nda - Creighton University
Transcript of nda - Creighton University
nda A publication of the Nebraska Dental Association
Constitutionality of Obamacare and Implementation of Health Care Exchanges are on a Collision Course for 2012. p. 10
In this issue. q Legislative Reception February 6th Adult Dental Medicaid on the Chopping Organized Dentistry Saved My Life. p13 p.9 Block, p. 9
President's Message
Dr. Ken Hermsen
By the t ime you read th is , Chr i s tmas and New Years will be upon us or perhaps over. I hope all of you are hav ing a wonder fu l hol i day and that you have the
opportuni ty to share the joy of the season wi th fami ly and f r iends.
For us at the NDA the New Year br ings a new legislat ive season. The Legislat ive Counci l is busy looking at the legislat ive issues that are likely to appear this year. It is the duty of the Legislat ive Counci l to dig deeply into the legislat ive issues affecting the oral health care of the ci t izens of Nebraska and to make recommendat ions to the elected leadership (off icers, Board of Trus tees and House of De lega tes members ) of the organizat ion to determine what s tance or act ion should be taken by the NDA. It is the duty of the elected leadership to be aware of the basics of the legislat ive issues and to take into account the recommendat ion of the Counci l to arr ive at an appropr i ate response or act ion.
To facil itate the disseminat ion of information and to help keep the membership better informed of the work ings of the Legislative Counci l , I have asked Scott Morr ison, the current chair of the Counci l , to share the notes and minutes of the Counci l meet ings with the members of the Board of Trustees and House of Delegates. The Legislative Counc i l m e m b e r s a lso regular ly receive great legislative informat ion and insight f rom our lobbyist, K im Robak. Kim and her f irm do a wonderful job keeping the Counci l informed of the bills being introduced in the legislature, the legislative issues associated wi th those bills and t rack ing the progress of the bills through the legislature. To further keep the elected leader
ship informed, I have asked Kim to include the members of the Trustees and House in her communicat ion to the Legislative Counci l . We are fortunate to have a very active, informed and dedicated Legislative Counci l that spends a signif icant amount of t ime examining the bills and doing the due di l igence required in helping guide the organization through the legislative process. If you have any quest ions or comments regarding a bill or legislation, you can contact any of your elected leadership or Legislative Counci l members .
As of the wri t ing of this message , we have not heard f rom the Hyg iene Assoc ia t ion regard ing our compro mise proposal for LB 330 wh ich I reported to you in my last message . You may recall that LB 330 was a bill in t roduced in the last legislat ive session by the N D H A in which the hygien-ists proposed expanding the dut ies of a Publ ic Health Hyg ien i s t f rom treat ing heal thy chi ldren in a publ ic health sett ing to include treat ing adults in other hea l th care se t t ings , l ike nurs ing homes. Included in their bill was a provis ion to reduce the hours required of a Publ ic Health Hygienist f rom 3000 hours of pract ice exper ience to zero hours. The NDA agreed with all the provis ions of the bill wi th the exception of el iminat ing the hours required for t reat ing adult populat ions, part icularly the elderly. The NDA felt that reduc ing the prerequis i te hours to ze ro for adu l t popu la t i ons cou ld potential ly put those populat ions, part icularly the more vu lnerable elderly populat ions, at risk for harm. At this t ime it is unknown whether or not the N D H A will p ropose an a m e n d m e n t to their or iginal bill wh ich ref lects the compromise proposed by the NDA.
In other legislat ive matters, the 407 process is under review and revis ion. Currently, the 407 process requires all p roposed changes in scope of pract ices, or including a new credent ia led professional , to submi t an Appl icat ion
that is rev iewed by a Techn ica l Rev iew C o m m i t t e e , the Board of Health and the Chief Medical Officer before going back the Health and Human Serv ices Commi t tee of the Legis lature. The revis ions are being cons idered, as I understand the issue, due to confus ing and redundant lang u a g e con ta ined in the cur ren t p rocess . However , ou r Leg is la t i ve Counci l and lobbyist have concerns that the proposed changes in the language intended to clarify may instead actual ly change the process to make it less r igorous for groups seeking to expand their scope of pract ice. It is still a work in progress and w e are work ing to assist the legislators in the draft ing of the bill.
T h e s e a r c h for a n e w den ta l d i rec tor c o n t i n u e s . S ince the r e s i g n a t ion of K a r e n S o r e n s o n in Oc tobe r , t he N D A has been w o r k i n g to ass i s t the N e b r a s k a D e p a r t m e n t of Hea l th a n d H u m a n S e r v i c e s in i den t i f y ing a s u i t a b l e r e p l a c e m e n t . W e a re a l so w o r k i n g to t ry to e l e v a t e the pos i t i on w i th in the H H S o r g a n i z a t i ona l cha r t to g i ve the n e w den ta l d i rec to r m o r e d i rec t au tho r i t y ove r p r o g r a m s a n d in i t ia t i ves i nvo lv ing ora l hea l th ca re . W e be l i eve tha t h a v i n g g r e a t e r a u t o n o m y a n d au tho r i t y wi l l m a k e it eas ie r to p lan a n d i m p l e m e n t p r o g r a m s d i rec t l y a f fec t ing ora l hea l th c a r e . O n c e a r e p l a c e m e n t is f o u n d , t h e N D A h o p e s to f i nd w a y s to w o r k m o r e c lose l y a n d in c o o p e r a t i o n w i th the n e w d i rec to r to ass is t in w h a t e v e r w a y w e can to dea l w i t h the ora l hea l th ca re i ssues f a c i n g the c i t i z e n s of N e b r a s k a and the den ta l c o m m u n i t y .
In c los ing, let me thank all of you w h o have g iven your t ime and talents on behalf of the organizat ion in 2 0 1 1 . Your commi tmen t and invo lvement are what make the organizat ion funct ion for the benefi t of us al l .
2 Nebraska Dental Assoc ia t ion Nov / Dec 2011
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4 Nebraska Dental Assoc ia t ion Nov / D
Announcements
2012 ANNUAL SESSION Plan to at tend the NDA's Annual Session, April 13-14, 2012, at a NEW location - the LaV is ta Hotel & Convention Center. We have two great days of CE, as well as several social activities that are sure to meet the needs of you and your staff. On Friday, Amy Kirsch will present a full day practice management course, "High Performing Dental Team & Successful Traits of Exceptional Dental Practices". Also on Friday, Dr. Tom Salinas will conduct a morning lecture, "Strategies for Treating Partially Dentate Patients with Dental Implants" and an af ternoon hands on course, "Understanding the Basics: Hands on Session for Dental Implant Restoration". In the afternoon, Dr. Richard Wil l iamson will present, "Full Mouth Reconstruction via Esthetic-Functionally Stable-Complex Dentures and Implant Prostheses".
Our t rad i t ional NDA Recogn i t ion Luncheon will be held on Friday at noon , as wel l as our Young Pro fess iona ls Lunch & Learn . On Friday evening join us for the first ever NDA President 's Party with duel ing pianos. It's sure to be a fun and exciting even ing. On Saturday, we are pleased to we lcome back Dr. Don Cohen and Dr. Neel Bhat tacharyya who will present a full day program, "Update on Oral Pathology & Clinical Oral Medic ine". Dr. Doug Benn will present a morning lecture and an afternoon hands on session on Cone Beam CT. We are also pleased to offer a transit ion seminar by Wells Fargo in the af ternoon. Please mark your calendars and plan to at tend!
Are You On Find-A-Dentist?
The NDA's Find-A-Dentist tab shown above is linked to the A D A s Find-A-Dentist website. The service is designed to help members market their practices at no additional cost.
Members can upload a photo of their choosing and update their Find-a-Dentist profile at ADA.org/memberprofile.
2012 Dues Statements The ADA House of Delegates approved a dues increase of $7.00. Invoices are due by January 1, 2012, and you can pay by check, credit card, or online at www.nedental.org. If you participated in the prepaid dues program, you should not receive an invoice but will be billed for the difference in dues as a result of the dues increase. If you have any questions about your invoice, or do not receive one by early December, please give Jody a call at 402-476-1704! THANKS!
Membership Directory In our effort to be f iscal ly responsib le, the NDA Board of Trustees has dec ided to NOT publ ish a membersh ip directory in 2012, and in the future, will be publ ishing director ies every other year. We will cont inue to print correct ions and address updates in our newslet ter so we would apprec i ate your cont inued cooperat ion in providing us with this in format ion.
Dr. Miyamoto Earns Periodontal Fellowship
Takanari Miyamoto, D.D.S . chair of the Depar tment of Per iodont ics at Creighton Universi ty School of Dentistry, has been awarded the 2011 Bud and Linda Tarrson Fellowship.
The fe l lowship, offered through the American Academy of Periodontology Foundat ion, is the most prestigious career deve lopment award offered to aca- ^ ^ ^ ^ ^ ^ demic periodont ists j p | fek early in their careers. Since 1998, the fellowship has been awarded annually to H H | F , \ only one U.S. dental school faculty member £
showing great potential in research and teach ing. The candidate select ion process includes a personal interview by a panel of peers. As part of the fellowship, Miyamoto, an assistant professor at the dental school, will receive $36,000 in unrestricted funds over the next three years.
Miyamoto's primary area of expertise focuses on dental implants, and he has published professional articles and lectured nationally and internationally on clinical periodontics and implantology. He has served as co-investigator on several Creighton dental research projects and is principal investigator for a study to evaluate the compatibility of gingival fibroblasts with dental restorative materials.
He has been named an "Evidence-Based Champion" by the Amer ican Dental Associat ion and received an educator award for excellence in teaching and mentoring from the American Academy of Periodontology.
NDA STRATEGIC PLANNING SESSION
The NDA Board of Trustees wil l be ga the r i ng at E m b a s s y Su i tes in Lincoln on Fr iday, J a n u a r y 13th for a day long strategic p lanning session wi th Deb Burnight.
Nebraska Dental Associat ion Nov / Dec 2011 T
From the Trenches Can you trust this face? What face . . . its an oval! Exactly! Not only an oval, a gray oval. Yuck!
This is the image that appears on most of your pro
files when you click on your name on ADA's Find-A-Dentist.
As one of the many benefits of being an ADA member, you have the ability to place a lot of information about yourself and your practice (including your pretty face) on the ADA Find-A-Dentist page. Nearly 20,000 unique visitors search Find-a-Dentist every month.
I searched the ADA Find-A-Dentist for Lincoln, Nebraska to see how many profiles I would have to go through until I found a photo. After 20 profiles, Dr. Hinrichs was the winner.
About ADA Professional Resources
HOME » FIND A DENTIST » OR
About ADA Professional Resources Public Resources Education & Care
HOME » FIND A DENTIST » DR R MARK HINRICHS
Dr Gray Ovalface j Dr R Mark Hinrichs
Specialty General Practice
ADA Membership
ADA American Dental Association'
Lincoln District Dental Association
Which Dent ist Wou ld You Choose?
Specialty General Practice
Education University of Nebraska Medical Center
Years in Practice 19 years
Insurance Accepted
ADA Membership
ADA American Dental Association"
1919 S 40tr Lincoln. NE Q Larger k (402;4S8-0
ADA.org 's Find-a-Dent ist a l lows patients to view: Your photo; Your office address with map; Office hours; Office contact information, including a link to your practice website; Education and Specialty; Languages spoken; Years in practice; If your practice accepts insurance; Types of payment accepted; Your affiliations with any of the nine ADA recognized specialties. Patients can only view the information you update.
Update your profi le today at ada.org/memberprofi le — it's free and only available to ADA members.
R e c o r d Retent ion
We had an unusually high number of recent calls asking how long should you keep patient records. There is no specific state law that requires retention of patient records.
Participating provider contracts generally specify the time following the last patient visit that records must be mainta ined. There is usually a different
requirement for the retention of records of children; these records must be kept for a certain period after the child reaches the age of majority. HIPAA also affects recordkeeping requirements for offices that are covered by generally requir ing that such offices maintain patient records for six (6) years and two (2) years after a patient's death. The Nebraska statute of l imitat ions for alleged professional negligence is 10 years (Neb.Rev.Stat. §25-222)
We recommend that offices contact their liability carriers and ask what time period they require.
Whitening Act ion on Hold
Members continue to send us information about whitening services offered by spas or a "clinic" held over the weekend in a hotel, which I have in turn submitted to the HHS Depar tment of Investigations.
HHS has informed me that they are waiting to see the outcome of the FTC case against the North Carolina Board of Dentistry.
On December 2nd, the U.S. Federal Trade Commission (FTC) ruled that the North Carolina State Board of Dental Examiners illegally restrained competition by barring nondentist providers of teeth-whitening services from selling their products to consumers. The board plans to appeal the decision.
M. A l e c Parker , DMD, execu t i ve director of the North Carol ina Dental Soc ie ty , to ld D r B i c u s p i d . c o m . "a l though I am not an attorney, I f ind it hard to unders tand how the FTC could arr ive at that conc lus ion when the dental statutes in North Carol ina speci f ical ly state that removing stains or accret ions f rom teeth const i tutes the pract ice of dentistry."
The wait continues.
6 Nebraska Dental Associat ion Nov / Dec 2011
Emerging Evidence Base in Third-Molar Management
For several generations now, dental treatment of third molars has been based on clinical impressions rather than on published scientif ic data, says Dr. Matthew Dennis in the November issue of the Journal of the Michigan Dental Association. But, as he notes, "questions about third-molar management are beginning to be answered."
Impacted third molars, because of the lateness of their emergence, should always be evaluated for removal or observat ion. Most impact ions involve arch length that is less than total tooth mass, result ing in inadequate space for eruption to occur.
The average age for eruption of third molars is 20, but some eruptions can occur as late as 25. Predicting eruption is, as Dr. Dennis says, an inexact science, requiring radiographic as well as clinical evaluation.
Dr. Dennis goes over the indications for third molar removal, including findings in the American Association of Oral and Maxillofacial Surgeons' Third Molar Clinical Trials that show an association of third molars and periodontal disease.
"Even when symptom-f ree, two-thirds of young adult subjects were found [by the clinical trials] to have periodontal pathology in their third molar regions," he writes. He says that the trials suggest that the inaccessible third molar anatomy can harbor periodontal pathogens in up to four-fifth of patients with third molar symptoms. "A large review of populat ion and clinical studies with more than 8,000 subjects showed that patients with third molars had a worsened periodontal status on other teeth in the quadrant over those patients without third molars."
Other conditions that may have greater incidences associated with third molar impactions are pericoronitis and caries.
Dr. Dennis explains how dentists can deal with impacted teeth that may be coming in under prostheses, including fixed dental restoratives. "Partially erupted teeth almost always cause problems with an overlying prosthesis and must be removed prior to denture fabrication," he says.
Other indications for third molar removal include reduction of risk for jaw fracture (a small subgroup of patients), treatment for facial pain, and post-orthodontic t reatment, a common reason for third molar removal despite a paucity of data linking the retention of third molars and orthodontic relapse or crowding.
Counterindications and complications of third molar removal include age and medical conditions like diabetes. Increased risk of nerve injury or sinus complications is greater in patients with hypercementosis.
Dr. Dennis concludes by stating that all wisdom teeth require either removal or observation over t ime. He notes that patient satisfaction studies show patients prefer extraction to retention. If a patient elects for retention, then he or she is committing to a lifetime of observation and monitorinc
"Dentists are dealing with many unknowns...
One thing I am certain about is my malpractice protection."
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Nebraska Dental Associat ion Nov / Dec 2011 7
O R A L S U R G E R Y A S S O C I A T E S p r e s e n t s
K a r e n B a k e r
I n f e c t i o u s D i s e H Friday, February 24, 2G 1:00 - 5:00 pm Georgetown Club 2440 South 141 s t Circle Omaha, NE
Oral Surgery Associates believes in the importance of continuing education in
the dental community. We invite all area dentists and staff to join us for a free
continuing education program presented by Karen Baker, BS, MS.
Professor Karen A. Baker has been on the Dental College faculty at the University
of Iowa for 30 years and occupies a unique role in dental practice and education.
She is a clinical pharmacist with a Master's degree in clinical pharmacology and
therapeutics and is focused on patient-specific dental drug therapy. She has given over
800 programs nationally and internationally and holds memberships in many denta
and clinical pharmacology and therapeutics organizations. Ms. Baker is on the editoria
board of the Journal of the Academy of General Dentistry. Her dental education-based
pharmacy and drug therapy consultation center is the only one in the United States.
She has authored more than 50 articles and abstracts and lectures extensively in pre-
doctoral and graduate-level courses at the University of iowa.
Please reserve your spot by February 10, 2012 to Amanda at 402.390.0770 ext. 256
ORAL SURGERY ASSOCIATES Specialists in Oral & Maxillofacial Surgery
John Andersen | Corey Auch | Steve Coffey | John Engel | Jim Heit j DaviclMarshall Robert Pfeifle | Rudy Schneider | Greg Sears | Steve Wendt | Bert Wood
o m f a c i a l s u r g e r y . c o m
8 Nebraska Dental Associat ion Nov / Dec 2011
a L e g i s l a t i v e R e c e p t i o n
Legislative Update Non-Covered Services In 2010, Senator Gloor int roduced LB 813 to prevent a dental insurer f rom limiting a fee a dent ist may charge an insured pat ient for a serv ice which is not covered under the policy. LB 813 was s igned into law by the Governor on Apri l 12, 2010 and became effective July 15, 2010. Apparent ly, the statute amended by LB 813 did not apply to all insurance compan ies .
This year, w e are asking S e n a t o r G l o o r to a m e n d the insu rance statutes so that the intent of LB 813 wou ld apply to all insurance companies that sell dental insurance.
To date, 26 other states have passed Non-Covered Serv ices legislat ion.
Adult Dental Medicaid In a December 2, 2011 letter to Senators , V iv ianne C h a u m o n t , Nebraska's Medicaid director suggested eliminating adult dental Medicaid.
A port ion of her letter is below:
The federal budget crisis creates uncertainies regarding the federal funding that will be available to the states for financing state Medicaid
Monday, February 6, 2012
5:30-7:30p.m. Renaissance Room Cornhusker Marriott
Lincoln, NE
i programs. Should the federal budget
crisis create across the board cuts
which include the Medicaid program,
the Division of Medicaid and Long-
Term Care proposes the following
additional reductions: 1. The following
services would be eliminated:
a. Dental services for adults exclud
ing dentures - 37,490 clients; total
savings $9,752,935
b. Dentures for adults - 5,482
clients; total savings $1,909,535
NEBRASKA DENTAL ASSOCIATION
To support the NDA's public policy by collecting voluntary political contributions and making expenditures for assisting candidates supportive of oral health issues to elected office. To enhance the effectiveness of NDA's grassroots lobbying by mobilizing dentists, as well as the general public, to gain the support of state legislators for pro oral health legislation. NEDPAC supported the following Senators in 2011:
Amanda McGill John Wightman Annette Dubas Kate Sullivan Beau McCoy Kathy Campbell Bill Avery Ken Haar Bob Krist Ken Schilz Brad Ashford Lydia Brasch Brenda Council Mark Christensen Burke Harr Mike Flood Charlie Janssen Mike Gloor Colby Coash Paul Lambert Danielle Conrad Paul Schumacher Dave Bloomfield Pete Pirsch Dennis Utter Russ Karpisek Galen Hadley Scott Lautenbaugh Greg Adams Scott Price Health Mello Steve Lathrop Jeremy Nordquist Tanya Cook Jim Smith Tom Carlson John Harms Tom Hansen John Nelson Tyson Larson
Nebraska Dental Associat ion Nov / Dec 2011 9
Constitutionality of Obamacare Critical Date: June 2012
On November 15, 2 0 1 1 , the United States Supreme Court granted cert iorari (agreeing to hear an appeal ) on three petit ions concern ing the const i tut ional i ty of the Affordable Care Act ("ACA"). Given the Sup reme Court 's t imel ine for the fi l ing of briefs, oral a rgument will l ikely be schedu led for the end of March or beginning of Apri l 2012 . The Supreme Court has set aside f ive and a half hours for oral a rguments on four dif ferent issues. Under this t imel ine, the Court 's f inal ruling wil l l ikely be handed down at the end of J u n e 2012, just before the Cour t r ecesses for the summer . R e m e m b e r this date.
The Court has schedu led oral a rgument into four issues:
1. Whether the individual mandate is a Const i tut ional exerc ise of fed eral power.
2. Whether cha l lenges to the indiv idual mandate are barred by the Ant i - In junct ion Act
3. Whether the individual mandate is severab le f rom other parts of the Act
4 . Whe the r the Medicaid expan sion is Const i tut ional .
A s s u m e the A C A is Consi tu t iona l
G o v e r n o r Dave H e i n e m a n is on record say ing Nebraska should hold off on sett ing up its exchange and also supports Nebraska 's lawsuit cha l lenging the A C A as listed above.
However, t imel ines conta ined within the A C A don' t a l low a state to "hope"
the Sup reme Court will d e e m it unconst i tut ional.
What is an E x c h a n g e ?
A health benefi t exchange is a "one stop shop" webs i te that organizes the health insurance market p lace for indiv iduals and smal l bus inesses. The heal th benefi t exchange is not an insurance carrier. An exchange prov ides a plat form by wh ich consumers can purchase the coverage of their choice f rom the private market . Wes t Virginia has al ready approved the creat ion of their exchange . You can see it at http://healthbenefitexchangewv.com/
Last year Nebraska received $1 million last year for initial p lanning. On N o v e m b e r 30 , 2 0 1 1 , N e b r a s k a received not ice that it will receive more than $5 mil l ion to further plan a health insurance exchange, a "Level One" grant that provides a year of funding to states that have al ready m a d e s o m e progress on p lann ing their exchanges .
L e v e l Two Federa l Grant
Here is the k i c k e r . . . in order to qua l ify for a Level Two grant to design and build the Exchange, a state must have legal author i ty in place ( legislat ion) to proceed with the Exchange by J u n e 29, wh ich wou ld al low Nebraska to receive $60 mil l ion to $80 mil l ion to implement its exchange .
Two key componen ts of the legislat ion wou ld address the governance structure of the Exchange and a budget.
The 2012 Leg is la t i ve Sess ion adjourns on Apri l 12th, so unless the Sena to r s w a n t another Spec ia l Sess ion , Heal th Benef i t Exchange legislat ion wil l need to be int roduced and passed dur ing this Sess ion .
Future T imel ine
January 1, 2013 - Feds approve of the State Exchange Plan.
January 1, 2014 - State Exchange
2 0 1 2
must be operat ional .
January 1, 2015 -State Exchange
must be f inancial ly susta inable.
Earl ier this year, the A D A submi t ted
commen ts at an Institute of Medic ine
hear ing concern ing the essent ia l ben
efit package in addi t ion to meet ing
w i th the Cen te r of C o n s u m e r
Informat ion and Insurance Overs ight
(CCI IO) , a federal agency charged
with develop ing the federal recom
mendat ions on the essent ia l benefi t
package.
N e b r a s k a ' s E x c h a n g e
Governor He ineman, w h o would like
to see the health care reform law
repealed, said the state will move for
ward with planning and des ign ing a
sys tem "to protect Nebraska f rom a
federal takeover" if the law surv ives a
court test.
On December 9, 2 0 1 1 , NDA represen
tat ives met wi th the Depar tment of
Insurance to convey the impor tance of
o rgan i zed dent is t ry ' s input in the
d e v e l o p m e n t and des ign of
Nebraska 's Exchange.
10 Nebraska Dental Associat ion Nov / Dec 2011
P A R I ' S O N Dental Practice Transitions
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Nebraska Dental Associat ion Nov / Dec 2011 11
Approximately 70% of adult smokers want to quit.
T a l f c l A / i + h
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Throe mn&toc. of n o v r time-
ooyild add H e a K t o - T h e i r l i v f c - C
N e b r a s k a T o b a c c o Q u i t l i n e
Q u i t N o w . n e . g o v | l - 8 0 0 - Q U I T - N O W
Tobacco Free Nebraska - Nebraska Department of Health & Human Services - Division of Public Health
*U.S. Centers for Disease Control & Prevention (CDC)
12 Nebraska Dental Assoc ia t ion Nov / Dec
Membership N E W M E M B E R S :
Dr. Daniel Woodburn 805 S. Maple St.
North Platte, NE. 69101 308-534-1289
Dr. A s h l e y Rainbol t 4640 Champla in Drive, #105
Lincoln, NE. 68521 402-477-5665
Dr. Vimal Patel 105 Fort Crook Road South
Bel levue, NE. 68005 402-650-7405
Dr. R a c h e l B e n s o n 124 E. 2nd Street
Laurel , NE. 68745 402-256-3231
Dr. Mary K e r s e n b r o c k 430 E. Everett
O'Neil l , NE. 68763 402-336-4211
A D D R E S S & D I R E C T O R Y C H A N G E S
& C O R R E C T I O N S :
Dr. S t e p h e n L e e p e r 6933 Sumner St
Lincoln, NE. 68506
Organized Dentistry Saved My Life and My Practice By Kevin J . Hanley, D D S - New York State Dental Journal
Add ing CareCred i t , a heal thcare credit card , as an addi t ional payment opt ion can make it easier for more pat ients to get the care they wan t , w h e n they w a n t it. Ca reCred i t is accep ted at over 90 ,000 den ta l p rac t ices to he lp pat ients schedu le and comp le te recommended dent istry and return for care wi thout hesi tat ion.
CareCred i t is endorsed by the NDA for our members and in celebrat ion of CareCredi t 's 25th Anniversary, you can get started for only $25. Call 800-300-3046, ext. 4519 .
The second meeting of the NYSDA House of delegates is over. It was a rather uneventful meet ing, with not too many controversial resolutions to debate and vote on. The meet ing, held in Albany in June, lacked much of the glamour and exci tement of the first meeting in Chicago last year. Of course, how can you outdo the excitement of something new and fresh?
Chad Gehani of Queens County assumed the mantle of power when he was sworn in as president. One of Chad's goals is to increase membership in organized dentistry in general and in NYSDA in particular. Membership is dwindling, and our current members are getting older. It seems younger dentists are not joining organized dentistry in numbers sufficient to keep membership rolls at their current levels, let alone grow our organization. This is not good, for NYSDA or for organized dentistry as a whole.
I wonder why younger dentists are not joining organized dentistry? Is it that they don't see the benefit of paying dues to an organization that, to them, doesn't seem well-defined? It got me thinking about hwy I joined organized dentistry in the first place and what benefits I have obtained as a member. I will tell you a little story about what organized dentistry means to me and why I think it is so important.
It was a warm, sunny morning in Disney World. I was there on vacation with my wife, Danielle. I had finished my morning run, was showered, shaved and dressed. Danielle was getting ready, so I went out into the living room of our hotel suite to wait for her to finish. We were going to go to Animal Kingdom that day so we could ride Expedition Everest. Suddenly, I became very short of breath and I was sweating profusely. I collapsed on the floor. Hearing a crash, Danielle came out of the bedroom to see what I had tipped over. She found me on the floor, unconscious. She was able to rouse me and asked what had happened. Not knowing what was
wrong, I tolder her I had no idea but I didn't feel very well. She called 911 at once.
This being Disney Wor ld, response was immediate. The front desk sent the l i feguards from the pool to see if they could help, and the EMS arrived shortly after that. The EMTs hooked me up to a protable EKG and told me I was having a heart attack. They rushed me to the hospital in Celebrat ion, FL, where the ER physician conf i rmed the diagnosis. As they could not treat me there, I was helicoptered to Florida Hospital in Orlando and taken immediately into the CATH lab, where they performed an angiogram.
The heart surgeon came out to Danielle to tell her what they found. It wasn't good. I had five blockages and would need bypass surgery. When Danielle asked when, he responded, "Right now." They wheeled me from the CATH lab into the OR and five hours later, I was in ICU, recovering from open-heart surgery.
Danielle was beside herself; she didn't know what to do or where to turn. Here we were, in Florida, states away from our home in Buffalo, NY, me in ICU with tubes coming out of me in all directions, her not knowing what to do next. She not only had to cope with the emotional trauma of seeing me in such as state, she also had to think about my practice. What was going to happen to it?
She called David Kinyon, who was then executive director of the Eighth District, to tell him what had happened. Because I was active in organized dentistry, having served as president of the Eighth District in 2002 and as one of its governors from 2003, Danielle knew Dave very well. He immediately sent an e-mail to the members of the society to tell them of my predicament. Word filtered down to the Eighth District Orthodontic Academy and its president at the time, John Tibbetts. John got together a
continued on page 14
Nebraska Dental Associat ion Nov / Dec 2011 13
Calendar DENTAL SOLUTIONS INC.
• 5 ?
Large and small equipment repair
new and used equipment sales
handpiece repai rs reupholstery
Carl Bertch Service Technician/Owner
Omaha 402-706-3743
UNMC Course Registration - (402) 472-2175
For more information, call (402) 472-9457.
Creighton University registration and information
in Omaha call (402) 280-5054. Outside Omaha, call 1 (888) 273-6576
December 12-13, 2011 Radiology for Dental Auxiliary, UNMC.
January 6, 2012 The Top 50 Most Prescribed Medications / Managing the Dental Patient In Pain; Mary Riempa Ross Theater, Lincoln. UNMC.
February 3-7, 2012 Play and Learn - Costa Rica; Cutting Edge Radiology. Creighton
February 8-February 12, 2012 Dental Education Winter Conference -Advances in Dental Materials. Co-sponsor UNMC; Crested Butte, Colorado.
February 17, 2011 Clinical Applications of Endodontic Regeneration, Guided Bone Regeneration, Differential Diagnosis of Common Oral Lesions, UNMC.
February 24, 2012 Winter Treat - Are you tired of shoveling and up to your knees in Pathobabel? Creighton
May 18 - May 28, 2012 Pain Control and Analgesics and Use and Abuse of Antibiotics; Location: Holland America ms Noordam Cruise (Mediterranean 10day cruise - 12 hrs CE) UNMC
Organized Dentistry Saved My Life, con't group of orthodontists, who covered my office and saw my patients while I recovered.
I will be forever in the debt of those fellow dentists who came to my aid in my time of need. They didn't have to do what they did, but they did it anyway. But I doubt they would have responded if not for organized dentistry. It was the connections I made while participating in all the things organized dentistry offered that saved my practice. Without those connections, I shudder to think what would have happened. Certainly my practice would have been severely damaged. When someone asks me why I am a member of organized dentistry, I give them all the pat answers: organized dentistry is our voice against those out there who will try to make laws that may not be in the pest inter
ests of patients; and it is our brotherhood, where we watch out for each other and try to do what is best for our patients. Truth is, I love being involved in organized dentistry. I like serving my colleagues in this special way. I have been honored to serve as a delegate to the ADA House of Delegates for seven years. I was privileged to be involved in crafting the new governance structure of NYSDA. I was fortunate to serve as a delegate to the second meeting of the NYSDA House of Delegates and, as your editor, to attend the inaugural meeting of the HOD in 2010. I am privileged to serve you now as your editor.
However, organized dentistry will always mean more to me than that. Without it, my wife would have had no place to turn in my hour of greatest need. My practice would have suffered
significant harm and, possibly, my patients as well. I may have not recovered as quickly and as uneventfully as I did without the connections and friends I developed through organized dentistry, who made my life much simpler at an otherwise trying time. I will always be indebted to everyone who came forward that fateful fall of 2007.
The next time someone asks what organized dentistry has done for you, just refer them to me. I will be happy to tell them how important the ADA, NYSDA and the component dental societies are. Without them, I might not be here today to write these words. I would not be able to relate to you how I rode the ultimate Disney thrill ride and lived to tell the tale. And, to me, that is worth much more than the cost of dues.
14 Nebraska Dental Associat ion Nov / Dec 2011
Classifieds ASSOCIATE/BUY- IN WANTED for NW Omaha practice. Current owner wants to retire in 2-3 years. 2010 production of $770,000 with 4-day workweek. Contact Box #1011, c/o NE Dental Association, 7160 South 29th Street, Suite 1, Lincoln, NE. 68516.
DENTIST WANTED for an expanding SW Omaha practice. Forward resume to [email protected].
For Sale: Reception room furniture, A-dec cabinetry, 10 ft steri-center for sale. Contact [email protected].
DENTIST WANTED: Full-time as an independent contractor for Dr. Kutler's Dental Health Center at 7337 Farnam, Omaha. Established, successful general dentistry practice M-F 8-5. Tremendous earnings potential 200K. Possible future buy-in. Call Jayne at (402)397-2323.
Lincoln, Nebraska, Dental Office For Sale - located in the rapidly growing southeast part of Lincoln. Close to 70th & Pioneers. Well designed 3-4 operato-ry office. Modern and very professional appearing. Respond to Maria @ 402-640-7234
Kearney, Nebraska, Dental Office For Sale - Very attractive, well-designed, 4-operatory office. Located in a highly desirable area. Highly visible on the most heavily traveled road in Kearney. For further information, contact Maria @ 402-640-7234.
Dentist Jobs: Aspen Dental offers tremendous earning potential and a practice support model that empowers dentists. We eliminate obstacles for dentists to own their own practice. To learn more and apply, please call 866-748-4045 or visit www.aspendentaljobs.com. EOE.
The Trusted Transition Partner: Your practice is the product of your life's work. It deserves the utmost care and respect when you're ready to consider your transition alternatives. For more than forty years, Midwest Dental has served as a trusted transition partner for practice owners seeking discreet, efficient, transi
tion alternatives. Clinician-led, we offer deep experience in supporting practice owners through the transition process. Like you, we care for patients every day. We are not looking for a transaction. We seek like-minded care providers with a vested interest in the long-term health of their patients and the careers of their staff. Our references are readily available and all discussions are strictly confidential. Importantly, we are a dental practice so there are never any fees involved when working with us. To learn more, please contact Sean Epp, Transition Leader, at (715) 579-4188 or [email protected]. You can also visit us online at www.midwest-dental.com.
Edge Dental Recruiting & Consult ing, a l icensed broker in Wiscons in , can help you f ind great emp loymen t opportuni t ies throughout the Midwest and help transit ion dental pract ices. Contact us first at (414)255-5669 or Andy@EdgeDenta lRecru i t ing .com
F O R L E A S E : Highly visible existing dental office building - complete renovation of for lease space, walls, ceilings, lighting, windows and all new floors. Some shared space with a very successful existing long term reputable dental practice. Southeast Lincoln location. Features include: Four operatories; sterilization area; lab area; private office which includes a private restroom; handicap accessible patient restroom; share a newly renovated furnished reception room, receptionist office, and private consultation room; abundant parking. Lessee will provide their own dental equipment (excluding air compressor and vacuum system). You can choose your colors and operator delivery style. Completion, September 1, 2011. For more information or to schedule a tour, please call 402-730-6540.
A S S O C I A T E WANTED: Midwest Dental is seeking associate candidates for Nebraska. Since 1968, our philosophy of supporting doctors and staff has lead to unmatched consistency and paved the way for future growth. Our team is committed to supporting doctors focused on providing optimal patient care. We pride
ourselves on providing doctors the ability to practice in a traditional non-HMO practice environment coupled with the flexibility and rewards that a group can offer. Throughout 2011, we will be working on new opportunities in the Lincoln and Omaha markets. We'd enjoy the opportunity to learn about your practice philosophy along with your career goals and expectations. Please consult our website at wwww.midwest-dental.com for more specific background on our support team. For a direct contact, call 715-926-5050 or e-mail [email protected].
A S S O C I A T E WANTED: Dental Care Center and Mobile Dental Center are searching for energetic associate dentists. Dental Care Center is a busy traditional practice in the Ralston area. We are open Monday through Saturday with hours until 8:00 p.m. Monday through Thursday. Mobile Dental Center provides care to nursing home residents in over twenty facil i t ies in Eastern Nebraska. Interested candidates may apply for full or part-time positions at either practice. Contact Dr. Mike Sweeney at 402-592-1773 or fax curriculum vitae to 402-339-3914.
A S S O C I A T E & P A R T N E R S H I P O P P O R T U N I T I E S : Midlands Dental Groups, Jeffrey T Garvey, D.D.S. - Iowa Opportuni t ies: Counci l Bluffs: 20-Minutes from Omaha; Missouri Valley: 30-Minutes from Omaha; Woodbine: 60-Minutes from Omaha. Nebraska Opportunit ies: Omaha and Bel levue. LGa in diagnostic, clinical and treatment planning proficiency 2.Tap 20 years experience from senior doctors 3. Earn an income of $150,000 to $250,000 4. Learn the business of dentistry. Some of our past associates that have worked within our group have been graduates from Creighton University, University of Nebraska and University of Iowa. Some needing interim employment while waiting for spouses to graduate, some have opened their own practices and some have become partners within our group. For More Information, Please call Jean: Office: 712-642-4136 Cell : 712-592-6821, Email: [email protected]
Nebraska Dental Associat ion Nov / Dec 2011 15
PUBLISHED BY The Nebraska Dental Association 7160 South 29th, Suite 1, Lincoln, NE. 68516 (402)476-1704 I 1-888-789-2614 I FAX (402) 476-2641 Email: [email protected] I Website: www.nedental.org
Nebraska Dental Association 7160 S. 29 th , Ste. 1 Lincoln, NE 68516
PRSRT STD U.S. POSTAGE
PAID LINCOLN, NEBRASKA
PERMIT NO. 643
OFFICERS Dr. Ken Hermsen President
Dr. Gary Westerman Treasurer
Dr. Henry St Germain Dr. Jack Wesch President-Elect Immediate Past President
Dr. John Thomas Secretary
Dr. Scott Wieting Vice President
Dr. Deb West Speaker of the House
TRUSTEES Dr. Marty Matz, Omaha Dr. Merlyn Vogt, Lincoln Dr. Travis Kobza, Southeast Dr. Perry Rosenau, Central Dr. Ken Tusha, North Dr. Tom Fagot, Northwest Dr. Jessica Meeske, Southwest Dr. Bill Printz, West
NDA STAFF David J. O'Doherty, Executive Director - [email protected]
Jody Cameron, Executive Assistant - [email protected]
AFTCO TRANSITION CONSULTANTS
Call 1-800-232-3826 for a
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AFTCO is the oldest and largest dental practice transition consulting firm in the United States. AFTCO assists dentists with associateships, purchasing and selling of practices, and retirement plans. We are there to serve you through all stages of your career.
Elizabeth L. Papineau f D.D.S.
has joined the practice of
James H. Brower, D.D.S.
York, Nebraska
AFTCO is pleased to have represented both parties in this transaction.
Helping dentists buy & sell practices for over 40 years. WWW.AFTCO.NET