Table of Contents 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

NDA Journal Fall 2022

NDA JOURNAL Fall 2022 Volume 24, Issue 3 Official Magazine of the Nevada Dental Association and Component Societies A Peer Reviewed Journal “The greatest enemy of knowledge is not ignorance, it is the illusion of knowledge.” -Stephen Hawking

Nevada Dental Association 600 E. William Street, Ste 202 Carson City, NV 89701 PH 702-255-4211 FAX 702-255-3302 EMAIL [email protected] WEB www.nvda.org NDA Journal is published four times each year by the Nevada Dental Association and state component societies. All views expressed herein are published on the authority of the writer under whose name they appear and are not to be regarded as views of the publishers. We reserve the right to reduce, revise, or reject any manuscript submitted for publication. Materials: All articles, letters to the editor, photos, etc. should be sent to Daniel L. Orr II, DDS, via email to [email protected]. All chapter and committee reports and business communications should be sent to Michele Reeder, Executive Director, Nevada Dental Association, 600 E. William Street, #202, Carson City, NV 89701. Ph: 702-255-4211. Materials may be reproduced with written permission. Subscription: Members receive each publication as a membership benefit paid by membership dues. Non-members may subscribe to the Nevada Dental Association Journal for $50 annually. Advertising Policy: All advertising appearing in the NDA Journal and other Nevada dental publications must comply with the advertising standards of the Nevada Dental Association and its component societies. The publication of an advertisement is not to be construed as an endorsement or approval by the publishers of the product or service being offered in the advertisement unless the advertisement specifically includes an authorized statement that such approval or endorsement has been granted. The publishers further reserve the right to cancel any and all contractual advertising agreements should an advertiser be engaged in litigation concerning their product or service, or should the product or service be in conflict with the standards of the NDA or its component societies. Advertising rates and specifications are available upon request. Contact Grandt Mansfield, LLM Publications, at 800-647-1511 ext 2226 or email [email protected]. Mailing: Send address changes to: 600 E. William Street, #202, Carson City, NV 89701. © 2022 Nevada Dental Association Editor Daniel L. Orr II, DDS, MS (anesth), PhD, JD, MD [email protected] Publisher LLM Publications 800-647-1511 www.llmpubs.com Design: Hope Sudol NDA JOURNAL FALL 2022 NDA JOURNAL Editor’s Message Daniel L. Orr II, DDS, MS (anesth), PhD, JD, MD 2 Letter to the Editor 4 News Another Significant CDC Informational Change 7 Presence and Stability of SARS-CoV-2 on Environmental Currency, and Money Cards Reveals a Lack of Live Virus 8 CDC Admits Natural Immunity More Effective Than Experimental Formulations 9 Featured Articles Unilateral Mandibular Hypoplasia—a Panoramic and CT Study 10 COVID Vaccines Increase Menstrual Irregularities Thousandfold, Fetal Abnormalities Hundredfold: Doctors’ VAERS Analysis 12 UNLV School of Dental Medicine Honors Raymond Rawson, DDS 14 Reports NDA Executive Director Michele M. Reeder 15 NDA President Jason R. Doucette, DMD 16 SNDS President Ronald J. Laux, DDS 17 NNDS Executive Director Lori Benvin 18 NNDS President Hannah Beus 19 Sections Event Calendars 22 Administrative Offices & NDA Committees 23

NDA Journal 2 Dr. Orr practices Anesthesiology and OMS in Las Vegas, is an Adjunct Professor (Surgery) at UNLV SM and Touro University SM (Jurisprudence), Professor Emeritus at UNLV SDM, and a member of the CA Bar and Ninth Circuit Court of Appeals. Editor’s Message Daniel L. Orr II, DDS, MS (anesth), PhD, JD, MD [email protected] NDAJ Exclusive Dunning-Kruger for Dentists, and Thank You for Reminding Me Luke The published results of the DunningKruger Effect were based on a 1999 study by psychologists Justin Kruger and David Dunning titled: “Unskilled and unaware of it; how difficulties in recognizing one’s own incompetence lead to inflated self-assessments.”1 The study’s synopsis states: “People tend to hold overly favorable views of their abilities in many social and intellectual domains. The authors suggest that this overestimation occurs, in part, because people who are unskilled in these domains suffer a dual burden: Not only do these people reach erroneous conclusions and make unfortunate choices, but their incompetence robs them of the metacognitive ability to realize it. Across four studies, the authors found that participants scoring in the bottom quartile on tests of humor, grammar, and logic grossly overestimated their test performance and ability. Although their test scores put them in the 12th percentile, they estimated themselves to be in the 62nd. Several analyses linked this miscalibration to deficits in metacognitive skill, or the capacity to distinguish accuracy from error. Paradoxically, improving the skills of participants, and thus increasing their metacognitive competence, helped them recognize the limitations of their abilities.” We’ve all diagnosed individuals who suffer from unrealistic, possibly prideful, opinions of themselves, an easy call for everyone but the individual. Dentists are also individuals and, importantly, can this group recognize Dunning-Kruger traits in themselves, in their own opinions and works? After all, patient safety depends on a realistic evaluation of one’s diagnostic abilities and technical skills. One group in which it is relatively easy to see less optimal cerebration is teenagers. Recently my son Luke called me emergently to advise he had blown up, as in violently exploded, a basketball. He saw something on YouTube that stimulated him to confirm the YouTube findings on the limits of basketball and human performance simultaneously. Not only did he succeed in exploding a basketball, he compromised a couple of digits. We buddy splinted them and the next day I drained a hematoma from under a nail. (Figures 1-2) A sister was disgusted by the process, but it was hopefully productive explaining judicious decision making again (with 9 kids that has happened a lot). I shared with Luke that the only reason I never exploded a basketball is that I never thought of it when I was younger. Figure 1 Luke showcasing the exploded basketball. Figure 3 The Editor demonstrating the Dunning-Kruger Effect when younger.

Fal l 2022 www.nvda.org 3 Editor’s Message But, for me personally, DunningKruger holds true. While a teenager with a male brain, my abilities were often grossly overestimated, such as when body surfing at the Wedge,2 riding my skateboard (Figure 3) down Cadbury, or trying to ride my bike down Monte Vista—with my eyes closed. This kind of unrealistic thinking often results in death,3 but in my case the worst result was a supine recovery of consciousness in a pick-up truck bed, with my bike crumpled under the rear fender. The lesson learned was that circumspection is important both physically and mentally. As a young OMS in Las Vegas, I fielded difficult cases from several states, including some from former instructors. Things always turned out well, but ultimately being sued after accepting a case that several others had wisely turned down was an awful experience. I prevailed legally, but that process took years that were peppered with many sleep-deprived nights. I had already begun to selflimit acceptance of the more herodontic offerings and fully removed “easy, simple, and minor” descriptors from my dental lexicon.4 my opinion…,” or simply “At this time, I believe...” When offering opinions, employing reasonable references (scientific or even third-party validation testimonials) is also valuable. Overstating credentials or experience can subject doctors to civil and criminal liability if a controversy later arises.9 Also, when offering one’s thoughts, graciously acknowledging others’ reasonable opinions is a strength, not a weakness. These techniques allow a lot of wiggle-room if one’s own conclusions are later seen to be incorrect. Further, acknowledging one’s own incorrect analyses can be an empowering technique based on humility. Of course, if one’s opinion is later seen to be correct, it can be entertaining to see the reaction of prideful and incorrect propagandists.10 Fight on! 0 Another aspect of Dunning-Kruger is that just as the relatively young are the ones who generally overestimate their abilities, occasionally older individuals start wondering if they have any skills at all, even for tasks successfully completed thousands of times. This has been written about in many academic studies5 for the health professions, such as anesthesiology,6 and of course dentistry.7 In some areas, Dunning-Kruger has been notoriously prevalent, such as in politics. Paraphrasing a former President: “The trouble with some people is not that they’re ignorant, it’s just that they know so much that isn’t so.”8 Logic and truth are not necessarily important to some communicators, such as propagandists, who try to obscure the truth with prevarications in order to deceitfully accumulate power. Sadly, many innocent people, to their own ultimate detriment, simply go along with whatever skilled propagandists say. As the Latin says: “caveat emptor” (let the buyer, including ourselves and our patients, beware when entering into any kind of contractual relationship). For dentists interested in accuracy, opinions and works can be empowered and future evaluations not dismissed out-of-hand by employing several strategies. When opining about politics, religion, or even dental controversies wherein both sides claim, for instance, “the science,” professionals may be wellserved by stating something like: “Based on what I’ve studied…,” “In References Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999;77(6):1121-1134. Jacobson B. The Dirty Old Wedge. https://www.youtube.com/watch?v=Bi_ KHwDjPY4. YouTube. Accessed July 11, 2022. Various Contributors, Annual Darwin Awards, darwinawards.com. Accessed July 14, 2022. Orr D, It’s Not Easy, It’s Not Minor, and It’s Not Simple!, NDAJ, 14:1, 3-4, Spring 2012. Kennedy EJ, Lawton L, Plumlee EL, Blissful Ignorance: The Problem of Unrecognized Incompetence and Academic Performance. Journal of Marketing, Education. 2002;24(3):243-252. Glass, PS., Peer Review: Through the Looking Glass., Anesthesia & Analgesia. May 2015;120(5):997-999. Freeman BV, Glassman G. Confidence vs Competence in Dentistry. Oral Health. May 10, 2022. Reagan R, “A Time for Choosing.” Ronald Reagan Presidential Library & Museum. October 27, 1964. https://www.reaganlibrary.gov/reagans/ronald -reagan/time-choosing-speech-october-27-1964. Accessed July 13, 2022. Duttry vs Patterson, 741A.2d 199 (PA 1999) Phillips J, Fauci Concedes COVID-19 Vaccines “Don’t Protect Overly Well” Against Infection, The Epic Times, July 13 2022, https:// www.theepochtimes.com/fauci-makes-surprising-concession -regarding-covid-19-vaccines_4595318.html?utm_source=Morningbrief&utm_ campaign=mb-2022-07-14&utm_medium=email&est= 1 2 3 4 5 6 7 8 9 10 Figure 2 Luke sharing the price of scientific inquiry, a drained digit. st=9NCwSsjbanNsa%2FQ%2B2Izv9RYTLZIpgVSdTg%2Bq6srhGNfNCQrSw YC8TGfKussI.Accessed July 14 2022.

NDA Journal 4 Letter to the Editor Providers By Steven A. Saxe, DMD* The May 2022 JADA cover story referred to different types of dentists as “providers.” This reference to providers in our literature is somewhere between ignorant and deceitful. Most accurately, dentists are defined as doctors or more recently, per our house of delegates, those with “an equivalent degree” in order to be members of the ADA. I am not sure what “equivalent degree” means, but in Nevada licensed dentists are designated as doctors, just like our graduation certificates iterate. Recently while teaching in UNLV SDM OMS, I was dismayed to learn that one of my students referred to his colleague as a “student provider.” Have our profession’s academics become brainwashed? Ideally our profession evolves, not devolves with terms like provider. A peripheral issue recently mentioned in Dr. Orr’s NDAJ Editorial was the ADA’s support of the term “medically necessary” in pending national legislation.1 Dentists know that everything dental is medically necessary; why do we play these games with those that do not understand the scope of dentistry and the relationship of dental disease to overall health?2 Our patients understand we are dentists, but they also understand we are doctors. Physicians should also not be referred to as providers, although the AMA has ignored the issue for so long it is much more problematic in medicine than in dentistry.3,4,5 Where did this term begin and how can it be used against us? While our role as doctors is clearly defined in state statutes, patients also unhesitatingly call their dentists doctors. The delivery of our services is being minimized by the use of the term provider. Our patients assume that

Fal l 2022 www.nvda.org 5 Letter to the Editor dental services are being rendered by a highly-trained doctor, not an expanded function dental assistant, dental therapist, etc. Dental schools, DSO delivery models, hospitals, HPSA clinics, pharmacies, insurance companies, and dental benefits administrators often use the term “provider” when referring to delivery of dental care. This most likely is being done for administrative financial gain ultimately, as patients may be duped into accepting care being rendered by someone less qualified than a doctor. Again, this legerdemain allows for lower reimbursement by dental benefit plans while allowing indirect oversight of dental auxiliaries in the best interests of not patients, but corporate office administrators and shareholders. This issue is more important today than ever before. We all worked very hard to obtain the title doctor. Particularly in hospital environments, OMS, anesthesiologists, and hospital trained GPR residents shine as being second-to-none, as very dedicated and knowledgeable doctors while interacting in medicine, general surgery, anesthesia, and in the emergency room, where for years dental related visits have been rising significantly, approaching 10% in some communities.6 Sadly, today in the hospital and emergency rooms, a patient has no idea whether the person treating them is a physician, a physician assistant, nurse practitioner, or medical assistant as they are all referred to as providers. It is important to retain dentistry’s rightful designation as doctors. The ADA’s mission statement is to help dentists succeed and support the advancement of public health. No matter if we are DDS’s, DMD’s, or References Orr D, Fool Me Once, Fool Me Again, NDAJ, 24:2, 2-3, 2022. Kelman B, Stunning Consequences of Unbrushed Teeth, Medscape News & Perspective, 12 JUL 2022,, https://www.medscape.com/ viewarticle/977009?src=wnl_tp10_daily_220718_. Scarff J, What’s in a Name? The Problematic Term “Provider,” Fed Pract, 38(10), 446-448, OCT 2021. Beasley JW, Roberts RG, Goroll AH, Promting trust and morale by changing how the word provider is used: encouraging specificity and transparency, JAMA, 325(23), 2343-2344, 2021. Nasrallah HA, We are physicians, not providers, and we treat patients, not clients!, Curr Psychiatr, 19(2) 5-7, 2020. Ungar L, ER visits for dental problems on the rise, USA Today, JUN 29 2015, https://www.usatoday.com/story/news/nation/2015/06/29/er-dental- visits/29492599/. Accessed 20 JUL 2022. 1 2 3 4 5 6 equivalent degree holders, we should not succumb to these pressures to self-designate as providers, no matter what the ADA HOD and outside entities want us to be known as. 0 We are not the American Dental Provider Association *Dr. Saxe is a Board Certified OMS in Las Vegas.

NDA Journal 6 Editor’s Note Ivermectin vs “Vaccination” As President Biden and Anthony Fauci, MD, deal with multiple bouts of COVID and overall complications from the experimental formulations continue to increase, some may call into question the assertions that the formulations are “safe and effective.” At the same time, ivermectin, and hydroxychloroquine are often dismissed as dangerous and ineffective. The trumped-up imaginary dangers of ivermectin are virtually not being reported while the seemingly endless ubiquitous complications of the formulations are published daily. Opinions regarding the effectiveness of ivermectin vs the formulations are widely variant. The NDAJ has attached several references involving millions of experiences reporting the safe and effective use of Ivermectin for readers to interpret for themselves.1,2,3,4,5 0 References Beckow S, India: “Absolute Evidence of Ivermectin’s Efficacy”, Golden Age of Gaia, SEP 29 2021, https://goldenageofgaia.com/2021/09/29/india- absolute-evidence-of-ivermectins-efficacy/, accessed AUG 15 2022. Mitchell, R, Scientific Evidence: Ivermectin is Effective Against COVID-19, CDN, SEP 07 2021, accessed AUG 15 2022. Kerr L, Cadegiani F, et al, Ivermectin Prophylaxis Used for COVID-19: A Citywide, Prospective, Observational Study of 223,128 Subjects Using Propensity Score Matching, Cureus, JAN 15 2022, https://www.cureus.com/ articles/82162-ivermectin-prophylaxis-used-for-covid-19-a-citywide- prospective-observational-study-of-223128-subjects-using-propensity -score-matching, accessed AUG 15 2022. Ahmed S, Mahbubbul M, et al, A five-day course of ivermectin for the treatment of COVID-19 may reduce the duration of illness, Int J Infect Dis, 103:214-216, FEB 2021, https://pubmed.ncbi.nlm.nih.gov/33278625/, (NIH and PubMed), accessed 15 AUG 2022. Huff E, Japanese study finds that ivermectin is “Safe and effective” for treating covid, Prevention.News, FEB 04 2022, https://prevention.news/202202-04-japanese-study-ivermectin-safe-effective-treating-covid.html, accessed AUG 15 2022. 1 2 3 5 6

Fal l 2022 www.nvda.org 7 News Life Insurance Companies May Take Legal Action Against COVID Vaccine Makers Epidemiologist Harvey Risch of Yale University opined that life insurance companies, who maintain the most accurate mortality tables in the world, may seek to recuperate losses secondary to misestimates of “all-cause mortality” beginning in 2021, the first year that COVID vaccines (sic) were made available.1 0 References Ausitn M, Expert Expects Insurance Companies to Take Legal Action Against COVID Vaccine Makers Over “Early” and “Unexpected” Deaths, The Western Journal, 07 AUG 2022, https://www.westernjournal.com/expert-expects- insurance-companies-take-legal-action-covid-vaccine-makers-early-unexpected-deaths/. Accessed 14 AUG 2022. 1 Another Significant CDC Informational Change Most are aware that the CDC changed the definition of “vaccine” and “vaccination” nearly a year ago in order to incorporate the experimental COVID formulations as vaccines. Vaccines for hundreds of years were defined as agents that result in immunity to a specific disease but are now defined as agents that stimulate the immune system, which a lot of things also accomplish (infections, trauma, some foods, etc.). Now the CDC has removed the statement that says: “mRNA and the spike protein do not last long in the body.” The prior statement also said that “our cells break down mRNA from these vaccines (sic) and get rid of it within a few days after vaccination (sic).”1 0 References Hoft J, CDC Quietly Removed Statement that Says “MRNA and the Spike Protein Do Not Last Long in the Body,” Gateway Pundit, 14 AUG 2022, thegatewaypundit.com. Accessed 14 AUG 2022. 1

NDA Journal 8 News Presence and Stability of SARSCoV-2 on Environmental Currency, and Money Cards Reveals a Lack of Live Virus By Newey CR, Olausson AT, Applegate A, Reid A-A, Robison R, and Grose J The highly contagious nature of SARS-CoV-2 has led to several studies on the transmission of the virus. A little studied potential fomite of great concern in the community is currency, which has been shown to harbor microbial pathogens in several studies. Since the onset of the COVID-19 pandemic, many businesses in the United States have limited the use of banknotes in favor of credit cards. However, SARSCoV-2 has shown greater stability on plastic in several studies. Herein, the stability of SARS-CoV-2 at room temperature on banknotes, money cards, and coins was investigated. In vitro studies with live virus suggested SARS-CoV-2 was highly unstable on banknotes, showing an initial rapid reduction in viable virus and no viral detection by 24 hours. In contrast, SARS-CoV-2 displayed increased stability on money cards with live virus detected after 48 hours. Environmental swabbing of currency and money cards on and near the campus of Brigham Young University supported these results, with no detection of SARS-CoV-2 RNA on banknotes, and a low level on money cards. However, no viable virus was detected on either. These preliminary results suggest that the use of 1 (Editor’s Note: This study from BYU reveals yet another of the endless and ill-advised subjective policies foisted secondary to the COVID not a pandemic (99% survival rate). Perhaps it is now safe to handle the mail without instituting universal infection control measures.) money cards over banknotes in order to slow the spread of this virus may be ill-advised. These findings should be investigated further through larger environmental studies involving more locations.1 0 References Plos One, https://journals.plos.org/plosone/article?id=10.1371/journal. pone.0263025, accessed 10 AUG 2022.

Fal l 2022 www.nvda.org 9 News CDC Admits Natural Immunity More Effective Than Experimental Formulations The CDC finally acknowledges what former University of California Irvine Medical Ethics Director Aaron Kehriaty, MD, has been saying for over a year about natural immunity. Such mandates no longer have any legal ground to stand on.1 Some may remember Dr. Kehriaty challenging the constitutionality of Irvine’s experimental drug mandate in federal court on behalf of COVIDrecovered individuals.2 Argued in that case was that natural immunity following COVID infection is equal to (indeed, superior to) any experimental-non-vaccine-mediated immunity. Those with natural immunity were forced to take unnecessary risks without commensurate benefits—either to individuals or to the population as a whole—to remain employed at Irvine and elsewhere. This clearly violated equal protection rights guaranteed under the Constitution’s 14th Amendment. Irvine’s CDC recommendation argument is not non-existent. 0 References Kheriaty A, Checkmate, Human Flourishing, https://aaronkheriaty.substack. com/p/checkmate, accessed AUG 15 2022. Villareal M, UC Irving fires medical ethics director for challenging vax mandate, Medical Martial Law, JAN 07 2022, https://medicalmartiallaw. com/2022-01-07-university-fires-medical-ethics-director-challenging- vax-mandates.html, accessed AUG 15 2022 1 2

NDA Journal 10 Featured Article Unilateral Mandibular Hypoplasia—a Panoramic and CT Study By Jyoti Mago, MDS, MS DS, DDS* Background A three-dimensional analysis of unilateral mandibular hypoplasia and its extent is described in the current report. The current study also evaluates involvement of other bones using advanced imaging. Additionally, the report also includes various treatment planning methods for this deformity in varied bony involvement and at various ages. Case Report An 18 year-old female patient visited the screening clinic of the Maharishi Markandeshwar College of Dental Sciences and Research, India with a complaint of increasing facial asymmetry beginning in childhood. The patient also complained of occasional self-limiting intermittent rightsided pain in the auricular area which radiated towards the eye. The patient also had a history of recurrent ear infection and was under medication for the same from a local doctor in her place of residence. A panoramic radiograph revealed hypoplasia of mandibular body and ramus on right side with a prominent antigonial notch on the same side. (Figure 1) To evaluate any infection, and to evaluate the extent of the deformity and involvement of adjacent soft tissues, a non-contrast enhanced computed tomography (CT) was performed. The CT which revealed facial asymmetry with hypoplasia of the right mandibular body, ramus, and condyle resulting in retrognathism. (Figure 2) Mild flattening of right condylar head and articular eminence were also present. Additionally, there was bilateral absence of frontal sinuses. (Figure 3) There were no associated soft tissue findings in the scan. Figure 1 Figure 2 Figure 3

Fal l 2022 www.nvda.org 11 Featured Article Discussion Any traumatic event in the condylar region in the late postfetal or early postnatal growth can result in the malformation of the facial skeleton associated with tilting of the occlusal plane, deviation of the chin, or an asymmetry of the soft tissues.1 A concern is adjacent osseous involvement of a skeletally immature patient whom is still growing. Treatment planning includes if the pathology can be treated, when to initiate treatment, and the duration of the treatment for both hard and soft tissues. A combination of surgical and orthodontic treatment may be crucial for a good prognosis and stable outcome. Historically, conventional orthognathic surgeries were performed in which there was a high risk of skeletal and soft tissue relapse. This was generally due to the effect of muscular action, such as the pterygomasseteric sling, over the involved osseous structure. The long-term effect of muscular function would overcome any surgical-orthodontic movement with time, resulting in continuing deformities such as changes in vertical dimention.2,3,4 Subsequently, the use of bone grafts came into the play. The treatment planning was done in such a way so as to restore the mandibular dental base to get a good relationship with the maxillary dental base by osteotomy and bone-grafting operations. This treatment included over correction of the deformity at the time of surgery to allow for predicable growth. Still, the results of autogenous bone grafts can be unpredictable 2 and secondary surgical and orthodontic procedures may be required. Distraction osteogenesis can be used to overcome tension in the pterygomasseteric sling by reducing the load on the affected joint.1 In growing patients, distraction osteogenesis when done with distraction vector planning, overcorrection, orthotics, and guiding elastics can correct mandibular symmetry and occlusal canting or the restriction of vertical maxillary growth.5,6,7,8,9 However, the primary concern remains relapse of the treated anatomy over longer periods of time.8 Hence, studies with longer follow-up and in larger patient populations are the current research need. These studies require long-term evaluation to predictably optimally treatment plan. 0 References Gerbino G, Bianchi FA, Verze L, and Ramieri G. Unilateral Mandibular Hypoplasia in Adult Patients: Distraction Osteogenesis and Conventional Osteotomies in a Standardized Sequence. J Craniofac Surg 2014; 25: 00–00. Yamauchi K, Takahashi T. Maxillary distraction osteogenesis combined with mandibular osteotomy to correct asymmetry of the maxillomandibular complex. Plast Reconstr Surg 2006;118:39e–45e Kofod T, Norholt SE, Pedersen TK, et al. Reliability of distraction vector transfer in unilateral vertical distraction of the mandibular ramus. J Craniofac Surg 2005; 16: 15–22. Proffit WR, Turvey TA, Phillips C. Orthognathic surgery: a hierarchy of stability. Int J Adult Orthodon Orthognath Surg 1996; 11: 191–204. Mc McCarthy JG, Schreiber J, Karp N, et al. Lengthening of the human mandible by gradual distraction. Plast Reconstr Surg 1992;89:1–10. Kaban LB, Padwa BL, Mulliken JB. Surgical correction of mandibular hypoplasia in hemifacial microsomia: the case for treatment in early childhood. J Oral Maxillofac Surg 1998;56:628–638. Kofod T, Norholt SE, Pedersen TK, et al. Reliability of distraction vector transfer in unilateral vertical distraction of the mandibular ramus. J Craniofac Surg 2005;16:15–22. Mommaerts M, Nagy K. Is early osteodistraction a solution for the ascending ramus compartment in hemifacial microsomia? A literature study. J Craniomaxillofac Surg 2002;30:201–207. Mulliken JB, Kaban LB. Analysis and treatment of hemifacial microsomia in childhood. Clin Plast Surg 1987;14:91–100. * Dr. Mago is an Oral and Maxillofacial Radiologist (OMR) and an Assistant Professor in Residence in the Department of Clinical Sciences at the UNLV SDM. She obtained an M.S. in Dental Sciences and completed residency training in OMR at the University of Connecticut School of Dental Medicine. She also worked as a faculty member at the University of Iowa. Dr. Mago has completed a Masters in Oral Medicine and Radiology at Maharishi Markandeshwar College of Dental Sciences and Research in India. Dr. Mago holds a specialty license to practice OMR in Nevada. 1 2 3 7 8 9 6 4 5

NDA Journal 12 COVID Vaccines Increase Menstrual Irregularities Thousandfold, Fetal Abnormalities Hundredfold: Doctors’ VAERS Analysis By Enrico Trigoso, Epoch Times, July 1, 2022 New disturbing pharmacovigilance signals from Vaccine Adverse Event Reporting System (VAERS) surrounding the use of the COVID vaccines on women of reproductive age prompted a group of doctors to call for a ban on the gene therapy COVID-19 vaccines. Dr. James Thorp, a maternal- fetal medicine expert, analyzed and verified the most recent VAERS data related to COVID-19 vaccines and compared them to the influenza vaccines. Featured Article “COVID-19 vaccines compared to the influenza vaccines are associated with increases in menstrual disorders, miscarriage, fetal chromosomal abnormalities, fetal cystic hygroma, fetal malformations, fetal cardiac arrest, fetal cardiac arrhythmias, fetal cardiac disorders, fetal vascular mal-perfusion abnormalities, abnormal fetal surveillance testing, abnormal fetal growth patterns, placental thrombosis, and fetal death,” Thorp told The Epoch Times last week. His findings are listed below: • Abnormal uterine bleeding (menstrual irregularity) is 1000-fold greater • Miscarriages are 50-fold greater • Fetal chromosomal abnormalities are 100-fold greater • Fetal malformation is 50-fold greater • Fetal cystic hygroma (a major malformation) is 90-fold greater • Fetal cardiac disorders are 40-fold greater • Fetal arrhythmia is 50-fold greater • Fetal cardiac arrest is 200-fold greater • Fetal vascular mal-perfusion is a 100-fold greater • Fetal growth abnormalities are 40-fold greater • Fetal abnormal surveillance tests are 20-fold greater • Fetal placental thrombosis is 70-fold greater Thorp said that he verified his analysis with a DOD (Department of Defense) statistical consultant that agreed to help him on the condition of anonymity. Lack of Safety Testing Regarding the VAERS data, vaccinologist Dr. Robert Malone, a key contributor of mRNA technology, told The Epoch Times on Thursday: “The strategy of authorizing the emergency use of mRNA ‘vaccine’ products prior to completion of rigorous non-clinical animal testing for reproductive and genotoxicity risks, followed by advocacy of widespread use in pregnancy, now appears to have resulted in substantial and avoidable reproductive toxicity.” He stressed that expectant mothers should avoid the “experimental” COVID vaccines and that their infants should not be injected with them. “These new VAERS data and analyses demonstrate that both reproductive-aged mothers and their infants have been damaged by accepting According to OpenVAERS, “VAERS was put in place in 1990. It is a voluntary reporting system that has been estimated to account for only 1% of vaccine injuries.”

Fal l 2022 www.nvda.org 13 Section Header unlicensed, inadequately tested, emergency use authorized genetic vaccines,” Malone said. Earlier this year Jessica Rose Ph.D. co-authored a VAERS analysis that was withdrawn by the academic journal Elsevier. She told The Epoch Times that Thorp’s analysis aligns perfectly with hers. “I do believe it is not only important, but necessary, to pull these products from pregnant/breastfeeding women and infants since there is no longterm safety data and the short-term data looks bad. As per both Moderna and Pfizer’s safety documents presented to VRBPAC pre-EUA granting for 0- 4-year-olds, this applies. They both showed terrible risk,” Rose said. Christiane Northrup, MD, a fellow of the American College of Obstetrics and Gynecology, also stands by the analysis. “Having been on the front lines of the diethyl stilbesterol (DES) disaster as a young OB/GYN, I am astounded that we are repeating the same kind of mistake, but on a far more devastating level. COVID-19 shots must be stopped immediately in all pregnant women before further damage is done to the next generation,” Northrup told The Epoch Times. Thorp continued: “All of these adverse outcomes are statistically significant (p value < 0.0001)–in other words, the probability of these adverse outcomes occurring by chance alone is less than 1 in 10,000. It was incumbent upon the COVID-19 vaccine manufacturers, FDA, CDC, American College of Obstetrics and Gynecology, Society for MaternalFetal Medicine, and American Board of Obstetrics and Gynecology to have demanded this safety data prior to pushing these dangerous ‘vaccines’ in pregnancy.” “These institutions have violated the golden rule of pregnancy: new substances be it nutraceuticals, drugs, or vaccines have NEVER been allowed in pregnancy until long-term outcome data are available. Now, the COVID-19 vaccines make prior obstetrical disasters of DES and thalidomide look like prenatal vitamins. I am calling for a worldwide ban and moratorium on the use of any experimental gene therapy and/or COVID19 ‘vaccines’ in pregnancy until long-term safety data are irrefutable,” Thorp stated. According to OpenVAERS, “VAERS was put in place in 1990. It is a voluntary reporting system that has been estimated to account for only 1% of vaccine injuries.” The VAERS official disclaimer, however, states: “While very important in monitoring vaccine safety, VAERS reports alone cannot be used to determine if a vaccine caused or contributed to an adverse event or illness.” 0 1 (Editor’s Note: The NDAJ asked previously how the Society for Maternal-Fetal Medicine, and other related organizations, could reasonably opine that the COVID vaccines, actually experimental formulations save the Federal Government/CDC changing the definition of “vaccine” in September 2021, were safe for pregnant mothers and their babies before any of the babies had even been born.)1 References Plos One, https://journals.plos.org/plosone/article?id=10.1371/journal. pone.0263025, accessed 10 AUG 2022. Featured Article

NDA Journal 14 UNLV School of Dental Medicine Honors Raymond Rawson, DDS As part of its 20th anniversary festivities, UNLV School of Dental Medicine held a naming ceremony for former state senator Raymond D. Rawson, DDS, who founded the school in 2002. Family, friends, peers, faculty and staff members, as well as representatives from the Nevada System of Higher Education Board of Regents, the UNLV provost’s office, Featured Article and the Las Vegas City Council attended the intimate reception and witnessed the unveiling of the Dr. Raymond D. Rawson Auditorium within the “A Building” of the university’s Shadow Lane campus. A commemorative plaque (still in transit) will be placed next to the auditorium’s main entrance stating: In recognition of Raymond D. Rawson, DDS UNLV Inaugural Class of 1964; Nevada State Senator; Founder, UNLV School of Dental Medicine Your vision and tenacity created academic pathways to the dentistry profession and greater access to oral health care for Nevada residents. As we look toward our future, we will remember the quote that served as your mantra for success: “Whatever we vividly imagine, Ardently desire, Sincerely believe, And enthusiastically act upon, Must inevitably come to pass.” 0

Fal l 2022 www.nvda.org 15 Michele M. Reeder NDA Executive Director’s Fall Message Fall in Nevada is always an interesting time for the NDA; particularly as we approach ADA SMILECON and House of Delegates in October and the Nevada 2023 Legislative Session which begins in early 2023. Like most successful endeavors, preparation is key to success. The NDA is fortunate to have amazing partners who support our leadership and councils, so dentistry and oral health are a priority in Nevada. The NDA was thrilled to learn that Nevada Medicaid was awarded a $1.6m grant to develop, recruit, and retain a dental workforce. Congratulations to Dr. Antonina Capurro, Nevada Medicaid Deputy Administrator and the grant’s Principal Investigator, and her team for making oral health a priority. For more information, www.dhhs.nv.gov. We are also excited to announce that the NDA has a new Director of Member Services to support our membership. Ms. Marianna Kacyra joins us from the National Council of Juvenile and Family Court Judges where she was their membership director for many years. She has embraced NDA’s membership and is working hard to develop more member outreach to ensure our members understand all that their membership offers them and their practices in Nevada. If you haven’t yet heard from Marianna, you will over the weeks and months ahead. In an effort to bring high caliber education to NDA members, the NDA has partnered with the American Cancer Society and Pacific Dental Services to host a 5-part continuing educational series titled, HPV Vaccinations: The Dental Community’s Role. We have secured a variety of leaders from both inside and outside Nevada to talk about HPV. The series is free to members of the NDA and NDHA with all others paying a fee for the event. More information can be found on the NDA website: www.nvda.org. Lastly, as we enter the 4th quarter of 2022, I would like to say thank you for supporting the NDA and oral health in Nevada. Your membership gives us the ability to direct policy and legislation that supports dentistry in meaningful ways and also offers members complementary Peer Review, and other services, that can save you not only money but your valuable time as well. Fall means that change is in the air and with your help the future is bright. 0 The NDA is fortunate to have amazing partners who support our leadership and councils, so dentistry and oral health are a priority in Nevada. NDA Executive Director’s Message

NDA Journal 16 Jason R. Doucette, DMD NDA President’s Fall Message G reetings, Nevada Dental Association Members! It’s hard to believe that school has once again started for all of our kids and the fall of 2022 is upon us. I hope everyone has had an amazing fun-filled summer season with family and friends, especially since we up here in the north were essentially “robbed” of our summer last year with all the horrendous fires in Northern California. I would first like to extend a huge welcome and congratulations to our newly appointed Secretary on the Executive Council of the NDA, Dr. Sheronda Strider-Barraza. Previously serving as a delegate to the NDA House of Delegates and most recently as the Past President of the SNDS, we are all excited for the knowledge, wisdom, and experience that Dr. Strider-Barraza will bring to the NDA Executive Council for the next five years. With the next Nevada legislative session quickly approaching, which starts on February 6, 2023, our amazing lobbyist group, Tri-Strategies, has been diligently preparing for more “wins” for the NDA and residents of our great state of Nevada. Currently, they are preparing legislative bills for the prevention of dental insurance down-coding/code bundling, dental loss ratio accountability/transparency, and modernization of dentistry (expanding our scope during national emergencies, etc.). My focus this year as president of the NDA is to continue to “stand on the shoulders” of all who have served before me to help guide oral health policy and dental concerns at the legislative level, specifically in the areas of 3rd party payer issues, scope of practice, and Peer Review awareness. I encourage all of you to stay connected with the great progress the NDA is making at the local and state level. The future of dentistry in Nevada is bright and exciting! I hope that many of you will soon desire to volunteer your unique gifts and talents to help further this successful association in the years to come. Finally, I would like to thank all of you for your dedication and support of our great profession and helping to make the NDA the great association that it is today. Sincerely, Jason R. Doucette, DMD 0 My focus this year as president of the NDA is to continue to “stand on the shoulders” of all who have served before me to help guide oral health policy and dental concerns at the legislative level... NDA President’s Message

Fal l 2022 www.nvda.org 17 SNDS President’s Fall Message Ronald J. Laux, DDS​ SNDS President’s Message This is so much fun I thought I would do it twice. Let me explain. I wrote my president’s message for Fall 2022 and submitted it on time. A week later, our new Executive Director resigned after a very short stint in the position. So, it’s back to the drawing board, or in this case, keyboard. Boy, what a difference a few months makes. When I wrote my Spring 2022 president’s message, I was filled with a tremendous amount of anticipation for the upcoming year. I had hit the ground running in my presidency and had the whole term mapped out by mid-April, even though my term didn’t officially start until the end of April. Dates for board meetings, CE Café, and member meetings were in place. Goals for the year were set and I was optimistic the society was on the right path. Come the end of May and everything fell apart. Our executive director was fired for cause (we are unable to discuss in depth because of an ongoing police investigation) and it was discovered he didn’t really do any of the tasks I assigned him, or for that matter, much of anything else. The executive board was forced to divvy up the workload to keep the society running. Once things were sorted out (a major undertaking, believe me) we began the search for a new ED in July. After another round of interviews, we thought we had the right candidate chosen. Unfortunately, our new hire did not last long and we find ourselves in search of a new ED. In the meantime with help from the NDA and NNDS, we are moving forward. Trying to see the best in a bad situation, the whole experience has brought a closeness to the Board and the rest of the executive committee. Everyone has pitched in and done more than they had bargained for when they volunteered to be part of the SNDS. Be assured your leaders care about you, the profession, and the public we must protect. Proof that hard work pays off was seen by a very successful CE Café presentation by our own CE chairperson Dr. Sonal Shah. With only a few weeks of lead time, we were able to draw about 55 participants (probably a record for the CE Café series) for a highly relevant lecture on Oral Pathology lesions. Information gleaned could be used in your practice the next day. By the time you read this, we will have had our second CE Café lecture by Dr. Moni Ahmadian of the UNLV School of Dental Medicine. We hope to have at least one more lecture in the series in late September. Membership meetings for September, October, November, January, February, and March are planned. Please keep an eye out for notices via email and Facebook. I highly encourage your attendance at these meetings. We are working hard to have a lineup of quality clinical presenters and sponsors. Two CE credits are awarded and it is a good chance to socialize and keep up on current events in our profession. We strive to give value to your membership. Please take the time to ask a fellow dentist, member or non- member, to attend a meeting with you. I am hoping all will see the value of participation. Marianna Kacyra, the NDA Director of Member Services, was in the SNDS area in late August to work on membership renewals and contact with some of our members. Along with myself, we paid a visit to UNLV School of Dental Medicine to address the first year class during their orientation on the value of ADA membership. I am filled with hope for the future of the SNDS. We will survive the bumpy road we now find ourselves on. I have seen many volunteers go above and beyond. Communication with the NDA is better than ever. If you have any questions or concerns, please contact me at [email protected] or 702-772-6072. I am here to serve you. 0 Trying to see the best in a bad situation, the whole experience has brought a closeness to the board and the rest of the executive committee.

NDA Journal 18 Lori Benvin [email protected] News from the Northern Nevada Dental Society NNDS Executive Director’s Message Welcome Newest NNDS Members It’s going to be an event packed Autumn this year. We have several complimentary opportunities for new dentists to meet their fellow colleagues and connect with them in mentor and leadership roles as well as practice advice and corporate contracts. We started with an axe throwing and pizza event for all new dentists in June hosted by our amazing NNDS New Dentist Chair Dr. Whitney Bryant and your leadership team. Our annual NNDS Open House Picnic held on August 18 was a huge success for all new dentists, members and non, and existing dentists and their families. September 9, we hosted a Leadership Retreat with guest speaker Diaz Dixon followed by a cocktail/appetizer reception. This was a free continuing education event for anyone interested in leadership or who has been a leader to include sharing ideas; great synergy and excellent opportunity to find out more about involvement in organized dentistry leadership, leadership in our community and in your practice. Then, on Thursday, October 6, our loyal and supportive vendors Bank of America, Insuring Everything, MUN CPA’s, and BPE Law Group are hosting a panel discussion CE for all new dentists complimentary to include cocktails and appetizers. See NNDS Calendar (page 22) of this journal for link for information on topic discussions and to register. If you are a new dentist or just moved to this area, you DON’T want to miss this great opportunity for discussion and questions on October 6. Austin Braun, DDS–General Adam Parikh, DMD–Periodontist Jillian Rozanski, DDS, MD–Oral Surgeon Phillip Rutkowski, DDS–Orthodontist Daniel Schlieder, DDS, MD–Oral Surgeon Our NNDS general membership dinner meetings for 2022 start off October 20 with once again an amazing line up of guest speakers for the 2022/23 year. Thank you, Dr. John McLennan, for your hard work as CE chair and to the executive committee for other presenter ideas. We also want to hear from YOU, if you have a speaker idea that you think could benefit the NNDS members, please let us know. Watch for more event information in your inbox including continuing education opportunities as we kick off our 2022/23 year. You can go to our website at www. nndental.org and watch for our enewsletters and other e-communication. Thank you for your continued support and your membership, we VALUE all of you and we want to be of value to all of you too. We think we are giving you some great benefits this fall…take advantage! 0

Fal l 2022 www.nvda.org 19 NNDS President’s Message Hannah Beus NNDS President’s Fall Message Hello from Northern Nevada! First, THANK YOU so much for already recognizing the value of being a tripartite member! We are so grateful to have you here! My name is Hannah Beus, I am honored to be serving our dental community as the NNDS president this year. A huge thank you to Dr. Benjamin Brooks for graciously leading our society as he served us last year. I hope to continue building on the foundation he and the other amazing past presidents have worked so hard to build. This year, one of my goals is to focus on providing opportunities to reconnect and rekindle the friendships within our dental community. We have all navigated and continue to navigate the effects of the pandemic, and everyone is deserving of some compassion and connection. It’s time to celebrate the achievements that have been made, and share insight we’ve gained. We were grateful for the perfect weather to kick off the year at the annual NNDS picnic at Bartley Ranch. Thank you to all those that came, we had a great turn out! It was so wonderful to see everyone’s family, and be able to relax in good company while enjoying some tacos and ice cream. I was thrilled to be surrounded by so many smiles and hear the laughter from dear colleagues. We kept the momentum going with our next event, the leadership retreat! Our inaugural leadership retreat was held Friday, September 9. We wanted to provide value for our members and help them cultivate their leadership skills within their own life, their practice, and the dental community. All who attended benefited from listening to our local speaker, Diaz Dixon, the CEO of Purpose Driven Consulting. The event was provided at no cost to our members to show our gratitude for their membership and to hopefully inspire participation within organized dentistry at any level. We continue to hold monthly meetings where we can mingle with our colleagues over dinner, while completing continuing education on a variety of topics. All are welcome!! Reach out to our Executive Director, Lori Benvin, to register. » This year, one of my goals is to focus on providing opportunities to reconnect and rekindle the friendships within our dental community. We have all navigated and continue to navigate the effects of the pandemic, and everyone is deserving of some compassion and connection.

NDA Journal 20 Upcoming dates and topics include: Thursday, October 20, 2022—“NonDental Tooth Pain: What do you do when there is tooth pain with no obvious cause?” presented by: Joseph R. Cohen, DDS, FACD November 10, 11—“Current Trends in Head and Neck Cancer Therapy” and “Advanced Treatment Planning for Head and Neck Reconstruction” presented by: Dr. James A. Kelly Want even more opportunities for growth and connection? Check these events out: Friday Sept. 23 is the 20 annual Joel Glover Golf Tournament to help raise funds for the underserved children. A great event with special meaning behind it. We are also hosting a New Dentist Boot Camp on Oct. 6! Helping New Dentists (1–10 years) navigate next steps in their dental careers. Come learn helpful tips as you transition after graduation and enter the workforce. And finish out the year with coming to our NNDS Holiday Mixer 2022 Friday, December 9, 2022 6 pm–10 pm. The location has changed this year! *The Club at Rancharrah, Reno* We will continue to roll out opportunities and create value for our members, in this changing climate we strive to be a constant source of camaraderie, education, and growth within our community. Personally, I have witnessed immense service from our leaders within the NNDS, NDA, and ADA. I am overwhelmed with the passion these individuals have for preparing a positive future for our profession. Future progress is made from the decisions and actions that are taken today. If you feel so inclined to attend our meetings, please join! All are welcome and encouraged to bring your unique perspective and ideas so we can better our society! Sincerely, Hannah Beus NNDS President 0 NNDS President’s Message »

RkJQdWJsaXNoZXIy MTY1NDIzOQ==