H the Dentist...Inquiries & Ad Copy: The Hoosier Dentist Editor, Dr. Walter Brown P.O. Box 6340...

entistoosier the

SPRING 2014

Hot topic

DIAGD Annual Meeting

presentsDr. Brent Dyer, DDSSugar Land, Texas

topicAn Introduction ToLasers In Periodontics& Oral Surgery

dateJuly 18-19, 20142-Day Seminar

locationFrench Lick, INWest Baden Spring Hotel

INDIANA ACADEMY OF GENERAL DENTISTRY

TO EXCELLENCE

SEE ADJACENTARTICLE FOR MORE INFO

H

Brent D

yer, DD

S An Introduction To Lasers In Periodontics& Oral Surgery

Dr. Brent Dyer, DDSDr. Bret Dyer attended Baylor College of Dentistry to receive his DDS degree. He earned a Master of Science in Periodontics at the University of Texas Dental School in Houston. Dr. Dyer is a Diplomate of the American Board of Periodontology and has a Mastership certification from the WCLI. Dr. Dyer is in private practice in Sugar Land, TX. He was one of the first periodontists to receive a grant for research in private practice from the American Periodontal Foundation. He has published in reference journals on his research in guided tissue regeneration. Current research projects include utilizing lasers for regenerative and cosmetic periodontal procedures. Dr. Dyer lectures nationally and internationally on laser applications in periodontal treatment, oral surgery, and implantology.

Who Should AttendYou should attend if you are a general dentist, periodontist, or oral surgeon seeking a comprehensive learning experience in laser-assisted techniques in periodontics and oral surgery. Hygienists are welcome to attend also.

FAST TRACK TO EXCELLENCEIAGD Annual Meeting

cont. to page 4

Approved PACE Program providerFAGD/MAGD CreditApproval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 6/1/14 to 5/31/17 Provider ID# 219300

BIOLASEsponsored by

Program Provider is fully resPonsible for ensuring the scientific integrity of all courses.

Hoosier Dentist the

Michael A. Gordon, DDS, MAGDImmediate Past President

829 Main St. Schererville, IN 46375-1100

W (219) 322-1929F (219) 322-1039

[email protected]

Barry W. Ray, DDS, MAGDPresident

2038 Lincoln Ave.Evansville, IN 47714-1561

W (812) 473-1128 F (812) 473-3850

[email protected]

Charles W. Bartholomew, DDSSecretary/Treasurer

3415 S Lafountain St. • Ste. CKokomo, IN 46902-3826

W (765) [email protected]

John R. Stewart, DDS, MAGDVice-President

3700 E Mishawaka Rd. • Ste. 1Elkhart, IN 46517-3550

W (574) 875-6595 [email protected]

Walter C. Brown, II, DDSEditor

PO Box 6340Kokomo, IN 46904-6340

W (765) 453-9040 F (765) 453-4613

[email protected]

Ted M. Reese, DDS, MAGDContinuing Education Chair &

Master Track Program Coordinator7218 US 31 S

Indianapolis, IN 46227-8539 W (317) 882-0227 F (317) 885-0715

[email protected]

Thomas Murray, DDS, FAGD

Legislative Comm. ChairGibson General Hospital

1808 Sherman Dr. • Ste. 20Princeton, IN 47670-1043

W (812) 385-2420F (812) 386-7542

[email protected]

Charles W. Bartholomew, DDS, FAGDPublic Information Officer

3415 S Lafountain St. • Ste. CKokomo, IN 46902-3826

W (765) 453-0291 [email protected]

James H. Foulkes, DDS, MAGD

Program Provider Approval Rep.1503 Ohio St.

Terre Haute, IN 47807-4009 W (812) 232-4252F (812) 238-9143

[email protected]

Shannon Gossett-WebbExecutive Secretary & Email Administrator

1331 Middleham Ln.Beech Grove, IN 46107-3314

W (317) 979-8636 F (317) 786-3538

[email protected]

Officers

Hans Guter Regional Director Circleville, OH • W (614) 270-2073 • [email protected] Ted M. Reese, DDS, MAGD Region 7 Trustee (see contact info above)

BOARD MEMBERS

Kenton L. Bailey, DDS PO Box 419 • Monroeville, IN 46773-0419 W (260) 623-6171 • F (260) 623-6172 • [email protected] Larry L. Barlow, DDS, FAGD PO Box 306 • Milan, IN 47031-0306 W (812) 654-2951 • [email protected] Daniels, DDS 24173 State Line Rd • Ste 100 • Lawrenceburg, IN 47025 W (812) 656-8888 • F (812) 656-8016 • [email protected] R. Kalb, DDS, FAGD 4201 Mannheim Rd • Jasper, IN 47546-7965W (812) 482-5060 • F (812) 634-6844 • [email protected]

Directors & Board Members .

James M. Lindsey, DDS, FAGD 3415 S Lafountain St. • Ste. I • Kokomo, IN 46902-3826 W (765) 455-1222 • [email protected] Phillip Nicolson (Student Member Chair) 150 N Indiana • Mooresville, INW (317) 831-7192 • F (317) 831-4473 • [email protected] G. Polus, DDS, MAGD, ABGD 1549 S Court St • Ste. B • Crown Point, IN 46307-4809 W (219) 662-0131 • F (219) 662-3962 • [email protected] Steckbeck (Co-Membership Chair) 8007 S Meridian St • Indianapolis, IN 46217 W (317) 695-0135 • [email protected] Stohler 1111 Yellowbrick Rd • Pendleton, IN 46064 W (765) 425-5308 • [email protected] Doug Tolle | [email protected] Platt, DDS, FAGD IUSD Student LiaisonIUSD, 1121 W Michigan St • Indianapolis, IN • [email protected]

Circulation to 800 Indiana dentists, IUSD, Senior Dental Students, and 52 State Presidents

Advertising RatesFull Page - $300

1/2 Page - $200

1/4 Page - $125

Advertising fee is for 1 year.

Inquiries & Ad Copy:The Hoosier DentistEditor, Dr. Walter BrownP.O. Box 6340Kokomo, IN [email protected]

Contents of Newsletter are copy-righted and may be reproduced with permission of the editor.

Table

of C

onten

ts

Letter from the Editor page 3

Fast Track to ExcellenceDr. Brent Dyer page 1

The History of Dental Photography page 5

Spring Course - Dr. Daniel E. Becker page 9

Digital Dental Cameras page 10

Personal Profile - Dr. David Steelepage 13

The Difference is Dental Photography page 14

Save The Date - Dr. M. Nader Sharifi page 16

IAGD Membership Form page 17

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3

Editor

Photography in dentistry has been in existence for many years. Many of us can remember having boxes of slides and a projector to show patients treatment plans. Taking those photos and hoping you had the correct focus and settings but always having to wait until you received the slides

or photos back was always a point of anxiety. Today with digital photography we can instantly see our results and make the necessary corrections. It is also easy to download those images and display them on a monitor directly in front of the patient. The camera systems have also improved in their simplicity so that anyone can take excellent photographs. In this IAGD Newsletter I had asked two of the major dental photography companies to submit what dental cameras they have available.

Dr. David Steele had been a professional photographer prior to becoming a dentist so he has taken dental photography to the highest level and helped bring his practice to a high level of success. For those dentists who are not using dental photography in their practices I hope this will help in introducing them to what is possible and for those who are using some of these products perhaps another level for expertise.

Hoosier Dentist the

Biolase

Camlog

Dental Ceramics

Dentatus

First Merchants Bank

Hiossen Implants

Implant Direct

Keystone Dental

OCO Biomedical

would like to thank andwould like to thank andrecognize our sponsors!recognize our sponsors!

Cours

e R

egis

trat

ion

Fast Track Fast Tra Name of attendee

Mailing address

City, State, Zip

Phone with Area Code Fax

Email

COURSE FEESPay with PAYPAL on our website: indianaagd.com ________ AGD MEMBER @ $???________ NON-AGD MEMBER @ $???________ DOCTOR’S STAFF MEMBER @ $???

PAYMENT:Make checks payable to: Indiana AGDo Check# Amount $ o Credit Card: (circle one) MasterCard Visa

Card # Expiration Date Signature

Once registered for the event there are NO REFUNDS.

Course Inquiries: Dr. Ted Reese, (317) 882-0227 or email to [email protected]

REGISTRATION INQUIRIES: Shannon Gossett-Webb, (317) 979-8636

Fax Registration To: (317) 786-3538

Mail Registration To:IAGD c/o Shannon Gossett-Webb1331 Middleham Lane, Beech Grove, IN 46107

E-Mail Registration To: [email protected]

REGISTRATION TIME: ????? a.m.

MEETING START TIME: ??? a.m.

FAST TRACK TO EXCELLENCE cont. from pg. 1

top

ics

top

ics

top

ics

top

ics Course Objectives

• Provide an overview of the laser applica-tions in Periodontics and Oral Surgery with a soft tissue and all tissue laser.• Diode Laser Applications in Periodontal Therapy• Controversies in laser periodontal therapy• Benefits of diode lasers• What can you do with a diode laser?

Diode Laser Applications in Periodontal Treatment Limitations Indications Technique – Step by StepCosmetic Contouring Limitations Indications Technique – Step by StepLow Level Laser Therapy The Science Limitations Indications Technique – Step by StepDiode Laser Application for Dental ExtractionsPeri – Implantitis Identification PreventionManagement with a Diode Limitations Indications Technique – Step by Step

4

Clinical Applications • Debridement and decontamination of perio pockets with a diode laser• New attachment and bone regeneration procedure featuring Waterlase Deep Pocket Therapy with New Attachment protocol• Periodontal new attachment bone regener-ation procedure using EMD• Periodontal new attachment and bone re-generation procedure using GEM-21S• Perio-implantitis therapy• Oral Lichens Planus therapy• Low Level Laser Therapy in Periodontics• Osseous periodontal surgery• Laser-assisted frenectomy• Soft- and hard-tissue crown-lengthening• Techniques in laser-assisted extraction to preserve the buccal plate• Laser-assisted extraction of impacted 3rd molars• Laser-assisted implant uncovering

ARTICLEThe History Of Dental Photography

featured

Virtually anyone who has visited a dentist in the last 30 years has seen pictures of the inside of their mouth. Cameras ranging in type from film, to video to today’s digital photographic systems are a staple in virtually every dental practice regardless of specialty. But 60 years ago that wasn’t the case, there was x-ray, but nothing that a patient could relate to and say “That’s my mouth, I see what the problem is and how it effects me.”

Over a half century ago, dentists began searching for a photographic device that could put patients in the dentist’s shoes to see what they see. However, even with the popularity of conventional film photography growing, there was still one huge road block to taking dental pictures. There was no clear way to get light from the camera’s flash inside the dark cavern that is the mouth. While the technology of close-up lenses had grown to the point where a camera was capable of photographing a close-up picture of an intra-oral subject, getting light into the mouth to take the picture was another story. Traditionally cameras produced light from a source on the camera body and this light projected out at a distance to illuminate the subject. But with close-up photography, often the lens was inches from the subject. This light projecting from the camera body could not disperse fast enough to pass enough light deep inside the mouth. Therefore, the concept of dental photography was limited to basically facial photography.

This changed with Lester Dine’s invention of the Ring Flash in 1952. The Ring Flash, a circular flash that attached to the end of the camera’s lens, had the ability to pinpoint light directly into the patient’s mouth, providing full

illumination from external anteriors to posterior intra-oral quadrant pictures. This invention revolutionized the concept of dentist/patient communication. Now through photography, a patient could see what a dentist could see and understand the importance of treatment. In addition photographs of existing patients could be used to show patients potential before and after scenarios as well as “worst case scenarios” should patient decide against treatment. This invention meant photography could now be used as a teaching tool, forever changing the way dentists were taught in school and via continuing education. Developments in the field could be documented photographically and included in slide presentations from lectures creating the most visual teaching tool possible. The complete dental record was forever changed.

Today’s ring flash physically differs very little from the original Ring design, to improve portrait photography, an additional flash called a “Point Light” was added to the Ring Flash system, allowing the user to choose between two distinct flashes depending upon the photographic subject, ring for intra-orals, point for facials. In addition a concept called TTL (through the lens) flash metering was created. This concept allowed the camera to judge the light around the subject through the lens, and to control the light output based on this reading. This took the guesswork out of photography. It made the process of taking a dental picture basically three steps, look through the camera, focus, and take the picture. TTL flash metering makes the flash output as consistent as possible.

As the popularity of dental photography

grew through the 1960′s and into the 1970′s a limitation of 35mm film based photography became clear. The doctor could take photographs while the patient was at their office, but they couldn’t review those photographs with them until the film was developed. And with elements of human and mechanical error, as well as inefficient film processing effecting the output of even the finest dental photographer’s work, there was no way to even insure that the developed photos would accurately represent the case. There was a clear need for immediate and accurate photographic results. This need coincided with the invention of instant film cameras. While not the quality of 35mm film, instant cameras offered the user the ability to take a photograph and see results within a couple of minutes. The cameras could actually take a picture and process it to special film inside the camera. Lester Dine modified the first instant camera and affixed lenses and a flash modification to the camera creating the dental world’s first instant photographic system. This device was followed by other instant output cameras and created an entirely new way for doctor’s to educate patients.

In the 1980′s computers started to take a bigger role in the dental office, so did the desire of dentists to computerize photography. The first foray into computerized picture taking was with intra-oral video cameras. The video cameras were revolutionary in many ways. The intra-oral video cameras were built into wands small enough to fit into the patient’s mouth. With video not only could the patient see a photo of their case, but they could actually see inside their mouth live, in real time. The dentist could point the small video camera at a

By Matthew Blassgold

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ARTICLEfeatured

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particular tooth or segment of the mouth and discuss treatment plans. Plus, as computers became more capable, the images could actually be imported into cosmetic imaging programs and edited to show potential before and afters. With the art of cosmetic dentistry growing and elective cosmetic procedures on the rise, this form of imaging was instrumental in selling cases. Not only could doctor’s use photography to show patients before and after’s of other patients, but via computer imaging, they can actually show a patient how potential changes could effect the way they look. This concept has become so popular and widely marketed that today many prospective patients not only enjoy seeing the potential before and after picture, but will shop for doctors that offer this technology.

While intra-oral video technology was certainly influential to the field of photography, it was limited in several ways. First and foremost, like instant print pictures, it lagged far behind 35mm film cameras in quality. Second, video’s integration with computers was cumbersome, often requiring an elaborate video capturing system. Third, the video systems were not portable and generally required a dedicated video image space. They were also expensive.

Ultimately, the popularity of intra-oral video cameras leveled off and were replaced by what many consider the most important invention in dental photography since the ring flash, Digital Photography. Digital picture taking combines the best of all three of the previous photographic concepts, the quality of 35mm film, the speed of instant photography, and the computerized integration of video. Digital cameras integrate easily with computers by plugging directly into a

computer USB port. And work seamlessly with virtually all Windows and MAC imaging programs. When plugged into computers most digital cameras are assigned drive letters and accessed in the same manner items on the hard drive are accessed. Like film and instant cameras, not all digital cameras will work intra-orally, but with the right digital camera in hand, dentists possess an incredible tool.

The Importance of Photography to a PracticeThe old saying that a picture is worth a thousand words can be taken a step further when it comes to dental photography, where a single photograph can offer a virtually endless number of vital uses for a busy practice. While type of practice and specialty will effect how images are used in general, virtually all practices will certainly find endless uses for photographs.

First and foremost photographs compliment patient records. Photographs along with written description paint a complete picture of a case. They serve as an ideal and descriptive way to document the progress of a case from

every angle and during every office visit. Charting case progress, monitor everything from healing after surgery to cancerous growths to cracks in fillings, and most importantly, have a visual reference to all cases available in your patient charts. The concept of digital photography enhances the ultimate goal of many practices to move toward a paperless office. Digital images can be added directly to practice management programs to make for the ultimate patient record.

The use of digital images is endless, the following are a few of the most common applications…

Communication with Insurance Companies- With insurance companies controlling how much and when to pay and putting the burden of proof on procedures firmly in the laps of the dentists, photographs present a clear description of procedures. A series of case pictures along with a written description is the most thorough way to gain insurance company compliance. With more and more insurance companies moving to electronic communication, users of digital cameras, can simply e-mail image and text in minutes. The use of computer software to include images in letters, before and after layouts or case descriptions, makes for a fast and effective way for a doctor to present cases to insurance companies.

Dental Laboratories - where a small discrepancy can make a big difference, communicating the right shade, and description of a case to a dental lab is essential. A clear photograph of the subject along with shade tab information and case description is the most complete way to show off cases to labs. Once again dental imaging software can be used both to present a case to the lab and to show patient’s potential results via computer imaging.

Malpractice Suits - it’s always said that truth is the best defense. With photography, dentists have a clear and visual explanation of a case, with

The Dine Digital SolutionA small and simple 16mp camera modified for dental purposes. This camera requires no additional attachments or settings changes to photograph a range of dental photography from facial photography to intra-orals. The camera is ideal for users hoping to simply dental picture taking as much as possible.

ARTICLEfeatured

before and afters, progress reports, and treatment response, in the unlikely event a malpractice suit has to be fought, photography will go a long way toward presenting the dentist’s side of the issue. The entire treatment process from first visit to final result can be easily charted via picture taking.

Selling Cases - One of the most interesting developments in dentistry has been the growing popularity of cosmetic dentistry and elective procedures. There’s no way to deny it, photography helps sell cases. Whether it’s showing patients their own pictures, before and after’s of previous cases, or using cosmetic imaging software to simulate before and afters the pictures you take makes the case seem “real” to the patient. By combining a patient’s pictures with before and afters of similar cases or using the latest cosmetic imaging software to simulate potential before and afters, any patient considering a cosmetic procedure will have a very clear understanding of the benefits of treatment, the same day they visit the doctor’s office.

Choosing a Digital CameraDigital Photography is by far the most popular format of camera sold today. The once popular 35mm and instant cameras have become a thing of the past. With the ability to match the quality of film combined with the immediate access of instant photography, digital picture taking truly offers the best of both worlds. Digital images are produced in a computer file format both MAC and Windows systems can readily understand, and their interaction with computers is as simple as a straight plug in to a USB port on a computer. Digital Images can be transferred anywhere over the internet. They can be printed on virtually any computer printer and they can be

stored on external storage devices for long term access. A simple attachment from computer to digital projector allows for immediate presentation for lecture, totally eliminating the need for 35mm slides. In addition graphics can be combined with digital slides to create an incredibly dynamic presentation.

Digital Cameras also offer the ability to by-pass a computer completely. So for the computer phobic user, the cameras can actually communicate directly with photo printers to produce hard copy prints. Mimicking the output of instant cameras, with one exception, if a user doesn’t like a photo they’ve taken, they can always re-take it prior to hard copy print.

While the technology is new, the dilemma of finding a camera to photograph intra-orally has not gotten any easier. There are hundreds of digital cameras on the market for the general consumer, but less than a handful will provide the range of intra-oral photography required by dentists.

The limitation of over the counter digital cameras is in lens and lighting. Most over the counter digital cameras don’t have the close up capability that dentists need, then those that do often don’t provide enough depth of field to see the entire close-up picture in focus.

An even bigger hurdle to overcome is lighting. As was the case with 35mm and instant cameras, intra-oral lighting is a major problem. The small format over the counter digital cameras have built in flashes that normally aren’t capable of pinpointing light into the patients mouth, nor can they meter the light output . The other option is Single Lens Reflex digital cameras. These cameras offer the ability to add additional lens and flashes much like 35mm cameras, to achieve the ideal dental photographs. To the surprise and disappointment of many 35mm camera users pre-existing manual focus macro lenses and ring flashes generally do not transfer over to today’s digital SLR’s.

Fortunately, there are digital camera solutions for dentists, and they come in the form of both the small format digital cameras and the digital SLR systems.

There are two very clear directions to go with photography, for those looking for fast, simple, intra-oral picture taking, the concept of small format digital cameras is very attractive. Small format digitals generally weigh a pound or less and often can be held with a single hand. These cameras are attractive to a dentist looking for fast and easy photography. Knowledge of cameras and photography in general is less important with these systems. Generally, the user follows a live video screen on the back of the camera, uses a telephoto zoom on the camera to gain macro close-up, then autofocuses and takes the picture. Results are immediately displayed on the back of the camera. With the small format camera like the Dine Digital Solution, a camera that weighs less than a pound is modified to work as an intra-oral camera. The camera is used from usually between 8 and 12 inches from the subject (the average SLR camera is

Digital SLR Cameras w/ the Dine Mini Ring/Point FlashCombining the two ideal flashes for dental photography, the ring for intra-orals and the point for facials, the Digital SLR cameras will provide users with the absolute best in photography. To further simplify the picture taking Dine places a dental guide on the lens noting the ideal place to set the lens for all dental subjects.

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ARTICLEfeatured

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used 4-6 inches from the subject). This distance from the subject allows the light from the camera time to disperse to fully illuminate the intra-oral subject to the back of the mouth. The camera itself has been modified so it can meter the flash and put out the right amount of light. For instance a posterior quadrant photograph would require more light than an anterior smile, the camera is capable of gauging appropriate light output and adjusting accordingly.

The Single Lens Reflex cameras offer the highest level of intra-oral picture taking. For those publishing, lecturing, applying for academy accreditation this camera system will best reflect ones dental work. The SLR film cameras look and feel like the 35mm cameras of the past. They utilize either 105mm or 60mm macro lenses as well as Ring and Point Flashes. The digital SLR’s are capable of TTL’ing the flash output for maximum consistency. The camera’s lenses can be used in manual focus allowing users to standardize their photography with the ultimate goal of consistent before and after photography.The Single Lens Reflex cameras are larger and heavier than their small format digital counterparts. They can be more intimidating to a user unfamiliar with cameras, however, the style and concept of SLR photography has proved itself to me tried and true over the last 50 years and with a period of practice, anyone in the office can use these cameras.

Implementing PhotographyFor any practice that has never taken photographs before, implementing a photographic plan can take a bit of work and staff member acceptance. First, auxillaries have to understand and appreciate the importance of dental photography. In addition understanding how to use their camera and seeing

the positive reaction patients have to pictures is essential. Having time to use and practice with the camera is essential. One nice advantage of digital photography is memory cards can be used to for practiced, erased, and used again, so there’s no costs involved with practicing with digital cameras.

Putting Your Dental Camera To UseThe basic dental photographer’s goal is to accomplish a simple series of intra-oral and extra-oral photos, an anterior, lateral, occlusal using a mirror, facial, profile, and intra-oral quadrant. It’s reasonable to expect one new to taking pictures to be able to take this series of photos within a day or two of purchasing a dental camera system. The newest cameras go a long way to simplifying picture taking by controlling flash output internally. This concept called “Through the Lens” (TTL) Flash Metering revolutionized photography by taking the guess work out of picture taking, allowing the camera to gauge light in the room or in the case of dental photography the light inside the mouth, and adjust accordingly. In addition some single lens reflex cameras are equipped

Shadowless Portraits with Dine’s LED Light BoxWith the ultimate goal of taking the most impressive portrait photos possible, Dine’s new LED light box completely eliminates shadow behind the patient’s head. The panel is ½ inch thick and only weighs 8 lbs. Ideal for taking portraits that “pop”!

with standardization guides on their lenses to show users exactly where the lens should be set for the different popular dental pictures.

Beyond learning how to use the camera, competency with two essential tools for dental photography are important. The intra-oral mirror, and cheek retractors work hand in hand with the camera. The cheek retractors are designed to pull the cheeks away from their natural position so that they do not block the teeth and gums. The retractors allow full access for the flash to reach the posterior of the mouth. The intra-oral mirror works to allow the camera to photograph subjects that would be difficult or impossible to access by photography directly into the subject. An upper or lower arch photograph for instance, is take by placing a mirror on the opposite side of the arch. The mirror can then be angled to reflect the full arch above or below it. The photographer would then focus and take pictures off of the reflected surface.

Lester A. Dine, IncIt is Lester A. Dine Inc.’s ultimate goal to make

the transition into Dental Photography as simple as

possible for any dental practice. Provided with all

Dine Cameras is dental specific instructions for

use, and lifetime telephone support. Regardless of the camera you choose we will provide you with the help you need to make it a vital

part of your practice. Please e-mail us with any questions

at [email protected] or call 1-800-624-9103.

Course Name(Joint Meeting with SONAR Study Group)

FRIDAY & SATURDAYMAY 9-10, 2014Crown Plaza • Indianapolis

?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

Cours

e R

egis

trat

ion

Fast Track Fast Tra Name of attendee

Mailing address

City, State, Zip

Phone with Area Code Fax

Email

COURSE FEESPay with PAYPAL on our website: indianaagd.com ________ AGD MEMBER @ $???________ NON-AGD MEMBER @ $???________ DOCTOR’S STAFF MEMBER @ $???

PAYMENT:Make checks payable to: Indiana AGDo Check# Amount $ o Credit Card: (circle one) MasterCard Visa

Card # Expiration Date Signature

Once registered for the event there are NO REFUNDS.

Course Inquiries: Dr. Ted Reese, (317) 882-0227 or email to [email protected]

REGISTRATION INQUIRIES: Shannon Gossett-Webb, (317) 979-8636

Fax Registration To: (317) 786-3538

Mail Registration To:IAGD c/o Shannon Gossett-Webb1331 Middleham Lane, Beech Grove, IN 46107

E-Mail Registration To: [email protected]

REGISTRATION TIME: ????? a.m.

MEETING START TIME: ??? a.m.

Approved PACE Program provider FAGD/MAGD CreditApproval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 6/1/14 to 5/31/17 Provider ID# 219300

Daniel

e. Bec

ker


The Canon SL1 Dental kit is the best beginning dental kit. It is one of the easiest to use, as it is pre-set with two settings to take all the dental shots. One setting for full-face/profile shots and another setting for the

intraoral shots. This is one of the most “point and shoot” ready cameras you will find.

DIGITAL DENTAL CAMERASNorman Camera AGD Indiana

Hot topic

Canon SL1 Dental KitIncludes: SL1 camera body, Canon 60mm macro lens, Canon Mr-14EX ring flash, Memory card, card reader, software, cables, dental instructions, pre-set for dental, pre-assembled and packed in a system camera bag, lifetime toll-free dental tech support, lifetime free loaner equipment. Description:The SL1 dental camera is the lightest most compact of the SLR dental cameras. It also is one of the most advanced as far as simplicity, quality and consistency. The dental pre-sets allow the user to just use to simple settings for all the dental shots. The SL1 Dental camera kit comes with all that is needed for its use in the dental office. There are different options and combinations of the dental kit many of which are dependent on how one will use the camera both in and outside of the dental office. The SL1 comes with either the Canon 60mm macro lens ( shorter, more lightweight, and less expensive) or the Canon 100mm macro lens. The main difference in performance between the two lenses is the working distance.

Ringflash | Twinflash

The Twinflash allows for unlimited ability to change the angle of light to the teeth, thus change the image result of the shade and translucencyThe 100mm macro lens allows about 40% more working distance from the patient to get the same magnification on the shot. In other words you can be further from the patient to get your closest shots. The Canon MR-14EX ringflash is the most popular and for most people, the easiest to use. It is simple and consistent.The Canon MT-24EX twinflash allows for more flexibility in positioning the flashes which in turn allows for more flexibility on how the light is reflected on the teeth. The “heads” of the flashes and be rotated around the front ring and be “pivoted” in and out to change the angles of the light directed at the teeth. This can achieve a more accurate representation of shade and translucency. The twin flash can also create more inconsistency because of its flexibility in movement.

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The Twinflash allows for unlimited ability to change the angle of light to the teeth, thus

change the image result of the shade and translucency

Canon 70D Dental KitIncludes: 70D camera body, Canon 100mm macro lens, Canon Mr-14EX ring flash, Memory card, card reader, software, cables, dental instructions, pre-set for dental, pre-assembled and packed in a system camera bag, lifetime toll-free dental tech support, lifetime free loaner equipment.

There are several lenses and flashes that can greatly improve the cameras performance for personal use: such as vacation, portraiture, family/sports, nature photography.

Nikon D7100 Dental Kit

The Nikon D7100 Dental camera kit is the most popular in the Nikon line. It provides excellent image quality while also being one of the easiest to use. Nikon makes a wireless twinflash that can be attached to the Scorpion bracket which can easily allow unlimited ability to change the direction of the flashes to your subject.

Scorpion flash bracket attached to the Nikon R1C1 wireless twinflash.

11

The Canon 70D is the most popular dental camera right now. It is durable, easy to use, high quality, fantastic video capability, and has built in Wifi. This camera is set up so that there is also just two settings for all your dental shots. The 70D Dental kit is pre loaded with the dental settings saved so that you can use the camera for per-sonal use and know that your dental settings are saved and automatically recovered when back in the office.

Norman Camera family owned and operated since 1957 has evolved into one of the most complete photo imaging suppliers in the Midwest.

A small town philosophy of providing the finest products at low prices with honest and knowledgeable salespeople, have helped branch into other avenues and become one of the most complete Dental Photography suppliers in the country.

Dental photography has always been a part of the business; for products such as Polaroid film and cameras, Kodak slide and print film, Yashica Dental-Eye cameras but Norman Camera did not actively pursue Dental imaging until digital photography began to take off in the late 1990s.

Andy Thompson an employee at Norman Camera, began working with Dr. Tony Soileau not long after beginning with the company in 1997. The two worked on customizing the early digital

cameras to work for dental applications. Tony was a part of a live patient continuing educa-tion program called PAC-live and another called Generation Next (now renamed ACE Academy of Comprehensive Esthetics). They started using the cameras at the different programs and as the cameras began to gain interest, the popularity began to evolve into a necessity in the dental office.

Today Norman camera is still actively involved with a number of organizations such as AGD, AACD, Las Vegas Institute, Ross Nash institute, Dawson Academy and many others.

DIGITAL DENTAL CAMERASNorman Camera AGD Indiana

Hot topic

Canon Pixma Pro-100 Printer

The Nikon D7100 Dental camera kit is the most popular in the Nikon line. It provides excellent image quality while also being one of the easiest to use. Nikon makes a wireless twinflash that can be attached to the Scorpion bracket which can easily allow unlimited ability to change the direction of the flashes to your subject.

Scorpion flash bracket attached to the Nikon R1C1 wireless twinflash.

For more information and details on the equipment options to best suit your photographic and dental needs, visit www.normancamera.com and call or email Andy Thompson with Norman Camera Dental at: [email protected] by phone 800-900-6676

2112 Broadway • Anderson, IN 46012 • [email protected]

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12

ERSONALPROFILE

PPROFILE

Dr. David Steele

The Steeles live in Alexandria, a small town northeast of Indianapolis. David grew up in this small town as the Methodist minister’s boy, but unlike other PK’s (preachers’ kids), he found merit in being “a good boy.”

He was one of those guys who was President of his senior class, did well in school and was popular in school and in the town. After graduating from high school, he attended Ball State on a pre-dental program while working in his photography studio. Then the 1966 call came:” You have been accepted at the IU School of Dentistry.”

After dental school, he accepted an internship at the Indianapolis VA Hospital and returned to the small town where he grew up. Much to his surprise dentures, partials and fillings represented much of the dental care. People were not accustomed to the preventive techniques, crowns, fixed bridges and all the new methods to “keep their teeth.” It took awhile to develop the rapport’ to change the dental IQ.

The success of the practice led to a seminar on ideal dentistry and an invitation to speak at the Chicago and Denver Midwinter meetings. He then authored a book for PennWell Dental Economies on “Optimizing Dental Care.”

David and his wife, Nancy have been very active in Alexandria.Nancy is employed as a Title 1 teacher for Alexandria Community School Corp. She enjoys swimming, raising chickens and gardening. She is still searching for the perfect heirloom tomatoes.

Dr Steele maintains his interest in photography, piano, and tuba. He plays his harmonica which delights some of his patients, especially on their birthdays.

Nancy and David spend a lot of time maintaining one of Alexandria’s oldest homes…over 100 years old. The grounds have become their hobby, with the outdoor shrubs and flowers along the pool.

David has two boys, Michael, 50 who lives in California with the children Kayla and Kiana. Michael graduated from Ball State and has an MBA from Indiana University. He and his wife Hedieh both work in the computer field.

His son, John, 43, graduated from Rollins College in Florida. He lives in Alexandria and is a computer specialist with Hewlett Packard in Indianapolis. He was known as one of Alexandria’s best basketball players.

David and Nancy have two daughters, Noelle,29 and Danielle,32. Danielle is an adjunct instructor of music at Earlham College and was recently married to her high school sweetheart, Cliff. Danielle graduated from Butler and the Cincinnati Conservatory of Music.

Noelle graduated from Franklin College where she triple majored in journalism, Spanish and English. She completed her Master’s degree on journalism at the University of Missouri. She covers criminal justice for the Greenfield Daily Reporter and is an accomplished wedding and baby photographer.

The Steele family loves to discuss and debate English and grammar, often trying to out do one another. It is fun!

Top Photo:Captions, captions, captions

Bottom Photo:Captions, captions,

13

SpecialReport

Before we discuss the protocol for “pic-ture” communication, we assume you have basic photographic knowledge and equipment.

Equipment (Italics represent the equipment or supplier I have used)• Adjustable digital single lens reflex

with 105 mm lens (Nikon D80 and D90)

• Ring light or combination ring light and point light flash (PhotoMed)

• Cheek retractors, metal or plastic, occlusal mirrors (PhotoMed)

• Hand held intraoral black background (upper anteriors) (PhotoMed)

• Computer program to accept and print digital pictures (Lester Dine)

• Printer that prints 4X6 pictures in 1-2 minutes from the camera SD Card (HP and Epson)

• Millimeter rule (Dental Supplier)

Optional • Presentation program to alter images

i.e. “This is the appearance you could have with today’s dentistry” (Envision) *See description below

• Models of dental restorations (Dental Supplier)

• Before/after samples of your best work (Fabricated by dentist)

• Appropriate felt tip marker for prints (Black Sharpie Ultrafine)

• Before/after presentation folder (Broadway Press, Anderson, IN)

The Difference is Dental Photography

“A picture is worth a

thousand words” refers to the notion that a

complex idea can be conveyed

with just a single still

image.

The quotation is attributed to

many, but the concept is appropriate in

dentist/patient communication…

and photography

has made it simple and

successful.

DaviD c

. Steel

e DDS Getting Started Enhancing

Your Photographic Technique

The Emergency Patient…Will Become Your Patient Oftentimes, the patient with an emer-gency problem presents with a fractured or broken tooth. A picture of the tooth will help the patient understand the dental problem quickly and visually. This can lead to acceptance of treatment and eventually agreeing to a complete and comprehensive examination (See new patient examination below).

The New Patient Examination We use facial and profile pictures with intraorals. Our technique is standard for all new patients. At times we will also photograph close-up four quadrants in addition to the full arch. This displays marginal restorations, fractures and infractures clearly. This is our standard protocol for a new patient

14

Remember… “A Picture Is Worth A Thousand Words”The Comprehensive Reconstruction orCosmetic Case Consultation. There are times when a patient cannot comprehend what the finished case will look like with sample pictures or models. It will be assumed that you have diagnostic protocol for the comprehensive cases…clinical models, photos, panoramic or full mouth radiographs, etc) However, your patient will be really impressed when you show them their smile on your computer screen.

*Using the close-up smile picture of the “challenged smile,” the program (Envision) developed by George Kirtly DDS and Lauri Dwyer is superb. Envision will allow you to create a new smile with a near perfect proposal on the screen. You can learn the program yourself or Envision will prepare the proposed cosmetic picture for you. See their website www.envisionasmile.comThe response is usually a resounding “yes” to your treatment recommendation.

Better Treatment Acceptance During Continuing Care Appointment

A key to acceptance starts with the hygienist discovering the dental problem and discussing the ramifications if left untreat-ed. The hygienist might say “The Dr. will look and see what is the best way to restore the tooth…he/she often takes a high definition close-up picture and looks at the fractured areas in the old filling before making a recommendation. He/she will show it to you.” During the dentist’s exam the hygienist can describe what was seen and the concerns the patient may have.

BEFORE Envision Image Proposal

COMPLETED CASE

Frequently, we photograph the area with a very close-up view, download it to the consultation office computer and/or print a 4X6 glossy. The challenged areas are circled on the print with a Sharpie to identify the area. I tell them “Take this home so you can show your husband/wife.”

The recommended treatment is a crown in this case. Many times the patient will accept immediately.

After discussion with the patient, let your business manager discuss the fees, treatment and answer any questions they may have.

The following are the most often seen at recall or with emer-gency patients. With up close photography most patients accept as soon as they see the photographs.

This photographic technique will improve your recall accep-tance.

See More Pertinent llustrations Fractured PFM CrownThe patient presented for recall, but was unsure what had happened to her crown. A simple photograph and advice for a CEREC crown.

SpecialReport

15

Trauma A brutal fight…liability information recorded.

PathosisUse a millimeter rule next to trauma or a lesion for a pathology submission.

“A picture is worth a thousand words” and in dentistry it creates understanding and case acceptance. “Picture it”… it works!

David C Steele was a professional photographer (and still is) since he was 18. He owned a studio in Alexandria and a past member of the Professional Photographers of America.

He published in Dental Economics, the IDA Journal, Massachusetts Dental Journal and was former IAGD editor of the Hoosier Dentist. He has made presentations on comprehensive dentistry to dental societies and conventions including the IDA, Denver Midwinter and the Chicago Mid-Winter meeting. He authored the book “Optimizing Dental Care” for Dental Economics PennWell in 1993.

He presently practices comprehensive and family care in Alexandria, his hometown.

SpecialReport SAVE THE DATESAVE THE DATE

M. naD

er SHa

rifi

Dr. M. Nader Sharifi, DDS, MSOCTOBER 24-25, 2014Crown Plaza • Indianapolis

M. Nader Sharifi, D.D.S., M.S. holds a certificate in prosthodontics and a masters degree in biomaterials from Northwestern University. He received his dental education at the University of Illinois. He has pre-sented more than 400 lectures covering numerous topics on restorative dentistry earning him recog-nition from esteemed study groups, societies and associations across the nation and internationally.

Dr. Sharifi currently maintains a full-time private practice of adult general dentistry in Chicago’s downtown loop. Dr. Sharifi is a former assistant pro-fessor at Northwestern University and currently uses his experience as a five day a week wet gloved den-tist to ensure time saving and cost effective care are represented in his lectures. In 1996 he was named to the American Dental Associations Speakers Bureau and in 2007 Chicago Dental Society honored him with the Gordon Christenson Distinguished Lecturer Award. He has also been honored with Fellowship in the American College of Dentists and Membership in the American Academy of Restorative Dentistry – both in 2010.

16

Approved PACE Program providerFAGD/MAGD Credit

Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement

6/1/14 to 5/31/17 Provider ID# 219300


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H the Dentist...Inquiries & Ad Copy: The Hoosier Dentist Editor, Dr. Walter Brown P.O. Box 6340...

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Transcript of H the Dentist...Inquiries & Ad Copy: The Hoosier Dentist Editor, Dr. Walter Brown P.O. Box 6340...