JIDA 2018 Issue #1

Journal IDA

The JOURNAL of the INDIANA DENTAL ASSOCIATION

VOLUME 97

2018 ISSUE 1

INDENTAL.ORG

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

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• 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

PERSONNEL

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.

Manuscripts

Scientiﬁc and research articles, editorials, communications,

and news should be addressed to the Editor,

1319 East Stop 10 Road, Indianapolis, IN 46227

or sent via email to karen@indental.org.

Advertising

All business matters, including requests for rates and

classiﬁeds, should be addressed to Karen Scharf,

1319 East Stop 10 Road, Indianapolis, IN 46227.

A media kit with all deadlines and ad specs is available

at the IDA website at indental.org/Advertise.

CONTENTS

REGISTRATION FORM

IDA ANNUAL SESSION & IUSD ALUMNI DENTAL CONFERENCE

MAKE REGISTRATION

FASTER and EASIER!

www.INDental.org/Register

w NAMES FOR BADGES (print or type)

LAST NAME FIRST NAME ATTENDEE REG. FEE EVENT FEE EVENT FEE EVENT FEE EVENT FEE EVENT FEE

TOTAL

CODE CODE CODE CODE CODE CODE FEE

FEES

Last First A $295 TH107 $0 FR200 $0 FR203 $0 AA401 $120 SP307 $15 $430

TOTAL FEES

q PRIMARY REGISTRANT (print or type)

Name _________________________________________________________

Address ___________________________________Suite _______________

City _________________________State_________Zip_________________

Phone ________________________________________________________

Cell___________________________________________________________

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 <www.INDental.org/register>

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.

THREE WAYS TO REGISTER

BEST Register on the IDA website at www.INDental.org/Register

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

r PAYMENT

Grand Total $________________________



I have enclosed a check payable to the Indiana Dental Association

I wish to pay by:



MasterCard



VISA



Discover



AMEX

Card number



Expiration date (REQUIRED; month/year) __________________________________________________

Security code (REQUIRED) __________________________________________________________________

Cardholder name____________________________________________________________________________

Cardholder signature _______________________________________________________________________

By my signature above, I authorize the IDA to debit my credit account with the grand total due.

ATTENDEE CODES and REGISTRATION

FEES

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

2018

5 EDITOR’S MESSAGE Dr. Jack Drone

6 PRESIDENT’S MESSAGE Dr. Greg Phillips

8 EXECUTIVE DIRECTOR’S MESSAGE Mr. Doug Bush

MEMBER ZONE

10 LETTERS TO THE EDITOR

12 WORD PAIRS Dr. Bill Risk

14 COMPONENT 140

16 SOLOMETEX RECEIVES IDEA ENDORSEMENT

Dr. Thomas Murray

18 DR. JAY ASDELL RUNS FOR IU TRUSTEE

20 IDA RESPONDS TO OPIOID CRISIS Mr. Jay Dziwlik

SPECIAL SECTION - CLINICAL

22 TETRACYCLINE VENEERS: case study Dr. Tim Adams

ANNUAL SESSION REGISTRATION

30 SCHEDULE OF EVENTS

34 ALUMNI CONFERENCE

35 EXHIBIT HALL

36 CE ATAGLANCE

38 ANNUAL SESSION REGISTRATION

42 IDPAC RECEPTION

45 CLASSIFIEDS

46 MEMBER INFORMATION

47 LAST WORD Dr. Michael Rader

Member Zone

Clinical

Registration Form

ISSUE 01

Annual Session



Journal I DA

Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1

Look for us at

Annual

Session!

Look for us at

Annual

Session!

Wanda

Ashley

800-417-6424

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 Costanza’s. 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 jack@hillcrestdental.net.

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

drgreg@columbusperioandimplants.com.

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...

...so you’re not

fair game.

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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

good.

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

indental.org/solmetex.

* 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

indental.org/amalgam.

Mr. Doug Bush is serving his 22nd year as IDA Executive Director.

He can be reached at doug@indental.org.

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

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• Tax Preparaon &

Consulng

• Business Valuaon

• Rerement Plan

Services

• Pracce Management

Services & Soluons

• Pracce Formaon &

Transions

Kam McQuay, CPA

p/f: 317.713.7933 / kmcquay@blueandco.com

Angie Zirkelbach, CPA

p/f: 317.713.7961 / azirkelbach@blueandco.com

blueandco.com

500 N. Meridian St., Suite 200, Indianapolis, IN 46204

Journal of the Indiana Dental Association | Volume 97 · 2018 · Issue 1

Leers to the Editor

MEMBER ZONE

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

SLATE

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

preparation.

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

www.SCORE.org.

Sincerely,

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 karen@indental.org, 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

800-448-2523

theparagonprogram.com/grow

Through

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

DENTAL PRACTICE MANAGEMENT SINCE 1986

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

today.

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, indental.org, 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

May.

About Dr. Risk

Dr. William B. Risk is a general dentist practicing in Lafayette, IN. He

can be reached at wriskdds@gmail.com.

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:

indental.org/wordpairs

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

always!

In Component 140, Indiana’s 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 Karen@INDental.org.

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 info@indydentalsociety.org 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

IDDS at info@indydentalsociety.org.

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 nwidentalsoc@yahoo.com or

219-769-3504

June 29, 2018

Golf Outing at Youche Country Club. Visit nwids.org or call 219-769-3504 for registration

information.

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

housed

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, IDEA’s 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

indental.org/solmetex. (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 murray.t@twc.com..

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

indental.org/IDEA

Journal IDAMember Zone

Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association

Special Oer for Indiana

Dental Association Members

Solmetex

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 | www.solmetex.com

$298

$900 Savings o

Suggested

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To take advantage of this great oer, go to:

www.solmetex.com/endorsements/indiana

• 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:

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 aempt 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. Asdell’s 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.

He’s 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@

indiana.edu or by phone at 812-855-4822 or 800-824-

3044.

If you would like to contact Dr. Jay Asdell, please do so

through email at hoosieroms@gmail.com 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

https://www.myiu.org/my-proﬁle/user-login.

Step 2: Vote

There are two ways to vote:

1. Vote online. Beginning June 1, any elegible IU

graduate can vote online at:

https://alumni.iu.edu/about/election/index.shtml

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

truselec@indiana.edu 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

action.

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;

Order Now

indental.org/drugbook

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• viral/ bacterial

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• pain management

• anxiety/sedation

• pediatric doses

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Members only discount!

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 indental.org/Academy.

Thursday, May 17th, 2018, during the IDA Annual Session

“Less Pain Fewer Opioids” presented by Dr. Don Teater.

The American Dental Association oers over 20 online

webinars and continuing education seminars on opioids and

opioid prescribing. Check them out at ADA.org.

The IDA created the Dental Prescription Reference

Guide...

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

indental.org/drugbook.

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 jay@indental.org.

Useful Websites

American Dental Association ........................................................................................................... ada.org

Indiana Dental Association ....................................................................................................... indental.org

IDA Dental Prescription Guide ............................................................................. indental.org/drugbook

Indiana State Department of Health .................................................................. in.gov/isdh/27358.htm

Indiana Professional Licensing Agency ..................................................................................... in.gov/pla

Mouth Healthy (Public Oral Health information) ........................................................mouthhealthy.org

Physicians’ Desk Reference ...............................................................................................................pdr.net

Indiana INSPECT........................................................................................... in.gov/pla/inspect/index.htm

Federal Drug Enforcement Administration .................................................................................. dea.gov

CDC’s “Guidelines for Prescribing Opioids for Chronic Pain”

......................................................................... cdc.gov/drugoverdose/pdf/Guidelines_Factsheet-a.pdf

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 teeth’s 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

SPECIAL SECTION

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.

7,8

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.

4,9,10

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.

11,15

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

10).

Conclusion

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-

sibility.

Acknowledgment

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-

sion of the publisher.

References

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

Call today for a

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Hanover Park, Ill: Quintessence Publishing; 2003:318-232,393-

395.

2. Roulet JF, Degrange M. Adhesion The Silent Revolution in

Dentistry. Hanover Park, Ill: Quintessence Publishing; 2000:92-

101,238-242

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;

2002:182-187.

5. Preston JD. The golden proportion revisited. J Esthet Dent

1993;5(6):247-251.

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-

860.

10. Fradeani, M. Esthetic Rehabilitation in Fixed Prosthodon-

tics: Esthetic Analysis A Systematic Approach to Prosthetic

Treatment. 1st ed. Hanover Park, Ill: Quintessence Publishing;

2004:154-263.

11. Fuzzi M, Carnevale G, Tonelli MP. Ceramic bonded res-

torations: pathway to natural esthetics. J Esthet Dent.

1995;7(6):235-243.

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-

452.

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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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

indental.org/register

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 

frenchlick.com 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

IDA

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 Meetings@INDental.org 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.

Welcome

Thursday’s Special Events

Thursday, May 17:

6 – 7 p.m.

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.

Attend

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



available.

Thursday, May 17

House of Delegates, First Session:

9:15 a.m. – Adjournment





House.

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, Laurie@INDental.org.

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

Friday’s Special Events

Friday, May 18:

9:30 – 11 a.m., cost: $28

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-



Anni-

versary! Share stories, reminisce on your

favorite AIDA memories, and check out





Friday, May 18:

2 – 4 p.m., cost: $41

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.

Co-sponsored by IDA Insurance Services

and MedPro

ATTENTION NEW DENTISTS AND

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-

ded.

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:

0518IDA

For driving directions, visit  or your trusted online resource. Several



the French Lick Municipal Airport.

Hotel Reservaon Informaon

IUSD Alumni Conference

#bookletDiv.pf5 { display: block !important; }

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

Successful

Practices

Dr. Gary

DeWood

TH101

CMS

Drs. Jeff

Johnston and

Erik Stier

8-8:15 a.m.

8:15-8:30 a.m. TH102

3-D Endo

Instrumen-

tation and

Obturation

Lecture

Drs. Ali Nasseh

and Anne Koch

8:15-8:30 a.m.

8:30-8:45 a.m. TH103

Emergency

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

Associateship

Opportunity

Amber Banks

9:30-9:45 a.m.

9:45-10 a.m. 9:45-10 a.m.

10-10:15 a.m. TH106

Effective

Insurance

Coding, Part 1

Drs. Jeff

Johnston and

Erik Stier

10-10:15 a.m.

10:15-

10:30 a.m.

10:15-

10:30 a.m.

10:30-

10:45 a.m.

10:30-

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.

11:15-

11:30 a.m.

11:15-

11:30 a.m.

11:30-

11:45 a.m.

11:30-

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.

12:15-

12:30 p.m.

TH108

Less Pain,



Opioids

Dr. Don Teater

TH109

3-D Endo

Instrumen-

tation and

Obturation

Workshop

(Fee: $125)

Drs. Ali Nasseh

and Anne Koch

12:15-

12:30 p.m.

12:30-

12:45 p.m.

TH110

Appliance

Therapy

Dr. Gary

DeWood

TH111

Motivational



Sonya

Salisbury

12:30-

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

TH113

Effective

Insurance

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: www.jida.news/as2018regbook

Friday CE At-a-Glance

8-8:15 a.m. FR200

Ensuring

Case

Acceptance

Comprehen-

sive Care:

Part 1

Dr. Paul

Fugazzotto

FR201

Is That Legal?

Dr. Mark

Stetzel

8-8:15 a.m.

8:15-8:30 a.m. FR202

Antibiotic

Prophylaxis

for

Prosthetic

Joint,

Cardiac and

other

medical con-

ditions

Dr. Tom

Paumier

8:15-8:30 a.m.

8:30-8:45

a.m.

FR203

Zircobite

Concept

Dr. Nate Hef-



8:30-8:45

a.m.

8:45-9 a.m. FR204

Dental

Assisting

101

Tija Hunter

8:45-9 a.m.

9-9:15 a.m. FR205

The Magic

of Disney’s

Business Suc-

cess

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

Estate

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



Dentist



Dr. Bill Simon

10-10:15 a.m.

10:15-

10:30 a.m.

10:15-

10:30 a.m.

10:30-

10:45 a.m.

10:30-

10:45 a.m.

10:45-11 a.m. 10:45-11 a.m.

11-11:15 a.m. FR208

Intro to



Dentistry

Dr. Bob Har-

ris

11-11:15 a.m.

11:15-

11:30 a.m.

11:15-

11:30 a.m.

11:30-

11:45 a.m.

11:30-

11:45 a.m.

11:45 a.m.-

12 p.m.

11:45 a.m.-

12 p.m.

12-12:15 p.m. FR214

Nano

Technol-

ogy and the

Advancement

in Bonding,

Composites

and

Temporary

Bridge

Fabrication

Dr. Bill

Paveltz

12-12:15 p.m.

12:15-

12:30 p.m.

12:15-

12:30 p.m.

12:30-

12:45 p.m.

FR209

Ensuring

Case

Acceptance

Comprehen-

sive Care:

Part 2

Dr. Paul

Fugazzotto

FR210

Website Must

Have's

Heather

Simpson

12:30-

12:45 p.m.

12:45-1 p.m. FR211

Rock Star

Dental

Assistant

Tija Hunter

FR212

Nutrition:

5 Key

Messages

Margaret

Connor

12:45-1 p.m.

1-1:15 p.m. FR213

What Every

Dental

Student



Dr. Bill

Simon

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: www.jida.news/as2018regbook

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 



$95

AA404 IUSD Class Reunion Photo $15

indental.org/register

Newly

Added

Special

Events

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

specials.

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-

ted.



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.

Registraon

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?

e

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 Meetings@indental.org 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

Meetings@indental.org.

Frequently Asked Quesons

For the 2018 IDA Annual Session and IUSD

-

-









Note:

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

$325/$385

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

$105/$165

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

$620/$740

G Hygienist Lectures, exhibit hall, free events

$125/$145

H Dental Team Lectures, exhibit hall, free events

$65/$85

I Student Lectures, exhibit hall, free events

J AIDA Lectures, exhibit hall, free events

K Guest, Adult Exhibit hall, free events

$35/$55

L Guest, IUSD Alumni Dental

Conference Only

IUSD Alumni Dental Conference event options only

M 

Only



N Guest, Youth Lectures, exhibit hall, free events

O Component Executive

Director

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

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 ______

Phone_______________________________

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

J AIDA

K Guest, adult $35

L Guest, Alumni conference only

M 

N Guest, 18 years and under

O Component executive director

BEST Register at INDental.org/Register



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

code

Fee Event

code

Fee Event

code

Fee Event

code

Fee Event

code

Fee TOTAL

Smith Heather A $325 TH107 $0 TH109 $125 FR205 $0 AA403 $95 $545

F I've enclosed a check payable to: IDA

Credit

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 VISA

F Discover

F AMEX

Registration prices valid through 9 a.m., Fri., May 4.

Registraon

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

“Goooooo....

IDPAC”

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

indental.org/auction

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

wine?

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

include:

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 indental.org/auction.

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

programs.

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 indental.org/auction

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 dr.baldguy@frontier.com.

Journal IDASpecial Section - Annual Session

Volume 97 · 2018 · Issue 1 | Journal of the Indiana Dental Association

classieds

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.

Email: am.arbelaez@hotmail.com

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

Munster.

Email: mendeetaylor@yahoo.com.

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

daniel.mormann@titustalent.com for

additional information.

POSITIONS AVAILABLE

INTRAORAL X-RAY SENSOR REPAIR

Repairs with rapid turnaround. Save

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We specialize in Kodak/Carestream,

Dexis Platinum, and Gendex sensors.

We also buy/sell dental sensors. Call us

919-229-0483 www.repairsensor.com

EQUIPMENT

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

EAST CENTRAL

DENTAL SOCIETY

Dr. Shilpa Agarway (Boston Univ

2017)

Dr. Kathryn Petry Rich (IU 2008)

Dr. Angela DeHaven (IU ‘91))

FIRST DISTRICT

DENTAL SOCIETY

Dr. Ken Beckerman (IU ‘80))

INDIANAPOLIS DISTRICT

DENTAL SOCIETY

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

2017))

ISAAC KNAPP DISTRICT

DENTAL SOCIETY

Dr. McKay B. Packer (Univ of VA

2006)

Dr. Chelsea L. Schafer (IU 2017)

Dr. Justin D. Southward (Midwest

Univ 2017)

Dr. Suresh K. Vegesana (Univ of

NY 2010)

NORTH CENTRAL

DENTAL SOCIETY

Dr. Rumaisa Altayib (Univ of Detroit

2017)

Dr. Amanda K. Braun (IU 2010)

Dr. Michelle B. Brown (Meharry

Medical ‘92)

Dr. Tia L Jeers (Univ of Michigan

‘94)

Dr. Austin J. Pletcher (Univ of

Louisville 2016)

NORTHWEST INDIANA

DENTAL SOCIETY

Dr. Firas Adhami (Midwest Univ

2015)

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

2017)

Dr. Kaitlin F. Vicari (IU 2017)

SOUTH CENTRAL

DENTAL SOCIETY

Dr. J. Clayton Callaway (IU 2000)

Dr. Matthew C. Love (IU ‘97)

Dr. Dennis Matthew Pierce (IU 2013)

SOUTHEASTERN INDIANA

DENTAL SOCIETY

Dr. An N. Hamman (Univ of CA 2013)

WEST CENTRAL

DENTAL SOCIETY

Dr. Michael J. Schroeder (IU 2007))

WESTERN INDIANA

DENTAL SOCIETY

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

1964.

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

1952.

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

1963.

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

members

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

exchanges.

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 drrader@sbcglobal.net.

Class Reunions

Dr. Michael D. Rader