WSDA News | Summer 2021 by Washington State Dental Association

SDA

news Summer 2021 The Voice of the Washington State Dental Association

2021-2022 WSDA President

Dr. Ashley Ulmer Addressing Airway Breathing Disorders — 40 | Dec. 1 Water Line Testing Deadline — 12

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WSDA news

Summer 2021

Editorial | Bracken Killpack & Dr. Dennis Bradshaw........................................ 6 Guest Editorial | Chris Bundy, MD, MPH............................................................... 7 Guest Editorial | Dr.Stephen Lee................................................................................ 8 Apply to Join the Editorial Advisory Board........................... 9 Regulatory & Compliance News.............................................................. 10 DQAC News...................................................................................................................................1 1 Dec. 1 Water Line Testing Requirement ...................................12 PNDC Update............................................................................................................................ 14 New Members.......................................................................................................................... 18 Association Updates....................................................................................................... 19 Candidates for WSDA Elected Positions................................ 20 2021 Legislative Session Summary.................................................... 25 Giving Back..................................................................................................................................26 Championing COVID-19 Vaccines Across WA.................28 Guest Editorial | Dr. Dennis Bradshaw..............................................................29 2021-2022 WSDA President: Ashley Ulmer...................... 30 WSDA Retro Program................................................................................................36 WDIA News.................................................................................................................................. 37 Tooth Fairy Experience...........................................................................................39 Addressing Airway Breathing Disorders.................................40 ADA News...................................................................................................................................... 45 UW School of Dentistry News | Dr. Gary Chiodo...................... 46 Shoreline Dental Hygiene Program at UW......................... 49 CE Opportunities / Around the State.......................................... 50 In Memoriam.............................................................................................................................. 5 1 Classifieds....................................................................................................................................... 53 Laughing Gas............................................................................................................................65 The Last Word | Dr. John Evans.............................................................................. 66 WSDA News Editor Dr. Dennis Bradshaw Editorial Advisory Board Dr. Julie Kellogg, Chair Dr. Brittany Dean Dr. John Evans Dr. Stephen Lee Dr. Jeffrey Parrish Dr. Princy Rekhi WSDA News Publisher Bracken Killpack Board of Directors Dr. Dennis L. Bradshaw, President Dr. Ashley L. Ulmer, President-Elect Dr. Nathan Russell, Secretary-Treasurer Dr. Christopher Delecki, Immediate Past President Dr. Kristine M. Aadland Dr. Marissa N. Bender Dr. Amy J. Cook Dr. Joseph Y. de Jesus Dr. Chris E. Dorow Dr. John L. Gibbons Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Mark Koday Dr. Blake McKinley Dr. Kim D. Nordberg Dr. Patrick Sharkey

CONTENTS On the cover: Spokane dentist and 2021-2022 WSDA President Dr. Ashley Ulmer.

2021-2022 WSDA President

Dr. Ashley Ulmer 30

Addressing Airway Breathing Disorders 40

WSDA STAFF: Executive Director Bracken Killpack Assistant Executive Director Kainoa Trotter Director of Government Affairs Emily Lovell Administrative Director Peter Aaron Manager of Communications and Marketing Emma Brown Government Affairs Coordinator Lauren Johnson Policy Project Coordinator Megan Bartol Governance and Membership Coordinator Natalia Hilal Membership Concierge Martina Torres

Phone: (206) 448-1914 Toll-Free: (800) 448-3368 Fax: (206) 443-9266 info@wsda.org | www.wsda.org

Copyright © 2021 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. 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.

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WSDA Ne w s | Summer 2021 | www.wsda.org

EDITORIAL

Shining a Light on the Opacity of ADA Governance

T Bracken Killpack Executive Director, WSDA

“With this

The power of the ADA House of Delegates is derived from its member dentists in two ways. First, as a voluntary membership organization, the House Dr. Dennis Bradshaw of Delegates would literally not exist without tens President, WSDA of thousands of dentists opting into membership. Second, individual members of the House of Delegates are elected or otherwise selected by the resolution, state dental associations across the country.

we hope to see the ADA make House of Delegates materials available to all members and provide more easily navigable ways for members to provide input before the House of Delegates makes decisions.”

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.

he American Dental Association (ADA) is governed by its House of Delegates. In addition to having “legislative and policy-making power,” the House of Delegates possesses the “supreme authoritative power” to determine association policy, revoke charters of state dental associations, amend the Principles of Ethics and Code of Professional Conduct, and levy special assessments among many other powers. Decisions made by the House of Delegates inform state law and regulation related to the practice of dentistry throughout the country and beyond.

Beyond this member-centric existential foundation, “rank and file” members actually have minimal, indirect input and no transparency into the ADA’s governance before decisions are made. To borrow from the acclaimed musical Hamilton, access to critical information on what decisions are being made and how they will be decided is left to those in “the room where it happens.” Today, only members of a state’s ADA House of Delegates delegation have access to the reports, resolutions, and other information pertinent to the business of the House of Delegates. Dues-paying members have limited ability to learn about the matters coming before the House of Delegates. In addition, the ADA does not disclose the names of the delegates and alternate delegates, meaning the general membership does not even know who is making these important decisions. According to some proponents of maintaining the status quo, ADA delegates are charged with tapping into the zeitgeist of our membership through some sort of unarticulated stakeholdering process and applying it to current House of Delegates matters. Delegates do not have the time or resources to do this stakeholdering effectively beyond interacting with dentists they know, which leaves most members out of the process entirely. Assuming that this method is the best way to make decisions on policy with industry-wide ramifications, would it not be optimal to at least make sure the members know what decisions are being made and who is making those decisions?

WSDA Ne w s | Summer 2021 | www.wsda.org

The ADA, through policies made decades ago and reaffirmed each year by its leadership and the House of Delegates, systematically keeps ADA member dentists who are not involved in its governance in the dark. It is time to openly question if the way the ADA’s governance currently works is truly the way decisions should be made in the third decade of the 21st Century. Increasingly, members are demanding to know what benefits their membership in the Tripartite (ADA, state and local dental society) provides. As technology dramatically reduces barriers to engagement, members (and potential members) are also seeking out venues where their voices are both heard and considered. Organized dentistry spends extensively to help our members’ voices be heard in external advocacy each year; the same commitment should be extended to ensuring our members can more easily contribute to sharing their experiences, knowledge, and beliefs on matters related to the dental profession that come before the House of Delegates each year. Ultimately, ADA policy will be stronger if all members impacted are given an opportunity to provide input. This year, the ADA’s 11th District, which includes Alaska, Idaho, Montana, Oregon, and Washington, has submitted a resolution that we hope will serve as a catalyst for getting more member engagement into sweeping policy discussions before decisions are made. Fundamentally, we believe this approach will demonstrate the value and importance of ADA membership and help identify blind spots in drafted policies before they are adopted by the House of Delegates. With this resolution, we hope to see the ADA make House of Delegates materials available to all members and provide more easily navigable ways for members to provide input before the House of Delegates makes decisions. This process could be very similar to public comment processes used in government decision making. We wholeheartedly believe that final decisionmaking authority on critical matters should be left to a defined decision-making body selected by the states; we believe in representative governance. However, dentistry is full of intelligent, passionate people who care about the future of the profession. It would be prudent to seek out their guidance and consider their points of view before making decisions that will impact them. We will be stronger for it if we do. n W

GUEST EDITORIAL

Healing Our Wounded Heroes

any of us are feeling the joy and relief of returning to a semblance of normalcy as we emerge from the siege of the COVID-19 global pandemic. Summer travel is up, hotels and flights are in high demand, and it looks like most kids will be back to in-person learning when school starts in the fall. However, for some of us, the effects of isolation, loss, social unrest, political divisiveness, and financial hardship linger. The practice of dentistry, even in the best of times, is stressful. It requires mastery in clinical and business domains, has unattainable expectations of perfection, and often involves managing painful procedures in patients who are unhappy to be in the chair in the first place. The profession selects for, and then reinforces, trait compulsivity. Guilt, self-doubt, and an exaggerated sense of responsibility drive excellent clinical performance at the cost of self-care and routine maintenance. Compulsivity among health professionals is socially desirable, yet personally costly. Professional burnout is common among dentists as is early retirement due to disability. Most dental practices in Washington closed during the first wave of the COVID-19 pandemic and then had slow openings in the months that followed. This resulted in financial hardship and the attendant stress of retaining staff and keeping the practice afloat through some very lean times. Meanwhile, the need for emergency procedures continued, placing dental professionals at uncertain risk working in the oral cavity with dental aerosols during a time when virus transmission via these routes was unknown. Though data are lacking in the U.S., dentists in the U.K. experienced high levels of stress, anxiety symptoms, and depression during the height of the pandemic.1 As part of the critical health care infrastructure we need to support he mental health of dentists and the sustainability of the dental workforce now and in the years ahead. For more than 35 years, the Washington Physicians Health Program (WPHP) has been a resource for health professionals, including dentists, struggling with stress-related illnesses. Anxiety, depression, and substance use disorders are common reasons for referral to WPHP and, while WPHP is often thought of as a program for addicted health professionals, 60% of referrals are for non-substance related health concerns. WPHP can assist dentists with any health condition. Unfortunately, dentists are under-represented among WPHP participants. This is due to the

relative isolation of dentist practices compared to physicians, the dependence of practices and staff on the dentist, and misguided fear and loyalty among subordinate staff who may, understandably, be reluctant to provide feedback to the dentist or make a confidential referral to WPHP when concerns arise.

Chris Bundy, MD, MPH Executive Medical Director, Washington Physicians Health Program

It is important that dentists, and those who care about them, understand that WPHP is a confidential, therapeutic alternative to discipline. Practically speaking, this means that the laws in Washington allow dentists to get help from WPHP without ever being known to DQAC. Though WPHP has a reporting requirement for dentists who do not follow WPHP direction and pose a risk to public safety, WPHP is forced to act on that obligation in only about 5% of cases. In addition, less than half of professionals referred to WPHP are recommended for a monitoring agreement. Most get an initial assessment, support, and referral to additional resources without the need for ongoing involvement with WPHP. This model is designed to effectively assist individuals who can benefit from support upstream of health-related practice impairment while also addressing more severe concerns before practice, patient, and life are at risk.

“It is my hope that dentists and those who care about them will take this opportunity to help themselves or another who might be suffering in silence benefit from WPHP’s services.”

85% of WPHP graduates describe the program as extremely useful or lifesaving on exit surveys and nearly 90% are working in their field at program completion. Last year, only 10% of participants reported burnout compared with 40-50% of health professionals nationally. Learn more about WPHP outcomes and success stories at www. wphp.org. One of the silver linings of the COVID-19 pandemic is that it galvanized efforts to support professional well-being and workforce sustainability. It is my hope that dentists and those who care about them will take this opportunity to help themselves or another who might be suffering in silence benefit from WPHP’s services. Whether wounded by the pandemic, the chronic stress of dental practice, or a combination of both, our dentists are heroes who deserve the compassionate support that WPHP provides. A call to WPHP is a courageous act of compassion and our mission and commitment to you have never been more critical. n W 1. Ranka MS, Ranka SR. Survey of Mental Health of Dentists in the COVID-19 Pandemic in the UK. J Int Soc Prev Community Dent. 2021;11(1):104-108. doi:10.4103/jispcd.JISPCD_401_20

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.

WSDA Ne w s | Summer 2021 | www.wsda.org

GUEST EDITORIAL

Using the Physician Payments Sunshine Act

A Dr. Stephen J. Lee

WSDA News Editorial Advisory Board

“You can look up providers using the Open Payments Search Tool at openpaymentsdata.cms.gov. The database is fast and easy to use. Go look yourself up, and while you’re at it, look up some of the people you work with and have learned from.”

few years ago, I wrote an article for WSDA News about the inconsistent quality of continuing education, which received positive feedback from readers. Today, I would like to expand on that idea by addressing an interesting piece of legislation that allows you to be a better consumer of your education. In 2010, Section 6002 of the Affordable Care Act, called the Physician Payments Sunshine Act, required that all transfers of value from medical/dental product manufacturers to doctors or teaching facilities be reported to the government. While the intent was to allow more patients to seek out information about their doctors, it hasn’t worked too well. Most patients don’t even know this database exists, and a 2019 study concluded, “Open Payments does not appear to have achieved its goal of increasing patient knowledge of whether their physicians have received money from pharmaceutical and medical device firms.” [1]

Thankfully, the vast majority of doctors and dentists don’t collect enough money to be viewed suspiciously by patients; the median dentist collects a little over $50 per year in payments. However, providers should be aware of the small number of their peers who collect much more. By digging a little more into Open Payments data (available at openpaymentsdata.cms. gov), you will discover that the mean dentist collects about $500. When the mean and median are so different, it’s because of a small number of very large recipients — those are the ones we need to focus on. Here are a few ways to make this information useful:

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.

WSDA Ne w s | Summer 2021 | www.wsda.org

Look up the providers of your continuing education. I attended a class a couple of years ago, during which the speaker showed his disclosures by listing a variety of companies all on one slide. He then moved quickly to the next slide, acknowledging only that these companies covered speaker fees. Out of curiosity, I looked him up on the Open Payments website, and his income from corporate payments exceeded the income of the average U.S. dentist. The speaker covered several topics, and for each topic he spoke

glowingly about a product from a company that was paying him. So, if you plan to attend a lecture, look up your speaker to understand what financial conflicts they might have. I would encourage anyone hiring a speaker for an event to require a disclosure to prevent a corporate shill from showing up at your next seminar. Look up the specialists to whom you refer your patients. In addition to informing our CE consumption, we can also use this information to see what colleagues who work with our patients are collecting. Are they collecting hefty sums from a company to promote that company’s equipment? When they say, “This brand works really well for me,” is it because that company is paying them? In most cases, no; most dentists just have a few lunch-and-learns on the ledger, but it’s worth taking a few minutes to look it up. Look up researchers and public employees. Should professors and deans at public universities be collecting money on the side from manufacturers? If you are writing a paper for publication, do you know what your co-authors are collecting? If you’re in a dental residency — especially one with a research focus — you should know how much and from whom your mentors are collecting. With this information, we are able to hold researchers and public employees accountable. You can look up providers using the Open Payments Search Tool at openpaymentsdata. cms.gov. The database is fast and easy to use. Go look yourself up, and while you’re at it, look up some of the people you work with and have learned from. n W [1] Kanter GP, Carpenter D, Lehmann L, et alEffect of the public disclosure of industry payments information on patients: results from a populationbased natural experimentBMJ Open 2019;9:e024020. doi: 10.1136/bmjopen-2018-024020

Apply to Join the Editorial Advisory Board WSDA is now accepting applications for members to join the Editorial Advisory Board. Created in 2018, the Editorial Advisory Board consists of several members who are asked to write editorial content for the WSDA News once or twice per year. The board generally meets once per quarter to discuss WSDA News content and outline editorial content for future issues.

Editorial Advisory Board Members Dr. Julie Kellogg (Chair) Dr. Dennis Bradshaw Dr. Brittany Dean Dr. John Evans Dr. Stephen Lee Dr. Jeffrey Parrish Dr. Princy Rekhi

Member Expectations • Write editorial content (single page, 650-750 words) one to two times per year (editing support from WSDA is available). • Attend quarterly Zoom meetings to review each WSDA News issue and plan editorial content for future issues. • Provide feedback on potential WSDA News content as necessary. Current members of the Editorial Advisory Board had the following to say about their experiences:

“

I enjoy the challenge of taking a rough idea and refining it, articulating it, and presenting it in a way that (hopefully!) compels others to take action. I particularly enjoy pieces in which I can present the reader with something they may not already know and give them information they can put to use. I enjoy the interaction with other members of the Editorial Board who challenge my beliefs and offer me viewpoints I hadn’t previously considered.” — Dr. Stephen Lee

“

The News is a significant communications tool for WSDA. It’s important that a variety of perspectives be presented to meet the needs of all our members. That can happen only when a variety of views are present on the Editorial Board. Join us!”

“

The Editorial Advisory Board gives me greater insight into what the WSDA is focusing on and why. It is especially interesting to hear from the other advisory board members about what is on the minds of dentists in their area. Most of our editorial topics come from conversations that one dentist had with another. I tend to write about my personal experiences and challenges because that’s what I know best. I think it can be so cathartic to know that you’re not the only one going through something. It’s sometimes easy to forget that dentists are so much more than their practice life and those things really do affect how we practice. For many of our members, the WSDA publications are one of the major ways that they interact with the association. Being a part of the editorial board gives you a chance to help shape what the WSDA looks like to many of our statewide members. I have also really appreciated that nearly no topic is off-limits as a potential article. If it’s a pain point for dentists, the magazine is a place we can highlight that (such as the shortage of dental assistants in the state) and talk about what can actually be done to address it.” — Dr. Brittany Dean

Apply by Oct. 1 Members can apply for the Editorial Advisory Board at www.wsda.org/EditorialBoard by Oct. 1. The revamped Editorial Advisory Board has brought more diverse perspectives to the magazine over the last several years. We believe a strong member publication requires diversity and we encourage dentists of all age, gender, race, location, and specialty to apply. Please direct any questions to editor@wsda.org.

— Dr. Jeffrey Parrish

WSDA Ne w s | Summer 2021 | www.wsda.org

REGULATORY & COMPLIANCE NEWS

Regulatory Dates & Deadlines • Oct. 1, 2021: Medicaid Provider PMP Check Requirement Begins • Dec. 1, 2021: Water Line Testing Requirement Begins • Jan. 1, 2022: E-Prescribing Requirement Begins • By Jan. 23, 2022 & Annually Thereafter: One-Hour Infection Prevention Standards Education Due • Aug. 31, 2022: Sterilization of Low-Speed Hand Piece Motors Requirement Begins • By License Renewal Date in 2022: Three-Hour Suicide Prevention CE Due • By License Renewal Date in 2022 for Dentists Who Prescribe Opioids: Three-Hour Opioid Prescribing CE Due Learn more about these upcoming regulatory dates and deadlines at www.wsda.org/regulations.

Recently Implemented Laws & Regulations Specialty Representation DQAC has approved amendments to WAC 246-817-420 to clarify dental specialty areas of practice and requirements for those who wish to represent themselves as a specialist. General dentists may still provide specialty services but may not advertise or represent themselves as a specialist. Effective July 3, 2021, the rule offers two options to obtain specialty designation. The first option is completion of a CODA post-doctoral education program at least 2 years in length that is approved by the National Commission on Recognition of Dental Specialties and Certifying Boards. The second path to obtain specialty designation is by completing a CODA advanced educational program or program of other accreditors recognized by the United States Department of Education that is at least 2 years in length. Additionally, effective July 1, 2022, the rule requires a licensed dentist in a group practice with two or more dentists to identify themselves as either a general dentist or a specialist. If the dentist is a specialist, then the provider must include the area of specialty, and upon patient request the dentist must provide qualifications of specialty to the patient.

Examination Content On May 9, 2021, amendments to the examination content rule became effective. The rule change adds the Joint Commission on National Dental Examination’s Dental

Licensure Objective Structured Clinical Examination (DLOSCE) to the list of allowable practical/clinical examinations as well as allows applicants to pass the components of the practical examination using a maximum of two testing agencies, with each agency administering practical examination sections in coordination with one another.

Dental Infection Control Rules On Jan. 23, 2021, DQAC adopted new dental infection control rules. The rules add several new requirements for dental providers, including the sterilization of single-use items when appropriate, requirements for high volume evacuation, and an hour of annual infection prevention training. The rules also call for a delayed implementation of the sterilization of slow-speed hand piece motors and periodic testing of water delivery systems. WSDA has put together resources to assist members in complying with these new requirements. Visit www.wsda.org/ infectioncontrol for more information.

PMP Rule for Medicaid Providers In an effort to address opioid abuse in the United States, in 2018, the Substance UseDisorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) Act was signed into law. Part of this new law, section 5042, mandates that all state Medicaid programs require Medicaid providers to check a prescription drug monitoring program (PMP) prior to prescribing a controlled substance (Schedule II through Schedule IV), not just opioids, to a Medicaid

Ways to Get Involved

patient. The Health Care Authority (HCA) has filed a permanent rule regarding the SUPPORT Act that will become effective Oct. 1, 2021 and will impact all Apple Health (Medicaid) providers who prescribe controlled substances. Learn more at www.wsda.org/regulations and www.hca.wa.gov/about-hca/apple-healthmedicaid/support-act.

Rules Under Consideration

Continuing Education DQAC will be moving forward with rulemaking to modify the current continuing education rule to allow dentists to receive full continuing education credit, in place of half credit, for watching live or recorded interactive webinars. The Commission will address what qualifies as an interactive webinar as well as other likely questions at future meetings.

Dental Anesthesia Updated Rules DQAC is considering several changes to our state’s dental anesthesia rules. Specifically, DQAC is considering modifying on-site inspections and emergency protocols, continuing education requirements, the minimum number of qualified dental personnel that must be in the operating room when administering anesthesia, the addition of a pediatric sedation endorsement, and several other updates to minimal, moderate, and deep sedation requirements. WSDA strongly encourages interested members to attend DQAC’s Dental Anesthesia Committee meetings as well as submit comments on the proposed rules to DQAC’s Program Manager Jennifer Santiago at Jennifer.Santiago@doh. wa.gov.

COVID-19 Rules Still in Effect Dentist Administration of the COVID-19 Vaccine Interpretive Statement This January, in order to support mass COVID-19 vaccination efforts, the Dental Quality Assurance Commission (DQAC) issued

✔ Sign Up for the DQAC Interested Parties Email List n ✔ Join the WSDA Committee on Regulatory Affairs n

WSDA Ne w s | Summer 2021 | www.wsda.org

DQAC NEWS

an interpretive statement which states that the administration of the COVID-19 vaccine is within a licensed dentist’s scope of practice during the declared state of emergency when the treating dentist has appropriate, verifiable training and experience that includes a hands-on component. The interpretive statement also outlines the different trainings and requirements a dentist should follow when ordering and administering COVID-19 vaccinations. To view DQAC’s interpretive statement as well as a list of vaccine administration training information and resources, visit www.wsda. org/vaccine.

COVID-19 Vaccine Delegation DQAC is considering permanent adoption of the emergency rule currently in place that permits a supervising dentist to delegate the administration of a COVID-19 vaccination to a licensed dental hygienist under the dentist’s close supervision, provided the licensed dental hygienist has demonstrated skills necessary to perform the task competently. For the purpose of administering a COVID-19 vaccine, a dentist’s approval of the vaccination protocol and screening meets the requirement to diagnose the condition to be treated and personal authorization of the procedure as required by close supervision under WAC 246-817-510(1).

Novel Coronavirus Disease 2019 Screening This rule, which allows a supervising dentist to delegate the administration of a test to screen for COVID-19 to a registered dental assistant and licensed expanded function dental auxiliary under the dentist’s close supervision, remains in effect. The rule also allows a dentist to delegate administration of a COVID-19 screening test to a licensed hygienist under general supervision. In order for a dentist to delegate to any of the aforementioned dental professions, they must have demonstrated the skills necessary to perform this task competently. On June 25, 2021, following a public hearing, DQAC voted to approve the permanent adoption of this rule language.

The following article was provided by the Washington State Dental Quality Assurance Commission (DQAC).

Electronic Prescribing Requirement

Upcoming DQAC Business Meeting Dates

Do you prescribe controlled substances? As of Jan. 1, 2022, you are required to electronically transmit prescriptions for controlled substances Schedules II-V and refills for Schedules III-V or file a waiver with the Department of Health (department). Substitute Senate Bill 5380, passed during the 2019 legislative session, mandated all controlled substances be electronically prescribed beginning Jan. 1, 2021. The law directed the department to develop a waiver process in which practitioners may attest to the need for a waiver if they have an economic hardship, technological limitation, or other exceptional circumstance that prevents them from complying with the mandate. The Pharmacy Quality Assurance Commission and the department adopted rules to meet the legislative directive by providing practitioners criteria to attest to the need for a waiver from the electronic prescribing mandate using the department’s process. For more information or questions on the e-prescribing requirement and the secretary of health’s waiver, please contact PharmacyRules@doh.wa.gov. Because the COVID-19 pandemic has taken an unprecedented toll on Washington’s health care system over the last several months, the secretary of health is exercising his authority under RCW 69.50.312(3) to grant a waiver to all health care providers authorized to prescribe controlled substances and subject to RCW 69.50.312(1) from complying with the e-prescribing requirements of RCW 69.50.312(1). This secretary’s waiver will expire on Jan. 1, 2022. At that time, all health care providers prescribing controlled substances must either comply with RCW 69.50.312(1) or meet at least one of the exemption criteria in RCW 69.50.312(2) and file a waiver with the department.

Meeting formats at time of publish are TBD. Please visit www.bit.ly/DentalCommission for current information. • Sept. 10, 2021 • Oct. 22, 2021 • Dec. 10, 2021 • Jan. 21, 2022 • March 11, 2022 • April 29, 2022

Commission Members David Carsten, DDS (chair person) Lyle McClellan, DDS (vice-chair person) Kunal Walia, DDS Aaron C. Stevens, DMD Ronald Marsh, DDS Julia Richman, DDS Kathleen Elling, EFDA Sonia Pal, DMD Tiffany Bass, DDS Abhishake Banda, DMD, MD Karen Clements, DDS Marlynne Fulton (public member) Joy McDaniel, DMD McKinley Rainey (public member) Miryam Nossa, EFDA Samantha Kofler, DDS

WSDA Committee on Regulatory Affairs Dr. Bryan Edgar (Chair) Dr. Rolf Christensen Dr. Amy Cook Dr. David Keller Dr. Mark Koday Dr. Blake McKinley Dr. Keyvan Sohrabi The Committee on Regulatory Affairs focuses on regulatory issues related to DQAC and other government agencies.

Visit www.wsda.org/regulations for More Information

WSDA Ne w s | Summer 2021 | www.wsda.org

New Dental Infection Control Rules:

What Dentists Need to Know & Upcoming Water Line Testing Deadline New dental infection control rules recently went into effect in Washington state. Visit www.wsda.org/infectioncontrol to learn more and make sure your office is prepared to comply!

Key Dates • Jan. 23, 2021: New Rules Take Effect • Dec. 1, 2021: Water Line Testing Requirement Begins • By Jan. 23, 2022 & On Annual Basis Thereafter: One-Hour Infection Prevention Standards Education Due • Aug. 31, 2022: Sterilization of Low-Speed Hand Piece Motors Requirement Begins

Dec. 1, 2021: Water Line Testing Requirement Begins Under the new dental infection control rules, dental offices must begin water line testing on or before Dec. 1, 2021. Visit www.wsda.org/infectioncontrol to learn more about water line testing and see answers to frequently asked questions: • Why do I need to test my water lines after a change in the plumbing of my office?

Free Water Line Testing Webinars WSDA has partnered with Harris Biomedical to offer a series of free, identical webinars on dental water line testing to prepare for the new requirements. Protecting Your Patients & Your Practice: Effective Water Line Treatment & Testing Harris Biomedical in partnership with ProEdge Dental Water Labs 1 Hour Live CE Credit

• How do I test water lines?

• Friday, Sept. 3 from 1:00-2:00 PM

• Who is authorized to test water samples?

• Friday, Oct. 1 from 1:00-2:00 PM

• How often do I have to test my water lines?

• Friday, Nov. 5 from 1:00-2:00 PM

• Do I have to test water lines if I have sterile bottle water system?

Visit www.wsda.org/infectioncontrol to register.

• Do I follow dental unit manufacturer or water testing company instructions when testing the water delivery system? • Can a pooled water sample come from all units in one operatory or only lines from a single water bottle?

Visit www.wsda.org/infectioncontrol to register. 12

WSDA Ne w s | Summer 2021 | www.wsda.org

New Dental Unit Waterline Regulations Coming to WA! Sign up for our free webinar to learn how to protect your practice from upcoming audits! Webinar dates: AUG 6, SEPT 3, OCT 1, and NOV 5 at 1PM PT

Join today: proedgedental.com/washingtonwebinar

You will learn: How to ensure safe waterlines in your office with the upcoming WA regulations. Why biofilm development is so stubborn and challenging. The latest research in waterline treatment protocol efficacy. Tips & tricks for efficient and cost-effective waterline maintenance. What it takes to be CDC & WA dental board compliant and how to protect your practice.

WSDA Ne w s | Summer 2021 | www.wsda.org

PNDC UPDATE

Suicide Prevention

Earn up to

19 CE credits

for one low price! As a profession, we have worked

incredibly hard and endured a significant amount since the beginning of the COVID-19 pandemic. Even so, through all of the hardships and challenges the pandemic presented, dentists and their teams have remained committed to delivering exceptional patient care while protecting the health of their communities. It is time once again to reunite in person with the Washington dental community. Join us this fall in Seattle at PNDC 2021 as we reflect on our shared experiences, learn and grow as we look to the future, and — most importantly — celebrate the resiliency of our profession with colleagues and friends from across our state and beyond! Take advantage of your WSDA member discount and register for PNDC 2021 by Sept. 24 at www.wsda.org/pndc. We look forward to bringing Washington’s largest dental conference back in person this fall and hope to see you November 11-13 in Seattle! Sincerely,

Save up to

erson $100/aPrly Bird with E ugh Pricing Thro Sept. 24!

Dr. Mandy Alamwala

Chair, WSDA Committee on Continuing Education

Dr. Dennis Bradshaw President, WSDA

WSDA Ne w s | Summer 2021 | www.wsda.org

Licensed Washington dentists and hygienists must complete a one-time training for suicide assessment, treatment, and management. This three-hour training must be completed by the end of the full continuing education reporting period ending on the licensee’s annual license renewal date in 2022. Lecture Meeting Requirement: Suicide Awareness & Referral for Dental Professionals Parts 1 & 2 CE COURSE REQUIREMENT MET AT PNDC

Minimal Sedation Licensed Washington dentists who administer minimal and/or moderate sedation must complete seven hours of CE every five years.* Lectures Meeting Requirement: “Hurts So...Swell!” Management of Acute Dental Pain & Appropriate Opioid Prescribing Parts 1 & 2 “I Wanna Be Sedated!”: Essential Pharmacology of Agents for Minimal Sedation & Nitrous Oxide Analgesia Parts 1 & 2 * Please note: Moderate sedation with parenteral agents permitholders are subject to more intensive requirements. CE COURSE REQUIREMENT MET AT PNDC

Infection Control As of January 23, 2021, Washington dentists, hygienists, EFDA/dental assistants and dental anesthesia assistants are required to complete one hour of current infection prevention standards education annually. Lecture Meeting Requirement: Infection Control & OSHA During & After COVID-19 Part 2

PNDC UPDATE

Early Bird Deadline! Reunite with the dental community Nov. 11-13 in Seattle CE COURSE REQUIREMENT MET AT PNDC

CE COURSE REQUIREMENT MET AT PNDC

Opioid Prescribing

Basic Life Support (BLS)

Licensed Washington dentists who prescribe opioids must complete a one-time CE requirement regarding best practices in the prescribing of opioids and DQAC’s opioid prescribing rules. This three-hour training must be completed by the end of the full continuing education reporting period ending on the licensee’s annual license renewal date in 2022.

Dental staff providing direct patient care in an in-office or outpatient setting must hold a current and valid healthcare provider basic life support (BLS) certification. Certification is good for two years. Workshop Meeting Requirement: Basic Life Support for Healthcare Providers | Hands-On Workshop ($95, BLS Card Earned)

Lectures Meeting Requirement: “Hurts So...Swell!” Management of Acute Dental Pain & Appropriate Opioid Prescribing Parts 1 & 2

E TODAY

wsda.org/pndc

WHAT’S NEW AT PNDC 2021 Updated Cancellation Policy

We are adjusting our registration cancellation policy to give you greater confidence and flexibility during these unpredictable times. Attendees can cancel their registration and receive a full refund prior to November 10.

Ticketed Lectures

To ensure the health and safety of our attendees and to comply with venue capacity restrictions, lectures at PNDC 2021 will be ticketed. Please request lecture tickets (free for any lecture) during your registration. Attendees will be unable to attend a lecture without a ticket. Attendees may update lecture ticket preferences through the PNDC registration system prior to receiving their badge in the mail. On-site lecture ticket changes can be made at the registration desk, subject to availability.

90-Minute Session Duration

Session duration has decreased from three hours to 90 minutes, providing attendees with the opportunity for mid-morning, lunch, and mid-afternoon breaks. Many speakers offer sessions in back-to-back part 1/ part 2 formats, while others offer multiple individual 90-minute sessions. Please note: This change in session duration does not decrease the hours of CE offered at PNDC.

Additional Opportunities to Visit the Exhibit Hall With an updated session format including mid-morning, lunch, and mid-afternoon breaks, attendees have more opportunities than ever to visit the Exhibit Hall between sessions!

Staff Appreciation Packages

Celebrate your team by adding a Staff Appreciation Package to your registration! Each package includes: • One hotel room for two or three nights at the Sheraton Grand Seattle (available for one, two or four team members). • Valet parking for one vehicle at the Sheraton Grand Seattle for two or three full days. • Welcome amenity upon check-in. • Lunch in the PNDC VIP Lounge on Thursday and Friday. • Tickets to the PNDC Celebration Reception on Friday evening.

Friday Evening Celebration Reception

Celebrate the return of PNDC and the resiliency of the dental profession at the PNDC Celebration Reception on Friday evening! Enjoy free drinks and appetizers while catching up with colleagues and friends following a day of CE. Free Celebration Reception tickets are available on a firstcome, first-served basis to the first 800 registrants to RSVP. Thank you to our sponsor, Delta Dental of Washington.

WSDA Ne w s | Summer 2021 | www.wsda.org

PNDC UPDATE

FEATURED SPEAKERS

PNDC is excited to welcome these world-renowned dental speakers to Seattle.

Joyce Bassett, FAACD, DDS, FAGD

Michael Fling, DDS

Theresa Gonzales, DMD, MS, MSS

Timothy Hempton, DDS

Stanley Malamed, DDS

John Molinari, PhD

Uche Odiatu, DMD

Chris Salierno, DDS

Jamison Spencer, DMD, MS

Restorative/Esthetics

Periodontics, Hygiene

Restorative/Esthetics, Dental Materials

Medical Emergencies, Anesthesia

Health, Nutrition

Practice Management

Oral Medicine, Oral Pathology

Infection Control

TMD/TMJ, Sleep Apnea

NEW AND EMERGING SPEAKER SERIES

PNDC welcomes up-and-coming WSDA member speakers as part of the New and Emerging Speaker Series.

Victor Barry, DDS Practice Management

Brian Brancheau, DDS, MSD Implants

Gavin Convey, DDS Endodontics

Explore the full PNDC 2021 speaker lineup at wsda.org/pndc

Michi Katafuchi, DDS, MSD, PhD Implants

Joshua Manchester, DDS, MSD Restorative/Esthetics

WSDA Ne w s | Summer 2021 | www.wsda.org

Alireza Sadr, DDS, PhD Restorative/Esthetics

PNDC UPDATE

EARLY BIRD PRICING Early Bird Price (Through Sept. 24)

Registration Categories WSDA Member

TITLE PARTNER

$275

(Valid for 2021 WSDA member dentists.)

Recent Grad WSDA Member

(Valid for 2021 WSDA member dentists who graduated from dental school 2015-2020.)

WA State Non-Member

(Valid for Washington dentists who do not hold 2021 membership with the WSDA and who are not actively serving full-time in the military.)

Guest ADA Member

(Valid for dentists from outside WA state who hold 2021 membership with the ADA/another state dental association.)

Guest Non-Member (Valid for dentists from outside WA state who do not hold 2021 membership with the ADA/another state dental association.)

Active Military or Foreign Practicing

$175

$1,800

$315 COMMUNITY PARTNER

$795

(Valid for active, full-time military dentists or dentists practicing outside of the U.S.)

$315

Hygienist

$175

Dental Office Staff

(Valid for dental assistants, expanded function dental auxiliaries, and front office staff.)

$140

Dental Lab Technician

$140

Guest

(Valid for non-dental attendees — family, spouse, etc. — sponsored by a registered dentist.)

$140

ADA Graduate Student Member

FREE

Dental Student

PLATINUM SPONSORS

GOLD SPONSORS

FREE

(Valid for dental students in the classes of 2022-2025.)

Auxiliary Student

THANK YOU TO OUR SPONSORS

(Valid for hygienist, assistant, and lab tech students. Must register with code.)

FREE

COVID-19 Safety As we plan PNDC 2021, bringing the dental community together safely is our top priority. We are tracking the status of the COVID-19 pandemic closely and will follow all state and local health guidelines to offer an in-person conference experience that prioritizes the health of our attendees and the community. From enhanced COVID-19 safety protocols across conference venues to reimagining session seating and capacity, we are taking the necessary steps to make PNDC 2021 a safe and successful meeting.

SILVER SPONSOR

BRONZE SPONSOR

PACE APPROVAL

WSDA Ne w s | Summer 2021 | www.wsda.org

NEW MEMBERS

Welcome, New & Reinstated Members! WSDA is excited to welcome the following new and reinstated members who have recently joined our dental community.

18 18

Dr. Lisa Marie Agni

Dr. Emma Etemadi

Dr. John Mattos

Dr. Sonali Sharma

Dr. Zahraa Al Samraie

Dr. Jason Faghih

Dr. Anne Mazure-Schmidt

Dr. Hanyi Shen

Dr. Dina Al-Bassyiouni

Dr. Michelle Falbo McGowan

Dr. Dallas McManamon

Dr. Jiayu Shi

Dr. Joshua Alumbaugh

Dr. Jenny Fang

Dr. Arsen Melkonyan

Dr. Nivedita Shiv

Dr. Morgan Anderson

Dr. Kevin Farr

Dr. Derek Michaud

Dr. Timoteo Silvas

Dr. Fu-Kyong Bai

Dr. Trayvon Foy

Dr. Nathan Miller

Dr. Andrew Smith

Dr. Thomas Beckstrom

Dr. Kaitlyn Frey

Dr. Krisha-Tyra Misa

Dr. Kelsey Smith

Dr. JB Bermudez-Koch

Dr. Garrett Gallinger

Dr. Sarah Mischo

Dr. Samuel Snipes

Dr. Rajwant Bhatti

Dr. Adam Gee

Dr. Mobolaji Moore

Dr. Alexander Snyder

Dr. Jamie Booth

Dr. Deepa Gollamudi

Dr. Kimberly Moorhead

Dr. James Son

Dr. Carson Bowden

Dr. Dilkaranjot Grewal

Dr. Joelle Moussi

Dr. Seoyoun Song

Dr. Brian Brooks

Dr. Katie Griffith

Dr. Sarah Nash

Dr. John Szerszen

Dr. Brittney Brown

Dr. Rebecka Haats

Dr. Pantea Nazeman

Dr. Khiem Tran

Dr. Steven Bunker

Dr. Sonia Hinojosa

Dr. James Nelson

Dr. Jason Tsai

Dr. Rebecca Carrat

Dr. Travis Howey

Dr. Minhhuy Nguyen

Dr. John Turner

Dr. Moises Cervantes-Perez

Dr. Nicholas Hrabik

Dr. Kha Nguyen

Dr. Aneka Vo

Dr. Jenna Cha

Dr. Cole Johnson

Dr. Eyad Nusayr

Dr. Laura Vong

Dr. Japinderjit Chahal

Dr. Minki Kim

Dr. Shagundeep Octain

Dr. Philip Walczak

Dr. Jessica Chen

Dr. Christina Koh

Dr. Lenna Ostenson

Dr. Brian Waller

Dr. Asher Chiu

Dr. Bo Kwok

Dr. Rae Sharleen Paredes

Dr. Jia Wang

Dr. Peter Chong

Dr. Andrew Lane

Dr. Jay Park

Dr. Christine Yeh

Dr. Samuel Chong

Sir Jonathan Lane

Dr. Meghaben Patel

Dr. Jardin Yousef

Dr. Calley Christie

Dr. Danielle LaRue

Dr. Gina Petrarca

Dr. Jiatao Yun

Dr. Surbhi Chugh

Dr. Johnny Le

Dr. Shawn Pham

Dr. Steven Yun

Dr. Kevin Chung

Dr. Rachel Lederman

Dr. Tran Phi

Dr. Derek Zhao

Dr. Josiah Clements

Dr. Youn Seo Lee

Dr. Andrea Pizzini

Dr. Jordan Zumwalt

Dr. Zachary Cook

Dr. Albert Lim

Dr. Vikas Puri

Dr. Tran Dang

Dr. Yuhong Lin

Dr. Xu Qian

Dr. Chase Deiglmeier

Dr. Alan Lopez

Dr. Robert Rosenthal

Dr. Chinh Do

Dr. James Lovelace

Dr. Matthew Rowley

Dr. Bhargavi Dwadasi

Dr. Chenhao Lu

Dr. Richard Ruder

Dr. Mohamed Elameen

Dr. Karol Ludeña

Dr. Kaylee Salesky

Dr. Taylor Ellingsen

Dr. Nicholas Maniatis

Dr. Rapinder Sandhu

Dr. Jake Ericksen

Dr. Micah Marth

Dr. Navneet Singh Sandhu

Dr. Nousha Eslami

Dr. Mika Matsumoto

Dr. Abhimanyu Sharma

WSDA Ne w s | Summer 2021 | www.wsda.org

From March 3-July 23, 2021.

ASSOCIATION UPDATES

2021 WSDA House of Delegates

The 2021 WSDA House of Delegates, the governing body of the Association, will meet Sept. 9-11 at the Davenport Hotel in Spokane. Comprised of voting delegates from each local dental society, the House of Delegates steers Association policy and priorities for the coming year. See a list of resolutions, candidates for elected office and more at www.wsda.org/HOD.

WSDA Strategic Plan

In May, the WSDA Board of Directors adopted an updated Strategic Plan for the Association. Members can log in to view the plan and other governance documents at www.wsda.org/ governance.

If you’re a WSDA member who owns a dental practice, you’re missing out on a great business opportunity by not enrolling in WSDA Retro! WSDA Retro is a group retrospective rating program, or Retro program, offered by the Department of Labor and Industries (L&I). This members-only program provides practice owners a no-cost, no-risk way to earn refunds on workers’ compensation premiums paid to L&I. There is no fee to enroll, you only have to be a member of WSDA. Over time, your refund may cover the cost of your membership dues! In addition to qualifying for refunds on your workers’ compensation premiums, WSDA Retro enrollees also gain support from program administrator ERNwest. The next quarterly WSDA Retro enrollment deadline is Dec. 1. Learn more and sign up at www.wsda.org/retro.

Save the Date for Dental Action Day

Save the date for Dental Action Day, WSDA’s largest annual advocacy event, scheduled for Tuesday, Feb. 1, 2022, in Olympia.

BRACKEN KILLPACK RECOGNIZED AS A YOUNG LEADER IN PSBJ “40 UNDER 40” WSDA Executive Director Bracken Killpack has been named to the Puget Sound Business Journal’s “40 Under 40” list of young local business and community leaders for 2021. Killpack was honored for his commitment to bringing high-quality oral health care to more Washingtonians. In particular, the paper recognized his role in helping WSDA plot a new course in its relations with Delta Dental of Washington and brokering a landmark settlement that gives dentists more say in Delta policies and governance. The impact of the settlement is being seen in new WSDA-Delta cooperative initiatives, such as supporting the transfer and expansion of the Shoreline Community College Dental Hygiene Program to the University of Washington School of Dentistry, and other efforts to jointly address an acute dental hygienist shortage that constrains access to preventive care in Western Washington. His willingness to partner with other organizations has also led to the creation of WSDA-supported dental residencies, in which fully trained and licensed dentists provide up to $700,000 each, per year, in free or reduced fee care to underserved patients. In addition to his ongoing efforts to enhance access to care, Killpack was recognized for his leadership over the past year in coordinating dentistry’s response to the COVID-19 pandemic so that dentists could continue to care for patients and serve the community. Specific contributions included working with dentists to donate excess PPE to front-line responders early in the crisis, coordinating with the state to secure and distribute replacement PPE statewide to enable the safe reopening of dental offices, and responding to the governor’s call for health care providers to encourage their patients to become vaccinated with a statewide public information campaign that included dentist-authored pro-vaccine columns in newspapers in Seattle, Spokane, Tri-Cities, Yakima, and other markets. “This recognition is well deserved,” said WSDA President Dr. Denny Bradshaw. “I know I speak for everyone at WSDA when I say that we are very fortunate and very proud to have Bracken representing us in our dealings with the governor, legislature, local officials, other business leaders, social service providers, and others.”

WSDA Mentor Program Each year, WSDA matches member dentists with University of Washington dental students through the WSDA Mentor Program. Mentor dentists serve as a valuable resource for one or more students during their time in dental school, offering anything from general advice to practice shadowing and more. Learn more at www.wsda.org/mentor. Program sign-ups and Mentor Reception information will be announced in the fall.

WSDA Ne w s | Summer 2021 | www.wsda.org

CANDIDATES FOR WSDA ELECTED POSITIONS

CANDIDATES for WSDA Elected Positions

The following members are running for WSDA elected positions. Elections will occur at the 2021 WSDA House of Delegates, held Sept. 9-11 at the Davenport Hotel in Spokane. Visit www.wsda.org/HOD to learn more about the candidates, see a list of voting delegates from your local dental society, read proposed resolutions and more. Available Positions • President-Elect (1 position) • Board of Directors (8 positions - 4 full term, 4 partial term) • Delegate to the ADA (6 positions - 3 full term, 3 partial term)

WSDA President-Elect Candidate Dr. John Gibbons It has been a privilege to serve on the WSDA’s Board of Directors for the last four years. What a humbling experience to serve with these great volunteer leaders from across the state. This year I am a candidate for the WSDA position of President Elect. Prior to serving on the WSDA Board I had the opportunity to be the President of the Washington State Academy of Pediatric Dentistry (WSAPD), the WSAPD’s Public Policy Advocate, President of the Western Society of Pediatric Dentistry and the Western District Trustee of the American Academy of Pediatric Dentistry. Each of these positions have allowed me to gain an understanding of the important work that organized dentistry does for our members and the patients we serve. The importance of both the WSDA and the ADA were highlighted this last year with their efforts related to the COVID 19 pandemic. Those efforts allowed our profession to reopen on time and stay open even through multiple reoccurring surges. Although we can see a light at the end of the tunnel we still have work to do to assure that our members

WSDA Ne w s | Summer 2021 | www.wsda.org

are able to return their offices to full capacity. Going forward it is important that the WSDA stays positioned to continue to do what is needed to help us transition back to normal. If given the opportunity I would be honored to continue to serve the members of WSDA and promise I will always give all of my energy for what is best for you.

WSDA Board of Directors Candidates Dr. Chris Dorow I want to thank the members of the WSDA House of Delegates for allowing me to serve you over the past 4 years and ask that you consider reelecting me to another term on the WSDA Board of Directors. Wow what a time to have been on the board. I came on to the board with the question of would we engage Delta Dental WA in a lawsuit which we did, and ultimately settled to the benefit of Dentistry’s input into the direction of the state’s biggest dental insurance provider. The association made some difficult cuts to become a leaner and more efficient organization. The legislative agenda saw amazing success not the least of which was educating legislators on the concerns of two tiered dental care in the form of dental

therapists, and despite what seemed to be an insurmountable political circumstance, our efforts overcame that challenge yet again. We engaged in great opportunities like the RETRO program. Then there was this COVID-19 thing that happened……WOW!!!!! Through all this time I’ve seen how important it is to have a board with nimble thinkers with a diverse representation. I am a dentist from one of the smallest components in the state and practice in the small rural town of Othello WA. I’m the only private healthcare provider left in my community and sadly my experience isn’t unique to rural Eastern Washington. As such I feel I provide some unique prospective and experience on a host of issues challenging Dentistry’s future. As to the challenges yet to come, some are obvious, and some thing will likely surprise us. Workforce continues to be a major challenge and we’ll need to be active in our legislative agenda as well as promoting innovative opportunities to address these concerns. Regulatory bodies have become an ever invasive presence in dentistry and we have to remain vigilant in promoting sound oversight as opposed to repressive and unnecessary regulation. We need to keep having a strong legislative presence so that our message gets heard and allows reasonable leaders to make reasonable decisions as they have over the past 11 years on the dental therapist issue. Finally we need a group of nimble and diverse leaders who can quickly

CANDIDATES FOR WSDA ELECTED POSITIONS

access and decisively address the next great opportunity or challenge for the good of our association. My name is Chris Dorow and I’d appreciate you considering me to be part of that leadership again and re-elect me to your WSDA Board of Directors.

Dr. Lisa Egbert Washington dentists face low third-party payer reimbursement, a shortage of qualified auxiliaries, high student debt, and everincreasing regulation. I am running for the WSDA Board to advocate for our profession in a transparent and fiscally responsible manner. For the last five years, I served as an officer for Seattle-King County Dental Society, one of the largest ADA components. My presidential term was anything but typical, beginning with having no Society staff and ending with the mandatory shutdown of dental practices. Committed to SKCDS members, I performed the functions of both President and Executive Director while reassembling the staff. A proven leader, I made difficult decisions for the betterment of the membership during a time of unprecedented challenges. Under my guidance, the Executive Council received ADA governance and leadership training. SKCDS created a new strategic plan, mission statement, and investment policy. The bylaws received a necessary update. A diversity and inclusion initiative was developed and programs for members expanded, including state-mandated continuing education. I am proud that member benefits increased annually, without raising dues. As SKCDS Treasurer and serving on boards for UW Bothell and Cascadia College, I gained experience in governance, budgeting, lobbying, and creating community partnerships. My higher education background is well matched to workforce expansion advocacy. I have the passion, experience, and time to be an effective WSDA Board member and am committed to working through any challenges that arise. I pledge to remain transparent, fiscally responsible, and above all, member-centric. The opportunity to serve is deeply appreciated.

Dr. Joseph de Jesus Dental legislative, regulatory, 3rd party benefit, and workforce issues are and will continue to be significant challenges for our profession. Additionally, graduate indebtedness is affecting the present and future of our profession and Association(s). A knowledgeable and enthusiastic WSDA Board of Directors is important to coordinate long-term efforts to address these issues, and also to act at critical times, this Covid-19 year, to advocate for the practice of dentistry and the importance of maintaining dental care delivery in our state. Over the past decade I have been fortunate and drawn to serve within state and local organized dentistry and have continuously worked to attain a robust knowledge of our profession’s issues. In service on the WSDA Board, it has been especially gratifying to work to continue our Association’s direct support of members, whether it be hand-delivering PPE, guiding responses to legislative and regulatory challenges/opportunities to dental practice, growth of our non-dues revenue to maintain fiscal health to encourage membership, and/ or resolution of the Delta lawsuit. Even with the intensity and difficulties of this pandemic Zoom Board year, I have enjoyed serving on the WSDA Board with our talented Board members and Staff. I would like to continue to apply my efforts and energy to serving on the Board, providing a unique perspective and liaison capability from Thurston-Mason Counties, within walking distance of the Capitol dome.

Dr. Christy Kirchner I am a mom of two young boys, a wife and a solo practitioner who has owned and operated her own business for over 20 yrs. I understand the challenges that face dentistry and like most of you, I am affected by these challenges on a daily basis. I am currently on the task force to address the workforce shortage in our state. I want to continue to work with the WSDA to find lasting long term solutions to the current workforce shortage. I would be

honored to serve another three years on the Board of Directors and continue my work to improve organized dentistry in Washington State.

Dr. Mark Koday I have served on the WSDA Board of Directors for the past 3 years. I am also a member of the Board’s Committee on Regulatory Affairs helping to fight onerous regulations detrimental to our profession. Currently, I chair its 2021 Legislative Task Force that monitors and develops strategies to fashion and/or defeat proposed legislation affecting dentistry. While I come from the world of community health and feel a viable public sector is needed for those populations living in poverty, I believe that a strong, healthy private sector is absolutely critical to dentistry. Our profession is facing great pressures and it undergoing major changes. Change itself is a normal process and nothing to fear but we must be vigilant in our analysis of those changes and vigorously challenge any we find are detrimental to our ability to care for our patients. I believe supporting our members is the primary responsibility of the WSDA Board. I believe a strong profession is critical for the oral health of our patients and communities. It has been a true honor to serve on the Board and hope you’ll allow me to serve another term. Thank you! Mark Koday

Dr. Liselotte (Lilo) MannionBlack As a dentist and small business owner, I have been the benefactor of the work and advocacy of those before me who have fought for, and led, our organization through the many challenges our industry has faced. Our mission statement to “empower dentists to advocate for and provide optimal oral healthcare”, is only possible when our systems and institutions share the same vision. It is my belief that as a member of the Board of Directors, I would be able to contribute

WSDA Ne w s | Summer 2021 | www.wsda.org

CANDIDATES FOR WSDA ELECTED POSITIONS

to our mission in my ability to see the whole picture and the integration of systems, tempered with thoughtful analysis. The face of our industry and even the delivery, has changed over the last decades, and we as an organization need to remain nimble to help meet the challenges that our colleagues encounter. On a personal side, my husband Eric and I are the parents of two adult sons and two black labs. You would likely find me hiking our local trails, working in my garden, or sampling the latest Tri-City wines.

Dr. Blake McKinley Dentistry affords many opportunities. Whether owning and operating your own business in a manner that suits your personality, providing care in a community service setting, or teaching in the university setting. The WSDA provides the opportunity to participate in a collaborative effort to maintain a strong and viable dental health care model. The WSDA accomplishes this through the PNDC, DentPAC, WOHF, Budget & Finance Committee, and tireless WSDA staff support, all under the direction of the Board of Directors. However, there are forces out there that for which vigilance must be maintained in order to safeguard the delivery of dental health to Washington State citizens. The COVID-19 pandemic demonstrated how important strong WSDA leadership is; which helped get dentists back online after being shut down by the state government while at the same time bring an end to the lawsuit with DDWA in a mutually beneficial manner. I have been fortunate to participate at the society and state levels. For the Spokane District Dental Society, a variety of committee positions, and leadership chairs, including president, and until recently as an Executive Council Alternate. Currently, I am a Delegate to the House and I serve on the SDDS Budget & Finance Committee. At the state level I have served on the PNDC Committee, DentPAC Board, and Budget & Finance Committee. I am currently on the WSDA BOD. Through these positions I have developed a good foundation for the operations of the WSDA. I would appreciate your continued support for the WSDA BOD.

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Dr. Kim Nordberg My father was the model for my dental career choice. He had a “servant heart” and served his clients faithfully for over 50 years as a barber. I admired the rich long term relationships with many lifetime customers. Dentistry has allowed me the same wonderful opportunity to develop long term relationships serving. In addition Dentistry has allowed me to serve the poor in Guatemala at the same time mentoring USC, UCLA, Loma Linda, and UofP dental students these 18 years. I dearly love these diverse avenues! My primary motivation to serve on our WSDA board has been to help upright our economic and workforce problems in Washington. We continue in a downward economic spiral over the last 10 years operating in a 60% of 2011 reimbursement model, led in WA by WDS. I am proud of the heroic fight we at WSDA waged and negotiated a “seat at the WDS table” but it is only a beginning! WDS’s unilateral and unfair EOB contract policies continue to penalize and punish dentists that are trying to do conservative, ethical and quality care. We must double our efforts to demand that WDS actually becomes an advocate for their dentist “partner/stakeholders” and refuse to sell and write EOB policies that downgrade and disallow procedures our patients need. It is also a painful reality we are in a severe workforce shortage crisis that also hurts our economic survival and ability to keep our doors open. During my last 3 years on our workforce taskforce committee we have explored strategies to train assistants and expand hygienist numbers. I am personally most excited about private hygiene program expansions. We Nordbergs are a dental family of 2 dentists, 2 orthodontists, and 1 hygienist. We love our profession as it allows us to serve. I am “all in.” Sincerely, Kim Nordberg

Dr. William Petersen I have been retired from dentistry for the last two years. I have been very active in both the state and my local dental society for then last nine years. I served as President of the SDDS, Delegate to the House for six years, Chairman of the Budget and Finance for the WSDA, and am currently on the Executive Committee of the SDDS. I foresee many challenges for dentistry in the coming years: among which are ownership and management of corporate dental practices, supervision of dental therapists, decline in membership of the WSDA, cost of dental education, and universal health (dental) care. I believe that it is only a matter of a few years before we will have national health care followed by national dental care. I believe that the solo dental practice will be replaced by large group clinics. It will be imperative that a dentist has control over all dental treatment. The great challenge will be how can dentists meet the demand for all the dental treatment that will be demanded by all those individuals who have neglected dental treatment. I foresee the need for dental therapists at this time. We must ensure that they are working under the supervision of a dentist. I feel that having experienced many changes that were very controversial over my many years of practice that I have the insight that would be beneficial in formulating solutions to these challenges. My biggest strength is that I am great at thinking outside the box. I am asking for your vote and want to thank you in advance for it.

Dr. Daniel Tremblay I am running for WSDA Board of Directors because I have a passion and ability to actively listen to the needs of our members, increase participation by new dentists, and work towards effective changes for our profession. There are a number of issues facing dentistry, but one of the most important is safeguarding against the unlicensed practice of dentistry by non-dentist third parties and preventing any non-dentist from interfering with a

CANDIDATES FOR WSDA ELECTED POSITIONS

licensed dentist’s independent clinical judgement. With the WSDA/SKCDS, I have advocated for legislation aimed at protecting the doctor-patient relationship and increasing access to quality, affordable dental care in our state. Moreover, I will continue to work for transparency and effective changes to insurance companies to ensure that their members are heard and patient care, not profit, is their top priority. Moving forward, we need to investigate ways to proactively introduce measures that address the workforce shortage in dentistry and increasing student debt load, recognizing its potential influence on graduates and their job choices. By doing so, we can work to preserve the integrity of our profession by advocating against changes that would hinder dentists ability to provide quality care to all individuals. I am confident that my leadership skills, as well as firsthand experience with the challenges young dentists face will allow me to excel in this position and bring a fresh perspective to the Board role, while working to serve all Washington dentists.

Delegate to the ADA Candidates Dr. Christopher Delecki In 1996, I was elected and served two years as the at-large USPHS Delegate to the ADA House (HOD). For the past three years I have been a WSDA Delegate to the ADA HOD as the President Elect, President, and Immediate Past President. With this experience and background of knowing how the ADA HOD functions, I am confident that I will be a valued and contributing member of the ADA House of Delegates. My educational and professional experiences also make me an exceptional candidate who will bring an outstanding and varied skill set to the ADA House. As a practicing dentist, with significant proficiencies in community and public health dentistry, I can provide a unique perspective on many of the issues and challenges dentistry faces today and in the

future. I have also been involved in dental education at all levels of the dental team development. I’ve been an affiliate faculty member at the University of Washington, School of Dentistry and mentor for dental students and residents. For over 20 years I have taught both dental assisting and dental hygiene students. Finally, I am member of the ADA’s Council on Advocacy for Access and Prevention (CAAP). As a member of this ADA council, I have gained and maintain a unique understanding of the ADA’s strategic plan, fiscal operations and its members’ concern. These many facets of my knowledge and experience position me well in representing WSDA members at the national level as a member of the ADA House of Delegates.

I enjoy getting to be the voice for my peers and for my profession. As a member of the delegation these past two years, we have gotten together to debate issues and bring forth and champion causes that are important to us, our colleagues, and our patients. I hope to have the opportunity to continue this work by serving in this capacity. Thank you very much for your time and consideration.

Dr. B. J. Larson I want express my gratitude for your trust in allowing me to serve you and our wonderful profession through so many varied positions over these many years. It seems as if this past year or so has been put on hold by the virus. I look forward to meeting again soon with our colleagues from across this country and the world of dentistry just as we used to. Albeit with a few more precautions and a whole lot wiser!

Dr. Bryan Edgar My delegate experience began in 1995 at the AGD HOD & AADB General Assembly and 1997 at the ADA HOD. I served as the Parliamentarian for the AADB for 12 years. During my 6 years as Speaker of AGD I have learned the various nuances of parliamentary debate at a level where it has become 2nd nature. Over the years I have learned this skill at a high level to get things done and help our caucus members become more effective. My goal is to aid in maintaining the strength of our strong caucus and pass this skill on to others. Thank you for the opportunity.

The ADA House of Delegates is an in person, face to face type of governing body and purposeful effectiveness is diminished over the internet. The Zoom house was interesting and certainly better than no meeting at all. However in my opinion its best attribute was convenience. Very little was accomplished.

Dr. Emily Hobart I would like to officially submit my name for consideration for the position of delegate for the House of Delegates of the American Dental Association. I was appointed as an alternate delegate for the 2020 house, but I ended up getting “promoted” to a full delegate. It was interesting to participate in the first virtual house and to vote via my cell phone, although I still feel like I learned a lot. This year I was appointed as an alternate delegate for the 2021 house and I am looking forward to participating live and in-person in Las Vegas. Although this will be my first live house for the American Dental Association, I served two years as a delegate for the American Student Dental Association and three years as a delegate for the Washington State Dental Association, so I have experience.

I ask that you grant me another term as ADA Delegate so I can attempt to get some of the changes, that I think would benefit us all, through the labyrinth that is our national organization. Hopefully with Linda Edgar as President Elect that will be an easier endeavor. The time for constructive change could be at hand, I humbly ask for your vote so that I can assist our talented Delegation in making that happen!

Dr. Cynthia Pauley I have many goals in running for ADA delegate and the following is a brief overview of a few of them. If anyone wishes to further this conversation, I am always available by phone, text or email for any and all questions. I take this position very seriously as the delegate position is a representative one, which will always mean my voice is a collective of all the members I represent.

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CANDIDATES FOR WSDA ELECTED POSITIONS

My number one goal is to make sure I help the ADA stay focused on the needs of its membership. Having served as an ADA delegate, it is my opinion that you have a voice at the ADA only if you use it. I spoke up and I am proud to have been part of getting the ADA resolution passed to help fund states across the country in their fight against unfair insurance practices. We must continue to let the ADA know this is a fight they must continue to partake in and it is definitely not something to sit on the sidelines for. My number two goal is to utilize our voice for strong advocacy. We are uniquely positioned at the ADA to speak for dentistry in meaningful and powerful ways. The ADA continues to represent a majority of dentists and this gives us the ability to speak with authority for dentistry in this country. We must not let our message be diluted or minimized. The ADA exists for one reason and one reason only, and that is to represent and advocate for its member dentists. The most important and prioritized item on any agenda must be the needs of those member dentists. My third driving goal will be workforce issues. Locally and across the country,

the dental field is experiencing workforce shortages at every level. Besides the intense stress the individual dentist experiences working through this shortage, it greatly impacts the ability to deliver care to our patients. We need ADA policies and strategies to help change that narrative on local and national platforms to address these shortages. I humbly ask for your vote and support for my selection as an ADA delegate, Cindy Pauley DDS

Dr. Mary Smith It has been my honor to serve WSDA in many areas during my career. I am asking for your support so I can continue to serve as a mentor to our future leaders. I believe I have a unique set of qualifications and experiences that will help our delegation to be successful. As a former ADA Trustee and ADA House of Delegates member, I understand the workings of the House of Delegates, Councils and Committees. This allows me to assist in

WSDA Governance: What’s Happening with Your Association? Stay up to date on Association business by visiting the WSDA Governance page. Visit www.wsda.org/governance to view WSDA’s Bylaws, Board of Directors minutes, House of Delegates resolutions, Strategic Plan, financial statements and more.

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crafting resolutions to that speak to the needs and wishes of our members. As a former officer of WSDA, I am familiar with the unique needs of Washington State and the political waters we must navigate to reach solutions. As a member of the faculty of UW SOD, I see first-hand the difficulties and obstacles facing our students and recent graduates. In my position as the clinical director for RIDE, our mission is to educate dentists to serve in rural and underserved areas. The program has been successful and is serving as a national model. As a member of the UW SOD Admissions Committee, I am working with the committee to ensure our admissions process is fair and inclusive. The opportunity to have these discussions on a national level is paramount to developing our profession for the future. I am asking for the opportunity to continue to work with our leaders to keep our profession strong. Please support me with your vote. Thank you. n W

2021 Legislative Session Summary

ashington state’s 105day legislative session adjourned, on time, on Sunday, April 25, 2021. Occurring in odd-numbered years, the 105day session is the first half of the biennium, during which legislators must pass the state’s biennial budget. Due to the pandemic, this session was conducted virtually, which significantly altered advocacy efforts. In an attempt to focus the workload of a virtual session, majority democrats instructed their members to introduce no more than 6 bills and advised that bills would be more likely to advance if they addressed COVID-19 challenges, improved racial equity, advanced economic recovery, addressed climate change, or increased revenue. While this was an admirable goal, there were still several pieces of legislation introduced this session that deviated from the aforementioned categories. With the introduction of 811 bills and the passage of 337 bills, WSDA tracked several bills regarding dental-specific issues, health care, COVID-19 relief, taxes, small business issues, employer/employee matters, and more.

Issues Summarized

Health Care Legislation • Dental Therapists • Requiring Health Equity Continuing Education

• Establishment of Comprehensive Health Districts • Creating the Universal Health Care Commission • Reimbursement of Audio-only Telemedicine • Establishing the School-based Health Center Program Office • Provider PPE Reimbursement

Budget Highlights • Medicaid Reimbursement Rate Increase • Dental Therapy Task Force • Access to Baby and Child Dentistry Program Funding • Dentist Link • University of Washington School of Dentistry Funding

Business & Employer/ Employee-Related Legislation • Providing Tax Relief from the B&O Tax, PUT, and Retail Sales Tax • A Step Toward Unemployment Insurance Relief • Additional Relief for Unemployment Insurance • Adopting Considerations for Proof of Injury and Standard of Care During COVID-19

• Increasing Benefits for Health Care Workers During a Public Health Emergency • Accommodating Voluntary Use of Personal Protective Equipment • Alternate Requirements to Qualify for Paid Leave • Expanding the Definition of Family Member for Paid Leave Coverage • Enacting a Capital Gains Tax • Modifying the Long-Term Services Trust

Visit www.wsda.org/advocacy to read the full summary. Stay Informed Sign up for WSDA’s text message-based action alert system. Signing up will enable you to receive updates on your phone at the moment action is most necessary on critical dental issues. To sign up, text “WSDA” to “52886” Once you text “WSDA” to “52886,” you will be asked for your name, the zip code where you are registered to vote, and your email address. After answering those questions, you will be entered into the system and will receive a text message every time we need you to respond to an action alert. n W

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GIVING BACK

Vaccine Volunteers: Dentistry’s Shot to Further Protect Our Communities When volunteers from a broad selection of health care fields were needed to support Washington state’s COVID-19 vaccine rollout, dentists and their teams stepped up to help protect their communities through vaccination.

UW alumni Dr. Simone Kim (left), Dr. Penny Leong (center), and Dr. Alice Dellisanti (right) volunteer to administer COVID-19 vaccinations at the Lumen Field Mass Vaccination Site in Seattle. Dr. John Deviny participates in a clinical training held at the Olympia Union Gospel Mission Dental Clinic, organized by the Capitol Dental Hygiene Society with the support of WSDHA and under direction of Kathy Savatini, PA-C. Back Row, L to R: Sheila Norton, RDH; Linda Clover, RDH; Pixie Needham, RDH; Sheryl Disney, RDH; Cheryl Deviny, RDH; Kathy Savatini, PA-C, Clinical Trainer. Front: Dr. John Deviny.

Photo Credit: Dr. Alice Dellisanti

Photo Credit: Dr. John Deviny

“I’ve had the honor of volunteering in multiple capacities for the COVID-19 vaccination clinics. Vaccine preparation, vaccine distribution, and serving as a vaccinator. My fanny pack has traveled with me on mission trips all over the world. This outreach providing lifesaving COVID-19 vaccines at home may rank as one of the most important missions my fanny pack has participated in.” – Dr. Nhi Pham Photo Credit: Dr. Nhi Pham

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Volunteers, including Drs. Nhi Pham and Carrie York, pose for a “Vaccination Clinic Fanny Pack Runway” at the Lumen Field Mass Vaccination Site in Seattle. L to R: Dr. Nhi Pham; Stephanie Hegewald, RN; Erica Sperring, RN; Dr. Carrie York; Lisa Lundgren, RN; Jennifer Fricas, PhD, MPH, RN. Photo Credit: Dr. Nhi Pham

GIVING BACK

Dr. Aditi Agarwal awaits a patient at the Lumen Field Mass Vaccination Site in Seattle.

Dr. Aditi Agarwal administers a COVID-19 vaccine at the Lumen Field Mass Vaccination Site in Seattle.

Photo Credit: KUOW

Photo Credit: REUTERS/Lindsey Wasson

Dr. Theresa Madden poses with a patient — excited to receive a COVID-19 vaccine on the first day of teenage eligibility — while volunteering with FEMA in Norfolk, VA. Photo Credit: Dr. Theresa Madden, with Permission

Snohomish County Dental Society Past-President Dr. B. Ardi Pribadi volunteers at a COVID-19 vaccination site in Snohomish County. Photo Credit: Dr. B. Ardi Pribadi

Dr. Doug Gordon administers a COVID-19 vaccine during a Department of Health drive-through vaccination clinic in Tumwater.

Dr. Theresa Madden (center), other volunteers, and members of the National Guard vaccinate over 1,000 patients on one day during a Department of Health drive-through vaccination clinic in Tumwater.

Photo Credit: Dr. Theresa Madden

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Championing COVID-19 Vaccines Across Washington State As trusted health care providers, dentists can play a critical role in encouraging vaccine uptake among their patients and communities. Earlier this year, WSDA worked with dentists across the state to publish articles aimed at educating the public and encouraging COVID-19 vaccination.

Please don’t hesitate to vaccinate — a plea from three physicians (Seattle Times, April 25, 2021) “Our sincere belief based on years of medical experience is that vaccination is the most important thing you can do right now to help fight the spread of COVID-19 and safely return a sense of normality to our daily lives… The more people are vaccinated, even those who have already had COVID-19, the safer our community will become and the sooner we all can return to the activities we normally enjoy.” — WSDA President Dr. Dennis Bradshaw, in conjunction with the presidents of the Washington State Medical Association and Optometric Physicians of Washington

Your shot to make our community safer (SpokesmanReview, April 28, 2021) “[Foregoing the vaccine] means missing out on a safe and convenient means to help protect not only yourself, your family and your friends, but also our entire community. It’s a prudent step, much like we take when we brush our teeth, or buckle our seatbelts, or wear a mask in public. The risks are low and the benefits can be lifesaving.” — Spokane District Dental Society President Dr. Elisabeth Warder

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Time to roll up our sleeves and make the Tri-Cities safer (TriCity Herald, April 19, 2021) “As a dentist, my team and I care for our patients’ oral and overall health. Throughout the COVID-19 pandemic, we have put everyone’s health and safety first by taking extra steps to help prevent the spread of the virus in our office. The same goes for my colleagues throughout dentistry and for our peers in other parts of the health care system. This commitment to protecting myself, my family, and the people I serve was the reason I got my COVID-19 vaccination as soon as it was made available to me.” — WSDA President Dr. Dennis Bradshaw

Weighing risks, benefits favors getting vaccine (Everett Herald, April 29, 2021) “As a pediatric dentist, I have an obligation to protect my coworkers, my patients, and their families. As a spouse, a mother to young children, and as a daughter, I am committed to protecting my loved ones. And as a dentist in Snohomish County, I want our entire community to be as safe and healthy as possible. For all these reasons, I also have encouraged my coworkers and patient families to get the vaccine.” — WSDA member Dr. Harlyn Susarla

The case for COVID-19 vaccination (Walla Walla Union-Bulletin, April 23, 2021) “The COVID-19 virus is relentless and does not discriminate when it comes to infection. All aspects of our daily lives — the grocery store, schools, restaurants and churches — have adjusted to provide safe experiences for the public and help us all resume some sense of normalcy. I believe we can each do our part to help our community be even healthier by wearing masks and, yes, getting vaccinated.” — WSDA Board member Dr. Pat Sharkey

Saturday Soapbox: Don’t let fear guide COVID-19 vaccine decisions (Yakima Herald, May 15, 2021) “Scientists have been working on the technology to develop coronavirus vaccines long before we heard of COVID-19. According to USA Today, COVID-19’s spike protein was identified nearly 20 years ago as a potential vaccine target following the 2003 SARS outbreak. This laid the groundwork for the intensive vaccine development effort over the past year. Because there was significant research for scientists to build on in developing the COVID-19 vaccine — it was not “rushed,” as some may suggest. Recent scientific advances further accelerated the vaccines’ development. Nearly unprecedented international collaboration and significant investments by pharmaceutical companies were also directed to solve this medical crisis. Despite the urgency to bring vaccines to market, each vaccine was still put through rigorous testing protocols for effectiveness and safety. ” – WSDA Board member Dr. Mark Koday

Dentists can continue to play a role in increasing our state’s vaccination rate by talking to their patients about COVID-19 vaccines. Visit www.ADA. org/virus to access patient communication resources, updated vaccine information and more.

GUEST EDITORIAL

The Best of Times & the Worst of Times: Reflections on an Unprecedented Presidency

ooking back over my last two years as WSDA president, I have mixed emotions. As the old saying goes, “It was the best of times, it was the worst of times.” That pretty much sums it up — pen drop! Thinking back to September 2019, as I started what I thought would be one year as your elected leader, I was excited and somewhat nervous. So many great WSDA leaders had served before me, and I genuinely wondered if I could measure up to their examples. I worried about whether I could balance the time requirements of this position with the demands of my practice and my personal life. But I love a good challenge and I was ready for whatever would come my way. Or so I thought. As I started visiting component societies and attending the extra meetings, I kept a time tracker and was so proud of myself for keeping up with my responsibilities. The WSDA Board was working on our next 3-year strategic plan, helping students at the UW dental school, supporting bills making it easier for hygienists to come to Washington and making it harder for giant corporations to operate here in ways that don’t always reflect well on our profession. These were all important issues for the future of dentistry. Then it all changed. I remember driving to Olympia for Dental Action Day in late January 2020 with Kainoa Trotter, WSDA’s assistant executive director. We were talking about the first COVID patient having just been diagnosed in Washington. It sounded scary, but I was sure it would be a minor bump in the road. Damn, was I wrong! On March 19, 2020, dentistry’s “worst of times” moment hit, when we followed the guidance of the Department of Health and closed our doors to all but emergency care while public health experts tried to figure out what was safe and what wasn’t. I thought I had been busy with my presidential responsibilities before, but COVID took things to a whole new level. Your leadership team held virtual meetings 5-6 days a week, plus countless hours spent in between, figuring out what WSDA could do to help our members. Responding to the COVID-19 pandemic was an immense challenge, and we did our very

best. For some, it wasn’t enough. However, for many, we provided crucial guidance and communication as we all moved through a pandemic environment for which no one had all the answers. I am very proud of the work your WSDA volunteer leaders and staff did and continue to do today in responding to the virus — thankfully on a less intense scale. One silver lining in that very dark cloud is that the challenge of the pandemic led us toward our “best of times.” We were able to break down a long-standing barrier and actually talk with Delta Dental of Washington leaders — not about our differences or our lawsuit, but about working together to help dentists and patients. This was a monumental shift in our relationship which led to months of negotiating a settlement to our lawsuit and the creation of a Memorandum of Understanding between our organizations. That agreement has paved the way for WSDA and DDWA to work together in addressing governance reforms, the dental workforce shortage, and potential legislation to help dentists and patients in the future. There will be much more to come on these collaborations.

Dr. Dennis Bradshaw President, WSDA

“We were able to break down a long-standing barrier and actually talk with Delta Dental of Washington leaders — not about our differences or our lawsuit, but about working together to help dentists and patients.”

So, while it has been a difficult journey, it has been a rewarding one, as well. I’m not at all sorry that I was here, at this time, to work on these issues. I know I will look back on my term as your president with very few regrets. Thank you to everyone who reached out with your calls, emails, and notes of support. They meant a lot at the time and continue to mean a lot to me now. Thanks, too, to those of you who posed questions and challenged answers along the way. That’s how we all get better. Come September 11, 2021, I will hand the gavel over to your next leader, Dr. Ashley Ulmer. She is very smart and committed to serving our profession — both those working in it today and those who are to come. I am 100 percent confident that, under her leadership and those who follow her, WSDA will continue to be a force for making the delivery of optimal oral health care an obtainable goal for everyone in Washington. Here’s to far more “best of times” ahead! n W

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.

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2021-2022 WSDA President

Dr. Ashley Ulmer QUICK BITES 2021-2022 WSDA President

Dr. Ashley Ulmer • Resides: Spokane, Washington • Undergraduate Education: Eastern Washington University • Dental School: University of Washington (2003) • Residencies: Veterans Administration in San Antonio and Seattle • Practice: Smiles by Dr. Ashley, a Solo Private Practice • Joined WSDA: 2005 • Interests: Church, Family, Gardening, Reading, Working Out (CrossFit and Powerlifting)

here’s an old saying in volunteer organizations: When you have a big job to be done, look for someone who’s already busy.

That’s the approach WSDA members have taken in electing Dr. Ashley Ulmer to serve as the next president of the Washington State Dental Association. In addition to leading a successful dental practice in Spokane and taking on leadership roles within WSDA, she volunteers with Spokane’s Inland Dental Expanded Access (IDEA) Clinic, helps out with her family’s business, is active in her church, avidly gardens, and is even an award-winning powerlifter!

father runs a commercial roofing company and serves as a lay pastor at their church. Both brothers work with him in the business and Ulmer chips in to help with some of the bookkeeping.

HOME IS WHERE HER HEART IS Despite her many interests and commitments, Ulmer considers herself a homebody. She and her husband Erik Gilbertson, an electrical contractor, live in a comfortable bungalow in a modest North Spokane neighborhood, across the street from the house in which she grew up. Her brother Justin lives in that house now, with her parents, Ron and Rhonda, occupying an apartment over the garage. Another brother Auston lives just down the street, so it seems like a family compound, a feeling reinforced when one of the brothers swings by on a riding mower to cut her lawn. Her

“My dad is my hero,” Ulmer says. “He grew up here, too, so his roots in the community are deep. He does a lot of work for people who need help; not just going to fundraisers but giving people jobs and mentoring them. I’ve learned a lot from him.” Given such close family ties, it didn’t come as much of a surprise when it was time to choose a college and she opted to remain nearby, attending Eastern Washington University. While at Eastern, she was considering some kind of medical career, but fate intervened with the need to have a couple cavities filled. While in her dentist’s office, something “just clicked,” she says. “The mix of the profession and the business activity of the office was so alluring.”

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Dr. Ulmer sees a patient at her Spokane family dental practice, “Smiles by Dr. Ashley.”

She spent a year going into that office to observe and learn as much as she could about the profession before heading over the mountains to attend the University of Washington School of Dentistry. After graduating from dental school in 2003, she spent two years in residencies with the Veteran’s Administration in San Antonio and Seattle. “Working at the VA was a very powerful opportunity,” she recalls. “There was an unending population of patients and almost no limits on resources, so we could really concentrate on the care we were providing. I learned a lot.”

SAVED BY WSDA Returning to Spokane in 2005, she bought a solo practice. But things were rocky at first.

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The practice had plenty of patients on the books, but that didn’t mean they were active or coming in for regular check-ups or other care. Looking back on those early days, Ulmer says, “It was a tumultuous time, because I didn’t realize that I was starting from a deficit position. I slowly learned the business aspects of running a successful practice. I was funneling all my money back into the practice, and it took time to make it successful.” Along the way, Ulmer got involved with her local Spokane District Dental Society and with WSDA. “WSDA saved me,” she says. “I was working on a practice that wasn’t yet thriving and I felt isolated. It was so good to come together with others for camaraderie, mentorship, and

“Working at the VA was a very powerful opportunity,” she recalls. “There was an unending population of patients and almost no limits on resources, so we could really concentrate on the care we were providing. I learned a lot.” advice. At every meeting, I’d pick up some pearls of wisdom to apply to my practice.” Today, Ulmer’s “Smiles by Dr. Ashley” family dentistry practice is thriving. It’s a highly personal practice, with no associate

dentists, and a relatively small staff of two hygienists, two assistants, and one frontoffice employee. The structure provides the flexibility to accommodate Ulmer’s volunteer pursuits, including her commitment to WSDA. “I’ve crafted my practice to work around my WSDA involvement and allow me the time to stay involved,” she says. “The knowledge you receive from the members and the info you receive from the association, especially if you take the time to be involved, makes you a better dentist.” Her approach to time management reinforces what Ulmer thinks makes a successful dental practice. “To have a successful practice, you first need to have your own definition of success. You need to know yourself and build your practice model in a way that makes you happy to go to work. Whether you want the business management responsibility or want to just focus on care, for instance. If you don’t feel good about how you’re spending your time, you’re not going to be treating your patients well. Even if you’re making lots of money, it won’t be satisfying.”

MOVING INTO LEADERSHIP Eventually, Ulmer decided that she and her practice were in a position where she could begin serving in WSDA leadership: “I felt strongly that it was my chance to give back for the way WSDA took care of me.” After serving on the board for about a decade, she began what she calls “an organic progression” through the officer chairs. Now, stepping into the presidency, Ulmer brings a combination of gender, geography and age to the position which hasn’t been represented in two decades. Not only is she a woman from Eastern Washington, but she will also be one of the youngest WSDA presidents ever.

“Ashley has an amazing gift of seeing people for who they are and listening hard to what they are saying and where they are coming from with honesty and integrity,” Pauley says. “I’m proud to have this incredible woman representing us around the state and the country in the coming year.”

“Everyone brings their own stuff to the table and teams need to work out how to get through all of that to make progress as a team.” better,” she declares. She adds that WSDA has created a work group on diversity, equity and inclusion to gather ideas on what can be done operationally and ideologically to make WSDA an even more welcoming environment for a diverse membership serving a diverse public. “Everyone brings their own stuff to the table and teams need to work out how to get through all of that to make progress as a team.” “During the pandemic, I really appreciated the diversity of WSDA’s communications with the board and the membership. We couldn’t have in-person meetings, but the organization did a good job in maintaining meaningful outreach,” she says. “Now that we can meet face-to-face again, we have a great opportunity, provided we have clear intentions behind every communication and action we take.” Cindy Pauley, who knows something about what it takes to successfully lead WSDA, has no doubt that Ulmer will make the most of the opportunity.

Dr. Nathan Russell, who has been friends with Ulmer since they studied human anatomy together in their first year of dental school, agrees. “She loves life and people, and is a wellrounded, good-intentioned individual,” Russell says. “She listens and is extremely good at consensus building.” In keeping with her emphasis on good communication and consensus building, Ulmer recently sent every WSDA board member a copy of High Conflict, a New York Times bestseller that focuses on effective communication. She sees strong communication as a key in the coming year. It’s no accident that she has read the book, as she commits herself to reading at least one book on leadership or a health-related subject each quarter — a goal that’s routinely exceeded.

A CHANGING PROFESSION Even with the stresses of the COVID-19 pandemic beginning to ease, Ulmer will be stepping into the WSDA presidency at a time

A 2013 article in The Spokesman Review covering the restoration of adult dental Medicaid coverage in Washington features Dr. Ulmer, then-director of the Spokane IDEA Clinic, fitting a Medicaid patient with dentures.

That could be why one of her top priorities as president is inclusion. “At both the ADA and WSDA, we’re trying to make our associations look more like the profession and more like the patients we serve. We want to get anyone who is interested in an issue to step forward and get involved. We want to hear different voices from different backgrounds and different types of practices. Everyone has something to add to make the profession

WSDA Ne w s | Summer 2021 | www.wsda.org

Dr. Ulmer’s dental practice, “Smiles by Dr. Ashley,” is a highly personal practice, with no associate dentists, and a relatively small staff of two hygienists, two assistants, and one front-office employee.

when the profession faces serious challenges.

careers in dentistry are all about.”

At the top of that list is staffing.

Another challenge she sees is supporting recent dental school graduates just starting their careers.

“Finding and keeping good, quality staff is a major challenge. It’s a lot of work ensuring that they’re trained, that they have positive attitudes, and that they recognize their role in the team,” she explains. “The supply of qualified candidates is way down.” Ulmer points to a number of WSDA initiatives helping to address this challenge, including the partnership on workforce issues with Delta Dental, efforts to support the Shoreline Community College hygiene program at the UW School of Dentistry, legislative proposals to expand scope for dental auxiliaries, and the work of a new WSDA task force examining what it will take to train more dental hygienists and dental assistants. “We need to be doing more outreach,” she argues. “Starting at the junior high level, we need young people to understand what

WSDA Ne w s | Summer 2021 | www.wsda.org

“Dentistry is the most expensive program to be trained in throughout all of healthcare,” Ulmer explains. “Students are leaving dental school with six times as much debt as when I

“Some of the nuts and bolts of dentistry don’t really change much, but our profession will need to continue to provide more personalized and individualized treatment for each patient’s success.”

graduated less than 20 years ago. They leave with so much debt that they have to make money right now to start paying off those loans, and we’re seeing more practice models as a result.” Staffing and educational expenses are just two of the major challenges facing dentistry today and in the future. Technological innovation continues to accelerate, dealing with reimbursement rates that don’t keep up with rising costs, and an increasing emphasis on total body care all will bring further changes. “Some of the nuts and bolts of dentistry don’t really change much, but our profession will need to continue to provide more personalized and individualized treatment for each patient’s success,” she says.

“Patients are sometimes their own best physician. They can tell you what you need to know if you can just slow down and listen to them. You don’t always have to be the expert; sometimes it’s better if you’re their mirror.” ALWAYS LEARNING Looking back at where she’s been and thinking about where she’s going comes naturally to Ulmer. She considers herself a student of history, both in her reading and in her entertainment preferences. Historically based Masterpiece Theatre series like “Poldark” and “Downton Abbey” are among her favorite programs. She also gleans important life lessons from her personal history. “When you’re younger, you may do things primarily because they’re fun,” Ulmer remembers. “But then you look back and realize what you learned along the way.” As an example, she feels that working with youth in her church helped her learn to value the mentorship role and to be a better mentor to others. She says she also learns from her patients by listening closely to them.

to see Medicaid patients, but over time she concluded that serving that population — one all too often overlooked — is important. So now, in addition to providing some care to teen patients covered by Medicaid within her practice, she also volunteers at the IDEA Clinic. Sponsored by the Spokane District Dental Society in conjunction with the Yakima Valley Farm Workers Clinic and Riverstone Family Health, the IDEA Clinic serves adult Medicaid patients. A group of local dentists take volunteer rotations to provide a combination of general and specialty care. As usual, Ulmer ended up taking a leadership role, according to Dr. Nick Velis, another clinic volunteer. “She worked as our foundation’s clinical director when we were in need of someone to help provide care for these underserved patients. She would take patients into her office if they needed to be seen outside of her days working at the clinic,” he recalls. Ulmer found the work extremely satisfying, even if clinic patients can be a tough population to serve, sometimes proving difficult to contact and often less-than-reliable about showing up for appointments. The hoops that have to be jumped through to

secure state benefits are another challenge. But the IDEA Clinic remains a success and continues to attract patients from throughout Eastern Washington and sometimes beyond. Seeing Ulmer contribute to the success of the IDEA Clinic comes as no surprise to Dr. Amy Winston, who also has known her since she was in dental school. “Ashley lives a life of service and seeks opportunities to impact the lives of the most vulnerable patients in our state. She’s spent countless hours volunteering her time both in dental and non-dental capacities. When Providence Sacred Heart expressed interest in starting a dental residency, Ashley was the first person I called. She served on the steering committee, planned and participated in fundraisers, and lobbied lawmakers to secure funding. I can honestly say that without her involvement, this program would not exist,” Winston says. Explaining her multiple volunteer contributions, Ulmer says simply, “The state system isn’t perfect, but it’s what we have to work with.” Maybe improving that system is the next big challenge this busy person will take on when her WSDA term is over. n W

Ulmer (second from left) poses with her team during a powerlifting competition in 2016.

“Patients are sometimes their own best physician. They can tell you what you need to know if you can just slow down and listen to them. You don’t always have to be the expert; sometimes it’s better if you’re their mirror,” she says. Ulmer is also quick to apply lessons learned in one setting to the challenges found in another. She served for several years on the board of directors for Spokane’s DETOX services, which provides emergency care, overnight holding, and other services for those battling addiction issues. It was a volunteer assignment she calls “totally incidental,” but she walked away with a better understanding of local, state, and federal funding streams for social and public health services, and she has been able to apply that knowledge in her work with the Spokane IDEA Clinic.

A GOOD IDEA Early on, as her practice was struggling to take hold, Ulmer didn’t feel she could afford

WSDA Ne w s | Summer 2021 | www.wsda.org

PARTNER UPDATE

WSDA Retro Program Overview The Washington State Dental Association launched its Retrospective Rating program, WSDA Retro, in April 2020. Since then, over 1,000 WSDA members have enrolled, and there are opportunities to enroll every quarter. WSDA has partnered with ERNwest to assist in administering the program, help to manage claims, and provide strategies to help reduce costs and earn a refund.

“Over 1,000 WSDA members have enrolled, and there are opportunities to enroll every quarter.”

PLAN YEAR

A 12 month period in which premium and claims are calculated FIRST LOOK When L&I restrospecivetly looks for a plan year for the first time and performs an adjustment. SECOND LOOK When L&I restrospecivetly looks at a plan year for the second time and performs an adjustment. FINAL LOOK When L&I restrospecivetly looks at a plan year for the final time and performs an adjustment.

How Do Members Earn a Refund?

Apr 1-Mar 31

Standard Premium - Claim Losses Insurance Charges = Retro Refund or Additional Premium Assessment The retro calculation, called an adjustment, is performed by L&I each year. L&I will look back, or “adjust” each program year 3 times. The first adjustment for WSDA’s first Retro program year will be calculated in February 2022 by L&I. The chart below is a visual representation of a series of program years starting with 2020-21 and the timing of each adjustment for each program year.

Retro is a voluntary program through the Department of Labor and Industries (L&I) where Washington state-fund employers can earn a refund of some of their workers’ compensation premium they pay each year. Refunds are determined by comparing the collective group standard workers’

2020-21

compensation premium paid in a given year to the group’s claim costs during that same year. If premiums exceed claim costs, a refund is earned. If claim costs exceed premium, additional premium is owed to L&I (which WSDA will cover).

2021-22

2022-23

2023-24

2024-25

1ST ADJUSTMENT

1st Adjustment Feb 2023

1st Adjustment Feb 2024

1st Adjustment Feb 2025

2ND ADJUSTMENT

2nd Adjustment Feb 2024

2nd Adjustment Feb 2025

3RD ADJUSTMENT

3rd FINAL Adjustment Feb 2025

Apr 1-Mar 31

Feb 2022

20 20

-21

Apr 1-Mar 31

Feb 2023

TIM

Apr 1-Mar 31

ING

Feb 2024

What Are Your Responsibilities Once You Join WSDA Retro? • Complete the WSDA Retro New Member Orientation • Ensure key staff are aware of program participation and requirements • Identify an internal workers’ compensation and safety champion who will interact with ERNwest • Report all work-related injuries to ERNwest within 2 days of injury • Build your Return to Work (RTW) program by identifying light-duty jobs that allow injured workers to keep working

WSDA Ne w s | Summer 2021 | www.wsda.org

• Develop a process so you and your employees know what to do when an injury occurs • Actively participate in ongoing safety and workers’ compensation training offered by ERNwest

How to Apply Visit www.wsda.org/retro to sign up.

Questions? Contact Julie Osterberg, WSDA Retro Group Manager at (253) 881-5669 or josterberg@ernwest.com.

WDIA NEWS

Insurance You Need When Purchasing a Practice or Refinancing

t this time of year, dental practices are being purchased, startup practices are opening, and many offices are remodeling or just refinancing their business loans. Whether obtaining a loan to purchase a practice or refinancing an existing loan, your lender will require insurance for collateralization. Most lending institutions require several types of insurance coverage to be in place to protect their interest should you become disabled, die, or experience physical damage to your office. The best (and least expensive) way to satisfy the bank is by purchasing Business Loan Protection, Term Life Insurance and a Business Owners Policy. WDIA highly recommends that you begin the insurance application process prior to or early on in procuring your loan. The underwriting for these policies takes time, and you would want the policies approved before your loan is finalized.

Business Loan Protection Insurance Many banks require you to collateralize disability insurance for your loan, but WDIA believes that your personal disability insurance should not be used as a collateral assignment. A less expensive Business Loan Protection policy should be used instead. Business Loan Protection is a disability policy that would specifically make your monthly loan payments should you become disabled. Even if your bank does not require disability insurance, WDIA believes having the coverage is worth it for your peace of mind.

Business Owners Policy Purchasing a Business Owners Policy is also a must for protecting you in case of damage to your property due to fire, water damage, etc. This policy also covers you for general liability as well as providing a loss of income protection if you are unable to practice while damage to your office is being repaired. The bank will require that you name them as an additional insured on your policy until you have paid off your loan. If you are doing tenant improvements to your office space, you may also need Builders Risk coverage which covers property and materials on-site during the build out. Because WDIA works only with dentists, we are very familiar with the loan process and can help ease some of the stress that can accompany obtaining a loan. WDIA already has working relationships with the banks and lenders that most dentists are using, as well as the practice transition teams they are utilizing. For quotes or more information on coverage for your practice loan, contact WDIA at 1-800-282-9342 or info@wdiains.com. n W

“Because WDIA works only with dentists, we are very familiar with the loan process and can help ease some of the stress that can accompany obtaining a loan. WDIA already has working relationships with the banks and lenders that most dentists are using, as well as the practice transition teams they are utilizing.”

Term Life Insurance Term Life Insurance has no cash value, and so it is very inexpensive. Simply put, if you should die, your beneficiary receives the set benefit amount. Your family should be the beneficiary of your life insurance policy, NEVER the bank. When you collaterally assign the bank to your policy, they are insured that they will be paid only the amount remaining on your loan. The rest will go to your family.

Visit WDIA in Booth 600 at PNDC 2021!

WSDA Ne w s | Summer 2021 | www.wsda.org

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PARTNER UPDATE

WSDA Partners with Delta Dental to Offer Free Dental Health Curriculum for Kids “WSDA’s mission is to empower its members to advocate for and provide optimal oral health care. The tools and resources available through this partnership — as well as the program’s impressive reach into classrooms and other community venues — will help dentists across the state live out that mission while improving children’s oral health.” “We knew we couldn’t do this on our own,” said Kristi Ellefson, Sr. public relations and brand manager for DDWA and lead for the program. “Having the WSDA as a partner is going to be essential in getting the tools and materials out there into the hands of parents and caregivers, and get kids excited about having a healthy smile.” As the program grows, plans are to connect dentists with an assigned school as a designated “dental partner” to be a resource for families who need help accessing care for their child.

s WSDA and Delta Dental of Washington continue to grow their relationship and work towards common goals, the two organizations, along with the School Nurse Organization of Washington (SNOW), are partnering together to further grow The Tooth Fairy Experience — a free statewide program designed to make dental health education fun for kids and reduce cavities. The award-winning interactive program, presented free by Delta Dental, is designed to teach K-2 students how to care for their smiles, to reduce the incidence of tooth decay, and to increase the number of children who regularly visit the dentist.

Nearly 30,000 Kids Reached in the First Year In its first year, the program reached nearly 30,000 children statewide via in-person and virtual classroom and community activations. The program is presented in schools by teachers (using free downloadable materials) or by Delta Dental’s diverse team of tooth fairies who visit classrooms (both virtually and in-person) to share messages about caring for your smile, the importance of baby teeth, and the role nutrition and healthy lifestyles play in good oral health. In addition, the team

of tooth fairies travels the state delivering the presentations to children at libraries, museums, community centers, after-school programs, and other public places where kids gather. The program utilizes custom children’s storybooks, videos, dental health puppets and science experiments to engage children in caring for their smiles.

Engaging Website Provides Fun Features for Home-use Since launching in late 2019, the program aims to keep kids (and their parents) engaged yearround via the Tooth Fairy’s very own social media channels (Facebook and Instagram), hotline (1-800-FAIRYWA), and website (www.TheToothFairyExperience.com) which offers free downloadable homeuse materials, videos and more, including personalized letters from the Tooth Fairy, and a quarterly e-newsletter which parents can request for their children.

Why WSDA Decided to Partner with the Program “We look forward to partnering with The Tooth Fairy Experience to continue to strengthen oral health education in Washington state,” said WSDA board member and pediatric dentist Dr. John Gibbons.

Free Program Materials Offered to Dentists To expand the reach of the program, WSDA member dentists are invited to promote it via their practices with free materials: • The Clean Teeth Club: A Tooth Fairy Tale storybook for clinic waiting rooms (limit 1) • Coloring & activity books to give to young patients following exams (limit 100) • The Tooth Fairy Experience program rack cards (& card holders) to share information about the program with parents Dentists are invited to request any of the free materials above by sending their mailing address and the desired number of coloring and activity books (if less than 100) to MyDDWAAmbassador@deltadentalwa.com. Please allow 1-2 weeks for delivery. The dentist- and educator-reviewed program is endorsed by Arcora Foundation and is advised by a committee consisting of representatives from the partner organizations (Delta Dental, SNOW & WSDA). Visit www.TheToothFairyExperience.com for more information.

WSDA Ne w s | Summer 2021 | www.wsda.org

Cause for Collaboration The important role of dentists in addressing airway breathing disorders

QUICK BITES • Dentists play an essential role in assessing patients’ risk for sleeprelated breathing disorders and referring patients accordingly. • Sleep-related breathing disorders (SRBD) are disorders characterized by disruptions in normal breathing patterns, including snoring and obstructive sleep apnea (OSA). • Dentists are not currently licensed to treat patients for SRBDs if those patients have not been diagnosed by a medical doctor. • About 1 billion people worldwide — 55 million in the US — are at risk for some form of SRBD. • Most sleep disorders are preventable or treatable, yet less than one-third of sufferers seek professional help. • If left untreated, sleep apnea can lead to a host of severe health problems, including coronary artery disease, heart attack, and stroke. • The ADA encourages dentists to screen patients for SRBD as a part of a comprehensive medical and dental history, recognizing symptoms such as daytime sleepiness, choking or snoring, and evaluating patients for risk factors such as obesity, retrognathia or hypertension.

WSDA Ne w s | Summer 2021 | www.wsda.org

It’s no surprise that many people have found it tough to get a good night’s sleep in the last year.

The COVID-19 pandemic has changed people’s sleep patterns around the world, as quantified by the 2021 Phillips Global Sleep Survey. Almost half of the survey’s 13,000 respondents in 13 countries said the COVID-19 pandemic negatively impacted their stress. This, in turn, took a toll on sleep, with 70 percent of respondents reporting one or more new sleep challenges since the beginning of the pandemic. This “coronasomnia” is presenting itself in a number of different ways in dental offices, including bruxism and other sleep-related breathing disorders (SRBDs). This puts dentists in the unique position of being able to identify potential health problems in their patients beyond the oral cavity. Because many patients see their dentists more frequently (at least twice a year) than their primary care physicians — and spend more one-on-one time with them — dentists are in a unique position of being able to identify or address the impact of SBRDs and other chronic diseases on oral and overall health outcomes. In fact, just this July, the Journal of the American Dental Association (JADA) published a risk assessment tool to help dentists screen for psychological conditions, pain disorders, sleep disorders, and orofacial

symptoms when assessing patients’ risk of developing temporomandibular disorder pain. And in 2017, the ADA House of Delegates adopted a statement on the role of dentistry in the care of patients with sleep-related breathing disorders. “Dentists can and do play an essential role in the multidisciplinary care of patients with certain sleep-related breathing disorders and are well-positioned to identify patients at greater risk of SRBD.”

EXPANDED ROLE IN CARE — NOT IN SCOPE Dr. Steve Carstensen, a Bellevue dentist who specializes in sleep-related breathing disorders, agrees that dentists can and should play a significant role in recognizing whether a patient is at risk for a medical problem. “We have more ability to change the direction of community health than any other part of the workforce,” said Carstensen, who is a diplomate with the American Board of Dental Sleep Medicine and a consultant to the American Dental Association for sleep-related breathing disorders. Carstensen is clearly an advocate for the profession but notes that while dentists are well-positioned to identify medical issues

The Consequences of

Obstructive Sleep Apnea

Obstructive sleep apnea afflicts 1 in every 5 Americans. What other problems arise for OSA patients?

Poor Sleep

Stroke • Men with moderate to severe OSA were nearly 3x more likely to have a stroke. • OSA is often found in patients following a stroke.

Mood Disturbance

Daytime Sleepiness

• Depression

• 6-fold increased risk of car accidents

• Anxiety

• Risk of stroke rises with severity of the disease.

• Impaired concentration and memory loss

• Loss of motivation • Shortened attention span

Stress on the Heart

• Reduced work efficiency

• Moodiness and bad temper

Hypertension

• Reduced alertness

• Poor judgment

• Sleep apnea is an identifiable cause of high blood pressure.

• Slower reaction time

Loud Snoring

• OSA is the leading cause of secondary hypertension.

• Relationship discord • Morning headaches caused by oxygen deprivation

Coronary Artery Disease

Diabetes Type II

Cardiac Arrhythmias

• Lack of insulin control and poorly controlled blood sugars

• 4x as likely to have atrial fibrillation.

• 58% have OSA

Obesity

Congestive Heart Failure

• As sleep shortens or diminishes in quality, appetite for high-calorie food increases.

• Moderate OSA have increased mortality rates.

• Obesity is the best documented risk factor for OSA. It is estimated that 90% of obese males and 50% of obese females have OSA.

• New patients are screened for OSA.

• The prevalence of OSA increases with body mass index (BMI). • Approximately 80% of OSA patients weigh 130% or more of their ideal body weight.

Heart Disease Sudden Death • OSA sufferers have a 30% higher risk of heart attack or premature death.

More than 50% of sudden deaths from OSA occur between 10pm and 6am.

Gastroesophageal Reflux Disease (GERD) Sexual Dysfunction • Loss of libido

Medical Costs • Unrelated sleep apnea costs Americans an extra 4.3 billion per year. • Treated sleep apnea can halve a patient’s healthcare costs.

• Impotence

Change in annual health care costs per patient after treating OSA:

$200,000

Nocturia COURTESY OF DR. STEVE CARSTENSEN.

• Frequent urination at night

WSDA Ne w s | Summer 2021 | www.wsda.org

in their patients, they must take care not to exceed their scope of practice. Every licensed dentist is legally supported in placing oral appliances for treating SRBDs, but the lack of training in most dental education programs requires dentists to acquire additional education to include oral appliance therapy (OAT) within their scope of practice, wrote Carstensen in an April 2020 journal article on dentists and SRBDs. “Dentists are not licensed to treat patients for SRBDs if those patients have never been diagnosed by a medical doctor,” Carstensen wrote. Collaborating with medical colleagues, the “airway aware” dentist can be a crucial part of the treatment of the large number of at-risk adults, he noted.

“Since there isn’t a single entity in medicine that can treat sleep apnea, it requires collaboration — surgeons, doctors, allergists — many parts of medicine are required.” “By definition, dentists don’t diagnose medical conditions. Our scope of practice does not allow us to diagnose sleep apnea. But the powerful role we play is that we recognize people at risk for these conditions and help them find their way into the diagnostic pathway,” he said. “The diagnostic process remains the bottleneck in sleep apnea treatment. The number of people who can be guided into that is dependent on health care professionals who

2.5 46%

can recognize people at risk,” he said. “The fact that there are 193,000 dentists across the country who can look for those signs and symptoms is what can impact community health.”

ADA Statement on the Role of Dentistry in the Treatment of Sleep Related Breathing Disorders www.bit.ly/ADAsleepdisorders

Carstensen adds that there are discrepancies from state to state over who can send patients home with diagnostic equipment for SRBDs.

July JADA: Chairside Temporomandibular Risk Assessment Tool www.bit.ly/JulyJADA

In Washington state, the answer to that question is in the hands of the Dental Quality Assurance Commission, or DQAC, which regulates the practice of dentistry. As Carstensen notes, dentists use tools all the time to identify medical problems — blood pressure cuffs, x-rays. It’s what dentists then do with that information that matters. “If I take a simple x-ray and I see something that doesn’t look right, my responsibility is to find an expert to determine what that is. Many dentists and pediatric dentists use medical devices and if something unusual shows up, we’re doctors. We have a responsibility to point that out. In my view, home sleep apnea test is the same thing. The danger is what happens if the numbers come back indicating sleep apnea — we can show test results out of the healthy range, but not provide a diagnosis. So, you have to define very carefully how the information is used.” Treating sleep-related breathing disorders is the most common non-surgical way dentists get into treating medical problems, said Carstensen. “Since there isn’t a single entity in medicine that can treat sleep apnea, it requires collaboration — surgeons, doctors, allergists — many parts of medicine are required,” he added. “Dentistry should be a part of that collaboration.”

Average number of medical school hours spent on sleep-related education (based on 2011 survey of 409 medical schools in 12 countries).

of individuals with frequent sleep disturbances who report missing work or events or making errors at work.

WSDA Ne w s | Summer 2021 | www.wsda.org

Journal of the California Dental Association (April 2020) The Dentist’ Role in Sleep-Related Breathing Disorders: Impact, Implications and Implementation (Dr. Steve Carstensen) www.bit.ly/379DMok

BILLING AND INSURANCE Recognizing possible signs of a SRBD is one thing. Billing for the service and working with insurance is another. Often, the billing and insurance concerns are where dentists may need to seek additional assistance when working with patients on these kinds of medical concerns. For instance, none of Dr. Carstensen’s SRBD treatments are covered by dental insurance because sleep apnea is considered a medical problem. “Dentists need to submit through medical to get coverage,” explained Carstensen. “It’s not a complete barrier anymore. We have the same choices we always do with health care — people can choose to pay, and we can choose to work with insurance.”

PEDIATRIC BREATHING ISSUES The next frontier for airway-aware dentists: pediatric breathing issues. Carstensen said it’s much easier to address breathing issues when patients are younger than with an adult. “Today, I may see a 55-year-old patient with high blood pressure who has chronic sleep problems. But that same patient was once a five-year-old, and their jaw structure may have been limiting their ability to breathe,” he explained. “It’s easier to address that in a five-year-old than in a 55-year-old. No health care provider is more capable of doing that than a dentist. We can impact habits, growth patterns and breathing issues from infancy,” he said.

Carstensen leads the ADA’s Children’s Airway Initiative and formed a task force that has developed a new screening tool for use in dental offices, pediatric offices and school health rooms worldwide. The tool is in validation phase now and the task force hopes to have it ready for adoption by the ADA House of Delegates in 2022. He is also collaborating with the ADA on a brochure about children’s airways, which details the importance of sleep, signs that parents should look for, and how dentists can help identify disordered breathing problems.

70% of Phillips Global Sleep Survey respondents reporting one or more new sleep challenges since the beginning of the pandemic.

“If we started earlier in life, what could we change?” said Carstensen. “The act of breathing is so fundamental to our whole physiology.” n W

TIPS FOR DENTISTS ADDRESSING PATIENTS’ MEDICAL CONCERNS 1. Be a good doctor. If you see a patient who is at risk for a medical problem, work within your license and within your limitations, but advocate for your patient’s health. 2. Consult with a medical colleague to obtain a diagnosis. Don’t take on more than you know or are licensed to diagnose. Stay within your scope. 3. Don’t ignore a likely diagnosis. If someone says they snore a lot, should you make them a snoring appliance? No — not without ruling out sleep apnea. — Dr. Steve Carstensen, Premier Sleep

$411 billion Estimated economic cost of insufficient sleep among the US working population.

6 10 in

Number of adults globally who experience daytime sleepiness at least twice per week.

WSDA Ne w s | Summer 2021 | www.wsda.org

Racial and Ethnic Mix of the Dentist Workforce in the U.S. DISTRIBUTION OF DENTIST WORKFORCE, BY RACE 79.8%

DISTRIBUTION OF U.S. POPULATION, BY RACE

11.8%

77.2%

13.6%

74.2%

15.7%

70.2%

18.0%

4.2% 3.7% 0.4%

4.8% 3.9% 0.5%

5.2% 3.8% 1.0%

5.9% 3.8% 2.2 %

2005

67.0%

4.2%

14.4% 12.2%

2.2%

2010

4.7% 3.0%

2015

63.7% 16.4% 12.3% 61.5%

5.3%

17.6% 12.3%

3.3%

2020

60.0%

5.6% 3.6%

● WHITE ● ASIAN ● HISPANIC ● BLACK ● OTHER

18.4% 12.4%

≠ THE RACIAL MIX OF THE DENTIST WORKFORCE DOES NOT REFLECT THE U.S. POPULATION. Black and Hispanic dentists are significantly underrepresented while Asian dentists are significantly overrepresented.

OVER TIME, THE DENTIST WORKFORCE HAS DIVERSIFIED. But almost all of the diversification is accounted for by more Asian dentists. The share of dentists who are Black, for example, has not changed at all.

RESEARCH INDICATES SOME CAREER CHOICES ARE INFLUENCED BY RACE*. For example, Black dentists are more likely to participate in Medicaid than White dentists, all else equal.

63%

43%

51%

53%

50% 39%

OF U.S. DENTISTS participate in Medicaid or CHIP for child dental services

BLACK

HISPANIC

ASIAN

WHITE

Source: ADA Health Policy Institute analysis of data from the ADA masterfile, U.S. Census Bureau, and American Dental Education Association.

For more information, visit ADA.org/HPI or contact the Health Policy Institute at hpi@ada.org.

WSDA Ne w s | Summer 2021 | www.wsda.org

OTHER RACE

ADA NEWS

ADA Supports Health Enterprise Zones Act The ADA is supporting legislation to improve health disparities in minority and underserved communities. In a July 22 letter to Rep. Anthony Brown, D-Md., ADA President Daniel J. Klemmedson, D.D.S., M.D., and Executive Director Kathleen T. O’Loughlin, D.M.D., thanked the lawmaker for introducing HR 4510, the Health Enterprise Zones Act. “We offer our strong support for this legislation as we believe that it is vitally important to address health equity issues such as barriers to oral health care so that all Americans have the opportunity to become healthy,” Drs. Klemmedson and O’Loughlin wrote. “Dentistry is essential health care and integral to a person’s overall systemic health,” Drs. Klemmedson and O’Loughlin said. If enacted, the ADA believes the bill would help attract more dentists to underserved communities through tax incentives, grants and student loan repayment options which would help more underserved Americans obtain access to dental care. “Attracting more dentists to these underserved communities would also help expand oral health education and prevention and establish a permanent dental home for patients to receive both routine and complex care,” Drs. Klemmedson and O’Loughlin added. For more information on the ADA’s advocacy efforts, visit www.ADA.org/Advocacy.

Retroactive Denial Laws a Priority for ADA Advocacy People don’t become dentists to spend their time navigating the insurance claims process. They do it to take care of people. Unfortunately, the reality of dealing with insurance carriers and their varying claims policies can create headaches not only for dentists and their front-office staff, but for patients as well. “It can be particularly frustrating when it comes to insurers’ retroactive denials,” said

Hope Watson, D.M.D., vice chair of the ADA Council on Dental Benefit Programs.

no longer be protected from some of the federal antitrust laws.

Insurers typically limit dentists’ window of time to file clean claims, meaning any claim filed after their arbitrary deadline can result in no payment to the dentist. And, with retroactive denials, dental insurers have the ability to review claims after payment has been delivered to the dentist. Even in those instances when the insurer made an error, they can request a refund from the dental office years after the claim was originally paid.

In a July 20 letter to both agencies, Sens. Patrick Leahy, D-Vt., and Steve Daines, R-Mont., said “public information is lacking” on what steps the FTC or DOJ have taken to extend antitrust enforcement to the health insurance industry.

The ADA and state dental associations recognize the pain points these types of retroactive denials cause, so they have been working together in state legislatures to enact laws that restrict the timeframe in which insurers are allowed to request such a refund.

“The ADA is confident that increased competition among health insurance and dental plans will lead to improved coverage for patients and more attractive terms for dentists who participate,” Dr. Klemmedson said. “It’s a win for everyone.”

“While direct communication with their contracted insurer can be a method for dentists to solve day-to-day concerns, it can take passage of laws to truly rectify problems,” Dr. Watson said. Retroactive denial laws simply require that when insurers make a payment error, they must execute their refund demands within a certain amount of time. Over half of states — counting Nevada and North Dakota added to the list this year — have such a law and they mirror the insurers’ time limit for dentists to file a claim, typically 12-18 months. However, the laws are not so rigid that they don’t account for instances of fraud or abuse or complicated claim adjudication.

ADA President Daniel J. Klemmedson thanked the senators for sending the letter and said the Association hopes it will lead the agencies to investigate possible anticompetitive practices and activities of health care insurers.

New ADA Member Benefit: Fitness on Your Terms with ClassPass ClassPass is a new kind of fitness membership that grants you access to thousands of different classes at home and in studios and gyms in your city and around the world. Regardless of where your workouts are happening right now, ClassPass has you covered! ADA members will receive FREE access to over 4,000 hours of on-demand audio and video workouts from top-rated studios. Workouts include yoga, barre, strength training, cardio, meditation, and more. ClassPass has in-person classes available at gyms and studios across the country. ADA members will receive 10% off credit packages that can be used to book these classes. Please Note: ClassPass is following local government mandates in regards to COVID-19 openings and closures. View offerings near you at classpass. com.

Visit www.ADA.org/dentalinsurance for ready-to-use dental insurance information.

Senators Press FTC, DOJ on Antitrust Reform Two senators are asking the Federal Trade Commission and Department of Justice for an update on their efforts to combat anticompetitive conduct in the health insurance industry following the repeal of the McCarran-Ferguson antitrust exemption. The Competitive Health Insurance Reform Act became law on Jan. 13 and is aimed at improving transparency. The law is the culmination of a multi-years effort by the ADA and dentists to persuade Congress that health care insurance, including dental plans, should

In addition to fitness classes, you can also book wellness experiences with your ClassPass membership. Wellness experiences include massages, facials, manicures, pedicures, and more. To get started, visit www.ADA.org/ClassPass and sign up using “Company Code” ADA2021.

WSDA Ne w s | Summer 2021 | www.wsda.org

UW SCHOOL OF DENTISTRY NEWS

Good News and Opportunities

S Dr. Gary Chiodo

Dean, UW School of Dentistry

“Returning to campus followed a different cadence for our school compared with the rest of UW because we educate students in the clinics and the simulation lab. There is no Zoom equivalent for those things. That certainly helped position us for where we are now with things moving along according to a “new normal.” The new normal is wonderful, and I see each day as being filled with good news and opportunities.”

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.

WSDA Ne w s | Summer 2021 | www.wsda.org

ummer term is always an exciting time for the School of Dentistry. We have the rising fourth-year students entering their final year with us, focusing on perfecting their clinical abilities and thinking about the next phase in their careers. We also have the new firstyear students joining us and starting their immersion in a curriculum that is quite different from their undergraduate education. However, this year’s summer term has been particularly exciting in that we have the Shoreline Community College dental hygiene students joining us. Preparations for this partnership have been moving along for over a year with facilities renovations and logistical planning. In addition, this collaboration has helped to reenergize our philanthropic activities, and we have been successful in attracting funding from both corporate and individual donors to support this program. I think this reflects a keen understanding in the dental community about the substantial shortages in the dental hygiene workforce and a sincere appreciation for the excellence of the Shoreline program. It also recognizes the unique opportunities we have when dental hygiene students and dental students can learn together. Certainly, having the second-year dental hygiene students practice expanded functions with fourth-year dental students provides them with experiences that reflect what they can expect in general dental practice. Our patients benefit greatly, and our students graduate with a more comprehensive view on having the oral health care team practicing at the top of their licenses. It was wise to reduce the dental hygiene class size for this inaugural year while fine-tuning the logistics and details of this new arrangement, but it is also exciting to look forward to larger classes to better address the needs in our state.

it was the safest approach for dental student clinics where there are quite a few high-speed hand pieces spinning at the same time. We confidently removed that requirement when the Seattle/King County vaccination prevalence passed 70 percent and UW implemented a vaccination requirement for faculty, staff, and students. That was a major pivot point for us, and the patient census recovered rapidly. As I hear from many in private practice, our patients often delayed dental care because of COVID concerns. With increased vaccination rates, people felt confident in scheduling their overdue appointments and returning to our care. A final bit of good news for our school is that, despite a pandemic that decimated our clinical production for a while, we managed to close fiscal year 2021 in a revenue-positive position. Mind you, it was not spectacularly positive, but it was much better than early projections based upon clinical revenue. Several things that eventually worked in our favor led to this excellent outcome. We were able to provide sufficient documentation to support two separate payments from CARES Act funding, and that helped to cover part of our increased costs related to COVID. In addition, UW received substantial funding from the Higher Education Emergency Relief Fund and shared some of that with us to help make up a portion of lost revenues. All of that helped immensely in achieving a positive close to the fiscal year, even with increased expenses and decreased revenues. We are now back on the encouraging fiscal trajectory that existed pre-pandemic.

What a difference a year and a half makes. A year ago, we were biting our nails, thinking about creative ways to keep moving forward while protecting the safety of our patients, faculty, staff, and students. We were meeting via Zoom and adjusting schedules and calendars to reflect the demands of a virus. Vacating the A second piece of positive news is the relaxing campus and working from home took place of COVID-imposed restrictions and moving precipitously in March of 2020. Returning to forward in a post-pandemic environment. Our campus followed a different cadence for our patient census dropped to 25 percent of normal school compared with the rest of UW because during the bleakest months and started to we educate students in the clinics and the gradually recover about a year ago. However, by simulation lab. There is no Zoom equivalent for spring of 2021, we were still not back to normal those things. That certainly helped position us patient volumes. Part of our challenge was our for where we are now with things moving along requirement to COVID-test patients who were according to a “new normal.” The new normal having aerosol-generating procedures. While is wonderful, and I see each day as being filled that was not the protocol in private practices, with good news and opportunities. n W

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Unite the Healthiverse 48

WSDA Ne w s | Summer 2021 | www.wsda.org

Support the Shoreline Community College Dental Hygiene Program at UW

ast year, WSDA and Delta Dental of Washington (DDWA) committed to working together to find solutions to critical issues facing the dental profession. One of the most pressing issues — well-known by dentists across the state — is the dental hygienist workforce shortage. In a joint effort to gather workforce data from multiple stakeholder groups, WSDA and the Washington Dental Hygienists’ Association developed surveys for dentists, dental hygienists, and dental assistants that were administered by the Washington State Department of Health in late 2020. The results, analyzed by DDWA and WSDA, found that: • Dental hygienist positions in Washington are open an average of 4 months before being filled.

THANK YOU, DONORS! As of July 26, the campaign has raised over $196,000, bolstered by generous donations from the WSDA Foundation ($125,000), Cheryl Roberts and R. Miller Adams ($25,000), Seattle-King County Dental Society ($20,000), George and Susan (Hollinsworth) Adams ($10,000) and many other community donors committed to supporting hygiene education in Washington.

DONATE ONLINE: www.giving.uw.edu/dentalhygiene

• For every 1 hygienist seeking a position, there are over 4 positions available. • The greatest number of open hygienist positions were in King and Snohomish counties with over 550 openings at the time of the survey. See the complete survey results at www.wsda.org/workforcesurvey.

Giving Campaign & $500,000 Matching Grant A critical step in addressing the dental hygienist shortage is increasing the number of hygiene school graduates. Before increasing program capacity, however, it is critically important to protect schools already in operation. To that effect, WSDA and DDWA have joined forces to jump-start a UW School of Dentistry fundraising campaign in support of the Shoreline Community College Dental Hygiene Program, now located at the UW.

UW SCHOOL OF

The support of Washington’s dental community is critical in reaching this goal. Please consider donating in support of the Shoreline Dental Hygiene Program at the UW School of Dentistry. Your contribution will make a difference in educating and graduating more dental hygienists in our state and will be matched dollar-for-dollar, up to $500,000!

DENTISTRY

DDWA recently donated $1 million to help cover the costs of renovations needed to accommodate the expansion of the program and pledged an additional $500,000 matching grant for monies raised within the dental community. The goal of the matching grant is to raise up to an additional $1 million in support of the dental hygiene program by the end of this year!

Shoreline dental hygiene student Minyoung Son prepares for a session in the UW School of Dentistry predoctoral clinic.

Donate online at www.giving.uw.edu/dentalhygiene or fill out the form available at www.wsda.org/hygienecampaign to contribute by mail. Want to learn more? Read the UW FAQ and one-pager linked at www.wsda.org/dentalhygiene or contact Randy Newquist with UW Dentistry Advancement at randyn@uw.edu or (360) 471-5648.

WSDA Ne w s | Summer 2021 | www.wsda.org

CE OPPORTUNITIES

AROUND THE STATE

Local Continuing Education & Events

Attend upcoming CE courses and events in your area! Visit www.wsda.org/localce for links to more local CE opportunities.

Snohomish County Dental Society & Pierce County Dental Society www.scdentists.org | www.pcdentists.org

Snohomish and Pierce County Dental Societies will continue to co-sponsor virtual zoom CE meetings. Course details and Zoom registration links will be emailed to members closer to each meeting date and will be included in each Society’s newsletter and on their website.

SCDS & PCDS General Membership Meeting via Zoom Sept. 21 from 6:15-8:15 PM Speaker: Dr. Arun Garg Topic: Implants

SCDS & PCDS General Membership Meeting via Zoom Oct. 19 from 6:15-8:15 PM Speaker: Dr. John Kalmer Topic: Oral Pathology

Local Dental Society Executives Retire After 32 years, Snohomish County Dental Society Executive Director Judy Bangs will retire in September. Taking over for Judy as executive director is Sandra Anderson, formerly of the Seattle-King County Dental Society. In Pierce County, Cheryl Jenkins has retired after 24 years with Pierce County Dental Society. Cindy Stephen is acting executive director. WSDA thanks Judy and Cheryl for their many years of dedication to Washington dentists!

MBDDS Gifts of Gold Program

This past year, Mount Baker District Dental Society — led by the efforts of Dr. Ronald Dahl — launched Gifts of Gold, a program of charitable giving through the collection and refinement of gold from tooth extractions donated with patient permission. Several MBDDS members participated in the first round, which raised $9,462.40 that was donated to the Boys & Girls Clubs of Whatcom County. This fall, MBDDS plans to expand the program to also benefit the Boys & Girls Clubs of Skagit County.

SCDS & PCDS General Membership Meeting via Zoom Nov. 16 from 6:15-8:15 PM Speaker: Dr. Ed McGlumphy Topic: Implant Prosthetics

Since 1968

We are pleased to announce... Amritpal K. Mattu, D.D.S.

(L to R): MBDDS Executive Director Nancy Tupper, MBDDS President Dr. Marion Hernon, Boys & Girls Club of Whatcom County Chief Development Officer Sara Maloney, and MBDDS Member Dr. Ronald Dahl.

has acquired the practice of

Daniel Y. Go, D.D.S. Renton, Washington

Michelle J. Ament, D.D.S. has acquired the practice of

Glen E. Trinka, D.D.S. Bothel, Washington

Call today for a FREE MARKET VALUE ANALYSIS ($5,000 value)

We are pleased to have assisted in these transitions. 800.232.3826 | www.AFTCO.net 1-800-232-3826 www.AFTCO.net Sales & Purchases Over $3.2 Billion Practice SalesPractice & Purchases Over $3.2 Billion

WSDA Ne w s | Summer 2021 | www.wsda.org

Save up to

$100 per person when you register your team by the

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IN MEMORIAM

The following obituaries have been submitted by families, local dental societies, or colleagues. To submit a member obituary for recognition in the WSDA News, please email editor@wsda.org.

Dr. David Carl Dilts

Dr. Norbert Horst Hertl

Dave was born in Colfax, WA. His first years were in Garfield, WA. The family moved to Waitsburg, WA after his dad purchased The Waitsburg Times. He attended Waitsburg grade school, and WHS where he played basketball, and was active in Boy Scouts where he achieved the highest honor of Eagle Scout.

Norbert Horst Hertl was born on May 26, 1941 and passed away on June 3, 2021 and is under the care of Neptune Society.

He attended WSC for a year after which he enlisted in the U.S. Air Force in 1952. He spent 3 years in Waco, Texas. His next tour was Wiesbaden, Germany. He married Beth Ann Brinker on April 24, 1955. They were in Germany a year before his honorable discharge from the service in 1956 in New York City. They drove a 1956 Volkswagon across country with their Scottish Terrier “Fritz”. They moved to Eugene, OR where he attended the University of Oregon for two years in Pre-Dental School. When the Ducks played the Cougs he never had a loser. They moved to Portland for four years of Dental School at the U of O. Their son was born in April, 1962, and Dave graduated in June. They moved to Walla Walla, where Dave built their first home and started his Dental Practice in the Drumheller Building. He designed a dental building to house four practices. It was built on South Second and opened with four active dental practices in 1971. He loved Priest Lake and built their first cabin at Priest Lake in 1967. He designed and built their second cabin on Paradise Point years later. He designed and built their second home in Walla Walla and few years later retired to the golf course. He was past President of Exchange Club and Prospect Point PTA. Member of local Elks. He was active in both local Dental Society and Washington State Dental Society and a member of the Aircraft Owners and Pilots Association. He is survived by his wife of 67 years, Beth Ann Dilts; his son, Daniel Carl Dilts and wife Teresa, (daughter, Dana Ann preceded him in death); granddaughter, Elizabeth Marjorie (Elie) Johnson; grandson, Berton Daniel Palmer (Danny) Dilts and wife Savannah, greatgranddaughter, Hazel Grace Dilts; brother, Rodney Dilts and his son, Scott Randall Dilts of Kingman, AZ. As well as by numerous nieces and nephews and four survivors of the original Tuesday-Friday.

enthusiasm to spare he carted his three kids up to the mountains when young, teaching them how to carry their own gear and gracefully fly down the ski runs as he did well into his later years before his knees begged retirement. Sun Valley Idaho, Mt. Bachelor Oregon, and Crystal Mountain Washington were his favorite places to schuss down the slopes as he loved to say.

Dr. Richard Calvin Knoll Kind, generous, adventurous, Dr. Richard Calvin Knoll lived a full and content life centered around his family, his dental practice and cherished lifelong friends. He passed away peacefully in his sleep of natural causes, surrounded by loved ones at the age of 89.

Preceded in death by his parents Frederick and Elsie Knoll, Uncle Raymond, Aunt Emily, brother Lee Knoll, nephew Alan, Rich is survived by his wife Sharon Virginia, daughters Wendy (Dan Herforth), Lori (Ken Harrenstien) son Richard C. Knoll Jr. (Carolanne Kane), nephews, nieces and 7 grandchildren.

He quietly persevered through life’s highs and lows, always imbued with a sense of gratitude and dignity. He will be especially remembered for his enduring dedication to Dentistry, community service, love of downhill skiing, the outdoors, hot fudge sundaes, British sports cars, and the utmost care with which he took raising a family as a husband to Sharon and father to Wendy, Lori and Rich Jr. Rich was born in Reading, Pennsylvania along with his brother Lee to Dr. Frederick W. and Elsie Knoll. His father, a Physician of Family Medicine tragically died when Rich was a toddler and the boys grew up under the guidance and love of their indomitable mother Elsie and their Uncle Raymond & Aunt Emily Edes. Rich attended Franklin and Marshall College for his undergraduate degree followed by Dental School at the University of Pennsylvania. Rich then joined the Army, stationed in Fairbanks, Alaska. Upon completion of his Army duties he settled in the Pacific Northwest and started his career as a dentist, first interning at Pierce County Hospital and later joining the office of Dr. Bert Goodman in Tacoma, Washington. He met his beautiful wife, Sharon V. Nourse in the local Bank where she worked. They married and settled in Fircrest, Wa. where Rich established his private dental practice in an office building designed and built by local friend and architect Walt Woodmeyer. His office staff through the years were always professional, with good humor and kindness at the ready. Rich was active his entire life. Competitive swimmer, lifeguard and camp counselor in youth, he enjoyed home gardening and boating on Lake Chelan and Puget Sound. With

Dr. Randall “Randy” Stephens Randy joined our heavenly father on December 14th after a brief illness of cancer. He was brave, loving, faithful, and concerned for others as he endured an aggressive disease. Randy grew up in Midland, Michigan, and in the middle of 7th grade his family moved to Salinas, California when his father started managing a new plant. After high school, Randy attended Whitworth College in Spokane Washington and went to dental school at USC in LA. After practicing dentistry in California, he moved back to Spokane where he worked for most of his career. Randy loved his profession and was very supportive of other dentists and active in his dental community. He considered his patients friends, and had true friendships with his employees. Randy was a joyful person who loved to smile and laugh. His passions were: his wife and family, USC football, all sports particularly tennis and bike riding, morning walks or runs, hot stock tips, his friendships that went back to junior high, high school and college, his Christian faith, art and music, travel and experiencing other cultures, the outdoors, growing a vegetable garden, and his true enjoyment of other people. His family that will miss him dearly include: his wife Jesse, his 3 children Nick, Andrea and Anthony, his father Bob, several brother and sister in-laws/ nieces and nephews, 1 uncle and 2 aunts, and around 55 first cousins. Those in his family that went to heaven before him include: his brother Ron, his mother Rae, several aunts, uncles and cousins, and grandparents. Randy has 4 generations of his family buried in Spokane.

WSDA Ne w s | Summer 2021 | www.wsda.org

Practice Sales Transitions Management Consulting

LISTINGS* *visit knutzenmcvaygroup.com for most up to date WASHINGTON

Federal Way

Mill Creek

OVER 50 YEARS OF

EXPERTISE IN THE DENTAL INDUSTRY We would love to help. Serving Washington, Idaho, Montana and Alaska

$1,100,000 | #W711

6 op profitable, upscale hygiene-driven practice. Hygiene and Diagnostic generate nearly 50% of revenues. Avg annual collections over $1.2M. Avg annual income over $400K. Fully digital, Dexis digital x-ray. |

$791,000 | #W061

Beautiful 6 op family practice with an amazing recare program. Hygiene and Diagnostic generated over 50% of revenues in 2019. Avg annual collections over $1.1M. Digital x-ray, digital charts. Seller open to working back.

Seattle

$715,000 | #W941

Hygiene and Diagnostic is backbone of this 6 op practice generating over 50% of revenues. Motivated seller ready to pass on the Goodwill after over 50 years. Collections avg $1.1M. $316K avg annual income. Digital x-ray.

Kittitas County

#C760

3 op general dental practice (plus 1 unequipped plumbed). Opportunities for the new owner to market and expand services with growth in the community! Majority of specialized procedures referred out. Collected $542K in 2020. Strong hygiene - booked out 6 weeks. Digital x-ray - Schick sensors.

Tri-Cities

$405,000 | #E580

First 3 months rent free - $18,000 value! 6 op general practice housed inside its own building in desirable location. Digital x-rays. Hygiene grosses 46% of production. Real estate also available! Motivated seller!

Pullman

$183,000 | #E841

Well-established 3 op practice with opportunity for expansion. Collecting $200K from a high-quality private and insurance patient pool. Currently referring away 3-6 potential new patients/week. Property also for sale - 2 adjacent suites plus on-site storage for a total of 2,023 square feet.

E. Grays Harbor County

TODD MCVAY

JULIE HAWKEN

MEAGAN TOMLINSON

todd@tkmgllc.com

julie@tkmgllc.com

meagan@tkmgllc.com

President

Broker

$129,000 | #W660

Well-established general practice to purchase OR merge! Estimated between 600-700 active patients. Practice serves Grays Harbor, Mason, & Thurston Counties. Hygiene and Diagnostic represent 49% of production.

Friday Harbor

$100,000 | #W800

2 op boutique-style general practice. Digital. Collected over $300K in 2018.

Mukilteo (Space)

RECENT TRANSITIONS Dr. Stephen Mills to Dr. Nicholas Ferguson

Dr. Philip Etheredge to Signature Dental

SPOKANE, WA

KIRKLAND, WA

Dr. William Jeppe Jr. to Dr. Jared Martin

Dr. John Huntsinger to Dr. Darren Greenhalgh and Dr. Eric Greenhalgh

HOMEDALE, ID

ANACORTES, WA

Dr. Ernest Barrett to Signature Dental SEATTLE, WA

Dr. Stacy Kanda to Dr. Dan Roberts

Dr. Alan Erickson to Dr. Kristin Johannsen and Dr. Christopher Lugo

$100,000 | #W770

Hoquiam

5% OF ANNUAL COLLECTIONS | #W311

Busy 6 op practice in same location for over 50 years. New computer system and digital x-rays. Practice is primed and ready for rejuvenation. Seller is offering to sell the practice at 5% of annual collections for 5 years AND carry the note, or best offer. ALASKA

Fairbanks

$583,000 | #AK361

Successful Endodontic practice in a very high-traffic area surrounded by general dental practices. 3 fully equipped ops with ability to add a 4th. Microscopes, digital x-rays, and CBCT. Very low overhead. Steady and growing referrals. Full FFS.

EVERETT, WA PENDING

FEDERAL WAY, WA

Beautiful, equipped, turnkey space available. 6 Adec ops, approx. 2,400 sq ft, digital pan, highly visible location.

knutzenmcvaygroup.com or 425.489. 0848

WSDA Ne w s | Summer 2021 | www.wsda.org

Bremerton, WA (x2)

Walla Walla, WA

Federal Way, WA

Yakima, WA

Kitsap County, WA

Bellevue, WA

Kirkland, WA

Missoula, MT

Spanaway, WA

Billings, MT

CLASSIFIEDS OPPORTUNITIES AVAILABLE COLUMBIA VALLEY COMMUNITY HEALTH (CVCH) IS A DYNAMIC, PROGRESSIVE COMMUNITY HEALTH CENTER WITH LOCATIONS IN WENATCHEE, EAST WENATCHEE, AND CHELAN CVCH is a modern, well-equipped Community Health Center, with fully integrated EMR, and our services include Medical, Dental and Behavioral Health. We have an excellent opportunity for a Full-Time General Dentist at our Wenatchee location. We are located in the heart of Washington State where the Columbia River pushes into the Cascade Mountains. We enjoy abundant recreational opportunities, 300 days of sunshine and a safe, familyfriendly community with good schools and opportunities for the entire family to be involved with nature, culture, and arts. CVCH offers: • Highly competitive compensation, benefits package and signing bonus • 403(b) Retirement with employer contributions • Generous CME allowance and paid time off • Federal Loan repayment eligibility • Third world Spanish-language immersion program • Gym membership • 4 day work week Qualifications: • Graduation from an accredited dental school with a DDS or DMD degree. The school must be accredited by the American Association of Dental Education. • Certification/ Licensure: Washington State Dental License or eligibility to obtain licensure in the state of WA and current DEA with no restrictions and in good standing. ACLS or ATLS may be used to substitute for BLS. • Experience: One or more years of experience as a clinical dentist preferred, especially in a community or public health setting. Bilingual English/ Spanish preferred. Contact: Lisa Humphrey, Recruiter humanresources@ cvch.org (509) 664-0945 WE HAVE AN EXCELLENT OPPORTUNITY FOR A PEDIATRIC DENTIST AT DENTISTRY FOR KIDS IN KENNEWICK, WA We welcome new and experienced pediatric dentists to apply. We offer a generous compensation plan, a hiring/ relocation bonus, a structured orientation with a ramp-up schedule, a benefits package including retirement plans, profit-sharing plans, personal time off, holidays, and malpractice coverage. Student loan repayment assistance is also available. To be considered for this opportunity, we are looking for graduates of a School of Dentistry, graduates of a CODA-accredited pediatric dental residency. Our mission celebrates diversity. We are committed to equal opportunity employment. For additional questions, please contact Araceli Saldivar at AraceliSal@yvfwc.org. RARE OPPORTUNITY! Fibonacci Smile is a cosmetic-restorative, relationship oriented, fee for service practice located in beautiful Wenatchee, Washington. We are seeking an excellence driven dentist as a resident dentist looking for a mentorship opportunity with the desire that they would develop into a partner of the business. Dentist should have a track record of exceptional people skills, passion for dentistry, and personal growth. Please email your CV to JoyT@FibonacciSmile.com SKAGIT COUNTY. ESTABLISHED, FULLY DIGITAL GENERAL DENTAL PRIVATE PRACTICE. SEEKING ASSOCIATE FOR 2-3 DAYS A WEEK (NO WEEKENDS) Modern building with experienced staff who are a true team. Practice focuses on patient experience and quality, ethical dentistry. Molar endo and third molar extractions are NOT necessary. Dentrix and DEXIS digital software. Benefits may be negotiable. Check out our website at

Visit www.wsda.org/classifieds to browse the most up-to-date job and practice opportunities.

OPPORTUNITIES AVAILABLE

www.rooseveltdentalcenter.com to see who we are and what we’re all about. Contact us to learn more about this opportunity. New grads welcome to apply. Come and find your long-term dental home among caring and compassionate co-workers and a beautiful office setting. Please send us your resume @ jrarlr@yahoo.com HIRING FOR FULL TIME GENERAL DENTIST IN PORTLAND METRO Minimum first year guarantee of $150K - $180K based on experience + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. HIRING FOR FULL TIME GENERAL DENTIST IN SALEM, OR Minimum first year guarantee of $165K - $185K based on experience + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. HIRING FOR FULL TIME GENERAL DENTIST IN ALBANY, OR Minimum first year guarantee of $170K - $190K based on experience + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. HIRING FOR FULL TIME GENERAL DENTIST IN HILLSBORO, OR Minimum first year guarantee of $150K - $170K based on experience + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997.

HIRING FOR FULL TIME GENERAL DENTIST IN MEDFORD, OR Minimum first year guarantee of $170K - $190K based on experience + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. HIRING FOR FULL TIME TRAVELING GENERAL DENTISTS IN OREGON AND WASHINGTON $180K Annual Guarantee + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. HIRING FOR FULL TIME GENERAL DENTIST IN BEND, OR Minimum first year guarantee of $160K - $180K based on experience + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. HIRING FOR FULL TIME GENERAL DENTIST IN ROSEBURG, OR Minimum first year guarantee of $175K - $195K based on experience + $20K In-House Loan Repayment + Up to $30K in Sign-On/Relocation + Performance Pay + Benefits! Willamette Dental allows you to focus on engaging your patient through education so that you will positively impact their overall health through an evidence based scientific approach. No production goals, quotas or pressure to sell dentistry. Work in a collaborative environment with multiple General Dentists and Specialists and a highly trained team of patient care advocates, dental hygienists, and dental assistants. Apply by contacting Nathalie La Chance, nlachance@ willamettedental.com or call/text to 971.227.3997. COLUMBIA VALLEY COMMUNITY HEALTH (CVCH) IS A DYNAMIC, PROGRESSIVE COMMUNITY HEALTH CENTER WITH LOCATIONS IN WENATCHEE, EAST WENATCHEE, AND CHELAN CVCH is a modern, well-equipped Community Health Center, with fully integrated EMR, and our services include Medical, Dental and Behavioral Health. We have an excellent opportunity for a Full-Time General Dentist at our Wenatchee location. We are located in the heart of

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Visit www.wsda.org/classifieds to browse the most up-to-date job and practice opportunities.

OPPORTUNITIES AVAILABLE

Washington State where the Columbia River pushes into the Cascade Mountains. We enjoy abundant recreational opportunities, 300 days of sunshine and a safe, familyfriendly community with good schools and opportunities for the entire family to be involved with nature, culture, and arts. CVCH offers: • Highly competitive compensation, benefits package and signing bonus • 403(b) Retirement with employer contributions • Generous CME allowance and paid time off • Federal Loan repayment eligibility • Third world Spanish-language immersion program • Gym membership • 4 day work week Qualifications: • Graduation from an accredited dental school with a DDS or DMD degree. The school must be accredited by the American Association of Dental Education. • Certification/ Licensure: Washington State Dental License or eligibility to obtain licensure in the state of WA and current DEA with no restrictions and in good standing. ACLS or ATLS may be used to substitute for BLS. • Experience: One or more years of experience as a clinical dentist preferred, especially in a community or public health setting. Bilingual English/ Spanish preferred. Contact: Lisa Humphrey, Recruiter humanresources@ cvch.org (509) 664-0945

LOOKING FOR A POTENTIAL PARTNER IN AN ACTIVE WEST-SEATTLE PRACTICE We value compassion, continuing education, and diversity. We would love to meet you in person and discuss your long-term goals. Please email info@whitecentersmiles.com

AMAZING ASSOCIATE OPPORTUNITY AT HILANDER DENTAL IN KELSO WASHINGTON 3-4 days a week in a thriving practice consistently voted the top dental practice in the area. Call Dr. Steve Pond at 360-430-0414 or email: spond@ hilanderdental.com

GROWING FAMILY DENTAL OFFICE AT MARYSVILLE, CLOSE TO SEATTLE PREMIUM OUTLET, IS LOOKING FOR ASSOCIATE DENTIST We are looking for full time/ part time associate to grow the office. Potential buy-in , buy-out or partnership for the right candidate. Excellent pay with bonus system, benefits are negotiable. Please email resume to dentalresumeneeded@ gmail.com

BUSY GENERAL DENTISTRY FAMILY PRACTICE IS LOOKING TO ADD ANOTHER AMAZING DENTIST TO OUR TEAM We currently have 3 doctors and continuous growth has us in need of a fourth. Working with 3 other doctors gives us the opportunity to offer a schedule with flexibility. We are looking for a dentist that is growth-minded and excited for new opportunities. We offer a base salary and a production based commission percentage, as well as continuing education support. Please submit your resume and cover letter telling us about yourself to drleale@northviewsmiles.com GENERAL DENTIST - PRIVATE PRACTICE SPOKANE, WA Associate w/ earned equity, or Pre-Partner Pathway. We are looking for an awesome individual to join our family. We have multiple locations and options!! We provide patient-centered, service-leadership care to our patients, from children to elderly. Our Values and Principles: Growth, Respect, Integrity, Tenacity, Transparency, WeB4Me, Loyalty to Patients, and to Choose Happiness Our Just Cause: Building Lifelong Smiles. We create Life-Changing IMPACT for our team, patients and community through the art of dentistry. We build up the right people to do extraordinary things, and measure success with how we touch the lives of our community. Two Compensation Options: 1. Associate with Earned Equity track 2. Pathway to Partnership Other Compensation Information: Daily Minimum, Moving Expenses Options, Student Loan Repayment Options, Medical, 401k, $5,000 CE match annually, $3,000 dental annually. We also offer: Expanded Function Dental Assistants, Restorative Hygienists that do Anesthetic, Autonomy and Mentorship Requirements: Requirements: Hungry - Humble - Smart, WA License, 1yrs+ Experience Text Bryant at 509-808-8815 for more information or visit www.drcfamilydentistry.com/doctorcareers

SEEKING FULL TIME ASSOCIATE DENTIST FOR AN ESTABLISHED SNOHOMISH COUNTY STATE OF THE ART PRIVATE PRACTICE SUPPORTED BY A DEDICATED TEAM Great compensation and benefits. Email CV to pacificpointe123@gmail.com GENERAL DENTIST OPPORTUNITY Seeking FT/PT General Dentist in Pierce County area. This family, cosmetic and implant practice is located in beautiful Puyallup. This can be a long term position where a dentist will prosper and practice high quality dentistry. Dentist should be skilled, personable and willing to be an integral part of the community. Please email resume and inquiries to: docvan99@ aol.com.

ASSOCIATE NEEDED ON BAINBRIDGE ISLAND, WA Come join our wonderful practice here on Bainbridge Island. Ihland Garden Dental is looking for a full-time associate dentist. We are looking for an experienced, friendly team member, who will provide exceptional dental care to a small city outside of Seattle. Please send resume and other inquiries to tlvo@ yahoo.com ihlandgardendental.com BELLEVUE PRACTICE SEEKING ENDODONTIST AND PART-TIME ASSOCIATE DENTIST Endodontic Suite available with Global Microscope installed, dedicated Carestream digital sensor and on site Carestream 8200 Cone Beam. We anticipate three days per month of endodontic work. Open to space rental and associate remuneration models. Associate Dentist will be working in a seasoned practice with exposure to Titanium and Ceramic implant surgery and restoration, IV sedation dentistry, blood product L-PRF grafting , full arch implant restoration, cosmetics and general dentistry with a restorative auxiliary model. Must be available to cover periodic Friday and Saturday appointments. Send resumes to Brilliantsmilesbellevuewa@gmail. com

CLASSIFIEDS OPPORTUNITIES AVAILABLE WE ARE OFFERING AN OPPORTUNITY FOR PART TIME EMPLOYMENT ON THE OLYMPIC PENINSULA FOR A SKILLED COMPASSIONATE DENTIST WHO WOULD LIKE TO PROVIDE QUALITY CARE IN A HIGHTECH ENVIRONMENT For the right person, this could be a gateway to full-time employment and more. If you are a seasoned dentist desiring a slower-paced less stressful practice environment, this could be the perfect fit for you. Among services we provide for our growing family of loyal patients includes periodontal and preventive management, restorative care, Crown and Bridge using CEREC technology, Invisalign orthodontic care, implant placement guided with cone beam imaging and restoration. Please respond with resume to this email address to open the conversation. We look forward to meeting you. dentalopportunity2@gmail.com HIGHLY SUCCESSFUL DENTAL PRACTICE LOCATED IN POULSBO, WASHINGTON IS ACTIVELY RECRUITING A TALENTED, MOTIVATED DENTIST FOR IMMEDIATE PLACEMENT Extremely high level of care. Wide range of dental services utilizing most advanced technologies. Applicant must have a solid general dentistry skillset. Special interest in endodontics, prosthodontics, and/or periodontics a plus. Well-established, growing patient base, awesome support staff, and beautiful clinic. Outstanding rare opportunity with long-term possibilities. Compensation commensurate with experience/qualifications. Guaranteed daily minimum. Veteran owned. Veteran preferred business. Please send resumes to info@vikingdental.com SEEKING FT DOCTOR FOR 5 OP WEST SALEM, OREGON PRACTICE GROSSING OVER $1.2 MILLION A YEAR Potential income range from $250,000 to $350,000 on 4 days a week. Send resumes to ty@ravingsmiles.com ASSOCIATE WANTED, WITH OPTION FOR PARTNERSHIP Thriving practice in beautiful Wenatchee Washington. State of the art practice with Cerec, Cone beam, digital x-rays, etc. Well established patient base, amazing staff, and beautiful location to call home. Enjoy skiing, hiking, hunting, fishing, biking, river sports, and so much more within 30 minutes drive. A rare opportunity to join a great practice in a wonderful location. Send resumes to drtoothfixer@yahoo.com OUR HIGHLY SUCCESSFUL GENERAL AND FAMILY DENTAL PRACTICE IN DOWNTOWN REDMOND, WASHINGTON, IS EXPANDING AND SEEKING AN ASSOCIATE DENTIST Applicants must have great people skills and always put the needs and desires of the patient first. We provide an high standard of care and offer a wide array of dental services including: routine cleaning, periodontal, SRP, restorative, extraction, crown and root canal. We utilize advanced technologies such as CBCT and intraoral scanners. Our support team is dedicated to providing thoughtful care in a warm and friendly environment. This associate position is perfect for someone seeking a solid long-term position. Salary is driven by production/collections. Please email your resume ASAP at dentalofficeresume@ gmail.com

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Visit www.wsda.org/classifieds to browse the most up-to-date job and practice opportunities.

CLASSIFIEDS

OPPORTUNITIES AVAILABLE

ASSOCIATE PERIODONTIST NEEDED IN OUR BEAUTIFUL GROWING DOWNTOWN OFFICE We are a privately owned office with a wonderful caring staff and welcome one of same to join our team. We are offering 2-3 days employment at this time. If interested please send your resume and cover letter stating when you would be available. We are setting up interviews for immediate placement. Compensation to be discussed at interview. Please forward inquiries to janet@per.io

DO YOU POSSESS OUTSTANDING CLINICAL SKILLS AND THE DESIRE TO PROVIDE UNCOMPROMISING PATIENT CARE? Our highly successful General Family Dental practice in Arlington, Washington is expanding and seeking an associate Dentist. Applicants must have great people skills and always put the needs and desires of the patient first. We provide an extremely high standard of care and offer a wide array of dental services including: Routine Restorative, Periodontics, Endodontics, Implant Treatment, Oral Surgery, Cosmetic Dentistry, Dentures, and Aligner Orthodontics. We utilize advanced technologies such as CBCT and intraoral scanners. Our support team is dedicated to providing thoughtful care in a warm and friendly environment. This associate position is perfect for someone seeking a solid long term position. Salary is driven by production/collections. Future partnership opportunities may exist for the right person. Please E-mail a cover letter and CV for consideration to dickinsondds@gmail.com

WESTERN WASHINGTON - KITSAP COUNTY Kitsap is the best kept secret in Western WA. Away from the craziness of Seattle but close enough to get a taste for the adventurous side of you - a nice ferry on the Puget Sound or drive around. We are seeking a motivated, authentic, and ethical associate for our Bremerton, WA practice. The position would be 4 days a week, Tues-Fri 7am-5pm. Providers should be competent in restorative dentistry. Endo proficiency is a plus and additional skill sets in prosths or removable are desired but not required. We treat all age groups and are trying to grow the pediatric population. Compensation is production based. The office is located in Bremerton, WA. Bremerton is NAVY town. We have 9 operatories, all digital, CBCT, and most importantly - GREAT STAFF! If you are interested, drop and email - cover letter and resume to info@pnwdent.com.

KLICKITAT VALLEY HEALTH FAMILY MEDICINE IS NOW ACCEPTING APPLICATIONS FOR A GENERAL DENTIST TO JOIN OUR EXCEPTIONAL MULTI-DISCIPLINARY CARE TEAM The dental clinic is based out of the designated Rural Health Clinic (RHC) that is affiliated with the hospital. The clinic also houses 4 primary care physicians, 5 primary care mid-level providers, ExpressCare clinic, Pain Management clinic, Behavioral Health clinic, and Diabetes services. Orthopedics, Podiatry, Cardiology, Dermatology and Pulmonology specialists are regularly available as visiting physicians through our Specialty Clinic. The dental clinic staffs one dentist, one hygienist and one assistant. The dental team primarily cares for Medicaid patients who do not have access to local care otherwise, as well as some dental emergencies that could prevent an Emergency Room visit. Scheduling and check-in are processed through the clinic’s centralized Patient Access department. 4 day work week, no call. E-mail resume or question to Charis at cweis@kvhealth. net SEEKING FULL OR PART TIME DENTAL ASSOCIATE – ABERDEEN, WA Are you searching for an opportunity in dentistry that rises above the ho-hum of traditional private practice as well as the binding constraints of the corporate approach? Do you yearn for a setting that tirelessly cultivates clinical compassion and excellence alongside extraordinary teamwork and practice health? If so, we invite you to contribute your talent and passion to a leading dental organization that embodies Washington’s innovative spirit. Our aim is simple: We preserve the integrity of private practice while leveraging the power of the cooperative group. The field of dentistry is progressively changing, and we’re at the forefront of the positive transformation. We hope you’ll consider joining us -- or at least exploring the opportunity -- as we continue to strengthen an extraordinary culture that shines through our service to each and every patient. Please email drwood@olympicfamilydental.com. P/T ASSOCIATE DENTIST Mill Creek/South Everett. Small, friendly family practice looking for long term associate 4-6 days per month. Days are flexible. Option to add more days in the future as practice grows. Patient care and comfort is our top priority. Experience with extractions and RCTs preferred Send resume to: dentalresumeattached@gmail.com BUSY AUBURN GENERAL DENTIST SEEKS TEMP COVERAGE FOR VACATIONS, OUT-OFTOWN MEETINGS /CE AND PERSONAL DAYS Office hours are Mon-Fri 8am-5pm with 7:50am huddle. 5 ops, 2 hygiene columns. Read more at cookfamilydds.com. Cook Family Dentistry. 253-735-1106. Dr. Amy Cook

GREAT OPPORTUNITY WITH LOTS OF BENEFITS, HIGH PRODUCTION, M/W/F IN SNOQUALMIE BODY Guaranteed daily salary, signing bonus, competitive percentage of production, 401(k), all digital offices, clinical autonomy, not corporate chain, locally owned. All business, marketing, etc taken care of for you to be stress fee. Email resume to drc@pnwdentalmanagement.com RARE OPPORTUNITY FOR SKILLED INSTRUMENT TECHNICIAN SPOKANE BASED MEDICAL/DENTAL INSTRUMENT REPAIR BUSINESS Incorporated in 1995 has immediate position available. Highly qualified candidates will have previous experience in commercial precision manufacture or repair service. Candidates interested in ownership position can expect compensation starting in the $50,000 to $65,000 range, including benefits. Work includes managing work flow and scheduling, receive, repair and send out from your home. Strong candidates interested in this very rare opportunity should send detailed resume to the email address posted, and should include level of interest in the ownership program. Please send: Resume & Letter of Interest to: instrumenttechpro@gmail.com GREAT OPPORTUNITY AVAILABLE IN OLYMPIA! I have a beautiful 4000 SQ. Ft. Fully equipped dental office that is currently only being used 3 days/week. You could start a practice or move an existing practice here and we could share the space. I’m flexible on days and hours. Just pay a flat fee for rent every month ....no loan payments for equipment on top of having to pay a lease and utilities. One rent payment a month that would be much less than you would pay for a typical space...let alone a space if this size and quality. I’m open to ideas, and possibilities. Let’s discuss it! Thanks for reading this...have a great day! You can email me at prayingdentist@yahoo.com 1980 UNIVERSITY OF WASHINGTON GRADUATE AVAILABLE FOR TEMPORARY COVERAGE Tuesday,Wednesday and Thursdays for Western Washington. Experienced in all aspects of General Dentistry. Rate is 1000 per day minimum. Please email brucej@brucejohnson.com. 425-890-8482

WOULD YOU LIKE TO REDUCE YOUR OVERHEAD AND WORK LESS? Established general practice in First Hill(Capitol Hill) Seattle is seeking for space sharing/merger & acquistion opportunities. The practice was moved to current location 5 years ago with high end build out. Please call Lee at 425-615-1999 or email YSLDDS@ gmail.com DENTAL ASSOCIATE NEEDED FOR WELLESTABLISHED 2 CHAIR SOLO PRIVATE PRACTICE No hmo or government plans. dentist is retiring but willing to have flexible terms and financing. Low overhead. Contact 253-941-4499 GENERAL DENTIST We are a well established, productive, fee-for-service, private practice in Yakima, WA seeking a full time general dentist associate. Our modern, 11 operatory office has over 6,000 square feet located on the banks of Myron Lake with amazing views from every operatory. The office is equipped with the latest technology: digital radiography, intraoral cameras and cad/cam Cerec technology. We are looking for someone with a gentle touch, who is compassionate, and has good communication skills. The ideal candidate must enjoy working as an integral part of our team to improve and maintain the dental health of our patients. We provide all aspects of general dentistry. We offer a healthy benefits package and the number of work days per week is negotiable. Enjoy living in beautiful Central Washington, tour the local wineries and craft breweries, and experience year round outdoor activities. Please forward your CV to denise@lakesidedentistryyakima.com. GENERAL DENTIST NEEDEDDENTIST NEEDED! Seeking FT/PT General Dentist in Pierce County area to join established family, cosmetic and implant dental practice. Dentist should want a long term relationship and ideally desire to become a Partner in 1-2 years. Dentist should be skilled, personable and willing to be an integral part of the community. Please email resume and inquiries to: docvan99@aol. com. ORAL SURGEON WANTED - BELLEVUE State of the art general dental practice with custom oral surgery suite in Bellevue WA seeking oral surgeon to work few days a month for all of our oral surgery/implant patients. Please contact us by email at dental.officead.local@ gmail.com

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OPPORTUNITIES AVAILABLE

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DENTAL HYGIENIST NEEDED — Island Dental is looking for a Dental Hygienist to join our practice. 2 years experience is preferred. Needs current Washington license. Hourly rate DOE. Please email resume to islanddental@rockisland.com.

SPOKANE PERIO PRACTICE Annual collections over $300,000. 5 fully equipped operatories, 2 additional possible. 2100 SF. Great visibility, across the street from large hospital. Well-established. Contact buck@omni-pg.com; 503-680-4366. (WD253)

DENTAL ASSOCIATE — Privately owned, established dental practice in the Seattle area looking for a dental associate to work Thursday through Saturday with experienced staff. New graduates welcome to apply. Email HealthySmilesDDC@comcast.net.

MOTIVATED SELLER - MUKILTEO Calling all General & Specialty Dentists! Fully loaded, turn-key office. 3 ops (plumbed for 4th). High visibility. Beautiful views. Potential 100% financing. Contact rod@omni-pg.com; 206-979-2660. (WD201)

BEAUTIFUL OLYMPIA 4 OP PRACTICE READY TO DELIVER Value add opportunity with tons of upside potential. Well located, nice layout, plenty of parking. Cindy Pauley, DDS: cindy@omni-pg.com; 425-260-4321. (WAD379)

ASSOCIATE DENTIST, BREMERTON-KITSAP COUNTY — Established practice in Bremerton. Kitsap Co is the best place to live outside the I-5 corridor. Come live in the best place to raise a family and work in a thriving dental practice. Permanent position available, 4-5 day work week. Experience and residency preferred. We provide full range of preventive and restorative services (implants, IV sedation, oral surgery, orthodontics, etc). Experienced providers can easily produce/earn $200K+/year. Potential for ownership/partnership for the right person. Contact bremertondental@gmail.com. DENTIST — Pedodontist, FT Associate, Eagle River, Alaska. Permanent position, 4-5 day work week, immediately available for an Alaska Licensed pediatric dentist. Discovery Dental Kids is looking for a compassionate, pediatric dentist who will deliver excellent care to children of all ages from infants to teens. We provide a range of preventive and restorative services, oral sedation and GA with an onsite anesthesiologist. All in a beautifully custom designed practice located 15 miles from Anchorage and surrounded by mountain views and Eagle River. Competitive compensation. Contact Leanne 907-351-3459 for more details

OFFICES FOR SALE OR LEASE BELLINGHAM DENTAL CONDO Access right off I-5. Great visibility. 6 operatories. Approx. 1,743 SF. Ample parking. Great opportunity for start-up, relocation, satellite or additional office. $700,000. Contact: Steve@omni-pg.com | 425-905-6920 (WR135) FOR LEASE: RENTON 8 OPERATORY DENTAL SPACE, VALLEY PROFESSIONAL CENTER Approx. 3,200 USF. Electric, water, sewer, garbage, gas included in the NNNs. Good parking. Contact Steve 425-905-6920; steve@omni-pg.com. (WR126) SPANAWAY PRACTICE STARTED 2 YRS AGO Annual collections over $265,000 on 2.5 days /wk. 3 fullyequipped ops with 2 plumbed ops. Motivated Seller. More info: Frank Sciabica www.omni-pg.com/listing/ wd309 DOWNTOWN SEATTLE EXQUISITELY UPDATED GENERAL DENTAL PRACTICE 4 equipped operatories, room for a 5th. Annual collections over $700,000. Beautiful views. Well-established practice poised for growth! More info: omni-pg.com/listing/wd299 More info: omni-pg.com/listing/wd299

PRICE REDUCED! Seattle fee-for-service dental practice, 100% cash paying patients. Collections over $1.4mil working part-time. Hygiene program in place. Beautifully designed & decorated. Seller motivated. Rod@omni-pg.com, 206-979-2660. (WD191) FANTASTIC PRACTICE LOCATED IN BEAUTIFUL GREATER SKAGIT COUNTY Annual collections approx. $1 million. Awesome location on busy street. Flourishing community. Room for growth. Contact Frank for more information: omni-pg.com/ listing/wd300 SOUTH SOUND WELL-EQUIPPED PRACTICE, 5 OPERATORIES Condo office space also for sale. Practice collects over $400,000 on 2.5 days / week - great potential for growth. Contact Frank - frank@omni-pg.com, 425-985-8390. (WD171) EDMONDS DENTAL OFFICE FOR SALE 1,850 sq.ft. fully built out dental office with six a-dec operatories. Busy location. Great parking. No patients. Asking $300,000 Contact Steve: 425-980-6920; steve@omni-pg.com. (WAR142) ISSAQUAH 2 OP EQUIPPED SPACE WITH 4 MORE OPS PLUMBED READY FOR START-UP! New beautiful build out. For more information please contact Frank Sciabica DDS at 425-985-8390 or frank@omni-pg.com (WAR137) SOUGHT AFTER TACOMA, UNIVERSITY PLACE GENERAL DENTAL PRACTICE . 4 fully equipped ops. New upgrades include Cone Beam technology and Itero scanner. 2,000 SF, affordable lease. Contact Jen 206-683-8966; jen@omni-pg.com. (WAD388) PREMIER LACEY 4-OP, GENERAL DENTAL PRACTICE Incredible street visibility and location. Long-term practice, fixture in the community. Averaging over 950k in collections. Contact Cindy Pauley, DDS - cindy@omni-pg.com; 425-260-4321. (WAD387) STUNNING ORAL SURGERY PRACTICE LOCATED IN A HIGHLY DESIRABLE PART OF CENTRAL WASHINGTON Currently a satellite practice open 2 days/wk, collecting 780k. Contact Cindy Pauley, DDS: cindy@omni-pg.com; 425-260-4321. (WAD384)

POULSBO PRACTICE ON BUSY STREET . 4 fully-equipped operatories. Shared space with 4 additional plumbed ops available. Annual Collections over $850,000. Room to Grow! Frank Sciabica - frank@omni-pg.com; 425-985-8390. (WAD378) BEAUTIFUL THRIVING NEW PRACTICE IN WHATCOM COUNTY Five operatories Annual collections close to $1M per year and growing. Near the Canadian border. Contact Frank Sciabica DDS - frank@omni-pg.com; 425-985-8390. (WAD374) SEATTLE STUNNING, UP-TO-DATE MODERN OFFICE 9 operatory plus consult room, 3500 sqft general dental office with in-house periodontist. Receiving 50-60 new patients/month. Frank Sciabica: 425-985-8390; frank@omni-pg.com. (WAD373) SPOKANE HIGH-TECH, STATE-OF-THE-ART DENTAL PRACTICE 8 operatories. Well-established. Over 1 mil in collections. Full Cerec in-house system and cone beam. High traffic area. Contact Cindy Pauley, DDS: cindy@omni-pg.com; 425-260-4321. (WAD370) NORTH SEATTLE THRIVING, EFFICIENT 4 OPERATORY PRACTICE Condo Office also for sale. Annual collections over $1,000,000. Great staff in place. Newly remodled. Will consider Associate-to-own. More info: Frank Sciabica www.omni-pg.com/listing/ wad354 POULSBO PERIODONTIC/GENERAL DENTAL PRACTICE Currently operating as a Perio practice, but can quickly be converted. 3 equipped ops, room for 4th. Implants and other procedures. More info: www.omni-pg.com/listing/wad338 OLYMPIA PRACTICE ON TRACK FOR 715K+ IN COLLECTIONS ON 3 DAYS /WK 5 ops, high traffic area. Real estate available, room to grow. Contact Cindy Pauley, DDS - cindy@omni-pg.com; 425-260-4321. (WAD311) $1.1M+ OPPORTUNITY Well-established PPO/FFS practice located on a major Spokane South Hill corridor. Leased space is 1,700 sq. ft., with 6-ops and is up-to-date in technology. Call AFTCO 800.232.3826! WA-6903

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HELPING YOU IMPROVE THE FINANCIAL SUCCESS OF YOUR BUSINESS. SERVING OVER 150 DENTAL PRACTICES ACROSS WASHINGTON Visit our website for more information: dentalaccountingpros.com

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CLASSIFIEDS

OFFICES FOR SALE OR LEASE

GENERAL PRACTICE FOR SALE: RURAL SNOHOMISH COUNTY Outstanding family practice with great cashflow. Enjoy the outdoors, low cost of living, traffic-free commute, and 3-day workweek. Collecting $687K+ annually, performing routine dentistry. Low overhead and close knit-team, 4 fully-equipped operatories w/ 5th possible. Apx. 1,450 sq/ft with option to own building. Maintain with great income, or add extra hours/ days and grow! For more details contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com

ENDODONTIC PRACTICE FOR SALE IN WEST MICHIGAN Enjoy small town atmosphere and quality four season living in a diverse growing community. This is an excellent area to raise a family with plenty of outdoor activities and a larger metropolitan area 45 minutes away. The practice has solid growth potential due to a solid referral base of mostly younger doctors and in one of the areas in Michigan with solid economic and population growth. Only three other endodontists in this region of close to 100K population. Spacious office with three operatories, three microscopes, CBCT, and newer equipment. Mostly fee for service. Call Lisa at: 972-386-7222

Tacoma perio practice, please contact Sam Schoenecker with Professional Transition Strategies: SAM@ PROFESSIONALTRANSITION.COM or give us a call: 719.694.8320. We look forward to speaking with you!

GENERAL/COSMETIC PRACTICE FOR SALE: SOUTH PUGET SOUND Beautiful, state-of-the-art practice conveniently located to several communities. Collecting $2.3M. 6 operatories w/Adec & Royal chairs, computer and TV every op. Stelte cabinets. Digital radiography & Pano. Nomad. Primescan CEREC AC. MCXL Milling Unit. Ivoclar Programat Oven. Drufomat Scan Pressure Machine. 3D Printer. Laser. STA Wand Anesthetic Units. Dexis CariVu. IO cameras. Dentsply Cavitrons. Air filtration units every room. 3,486 sq/ft apx. with option to expand. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com GENERAL PRACTICE FOR SALE: NORTH SEATTLE Well-established general dental practice located in a growing neighborhood in North Seattle. Merger Opportunity Collecting $379K. 1,000 sq/ft. approximately. 3 fully-equipped operatories. Dentrix practice management software. Rotary Endo. Nitrous. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com GENERAL PRACTICE FOR SALE: KITSAP PENINSULA Beautiful Established practice in Kitsap Peninsula. Partnership available for 50% Buy-In. Combined Partnership Collecting $1.6M. Excellent Cash Flow. Low Overhead. 6 fully-computerized operatories w/Adec chairs. Digital radiography & pano. Electric Handpiece. Nitrous. Rotary endo. Intra-oral cameras. Eaglesoft Software. 48 New Patients/Month. Referring out Most Oral Surgery; Orthodontics, Most Endo and Implant Placement. 2,650 sq/ ft approx. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com ORAL MAXILLOFACIAL SURGERY RACTICE FOR SALE: SEATTLE DETAILS. Great location - growing specialty practice collecting $1.6m+ and growing. Six Ops - (3) fully equipped computerized surgical ops and (3) computerized consultation ops; (1) Post-Op Room. Fully computerized and chartless, digital radiography, CBCT, digital impressions, electric handpieces, nitrous. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com GENERAL DENTAL PRACTICE FOR SALE: SOUTH-CENTRAL KING COUNTY Busy general practice in beautiful setting collecting $2.6M+. 7 Ops fully computerized, chartless, digital radiography, Pano and scanner, I/O cameras (7), laser, diagnodent and nitrous carts. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com

WANTED: DENTAL OFFICE SPACE TO LEASE BELLEVUE/REDMOND Established general practice needs to relocate. Looking for existing dental office or space built out for dental. Are you merging, relocating, or leaving your current space? Four Ops ideal in the Bel-Red Corridor but would consider anything Bellevue to Redmond. Space sharing considered. Email: bkbrookshome@gmail.com PRICE IMPROVEMENT! Located in the heart of Downtown Seattle! Beautifully maintained building with 4 fully equipped ops, room for growth, low overhead. Contact Jen Bennett at 206-683-8966 or jen@omni-pg. com. (WAD359) CENTRAL WASHINGTON GENERAL PRACTICE FOR SALE 2day/Wk now Sell for Equipment cost (Due to Health reason) Contact - peterchadds@gmail.com GENERAL DENTAL PRACTICE IN THE NORTH SEATTLE AREA FOR SALE Beautiful 4-Op general dental office in high traffic area is up for sale. No state insurance. Office has been used as a satellite clinic 3 days/week. Lots of growth potential. Current dentist can stay to help during the transition period. Please email inquiries to Frank Bui at frankbui@comcast. net. LONG ESTABLISHED, ROBUST ANCHORAGE FAMILY GENERAL PRACTICE WITH GREAT CASHFLOW Enjoy the outdoors lifestyle, traffic free commute, more affordable housing market and 4-day work week. Collections of $1M plus annually, plus own the condominium to build equity and facilitate financing. Clinical area presents as a well-organized professional environment with 6 fully equipped operatories. The condominium unit is 1,900 spacious square feet, with recent equipment upgrades. Intraoral camera and digital radiography. The practice is conveniently located near major arterials and the New Seward Highway. Maintain with great income or add another day to grow this already thriving practice. This office will not be on the market for long. Contact: dentalpractice907@gmail.com TACOMA, WA PERIODONTAL PRACTICE FOR SALE New to the market is a well established periodontal practice with huge growth potential! THE PRACTICE IS CURRENTLY ONLY OPEN THREE DAYS PER WEEK, THEREFORE THE GROWTH OPPORTUNITY IS PRIME! 4 operatories. Collections of $820,000 & SDE $300,000. Retail condo complex real estate for sale. 20-25 new patients per month. To learn more about this great opportunity for the

TACOMA, WA GENERAL DENTAL PRACTICE FOR SALE Located on the South Sound with Mount Rainier just 42 miles away, this Tacoma general dental practice for sale has two locations. Each practice is located in a free standing building with room for five operatories each. Eight fully equipped operatories currently. Real estate for both practices is for sale. The current doctor is interested in exploring transition options, including both affiliation or partnership with another dentist. The two locations are within 30 minutes of each other and have a great patient base with little competition in the smaller communities. Collections of $1.3 million & EBITDA $330,000. 1100 active patients & 30 new patients per month. To learn more, please contact Sam Schoenecker with Professional Transition Strategies: SAM@ PROFESSIONALTRANSITION.COM or give us a call: 719.694.98320. We look forward to speaking with you! AN ESTABLISHED GENERAL DENTIST SEEKING SPACE SHARING OPPORTUNITY IN EASTSIDE One or two days a week. Or,small dental office for lease. 2067795742 or daegucb@hotmail.com RENTON PRACTICE PRICED TO SELL This office checks all the boxes at a spacious 2,204 square feet! An updated reception area features a hospitality area, flat screen TV, and seating for 7. The clinical area presents as a well-organized, professional environment with updated digital technology comprised of: 5 fully equipped operatories, lots of storage and a newly remodeled team lounge complete with private bathroom and full kitchen. This office is conveniently located near main arterials and has easy access to I-5 and I-405 corridors. Centrally located, the office services both residential and business professionals alike. Act now! This office will not be on the market for long. Email robin@rptransitions.com SE WASHINGTON PRACTICE FOR SALE Five equipped operatories in 1,700 sq. ft. office. Annual collections over $750,000. Digital X-rays. Real estate also for sale. Contact Frank at frank@omni-pg.com. (WAD382) LONG ESTABLISHED PROFITABLE PROSTHODONTIC PRACTICE IN DOWNTOWN SEATTLE BEAUTIFUL HIGH-RISE BUILDING Annual collections 1 million dollars with latest in dental technology. Contact Frank at frank@omni-pg.com or 425-985-8390. (WAD368) PRICE REDUCED – MOTIVATED SELLER! General Practice – Asking $658K for this established dental practice located in high-demand South King County. The 2600 sq. ft. practice space has 5 ops plumbed for 6 with 2 hygiene and 3 restorative rooms. Completely digital, including Pano/Conebeam and TV monitors in every room. The practice has a media/consult room, a big lab/ sterilization area, and a private office. Practice Management Associates (206) 209-1990. info@pmaadvisors.org www.pmaadvisors.org

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CLASSIFIEDS OFFICES FOR SALE OR LEASE LOCATED IN A HIGHLY DESIRABLE PART OF CENTRAL WASHINGTON Currently is a satellite practice open 2 days a week, collecting 780k. Contact Cindy Pauley, DDS at cindy@omni-pg.com; 425-260-4321. (WAD384) GENERAL PRACTICE FOR SALE: NORTH SEATTLE Well-established general dental practice located in a growing neighborhood in North Seattle. Merger Opportunity Collecting $379K. 1,000 sq/ft. approximately. 3 fully-equipped operatories. Dentrix practice management software. Rotary Endo. Nitrous. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com GENERAL PRACTICE FOR SALE: RURAL SNOHOMISH COUNTY Outstanding family practice with great cashflow. Enjoy the outdoors, low cost of living, traffic-free commute, and 3-day workweek. Collecting $687K+ annually, performing routine dentistry. Low overhead and close-knit team. 4 fully-equipped operatories w/ 5th possible. Approx 1,450 sq/ft with option to own building. Maintain with great income or add extra hours/ days and grow! For more details contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com GENERAL PRACTICE FOR SALE : KITSAP PENINSULA Beautiful Established practice in Kitsap Peninsula. Partnership available for 50% Buy-In. Combined Partnership Collecting $1.6M. Excellent Cash Flow. Low Overhead. 6 fully-computerized operatories w/Adec chairs. Digital radiography & pano. Electric Handpiece. Nitrous. Rotary endo. Intra-oral cameras. Eaglesoft Software. 48 New Patients/Month. Referring out Most Oral Surgery; Orthodontics, Most Endo and Implant Placement. 2,650 sq/ ft approx. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com EVERETT GENERAL PRACTICE Practice is open 2 days per week and refers out all Endo, Perio, Ortho, Oral Surgery, and Pedo. A great opportunity to grow an existing practice into a larger bustling practice. Three ops plumbed for 4, with 1,300 sq. ft. space with adjacent room to expand. Collecting in the mid $200K with 40% net. Call or email Practice Management Associates 206.209.1990 or info@pmaadvisors.org GENERAL/COSMETIC PRACTICE FOR SALE: SOUTH PUGET SOUND Beautiful, state-of-the-art practice conveniently located to several communities. Collecting $2.3M. 6 operatories w/Adec & Royal chairs, computer and TV every op. Stelte cabinets. Digital radiography & Pano. Nomad. Primescan CEREC AC. MCXL Milling Unit. Ivoclar Programat Oven. Drufomat Scan Pressure Machine. 3D Printer. Laser. STA Wand Anesthetic Units. Dexis CariVu. IO cameras. Dentsply Cavitrons. Air filtration units every room. 3,486 sq/ft approx with option to expand. For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com CURRENT LISTINGS For the most current information and to see all available practices for sale in Washington, please visit our website at www.omni-pg.com.

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Visit www.wsda.org/classifieds to browse the most up-to-date job and practice opportunities.

OFFICES FOR SALE OR LEASE For the most current information and to see all available practices for sale in Washington, please visit our website at www.omni-pg.com. EAST PIERCE COUNTY GENERAL PRACTICE Beautiful established practice with 40% net, 4-ops (plumbed for 5), Digital X-ray & Pano, Cerac, Intraoral Camera, and Laser. Lease available to satisfy lending. Existing long-term staff to assist in a smooth transition. Three restorative days a week and 3.5 hygiene days a week. Patient demand is high. Practice is on track to being in the low $800’s in 2021. Call Practice Management Associates 206-209-1990 info@PMAadvisors.org BELLINGHAM WA - GENERAL DENTAL PRACTICE FOR SALE Asking $265,000 for this established practice that has over 1,000 verified active patients. Perfect for someone wishing to merge their practice into a larger space or merging this practice into theirs for 1,000 instant new patients. The practice is beautifully appointed with digital technology in all 5 Ops using Dentrix Software. Historical revenue: 2018 - $476k 2019 - $372k 2020 $319K (Covid closure - 3 months) annualized. Call Lynne or Donna at PMA Advisors - 206.209.1990 GENERAL PRACTICE FOR SALE: PUYALLUP Outstanding practice open 3 1/2 days located in Puyallup near South Hill Mall! Collecting $1.2 Million. 5 fully-equipped Computerized operatories. Digital X-rays. iTero Element, Nitrous, Implant motor, PracticeWorks Software. 2,000 sq/ ft approx w/ample parking. For more details please contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com GENERAL PRACTICE FOR SALE: SOUTH SEATTLE Outstanding practice Open 4 days located in South Seattle! Collecting $999K. High collections; low overhead. 6 Computerized operatories. Digital X-rays. Digital Pano. Intra Oral camera. Rotary Endo. Dentrix Software. Assignable lease 2,200 sq/ft approx w/ample parking. For more details please contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com BELLEVUE, WA - THIS TURN-KEY, START-UP OPPORTUNITY IS A SPACIOUS, NICELY DECORATED 1,501 SQ. FT. SPACE It has 4 ops with 3 currently equipped. The 4th is built out with plumbing and cabinetry, just add the chair. The practice space already has state-of-the-art equipment with advanced technology. The doctor will consider all offers! www.practicemanagementassociates.org 206-209-1990. info@pmaadvisors.org LONG-TERM NEIGHBORHOOD PRACTICE WITH A LOYAL AND GROWING PATIENT BASE 4-ops and annual collections of 537k without doing any endo, oral surgery or ortho. Contact Cindy, cindy@omni-pg.com or 425-260-4321. (WAD367) LONG ESTABLISHED PROFITABLE PRACTICE IN DOWNTOWN SEATTLE Annual collections 1 million dollars. For more information, please contact Frank Sciabica at frank@omni-pg.com or 425-985-8390. (WAD368)

OFFICES FOR SALE OR LEASE LONG STANDING PRACTICE IN THE HEART OF YAKIMA Annual collections $1 Million. Great reputation, 5+ operatories. Real estate also for sale. Seller is deceased. Rod at rod@omni-pg.com or 206-979-2660. (WAD317) GENERAL PRACTICE FOR SALE: PUYALLUP Outstanding practice open 3 1/2 days located in Puyallup near South Hill Mall! Collecting $1.2 Million. 5 fully-equipped Computerized operatories. Digital X-rays. iTero Element, Nitrous, Implant motor, PracticeWorks Software. 2,000 sq/ ft approx w/ample parking. For more details please contact: Karrie or Sam at (425) 216-1612 or email Transitions@cpa4dds.com 2 GENERAL PRACTICES FOR SALE: OKANOGAN COUNTY Two General practices available together in rural Okanogan County along the beautiful Okanogan River. Collecting $664,000. 5 and 3 fully equipped operatories respectively in each practice. Computerized ops w/ digital x-rays. Potential growth as endo, perio surgery, Ortho, Implant and some oral surgery are referred out. For more information please contact: Karrie or Sam at (425) 216-1612 or Transitions@cpa4dds.com. GENERAL PRACTICE FOR SALE: BELLEVUE Fantastic General Practice in Bellevue close to Microsoft Campus. Collecting $741k. 4 fully-equipped computerized ops with 5th plumbed. Eaglesoft software. Digital X-Rays. N2O, Intra Oral Camera, Refers out: Endo, 3rd molar ext, Ortho, Implant Surgery. Approximately 2190sq/ft. Private Dr Rm, Staff Break Rm and Lab. For more details please contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com WELL ESTABLISHED LAKEWOOD GENERAL PRACTICE Great street visibility located off heavily traveled Bridgeport Way SE. 5 fully equipped ops. Offered at $385K. Contact Jen 206-683-8966; jen@omni-pg.com (WAD362). SHORELINE DENTAL OFFICE FOR LEASE Shoreline dental office for lease. 5 plumbed dental operatories, waiting room, reception, lab, sterile, pano room, storage, staff lounge, large restroom. Contact Steve at 425-980-6920 or steve@omni-pg.com. (WAR139) NEWLY BUILT PRACTICE LOCATED IN BEAUTIFUL SOUTH SOUND CITY Five fully equipped operatories with three more plumbed. Annual collections over $700,000. Contact Frank for more information: omni-pg.com/listing/ wad353 MILL CREEK - GREAT OPPORTUNITY FOR THIS HIGH DEMAND AREA. DIGITAL X-RAYS, CONEBEAM/PANO Three computerized treatment rooms, plumbed for 4 in this 2,000 sq. ft. office. Collected $380K in 2019 and 2020 numbers remains stable with 2019. Call us for more information. (206) 209-1990 info@pmaadvisors.org www. practicemanagementassociates.org MOTIVATED SELLER! Well-established general practice. Outstanding location, great visibility. Annual collections average $867K. Three fully equipped operatories with attached atriums. Buck Reasor, DMD at 503-680-4366, buck@omni-pg.com. (WD321)

CLASSIFIEDS

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OFFICES FOR SALE OR LEASE FEDERAL WAY - BEAUTIFUL STAND ALONE GENERAL PRACTICE Multi Dr. facility; over 40 new patients per month!!! Please call Piega at 425-890-8271. (WD288) WOULD YOU LIKE TO REDUCE YOUR OVERHEAD AND WORK LESS? Established general practice in First Hill(Capitol Hill) Seattle is seeking for space sharing/merger & acquistion opportunities. The practice was moved to current location 5 years ago with high end build out. Please call Lee at 425-615-1999 or email YSLDDS@gmail. com NEW ISSAQUAH DENTAL OFFICE, FOR SALE WITH GREAT 10 YEAR LEASE INTACT Office will be built in heart of Issaquah. New equipment 4 op (6 plumbed) Excellent for transferring existing office or building new one. Office will be sold 350K. For more info contact issaquahdentalofficenew@gmail. com SPECIALIST OFFICE SPACE Periodontist. 2,000-4,000 SF Prestigious Creekside Village the newest building in the heart of Mill Creek’s Town Center. Over 50 stores, shops and family services within a two-mile radius with many general dentists from which to draw. Visible from the Bothell/ Everett Highway, seven minutes from 1-405 and 1-5. Three minutes walking distance from the University Bookstore, Central Market and hundreds of condos, apartments and homes. There are over 55 general dentists within a 10-mile radius. Design your space. Generous terms with significant free rent. Contact Dr. Michael LaMarche (206) 383-6938 GRANITE FALLSStand-alone Medical/Dental office. 2 spaces - 2,000sf / 1,104sf. Generate income in additional space or occupy entire building. Abundant parking. 877-866-6053 ext. 3; steve@omni-pg.com (WR101) BELLEVUEHolistic Dental Practice For Sale. Annual Collections of $1 million. On busy street with visibility. Focus on holistic dentistry, Great reputation. Five operatories. Contact - frank@omni-pg.com, 425-985-8390. SEATTLE, GREAT NEIGHBORHOOD— SEATTLE Established general dental practice for over 50 years in desirable, high income household neighborhood. Three operatories. Annual collections over $500,000. Room to grow. Contact Frank 877-866-6053; frank@omni-pg.com. (WD225) NEW! DENTAL PRACTICE FOR SALE, MILL CREEK — Four chairs +2200 sq ft plumbed for six, busy main street shopping center, consistent collection over 700k, open dental and digital xray, good new patient flow, strong referral base, referring extractions ortho perio implants, pre-approved financing, priced to sell. Email FVqualitydentalcare@gmail.com. G/P PRACTICE FOR SALE IN GRAYS HARBOR COUNTY — Doctor has two practices that are 30 miles apart. One practice is the only dental office for 30 miles. Annual collections of $580,000. If you are seeking a small community to raise your family and become an active member in the community then this is a great opportunity. The main office has four fully equipped operatories. Well

OFFICES FOR SALE OR LEASE

SERVICES 1980 UNIVERSITY OF WASHINGTON GRADUATE AVAILABLE FOR TEMPORARY COVERAGE Tuesday,Wednesday and Thursdays for Western Washington. Experienced in all aspects of General Dentistry. Rate is 1000 per day minimum. Please email brucej@brucejohnson.com. 425-890-8482

trained and experienced staff will assist and continue in the transition. Well-established practice that has been in the same location for 25 years. Outstanding and productive hygiene program in place. Excellent collection policy. Contact: Buck Reasor, DMD-Practice Transition Broker, Reasor Professional Dental Services. info@ reasorprofessionaldental.com, 503-680-4366. DENTAL PRACTICE FOR SALE — Great location in Lynnwood. Three operatories, fully equipped, dental office. Dentist is retiring. Contact Dirk at dirk1@msn.com for details. FOR SALE, SOUTH LAKE UNION — Established office 1.5 million collections. Near Space Needle, middle of Amazon. 60 new patients a month, no advertising being done. Good lease If you interested email back to dentalofficeforsaleseattle@gmail.com.

LOCUM TENENSWashington license, 32 years GP experience. Cerec user, extensive surgical/grafting experience in addition to typical restorative skills. Located on the Olympic Peninsula, but have a small plane so I’m close enough to anything this side of the Cascades. Contact cell/text (360) 531-1762, or chuljian1863@gmail. com.

OFFICE CONSTRUCTION

OPPORTUNITIES WANTED

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. See our ad on the inside front cover!

OREGON HEALTH & SCIENCE UNIVERSITY AND UNIVERSITY OF PACIFIC AEGD GRADUATE SEEKING EMPLOYMENT Looking to practice general dentistry in the greater Seattle area. See my CV. https://drive.google.com/file/d/19pHgOUEGh46OmBAw ilz4fYkCABG8vg5Q/view?usp=sharing

EQUIPMENT FOR SALE FOR SALE. 2 BEAUTIFUL ANTIQUES Mahogany dental cabinet 1920’s American Cabinet Company. Numbered 72515. Milk glass trays, green marble base, mirror inset. Oak roll top desk early 20th c. Steve Albright 206-282-5063 albright@seanet.com. VATECH PAXI 2D $10,000 BEATS ALL ONLINE LISTINGS Barely 3 yrs old. Pristine condition but I’m updating to 3D. Ideal for external BWX for gaggers, kids, 3rds. Photos available. Please contact amycook514@gmail.com NOT SURE WHAT TO DO WITH YOUR USED DENTAL EQUIPMENT? Turn it into cash! We purchase pre-owned dental equipment and supplies onsite in the WA area. From nonfunctioning handpieces, down to cavitrons, we purchase large or small lots of dental equipment and supplies: Lasers Xray sensors Articulators Cavitrons Handpieces Ultrasound units Intraoral cameras Milling units Endo supplies Implant units, and much more. For all inquiries or general questions call us at: 253.248.3974 NEW TOM VG CONE BEAM CT MEDIUM FOV It has a rebuilt sensor. $12,500 4 Belmont Dental chairs (2 with light and delivery unit, doctor chair and assistant chair) $3500 Contact Jason Pehling 206-498-2425 BRAND NEW PRIMESCAN Bought December 28th, 2019 so it’s less than 6 months old, used on about 10 cases. 100% problem free. Selling 15% off. Please email wsdaclassfieds@calderwood.org

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THE LAST WORD

The COVID-19 Pandemic: A Year of Living Dangerously

T Dr. John Evans

WSDA News Editorial Advisory Board

“There is no doubt we have learned a lot about many things. Could it be that we are stronger, and more resilient, as we enter the new normal?”

he COVID-19 pandemic was a year of living dangerously. Actually, it was several months longer than a year. Dental professionals went back to work in the spring of 2020. We, it seems, are essential workers — a much used and abused title. And it was a risk, when placed in context, in the spring of 2020. We know much more now than we did then, when we donned our custom-fitted and uncomfortable N-95 masks, made costly structural changes, isolated and controlled our aerosols, wiped down exposed surfaces, bought and used literally gallons of hand sanitizer, and fundamentally changed the way we run our offices and clinics. So, let us consider the changes we have made and the costs we have incurred in the last year. We will be paying these bills for years to come, in one way or another. Infection control measures, now routine, are the easiest to live with. We know how to do it and the increased cost of running a compliant office have been accepted and factored into the system. On balance, we and our patients are safe. Dentistry has an enviable record with regard to infection control over the years. Navigating the COVID crisis is yet one more example of our ability to make dental care safe. Many of us remember similar crises in the past. Reference here Hepatitis B, then HIV, then Hepatitis C. I was much more afraid of those viruses than COVID-19. However, it can be argued that the COVID pandemic has had a greater impact on our profession. Many dentists have gone to limiting patient visits. Having fewer patients who call before they walk in and get their temperature taken and hands sanitized minimizes the risk of transmitting the virus. Instead of seeing ten or twenty patients a day, we might see half that many and increase the length of their appointments to get more dentistry done while those patients are in the office. Find a problem at recall and fix it the same day rather than schedule another appointment. The risks and the cost of infection control are thus minimized.

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.

WSDA Ne w s | Summer 2021 | www.wsda.org

We can provide certain types of care over the phone or through a HIPAA-compliant online service. This also minimizes traffic through our offices and clinics and is convenient for

patients. The limitations are obvious. Historytaking, informed consent, post-operative checks, and the business side of dentistry, for example, can all be done well online. Delivery of most dental care, however, still must be done one-on-one in very close proximity to our patients, precisely in the anatomic area that poses the most risk. We have done it safely and effectively. It is fair to say, however, that we are all waiting for a variant of COVID-19 or a completely new virus to shut us down again. The old way of doing things is in the rear view mirror. As we move ahead, we take with us a certain anticipation and a nagging fear that it will all happen again. How long until the next pandemic? What sort of economic impact will it have? What preparations must I make to get my family and my practice through the next one? Will we be able to hire staff to help us? We have yet to appreciate the real cost of the COVID-19 pandemic There are economic costs, certainly, and they continue to mount as the pandemic drags on. There are tremendous medical costs as well. I recently heard from a good friend about one of his patients who was afraid to get routine dental examinations in 2020. That patient has now been diagnosed with a large carcinoma of the tongue that would no doubt have been detected during a routine dental recall examination. Then, there are the social costs. Our children, especially our teenagers, were — and are in many cases — vulnerable to the effects of the isolation that accompanied the lockdown. These costs are impossible to quantify. They are real, nonetheless. This year is better than last year for sure. The dental profession stepped up and successfully dealt with yet another nasty viral illness. There is no doubt we have learned a lot about many things. Could it be that we are stronger, and more resilient, as we enter the new normal? I think I will go with that. n W

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