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Journal IDA
2018 ISSUE 1
Dr. Jay Asdell Runs for IU Trustee
Page 18
Tetracycline Veneers: IDA member
case study
Page 22
Special Oer for Indiana
Dental Association Members
Clearly the leader in amalgam separation
Clearly the leader in amalgam separation
Oer expires 05/19/18. Must use item #NXT-HG5-BDL1 to order.
Promotion only applies to standard retail/wholesale priced orders. Enrollment in Solmetex AutoShip
program required. No additional discounts can be combined or applied. Oer may be discontinued or
changed without notice and void where prohibited.
800.216.5505 |
$900 Savings o
Get the
Solmetex Product
Bundle for only
To take advantage of this great oer, go to:
• NXT Hg5 or NXT Hg5 mini Amalgam Separator
• NXT Hg5 Collection Container with Recycle Kit
• Practice Waste Solutions Amalgam Bucket
• Enrollment in Solmetex AutoShip Program
The Solmetex Product Bundle
for IDA Members Includes:
Solmetex Amalgam Separator
Receives Endorsement
Page 16
160th Annual Session returns to
French Lick Resort
Page 30
Back by Popular Demand: IDPAC
Wall of Wine
Page 42
Journal IDA
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
Council on Communications
Dr. Matthew Kolkman, Chair
Dr. Allison Bergdoll
Dr. Thomas Blake
Dr. Jack Drone
Dr. Dawn R. Durbin
Dr. Ajay Joshi
Dr. Megan Keck
Dr. Amanda Miller
Dr. Thomas M. Murray
Ocers of the Indiana Dental Association
Dr. Gregory Phillips, President
Dr. Daniel W. Fridh, President-Elect
Dr. Steven Ellinwood, 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. Jay Asdell, Immediate Past President
Mr. Douglas M. Bush, Executive Director, Secretary
Submissions Review Board
Dr. Jerey A. Dean, Indianapolis, Indiana
Dr. Roger L. Isaacs, Indianapolis, Indiana
Dr. Joseph H. Lovasko, Hammond, Indiana
Dr. Jerey A. Platt, Indianapolis, Indiana
Dr. Christopher R. Miller, Indianapolis, Indiana
A publication of the Indiana Dental Association.
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 oces.
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
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
Copyright 2018, the Indiana Dental Association.
All rights reserved.
Register online at
w NAMES FOR BADGES (print or type)
Last First A $295 TH107 $0 FR200 $0 FR203 $0 AA401 $120 SP307 $15 $430
q PRIMARY REGISTRANT (print or type)
Name _________________________________________________________
Address ___________________________________Suite _______________
City _________________________State_________Zip_________________
Phone ________________________________________________________
E-mail Address _________________________________________________
IDA Component ________________________________________________
(dentist only)
IUSD Alumni Class of ____________________________________________
Registration is required for entrance into all CE courses, social events, Exhibit
Hall, alumni events, and the IDA House of Delegates. Please list below the
names of all staff attending the Annual Session. For larger staffs, duplicate
this form before filling it out and list names accordingly.
The preregistration deadline is Friday, May 26, 2017.
Registrations are accepted online at <>
OR mail to: Indiana Dental Association, 1319 East Stop 10 Road,
Indianapolis, IN 46227.
OR fax to the IDA Central Office at 317.634.2612.
BEST Register on the IDA website at
Receive immediate e-mail confirmation
BETTER Fax to 317.634.2612
GOOD Mail to Indiana Dental Association
1319 East Stop 10 Road, Indianapolis, IN 46227
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I wish to pay by:
Card number
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Cardholder signature _______________________________________________________________________
By my signature above, I authorize the IDA to debit my credit account with the grand total due.
See facing page for full listing of codes and fees
I Dental Student.........................---
J AIDA......................................---
K Guest, Adult...........................$25
L Guest, alumni conference only .....---
M Guest, Awards Ceremony only......---
N Guest, 18 years and younger........---
O Component Executive Director .....---
P Dentapalooza ..........................---
A Dentist ..................................$295
B Dentist, IUSD alumni.....................---
C Dentist, HOD member.................$95
D Dentist, 1st-time HOD member........---
E Dentist, Retired member ...............---
F Dentist, Non-member ...............$590
G Hygienist .................................$95
H Dental team member..................$55
12 WORD PAIRS Dr. Bill Risk
Dr. Thomas Murray
22 TETRACYCLINE VENEERS: case study Dr. Tim Adams
47 LAST WORD Dr. Michael Rader
Member Zone
Registration Form
Annual Session
Journal I DA
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Look for us at
Look for us at
Journal I DA
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
Jana and I were at dinner with some friends over the weekend and I was weaving stories loosely
resembling my life. Someone made the comment that my life was like a Seinfeld episode. We all had
a good laugh and when we nished dinner and were driving home, I asked Jana if my life was like
George Costanzas. Without even looking up from her phone, she answered, “Even more frustrating
than his…”
I did not take exception to her response or my friend’s
comment at all. Both are right. There are times when I feel
like Lieutenant Dan hanging from the mast asking God
if the hurricane he was in the middle of was the best He
could do. We all feel that way, right? Maybe not, but all of us
feel better and do better in certain situations.
For example, the boys and I decided to shop in a very
urban, healthy, and conscientious grocery store to pick up a
few items for dinner. There was everything there from kale
juice to wheat grass growing in the refrigerated section.
I asked a sales associate, James, for some ground chuck
and ground pork, and it was as if I had asked him to solve
an algebra problem. He said that their cuts of meat were
much leaner and grass fed. I responded that I like to mix
some ground chuck with ground pork for a little flavor
and fat to make chili because pork is so lean. I think that
the associate thought I was a horrific parent for feeding
the boys something so fatty. I felt a call to Child Protective
Services was imminent. We looked blankly at each other
for a moment. Finally, I thanked James for his help and left
before we were forced to eat a loaf of nine grain bread.
We stopped at our local meat shop on the way home and
got some beef, pork, bacon, cheese, and potatoes. I also
grabbed some jalapeno beef sticks for safe measure for
the remainder of the ride home. At dinner, Tate and the
boys shared with Jana our adventure. She laughed and
said she was glad that she was not with us. The boys said it
was hilarious and they could see my frustration with James
growing. Everyone had a good laugh, again at my expense.
I may be George Louis Costanza.
Do I have a point? Maybe. This May 16-19, I will certainly be
more at home and well within my comfort zone in French
Lick. Annual Session is always a favorite time of year for me
to meet with colleagues and their families. I will likely not be
as uncomfortable as I was with James in the fat free meat
section. I will be surrounded with members of the greatest
profession in the world.
We spent a couple of nights at The French Lick Resort over
the Holidays, and our family’s conclusion was that it was
not as much fun as going there when the IDA takes over
the grounds. Please make plans now to join our profession
and colleagues in French Lick for Annual Session.
Journal Editor Dr. Jack Drone is a general dentist practicing in
Rensselaer, IN. He can be reached at
Dr. Jack Drone
Where I Fit in the Best
Editor’s Message
Journal I DA President's Message
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
The gingival col. We all learned about this insignicant area of gum tissue while in dental school but
probably very few of us have given it much thought since graduation (or maybe even since midterms
of that year!). If you have completely forgoen about it, it is that area of gingiva between the facial and
lingual interproximal papillae of the posterior teeth that has a “sagging pup tent” shape.
Did you know that this was not described in the dental
literature until 1961? Yes, I know this was a long time ago and
well before many of you were born, but just think about how
many thousands of molars had been extracted before this
and no one made any mention of this oddly shaped piece of
gum tissue! Dentists just went to the oce, extracted a molar,
looked at the col and never gave it a second thought. We
have all heard that you don’t know what you don’t know –
this is a great example of all these dentists not knowing that
they didn’t know what a col was.
What’s this have to do with continuing education, other than
just learning “fun facts to know and tell?” If you have been
in practice for a few years, do you just go to work each day
and do the same old thing – “drill ‘em, fill ‘em and bill ‘em?”
Dentistry is more than just a job, it is a profession - your
chosen profession. If you have been in practice a few years,
look around at what you are doing dierently today than
what you did when you graduated; it is incredible how rapidly
dentistry is changing.
I have often heard a good friend of mine from Boston say
that patients do an amazing thing – they allow us to stick
them, poke them, drill them and cut them. If you have any
kind of patient rapport, you can probably get them to laugh
or at least talk to you while you do these things to them. The
bottom line is that they put their trust in us and I believe we
owe it to them to do the very best we can and to stay as
current as possible.
Staying current does not mean spending 15 minutes with your
dental supply rep talking to you about why you need this
new, improved product in your oce! Staying current means
continuing education presented by independent researchers
and clinicians. A bonus to learning about new techniques or
materials is that it helps me stay excited about dentistry which
helps me have a positive attitude. When I get up each day I
don’t think that I have to go to the oce but rather, I get to go
to the oce! You may have heard me say that dentistry is not
a job for me, it is more like a hobby; something I am excited
about and something I very much enjoy doing.
When I have invited dentists to attend our local study club, I
have occasionally gotten the reply that “I get all the CE I need
from such and such programs.” Yes it is true that to maintain
your license in Indiana you only need 20 hours of continuing
education credits (which is a ridiculously low number and
a topic for another editorial) but continuing education is
more than just meeting an arbitrary requirement: It is about
learning. It is about staying current. It is about staying excited
about our profession. It is about providing the best possible
care we can to our patients.
As you know, our annual session is coming up shortly and
there are multiple reasons for you to attend: it will be at
French Lick, an amazing resort and fun for all family members:
golf, a casino, swimming, horseback riding, tennis, bowling,
rock climbing and much more. On Thursday we will have our
member celebration, our largest outside networking event;
Friday evening will feature comedian Heywood Banks. There
will be ample opportunity to reconnect with classmates and
friends. These are all good reasons in themselves to attend.
Dr. Gregory Phillips
The Case for Continuing Education
President’s Message
Journal IDAPresident's Message
Volume 97 · 2018 · Issue 1  | Journal of the Indiana Dental Association
Of course there will also be continuing education; world class
speakers presenting cutting edge lectures. Come, have fun,
learn and stay excited about dentistry.
IDA President Dr. Gregory Phillips is a periodontist practicing in 
Columbus, IN. He can be reached at 
You’re Invited: 
Dr. Greg Phillips’
Annual Session
Hospitality Suite
Meet & Mingle with Fellow
IDA Members & Leadership
Enjoy Light Appetizers &
Adult Beverages
Wed, May 16  7 - 10:30
Thurs, May 17  2 - 4 p.m.
Fri, May 18  3 – 5 p.m.
Look for
The Presidential
Hospitality Suite
Keeping the 
game fair... you’re not  
  fair game.
The fast-changing practice of dentistry  
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

ProAssurance Group is rated A+ (Superior) by A.M. Best.

Journal IDA Executive Director's Message
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
While the ADA, CDC, FDA and EPA have long considered dental amalgam a safe dental restorative
material, there have been growing concerns about potential environmental impact when amalgam
waste goes down the drain. If not caught by dental oce ltration systems, it nds its way to water
treatment plants. Sewage sludge from treatment plants is oen taken to landlls or incinerated. Both
disposal methods can release the mercury contained in amalgam back into environment. That’s not
That’s why the ADA has long promoted best management
practices that recommend the use of dental amalgam
separators. Separators catch amalgam particles that filters
and traps miss, further limiting the amount of amalgam that
makes its way into the waste water system. For years the
ADA has worked with the EPA in developing new rules that
govern the management of dental amalgam waste. The EPA
released its final rule in June 2017.
While the rule addresses several issues, one of the most
important is a new amalgam separator requirement. No
longer just a recommendation, most dental oces are
required to have separators in place by July 2020.*
IDA has been watching the rule development proceedings
for over four years. Our IDEA Board (the IDA subsidiary that
reviews products and services) got ahead of the final rule by
meeting with amalgam separator companies, interviewing
their leadership, and examining their products. We wanted to
assist our members in making their best purchase decision.
Last month, the IDA ocially made Solmetex the ocial
amalgam separator company of the IDA. Solmetex was
selected for a number reasons:
1. Quality – The Solmetex separators are professionally
designed and robust.
2. Simplicity – They are easy to use and operate. Replacing
recycling containers is simple.
3. Cost – The Solmetex separators are competitively priced
and available from a number of dierent dental product
distributors. Additionally, special pricing is being oered
to IDA members.
Especially exciting is an introductory oer from Solmetex.
Rumor has it that some dentists procrastinate. At least that’s
the fear of the folks at Solmetex. They know that if dental
oces wait until the weeks leading up to the July 2020 EPA
deadline, they and their distributors will be overwhelmed.
Therefore, they are encouraging dentists to act early by
oering special incentives to IDA members who purchase
their separator packages between now and May 2018.
(Editor’s note: see page 16 for more details.)
It’s a win/win. By acting early you can purchase a separator
and recycling kit for $298, more than $900 savings o of
suggested retail. You will also have peace of mind, knowing
that you are prepared for the new regulations and that you
are doing all you can do to protect the environment.
More information regarding Solmetex, their products and
services, and their special introductory oer may be found at
* The following dentists are exempt from the new rule:
Dentists who practice oral pathology, oral and maxillofacial
radiology, oral and maxillofacial surgery, orthodontics,
Mr. Douglas M. Bush
Protecting the Environment and
Your Pocketbook
Executive Director’s Message
Journal IDAExecutive Director's Message
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
periodontics and prosthodontics. Dentists who do not
place amalgam and only remove amalgam in unplanned or
emergency situations (estimated at less than five percent
of removals) are also exempt, as are mobile dental units.
Dentists who already have separators are grandfathered in
for 10 years.
More information regarding the EPA final rule as well as
additional resources for dentists are available online at
Mr. Doug Bush is serving his 22nd year as IDA Executive Director.
He can be reached at
At Blue & Co., LLC, we’re focused on the needs of
densts. Our insighul, dental industry-tailored,
proacve soluons include:
Payroll & Accounng
Accounng &
Tax Preparaon &
Business Valuaon
Rerement Plan
Pracce Management
Services & Soluons
Pracce Formaon &
Kam McQuay, CPA
p/f: 317.713.7933 /
Angie Zirkelbach, CPA
p/f: 317.713.7961 /
500 N. Meridian St., Suite 200, Indianapolis, IN 46204
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Leers to the Editor
SCORE Resources Available to Dentists
Dr. Drone,
Now that I am retired, I have stepped back from my
former IDA activities as I feel that practicing dentists
should be making the decisions.
Interestingly, I was recently invited to join SCORE, a
collection of mostly retired business men and women
who mentor, for free, small businesses who have
encountered nancial and/or business issues they are
not sure how to handle.
SCORE is a volunteer branch of the Small Business
Administration so it answers to a strict protocol of
engagement. The SCORE acronym for volunteer
conduct tells the story of what we do best. It is called
S Stop; Suspend judgment;
L Listen; Learn
A Analyze; Assess the situation & needs;
T Test ideas; Teach with Tools available to help the
client with a range of needs;
E Expectation Seing; Evaluate progress and results;
Encourage the dream
SCORE provides free and condential business
advice and counseling. Its volunteers are real-
world professionals with time-tested knowledge
who are experts in such areas as accounting,
nance, marketing, management and business plan
Unfortunately, I feel that most dentists are unaware
of the free services available through the more than 18
SCORE chapters throughout Indiana.
I think some dentists, particularly those who are
experiencing nancial issues and/or troubling business
decisions, might nd SCORE a valuable resource.
IDA member dentists who would like more
information and/or to request counseling can visit
Marc Smith, DDS
South Central Dental Society
Send Your Letters
The Editorial Board encourages reader participation and welcomes diverse and varied opinions. Please send your letters, opinions and
comments to Karen Scharf at, fax to 317-634-2612, or mail to 1319 East Stop 10 Road, Indianapolis, IN 46227.
Submission of a letter to the editor does not guarantee publication. The Editorial Board reserves the right to reject any letter that is
unclear, shows disrespect, endorses a commercial product or is in poor taste. All submissions must include the writer’s complete name
and contact information.
Journal IDAExecutive Director's Message
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
I have: Grown 8 to 9% a year. Doubled my practice
within the first year. Reduced stress. Been able to take
more time off. Been able to share excess profits with
staff. Joined in valuable networking.
*Compiled from live video testimonials from Paragon clients.
There is More
Continual Practice Growth
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Word Pairs
Dr. William B. Risk
Love and marriage, love and marriage, they go together like a horse and carriage.” These familiar
lyrics from an old Frank Sinatra song demonstrate an interesting aspect of our speaking language.
There are just some words that almost automatically go together. Salt and pepper, smoke and
mirrors, death and taxes, and fire and brimstone are just a few of these pairs in common usage
Another common pair that should be thought of as
automatically going together is the Indiana Dental
Association and Indiana dentists. They go together like
peanut butter and jelly. It was just a couple of years ago
that the state legislature decided to make some changes
and update the state’s medical malpractice statutes. The
IDA made sure that these changes wouldn’t interfere with
any dental oce bread and butter issues. The IDA fought
tooth and nail to make sure that when this bill saw the light
of day, it would be favorable to dentistry.
Every year the IDA has its annual meeting. This year
the meeting is in French Lick and deciding to go to this
meeting should be an open and shut case. Let the fun and
games begin. What does a dentist receive when attending
this meeting? First and foremost continuing education is
available. The speakers come from far and wide to share
their knowledge and provide the dentist with new and
better ways to put meat and potatoes on their tables.
Besides the educational aspects of this meeting, there
are dental industry representatives who come from high
and low to meet us front and center with the latest and
greatest innovations available to dentistry. Dentists have a
chance to ask questions and learn the pros and cons about
these products. Don’t forget the Indiana Dental Political
Action Committee silent auction. Much time can be spent
hemming and hawing over which of these unique items
deserves a new home.
Besides representing the profession to the Legislature
and organizing the Annual Session, the IDA does much
more. It covers the profession from A to Z. A visit to the
The Indiana Detal Association
and Indiana Dentists
go together like peanut buer and jelly.
Journal IDAMember Zone
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
IDA website,, will show the depth and breadth
of this involvement. The IDA insurance program covers the
insurance needs for any dental practice and its employees
from soup to nuts. News concerning dentistry and the latest
developments in the profession not only from Indiana but
across the U.S. is also presented. The amount of continuing
education that is available to the Indiana dentist beyond
what is presented at the annual meeting is more than
sucient for the license renewal requirement. The obvious
purpose of this website is to keep the dentist and his or her
practice from getting between a rock and a hard place.
There are the local component dental societies throughout
the state which bring the bricks and mortar of dentistry
to the local level and provide opportunities for local
professionals to meet and greet each other.
Undeniably the Indiana Dental Association goes hand in
glove with dentistry and works its fingers to the bone to
benefit the dental profession. These advantages are not
under lock and key, indeed the whole kit and caboodle can
be had for just a simple membership. Don’t be a stick in the
mud, get involved today and plan to be in French Lick this
About Dr. Risk
Dr. William B. Risk is a general dentist practicing in Lafayette, IN. He
can be reached at
How Many
Word Pairs?
How many word pairs did you find in
Dr. Risk’s editorial? Let us know and
win a FREE online CE course!
Enter the Content:
Journal IDA Member Zone
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
South Central Dental Society presented their Ethics and Jurisprudence continuing education event at the Factory 12 Event
Loft in Columbus, IN on January 25, 2018. IDA Executive Director Mr. Doug Bush was as informative and entertaining as
In Component 140, Indianas component dental societies have the chance
to showcase their members’ achievements, reect on past events, or provide
information about upcoming opportunities for members.
Component 140
South Central Dental Society
Executive Director Doug
Bush presents Ethics and
Jurisprudence to South
Central Dental Society
members on January 25.
South Central Dental Society President Dr. Beth
Carter and Treasurer Dr. Dawn Durbin enjoy an
evening of education and camaraderie.
Send your component news, updates, upcoming events and photos for inclusion
in the Journal to Karen Scharf at
Journal IDAMember Zone
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
Indianapolis District Dental Society
March 21, 2018
IDDS Spring General Membership Meeting. Recognition of New/Returning Members and 25
through 65 Year Members. Guest speaker Dr. Timothy Kelly will present Opioid Crisis in Indiana.
The Garrison Conference Center 6002 N. Post Road. Social Hour 5:30. Dinner/Business Meeting
6:30. Contact IDDS at or 471-8131 to register by March 13. Roster
pictures will be taken for the 2018 Roster.
April 6, 2018
IDDS Foundation Vintage Evening. Ray Skillman Classic Car Museum - Back by popular demand!
Serving vintage wines from small private vineyards and artisan beers from local breweries. An
evening to remember! $100/person; or $250 for Silver and $500 for Gold Sponsorship. Contact
Northwest Indiana Dental Society
April 18, 2018
Evening program at Heston’s. 6:30 Cocktails, 7:00 Dinner. “Dierential Diagnosis: Sinus vs.
Odontogenic” presented by Dr. Dennis Han. RSVP by April 9th to or
June 29, 2018
Golf Outing at Youche Country Club. Visit or call 219-769-3504 for registration
Dr. Valerie R. Martinsen is proud to announce that she has changed the name of her dental
practice to Maple City Dentistry, Inc. eective January 1, 2018. The new name reflects the
practice’s eorts to grow and better serve the oral health care needs of its patients. It also
comes as Dr. Martinsen legally changes her name to Valerie Martinsen Seifert following her
2017 marriage.
IDDS would like to thank Dr. Bruce Easter for his years of service as Editor of our
quarterly magazine, Dateline. Dr. Easter has done an outstanding job for his colleagues
with his volunteer eorts, and we wish him well as we welcome Dr. Tyler Thomas as our
new Editor of Dateline. Thank you, Dr. Easter!!
Dr. Bruce Easter pictured at right.
Journal IDA Member Zone
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Solmetex Amalgam Separator Receives IDEA Endorsement
Indiana Dental Enterprise Associates (IDEA) has been
tracking and researching amalgam separators and the
proposed federal regulations for the better part of four
years. One minute, federal regulations were a definite;
the next minute, not so definite. Now that this regulation
has been finalized, IDEA is prepared to endorse a quality,
easily installed, and easily maintained product—the Hg5 by
Solmetex. This decision was based on the IDEA Board’s four
years of thoroughly evaluating various amalgam separators
on the market.
The decision of which amalgam separator to endorse
was based on the many features specified in the federal
regulations. First and foremost in these considerations
was eciency of the separator. There has been a wide
assortment of amalgam separators on the market which met
the ISO standards of 99% eciency. After narrowing those
down, IDEA Board members moved on to the other required
features as well as the features that would most benefit IDA
member dentists. Among these considerations were:
1. Ability to directly view the “trap” in which the filter is
2. Ease and cost of installation
3. Ease in disposal of wastes
4. Frequency of disposal
5. Cost of the amalgam separator
6. Cost of disposal of wastes
7. Ease of maintenance of the separator
8. Safety in handling
9. Tracking records
After sifting through multiple potential vendors and
reviewing their products, IDEAs decision of which product
to endorse was obvious. The Solmetex Amalgam Separator
addresses all of the Federal regulations and provides the
highest level of benefits for IDA dentists.
Regulations are always a tough pill to swallow but, the good
news for you is IDEA has already done the research for you.
And if you act early, you can purchase the IDEA endorsed
Solmetex Amalgam Separator Product with its recycling kit
for about $298; that’s $900 o the regular rate! Please keep
in mind that this introductory oer only lasts through May
19, 2018.
For more information regarding Solmetex, or to take
advantage of this phenomenal, limited time oer, visit (Editor’s note: see announcement at right.)
About Dr. Murray
IDEA Board Chair Dr. Thomas Murray is a general dentist practicing
in Princeton, IN. He can be reached at
Dr. Thomas Murray
What is IDEA?
How much time do you spend in researching a product before you buy? Depending on the complexity of the product,
it could be as little as several hours to several months. That’s where IDEA can help. IDEA Board is composed of IDA
members who possess a tremendous amount of knowledge and experience in scrutinizing products and services you
might need in your practice. Before a product receives the IDEA “thumbs up”, it is presented to the IDEA Board for
thorough review. The Board studies the viability of the product, verifies the dependability of the vendor and reviews
acceptance in other states as well as with the ADA. They then negotiate the best rates for the product or service. It is
then and only then that IDEA takes a vote to endorse a given product or service. Next time you’re in need of a product
or service for your practice or home, save yourself the time and energy by considering an IDEA endorsed product. Visit
Journal IDAMember Zone
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
Special Oer for Indiana
Dental Association Members
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Journal IDA Member Zone
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
In 2015, Dr. Jay Asdell made a strong run to be elected as Indiana University trustee.
Unfortunately, due to an incumbent with a diversely recognizable name and the continued use of
paper ballots, the aempt was unsuccessful. As Winston Churchill once said, “Success is not nal,
failure is not nal: it is the courage to continue that counts.” It is Dr. Asdells belief that because of
his passion for Indiana University that his participation in the IU Board of Trustees will be a great
benet to the university and to all of the IU alumni.
It is probable that most of you reading this, even IU alumni,
aren’t aware of the background of the IU Board of Trustees.
Well sit back and get ready for a little bit of history of the
Indiana University Board of Trustees (this shouldn’t take
long). Indiana University was first organized in 1820 as the
Indiana Seminary, then as the Indiana College and finally in
1838 was ocially changed to Indiana University. The board
of trustees, which started as a six member board with four
members from Monroe Co. and two form Orange Co.,
has ranged from 21 members to the current nine member
board. The current board has six members who are
appointed by the governor (this change was made is 1984).
One of the six is a full time student trustee (this was added
in 1975). The other three members of the board are elected
by IU graduates. The term is three years long so there is an
elected trustee every year.
Some interesting facts about the board include that the
first female trustee was Nellie Showers Teter who was a
trustee from 1924-1945 (and for whom Teter Quad was
named for you IU graduates). There were four IU Trustees
alive when the Declaration of Independence was signed
and there have been 22 student trustees since 1975. 69
of 92 Indiana counties have been represented on the IU
Board of Trustees (Martin Co, where Dr. Asdell is originally
from, has NOT been represented). To the best of our
knowledge, a dentist has never been a member of the
board. In 1951, Judge Wildermuth (for whom the Intramural
Center is named) found a piece of cherry wood behind the
Union Building and had it made into a gavel to be used by
the President of the Board of Trustees. Over the years the
gavel was lost and in 2003 a new gavel was made from
cherry wood once again found behind the Union Building.
The requirements to run for an Indiana Trustee are well
defined. It is required that a petition be signed by 100
confirmed Indiana University graduates in order to be
placed on the ballot for election. These signatures must be
submitted by April 1 of the year of election. It is required
that a 300 word and an 800 word treatise be submitted
which explains the candidate’s position and reasons as to
why they would be an excellent IU Trustee. There is also an
Dr. Asdell poses with the coveted Oaken Bucket.
Hes Back…Dr Jay Asdell is
Running for IU Trustee (again)
Journal IDAMember Zone
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
open forum in June of the year of election that allows the
candidates the ability to answer and debate questions from
the audience and the internet.
One sobering statistic is that there are over 600,000
eligible IU alumni who can vote but only around 10,000
actually do. It is critical that all IU grads spread the word
to vote for this critical position for Indiana University. Of
course, please vote for Dr. Asdell which is the purpose
of this article. Please spread the word through personal
contact, social media, telephone, satellite or Pony Express.
The voting for IU Trustee starts on June 1 and continues
throughout the month of June, ending on June 30. In order
to vote, it is critical that all IU alumni have a current email
registered with the IU Alumni Association, the organization
that is in charge of the election. To register or update your
email address, contact the Alumni Association at iualumni@ or by phone at 812-855-4822 or 800-824-
If you would like to contact Dr. Jay Asdell, please do so
through email at or by phone
at 574-287-2247 (private oce). Thank you all for your
support and GO HOOSIERS!!!!
Any IU degree holder can vote in the Trustee Election.
The election begins June 1, 2018.
Step 1: Verify Your Email Address
You must have a current email address on file with the IU
Alumni Association. Update your email address by:
calling 800-824-3044
sending an email to iualumni@indiana .edu
or by verifying or creating your alumni profile at
Step 2: Vote
There are two ways to vote:
1. Vote online. Beginning June 1, any elegible IU
graduate can vote online at:
2. Vote by paper. Mailed ballots will be sent on
June 1 to graduates who have voted by paper
ballot in any of the past three elections. Request
a paper ballot by contacting Amy Cope at or 812-855-6610.
All paper and electronic ballots must be received no
later than 10 a.m. ET on June 30.
How to Vote for IU Trustee
Dr. Asdell has served as the Oral Surgery Lead for both IndianaMOM
charitable dental events.
Dr. Asdell delivered the commencement address for IUSD
Graduation, May 13, 2017.
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
IDA Responds to
Opioid Epidemic
Mr. Jay Dziwlik
Headlines and quotes about the opioid epidemic are hard to miss.
Indy lawmaker turns to law and order approach to fight
opioid epidemic. Sen. Jim Merritt was key in passing more
than 15 pieces of legislation this year dedicated to fighting
the opioid epidemic through an emphasis on treatment
and prevention.” Indianapolis Star Oct 2017
Opioid overdoses kill nearly 5 people every hour, CDC
says.” CBS News March 6, 2018
In just one year, overdoses from opioids jumped by about
30 percent.” CDC March 6, 2018
We have an emergency on our hands. The fast-moving
opioid overdose epidemic continues and is accelerating.
The largest regional increase occurred in the Midwest,
which saw a 69.7 percent jump in opioid overdoses.” CDC
Acting Director Anne Schuchat
In 2016, 1,526 Indiana drug related deaths; a 23% increase
over 2015.” CDC December 19, 2017
In light of the statistics and as potential prescribers of
scheduled drugs for their patients, Indiana Dentists and
the Indiana Dental Association are concerned and taking
IDA is responding to the crisis in a variety of ways.
IDA and its members are involved in the dialogue….
IDA Immediate Past President Dr. Jay Asdell has been
selected to serve on the Indiana Attorney General’s
Prescription Drug Abuse Task Force, whose mission is to
significantly reduce the abuse of controlled prescription
drugs and to decrease the number of deaths associated
with these drugs in Indiana.
IDA Director of Government Aairs Ed Popche, members
of the Council on Government Aairs, and IDA contact
dentists have been interacting with Indiana lawmakers on
proposed opioid related legislative changes. IDA is working
to create common sense legislation in the area of informing
patients of the dangers of scheduled drug prescriptions;
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Journal IDAMember Zone
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
utilization of the Indiana INSPECT online prescribing
database and continuing education requirements to insure
all prescribers are well informed.
The IDA is educating Indiana dentists and dental sta….
IDA is constantly providing timely, aordable educational
sessions you can apply the very next day in practice. These
upcoming continuing education courses include:
Friday, April 13, 2018, “Drugs, Bugs and Dental Products;
What to Prescribe!” by Dr. Peter Jacobson through the IDA/
IUSD Academy. Register at
Thursday, May 17th, 2018, during the IDA Annual Session
“Less Pain Fewer Opioids” presented by Dr. Don Teater.
Register for the annual session at
The American Dental Association oers over 20 online
webinars and continuing education seminars on opioids and
opioid prescribing. Check them out at
The IDA created the Dental Prescription Reference
This newly revised and updated pocket sized prescription
guide is an aid to dentists in prescribing medication for
the treatment of dental patients. The extensive section on
pain management and prescribing of opioids provides peer
reviewed guidance to helps dentist treat their patients. The
70+ page guide provides references on anxiety, bacterial,
viral and fungal infections, soft tissue management,
prophylactic antibiotic coverage, pediatric dosing, and many
other dental specific topics common to oral health and
treatment of patients. You can order your guide online at
The Indiana Dental Association and Indiana Dentists will
continue to protect their patients and do their part in the
midst of this crisis.
About Mr. Dziwlik
Mr. Jay Dziwlik is the IDA Assistant Executive Director. He can be
reached at
Useful Websites
American Dental Association ...........................................................................................................
Indiana Dental Association .......................................................................................................
IDA Dental Prescription Guide .............................................................................
Indiana State Department of Health ..................................................................
Indiana Professional Licensing Agency .....................................................................................
Mouth Healthy (Public Oral Health information)
Physicians’ Desk Reference
Indiana INSPECT...........................................................................................
Federal Drug Enforcement Administration ..................................................................................
CDC’s “Guidelines for Prescribing Opioids for Chronic Pain
Journal IDA Special Section - Annual Session
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Tetracycline Veneers:
a case study
Dr. Tim Adams
One of the most difficult esthetic procedures in dentistry can be the improvement in
appearance of tetracycline stained teeth. Trying to achieve the optimal hue, chroma,
value, and translucency has been attempted by clinicians using techniques such as
enamel microabrasion, bleaching procedures, and laminate veneers. Complicating the
various clinical techniques is tetracycline stained teeths inability to absorb and relect
light like a nontetracycline stained tooth.
When dealing with light transmission, there are three things
that can happen when light hits an object. When the object
is transparent, all the light is able to pass through the object.
Conversely, when an object is opaque, no light is able to
pass through. Translucency deals with the percentage of
light that is able to pass through the object. As an example,
the more translucent an object is the more light that is able
to pass through.
2 3
The degree of tetracycline staining is directly proportional
to the amount of light that can pass through the tooth. The
heavier the tetracycline staining, the less light that can pass
through, making the tooth less transparent or more opaque.
These characteristics cause the tetracycline stained tooth
to act like a porcelain-fused-to-metal crown, making natural
esthetics difficult to achieve.
In addition to the color, the clinician must also take into ac-
count golden proportions and smile design.
These must be
discussed candidly with the patient, but the clinician must
not to try to influence what it is that the patient wants.
The following case is an example of these principles and
how one might approach a similar case to achieve a desir-
able esthetic result.
Case Report
A 42-year-old woman (Figure 1) presented for a consultation
to evaluate the possibility of placing porcelain veneers on
her maxillary teeth Nos. 4 through 13. Teeth Nos. 5 through
11 had old direct and indirect resins on the facial surfaces
that were badly dis-
colored and broken
down with numer-
ous repairs made
(Figure 2). Teeth Nos.
4, 5, 12, and 13 also
had mesio-occlusal
distal resins that were
breaking down and
Figure 1 - preoperative
facial view u
Journal IDASpecial Section - Annual Session
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
in need of replacement (Figure 3). Teeth Nos. 3 and 14 also
had an older type of composite restoration that the patient
wanted to replace at a later date.
The patient’s medical history was uneventful and her oral
hygiene and periodontal status were very good and stable.
She had no complaints of any temporomandibular joint
symptoms after a thorough evaluation, but clinically, and
after observing her models, it was obvious that the patient
had some signs of occlusal pathology.
After addressing the occlusion concerns, the patient agreed
to have an anatomical removable orthosis made from a
TENS (transcutaneous electrical neural stimulation) bite after
her final restorations were delivered. This would provide the
patient with a better centric reference position for protection
against potential parafunctional habits.
After discussing with the patient the pros and cons of por-
celain veneers and addressing candidly the realistic results
that could be expected, she was ready to begin treatment.
Radiographs, polyvinyl siloxane impressions, and a bite
registration were taken and sent to the lab for a wax-up to
be made, which was used as a template for her temporar-
ies and final restorations.
This would allow the patient to
go on a trial run with temporaries made from the wax-up.
If there were any changes to be made, the temporaries
could be adjusted and an impression could be taken of the
changes so that the lab could make the appropriate chang-
es in the final restorations.
Upon return from the lab, the wax-up was reviewed with the
patient. The form of the patient’s existing arch needed minor
correction with teeth Nos. 9 through 11. Both teeth Nos. 9
and 10 were lingually inverted and No. 11 was facially posi-
tioned. The wax-up was able to correct these malaligned
teeth and they were prepared to compensate for the
deviations (Figure 4). Shape, color, and size were reviewed
and realistic expectations were candidly discussed as they
related to difficulty in working with the innate qualities of
tetracycline-stained teeth. The patient chose an enhanced
shape (LVI smile catalogue) using the golden proportions as
a guide. The color chosen was 020,030 from the Empress
Chromoscope shade guide (lvoclar Vivadent).
When looking at the patient’s maxillary anterior teeth, ac-
cording to the golden proportion numbers, the width of the
laterals should be a factor of 1. The centrals should be 1.6
times wider than the laterals and the canines should be 0.6
times the width of the laterals. These measurements are not
set in stone but act as a guideline for producing an esthetic
result that is pleasing to the eye.
p Figure 2 - preoperative retracted view Figure 3 - preoperative occlusal view p
Figure 4 - preoperative models and wax up showing changes in
size, shape, golden proportions and arch. q
Journal IDA Special Section - Annual Session
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Smile design was also taken into consideration. The midline,
axial inclination, lip line, incisal edges and phonetics, inter-
proximal contacts, gradation, gingival symmetry, gingival
contour, and zenith were all taken into consideration when
designing the case from preoperative models, wax-up, tem-
poraries, and final restorations.
Although it was a given
before we started this case that we would not be able to
achieve the perfect smile design, the intent was to design a
natural symmetry by improving tissue contour.
On tooth preparation day, the wax-up, color choices, and
any concerns the patient had were reviewed and discussed.
All instruments, materials, and supplies were out and ready
to use to help facilitate the efficiency and speed of the pro-
cedure. A simple checklist was used to keep the clinician
on track, eliminate mistakes, and improve the information
provided to the lab.
To manage the bite and maintain centric stops during the
course of the preparation, a preoperative hard-bite (Lux-
aBite, Zenith/DMG) was taken before anesthetic was given.
The patient was anesthetized, an OptraGate (lvoclar Viva-
dent) was placed to aid in lip retraction, and a diode laser
(HoyaConBio) was used to improve tissue symmetry and
contour. An incisal guide stem was then tried in to aide the
clinician in visualizing and preparing the wax-up.
One mistake commonly encountered by the author and ob-
served by dental laboratories is the over- or underpreparing
of teeth in the wrong dimension facially, lingually, incisally,
mesially, and distally. This can ultimately affect the arch form
by allowing for too thick of a restoration facially or lingually
and affect the laboratory’s ability to create a natural golden
proportion. With an incisal guide stent, the clinician can pre-
pare the case to the wax-up to give the laboratory the ideal
arch form, base, and golden proportions to build the case
from. In this case, the preparation of the teeth began with
slice prepping the anterior to allow the laboratory the room
to create a natural esthetic symmetry.
The incisal guide stent made from the wax-up was tried
in to evaluate if the clinician had made the proper facial,
incisal, and interproximal reduction. Adjustments were made
and the initial bite was relined to maintain centric stops
in six dimensions. The final preparations were evaluated,
smoothed, and contoured, and a final check compared the
incisal length of the wax-up and the prepared centrals to en-
sure proper incisal reduction. Note that the lingual cusps of
all four pre-molars were kept intact to allow for the preser-
vation of tooth structure (Figure 5).
Full-coverage crowns aren’t always necessary as long as
there is adequate healthy tooth structure to bond to and the
occlusion is stable.
An impression was taken with Take
1 (Kerr Corporation) fast-set medium body and wash and
inspected for marginal integrity, distortion, and voids near
margins. It is important to use like materials with the same
setting time to eliminate delamination of the wash and me-
dium body materials.
Before the preparations were to be temporized, stump
shades and pictures were taken and sent with the case to
the laboratory. Stump shades allow the laboratory to build
the veneers/crowns on the same color of the underlying
tooth structure. This allows for a more natural and predict-
able final restoration and a better cervical blend at the
marginal area. A symmetry bite was taken with a John Kois
Facial Plane analyzer (Panadent Corp) to correct/con-firm
any midline or cant issues.
The temporary stent made from the wax-up was tried into
place to get a feel for the fit and removal. A midline/frenum
mark was inscribed on the stent with an instrument to give
the clinician a reference point when the stent was filled with
temporary material. A desensitizer with fluoride (Aquasil,
Dentsply Caulk) was coated copiously on the prepared
teeth and lightly desiccated.
The stem was then filled with the temporary material B1
shade (LuxaTemp, Zenith/DMG), being careful not to lift the
tip of the dispenser out of the material to avoid air bubbles.
As soon as the stent was filled, it was tapped two to three
times on a hard surface to bring any air bubbles to the
surface before placement into the patient’s mouth. The
temporary material was allowed to set for 2.5 minutes and
was then removed by pulling one side out and around while
holding the other side firmly in place. The intent was to al-
low the material to stay on the prepared teeth and polymer-
ize (shrink wrap) to allow for proper retention. The temporar-
ies were trimmed for excess, contoured, a flowable B1 resin
(LuxaFlow, Zenith/DMG) was added where air bubbles and
voids were present, and light-cured.
After adjusting the occlusion and polishing the temporaries,
a light-cured varnish (LuxaGlaze, Zenith/DMG) was applied
with a brush and light-cured. The patient was pleased with
q Figure 5 - final preparations
Journal IDASpecial Section - Annual Session
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
the temporaries but it was at this time that the clinician
noted that the cervical tissue discrepancy on tooth No. 8
might be a challenge.
The patient was advised of this and prepared to make a
change if necessary at the delivery appointment. The patient
was called in the interim to check on comfort, color, and
shape and reported little discomfort. The restorations were
fabricated and sent back to the clinician for evaluation of
color, contour, and marginal fit. Because of the tissue and
bone asymmetry on tooth No. 8 as compared to No. 9, it was
decided to seat all the restorations except for Nos. 8 and 9.
After evaluating the bone and sulcular depth, it was decided
that another 1.0 mm of tooth length could be obtained by
raising the tissue level of tooth No. 8 by 1.0 mm and repre-
paring the cervical marginal area and to gain better tissue
symmetry. The clinician was limited in raising the tissue level
1.0 mm because of the possibility of invading the biologic
width. The possibility of achieving the perfect result was
limited by the osseous level and because the patient did not
want to undergo osseous surgery. An osseous laser venue
was not available.
The patient was ready for delivery of the restorations. After
the patient was anesthetized, the temporaries were re-
moved, the teeth were cleaned up with hydrogen peroxide,
and the tissue was evaluated for irritation. The restorations
were tried in for fit, marginal adaptation, contour, and color.
Yellow try-in paste was used on teeth Nos. 6 through 8, and
a translucent try-in paste was used on teeth Nos. 9 through
11. The patient was not informed which side the yellow
or translucent try-in paste was used on. This allowed the
patient to see the difference (if any) and make an objective
decision to her liking. While the difference in try-in paste
might only give a 10% to 20% change in hue, chroma, and
value, the author feels that is enough of a difference that it
should be explored at the try-in of the final restorations. The
author has found that in cases where the value is off slightly,
a yellow hue can give the restoration a warmth by raising
the value and lowering the chroma.
All the restorations were removed and the try-in paste was
rinsed out. The restorations were then dried and re-etched
with 37% phosphoric acid to clean out and re-acidify the
internal aspect of the restorations.
The restorations were
then laid out on a clean medium in the order that they would
be placed in the mouth and were silanated with Kerr Silane
Primer (Kerr Corporation).
This material is unique in that
it not only silanates the internal aspect of the restorations,
but also coats it with a layer of unfilled resin. This eliminates
having to coat with a silanating material and then placing
another coat of unfilled resin.
A rubber dam was placed for moisture control and to pre-
vent any bacterial contamination that might occur. Because
teeth Nos. 8 and 9 would not be seated, the restorations
were seated in the opposite order starting in the posterior
and working toward the anterior. Usually the anterior res-
torations are seated first because they are the focal point.
If the centrals are off the slightest amount, it will cause a
domino effect in the placement and seating of the entire
case. Starring with the most posterior, the teeth were etched
for 15 to 20 seconds, three to four teeth at a time starting at
the most distal and moving mesially, then rinsed with water.
With great hygiene and good fitting temporaries, irritated tis-
sue was kept to a minimum. When needed, the author used
ViscoStat (UltraDent) to spot control hemorrhaging. All the
teeth were coated with Aquasil to rewet the dental surface
and three to four coats of OptiBond Solo Plus (Kerr Corpora-
tion) were used to prime the dentinal surface. The primer
was air thinned and any excess pooling was meticulously
removed with a multibrush. The primer was then light-cured
with an LED curing light (Blue Phase, lvoclar Vivadent).
The teeth were then ready to have the restorations bonded
into place. Because teeth Nos. 8 and 9 were not going to
be placed, the restorations were bonded into place two at
a time starting at the most posterior and working anteriorly.
Nexus 2 yellow shade base (Kerr Corporation) was used to
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Journal IDA Special Section - Annual Session
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
bond the restorations into place. The author does not advo-
cate using a catalyst with the base when bonding veneers
into place because of the possibility of a premature setting
of the resin cement before the clinician is ready to spot
tack the restoration. After the first two posterior restorations
were spot tacked, all the excess resin was carefully cleaned
off with a brush and the proximal contacts were lightly
flossed before the final cure. This sequence is followed two
teeth at a time moving anteriorly and alternating right and
left. In a normal case where all the restorations are placed at
the same time, the author would start with the two centrals
then place the laterals and canines right and left. The pre-
molars were dry seated when the laterals and canines were
spot tacked and bonded into place to maintain their space
and then were seated last, allowing for any proximal adjust-
ments to be done in a nonesthetic zone.
When all the restorations were in place, except for teeth
Nos. 8 and 9, tissue contouring and marginal reprepping at
the cervical only of tooth No. 8 was performed and a new
impression was taken. The teeth were then rewetted with
Aquasil and ready to be temporized. The advantage of hav-
ing the patient codesign the color and shape of the teeth
and communicate this information to a laboratory is that the
laboratory can create a wax-up that will mimic the design
the patient chose and should be extremely similar to the
final restorations if no adjustments or changes were made. It
was because of this that the author used the original tempo-
rary stent used for the original temporaries and made a cut
between the laterals and canines on both the right and left
sides to allow for positive stops.
The stent was tried in to allow the clinician to see how it
felt upon insertion. This new two tooth temporary stent was
then filled with LuxaTemp shade B1 and placed over teeth
Nos. 8 and 9 for 2.5 minutes before removing, cleaning, and
contouring. The occlusion was checked and the final glaze
was placed with a brush and light-cured.
The final restorations and the temporaries on teeth Nos.
8 and 9 were checked to determine if the corrections that
were made were successful and that, more importantly, the
patient was happy with the results. The adjustments that
were made did not make it the perfect tissue and marginal
symmetry, but it did improve the appearance and created
a natural symmetry that looked pleasing to the eye in the
patient’s and author’s opinion. The patient and author both
felt that this decision was worth the extra time and effort in
improving the final outcome.
The patient was instructed to continue with her excellent
hygiene and came in for her return visit with great fitting
temporaries and excellent tissue health. The final two
restorations came back from the lab and were tried on the
models to confirm fit, contour, and color. The original resto-
rations were tried on the newly prepared dies to observe
the cervical changes made on tooth No. 8 only. The fit of
tooth No. 8 confirmed what was achieved clinically showing
a 1.0 mm discrepancy at the cervical margin and tooth No.9
fit beautifully (Figure 6).
The patient was anesthetized, the temporaries were re-
moved, and the teeth were cleaned with hydrogen peroxide.
The author’s armamentarium was organized and ready for
the try-in of the two new restorations (Figure 7). The centrals
p Figure 6 - original veneer shown on newly prepped model
showing 1.0 mm marginal discrepency on tooth #8 with tooth #9
fitting beautifully.
Figure 7 - armamentarium of critical materials p
Journal IDASpecial Section - Annual Session
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
were tried in and checked for color, fit, and contour. Nexus
2 yellow try-in paste was used to verify color blend and the
centrals were removed and the temporary paste was rinsed
out of the restorations and dried. A 37.5% phosphoric acid
(Kerr Corporation) was used to clean and acidify the inter-
nal aspect of the restorations before they were silanated
(Kerr Silane Primer) and ready to be permanently bonded
into place. A rubber dam was placed and the teeth were
cleaned and etched with 37.5% phosphoric acid and rinsed
and lightly desiccated. Aquasil was then used as a rewetting
agent and the teeth were primed with OptiBond Solo Plus.
The final restorations were filled with Nexus 2 base yellow,
seated, and spot tacked into place. A brush was used to
clean up the excess cement and final cure was achieved.
The excess cement was carefully cleaned off the interproxi-
mal contacts and floss was used to verify a smooth inter-
proximal surface. The occlusion was checked and a final
polish was achieved to finish the case (Figures 8 through
Achieving perfection is the ultimate goal of any esthetic
dentist. The reality of achieving this perfection with every
case is not always feasible nor realistic. This case demon-
strates how to deal with numerous challenges from color,
shape, tissue contour, and symmetry. It is important to note
that communication with the patient and laboratory are
particularly critical when presented with a challenging case.
The patient must be made aware of the inherent problems
and that absolute perfection is probably not a realistic pos-
The author would like to thank Dental Ceramics Laboratory, Gar-
field Heights, Ohio, for the artistic and meticulous fabrication of the
veneers in this case.
About Dr. Adams
Timothy C. Adams, DDS, D.ACSDD, LVIM, is a graduate of Indiana
University School of Dentistry where he taught clinical dentistry for
5 years. He has lectured and published over 20 articles in national
and international text books and journals. Various companies in the
dental industry have selected Dr. Adams to evaluate and test their
products. He was chosen out of thousands of dentists throughout
the country to become a Clinical Instructor and eventual Clinical
Director at the prestigious Las Vegas Institute for Advanced Dental
Studies. His training and expertise draw patients from around
the country who are looking for the best aesthetic and functional
clinician. He is a member of the IDDS, IDA, ADA, AACD and a
Diplomate of the ACSDD.
Originally published in: Adams T. Tetracycline veneers: a case re-
port. Contemporary Esthetics. 2007;11(2):48-54. Copyright © 2007
to AEGIS Publications, LLC. All rights reserved. Used with permis-
sion of the publisher.
1. Gurel G. The Science and Art of Porcelain Laminate Veneers.
p Figure 8 - pre- and post-operative smile views
Figure 9 - pre- and post-operative right, left, and smile views p
Journal IDA Special Section - Annual Session
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Since 1968
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2. Roulet JF, Degrange M. Adhesion The Silent Revolution in
Dentistry. Hanover Park, Ill: Quintessence Publishing; 2000:92-
3. Chu SJ, Devigus A, Mieleszko AJ. Fundamentals of Color:
Shade Matching and Communication in Esthetic Dentistry.
Hanover Park, Ill: Quintessence Publishing; 2004:14-16.
4. Magne P. Belser U. Bonded Porcelain Restorations in the
Anterior Dentition. Hanover Park, Ill: Quintessence Publishing;
5. Preston JD. The golden proportion revisited. J Esthet Dent
6. Snow SR. Esthetic smile analysis of maxillary anterior tooth
width: the golden percentage. J EsthetDent. 1999;11(4):177-184.
7. Magne P. Magne M. Belser U. The diagnostic template: a key
element to the comprehensive esth etic treatment concept. lnt
J Periodontics Restorative Dent. 1996;16(6):560-569
8. Rieder CE. Use of provisional restorations to develop and
achieve esthetic expectations. tnt J Periodontics Restorative
Dent 1989;9(2):1 22-139.
9. Coluzzi OJ, Convissar RA. Dental Clinics of North America:
Lasers in Clinical Dentistry. St. Louis, Mo: Saunders; 2004:833-
10. Fradeani, M. Esthetic Rehabilitation in Fixed Prosthodon-
tics: Esthetic Analysis A Systematic Approach to Prosthetic
Treatment. 1st ed. Hanover Park, Ill: Quintessence Publishing;
11. Fuzzi M, Carnevale G, Tonelli MP. Ceramic bonded res-
torations: pathway to natural esthetics. J Esthet Dent.
12. Fuzzi M, Rapel li G. Ceramic Inlays: clinical assessment and
survival rate. J Adhes Dent. 1999;1(1):71-79
13. Morin D, Delong R, Douglas WH. Cusp reinforcement by the
acid-etch technique J Dent Res. 1984;63(8):1 075-1078.
14. McCullock AJ, Smith BG. In vitro studies of cusp reinforcement
with adhesive restorative material. BrDent J. 1986;161(12):450-
15. Macpherson LC, Smith BG. Reinforcement of weakened cusps
by adhesive restorative material: an in-vitro study. Br Dent J.
1995;1 78(9):341-344.
Journal IDASpecial Section - Annual Session
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
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DENTAL_441226_Publication_Ad_IN.indd 1 12/6/17 3:18 PM
May 16-19, 2018
IDA  Annual  Session  
IUSD Alumni Dental Conference
French Lick Resort
Wednesday, May 16, 2018
6 p.m.  ___________________________________ IDA Past President’s Dinner (by invitation only)
7:00 – 10:30 p.m.  ______________________ Dr. Greg Phillips’ Hospitality Suite open
Thursday, May 17, 2018
7:30 a.m. – 4 p.m.  ______________________ On-site registration and help desk open
7 – 9 a.m.  _______________________________ Pierre Fauchard breakfast (by invitation only)
8 a.m. – 3:30 p.m.  ______________________ Continuing Education opportunities
9:15 a.m. – adjournment  ______________ 
   by Reference Committee Hearings
2 – 6 p.m.  _______________________________ Exhibit Hall, Member Center, & Money Grab Booth open
2 – 4 p.m.  _______________________________ Dr. Greg Phillips’ Hospitality Suite open
2 – 6 p.m.  _______________________________ IDPAC Silent Auction bidding opens
4 – 6 p.m.  _______________________________ Exhibit Hall Happy Hour
6 – 7 p.m.  _______________________________ 
7:30 – 10 p.m.  __________________________ Membership and Vendor Celebration
Friday, May 18, 2018
7:30 a.m. – 4 p.m. _______________________ On-site registration and help desk open
8 – 9 a.m. ________________________________ Exhibit Hall Coffee Rush
8 a.m. – 3:30 p.m. _______________________ Continuing Education opportunities
8 a.m. – 4 p.m. __________________________ Exhibit Hall, Member Center, & Money Grab Booth open
8 – 9:30 a.m. ____________________________ Reference Committee Reports Available
8 a.m. – 6:15 p.m. _______________________ IDPAC Silent Auction bidding open
9:30 – 11:30 a.m. _______________________ Component Caucus meetings
9:30 – 11 a.m. ___________________________ AIDA Brunch and Annual Membership Meeting, West Baden
10:30 a.m. – 12:30 p.m. ________________ Exhibit Hall Snack Attack
11:30 a.m. – 1 p.m. _____________________ ACD/ICD Luncheon (by invitation only)
1 – 3 p.m. ________________________________ Open Caucus
3 – 5 p.m. ________________________________ Dr. Greg Phillips’ Hospitality Suite open
3 – 5 p.m. ________________________________ 
   Sponsored by IDA Insurance & MedPro
2 – 4 p.m. ________________________________ Exhibit Hall Mix & Mingle
2 – 4 p.m. ________________________________ Afternoon Tea at West Baden Atrium
5 – 6:30 p.m. ____________________________ FREE! IDPAC Social and Reception
8 – 9:30 p.m. ____________________________ 
Saturday, May 19, 2018
8 – 10 a.m. ______________________________ On-site registration
9 a.m. – adjournment __________________ House of Delegates (second session)
8 – 9:30 a.m. ____________________________ IUSD Alumni 50
Breakfast Celebration for Classes of ’68
   and prior classes (by invitation only)
9:30 a.m. – 1:30 p.m. ___________________ IUSD Huckleberry Golf Outing (Donald Ross Course)
1 – 3:30 p.m. ____________________________ Get the Inside Story on a Grand Hotel Tour
   (starts at French Lick and ends at West Baden)
6 – 7 p.m. ________________________________ IUSD All Alumni Reception
7 – 9 p.m. ________________________________ IUSD All Alumni Dinner
9 – 11 p.m. ______________________________ Private Class Reunion Reception and Class Photos

Don't let the dental
team miss this year's
annual meeting. In ad-
continuing education,
the team can enjoy
number of activi-
ties available either
through the IDA or the
resorts. I encourage
all members of the dental team to attend.
 Dr. Greg Phillips, IDA President
enjoy your meeting experience! Recom-
mended attire for the Annual Session is
jackets for men; slacks and skirts or dresses
other business attire are acceptable but not
necessary. Comfortable shoes are a must.
French Lick enjoys a moderate climate.
conditioned indoor activities.
may reserve a room at the host hotel, French
Lick Springs Hotel, for $144 for single/dou-
be taken at the West Baden Springs Hotel
for $194 for single/double accommodations.
Guests at the West Baden hotel should al-
and forth. To reserve rooms at either hotel,
org/Register. Reservations must be made
by April 25, 2018 to receive this discounted
rate. Group code: 0518IDA.
For driving directions, please visit  or your trusted online 
isville International Airport. You also may
French Lick Municipal Airport. Transporta-
tion options from the airport include limou-
sine, taxi, bus, or rental car.
Welcome to the 160
Annual Session
Interested in serving as a room host to one
of our 2018 Annual Session speakers? If so,
contact Heather Smith at 800.562.5646 or
email to submit
your request.
Dress Code and Climate
Hotel Reservaon Informaon
CE Room Hosts needed!
French Lick Springs Hotel (host hotel)  West Baden Springs Hotel
8670 West State Road 56      8538 West Baden Avenue
French Lick, IN 47432      West Baden Springs, IN 47469
Dr. Greg Phillips’
Hospitality Suite Hours
Wed., May 16 ___ 7 - 10:30 p.m.
Thurs., May 17 __ 2 - 4 p.m.
Fri., May 18 _____ 3 – 5 p.m.
Above: Grand entrance at French Lick Springs Hotel.

Thursdays Special Events
Thursday, May 17:
6 – 7 p.m.
Register today using code SP300
Each year the IDA extends special recognition
to several members for their contributions to
Indiana oral health and the dental profession.
Join u
sion of dentistry and dental public health
care on behalf of the IDA.
Thursday, May 17:
7:30 – 10 p.m.
Register today using course code SP301
the IDA Membership and Vendor Celebra-
tion! It’s an evening to celebrate the loyalty
dors. Also, honor the achievements of this
year’s IDA president, Dr. Gregory Phillips.
land’s Jim Bulanda presenting, Tribute to
Frank! Jim is a vocalist famous for his im-
pressions of Dean Martin and Frank Sina-
tra. You’ll be captivated by his nightclub act
and rich singing voice!
Don’t miss this special evening. Dentists,
spouse, families, meeting attendees and
vendors are invited to enjoy a buffet-style
Thursday, May 17
House of Delegates, First Session:
9:15 a.m. – Adjournment
Friday, May 18
Reference committee reports avaiable:
8– 9:30 a.m.
Component Caucus Meetings:
9:30 – 11:30 a.m.
Open Caucus: 1 – 3 p.m.
Saturday, May 19
House of Delegates, Second Session:
9 a.m. – Adjournment
Silent Aucon:
Thursday, May 17: 2 – 6 p.m.
Friday, May 18: 8 a.m. – 6:15 p.m.
Bidding ends promptly at 6:15 p.m. on Friday.
IDPAC Social & Recepon:
Friday, May 18: 5 – 6:30 p.m.
Cost: FREE! (Event Code SP304)
Pre-registration is required!
IDPAC and ADPAC legislative efforts by at-
tending the IDPAC Social and Reception. All
attend this complimentary reception.
Bidding for silent auction items begins on
Thurs., May 17, at 2 p.m. Final bids must be
submitted Fri., May 18, by 6:15 p.m.
IDPAC is accepting donations for the Silent
Auction. Email Laurie Campbell for addition-
al information,
The IDPAC Reception and Silent Auction
are IDPAC’s primary fundraisers. IDPAC is
fecting the dental profession and practice.
House of Delegates Schedule
IDPAC Silent Aucon and Recepon
Awards Ceremony
Membership and Vendor Celebraon
Fridays Special Events
Friday, May 18:
9:30 – 11 a.m., cost: $28
Register today using code SP302
The Alliance of the Indiana Dental Asso-
tend their brunch and annual membership
meeting during a special gathering at the
beautiful West Baden Springs Hotel.
Special Announcement: Stop by the
AIDA celebratory tent on Thursday evening
during the Membership and Vendor Cel-
versary! Share stories, reminisce on your
favorite AIDA memories, and check out
Friday, May 18:
2 – 4 p.m., cost: $41
Register today using code SP303
Enjoy the soothing sounds of live clas-
sical harp music as you delight in proper
atrium. Sip and savor from a variety of
gourmet teas sure to refresh you. The $41
registration fee is all-inclusive, covering
the $28 event fee, taxes, and service charg-
complimentary Resort Shuttle service to
West Baden.
Friday, May 18:
8 – 9:30 p.m., cost $15
Location: Pete Dye Pavilion
Registration code SP305
to cut loose! On Friday, join us for a non-stop
Banks is simply one-of-a-kind, almost impos-
He intersperses his humorous observa-
Friday, May 18:
3 – 5 p.m.
Register today using code SP306
Co-sponsored by IDA Insurance Services
and MedPro
STUDENTS! 
attending this social. This complimentary
gathering of dentists (0-10 years out of
dental school), dental students and their
families provides a relaxing setting for
connecting the younger dental community
street from the French Lick Springs Hotel,
its, games and the opportunity to celebrate
Aernoon Tea at West Baden Springs Hotel
New Denst Social at Legendz
AIDA Brunch and Annual Membership Meeng
Night of Laughter with Heywood Banks
songs, sung and played in a variety of
styles, from folk, to country to rock to
pop, a
to the IDA Annual Session. Complemen-
Schedule of Events: Saturday, May 19
All events will take place at the French Lick Springs hotel unless otherwise indicated.
Time Acvity Event Code Cost
8 – 9:30 a.m. ____________ 50
Breakfast Celebration for Classes AA400 Free
of ’68 and prior (by invitation only)
9:30 a.m. – 1:30 p.m. ___ Huckelberry Golf Outing, AA401 $120
Donald Ross Golf Course
1 – 3:30 p.m. ____________ Get the Inside Story on a Grand AA402 $20
Hotel Tour
4 – 5:30 p.m. ____________ Board of Directors Meeting
6 – 11 p.m. ______________ All Alumni reception, dinner and photos AA403 $95
6-7 p.m. _________________ All Alumni reception
7-9 p.m. _________________ Alumni dinner
9-11 p.m. _______________ Private class reunions and class photos.
Prepay for class photos: AA404 $15
Advanced Registraon Details
Advanced registration deadline is Friday, May 4 at 9 a.m.
DENTISTS 
1. Attend UNLIMITED continuing education, exhibit hall activities, free events and a la
carte pricing on IUSD Alumni Dental Conference options: Select Dentist (A)
2. Attend ONLY IUSD Alumni Dental Conference events: Select Dentist – IUSD Alumni (B)
3. Guests should select IUSD Guest (L)
BEST _____Register at 
BETTER __Fax registration to 317.634.2612
GOOD _____Mail to: Indiana Dental Association, 1319 E. Stop 10 Rd., Indianapolis, IN 46227
After Friday, May 4, stop by the on-site registration desk located on the second level of the
Thurs., May 17: 7:30 a.m. – 4 p.m.
Fri., May 18: 7:30 a.m. – 4 p.m.
Sat., May 19: 8 – 10 a.m.
$144 for single/double accommodations $194 for single/double accommodations
French Lick Springs Hotel (host hotel) West Baden Springs Hotel
8670 West State Road 56 8538 West Baden Ave.
French Lick, IN 47432 West Baden Springs, IN 47469
forth. To reserve rooms at either hotel, call 888.936.9360 or visit .
Reservations must be made by April 25, to receive this discounted rate. Group code:
For driving directions, visit  or your trusted online resource. Several
the French Lick Municipal Airport.
Hotel Reservaon Informaon
IUSD Alumni Conference
Journal IDA The JOURNAL of the INDIANA DENTAL ASSOCIATION  VOLUME 97 2018 ISSUE 1 INDENTAL.ORG  diana ers n I r o ffer f i...
Thursday CE At-a-Glance
8-8:15 a.m. TH100
7 Habits of
Dr. Gary
Drs. Jeff
Johnston and
Erik Stier
8-8:15 a.m.
8:15-8:30 a.m. TH102
3-D Endo
tation and
Drs. Ali Nasseh
and Anne Koch
8:15-8:30 a.m.
8:30-8:45 a.m. TH103
Medicine in the
Dr. Jay Platt
8:30-8:45 a.m.
8:45-9 a.m. 8:45-9 a.m.
9-9:15 a.m. TH104
The Funny
Thing About
Stress, Part 1
Kay Frances
9-9:15 a.m.
9:15-9:30 a.m. 9:15-9:30 a.m.
9:30-9:45 a.m. TH105
Evaluating an
Amber Banks
9:30-9:45 a.m.
9:45-10 a.m. 9:45-10 a.m.
10-10:15 a.m. TH106
Coding, Part 1
Drs. Jeff
Johnston and
Erik Stier
10-10:15 a.m.
10:30 a.m.
10:30 a.m.
10:45 a.m.
10:45 a.m.
10:45-11 a.m. 10:45-11 a.m.
11-11:15 a.m. TH107
Sneak Peek
into the AG's
Tim Weber
11-11:15 a.m.
11:30 a.m.
11:30 a.m.
11:45 a.m.
11:45 a.m.
11:45 a.m.-
12 p.m.
11:45 a.m.-
12 p.m.
12-12:15 p.m. 12-12:15 p.m.
12:30 p.m.
Less Pain,
Dr. Don Teater
3-D Endo
tation and
(Fee: $125)
Drs. Ali Nasseh
and Anne Koch
12:30 p.m.
12:45 p.m.
Dr. Gary
12:45 p.m.
12:45-1 p.m. 12:45-1 p.m.
1-1:15 p.m. TH112
The Funny
Thing About
Stress, Part 2
Kay Frances
Coding, Part 2
Drs. Jeff
Johnson and
Erik Stier
1-1:15 p.m.
1:15-1:30 p.m. 1:15-1:30 p.m.
1:30-1:45 p.m. 1:30-1:45 p.m.
1:45-2 p.m. 1:45-2 p.m.
1-2:15 p.m. 1-2:15 p.m.
2:15-2:30 p.m. 2:15-2:30 p.m.
2:30-2:45 p.m. 2:30-2:45 p.m.
2:45-3 p.m. 2:45-3 p.m.
3-3:15 p.m. 3-3:15 p.m.
3:15-3:30 p.m. 3:15-3:30 p.m.
Complete Course Descriptions Available Onlie:
Friday CE At-a-Glance
8-8:15 a.m. FR200
sive Care:
Part 1
Dr. Paul
Is That Legal?
Dr. Mark
8-8:15 a.m.
8:15-8:30 a.m. FR202
Cardiac and
medical con-
Dr. Tom
8:15-8:30 a.m.
Dr. Nate Hef-
8:45-9 a.m. FR204
Tija Hunter
8:45-9 a.m.
9-9:15 a.m. FR205
The Magic
of Disney’s
Business Suc-
Frank Candy
9-9:15 a.m.
9:15-9:30 a.m. 9:15-9:30 a.m.
9:30-9:45 a.m. FR206
Planning and
Living Trusts
Jude Byanski
9:30-9:45 a.m.
9:45-10 a.m. 9:45-10 a.m.
10-10:15 a.m. FR207
What Every
Dr. Bill Simon
10-10:15 a.m.
10:30 a.m.
10:30 a.m.
10:45 a.m.
10:45 a.m.
10:45-11 a.m. 10:45-11 a.m.
11-11:15 a.m. FR208
Intro to
Dr. Bob Har-
11-11:15 a.m.
11:30 a.m.
11:30 a.m.
11:45 a.m.
11:45 a.m.
11:45 a.m.-
12 p.m.
11:45 a.m.-
12 p.m.
12-12:15 p.m. FR214
ogy and the
in Bonding,
Dr. Bill
12-12:15 p.m.
12:30 p.m.
12:30 p.m.
12:45 p.m.
sive Care:
Part 2
Dr. Paul
Website Must
12:45 p.m.
12:45-1 p.m. FR211
Rock Star
Tija Hunter
5 Key
12:45-1 p.m.
1-1:15 p.m. FR213
What Every
Dr. Bill
1-1:15 p.m.
1:15-1:30 p.m. 1:15-1:30 p.m.
1:30-1:45 p.m. 1:30-1:45 p.m.
1:45-2 p.m. 1:45-2 p.m.
1-2:15 p.m. 1-2:15 p.m.
2:15-2:30 p.m. 2:15-2:30 p.m.
2:30-2:45 p.m. 2:30-2:45 p.m.
2:45-3 p.m. 2:45-3 p.m.
3-3:15 p.m. 3-3:15 p.m.
3:15-3:30 p.m. 3:15-3:30 p.m.
Complete Course Descriptions Available Onlie:
Course # Speaker(s) Course Fee
TH100 Dr. Gary DeWood 7 Habits of Successful Practices
TH101 Drs. Jeff Johnston & Erik Stier CMS
TH102 Drs. Ali Nasseh & Anne Koch 3-D Endo Instrumentation and Obturation Lecture
TH103 Dr. Jay Platt 
TH104 Kay Frances The Funny Thing About Stress, Part 1
TH105 Amber Banks Due Diligence in Evaluating an Associateship Opportunity
TH106 Drs. Jeff Johnston & Erik Stier Effective Insurance Coding, Part 1
TH107 Tim Weber 
TH108 Dr. Don Teater 
TH109 Drs. Ali Nasseh & Anne Koch 3-D Endo Instrumentation and Obturation Workshop $125
TH110 Dr. Gary DeWood Appliance Therapy
TH111 Sonya Salisbury 
TH112 Kay Frances The Funny Thing About Stress, Part 2
TH113 Drs. Jeff Johnston & Erik Stier Effective Insurance Coding, Part 2
FR200  
FR201  Is That Legal? Topics in the Dental, Political Environment
FR202 Dr. Tom Paumier Antibiotic Prophylaxis for Prosthetic Joint, Cardiac and Other
Medical Conditions
FR203  The Next Generation of Denture Excellence - Zircobite
FR204 Tija Hunter Dental Assisting 101
FR205 Frank Candy KEYNOTE: The Magic of Disney’s Business Success
FR206 Jude Byanski Understanding Estate Planning and Living Trusts
FR207 Dr. Bill Simon 
FR208 Dr. Bob Harris 
FR209  
FR210 Heather Simpson Website Must Haves: Making the Most of Your Online Presence
FR211 Tija Hunter Rock Star Dental Assistant
FR212 Margaret Connor Title Nutrition: 5 Key Messages
FR213 Dr. Bill Simon 
FR214  IDA/IDAA Joint CE: Nano Technology
SP300 
SP301 Membership and Vendor Celebration
SP302 AIDA Brunch and Annual Membership Meeting $28
SP303 Afternoon Tea at West Baden Springs Hotel $41
SP304 IDPAC Social and Reception
SP305  $15
SP306 
SP307 Sporting Clay (Wed 05/16, 12:30 – 2:30) $97
SP308 Horseback Riding (Thur 05/17, 9:30 – 11:00) $45
SP309 Foot Golf (Thur 05/17, 12:30 – 3:00) $27
SP310 Zip Lines at Wilstem Ranch (Frid 05/18, 10:00 – Noon) $67
SP311 Animal Encounters at Wilstem Ranch (Fri 05/18, 2:30 – 4:30) $35
SP312 French Lick Casino Slot Tournament (Fri 05/18, 4:00 – 5:00) $20
AA400 IUSD Alumni “50th” Breakfast Celebration for Classes of ‘68
and prior classes (by invitation only)
AA401 IUSD Huckelberry Golf Outing at Donald Ross Golf Course $120
AA402 Get the Inside Story on a Grand Hotel Tour $20
AA403 
AA404 IUSD Class Reunion Photo $15
Dates & Deadlines
Important Dates and Deadlines
Mid April: Mailing of badges and registra-
tion materials to advance registrants begins.
Advance Registration Deadline
Fri., May 4, at 9 a.m.: Registration fees rise
after this time. Deadline to submit regis-
tration cancellations and refund requests.
Refund Policy: Changes to registrations or
ticket purchases may be made prior to Fri.,
at 9 a.m., or on-site during the Annual Ses-
sion, you may transfer the full purchase price
No refund will
be given after 9 a.m. on Fri., May 4.
If you register before 9 a.m., Fri., May 4,
address provided. Each registrant (includ-
ing friends, family and children through
a badge, tickets, Exhibit Hall discounts and
On and after 9 a.m., Fri., May 4, regis-
pick up your badge and other materials on-
site at the Level 2 registration desk.
Badge and Registraon Materials
Plan ahead. Arrive at least 15 minutes
early to all courses. Doors close at the start
of the lecture. Late arrivals are not permit-
course, the host provides a code to record
on your CE tracking sheet. The IDA does not
report your CE to the Indiana State Board of
CE Equee
Indiana Dental Association is an ADA
ADA CERP is a service of the American
Dental Association to assist dental profes-
sionals in identifying quality providers of
continuing dental education. ADA CERP does
not approve or endorse individual courses or
instructors, nor does it imply acceptance of
credit hours by boards of dentistry.
Indiana Dental Association designates
tinuing education units.
CERP REcognized Provider
Annual Session App Returns
With the ANNUAL SESSION mobile app you will be able to:
access the event schedule and personalize your agenda
see the speakers, read their bios, & view their presentations
check out exhibitors & locate booths with an interactive map
get important updates & oers through push notifications
share contact info and network with other attendees.
The app is coming soon! Watch for details.
Is there an advantage to registering online?
Yes! Visit  to
an immediate spot in any available course,
Do I need to register for the FREE events?
Yes! All events require a ticket for ad-
mission. Due to limited availability, tickets
should be reserved in advance.
When will I receive my badges?
You’ll receive advance registration materi-
in mid-April.) This includes registrations
completed online, fax or mail.
How do I correct a misspelled badge?
correction, to 317.634.2612. You also can go
to the on-site registration desk at the French
Lick Springs Hotel.
What if I lose an event cket?
E-mail by May 4,
or visit the registration desk on-site at the
French Lick Springs Hotel during registra-
tion hours for a replacement ticket.
Will there be a meeng app?
Yes! 
schedule, vendor listings, handouts, surveys,
What if I have quesons about registraon?
Call the IDA at 800.562.5646 or e-mail
Frequently Asked Quesons
For the 2018 IDA Annual Session and IUSD
special events and all IUSD Alumni Dental Con-
ference reunion events and activities.
Code # Registration Type Includes Early/Late Fee
A Dentist Lectures, exhibit hall, free events
B Dentist, IUSD Alumni Den-
tal Confernce Only
IUSD Alumni Dental Conference event options only
C Dentist, House of Del-
egates member volunteer
Lectures, exhibit hall, free events
D Dentist, 1
-time HOD
member volunteer
Lectures, exhibit hall, free events
E Dentist, Retired member Lectures, exhibit hall, free events
F Dentist, ADA non-member Lectures, exhibit hall, free events
G Hygienist Lectures, exhibit hall, free events
H Dental Team Lectures, exhibit hall, free events
I Student Lectures, exhibit hall, free events
J AIDA Lectures, exhibit hall, free events
K Guest, Adult Exhibit hall, free events
L Guest, IUSD Alumni Dental
Conference Only
IUSD Alumni Dental Conference event options only
M 
N Guest, Youth Lectures, exhibit hall, free events
O Component Executive
Lectures, exhibit hall, free events
Includes ONLY a la carte IUSD Alumni Dental Conference registration options.
Early registration prices valid through 9 a.m., Fri., May 4.
Registraon opons
Registraon opons
Registration is required for entrance into
all CE courses, social events, exhibit hall,
alumni events and the IDA House of Del-
staff attending the annual session. For
ing it out and list the names accordingly.
Pre-registration deadline: 9 a.m., Fri.,
May 4. 
Online at 
Mail to: Indiana Dental Association,
1319 East Stop 10 Rd.,
Indianapolis, IN 46227
Fax to: 317.634.2612
Primary Registrant (print or type)
Aendee Codes and Registraon
Names for Badges (print or type)
Three ways to Register
Payment Total $____________
Name _______________________________
Address ____________________ Suite ____
City _______________ State __ Zip ______
Cell _________________________________
Email _______________________________
IDA Component _______________________
IUSD Alumni Class _____________________
A Dentist $325
B Dentist, IUSD Alumni
C Dentist, HOD member $105
D Dentist, 1
-time HOD member
E Dentist, retired member
F Dentist, non-member $620
G Hygienist $125
H Dental team member $65
I Dental student
K Guest, adult $35
L Guest, Alumni conference only
M 
N Guest, 18 years and under
O Component executive director
BEST Register at
BETTER Fax registration to 317.634.2612
GOOD Mail to: Indiana Dental Association,
1319 E. Stop 10 Rd., Indianapolis, IN 46227
Last name First name Attendee
Fee Event
Fee Event
Fee Event
Fee Event
Smith Heather A $325 TH107 $0 TH109 $125 FR205 $0 AA403 $95 $545
F I've enclosed a check payable to: IDA
Exp. (mo./year) __________________________________
Cardholder name _________________________________
Cardholder signature ____________________________
By my signature above, I authorize the IDA to debit
my account the total due.
F MasterCard
F Discover
Registration prices valid through 9 a.m., Fri., May 4.
The Indiana Dental Political Action Commiee (IDPAC) will again host its major
fundraising event in conjunction with the IDA Annual Session. This year’s event
is all about School Spirit and will include the annual Silent Auction, Live Auction,
and - back by popular demand - the third annual Wall of Wine. The School Spirit
Reception will be held Friday, May 18, 5:00-6:30 p.m. Everyone is invited. Be sure
to wear your favorite jersey, t-shirt, sweatpants - whatever it takes to showcase your
School Pride! The reception is a social event, but we will also be raising funds for
IDPAC, which advocates for our patients and our profession.
Dr. David Holwager
IDPAC Recepon
IDPAC Seeks Auction Items
The success of this year’s fundraising event will
depend largely on the items donated to the auctions.
IDPAC is asking you to donate an item, or several
items, to be auctioned in either the Silent Auction
(ongoing Thursday, May 17, 2:00-6:00 p.m. and Friday,
May 18, 8:00 a.m.-6:15 p.m.) or the Live Auction (Friday,
May 18, 5:00-6:30 p.m.).
Often, we hear members say, “I just don’t know what
to donate,” or “There aren’t any auction items that interest me.” Well, here’s a simple suggestion:
donate an item that you would enjoy, an item that you would want to bid on at an auction, or an
item that raises your interest. What do you enjoy doing? If you like cooking, how about donating
a gift certificate for cooking classes? Are you a sports fan? Consider donating autographed items.
Animal lover? How about a Zoo membership, or a swim with the dolphins package? Music lover?
Donate some concert tickets. The list goes on. We would like to not only increase the number of
items up for auction, but also the variety of items.
Support IDPAC
Wall of Wine is Back!
Our previous wine pulls have been hugely successful, so we’re
bringing it back again this year. Not familiar with the Wall of
Wine? Picture a huge vintner rack; nestled into each cubby is
a bottle of wine. But the bottles are wrapped in paper bags,
so there’s no way of knowing what’s inside each individual
bottle. IDA members, IDPAC members, and their families will
have the opportunity to purchase a ticket entitling them to one
mystery bottle from the vintner rack. The excitement comes
as they unwrap their bottles from the paper bags – did they
win something valuable, something unique, something exotic,
something rare? But the real excitement comes in knowing
they’ve become part of the political process, because each
ticket sold benefits IDPAC.
If you’re looking for an easy and fun way to get involved with IDPAC, why not donate a bottle of
IDPAC Recepon
We Appreciate You!
We wish to extend our appreciation to those who contributed to the Indiana Dental Political
Action Committee (IDPAC) in 2017. Your financial contributions, donations of wine for the wall of
wine, items for the silent auction, or items for the live auction greatly helped IDPAC. Gratitude
also goes out to those who bid on and purchased items at the 2017 IDPAC auction. You
supported your profession.
You may not know that advocacy for your profession is not supported by your membership dues.
Federal and state rules prohibit the Indiana and American Dental Associations from making
direct contributions to their respective political action committees. IDPAC and ADPAC are
dependent on member dentists to support advocacy eorts.
IDPAC works with the IDA Council on Governmental Aairs to advocate the IDA’s position
on issues that could impact the dental profession and Hoosier oral health. Some of the bills
presented to the Indiana Legislative Assembly during the current session that began in January
HEA 1116, included in IDA’s legislative package and authored by Reps. David Frizzell, Dr. Denny
Bidding Coming Soon
Once again we will use the Give Smart online auction system for the
IDPAC Silent Auction. Bidding will be open very soon, so be watching
for more information.
We’re currently collecting items for the Silent Auction, which can be
delivered to the IDA Central Oce by 4:00 p.m. on May 4, or contact
Laurie Campbell at 800-562-5646 to make other arrangements. In
the meantime, if you have an item you’d like to donate, let us know
about it by submitting the information online at
That will allow us to get your item listed at our Give Smart site and
start collecting bids.
IDPAC Acvies
Zent and Robin Shakleford, unanimously passed the Indiana General
Assembly and is headed to Governor Holcomb. The bill, supported by
both the IDA and the Indiana Dental Hygienists Association (IDHA), will
allow dental hygienists to provide preventive hygiene services without
the direct supervision of a dentist in non-private practice settings. The
intent is to allow hygienists more flexibility in providing preventive
services in public health settings. The measure has been praised by
Indiana legislators as a positive step toward enhancing access to oral
health preventive services.
SEA 221 will phase in INSPECT participation requirements between July 1, 2018 and July 1, 2021.
By 2021, all practitioners would be required to consult INSPECT prior to prescribing an opioid.
SB 225 will require all health care prescribers of narcotics to receive two hours of CE in opioid
prescribing and opioid abuse. Dentists who maintain a controlled substance registration and
DEA permit would need to complete this CE by the end of the 2020 licensure cycle. The Indiana
State Board of Dentistry has the charge of approving which CE programs will fulfill the legislations
requirement. The IDA is already in communication with the ISBD with suggestions for CE
SEA 221 requires healthcare providers, including dentists, to provide information related to
the their practice, including information regarding their Medicaid practice, when renewing a
professional license online. The measure also requires the Indiana Professional Licensing Agency
to compile the information collected into an annual report; post a copy of the report on the
agency’s Internet web site; and submit the report to the oce of Medicaid Policy and Planning, the
Department of Workforce Development, the Commission on Improving the Status of Children, the
Legislative Council, and the Oce of the Attorney General.
We need member dentists to be active contact dentists who will become well informed on these
and other issues that aect our patients and our ability to provide care. Indeed, this does ask
of your time and resources. Either you can impact your ability to practice, or someone else will.
You need only to look at legislative activities in the states that boarder Indiana. You see practice-
altering eorts currently underway in Michigan, Ohio and Illinois. Similar legislation has already
been passed in Maine, Washington, Minnesota and other states. Believing that Indiana is immune
would be wishful thinking. We must speak as a unified voice, build resources, know the issues,
and serve as active contact dentists. The duty and eort increases
in importance every passing year. Relying on emergency eorts
when controversy comes will be monumental.
In 2017, IDPAC supported over thirty legislators and helped
components hold legislative forums. This support takes resources of
volunteer time, knowledge and eort. Financial resources are also
critical. Gone is the time of a three to five hundred dollar donation.
The suggested legislative contribution now ranges anywhere from a
thousand to over five thousand dollars.
IDPAC needs your help in the form of financial contributions,
donations of wine for the wine pull, and items for the silent auction or the live auction. You will be
recognized for your contribution(s). For information on making a donation visit
or call Laurie Campbell, IDA Executive Assistant, at 800-562-5646.
About Dr. Holwager
Dr. David Holwager is the IDPAC Co-Chair and a general dentist practicing in Cambridge City, IN. He can be
reached at
Journal IDASpecial Section - Annual Session
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
Positions Available | Practices Available | Space Available | Equipment
Insurance Coordinator Indianapolis
Pediatric dentistry practice in
Indianapolis is looking for a part time
or full time insurance coordinator.
The position is available immediately.
Experience with Dentrix and with
Medicaid claims is mandatory.
Phone: 317-400-8019
Northwest Indiana Dentist
Our dental practice is searching
for a driven dentist with excellent
communication skills to join our
professional team. The ideal candidate
for this position has worked with patients
of all ages, is proficient in performing
regular checkups and complex dental
procedures and is committed to the
highest quality of patient care. Those
who are qualified and in search of
a long-term career opportunity are
encouraged to submit a resume today.
Multi-location practice in Merrillville and
Madison, WI Dentist
First Choice Dental is looking for a
motivated associate to join our growing
group practice. For over 20 years
we have served Madison, Wisconsin
and its surrounding communities with
a wide range of general and family
dental services including restorative,
periodontics, endodontics, orthodontics,
implant placement/restoration and
cosmetic dentistry. First Choice Dental
Group is a locally owned, family dental
practice located in beautiful Madison,
Wisconsin, home to the University of
Madison-Wisconsin and our beloved
Badgers! Madison oers a wealth of
opportunities for you to explore from
outdoor activities, dining & nightlife and
arts & culture. We welcome experienced
and new dentists with comprehensive
salary packages equipped to provide
you with production incentives and
excellent benefits. We are committed
to your continuous education and oer
an annual CE allowance of $3500. First
Choice Dental would love for you to join
our growing organization and welcome
all inquiries. Please contact Daniel
Mormann at 608.234.8004 or for
additional information.
Repairs with rapid turnaround. Save
thousands over replacement costs.
We specialize in Kodak/Carestream,
Dexis Platinum, and Gendex sensors.
We also buy/sell dental sensors. Call us
We Y Our Members!
Look for the Member Center in the Annual Session Exhibit Hall
Thursday May 17
2:00 pm - 6:00 pm
Friday, May 18
8:00 am - 4:00 pm
Visit the IDA Member Center
The IDA Member Center is a place to learn more about the value
of your membership, rest, and receive special surprises.
Meet the IDA President
Attend a Leadership Development Session
Update your Member Profile
Learn more about IDA Endorsed Products
Share snacks & beverages with fellow IDA members
We Y Our Members!
Journal IDA Member Info
Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1
Dr. Shilpa Agarway (Boston Univ
Dr. Kathryn Petry Rich (IU 2008)
Dr. Angela DeHaven (IU ‘91))
Dr. Ken Beckerman (IU ‘80))
Dr. Durell Dancy (IU 2017)
Dr. Megan M. Daniels (IU 2016)
Dr. Tara Emerick (Univ of IL 2014)
Dr. Thomas L. Frank (IU 2006)
Dr. Tylor L. Gauger (IU 2017)
Dr. Ghiath M. Halwani (IU ‘98)
Dr. Chelsea R Kelly (IU 2017)
Dr. Amul H. Singh (Univ of Bualo
NY 2001)
Dr. Barbara F. Smith (IU ‘94)
Dr. Nefeli Vasilakou (2017)
Dr. Huong T. Vu (IU 2008)
Dr. Michael J. Whitman (Univ of KY
Dr. McKay B. Packer (Univ of VA
Dr. Chelsea L. Schafer (IU 2017)
Dr. Justin D. Southward (Midwest
Univ 2017)
Dr. Suresh K. Vegesana (Univ of
NY 2010)
Dr. Rumaisa Altayib (Univ of Detroit
Dr. Amanda K. Braun (IU 2010)
Dr. Michelle B. Brown (Meharry
Medical ‘92)
Dr. Tia L Jeers (Univ of Michigan
Dr. Austin J. Pletcher (Univ of
Louisville 2016)
Dr. Firas Adhami (Midwest Univ
Dr. Emilia Blaser (IU 2014)
Dr. Margaret E. Grith (IU ‘83)
Dr. Stephanie D. Joly (Univ of
Louisville 2008)
Dr. Rachel Peterson (New York Univ
Dr. Kaitlin F. Vicari (IU 2017)
Dr. J. Clayton Callaway (IU 2000)
Dr. Matthew C. Love (IU ‘97)
Dr. Dennis Matthew Pierce (IU 2013)
Dr. An N. Hamman (Univ of CA 2013)
Dr. Michael J. Schroeder (IU 2007))
Dr. Ryan L. Ross (IU ‘94)
Dr. Jerey L. Snoddy (IU ‘83)
New Members
Dr. Charles Edward Crawford of
Indianapolis, and member of the
Indianapolis District Dental Society,
passed away January 25, 2018. Dr.
Crawford graduated from Indiana
University, School of Dentistry in
Dr. Robert E. Currie of Noblesville,
and member of the Indianapolis
District Dental Society, passed
away December 15, 2017. Dr. Currie
graduated from Indiana University,
School of Dentistry in 1970.
Dr. Gerald K. Glass of South Bend
and member of the North Central
Dental Society, passed away
March 7, 2018. Dr. Glass graduated
from Indiana University, School of
Dentistry in 1956.
Dr. Ralph Pike Querry of
Indianapolis, and member of the
Indianapolis District Dental Society,
passed away January 27, 2018.
Dr. Querry graduated from Indiana
University, School of Dentistry in
Dr. Norris Lee Richmond of
Indianapolis, and member of the
Indianapolis District Dental Society,
passed away May 24, 2017. Dr.
Richmond graduated from Indiana
University, School of Dentistry in
Dr. Becky Ann Szabo of Mishawaka,
and member of the North Central
Dental Society, passed away
February 12, 2018. Dr. Szabo
graduated from Indiana University,
School of Dentistry in 1987.
In Memoriam
Journal IDAL a s t Wo r d
Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association
Attending a class reunion can be a tricky thing. Without question reunions offer a wonderful
opportunity to reconnect with long lost friends and reminisce about the “good old days.” But class
reunions are also notorious for dredging up best-forgotten memories of angst enduring during one
of our most emotionally fragile times of life. Undaunted, I decided to attend the reunion.
The intervening years and our worsening eyesight had made name
tags obligatory. Yet one classmate stood out, easily recognizable.
Bruce, whom I didn’t know personally, had been involved in
school politics seemingly from the first day of our freshmen year
until we were handed our diplomas. He ran in every election,
led every protest, backed every obscure cause, and would give
an impassioned speech at the drop of a hat. Bruce was the first
person I had ever heard brag about his membership in the ACLU.
During the course of the evening, I found myself being lectured
to by Bruce. He felt it important to announce that because his
adopted home state of Colorado did not, at that time, recognize
same-sex marriages, he had driven with his fiance to Washington,
D.C. to get married, both in protest of Colorado’s backwards laws
and to arm his support of same-sex unions. Bruce’s comments,
directed primarily towards a gay classmate who nodded in silent
solidarity, were my first exposure to virtue signaling.
Before I could fully appreciate Bruce’s performance he turned to
me and said, “I’m sorry we hadn’t become better friends in high
school. I always admired you.
Now, I’m as susceptible to flattery as the next guy, but hearing TWO
outrageous whoppers in the span of a minute was even too much
for me. I smiled at Bruce; not in appreciation of the compliment
but rather at his almost reflexive, congenital guile. Walking away I
realized Bruce was and will always be the consummate politician,
constantly ingratiating himself for votes, even if the last election
was 45 years ago.
Contrast that with my even briefer brush with classmate Chuck.
Like Bruce, Chuck was not a friend or even casual acquaintance.
As Chuck approached his eyes were directed laser-like at my
name tag. He stopped, briefly looked at my face, and then returned
to the name tag. Without any hint of recognition Chuck asked,
“How you doing?” His words were slightly slurred probably caused
by the heroic eorts of the bartender working feverishly to keep up
with our classes’ demand.
“I’m O.K. How are you, Chuck?” I had stolen a surreptitious glance
at Chuck’s name tag thus appearing to have remembered him.
Without any hint of embarrassment Chuck ruefully replied, “Well,
not so good. I’ve had trouble fitting in.” He then abruptly turned
and walked away. If I had even the slightest recollection of Chuck
I probably could have said in that odd moment, “Good old Chuck.
Always tells it like it is.
Several times since that evening I’ve thought about my long forgot-
ten school classmates. Interestingly, I haven’t given much thought
to the popular football stars that now carry their unathletic old man
paunch. Nor do I think about the cheerleaders who if they were to
try a cartwheel or backflip would register on an Icelandic seismic
recorder, or even the class Lotharios who have substituted a flashy
sports car and sad, sad comb-over for their long departed youthful
sex appeal.
Instead I’m drawn to the memories of Bruce and Chuck, two class-
mates with polar opposite personalities and life outcomes. I believe
their greatest dierence is most glaringly revealed in my two brief
Bruce, always calculating each advantage, wanted to suggest
a nonexistent friendship for whatever purpose only understood
within his cunning, exploitive mind, while Chuck, whose greatest
obstacle in life will always be being Chuck, spoke without pretense
or a scintilla of self aggrandizement. His words, less flowery, rang
true while Bruce’s cause everyone to instinctively reach for his wal-
let hoping it’s still safely in their back pocket.
I suppose every class has its Chuck. You know, the guy due to bad
grades, bad luck or bad decisions, attends the class reunion report-
ing that he’s still “having trouble fitting in.” And, for every Chuck
there is also Bruce, the self-important blow-hard you don’t listen to
as much as you endure.
My advice: Go to your reunion. You’ve developed a tough hide and
some much needed perspective about those years and while you
try to avoid Bruce and Chuck lurking somewhere by the bar remind
yourself that you drive your own car, carry several credit cards,
respect NO curfew, and, thank God, the acne has cleared up. Life
is good.
About Dr. Rader
Dr. Michael D. Rader is a general dentist practicing in South Bend, IN. He
can be reached at
Class Reunions
Dr. Michael D. Rader