texas gp summer 2009

1Summer 2009

TAGD Wants to Help You on Your Professional Journey

SUMMER 2009, VOLUME 35, ISSUE 3

New Dentist Issue

Don’t forget to register for the 2009 Lone Star Dental Conference in Austin, Texas.

Come for the CE Take Home the Memories.....Details inside.

JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY2

1-866-300-9426 • www.unitedconcordia.com

Let us be your dental health partner . . .And help grow your practice to include patients from the largest dental customer in the world—the TRICARE Dental Plan—which has over 167,000 enrollees in Texas.* Plus, you’ll join over 66,500 dentists nationwide and over 4,000 dentists in Texas* who enjoy network benefits, including: •Competitiveandtimelycompensationandreimbursement •Claimssubmissionsthroughourfreeonlineprocessingsystem •Onlineaccesstopatients’benefitsandclaims

information through My Patients’ Benefits •Programupdatesandcorporateandindustry

news in the quarterly Connection newsletter

TXAGD-0608 • Texas dental products are offered by the following operating subsidaries of United Concordia Companies, Inc. —United Concordia Insurance Company for Fee-for-Service products and United Concordia Dental Plans of Texas, Inc. for DHMO products. *Based on United Concordia internal research & reports, 04/08.

You are invited...Texas Academy of General Dentistry would like to invite you to any one of our MasterTrack seminars throughout the state. These CE programs take place from Thursday through Sunday and include courses of different disciplines presented by some of the top clinicians in the country. Below is the remaining 2009 MasterTrack schedule. 2010 dates will be available soon.

TAGD wants to help you on the road to Mastership If you received your Fellowship before 2003 hours might be lost from your transcript. Contact the TAGD office and we will help you recover those hours. You may be closer to Mastership than you think!

TAGD has worked

to make these seminars

a true benefit for TAGD

members. Each session is $795

for 48 hours of participation

credit - That’s only $16.50

for each hour!

Austin

November 5 - 8, 2009 • Omni Southpark Hotel

Clinical Photography Presented by Dr. Douglas Damm

Endodontics“Advancing Your Endodontic Skills”

Presented by Dr. Ron Lebby

Houston

September 24 - 27, 2009 • Norris Conference Center

Oral Surgery Presented by Dr. Steve Koo

Pediatrics“The Magic of Pediatric Dentistry”

Presented by Dr. Ben Taylor FAGD/MAGD credit#219328

1/1/06-12/31/10

3Summer 2009

PresidentRon Theiss, DDS, MAGDNacogdoches

President-ElectDan McCauley, DDS, FAGDMount Pleasant

Immediate Past-PresidentMickey Walker, DDS, MAGDSan Antonio

Secretary/TreasurerMark Peppard, DDS, MAGDAustin

EditorMichael Payne, DDS, FAGDMesquite

Director (2009)Marko Alanis, DDSAlamo

Director (2009)Arnold Chavarria, DDSEl Paso

Director (2010)Craig Armstrong, DDS, MAGDHouston

Director (2010)Dean Armstrong, DDS, MAGDAmarillo

Director (2011)Jamie Bone, DDS, FAGDKerrville

Director (2011)Gary Jennings, DDS, MAGDHouston

AGD Regional DirectorDouglas Bogan, DDS, FAGDHouston

AGD National TrusteeRalph Cooley, DDS, FAGDConroe

Executive DirectorConnie Sonnier, CAERound Rock

2008/2009 OFFICERS

TAGD Staff

Margaret HulseDirectorJack T. Clark Foundation

Amy KnittMembership & Communications Director

Jeannie RussellEducation Director

Disclaimer: The TAGD does not necessarily endorse opinions or statements contained in articles or editorials published in the TexasGP. The publication of advertisements in the TexasGP does not indicate endorsement for products and services.

Texas GP is published quarterly by the Texas Academy of General Dentistry,409 West Main Street, Round Rock, TX 78664. Address changes should be sent to the TAGD. Texas GP is provided as a member service to members of the TAGD. Nonmember subscription rates are $25.00 individual and $40.00 institutional. Canadian orders add $5.00; outside the U.S. or Canada, add $10.00. Single copy rates are $3.00 to individuals and $4.50 to institutions (orders outside the U.S. add $1.00 postage). All orders must be prepaid in U.S. dollars.

Printed in U.S.A. Copyright 2009, Texas Academy of General Dentistry, Round Rock, TX.

No portion of Texas GP may be reproduced in any form without prior written permission from the TAGD. The opin-ions expressed by Texas GP are not necessarily endorsed by the TAGD. The publication of an advertisement in Texas GP does not indicate endorsement for products and services. TAGD/AGD approval for continuing education courses or course sponsors will be clearly stated.

TAGD 512-244-0577 Toll-free 877-464-8243 Fax 512-244-0476 www.tagd.org

AGD 888-243-3368 www.agd.org

ADA 800-621-8099 www.ada.org

TDA 800-832-1145 www.tda.org

TSBDE 512-463-6400 www.tsbde.state.tx.us

Important Contacts

Information changes requested:Send your new address, phone, fax and e-mail to [email protected]

NEXT ISSUE:

2009 TEXAS DENTIST of ThE YEAR™ WINNER

J O U R N A L O F T H E T E X A S A C A D E M Y O F G E N E R A L D E N T I S T R Y

Dental Fillin’s..........................................................................................4Pearls of Wisdom: Keeping Records.............................................................4President’s Message.................................................................................5TAGD Headlines........................................................................................6AGD Annual Meeting Summary...................................................................7Dental Ceramics.......................................................................................8JTC Foundation Update.............................................................................11Lone Star Dental Conference.....................................................................142009 CE Schedule....................................................................................15

Building Practices

2009 Texas Dentist of the Year Nominees

S U M M E R 2 0 0 9

New Dentist Issue6

10

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From the Editor • Young Dentists Committed To Profession

The future of dentistry in Texas looks bright thanks to the dedication and

commitment of young dentists.

The beginning of the year marked the forma-tion of a young dentist committee to serve within the Texas Academy of General Den-tistry. This committee’s sole purpose is to provide guidance and support to the myriad of issues confronting young dentists.

Upon meeting the individuals serving on this committee, I couldn’t help but to be impressed with the energy and desire they each possessed. Each member was genuinely concerned about the profession and what could be done to help those just beginning their career.

Although many of us have long since sur-passed the title of “young dentist” (present editor included), I think we can still recall the many questions we faced immediately following graduation. Would we pursue spe-cialty training? Where would we begin our

practice? Would we become an associate, partner, or solo practitioner? How about fi-nancing? What kind of equipment? Which continuing education courses would be most beneficial? Who would we utilize for our insurance, legal, and accounting needs? How do we handle staffing issues? The list goes on and on. Hence, it becomes apparent of the real need for this committee to help dentists just beginning their career.

After their initial meeting, these individu-als already had some very creative ideas and thoughts on addressing issues facing young dentists. I look forward to seeing the plans that are developed as a result of this commit-tee’s work.

I hope that other young dentists will step forward and give of their time and tal-ent. This will not only build an alliance of young dentists helping each other, but also strengthen the profession. As I’ve stated be-fore, it is imperative we all (young as well as

“matured” dentists) join together, get involved, and AC-TIVELY support our profession. If we all work together to-wards maintaining the good of our pro-fession, our patients will continue to benefit from quality dental care.

***********On a personal note, this issue of the TexasGP will be my last while serving as TAGD’s Edi-tor. I would like to thank all who so gener-ously gave of their time and talents to make the TexasGP the quality newsletter it is to-day. I especially want to thank our TAGD staff for their tireless efforts. During the past eight years I have been fortunate to witness the tremendous strides TAGD has made in better serving its members. Thanks to our dedicated leadership, strong membership, and hard working staff, the future looks bright for TAGD!

Michael Payne, DDS, FAGD

Why do we need records? The easy an-swer is commu-nication, but of course it rap-idly gets more complicate d. Primarily, we are commu-nicating with the patient and ourselves. Secondarily, we

need to show evidence of communication for various regulatory agencies and the legal profession.

Before any treatment is initiated, a patient needs to understand what treatment will be done, possible risks/complications, and any treatment alternatives. This then becomes an informed consent which the patient is asked to sign. This way, in the event there is a complication, the dentist has a signed document proving the patient was properly informed.

If a complaint is filed against the dentist, good records are the best defense. If the records are poor or nonexistent, then the dentist has little, if any, defense. It is the pre-vailing opinion of the legal profession that if it is not written down then it didn’t hap-pen. So, make sure that all communication with the patient is recorded, especially pa-tient complaints or problems. Additionally, it needs to be recorded how the issue was addressed and resolved. This lets patients know that they have been heard and that you care about them.

Most of the requirements of TSBDE are included in Rule 108.8. Among the require-ments of dental records are:

1. Patient information—addresses of home and work, all contact phone numbers, con-tact numbers for spouse, emergency con-tact numbers, insurance information, and HIPAA release.

2. Medical history—make sure to include all prescription medications as well as OTC medications, name and phone numbers of all physicians, etc. Medical history updates

are important in that the patient’s health and the medications that they take can change over time.

3. Clinical chart-ing of the present-ing condition of the mouth. Don’t forget the periodontal charting, the TMJ examination, and the oral cancer screening.

4. Radiographs—In order to properly diag-nose, radiographs are necessary. The treat-ing dentist should determine on a case by case basis what radiographs are needed to formulate a proper diagnosis and treatment plan and with what frequency they should be taken. Additionally, it is important to have a written interpretation of all radio-graphs.

5. Diagnosis and Treatment Plan—when you write up your treatment plan, include your reasons for the treatment. Don’t forget to include alternative treatments.

Continued on page 6

Pearls of Wisdom:Records

David Wilhite, DDS, MAGD

5Summer 2009

The strength of any organization is not the individual leader(s), but a collective

utilization of the talents of each person to ac-complish the goals for its members. The same is true of TAGD. Executive Director Connie Sonnier and her talented staff have provid-ed a tremendous amount of support for our membership and TAGD leadership. It would be impossible to fully articulate what they have contributed to the ongoing success of TAGD year after year.

As my term ends in September, I want to thank Dr. Mickey Walker for the opportunity to serve as President-Elect during his term as TAGD President. The confidence he placed in me and his many words of encouragement allowed me to pursue this past year with the assurance of success. My desire was to main-tain the same level of excellence which was established before me in leading this organi-zation. I hope that I have accomplished this goal.

Together, we have achieved a great deal. Brief-ly, I would like to recap some of the highlights from the past year:

Advocacy - One of our greatest achievements this year has been the addition of our lob-byist, David Mintz, who has brought to our organization, a treasure of knowledge which helped us navigate into deep legislative wa-ters. His professionalism, wisdom and guid-ance elevated TAGD to new heights with the communication of accurate legislative information to our membership. Our online legislative newsletter, The Gatekeeper, was es-tablished this year to keep the membership informed about critical issues pertaining to dentistry. Many critical issues were brought to the legislative table this year, for which TAGD maintained a very influential voice. Dr. David Tillman, chair of the Legislative Committee, is a very talented and devoted leader who sacrificed a great deal of his per-sonal time to the efforts of TAGD.

New Dentist Committee - The development of this committee will focus on recent dental school graduates. Dr. Jamie Bone facilitated this committee and provided great leadership as it moved forward to address the needs of a very vital part of TAGD membership. I ex-pect to see great achievement from our New

Dentist Committee chaired this next year by Dr. Josh Austin. At the upcoming Lone Star Dental Conference in September, 2009, we will name the first annual New Dentist of the Year at the Leadership Reception on Thurs-day evening.

MasterTrack - I am extremely proud of this program, co-chaired by Drs. Z. Helmer and Craig Armstrong, who have provided superi-or leadership in maintaining a first-class offer-ing of participation CE courses. The success of this program has been evident by the 27 TAGD dentists who received their Master-ship in Baltimore. Our three venues (Austin, Dallas, Houston) provide great opportunities for attendees to receive great CE value in pur-suit of this prestigious award.

We also continue to work with the Fel-lowTrack Programs in the Houston and San Antonio dental schools, allowing seniors to earn CE hours toward their Fellowship

New TSBDE members - TAGD supported Governor Perry’s appointment of Dr. Bill Birdwell of Bryan and Dr. Rudy Ramos of Houston (both general dentists) as new State Board members. I had the privilege to represent TAGD at all the State Board meet-ings this past year. The development of these relationships has enabled TAGD to stay in-formed on regulatory issues that affect the

General Dentist and your practice.

Access to Care - TAGD was well-represented at the Medicaid Stakehold-ers’ meetings by Dr. Marko Alanis and at the Head-Start Dental Home Initiative Program by Dr. Mickey Walker. These two programs are just two examples of TAGD stepping out to deal with this important is-sue facing the citizens of Texas. We continue to work with TDA/ADA to address access to care, a topic of great concern to all dental professionals.

AGD Annual Awards - This past July at the AGD annual meeting held in Baltimore, the efforts of TAGD were evident on the na-tional stage. TAGD received four prestigious awards: Constituent of the Year, accepted by Dr. Mickey Walker; Continuing Educa-tion award, accepted by Dr. Z. Helmer; Ace Award for the TexasGP, accepted by our edi-tor, Dr. Mike Payne; and the Public Informa-tion award, accepted by Dr. Marko Alanis.

Achieving success takes commitment of our time and resources. The success of TAGD is due to many fine colleagues, for which I owe a great deal of gratitude. First, I would like to thank our very capable TAGD officers: President-Elect, Dr. Dan McCauley; Secre-tary/Treasurer, Dr. Mark Peppard; and Edi-tor, Dr. Mike Payne. Our Board of Directors: Drs. Marko Alanis, Craig Armstrong, Dean Armstrong, Jamie Bone, Arnold Chavarria, and Gary Jennings. Additionally, I would like to thank our very talented national leaders: Dr. Doug Bogan, AGD Regional Director; and Dr. Ralph Cooley, AGD Na-tional Trustee. It is because of the strong leadership that TAGD continues to set the standard for excellence in the Academy of General Dentistry. I am indebted to each of them for their constant support this year.

I look forward to seeing you at the Lone Star Dental Conference, September 10-12, at the AT&T Conference Center in Austin when we pass the torch for the next wave of leader-ship on the TAGD Board. With my best per-sonal regards, thanks again for the wonderful opportunity to serve you this past year.

A MESSAGE FROM THE PRESIDENT • STATE OF THE TAGD

Ron Theiss, DDS, MAGD

At the 2009 TAGD Strategic Planning Session members of the New Dentist Committee presented their plans for the next

year to TAGD leaders from across the state.

Co-chairs Drs. Z. Helmer and Craig Armstrong practice their skills at the Austin MasterTrack Session with Dr. Terry Cook.

All of whom recently received their Mastership this year.


Senior Student Dental Award Winners

Texas AGD would like to congratulate all of our Senior Student Dental Award honor-ees for 2009. Recipients of this award show potential for becoming an AGD leader, be-lieve in the mission and vision of the AGD, and are highly active in their dental school. Congratulations to Dr. Katy Poramaporn-pilas from UT Dental Branch in Hous-ton, Dr. Karina Mendoza and Dr. Dusty Janssen from Baylor College of Dentistry and Dr. Brandon Clyburn from the UT Health Science Center at San Antonio.

2009 - 2010 Slate of Nominees for TAGD Board of Directors

The TAGD Nominating Committee, chaired by Dr. Dan McCauley, presents the following slate of nominees for officers and directors:

President*....Dan McCauley, DDS, FAGD Pres.-Elect*......Joey Cazares, DDS, FAGDPast President*..Ron Theiss, DDS, MAGD Sec-Treas......Mark Peppard, DDS, MAGDEditor..................... Jeff Roy, DDS, FAGDDir. 2012..................Carlos Garcia, DMDDir. 2012.....Andrew Lazaris, DDS, FAGD*Automatic: President becomes past presi-dent; president-elect ascends to office of president.Returning Directors:Dir. 2011.....Gary Jennings, DDS, MAGDDir. 2011...........Jamie Bone, DDS, FAGD

Dir. 2010.Craig Armstrong, DDS, MAGDDir. 2010.Dean Armstrong, DDS, MAGD

***“Thirty (30) days shall be allowed for nomi-nations from the membership. Except for the office of President, which is automati-cally filled in accordance with Article VII, Section 2, of TAGD Bylaws, any member nominated by petition of 2.5 percent of the voting membership shall be placed on the ballot.”

If no nominations are received by August 11, the Secretary-Treasurer shall cast a unan-imous ballot for the candidates listed above. Results of the election shall be announced at the next annual meeting held during the 2009 TAGD Lone Star Dental Conference, at the AT&T Executive Education and Conference Center in Austin, on Friday, September 11.

2009 Texas AGD Award Recipients2009 FellowsDon L. Allen, DDS, FAGDRoss W. Anderson, DDS, FAGDElizabeth J. Berry, DDS, FAGDR. Keith Chiles, DDS, FAGDScott G. Clinton, DDS, FAGDHeather Fleschler, DDS, FAGDSteve Fortenberry, DDS, FAGDCody C. Graves, DDS, FAGDThomas Hamilton, DDS, FAGDVictoria C. Heron, DDS, FAGDRicardo Hidalgo DDS, FAGDLangley E. Ho, DDS, FAGDEric M. Hurst, DDS, FAGDT. Andrew Linton, DDS, FAGDKurt D. Mackie, DDS, FAGDJo Lynn Porter, DDS, FAGD

Ronny E. Root, DDS, FAGDJ. Craig Scasta, DDS, FAGDJeff L. Schultz, DDS, FAGDRussell C. Toler, DDS, FAGDNghi T. Trinh-Pham, DDS, FAGDChris Hung Truong DDS, FAGDBrian D. Tucker, DMD FAGDJean A. Tuggey, DDS, FAGDKeith J. Von Boeckmann DDS, FAGDMark R. Whitfield, DDS, FAGDDoyle B. Williams, DDS, FAGD

2009 MastersDean N. Armstrong, DDS, MAGDCraig S. Armstrong, DDS, MAGDBryce Scott Chandler, DDS, MAGDTerence A. Cook, DDS, MAGDGerald W. Crouch, DDS, MAGDRoberto Diaz, DDS, MAGDAlicia L. Dwyer, DDS, MAGDClarence R. Feller, Jr. DDS, MAGDJeffrey B. Geno, DDS, MAGDTor O. Gotun, DDS, MAGDGary V. Halm, DDS, MAGDOtice Z. Helmer, DDS, MAGDMichael H. Hodapp, DDS, MAGDJennine K. Huet, DDS, MAGDThomas E. Karr, DDS, MAGDPaul F. LaRoche, III DDS, MAGDCurtis G. McDonald, DDS, MAGDDonna G. Miller, DDS, MAGDEric D. Miller, DDS, MAGDRandy R. Mitchmore, DDS, MAGDR. M. Peppard, DDS, MAGDRichard D. Rowntree, DDS, MAGDPaige J. Sohn, DDS, MAGDLawrence Thompson, DDS, MAGD

2009 LLSR RecipientsJoseph H. Emmert, DDS, MAGDBryon McKnight, DDS, MAGDMary Mellard, DDS, MAGDDavid Tillman, DDS, MAGD

TAGD HEADLINES

Pearls of Wisdom continued from page 46. Record of Treatment—treatment pro-vided, vital signs, medications administered, dispensed, or prescribed, any complications and their resolution, and your signature.7. Informed Consent—remember that con-sent is a process, not just a piece of paper. There must be evidence of a conversation with the patient.8. Vital Signs—blood pressure and pulse should be recorded at the initial appoint-mentand any appointment when local anesthetic is administered or any other medication is administered, dispensed or prescribed. Vitals need to be recorded on

any patient 12 years of age or older. If for some reason vitals were not recorded, there needs to be an explanation of the reason. Records are the legal property of the den-tist. The fulfillment of a request for records should be with copies, not originals. These copies need to be of excellent quality, and the photographs and radiographs need to be clinically diagnostic. If your handwritten treatment notes are not legible, they should be transcribed. If a patient request copies of their records, the dentist has 30 days to comply. If the den-tist elects to charge the patient for records, it must be done in compliance with TSBDE

Rule 108.8(g). It is my experience that the charging for records further deepens the feeling of ill will of the patient for the den-tist, and may be the critical factor in the pa-tient’s decision to file a complaint or lawsuit against the dentist.

Complete and accurate dental records are your best defense if a complaint or lawsuit is filed. If it is not written down, it didn’t hap-pen. Your records must be legible or they may be subject to misinterpretation. If a staff person is given the duty of record keep-ing, remember that it is ultimately the re-sponsibility of the dentist. Look upon your records as evidence of excellent patient care.

7Summer 2009

Wow! The AGD Meeting this year in Baltimore was fantastic! A great key-

note speaker, record-breaking numbers of hands-on continuing education courses, a baseball game and picnic at Camden Yards, a premiere party celebration, awarded hon-ors, and lots of fellowship are just a few of the events that made this meeting special. If you missed it, please read on because I have some good news for you; there is still have a chance to “get in the game” by register-ing for next year’s meeting in New Orleans. Not only is the encouragement to “Get in the Game” good advice for all of us in our professional and personal lives, but it also happens to be the title of the book written by this year’s keynote speaker, Hall of Fame baseball player Cal Ripkin, Jr.For those of you who are unfamiliar with Cal Ripkin Jr., he is known as the “Iron Man,” and owns the unique record of play-ing in the most consecutive games in major league baseball history (2,632 games in over 17 seasons). Ripkin encouraged the open-ing session crowd at Baltimore to utilize his

same elements of perseverance in their ev-eryday lives to achieve and maintain success in dentistry. Ripkin put it this way, “To be successful and persevere in anything, it all starts with the right values. You do the hard work. You do it with excellence. You are honest, sincere, and you give it your all.”At Baltimore, we had many Texans who displayed that same quality of perseverance. Our Fellows, Masters and Lifelong Learning and Service Recognition award recipients were presented with their accolades at the convocation ceremony on Saturday night. Not surprisingly, Texas led the way of all the AGD constituents in terms of numbers of recipients. As one national leader remarked to me, “You Texans have more Fellows and Masters in one year than our state has had in the past 10!” If you received your award this year, con-gratulations. If you know a Fellow, Master, or LLSR recipient, please congratulate them and if you are in the process of obtaining either award, let me encourage you to stay strong and persevere!

The AGD Annual Meeting is all about fun and learning. From Cal Ripkin and the base-ball game to the record-breaking number of hands-on courses and Texas honorees, this year was truly a wonderful meeting. Next year could be even greater. Reward yourself for all of your own perseverance in dentistry throughout the year, and make plans to be at the 2010 meeting. Come on down to New Orleans and “Get In the Game!”

GET IN THE GAME • By Ralph Cooley, DDS, FAGD • AGD National Trustee

AGD National Trustee Ralph Cooley (left) and newly installed AGD President Dr. Dave Halpern (right) had a great time at the Orioles baseball game in Baltimore.

The AGD House of Delegates

met during the AGD Annual Ses-sion in Baltimore on Sunday, July 12, and considered over 50 resolutions. These resolutions originate from a number of sources, including

the Board of Trustees, the Regional Direc-tors, AGD councils and committees, state AGDs and individual members. The AGD House of Delegates is the ultimate policy-

making body of AGD, as well as having the responsibility to amend the Constitution and Bylaws. There are approximately 190 delegates who represent the 50 states in the US, the Canadian provinces, and the US Federal Services. All resolutions must refer to one or more goals of AGD 2010, the Academy’s Strategic Plan. The following are notable resolutions considered by this year’s house.

The House adopted the 2010 Budget, which does not include a dues increase. A resolution was passed for full time faculty at ADA/CDA approved institutions stat-

ing that they can receive 100 hours lecture credit for the first year of teaching, and 25 hours per year each subsequent year. Part-time faculty can receive 50 hours for the first year and 12.5 hours for each subse-quent year.

A number of resolutions were considered which dealt with advocacy by AGD of is-sues of particular interest to general den-tists. The House passed a resolution stating AGD support for legislation requiring in-surance carriers to cover surgical placement of implants and their restoration.

Continued on page 15

AGD House of Delagates • By Doug Bogan, DDS, FAGD • AGD Regional Director


Today the dental practitioner has many options to esthetically restore a tooth.

These options can, unfortunately, cause confusion as to where each material can fit into their armamentarium. Both dentist and ceramist need to be well informed of each of the ceramic systems attributes and weaknesses to assure the best result for the patient. We will discuss the basics of each ceramic material, indications for use and recommended cement system.

Our restorative philosophy is based on ac-complishing the patient’s restorative and esthetic goals in a way that preserves the most natural tooth structure without com-promising the result of treatment. With this in mind, we will discuss the least invasive procedures first and work into the more aggressive treatment. The major categories available to us today are: feldspathic restora-tions constructed on foil or refractory, Lu-cite reinforced pressed ceramic restorations, lithium disilicate pressed ceramic restora-tions, alumina core restorations, zirconia core restorations and porcelain fused to metal restorations.

The name, feldspathic veneer, is derived from the major components of metal ce-ramic porcelain systems: quarts and feld-spar. This category of restoration can be made using any of the layering porcelains designed for use with metal ceramic, zirco-nia, or alumina restorations. Restorations are fabricated by building powdered ceram-ic onto a refractory die or a platinum foil shell that has been adapted to the stone die. Very thin restorations are possible with this technique and the ceramist has full control

of color and opacity throughout the restora-tion. Primary areas of use include “no prep” veneers, conservatively prepared veneers and inlay-onlay applications. While this type of restoration can produce some of the most beautiful results, it is not as consistently predictable as pressed ceramic restorations and it requires more skill and experience of the ceramist. Flexural strength of this type of ceramic is in the 85-95mpa range. This limits its use in more aggressively prepared teeth requiring thicker restorations and un-supported ceramic. These restorations must be etched and bonded to place with a com-posite luting resin.

Lucite based pressed ceramic restorations have been used widely in dentistry. Products like Empress (Ivoclar Vivident) and Authen-tic (Jensen Industries) are just two of many examples of these systems used today. These restorations are fabricated with a lost wax casting process much like what we use for gold. The technician fabricates a wax up, at-taches a sprue, places a ring around the pat-tern and pours high heat investment into the ring that is placed in a burnout oven to eliminate the wax. The hot ring is placed in a ceramic pressing furnace with an ingot of the appropriate ceramic that is pressed into the cavity created by the wax. This produces a restoration comprised of one color and translucency of ceramic so material choice is critical to esthetics. The technician then cuts back the pressed material strategically and layers powdered ceramic to create the necessary effects of translucency and color to match natural dentition. If the correct ingot is selected, no layering or very little layering may be required to achieve opti-mal results. Flexural strength of these sys-tems is in the area of 170 mpa, allowing for use in thicker restorations and unsup-ported applications. Restorations must be

at least .6-.7mm for the pressing process to work well, which limits the use of these systems for ultra conservative and no-prep veneers. Probably the biggest advantage to pressed ceramic restorations is in the area of detailed occlusal contacts and the ability to use wax injection to accurately reproduce in the definitive restoration the shape and position of provisional restorations. These restorations must be etched and bonded to place with a composite luting resin.

Flexural strength of these systems is in the area of 170 mpa, allowing for use in thicker restorations and unsupported applications. Restorations must be at least .6-.7mm for the pressing process to work well, which limits the use of these systems for ultra con-servative and no-prep veneers. Probably the biggest advantage to pressed ceramic res-torations is in the area of detailed occlusal contacts and the ability to use wax injec-tion to accurately reproduce in the defini-tive restoration the shape and position of provisional restorations. These restorations must be etched and bonded to place with a composite luting resin.

Lithium disilicate pressed ceramic restora-tions (E Max, Ivoclar) are one of the most promising and fastest growing areas in den-tistry today. These restorations share most of what was previously stated about lucite pressed ceramic restoration, but with a couple of very significant advantages: with a flexural strength of 400mpa they have much greater strength than other bondable restorations and with the ability to press ultra thin restorations (.2mm) they have a broader applicability.

With high translucency ingots, very esthetic restorations can be fabricated with no lay-ering ceramic. This results in very durable restorations.

DENTAL CERAMIC CHOICESBY DR. FRANKLIN SHULL & MR. MATT ROBERTS

.2mm feldspathic refractory veneers

9Summer 2009

We are using lithium disilicate restorations almost exclusively for posterior onlays and full crowns as well as all anterior applica-tions. Although bonding is preferable with these restorations, the manufacturer ap-proves the use of cements like Multi-Link and Panavia for delivery as well.

Alumia core restorations (Procera, No-blebiocare) which have strength of 600mpa are still in use, but the much stronger zir-conia core restorations (900-1200mpa) are quickly replacing alumina as the preferred cementable all ceramic restoration.

Zirconia restorations (Lava, 3M; e Max Zir-press, Ivoclar; CZR, Noritaki; etc.) are used for cementable full crown applications as well as bridgework and implant abutments. Preparation requirements are 1.5mm with shoulder preparations and rounded internal line angles. The zirconia core is fabricated by cad cam milling technology. Ceramists

then layer powdered ceramic or wax and press ceramic over the core material. Al-though the core has 1200mpa strength, the layering or pressed ceramic used has 85mpa strength leaving these restorations vulner-able to chipping of the layered ceramic. Good substructure design is imperative for survivability.

Porcelain fused to metal restorations are still very useful for long span bridges, pre-cision attachment applications and implant abutments. A skilled ceramist can produce very nice esthetic results if proper room for restorative materials is provided. Prepara-tion for PFM restorations should not be less than 1.5mm and shoulder preparations should be done to allow porcelain margins in the esthetic zone.

In summary it is important to note that al-though both PFM and Zirconia have the highest published strength numbers, the

layering ceramic on both of them is still 85mpa feldspathic ceramic, leaving them vulnerable to chipping of the layering ce-ramic. Although not chronic, both of these materials have a demonstrated clinical his-tory of this problem. The highest success rates in the newest studies are now being seen with non-layered lithium disilicate with its 400mpa strength. (NYU study from George Tsykowsky) It is important to also remember that these are short term studies and time will tell.Dr. G. franklin Shull, Jr. is a native of Lexington, South Carolina. he is a graduate of the University of South Carolina and the Medical University of South Caro-lina School of Dentistry. following dental school, he completed a General Practice Residency at Richland Memorial hospital in Columbia, South Carolina. he is a fellow of the Academy of General Dentistry and is a faculty member at Palmetto Richland Memorial hos-pital Department of Dentistry and the Medical Col-lege of Georgia School of Dentistry. Dr. Shull is also a teaching assistant at the L.D. Pankey Institute.

Drill BitsThe TAGD New Dentist Committee was created to facilitate a student and new dentist out reach program. As we begin our on-going new den-tist section in the TexasGP our editor had a few questions for our committee:

What concerns are new dentists facing as you enter the profession?

Anthony Maggio: Overall, most students are concerned with finding a good job once we graduate. Some students have a relationship with a dentist back home that they are going to work for, but the majority of us do not and the whole process can be intimidating.

Dr. Kim Turnbow: As a very new dentist who graduated this past May, one main concern is that I know my educational foundation is solid but there is still so much dentistry I have yet to experience.

Dr. Jackie Vo - The biggest challenge is trying to juggle the logistics of running a business while fine tuning the art of prac-ticing dentistry. The aspect of being CEO of your own business is very daunting. We don’t get enough training to take care of that aspect because we’re so busy learning technical dental skills in school.

What are you views on the current issues facing the profession?Dr. Joshua Austin - Access to care remains a prescient issue in dentistry. We must work to increase access to care for outlying groups to demonstrate to our legislators that we are making a difference without their intervention.Dr. Shane Ricci - An issue at the forefront is the increase in mid-level providers. With this happening in more states, the way we practice dentistry stands to be greatly af-fected. Whether you are for or against this issue, it is important to stay involved and informed so that our voice can be heard.

Why did they choose to join the AGD?Dr. Brooke Loftis - I joined the AGD in dental school because it was a great way to work toward my Fellowship through the FellowTrack Program. It wasn’t until after joining that I realized what I think is the greatest member benefit; advocacy for the general dentist. This is the best attribute of the AGD. Understanding that this group protects and advances the rights of the gen-eral dentist is difficult to see until you have to deal with regulations and laws that affect your every day practice. Dr. Sylvester Gonzales - I joined AGD to accompany the ranks of other general den-

tists who value our profession and seek to protect the quality of care delivered to our patients. AGD provides great courses to help us become better dentists and offers goals to look forward to by obtaining Fel-lowship, Mastership and the LLSR award.

What is your vision for the future of dentistry?Dr. Aly Sergie - I look forward to a future that allows dentists to be self-regulated and self-monitored. I also hope that as we move forward, the cost of formal education does not force young graduates into positions of indentured servitude.Dr. Joshua Austin - If dentists can move forward as the center of the dental team, I envision dentistry continuing on the same road it is on now. Improvements in public health advocacy and prevention will continue to diminish caries rates na-tionwide. Evolving materials will continue to simplify once complex procedures and allow for stronger, more esthetic restora-tions. Despite all these changes, dentistry of the future will still revolve around suc-cessful relationships between doctors and their patients. No matter where technology takes us, dentistry will always be a profes-sion that involves intense training, strong hand skills, and a commitment to lifelong learning.


The decision to open up my own practice was being at the right place at the right

time in my career. I felt more than comfort-able with my skills and was ready to take the next step. After leaving an associateship, I settled in Round Rock, Texas, just north of Austin. This community is growing at ex-pansive rates and it was more of an opportu-nity, as I would describe, to have the chance to start up a practice here. As I began the search for a building, I drove around visit-ing areas that I knew of and liked, hoping to see a location that would fit my specifica-tions. I traveled up Interstate 35 to a new region of Round Rock and stumbled upon an area that had great potential, however, I wasn’t completely sold on it.

More research needed to be done on my prospective location. An unexpected re-source I discovered was the Community Impact, a local periodical that is sent to my home for free. The purpose of the paper is to let residents know of growth and changes in their community such as what new busi-nesses are opening and which operations are leaving. After more research I became aware that this location is becoming somewhat of a medical and academic hub. A new Seton Hospital had been constructed along with the Texas A&M Medical School and an Aus-tin Community College, all of which, were within a two-mile radius of my office. I have always enjoyed the world of academia, it’s a part of who I am, and after exploring the area I realized it fit in with my lifestyle.

My next step was to visit the local Cham-ber of Commerce who helped me research the demographics of my new location. The Chamber of Commerce also has a Small Business Development Center where local, retired, business owners volunteer their time and expertise for those starting-up their own small business. These individuals were a tre-mendous asset for me as they helped draft a business plan, put me in contact with an attorney, and offered me general business advice.

I worked with a business consultant, Kim-berly Franek, who was a dental office man-ager for over 10 years. Rather than just

discussing my plans with Ms. Franek, she dissected them and went over how to tack-le everything step by step. She knows the business well and even helped me screen po-tential staff members before I interviewed them, which saved me some much needed time. Ms. Franek had contacts in the dental profession so we were able to acquire staff through referral. I didn’t just hire her to let her take over; instead, we worked as a team. I told her what I was interested in doing; we decided whether or not it was possible, and then how we can get it done. When work-ing with a consultant you may not agree on everything. However, having an experi-enced professional to gain knowledge from and bounce ideas off of proved valuable.

To find funding for my new office I got in touch with Bank of America. A represen-tative told me about a program they offer named “Practice Solutions” that is known for lending to small, health-related busi-nesses. The bank reviewed my business plan and budget before I was approved; being a larger bank they have less wariness about backing a somewhat risky project, as most small-businesses are considered. Another division of Bank of America is “Practice Heartbeat” which offers businesses manage-ment tools and guidance to assist them in becoming a successful entity. If I were to have any financial issues, Practice Heart-beat acts as a consultant to help me through rough patches. You continually give them reports of how you are doing so if they need to aid you in any way they are updated on the current state of your business.

For the construction of my office I chose to work with Patterson Dental. One valuable pearl that I would like to share is how im-portant it was to be able to view the progres-sion of my office frequently, at least once a week, so that I was able to catch any errors or make any quick changes. A consultant at Patterson helped me design the interior of my office but frankly, next time I would hire an architect who is more knowledge-able on designing medical buildings. My new building currently has two operato-ries. As my business and productivity grows I will be able to open more in my office. I have also “reserved” the space next door hoping that as the city of Round Rock and its need for dentistry grows, I will expand

as well adding more staff and associates to my practice.

In order to get my name out there I have made it a point to be active in my commu-nity including involvement with the local Chamber of Commerce and participating in events at my Church. From this I can get to know my potential patients better. I have also become involved in my local dental components, both the Central Texas AGD and the Capital Area Dental Society, through which I get both support from my colleagues and show my patients how involved I am with my profession. I look forward to September when I will officially open my new practice. The building pro-cess, for me, was actually relatively unprob-lematic and exciting. I hope some of the steps in my process I have outlined will be enlightening for our newer dentists who are about to embark on the same journey.

Building PracticesBY DR. SYLvESTER GONZALES

11Summer 2009

Saturday, June 20, dentists from across the state gathered in Austin at the home

of Dr. Karen Frazer, treasurer of the Jack T. Clark Foundation and host of the first JTCF social fundraiser.

Guests enjoyed food from Z Tejas Grill and beverages provided by North by Northwest Brewery as they learned about our mission and the importance of reducing oral cancer morbidity and mortality through public education.

This event could not have been such a success without the generosity of our sponsors:Union State BankTMGZ TejasNorth by Northwest

Since the beginning of the year, the JTC Foundation has visited eight cities through-out Texas and provided oral cancer screen-ings and education to over 600 Texas resi-dents. We still have five more cities to visit this year.

To learn more about continuing education and volunteer opportunities, please visit the JTC Foundation link on the TAGD web site at www.TAGD.org or contact Margaret Hulse at [email protected].

Thank you to all who have donated their time and talent to the JTC Foundation. We can not successfully work toward our mis-sion without your generous help and sup-port.

2009 Volunteer Opportunities:August 15 • Mineral Wells, TXOral cancer screenings & TriageSmiles on Wheels

September 25 & 26 • Amarillo, TX6 hour CE - Differential DiagnosisOral cancer screenings at the Tri-State Fair

October 9 & 10 • Austin, TX6 hour CE - Differential DiagnosisOral cancer screenings at Hopefest

October 24 & 25 • Austin, TXOral cancer screenings at LiveStrong Village and LiveStrong Challenge Bike Ride

JTC FOUNDATION UPDATE

Jack T. Clark Board of Trustees

Michael Hodapp, MAGDChairmanCatherine Flaitz, DDSChairman-ElectRobert Kelly, DDS, FAGD Immediate Past ChairmanKaren Frazer, DDSTreasurerConnie Sonnier, CAESecretaryBob Donnelly, DDS, MAGDTrustee 2011Moshtagh Farokhi, DDS, FAGD Trustee 2011Sherri Myers, RDHTrustee 2010Mary Mellard, DDS, MAGDTrustee 2010Michael Payne, DDS, FAGDTrustee 2009Jerry Bouquot, DDSTrustee 2009

Elena Clark Memorial Donations

Elena Beauchamp Clark, wife of Jack T. Clark, passed away Thursday, April 9, 2009. Thank you to all of those who have made a contribution to the JTC Founda-tion in her name:

Ms. Madelon BradshawMr. and Mrs. David and Sheryl CrockerMr. and Mrs. Jackie Bengie DanielMs. Vera KendallDr. and Mrs. James and Bonita LewisMs. Martha LorimerMs. Kathryn LovinPat MerrillMs. Pat Myers Ms. Gail NataleMr. Edward PfeifferMr. Robert RichardsonMr. and Mrs. Bill and Carol Anne RiddleMr. and Mrs. William and Pat WarnerMr. and Mrs. Wolverton Family 1st Federal Credit UnionTexas Academy of General Dentistry

Mission of the JTC Foundation:To improve the public’s oral health by promoting early detection and prevention of oral cancer in conjunction with the education of patients and health care providers.


Thomas Gerald, DDSAmarillo

Panhandle AGD

Pam Berlanga, DDS San Antonio

San Antonio Dental Society

Jerry Katz, DDSAustin

Central Texas AGD

Art Jeske, DDSHouston

Greater Houston Dental Society

Frank Higginbottom, DDSDallas

Dallas County Dental Society

Gus Gates, DDS Temple

Heart of Texas AGD &Central Texas Dental Society

Karen Frazer, DDSAustin

Capital Area Dental Society

Roberto Diaz, DDSMcAllen

Rio Grande Valley AGD &Rio Grande Valley Dental Society

David Duncan, DDSAmarillo

Panhandle Dental Society

Ralph Cooley, DDSConroe

Brazos Valley AGD & Brazos Valley Dental Society

Shelley Canada, DDSHouston

9th District Dental Society

Celeste Braden, DDSSan Marcos

River District Dental Society

The Texas Academy of General Dentistry is proud to announce the

2009 Texas Dentist of the Year™ Nominees

13Summer 2009

Elaine Neenan, DDSSan Antonio

San Antonio AGD

David Nichols, DDSTyler

East Texas AGD

Timothy Shannon, DDSMcKinney

North Texas Dental Society

William Nantz, DDSBeaumont

Dental Society of Southeast Texas

David Tillman, DDSFort Worth

Fort Worth AGD

David Roberts, DDS Dallas

Dallas AGD

Fred Phillips, DDSCorpus Christi

Nueces Valley Dental Society

Mary Mellard, DDS Houston

Houston AGD

Brad Loeffelholz, DDSFort Worth

Fort Worth Dental Society

Past DOY Award Recipients1965 Dr. Charles Emery, Corpus Christi1966 Dr. Eugene M. Allen, Tyler1967 Dr. Edward Cooksey1968 Dr. Lynden Kennedy, Dallas1969 Dr. WIlliam McNeil, Silsbee1970 Dr. A. Kenneth Ragsdale, San Antonio1971 Dr. John Wilbanks, El Paso1972 Dr. RobertT. Maberry, Fort Worth & Dr. John Wilbanks, El Paso1973 Dr. Jack Clark, Fort Worth1974 Dr. James Bauerle, San Antonio1975 Dr. Claude Pawelek, Houston1976 Dr. Charles Lewis, Muleshoe1977 Dr. Henry Sorrels, Houston1978 Dr. Sam Rogers, Houston1979 Dr. Charles Pugh, Fort Worth1980 Dr. Jack Harris, Pearland1981 Dr. Paul Hicks, Conroe1982 Dr. Burton Kunik, Houston1983 Dr. James Burnett, Fort Worth1984 Dr. John Larkin,1985 Dr. Rene’ Rosas, El Paso1986 Dr. Harold Smith, Tyler1987 Dr. Kenneth Rudd, San Antonio1988 Dr. William Wathen, Weatherford1989 Dr. Richard Eklund, Leakey1990 Dr. Frederick Aurbach, Dallas1991 Dr. Fred Pirk, El Paso1992 Dr. Kevin Seidler, The Colony1993 Dr. Leslie Fullerton, Houston1994 Dr. Stephen Schwartz, Houston1995 Dr. Frank Eggleston, Houston1996 Dr. Gary Rainwater, Dallas & Dr. Russell Schlattman, Houston1997 Dr. Glenn Walters, San Antonio1998 Dr. Sam Long, Houston1999 Dr. Herbert Wade, Bryan2000 Dr. Leighton Wier, San Antonio2001 Dr. Bill Birdwell, Bryan2002 Dr. J. Robbins, San Antonio2003 Dr. John Chandler, Huntsville2004 Dr. Larry Spradley, Bedford2005 Dr. Catherine Flaitz, Houston2006 Dr. John Stovall, Crockett2007 Dr. Richard Collins, Houston2008 Dr. Richard Smith, Amarillo

Please join us on Friday, September 11, 2009 as TAGD announces the 47th Texas Dentist of the Year™ . Nominees show dedication to the profession, service to the community, commitment to

continuing education, and have been involved with activities that demonstrate their character and excellence in the profession of dentistry.

This year’s gala is themed, black and white attire is requested.


The Hottest Topics in Dentistry Today - A Team Approach • Presented by Dr. Louis Malcmacher8:00 a.m. - 4:00 p.m. • 7 hours lecture creditThe primary goal of this seminar is to teach dentists and staff how to easily integrate the hottest topics in dentistry into their practices such as less than an hour teeth whitening, no prep porcelain veneers, resin bonding, and much more. These practical concepts will enable you to offer new dental services, reduce your stress, significantly increase your production, substantially lower your overhead, and have fun doing dentistry. This fast-paced seminar will get you and your staff excited about dentistry!

Enteral Sedation Review & Medical Emergencies • Presented by Dr. Ernie Luce8:00 a.m. - 3:00 p.m. • 6 hours lecture credit This course will review recognition and management of common medical and sedation-related emergencies in the dental office. There will be an emphasis on the critical role of the entire dental team, not just the doctor in these situations. The TSBDE requires enteral sedation permit holders to participate in six hours of enteral sedation review every three years; this course satisfies that requirement.

September 11 & 12 Austin, TXCome for the education Take home the memories

2009 Lone Star Dental Conference

Friday Courses Both courses are open to the entire dental team

Saturday Seminars

Register for the 2009 Lone Star Dental Conference at www.TAGD.org

Unraveling the Mysteries of OrthodonticsPresented by Dr. Jon Romer8:00 a.m. - 12:00 p.m. • Hands-on credit

This workshop will provide an introduction to orthodontics in-cluding how to implement this additional money stream in your practice resulting in an increase of your income. Dr. Romer will discuss basic banding and brack-

eting techniques and guide a hands-on practice using study models. The course includes actual diagnosed cases to help you initiate treatment in your practice on Monday morning.

Oral Surgery Workshop with Advanced Techniques for the GPPresented by Dr. Dave Roberts Sponsored by the JTC Foundation8:00 a.m. - 12:00 p.m. • Hands-on credit

This half-day workshop is de-signed for general dentists who want to expand their oral surgery experience and better understand and manage dento-alveolar sur-gical procedures. This advanced

course will offer you, the general practitioner, an opportunity to better handle your extraction cases, manage complications, and know what to avoid.

What You Didn’t Learn in Dental SchoolPresented by Dr. Andy McKamie Sponsored by Pinnacle Practices8:00 a.m. - 12:00 p.m. • Lecture credit

Dr. Andy McKamie will discuss what it means to be the CEO of a small business. He will explain the importance of developing a clear strategy for your business, focusing on vision, positioning, segmentation, staffing, and op-

erations. You will come away with a clear understand-ing of working “on your business” instead of just “in your business.”

TAGD would like to thank our 2009 Lone Star Dental Conference sponsors for their supportPro-Craft Dental

Laboratory

U. S. Army Health Care

FAGD/MAGD credit#219328

1/1/06-12/31/10

15Summer 2009

Dr. Kipton f. Anderson, EulessDr. Ritchie D. Beougher, PlanoDr. Everett Byrom, PoteetDr. Brady J. Camp, LewisvilleDr. Truong Chau, fort WorthDr. Robert E. Chodroff, friscoDr. Philip Duran, DallasDr. Carl G. Estler, KatyMr. Benjamin fan, houston

Dr. Larry R. franks, harlingenDr. Andrew fossum, harker heightsDr. Richard fossum, TempleDr. Steven C. Goodman, houstonDr. Zachary J. holder, PearlandDr. hieu Quang huynh, KatyDr. Barbara Johnson, houstonDr. April L. Kaneira, flower MoundDr. Kara h. Kim, Irving

Ms. Linsey McLaughlin, fort WorthDr. Jason M. Miller, CrowleyDr. Kalyan K. Nadella, AddisonDr. Chirag S. Patel, Grand PrarieDr. Gary L. Paterick, GarlandDr. Jennifer A. Pham, houstonDr. Jennifer Pitz, DallasDr. Kristin J. Reed, San AntonioDr. Saleha Rehman, houston

Dr. Smita Rewari, AustinDr. Bryan D. Schelin, friscoDr. Suma Shetty, ManvelDr. Audrey L. Stansbury, GarlandDr. Christopher Steiger, DallasDr. Paul Sullivan, KilleenDr. Christopher Tiu, LantanaDr. Kyle B. Todd, CypressDr. Martha J. Wade, houston

WELCOME NEW TAGD MEMBERS!

AGD HOD continued from page 7

Also on the subject of implant dentistry, the House adopted the document, Educa-tional Objectives for the Provision of Den-tal Implant Therapy.

A resolution was passed which appoints a task force to investigate the concept of establishing a federal political action com-mittee. A report and their recommenda-tions will be presented to the 2010 House of Delegates.

In a related action, a resolution was passed

that AGD create an Advocacy Fund. This fund can be used to fund efforts to advo-cate AGD positions to policy makers or to third party entities which provide products or services to dentists or insurance carriers. Advocacy fund dollars cannot be used for contributions to candidates for office.

Finally, a resolution was passed which states, “Resolved, that the AGD is opposed, as unduly burdensome to general dentistry and the patients it serves, to all corporate mandates that require specified quantities of utilization of the corporation’s products in patient’s dental treatment, without any

qualitative assessment of each dentist’s proficiency with the products and with-out substantial clinical evidence of patient harm as a result of utilization in less than the specified quantities, as prerequisites for continued access to the use of the corpora-tion’s product.”

AGD takes very seriously the responsibility to be the Voice of the General Dentist, and it was in that spirit that your representa-tives debated issues of importance to all of us. A more complete listing of actions by the House will be available from AGD in the coming weeks.

TAGD CONTINUING EDUCATION & EvENT SCHEDULE

August 14 & 1513th Annual Dentists Who Care

Charity Dental ConferenceSouth Padre Island, TX

Visit www.dentistswhocare.us

August 15Jack T. Clark Foundation

& Smiles on WheelsRocksprings, TXvolunteer event

Contact Margaret Hulse at 512-244-0577 or [email protected]

September 17San Antonio AGD

Fundamentals of Contemporary Implant Dentistry

w/ Dr. Alfonso MonarresSan Antonio, TX

More information at www.tagd.org

September 18Fort Worth AGD

Building Practicesw/ Dr. Howard Farran

Fort Worth, TXFor questions call Dr. Helmer

at 817-924-1111

September 25Texas AGD

The Magic of Pediatric Dentistryw/ Dr. Ben Taylor

Contact Jeannie Russell at 512-244-0577

or [email protected]

September 25 & 26JTC Foundation

Differential Diagnosis CE & Oral Cancer Screening

Tri-State FairAmarillo, TX


October 9 & 10JTC Foundation


Hopefest Health FairAustin, TX


October 22San Antonio AGD

Oral Surgery Principles and Pitfallsw/ Dr.Wendell Edgin

San Antonio, TXMore information at www.tagd.org

October 23 & 24Houston AGD

Atraumatic Oral Surgery for the General Dentist: Faster, Easier, &

More Predictablew/ Dr. Karl Koerner


October 24 & 25JTC Foundation


LiveStrong ChallengeAustin, TX


November 5 - 8Austin MasterTrack

Clinical Photographyw/ Dr. Douglas Damm

Endodonticsw/ Dr. Ron Lebby


August October

September

November

FAGD/MAGD credit#219328

1/1/06-12/31/10

Texas Academy of General Dentistry409 West Main StreetRound Rock, TX 78664

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Mail or fax your completed form to: Texas Academy of General Dentistry • 409 West Main Street • Round Rock, TX 78664 • Fax 512-244-0476

Apply for membership after July 1 and dues are half price!(Does not apply to reduced rates for recent graduates or component dues. Offer expires October 1, 2009)

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