on the executive board has been an enlightening … been an enlightening douglas k. macleod, d.d.s.,...

2014 EXECUTIVE BOARD

Nedda Ibrahim, D.D.S., President Nazir Ahmad, D.D.S., Pres. Elect & Prog. Chair

Anita Sawhney, D.D.S., Secretary Ted Mayer, D.D.S., Treasurer

Chauncy Nelson, D.D.S., Editor Douglas K. MacLeod, D.D.S., Webmaster

Robert Kent, D.D.S., Member-at-Large Michael Stella, D.D.S., Member-at-Large

Christi Davis, D.D.S., Past President

Jan 14th

Executive Board Meeting

21th General Members Meeting & CE

³Instructive Cases in Oral Pathology´ Dr. Ricardo Padilla

Feb 11th Executive Board Meeting


³Restoration of Form and Function in the Cleft Patient´ Dr. Carrol Ann Trotman

Mar 11th

Executive Board Meeting


³Non-Carious Cervical Lesions: Causes, Prevention, and Treatment´ Dr. Harold Heymann

April 8th Executive Board Meeting

15th ³3HGLDWULF�&DULHV�5LVN�$VVHVVPHQW- Factors You Might Not Have Thought Of ”

Dr. Martha Anna Keels

May 13th Executive Board Meeting

20th ³1&�'HQWDO�/DZ�8SGDWH´ Patrice Walker

General Members Meetings are held 6:15 p.m. at North Ridge Country Club, 6612 Falls of Neuse Rd., Raleigh, the 3rd Tuesday of each month.

There are no meetings in June, July, August and December. Social time

begins 6:15 p.m. with the buffet line opening at 6:45 p.m. The business

meeting commences at 7:00 p.m. followed by a CE lecture.

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December 2013

Hello Members,

I count it a privilege to serve as the 2014 President of the Raleigh-Wake County Dental Society. I have also enjoyed serving on the Executive Board for several years and look forward to working with the Board and our membership as well. It has been an enlightening as well as an educational experience to sit with my colleagues through discussions and meetings and to share our vision for the future of this Society and Dentistry in general. Accordingly, we need to continue our involvement with the NC Legislature on any and all legislation that may LPSDFW�RXU�¿HOG��$WWHQGDQFH�DW�RXU�PHHWLQJV�LV�RQH�RI�WKH�best ways to share information and keep informed so that we can in turn speak to our legislators. We again want to state that we are so appreciative of Dr. Thom Butler’s continued assistance with our society, even after stepping down from his position as Executive Director. Fortunately, we have had Mrs. Lisa Mayer join us as our Administrative Assistant and she has proved herself equal to the task. Several community projects are in the plans for 2014. We are continuing our association with Wake Smiles and making great strides forward with the invaluable assistance of Ms. Dianne Keyser. Also, Dr Kavita Ghai has again coordinated an outstanding community awareness program with Marbles Kids Museum scheduled for this February 16th. Volunteers are welcome and appreciated. As this year draws to a close and we begin a new one, I would like to encourage you to make a donation to our Foundation. Many worthy community programs DQG� DOVR� RXU� VFKRODUVKLS� SURJUDP� EHQH¿W� IURP� JLIWV� ZH�EHVWRZ� DQQXDOO\�� 2XU� VRFLHW\� EHQH¿WV� DV� ZHOO� IURP� WKH�contributions, some of which are used for upkeep and general expenses. The speaker line-up this upcoming year and even into 2015 is outstanding. You will have many opportunities to enjoy good food and conversation while being enlightened DQG� HGXFDWHG� RQ� YDULRXV� WRSLFV� SHUWDLQLQJ� WR� RXU� ¿HOG�� ,�want to encourage you to make plans to attend and invite new colleagues to join us. Looking forward to seeing you in the upcoming months!Dr. Nedda I. Ibrahim, DDS [email protected]

21026_RWCDS_Newsletter_r2.indd 1 1/20/14 10:43 AM

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Improving the Renewal Process

Lisa D. Mayer

Some Thoughts from the Administrative Assistant

I have been the RWCDS Administrative Assistant for a full year now, and want you to know how

much I enjoy meeting each of the members at the monthly RWCDS meetings. I am very impressed by

your dedication to the dental profession and appreciate your attendance at our meetings after working a

10 hour or longer day at the office. I am also impressed by the large degree of diversity in our

organization and by how well you work together as a group to be the face of organized dentistry in

Wake County. But Wake County is growing with approximately 700 dentists licensed in our area right

now. Unfortunately, less than half of them are active members of the RWCDS. For the Society to

continue meeting its goal of providing quality speakers and CE opportunities, an excellent venue for

meetings, and professional fellowship, please assist us by recruiting a new member in 2014. All NC

licensed dentists who either work or reside in Wake County, are eligible to become a member. The

GXHV�RI��DUH�D�EDUJDLQ�IRU�HYHU\WKLQJ�WKDW¶V�LQFOXGHG� Potential members may attend up to two

meetings as a guest before committing. The future of the RWCDS is dependent on the continued

growth of its membership, so that we can continue to be one of the best local dental societies in the

state.

,I�\RX�KDYHQ¶W�DOUHDG\�GRQH�VR��LW¶V�DOVR�WLPH�IRU�\RX�WR�UHQHZ�\RXU�RZQ�PHPEHUVKLS�IRU�� This

\HDU�ZH¶YH�PDGH�LW�HDVLHU�WKDQ�HYHU�IRU�\RX�WR�UHQHZ�DQd pay your dues. Please send a membership

form to me by mail along with your dues check, or go to the RWCDS.org website and complete the

online application with payment accepted via Pay Pal. The Foundation is also accepting your tax

deductible donations on the website via Pay Pal or credit card. Please read about the charitable and

community work that is made possible through your donations to the RWCDS Foundation.

Have you ever wanted to be a presenter at one of our monthly meetings? Although the policy of the

Society is to have speakers that are non-members and who also do not represent a commercial entity,

ZH�VRPHWLPHV�PD\�EHHQ�LQ�QHHG�RI�D�³SLQFK�KLWWHU´�WR�ILOO�LQ�DW�D�PHHWLQJ�ZKHQ�RXU�VFKHGXOHG�VSHDNHU�does not arrive due to unforeseen circumstances. With so many highly talented members, it would be

an asset for our group to have several speaker presentations on stand-by in the unlikely event that the

regular speaker cannot attend. Please let me know if you are willing to serve the Society in that

capacity. Thank you!

)LQDOO\��,¶G�OLNH�WR�VKDUH�VRPHWKLQJ�ZLWK�\RX�WKDW�,�UHFHQWO\�UHDG� Studies show that people who

wrote three good things about their day for a week, increased their feelings of happiness for up to six

months. ³.HHSLQJ�WUDFN�RI�SRVLWLYH H[SHULHQFHV�OHWV�XV�IRFXV�RQ�ZK\�WKH\¶YH�KDSSHQHG�DQG�KRZ�WR�UHFUHDWH�WKHP�´ ,Q�WRGD\¶V�EXV\��VWUHVVIXO�ZRUOG��SOHDVH�WDNH�WLPH�HDFK�GD\�WR�FRXQW�\RXU�EOHVVLQJV� ,¶P�going to try it, will you join me?

Lisa D. Mayer

Administrative Assistant


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&KLOGUHQ¶V�'HQWDO�+HDOWK�0RQWK

SUNDAY FEBRUARY 16, 2014 - 11:00am-3:00pm 3OHDVH�MRLQ�XV�IRU�RXU�VHFRQG�$QQXDO�&KLOGUHQ¶V�'HQWDO�+HDOWK�$ZDUHQHVV�'D\�DW�0DUEOHV�.LGV�

Museum in Raleigh. /HW¶V�FRPH�WRJHWKHr to raise the awareness in children of the importance of dental health

through games and fun activities. Everyone is welcome, so invite your friends and family. Lunch and Tee shirts will be provided for all volunteers. Please hurry and sign up so you are not left out of this awesome experience.

The sign-up sheet will be at the monthly meetings. For more information, contact Lisa Mayer at 919-263-1162, [email protected] OR Dr. Kavita Ghai at 919-674-6070, [email protected].

Thank you for your support and we look forward to seeing you. Dr. Kavita Ghai [email protected]

ADA Meeting 2013

Throngs of dentists descended upon New Orleans at Halloween to make for a convivial and

exciting ADA meeting. The atmosphere was festive, with sights of dental staffs decked in colorful costume and sounds of live Dixie Land jazz reverberating through the halls of the convention center. The North Carolina delegation had extra reason to celebrate this year, as Dr. Chuck Norman of Greensboro was introduced as the 2014 ADA president.

Dr. Sherwin Shinn, winner of the 2013 Humanitarian award, and President Bill Clinton opened the meeting with two very inspiring speeches. Dr. Shinn, of Gig Harbor, Washington spoke movingly of a 1990 vacation to Himalayas, which changed the trajectory of his life. On the last day of his trip, Dr. Shinn heard the cries of a young girl, apparently suffering a life threatening dental abscess. With no one else to help this child, Dr. Shinn stepped in, found a clinic and extracted the ailing tooth with crude, rudimentary tools. Although he had saved the gLUO¶V�OLIH��KH�ZDV�OHIW�IHHOLQJ�ZLVWIXO�from missing out on his last chance to photograph Mt. Everest. But those pangs of disappointment quickly gave way to a new perspective on life and eventually inspired his life of service. He has since averaged four international trips per year and has volunteered in 40 countries. A high point of the speech was seeing photos of the young Nepalese girl whose tooth was extracted in 1990. She is now a beautiful young woman.

President Clinton spoke next, enlightening the attendees with interesting perspective on health and economic policy. But most compelling was his personal story about visiting New Orleans as a teenager. He shared a touching account of his trip at age 15 to see trumpet legend, Al Hurt. At the ticket booth, Clinton was turned away from the night club where Hurt was performing because he was XQGHU��7KH�SHUVRQ�VHOOLQJ�WLFNHWV�TXLSSHG�WKDW�LI�WKH\�FRXOG�JHW�$O�+XUW¶V�SHUPLVVLRQ��KH�ZRXOG�OHW�them in. Precocious and self-possessed, young Clinton walked around to the back of the club and NQRFNHG�RQ�WKH�ZLQGRZ�RI�+XUW¶V�%HQWOH\� +XUW�UROOHG�GRZQ�WKH�ZLQGRZ�DQG�OLVWHQHG�WR�WKH�WHHQDJHU¶V�request. Sure enough, the gracious musician granted Clinton and his mother front row seats and provided their soft drinks for the evening.


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Dr. Shinn and President Clinton closed their speeches with the same unforgettable message. They both said we must take good care of all children, because one of them may just end up becoming president someday. Words to remember! Their insightful, uplifting remarks were the perfect prelude to an exciting 2013 convention. Dr. Anita Swahney [email protected]

N.C. Dental Board Addresses Botox and Collagen Fillers

Several companies are advertising courses that offer to train general dentists to administer

Botox and collagen fillers for cosmetic purposes. The cost of the courses ranges from several thousand GROODUV�WR�D��<RX7XEH�FODVV��,I�\RX�UHDG�WKH�³)LQH�3ULQW´�RQ�WKH�DGYHUWLVHPHQWV�IRU�WKHVH�FODVVHV��\RX�will find a disclaimer. It states that taking the course does not guarantee that the law will allow you to use Botox or collagen fillers. It notes that several dental boards have determined that it is outside the scope of practice for a general dentist to administer Botox or collagen for cosmetic purposes. Of course, WKH�³%ROG�3ULQW´�RQ�WKH�DGYHUWLVHPHQWV�SURPLVHV�ULFKHV�EH\RQG�\RXU�ZLOGHVW�GUHDPV�LI�\RX�HPEDUN�RQ�this line of work.

The North Carolina Dental Board issued an opinion on the matter in February of last year. The Board ruled that the use of cosmetic facial procedures and/or drug or cosmetic chemical facial HQKDQFHPHQW�IRU�SXUHO\�FRVPHWLF�DSSOLFDWLRQV�³may´�EH�RXWVLGH�WKH�VFRSH�RI�SUDFWLFH�RI�GHQWLVWU\� The Board acknowledged that oral surgeons are trained in programs accredited by the ADA Commission on Dental Accreditation to perform such procedures. But it cautions that dentists who perform cosmetic procedures not included in the curricula of accredited dental schools or residency programs may be acting outside of the parameters of a dental license.

7KH�6WDWH�0HGLFDO�%RDUG�KDV�DOVR�ZDUQHG�SK\VLFLDQV�DJDLQVW�³GULIWLQJ´�LQWR�OXFUDWLYH�DUHDV��such as using Botox or collagen fillers, unless the physician has been adequately trained to provide such treatment. A Google search turns up several North Carolina general dentists who are advertising the provision of Botox for cosmetic purposes. 3HUKDSV�WKH\�GLGQ¶W�JHW�WKH�'HQWDO�%RDUG�PHPR� In addition to the possibility of Dental Board sanctions, the issue is significant because malpractice insurance will not cover damages for actions that taken outside of the scope of a dental license.

A couple of weeks ago, an Oklahoma appellate court upheld a $15 million verdict against the maker of Botox. The patient allegedly suffers from debilitating side effects of Botox. This follows a 2011 jury verdict of $212 million in a Virginia case involving alleged side effects of Botox.

Dentists should also note that former Presidential Candidate, Senator John Edwards, has returned to private practice in Raleigh, North Carolina. He will be representing patients in personal injury cases. In my opinion, that is another factor that dentists should consider before launching into these uncharted waters. Patrice Walker, Attorney At Law [email protected]

(GLWRU¶V�1RWH

Happy New Year! I hope WKDW�HYHU\RQH¶V�KROLGD\V�Zere exciting and eventful. Hopefully we are all refreshed and ready to begin working on our resolutions. The new year at RWCD promises to be exciting one. We will have exciting events and speakers. We will began in January with a lecture on oral pathology and end in May with dental law. As always your input and participation into the process is needed and invaluable. If you have any comments, suggestions, please do not hesitate to contact us. Dr. Chauncy Nelson [email protected]


5

RWCDS Photos

Update on Acetaminophen

� 0DQDJHPHQW�RI�SDLQ�KDV�EHHQ�RQH�RI�WKH�PRUH�GLI¿FXOW�DUWV�ZH�IDFH�LQ�GHQWLVWU\�DQG�SRVW�RS�PDQDJHPHQW��7KHUH�LV�D�VSHFWUXP�RI�GUXJV�DYDLODEOH�HDFK�ZLWK�LWV�RZQ�EHQH¿WV�DV�ZHOO�DV�ULVNV��$FHWDPLQRSKHQ�LV�D�SRSXODU�GUXJ�XVHG�LQ�SDLQ�UHOLHI�both by itself as well as combined with other choice drugs. In recent news, there has been some attention given to concerns about Acetaminophen (APAP) and dosage related toxicity. There have been articles written in our professional journals as well as public avenues like ABC news after the FDA updated its stance on APAP. In August, 2013 the FDA published a new warning that APAP could cause skin fatal reactions like Stevens-Johnson syndrome and toxic epidermal necrolysis. Acetaminophen is one of the most commonly used pain medication used in the United States. It is also an active ingredient in many drug complications that are also distributed as Over the Counter (OTC). Even though a relatively safe drug, the consequence of overdose can be morbid due to severe hepatoxicity. The end result from liver injury can lead to liver failure and death. Liver injury can occur in patients who have taking more than the maximum daily dosage or drank alcohol with APAP. Acetaminophen, a para-aminophenol derivative and part of the nonopoid class, is an excellent analgesic (pain relief) DQG�DQWLS\UHWLF��IHYHU�UHOLHI��DOWKRXJK�LW�KDV�QR�DSSUHFLDEOH�DQWL�LQÀDPPDWRU\�DFWLYLW\��$OWKRXJK�QRW�FOHDU��LWV�EHOLHYHG�WKDW�the mechanism of action is by inhibition of the cyclooxygenase (COX) pathway. APAP is metabolized by the liver and is hepatotoxic especially with alcohol. Established in the 1970s and 1980s, the maximum dose is 4,000 mg per 24 hours for an average adult. The window for overdose is very narrow and can be fatal by way of liver failure. Many of our popular choices of narcotic pain prescriptions are compounded with APAP. In Jan 2011, the FDA urged drug manufacturers to limit the amount of APAP in prescription drug combinations to no more than 325 mg per dose. As a result, VICODIN has reduced the amount of APA in their drug combination from 500 mg and 750 mg to 300 mg in 2012. Also Tylenol had reduced the maximum daily dosage of its 500 mg tablet to 3000 mg per day following the FDA’s suggestions. As we adapt, there will be some confusion to these changes both from the provider side as well as from patients. Therapeutic dosages may change as the amount of APA in our drugs change. Most importantly, be aware of what you are prescribing, keep track of the acetaminophen dosages, and inform the patient of the risks of associated with any particular drug.Nazir Ahmad, DDS MPH

President Dr. Nedda Ibrahim presents Dr. Greg Essick with service plaque for his lecture on “Oral Appliance

Therapy for Sleep-Related Breathing Disorders”.

Dr. Thomas Butler with his new friend “Raleigh W. Codes” at

Wake Tech simulation lab.


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Dr. Giles Willis poses with his plaque commemorating hisservice with Wake Smiles.

Drs. Sawhney, Murrell, Kinlaw, Butler, and Mayer at the Wake simulation lab open house.

Dr. Ted Mayer examines a new patient at Wake Tech

Dr Anita Sawhney at the simulation lab at Wake Tech.


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Wake Smile Volunteers (July± December)

July: Giles Willis, Nazir Ahmad, Shelly Rickert August: Nazir Ahmad, Shelly Rickert, Saba Jelokhani Mokry, GIles Willis, Fred Criso September: Nazir Ahmad, Catie Cunningham, Mac Collie, Sabne Schtakleff, Giles Willis, Fred Crisp October: Jonathan Beavers, Mark Beavers, Cheryl Siegel, Fred Crisp, Saba Jelokhani Mokry, Jiger Shah, Shirin Mashhoon, Dillon Atwood, Heath Brantley, Nazir Ahmad, Catie Cunningham November: Gabe Villena, Fred Crisp, Steve Bumgarner, Nazir Ahmad, Catie Cunningham, Craig Williams and Williams Daily December: Paresh Naran, Saba Jelokhani Mokry, M B Patel, Ted Mayer, Fred Crisp, Nazir Ahmad, Catie Cunningham

__________________________________________________________

Classifieds

DENTISTS Dr. Ted Mayer available to check hygiene can be contacted at 919-846-6815. Dr. Harold J. Kear ± available to substitute on a daily or weekly basis for vacations/days off to handle in- office emergencies and/or monitor dental hygiene; experienced, fully insured; and licensed. Resume and references available upon request. Phone 919-468-8293; email- [email protected]. Dr. Thom Buttler - available to check hygiene; please contact at 919-801-1167 and/or [email protected] Dr. Bill Wynne: If anyone is interested in selling their practice in the near future please contact me: 919-851-3716 office-919-469-0761 home. MISCELLANEOUS If you are interested in performing pro bono work for the Pretty in Pink Foundation for breast cancer please contact Dr. Todd Engstrom at 919-870-4443 or [email protected]. Commercial Real Estate Services PR Commercial Properties, Inc. Lloyd Rothschild, DDS/ Principle Broker Buyer/Tenant Representation, Investment Real Estate, Consultation Representing Dentists for their Commercial Real Estate Needs 919-787-0059, 919-264-5002 cell, [email protected].


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Charlotte, NCPermit #3609 8100 Harps Mill Road

Raleigh, NC 27615

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___________________________________________________________

New Members

Dr. Laszio Ledenyi Dr. John Kitzmiller III Clayton, NC Apex, NC 919.847.5283 919.362.1341 [email protected] [email protected] Dr. Steve Baker Dr. Dillon Atwood Raleigh, NC Chapel Hill, NC 919.847.5283 336.939.6277 [email protected] [email protected]

New Members

Dr. Nicholas Uhlir [email protected] RaleighDr. Travis Hicks [email protected] RaleighDr. Sid Pazokian [email protected] OxfordDr. Chia-Chang Wang [email protected] Wake ForestDr. Anthony Netty-Marbell [email protected] DurhamDr. Matthew Trojanowski [email protected] Wake Forest Dr. Dillon Atwood [email protected] Chapel HillDr. Gabriel Duncan [email protected] CaryDr. Tom Pezdek [email protected] ApexDr. Bill Wynne [email protected] RaleighDr. Nahal Badiian [email protected] Chapel HillDr. June Pearson [email protected] Four Oaks


on the executive board has been an enlightening … been an enlightening douglas k. macleod, d.d.s.,...

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