Restorative Dentistry

Journal IDA The JOURNAL of the INDIANA DENTAL ASSOCIATION FALL 2016 VOLUME 95 NUMBER 4 INDENTAL ORG 2 000 200 67 Restorative Dentists Restorative Dentistry
Journal IDA The JOURNAL of the INDIANA DENTAL ASSOCIATION  FALL 2016 VOLUME 95, NUMBER 4 INDENTAL.ORG  , 2 000 200 67  Res...
Journal IDA PE RSONNE L The Journal is owned and published by the Indiana Dental Association a constituent of the American Dental Association 1319 East Stop 10 Road Indianapolis IN 46227 The editor and publisher are not responsible for the views opinions theories and criticisms expressed in these pages except when otherwise decided by resolution of the Indiana Dental Association The Journal is published four times a year and is mailed quarterly Periodicals postage pending at Indianapolis Indiana and additional mailing offices Manuscripts Scientific and research articles editorials communications and news should be addressed to the Editor 1319 East Stop 10 Road Indianapolis IN 46227 or sent via email to karen indental org Advertising All business matters including requests for rates and classifieds should be addressed to Karen Scharf 1319 East Stop 10 Road Indianapolis IN 46227 A media kit with all deadlines and ad specs is available at the IDA website at indental org Advertise Copyright 2016 the Indiana Dental Association All rights reserved Editorial Board Dr Jack Drone Editor Dr Steve P Ellinwood Assistant Editor Dr William B Risk Peer Review Editor Dr Rebecca De La Rosa Associate Editor Ms Karen Scharf Managing Editor Ms Kari Alting Advertising Manager Council on Communications Dr Thomas R Blake Chair Dr Manoj Bahl Dr Lorraine J Celis Dr Jack Drone Dr Dawn R Durbin Dr Ajay Joshi Dr Megan Keck Dr Matthew Kolkman Dr Amanda Miller Dr Thomas M Murray Officers of the Indiana Dental Association Dr Jay Asdell President Dr Gregory Phillips President Elect Dr Daniel W Fridh Vice President Dr Thomas R Blake Treasurer Dr Jack Drone Editor Dr Jill M Burns Speaker of the House Dr Rebecca De La Rosa Vice Speaker of the House Dr Chad Leighty Immediate Past President Mr Douglas M Bush Executive Director Secretary Submissions Review Board Dr Jeffrey A Dean Indianapolis Indiana Dr Roger L Isaacs Indianapolis Indiana Dr Joseph H Lovasko Hammond Indiana Dr Jeffrey A Platt Indianapolis Indiana Dr Christopher R Miller Indianapolis Indiana A publication of the Indiana Dental Association
Journal IDA PE RSONNE L  The Journal is owned and published by the Indiana Dental Association, a constituent of the Americ...
CONTENTS www idainsurance com 1 800 417 6424
CONTENTS  www.idainsurance.com 1-800-417-6424
Journal IDA C oming Soon New IDA WEBSITE PE RSONNE L The Journal is owned and published by the Indiana Dental Association a constituent of the American Dental Association 1319 East Stop 10 Road Indianapolis IN 46227 The editor and publisher are not responsible for the views opinions theories and criticisms expressed in these pages except when otherwise decided by resolution of the Indiana Dental Association The Journal is published four times a year and is mailed quarterly Periodicals postage pending at Indianapolis Indiana and additional mailing offices Manuscripts Scientific and research articles editorials communications and news should be addressed to the Editor 1319 East Stop 10 Road Indianapolis IN 46227 or sent via email to karen indental org Advertising All business matters including requests for rates and classifieds should be addressed to Karen Scharf 1319 East Stop 10 Road Indianapolis IN 46227 A media kit with all deadlines and ad specs is available at the IDA website at indental org Advertise Featuring Copyright 2016 the Indiana Dental Association Enhanced Find A Dentist Feature All rights reserved On Demand Online CE Practice Building Articles and Resources Local Component News Members Only Content and Resources Members Only Forums and Online Communities Direct Access to ADA Resources And More Yet to Come Editorial Board Dr Jack Drone Editor Dr Steve P Ellinwood Assistant Editor Dr William B Risk Peer Review Editor Dr Rebecca De La Rosa Associate Editor Ms Karen Scharf Managing Editor Ms Kari Alting Advertising Manager Council on Communications Dr Thomas R Blake Chair Dr Manoj Bahl Dr Lorraine J Celis Dr Jack Drone Dr Dawn R Durbin Dr Ajay Joshi Dr Megan Keck Dr Matthew Kolkman Dr Amanda Miller Dr Thomas M Murray Officers of the Indiana Dental Association Dr Jay Asdell President Dr Gregory Phillips President Elect Dr Daniel W Fridh Vice President Dr Thomas R Blake Treasurer Dr Jack Drone Editor Dr Jill M Burns Speaker of the House Dr Rebecca De La Rosa Vice Speaker of the House Dr Chad Leighty Immediate Past President Mr Douglas M Bush Executive Director Secretary Get Involved Submissions Review Board Dr Jeffrey A Dean Indianapolis Indiana Dr Roger L Isaacs Indianapolis Indiana Dr Joseph H Lovasko Hammond Indiana Dr Jeffrey A Platt Indianapolis Indiana Dr Christopher R Miller Indianapolis Indiana Serve as a beta tester Contribute oral health related articles Submit your component news and A publication of the Indiana Dental Association events Share your thoughts and ideas with IDA members Contact Karen Scharf IDA Director of Communications at 800 562 5646 or karen indental org
Journal IDA C oming Soon  New IDA WEBSITE PE RSONNE L  The Journal is owned and published by the Indiana Dental Associatio...
2016 FA L L CONTENTS 7 EDITOR S MESSAGE Dr Jack Drone 8 PRESIDENT S MESSAGE Dr Jay Asdell 9 EXECUTIVE DIRECTOR S MESSAGE Mr Doug Bush 11 MEMBERSHIP HAS ITS PRIVILEGES Ms Jody Cleary 12 Member Zone MEMBER ZONE 12 MEMBERSHIP Dr Bill Risk 14 COMPONENT 140 16 MEET DR REBECCA DE LA ROSA SPECIAL SECTION Restorative Dentistry 18 THE BENEFITS OF A COLLABORATIVE APPROACH TO 18 COMPLEX CASES Mr Terry Fohey Mr Brantley Kitching Restorative Dentistry 24 STANDARDS OF CARE IN DENTISTRY Ms Karen Scharf 28 FROM DENTAL CHAIR TO ADDICTION Ms Karen Scharf 33 CONVERTING ONE TIMERS INTO REGULAR PATIENTS Mr Jeremy Tuber 36 COREMMIS IMPLEMENTATION 39 MEDICARE ENROLLMENT DEADLINE 33 Convert Patients 40 CLASSIFIEDS 45 MEMBER INFORMATION 46 LAST WORD Dr Michael Rader 47 MONTHLY DUES ENROLLMENT FORM 40 Classifieds
2016 FA L L  CONTENTS  7  EDITOR   S MESSAGE Dr. Jack Drone 8  PRESIDENT   S MESSAGE Dr. Jay Asdell 9  EXECUTIVE DIRECTOR ...
save the date Journal IDA FEBRUARY 23 25 2017 MIDWINTER MEETING CHICAGO 2017 Midwinter Meeting Online registratiOn Opens nOveMber 1 block o your schedule today Please join us in the world class city of Chicago FEBRUARY 23 25 2017 for the 152nd CDS Midwinter Meeting Learn from the leaders in dental education Choose from more than 200 courses including valuable hands on learning activities Live Patient Demonstrations special all day tracks and staff teambuilding exercises Then be sure to visit our Exhibit Hall where more than 700 exhibiting companies will be there to show off their latest products and services We ve made it easier to bring your whole office too with our 3 1 Free and Member Bring a Non Member incentives Join as an Associate Member for only 125 and register for the 2017 Midwinter Meeting for FREE LEARN MORE AT ON CDS ORG INDY17 CHICAGO DENTAL SOCIETY THE RESPECTED LEADER IN SCIENTIFIC DENTAL MEETINGSSM 6 Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
save the date  Journal IDA  FEBRUARY 23     25, 2017 MIDWINTER MEETING, CHICAGO  2017 Midwinter Meeting Online registratiO...
Editor s Message Journal IDA It Happened to Me Dr Jack Drone I have talked a lot about the pace of life with my sons as they mature We live ten miles outside of Rensselaer on a gravel road where the pace can be extraordinarily slow I have encouraged them to live life like a no huddle offense in football always keeping their heads on a pivot This summer our family s pace of life was slowed dramatically My mother who is 69 had a knee replaced in January and it did not heal About one month ago it was replaced again She stayed with us for a few weeks before and after the surgery and life had to slow a little because she needed time to heal This was certainly not easy for me to adjust to In the days before her surgery she was attempting to get her life and affairs in order A good friend of our family had developed terminal leukemia and Mom wanted to visit her for what would turn out to be the last time This was difficult because Mom was essentially wheelchair bound I took the day off of work to help her with this visit and a few other things We went to the hospital to visit our friend and two other couples stopped in at the same time As I surveyed the room there were two bed ridden people one in a wheelchair one using a walker with oxygen one mobile and me It happened to me This is a sure sign of aging For the first time I fully acknowledged that my parents are growing older and by default I must be too That day it hurt just a little and I am not a soft person at all I had that little feeling in my stomach that I get after a Notre Dame loss My parents and many of the formative figures from childhood are aging Wow That afternoon after the visit I began to think of what other instances like this are coming Beyond my parents aging what other moments are headed my way I have been Editor of the Journal for almost nine years Is it time for that to come to an end When will my dentistry demand that I put down the handpiece and Hanau torch Who will be honest enough to assess these things and tell me such I do not want to know until then Until then I am back to the no huddle offense approach Pace rhythm urgency Time does not really recognize these human notions What we do every day in our operatory our office our home and our communities is what truly matters As the year draws to a close I wish you a calm steady urgency in life and dentistry Journal Editor Dr Jack Drone is a general dentist practicing in Rensselaer IN He can be reached at jack hillcrestdental net Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 7
Editor   s Message  Journal IDA  It Happened to Me   . Dr. Jack Drone  I have talked a lot about the pace of life with my ...
Journal IDA President s Message A Tale of Two Task Forces Dr Jay Asdell As Charles Dickens stated to start his famous classic It was the best of times it was the worst of times Much to the surprise and dismay of a few and some wailing and gnashing of teeth the 2016 Indiana Dental Association House of Delegates had the gumption and foresight to pass two very important resolutions 16 101 and 16 102 These resolutions authorize the IDA President to create two task forces one to assess the potential for component redistricting and the other to examine and evaluate the council and committee structure of the IDA Several years ago the IDA Board of Trustees was charged with reading and discussing a book entitled Race for Relevance written by Harrison Coerver and Mary Byers This particular book reviewed the potential problems with boards in general and laid out several ways to streamline an association The time has now come to go big or stay home The first task force concerns the evaluation of the components and the case for redistricting This is the 159th year of the Indiana Dental Association and our current component structure was set up years ago in a land far far away Membership enthusiasm to join available technology and the population density were quite different when the component boundaries were defined In order for the IDA to be lean and mean if you will a transition has to occur We all know that all transformation is not necessarily good As Woody Hayes once stated about throwing the football Three things can happen and two of them are bad However our goal is to make this remodeling of the IDA a good one It is time to bring the IDA machine up to speed There are many ways to change the current system ranging from drawing all new areas to keeping the components the same and making new districts to support the governance of the IDA The task force is beginning to discuss all options and will come forth with a series of resolutions to make this a viable and exciting difference It will not be easy and some feelings may get hurt but we must put our big girl pants on and make decisions based on the overall good of the order which is the Indiana Dental Association The morphology of the average dentist is evolving daily and the IDA needs to evolve accordingly 8 The second task force concerns the council and committee structure of the IDA It is a fact that it is more difficult to get younger members let s call them Millenials to participate The I really want to be a part of organized dentistry because it s cool attitude from back in the day is not around anymore Rightfully so we need to be more efficient in how we present information and how we do our business It s very frustrating to travel a long distance to attend a meeting and find the local folks didn t show and that there is not much on the agenda Once again technology has allowed for web conferencing which has revolutionized the anatomy of a meeting This task force will work hard to bring our council and committee structure up to date Pedal to the metal I sincerely want to thank the members of the Redistricting Task Force who are Jason Flanagan Chair Dave Yates Terry Schechner Beth Carter and Jeff Bennett with Jay Dziwlik as the staff liaison and the Council Task Force who are Lorraine Celis Chair Dawn Durbin Natalie Wargo Matt Kolkman and Chad Leighty with Doug Bush as the staff liaison I appreciate their volunteer spirit and taking the time to make this organization better I m sure when all the dust has settled we will have moved the Indiana Dental Association forward to a place where it has never been And that my friends is a good thing IDA President Dr Jay Asdell is an oral surgeon practicing in South Bend IN He can be reached at hoosieroms gmail com Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  President   s Message  A Tale of Two Task Forces Dr. Jay Asdell As Charles Dickens stated to start his famous...
Journal IDA Executive Director s Message As ObamaCare Exchanges Struggle IDA Insurance Trust Stands Strong Mr Douglas M Bush ObamaCare is back in the news and the news isn t good Earlier this year UnitedHealthcare the country s biggest health insurance carrier announced that it was withdrawing from most Affordable Care Act ACA state exchanges In August Aetna followed suit claiming sick patients were driving up costs They are not alone According to the Wall Street Journal all five of the nation s largest insurance companies say they are losing money on their ACA policies 1 Experts point to two fundamental problems First not enough people are enrolling in the exchanges Even using both a carrot subsidies and tax credits and a hammer fines if you don t buy insurance enrollment in state and federal exchanges is still falling far short of expectations Second those who are enrolling are sicker than expected Insurance companies have historically relied on underwriters and actuaries to gauge risk and price their plans accordingly But ObamaCare changed the game Exchange plans are not allowed to consider a prospective policyholder s health history when they quote a premium They literally don t know the health status of the patients for whom they are committing to pay claims Without predictability pricing is a roll of the dice Insurance companies that guess wrong are forced to leave the market or steeply increase premiums at renewal to more closely align income with claims experience The IDA Insurance Committee saw this coming See Health Care Reform Preparing for the Coming Train Wreck IDA Journal Summer 2013 For years they had considered self insurance as an option for making health coverage more affordable for IDA members When the Affordable Care Act passed in 2010 they knew the time was right A number of insurance executives and consultants were recommending self insurance as a way of avoiding the increased regulation and associated costs of the new health care law But self insurance is usually a strategy exclusive to large employers hardly an option for the average small dental office But there was another alternative Small employers could come together pool their numbers and collectively form a large group capable of self insuring With the help of attorney Jim Hamilton a partner with Bose McKinney Evans LLP and Kristi Hassinger an employee benefits consultant with Hays Companies the IDA developed what is known as a multiple employer welfare arrangement MEWA As its name implies a MEWA allows multiple employers in our case dental offices to band together as a single large risk pool This allows small dental offices access to the same benefits of self insurance that large employers enjoy We knew we had the numbers Over 1 300 IDA dentists and members of their office staff participated in the IDA s fully IDA Insurance Trust Board Jim Lipton DDS President Highland Brain Henry DDS Treasurer Lafayette Mara Catey Williams DDS Gas City Steve Ellinwood DDS Fort Wayne David Holwager DDS Cambridge City Paul Kolman DDS Indianapolis Gregory Phillips DDS Columbus Pat Tromley DDS Evansville Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 9
Journal IDA  Executive Director   s Message  As ObamaCare Exchanges Struggle, IDA Insurance Trust Stands Strong Mr. Dougla...
Journal IDA insured large group plan but to establish a self insured program these dental offices had to commit to come together as a single trust We traveled the state explained the concept and one office at a time the dentist employers agreed to join forces participation agreement with the Trust and agree to abide by membership terms And unlike the ObamaCare state and federal exchanges the Trust is medically underwritten meaning premiums will vary based on the claims experience of each individual dental office When we demonstrated that our participation was assured and our financial plan was strong the Indiana Department of Insurance granted us permission to launch the IDA Insurance Trust on January 1 2014 While the IDA Insurance Trust may not be the best option for every member it is an option that every member should explore The plan is administered by IDA Insurance Services Ashley Hudgins Wanda Barger or Marilyn Sergi can answer your questions prepare a quote or help you explore other health insurance options if the Trust is not right for you For more information contact them at 800 4717 6424 or Wanda indental org The Trust is governed by a volunteer board of eight trustees all of whom participate in the program From the Trust s inception the Board has acted conservatively pricing the program to assure adequate funding even if faced with a worst case scenario For instance it is structured so that no matter the size or volume of claims funds are available to pay claims or stop loss insurance is in place to pay claims for the Trust Based on this prudent approach the Trust has built a solid reserve of 6 7 million These funds are held in trust and may be used to pay future claims stabilize premiums or increase future benefits The IDA Insurance Trust is an exciting member benefit but it is not for everyone To protect the financial stability of the Trust dentist employers must enter into a 10 Mr Doug Bush is serving his 20th year as IDA Executive Director He can be reached at doug indental org 1 Obama Health Law s Instability Is Intrinsic The Wall Street Journal August 18 2016 Pg A2 Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  insured large group plan, but to establish a self insured program, these dental offices had to commit to come...
Journal IDA Membership Has Its Privileges I love being part of a professional organization and having opportunities to network with other dentists Jody Cleary It s Time To Renew Your American Dental Association Indiana Dental Association Local Dental Society Membership IDA members will be receiving email reminders regarding the 2017 membership renewal beginning November 1 2016 Please verify that IDA has your correct email address by visiting indental org directory and clicking the link to update your profile Please note you will need to login with your IDA number and password to access the member directory To avoid any lapse in member benefits membership must be renewed by December 31 2016 You have two options to pay your membership dues 1 Pay in full with a check or credit card VISA MasterCard or American Express 2 Pay in 12 monthly installments January to December 2017 In order to activate monthly installments you must enroll in the program no later than December 15 2016 The first installment will be deducted from your checking account in January The enrollment form is available at the back of this issue or at indental org Your tripartite membership provides you powerful tools and partners in practice through the resources of the ADA the IDA and your local dental society Dr David Wolf Indianapolis One of your greatest member benefits is Advocacy IDA and ADA work on behalf of all members to help enact key legislation that affects the practice of dentistry Advocacy through the IDA allows you to express your voice in government regulation work to advance the dental profession push to enhance access and quality dental care for patients and to fight unwarranted regulations of the dental profession Additional member benefits include license renewal reminder calls reducing your cost of doing business by reducing legal fees through the IDA peer review program saving time researching products and services such as credit card processing gloves and dental supplies office supplies and insurance encouraging mutual aid agreements between dentists personalized well being counseling as needed answering your dental questions monitoring legislative regulatory economic and social trends to keep you informed and to protect the interests of dentists and patients and more Your membership also offers several opportunities for high quality cost effective continuing education including the IDA Annual Session OSHA compliance and basic life support courses ethics live programs and self study Journal radiology self study program HIPAA compliance presentations component programs and more Have questions about your membership Call the IDA Central Office at 800 562 5646 and you will receive a friendly voice from our IDA Staff We are here for you About the Author Ms Jody Cleary is the IDA Director of Membership Financial Services She can be reached at jody indental org Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 11
Journal IDA  Membership Has Its Privileges    I love being part of a professional organization and having opportunities to...
MEMBER ZONE Membership Dr William B Risk The practice of dentistry was very different in 1920 Antibiotics weren t available and infected teeth were extracted to keep dental patients alive Dentists stood at the chair all day with their belt driven handpieces and besides removing teeth they placed amalgams about as fast as they could because dental caries was so prevalent This was a time before fluoride was used to prevent dental disease It was generally accepted that about half of all dental patients were edentulous by the time they were forty Technology happened The air driven handpiece arrived on the scene and the delivery of dental care became much more efficient Better and more esthetic dental materials were developed With the advent of antibiotics and fluoride supplements teeth were being saved instead of removed and thus there were more teeth to treat Dental assistants were utilized to a much greater extent and dentistry started changing But there was a catch as with all professions In 1879 the practice of dentistry became regulated by the government with the passage of the first Indiana dental practice act The act was amended frequently in the first few decades as public demand for dental treatment grew Fortunately there was the Indiana Dental Association Because the great majority of dentists in Indiana have always been members of the IDA the Association was able to represent the dental profession and gave dentists a unified voice throughout this evolution New issues and changes are inevitable and membership in the IDA gives you a voice in the debate at both the local level and the state level 12 As it became apparent dentists needed to delegate certain duties to their assistants in order to manage increased workloads the IDA analyzed the situation Over a period of two or three years members of the Association debated various aspects of which jobs and responsibilities to delegate the toughest debate being the placement of restorative materials in prepared teeth Finally a consensus was reached and the IDA approached the State Legislature with dentistry s suggestions The Dental Practice Act was modified and we have expanded dental assistants today The same process was followed by the IDA concerning continuing education for relicensure The IDA was able to get x ray certification regulations modified to the extent that dentists were able to qualify their assistants with on job training And then technology happened Today we have dental implants esthetic ceramic and zirconium restorative materials There are all of the CAD CAM techniques which produce crowns while you wait There are the continually improving digital imaging procedures which include the ability to scan and design restorations on the computer and send to labs electronically Digital radiographic techniques which permit the precise placement of dental implants are now utilized Another innovation which is now entering the dental arena is 3D printing Dentures are going to Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
MEMBER ZONE  Membership Dr. William B. Risk  The practice of dentistry was very different in 1920. Antibiotics weren   t a...
Member Zone be processed in a new way in the future Will scanning eliminate the need to take an impression And by the way what has happened to the gold foil restoration What hasn t changed is the need for dentistry to speak with a single voice Today over 80 of Indiana dentists belong to the IDA What this means is that when our lobbyist Ed Popcheff speaks to a legislator at the State House he is really speaking for dentistry Membership in the IDA gives Ed credibility New regulations will be coming up and the IDA will be an important entity in arriving at appropriate resolution of these issues Will there be changes to HIPAA Will there be some regulation of the insurance industry What is to be done with the matter of the dental therapist Will there be new guidelines for sterilization and disposal of contaminated waste What are we to do In the actual practice of dentistry will some of our standard practices need to be redefined in terms of our ongoing Journal IDA technological advances Who can scan Will patients be able to go to the beauty salon to get their teeth whitened and scanned and have their hair stylist place their newly milled veneers Just as in the past change is why the IDA is so important today and why it is important to be a member New issues and changes are inevitable and membership in the IDA gives you a voice in the debate at the local state and national levels Facebook Tumblr Pinterest and all of the other ways we communicate today only assist in the debate and help in coming to a conclusion After resolution is achieved our lobbyist can approach the legislature with dentistry s voice and the Indiana Dental Association can continue the process of morphing the dental profession to meet the future Be an IDA member About Dr Risk Dr William B Risk is a general dentist practicing in Lafayette IN He can be reached at wriskdds gmail com Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 13
Member Zone  be processed in a new way in the future. Will scanning eliminate the need to take an impression  And, by the ...
Journal IDA Member Zone Component 140 In Component 140 Indiana s component dental societies have the chance to showcase their members achievements reflect on past events or provide information about upcoming opportunities for members West Central Dental Society by Kristin H York DDS WCDS Secretary Treasurer The West Central Dental Society WCDS sponsored their annual Chic Nic golf fundraiser on June 16 2016 at Coyote Crossing Golf Course in West Lafayette Indiana The ChicNic event has been occurring since 1911 This year the event was wonderfully organized by the past WCDS Vice President Joel Dragoo Joel was able to obtain 17 sponsors this year a tremendous amount of sponsors for our small dental society component Biohorizons was this year s Title Sponsor and Strategic Financial Group LLC was this year s Event Sponsor Seventy six dentists from the Greater Lafayette area along with key sponsors participated in this year s fundraiser The day consisted of brunch dinner served every year with chicken and picnic menu items and is where Chic for chicken and Nic for picnic is derived 18 holes of golf scramble contests gifts and prizes This event holds a special place near and dear to a lot of hearts here at the WCDS as it supports two special entities The Judy Buckles Scholarship an annually awarded to dental assisting students and to the fully functioning live patient Dental Assisting Clinic This Dental Assisting Clinic which is lead by Dr Bill Risk is unique as it s one of the few clinics where students can get live patient experience BEFORE their externship These are available through the Ivy Tech Community College Lafayette and all proceeds made at the event are donated to these entities nurse 1959 a certified dental assistant an Associate of Applied Science 1986 and a Bachelor of Science 1991 Judy Buckles was truly loved and admired by her students and staff Unfortunately Judy lost her fight with cancer in 2006 She will always be greatly missed by everyone but her legacy and goal to give to the Greater Lafayette and dental communities lives on Several dental assisting students who obtain their degree at the clinic she created and ran can earn a scholarship that bears her name The WCDS will donate 4 500 this year to these two special entities This was made possible through the Chic Nic fundraiser allowing Judy s legacy and support to be carried forward A wonderful tribute to what this dental pioneer and community leader has begun and the money donated will continue to pave the way for a unique dental education for future dental assisting students Any donations to the Judy Buckles Scholarship or the Ivy Tech Community College Lafayette Dental Assisting Clinic can be sent to Ivy Tech Community College Lafayette 3101 S Creasy Lane Lafayette IN 47905 Attention Rhonda Overman Director of Development Judy Buckles along with collaboration from Bill Risk was the founder and program administrator of the Ivy Tech Community College Lafayette Dental Assisting Clinic started in 1973 She believed in higher education as her list of training consisted of the following a certified dental From left to right Marc Ditto current WCDS Past President Joel Dragoo current WCDS President Elect Ryan Helms current WCDS President and Erik Challgren WCDS Board member 14 Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Member Zone  Component 140 In Component 140, Indiana   s component dental societies have the chance to showca...
Member Zone Journal IDA South Central Dental Society On August 6 2016 South Central Dental Society hosted their annual social event at Huber s Orchard and Winery The Vine to Wine Tour included a private trip out to the beautiful vineyards with owner Mr Ted Huber as their personal guide This amazing tour included in depth information about wine making and comprehensive tastings of wine and spirits throughout the tour The tour also included a private tour of Huber s cellar and distillery Afterwards attendees enjoyed a private catered lunch at the winery Attendees left to right Dr David Howell Ms Cathy Howell Dr Mark Thomas Ms Karen Thomas Ms Barbara Newton Dr Richard Newton Dr Beth Carter Dr Dawn Durbin Mr Brion Carter Ms Carol Sutherland Indianapolis District Dental Society January 20 2017 OSHA BLS at Hillcrest Country Club 6098 Fall Creek Road Please register yourself and your staff at www indental org oc or contact Heather Parton at IDA 317 634 2610 Lunch will be served to those attending both OSHA and BLS OSHA is from 9 11 a m Note BLS is now extended an additional hour due to American Red Cross requirements so it will be from 11 30 3 30 Register Today Space is limited January 25 2017 Dental Day at the Capitol Contact the IDA at 317 634 2610 or go to their website to register This is an important event that allows you personal time with your legislators Lobbyists are always there pushing their dental agendas to legislators so this is a chance for you to have open discussion of your opinions regarding dentistry s future February 3 2017 IDDS Ethics Seminar at Hillcrest Country Club 6098 Fall Creek Road Remember that 2 CEs in Ethics and Jurisprudence is required of every dentist and hygienist before the licensure period expires at the end of February 2018 This seminar will fulfill your licensure requirement Dentists and Hygienists welcome Seminar is from 9 11 a m 10 person 2 CE s awarded Contact IDDS at 317 471 8131 or info indydentalsociety org to register Registration deadline is January 26 2017 February 4 2017 Dental Networking Seminar Indianapolis Convention Center 10a m 1p m Come and network with your peers If you have a practice to sell need an associate or just want to visit and socialize with your colleagues please join us Must be registered to attend cannot just show up that day without registering ahead of time Good food wonderful door prizes Win a new iPad2 Statewide members in active practice only no retirees or nonmembers Contact IDDS to register now at info indydentalsociety org or call us at 317 471 8131 Registration deadline is January 26 2017 Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 15
Member Zone  Journal IDA  South Central Dental Society On August 6, 2016, South Central Dental Society hosted their annual...
Journal IDA Member Zone Meet IDA s New Vice Speaker of the House Dr Rebecca De La Rosa Karen Scharf Empathy That was the impression I was left with when I interviewed Dr Rebecca De La Rosa for her IDA Board Member profile Dr De La Rosa was elected as the Vice Speaker of the House of the Indiana Dental Association during the May 2016 House of Delegates meeting During the course of our conversation Dr De La Rosa talked about respecting individuals engaging every person she meets seeing the beauty in everyone Empathy But I m getting ahead of myself Let s go back to the beginning Dentistry is actually a second career for Dr D At one time she was a research chemist for a steel mill and she was on the fast track She had been promoted seven times in three years But she had always had a passion for the sciences and she couldn t help but think there was something Dr Rebecca De La Rosa DDS PC Position Vice Speaker of the House Practice Area General Practice Component Indianapolis District Dental Society Contact Info Avon Family Dentistry 7318 E US Highway 36 Ste 100 Avon IN 46123 6882 Phone 317 272 7715 16 beyond research chemistry In addition to exploring several other opportunities including an MBA program optometric school medical school Dr De La Rosa spent some time observing two dentists Dr Mark Kendra and Dr Cynthia Molenda Observing these dentists at work left her impressed with how dentistry merged the art and science of medicine Interestingly Dr D had been a dental phobe During her senior year of undergrad at Marian University she started experiencing some tooth pain She hadn t been to the dentist in over seven years she wasn t sure where to turn but she knew it was time to address her oral health issues And that s how she became acquainted with Dr Molenda Her dental experience with Dr Molenda was amazing and it was one of the things that steered her to finally choosing to go to dental school If you ask Dr De La Rosa about the people who have inspired her Dr Molenda tops the list of her professional inspirations Dr John Schymik former IDA Speaker of the House encouraged Dr D to pursue the Board position many years ago and Dr Charles Steffel has been mentoring her all along the way As far as personal inspiration Dr De La Rosa mentions Sr Mary Rose Stockton chemistry professor and Sr Gloria Gallagher music professor both of Marian University And of course her parents When Dr De La Rosa built her new dental office she dedicated a cornerstone to her parents Delfina and Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Member Zone  Meet IDA   s New Vice Speaker of the House  Dr. Rebecca De La Rosa Karen Scharf Empathy. That wa...
Member Zone Reynaldo Her parents taught her that it is in giving that you truly receive as well as the value of integrity honesty and generosity Dr De La Rosa chokes up as she recounts what an amazing couple her parents were Being from Northwest Indiana they enjoyed spending time in Chicago going ballroom dancing and taking in the performing arts When her mother was diagnosed with Alzheimer s Dr D witnessed her father becoming an amazing caretaker helping her mother maintain her dignity while he also maintained his position as a role model and parent During all stages of Alzheimer s Delfina always found a way to communicate with her husband and three children even if it was just through the sparkle in her eye She wasn t able to speak but she was still able to engage It was the experience of living through her mother s 12 year battle that helped shape Dr De La Rosa s philosophy of accepting what life brings weeding out what is important and what isn t and celebrating each day It was also this experience that reinforced the importance of engagement Dr D embraces the idea of engaging every person she meets getting to the substance of things and seeing the beauty in everyone Once we truly engage an individual Dr De La Rosa says things fall into place and we re able to find their holiness Dr D extends this philosophy to her dental practice She opened her practice is Avon IN in 1990 just three months Journal IDA after graduating dental school From the beginning she and her staff have engaged with each and every patient and treated them like the unique individuals that they are Our goal Dr D explains is to make every patient feel as if they are the only patient in the building every time There are private rooms for every patient and every team member goes out of her way to communicate and educate each patient on a one to one basis As a recovering dental phobe Dr D understands that an informed patient is a less apprehensive patient so her staff has full liberty to determine how much time is needed with each patient And that s part of the reason her staff enjoy working for her The other part is that she regularly reminds them that they are the most important asset in the practice She encourages them to be free thinkers and openly share their ideas I hired each staff member for her amazing talent and I don t want to stifle that Dr D says Her staff respect her and she respects them In fact each staff member has her own desk area a space of her own where she s encouraged to enjoy some down time and let the creative juices flow When asked about the Indiana Dental Association Dr De La Rosa actually beams I LOVE organized dentistry she exclaims There is something powerful about colleagues with similar interests and concerns working together to move the profession forward When individuals put their best foot forward to move a common goal forward something magical happens Why does Dr De La Rosa think she s a perfect fit for the IDA Vice Speaker of the House position She s been attending the House of Delegates meetings since she graduated dental school She is always amazed at how at the beginning of the meetings there is polarization but in the end slowly but surely it turns into remarkable positive resolve to move the profession forward According to Dr De La Rosa every member of the House of Delegates has the same core values and when they are allowed to express their opinions they can easily find commonness in what others are sharing Dr D says since she is a good listener who is a creative and objective thinker she will be good at facilitating this resolve Everything is a compromise she says and compromise always leads to good productive results About the Author Ms Karen Scharf is the Indiana Dental Association Director of Communications She can be reached at karen indental org Dr Rebecca De La Rosa Indianapolis District Dental Society was elected Indiana Dental Association Vice Speaker of the House at the IDA Annual Session on May 21 2016 Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 17
Member Zone  Reynaldo. Her parents taught her that it is in giving that you truly receive, as well as the value of integri...
Journal IDA Special Section Restorative Dentistry Special Section RESTORATIVE DENTISTRY The Benefits of a Collaborative Approach to Complex Cases Terry Fohey CDT Brantley Kitching CDT Laboratory communication seems to be one of those buzz phrases that I am hearing over and over lately Such was the case during the final session of a recent lecture about restoring complex cases Wonderful I thought I look forward to hearing the most effective way to transfer all of this great information from the dental office to the laboratory This will make it possible for even the most complex cases to be completed in as few appointments as possible The requisite armamentarium is extensive It includes an impression of the preparations an opposing cast a cast of the provisional restorations a facebow a bite registration to articulate the prep cast a bite registration to articulate the provisional cast photos shade information and a properly filled out prescription Illustration 1 This seems straightforward enough provided the information is verifiable once it is on the articulator at the laboratory and will provide predictable results Illustration 2 As we all know what is shipped in the box is only part of the equation Just as important to the end result is the extent of communication with and involvement of the dental laboratory The level of laboratory interaction changes with the expectations of every case There are several levels of cases that we restore on a daily basis single molar porcelain to metal restorations large restorative cases and interdisciplinary restorative cases Illustration 1 18 Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Special Section - Restorative Dentistry  Special Section  RESTORATIVE DENTISTRY  The Benefits of a Collaborat...
Special Section Restorative Dentistry Cast with anterior provisionals in place and posterior preparations articulated with bite registration Journal IDA Silicone matrix of provisionals The matrix fabricated on the provisional verifying the articulation of the working cast and providing the guide to fabrication of final restorations This is verification making this situation predictable Cast preparations articulated with the same bite as above Above right and left Illustration 2 The single molar porcelain fused to metal PFM requires a minimal amount of information casts impression of preparations shade material and instructions Frequently the casts can be hand articulated without a bite registration The importance of shade information and quality of photography increases as the location of the teeth moves closer to the front of the mouth On the single unit central arguably the most difficult esthetic event in dentistry the quality of the photography is as important as the quality of the preparation and impression The patient communication is also important so that everyone understands that the shade match can and often does take several attempts and appointments with photos before the case is accepted Large restorative cases require more laboratory involvement It may be beneficial for large restorative cases to be referred to the laboratory for a diagnostic wax up The wax up will give the laboratory the opportunity to make the case in wax to demonstrate the tooth position contour and arrangements that are possible based on the existing tooth position Illustration 3 next page Involving the laboratory early in the process has great value because any findings can be previewed and approved by the dentist and patient in wax or even plastic by prescribing the fabrication of a provisional Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 19
Special Section - Restorative Dentistry  Cast with anterior provisionals in place and posterior preparations, articulated ...
Journal IDA Special Section Restorative Dentistry Provisional restorations can be easily changed compared to changing ceramic making this a more cost effective approach to testing the patient expectations Interdisciplinary cases require the most extensive laboratory communication For a diagnostic wax up of cases that have no incisors how do we know the tooth position Following the surrounding dentition is a good guide however how can we be more accurate Anatomic averages as taught by Dr Jack Turbyfill as the 10 20 rule apply This wax up uses 20mm from the depth of the vestibule for the length and position of the incisal edge of the central incisors The total length of the centrals is 10 5mm and controlled by red wax Interdisciplinary restorative cases that start at the general dentist s office are very common Complex cases that involve removing teeth repositioning teeth repositioning tissue implant placement and restorations involve a number of specialists and consultations to arrive at a treatment plan As the treatment plan is executed the situation requires the restoring dentist to make the final call of completed treatment such as when the orthodontic treatment is complete and when and where the implants should be placed Any shortcomings or compromises in treatment can Illustration 4 create challenges In this example of a single unit implant the for the restoring patient would have benefited from a collaborative dentist and labora approach between the oral surgeon and the dentist tory as they are to prevent placement that compromised long term success the ones responsible for making everything look and function properly Illustration 4 A collaborative approach to these interdisciplinary restorative cases in which all the dental specialists approach the case as a team from the very beginning seems to create the most success The labial position of the centrals is 10mm from the incisive papilla Utilizing this approach the patient has the opportunity to meet with the entire team of professionals that will create the restorations and smile before treatment begins Following all patient consultations the team discusses the findings A treatment plan is not presented to the patient until all of the dental specialists have voiced their opinion Support for the lip is provided by the red wax The largest benefit of this approach is that none of the restorative team is surprised during treatment A case that involves orthodontics would need to be evaluated to be sure that the teeth are in the correct restorative position before the brackets are removed For the cases involving implants the space would need to be evaluated and planned for proper placement Additionally this allows the laboratory to play an integral role in the process Above photos Illustration 2 Having the patient consult with the laboratory may be a new idea for some however it is the norm in practices involved 20 Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Special Section - Restorative Dentistry  Provisional restorations can be easily changed, compared to changing...
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IS YOUR PRACTICE GROWING Special Section - Restorative Dentistry  Journal IDA  by AT LEAST 7  Each Year, Every Year  We ha...
Journal IDA Special Section Restorative Dentistry with high profile patients In practices that have laboratories in the office the benefit of a relationship between the patient and the technician creating the smile has been long known In Europe it is very common for the patient and dental technician to interact many times throughout the process of creating a new smile This allows the laboratory to develop a rapport to understand exactly the patient s expectations ous budgets For example one particular patient needed to restore her entire mouth to get the esthetic and functional results that she desired She was not financially able to afford the entire treatment plan at once But the patient did not want to compromise the long term result Therefore we were able to develop a transitional approach that fit her budget and would eventually give her the results she desired The laboratory and the entire dental team have much to gain through and based on these direct patient interactions Patient Interaction with the Dental Technician The experiences that we have had at the laboratory have been very enlightening For example if a patient s expectations are extremely high we may recommend multiple provisional restorations to determine the patient s acceptable end result This approach allows more accuracy in establishing the fee that will work for everyone to be satisfied with his or her efforts Surprisingly we have discovered that patients will often disclose relevant health issues with the laboratory they may have been hesitant to share with their dentist Such issues include alcohol addiction and bulimia This information can be very beneficial in determining the appropriate treatment and material choice for the patient We have also had the opportunity to encourage patients to include additional posterior teeth in their treatment plan to achieve an ideal smile We have also been instrumental in helping patients realize their dream smiles within vari A face to face meeting is always the ideal interaction with a patient Many patients have driven from surrounding towns and several patients have even flown in from out of state with the restoring dentist for a meeting When that is not feasible utilizing digital technology via photography web Dental Office Space Available at Glendale Town Center NOW G IN LEAS 2500 5000 Square Feet Available Great visibility off of 62nd Street 6101 N Keystone Avenue Indianapolis IN 46220 http kiterealty com properties glendale town center 22 Contact Andrew for more information ahasbrook kiterealty com 317 713 5663 office or 317 714 3158 cell Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Special Section - Restorative Dentistry  with high-profile patients. In practices that have laboratories in t...
Special Section Restorative Dentistry chats and video is an extremely helpful option as well Admittedly there are many levels of restorative cases Regardless of the degree of difficulty a particular case may carry the relationship the dentist has with the laboratory will have as direct of an effect on the final result as providing the proper case armamentarium Working together to meet a patient s expectations is the goal of each case Every restoration is customized and should be treated individually Every dental practice also has its own requirements or niche to fill Laboratories have specific requirements to provide the most favorable results Journal IDA About the Authors Terry Fohey s career has spanned nearly four decades He is a past president of the Georgia Dental Lab Association former board member of the Southeastern Conference of Dental Laboratories and the founder of NuCraft Dental Arts and The Dental A R T S Center He has been involved in dental education written for various dental publications and most importantly has created a thriving dental business Brantley Kitching graduated from The University of Texas Health Science Center in San Antonio in 1982 He is certified in crowns and bridges as well as ceramics After working as an in house technician in two dental offices he owned his own laboratory in Hobbs New Mexico specializing in Crown and Bridge and Dentures Consider the most desirable outcome a battle The patient dentist specialist and laboratory should be in the same foxhole fighting together to achieve victory Would you like to earn CE credit for the preceding article This article originally appeared in IDA s Foundations in Dentistry Volume I book which allows dentists and hygienists to earn CE credit quickly and easily by reading articles and taking CE quiz zes A limited supply of Foundations Volume I is still available The all inclusive pricing covers the physical book and all continuing education certificates up to 10 hours For more informaiton or to order Foundations in Dentistry Volume I contact Karen Scharf at karen indental org or 800 562 5646 Foundations in Dentistry Volume II is available for order online at indental org FoundationsCE Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 23
Special Section - Restorative Dentistry  chats, and video is an extremely helpful option as well. Admittedly, there are ma...
Journal IDA Special Section Restorative Dentistry SPECIAL SECTION Standards of Care in Dentistry are they enough Dr Jack Drone Standard of care It s one of those nebulous terms that most healthcare professionals think they understand but when asked to explain it they re often at a loss for words Many dentists aren t exactly sure how the standard of care is defined and who is responsible for setting that definition Standards of care are determined by each state s dental act and precedent law Standard of care is not using your best judgment or doing what you learned in dental school According to Douglas Terry DDS international lecturer and author of the textbook Natural Aesthetics with Composite Resin Montage Media standard of care is what a reasonable prudent dentist should be doing under the same or similar circumstances while applying scientific evidencebased concepts Since new scientific evidence based concepts are constantly being developed can we conclude that the standard of care is in a constant state of flux According to the Indiana State Board of Dentistry standard of care is a dynamic process impacted upon by technological advances and information gained by clinical and basic research Joseph P Graskemper D D S J D summed it up nicely when he wrote The standard of care continually evolves with the advent of new materials new procedures and new court rulings 24 In order to keep up with the standard of care dentists must be well read and actively participate in high quality continuing education It s an ethical issue as well as a legal issue In fact the historical 1898 case of Pike v Honsinger which attempted to legally define standard of care specifically states that the healthcare professional is bound to keep abreast of the times and a departure from approved methods in general use if it injures the patient will render him liable Today standard of care has evolved beyond approved methods in general use In the case of Helling v Carey two ophthalmologists were found negligent for not performing glaucoma tests on a young woman even though it was universal practice of ophthalmologists not to administer glaucoma tests to patients under age 40 The court concluded that the doctors were negligent because they failed to administer a test that was simple quick and inexpensive Where its presence can be detected by a simple well known harmless test where the results of the test are definitive where Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Special Section - Restorative Dentistry  SPECIAL SECTION  Standards of Care in Dentistry are they enough  Dr....
Special Section Restorative Dentistry the disease can be successfully arrested by early detection and where its effects are irreversible if undetected over a substantial period of time liability should be imposed upon defendants even though they did not violate the standard existing within the profession of ophthalmology How does this view of standard of care apply to your own use of routine cancer screenings What about standards for specialties First it s important to note that there are not two sets of standards depending on who is performing the procedure If a general dentist performs a specialty treatment he or she will be held to the same standard of care as a specialist performing that treatment When it comes to non recognized specialties cosmetic dentistry or implant dentistry for instance Frank Recker DDS JD explains that the general Journal IDA dentist would be held to the standard of care expected of the dental profession in general competent not a specialty standard On the other hand when you perform endodontic therapy for example you are held to the standard of the endodontist i e the specialty standard Is standard of care enough According to Ali Allen Nasseh DDS MMSc international lecturer and postdoctoral professor at Harvard School of Dental Medicine The standard simply reflects that which is minimally required meaning that anything less would be considered negligent This is why astute clinicians don t aspire to the standard of care but rather to excellence in care This doesn t necessarily mean that not following the standard of care equates malpractice There is a difference between poor dentistry and malpractice In order to con There are 10 standards of care that encompass the practice of dentistry 1 Failure to diagnose in a timely manner any oral condition or disease that requires treatment or observation Failure to inform a patient of any diagnosed oral condition or disease as well as appropriate treatment recommendations 2 Failure to refer a patient for appropriate treatment or observation when their needs exceed your ability to provide that professional care 3 Failure to provide after hours care or emergency care or make arrangements for after hours care for all patients of record 4 Failure to provide appropriate post operative care both routine as well as unexpected 5 Failure to provide informed consent relevant information concerning risks and benefits of recommended treatment relevant information concerning possible alternative treatment s and relevant information concerning prognosis without recommended treatment 6 Failure to advise a patient of less than desirable treatment outcomes Failure to advise a patient of relevant treatment recommendations concerning undesirable treatment outcomes 7 Failure to take necessary precautions to prevent aspiration or swallowing of objects used or placed in the mouth 8 Failure to properly document and maintain the integrity of patient records 9 Failure to provide in office or after hours care for a patient of record without proper dismissal of the patient from your care 10 Failure to perform surgical or other dental procedures properly Failure to take appropriate surgical precautions when performing surgery or other dental procedure Many dentists believe that their legal liability is related to how well they perform their dental procedures However it is important to note that 9 of the 10 standards of care are errors of omission rather than commission In other words legal liability is much more related to what you don t do instead of what you do 7 Thomas J David DDS Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 25
Special Section - Restorative Dentistry  the disease can be successfully arrested by early detection and where its effects...
Journal IDA Special Section Restorative Dentistry stitute malpractice the patient must have been harmed Oftentimes not following the standard of care leads to bad dentistry but not necessarily a ruling of malpractice Treat patients the way you would want to be treated if your roles were reversed says Dr Thomas J David a general dentist who has been involved in civil litigation issues for more than 30 years and has testified for plaintiff and defense in standard of care and personal injury cases Foster a relationship of trust with your patients If your patients trust you they will be understanding if things don t turn out the way you expected When deciding what type of treatment to recommend for a patient ask yourself if your recommendation Dr Thomas J David would be the same if this was a member of your family suggests Dr David If you can answer yes you should feel comfortable with your treatment advice to your patient 7 Thorough documentation of records is essential to avoiding or successfully defending a lawsuit Remember you are responsbile for your hygients following proper standards of care Standards of care for Clinical Dental Hygiene Practice for 2016 are available at https www adha org resources docs 2016Revised Standardsfor Clinical DentalHygiene Practice pdf Treating patients well and feeling comfortable with treatment advice doesn t however prevent a patient from alleging malpractice Dr Nasseh suggests most malpractice lawsuits can be avoided by managing conflicts internally by direct communication and responsible action against specific charges made by a patient He goes on to say Most legal grievances result from miscommunications or Let s grow Immediate career opportunities and flexible practice transition options available 25 years experience There s strength in our numbers 855 979 3524 26 DentalCareAlliance com Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Special Section - Restorative Dentistry  stitute malpractice, the patient must have been harmed. Oftentimes, ...
Special Section Restorative Dentistry inadequate empathy for the patient Clear concise communication can help ward off any misunderstandings down the line Avoid Malpractice through IDA Peer Review Another way to avoid malpractice is by taking advantage of the Indiana Dental Association s Peer Review program The IDA peer review program is intended to resolve standard of care issues between the dentist and patient fairly and confidentially The peer review process has two phases In the first phase a mediation trained dentist will contact the involved parties and make every attempt to help the patient and dentist reach a mutually satisfactory resolution If mediation is not successful the case proceeds to the second phase review by committee During this second phase a panel of dentists will review findings and recommendations for a resolution This process is non binding and voluntary and is allowed by Indiana state law Journal IDA References 1 Graskemper JP The standard of care in dentistry J Am Dent Assoc 2004 135 10 1449 1455 2 Neuman Lisa 2008 Standard of Care in Dentistry Inside Dentistry Volume 4 Issue 9 3 PIKE V HONSINGER 155 N Y 201 N Y 1898 Retrieved from casetext com case pike v honsinger 4 Bal Sonny B MD JD MDA Brenner Lawrence H JD 2015 Pike v Honsinger was attempt to apply legal definitions to standard of care Orthopedics Today December 2015 5 Recker Frank DDS JD Leeway in standard of care BusinessBite Practice Management Information for Implant Dentists American Academy of Implant Dentistry aaid com uploads cms documents practice_management_legal_leeway_ in_standard_of_care pdf 6 How the Dental Peer Review System Works and What You Expect from It American Dental Association ada org media ADA Member 20Center FIles peer_review_overview ashx 7 David Thomas J DDS Does Your Practice Measure Up Inscriptions July August 2015 15 While you as the dentist cannot initiate the peer review process in instances where you are unable to resolve complaints or suspect the complaint may escalate into a lawsuit you can encourage your patient to open a peer review case with IDA Additional information on IDA Peer Review is available at indental org Complaint or by contacting Ed Rosenbaum IDA Director of Professional Services at edr indental org or 800 562 5646 About the Author Dr Jack Drone is Editor of the Journal and a general dentist practicing in Rensellaer IN He can be reached at jack hillcrestdental net Builders of medical dental offices throughout Indiana Allen Galloway Phone 317 269 0543 Fax 317 269 0544 Email allen bcmionline com www bcmionline com Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 27
Special Section - Restorative Dentistry  inadequate empathy for the patient. Clear, concise communication can help ward of...
Journal IDA Special Section Restorative Dentistry From Dental Chair to Addiction Dentistry s role in curbing the opioid crisis in Indiana Karen Scharf The news has been inundated recently with stories about the opioid crisis in America And the coverage is now starting to focus on the crisis s link to dentistry In June 2016 NBC Nightly News aired a segment entitled Hooked How Opioid Abuse Starts at the Dentist for Many Americans which discussed how opioid addiction can begin with a dental procedure specifically teenagers being prescribed pain killers after having their wisdom teeth removed Of the 2 5 million emergency department visits per year in the U S related to drug overdoses 1 4 million are caused by prescription drugs In 2013 alone 71 3 of prescription drug overdoses were from opioids 1 The most frequently abused opioids are immediate release IR opioids and according to Food and Drug Administration statistics dentists prescribe 12 percent of IR opioids in the United States 2 How do patients get from the dental chair to drug addiction First there seems to be a widespread problem with overprescribing amongst all healthcare professionals Despite the fact that the overall amount of pain reported in America has not changed 3 4 the number of prescription opioids sold has increased by almost 400 5 And in Indiana the numbers are striking with 109 1 painkiller prescriptions being written for every 100 residents 6 But it s not always that linear of a transition A recent study by the University of Pennsylvania Perelman School of Medicine and School of Dental Medicine found that over 50 28 of the opioids prescribed after wisdom tooth removal were not used by the patient When translated to the broad U S population said lead study author Brandon C Maughan MD MHS MSHP our findings suggest that more than 100 million opioid pills prescribed to patients following surgical removal of impacted wisdom teeth are not used leaving the door open for possible abuse or misuse by patients or their friends or family 7 That assessment is supported by a separate survey commissioned by the Hazelden Betty Ford Institute which found that 74 of those with excess pills reported keeping them 8 This is particularly troubling since according to the CDC most people who abuse prescription opioids get them for free from a friend or relative 9 What Can Dentists Do Write fewer scripts How can dentists help curtail the opioid crisis that is plaguing the state of Indiana The first step is obvious write fewer opioid prescriptions Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4 21
Journal IDA  Special Section - Restorative Dentistry  From Dental Chair to Addiction Dentistry   s role in curbing the opi...
Special Section Restorative Dentistry Research shows that prescription strength NSAIDs like ibuprofen combined with acetaminophen can offer more effective pain relief and fewer adverse effects than opioidcontaining medications says Dr Maughan While opioids can play a role in acute pain management after surgery they should only be added in limited quantities for more severe pain 7 Journal IDA Keeping the game fair Write smaller scripts When an opioid is necessary dentists should consider writing shorter prescriptions In NBC Nightly News Hooked the audience was introduced to Brittany Ringersen who was prescribed a 30 day supply of opioids after having her wisdom teeth removed With such a large number of pills Brittany was able to continue taking the opioids long after the pain subsided and within a very short amount of time she became an addict 10 We see it across medical and dental practices that physicians and dentist are giving patients extra medication just in case to avoid to seeing the patient again or writing for refills says Dr Brian 21 Bateman with the Division of Pharmacoepidemiology and Pharmacoenocomics at Brigham and Young Women s Hospital This is an obvious problem that leaves a lot of left over medication and patients hold on to it 11 so you re not fair game Perform Risk Assessments The fast changing practice of dentistry According to Dr Paul Moore professor of pharmacology and anesthesiology at the University of Pittsburgh School of Dental Medicine as few as 50 of patients will actually need a prescription The dilemma is not knowing which patients need a script and which might be at risk of misusing or abusing the drugs 11 The Department of Health and Human Services recommends dentists complete a full evaluation and assessment to verify the need for pain medication as well as perform an opioid risk assessment prior to treating each patient 12 Many dentists are hesitant to have this risk conversation with their patients In fact two thirds of dentists surveyed do not agree that such screening is compatible with their professional role Ronald J Kulich Ph D Professor at Tufts University School of Dental Medicine says dentists should realize that everyone is uncomfortable with the discussion however data shows that patients appreciate it rather than feel insulted by it 13 is getting hit from all angles Choose a specialized protection plan designed to help you cover your unique Indiana risks You get game changing coverage made easy Professional Liability Insurance Risk Resource Services Take Advantage of ADA Resources ProAssurance Group is rated A Superior by A M Best In its letter expressing support for the Surgeon General s Turn the Tide campaign to end opioid abuse ADA states As prescribers of opioid pain medications dentists have a role to play in keeping these drugs from becoming a source 800 625 7814 ProAssuranceDentistCare com Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 29
Special Section - Restorative Dentistry     Research shows that prescription-strength NSAIDs, like ibuprofen, combined wit...
Journal IDA Special Section Restorative Dentistry of harm 14 To aid its members in fulfilling this role ADA has created many resources including practice tools and free continuing education which are available from the ADA member center at ADA org opioids Utilize INSPECT Prescription Drug Monitoring Programs PDMPs are staterun electronic databases used to track the prescribing and dispensing of controlled prescription drugs to patients PDMPs continue to be among the most promising state level interventions to improve opioid prescribing inform clinical practice and protect patients at risk 15 PDMPs are proving successful across the country For instance Florida established their PDMP in 2010 and in 2012 saw more than 50 decrease in oxycodone overdose deaths 16 New York began requiring prescribers to check the state s PDMP prior to prescribing opioids and in 2013 saw a 75 decrease in patients seeing multiple prescribers for the same drugs 17 Indiana s PDMP the Indiana Scheduled Prescription Electronic Collection and Tracking Program INSPECT is administered by the Indiana Board of Pharmacy An INSPECT report summarizes the controlled substances a patient has been prescribed the practitioner who prescribed them 30 and the dispensing pharmacy where the patient obtained them As of January 1 2016 the program moved to 24hour reporting providing nearly real time data 18 The information is shared with at least 20 states 21 Any practitioner licensed to prescribe or dispense controlled substances may establish an INSPECT account and request a patient prescription history Practitioners may only request reports on patients for whom they are providing treatment or evaluating the need for treatment including patients who have made initial appointments and the patient history report must be used only for the purpose of making treatment decisions Practitioners may not request a report on staff members prospective employees or anyone else for whom there is no chart or patient record available In a survey of Indiana s qualified prescribers 71 reported using INSPECT and over 50 of users reported resulting changes in their prescribing practices 19 INSPECT has been proving successful in curbing the opioid crisis in Indiana and the State continues to enhance the program In September at the direction of Governor Pence a pilot program was Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Special Section - Restorative Dentistry  of harm.   14 To aid its members in fulfilling this role, ADA has cr...
Special Section Restorative Dentistry initiated to allow for the integration of INSPECT data with hospital patient records 20 To register for an INSPECT account visit https extranet pla in gov pmpwebcenter NewRegistration aspx For additional information visit http www in gov pla inspect About the Author Ms Karen Scharf is the Indiana Dental Association Director of Communications She can be reached at karen indental org References 1 Opioid Abuse in the U S and Its Impact on Dental Education American Dental Education Association Webinar May 25 2016 2 Denisco Richard C MD MPH Kenna George A PhD RPh et al Prevention of prescription opioid abuse Journal of the American Dental Association Volume 142 Issue 7 800 810 3 Chang H Daubresse M Kruszewski S et al Prevalence and treatment of pain in emergency departments in the United States 2000 2010 Amer J of Emergency Med 2014 32 5 421 31 4 Daubresse M Chang H Yu Y Viswanathan S et al Ambulatory diagnosis and treatment of nonmalignant pain in the United States 2000 2010 Medical Care 2013 51 10 870 878 5 CDC Wide ranging online data for epidemiologic research WONDER Atlanta GA CDC National Center for Health Statistics 2016 Available at http wonder cdc gov 6 Inside the Orance Bottle Recovery Brands Available at http recoverybrands com inside the orange bottle 7 100 Million Prescription Opioids Go Unused Each Year Following Wisdom Teeth Removal News Release Penn Medicine September 22 2016 8 Confronting the Opioid Crisis Hazelden Betty Ford Institue for Recovery Advocacy 9 Prescribing Data Centers for Disease Control and Prevention Last updated March 16 2016 Retrieved from http www cdc gov drugoverdose data prescribing html 10 Hooked How Opioid Abuse Starts at the Dentist for Many Americans NBC Nightly News Aired Jun 21 2016 7 16 pm ET 11 Snow Kate Deo Parminder The Deadly Triangle Dentists Drugs and Dependence June 21 2016 Retrieved from http www nbcnews com health health news deadly triangledentists drugs dependence n596601 12 Program Integrity Drug Diversion Toolkit Centers for Medicare Medicaid Services Page last Modified 03 03 2016 8 39 AM Retrieved from https www cms gov Medicare Medicaid Coordination Fraud Prevention Medicaid Integrity Education Provider Education Toolkits drug diversion toolkit html 13 Opioid Abuse in the U S and Its Impact on Dental Education American Dental Education Association Webinar May 25 2016 14 August 25 2016 ADA letter expressing support for the Surgeon General s Turn the Tide campaign to end opioid abuse Available at http www ada org media ADA Journal IDA Advocacy Files 160825_surgeongeneral_turnthetide_nosig pdf la en 15 Prescription Drug Monitoring Programs PDMPs Center for Disease Control and Prevention Page last updated March 23 2016 Available at https www cdc gov drugoverdose pdmp index html 16 Centers for Disease Control and Prevention Decline in Drug Overdose Deaths After State Policy Changes Florida 2010 2012 MMWR 2014 63 26 569 574 17 PDMP Center of Excellence at Brandeis University Mandating PDMP participation by medical providers current status and experience in selected states PDF File 2014 Available from http www pdmpexcellence org sites all pdfs COE 20 briefing 20on 20mandates 20revised_a pdf 18 http www in gov pla inspect 2338 htm 19 http www addiction intervention com addiction prescriptiondrugabuse indianas drug monitoring programresults in fewer prescriptions for scheduled meds 20 http www wbiw com state archive 2016 09 governor pencedirects state agencies to act on recommendations frommeeting of governors task force php 21 HHS Research on Pain Treatment and Opioid Misuse and Overdoes Translating Service into Action US Department of Health and Human Services July 2016 Since 1968 We are pleased to announce Esam Jumani D D S Gloria I Figuera Inaga D D S have acquired the practice of Kenneth B Rundle D D S Highland Indiana WE ARE PLEASED TO HAVE REPRESENTED ALL PARTIES IN THIS TRANSITION Call today for a FREE PRACTICE APPRAISAL 5 000 value 1 800 232 3826 www AFTCO net Practice Sales Purchases Over 3 2 Billion Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 31
Special Section - Restorative Dentistry  initiated to allow for the integration of INSPECT data with hospital patient reco...
Converting One Timers into Regular Patients without feeling like a used car salesman Jeremy Tuber Within a few weeks of relocating to a new city I jumped on the teeth whitening band wagon and visited a dental office in the vicinity of my new home After fifteen minutes of paperwork and an hour in the operatory I headed home with a brighter whiter smile Despite having a mouth full of sensitive teeth I was delighted with the procedure as well as the dentist s gentle demeanor However I never went back Think about that for a moment I had no dental home I was new in town I had a great experience I even liked the dentist and yet I never went back Why I was never asked I didn t go into this dentist s office thinking If I like the doctor and the team this could be my new dental home I was there to get my teeth whitened nothing else Like many other one time patients including emergency patients my focus was on an immediate need but that doesn t mean that I would have been opposed to becoming a regular patient The truth is you can convert one time patients into regular patients if you follow a system provided below if you address the patient s immediate need and then you tactfully ask the patient at the appropriate time To be fair maybe the practice wasn t looking for new patients when I came in or maybe I wasn t a fit for their patient base However I do know that patients like money don t grow on trees With that in mind we ll look at an approach you can take to convert one and done people into patients who are happy to return for regular checkups and treatment Keep in mind that this is just one approach If the approach below doesn t feel right to you feel free to 32 modify it so it suits your personality Get em while you got em approach to retaining patients Whether you re talking with someone associated with sales at a fitness club chiropractor s office or marketing firm she ll tell you that if the consumer walks out of your office without an agreement to return the likelihood the consumer comes back plummets Admittedly sales and dentistry are like mixing oil and water but if building your patient base is a priority you ll need to embrace sales You ll want to make it a priority to ask the one timer first timer if he might be open to becoming a regular patient before he s left the office Dentists wince at the idea of incorporating any sales into their practice many are probably wincing after reading this paragraph However if a dentist really believed she could improve the oral and systemic health of the people who come into her office why would she be opposed to asking a person if coming back in for treatment would be desirable No matter what your profession if you truly believe in the value of service you provide why should you avoid asking patients Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Converting    One Timers    into Regular Patients  without feeling like a used car salesman Jeremy Tuber  Within a few wee...
Special Section Restorative Dentistry customers consumers if they want it Contrary to popular belief in the healthcare profession sales does not have to be a dirty word and sales can be done with honesty tact and professionalism Build your patient base without feeling like a used car salesperson 1 Note the appointment times of first time patients before the day begins 2 Make certain your dental team takes extra time and care in dealing with these people It s important these patients feel at home from the moment they walk in the door 3 Each member of the dental team who interacts with the patient should reassure the patient that the team and the doctor are focused on attending to their immediate need 4 While the patient s oral health might need attention attend to or treat the immediate need want first If you shift the focus of the appointment before you address the immediate need want your patient may feel you don t listen or that you re just out for more money For example I know you came in today to have your teeth whitened however we ll need to talk about a couple of problems I can see between your central and lateral incisors We both recognize that you re looking after the patient by caring for the overall oral health but your patient s perception might be that you re looking to just make more money rather than attending to the immediate need want 1 5 After the procedure or treatment let the patient know you attended to her need and that she s in better shape than when she came in For example Okay Joan we ve gone ahead and extracted that third molar that was giving you so much trouble You may feel a little discomfort that will subside after a couple of days but the grinding sensation you were having well we ve taken care of it so you should be in great shape 6 Verify the patient is pleased and or that she s had a good experience While it might be tempting do not skip this step If the person isn t pleased or hasn t had a good experience she will not entertain the idea of becoming a regular patient of yours After the treatment ask the patient how she s feeling If she is in pain focus on asking how she ll feel about having her need addressed For example I know that tooth is going to be sensitive for a few hours How Journal IDA 30 Celebrating 30 Years 1986 2016 of Superior Service LEADING THE WAY Superior Dental Care SDC has led the way in dental benefits for 30 years As a dentist owned and directed dental carrier SDC is proud to support the IDA in the work they do to advance dentistry throughout Indiana Industry leaders supporting industry leaders now that s something to smile about dentistservices superiordental com 800 762 3159 www superiordental com LEADING THE WAY IN DENTAL BENEFITS SINCE 1986 does it feel I remember it was causing you so much pain when you came in but you ll be as good as new tomorrow how does that sound If the patient is in pain skip step 7 7 Ask the patient if there s anything else that might be causing her trouble or perhaps something she was thinking she d like to have done For example I am glad we were able to treat that cavity before it really started to bother you it was great to meet you PAUSE It s up to you but if I am able to get a look at your teeth a couple of times during the year we ll be able to spot any troubles quickly so they don t turn into bigger problems Is that something you d like to do 8 Ask permission to follow up which gives you another opportunity to connect with the person possibly getting her to see the value of being a patient After the patient responds to the question in step 7 ask if she would be open to you checking up on her within the next 24 hours to make sure she s doing okay For example It looks like you re going to be in good shape but I just want to follow up with you and make sure you re doing great and that you don t have any questions Would that be okay Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 33
Special Section - Restorative Dentistry  customers consumers if they want it  Contrary to popular belief in the healthcare...
Journal IDA Special Section Restorative Dentistry 9 During the follow up call whoever makes it ask the patient how she is doing and if she has any questions or concerns If she has agreed to come back in indicate that you see on the schedule she ll be coming back in on DATE and TIME Tell her That s great We ll look forward to seeing you again If the person is not feeling fine attend to that need immediately If the person is feeling fine but she didn t agree to come back in for treatment ask I am so glad you re feeling better we enjoyed having you visit So we make sure we re on top of things well before they cause you any discomfort would you be open to coming back in and seeing us in SPECIFIC MONTH 10 If the patient has indicated she had a relatively good experience in your office but still hasn t agreed to come in for treatment after asking her twice make sure you periodically send her a marketing promotional postcard or follow up email every couple of months Keep this practice up for a year or until she s scheduled an appointment If after a year the person has not scheduled an appointment send her a letter indicating that you d still love to see her and that it s not too late Let her know you wish her the best and that you genuinely hope she establishes a dental home situation The doctor or dental team members are too aggressive or overzealous Conversely some doctors and teams lack the self assuredness to confidently ask one timers if they would consider coming in for regular treatment The key to increasing your odds for success is finding a balance The approach is used at an inappropriate time such as when the patient is in notable pain is in a bad mood is overly rushed or distracted or the patient appears not to be satisfied About the Author Jeremy Tuber is the Manager of Communications for the Arizona Dental Association This article orignially appeared in the June 2015 issue of AzDA s Inscriptions and was reprinted with permission 1 Of course there are instances when attending to your patient s perceived need is not as important as another oral health issue you ve diagnosed In these cases you ll need to gently inform the patient what you ve discovered as well as help her understand that having the issue you found treated will benefit her Some dental offices are set up to have the hygienist dental assistant or even the front office person ask or engage the patient in this area From a logistical standpoint this might be ideal However from a sales or effectiveness standpoint it would be best if the doctor asked the patient these questions Yes dentists are terribly busy but five extra minutes might be the difference between a new patient and a person you ll never see again You make the call if it s worth it Common mistakes doctors make using this sales approach Doctors and or their team ask people to become patients before they ve attended to the immediate need or before they ve verified the patient has had a pleasant experience The doctor or a dental team member awkwardly blurts out Hey maybe you could consider being one of our patients which puts the people in an uncomfortable 34 At Blue Co LLC we re focused on the needs of dentists Our insightful dental industry tailored proactive solutions include Payroll Accounting Accounting Assurance Tax Preparation Consulting Business Valuation Retirement Plan Services Practice Management Services Solutions Practice Formation Transitions Kam McQuay CPA p f 317 713 7933 kmcquay blueandco com Angie Zirkelbach CPA p f 317 713 7961 azirkelbach blueandco com 500 N Meridian St Suite 200 Indianapolis IN 46204 Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4 blueandco com
Journal IDA  Special Section - Restorative Dentistry  9.  During the follow up call  whoever makes it , ask the patient ho...
Special Section Restorative Dentistry Journal IDA Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 35
Special Section - Restorative Dentistry  Journal IDA  Fall 2016    Volume 95    Issue 4   Journal of the Indiana Dental As...
Journal IDA CoreMMIS Implementation UPDATE Indiana Health Coverage Programs IHCP Will Implement CoreMMIS on December 5 2016 The Indiana Health Coverage Programs IHCP will replace its current information system IndianaAIM with the new CoreMMIS which stands for Core Medicaid Management Information System on December 5 2016 Along with CoreMMIS a new provider interface called the Provider Healthcare Portal Portal will replace Web interChange These new tools offer enhanced features that will make working with IHCP easier and more efficient You have goals PARAGON can help you reach them Are you thinking of buying a dental practice merging or selling your practice The future you want is closer than you think Our guidance makes all the difference Take your next step with confidence Call PARAGON today Your local PARAGON dental transition consultant Chad Bruner 866 898 1867 info paragon us com paragon us com 36 Approved PACE Program Provider FAGD MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4 1 2016 to 3 31 2020 Provider ID 302387 The transition to CoreMMIS and the Portal will require providers to make some preparations in advance of the December 5 implementation date Register on the Provider Healthcare Portal Providers will need to create a provider account on the new portal for every service location A provider representative should be identified to establish the provider account and to manage the users or delegates who will have access to the provider account The provider representative will authorize delegate users who must then create delegate accounts on the Portal in order to do work on the provider s behalf Current users of Web interChange will likely be the users identified as delegates for the portal Providers will access the portal through indianamedicaid com Access will be provided in advance of the implementation date to allow time for providers and delegates to register their Portal accounts Web based training on the registration process will also be made available at indianamedicaid com at that time Portal and training availability will be announced via a CoreMMIS bulletin Learn about the Portal and CoreMMIS Previously published CoreMMIS bulletins BT2016011 and BT2016502 offer a general introduction to the features of the new Portal A more thorough introduction will be available in sessions offered at the 2016 IHCP Annual Provider Seminar on October 18 20 2016 in Indianapolis Portal sessions will cover claim submission member management and eligibility prior authorization and care management and provider enrollment and profile maintenance To learn more about the seminar or to register3 visit the 2016 IHCP Annual Provider Seminar and Workshop Registration pages at indianamedicaid com INDIANA SEPTEMBER 2016 1 4 Page 4 C 3 75 W x 5 H Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  CoreMMIS Implementation  UPDATE  Indiana Health Coverage Programs IHCP Will Implement CoreMMIS on December 5,...
CoreMMIS Implementation Detailed web based training on all Portal functions will be posted to indianamedicaid com before the Portal s implementation This will allow Portal users to view the training at their convenience and to revisit training documents as often as necessary Notice of training availability will be announced via a CoreMMIS bulletin Providers will see some differences in the way the new CoreMMIS processes and communicates information This will require some changes in the way providers interface with the system including changes in the way providers submit claims and other information to the IHCP These differences will be communicated to providers before implementation through a series of CoreMMIS bulletins Anticipate suspension of business transactions To ensure a successful transition to CoreMMIS the IHCP will temporarily suspend certain business transactions in the days and hours before implementation This step is necessary so that processing in the current system can be finalized and information can be converted to the new system Every effort will be made to keep disruption of normal business activities to a minimum Business transactions that will be affected include Provider enrollments and profile updates Fee for service claims and adjustments paper and electronic Written correspondence WEB LINKS 1 Bulletin BT201601 is available online at http provider indianamedicaid com ihcp Bulletins BT201601 pdf 2 Bulletin BT201650 is available online at http provider indianamedicaid com ihcp Bulletins BT201650 pdf Journal IDA Notice and guidance related to these and other necessary transition time frames will be announced via a CoreMMIS bulletin Stay informed The IHCP appreciates the quality services providers offer our members and is committed to working closely with the provider community during this transition It is critical that providers stay informed as implementation approaches Watch for future publications and sign up for the IHCP email notification4 alerts at indianamedicaid com Direct questions to your IHCP Provider Relations field consultant5 or email incoremmis2015im hpe com Reprinted from Indiana Health Coverage Programs CoreMMIS bulletin BT201658 September 29 2016 Editor s Note Registration for the new portal begins October 11 2016 Information is available at http provider indianamedicaid com ihcp Bulletins BT201661 pdf Imagine being embarrassed to smile It s a fact thousands of children and adults don t have dental insurance or access to adequate oral health care My Community Dental Centers formerly Michigan Community Dental Clinics was formed to change that to make a difference by providing exceptional dental care to all even those who can t afford it We re looking for dedicated professionals who want to make a difference in one of our 27 modern state of the art facilities across the state In return you ll receive benefits that include compensation comparable to the ADA average signing bonuses at select locations health vision and dental insurance life insurance short and long term disability ADA MDA dues contribution retirement plans malpractice coverage and more But your greatest benefit Knowing you re helping improve lives one smile at a time Join us Call 231 437 4830 or email TSR mydental org www mydental org 3 Provider Seminar information is available online at http provider indianamedicaid com general providerservices provider education 2016 ihcp annualprovider seminar aspx 4 Subscribe to the IHCP email notifications at http provider indianamedicaid com ihcp mailing_list default asp EOE 5 Find contact information for field consultants at http provider indianamedicaid com about indianamedicaid contact us provider relations fieldconsultants aspx Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 37
CoreMMIS Implementation  Detailed web-based training on all Portal functions will be posted to indianamedicaid.com before ...
Journal IDA Medicare Enrollment Deadline Medicare Enrollment Deadline Extended to February 1 2017 Karen Scharf After several delays and extensions the Centers for Medicare and Medicaid CMS have announced the final deadline for Part D provider enrollment is February 1 2017 Beginning February 1 CMS will require dentists who write prescriptions for Part D drugs to be enrolled in an approved status or validly opted out with Medicare in order for their patients prescriptions to be covered under Medicare Part D Why should a dentist enroll in Medicare to prescribe Part D drugs Approximately 100 000 dentists currently write prescriptions for Medicare Part D beneficiaries Your patients might be using Part D benefits without your knowledge It prevents patients prescription drug claims from being denied by their Part D plans and at the point of sale beginning February 1 2017 It will prevent numerous inquiries from patients that will receive a written notification if their prescriber isn t enrolled By enrolling in Medicare a dentist assists the federal government in fighting fraud in the Medicare Part D program Fighting fraud in the Medicare Part D program is a high bipartisan priority of Congress Dentists can also assist the federal government in fighting fraud in the Medicare Part D program by making sure that the taxonomy associated with their NPIs reflect that they are a dentist and not a dental assistant resident or hygienist for example Unenrolled dentists Medicare patients may choose to find a dentist who is enrolled in Medicare so that their prescriptions are clearly coverable by the Part D program Enrolling is easy free of charge and can be done online in about 20 minutes If you choose not to enroll or opt out of Medicare please be aware Unenrolled dentists Medicare patients will receive written notifications in the mail that their dentist is not qualified to write Part D prescriptions when the patients fill a prescription which will only be covered on a provisional basis After a provisional supply of a drug has been covered a Part D drug benefit plan will no longer cover a 38 prescription written by an unenrolled dentist Unenrolled dentists who contract with managed care plans to provide dental services to Medicare beneficiaries cannot opt out There are several ways for a dentist to enroll in Medicare Enroll Online Dentists can enroll in Medicare online by using PECOS at go cms gov pecos By using internet based PECOS to submit your enrollment application you can easily enroll in Medicare without paying expensive consulting firms Please visit the dentist specific tutorial video on how to use internet based PECOS at Go cms gov PECOSVideo Enroll With Paper Application Form 855i Enroll using CMS form 855i if You currently or plan to provide services covered by traditional Medicare fee for service Part B You are currently or plan to be a Medicare Advantage Part C provider You currently or plan to prescribe Part D drugs Enrolling with form 855i allows you to prescribe Part D drugs order and certify certain items or services contract with Medicare Advantage Part C plans and be reimbursed for the covered services furnished to Medicare beneficiaries Please note When using CMS 855i select from either the Maxillofacial Surgery Oral Surgery dentist only if applicable or select Undefined Physician type and write in General Dentist Form 855o Enroll using CMS form 855o if You do NOT and do not plan to provide services that are covered by traditional Medicare fee for service Part B You are NOT and do not plan to be a Medicare Advantage Part C provider You DO or plan to prescribe Part D drugs Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Medicare Enrollment Deadline  Medicare Enrollment Deadline Extended to February 1, 2017 Karen Scharf After se...
Medicare Enrollment Deadline Enrolling with form 855o allows you to prescribe Part D drugs and order and certify certain items or services While the CMS 855o form states it is for practitioners who want to order and refer it is appropriate for use by prescribers who also want to enroll to prescribe Part D drugs Please note CMS is updating the CMS 855o to include the General Dentist option Until that form is updated dentists should select from either the Maxillofacial Surgery Oral Surgery dentist only if applicable or select Undefined Physician type and write in General Dentist Journal IDA opt out period You should verify that you are not indirectly contracted with a Medicare Advantage Part C plan for example as some dentists are If you are a Delta Dental provider you must enroll using either 855i or 855o in order for prescriptions to be covered under Medicare Part D CMS does not have a standard opt out affidavit form Additional opt out information is available online at go cms gov optoutinfo Sources Opting Out of Medicare 1 Taking NO action is NOT the same as Opting Out In order to Opt Out of Medicare you must file a written affidavit with CMS You may opt out and still prescribe Part D drugs however before opting out you should consider the following You must have a valid opt out affidavit on file with Medicare in order for prescriptions to be covered under Medicare Part D Opt out periods last for two years and automatically renew unless you cancel your opt out in writing no later than 30 days before the end of the current 2 year 2 3 4 5 6 https www cms gov Medicare Provider Enrollment and Certification MedicareProviderSupEnroll Downloads CMS 4159_FAQs pdf https www cms gov Medicare Provider Enrollment and Certification MedicareProviderSupEnroll Part D Prescriber Enrollment Dentists html https www cms gov Medicare Provider Enrollment and Certification MedicareProviderSupEnroll Downloads opt out decision matrix October 2015 pdf https www cms gov Medicare Provider Enrollment and Certification MedicareProviderSupEnroll Part D Prescriber Enrollment Opt Out html https www cms gov Outreach and Education Medicare LearningNetwork MLN MLNMattersArticles Downloads SE1311 pdf https www cms gov Medicare Provider Enrollment and Certification MedicareProviderSupEnroll Part D Prescriber Enrollment MAC List html THERE ARE MANY REASONS TO GET A PRACTICE VALUATION PROTECTING YOUR FAMILY MAY BE THE BEST Your practice is likely your biggest asset You should know what it is worth Use Henry Schein Professional Practice Transitions for your practice valuation Because how it s done matters 1 800 988 5674 www henryscheinppt com 2015 Henry Schein Inc No copying without permission Not responsible for typographical errors 15PT3335 15PT3335 Family_7 5x 5 indd 1 8 31 15 12 30 PM Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 39
Medicare Enrollment Deadline  Enrolling with form 855o allows you to prescribe Part D drugs and order and certify certain ...
Journal IDA Classifieds Positions Available POSITIONS AVAILABLE General Dentist Crown Point IN PT Dentist Crown Point IN Private practice actively searching for a Part Time Associate Dentist in an extraordinary patient team environment We focus on warm caring and expert communication while providing quality comprehensive dental care Qualified Requirements Doctorate of Dental Surgery DDS Current Valid State of Indiana Dental License Additional certifications permits licenses as required by state and federal e g CPR Federal DEA License or Permit current valid and in good standing Are you looking for the opportunity to work in a beautiful facility equipped with current technology and an established practice with a professional team classifieds Submit your CV or your Resume to danielle awdds com 40 General Dentist South Bend IN Full Time Associate Opportunity for a General Dentist to join one of our highly successful affiliated practices in South Bend IN State of the art practice facilities Strong commitment to long term dental care for the whole family Experienced practitioners or Recent Grads welcome Email Resume bames dentalcarealliance com www dentalcarealliance com Wisconsin Opportunities General Dentists and Specialists Dental Associates is opening new locations in Wisconsin Consider joining this dentist owned family practice that fosters a culture which invites our patients into our dental home and provides them with a caring and empathetic approach to dentistry You will not only experience the support and stability of working within a group but also the flexibility of managing your own practice We will ensure you have everything you need to be the best It s a win win for all involved Signing bonus and relocation allowance available Call or email Susan today at 800 315 7007 sbullen dentalassociates com Associate Dentist Wanted Warsaw I am looking for an ambitious General Dentist who wants to develop a long term career in a highly successful practice A new graduate or experienced is great Three full time hygienists nine operatories fully digital I am located in Warsaw Indiana with great outdoor recreation Check out our website at lakesidefamilydentistryllc com and email me at drmike2000 hotmail com Associate Dentist Indianapolis Full Time Associate Dentist in Indianapolis IN Competitive pay full benefits malpractice coverage and paid time off If you love working with children Kool Smiles is the place for you Please contact almarshall benevis com General Pediatric Dentist FQHC practice in Indianapolis area is seeking a full time general or pediatric dentist We offer competitive pay great benefits package CE allowance and eligibility for student loan repayment GPR or experience preferred Please send CV to rgandolph iuhealth org Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4 Full Time Associate opportunity in Crown Point Well established state of the art facility Excellent earnings and great benefits Experienced Practitioners or Recent Grads welcome Email resume bames dentalcarealliance com Learn more www dentalcarealliance net Associate North Central Indiana Ready for a Change Fantastic Opportunity in North Central Indiana Owner Dentist looking for competent patient oriented associate to join modern fast paced practice Huge growth potential in small town lake area while big city amenities are easily accessible Offices equipped with paperless charts digital radiography and capable EFDAs Partnership or buyout considered for the right candidate Patient care is our 1 priority If this appeals to you please respond via email with resume and cover letter NCINDDS gmail com Dentist Associate Desired An exciting opportunity for an associate to work for a privately owned multilocation dentist We are looking for a long term relationship Future Buy in new practice purchase opportunities will be available We prefer experienced dentists You will be working primarily on your own Must be very good at extractions and treatment planning and willing to turn around same day work Digital and chartless Southside Indy Eastside Indy and Anderson offices 4 5 days a week No weekends No evenings This is the position that does not come along everyday We will be very selective Send resume all4youdentalcare yahoo com
Journal IDA  Classifieds  Positions Available POSITIONS AVAILABLE General Dentist - Crown Point, IN  PT Dentist - Crown Po...
Classifieds Journal IDA Positions Available Dentist Needed in Goshen IN Well established dental practice needs energetic experienced and motivated Full time associate Must be an excellent diagnostician and highly skilled in all aspects of restorative work Surgical extractions a big plus Requires gentle touch outgoing personality and superb chair side manners Would also be interested in new graduates We offer great patients and an experienced energetic staff Salary and benefits are determined with knowledge and experience Contact us at 574 229 8180 or lgood abgdental net Associate Dentist Fishers IN Associate Dentist wanted for our successful general dentistry practice in fast growing Fishers IN This is a great opportunity for the right person with possibility for future buy in buy out We have an experienced dentist and staff in place with a good patient base and an amazing location where we provide a wide range of treatment We are chartless with digital x rays We re looking for a team player with an upbeat personality and a required minimum of 3 years of post graduate experience Please send resume to Complete Dental Care of Fishers 11479 Lantern Rd Fishers IN 46038 or email at cpsdds73 gmail com PT Oral Surgeon Dentist Our Office is looking for a PT Oral Surgeon Dentist to add to our team of Excellent Dental Professionals We are high tech modern and fast pace Dental Group employing people with excellent clinical and personal skills OS need to Dental Assistant Full Time We are looking for a full time Dental Assistant Hours are Monday 9 8 Tuesday 9 5 Wednesday 9 8 and Thursday 9 5 Please call 260 486 2339 and ask for Office Manager Vickey Associate Dentist Needed Immediately Private practice in Indy seeks motivated dentist to work 1 5 days a week MonFri Hours are 8 5 no weekends no evenings Fully digital modern office with great staff Pay is based on experience and will be a percentage of production Extractions C B Dentures RCT s Fills No hygiene Total autonomy and freedom to treatment plan on your own Single owner dentist with 22 years of experience Great opportunity for the right person Send resume info tenthstdentalcare com General Dentist Elkhart IN Heartland Dental supported offices are looking for outgoing and positive Dentists that are seeking career satisfaction and continuing education opportunities There are 100 reasons to join Heartland Dental discover yours For more information contact kayers hearland com or apply today at heartland com Dentist Needed for Maternity Leave Looking for a caring Dentist to cover 3 months of maternity leave from November 14 2016 Feburary 23 2017 for private practice on east side of Indy Office is open Monday 7 5 Tuesday 7 6 and Thursday 7 6 Please email linadds1 gmail com or call 920 791 7272 Private Office Seeks Dentist Associate East side Indy practice seeks motivated Dentist to work 4 days per week No weekends No evenings Percentage of Production Salary Not Based On Collections Chartless fully digital modern office with expanded duty assistants Full autonomy to practice in your comfort level the way you want to practice This is a rare opportunity to work for a single owner private practice Personality must be upbeat positive and motivated to produce quality dentistry www tenthstdentalcare com Part Time General Dentist and practice for sale Work at your own pace set your own schedule no expected production goals Honest and caring environment Practice is also for sale I m flexible 8151 E 21 St Indianapolis dentists caringdentists org Dr Reyes 317 246 9859 Part Time Dentist Fishers IN Mid America Health is currently seeking a Part Time Dentist to join our growing team This position is 2 days per week Mondays and Thursdays based out of the Fishers area and is a rewarding opportunity providing portable dental services to children at local schools All supplies equipment and support staff are provided Join our team today at www mahweb com classifieds General Dentist South Bend IN Area Heartland Dental supported offices are looking for outgoing and positive Dentists that are seeking career satisfaction and continuing education opportunities There are 100 reasons to join Heartland Dental discover yours For more information contact kayers hearland com or apply today at heartland com be proficient in 3rd molar extraction sedation and implant placement Please email jdentist gmail com for any questions Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 41
Classifieds  Journal IDA  Positions Available Dentist Needed in Goshen, IN Well established dental practice needs energeti...
Journal IDA Classifieds Positions Available Administrative Clinic Assistant Established Brownsburg Indiana Dental practice hiring team member Computer and communication skills critical Team mentality important Send resume to 4474 Pinewood Brownsburg IN 46112 Contact info smilesbytodd com Kool Smiles Dental Specialists Needed in Indiana Kool Smiles has Oral Surgeon Pedodontist Orthodontist Endodontist and Dental Anesthesiologist Full Time and Part Time opportunities available throughout Indiana We offer generous compensation and outstanding benefits including 401k PTO malpractice health life insurance CE licensing reimbursements and Visa permanent residency sponsorship For more information contact Emily Platto today at eplatto benevis com classifieds Full time associate Associate needed for practice south of Fort Wayne Ownership possibilities included Practice is 100 fee for service Great starting salary plus benefits and buy in opportunity Great work environment and staff Email resumes to drevanseck gmail com 42 Kool Smiles Dental Specialists Needed Nationwide Kool Smiles has Oral Surgeon Pedodontist Endodontist Orthodontist and Dental Medical Anesthesiologist Full Time and Part Time opportunities available nationwide Kool Smiles offers generous compensation and outstanding benefits including 401k PTO malpractice health life insurance continuing education licensing reimbursements and Visa permanent residency sponsorship For more information contact Emily Platto at eplatto benevis com Kool Smiles Associate Dentist Opportunities in Louisiana Kool Smiles Associate Dentist FT PT Multi Site opportunities in Louisiana Earn up to 650 Daily Guarantee or of Collections Up to 20 000 Sign On Bonus Relocation We offer outstanding benefits including 401k PTO malpractice health and life insurance CE licensing reimbursements and Visa Permanent Residency sponsorship Contact a recruiter today at jobs koolsmilespc com Great Dentists Wanted Hiring Bonus Lagrange Albany IN Midwest Dental supports great local dentists Our culture of joy sets us apart from other dental organizations Joy leads to better care better ideas better outcomes and rewarding careers Whether you are fresh out of school a seasoned veteran or anywhere inbetween we match you with practice opportunities that meet your long term goals while supporting you along the way Great Benefits Signing Bonus Guaranteed Salary Partnerships Profit Sharing Work Life Balance Practice Leadership Enhanced Learning Administrative Support Education Requirements Doctorate of Dental Surgery DDS or Doctorate of Dental Medicine DMD required please contact cbixler midewest dental com Kool Smiles Associate Dentist Opportunities Nationwide Kool Smiles Associate Dentist FT PT Multi Site opportunities in 16 States Earn up to 650 Daily Guarantee or of Collections Up to 20 000 SignOn Bonus Relocation We also offer outstanding benefits including 401k PTO malpractice health and life insurance CE licensing reimbursements and Visa Permanent Residency sponsorship Contact us at http www koolsmilesjobs com connect Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4 Hygienist Lebanon Indiana Looking for a smiling friendly hygienist with an I can help attitude Must have one year experience be ready to work hard and make a difference in our small town practice close to Indy Send resume and salary history to info toshdentalgroup com Full Part Time Dentist NW Ohio High production dental practice in Northwest Ohio seeking full or parttime general dentists and part time oral surgeon Paperless system and digital x ray Great opportunity for recent grads to hone skills speed or experienced dentists to practice dentistry without the hassles of running a practice Base salary commensurate with experience plus quarterly bonus available Benefits include health insurance retirement plan flexible hours and days professional liability insurance and some continuing education Loan repayment site for eligible dentists Please send CV to hrdepartment dentalcenternwo org EOE Associate Position Robust private practice located in Indianapolis is looking for an associate dentist Fully digital office with highly trained staff Excellent compensation and CE opportunities Email resume to Indydentalteam gmail com General Dentist Multi location Northern Indiana dental practice looking for an Associate Dentist with opportunities in both Plymouth and Bourbon offices Modern offices including Digital X ray equipment Intra oral Cameras and XLDent practice management software We are a nonPPO non Medicaid family owned and operated practice We are looking for a commissioned based associate with the opportunity to transition into a partnership or buy out Please send resume to kclauss bourbonfamilydentistry com
Journal IDA  Classifieds  Positions Available Administrative  Clinic Assistant Established Brownsburg, Indiana Dental prac...
Classifieds Journal IDA Positions Available General Dentist Pediatric Part Time Are you a general dentist who like to treat children We are looking for a part time dentist in Richmond IN for our dentist owned group practice Please send CV s to dentaljobsindiana gmail com General Dentist Kokomo Sign On Bonus Available Heartland Dental supported offices are looking for outgoing and positive Dentists that are seeking career satisfaction and continuing education opportunities There are 100 reasons to join Heartland Dental Discover Yours Contact kayers heartland com Associate opening Large Private Practice Hadley Family Dentistry has the rare opening for an associate dentist for our south Indy location Mondays and Tuesdays We do have some flexibility with which days of the week they are We are looking for an energetic caring doctor willing to work with all ages of patients to help with our growing patient base We are a large private practice with two locations We prefer post grad field experience but would consider other applicants You would be working primarily independently Digital and chartless office Please send resume to nicole drhadleydental com Full Time Expanded Duties Dental Assistant We are looking for a smiling friendly person to join our busy patient centered practice in Huntingburg IN Must be a self starter and multi tasker with a passion for quality dentistry and a desire to broaden your knowledge in the dentistry field Offers full time if you have a great personality and exceptional work ethic Please send resume to SMichaelSandy86 aol com Contracted Pediatric Dentist The Robbins Dental Clinic at Healthy Beginnings a division of the Elkhart County Health Department is looking for a dentist who is interested in working with our pediatric patients on Monday s from 10 00 am to 6 00 pm Initial duties would include dental exams diagnoses and the possibility of becoming a full time position in the future which would include restorative procedures We have a wonderful staff that can guide you into loving pediatric work You may e mail your resume to msizemore elkhartcounty com Also visit us at www elkhartcounty com for more information about our program and services General Dentist Hammond IN General Dentists needed to work in our busy Indianapolis and Hammond IN practices Have clinical freedom and autonomy like in traditional private practice without the burdens of practice management and no production quotas Our offices are state of the art with great support staff Production based compensation est 175k with minimum guarantee paid malpractice health disability insurance 401K and CE reimbursement visa sponsorship Call 773 456 7071 or send resume to ABolivar destinydentalcare com PT Oral Surgeon Endodontist Northwest IN Large established family practice located in Northwest Indiana is looking to grow into a multi specialty office We are one of the highest rated offices in the area with a first class staff and facility We would like a talented specialist to join our team on a part time basis This is a great opportunity for a specialist to establish themselves in the northwest Indiana area We have the ability to market and grow with the right candidate Please email C V to nwindianadds gmail com Associate Dentist Kool Smiles is hiring full time dentist positions available in multiple locations in Indiana Dentists will work 4 5 days per week and we are offering 20 000 sign on bonus s and full relocation Very competitive daily guarantee and great benefits Please contact Alyssa Marshall at almarshall benevis com for more information classifieds Merrillville Hygienist and EFDA NWI practice seeks to add an EFDA and hygienist to our growing dental family Looking for an I can help attitude and someone who is reliable and selfmotivated Office is located in Merrillville IN just off I 65 and US 30 Compensation will be in line with experience and skills If you are interested in joining our team email your resume to merrillvilledentalcenter gmail com General Dentist Full Time Chicago Exciting Opportunity Growing Chicago based PPO fee for service dental group seeking a general dentist with 2 years experience to join us on a full time basis Offices located in south southwest and west suburbs Expecting growth to northwest and north suburbs of Chicago soon In house dental specialists administrative and clinical support and modern digital offices Competitive compensation and comprehensive benefits package health care insurance and 401 k as well CE opportunities H 1 Visa sponsorship available Relocation allowance available IL license required Please email your cover letter and CV to dentists csgsmiles com Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 43
Classifieds  Journal IDA  Positions Available  General Dentist Pediatric - Part Time Are you a general dentist who like to...
Journal IDA Classifieds classifieds Positions Available Practices Available Equipment Job Seekers 44 POSITIONS AVAILABLE PRACTICES AVAILABLE Dental Assistant Seeking a motivated and experienced CDA for a quality well established fee for service practice Team members enjoy a Mon Thur schedule and opportunities to expand their professional knowledge through ongoing CE working with CEREC and leading industry professionals The successful candidate either possesses or demonstrates the aptitude to acquire the knowledge skills and abilities to successfully serve patients as the right hand of the doctor Full time in Lafayette High School Degree or equivalent Radiology and DANB certified If you meet these attributes we would be excited to meet you and further discuss a future Submit resume to jobs ellsworthdaydds com So IN Family Dentistry practice for sale Efficient 27 year established practice Located in very high traffic area highly visible Great schools 450 000 per 3 day week Active patient count 1125 15 minutes from downtown Louisville KY Perfect for new graduate or satellite office Why take on excessive debt Low asking price Contact soinpracticeforsale gmail com General Dentist We are seeking a full time experienced general dentist for our Wisconsin Office Practice in a beautifully remodeled space in a great location near Janesville Madison We are searching for a candidate who will be involved in the community in order to build long term relationships with our loyal patient base Comprehensive benefit package offered with Income Guarantee 5 000 Signing Bonus and Relocation fees available This position has future partnership potential Email resume to dental2848 gmail com Are You Exceptional Our well established fee for service dental practice in Chicago South Suburbs is growing again We are looking for outstanding General Dentists Orthodontists and Pediatric Dentists interested in joining our team of exceptional Dental Professionals Our facility is state of the art and our support teams are fully trained the only thing missing is you Send your resume to ddsjob456 gmail com Dental Office for Sale Northwest IN Free standing 4000 sqft fully equipped dental office building for sale Located in Northwest IN on a very busy intersection across from Jewel major retailers and banks Office is fully furnished with state of the art equipment Adec dental chairs and cabinets 3D i Cat scan Waterlase laser fully digital 8 tx rooms and plumbed for 12 For sale at 749 000 only valued at over 1 4 Million Once in a lifetime opportunity Sale of patient base is negotiable If you are Qualified and Pre Approved please send your inquiry to drdds2016 gmail com Dental Practice in Southwest Indiana Well established practice with 4 operatories and serving 1 942 active patients After all expenses are paid the first year annual cash flow is estimated to be 230k on a 4 day work week For a full detailed report contact Chad Bruner cbruner paragon us com 614 588 3518 www paragon us com EQUIPMENT Intraoral X Ray Sensor Repair We specialize in repairing Kodak Carestream Dexis Gendex Schick CDr sensors Repair save thousands over replacement cost We purchase old broken sensors www RepairSensor com 919 924 8559 JOB SEEKERS General Practice For Sale Long established FFS practice for sale in Northern Indiana Confidentially listed spacious standalone 6 operatory building with 2015 revenue of 785K Practice offers good profitability with a 4 day work week Real estate offered for sale or lease Flexible Pankey trained Practitioner willing to stay on to transition patients to a new owner Practice proforma with after tax cash flow analysis available Contact northindianadentist gmail com General Practice IN 1276 Wabash County 5 Operatories Average collections 397 387 net 170 434 Nice location large modern office Longevity solid patient base Room for growth Contact Jason Gamble MBA NPT 877365 6786 x229 j gamble NPTdental com www NPTdental com Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4 General Dentist Griffith IN Heartland Dental supported offices are looking for outgoing and positive Dentists that are seeking career satisfaction and continuing education opportunities There are 100 reasons to join Heartland Dental discover yours For more information contact kayers hearland com or apply today at heartland com Temporary Dentist Dentist available in Indianapolis and surrounding areas to cover maternity medical or personal leaves I am very personable with a calm and friendly demeanor You can rest assured knowing I will provide quality care to your patients and keep your office running smoothly in your absence TempDentistIndy gmail com
Journal IDA  Classifieds  classifieds  Positions Available   Practices Available   Equipment   Job Seekers  44  POSITIONS ...
Member Info Journal IDA New Members Dr Paul Botsford Roseman Univ 2016 FIRST DISTRICT DENTAL SOCIETY Dr Paul Effinger Midwestern Univ 2016 GREENE DISTRICT DENTAL SOCIETY Dr Megan R Booe IU 2016 INDIANAPOLIS DISTRICT DENTAL SOCIETY Dr Jabrea Lynne Bennett IU 2012 Dr Vidya R Bettagere IU 2016 Dr Samantha Blaha Univ of Nebraska 2016 Dr Katherine L Boehm IU 2016 Dr Kylie Bontrager IU 2016 Dr Shira Ruggs Dancy IU 2016 Dr Jenna M Davies IU 2012 Dr Brandt Finney IU 2016 Dr Quantez T Freeman IU 2015 Dr Wendy J Garvin IU 1997 Dr Jeffrey Golder IU 1988 Dr Angela L Greenaway IU 1999 Dr Cheryl R Hartman IU 2007 Dr Donald R Helfert IU 2010 Dr Jenonghwa Hong IU 2016 Dr Emily Jane Horcha Univ of KY 2012 Dr Daniel B Jenks IU 2016 Dr Armaun Karimzadeh IU 2015 Dr Patrick S Kelly IU 2016 Dr Chanh M Le Univ of Detroit 2015 Dr Corey D Martinez IU 2015 Dr Dean Morton Univ of Iowa 1995 Dr Dean H Oller IU 1991 Dr Carol Patel Univ of Louisville 2013 Dr Dalibor Plecas IU 2016 Dr Erin Rake IU 2010 Dr Tanet A Sinchai IU 2008 Dr Amul H Singh SUNY at Buffalo 2001 Dr Aaron R Springhetti Univ of Louisville 2013 Dr Helena M Swank IU 2009 Dr Timothy J Treat IU 2016 Dr Jack G Windsor IU 2016 Dr Stephanie A Wright IU 1999 Dr Virginia Young Univ of FL 2016 ISAAC KNAPP DISTRICT DENTAL SOCIETY NORTH CENTRAL DENTAL SOCIETY Dr Tamara Gierke Button IU 2007 Dr Daniel P Joldersma Univ of Detroit 2016 NORTHWEST INDIANA DENTAL SOCIETY Dr Kara E Clark IU 2012 Pittsburgh 2016 Dr Shaun Freeman IU 2016 Dr Timothy J Kamp Midwestern Univ 2016 Dr Faye M Kostidis IU 2004 Dr Omosede Osagiede Boston Univ 2015 Dr Anthony M Pulver Midwestern Univ IL 2015 Dr Katherine M Zuccarelli Loyola Univ 1991 members EAST CENTRAL DENTAL SOCIETY SOUTHEASTERN INDIANA DENTAL SOCIETY Dr Travis Gross IU 2005 Dr Franklin Awah Univ of AL 2016 Dr Abigail J Colclasure Univ of Louisville 2016 Dr Zachary S Colclasure Univ of Louisville 2016 Dr Brittney D Levsey Univ of Louisville 2004 Dr Noopur D Patel IU 2016 Dr Nicholas Rorick IU 2011 WESTERN INDIANA DENTAL SOCIETY Dr Nichole Barnett IU 2016 Dr Theodore Kula III IU 2016 In Memoriam Dr James W Bayley of Lafayette and member of the West Central Dental Society passed away October 4 2016 Dr Bayley graduated from Indiana University School of Dentistry in 1964 Dr James E Dumas of Fort Wayne and member of the Isaac Knapp District Dental Society passed away September 22 2016 Dr Dumas graduated from Indiana University School of Dentistry in 1964 Dr Jonathan L Gray of Indianapolis and member of the Indianapolis District Dental Society passed away December 2015 Dr Gray graduated from University of Illinois School of Dentistry in 1972 Dr Ralph Dan Rohn formerly of Alexandria and member of the East Central Dental Society passed away July 29 2016 Dr Rohn was an IDA Past President He graduated from Indiana University School of Dentistry in 1953 Dr C Neal Heape of Sullivan and former member of the Western Indiana Dental Society passed away August 2016 Dr Heape graduated from Indiana University School of Dentistry in 1977 Dr Jeffrey L Winn of New Whiteland and member of the Indianapolis District Dental Society passed away October 4 2016 Dr Winn graduated from Indiana University School of Dentistry in 1987 Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 45
Member Info  Journal IDA  New Members  Dr Paul Botsford  Roseman Univ 2016   FIRST DISTRICT DENTAL SOCIETY Dr Paul Effinge...
Journal IDA Last Word The Servant as Leader Dr Michael D Rader The Roman Empire was in dire straits The barbarians were at the gates The Roman senate in an act of desperation sent a delegation to visit the modest farm of disgraced former senator Lucius Quinctius Cincinnatus where he was found plowing his field They offered Cincinnatus total dictatorial power with the title of Magister Populi Master of the People if he would raise an army and save the Republic Cincinnatus led the army and in the decisive Battle of Mons Algidus routed Rome s enemies With victory firmly established Cincinnatus abruptly resigned his dictatorship and returned home to resume his life as a farmer This entire episode played out in sixteen days His actions have been cited as an example of outstanding leadership civic virtue and sacrificing personal ambition to the common wealth Centuries later on a far away American continent another man displayed equal personal restraint of ambition George Washington led the revolutionary army to victory against the British Empire the world s greatest army and at the height of his popularity and power voluntarily left to return to Mount Vernon and private life King George III asked American portrait painter Benjamin West what Washington would do after winning independence West replied They say he will return to his farm If he does the King replied He will be the greatest man in the world Such a sacrificial act was unknown and incomprehensible in Europe where monarchs ruled with tyranny and fought for unabashed power And to Washington s contemporaries he was the greatest man Franklin was wiser than Washington Hamilton was more brilliant Jefferson was more intellectually sophisticated Adams was more engaging and Madison was more politically astute but Washington was still the greatest And they would all agree to that Founding BrothersEllis Today as our nation contemplates who it will elect as its next president it might be useful to consider what yardstick we as voters use to measure our leaders Are we looking for a leader who will build a wall or someone committed to opening more doors Do we want a leader who promises free college tuition or a leader who holds a more strict interpretation of the Constitution Perhaps rather than choose a leader based upon on specific policies or positions that are subject to change as circumstances and unanticipated complications arise we might examine a characterdriven or character based leadership style The type of leadership practiced by Cincinnatus and Washington is frequently referred to as servant leadership A servant leader places duty honor and service before any self consideration 46 A servant leader is moral not only in his or her personal and professional life but in encouraging moral behavior among followers The servant leader s focus is to serve the organization s members nurturing their growth as well as building a similar culture in the organization The servant leader s primary concern is the success of all stakeholders which could include employees customers colleagues partners community and ultimately all of society And most importantly the servant leader continually looks inward always reflecting upon his or her motivations as a counterweight to the ever present human temptation of hubris This last characteristic seems almost completely lacking in most of our career politicians But these words are not about our national state or local elections and leaders What motivates each of us Why do we accept the mantle of leadership for the myriad of opportunities that exist for each of us Is our motivation as unalloyed as we would like to believe or are we blind to our own personal ambition and selfaggrandizement Is an impressive curriculum vita our goal and impetus for action We live in a culture increasing dominated by Facebook incessant tweets and 24 hour instant communication Personal happiness and success is often defined as not being frustrated in the realization of our wants It seems easy to confuse one s personal desires as synonymous with the common good Any person who views life through the lens of an iPhone at the end of a selfie stick is likely to be lacking in perspective and empathy Is the selfless leadership practiced by Cincinnatus and Washington aberrant flukes in history or examples we should embrace as our goal Or have we descended into a dark age of diminished expectations where the best we might hope for was suggested by the cynic who said If you re looking for a leader first find someone who is intelligent energetic and has integrity If he doesn t have the last pray that he lacks the first two as well I hope not About Dr Rader Dr Michael D Rader is a general dentist practicing in South Bend IN He can be reached at drrader sbcglobal net Journal of the Indiana Dental Association Fall 2016 Volume 95 Issue 4
Journal IDA  Last Word  The Servant as Leader Dr. Michael D. Rader The Roman Empire was in dire straits. The barbarians we...
Last Word Journal IDA 2017 IDA Monthly Dues Program Pay your 2017 ADA IDA and local dental society membership dues through our Monthly Dues Program that allows you the convenience of paying in monthly installments Should you enroll in this optional program the IDA will deduct dues payments from your bank account each month There is no fee for this program for 2017 To enroll in the Monthly Dues Program complete this form and return to IDA by December 15 2016 Authorization Agreement for Preauthorized Bank Payments Dentist Name ______________________________________________________________ ADA _________________________________ I hereby authorize Indiana Dental Association to initiate debit entries to my bank account indicated below and the bank named below to debit the same to such account Bank Name ____________________________________________________________________________________________________________ Bank City __________________________________________________________________ State ___________ Zip __________________ Routing No ____________________________________________________ Account No _________________________________________ Notice This authority is to remain in full force and until the Bank has received written notification from me or its termination in such time and in such manner as to afford the Bank a reasonable opportunity to act on it Name ___________________________________________________________________________________________________________________ Address ________________________________________________________________________________________________________________ City _________________________________________________________________________ State ___________ Zip __________________ Phone _________________________________________________________ Component _________________________________________ Signature _____________________________________________________ Date _________________________________________________ Please fax this completed form to 317 634 2612 email jody indental org or mail to IDA Attn Jody Cleary 1319 E Stop 10 Road Indianapolis IN 46227 OR go online at INDental org and sign up Refund Policy At IDA s discretion participants may request a refund until April 1 2017 After this no refunds will be given Fall 2016 Volume 95 Issue 4 Journal of the Indiana Dental Association 47
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