WSDA News | Winter 2019

WSDA Winter 2019

news

The voice of the Washington State Dental Association

HELP WANTED

Washington’s hygienist and assistant shortage

Strengthening Our Resiliency – 6 | From the Editor –WSDA 7 |NePNDC Speakers – 11 w s | Winter 2019 | www.wsda.org

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WSDA news

Winter 2019

From the Executive Director............................................................................. 6 Bracken Killpack

From the Editor......................................................................................................................... 7 Dr. Princy Rekhi

CONTENTS

18

Guest Editorial............................................................................................................................ 9 Ana Mari Cauce Dr. Gary Chiodo

PNDC Update.............................................................................................................................10 Compliance & Regulatory News............................................................... 12 Letter to the Editor.......................................................................................................... 13 Association Updates..................................................................................................... 14 In Memoriam............................................................................................................................... 16 Cover Story: Help Wanted.................................................................................. 18 WDIA Update............................................................................................................................24 ADA News.......................................................................................................................................26 Around the State................................................................................................................28 Clinical Corner.........................................................................................................................29 UW School of Dentistry News................................................................... 30 Laughing Gas............................................................................................................................. 31 Classifieds....................................................................................................................................... 33 From the Editorial Board.................................................................................... 42

Dr. Brittany Dean

Cover story photos: Scott Eklund

WSDA News Editor Dr. Princy Rekhi Editorial Advisory Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joe Vaughn WSDA News Publisher Bracken Killpack Washington State Dental Association Dr. Christopher Delecki, President Dr. Dennis L. Bradshaw, President-Elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Cynthia R. Pauley, Immediate Past President Board of Directors Dr. Marissa N. Bender Dr. Amy 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. Eric J. Kvinsland Dr. Blake McKinley Dr. Kim S. Nordberg Dr. Ashley L. Ulmer

WSDA STAFF: Executive Director Bracken Killpack Assistant Executive Director Kainoa Trotter Controller Peter Aaron Director of Operations Brenda Berlin Director of Continuing Education and Events Emily Rademacher, CMP Director of Government Affairs Emily Lovell Government Affairs Manager Sophie Doumit Membership Services Coordinator Rachal Gunderson Manager of Communications and Marketing Emma Brown Bookkeeper Joline Hartman Coordinator of Events, Exhibits and Sponsorships Rachel McFarlane Membership Concierge Martina Torres

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

Copyright Š 2019 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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www.facebook.com/ WashingtonStateDentalAssociation

WSDA Ne w s | Winter 2019 | www.wsda.org

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FROM THE EXECUTIVE DIRECTOR

Strengthening Our Resiliency

O Bracken Killpack Executive Director, WSDA

“Last year, WSDA essentially eliminated its longterm debt by paying off the loans used to purchase our office building in 2010.”

ver the past several years, WSDA has made a series of financial decisions which have put the Association in the best financial position in its history. Last year, WSDA essentially eliminated its long-term debt by paying off the loans used to purchase our office building in 2010.

We have also experienced several consecutive years of growth in membership, surpassing the 4,400-member threshold in late 2018 for the first time ever. We have increased attendance at the Pacific Northwest Dental Conference (PNDC), and the number of active clients working with our excellent team at Washington Dentists’ Insurance Agency (WDIA). These accomplishments are the result of the relentless dedication and hard work of our volunteer leadership, members, and staff.

While we should take a moment to recognize all of these accomplishments, it is even more important to keep an eye on potential enterprise risks which could impact our future success if we fail to properly prepare for them.

Some potential enterprise risks are external factors completely outside of our control.

For example, changes to our nation’s health insurance laws could drive major changes to WDIA’s business model.

But other risks can be caused by decisions we make. For instance, potential innovations to PNDC to make the meeting more relevant to our members and their staffs in future years may result in decreased profits (non-dues revenue) for the Association in the short run.

As we plot our Association’s strategic course over the next several years, we must continue to clearly assess these enterprise risks. We must make thoughtful decisions regarding which risks offer sufficient opportunity and should be engaged or exploited, and which risks must be avoided or mitigated. These decisions are routinely deliberated by our Board of Directors and management.

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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WSDA Ne w s | Winter 2019 | www.wsda.org

Another important strategy to prepare for potential volatility is to increase our organizational resiliency. We can build resiliency by decreasing expenses and minimizing operational redundancies.

Resilient organizations have the ability to thrive through disruptive events and

move forward against negative financial headwinds. Organizations do not increase resiliency by luck; instead it is achieved with careful planning and answering what are often difficult and uncomfortable questions.

During the last few months, WSDA has taken some important steps to increase our resiliency.

One action relates directly to the WSDA News you are reading. This issue is our first in a transition from eight annual issues to a quarterly publication. Over the last few years, we have made considerable investments into our digital communications, website, and social media presence which enable us to share pressing matters more quickly and efficiently with our members. Increased utilization of these digital communication tools now allows us to focus a quarterly publication on more timeless, evergreen content. We hope that you enjoy this new format and that you will provide feedback on how we can continue to improve the WSDA News and all of our communications to better meet your needs. Please take our communications survey at surveymonkey. com/r/WSDA. Another action we’ve taken is to reduce our own office space in our building. We are in the process of consolidating our joint WSDAWDIA footprint from approximately 13,500 square feet to approximately 7,000 square feet. Leveraging digital storage, reducing underutilized meeting space, and shrinking extra-large offices will allow us to comfortably fit into a smaller space with minimal disruption, decrease rent expenses for our organization, and increase non-dues revenue by bringing in a new building tenant. Reduced expenses and increased revenue will have a significant positive impact on future budgets.

The actions described above increase our organizational resiliency and ability to better handle known and unforeseen risks. We will also be better positioned to make crucial investments needed to achieve our most urgent strategic goals to enhance our value to W our members, both now and in the future. n

FROM THE EDITOR

An Introduction and a Misdiagnosis

I

t is a great honor to be your new editor for the WSDA News. I look forward to continuing the same tradition of providing high quality, relevant information in a clear, concise manner as you have come to expect from the WSDA. Adapting to, adopting and embracing change is crucial for any business or profession to stay relevant. My goal as your editor is to continually monitor the needs of our membership and ensure we are providing resources, news and information to help our members stay abreast of current issues affecting their day-to-day operations.

With that in mind, in this issue, I wanted to focus on an important matter currently before the Washington State Legislature.

DHATS Well-funded interest groups across the country are touting the creation of lower-level providers as the most effective solution to the access to care issue. We have seen the passage of dental therapist and dental health aid therapist (DHAT) legislation in several states, including Washington (where DHATs are limited to practicing on tribal land only). The dental therapist model has been pitched as a strategy to provide target populations with someone other than a dentist to provide restorative and surgical care.

Once again, dental therapist legislation has been proposed in Olympia, creating and licensing lesser-trained providers to perform irreversible surgical procedures on some of our state’s most vulnerable populations. Lawmakers looking to pass dental therapist legislation cite a lack of access to care for underserved rural populations as a central justification for this new type of provider.

Authorizing the dental therapist model in Washington will not improve access to care in rural areas as proponents of the legislation believe. Economic realities will result in dental therapists practicing in the same distribution as dentists and hygienists, as has been proven in areas with licensed dental therapists such as Minnesota and Canada.

Arguments for a new type of dental provider with a scope that includes surgical procedures are based on a misdiagnosis of the systemic issues facing our state’s dental safety net in both rural and urban areas.

So, the question that begs to be answered is, what will actually improve health outcomes?

I believe it is increasing safety net funding and access to preventive care for vulnerable populations.

WORKFORCE SHORTAGES, UNDERFUNDING

Dr. Princy Rekhi

Editor, WSDA News

There are two critical issues affecting vulnerable populations’ ability to receive preventive care. The first is a critical workforce shortage for dental hygienists and assistants in both private practice and community clinics, an issue we examine in depth in this issue’s cover story. We’ve heard reports that patients seeking restorative appointments with a dentist can be accommodated much more quickly than those seeking hygiene services, for which the wait can sometimes be upwards of 10 weeks.

“Adapting to, adopting

The other significant problem is chronic underfunding. Did you know that Washington’s adult dental Medicaid budget does not have enough funding to cover routine preventive visits for every eligible adult even at the state’s current unrealistically low Medicaid reimbursement rates? This must change.

A health delivery system that neglects preventive care results in worse health outcomes. The Seattle/King County Clinic, an annual free health care clinic serving populations from the Puget Sound region and around the state, is a prime example of these outcomes. Of the over 2,000 dental patients the clinic saw each year between 2015-2018, many presented serious problems that required restorative procedures. However, many of these procedures could have been avoided if those patients had had previous access to timely, professional preventive care.

and embracing change is crucial for any business or profession to stay relevant.

My goal as your editor is to continually monitor the needs of our membership and ensure we are providing resources, news and information to help our members stay abreast of current issues affecting their day-to-day operations.”

A system that refuses to spend a relatively small amount on prevention requires spending much more (not to mention more patient discomfort along the way) on complex restorative procedures that could and should have been avoided.

Let’s put our effort into educating our legislators that creating midlevel providers is not the solution. Instead let’s work together to explain the solutions that will actually make a difference. I look forward to working with all of W you on this important issue. n

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 | Winter 2019 | www.wsda.org

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GUEST EDITORIAL

Ensuring a strong future for the School of Dentistry

F

or decades, the University of Washington School of Dentistry has served our state, educating highlytrained – and urgently needed – dental professionals. At the same time, we have served a crucial role as a provider of dental care to underserved and low-income populations, serving a vital need for our communities and state.

As you may know, in the last several years, the School of Dentistry has faced substantial challenges resulting in a cumulative debt of $38 million due to operating deficits that go back more than a decade. We are addressing the factors that contributed to those deficits to ensure financial stability and long-term excellence. A key priority is to engage fully, openly and transparently with students, faculty and the wider dental community. Whether you are UW dental alumni, or simply a member of our Washington dental community, your partnership and trust matter to us.

Several factors contributed to our current financial challenges. The school incurred high mortgage debt on capital improvements, primarily at the Center for Pediatric Dentistry in Seattle’s Sand Point neighborhood, and the Center’s business plan was overly optimistic.

In addition, the school’s Apple Health (Medicaid) patient population grew substantially after the Medicaid expansion under the Affordable Care Act. Medicaid patient visits, which are reimbursed at an extremely low rate in Washington, rose from about 12-14 percent of the school’s annual total to more than 50 percent.

Meanwhile, uncoordinated budgeting practices among departments and clinics, as well as a lack of fiscal transparency, meant that challenges were not visible until they reached a crisis point.

Finally, the cost of providing dental education has continued to rise, while in the interest of our students, further tuition increases were not an option.

We unequivocally recognize the need to address these myriad systemic and leadership challenges, and we are committed to the school’s continued excellence as a leading center of dental education, patient care, and research. In the first half of 2018, the school took difficult steps, including faculty and staff cutbacks, to stem its losses. It is a tribute to our outstanding faculty that it has continued to shine in global

dental school and research rankings despite these challenges.

Thanks to these changes, and under new leadership of Interim Dean Gary Chiodo, the school’s financial outlook has already significantly improved. Midway through FY 2018, the most realistic budget projection anticipated a deficit of $6 million to $7 million. However, thanks to the coordinated actions undertaken to reduce costs, the school ended the fiscal year with an actual annual deficit of $2 million.

The first-quarter figures for FY 2019 are also heartening, with revenues exceeding projections and expenses below target, which will further shrink or even eliminate the annual deficit this fiscal year.

Ana Mari Cauce

President, University of Washington

Dr. Gary Chiodo

Of course, we cannot cut our way to long-term financial health. Accordingly, the school has made it an urgent priority to renew its faculty practice, which was suspended in April. We’ve also renewed our emphasis on efficient, accurate, and thorough revenue cycle functions and management practices. Staff members will be cross-trained to allow them to move nimbly among clinics and more dental assistants will be hired to maximize production at the Sand Point clinic, which now houses the Center for Pediatric Dentistry and the Northwest Center for Oral and Facial Surgery. The school also envisions adding a faculty practice general dentistry component at Sand Point. As the school’s premier clinical facility, it’s imperative that this facility be used to the fullest possible advantage. We are also focused on making the infrastructure and teaching technology improvements needed to prepare our students for 21st -century dentistry, and plans have begun for a new fundraising campaign to meet this need.

Interim Dean, UW School of Dentistry

“Whether you are UW dental alumni, or simply a member of our Washington dental community, your partnership and trust matter to us.”

As a critical part of our state’s oral health safety net, the school is proud to serve Washington’s most vulnerable citizens. However, the current levels of Medicaid and uninsured care we provide are not financially sustainable, so we are asking the Legislature to provide a subsidy of $2 million in each of the next four years to help ensure care for the neediest patients.

We hope you join us in valuing the important services that the UW School of Dentistry provides to our state and communities. We are committed to making the school strong and W sustainable for the good of us all. n

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 | Winter 2019 | www.wsda.org

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PNDC UPDATE

Registration is now open for the 2019

PACIFIC NORTHWEST DENTAL CONFERENCE June 20-22

Hyatt Regency Bellevue & Meydenbauer Center Bellevue, WA PNDC 2019 is Washington’s largest dental conference and your source for high-quality, affordable continuing dental education. Join thousands of dental professionals in the scenic Pacific Northwest to earn up to 19 CE credits in three days from your choice of over 40 speakers.

WSDA Member Discount WSDA members can register for a Conference Badge for just $175-$275 before May 3! In addition to a valuable member discount, PNDC 2019 offers affordable pricing for the entire dental team.

Register today at wsda.org/pndc.

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WSDA Ne w s | Winter 2019 | www.wsda.org

PACIFIC NORTHWEST DENTAL CONFERENCE June 20-22, 2019 | Bellevue, WA

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COMPLIANCE & REGULATORY NEWS

Washington State Regulatory Changes

Washington’s Dental Medicaid Program

Are you up to date on regulatory changes affecting Washington dentists? Here’s what to know moving into the new year.

During the 2017 legislative session, the Legislature passed SSB 5883, which requires the Health Care Authority (HCA) to contract out the administration of Washington’s Dental Medicaid Program.

Please visit wsda.org/regulations for more information on any of the following topics.

New Continuing Education Rules Major changes to Washington’s continuing education requirements for dentists went into effect on January 1, 2019. Dentists must now earn 63 hours of CE every three years.

Please note: While the CE reporting period has changed from annually to every three years, you will still need to renew your dental license every year on or before your birth date! Learn more at wsda.org/regulations.

In August 2018, the HCA announced three apparent successful bidders (ASB): • Amerigroup (partnered with DentaQuest) • Dentegra (partnership with Delta Dental of California, Delta Dental of Washington and Arcora) • MCNA Dental The program implementation date has been delayed to at least July 1, 2019, as the Legislature works to enact a budget that provides the funding necessary to implement the program. Visit wsda.org/ medicaid for updates on the status of the program’s transition to managed care.

Paid Family & Medical Leave Program Employer requirements for Washington’s Paid Family and Medical Leave Program went into effect on January 1, 2019. The program, administered by the Employment Security Department (ESD), is funded by premiums paid by both employees and many employers. Employers should now be withholding premiums from employee paychecks and preparing to remit first-quarter premiums to the ESD by April 30. Learn more at wsda.org/regulations.

New Opioid Prescribing Rules Washington dentists who prescribe opioids should familiarize themselves with new opioid prescribing rules. The rules include several new requirements such as prescribing limits, prescription monitoring program checks, and continuing education.

Learn more at wsda.org/regulations.

Proposed Infection Control Rules The Dental Quality Assurance Commission (DQAC) is considering dental infection control rule changes that could have significant impact on your practice.

WSDA encourages members to review the proposed rules and provide feedback to DQAC. Learn more at wsda.org/regulations.

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WSDA Ne w s | Winter 2019 | www.wsda.org

Did you know?

Initiative 1433, passed in 2016, raised Washington’s minimum wage to $12.00 per hour effective January 1, 2019. In 2020, the state minimum wage will increase to $13.50 per hour.

LETTER TO THE EDITOR

From the members of the Dental Quality Assurance Commission Public safety is the Dental Commission’s primary duty.

Regulation and rulemaking are critical parts of fulfilling that mission. We appreciate this opportunity to provide insight about our important rule writing efforts, and to explain the rationale behind them.

The Legislature requires us to protect public health, and to promote the welfare of the state, by acting as the disciplinary and regulatory body for dental professionals licensed in Washington. That means we establish, monitor, and enforce qualifications for licensure, continuing education, consistent standards of practice, continuing competency, and discipline.

Rules, policies, and procedures must promote the delivery of high-quality health care to Washington residents.

We also have been discussing continuing competency. Under RCW 18.32.002, the law states in part the commission’s purpose is “...to regulate the competency and quality of professional health care providers under its jurisdiction by establishing, monitoring, and enforcing qualifications for licensure, continuing education, consistent standards of practice, continuing competency mechanisms, and discipline.” Although we “We, the members are carefully reviewing this topic, we are of the Dental only in the discussion phase.

Commission, ask you to engage in our rule making process to ensure your voice is heard. Cooperation and communication are crucial in carrying out the public safety responsibility we share.”

With many different rule changes being considered, we understand there may be some misunderstanding about the process, and about the intent for significant rule changes. Please know that we consider many issues and directives before authorizing rule changes. Such changes are necessary to be current with technology and national issues. Throughout rule writing development we ask questions, research topics, and discuss with stakeholders for many months before enacting a rule change.

The Legislature enacts laws that direct us to write rules to implement those laws. One such law deals with opioid prescribing. We participated on a 10-person cross-profession workgroup to draft opioid prescribing rules over seven months in 2017 and 2018. Additionally, the commission discussed comments and concerns from stakeholders at many business meetings this year and incorporated significant changes through this process.

National concerns or increased complaints sometimes identify the need to modify a rule, such as infection control. The same is true of incidents in our state of significant patient harm or death, such as a death of a child after receiving anesthesia.

These are serious public safety and health concerns that we must address.

For example, on-site inspections for anesthesia providers have been discussed at several commission meetings since 2014.

On-site inspections for anesthesia providers were originally authorized in 2009. We are now modifying this rule because we have not been enforcing the inspections. The rules are not final. We continue to seek feedback to ensure the rule is fair and necessary.

Everything we do has some type of oversight: a state law, a governor directive, or your input and review. Your comments help us make decisions. We read and value all comments, even when we might not agree. We consider public safety and health with every decision we make.

We, the members of the Dental Commission, ask you to engage in our rule making process to ensure your voice is heard.

Cooperation and communication are crucial in carrying out the public safety responsibility we share.

Meeting notices and requests for comments are made through our interested parties list. It’s easy to sign up to receive these emails at www.doh.wa.gov. Rules in progress are published on our website. Comments can be provided to Jennifer Santiago at Jennifer.santiago@doh.wa.gov.

DQAC Members John Liu, DDS, chair James Henderson, public member Robert Shaw, DMD Bree Kramer, EFDA Brian Macall, DDS Kunal Walia, DDS Aaron C. Stevens, DMD Lyle McClellan, DDS David Carsten, DDS Ronald Marsh, DDS Julia Richman, DDS, vice-chair Kathleen Elling, EFDA Karla Briggs, public member Sonia Pal, DMD Tiffany Bass, DDS Abhishake Banda, DMD, MD

WSDA Ne w s | Winter 2019 | www.wsda.org

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ASSOCIATION UPDATES

Consider Applying for WSDA, ADA Elected Positions Are you interested in running for a WSDA or ADA elected position? Review which positions will be up for election at the 2019 WSDA House of Delegates this September.

Applications are due by June 30, 2019 and will be announced by email this spring. For more information regarding any of the following positions, please email info@wsda.org.

President-elect (1 position) Term: 1 year as President-elect, 1 year as President, 1 year as Immediate Past President, 3 years as ADA Delegate (2020, 2021, 2022) Requirements: WSDA member. Must have been a member for the preceding five consecutive years.

Secretary-Treasurer (1 position) Term: 3 years Requirements: WSDA member. Must have been a member for the preceding five consecutive years.

Board of Directors (4 positions) Term: 3 years Requirement: WSDA member

Committee on Budget and Finance (1 position) Term: 4 years Requirement: WSDA member

Delegate to the ADA (3 positions) Term: 3 years (2020, 2021, 2022) Requirement: WSDA member

2019 WSDA Citizen of the Year WSDA’s Citizen of the Year award is given to a member who has performed outstanding service that serves a community in need, reinforces the value of service to the dental community, and promotes the image of dentistry.

We encourage members to begin thinking of dentists doing selfless, charitable work in their communities! Nominations for the 2019

Citizen of the Year will open this spring, and the award will be presented at the House of Delegates in Spokane this September.

Learn more about the award at wsda.org/COY.

WSDA Board of Directors Update Following her installation as 11th District Trustee on the ADA Board of Trustees, Dr. Linda Edgar has elected to resign from her position on the WSDA Board of Directors.

WSDA thanks Dr. Edgar for her service to organized dentistry and we are confident she will accomplish great work with the ADA. According to the WSDA Bylaws, it is the president’s duty to fill vacancies on the WSDA Board as they arise. President Dr. Christopher Delecki has appointed Dr. Amy Cook to fill the remainder of Dr. Edgar’s elected term through September 2019.

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ASSOCIATION UPDATES

Support the WSDA Foundation Dear Colleagues, 2018 was an incredible year for the WSDA Foundation. Last year, following previous grants of more than $100,000 in support of expanding residency programs in Washington, the Foundation donated $200,000 toward the completion of the Providence St. Peter Foundation’s dental clinic in Olympia.

This gift, the largest in the Foundation’s history, was made possible by generous Dr. Chris Dorow donations from Washington’s dental community. Now is the time to support the Foundation as it looks to further its mission of improving lives through dental health.

Donate at the Gold, Silver, or Bronze level today at wsda.org/foundation.

Sincerely,

Dr. Chris Dorow WSDA Foundation President

Thank you to our 2019 Gold Club members, who have donated $1,000 or more!

Dr. Lisa Buttaro Dr. Dennis L. Bradshaw Dr. Joseph de Jesus Dr. Christopher Delecki Dr. Chris Dorow Dr. Bryan Edgar Dr. Sarah Fraker Dr. Charles Harvey Dr. Stuart Hersey Dr. James Hutchinson Dr. Todd Irwin Dr. Spencer Jilek Mr. Bracken Killpack

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Dr. Christine Kirchner Dr. Mark Koday Dr. Bernard Larson Dr. Peter Lubisich Dr. I. Blake McKinley, Jr. Dr. David & Susan Minahan Dr. Darcie Morris Dr. Nathan Russell Dr. Christine Shigaki Dr. Mary Smith Dr. Kathleen Stambaugh Dr. Ashley Ulmer Dr. Amy Winston

WSDA Ne w s | Winter 2019 | www.wsda.org

IN MEMORIAM

Dr. Michael P. Harwood Dr. Michael P. Harwood was born on May 29, 1944 in Dallas, Texas to Dr. George W. Harwood and Martha Gerth Harwood and passed away on October 18, 2018, four days after suffering a heart attack.

Michael’s father was a US Army physician, so they moved frequently during his early years, spending time in Hawaii, Germany, and throughout the continental US. When his father left the Army, the family settled in Southern California where Michael graduated from West Covina High School. It took him a few tries to find a college he liked and - after testing out UCLA, UCal Santa Barbara, and Oregon State University - he eventually graduated from WSU. He began dental school at the University of Washington where he met his wife, Karen (Bacon).

In 1971 he transferred to the Washington University School of Dentistry in St. Louis, Missouri, from which he graduated in 1974. After spending three years as a general dentist with the Indian Health Service in Wellpinit, Washington, he returned to Washington University for specialty training in Endodontics. In 1979, he completed his residency training and set up an Endodontic practice in Spokane which he continued for 39 years, until his retirement this past August.

Michael leaves behind his wife of 48 years, Karen.

In addition, he is survived by his brother George W. Harwood and his wife Melissa Harwood of Athena, Oregon, his sister Deborah Plummer and her husband Jeff Plummer of Klamath Falls, Oregon, their two children, Haley Munson and Beau Plummer and their spouses and children.

Michael was known for his kindness, his compassion and soft touch with his patients, and his willingness to always help out with whatever activity his wife volunteered him for. He liked travel, reading, anything Roman, and animals of all sorts. He also loved his dog, his Zags, and (most of the time) his Seahawks. He will be greatly missed by many.

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HELP WANTED Dental hygienists and dental assistants are in high demand — the pipeline needs expansion to fill these spots.

Dental hygienists and assistants are in short supply, and that’s affecting access to dental services in both public and private dental offices. Proactive action is needed to address the shortage — and improve access to affordable care across Washington.

D

entists, public health advocates, and policy-makers across the state agree on the need to improve access to affordable dental care in Washington.

Access is a complex issue. The growth of the “gig economy” means fewer individuals

have traditional dental benefits coverage, and individuals without dental benefits are less likely to get regular dental care. An increasingly diverse population means that language barriers must be overcome to reach underserved and vulnerable populations.

And the state’s absurdly low Medicaid reimbursement rates limit the number of dentists able to accept patients who rely on Medicaid.

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Another increasingly significant driver of the access problem is the growing shortage of dental assistants and dental hygienists in Washington.

This shortage touches every corner of the state and is felt in private practices and community health centers alike. Rural areas can suffer from a lack of trained candidates, while the skyrocketing demand for assistants and hygienists in fast-growing urban areas of the Central Puget Sound region makes it difficult to fill openings.

“We don’t have a dentist shortage,” says Cathy Dahlquist, a former state legislator now serving as the executive director of the Seattle-King County Dental Society. “What we have is a serious dental professional shortage.”

FEWER APPLICANTS, LONGER WAIT TIMES In public health clinics, the shortage of assistants and hygienists is making it harder for underserved populations to get

the preventive care they need to avoid more serious problems down the road.

Beek. “The challenges in finding hygienists is newer for us. We’re not even getting applicants for open positions.”

Statistics from the 2018 Seattle/King County Clinic tell the tale.

She notes that Nearly 70 percent of previously the patients surveyed “We don’t have a dentist Neighborcare would at the clinic reported post a hygienist shortage, What we have is a that it had been more opening and very serious dental professional than a year since they quickly receive last saw a dentist, multiple applicants. shortage.” and over 40 percent But the center has Cathy Dahlquist said that it had been had a hygienist more than two years. opening for more Patients overwhelmingly sought cleanings than a month, with no applicants at all. With (59 percent), while another 35 percent Neighborcare hygienists seeing an average requested either a filling or an extraction. of 10 patients per day, four days per week, a Many of these restorative procedures could persistent opening translates into 150-160 have been avoided with timely preventive patients not receiving care each month. care.

The impact of unfilled positions is felt in Dr. Sarah Vander Beek, chief dental officer other ways too, according to Dr. Vander Beek. of Neighborcare Health, a federally qualified With fewer staff, appointments must be health center, must deal with the effects of booked farther into the future. Some local the shortage daily. public health agencies report scheduling appointments up to 90 days out, although “We’ve had problems finding assistants over Neighborcare has consistently maintained the last three years or more,” said Dr. Vander

Kennewick Dentist Meets Market Need for Trained Assistants Many dentists prefer to train their own assistants. But few have taken that concept as far as Dr. Andrew Mohlman of Kennewick.

For nearly a decade, Dr. Dr. Andrew Mohlman Mohlman has run a dental assistant school in the evenings, training an estimated 150-200 students, effectively meeting a pressing need of dental practices throughout the Tri-Cities area.

It all started with looking for a way to more effectively use new office space. Not anxious to have his offices sit vacant in the evening, Dr. Mohlman began looking for options. He soon learned of a turn-key dental assisting school program and decided it was a viable option.

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“I was trying to address a local need. I’d had a hard time finding good assistants, and there seemed to be a shortage in our area,” he recalls.

“When they

how often to offer the class and how many students to enroll.

see what

And then there was the matter of the State of Washington. The State Workforce Training and Education Coordinating Board regulates adult education in the state, and the program had to go through a few hoops to become registered with the board.

Dr. Mohlman cites they’re getting for their national statistics money with our program that the average compared to the for-profit tenure for dental assistants is only colleges, it’s an easy decision eight months. “It’s a for most students.” natural tendency for Dr. Andrew Mohlman people right out of high school or in their Today the school offers early 20’s; they’re figuring out what they want two sessions each year, operating three to do and it’s a transitory time for people,” months on and then taking a three-month he says. “But with that level of turnover, it’s break. Each class consists of 12 students, who hard for practices to manage if there isn’t a receive a combination of extensive handsconstant supply of applicants.” on training and lectures on both general Despite a clear market need, creating the school wasn’t a snap, he says. Some of the challenges included figuring out the best schedule to not interfere with his practice,

dentistry and specialist practices, earn their state CPR certification, and meet all OSHA requirements.

“It keeps me from being as productive, from seeing as many patients as I would like to see, It means longer wait times for appointments, overworking my existing assistants, and less flexibility to squeeze in emergency visits.”

Dr. Robin Henderson

more reasonable, though far from ideal, threeto four-week lead times, she says.

Additionally, clinics sometimes are forced to block out dentists’ schedules for lack of staff to support their work. Other times, dentists end up doing hygiene work, which can create backlogs in their restorative work. Longer waits for service make for less satisfied patients and higher no-show rates.

“Is access being able to get in to find out what your problems are?” Dr. Vander Beek asks. “Or is it being able to see providers and get those problems cared for in a timely manner? I’d say it’s the latter.”

Dr. Sue Yoon, director of dental services at the Community Health Center of Snohomish County, also reports serious problems in filling dental assistant positions, despite competitive salary, benefits and signing bonuses.

“Our providers can’t function at the top of their licenses if they don’t have adequate support staff,” Dr. Yoon says. “We’ve made it work thus far, but our operations could definitely run smoother if we were consistently fully staffed.”

PRIVATE PRACTICES ALSO IMPACTED Assistant and hygienist hiring challenges aren’t limited to community health centers. In a recent survey of WSDA members, dentists in private practices across the state reported difficulties hiring auxiliary staff.

depending on their funding availability, some local workforce training programs like WorkSource sometimes may help students cover the cost. Dr. Mohlman is confident that the school is a better approach than expensive, for-profit colleges.

Dr. Mohlman’s dental assisting program includes plenty of hands-on training.

“Those programs advertise heavily,” he says. “But they’re extremely expensive and take a full year. That’s really not a good fit for young people looking for an entry-level position to start their careers.”

The program is fast-paced. “It’s demanding and students need to buckle down for those three months,” Dr. Mohlman says. “Students who are highly motivated are more likely to succeed.”

In contrast, most of the students in Dr. Mohlman’s school learn of it through word-of-mouth, although the school does a modest amount of targeted advertising on Facebook.

Students pay $4200 to enroll in the program.

Because the school is not accredited – which would impose another layer of regulatory complexity – students aren’t eligible for federal financial aid programs. However,

“When they see what they’re getting for their money with our program compared to the for-profit colleges, it’s an easy decision for most students.”

More than a quarter of dentists surveyed in King, Pierce and Snohomish Counties were actively searching for qualified hygienists.

Those that had successfully filled vacancies within the last two years reported that the process often took two to six months, or even longer (see survey results tables on page 26). The search for qualified assistants was similarly time consuming for many dentists.

Dr. Robin Henderson, who practices in Clarkston, a small community along the Idaho border, has had an opening for a chairside assistant for more than eight months.

“It keeps me from being as productive, from seeing as many patients as I would like to see,” Dr. Henderson says. “It means longer wait times for appointments, overworking my existing assistants, and less flexibility to squeeze in emergency visits.”

Dr. Henderson sees a variety of factors contributing to the shortage in her area, including increased turnover, a strong economy creating more competition for good employees, a cumbersome and back-logged state registration system for dental assistants,

These days, Dr. Mohlman is less directly involved in supervising the students’ activities and delivering lectures to the class. He’s turned the day-to-day operational reins over to Lori Mercer, one of his former hygienists, who loves the program because it allows her to spend time with her children in the day and work in the evenings.

Looking back, he offers a few words of advice to other dentists considering the creation of similar schools.

“It’s not a slam dunk,” he cautions. “It takes due diligence. You really need to evaluate your market. Check with your local dental society to assess demand. What other programs already exist? Evaluate your space – do you have a conference room or other area available for three hours or more a couple times a week without disrupting your practice?”

For Dr. Mohlman and the Tri-Cities market, the answers to these questions have led to an innovative and successful dental assistant training model.

“And most importantly, all of my assistant hires have been from the school,” he concludes.

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and a lack of training programs nearby.

On-the-job training has become a virtual necessity, but brings its own challenges.

How long did it take you to find a qualified hygienist?

1 month or less 2 to 6 months 6 months or more Still searching for a qualified hygienist

“It takes about a year for someone to become fully proficient in how to do the job,” she says. “In the meantime, that’s another burden on the rest of the staff.”

Other private practices hiring for hygienists and assistants cite additional factors contributing to the shortage. They note that assistants are often younger employees who may pursue other opportunities as they begin their work lives. Lack of understanding about the opportunities available, language and cultural barriers, increased licensing requirements and the related cost of training programs — both to the institution and the student — are other often-mentioned problems.

DIVERSE STRATEGIES NEEDED Seattle-King County Dental Society’s Cathy Dahlquist argues that, with multiple factors contributing to the assistant and hygienist shortage, a variety of strategies must be employed to attack the problem.

King Co.

Pierce Co.

Snohomish Co

Rest of State

8.1% 29.3% 8.1%

14.2% 35.7% 21.4%

21.2% 42.4% 6.9%

21.9% 43.1% 13.8%

24.8%

28.5%

27.2%

13.8%

How long did it take you to find a qualified assistant?

1 month or less 2 to 6 months 6 months or more Still searching for a qualified assistant

King Co.

Pierce Co.

Snohomish Co

Rest of State

10.8% 38.0% 16.6%

13.0% 47.8% 21.7%

21.4% 35.7% 19.0%

26.0% 47.0% 10.0%

12.8%

17.3%

23.8%

17.0%

enrollment,” Snohomish County’s Dr. Yoon says. “It really affects our recruitment pool.”

“As high school juniors and seniors, kids could be getting training, paid for by the state at area health education centers,” Dahlquist says. “But they’re more interested in medical assistant positions, despite the fact that dental assisting offers better pay and working conditions.”

Experts agree that getting more young people to pursue dental assistant work could eventually help improve the diversity of Washington’s hygiene workforce.

She points to the recent report of the Washington State Health Workforce Council, on which “A dental assistant she serves. One of position is a way the report’s primary for a broad range “All too often, recommendations of people to enter dental assistants are is to strengthen the profession,” says the dental health dismissed as low-educated, Neighborcare Health’s workforce pipeline by Dr. Vander Beek. “It’s entry-level positions. But providing additional an opportunity for many of them are truly high-employer demand them to get on-thefunding for dental talented, and could be doing job training and then assistant and hygienist have opportunities for a lot more.” education programs; career development and Dr. Sarah Vander Beek providing institutions upward mobility to a incentives to offer more livable wage.” preparatory programs But today’s training models limit the outside of traditional school hours; progression from assistant to hygienist, many increasing marketing to students about experts say. career opportunities in these positions; and “We need more programs for non-traditional developing stronger pathways, including students,” Dahlquist argues. “A Mondaypotentially preferential admissions, for through-Friday, daytime program to get a dental assistants looking to make the move bachelor’s degree doesn’t work for those with into hygienist positions. full-time jobs. It limits the range of students The first step is getting more young people that can enroll. Graduates of those programs interested in these positions, especially as tend to look a lot alike — young, white women dental assistants. with the financial resources to attend school “Dental assistant training schools are full-time.” closing because there’s not enough

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EXPANDING SCOPE FOR DENTAL ASSISTANTS WSDA is proposing important legislation in the 2019 Legislature to address the shortage of dental personnel by expanding the scope of practice for assistants in Washington.

The proposed legislation would permit dentists to delegate certain tasks, such as sterilization, to dental assistants under general supervision, which is not currently allowed in statute. WSDA is also considering proposing other legislation to expand the scope of practice for dental assistants in the future.

“All too often, dental assistants are dismissed as low-educated, entry-level positions,” says Dr. Vander Beek. “But many of them are truly talented, and could be doing a lot more.”

“Expanding assistants’ scope of practice has a number of benefits,” said Dr. Chris Delecki, WSDA president and senior attending dentist at Seattle’s Children’s Hospital. “First, it makes those positions more attractive for recruiting and retaining employees. It helps hold down costs to patients.”

Dr. Delecki argues that Washington should adopt models that have worked well for the military and the Indian Health Service. In these models, assistants are given specialized training to develop specific skills that can be used in a clinical environment. Generally, these are reversible procedures, such as cleaning and polishing teeth, supragingival scaling, gross debridement, or placement of restoration material.

He believes that significant increase training those in the number “WSDA will continue already in the field to dentists trained to pursue these strategies perform reversible elsewhere coming procedures is a much to Washington to and work to identify other safer approach to innovative responses on behalf practice. A similar expanding access approach for of its members and for the to affordable dental hygienists could pay care than the similar dividends. benefit of quality oral health dental therapist Today, hygienists care in Washington.” model, which allows trained in other individuals with less states face barriers training than a licensed dentist to perform to obtaining a license that do not exist for irreversible surgical procedures. dentists. To be eligible for a limited hygiene license here, dental hygienists must not only be licensed elsewhere, but also engaged in LICENSE PORTABILITY FOR “active practice,” which is defined as at least DENTAL HYGIENISTS 560 hours of practice in the last 24 months.

Another idea gaining support is to make This can be a barrier to those who have taken it easier for hygienists who have practiced a family leave or have a more transitory and are in good standing in another state to lifestyle, such as spouses of active-duty obtain a license immediately upon moving to military.

Washington. Over a decade ago, Washington The state also requires hygienists moving significantly reduced the administrative into Washington who haven’t been trained barriers for dentists licensed and in good in local anesthesia to take a class in those standing in another state to obtain a dental procedures in order to practice dental hygiene license here. These changes resulted in a

beyond their first 18 months here. Again, this can limit options for those who expect to be here for a relatively short period.

WSDA’s proposed legislation would remove the “active practice” requirement, making the transition to practice in Washington smoother for hygienists from out of state.

NEXT STEPS IN CLOSING THE GAP Shortages of dental assistants and hygienists didn’t appear overnight, and it will take time and effort to close these critical gaps. Better marketing to students, more flexible training models, expanding the scope of practice for assistants, and making it easier for hygienists to enter the state are just some of the strategies needed to attack this problem.

WSDA will continue to pursue these strategies and work to identify other innovative responses on behalf of its members and for the benefit of quality oral W health care in Washington. n

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#WDIA #TEAMSPIRIT It’s time for your annual insurance review!

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

You can trust that WDIA is playing on your team.

Call 800-282-9342 or email info@wdiains.com to schedule your FREE insurance review.

YOUR WDIA TEAM: Kerri Seims · Matt French

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WDIA NEWS

If you become disabled, will your business and personal expenses be covered?

L

ast year, Washington Dentists’ Insurance Agency (WDIA) worked with several dentists who became disabled by accidents or unforeseen illnesses. A disabling event can touch anyone no matter what their age or their health and it can cause financial hardship if you are not fully covered by the right kinds of disability insurance.

Although insurance is not a tangible item you pay for every month like your mortgage or electricity, it is still incredibly important to keep your disability insurance up to date with your needs. Your disability insurance is there to protect you and your family if the worst should happen, but if you are under-insured, those gaps in coverage may cost you.

If you become disabled, savings may cover the costs in one aspect of your life, but it is unlikely that you would have enough funds to cover your personal and business expenses indefinitely. WDIA encourages dentists to acquire different types of disability insurance to ensure that all personal and professional expenses will be covered for the well-being of themselves and their families.

The best way to protect yourself, your family and your practice is to make sure your insurance policies have the full protection you need. If the amount you need is more than what you currently have in monthly benefit on your disability coverages or if you are not covered at all, then you will want to consider increasing your existing coverage and/or obtaining other types of disability coverage.

Although each type of disability policy provides coverage for a different aspect of your life, the benefits on each policy are triggered by you no longer being able to perform the duties of your profession. Having multiple policies at the correct coverage amounts ensure that every part of your life will be protected.

Matt French

Director of Insurance Services, WDIA

“If you become disabled, savings may cover the costs in one aspect of your life, but it is unlikely that you would have enough funds to cover your personal and business expenses indefinitely.�

WSDA members save 10% on personal and business overhead disability insurance!

WDIA encourages you to keep all your insurance policies in force and to make sure that you have the amount of coverage you need.

Contact WDIA About Disability Coverage Today!

800-282-9342 info@wdiains.com

The Obvious Choice for Washington Dentists WSDA Ne w s | Winter 2019 | www.wsda.org

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ADA NEWS

Washington State Dentist Installed as ADA Trustee WSDA member Dr. Linda Edgar, a dentist practicing in Federal Way, was recently installed as a trustee of the American Dental Association (ADA). Dr. Edgar’s installation took place in Honolulu at ADA 2018 – America’s Dental Meeting.

Dr. Edgar will serve on the ADA Board of Trustees as the trustee from the Eleventh District, which encompasses Washington, Dr. Linda Edgar Oregon, Idaho, Montana and Alaska. The ADA Board of Trustees formulates and reviews policies and programs and makes recommendations to the members of the ADA’s governing body, the House of Delegates. As a member of the ADA Board of Trustees, Dr. Edgar will play a major role in the organization’s objective to be America’s leading advocate for oral health.

Dr. Edgar has been a member of the ADA since 1992 and a member of the House of Delegates since 2005. She most recently served on the ADA Council on Dental Practice. Dr. Edgar is also involved with numerous other dental organizations, including the WSDA, the Pierre Fauchard Academy, Washington Academy of General Dentistry and the Academy of General Dentistry, of which she was president in 2013-2014.

She served the Seattle-King County Dental Society as president from 2010-2011 and was on the WSDA Board of Directors from 2016-2018.

Dr. Edgar earned her dental degree from the University of Washington in 1992. Prior to becoming a dentist, Dr. Edgar was a teacher and she earned a master’s degree in education from the University of Washington in 1975. She practices dentistry in Federal Way with her husband, Dr. Bryan Edgar. They have a son, daughter-in-law and two grandchildren.

ADA Adopts Further Policy Discouraging Direct-to-Consumer Dental Services Nation’s Dentists Concerned about Potential Damage, Irreversible Complications to Patients A new policy from the ADA “strongly discourages the practice of direct-to-the consumer (DTC) dental laboratory services because of the potential for irreversible harm to patients.” The new policy expands upon a 2017 ADA policy entitled “Do-It-Yourself Teeth Straightening” to include the sale of partial dentures, teeth whitening trays, snoring appliances, veneers and mouth guards, in addition to DTC orthodontic services.

The traditional role of a dental laboratory is to manufacture prosthetics and devices at the direction of the dentist. The dentist writes a prescription to the laboratory customized to the specific clinical needs of the patient citing the materials to be used and any special design features requested.

Recently, however, some laboratories have offered to sell such products directly to consumers. Bypassing the involvement and oversight of

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the dentist eliminates the dentist’s essential role in diagnosing oral health conditions, creating treatment plans to meet those needs, and safely managing treatment needs through the course of dental care.

Self-delivered, unsupervised dental treatment, in the view of the ADA, creates the risk of damage and irreversible harm to patients.

By circumventing the involvement of a licensed dentist, patients lose a very important quality control checkpoint — their dentist — to ensure all aspects of their treatment are performed and are progressing in the best interests of the patient. This includes oversight of the manufacture of prosthetic devices, including disclosure of materials used and country of origin, ensuring that they are to the satisfaction of both patient and dentist. Moreover, if consumers experience problems with a DTC manufactured dental prosthetic, their ability to resolve the situation is greatly impaired in the absence of a dentist who has prescribed the prosthetic device.

However, another avenue is available. Because dental prosthetics, such as aligners, partial dentures and snoring appliances are considered medical devices by the FDA, the FDA encourages consumers as well as health care professionals, in case of problems, to utilize and submit the MedWatch voluntary reporting form to help improve safety by bringing attention to particular issues. More general information about the FDA medical device reporting program can be found at fda.gov/Safety/MedWatch.

In the view of the ADA, the dentist is ultimately responsible for the patient’s care, and is the only individual licensed and qualified to accept responsibility for prosthetic care. By adopting this new policy, the ADA strongly discourages the practice of direct to consumer dental laboratory services. Visit MouthHealthy.org/DIYdentistry to learn more.

Action for Dental Health Act Is Now Law The Action for Dental Health Act, legislation aimed at improving oral health and access to oral health care, is now law.

President Donald J. Trump signed the bill December 11, 2018. The final bill passed Congress November 28, 2018.

The ADA, which has championed the Action for Dental Health initiative since 2014, applauded the bill’s passage.

“This is a tremendous victory for dentistry and patients everywhere,” said ADA President Jeffrey M. Cole in a statement. “The Action for Dental Health initiative shows what our profession stands for, which is that all Americans deserve good dental health. The ADA is pleased to see Congress prioritizing legislation that will improve access to oral health care and help prevention and outreach programs to combat dental disease before it starts.”

The legislation, originally introduced by Reps. Robin Kelly, D-Ill, and Mike Simpson, R-Idaho, passed the House in February. In October it passed the Senate, where it was sponsored by Sens. Cory Booker, D-N.J., Bill Cassidy, R-La., Mazie Hirono, D-Hawaii, and Tim Scott, R-S.C. By passing the bill, the Action for Dental Health Act will allow organizations to qualify for oral health grants to support activities

ADA NEWS

that improve oral health education and dental disease prevention. It will also enable groups to develop and expand outreach programs that facilitate establishing dental homes for children and adults, including the elderly, blind and disabled.

“This bipartisan bill means that more families will have access to oral and dental health care,” said Rep. Kelly in a statement. “This increased access to care means that patients will receive early detection and intervention resulting in better outcomes, reduced costs and improved health.”

“We are sending a message that oral health is a priority for Congress,” said Rep Simpson, adding. “Ultimately, the real winners are patients who need improved access to resources to enhance early diagnosis, intervention and preventive treatments which can stop the progress of oral diseases.”

Specifically, the legislation is designed to: • Improve oral health education and dental disease prevention.

• Reduce the use of emergency rooms for dental care.

• Help patients establish dental homes.

ADA Releases Recommendations for Silver Diamine Fluoride Review the ADA’s first-ever recommendations for silver diamine fluoride (SDF) in the Nonrestorative Treatments for Carious Lesions Clinical Practice Guideline, developed by the ADA Council on Scientific Affairs.

Visit ADA.org/caries to learn more.

• Reduce barriers, including language barriers and cultural barriers, to receiving care.

• Facilitate dental care to nursing home residents.

For more information about the ADA’s Action for Dental Health initiative, visit ADA.org.

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AROUND THE STATE

Local Continuing Education Opportunities Attend upcoming CE courses in your area! Visit wsda.org/localCE for registration information and a full schedule.

Mount Baker District Dental Society MBDDS Midwinter Meeting CE by Kirk Behrendt of ACT Dental Consulting March 1, 2019 Four Points by Sheraton, Bellingham

Pierce County Dental Society PCDS General Membership Meeting CE by Dr. David Dean February 26, 2019 at 5:30 PM Tacoma Country & Golf Club, Lakewood

Seattle-King County Dental Society Start with the Correct Diagnosis: How Airway Influences Facial Growth and Development CE by Dr. Rebecca Bockow February 12, 2019 from 6-9 PM The Sorrento Hotel, Seattle

Snohomish County Dental Society SCDS General Meeting CE by Jeffrey R. Adams, MD - ENT/The Everett Clinic February 20, 2019 from 6-8:30 PM Mill Creek Country Club, Mill Creek

Spokane District Dental Society Inland Northwest Dental Conference April 18-20, 2019 Spokane, WA www.indc-spokane.com

Local Volunteer Opportunities Snohomish County Dental Society

“A Day for Smiles” Raises Over $138,000 for Charitable Care The Pierce County Dental Foundation, the philanthropic arm of the Pierce County Dental Society, raised $138,633.59 during its “A Day for Smiles” week last fall.

From September 17-21, area dentists were encouraged to make a donation equal to one day’s worth of dentistry in support of the Pierce County Dental Foundation Endowment, which aims to raise $1 million for uncompensated charitable dental care in Pierce County.

Thank you to the generous dentists who donated!

Founder Albert Bird Guillermo Chacon Robert Chen Richard Coyner Jurgen Huck Roy Kaldestad Minou Karbakhsch Manuel La Rosa Silvia La Rosa

Champion Stephen Beck Brian Berg J. Douglas Bird

Zachary Bird Lisa Buttaro Michael Chiulli Kirk Dalhke Ross Drangsholt Michael Giesy Jagdeep Gill Michelle Green Samuel Hinz Roy Kaldestad Mitchi Katafuchi Moona Khan Mostafa Norooz Joe Schneider

Karl Smith Lotus Su Steven & Mary Urback Jonathan Walker Robert White Sean Wittmer

Ambassador Jamie Brooks Stephen Hannon Stuart Hersey Kim Nordberg Sonia Pal Chad Smart

Toothapalooza February 15, 2019 from 5:30-8:30 PM Imagine Children’s Museum, Everett Volunteer dentists and assistants needed to do mini-exams during this free community event.

Email info@scdentists.org to volunteer.

Would you like to feature upcoming local dental society events in the next issue of the WSDA News or on wsda.org? Please email events to Emma Brown at emma@wsda.org for consideration.

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Pierre Fauchard Academy Update The Washington Section of Pierre Fauchard Academy is excited to announce new leadership: Chair Dr. CR Anderegg, Treasurer Dr. Barry Feder, and membership committee member Dr. Audrey Tatt.

Dr. Anderegg shares the following message to his Pierre Fauchard Academy colleagues: “I hope all members of the PFA will be instrumental in nominating worthy individuals for potential membership. Criteria for membership and the application can be found on the PFA website, www.fauchard.org.”

AROUND THE STATE

CLINICAL CORNER UW Oral Pathology Case of the Month: December 2018

Large multilocular, expansile radiolucency, anterior mandible Contributed by Dr. Benjamin Johnson Oral & Maxillofacial Surgery, Auburn, WA

History of Present Illness This is a 46-year-old female who presented to her dentist with loose anterior teeth and a large swelling in the area of tooth #22 involving the anterior mandible and crossing the midline (Figure 1). This lesion is of unknown duration and was described to be 3x3x3 cm in size.

Clinically, the lesion presented as a large swelling with a red/purple and brown appearance. The patient’s past medical history is significant for sleep apnea and prediabetes.

Make Your Diagnosis!

Visit wsda.org/clinicalcorner to find additional information and see if your diagnosis is correct.

Thank you to UW Oral Pathology for sharing this Case of the Month.

New & Emerging Speakers Series

PACIFIC NORTHWEST DENTAL CONFERENCE June 20-22, 2019 | Bellevue, WA

REBECCA BOCKOW, DDS, MSD Orthodontics

KEVIN BROWN, DDS Restorative/Esthetics

MAX MOLGARD, DDS Prosthodontics

See Your WSDA Member Colleagues Speak at PNDC 2019

GERRARDA O’BEIRNE, BDS, MSD Periodontics

GREGORY OGATA, DDS, MS Leadership

MICHAEL WASSON, DDS TMJ/TMD

PARKER HALEY, DDS Practice Management

Register today at

wsda.org/pndc

THOMAS SKARSHAUG, DDS Wellness

ALAN YASSIN, DDS, MS, MSD Implants

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UW SOD NEWS

Dr. Travis Nelson Named Acting Chair of Pediatric Dentistry Dr. Travis Nelson, clinic chief of the University of Washington’s Center for Pediatric Dentistry, has been named acting chair of the UW School of Dentistry’s Department of Pediatric Dentistry, the school has announced. The appointment, which took effect Nov. 1, is awaiting formal approval by the UW Board of Regents.

Dr. Travis Nelson

Dr. Nelson will take over leadership of the department from Dr. Thomas Dodson, who had served as interim chair since mid-2016. Dr. Dodson filled that role in addition to his duties as chair of the school’s Department of Oral and Maxillofacial Surgery. During this time, Dr. Nelson took on a significant portion of operational leadership for the Department of Pediatric Dentistry, which includes the Center for Pediatric Dentistry. As acting chair, he will oversee the pre-doctoral and residency programs, departmental operations, and human resources.

“Dr. Nelson’s performance as clinic chief and his dedication to the Pediatric Dentistry program have been exemplary,” said Dr. Gary Chiodo, the school’s interim dean, in his letter to UW President Ana Mari Cauce proposing the appointment.

In a message to the school, he added, “I am delighted that Dr. Nelson is assuming this critical role at a time of exciting growth and development at the School of Dentistry. He is a stellar clinician for some of our most complex patients and a truly valuable member of our faculty.”

Dr. Nelson has received wide recognition for a clinic he started at the Center for Children with Autism in 2012. It is believed to be one of the only clinics of its kind, and it has enjoyed significant success in treating these children while using behavioral techniques. Dr. Nelson and colleagues published a study of their findings in 2017 in the Journal of the American Dental Association.

Dean Chiodo said that Dr. Nelson would play a key part in transforming the Sand Point clinic in Seattle’s Magnuson State Park that houses the department. The clinic is also shared by the Northwest Center for Oral and Facial Surgery, the faculty practice for the Department of Oral and Maxillofacial Surgery.

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The dean said he plans to take steps to increase Sand Point’s existing clinical productivity and add a general dentistry faculty practice clinic there as well.

“With the leadership team of Dr. Nelson and Dr. Dodson in place, we are positioned to move forward with elevating this premier site to its highest and best operations,” he said. The Sand Point clinic, which opened in 2010, is a state-of-the artfacility with abundant free parking.

“I am thrilled with the strong commitment that the administration has made to the future of our program, and I am honored to be asked to serve during this critical time in our school’s history.”

Dr. Nelson joined the department and the school’s faculty in 2010 as acting assistant professor.

He was appointed clinical assistant professor in 2013 and clinic chief in 2016, when he was also promoted to clinical associate professor. He also holds an appointment on the attending staff at Seattle Children’s Hospital.

“I am thrilled with the strong commitment that the administration has made to the future of our program, and I am honored to be asked to serve during this critical time in our school’s history,” Dr. Nelson said. “We will work together to ensure that the University of Washington continues to serve the children of this state and graduates clinicians who are equipped to care for the most vulnerable patients in our region.”

A 2003 graduate of Walla Walla College, he received his DDS from Loma Linda University in California in 2007, then his master’s degree and certification in pediatric dentistry and a master’s degree in public health from the UW in 2010. He is a diplomate of the American Board of Pediatric Dentistry and has been a co-investigator on seven research grants and a principal investigator on two grants. He has also written or collaborated on more than two dozen journal articles as well as several book chapters and other educational materials. In addition, he is an ad hoc reviewer for publications including the Journal of the American Dental Association, International Journal of Pediatric Dentistry, Special Care in Dentistry, and the Journal of Dental Education.

LAUGHING GAS

“Ready to walk the Reimbursement Maze?”

“Ok, hit me with the paperwork.”

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Make a Positive Impact in our Community CHAS Health is based locally, with multiple locations throughout Eastern Washington and North Idaho, and serves a critical need in the community by providing healthcare to patients of all ages, regardless of insurance status.

We offer: excellent pay and benefits; loan repayment programs; generous paid time off; and best of all, rewarding work and the chance to make a difference

Looking for a new opportunity?

Apply today! work@chas.org • 509.444.8888 chas.org/careers

Medical

•

Dental

•

Pharmacy

•

Behavioral Health

Thank you.

To our valued O’Brien customers, past, present, and future, Thank you for your trust in the O’Brien brand, granting us the opportunity to meet your needs and surpass your expectations.

Thank you for your valued input. Your objectives drive our commitment to innovation and customer support.

Thank you for the privilege of playing a part in the acheivement of your business goals.

Thank you for the past fifty years. We are grateful and honored to be part of our shared dental family journey.

From all of us at O’Brien Dental Lab, we look forward to the next fifty years of continued service and the opportunity to build new and enduring partnerships.

Derrick Luksch, CDT Owner

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CLASSIFIEDS OPPORTUNITIES AVAILABLE FEDERAL WAY ASSOCIATE — Existing GP associate retiring in 1-2 years, looking for new associate to transition and take over practice.

High percentage, lots of benefits and future buy-in available. Email: wsda@calderwood.org 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.

GENERAL DENTIST/WESTERN WA — A rare opportunity in beautiful Wenatchee Washington for a General Dentist. This highly successful private practice is seeking a doctor that has a desire for a position where they can feel valued, enjoy a work life balance all while contributing to the team and practice. The doctors are looking to share the practice with a doctor that values quality dentistry and focus on building relationships with the patients and the dental team. This position offers a flexible day count schedule, as well as number of days per week. Wenatchee is a wonderful place to enjoy outdoor activities and raise a family all in a lower cost of living community. Please e-mail your CV to julie@trgcoaching.com.

DENTIST, COLLEGE PLACE — SonBridge Dental Clinic in College Place, WA is looking to fill the paid position of a Dentist at 4 days/week. Call Mel Lang at (509) 301-3460 if interested.

ASSOCIATE DENTIST POSITION AVAILABLE — Well established, state of the art dental practice looking for an associate dentist 3 days/week with strong potential to becoming 4 days/week. Busy 10 chair general practice with well seasoned, experienced staff and doctors; clinic complete with digital scanners, in office milling machine, Carivu, intraoral cameras, and digital radiography.

Candidate must have experience in all aspects of general dentistry, including Invisalign, implants, molar endodontics, and oral surgery. Several years experience and/or a residency is preferred. We are looking for that someone to become part of our team and grow with our practice. Our doctors have a combined 50 plus years of experience and would like to mentor our associate. Please send all inquiries including CV to lecuyeramatodds@gmail.com.

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

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

adult dentistry. Mix of State and private insurance.

Come try out Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Please send inquiries to jbabka@applesmiles.com

regarding medications is in accordance with accepted community standards and CHAS Health protocols. • Recommends dental equipment changes and additions. • Participates in the development and implementation of provider productivity standards. • Attends staff meetings and in-service training. • Represents CHAS Health at conferences, meetings, and continuing education programs.

• Participates in precepting dental assisting students, dental hygiene students, and dental students as requested. • Participates in clinic quality improvement initiatives as requested. • Performs other duties as assigned. Qualifications: Education/ Experience: Completion of ADA accredited dental program required. Valid dentist license in the state of Washington or Idaho required upon hire.

Previous experience working with under-served populations desired. Certification through The Drug Enforcement Agency required. Skills: Must be able to secure credentialing through identified agencies (Medicaid, etc.). Effective oral and written communication skills required. Computer skills required. BLS certification required. Physical Demands: Dentists are required to stand under one-third of the day; while sitting and being mobile are required one-third to two-thirds of the time.

They are required to use hands to finger, handle or feel over two-thirds of the time, as well as reach with hands and arms. Climbing, balancing, kneeling or crouching occurs less than one-third of the time.

Communicating by talking / hearing occurs over two-thirds of the day. Smelling occurs between one-third and two-thirds of the day. Excellent vision (with or without correction) and hand-eye coordination required. Amount of time spent lifting or exerting force is about 30% for up to 10 pounds. Rarely is there a need to lift more than 11 pounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Email: Lsomers@ chas.org.

SEEKING FULL-TIME ASSOCIATE DENTIST – TUMWATER — 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. And here’s the real deal: You’ll work shoulder-to-shoulder with some of the most talented and committed dental professionals and industry leaders. The tools, technology, and clinical support are unparalleled, and practice partnership is the end-game. 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 send resume to adam@atlasdentistry.com.

SEEKING AN ORAL SURGEON/ PERIODONTIST — Seeking an Oral Surgeon/ Periodontist at our Kirkland office for 1 day a month for our Implant and surgery cases. bhatdds@gmail.com

DENTAL ASSOCIATE NEEDED — Ellensburg office 2-4 days per week, must be willing to work on weekend. Please email resume to uwdentaldoc@ hotmail.com

DENTAL DIRECTOR, WENATCHEE — 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 Dental Director at our Wenatchee location providing overall management and support to all Dental staff at our Wenatchee and Chelan site. You would join a team of 8 Dentists, 8 Hygienists and 22 Dental Assistants.

CVCH offers highly competitive compensation, NHSC loan repayment, relocation/signing bonus, third world Spanish-language immersion program.

Contact humanresources@cvch.org

ASSOCIATE — We have a great associate opportunity for a Dentist looking to be compensated well with less of the headaches and stress.

Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $200,000 (for experienced dentists) plus bonuses, but opportunity to earn upwards of $350,000/year.

New grad salary starting at $180,000, plus bonuses.

Full benefits package and moving allowance. We are offering a signing bonus, moving allowance, paid time off, license reimbursement, malpractice coverage and a continuing education stipend. State of the art clinics and equipment. Mix of children and

DENTIST NEEDED, SPOKANE — Improve the overall health of the communities we serve by providing dental care to patients as follows: Essential Duties and Responsibilities: • Performs restorative, surgical and various preventative and restorative services. • Understands and follows infection control procedures. • Reviews medical histories at each visit. • Consults with patient’s health care provider or other clinic provider as needed. • Diagnoses dental disease, oral pathology, and develop a written treatment plan and prioritize treatments. • Explains the course of treatment with patient, and solicit his/her input and agreement.

• Balances treatment plan on patient needs and desires in conjunction with patient and clinic resources. • Ensures all prescriptions and advice

ENDODONTIST ASSOCIATE OPPORTUNITY, REDMOND AND KENT — Endodontist Associate Opportunity. Redmond and Kent, 2-3 days per week.

TDO software, Zeiss scopes and Carestream CBCT. % production with minimum daily compensation.

Send CV to info@endoredmond.com.

ASSOCIATE WANTED, VANCOUVER — We are looking for a Dental Associate who calls Vancouver home and is seeking to grow with an established and expanding dental office. The success of our practice has been built on exceptional customer service and making connections with the patients in our community. Candidate shall possess leadership skills, be able to develop comprehensive treatment plans that include extractions, molar endodontics and CEREC crowns while guiding and motivating patients to accept recommended treatment. Our practice culture is patient centered encompassing quality, comfort and fun! Outstanding staff all work toward a common goal. Hygiene team is top notch with strong emphasis on education and treatment of periodontal disease. Bring your energy for creating healthy smiles and join our motivated team. Contact Kristen at 360.213.1999 for more details on this great opportunity!

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MCNA is pleased to be a benefits administrator for the

Washington Medicaid Dental Program serving the State’s Medicaid members beginning on July 1, 2019.

MCNA is a provider-centered organization committed to helping dentists serve Medicaid enrollees.

We provide dentists with leading-edge technology and superb customer service support to reduce missed appointments and encourage patients to seek timely dental care.

For more information, visit us online at: www.mcnaWA.net

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

CLASSIFIEDS

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

DENTIST OPPORTUNITY, EASTERN WASHINGTON — Dentist Opportunity in Eastern Washington: Seeking experienced dentist for a busy, well established, successful, multi-specialty group, fee-for-service dental practice. Full or part time options are available. Come join our professional, modern office and become a part of our wonderful team. Please send resume and direct any inquiries to: dentist@bentonfamilydentistry.com

looking to slow down and get rid of your office overhead and/or headache. We are fully capable of adding an additional doc or associate if you have charts or patients you would like to bring over. Our practice offers everything: digital charts & x-rays and scanners, CBCT, implants, CEREC, Invisalign, and more importantly the highest level of care and relationships in any practice I have ever worked for. It would be my goals to open a 5 th day and merge your practice with ours and let myself and my office manager take over the business side and let us be dentists and healers again. Even if you are not wanting to work a couple days a week, I would be open to discuss taking over your patients care. I am an open book, family man, and want to continue to grow our brand of dentistry while offering our patients almost all their care under one roof. Let’s talk or email me: topinvisaligndoc@gmail.com

PEDIATRIC DENTIST WANTED — We are looking for a Pediatric Dentist 3-4 days/week, with potential for partnership in the short term! With offices in Maple Valley, Kent, and more on the horizon, our group practice wants to add an ADVENTUROUS, FUN-LOVING, MOTIVATED TO BUILD Pediatric Dentist! Our office culture blends the customer service of Chick Fil-A with the amazing branding and mission of Patagonia! Check out our website at www.cascadiakidsdentistry.com Compensation will be competitive for the area!

DENTIST NEEDED, SEATTLE — Geriatric clinic seeks dentist for two days/week and on-call. Full service clinic within a skilled nursing facility. Must be comfortable treating special needs and medically complex patients with excellent team support. Be part of a highly skilled, caring team of providers while maintaining clinical autonomy. Convenient North Seattle location. Pay commensurate with experience, new grads considered. We are a Equal Opportunity Employer. Apply at Foss Home and Village: 13023 Greenwood Ave. N. Seattle, WA 98133.

Phone: (206) 364-1300 Fax: (206) 834-2531 Or download application at our website: www.fosscare.org.

ASSOCIATE, MULTIPLE LOCATIONS — We have a great associate opportunity for a dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $200,000 (for experienced dentists) plus bonuses, but opportunity to earn upwards of $350,000/year.

New grad salary starting at $180,000, plus bonuses.

Full benefits package and moving allowance. We are offering a signing bonus, moving allowance, paid time off, license reimbursement, malpractice coverage and a continuing education stipend. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance.

Come try out Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Please email jbabka@applesmiles.com for consideration or questions.

THINKING ABOUT RETIREMENT? — Attend our Practice Transition Seminar! Bellevue Friday 2/1/19, Portland Friday 2/8/19, Spokane and other locations coming soon. Details and registration at omni-pg.com/register. Don’t wait - Register Today!

ASSOCIATE DENTIST WANTED - ANACORTES — 1-2 days per week. Our longtime associate dentist is retiring, so we are looking for a general dentist that is focused on high quality comprehensive dental care. We are a modern, mature office with an experienced staff who loves providing top notch care while having fun along the way. If you think you might be a great fit for our office, please send your resume and cover letter to the following email address: utejane@yahoo.com MERGER OPPORTUNITY, TACOMA — Want to slowly retire or get rid of your overhead? I’m looking for a like minded individual or office for a possible merger. We have a killer high trafficked location in Tacoma with 6 beautiful fully finished ops and long standing team and ever growing patient base.

I would be interested in talking to you if you are

MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. We currently have openings in Oregon and Washington for general dentists, endodontists, oral surgeons, pediatric dentists, and locum tenens dentists. As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are competitive guaranteed compensation, benefits, paid vacation, malpractice insurance, in-house CEs, and an in-house loan forgiveness program. Please contact Courtney Olson at colson@willamettedental.com and visit www. willamettedental.com/careers to learn more!

ASSOCIATE — High-tech, organized, total health, successful practice looking for an associate at least 3 days per week. Portland, OR area. Contact megan@omni-pg.com.

ASSOCIATE POSITIONS IN SALEM, ALBANY AND ROSEBURG — FFS, well-established 2 locations expanding to Salem, Albany Roseburg. Beneficial to confidently perform endo, oral surgery, surgical implants. Contact Megan@omni-pg.com, 503.830.5765.

ASSOCIATE WANTED, OLYMPIA — Great opportunity to work for the Best of South Sound! A growing family and cosmetic practice in Olympia, Washington is seeking an associate to join our amazing and caring staff. We have plenty of patients who need you! Two days a week. We offer a great compensation. Two years experience. Please e-mail resume to maryannvetter@usa.net ORAL SURGEON/ PERIODONTIST WANTED — Seeking an Oral Surgeon/ Periodontist at our Southwest Washington office for 1 day/month for our Implant, 3rd molar, and surgery cases. Please contact dentistclassified@gmail.com

ASSOCIATE WANTED, KIRKLAND — Looking for an associate for our large private practice in Kirkland, WA. Please send resume to info@kirklandteeth.com TEMP ASSOCIATE NEEDED — Temp Associate needed Feb 19 thru March 15th Mon Thru Friday 9-5.

Call or text Dr. Joe Ostheller 360-471-6608 or Lowell 360-471-6607 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 OPPORTUNITY AVAILABLE-PARTTIME — Senior Dentist seeks gradual retirement. Seeking a younger Dentist with skills to include: Endodontics, Periodontics, Implants, and Pedodontics. The practice will grow with a young skilled Dental Provider. Email resume to: baronGene23@gamail.com FULL TIME REMOVABLE LAB TECHNICIAN — The Northwest Center for Prosthodontics in Olympia is seeking a Full-time Removable Lab Technician. Responsibilities include ordering lab supplies including teeth, setting teeth for dentures and partials, making repairs and relines, pouring impressions and trimming models, articulating dentures and partials, waxing and setting teeth, processing and polishing, and performing other tasks as requested. Some previous dental laboratory experience is required. We offer a comprehensive benefit plan and a team environment with two excellent prosthodontists. Send your resume and hourly salary requirement via email to admin@olympiasmiledesign.com or by fax to 360-459-4415.

OPPORTUNITIES WANTED LOCUM TENENS, UW GRAD — 1980 graduate of University of Washington. Experienced in all aspects of General Dentistry including Cerec Blue Cam. Available for limited days (except Tuesdays) this Fall and Winter. Open for day changes depending on opportunity and long term commitment options.

Please email brucej@brucejohnson.com.

OPPORTUNITY WANTED — 2018 Midwestern University graduate seeks a private office position in Seattle and the Greater Seattle Area. View my CV here: https://drive.google.com/open?id=1PzGIV1k0O Hiwjm0YrVTCZmjEjYsy47Ns

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CURRENT LISTINGS

Dental Practice Management, Consulting, Sales and Transitions

Over 50 years of expertise in the dental industry We would love to help.

JULIE HAWKEN

JEN BENNETT

Kitsap County pending

Kirkland new

North Seattle pending

Lynnwood new

Everett pending

Snohomish County new

Downtown Seattle pending

Renton new

East King County pending

Shoreline new price!

Grays Harbor County pending

Bellingham re-listed Bellevue re-listed Mukilteo updated Seattle reduced price San Juan Islands reduced price Bothell

DAVE KNUTZEN

EASTERN WA

Tri-Cities Associateship new Spokane new Spokane Valley new Whitman County new Spokane re-listed

Kent South Sound Perio Practice Federal Way Associateship

CONTACT US TODAY! knutzenmcvaygroup.com 425. 489. 0848 TODD MCVAY

WESTERN WA

Davenport Walla Walla Associateship

Lakewood Opportunity

IDAHO

Issaquah Ortho Space

Post Falls new

RECENT TRANSITIONS Dr. Kevin Huynh to Dr. Seok Nichols—University Place, WA Dr. Daniel Varadi to Dr. Kevin Huynh—Renton, WA Smiles Dental Group to Dr. Jason Woolf and Dr. Matthew Matta—Spokane, WA

todd@tkmgllc.com julie@tkmgllc.com

jen@tkmgllc.com

Dr. Larry Quesnell to Dr. Brandon Atkinson—La Conner, WA

Now Hiring General Dentist Puyallup, WA

Endodontists

Boise, ID | Richland, WA

Oral Surgeon Spokane, WA

Pediatric Dentist Eugene, OR

View all practice opportunities at willamettedental.com/careers

Mark Van Dusen, DMD, Orthodontist

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Courtney Olson, Regional Recruiter colson@willamettedental.com Tel: 503.952.2539

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

OPPORTUNITIES WANTED OPPORTUNITY WANTED — 2018 NYU College of Dentistry graduate seeks a general dentistry position in western Washington. View my CV here: https://drive.google.com/file/d/1UvPiRu3Z9Xv_ DoiNA_eIWboJa1D8ysqK/view?usp=sharing OPPORTUNITY WANTED — 2018 University of Detroit Mercy School of Dentistry graduate seeks a general dentistry position in Washington State.

Please email Cjaspal@gmail.com.

OPPORTUNITY WANTED — 2018 NYU College of Dentistry graduate seeks a general dentistry position in western Washington.

View my CV here: https://drive.google.com/ file/d/1r-19HjTSUN0PFkCEusvpMWE86AhEq1Ne/ view?usp=sharin.

OPPORTUNITY WANTED — 2019 Prosthodontics graduate seeks a prosthodontics or general dentistry position in Seattle. View my CV here: https://www. linkedin.com/in/dr-siva-reddy-guvva-dds-mba-hcmms-34917711b/.

OPPORTUNITY WANTED — 2017 LECOM School of Dental Medicine graduate seeks an associate position in general dentistry position in Washington State. View my CV here: https://drive.google.com/ open?id=10bdbV1Jr0NoZNfAkbsg0C3cjLpQgJN1i OPPORTUNITY WANTED — 2018 University of British Columbia Prosthodontics graduate seeks a Prosthodontics or Restorative position in the Greater Seattle or Western Washington area. View my CV here: www.linkedin.com/in/saraa-abdulateef OPPORTUNITY WANTED — 2018 University of British Columbia Prosthodontics graduate seeks a Prosthodontics or Restorative position in western Washington. View my CV here: https://drive.google.com/file/ d/19vLK__Ljkdyyww8KtqhNuX03ZkZrFqUY/ view?usp=sharing

OFFICES FOR SALE OR LEASE FOR SALE, SPOKANE — GP solo dental practice and building for sale. 2017 gross $488K working 27 hrs/wk. 6 operatories with space for more. Serious inquiries call (509) 638-3157.

FOR SALE, LYNNWOOD/SOUTH EVERETT — Available for GPs or Specialists. Three op with space for more. Digital everything with dentrix.

Everything is like new. Located in Lynnwood/ South Everett Area. Offered at $160K. Email to logarithm818@hotmail.com FOR SALE, MILL CREEK — GP Practice priced to sell. Four chairs, busy shopping center, 400k ‘15, 700k ‘16, lots of room to grow, Open Dental, low overhead, strong referral, motivated seller, email FVqualitydentalcare@gmail.com FOR SALE, WENATCHEE — Lowered price on practice for sale. Four chairs, modern downtown office, all fee for service patient. Last 12 months grossed $600K, took home over $328k as an owner dentist working 3 days/ week doing basic general dentistry. Sale by owner, asking $300K..Doctor wants to retire and move. parkbus@live.com

CLASSIFIEDS

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

FOR SALE, RURAL SNOHOMISH COUNTY — Outstanding family practice w/ great cashflow in picturesque country setting. Ideal for Dr & family seeking quality of life away from city traffic. 4 fully-equipped operatories w/5th possible. Approx 1,450 sq/ft. Low overhead. Collecting $650K+ on a 3-day workweek. Opportunity to grow! For more details contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

BUY LOW — Dental office collecting 135K a yr. One year old, brand new buildout. Growing population/ jobs. High Visibility facing busy Freeway. Work FT to bring office to 1 million. 3 fully functional operatories, w/a 4th and 5th operatory plumbed and outfitted with a dental chair. Digital-Xray, panorex, touch screen computers. Big shopping plaza anchors

by FredMeyers. Reception area with Granite counter tops. 135K a year collection working 2 days a week.

There is alot of potential for growth with the right doctor and team. Price: $297,000.00 Email thuandp@hotmail.com for more information.

FOR SALE, EASTERN WASHINGTON — State of the art, family friendly periodontic practice in Eastern Washington. 5 fully-equipped operatories.

High profitability! High collections; low overhead.

Approx. 1,700 sq/ft + common area. Sterilization room & private office. 3-D Cone Beam. For more information contact: Jennifer Cosgrove at (425) 216-1612 or email Jennifer@cpa4dds.com.

FOR SALE, OLYMPIA — Beautiful, state-ofthe-art general/cosmetic practice in the heart of the State’s capital! Buy-in/out option available. 8 fully-computerized operatories w/Adec chairs.

Digital radiography & pano. Lasers. Nitrous. Rotary endo /elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/Dexis. 3,900 sq/ft approx.

For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

SILVERDALE GENERAL DENTISTRY — Collects 730,000 per year. Six year old practice.

Nice view of Silverdale bay and Mt. Rainier. contact dental8@outlook.com.

GIG HARBOR — Established practice is collecting $730,000 per year. Experienced staff, great location, 5-6 ops, break room, lab, consult room, sky lights, many windows with trees to view. Fully computerized, digital x-ray and digital pan. reply to dental8@outlook.com.

SILVERDALE SPACE — Available for specialist, next to general dentist. shared compressor. One OP in, space for more and consult room. Nice view of bay. $2,000 per month. txt 360-471-6608.

FAIRFIELD DENTAL CLINIC FOR SALE — $120,000. Includes: patient charts, two story building, equipment (x-ray, digital sensor, software, dental chairs, etc). A wonderful place to call home and enjoy your dental practice. txt (360) 471-6608.

SPACE FOR LEASE — Dental space for lease in Lakewood. 1550SF, 4 ops (possible 5), 2 hygienist rooms, sterilization lab, x-ray room, consult room.

Call (253) 588.1707 for more information.

FOR SALE, SEATTLE — Established Seattle general practice w/ great hygiene program for sale. All specialties referred. 15 new patients a month. 1,268 Sq ft. New equipment. 175k obo. Call (206) 765-6725.

PRACTICE PURCHASE, SOUTH SEATTLE — This general practice of 1050 sq ft is located on the 1st floor in a stand-alone building with excellent signage and onsite parking. Three ops with workstations, ADEC, Dexis, Open Dental, lab, sterilization, staff room, doctor’s office. Excellent opportunity for growth with low, assumable multi-year lease. Fast growing community. Doc leaving area. Collections $270,000on 2 days per week, 1 day with hygienist and zero marketing. Hygiene fully booked six months in advance. No HMO, Medicare or Medicaid.

Email:dentaloffice1952@gmail.com

FOR LEASE, MUKILTEO, WA — Calling all General & Specialty Dentists! Does your office look and smell like a dental office? Time to treat yourself and patients to a modern, refreshing dental experience with views of Puget Sound from every window. This fully loaded, turn key office in Mukilteo, WA, 3ops (plumbed for 4th), low monthly rent and potential %100 percent financing through BofA. High visibility, 1 mile from Boeing. Building owner open to selling property. Contact: Lindsey Pierce (425) 466-8595 BELLINGHAM, NEW LISTING — This practice is on track to do $900K this year and needs an experienced dentist who likes cosmetic and full mouth reconstruction. One fully equipped restorative op and 2 hygiene ops with 1 overflow/ records chair. If interested please contact Lynne at 888.762.4048 or info@PracticeManagementAssociates.org.

RENTON PRACTICE FOR SALE — VERY PROFITABLE!! Well established general dental practice with an emphasis on Prosth, located in a busy 3 story medical building within 5 mins of Southcenter Mall, IKEA, and Valley Medical Hospital.

2017 collections approx. 1.3M. Email jessica@tkmgllc.com.

GENERAL PRACTICE FOR SALE, SNOHOMISH COUNTY — 4 operatory practice collecting nearly 900K/year. Overhead below 60%. Diagnostic and hygiene make up 40% of annual production. Lease term is open. Email jessica@tkmgllc.com OFFICE SPACE FOR LEASE, VANCOUVER — Class A medical office space for lease. 1,048SF-7,249SF options consist of either open or built-out.

Competitive TI package, great area demographics, convenient freeway access, near Legacy Medical center. Call Doug Bartocci CCIM 503-502-2110 or email dbartocci@fg-cre.com. Licensed Real Estate Broker.

FOR LEASE, PARKLAND — Ground level professional office with reception, kitchen, and private restrooms. 1,659-3,015 sq. ft. available for lease. 108 131st St S, Parkland. Call 253.380.5533 or visit www.brookdaleprofessionalcenter.com for more information.

FOR SALE, TACOMA — Attractive class A office for sale on busy Tacoma corridor. Move in ready, complete with restrooms, elevator, and parking. 1,3114,224 sqft available for lease. 5038 Tacoma Mall Blvd, Tacoma. Call 253.380.5533 or visit www.5038tmb.com for information.

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Randy Harrison

Contact us for a free consultation to put our knowledge and experience to work for you! You'll be glad you did!

1-800-645-7590

Check our website for current opportunities!

Are You Ready?

It’s never too early to begin planning!

When selling your dental practice, we understand the importance of crossing the finish line unscathed with goodwill intact. We equip our clients with the knowledge and support they need to make solid decisions that will ensure their desired outcome while leaving the practice in a position to thrive.

Lynne Nelson Co-Founder

“Selling your practice is insanely difficult and emotional, with countless unforeseen complications that cannot be overemphasized. You absolutely need a honed professional as your broker! This benefits both the buyer and the seller. I was fortunate to have Rob Stanbery recommended by a colleague. He is phenomenal on every possible level, and I doubt my practice sale would have been successful without his help. I give him my strongest endorsement!” Tom K. Michael, DDS - East Wenatchee, WA

Robert Stanbery Transition Specialist

Aaron I. Pershall, CBA

Donna Carlson Lowell Co-Founder

Denise Jones

Client Coordinator

Spotlighted Practice: Bellingham: General practice - on track to do $900K this year. Call for details.

Register for one of our 2019 seminars, and earn 7hrs of CE Credits: • Portland, OR - Feb. 1st • The Club at Snoqualmie Ridge, WA - Feb. 8th • Spokane, WA - Feb. 15th

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$325 (Spouses attendance is Complimentary)

Contact us today to register!

(888) PMA-404U or (888) 762-4048 info@practicemanagementassociates.org www.practicemanagementassociates.org

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

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

SHARED SPACE, BELLEVUE — Great location by busy Overlake Hospital area. Ideal for a restorative dentist, prosthodontist, periodontist or orthodontist who wants to cut their overhead by sharing existing office space. Opportunity for a start-up or a satellite practice. Three fully equipped operatories, big laboratory space. Call at 206-383-4541 or email charopalacios@yahoo.com

ALL CASH, FEE FOR SERVICE, COSMETIC RECONSTRUCTIVE DENTAL PRACTICE — AACD, LVI and KOIS Principles. Seattle First Hill.

Relationship based, over $1.4mil in collections 149 work days/yr. Seller willing to mentor buyer. Contact rod@omni-pg.com.

GENERAL PRACTICE FOR SALE, DOWNTOWN SEATTLE — Beautiful and modern 5-operatory general practice for sale. Located right in the heart of Amazon campus, close to I-5.Currently collecting over $600K with only 3 condensed doctor days a week. There is huge potential to grow the practice even more. Doctor is selling due to relocation. Please contact seattlesmiles@gmail.com.

PROFESSIONAL OFFICE SPACE, NORTH SEATTLE — Professional office space available for lease in stand alone building in North Seattle Area.

Approximately 4,000 sq ft available immediately.

If interested send email to ballingercommons@comcast.net for details.

CLE ELUM — Well established, general practice for sale, located in a fast growing area. Four complete operatories, 1850 square feet. Option to lease or purchase building. Located 1.5 hours east of Seattle, 10 minutes from Suncadia. Contact Dr. Lorin Peterson at klcehome@msn.com or (509) 674-1389 WESTERN WASHINGTON — Periodontal Practice for sale. Great Cash Flow. No PPOs. Four operatories.

Great visibility. 1656 SF leased office space, 900 SF available next door. Contact Buck 877-866-6053; info@omni-pg.com.

G/P PRACTICE FOR SALE NEAR SPOKANE — Annual collections over $340,000. 4 operatories.

Doctor works 3 days/week. Doctor owns building — will sell. Contact Buck 877-866-6053; info@omni-pg.com.

EVERETT DENTAL PRACTICE FOR SALE — in attractive stand-alone building, busy street. Four equipped operatories, room for another. Annual collections over $500,000, 3 days/week with little marketing. Contact frank@omni-pg.com; 425-985-8390.

EASTSIDE — Great location just off I-90. Annual collections over $400,000. Two ops, possible room to grow. Call Frank 877-866-6053.

REASONABLY MOTIVATED SELLER IN WOODINVILLE, RETAIL CENTER — Annual collections over $500,000 in 3 operatories. Hygiene production is 27% of collections. Well-established practice, room to grow. Contact frank@omni-pg.com; 425-985-8390.

LINCOLN COUNTY — Owner is selling two separate general dental practices both within 35 miles of Spokane. Excellent cash flow for a practice of this size. Contact rod@omni-pg.com.

NORTH KING COUNTY — Annual collections almost $900,000. 5 operatories, Prime location. Low overhead, hi net practice with great cash flow. Email rod@omni-pg.com.

LAKE CHELAN — General Dental Practice for sale.

Annual collections $600,000+. Good patient base, room to grow. 4 operatories in newer, beautiful building which is also for sale. Contact rod@omni-pg.com.

CLASSIFIEDS OFFICES FOR SALE OR LEASE BELLEVUE DENTAL PRACTICE & REAL ESTATE FOR SALE — Annual collections over $1.2 M. Five operatories, room for a sixth. Opportunity to grow.

Contact frank@omni-pg.com, 877-866-6053 ext. 4.

SHORELINE — Neighborhood Dental Practice and Building for Sale. Great visibility. Annual collections of $400,000 & over $600,000 in prior years. Four operatories. Contact frank@omni-pg.com; 877-866-6053 ext. 4.

GRAYS HARBOR — Dental practice for sale collecting almost $600,000 in two locations. Call Buck at (503) 680-4366 for more information.

EASTERN WASHINGTON — Perio Practice For Sale across from a hospital. Annual collections over $300,000. 5 fully equipped operatories, 2 additional possible. 2100 SF. Contact Buck Reasor, DMD info@reasorprofessionaldental.net; 503-680-4366.

NORTH SEATTLE — Motivated Seller, doctor said “bring me an offer”. Annual collections over $500,000 3 days/week, no marketing. Four operatories, low rent. Get into this practice and grow it. Contact frank@omni-pg.com, 425-985-8390.

BEAUTIFUL PLUMBED OFFICE SPACE — Bellevue’s medical/dental corridor. Recent remodel.

7 operatories. No patients. Equipment available for sale. Potential turn-key practice for less than cost of new build out. Call Rod 206-979-2660.

MUKILTEO — Practice with amazing view of the sound. Watch the ferries coming and going from this four operatory practice. Amazing visibility and free marketing from the main street that goes to the ferry terminal. Lots of treatment diagnosed, waiting for you to come and get it done. Contact rod@omni-pg.com.

PERIODONTIC DENTAL PRACTICE — Strong hygiene program, desirable Northwest Washington neighborhood. Growing annual collections $1,500,000. Hygiene production is 30% of total collections. Condo unit also for sale. Contact: frank@omni-pg.com; 425-985-8390.

SEATTLE — General Dental Practice for sale.

Desirable neighborhood, high visibility next to Starbucks. 5 ops. Annual collections of $1.5 million.

Contact rod@omni-pg.com.

DOWNTOWN BELLEVUE — General Dental Practice for sale. Annual Collections over $550,000.

15 new patients/month with no marketing. A lot of work being referred out. Contact Frank 425-985-8390; frank@omni-pg.com.

MILL CREEK — Dental Practice for Sale. Annual Collections approximately $1mil. 5 ops, room for 3 more. Digital x-rays, panoramic, intra-oral camera, laser. 3,270 sq ft. Contact 425-985-8390, frank@omni-pg.com.

PUYALLUP — Dental Practice for Sale. 4 ops located in retail center. Annual collections of $500,000.

Contact Frank at 425-985-8390.

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 425-985-8390; frank@omni-pg.com.

DOWNTOWN SEATTLE — General dental practice for sale in medical dental building. 4 operatories, $350,000 collections. Contact Frank — 877-866-6053; frank@omni-pg.com.

EAST VANCOUVER — Mid-sized practice. Popular area. 4 equipped,1800 sf. Marius equipment, digital, Dentrix. Ideal for second location or affordable place to grow. Endo, ortho, implants referred out. No marketing in place. 2017 collections $300K. Contact 503.830.5765, megan@omni-pg.com.

BELLEVUE HOLISTIC 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.

BELLINGHAM AREA — 4ops (could be 5) FEE FOR SERVICE!! Extremely profitable, beautifully appointed. Hygiene fully booked through March.

Please call Piega at 425 890-8271.

BOTHELL — 2,000 SF premier retail space at North Creek Plaza near UW Bothell, Cascadia Community College, and the Bothell Technology Corridor.

Contact Steve Kikikis - steve@omni-pg.com.

KENT — High Visibility space, signage along Pacific Highway. 1,300 SF. - 3 exam rooms/offices, x-ray room, darkroom, lab area, executive office, kitchenette, plenty of parking. Asking $2,275.00/mo modified gross. Contact steve@omni-pg.com.

LYNNWOOD — Plumbed Dental office available.

Roughly 2,000 sq. ft., 5 ops including Nitrous and O2, plenty of parking, visibility from 196th. Contact Steve - steve@omni-pg.com.

MARYSVILLE — Medical Office Building + two tax lots for sale. Well-kept 6,600+ medical building. Good visibility, 3 great dental tenants in place. One smaller unit not rented. Residential home included. Contact 877.866.6053 ext 3; steve@omni-pg.com.

LYNNWOOD — Plumbed Dental office available.

Roughly 1,400 sq. ft., plumbed for 4 ops including Nitrous and O2, plenty of parking. Excellent visibility. $24.00 per SF + $3.62nnn. Contact steve@omni-pg.com.

TRI CITIES — Grandridge dental/medical office for lease. Excellent opportunity to do a start-up or move your existing practice. Fully built out with 4 equipped operatories. Email steve@omni-pg.com.

MEDICAL DENTAL BUILDING FOR SALE IN NORTH SEATTLE — Currently built out as an orthodontic office. 12 parking stalls for the sole use of property. Contact steve@omni-pg.com.

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DENTISTS & HYGIENISTS, we need your help!

Who are we?

Seattle’s Union Gospel Mission Dental Clinic relies on volunteering dentists and hygienists to provide quality, affordable care to low income & homeless communities.

Why volunteer with us?

Receive 7 continuing education credits; one credit per hour, for a minimum of 7 hours per year Pick your own hours!

Choose your own services! You select which procedures you want to provide Help mentor pre-dental student volunteers and University of Washington dental students

Get started!

Get involved in your community! Help those in need achieve a healthy, beautiful smile

Our location:

What else can I do to help?

318 2nd Ave. Ext. S. Seattle, WA 98104 (206) 621-7695 dentalclinic@ugm.org

Your donations of unexpired supplies or financial gifts are always appreciated! Your gifts are tax-deductible as allowed by law and you’ll receive a receipt for your records. Please contact us to learn more!

Register at

ugm.org/newuser

Pacific Dental Conference

Savee

thes s!

Date

March 7-9, 2019

Featured Speakers

Join us in Vancouver, Canada

One registration fee allows access to all open sessions – no pre-course selection necessary! Fees in Canadian Funds Three days of varied and contemporary continuing dental education sessions are offered (something for your whole team) Lunches and Exhibit Hall Receptions included in the registration fee for all three days Over 140 speakers and 150 open sessions and hands-on courses to choose from, as well as the Live Dentistry Stage in the Exhibit Hall Over 300 exhibiting companies in the spacious PDC Exhibit Hall (Thurs/Fri) PDC Lab Expo on Saturday – One day of exhibits area and lectures for Dental Technicians and all Dental team (lunch included) Fantastic shopping, beautiful seawall access within blocks of your hotel, and great spring skiing and golfing (great value for your dollar)

Official conference of the:

March 9

www.pdconf.com

Online registration and program information at...

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WSDA Ne w s | Winter 2019 | www.wsda.org

Peter Nkansah Pharmacology

Amber Riley Forensics

Jeff Staads Communication

Todd Snyder Restorative/Operative

Tija Hunter Dental Assisting

John Svirsky Oral Medicine/Pathology

Gordon J. Christensen Marc Geissberger Rodrigo Sanches Cunha Tobin Bellamy Peter Auster Edward McLaren Jeanette MacLean Michael Melkers

Cathia Bergeron Lou Graham Mark Lin Karen Raposa Karen Davis Tricia Osuna Marianne Dryer David Rothman

Cheri Wu Michael Ignelzi Samuel B. Low Saul Miller Aviv Ouanounou Tieraona Low Dog Samson Ng Charles Shuler

Complete speaker roster available for viewing at pdconf.com

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

OFFICES FOR SALE OR LEASE NORTHGATE — Fully built Dental Office For Sale/Space for Lease. Quality professional/medical building, 2nd floor. 4 fully operational operatories, ADEC chairs, CT scanner. Excellent opportunity for start-up or move existing practice. No patients, assets only. Asking price $50,000.00. Contact steve@omni-pg.com.

GRANITE FALLS — Stand-alone Medical/Dental office. 2 spaces - 2,000sf / 1,104sf. Nice opportunity for owner/user - Generate income in additional space or occupy entire building. Abundant parking.

877-866-6053 ext. 3; steve@omni-pg.com.

RARE OPPORTUNITY — to lease 1,400sf office/ medical/dental space in well-maintained Factoria BCI building. First floor. Building signage/ monument pylon space, visibility on Factoria Blvd.

Floor plan available. Contact Steve 877-866-6053 ext. 3; steve@omni-pg.com.

3 OPERATORY DENTAL OFFICE FOR LEASE — Well-maintained Medical/Dental building. Plenty of parking. Co-tenants include 2 general dentists. Great opportunity for a specialist. Building available for purchase. Contact steve@omni-pg.com, 877-866-6053 ext. 3.

BEAUTIFULLY DESIGNED — built-out, class A dental office available for lease, 2nd floor along Mukilteo Speedway. High visibility signage to 18,000 daily drivers. Part ownership in building a potential.

Current tenants include The Lodge restaurant, Harbour Pointe Orthodontics. NNN Includes water, garbage, electrical. 2,400 SF | Rent $34 + $9.24nnn.

Contact steve@omni-pg.com; 877-866-6053 ext. 3.

OREGON — Dental practices, real estate for sale.

Associate positions also available. Medford, Salem, Central Oregon, Portland, Roseburg, McMinnville, Southern Oregon Endo, and more. Contact megan@ omni-pg.com for info.

FOR SALE, CHELAN COUNTY — General practice in beautiful Chelan County, WA, same owner since 1979, consistent annual collections: $700,000, 60 percent OH, largely FFS, digital technology, 3,400 sq. ft., five ops, asking $425,000. Email: FredH@ArizonaTransitions.com.

GENERAL PRACTICE FOR SALE — Rural Snohomish County — Outstanding family practice w/ great cashflow in picturesque country setting.

Ideal for Dr & family seeking quality of life away from city traffic. 4 fully-equipped operatories w/5th possible. Approx 1,450 sq/ft. Low overhead.

Collecting $650K+ on a 3-day workweek. Opportunity to grow! For more details contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

PERIODONTIC PRACTICE FOR SALE — Eastern Washington — State of the art, family friendly periodontic practice in Eastern Washington. 5 fully-equipped operatories. High profitability! High collections; low overhead. Approx. 1,700 sq/ft + common area. Sterilization room & private office.

3-D Cone Beam. For more information contact: Jennifer Cosgrove at (425) 216-1612 or email Jennifer@cpa4dds.com.

CLASSIFIEDS

OFFICES FOR SALE OR LEASE

SERVICES

GENERAL/COSMETIC PRACTICE FOR SALE — Olympia — Beautiful, state-of-the-art practice in the heart of the State’s capital! Buy-in/out option available. 8 fully-computerized operatories w/Adec chairs. Digital radiography & pano. Lasers. Nitrous.

Rotary endo /elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/Dexis. 3,900 sq/ ft approx. For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

TRANSITION SERVICES — When positioning your practice for sale, Practice Management Associates understands the importance of crossing the finish line unscathed and with goodwill intact. We equip our clients with the knowledge and support they need to make solid decisions that will ensure their desired outcome while leaving the practice in a position to thrive. Please contact us today for your complimentary consultation. Please contact us today for your complimentary consultation. (888) 762-4048 www.practicemanagementassociates.org.

ORTHODONTIC PRACTICE FOR SALE — Snohomish County — Tremendous opportunity in the heart of Snohomish County collecting $675K. 2,145 sq/ft approx. 5 fully-equipped chairs + private exam/consult room. X-ray. Pan/Ceph. Ortho2 software w/digital charting. For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic.

Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

AVAILABLE, SOUTHCENTER — Just available.

1200 square foot fully equipped four operatory dental space. Cerec, Panoral, four chairs, lights, nitrous, air and vacuum all available and in place.

Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

EQUIPMENT FOR SALE DENTAL EQUIPMENT TO SET UP COMPLETE OFFICE — X-ray, Compressor, Vacuum,5 Chairs,12 Stools, Cabinets, Lights, N.O. Equip, Lab/ Sterilization, Hand pieces++ Appraised at $33K. Asking $25K for lot. Retired dentist. Email cebpartners1@gmail.com COMPLETE MYOTRONICS SYSTEM FOR NEUROMUSCULAR DIAGNOSIS — Complete Myotronics system for neuromuscular diagnosis.

TENS unit model J3. Bio electric processor model EM2. Myoprinter model 20. Bio electric pre-amplifier model 24 with various leads. MKG alignment indicator model K5A-10R. 2 manuals. Good starter kit, useful with dentures, crown & bridge, TMJ and more. Contact pnomura1@gmail.com

TEMPORARY DENTIST COVERAGE — Maternity leave, illness, vacation, military reserve or disability?

Contact me to discuss your specific needs-for a day, a week or longer. References available upon request, or call GARY J ARNOLD DDS 734-649-9979 garyarnolddds@gmail.com DAVID K DESIGNS — Affordable dental space planning and design services. Permit and construction plans provided in auto cad format.

We guarantee and secure your building permit for construction. Construction costs in the NW have skyrocketed the past few years, We provide designs that meet your budget requirements. Website: www.davidmedicaldesign.com Contact Kelly to schedule a free consultation: (206) 999-3457.

INTRAORAL X-RAY SENSOR REPAIR/SALES — Repairs with rapid turnaround. Save thousands over replacement costs. We specialize in Kodak/ Carestream, Dexis Platinum, and Gendex sensors.

We also buy/sell dental sensors. Call us (919) 229-0483 www.repairsensor.com.

OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www. constantinebuilders.com for additional information and how you can become another satisfied client.

Telephone (206) 957-4400, O. George Constantine. See our ad on the inside front cover!

NEW & REFURBISHED DENTAL EQUIPMENT — Your local source for dental equipment: Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and more. We have Lab equipment and parts available for almost all equipment. We also buy used equipment. We offer delivery, installation and service on our equipment.

Call Dental Warehouse at 800-488-2446 or our website: http://cascade-dental.net.

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FROM THE EDITORIAL BOARD

Reflecting on My ADA Service

F Dr. Brittany Dean WSDA News Editorial Board

“The ADA is often criticized, somewhat fairly, for a lack of agility and for being more willing to dig in its heels and defend the way things have traditionally been done rather than to embrace change.

But a new program hints at the organization being willing to take some larger leaps of faith to support its members.”

or the last four years, I have had the honor of serving as the representative of the 11th District (Alaska, Idaho, Montana, Oregon, and Washington) on the ADA’s New Dentist Committee. I wanted to share some thought about the ADA at the conclusion of my service on this important committee.

The ADA is often criticized, somewhat fairly, for a lack of agility and for being more willing to dig in its heels and defend the way things have traditionally been done rather than to embrace change. But a new program hints at the organization being willing to take some larger leaps of faith to support its members.

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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The customers of the ADA are the dentists of the United States and every potential dental patient. We are not the same as we were 20 years ago, so the ADA cannot afford to remain the same either. I’m happy to see some change.

ADAPT

STAYING RELEVANT

In 2018, ADA Practice Transitions (ADAPT) was born. The project aims to redefine what a successful dental transition means.

Those driving this program understand that most associateships don’t last and that retiring dentists are often dissatisfied when they move out of their practices. The people at ADAPT believe that much of this unhappiness comes from overlooking the actual compatibility of those involved in the transition.

My soap box during my New Dentist Committee tenure has been promoting new dentist leadership. I really believe that the easiest way for the ADA to stay relevant to our profession is to include the voice of current and incoming generations in all discussions. I was excited to see new dentists receive voting member privileges in council positions (one spot on each ADA council is designated for a new dentist nominated by the New Dentist Committee). I look forward to more discussion about a new dentist vote on the Board of Trustees.

ADAPT is positioning itself as the gobetween for owner dentists and potential associates or purchasers. The vision is to create relationships between practices and doctors to find a true match. The pay-off for retiring doctors is not just financial, but also emotional as they know that the ADA has helped to guide purchasing dentists to their practice who share their same practice values. For the purchasing doctor, they will work knowing they have access to devoted ADA support during the process of getting the practice running before taking the oftendaunting risk of a purchase.

Dr. Dean is a member of the WSDA News Editorial Board.

This may not exactly be a game-changer. At its most robust, ADAPT will really affect only a small segment of dentists at any given time.

However, I believe that it has the potential to be very positive for those who get involved. It is heartening that the well-being of individual dentists matters enough to the ADA that the “mothership” is willing to take some risks to benefit them.

The program is starting as a pilot in Maine and Wisconsin. Depending on feedback, the plan is to eventually roll out ADAPT to other states. The goal is to make this a true member benefit where the ADA receives a nominal fee for the valuable service provided to both parties. Learn more about the program at ada.org/adapt.

I also hope that the ADA will consider redefining its leadership structure.

Unfortunately, most new dentists (and even more established practicing dentists) do not feel that they can balance the commitment of ADA leadership with their careers. It is sobering to consider how many dentists feel that they can’t take on a position on the ADA Board of Trustees until they have retired.

Some creative thinking and daring change could create a structure that is more welcoming of diversity and a more agile and W valuable ADA. n

The Obvious Choice for Washington Dentists

YOUR WDIA TEAM: Matt French · Kerri Seims 206.441.6824 · 800.282.9342 www.wdiains.com A WSDA Company

WSDA Ne w s | Winter 2019 | www.wsda.org

43

Washington State Dental Association 126 NW Canal Street, #300 Seattle, WA 98107

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