November 2014 WDA Journal

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SHARE NOVEMBER 2014 | Focus on: Trends in Dentistry WDA J OURNAL IS A PUBLICATION OF WISCONSIN DENTAL ASSOCIATION, I NC. NOVEMBER 2014 VOLUME 90, NO. 11 WDA grows with eight new members The Wisconsin Dental Association is pleased to welcome 8 new members to organized dentistry. These new members, their cities of practice and/or residence or components (if applicable) are: WDA member and pediatric dentist Dr. Heidi Eggers-Ulve (Green Bay) was a guest on WFRV-TV’s “Local 5 Live” on Aug. 27, 2014. Dr. Eggers-Ulve shared informa- tion about why baby teeth matter and the impact dental disease can have on a child’s emotional and physical well-being and educational development. Dr. Luis Almeida, Milwaukee Greater Milwaukee Dental Association Dr. Tara Ferris, Manitowoc Manitowoc Calumet County Dental Society Dr. David Jadin, Appleton Outagamie County Dental Society Dr. Laniel Razdolsky, Beloit Rock County Dental Society Dr. Kimberly Rybicki, Milwaukee Greater Milwaukee Dental Association Dr. Derek Schmidt, Waukesha Waukesha County Dental Society Dr. Jennifer Sinnen, Milwaukee Greater Milwaukee Dental Association Dr. Matthew Welch, Merrill Central Wisconsin Dental Society Advocate...Educate...Empower...Serve! INSIDE THIS ISSUE Dealing with unsolicited merchandise .................................... p. 6 WDA Pyramid of Pride award recipients .................................. p. 10 WDA Foundation golf outing raises $12,000 and awareness .................................. p. 11 Buyer’s market: Trends in practice sales and acquisitions p. 2 Connect with us on and visit us online @ WDA.org Mission Statement: The Wisconsin Dental Association advances the interests of its members and the dental profession by promoting professional excellence and quality oral health care for the public. Highlight The definition of a trend is a general direction in which something is develop- ing or changing. In dentistry, there are several emerging trends that may have significant effects on the profession. To gain a better understanding, the Wisconsin Dental Association asked five practice transition consulting compa- nies to provide a brief overview of what market trends they have recently seen. Below are their responses: AFTCO One trend we continue to see in dentistry is the influence insurance com- panies’ have over where patients go for treatment. They manipulate the sys- tem and encourage dentists to give steep discounts from their usual and customary fees plus an agreement not to bill the patients for the differential. Policy holders should be paid for services provided and dentists should be able to bill patients at their fee schedule prices. Ironically, this could mean fee- for-service patients would pay for their services and not help subsidize work done on other patients Dentists have all the power because they have the license, but they are out negotiated. Dentists cannot collude with other dentists and make a planned and organ- ized effort to take on insurance compa- nies. However, independently they could withdraw from insurance plans if desired. Another trend we see is large group dental offices gaining a stronger foothold in the future. Nondentists come into the organization and attempt to direct the dentistry with regard to profitability rather than with regard to the needs of the patient. It takes a strong individual to stand up to the organization and hold your ground against the source of your next paycheck. Some dentists are not comfortable or equipped to be practice owners and have better lives working for someone else. At the same time, it is still their responsi- bility to ensure work is getting done and patients are cared for appropriately. All the pieces are in place for dentists to govern what happens in this industry. Maybe this is a like “boiling frog syn- drome” when a frog is placed in pot of lukewarm water and the heat is gradually turned up. continued on page 8 p. 8 Fall/winter 2014 WDA Tongue ‘n’ Cheek ... and Teeth, too! patient newsletter inserted in this issue. Learn more on page 16 Emily Bultman, CDE WDA Communications Coordinator [email protected]

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Focus on: Trends in Dentistry

Transcript of November 2014 WDA Journal

In Legislation

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NOVEMBER 2014 | Focus on: Trends in Dentistry

WDA JournAl is A publicAtion of Wisconsin DentAl AssociAtion, inc. NOVEMBER 2014 • Volume 90, no. 11

WDA grows with eight new members The Wisconsin Dental Association is pleased to welcome 8 new members to organized dentistry. These new members, their cities of practice and/or residence or components (if applicable) are:

WDA member and pediatric dentist Dr. Heidi Eggers-Ulve (Green Bay) was a guest on WFRV-TV’s “Local 5 Live” on Aug. 27, 2014. Dr. Eggers-Ulve shared informa-tion about why baby teeth matter and the impact dental disease can have on a child’s emotional and physical well-being and educational development.

Dr. Luis Almeida, MilwaukeeGreater Milwaukee Dental Association

Dr. Tara Ferris, ManitowocManitowoc Calumet County Dental Society

Dr. David Jadin, AppletonOutagamie County Dental Society

Dr. Laniel Razdolsky, BeloitRock County Dental Society

Dr. Kimberly Rybicki, MilwaukeeGreater Milwaukee Dental Association

Dr. Derek Schmidt, WaukeshaWaukesha County Dental Society

Dr. Jennifer Sinnen, MilwaukeeGreater Milwaukee Dental Association

Dr. Matthew Welch, MerrillCentral Wisconsin Dental Society

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

INSIDE THIS ISSUE

Dealing with unsolicited merchandise .................................... p. 6

WDA Pyramid of Pride award recipients .................................. p. 10

WDA Foundation golf outing raises $12,000 and awareness .................................. p. 11

Buyer’s market:Trends in practice sales and acquisitions

p. 2

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

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The definition of a trend is a general direction in which something is develop-ing or changing. In dentistry, there are several emerging trends that may have significant effects on the profession. To gain a better understanding, the Wisconsin Dental Association asked five practice transition consulting compa-nies to provide a brief overview of what market trends they have recently seen. Below are their responses:

AFTCO One trend we continue to see in dentistry is the influence insurance com-panies’ have over where patients go for treatment. They manipulate the sys-tem and encourage dentists to give steep discounts from their usual and

customary fees plus an agreement not to bill the patients for the differential. Policy holders should be paid for services provided and dentists should be able to bill patients at their fee schedule prices. Ironically, this could mean fee-for-service patients would pay for their services and not help subsidize work done on other patients Dentists have all the power because they have the license, but they are out negotiated. Dentists cannot collude with other dentists and make a planned and organ-ized effort to take on insurance compa-nies. However, independently they could withdraw from insurance plans if desired. Another trend we see is large group dental offices gaining a stronger foothold in the future.

Nondentists come into the organization and attempt to direct the dentistry with regard to profitability rather than with regard to the needs of the patient. It takes a strong individual to stand up to the organization and hold your ground against the source of your next paycheck. Some dentists are not comfortable or equipped to be practice owners and have better lives working for someone else. At the same time, it is still their responsi-bility to ensure work is getting done and patients are cared for appropriately. All the pieces are in place for dentists to govern what happens in this industry. Maybe this is a like “boiling frog syn-drome” when a frog is placed in pot of lukewarm water and the heat is gradually turned up.

continued on page 8

p. 8

Fall/winter 2014 WDA Tongue ‘n’ Cheek ... and Teeth, too! patient newsletter inserted in this issue.

Learn more on page 16

Emily Bultman, CDE WDA Communications Coordinator [email protected]

2 WDA Journal November 2014 WDA.org

Own Your Smile campaign response

Jan. 1 - Sept. 30, 2014

• WDA office: 184 public inquiries (calls, emails)

• YouTube views of TV spots o “No Insurance Required”: 1,383 o “Today”: 973

• Unique views on WDA.org: Own Your Smile public page: 2,503

• Find A Dentist on public ADA MouthHealthy.org o 7,668 Wisconsin ZIP code searches o 539 percent increase (estimated 1,200 searches in all of 2013)

• WDA Find A Dentist profiles o 2,245 WDA dentists o 882 WDA dentists or 36.6 percent with enhanced profiles (15 percent national average)

Need to enhance your FREE Find A Dentist profile?

Log in to the ADA.org Member Center:

www.ada.org/en/ member-center

One person can make all the difference For many years, I took my Wisconsin Dental Association membership for grant-ed. I was among those who let others do the work, being content devoting myself to my practice and my family. However, a time came when things started to change. Attendance at local dental meetings had begun to falter and soon only a select few were running my component. They were willing to make decisions and most members were willing to let them. I complained things were better in the past when members got together for dinner, invited a speaker, jointly elected officers, decided on dues and what our year’s focus would be. My complaints spurred former WDA Trustee Dr. Francesca DeRose (Racine) to tell me there was an open spot on a WDA committee. Up until this point, I had served as component officer and WDA delegate for many years, but I want-ed to give someone else an opportunity to serve. I was invited to join the WDA Legislative Committee and I attended my first meeting in Madison, where I was wel-comed by WDA Director of Government Services Mara Brooks and other commit-tee members. My legislative education began at that meeting where I learned how much our profession is governed by legislators who have little inside information on dentistry. I also read a state legislator’s comments in the newspaper about how greedy dentists had become. I knew better. Many years of local participation treat-ing Medicaid patients, conducting school dental exams, fitting mouth guards for

student athletes and participating in other charitable events told me I needed to do more to correct the impression these com-ments generated. I made it my mission to get to know my state representatives and senator, visit them in Madison after meet-ings and on WDA Legislative Day and invite them to my office to discuss dental issues. I was soon joined in these efforts by Drs. Sue Cable (Kenosha), Lyndsay Knoell (Racine), Francesca DeRose (Racine) and Nicolet DeRose (Racine). Dr. Francesca DeRose set up a local legislative dinner meeting with the Kenosha and Burlington dental soci-eties. Between these annual meetings and Legislative Day, we scheduled office fundraisers for the legislators and encour-aged local dentists to donate a combined $1,000 for each event. At the time, the Racine and Kenosha areas were heavily Democratic and Wis-consin had a Democratic governor, but other state areas were heavily Republican. I understood we needed to get favorable votes from those in both parties. Our fundraisers provided the opportu-nity to educate local office holders while offering campaign donations. These meet-ings focused only on dental issues. We also found dentists contributing directly to candidates and asked them to pass it through the Wisconsin Dental Political Action Committee’s Direct Giver pro-gram. We stumbled along the way, feeling we

were getting nowhere with one party so we decided to ramp up efforts with the other party. This didn’t work and the lesson learned is to support those in power, whichever party, but be sure both sides see some sup-

port for their candidates. I began to attend my congressman’s listening sessions, but found these to be unfocused. When the opportunity arose I volunteered to attend the American Dental Association’s Washington Leadership Conference and spent time speaking to my congressman and his staff. I encourage all WDA

members to review the WDA legisla-tive priorities (printed in the WDA Sourcebook and posted on WDA.org) and find a colleague willing to discuss the issues. Also, take the time to meet with local legislators to discuss these issues and contribute through WIDPAC to them. Combine with other components to sponsor a dinner in their honor and visit Madison on Legislative Day. Generally, legislators want to do the right thing, but don’t know what will work best for their constituents. Emphasize how local dental offices pro-vide jobs in the community, maintain the oral health of the community and volun-teer time and financial support to many community activities.

Ned Murphy, DDS WDA Southeast Region 4 Trustee [email protected]

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #516 BE SURE TO VISIT US AT WDA INSESSION! BOOTH #408

ADVOCATE

WDA.org November 2014 WDA Journal 3

The Issue Current Buzz WDA Actions Next Steps

Dental Medicaid pilot project to test fair-market rate reimbursement for children’s and adult emergency (limited type) services in several counties across the state.

State Rep. Gary Tauchen (R-Bonduel) previous-ly approached WDA about serving as lead for dental MA pilot legislation.State Rep. Tauchen and his staff have met sev-eral times with the WDA lobby team and other legislators to identify potential counties with an eye on geographic distribution and bipartisan balance. Draft bill expected in early October; Rep. Tauchen will submit to Legislative Fiscal Bureau for estimated costs of raising MA reimburse-ment for emergency services (children and adults) to the 50th and 75th percentiles of the American Dental Association fee survey. Leaders of the legislative and executive branch-es have expressed a willingness to consider the MA pilot, but say it depends on state finances at budget time.

WDA staff gathered national and statewide data around the questions of access to care and market-rate reimbursement; findings submitted to state Rep. Tauchen’s office for consideration. WDA staff have met at least four times with state Rep. Tauchen and/or members of his legislative staff.

The WDA Legislative Advocacy Committee welcomed state Rep. Tauchen to its Oct. 1 meeting in Madison and heard more about his plans to move this issue forward in the next legislative session.

Planned closing of Meriter Hospital’s Max Pohle Dental Clinic in Madison in June 2015.Patients with developmental disabilities or other conditions requiring dental treatment under general anesthetic in an operating room are expected to be impacted the most.

Meriter-UnityPoint Health announced in late August its intent to close Meriter Hospital’s Max W. Pohle Dental Clinic in June 2015 citing $600,000 in annual losses associated with treating special needs patients in the operat-ing room. To help soften the blow of the clinic closure, the hospital intends to give $1 million to Access Community Health Centers so it can expand its dental services. Read Wisconsin State Journal story at http://bit.ly/ZqLGnw.A coalition of parents/caregivers of individuals with special needs, advocacy groups for this population, Greater Dane Dental Society mem-bers who volunteer at Max Pohle clinic and WDA staff and lobbyists (ADA State Public Affairs grant dollars tapped), are working to raise public and lawmaker awareness of this pending dental access crisis.

WDA staff, lobbyists and member dentists are working closely with the special needs dental coalition to develop and implement political advocacy and public awareness plans. On the group’s behalf, WDA representatives have reached out to various sources seeking data on MA-special needs hospital utilization and costs. The coalition agrees data is needed to first clearly identify the problem before multi-ple solutions can be debated and pursued.

This issue coalition had a second meeting scheduled for Oct. 1. A letter to the editor of the Wisconsin State Journal was being drafted at journal deadline time.

Community water fluoridation is safe, effective and economical, providing substantial oral health benefits to approxi-mately 90 percent of children and adults on public water systems in Wisconsin.Effective Feb. 1, 2013, Wisconsin’s optimal level of fluoride is 0.7 mg/L.The Centers for Disease Control and Prevention recognizes community water fluoridation as one of the 10 greatest public health achievements of the 20th century.

Fluoride activity (Keep; Remove; Watch) continues across Wisconsin in 2014:• Evansville (Rock County) W• Green Bay (Brown County) W• Merrill (Lincoln County) W• Madison (Dane) W• Monroe (Green County) W• Neenah (Winnebago County) W• Shell Lake (Washburn County) R• Sun Prairie (Dane County) K• Watertown (Jefferson County) WWisconsin Oral Health Coalition members asked to help American Dental Association educate U.S. Congress on oral health benefits of CWF due to anti-fluoridation group’s lobbying efforts in D.C.

The WDA works with Children’s Health Alliance of Wisconsin, DPH, DNR, Wisconsin Oral Health Coalition and Wisconsin Dental Hygienists Association on implementing a “rapid response process” and promoting public education in communities with fluoridation challenge.WDA staff Erika Valadez notifies local member dentists and dental hygienists in communities facing challenges to CWF to provide educa-tional materials to officials and residents as needed.

Dentist and dental hygienist members are invited to join in the WDA Facebook and Twitter discussion on Fluoride Fridays.Members facing fluoride challenges in their communities or who would like to have their local water supplies fluoridated should contact Erika Valadez ([email protected]) for WDA assistance.

Legislative-related meetings

2014• Dentistry Examining Board: Nov. 5; meetings held at Department of Safety and Professional Services, 1400 E. Washington Ave., room 121A, Madison; start promptly at 8:30 a.m.2015• Dentistry Examining Board: Jan. 7, March 4 , May 6 , July 1 , Sept. 2, Nov. 4; meetings held at Department of Safety and Professional Services, 1400 E. Washington Ave., room

121A, Madison; start promptly at 8:30 a.m.• Feb. 11 - WDA Dental Academy; 9 - 11 a.m., Hilton Hotel, Madison; for more information, contact Mara Brooks ([email protected] or 888-538-8932). • March 18 - WDA Legislative Day; 8:30 a.m. - 1:30 p.m.; Monona Terrace Convention Center, Madison; to register, contact Dana Ponce ([email protected] or 888-538-8932).

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

Updated information is highlighted.

WDA Board proposes 50 percent reduction in special assessment Citing a “great year in the stock mar-ket”, the Wisconsin Dental Association Board of Trustees is sending a resolution to the House of Delegates calling for a 50 percent reduction in the special public awareness campaign assessment to $120 for active members (prorated by dues cat-egory). Capital reserves would be tapped to make up the estimated $400,000 - $500,000 difference through 2016. In 2013, the WDA House approved a three-year (2014 - 2016) special assess-ment to supplement the annual budget for an expanded oral health literacy, public awareness campaign. The Own Your Smile or OYS cam-paign kicked off last January with two

goals: motivate adults statewide to make good oral health a priority and increase the number of individuals seeking afford-able, preventive care in WDA member dentists’ practices. In a separate resolution, the Board is recommending no increase in 2015 WDA dues (see box). The Board is also forwarding to the House a Finance Committee resolution that, if approved, will “sunset” WDA staff support for Give Kids A Smile®. Components and individual dental practices are welcome to continue their GKAS® outreach activities which are often held on the first Friday of February during National Children’s Dental

Health Month. Three of 17 initiatives on the proposed legislative priority listing for the 2015-16 session are recommended at high priority. If approved by the House, the WDA will actively pursue meetings and necessary activities to: 1. Advance the concept of a self-fund-ed Direct Reimbursement plan for state of Wisconsin employees beginning in 2016 2. Initiate a multi-county Medicaid pilot project that would test fair-market, dental reimbursement as a way of reduc-ing barriers to care 3. Create a more meaningful state loan forgiveness or grant program for dentists

who work in underserved areas or see low-income patients; WDA is interested in working with Marquette University School of Dentistry on new “rural track” program to provide funding and targeted training for dental students who commit in their first year to practicing in a rural or underserved area after graduation. The Board is also proposing a new medium legislative priority that calls for implementation of an exam not involving patients as another option for obtaining a Wisconsin dental license. Specifically, the WDA would encourage the Dentistry Examining Board to accept the National Dental Examining Board of Canada’s Objective Structured Clinical

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

continued on page 5

4 WDA Journal November 2014 WDA.org

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

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

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

920-725-0551 • [email protected]

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

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

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

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

editorial adviSory board

Messages

Ready for the silver tsunami?

In the end...we’re all dentists

Julio Rodriguez, DDS WDA President [email protected]

The focus of this month’s WDA Journal is “Trends in Dentistry”. In the last 40 years, I have seen major changes in clinical dentist-ry with the development of new materials,

instruments and techniques. Naturally, we will continue to see more of that but the trends that will affect how we practice the most have nothing to do with new materials or techniques. There are three trends I think will affect how we practice dentistry in the future. The first is an economic trend. There continues to be a major shift in our economy from well-paying, stable, full-time manufacturing jobs providing dental benefits to lower-paying service or retail jobs that often are part-time or temporary and provide no dental benefits. We have already seen the results of this economic trend with decreased patient visits, decreased dental spending and decreased dental incomes. I expect that trend to continue in the future. The second major trend is pressure from outside groups, the government and insurance companies to change how dental care is delivered and reimbursed. There will continue to be an expansion of the Federally Qualified Health Centers. Pew Charitable Trusts and the W.K. Kellogg Foundation will continue to advocate for new, lesser-trained providers of dental care.

But, the third trend is the one I think will have the most affect on how we practice in the future. It is the accelerating shift from dentists owning their own prac-tices to dentists working as employees.

This trend is nothing new in health care. As govern-ment, health insurance companies and outside groups became more involved in health care, we’ve seen major changes in how that care is provided. The day of the individual physician owning his/her own practice is all but gone. Most of them are now employees of a hospi-tal, a large clinic or a health care organization. My dad was a pharmacist who owned his own drug-store. Today, that is almost nonexistent. National chains and retail store pharmacies have mostly replaced the small, local drugstore. Most pharmacists are

employees rather than owners. Optometry is also moving in this same direction, from small independent businesses to large corpora-tions or retail store clinics where the optometrists are employees. I see nothing to indicate that dentistry will be differ-ent. It is occurring later for us than some of the other groups, but the trend is evident. Fighting the trend is not going to stop them. Whether the trend is good or bad is not the point either. It is happening and we are going to have to adapt. This is especially true for the Wisconsin Dental Association. Before you can change, you have to be aware of the trends; this is where the WDA is in a good position. Your leadership is aware of the trends, has been discuss-ing them and strategizing the future direction of your association. As the WDA moves forward, don’t think it is aban-doning solo, private practitioners. They are still a large part of the group we represent. But, we need to start changing now, so we can help all dentists as different practice situations evolve. The WDA needs to find ways to be relevant to all dentists - no matter what the practice situation. Remember, in the end, we’re all still dentists.

L ike the rest of the country, our patient popula-tion in Wisconsin is increasingly getting older. The aging population is also keeping their nat-ural teeth longer.

Both of these trends will have a major impact on the organization and delivery of oral health care going for-ward. As the former chair of the Green County Health Department Advisory Board, I participated in several health coalition meetings where I learned firsthand the tribulations older people living in nursing homes and other facilities have accessing dental care. A majority of the elderly population receive Medicare or Medicaid insurance benefits. Unfortunately, these programs offer limited coverage for their oral health care needs. Are you prepared to treat older patients in your prac-tice? How about individuals with disabilities, whether they are physical or cognitive? Have you treated residents from a nursing home lately? As far as I know, the only clinic with the ability and capacity to treat elderly and disabled patients is Meriter Hospital’s Max W. Pohle Dental Clinic in Madison. However, it was recently announced this facility will close in summer 2015 and discontinue 35 years of ministry

treating the most vulnerable of patients. The aging crisis needs to be addressed as it will only get worse in the coming years.

Dentists and dental professionals need to be ready and prepared to understand the needs of this population seg-ment. We need to create solutions for their access to care, as their needs are very different from other patients. Today’s older adult patient is entirely dissimilar from an elder patient 20-30 years ago. As a result of our efforts in prevention, community water fluoridation and skillful dental treatment, older people are keeping most of their teeth and getting more complex dental procedures (e.g., implants, sophisticated prosthetic appliances). As this population reaches the sunset of their life, some

of them will need to rely on social programs or may have no programs at all to take care of their dental needs as they attempt to maintain optimal oral conditions. This becomes more difficult when previous insurance coverage is terminated once they reach retirement age and a myriad of medical and dental conditions compound the problem. We all can imagine horror stories when we think of difficulties we will have to overcome to take care of our aging patient population. However, I am not sure we even know how to address the problem. This is one of the main reasons that as WDA president, I have taken the initiative to appoint a task force to study this impending problem and to try and determine the extent of the crisis, as well as what type of action is neces-sary to find a proper solution to this looming challenge. Figuring out effective ways to treat older and disa-bled patients is no doubt a large undertaking, but I am convinced by working together the WDA can help find the right solution. Smile at an older patient tomorrow, they will appreciate it; spend some extra time with him or her chair side, they need the human contact just as much as your expertise.

Robert Brennan, DDS, WDA Editor [email protected]

Figuring out effective ways to treat older and disabled patients is no doubt a large

undertaking, but I am convinced by working together the WDA can help find the

right solution.

The WDA needs to find ways to be relevant to all dentists - no matter

what the practice situation. Remember, in the end, we’re all still dentists.

WDA.org November 2014 WDA Journal 5

NOVEMBER 2014VOLUME 90, NUMBER 11

EditorRobert Brennan, DDS, Neenah

920-725-0551 • [email protected] Editor

Mark Paget414-755-4100 • [email protected]

Managing EditorEmily Bultman

414-755-4110 • [email protected]

OFFICERSPresident

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

President-ElectPaul Levine, DDS, Milwaukee

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

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

Past-PresidentTimothy Durtsche, DDS, La Crosse

608-784-7319 • [email protected] Treasurer

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

EditorRobert Brennan, DDS, Neenah

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

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

Region 1 Northwest David Kenyon, DDS, Altoona

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

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

Region 2 NortheastPaul Feit, DDS, Sturgeon Bay

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

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

920-922-9000 • [email protected]

Region 3 Greater MilwaukeeThomas Kielma, DDS, Milwaukee

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

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

Region 4 SoutheastEdward Chiera, DDS, Beloit

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

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

262-886-9440 • [email protected]

Region 5 SouthwestL. Stanley Brysh, DMD, Madison

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

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

Region 6 Student RegionRosa Barnes

Marquette University School of [email protected]

Speaker of the HouseRichard Lofthouse, DDS, Fennimore

608-822-3770 • [email protected]

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

Examination which is often referred to as OSCE. The resolutions highlighted here and others related to bylaws, the 2015 bud-get and leadership development will be brought before the 144th WDA House of Delegates when it convenes Nov. 13 and 15 at the Wisconsin Center in Milwaukee. In other actions, the Board approved Executive Director Mark Paget’s rec-ommendation that a new Membership Development Committee be created. It would have four work groups to tackle: recruitment and retention; new den-tist involvement; membership dues structure; and leadership development.

Non-dues revenueWDA Insurance and Services Corp. President Mara Roberts reported the recent endorsement of Association Gloves saw a 21 percent increase in revenue over the second quarter. Central

Data Storage, offered by The Dental Record and endorsed by the American Dental Association, is 22 percent ahead of budget year-to-date. The for-profit subsidiaries are on track to provide $465,500 in sponsorships and royalty payments to the WDA in 2014. New task forces Volunteers will soon be recruited for a task force charged with reviewing current WDA governance structure and mak-ing recommendations for streamlining decision making and reducing related administrative costs across the state den-tal association. A second new task force will focus on improving the oral health of patients with special needs and the elderly in Wisconsin. This group is to be chaired by the immediate past-president, beginning with Dr. Timothy Durtsche (La Crosse).

Board continued from page 2

Proposed 2015 WDA membership duesActive (prorated for first, second, third and fourth year out of dental school) ..............................$845* Practicing life ......................$634*Full-time faculty/public health ............................................$211Retired ...................................$125Enrollees in advanced training programs ................$30Affiliate/nonresident ..............$75Dental hygienist ......................$75Associate .................................$20

*The proposed reduced special assessment is in addition to these amounts

In other actions, the Board approved Executive Director Mark Paget’s recommendation that a new Membership Development Committee be created. It would have four work groups to tackle: recruitment and retention; new dentist involvement; membership dues structure; and leadership development.

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #517

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #419

BUSINESS of Dentistry

Dealing with unsolicited merchandiseSteven R. Battenberg JD of Michael, Best and Friedrich, LLP

Have you or your practice received merchandise through the mail that you

or your staff did not order? Then, a short time later, did you receive a bill for the mer-chandise?

Certain compa-nies may engage in the aggressive (and illegal) busi-ness practice of sending unsolic-ited merchandise and then attempt-

ing to bill and collect for it. This prac-tice violates both federal and Wisconsin state law.

The following addresses some of the more common questions and answers regarding unsolicited merchandise.

Q. Do I need to return or pay for merchandise I never ordered?

A. No. If you receive merchandise that you did not order, you have a legal right to keep it as a free gift (39 USC Section 3009; Wis. Stats. 241.28).

Q. Do I need to contact the seller of such merchandise and tell them of my intentions?

A. No. You have no legal obligation to contact the seller. However, it is generally a good idea to write a letter to the seller stating that you did not order the item and, therefore, you have a legal right to keep it for free. You may also wish to put the seller on notice that further efforts to collect payment from you will be reported to federal and state authorities. Such a letter may not only discourage a seller from further con-tact with you (and further collection

efforts), but it may also help to clean up an honest error. Send your letter by cer-tified mail; keep the return receipt and a copy of the letter for your records. (A draft letter that you may use is included at the end of this Q&A.)

Q. What should I do if the sell-er continues to contact me and/or threatens to contact a collection agency for payment?

A. You may contact your nearest fed-eral postal inspector or the Wisconsin Department of Agriculture, Trade and Consumer Protection at 608-224-5012.

Q. What should I do if the unor-dered merchandise I received was the result of an honest shipping error?

A. Again, you have no obligation to return the product and you may keep it for free. However, if the merchandise

was received as a result of an honest shipping error, it may be a good idea to offer to return the merchandise, provided the seller pays for postage and handling. Give the seller a specific and reasonable amount of time to pick up the merchandise or arrange to have it

shipped back to the seller at no expense to you.

Q. Is there any merchandise that may be sent legally without my con-sent?

A. Yes. Two types of merchandise may be legally sent to you without your consent:

• Free samples that are clearly marked as free.

• Merchandise from charitable organ-izations asking for contributions.

In either event, you may keep such merchandise as free gifts.

A sample letter for responding to unsolicited material on your practice letterhead follows here:

[Date]

VIA CERTIFIED/RETURN RECEIPT

[Vendor][Address]

Re: Account #

Dear Sir/Madam:

We have received an unsolicited ship-ment of ____________ with the enclosed invoice for payment. We have checked our records and have determined that we nei-ther ordered nor consented to the shipment of this material to us. Under 39 U.S.C. 3009and Wis. Stats. 241.28, we are under no obligation to pay for such mer-chandise or to return it to you.

Please remove any charges from our account and remove us from your mailing list. If you persist in collection efforts, we will contact the appropriate federal and state authorities.

Sincerely,

____________________

6 WDA Journal November 2014 WDA.org

Steven R. Battenberg

Join the Wisconsin Dental Association and Marquette University School of Dentistry for a seven-day, continuing edu-cation Alaskan cruise aboard Holland America’s Oosterdam. The ship will leave Vancouver, British Columbia on June 21, 2015 and make its way to Seward, Alaska (three hours from Anchorage). While at sea, attend-ees have the opportunity to earn nine CE credits by attending the “Beauty and the Beast” program. This two-part course will be tag-teamed by nationally-recognized, esthetic lecturer Dr. Corky Willhite and WDA member Dr. Mark Huberty (Sheboygan). The “Beauty” portion focuses on “Transitional Bonding: Non-traditional Composite Restorations for Major Occlusal and Esthetic Changes Composite”. Dr. Willhite, who has achieved fellow-ship in the Academy of General Dentistry and the American College of Dentists, will show how this practical technique offers many advantages over traditional composite or porcelain restorations and requires virtually no prep – even for smile make-overs and full-mouth rehabilitation cases. Patients, including those needing exten-sive changes for function and esthetics, love conservative treatment, whether for financial reasons or because they don’t want their teeth “drilled down”. This course will help any doctor master their composite bonding skills. Dr. Willhite is one of only 50 fellows of the American Academy of Cosmetic Dentistry. He is also a faculty member of the Center for Esthetic Excellence in Chicago and conducted postgraduate esthetic programs for the University of Rochester’s Eastman Dental Center and the University of Minnesota. His private practice, The Smile Design Center, is outside of New Orleans and is limited to cosmetic dentistry. The “Beast” portion is called “Do You Know What’s Lurking Behind the Veneer?”. A patient may be provided with a functional and esthetic looking smile, but accurately diagnosing common problems encountered behind the veneer is another thing. Dr. Huberty’s portion of the course will help identify what to look for, give insight into potential joint issues and expand treatment planning options thus giving more predictable treatment results. Dr. Huberty has achieved mastership in the AGD, and maintains fellowships in the ACD and the International College of Dentistry. He has presented for the WDA, the WDA-MUSOD-Pierre Fauchard Mentor Program and local dental societies throughout Wisconsin. He has a general dental practice in Sheboygan, but focuses on complex mus-cle, joint and tooth problems. Staterooms start at $1,429 per person. If booked by Nov. 17, 2014, dentists save $100 and dental team member save $50 on course registration fees. Visit www.specialeventcruises.com or call 800-326-0373 for complete details.

Lani Becker, CAE WDA Director of Membership, Meetings and Strategic Initiatives [email protected]

Earn CE credits and experience summer soltice in Alaska

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #221

WDA.org November 2014 WDA Journal 7

• You don’t have to pay for merchandise you didn’t order.• OSHA is pertains to employee safety and is disciplinary, complaint driven; while the CDC is about patient safety and is research-driven.• Earn nine CE credits during the MUSOD/WDA Alaskan cruise in June 2015; visit wda.org for more information.

Key takeaways...

Watch for these upcoming topics: Nov. 25Business Managment: Preventing Employee Theft

Dec. 16Risk Management: Crown and Bridge

Visit http://bit.ly/1kL13Pl to access the full video library.

Free online CE The Colgate Oral Health Network for Professional Education and Development offers free contin-uing education in the form of webinars and online courses. The courses are designed for oral health professionals, but are open to all who are interested in learning the latest evidence-based information and practices. Register at http://bit.ly/1uS sv3y.

REcOMMENdEd pROducts, pROgRaMs aNd sERVicEs Your association did the research...you reap the benefits!

iNsuRaNcE

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

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

pRacticE MaNagEMENt

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

Association Gloves877-484-6149www.wdagloves.com

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

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

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

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

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

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

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

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

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

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

FiNaNciaL sERVicEs

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

AMP Wealth Management (401k Plans, and Personal Wealth Management) 414-332-1011 | www.ampinvestment.com CareCredit (patient financing)800-800-5110 www.carecredit.com/ada Chase Paymentech (credit card processing)800-618-1666www.bestpaymentprocessing.com/ada Transworld Systems Inc. (credit and collections)608-276-8307 web.transworldsystems.com/Madison U.S. Bank Practice Finance(practice and commercial real estate financing) 414-765-5498www.usbank.com/smallbusiness/practice-finance

OTHER SMALL-BUSINESS PRODUCTS

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

OSHA requirements vs. CDC recommendations Occupational Safety and Health Administration requirements are regula-tions created by the federal government to protect workers’ safety. Regulations created for dentistry are meant to pro-tect dental health care professionals

from bloodborne pathogens and other chemicals. OSHA is a dis-ciplinary agency to whom employ-ees can and do complain to if they feel their work environ-ment is not safe. Not providing employees proper personal protec-

tive equipment (i.e., gloves, masks and body clothing) can be considered a willful violation (meaning the owner knows it is wrong or should have known). Business owners could be inspected, fined and/or if egregious enough – shut down. Other examples of OSHA regulations, include hepatitis B vaccinations available to all workers with occupational expo-sure, training on bloodborne pathogen standard, post-exposure evaluation and follow-up to workers experiencing a sig-nificant exposure/injury. It is important to remember OSHA is regarding employee safety, not patient safety and it is disciplinary, com-plaint-driven.

The Centers for Disease Control and Prevention is a component of the U.S. Department of Health and Human Services. Its mission is to detect, research and respond to emerging health threats, most recently Ebola. The CDC promotes safe, healthy behaviors and uses science to track dis-eases. Dental licensing boards also use these recommendations as the standard of care for infection control. Recommendations include safety glass-es on dental patients where splashing and splattering may occur, critical instruments sterilized between patients, hands washed when gloves are removed and steam ster-ilizers spore tested weekly. Patient safety, not employee safety, is

key for the CDC which is research- driven, not disciplinary. Dental offices must comply with OSHA and the CDC. However, a dentist who is not employed at a large group/corporate – either their own (e.g., LLC, PC SC) or someone else’s is exempt from OSHA. However, the clinical team still must comply. This loophole for dentists is not encouraged, as this role is important for overall compliance. Sources: osha.gov, cdc.gov, osap.org and ada.org

Editor’s Note: Frequently asked OSHA/CDC compliance questions and answers will run in the WDA Journal on a periodic basis. These FAQS will also be posted under the Regulatory section on the Business of Dentistry page on WDA.org.

Nan Kosydar Dreves, RDH, MBA WDA dental hygiene member and president of Professional Health Horizons [email protected]

Nan Kosydar Dreves

Dental office OSHA citations The following OSHA citations* were issued in Wisconsin last year: • 45 bloodborne pathogens • 23 hazard communication • 4 maintenance, safeguards and exit routes • 5 wiring methods • 3 fire extinguishers • 2 compressed gas • 2 eye/face protection • misc., e.g. asbestos and emergency plan

Total of 54 offices were cited in 2013.*More than one citation can occur in any one office.Source: OSHA citations - Milwaukee Area Office

8 WDA Journal November 2014 WDA.org

Explore the latest in treatment procedures and business management during continuing education courses and then visit the exhibit hall to examine (and purchase!) the products and materials needed for successful integration of new knowledge into your dental practice at the Wisconsin Dental Association’s InSession - Wisconsin’s Largest Dental Study Club, Nov. 13 - 15 at The Wisconsin Center in Milwaukee. Here are just a few examples of how the upcoming WDA InSession can be your one-stop shop for what’s trending in today’s dental profession.

Trend Continuing Education Course # Exhibit Hall (Nov. 13 & 14)

Antioxidants & oral cancer

“Integration of Antioxidant Arsenals and Oral Cancer Screenings - Are You There Yet?” 103 OraPharma

Composite resins, implants

“Everyday Composite Resins and Immediate Placement and Provisionalization of Implants”“Ridge Preservation for Esthetics, Prosthetics and Implant Placement”“Methods for Implant Temporization; Helping the Tissue and the Surgeon”

108126ILS 201a, 201p

Centrix Inc., Dentsply International Lord’s Dental Studio, PJ’s Dental Lab

Endodontics “Full Circle Endodontics” “The Meat and Potatoes of Endodontic Treatment...”

116127

Brasseler USA, Dentsply Tulsa, Komet USA

Esthetics “The Ultimate Esthetics Course”“Transitional Bonding”“Adding Incisal Length for Function and Esthetics”

110120125

COSMEDENT INC.

Financial management

“Get Your ‘Ask’ in Gear - Healthcare Collection Training”“Brush Up on Buying and Selling a Dental Practice”“Maximizing Your Financial Position throughout Your Career...”

112ILS 207a, 207pILS 209a, 209p

AFTCO, Dental Practice Advisors, Edge Advisors, PARAGON Dental Practice Transitions, Schenck SC - Health Service Team

Lasers & CAD/CAM “Introducing and Illuminating Lasers & CAD/CAM” 117A, 117B Henry Schein Dental, Patterson Dental

Oral hygiene “Hormones, Heart, Health and Hygiene” 129 Colgate, Johnson & Johnson, Procter & Gamble/Crest Oral B, Tess Oral Health

Periodontal diagnosis, treatment planning and surgery

“Introduction to Periodontal Surgery”“Contemporary Clinical Periodontics in 2014”“Think Outside the Mouth - Treatment Planning for Nonsurgical Periodontal Treatment”“Periodontal Surgery: Flap, Crown, Lengthening and Mucogingival Surgery for Augmentation of Keratinized Gingiva”“Soft Tissue Grafting and Periodontal Plastic Surgery”

102109111122

ILS 202a, 202p

Hu-Friedy

Exploring dental trends through CE and exhibitsCarol Weber, APR WDA Director of Communications and Marketing [email protected]

Focus on:Trends in dentistry

INSESSION REMINDERS...• WDA hotel rates at Hilton Milwaukee and Milwaukee Hyatt expire Oct. 29: http://bit.ly/1rpmRzR • CE handouts available from Oct. 30 through Dec. 1 at: http://bit.ly/ZCy2OJ• Fax (414-0276-8431 or 800-864-2997) or mail preregistrations to WDA West Allis office by Nov. 10 for discounted rate. Download form http://bit.ly/1oLhaii• Save time, money when you register online by midnight Nov. 12: http://bit.lhy/VP7Xaz

WISCONSIN DENTAL ASSOCIATION

INSESSIONWisconsin’s Largest Dental Study Club

Are dentists gradually relinquishing parts of their industry. Is this the right thing to do? Will there come a tipping point when dentists will use the power of the dental license and take back the dental industry?

Dental Practice Advisors Dentistry has been and will always be one of the greatest professions in terms of personal fulfillment and financial reward. Like other industries, dentist-ry is shaped by trends. Whether these trends are viewed as positive or negative, their impact needs to be understood and addressed. From a clinical standpoint, advances in systemic health, technology and materials have dramatically improved patient care. The business side of dentistry has been largely unaffected by major influences until relatively recently. The influence of insurance plans, grow-ing large group/corporate dental activity and the recession’s effect on consum-er behavior have begun to impact how dentists conduct their businesses. If not careful, dentists may inadvertently allow this to change their relationships with patients. Large group/corporate operations come in many shapes and sizes. Taken as a whole, they are beginning to drive up practice values in certain areas and reduce the pool of younger doctors available to purchase independent practices. They actively market, provide solid training and are improving doctor retention. They offer legitimate career options for those who desire a certain type of

work-life balance. The long-term impact remains to be seen, but in the short-term this limits the pool and drives up the cost of associate doctors. Insurance reimbursement rates are declining and insurance companies are more closely scrutinizing procedures being performed. That, combined with consum-ers’ economic concerns, is impacting some offices’ ability to gain patient acceptance for long-term, comprehensive treatment plans. To maintain the profession, independ-ent dentists must neutralize the negative impact of these trends on patient care and profitability by improving leadership, communication skills, branding and oper-ational efficiency.

Edge Advisors In 2014, the experts at Edge Advisors anticipates a similar trend as to what has occurred in the past few years. “Edge is committed to helping the dentists of Wisconsin preserve private- practice dentistry, but in order to do that, we need to educate the younger dentists on the benefits of owning their own practices,” Edge Advisors Principal Andy Lehmkuhl said. More dental service organizations or DSOs are purchasing practices using pri-vate sector money to finance these pur-chases rather than going the traditional route of securing bank financing. DSOs have departments set up and focus solely on acquiring dental practices throughout Wisconsin. The head start these organizations get over the typical

Dental trends continued from page 1

continued on page 11

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Register online today!Nov. 13-15, 2014

Wisconsin Center, Milwaukee

WDA.org November 2014 WDA Journal 9

As Marquette University School of Dentistry starts its new academic year, it is fitting to consider the trends that will shape our future activities. We welcomed 100 new students in August, with the Class of 2018 represent-ing our second class of 100 students (50 Wisconsin residents and 50 out-of-state residents) since we began the planned increase of 20 additional students per year. The gender mix of dental school classes has shifted toward more female students on the national level. This year marks the first time MUSOD has more females than males in the incom-ing class. Nationally, dental school applica-tion rates are somewhat down, but our yield on admission offers remain high as it has for the past several years. The dental curriculum continues to evolve and change to meet the needs of MUSOD graduates who will be practicing into the next three or four decades of their lives. We are finding ways to implement interprofessional learning opportunities and incorpo-rate new technologies and practice methods into the curriculum to better reflect the current and future directions of providing dental care. The ability for a dental school to stay ahead of the technology curve is always challenging, but we must strive to keep up if we are to continue to graduate com-petent dentists capable of contemporary practice. Research has become a vital aspect

of any dental school’s identity. To justi-fy a place as a contributing member of the university community, knowledge through discovery and translational research must be shared. We are actively working to change the culture within the dental school toward research. While we have certainly been

involved in various areas of research in the past, we must continue to grow in this area and provide our faculty, and most importantly our students, with opportunities to participate in research activities. The new Delta Dental of Wisconsin Research Laboratory in our school’s expanded facility and the hiring of a

director of research are just two exam-ples of how we are addressing these changing needs. Faculty recruitment and retention also remains a challenge in dental education. With the addition of several new dental schools in the past few years,

there has not been a similar gain of faculty. People have moved around to support teaching in these new dental schools with no net gain in the number of faculty. MUSOD has been actively recruiting for several vacant full-time positions. Some of these are to replace faculty who have moved on and some are new positions to support the expanded class size. What is remarkable about the applicant pools for the various posi-tions is they are comprised most-ly of newly-graduated specialists. A majority of these applicants also did not receive their initial dental education in the United States. It appears there will be a much more international complexion to our faculty in the upcoming years.

The building of our expanded Dr. Jeff and Beth Moos Faculty Practice is just another demonstration of our efforts to meet these faculty recruitment and reten-tion challenges head on. A unique blend of people comprise a dental school community: students, patients, faculty and staff. The different needs and aspirations of this diverse

group make keeping up with the trends in dental education challenging. However, it is critical that we respond and react in timely ways, so we can survive the challenges of the trends and remain relevant and effective. Ongoing self-evaluation of our staff-ing, curriculum and facilities enhances our ability to do just that. The recent expansion of MUSOD’s facilities and the attention given to keeping our technology current, made possible with the generous and ongoing support of alumni and friends during our Building for the Future Drive, exempli-fies our plans in action and ensures we continue to effectively respond to future trends.

Challenges to future dental education William Lobb, DDS Dean of Marquette University School of Dentistry [email protected]

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #316

MUSOD students talk with a professor in the simulation lab which opened in fall 2013. The new lab is part of the 40,000 square-foot expansion.

Photo credit: James Brozek/MUSOD

The second class of 100 dental students is welcomed at the white coat ceremony in August 2014. MUSOD was able to accommodate more students by expand-ing its clinic space.

Photo credit: James Brozek/MUSOD

10 WDA Journal November 2014 WDA.org

A 54-year-old male presented with an exophytic and erythema-tous soft tissue lesion of the floor of his mouth (Figure #1). This lesion of several months duration was asymptomatic and would bleed upon touching.

Questions:1- What would you consider in your differential diagnosis: A. Squamous cell carcinoma B. Papilloma C. Pyogenic granuloma D. Capillary hemangioma E. All of the above

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

Answers on page 15

Figure #1

Q&A

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

CASE

STU

DY #

161

Dr. Michael Donohoo to receive WDA Lifetime Achievement Award

Betsy Krekling WDA Member Relations Coordinator [email protected]

Dr. Michael Donohoo, a general dentist in Milwaukee, has been selected to receive the Wisconsin Dental Association’s highest honor - the 2014 Lifetime Achievement Award. A WDA past-president, Dr. Donohoo has been a leader at the local, state and national levels of organized dentistry. He has served in various positions with the Greater Milwaukee Dental Association, including president before serving on the WDA board as a trustee and in various officer posts. Dr. Donohoo was elected WDA speaker of the WDA House of Delegates six times. He was a delegate to the American Dental Association House of Delegates multiple times and was active on the American Dental Political Action Committee Board where he served as chair in 1999 and 2000.

Upon graduating in 1980 from Marquette University School of Dentistry, he joined his father, Dr. Stanley Donohoo, in private practice. Mike’s sister-in law, Dr. Monica Hebl (Milwaukee) joined the practice in 1985. While Dr. Stan is no longer with them, their dental practice continues his tradition of providing care to the area’s low-income patients. “Mike believes knowledge will get you far, but it’s how you share that knowledge with people and connect them to others that increases the value of the knowledge exponentially. This drives him to invite, connect, remember and appreciate those that touch his life,” Dr. Hebl said. Dr. Donohoo participates in the WDA, MUSOD, Pierre Fauchard Mentor Program and he is a tremendous role model for future leaders of the association.

“Mike is a one-man, leadership devel-opment task force and instinctively knows how to develop leadership in others. He truly enjoys seeing their success,” Dr. Hebl said. Dr. Donohoo’s mentoring doesn’t stop with dental students. Many current and past WDA leaders have thanked him for recruiting and mentoring them into leader-ship. “He has the passion for dentistry, but also the drive to promote the great field of dentistry. I cannot think of anyone I have worked with over the years that deserves the WDA Lifetime Achievement Award more than him,” Dr. James Springborn (Appleton). Dr. Donohoo’s contributions to the dental profession are remarkable and the WDA is pleased to be able to recognize his contributions in this manner.

Other 2014 Pyramid of Pride recipientsCommunity Outreach AwardMs. Robbyn Kuester, Wisconsin Department of Health Services Dr. Dennis Loeffler (La Crosse) Dr. Dana Lubet (Middleton)Ms. RoAnn WardenFriends of Dentistry AwardD & S Dental Laboratory (Waunakee)Media Awareness AwardGreen Bay Press GazetteMedia RelationsDr. Robert Brennan (Neenah)Dr. Gene Shoemaker (Waukesha) New Dentist Leadership AwardDr. Cheska Avery-Stafford (Milwaukee)

Outstanding Leadership in MentoringDr. Steven Sewall (Milwaukee)Political Action AwardMs. Mara BrooksDr. Paul Feit (Sturgeon Bay)Dr. Kent Vandehaar (Chippewa Falls)WDA Award of HonorDr. Kathleen Kelly (Madison)Dr. Patrick Tepe (Verona)Suite 501 Creative PartnersState Rep. Robin Vos (Burlington)WDA Foundation Philanthropic AwardDelta Dental of Wisconsin

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SERVE

continued on page 16

WDA.org November 2014 WDA Journal 11

The Wisconsin Dental Association Foundation raised nearly

$12,000 at the Wisconsin Dental Golf Tournament held at the Legend at Brandybrook in Wales on Sept. 8.

Funds raised will help support the foundation’s oral health programs

while meeting the current and future needs of the dental profession.

Thank you to the 119 golfers, nine sponsors and other donors.

Congratulations to Dr. Joe Kunick (Cedarburg) who took top honors

with a low gross score of 74.Mark your calendar for next year’s golf outing scheduled for Aug. 31, 2015 (Monday before Labor Day)

at Pine Hills Country Club in Sheboygan.

For more information, visit wda.org/wda-foundation.

WDA Foundation golf out raises nearly

$12,000

Dr. Michael Donohoo to receive WDA Lifetime Achievement Award 36-hour-per week practicing associate that

may be interested in purchasing a practice is hard to make up and it stacks the deck against the solo buyer model in many cases. Wisconsin is one of the few states that allows non-dentists to own dental practices which shows investors Wisconsin dentistry is “open for business.” “Education needs to start at the dental schools and be carried throughout local component society meetings all the way back to the WDA. Individual dentists owning their practices is a way of life and it may be disappearing unless a dramatic change starts to happen,” Edge Advisors Principal Mike Bark said.

Paragon Wisconsin has historically been a state with efficiently run and profitable den-tal practices. Because of this, practices have often transitioned in the range of 70-75 percent of the prior year’s collections among Paragon’s clients. With returns on investments of 35 per-cent and greater, as well as strong six-figure

cash flows after overhead and acquisition debt, we have seen a significant increase in buyer interest in practices for sale. This increase in demand, including the uptick in investment capital pouring into the market, is causing year-to-date transi-tion valuations of 75-85 percent of prior year’s revenues to become the norm. Of course, each practice is valued on its own merits. Not all practices can receive these same valuations. We have also seen a significant increase in the number of transitions closing in 2014, as well as many more practices going on the market. More and more of the baby boomer generation have decided it is final-ly time to develop an exit strategy. The number of dentists transitioning out of dentistry is likely only to increase which could make 2014 one of the first years lead-ing to a building trend, a trend that could ultimately have the effect of increased sup-ply and eventually, lower practice values. There is also an increase in the num-ber of investment group buyers entering the Wisconsin market. We see dentist-led

entities and non-dentist owned venture capital groups seeking to acquire well-run practices. Another trend which may help offset the increase in practices coming on the market is the national trend of more dental schools opening.

Schenck Business Solutions Trends we have observed include den-tists practicing longer and wanting pre-mium pricing for their practices without much investment in new technology, as well as new dentists choosing large group/corporate dentistry vs. private practice. Physically and mentally, dentists can practice longer than they were able to just a few decades ago. Technology, four-hand-ed sit-down dentistry, as well as good ergo-nomics have prolonged the practicing life of dentists. Some need to continue, as their retire-ment nest egg will not provide the day-to-day lifestyle they have become accustomed to in their daily lives (sometimes due to negative personal or market events). Many

continue simply because they still enjoy it! Several technology trends have been seen this year, including practices moving their dental software into the cloud, which means no more massive software updates or network configuration problems. More and more offices are decreasing costs and increasing efficiencies by becom-ing chartless or paperless. Data security also can’t be emphasized enough and data breaches happen every day. A regular security assessment from an IT specialist is highly recommended. Younger dentists are going to work in large group/corporate dentistry, because student debt has increased as well as the cost of dental school. New dentists want to live and practice in metro areas instead of rural communities. Another reason for this is the willingness to “own” a business seems to have declined and large group dentistry has lost much of the negative stigma it used to have. Sellers also do not want to mentor or finance - they want to sell and walk away.

Dental trends continued from page 8

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12 WDA Journal November 2014 WDA.org

Classifieds

ForwardDental is in search of exceptional Dentists to join our busy Wisconsin practices. Positions available in multiple communities statewide. Competitive compensation, enhanced benefits and the opportunity for ownership. Contact [email protected]. #10-2014-08

Green Bay, WI – Well-established private group practice looking for an Associate General Dentist. Position includes highly-trained clinical and business support, use of digital X-ray and chartless systems, and a competitive salary and benefits package. This is a potential buy-in opportunity. New graduates are welcome to apply. Interested parties should send resume or CV to Amy (Business Manager) at [email protected] or fax to 920-494-8195. #09-2014-13

Associate or Associate to Ownership is private practice ownership in your future? Are you looking for a thriving practice without the management headaches? I have an excellent opportunity for an experienced dentist looking to transition to future ownership. You will enjoy a state of the art facility, exceptional patient care, and a highly skilled team to assist you. I am flexible with my transition plan. 2 -2.5 days per week. Waukesha County. Respond to Wisconsin Dental Association, Blind Box 1106 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. #11-2014-06

Wausau, WI – Busy Central Wisconsin Dental Practice (in business for 30 years) looking for a full-time associate dentist to join a family friendly dental practice. This growing practice offers a very competitive plus compensation and benefits. Please send your information to [email protected]. 09-2014-12

Position available. Associate wanted in Eau Claire – Two doctor general dental practice seeking associate to partnership candidate. Excellent salary guarantee/benefits. Reply in confidence to [email protected]. #10-2014-07

GENERAL DENTAL PRACTICE FOR SALE: Brookfield, WI. $450K working 3.5 days per week. Loyal long term staff and patient base. No PPO’s. Endo and oral surgery referred. Contact: [email protected] for more information. #09-2014-20

DENTAL OFFICE FOR LEASE - Prime location in Madison, WI 310 N Midvale Blvd 1,019 sq ft and partially equipped Elevator in building for accessibility Full Service lease Available now. Contact 608-798-6401 for more information. #09-2014-10

Seeking dentist to share office space in Glendale WI on Port Washington Road. Up to Five operatories available, lab, private office, staff lounge, 3100 sq ft, secure modern building, ample parking Contact [email protected] or 414-964-8850 #10-2014-11

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

Associate Wanted for a large and busy two location practice located between Madison and Milwaukee with excellent reputation. Four full-time hygienists. Modern office and equipment. Great, highly trained staff. Excellent management and marketing support. Paid continuing education and other benefits. Partners in the practice would appreciate talking to dentists with great attitudes and similar mindsets. Equal Opportunity Employer. For more information, visit our website www.lakemillsmiles.com. Contact Marti at [email protected]. #10-2014-01

Associate Dentists Wanted - We’ve been retained by sole practitioner clients in Green Bay and the Fox Valley to fill associate dentist positions. These positions offer strong DDS clinical support, solid dental team, modern facilities and great clinical experience with the potential to transition into ownership in a relatively short period of time. Competitive compensation package. For more information call Jen Valentine PHR of Dental Practice Advisors at 920-593-7250. Confidentiality will be strictly maintained. #11-2014-11

Wisconsin: Great career opportunity! We are looking for motivated associates to join our practice. For over 44 years we have served South-Central Wisconsin with a wide range of general and family dental services including periodontics, endodontics, implant placement, Digital x-rays, I-Cat Scans, facial cosmetics and cosmetic dentistry. Haye Dental Group is located in beautiful Janesville, Wisconsin, 35 minutes from Madison and 90 minutes from Milwaukee and Chicago. We welcome experienced and new dentists with comprehensive salary packages in the $150,000 range plus benefits and quarterly bonuses. We fully support your professional success and are excited to have you consider joining us to build our practice into one of the best dental practices in Wisconsin. (Dental student inquiries are welcome and encouraged). Visit our website at www.hayedental.com. Haye Dental Group, 107 N. Crosby Ave., Janesville, WI 53548. Call Dawn at (608)752-7931 or email [email protected]. 09-2014-14

Looking for an Associate Dentist to join our thriving two-location practice in the Fox Valley area; option to purchase/buy-in available. State-of-the-art offices equipped with the latest digital technology. 3 FT hygienists, 7+ ops per location, over 5,800 active patients and rapidly growing. Soon-to-be Elite Invisalign Provider (current leading Premier Provider in NE Wisconsin). Loyal, long-term staff and patient base with steady new patient inflow/retention (20+/mo) and great marketing support. Collects over $1.8M. Ideal candidate will be highly-motivated with strong communication and interpersonal skills and an interest in being involved in the community and future of the practice. A focus on quality, patient-

driven care is a must. Excellent compensation, paid CE and great work/life balance. If interested, please email your information and questions to [email protected]. #11-2014-12

DENTAL HEALTH ASSOCIATES OF MADISON was recently recognized by Madison Magazine as one of the Best Places to Work “Class of 2014”! We are looking for a GENERAL DENTIST with experience to work in one of our smaller offices in the heart of Madison, Wisconsin and a PERIODONTIST for our east side Madison location. Our “practice within a practice” model offers you the autonomy to work with your own practice and team, making treatment decisions on your own patients yet enjoying the full access to an administrative team supporting you behind the scenes. We are a dentist owned group providing top notch dental care at seven locations in the Madison, Wisconsin area; and Momentum Insurance Plans Incorporated, our dental insurance company, provides access to high-quality, affordable dental insurance in the Madison area and nationwide. With great working conditions, benefits, salary, and exceptional staff, we are fortunate to retain an experienced team of professionals for a long term career within our group practice. Visit us at www.dhamadison.com or e-mail your CV [email protected]. 11-2014-01

Locum Tenens/Flexible Opportunity

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

Growing and Busy Southeastern Wisconsin dental office is seeking the right candidate for a full time associate to join our practice. Candidate must have good work ethic, excellent dental skills and good chairside manners. Dentist will be rewarded with an excellent compensation package. Full benefits are given, including 401(k) and malpractice coverage. A future buy-in opportunity is also available. An experienced and caring staff are available to help the right dentist to accomplish their goals. This is a great opportunity for an experienced dentist or a dentist just starting out. New graduates are welcomed to apply. Email resumes to: [email protected] #08-2014-10

Associate Dentist needed for a busy private practice. Located in Inver Grove Heights, Minnesota. Our newly renovated practice offers Cerec, digital radiograph, laser and paperless charting. Two or more years’ experience preferred. Partnership available. Please send resume to: [email protected]. #11-2014-13

Practice for Sale/Lease

Practice Position Opportunity

Properties/Office Space Available

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #306

WDA.org November 2014 WDA Journal 13

tO pLacE a dispLay OR cLassiFiEd ad, Visit

shOpwda.ORg OR cONtact EMiLy BuLtMaN at

[email protected]. puRchasE ads ON shOpwda.ORg

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

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

Wisconsin Dells – Practice Opportunity

Midwest Dental is seeking dental candidates for the Wisconsin Dells area. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunities for professional development. Our comprehensive support team takes care of the administrative details, providing you the freedom to focus on your patients and skills. If you possess a passion for providing quality care and are looking for a rewarding practice opportunity in the Wisconsin Dells area, please contact Laura Anderson Laehn by phone at 715-225-9126 or email at [email protected]. Visit our website at: www.midwest-dental.com. #11-2014-02

Our thriving multi-doctor practice is currently looking for a motivated periodontist with strong clinical skills, including all phases of periodontal treatment and implant placement. We offer excellent compensation and a full array of benefits. There could also be the opportunity for partnership in the future. Applicants can send their CV to [email protected]. #09-2014-21

Wanted Pan Digital or Film Digitial Intraoral Hardware and Software Email [email protected]. #11-2014-14

2 Coltene Spec 3 LED curing lights for sale. Originally $1100 each, will take $600 or best offer. Call 920-819-3434.

Associate or Associate to Ownership is private practice ownership in your future? Are you looking for a thriving practice without the management headaches? I have an excellent opportunity for an experienced dentist looking to transition to future ownership. You will enjoy a state of the art facility, exceptional patient care, and a highly skilled team to assist you. I am flexible with my transition plan. 2 -2.5 days per week. Waukesha County. Respond to Wisconsin Dental Association, Blind Box 1106 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. #11-2014-06

Associate dentist needed for established private practice in Waukesha. Starting at 2 days/week and increasing with patient flow. Well-established practice moving to a brand new, larger facility in a prime location. Excellent long-term staff. Future buy-out a distinct possibility. I am flexible on many aspects of this opportunity, but the right candidate would need to have a similar philosophy on dentistry and patient treatment. Please email: [email protected] to arrange a time to tour the office and discuss position specifics. 11-2014-04

Equipment Wanted

Equipment for Sale

Advertiser Index - Thank you for supporting the

WDA Journal!AFTCO........................................... 5 www.aftco.net Baker Tilly ................................... 13 www.bakertilly.com Chicago Dental Society ................. 15 www.cds.org Delta Dental ................................ 10 www.deltadentalwi.comDental Practice Advisors ................. 9 www.dentalpracticeadvisors.comEdge Advisors ............................. 16 www.edgeadvise.comKeller ............................................. 2 www.kellerbuilds.com Midwest Dental ............................... 6 www.midwest-dental.comParagon ....................................... 12 www.paragon.us.comProAssurance ................................. 8 www.proAssurance.com Professional Insurance Programs ...... 5 www.insuranceformembers.com The Dental Record .......................... 2 www.dentalrecord.com West Bend Mutual Insurance Co. ...11 www.thesilverlining.com

New Product/ Service CornerDon’t put your family at risk; get the protection you need and dedicated expertise you deserve Right now identity thieves are searching for new victims, targeting everyone from young children to senior citizens. Many victims of identity theft, like those whose physical possessions are stolen, feel violated and uneasy. Identity theft resolution can be emotionally taxing, time consuming and potentially expensive. It’s difficult to know where to begin or how to navigate through the maze created by legal, finan-cial and credit institutions. As a member of the Wisconsin Dental Association, you can purchase West Bend’s Home and Highway® policy at a special discount. In addition to many great coverages and benefits, you also have a solution to the problems identity theft can cause. It’s the Identity Protection Program and it offers: • Access to identity protection services that can help you avoid identity theft in a variety of situations, like when you’re trav-eling, relocating, getting married or after a disaster • Personal assistance to help resolve iden-tity theft-related problems • $30,000 in expense reimbursement coverage for costs like attorney fees, lost wages and long-distance phone charges

The program also gives you access to identity protection services for these trend-ing threats: • Email compromise • Social media compromise • Phish • Device compromise • Breach

For an additional nominal premium, you’ll have your own personal identity theft resolution professional and thousands of dollars of protection needed to restore your good name. Visit thesilverlining.com to find out more.

14 WDA Journal November 2014 WDA.org

Calendar*Shaded events offer continuing education credits.

The WDA Journal is published monthly by the Wisconsin Dental Association (USPS 0285-460), 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. Phone 414-276-4520. Yearly subscriptions are $20 for WDA members; $100 for nonmembers; $25 for associate members; $30 for dental school students; $45 for dental schools and agencies and $125 for foreign mailings. Periodicals postage paid at Milwaukee, Wis. POSTMASTER: Send address changes to WDA Journal, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. The Wisconsin Dental Association reserves the right to illustrate and/or edit all reader contributions. Views expressed in the WDA Journal are not necessarily those of the WDA. All advertising in the WDA Journal must comply with the advertising standards of the WDA. The publication of an advertisement is not to be construed as an endorsement for approval by the WDA or any of its subsidiaries unless the advertisement specifically includes information that such approval or endorsement has been granted. The deadline for all display advertisements is the second Tuesday of the month, two months before advertisement insertion (For example, if you want your ad to appear in the January 2015 WDA Journal, which is mailed to members in mid-December 2014, all advertising materials must arrive in the WDA Executive Office by the second Tuesday of November 2014.) Advertising space is limited, so advertisers are encouraged to reserve space early. Back issues of the journal are available for six months following publication or while supplies last. Communications and copy for publication should be addressed to Dr. Robert Brennan, editor, and may be mailed to the WDA at 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; faxed to 414-755-4111 or emailed to [email protected]. Portions of the WDA Journal can also be found on the WDA Web page, WDA.org.

OCTOBER29WDA New Dentist Networking & Continuing Education Event “Been There, Done That: Fundamentals of a Successful Dental Practice” 2 CE credits (nonclinical)6 - 9 p.m. Rock Bottom Brewery, 740 N. Plankinton Ave., MilwaukeeRegister at http://bit.ly/1panoICFor more information, contact Betsy Krekling at [email protected] or 414-755-4126.

NOVEMBER4“Eating Disorders: A Personal Story and the Dental Implications Eileen Donohoo, RDH and Mary Donohoo2 CE credits Visit www.marquette.edu/dentistry for more information.

5Dentistry Examining Board 8:30 a.m. 1400 E. Washington Ave., Rm 121A

19“Spanish for Dental Staff” Silvia Campazzo Northeast Wisconsin TechnicalCollege • Green Bay8 CE creditsFor more information, visithttps://corporatetraining.nwtc.edu.

24-26WDA offices closed for Christmas and floating holiday

31WDA offices closed for New Year’s Eve

JANUARY 20151-2WDA offices closed for New Year’s and floating holiday

FEBRUARY 6Give Kids A SmileVisit ADA.org to registerand for more information

11WDA Dental Academy Hilton Hotel in Madison

Contact Mara Brooks at [email protected] for more information

20-21WDA Board of Trustees meeting Hyatt Place in Madison

MARCH 18WDA Legislative DayMonona Terrace Convention Center in MadisonFor more information, contact Dana Ponce at [email protected]

–––––––––––––––––––––––––––––––

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

Department of Safety and Professional Services Madison

13-15WDA InSession and House of DelegatesFor more information, visit WDA.org

21“A Necklace of Oral Medicine and Pathology Pearls for Dental Hygienists” Dennis Lynch, DDS7 CE credits Visit www.marquette.edu/dentistry formore information.

27-28WDA offices closed for Thanksgiving

DECEMBER11-13“Success Strategies and Creating a Healthy Work Environment”Cathy Jameson9.5 CE credits Wisconsin Dental Study Club winter meeting The Grand Geneva Resort and Spa in Lake Geneva For more information, contact Dr. Gene Sorensen at [email protected]

NEW DENTISTS

Visit WDA.org for upcoming component meetings and events.

WDA.org November 2014 WDA Journal 15

1) E

2) B

Case study continued from page 10

Q&AA:

Final diagnosis:

Pyogenic granuloma

Discussion

Pyogenic granuloma is a reactive fibro-vascular or granulation tissue growth with remarkable endothelial and capillary proliferation. The term pyogenic granu-loma implies a lesion is a reaction to a pyogenic microorganism is a misnomer.

There is no relationship between these lesions and bacteria. While pyogenic gran-uloma in the oral cavity mostly involves gingival tissue, it can occur anywhere in the mouth.

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

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

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

To rule out other diagnostic possibilities, the surgical material should be evaluated histologically.

Acknowledgement: This case was contributed by Dr. Christopher Bergstrom (Appleton), an oral and maxillofacial sur-geon.

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

Jordy Nelson Packers Facebook contest

Congrats to Own Your Smile contest winners

Amanda Brezgel WDA Electronic Communications Coordinator [email protected]

communiqu e´

“Green Bay Packers wide receiver and Inside the Huddle” host Jordy Nelson posted one #OwnYourSmile Facebook post to his 354,000+ Facebook fans on Sept. 18 intro-ducing a contest to “like” the WDA Facebook page and win a jersey autographed by him.

The Wisconsin Dental Association began this contest with 4,109 Facebook followers and earned 2,387 new followers to end with a Facebook audience of 6,496. The Jordy Nelson Facebook contest ran from Sept. 18-26 and increased the WDA’s Facebook following by 58.09 percent.

This contest is part of the Own Your Smile oral health literacy, public awareness campaign media buy with Lammi Sports Management.

To keep our new Facebook followers engaged, WDA regularly posts oral health information and tips, public polls, etc.

One set of four Packer tickets for the Sunday, Nov. 16 game at Lambeau Field remains from the OYS preseason buy with the Packers Television Network. The communications and marketing team is formulating a plan to use the tickets as a way to increase the WDA’s Twitter audience.

Follow us on Twitter @wisconsindental to learn about this contest and all WDA news!

A round of applause for Dr. Mark Paschen (Baraboo) and Dr. Laura Rammer (Sheboygan), winners of recent Own Your Smile Wisconsin Dental Association member contests.

Dr. Paschen won four tickets to the Oct. 2 Packers vs. Vikings game at Lambeau Field by enhancing his Find A Dentist profile on ADA.org. His name was randomly drawn from a list of 805 WDA practicing dentists with enhanced FAD profiles.

Enhance your profile under “My ADA” at www.ada.org/en/member-center.

Dr. Rammer won four tickets and backstage passes to Oct. 20 taping of weekly “Inside the Huddle” TV show in Green Bay. Her name was randomly drawn from the 74 WDA prac-ticing dentists who completed a brief online survey about the first year of the Own Your Smile oral health literacy, public awareness campaign.

Watch for a story highlighting OYS member survey results in the December WDA Journal.

Green Bay football player Jordy Nelson, who appears on the TV show “Inside the Huddle”, encour-aged his Facebook fans to “like” the WDA page for a chance to win an autographed jersey of his. This contest earned the WDA 2,387 new followers.

Dr. Mark Paschen (Baraboo), an avid Packer fan pictured with Aaron Rodgers in May 2007, won tickets to cheer on the team at its Oct. 2 game when he updated his updating his Find A Dentist profile in the Own Your Smile member contest.

16 WDA Journal November 2014 WDA.org

Becoming a dentist is about more than just having a job. It is a professional career and finding the right fit is important. With this in mind, the Wisconsin Dental Association was invited back to Dr. Nick Shane’s (Elm Grove) practice management class at Marquette University School of Dentistry in September 2014 to present information about the various business models available. Last year’s presentation was well-received by students. “It is important for students to receive information about what practice options are possible, so they can make an educated-de-cision on how they want to practice dentist-ry. Hearing firsthand from the WDA and its members is just as important, because this reinforces the value of joining organized dentistry,” Dr. Shane said. While the WDA does not promote any one business model, WDA Member Relations Coordinator Betsy Krekling highlighted different options for practice: solo practitioner/ownership, partnership/dual ownership, associate, large group

dental practice and non-business models (e.g., Federally Qualified Health Centers, uniformed federal service and dental school faculty). Resources and tools were also provided to help students decide what is the right path for them after graduation. “Right now, we are focused on complet-ing our requirements, treating patients in

the clinic and preparing for the licensure exam... I am in the U.S. Navy so I am not in the same position as other students. But, hearing this information makes all of us think about our careers before we dive into society,” MUSOD student Thomas Korte said. WDA members Drs. Lysette Brueggeman (West Bend), Michael Grady (Milwaukee) and Gene Shoemaker (Waukesha) spoke to students in small groups to share their per-sonal experiences and answer any questions. “The final year of dental school shapes different types of questions from students. Our presentation prompted several specific questions which led to deeper questions students had been pondering. This class gave them an opportunity to get at least one more opinion. Even days later, a student from my group came up to me at MUSOD and thanked me for the discussion, com-menting it was the among the most “real” interactions they had with a practicing dentist and students were still talking about the class,” Dr. Brueggeman said.

WDA shares full spectrum of practice options

Fall/winter 2014 WDA patient newsletter in this issue

Emily Bultman, CDE WDA Communications Coordinator [email protected]

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #504

The fall/winter 2014 Tongue ‘n’ Cheek... and Teeth, too! patient newsletter is inserted in this issue of the WDA Journal. We encourage you to place this public information in your waiting area for patients to enjoy and to use as a basis for chair-side education. Tongue ‘n’ Cheek…and Teeth, too! also can be viewed in digital-flip format and downloaded on WDA.org. Articles in this fall/winter issue include: • Meet the dental team • Expanded health coverage spurs dental visit increase for college-age adults • Doctors of oral health • Become a label detective • E-cigarettes: A growing concern • TNC earns regional, national awards

A limited number of hard copies are available on a first-come, first-served basis. To request copies or share ideas for future TNC newsletters, contact WDA Communications Coordinator Emily Bultman at 414-755-4110 or ebultman @wda.org.

POP continued from page 10

Third from the right, Dr. Mike Grady (Milwaukee) talks with MUSOD students about his path in dentistry after the WDA business model presentation in September 2014.

Photo credit: Emily Bultman, WDA

POP Award reception on Nov. 13

Wisconsin Dental Association Pyramid of Pride Award recipients will be recognized on Thursday, Nov. 13 dur-ing the afternoon session (1:30 to 3:30 p.m.) of the WDA House of Delegates. Celebration of the attendees’ contri-butions will take place from 4:30 p.m. to 6 p.m. with a champagne and cake reception in the Exhibit Hall at the Wisconsin Center. Everyone is welcome to attend this event sponsored in part by Henry Schein Dental. For more information, contact Betsy Krekling at [email protected] or 414-755-4126.