sfddaVolume 57, No. 4 www.sfdda.org Spring 2016

President’s Message, pg. 3

Ethical Aspects of Patient

Referrals In Dentistry, pg. 4

Legistlative Highlights, pg. 8

Affiliate Officer Installation andAnnual Business Meeting,pg.16

Classifieds, pg. 19

SFDDA Annual Poster Contest, pg 20

S O U T H B R O WA R D

D E N TA L S O C I E T Y ❤

M I A M I DA D E ❤D E N TA L S O C I E T Y

❤ N O R T H DA D E -

M I A M I B E AC H

D E N TA L S O C I E T Y

New Member Benefit!Affiliate Continuing Education

meetings are included in your

Tripartite Membership Dues!

pg. 15

SFDDA

2015-2016 Officers and

Executive Council

PresidentELAINE DEROODE, D.D.S.

(305) 373-7799

Vice PresidentMark A. Limosani, D.M.D., Msc

(954) 800-3453

SecretaryJoseph Pechter, D.M.D.

(954) 981-0012

Treasurer

RODRIGO ROMANO, D.D.S., M.S.

(305) 667-8766

Immediate Past President

MARCOS DIAZ, D.D.S.

(954) 659-9990

Young Member

ENRIQUE MULLER, D.M.D.

(305) 931 0607

Trustees & FDA Line Officer

Michael D. Eggnatz, D.D.S., FDA 2nd Vice President

(954) 217-8888

Jorge Centurion, D.M.D., Trustee

305-662-22167

Beatriz Terry, D.D.S., Trustee

(305) 279-2828

Alternate Trustees

Jeannette Peña Hall, D.M.D.

Rodrigo Romano, D.D.S., M.S.

Delegates to the Executive Council from the Affiliates Societies

Carlos Sanchez D.M.D. (MDDS)

Esteban Leon, D.M.D. (MDDS)

Richard Mufson D.D.S (ND/MBDS)

Isaac Garazi, D.M.D. (ND/MBDS)

Ross Schwartz, D.M.D. (SBDS)

Affiliate Society

Presidents

Alexandra Castillo, D.M.D. (MDDS)

Chandy Samuel, D.D.S.(ND/MBDS)

Mark Limosani, D.M.D. (SBDS)

Richard A. Mufson, D.D.S., Editor

Yolanda Marrero, Managing Editor

Jackie Quintero, Advertising Manager

SFDDA NEWSLETTER

Copyright: © SFDDA 1996

Published by the South Florida

District Dental Association

420 S. Dixie Highway, Suite 2E

Coral Gables, FL 33146

Send announcements and

correspondence to the Editor:

420 S. Dixie Hwy, 2-E

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Phone: (305) 667-3647

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or email to:

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Disclaimer: Opinions stated in the SFDDA Newsletterare not necessarily endorsed by the South Florida Dis-trict Dental Association, its Executive Council or Com-mittees. Advertisements printed should not be construedas an endorsement by the Association of the company,

product or service.

Your local, district and state leadersare listening to member requestsand are working tirelessly to advo-cate for our profession, increasingmembership and improving memberbenefits. If you haven’t done so al-ready, follow the link below to fill outyour member survey and let yourvoice be heard:

http://www.surveygizmo.com/s3/2691061/Florida-Dental-Association-Member-Survey

Under the direction of the FloridaDental Assocation (FDA) ExecutiveDirector, Drew Eason, and exten-sive efforts from FDA members andstaff, membership increased by 232members at year end 2015. SouthFlorida welcomed 60 of those newmembers. This increase in mem-bership is instrumental in strength-ening the FDA’s voice in bothlegislative and professional realms.

The implementation of the StrategicPlan for SFDDA is moving in a pos-itive direction. In an effort tostreamline the administrative dutiesand system protocols of the affiliatesocieties, the SFDDA has stepped

in to assist with member application,renewal, sponsorship, marketingand event registration.

With the legislation passed at theSFDDA Annual Business Meeting,a $40 increase in dues will enableall SFDDA members to join their af-filiate society and benefit from themeetings. Please take advantageof this NEW member benefit andjoin your local affiliate society! Lookfor announcements to come vianewsletter and email for lectureschedules for Miami Dade, SouthBroward Dental and North Dade/Miami Beach Dental societies.Please direct any questions on howto join your local affiliate to theSFDDA office: 305.667.3647.

Thank you for your support duringthis dynamic time in our profession.If I do not see you at the GaylordPalms for the Florida Dental Con-vention ( June 16-18), entitled, “TheArt of Modern Dentistry,” I will cer-tainly look forward to seeing you atour local affiliate society meetings!

3

President’s MessageElaine deRoode, D.D.S.

Hold on to Your Seats - MemberBenefits are About to Change!

The beginning of this series took place in our Summer, 2015 issue. The

initial premise sought to inspire a thought process and discussion among

us regarding some of the changes occurring within dentistry over the

past decade or more, many of which seem to have shared a common

theme of bearing some relation to issues involving ethics, or ethical de-

cision-making.

Several issues of concern were raised for our consideration – such as

questions as to whether our care of patients may be influenced by vary-

ing insurance plans, practice models, increasing student debt, myriad

hands-on courses empowering our sense of perceived competence, in-

tensive marketing which may drive our increasing use – whether nec-

essary in many cases or not - of graft materials, 3-D imaging and other

new products and technology, and the concern as to whether the care

our patients receive may be adversely influenced by the increasing num-

bers, frequency and locations of so-called traveling “surgeons.”

Indeed, a thought process and discussion has ensued, as I have received

significant interest and feedback from you, our readers, on many of

these issues. However, most of the series has been focused on the ethical

aspects of one small, but very significant, part of our every day practice

– and that being “referral” of patients in dentistry.

Continuing to Share A Chapter Written For an Ethics Textbook -

Part 4 of 5

The following represents the fourth part (of five) of a chapter I had been

asked to write several years ago for a textbook on the subject of “EthicalAspects of Referrals Within Dentistry.” I have repeatedly shared dis-

claimers that I do not consider myself an “expert” in the field of ethics,

and do not perceive myself as more “ethical” than those of you reading

this (and therefore do not want to be perceived as lecturing to anyone),

but rather someone who is merely attempting to share thoughts and in-

formation . I would also remind you that the initial stated target audi-

ence for this chapter was that of dental students, graduate students and

residents in training.

The topics previously discussed have included:

1. Indications for referral and knowing “when to refer,”

2. Indications for “when not to refer,”

3. Misrepresentation of specialty status or training,

4. Referrals based on financial considerations.

The remaining topics I would like to share in the remaining two parts

of this series include:

5. Factors affecting our choice of specialist of consulting doctor,

6. The importance of effective “communication” in the referral process,

7. Ethical considerations from the perspective of the specialist/

consulting doctor,

8. The importance of respecting the referring dentist-patient

relationship,

9. When “justifiable criticism” is indicated, and finally,

10. Choosing words carefully when speaking about others

Factors Affecting Our Choice of Specialist or Consulting Doctor:

By virtue of the inherent mutual faith and trust which develops over

time within a given dentist-patient relationship, it is presumed that the

basis for any and all decisions made regarding oral health needs – in-

cluding the decision to refer to another specialist or consulting practi-

tioner for care - would consist of that which is medically and clinically

in the best interest of the patient. Of equal, if not greater, importance

than a decision of when to refer, from a patient’s perspective, would also

be to whom one is referred.

Patients tacitly assume, for obvious reasons, that the dentist they have

come to know and trust over the months and years would only choose

to refer their care to an individual who would possess the highest level

of skill and expertise to address their unique clinical needs. In addition

to didactic or clinical considerations, patients would also like to feel

that the individual chosen would possess a similar high level of char-

acter and personal attributes as they have come to know and appreciate

in their own dentist. In many instances, patients are provided with not

just one, but two or more names and contact information of practitioners

who are presumed to be worthy of the confidence of both the referring

dentist and their patient.

Although most referrals made on a daily basis within dentistry take

place with these goals and sentiments in mind, some clearly do not. One

example of many could include the aforementioned scenario of a group

dental practice, consisting of one or more general dentists in combina-

tion with one or more dental specialists, some of whom may only be

present in the office one day or morning per week, or per month.

Notwithstanding the fact that many such specialists working within such

group practices may be highly qualified in their respective fields, a per-

centage of “in house” referrals take place with less consideration given

4

Richard A. Mufson, D.D.S., Editor

Ethical Aspects of Patient Referrals In Dentistry The fourth of a five­part series:

Factors Affecting Our Choice of Specialist, Importance of Communication,Respect for the Referring Dentist­Patient Relationship

Patients tacitly assume, for obvious reasons, that the dentist they have come to know and trust over the months and years would only choose to refer their care to an individual whowould possess the highest level of skill and expertise to address their unique clinical needs.

5

to clinical or personal qualifications as compared to other situations. As

discussed earlier, such referrals may be made with the goal of simply

keeping the patient, and their discretionary spending money, “in house,”

rather than have such funds go elsewhere if an outside specialist were

selected.

Other examples of referral choices, which may not necessarily be based

on high clinical or personal attributes of the specialist/consulting doctor,

may include those based more upon who may have given the best gift

around holiday time, or who may be a fishing buddy of the referring

dentist, member of one’s golf foursome, or social networking club,

rather than on clinical competence.

The disparity in such referral patterns may often become all the more

obvious or transparent when a dentist chooses to refer only his or her

closest friends and family members to a particular specialist in the

neighborhood, while an “in-house” or some other local specialist inex-

plicably is the known recipient of all other referrals from that same den-

tist.

In any event, choice of a specialist or consulting practitioner, from an

ethical standpoint, should be based on clinical considerations and patient

needs rather than on the basis of gifts received or inducements.3

From a legal perspective, a dentist may also be held responsible for

treatment performed by a specialist or consulting dentist, and for this

reason, it is recommended that dentists consider the training, knowledge

and overall qualifications as related to the individual needs of the pa-

tient.2

Communication

The importance of adequate and accurate communication between all

parties involved in the process of patient referrals cannot be overstated.

According to the ADA General Guidelines for Referring Dental Patients,

“…dentists have an ethical obligation to discuss their referral informa-

tion with the patient in an appropriate manner.” 2

The communication process, which may be viewed as a conversation,

or a forthright sharing of information and ideas, would be expected to

begin at or about the time a decision is first made to refer a patient to a

specialist or other consulting practitioner. Rather than a patient simply

be handed the business card of a local specialist by office staff at the

front desk and told to make an appointment, it is generally expected and

considered far more helpful for the patient to receive a thoughtful and

meaningful explanation from their dentist relative to any and all deci-

sions leading up to the referral. The information imparted would most

often be expected to include pertinent clinical information as to the spe-

cific rationale for the referral, or in other words, an explanation sup-

porting the perceived need for a different or higher level of knowledge

and expertise for the particular clinical situation involved.

Communication between the referring dentist and specialist/consulting

practitioner is also highly important. This may take place in person, or

in the form of a phone conversation, a written or typed letter, or a spe-

cific referral slip (which specialists often provide to referring dentists

in advance for this purpose), in which important information is shared

regarding the nature of the requested evaluation or treatment. In many

cases, such communication may take place in advance of the patient re-

ferral and in other cases –although often not as ideal - while the patient

is in the office of the referring dentist or after the patient has left the of-

fice. Regardless of the timing or method of communication, a thorough

understanding of shared information between all parties is of paramount

importance relative to the success of the desired benefits and goals of

the referral and the overall clinical care of the patient.

In some situations, however, proper or ideal communication does not

occur, and may regrettably involve little or no thought devoted toward

a given patient referral. It is not highly unusual for a patient to arrive at

the office of a specialist with virtually no knowledge or previous expla-

nation given as to the reason for the referral. It is not uncommon for the

patient to hand a referral slip from the referring dentist to the specialist’s

front desk staff, but with no information filled out on the form, or of

greater concern in some cases – the wrong treatment requested (i.e., a

request for lower left first molar endodontic therapy or removal, when

the treatment intended was for a lower right first molar).

Communication is also of obvious importance in the other direction as

well – that is, from the specialist/consulting practitioner back to the re-

ferring dentist. The information shared may typically include, but would

not be limited to, findings, relevant opinions, recommended plans of

treatment, clinical procedures performed, any unanticipated or unusual

findings or outcomes, or any plans for follow-up care.

The method of communication may consist of a phone conversation

(which should be documented in the medical record, if possible) or let-

ter. Electronic (e-mail) communication is also more commonplace in

today’s world of sharing medical and dental information, although mu-

tual treating doctors and other health care entities must exercise signi-

ficant caution due to laws governing patient privacy and confidentiality

when considering the transmission of any information which may be

regarded as sensitive or confidential, while also avoiding the use of spe-

cific names or other identifying data, where possible.

A multitude of other situations occur in daily practice between the time

of a patient’s arrival and final evaluation or treatment in which commu-

nication back to the referring dentist also takes on great importance. A

common example would include any comments or questions regarding

the specific nature of the evaluation or treatment requested, if not ade-

quately specified in advance. Certainly, there will also be instances in

which the proposed rationale for evaluation or the specified treatment

plan suggested by the referring dentist may not coincide with the view

or opinion of the consulting dentist, whereupon a respectful disagree-

ment may occur.

One example may include cases in which the consulting dentist discov-

ers that a patient’s pain and/or other symptoms are arising from a dif-

ferent source than originally assumed, such as from within the TM joint

rather than the lower molar referred for removal or endodontic therapy.

Another may include a recommended periodontal or endodontic therapy,

but which may appear precluded by an apparent poor or hopeless prog-

nosis associated with the tooth in question. The consulting dentist may

in turn feel that an alternative plan offering the patient a more pre-

dictable outcome may be warranted, such as removal of the tooth and

placement of a dental implant.

Whether it be a simple question, a clarification, or a “respectful differ-

ence in opinion” (as one example of an appropriate choice of words in

such situations) on the part of the consulting dentist, communication

back to the referring dentist and/or office staff becomes a common, nec-

essary and important natural consequence of every day practice.

It is not uncommon for the patient to hand a referral slip from the referring dentistto the specialist’s front desk staff, but with no information filled out on the form, or

of greater concern in some cases – the wrong treatment requested

continued on pg.7

During the course of such communication, whether taking place by

phone conversation, letter, or e-mail, it is also highly important that the

concepts and words used when speaking to either the patient or referring

doctor are chosen with utmost of thought and care. The reason for this

would clearly relate to the goal of having all parties involved in the re-

ferral process perceive any such lack of information or differences of

opinion as positive, helpful, or respectful, rather than implying the op-

posite, or with any suggestion or tone which may sound condescending.

Patients may also arrive at the office of the consulting dentist with ra-

diographs (or a poor copy thereof), or other types of imaging, lab results

or related documentation, which may be perceived to be insufficient or

inadequate. It is also important to take into account that the referring

dentist, physician and/or patient may have undergone significant effort,

time, and often cost in providing or obtaining such records. Once again,

any form of verbal, or even non-verbal, communication on the part of

the consulting dentist or office staff which may suggest any level of in-

eptitude or inadequacy associated with such provision of records would

be counterproductive to the referring practitioner’s good intentions and

the patient’s confidence.

Rather than have a patient question the process or perceive their dentist

or records provided as “inadequate” in this very common situation, there

are ways of tactfully explaining the need to obtain additional informa-

tion, or a different “type” or “angle” of radiograph or other study which

will facilitate a higher quality, efficacy and safety of patient care.

As one common everyday example, oral surgeons are aware of the need

for a radiograph which adequately demonstrates the position of the in-

ferior alveolar nerve canal or maxillary sinus in relation to the roots of

third molars or certain other teeth, as part of an evaluation for extraction.

Reasons for this include the need to accurately assess the relative risk

of potential nerve or sinus complications, adequately inform a patient

of the potential risks versus benefits, and in some cases, perform mod-

ifications of treatment designed to minimize these inherent risks.

Therefore, in the event a radiograph were to provide insufficient infor-

mation in this regard, a tactfully worded explanation may be necessary

to communicate the need for a different radiograph, most often (but not

always) of the panoramic type, which better reveals the position of teeth

in relation to adjacent anatomic structures, such as the maxillary sinus

or underlying nerve canal. When stated appropriately, such a dialogue

may go a long way toward a patient or referring doctor feeling more at

ease or confident, especially when considering that potential reduction

in the risks of sinus or nerve complications and overall patient safety

are at stake and a common goal shared by all. The importance of choos-

ing our words carefully when speaking to others during the referral

process is also addressed in further detail later in this chapter.

As a final example, and perhaps among the most common and important

of those requiring communication in daily practice, is the situation in-

volving the need for the consulting dentist to recommend or refer a pa-

tient to another third party consulting specialist. Rather than unilaterally

send a patient elsewhere and perform such a referral with no communi-

cation with, nor input from, the primary referring dentist, a combination

of (a) common courtesy, (b) ethics and (c) a “respect for the referring

dentist-patient relationship” (a topic addressed more in depth in a sub-

sequent section) underscores the importance of communicating first

with the primary dentist to ascertain any opinion or preference he or she

may have in choosing another needed specialist. Such conversations

may also often result in a referral selection mutually agreeable to both

parties in the conversation. However, referrals made in absence of such

communication may serve as an unwelcome surprise, or may be inter-

preted as hurtful or disrespectful to the patient’s primary referring dentist

and their relationship with one another.

In summary, the importance of effective and thorough communication

between mutual treating dentists or other health care practitioners, both

from an ethical point of view, as well as that of helping to ensure optimal

patient care, cannot be overemphasized.

Ethical Considerations From the Specialist/Consulting Dentist’s

Perspective

Much of the aforementioned information, such as an awareness of one’s

limitations, knowing “when to refer,” or the significance of adequate

communication, has largely been presented from the viewpoint of the

referring dentist. However, the referral of patients within dentistry is a

“two way street.” When patients are asked to travel along this metaphor-

ical roadway of clinical care, it becomes important to also consider sev-

eral key issues from the perspective of the practitioner on the receiving

end, and the resultant effect he or she may have on the patient and the

quality of their care.

First and foremost would be an appreciation for the fact that, in many

or most referral situations, patients are, in effect, asked to leave the fa-

miliar and comfortable surroundings of their dentist, staff, the office and

dental “home” to which they have grown most accustomed. Although

on a temporary basis, they are asked to go elsewhere, to a foreign and

unfamiliar place, to a practitioner with whom they have little or no

knowledge, faith, trust, or established relationship. It therefore becomes

important for a consulting practitioner and their staff to understand this,

while striving to make a patient feel comfortable and “at home” in the

new environment.

This concept is closely related to one discussed earlier in this chapter,

when considering the topic of factors influencing one’s choice of refer-

ring doctor or specialist. It may be viewed as a reciprocal thought

process, which asks that we stop to consider the reasons why a given

choice of specialist or consulting practitioner was made, and quite lit-

erally, how and why a patient sitting in the office waiting room with a

referral slip in hand came to be there in the first place.

When one considers the important relationship which exists between a

patient and their referring dentist, and a patient’s tacit assumption that

the dentist they have come to know and trust would only choose to refer

them to an individual worthy of a similar level of faith and trust, it be-

comes apparent that the consulting doctor should strive to deliver a level

of clinical and personalized care befitting that confidence.

Although the preceding section may perhaps seem overly analytical or

“psychological” to some, or something resembling the thoughts encoun-

tered in a group therapy or sensitivity session, it serves as an important

segue leading to an understanding of information presented in the next

section.

Respect for the Referring Dentist-Patient Relationship

The importance of awareness and respect for the relationships of others,

both in the personal and professional sense, is an important concept ap-

plying to all aspects of life, whether inside or outside the dental office.

An unmarried individual in a social setting, as one example of many,

would not be expected make inappropriate personal advances or intrude

on the relationship of another individual, if he or she were known to be

married. A similar sentiment could apply to intrusion into a parent-child

relationship with unjustified actions or commentary on how one’s child

should be raised from well-meaning relatives or others outside the

boundaries of that relationship.

Although a far cry from resembling a marital or parent-child relationship

– an awareness of, and respect for, the ongoing and existing relationship

between a patient and their primary referring dentist is, from a personal,

professional and ethical perspective, a very important concept within

the context of patient referrals and how we choose to interact with one

7

“Ethical Apsects of Patient Referrals”, continued from pg.7

Continued on pg.11

8

11

another. The same could also be said for an existing relationship be-

tween a patient and a prior treating specialist, whereby consideration

should be given toward preserving and continuing the relationship (if

so desired) in the event the patient would require referral for the same

or similar treatment as previously performed.

As for the meaning of “awareness of” and “respect for,” this would gen-

erally be regarded as a combination of thoughts, communication and/or

actions, which are positive, helpful and supportive to the mutual goals

and expectations of both the patient and their primary referring dentist.

This would also translate into the avoidance of any negative, contra-

dictory, or unsupportive communication or actions, or any other form

of unwanted intrusion or interference leading to potential disruption in

that relationship, a patient’s confidence in their dentist, or in the referral

process itself. This well known ethical principle within the daily prac-

tice of dentistry, when violated, is generally viewed as unjust and unfair

to the mutual interests of both the patient and their dentist, and coun-

terintuitive to the delivery of optimal care for the patient.

In order to express this principle more concretely into words applying

to everyday life within dentistry, a consulting dentist or practitioner

should be mindful of arguably the most commonly accepted and im-

portant tenet – which many would even consider the number one “car-

dinal” or “golden rule” - of referrals within dentistry, and which may

be appropriately stated as two closely related dictums:

(1) Do not refer the patient elsewhere (i.e., to a different primarydentist), and

(2) Make every attempt, upon completion of care, to have the patient return to their referring dentist for continued care.

As also addressed and stated within section 2.B. of the ADA Code, “The

specialists or consulting dentists, upon completion of their care, shall

return the patient…to the referring dentist.” An exception or caveat to

this principle, and also cited within the same sentence of the Code,

would be, “…unless the patient expressly reveals a different prefer-

ence.”1,2

Relative to the latter concept, consulting dentists may occasionally face

an unexpected and uncomfortable ethical dilemma in the event a patient

may choose to share, for whatever reason, a loss of confidence, appre-

ciation, or desire to maintain a relationship with their current primary

dentist. For reasons stated earlier, in addition to the known benefits of

continuity of medical care, as opposed to that which may be disjointed

or fragmented, a consulting dentist may very well be in a position to

verbally address patient concerns about their dentist in a positive or

helpful way, rather than in a negative or hurtful one.

Negative feelings toward one’s dentist, in many situations, may be lim-

ited to only a small misunderstanding, communication problem, or le-

gitimate misconception regarding some aspect of their care. However,

if appropriately discussed in a thoughtful and logical manner, it may

often have the beneficial effect of restoring a patient’s view of their

treating dentist to a more positive one.

As a topic covered in the final section of this chapter, our very choice

words, when speaking to our patients about other professionals involved

in their care, may have a significant impact on resulting impressions a

patient may have regarding all parties involved, and perhaps their over-

all level of confidence in dentistry as a whole. In many or most in-

stances in which a patient may question or consider leaving their dentist

and “going elsewhere,” others involved in the process, such as the con-

sulting dentist, or even a well meaning office staff, may be in a position

to allay concerns, rectify any misconceptions, and serve to protect and

preserve that important relationship.

However, there is admittedly a point beyond which a patient may be

justifiably concerned about, and feel an irreconcilable lack of confi-

dence in, the relationship with their primary dentist and in turn, a point

beyond which the consulting dentist would feel justified in attempting

to preserve that relationship.

References:

1. Principles of Ethics and Code of Professional Conduct, with official

advisory opinions, American Dental Association, revised to 2011.

2. General Guidelines for Referring Dental Patients, American Dental

Association Council on Dental Practice, revised 2007.

3. American Association of Oral and Maxillofacial Surgeons Code of

Professional Conduct, September, 2011.

4. Principles of Ethics and Code of Professional Conduct, American

Association of Orthodontists, adopted May, 1994, amended through

May, 2009.

5. Ethics Handbook for Dentists: An Introduction to Ethics,

Professionalism, and Ethical Decision Making, American College

of Dentists, Gaithersburg, MD, 2008.

6. Mufson, RA, Dentists Talking Negatively About Dentists, East Coast

District Dental Society Newsletter, Volume 40: No 1, pg 4-5,

September/October, 1998.

This article is the fourth in a series on the topic of ethical considera-tions in the practice of dentistry. Dr. Mufson is the editor of theSFDDA Newsletter, and may be contacted at (305) 935-7501 or

MufsonOralSurg@aol.com

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“Ethical Apsects of Patient Referrals”, continued from pg.7

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continued on page 17 15

Dr. Harold Menchel limits his private practice to treatment of TMD andorofacial pain in Coral Springs.

TMD Headache Neuropathic pain Sleep disordered breathing (OSA) Dr. Menchel coordinates treatment with restorative dentists,orthodontists, endodontists, and oral surgeons for these complexpatients.

Dr. Menchel has been in practice in S. Florida since 1981. He received themajority of his training at the University of Florida Parker Mahan FacialPain Center under the tutelage of Drs. Mahan and Gremillion from 19921999. He achieved the prestigious Diplomate of the American Board ofOrofacial Pain in 2000.

Treatment includes: (partial list) Splint therapy, medical management, physical therapy,joint mobilization, diagnostic and therapeutic injections.

All referrals will be respected and appreciated.1720 University Drive, Suite 301, Coral Springs, FL 33071(954) 345 2264website; tmjtherapy.com

Finally…a place to send those difficult patients!

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At the last South Florida District Dental Association (SFDDA) Business Meet-ing, which took place May 3 at the Koven’s Conference Center, on the NorthMiami Campus of FIU, members voted to include a $40 dues increase to makeall of you in the tripartite (ADA/FDA/SFDDA) a member of an affiliate soci-ety.

The SFDDA affiliate societies offer many opportunities for you to receive continuing education, participate in personal enrichment andmeet and mingle with your colleagues.

There are three affiliate societies under our umbrella including Miami Dade , North Dade - Miami Beach and South Broward Dental Society.

And each society meets in an area near your practice or your home, making it easy for you to attend continuing education dinner meetings through out the year.

Enjoy a very nice meal while receiving CE credit at the many interesting lectures being presented.

From information on the latest science, technology and practice management to programs designed to inspire, the SFDDA

and its affiliate societies are always thinking of ways to help you succeed.

You Do Not Have to Join an Affiliate SocietyYou are Already a Member!

It’s Included in Your Tripartite Dues!

S O U T H B R O WA R D

D E N TA L S O C I E T Y ❤

M I A M I DA D E ❤D E N TA L S O C I E T Y

N O R T H DA D E /

M I A M I B E AC H ❤D E N TA L S O C I E T Y

Three Great Places to getyour Continuing Education!

Davie/Ft Lauderdale

Aventura

Coral Gables

First Annual South Florida District Dental Association Business Meeting &Officer’s Installation 2016Kovens Conference Center, North Miami Beach May 3, 2016

The South Florida District Dental Association and it’s Affiliate Societies joined in celebrating the end of the yearwith an evening that included dinner, karaoke and business.

President, Dr. Elaine deRoode delivered the State of the Association address, a re-cap of the year’s activities,including accomplishments of the SFDDA, FDA and a video presentation of the ADA’s activites as well.

President-elect, Dr. Mark Limosani delivered an inspiring speech themed around the value of relationship build-ing, camaraderie and collaboration. He touched on the effects these values have on the future of organizeddentistry, the profession and the careers of all dentists.

This year, twenty SFDDA Members received Life Member status with the ADA, FDA and SFDDA. Receivngthier certificates were Drs. Jeffrey Auerbach,. Zalman Bacheikov, Paul Benjamin, Uri Elias, Donald Elsman,Alan Hoffman, Stanley Kanowitz, Alan Kaplan, Robert Marx, Billy Mayfield, Dennis Nielson, Jeffrey Nullman,Robert Powell, Glenn Rubin, Steven Samuelson, Gary Senk, Seth Shapiro, Herbert Snyder, Sheryl Fensin,William Grant and Steven Rosenstein.

The members voted to ammend the SFDDA Bylaws pertaining to the Treasurer by removing language that re-quired the treasurer to serve on the FDA CFA. The members also voted to a $40 dues increase that will beused to cover affiliate dues for all.

Once the business of the association was complete, FDA First Vice President, Dr. Michael Eggnatz presidedover the Installation Ceremony of the Officers of the district and its affilaite societies.

Congratulations...To the following officers who will take up the mantle ofleadership at the close of the 2016 FDA June House ofDelegates.

South Florida District Dental Association:President: Dr. Mark LimonsaniPresident-Elect: Dr. Joseph PechterSecretary: Dr. Enrique MullerTreasurer: Dr. Orlando DominguezYoung Member: Dr. Monica Gonzalez

Miami Dade Dental Society:President: Dr. Oscar PegueroSecretary: Dr. Carlos GonzalezTreasurer: Dr. Mariana VelazquezYoung Member: Dr. Pablo Duluc

North Dade -Miami Beach Dental Society:President: Dr. Enrique MullerVice President: Dr. Katherine RodriguezSecretary: Dr. Jeremy KayTreasurer: Dr. Norman Browner

South Broward Dental SocietyPresident: Dr. Brian NitzbergVice President: Dr. Alfredo TendlerSecretary: Dr. Joel BaezTreasurer: Dr. Helena Urrea-Feldsberg

FDA Trustees:Trustee: Dr. Jeannette Peña HallAlt. Trustee Dr. Irene Marron

17

The incoming Officers for the South Florida District Association and it’s affiliate societies for the 2016-17 fiscalyear. (l-r.) Drs. Norman Browner, Enrique Muller, Carlos Gonzales, Monica Gonzalez, Alfredo Tendler, Joel Baez,Brian Nitzberg, Orlando Dominguez Mark Limosani, Helena Urrea-Feldsberg, Pablo Duluc, Mariana Velazquez,Oscar Peguero.

Left: Dr. Mark Limosani presents Dr.Elaine deRoode with an award to com-memorate her year as SFDDA President.

Below left: Dr. Gary Senk receives LifeMember Certificate, presented to him byDr. Rodrigo Romano, ADA MembershipRepresentative.

Below: Dr. Michael Eggnatz, FDA FirstVice President, performs the installationceremony on behalf of the district and af-filiate societies

Volunteer for theSouth Florida Baptist Mobile Dental Unit 2016

call (305) 667-3647 ext 13 or visit www.sfdda.org

Classifieds

Buy, sell, hire, or announce?

Place advertising in the SFDDA Newsletter

Call Ms. Jackie Quintero at(305) 667-3647 ext. 13.

Or visit us on-line at www.sfdda.org.

October 24-28, 2016:

First Baptist Church of Cutler Ridge

10301 Caribbean Blvd, Cutler Bay, FL 33189

October 31-November 4, 2016:

New Life Baptist Church

5005 NW 173rd Drive, Miami Gardens, FL 33055

OPPORTUNITIES AVAILABLE

FULL TIME DENTAL ASSISTANT

NEEDED: immediately in educational setting.

Proficiency in four handed dentistry required

to assist faculty and participants. Responsibil-

ities include, but are not limited to: set-up and

breakdown of clinic and laboratory for courses,

pour and articulate study casts accurately, and

demonstrate procedures to participants. If you

think you have what it takes to succeed in a dy-

namic and rewarding environment, please send

your resume to the South Florida District Den-

tal Association office attention Box # 5529.

GENERAL DENTIST WANTED: Dr. Julio

C. Rosado is looking for an Associate Dentist

to work 2 to 3 days a week in our fee for serv-

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bridge and extractions. Eng/Spanish required.

Email resume to rosadooffice345@gmail.com

Contact Olga for appointment 305-223-4546.

PEDONTIST/ENDODONTIST: Excellent

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able PT. Start working immediately 2 Loca-

tions Miami/Aventura area. State-of-Art

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PART TIME: High quality prosthodontist and

periodontist needed for selective cases at my

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SEEKING: an “on call” substitute General

Dentist in Dade Co. Salary Negotiable. Ideal

opportunity for retired or persons needing extra

income. Please call for details. Judy Jones 615-

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PEDIATRIC DENTIST WANTED: Excel-

lent opportunity for Pediatric Dentist to share

office space in a well established Orthodontic

practice in Plantation Fl. Office is available 1-

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& modern facility located directly next to a

large Pediatrician group practice. Perfect situ-

ation for an initial start up or satellite office lo-

cation. Contact: pltnortho@gmail.com

A BLOCKBUSTER OPPORTUNITY: Full

or part time for General Dentists, Pedodontists,

Periodontists, Oral Surgeons, Orthodontists

and Endodontists. Generous compensation

with unlimited potential. Guaranteed referrals.

Join our group specialty care practice with a

significant general dental component. Estab-

lished in 1975 in Aventura, Coral Springs, Del-

ray Beach, Boynton Beach, Stuart, Ft. Pierce

and Melbourne. Call: Kelly Oliver at (954)

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Email: careers@dentaland.net.

FLORIDA (SOUTHEAST AND OR-

LANDO): Seeking experienced General Den-

tists and Specialists to come grow with us! We

offer excellent earning potential and the oppor-

tunity to focus on patient care in our state-of-

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istration (insurance claims, payroll/staffing,

marketing, etc.) for you so that you can enjoy

a work-life balance again! Take the next step

in your career and apply online at www.gentle-

dentalgroup.com/career or email your CV to

careers@gentledentalgroup.com today!

ORTHODONTIST WANTED: We are a

growing dental group looking for an Orthodon-

tist to join our dental team. Excellent compen-

sation. English/Spanish required. Call Manuel

305.915.2953

GENERAL / SPECIALIST: Ft/Pt Great op-

portunity for General Dentist / Specialist. Ex-

cellent compensation, bonus and partnership

positions. Multiple locations in South Florida.

Please fax resume to (305) 770-1232 or call

Kathy (954) 430-2188 or email to

haroldhui@aol.com

GENERAL DENTIST WANTED: Hialeah,

Pembroke Pines or Kendall area, excellent

compensation and bonus with guarantee in-

come. Eng/Spanish required. Call Manuel

305.915.2953

BUSY DENTAL PRACTICE: Looking for

PT associate dentist in Fort Lauderdale and

Delrey Beach. Competitive % compensation

based upon experience. Ask Dr. Martin 786-

525-9946

OFFICE SPACE-SALE OR RENT

SPECIALTY DENTAL OFFICE: space

available to share. Modern updated office, cen-

trally located in a class A building with free

parking. For info call 305-984-3240.

ESTABLISHED DENTAL OFFICE: Look-

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comes complete with Pano, two dental chairs,

and private office. For more information, email

dentalsurgerycenter@gmail.com

FOR RENT: Beautifully appointed turn key

ready 2500-3000 Sq. Ft. Dental Office in

highly desirable location, East Fort Laud-

erdale. 6-10 operatories. Photos and info upon

request. 954-854-8153 or

barrykligerman@gmail.com

2016 SFDDA Annual Poster Contest Winners!Sugar Wars! was the them for this year’s annual Dental Health Month Poster Contest.

This event is celebrated at the South Florida DistrictDental Association (SFDDA) in conjunction with MiamiDade County Public Schools (MCDPS).

The poster contest which is designed to create aware-ness of good oral health care habits has been a stapleof the SFDDA and MDCPS for over thirty years.

The awards breakfast which has been traditionally heldat the Denny’s Restuarant in Coral Gables each yearwas hosted by SFDDA President, Dr. Elaine deRoode.

The winners attend along with their parents, teachersand school principles, and also joining them is MabelMorales, District Supervisor Visual Arts for MDCPS.

Dr. Elaine deRoodeposes with this years

winning posters.

2016 Poster Contest Winners:

Third Grade Division:

1st Place, Evaly Perez2nd Place, Maria Rodriguez3rd Place, Yoriesky Castellanos

Fourth Grade Division:1st Place, Diana Aldana2ndPlace,Chaveli Formoso3rd Place, Andy Hernandez

Fifth Grade Division:

1st Place, Emilie Trenhs2nd Place, Julia Carvajal3rd Place, Aracelys Bravo

Special thanks to their teachers:

Ms. Mona Schaffel - Meadowlane Elem. Ms.Lillian Villalba - Emerson Elem.Ms. Rachel Silver - South Hialeah Elem.Mr. Ray Jui -Hialeah Elem.

Special thanks to their Principles:Emerson Elem. - Mr. CarrigoMeadowlane Elem. - Mr. Kevin HartSouth Hialeah Elem. - Ms. Denise VegaHialiah Elem. - Ms. Rosa Iglesias

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