June 2014 WDA Journal

In Legislation

JUNE 2014 | Focus on: ‘The Jawbone’ (dental satire)

WDA JournAl is A publicAtion of Wisconsin DentAl AssociAtion, inc. JUNE 2014 • Volume 90, no. 6

WDA grows with five new members The Wisconsin Dental Association is pleased to welcome five new members to organized dentistry. These new members, their cities of practice and/or residenceand components (if applicable) are:

Two lucky fans won a pair of Brewers tickets after submitting their #selfie to @wisconsin-dental on Instagram at the Brewers game on April 11 and 12. Learn more about this pro-motion on page 2.

Roberta Carsen, RDH Richfield

Dr. Ronald Lambert, AppletonOutagamie County Dental Society

Dr. Aldrin Sangalang, MadisonGreater Dane County Dental Society

Dr. Robert S. Schmidt, WausauCentral Wisconsin Dental Society

Jeff Thiel, RDHGreen Bay

Advocate...Educate...Empower...Serve!

INSIDE THIS ISSUE

New dentist networking panel event ................................. p. 5

Take advantage of NCS legislations benefits ................................. p. 7

Connect with your state association at House of Delegates ............................... p. 16

WDA trustee running for Wisconsin AssemblyBarrett D. Straub, DDS Dentists for Feit Committee Chair [email protected]

There has never been a dentist serving in the Wisconsin State Assembly, but I be-lieve the time has come to change history. Wisconsin Dental Association North-east Region 2 Trustee Dr. Paul Feit (Door County), a general dentist, is seeking the Republican nomination for Wisconsin’s 1st Assembly District seat. In January 2014, incumbent state Rep. Garey Bies (R-Sister Bay) announced he would not seek another term. Dr. Feit is the fourth candidate to declare his candidacy. “I wanted to run for state Assembly be-cause I truly care about people. I have al-ways worked hard in my business and vol-unteered to help those in need. Yet, I know there is more I can do, and serving in Mad-ison would provide an opportunity to take my service to a higher level, “ Dr. Feit said.

Because dental issues don’t have party affiliations, I encourage all WDA members to stand as a member of the “Tooth Party” and help Dr. Feit win this election. The potential importance of a practicing dentist in the Legislature cannot be over-stated. Make no mistake, the Legislature is lobbied from various groups to change the provision of dental care in the Badger State. As a legislator, Dr. Feit, who was born and raised in Wausau, can bring real world experience to the table to help ensure any future changes will make a true difference in people’s lives, and protect the quality of dental care Wisconsin residents deserve. After receiving his bachelor’s degree from the University of Wyoming, he attended dental school at Creighton

University and graduated in 2004. He practiced in Green Bay for a few years before relocating to Door County where he currently operates dental practices in Sister Bay and Sturgeon Bay. Dr. Feit is running for the right reasons – those being to make a difference in people’s lives. His reputation and history of service to others has earned the support of dentists throughout the state. He has always been a firm believer in giving back to his community through den-tistry and donates dental care at Ministry Door County Medical Center Dental Clin-ic which provides treatment to children ages 3-18 who are Medicaid recipients, un-insured or do not have access to a dentist. He helped expand the clinic, meeting with and giving presentations to legislators.

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p. 10 p. 2 ADVOCATE

Connect with us on and visit us online @ WDA.org

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WDA Northeast Region 2 Trustee Dr. Paul Feit (Sturgeon Bay) visits with Bob Carroll at Mastercraft Welding Systems while circulating his nomination papers for the 1st Assembly District. Dr. Feit is one of several candidates in the Aug. 12, 2014 Republican primary election for the seat.

Social!Let’s get

2 WDA Journal June 2014 WDA.org

A second, 30-second Own Your Smile television spot promoting oral health liter-acy and public awareness by the Wisconsin Dental Association began airing May 5 during the season premiere of “24” on FOX stations statewide. Titled “Today”, the new TV spot targets Wisconsin millennials (men and women born between 1980 and 1995) with these core campaign messages: Make your oral health a priority and seek affordable preventive care in member dentists’ offices. Known for asking, “What’s in it for me?” this OYS spot tells millennials that dental infections “...don’t just go away and left untreated, a dental problem can lead to more pain and more costs.” Once again, the statewide average monthly cost for one year’s worth of preventive care for an established, adult patient ($26) appears on screen. It begins scrolling upward and stops with an audible ding at $142 per filling, then again at $151 per extrac-tion, $661 simple root canal and finally $1,026 per crown. All fees are averages of those published in the Schenck SC 2013 Dental Fee Survey. However, money is only part of this story, so the spot shows a young man out having fun with friends when the all-too-familiar pain and discomfort of a toothache create a distraction he can’t ignore. The spot closes with the narrator saying, “Taking care of your teeth will never be easier or less expensive than it is today. So, visit WDA.org to find a Wisconsin Dental

Association dentist near you and own a healthy smile!” while the Find A Dentist button on the WDA.org website is promi-nently displayed. “Today” was shot April 21 at WDA PR Committee member Dr. Megan Heitke’s Milwaukee office and at the popular east side Pizza Man restaurant and wine bar.

Communications Coordinator Emily Bultman and Electronic Communications Coordinator Amanda Brezgel tested their acting “chops” by serving as cast extras. Another on-screen extra is Miranda Johnson who starts Marquette University School of Dentistry this fall. The award-winning team of Group One Marketing, Endless Productions and Mainly Editing again provided the creative power behind this newest WDA public awareness TV spot.

The $2.5 million OYS campaign budget is made possible through dues and a $240 annual (2014 - 2016) special assessment approved by the WDA House of Delegates last November. The House action was in response to American Dental Association Health Policy Resources Center research that shows adult dental care spending

remained flat through 2012 over the prior year and has not rebounded as other sectors have in the post-reces-sion recovery. This increased funding allows for substantial media buys on cable and over-the-air television stations and radio stations statewide, as well as non-traditional media options like themed events, contests and in-show features. For example, once a month begin-ning in May, a WDA spokesperson will be a guest on WFRV-TV’s “Local 5 Live” morning program. WDA den-tists will be interviewed on a range of oral health topics. This CBS affiliate serves the greater Fox Cities and Green Bay areas.

The OYS campaign also utilizes expand-ed press relations, stories in the WDA Tongue ‘n’ Cheek...and Teeth, too! patient newsletters, social media posts branded with #OwnYourSmile and a new Your Oral Health public section on WDA.org. Please see the E’communique column below for information on a new Own Your Smile selfies contest at Miller Park in cooperation with the Milwaukee Brewers.

Own Your Smile TV spot #2 promotes regular care to save pain, costsCarol Weber, APR WDA Director of Communications and Marketing [email protected]

EDUCATE

OYS campaign stats: Jan. 1 - April 30, 2014

Find A Dentist Stats 2,393 WDA dentists listed

1,095 unique views of OYS public page

on WDA.org

750 or 31percentenhanced WDA profiles

(15 percent ADA average)

5,647prospective patients searched

Wisconsin Zip codes

Estimated 1,200 Wisconsin Zip code searches in all of 2013 for a

471 percent increase in first three monthsNeed to enhance your FREE Find A Dentist profile? Visit

www.wda.org/dental-profession-als/members-only/hot-issues (member log in required) and

watch the WDA-TV how-to video.

78public phone calls

82public email inquiries about finding

a dentist fielded by WDA staff

1,034YouTube views of

“No Insurance Required” spot

Dr. Megan Heitke (Milwaukee) appears in the second Own Your Smile spot and volunteered her practice to be used for the shoot. The OYS “Today” spot began airing in May 2014.

WDA taps into Instagram for OYS ballpark promoAmanda Brezgel WDA Electronic Communications Coordinator [email protected]

communiqu e´

Instagram is a free, popular social media platform where users take pictures and videos, choose a filter to transform the look and feel and then post it to Instagram. Instagram photos and videos can also be shared on Facebook, Twitter, Tumblr and more. With 200 million+ active users, Instagram is the fastest growing social media platform.

Beginning with the April 11 Milwaukee Brewers game, the Wisconsin Dental Association is promoting its Own Your Smile oral health literacy public awareness campaign by encouraging fans at Miller Park for Friday and Saturday games to use Instagram to take a smiling selfie (picture of one’s self) and tag it with @wisconsin-dental.

Selected selfies are then merged into a Brewers’-themed collage on the Miller Park video board. Participants are eligible for a chance to win tickets to a future Brewers game. In addition, the WDA is re-posting the selfies onto our Instagram feed.

Millennials (men and women ages 18-30) are the target audience for this particular Own Your Smile campaign promotion.

Total home game attendance in 2012 was 2,831,385. Over 1.8 million of those Brewers game tickets were sold in the five-county area which includes Waukesha, Milwaukee, Racine, Washington and Ozaukee.

Follow WDA on Instagram @wisconsindental, and if you or someone you know will be attending a Friday or Saturday Brewers game through October take your own selfie utilizing the hashtag #WDAOwnYourSmile.

Instagram has 200 million active users70 percent of Instagram users log in at least once a day

20 billion photos shared via Instagram to date

Dr. Feit also worked with the state MA di-rector to research a potential pilot program that would divert patients with dental emergencies out of the hospital emergency room and into dental practices for treat-ment. “Dr. Feit is a dentist with a real heart for people and the under-served, yet he is also a small-business man. He has the experience and people skills to make a difference for Wisconsin,” WDA Northeast Region 2 Trustee Dr. Pete Hehli (Appleton) said. Dr. Feit previously volunteered with the Brown County Oral Health Partnership and Northeastern Wis-consin Area Health Education Center. He is also a fellow of the Academy of Gen-eral Dentistry and a member of the Dental Organization for Con-scious Sedation. Dr. Feit has been married to his wife, Jillian, for 14 years and has a son, Henry, and a daughter, Claire. His family belongs to Sturgeon Bay Moravian Church where he is a trustee on the board and he is also a member of Door County’s Fish Farm and Game Club. “Wisconsin is a wonderful place to live and raise a family. Recent reforms have helped move the state in the right direc-tion. I want to work in Madison to further

these efforts, so someday my children and their generation have an opportunity to pursue their dreams,” Dr. Feit said. His nature to serve and improve the lives of those around him will make him an ex-cellent legislator. However, Dr. Feit needs

the dental communi-ty’s help in getting to Madison. “Dr. Feit embod-ies the spirit of the ‘Tooth Party’ as he is not ideological, but is focused on the care of his patients and helping those most in need in his communi-ty,” Wisconsin Den-tal Political Action Committee Chair Dr. Chris Hansen (Green Bay) said. Do you live in the 1st Assembly District (consists of Door and Kewaunee counties, as well as portions of Brown and Manitow-oc counties)? Please consider volunteering for Dr. Feit’s campaign and voting for him. However, all WDA

members can support Dr. Feit by making a financial donation to his campaign. We need your help. Let’s have a dentist represent us in Madison. Visit www.feitforassembly.com to learn more about Dr. Feit and his campaign. Save the dates for the primary electionon Aug. 12 and the general election onNov. 4.

Feit continued from page 1

By the numbersElected dentists in office

2dentists serve in Congress

U.S. Rep. Mike Simpson (R-Idaho) U.S. Rep. Paul Gosar (R-Arizona)

7dentists serve in state legislatures

J ALABAMA

State Sen. Paul Bussman (R)J GEORGIA

State Sen. Lester Jackson (D)J INDIANA

State Rep. Denny Zent (R)J NORTH CAROLINA

State Rep. Burt Jones (R) and state Sen. Bob Rucho (R)

J UTAHState Sen. Allen Christensen (R)

and state Sen. Peter Knudson (R)

WDA.org June 2014 WDA Journal 3

The Issue Current Buzz WDA Actions Next Steps

Mobile Dentistry: Give the Dentistry Ex-amining Board clear authority to regulate mobile dental operations in Wisconsin, ensuring that providers who deliver care in schools or other mobile settings are held to a similar standard of care.

Lead sponsors: state Sen. Mike Ellis (R-Neenah) and state Rep. David Murphy (R-Greenville). Legislation had 55 bipartisan co-sponsors in both chambers.

WDA worked to support this legislation as a member of an oral health group at the request of Sen. Ellis.

This oral health advocacy coalition includes representatives of WDA, Children’s Health Alliance of Wisconsin, Wisconsin Primary Health Care Association, Wisconsin Dental Hygienists’ Association and Wisconsin Oral Health Coalition.

The WDA and other mobile dentistry coalition groups scheduled to make a presentation to the Dentistry Examining Board on May 7; the presentation will focus on the genesis behind the new law and the group’s recommendations for drafting a more detailed administrative rule (as required by the law).

2013 Wisconsin Act 244 (SB573/AB763) was signed into law by Gov. Scott Walker on April 8. Present at the signing were staffers of Sen. Ellis and Rep. Murphy, along with represen-tatives of the WDA and other organizations supporting the bill.

Definition of Dentistry: Update the current state definition by adopting language simi-lar to American Dental Association’s model definition to allow for greater certainty for dentists wishing to provide services based on the latest scientific and technological advances.

Lead sponsors: state Sen. Paul Farrow (R-Pe-waukee) and state Rep. John Jagler (R-Water-town). Bipartisan support in both houses with 69 co-sponsors for 2013 SB 413/AB 552.

WDA met with Wisconsin Medical Society and Wisconsin Society of Oral and Maxillofacial Surgeons to address potential concerns prior to committee hearings.

Communications with lawmakers and staffers: One-on-one contacts by WDA staff, contract lobbyists and members; formal WDA memo of support; updates in WDA Healthy Choices E-Lert newsletter.

No administrative rule is necessary or re-quired for 2013 WIsconsin 341.

2013 Wisconsin Act 341 was signed into law by Gov. Scott Walker on April 23. Present at the signing were ID HERE.

Wisconsin has become the 23rd state to adopt a simplified definition or dentistry. View DOD map at http://bit.ly/19hfTU.

Nitrous Oxide by RDH: Wisconsin Dental Hygienists Association advocated for legis-lation giving dentists authority to delegate administration of nitrous oxide inhalation analgesia to RDHs who earn necessary certification.

Once law, AB 408/SB 311 will allow dental hygienists licensed in Wisconsin to receive training and be certified to administer nitrous oxide at the direction of a dentist and as long as the dentist remains on the premises through-out the entire appointment.

The bill also removes the requirement that an individual must be a patient of record for six months or more prior to having a hygienist provide services to the patient without the dentist on the premises.

The WDA supported the legislation, as long as it required that this be performed only as part of a treatment plan issued by a dentist and that the dentist remained on the premises and avail-able to the patient throughout the completion of the appointment.

The bill was signed into law on April 23 and has become 2013 Wisconsin Act 354.

Wisconsin Dentistry Examining Board meets every other month at the Depart-ment of Safety and Professional Services in Madison.

WDA staff and at least one officer attend every DEB meeting. Members and leaders testify before the DEB as needed.

See below for upcoming meeting dates.

Gov. Scott Walker’s nomination of Carrie Stempski, RDH (Green Bay) to the DEB has been approved by the Senate. Her term begins July 1, 2014 and runs through July 1, 2018.

Also, currently serving on the DEB are WDA members: • Dr. Leonard Huck (Thiensville)• Dr. Timothy McConville (Madison)• Dr. Wendy Pietz (Milwaukee) • Deb Beres, RDH (Waukesha)

All dentists currently serving on the DEB are general dentists with the exception of Dr. Pietz who is an oral and maxillofacial surgeon.

Two public DEB seats remain vacant.

If you know someone who might be inter-ested in serving as a public member on the DEB, please contact Mara Brooks in the WDA Madison office (888-538-8932 or [email protected]) for more information about the application and selection process.

During the legislative session just completed, the state Senate also confirmed reappointment of four WDA members to the DEB: • Dr. Lyndsay Knoell (Racine)• Dr. Mark Braden (Lake Geneva)• Dr. Beth Welter (Prairie du Chien)• Eileen Donohoo, RDH (Milwaukee)

WDA supplementing annual Legislative Day with local meetings between state leg-islators and dentists living and/or working in communities located in 10 Assembly/Senate districts during 2014.

These are not fundraisers or campaign recruitment efforts, but opportunities for small groups of dentists and state lawmakers to meet informally, get to know one another better and discuss business and oral health issues of importance.

WDA member dentists living/working in state Senate District 12 and state Assembly District 42 were scheduled to meet with state Sen. Tom Tiffany (R-Hazelhurst) and state Rep. Rob Swearingen (R - Rhinelander) on April 29.

Waukesha-area dentists were to meet with state Rep. Dale Kooyenga (R-Brookfield) on April 30.

Please say “yes” when WDA contract lobby-ist Forbes McIntosh calls with an invitation to “meet and greet” your state lawmakers.

Legislative-related meetings in 2014

Dentistry Examining Board: July 9, Sept. 3, Nov. 5; meetings held at Department of Safety and Professional Services, 1400 E. Washington Ave., room 121A, Madison; start promptly at 8:30 a.m.

• Sept. 10 - Wisconsin Oral Health Coalition; 2014 annual meeting; 8 a.m. - 3:30 p.m.; Holiday Inn & Convention Center, Stevens Point; WDA covers registration fee for any member attending. Contact Erika Valadez in the Madison office at 608-250-3442 or [email protected] with questions or to add your name to the registration list.

• Oct. 7 - Waukesha County Dental Society Legislative Night; 6 p.m. - cocktails, 6:30 p.m.- dinner, 7:15 p.m. - program; Westmoor Country Club, 400 S. Moorland Road, Brookfield; RSVP to Betsy Krekling ([email protected] or 414-755-4126).

• Nov. 18 Waupaca County Dental Society, Legislative Town Hall Meeting; 6 p.m. Simpson’s Restaurant, 222 S. Main St., Waupaca; RSVP to [email protected].

“WDA Government Buzz” gives members a snapshot of the current status of dental-related policies and legislation. The Issue tells you who, what and why; Current Buzz gives you a status update on the issue; WDA Actions highlights your professional association’s activity and position; and Next Steps anticipates what’s around the corner and, in some cases, identifies what WDA members can do. “WDA Government Buzz” is updated for each issue of the journal. Current “buzz” available on WDA.org website and accessed monthly via WDA Executive Director’s Update e-newsletter. For more information visit WDA.org or call the WDA Legislative Office at 608-250-3442.

Updated information is highlighted.

Mark your calendar nowfor WDA Legislative Day!

MONONA TERRACE ★ MADISON

MARCH18


Messages

We are the WDA

Strategic thinking – the future of the WDA

Julio Rodriguez, DDS WDA President [email protected]

Former Wisconsin Dental Association Northeast Region 2 Trustee Dr. John Masak (Appleton) is famous for comparing strategic planning meetings to “...stabbing a fork in your eye” and

I would have to agree. None of us are comfortable with predicting the future, but we must plan for it to keep the WDA rele-vant in a changing environment. In March 2014, more than 20 leaders, guests and staffers spent two days trying to map out the WDA’s future direction. However, this time around this year’s meeting was much easier on the eye. It was probably a combination of the facilitator who emphasized “strategic think-ing” and the excellent diverse group of participants. I thought this year’s meeting was the best and most productive strategic planning or thinking meeting that I have attended. On behalf of our WDA members, I would like to thank all the participants for taking time out of their busy lives to participate. Everyone was invaluable. A final report is still being completed, but there were two main themes from the discussions that I feel are important.

The first theme is the WDA needs to be an all-inclu-sive organization. The face of dentistry is changing. White, male, solo-practicing dentists are no longer the norm.

Today’s demographics reflect more female and racial-ly-diverse dentists. Practice situations are also more varied with more dentists in Federally Qualified Health Centers or low-income clinics, group practices or cor-porate-owned and operated practices. The bottom line is we are all dental professionals, regardless of our gender, race or practice situation. We, as an organization, and you, as members, need to be open to everyone. We need to welcome all dentists into our professional society and be their colleagues and mentors. If not,

then membership will continue to decline and the WDA will eventually become irrelevant. The second main theme of our most recent strategic thinking session centered on what services the associ-ation provides members and the value they place on those services. This again was different 50 years ago, when almost all of our members were men practicing in solo offices. The support and services needed in the past are not necessarily what all dentists need today. We need to look at all benefits and evaluate them based on our membership. We also need to address the value of what we do offer and can offer to dentists who do not practice in solo offices. Dentists who are members of large-group practices or employees of corporately-owned practices or FQHCs have different needs. We must find out what their professional and practice needs are, what services they value and how the WDA can meet those needs. All members can help by letting the WDA know what is important to you. It is much easier to provide valuable services when we know what our members need and want.

The WDA Journal invites readers to express their views in letters to the editor. This provides a forum for discussing topics of interest to the dental profession. To be considered, letters must be 300 words or less and signed with an e-mail address or phone number. The Editorial Board reserves the right to edit for space, clarity, civility and accuracy. Any changes will be shared with the writer before publication. If your letter is selected, contact will be made to confirm receipt. Submit letters to the editor via email to [email protected] or fax to 414-755-4111. You may also mail your letter to: WDA Journal | Attn: Dr. Robert Brennan | 6737 W. Washington St. | Suite 2360 | West Allis, WI 53214

WDA style note: We make every effort to bold members’ names in articles.

Submitting letterS to the editorWDA Editor Robert Brennan, DDS, Neenah

920-725-0551 • [email protected]

Robert Darling, DDS, Sheboygan920-457-1717 • [email protected]

Ellyn English, DDS, La Crosse 608-775-2696 • [email protected]

Glenn Gequillana, DDS, Milwaukee414-649-3510 • [email protected]

Gene Shoemaker, DDS, Waukesha 262-542-0431 • [email protected]

editorial adviSory board

With 79 percent of all licensed dentists in our state choosing to join organized den-tistry, the Wisconsin Dental Association has one of the highest membership market

shares in the country. This is truly a great accomplish-ment. However, not all dentists feel welcome in our associa-tion. Did you ever attend a component meeting and not know anyone? Perhaps it was after graduating from dental school or after relocating to a new area. Maybe you were standing in a corner looking to net-work with your peers, but feeling alone and ignored. This experience is no different from my own. I still remember being the one on the outside and not knowing anyone when I attended my first component meeting more than 30 years ago. I worked for the “mafia clinic” (title given to the early capitation programs). Today, we have dentists practicing in a variety of roles, such as large-group dental offices and Federally Qualified Health Clinics. It is the same story, but different charac-ters. I am sorry if any member ever felt segregated, discrimi-

nated or misunderstood. As WDA president, I can assure you this is not who we are.

At the end of the day, regardless of how we choose to practice dentistry as individuals, we are all dentists. We are stronger united as one group, working together for a common goal and elevating our beloved profession to the highest level. This, is truly who we are. A lot of dentists have told me when they first became

dentists that it took them a while before joining the WDA. When I ask their reasoning, they usually respond with, “Nobody asked me.” Imagine that! Nobody reached out to welcome them into our profession, invited them to attend a component meeting or explained member benefits. I am just as guilty of this as most members. This is something we as WDA members have to change. Consider these tips: • Call a member you haven’t seen in awhile or a non-member and offer to carpool to a component meeting. • Follow up with new dentists after meeting to thank them for attending. • Encourage new members to get involved in projects/committees. • Invite a new dentist or nonmember to the upcoming WDA InSession/House of Delegates.

We are members of the greatest profession in the world. It is about time we embrace all our fellow dentists in Wisconsin, especially those who may not realize the full value of belonging to organized dentistry.

Robert Brennan, DDS, WDA Editor [email protected]

At the end of the day, regardless of how we choose to practice

dentistry as individuals, we are all dentists. We are stronger united

as one group, working together for a common goal and elevating our

beloved profession to the highest level.

All members can help by letting the WDA know what is important to you. It is much easier to provide valuable services when we know what our

members need and want.


ADA recognizes WDA for membership growth

Mark Paget WDA Executive Director [email protected]

The Wisconsin Dental Association received an award for “Greatest Gain of New Dentists for a Society with 2,001-3,500 Members” at the American Dental Association’s Membership Recruitment and Retention Conference in April 2014.

This is the third straight year WDA membership was given this prestigious honor.

During the WDA’s strategic think-ing session in March 2014, one of the questions pondered by participants was, “Whose job is membership recruitment and retention?”

After considerable discussion, the answer was – everyone. For the WDA to maintain and grow our 79 percent market share, staff, volunteer leaders and mem-bers must all be involved in membership recruitment and retention.

While staff is ultimately responsible for the nuts and bolts logistics of member

recruitment and retention, we need all members to consider this vital function to be their job.

Every member plays a role in the organization no matter if you are an officer, a trustee, a delegate serving in the House of Delegates, a component officer for one of our 26 local dental societies, a commit-tee member or a grassroots member.

The membership team brought the award plaque back to the WDA Executive Office where it now hangs in the confer-ence room.

I congratulated the membership team during our Monday morning staff meeting and thanked all staff for their contin-ued efforts in providing the highest level of service which directly correlates into strong membership numbers.

WDA staff understands the impor-tance of providing members with a pos-itive experience in all aspects of their membership.

I would like to ask all members to help share the importance of belonging to WDA with your dental colleagues. Please talk up organized dentistry when you inter-act with other oral health professionals. Your testimonials and endorsements are invaluable as we continue growing WDA.

Whenever I speak with nonmember dentists and review the plethora of servic-es and products we provided, I also pose the question, “Where would dentistry be without WDA and ADA?”

In other words, how would the pro-fession look without our advocacy in Madison and Washington, D.C.? What would the public’s perception of dentistry be without our oral health literacy public relations campaigns and media relations? Where would dental practices and dentists find money/time-saving resources?

Let’s all make membership recruitment and retention part of our job description.

Executive Director Corner

Member Publication

JUNE 2014VOLUME 90, NUMBER 6

EditorRobert Brennan, DDS, Neenah

920-725-0551 • [email protected] Editor

Mark Paget414-755-4100 • [email protected]

Managing EditorEmily Bultman


OFFICERSPresident

Julio Rodriguez, DDS, Brodhead608-897-8645 • [email protected]

President-ElectPaul Levine, DDS, Milwaukee

414-355-0213 • [email protected] Vice President

Ryan Braden, DDS, Lake Geneva262-248-0120 • [email protected]

Past-PresidentTimothy Durtsche, DDS, La Crosse

608-784-7319 • [email protected] Treasurer

John R. Moser, DDS, Milwaukee414-273-9800 • [email protected]

EditorRobert Brennan, DDS, Neenah

920-725-0551 • [email protected] Executive Director/Secretary

Mark Paget, West Allis 414-755-4100 • [email protected]

Region 1 Northwest David Kenyon, DDS, Altoona

715-832-3385 • [email protected] Nehring, DDS, Mercer

715-476-3432• [email protected] Jennifer Peglow, DDS, Stevens Point 715-344-2324 • [email protected]

Region 2 NortheastPaul Feit, DDS, Sturgeon Bay

920-743-6976 • [email protected] Peter Hehli, DDS, Appleton

920-997-1557 • [email protected] Kraig, DDS, Fond du Lac


Region 3 Greater MilwaukeeThomas Kielma, DDS, Milwaukee

262-649-3510 • [email protected] Lepak-McSorley, DDS, Milwaukee

414-383-8787 • [email protected] Thomas Raimann, DDS, Hales Corners414-425-1510 • [email protected]

Region 4 SoutheastEdward Chiera, DDS, Beloit

608-362-5712 • [email protected] Cliff Hartmann, DDS, Greenfield

414-543-4700 • [email protected] Murphy, DDS, Racine


Region 5 SouthwestL. Stanley Brysh, DMD, Madison

608-417-6500 • [email protected] Clemens, DDS, Wisconsin Dells608-254-2345• [email protected]

Patrick Tepe, DDS, Verona 608-848-4000 • [email protected]

Region 6 Student RegionRosa Barnes

Marquette University School of [email protected]

Speaker of the HouseRichard Lofthouse, DDS, Fennimore


ADA 9th District TrusteeGary Jeffers, DDS, Northview, Mich. 313-494-6678 • [email protected]

Although new dentists are clinical-ly-qualified to practice dentistry, few feel prepared to take on the role of business owner.

The Wisconsin Dental Association wants to help bridge that gap.

The WDA will host a new dentist networking and educational opportunity on Oct. 29 in downtown Milwaukee. This is geared to all dentists who have been out of dental school 10 years or less, as well as third and fourth year Marquette University School of Dentistry students.

A panel discussion, “Been There, Done That: Fundamentals of a Successful Dental Practice” will offer an engaging discussion to give new dentists resources needed to face various business aspects connected to dentistry.

This WDA new dentist event will feature five talented, successful dentists who will talk about their personal trials, tribulations and success stories from their early days in practice.

Dr. Tanner McKenna (Sun Prairie), will share some of his practice manage-ment skills, including how to write a

business plan, secure financing, work with a dental accountant and communication skills.

Upon finishing his general practice residency, Dr. McKenna was thrust imme-diately into a leadership position as the sole dental officer onboard a U.S. Navy ship. He was forced to quickly learn the management side of dentistry, something new dentists can likely relate with.

Joining Dr. McKenna will be Drs. Barrett Straub (Port Washington), Laura Rammer (Sheboygan), Jodi Schilling (Madison) and Jason Vandehaar (Madison).

Other helpful information, including financial management, practice opera-tions, compliance and efficiencies, human resources, staff management and market-ing will also be discussed.

A networking reception at the start of the event will give everyone the oppor-tunity to share business stories and chal-lenges.

This new dentist networking panel event is being sponsored by Professional Insurance Programs.

Watch for additional details about the October panel and other new dentist events in future WDA communications. To preregister, contact Betsy Krekling at [email protected] or 414-755-4126.

A new membership benefit, the Wisconsin Dental Association Business Brief, launched this month.

Sponsored by our for-profit subsidi-ary, Professional Insurance Programs, the WDA Business Brief is an educational series of short videos that will be emailed to members twice a month.

Video subjects will include business and clinical topics designed to help mem-bers run a successful and profitable dental practice.

WDA Business Briefs is being deliv-

ered directly to member dentists’ inboxes on the second and fourth Tuesday of every month beginning May 13 and the first topic is “Risk Management: Dental Radiography”.

Upcoming topics include:• Employment Law: Social media pol-

icy (May 27)• Business Management: Signs of

Internal Fraud (June 10) • Third-party Payors: Giveaways (June

24)

The entire library of videos is also archived so members can watch them 24/7.

Business Briefs were introduced by the Colorado Dental Association in 2013 and are now available to other state dental societies.

“The WDA is constantly striving to provide our members with products and services to help them in their practices. I am optimistic this business video series will be another valuable member benefit,” WDA Executive Director Mark Paget said.

Betsy Krekling WDA Member Relations Coordinator [email protected]

Mark your calendar What: WDA new dentist panel and network-ing event - “Been There, Done That: Fundamentals of a Successful Dental Practice”

When: 6-9 p.m. on Wednesday, Oct. 29

Where: Rock Bottom Brewery, 740 N. Plankinton Ave., Milwaukee

Cost: $5 for students, $10 for WDA members and $20 for nonmembers

New dentist networkingpanel event

Watch for WDA Business Briefs


Overcoming the five glove-buying obstaclesDental professionals must wear exam-

ination gloves and masks to provide the barrier protection they need to stay safe and in compliance with Occupational Health and Safety Administration reg-ulations.

However, selecting the right glove is a critical decision made more complex by a practice’s pro-pensity to find one glove that all team members can agree upon. Different types of masks are also required for different types of dental procedures.

Association Gloves, which administers the Wisconsin Dental Association Glove Program, understands the five obstacles to finding the right glove for your dental team and offers help to overcome them.

Fit - A glove that does not fit the hand properly leads to hand fatigue and can contrib-ute to mild or severe musculo-skeletal pain. Indications that a glove does not fit properly include thumb pulling, tightness in the palm and finger sleeves that are too long or too short.

Feel - Every glove has its own feel, often a byproduct of the material from which it is manufactured and the treat-ments applied to the glove. The overall thickness of the glove and the thickness in the fingertips and palm often affect the way it feels on your hand. Grip is another factor to consider in the way a glove feels.

Some gloves have textured fingertips or all-over texture, others are smooth.

The only way to know what feel you like is to try various brands and styles of gloves.

Comfort - Comfort is highly subjec-tive. It starts with how easy a glove dons. Some gloves are quite elastic and stretch a lot. Many gloves are treated with mois-

turizers to make them easier to don, doff and to provide skin soothing upon con-tact. Traditionally, glove manufacturers used cornstarch to make gloves slide on readily.

Many dental practices have forgone powdered gloves over concerns about the possibility that powder residue might contribute to post-procedure irritations. While latex is known for its comfort, there is concern about latex sensitivities and allergies among patients and dental teams. Many dental offices are latex-free. Nitrile gloves are the perfect alternative to latex.

Quality - Gloves that vary in quality from box to box are problematic. So are gloves that have an offensive odor. A good quality glove will go on and off easily and consistently, without tearing.

Value - This is more than the price of the glove. A low-cost glove is not a

value if it tears, lacks consistency or is uncomfortable. Your glove distributor can add value to your purchase by asking the right questions to identify good glove options for your team and then providing free samples.

Simplifying the purchase process is another aspect of value. Consider the following:

• Can you order gloves or samples online?

• Can you manage your inventory with a recurring order program to ensure you are never out of stock?

• What is the guarantee? Getting a 100 percent satisfaction guarantee on your glove purchases is also important

• What are the shipping costs?

Finally, the quality of customer ser-vice is a vitally important component of value. Are you treated well by a rep-resentative who is knowledgeable about gloves, can access your sample request and order history and who will put your needs first? Impersonal customer service can make you feel like a cog in a wheel and considerably diminish the buying experience.

For more information, contact Association Gloves at 877-484-6149 or visit www.msdagloves.com.

Support WDA and organized dentistry with purchases

When you purchase gloves and masks from Association Gloves, royalties are paid to the Wisconsin Dental Association to support its initiatives and services—and you save money. Association Gloves is the only glove and mask sup-plier that returns 100 percent of proceeds to organized dentistry.

How is this possible? Association Gloves is a subsidiary division of the Michigan Dental Association and established its glove pro-gram for Michigan dentists seven years ago. Association Gloves purchases products from its manu-facturing partners and drop ships them from warehouses around the country directly to dentists’ offices.

Since its successful launch in Michigan, the program has won endorsements from 16 state asso-ciations. All revenues are used to assist the efforts of organized dentistry in the endorsing states.

Erika Valadez WDA Dental Practice and Government Relations Associate [email protected]

In-house dental benefit plansThe Affordable Care Act now man-

dates oral health coverage for children, but nothing for the adult population. This holds the potential for dental offices to see an increase in uncovered patients coming in for care.

The Wisconsin Dental Association has been contacted numerous times by members for advice on creating in-house dental benefit plans and what restric-tions apply.

Consider the following before creating an in-house benefit plan for patients without any dental benefit coverage:

The Office of the Commissioner of Insurance is the entity that regulates commercial insurance in Wisconsin. Depending on a plan design, an insur-ance agent license may be needed before offering an in-house benefit program.

For example, a potential violation could occur if a patient becomes a “mem-ber” of an in-house dental plan and is charged an annual fee covering services such as exams, X-rays, cleanings and other procedures at a discounted rate.

To be clear of any violations, it is recommended a detailed plan be submit-

ted in writing to OCI for an informal review and confirmation before offer-ing this type of benefit.

The WDA cannot provide legal advice or an OCI deci-sion. However, legal memos detailing issues with referral gifts, discounts and the for-giveness of co-pays are avail-able and can be provided at a member’s request.

WDA staff has had several discus-sions with the OCI’s agent licens-ing department which shared similar inquiries that have been submitted. These in-house plans can have a very gray area when it comes to being con-sidered an insurance benefit.

It is only after an informal review of the details in the membership/benefit plan that OCI can decide if an agent

license is or is not needed before offering the plan.

To request an informal review, plans can be submitted to:

Office of the Commissioner of Insurance125 South Webster St.Madison, WI 53703-3474

Contact OCI at 800-236-8517 for more information.

Consulting with an attorney is also advised prior to making any decisions about implementing an in-house dis-count plan.

The WDA does not provide legal advice or an OCI decision. However, legal memos detailing issues with refer-ral gifts, discounts and the forgiveness of co-pays are available and can be provided upon a member’s request.

Depending on how a plan is set up and if another insurance carrier is going to be billed, these are a few instances in which dentists need to abide by specific laws when implementing any form of discount program in their practice.

To request a copy of the legal memo, email Erika Valadez at [email protected].

BUSINESS of Dentistry


• Five things to consider before purchasing gloves.

• Submit detailed plan for in-house benefit programs to OCI.

• Practice value can be assessed using capitalization of cash flows or market approach models.

• Contact insurance carriers’ provider relations to verify NCS enacted or follow up is needed.

Key takeaways...

Andy Lehmkuhl Principal with Edge Advisors [email protected] Tess Principal with Edge Advisors [email protected]

Demystifying the valuation process

REcommENdEd pRodUcts, pRogRams aNd sERvicEs Your association did the research...you reap the benefits!

Attention, baby boomers! If retirement is on the horizon, it is important to start now in identifying ways to transition a dental practice, patients, staff and possibly real estate.

Transitioning a practice is not an over-night process. It takes time to plan out, so specific needs are met.

First and foremost, a dental practice’s value must be realized. A proper valua-tion of a practice will include an appraisal that will help determine what transition options are available to the dentist.

There are two basic ways value is assessed: capitalization of cash flows model or market approach model.

Capitalization of cash flows

The capitalization of cash flows model is similar to the earnings before interest, tax and amoritization or EBITA model which primarily focuses on overhead and practice profits.

A value is calculated by identifying

either a stream of income or cash flow and dividing that number by a capitalization rate.

This method is based on the prem-ise that the fair market value of a dental practice is deter-mined by the earnings a buyer can expect from the purchased practice after pay-ing themselves a fair salary for their services. In other words, as an investor how much money will be made after all expenses have been paid.

This approach is com-monly used in the valua-tion of a dental practice, because a dental practice has a history of prof-its and its true value is based on an

owner’s ability to derive an income that is above and beyond what they might be able to receive as an associate.

Market approachThe market approach focuses on compara-

bles in a dentist’s community or sim-ilar communities. Transactional data from pub-lic and private sources is used to draw compar-isons between

the subject prac-tice and the other

practices whose value is known.

In Wisconsin, most general dentistry practices sell

for an amount between 50 to 75 per-cent of their collections.

The market approach must also take into account other factors that affect a dental practice’s profitability, including location, facilities, demand, patient base, strength of the patient base, demograph-ics, capacity and opportunity.

Though the market approach is not indicative of the earning potential of the practice, it does provide an important guideline to the value of the practice based on market conditions.

Transitioning into a dental practice as a young professional or transitioning out as a veteran practitioner, both repre-sent professional milestones that are often extremely stressful given their inherent financial and professional importance.

Fortunately, the anxiety that stems from a professional transition can be minimized by adequate planning, prioritizing profes-sional and economic goals and educating oneself about the process. The result will be a successful and rewarding transition.

Erika Valadez WDA Dental Practice and Government Relations Associate [email protected]

Take advantage of NCS legislation benefits

On July 5, 2013, Wisconsin became the 34th state to stop dental plans from setting fees for services they don’t cover.

The non-covered services legislation, or 2013 Wisconsin Act 26, went into effect on Jan. 1, 2014. However, some members are not taking advantage of this huge cost benefit in their practice.

The law applies to the modification or renewal of existing insurance contracts or the signing of new con-

tracts. Annual fee schedule updates are considered a modification of existing contracts.

Dentists may need to proactively seek a modification or renewal to take advantage of this legislation’s bene-fits.

Some insurance carriers automatically made adjust-ments to this new law and incorporated all necessary changes. However, the Wisconsin Dental Association encourages members to contact their insurance carriers’

provider relations departments to verify how Act 26 was enacted and if additional follow up is needed to enforce it.

If anyone is unclear of the legislation and the details within, contact Erika Valadez at [email protected] to obtain a copy of the printed legislation.

This may also be used in correspondence with your contracted insurance carriers and a good reference for future inquiries if needed.

iNsURaNcE

Professional Liability and Office Protection Group Life, Short and Long-Term DisabilityGroup and Individual Health InsuranceIndividual LifeIndividual Disability Worker’s CompensationHomeowners and Auto Insurance Long-Term Care InsuranceMedicare Supplement ProgramsPersonal Umbrella InsuranceDirect ReimbursementSection 125 Plans POP and NESP PlansERISA and COBRA ComplianceAdvanced Planning Services

To take advantage of these quality plans and their high-level benefits geared to the special needs of Wisconsin’s dental community, call 800-242-9077, send email to [email protected] or visit www.insuranceformembers.com.

pRacticE maNagEmENt

AED Brands (defibrillators) 800-580-1375www.AEDbrands.com

AMO - Association Members Only (office supplies) 800-420-6421 | www.goamo.com

Association Gloves877-484-6149www.wdagloves.com

Central Data Storage (online data backup and recovery)800-243-4675www.dentalrecord.com/centraldatastorage

The Dental Record (patient records) DentForms by MedicTalk (electronic forms)800-243-4675 | www.dentalrecord.com

Healthfirst (amalgam separators)800-3331-1984www.healthfirst.com

InTouch Practice Communications (custom on-hold advertising and appointment reminder system)877-493-9003 | www.intouchdental.com

LB Medwaste (medical waste)715-842-2048www.lbmedwaste.com

The Omnia Group (pre-employment testing and background checks)800-525-7117 | www.omniagroup.net

Officite (websites)888-738-8834 | www.officite.com/wda

The QTI Group (human resources) 888-575-3273 | www.qtigroup.com

Scientific Metals (metal refining)888-949-0008www.scientificmetals.com/wda

UPS (shipping)800-members (800-636-2377)savewithups.com/ada

FiNaNciaL sERvicEs

ADA Visa Card from U.S. Bank (credit card)888-327-2265 x94225www.usbank.com/ADA94225

AMP Wealth Management (401k Plans, and Personal Wealth Management) 414-332-1011 | www.ampinvestment.com

CareCredit (patient financing)800-800-5110 | www.carecredit.com/ada

Chase Paymentech (credit card processing)800-618-1666www.bestpaymentprocessing.com/ada

Mercer Advisors (financial planning)800-898-4642 | www.merceradvisors.com

Transworld Systems Inc. (credit and collections)608-276-8307 web.transworldsystems.com/Madison

U.S. Bank Practice Finance(practice and commercial real estate financing) 414-765-5498www.usbank.com/smallbusiness/practice-finance

OTHER SMALL-BUSINESS PRODUCTSMercedes-Benz (auto)866-628-7232 www.ada.org/mercedes Lands’ End (staff apparel) 800-990-5407www.ada.org/4270.aspx orces.landsend.com/ADA


WDA Trustee candidate lineupThese are condensed CVs; for full CVs, visit the officer vacancies page on WDA.org (member login required).

Northwest Region 1Christopher D.K. …, DDS507 Main StreetEau Claire, WI [email protected]

EducationUniversity of Wisconsin - Eau Claire,

bachelor’s degree, 1986-1989University of Minnesota School of Dentistry,

doctor of dental surgery, 1989-1993University of Minnesota School of Dentistry,

general practice residency 1993-1994

PracticeUnited States Navy- Naval Station 32nd

Street, San Diego, Calif., 1994-1995USS Kitty Hawk CV63- Division Officer

1995-1997Private practice in Eau Claire at Hillside

Dental, 1997-present

ProfessionalAmerican Dental Association• Member, 1990-present

Wisconsin Dental Association• Legislative Advocacy Committee mem-

ber, 2012-present • Legislative Day attendee

Northwest District Dental Society• President,• Delegate to WDA House of Delegates,

2009-2013

Other Organizations• Academy of General Dentistry• Chippewa Valley Dental Society• West Central Wisconsin Study Club-

Seattle Study Club

Community Activities• Donated Dental Services volunteer • Seal-A-Smile/Head Start screening volun-

teer • Immanuel Lutheran Church member and

council member

Family • Married to Michelle• Two children: Elizabeth and Grant ––––––––––––––––––––––––

Northeast Region 2Paula Crum, DDS 2581 Development Drive Suite 204Green Bay, WI [email protected]

EducationMarquette University, bachelor’s degree,

1979Marquette University School of Dentistry,

doctor of dental surgery, 1983

University of North Carolina School of Dentistry, certificate in periodontics, 1985

University of North Carolina School of Dentistry, master’s degree, 1986

PracticePractice limited to periodontics in GreenBay, 1988-present

ProfessionalAmerican Dental Association• Member, 1984-present• Alternate delegate, 2014

Wisconsin Dental Association• Reference Committee at WDA House of

Delegates, member, 2012 and chair, 2013• Ethics and Dental Relations Committee,

2005-present• Legislative Advocacy Committee, 2006-

2010

Brown Door Kewaunee Dental Society • Delegate, 2003-present• President-elect, 2002• President, 2003

Other Organizations• Wisconsin Society of Periodontists• Greater Green Bay Women’s Dental

Study Club • The Pierre Fauchard Academy

Community Activities• Donated Dental Services and Mission of

Mercy volunteer • Ashwaubenon Education Foundation

board member • Nativity of our Lord Parish member

Family • Two children: Phillip and Olivia –––––––––––––––––––––

Greater MilwaukeeRegion 3Richard A. Mueller, BS, DDS 11801 W. Janesville Road Hales Corners, WI [email protected]

EducationMarquette University, bachelor’s degree in

biology, 1972-1976Marquette University School of Dentistry,

doctor of dental surgery, 1976-1980

PracticePrivate pactice in Racine,1980-1986Private practice in Hales Corners,

1986-Present


Wisconsin Dental Association• Legislative Advocacy Committee,

2007-present• Legislative Day attendee, 1999-present• House Reference Committee, 2009

Greater Milwaukee Dental Association • Director, 2005-2010• Treasurer, 2010-present • Delegate and alternate delegate to WDA

House, 2006-present

Other Organizations• Pierre Fauchard Academy

Community Activities• Give Kids A Smile®, Head Start and

Smile Day volunteer • Mission of Mercy volunteer • St. John the Evangelist Church member

Family • Two children: Christopher (Nicki) and

Erica

––––––––––––––––––––––––

Southeast Region 4Carl Meyers, DMD1201 Oak StreetWest Bend, WI 53095262-338-2303 [email protected]

EducationUniversity of Wisconsin-Oshkosh,

1989 - 1990 and 1991-1992Marian College - Fond du Lac, 1992-1993University of Louisville, bachelor’s in

nursing, 1994-1996University of Louisville School of Dentistry,

doctor of dental medicine, 1997 - 2001

PracticeAssociate - Northstar Dental Group in

Appleton and Sheboygan, 2001 - 2002Owner - Pioneer Dental, SC in West Bend,

2002 - present

MilitaryUnited States Army Reserve - 395th Ord.

Co, Appleton, 1988 - 1990Operation Desert Shield/Storm, Saudi

Arabia, Kuwait and Iraq, 1990-1991United States Army Reserve - 395th Ord.

Co, Appleton, 1991 - 1992Wisconsin National Guard - 1157th Trans.

Co, Oshkosh, 1992 - 1994


Wisconsin Dental Association• Strategic thinking session attendee, 2014• Public Relations Committee, member,

2008-present and chair, 2012-present• WDA Legislative Day attendee,

2003-present

Washington Ozaukee County DentalSociety • Delegate to the House of Delegates,

2007-2008 and 2012• Board member, 2003-2007• President, 2007-2008

Other Organizations• Chicago Dental Society • Dental Organization for Conscious

Sedation

Community Activities• Mission of Mercy, 2009-2012• Guatemala mission trip - Time and

Talents for Children, 2010 and 2012• The Church of Jesus Christ of Latter-day

Saints member, 1994-present

Family • Married to Amy• Two children: Scott and Kaitlyn

––––––––––––––––––––––––

Southwest Region 5Patrick J. Tepe, DDS 1010 N. Edge Trail Verona, WI [email protected]

EducationMarquette University, bachelor’s degree in

biology, 1990University of Minnesota School of Dentistry,

doctor of dental surgery, 1994

PracticeAssociate - Drs. Chapman and Connelly

DDS. S.C in Beloit, 1994-1997Associate - Madison Family Dental

Associates,1997-2000Owner/partner - private general group

practice- Associated Dentists in Madison and Verona, 2000-present

FacultyGeneral Practice Residency Program

at Meriter Hospital Dental Clinic, 2008-present

MilitaryUnited States Army Reserve Dental Corps.

7212th Medical Support Unit (I), Rochester, Minn., 2000- 2008

Rank: Major. Activated in support of Operation Enduring Freedom, January 2003-May 2003 and August 2004-December 2004.

ProfessionalAmerican Dental Association• Member, 1993-present • Alternate delegate, 2013-present Wisconsin Dental Association• Trustee for Southwest Region 5,

2011-present• WDA Insurance and Services Corp. board

member, 2014• Long Range Planning Committee,

2013-present

Greater Dane County Dental Society • Programs/Continuing Education commit-

tee, 2000-2013• Vice President, 2006• President, 2008

Other Organizations• Chicago Dental Society • Pierre Fauchard Academy • International College of Dentists

Community Activities• Give Kids A Smile® volunteer • Donated Dental Services and Mission of

Mercy volunteer • Harambee Dental Clinic and Madison

Dental Initiative volunteer

Family • Married to Nicole

Watch your email for electronic ballot

on Aug. 1. Voting ends Aug. 15.


The JawboneFOCUS ON: DENTAL SATIRE

ew documents show the National Security Agency’s surveillance program extended beyond phone

calls and emails. NSA whistleblower Edward Snowden

announced a dental component was also involved to spy on U.S. citizens. A leaked report details how the NSA secretly integrated nanotrans-mitters into dental composite filling materials allowing the agency to hear personal conversations across the country. Dental researchers used this

opportunity to combine transmitters with Wi-Fi sensors that gives den-tists the ability to monitor patients’ daily habits.

The sensor consists of a tiny circuit that fits inside a tooth cavity and can be rigged into dentures and dental

braces. Circuits are able to recognize the jaw motions of drinking, chewing, coughing, speaking and smoking. Results are sent directly to their den-tist’ s Smartphone. “This will revolutionize patients behavior. Once they realize they can’t fool dentists anymore they will modify their behavior,” ADA Director of Dental Research Dick Cheney said. Despite backlash from the NSA program, the tooth sensors may be able to motivate patients to floss daily, decrease soda consumption and curb tobacco addiction.

Leaked documents show NSA spying on oral healthN

The fast-moving Internet pricing games used by airlines are now moving into the health care sector. Epsilon Dental Corporation, a na-tional dental service organization, announced they will be implement-ing a new “flexible time priority” fee schedule as of July 1. Company spokesperson Billie Mitchell explained the new fee schedule was formulated after reviewing current models in the airline industry which have worked for the past 50 years with only a few minor setbacks. “Our offices are open 12 hours a day, six days a week. We need to keep our chairs full and our den-tal professionals busy. However, our patients value certain days of the week and hours of the day more than others. We feel our fees should reflect this reality,” she stated. Under the new flexible proposed system, fees would be based on the “time value” of the requested ap-pointment. Even though the average fee for a

porcelain crown is $1,000, a patient could select the early bird special and pay as little as $700 for a morn-ing appointment on a Tuesday. The priority package would run around $1,500 for a high-demand evening weekday appointment.

Changing prices more frequently may give dental offices a boost in revenue, but will certainly require a lot of attention. Patients will receive text alerts on Epsilon Dental’s “Feespotter” app for last-minute openings with addi-tional savings. Upgrades will be offered, includ-ing emergency service coverage and premium operatory packages with

DVD movies showing. Fluoridated water and healthy snacks will be available for pur-chase in the waiting rooms. “This incentive allows our clin-ic to be at capacity, and still gives the consumer more options based

on how valuable they perceive their time to be,” Dr. Tim Mer-mann, Epsilon’s clinic director, said Like airline reservations, ap-pointments will be paid for at the time of scheduling. “I think we will find our pa-tients will not miss future ap-pointments due to the prepay

requirement. The airline does not call to remind you that your flight is leaving for Las Vegas. Why would they?” he said. Dr. Mermann said the new system will eliminate the need to mail out reminder post cards and free up staff time from making phone calls to our patients.

Case of the albino denture Instead of regular denture clean-er, a patient decided to use bleach because it removed stains and was cheaper. Unfortunately, the lab tech’s selection of repair acrylic colors did not include “albino”.

Counterproductive ways to finance dental school A young patient expressed an in-terest in becoming a dentist and asked how many years one need-ed to go to school to which the assistant told the patient four years of undergradu-ate school and four years of dental school. After the exam, the patient told her parent about this desire and the parent said, “You are going to need to start saving soda cans to pay for that!”

Not my job... really, not my job A patient returned to a dental of-fice for continued care after having seen an endodontist for treatment. After the exam, the patient asked if a prescription could be writ-ten to help with a bladder prob-lem. The patient stated they were “pretty sure” they had a bladder infection and attributed it to their recent endo procedure. The dentist declined because this is outside the scope of practice to which the patient responded, “I don’t have money to waste on a doctor’s visit. You think I am gullible because of what I read on the Internet.” The dentist wanted to share that a non-dental solution could probably be found online, but that is not their job.

It might have worked if you were born a starfish After fracturing a significant por-tion of a first molar, a patient at-tempted to regrow the tooth by taking a combination of calcium tablets and vitamin D. The patient saw a TV program describing how fluoride could restore damaged enamel. The only remedy for the tooth was stainless steel and sun-shine.

Coming soon: Dental care to be priced like airline tickets

Patients say the dard-nest things

APPOINTMENT CLOSES 15 MINS BEFORE SCHEDULED PROCEDURE

APPOINTMENT PASS

APPOINTMENT PASS

EPSILON DENTAL CORPORATION EPSILON DENTAL CORPORATION

Procedure Code

Procedure Time/Gate

Procedure Code

Procedure Time/Gate

APPOINTMENT CLOSES 15 MINS BEFORE SCHEDULED PROCEDURE

APPOINTMENT PASS

APPOINTMENT PASS

EPSILON DENTAL CORPORATION

EPSILON DENTAL CORPORATION

Procedure Code

Procedure Time/Gate

Procedure Code

Procedure Time/Gate


A 62-year-old male was referred to an oral surgery clinic for the diagnosis and treatment of an exophytic lesion of right lateral/dorsum of tongue (Figure #1). This lesion of few months duration was asymptomatic and would easily bleed upon touch. The patient was otherwise healthy.

Questions:

1- What would you consider in your differential diagnosis? A. Peripheral ossifying fibroma B. Papilloma C. Pyogenic granuloma D. Capillary hemangioma E. All of the above

2- What is the best method to make a definitive diagnosis? A. An incisional biopsy B. An excisional biopsy C. Brush biopsy D. Needle biopsy E. None of the above

Answers on page 15

Figure #1

Q&A

Presented byEzedin M. Sadeghi, DDS, MS, MUSOD Associate Professor and Oral Pathology Director [email protected]

CASE

STU

DY #

156

The Marquette University School of Dentistry chapter or #MarquetteASDA recently brought home a prestigious national award of the American Student Dental Association and continues to lead by example both locally and nation-ally. The MUSOD chapter was named 2013 Ideal ASDA Chapter during the annual ASDA Gold Crown Awards banquet, which names more than 30 award recipients. “This honor has gen-erated great excitement and given us a chance to reflect on the past year. Our chapter is humbled and thrilled by this rec-ognition,” Marquette ASDA President James Kolstad said. The chapter depend-ed on each member last year to fulfill the ideals ASDA strives for — engagement, passion, integrity and communi-ty. “This honor is signifi-cant as it recognizes at a national level the excel-lence the Marquette ASDA chapter has achieved. This group of hard working dental students represents the future of dentistry and it is encouraging see their hard work and commitment recognized by their peers at a national level. We are very proud of the accomplishments of our ASDA chapter, “ MUSOD Dean Dr. William Lobb (Milwaukee) said. Our engagement is obvious by the number of students attending Lunch and Learns, roaming the Vendor Fair, cheer-ing at Mr. Molar, growing mustaches in November or throwing rock fists at the Rock Paper Scissors Tournament. Without students’ passion, we would not have launched a new Sustainability Committee, Specialty Committee or book club and been able to host fund-

raisers like the Amazing Dental Race to boast about. Our integrity as dental students is expected, and the Ethics Committee invited the Student Professional Ethics Association to MUSOD in order to help us prepare for those tough situations we face in clinic and in life.

The Marquette ASDA community is strong, and committed to our Milwaukee community — we volunteer after school with children, spread Christmas cheer while caroling, run for the children at children’s hospital, get pink patient bibs, masks and gloves for our patients in October and clean up the highway with our new Sustainability Committee. Marquette ASDA is more than just the events, activities and volunteering. It is a springboard to being involved in dental school and being a part of organized den-tistry as a student. Whether it is planning an event, sit-ting as committee chair, serving as a national leader or attending an event, we provide opportunities to all members: • The opportunity to build camaraderie

with our peers who will one day be our colleagues. • The opportunity to meet dental stu-dents from around the country, which gives us new insight and perspective on the education we receive at Marquette. ASDA also gives us the chance to grow, so we can establish ourselves as leaders

that will one day serve in the communities where we choose to live and practice in. For some, that will be here in Wisconsin as members of the Wisconsin Dental Association. Our time with Marquette ASDA is the start of a great relationship with organized dentistry and the start of a lifelong journey within organized dentistry. We would be remise if we did not thank MUSOD faculty and administration for being huge supporters of all students. They really understand the importance of letting us be involved in great associations and organizations. Dean Lobb has played an instrumental part in making sure Marquette ASDA is a strong chapter through his guidance, leadership and support. We would also like to thank the

WDA for its continued support during the past few years. A lot of our events are sponsored by the WDA and its members, which help us bring more value to our dental education. “This award is indicative of what is possible as a result of the strong, positive working relationship which has devel-oped between the WDA and MUSOD over the years. Our dental students are engaged in organized dentistry through-out their time in dental school, so their affinity to organized dentistry is a natural extension of their time as a dental stu-dent and more importantly as an ASDA member during this period. The impor-tance of ASDA as a foundation organiza-tion for dental students which promotes and supports the development of the

MUSOD wins ASDA Ideal Chapter Award James Kolstad Marquette ASDA President [email protected] & Macaire Thiel MUSOD student [email protected]

next generation of leaders in organized dentistry should not be underestimated,” Dean Lobb added. So what about this year? Marquette ASDA is already hitting the ground run-ning in 2014. ASDA called us ideal, but not perfect. We refuse to be complacent, to settle and to fade into memory. We are hard at work bringing new events and activities to our Milwaukee home. Stay tuned for the latest and greatest out of Marquette ASDA. 2013 will be a year we will always remember, and we hope 2014 will be a year we will never forget.

MUSOD students accepted their ASDA Ideal Chapter Award during the Gold Crown Awards in February 2014 in Anaheim, Calif. This award was given for fulfilling the ideals of engagement, passion, integrity and community.

Names in the news

WDA trustee honored with MUSOD awardDr. Thomas Raimann (Hales Corners) received the Outstanding Dental Service Award from Marquette University School of Dentistry. Dr. Raimann serves as Wisconsin Dental Association Greater Milwaukee Region 3 trustee and as state chair of the WDA and WDA Foundation Mission of Mercy charitable dental event. The award recognized his service as chair of the greater Milwaukee area’s Head Start Dental Day for 14 years and his volunteer efforts at the St. Elizabeth Ann Seton Dental Clinic.

Fond du Lac member volunteers for worthy cause Dr. Kathleen Doyle-Kelly (Fond du Lac) and her team volunteered in March 2014 with the Feed My Starving Children nonprofit organization. The group assisted by packing nutri-tious meals formulated for malnourished children and shipped to nearly 70 coun-tries around the world.

Milwaukee Study Club participates in competition The Milwaukee Study Club was invit-

ed to participate in the World Team Treatment Planning Championships and the Great Shootout competition at the Seattle Study Club’s Annual Symposium held January 2014 at the Phoenician Resort in Scottsdale, Ariz. Led by MSC Director Dr. Constantine Stamatelakys (Greenfield), the team also included Drs. Todd Connell (Brookfield), Mark Boldt (West Allis) and Eddie Morales (Greenfield). All participants were given a case and 15 minutes to prep before present-ing a treatment plan. The MSC Wisconsin team successful-ly defeated the other two teams at the competition.


Should dietary fluoride supplements still be prescribed?Jeffrey Chaffin, DDS, MPH, MBA, MHA DHS Dental Director [email protected]

Research has consistently shown fluo-ride helps prevent dental caries. This natu-rally-occurring mineral has a systemic and topical effect that remineralizes enamel and has some anti-bacterial properties. Most of you know the Centers for Dis-ease Control and Prevention recognized water fluoridation as one of the great public health achievements of the 20th century. The ideal vehicle for fluoride is through community water systems, as this pro-vides low levels of fluoride to all residents throughout the day by simply drinking wa-ter. Unfortunately, not all Wisconsin resi-dents have access to public water systems that are optimally fluoridated. Recently, there have been questions about whether dentists should still pre-scribe fluoride supplements. It is important

to look to our national dental associations to answer this question. The American Dental Association sup-ports the use of dietary fluoride supple-ments for children from six months to 16 years old who live in areas not optimally fluoridated and at high-risk for dental car-ies.1 In 2012, the American Academy of Pediatric Dentistry revised their fluoride therapy guidelines and recommended den-tists consider prescribing fluoride supple-ments for children drinking water with lev-els less than 0.6 parts per million. AAPD suggests dentists evaluate other dietary fluoride sources and assess the child’s caries risk prior to prescribing.2

The Association of State and Territorial Dental Directors also supports the use of

fluoride supplements for children at high-risk for caries who lack availability to op-timally fluoridated water. ASTDD encour-ages health care professionals to base the prescription on caries risk assessment and fluoride history.3

Our national dental organizations con-tinue to support the use of fluoride supple-ments. They suggest dental professionals make an assessment of caries risk and flu-oride intake from other sources before pre-scribing. If needed, the Wisconsin State Labora-tory of Hygiene provides test kits to analyze home water fluoride content for those not on a fluoridated water system. The following table should be used as guidance in the prescription of fluoride supplements.

Fluoride supplement dosage – 20101

agE Fluoride ion level in drinking water (ppm)*<0.3 0.3-0.6 >0.6

Birth-six months None None NoneSix months-3 years 0.25 mg/day** None None3-6 years 0.50 mg/day 0.25 mg/day** None6-16 years 1.0 mg/day 0.50 mg/day None*1.0 parts per million (ppm)=1 milligram per liter (mg/l) **2.2 mg sodium fluoride contains 1 mg fluoride ion

Approved by the American Dental Association Council on Scientific Affairs

References1 Rozier RG, Adair S, Graham F, et al. Evidence-based clinical recommendations on the prescription of dietary fluoride supplements for care prevention: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2010;141(12):1480-1489.2 American Academy of Pediatric Dentistry. Guideline on Fluoride Therapy, 2012;34(6): 162-5.3 Association of State and Territorial Dental Directors. Fluoride Supplement Policy Statement, Jan. 28, 2013. Accessed on Feb. 24, 2013 at URL: http://bit.ly/1iYUIyC

in this journal

Spring/summer 2014

The Wisconsin Dental Association is pleased to make the spring/sum-mer 2014 print version of our patient newslet-ter available to members and their patients as a way of communica t -ing oral health i n f o r m a t i o n and promoting quality care. We encour-age you to place this public information tool in your waiting area for patients to enjoy and to use as a basis for chairside edu-cation. Tongue ‘n’ Cheek… and Teeth, too! also can be downloaded on WDA.org as a PDF or viewed in a digital-flip format. A limited number of hard copies are available on a first-come, first-served basis. To request copies, contact WDA Communications Coordinator Emily Bultman at [email protected] or 414-755-4110.

Tongue ‘n’ Cheek...and Teeth, too!

EDUCATE

DHS UPDATE


Classifieds

Orthodontist Position Available – We are looking for a full-time orthodontist to join our family-oriented, multi-location, group practice located within an hour of Madison, WI. We have three state of the art locations, providing excellent comprehensive care and orthodontics for over 40 years to our communities in a modern and technically advanced setting. Our current patient base, and potential for future growth, is an opportunity for an orthodontist looking to join a practice as an associate, with a future partnership option. Please contact Eileen Shanks at [email protected] for more information. #06-2014-01

My dental office is in Brookfield and I work Monday through Thursday. Friday, Saturday and Sunday are open for a general dentist or specialist. We can work out percentages. Call my cell at 262-853-8156 for more information. #06-2014-05

Outstanding Fox River Valley general practice in Fond du Lac & Oshkosh area. Established practice with good active patient base and a strong recall program. Great staff. Four well-equipped treatment rooms. Adjusted profit over $400,000 per year. Doctor is retiring. Contact Healthcare Practice Management at [email protected] or 866-746-9588. #05-2014-04

Helping Wisconsin dentists sell their practice in an ethical and experienced way. 8% commission, Non-Exclusive relationship, NO dual representation and MORE practices sold than the competition. We are the BEST at what we do, take a gander at www.edgeadvise.com and see what your colleagues are talking about. Specialized in: Transitions / Recruitment / Accounting / Valuations / Consulting / Hygiene Coaching / Marketing / CRP In-House Training and More. Your one stop team for everything Wisconsin Dental – Local and hardworking like you! 920-532-4545 / [email protected]. #03-2014-09

Madison – Dental condo unit for sale or lease. 3 operatories, front office, private office, sterilization area. Ideal for a new startup. In a well-established dental building (with an orthodontist) in a desirable east Madison neighborhood. Contact [email protected] or call 608-217-1727 #05-2014-07

Leaving on vacation? Out for a break? Want some time off ? Call Thomas Kissner, DDS Licensed in Wisconsin, DEA and CPR certified Malpractice insured 1M-3M. Contact me at 920-469-9143 [email protected] #05-2014-11

Madison - Our thriving multi-doctor practice in Madison, WI is seeking a full time Periodontist with strong clinical skills in all areas of periodontal treatment and implant placement. We offer excellent compensation and a full array of benefits. Visit our website at www.madisonfamilydental.com and email your CV to [email protected]. #06-2014-07

Recruiting Outstanding Local Dental Practitioners - We are one of the fastest-growing, top-quality, fee-for-service practices in the Greater Milwaukee area, and we are currently seeking an outstanding dentist to join us on our path to excellence and prosperity. We take pride in our professional work environment, our state-of-the-art facilities, and all that we’ve achieved in terms of setting the standard for general dentistry excellence in our community. We’re confident that you will be impressed with our lucrative and progressive compensation arrangements. Interested dental practitioners should contact:[email protected]. #06-2014-06

Advanced Dental Specialists is looking for exceptional Endodontists to join our team in Green Bay and Racine. We offer competitive compensation, great benefits, and opportunity for ownership. Submit CV & Cover Letter: www.advanceddentalspecialists.com/doctorcareers. #06-2014-02

Changing Lives - One Smile at a Time. Michigan Community Dental Clinics, Inc. is seeking dentists to join our elite group of dental practitioners who place “patients first.” We offer a $20,000 sign- on bonus for full-time dentists and a $4,000 sign-on bonus for part-time dentists, payable more than 2 years. MCDC currently has 22 locations with new facilities opening in 2014. Our facilities are operated utilizing a private-practice model with policies and procedures that encourages efficiency, productivity, improving quality and cost control. Our full-time positions offer very competitive remuneration and a comprehensive benefits package that includes paid holidays, medical, dental, vision, retirement, disability, paid continuing education,

professional liability insurance, and a wellness program. For more information on specific clinic openings contact Kathleen Borgeson (231) 437-4760, or visit our website at www.midental.org to learn more. #05-2014-12

ForwardDental is in search of exceptional Pediatric Dentists to join our team in Madison and Kenosha. Positions offer competitive compensation, great benefits, and the opportunity for ownership. Submit CV and cover letter: www.forwarddental.com/doctorcareers. #06-2014-03

Southeastern Wisconsin solo practitioner looking for partner leading to buy-in. Premier high volume, high quality practice located in a dynamic community. Two years minimum experience required. Please send resume to [email protected]. #05-2014-04

Green Bay, WI – Well-established private group practice looking for an Associate General Dentist. Position includes highly-trained clinical and business support, use of digital X-ray and chartless systems, and a competitive salary and benefits package. This is a potential buy-in opportunity. New graduates are welcome to apply. Interested parties should send resume or CV to Amy (Business Manager) at [email protected] or fax to 920-494-8195. #06-2014-11

Fond du Lac - Excellent Opportunity to Lead a Thriving Practice in Fond du Lac, WI. This growing general dentistry practice is looking for a long-term full-time associate dentist with expertise and integrity to provide high-quality dentistry to a family of great patients. This modern, lively and successful practice offers the opportunity to work with a passionate and stable staff with direction from a dentist who is committed, respected and friendly. Step right into a competitive compensation package and the opportunity realize your full potential with partial practice-ownership. 2+ years of experience is preferred. Contact Dr. Mauthe at 920-948-6407 or [email protected]. #03-2014-08

At Children’s Hospital of Wisconsin, our dental professionals, thoroughly trained in infant, pediatric and adolescent dentistry, will make dental visits non-threatening and rewarding experiences We have established a reputation as a special-needs clinic and can provide complete dental care for children who are medically, mentally or physically challenged We operate pediatric dental services at four locations, serving thousands of patients each year. Director, Dental Operations (23715) Be responsible for leading the growth and expansion of dental services for Children’s Hospital of WI Lead the quality improvement and patient experience initiatives Develop and implement best practice standards of care across select locations. Dentists (23692) Practice opportunities available both in the community or hospital You will manage the dental needs of patients and contribute to the operations of the dental clinic and affiliated programs.If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today at http://www.chw.org/careers/. #05-2014-13

Practice for Sale/Lease

Dentist Available/Position Wanted

Practice Position Opportunity

Practice Wanted


to pLacE a dispLay oR cLassiFiEd ad, visit

shopwda.oRg oR coNtact EmiLy BULtmaN at

[email protected]. pURchasE ads oN shopwda.oRg

Classified Advertisements Rates for classified advertisements for Wisconsin Dental Association members are 0-34 words - $65; 35-69 words - $85; 70-105 words - $125; 106-140 words - $135; 141-175 words - $145. Nonmember rates are 0-34 words - $95; 35-69 words - $110; 70-105 words - $135; 106-140 words - $150; 141-175 words - $170. New in 2014! Place an ad online now for $25 (within three business days). Make your ad stand out by boxing your ad for $150 per month, adding a company logo for $30 per month or including a confidential blind box for $10 per month. Full color, mini-display are available in three sizes and frequency discounts are offered for one month, three months, six months and 12 months. Artwork can be created for you at an additional charge: $75 for initial mini-display creation $50 per hour for edits after initial run (one hour minimum will be charged). Visit www.shopwda.org for more information and to place your ad.

Cancellation of ads must be received in writing. Please note all ads must be pre-paid. Please include payment (check or credit card number) with your classified ad when submitting. You can download the contract online at WDA.org or call 414-755-4110. To place an ad, mail, fax or email [email protected] copy to the Wisconsin Dental Association, Attn: Emily Bultman, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; fax to 414-755-4111. Classified ads submitted after the deadline can be posted on the last business day of the month as a web only ad at the standard rate. It is against WDA policy to do unauthorized mailings pertaining to individu-al classified advertisements. When responding to a Blind Box, please indicate the blind box number on the envelope. When they are received by the WDA office, they are forwarded unopened to the address of the person holding the blind box. Sample: Wisconsin Dental Association, Blind Box #10, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214.

Advertiser Index - Thank you for supporting the

WDA Journal!

Locum Tenens/Flexible Opportunity

Passionate for patient care and want a flexible schedule? We seek experienced dentists to fill daily/weekly/monthly locum tenens needs to cover leaves and extended vacations. Perfect for dentists wanting to pick up extra hours. May involve travel with overnight stays. Typically includes 32-36 hours/week when needed. Competitive pay. You have complete freedom to work as many or as few locum sessions as you’d like! Opportunities available with Midwest Dental (WI, MN, IA, IL, KS, MO), Mountain Dental (CO, NM) and Merit Dental (PA, OH, MI). Contact Laura Anderson Laehn, 715-225-9126, [email protected]. Learn more about us: www.midwest-dental.com, www.mountain-dental.com andwww.mymeritdental.com.

Associate Dentist needed for private practice in Door County, WI - We are looking for a full-time Associate Dentist to join our Sturgeon Bay practice. The right candidate will join a highly productive, two-location, practice with motivated doctors delivering excellent comprehensive care in a modern and technically advanced environment. Owner/Dentist is willing to offer buy-in to the right candidate. Candidates must be highly motivated with excellent communicating skills and a desire to be involved and build relationships in our community. Previous experience is preferred but new grads will be considered. Salary potential is well above average and an excellent benefit package is available. Advanced training in communication, treatment presentation and business organization paid for by employer. For consideration please send resume to [email protected]. For more details visit www.doorcountydentistry.com. #05-2014-03

ForwardDental is in search of exceptional Dentists to join our busy Wisconsin practices. Positions offer competitive compensation, great benefits, and the opportunity for ownership. Please submit CV and cover letter: www.forwarddental.com/doctorcareers. #06-2014-04

Well-established, multi-site group practice in southeast Wisconsin is searching for general dentists with superior dental skills and chairside manner. Full-time and part-time associate positions available. State-of-the-art equipment in beautiful surroundings and experienced support staff make this a rare opportunity to work with the best. Fax CV/resume to 630-833-9008. #04-2014-08

Dental Dreams desires motivated, quality oriented associate dentists for its offices in IL (Chicago & suburbs), DC, LA, MI, MA, M.D., NM, PA, SC, TX and VA. We provide quality general FAMILY dentistry in a technologically advanced setting. Our valued dentists earn on average $230,000/yr plus benefits. New graduates encouraged! Call 312-274-4524 or email [email protected]. #02-2014-03

AFTCO............................................... 12 www.aftco.net Dental Practice Advisors ...................... 14 www.dentalpracticeadvisors.com Edge Advisors ................................... 11 www.edgeadvise.comKeller .......................................... 14 www.kellerbuilds.com Midwest Dental ................................... 13 www.midwest-dental.comParagon ............................................. 16 www.paragon.us.comProfessional Insurance Programs .......... 11 www.insuranceformembers.com West Bend Mutual Insurance Co. ......... 15 www.thesilverlining.com


Calendar*Shaded events offer continuing education credits.

The WDA Journal is published monthly by the Wisconsin Dental Association (USPS 0285-460), 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. Phone 414-276-4520. Yearly subscriptions are $20 for WDA members; $100 for nonmembers; $25 for associate members; $30 for dental school students; $45 for dental schools and agencies and $125 for foreign mailings. Periodicals postage paid at Milwaukee, Wis. POSTMASTER: Send address changes to WDA Journal, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. The Wisconsin Dental Association reserves the right to illustrate and/or edit all reader contributions. Views expressed in the WDA Journal are not necessarily those of the WDA. All advertising in the WDA Journal must comply with the advertising standards of the WDA. The publication of an advertisement is not to be construed as an endorsement for approval by the WDA or any of its subsidiaries unless the advertisement specifically includes information that such approval or endorsement has been granted. The deadline for all display advertisements is the second Tuesday of the month, two months before advertisement insertion (For example, if you want your ad to appear in the August 2014 WDA Journal, which is mailed to members in mid-Jujy 2014, all advertising materials must arrive in the WDA Executive Office by the second Tuesday of June 2014.) Advertising space is limited, so advertisers are encouraged to reserve space early. Back issues of the journal are available for six months following publication or while supplies last. Communications and copy for publication should be addressed to Dr. Robert Brennan, editor, and may be mailed to the WDA at 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; faxed to 414-755-4111 or emailed to [email protected]. Portions of the WDA Journal can also be found on the WDA Web page, WDA.org.

MAY26WDA offices closed for Memorial Day

JUNE3“The Dysfunctional Jaw: Part 4Dr. Kenneth Waliszewski 3 CE credits Visit www.marquette.edu/dentistry to learn more and register. Sign up for all four sessions and receive a discount 20-21 WDA Board of Trustees meeting Kalahari Resort and Convention Center Wisconsin Dells For more information, visit WDA.org

27-28 WDA and WDA Foundation Mission of Mercy KI CenterGreen Bay For more information, visit WDA.org

JULY4WDA offices closed for Independence Day

19-20WDA Board of Trustees meeting MarriottPewaukee For more information, visit WDA.org

26-27Extractions and Power Prox Six Month Braces 8 CE credits For more information, contact [email protected] or 843-488-4357

29Mentor Program Kick-Off DinnerFor more information, contact Susan John at [email protected].

OCTOBER9-14ADA Annual Session and House of Delegates For more information, visit ADA.org/session

NOVEMBER5Dentistry Examining Board 8:30 a.m. 1400 E. Washington Ave.,

Rm 121ADepartment of Safety and Professional Services Madison

13-15WDA InSession and House of Delegates The Wisconsin Center, MilwaukeeFor more information, visit WDA.org

27-28WDA offices closed for Thanksgiving

DECEMBER24-26WDA offices closed for Christmas

31WDA offices closed for New Year’s Eve

–––––––––––––––––––––––––––––––

Do you have an event you’d like to include in the WDA Journal Calendar of Events? If so, please call WDA Managing Editor Emily Bultman at 414-755-4110 or 800-364-7646; fax to 414-755-4111 or send email to [email protected].

Summer HoursWDA offices will be closed Monday May 26 for Memorial Day obser-vance. Following Memorial Day, WDA Executive and Legislative officeswill be open Monday through Thursday from 8 a.m. to 4:30 p.m. andon Fridays from 8 a.m. to noon through Aug. 31.

9Dentistry Examining Board 8:30 a.m. 1400 E. Washington Ave., Rm 121ADepartment of Safety and Professional Services Madison

15WDA Pyramid of Pride nominations due For more information, visit www.wda.org/dental-professionals/pyramid-of-pride-awards.

SEPTEMBER3Dentistry Examining Board 8:30 a.m. 1400 E. Washington Ave., Rm 121ADepartment of Safety and Professional Services Madison

8Wisconsin State Dental Golf TournamentBenefiting the WDA Foundation Legend of Brandybrook Wales Visit WDA.org for more information


1) A, C and D

2) B

Case study continued from page 10

Q&AA:

Final diagnosis:

Pyogenic granuloma

DiscussionPyogenic granuloma is a reactive

fibro-vascular or granulation tissue growth with remarkable endothelial and capillary proliferation. The term pyogenic granuloma, which implies the lesion is a reaction to a pyogenic microorganism is a misnomer. Indeed, there is no relation-ship between these lesions and bacteria.

While pyogenic granuloma in the oral cavity mostly involves gingival tissue it can occur anywhere in the mouth.

A chronic trauma or introduction of a foreign substance like calculus in the gingival sulcus is responsible for the development of a pyogenic granuloma.

A remarkable female predilection exists, and pregnant women in their second or third trimesters are more prone to develop pyogenic granuloma which is also referred to as “pregnancy tumor”.

Total surgical excision is the treatment of choice. To prevent recurrence, the chronic irritant must be eliminated, and in case of gingival pyogenic granuloma, curettage of the underlying tissue and root planning is required.

To rule out other diagnostic possi-bilities the surgical material should be evaluated histologically.

Acknowledgement: This case was con-tributed by Dr. John Rydlewicz (Appleton) an oral and maxillofacial surgeon.

Ezedin M. Sadeghi, DDS, MS Oral and Maxillofacial Pathologist Associate Professor, Marquette University School of Dentistry Referral and Consultation: 414-288-6559 Biopsy Service: 414- 805-8440

New Product/ Service Corner

New salability practice ranking worksheet available The process of transitioning a dental practice can be overwhelming. Many times the hardest part is figuring out where to start. Edge Advisors recently developed a beginner’s work sheet to help dentists understand the road that lies ahead in the transition process. Our “Salability Practice Ranking” work-sheet allows dental practices to be ranked on such issues as: • Location (rural vs. metro) • Equipment • Active patients • Revenues • Building • Insurances accepted • Overhead

Results provide an outline of the realistic likelihood of a dentist’s chance of selling their practice, along with an estimated value. Specific areas of a practice that may need updating prior to selling a practice will also be highlighted on the worksheet. Ready to transition a practice or curious about the potential value of a practice? Access the worksheet by visiting “News” section under the Etc. tab on www.edge-advise.com. For more information, contact us at 414-255-5669 or [email protected].

Special Smiles volunteers needed Special Olympics Wisconsin is seeking volunteers with an understanding of the importance of oral health and an interest in working with people with intellectual disabilities. Dentists, dental hygienists, dental assis-tants and students are needed to provide free dental screenings that include oral health education, mouth guard fabrication and fluoride varnish at these upcoming Special Smiles events:

• June 6 at University of Wiscon-sin-Stevens Point, 7:45 a.m. - 4 p.m. • Aug. 2 at Carroll University in Waukesha, 8 a.m. – 4 p.m.

All volunteers receive lunch and a T-shirt provided by Special Smiles funding from Delta Dental of Wisconsin Charita-ble Fund.

For more information, visit: www.specialolympicswisconsin.org/general_healthy_athletes.html. Contact Anne Hvizdak at [email protected] or 715-677-3037 to vol-unteer.

Pierre Fauchard Academy BreakfastFriday, Nov. 146:45 – 7:45 a.m.Wisconsin CenterContact: Dr. Gene Shoemaker, 262-542-0431

American College of DentistsFriday, Nov. 14Business meeting, 6 p.m. Hilton Milwaukee City CenterContact: Dr. Nancy Larson, 262-240-1220

International College of DentistsFriday, Nov. 14Business Meeting, 6 p.m. Hilton Milwaukee City CenterContact: Dr. Christine Tempas, 920-467-4257

American and International Colleges of Dentists Joint DinnerFriday, Nov. 14Reception, 6:30 p.m.Dinner, 7:30 p.m.Hilton Milwaukee City CenterContact: Dr. Christine Tempas, 920-467-4257

Wisconsin Dental Political Action CommitteeFriday, Nov. 14Dessert Reception9 - 11 p.m.Hilton Milwaukee City Center(by invitation only)

Affiliated group meetings


WISCONSIN DENTAL ASSOCIATION

INSESSIONWisconsin’s Largest Dental Study Club

Connect with your state association at House of Delegates

Sizzling social events will salute Pyramid of Pride awardees, WDA president

Carol Weber, APR WDA Director of Communications and Marketing [email protected]

Carol Weber, APR WDA Director of Communications and Marketing [email protected]

Speaker Dr. Richard Lofthouse (Fenni-more) will call the 144th Wisconsin Dental Association House of Delegates to order at 1:30 p.m. on Nov. 13, 2014 at the Wisconsin Center in downtown Milwaukee. Beginning in 2014, this annual, statewide business meeting is being held in conjunction with InSession — Wisconsin’s Largest Dental Study Club. “We want to help bring more dentists, dental hygienists, front office staff and den-tal industry leaders together for networking, learning and governing,” explains WDA Ex-ecutive Director Mark Paget. All member dentists and dental hygien-ists and others interested in the business of organized dentistry may observe the meetings of the WDA House. However, only official delegates and alternates, along with officers, may speak during a House session. All members may address an issue before the House during the Reference Committee Open Hearing scheduled to begin at 3:45

p.m. on Nov. 13. Members of the WDA House of Delegates were thanked for their service to the state association with a special, prime InSession registration the last two weeks of April. This should help delegates, alternates, officers and trustees make the most of their continuing education time on Thursday morning and Friday. InSession registration opened to all on May 1. A new electronic newsletter and section on WDA.org at http://www.wda.org/den-tal-professionals/members-only/house-of-del-egates (log in required) have been created to help delegates, alternates, officers and trustees prepare in advance for this annual policy-set-ting meeting. WDA House of Delegates OnDemand launched April 15 and will be issued periodi-cally as new information becomes available. If they haven’t already done so, compo-nents should choose and register their dele-

gates and alternates with WDA Executive Assistant Lisa Chandre at [email protected]. Call 414-755-4104 for details.

Highlights of the 2014 WDA House of Del-egates schedule follow:

Thursday, Nov. 1311:15 - 11:45 a.m. - Orientation for new del-egates and new alternatesNoon - 12:30 p.m. - Orientation for members of the Reference and Election committees1 - 1:30 p.m. - House registration 1:30 - 3:30 p.m. - First session of the House3:45 - 5:15 p.m. - Reference Committee Open Hearing5:30 p.m. - completion (should not exceed 8 p.m.) - Reference Committee Executive Meeting Saturday, Nov. 157 - 9 a.m. - Regional caucuses and breakfast9 - 9:30 a.m. - House registration9:30 a.m. - conclusion - Final session of the House

Combining the Wisconsin Dental Asso-ciation House of Delegates with InSession in 2014 is helping give new sizzle to several annual traditions, including recognition of Pyramid of Pride awardees and “team fun night”. Several hundred House attendees and audience members will formally honor this year’s POP recipients during the opening ses-sion the afternoon of Thursday, Nov. 13. The professional and community achieve-ments of these individuals will also be cel-ebrated that day from 4:30 - 6 p.m. with a cake and champagne reception in the exhib-it hall. This special event is partially spon-sored by Henry Schein Dental. Everyone is welcome to attend both the House and exhibit hall POP events. Pyramid of Pride Awards recognize mem-ber dentists and dental hygienists and other oral health advocates for major contributions to community outreach, political awareness,

media relations, mentoring, philanthropic efforts, new dentist leadership and lifetime achievement — the WDA’s highest honor. Nominations are due July 15. Award cat-egory details and nomination form online at: http://www.wda.org/dental-professionals/pyramid-of-pride-awards#nomination. Latin Night, which will honor WDA President Dr. Julio Rodriguez (Brodhead) and his wife, Marissa, combines the tradi-tional team fun night with the president’s reception. Live music will be provided by Platinum —one of Wisconsin’s top bands. From Sina-tra to Buble, Young MC to Jay-Z, Journey to Maroon 5, salsa, jazz, pop, rock, blues, swing, R n B, soul - Platinum does it all! Snacks and two drink tickets per person will be provided. All registered InSession attendees and exhibitors are invited to this social event on Nov. 13 from 8 p.m. to mid-night at the Hilton Milwaukee City Center.

There is no fee, but please register in ad-vance by checking the box that you plan to attend to facilitate planning on your InSes-sion registration. The evening is sponsored, in part, by Del-ta Dental of Wisconsin.

EMPOWER

Nov. 13-15, 2014Wisconsin Center, Milwaukee

Online registration now open!

June 2014 WDA Journal

Documents