june 2013 wda journal

JUNE 2013 | Focus on: ‘The Jawbone’ (dental satire)

WDA JournAl is A publicAtion of Wisconsin DentAl AssociAtion, inc. JUNE 2013 • Volume 89, No. 6

Six new members! The Wisconsin Dental Association is pleased to welcome six new mem-bers to organized dentistry. These new members, their cities of practice and/or residence or components (if applicable) are:

Dr. Ryan Dulde, Hales CornersGreater Milwaukee Dental Association

Dr. Brenda Garrison, Fort AtkinsonJefferson County Dental Society

Lauren Haun, RDHSparta

Dr. David Kujak, OnalaskaLa Crosse District Dental Society

Justin Rhoe, RDHMonroe

Crystal Rosenbrook, RDHEau Claire

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INSIDE THIS ISSUE

POP award nominations needed ...................... p. 5

Major changes to the Hazard Communication Standard .................... p. 6

WDA candidate line up ....................... p. 7

Seal-A-Smile update .. p. 16

p. 15p. 2

The energy in Madison’s Monona Terrace ballroom was palpable on March 27 when 255 dentists, dental hygienists, Marquette University School of Dentistry students, faculty and Wisconsin Dental Association staff gathered for Legislative Day 2013. Attendees were excited to hear from an impressive lineup of Democrat and Republican state legislative leaders and Gov. Scott Walker before canvassing the Capitol to convince 80 legislators to co-sponsor the non-covered services bill. (Subsequently, it was introduced as Assembly Bill 109 and Senate Bill 131 and passed by wide margins of 89-8 in the Assembly and 30-3 in the Senate.). WDA President-Elect Dr. Julio

Rodriguez (Brodhead) hosted this year’s “Democracy – and Dentists – in Action” event. Member dentists with strong constitu-ent relationships provided a “personal touch” when welcoming these state law-makers to the podium: •Assembly Speaker Robin Vos(R-Burlington) •Senate Majority Leader ScottFitzgerald (R-Beaver Dam) •Assembly Minority Leader PeterBarca (D-Kenosha) •Joint Committee on Finance Co- Chair Rep. John Nygren (R-Marinette) •Senate insurance and health com-mittee member Sen. Jon Erpenbach (D-Middleton)

•NCS lead co-authors Rep. JoanBallweg (R-Markesan) and Sen. Jerry Petrowski (R-Marathon) SpeakerVoscommendedtheWDAonits efforts to meet with opponents of the NCS legislation and come up with a bill that is more closely resembles the one passed in 30 other states, “You deserve a lot of credit for working to make this hap-pen.” “Remember to get a ‘yes’ when asking your legislators to sign on as a co-sponsor,” he added. Building off Speaker Vos’s comments,Rep. Ballweg said, “Getting something done is more important than sticking to your guns while the whole ship sinks.” She told dentists to talk about

Carol Weber, APR WDA Director of Public Relations [email protected]

continued on page 3...

Springing into legislative action in Madison and local districts

Non-Covered Services legislation lead co-sponsors state Sen. Jerry Petrowski (R-Marathon) and state Rep. Joan Ballweg (R-Markesan) take turns addressing the Legislative Day audience.

From left, Dr. Tom Kraus (Fond du Lac) and two of his team members – Barb and Holly – look forward to hearing “Z” man Gary Zelesky’s message about bringing your passion for life to the dental office. Visit theWisconsin DentalAssociation’s Flicker page to view and down-load more photos from WDA InSession 2013.

Connect with us on and visit us online @ WDA.org

Social!Let’s get

2 WDA Journal June 2013 WDA.org

U.S. Sen. Ron Johnson (R) with ATL Statewide Coordinator Dr. John R. Moser (Milwaukee) during the ADA Leadership Conference in Washington, D.C. in May 2013.

Advocacy is one of the most important things our membership wants from the Wisconsin Dental Association. We advo-cate not only at the state level, but also at the federal level. The American Dental Association set up an Action Team Leader program at the federal level. An action team leader, or ATL, is the lead “go to” dentist responsible for build-ing relationships between the local den-tal community and each U.S. House of Representatives member. Wisconsin has eight congressional dis-tricts, and we have one ATL in each dis-trict. An ATL statewide coordinator is respon-sible for communicating with our two U.S. senators, and ensures there is an ATL in each congressional district. I served as the ATL for the 4th Congressional District for five years, and then became the ATL statewide coordina-tor. Leading up to these positions, I attended the ADA’s National Grassroots Conference (now the Washington, D.C. Leadership Conference) in 1998. I went to this meet-ing on my own dime. I felt the political process was important enough to invest my

own money. Afterward, I submitted a report to the Greater Milwaukee Dental Association board which said, “I firmly believe we need to stay politically active if we want to keep the independent practice of dentistry alive and I personally found this conference to be a great experience. I would recommend that all directors and executive committee members take advantage of it. I will be there next year, too. While this conference dealt with national issues, many of the con-cepts carry over to local and state politics. It is how the system works. We DO need to look at political contributions as a cost of doing business.” Some of the leadership conferences have been great while others did not have the same caliber of speakers. Many times, ATLs were frustrated to take time out of their practices to attend only to meet with staffers rather than elect-ed officials themselves. Therefore, the WDA decided to save our dues dollars and to also make our com-munications with our federal representa-tivesmore than just a thing thathappens“out in D.C.”. WDA currently sends three people to the leadership conference and encourages

all ATLs to invest their time in setting up meetings between a group of local dentists and their congressional representative back in the districts. As WDA treasurer, I am working hard to try to keep dues stable during these trying economic times. As ATL statewide coordinator, I would love to see us at full strength in our nation’sCapitol as it helps make a difference to meet in-person, in addition to setting up meetings in the district. Legislative staff does run the world! If you have an interest (and if the ATL is not already attending), the ADA is still willing to pay airfare to attend a future leadership conference for one person from each congressional district. All other expenses would be your responsibility (as my first meeting was), but are deductible as a business expense. Sometimes politics feels like running head first into a wall. However, not being at the table can hurt even more. A lot more.

ATLs build relationships at the federal level John Moser, DDS ATL Statewide Coordinator [email protected] ADVOCATE

Action Team Leaders U.S. RepresentativesPaul Ryan (R) – Dr. Francesca DeRose (Racine) and Dr. Ned Murphy (Racine)Mark Pocan (D) – Dr. Russ Christian (Mount Horeb)Ron Kind (D) – Dr. Timothy Durtsche (La Crosse) Gwen Moore (D) – Dr. Michael Donohoo (Milwaukee)

F. James Sensenbrenner (R) – Dr. Gene Shoemaker (Waukesha) Thomas Petri (R) – Dr. Steve Stoll (Neenah) Sean Duffy (R) – Dr. Gary Martin (Marshfield) Reid Ribble (R) – Dr. Craig Janssen (Green Bay)

U.S. SenatorsTammy Baldwin (D) and Ron Johnson (R) – Dr. John R. Moser (Milwaukee)

Spring/Summer 2013

in this journalThe Wisconsin Dental Association is

pleased to make the print version of our patient newsletter available to our 3,100 members and their patients as a way of communicating oral health informa-tion and promoting quality care.

We encourage you to place this public information tool in your waiting area for patients to enjoy and to use as a basis for chair-side education.

Tongue ‘n’ Cheek … and Teeth, too! also can be downloaded on WDA.org as a PDF or viewed in a digitial-flip format.

A limited number of hard copies are available on a first-come, first-served basis.

To request copies, contact WDA Communications Coordinator Emily Bultman at [email protected] or 414-755-4110.

Patients can sign up for new, quarterly e-newsletter Tongue ‘n’ Cheek… and Teeth, too! now can come straight to your patients’ inbox four times a year as an electronic, quarterly newsletter.The next e-newsletter will launch at the end of May 2013. Patients can subscribe at www.wda.org/enewslettersign-up.

WDA.org June 2013 WDA Journal 3

The Issue Current Buzz WDA Actions Next Steps

Non-Covered Services or NCS legislation to stop dental plans from setting fees for services they don’t reimburse.

Provides for transparency in the cost of care and also keeps treatment decisions between dentist and patient; improves small-business climate with marketplace determining reasonable fees.

Minimal fiscal impact on state budget.

Hours of meetings facilitated by Assembly Speaker Robin Vos (R-Burlington) and includ-ing the WDA, NCS bill lead sponsor Rep. Joan Ballweg (R-Markesan) , Assembly Insurance Chair Rep. Kevin Petersen (R-Waupaca) R-Burlington) and insurance representatives were held during March to determine middle-ground on the bill.

Prior to Legislative Day there were a dozen Assembly and Senate co-sponsors. Within days of dentists and students visiting legislators a re-markable 80 (out of 132) legislators signed on as co-sponsors of Assembly Bill 109/Senate Bill131.

After significant discussion between dentist leaders, staff and lobbyists, the WDA agreed to compro-mise language similar to National Council of Insur-ance Legislators (NCOIL) model legislation plus a “de minimis” clause. This would prevent insurance companies from paying a nominal fee (e.g., $5 for an implant) and then calling the service “covered” and being able to dictate the fee. (Tennessee is the only other state with a de minimis clause).

WDA considers this a key step in the right direction to stopping the unfair tactics of insurance plans trying to dictate fees on dental services they don’t cover anything for.

President Dr. Tim Durtsche (La Crosse) testified be-fore the Assembly Insurance Committee on April 4. Vice President Dr. Paul Levine (Milwaukee) testified before the Senate Energy, Consumer Protection and Government Reform Committee on April 16.

The governor is being asked to sign the bill into law.

WDA pleased to have almost twice the number of co-sponsors this session at 90 and strong bi-partisan (45 Republications and 45 Democrats) support in both houses (69 of 99 Assembly members and 21 of 32 Senators).

Contact Mara Brooks at 608-250-3442 or [email protected] with questions.

Dr. Jeff Chaffin is Wisconsin’s new state den-tal officer. He will join the Division of Public Health in the Department of Health Services on May 6 replacing Dr. Warren LeMay who retired last September.

Dr. Chaffin recently completed a 21-year Army career. His last assignment was as dental chief for TRICARE Management Activity with respon-sibility for oral health policy for the Department of Defense and managing three large multibillion dollar military dental insurance programs. A distinguished military graduate from the Uni-versity of Tampa, he has a DDS from University of Nebraska and masters in public health, busi-ness administration and health care administra-tion. Dr. Chaffin completed a one-year general dentistry residency at Fort Sill, Oklahoma.

He is a diplomate of the American Board of Den-tal Public Health and a fellow of the American College of Healthcare Executives and Internation-al College of Dentists. A member of the Official Order of Military Medical Merit (O2M3), he holds the Surgeon General’s “A” designator for excellence in dental public health.

WDA Madison and DHS staffers meet regularly to facilitate communications and cooperation on a range of oral health topics, such as public wa-ter fluoridation and statistical efforts to measure the impact of dental disease in Wisconsin.

The WDA was hopeful a licensed dentist would continue to serve as the state’s chief dental officer to help oral health care issues get the attention (staff time and state budget dollars) they deserve.

WDA President Dr. Tim Durtsche (La Crosse) will invite Dr. Chaffin to meet with the Board of Trustees at an upcoming meeting.

Legislative-related meetings

2013•Dentistry Examining Board: July 10, Sept. 4, Nov. 6; all meetings are held at Department of Safety and Professional Services, 1400 E. Washington Ave. in Madison and start

promptly at 8:30 a.m.

Existing New York law prevents NCS capping, which means 31 states prevent the practice; 30 have passed stand-alone NCS legislation on margins of 10-to-1 since 2009.

WDA dentists asked to thank their legislator if they are in the group of 119 who voted for the bill. Find legislators and contact info here: http://1.usa.gov/VUSd1M.

The NCS bill passed a floor vote in the Assembly April 17 with a final count of 89-8 (See roll call at http://1.usa.gov/11qaqgm). It passed the Senate on May 7 with a vote of 30-3.

WDA Government Buzz gives members a snapshot of the current status of dental-related policies and legislation. The Issue tells you who, what and why; Current Buzz gives you a status update on the issue; WDA Actions highlights your professional associa-tion’s activity and position; and Next Steps anticipates what’s around the corner and, in some cases, identifies what WDA mem-bers can do. “WDA Government Buzz” is updated for each issue of the journal. Current “buzz” available on WDA.org website and accessed monthly via WDA Executive Director’s Update e-newsletter. For more information, visit WDA.org or call the WDA Legislative Office at 608-250-3442.

Updated information is highlighted.

their small-business circum-stances while clarifying that NCS leads to greater trans-parency in costs when seek-ing legislative co-sponsors. “Stories drawn from per-sonal experiences stick with legislators,” she emphasized. Saying, “It’s not right that insurance companies set fees for services they won’t pay for,” Sen. Petrowski urged dentists to get their patients involved in dental-related legislative efforts. A morning media adviso-ry from the governor’s office about his WDA Legislative Day appearance brought reporters from eight local and state media outlets to the meeting, including Wisconsin public radio and television, the Milwaukee Journal Sentinel and The Associated Press. “I’m pleased to hear of your work to get something constructively done about your top legislative issue,” said Gov. Walker

following a standing ovation welcome. He then went on to thank all WDA members for serving their local communities as oral health providers, business owners/employ-ers and participants in charitable care

outreach efforts like Mission of Mercy. MUSOD Dean Dr. William Lobb (Milwaukee) provided this year’s Legislative Day audience with an update on dental school expansion. He also highlighted a new school brochure that stu-dents would share with leg-islators during their Capitol visits. The morning’s program concluded with a panel of WDA contract and staff lob-byists helping attendees nail down NCS talking points and last-minute details. Greg Hubbard of the Hubbard, Wilson and Zelen-kova government affairs firm sent the citizen lobbyists on their way with this rallying cry, “Focus on your story! We’re on the right side of

this (NCS) issue!” In-district grassroots pilot updateThe WDA is also working to strengthen

member-legislator relationships statewide at the local district level by piloting grass-roots meetings. “The goal is to provide an intimate venue for small groups of member dentists to meet with their elected officials for about an hour over coffee to talk about issues affect-ing dentistry,” explains Executive Director Mark Paget. Contract lobbyist Forbes McIntosh of Government Policy Solutions is on hand to facilitate each discussion. Two meetings were held in March and April with state Rep. Erik Severson (R-Osceloa) and state Sen. Sheila Harsdorf (R-River Falls). Other meetings are being planned for later in the legislative session (e.g., July, August) when lawmakers are not as busy in Madison. These gatherings will most likely be scheduled for late afternoon around 5:30 p.m. to better accommodate dentists’ busy patient schedules. “Please take the time to participate in these ‘Tooth Party’ meetings when they are scheduled in your area. The personal con-tacts and time spent will greatly increase WDA’s chances of legislative success in the coming months and years,” Mr. Paget added.

The WDA is piloting grassroots meetings to strengthen member-legislator re-lationships. Dr. Julie Lesher (Hudson), Dr. David Doroff (Amery), state Sen. Sheila Harsdorf (R- River Falls) and Ms. Ashley Sempf, office assistant for Dr. Tom Hauge (Osceola) met at the first coffee meeting in March 2013 to discuss various issues.

Legislative continued from page 1 ADVOCATE


Messages

The WDA Journal invites readers to express their views in letters to the editor. This provides a forum for discussing topics of interest to the dental profession. To be considered, letters must be 300 words or less and signed with an e-mail address or phone number. The Editorial Board reserves the right to edit for space, clarity, civility and accuracy. Any changes will be shared with the writer before publication. If your letter is selected, contact will be made to confirm receipt. Submit letters to the editor via email to [email protected] or fax to 414-755-4111. You may also mail your letter to: WDA Journal | Attn: Dr. Robert Brennan | 6737 W. Washington St. | Suite 2360 | West Allis, WI 53214

WDA style note: We make every effort to bold members’ names in articles.

Submitting letterS to the editorWDA Editor Robert Brennan, DDS, Neenah

920-725-0551 • [email protected]

Robert Darling, DDS, Sheboygan920-457-1717 • [email protected]

Ellyn English, DDS, La Crosse 608-775-2696 • [email protected]

Glenn Gequillana, DDS, Milwaukee414-649-3510 • [email protected]

Gene Shoemaker, DDS, Waukesha 262-542-0326 • [email protected]

editorial adviSory board

InSession merging with WDA House in 2014 – plan now to attend

New ADA/AAOS guidelines for antibiotic prophylaxis

Timothy Durtsche, DDS, WDA President [email protected]

Robert Brennan, DDS, WDA Editor [email protected]

W ehavejustfinishedourWDAInSession– Wisconsin’s Largest Dental Study Club held in Wisconsin Dells.Hundreds of our member dentists,

hygienists, assistants and office staff came together for a variety of lectures, interactive learning sessions, a terrific keynote speaker and an exhibit hall hous-ing more than 100 booths with the latest and greatest equipment, new materials and an opportunity to visit with colleagues from around the state. By now, you have probably heard that this was the last time for a spring InSession. Beginning in 2014, InSession will be combined with the WDA House of Delegates. The event will be held Nov. 13-15 at the convention center in downtown Milwaukee. Some of you may remember when the annual ses-sion was held with the House, but it was eventually separated to allow the delegates to attend continuing education programs and visit the exhibit hall.

The WDA Annual Session Committee and staff are working hard to make this merger succeed. It requires some creative scheduling, but the advan-tage for our delegates to participate in the CE and for the rest of our attendees to be able to observe the House will be a win-win.

The Michigan Dental Association has been doing this for years with great success. Over the past few years, attendance at our annual ses-sion has dropped. The Chicago Midwinter, Minnesota and Iowa meetings have been tough to compete with.

We are confident that by moving InSession to the fall, there will be more interest by our members and staff attending to get theirCE, enjoy class reunionsand participate in social events. There will be several hands-on courses for your entire staff to take, so please make it a point to include your staff when you attend next year. If you are someone who usually doesn’t participate in WDA InSession, we are interested in what com-bination of courses and activities or other ideas you have to make the event a destination event for you and your staff. Please contact WDA Associate Executive Director Lani Becker at [email protected] or 414-755-4114 and share your suggestions or complete our short survey at http://svy.mk/12ZidxC. The WDA is our organization. We want to provide the continuing education, activities and events that are helpful to you.

In 1997, the American Dental Association and the American Association of Orthopedic Surgeons issued guidelines for antibiotic prophylaxis for patientswithprostheticjoints.

Those guidelines recommended antibiotic prophy-laxis for all patients the first two years post-op and after that only for patients with certain “high risk” medical conditions. This replaced the original recommenda-tion of antibiotic prophylaxis for all patients for the rest of their lives. In 2009, the AAOS unilaterally issued a statement that recommended a return to the original guidelines of antibiotic prophylaxis for all patients for the rest of their lives. This was a step backward and created much confusion within the dental community, as it conflicted with the ADA’s recommendation. Finally after three years of uncertainty, the ADA and AAOS recently issued a report and guidelines titled “The Prevention of Orthopaedic Implant Infections in Patients Undergoing Dental Procedures”. This report was formulated by a diverse panel of physicians and dentists. They did a thorough literature search and reviewed all the relevant studies. Recommendations were sent to numerous interested parties for their comments before they were published. I reviewed the entire report, which is over 300 pages

long, and it appears to be a well-done, evidence-based document. Fullguidelinescanbeaccessedathttp://bit.ly/Vj6VSk.

The panel made three recommendations. Recommendation 1: The practitioner might con-sider discontinuing the practice of routinely prescrib-ing prophylactic antibiotics for patients with hip and knee prosthetic joint implants undergoing dental procedures. There is only one study that tried to show a relation-ship between dental treatment, antibiotic prophy-laxisandjointinfectionanditshowednorelationship.Studies have shown that dental treatment causes bacteremias and that antibiotic prophylaxis likely prevents bacteremias, but there are no studies to show thatdentalbacteremiascausejointinfections.Infact,staphylococcus bacteria cause most joint infectionsrather than the streptococcus bacteria that are associ-ated with most dental bacteremias.

Recommendation 2: We are unable to recommend for or against the use of topical oral antimicrobials in patients with prosthetic joint implants or other orthopaedic implants undergoing dental procedures. There is conflicting evidence regarding the effect of antimicrobial mouth rinses on the incidence of bac-teremias and there is no evidence that antimicrobial mouthrinsespreventjointinfections. Recommendation 3: In the absence of reliable evidence linking poor oral health to prosthetic joint infection, it is the opinion of the work group that patients with prosthetic joint implants or other ortho-paedic implants maintain appropriate oral hygiene. Although there is no evidence that poor oral health causes prosthetic joint infections, good oral healthis beneficial and will help reduce bacteremias. Oral hygiene measures are low cost, provide potential ben-efit, are consistent with current practice and are in accordance with good oral health. These guidelines are just another example of thebenefits of organized dentistry. From the day the AAOS released their recommendation in 2009, the ADA has worked hard to bring all the interested par-ties together to reach an evidence-based consensus on the need for antibiotic prophylaxis of patients with prostheticjoints.

The WDA is our organization. We want to provide the continuing

education, activities and events that are helpful to you.


There’s nothing better than four cold rainy days in Chicago when you have to attend an American Dental Association Board of Trustees meeting. I’m kidding, of course, but the following is a recap of the accepted reports and actions the Board recently took for the good of the associa-tion, practice of dentistry and quality oral health care.

First, there’s some troubling news. The ADA ended 2012 with an active member-ship of 128,524 out of a total market of 194,160, for amembershipmarket shareof66.2percent.

This represents a small decrease of 195 active members, and a market share decline of 1.1 percentage points. Overall dentistmembershipwasupat160,117.

The number of active members was up in some key member segments, includ-

ing women, minorities and new dentists. The ADA saw a modest increase in the minor-ity market share from 53.3 percent to 53.4 percent.

Still, it is not good enough. The continuing decline in market share is causing con-cern.

In Wisconsin, the market share is 80 percent, while in Michiganitis76percent.

We must be doing some-thing right here in the 9th District.

But the situation’s worse in many other states, many of them larger states, where market share has been slipping fast, and thus pulling down the ADA’s overall numbers.

These concerns are being addressed in several ways. For example, a team of constituent and compo-nent executives are now working with the ADA to prioritize nearly 40 recom-mendations for all tripartite associations to align pro-grams with member needs in high-impact, mutually supportive ways.

Final recommenda-tions will emerge from the

2013 Management Conference for either implementation by executive directors or further consideration by leaders as appro-priate.

The ADA is planning several other approaches, given the urgency of the

Member Publication

JUNE 2013VOLUME 89, NUMBER 6

EditorRobert Brennan, DDS, Neenah

920-725-0551 • [email protected] Editor

Mark Paget414-755-4100 • [email protected]

Managing EditorEmily Bultman


OFFICERSPresident

Timothy Durtsche, DDS, La Crosse 608-784-7319 • [email protected]

President-ElectJulio Rodriguez, DDS, Brodhead

608-897-8645 • [email protected] Vice President

Paul Levine, DDS, Milwaukee414-355-0213 • [email protected]

Past-PresidentSteven Stoll, DDS, Neenah

920-725-4307 • [email protected] Treasurer

John R. Moser, DDS, Milwaukee414-273-9800 • [email protected]

EditorRobert Brennan, DDS, Neenah

920-725-0551 • [email protected] Executive Director/Secretary

Mark Paget, West Allis 414-755-4100 • [email protected]

Region 1 Northwest David Kenyon, DDS, Altoona

715-832-3385 • [email protected] Nehring, DDS, Mercer

715-476-3432• [email protected] Jennifer Peglow, DDS, Stevens Point 715-344-2324 • [email protected]

Region 2 NortheastPaul Feit, DDS, Sturgeon Bay

920-743-6976 • [email protected] Peter Hehli, DDS, Appleton

920-997-1557 • [email protected] Kraig, DDS, Fond du Lac


Region 3 Greater MilwaukeeThomas Kielma, DDS, Milwaukee

262-649-3510 • [email protected] Lepak-McSorley, DDS, Milwaukee

414-383-8787 • [email protected] Thomas Raimann, DDS, Hales Corners414-425-1510 • [email protected]

Region 4 SoutheastRyan Braden, DDS, Lake Geneva

262-248-0120 • [email protected] Hartmann, DDS, Greenfield

414-543-4700 • [email protected] Murphy, DDS, Racine


Region 5 SouthwestL. Stanley Brysh, DMD, Madison

608-417-6500 • [email protected] Clemens, DDS, Wisconsin Dells608-254-2345• [email protected]

Patrick Tepe, DDS, Verona 608-848-4000 • [email protected]

Region 6 Student RegionDerek Schmidt

Marquette University School of [email protected]

Speaker of the HouseRichard Lofthouse, DDS, Fennimore


ADA 9th District TrusteeDennis Engel, DDS, CDE, Mequon 262-242-8929 • [email protected]

Pyramid of Pride Award nominations needed

Mark Paget WDA Executive Director [email protected]

Executive Director Corner

The Wisconsin Dental Association is recognized as one of the most active dental constituent organizations in the United States. Our members are engaged and passionate about their profession.

In addition, WDA’s outreach extends into communities, the media and legisla-tors throughout the state. Since joiningWDA in2006, Ihave

been impressed with the level of volun-teer involvement among members.

One of the ways that WDA rec-ognizes and salutes the various things that individuals and organizations do to improve the oral health of Wisconsin residents is with our annual Pyramid of Pride Awards.

Since its inception in 1999, dozens of awards have been presented to an

impressive list of WDA members, media representatives, community leaders and elected officials.

With the July 15 nomination dead-line rapidly approaching, we need your help in identifying deserving and quali-fied candidates for our 2013 awards in each of the following nine categories:

•LifetimeAchievement•CommunityOutreach•FriendsofDentistryAward•MediaAwareness•MediaRelations•NewDentistLeadership•OutstandingLeadershipin

Mentoring•PoliticalAction•WDAAwardofHonor

The POP award nomination form is on page 102 of the WDA 2013 Sourcebook (Practice Guide and Member Directory) that was recently mailed out. VisitWDA.orgtoreviewawardcrite-

ria and learn more. I encourage all members to consider

nominating a colleague or organization for one of these prestigious awards.

POP awards will be presented during the WDA House of Delegates meeting on Nov. 15 in Middleton, Wis.

I appreciate your assistance in helping to ensure this program continues to rec-ognize those making a difference.

As always, feel free to contact me if you have any questions or would like more information.

ADA ReportWorking harder to prioritize member needs Dennis Engel, DDS, CDE ADA 9th District Trustee [email protected]

continued on page 11...


New changes to the Occupational Safety and Health Administration’s Hazard Communication Standard are bringing the United States into alignment with the Globally Harmonized System of Classification and Labeling of Chemicals, further improving safety and health protec-tions for America’s workers. Building on the success of OSHA’s current Hazard Communicat ion Standard, the GHS is expected to pre-ventinjuriesandillnesses,savelivesandimprove trade conditions for chemical manufacturers. Issued in March 2012, the new stan-dard will prevent an estimated 43 deaths and result in an estimated $475.2 million in enhanced productivity for U.S. busi-nesses each year. Dental health care providers and employers are required to comply with these new directives, because there is risk of exposure to chemicals used in dental care delivery as well as those involved in cleaning and disinfecting the dental workplace. OSHAoutlinesthreemajorchanges– hazard classification, labeling and safety data sheets.

Hazard classification The new, updated standard provides specific criteria to address health and

physical hazards, as well as clas-sification of chemical mixtures. This will ensure evaluations of hazardous effects are consistent across manufacturers, and labels and safety data sheets are more accurate. Labeling Chemical manufacturers and importers must provide a label that includes a signal word, pic-togram, hazard statement and precautionary statement for each hazard class and category. Labels for a hazardous chemical

must contain: •Name,addressandphonenumber •Productidentifier •Signalword •Hazardstatement(s) •Precautionarystatement(s) •Pictogram(s)

As of June 1, 2015, the HCS will require pictograms on labels. Each pic-togram consists of a symbol on a white background framed within a red border and represents a distinct hazard. How will this impact the dental health care team? Employers will be responsible for maintaining labels on containers, so they do not become faded, removed or illegible. All team members should be familiar with the new labels as they arrive on products/supplies.

According to OSHA, employers have the option to create their own workplace labels with the required information. Safety data sheets Starting in June 2015, the HCS also requires manufacturers, importers and distributors to provide safety data sheets, formerly known as Material Safety Data Sheets. These updated information sheets must be presented in a consistent, user-friendly,16-sectionformat. OSHA states employers must ensure that SDSs are kept in a binder or on computers, as long as there is a backup so that they are readily accessible to employees. Implementing and training The HCS is intended to benefit work-ers by reducing confusion about chemical hazards in the workplace, facilitate safety training and improve understanding. It will not be fully implemented until 2016. In the meantime, phase-in dateshave been delineated for compliance. By Dec. 1, 2013, employers are required to train dental team members on the new labeling and SDS format. Ordinarily, dental offices do not store large amounts of hazardous chemicals. However, it is important for dental team members to be aware of any hazards they may encounter from the materials used in the practice of dentistry. References and additional information available at http://1.usa.gov/9OwDX3.

Kate Bechen Attorney, Michael, Best and Friedrich LLP

Key takeaways...

• Review HCS changes with your staff to ensure compliance before June 2015. • Crowns and root canal therapy are two most frequent claims. • Sharing DPH’s brochure is the best way to help anyone asking about mobile dentistry services.

BUSINESS of Dentistry

Claim data can be sorted and evaluated in many ways. The most useful risk manage-ment aspects of claim data are derived by studying injuries that patients allege, the likely cause of the alleged injury and the dental procedure that resulted in the injury. A “claim” is the receipt of a demand for money or services, naming the insured and alleging a dental incident. It also includes covered dental licensing board complaints. An “indemnity payment” is a payment made by an insurance company to a claim-ant, on behalf of an insured dentist. All indemnity payments are required by federal law to be reported to the National Practitioner Data Bank. Percent of total claims is the number of reported claims arising from a procedure. It is stated as a percent of the total number of reported claims. Percent of total dollars is the amount of money spent on claims arising from a partic-ular procedure. This is stated as a percent of the total dollar volume spent on all reported claims. Claims can be separated by dental pro-cedure, cause of loss and type of loss. Dental procedure • Based upon percent of total claims: Crowns at 14.2 percent • Based upon percent of total dollars: Root canal therapy at 19 percent

Cause of loss • Based upon percent of total claims: Inadequate precautions to prevent injury at 23.2 percent • Based upon percent of total dollars: Treatment failure at 22.6 percent

Type of loss • Based upon percent of total claims: Corrective dental treatment required at 19.9 percent • Based upon percent of total dollars: Corrective dental treatment required at 25.8 percent Comparison of average indemnity payments by dental procedure While only 5 percent of total closed claim count, “fixed bridges, implant supported” accounted for the highest average indemnity payment at $120,000. The highest percentage of total closed claim count at 14.2 percent was “crowns” with an average indemnity payment amount at $16,065. Almost 20 percent of total claims were labeled “corrective surgical treatment re-quired” and the average indemnity payment amount was $29,644. What are some of the non-procedural areas of claims we see starting to pick up? Employment practices liability is on the radar, as is failure to protect patient medical and personal information. Regardless of size, every dental practice should have an employee handbook and provide a professional office environment. With the increased dependence on elec-tronic health records and the transmission of patient information electronically, it becomes critical that proper systems are in place to store and encrypt to avoid this sensitive infor-mation falling into the wrong hands. Wisconsin Dental Association Insurance and Services Corp. has a variety of resourc-es to assist you with risk management. Don’t become a claim statistic.

Source: CNA HealthPro Dental Professional Liability Risk Management

Don’t become a claim statisticMara T. Roberts, CLU, RHU, REBC WDAISC President [email protected]

Antitrust, dentistry and YOU Addressing questions regarding mobile dentistry in Wisconsin

The Wisconsin Dental Association is aware that for-profit, mobile dentistry businesses continue to approach school districts and nursing facilities across Wis-consin. These businesses offer limited preven-tive dental services to public and private school students and nursing home resi-dents. Concerns about the scope, quality of care and accuracy of charges by some for-profit mobile dentistry businesses have been raised by the American Dental As-sociation. At least 10 states have adopted regu-lations to address these mobile dentistry concerns. In Wisconsin, the Department of Health Services’ Division of Public Health, in collaboration with the Wis-consin Oral Health Coalition and the Children’s Health Alliance of Wiscon-sin, has published a list of frequently asked questions and answers to help guide schools and nursing homes approached by mobile dentistry marketers. WDA members contacted by school or nursing home officials seeking informa-tion on mobile dentistry should direct inquiries to DPH’s brochure (posted on WDA.org at http://bit.ly/10bWHcG). This is an appropriate and easy way to

help local organizations get the informa-tion they need. WDA members should avoid discuss-ing pricing, quality of services or other similar issues. DPH is also availablebyphoneat(608-266-1251) to help schooland nursing home person-nel review these for-profit mobile dentistry companies. With a mission statement that calls for “…promoting professional excellence and quality oral health care for the public,” the WDA will continue to work with the state, WOHC, CHAW and other partners to address any quality and continuity of care concerns surround-ing mobile dentistry. But, member dentists and dental hy-gienists are reminded that any concerted action by the WDA, individual dental professionals or groups of members in regards to mobile dentistry may be seen as anti-competitive. Do not discuss the mobile dentistry issue – either in person or via email – with colleagues. Do not comment on these operations to patients, or to the public or media. Again, sharing

DPH’s brochure is the best way to help anyone asking about mobile dentistry ser-vices. A formal Antitrust Statement was

adopted by the WDA House of Delegates in 2008 to help association leaders, staff and indi-vidual members comply fully with all federal and state antitrust laws, rules and regulations. That Antitrust Statement has been updated and can be found in the 2013 WDA Sourcebook (Member Directory and Practice Guide) on page 49. The statement and other an-titrust information and

education resources also are available on WDA.org under the Practice and Legal FAQ section (member login required).

DISCLAIMER: This WDA publication and article are only intended as an informational guide for individual dentists and Wisconsin components regarding the appli-cation of antitrust laws to certain areas of dentistry. The information is not intended as specific legal advice and cannot serve as a substitute for consultation with one’s own attorney.

Katherine Schrubbe, BSDH, MEd, PhD MUSOD Clinical Associate Professor [email protected]

Major changes to the Hazard Communication Standard


WDA Trustee candidate line-upThese are condensed CVs; for full CVs, visit the officer vacancies page on WDA.org (member login required).

Northwest Region 1Jeffrey M. Nehring, DDSPOBox1465222Hwy51Mercer,[email protected]

EducationUniversity of Wisconsin-Milwaukee,

Bachelor’s Degree, 1975Marquette University School of Dentistry,

Doctor of Dental Surgery, 1979

PracticePrivate practice in Mercer, Wis., 1979-present

ProfessionalAmerican Dental Association• Member,1979-present• Alternatedelegate,2010

Wisconsin Dental Association• WDATrusteeNorthwestRegion1,

2008-present • Mid-LevelProviderTaskForce,chair,

2012-present

Other Organizations• PierreFauchardAcademy• NationalOralHealthConference

attendee, 2010-2013

Community Activities• GrandviewHospitalBoard,2001-present;chair,2006-present

• AspirusWausauInc.andHospitalBoard,2011-present

• IndianheadSkiPatrolVolunteer2007-Present

Family • MarriedtoChristine• Fivechildren:Theresa,Matthew,Kristi,

Elizabeth and Mary • Twograndchildren ––––––––––––––––––––––––

Northeast Region 2Peter D. Hehli, DDS 5760GrandeMarketDriveAppleton, WI 54913920-997-1557 [email protected]

EducationUniversity of Wisconsin-Eau Claire, 1981-1984 University of Minnesota School of Dentistry,

1984-1988University of Minnesota Residency Program,

1989

PracticeGeneral dentistry, with an emphasis onsedation dentistry two locations, Appletonand Sheboygan, Wis.

ProfessionalAmerican Dental Association• Alternatedelegate,2005-2006,2013• Tri-PartiteInitiativeTaskForce,2004-2006

• AnnualSessionattendee,1999-2008

Wisconsin Dental Association• WDATrusteeNortheastRegion2,

2011-present • AnnualSessionCommittee,2004-present• LegislativeAdvocacyCommittee,

2004-present

Outagamie County Dental Association • President,2010• President-elect2009• ExecutiveCommittee,2004-2011

Professional Organization• AmericanAcademyofImplantDentistry• AmericanDentalSocietyof

Anesthesiology • FellowwithDentalOrganizationof

Conscious Sedation

Community Activities• Tri-CountyCommunityDentalClinic

volunteer

Family • MarriedtoLynlee• Fivechildren:Marissa,Karley,Carson

Peter, Faye and Logan David –––––––––––––––––––––

Greater MilwaukeeRegion 3Thomas E. Kielma, DDS 2901 W. Kinnickinnic RiverParkway #104Milwaukee, WI [email protected]

EducationMarquetteUniversity,1969-1972Marquette University School of Dentistry, 1972-1976

PracticePrivatepractice,1976-present

ProfessionalAmerican Dental Association• Member,1976-present

Wisconsin Dental Association• WDATrusteeGreater Milwaukee Region 3, 2010-pressent• FinanceCommittee• Delegate,1999-2003,2006-2010

Greater Milwaukee Dental Association • GMDApast-president• Delegate,1991-2009• BudgetandFinanceCommittee,

1992-1993; chair, 1994-1999

Other Organizations• PierreFauchardAcademy• SeattleStudyClub• MilwaukeeOdontologicalAcademy,

past-president

Community Activities• CrosspointCommunityChurch• DelafieldChamberofCommerce• VeritasSociety

Family • Marriedfor37yearstoAmy• Fourchildren:Carolyn,Elizabeth,Emily

and Molly • Fivegrandchildren:Dylan,Jason,

Madeline, Mackenzie and Myles

––––––––––––––––––––––––

Southeast Region 4Edward J. Chiera, DDS2149 Pioneer Drive Beloit, WI [email protected]

EducationUniversity of Illinois, Champaign-Urbana,

1981-1985University of Illinois, Chicago College of

Dentistry, 1985-1989

PracticeVariousassociatepositionsinChicago,

1990-1997Private practice general dentistry in Beloit,

Wis., 1998-present

ProfessionalAmerican Dental Association• Member,1999-present

Wisconsin Dental Association• Delegate,2004-2010,2012;alternate

delegate, 2003, 2011 • LegislativeAdvocacyCommittee,

2010-present; vice chair, 2011-present• WisconsinDentalPoliticalAction

Committee board member, 2009-present

Rock County Dental Society • RockCountyDentalSocietypresident,

2009• Componentvicepresident,2008

Other Organizations• PierreFauchardAcademy

Community Activities• DonatedDentalServicesvolunteer,

2011-2012• MissionofMercyvolunteer,2009-2012• HealthNetofJanesvillevolunteer,

2008-present

––––––––––––––––––––––––

Southwest Region 5David L. Clemens, DDS 245 W. Munroe Ave WisconsinDells,[email protected]

EducationIllinoisWesleyanUniversity,1972-1976,

Summa Cum LaudeUniversity of Illinois College of Dentistry, 1976-1980,Honors

Practice/Academic AppointmentsUS Public Health Service, Fairbanks, Alaska,

1980-83Public Health Service, Philadelphia, Miss.,

1983Private Practice, Bloomington, Ill., 1983-88Public Health Service, Kodiak, Alaska,

1988-90Public Health Service, Oxford, Wis.,

1990-2005Private Practice, Wisconsin Dells, Wis.,

2005-present with daughter, Dr. Nicole Clemens, and son-in-law, Dr. Jeremy

Gross

ProfessionalAmerican Dental Association• AlternateDelegate,2006-2012• Member,ReferenceCommitteeonLegal

and Legislative Matters, 2011• Member,ReferenceCommitteeonDental

Benefits, Practice, Science and Health, 2007

Wisconsin Dental Association• WDATrusteeSouthwestRegion5,

2010-present • WisconsinDentalPoliticalAction

Committee chair 2010-present • LegislativeAdvocacyCommittee,

2005-present

Sauk County Dental Society • SaukJuneauAdamsCountyDentalSociety,president,1994-96,2007-2009

• DelegatetoWDAHouseofDelegates,2006-2009

• BylawsCommittee

Other Organizations• AmericanCollegeofDentists,Pierre

Fauchard Academy and International College of Dentists

• CommissionedOfficers’Association• FederalBureauofPrisons,deputychief,

1998-2005

Community Activities• DonatedDentalServicesvolunteer, 2006-2012

• MissionofMercyVolunteer,2009,2010,2012

• UnitedPresbyterianmember

Family • MarriedtoInger• Sixchildren:Nicole,Laura,Brad,Lisa,

Eva and Karin

May 2013 WDA Journal correctionOur apologies to WDA trustees whose photo on p. 8 of the May 2013 WDA Journal was flipped.

In February 2013, the Board welcomed new trustees (clockwise from back row, far left) Dr. Cliff Hartmann (Greenfield; Southeast Region 4), Mr. Derek Schmidt (Wauwatosa; MUSOD Region 6), Dr. Lynn Lepak-McSorley (Milwaukee; Greater Milwaukee Region 3) and Dr. Jennifer Peglow (Stevens Point; Northwest Region 1).


he Marquette Univer- sity School of Dentistry expansion project is moving

forward, and construc-tion is underway. The approximately 45,000 square-foot addition is expected to open in fall 2013.

However, it was recently announced that an anonymous donor gifted funds to include an outdoor waterpark for students and faculty to enjoy.

Starting next summer, stu-dents can jump into the tooth-shaped wave pool or race going down a swirling old-fashioned “Cuspidor” slide .

“Our students work very

hard throughout the year. Thanks to this generous gift, the new outdoor waterpark will give them an opportu-nity to have fun and they don’t have to go far,” MUSOD spokesperson said.

The new waterpark will accommodate the increase of students from 80 to 100 in each of the school’s four classes.

Students and facul-ty can boogie board on the “Fluorider-r” surf simulator or relax on the 750-foot long “Root Canal” lazy river.

For those wanting to stay on dry land, a rubber dam

trampoline will also be added. “The expanded clinical and

research space will help MUSOD attract and retain world-class faculty, but I think the water-

park will be a big draw for students and faculty,” MUSOD spokesperson said.

More details will be announced soon.

n March 2013, the Wisconsin Dental Assoc-iation announced it was selling its popemobile back to the Vatican.

According to Vatican spokesman Cardinal Don Corleone, “We made the WDA an offer they couldn’t refuse. When we sold it last year, we never imagined it would be needed. It has been 600 years since we had two living popes.” The armored vehicle was purchased on eBay for $850,000, but the WDA was able to sell it back and make

a profit. The WDA has since bought a dento-diesel vehicle that runs on recycled dental lubricants such as, handpiece, compressor and suction oils. According to WDA president Dr. Tim Durtsche, it was a great opportunity for the WDA to downsize and go green at the same time. “This will save the WDA and mem-bers money. It also provides dentists a way to dispose of their used oil while fueling the new presidential vehicle. We will even make it convenient by collect-ing the used oil during my presidential

component visits” Dr. Durtsche said.

MUSOD UnveilS

waterpark planS

WDA sells popemobile back to Vatican

T

I

The JawboneFOCUS On: Dental Satire

Tooth fairy outsources jobs to Oz flying monkeys The days of a kid placing their tooth under a pillow and having the tooth fairy pay a visit are over. Ms. Tooth Fairy announced she is subcontracting with flying monkeys from Oz to visit sleeping children and replace their lost teeth with a small pay-ment. By outsourcing jobs to winged mon-keys, she will have more time to focus on other endeavors, such as encouraging healthy eating and oral hygiene habits. According to Delta Dental’s The Original Tooth Fairy Poll®, the going rate for a lost baby tooth posted double-digit gains in 2012. “My customers are now demanding an average gift of $2.42 per tooth, which is a 15 percent increase from the previ-ous year. Outsourcing these jobs to Oz flying monkeys is saving money,” Ms. Fairy said. Motivated by the expertise and skill of the monkeys, Ms. Fairy said she is extremely happy with the job perfor-mance of her counterparts so far. “Santa Claus and the Easter Bunny operate once a year, but my job is throughout the year. I felt this was an important business decision to evolve with the demand,” she said.

“


New periodontal delivery model launched

Daytona – Looking to get an oil change while get-ting your teeth cleaned? If so, you are in luck because a new unique business model recently opened with this convenience.

After completing a periodontal residency at Ford Hospital, Dr. Fred Carr was looking to open a practice in his hometown. His best friend, Todd Lubener, a certified auto mechanic, owns an auto service center and was looking for a way to increase steady business.

“We were eating dinner one night, and both realized regular maintenance is at the heart of our business goals,” Dr. Carr said.

The auto shop already had compressed air and vacuum systems, and with a little tweaking, Pit Stop Periodontal S.C. was born.

Patients can now have their routine car maintenance, including an oil change or tire rotation, while getting

their periodontal maintenance completed at the same time, same location.

“I am excited to open our doors and welcome cus-tomers and patients in. This could change the way auto and periodontal maintenance is delivered for years to come,” Dr. Carr said.

Happiness is your dentist telling you it won’t hurt and then having him catch his hand in the drill.~ Johnny Carson © 2001 - 2013 BrainyQuote®

Quotes to remember

Strange, (but true)patient requests

Patient requests have got-ten stranger in recent years. Everything from prosthetic fangs, gold “grills” and tooth tattoos have been common-place.

But, it is the more unusualones that give dentists

cause for professional pause.Here are some bizarre (and

true) patient requests: 1. Can you

extract my tooth without anesthesia?

2. Please wire my mouth shut to aid in my diet.

3. Can you ID this set of dentures left in the bathroom of the bar I work at?

4. I will pay you or your dental hygienist to floss my teeth at my office every day.

5. Pull all my teeth, and just give me dentures.

6. I just broke off my engagement. Can you prepare my tooth so that I can keep the diamond in it?

7. Will you give me local anesthesia in my lips? I’m going in for permanent “lip-stick” tattoos on my lips, and

would like to avoid the pain.

8. May I have an

emergency cleaning visit?

It’s my high school reunion and I need a bright, white

smile to face my old boyfriend.

9. Can I keep the teeth you pull out of

my mouth? I’d like to make a neck-lace out of them.

10. Can you give my dog braces?

PITSTOP PERIODONTAL S.C.

“

New dental apps

Do your patients need motivation to keep them brushing and flossing regularly? Well now there are apps

for that.

Here is a list of a few popular apps to remind them to take care

of their teeth.

Tooth Brushing Motivator – The app turns brushing into a fun,

interactive painting game.

Flossed Today? – Set a daily reminder for flossing complete

with an alarm that asks, “ Have you flossed today?” Patients can program with their dentist or dental hygienist

voice or select one of the prepro-grammed voices, such as a Marine

drill sergeant, Swedish supermodel, Dr. McDreamy and

Honey Boo-Boo’s dad.Tooth Fairy Beacon – After a tooth

is lost, place it on the tooth fairy beacon which sends a message

to the tooth fairy.

NASA discovers fluoride in water on Mars

NASA scientists said an analysis of drilled rock samples collected by the Curiosity rover shows that ancient Mars could have sup-ported living microbes.

After examining the rocks further, scien-tists discovered optimal-level fluoride was present.

“Water fluoridation prevents tooth decay for people on Earth, so further evidence may provide insight to Martians teeth and oral health care,” NASA spokesperson said.


Q&A

presented by Ezedin M. Sadeghi, DDS, MS, MUSOD Associate Professor and Oral Pathology Director [email protected]

CASE

STU

DY #

144

A 52-year-old female was referred to an oral surgery clinic for the diagnosis and treatment of an irregularly shaped exo-phytic lesion of left lateral and ventral tongue (Figure #1). The lesion was asymptomatic and had presented as a leukoplakic lesion several years prior. The patient was otherwise healthy.

Questions:

1- What is the most probable diagnosis?

A. Hemangioma B. Squamous cell carcinoma C. Erosive lichen planus D. Lymphangioma E. Epulis fissuratum

2- What would you do to make a definitive diagnosis?

A. Excisional biopsy B. Incisional biopsy C. Brush biopsy D. Needle biopsy E. All of the above

Answers on page 15

FIGURE #1

MOM volunteers make it happenLani Becker, CAE WDA Associate Executive Director [email protected]

Six years ago, Henry Schein Dental representatives approached the Wisconsin Dental Association about hosting a Mis-sion of Mercy dental clinic here. The concept was reviewed by the WDAPublic Relations Committee which, in turn, made a recommendation to the WDABoard of Trustees. The Board approved this event and ap-pointed a task force to plan for the first MOM in 2009 in La Crosse. Fast forward to 2013, and we are now fi-nalizing the plans for our fifth MOM event at Badger High School on June 28 and 29 in Walworth County. We’ve come a long way since that first event when 1,800 plus patients were treat-ed and more than $800,000 in care was provided.

Last year in Madison, we hosted the first, and the only, double size clinic in the coun-try. We wereabletohavemorethan3,600patient encounters in the standard two-day clinic and provided more than $1.75 mil-lion in free dentistry. Our cumulative totals will surpass 10,000 patient visits and total care will ex-ceed $5 million. This has only been possible through the generosity of our volunteers with their time and our donors with their financial and in-kind support. Without these groups, MOM would not happen. Thank you to each and every one of you whohavebeenpartofthisincrediblejour-ney. In the past, we have shared what patients get out of it, but what about volunteers? Dr. Patricia Richardson (Fitchburg),

who has been with us every year and plans to be there this year, finds each MOM to be a rewarding experience. “The patients are so appreciative, and the other volunteer dentists, hygienists, dental students and staff are such caring and giving individuals. It takes a tremen-dous amount of organization, energy and spirit to put on one of these events, and it is very satisfying to be a part of it,” she said. Paul Batley, Director of Technology for Henry Schein Dental, was part of the ini-tial meetings when “the pitch” was made to the WDA, and he continues to be there every step of the way. “I’m fortunate to work in the dental in-dustry and at a company that supports the efforts of giving back to the local commu-nity. I cannot think of a better way to show that sense of pride than giving my time and resources to this event and the underserved

families of Wisconsin. It truly is a humbling and fulfilling experience.” Dr. Thomas Raimann (Hales Corners) volunteered for two years in the pediatric dental area before serving as vice chair of the MOM committee. “As chair of this year’s event, I am looking formanygoodwomenandmen,notjustafew,tojoinmeinhelpingthiscommunity.The stories and thanks I received will last mealifetime,sojoinusandgetyourownstories,” he said. You, your team and family members 18 years of age and older, are all welcome to be part of this year’s MOM event. If you haven’t already registered, we hope you will consider doing so. Mr. Batley sums it up best with his fa-vorite inspirational quote, “From what we get, we can make a living; what we give, however, makes a life.”

What: WDA and WDA Foundation Mission of Mercy 2013 When: June 27-30 (setup, clinic and teardown) Where: Badger High School, 220 E. South Lake St. in Lake Geneva


ADA continued from page 5

membership market share challenge with one being the formation of a committee under the Council on Membership to look at tripartite alignment. That com-mittee will report back to the board in June 2013.

There will be many more discussions and actions taken to address this mem-bership problem affecting the tripartite.

We don’t want to get into a situa-tion where our national organization is notrepresentingthemajorityofdentistsnationwide. That’s what happened to the formerly all-powerful American Medical Association.

Other items of interest:

Group practices growing The growth of group practices has been

noted as an increasing trend by several ADA agencies with unique perspectives and concerns. This is also a concern when it comes to membership.

The Council on Dental Programs is

learning more about group practice busi-ness models, and the CDP’s second ADA Annual Session forum on current dental topics will focus on the growth of group practice and its implications for the pro-fession.

AAOS-ADA clinical practice guidelines

In December 2012, the American Academy of Orthopaedic Surgeons and

ADA approved a new clinical prac-tice guideline on “The Prevention of Orthopaedic Implant Infections in Patients Undergoing Dental Procedures”.

It is important every dentist read these and have a serious conversation with his or her patients as to the pros and cons of premedication for artificial joints. (Seeeditorial on page four.)

Radiation exposure

Another report, “Dental Radiographic Examinations: Guide to Patient Selection and Limiting Radiation Exposure”, has been developed in collaboration with the Food and Drug Administration and appears on both ADA and FDA websites.

PR firm hired

Fleishman Hillard was recently select-ed as the national public relations agency to help meet the reputational, public affairs and communications needs of the association.

The ADA will work with them on pro-active media relations, reputation man-agement efforts and most importantly, making oral health a centerpiece for effectively advancing our access solu-tions.

Excise tax

On the legislative front, the medical device excise tax is being passed on to dentists and the ADA is continuing to lobby for its repeal.

As a result of federal budget sequestra-tion, dental programs could see cuts of $29.1 million this year.

Antitrust legislation to remove the exemption for insurance companies is already under consideration on Capitol Hill.

Contact me at [email protected] with any questions or comments.

We don’t want to get into a situation where our national

organization is not representing the majority of dentists nationwide. That’s what

happened to the formerly all-powerful American Medical Association.


Classifieds

Practice PositionOpportunity

Practice Wanted

Edge Advisors has 15 and counting dental practices for sale! Want to sell your real estate with the practice? Contact Jessica at [email protected] or call 715-379-1796 to findout about how to sell both at the lowest price in the industry. #11-2012-09

Western U.P. practice, near Wisconsin border, will gross buyer over $300,000 the first year, after debt service. Contact Mark Breit, Paragon Dental Transitions, 906-250-9666 or [email protected]. #04-2013-05

General dentist seeking a practioners, preferably with own patient base, to share office space. Ideally suited for general dentist, prosthodontist, periodontist or orthodontist. Four operatories and laboratory available. Respond to Wisconsin Dental Association, BlindBox0403,6737W.WashingtonSt.,Ste.2360,WestAllis,WI53214.#04-2013-03

A dentist is available with advanced skills and ability to work in high-pace environment. Willing to come in another office once a week or once a month with instruments for extractions, perio, laser or mini-implant procedures. Contact [email protected].#06-2013-06

Dentist with five years of experience seeking Madison area associate position with potential for partnership or ownership. Please reply to [email protected]. #05-2013-02

Dentist seeking association position (with buy-in potential) or practice to purchase on Madison’s west side or surrounding suburbs. Respond to Wisconsin Dental Association, BlindBox0301,6737W.WashingtonSt.,Ste.2360,WestAllis,WI53214#03-2013-01

Practice for Sale/Lease

Dentist Available/Position Wanted Classified Advertisements

The rate for classified advertisements forWisconsin Dental Association members is $65 for 30 words or less; additional words 50 cents each. Nonmember rate is $90 for 30 words or less; additional are 50 cents each. Make your ad stand out by adding a company logo for $30 per month or add a blind box for confidential-ity for $10 per month. Boxed classified ads also are available in three sizes: one inch = $100; two inch = $150; or three inch = $200. Make your ad stand out with a full color, mini-display. Save 10 percent when you run a display ad for three months or more. Mini-display classified ads now avail-able in three sizes: two inches = $225; or three inches = $275; or four inches = $325. Artwork can be created for you at an additional charge: $75 for initial mini-display creation $50 per hour for edits after initial run (one hour minimum will be charged). Visit WDA.org to view rate sheet and download classified contract.

Cancellation of ads must be received in writing. Please note all ads must be pre-paid. Please include payment (check or credit card number) with your classified ad when submitting. You can download the contract online at WDA.org or call 414-755-4110. To place an ad, mail, fax or email [email protected] copy to the Wisconsin Dental Association, Attn: Emily Bultman, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; fax to 414-755-4111. Classified ads submitted after the deadline can be posted on the last business day of the month as a web only ad at the standard rate. It is against WDA policy to do unauthorized mailings pertaining to individual classified adver-tisements. When responding to a Blind Box, please indicate the blind box number on the envelope. When they are received by the WDA office, they are forwarded unopened to the address of the person holding the blind box. Sample: Wisconsin Dental Association, Blind Box #10, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214.

Two general dentists with 10 years clinical experience seeking the purchase of a metro Milwaukee area dental practice. 4-5 ops desirable but will consider other options, real estate purchase also desired. Please contact [email protected], 414-241-8175 or [email protected], 503-954-5488 or [email protected]. #06-2013-07

#WI500 – Madison Area Practice Wanted – Buyer interested in acquiring a satellite practice with owner willing to stay as associate. Are you looking to slow down and let someone else deal with the business management of your practice? You just want to treat patients and leavewithout a worry of the day-to-day management of the practice? This may be the perfect time to transition your practice! Call Deanna Wright at Henry Schein Professional Practice Transitions at 800-730-8883 or email [email protected] for more information on how we can help. #02-2013-15

Southern Wisconsin Practice Wanted for Purchase: We are looking to purchase a modern general practice with at least 3 operatories. We currently have 4 locations and are open to retaining current owner as IC dentist. Please contactMary Beth at 630-833-5110 [email protected]. #01-2013-09

Beloit/Janesville Associate Dentist Wanted – Partners in Care, LLC, which currently has 4 office locations, is looking to expand and purchase 3 additional offices in 2013, in Southeastern Wisconsin. We currently have 3 offices in Illinois located in Elmhurst, Bloomingdale and St. Charles, and one office in Wisconsin located in Lake Geneva. If you visit our website, www.chicagolanddentists.com, you will be able to view our wonderful offices. We currently employ 12 General dentists, and offer the services of two oral surgeons, an endodontist, a periodontist and an orthodontist. We take great pride in our excellent reputation and longstanding commitment to our patients. Our first office, Elmhurst Dental, has been serving the Elmhurst Community for 40 years. We are currently looking to purchase practices in Janesville and Beloit, Wisconsin and are looking for Associate General Dentists with at least 3 years experience for these practices. We offer excellent benefits and a minimum pay guarantee tostart.Ifinterested,pleaseforwardresume/[email protected].#06-2013-03

Andy Lehmkuhl and your local team at Edge Advisors have transitioned 30 practices in the past two years. We charge less and get the best results in the industry. Need help hiring an associate? Currently we have more than 14 available. See what your colleagues are talking about at www.EdgeAdvise.com. Contact [email protected].#11-2012-10

General dentist needed for 1-2 days per week at a growing general dentistry office in Brookfield. Individual should be proficient in all areas of dentistry and should be willing to learn. GPR or AEGD training preferred. Fax CV to 262-784-8424 or email to [email protected].#06-2013-09

Associate Dentist – State of the Art Dental Facility located in Wauwatosa, WI has an opportunityforanexperienceddentisttojoinourdedicated staff. Full-time with benefit package or part-time available. No evenings or weekends. Respond to Wisconsin Dental Association, BlindBox0510,6737W.WashingtonSt.,Ste.2360,WestAllis,WI53214.#05-2013-10

General Dentist – State of Wis./Central Wis. Center for the Developmentally Disabled, Madison, WI. We are currently recruiting for a general dentist to provide dental care to outpatients and residents of the center and provide training to staff. We offer a competitive salary with excellent state benefits. To request more information, please contact Terri Jacobson at [email protected]. An equalopportunityemployer.#06-2013-02

Recently remodeled 2 doctor practice in southeastern Wisconsin. Fully digital, all the latest technology including CEREC and CBCT. Full service practice, refer out almost nothing. Full or part-time associate needed ASAP. Competitive compensation package with guaranteed minimum salary. Great opportunity for new dentist. Email resume to [email protected].#04-2013-02

Associate Dentist – State of the Art Dental Facility located in Wauwatosa, WI has an opportunityforanexperienceddentisttojoinourdedicated staff. Full-time with benefit package or part-time available. No evenings or weekends. Respond to Wisconsin Dental Association, BlindBox0510,6737W.WashingtonSt.,Ste.2360,WestAllis,WI53214.#05-2013-10

Greater Madison Area

Midwest Dental is seeking candidates for a practice opportunity in the greater Madison area. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunity for professional growth. Our comprehensive support team provides you the freedom to focus on your patients, your skills and lead your team. If you possess a passion for providing full-service quality dental care and are in search of a rewarding practice opportunity, we’d enjoy theopportunity to learnaboutyour practice philosophy, career goals and expectations. For more information and practice specifics, please contact Laura AndersonLaehnbyphoneat715-225-9126or email [email protected]. You may also visit us online at www.midwest-dental.com.#06-2013-01

Dental Dreams desires motivated, quality oriented associate dentists for its offices in IL (Chicago & suburbs), DC, LA, MI, MA, MD, NM,PA,SC,TXandVA.Weprovidequalitygeneral FAMILY dentistry in a technologically advanced setting. Our valued dentists earn on average $230,000/yr plus benefits. New graduates encouraged! Call 312-274-4524 or email [email protected]. #03-2013-05

Properties/Office Space Available


Opportunities in Rice Lake and Merrill

Midwest Dental is seeking a full time dentist in our Rice Lake and Merrill practices. We offer the opportunity to lead your own clinical team without the administrative and financial burdens. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunity for professional development. If you possess a passion for providing quality care and are looking for a rewarding practice opportunity in the Rice Lake or Merrill areas, please contact us at 715-926-5050 or [email protected]. Visitus online at www.midwest-dental.com. #02-2013-06

Wauwatosa office closing used dental units, chairs, stools and sterilizers and X-rays. Modular cabinets, storage files, lab equipment and supplies. Reasonable cash and carry prices. Call 262-786-8365 or 414-453-0704. #06-2013-04

Evacuator for sale. Almost new Midmark 1.25 h.p. evacuator for sale. Used for only 680hrs.Closingofofficemakesthisevacuatoravailable. $1,250 Call 262-646-8550. # 06-2013-05

Antique dental cabinet – Mahogany, dark green marble, beveled mirror and glass. Purchased used in 1947, probably fabricated in the 1920s. 22 drawers, 5 doors. 62”H x30”Wx14”D. Beautifully restored. $2,450. Contact [email protected] or 920-379-7521. #05-2013-03

Mike Bark – The ONLY accredited “Institute of Dental CPA’s” certified Wisconsin CPA/Accountant and best valued. Give us a call and let’s talk about how we can help you improve your situation. Contact 414-759-9629 [email protected]. #11-2012-11

To placE a display or classifiEd ad, plEasE coNTacT

Emily BUlTmaN aT [email protected].

General Dentist – Kenosha, WI Excellent opportunity for a General Dentist to establish a new Affordable Dentures practice in Kenosha, WI. No personal financial investment required and outstanding income and equity potential. Affordable Dentures practices are niche practices oriented towards serving primarily a lower income, elderly population as well as value conscious patients. The practices focus on providing removable prosthetics, extraction services, and implants for denture stabilization. A number of affiliated practices provide sedation services and same day crowns using CADCAM technology. In addition to an exceptional income package, there is a full benefits package which includes a variety of insurance options plus an outstanding 401k plan with a generous match. The practice also provides paid vacation time / 9 holidays, license and DEA renewals, annual CE allowance, and professional liability insurance. The practice will be equipped with a fully staffed on-site laboratory operation enabling same day service for most patients. Hours of operation are Monday through Friday, 8am to 5pm with no evenings and no weekends. In addition to outstanding income, you will enjoy thebenefits of a professionally gratifying and personally rewarding career. Affiliation with Affordable Care as your Dental Services Organization relieves the administrative burden of operating a busy dental practice, and allows the general dentist to spend more time providing quality patient care. Learn what current affiliated practice owners already know our unique business model allows you to do good for others while doing well for yourself. Contact: Alan Wallace 800-313-3863ext.2234orEmail:[email protected].#06-2013-08

Position available. Associate wanted in Eau Claire – Two Doctor general dental practice seeking associate to partnership candidate. Excellent salary guarantee/benefits. Reply in confidence to [email protected]. #05-2013-01

Miscellaneous

Office Equipment for Sale

Advertising IndexThank you for supporting

the WDA Journal!AFTCO ................................................. 5 www.aftco.net Baker Tilly ........................................... 14 www.bakertilly.com Delta Dental ........................................ 10 www.deltadentalwi.comEdge Advisors ............................ 11 & 15 www.edgeadvise.comMidwest Dental .................................... 12 www.midwest-dental.comParagon .............................................. 13 www.paragon.us.comScientific Metals .......................................... 2 www.ScientificMetals.com/orgWDAIP ................................................ 16 www.insuranceformembers.com West Bend Mutual Insurance Co. ............ 11 www.thesilverlining.com

Outstanding Opportunity: Partners in Care is seeking a part-time general dentist, 3 and a half days per week, for our new Southeastern Wisconsin location. We offer excellent benefits and a minimum pay guarantee to start. We are looking for candidates with at least two full years of experience to be a part of our dedicated team of professionals. Visit our website at: www.chicagolanddentists.com to see our other fourlocations.EmailResume/[email protected]. #04-2012-11

Temporary/Flexible/Dynamic Opportunities

Do you have a passion for patient care? Do you enjoynew challenges and desire aflexible work environment? We want to talk with you! Our team is looking for doctors with open personalities who are interested in covering maternity leaves, military leaves, and extended vacations in our Fee for Service practices. If you’ve ever considered the benefits of temporary coverage, give us a call. With us, you can work as much or as little as desired. We have practices located in various communities throughout WI, MN, IL, and IA. To learn more, please contact Laura Anderson Laehn at 715-926-5050 or [email protected] online atwww.midwest-dental.com and www.mountaindental.com. #06-2010-01

Opportunities Available - Wisconsin. The Wisconsin Office of Rural Health has detailed information on general and specialty dentist positions in both smaller towns and larger cities located throughout Wisconsin. Most of these positions qualify for the $50,000 loan repayment program from the State of Wisconsin. The Wisconsin Office of Rural Health has recently added a Dentist Placement Program to our successful Physician Placement Program. Located at the University of Wisconsin School of Medicine and Public Health, we are a not-for-profit organization dedicated to helping improve the quality of health care for the people of Wisconsin. For information, call Marsha Siik at800-385-0005,[email protected],orfaxCVto608-261-1893.#03-2013-06

ForwardDental is in search of exceptional Dentists to join our busy Wisconsin practices. Positions offer competitive compensation, enhanced benefits and the opportunity for ownership! Contact Kelly at [email protected]. #10-2011-05

MORE REASONS TO SMILE! We’ve always believed in putting patients first. In fact, Dental Associates was built on the notion that everyone deserves access to affordable dental care of the highest caliber. From a small solo practice that launched more than 35 years ago, Dental Associates has grown to 10 multispecialty dental centers. We’re proud to bring quality, progressive treatment to communities across with the day-to-day business tasks. Put all your focus back on your patients and you will enjoy more of thoserewarding moments! We’d love to have you joinus.Visitourwebsiteatdentalassociates.com, call or send resume/CV in confidenceto: [email protected] or Dental Associates Attn: Susan Bullen, 11711 W. Burleigh St., Wauwatosa, WI 53222, 800-315-71107,414-456-9911(fax).#02-2013-02

Are you happy in your current office? Before you make a move or accept another offer, be sure to check us out! Our dental practice, located in Southern Wisconsin, is looking for a long termassociate to join our steadily growingpractice and community. We service all aspects of general dentistry, including implant placement and restoration. Come and be a part of our fun, talented and enthusiastic team! We are offering a top base salary, production bonus program, and a generous benefits package. Please submitCV/resume to: [email protected]. #03-2013-04

Appleton, WI – Associate position available for 2 Dr. practice looking to add a 3rd Dr. 3,000 patient base. Sign-on bonus and no non-compete initially. Buy-in option available. Please call 920-225-0123. #02-2013-14.


4

Calendar

The WDA Journal is published monthly by the Wisconsin Dental Association (USPS 0285-460), 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. Phone 414-276-4520. Yearly subscriptions are $20 for WDA members; $100 for nonmembers; $25 for associate members; $30 for dental school students; $45 for dental schools and agencies and $125 for foreign mailings. Periodicals postage paid at Milwaukee, Wis. POSTMASTER: Send address changes to WDA Journal, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. The Wisconsin Dental Association reserves the right to illustrate and/or edit all reader contributions. Views expressed in the WDA Journal are not necessarily those of the WDA. All advertising in the WDA Journal must comply with the advertising standards of the WDA. The publication of an advertisement is not to be construed as an endorsement for approval by the WDA or any of its subsidiaries unless the advertisement specifically includes information that such approval or endorsement has been granted. The deadline for all display advertisements is the second Tuesday of the month, two months before advertisement insertion (For example, if you want your ad to appear in the September 2013 WDA Journal, which is mailed to members in mid-August 2013, all advertising materials must arrive in the WDA Executive Office by the second Tuesday of July 2013.) Advertising space is limited, so advertisers are encouraged to reserve space early. Back issues of the journal are available for six months following publication or while supplies last. Communications and copy for publication should be addressed to Dr. Robert Brennan, editor, and may be mailed to the WDA at 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; faxed to 414-755-4111 or emailed to [email protected]. Portions of the WDA Journal can also be found on the WDA Web page, WDA.org.

*Shaded events offer continuing education credits.

NOVEMBER1-3ADA Annual Session New Orleans Visit ADA.org/session for more information

3ADA Mission of Mercy New Orleans Visit ADA.org/session to sign up to volunteer

15-16WDA House of Delegates Marriott Madison West Middleton Visit WDA.org for more information

28-29WDA offices closed for Thanksgiving –––––––––––––––––––––––––––––––Do you have an event you’d like to include in the WDA Journal Calendar of Events?

If so, please call WDA Managing Editor Emily Bultman at 414-755-4110 or 800-364-7646; fax to 414-755-4111 or email to [email protected].

13WDA Insurance Programs Risk Management Seminar Radisson Inn Paper Valley Appleton Visit www.insuranceformembers.com for more information

18Wisconsin Oral Health Coalition statewide meeting Stevens Point

27-28WDA Board of Trustees Crowne Plaza Wauwatosa

30Renewal deadline for Wisconsin dental and dental hygienist licenses.Visit www.dsps.wi.gov for more information

OCTOBER31ADA Annual Session New Orleans Visit ADA.org/session for more information

JUNE13“Implant Diseases and Complications”Wei-Ting, DDS and Paul Luepke, DDS 3 CE credits For more information, visit www.marquette.edu/dentistry

14 Wisconsin Dental Study Club meeting “Restoring the Worn Dentition and Complex Cases”Jose-Luis Ruiz, DDS 6.5 CE creditsContact Dr. Gene Sorensen at [email protected] or visit http://wisconsindentalstudyclub.com for more information

21-22 WDA Board of Trustees meetingLandmark Resort Egg Harbor For more information, visit WDA.org

28-29WDA and WDA Foundation Mission of MercyBadger High School Lake Geneva For more information, visit WDA.org

JULY4-5WDA offices closed for Independence Day and floating holiday 10Dentistry Examining Board 8:30 a.m. 1400 E. Washington Ave., Rm 121ADepartment of Safety and Professional Services • Madison

18-20ADA 27th New Dentist Conference Four Seasons Hotel, Denver For more information, visit www.ada.org/newdentistconf.aspx

SEPTEMBER2 WDA offices closed for Labor Day

4Dentistry Examining Board8:30 a.m.1400 E. Washington Ave., Rm 121ADepartment of Safety and ProfessionalServices • Madison

9WDA Foundation Golf Outing North Hills Country Club Menomonee FallsVisit WDA.org for more information

Summer HoursWDA offices will be closed Monday May 27 for Memorial Day obser-vance. Following Memorial Day, WDA Executive and Legislative offices will be open Monday through Thursday from 8 a.m. to 4:30 p.m. and on Fridays from 8 a.m. to noon through Aug. 31.

I recently had the privilege of spend-ing time with the Dane County Dental Society at their 2013 New Dentist’s Dinner in Madison. Dane County Dental Society Immediate Past-President Dr. William Bird (Madison) did an outstanding job organizing the event. I was also i m p r e s s e d with the mix of attendees at the event, which was meant to introduce den-tists new to the area during the past two years and those new to dentistry. WDA President-Elect, Dr. Julio Rodriguez (Brodhead), WDA Southwest Region 5 Trustee Dr. Patrick Tepe (Middleton) as well as component offi-cers, Dr. Terry Donnelly (Madison), pres-ident-elect; Dr. Thomas Reid (Madison), secretary/membership chair; and Dr. Michael Kokott (Verona), treasurer and so many others were also there that I could take up this entire column listing them. A special thanks to Dr. Tepe for bringing this event to my attention at the February 2013 Board of Trustees meet-

ing. The backgrounds of those attending this event were as diverse as the areas of practice specialty and each con-versation was an opportunity for new

business rela-tionships to develop. Yes, we all have access to Facebook, LinkedIn and numerous other online resourc-es to “connect” with our peers. Yet it isn’t the same as spend-ing time at a simple social event getting to know someone. It makes it a

lot easier to refer your patient to some-one you actually spent time with rather than someone you merely have an online connection with. It’s not easy or convenient to attend after work functions, but as I looked around the room I saw a lot of dentists who looked as if it was the first time all day they were finally able to relax and enjoy some down time with their peers – it was effortless networking. Visit your local dental society page and the calendar of events on WDA.org for upcoming “effortless networking” opportunities in your area.

Effortless networkingMara T. Roberts, CLU, RHU, REBC WDAISC President [email protected]


1) b

2) b

Case study continued from page 10

Q&AA:

Final Diagnosis: Invasive Squamous cell carcinoma

Discussion

Squamous cell carcinoma is the most common primary malignancies of the mouth (90 percent of all oral cancers). Tobacco habits and drinking alcoholic beverages are implicated as the main causative factors in develop-ment of the oral squamous cell carci-noma.

Actinic radiation, immunosupres-sion and chronic irritation may also contribute in formation of this type of cancer in the oral cavity.

Lower lip and lateral tongue and floor of the mouth are the most common locations for the development of oral squamous cell carcinoma.

Clinically, the lesions may be pre-sented as a leukoplakic, erythroplakic, ulcerated, fungating and expanding lesions. Any mucosal lesion in the mouth that does not disappear after initial treatment must be biopsied in order to rule out malignancy.

Treatment of the oral squamous cell carcinoma may include surgery, radiation therapy and chemotherapy, depending on the size, location and the stage of the tumor.

Acknowledgement: This case was contributed by Dr. Phillip Hawkins (Milwaukee), an oral and maxillofacial surgeon.

Ezedin M. Sadeghi, DDS, MS Oral & Maxillofacial Pathologist Associate Professor, Marquette University School of Dentistry Referral and Consultation: 414-288-6559. Biopsy Service: 414- 805-8440.

Whether you are a scratch golfer or new to the sport, the Wisconsin State Dental Golf Tournament is a great opportunity to enjoy a day withfriends and colleagues while support-ing the Wisconsin Dental Association Foundation. Registration is now open for this long-time dental tradition, which takes place on Monday, Sept. 9, 2013 at North Hills Country Club in Menomonee Falls. The day begins with lunch at 11 a.m. and a shotgun start at noon. Your $185 registration fee includes use of a golf cart, 18 holes of golf, a buf-fet lunch and dinner, a cash bar and an awards program following the round. Plus, $35 from each individual golf registration directly supports the chari-

table programs of the WDA Foundation, bringing oral care to disadvantaged resi-dents in the Badger State. You’resuretoenjoytheexperienceatNorth Hills Country Club. With more than 80 years of golfing tradition behind it, North Hills is widely considered a favorite of southeastern Wisconsin golfers. The large wooded areas, roll-ing fields and the Menomonee River provide scenic beauty, as well as natural hazards to make your round challenging and entertaining. The registration deadline is Friday, Aug. 23, 2013, but be sure to sign up as soon as possible because 128 golfers is the maximum number of registrations available. Local dental societies, dental groups

and individuals are also encouraged to show their support of the WDA Foundation by becoming a sponsor. Sponsorship opportunities are available to fit every budget with higher levels, including golf registration at no addi-tional cost. Sponsorship and registration forms are available at www.wda.org/wda-foun-dation. Contact Vicki Bohman at [email protected],800-364-7646or414-755-4198 for more information. The WDA Foundation is a 501(c)(3) charitable organization. Gifts to the WDA Foundation support programs to provide dental care for the disadvantaged while meeting the current and future needs of the dental profession. Each gift is tax deductible to the full

extent of the law.

Step up to the tee!Vicki Bohman WDA Executive Director [email protected] Statewide survey

needs input The Early Childhood Advisory Council’s Preventive Oral Health Project and Wisconsin Oral Health Coalition (WDA works with both) want to learn more about efforts to improve the dental health of young children and pregnant women statewide. If your practice targets either of these groups, please complete the brief online survey at http://bit.ly/15KqQlu by June 24, 2013. If your community works to improve access for underserved young children and/or pregnant women, please forward the survey link to the program staff and ask that they also complete the survey. Survey results will be used to improve existing and/or initiate new preventive oral health programs for young children and moms-to-be.


Children’s Health Alliance of Wisconsin, in collaboration with the Wisconsin Department of Health Services Oral Health Program, is wrapping up its 13th year of managing the Wisconsin Seal-A-Smile program. More than $600,000 isannually awarded to local health departments, feder-ally qualified health centers, community clinics, dentists and dental hygienists to pro-vide school-based preven-tive oral health care. Funding for the program is made available through state general purpose rev-enue and matching funds from Delta Dental of Wisconsin. It is anticipated that sealants will be placed on more than 20,000 children state-wide in the 2012-13 school year due to program efforts. Wisconsin recently received an “A” in

the PEW report card on state sealant pro-grams. Only four other states received this high mark.

The Seal-A-Smile program targets high-risk schools where 35 percent or more of the chil-dren enrolled participate in the free and reduced meal pro-gram. About 50 percent of Wisconsin’s high-risk schools received care through the program during the 2012-13 school year. Children are provided with a dental screening, sealants and multiple applications of fluo-ride varnish. Some programs

provide additional preventive services and a couple even provide school-based restor-ative care. Annually, more than 90 percent of the children served have Medicaid or are unin-sured. All children who return consent forms are seen at no cost to families.

Every year, more than 35 percent of children seen statewide need additional restorative care. Program case managers assist patients with follow-up, but additional dental pro-viders are almost always needed. In the past, nearly all school-based oral health programming in Wisconsin was being provided by the Seal-A-Smile pro-gram. Recently, mobile dental providers from both in and out of state (not Seal-A-Smile funded) have begun providing care in Wisconsin schools. While we are supportive of programs seeing children in high-risk schools not cur-rently being served, these programs are not subject to the same oversight and policiesthat our programs adhere to. The Alliance and DHS have extremely high standards for their funded programs, including program evaluation through retention checks, strict infection control standards and case management protocols. Collaboration with local health depart-

Seal-A-Smile continues to provide school-based preventive oral health care Matt Crespin, MPH, RDH Children’s Health Alliance of Wisconsin Associate Director [email protected]

ments, area dental providers and clinics is a must for programs. We have received an increased num-ber of calls from schools about choosing a mobile program, and in response developed a question and answer brochure, “Selecting a School-Based Oral Health Program”. It is available at www.chawisconsin.org/sas.htm. It is important that programs are using evidence-based practices to ensure appropri-ate care is provided. Our programs use the American Dental Association’s guidelines for school-based dental sealant programs in setting various protocols. The program is a nationally-recognized model due its success, and other states have replicated the practices put in place in Wisconsin. The Alliance is currently accepting Seal-A-Smile proposals for the 2013-14 school year. Contact CHAW Associate Director Matt Crespin at [email protected] or 414-292-4002 for more information or to get involved in a program in your area.

The “Fluoride Friday” posts on the Wisconsin Dental Association’s Facebook and Twitter channelsarejustonetoolinaproactive,state-wide fluoride public awareness plan. Staff developed this plan with public rela-tions professionals at the national firm of Laughlin Constable. For three years, these PR consultants have been available to the WDA thanks to a State Public Affairs grant from the American Dental Association. All fluoride facts, information and language is taken from ADA resources and updated with recent peer-reviewed studies and websites. Member dentists of the WDA Public Relations Committee and/or leaders, trustees review all WDA print and electronic commu-nications as much as possible. Unfortunately, the 24/7 format of social media doesn’t always allow for that review/approval process. Fluoride posts are intended to educate, inform and stimulate discussion. Unfortunately, this also means attracting anti-fluoride supporters. We have had anti-fluoride comments posted on our Facebook wall from a few individuals. WDA members and staff and the Fluoride Response Team members monitor these com-ments and reply with facts and data in support of fluoridation. Our social media policy discourages arguing with “disagreeable comments”. We don’t block or remove posts on the WDA social media channels, except in rare circumstances of foul language, lengthy spam-like posts or where a dentist or dental hygienist is named in a nega-tive comment. It would discourage the very discussion that social media invites. WDA member dentists and dental hygien-istsareencouragedtojoininthesocialmediadiscussion by posting on the WDA Facebook wall in support of fluoride and other oral health topics Your professional insights and real-life obser-vations bring a welcomed voice to your asso-ciation’s public awareness efforts on all topics, including fluoride.

‘Fluoride Friday’ and social media explainedAmanda Brezgel WDA Electronic Communications Coordinator [email protected]

communiqu e´

june 2013 wda journal

Documents

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dental profession

senate bill

assembly bill

joanballweg rmarkesan

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member dentists