July/August/September 2015

The Journalof the Philadelphia County Dental Society

July/August/September 2018

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THE JOURNAL of the Philadelphia County Dental Society ________________________________________________________________________________ First District of the Pennsylvania Dental Association July/August/September 2018 Vol. 84 No. 3 ______________________________________________________________________________________________

CONTENTS Members in the News .......................................................................... 2

President’s Message ............................................................................ 3

2018 PCDS Scholarships Awarded ..................................................... 4

Liberty Continuing Education Dates 2018 .......................................... 6 2018 PDA Annual Meeting .................................................................. 11 Legal Questions? Ask a Lawyer ........................................................ 12 News Briefs ............................................................................................ 15 Opioid Handout for Patients ................................................................... 19 Membership Report ............................................................................... 21 Women Dentists’ Artistic Event .......................................................... 22 Health Watch ...................................................................................... 23 Dental Dates ...................................................................................... 25 Classifieds .......................................................................................... 27

The JOURNAL is published by the Philadelphia County Dental Society, One Independence Place, 241 South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797.

The opinions expressed herein are those of the author under whose name they appear and are not to be regarded as representing the views of the Philadelphia County Dental Society unless so indicated.

All advertising materials and correspondence, including classified advertisements and replies should be sent to: JOURNAL of the Philadelphia County Dental Society, c/o Caroline Power Gangl, 1315 Sylvan Road, Lancaster, PA 17601 or emailed to PhilaDentalJournal@yahoo.com

The Philadelphia County Dental Society does not approve or disapprove any products or services advertised in the JOURNAL.

Articles for publication may be sent directly to the Editor electronically via e-mail to philcodent@aol.com. Articles and classified advertisements should be submitted as Word documents; all other advertising should be submitted in .pdf format (Adobe 6.0 or higher). Contact the Society via telephone or e-mail if you require additional information. Deadline for copy is the first of the month PRECEDING the month of issue.

Subscription is included in the annual dues. The JOURNAL is published electronically four times a year, January through December. Single printed copies: $4.00. Standard postage paid at Philadelphia, Pennsylvania. Copyright 2018. The Philadelphia County Dental Society.

Saul N. Miller, D.D.S., '18 Editor Nipa R. Thakkar, D.M.D. Associate Editor Caroline Power Gangl Managing Editor Teresa F. Ravert Executive Director

OFFICERS Renee H. Fennell, D.M.D. President Lennie M. Checchio, D.D.S. President-Elect Judith A McFadden, D.M.D. Secretary A J. Chialastri, D.D.S. Secretary Emeritus Rochelle G. Lindemeyer, D.M.D. Treasurer

GOVERNORS Peter J. Carroll, D.D.S., '18 Thomas W. Gamba, D.D.S., '19 Jay M. Goldberg, D.D.S., '18 Kevin J. Klatte, D.D.S., '19 Andrew J. Mramor, D.D.S., '18 Jonathan Siegel, D.M.D., '20 Nipa R. Thakkar, D.M.D.,’20 • • • Stanley W. Markiewicz, D.D.S., '20 PDA Trustee • • • EXECUTIVE OFFICES: One Independence Place 241 South 6th Street, Unit #C3101 Philadelphia, PA 19106-3797 215-925-6050 FAX: 215-925-6998 E-mail: philcodent@aol.com WEB: www.philcodent.org

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY2

Members in the NewsRossman to Receive AAE Award Dr. Louis Rossman, an endodontist in Center City Philadelphia, has been chosen to receive the Edgar Coolidge Award in 2019 from the American Association of Endodontists. This award recognizes individuals who exemplify extraordinary vision, leadership, and dedication to the specialty of endodontics and who serve as role models for the entire endodontic community. Dr. Rossman is a longtime AAE member and is a past president of the association. The award is named for Dr. Edward D. Coolidge, a pioneer in endodontics who was instrumental in the founding of AAE. The award will be presented at the AAE annual meeting to be held in Montreal, April 10-13, 2019.

Wolff Named Dean, UPenn School of Dental Medicine

Mark S. Wolff, D.D.S., Ph.D., became the Morton Amsterdam Dean at the University of Penn-sylvania School of Dental Medicine on July 1.

Wolff is a celebrated teacher, globally engaged scholar, and deeply experienced clinician. Prior to joining UPenn, Wolff was professor and chair of cariology and comprehensive care at the College

of Dentistry at New York University and the college’s senior associate dean for development and alumni relations.

Joining NYU in 2005, Wolff brought bold and innovative thinking to the world’s largest dental school. As chair of comprehensive care, he led a diverse group of more than 400 faculty and staff with outstanding results; student pass rates on national boards achieved near perfect levels and more than $20 million in research programs were completed under his leadership.

At NYU, Wolff designed and implemented the world’s largest electronic dental-health record and fully digital imaging system. He also increased interprofessional educational opportunities for NYU dental students by creating an integrated case seminar series that brings dental students together with students in dental hygiene, social work, nutrition science, and nursing. He led a school-wide initiative to emphasize duty, altruism, and community service as foundational components of the educational program.

As a faculty member at Stony Brook University for more than two decades before moving to NYU, Wolff revolutionized that institution’s dental-education program by pioneering a disease-based

curriculum for first-year students that focused on prevention and wellness alongside interventions and procedures. He also streamlined and strengthened patient care, including the design and adoption of the first 100 percent paperless clinical record at any dental school in the nation.

A Fellow of the Academy of General Dentistry, Wolff has authored or co-authored 80 original articles and 20 books and chapters. He also has mentored more than 100 dental students in research who have presented 75 papers before the American Association and/or International Association of Dental Research.

He has delivered invited lectures across the United States and the world and has received significant, long-term support for his scholarly activities, including from the National Institutes of Health, the Health Resources and Services Administration, and corporate and industry partners.

Wolff served as chair of the American Dental Education Association’s Council of Sections, as president of the American Association of Oral Biologists, and as both secretary and councilor of the American Association of Dental Schools’ Oral Biology and Cariology sections.

Mark S. Wolff, D.D.S., Ph.D.

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 3

President’s Message Renee H. Fennell, D.M.D.

As I write this message, spring is here and we are excitedly awaiting the beginning of the summer. I hope that Independence Day will be a day of free-dom from the office for all of us. Enjoy! The PCDS Train is still rolling down the track.

By the time this edition of the Journal is published many of our stops will be complete:

Our first CE course this year with speaker Dr. Duplantis, Digitalizing Dentistry and Elevating Your Implant Game, was held at the Hilton Hotel, Philadelphia, PA. New technology is replacing the standard system of impressions.

Congratulations to the recipients of the PCDS 2018 Scholarship Awards from Temple University Kornberg School of Dentistry and the Penn School of Dental Medicine: Anum Ali, Augusta Ankoh, Sam Caruso, Matt Dudek, Arjun Kumar, Christopher Lai and Dilnoza Sibirova.

We apologize for having to cancel our March CE Course. It has been rescheduled for Oct. 12, 2018. Mark your calendars now!

Ask a Lawyer is a two-part program for New Dentists, defined as those who have graduated within the past ten years. The second session is scheduled for Wednesday, Oct. 3. There Mr. Robert H. Montgomery, III and his colleagues will share their expertise on a variety of business topics that will be useful to our young colleagues. We’ll be at Dave and Buster’s on Columbus Boulevard. Appetizers, desserts and liquid refreshments will be served. I want to express my appreciation to Dr. Jonathan Siegel for organizing this event. And thank you to all those who attended the first session in June. If you missed the first event there is still time for you to register for the October 3 session. For more information and to register, visit our website at https://philcodent.org/professional/lawyer.aspx

Sincere thanks to Dr. Sarah Khan for putting together Painting with a Twist, a social event for women dentists. It was a great night having fun with our friends and colleagues. Our instructor, Olan, helped us to connect with our inner artist, and we painted a “Night and Day Tree.” PCDS supplied beverages and snacks.

Pennsylvania’s Dental Association’s 150th Anni-versary and Annual Meeting held at The Hotel Hershey in Hershey, PA, on April 27 & 28 was a

great success with two days of continuing education and social events. Doctors Lennie M. Checchio, Thomas W. Gamba, Stanley W. Markiewicz, Judith A. McFadden, Saul N. Miller, Nipa R. Thakkar, and I represented First District well.

The association’s annual business meeting was held Saturday afternoon, April 28, beginning with a legislative update about assignment of benefits, which is being addressed by Senate Bill 313. SB 313 was passed by the Senate and now it is in the House. Please contact your repre-sentatives and ask them to vote YES on SB 313. To find contact information for your repre-sentatives, use this link For more information about SB 313, check the PDA website at www.padental.org

We were reminded that all members are invited to attend the PDA Leadership Conference July 27 & 28. Five great sessions are being offered that will help you communicate effectively with legislators and demonstrate how to lead from any position within an organization. Please register online at www.padental.org/calendar

Our next stop on the train was a Resident Mentoring Dinner at Zahav Restaurant. We thank the ADA for providing us with an Engagement Grant to mentor our future leaders. We thank Dr. Nipa R. Thakkar for chairing this great event.

MOM-n-PA free dental clinic in Reading, PA, was held on Friday and Saturday, May 18 & 19. More than 930 volunteer dentists, dental hygienists, EFDAs, dental assistants, dental students, lay persons, and EFDA, hygiene and assisting students provided oral health care services to 1,874 patients in the Reading community. The dental services provided were worth more than $950,000! Thanks to all of the First District members, their spouses and staff who participated, including Doctors Peter J. Carroll, Maryanne Checchio, Jay M. Goldberg, Thomas P. Nordone, Nipa R. Thakkar, David A. Tecosky and me. To see the pictures, visit www.mom-n-pa.com or check our Facebook page.

Now for the last stops to Learn, Fellowship, See and be Seen in 2018:

We are preparing to be delegates and alternate delegates to the ADA Annual Session in Honolulu, HI, Oct. 18 – 22, 2018. Dr. Thomas W.

(continued on page 24)

2018 PCDS Scholarships Awarded

The 2018 Philadelphia County Dental Society scholarships were awarded to seven students from Penn and Temple during a brief ceremony at the Society’s May CE program.

The scholarship fund was initiated by the Board of Governors in 1992 to help dental students meet immediate financial needs. We know that the majority of graduates will leave dental school with overwhelming debt – the average debt now exceeds $285,000.00. So, the scholarship award is just one very small way in which we can encourage and assist them as they try to cope with studies, homes, families and jobs.

The Scholarship Fund consists of voluntary contributions from members and friends of the Philadelphia County Dental Society. This year, the Selection Committee awarded a total of $4,500.00 in scholarships to outstanding applicants, all of whom are members of the American Student Dental Association (ASDA), have excellent grades and were highly and enthusiastically recommended to us by their teachers.

Augusta Ankoh . . . University of Pennsylvania School of Dental Medicine, Class of 2019, recipient of a $1,000.00 scholarship. A native of Ghana, Augusta is a cum laude graduate of Mount Holyoke College in Massachusetts with a major in biology and a minor in chemistry. Prior to entering dental school, she worked at Merck & Company as a process engineer. Since her first year of dentistry, she has been

2018 Scholarship Recipients (seated, l-r) Augusta Ankoh, Dilnoza Sobirova, Anum Ali; (standing, l-r) PCDS president Dr. Renee H. Fennell, Arjun Kumar, Sam Caruso, Christopher Lai, Matt Dudek and Dr. Gregg M. Chialastri, member of the Selection Committee. volunteering at a homeless facility, providing oral health education and hygiene products to some of the city’s vulnerable population. She is also a teaching assistant with first and second year dental students, assisting them with their pre-clinic lab projects. Augusta looks forward to practicing dentistry in Pennsylvania after she receives her degree.

Anum Ali . . . Temple University Kornberg School of Dentistry, Class of 2019, recipient of a $1,000.00 scholarship. As a student at Souderton Area High School, she was actively involved in student organizations, advanced placement and honors level

courses. While in high school, Anum set her goal to become a dentist, eventually applied to Temple University and was accepted into the University’s 3+4 Accelerated Dental Program in cooperation with the Kornberg School of Dentistry. During her under-graduate years, she volunteered with numerous dental and community organizations and participated in research with Temple’s bioengineering department. She hopes to become an associate and eventually own a practice.

Sam Caruso . . . University of Pennsylvania School of Dental Medicine, Class of 2020, recipient of a $500.00 scholarship. Sam earned a degree in bioengineering at Clemson University in South Carolina. He intended to become an engineer, but was drawn to dentistry as a career path that would incorporate many aspects of engineering, and he became heavily involved in research and completing additional courses that were pre-requisites for dental school. He believes that dentistry provides a tremendous opportunity to develop through innovation and device design. His goal is to continue to develop as the best dentist and clinician he can be.

Matt Dudek . . . Temple University Kornberg School of Dentistry, Class of 2019, recipient of a $500.00 scholarship. Matt received a master’s degree in biomedical sciences from Rutgers University Graduate School of Biomedical Sciences and earned a concentration in oral biology. He enrolled in dental careers classes in high school and he shadowed in the office of his orthodontist. He became a volunteer

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY4

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dental assistant at a local free dental clinic and then began working as a dental assistant during college breaks. Matt has definite goals for his future, including associating in a private practice with intentions to take over the practice, participating in a yearly voluntary event along with his staff members, and owning a private practice where his employees will love to come to work and where every patient matters.

Arjun Kumar . . . University of Pennsylvania School of Dental Medicine, Class of 2019, recipient of a $500.00 scholarship. Arjun is a magna cum laude graduate of Stony Brook University in New York with a degree in psychology. He was on the Dean’s List for all eight academic semesters, was offered the President’s Scholarship and received the Provost Award for Academic Excellence at graduation. At Penn, he has been active as a representative and officer of the American Student Dental Association, currently serving Penn’s ASDA President, and he has worked hard to increase Penn’s ASDA member-ship, especially with a view toward encouraging students to remain active participants in our tri-partite dental associations after graduation.

Christopher Lai . . . University of Pennsylvania School of Dental Medicine, Class of 2019, recipient of a $500.00 scholarship. Chris attended Neumann-Goretti High School in Philadelphia where he was a recipient of a full scholarship from the Connelly Foundation. He then received a Mayor’s Scholarship to attend the University of Pennsylvania, earning a degree in botany. As an undergraduate, he worked part time to support his family, while doing community service at hospitals and Camp Erin, a weekend camp for children and teenagers who have

lost loved ones. After graduation, he worked full-time for two years as an orthodontic assistant and attended evening classes to complete his dental school prerequisites. He looks forward to attending a postgraduate program in orthodontics and subse-quently opening a practice in Philadelphia.

Dilnoza Sobirova . . . Temple University Kornberg School of Dentistry, Class of 2019, recipient of a $500.00 scholarship. Dilnoza is a graduate of Temple University with a degree in chemistry. Her interest in dentistry goes back to her home country of Uzbekistan, where there were few dentists and it was almost normal for people of age 40 to be wearing full dentures, including Dilnoza’s mom. Her mother’s discomfort pushed Dilnoza toward dentistry because she wanted to be able to improve patients’ quality of life. While in dental school, she has been working with special needs patients, which has given her an appreciation of the need for access to care for this population. After graduation, she hopes to complete a general practice residency and then practice in Philadelphia.

These very brief descriptions give us just a small glimpse into the life experiences, determination and work ethic that have encouraged these scholars to form their decisions to enter dental school and be part of a giving profession. Dentistry will surely continue to be in good hands when we welcome these students as colleagues.

To our members and friends, thank you for your contributions to the Scholarship Fund over the years – YOU have made it possible for us to acknowledge these students.

RETREAT to the beaches of Oahu and REENGERIZE your

practice at the ADA annual meeting, October 18-22!

The ongoing Kilauea volcano eruptions pose no threat to visitors or air quality!

REGISTER now at ada.org/meeting

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY6

The Philadelphia County Dental Society & the Pennsylvania Dental Association present

The 2018 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel

4200 City Avenue, Philadelphia, PA

THREE full-day programs are scheduled at the

SPECIAL MEMBER TUITION of $480.00

(individual full-day courses, $175.00/PCDS Member Dentist)

Programs begin at 8:30 a.m. and conclude by 3:30 p.m. (unless otherwise stated). Continuing education credits awarded; hours will be deducted for those who arrive late and/or leave prior to conclusion.In recognition of the need for quality continuing education, and in an effort to make such programs attractive and accessible to members, PCDS and PDA are proud to present this package as a MEMBERSHIP BENEFIT. Every effort is made to bring you outstanding programs at minimal cost to you. Information and materials presented by clinicians are intended for your personal evaluation and are not necessarily endorsed by PCDS and PDA. PDA does not express or imply that individual courses will be accepted for various state mandatory continuing education requirements. The individual license holder must consult the regulations pertaining to your state/s.

NO REFUNDS on courses purchased as part of the CE package. Refunds for courses purchased individually will be issued less a 10% administrative fee

if the registration is cancelled in writing seven days prior to the program you are attending. Refunds are not issued for no shows.

Each full-day program includes lunch and FREE parking validation. At the end of the calendar year, PDA will provide you with

an annual transcript of all courses you attended through the Liberty CE Series.

NOT a PCDS Member? ADA members may become Associate Members of the Society. Dues are $157 for the calendar year (no pro-rating). Contact the PCDS Executive Office (215) 925-6050 for an application or become a member through the website at www.philcodent.org NOT an ADA Member? Contact PCDS about the Liberty Enrollment Program that will enable you to register for courses at the LOW member rate.

PDA is an ADA CERP Recognized Provider ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

Academy of General Dentistry Approved PACE Program Provider

FAGD/MAGD Credit

Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. January 1, 2015 to December 31, 2018 Provider ID # 219268

For continuing education credit, as designated by PDA, see individual course descriptions. Learning objectives are available on the printed brochure that was mailed in January 2018.

Course Information

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P P P P P P P P

CE 59 – Friday, September 14, 2018 8:30 a.m. to 3:30 p.m. - Paul Bylis, DDS - Direct Resin Artistry—Anterior/Posterior (6 CE credits) Direct anterior and posterior composite restorations are a day to day treatment modality. This course will take the clinician to the next level in the aesthetic use of these materials. It will demonstrate how to create a composite veneer that rivals porcelain.

The clinician will learn a simple three-shade technique to achieve a highly aesthetic restoration. Posterior Class II techniques to achieve simple lifelike, long lasting restorations with minimal adjustment will be presented. Those attending will be able to immediately incorporate these new skills into their everyday practice.

Presented in cooperation with Dentsply Sirona

Dr. Bylis received his undergraduate degree from Brooklyn College of Pharmacy in 1982. He graduated with

honors from Georgetown University School of Dentistry in 1986 and then completed a general practice residency with the Veterans Administration in Washington, D.C. Dr. Bylis receives speaker fees from Dentsply Sirona.

Register online at www.padental.org/calendar

Online registration is available for PCDS and PDA member dentists and staff attending with the dentist. Non-member dentists, PCDS Associate Members, Liberty Enrollees and dental staff attending without a dentist,

please contact Rebecca Von Nieda at (717) 234-5941, ext. 117 for registration options.

P P P P P P P P

CE 57 - Friday, October 12, 2018 (rescheduled from March 21)

8:30 a.m. to 3:30 p.m. - Bruce J. LeBlanc, DDS - Creating Wow and Excellence with Digital Impressions, Caries Detection, Photography and Maximized Adhesive Minimal Invasive Dentistry (6 CE credits)

Morning Session - Digital Impressions, Caries Detection, Photography - With breakthroughs in computer digital imaging new opportunities have emerged to optimize diagnosing pathology and moving patients to understand and choose wellness. Digital impression scanners, are not only essential for restorative procedures but now, can track changes over time such as tooth movement, tooth wear and gum recession. Photography allows clinicians to co-diagnose with patients to help them make good decisions. Dr. LeBlanc shares his experiences in buying and implementing digital products in a way that will truly move patients and clinicians to say WOW.

Afternoon Session - Maximized Adhesive Minimal Invasive Dentistry - With optimal adhesive bonding it is now possible to minimize tooth structure removal to rejuvenate teeth in a way patients love with restorations that can mimic the original tooth in appearance and function. With optimal adhesive bonding, teeth can be restored with longevity without sensitivity. Dr. LeBlanc presents his adhesive protocol that many attendees have reported has increased their confidence to immediately offer solutions that they and their patients love.

More Course Information

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY8

Presented in cooperation with Catapult Education

Dr. LeBlanc is a graduate of LSU School of Dentistry and completed core curriculums at the LD Pankey Institute, Dawson Institute and Fillastre Institute, as well as, the initial class of the LSU Cosmetic Continuum.

The product information shared during the lecture is based on Dr. LeBlanc’s 30 years of experience.

P P P P P P P P

CE 60 – Friday, November 9, 2018 8:30 to 11:30 a.m. - Chinchai Hsiao, DMD; Matthew J. Walters, DDS; Antonio Marques, DMD, Endodontics for the GP: Diagnosing the Painful Tooth (3 CE credits) The presenters will discuss diagnosis and treatment of emergencies, unusual cases, fractures and resorption cases. The use of 3D imaging (CBCT) in detecting and diagnosing endodontic cases also will be discussed.

Dr. Hsiao is a graduate of the University of Pennsylvania and completed the postgraduate program in endodontics at Temple University Kornberg School of Dentistry. Dr. Walters is a graduate of the University of

Michigan School of Dentistry and completed the postgraduate program in endodontics at Oregon Health & Science University. Dr. Marques is a graduate of the University of Puerto Rico School of Dental Medicine and completed the postgraduate program in endodontics at Albert Einstein Medical Center. All three doctors are

practitioners at Endodontics Limited in Northeast Philadelphia, Langhorne and Hatboro, Pennsylvania. 1:00 p.m. to 3:00 p.m. – E. Steven Moriconi, DMD, FACD, FICD, Pain Management Alternatives and Identification of Addiction (2 CE credits) The lecture will fulfill Act 124 of 2016 CE requirement for dentists who hold a DEA registration or use a registration to prescribe controlled substances. Pain management, identification of addiction and the practices of prescribing opioids will be discussed.

Dr. Moriconi graduated from Fordham University and the University of Pennsylvania School of Dental Medicine. He completed his residency in oral and maxillofacial surgery at the Hospital of the

University of Pennsylvania in Philadelphia and at the Geisinger Medical Center in Danville, PA. Dr. Moriconi has no relevant financial relationships to disclose.

The Act 124 program by Dr. Moriconi is included in the CE package tuition but MAY be ordered as a single event – to order ONLY this program, see “CE 24” on registration form. Please note that dispensers and prescribers applying to renew their licenses or certificates must complete at least two hours of CE in pain management, identification of addiction or the practice of prescribing or dispensing of opioids as a portion of the total CE required for biennial renewal.

PDA has obtained clarification from the Department of State's Bureau of Professional and Occupational Affairs (BPOA) about exemptions in Act 124 for health care providers who do not prescribe controlled substances. BPOA confirmed that there are two exemptions for licensees: Licensees who are exempt from the federal Drug Enforcement Agency's (DEA) requirements for a registration number. Licensees who do not use the registration number of another person or entity, as permitted by law, to prescribe

controlled substances in any manner.

Visit www.padental.org/calendar for updates on the list of principal sponsors and participating partners.

PCDS Continuing Education Convenient Relevant Affordable

Helping you meet your legal and ethical responsibilities. Registration Form

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 9

Register online at www.padental.org/calendar. NOTE: Online registration is not available for Associate Members, Staff Members, Liberty Enrollees and Non-member Dentists.

Contact Rebecca Von Nieda at (717) 234-5941, ext. 117 for registration options. Use a SEPARATE reservation form for each person - this form may be duplicated.

RESERVATION FORM / 2018 LIBERTY CONTINUING EDUCATION PROGRAMS

PCDS MEMBER NAME

ADA # TEL # ( ) FAX # ( )

ADDRESS

CITY/STATE/ZIP ATTENDEE'S E-MAIL

ATTENDEE’S NAME & DESIGNATION (DDS, DMD, RDH, EFDA) ________________________________________________________________________________________________________________

INDICATE ANY DIETARY OR ACCESSIBILITY NEEDS _____________________________________________

ACT 124 PROGRAM ONLY (does not include lunch) - CE 24

PCDS/PDA Member Dentist - CE 24 $75.00

Non-member Dentist - CE 24 $200.00

Hygienist, EFDA or Non-Licensed Office Personnel $75.00

Please indicate the CODE NUMBER for each course you will attend (e.g., CE 59). PCDS Member for three FULL-DAY programs: # ____ ____ ____ ` $480.00 PCDS Member for two FULL-DAY programs: # ____ ____ $350.00

PCDS Member for one FULL-DAY program: # ____ $175.00

ADA Member Dentist for one FULL-DAY program: # ____ ____ ____ $250.00 x _____ no. of programs selected = $_______

Non-Member Dentist for one FULL-DAY program: # ____ ____ ____ $300.00 x ____ no. of programs selected. = $_______

Hygienist, EFDA, non-licensed Office Personnel employed PCDS/ADA or PDA member: # ____ ____ ____ $95.00 x ____ no. of programs selected = $_______

Hygienist, EFDA, non-licensed Office Personnel employed non-member: # ____ ____ ____ $125.00 x ____ no. of programs selected = $_______

Method of Payment: check (payable to PDA) Visa MasterCard American Express Discover

Credit Card # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Exp. Date _ _ / _ _ Signature (required for charge cards):

Name Printed on Card

Mail completed form and payment to PDA, P.O. Box 3341, Harrisburg, PA 17105. Forms with credit card payments can be faxed to (717) 232-7169, attn.: Rebecca Von Nieda.

Completed registration forms/on-line registration must be received no later than 10 business days prior to the course.

Confirmations will be emailed to attendees approximately 10 days prior to each course. CE transcripts will be mailed to you each year in December. Each attendee is responsible for forwarding copies to the

appropriate licensing or accrediting agencies (State Board, Specialty Boards, etc.).

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY10

THE DENTAL SOCIETY OF CHESTER COUNTYAND DELAWARE COUNTY, PAproudly presentsDKU ContinuingDental Education

DENTISTS

KEEPING UP!

For Speaker Bio go to www.DKUdental.com and see full brochure.All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA.

Registration for all courses 8:15 AM. Lecture 9:00 AM – 4:15 PM. Continental breakfast and lunch included for all DKU courses.

Delco and Chesco Society Members - Entire Series - $695, Individual Courses - $210, 3 Courses - $560, 4 Courses - $655Other ADA Members - Entire Series - $745 Individual Courses - $225, 3 Courses - $600, 4 Courses - $695Non-ADA Members - Entire Series - $815, Individual Courses - $240, 3 Courses - $635, 4 Courses - $755Staff members accompanied by a doctor will be $110 per course per person with reservation at least one week in advance, $130 per course per person at door.Cancellations and Refund Policy - No refunds will be made without at least one week’s notice prior to course date. (A $25 administrative fee will be deducted.)For information please contact: DKU • c/o Barry Cohen, DMD • 4750 Township Line Rd • Drexel Hill, PA 19026 • 610-449-7002 • DKUDental@aol.com

FEES

Springfield Country Club,Delaware County6 CEU

Lecture Credits p

er Course

Friday, October 5, 2018 Jeff J. Brucia, DDS – San Francisco, CARestorative Materials & Techniques Simplified 2018 – This lecture course provides an overview of the restorative options you should be considering today as well as a comprehensive discussion of the ever-changing world of dentinal adhesives. Dr. Brucia has lectured internationally on this subject and will guide you through the collection of materials and techniques available today for providing both direct and indirect restorations that will meet your patients’ expectations for quality dental care. This is a must see program for all wet fingered restorative dentists and clinical staff. Learning Objectives: Review the options available in adhesive systems including the new advancements in Glass Ionomers and light curing units and direct composites; Eliminate the frustration of post-operative sensitivity and restorative failure; Techniques for the preparation, impressions, temporization, lab communication, material selection and cementation of indirect restorations including margin elevation, fiber re-enforcement and when to seal the prep. This course is supported by educational grants from Ultradent, SDI, PNC, Kettenbach and Garfield Refining.

Thursday, November 1, 2018 Alan W. Budenz, MS, DDS, MBA – San Francisco, CAGetting Comfortably Numb? The Anatomy of Local Anesthesia – This lecture is designed for dentists and hygienists to expand their understanding of the pharmacologic mechanisms and delivery techniques of local anesthesia and to solve the difficulties that arise in obtaining profound anesthesia in the oral cavity. A wide range of both maxillary and mandibular block techniques will be empha-sized. Use of alternative anesthesia modalities, such as intraosseous techniques and computerized delivery systems to obtain either primary or secondary anesthesia are reviewed. The controversy surrounding the use of Septocaine and Citanest for mandibular block anesthesia injections will be addressed, and management of possible complications and injuries related to the delivery of oral local anesthesia will be discussed. Course objectives include: An overview of local anesthesia pharmacology; Contraindications and toxic reaction concerns with local anesthetics; Alternative anesthesia modalities; Anesthetic buffering and anesthetic reversal; Unexpected side effects and their management. Dentists and dental hygienists attending this course will return to their practices with greater confidence in their ability to deliver comfortable and efficient local anesthetic injections; an increased appreciation for the causes of local anesthesia failures; the knowledge to overcome these failures; and a greater sense of ease in recognizing and managing unexpected side effects and complications. This will reduce the anxiety level of the practitioner and bring the practice closer to pain-free dentistry for the patient.

Thursday, December 6, 2018 Mark T. Murphy, DDS – Detroit, MISimplifying the Complex Case; From Treatment Planning to Case Acceptance – This evidence- based review of occlusion, differential diagnosis, treatment planning, materials, matrices, shade, preparation design and provisionalization will emphasize how to evaluate and apply risk assessment and make predictable decisions about complex restorative and aesthetic cases. We will walk through each simplifier and “breakdown” the process into constructs you and your team can easily apply. We will explore the physics, bio-mechanics, physiology and psychological dimensions of the topics. The focus will be on developing skills that you can put to use right away in planning and restoring dentitions for your patients. Learning Objectives: Broaden the understanding of managing forces on the stomatognathic system.; Make predictable choices about shade, material strength and aesthetics; Apply planning and matrices to design, preparation and provisionalization; Utilize all of the above to help the patient make better choices and treatment decisions. This course is supported by educational grants from, Kettenbach.

Friday, January 11, 2019 Mitchell Gardiner, DMD – Shrewsbury, NJDentist’s Best Legal Defense is their Dental Team: Standards of Care 2019 – Dr. Gardiner’s experience really goes to the court. He has over 40 years of practice experience and about 25 years as an expert witness in the court of law. He oftentimes sees that when dentists get sued, there are ancillary people on their teams that get called in to testify: hygienists, assistants, sometimes front-office staff people. From reading all of the materials presented in a case, it’s clear that the actions of staff in the office can help or hurt the case. This course will enlighten you and your office staff of how the successful defense of dental malpractice suits involves the entire dental team – not just the doctor. Topics to be included: documentation that meets accepted standards of care; informed consent-you never told me that; medical history-how to get a good one and why you must have an accurate and complete history; prescription writing- legal and ethical problems and solutions; antibiotic prophylactic practices for 2019; what dentists are being sued for today and how to defend your office from a lawsuit; injuries and mishaps that are becoming more commonplace and how to meet accepted standards of care when they happen; clostridium difficile- a growing problem for dentists.

Wednesday, April 3, 2019 John Flucke, DDS – Lee’s Summit, MOClinical Technology That Can Improve Your Practice. . .Without Draining Your Retirement Plan – Dr. Flucke scours trade shows & the Internet to find the latest and greatest products and devices… so you don’t have to! He pushes his office to be on the leading edge and will show why and how high tech can make practicing easier and more fun. The techniques and devices presented are ones that are used every day in his office so this lecture comes from the perspective of real world clinical experience. Learn about many technologies and strategies that can improve your efficiency and patient care. Topics covered include the digital operatory, lasers, endodontic improvements, and many others. This fun and fast paced lecture will give you tons of info no matter where you are on the “techno-curve” in an entertaining and highly interactive format. Spend the day with “Dentistry’s Technology Evangelist” and leave with a list of new and exciting ways to improve patient care and office efficiency the very next day. Learning Objectives: Advantages of digital operatories; Uses of different laser wavelengths; Learn implementation strategies;. Learn about affordable ways to improve clinical outcomes & efficiencies. This course is supported by an educational grant from PNC and Kettenbach.

Wednesday, May 1, 2019 Robert Frazer, DDS & Bill Woodburn, MEd, LPC, LMFT – Austin, TXCreating Powerful practices: Understanding Emotional Intelligence – Bob and Bill will lead you through top 2% practice tested, results targeted Emotional Intelligence skills to resolve your challenges, ensure excellent team performance and provide a truly “Wow” transformational patient experience. Brimming with humor and wisdom, listen and apply insights of psychology to building a successful dental practice. Empower yourself and your team through new, problem-focused learning methods and hands-on skills practice in a supportive and fun environment. If you’d like to reduce work-related stress, increase your profits and build better relationships, this program on Emotional Intelligence is for you! Learning Objectives: Discover the power of Emotional Intelligence and its applications to dentistry; Gain skills to become a highly effective, balanced and authentic leader; Learn less stressful, most effective and positive conflict resolution strategies; Dramatically improve your case acceptance, empathy and listening skills; Benefit from research by learning to apply the Six Styles of Highly Effective Leaders; Create a Self-Directed Learning Plan that charts a step-by-step path to your ideal highly effective professional and personal self. This course is supported by an educational grant from PNC.

2018/2019

Registeron -line atDKUdental.com

Approved PACE Program Provider FAGD/MAGD credit. Approval does not imply acceptance by a state or provin-cial board of dentistry or AGD endorse-ment. The current term of approval extends from 3/1/2017 to 2/28/2021. Provider ID #217995

The Dental Society of Chester County and Delaware County is an ADA CERP recognized provider approved by the Pennsylvania Dental Association. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. The Dental Society of Chester and Delaware County designates this activity for six credit hours per course of continuing education credits.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 11

2018 PDA Meeting The Pennsylvania Dental Association celebrated its 150th anniversary in Hershey, PA, on April 27 and 28. The two-day event featured continuing education and social programs, the Association’s annual business meeting and a Gala Dinner. Representatives of the Philadelphia County Dental Society included: Dr. Renee H. Fennell, president; Dr. Lennie M. Checchio, president-elect; Dr. Thomas W. Gamba, PDA past president; Dr. Judith A McFadden, PCDS secretary; Dr. Saul N. Miller, PCDS Editor; and Dr. Nipa R. Thakkar, member of the PCDS Board of Governors.

Left, PCDS President, Dr. Renee H. Fennell, welcomed ASDA representatives from Temple University Kornberg School of Dentistry and University of Pennsylvania School of Dental Medicine to the 150th anniversary meeting of the Pennsylvania Dental Association held in Hershey, April 27 and 28. With Dr. Fennell are: Alyssa Southard, Lauren Yap, Katelynn Miller, Craig McKenzie and Tedi Vatnika.

Right, Philadelphia’s dental students participated in PDA’s Annual Business Meeting

on April 28, where ADA Executive Director, Dr. Kathleen O’Loughlin, addressed the

assembly. Pictured are: Katelynn Miller, Craig McKenzie, Kelly Holst, Larisa Flores, Lauren

Yap, Alyssa Southard and Tedi Vatnika

PCDS President, Dr. Renee H. Fennell, and her husband, Mack, were welcomed to the PDA’s 150th Anniversary Gala Dinner on April 28 in Hershey by PDA Chief Executive Officer, Camille Kostelac-Cherry, Esq.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY12

The Philadelphia County Dental Society presents A Program for New Dentists:

New Dentists are defined by ADA as dentists who have graduated within the last 10 years

Legal Questions? Ask a LawyerSecond and final session: Wednesday, October 3, 2018

6:30 to 7:15 p.m. Refreshments 7:15 to 9:15 p.m. Presentation

Robert H. Montgomery, III, Esq., and Associates Presented in cooperation with an engagement grant from the American Dental Association

The information contained in these presentations will be prepared by the speaker/s and is not intended to provide either legal or professional advice, and cannot address every federal, state, and local law that could affect a dentist or dental practice. PCDS makes no representations or warranties of any kind about the completeness, accuracy, or any other quality of the information presented and nothing discussed represents advice or opinion as to any particular situation attendees may face; for that, it is necessary to consult directly with a properly qualified professional or with an attorney admitted to practice in your jurisdiction for appropriate legal or professional advice.

Limited Number of Attendees — Advance Registration Required

To register NOW: https://philcodent.org/professional/lawyer.aspx

ADA Member (PCDS, PDA, Graduate Student, Resident): $15/person NON ADA MEMBER FEE: $20/person one session

No onsite registration availability

Includes refreshments and free parking (Parking is $15.00 prepaid as you enter. Bring your receipt to the session.

We will arrange to reimburse your credit card.)

Dave & Buster’s 325 N. Columbus Blvd., Philadelphia, PA 19106

Robert Montgomery, Esquire and his team of lawyers will be tackling several important legal and business issues that all dentists need to understand and be concerned about. The format will feature a less structured dialogue between the professional and expert panelists on these important topics. Attendees are encouraged to email questions they may have on the topics being discussed in advance to Rob at Rob@RMontgomery-Law.com or by submitting them at www.YourDentalLawyer.com and or submit them on the Reservation Form. We will try to incorporate them into the discussion. Comments from those who attended the first session in June: “Great information.” “Enjoyed networking with colleagues while having refreshments at the beginning of the program.” “Well presented by knowledgeable speakers.” “More new dentists need to hear what these speakers have to say.” “It was almost more information than I could handle at one time.” “This gave me fantastic information on how to approach sales agreements and negotiations, practice buy-ins.” “Good information on how to evaluate brokers.”

Session 2: Wednesday, October 3 In the first part of the evening, Rob and his colleague Justin Weaver, Esquire will discuss associate employment agreements from both the practice’s and associate’s perspective. The conversation will include a discussion of the role and significance that restrictive covenants play in agreements and the impact that they can have (negative and positive) on a practice transition. In the second part of the evening, Rob and his team will discuss dental office leases, which are a critical part of any practice; as Rob likes to say, “without an office, you can’t have a dental office.” Rob will discuss the lease negotiation process, important terms to look out for and, again, how an office lease can impact a practice transition (for better and worse). Joining Rob on this topic will be Brian Madden of Carr Healthcare Realty that is a dental-focused national healthcare real estate company which represents tenants and buyers in office leases and real estate purchases. Rob and Brian will chat about the best practices for identifying and entering into an office lease and how and when to negotiate with a landlord for the renewal of an existing lease. Finally, Deborah Shepherd of Citizen Bank’s dental banking division will join in to discuss the lending process for building out a new dental office or expanding an existing dental office- what to look for and what steps to take when.

About the Speakers

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About the Principal Speakers . . .

Robert H. Montgomery, III, Esquire, P.C. (www.YourDentalLawyer.com) (Rob@RMontgomery-Law.com) is a leading boutique law firm focusing on counseling dentists, dental practices and dental service organizations in a full range of business and legal matters affecting dental practices: advising on the formation of business entities; practice start-ups and lease negotiations, buy-ins, partnership agreements, practice acquisitions and sales, employment matters, forming and structuring dental service organizations, operational issues, financing, real estate sales and acquisitions, general corporate and business matters, as well as non-compete litigation, partnership litigation, real estate litigation and other litigation involving dental business matters. In addition, their team of lawyers brings experience and a depth of knowledge to their clients as well as extensive professional networks in key areas, including accounting, financing, start-up practice consultants, equipment and supply, real estate and more. Rob founded the firm and has been serving the individualized legal and business needs of dentists, dental practices and dental service organizations for over 20 years. Rob has worked on hundreds of dental deals, ranging from practice start-ups to complex practice acquisitions involving multistate practice locations. Rob practices primarily out of the firm's Philadelphia office. Justin J. Weaver (Justin@RMontgomery-Law.com) Justin has represented hundreds of dentists throughout his career with a focus on dental practice sales and acquisitions. Justin also counsels dentists and dental management companies in connection with a wide variety of other needs including partnership buy-ins, employment matters, real estate transactions and day-to-day operational matters. Justin practices primarily out of the firm's Philadelphia office.

4 HOURS TOTAL CE CREDIT (2 HOURS PER SESSION)

NOTE: These sessions do not qualify for CE credit for Pennsylvania dental relicensure requirements.

The Philadelphia County Dental Society is an ADA CERP recognized provider approved by the Pennsylvania Dental Association. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. The Philadelphia County Dental Society designates each activity for two (2) continuing education credits.

Academy of General Dentistry Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. January 1, 2016 to December 31, 2019 Provider ID # 212415

Course Registration

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY14

Legal Questions? Ask a Lawyer: A Program for New Dentists*

This program is sponsored by the Philadelphia County Dental Society in cooperation with an Engagement Grant from the American Dental Association. The ADA requires that all of the information below be completed by program participants. Incomplete forms will not be processed for registration. *New Dentists are defined by ADA as dentists who have graduated within the last 10 years

NAME: ____________________________________________________ ADA #:_________________________

STREET ADDRESS: ___________________________________________________________________________

CITY/STATE/ZIP: _______________________________________

WORK/OFFICE PHONE: __________________________ PERSONAL CELL PHONE: _____________________

NON SCHOOL EMAIL: _________________________________________________________________________ I am a CURRENT MEMBER OF: PCDS PDA ADA I am NOT CURRENTLY AN ADA MEMBER Dental School & Year of Graduation: ______________________________________________________________________________________________________ Postgraduate Program: ________________________________________________ Completion Date: __________________ I have a current Pennsylvania dental license: YES NO I have a current dental license in the following state(s): ____________________________________________________________ I currently practice/plan to practice in: Philadelphia County/ Bucks County/ Chester County/

Delaware County/ Lehigh Valley/ Montgomery County Office address: ____________________________________________________________________ Other location: ____________________________________________________________________

SECOND & FINAL SESSION: OCTOBER 3 – 6:30 T0 9:15 PM DAVE & BUSTER’S – 325 NORTH COLUMBUS BLVD., PHILADELPHIA, PA 19106

REGISTRATION INCLUDES REFRESHMENTS & FREE PARKING (Parking is $15.00 prepaid as you enter. Bring your receipt to the session. We will arrange to reimburse your credit card.)

___ Register me for Wednesday, October 3

$15 MEMBER TUITION (PCDS, PDA, ADA) $20 NON-MEMBER Refunds granted only if cancellation is received in writing by September 24

Total Payment Enclosed $ ___________

Method of Payment: Check Visa MasterCard American Express Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. Date __ __ /__ __

Signature (required for charge cards): ___________________________________________

MAIL OR FAX TO PHILADELPHIA COUNTY DENTAL SOCIETY WITH PAYMENT One Independence Place, 241 S. 6th St . - Unit #3101 - Philadelphia, PA 19106-3797

Telephone: 215-925-6050 FAX: 215-925-6998 Acknowledgment will be emailed to you – bring the acknowledgment with you for sign in at the programs.

You may submit up to 2 questions you would like the speaker/s to address:

1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 15

News Briefs Safety Risk Prompts FDA to Advise Consumers to Stop Using OTC Benzocaine Teething Products On May 23, 2018, the Food and Drug Admin-istration (FDA) issued an advisory that urged companies to discontinue production of benzocaine teething products, include new warnings for other OTC benzocaine products and revise warnings for approved prescription local anesthetic drugs.

In the advisory, FDA noted because of the lack of efficacy for teething and the serious safety concerns it has seen with over-the-counter benzocaine oral health products, it is taking steps to stop use of these products in young children and raise awareness of the risks associated with other uses of benzocaine oral health products. It urges parents, caregivers and retailers who sell them to heed its warnings and not use over-the-counter products containing benzocaine for teething pain, especially for children age 2 and under.

Benzocaine is marketed to help relieve pain from a variety of conditions such as teething, sore throat, canker sores and irritation of the mouth and gums. The products are sold as gels, sprays, ointments, solutions and lozenges under the OTC brand names Anbesol, Baby Orajel, Cepacol, Chloraseptic, Hurricaine, Orabase, Orajel and Topex, as well as store brands and generics.

In a related Drug Safety Communication issued May 23, the agency builds on its previous warnings about risks associated with benzocaine products for methemoglobinemia. This dangerous condition is the result of elevated levels of methemoglobin in the blood and it can lead to death. It causes the amount of oxygen carried through the blood to be greatly reduced.

The agency asks health-care professionals to warn patients of the possibility of methemo-globinemia. It also advises providers using local anesthetics to monitor their patients for signs and symptoms of methemoglobinemia and to have resuscitation equipment and medications readily available, including methylene blue.

Dentists can refer patients to MouthHealthy.org for more information on safety concerns surrounding OTC benzocaine products.

FDA recommends parents and caregivers follow the American Academy of Pediatrics’ (AAP) recommendations, which are to use a teething ring made of firm rubber (not frozen) or to gently rub or massage the child’s gums with a finger to relieve symptoms.

Reminder: Federal Regulations Require Amalgam Separators A regulation promulgated in 2017 by the Environmental Protection Agency requires most dental practices nationwide to install devices, called separators, to capture dental amalgam waste preventing its release to sewer systems. The rule includes reasonable exemptions, a phase-in period (through July 14, 2020) for existing dental offices and considerations for dental practices that have already installed the devices. As of July 14, 2017, new dental offices that discharge dental amalgam must comply immediately with the standards in this rule.

The ADA shares the EPA’s goal of ensuring that dental amalgam waste is captured so that it may be recycled. Amalgam best management practices can be found at ADA.org/RecycleAmalgam In addition, ADA’s Business Resources has partnered with HealthFirst, a vendor that offers ADA member dentists special pricing on an amalgam separator device that will meet the federal regulatory requirements along with recycling services.

ADA’s New Policy to Combat Opioids In March the American Dental Association announced its new policy to combat the opioid epidemic.

The policy, which could be the first of its kind among major health care professional organizations, states:

The ADA supports mandatory continuing education in prescribing opioids and other controlled substances.

The ADA supports statutory limits on opioid dosage and duration of no more than seven days for the treatment of acute pain, consistent with the Centers for Disease Control and Prevention evidence-based guidelines.

The ADA supports dentists registering with and utilizing Prescription Drug Monitoring Programs (PDMPs) to promote the appropriate use of opioids and deter misuse and abuse.

(continued on page 16)

The FDA urges consumers and health-care professionals to report

adverse reactions involving benzocaine products or other

medicines to the FDA’s MedWatch program The FDA will continue to monitor the safety of benzocaine products and will take additional

actions as appropriate.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY16

News Briefs (cont’d)Most opioids prescribed to patients in the

United States are written by physicians and other medical professionals for management of chronic (long-term) pain. Dentists with an appropriate license may also prescribe opioids, and do so most often for management of acute (short-term) pain such as severe tooth decay, extraction of teeth and root canals. In 1998, dentists were the top specialty prescribers of opioid pain relievers, accounting for 15.5 percent of all opioid prescriptions in the United States. By 2012, this number had fallen to 6.4 percent.

To urge the Senate Judiciary Committee to include dental providers in legislation focused on ending the nation’s opioid crisis, the ADA shared with the committee via letter the ADA opioid policy and urged the committee to take a measured approach when considering mandatory continuing education, prescribing limits, and prescription drug monitoring programs.

In the letter ADA President Joseph P. Crowley and Executive Director Kathleen T. O’Loughlin stressed that any continuing education mandate should “emphasize the clinical skills needed to prevent drug overdoses, chemical dependency and diversion.”

They also requested that the following components be included for CE:

All credits should be acceptable for Drug Enforcement Administration registration and state licensure renewal purposes.

Coursework should be tailored to the prescriber's scope of practice and the nature of pain managed (e.g., chronic vs. acute pain, dental vs. medical pain, etc.).

Affected dentists should be given a reasonable amount of time to comply.

The ADA also said it supports limiting opioid prescriptions to no more than a seven day supply of pills for the initial treatment of acute pain and asked legislators to clarify that “this prescribing limit is for the initial treatment of acute pain.”

ADA also asked the committee to address the need for prescription drug monitoring programs to be easier to use and for the data to be more reliable and available across state line.

Talking points you can personalize and use for addressing patient concerns about opioids appear on page 19.

ADA Prioritizes 7 Sections of Opioid Crisis Response Act As the dental community works to keep prescription opioid pain medications from being abused, the ADA is supporting several proposals highlighted in the Opioid Crisis Response Act of 2018.

The Opioid Crisis Response Act, Senate Bill 2680, is a bipartisan legislation package containing more than 40 proposals from six Senate Committee on Health, Education, Labor, and Pensions (known as HELP) hearings on the opioid epidemic, reported Jennifer Garvin in a recent issue of ADA News. The hearings produced testimonies from the National Institutes of Health, Food and Drug Administration; Substance Abuse and Mental Health Services Administration; and Centers for Disease Control and Prevention, as well as state governors, expert witnesses and families touched by the crisis. The committee unanimously passed the legislation on April 24.

In a letter to HELP Committee Chair Lamar Alexander, R-Tenn., and Ranking Member Patty Murray, D-Wash., ADA President Joseph P. Crowley and Executive Director Kathleen T. O'Loughlin urged legislators to prioritize pain management. In particular, they called for the need to distinguish pain management in dentistry from pain management in medicine, specifically when it comes to managing acute pain.

They also said the ADA supports the following proposals in the Opioid Crisis Response Act of 2018:

Sec. 101: State Response to the Opioid Abuse Crisis. This proposal would allow the Department of Health and Human Services to directly provide funding from the 21st Century Cures Act to Indian Tribes and the states that have been hit hardest by this crisis. These funds could be used to improve prescription drug monitoring programs. They also could allow states and Indian tribes to offer clinical training to help prescribers manage acute pain with minimal use of opioids, prevent diversion of controlled substances, identify risky substance use behaviors and briefly counsel and refer those patients for appropriate treatment.

Sec. 403: Alternatives to Opioids. This proposal would authorize technical assistance programs to help entities that provide acute care, such as hospital emergency rooms, to implement best practices for using non-addictive alternatives to opioids. Because dentists often collaborate with hospitals, this proposal could help get patients out of the emergency room and in to dental offices and clinics, where they can receive appropriate, cost-effective care. This also supports the ADA Action for Dental Health initiative.

Sec. 404: Peer Support Technical Assistance. This would support long-term recovery by authorizing technical assistance to help organizations that provide peer support services implement best practices for operating those programs. Drs. Crowley and O'Loughlin noted that

(continued on page 17)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 17

News Briefs (cont’d)for 20 years the ADA has helped state dental societies develop formal peer assistance programs, such as Pennsylvania’s Physicians Health Program that helps physicians, dentists and other health-care professionals, to get dentists into treatment before they have an alcohol- or drug-related incident.

Sec. 501: Study on Opioid Prescribing Limits. This proposal would examine the impact of federal and state laws regulating the length, quantity and dosage of opioid prescriptions and would require the HHS secretary to issue a report. “This report could be critically important in learning more about the effect these laws have on opioid-related deaths and cases of addiction as well as pain management outcomes,” Drs. Crowley and O'Loughlin said.

Sec. 503: Education and Awareness. This proposal would authorize the CDC to develop or improve its existing programs and activities, which could include awarding grants and continuing education on safe prescribing of controlled substances (e.g., prescriber limit laws, non-addictive alternatives, etc.).

Sec. 505: Prevention for States, Localities, and Tribes. This proposal would authorize the CDC to offer training and technical assistance to improve the efficiency and use of state, local and tribal PDMPs.

Sec. 507: Improving Prescription Drug Monitoring. This proposal would reauthorize the National All Schedules Prescription Electronic Reporting Act through 2026. This federal grant program helps states, localities and Indian tribes develop and improve prescription drug monitoring programs. “By streamlining federal requirements for PDMPs, states will be encouraged to share data with one another, thus making the programs more robust,” Drs. Crowley and O'Loughlin said.

Veterans Get More Health Care Options A new law will make it easier for veterans to get health care and will also benefit dentists and physicians who work for Veterans Affairs facilities.

According to a recent article by Jennifer Garvin in ADA News, the Veterans Affairs Maintaining Systems and Strengthening Integrated Outside Networks Act — or MISSION Act — was signed into law June 6. It would streamline the department’s community care programs as well as ensure veterans don’t experience a lapse in health care services, including dental care.

The legislation also includes a provision that designates a limited number of scholarships for dentists and physicians under the Department of Veterans Affairs Health Professional Scholarship Program and another that would increase the

amount of education debt reduction available through the Education Debt Reduction Program.

Congress Asked to Expand HSA, FSA Flexibility Congress has been asked to increase the limits of health savings accounts and flexible spending accounts with the hope that consumers will be more likely to use their tax-advantaged savings toward dental services.

In a June 5 letter to the House Ways and Means Subcommittee on Health, ADA President Crowley and Executive Director O’Loughlin urged committee members to increase the flexibility of HSAs and FSAs and preserve the current tax exclusions for employer-provided medical and dental plans. As reported in ADA News, the letter was sent in advance of the committee’s June 6 hearing, Lowering Costs and Expanding Access to Health Care through Consumer-Directed Health Plans.

They also asked the legislators to return the FSA limits to the pre-Affordable Care Act level of $5,000. Currently, FSA reimbursement for single coverage is limited to $2,650 for 2018.

Many believe the reduced amount is a step back for consumers when the cost of health care continues to increase and adversely impacts the patients’ choices for dental care.

ADA Signage, Website Rolled out at CVS Have you noticed anything new in your local CVS dental aisle? Signage providing CVS Pharmacy customers with credible oral health information about the ADA Seal of Acceptance is officially up in more than 5,000 locations nationwide and will remain through March 2019. In addition, the ADA and CVS launched a new site, CVS.com/ADAdental, to make it easier than ever for patients – and potential patients – to find ADA Seal products and an ADA dentist. Learn more

Health Organizations Urge CMS Not to Change Medicaid Access Rule The oral health community and Partnership for Medicaid are concerned about the Centers for Medicare and Medicaid Services' proposed changes to the Medicaid Access Rule.

In March 2016, CMS finalized new regulations creating a process for CMS to understand the extent to which access to health care is adequate in state fee-for-service Medicaid programs. The process involves states performing an access review that demonstrates how the program meets certain criteria — called an Access Monitoring Review Plan. States then submit a report of this review to CMS.

(continued on page 18)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY18

News Briefs (cont’d)In comments filed May 22, 2018, the ADA and

43 organizations — led by Families USA and the Children's Dental Health Project — told acting CMS director Tim Hill that while they “applaud CMS for its recent focus on oral health,” they are concerned about the following proposed changes:

The proposed exemption of dental services delivered in fee-for-service carve outs in states with a high proportion of beneficiaries in managed care (e.g., 85 percent);

The proposed exemption of fee-for-service dental care in cases where only a small proportion of a state's enrollees (e.g., 15 percent or less) get their dental care in fee-for-service;

The proposed exemption for nominal payment rate changes and the proposed modification of payment rate change state plan amendment submission information, especially as they relate to dental services.

“As we understand it, the intent of the Access Rule is to provide states, CMS and the public with information needed to understand whether a state's fee-for-service reimbursement rates are ‘sufficient to enlist enough providers so that care and services are available [in Medicaid] at least to the extent that such care and services are available to the general population in the geographic area. Such analysis and transparency are critical in the oral health arena because utilization rates have historically been low and reimbursement rates have been shown to impact utilization rates.”

The organizations reminded the agency that the Oral Health Initiative, launched in 2011, set national and state goals to increase the number of children receiving a preventive dental service from Medicaid and the Children's Health Insurance Program by 10 percentage points.

“We fully support this goal as it aligns with our goal of eradicating dental disease in children,” the groups wrote. “In addition, many of our organizations are working to persuade more state Medicaid agencies to offer a dental benefit for adults because we firmly believe in the importance of oral health across the lifespan.”

They also pointed out that CMS's own Oral Health Initiative data show that the efforts of CMS and the states is paying off, noting that in 2016, 46 percent of Medicaid-enrolled children ages 1-20 across the nation received a preventive dental service, up from 42 percent in 2011.

“But more improvement is needed,” the organizations said. “And because dental services are included in the types of services that must be examined under the Access Rule, the [rule] can help

both CMS and the oral health community achieve our respective oral health improvement goals.”

The Partnership for Medicaid is also asking the Centers for Medicare and Medicaid Services to hold off on proposed changes to the agency’s reporting and documentation requirements.

In comments filed May 22, the coalition told CMS administrator Seema Verma that while it recognizes the agency is seeking to ease the administrative burden for state Medicaid agencies, “we are deeply concerned by the proposed changes.” The groups asked the agency to instead “fully implement the existing access requirements before proposing changes.”

“Medicaid serves as a lifeline for tens of millions of Americans, and plays an important role in providing access to necessary health services that include maternity care, pediatric services, behavioral health services, primary and dental care, and long-term services and supports,” wrote the Partnership for Medicaid, a nonpartisan, nationwide coalition comprising organizations representing doctors, health-care providers, safety net health plans, counties and labor. “It is critical that beneficiaries access high quality, necessary services when they need them, and this is especially true for those on Medicaid who have a disability or a chronic or complex health condition. Delays in accessing needed treatments and services can lead to poorer outcomes and unnecessary costs to the health care system, and federal oversight is needed to ensure the Medicaid program is serving our nation's most vulnerable.”

The coalition also said that it believes that federal and state financing of Medicaid-covered services should be sufficient to ensure that Medicaid enrollees have “timely access to high quality, necessary care" and "ensuring payments to safety net providers and plans are adequate and, where relevant, actuarially sound in order to ensure access to meet the same goal.”

To read the letter in full, visit www.partnershipformedicaid.org

Pennsylvania State Board of Dentistry Information

If you have changed your address, State Board regulations require you to notify the SBOD of your new

address. Visit www.dos.state.pa.us/dent On the right side of the page, look for a list of options

under Board Resources: Online Services--for change of address

Board Laws & Regulations--to view Rules & Regulations General Information--for license renewal applications

Announcements--for Special Notifications from the SBOD You also can call the State Board at

1-717-783-7162

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 19

Dentistry Takes Active Role in Opioid Abuse Prevention

The American Dental Association (ADA) and its member dentists have long been committed to multidisciplinary efforts to end the tragic opioid epidemic that has devastated families and communities.

This new policy demonstrates ADA’s firm commitment to help fight opioid abuse while continuing to help patients manage dental pain.

We believe the policy could be the first of its kind among major health professional organizations in terms of supporting mandates on prescription limits and continuing education on opioids.

Working together with other health-care professionals, policy makers and the public, the ADA believes it is possible to end this tragic and preventable public health crisis that has been devastating our families and communities. What the ADA Policy States

The ADA supports mandatory continuing education in prescribing opioids and other controlled substances.

The ADA supports statutory limits on opioid dosage and duration of no more than seven days for the treatment of acute pain, consistent with the Centers for Disease Control and Prevention evidence-based guidelines.

The ADA supports dentists registering with and utilizing Prescription Drug Monitoring Programs (PDMPs) to promote the appropriate use of opioids and deter misuse and abuse.

What Dentistry Has Been Doing

Most opioids prescribed to patients in the U.S. are written by physicians and other medical professionals for management of chronic (long-term) pain. Dentists with an appropriate license may also prescribe opioids, typically for management of acute (short-term) pain such as severe tooth decay, extraction of teeth and root canals.

In 1998, dentists were the top specialty prescribers of opioid pain relievers, accounting for 15.5 percent of all opioid prescriptions in the U.S. By 2012, this number had fallen to 6.4 percent. But we know there is still more work to be done.

Since 2012 the ADA has been offering free, online continuing education on safe and effective opioid prescribing for dental pain.

In 2015, the ADA produced a clinical reference manual with techniques for managing dental pain for those who may be at risk for substance dependence. It covers the complexities of modern pain management in dentistry, including the nature of drug addiction, ways to screen patients for potential substance use disorders, and techniques for motivating at-risk individuals to seek appropriate treatment.

In 2016, the ADA updated its statement on the use of opioids to treat dental pain. The statement urges dentists to follow CDC’s opioid prescribing guideline for chronic pain, use their state’s prescription drug monitoring program, complete continuing education, and, above all, use non-narcotics as the first-line therapy for acute dental pain.

(Please see next page.)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY20

The ADA has partnered with a number of outside organizations, including the Partnership for Drug-Free Kids, the Substance Abuse and Mental Health Services Administration, the Drug Enforcement Administration, and the United States Surgeon General.

As a profession, we’ve been working hard to combat this epidemic, but we can do more. That is why the ADA’s new policy asks dentists to double down on their commitment to ending this crisis.

If you are dealing with a child who is dealing with opioid or other kind of substance abuse, you can

contact the Partnership for Drug-Free Kids for the best tools and resources to help you deal with your situation. Use one of the following ways to contact a trained counselor. Call 1-855-378-4373

Available Monday-Friday, 9 a.m. – 6 p.m. ET Closed weekends and holidays

Send a text message to 55753 to begin getting personalized help. Their specialists will get back to you within 24-48 hours with a text message response. To allow their specialists to provide the best help possible, please include as many details as possible in your message, such as:

Your son’s or daughter’s age The primary drug you’re concerned about Whether or not your child has been to or sought treatment Any questions you may have

The Partnership for Drug-Free Kids’ Helpline is NOT a crisis hotline. If you are in need of immediate or emergency services,

please call 911 or a 24-hour crisis hotline such as the National Suicide Prevention Lifeline 1-800-273-TALK (8255) or

National Domestic Violence hotline 1-800-799-SAFE (7233).

Nuestra línea de ayuda no es una línea de crisis. Si usted requiere atención inmediata o necesita servicios de emergencia

por favor llame al 911 o a una línea de crisis de 24 horas como, La Linea Nacional prevención de suicida al 1-800-273-8255 o

La línea violencia de doméstica nacional 1-800-799-7233.

This information has been made available by the dental office of

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 21

Membership Report We welcome the following to membership in the Philadelphia County Dental Society

MAY 22, 2018

ACTIVE MEMBER Dr. Michele J. Dimaira University of Medicine & Dentistry of NJ, 1990 RECENT GRADUATE Dr. Kari R. Hexem University of Pennsylvania School of Dental Medicine, 2015 Dr. Jasmine Khedkar Boston University School of Dentistry, 2017 Dr. Dinah Molly Jammal University of Medicine & Dentistry of NJ, 2016

Dr. Kirill Vasilyev University of Colorado School of Dental Medicine, 2016 Dr. Arianna Vona Temple University Kornberg School of Dentistry, 2016 Dr. Irina Zagorodny University of Pennsylvania School of Dental Medicine, 2015 GRADUATE STUDENT Dr. Jeffrey Alba Temple University Kornberg School of Dentistry, 2016 (orthodontics), 2018

NECROLOGY

Dr. Harvey Kramer October 2017 Dr. Howard Neuman March 2018 Dr. Gerald Weger May 16, 2018 Dr. Eric Zetterberg January 10, 2018

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY22

Women Dentists’ Artistic Event Sarah Khan, D.D.S., M.P.H.

On April 12, 2018, a group of women dentists dropped our handpieces and picked up paint brushes to bond in a night of fun and laughter! Painting with a Twist was the first of hopefully many events that PCDS will plan to host in the near future to encourage cama-raderie and friendship within our cohort of women member dentists. We were coached by our vibrant instructor, Olan Ohah, who guided us through painting a Night and Day Tree with multiple branches spanning two different landscapes. Olan was a fun instructor and insisted on referring to different sized brushes with names like “molar” and “canine.” As women dentists we are all guided by our diverse backgrounds and life experiences, and this diversity was evidently reflected in our finished paintings. Even though our paintings all differed, we are throughout our paintings similar in all the struggles and triumphs that unite us as women dentists. What a great experience!

PCDS painters proudly show their Night and Day Trees: (front, l-r) PCDS President, Dr. Renee H. Fennell; Dr. Nipa R. Thakkar; Event Chair, Dr. Sarah Khan, guest Arnice Jackson; (back, l-r) Dr. Deborah Irvin, Dr. June A. Sisson, Dr. Amy Liao.

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 23

Health Watch The Magnitude of Marriage: Better for Your Heart? People with heart disease who are married seem to fare better than those who are unmarried, a new study suggests.

As reported in Healthbeat.com in March 2018, researchers tracked more than 6,000 people with heart disease for an average of 3.7 years. They found that compared with married people, those who were divorced, separated, widowed, or never married were 52 percent more likely to experience a heart attack. Unmarried people also had a 45 percent higher risk of dying of heart disease, even after researchers accounted for confounding factors such as severity of disease, medication use, and socioeconomic status. The study was published in the Dec. 20, 2017, Journal of the American Heart Association.

The observation doesn't prove that being married protects your heart. But having a spouse who provides companionship, reminds you to take your medications, and urges you to follow a healthy lifestyle may explain the association.

Coffee: More Links to Health than Harm Past studies have suggested that drinking coffee is associated with many health benefits, such as added longevity, lower blood pressure, less weight gain with aging, and a reduced risk of many diseases, including type 2 diabetes, liver disease, cardio-vascular disease, several degenerative neurological diseases (like Parkinson's disease), and cancer. Now a massive review of more than 200 large studies, published Nov. 22, 2017, in The BMJ, backs up many of those links.

As noted in Healthbeat.com in March 2018, the largest health benefits were associated with drinking three to four cups of coffee per day: drinking more than four cups per day did not bring additional benefits. It's not all good news, however; the study found that women who drank coffee had greater risks for fracture and pregnancy complications. But overall, the researchers say, coffee drinking appears to be safe. They caution that the findings are all based on observational studies, not randomized controlled trials — the gold standard of research.

Are You Taking Too Much Anti-Inflammatory Medication? You might call them pain relievers. You might take them for back pain, headache, or arthritis. Your physician calls them “NSAIDs,” nonsteroidal anti-inflammatory drugs. Whatever you call them and for whatever reason you take them, NSAIDs are among the most popular medications worldwide, according to Robert Shmerling, M.D., associate physician and clinical chief of rheumatology at Beth Israel Deaconess Medical and assistant professor in medicine at Harvard

Medical School. He writes in the April 2018 Healthbeat.com that estimates suggest that about 15 percent of the US population take an NSAID regularly (including those that are over the counter and prescription strength). Along with sporadic users, more than 30 billion doses are taken each year. The most common NSAIDs include ibuprofen (as in Motrin), naproxen (as in Aleve) and celecoxib (as in Celebrex). Why are NSAIDs so popular? There are several reasons:

For many conditions, they work quite well — in addition to working as pain relievers, they can reduce fever and inflammation.

They are relatively inexpensive, with generic versions available for most of them.

They’re available over the counter or, in higher doses, by prescription.

They have a good safety profile.

The downside of NSAIDs – No medication is completely safe, and that’s certainly true of NSAIDs. At the top of the list are digestive problems including

stomach upset, heartburn, and ulcers. Kidney injury, easy bruising or bleeding, and mild allergic reactions (such as rash) are common as well. Less common side effects, including severe allergic reactions and liver injury, can be serious. NSAIDs can also raise the risk of heart problems, though this risk varies depending on the particular NSAID and the person taking it. Still, the vast majority of people taking NSAIDs in the recommended doses who have appropriate monitoring (such as the occasional blood test) have no major problems with them. The widespread availability and good safety record of NSAIDs make it easy to misuse them. For one thing, there are more than 20 different NSAIDs, so you could be taking more than one of them without realizing it. In addition, several of them are available over the counter and are included in combination with other medications. Examples include prescription drugs like Arthrotec (a combination of the NSAID diclofenac and misoprostol, a medication that helps protect the stomach) and products available on the drugstore shelf, like Advil PM (ibuprofen plus the antihistamine diphenhydramine). So whether intentionally or by accident, it’s easy to take more than recommended doses.

NSAIDs can be combined with other

medications. So whether intentionally

or by accident, it’s easy to take more

than recommended NSAID doses.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY24

President’s Message (cont’d)Gamba was elected as a delegate, joining our First District Trustee, Dr. Stanley W. Markiewicz. Elected as alternate delegates were Doctors Lennie M. Checchio, Nipa R. Thakkar, Kristianne Macaraeg and me. I hope you are planning to join us. Let’s take a PCDS photo by the pool.

We have three more CE courses this year. Visit our website for more information.

#thefutureinoralhealthlooksgreat!

I am really inspired and motivated working with the new dentists. I thank them for stepping up and providing PCDS with programming and events that benefit our membership. We want to build a strong network of mentorship for them, but we need YOU to participate! If not Now, When?

So I’m asking one more time, “How can I (we) serve you better?” What would you like to see PCDS do for you so we can sustain our organization? Email me at philcodent@aol.com We need your feedback!

Presents

Robert C. Vogel, D.D.S. State of the Art Topics and Techniques

in Implant Prosthetics for Private Practice

This program is designed for the entire implant team stressing ideal interaction for simplification of even the most advanced Implant cases.

Topics in fixed, removable and hybrid prosthetics will be addressed focusing on new options for screw retained restorations, ideal restorative material selection

and fabricating provisional restorations. Simplified overdentures and implant retained partial dentures, including fool-proof fee determination and patient presentation techniques, will be discussed. Also included is

an in-depth discussion of the newest components & technologies to gain confidence with abutment selection and incorporating

the benefits of CAD CAM and zirconium restorative materials.

When: Friday, October 5, 2018 Where: The Buck Hotel, Feasterville, PA

For more information or to register, contact Dr. Gary Nack at 215-364-6540 or gnackdds@gmail.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 25

Dental Dates The JOURNAL welcomes news concerning activities of your dental study club or other bona fide dental associations. Send information (as formatted below) to the Philadelphia County Dental Society at philcodent.org or fax: 215-925-6998. Deadline for publication is the first of the month prior to publication (September1 for Oct/Nov/Dec issue), and information will be published on a space-available basis.

SEPTEMBER 14 PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton

Philadelphia City Avenue Hotel. “Direct Resin Artistry: Anterior/Posterior,” featuring Dr. Paul Bylis, presented in cooperation with Dentsply/Sirona. Register online at www.padental.org/calendar

25 CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, Philadelphia, 6:00 p.m., Marianna Evans, D.M.D., “Airway Focused Palatal Expansion: Paradigm Shift in Orthodontics.” For information, contact Danielle Medrano, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com

25 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City - 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Mark Montana, D.D.S. - Topic TBA. Sponsored in cooperation with Sirona Dentsply – For information contact Vickie Fisher at 215-732-4450 Topic TBA - Sponsored in cooperation with Sirona Dentsply – For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

26 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast - 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Mark Montana, D.D.S., - Topic TBA. Sponsored in cooperation with Sirona Dentsply – For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

OCTOBER 5 EASTERN DENTAL SOCIETY – All-day program at the Buck Hotel, 8:00 a.m.-4:00 p.m., featuring Robert

C. Vogel, D.D.S., “State-of-the-Art Topics and Techniques in Implant Prosthetics for Private Practice.” Free with membership. Email gnackdds@gmail.com with questions.

9 CONTINUING EDUCATION FOR DENTAL EXCELLENCE –Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Tracy Butler, R.D.H. - “Why Implants: Interdisciplinary Approach to Dental Implants” – Sponsored in cooperation with Straumann. For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

10 CONTINUING EDUCATION FOR DENTAL EXCELLENCE –Center City– 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Tracy Butler, R.D.H. - “Why Implants: Interdisciplinary Approach to Dental Implants” - Sponsored in cooperation with Straumann. For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

18-22 AMERICA’S DENTAL MEETING – ADA Meeting, Honolulu, HI. Registration is open now at www.ada.org/meeting

NOVEMBER 7 EASTERN DENTAL SOCIETY – Dine Around-Practice Transition, 6:00 p.m.-9:00 p.m., location TBD. $89

for members and their guests. Email gnackdds@gmail.com with questions.

7 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Alan Atlas, D.M.D. - “Make a Great Impression! Integrating Intraoral Scanning and Milling.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

9 PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. AM Session: “Endodontics for the GP: Diagnosing the Painful Tooth,” presented by Dr. Chinchai Hsiao, Dr. Matthew J. Walters, and Dr. Antonio Marques. PM Session: “Pain Management Alternatives and Identification of Addiction” featuring Dr. E. Steven Moriconi. Visit www.padental.org/calendar to register online and for updates on the list of principal sponsors and participating partners.

13 CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, Philadelphia, 6:00 p.m., featuring Jay B. Laudenbach, D.M.D., “Full Arch Immediate Loading: Key Diagnostic Features to Optimize Clinical Success.” For information, contact Danielle Medrano, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com

(continued on page 26)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY26

Dental Dates (cont’d) NOVEMBER (cont’d) 13 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City– 6:30 p.m. Dinner meeting

(Doubletree Hotel) featuring Alan Atlas, D.M.D. - “Make a Great Impression! Integrating Intraoral Scanning and Milling.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

23-28 GREATER NEW YORK DENTAL MEETING – Meeting dates: November 23-28; Exhibit dates: November 25-28; at the Jacob Javits Convention Center, New York City. For information visit www.gnydm.com or call 212-398-6922.

DECEMBER 4 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 p.m. Dinner meeting

(Gallo’s Restaurant) Featuring Kevin Henry - “The Top 10 Mistakes Dental Practices Make AND How to Avoid Them.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

5 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City – 6:30 p.m. Dinner meeting (Doubletree Hotel) Featuring Kevin Henry - “The Top 10 Mistakes Dental Practices Make AND How to Avoid Them.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

JANUARY 2019 29 CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, Philadelphia, 6:00 p.m., featuring

Sam Kratchman, D.D.S., “Endodontic Microsurgery.” For information, contact Danielle Medrano, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com

APRIL 30 CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, Philadelphia, 6:00 p.m., featuring

Eva Anadioti, D.D.S., M.S., “Truth, Lies and Prosthodontics.” For information, contact Danielle Medrano, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com

Don’t forget to enjoy nature’s

bounty this summer!

Make time to freeze fresh berries to make an ice cream sundae, tomatoes to make a delicious sauce or small tomatoes, green beans and zucchini to add

to a hearty soup this winter.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 27

Classified Ads Classified Advertisement Policy. The Society reserves the right to accept, decline or withdraw classified advertisements at its discretion. The Society believes the advertisements that appear in these columns are from reputable sources; the Society neither investigates the offers being made nor assumes any responsibilities concerning them. Every precaution is taken to avoid mistakes, but responsibility cannot be accepted for clerical or printer’s errors. Requests to run advertisements “until further notice” cannot be accepted; the advertiser is responsible for renewals. Names of box number advertisers cannot be revealed. The JOURNAL reserves the right to edit copy of classified advertisements. Classified ads will not be taken over the telephone. DOCTOR, ARE YOU SEEKING EMPLOY-MENT? Call the Philadelphia County Dental Society at (215) 925-6050 or Fax (215) 925-6998 to have your name listed on our employment referral list. Monday thru Thursday, 10 a.m. to 4 p.m.

DOCTOR, ARE YOU LOOKING FOR AN ASSOCIATE or for a dentist to work in your practice? Call the Philadelphia County Dental Society at (215) 925-6050 or Fax (215) 925-6998 for the list of dentists seeking employment. Monday thru Thursday, 10 a.m. to 4 p.m.

PROPERTY & EQUIPMENT FOR SALE or RENT – 6800 Torresdale Ave., Philadelphia, 19135. Property consists of 2 stories over 2,000 square feet per floor. Upstairs are 3 rental properties currently occupied. Ground level dental office has 3 operatories furnished with modern A-DEC equipment in good condition. Also included would be several thousand patient files of neighborhood patients treated when I participated in HMO plans. I have additional offices which no longer afford me time at this location. This could be a GOLDEN OPPORTUNITY for any dentist who participates in HMO and/or Medicaid. For more information please call (215) 673-4017 or email at richardipdds@yahoo.com

DENTAL EQUIPMENT FOR SALE – Drexel Hill. Five operatories of dental equipment and supplies (Endodontics) Central suction, compressors, sterilization. Best offer. Email Melvin1830@verizon.net

FOR SALE – Dental Practice located in South Jersey, 25 minutes to Atlantic City. Turn-key operation, 41 years established. Dentist retiring. 3 operatories, panorex, gendex, small equipment, all supplies, records. Price negotiable/Best reasonable offer. (609) 561-1500.

DENTAL OFFICE: SALE/LEASE: – Located on main town thoroughfare, high visibility, front building of office complex, with ample parking, Pleasantville, NJ, near Absecon. 2,131 sf modern dental office space, 6 (9 x 11 sf) treatment rooms (plumbing & electric in place), comfortable 16 chair waiting area, open concept front desk area connected business/consultation room, separate sterile, lab and private office, 2 bathrooms, 8 x 330 sf basement (storage & dental motors) and 2ndfloor 260 sf storage & staff room. Email ckpaxson@comcast.net or RichardBaehrle@gmail.com or call (609) 646-3434.

POSITION AVAILABLE – Fee-for-service sub-urban Philadelphia multi-specialty group practice seeks individual for long-term relationship leading to equity ownership. Advanced training in restorative dentistry or experience required. Email dental632@comcast.net

PRACTICE TRANSITIONS – We specialize in Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers and Buyers. For information on services and listings, contact Philip Cooper, D.M.D., M.B.A., American Practice Consultants, toll free 1-800-400-8550, or www.ameriprac.com.

They’ll soon be going from beach to bus. Be careful driving!

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY28

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 29