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The Magazine of the American Academy of Pediatric Dentistry

Welcome 6 8

Columns 46 48 66 67

A Message from Your President A Message from Your CEO

Legislative and Regulatory Update 12 Federal News 14 State News 15 PAC Corner

Governance 16 Request for BOT Nominations 16 Governance Materials Online

Policy Center 42 DentaQuest Grant 43 Evidence-Based Dentistry

Education 50 52 52 53 53

Annual Session 18 Welcome Reception 20 Career Fair 21 5K Fun Run 22 Opening Ceremony & Keynote Address 23 New Dentist Happy Hour 24 Education 26 Networking 28 Presidents’ Farewell Dinner 30 Awards 33 General Assembly 34 Seattle 2015 Welcome New Members Life Members Attn: Class of 2014 Membership Renewal Spring Resident Awards Board of Trustees Member News

AAPD CE Courses AAPD Meetings & Sponsored CE District/State Unit Organization Meetings & CE Courses Joint Academic Day Webinars

Healthy Smiles, Healthy Children 54 55 55 56 58 60 62 64 65

Membership 36 37 38 38 39 40 41

Insurance Media Mix ABPD Risk Management

President’s Message Call for Applications Access to Care Grant Awards Dental Home Day Donor Appreciation Gala Circle Donor Reception EZ Pedo in the Spotlight Give Now 2014 Annual Session Sponsors

Opportunities 72 Seeking Pediatric Dentist 75 Practice for Sale

Staff Editorial Group The PDT magazine (ISSN 1046-2791) is published bimonthly by the American Academy of Pediatric Dentistry, 211 E. Chicago Avenue—Suite 1600, Chicago, Ill. 60611, USA, (312) 337-2169. Periodical Postage Paid at Chicago, Ill. and at additional mailing offices. POSTMASTER: Send address changes to PDT, 211 E. Chicago Avenue—Suite 1600, Chicago, Ill. 60611, USA. PDT is the official member magazine of the American Academy of Pediatric Dentistry (AAPD). The magazine is distributed to members as a direct membership benefit. Nonmember subscriptions are available at a domestic rate—$20 and foreign rate—$30 at the above address. Opinions expressed in PDT are not necessarily endorsed by the AAPD. American Academy of Pediatric Dentistry 211 East Chicago Avenue, Suite 1700 Chicago, IL 60611-2672 (312) 337-2169 (312) 337-6329 www.aapd.org

Chief Executive Officer John S. Rutkauskas [email protected] Chief Operating Officer and General Counsel C. Scott Litch [email protected] Publications Director Cindy Hansen [email protected] Magazine and Web Manager Thomas McHenry [email protected] Public Relations Senior Manager Erika Hoeft [email protected]

Vice President for Meeting and Continuing Education Tonya Almond [email protected] Meeting Services Senior Manager Kristi Casale [email protected] Senior Director of Development and Charitable Programs Paul Amundsen [email protected] Annual Fund Coordinator Michelle Hidalgo [email protected] Membership and Marketing Director Suzanne Wester [email protected]

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Dr. Edward H. Moody AAPD President

Doing What’s Best for the Children In part, our vision statement affirms that “the AAPD is the leader in representing the oral health interests of children, including infants, children, adolescents, and persons with special health care needs.” It’s noteworthy and appropriate that the focus of this statement is not on what’s best for us individually or in our self-interest as an organization, but in doing what’s best for the children. This attitude has long been the driving force in all that we do, and in large part, I believe, a major reason why we have been able to be so successful. That being said, let’s consider some of those successes and a few of the areas we will be focusing on next year. We have a dedicated and committed membership who believe in what we stand for and are doing as an organization and who see the value of participation in organized dentistry. Our members are not only involved in the AAPD, but many also participate in other organizations, such as the ADA and their state and local dental societies, many of them at multiple levels. There is a clear understanding that as an organization, we cannot have a narrow focus and that we must be able to work together across organizational boundaries. The AAPD has long maintained a close relationship with the ADA and there is regular communication on issues affecting the two organizations. We recognize that our overall interests are the same and that by continuing to actively work together, we make each other stronger. Presently, 95 percent of all eligible pediatric dentists are AAPD members, a percentage virtually unheard of among professional organizations, and we repeatedly see membership renewals come in at 95 percent plus. These are powerful numbers when we speak to policymakers, because they indicate we are a united group speaking with one voice as we advocate for children. We have experienced a huge increase in the number of our members who are board-certified and the ABPD should be commended for their efforts in making this happen. Presently, two-thirds of all eligible members have passed the board exam and these numbers continue to steadily increase.


July PDT 2014


A Message from your President

This is becoming a critical milestone for our younger membership as hospitals and surgical centers begin placing greater emphasis on board certification for credentialing. As we focus on advocacy, there are now public policy advocates in over half of the states and their efforts have expanded our outreach and enabled us to more effectively bring our message to larger numbers of legislators and policy makers. This is particularly important as we continue to educate these representatives about key issues effecting pediatric dentistry. As we all know, there are still areas of the country considered by some to be underserved, as well as many areas where providers are available, but their services are underutilized. Recent graduates are coming out of school with massive debt. Corporate models where the bottom line seems to be the primary treatment concern have become more prevalent and we continue to deal with all the uncertainties associated with the implementation of the Affordable Care Act and what the future holds for pediatric dentistry. Our public policy advocates provide an efficient and an effective means by which to make our views and positions more widely known and we must continue to expand the number of public policy advocates until every state has someone actively participating. Many of our state units and three district units are highly organized and provide excellent member value. There are also a number of state units that have become very active and effective advocates for children; however, there are still a number of states that remain organized at only the most basic level. In many of these less organized states, individual members occupy advisory or administrative positions whereby they can influence policy or advocate for children,

but after 15 years, we still have huge inconsistencies in the organization of our state units and districts, and that unfortunately diminishes our overall effectiveness. We have recognized that 5,500 practicing pediatric dentists can’t possibly treat all of the children of this country ourselves, so we have embraced and encouraged ethical general dentists to join us as Affiliate members. For the 500 or so who have joined us, we will continue to work together in the interest of providing the best possible care to all children. The AAPD is the authority and recognized leader in matters of children’s oral health and it is incumbent upon us to accept that responsibility and assist those who truly want to best serve their younger patients. Our agenda next year will be driven in part by reports from four task forces, portions of which we have already received. These task forces are focused on talent pool development (identifying members early in their careers who have particular skill sets and helping them develop and utilize their talents), project management (assuring oversight for AAPD endeavors that take multiple years to complete), global interactions (facilitating better communication and collaboration with other organizations worldwide), and increasing the value of general dentist membership (assisting Affiliate members as they strive to provide the best possible care for their patients). Clearly, we must continue to deliver value at all levels—state, district, and national. Perception of value drives membership and we are only as strong as our membership as a whole allows us to be. Our members perceive value in belonging to and participating in the national organization, but we need to assist districts and states in providing and increasing their value as well. I would encourage those districts and states currently not having their dues billed and collected by the Academy to do so as soon as feasible. In every instance, without

exception, membership numbers have increased when the Academy collects dues at the same time national dues are billed and although it has only been one year, there is every reason to believe the trend will continue as the other states and districts follow suit. With the goal of increasing membership in the districts and states and achieving better uniformity across all district and state components, I would like to see the AAPD collect dues for all districts and states within two years, while continuing to actively look for additional ways to support and strengthen these organizations. In addition to acting as one of the core groups involved in the Ad Council campaign promoting brushing for two minutes twice a day, which has been successful beyond expectations, we have embarked on a three-year campaign of our own to promote pediatric dentistry and help the general public understand who we are and what we do. While we have made tremendous progress in becoming the recognized experts on children’s oral health in the legislative arena, we still have to better communicate why parents should choose a pediatric dentist and why all children should have a Dental Home by age 1. Our new tag line, “The Big Authority on Little Teeth”, resonates well with the public and corporate partners who share our vision of optimal health for all children. We should strive to present a unified message with the rollout of the new tag line tied to our logo and seek branding and logo standardization by having all district and state stationary and websites more uniformly displaying the new AAPD logo and tagline along with their own. In closing, I think it’s obvious we’ve come quite a long way and there is still a great deal to be done. In the coming year, as in the past, our focus will remain on making decisions and taking action based on what is best for the children of this country and the world. I thank you for your support, your trust, your confidence, and look forward to working together over the next 12 months and appreciate the opportunity in representing the AAPD as your president. Edward H. Moody Jr., D.D.S. AAPD President

A Message from your President


July PDT 2014


Dr. John S. Rutkauskas AAPD CEO

Governance Actions at the Annual Session HIGHLIGHTS OF ACTIONS TAKEN BY THE AAPD BOARD OF TRUSTEES • To approve the proposed changes to the AAPD Administrative Policy and Procedure Manual:

1. Update of Fellows and Awardees Reimbursement at Annual Session (Section 6-Annual Session, C.4)

2. Clarification for Council on Scientific Affairs (Section 8-Councils and Committees, O.23)

3. Addition of section editors (Section 12-Editorial)

• To accept the recommendations #5 (as amended), 6, 7, & 19 of the Task Force on Global Interactions:

5. Reduce international membership dues to encourage increased International Membership.

6. Reduce international registration fees to encourage increased International Member attendance at AAPD meetings.

7. Adopt a sliding scale, based on World Bank data, for international membership and registration fees for individuals from developing countries.

19. Consider making International Members and students eligible for AAPD research awards, fellowships, grants and travel awards.

• To charge the Committee on Constitution and Bylaws to develop language to create a new “online only” category for Non-Canadian International Members.

• To move forward with the Greater New York Dental Meeting proposal to sponsor a half-day pediatric dental course at the 2015 meeting. • To approve the suggestion of the American Academy of Pediatrics Section on Oral Health for its 2015 and 2016 AAPD annual programs:

2015 – Childhood Cancer 2016 – Standardization of Cleft Lip/Cleft Palate Teams

• To approve the suggestion of the Pediatric Oral Health Research and Policy Center to add a term limit to the appointment of fellows and to create a mentored fellowship program. • To approve amendments of the bylaws of Healthy Smiles, Healthy Children: The Foundation of the AAPD. • To approve the appointment of Drs. Joseph Castellano and Kevin Donly as chairs of the 2016 Local Arrangements Committee for the AAPD Annual Session in San Antonio. • To approve the nomination of Dr. Dennis McTigue as the AAPD representative to an upcoming ADA Conference on Dental Education models.

• To approve the 2014-15 AAPD Budget as indicated below, with additional adjustments: Expenses, original: Adjustments (see detail): Total expenses:

$ 10,620,195 -$294,100 $ 10,326,095


$ 8,011,060


-$ 2,315,035

Adjustments detail: $800 Increase Resident Recognition Award (Motion 3) -$2,400 Reduce CSA budget (Motion 6) $7,500 Task Force on Talent Pool Development meeting (Motion 16) $50,000 Addition to Personnel budget line (Motion 17) -$350,000 Advanced Leadership Institute (which will not be held in 2014-2015)

Please note that although the proposed budget reflects a negative balance, historically, at the end of the fiscal year the AAPD has consistently shown a balanced budget or a net profit. This is because in the budgeting process we estimate expenses aggressively and income conservatively, and do not include unearned income (investments) in budget projections. 1 Complete action minutes are available on the Members-Only section of the AAPD website at: http://www.aapd.org/members/resources/.


July PDT 2014


A Message from your CEO


• Guideline on Fluoride Therapy

New Officers Elected

• Guideline on Infant Oral Health Care

President-Elect: Robert L. Delarosa Vice President: Jade Miller Secretary-Treasurer: James D. Nickman

• Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies

Affiliate Trustee: Kerry Maguire

• Policy on Early Childhood Caries (ECC): Unique Challenges and Treatment Options

Trustee At-Large: Scott D. Smith

• Policy on Use of Fluoride

American Board of Pediatric Dentistry Director: Man Wai Ng

Revision of the following guideline was postponed until the 2014-15 cycle:

The following existing Definitions, Oral Health Policies, Clinical Guidelines, or Endorsements were reaffirmed/approved:

• Guideline on Use of Antibiotic Therapy for Pediatric Dental Patients

• Definition of Medically Necessary Care

The following new Definitions, Oral Health Policies, Clinical Guidelines, or Endorsements were approved:

• Policy on Medically Necessary Care

• Policy on Third Party Payer Audits, Abuse and Fraud

• Policy on Dental Bleaching for Child and Adolescent Patients • Policy on Patient’s Bill of Rights and Responsibilities • Policy on Infection Control • Policy on Workforce Issues and Delivery of Oral Health Care services in a Dental Home

The following amendments to the Bylaws were approved: 1. Modification of Affiliate Trustee election procedures. This amendment places the Affiliate board member selection process into Nominations Committee duties, along with final approval of such nominee by the General Assembly.

• Guideline on Use of Local Anesthesia for Pediatric Dental Patients

2. Modification of tripartite provision. The following amendment was approved by a 2/3 vote taken by ballot. The final vote was 139 in favor, 48 opposed.

• Guideline on Pulp Therapy for Primary and Young Permanent Teeth

Strikethrough words are to be removed; bold underlined words are to be added to the Bylaws.

• Guideline on Management of Developing Dentition and Occlusion in Pediatric Dentistry

903 939 940 941 942 943 944 945 946

• Guideline on Antibiotic Prophylaxis for Dental Patients at Risk for Infection • Guideline on Informed Consent • Guideline on Pediatric Restorative Dentistry • Guideline on Oral Surgery (third molar section only) Limited revisions were approved in the following documents related to ADA 2014 guidelines regarding use of fluoride toothpaste in young children: • Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents

CHAPTER VI. DISTRICT ORGANIZATION . . . Section 4: MEMBERSHIP: A. AAPD Active and Life members are strongly encouraged to maintain membership in their State Unit and their respective district organization. B. Members who joined the Academy, or any recognized organization related to the Academy, prior to June 30, 1999 may retain their current membership status and are eligible for district organization membership.

The complete 2014 General Assembly minutes are available on the Members-Only section of the AAPD website at: http://www.aapd.org/members/resources/. Updated versions of the policies and guidelines listed above will be posted on the AAPD website in July and published in the Reference Manual this fall.

A Message from your CEO


July PDT 2014


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Legislative and Regulatory Update Unless otherwise noted, for further information on any of these issues please contact Chief Operating Officer and General Counsel C. Scott Litch at (312) 337-2169 or [email protected]

Federal news AAPD and Organized Dentistry Coalition Question HRSA on GME Proposals that Omit Dental Residencies The AAPD and other members of the Organized Dentistry Coalition recently wrote the Administrator of the Health Resources and Services Administration (HRSA) concerning support for dental residency training under HRSA GME programs. See below for a complete text of the letter, which specifically explains our concerns: May 30, 2014

delivered via e-mail

Mary K. Wakefield, Ph.D., R.N. Administrator Health Resources and Services Administration 5600 Fishers Lane Rockville, MD 20857 Dear Dr. Wakefield: Our organizations are writing in regards to the Administration’s FY 2015 budget proposal concerning HRSA’s support of Graduate Medical Education (GME). The President’s FY 2015 budget proposes to eliminate Children’s Hospital GME (CH-GME) and move it into a larger Targeted Support GME initiative (TS-GME).1 The proposal would also move the current Teaching Health Centers GME (THC-GME) program, created under the Affordable Care Act (ACA), into the TS-GME program, creating a $530 million program. Pediatric and general dental residencies are funded under CH-GME and are also a part of the THC-GME program. We are concerned that combining CH-GME and THC-GME into the TS-GME program would result in funding only residencies for physicians (family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics). There is no mention of dental residencies in the Administration’s proposal. As you know, pediatric and general dentists will be the primary workforce serving children receiving pediatric dental insurance coverage for the first time under the ACA. Hence, it is disturbing that HRSA proposes to create a new GME program at the expense of existing pediatric and general dental residencies. We hope that the Administration’s proposal was an oversight and not an intention to reduce dental residencies. We would appreciate the opportunity to discuss this matter with you and your staff as soon as possible. Please contact either Scott Litch at (312) 337-2169 or Mary Dietrich at (202) 789-5178. Academy of General Dentistry

American Association of Orthodontists

American Academy of Oral and Maxillofacial Pathology

American Dental Association

American Academy of Pediatric Dentistry

American Dental Education Association

American Academy of Periodontology

American Dental Student Association

American Association of Endodontists

American Society of Dentist Anesthesiologists

American Association of Oral and Maxillofacial Surgeons

Hispanic Dental Association

American Association of Women Dentists

National Dental Association

The TS-GME proposal is described on pp. 127-133 of the HRSA budget justification: http://www.hrsa.gov/about/budget/budgetjustification2015.pdf.



July PDT 2014


Legislative, Regulatory and Legal Update

Affordable Care Act (ACA): Kaiser Health News Article on Pediatric Dental Coverage Gaps On May 19, 2014, Kaiser Health News, a publication widely read by federal and state health care policymakers, featured a story on concerns with pediatric oral health insurance under the ACA. Entitled Gaps In Kids’ Dental Coverage A Trouble Spot, the article quotes AAPD spokesperson Dr. Paul Reggiardo and the recent AAPD State of Little Teeth Report, and highlights ACA concerns that AAPD raised in Congressional visits in March 2014. See: http://www.aapd.org/assets/1/7/2014_Legislative_Fact_Sheet_2-ACA-ERISA.pdf. Recent analysis from the ADA Health Policy Institute was also cited, which indicated that: • Only 26 percent of medical plans sold on the federal exchange included pediatric dental benefits. • Only 63,448 children were covered by stand-alone dental plans (SADP) sold through the federal exchange (which serves 36 states). This is due to a SADP purchase being only an optional purchase in the exchange after a family has purchased a medical plan. Both recent ADA ACA reports are available on the AADP website at: http://www.ada.org/~/media/ADA/Science%20and%20Research/HPI/ Files/HPIBrief_0314_1.ashx and at http://www.ada.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_0414_1.ashx. You can access the complete Kaiser Health News story at: http://www.kaiserhealthnews.org/stories/2014/may/19/dental-coverage-gap-for-kids. aspx?referrer=search.

Medicaid Audits: Congressman Gosar Circulates Dear Colleague Letter to Address Dental Concerns As described in the 2014 AAPD CEO’s report to membership (http://www.aapd.org/assets/1/7/2014_CEO_AnnualReport.pdf, see pp. 27-28) as well as the May 2014 PDT (pp. 12-13), concerns about Medicaid dental audits are heating up at both the national and state level. The AAPD has worked closely with the ADA on this matter. During the ADA’s Washington Leadership Conference in May, attendees pressed Members of Congress to support Congressman (and dentist) Paul’s Gosar’s (R-4th Ariz.) “Dear Colleague Letter.” The letter is reprinted below, and would result in a letter from members of Congress to the Secretary of Health and Human Services.

Help Improve Medicaid Audits Before it is Too Late Dear Colleague, Please join me in sending a letter to the Department of Health and Human Services voicing our concerns about the implementation of the Recovery Audit Contractor (RAC) Program and potential negative impacts on physicians and dentists. As we have seen, there have been significant problems associated with the Medicare RAC program since its launch in 2010. We are beginning to see similar problems in the states as they begin to implement the Medicaid RAC program. Audits are a means to identify improper payment and instances of fraud within the Medicare and Medicaid programs. Although a noble mission, the government tasked private entities, called Recovery Audit Contractors, with identifying and collecting improper payments made in the Medicare fee-for-service (FFS) program. RAC auditors are paid on a contingency basis, which encourages the application of punitive damages at the expense of finding and correcting fraudulent activity. As we have seen, RAC audit decisions are being overwhelmingly overturned by the Department of Health and Human Services Office of Medicare Hearings and Appeals (OMHA) after years of costly defense on behalf of accused health care providers. In fact, earlier this year OMHA released a notice that its workload has grown by roughly 184 percent, and that its backlog of appealed audits has grown to 460,000 in just under two years – preventing practitioners from receiving swift reprieve from erroneous fraud accusations. It is clear that we need substantial RAC audit reform. Just as many of our colleagues have highlighted the substantial concerns with Medicare RAC audits, with the new implementation of Medicaid RAC audits, we have the opportunity to work toward a better process before this program is rolled out nationwide. I encourage you to join me and sign on to this letter. To become a signatory, please contact Jeff Small ([email protected]) or Steven Smith ([email protected] mail.house.gov) x52315 in my office. Sincerely, Paul A. Gosar, D.D.S. Member of Congress Look for a copy of the final letter sent to the Secretary of HHS in the September PDT, along with an update on other recent developments in this area such as the 2014 AAPD General Assembly’s passage of a Policy on Third Party Payer Audits, Abuse and Fraud. This document sets out a framework for what AAPD believes to be fair and reasonable audit practices. The AAPD’s Pediatric Oral Health Research and Policy Center is also working on a technical brief on this matter. Legislative, Regulatory and Legal Update


July PDT 2014


State news Medicaid Audit Reform Legislation Approved in Connecticut The Medicaid audit reform legislation (HB5500) described in the May 2014 PDT, which was supported by testimony from Connecticut Public Policy Advocate Dr. Douglas B. Keck (Madison and New Haven, Conn.) was approved by the state legislature and signed into law as PA (Public Act) 14-162. This legislation puts the Department of Social Services (DSS) on notice that the legislature is aware of the complaints made by various Medicaid providers including dentists, and is interested and actively engaged in making the audit process fair and transparent on behalf of those providers. This issue brought dentists, physicians, hospitals, pharmacists and others together in a coalition in support of this legislation; the law contains the following provisions: • Increases the threshold that triggers extrapolation form $150,000 to $200,000. • Allows a provider to present evidence at an exit conference refuting findings in the preliminary report. • Directs DSS to provide free training to providers on how to enter claims to avoid clerical errors (and such information must be posted on its website). • Directs DSS to establish and publish on its website audit protocols and procedures for specific providers, including dentists, no later than Feb. 1, 2015. • Directs DSS to report to the Human Services Committee on its progress with the audit protocols and procedures no later than Feb. 15, 2015. • Directs DSS to report to the Human Services Committee on the implementations of the audit protocols and procedures no later than Feb. 15, 2016. According to the Connecticut State Dental Association: “What is not explicitly in the bill’s language is the fact that the legislators from the Human Services Committee who championed the bill have pledged to remain engaged and if need be to revisit this issue during upcoming legislative sessions.”


July PDT 2014


Legislative, Regulatory and Legal Update

Vermont Dental Therapist Legislation Dead for 2014 According to Vermont Public Policy Advocate Dr. Brian D. Collins (Middlebury, Vt.), proposed legislation to create a new type of mid-level dental provider died in committee. The pediatric dentists in the state worked both individually, and in concert with the Vermont State Dental Society to advocate for the well-being of the children of Vermont. The ADA also provided support to stop this bill. A great deal of time and effort went into educating legislators about the realities of providing safe, high-quality dental care.

PAC Corner The AAPD PAC continues to grow in size and influence, and I thank all of our 2013 supporters who were listed in the May 2014 issue of PDT. As you know, you can support the AAPD PAC via the voluntary PAC contribution “check-off” on your current 2014-15 dues statement. Your support is critical to our long-term success. Why not consider increasing your PAC contribution by perhaps 10 or 20 percent in this critical election year? Also, remember that if you want your dollars applied directly to candidate support, please make your PAC contribution via a personal credit card or check. You received a specific appeal letter from your PAC Steering Committee district representative that highlighted how important your support of the AAPD PAC is to our advocacy efforts. I urge you to review this closely. Your PAC Steering Committee made decisions at its March 2014 meeting as to which candidates the AAPD PAC will support in the 2014 Congressional elections. This information was provided in my annual written report to the membership, which is on the AAPD website section for Member Resources, under 2013-14 Reports of Officers, Trustees, Councils, Committees and Task Forces (specifically, pp. 546-551). I’ll provide a more detailed update in the September 2014 PDT, but accompanying this column are some photos of pediatric dentists in action helping to deliver these PAC checks via fund-raising events or one-on-one meet and greets. I thank all of those who are helping us deliver AAPD PAC checks during this busy campaign season.

Congresswoman Yvette D. Clarke (D-9th N.Y.) paid a recent visit to New York Methodist Hospital Division of Dental Medicine during a pediatric dentistry session. AAPD’s PAC check was delivered during her visit along with The State of Little Teeth report. The Congresswoman is pictured with the group standing next to Dr. Reneida E. Reyes, AAPD PAC Steering Committee chair, who is holding the AAPD folder. Clarke is a member of the House Small Business Committee.

For further information about the AAPD PAC, please contact PAC Secretary C. Scott Litch at (312) 337-2169 ext. 29 or [email protected] Reneida E. Reyes PAC Steering Committee Chair

(l-r) Dr. Reneida E. Reyes (Brooklyn, N.Y.), AAPD PAC Steering Committee Chair, with Congressman Hakeem S. Jeffries (D-8th NY) at her office on May 27, 2014.

(l-r) Dr. Cary Creisher (Kennebunk, Maine), president of the Maine Society of Pediatric Dentistry, Senator Susan M. Collins (R-Maine) and Dr. Stephen C. Mills (Scarborough, Maine), Northeastern District representative to the AAPD PAC Steering Committee at a local Maine event on May 28, 2014.



July PDT 2014


Request for Board of Trustees Nominations Southwestern and Western Districts The AAPD is accepting nominations for trustee positions in two districts. Current Trustees Dr. Joseph B. Castellano (Southwestern District) and Dr. Santos Cortez Jr. (Western District) will rotate off the Academy’s board of trustees at the conclusion of the 2015 annual session. Nominations for new trustees from the Southwestern District and the Western District, for a three year term beginning in 2015-16, are now being accepted. Nominations must be transmitted to AAPD headquarters from the district organizations for their respective positions. The nominations packet must be postmarked no later than Sept. 1, 2014, and returned to the AAPD headquarters office to the attention of Margaret Bjerklie. These nominations must come from the Southwestern District and Western District unit organizations for their respective positions, and can be transmitted in one of two manners: Individuals from the applicable district can submit a nomination by including: 1. A letter signed by 10 AAPD voting members from the district signifying support of the nomination.

AAPD State/District Unit Dues Collection AAPD will be collecting membership dues on behalf of the following state/district units. Alaska Society of Pediatric Dentists Alabama Academy of Pediatric Dentists Connecticut Society of Pediatric Dentists Colorado Academy of Pediatric Dentists Florida Academy of Pediatric Dentists, Inc. Georgia Academy of Pediatric Dentistry, Inc. Hawaii Academy of Pediatric Dentistry, Inc. Indiana Society of Pediatric Dentistry Kentucky Academy of Pediatric Dentistry Louisiana Academy of Pediatric Dentistry Massachusetts Academy of Pediatric Dentistry Maryland Academy of Pediatric Dentistry Nebraska Society of Pediatric Dentistry Nevada Academy of Pediatric Dentistry New Hampshire Academy of Pediatric Dentistry

2. An AAPD nomination form signed and dated by the nominee.

New Jersey Academy of Pediatric Dentistry

A recognized AAPD state unit in the District can submit a nomination by including:

North Carolina Academy of Pediatric Dentistry


1. A letter, signed and dated, from the president of the recognized state unit certifying that the nomination is an official action of the state unit. 2. The AAPD nomination form*, signed and dated by the nominee.

New York Academy of Pediatric Dentistry

Pennsylvania Academy of Pediatric Dentistry Ohio Academy of Pediatric Dentistry Oregon Academy of Pediatric Dentistry Tennessee Academy of Pediatric Dentistry

Under either scenario, all materials must be forwarded to the District organization, which will in turn forward these materials to the AAPD headquarters.

Texas Academy of Pediatric Dentistry

If two or more candidates are nominated, the AAPD will conduct a mail ballot of each AAPD voting member in the district in order to select the trustee.

Wisconsin Society of Pediatric Dentistry, Ltd.

The AAPD Nominations Form may be downloaded from the AAPD website (http://www.aapd.org), members-only area under Member Resources.



July PDT 2014



West Virginia of Pediatric Dentistry Washington State Academy of Pediatric Dentistry

Southeastern Society of Pediatric Dentistry Western Society of Pediatric Dentistry State/District unit dues are included on your membership renewal notice. If you are interested in having AAPD collect membership dues for your state or district unit please contact Membership and Marketing Director Suzanne Wester at [email protected] or (800) 544-2174 for more information.

A true work of art. CHENG CROWNS ZIRCONIA

Cheng Crowns Zirconia crowns feature an exclusive design and a proprietary finishing process that make them the most aesthetically pleasing pediatric crowns on the market. The zirconia we use is formulated to provide exceptional strength and ideal translucency. The slim facials, thin walls, and knife-edge margins not only look great, but are also designed to minimize tooth preparation and ensure a perfect fit. For a limited time, save 30%. Order your starter kit today and put a work of art into your pediatric practice. Learn more @ chengcrowns.com/zirconia

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[email protected]


welcome reception

GRAND SLAM at Fenway Park Sponsored by Sunstar Americas, Inc.


July PDT 2014


Annual Session 2014

Annual Session 2014


July PDT 2014


career fair

Opportunities Around Every Corner Sponsored by NuSmile Pediatric Crowns


July PDT 2014


Annual Session 2014

5k fun run

Boston Strong

Annual Session 2014


July PDT 2014


opening ceremony & keynote address

The Unspoken Language Janine Driver, body language expert


July PDT 2014


Annual Session 2014

new dentist happy hour

That’s How We Roll Sponsored by Treloar & Heisel

Annual Session 2014


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Knowledge is Strength


July PDT 2014


Annual Session 2014

Annual Session 2014


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Meetings Mean Business Meet & Greet Lounge sponsored by Smiles for Life Network


July PDT 2014


Annual Session 2014

Annual Session 2014


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presidents’ farewell dinner

A Night to Remember Reception sponsored by Treloar & Heisel Dinner sponsored by MAM


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Annual Session 2014

Annual Session 2014


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And the Winner is...

Manuel B. Album Award

Dr. John Hendry

Lewis A. Kay Excellence in Education Award

Sponsored by the Album Society

Dr. Brian Martin

Jerome B. Miller/For the Kids Award

Merle C. Hunter Leadership Award

Sponsored by Proctor & Gamble Oral Health: Crest & Oral B

Sponsored by Kinder Krowns

Dr. Anu Tate 30

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Annual Session 2014

Dr. Amr Moursi

Pediatric Dentist of the Year

Distinguished Service Award

Sponsored by NuSmile Pediatric Crowns

Sponsored by Miller Family Foundation

3M ESPE Fellows

NuSmile Graduate Student Research Award Winners

Dr. Beverly Largent

Jonathan L. Hung University of Michigan Jungyl A Liu University of Alabama at Birmingham Marcela Mujica Virginia Commonwealth University Sponsored by 3M ESPE

Dr. Paul Kennedy Jr.

NuSmile Graduate Student Research Award winners (in alphabetical order): Joshua M. Connolly, Thuydung S. Do, Peter S. Frandsen, Jeffrey L. Howenstein, Shijia Hu, Eunice D. Lee, Rochelle A. Manangkil and Rosalyn M. Sulyanto shown with Jason Johnson of NuSmile Pediatric Crowns, Warren A. Brill and John S. Rutkauskas. Sponsored by NuSmile Pediatric Crowns

Annual Session 2014


July PDT 2014


Ralph E. McDonald Award Ralph E. McDonald winner, Rosalyn Sulyanto from Nationwide Children’s Hospital/OSU.

The My Kid’s Dentist Research Poster Winners 1st Place Sindhura Citineni (not pictured) St. Barnabas Hospital, New York, N.Y. ‘To Rinse or Not to Rinse. Impact of Oral Rinses on Salivary pH after Sugary Beverages’ Poster Number 247 2nd Place Neeva Chukkapalli Nova Southeastern University, Weston, Fla. ‘Comparison of in vitro Toothbrush Disinfection Procedures’ Poster Number 240 3rd Place Wee Kiat Tan (not pictured) National Dental Centre of Singapore, Singapore ‘Quality of Life and Dietary Changes Following SECC Rehabilitation’ Poster Number 052 Sponsored by Pacific Dental Services, Inc.


July PDT 2014


Annual Session 2014

general assembly

Meeting of the Minds

Annual Session 2014


July PDT 2014


Seattle 2015

AAPD Presentations Submission Deadlines Sept. 8, 2014 Breakfast Rounds MiniClinics String of Pearls

Jan. 12, 2015 NuSmile GSRA My Kid’s Dentist Research Poster Competition

If you are interested in making a presentation at the 2015 Annual Session in Seattle, Wash., please visit the AAPD website at http://www.aapd.org for a Breakfast Round, MiniClinic, or String of Pearls submission form. For additional questions, contact Jessica Vaughn at [email protected] For the Research Poster Competition, contact Debra Gilbert at [email protected] You must be an AAPD member in good standing and must be registered for the meeting in order to present at the Annual Session. The AAPD will strictly adhere to these deadlines. All submissions and abstracts must be complete in order to be considered for a session at the Annual Session, GSRA, or a Poster. Research Awards NuSmile Graduate Student Research Awards (GSRA) Eight finalists are selected to present their research at the AAPD Annual Session in May. Finalists receive travel to the Annual Session, complimentary registration for themselves and a guest, and a cash award and plaque at the Annual Session. A matching cash award is given to each finalist’s training program. The recipients are asked to present their research at the Annual Session. NuSmile Pediatric Crowns generously supports these awards. All applications and research abstracts must be submitted by Jan. 12, 2015. My Kid’s Dentist Research Poster Competition All presenters must be registered for the Annual Session. If you are a pediatric dentist, you must be a member of the AAPD to present in this research competition. The research competition will take place on Friday, May 22, and Saturday, May 23, 2015, at the 2015 AAPD Annual Session in Seattle, Wash. Applications are due Jan. 12, 2015.


July PDT 2014


Annual Session 2015

Welcome New Members The AAPD would like to welcome new members that have joined from March through May 2014. We look forward to supporting your professional needs. For further information about membership and membership benefits, please contact Membership and Marketing Director Suzanne Wester at (312) 337-2169 or [email protected] Friends of AAPD Member Ivan R Marcal

Active Member Terra Compton Virginia E Gavris Merav Kroll Adam Palmer

Post Doctoral Member Lauren Busch Courtny Patterson Matthew W Anderson Tanner Douglas Bennion Dan C. Caban Jose Fernando Calderon Medina Mary Mei-wa Chau Leena Chohan John Colgan Phylicia Rene Combest Evan Mann Cyrkin MaryAnn Nagrampa Danasos Jorge Alejandro Del Cuadro Gimer Kaylynn Day Flippo Andrew C Gibson Bessma D Hayder Jennifer Angelica Hernandez Gal Hershtig Afreen Sera Hogue Annie Huang Amanda K Kerns John Kiang Boris Kleyman Namie Kong Janelle U Lee Cecilia Cho Chun Liu Jennifer Lynn Logigian Austin J McMurphy Susan A Meinerz Steven Daniel Melnic Beatriz T Nazario Jugo Jacqueline Nguyen Patricia Mender Peralta Angelo G Pope Jr. Nathan Scott Risley Jada Mary-Evelyn Roberts

Affiliate Member Nada Mussabah Al Hemeiri Steven Alvarado Carol L Anderson Maria Patricia Becerra Garcia Tammara M Bell Graeme Biervliet-Schranz Jerod Brazeal Syed M Fahd Deborah L. Fuller Jennifer Fultz Tonya K Fuqua Justin Anthony Heaton Michael Joesting Mozhgan Kimble Karen R Lapham Vaughn Layne Ronald L LeBroke Leslie A Olton Yocasta Pastora Amanda Rice Ashley Strickland Cintia E. Teglia Sang Tran Kupperi Vinuthe Antonietta Cortese Waybright Albert Yamoah Associate Member Premjeet K Brar Brion Long Richard Pham Christine Phan Charles Brian Spriggs


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Member News

Dalyann Roman Borecki Ashleigh Afiya Sebro Sonam V Shah Punit Kiran Shah Pablo Trillo Felix Baribo Vincent Brian Michael Wah Matthew D Whitesides Daniel Luke Winter Katharine Laura Woehling Pre Doctoral Member Dana Albaroudi John Bakarich Katherine Bell Shelley Wade Berganske Mackenzie A Butcher Dorothy Cataldo Leeann Chu Bryan Clevenger Carson M Cruise Niloofar Farahani Rolland Gillies Daniel Gonzalez Christopher Goodell Wenting Guo Elif Beril Gurdogan Christopher Hamm Julie Hantson Mehedia Haque Marc Harrison Dane Hendry Mariam Javaid Ann Korada Erica Lavere Aaron Lee Eunice Lee Cherish K Leung Dongkook Dennis Lim Martha Mangum

Dhillon Mannimrat Sadaf Moghimi Nikki Moshiri Thu Nguyen Erin Riley Nicholas Miekella Okyere Mark S. Ortega Tarun Padmani Amar Patel Jennifer Peterman Vinay Kumar Pilly Lisa Marie Price Felix Ramos Jeffrey Reardon TaekHyun Rhee Naomi Sedani Saru Sharma Young H Son Isha K Suri Tracy Tat Kelsey Vinh Andrea Yaley Kristopher Zamora International Student Member Juventino Alberta Favela Hugo R Aceves Astrid Aydee Alaniz Paredes Hayat Abdulaziz Al-Ghutaimel Cutty V Andrade Noel Arias-Marquez Gabriela Arredondo Natalia Barba Adriana Morales Bonilla Liliana Burgas Jimenez Jose Luis Bustiamante Teresa Janet Cantu Rocio Carranza Daniela De Carmen Carsi Victoria Loucy Castellanos

Laura Gabriela Bazua Castro Marcela Gonzalez Chavez Ingrid Amira Covarrustas Rodriguez Vanessa Creaven Alby Jannet Cruz Ponce Shaminder Pal Kaur Daihar Marisol Diaz Medina Mercado Dolores Andrea Mona Abdallah Elkateb Karina Isabel Cota Espinoza Paola Fernandez de Lara Iliana Uriea Galindo Ulises Fernandez Galvan

Claudia G Gonzalez Eira Jacelyn Guzman Almanza Tan Wee Kiat Flor Estafani Lalo Leon Adriana Lares Ana Laura Leal Ruiz Maribel Lozano Nalleli G Macias Rivera Pacheco Maria Gracia Caroline Marron Mariana Martin Lilia Maurico Alanis Paola Marie Medina Zarate

Alejandra Mendoza Martha F Munoz Angelina Neblina Noriega Martha Eugenia Olvera Tapia Perla K Paez Alejandra Mendoza Paredes Miguel A Pena Akshata Abhay Prabhu Pamelyn Quintero Jyotsna Raj Adriana Ramirez Edna Leely Rivat Leticia Monserrat Rivera Torres Gabriela Rodarte

Maryan Rodriguez Elda Citlah Rodriquez Suvidha Seth Miram Abdelmagied Shaheen Dina Aly Sharaf Aly Abd El Aziz Sharaf Carolina Palmao Silva Adriana Solorzano Margarita M Sonqui Ozlem Tulunoglu Ethel Carolina Turner Llaguno Marianna Velissariou Patricia Yeung

Life Members Congratulations to the following members who achieved Life Membership in AAPD this year. Life Membership is a member who has been a member of AAPD for 30 years and has reached the age of 65. Thank you for all your loyalty to AAPD! Dr. George A. Adams, Sr. Dr. Mahmoud H. Ashrafi Dr. Soraya M. Beiraghi Dr. Michael F. Bigler Dr. David W. Boyd Dr. Lisa D. Brennan Dr. J. Barry Burgess Dr. John D. Carter Dr. Michael P. Cellitti Dr. William B. Chan Dr. Wa Sham Cheung Dr. Peter B. Claussen Dr. John M. Collier Dr. Louis M. Cooper Dr. Theodore P. Croll Dr. J. David Crossley Dr. George T. Derenzo Dr. Neale I. Eckstein

Dr. Richard A. Egger Dr. Richard D. Ehrlich Dr. Stephen N. Fox Dr. Harvey H. Frankel Dr. Kenneth D. Greenstadt Dr. Wayne M. Grossman Dr. William J. Heimann Dr. John A. Hendry Dr. Stephen E. Hoffmann Dr. Daniel T. Howell Dr. Scott T. Jacks Dr. Janice G. Jackson Dr. Stuart D. Josell Dr. Gerald H. Kassoy Dr. Charles R. Keithline, III Dr. Richard A. Kline Dr. Michael B. Koidin Dr. Eric J. Koren

Dr. Noel W. Korf Dr. Andre La Rochelle Dr. Linda D. Lott Dr. Steven N. Mascagno Dr. Neil L. Moscow Dr. Ira N. Moyer Dr. Richard P. Mungo Dr. John E. Nathan Dr. Judith S. Pabst Dr. Joe A. Paget Jr. Dr. Russell F. Paravecchio Dr. Leroy Perry Jr. Dr. Joseph R. Raub Dr. Barry S. Reder Dr. G. Ford Rowland Dr. Ronald D. Rubin Dr. Neophytos L. Savide Dr. Elliott A. Schwartz

Dr. Herbert S. Smith Dr. Arthur L. Solomon Dr. Raymond M. Solomon Dr. Kirk A. Speicher Dr. D. Gordon Strole Jr. Dr. Robert H. Tate Dr. Mark H. Taylor Dr. Scott Thompson Dr. Erwin G. Turner Dr. Mark L. Twichell Dr. Mark A. Urbach Dr. Danny D. Watts Dr. James A. Weddell Dr. Jack Weil Dr. Priscilla P. Wig Dr. Bryan J. Williams Dr. Ronald L. Winder Dr. William L. Wrobel

2015 Membership Directory Reminder Your Membership Directory address is printed on your membership dues invoice that was recently mailed to you. Any changes or updates to your Membership Directory information are due to the headquarters office by Sept. 15, 2014. You can verify your address on your annual dues invoice or visit the Members’ Only section of the AAPD website (http://www.aapd.org) to update your profile. Please take a few moments to verify your address information to assure that AAPD has it correctly. Questions regarding your Membership Directory address information should be forwarded to Kathy Corbin at (312) 337-2169 or [email protected]

Member News


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Attention: Class of 2014 The AAPD congratulates all June postdoctoral graduates on their commencement into the profession. We would also like to remind you about the many reasons why membership in the AAPD is so important, especially at this point in your career. • Free transition from student to active membership. This applies only if you complete an active membership application and return it to the AAPD headquarters office prior to Dec. 31, 2014. • To be listed as an Active Member in the printed 2015 Membership Directory applications must be received by Sept. 1, 2014. Membership applications are available at http://www.aapd.org. • Recent graduate are afforded one year dues-waived and two years of reduced membership dues at 50 percent off the full active membership dues rate if they have maintained continuous membership. The dues reduction rate would translate to:

2014 Graduate

Convert before Dec. 31, 2014

Convert after Dec. 31, 2014

First year out – 2014–15


Prorated dues if application not receive by 12/31/14

Second year out – 2015 -16


Active Dues

Third year out – 2016 - 17


Active Dues

Transition from student membership to active membership is not automatic. Student members must submit an application and a copy of their pediatric dentistry certificate to the AAPD office. Alternatively, program directors may send a list of graduating residents to verify the completion their program to our office to [email protected] org and AAPD will automatically update their membership status to Active; otherwise the student must send in an application with certificate. For questions regarding student to active membership please contact AAPD Membership and Marketing Assistant Adrienne Brown (312) 337-2169 ext: 40.

AAPD Membership Renewal Information AAPD Membership dues have not been raised since 2006! Dues period is July 1, 2014– June 30, 2015

Membership Category

Annual Dues Outside US*

Active Life Affiliate Associate International Active 2nd year Active 3rd year Friends of AAPD Allied Retired Post Doctoral Student Pre Doctoral Students

$590 $590 $295 $295 $295 $330 $295 $330 N/A $330 $295 $295 $295 $295 $295 $295 $147.50 $147.50 $0 $0 $0 $0 $27 $27

*Associate and Affiliate members residing outside the United States pay a $35 annul postage assessment.

Dues are payable by check, Visa, MasterCard and American Express must be received by Oct. 1, 2014. Otherwise membership privileges will be suspended until full payment of dues is received and your listing will be omitted from the 2014 Membership Directory. In keeping with the IRS, non-profit organizations are required to notify members that a portion of their dues payment is applicable to lobbying expenses and therefore not deductible as a business expense. (This is printed on the dues invoice.) The AAPD has determined that the following amounts are not deductible as a business expense for 2014– 15: Active $52 Associate, Affiliate, Life, Friends $26 All other membership categories $0 If you have any questions, please contact Membership and Marketing Director Suzanne Wester at (312) 337-2169, ext. 21, or [email protected]


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Member News

Spring Resident Recognition Awards Annie Brandenburg

Paul Chen

Residency Program: St. Barnabas Hospital

Residency Program: Maimonides Medical Center

Graduation Date: June 2014 Primary Field: Community and Public Service

Brandenburg is described as having a strong commitment to her residency program and the patients she serves. St. Barnabas is a level one trauma center with multiple patient care sites, and Brandenburg frequently travels from site to site to handle patients and emergencies. During these visits, she is conscientious about patient care, seeks to obtain excellent clinical results, and always follows-up with patients. Pediatric dentistry has strong ties throughout St. Barnabas hospital, and Brandenburg is spearheading the committee to bridge pediatric medicine and pediatric dentistry. Brandenburg is teaming with the departments to determine protocol for referrals to the pediatric dental clinic and provide in-service seminars to medical attendings, residents, and nurses on oral health issues. Brandenburg is also the dental department’s liaison to a Bronx Head Start health committee that guides health policy decisions for programs. Brandenburg has created presentations for her fellow committee members on the importance of a good diet and oral health that has resulted in better snacks and the incorporation of toothbrushing into their programs. The Bronx suffers from epidemic rates of diabetes, pediatric asthma, obesity, and teen pregnancy. It is the hope that the Head Starts’ early focus on good health will lead to a future of good practices for these children.

Expected Graduation Date: June 2015 Field: Community and Public Service Paul Chen entered the pediatric dentistry residency after completing a one-year general practice residency and one-year pediatric dentistry fellowship at Jamaica Hospital Medical Center. His practice experience includes working in underserved areas in New York and Connecticut, including a juvenile detention center in Brooklyn. Within the residency program, he actively teaches first year residents, sets up lunch and learns from different organizations and conducts research on the effects of Toradol post-operatively for full mouth rehabilitation on pediatric patients. Outside of the program, he is described as a community leader. He is the co-director of the New York Chinese School Crimson Kings Drum corps, a non-profit organization that teaches youth music and the disciplines of drum corps. Additionally, he works closely with the Brooklyn Chinese Community Association, setting up dental screenings for pre-school children in the Brooklyn community. Through these screenings, Chen is able to educate and refer recently immigrants to Maimonides Medical Center Pediatric Department. He also went to several outreach events in the Dominican Republic with a team of dentists screening and performing emergency dental treatment for over 1,000 patients. Chen has proven to be a dedicated pediatric dental resident who aims to help the community and serve as an advocate for pediatric dentistry.

Brandenburg’s commitment to taking advantage of every experience in her residency is also exemplary. Hurricane Sandy hit New York during her first year as a resident in 2012. She was one of the first residents to volunteer in cleanup efforts. The programs’ volunteers were featured in ADA News in November 2012. Her peers describe her as having a tremendous amount of dependability, compassion, leadership while being kind, honest, trustworthy, and genuine.

Member News


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AAPD 2014 -15 Board of Trustees President

Southwestern District Trustee

Dr. Ed H. Moody Jr. [email protected]

Dr. Joseph B. Castellano [email protected]


Western District Trustee

Dr. Rob L. Delarosa [email protected]

Dr. Santos Cortez Jr. [email protected]

Vice President

At Large Trustee

Dr. Jade Miller [email protected]

Dr. Jessica Y. Lee [email protected]


At Large Trustee

Dr. James D. Nickman [email protected]

Dr. Scott D. Smith [email protected]

Immediate Past President

At Large Trustee

Dr. Warren A. Brill [email protected]

Dr. Catherine M. Flaitz [email protected]


Affiliate Trustee

Dr. John A. Hendry [email protected]

Dr. Kerry Maguire [email protected]

Northeastern District Trustee

Congressional Liaison

Dr. David A. Tesini [email protected]

Dr. Heber Simmons Jr. [email protected]

Southeastern District Trustee

Chief Executive Officer

Dr. Brian A. Beitel [email protected]

Dr. John S. Rutkauskas [email protected]

North Central District Trustee Dr. Paul B. Andrews [email protected]


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Member News

Member News Obituary – Charles “Chuck” Post Charles “Chuck” Post passed away peacefully on Friday, May 16, 2014, at age 68. Preceded in death by his parents, Albert and Ethel Post and his niece, Anna Eller. Loving and devoted father of Sarah (Ryan) Scott, Maureen Post and Katie (Eric) Hazell. Proud grandpa of Isabel and Ella Scott and granddaughter Hazell, due in August. Dear brother of Elizabeth (Roger) Eller and uncle to John Eller. Further survived by other relatives and many friends. Chuck’s generosity, warmth and dedication were indescribable. He worked as a pediatric dentist at Children’s Hospital for 34 years. He was a Life Member of AAPD most recently serving as the chair of the Committee on Sedation and Anesthesia. He loved spending time with his family, vacationing at his cabin in St. Germain and cheering on the Wisconsin Badgers and Michigan State Spartans. Obituary – Mary Elizabeth Upshaw Pike Mary Elizabeth Upshaw Pike passed away on Thursday, May 22, 2014, after an extended illness. She was born Dec. 18, 1924, in Atlanta, the daughter of prominent obstetrician, Charles Bell Upshaw, M.D. and Mrs. Belle Porcher LeRoy Upshaw. She grew up in Atlanta and attended Spring Street and E. Rivers Grammar Schools; Washington Seminary Preparatory School; Sweet Briar and Converse Colleges; and graduated from the University of North Carolina at Chapel Hill, in 1946. While there, she was a member of Delta Delta Delta Fraternity. During her junior year at UNC, she made her debut with the Atlanta Debutante Club at the Piedmont Driving Club. Following graduation from college, she toured Europe and Scandinavia and then went to work for Emory University School of Medicine, working as a lab technician at Grady Memorial Hospital in Atlanta. On December 21, 1954 she married the love of her life, Dr. John Sanders (Sandy) Pike, D.D.S. Their first home was in Brooklyn, N.Y., where he was stationed with the Navy and serving on the USS Bennington. After the Navy, they moved to Lincoln, Neb., for two years, where he took training and received his Masters Degree in Dentistry for Children, from the University of Nebraska. They returned to Chapel Hill, N.C., where he taught at the UNC Dental School and she worked as a lab technician at Duke University Medical School. After four years, they moved back to Atlanta, where Sandy began his private practice in 1961. Mary worked as his assistant for 47 years.

Behavior Management in Dentistry for Children, Second Edition Gerald Z. Wright, Western University, Ontario, Canada and Ari Kupietzky, Private Practice and Hebrew University-Hadassah, Jerusalem, Israel April 2014

Guiding patient behavior is as important as ever for the practicing dentist, and the behavior of pediatric patients is perhaps the most challenging to manage. Drs. Wright and Kupietzky here update Wright’s classic work on managing pediatric dental patients. Behavior Management in Dentistry for Children, Second Edition, has been entirely rewritten and includes the latest and most effective management strategies from an international team of experts in the field. The book addresses the influence of family and parenting styles on children’s behavior and the factors that determine how children behave in the dental office. Pharmacological and nonpharmacological management techniques are described in depth, as are techniques for dealing with special needs patients. Clinical scenarios are described throughout the book, with practical application of the taught principles. The final part of the book covers the dental environment-training office personnel to manage children’s behavior, practical considerations for behavior guidance, and the effects of the physical dental office environment. Behavior Management in Dentistry for Children, Second Edition, is ideal for pediatric residents, dental students, and practicing dentists who see children on a regular basis. • Incorporates the triangle of the dentist-parent-child relationship and includes society’s role in pediatric oral health. • Behavior management strategies comprise current best practice. • Contributors include renowned experts from around the world.



July PDT 2014


ediatric Oral Health Research Policy Center


Policy Center Advisory Board Dr. Scott W. Cashion Dr. James J. Crall Dr. Sara L. Filstrup Dr. Jane Gillette Dr. Beverly A. Largent Dr. Jessica Y. Lee Dr. Martha Ann Keels Dr. Shari Kohn Dr. Joseph McManus

POHRPC Research Fellows Dr. Tegwyn H. Brickhouse Dr. Donald Chi Dr. Joanna Douglass Dr. Jessica Y. Lee Dr. Amr M. Moursi Dr. Arthur J. Nowak Dr. Anupama Rao Tate

Policy Center Staff Dr. Paul S. Casamassimo Janice Silverman Laurel Graham Leola Mitchell

Interprofessional Study of Oral Health in Primary Care Funded by DentaQuest Foundation “Doing visual [oral] screenings triggers in my mind to ask, “When was the last time you went to the dentist?”  The AAPD Pediatric Oral Health and Policy Research Center released the results of a yearlong study that studied oral health promotion in primary care settings. The Center collaborated with representatives from the following organizations: the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), the American Academy of Physician Assistants (AAPA), the National Association of Pediatric Nurse Practitioners (NAPNAP), and the National Interprofessional Initiative on Oral Health (NIIOH). Through the use of surveys, focus groups, and practice observations, the AAPD collected information and insight from medical providers who have successfully integrated oral health promotion into their practices. Additionally, the AAPD gathered information on why and how pediatric dentists work collaboratively with their medical colleagues. Here the focus was on topics regarding oral health education, oral health promotion, caries risk assessment, and referral patterns. As Dr. Arthur Nowak, AAPD Policy Center fellow and study principal investigator stated, “Primary care providers want to support oral health in their practices but have not had the training on what to do in a busy schedule and with only 15 minutes allocated for a wellchild visit!” Six focus groups were conducted with primary care providers (17 pediatricians, 11 family medicine physicians, 10 nurse practitioners, and three physician assistants) currently conducting oral health promotion for children 0-12 years old. Twelve practice observations were conducted in primary care facilities that are currently conducting oral health promotion for children 0-6 years old. Within the 12 sites, the following providers were represented: 73 pediatricians, 51 family medicine physicians, 23 nurse practitioners, 26 physician assistants, 112 pediatric residents, 29 family medicine residents, 71 registered nurses and licensed practical nurses, and 131 medical assistants.  Oral health care activities studied in the primary care sites visited were: caries-risk assessment, visual inspection/screening, fluoride varnish application, fluoride supplementation, oral health education and anticipatory guidance, and referral to a dentist. Suggestions for system improvement and simplification were also solicited. Specific to caries risk assessment, we learned that only about one third of medical personnel surveyed who were conducting risk assessment were using the AAP tool. A relatively large number of tools in use were developed by individual providers. Even among pediatric dentists, considerable variation exists in the types of tools used for assessment of caries risk. Overwhelmingly, physicians used visual inspection to assess risk and pediatric dentists used clinical intuition to assess risk.


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Policy Center

Throughout the course of the year we learned: • The impetus for integrating oral health promotion into the primary care practice varied from one site to another, however, in all instances, at least one person (i.e. oral health champion) had strong feelings about the importance of oral health and its relationship to systemic health. • Successful integration of oral health promotion in primary care necessitates a team approach. • Providers of all types reported a need for improved oral health instruction in professional training programs (e.g., M.D., P.A., N.P., R.N., L.P.N., M.A., Pharm.D.). • Visual inspection was the most commonly identified caries-risk assessment tool by primary care providers. • External support from recognized experts (e.g., Chapter Oral Health Advocates, American Academy of Pediatrics, Cavity-Free by Three) was identified as extremely helpful to primary care providers in establishing an oral health program.

• Generally, if not paid for fluoride varnish applications, primary care providers will not provide this service to patients at well child visits. • Caries-risk assessment tools are not utilized in their original versions and need to be simplified. • Integration of caries-risk assessment tools and preventive strategies into the EHR makes implementation much easier and was reported as an essential step for consistent implementation, quality assurance and documentation. • When practices were able to include oral health activities in their quality improvement efforts through EHR-generated reports, they reported an improvement in implementation and consistency. The next phase will be to develop, pilot and validate a caries-risk assessment protocol that will be user friendly for primary care providers and integrated in to the electronic health record with age-specific prompts to remind providers. In addition, developing educational tools to assist practitioners in identifying pathology in infants and toddlers oral cavity will be developed.

To review the entire report, go to http://www.aapd.org/policy_center/ Authors: Leola Mitchell-Royston, M.P.H., AAPD Program Coordinator; Art Nowak, B.A., M.A., D.M.D., F.A.A.P.D., AAPD Fellow, Study Principal Investigator; Jan Silverman, M.S., M.S.W., L.C.S.W., AAPD Policy Center Assistant Director

Evidence-Based Dentistry

How to Determine the Quality of the Research you Found on PubMed This article continues a series explaining evidence-based dentistry and how you can use it in your practice. Previous articles have explained creating and translating the PICO question into terms used by the database you will be searching and limiting your search results to the type of research you need. Once you have your search complete–limited to studies about your subject of interest– you are ready to critically appraise. Just like at the beginning when you used the PICO formula (see EBD page: http://www.aapd.org/ policy_center/evidence_based_dentistry/ for an article on the method) to define your topic of interest, you once again ask questions to find the right study or review to answer your question. First ask: is the study or review valid? Validity is the degree to which a result (of a measurement or study) is likely to be true and free of bias (systematic errors). Once

you find a publication (systematic review or randomized controlled trial) to answer your clinical question the next step is to determine whether or not its conclusions/findings were affected by bias. Bias can come in at many points in the design and execution of any publication; and while formal critical appraisal takes a team of reviewers, a practitioner with real world experience and a checklist can determine whether a randomized controlled trial or systematic review is worth even reading. An easy to use checklist is the Center for Evidence-Based Medicine’s at http://www.cebm.net/criticalappraisal/. RCTs must be internally valid (i.e., design and conducted to eliminate the possibility of bias), but to be clinically useful, the result must also be relevant to a definable group of patients in a particular clinical setting (i.e., they must be externally valid).

Many treatments found beneficial are never adopted for use in practice because RCTs and systematic reviews guidelines are not written with practitioners in mind. Next ask: will the results help me in caring for my patients? A well-done systematic review or RCT is of no use to you if it does not meet your patients’ needs. First make sure the intervention, patients, outcomes, and environmental factors listed are similar to your patients’. Is the intervention reproducible? Would your patients meet the study inclusion criteria? Are the outcomes are clinically relevant? Is affordability or patient compliance an issue? The next evidence-based dentistry tutorial will discuss how to keep up with the latest research.

Policy Center


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Measures This April, the Dental Caries in Children: Prevention & Disease Management set of measures was added to the National Quality Measures Clearinghouse (NQMC). NQMC, an initiative of the Agency for Healthcare Research and Quality, is a database of evidence-based health care quality measures and measure sets. The NQMC only includes measures that meet strict inclusion criteria, including validity testing and publication in a peer-review journal. These groundbreaking pediatric measures will help to achieve optimum oral health in the community by identifying areas in need of improvement. The eMeasures are aimed at the population level, but also apply to the smaller population in the dental office. “We’re seeing an increasing focus on quality measurement in both Medicaid programs and in emerging marketplaces,” said Dr. Jim Crall, DQA chair-elect. “This shows us how important the work of the DQA is and reaffirms that we need to continue moving forward to develop and promote measures that can help guide improvements in oral health care programs.”

These new pediatric measures were first proposed in 2012 and developed by a multidisciplinary research team at the University of Florida on behalf of the Dental Quality Alliance (DQA). The DQA was established by the American Dental Association and is made up of major stakeholders in oral health care delivery, including the AAPD- a founding member organization. The mission of the Dental Quality Alliance is to “advance performance measurement as a means to improve oral health, patient care and safety through a consensus-building process.” The DQA achieves its mission through research and implementation of performance measures. Most importantly the new pediatric measures set is actionable. In accordance with the AHRQ Child Quality Measures Subcommittee criteria, States, Medicaid, CHIP managed care plans, and healthcare organizations now have the ability to measure the quality of oral health care within the populations relevent to them. Dental Caries in Children: Prevention & Disease Management measures can be found here: http://www.qualitymeasures. ahrq.gov/browse/by-organization-indiv. aspx?orgid=2485&objid=47294.

Dental Caries in Children: Prevention and Disease Management, DQA’s first measurement set, includes 10 tested and validated performance measures in oral health care, including: use of services; preventive services; treatment services; oral evaluation; topical fluoride intensity; sealant use in 6-9 years; sealant use in 10-14 years; care continuity; usual source of services; and per-member per-month cost.

For further information, please see the ADA DQA resource page at http://www.ada.org/en/science-research/dental-quality-alliance. Cochrane Handbook- glossary http://www.cochrane.org/glossary/5#letterv Rothwell, P. M. (2006). Factors that can affect the external validity of randomised controlled trials. PLoS Clinical Trials, 1(1), e9. 3 Introduction to Reading the Medical Literature: RCTs. http://scientopia.org/blogs/guestblog/2012/07/09/introduction-to-reading-the-medical-literature-rcts/ 4 Dental Quality Alliance DQA. Dental Caries in Children: Prevention and Disease Management DQA Measure Set. Available at http://www.ada.org/en/science-research/dental-qualityalliance/dqa-measure-activities/measure-sets 5 ADA News Dental Quality Alliance to test measures on use of ERs for caries-related reasons http://www.mouthhealthy.org/en/home-ada/publications/ada-news/2014-archive/february/ dental-quality-alliance-to-test-measures-on-use-of Feb. 03, 2014 1 2


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Policy Center



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Behind the Code

Documenting to Support Medical Necessity for the Pediatric Dental Professional Medical Necessity: What Is It? Documenting to Support Medical Necessity: • Medical Necessity • Definition • Finding the Guidelines/Policies • Documenting

Background Definitions 2014 AAPD Definition of Medically Necessary Care Medically necessary care (MNC) is the reasonable and essential diagnostic, preventive, and treatment services (including supplies, appliances, and devices) and follow-up care, as determined by qualified health care providers, in treating any condition, disease, injury, or congenital or developmental mal-formation. As it relates to dentistry, MNC includes all services that, in the judgment of the attending dentist, are necessary for the provision of optimal quality diagnostic, therapeutic and preventive oral care. MNC may include adjunctive services such as sedation, general anesthesia, and utilization of surgical facilities. MNC must take into account the patient’s age, developmental status, and psychosocial well-being as well as the setting appropriate to meet the needs of the patient and family. Dental care is medically necessary to prevent and eliminate orofacial disease, infection, and pain, to restore the form and function of the dentition, and to correct facial disfiguration or dysfunction. Likewise, the term clinical medical necessity is used routinely in discussions on the topic of MNC. Third-party payers may provide coverage only for health‐related related serves that they define or determine to be medically necessary. Medicare, for example, defines medically necessary as: “Services or supplies that are needed for the diagnosis or treatment of your medical condition and meet accepted standards of medical practice.” Medical necessity in this context refers to a decision by your health plan that your treatment, test, or procedure is necessary for your health or to treat a diagnosed medical problem.

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• In accordance with the generally accepted standard of medical practice • Clinically appropriate in terms of frequency, type, extent, site and duration

• Teaching Your Providers


The American Medical Association defines MNC as services or procedures that a prudent physician would provide to a patient in order to prevent, diagnose or treat an illness, injury or disease or the associated symptoms in a manner that is:


• Not intended for the economic benefit of the health plan or purchaser or the convenience of the patient, physician or other health care provider. The Center for Medicare and Medicaid Services (CMS) provide that: “… no Medicare payment shall be made for items or services that are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.” In essence, the diagnosis drives medical necessity. Providers must be able to document the diagnosis as well as what services or treatment options are available. Third-party Payers Medical necessity can also be confusing when it comes to third-party reimbursement for the procedure or services. Many thirdparty payers have specific coverage guidelines written into benefit contracts with their insured regarding what they consider medically necessary or have riders and exclusions for specific procedures. Third-party payers, for example, may have a specific exclusion for procedures that they consider experimental, or unproven for a specific diagnosis, or that they consider cosmetic. Even if a particular procedure or service is considered medically necessary, some payers impose limits on how many times a provider may render a specific service within a specified time frame. For Medicare and Medicaid, these limitations are known as

National Coverage Determinations (NCD) and Local Coverage Determination (LCD). Private payers may simply refer to this type of limitation as a policy guideline or policy exclusion or rider. For example, if the patient had a fluoride treatment on January 1, 2013, the insurance carrier may not pay for another until 180 days have elapsed. However, if the patient has high risk for caries, the clinician may decide more frequent fluoride applications are necessary. In this case, the provider should submit that claim with the appropriate notation or diagnosis for a sign, symptom, or abnormality to justify more frequent applications. Depending on the contractual limitation of the policy, the third-party carrier may still deny the claim. Providers should take seriously that signing the claim form legally assigns responsibility to the provider for entries he or she creates, modifies, or views. Claim Form Language ADA Claim Form – Box 53 “I hereby certify that the procedures as indicated by date are in progress (for procedures that require multiple visits) or have been completed” CMS 1500 Claim form - Box 31 – Provider signature “I certify that the statements made on the reverse apply to this bill and are made a part thereof.” “Any person who knowingly files a statement of claim containing any misrepresentation or any false, incomplete or misleading information may be guilty of a criminal act punishable under law and me be subject to civil penalties.” “I certify that the services shown on this form were medically indicated and necessary for the health of the patient.”

How to Document Medical Necessity • Tell a story • Don’t assume the level of knowledge at the claim review level • Don’t rely on diagnosis documentation alone* • Review any payer policies – and document in their terms

For example, for equilibration:

“Patient reports 60 percent decrease in pain after previous equilibration”

Conclusion Understanding and determining medical necessity can be very complex. A dentist may have a completely different understanding, interpretation, and definition of medical necessity than the patient or a patient’s family member. A third-party insurance payer may also have another completely different understanding and application of the term. Medical necessity continues to be open for interpretation by all parties involved. Many third-party payers have created lists of criteria they use to interpret medical necessity. These lists do not necessarily reflect all options, but payers include this reference in their policy guidelines.

Most providers have not developed a comprehensive listing of medically necessary qualifiers, so coders and clinicians must focus on good documentation and coding accuracy to communicate the medical necessity of services accurately to payers. If third-party payers deny reimbursement for medical services, dentists need to rely on the formal appeal process. The third-party payers employ a wide spectrum of policies defining what medical necessity is and should encompass. Clinical providers and coders should review what these payers have established within their guidelines. Someone within the dental office should thoroughly scrutinize these guidelines before establishing a contractual relationship with a particular third party payer. This up-front communication will help avoid claim denials in the future. Here are some examples of what some third party payers are currently including in their medically necessary verbiage: • Treatment is consistent with the symptoms or diagnosis of the illness, injury, or symptoms under review by the provider of care. • Treatment is necessary and consistent with generally accepted professional medical standards (i.e., not experimental or investigational).

• Treatment is not furnished primarily for the convenience of the patient, the attending provider, or other provider or supplier. • Treatment is furnished at the most appropriate level that can be provided safely and effectively to the patient, and is neither more or less than what the patient is requiring at that specific point in time. • The disbursement of medical care and/or treatment must not be related to the patient’s or the third party payer’s monetary status or benefit. • Documentation of all medical care should accurately reflect the need for and outcome of the treatment. • Treatment or medical services deemed to be medically necessary by the provider of those services (e.g., physician, therapist, clinician, etc.) does not imply or infer that the service(s) provided will be covered by or deemed a medically necessary service payable by a third-party insurance payer. Providers must understand the complex relationships between the patient, the medical record documentation, the coder, the biller, the insurance payer, and the communication between all of these entities to successfully guide the interpretation of medical necessity. For further information, please contact AAPD Dental Benefits Manager Mary Essling at (312) 337-2169 or [email protected]

*Diagnosis Coding • consistent use of correct/appropriate/specific diagnosis coding is critical. Many diagnosis codes are not specific enough in themselves.

Senate Passes ICD-10 - Delay Bill On Monday, March 31, 2014, the Senate voted to approve a bill that will delay the implementation of ICD-10-CM/PCS by at least one year. The bill now moves to President Obama, who is expected to sign it into law. The bill was passed 64 -35. The bill, H.R. 4302, Protecting Access to Medicare Act of 2014, mainly creates a temporary “fix” to the Medicare sustainable growth rate (SGR). A seven-line section of the bill states that the Department of Health and Human Services (HHS) cannot adopt the ICD–10 code set as the standard until at least Oct. 1, 2015. The healthcare industry had been preparing to switch to the ICD-10 code set on Oct. 1, 2014. Congress was working against a deadline on March 31 to reform or “fix” the SGR before it directly impacted physician payment. Without a fix to the SGR formula, Medicare physicians faced a 24 percent reimbursement cut beginning April 1. H.R. 4302, introduced by House Representative Joseph Pitts (R-PA), will replace the reimbursement cut with a 0.5 percent payment update through the end of 2014 and a zero percent payment update from Jan. 1, 2015, to March 31, 2015. This is the second time ICD-10 implementation has been delayed. The original compliance date of Oct. 1, 2013, was officially pushed back a year on Sept. 5, 2012, by CMS, who noted in their ICD-10 delay final rule that “some provider groups have expressed strong concern about their ability to meet the Oct. 1, 2013, compliance date and the serious claims payment issues that might ensue if they do not meet the date.” For further information, please contact AAPD Dental Benefits Manager Mary Essling at (312) 337-2169 or [email protected]



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Media Mix For more information on how to submit your media coverage, please contact Public Relations Senior Manager Erika Hoeft at (312) 337-2169 or [email protected] AAPD Immediate Past President Dr. Warren A. Brill (Md.) and AAPD members Drs. Man Wai Ng (Mass.), Zameera Fida (Mass.) and Burton Edelstein (N.Y.) provided insight into the future of oral health care in Mediaplanet’s “Oral Health Awareness,” a cross-platform campaign distributed as an eight-page print publication within The San Francisco Chronicle, and digitally across a network of online platforms, reaching over 3 million readers.  Dr. David Tesini (Mass.) authored a continuing education article in the April issue of Inside Dental Assisting titled “Providing Comprehensive, Quality Dental Care to Children with Autism Spectrum Disorder.” http:// editiondigital.net/publication/?i=201523&p=24 Dr. Chad Hoge (N.D.) was included in the Providence Journal’s article on good dental care for children and how it should start early. Dr. Erik Johnson (Maine) was on WAGM-TV doling out oral health lessons to students. Lubbock Avalanche-Journal featured Dr. Nadine Al-Hammali (Texas) who shared tips on keeping kids’ teeth healthy. AAPD Releases Visual Guide for Tooth Injuries http://www.mychildrensteeth.org/aapd_releases_visual_guide_for_tooth_injuries/ With childhood activities in full swing, The American Academy of Pediatric Dentistry (AAPD) has developed a highly-visual, easy-to-follow guide which can be printed and posted to refrigerators so family members and babysitters know what to do should a tooth be chipped or knocked out (hint: a glass of milk could come in handy)! The Miami Herald featured Dr. Rosie Roldan (Fla.) on setting a good example early when it comes to baby’s dental care. Dr. Charles Keithline (Okla.) was included in a story on Tulsa’s Channel 8 ABC station on why millions of kids aren’t getting dental care.


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Media Mix

Bowling Green Daily News featured Drs. Amanda Ashley, J. Scott Barbee and Erin Elliott (Ky.) in an article on kid-friendly care. Dr. Christopher Hughes (N.J.) was included in a story on how the Rutgers School of Dental Medicine clinic serves special needs patients that appeared on Rutgers Today.

The HSHC Dental Home Day with Tufts School of Dental Medicine received media coverage on Boston.com. The article can be viewed at http://www.boston. com/health/2014/05/22/these-kids-are-excitedvisit-the-dentist/XMmzcCumjpU1yxwEuZ7ksJ/ story.html

Newton TAB interviewed Dr. John Ficarelli (Mass.) about providing dental care to children in Mexico. Dr. Brent Holman (N.D.) was included in an In-Forum story on the ways in which to improve access to dental care in North Dakota. The Orange County Register interviewed Dr. Richard Udin (Calif.) on how earlier fluoride use is needed to save baby teeth. Dr. Kimon Divaris (N.C.) was featured in a Chicago Tribune blog story on how caregivers are key in protecting kids’ dental health. Dr. Elizabeth I. Katz (Ariz.) appeared in the Arizona Jewish Post in a feature on how pediatric dentistry helps children smile. The Stir.com did a story on what thumb sucking actually does to children’s teeth and included quotes from Dr. David Zirlin (N.Y.) for the piece. Dr. Martin Kaplan (Mass.) was interviewed for a story on the treatment of infants who have nursing problems due to tongue and lip tie. AAPD President Dr. Ed Moody (Tenn.) conducted interviews for two stories on tooth injuries in children—one with Philly. com and the other with One Good Dad Blog. Kaiser Health News interviewed Dr. Paul Reggiardo (Calif.) for an article on how many kids fall through the gaps in dental care, which was picked up by USA Today, as well as many other news outlets. To read the article in its entirety, please go to: http://www. usatoday.com/story/news/nation/2014/05/17/ kids-dental-plans/9098439/

Mario Ramos, D.M.D., a pediatric dentist from Midland Park, N.J.. performs an oral assessment on Eric Lomanno, 9, of Quincy, Mass., during Dental Home Day at Tufts University School of Dental Medicine.Credit: Tufts University School of Dental Medicine AAPD President Dr. Ed Moody (Tenn.) was interviewed by Tony Edwards, editor in chief of Dr. Bicuspid.com, for the publication’s Leaders in Dentistry Section—a series of interviews with researchers, practitioners and opinion leaders who are instrumental in changing the practice of dentistry. To read the article in its entirety, please visit: http://www.drbicuspid.com/index.aspx?sec=nws&s ub=rad&pag=dis&ItemID=315820 ​

Ad Council Campaign Update Media Results From August 2012 through December 2013, the campaign received over $53 million in donated media. • Total donated media exceeded Ad Council averages in its first year • Compared to all other Ad Council campaigns, the Children’s Oral Health campaign ranks first in PR, second in network cable, and fifth in local broadcast TV between August 2012 and December 2013. The campaign website http://2min2x.org has garnered high consumer engagement, resulting in: • Over 1.7 million visitors from August 2012 –April 2014 • Parents are watching two-minute videos from Cartoon Network, LazyTown, MyKazoo! and Sesame • Visitors spend on average almost six minutes on Watch and Brush page. • Over 177,000 U.S. video views since launch Results: Consumer Tracking Study • Recognition of the PSAs is very high among both English and Spanish-speaking parents (53 percent and 42 percent, respectively). • There have been significant shifts in in key attitudes and behaviors among both English and Spanish-speaking parents surrounding the campaign’s call-to-action • For English-speaking parents: more respondents report that their child brushes at least twice a day (48 percent to 55 percent) and brushes for at least two minutes each time (60 percent to 64 percent). • For Spanish-speaking parents: more respondents report that their child brushes for at least two minutes (69 percent to 77 percent).  Toothsavers App Apple has featured Toothsavers in the Kids’ Section of the App Store! Our iTunes partnership is generating a lot of downloads and engagement. Here are the latest numbers: iTunes • Downloads – all countries: 95,545 • Downloads – U.S. only: 53,482 • Avg. Session Duration: 3min 27sec • Sessions: 212,000 • Sessions from Returning Users: 81 percent • Screen Views per Session: 6 Google Play • Downloads – all countries: 1,880 • Downloads – U.S. only: 1,190

Media Mix


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AAPD Continuing Education Courses AAPD is an ADA Cerp Recognized Provider

Fall 2014 The AAPD invites you to attend the upcoming continuing education courses designed to help improve your practice. Register online now at http://www.aapd.org and to view the individual course brochures. For more information, please contact Meetings and Education Coordinator Jessica Vaughn at [email protected]

Oral Clinical Exam Review SEPt. 4, 2014 Marriott Downtown, Philadelphia, Penn. If you’re serious about becoming a diplomate, this course could make the difference. Presented by leading educators and clinicians, this course focuses on preparing the candidate to succeed in the oral portion of the board examination. Participants will have the opportunity to be part of numerous mock examinations and will learn skills to deliver an impressive performance. Learn about the various domains contained in the American Board of Pediatric Dentistry examination, successful test taking techniques and how to be prepared for this type of high-stakes clinical examination. Additionally, participants will learn how to organize, remember and present pediatric dentistry information and literature. At the conclusion of the course, participants will have gained a better understanding of how to prepare for the exam including: • Topical areas of the exam • American Academy of Pediatric Dentistry Guidelines • The examination process • Suggested readings for exam preparation • How cases are designed and graded Invited speakers Paul Casamassimo, D.D.S., M.S. Ron A. Bell, D.D.S., M.Ed. This course is approved for 7 continuing education credits Sponsored by NuSmile Pediatric Crowns


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ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Comprehensive Review of Pediatric Dentistry SEPt. 5-7, 2014 Marriott Downtown, Philadelphia, Penn. This highly acclaimed course provides a comprehensive review of pediatric dentistry. It may be helpful to AAPD members in their preparation for the American Board of Pediatric Dentistry (ABPD) examinations, although participation in this course does not guarantee successful completion of board exams. The curriculum is also designed to serve as a comprehensive and in-depth review of pediatric dentistry to those attendees who may be either board certified already or not planning on taking the exam. Topics to be discussed include Growth and Development, Assessment and Prevention, Oral Pathology, Care for Special Needs Patients, Restorative Dentistry and Materials, Trauma, Behavior Management, Pulp Therapy and Hospital Dentistry. Expert clinicians presenting this course utilize a lecture format to review the subjects included in the board examinations. Participation in this course does not guarantee successful completion of board exams. Course Director Kevin J. Donly, D.D.S., M.S. invited Speakers Catherine M. Flaitz, D.D.S., M.S. Andrew L. Sonis, D.M.D. Amr M. Moursi, D.D.S., Ph.D. This course is approved for 22 continuing education credits. Sponsored by NuSmile Pediatric Crowns

Dental Assistant’s Course: Sedative and Medical Emergencies in the Pediatric Dental Office Oct. 24, 2014 Sheraton Downtown, Denver, Colo. This one-day course is specially designed for the pediatric dental assistant to enhance their knowledge and understanding of sedation emergencies and other emergent medical conditions in the office. An introduction to oral sedatives and using nitrous oxide/oxygen sedation will be included. Participants will learn how to organize and prepare the office for an organized response to a medical emergency and how to assist in the management of medical and sedation emergencies. Course Director Morton Rosenberg, D.D.S. invited Speakers Stephen Wilson, D.M.D., M.A., Ph.D. Steven Ganzberg, D.M.D., M.S. Alan Milnes, D.D.S., Ph.D. Sarat Thikkurissy, D.D.S., M.S.

Contemporary Sedation of Children for the Dental Practice: Enteral and Parenteral Techniques Oct. 24-26, 2014 Sheraton Downtown, Denver, Colo. The sedation course is intended for pediatric dentists who have had training in sedation techniques during their graduate or residency training programs. Although the course involves a series of lectures on key topics associated with sedation (e.g. monitoring of the patient), materials are provided that include a narrative on issues such as child personality and selection of drugs and a reference list. The course is consistent with the ADA’s Guidelines on Teaching Pain Control and Sedation to Dentists and Dental Students in a Continuing Education Program. The level of the course, according to the ADA’s Guidelines, Part II, Definitions, Education Courses, is that of a survey course and does not offer direct, clinical patient management. Course Director Stephen Wilson, D.M.D., M.A., Ph.D. invited Speakers Steven Ganzberg, D.M.D., M.S. Alan Milnes, D.D.S., Ph.D. Sarat Thikkurissy, D.D.S., M.S. This course is approved for 19 continuing education credits. Sponsored by EZ Pedo

This course is approved for 7 continuing education credits.

An Update in Pediatric Restorative Dentistry Symposium Nov. 14-15, 2014 Trump National Doral, Miami, Fla. This symposium is designed to update the practitioner on dental restorative materials and indications for their use. The intention is to discuss topic areas presented at the last Pediatric Restorative Dentistry Consensus Conference and to update information presented and published. Whether you attended the previous conference or not, you will still walk away with information on topic areas such as Risk Assessment and Clinical Decision Making for Caries Management in Children; The Use of Pit and Fissure Sealants; Glass Ionomer Cements; The Use of Amalgam in Pediatric Dentistry; Dentin/Enamel Adhesives in Pediatric Dentistry; Resin-Based Composites in Pediatric Dentistry; The Use of Stainless Steel Crowns; and Restoring Primary Anterior Teeth. Course Director Kevin J. Donly, D.D.S., M.S. invited Speakers Joel H. Berg, D.D.S., M.S. James Crall, D.D.S. Theodore (Ted) P. Croll, D.D.S. Kevin J. Donly, D.D.S. Anna B. Fuks, D.D.S. Franklin Garcia-Godoy, D.D.S., M.S., Ph.D. N. Sue Seale, D.D.S., M.S.D. Rebecca Slayton, D.D.S., Ph.D. William Waggoner, D.D.S., M.S. This course is eligible for 12 hours of continuing education credit. Education


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AAPD Meetings & Sponsored Continuing Education Courses For further information on any of the AAPD-sponsored meetings or courses, please contact Meetings and Education Coordinator Jessica Vaughn at [email protected] or call the Headquarters Office at (312) 337-2169. Sept. 4, 2014 The AAPD is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in indentifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Oral Clinical Exam Review Course. Marriott, Philadelphia, Pa.

Sept. 5 – 7, 2014

Comprehensive Review of Pediatric Dentistry. Marriott, Philadelphia, Pa.

Oct. 24 – 26, 2014

Contemporary Sedation of Children for the Dental Practice and Dental Assistant’s Course. Sheraton Downtown, Denver, Colo.

Nov. 14 – 15, 2014

Restorative Symposium. Trump National Doral, Miami, Fla.

District/State Unit Organization Meetings & CE Courses For more information on these meetings, please contact the sponsoring District or State unit organization. Oct. 10, 2014

Mixed Dentition Orthodontics Seminar. Multnomah Athletic Club in Portland, Ore. Dr. Gerry Samson and Dr. Tom Kiebach. Save time and register online at www.oapd.org.


Nov. 7, 2014

During this conference, presenters will discuss evidence-based reviews that assess the potential of current and emerging approaches which address early childhood caries (ECC) prevalence, treatment, and guidelines.

Maryland Academy of Pediatric Dentistry’s Annual All Day CE Meeting. Featuring: N. Sue Seale D.M.D., M.S.D. & James Coll, D.M.D. Topic: Current Research and Recommendations for Pulp Therapy. Space is limited and will sell out. For more Information contact [email protected]

Conference partners include the DentaQuest Foundation, the American Academy of Pediatric Dentistry, the National Institute of Dental and Craniofacial Research, and the Health Resources and Services Administration.

Jan. 9- 11, 2015

Southeastern Society of Pediatric Dentistry Annual Continuing Education Course. The Ritz-Carlton Buckhead, Atlanta, Ga.

Topics to be covered include:          

Changes in prevalence of ECC and in how prevalence is measured Clinical, environmental, and behavioral factors that foster ECC Methods to alter the microbiota associated with ECC Result of the Indian Health Service’s ECC collaborative Effectiveness of current therapies for treating ECC Effectiveness of motivational interviewing in altering health behaviors Effectiveness of new technologies in altering health behaviors Effectiveness of chronic disease management strategies to treat ECC Ability of primary care health professionals to affect ECC prevalence Barriers to and facilitators of primary and secondary interventions to prevent and treat ECC  What we know, what we learned, where we need to go


October 23 and 24, 2014

Turf Valley Resort and Convention Center, Ellicott City, MD For more information about the conference, registration, and lodging visit http://www.dental.umaryland.edu/ECC_conference


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Meetings & Sponsored Courses

2014 Joint Academic Day at Annual Session in Boston Over 160 educators involved in predoctoral and postdoctoral pediatric dental education came together for the Annual Joint Academic Day. Dr. Catherine Flaitz welcomed everyone and introduced the morning program featuring discussions led by faculty from the Harvard Medical School focusing on the art and science of teaching. Featured speakers during the morning plenary session were Beth Lown, M.D., associate professor of medicine, who presented a lecture titled How Effective Teachers Help People Learn along with associate professor of pediatrics Vincent W. Chiang, M.D. who spoke on Teaching in the Clinical Setting. Rounding out the morning session was the Harold Amos Distinguished Academy Professor, Charlie Hatem, M.D., discussing Teaching as a Performing Art. Participants that registered for the Annual Sessions may access the Joint Academic Day presentations at http://www.eventscribe.com/2014/ aapd/login.asp.

Antibiotic Therapy in the Pediatric Patient: Indications, Resistance and Stewardship Live Webinar: Aug. 15, 2014, at 11 AM CDT Sarat “Bobby” Thikkurissy, D.D.S., M.S. DESCRIPTION Antibiotics have long been an important adjunct in the management of dento-facial infections in the pediatric patient. Recent decades have seen changes in the understanding of clinical indications and resistant organisms have led to new concepts of antibiotic stewardship. This webinar will address clinical indications for antibiotic therapy, their use as pain management adjuncts in the pediatric patient, and finally issues of compliance in the pediatric patient. OBJECTIVES After this webinar, participants should be able to:

• Discuss the basic pharmacodynamics of major antibiotic classes, and implications for the pediatric patient. • Understand the rationale for clinical use of antibiotics for dentofacial infections, and hurdles parents may face in compliance. • Define antibiotic stewardship and understand in relation to antibiotic-resistant organisms. • Understand how antibiotics can aid in a pain management plan in pediatric odontogenic infections.

Following lunch sponsored by Proctor and Gamble, the Society of Predoctoral Program Directors and the Society of Postdoctoral Program Directors met and held programs designed to meet their specific needs. Drs. Sharon Freudenberger from Case-Western and Sahar Alrayyes from UIC College of Dentistry will serve as co-chairs for the Society of Predoctoral Program Directors for 2014 – 2015 and Dr. Isabelle Chase of Harvard School of Dentistry will chair the Society of Postdoctoral Program Directors. Together with AAPD academic trustee Dr Flaitz, Drs. Al-rayyes, Freudenberger and Chase will play a critical role in planning for the 2015 Joint Academic Day in Seattle. Please contact Scott Dalhouse at the AAPD by e-mail to [email protected] aapd.org for additional information or assistance with accessing the presentations.

Hanging Your Single Shingle – Are You Ready? Live Webinar: Nov. 7, 2014, 11 AM CST Bobby Elliott, D.M.D., M.S. DESCRIPTION Congratulations! You’ve decided to take the plunge...or have you? This webinar will assist you during one of the most important decisions of your life...opening your own private practice! We will discuss the sequence of events and suggests a timeline when putting everything together to open an office. Topics covered range from initial concept to opening the door to see your first patient. It is likely you will experience a roller coaster of emotions as you develop your practice plan. Anxiety and frustration can occur due to all of the time involved, paperwork, telephone calls and “blind” decisions made in the process. Remember, everything you do is a reflection of who you are. We will discuss strategies to stay organized and manage your time efficiently so that your practice plan can be an extension you and your practice philosophies.

WEBINARS Education


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Healthy Smiles, Healthy Children: The Foundation of the American Academy


Smiles Healthy Children

of Pediatric Dentistry supports community-based initiatives that provide


The Foundation of the American Academy of Pediatric Dentistry

Dental Homes to children from families who cannot afford dental care.

Dr. Beverly A. Largent HSHC President

Going that Extra Mile During a site visit last fall to a Healthy Smiles, Healthy Children grantee, our group was introduced to a grandmother who had just walked four miles with her grandson for his scheduled dental appointment.

Thanks to the generosity of AAPD members, Healthy Smiles, Healthy Children can go the extra mile to expand our support of community-based initiatives providing Dental Homes to children whose families cannot afford dental care.

No car. No stroller. Just her and her grandson – on foot.

Our application process for 2015 Access to Care Grants opened last month and we’re confident this year’s applications will surpass last year’s all-time high of 331. The demand for Access to Care Grants will continue to increase.

We hear a lot in the consumer media about people who abuse “the system,” who “don’t deserve” our compassion, or who should “get a job.” We don’t hear about the grandmother who walks four miles in the late summer heat to bring her grandson to the dentist because his mother was at work. Many of the families helped by HSHC grantees are making an effort. Yes, there are those whose priorities we might question, but there are so many more who make sure their children have a Dental Home. No, they don’t think of it as a Dental Home, they just know dental care is important. We’ve seen: • a dad overcome his own fear of the dentist so his son could receive care • a mom heartbroken to learn her 13-year-old son has three cavities because he hadn’t been to the dentist for three years


While I’m sure you do a lot in your practices and in your communities to help the less fortunate, I’m asking every AAPD member to go the extra mile by giving to HSHC. By the time this issue of PDT hits your desk, all of us will have received our 2015 membership dues statement. Please make your annual fund gift to HSHC at the suggested amount of $250. Approximately 16 percent of AAPD members made a charitable gift to HSHC last year. In the member association world, AAPD members’ support of their foundation is well above average. But can this girl dream just a bit and see how close we can get our support to 25 percent of our membership?

• a dad cancel his restorative appointment so his son could be seen

We’re not public radio, so we cannot promise you a coffee mug, t-shirt or tickets to a show. We can promise you we will go the extra mile to reward the parents and grandparents who go the extra mile to find Dental Homes for the children they love.

• a mom who drove more than 130 miles each way for her kids’ dental care.

Please go the extra mile and make your annual fund gift to HSHC when you submit your annual AAPD dues.

These parents and grandparents, and thousands more like them, literally and figuratively are going the extra mile to make sure their kids receive quality dental care.

Every child deserves a Dental Home. Please join us in this important effort.

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Healthy Smiles, Healthy Children

Beverly A. Largent, D.M.D., is a private practitioner from Paducah, Ky.

2014 Access to Care Grant Awards Healthy Smiles, Healthy Children (HSHC) is making more than $1.1 million in Access to Care Grants to 18 organizations this year – including two $375,000 Multi-Year Access to Care Grants. This is the largest grant commitment ever made by HSHC.

2015 Access to Care Grants Call for Applications Healthy Smiles, Healthy Children (HSHC) is committed to supporting community-based initiatives providing Dental Homes to children whose families cannot afford dental care. The American Academy of Pediatric Dentistry defines a Dental Home as the ongoing relationship between the dentist and the patient, inclusive of all aspects of oral health care, delivered in a comprehensive, continuously accessible, coordinated, and familycentered way. HSHC supports this goal through its Access to Care Grants targeting children up to age 18. HSHC is accepting letters of intent for its Access to Care Grants and will award up to 20 Access to Care Grants in spring 2015 totaling $400,000. Access to Care Grants are one-year matching grants of up to $20,000, supporting community-based initiatives in the U.S. that provide dental care and ultimately serve as a Dental Home to underserved/limited access children. Special consideration will be given to programs supporting the age-one dental visit and providing care to special needs patients. HSHC funds may be applied to cover costs of clinic supplies, instruments and equipment, patient/parent/caregiver education materials, take-home supplies (toothbrushes, toothpaste, etc.), education and/or outreach to recruit dentist participation in program activities, or other activity with clear, direct impact on child oral care.  HSHC will give special consideration to programs that have demonstrated success and have potential for replication in other communities, as well as initiatives that have illustrated collaboration with other institutions and organizations. Guidelines and application instructions are available on the HSHC website: http://www.healthysmileshealthychildren.org. For further information, please contact Grants and Corporate Relations Manager Tracey Schilligo at 312-337-2169 or via e-mail at [email protected] Applications are due Aug. 18, 2014.

HSHC awarded $301,000 in single-year Access to Care Grants to 16 organizations. Two previous grantees are also first recipients of HSHC’s Multi-Year Access to Care Grants, receiving $75,000 a year through 2019. Including 2014 commitments, HSHC since 2010 has awarded more than $1.8 million in Access to Care Grants to 48 organizations in 18 states that have helped more than 118,000 children in need. To put HSHC’s grantmaking growth in perspective, the Foundation issued slightly less than $100,000 in grants to five organizations in 2010 when it first introduced Access to Care Grants. As the Foundation learns more about the underserved and their needs, it has expanded its grantmaking efforts to become the nation’s leading child oral health charity. Lehigh Valley Hospital, in Allentown, Penn., and the Ricardo Salinas Pediatric Dental Clinic, in San Antonio, Texas, are the first recipients of HSHC Multi-Year Access to Care Grants. Each will receive $75,000 a year over the next five years.

Congratulations to the 2014 HSHC Access to Care Grant (single year) recipients Access Community Health Centers; Madison, Wisc. Alexandria Neighborhood Health Services, Inc.; Arlington, Va. Central Arizona Shelter Services, Inc.; Phoenix, Ariz. Community Smiles: Expanding Access to Care; Miami, Fla. The Hope Institute for Children and Families; Springfield, Ill. Indiana University School of Dentistry; Indianapolis, Ind. KidSMILES Pediatric Dental Clinic Need; Dublin, Ohio Mercy Medical Center; Canton, Ohio Piedmont Regional Dental Clinic, Orange, Va. Pike County Health Department; Pittsfield, Ill. Rochester General Hospital Foundation; Rochester, N.Y. Santa Barbara-Ventura Counties Dental Care Foundation; Ventura, Calif. St. Bernard Hospital and Health Care Center; Oak Park, Ill. St. Christopher’s Foundation for Children; Philadelphia, Penn. St. Vincent de Paul Virginia G. Piper Medical & Dental Clinic; Phoenix, Ariz. Vista Community Clinic; Vista, Calif.

Healthy Smiles, Healthy Children


July PDT 2014


dental home day Sixty American Academy of Pediatric Dentistry (AAPD) members and affiliated volunteers from across the country helped provide free dental care to 71 underserved children during the second annual Healthy Smiles, Healthy Children (HSHC) Dental Home Day, held May 22, at Tufts University School of Dental Medicine in Boston. Sponsored by Sunstar Americas, Inc., Tufts University received a total of $30,000 in HSHC Access to Care Grants to help provide Dental Homes for these children over the next 12 months. Be sure to check out the September issue of PDT for more details on Dental Home Day.


July PDT 2014


Healthy Smiles, Healthy Children

Healthy Smiles, Healthy Children


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donor appreciation gala


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Healthy Smiles, Healthy Children

Healthy Smiles, Healthy Children


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circle donor reception


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Healthy Smiles, Healthy Children

Healthy Smiles, Healthy Children


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EZ Pedo in the Spotlight The vision to found EZ-Pedo was inspired by a traumatizing event in the life of John Paul, son of co-founder John P. Hansen. The trauma resulted in John Paul’s four front teeth needing major restoration. Being a cosmetic dentist, Hansen expected his son would have the same treatment options as were commonly available to his adult patients. He soon discovered that this was not the case. This experience turned out to be a blessing in disguise. Hansen saw that pediatric esthetic options were limited and set out to find the best possible metal-free alternative for parents and their children. In 2006, Hansen met pediatric dental anesthesiologist Jeffrey P. Fisher. Fisher had provided anesthesia for Hansen’s son as well as for patients in 50 other pediatric dental offices. Hansen and Fisher soon began experimenting with various zirconiabased prototypes in Hansen’s in-house esthetic dental laboratory. The two founders’ innovative minds saw a need for improvement and their dedication sparked a quest to develop the first Zirconia crown designed for pediatric use. Today EZ-Pedo serves over 1,400 pediatric dentists, and their crowns are available in more than 15 countries world-wide. Over the past few years, as more dentists experience longFisher and Hansen. The two dentists that pioneered the term clinical success, doctors are now starting to see that pediatric Zirconia crown. prefabricated Zirconia crowns are a clinically predictable and long-lasting esthetic treatment option. In fact, now every major pediatric crown manufacturer is jumping on board with their version of the Zirconia crown. Since EZ-Pedo pioneered pediatric Zirconia crowns, they have received many years of valuable clinical feedback. As a result, they have the advantage of having incorporated many suggestions of pediatric dentists to improve their crown’s design. EZ-Pedo is founded on three core values: 1) conducting business with honesty and integrity, 2) continuous product improvement, 3) excellence in education and customer service. EZ-Pedo crowns have proven to be clinically long-lasting, have demonstrated clinical versatility (for larger multi-unit cases), and are easier to use than ever before. “We worked on developing our next generation Posterior V2™ and Prime SL™ crowns for over a year and were pleased to release them in April, 2014. We believe these crowns represent the cutting edge of posterior pediatric Zirconia crowns and will address many of the challenges with which doctors have long struggled,” notes Hansen. In 2013, EZ-Pedo began providing quality education for doctors, inaugurating hands-on training sessions known as EZ-Pedo University. These seminars offer seven CE units and train doctors to provide a healthier esthetic treatment option for their patients. Through collaboration with other innovative companies, EZ-Pedo is committed to ongoing research and development that will provide innovative solutions engineered to improve patient care. “You can expect to see more exciting products from EZ-Pedo in the coming years. One of our basic values is improving patient health. First-hand experience showed us that John Paul’s restorations irritated his gum tissue, trapped bacteria and did not last,” states Brenda Hansen, EZ-Pedo business director and John Paul’s mother. “EZ-Pedo’s goal is to provide Zirconia crowns that are not only biocompatible, but strong and beautiful as well—crowns that parents can count on, dentists can be proud of, and children can confidently use to display their newly restored healthy smiles.”


July PDT 2014


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July PDT 2014


Healthy Smiles, Healthy Children

2014 Annual Session Sponsors The AAPD and Healthy Smiles, Healthy Children: The Foundation of the AAPD gratefully acknowledges the generosity of the following organizations for their support of the AAPD 2014 Annual Session.


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Only certifying board for the specialty of pediatric dentistry recognized by the American Dental Association www.abpd.org

Introducing the New ABPD Strategic Plan The ABPD recently completed the strategic planning

process and we are pleased to announce a new strategic plan to guide our organization over the next 3 years. Before I get to specifics of our new plan, I’d like to share how we got to this point. In 2013, we began the process with the guidance of Lisa Yates of ACS Quantum Strategies, LLC. An environmental scan was completed, which focused on our internal strengths and weaknesses as well as external threats and opportunities. As part of this practice, Ms. Yates reviewed our previous plan and did

telephone interviews with internal and external stakeholders. In October, Ms. Yates led a two-day retreat as we brainstormed about our mission, vision, values and strategic goals. A draft report was prepared and was reviewed in depth by directors. A final version of the strategic plan was approved by the directors in March 2014 and we are now in the implementation stage. We are confident that this new plan will enhance our effectiveness and will allow us to have a greater impact on the oral health care of children. Following is our Strategic Plan 2014-2017:

MISSION To certify pediatric dentists through a voluntary examination process that continuously validates their knowledge, skills and experience for delivering quality patient outcomes.

VISION Every pediatric dentist is inspired to provide high quality oral health care to all children and maximize patient outcomes through continuous participation in the certification process.

CORE VALUES Excellence in Pediatric Oral Health Care - ABPD values the provision of the highest quality oral health care for children. Such care is thoughtful, careful, ethical and based on the current scientific evidence. It takes into account the best interest of the patient and is respectful of the patient and his/her family. A Fair and Valid Examination - ABPD values a fair and valid testing process for board certification and renewal of certification in Pediatric Dentistry. Such a testing process is based on the current knowledge in professional and educational testing. The process is evaluated continuously to insure that it is of the highest quality and accurately assesses the candidate's knowledge, skill and judgment. A fair and valid examination requires skilled, committed and adequately trained examiners. A Commitment to Lifelong Learning - ABPD values a health professional's commitment to lifelong learning. ABPD values candidates' and Diplomates' desire to practice pediatric dentistry at the highest level and their commitment to constantly reevaluate their practices in light of the most recent scientific evidence. ABPD recognizes the value of renewal of certification and continuing education for health professionals. Quality Improvement in Health Care - ABPD values quality improvement in health care through objective assessment of outcomes and process. It supports efforts to provide optimal health care to children. Leadership - ABPD embraces integrity and accountability in guiding and empowering pediatric dentists to engage in continuous competency. Collaboration - ABPD values working with internal and external stakeholders to achieve a unified vision. Effective Stewards - ABPD is committed to being an effective steward of its entrusted resources and accountable to Diplomates and American Academy of Pediatric Dentistry.

Collaboration/Relationships Increase collaboration and relationshipbuilding with related organizations, boards and other stakeholders.

STRATEGIC GOALS High-Quality Certification Process Ensure the credibility and integrity of the continuous certification process.

For questions or comments on this article, contact Dr. Hipp at [email protected]


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Effective and Sustainable Organization Strengthen the efficiency and effectiveness of ABPD and its governance.

Cynthia L. Hipp, DDS, MSRC Director, The ABPD Charleston, SC Diplomate since 1997

Risk Management

Who’s Answering the Phone? Why Telephone Policies Are Important Staff members who answer the telephone are a valuable asset to any dental practice. They serve as the front line of communication and make an important first impression on behalf of the practice and its doctors. They may also be the first to identify that a patient has an urgent or emergent condition — one that needs clinical assessment, advice, and perhaps even prompt intervention. Few office receptionists have a clinical background. It is unwise to assume that they will always know the appropriate response to questions or concerns from a parent or caregiver about a child’s oral health. Therefore, every pediatric dental practice should have clear guidelines that specify the level of telephone interaction that each employee may engage in with parents and caregivers. Telephone conversations generally fall into categories: • Business-related interactions — e.g., appointment scheduling and billing/ insurance questions. • Assessment of a patient’s clinical need (at an educational or informational level) — e.g., the parent or caregiver has nonurgent questions about compliance with the child’s treatment plan; the parent or caregiver requests a telephone discussion with the doctor; or the parent or caregiver has a complaint that does not involve the need for an immediate clinical response. • Assessment of a patient’s immediate clinical condition — e.g., follow up after treatment or a reminder of the need for compliance in home care; the doctor sends a direct follow-up message to the parent or caregiver via designated staff. • Clinician only — e.g., response to a report of certain symptoms (e.g., pain), a clinical question, or an urgent problem.

Staff may play a greater or lesser role in each of the above categories. But job descriptions and practice policies should clearly stipulate the exact degree to which nonclinical and clinical staff should participate in telephone interactions with parents or caregivers. Nonclinical Staff Although the entire practice benefits when nonclinical staff have some understanding of medical terms and concepts, the decisionmaking necessary to triage the complaints that parents or caregivers might report over the telephone requires special training. Nonclinical staff should know that, in general, it is their job to forward to the dentist any complaints directly related to clinical care. Pediatric dental practices that provide education for their nonclinical staff generally include a list of parents’ and caregivers’ most frequently asked questions, along with scripts that staff members can use to help determine how to handle calls. Staff members who answer the phone should have a list of hot-button conditions or statements that a parent or caregiver might report or say that should automatically trigger notification to the doctor. Parents or caregivers who are advised that a child should be seen at the office immediately should arrange such appointments only with approval of clinical staff — in other words, the doctor should know, at the time the appointment is being made, that the parent or caregiver is bringing the child to the office for an urgent appointment. In general, any parent or caregiver who believes that his or her child is having a medical emergency should be referred to the local emergency department, with appropriate documentation and notification to the treating doctor.

Clinical Staff If nonclinical staff members accept accountability for forwarding calls and concerns from parents and caregivers to appropriately trained clinical staff, those who have licenses and certificates are also bound to respond in a prompt fashion when receiving these notices or calls. In a dental practice, the receptionist is the person most likely to answer the phone when a parent or caregiver is calling to report some urgent problem. In such cases, the hot-button questions should help that employee respond according to practice policy and forward the call to the doctor for his or her prompt response. The approval of the dentist for these advice and message delivery procedures is important. Approval should consist of written approval for a written policy and the attendant procedures necessary to help the dentist and staff adhere to the meaning of the policy. Conclusion Every pediatric dental practice should identify and formalize the ways in which nonclinical and clinical staff may interact with parents and caregivers by phone. Job descriptions, training for new employees, in-service training for staff and nonclinical employees, and written policies and procedures (that are approved by clinical staff) are urgently needed to ensure: • Reduction of variation in the way that telephone calls are handled and referred; • Consistency not only in employee use of the procedures, but real understanding of their necessity; and • A common sense approach to making sure that important information gets to the individual who needs it, in a timely fashion.

This article was provided by the clinical risk management team at Medical Protective, the nation’s oldest professional liability insurance company dedicated to the health care professions. For additional information, please contact Laura Cascella at [email protected] or visit the Medical Protective website at http://www.medpro.com/. Risk Management


July PDT 2014


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Opportunities For information regarding placing a listing in PDT or Pediatric Dentistry please visit the AAPD Career Center at http://jobs.aapd.org or call (312) 337-2169

SEEKING PEDIATRIC DENTISTS CALIFORNIA—LOS ANGELES. Pedodontist part time position available in rapidly growing multi specialty practice that includes orthodontist, oral surgeon and endodontist. Practice located in affluent suburb of Los Angeles. Base salary plus %production, whichever greater. Please fax resume to (818) 348-0882 or call Ann at (818) 348-6068, or Karen (661)703-2413. CALIFORNIA—MONTEREY BAY. SALINAS: Seeking an associate pediatric dentist interested in a path to ownership for a brand new, state of the art facility in the Monterey Peninsula. This is a multispecialty practice (including orthodontics) that will serve as the premiere institution for patient dental specialty needs. We are looking for a passionate and caring practitioner to be a leader for the pediatric practice, team and community. The 1800 sq ft pediatric wing has an independent reception area, 3 treatment rooms, a 3 chair bay. Please contact [email protected] for more information. CONNECTICUT—BRISTOL & WINDSOR. Part-time position (2-3 days per week one of which is a Saturday) is now open at Kids Dental Care in Bristol & Windsor, CT. A high-quality Pedo/Ortho practice (not a chain). All associates are residency trained, Board Certified specialists or soon to become certified. Enjoy full autonomy in a stable, professional and secure position in a modern state-of-the-art facility; highly trained professional staff and assistants, superior 5 star customer service, digital radiography, central N2O, paperless charting and laser dentistry! Minimum guaranteed daily pay is $1000 per day plus benefits, in addition to student loan repayment program after one year of employment. Graduating residents who are planning to become Board Certified are welcome to apply; we will help you with your certification process. Please email C.V. to [email protected] yahoo.com. FLORIDA—MIAMI. Seeking Pediatric Dentists in South Florida. Excellent opportunity for parttime/full time pediatric dentists to join a Pediatric Dental Group with three locations in South Florida. Currently doing cases under general anesthesia at two pediatric hospitals in the MiamiFt. Lauderdale area. Isolite, fully digital, paperless. Eaglesoft, central nitrous. Please email resume to [email protected] FLORIDA—WELLINGTON. Excellent career opportunity for a well trained, energetic pediatric dentist with great communication skills and a desire to practice to the highest standards. This is a new office, only five years old. Digital radiography, paperless office. Well equipped and very kid-friendly. In network with many PPO’s. No HMO’s or Medicaid. We are located in Wellington, Florida, which is in Palm Beach County. Half hour west from the beach, an hour and a half north of Miami, three hours south of Orlando. This is a very family oriented area, with many many young smiles that need exceptional


July PDT 2014



dental care. We are looking for an individual who is friendly, outgoing, very ethical, and compassionate. Well trained and confident in their skills. This is an opportunity to work in a very busy, yet intimate office where patients are like family. Highly skilled applicants are invited to fax or e-mail your resume to (561) 333-8507, [email protected] Or call Dr. Haik directly at 561-827-6634.We look forward to hearing from you! COLORADO—COLORADO SPRINGS. One doctor, two specialties, one practice with two locations. Seeking compassionate, patient centered doctor for full-time position. We provide comprehensive care in both pediatrics and orthodontics. Office seeks the ‘best practices’ in dentistry, state-of-the-art facility and deliver of care. Follow the leadership model of PTS. Patients, Team, Self in commitment to practice. Current team of 17 individuals. Continuing education is key. Ownership is encouraged ILLINOIS—NORTHBROOK. Great opportunity to associate with a well-respected, quality-oriented, multi-doctor pediatric dental practice. We have been serving the North Shore of Chicago for over 30 years. Recently built state-of-the art facility with tremendous growth potential. Full-time position available with opportunity for partnership in the future. We are interested in someone looking for a long-term relationship in a friendly environment. Applicants may inquire to [email protected] ILLINOIS—OTTAWA. Excellent career opportunity for pediatric dentist in Ottawa, Illinois, 80 miles southwest of Chicago. Enjoy easy living and a great place to raise children, while having close proximity to all a big city can offer. We have been at our present location, on the banks of the Fox River, for over 30 years, and are the only pediatric specialists in a forty mile radius. Generous compensation now, and easy purchase terms later. E-mail inquiries to [email protected] INDIANA—SOUTH BEND. Dental Care Alliance is a different kind of dental practice management organization. Our affiliated practices are owned by highly experienced dentists with a major focus on individual development through continuing education, mentoring and training in the latest medical and dental advances. DCA believes in providing a positive professional experience so that your goals can be achieved. We are one of the nation’s largest and most successful dental practice management companies because we understand that when you succeed, we succeed. We schedule exclusive referrals and provide specialists with all needed resources allowing you to focus completely on patient care. Highly competitive and unlimited earnings potential! Excellent benefits are also available with full time employment. Exceptional opportunity! •Great facilities - State of the art equipment •Strong patient referral system •Outstanding staff trained and rewarded for keeping the Dentist productive •Strong emphasis on quality care •Huge upside income opportunity based on productivity •Excellent benefit package (medical plan, 401k, malpractice ins, CE, Retirement Plan)•Established business systems

and metrics in place If you looking for a long-term career opportunity with a guaranteed per day income and huge upside earning potential in a well run, very modern practice, contact me today. Contact Jeff Dreels at (941) 955-3150 or e-mail to [email protected] dentalcarealliance.com. Indiana Dental License. MARYLAND—LUTHERVILLE/TIMONIUM. Once in a lifetime opportunity! Well established (30+ years), recently renovated and expanded, “state of the art” (paperless, digital, MDWaterlase) seeking full time associate with the possibility of equity participation for the right candidate. We are committed to providing the highest quality of dental care, in a safe and nurturing environment, tailored to each individual’s unique dental, behavioral, and developmental needs. Full range of dental services are provided including sedation and OR with hospital privileges available. We are a fee for service practice located 10 min north of downtown Baltimore, 10 min to “horse country, “ 1 hour to DC, and 3hrs to beaches. A “Baltimore’s Best” for the past 5 years, we often hear from patient’s parents that they “wish we were their dentist growing up.” Visit our website, www.hoppyteeth.com and e-mail your CV to [email protected] for consideration. Applicant must be a Pediatric Dentist and qualified for Maryland licensure. MARYLAND—MOUNT AIRY. Mt. Airy Children’s Dental Associates has an outstanding reputation in the medical and dental community for comprehensive pediatric and orthodontic care with in-office oral/inhalation sedation and general anesthesia/hospital dentistry since 1987. Our 14 chair state of the art private practice near Frederick, Washington, DC and Baltimore seeks a childcentered, motivated, team-oriented individual, 4-5 days per week. No Saturdays, no evenings, no kidding! Excellent compensation package with benefits, health care, pension and vacation. On the web: mtairysmiles.com and Facebook: Mt. Airy Children’s Dental Associates. Contact: David M. Hasson, DMD (301) 829-6588 email C.V. to: [email protected] MASSACHUSETTS—CENTRAL. Our pediatric dental office is looking for an energetic, personable, and highly skilled pediatric dentist to join our team as a long-term associate with future ownership potential. We are a well-established practice with a vision of providing excellent, comprehensive pediatric dental and orthodontic care with exceptional customer service. Our newly renovated modern office is outfitted with new equipment including digital radiography and is located in a professional medical office building in central Massachusetts. We offer a competitive salary and benefits package. Candidates must be warm, caring and possess superior communication and people skills. For inquires please contact [email protected] MICHIGAN—SOUTHEAST. S.E. Michigan - Pediatric Practice in a premier city to raise your family. Solo practice with outstanding history, staff and NET. This is a once in a career opportunity to

buy a practice in a town known for its quality of life. Currently the office runs 4 days per week and nets very high six figures. The ideal candidate will board certified and have a minimum of one year pediatric dental experience. The hygiene revenues comprise 36% of revenue and will pay the debt service on this once in a career opportunity. For more information contact Phil Stark at Peak Practice Transitions (888) 477 -PEAK or visit peaktransitions.com. NEW JERSEY. Busy fee-for-service pedo/ortho practice is seeking a qualified pediatric dental associate for part time work. Hours are flexible. Excellent pay includes base salary plus production. This is an unbeatable opportunity in a friendly, team-oriented environment. Email resume to [email protected] Must have completed a pediatric residency. NEW YORK—BAYSIDE. Seeking Part time/Full time Pediatric Dentist for NY office. Busy Queens and Westchester Pediatric dental office looking for a motivated pediatric dentist who works well with children. Candidate must be prepared to work in a fast paced office. If interested, please email C.V. to [email protected] or fax to 718-281-2898. Have completed a NYS certified pediatric dentistry program. NEW YORK—LOWER HUDSON VALLEY. We are seeking a pediatric dentist to join our successful, well established, quality oriented multispecialty private practice. Excellent opportunity with partnership potential for the right individual. Full or part-time position available. Excellent salary and benefits. Please send C.V. in confidence to [email protected]

NEW MEXICO—ALBUQUERQUE. Smiles For Kids Dentistry (www.smilesforkidsdentistry.com) is a privately owned group dental practice based in Albuquerque, New Mexico that is seeking both pediatric specialists and/or general dentists willing to work on kids aged 2-18 years. We have several new openings due to expansion and are in search of friendly & skilled dentists that are looking for a great lifestyle and the opportunity to really make a difference in the many under-served communities in which we operate. We are not a large corporate owned entity with mandates and production targets overseen by non-dentist management, but rather a smaller blend of individually-operated dental offices backed by a supporting infrastructure of pediatric specialists that caters to each local community and its needs. We have positions available in Las Cruces, Santa Fe, and in the Albuquerque metro area. Now in its 7th year of operations, Smiles For Kids Dentistry has become a true dental ‘home’ to over 20,000 patients in New Mexico with over a 98% patient satisfaction score. We take great care in observing the following operating principles: We believe that ‘how’ we do dentistry gives us an advantage in the dental marketplace by offering dentistry at the highest standard of care possible for each and every patient. As such, we believe in a diagnosis and treatment approach that is the best for each patient and not dictated by fee schedules and/or company mandated production targets. We believe in providing our doctors and patients with the best quality materials available, state of the art dental equipment including hand pieces and chairs, and sophisticated software and computing systems. We believe in offering a positive dental experience for each patient and parent, meaning that we do not force treatment or engage in practices that may further traumatize

patients. We believe that the environment in which we operate gives us an advantage in the dental market by offering a true ‘dental home’ to every patient. As such, we believe in hiring the most talented employees and giving them opportunities to develop and grow within our organization. We believe in building ‘stateof-the-art’ offices that are equipped with updated decor, large and spacious treatment and hygiene areas, and the latest multimedia options for patient comfort and experience. We believe in providing an environment that is candid, transparent, and friendly for all patients, parents, and employees. Typical work weeks average between 4 to 4.5 days a week, 6-8 hours a day. First year associates typically earn a salary starting between 250k-350k based on a mixture of base salary and production related compensation. Additional benefits include company paid health care costs, relocation expenses/signing bonus, vacation time, liability insurance coverage, and continuing education allotments. Our operations are headquartered in the beautifully sunny state of New Mexico, an outdoor-enthusiasts dream destination in the Southwest that enjoys a mild, dry climate and over 330 days of sunshine a year. Nearby activities include unlimited hiking trails, skiing/snowboarding, hunting, camping, snowshoeing, fishing, and both road and mountain biking. With a laid back culture, wonderfully warm & caring people, and a strong economic infrastructure, Albuquerque, Santa Fe, and Las Cruces are consistently named as one of the best places to live in the U.S. over the past few years. Come join us for awhile to help pay off your dental school debts or come enjoy the “Land of Enchantment’ on a permanent basis! Come and help us make a difference in a location that yearns, fully appreciates, and is willing to pay you for your expertise, skills, and schooling! Interested candidates

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can send their resume/CV to [email protected] or can call Jim Tasker directly at 303-815-0735 for more information. For pictures of our clinic & to see what others are saying about us, you can visit our website at www.smilesforkidsdentistry.com or visit our page on Facebook at www.facebook.com/ smilesforkidsdentistry. NORTH CAROLINA—WILMINGTON. We are seeking an energetic, fun, community oriented Pediatric Dentist for our expanding, two-office dental practice. While other opportunities promise “close to the beach”—we are the beach! Wilmington is a great place to live and raise a family especially if you enjoy boating, fishing, surfing, paddle boarding, or just relaxing on the sand. Our practice has two offices and serves wonderful children in Wilmington and Jacksonville, North Carolina. We have a superb, motivated and friendly team. Our two facilities are state-of-the-art and new. We are looking for someone who is proficient in treating children with N2O, Moderate Sedation and under GA. We offer an exceptional benefits package and salary. We are looking for someone who wants a long-term opportunity with buy-in potential. C.V. can be Division emailed to: [email protected]

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OHIO—AKRON. Expanding Pediatric Dental practice in a suburb of Cleveland (Akron) is looking for an energetic compassionate Pediatric Dentist. Able to start immediately. State of the Art office. Fee for service, dedicated staff with great clientele. Apply in confidence Resume to Dr Vij at [email protected] hotmail.com. Look forward to discussing our future opportunity together! OHIO—NORTHWEST. Excellent opportunity for an enthusiastic and motivated pediatric dentist to join our well respected, quality oriented pediatric

dental practice. Thriving practice of 39 years averaging 100 to 120 new patients monthly for the past three years. If you are looking to further your career in a positive environment with an emphasis on caring quality dentistry, this is the place for you. We have an 8 operatory, high tech, state of the art facility with computers at each chair, digital x-ray, lasers, air abrasion and much more. Staff privileges are available at our local hospital for doing O.R. cases under G.A. Located in a college town in northwest Ohio that offers easy living and a great place to raise a family while being within 2 hours of four large cities. Guaranteed competitive base salary with substantial benefits including but not limited to, production based bonus, allowance for medical insurance, malpractice insurance, professional association dues paid, four weeks off with pay for vacation, personal days, continuing ed, etc., 401K and more. Partnership, ownership potential for the right individual. To learn more about us visit our web site at www.bgPediatricDental.com. Interested individuals should fax or email their C.V. to (419) 354-4717 or [email protected] You may also call (419) 575-7947. Compassionate, caring individual who will care about our small patients as much as we do. Must be able to work well with staff. Must have training from an AAPD accredited program. OHIO—WOOSTER. Come join our team!! Guaranteed salary of $240,000++in a great state of the art private practice offices. We are seeking an enthusiastic and caring pediatric dentists who will provide the best care for our little friends. We offer flexibility in scheduling. Two to 5 days per week which may include some operating room days at nearby hospitals. The offices are modern state of the art facilities with paperless charts, digital radiographs, flat screen televisions and computers in

every room. The area is a great place to raise a family. Biking, hiking, running trails are nearby. There is access to major league sporting teams. Museums, zoos, and many cultural activities are available. Our compensation package includes percentage of collections with a guaranteed salary of $240,000 (4.5 days), will likely make much more, annual collection rate 99%, malpractice provided, and flexible scheduling. Contact Wendy Maiden at (330) 994-0205 or email [email protected] OKLAHOMA—BARTLESVILLE. Excellent opportunity to join a pediatric practice that is busting at the seams. You will enjoy a friendly atmosphere, great compensation, and an opportunity to join a quality-oriented practice. State of the art building/equipment, excellent team including hygienists and expanded function assistants. Future ownership opportunity available. We’re looking for a fun, outgoing individual interested in a long term relationship. Please send resume to jon. [email protected] OREGON—COOS BAY. Large group has a new practice location on the Oregon coast. This is a salaried position in a new office with a chance to help build a large practice. We have five general practice office that will feed this clinic. This is a contracted four day a week, 8-9 hours a day, position with a large base pay over 250K/year. We are a growing group with 30+ clinics state wide in Oregon. We service patients from all income levels but have a high number of OHP based patients. Pediatric dentist, willing to work on lower income population of children. Willing to work with CRNA for in office sedation and willing to get privileges at local hospital to treat medically compromised patients. For inquires please contact [email protected]


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OREGON—SALEM. Great opportunity to join a thriving pediatric practice in Salem, Oregon. You will enjoy a friendly atmosphere, great compensation, and a quality-oriented practice. We’re looking for a fun, outgoing individual interested in a long term relationship for part-time or full-time associate position, depending on the needs of the candidate, with the potential of an eventual partnership. Other benefits such as paid malpractice, CE courses, health insurance and 401k plan are available. State of the art building and equipment features 6 treatment areas, the latest amenities including ceiling mounted televisions, game center, and toddler play area. The office provides a full range of pediatric dental services including N2O, oral conscious sedation, laser and hospital dentistry with an excellent team including EFDA assistants. Salem is a family-oriented city with exceptional schools and unlimited recreational activities nearby. We believe in the importance of work/life balance. Interested candidates please forward your CV to [email protected] Graduate of US accredited pediatric dental residency, preferably with moderate sedation permit. PENNSYLVANIA. Unique opportunity for a full/ part-time pediatric dentist to join a highly successful, well-respected, quality-oriented private practice. We have a high volume of pediatric patients and the number continues to grow daily. All modalities of anesthesia provided (general, IV and oral), on a weekly basis in our new surgical suites. Please send your curriculum vitae to [email protected] PENNSYLVANIA—SOUTH CENTRAL. Excellent opportunity for a full-time pediatric dentist for an associate / buy-in. We are looking for another fun, compassionate and energetic dentist to join our practice. We offer a competitive compensation and benefits package including medical insurance, malpractice insurance and 401K with employer contributions. You will be able to use your full range of skills including oral sedation, hospital dentistry and orthodontics. South Central Pennsylvania is a picturesque area with easy access to New York City, Washington DC and Philadelphia. Visit our website at: www.kidsdentaloffice.com to learn more about our practice. Send inquiries and resume to ddesh[email protected] DDS or DMD degree from an accredited Pediatric Residency Program. TENNESSEE—NASHVILLE. Cumberland Pediatric Dentistry and Orthodontics is a progressive pediatric dental and orthodontic practice offering associateships and partnerships in future offices. Currently 5 offices in the Nashville Area and growing strong. We want you as a partner and part of our team! Why be an associate when you can own your own practice. Please call for details.615-260-4755Dr. Sabin Ewing TEXAS. Great opportunity for a pediatric dentist to join our expanding Central Texas dual-specialty pediatric/orthodontic practice. Two state of the art, paperless, digital locations focused on patientcentered, quality care. Enjoy a low-stress atmosphere with both in-office and surgical center anesthesia support. We welcome new graduates, who will thrive practicing alongside two board certified pediatric dentists and an orthodontist. Peer references as well as other mechanisms of documenting clinical competency may be requested. Please submit inquiries complete with cover letter, CV, and photo to [email protected]

TEXAS—East of San Antonio. Pedo Practice seeking fun and energetic associate to join our team. Alligator Dental is seeking a great associate to join our practices who has personality and loves making kids smile. Our practice is profiled on www. AlligatorDental.com where you can get a better feel for our practice. TEXAS—AUSTIN. A dynamic, well-respected, well-run, state-of-the-art pediatric dental practice is seeking a full-time associate to join our group practice. Our practice prides itself on offering individualized, quality care in all aspects of pediatric dentistry including sedation and general anesthesia. We are seeking someone who is personable, caring and enthusiastic about providing excellent care to patients of all backgrounds. We offer a comprehensive compensation and benefit package with a guaranteed minimum salary. If interested please send your CV and cover letter to [email protected] gmail.com. Certificate from accredited pediatric residency program. PALS and BLS certificates. TEXAS—CENTRAL. Central area/Central Texas pediatric dental/ortho group has an incredible opportunity for a full or part-time pediatric dentist to join our state-of-the-art practice. We are looking for motivated and compassionate individuals with great work ethic to add to our new dental team with an option to buy-in. We offer excellent compensation with a competitive daily minimum of $1200 with unlimited possibilities. Be part of our diverse team, providing high quality care including sedation and general anesthesia dentistry. To discuss this opportunity further please send your C.V. to e-mail: [email protected] TEXAS—MC ALLEN AREA. Growing and expanding pediatric dental practice has an open position for a full time pediatric dentist. We are looking for an enthusiastic, skilled clinician with a strong work ethic. Our core value is to treat our patients as if they were our own family. Our office has state-of-the-art equipment including digital radiographs and computerized records. We offer oral conscious sedation in office and general anesthesia at local hospital. We have a well-trained staff. Our practice is located in one of the fastest growing communities in America. Rio Grande Valley offers a multitude of activities and is a short one hour drive to South Padre Island. Compensation based on 40% collection. Desirable to be fluent in Spanish. We provide work Visa/green card sponsorship. Interested candidates please contact Dr. Daniel F. Mego at [email protected] VIRGINIA—HAMPTON. We are seeking a full time Pediatric dentist to join our multi-specialty, General, Pediatric, and Orthodontic dental practice. We are a very busy, well established, and respected, dental practice for over 30 years. We are located in Hampton, VA, and are centrally located to all of the major cities in Hampton Roads. We are within an hour drive to the beaches of the Atlantic, and also the mountains. You can visit our website at www. caring4kids.com, and read our reviews. We have all of the state of the art dental equipment, including chairs, hand pieces, and computer software. We are also completely digital. You will be fortunate to be working with a very experienced staff. We are proud to say they have been with us for over 20 years. We would like to give the right person an opportunity for great earning potential, and eventual partnership.

We would also like to list all of the benefits that you will be able to enjoy:$ 225,000.00 - $ 300,000.00 (Salary with 30% of collection income)Oral Sedation Hospital dentistry Vacation pay/Holiday pay Paid Professional liability insurance Contributions toward CE expense401 K Health insurance please call Michelle at (757) 896-5050 about any inquiries, or email your resume to [email protected] WASHINTON—EVERETT. Excellent opportunity to help support our successful team in a prestigious, pediatric dental office. Seeking self-motivated, detail oriented, team player with exceptional customer service and people/ communication skills who can take the initiative to promote the practice while provide excellent patient care. We offer challenge, recognition and the opportunity to work independently. Our offices are located in Snohomish county. Our ideal candidate has the humility to learn and mature into an excellent practitioner. Please email your resume to [email protected] WASHINGTON—STANWOOD/FERNDALE/ BELLINGHAM. We are seeking a full time Pediatric Dentist to join our private growing Pediatric office for associateship/partnership. Buy-in opportunity for the right person. We have state-of-the art office and provide conscious oral sedation and in-office GA and patient care that is beyond expectations. If joining our fun, energetic team is intriguing to you, email your resume to: [email protected] gmail.com. Completed pediatric dentistry residency program. Active dental and oral sedation license in Washington State. WISCONSIN—MARSHFIELD. Excellent opportunity for a pediatric dentist to join our well established multi-specialty group practice in central Wisconsin. We are looking for a pediatric dentist to join our current staff to help serve an increasing patient load. We offer a new associate an outstanding wage and benefit package with the potential of ownership after three years of employment. This is an excellent opportunity to step into an active practice and become an equal partner in a large group practice. If you are interested, please send C.V. to Dental Clinic of Marshfield, P.O. Box 929, Marshfield, WI 54449, Attn: Mr. Neil Armitage or call (715) 387-1702 or email [email protected] for additional information.

PRACTICE FOR SALE TEXAS. Five pediatric practices available in various parts of the Lone Star State. One fee for service practice is available in East Texas, and four highly profitable Medicaid practices are available in Austin, Dallas and Fort Worth. To inquire about any of our pediatric practices, please call (469) 222-3200 or email [email protected] NEW YORK—WESTERN. Pediatric Dental Practice For Sale in Western New York This Pediatric Dental practice provides a fun office that is child friendly with lots of games and videos. The practice is well established, patient centered and quality-oriented. Referral base is expansive, solid and will easily transition with the practice. Turn-key, state of the art equipment and technology includes ScanX Digital Imaging Systems by Air Techniques, Carestream intraoral camera, Diagnodent and digital



July PDT 2014


Panorex. Owner just installed ten new computers with Eaglesoft Software. Office design includes 5 chairs; 3 hygiene open bay and 2 operatories with potential for a sixth chair. The practice is fee for service with less than 2% medicaid. Gross collections for 2013 were $680K+ on only 12 days per month, so there is plenty of potential for growth. The condo suite is 1680sqft and is being sold with the practice. Office is located in a prime location within a medical and professional complex. Lending sources available for both the practice and condo suite. Practice is priced to move quickly. Enjoy a dynamic community with an outstanding quality of life. Widely known for the beautiful scenery, rich history and strong sense of community, the area also enjoys a reputation for excellent medical services and a first rate educational system. Enjoy year- round outdoor activities such as golf at the country clubs/golf courses, tennis, fishing, boating and snow skiing to name a few. For ease of traveling, the international airport makes flying an enjoyable and uncomplicated experience. This beautiful, lively city offers you a great lifestyle, lower cost of housing and an unemployment rate below the national average. Ideal for an active single or family lifestyle. Practice is being sold confidentially. All interested candidates will need to sign a confidentiality agreement. Call today if you would like to learn more about this practice. I look forward to speaking with you. Due to the nature of my business I am on the phone a lot with candidates and clients. If you call and reach my voicemail please leave a message. Evening call times to talk if arrangements are made in advance. Ruth Dulin Pediatric Dentist Recruiter and Consultant Peds Exclusively Toll Free- 866-533-5899 Fax-704-595-3999 E-Mail- [email protected] Webpage/National PEDS Job Board- www. Peds-Exclusively.com

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The AAPD Education Passport is a new online learning portal that will enhance your professional development. You’ll have access to high-quality AAPD course content and earn CEs at your convenience. As a new member benefit, access to the passport includes: AAPD CE Course Speaker Presentations • The Impact of the Affordable Care Act on the Pediatric Dental Practice: 7 CEs • Behavior Guidance Symposium: 11 CEs • Contemporary Sedation of Children for the Dental Practice: Enteral and Parenteral Techniques: 16 CEs

Webinars • Pediatric Sedation Emergencies: Can They Be Avoided?: 1 CE • Smooth Operator- Mastering the New Patient Phone Call: 1 CE • Meaningful Use Medicaid EHR Incentive Program: 1 CE • More from 2014 Webinar Series as they become available

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Specialized Care Co, Inc. How to speak to parents about protective stabilization The Rainbow® Stabilizing System is an important safety device, but it is critical that caregivers understand and accept its use. Explaining the role of protective stabilization can present challenges, especially when there is a language barrier. The Specialized Care Co Protective Stabilization Model can be a huge help. It includes a miniature Rainbow® Stabilizing Board and Rainbow® Wrap, complete with “patient”. This teaching model helps staff demonstrate the use of the device to parents in a friendly, caring manner. Children, too, benefit from a good understanding of the “hows” and “whys” of using stabilizing devices, and our children’s book can help with that. Protective Stabilization Model PSM

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Riley and the Hugging Blanket is a 12-page illustrated book that tells the story of a patient who gets upset at the dental office. The “Hugging Blanket” is explained to Riley, who accepts its use. Over time Riley learns to relax, so the Hugging Blanket is no longer needed. Riley is very proud! Kids get the message that the device is used only as long as it is needed to keep them safe.

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The Rainbow® Stabilizing System Designed specifically for the dental environment The Rainbow® Stabilizing System consists of a breathable mesh wrap, and a padded board. The system is designed to keep the patient safe while maintaining a cool environment and providing access for monitoring wires. Our signature rainbow closures give the wrap a friendly look, so it is better accepted by patients and parents.

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We create unique products that help you provide safe, comfortable care. www.specializedcare.com __________________________________________________________________________________________________ 24 Stickney Terrace Unit 2, Hampton, NH 03842-4902 603-926-0071 fax 603-926-5905 © 2014 Specialized Care Co., Inc.