ArticulatorI n s I d e :

Reflections 2

Upcoming Opportunities 2

The MOLARS 3

Ask the Expert: Practice Management Series 4

Rocky Mountain Dental Convention Preview 5–15

Face Pain: Trigeminal Neuralgia and Gamma Knife Treatment 16

Minnesota Hammers Out Regulations for Superhygienists 17

How Seasonal Changes Can Affect the Fit of Restorations 17

Calendar of Events 18

Classifieds 19

Transitions 19

December 2008/January 2009Volume 13, Issue 3

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COnneCTInG Mdds MeMBeRs WITH LOCAL neWs And InFORMATIOn FOR OUR PROFessIOn

When times get tough, as they are right now, it’s critical for leaders to provide employees with direction that is both focused and positive. Outside of the office, you and your staff may be under pressure from the effects of the market changes. Negativity can be contagious and worry can cause people to lose sight of their goals. Success often takes a back seat to survival when morale begins to sag.

Managing in tough times is a unique challenge, but a leader’s role is to dispel negativity and inspire followers to look at the positives.

Competition makes us stronger: President Kennedy once pointed out that the Chinese word for “crisis” was also a synonym in that language for “opportunity.” In fact, leaders must look at tough times as a challenge, rather than a crisis. Surviving in a competitive market or overcoming a faltering economy actually makes us stronger in the long run. The challenge forces us to rethink how we do things, to become more cost-effective or more profitable. It’s an opportunity to re-conceptualize how we market or to revamp our mission statement. It may also be an opportunity

to rethink our vision, so that our team can even emerge from the “crisis” changed for the better in a profound way.

Creativity blossoms under pressure: The history of innovation is filled with stories of solutions that arose out of conflict and economic necessity: synthetic rubber, canned meats, penicillin and much more. As a leader, your job is to challenge your team members to take a fresh look at your office processes, so they can find better ways of doing things. When the climate becomes challenging, you have to motivate employees to challenge assumptions and expectations.

The Duty to Provide Language TranslationBy Kevin Perez

EDITOR’S NOTE: The following article addresses language interpretation only. It does not address the Americans with Disabilities Act (ADA), a federal law that regulates how you treat patients and employees who have disabilities. Rules include access of guide/assistance dogs and sign language translation. Contact the American Dental Association at (800) 621-8099 or the Department of Justice at (202) 514-0301 for compliance requirements.

Every year, more and more dentists are learning the hard way that federal law requires them to provide language interpretation and translation services to patients who do not speak English or who have limited English proficiency (collectively, “LEP”). Often, the realization that such an obligation exists first occurs when the Department of Justice or the Department of Health and Human Services puts the practice on notice that it plans to conduct an investigation. In order to clear up any confusion, this article gives an overview of the source and scope of the duty to provide interpretation and transla-tion services, followed by a discussion of the costs of noncompliance and some risk management strategies.

It is important to note that all healthcare practices, regardless of size, which accept payments from Medicaid, Child Health Plan Plus (CHP+), the Colorado Indigent Health Program (CIHP) and/or any other fully or partially federally funded entitlement programs have a duty to comply with Title VI of the Civil Rights Act of 1964. Title VI and its implementing regula-tions make it clear that dentists who receive these federal funds are required to take reasonable steps to ensure meaningful access to their services by LEP patients. These steps can include providing adequate information to LEP patients, ensuring that LEP patients can understand the services and choices available and ensuring effective communication between the provider and LEP patients.

Interpretation and translation services range from the informal use of bilingual employees to the use of telephone or in-person professional interpretation or translation services. In order to determine what level of interpretation and translation service is

Four Ways to Transform a Downturn into an UpswingBy Jan Ferri-Reed

Continued on page 17

Continued on page 18

Everyone comes into this world with an innate and unique poten-tial for success and fulfillment. Some people realize their dreams and live a life of contentment. But sadly, many others do not. Illness, poverty, family demands and a lack of education can turn the most promising lives into an ongoing struggle. International Medical Relief (IMR) promotes the well-being of underdeveloped communities through a compre-hensive continuum of services provided on medical mission trips. IMR trips contribute to the world’s communities by improv-ing the overall health, wellness and medical relief of the people. On these trips medical mission teams provide diagnosis and treatment, partnerships with local medical relief designees, conduct community medical and wellness training and foster principles of medical relief prevention. Read all about our editor’s recent trip to Ethiopia on page 2.

Convention Preview Inside!See page 5

2 Mdds Articulator mddsdentist.com

MDDS articulatorEdIToR

Dr. Matt Dunn

MAnAgIng EdIToRMichelle Cunningham

CoMMunICATIons CoMMITTEEDr. Matt Dunn, Chair

Dr. Gary BelangerDr. Michael BellonDr. Paul Bottone

Dr. Douglas CarverDr. Mike DiorioDr. Erik HekkertDr. Jeffery HurstDr. Greg IngallsDr. Erik Mathys

Dr. Deborah MichaelDr. Kenneth Peters

Dr. Christine Theroux

Mdds ExECuTIVE CoMMITTEEPresident

Troy A. Fox, DDSPresident-elect

Michael J. Scheidt, DDS, MSVice President

George G. Gatseos, DDSSecretary

D. Diane Fuller, DDSTreasurer

Charles S. Danna, DDSExecutive Director

Terri Gilpin

gRAPHIC dEsIgnZullo Design

PRInTIngDilley Printing

The Articulator is published bi-monthly by the Metropolitan Denver Dental Society and distrib-uted to MDDS members as a direct benefit of membership.

Editorial PolicyAll statements of opinion and of supposed fact are published under the authority of the authors, including editorials, letters and book reviews. They are not to be accepted as the views and/or opinions of the MDDS.

The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor.

Advertising PolicyAll matters pertaining to advertising should be addressed to advertising sales manager, Advertising Sales Department at MDDS, 3690 S. Yosemite St., Suite 200, Denver, CO 80237, (303) 488-9700. All advertising appearing in the Articulator must comply with official published advertising standards of the American Dental Association. The publication of an advertisement is not to be construed as an endorsement or approval by the Metropolitan Denver Dental Society. A copy of the advertis-ing standards may be obtained upon request through MDDS.

Inquiries may be addressed to:Metropolitan Denver Dental Society

3690 S. Yosemite St., Suite 200Denver, CO 80237-1827Phone: (303) 488-9700

Fax: (303) 488-0177mddsdentist.com

©2008 Metropolitan Denver Dental Society

International Medical Relief in Ethiopiaby Dr. Matt Dunn, Editor

sign-up for our Patient Record shedding extravaganza and destroy confidential documents with peace of mind and in compliance with state Board regulations.

Do you have inactive patient records and old x-rays piling up from the years prior to and including 2001? Or have you inherited a pile? You can free up valuable office space while receiving discounted shredding services that benefit the Metro Denver Dental Foundation’s Smile Again Program™. We encourage you to join us for The 2009 spring Cleaning, After Taxes Record shredding extravaganza on May 2, 2009. sign-up by February 13, 2009 and MDDF will issue your legal publication notice in the Denver Post/News for four consecutive weeks, in accordance with the State Board regs, for an additional fee of $60 per doctor. Visit www.mddsdentist.com/members/BetterShredder.asp or call (303) 488-9700, ext. 3270 to sign-up TODAY! Visit the Better shredder at the Rocky Mountain dental Convention — Booth #500!

Underscore the importance of oral health through community volunteerism

MDDS and CDA would like to make you aware of two excellent opportunities

that exist in helping us raise dentistry’s profile as caring community partners in overall health. Please consider volunteering up to one day of your time to help us impact more lives than ever in 2009.

Give Kids A smile day (GKAs): A national oral health outreach program that results in treatment for hundreds of thousands of children. GKAS is a nationwide day of free dental treatment and education for underserved children. Help make a difference on Friday, February 6, 2009. Participants will be awarded CE credits for involvement.

9Health Fair: Promoting preventive health maintenance and providing accessible health screening services. The goal of the 9Health Fair is to be a leader in preventive health information and to bring attention to crucial health issues affecting the public. Dentistry must be repre-sented at Colorado’s largest non-profit, volunteer-driven health fair program in order to advance oral health awareness and influence health outcomes. Please commit to one, half-day during April 12–20, 2009 from 6:30 a.m. to noon. Call (303) 488-9700, ext. 3270 to request volunteer information.

Looking out the airplane window, on about the twelfth hour of a fourteen hour flight to Ethiopia, the hazy streak of water I’d been watching

suddenly divided in the Sahara dust. The map suggested we were flying over Khartoum, where the White Nile and the Blue Nile become simply the Nile, en route to Cairo.

As the plane followed the White branch southeast towards Ethiopia, it began to sink in that our team of twenty-plus healthcare volunteers was getting pretty far from home.

With two dentists, two plastic surgeons, one obstetrician and an assortment of nurses and students, the International Medical Relief team arrived in Addis Ababa and then flew to our destination of Mekele, a remote city in Northern Ethiopia not far from the Red Sea.

Walking into the Mekele Hospital the next day, we found several hundred prospective patients on hand to welcome the Americans. Word had gotten out, with demand for healthcare apparently quite profound in one of the poorest regions of the eighth poorest nation on earth.

I was informed that 305 individuals had gathered around the dental clinic, marking a spectacle of far-flung chaos. The dental team lugged its bags and suitcases through the crowd and into the clinic, laid out instruments, set up a sterilization area and started the screen-ing process.

Along with Dr. Don Vollmer of Castle Rock, and Keren Etzion, a pre-dental student from New York, we took down each name and set up basic treatment plans and arranged general appointment times for the week ahead. We were joined by two capable Ethiopian dental techni-cians and eight nurses who rotated into the clinic.

Over the next five days we worked our way through the list of patients. One after another, with subsequent patients thronging the doorway. The most neces-sary procedure, by far, was the extraction. Some patients required scaling and debridement — with periodontal disease almost universal in the area — and some inquired about fillings. On the occasional tooth which afforded reasonable access to a spoon excavator, we carefully placed Geristore dual-cure restorations and hoped for the best.

The dental chair was a creaky 1973 Dental-Ease model which could be moved up and down if you held the wires just right around the plug-in. A bent-arm lamp was used to help with lighting, though my battery-pack loupe light attachment proved indispensable.

It was a definite jolt to the standard dental routine to find myself working in a small, hot room with a dozen spectators around the chair chattering in Tigrigna, with dozens more clamoring outside waiting to get in. Working during the August monsoon season, a string of after-noon rain storms battered the tin roof of the clinic, offering the sensation of doing dentistry to the sound of machine-gun fire overhead.

The electricity often went out during

these storms, leaving the clinic room completely dark save for a beam of LED light between my forehead and the tooth I happened to be working on. As the days went by, focused and intense, I realized I had stopped noticing when the power had gone off — just kept on working away.

Though many of the Ethiopian patients were living with staggering levels of suffering, in terms of their dental and overall health, I was amazed by their optimism and good cheer. Quick to smile, quick to laugh, you wouldn’t imagine that Ethiopians have endured the history of famine, war and dictator-ship that they have.

I’m not exactly sure what to make of that, nor am I sure how best to respond to such scenes of hope and heartbreak, courage and happiness against the odds. But I do hope to find time to work again in Ethiopia someday, and am thankful for the chance to have spent some days in the Mekelle Hospital last August.

Special Thanks to Bev Carroll at Sullivan-Schein for donating some of the supplies used in the dental clinic. Also, special thanks to Shauna Vollmer-King of International Medical Relief. Also, thanks go to Keren Etzion for contributing to this article.

R eflections

Upcoming Opportunities

Photo credit: Keren Etzion

mddsdentist.com December 2008/January 2009 3

The MOLARSAlthough Mother Nature didn’t deliver ideal golfing weather, local dentists and friends of the dental community didn’t let a little rain dampen their competitive spirit during the 2008 MOLARS dental Golf Championship. Over 130 golfers participated in the 3rd annual tournament, hosted by member endodontist and bighearted Smile Again Program™ volunteer, dr. scott Whitney. The event, held on September 12 at The Ridge at Castle Pines North, served as an excellent networking opportunity for a good cause.

The tournament raised $5,000 for the Metro Denver Dental Foundation’s Smile Again Program™! “We are extremely proud of our relationship with the Foundation,” said Dr. Whitney. “Not only do Smile Again patients benefit from pain reduction and improved oral health; I have personally witnessed the growth in confidence and self-esteem that inspires these women to move beyond the abuse and enjoy a higher quality of life.”

Dr. Whitney once again delivered a first-class event. All golfers were treated to impressive gift bags, great hole-in-one contests — like a shot at $100,000 — and a fabulous post-game reception with delicious food and deluxe prizes. Call (303) 397-7668 to reserve your spot at the next MOLARS Dental Golf Championship, scheduled for September 2009.

Special thanks to Dr. Whitney and the staff of Park Ridge Endodontics and Southlands Endodontics, all golfers and the following sponsoring organiza-tions for their commitment to this tournament:

Advantage Golf

Amica

Anthem

Assurant

Berkley Risk Services of Colorado

CareCredit

Delta Dental of Colorado

Dentemax

Dentsply Tulsa Dental Specialties

Foothills Commercial Builders, Inc.

Guardian

Henry Schein Dental

2009 MDDS Board of Directors Nominations are Now Opennominations close March 13, 2009

MDDS volunteer leaders are the embodiment of the organization’s intellectual diversity and continually shape the dental profession in the metro Denver area. An inclusive Board inspires innovation, creative thinking and problem solving. We are seeking dedicated individuals to participate in setting policy and direction for the organization and in representing the needs of our membership. Those who have served on our Board found the experience to be rewarding, challenging and enjoyable.

As a member of MDDS, you may be eligible to run for one of the following elected positions in 2009:

n MDDS Treasurern MDDS Board of Directors (2 positions open)n CDA Trustee

Nominations close March 13, 2009. For more information regarding the basic functions and eligibility for each position or to announce your candidacy, contact one of the following:

n Dr. Michael Varley, Leadership Development Chairman (303) 470-0500n Dr. Diane Fuller, MDDS Secretary (303) 758-4900n Ms. Carrie McBroom, Member Services Director (303) 488-9700 ext. 3272

If you are not available to serve as a Board member currently, but wish to build a stron-ger leadership role within the organization, MDDS encourages you to join a committee or become a CDA or ADA delegate.

U p c o m i n g C e & e v e n t s

mddsdentist.com or Phone: (303) 488-9700

2009distinguishyourself

High Plains Computer Services, LLC

Keystone Dental

Meisinger

Merrill Lynch

ParkRidge Endodontics

Patterson Dental

Perry & Young

Southlands Endodontics

SybronEndo

SW Insurance Corp.

Utex Enterprises

WAMU

Business of dentistry 201 Course seriesPresented by: Janet Steward

You will gain the business knowledge many did not receive in dental school. Topics to be discussed include fighting the insurance battle and everything you need to know about human resources. dATes: Tuesday, Feb. 3, March 3 and April 7 TIMe: 6:00 p.m. – 9:00 p.m.

Basic Radiation Training for Unlicensed dental Personnel Presented by: Dr. Brad Potter

This course fulfills the lecture portion of the Colorado Dental Practice Law require-ment for dental assistants who operate x-ray machines.dATe: Friday, February 13, 2009 TIMe: 8:00 a.m. – 11:30 a.m.

Perfect Impressions: The Anatomy of a Crown and Bridge Presented by: Dave Andrus

This course takes a real world, evidence-based look at things the dental team (both office and lab) do that cause remakes and will show both teams how to eliminate them. dATe: Thursday, February 26, 2009 TIMe: 6:00 p.m. – 9:00 p.m.

The scope of the Meth Problem in Colorado and its effect on dentistry Presented by: Dr. Brett KesslerThis course will help you identify potential meth-related tooth decay, how to treat the problem and how to address the situation with the patient.dATe: Thursday, April 23, 2009 TIMe: 6:00 p.m. – 9:00 p.m.

Women dentist Forum: Rescue Remedies for Women Practice Owners Presented by: Lorri Molinari

You will learn how to acheive a work/life balance, develop your emotional intelli-gence skills and manage worry that every professional women experiences. dATe: Thursday, April 30, 2009 TIMe: 6:00 p.m. – 9:00 p.m.

eVenTs:112th Annual Meeting & society dinner dATe: Thursday, May 21, 2009 LOCATIOn: Coors Field, Denver

MDDS is an ADA CERP recognized provider. MDDS credits are approved by the AGD for Fellowship and Mastership credits.

Register Today! “Give Kids a Smile Day”

Feb 6, 2009!

Give Kids a Smile Day is a nationwide day of freedental care for underserved children.

This event helps kids, but also sends a message to policymakers that these children

need a better healthcare system.

Participation is simple: treat patients inyour private office, give school

presentations, or treat patients at CU or a nearby participating clinic.

Register Today atwww.ada.org/goto/gkas

Call the CDA, 303-740-6900 or 800-343-3010, for more information.

dr. Whitney presented Michelle Cunningham with a $5,000 check from money raised during the MOLARS.

2009 MOLARS Champion, dr. Russ Ford

4 Mdds Articulator mddsdentist.com

“Serving Colorado Dentists Since 1994”

Defined Business Analysis!

Increased Productivity and Profits!

Leadership Coaching!

Teams that Manage Up!

Remarkable Patient Surveys!

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Call Lynda Kizer

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303.794.6642

LyndaKizer@worldnet.att.net lyndakizerandassociates.com

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10641 W. Indore Dr.

Littleton, CO 80127

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Training is scheduled at your office at your convenience or you are welcome to

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I am honored to be the exclusive provider for University of Colorado School of Dentistry, Metro Denver Dental Society, Knowledge

Learning Corporation and many more Dental Practices and Businesses throughout Colorado.

Ask the Expert: Practice Management SeriesEditor’s Note: We asked three local practice management/transition consultants to discuss opportunities, challenges and future predications for metro area dentists in our “Ask the Expert” practice management series. Please submit your questions for consider-ation in the March/April 2009 issue Ask the Experts column to pr@mddsdentists.com or call (303) 488-9700, ext. 3270.

What does the future hold for practicing dentists?

Kizer: It is difficult to look at the future when we are watching and hearing about an unprecedented economic situation. However, if we look at the situation without emotion, we know that the economy will improve and we will weather this storm. The future will continue to provide opportunity for dentists. Two things that dentists can do to strengthen their position in this difficult economy are to reduce debt to provide better cash flow and to continue marketing plans. Your patients need to remember that you are there to take care of them and their families. Marketing and patient education have always been two of the differences during the past recessions between practices that survive and continue to grow and those that do not. The media has been helpful in informing the public about the continuing research that connects our oral health to the overall health of our bodies; however, in tough economic times the dental team must continually communicate with and educate patients, establishing trusting relationships that encourage patients to proceed through their hesitancy. Be aware that the practice of the future will reflect changing demographics and trends. The dentist that has vision, the leadership train-ing to present that vision to their team, plus the relationship skills needed to keep their business one of value to the patients, will be able to weather the current financial situa-tion and achieve continued success.

Kirsch: Due to the current economic crisis, I believe the short-term future for dental practice success will depend upon the dentist’s ability to control and reduce their overhead, avoid taking on additional debt and continue to focus on patient retention and growth. Some dentists have “bitten off more than they can chew” financially and now struggle to make ends meet, personally and professionally. To maintain a minimum of 30–40% profitability, I believe dentists will need to look at space sharing with another dentist in solo group arrangements and buy practices from retiring dentists to increase their active patient base. The future success of dentists will also depend upon their philosophy of accepting or not accepting reduced fee dental insurance programs in their practices. Many dentists accept several reduced fee plans and are successful because they know the “numbers” of the practice and make adjustments as needed. More often than not however, a dentist will accept reduced fee plans and is unaware of the impact on overhead and profitability. They are busy, but not profitable. Even in tough economic times, many practices continue to thrive and prosper because the dentist and team are proactive versus reactive and make the necessary changes. The future is optimistic for dentists who know the “numbers,” control their overhead and are able to retain patients through customer service and relationship building skills. spear: One word, “flexibility.” The days of doing business as usual have past. What we have known to be standards or absolutes have changed dramatically. Nowhere is that more evident than in practice sales. From a sales position, the partial seller carry principle has been reintroduced into the lending language. From a purchase standpoint, the new buyer may have to pass up all the bells and whistles and make do with what the current practice provides for a few years. Associates will need to understand the limita-tions of private practice and take more responsibility for their personal productivity. I believe the dentist as a small business owner will need to learn again how to do more with less. There are two ways to have money; one, earn more, two, spend less. The flexi-ble thinker will find new ways of approaching dentistry that have either been forgotten or need to be explored. They will learn to focus on treatment quality instead of quantity. Revisit the true meaning of “customer service” in order to build customer loyalty and referral. Avoid overspending by implementing sound growth plans as a result of working with qualified advisors. And most importantly, acknowledge that dentistry is a business and must be managed as such.

Lynda Kizer is president of Lynda Kizer & Associates, Inc. she may be reached at (303) 794-6642 or lyndakizer@worldnet.att.net. Amy Kirsch is the founder and president of Amy Kirsch & Associates. she may be reached at (303) 796-0056 or amy@amykirschandassociates.com. susan A. spear is founder and owner of sAs Transitions. she can be reached at (303) 973-2147 or susan@sastransitions.com.

Let Your Voice Be Heard! Register by April 3, 2009 to be an MDDS Delegate!

MDDS needs delegates and alternate delegates for the CDA House of Delegates meeting on Friday, June 12, 2009 in Vail, CO. Active or retired members in good standing for at least three (3) consecutive years as an MDDS member are eligible to serve.

MDDS maintains a vital voice on the CDA House floor, serving as CDA’s largest component and representing over 1,500 dentists in the metro Denver area. Delegates are needed to represent MDDS in addressing important issues currently affecting dentists in Colorado and in shaping the future of dentistry.

You can make a difference on the national level, as well. If you have served on the state level as a delegate for three years or more, you may be eligible to become an ADA delegate or alternate delegate for the 2010 Annual Session in Orlando, FL. ADA delegate nominations are due by February 2009. To become an ADA delegate, call the CDA at (303) 740-6900.

If you would like to be an Mdds delegate or alternate delegate, please contact (303) 488-9700, ext. 3272 or members@mddsdentist.com.

16 Mdds Articulator mddsdentist.com

Sign up for our newsletter:www.amykirsch.com

Please contact us for an initial phone consultationphone: 303-796-0056email: amy@amykirsch.com

L o o k i n gfor consultantswho really deliver?

Amy KirschNational Dental Speaker

Karla Gunner-BarringerDental Trainer and Coach

Seminars, training workshops & hands-on consulting for all

dental practices

We have designed our speaking, consulting and coaching services to meet your specific practice needs. Whether you need one on one coaching for a team member, a half day training session, or a more comprehensive approach, we have you covered.

Face Pain: Trigeminal Neuralgia and Gamma Knife TreatmentBy Marcus Keep, MD

Your patient has terrible pain, and implores you to pull the tooth. But there is no decay. You ask what the pain feels like, and here is the clue. “It is like bottled lightning. I get these terrible electric shocks through my jaw.“ From that description, different from the throbbing of infection, or the burning of nerve damage, you know this person has trigeminal neuralgia. Trigeminal neuralgia is characterized by lancinating, electric shocks, in the lower or upper jaw, or forehead. It is also called “tic douloureux” because of the painful grimaces. People cannot talk, brush their teeth or eat. Some consider suicide.

The typical age is 60. Incidence is 4 per 100,000, a rate of 180 Coloradoans each year. The trigeminal nerve is the 5th cranial nerve leaving the brainstem traveling to

Meckel’s cave becoming 3 branches (trigeminal or triplet) to bring sensa- tion from the forehead, and upper and lower jaw. Arterial pulsations damage the nerve.

Carbamazepine and gabapentin anti-seizure medications reduce the excitability of neurons and stop the pain. Side-effects are confusion, lethargy and dizziness. When the pain persists and side-effects are severe, then surgery is considered.

Younger patients can safely undergo microvascular decompression (MVD) creating a window in the skull to place insulation between artery and nerve. The 85% pain relief is usually permanent. There are operative risks of general anesthesia, bleeding, meningitis and cranial nerve damage. Percutaneous

radiofrequency or balloon needle placement through the skull is performed less because of frequent permanent facial numbness and early pain return.

Gamma Knife radiosurgery is outpatient major neurosurgery without general anesthesia or incision. Gamma Knife is a high precision radiosurgery device that uses cobalt derived gamma rays to treat intracranial problems including trigeminal neural-gia, metastatic brain tumors, benign tumors like acoustic neuroma and meningioma, and arteriovenous malformations. A metal frame is attached to the skull, so local

anesthetic injections numb the scalp. The frame allows MRI and CT imaging, targeting and radiation delivery all in one session. The 4 mm radiation sphere is precisely focused and gently alters the nerve usually giving permanent relief. During the painless radiation treatment, the patient can listen to music or take a nap. The whole procedure is complete in 4 hours. Gamma Knife gives an 80% good result (50% complete pain relief off all medication, 30% pain reduced by more than half on some medications, 20% not helped). Pain relief is typically within one month. Risks are 10% chance of developing facial numbness and 1 in 1,000 chance of radiation induced cancer. Gamma Knife is a standard treat-ment covered by all insurances, including Medicare. Since 1991, more than 15,000 people with trigeminal neuralgia have been treated with the Gamma Knife.

If your patient has severe face pain with electric shooting quality, then think of trigeminal neuralgia. When medications do not stop the pain or cause lethargy, then Gamma Knife is a very effective, safe treatment, with MVD open-neurosurgery useful for younger patients.

Marcus Keep Md, FRCsC, FACs is Medical director of the swedish Gamma Knife Center and neurosurgeon at swedish neurosurgical Associates. dr. Keep is board-certified in neurosurgery in both the United states and Canada. He gradu-ated from dartmouth College and the Medical University of south Carolina. dr. Keep received his neurosurgical training at the Montreal neurological Institute, McGill University. He had research fellowships at the salpêtrière in Paris, France and Lund University, sweden. Marcus received his certificate in Gamma Knife training from the Karolinska Hospital in stockholm, sweden. dr. Keep was director of Research and Functional Radiosurgery at the Gamma Knife Center of the Pacific in Honolulu, Hawaii where he was also clinical assistant professor at the University of Hawaii. dr. Keep was assistant professor of neurosurgery at the University of new Mexico in Albuquerque prior to joining swedish Medical Center. He is CeO of Maas BiolAB, a small pharmaceutical company develop-ing cyclosporin neuroprotection treating amyotrophic lateral sclerosis (ALs) and nerve agent exposure.

Gamma Knife is a high

precision radiosurgery

device that uses cobalt

derived gamma rays to

treat intracranial problems

including trigeminal

neuralgia, metastatic brain

tumors, benign tumors

like acoustic neuroma

and meningioma, and

arteriovenous malformations.

mddsdentist.com December 2008/January 2009 17

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How seasonal Changes Can Affect the Fit of RestorationsBy Dave Andrus, CDT

Editor’s Note: On Thursday, February 26, 2009, MDDS and Mr. Andrus will present an evening course examining real world situations and evidence-based solutions for improving your relationship with your favorite dental lab and reducing remakes. Visit mddsdentist.com or call (303) 488-9700 for details and registration.

Communication between you and your laboratory technician is vital in correct-ing the tricky issue of properly fitting restorations. If you have recently been receiving crowns that are too tight or too loose it might be a result of our changing weather.

Technicians understand the process of adjusting the fit of crowns with the investment liquid to water ratio. For example, less liquid and more water in the dilution will create less expansion and vice versa. A lesser known contributing factor that will seemingly erroneously adjust the fit of cast restorations with no adjustment to the water liquid dilution is the two season changes that occur in the fall and spring of each year where outside temperatures turn cold or hot.

Temperature variances of the investment liquids, investment powders, mixing bowls and mixing bowl spatulas all play a significant roll in the fit/expansion of any restoration fabricated utilizing investment. As the seasonal temperatures change, human behavior will change to adapt to the climatic temperature. For example, instead of rinsing the investment mixing bowls and spatulas in cold water, they may be rinsed in warm or even hot water. The single unconscious act of rinsing the mixing bowl in warm or hot water rather than cold water can result in as much as a forty or fifty degree tempera-ture differential. If no attention is given to regulating temperature variances, technicians will have a difficult time getting consistent fitting crowns.

Following are suggestions to discuss with your lab to help keep temperature influences as consistent as possible and the fit of your restorations consistent: n Store everything used in the investing procedure (water, investment liquid,

investment powders, mixing bowls, etc.) in a temperature controlled cabinet. n Store enough consumable supplies for two or three days in the temperature

controlled cabinet.n Restock the consumable supplies after all the investing is done to let the

temperature of the refilled consumables equalize over night.n Develop a standard procedure of cleaning the mixing equipment with

temperature controlled water so the mixing bowl and spatula temperatures will remain consistent with consecutive mixings.

n Be sure things like climate control vents, outside walls or windows do not heat or cool the supply of materials or equipment cabinet.

dave Andrus, CdT has owned diamond dental studio in the denver area since 1987. He may be reached at (303) 822-6666.

reasonable, federal guidance provides a flexible four part analysis. The analysis looks at: (1) the number and proportion of LEP patients from each language group likely to be served; (2) the frequency with which LEP patients are actually served; (3) the nature and importance of the services to be provided; and (4) the practice’s resources. The point of the test is to determine whether a sizable enough population of patients is affected and, if so, to determine how important the service is for the patient’s health. The more urgent and important the service, the more likely that costly and broad inter-pretation and translation services will be required. For example, informed consent for a necessary, emergent procedure will likely require the practice to provide a competent interpreter and properly translated informed consent forms at the practice’s expense.

The failure of a practice to take reasonable steps to provide LEP patients with a meaningful opportunity to take part in their heathcare can result in the restriction of the practice from receiving federal funds, as well as private suits by the aggrieved LEP individual. In these private suits, the LEP individual can obtain an order requiring compliance, and can recover his or her attorney fees and possibly compensatory money damages, depending on the circumstances. Thus, the price for noncompliance could be quite high.

The best way to maintain compliance is for practices to document the application of the four factor analysis to the categories of services provided. This documentation can be used to support a defense to charges of willful violations of Title VI, and eliminate a claimant’s ability to seek monetary damages. An implementation plan is a cost-effec-tive way to document compliance with Title VI, and can be used to support a phased-in approach for such services over time to lessen the immediate financial impact.

For information on translation services in your office, visit the American Association of Translators Directory at atanet.org/onlinedirectories/. Visit www.lep.gov for information on the Federal Interagency Working Group on Limited English Proficiency.

Kevin Perez is an employment attorney and litigator. As chair of the Kennedy Childs & Fogg, P.C. employment industry group, Kevin helps his clients address the full range of employment matters, from the development of employee policies and compliance with state and federal labor statutes to the defense of employment-related cases. Kevin can be reached at kperez@kcfpc.com and (720) 946-4773.

The Duty to Provide Language TranslationContinued from page 1

Minnesota Hammers Out Regulations for superhygienistsBy Rabia Mughal, DrBicuspid.com

A Minnesota health task force is drafting regulations for a new class of oral health worker whose job description will likely lie somewhere between that of a hygienist and that of a dentist. The 13-member work group, which includes both dentists and hygienists, will submit proposed regulations for the new oral health practitioner (OHP) on December 15, with the state legislature sched-uled to take up the regulations a month later. The process is unfolding as a result of a May law that mandates the creation of an oral health practitioner in Minnesota by January 1, 2011.

The current law began with a controversial bill to create an advanced dental hygiene practitioner (ADHP). As defined in the bill, the ADHP could perform traditional preventive services such as cleanings, as well as therapeutic, pallia-tive, prescriptive, diagnostic and minimally invasive restorative services. The latter would include fillings and extractions; crowns; pulpotomies on primary teeth; prescribing, administering and dispensing medications for infections and pain management; and more. These services could be provided by an ADHP without the patient first being examined by a dentist, without the presence of a dentist and at a location where a dentist is not present.

The ADHP model was proposed as a way to provide access to oral care for millions of uninsured, especially those in rural areas, inner cities and suburbs, according to Mary Beth Kensek, president of the Minnesota Dental Hygienists Association.

This bill did not pass the House, but the revised version, which refers instead to an OHP, was attached to an education bill that passed both the House and Senate and was signed into law in May. The bill states the OHP must be a licensed, educated provider who works under the supervision of a dentist via a collaborative management agreement only in underserved areas.

The Minnesota Dental Association (MDA) had opposed the original ADHP legislation, saying that “this hasty and drastic measure puts patients’ safety at risk.” But, the organization is on board with the OHP legislation. The American Dental Hygienists’ Association supports the creation of a practitioner similar to the ADHP model. The work group is still in session, and no definite decisions have been made.

The ADA said in an official statement that it would be premature to discuss the effect of this legislation on the dental profession and patients until the study group makes its recommendations. “While far from ideal, this study provi-sion will allow the ADA to assist MDA in collecting data to make our best case for the correct scope, education and training of this position,” said then ADA President Dr. Mark Feldman in an ADA news article.

Reprinted with permission. All contents ©2008 by DrBicuspid.com

18 Mdds Articulator mddsdentist.com

JAnuARy 2009January 3University of Colorado Denver School of Dental Medicine

Use of Ultrasonics vs. Hand Instruments: When & Why

Presented by: Ms. Donna StachAnschutz Medical CampusAurora, Colorado (800) 736-1911 or CU4CDE.com

January 15–17Metro Denver Dental Society

Rocky Mountain Dental ConventionThe Colorado Convention CenterDenver, Colorado (303) 488-9700 or rmdconline.com

FEbRuARy 2009February 3Metro Denver Dental Society

Business of Dentistry 201: Session 16:00 p.m. – 9:00 p.m.Denver, Colorado(303) 488-9700 or mddsdentist.com

February 7University of Colorado Denver School of Dental Medicine

Pharmacology UpdatePresented by: Dr. Thomas FrenchAnschutz Medical CampusAurora, Colorado (800) 736-1911 or CU4CDE.com

February 13Metro Denver Dental Society & University of Colorado Denver School of Dental Medicine

Basic Radiation Training for Unlicensed Dental Personnel

Presented by: Dr. Brad Potter8:00 a.m. – 11:30 a.m.MDDS HeadquartersDenver, Colorado(303) 488-9700 or mddsdentist.com

February 18University of Colorado Denver School of Dental Medicine

Bisphosphonates — Where Are We at Now?

Presented by: Dr. Michael SavageAnschutz Medical CampusAurora, Colorado (800) 736-1911 or CU4CDE.com

February 18Metro Denver Dental Society

CPR & AED Training, a Two-year Certification

Presented by: Jeff Speer6:00 p.m. – 9:00 p.m.MDDS HeadquartersDenver, Colorado(303) 488-9700 or mddsdentist.com

February 23Colorado Prosthodontic Society

Practice Growth and Implant Dentistry — Are Implants Changing the Way You Practice?

Presented by: Drs. Curtis Jansen & Lee Walker9:00 a.m. – 4:00 p.m.Crown Plaza DIA (Formerly Holiday Inn DIA Convention and Conference Center) (303) 296-3851 or coloradoprossoc.com

February 26Metro Denver Dental Society

Perfect Impressions: The Anatomy of a Crown and Bridge

Presented by: Dave Andrus6:00 p.m. – 9:30 p.m.MDDS HeadquartersDenver, Colorado(303) 488-9700 or mddsdentist.com

Calendar of Events

Visit mddsdentist.com to view a complete

listing of dental Ce and events.

Do your future practice plans involve expansion andgrowth, or selling and retirement?

Do you wish to buy a practice, become apartner or pursue an associateship?

Are you looking for a change?

Your transition solution awaits you…

Register for this exclusiveopportunity to conduct personal

one-on-one networking exchangesbetween member dentists and

graduating students or new dentistsfrom the region who are seeking

potential associateships, partnershipsor purchasing/selling practices.

Presented by the Metro Denver Dental SocietyDATE: March 5, 2009TIME: 5:30 p.m. - 8:30 p.m.LOCATION: 3690 S. Yosemite St., Ste 200, Denver, CO 80237

CONTACT MDDS FOR MORE INFO OR TO REGISTER(303) 488-9700 OR WWW.MDDSDENTIST.COM

TransitioningDentist Exchange

March 5, 2009

Four Ways to Transform a Downturn into an UpswingContinued from page 1

Bad news requires good communication: If the practice is going through a tough time, leaders can’t afford to bury their heads in the sand and hope the worst will pass. Your employees almost always know more than you think about economic conditions, budgets, cash reserves, etc. Your continued silence will only serve to reinforce any fears your people are feeling. You may not be at liberty to share every organizational detail, but holding frequent and frank discussions about current conditions goes a long way towards maintaining their sense of trust and confidence. Open communication tends to build a spirit of teamwork, as employees begin to think about “our challenge,” instead of “your problem.”

Leadership flourishes during tough times: A crisis can either destroy a leader’s reputation or it can make a leader’s reputation. President Lincoln comes to mind as a man with minimal experience who took the reins of leadership during one of America’s greatest threats and literally saved the union. Tough times give you a chance to grow and prove yourself. Employees look to their leaders to provide a sense of calm, confidence and clarity of direction.

Reprinted with permission. All contents copyright 2008 by KeYGroup. www.keygroupconsulting.com, (724) 942-7900.

Delta Dental Donates New WheelsThe Colorado Foundation of dentistry for the Handicapped’s dental HouseCalls program is back on the road again thanks to the generosity of delta dental Plan of Colorado. The program brings dental care to nursing home residents and homebound individ-uals — people who have no other way to receive care. Their 10+ year-old van recently broke down and repairs were estimated to be very expensive. Delta’s donation of the new van will ensure that Dental HouseCalls operates for many years to come.

HouseCalls is looking for dentists interested in working with the program for a day, a week or a month for a stipend. To learn more contact Signe Linart at (303) 534-5360.

mddsdentist.com December 2008/January 2009 19

Classifieds

AssOCIATe TO PARTneR: Colorado Springs, Colorado Beautiful Location! High tech family dental practice seeks associate and future partner! Must have: Experience (2-3 years preferred), exceptional work ethic, “strong” clinical skills, ability to positively interact with patients and well educated team. This is a phased transition process with great potential. If you want more than just a job, call me! Susan Spear, (303) 973-2147 or susan@sastransitions.com.

OFFICe sPACe FOR LeAse/sALe: This is a single story, one tenant building in prime location in Wheat Ridge. Located at 6175 W. 38th Ave. Approx. 1,950 sq. ft on main level including 4 spacious operatories, large waiting room and plenty of parking. Additional 1,900 sq. ft. in partially finished basement. Room for additional office space, break room and plenty of storage. Available immediately for lease or sale. For more info, call Cindy at (303) 932-6268.

COnsTRUCTIOn seRVICes: Caddis Development, LLC offers 35 years of construction experience, exceptional quality, personal service, total satisfaction. We work around YOUR schedule. Building confidence one customer at a time. Contact caddisdev@comcast.net or (303) 885-8847.

AssOCIATe/PARTneR: Neighboring HAYES, KS! Do you have a Kansas license? Fishing, hunting, outdoors activities abound! High Production – Family Oriented Life Style! Finally a dental practice that can make your dreams come true! Earn like an owner from day one! Perfect for Solo practitioner or Husband and Wife Team! Temporary or part-time associate position also available. Call Susan Spear (303) 973-2147 or susan@sastransitions.com.

denTAL LAseR FOR sALe: Waterlase MD, less than one year old. Biolase’s flagship hard and soft tissue laser. Paid 80K new, will sell for 45K. Call (303) 875-9704, or email doctort1@mac.com.

PRACTICes: COLORADO AND NEARBY STATES: Boulder, Brighton, Boulder East, Centennial, Cherry Creek, Colorado Springs, Crested Butte, Denver, Dillon, Edwards, Lakewood, Longmont, Louisville, Mountain Resort, Central Mountains, Southern Colorado, Southwest Colorado, Pueblo, Vail Valley, Winter Park, AZ-Glendale, Phoenix, Tucson, SD, WY-Yellowstone, Casper, Buffalo, IA-east of Omaha, NE-NW and Central. Specialties CO: Oral Surgery practice; See www.ADStransitions.com. Call ADS Precise Consultants: Peter Mirabito, DDS or Jed Esposito, MBA at (303) 759-8425.

denTAL PRACTICe FOR sALe: Cherry Creek, Colorado. If you are a new graduate, this is your big chance! Practice Purchase Price $125K Nice equipment, 550+ patients, open lease provision for acquisition, Motivated Seller. Call Susan Spear, MPB (303) 973-2147 or susan@practicebrokers.com.

AssOCIATes WAnTed: COLORADO — Boulder, Denver (Spanish speaking a must), Oral Surgery. Nearby States: Casper, WY. ADS Precise Consultants: Peter Mirabito, DDS or Jed Esposito, MBA. (303) 759-8425, ADStransitions.com.

OFFICe sPACe: COLORADO — Denver, Louisviile, Dillon, Ken Caryl. ADS Precise Consultants: Peter Mirabito, DDS or Jed Esposito, MBA. (303) 759-8425, ADStransitions.com.

PRACTICe sALes, AssOCIATe TRAnsITIOns: Do you want to sell your practice or transition it to an associ-ate knowing you have the right buyer? Are you looking for a future partnership with the “right” person? Do you need help deciding how to begin? Let Susan Spear at SAS Transitions help you find the answers! Transition Planning with options! If you are a buyer, call for new listings! I actually answer the telephone! Call Susan today (303) 973-2147 or susan@sastransitions.com/ susan@practicebrokers.com.

OFFICe sPACe AVAILABLe: Lone Tree practice in beautiful brand new Class “A” medical building. Open to share fully equipped space with general dentist or specialist. Great demographics, bright, open, private space, corner location with great mountain views. Please call (303) 671-0761 or cell (303) 995-1768.

OFFICe sPACe FOR LeAse In AURORA: Professional dental space

consisting of 2,445 sq. ft. will become avail-able after Jan. 1, 2009. Currently portioned, plumbed and wired for six operatories with centralized dental air compressors and vacuum pumps. Dental suite is in great shape in beautiful building and wonderful location including great visibility and easy access. Ideal location for general dentist, pedodontist, periodontists or endodontist. Call Dr. James Trompeter at (303) 688-3838.

denTAL PRACTICe FOR sALe: Lakewood, Colorado Owner is seeking small group or solo practitioner looking to expand to purchase the practice. Owner wants to stay on as the associate. Production is up and on track for $500K in 2008! Excellent clinician, nice location, great patients! Motivated Seller. Call Susan Spear, MPB, Inc. (303) 973-2147 or susan@practicebrokers.com.

denTIsT: Perfect Teeth is seeking senior Dentists in Arizona, Colorado and New Mexico with a compensation range of $90,000 to $200,000+. Successful private or group experience required. Benefits package. Also seeking Associate Dentists with a compensation range of $75,000 to $95,000. Specialist opportunities also available for part and full-time Ortho, Endo, Oral Surgery, Pedo and Perio with exceptional compensa-tion. Call Dr. Mark Birner at (303) 691-0680, email at mbirner@birnerdental.com or visit BDMS-PerfectTeeth.com.

denTAL PRACTICe FOR sALe: South Lakewood, Colorado Producing $1M+ 24 Hours Per Week! 5+1 treatment rooms, state-of-the-art beautiful shared dental suite, private office, lab on premises, great staff! Owner will provide positive transition support! Call Susan Spear, MPB, Inc. (303) 973-2147 or susan@practicebrokers.com.

HYGIenIsTs: Great part- and full-time career opportunities. Large multi-practice group offering flexible work schedule and excellent compensation/benefits package. Call Sonja at (303) 285-6022 for more information.

sOUTHLAnds MALL AReA: Welcoming new dentist into our all specialty practice, in the areas of periodontics, pedodontics, orthodontics, cosmetic dentistry and implants. Several scenarios available from associate to a satellite office location. Beautiful new office in an affluent growing area just west of last year’s Parade of Homes location. Must see office — great satellite location, 5 high schools within a 3 mile radius. Email rockymountain@mindspring.com or call Karen @ (303) 400-4865.

denTAL PRACTICe FOR sALe: Fort Collins, Colorado 50 N/P p/m, 10 hygiene days p/w. Digital radiography! Producing $118K per month. All offers considered. Broker referral welcome. Susan Spear, MPB, Inc. (303) 973-2147 or susan@practicebrokers.com

OFFICe sPACe AVAILABLe: Up to 3 operatories available to rent in an upscale general practitioner’s office in Aurora. FURNISHED with patient operatory chairs, storage, Panorex and x-ray units. Exceptional opportunity for a satellite office. Excellent location with easy highway access in high traffic area. Free patient parking onsite. Please call Dr. Jonathan Rones at (303) 743-7662 or (303) 341-6961.

PedIATRIC denTAL PRACTICe FOR sALe: Arvada, Colorado Collecting $1.33M Controlled overhead. High earnings for new owner from day one! Exceptional team who really understand how to treat children and parents. This is a packaged deal with PRIME real estate for sale. Strong Referral Base! Beautiful 4+4 open bay centers, 2+2 quite rooms. If you compare, this practice outshines them all! Susan Spear, MPB, Inc. (303) 973-2147 email susan@practicebrokers.com.

ORTHOdOnTIC PRACTICe FOR sALe OR LeAse: Cherry Creek area of Denver, Colorado. Call ExecTech of Colorado at 888-361-8400 or send an e-mail to: jimW@exectechweb.com.

sPACe AVAILABLe FOR denTAL PROFessIOnALs In sOUTHLAnds AReA: Available spring 2009. Building ownership, next to schools. Biggest growth potential in the Denver area. Please direct all questions to Alisa @ (720) 217-1944 or ammswo@hotmail.com.

denTAL PRACTICe FOR sALe: Pueblo Southwest, Colorado Collected $774K 2007! Perfect size! Excellent cash flow for new buyer! Excellent location, Cerec Technology, new modern facility, 4.5 treatment opts. Patients, Patients, Patients! Motivated Seller. Call Susan Spear, MPB, Inc. (303) 973-2147 or susan@practicebrokers.com.

CenTennIAL sPACe FOR LeAse: 1,905 sq ft plumbed for 5 open-bay ops,

Submissions should be received, in writing, no later than January 24, 2009 to appear in our next issue. MDDS makes no claim, stated or implied, as to the quality of goods and services or the accuracy of the following ads.

perfect for pedo or ortho. Located at the intersection of Arapahoe & Colorado, across from Newton Middle School and 1 mile from the Streets of SouthGlenn. General Dentist in the same building. Negotiable tenant finish allowance. (303) 221-3044 or irene@ButtermanDental.com.

seeKInG exTeRnsHIP OPPORTUnITY: 3rd Year Dental Student from Fort Collins attending the University at Buffalo School of Dental Medicine seeking Externship opportunity for 2 weeks or more between the dates of 6/22/08–7/31/08. Please email judoben@yahoo.com or call (716) 207-5753.

OFFICe sPACe: Wheat Ridge, Colorado dental suite for lease. 1,100 sq. ft., three operatories, equipped. Across from new Lakeside Shopping Center. Call (303) 422-2333.

PRACTICe FOR sALe: Fort Collins, CO. Urgent Sale! Spouse Proprietor. Nice all fee-for-service family practice with 1,300 active patients (18 months), owner worked 3 days a week with lots of time off. Practice collect-ing around $300K with controlled overhead, exceptional team to help the new doctor. Lease situation is very attractive. Best offer! Call Susan Spear, MPB, Inc. at (303) 973-2147 or susan@practicebrokers.com.

PRACTICe: Parker, CO. Projected to do $308,000 in 2008, 3 ops new equipment. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Windsor, Colo. Very nice equipment with four ops. All fee-for-service, grossing $400,000. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Cherry Creek Area, Grossing over $500,000, 3 ops. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

AssOCIATe BUY-In: Elizabeth, Colo. Very busy practice. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Lakewood, Colo. Grossing $220,000. Very nice facility with four ops. Priced under $150,000. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Lakewood, Colo. Grossing over $50,000 per month with four new operatories of equipment plus digital x-ray system. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Alamosa, Colo. Excellent opportunity. For more details, please contact Larry Chatterley at (303) 795-8800 or larry@ctc-associates.com.

PRACTICe: Lone Tree, Colo. New equip-ment, three ops. Plumbed for five more. 2,600 sq. ft. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Littleton, Colo. Three ops. with new facility and new equipment priced at $125,000. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Littleton, Colo. Grossing $618,000, all fee-for-service patient base with 5 ops. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Downtown Denver, Colo. Grossing $758,000 with four ops. New facility. All fee-for-service patient base. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Englewood, Colo. DTC area. Grossing $400,000 with four ops. Very nice equipment and new facility, priced at $305,000. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Very busy pediatric practice in northern Colorado. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

PRACTICe: Telluride, CO. Grossing $644,000. New equipment and facility. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

ORTHOdOnTIC PRACTICe: Littleton, Colo. Call Larry Chatterley at (303) 795-8800 or go to ctc-associates.com.

seLLeR/BUYeR seRVICes: If you would like more information on how to buy, sell or associate in a practice, please check our Web site, ctc-associates.com or call CTC Associates at (303) 795-8800.

TransitionsHOnORed

dr. Major W. Tappan, a Denver dentist with an exemplary record of helping children in need, has been named the 2008 Bernard Gipson sr. Health Leadership Award winner by the Center for African-American Health. He was honored at the Center’s annual dinner at the Renaissance Hotel in Denver on November 21, 2008. The health leadership award is given annually to individuals who through their leadership and service have made outstanding contributions to the health and well-being of the African-American community. “After 60 years as a practicing dentist, Dr. Tappan could have retired knowing he made a difference in the Denver community, but he believes his mission is not complete because there are children in our community who need dental services,” said Grant Jones, founder and executive director of the Center for African-American Health. Dr. Tappan recently founded Total Oral Prevention Strategies, Inc. (TOPS), a nonprofit focused on providing prevention education and oral health services to pregnant women and their children.

APPOInTed

Theresa Anselmo, RdH, MPH, was named as the Colorado Department of Public Health and Environment’s Director of Oral Health. The Oral Health Unit exists to improve the overall health of Coloradans by assessing the oral disease status and barriers to accessing oral and primary care services. The dental director serves to lead in the implementation of programs that improve oral health status and access to oral healthcare services throughout Colorado. Theresa has an extensive history as an advocate for dental health in Colorado. She was integral in the development of Oral Health Awareness Colorado (OHAC!) and has served on the Boards of the Colorado Coalition for the Medically Underserved and Peer Assistance Services, Inc.

UndeR neW MAnAGeMenT

Temp Fillins Metro is now under new management. Under the direction of Lori small, Temp Fillins Metro will serve the needs of dental offices by providing temporary staffing, placing dentists, hygienists, assistants and front and back office. Please call (303) 690-8863 for more information.

The Denver Implant Study Club (D.I.S.C.) • Aldo Leopardi, DDS, MS • Prosthodontist • 7400 East Crestline Circle, Suite 235 • Greenwood Village, CO 80111 • 720.488.7677

D.I.S.C. is a study club developed by a professional for professionals.

2009New Topics! New Speakers! New Sponsors! 2009 will be another exciting year...

For more information call 720.488.7677.

Here’s what some attendees have told us…

“Excellent course which made me rethink some of my protocols. Thanks.”

“Amazing. Covered many topics and blended them well.”

“Great information. The technique tips were quite helpful.”

“Good review of implant concepts we all need to know. Good explanation of science translated to clinical scenarios. Funny dynamic speaker.”

2008 was a great success! We held 6 sessions with topics ranging from “Integrating Dental Implant Restorations into Your Everyday Practice: Parameters for Success” to “Treatment of Complications and Prosthetic Challenges in Implant Dentistry”. We had a total of over 510 attendees. Every session was filled to capacity.

We are working really hard to make 2009 even better Come join us for a series of lectures with real world experiences that work with actual clinical scenarios applicable to the majority of dental implant systems. The study club is prosthodontically driven and is designed to empower general dentists and their offices to build implant practices.

D.I.S.C. has several short, comprehensive evening sessions that will be offered throughout the year. ADG credits are available. The fee to the participating dentists is waived due to corporate sponsorship.

Space is limited. So, reserve your space early. 2009 sessions will be posted early December of 2008. Visit and bookmark the D.I.S.C. site for additional information on the 2009 sessions.

www.aldoleopardi.com/DISC.html

TO REGISTER: call 303-469-3362 or register online atwww.DenturesonImplants.com or email denturedog@gmail.com