Vol. 55, No. 6 - September, 2019

Feature

What are Website Metatags and Why You Should Careby Erich Larsen, SCCDS Communications Coordinator - page 31

Special Grapevine:Summer EventReview

INSIDE

The Official Magazine of the Santa Clara County Dental Society

pg 16

Featuring contributions byRobert Shorey, DDS, EditorSusan L. Quan, MBA, MPH, RDHChanel McCreedy, DDS, MPH

Nutrition and Dentistry

PART ONE OF A SPECIAL TWO-ISSUE FEATURE

2 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 3

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Future increase option with no medical underwriting1

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1 If medical questions are answered unfavorably, then full underwriting may be required and coverage is subject to approval of insurer.TDIC Insurance Solutions offers disability insurance as an agent or broker by agreements with our partner insurance carriers. Available coverage limits and discounts vary by carrier and are subject to carrier underwriting. The information provided here is an overview of the referenced product and is not intended to be a complete description of all terms, conditions and exclusions. Not available in all states. Like most group disability insurance policies, MetLife group policies contain certain exclusions, waiting periods, reductions, limitations and terms for keeping them in force. Contact your plan administrator for complete cost and details. A full description of benefits will be provided in the certificate.

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2 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 3

Help protect your income as a dentist.

Your income is your greatest financial asset over time. Help protect your livelihood with TDIC’s comprehensive disability coverage, made even more affordable with the group purchasing power of a MetLife insurance plan. Peace of mind in unpredictable times. It’s what we do best.

Apply for disability coverageUp to 60% of your income covered, as much as $15,000 monthly

Benefits may be paid even if you can work but cannot practice dentistry

Future increase option with no medical underwriting1

Learn more at tdicinsurance.com/disability or by calling 800.733.0633.

1 If medical questions are answered unfavorably, then full underwriting may be required and coverage is subject to approval of insurer.TDIC Insurance Solutions offers disability insurance as an agent or broker by agreements with our partner insurance carriers. Available coverage limits and discounts vary by carrier and are subject to carrier underwriting. The information provided here is an overview of the referenced product and is not intended to be a complete description of all terms, conditions and exclusions. Not available in all states. Like most group disability insurance policies, MetLife group policies contain certain exclusions, waiting periods, reductions, limitations and terms for keeping them in force. Contact your plan administrator for complete cost and details. A full description of benefits will be provided in the certificate.

Protecting dentists. It’s all we do.®

800.733.0633 | tdicinsurance.com | CA Insurance Lic. #0652783

Endorsed by the Santa Clara CountyDental Society

contents

Nutrition: It's Important for Good Preventive Care

This Month

News

New Members

Grapevine

Sponsor Index

Classified Ads

6

10

12

16

33

34

The History of Cane Sugar

The Oral-Systemic Connection and Nutrition

Grazers Get More Cavities

What Are Website Metatags and Why You Should Care

by Robert Shorey, DDS, Editor

by Robert Shorey, DDS, Editor

by Chanel McCreedy, DDS, MPH

by Susan L. Quan, MBA, MPH, RDH

by Erich Larsen, Communications Coordinator

ArticlesDepartments

9

18

25

28

31

Today's dental professionals must have broad knowledge of systemic health in order to provide next-level care to our patients. This includes knowledge of the impact of nutrition on oral health. Unfortunately, our present understanding of modern nutrition is confusing at best.Our next two publications will shed light on the topic of nutrition and recruit our dentists, hygienists and other dental health care personnel to renew their interest in this vital subject.

4 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 5

SCCDS StaffExecutive Director | Candace RoneyOperations Manager | Megan DuncanFinancial & Peer Review Coordinator | Katie LamCommunications Coordinator | Erich LarsenMember & Community Programs Coordinator | Michael TranAfter-hours Event Coordinator | Tim Sudano

PoliciesEditorial Content: It is the policy of SCCDS to accept articles in its magazine and website as vehicles for the fair sharing of information and opinion germane to and effective and useful for members in their practices. Members and vendors may submit articles.The Editor and Executive Director are authorized to reject an article if it is inappropriate, unnecessarily controversial, written in poor taste, self-promoting or inaccurate. Articles deemed questionable by our Editor and/or Executive Director may be reviewed by the Communications Committee and voted on, with a majority ruling. An author whose article has been rejected may assert their option to present to our Board of Directors for review and a final decision.Members and vendors may author only one article per issue and no more than four in a year. Exceptions are members of the Communications Committee, the Executive Committee and committee chairs.Legislative articles must be reviewed by the Santa Clara County Members Political Action Committee and submitted by that committee chair. The article must be educational without taking a position.Photos must be originals taken and submitted by the author. If there is no provenance for the photo, permission must be received from the photographer or the photo will not be used.Staff and the Editor reserve the right to edit an article for grammatical and spelling errors, sentence or paragraph construction, and length, remembering the goal of maintaining the message and tenor of the article.

Advertising Content: It is the policy of SCCDS to accept advertising in its printed publications and website as a service to members to inform them about services, opportunities and products germane to and effective and useful in their practices. Such advertising must be factual, dignified and adhere to the ethical guidelines for advertising establish by the ADA Principles of Ethics and Code of Professional Conduct, the CDA, and the advertising guidelines of the Dental Board of California. Advertising must be related to dentistry or provide a service or benefit to members.All advertisements submitted are subject to review by the Editor, Executive Director, or President. SCCDS reserves the right to accept or reject advertising for non-adherence to the Code or this policy. Such decisions will be non-discriminatory with regard to gender, religion, age, race or ethnicity.

The Official Magazine of the Santa Clara County Dental Society

Communications CommitteeEditor | Robert Shorey, DDSStephen L. Beveridge, DDS Steven L. Cohen, DDSR. Peter Griffith, DDS Jon Hatakeyama, DDSNima S. Massoomi, DMD, MD Baokhanh Nguyen, DDS, MSDJohn M. Pisacane, DMD

SCCDS MissionThe mission of the Santa Clara County Dental Society is to assist our member dentists with their practice needs and to improve the oral health of our community.

SCCDS VisionThe vision of the Santa Clara County Dental Society is to be the leader in providing innovative valuable services to our dentist members and in working to improve the oral health of the community we serve.

Awards2018 Overall Newsletter, Honorable Mention2018 Platinum Pencil Award for The Dentist's Mentor2016 Outstanding Cover, Honorable Mention2016 Leadership Article, Honorable Mention2016 Platinum Pencil Award for The Dentist's Mentor2015 Overall Newsletter2015 Special Citation Award for The Dentist's Mentor2013 Silver Scroll Division 2 Award

Affiliated with the American Association of Dental Editors

Contents copyrighted 2019 Santa Clara County Dental Society. No part of The Cutting Edge may be reprinted without written permission.

CPR TRAINING

LIFELINK CPR1371 S. Bascom Ave. San Jose, CA 95128

(408) 247-1231

Training in Office or at the SCCDS Office

Learn CPR with confidence!

Specializing in BLS/CPR for Dental ProfessionalsAHA 2 Yr. Certification

(408) 247-1231

Ben S. Stein, DDS Louis Tieu, DDS, MDAmy N. Tran, DDS Kenneth G. Wallis, DDSMonica H. Wu, DDS Bexter M. Yang, DDS, MS Niloofar Zarkesh, DDS, MS

FOR ALL INQUIRIES, SUBMISSIONS AND REQUESTS, PLEASE CONTACT US AT:

SCCDS Office1485 Park Ave., San Jose, California 95126T: 408.289.1480 F: 408.289.1483 EMAIL: erichl@sccds.orgsccds.org

4 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 5

Villa Ragusa 35 S. 2nd Street, Campbell

6 pm: Cocktails7 pm: Dinner

7:30 pm: Presentation

Join us on the second Thursday of the month!*

GENERAL MEMBERSHIP MEETINGS

CLOSEST PARKING FILLS QUICKLY. ARRIVE EARLY TO SECURE YOUR SPOT.

PARKING

SCCDS general membership meetings are prepaid dinner meetings for members. Registration and

check-in are required for entry, but require no additional charge. Deadline to register is the

Tuesday prior to the meeting.

Keyword verification is required for continuing education credit.

Non-CDA member DDS: $90Retired/Life Members: $35

Non-DDS: $45

*Meetings are held September through December and February through May.

INFORMATION

Villa Ragusa

2nd St. Garage

1st St. & RinconGarageE Rincon Ave.

Campbell Ave.

Civic Center Dr.

S. Second St.

S. First St.

REGISTER AT SCCDS.ORG OR CALL 408.289.1480 BEFORE THE TUESDAY PRECEDING THE MEETING.

Diagnostic Centric, Highly Preventive, Minimally Invasive Dentistrywith Joel White, DDS, MS

Thursday, September 12, 2019

Geriatric Dentistry

Radiology

It's New, But is it Any Better?An Update on Local Anesthesia

Cariology and Cardiology

Sleep Apnea/TMJ

October 10, 2019

November 14, 2019

December 12, 2019

February 13, 2020

March 12, 2020

with Dr. Elisa Chavez Luna

with Dr. Martina Parrone

with Dr. Alan Budenz

with Dr. Robert Lustig

with Dr. Jessica Sabo

6 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 76 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 7

key to reducing tooth loss due to the cycle of disease/repair.

Excellent processes of care are the first building blocks of excellence in dentistry. Good processes lead to good outcomes. Ap-propriateness of care is the key indicator for patients receiving the cost-effective preven-tion and treatment they need. Good appro-priateness of care leads to good outcomes. Dental outcomes are the ultimate goal for our patients: better care, better health, excel-lent value and an engaged workforce. This presentation will focus on excellence in den-tistry, emphasizing the value of being diag-nostic centric, highly preventive and mini-mally invasive.

Biography:Dr. Joel White received his DDS from The

Ohio State University and his MS in dental materials from the University of Michigan. He is a professor in the Division of General

Course Description:Dentistry is changing to meet demands

for quality and value. Patients and payers are looking for ways to determine levels of dental quality and oral health. Dental care quality measures developed and utilized are key measures of excellent processes, ap-propriateness and outcomes of care. These measures go far beyond the margins of a restoration and the fit of a crown. Quality care addresses the aspects of the quadruple aim: better care, better health, lower cost and an engaged workforce. Key components to quality care are the use of dental diagnosis, prevention and minimally invasive dentistry. Dental diagnoses are used as part of the pro-cess of care as the first step in determining appropriateness of care and outcomes of care. Primary and secondary prevention are key to avoiding picking up the drill, a sign of the failure of prevention. When intervention is needed, the minimally invasive approach is

Dentistry and Division of Biomaterials and Bioengineering in the Department of Pre-ventive and Restorative Dental Sciences at UCSF, as well as a full-time faculty member at the UCSF School of Dentistry. He's been providing general dental care since 1987 for multiple generations of patients in the Fac-ulty Group Practice. Dr. White teaches clin-ical dentistry to predoctoral dental students and Advanced Education in General Den-tistry residents, and is also active in research.

with Joel White, DDS, MS

September events and coursesShuttle Bus to ADA & FDI World Dental Congress 2019

CPR Certification

CPR Certification

CPR Certification

Fall Shredding Party

CPR Certification

CPR Certification

September Meetup

9-5, 9-6, 9-7-19

9-6-19

9-7-19

9-9-19

9-14-19

9-16-29

9-23-19

9-24-19

6 am

9 am - 1 pm

10 am - 2 pm

6 - 10 pm

9 am - 12 pm

6 - 10 pm

6 - 10 pm

6:30 - 8:30 pm

Date Time

SCCDS General Membership Meetings are held on the second Thursday of February,

March, April, May, September, October, November and December at:

Villa Ragusa: 35 S. 2nd Street, Campbell(on 2nd St. off of Campbell Ave.)

NOTICE:Phone registrations are not available after

12 pm on the Tuesday before each General Membership Meeting. Instead, please reg-ister for the meeting through our website,

sccds.org.

September 12, 2019 General Membership Meeting Topic:

Diagnostic Centric, Highly Preventive, Minimally Invasive Dentistry

Members! Our General Membership Meeting will now include a delicious buffet meal instead of the traditional dinner service. We hope you enjoy this new dinner offering!

6 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 76 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 7

PRIVATE SCREENING EVENT

Get your tickets now at sccdf.org

SAVE THE DATEThursday, December 19, 2019

8 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 98 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 9

SCCDS CPR TRAINING

COURSE INCLUDES• Registration• All course materials• Lecture• Audio/visual presentation• Demonstrations• Written and practical exam$55

WITH MARK GANLEY OF LIFELINK

Registration and payment required prior to attending the course. Refunds or rescheduling will NOT be given for no-shows. 24-hour-notice required for rescheduling.

Courses are held at the SCCDS Office1485 Park Avenue, San JosePhone: 408.289.1480

DO NOT BLOCK NEIGHBORS’ DRIVEWAYS OR MOVE TRASH CANS.

2019 SCHEDULECPR certification is REQUIRED for ALL dental professionals and is highly recommended for front office staff. Completion of this course provides an American Heart Association CPR card which is valid for two years.

Monday: 6 pm - 10 pm, Friday 9 am - 1 pm, Saturday: 10 am - 2 pmFriday and Saturday are shown in bold type

All CPR courses are now 4 hour certification courses. There is no longer a distinction between

certification and recertification.

Register NOW at sccds.org

September: 6, 7, 9, 16, 23October: 4, 5, 7, 14, 21

November: 1, 2, 4, 11, 18December: 2, 6, 7, 9, 16

SB 1343 requires employers with five or more employees to provide training to all employees about preventing harassment and hostile workplace issues.ALL employees must take the course by January 1, 2020. Non-super-visory employees will take a one-hour course and supervisors will take a two-hour course. Both courses run concurrently on the dates listed. This training must be renewed every two years.

SUPERVISORS 2 HR COURSE: $75NON-SUPERVISORS 1 HR COURSE: $55

COURSES WILL BE HELD AT THE SCCDS OFFICE1485 PARK AVE., SAN JOSE

OCTOBER 1, 6 - 8 PMOCTOBER 28 AT 12 PM (WEBINAR)

NOVEMBER 15, 8 - 10 AMNOVEMBER 20, 6 - 8 PM

DECEMBER 4, 6 - 8 PMDECEMBER 20, 8 - 10 AM

REGISTER NOW AT SCCDS.ORG

Respect

We Save You Time, Money & Take The Stress Away!

www.MakeComplianceSimple.com(408) 362-9550

In-House Compliance Consulting, Training, and Support Services:

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SEXUAL HARASSMENTPREVENTION COURSE

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8 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 98 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 9

Nutrition: It's Important for Good Preventive Care

by Robert Shorey, DDS, Editor

The mouth is the first sensory and masti-catory place where human nutrition begins. Teeth allow us to begin digestion of nutri-ents and provide very important visual so-cial interactions through the expression of emotions and speech to others. This is why dentistry is so important to health care. All dentists are taught that refined sugars cause decay, but less focus has been placed on general nutrition, understanding our rela-tive need and the effect of macronutrients to support good human health. Many see food from a perspective of calories but not the unique effects nutrients provide human metabolism. Just a simple understanding of the differences in natural vs. refined carbo-hydrates and other macronutrients that have a substantial influence on decay prevalence is lacking.

Dental caries has been a long-term plague on mankind and is currently experienced at high levels in our so-called modern and sophisticated society. Archeological records provide some insights into our past and current state of oral health relative to den-tal caries. It is generally believed by arche-ologists that the caries rates of primitive humans were much lower than they are for modern man. ADA noted in 2015 that 91% of our US population age 21 and above have experienced dental caries. Primitive human caries rates were generally thought to be somewhere around 6%. The belief is that caries rates had a huge uptick once humans began agriculture farming and the amount of fermentable carbohydrates increased in the foods eaten beyond that of typical hunter-gatherers. The Egyptians, known for being bread eaters, were revealed to have a

higher caries rates than other less-civilized cultures of their time.

Humankind exhibits an innate desire to refine and manipulate what we find in our environment. Because of our omnivorous nature, we have been busy transforming our food without clear understanding of the unintended consequences of our activity. If only we were as good at documenting the changes that have occurred in human soci-ety, specifically in relation to health, as we have been at changing our foods.

Unfortunately, the present understanding of modern nutrition is confusing and there is no definitive scientific consensus as to what is proper human nutrition. The food pyramid, developed by the US Department of Agriculture, health-care experts and our politicians, was thought to address health is-sues and poverty in our nation. Over the last 40-50 years, well-meaning physicians, nu-tritionists and health-related scientists have advocated for low-fat, high-carbohydrate lifestyles to prevent heart disease and other associated vascular diseases. A retrospective analysis of the results of this transformation has not been positive. Type II diabetes is on the rise (close to 29 million Americans) and rates of caries, vascular disease and inflam-matory disease remain high. These results bring us to question whether these nutri-tional guidelines are healthful. When one of our greatest current concerns is the sky-rocketing cost of healthcare, preventing such problems from increasing should be high on our list of priorities.

In 2018, Dr. Robert Lustig, a UCSF pedi-atric endocrinologist, lectured to our dental colleagues at the fall CDA Presents about

what is referred to as Metabolic Disease Syndrome. He believes the highly-processed foods of modern society containing large amounts of refined sugar and carbohydrates are responsible for the rising rate of insulin resistance and type II diabetes and contin-ued high caries rates. An important take-away of his lecture noted that even under the most ideal water fluoridation circumstances, caries rates would likely remain at a 35-40% level. In order to bring levels below 35%, he believes we must focus on nutrition and specifically the level of processed and refined carbohydrates in our modern foods.

In December 2018, the NIH (National Institutes of Health) called for feedback from interested health-care providers as it seeks to launch a ten-year study on nutrition. In the discussion, NIH recognized the cur-rent state of scientific knowledge of human nutrition is confusing and lacking. One in-teresting note in reviewing its posted online documents was that the advisory panels con-vened to work on this nutrition study proj-ect consisted of mostly physicians and nu-tritionists, but no dentists. A disappointing finding when one realizes that dentistry has a long history of recognizing the importance of nutrition to dental caries, oral health and general health.

Our next two “Cutting Edge” publica-tions will shed light on this important topic and recruit our dentists, hygienists and other dental health-care personnel to renew their interest in nutrition and join in the quest to implement the scientific knowledge of nutrition into our daily clinical preventive practice of dentistry. Our feature begins on page 18.

Special Two Issue Feature: Nutrition and Dentistry

10 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 11

Proposed Leaders for 2020Dr. Baokhanh Nguyen is moving from

President-Elect to President in January, 2020. At the same time, Dr. Bexter Yang is moving from Treasurer to President-Elect and Dr. Shakalpi Pendurkar from Secretary to Treasurer.

Your Nominating Committee, chaired by Immediate Past President Dr. Ned Nix, has proposed the following slate of officers and board members to serve in 2020:

• Secretary: Louis Tieu, DDS, MD• New Directors-at-large: Lourdes

Abiog, DMD; Mamta Desai, DDS; Monica Wu, DDS

Voting will occur at the September 12, 2019 General Membership Meeting.

Changes to The Cutting EdgeBy now, you may have noticed some of

the changes we've made to the monthly SCCDS magazine over the summer. Some of the changes are subtle, while others are more obvious.

Of course, the most obvious change is the incorporation of event promotions and sponsor advertisements throughout the is-sue. This means that the sections "Events" and "Marketplace" are no longer necessary. In fact, you'll notice that the magazine is no longer divided into distinct sections. This allows us to offer a variety of content with-out the constraint of fitting it into a specific section.

You'll also see other improvements such as design modernizations, a condensed is-sue masthead area that includes our Edito-

rial and Advertising policies, a tighter and cleaner Sponsor Index and a new table of contents page.

We hope you enjoy these improvements. Of course, all feedback is appreciated. Let us know what you think! Send an email to Erich Larsen, Communications Coordina-tor at erichl@sccds.org.

Also, our publications are always ac-cepting content submissions. If you would like to contribute articles, photos, artwork or other relevant content, please send your submission to content@sccds.org for review.

Practices Have Less Than 6 Months Left to Take the Mandatory Sexual Harass-ment Training Course

SB 1343 requires employers with five or more employees to provide training to all employees about preventing harassment and hostile workplace issues. ALL employ-ees must take the course by by January 1, 2020. Non-supervisory employees will take a one-hour course and supervisors will take a two-hour course. Both courses run con-currently on the dates listed below. This training must be renewed every two years. Come take the course with us live on Oc-tober 1, November 15, 20 or December 4, 20 or take our next live webinar from the comfort of your office on October 28.

New Committee Folds All Communica-tions Function Into a Single Committee

With the goal of better coordinating and streamlining planning and oversight of all communications functions for the Society, a new Communications Committee has been

formed to address the previous responsi-bilities of the Editorial Board, Web Over-sight Committee and the Public Relations/ Communications Committee.

Editor Dr. Robert Shorey is chairing the new committee.

The Communications Committee is charged with providing strategic direction and oversight for the variety of tools the So-ciety uses to communicate with its members and the community: the magazines, the website, social media, marketing materials and media relations. The committee will assist staff in determining target audiences, messaging, development and execution of a communication plan and direction of the Society’s branding. The Communications Committee is also charged with helping to increase non-dues revenue through ad-vertising, promoting society activities and events and establishing connections with outside resources related to our members’ needs.

Current committee members have been drawn from the former Editorial Board, Web Oversight and Public Relations/ Communications committees.

Members interested in joining this im-portant effort should contact Dr. Robert Shorey at ShoreyDDS@gmail.com.

newsIn Memoriam

Paul G. Gardner, DDS Jan. 1, 1926 - Jun. 11, 2019

and his wife: Jacqueline Gardner

Jun. 16, 2019

Myrna G. Serrano Hilo, DMD Sep. 11, 1953 - Jun. 12, 2019

10 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 11

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12 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 1312 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 13

new members

Mariam S. Abadir, DDSGeneral Practice877 W Fremont Ave Ste C3Sunnyvale, CA 94087-2319Dr.mariamabadir@gmail.comUCSF, 2019

Heba Almalfouh, DDSGeneral PracticeHeba.Almalfouh@ucsf.eduUCSF, 2019

Ladan Behzadi, DDSGeneral Practice(408) 220-5914Behzadi.Ladan@gmail.comUOP, 2019

Sejal Bhayani, DMDGeneral Practicesejal.abcd@gmail.comUniversity of Pennsylvania, 2018UCLA, 2019

Mitali Binani, DMDGeneral Practicemitalibinani@gmail.comUniversity of Louisville, 2016

Gregory Chan, DDSGeneral Practice(408) 221-2203gregorylac@gmail.comUCLA, 2019

Irene Chasen, DDSGeneral Practiceivc100@gmail.comUniv WA, School of Dentistry, 2001

Arian Chehrehsa, DDSGeneral Practice5595 Winfield Blvd Ste 202San Jose, CA 95123-1220(408) 679-1408achehrehsa@gmail.comNew York University, 2013

Vivian W. Cheng, DDSGeneral Practice460 E Calaveras BlvdMilpitas, CA 95035(408) 263-4443vcheng11@hotmail.comTuft University, 2000Brooklyn Hospital, 2001

Jeremie DeZwirek, DDSGeneral Practice3572 Parkland AveSan Jose, CA 95117j_dezwirek@u.pacific.eduUOP, 2019VA Medical Center, 2020

Veniamin I. Dronov, DDSGeneral Practice10440 S De Anza BlvdCupertino, CA 95014-3018v_dronov@u.pacific.eduUOP, 2018Highland General Hospital, 2019

Yianni A. Ellenikiotis, DDSGeneral Practiceyellenikiotis@gmail.comMA-Harvard Dental School, 2017

Robert Frey, DDSGeneral PracticeRjmfrey@me.comLoma Linda Univ., 2019

Eric B. Fu, DDSGeneral Practice(408) 368-5183e_fu1@u.pacific.eduUOP, 2019

Ryan Gaw, DDSGeneral Practice(408) 401-9739elephantflea@yahoo.comUCLA, 2019

Ignacio Esaul Mendoza Ham, DDSGeneral Practiceigesamh219@gmail.comUniversidad De La Salle, 2015

Inyoung Huh, DMDGeneral Practice877 W Fremont Ave Ste K1Sunnyvale, CA 94087-2332huhinyoung@gmail.comCase Western Reserve, 2012

Didi Hui, DDSGeneral Practice(580) 749-9370ddhui423@gmail.comWest Univ of Health Sciences, 2017VA Medical Center, 2018

So-Yon Jang, DDSGeneral Practices_jang3@u.pacific.eduUOP, 2019

Joshua E. Kriegstein, DMDGeneral Practice(805) 630-6164Josh.Kriegstein@Gmail.comWest University of Health Sciences, 2018

Mini Krishnakumar, DDSGeneral Practiceminivinesh@gmail.comUSC, 2019

Vanessa A. Kristensen, DMDGeneral Practicevakristensen@gmail.comArizona School of Dentistry, 2018

Apurva Kulkarni, DDSGeneral Practice(408) 613-0877apurvakulkarni123@gmail.comUCLA, 2019

Yu Cheng G. Kuo, DDSGeneral Practice678 San Luisito WaySunnyvale, CA 94085(425) 503-9208georgekuodds@gmail.comUOP, 2018

Joanna H. Lee, DMDGeneral Practice1002 E El Camino RealSunnyvale, CA 94087leejoanna45@gmail.comRoseman Univ. of Health Sciences, 2019

Nhi Le, DDSGeneral Practice(408) 497-6121Nhivinale@gmail.comUCLA, 2019

Kevin Liang, DDSGeneral Practicekevin.liang4@gmail.comUCLA, 2019

Sean H. Lin, DDSGeneral Practice90 E Taylor StSan Jose, CA 95112seanhlin@gmail.comUCSF, 2017VA Medical Center, 2018

Karisma I. Mancias, DDSGeneral Practicekmancias627@gmail.comUOP, 2019

Sharon Manosov, DDSGeneral Practicesharon.manosov@gmail.comInternational University, 2018

Amritha R. Minisandram, DDSGeneral PracticeCase Western, 2019

12 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 1312 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 13

M. H. Sadeghi, D.D.S.Anesthesiologist

Ambulatory Anesthesia Practice • Board Certified, American Dental Board of Anesthesiology

• Former Assistant Professor of Anesthesiology, University of Pittsburgh School of Dental Medicine

• Over 20 Years of Experience• General Anesthesia and IV Sedation in the Dental Office• All Pediatric and Adult Patients Practice Limited to Anesthesiology

www.drsadeghianesthesia.com (831) 464-3011

Email: mhs5@pacbell.net

•

Ryan J. Mui, DDSGeneral Practiceryanmui@yahoo.comUOP, 2019

Raman E. Nazari, DDSGeneral PracticeRamanNazariDDS@gmail.comUCSF, 2018

Kira Nelson, DDSGeneral Practice629 Washington StSan Jose, CA 95112ie.kira.n@gmail.comArizona School of Dentistry, 2019

Vian Ngo, DDSGeneral Practicev_ngo11@u.pacific.eduUOP, 2019

Yen H. Nguyen, DDSGeneral Practicey1nguyenada@gmail.comUCSF, 2019

Henry Qiu, DDSGeneral Practice(408) 420-2354darkdemon40k@gmail.comUCLA, 2019

Parisa Radi, DDSGeneral Practicerissradi23@gmail.comUCSF, 2019

Nazanin Rahimi, DDSGeneral Practicenrahimi@usc.eduUSC, 2019

Saumya S. Ram, DDSGeneral PracticeSaumyaram@gmail.comUOP, 2019

Christopher Rodriguez, DDSGeneral Practicechris_rod408@yahoo.comInternational Univ, 2019

Matthew G. Spero, DDSGeneral Practice10383 Torre Ave Ste ICupertino, CA 95014-3238dr.matthewspero@gmail.comUOP, 2018UOP, 2019

Patrick T. Suezaki, DDSGeneral Practice250 Montclair Ave Ste CSan Jose, CA 95116-1761psuezaki@yahoo.comUOP, 2018

Jessica T. Sung, DMDGeneral Practicejessica.sung.dmd@gmail.comNova Southeastern Univ, 2015VA Medical Center, 2016

Derek J. Tow, DMDGeneral Practice(408) 891-2103derek_tow@outlook.comWest University of Health Sciences, 2019

Michael Trieu, DDSGeneral Practice(408) 705-5680mtrieu51@gmail.comUCLA, 2019

Amanda Tsoi, DDSPediatric Dentistry17705 Hale Ave # A-5Morgan Hill, CA 95037-4340(408) 779-2747a_tsoi@u.pacific.eduUOP, 2014Children's Hospital Ohio, 2016

Christie Tu, DDSGeneral Practicechristietu@gmail.comUSC, 2019

Madhavi Vangala, DMDGeneral Practice20 Facebook WayMenlo Park, CA 94025madhavi_raj@hotmail.comBoston University, 2009

Chandana Vundavalli, DDSGeneral Practice451 Blossom Hill Rd Ste 20San Jose, CA 95123chandana.vundavalli@gmail.comUOP, 2018

Mark Watanabe, DDSGeneral Practice122 Saratoga AveSanta Clara, CA 95051mkwatana@gmail.comUCSF, 2017

MEMBERS: Please take a moment each month to review your entry in our directory AND online at sccds.org You can easily manage your own account on the website. Log in to the site, select "View Profile" and then select "Edit Profile."

If you see any errors in your entry in the printed directory, please contact:

Michael Tran, Membership Coordinator Phone: 408.289.1480

Email: michaelt@sccds.org

14 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 1514 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 15

SHRED

SEPTEMBER 14from 9 am until 12 pm

with e-WASTE RECYCLING

1485 Park Ave., San Jose

SPRING SHRED SPONSORED BY

CALL 408.289.1480 TODAY TO RESERVEYOUR TIME SLOT AND NUMBER OF BOXESNOTE: XRAYS MUST BE SEPARATED!

SEPTEMBERMEETUP

Bring your business card and get ready to meet up with friends, colleagues and connections over delicious small plates. Whether you’re looking to buy or sell a practice, hire an associate, join a committee, land the perfect job or just make some new friends,

this is the event you don’t want to miss.

Sept. 24 from 6:30 - 8:30pm

This event is FREE and open to all: members and non-members, new and experienced. We want to meet YOU!

REGISTER AT SCCDS.ORG

SCCDS Office: 1485 Park Ave., San Jose

Abuse represents a spectrum of behavior. It is repetitive in nature and fatal abuse is often preceded by minor manifestations of maltreatment, which could be overlooked by dentists and their staff. Under California law, each person licensed by the Dental Board of California and Dental Hygiene Committee of California is a “mandated reporter” for known or suspected abuse or neglect of a child, elder or

dependent adult and incidents of violence.

This informative lecture will teach the whole team all the information they need to know to detect the signs of abuse.

A question and answer session will follow the lecture.

October 15 from 6 pm - 8 pm

Register at sccds.org

at the SCCDS Office: 1485 Park Ave., San Jose$35 • 2 CE Units

Mandatory Reporting of

Know the Signs and What to Do.with Victoria Robinson, Office of the District Attorney

Elder Abuse

14 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 1514 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 15

All classes held at the SCCDS Office: 1485 Park Ave., San JoseSeating is available on a first-come first-served basis. Register at sccds.org today to guarantee your seat!

with Eloise Reed, RDA, CDA, BAInfection Control,Dental Practice Act & OSHA

CDA members and staff: $65; Non-CDA members: $215

2.5 Hour Infection Control & OSHAFulfills requirement for license renewal with the Dental Board every 2 years and the yearly federal requirement for OSHA

Class time: 8 am - 10:30 pm

September 13, October 11 FOR UNLICENSED DENTAL ASSISTANTS

Course fee: $375

8 Hour Infection Control & Dental Practice ActNon-RDA dental assistants are required by the Dental Board of California to take an 8-hour training course in infection control and a certified 2-hour Dental Practice Act course. This program satisfies these requirements. This course consists of 4 hours of online study

that must be completed prior to the 4 hours in-class. Check-in begins at 8 am. Lunch included! Co-instructor: Maureen Vander Zwaag of Make Compliance Simple.

Check in at 8 am / Class time: 8:30 am - 3:30 pm

CDA members and staff: $110; Non-CDA members: $260

4.5 Hour Infection Control, DPA & OSHAAll LICENSED dental professionals are required to take Infection Control and Dental Practice Act (DPA) courses in order to

renew their licenses every two years. OSHA training is also required for all staff once per year. This course satisfies all 3 requirements. Breakfast is included.

Class time: 8 am - 12:30 pm

CDA members and staff: $65; Non-CDA members: $215

2 Hour Dental Practice Act (DPA)Fulfills requirement for license renewal with the Dental Board every 2 years

Class time: 10:30 am - 12:30 pm

September 27, October 25FOR LICENSE RENEWAL

CALL 408.289.1480 AND ASK ABOUT OUR SOCIAL MEDIA DISCOUNT!

September, 2019 | The Cutting Edge | 15

16 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 1716 | The Cutting Edge | September, 2019

Left: SCCDS Past President Dr. Diane Casey spins cotton candy for the kids. Center: Drs. Monica Wu, David Lai (dressed as an avocado), Sarah Murray and SCCDS President Niloofar Zarkesh. Right: A crowd of kids lined up to take a whack at our festive pinata!

The Dental Society had a great summer picnic and "fiesta" at Vasona Park in Los Gatos. The weather was perfect, the food was deli-cious and families had a wonderful time with each other. There was face painting, a bounce house, a raffle with great prizes and much more. We hope to see you at the next picnic! Adults L-R: Drs. Bexter Yang, Nick Nguyen, Jennifer Yao, Teresa Dao, Erin Beveridge, Rahul Patel, Angela Chai and her guest, Drs. Niloofar Zarkesh and Jason Wu with his guest, Candace Roney, SCCDS Executive Direc-tor, Chris Vu, Jerry Roney, Drs. Monika Wu, David Lai and Michael Tran, SCCDS staff.

Our longest-serving staff member, Sherry Williams, retired in July. Of course, we couldn't let her go without throwing her a retirement party! Above, left, Karen Williams delivered a beautiful speech about her mother, Sherry. Center: CDA and SCCDS Past President Dr. Ken Wallis with Sherry. Right: Drs. Pamela Nomura, SCCDS Past President Carol McCutcheon, Sherry and SCCDS Executive Director, Candace Roney. See more photos from the party at sccds.org/sherry-williams-retires-from-sccds/

16 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 17September, 2019 | The Cutting Edge | 17

Left: Congratulations to Drs. Kayhan Mashouf and Shannon Hayashibara on the arrival of their son, Kai! Right: We also want to congratulate SCCDS friend and printer, Roger Ercolini on the birth of his granddaugther, Mia. Welcome to the world, kiddos!

Drs. Monica Wu and Jennifer Yau had a great time at the 2019 Bay to Breakers run in San Francisco!

Thanks to Amanda Le (daughter of Dr. Que Van Le and pre-dental student) and Ethan Lam (son of staff member Katie Lam) for helping the society of-fice go digital over the summer.

Left: Drs. Jennifer Yau, Priti Patel and Rahul Patel joined other SCCDS mem-bers and their guests at our annual Ice Cream Social in July. Cooling off with sundaes, floats and cones has become a sweet summer tradition!

As summer draws to a close, our New Member Barbecue is always a tasty way to meet and welcome our newest members. L-R: Drs. Robert Frey, Julia Townsend, Stephen Beveridge, Erin Beveridge-Cabuling, Mamta Desai and Kira Nelson.

Summer Babies!

18 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 1918 | The Cutting Edge | September, 2019

When illness happens, it is rarely due to a single factor. More likely, there are a number of contributing factors that lead to dysfunction and disease. For example, a person rarely has a heart attack simply from eating an unhealthy diet. Cofactors might include smoking, lack of exercise, genetics, oral health and nutrition. For this reason, the oral-systemic framework is quickly becoming the paradigm by which health- care providers must prac-tice our specialty.

Human beings are a complex network of systems that work together to live the healthiest life possible.

Oral-Systemic ConnectionThe

and Nutrition: The Dentist's Role

18 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 19

The increasing body of research linking oral health and systemic health now requires that dental providers have broad knowledge of systemic health in order to provide next-level care to our patients. Furthermore, the internet has empowered patients to be educated consumers of health care who de-mand comprehensive health care from their entire team of providers, including dental professionals.

The Mouth is Where it BeginsThe mouth is the entry portal by which

the rest of the body lives, literally. This means that when we take care of our mouth, we will greatly decrease risk for oral disease as well as systemic long-term illness. Con-versely, not taking care of the mouth will likely result in higher risk for decay, peri-odontal disease, oral cancer and virtually every systemic disease downstream from the mouth. Nutrition, good and bad, has an integral role in both oral and systemic disease. As such, dental providers are not only masters of managing oral disease, but also can have an immense impact on the systemic health of our patients. The inte-gration of nutrition education in our daily practice means that the dental profession has the power to make a significant positive impact on our national long-term disease epidemic, and this is very exciting for den-tistry! The role of nutrition is so power-ful in influencing health that the next two issues of The Cutting Edge magazine will be devoted to various aspects of its role in well-being including 1) a look at the evolu-tion of the modern diet as a function of our US food supply chain, 2) an examination of sugar, salt and fat metabolism and their roles in long-term illness, and 3) a discus-sion of nutrition’s role in gastrointestinal dysfunction and disease. Lastly, we will conclude with a look at modern concepts in weight control including diet trends and the value of a vegetarian diet.

Where Are We Now?A 2016 quantitative and qualitative anal-

ysis of nutrition education within dental hy-giene curricula in the United States showed wide disparities in the degree to which nutritional study was included in their pro-grams.1 This ranged from nonexistent to comprehensive oral-systemic discussion, with the majority of programs primarily providing rudimentary caries assessment only; and merely entry-level nutritional as-sessments in others. This study also con-cluded that having a standardized model for nutrition education would be much more meaningful to address the Healthy People 2020 health initiatives.1 Dental and medi-cal schools did not fare any better. Similar-ly, a 2017 study found that dental students spent [on average] 15.9 hours of their cur-riculum in nutritional study and only 25% of U.S. medical schools had nutrition in their curriculums at all.2 In spite of these shortcomings, the dental professional is po-sitioned perfectly to make a huge contribu-tion to healthy living by incorporating nu-trition education into the delivery of dental services.

Historical PerspectiveIn order to understand the importance of

nutrition education and how the dental pro-fession can have a huge impact on long-term disease in the US, we must first understand why nutrition education is so integral to what we do for our patients. Food produc-tion and consumption in the US, and most of the industrialized world, has dramati-cally changed over the last 80 years. Un-fortunately, many of these changes occurred during and after the World Wars in the name of convenience. A booming popula-tion, larger family units and work demands in rebuilding the country meant that farm-ers and food scientists had to develop in-novative ways to produce food quickly and in mass. Between 1946 and 1965, the US

population grew by 50 million, representing 40% of the total population, thus creating the “Baby Boom”.4 This generation created great innovations and economic prosperity to support our country’s growth, including food production methods.

Automation ensured that people could buy food readily and cheaply. Along the way, the demand for convenience and exquisite tastes further pushed food scientists to find innovative ways to provide more choices for consumers. Early innovations included refrigeration, canning, mass transport and mechanized farming techniques. Recent innovations (1960s and beyond) include the use of pesticides, preservatives, flavor en-hancers, hybridization, more mechanized farming, selective acceleration and genetic modification. In 1921, America began its fast-food craze with White Castle being the first, followed by Dairy Queen in 1940 and McDonald's in 1948.3 By 1930, Clarence Birdseye brought the first frozen food to the consumer market.3 Before long, the ability to buy food fast and prepared became syn-onymous with convenience and status.

Similar to the 1940s, recent govern-ment data analyzed by The Pew Research Center finds that we are on the cusp of yet another population “boom” as Millennials are poised to outnumber the Baby Boomers within the next ten years. This will likely lead to more demand on our food supply chain in coming years.

The Beginning of an EpidemicFood manufacturers recognize that in

order to increase sales, it is necessary to produce foods that are attractive and tasty enough for consumers to want more. This often results in foods that contain high amounts of sugar, salt, fat and artificial en-hancers. Foods have not only become more processed and modified [thereby becoming less nutrient dense], but food production cycles have become significantly shorter.

Special Two Issue Feature: Nutrition and Dentistry

20 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 2120 | The Cutting Edge | September, 2019

More recent agricultural studies have be-gun to look at whether such short produc-tion cycles have led to nutrient depletion in our soil, also compromising the quality of food. The relationship between consumers and food manufacturers is a symbiotic one - the more demand, the more production; the more production, the more choices for consumption.

This economic cycle is a self-fulfilling prophecy for long term-illness. Along the way, the once-prosperous and innovative food production industry has become a lurid expression of over-consumption. By 2000, Americans saw unprecedented spikes in obesity15 and other related long-term ill-ness as a result of food addiction to refined carbohydrates, sugar, salt and fat. Obesity-related long-term illnesses include diabetes, cardiovascular disease, inflammatory con-ditions, gastrointestinal dysfunction and death.

The Costs of ObesityIn 2008, 68% of Americans were consid-

ered obese according to the Centers for Dis-ease Control.6 In an average 40-patient per week dental hygiene schedule, this equates

to 27 patients within our practice who po-tentially have related long-term illness. The medical costs associated with treating obe-sity and all its related long-term illnesses is approaching an annual cost of $210B8, which includes hospitalizations, medica-tions, missed work, lost productivity and even death. According to the Centers for Disease Control, the US currently spends $3.3T on health-care costs.9 The chart be-low shows a breakdown of the highest obe-sity-related long-term illnesses.

With higher rates of disease comes in-creased reliance on prescription medica-tions to manage them. A 2013 Mayo Clinic report stated that 70% of Americans take at least one prescription medication for long-term illness.10 Currently, US expenditure on prescription medications is approximate-ly $330B, representing 17.9% of our GDP.11 With such staggering statistics, it is safe to say that the majority of the patients we see in the dental chair are likely living with a long-term illness and taking medication for it. Additionally, 8 out of the top 10 pre-scribed drugs in the US are for managing high blood pressure, cardiovascular disease and diabetes12 – all of which are related to obesity and can be positively impacted with

good nutrition. As dental practitioners, we can no longer look at these medications re-ported on health histories as commonplace and with indifference.

High Stakes for Dentistry Dentistry must look at good nutrition

education as a disease management and prevention strategy, no different than de-cay and periodontal disease-control strat-egies. Taken as a whole, proper nutrition education in the dental profession has the potential to help people prevent and reduce long-term disease, cut dependence on pre-scription medications, drastically reduce health-care costs, age healthier and even save lives. With the current oral-systemic framework that dictates dental care today, incorporating nutrition education can have an immense impact on our national health-care crisis and ultimately bridge the gap be-tween dentistry and medicine.

Making a Daily ImpactWhile the case for nutrition education in

dentistry is a compelling one, implemen-tation can be a challenge. But the failure to do so is costly. In order to be effective at making an impact, three things need to happen for successful implementation:1. Ask all the questions!2. Become educated and informed.3. Adopt a holistic framework for practice.

Ask all the questions. Dentists and den-tal hygienists make a career of asking ques-tions – reviewing medical histories, sleuth-ing to make a diagnosis when patients have dental problems, inquiring about home-care practices, learning about the lives of the pa-tients we serve. Implementing nutrition education is no different, but will require a different set of questions that elicit patients’ responses that give information about the role of nutrition in their lives. It is helpful to lookout for segues to having a conversa-

(Continued from page 19)

US Real and Associated Long-term Healthcare Costs (2019)

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Special Two Issue Feature: Nutrition and Dentistry

20 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 21September, 2019 | The Cutting Edge | 21

tion about nutrition. When reviewing medical histories, it is equally important to ask about social history, for social history drives nearly all of a person's lifestyle choices.

• Are you following any special dietary practices at this time, and why?

• What lifestyle changes have you incorporated to address your particular medical condition?

• Do you believe nutrition has a role in your medical condition(s)?

• How do you feel about your current dietary prac-tices?

• How has your diet changed in the last 3-5-10 years? • How is the rest of your gastrointestinal health? • Are you able to eat all the things you want to with-

out any problems? • Do you feel your diet is well-balanced?• What is the state of your hydration?

Before beginning an inquisition into a person’s nutri-tion, it is important to state why you are concerned about their nutritional health. It is already second nature to dis-cuss the relationship between sugar and decay risk. This mindset will lead easily to a conversation about general nutrition and other aspects of health.

Become educated and informed. It goes without say-

ing that once the information is elicited, we must be pre-pared to answer questions in an informed manner. While nutrition education has many facets to it, clinicians must take the time to understand the state of nutrition today, the lifestyle choices that lead to our patients’ food choices, be prepared to support and guide patients toward sound healthy lifestyle choices (and with specific regard to their medical conditions.) Dental professionals must adapt a healthy living mindset while being sensitive not to practice medicine. Furthermore, it could very well require spend-ing continuing education time in an area that is outside of our dental comfort zone.

Adopt a disease-prevention framework for practice. Once clinicians become educated about good nutrition practices, it is difficult not to share with people we en-counter. The stakes are high for dentistry. Having a truly preventive approach will go far in helping people eliminate disease, reduce dependence on prescription medication, lower health-care costs and make a huge impact on our na-

Thinking about selling your practice in the next five years?We can help you take the necessary steps to increase its value before you put in on the market. For a free, no obligation, consultation and evaluation, call us.

To receive information on practices currently for sale or comparables of practices that have sold in your area, contact us via email at molinelli@aol.com.

Northern California Practice Sales

DENTA L PR ACTICE SA LES A ND A PPR A ISA LS

1126 Broadway, # 8 • Burlingame, CA 94010 • Tel: 650-347-5346 • Fax: 650-347-5326

tion’s long-term illness epidemic. Having this “big picture” approach will also go far in bridging the gap between dentistry and medicine, and put dental professionals at the forefront of integrative medicine.

Resources1. Johnson, D. L., Gurenlian, J. R., & Freudenthal, J. J. (January, 2016). A Study of

Nutrition in Entry-Level Dental Hygiene Education Programs. Journal of Dental Education. 80 (1) 73-82. http://www.jdentaled.org/content/80/1/73

2. Khan, S. Y., Holt, K., Tinanoff, N. (January, 2017). Nutrition Education for Oral Health Professionals: A Must, Yet Still Neglected. Journal of Dental Education. 81 (1) 3-4. http://www.jdentaled.org/content/81/1/3

3. Wilson, Tracy V. How Fast Food Works. (n.d.) Retrieved from https://science.how-stuffworks.com/innovation/edible-innovations/fast-food3.htm

4. History.com Editors. (May, 2010). Baby Boomers. Retrieved from https://www.history.com/topics/1960s/baby-boomers-1#section_5

5. A Look at Fertilizer and Pesticide Use in the US. (June, 2018). Retrieved from https://gro-intelligence.com/insights/a-look-at-fertilizer-and-pesticide-use-in-the-us

6. Mitchell, N. S., Catenacci, V. A., Wyatt, H. R., & Hill, J. O. (2011). Obesity: overview of an epidemic. The Psychiatric clinics of North America, 34(4), 717–732. doi:10.1016/j.psc.2011.08.005

7. Hurt, R. T., Kulisek, C., Buchanan, L. A., & McClave, S. A. (2010). The obesity epidemic: challenges, health initiatives, and implications for gastroenterologists. Gastro-enterology & hepatology, 6(12), 780–792.

8. The Health Care Costs of Obesity. (n.d.) Retrieved from https://www.stateofobesity.org/healthcare-costs-obesity/

9. Health and Economic Costs of Chronic Diseases. (February, 2019). Retrieved from https://www.cdc.gov/chronicdisease/about/costs/index.htm

10. Nearly 7 in 10 Americans Take Prescription Drugs. (June, 2013). Retrieved from https://newsnetwork.mayoclinic.org/discussion/nearly-7-in-10-americans-take-pre-scription-drugs-mayo-clinic-olmsted-medical-center-find/

11. Yu, N. L., Atteberry, P., Bach, P. B. (July, 2018). Spending on Prescription Drugs: Where Does It All Go? [blog post]. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20180726.670593/full/

12. Fuentes, A. V., Pineda, M. D., & Venkata, K. (2018). Comprehension of Top 200 Pre-scribed Drugs in the US as a Resource for Pharmacy Teaching, Training and Practice. Pharmacy (Basel, Switzerland), 6(2), 43. doi:10.3390/pharmacy6020043

13. Fry, R. (March, 2018). Millennials Projected to Overtake Baby Boomers as America’s Largest Generation. Retrieved from https://www.pewresearch.org/fact-tank/2018/03/01/millennials-overtake-baby-boomers/

14. Ball, B. C., Hargreaves, P. R., & Watson, C. A. (2018). A framework of connections between soil and people can help improve sustainability of the food system and soil func-tions. Ambio, 47(3), 269–283. doi:10.1007/s13280-017-0965-z

15. Sturm R. (2007). Increases in morbid obesity in the USA: 2000-2005. Public health, 121(7), 492–496. doi:10.1016/j.puhe.2007.01.006

Special Two Issue Feature: Nutrition and Dentistry

22 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 2322 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 23

Internet Hygieneand CybersecurityHow to Identify and Avoid Infecting your Practice

2 CEsCategory II

Today’s cybersecurity climate is changing fast and dental and medical practices can be easy prey. This course will give you examples of targeted attempts that could take your practice down and how to prevent becoming a victim.

• Learn the types of cyber threats that are out there.• Identify the difference between a legitimate email and spam.• Understand safety precautions to avoid a costly mistake.

"Great Material! Very well presented with explicit and clear goals for my office. I have taken HIPAA courses at local dental society meetings but often felt lost and not knowing what to do next with my office processes and procedures. Kudos to Amy for organizing this material into an easy-to-understand format."

- Nicholas Rosas, DDS, Granite Bay

Amy Wood has been in the health-care industry for 22 years, with the last 14 as president and HIPAA Mitigation Specialist at ACS Technologies, LLC. Under Amy’s leadership, ACS Technologies has earned a reputation as a complete solution for HIPAA compliance. Their IT security suite, risk assessment and documentation have helped numerous practices pass HIPAA audits and handle data breach investigations. As a member of InfraGard, a joint task force with the FBI and the private sector, Amy helps address security in key sectors, such as healthcare. The Dental Board of California recognizes ACS as a Continuing Education Registered Provider.

with Amy WoodPresident, ACS Technologies, LLC. HIPAA Breach Mitigation

Specialist CHSP, CHSA

Presented by

6 pm to 8 pmSCCDS Office - 1485 Park Ave, San Jose

Tickets: $30 (includes dinner)

October 22

REGISTER TODAY AT SCCDS.ORG

22 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 2322 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 23

(855) 337-4337www.integritypracticesales.com

DRE #01911548 / DRE# 01947466 Broker-Partners: Darren Hulstine & Bill Kimball, DDS

Call Brian at (805) 714-2115 today!

Sell Your Practice with Brian Flanagan

If you’re thinking about selling your practice, we can help you set the right price, find the perfect buyer, and balance all the moving parts for a successful transition.

Call Brian today at (805) 714-2115 to schedule a free, no-obligation consultation to discuss your goals.

“Brian from Integrity Practice Sales will not just go the extra mile for you but hundreds to get the job done. His works are founded on honesty, excellent presentation, consideration of mutual

benefits and his excellent relationships with most major banks, which is crucial. Meeting Brian through our acquisition has been a blessing.” - Dr. Young

Register today at sccds.org or call 408.289.1480

Earn 2 CE units and learn the updated, most effective tech-niques and strategies for the management of periodontally involved patients in your practice. This course will touch on

many aspects of this multifactorial disease such as diagnosis, treatment planning, effective scaling & root planing tech-

niques, and successful long-term patient management. Use this course to refresh important skills, learn new techniques to

enhance your level of care, and reinvigorate your passion for dental hygiene! This is an excellent class for the whole team

and will touch on topics that your team can use with the perio patient in mind.

September 11, 2019 from 6 - 8 pmSCCDS Office: 1485 Park Ave., San Jose

All tickets: $75 (includes dinner)

with Emily Jensen, RDH, BSDH, MPH

The

of

Learning Objectives:• Periodontal disease identification• Perio treatment planning for success• Tips & tools for excellent scaling & root planing• The most effective oral hygiene techniques & products• Treat or refer?• Ongoing care methods for the best patient outcomes

24 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 25

Ev

October 23, 2019From 6 pm - 8 pm at the SCCDS Office: 1485 Park Ave., San Jose • All tickets: $20

with Ali Oromchian, Esq. and Bob Affleck of CITI

Develop Your Exit Strategy Before It’s Too Late

2019 Business Of Dentistry Series

Ali Oromchian is one of the nation’s leading legal authorities on topics relevant to dentists, including practice acquisitions and sales, creation of corporations and partnerships, associate contracts, estate planning, employment law matters, office leasing and state board defense. He is a

frequent speaker across the country and has written articles for the California Dental Association, Progressive Dentist, Progressive Orthodontists, and The New Dentist magazines.

Bob Affleck has helped thousands of dentists finance and transition in and out of their practices for more than 29 years. His passion is in helping his clients to prepare for practice ownership, build and improve their practices and to leave a legacy they can be proud of. He is currently working with

Citibank Healthcare Practice Finance to grow and expand their practice finance division.

Course description:One thing in life is certain: everything comes to an end. How will you leave your legacy? Far too often, we hear “If only...” "If only I would have prepared myself years ago. If only I wouldn’t have taken my foot off the gas in my practice. If only I would have taken more time on the more important things in my life." No matter what stage of your career you’re in, “start with the end in mind.” Leave a legacy you can be proud of without regret.

You will learn:• When is the best time to sell your practice• How to maximize the practice value• The importance of transitional timing• The key to analyzing your finances• How to plan for your retirement• To understand the sales process and legal considerations

pre and post-sale.

Register NOW at sccds.org or call 408.289.1480

24 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 25

Mankind’s craving for sugar has a nefari-ous past that has affected us both from a so-ciological and health standpoint.

Regarding nutrition, it has been scien-tifically proven that humans need some forms of fat and some forms of protein for proper metabolism and replacement of damaged cells. A healthy human being can-not live a full year if deprived of essential fats and proteins. It has not been shown that humans must have carbohydrates, and there are examples of cultures that managed to survive without any source of carbohydrates. Regardless, there are some who argue the plants and food substances that contain high carbohydrate levels are also carriers of needed fiber, minerals and vitamins. So, they argue that stating that carbohydrates are not necessary for human life is moot or a nutritional distortion. Put-ting these talking points into the open for debate lets us at least agree that refined car-bohydrates that contain no beneficial mi-cronutrients or fiber (refined cane sugar or high fructose corn sugar) are not necessary for human life. But, refined carbohydrates are so ubiquitous and inescapable within our modern food system that they may be considered a form of nutritional pollution. We may also agree when observing young children trying new foods that the taste for refined sugars is highly addictive. Just try to persuade my wife to not have some Lap-pert’s ice cream when she is in Hawaii.

A brief history of sugarThe desire or so-called need for refined

sugar has not always been so prevalent with the average man and has definitely not been

mainstream until the last three centuries. On a time scale for the natural selection of man, it is less than the blink of an eye.

Here is a summary of the history of re-fined sugar, specifically refined cane sugar. The earliest domestication of sugar (su-crose) from sugar cane is believed to date back to 8000 BC from New Guinea. 2000 years later it was believed to be found in the Philippines and India. In 510 BC the Emperor Darius (a Persian Emperor) in-vaded India and described a plant reed which gives a sweet honey juice without bees. Until this time relatively few people in the world population knew about the sweet syrup of sugar cane. The use of cane sugar and production of it as a commodity was mostly the result of its refinement and production, and then expansion through the science of the medieval Islamic world. Islam brought sugar cane refinement to the Middle East and Mediterranean region in the 11th century. Sucrose was unknown to the Europeans prior to 1000 AD. The first

use of sugar in England was recorded in 1099. Crusaders returning from the East brought with them many unusual spices that became highly sought after to improve the bland flavors of foods. Sugar initially was described as a spice and was used spar-ingly because of its high cost.

Sugar’s initial high cost made it a com-modity that could only be appreciated by nobility and the wealthy merchant class. As noted, sugar was initially thought of as a spice. It was used to augment foods but not to dominate their flavoring and definitely not as major constituent in the food recipes of the times. Poorly refined sugar is brown, but as refining of cane sugar progressed the highly processed sugar which was pure white was used medicinally. As sugar pro-duction increased, along with its demand, sugar began to be used as a preservative and gradually to become a major ingredient in baked goods and jellied fruits.

The History of Cane Sugar

by Robert Shorey, DDS, Editor

(Continued on page 26)

Special Two Issue Feature: Nutrition and Dentistry

Ev

26 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 27

Sugar’s relationship to slaverySettlement of the New World, specifi-

cally the West Indies, was dependent on the growth of and trading of crops like to-bacco, tropical fruits, coffee, cocoa and spic-es as money-making ventures. Islands like Jamaica, Cuba and Barbados before 1600 were settled by colonialists, indentured ser-vants and Native Indians. The latter two groups were the main source of labor to cultivate the lands for colonial profit. The main interest of the indentured servants brought to the new world was to trade their labor for passage to the new world and eventually to own land. The Native Ameri-can laborers were plagued by European dis-eases like measles and small pox and their populations diminished as the demands for agricultural labor grew. By 1600 the West Indies settlements became heavily invested in the sugar cane crop which dominated all other agricultural endeavors of that time. Sugar export amounted to 97 percent of Barbados’ export in the latter part of the 16th century. The growing demand for sugar in Europe mandated a tremendous amount of manpower to grow the tem-peramental sugar cane crop. Principles of irrigation and crop rotation were not well developed in the 1600s. This was well be-fore the time of the mechanical Interna-tional Harvester machines and combines so the farming and production of sugar cane required a significant amount of manual labor. To accommodate the growing labor need the plantation style of slavery became the mainstream method for the agricultural land owners of the time and soon became the preferred agricultural labor force of the new world. So sugar is intimately tied to the reviled practice of mankind enslaving his fellow man, and in this case specifically Africans (known to be resistant to malaria and yellow fever) common in the West In-dies. Different than indentured servants, those bonded into slavery under the plan-

tation system were slaves forever. They did not gain the right to own property and the value of their lives was downgraded to a less- than- human commercial commodity. All this came about to serve the growing human desire for sugar.

Sugar becomes highly in demandSugar from 1000 AD to 1700 AD was

only for the wealthy, but the growing pro-duction and increasing demand propelled sugar into the everyday lives of common man. European culture and its change in eating habits became the top driver in the ever-increasing demand for sugar pro-duction. Europeans in the 17-1800s be-gan consuming candy, tea, coffee, cocoa, pastries and jams. On a per capita basis sugar moved into the lower classes of soci-ety. Sugar consumption in England was 4 pounds per person in the 1700s and grew to 18 pounds per person in the 1800s. Sugar cane consumption continued to grow and although plantation slavery began to be abolished worldwide, the labor demand for sugar cane production continued. To meet this need, immigrants from many lands like China and India were transplanted into deplorable conditions to continue the pro-duction of sugar into the early to middle 1900s. The trend of ever - increasing high demand for sucrose has only recently been blunted by alternative sweeteners, but this has occurred with the substitution of a potentially more metabolically harmful sweetener, high fructose corn syrup.

Sugar consumption at an all-time highToday sugar consumption in the US is at

an all-time high. Refined sugars used in our processed foods come from fructose corn syrup, cane sugar and beet sugar. As a result we are seeing an increase in fatty liver dis-ease which is directly associated with high fructose corn syrup and we are seeing a sub-stantial costly increase in type II diabetes

and childhood obesity. The average Ameri-can consumes almost 152 pounds of sugar in a year and a similar amount of enriched flour a year. These substances cause a con-siderable challenge to the maintenance of normal physiologic blood sugar in humans. Today we are likely seeing the results of a grand scientific experiment to lower fats in our nutrition and replace them with refined carbohydrates necessary to enrich our fat-free foods. It is apparent from rising rates of insulin resistance and type II diabetes that carbohydrates can overwhelm the hu-man metabolism. All this because we never realized the scientific consequences to the changes in our processed foods and our de-sire to seek the pleasure of sweetness in our food. It is evident that mankind survived before 1000 AD without sugar as a main component of his diet. Man has found ways to circumvent the ravages of other addictive substances once their harmful ef-fects became scientifically evident. Perhaps when we come to realize the similarity in the history of tobacco with the history of sugar we may be able to better understand how to curb our addiction to refined sug-ars for the betterment of health and a most reasonable method to lower soaring health-care costs.

Sugar (sucrose) and the production of insulin to control blood sugar levels has been implicated in being involved with facilitating or increasing the occurrence of cancer. We know sugar causes cavities but as healthcare providers we should also be interested in the PI3K (Phosphoinositide-3-Kinase) gene discovered by Dr. Lewis Cantley and its relation to sugar and cancer. (https://medicalxpress.com/news/2019-03-evidence-strong-sugar-cancer.html).

Just as we advocate against smoking, ad-vocating against refined sugar may be very appropriate for we dentists for the mainte-nance of good health.

The History of Cane Sugar (Continued from page 25)

Special Two Issue Feature: Nutrition and Dentistry

26 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 27

Interdisciplinary Treatment in the Esthetic Zone

Thursday, November 7 from 6 - 9 pm

Don't miss this unique interdisciplinary mini-symposium in a study club format

A GREAT DEAL: 3 CE units PLUS dinner for $99!

Anterior GuidanceCynthia Bratessani, DDS

FEATURED SPEAKERS

Joseph Gabany, DMD, MSD

SCCDS Office: 1485 Park Ave, San Jose

Register today at sccds.org

Anterior cases involving implants, restorative and orthodontics require careful planning. This study

club format will outline specific techniques to deliver consistent excellent results. Successful anterior cases are

predictable if one follows certain protocols. This course will emphasize these protocols and discuss implementing them into your practice while also emphasizing diagnosis

and treatment planning using basic techniques for greater understanding of clinical outcomes.

28 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 29

We have only a few minutes to reach par-ents and guide them about how to make good dietary choices for their growing child. Pediatric dentists with effective pre-ventive messaging like diet counseling play a major role in cavity and obesity preven-tion.

Making a few key suggestions at the right time can make a major difference in a child’s life.

“Grazers get more cavities.” Based on the science of the Stephan

Curve, which measures acid pH after each snack event, we as dentists know that each time we eat or drink fermentable carbo-hydrates, our mouth becomes acidic for 20 minutes. Many parents like to provide their children snack trays or Tupperware with snack bites to keep their children busy throughout the day. However, this is a bad habit that diminishes oral health and pro-motes decay. Habitual grazing seems like a good idea, but creates a series of acid expo-sures throughout the day, which dissolves teeth. This is something parents should know. Scheduled meals and snacks create better eaters, prevent cavities and make life less stressful for parents because kids be-come hungry at predictable times.

“If you see something, say something.” Whether you are a general or pediatric

dentist, it is important to remember. If you see a toddler patient with easy access to a sippy cup or bottle of milk, kindly bring it up in your diet counseling and remind par-ents “easy access to milk is a fast way to get cavities.” Sippy cups prevent spills, so are a

must for parental sanity. If you see a sippy cup of milk, say to parents that sippy cups are fine, as long as the milk is finished while the child is seated having a meal. When the meal is over, switch over to water. “Milk with meals is fine” as children often need the protein and fat for growth and brain de-velopment, but children should have water in between meals.

Ugh, how do we get kids to drink more water? Easy answer: don’t offer anything else in between meals (crazy mom dentist speaking!). I am a dentist but also a parent of two young children. In my house, we start-ed early. As soon as my kids could sit up or sit in a high chair, we offered a Munchkin 360 cup of water. They both loved the in-dependence and immediate gratification of choosing to drink when they wanted to. My kids love water and have progressively con-sumed more and more water as they have aged. As I said, we also don’t offer anything else, except for “milk with meals.”

“Eat closer to the earth.” The closer your food is to where it came

from, the less likely it is to cause cavities. Grapes better than raisins, cheese better than cheese crackers. During diet counsel-ing, remind parents that the more processed the food, the more simple the sugar will be. Simple sugars easily break down to glucose and bacteria go crazy for it!

How can we “eat closer to the earth?” Do it as a family! Eating as a family has many benefits! A family that reserves time and makes a priority to sit at the dinner table together gains multiple benefits of good pa-rental modeling, conversations and whole-

some eating habits. Two fun ideas include “veggie plates” and “family fruit plate.” During dinner, no matter what else is be-ing served, always place a large plate of raw veggies on the table (tomatoes, carrots, cucumbers, spinach). Kids will eat more of these veggies than you think! Plus, if they don’t love the dinner menu, the veggies are always ready. At the end of the meal, serve a large “family fruit plate” so that every-one can serve themselves dessert. Kids will watch their parents eat more veggies and fruits, and they will follow along!

During your routine check-ups, use the precious few moments you have with each family to provide key dietary counseling to prevent cavities and obesity.

• “Grazers get more cavities,” so try for scheduled meals and snacks.

• “Milk with meals is fine,” but “easy ac-cess to milk is a fast way to get cavities.”

• “Eat closer to the earth,” avoiding add-ed sugar and processed foods as much as possible.

Encourage parents to read labels and not be fooled by disguised sugar phrasing like “natural sugar cane” or “beet sugar” or “or-ganic brown sugar”. Oh yeah, “eating closer to the earth” also helps kids stay more regu-lar, which is a huge selling point for parents! Who doesn’t love a kid who poops?

“If you see something, say something.” It is our responsibility.

Grazers Get More Cavities

by Chanel McCreedy, DDS, MPH

Special Two Issue Feature: Nutrition and Dentistry

28 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 29

ASK THE BROKER

How do you determine the listing price of my practice?

WESTERN PRACTICE SALES

The single-most important factor in determining the practice sales price is the collection total of the previous calendar year. Lenders and buyers like to see stability without large variances from year to year. It should be obvious that steady, slight increases in revenues are always better than even the slightest of decreases. Poor performance of one of three years should not affect pricing, unless it is the last calendar year that shows a significant drop. Therefore, try to maintain a stable practice, make sure you finish strong and make all your December deposits for that last year you will be filing!

Practices are priced based heavily on gross receipts. Let’s work through some scenarios and options. If you plan to practice 2-3 more years, it is not worth investing extra money in the practice. In this case, I would just advise finishing strong, especially to reflect your last tax return which will be filed. If you plan to practice approximately 5 years, spending large amounts of money for new technology may not necessarily return the investment unless it helps to increase your production. However, this being said, purchasing new equipment may increase your enjoyment of practicing dentistry and therefore be a worthwhile investment.

With 8–10 years remaining to practice, modernizing the practice with the latest and greatest is generally a great idea. Leasehold improvements typically last 5-8 years, so making the investment at this time to spruce up the office will enhance the desirability of the sale. It may also give you greater satisfaction of working in a first-rate environment for the entire duration of the leasehold improvements. Most importantly, since practice values are based on gross receipts, keep up the good work!

With factors affecting the current practice market such as a large number of “Baby Boomers” choosing to retire coupled with a lower percentages of Millennials wanting to own dental practices, it is important to make decisions now that will help your practice stand out from the rest when you decide to sell! Call or email us today for a free copy of Dr Giroux’s book “Top Ten Issues for Dentists Contemplating Retirement in Ten Years or Less”.

Timothy G. Giroux, DDS is currently the Owner & Broker at Western Practice Sales and a member of the nationally recognized dental organization, ADS Transitions. You may contact Dr. Giroux at: wps@succeed.net or 800.641.4179

Your Life’s Work Comes Down To This Decision

What separates us from other brokerage firms?

Western Practice Sales is locally owned by dentists and has been proudly serving dentists in the SCCDS Marketplace for over 45 years. Our personal attention to our sellers and reputation of integrity and honesty has made us Northern California’s Preferred Dental Practice Broker.

Our extensive buyer database allows us to offer you…

Better Exposure

Better Fit

Better Price!

800.641.4179

westernpracticesales.com

Call or email today for a free copy of Dr Giroux’s book

Top Ten Issues for Dentists Contemplating

Retirement in Ten Years or Less

30 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 3130 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 31

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30 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 3130 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 31

What are Website Metatags and Why You Should Care

by Erich Larsen, SCCDS Communications Coordinator

Bad news, dentists: you might be violating the code of ethics without even knowing it.

Today's dentists know that a well-built and maintained website is a vital element of practice marketing efforts. However, very few dentists know how a website is built or how to review their own website to prevent ethics violations. The good news is this: it's easy to understand and fix this potential problem before it causes you any grief.

The majority of websites are written us-ing code called HTML (hyper text markup language). This code is a list of instructions intended to be read by web browsers like Chrome, Safari, Firefox or Edge. Each web-site's code tells the web browser how to dis-play the site's content and how to perform the site's functions or interactions.

The code also includes little descriptors called "meta tags" that are intended for search engines like Google, Bing or Yahoo. The meta tags tell search engines what each webpage is called, what it's about and what automated search engine programs or "bots" should do with it.

The most important meta tag is your title tag. This is the title of each web page in your web site and is displayed at the top of your browser window. It's also the most visible part of any search result.

However, the meta tag we are most con-cerned with for the purposes of this article is the meta description. The meta descrip-tion is not displayed on your website but does show up in search results. It not only shows a description of what's on the page but it also frequently contains keywords or keyphrases that are intended to improve that page's search engine rankings. Of course, the

higher a result appears on the page, the more likely it is to get clicked on.

Most web developers want their clients to have websites that are optimized for high search engine rankings. Consequently, many of them will write meta descriptions that include key phrases like "best dentist" or "number one family dentist." The idea is that users may search for the term "best dentist" and the developer wants their client's site to rank highly in that search. Unfortunately, despite the fact that such searches are very common, it is against the code of ethics to claim that you are the best dentist.

Most web developers aren't aware of the code of ethics that dentists must adhere to. Other industries, for better or worse, do not have such a code of ethics limiting their marketing practices. Without such a code, developers and marketing agencies will uti-lize any method at their disposal to improve rankings.

Some websites, for example, include im-mense blocks of unrelated or barely related keywords in their meta descriptions in an attempt to rank well for a wide variety of search terms. This practice is known as "keyword stuffing" and is actually penalized in most modern search engines if discovered.

To check your website's meta description, simply search for your website in any mod-ern search engine. Once you've located your site in the search results (hopefully near the top of the page), simply read the description provided. If you find that your site's descrip-tion includes terms that violate the code of ethics, contact your web developer right away and tell them to update your meta de-scription to remove the offending phrases.

If you own a website, even if it was cre-ated by a marketing agency or independent web developer, its contents are your respon-sibility. Take a moment to review your meta tags today!

32 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 33

Bring a pen, calculator and a copy of your financial records because we're going to "get real" about the finances in your practice. This course will be a hands-on analysis of your real-time practice finances. No two offices are alike, but the tools you need to inspect your overhead, salaries, equipment costs and more are the same. Learn what's working for your office and what isn't and get ready to start planning changes for 2020 that will streamline your practice and cut away the wasted dollars. This is a must-attend event for any practice owner or future practice owner. 

You will learn:• Practice management systems• Team communication and relationship skills• Annual production forecast and growth plan• Goal setting workshop for 2020• Create a strong marketing plan to meet your new patient goals

Tickets: $45 (includes dinner) Sign up today at sccds.org

October 18 from 9 am to 1 pmSCCDS Office: 1485 Park Ave., San Jose

Hands-onFinancial Course

with Bernie Stoltz, CEO of Fortune Management

Everything You Need to Start Building a Successful Practice in 2020!

PROTECTING THE BODY

November 5, 6 to 8 pm

Important Exercises to Avoid Debilitating Injuries and Nutritional Science for You and Your Patients

SCCDS Office: 1485 Park Ave, San Jose

Tickets: $30 (includes 1 CE Unit and dinner)

SPEAKERS

THE SCCDS WOMEN'S COMMITTEE PRESENTS

Sign up today at sccds.org

Dan Cabuling of ID 3 Training Robert Shorey, DDS, Editor

32 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 33

These businesses proudly support our Dental Society. We encourage our members to support them in turn.sponsor index

THINKING ABOUT

RETIREMENT? Reserve your spot at our must-attend Practice Transition Seminar.

Friday, October 4 9:00 am to 3:30 pm Santa Clara County Dental Society 1485 Park Avenue, San Jose

This event is being offered to dentists for free, courtesy of our sponsors.

Register today at omni-pg.com/register “This is a great seminar loaded with sound, proven strategies and common sense advice for success with a practice transition. All of the presenters are extremely knowledgeable, capable professionals who know their business.” - Linda A. Pommier, DDS

“This is a must-attend event for anyone planning to retire in the next few years.” - Robert Prijatel, DDS

“Great event. Any dentist over 50 years old should attend.” - Greg Lis, DDS

877-866-6053 | info@omni-pg.com | omni-pg.com

Connect with SCCDS members!There are many great opportunities for your

business to advertise and connect with dentists.

• The SCCDS website• The Cutting Edge magazine• The Dentist's Mentor magazine• General Membership Meeting

sponsorships

Contact us to learn more!(408) 289-1480

TDIC Insurance Co. . . . . . . . . . . . . . . . . . . . . 2Cobe Construction . . . . . . . . . . . . . . . . . . . . . 4LifeLink CPR . . . . . . . . . . . . . . . . . . . . . . . . . . 4Professional Practice Sales . . . . . . . . . . . . . . 11Make Compliance Simple . . . . . . . . . . . . . . . 11Patterson Dental . . . . . . . . . . . . . . . . . . . . . . . 11Tiret & Company CPAs . . . . . . . . . . . . . . . . . . 11M.H. Sadeghi, DDS, Anesthesiologist . . . . . 13Northern California Practice Sales . . . . . . . . 21Integrity Practice Sales . . . . . . . . . . . . . . . . . 23Phelps & Cohen Orthodontics . . . . . . . . . . . 27Western Practice Sales . . . . . . . . . . . . . . . . . 29Fremont Bank . . . . . . . . . . . . . . . . . . . . . . . . . 30Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . 30Omni Practice Group . . . . . . . . . . . . . . . . . . . 33SCCDS Job Bank . . . . . . . . . . . . . . . . . . . . . . 34HealthMed Realty . . . . . . . . . . . . . . . . . . . . . . 34Brothers Cleaning. . . . . . . . . . . . . . . . . . . . . . 34Dental Temps . . . . . . . . . . . . . . . . . . . . . . . . . 34Diaz-Christians Accountancy Corp. . . . . . . . 35

34 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 35

FOR LEASE Fully furnished 1,419 sq. ft. dental office (equip list avail.) FOR LEASE in Berryessa area at 750.

N.Capitol Ave., S.J. Well-maintained dental complex w/ easy access to 680 frwy & VTA light

rail. 5/1000 parking. $2.95/sf Gross – incl. mntce of compressed air & oral vacuum.Contact exclusive

agent: Geri Wong Lic.#01142432 (408) 987-4134

PEDODONTIST OPPORTUNITY Lease in Morgan Hill's most desirable dental

location. Have established GP, Periodontist and Oral Surgeon as neighbors. This location has

newly widened streets, close to city hall, county library, schools and vibrant downtown. Plumbing,

cabinetry and nitrous in place. Contact Jon Hatakeyama via email at:

jyhdds@smilefiles.com for more information.

2+ OPS IDEAL FOR SPECIALIST Santa Clara, near 101/Whole Foods

Flexible lease $300/d or TBD/m (408) 390-7707

FOR LEASE981 SF to 1,535 SF office suites. Compressed air, suction lines and plumbing available to suites.

Plenty of parking onsite. Near shopping center and direct access off of Hwy 680.

Call agent Geri Wong 408-987-4134

FOR LEASE Palo Alto office space for lease. 1,292 SF . 4153 El

Camino Way. Ground floor unit with easy access and signage opportunity. Lots of natural light.

Reserved parking stall for doctor. Call Geri Wong, agent. 408.987.4134

FOR LEASE Dental office space located in an established

location in Morgan Hill. We are looking for an Orthodontist who desires locating in a growing

family oriented community. This location features an established and separate Oral Surgery practice,

Periodontist and one of the most established general/cosmetic dentist in the area. Contact Jon Hatakeyama, DDS at: jyhdds@smilefiles.com for

more information.

SPACE AVAILABLE 1,800 sq. ft. at 885 Scott Blvd., Santa Clara, CA. Please call (408) 621-4350 for more information

WESTERN PRACTICE SALES Northern California's preferred practice broker for

over 45 years. See our ad on page 29 or visit our website: westernpracticesales.com

MAXIMIZE PROFIT, EXPERTISE & BALANCE WITH GREAT OPPORTUNITY IN

WEST SAN JOSE I am currently in a 2400 square foot space in West San Jose with seven operatories that I am utilizing

only four days a week. I am looking for a specialist or dentist(s) who love dentistry who might be interested in sharing space, partnership, practice purchase, or a group practice arrangement to maximize space by leveraging overhead on staff, rent and supplies and continue investing in the most modern equipment

to provide comprehensive care for patients. On a personal note, I would also enjoy having more dentists to share best practices, brainstorm ideas and gain a better work/life balance by expanding

coverage. If you would like to explore these ideas, I would enjoy meeting with you over lunch or dinner to learn more about your goals, style and interests.

Please feel free to call me at 415-407-3213 or email me at drbrent@completedentalcare.org.

DENTAL PRACTICE & REAL ESTATE WANTED A General Dentist wants to buy a dental practice. With or without real estate. Open to all options

and arrangements. Please call, text or leave message at (408) 892-8993.

TYPODONTS AND MOUNTING POLESSCCDS is planning more classes for your auxiliary

to improve their skills and we need typodonts and mounting poles for students! If any members would be willing to donate them that would save us a lot!! Please bring to the next Monthly Meeting to donate or call us at 408.289.1480 to discuss any

other donations. Thank you in advance!

FOR LEASE HELP WANTED

WANTED

FOR SALE

(408) 457-8805 | christina@healthmedrealty.comLic. 01862052 | www.healthmedrealty.com

Christina Yang

HealthMed Realty is the leading provider of commercial real estate services to the healthcare community. We provide expertise in real estate transactions to dentists, physicians and healthcare systems throughout San Francisco Bay Area.

DENTAL TEMPSDENTAL TEMPS From JSimonStaffing, Inc.

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(408) 778-5966HIRING? sccds.org/resources/jobs/Post your job opening atAnother FREE member benefit from SCCDS

Classified Advertising Rates Members: Minimum charge $25 for 3 lines or

less.$6 for each additional line.

For non-members: Minimum charge $40 for 3 lines or less.

$7 for each additional line.

Classified ads must be submitted no later than the 1st of each month for inclusion in the

following month’s issue.

To place a classified ad, please contact Megan Duncan at 408.289.1480

or email megand@sccds.org.

classifieds

34 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | 35

Let us handle your accountingso you can focus on your patients

Running a business has many challenges. Does your accounting and tax preparation consume your time or create

anxiety? We believe we are the solution. Our experienced staff has a passion and desire to help individuals and

companies with their business needs. Our reputation for integrity sets us apart from the competition.

Reasons you should use Diaz-Christians Accountancy:

• Over 25 years of accounting and tax experience

• Prepare all types of business returns such as C-Corporations, S-Corporations, Partnerships, LLC and Sole-Proprietorships

• Process accounting and issue fi nancials on a timely basis

• Prepare tax projections on a semi-annual basis

• Discuss year-end tax planning strategies

• On demand availability to answer all tax and/or accounting related questions

• Return calls and emails in an effi cient manner

• Competitive fees

Diaz-Christians Accountancy Corporation is a full-service certifi ed public accounting fi rm specializing in dental

practices. We have over 25 years of accounting and tax experience. Our services include accounting, monthly

bookkeeping, tax planning, individual and corporate tax returns, and more.

Allow us an opportunity to give you a free hour of consulting.

1290 Scott Blvd., Santa Clara, CA 95050 • 408.554.6594 • www.diaz-christians.com

September, 2019 | The Cutting Edge | 35September, 2019 | The Cutting Edge | 35

36 | The Cutting Edge | September, 2019 September, 2019 | The Cutting Edge | PB

1485 Park AvenueSan Jose, CA95126

408.289.1480Fax: 408.289.1483

Prsrt StdUS Postage

PaidPermit #5294San Jose, CA

ADDRESS SERVICE REQUESTED

Register for these and more events today at sccds.org

SCCDS General Membership Meetings

Geriatric Dentistry

Radiology

It's New, But is it Any Better?An Update on Local Anesthesia

Cariology and Cardiology

Sleep Apnea/TMJ

October 10, 2019

November 14, 2019

December 12, 2019

February 13, 2020

March 12, 2020

with Dr. Elisa Chavez Luna

with Dr. Martina Parrone

with Dr. Alan Budenz

with Dr. Robert Lustig