Fall Newsletter 2017 · 2017. 11. 10. · Fall Newsletter 2017 In this Issue MDHA President’s...

Scoop November 2017 Newsletter Issue # 4

| P a g e1

Scoop Fall Newsletter 2017

In this Issue

MDHA President’s Message

by Kellie Stanhope, RDH, BSDH, EFDA

Kellie Stanhope, RDH, BSDH, EFDA

President’s Message -2

Core Ideology

Unite, Empower and Support the dental hygiene profession

Vision

Dental hygienists are valued and integrated into the broader health care delivery

system to improve the public’s oral and overall health

Thank you, New Members!

Legislative Update

Page 2-3

What’s New for MDHA

ADHA Benefits/Application

Page 5

Page 4

Autogenous Transplantation

Page 9

Fall Greetings! I hope you have enjoyed one of the most spectacular fall seasons I can recall. In fact, I hope the remaining calendar days are just as nice and winter is delayed until at least February… Hey, a girl can dream, right?

I was reflecting on what topic I should discuss for my Presidents message and was struggling to find a topic that would catch your attention. I decided to talk to you about our Mentoring Program. Currently we do NOT have an active mentoring program and I am saddened by the loss of this program.

I recall as a student at Bangor Community College back in the late 70’s, the school had a “Big Sister” program. Your “Big Sister” was someone you could reach out to for advice about the upcoming classes and she would provide support. Yes, those were the days when our uniform consisted of polyester white slacks (you know with the seam sewed in, so they always looked pressed), with gingham tops that buttoned up the front with bright white polished shoes (instructors checked those shoes) and on certain days we even wore the nurses cap. Oh we thought we were styling back then, and I guess we were. I’m sure many of you have some great stories of the times when you were a student.

Dental hygiene has come a long way since then, however I believe there is still a strong need for leadership and mentoring our current students and new graduates. I can tell you personally I have enjoyed being available to students who had questions upon graduation relating to employment, wages and drawing from my decades of experience in many roles I have had as a dental hygienist. I am sure you realize that there is not a class in dental hygiene school that truly gets you ready for the “real world” of dental hygiene they are about to embark upon. This is extremely important information, and who better to provide it than those of us out in the trenches!

Have you ever thought about being a mentor to a student? I bet you have already provided mentoring to new hires in your workplace. Think about how valuable your knowledge is for that newbie. We all were there at one time, and we all have learned somethings the hard way. If we can provide help to a student/new graduate and make their transition into private practice easier, why not? I bet you would feel as great as they will. (continued on page 2)

Page 7

Love What You Do

Autumn is a second spring when every leaf is a flower 😊

Maine Dental Hygienist’s Association

Member Spotlight

Lobby Day

Page 11

Page12


Are you curious what the perks of being an ADHA member are?

To see more, visit here! http://www.adha.org/resources-docs/74110_Membership_Affinity_Programs.pdf

| P a g e2

President’s Message - cont’dThink back upon your career, was there a special dental hygienist who mentored you at your workplace or perhaps you had that “Big Sister” like I did long ago in Dental Hygiene school. You are important to these young students! Becoming a mentor is easy. All you really must do is be available to correspond with your mentee via telephone, texting, emailing, IM, or in person. It is whatever works for the both of you.

I would be so happy to bring back the Mentor Program to MDHA. I think it is something we shouldn’t let lapse. So please consider becoming a mentor today. If you are interested, please contact me personally and let’s help support the future of our profession. We are stronger together!

You can contact me via email at [email protected] or 207-944-0328. I am looking forward to hearing from some outstanding hygienists to join the Mentoring team!

Thanks for all that you do!

Kellie Stanhope, RDH, BSDH, EFDA

ADHA Member Benefits

ADHA Rewards Credit Card

Hotel & Car Rental Discounts

Discounted Auto Insurance Liability & Other Insurances

ALSO: Henry Schein Direct OrderingADHA Discount RX Program

HERTZ Car Rentals Online Career Center Annual Conference

PublicationsAND MORE!

These are ONLY the National benefits! Keep reading to see what Maine offers for YOU!

Shopping Discounts

http://www.adha.org/resources-docs/74110_Membership_Affinity_Programs.pdf

mailto:[email protected]



| P a g e3

Member Information

Name Email

Address Daytime Phone (include area code)

City State Zip Evening Phone (include area code)

Dental hygiene school attended: State Year of Graduation

Highest educational level attained: Certificate Associate Baccalaureate Master’s Doctorate

Circle Your Credential: RDH LDH Other: Current License # State:

To qualify for Active membership, you must have been granted a license to practice. Applications received without a license number will not be processed.

Membership Demographic Information

In an effort to learn more about ADHA members, we would appreciate your assistance with the following information:

Gender: Female Male Birth Date: Ethnicity (optional):

Hours worked per week in Dental Hygiene:

Primary Position (check one): Clinician Educator Public Health Researcher Administrator/Manager Other

State(s) in Which You Hold Current License(s): License Number(s): Year(s) Issued:

Mem

bership Form

Annual Dues

ADHA $ .00

Constituent* $ __________

Local component* $ __________

Assessment** $ __________

Total $ _________

* ADHA bylaws require all active members belong to national(ADHA), constituent (state) and component (local area)organizations.

Contact ADHA Member Services for correct constituent and component dues amounts (312) 440-8900.

**Only CO, CT, HI, ID, IL, KS, OR, WA

Dues are not deductible as a charitable contribution for federal income tax purposes. They may be deducted as a business expense.

Send Application to

Mail 444 North Michigan Avenue, Suite 400, Chicago, IL 60611

Phone (312) 440-8900

Apply online at www.adha.org

DUES ARE NONREFUNDABLE

Method of Payment

I am enclosing a check payable to ADHA for the amount of my annual dues. (see Total)

Please charge my annual dues to my credit card. (see Total)

Please enroll me in the Quarterly Payment Plan using my credit card. (see Total plus additional $12.00 processing fee)

* Renewing members must opt-into the quarterly paymentplan online using your existing membership account.

Visit http://payments.adha.org for more information on

available payment options

Card Number American Express Discover

Expiration Date/ VISA MasterCard

Signature

I understand that by providing us your credit card information, you hereby agree that ADHA may automatically renew your membership each year by charging the applicable membership dues fee directly to your credit card. Your membership fee will be charged on an annual or quarterly basis according to the manner you have indicated. Please ensure we have updated credit card information so the renewal may be processed. If you do not wish to have your dues automatically renewed each year, you may opt-out next year.

Join. Participate. Benefit. Succeed.Call or log on today(312) 440-8900 | http://membership.adha.org

00000

$45.00

$247.00

** Join online to utilize quarterly payments! www.mainerdh.org

http://www.mainerdh.org



| P a g e4

What’s New For MDHA?!Learn how WE are working extra hard to provide the Dental Hygienists of

Maine with revolutionary CE opportunities and more!

Continuing Education from ANYWHERE!

Updated Website… … Online CE Registration &

More Engaged With Social Media!

In-person CE can now be viewed LIVE through webinar to gain Cat I credits! Watch CE from the comfort of your home and know that geographic location is no longer a setback! View later on our website www.mainerdh.org for Cat II credits.

It’s 2017 and we decided it was time for our website to reflect that! Check out our newly updated, highly responsive website and its many user-friendly features. Also, enjoy hassle-free CE registration AND payment directly from your computer. No more having to print forms and mail with payment! Woo Hoo!

Stay up-to-date with us on our Facebook page, through Constant Contact & now our Instagram page! Be in the know for important legislation & upcoming courses or social events.




| P a g e5

Susanne Johnson LaVallee, RDH, PHS

35 Years and STILL Going Strong

Degree:

I received an Associate’s Degree in Science from Northeastern University and a Certificate in Dental Hygiene from Forsyth School for Dental Hygienists in 1982.

Licensure:

I have been licensed to practice Dental Hygiene in 3 Districts and 5 States: Massachusetts, New Hampshire, Utah, Colorado, and Maine.

Maine Board of Dental Examiners:

I was appointed by Governor Baldacci in 2005 and re-appointed by Governor LePage in 2010 to sit on the Maine Board of Dental Examiners.

Traditional Dental Hygiene Career:

The first 20 years of my dental hygiene career were spent in several private practices that included traditional dental offices, orthodontics and periodontics, as well as, working for a temp service while in Colorado. In 1990 my husband and I moved to Maine where I worked in 3 dental offices a week, leading full-time employment until 2002. The second half of my career, 15 years and counting, have been in Public Health starting in 2003.The Purple Booklet, Non-traditional Settings:

I remember receiving the “Purple Booklet” in the mail from Kris Perkins, RDH and Director of the State of Maine, Oral Health Department, letting all hygienists know there was a new avenue of employment available to dental hygienists in Maine. I put it on the shelf in my dental hygiene operatory. At the time of receiving it, I did not have any inclination of ever working in Public Health. Truth be told, that was my least favorite class in dental hygiene school, so why would I ever need that book? The answer to that is “things change.” My employer passed away which left me without a job, with the loss of a friend, and the loss of my dental family that I had spent the last 12 years fostering relationships with. As you all know, when the patient gets tipped back in your chair they want to share all things with you…some things you wish your never heard. 2003 The Birth of “Toothangels”:

In December of 2002 I took the purple book of the shelf, went to the bank and remortgaged my house, bought my portable equipment and called Debby Cote, RN at Cottrell School to see if she thought there was a need for a dental program there. Her response was, “can you come over right now?” That was the beginning of my 24/7 job!

In the beginning my student’s oral health was devastating. All of my referrals were to the oral surgeon for extraction. So much so that they shut me off… if you can believe that. I was told that “Toothangels” was referring too many patients to them and they were no longer accepting my referrals. Really? How can an oral surgery office refuse a referral? That was one of many shocks I would receive as I went down the road of PHS.


| P a g e6

Susanne Johnson LaVallee, RDH, PHS - Cont’d

As the years passed, the decay lessened. If a kindergarten student presented with decayed primary molars these teeth eventually fell out and the new premolars were sealed. If a 1st grader came in with decayed first molars temporary fillings were placed. Between sealants and temporary fillings I was seeing a reduction in decay that was unbelievable to me. Because I couldn’t believe what I was seeing, I then started keeping statistics.

In 2005 it was glaringly apparent to me that what I wanted for the kids was not going to happen with MaineCare reimbursement alone, so a non-profit was established in the name of “Maine Dental Health Out-Reach, Inc.” I could now apply for grants and receive tax-deductible donations to help cover the yearly budget.

I bought a used RV and had it converted into two dental operatories. I hired part-time hygienists and we worked out of that RV for 10 years. Four years ago we wrote a grant and were funded to replace our aging van with a state of the art dental van that has three operatories. We are now starting our 3rd year working in luxury.

Dental Hygiene Accomplishments:

Since 2003, this program has provided 7,088 dental hygiene appointments that included a cleaning, screening, oral hygiene instruction using disclosing solution, re-mineralization treatments, dietary counseling, over 5,000 re-care checks, 31,217 sealants placed, 2,868 temporary fillings placed, 2,460 teeth that received a Cervitec application and 860 referrals for further care.

During this past school year 2016-17, 81% of our returning students had no visual decay. There were 36 new cavities in returning students compared to 344 cavities found on students seeing us for the first time. If that doesn’t speak to the success of our program nothing will.

My dreams answered:

It is heart wrenching seeing referred decay come back untreated year after year until that tooth finally disintegrates from caries. It has been my hope that one day we would have a dentist in the van with us to provide the further care needed. It took several years and several grants to have the necessary resources to buy a portable x-ray machine, dental sensors, dentist tools and materials but we did it! Philip Higgins, Jr., DMD was hired in the spring of 2017. He has placed many composite fillings, extracted many teeth and placed stainless steel crowns. I cannot express enough my thanks to this man. He is a God send to our program.

It’s not work if you love what you do


2

| P a g e7

by Bonnie Vaughan, RDH, IPDH, Med, MBA– MDHA Legislative committee/Lobbyist

LD 1085 became law on June 7, 2017!

"An Act to Amend the Requirements for Licensure as IPDH"

New Steps to Become an IPDH:

1. Graduate from an accredited dental hygiene program. 2. Get a Maine RDH License.

3. Document work for 2,000 hours, in private practice or nonprofit dental clinic under supervision of a dentist OR work as a Public Health RDH.

4. It does not matter if you have AS or BS degrees 5. Hours no longer need to be worked within the last 4 or 6 years. Now, as long as they

are met at anytime after graduation you qualify. 6. Complete the NEW IPDH Application from the Maine Board of Dental Practice

Website and Mail in - Read it thoroughly! 7. Pay the necessary fees to apply and wait to become active.

Helpful Hints: A good time to apply for IPDH is at 2 yr renewal for the RDH license.

Continuing education requirements and renewal are the same. Be sure the entire application is filled out thoroughly and completely.

Good luck! - any questions ask us :)

Everyone should apply for this authority, you never know when you might want to do something different.

Any questions check with the Maine Board of Dental Practice, Lorraine Klug, RDH, IPDH or Bonnie Vaughan, RDH, IPDH

[email protected] 207-232-4836 www.mainerdh.org

Bonnie Vaughan RDH, IPDH, Med, MBA

Legislative Update




| P a g e8

Board Of Dental Practice Updateby Lorraine Klug, RDH, IPDH – MDHA Policy/Bylaws, Immediate Past President

I continue to attend the Maine Board of Dental Practice meetings every month and the issues with dental hygienists continue to be with PHS notification. Chapter 2 pertains to the practice of dental hygiene and will be reviewed by the board for changes soon but until that time we need to follow the current rules to the letter. The current rules for PHS are as follows:

D. Notification Process. A dental hygienist wishing to practice under Public Health Supervision must notify the Board on a notification form specified by the Board, providing such information as the Board may deem necessary, including the signature of the supervising dentist. The dental hygienist shall list all known locations at which he or she expects to practice. Upon filing of the written notification to the Board, the dental hygienist may practice under Public Health Supervision for a specified period not to exceed three years. If, during the specified period, the dental hygienist finds that he or she will be providing services at locations other than those described in the notification form, he or she shall notify the Board in writing about each of these locations, in the manner specified by the Board. Any notification for a specified period may be amended, upon written submission by the dental hygienist to the supervising dentist and the Board. The Board may revoke Public Health Supervision status if a program does not continue to meet the criteria specified in section III.C.

E. Reporting Requirements. Each dental hygienist who has rendered services under Public Health Supervision must complete a summary report at the completion of a program or, in the case of an ongoing program, at least annually. The report must be completed in the manner specified by the Board, including information about each location where the dental hygienist has rendered these services. The dental hygienist must submit the form to the dentist providing Public Health Supervision for his or her signature, before sending it to the Board.

Please be sure to notify the board of ALL locations and of NEW locations as soon as possible. Also keep track of the 3 year notification timeline and the annual report.

Cathy Kasprak, RDH,IPDH has resigned from the MBDP and we would like to welcome Tracey Jowett, RDH, IPDH to that position. Tracey has been a dental hygienist since 1993 and practices as a PHS and IPDH so she brings a lot of experience to the board. I met Tracy when we both served on the MBDP AdHoc committee last year and she is a perfect fit for this board position.

I hope everyone has their power back on by now and didn’t have any damage from the storm. That was quite a storm but minimal compared to our friends in Texas, Florida and Puerto Rico. I hope everyone has Happy Holidays and we will be back in the New Year!


| P a g e9

Maine Dental Hygienist’s Association - Event Calendar

We Are Stronger Together…

Congratulations on becoming a member of MDHA!

You are a champion of oral health, networking with your colleagues to provide quality care in your community while supporting your career. We

encourage you to invite your co-workers or RDH/IPDH in your area to join MDHA. If you refer a new

member you will receive a free gift!

Let’s work together to strengthen our membership!

We want to hear from you!

How do you like the SCOOP?

Share your likes, thoughts, and ideas with us on the MDHA Facebook page.

Your name will be entered to win a $50 MDHA gift card, good towards future

CEUs!

December 2017

March 2018

February 2018

January 2018

12/8/2017 - HPV CEU Course in Augusta

TBD

Children’s Dental Health Month

3/14/2018 - 8a-Noon MDHA Annual Lobby Day at the State House!


| P a g e10

Retention: Maintain the Gainby Charles J. Ruff, DMD – Smiles for Maine Orthodontics

No part of your body remains the same over time yet patients, general dentists and their staffs and orthodontists think the teeth should stay straight forever. That’s what patients/parents think they are paying for. Seems unrealistic doesn’t it? So what is going on and what can we do about it?

So orthodontic relapse is probably the primary risk of orthodontic treatment. For as much as we talk about root resorption, you hardly ever see significant root resorption but significant relapse is not uncommon. It represents movement away from the final tooth position. Usually this movement is is back towards the original tooth position but not always is this the case. There are four main reasons for relapse: 1. Periodontal and gingival factors 2. Occlusal factors 3. Soft tissue pressures 4. Growth

Periodontal and gingival fibers mainly come into play when there are severely rotated teeth. It takes a long time for periodontal fibers in the gingiva to remodel after the tooth is rotated and this can cause relapse.

The goal of orthodontic treatment is generally to create a normal bite meaning normal OB and OJ. This can usually be achieved in growing patients. If the upper and lower teeth touch normally, this helps a lot in keeping the teeth straight. In some adults, this cannot be achieved unless surgery is part of the treatment plan so extraordinary efforts may be needed to retain the result with adults where normal OB OJ cannot be achieved.

The teeth sit in a channel defined by the tongue on one side, the and lips and cheeks on the other side. This is called the neutral zone. The neutral zone comes into play especially when you have a patient with moderate or worse crowding and the decision is made to treat non extraction. We all love to avoid taking teeth out but where does the space come from to align the teeth. Usually the teeth move forward or laterally and away from the neutral zone and up against the muscles of the cheeks and lips. Will they stay there long term if the muscles are constantly pressing against them? Sometimes yes, most times no. So while that kind of treatment appeals to us because “who wants to remove healthy teeth,” it may not be stable long term.


| P a g e11

Retention: Maintain the Gain cont’d

by Charles J. Ruff, DMD – Smiles for Maine Orthodontics

Finally, what about growth? If I had my druthers, I’d want class I and class II patients (but not class III patients) to grow while I was treating them and then to stop growing as soon as the braces were removed. This would be a perfect world. Another aspect of the growth issue is the emphasis on treating as early as possible to avoid wearing braces in high school. Of course, the earlier we finish treatment the more this allows substantial growth to occur during retention and in some cases this can be a problem.

There is also research that says the lower jaw may never stop growing. Most of the growth is done by the third decade of life but some lower jaw growth occurs forever. So part of the retention problem is keeping the teeth straight despite growth changes that have nothing at all to do with the original orthodontic problem. Some patients are OK with small changes but others want the teeth to stay perfect into eternity.

In a research study comparing a Hawley retainer (picture page 10 with a pink palate) versus a thermoformed retainer (clear plastic, page 10), patients evidenced a strong preference for the thermoformed retainer. They felt it was more comfortable and was less embarrassing to wear. Interestingly, while there was no difference in the effectiveness of the Hawley retainer versus the thermoformed retainer in the upper arch, in the lower arch the thermoformed retainer was much more effective at maintaining alignment. Maybe that was because patients preferred wearing a thin, clear plastic lower retainer as opposed to a thicker, Hawley style retainer.

Retainers can be removable or fixed. There is not a big difference in efficacy between the two. They all work. Obviously, removable retainers can make oral hygiene easier and they can be worn part time after an initial, short period of full time wear.

The major draw back of removable retainers is that patient compliance is paramount for them to work. Unfortunately, even the most perfect patient will go on vacation and inadvertently leave their retainers home. By the time vacation is over, the teeth have moved enough that one or both removable retainers no longer fit.


| P a g e12

Retention: Maintain the Gain cont’d

In the lower arch, fixed retainers can be bonded to all six front teeth or just attached to the canines. Interestingly, the one bonded to just the canines is more effective at keeping the lower teeth aligned than is the one bonded to all teeth. It is felt that if the one bonded just to the canines becomes loose, the patient will immediately call the orthodontist for a repair. On the other hand, if a wire bonded to all the lower anterior teeth becomes unattached from a single, lower incisor, the patient may not notice this until the tooth has visibly moved.

Another advantage to the lower wire bonded to just the canines is that the patient can floss all the teeth without having to use a floss threader for each contact. In fact, the patient can be taught to floss this kind of retainer without a floss threader at all.

For me in my practice the best option for the average orthodontic problem is a thermoformed upper retainer and a lower wire bonded just to the canines. I ask patients to wear the clear retainer for 6 weeks full time and then to wear it just sleeping. If I’ve managed to achieve normal overbite and overjet, I believe that the lower retainer does 95% of the overall retention. The upper teeth rest on the lower teeth and the lower front teeth are held by the wire attached to just the canines. The lower teeth are also supported by the tongue and the cheeks. You can see the advantage of this kind of retainer. Everything is held together by the lower fixed retainer and it is so hygienic that it can stay on for decades or as I like to say to my adult patients when they ask when the lower retainer can come off: “Call me when you start looking at nursing home brochures.”

Finally, what about the upper midline diastema problem? I think the answer is without a doubt a fixed wire cemented usually just to the central incisors. Most patients will do anything to prevent the midline space from returning and they want the security blanket effect of the fixed wire retainer.

As I am sure some of you realize, this can prove a problem with flossing. Sometimes if there is a problem, the wire height can be adjusted. Frequently, though the bite is too deep for the wire to be moved away from the gingiva. I once asked an orthodontist who also was a periodontist how he handled this particular problem. Believe it or not, his answer was pretty close to this: “Its a matter of pragmatics. Patients don’t want to see that space come back. If they don’t floss, they may, may get a little bone loss. Then they will be able to floss.” Not the best answer but a pragmatic one that most patients would probably think is a compromise needed to keep the space closed.

If anyone would like me to address a specific topic in the future, please send me an email to [email protected]

I would love to have some feedback.




| P a g e13

Contact UsPlease feel free to email us with any questions!

[email protected]

https://www.facebook.com/ADHAMaine2017 Officers

President: Kellie Stanhope, RDH, BSDH, EFDA*

President-Elect: Beth DePalma, RDH, IPDH*

Vice President/Scoop Editor : Sarah Clark, RDH, IPDH*

Secretary: Emily Nelson, RDH, BSDH*

Treasurer : Terri Huntley, RDH, IPDH*

Immediate Past President: Lorraine Klug, RDH, IPDH*

Continuing Education Chair : Beth DePalma, RDH, IPDH

Membership Chair : Cathy Fearon, RDH, BS

Registrar : Jen Martin-Hood, RDH

Media Chair (Facebook/Website): Jaime Brooks, RDH

Policy/Bylaws Lorraine Klug, RDH, IPDH

MDHA Legislative Rep/Lobbyist: Bonnie Vaughan, RDH, IPDH

* - Current Officer Position


https://www.facebook.com/ADHAMaine


https://www.facebook.com/ADHAMaine


| P a g e14

WOULD YOU LIKE TO BE MORE INVOLVED IN YOUR PROFESSION?!

MDHA IS ALWAYS ACCEPTING VOLUNTEER HELP AND WE WOULD LOVE TO WELCOME

YOU TO OUR GROWING TEAM!

MEET OTHER HYGIENISTS FROM OUR STATE AND LEARN FIRST-HAND HOW WE ARE STRIVING FOR A BETTER PROFESSION!

CONTACT ANY BOARD MEMBER OR MDHA THROUGH EMAIL OR FACEBOOK TO LEARN

MORE!


| P a g e15


| P a g e16

Thank you to our Sponsors

Fall Newsletter 2017 · 2017. 11. 10. · Fall Newsletter 2017 In this Issue MDHA President’s...

Documents

Transcript of Fall Newsletter 2017 · 2017. 11. 10. · Fall Newsletter 2017 In this Issue MDHA President’s...