatric dentist. Favorable TI allowance and rental rates. Call Grace 425-220-0564.

GENERAL PRACTICE FOR SALE — South King County. Large, profitable multi-disciplinary practice. Digital radiography. I-V Sedation. Separate digital pan/lateral ceph. CBCT. CEREC. Approximately 5,000 sq/feet. For more information contact: Jennifer Paine: (425) 216-1612 or Jennifer@ cpa4dds.com.

GENERAL PRACTICE FOR SALE — South Snohomish County. Fantastic visibility within close proximity to aerospace giant. Collecting $625K. 3 fully-equipped operatories. Lab. 1,000 sq/ft (approximate). For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

FOR SALE — Complete full dental office equipment for sale: front desk, reception area, four operatories, dark room, lab and doctor’s office.

See photos and list here (tinyurl.com/mwvuufv).

Includes equipment and supplies for general dentistry, endo, oral surgery, ortho, plus Straumann implant kit. (Installed cabinets and sinks are not included, nor are any personal items that may be pictured.) You will need to have an office site and move the equipment there. Equipment must be moved between June 23 - 30. $85,000 or best offer for all. Or bid individually on parts of the inventory. Contact ddsnomura@gmail.com.

DENTAL PRACTICE FOR SALE — Wenatchee WA. Modern downtown office. collection over $672K average last three years. 3.5 days week. Doing basic dentistry. Room to grow. Low overhead Asking $450k parkbus@live.com.

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.

BEAUTIFUL PRACTICE FOR SALE — Great location on Spokane’s South Hill. Currently working 3.5 days a week. Gross collections $540K. Patient base of FFS and PPO. Modern, beautiful office.

3 ops with 4th plumbed. All digital and newer equipment. Great stand alone practice or merger.

Send inquiries to contactdoctor474@gmail.com.

FOR SALE, BELLEVUE — Ideal for a specialist or a general dentist start-up. Beautiful turn-key dental space for sale in Bellevue, top quality construction, DanNix design. Located on the growing Bel-Red corridor close to Microsoft, 520, new multi-family development, and the new REI corporate headquarters. Fully equipped with three operatories, all ADEC, Pano, plumbed nitrous, and separate storage space with compressor. The lease term is excellent and structured simply with base monthly rent. There is no triple NNN pass through for expenses. Please contact financial@ belmoddental.com for more details..

NEW LISTING - Top of the line dental office for lease with high-quality finishes. Very convenient location right off of I-405 in Bellevue. The dental office is 1,242 SF with four operatories. Plenty of parking stalls for patients and staff, ADA access.

Email Steve Kikikis steve@omni-pg.com.

GP PRACTICE FOR SALE, WEST SEATTLE — Annual collections over $1,100,000. Five fully equipped operatories. Outstanding and productive hygiene program. Digital pano. Well established practice that has been in the same location for 37 years. Well trained and experienced staff will continue and assist with the transition. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366 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.

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TOP OF THE LINE — Dental office for lease with high-quality finishes. Very convenient location right off of I-405 in Bellevue. The dental office is 1,242 SF with 4four operatories. Plenty of parking stalls for patients and staff, ADA access. Email Steve Kikikis steve@omni-pg.com.

G/P PRACTICE FOR SALE, FEDERAL WAY — Annual revenues over $740,000. Annual revenues have increased each year over the last three years.

This practice generates a lot of cash flow. Four fully equipped operatories plus plumbed for one more.

Digital X-rays and a new computer system. Well established practice that has been located in the same location for the last 12 years. The building is located on Pacific Hwy S. which is one of busiest thoroughfares in Federal Way. Building has great visibility and signage directly on the Pacific Hwy. Contact: Buck Reasor, DMD, bucjbucxkReasor Professional Dental Services, info@reasorprofessionaldental.com. (503) 680-4366.

NEW­— Pediatric Dental Practice For Sale in Pierce County. Annual collections of $450k. Great location! E-mail rod@omni-pg.com.

FOR LEASE – Maple Valley Dental office for lease. start-up or move your existing practice. Fully built out with five operatories, Plenty of parking in plaza. Approximately 1,524 sq. ft. with favorable lease terms. Email Steve Kikikis steve@omni-pg.com.

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

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

FOR SALE — Price Reduced - 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 — 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.

FOR SALE — West Olympic Peninsula General dental practice for sale. Annual collections over $800,000 on 3 days per week. Doctor and hygiene booked several weeks out. Only dentist in town.

Building also for sale. Contact Rod Johnston of Omni Practice Group at rod@omni-pg.com.

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

classifieds issue 6, may 2017

OFFICES FOR SALE OR LEASE

5 2 路 th e wsda ne w s 路 issue 6, may 路 2017 路 www.wsda.org

OFFICES FOR SALE OR LEASE

EQUIPMENT FOR SALE

NEW LISTING – Bellevue dental office space up to 3,204 sq. ft. Plumbed for seven operatories. Great parking and signage. Close to Microsoft, Group Health and other eastside businesses. Contact Steve at steve@omni-pg.com.

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.

FOR SALE, LOWER PRICE!!­— Gently used 2 yr-old Digital Pano (Instrumentarium OP30)$13k This unit has the Extra-Oral Bitewing program as well as TMJ Projection. The images are brilliant and easy to diagnose from. Buyer responsible for cost of moving, installing and insurance for the move. admin@UptownDentalGigHarbor. com.

NEW LISTING – Fully equipped dental office for sale in Arlington. Three operatories, dental chairs, and sterilization, equipment included in purchase.

No Patients Included. Approx. 950 sq. ft plus storage room. Asking $180,000. Email Steve Kikikis steve@omni-pg.com NEW LISTING – North Whatcom County general dental practice for sale. Annual collections of $400,000. Located next to Starbucks on busy street.

Newer equipment, pano, etc., Beautiful city on the Canadian border. E-mail rod@omni-pg.com.

FOR SALE — Marysville Medical Office Building with two additional tax lots for sale. Well kept 6,600+ medical building with three dental tenants in place. Residential home included in the sale.

Contact Steve Kikikis at 877.866.6053 ext 3 or Steve@omni-pg.com.

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.

BELLEVUE — General practice for sale in Lake Hills neighborhood. 20+ years. Great location with good street visibility. Three chairs with room for four, approx. 1,500 sq. ft. , fully digitized, Dentrix, Invisalign, mostly adult restorative and families. Ave. 600k+ annual production, staff wlling to stay, doctor will work through transition. Please reply to: Piega@delaneytransitions/ (425) 890-8271.

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.

YAKIMA/SUNNYSIDE — 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 starting at $165,000 plus bonuses. 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 Yakima/Sunnyside, Washington. Come try out the East side of the state where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities! Please send inquiries to jbabka@applesmiles.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.

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 Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

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.

Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

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.

OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation.

Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.

ALLIED CLINIC BUILDERS — Premier healthcare contractors in the PNW for over 35 years. On time, on budget and providing quality you can afford. Call today for a consultation. George McBee. alliedclinicbuilders@comcast.net (425) 941-3088

SERVICES 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.

EQUIPMENT FOR SALE EQUIPMENT FOR SALE — 2013 Cerec Omnicam + 2008 MXCL and Programat oven for sale.

Its in great shape and was serviced recently by Patterson. Just over 400 mills! 50k OBO. Located in Portland! Email Thedentists@lodentalstudio.com.

NEW LOW PRICES — Three Adec 1005 Chairs, $1250 each. Two Gendex 770 X-rays, $1000 each used digitally. Compressor for $500, Dentalez Dry Vac. $200, Five Adec Track Lights, $200 each.

Small Adec Hygiene cart $100. Small Adec Dr cart $250. Seven reception chairs and two end tables $25 each. Recessed Ultrasonic for large cassettes $75 or best offers or take it all for $6K. All maintained, 100% working, and all currently used daily. Must prepay half to hold and pick up last week of June. drnicolini@hotmail.com 206-310-5709 DENTAL EQUIPMENT FROM REMODEL — Rolling chairs, valves, compression gauges, tools, towel and glove dispensers, computer, grinding equipment, pluming parts, loads of cabinets with formica interiors. Make offer. Chris 206 595-5791

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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 6, may 2017

OFFICES FOR SALE OR LEASE

first person dr. stephen lee

How I think the Association should use the funds from NORDIC

Dr. Stephen Lee Editorial Advisory Board

Since March, 2007, the WSDA has owned 25 percent of NORDIC, a dental liability insurance company. The WSDA Board of Directors recently voted to sell this stake in NORDIC, resulting in an increase of $4,597,000 to the WSDA’s bank account. The question now is, What should the WSDA do with all of that money?

The WSDA also owns the building in which they are headquartered. Thanks to fortunate timing and a lot of hard work, the WSDA found a good building at a great price.

The WSDA took out two separate loans to buy the building, and as of March 1, 2017, the two loans total $2.84 million at interest rates of 4.0 percent and 4.93 percent.

I urge the WSDA Board to use the proceeds of the sale to pay off the entire building debt, and to do so quickly. Additionally, I would caution the Board about chasing investment opportunities with the money.

First, in regard to debt reduction:

“The WSDA Board acts as a steward of other people’s money.

While the risk tolerance for your personal finances may be higher, you owe it to the members to offer stability and predictability over chasing the highest return.“

1) Life is already unpredictable enough. Killing off the debt offers a known result that will eliminate the drag of interest, and it will rid us of concern over the looming balloon payment of $1,379,000 due in five years.

2) Using the money to pay debt eliminates the low-hanging fruit of cash on hand. Out of sight, out of mind. If a great opportunity arises, the WSDA can always borrow again, but it raises the bar for fiscal discipline (but beware of “great opportunities”).

3) The WSDA Board acts as a steward of other people’s money. While the risk tolerance for your personal finances may be higher, you owe it to the members to offer stability and predictability over chasing the highest return.

4) Paying off the debt must happen quickly. It is concerning that the task force to investigate the use of these funds had not been formed until recently, and as of this writing, members have not even met. With the possibility of the NORDIC sale known last year, the Board had several months to develop a plan for the money, and a plan of action could have been in place by the time the NORDIC money arrived. Instead, since March, the money has been sitting in the bank making almost zero interest. Inaction on the debt costs the WSDA membership about $9,500 every month in interest payments to the bank, which would be better used for advocacy or social welfare.

After fees and expenses, a full debt payoff leaves the WSDA with about $1.6 million from the NORDIC sale proceeds. I worry that the Board will be compelled to spend this money quickly, just because it’s there. “Non-dues revenue” has been a fashionable phrase tossed around for the past several years. I would caution the Board to use extreme care in pursuing money-making ventures, even if the debt is paid off.

1) Most businesses that WSDA would buy into would be illiquid, so if we need to sell, we may not be able to do so on favorable terms.

2) While the NORDIC deal turned out to be a profitable one, owning 25 percent of it failed to provide a steady stream of revenue, instead issuing only two dividends in 10 years. This is not a criticism of the NORDIC deal. Rather, it illustrates the unpredictability of some investments. Future investments may be unpredictable, and possibly unprofitable, as well.

3) Knowing when to sell is as important as knowing when to buy. We had a great team of dentist volunteers and WSDA staff to address both the acquisition and sale of NORDIC. But next time the WSDA chooses to chase “great opportunities.” who will be in charge of things when it’s time to sell? I trust the people we have now, but I can’t trust that the people around many years from now will exercise the same judgment.

4) If you monetize all the time spent by member dentists, WSDA staff, and consultants in chasing non-dues revenue opportunities, what is the real cost? What other concerns in our Association are neglected because of extra attention to this matter?

5) We may need to keep our powder dry for a future expense, like a membership or WSDA Foundation initiative.

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

In closing, I urge the Board to act in a fiscally prudent fashion by paying down the debt and moving the remainder to a conservative liquid investment, rather than chasing higher returns with this money. Please act quickly and thoughtfully in this matter.

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THE OBVIOUS CHOICE

FOR WASHINGTON DENTISTS Trustworthy Just as your patients trust you, Matt and Kerri are trusted by their clients because they specialize in insurance products for dentists.

Reliable Matt and Kerri have years of experience advising dentists about insurance. They’ve been able to build and nurture solid relationships because they deliver service excellence time and time again.

Knowledgeable The WDIA Team will help you make informed decisions about the insurance policies you need no matter what career stage you’re in.

YOUR WDIA TEAM: Matt French · Kerri Seims 206.441.6824 · 800.282.9342 www.wdiains.com

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Visit us at the PNDC! BOOTH 119

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

Endorsed by

Visit us at the PNDC! BOOTH 119

5 6 · th e wsda ne w s · issue 6, may · 2017 · www.wsda.org