Deadline for article submission for next Handpiece. Please e-mail to

lcdentalsociety@gmail.com or call Bridgette 717-606-6534

SEPTEMBER 15, 2019

3Q2019

The Newsletter of the Lancaster County Dental Societywww.lancastercountydentalsociety.org

HET PRESIDENT’S MESSAGESTRONG ROOTS. Welcome all, and thank you for honoring me with the President’s Chair this year. On a daily basis, I think about my journey to become a founding dentist at FPE Dental 17 years ago, and the “roots” that keep me healthy, trusted and grateful. Our profession as dentists comes with twists and turns. I’ve found that patients and peers we meet along the way truly form the foundation for my smile. Raised just outside of Philly, I graduated from Lycoming College in 1993 and Temple University School of Dentistry in 1997. My education continued with an A.E.G.D. in the United States Air Force. After serving five years active duty in Shreveport LA, Okinawa Japan and Ft. Dix NJ, my wife Leslie and I returned to her hometown Lancaster to raise our three boys – Cole, Foster and Devin. My family life and profession were progressing. My smile forever takes shape. Many of you may recall the wine pairing and officer induction ceremony at Bent Creek. The evening was a wonderful gathering captured in selfies by Dr. Grambau (who doesn’t need a selfie stick!) and the meeting of great new friends at Dr. Ross’s office as well as the base of the society. What became obvious to me? When dentists mingle, there are no strangers in the room. We are connected. That night, my wife and I shared with Dr. Manny and his wife that our oldest son, Cole, was enrolled in dental curriculum at PSU and soon headed to

Ghana, Africa to serve on a 2-week medical mission. Immediately, Dr. Manny turned to introduce Dr. Ethel Esianor Mitchual, a native of Ghana. She graciously shared information about her country, family and environmental conditions that helped answer the unknown. Dr. Michual’s presence in my life, at that very moment, strengthened my appreciation for relationships. I was reminded again how, similar to teeth, individuals are aligned. Our LCDS is a proud group of friends and partners, rooted here to serve Lancaster County families together. We are leaders, and a trusted part of the medical community. I commission each of you to network, shake hands, embrace chairside stories with patients, and share experiences with fellow dentists and their families. Most of all, let’s appreciate how fortunate we are to shape the smiles of many, including our own.

IN THEPOTLIGHTS

Alliance National Convention 2019will be held September 4-6, 2019 in

San Francisco, CA. Convention isheld in conjunction with the

American Dental AssociationMeeting 2019.

SEPTEMBER 4-6, 2019

CONTINUING EDUCATIONIMPLANT AUTHENTICITY- Genuine vs 3rd Party

Dr. John Douglas Lancaster Country Club

6:00PM - 9:00PM

OCTOBER 17, 2019

CONTINUING EDUCATIONINTRODUCTION TO DENTAL

SLEEP MEDICINEDr. Michele Cantwell

Rebecca A. SenftRN, BSN

Lancaster Country Club6:00PM - 9:00PM

NOVEMBER 21, 2019

Microsoft Support for Windows 7

ENDS

JANUARY 14, 2020

Dr. Timothy B. Paulin

2019-2020 LCDS Officers

From left: Dr. Manish Lamichane, Dr. Melissa DellaCroce,Dr. Timothy Paulin, Dr. John Snee and Dr. Jason Phillips

2

3

THOUGHTs TO PONDER:CHAIRSIDE CHATTER

“The best and most beautiful things in the world cannot be seen or even touched. They must be felt with the heart” Helen Keller

“You may say I’m a dreamer, but I’m not the only one. I hope someday you’ll join us. And the world will live as one.” John Lennon

Volunteer dentists providing a "Dental Home" for low-income uninsured patients.

“Do your little bit of good where you are; it’s those little bits of good put together that overwhelm the world” Desmond Tutu

DALCO would like to recognize Dr. Minh Snyder, DMD – Snyder Endodontics for her continued support

of the DALCO program. Dental Access Lancaster County (DALCO), a partnership among Lancaster County Dental Society, local dentists and Lancaster General Health, provides a “dental home” for low-income, uninsured patients. A dental home is a dental practice that provides ongoing care, including routine cleanings. Patients pay a small co-pay for each visit based on their income. DALCO’s database includes 103 local dental providers. Though the list continues to grow, it is small in comparison to the dental needs of the uninsured in this community. DALCO currently has a 3 month wait list. We are always looking for more dentists to participate with the DALCO program. The DALCO providers have provided over $1,465,000 worth of donated dental care. We realize many dentists already link with other local organizations to provide dental care to those in need; but we are asking you to consider joining DALCO as well. Signing up to see even one patient WILL make a difference. If you would like to join this list of extraordinary community minded professionals or have questions about the DALCO program, please contact: Christine Eyer (717)544-3279 Christine.Eyer@pennmedicine.upenn.edu

The Lancaster County Dental Society has a long and distinguished history. Since it’s foundingin 1867, the Society has grown to over 200 active members from throughout historic LancasterCounty. With a population of 55,351, Lancaster isthe eighth largest city in Pennsylvania. Thepopulation of the metropolitan area stands at 494,486 making it the 101st largest metropolitan area in the US. For this reason, the members of the Lancaster County Dental Society remain committed to encourage the improvement of the oral health of the public, to promote the art and science ofdentistry and encourage the maintenance of high standards of professional competence and practice, and to represent the interests of the members ofthe dental profession and the public which it serves. Other active dental health related groups in the area include the Alliance of the LancasterCounty Dental Society and the Lancaster CountyDental Hygiene and Assistants Association. The purpose of our website is to keep ourmembers abreast of upcoming continuing education meetings, list upcoming member events, discussany legislative issues related towards our profession and keeping us informed about our community.Our hope is that you access the site and find ithelpful and informative.

Some Scoopabout us:

LCDSBulletinBoardInfo of interest to the LCDS community

4

SERVICES OFFERED - Dr. James Thomas is available to check hygiene patients for offices anytime. 42 years experience in private practice, fully-insured, licensed and DEA. Call 717-669-0670, or email jjbkat@yahoo.com.

PRACTICE TRANSITIONS - We specialize in Dental Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers or Buyers. Contact Philip Cooper, DMD, MBA, American Practice Consultants, 800-400-8550 or cooper@ameriprac.com.

PRACTICE FOR SALE - York, PA -Three story building owned by seller. Six ops, digital x-rays, Dentrix software. Collections averaging around $600,000 last few years. Dentist retiring. Contact Phil Cooper at cooper@ameriprac.com, 800-400-8550.

SERVICES OFFERED - Dr. Phil Blanck is available to check hygiene patients for offices any day except Friday. Dr. Blanck is licensed and fully insured. Please text 717.725.3753 or email fillblanck@hotmail.com, if you are in need of hygiene coverage.

5

I get it, you became a dentist to practice dentistry, not to master computer networking (or HR or any number of other things you’re now responsible for). Once upon a time a dentist got a good drill and a nice chair and other than replacing bits or a reupholstering they could get on with their practice. My great uncle, Sam Appleyard practiced dentistry in Lancaster into the 1960s. Born in 1901, he graduated from University of Pennsylvania in 1926 and started his practice in 1927. I vaguely remember his office on the first block of West Orange Street (the site is now a Sunoco gas station); everything was chrome, black and white enamel and scary looking. He may well have retired using the same equipment he started with. Like almost everything else, dentistry has become more technology and regulation driven. The good news is that technology has improved many aspects of patient treatment and practice management (does anyone want to go back to manual bookkeeping?) and regulations are…mandatory. But like it or not, unlike a 1920s drill or chair, technology needs to be refreshed on a regular basis. On January 14, 2020 Microsoft ends support for Windows 7 and Server 2008. This is relevant to your practice because, with the end of support and associated security fixes, these operating systems will no longer be considered HIPAA compliant. But irrespective of HIPAA compliance issues, a secure network with redundant backups and reasonably up to date equipment represent best practice for your business. End of support does not mean computers running Windows 7 and Server 2008 will cease to function,

however they will become increasingly vulnerable over time as additional flaws and bugs are discovered and not fixed. This means your network will become increasingly less secure. In the event of a security or breach audit, neglecting to upgrade operating systems would be considered a serious infraction. It is important for the security and compliance of your practice to make sure your operating systems are current and updated with the latest fixes from Microsoft. But, given the cyber threat environment and value of the data on your network, an up-to-date operating system is only one part of a secure network. To paraphrase Shrek, good security is like an onion. It has layers. Up to date operating systems are just one layer. An enterprise grade gateway between you and the internet is another, as is professional grade endpoint security (aka antivirus or antimalware) to head off anything that may get through the gateway. Staff awareness is also critical. Don’t click on attachments or links unless you know who sent them (and even then consider whether you really need to open that file). Another critical layers consist of redundant, secure backups because the latest trend in cybercrime isn’t stealing your patients’ data to sell to other criminals, it’s to encrypt your data and sell you what you hope is the decryption key. With the right backup system you don’t have to reward criminals, just restore your most recent backup and get on with your practice. Doing this thoroughly and well and keeping it up-to-date is complicated and represents an essential part of what a dental specific IT company can offer your practice. But the most important thing is you understand the risks, make informed decisions and take appropriate action to protect your practice. Another recommendation is start planning your transition from Windows 7 and Server 2003 now. The deadline will be here sooner than you think.

The Lancaster Cleft Palate Clinic is seeking a highly motivated general dentist to join our team. The Clinic is a not-for-profit organization dedicated to improving the quality of life for infants, children and adults through comprehensive, coordinated team treatment of craniofacial conditions resulting from birth defects, traumaand disease. It is the oldest cleft and craniofacial clinic in the United States, founded in 1938. The position is part time. The ideal candidate will have comfort in performing fixed and removable prosthodontics.

The clinic employs two full time dental hygienists. Other team members are represented in the following specialties: Plastic and reconstructive surgery, orthodontics, pediatric dentistry, oral and maxillofacial surgery, otolaryngology, pediatric medicine, speech and language pathology, and audiology. Research opportunities and hospital privileges are available but not required for the position.Please contact Sue Scott for additional information:

Seeking General Dentist – Part Time

Requirements: - DDS/DMD - A minimum of 5 years of clinical experience as a practicing dentist - PA Dental License

SScott@cleftclinic.org.

6

7

8

9

210 South Prince Street Lancaster, PA 17603 717.358.2011

Celebrating 20 years of ministry.

Hello Fellow Dental-ites, It’s been a busy year here at the dental clinic at Water Street. We’ve been working with Dentsply Sirona, Toothsmiths, Red Rose Dental Lab, Austin Dental Ceramics, and Viva Dental Lab in full force recently to bring excellent care to our Mission guests, our community patients, and our staff at Water Street Mission. Dr. Strause, Dr. Wisse, More Smiles with Ephrata Family Dental, Dr. Funk, Dr, Berg, Dr. Earhart, Dr. Lehr with HarvestDental, and a new volunteer, Dr. Pranckun, have all been contrib-uting to the health of our patients in the past few months. We greatly appreciate their help and your support of our clinic. There have been many changes here at the clinic, but the team here has adjusted quite well to them. Our team has grown to include a full time hygienist, Joanna Martin, and a part time sterilization technician, Jessica Kanagy. We are grateful to have the clinic running well under their hands and the hands of ourcapable dental assistant, Adelee Huss. We still love to have teams and individuals come and give their time and expertise, though, so don’t let our team deter you! We have a SPECIAL need for doctors during the months of December 2019 through March 2020 because Dr. Baird is pregnant. Congratulations, Dr. Baird! Thanks to the generosity of Dr. Po and Water Street Mission, Dr. Baird has completed the Tufts University Dental Sleep Medicine Mini Residency this past year. As you may know, Dental Sleep Medicine has unfortunately become a controversial area of practice. However, the ADA recommended in 2017 that dentists begin to screen for obstructive sleep apnea; appropri-ate training is recommended by the American Academy of Dental Sleep Medicine. We are now able to offer oral appliances for our long term patients here who have been diagnosed with obstruc-tive sleep apnea and are unable to tolerate a CPAP or who need to try combination therapy with their CPAP. As you know, sleepis fundamental, especially for mental health, cardiovascular health, neurocognitive functioning, diabetic health, and overall quality of life. Different sleep stages either establish memories or give our bodies a chance to make the necessary hormonesto function. At Water Street Mission, our goal is a holisticgoal: to work with our guests to improve their lives physically, spiritually, and mentally. Sleep impacts our guests in unique ways. Our short term guests here will be experiencing a better sleeping environment soon once the construction is finishedon our shelter. Our long term residents let Health Servicesknow if their roommates are snoring. We send them to a sleep physician to have a consultation and ultimately for testing to determine their airway status. We attempt to work closelywith the physicians and recommend a follow up sleep study at6 months so our patients can receive quality care and followup after the delivery of the appliance. Here’s a hint: if you have a patient who’s sleeping in your chair, that’s not normal. Check their airway using the Modified

Mallampati classifcation. If you’re not sure, talk to a local sleep physician. You may be saving them from a heart attack (based on the Wisconsin Sleep Cohort Study where 50% of severe OSA patients wound up experiencing a heart attack within 5 years). That’s all for now. We give God thanks and praise knowing thatHe has supplied the needs of our guests and clinic. We are grate-ful for your support and generous donations of your talent, your time, and your hard earned finances. Blessings, The Team at Water Street Dental Clinic

10

Lancaster Country Club

COURSE OBJECTIVES :• Understand the engineering behind genuine (OEM) vs 3rd party abutments. How forces are managed through the connection and the role of the abutment screw.• What to look for in clinical pictures and X-rays and how it affects patient outcomes.• Discuss screw-retained solutions with this transition away from cement-retained solutions.

BIO : After graduating from Temple Dental School in 1991, Dr. John Douglas spent six years as an Associate Dentist for two different practices in Lancaster County, PA. After feeling the desire to step out on his own, he started his own dental practice. Ten years later, although a very successful practice, he decided to sell his dental practice and attempt new endeavors. He then served as a volunteer dentist at Water Street Rescue Mission, taught Dental Assisting through the Career and Technology Center, and became a dentist on staff at a local digitally progressive dental lab, Toothsmiths Inc. He now currently works with Nobel Biocare. His two years at Toothsmiths allowed him time to learn, research and support other dentists. He was able to see the wide range of restorative solutions from a wide range of dental offices. With this experience it allowed Dr. Douglas to take on a new position with Nobel Biocare as a NobelProcera Specialist for the next three years. He is currently in his fourth year as a Sr. Digital Specialist supporting the Mid-Atlantic area. This time with Nobel Biocare has further broadened his knowledge of innovative restorative solutions and how we can improve patient care by using digital technology.

COURSE DESCRIPTION : Discuss the engineering behind the Conical Connection and compare the difference between genuine parts (OEM) and 3rd party (aftermarket). See the clinical results of 3rd party restorative components. One thing that all the big implant companies agree on is genuine parts, but why? Could this be marketing or is there a real reason that is now being seen clinically. With the

concern about cement-retained solutions the industry has seen a large number of screw-retained solutions become available. With all these new solutions and options, this has unique challenges. Those challenges can be both clinical and/or business. Please join us this evening to relax and have some fun.

6:00PM - 9:00PM

IMPLANT AUTHENTICITY - Genuine vs 3rd Party (Sponsored by NobelBiocare)

OCTOBER 17, 2019Dr. John Douglas

Lancaster County Dental Society Continuing Education 2019-2020

3 CE Credit Hours

“Brush and Clean in Between to Build a Healthy Smile”6:00PM - 9:00PMLancaster Country Club

NOVEMBER 21, 2019“INTRODUCTION TO DENTAL SLEEP MEDICINE” • “ PART 1 “

Dr. Michele Cantwell

COURSE OBJECTIVES :• Overview of sleep disordered breathing and screening for obstructive sleep apnea in the general dental patient population including written screening tools

COURSE DESCRIPTION : An estimated 22 million (1 in 5 adults) Americans have obstructive sleep apnea (OSA) and most remain undiagnosed. Dentists are uniquely positioned to aid in the identification and treatment of OSA. This course will present an unbiased introduction to dental sleep medicine based upon available pertinent literature. This overview is appropriate for the entire dental team and will focus on demographics, screening and treatment within the general dental population, diagnostic testing, device selection, establishing the protrusive position, and communicating with our medical colleagues.BIO : Dr. Cantwell is a graduate of Wilkes University and the University of Pittsburgh, School of Dental Medicine. Following graduation, and a three-year residency in prosthodontics, she served on active duty service as a Lieutenant Comander in the US Navy.Dr. Cantwell became a Diplomate of the ABDSM in 2014 and serves on the American Academy of Dental Sleep Medicine’s Board of Directors. She is a co-chair and lecturer of the AADSM’s Mastery Program in Chicago, Il. In 2018, the Center for Dental Sleep Medicine joined the Pulmonary @ Sleep Medicine Department of Wellspan Hospital with practices in Lancaster and York. She lives in Lancaster, PA with her husband and their daughters.

3 CE Credit Hours

3 CE Credit Hours

11

5-6-7 year olds

BIO : Speaker: Rebecca Senft BSN RN, Clinical Coordinator WellSpan Sleep Services Rebecca’s role as Clinical Coordinator for WellSpan Sleep Services is system wide and multifaceted. She facilitates programs that affect patient care such as home delivery of sleep tests, collaborates with specialty practices to screen for sleep disorders and she acts as an education specialist, bringing awareness of the importance of sleep to the community and health care teams. She is a member of the American Academy of Sleep Medicine. An extensive background in cardiovascular nursing includes, Cardiac Surgery ICU, Surgery Educator/Liaison and Left Ventricular Assist Device Coordinator. Her experience lends itself to explaining the interaction between cardiac disease and sleep disorders and her passion for teaching patients, families and the public about the importance of sleep drives her toward her goal to see everyone Well Rested!

NOVEMBER 21, 2019Rebecca A. Senft

RN, BSN

Lancaster County Dental Society Continuing Education 2019-2020• Discussion of diagnostic at home and in lab testing and interpretation of sleep studies• Understanding treatment options for obstructive sleep apnea including case presentation involving Positive Air Pressure (PAP) therapy, Oral Appliance Therapy (OAT) and hypoglossal nerve stimulation.• Overview of informed consent and accepted standards of care in dental sleep medicine.

“INTRODUCTION TO DENTAL SLEEP MEDICINE” • “ PART 2 “

6:00PM - 9:00PMLancaster Country Club

BIO : Dr. Manish Lamichane • LOA Orthodontics Dr. Lamichane obtained his DDS from the University of Toronto in 1999 and did a GPR at Brigham and Women’s andMassachusetts General Hospitals in Boston, MA in 2000. He then practiced general dentistry in both private and hospital-basedpractices for 5 years before returning to school and obtaining a Masters in Orthodontics from Harvard University. He joined LOA Orthodontics in Lancaster, PA in 2007 and has helped grow it to 4 locations plus remote support of several practices.Dr. Lamichane teaches case-based 3D orthodontics and practice management courses at Harvard and is an Assistant ClinicalProfessor at Hershey Medical School. He has lectured across North America, Australia and New Zealand and enjoys sharing hispassion for orthodontics with his colleagues.COURSE OBJECTIVES : 1. Accurately diagnose common (and some less common) orthodontic problems both clinically and radiographically 2. Provide correct treatment recommendations and be able to identify when to refer for orthodontic care 3. Gain an evidence-based understanding of current advances in orthodontic treatment modalities

COURSE DESCRIPTION : Remember that super-thorough orthodontic education you received in dental school? That’s because it never happened! By attending this case-based seminar, you will enhance your ability toaccurately diagnose orthodontic problems. Treatment modalities such as aligner therapy, exodontia,

surgical options and multi-disciplinary care will be covered. Management of the mixed dentition, including monitoring of growth and development, space maintenance and primary tooth exodontia will also be covered. Patient examples and course materials will be provided to attendees to effectively gate-keep their patient pools, keep parents informed, as well as referring in a timely manner to a specialist to provide interceptive care to their pediatric patients. This seminar will be delivered in a fast-paced, fun and informative manner relevant to any member of a dental team that participates in the delivery of clinical care.

6:00PM - 9:00PMLancaster Country Club

JANUARY 16, 2020Dr. Manish Lamichane “MANAGING ORTHODONTIC PATIENTS IN YOUR PRACTICE”

3 CE Credit Hours

12

Lancaster County Dental Society Continuing Education 2019-2020

BIO : Joshua A. Christman, DMD maintains a private practice limited to periodontics, surgical implant placement, and regenerative therapy in Lancaster, Pennsylvania. He is a diplomate of the American Board of Periodontology. He also has completed an advanced one-year Implant Periodontal Prosthodontics Fellowship at the University of Maryland School of Dentistry. Dr. Christman has served as an officer (Lieutenant Commander) in the US Navy at posts both state-side and overseas where he helped safeguard military readiness by providing service members and their families with high-quality dental care. Dr. Christman lives in Lancaster with his wife and three children and brings his enthusiasm home to his family through their love of travel, cooking and outdoor activities of all kinds. COURSE OBJECTIVES : . Technique for atrautmatic tooth extraction . Understand the science and benefits for socket preservation . Understand difference between immediate versus delayed socket management . Timing of implant placement (Immediate vs. delayed implant placement)

COURSE DESCRIPTION :Tooth extraction is a common procedure that is preformed almost daily in dental offices. Successful dental implant treatment requires adequate management of the extraction socket, which is initially dependent on good surgical technique and bone quantity and quality. Bone ridge preservation is a critical step in implant site development that may reduce the chance for additional bone grafting. However after an extraction, various buccal plate defects can often lead to improper

material selection and poor clinical management. This presentation will review healing dynamics that follow tooth extraction, and strategies to minimize the negative impact of tooth loss for adequate implant planning. Clinical experience and scientific evidence will be presented to support the materials and techniques demonstrated. This lecture will provide attendees with the knowledge and skills to understand the difference between immediate versus delayed socket management.

6:00PM - 9:00PMLancaster Country Club“SOCKET MANAGEMENT”

MARCH 19, 2020Dr. Joshua Christman

“CREATIVE TREATMENT PLANNING IN RESTORATIVE DENTISTRY:ORTHO/PERIO/RESTORATIVE CONSIDERATIONS.”

MAY 1, 2020Dr. Robert Lowe

Time: 7:30 am (breakfast is provided / registration) 8:00 am - 12:00 pm (morning session) 12:00 pm - 1:00 pm (lunch is provided) 1:00 pm - 5:00 pm (afternoon session)Location: Lancaster Country ClubSpeaker: Dr. Robert Lowe

BIO: Dr. Robert A. Lowe received his DDS degree, magna cum laude, Loyola University in 1982, has maintained a full time practice for 30 years, and is a world recognized teacher and clinician. He taught for 10 years at Loyola University School of Dentistry and has received Fellowships in the AGD, ICD, ADI, and ACD. In 2004, Dr. Lowe received the Gordon Christensen Outstanding Lecturer Award and in 2005 received Diplomate status on the American Board of Aesthetic Dentistry. Dr. Lowe has authored numerous scientific articles and has contributed to dental textbooks. He is a consultant for a number of dental manufacturers and a member and clinical evaluator for Catapult Education. Dentistry Today consistently names Dr. Lowe to the “Top 100 Clinicians in Dentistry”.

COURSE OBJECTIVES :• To discuss and differentiate all ceramic restorative options for different clinical situations. • To learn the importance of biologic provisionalization in overall case management • To learn a proven reliable technique for “flawless” master impression making.

3 CE Credit Hours

8 CE Credit Hours

13

Lancaster County Dental Society Continuing Education 2019-2020

“Brush and Clean in Between to Build a Healthy Smile”

• What is “Perio-by-the-Numbers: Understanding restorative margin position relative to the bony crest. Are there restorative materials that are “perio” specific? • The importance of biologic width: Diagnosing biologic width issues and learning how the soft and hard tissues can be repositioned using laser technology and traditional surgery to enhance gingival aesthetics and correct minor biologic width encroachment. • How to handle tooth preparation for the “crowded arch” to predictably create aligned restorations that have the proper restoration contour and position yet control excessive tooth reduction. • Creative Treatment Planning and Execution….It’s all in the details and it’s all about the options! A review of cases with problems and solutions that “don’t necessarily fit” classic treatment protocols. Can orthognathic surgery and orthodontics be done with only crown and bridge?

1. Creative Use of Direct Composite for Post Orthodontic Refinement • Bioclear Physiologic Matrix for “black Triangle” and Diastema closures. • The Direct Fiber Reinforced Composite Bridge – An option for missing teeth for adolescent post orthodontic cases. 2. Crown and Bridge: The Basis for Indirect Prosthetic Treatment • Morphology and Occlusion based on the teaching and philosophy of Dr. Harold M. Shavell – A “Blueprint” For All Dentistry • A review of preparation design and tissue management for perfect master impressions • Biologic provisionalization for full coverage restorations • Cementation protocols for total etch and conventional cements 3. Prosthetic Tooth Repositioning and Orthodontic Tooth Preparation • How to correct tooth position for function and aesthetics when the patient elects NOT to have pre-prosthetic orthodontics for crowded cases.

COURSE DESCRIPTION : In today’s world, the clinical practice of restorative dentistry is a very exciting andchallenging endeavor. Consistent, predictable, clinical techniques to create quality dental restorations in a time efficient manner form the basis of every procedure that we perform for our patients. Sound fundamentals in tooth preparation, impression making, provi-sionalization, and delivery will help the dentist deliver high quality restorations to his or her patients. In this technique filled seminar, Dr. Lowe will discuss creative solutions and restorative techniques that will expand your treatment options for many types of aesthetic and functional dental problems. For a select group of these patients with minor tooth malposi-tion, such as spacing (diastemata), crowding (mesial and/or distal overlapping), and facial-lingual arch form displacement, esthetic and functional correction may be accomplished purely by restorative means by “orthodontically” preparing teeth and/ or repositioning the soft tissue envelope.

4. The Perio-Aesthetic Connection to Prosthetic Dentistry a. Soft tissue recontouring using diode lasers b. Biologic width: A discussion of the position of the alveolar crest relative to the restorative margin c. Biologic width correction using all tissue lasers d. Spatial repositioning in the aesthetic zone 5. Creative Treatment Planning: When It Doesn’t Go By The Book a. Creative solutions for complex aesthetic and functional problems. b. Prosthetic tooth repositioning and “orthodontic” tooth preparation c. Open bite restoration without surgical intervention?The purpose of this course is to demonstrate in a detailed step-by-step fashion, procedures that if practiced can impact on your ability to deliver an improved level of artistic and functional dentistry in your practice tomorrow!

For 2019/2020 Continuing Education Classes

There’s a new method to register. Please see next page . . .

14

Lancaster County Dental Society Continuing Education 2019-2020

REGISTRATION

ONLINEContinuing Education Classes

will be done

For 2019-2020

You can start here:

www.lancastercountydentalsociety.org

ONLINE

www.lancastercountydentalsociety.org

Thursday, October 17, 2019 - “Implant Authenticity - Genuine vs 3rd Party”Dr. John Douglas

Thursday, November 21, 2019 - “Introduction to Dental Sleep Medicine”Dr. Michele Cantwell • Rebecca A. Senft RN BSN

Thursday, March 19, 2020 - “Socket Management”Dr. Joshua Christman

2019-2020 LCDS Continuing Education Events :All five events will be held at the Lancaster Country Club. The evening events will be 6:00 pm - 9:00 pm.

Dinner will be provided for all evening events and the attendees will receive 3 CE credit hours.Lunch and breakfast will be provided for May 1, 2020 event and attendees will receive 8 CE credit hours.

Event Pricing : LCDS Member Doctor ($40.00)LCDS Member Staff ($25.00)

Non-LCDS Member Doctor ($60.00)Non-LCDS Member Staff ($40.00)

Friday. May 1, 2020 - “Creative Treatment Planning in Restorative Dentistry: Ortho/Perio/Restorative Considerations”

Dr. Robert Lowe

Dr. Manish LamichaneThursday, January 16, 2020 - “Managing Orthodontic Patients in your Practice”

Event Pricing :May 1st LCDS Member Doctor ($80.00)

LCDS Member Staff ($55.00)Non-LCDS Member Doctor ($120.00)Non-LCDS Member Staff ($80.00)

1915

Check out your May/June issue of PDJ tosee pictures of our local dentisits with

their poster contest winners!

The Allianceto the Lancaster County Dental Society

LCDS is “seeking” dentists and hygienists who would like to provide temporary services for Lancaster County practices.

The LCDS is compiling a list of dentists to serve as Locum Tenens and hygienists who are looking to provide temporary services to

our members. We will provide this list to members as they are requested. If you are interested in being added to our database,

please email us contact information and availability at lcdentalsociety@gmail.com. Thank you!

Are You a Member?Annual dues letters were sent out to all current and potential Alliance members in Jan/Feb. If you did not receive one, ask the dentist who lives in your house! We only have the address that the dentist supplies to LCDS. This may be your home address or it may be the office address. Or it may be an old address! Help usout and send in your dues ($75.00 per year - covers national, state and local - and it’s tax deductible!) to: Melissa Voler, Alliance Treasurer 113 Mustang Trail Reinholds, PA 17569 Include the best address to reach you!

Upcoming Alliance Events:

September: Alliance National Convention 2019 will be held September 4-6, 2019 in San Francisco, CA. Convention is held in conjunction withthe American Dental Association Meeting 2019.

Are you getting your National Allianceemail newsletter? You should be!

If not, update your email address with AADA:AADA, P.O. Box 1982, Brandon, FL 33509,

www.allianceada.net.

The Alliance to the Lancaster County Dental Society is a group of spouses (and others interested in dentistry!) who get together to have fun, do some good, and promote dentistry in our community. These days, when everywhere you look, dentistry is being taken over by giant corporations who don’t have the kinds of personal relationships you expect with your dentist, it’s nice to promote a community where we all know and care for each other. The National Alliance of the ADA gives dentists, their families and the public a “reason to smile”. We promote healthy dental practices for dentists, the public and the dental profession as a whole; actively support dental families at every stage of their career and lives; act as ambassadors for our spouses and den-tistry through legislative advocacy and local outreach and provide extensive oral health education in communities across the nation. Whew! That’s a lot! You’re thinking “I don’t have the time/energy/money for that kind of thing!” That’s OK! Here at the local level, we don’t ask for a lot. We have only 4 meetings a year. You can come to one or all of them. Get a little involved or a lot - we appreci-ate any help you can give! We try to keep things simple and easy - and fun! Contact Alliance President: Stephanie Grambau Telephone: 717-560-1813 Email: tsgrambau@hotmail.com, for more information.

What is Alliance?

Alliance Meets For Final Meeting of 2019 Alliance members met for the final time this work-ing year at Ciro’s restaurant for some food, wine and busi-ness. The May/June issue of the PDJ was passsed around, showing the pictures of our local dentists and their poster contest winners, and the Dental Kit Stuffing with the Boy Scouts. Next order of business was accepting a grant from the Penn CAREs grant program. Penn Medicine faculty, staff and students donate their time and expertise to provide countless hours of work to improve the health and well-being of the communities they serve. To help with these efforts, the Penn Medicine CAREs Grant program was established to offer institutional support to these individuals and programs in the form of grants that can be used for the purchase of supplies and other resources needed to perform this important work in the community. The grant money will be used towards purchase of supplies for Dental Kit Stuff-ing. And now we take the rest of the summer off to sit by the pool - see you in September!

16

Systems Specialties, Inc.Independent Dealer for . . .Nitrous Oxide & Oxygen Analgesia Equipment

Calibration • Testing • Repairs • SalesPennsylvania regulations require calibration

Systems Specialties, Inc.

Warminster, PA. 189741800-T Mearns Road

30 Years Experience

Please contact Ken Rishar

FAX 215-443-9640215-443-9293

17

EFFECTIVE IMMEDIATELY, with this transition to PALS, the State Board of Dentistry will no longer require auxiliary personnel to apply to the Board or pay a fee, and will no longer register auxiliary personnel or issue any document authorizing auxiliary personnel to apply ionizing radiation in the office of a dentist. In accordance, with Section 11.4 of the Dental Law, 63 P.S. 130e, any individual who has passed the Radiation Health and Safety (RHS) Examination administered by The Dental Assisting National Board (DANB) as set forth in the Board’s regulations at 49 Pa Code, Chapter 33, Subchapter E (relating to performance of radiologic procedures on the premises of and under the direct supervision of a licensed dentist. Evidence of having passed the RHS exam should be retained by the auxiliary personnel and the licensed dentist. The Board’s regulations relating to the performance of radiological procedures by auxiliary personnel are available at the following link: https://www.pacode.code.com/secure/data/049/ chapter33/subchapDtoc.html Requests for examination information must be directed to the Dental Assisting National Board (DANB). To contact DANB, please visit their website atwww.danb.org or by phone at 1-800-367-3262.

PENNSYLVANIA STATE BOARD OF DENTISTRY**SPECIAL NOTICE - RADIOLOGY PERSONNEL**

This is for a Radiology License and does not effect the need for Radiology Safety

Training mandated by the DEP.

Utah, Colorado, New Mexico and Arizona meet at what U.S. landmark ?

How many gifts would you receive if you receivedall of the gifts in the song, “The Twelve Days of Christmas”?

Who was first U.S. president to beimpeached?

TRIVIA NER

CORWho was the first cartoon character to get his own star on Hollywood Boulevard’s Walk of Fame?

What is the only vegetable or fruit never sold frozen, canned,processed, cooked, or in any other form but fresh ? Lettuce

What Star Trek: The Next Generation actor hostedthe children’s show Reading Rainbow?

Answers to 2nd Quarter 2019 "Handpiece" Trivia Corner

Name one sport in which neither the spectators nor the participants know the score or the leader until the contest ends. BoxingName a North American landmark constantly moving backward.Niagara Falls .. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.Which is the only Disney Princess that has a child ? ArielWho became both a vice president and president of the United States without ever being elected to either office? Gerald Ford

Are you planning a vacation or will you be unexpectedly away from the office? Do you need someone to see your patients in your absence?If so, call or email us at 717-606-6534 orlcdentalsociety@gmail.com.

We may be able to help connect you with a Locum Tenen.We have compiled a list of members who are  willing to fill in for other

members temporarily if you need coverage.

Une

xpec

tedly

away from the Office?

Nee

d

a Locu

m Tenen?

P.O. Box #5157 • Lancaster, PA. 17606TELEPHONE (717) 606-6534

PRSRT-STDU.S. POSTAGE

PAIDPERMIT NO. 1172

LANCASTERPA. 17604

is published quarterly by the Lancaster County Dental Society. Statements of opinion are not necessarily endorsed by the Lancaster County Dental Society, The Pennsylvania Dental Association, or any of its subsidiaries, councilsor agencies. Publication deadline is the 1st of the month prior to the next edition. Please send articles, announcements, notices, suggestions and changes of address to: The Handpiece, Lancaster County Dental Society, P.O. Box #5157, Lancaster, PA. 17606 Telephone (717) 606-6534

Layout & Design:

Vic Matroni

Editor: Bridgette Weiss

VEEJAYEM GRAPHICS

The Newsletter of thePresident:President Elect:Vice-President: Treasurer: Immediate Past President: Executive Secretary:

Dr. Timothy Paulin Dr. John Snee Dr. Manish Lamichane Dr. Jason Phillips Dr. Melissa DellaCroce Bridgette Weiss