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Pennsylvania Dental Journal

Of f i c e r s

Dr. Stephen T. Radack III (President)413 East 38th Street, Erie, 16504(814) 825-6221 • [email protected]

Dr. Wade I. Newman (President-Elect)Bellefonte Family Dentistry115 S. School St., Bellefonte, 16823-2322(814) 355-1587 • [email protected]

Dr. R. Donald Hoffman (Imm. Past President)105 Penhurst Drive, Pittsburgh, 15235(412) 648-1915 • [email protected]

Dr. L. William Veihdeffer (Vice President)2021 W. 8th St., Erie 16505(814) 455-9194 • [email protected]

Dr. Peter P. Korch III (Speaker Emeritus)4200 Crawford Ave., NorCam Bldg. 3P.O. Box 1388, Northern Cambria, 15714-1388(814) 948-9650 • [email protected]

Dr. Nicole Quezada (Secretary)11671 Route 6, Wellsboro, 16901-6750(570) 724-2565 • [email protected]

Dr. Samuel E. Selcher (Treasurer)700 Spring Garden Drive, Middletown, 17057-3034(717) 944-0426 • [email protected]

Tru s t e e s By D i s t r i c t

1st | Dr. Anand V. Rao | 20171845 Walnut Street, Ste. 950, Philadelphia, 19103(215) 567-0110 • [email protected]

2nd | Dr. Ronald K. Heier | 2015Drs. Graff & Heier, LLC100 Deerfield Lane #290 • Malvern, 19355-2159(610) 296-9411 • [email protected]

3rd | Dr. Eli Stavisky | 2016 700 Glenburn Road, Clarks Summit, 18411-2306(570) 587-5495

4th | Dr. Frederick S. Johnson | 2017Dental Art Images, LLC221 West Penn Ave. #213, Cleona, 17042(717) 272-8500 • [email protected]

5th | Dr. James M. Boyle | 2017Susquehanna OMS, PC2251 Eastern Blvd., York, 17402(717) 755-9695 • [email protected]

6th | Dr. Nicole Quezada | 201811671 Route 6, Wellsboro, 16901-6750(570) 724-2565 • [email protected]

7th | Dr. Cynthia A. Iseman | 2018100 Grant St., PO Box 338, Salisbury, 15558-0338(814) 662-2771 • [email protected]

8th | Dr. Thomas C. Petraitis | 2015101 Hospital Ave., DuBois, 15801-1439(814) 375-1023 • [email protected]

9th | Dr. Joseph E. Ross | 2016Olde Libray Office Complex106 E. North St., New Castle, 16101(724) 654-2511 • [email protected]

10th | Dr. Herbert L. Ray Jr. | 2015Univ of Pittsburgh School of Dental Med3501 Terrace St., 3063 Salk AnnexPittsburgh, 15261-2523(412) 648-8647 • [email protected]

ADA Th i rd D i s t r i c t Tr u s t e e

Dr. Andrew J. Kwasny3219 Peach Street, Erie 16508-2735(814) 455-2158 • [email protected]

PDA Cha i r s

Communications & Public RelationsDr. Tamara Brady

Dental Benefits CommitteeDr. George L. Hamm

Government RelationsDr. Craig A. Eisenhart

Membership CommitteeDr. Lawrence Montgomery III

Access to Oral Health CareDr. Alicia Risner-Bauman

Annual Awards CommitteeDr. Andrew J. Kwasny

Concerned ColleagueDr. Bartley J. Morrow

Environmental IssuesDr. Marian S. Wolford

New Dentist CommitteeDr. Amanda Q. Hemmer

PDA Cen t ra l O f f i c e

3501 North Front StreetP.O. Box 3341, Harrisburg, 17105(800) 223-0016 • (717) 234-5941FAX (717) 232-7169

Camille Kostelac-Cherry, Esq. Chief Executive [email protected]

Mary DonlinDirector of [email protected]

Marisa SwarneyDirector of Government [email protected]

Rob PuglieseDirector of [email protected]

Rebecca Von NiedaDirector of Meetings and [email protected]

Leo WalchakChief Financial [email protected]

Ed i t o r i a l B o a rd

Dr. Daniel BostonDr. Allen FieldingDr. Marjorie JeffcoatDr. Kenneth G. MillerDr. Andres PintoDr. Deborah Studen-PavlovichDr. James A. WallaceDr. Charles R. WeberDr. Gerald S. Weintraub

MAR/APR 2015 | P ENNSYLVAN IA DENTAL JOURNAL2

IMPRESSIONS

5NEW MEMBERS INSURANCE

CONNECTION

1511

AWARDS ANDACHIEVEMENTS

27IN MEMORIAM CONTINUING

EDUCATION

3129

GOVERNMENTRELATIONS

7

The Official Publication of the Pennsylvania Dental Association

FEATURES

CONTENTS

MAR/APR 2015 | v82, n2

PENNSYLVANIA DENTAL JOURNAL (ISSN 0031-4439), owned and published by the Pennsylvania Dental Association, 3501 North Front Street, Harrisburg, 17110, is published bi-monthly: Jan/Feb, Mar/Apr, May/June,July/Aug, Sept/Oct, Nov/Dec. Address advertising and subscription queries to 3501 North Front Street, P.O. Box 3341, Harrisburg, 17105. Domestic subscriptions are available to persons not eligible for membership at $36/year;International subscriptions available at $75/year. Single copies $10. Periodical postage paid at Harrisburg, PA. “The Pennsylvania Dental Association, although formally accepting and publishing reports of the various standingcommittees and essays read before the Association (and its components), holds itself not responsible for opinions, theories, and criticisms therein contained, except when adopted or sanctioned by specialresolutions.” The Association assumes no responsibility for any program content of lectures in continuing education programs advertised in this magazine. The Association reserves the right to refuse any advertisement forany reason. Copyright ©2015, Pennsylvania Dental Association.

The mission of the Pennsylvania Dental Journal is to serve

PDA members by providing information about topics and issues

that affect dentists practicing in Pennsylvania. The Journal also

will report membership-related activities of the leadership of the

association, proceedings of the House of Delegates at the annual

session and status of PDA programs.

Editor | Dr. Bruce R. Terry85 Old Eagle School Road, Wayne, 19087-2524(610) 995-0109 / [email protected]

Associate Editor | Dr. Brian Mark Schwab1021 Lily Lane, Reading, 19560-9535(610) 926-1233 / [email protected]

Director of Communications | Rob PuglieseP.O. Box 3341, Harrisburg, 17105(800) 223-0016 / FAX (717) 234-2186 / [email protected]

Editor Emeritus | Dr. Richard Galeone3501 North Front Street, Harrisburg, 17110(215) 855-4092 / [email protected]

Editor Emerita | Dr. Judith McFadden3386 Memphis Street, Philadelphia, 19134(215) 739-3100 / [email protected]

POSTMASTER: Send address changes to Pennsylvania Dental Association, P.O. Box 3341, Harrisburg, PA 17105. MEMBER:American Association of Dental Editors

3

16 RESEARCHER, DENTIST, PDA MEMBER:A CONVERSATION WITH DR. STEVEN JEFFERIESBy Dr. Bruce R. Terry, Editor

22 RADIOLUCENCY OF THE JAW ASSOCIATED WITHAN UNERUPTED TOOTHBy Adepitan A. Owosho, BChd; Tessie Buraczewski DMD;and Anitha Potluri DMD, MDsc, University of Pittsburgh Schoolof Dental Medicine

DEPARTMENTS

CLASSIFIEDADVERTISEMENTS

33

4 MAR/APR 2015 | P ENNSYLVAN IA DENTAL JOURNAL

IMPRESSIONS

This year will mark my 29th year inpractice. I can honestly say that it has beeneverything I could ever want. I love to goto work, and although I complain about alot of things, I wouldn’t trade my dentalcareer for any other profession. However,not all of my dental friends and colleagueswill say the same thing. Each has adifferent perspective. Some have beendisappointed in the business of dentistry(i.e. staff, insurance, etc.). Others have notbeen as busy as they had hoped. But themajority of them agree, as I do, that it hasbeen a terrific profession.But just when I am feeling pretty good

about being a dentist, along comes anothernews article like the one from Indiana onFeb. 18, 2015. Three dentists in Anderson,Ind., were charged with Medicaid fraud.How many times have we seen or heardthis before? Yes, these individuals aregreedy and saw an opportunity to takeadvantage of the system. But it alsosuggests that they weren’t making it theold fashioned way with hard work.And then there is Dr. Damian Newhart

of Laguna Nigel, Calif. It seems the reallygood stuff happens in California. Dr.Newhart is accused of robbing a bank.That’s what many patients accuse us ofdaily! Damian is/was an orthodontist whocouldn’t get it straight (get it?). The“Rolled Sleeved Bandit,” as he was dubbed,with his aviator sunglasses and rolledsleeves on his pink button down shirt madea splash in the new for robbing five banksis as many months. Almost as amazinghe had already had probation and a felonyconviction for writing false prescriptionsand grand larceny. He did communityservice, was ordered to pay fines and evenspent three months in jail. Guess what?He still practiced dentistry!So I ask the question again. Is dentistry

the No. 1 profession in our country? Let’slook at the benefits:

• The number of practicing dentists percapita in the United States has increasedafter years of stability, going from 59.8dentists per 100,000 people in 2008 to62.0 in 2011. The increased number ofdentists is a result of two factors. First,dental school enrolment has increasedconsiderably in recent years and thesenew graduates have entered the labormarket. Second, the average retirementage of dentists has increased dramaticallyin the past decade. According to theADA’s Health Policy Institute, the averageage of retirement for dentists in 2001 was64.8 and has increased to 68.3 in 2011.

• A new patient waited an average of 11.3days in 2001 and 5.4 days in 2012. Thesechanges were statistically significant.Taken together with the decrease inbusyness, this data suggests thatsignificant unused capacity is availablein the dental care system.

• From 2000 to 2011 the averagepercentage of gross billing collected byGPs decreased from 94.8 percent to92.0 percent. The comparable decreasefor specialists was from 94.9 percent to91.0 percent. These changes werestatistically significant. In 2012, thisstatistic stopped falling for the first timein years, equaling 92.1 percent for GPsand 91.8 percent for specialists. But it istoo early to tell if this represents areversal in the trend.

• Dental care and dental spending is onthe rise by the elderly.Maybe Dr. Weinstein read this Health

Policy Institute study and was discouragedby his future prospects. Maybe he had onetoo many patients leave to go to anotherpractice. Whatever the reason, what I wantto know is, who’s right? The U.S. News andWorld Report telling young college studentsto prepare to go to dental school and onto the “golden highway” of success, orguys like Leopold and the ADA who saythat times are tough and may be gettingtougher?

It Wasn’t Me

Who didn’t hear about the recent rankingof the best jobs in 2015? U.S. News andWorld Report, Jan. 13, 2015, listed dentistryas the No. 1 career based upon salary, work-life balance and expected employmentgrowth. “Woo Hoo!” The unemploymentrate for dentists is 0.9 percent andaccording to the Bureau Of Labor andStatistics there will be a 16 percent growthin the need for dentists between 2012and 2022. That would amount to 23,300new jobs for dentists.Well, Dr. Leopold Weinstein of Camarillo,

Calif. did not see the news. Either that orhe couldn’t wait for the local competitionfor patients to subside when he decidedto set fire to three different competitors’offices. In one case he threw a road flareand other flammable items onto the roof,but was unsuccessful in starting a fire.In another case he is accused of drillingholes in the roof of an office and pouringin gasoline, also hoping to set the officeon fire.Now I’m no psychologist, but this guy

has issues. Thank goodness he is a lousyarsonist. Obviously he is not as busy asthe current news would indicate.According to a report of the 2013 Health

Policy Institute of the ADA:• The average waiting time for a GPappointment has decreased from 9.9days in 2001 to 4.6 days in 2012 for apatient of record.

• Patient volume is down, due to fallingutilization rates among adults.

MAR/APR 2015 | P ENNSYLVAN IA DENTAL JOURNAL 5

By Dr. Bruce R. TerryEditor

S AV E T H E D AT E


IMPRESSIONS continued

• You are your own boss• You make your own hours• You have freedom to burn down yourcompetitors’ offices, submit fraudulentclaims, and steal from your local bank

And the cons:• Dealing with insurance companies• Managing patients and staff• Keeping up with all the regulations• Evading the police

My opinion is that the benefits outweighthe negatives. So, the next time you seea colleague at a meeting make sure yourwallet is in a safe place and your officefire alarm is on. You just never know!

—BRT

3rd Annual MOM-n-PA

The 3rd Annual MOM-n-PAdental mission will be held

in Harrisburg on Friday May 29and Saturday May 30, at theState Farm Show Complex.

Last year the MOM-n-PA missionin Allentown provided more than $1million in free dental care and treatedmore than 2,000 patients. You canhelp with the 2015 mission by

volunteering your services or makinga donation. For more information,visit www.mom-n-pa.com.Volunteer registration for the

Harrisburg mission is now open!

GOVERNMENT RELATIONS

It’s been busy for PDA since the new legislative sessioncommenced in mid-January. Already 10 bills have been introducedthat impact dentistry in some way. Our staff and lobbyists aremonitoring these bills while the Government Relations AdvisoryGroup is carefully reviewing each bill and developing PDA’sposition, should these bills start moving through the process.While addressing the bills that have already been introduced,

we are also lobbying aggressively on our own legislative priorities:assignment of benefits, primary care student loan forgiveness,more funding for the Medical Assistance program, and closingloopholes with Act 184 (legislation that passed in 2012 prohibitinginsurers from capping non-covered services) and Act 94(legislation requiring insurers to cover general anesthesia forchildren younger than seven and patients with special needs).We have spent the past few months educating the newadministration and talking with Senate and House leaders.Be sure to check out the May/June issue of the Journal for a

comprehensive update on Democratic Governor Tom Wolf’sbudget negotiations with the Republican General Assembly. Weare working to ensure continued funding for the Donated DentalServices program, and more funding in the primary care studentloan forgiveness and MA programs.

HR 58: Resolution designating February as National Children’sDental health MonthRep. Leslie Acosta (D-Philadelphia) introduced a resolution

recognizing February as National Children’s Dental Health Monthin order to improve the public’s awareness of the importance oforal health. The House of Representatives unanimously adoptedthe resolution in February.

SB 472: Creating an Official State Prescription FormSen. John Rafferty (R-Berks, Chester, Montgomery) introduced

SB 472, legislation that would establish an official stateprescription form for distribution by the Secretary of Health foruse by all health care professionals authorized to prescribe drugs.These forms would be serially numbered and non-transferable.Health care providers who prescribe Schedule II, III or IVprescription drugs would be required to use this form. SB 472would grant the Secretary of Health authority to direct the properretention and filing of such prescription forms and would requirethe immediate notification of the Department of Health and theAttorney General’s Office in the event that such forms are lost orstolen from a healthcare provider.Sen. Rafferty introduced this legislation based on the premise

that legitimately approved Schedule II, III, and IV controlledsubstances such as Oxycodone, Hydrocodone, certainamphetamines, and various benzodiazepines, are becomingmore readily available to unintended users through various

methods of diversion. Increased demand for prescription narcoticshas pushed street prices for drugs such as Oxycodone as highas $30 per tablet. The criminal activity associated with illicitlyobtaining and distributing these drugs, as well as seriousconsequences of illicit use, including addiction and fatal overdosedeaths, are becoming more common throughout theCommonwealth.Along with combating the growing problem of diversion, Sen.

Rafferty believes SB 472 would also address another issue whichcontributes to the loss of millions of dollars a year to theCommonwealth. Medicaid fraud has become increasingly morecommon and contributes to the illegal prescription drug market.He claims that by utilizing tamper proof prescription pads withbuilt-in security protections, the Commonwealth would beable to significantly curtail fraudulent Medicaid claims and savemillions of dollars.SB 472 was assigned to the Senate Public Health and Welfare

Committee in February.

HB 92: Expunging Licensee Disciplinary Records for MinorInfractionsThis legislation would provide all state licensing boards under

the Bureau of Professional and Occupational Affairs with thepower to expunge disciplinary records of licensees for minorviolations of their practice act and board regulations.Rep. Kate Harper (R-Montgomery) introduced HB 92,

legislation to provide all state licensing boards under the Bureauof Professional and Occupational Affairs (BPOA) in theDepartment of State with the power to expunge disciplinaryrecords of licensees for minor violations of their practice act andboard regulations.Any disciplinary actions, whether serious or a mere technical

violation, currently remain on a licensee’s record permanentlyon-line because the various state licensing boards lack theauthority to expunge records. Many practitioners with otherwiseunblemished disciplinary histories have complained to statelicensing boards that the existence of minor infractions as apermanent part of their publicly available licensure records hasprevented them from getting a job, or simply caused themneedless embarrassment with clients and colleagues after theyhave corrected the violation.Expungement seals the affected record from public access and

allows the licensee to represent that no record exists. However,BPOA and the licensing board or commission would continueto maintain the record and may release it upon request from lawenforcement or other governmental body as permitted by law.HB 92 was assigned to the House Professional Licensure

Committee for first consideration.

7MAR/APR 2015 | P ENNSYLVAN IA DENTAL JOURNAL


GOVERNMENT RELATIONS continued

HB 184: State Preemption for Local Mandated Leave OrdinancesRep. Seth Grove introduced HB 184, legislation that would

allow state preemption for local mandated leave ordinances.Over the past few years, local governments across the nation

have passed legislation which dictate leave requirements tobusinesses of all sizes. Most recently, the City of Philadelphiaattempted to pass a bill that would require businesses with morethan five employees to provide up to 56 hours of paid time off ayear, regardless of the type of business and any current policy thatis in place. The 56 hours could be used for nearly any reason. Rep. Grove believes that not all businesses are the same and a

blanket policy that does not recognize these differences onlyhurts small businesses struggling in this current economy.He contends that local mandates such as this not only create anuneven playing field for the businesses located inside themunicipality, but as more governments jump on board,businesses with more than one location are forced to complywith a variety of different and changing mandates. Twelve stateshave already passed preemption bills.HB 184 was assigned to the House Labor and Industry

Committee in January.

HB 336: Ban on Non-Compete Agreements for Health CarePractitionersRep. Jim Christiana introduced (R-Beaver) introduced HB 336,

legislation that would ban any non-compete language in anemployment agreement for a health care practitioner. Thelegislation would allow health care practitioners to alert theirpatients to the new affiliation and allow the patient the option tofollow the health care provider to the new location. It would notapply to any additional services provided by the individualoutside their scope of practice or to trade secrets or confidentialinformation learned through the course of the prior employment.Rep. Christiana’s introduced HB336 because he heard from a

number of health care professionals who have spent large sumsof money on their education and training that they cannotcontinue to provide care for their patients simply because theyhave changed employers. He found this troubling especially inlight of the House of Representatives having unanimouslyapproved a resolution last session which calls for a study on thephysician shortage crisis the Commonwealth is facing. Rep.Christiana believes this problem extends to all health careproviders, and that is a concern given that the demand for healthcare professionals is ever increasing and resulting in a loss ofqualified talent to other states.



HB 336 was assigned to the House Health Committee forfirst consideration. PDA is working with legislative staffers toaddress our concerns.

HB 330: Establishing a State-Run Health Insurance ExchangeRep. Tony DeLuca (D-Allegheny) introduced HB 330,

legislation to establish a state operated Health InsuranceExchange that is compliant with the Patient Protection andAffordable Care Act (ACA).Since its enactment, the ACA has been at the center of many

controversies and disagreements at both the Federal and Statelevels. Several cases surrounding the law are still pending infederal court, most notable among them being King v. Burwell, acase that the Supreme Court will hear in the near future. At issuein King is whether federal insurance subsidies may be providedto individuals who purchase health insurance on the federalexchange. However, regardless of how the Court rules, individualspurchasing health insurance in states that have created their ownstate insurance exchange will continue to receive federalinsurance subsidies. HB 330 was assigned to the House Insurance Committee in

February 2015.

HB 294: Any Willing ProviderRep. Tony DeLuca (D-Allegheny) introduced HB 294,

legislation that ensures that private practitioners and facilitiesremain “in network” if they are qualified and willing to acceptthe terms of the contract.Pennsylvania currently does not have “Any Willing Provider”

(AWP) legislation. Under an AWP law, a health insurer may notrefuse to accept as a participating provider any provider in itsgeographic area who is willing to meet its conditions ofparticipation. The definition of "insurer" includes insurancecompanies; health maintenance organizations, or HMOs; dentalservice corporations; and other entities.Rep. DeLuca believes that when selection is limited on the

insurance side but not on the provider’s end, quality health caremay not always be obtained at a reasonable price. Through thislegislation, he hopes to ensure that employers and others whopay for health insurance are receiving the best value for theirdollar by ensuring that ehe entity that sets the premium ratescharged to subscribers is not be permitted to also determine therates received as a provider of hospitals and other services. HB 294 was assigned to the House Insurance Committee for

first consideration.



HB 209: Requiring all licensees under BPOA to reportconvictionsRep. Harry Readshaw (D-Allegheny) introduced HB 209,

legislation will require all licensees under the Bureau of Professionaland Occupational Affairs (BPOA) to report convictions within30 days. Currently, the laws vary on the reporting requirement;however, each board under BPOA will consider certain convictionsas not complying with licensure requirements. To provideconsistency, HB 209 ensures that compliance apply equally toevery individual licensed with BPOA.HB209 was reported from the House Professional Licensure

Committee and is in the full House for first consideration.

HB 157: Considering military education and training to satisfylicensing or certification requirementsRep. Doyle Heffley (R-Carbon) introduced HB 157, legislation

that ensures that a service member's military education andtraining are taken into consideration for the purpose of fulfillingrequirements for professional licensing. HB 157 requires alicensing board to consider whether a veteran's military service,education, training and service experience satisfies certain or alllicensing or certification requirements. This will prevent the

duplication of training and education of a veteran and get theminto a civilian career faster.HB 157 was fast tracked through the House with a unanimous

vote taken on February 4, 2015. It is now assigned to the SenateVeteran Affairs and Emergency Preparedness Committee.

HB 199: Smokeless Tobacco Tax to Fund the Waiting ListAccount for Adults with Intellectual Disabilities & AutismRep. Thomas Murt (R-Montgomery) introduced HB 199,

legislation that would create a tax on the retail sale of smokelesstobacco products in or limitations in the bill will prevent funds inthe account from being used to supplant resources for existingcommunity resources. To assure that individuals receivingservices are able to provide input into the design or delivery ofservice he/she receives, funds shall also be used in accordancewith consumer-centered planning.As of September 2014, there were almost 14,000 individuals

on a waiting list for services related to intellectual disabilities andautism. HB 199 would establish a special account in the Treasuryto be used to fund the waiting list for these types of services.HB 199 was assigned to the House Finance Committee for first

consideration.

NEW MEMBERS


Shimma Abdulla, DMDTemple University ‘09King of Prussia

Andrew O. Abolarin, DDSNew York University ‘05Burlington, NJ

Patrick J. Adonizio, DMDTemple University 1989Harvey's Lake

Bijan R. Ahmadzadeh, DMDUniversity of Pennsylvania ‘10South Abington Township

Nasrine Ahmed, DDSNew York University ‘03West Milford, NJ

Michelle L. Aitken, DDSBaltimore College of DentalSurgery ‘02Media

Todd C. Alexander, DMDUniversity of Pittsburgh 1996Sharon

Agostino J. Alfano, DDSTemple University 1981Wyoming

Hammad R. Amjad, DMDUniversity of Medicine andDentistry of New Jersey ‘07North Wales

Bryan B. Amos, DMDUniversity of Pittsburgh 1998Pittsburgh

Regina M. Aslanian, DMDTemple University 1996Camp Hill

Faina M. Badineva, DDSNew York University 2000Philadelphia

Mariam Barikbin, DMDUniversity of Florida ‘08Harleysville

Fabio C. Beltran, DDSUniversity of Maryland 1987Parkton

Michael A. Benko, Jr., DMDUniversity of Pittsburgh ‘01Middletown

Victor D. Brown, DMDUniversity of Pittsburgh1981Coudersport

Elsie M. Casimir, DMDTemple University 1993Lower Gwynedd

Nithya K. Chalikonda, DMDTemple University ‘13Bethlehem

I-Fang Chen, DMDUniversity of Pennsylvania ‘14Williamsport

Mary P. Counts, DMDTemple University 1993Bethlehem

Christine E. Cutler, DDSUniversity of Detroit Mercy ‘14Philadelphia

Sarah De Marco Davies, DDSUniversity of North Carolina ‘00Pittsburgh

Cristina M. Dobrescu, DDSNew York University ‘10Philadelphia

Glenda M. Eidenshink, DMDUniversity of Pennsylvania ‘13Southampton

Ameir Eltom, DDSUniversity of the Pacific ‘07Eagleville

Ajikwaga Felli, DMDUniversity of Pennsylvania Philadelphia

Anne Foard Adams, DDSUniversity of Maryland 1984Lebanon

Brian P. Ford, DMD, MDUniversity of Pennsylvania ‘09Philadelphia

Brittney A. Franklin, DMDUniversity of Pittsburgh ‘07Baltimore, MD

James R. Fruehan, DMDUniversity of Pennsylvania 1986Clarks Summit

Irina Garmiz, DMDTemple University ‘09Warrington, PA

Maria J. Garubba, DMDUniversity of Pittsburgh ‘12Bethlehem

Welcome New Members!Following is a listing of members who have recently joined PDA, along with the dental schools from which they graduated and theirhometowns.


NEW MEMBERS continued

Allen Geng, DMDUniversity of Pittsburgh ‘11Chesterbrook

Thomas B. Gladnick, DMDTemple University ‘12Wichita Falls, TX

Ashley E. Gonsky, DMDUniversity of Pennsylvania ‘12Stroudsburg

Angela Gruber, DMDUniversity of Pittsburgh ‘10Media

Doreen E. Gunder, DDSBaltimore College of DentalSurgery 1996Boiling Springs

Jonathan Hayashi, DMDState University of New Yorkat Buffalo ‘00Philadelphia

Julie Hong, DMDUniversity of Pennsylvania 1997Allentown

Olga M. Kabouridou, DMDUniversity of Pennsylvania ‘03West Chester

Vinita Atul Kalanuria, DDSNew York University ‘08Furlong

Bilal A. Kassak, DDSNew York University ‘00Philadelphia

Rami A. Khoury, DMDBoston University ‘03Whitehall

Andrew M. Kim, DMDUniversity of Pennsylvania 1999Lansdale

Colleen Kristofor, DDSNorth Western University 1994Philadelphia

Joanna T. Ku, DMDHarvard University ‘05Philadelphia

Albert C. La Torre, Jr., DDSTemple University 1984Warrington

Iris Lewis-Moody, DDSHoward University 1983Philadelphia

Noelle Ling, DMDUniversity of Pennsylvania 1999Bryn Mawr

Shaghayeagh Lorei, DMDUniversity of Pittsburgh ‘01Enola

Monica L. Marta, DMDTemple University 1997Scranton

Michael W. Matisko, Jr., DMDUniversity of Pittsburgh 1986CheswickLynnette F. Mesina, DMDTemple University 1995Berwyn

Damian Cosmas Milillo, DMDTemple University ‘05Clifton Heights

Michael S. Monto, DMD, MDUniversity of Pennsylvania ‘92New Hampton

Ernest W. Moody, Jr., DDSHoward University 1983Philadelphia

Pooja D. Mukhatyar, DDSUniversity of Minnesota ‘11Langhorne

David Adam Myers, DMDUniversity of Pittsburgh ‘09ErieJeremy D. Olen, DMDUniversity of Pennsylvania ‘13Tannersville

Thomas O. Olson, DDS, MSUniversity of Texas ‘07Fallston, MD

Satya J. Pabbaraju, DDSNew York University ‘08Yardley

Dr. John C. Pagana, DMDTemple University ‘06Wynnewood

Dr. Lawrence J. Paul, DDSTemple University 1980Lafayette Hill

Rajalalitha Ponnambalam, DMDBoston University ‘09AudubonMichael J. Rahner, DMDUniversity of Pittsburgh 1986Erie

Robert S. Reffner, DMDUniversity of Pittsburgh 1987Waynesboro

James D. Riesenberger, DMDTemple University 1995Newtown

Maribel Romero, DMDTemple University 1996Reading

Kranthi Rupanagunta, DDSNew York University ‘11State College

Kiran Satashia, DMDTemple University ‘01ChalfontPatricia A. Schiavone, DMDTemple University 1988Stroudsburg

Charles W Schwimer, DMDUniversity of Pittsburgh 1985McKees Rocks

Sheeba Shaju, DDSNew York College of Dentistry ‘10Downingtown

Ryan T. Snee, DDSWest Virginia University 1998Washington

John P. Soliman, DMDTemple University ‘10Philadelphia

Clark J. Sparrow, DDSTemple University 1972Towanda

Meredith L. Stabley, DMDTemple University ‘12Elizabethtown

Bari J. Steinberg, DDSColumbia University - NY ’12Philadelphia

Gregory Stephens, DMDUniversity of Pennsylvania 1984Aldan

Dave Sullivan, DMDUniversity of Pittsburgh 1994Pittsburgh

Rachel C. Taddeo, DMDTemple University ‘11Wynnewood

Daniel P. Tibbetts, DMDUniversity of Pennsylvania ‘11Ardmore

Scott D. Trask, DMDTemple University 1996Camp Hill

Jim G. Tsou, DDSNew York University ‘13Conshohocken, TX

Joshua B. Wolgin, DMDUniversity of Pennsylvania 1998Narberth

Helene A. Woodmancy, DMDTemple University ‘01Telford

Rafael E. Yanez, DMDTemple University ‘07Norristown

Jeanne Yang, DDSState University of New Yorkat Buffalo ‘05Clarion

Litsa M. Zotis, DDSCase Western ReserveUniversity 1995Pittsburgh


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LIMITED-TIME OFFER• Earn 10,000 bonus points after you spend $3,000 in the first90 days.1

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• 3 points for every net $1 spent on gas, grocery and restaurantpurchases in the first 90 days.

Call 888-327-2265 ext. 94595 | Visit usbank.com/ADA94595We may change APRs, fees, and other Account terms in the future based on yourexperience with U.S. Bank National Association and is affiliates as provided under theCardmember Agreement and applicable law. (1) Subject to credit approval. Accounts mustbe open and in good standing (not past due) to redeem points. (2) Your 0% introductoryAPR applies to balance transfers made within 30 days of account opening. A BalanceTransfer fee of 3% of each transfer ($5 minimum) will apply. The introductory APR doesnot apply to purchases or cash advances. The rate will end early and increase to the APRfor Balance Transfers or to a Penalty Rate APR if you make a late payment, make a paymentthat is returned, or your account exceeds its credit limit. Thereafter, the APR may vary andas of 1/1/2015, the undiscounted variable APR for Balance Transfers is 9.99%- 23.99%(based on your creditworthiness)]. We apply your payments to balances with lower APRsfirst. (3) Net purchases are purchases minus credits and returns. (4) Certain restrictions,limitations, and exclusions apply. Cardmembers are responsible for the cost of any goods orservices purchased by Visa Signature Concierge on cardmembers’ behalf. The creditor andissuer of the American Dental Association Card is US. Bank National Association, pursuantto a license from Visa U.S.A. Inc © 2015 U. S. Bank National Association.

ADA Business ResourcesSM is a service mark of the American Dental Association.ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc..(ADABEl), a wholly owned subsidiary of the American Dental Association. ADA is a registeredtrademark of the American Dental Association.

Energy Plus®(877) 770-3323 | Mention Offer Code PDA-6132Want to get more from your electricity provider?PDA endorsed since 2011

As the preferred electricity supplier of PDA, Energy Plus® canhelp members earn cash back on their electricity bills. PDAmembers earn 5% Cash Back annually on the supply portion oftheir electric bill for their business. In addition, members receivea $50 Enrollment Bonus after two months of service for eachcommercial account enrolled.

For complete offer details, visitEnergyPlusRewards.com/pda6132 or call (877) 770-3323and mention offer code PDA-6132.Offer expires 6/15/2015. Offer only valid in areas serviced by Duquesne Light Company,Met-Ed, PECO, Penelec, PPL Electric Utilities Corporation and West Penn Power. Electricservice is provided by Energy Plus Holdings LLC (PA PUC electric license#A-2009-2139745). Energy Plus is solely responsible for the content of this marketingmaterial and for the selling to, solicitation of, and enrollment of customers for energy supplyservices. PDA provides Energy Plus access to its members as a benefit for members.

We encourage you to participate in the Endorsed VendorProgram and promote the benefits of the program to yourcolleagues. For more information on all of our programs,visit www.pdais.com/vendors or call (877) 732-4748.

In summary — Prescribers of Part D drugs must submit their Medicare enrollmentapplication or opt-out affidavits to Novitas by June 1, 2015 or earlier to avoid theirpatients’ prescription drug claims from being denied by their part D plans beginningDecember 1, 2015.

For more information and to obtain the appropriate forms visit:http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/Part-D-Enrollment-Information.html (CMS website article)

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1434.pdf (CMS MLN Matters article)

REMINDER: Opt in or Out ofMedicare Enrollment by June 1

PDA has been monitoring the changesto the Medicare Prescription DrugProgram. With the deadline approachingwanted to remind our members of theJune 1 deadline.In order to have your prescriptions

covered under Part D, eligible providerswho write prescriptions for Part D drugsmust:

• Be enrolled in Medicare in an approvedstatus, or

• Have a valid opt-out affidavit on file

Ever since the Center for Medicare &Medicaid Services (CMS) issued thenotice indicating changes to the MedicarePrescription Drug program, PDA has beenfielding calls from member dentistsrequesting clarification. Per informationreceived by CMS, the American DentalAssociation and Novitas Solutions, Inc.(Novitas is the Medicare carrier inPennsylvania), dentists must notify theMedicare carrier in their location, includingMedicare Advantage Plans, of theirdecision to opt in/out by June 1, 2015. Theprovision will go into effect Dec. 1, 2015.

If a dentist:1. Opts in, an eligible Part D prescriptionwill be paid.

2. Signs an opt out affidavit (requiresupdating every two years), eligible PartD prescriptions will be paid.

3. Does nothing, eligible Part Dprescriptions will be denied.

By June 1, 2015, the appropriate formshould be sent to:Novitas Solutions, IncProvider Enrollment ServicesPO Box 3157Mechanicsburg, PA 17055-1836

INSURANCE CONNECTION



in november 2013, U.S. News and World Reportfound that steM studies (science, technology,engineering and Math) were the hottest majorsin college. it’s no surprise that the currentgeneration of lego robotic, app developing,kitchen chemist young minds are finding hopein science. We must help by fueling a newgeneration of idea development that willcontinue to promote growth in new materialsand technology.

Luckily there is significant research going on inour three state dental schools. I had a chance tomeet and talk with Dr. Steven Jefferies at TempleUniversity Kornberg School of Dentistry aboutwhat brought him into research and what he seesfor the future of dental material research.

Dr. Steven R. Jefferies is a Professor in the Department of Restorative Dentistry, Maurice H.Kornberg School of Dentistry, Temple University;where he holds the Donald and Cecelia PlatnickProfessorship in Restorative Dentistry. He is also theDirector of the Biomaterials Research Laboratoryin the Department of Restorative Dentistry; andDirector of Clinical Research for the School ofDentistry. Prior to his current full-time academicposition, Dr. Jefferies completed almost 20 years ofservice with Dentsply International, where he wasCorporate Vice President for Advanced Technology,Vice President of Corporate Product Development,and Director of Clinical Research for Dentsply’s

Caulk Division in Milford, Delaware. He has alsoheld the appointment of Associate ClinicalProfessor in the Advanced Education in GeneralDentistry (AEGD) Program of the Departmentof Health Promotion and Policy, Dental School,University of Maryland at Baltimore.

After completing a General Practice Residency(GPR) in the United States Public Health Service,Dr. Jefferies was in full-time private generalpractice for almost six years. He has been aninventor or co-inventor on 29 issued U.S. Patentsand 63 Worldwide Patent Disclosures; an authoror co-author on over 60 scientific articles and abstracts, including 3 book chapters. His educational credentials include: a DDS from theUniversity of Maryland, Baltimore; an MS (Chemicaland Biochemical Engineering) from Rutgers, TheState University of New Jersey-New Brunswick; aPhD,(Dental Materials/Operative Dentistry) fromthe Medical University of South Africa; and a BA inBiology/(Coursework in Mechanical Engineering)from The Johns Hopkins University, Baltimore,Maryland. He is a member of the American DentalAssociation, Academy of General Dentistry,International Association of Dental Research/American Association of Dental Research, and the Academy of Operative Dentistry; and is a fellow inthe International College of Dentists, AmericanCollege of Dentists, the Academy of DentistryInternational, and Academy of General Dentistry.

Researcher, Dentist, PDA Member:a Conversation with Dr. steven JefferiesBy Dr. Bruce R. Terry, Editor

Steven Jefferies, MS, DDS, PhD

We must help byfueling a newgeneration of idea development

Continues on

Researcher |Dentist |PDA Member

Dr. Jefferies could you tell me about yourfacility at temple?

Dr. Jefferies: The Department of RestorativeDentistry at the Kornberg School ofDentistry/Temple University maintains adedicated biomaterials testing laboratory.The laboratory maintains instrumentationfor mechanical strength testing of materialsand various tissues (Instron MechanicalTester); a microhardness/surface modulusanalyzer (CSM Instruments); a contactprolifometer (Surftester SE 1700) ; a VC-50precision diamond saw (Leco); a Model 900Grinder/Polisher (Southbay Technologies);and several standard light and stereopticalmicroscopes for taking digital images ofthe teeth (SLR digital camera/microscope(Olympus DPII Digital Camera/Microscopewith Optiva Zoom 100 lens attachment) anda Nikon microscope with digital cameraattachment as part of the CSM microhard-ness tester.

The laboratory also maintains a collaborativerelationship with the MicrocomputedTomography (micro CT) core facility in theDepartment of Anatomy and Cell Biology atthe Temple University School of Medicine;

and also has access to Scanning ElectronMicroscopy (SEM) facilities and expertise inthe Department of Bioengineering on themain campus, Temple University.

The research interests of this biomaterialslaboratory include the following areas:Dental Biomaterials Property Evaluations;Surface Modification of Enamel/Dentin;Remineralization/Caries Treatment; OralHealth Clinical Research; Tissue Engineering/Peptide Drug Delivery; and laboratory/clinical evaluation of Bioactive, “Smart”Materials.

How long have you been at temple andgive me a short history of where you werebefore?

Dr. Jefferies: I came to Temple onNovember 1, 2005. Prior to joining TempleUniversity, I completed almost 20 years ofservice with Dentsply International; havingserved as Corporate Vice President forAdvanced Technology, Vice President ofCorporate Product Development, and asDirector of Clinical Research for Dentsply’sCaulk Division in Milford, Delaware.

Concurrent with my positions at Dentsply,I am an Associate Clinical Professor in theAdvanced Education in General Dentistry(AEGD) Program of the Department ofHealth Promotion and Policy, Dental School,University of Maryland at Baltimore. Prior tojoining Dentsply International, I completeda one-year General Practice Residency atthe United States Public Health ServiceHospital in New Orleans, Louisiana, followedby five years in full-time private practice inBaltimore, Maryland.

How did you get started in the researchof dental materials?

Dr. Jefferies: I started being involved inbiomaterials research as a graduate studentin chemical and biochemical Engineeringat John Hopkins University, and continuedresearch in that area as a dental student.

What significant research has come outof temple in its past history?

Dr. Jefferies: We have significant researchprograms in the departments of Endodontics,Periodontics and Orthodontics, specificallyin the areas of viral bacteriophage, microbi-ology, and muscle research. My researchhas focused on the study and translation ofbioactive restorative dental materials.Dr. Dan Boston (Associate Dean) has beeninvolved in the development of new dentaltechnology such as the fissurotomy andsmart burs, and has also collaborated withme on a number of laboratory and clinicalresearch investigations.

What has come to market with yourassistance?

Dr. Jefferies: Most recently, our laboratoryand research group conducted the trans-lational research leading to the introductionof the first bioactive luting cement, CeramirCrown & Bridge. At Dentsply, I was theinventor of the Enhance Finishing Device,and hold a number of patents involved inthe development of a number of compositerestoratives, cements, and dental adhesives.


I had a chance to meet with him one-on-one, and here is what I found out:

Dr. Steven Jefferies’ lab at Temple

What would you say to other who wouldlike to go into research?

Dr. Jefferies: Research is a critical andessential function in the process of discoveryand the creation of new knowledge. Currentthinking is that all students in dental schoolshould develop a basic understanding ofthe role of science in dentistry and havesome exposure and experience with aresearch project or activity during theirdental school experience. Such activities willfurther develop critical thinking skills. Forthose individuals who want a more in-depthinvolvement in research, especially dentalresearch, a strong background in the basicsciences, basic research methods, andapplied mathematics-computer science and statistics is very important. For those whowish to pursue an active career in research,post-graduate training leading to a PhD isvery helpful, but not essential.

It is critical to identify faculty and mentors towork and study with in your chosen researchfield. If a student is uncertain about specificareas of research or has multiple interests, itmay be very helpful to meet with your asso-ciate dean of research and/or various facultyengaged in research at their institutions toidentify a specific research area to pursue.

How has research changed in the past30 years?

Dr. Jefferies: Dental research has expandedinternationally and there is greatercompetition for resources and researchfunding. The expanded focus on dentalresearch internationally has also createdmore opportunities for collaboration. Therehave been considerable technical advancesin our analytic and measurementcapabilities and test methods, especially inthe areas of materials science andmolecular biology. Research methods andadvances in information technology andcomputer aided analysis/reconstruction/manufacturing have also dramaticallychanged dental research.

is there a different focus or direction indental research today?

Dr. Jefferies: In the area of dental andbiomaterials, nanotechnology andnanoscience are having a significant impact.Research concerning new technology todiagnose and treat (remineralize) early,incipient enamel carious lesions has recentlyemerged and will continue to evolve. Theconcept of inert dental materials is beingreplaced by the development of responsive,“bioactive” and/or interactive dental materials. These materials may have theability for self-repair, antimicrobial actionand controlled release of therapeutic agents(such as fluoride), as well as the ability tostabilize the dentin-material interface.

The study of the interaction betweenbacterial biofilms and dental materials isreceiving increased attention as well. Stemcells and regenerative technology arehaving an increasing focus in the areas ofoperative dentistry, endodontics, periodon-tics, implantology, and reconstructive oralsurgery. The ability to manage “large data”through advances in information technology is expanding research in oral health anddental epidemiology.

you talk about remineralization. Can yoube more specific on how the process works?

Dr. Jefferies: Most of the current remineralizing agents available today arecalcium- or calcium phosphate-basedformulations (with or without fluoride),

which when applied to areas ofdemineralized enamel, deliver both sufficientquantities of calcium and phosphate tothat area to promote the formation of newapatite-like mineral and as such facilitate theremineralization process.

How have the labs changed and the levelof research to develop new products andmaterials?

Dr. Jefferies: There has been an increasedemphasis on translational research (laboratorybench to chairside clinical evaluation).There is also an increased awareness of thefunded federal research programs such asthe Small Business Innovative Research (SBIR),which can provide start-up funding tosmall technology businesses in collaborationwith university/dental school researchcenters to develop new materials. There areother sources of funding available (industry,private foundations), but these appear to bemore limited and targeted to specific areasof interest.

What are the current challenges in the lab?(i.e. funding, pressure from companies,pressure from the scientific community)

Dr. Jefferies: Funding in dental researchappears to be far more competitive todaythan in previous decades. As was notedabove, there are more research laboratoriesworking around the world, especially in thearea of dental materials research. Funds for


Researcher, Dentist, PDA Member: A Conversation with Dr. Steven Jefferies

Lab equipment


dental materials research are more limited aswell. The Biomaterials Laboratory/ClinicalResearch Program at Kornberg/ Temple hasbeen fortunate to secure some commercialgrants in the last decade directed attranslational research in areas of new andadvanced technology in dentistry. We alsohave a current ongoing research collabora-tion with a major internationally researcherin the area of bioactive materials.

What do you see for the future? What ison the horizon?

Dr. Jefferies: In the area of dental materials,we may be able to develop a “true,” cost-effective, direct-placement, tooth coloredalternative to amalgam. Bioactive andregenerative dental materials will also havean expanded role in restorative andreconstructive dentistry. Also, we will probablysee a greater impact of CAD/CAM fabricatedrestorations as the technology expands tomore dental practices with increasedaccuracy and lower cost. Improved adhesiveswith bioactive and anti-microbial activityhave just recently appeared and are currentlyin development.

Future research directions include: three-dimensional, micro-CT analysis of earlycarious lesions and various treatmentmodalities; therapeutic delivery of osteogenicpeptides on calcium and titaniumbiomaterials; clinical evaluation of newdental biomaterials and therapeutic agents for erosion/demineralization; in-vitro/in-vivoevaluation of bioactive/”smart” biomaterialswith respect to “bio-toughening” properties;and the effect of various oral therapeutics/surface treatments on surface microhardnessand material micro surface roughness.

Our latest and future planned researchefforts have included, but not been limited

to, investigation of the remineralizationpotential of new experimental fluoridevarnishes, and the further exploration of arecent discovery in our laboratory concerningthe ability of calcium-based, bioactivecements to reseal marginal gaps and defects.These efforts serve the profession andpracticing dentists by providing importanttranslational laboratory and clinical researchinformation to the clinician and exploringpotentially new materials and oral therapeu-tics to improve patient care.

What are manufacturers or dentistsasking for?

Dr. Jefferies: Dentists continue to requestproducts and restorative systems that areless technique sensitive, user friendly, andthat give consistent, reliable clinical results.Manufacturers appeared also to be focusedon providing these same product perform-ance characteristics. Clinicians I speak withare also asking for more product-specificclinical studies (in addition to availablelaboratory studies) to assist them in selectionof new dental materials.

you are obviously involved in dentalmaterials. if you had to do it over wouldyou wish to be in another area of research?

Dr. Jefferies: No, I would select my careercourse in dental materials. I was so fortunateto have the unique opportunity to combinea professional career that spanned privatepractice, positions of increasing researchresponsibility in industry, and my current position in academic dentistry. I was also sofortunate to meet and work with so manyoutstanding clinicians, scientists whoassisted me greatly over the years and fromwhom I learned so much. No, I wouldn'tchange anything.

We all love our toys. is your lab missinganything you wished you had?

Dr. Jefferies: A table-top SEM with Energy-dispersive X-ray spectroscopy (EDX or EDS)right in our laboratory to permit qualitativemorphological and quantitative elementalanalysis.

you are a long standing member of theaDa. Can you comment what you see asmember value?

Dr. Jefferies: The ADA’s role as a majorleader and resource for reliable clinical andscientific information has always been agreat benefit to me throughout my roles inprivate practice, industry and academics.The ADA’s history with and support for theStandards Program for professional andconsumer dental products, as well as themore recent development of the Associa-tion’s Evidence Based Dentistry program,have both been significant and oftenunsung benefits to clinicians and patients.The ADA’s support of dental students’ earlyinvolvement in oral health science and dentalresearch is also noteworthy. All of theseefforts, among many others, are examples ofvaluable benefits that we can relate to newgraduates to encourage their membershipand active participation in the ADA.

Thank you Dr. Jefferies for spending timewith our readers. We are very happy to seethat you are a member of the ADA and PDA.

Researcher, Dentist, PDA Member: A Conversation with Dr. Steven Jefferies


CLINICOPATHOLOGIC REVIEW:

RADIOLUCENCY OF THE JAW ASSOCIATED WITH ANUNERUPTED TOOTH


A 19-year-old female presented for an orthodontic consult dueto a delayed eruption of #5 and 6 (permanent maxillary rightfirst premolar and canine). Clinically, she presented withmultiple displaced teeth in the upper jaw and a retained #C(primary maxillary right canine). The patient’s medical history isnoncontributory.

A cone beam computed tomography imaging was performedto evaluate for her delayed eruption. The imaging showed an incidental finding of a well circumscribed, expansile, corticated,unilocular radiolucency enveloping the entire impacted tooth#5. Within the radiolucency were scattered speckles“snowflakes” of radiopacities coronal to the crown of #5 (Figure1 and 2). The lesion seems to have some buccal expansion

resorbing the buccal cortical wall, and thinning the buccal wallof the maxilla. The lesion appears to be pushing #4 distallyand has displaced #6 superiorly and mesially producing a slightbulge on the lateral nasal wall.

The patient was referred to an oral and maxillofacial surgeonfor the excision of the lesion. The specimen was submitted forhistopathologic examination. The specimen showed anencapsulated lesion of epithelial cells which are spindle andpolyhedral in shape forming a swirled pattern. Some epithelialcells formed small nests referred to as ‘‘duct-like spaces’(‘‘rosettes’’) often enclosing droplets of an eosinophilic material(Figure 3). Areas of calcification were also seen which repre-sented the snowflake opacities (Figure 4).

WHAT IS THE DIAGNOSIS?A. Dentigerous cyst

B. Calcifying cystic odontogenic tumor

C. Adenomatoid odontogenic tumor

D. Calcifying epithelial odontogenic tumor

CLINICAL HISTORY

Figure 1.A reconstructed panoramic radiographfrom the cone beam CT showing a well circumscribed, expansile, corticated,unilocular radiolucency enveloping the entire impacted tooth #5. Within the radiolucency are scattered speckles“snowflakes” of radiopacities coronal to the crown of #5

Figure 2.A sagittal view of the cone beam CT

Option A. Dentigerous cyst. The radiolucency associated withthis unerupted permanent maxillary right first premolar makes adentigerous cyst a clinical differential diagnosis. Dentigerous cystis an odontogenic developmental cyst that forms as a result offluid accumulation in the follicular space of an unerupted tooth.4

The reduced enamel epithelium gives rise to the cystic epitheliumin a dentigerous cyst, which is usually associated with the crownof a tooth extending to the cementoenamel junction. It is considered a cystic lesion once the dental follicle expands atleast 3-4mm around the tooth.4 It is commonly found aroundunerupted third molars, particularly the mandible, although impacted canines and premolars can be involved as well. The lesion is commonly asymptomatic but can become infected,leading to symptoms of pain and swelling. Dentigerous cyst does have the potential to expand greatly and may present with some swelling or bone expansion.6 Radiographically, the lesion presents as a well-defined, unilocular, corticated, andmostly exapansile lesion around the crown of an uneruptedtooth extending to the cementoenamel junction. The presenceof speckles “snowflakes” of radiopacities coronal to the crown of #5 and extension of the lesion beyond the cementoenameljunction enveloping the unerupted tooth argues againstdentigerous cyst as a diagnosis.

Option B. Calcifying cystic odontogenic tumor (CCOT). CCOT, an odontogenic ghost cell lesion, which is also known as Gorlincyst, is a benign odontogenic tumor of odontogenic epitheliumwith odontogenic ectomesencyme, with or without hard tissueformation.1 It is a slow-growing neoplasm that is made up ofameloblastic-like epithelium and ghost cells that may or may not calcify. The ghost cells are commonly found within the cysticcavity and in the fibrous wall. It is the most common odontogenictumor that can be associated with other odontogenic tumors.1

Figure 4.A photomicrograph showing areas of calcification representing the snowflake opacities (H&E x100)

Adenomatoid odontogenic tumor (AOT) is a progressively slowgrowing, encapsulated tumor of benign odontogenic epitheliumwith mature fibrous stroma without odontogenic ectomes-enchyme. The lesion accounts for about 1.7-7.5% of odontogenictumors.1 The tumor has been described as the “two-thirdstumor.”2 With two-thirds of the tumor occurring in females,two-thirds of the tumor occurs in the anterior maxilla, two-thirds of associated unerupted teeth are permanent canines,two-thirds are also associated with scattered radiopaque foci,and the lesion is usually diagnosed in patients in their secondand third decade of life with two-thirds of patients in thesecond decade.2,3 However, it can be diagnosed at any age. Thelesion is almost exclusively found intraosseous, and a peripheraltype is rare. The intraosseous type could be follicular orextrafollicular; follicular when it is enveloping an unerupted

tooth (usually the maxillary permanent canine) andextrafollicular when it is unrelated to an unerupted tooth.Clinically, the lesion is asymptomatic and is usually found on aroutine exam or on evaluation for a delayed eruption. Thelesion may present as a palpable bony-hard swelling that mayor may not have pain associated with it. A peripheral lesionmay present with an epulis-like swelling of the gingiva.Radiographically, the intraosseous type presents as a unilocular,corticated, well-defined radiolucency with occasional scatteredcoronal radiopaque foci “snowflakes”4 and may cause toothdisplacement, and if associated with an unerupted tooth itattaches beyond the cementoenamel junction of the tooth.Peripheral lesions can cause cupping, or slight erosion of thealveolar bone.5 The treatment involves enucleation/excisionand the lesion rarely recurs.4

INTRODUCTION

DISCUSSION

Figure 3.A photomicrograph showing epithelial cells which are spindle andpolyhedral in shape forming a swirled pattern with some forming small nests referred to as ‘‘duct-like spaces’ (‘‘rosettes’’) (H&E x200)


THE ANSWER ISC. Adenomatoid odontogenic tumor

Clinically, the lesion presents as an asymptomatic lesion andhas a predilection for anterior parts of the jaw, and may presentwith some swelling. Radiographically, most lesions present asunilocular radiolucency with about 50 percent of them having avariable amount of radiopacities. About a one-third of them maybe associated with an unerupted tooth, often a canine.7,8 Clinicaldifferentiation of CCOT from AOT may be difficult warrantinghistopathologic examination. CCOT is made up of ameloblastic-like epithelium and ghost cells which is absent in AOT.

Option D. Calcifying epithelial odontogenic tumor (CEOT). CEOT is also known as Pindborg tumor. It is a benign odonto-genic tumor of odontogenic epithelium with mature fibrousstroma without odontogenic ectomesenchyme. CEOT is aslow-growing, locally aggressive lesion made up of irregularsheets/islands of eosinophilic polyhedral epithelial cells with aneosinophilic amorphous material which stains with amyloidmarkers that tends to calcify into basophilic concentric rings(Liesegang rings).1 There are two types, an intraosseous typeand peripheral type. The intraosseous type is more commonlyfound in the mandible and has a predilection for the premolarand molar region. If the lesion is peripheral it usually occurs inthe anterior gingiva. Radiographically, it can present withvarying appearance from poorly/diffuse to well-circumscribedunilocular radiolucency with flecks of radiopacities (drivensnow).4,9 It may or may not be associated with an impactedtooth.9 Clinical differentiation of CEOT from AOT may be difficultalso warranting histopathologic examination. CEOT consist ofsheets of epithelial cells and amyloid-like material which isabsent in AOT.


REFERENCES

1. Barnes L. Surgical pathology of the headand neck. New York: Informa healthcare;2009.

2. Robinson RA, Vincent SD. Tumors andcysts of the jaws. AFIP Atlas of TumorPathology. 4th ser. Silver Spring, MD:American Registry of Pathology; 2012:64-8.

3. Giansanti JS, et al. Odontogenic adenomatoid tumor (adenoameloblastoma).Survey of 111 cases. Oral Surg Oral MedOral Pathol. 1970;30:69-86.

4. Neville BW, et al. Oral and maxillofacialpathology. 3rd ed. St. Louis, Mo.: Saunders/Elsevier; 2009.

5. Takeda Y, Kudo K. Adenomatoid odontogenic tumor associated with calcifying epithelial odontogenic tumor.Int J Oral Maxillofac Surg 1986;15:469-73.

6. Motamedi MHK, Talesh KT. Managementof extensive dentigerous cysts. BDJ2005;198:203-6.

7. Neville BW, et al. Oral and maxillofacialpathology. 2nd ed. Philadelphia: Saunders; 2002.

8. Chindasombatjaroen J, et al. Calcifyingcystic odontogenic tumor and adenomatoid odontogenic tumor: radiographic evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol.2012;114:796-803.

9. Azevedo RS, et al. Calcifying epithelialodontogenic tumor (CEOT): a clinico-pathologic and immunohistochemicalstudy and comparison with dental follicles containing CEOT-like areas. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116:759-68.

AUTHORSadepitan a. owosho BChD¹*Chief Resident, Oral and Maxillofacial [email protected]

tessie Buraczewski DMDResident, Oral and Maxillofacial Pathology

anitha Potluri DMD, MDscAssistant Professor, Oral and Maxillofacial Radiology

Department of Diagnostic sciencesSchool of Dental Medicine University of Pittsburgh.G-132, 3501 Terrace Street, Pittsburgh, PA 15261

(Discussion Continued)

AWARDS AND ACHIEVEMENTS


McElwee Receives Two HonorsCongratulations to PDA’s Charles McElwee, who was recently presented two

prestigious honors. The Irish Echo, the largest and most widely read Irish-Americanweekly newspaper, honored McElwee as one of its distinguished group of “40Under 40” Irish and Irish-Americans for his professional accomplishments andextensive historic preservation work. He received the award February 27 in TheManhattan Club at Rosie O’Grady’s in New York City.McElwee was also honored by the City of Hazleton, receiving the Irish-

American Award for his service to the city during a ceremony at the Markle Lobbyof Hayden Tower in downtown Hazleton on March 13. He received acommendation from Hazleton Mayor Joseph Yannuzzi recognizing him forcontributions to the city as a consultant to the Downtown Hazleton Alliance forProgress, columnist for the Hazleton Standard-Speaker and volunteer on theboard of the Greater Hazleton Historical Society and Museum.A graduate of Lebanon Valley College, McElwee has been a government

relations coordinator at PDA since 2012. He is currently completing a Masters inPublic Administration from the Fels Institute of Government at the University ofPennsylvania. He will graduate this August.

IN MEMORIAM


Dr. Donald A. DaveyErieUniversity of Pittsburgh (1951)Born: 1920Died: 1/20/2015

Dr. R. Hugh PeeryWexfordUniversity of Pittsburgh (1956)Born: 1931Died: 1/10/2015

Dr. Paul ForemanPittsburghUniversity of Pittsburgh (1945)Born: 1923Died: 1/14/2015

Dr. Robert Weber TigheAllentownTemple University (2002)Born: 1974Died: 2/1/2015

Dr. Hugh W. WilsonSelinsgroveTemple University (1970)Born: 1944Died: 12/5/2014

Dr. Joshua H. BarronLansdowneTemple University (1952)Born: 1928Died: 10/12/2014

Dr. David B. AgostoniPittsburghUniversity of Pittsburgh (1971)Born: 1945Died: 1/23/2015

Dr. Salvatore A. MiglioreEllwood CityUniversity of Pittsburgh (1961)Born: 1931Died: 12/7/2014

Dr. C. Rebecca ShelbyLancasterUniversity of Pittsburgh (1994)Born: 1968Died: 11/22/2014

Are you interested in...n Receiving world-class CE?n Networking with your peers from around the country?n Exploring your nation’s capital?

then, save the date for aDa 2015 — america’s Dental Meeting. For the first time in nearly two decades, the annual meeting is coming to Washington, D.C. thisNovember 5-10, and there are lots of new and exciting additions in store for you. With over 300 Ce courses, the annual meeting is the innovator of cutting-edge educationalofferings. Take advantage of over 80 hands-on workshops, the ever popular live-patient Educationin the Round and a not-to-be-missed exhibit hall where you can find the specialty pavilion,CAD/CAM live-patient stage, health and fitness courses, and more. Join us at the opening General session for the Distinguished speakers series. Hear CharlesKrauthammer and Eleanor Clift speak and gain D.C. insider perspectives of the upcoming 2016presidential election. Have you been in practice for less than 10 years? The New Dentist Conference is being held atthe annual meeting this year. Check out aDa.org/meeting to learn more about all the excitingnew opportunities (hint: customized CE track, exclusive lounge, significantly reduced hotel rates,and more!). Having a local network is helpful, but having a national network can be incredibly powerful.Connect with colleagues from across the country and catch up with old friends. New this year,you and your family are invited to the new after-hours Welcome Reception taking place attwo of the world-renowned Smithsonian museums, the National Museum of Natural History andNational Museum of American History. looking to combine the annual meeting with a vacation? Recently named the “Coolest Cityin America” by Forbes, Washington, D.C. has lots to offer everyone from historic monuments andmuseums to exceptional cuisine and family fun.

Registration for ADA 2015 opens in May, so mark your calendars. For more information,visit ADA.org/meeting.


University of Pittsburgh

Contact: Lori BurketteAdministrative Secretary(412) 648-8370

Off Campus Courses

Altoona

April 23Infection Control and Oral DiagnosisDr. Louis DePaola

Bradford

April 30 Updates In Pediatric Dentistry:Treating Tiny Tots To TeensDr. Lance Kisby

September 24The Phantom Of The Operatory:An Overview and Update InPharmacology For The DentalProfessionalsDr. Thomas Viola

October 15Diagnostic Considerations andNew Treatment Options For DifficultCasesDr. Edward Feinberg

Butler

April 30The Phantom of the Operatory:An Overview and Update inPharmacology for the DentalProfessionalsDr. Thomas Viola

Erie

April 29Concise Up-To-Date Information InTreating Patients With CardiovascularDisease – Plus Treating Yourself ToA Healthier LifestyleDr. John Lichon

Johnstown

October 14Tricky Decisions And TreatmentTechniques In PediatricsDr. Jane Soxman

Contact: Nicole Carreno (215) 707-7541(215) 707-7107 (Fax)[email protected] at dentistry.temple.edu/continuing-ed

April 24-25Introduction to Laser Dentistry (Hands On) Dr. Robert Convissar and Dr. James Craig

May 8Is Occlusion an Illusion?Dr. David Donatelli andDr. Scott Nakamura

May 29Prosthetically Driven ImplantTreatment Planning/ContemporaryComputer Guided Surgery Dr. Hai Qing

September 25Composites Can Be Beautiful!(Hands On)Dr. Howard Glazer

October 2Orthodontic Diagnosis and TxPlanning for the General Dentist Dr. Harold Slutsky

Temple University

CONTINUING EDUCATION

November 12 The Science Of Good Health AndLongevityDr. Nasir Bashirelahi

Pittsburgh (VAMC)

April 29Current State Of Sedation InDentistry Restorative DentistryDr. Joseph Giovannitti

Reading

September 18The ABC’s of Pediatric Dentistry…It’s As Easy As 1…2…3!Dr. Mary Beth Dunn

October 16Concise Up-To-Date Information InTreating Patients With CardiovascularDisease – Plus Treating Yourself ToA Healthier LifestyleDr. John Lichon

Scranton

April 22Shift Happens! Problem Solvers forRestorative DentistryDr. Howard Strassler

Titusville

April 22Is What We Do For Our PatientsReally The Best Treatment – HowDo You Decide?Dr. Carl Driscoll

Contact: Pamela RiceAdministrative Secretary(215) [email protected]

June 11-13The Penn Esthetics SymposiumCourse Directors:Joseph P. Fiorellini, DMD, DMScErnesto A. Lee, DMDwww.dental.upenn.edu/esthetics2015

June 28–July 3Penn Periodontal ConferenceCourse Director:Denis F. Kinane, BDS, PhDDana T. Graves, DDS, DMScwww.dental.upenn.edu/pennperio2015

October 17AAOM Fall Meeting 2015The World of Oral Medicine:Essentials for HealthcareProfessionals.Course Director:Eric T. Stoopler, DMD, FDS RCSEd,FDS RCSEngwww.dental.upenn.edu/cde

November 14TMJ A to ZInitial Management Strategies,Approaches and End-Stage DiseaseCourse Director:Eric Granquist, DMD, MDwww.dental.upenn.edu/TMJ2015

University of Pennsylvania

Giannilli’s II Restaurant & BanquetFacilityContact: Rebecca Von Nieda, PDA(800) 223-0016, ext. 117

May 1OSHA & Infection ControlLeslie Canham, CDA, RDA, CSP

Greensburg

Wellsboro

Tokishi Training CenterContact: Rebecca Von Nieda, PDA(800) 223-0016, ext. 117

May 8The Latest, Concise Information onCardiovascular Disease—Supplementsand Everything In-BetweenJames Lichon, RPh, DDS, NCCM

September 25Problem Solving with Composite –Unique Solutions to EverydayPractice SolutionsRobert N. Obradovich, DMD

October 16Medical Emergencies in theDental OfficeR. John Brewer, NREMT-P

Brookville

Pinecrest Country ClubContact: Rebecca Von Nieda, PDA(800) 223-0016, ext 117

May 1Digital X-Ray Imaging and DentalX-Rays – Are They Safe? Are TheyNecessary?Dale A. Miles, DDS, MS, FRCD(C)

June 5Esthetic Dentistry and PeriodontalProsthesis: A Wonderful Marriage forToday’s Restorative DentistJoseph R. Greenberg, DMD, FAGD


CONTINUING EDUCATION continued

PDA/PDAIS

Bel-Aire Hotel, ErieContact: Rebecca Von Nieda, PDA(800) 223-0016, ext. 117

May 15The New Materials & The NewRestorative Dentistry —Opportunities & ChallengesSteven R. Jefferies, MS, DDS, PhD

Dental Society of ChesterCounty and Delaware County

DKU Continuing Dental EducationSpringfield Country ClubDelaware CountyContact: Dr. Barry Cohen (610) [email protected]

May 8The Wellness Advantage: the ValueAdded PracticeUche Odiatu, DMD

The Institute For Facial Esthetics

Fort WashingtonContact: Linda Maroney, CECoordinator(215) 643-5881On-Line Registration:www.iffe.net/registration

May 18Severely Atrophic MaxillaThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

June 1All-On-4 and MoreThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

June 13Dental Assisting in the ImplantPracticeJames R. Bowers, DDSHillerie Swinehart, EFDA

September 14-15Teeth In A Day® Thomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBEJames R. Bowers, DDS

October 5All-On-4 and MoreThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

November 9Advanced Guided Surgerywith ZygomaThomas J. Balshi, DDS, PhD, FACP,Glenn J. Wolfinger, DMD, FACP,Stephen F. Balshi, MBE

Pennsylvania Prosthodontics Association

Contact: Dr. David Kopecki(610) [email protected]:[email protected]

June 5-6Real World Dentistry Circa 2015Dr. David Garber


CLASSIFIED ADVERTISEMENTS

Outstanding Career OpportunitiesIn Pennsylvania, providing ongoing professional development, financialadvancement and more. Positions also available in FL, GA, IN, MI, VA and MD.For more information contact Jeff Dreels at (941) 955-3150, fax CV to(941) 330-1731 or email [email protected] or visit our websitewww.Dentalcarealliance.com.

Immediate Opportunity — Shamokin DamMerit Dental is seeking dental candidates for an immediate practice opportunityin Shamokin Dam. Our philosophy of preserving and supporting the traditionalprivate practice setting provides a great work-life balance, excellent compensationand benefits, and unlimited opportunity for professional development. Ourcomprehensive support team takes care of the administrative details, providingyou the freedom to lead your team while focusing on your patients and skills.If you possess a passion for providing quality care and are looking for a rewardingpractice opportunity in Shamokin Dam, please contact Brad Smith by phoneat (715) 590-2467 or email at [email protected]. Visit our websiteor apply online at: www.mymeritdental.com.

OPPORTUNITIES AVAILABLE

Rates: $45 for 45 words or less, $1 for each additional word. $1 foreach word set in boldface (other than first four words). $10 to box anad. $5 for PDA Box number reply. One free ad to deceased member’sspouse.

Website: All Journal classified ads will be posted on the publicsection of the PDA website, unless otherwise requested. Ads will beposted within 48 hours of receipt, but no earlier than one monthprior to the date of the Journal issue. Ads will be removed at the endof the two months of the Journal issue.

Deadlines: Jan/Feb Issue — Deadline: Nov 1 • Mar/Apr Issue —Deadline: Jan 1 • May/Jun Issue — Deadline: Mar 1 • Jul/Aug Issue— Deadline: May 1 • Sept/Oct Issue — Deadline: Jul 1 • Nov/DecIssue — Deadline: Sept 1

Payment: Upon submitting ad.

Mailing Address: Send ad copy and box responses to:PDA Dental Journal • PO Box 3341 • Harrisburg, PA 17105

Classified Advertising Policy: The Pennsylvania Dental Associationis unable to investigate the offers made in Classifieds and,therefore, does not assume any responsibility concerning them.The Association reserves the right to decline to accept or withdrawadvertisements in the Classifieds. The Journal reserves the right toedit classified ad copy.

How to reply to a PDA Box Number:

Your Name& Address Here

Pennsylvania Dental JournalPO Box 3341Harrisburg, PA 17105

Attn: Box M/A____

ASSOCIATED NEEDEDA P/T OR F/T general dentist needed for a well-established family practice inHanover. We have a steady patient base, a friendly staff and excellent workatmosphere. Competitive base salary with bonus and other benefits. Pleaseemail resume to [email protected] or call (215) 820-7113.

Associate — General Dental PracticeBeaver County Pennsylvania (Pittsburgh area) extremely busy general practiceseeking quality long term associate or buy in candidate. Contemporary practice iscomputerized and has all digital X-rays. Experience in all phases of general practiceincluding endo, implants and crown and bridge preferred but will consider arecent, qualified graduate. Established practice includes experienced staff, modernequipment, great location, and doctors willing to make this a win-win situation.Contact office at (724) 775-4115 or email [email protected].

General Dentists NeededDental Dreams desires motivated, quality oriented general dentists to work inour busy Pennsylvania practices. At Dental Dreams, we focus on providing theentire family superior quality general dentistry in a modern technologicallyadvanced setting with experienced support staff. Because we understand thetremendous value of our associate dentists, we make sure that theircompensation package is amongst the best. Our competitive compensationpackage includes: minimum guaranteed salary of $150,000 with potential toearn up to $300,000, visa sponsorship, and health and malpractice insurancereimbursement. Make Dental Dreams a reality for you! To apply, please emailCV to [email protected] or call (312) 274-4520.

Orthodontist WantedThe Dentists of Brinton Lake in Glen Mills has an unique opportunity for the rightOrthodontist. The practice is a multidisciplinary practice with two general dentists,a Periodontist and Oral Surgeon. We are seeking a dynamic Orthodontist togrow the orthodontic portion of our practice.

The dental facility is a new state of the art office, located in a medical pavilion inChester County, PA. Our referral base is predominantly in-house. Initially, ourpractice requires one day a week of orthodontic time. The position will rapidlyrequire a greater time commitment.

Clinical excellence, a high degree of energy and superior interpersonalcommunication skills are a must! Draw per day guarantee against a forty percentcommission of net receipts, with the Orthodontist receiving whichever is greater.The position is available immediately.

If this opportunity interests you, please email your curriculum vitae to:[email protected] or fax it to (610) 459-8290.

Love Doing Dentistry?Smilebuilderz is a comprehensive dental practice offering a full array ofdental services, specialties, and walk in emergency care! We provide aprofessional support staff, excellent facilities, and advance dental technologiesto allow each of our doctors to shine. As a rapidly expanding practice weare looking for exceptional doctors to join our team! Please contact ourhuman resource department to learn more about our opportunities byemail at [email protected], call Christi at (717) 481-7645 ext. 1084,and visit our site at www.smilebuilderz.com.


Full Time Dental Associate Position AvailablePartnership or buy in available after one year for the right person. The practice iswell established with over 5,000 active patients. Currently we have two fulltime dentists and five hygienists. There are 10 operatories and a private office foreach doctor.Services performed in office include crown and bridge, cosmetic dentistry,implant restoration (not placement) simple root canal treatment, extraction,whitening, Invisalign and a full hygiene program.

Each operatory is equipped with digital radiography equipment, intra oralcameras, computers with both doctor and patient monitors and high speedhand pieces.

Practice has shown consistent growth in a very tough economy. We are locatedin Mechanicsburg, 10 minutes outside of Harrisburg, the capital. Philadelphia isa two hour drive, NYC 3 hours 20 minutes, Washington 2 hours 15 minutes andBaltimore 1 hour 35 minutes. Please email your resume to [email protected] call (717) 649-0663. All inquiries will be kept confidential.

Part-time GP WantedWe are looking for an associate for our GP practice 18-20 hours per week.We are a growing, patient centered, multi-provider, modern practice located inLansdale. There is an immediate opening for a dentist who is a self motivated,energetic, and compassionate dental professional with a positive attitude andexcellent clinical skills. Qualities and skills should include superb communication,a desire to individually and corporately excel and a team mentality. Excellentopportunity for growth. Please only respond if you have at least 2 to 3 yrs exp.Compensation: Very competitive based on experience. Email resume [email protected].

General Dentist WantedImmediate F/T salaried position for a general dentist available in busy CentralPA multi-dentist clinic. Multiple hygienists and EFDAS. Office recently upgradedto digital X-rays and electronic charting. Must have active dental license forPA. Guaranteed salary with benefits including: health, malpractice insurance andpaid time off. Great opportunity for new or experienced dentist. Hours includeMonday through Friday with no on call, evenings or weekends. If interestedforward resume to [email protected].

General DentistHealthDrive is seeking a General Dentist to provide dental services to theresidents of nursing homes and long term care facilities in the Philadelphia area.Contact Tanya at [email protected] or (857) 255-0293.

For SaleLuzerne County, Drums PA. Well located on main road in growing area. GeneralDental Practice, 4 operatories. Est 25 years . Excellent growth potential.Doctor willing to stay to introduce patients. General Dental Practice in Drums,Luzerne County. Well located on main road in area. 4 operatories. Est 25 years,excellent growth potential. Doctor willing to stay introduce patients. Phone(570) 788-7010 or send resume to [email protected].

Home Office with Dental Equipment for SaleHome office with parking lot in award winning school district. Located on busyBaltimore Pike in Media. Includes 2 Ops, hygiene room, sterilization lab, N20plumbed, and compressor. Good opportunity for establishing or relocating apractice. Terms negotiable. Contact Dr. Claire Field at [email protected] (610) 209-5573.

For SaleDental practice and office building for sale in Grove City. Building consists offour operatories, digital radiograph, waiting, reception and computer rooms, twobusiness offices and a one bedroom apartment. Email [email protected] more information.

Associate Leading to PartnerEstablished, private dental practice in Hanover is seeking a highly motivateddentist to join our team as an Associate leading to a partner. We have a highvolume of patients and the number grows daily. Flexible scheduling, optionalFridays and no weekends. Guaranteed Salary, 401K/Profit sharing. Please contactJohn Grimes at (717) 632-4164 or [email protected].

Pediatric Dentist WantedBusy Pottstown family and Pediatric practice seeking a pediatric dentist. Ourpatient list has been steadily expanding, and we have recently moved to a new,state-of-the-art office. Great opportunity for a recent graduate or young dentist.Email CV and cover letter to [email protected].

Pedodontist Wanted in Glen MillsThis is truly a unique opportunity. We are located in Glen Mills, an area ofunprecedented growth near West Chester and Philadelphia, PA and Wilmington,Delaware.

Our facility is brand new, high tech and well equipped. You will have everythingto meet your needs. Our practice consists of four general dentists, a Periodontist,Oral Surgeon, Endodontist and Orthodontist. We currently have over 13,000active patients and are experiencing rapid growth. At this time we can utilize aPedodontist one or two days a week.

Please contact our administrator, Myra Reid to schedule an interview. Fax yourCurriculum vitae to (610) 459-8290 or email to [email protected] Practice #PA-1206 Lehigh County. 17 Operatories, 7,000 squarefeet. Owner looking for associate. Office currently open Mon-Fri. Many specialties(OMS, Endo, Ortho). For details contact Bernie Kowalksi, DMD, our central/eastern Pennsylvania representative, NPT, LLC (National Practice Transitions)(215) 437-3045 x233, [email protected] or www.NPTdental.com.

Dentist WantedBusy Pottstown family and Pediatric practice seeking a pediatric dentist. Ourpatient list has been steadily expanding, and we have recently moved to a new,state-of-the-art office. Great opportunity for a recent graduate or young dentist.Email CV and cover letter to [email protected].

General DentistPart-time position available for experienced DDS or DMD in the Wilkes-Barre,Scranton, Dunmore area. Excellent Pay. Flexible hours. No eves or weekends. Fixedlocation. No transport of equipment or supplies needed. Excellent opportunityfor dentists looking to supplement their current income. Please email or faxresume. Email [email protected] or fax (855) 562-8030.

Part Time Associate WantedLarge family dental practice with 7 operatories in Bedford. Looking for a part-time associate for potential buy-in. Over $800,000 average collections in thelast few years. Please contact [email protected] Part-TimeOur office is in need of an Orthodontist on a part-time basis, specifically 1 dayper week. The applicant will be joining a group consisting of a General Dentistand a Pediatric Dentist. We are located in beautiful Bucks County Pennsylvania,about 35 minutes northeast of Philadelphia. Contemporary practice iscomputerized, has digital X-rays and a fantastic staff. Excellent compensationpackage, plus we provide the opportunity to step in and take over a thrivingOrthodontic patient population. Perfect for an individual looking to add substantialsupplemental income. To apply, please email CV to [email protected] orcall (215) 605 3365.

Associate Dentist WantedThe position will include: treating dental patients under PA state guidelines.Examine teeth, gums and related tissues, using dental instruments, X-rays andother equipment. Diagnose diseases and plan appropriate treatment andwrite prescriptions for patients. Education required: DDS or DMD and PA dentallicense required. Please send your resume to Torresdale Dental Associates, PC,7108 Torrewsdale Ave., Philadelphia, PA 19135.

CLASSIFIED ADVERTISEMENTS continued

FOR SALE



For SaleORTHODONTIC Practice #PA-1214: Lancaster County. 3 Operatories. Highlyproductive (Avg. net 51%)! Up-to-date equipment. Prosperous county. Dentistcurrently in process of relocating. Price: $461,000. For details contact BernieKowalski, DMD, our central/eastern Pennsylvania representative, NPT, LLC(National Practice Transitions) (215) 437-3045 x233, [email protected] www.NPTdental.com.

For SaleImmediately Available in Western PA: Prime location in the North Hills withparking right off of Interstate 79. Well established dental practice w/ 4 opp.2,700 sq/ft of office space. We are willing to sell building or rent building andsell practice with lease of space. Dr. retiring but willing to stay on to introducepatents or work part time. Over 8,000 patent records. Please call us at(724) 612-8625 or email [email protected] for more information.

Delaware County: Commercial Building for SaleDrexel Hill (20 minutes from Center City Philadelphia). One story, 2,500 sq/ft.professional building for sale with a partially finished basement. Centrallylocated and on a heavily traveled road. Ideal for dental or medical usage.Previously fit out for an orthodontic practice. All plumbing in place, panorexX-ray equipment, existing cabinetry for front desk, as well as, other mill work.Contact Dr. Anthony Cook, [email protected] or call (610) 622-4400.

PRACTICE FOR SALEGeneral Dental practice for sale in Bedford. 40 Years same location. 3 operatories,easily expandable, owner retiring, would help transition. Gross $525,000, 28hours per week. Historical town and perfect location. Practice, office building andseparate remodeled historical home next door for sale. Call (814) 977-1747.

FOR SALELigonier-Latrobe area. Active general practice. Excellent facility, modern equip-ment (digital), staff, patient base, opportunity. PROFESSIONAL PRACTICEPLANNERS, 332 Fifth Avenue, McKeesport, PA 15131, (412) 673-3144, (412)621-2882 (after normal hours), [email protected].

FOR SALESchuylkill County. Active general practice. Excellent facility, staff, patient base,and opportunity. Reasonably priced. PROFESSIONAL PRACTICE PLANNERS,232 Fifth Avenue, McKeesport, PA 15132, (412) 673-3144 or (412) 621-2882(after normal hours), [email protected].

For SaleBerks County. Busy office located on 2,100 sq/ft w/room to expand. Diversegroup of patients; PPO’s, HMO’s & Medicaid. Iintraoral cameras, digital X-ray,and a patient education system in all 4 operatories. About 30 new patientsper month. Lots of opportunity to grow this, currently, 28 hours per week office.Please call or email Sharon Mascetti (484) 78-4071 or email:[email protected]. #PA151.

For SaleChester County - Very nice 23 year old practice in the heart of a great area.Recent cosmetic update and the 2,000 sq/ft. Show VERY well. 4 ops, plumbedfor 5 and the equipment averages 10 years old. Robust recall system with staffthat will be instrumental in the transition. SoftDent. Please call or emailHenry Schein Professional Practice Transitions representative Sharon Mascettiat (484) 788-4071 or [email protected]. #PA150

For SaleDental Practice and Office Building in Charleroi. Spacious reception, panoramicX-ray, multiple computers, electronic surveillance, three apartments for rent.Corner location on route 88 and two private office rooms. Phone (724)-942-1935or (724) 942-1941 or email [email protected].

For SaleDental Practice for Sale in McMurray. Excellent location.ter Dam Plaza, ideal aview of the lake. Panoramic X-ray, well designed spacious rooms. Rapidly growingarea. Route 19 just south of Donaldson Crossroads. Phone (724) 942-1935 oremail [email protected].

LEHIGH VALLEY DENTAL PRATICE FOR SALEWell established and modern cosmetic & family dental office with 4 ops andover 3,000 active patients. Great location, patients and staff. Practice has muchpositive growth opportunity. **Confidential information [email protected] call (610) 217-5507.

LehightonBusy 3 operatory, general dentistry practices. Real estate, with additional 2 incomeresidential rentals, for sale or rent. Call (610) 377-4719 or email [email protected].

Practices Available/Western PennsylvaniaMerger opportunities to practices grossing over 1 Million annually. Visit ourwebsite at www.paragon.us.com or contact David A. Moffa, DMD, MAGD(724) 244-9449 or [email protected].

For SaleSOUTH HILLS: Well established general practice with loyal employees, feefor service with $260,000 in collections – senior doctor willing to stay tointroduce patients, also willing to treat patients at a limited capacity. ContactPDI at (412) 373-7044 for confidential information.

For SaleNORTHWEST WASHINGTON CO: Well established family dental practiceof 40 years, located in rural Western PA, with over 15,000 patient records.Contact PDI at (412) 373-7044 for confidential information.

For SalePERIODONTAL PRACTICE: East suburbs of Pittsburgh, PA with 4 treatmentareas in a beautiful office space. Great periodontal practice with steadyrecalls and great potential for continued growth. Owner is ready to helpbuyer with introductions to the patients and the referring doctors. ContactPDI at (412) 373-7044 for confidential information.

For SaleMcKEESPORT/HOMESTEAD: Family general practice for sale, grosscollections over $500, 000 with well designed treatment areas — wellestablished practice with long time patients and loyal employees. ContactPDI at (412) 373-7044 for confidential information.

For SaleDELMONT/MURRYSVILLE, PA: Newly equipped dental office forrent/purchase/time share to develop your own specialty or general satelliteoffice. All equipment, instruments available for Endodontic, Periodontics,Oral surgery, Orthodontics, or Implant Dentistry. Staff is available to help.Contact PDI at (412) 373-7044 for confidential information.



PRACTICES FOR SALEMARYLAND, DC AND VIRGINIA; No buyer’s fees. CAROLL COUNTY – 4 OPS,digital X-rays, retiring.. Grossing $400K part time. Restorative high net.BOWIE – Digital 4/5 op, restorative practice, retiring. Grossing $750K. Condo.SAINT MARY’S COUNTY MD – 3 ops grossing $580k, 3 day week Near NavalBase. FREDERICK - 3 retiring grossing $350K PT. Call for more. POLCARIASSOCIATES, LTD (800) 544-1297. Website listingswww.polcariassociates.com.

For Rent in WexfordFor rent 2,300 sq/ft office. Beautifully designed with skylights in five fullyequipped operatories with intra-oral cameras, computer monitors. Officefurniture and waiting room furniture can also remain. Turnkey ready. Ready foroccupancy October 1, 2015. Ideal location for specialist. [email protected].

Practice TransitionsWe specialize in Practice Sales, Appraisals and Partnership Arrangements inEastern Pennsylvania. Free Seller and Buyer Guides available. For more details onour services, contact Philip Cooper, DMD, MBA America Practice Consultants,(800) 400-8550 or [email protected].

Financial ServicesFischer Financial Services, Inc. is an independent money management firmlocated in Harrisburg. As a “Registered Investment Adviser” with the U.S.Securities and Exchange Commission, the firm specializes in money manage-ment for institutions and individuals. To learn more, call (888) 886-1902 orvisit www.fischerfinancialservices.com.

PRACTICE TRANSITIONConsidering VALUING-SELLING-BUYING-MERGING-EXITING ANASSOCIATESHIP?? Contact TRANSITION & VALUATION SPECIALISTS,PROFESSIONAL PRACTICE PLANNERS, 332 FIFTH AVENUE, MCKEESPORT, PA15132. (412) 673-3144 or (412) 621-2882 (after hours) [email protected].

Practice SaleWestern, PA - Your chance to buy one of the most progressive, Fee for Service,general practices in Western, PA. Located just 85 miles northeast of Pittsburghin a college town, this practice has it all. E4D, (cad cam) Hard & Soft tissuelasers, places implants, Digital X-ray, Cone Beam, Intra Oral Cameras.Excellent hygiene & soft tissue management programs. Contact Henry ScheinProfessional Practice Transitions representative: Mark Sirney at (724) 778-8000or [email protected]. #PA142

Practice SaleHarrisburg area - Established general practice. 3 operatories, active, desirablearea, free patient parking. More than 2,700 patients. The practice offers full rangeof services. Care Stream management software, panographic X-ray, and goodmix of PPOs and FFS. Contact Henry Schein Professional Practice Transitionsrepresentative: Donna Costa at (800) 988-5674, [email protected].#PA139

Practice Sale Montgomery County, Well established 5 op GP located in great area.1,500 active patients. Rev $443,000. Contact Henry Schein Professional PracticeTransitions Rep: Donna Costa at (800) 988-5674 [email protected]. #PA143.

Practice SaleVery busy, well located and well established 2 op, part time practice! EagleSoft,Digital, free parking in large lot. Leased space. Great satellite or practice startup-DR MOTIVATED!!! Contact Henry Schein Professional Practice Transitionsrepresentative: Donna Costa (800) 988-5674, [email protected].

Western Pennsylvania / Greater Pittsburgh AreaNumerous practices available with Collections ranging from$225,000 to $5,000,000:

PA (#s are collections):GENERAL DENTIST – Altoona $242,000, Beaver Valley $225,000,Carnegie $670,000, Clarion County $630,000, Cranberry Township $300,000,East suburb of Pittsburgh $514,000, Harrison City $770,000, Indiana County$400,000, Pittsburgh-North Hills area $300,000; Pgh-Squirrel Hill $530,000,Venango County $240,000.PERIODONTAL – Northeastern Suburb of Pgh $822,000

OUTSIDE OF PAPERIODONTAL – Warrick/Narragansett, Rhode Island $2,300,000,Memphis, Tennessee $5,000,000.

We offer formal Valuation Services in case of divorce, business planning,estate planning, retirement planning, help in determining exit strategy, partner“buy out”, etc. As always, we treat these matters with the highest amountof confidentiality and any contact with United Dental Brokers of America willbe kept completely confidential. Please contact Bob Septak at (412) 931-1040or email [email protected].

Register your email address at www.UDBA.biz for new dental listings.

PROFESSIONAL SERVICES

Dr. Fill-In “Dentists helping Dentists”Dr. Fill-in was established 5 years ago to match qualified dentists with dentistswho are looking for temporary or permanent dental coverage. We serve thePennsylvania and New Jersey area to keep your office open while you areaway. For more information, please visit our website at www.doctorfillin.comor if you prefer contact us by phone at (610) 216-2899.

PRACTICE SALE/PURCHASEOFFICE LAYOUT and DESIGN, HELP WITH EQUIPMENT SELECTION,PRACTICE AND EQUIPMENT APPRAISAL, GREAT SELECTION OFREFURBISHED AND NEW EQUIPMENT, CONSULTING SERVICES.ESTABLISHED IN 1986 to THINK AS A DENTIST with DENTISTS IN MIND.Contact PDI at (412) 373-7044 for confidential info.

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