NDA JOURNAL Winter 22–23 Volume 24, Issue 4 Official Magazine of the Nevada Dental Association and Component Societies A Peer Reviewed Journal
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 WINTER 22–23 NDA JOURNAL Editor’s Message Daniel L. Orr II, DDS, MS (anesth), PhD, JD, MD 2 News Capurro vs. NSBDE 5 2022 Golf Sponsors 6 Featured Articles Edward Jenner and the History of Smallpox and Vaccination 8 The Use of the Quitline and Our Role as Dentists 14 Reports NDA Executive Director Michele M. Reeder 18 NDA President Jason R. Doucette, DMD 19 SNDS President Ronald J. Laux, DDS 20 SNDS Executive Director Esther Johnson 21 NNDS Executive Director Lori Benvin 22 NNDS President Hannah Beus 23 Sections Event Calendars 24 Administrative Offices & NDA Committees 25 On the Cover Edward Jenner (1749–1823) was a British physician and scientist who is generally credited with pioneering the concept of vaccination and creating the world’s first vaccines. Please see Dr. Riedel’s article on pages: 8–13.
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 Retiring Quite a few articles document about when doctors retire,1,2 a few also opine about when they should retire.3,4 The articles about when doctors retire have to do with statistics relating to actual retirement and those retirements are generally couched in a doctor’s ability to retire, often secondary to financial considerations. The articles relating to when doctors should retire are at times secondary to doom and gloom unreferenced opinions about competence. One thing most of the works have in common is that the authors are generally not actually doctors, which in my mind essentially makes those authors unqualified to give an opinion, kind of like administrators, regulators, attorneys, and politicians in general when trying to control regular people. Of course, a lack of qualifications or real-life experience never slows down such individuals, often anointed as “experts,” interested in opining about others’ lives in innumerable circumstances. At times, however, even non-doctors may have a legitimate basis to offer suggestions to doctors; the key question is why non-doctors would deign to do so. The motives of the non-doctors are important. Let’s consider children. Generally, my own kids ask, don’t tell, me when it comes to retirement issues. That attitude is, in part, because they love me, I hope. But at times they can cross the line, love or not. I have two daughters, Holly and Ivy, like the Christmas carol, who have told me in no uncertain terms to retire from certain activities, those being skateboarding and paddle boarding (in bigger surf). I crashed on one of my skateboards a couple of years ago, when I was only 70, and Holly had the temerity to tell me I was “too old” to skateboard. The abrasions healed quickly (Figure 1). Within a week or two, Holly crashed on my board and ended up having her knee reconstructed (Figure 2). I have to admit, a tiny little part of me smiled and felt somehow skateboard-validated. Figure 1, Editor’s skatebaord scrapes. Figure 2, Holly, the skateboard advisor.
Winter 22–23 www.nvda.org 3 Editor’s Message Daughter Ivy teaches surfing and paddleboarding on the North Shore of Oahu. I tagged along with her little group of students one day and decided to head a little further out, the waves looked fun and I needed the exercise. When Ivy saw me, she shouted: “Dad, no one goes out there!” Later she clarified that to no one “your age” goes out there. I think I know my 72-year-old capabilities as well as anyone, even certified surfer-girl Ivy. I readily admit I haven’t done tricky board stuff like she can though (Figures 3,4). with are content with my efforts and I’m having fun. Fight On! 0 However, if we consider the motivation of those that don’t love us, often their uninformed opinions can be dismissed out-of-hand. There are two kinds of people in the world when one really gets down to it: 1. Those that want to be left alone, and 2. Those that cannot leave other people alone. The 2’s are primarily motivated by power accumulation at the expense of others, and not at all by actually helping others. The answer for the many who ask the question about when doctors should retire is really pretty straightforward, and that is, absent circumstances such as Dunning-Kruger issues,5 when they feel like it. I have retired from a lot of things I used to do for a lot of reasons, but most often because I feel like it, not because I’m compelled to do so in any way. At times one may have to retire from one activity because one determines another activity is preferable. Holly and Ivy are only two of my nine kids, projects which have demanded a lot of time but which also return a lot of joy even as we dance with occasional disagreements. Only two, high school freshman Luke and 6th grader Brighton are still at home. They know I’m a little older than some of their contemporary’s dads but we’re good with that, I think. The other day when I picked Luke up from school he brought over a handful of friends and introduced me. Later I asked him what all that was about and he said: “I told them my dad was 70 and they wanted to see what you looked like.” Whatever Luke. By the way, with some fascination, but in terms of full-disclosure, it appears the Federal Government’s EEOC agrees with the opinions herein. Age discrimination is illegal.6 In the meantime, I’ll be happily fathering, skateboarding, operating, anesthetizing, and even writing for the NDAJ, as long as those I work When doctors should retire is really pretty straightforward, and that is, absent other circumstances such as Dunning-Kruger issues, when they feel like it. Figure 3, Ivy being crazy. Figure 4, Ivy being more crazy. References Wall Street Physician, Physician retirement Age: When Is The Right Time To Retire?, Jan 10, 2018, https://www.wallstreetphysician.com/ physician-retirement-age/. White Coat Investor, How to Retire Early as a Doctor, Dec 31, 2018, https://www.whitecoatinvestor.com/how-to-retire-early/. Advisory Board, When is it time for a doctor to retire? Here are 6 “red flags”, Oct 07, 2022, https://www.advisory.com/daily-briefing/2019/04/08/ red-flags. Northern Star, When Should Doctors Retire?, 2022, https:// northernstar-online.com/when-should-doctors-retire/. Orr D, Dunning-Kruger for Dentists, NDAJ 24:3, 2-3, Fall 2022. Ewing, S, EEOC Files Lawsuit Against Yale Hospital for Age Discrimination of Older clinicians, JDSUPRA, Jul 17 2020, https://www.jdsupra.com/ legalnews/eeoc-files-lawsuit-against-yale-23140/, accessed DEC 12 2022. 1 2 3 4 5 6
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Winter 22–23 www.nvda.org 5 News Capurro vs. NSBDE The NDA was apprised of an ongoing case directed to the Nevada State Board of Dental Examiners. This is a matter that is garnering national attention. Public record legal filings can be found at: https://bit.ly/3GAwKfh.
NDA Journal 6 News Annual Northern Nevada Dental Health Programs Joel F. Glover, DDS Charity Golf Tournament 2022 redhawk Golf Club – September 23rd Schedule of Events Time Location 7:00 a.m. Golfer Check-in & Breakfast Golf Cart Staging Area/Golf shop Patio Free practice Range Balls Driving Range 7:45 a.m. Report to Golf Carts, Rules & Announcements Golf Cart Staging Area 8:00 a.m. Shot-Gun Start Golf Cart Staging Area @ 1:00 p.m. BBQ Lunch, Awards, & Raffle Winners RedHawk Events Center NNDHP would like to THANK: Major Sponsors AAA ** ProAssurance / USI Insurance ** Patterson Dental & 3M ** BPE Law Group / M.U.N. CPA’s Special Guests/Contributors Engine 8 Urban Winery / The Depot Hole/Tee Sponsors Boyden Oral & Maxillofacial Surgery / Scott Boyden, DDS, MD ** NV Oral & Maxillofacial Surgery / Dan Muff, DDS, MD & Kimberly Bentjen, DDS, MD O’Gara Gilbert Orthodontics Sierra Oral & Facial Surgery / Ryan Falke, DDS Straumann, LLC TMJ Sleep Therapy Centre of Reno/Well Beyond Dental Special Donors Bob & Diane Barone Charitable Gift Fund Cutting Image, LLC / Eric & Debbie DeWitt ** Pitts Orthodontics ** Q & D Construction Whispering Vine Wine Co. ** Hole Sponsors Dermody Properties 1st Independent Bank of NV Mrs. Mary Glover/Glover Family ** Just Add Water, LLC Martin Iron Works, Inc. NV Oral Surgery / Troy Savant, DDS Hole in One Sponsor Reno Mitsubishi Food and beverage sponsors Benco Dental BPE Law Group & M.U.N. CPA’s Carestream Dental Henry Schein Dental ** Heritage Bank of NV Invisalign / iTero Liberty Dental Plans Joel F. Glover, DDS ** = Donor for 20 yrs. NNDHP WOULD LIKE TO THANK ALL OF THE SPONSORS DONORS AND GUESTS WHO PARTICIPATED AT THIS YEARS EVENT! , ,
Winter 22–23 www.nvda.org 7 News
NDA Journal 8 Featured Article 21 BUMC PROCEEDINGS 2005;18:21–25 In science credit goes to the man who convinces the world, not the man to whom the idea first occurs. —FRANCIS GALTON For many centuries, smallpox devastated mankind. In modern times we do not have to worry about it thanks to the remarkable work of Edward Jenner and later developments from his endeavors. With the rapid pace of vaccine development in recent decades, the historic origins of immunization are often forgotten. Unfortunately, since the attack on the World Trade Center on September 11, 2001, the threat of biological warfare and bioterrorism has reemerged. Smallpox has been identified as a possible agent of bioterrorism (1). It seems prudent to review the history of a disease known to few people in the 21st century. Edward Jenner (Figure 1) is well known around the world for his innovative contribution to immunization and the ultimate eradication of smallpox (2). Jenner’s work is widely regarded as the foundation of immunology—despite the fact that he was neither the first to suggest that infection with cowpox conferred specific immunity to smallpox nor the first to attempt cowpox inoculation for this purpose. SMALLPOX: THE ORIGIN OF A DISEASE The origin of smallpox as a natural disease is lost in prehistory. It is believed to have appeared around 10,000 BC, at the time of the first agricultural settlements in northeastern Africa (3, 4). It seems plausible that it spread from there to India by means of ancient Egyptian merchants. The earliest evidence of skin lesions resembling those of smallpox is found on faces of mummies from the time of the 18th and 20th Egyptian Dynasties (1570–1085 BC). The mummified head of the Egyptian pharaoh Ramses V (died 1156 BC) bears evidence of the disease (5). At the same time, smallpox has been reported in ancient Asian cultures: smallpox was described as early as 1122 BC in China and is mentioned in ancient Sanskrit texts of India. Smallpox was introduced to Europe sometime between the fifth and seventh centuries and was frequently epidemic during the Middle Ages. The disease greatly affected the development of Western civilization. The first stages of the decline of the Roman Empire (AD 108) coincided with a large-scale epidemic: the plague of Antonine, which accounted for the deaths of almost 7 million people (6). The Arab expansion, the Crusades, and the discovery of the West Indies all contributed to the spread of the disease. Unknown in the NewWorld, smallpox was introduced by the Spanish and Portuguese conquistadors. The disease decimated the local population and was instrumental in the fall of the empires of the Aztecs and the Incas. Similarly, on the eastern coast of North America, the disease was introduced by the early settlers and led to a decline in the native population. The devastating effects of smallpox also gave rise to one of the first examples of biological warfare (1, 7). During the French-Indian War (1754– 1767), Sir Jeffrey Amherst, the commander of the British forces in North America, suggested the deliberate use of smallpox to diminish the American Indian population hostile to the British. Another factor contributing to smallpox in the Americas was the slave trade because many slaves came from regions in Africa where smallpox was endemic. Smallpox affected all levels of society. In the 18th century in Europe, 400,000 people died annually of smallpox, and one third of the survivors went blind (4). The symptoms of smallpox, or the “speckled monster” as it was known in 18th-century England, appeared suddenly and the sequelae were devastating. The case-fatality rate varied from 20% to 60% and left most survivors with disfiguring scars. The case-fatality rate in infants was even higher, approaching 80% in London and 98% in Berlin during the late 1800s. The word variola was commonly used for smallpox and had been introduced by Bishop Marius of Avenches (near Lausanne, Edward Jenner and the history of smallpox and vaccination STEFAN RIEDEL, MD, PHD From the Department of Pathology, Baylor University Medical Center, Dallas, Texas. Corresponding author: Stefan Riedel, MD, PhD, Department of Pathology, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, Texas 75246 (e-mail: [email protected]). Figure 1. Edward Jenner (1749–1823). Photo courtesy of the National Library of Medicine.
Winter 22–23 www.nvda.org 9 Featured Article »
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Winter 22–23 www.nvda.org 13 Featured Article The NDAJ would like to thank Dr. Riedel and the National Library of Medicine for allowing republication of this article. (Editor’s Note: NDAJ Readers will note from Dr. Riedel’s 2005 article that, as with other innovations in medicine, “vaccination” (the: “introduction of a substance that bestows immunity to a specific disease”) was highly controversial initially. Organized medicine in large part was against it for the usual reasons it is against anything new, ultimately its perceived loss of power. The same antagonism holds for politicians and lay citizenry that go along with government dicta. As the article relates, someone even threw a bomb into the home of an early doctor variolator. Fortunately, after the initial brouhaha, References Moore A, Insurance company finds triple-vaxxed more likely to get COVID than unvaxxed, Clark County Today.com. OCT 10, 2022, https://www. clarkcountytoday.com/news/insurance-company-finds-triple-vaxxed-morelikely-to-get-covid-than-unvaxxed/. 1 vaccination was accepted as a very good thing, and has been so for over 250 years. Tragically, September 01, 2021, politically correct CDC apparatchiks changed the definition of vaccination to something that simply stimulates the immune system, which a lot of substances and conditions do. Also, that stimulation can be good, or bad, as it now turns out to be with the experimental Covid formulations. The Covid formulations have now been proven to be neither safe nor effective, as recently documented by multiple life insurance carriers which have found that those whom submitted to the experimental pokes are more likely to die from all causes than those who did not 1…and we have not even begun to evaluate the longer-term complications. Many feel the CDC and its medical and lay supporters lost all credibility. Now if someone talks about a “vaccine,” terms must be very carefully defined. (Please see Figures 1. and 2.) An example of this is the recent HPV CE course offered via the NDA. One of the questions the presenters asked the dentist participants is how could an increase in the use of HPV vaccination in patients be effected. Unfortunately, that is more difficult than ever to do now after the CDC’s feckless definition change. Since more individuals now know of the CDC’s legerdemain with regard to the Covid not-a-vaccine (historically speaking), government supported “vaccines” and other therapies will be more untrusted than ever.) 0 Figure 1. 2022 CVS 15-plus Vaccines advertisement. Is CVS implying that Covid formulations are equivalent to historical vaccines? Figure 2. 2022 CVS Boost Your Immunity and get 2.00 Off advertisement. Is CVS designating these agents vaccines?
NDA Journal 14 Featured Article The Use of the Quitline and Our Role as Dentists By Tina Brandon Abbatangelo DDS* A s I began my journey working on my MPH at UNLV, I was asked by some professors if I would consider doing my professional paper or thesis on quitline use in Nevada. UNLV was about to launch a 100% TobaccoFree, Smoke-Free, and Vape-Free policy. This long-overdue policy was welcoming to many in health care primarily due to the health risk of tobacco use and secondhand smoke. I was intrigued by the idea from a dental perspective and the number of dentists as a referral source to the quitline. With vaping on the rise amongst our youth, I knew the importance of the policy, especially working at the dental clinic on the main campus of UNLV. But I was also curious if the quitline would have increased in use after implementing the policy. The creation of 1-800-QUIT-NOW meant that people could call one centralized number to connect to their state quitline, which connects to individual state programs. Quitline funding, has increased significantly, beginning in 1998 with the Master Settlement Agreement of a class action suit against five major U.S. tobacco companies. By 2004, 38 states had their quitline. The CDC additionally provided quitline funding which by 2006 included all 50 states, the District of Columbia, and Puerto Rico. Tobacco users can also text #MyLifeMyQuit (text 36072).This modality may be a better, less invasive approach for younger tobacco users, especially vapers, to get the help they need to quit. Our group began meeting and gathering data from the quitline. When tobacco user calls the quitline, they are asked numerous questions to help better serve them. For example, they are questioned about insurance, their chosen quit date, and who referred them to the quitline. As I looked at a 6-month recap of data, I saw the limited number of dentists referring their patients to the quitline. The NDA and I and my professor, Dr. Tim Grigsby, worked on a survey sent out to all NDA members asking them about their knowledge of the Nevada quitline. The 10-question anonymous survey gave insight into the dentist’s use of the quitline in Nevada. Although only 22 members participated in the survey, it showed where we needed to improve in the quitline referral use. Over 63% did not know what a quitline was, and over 72% did not realize that Nevada had their quitline. 50% of the dentists said they referred their patients to the quitline, and 50% said they referred their patients to the primary care physician for tobacco cessation. Yet over 90% of dentists’ health questionnaires asked about tobacco use (smoking, vaping, smokeless tobacco). When asked in what context the dentist discussed smoking or vaping with patients, more discussed it concerning their overall health versus their oral health; 26.32% vs. 36.84%. Over 81% felt comfortable talking about quitting with their patients, and over 63% felt their dental education prepared them to have that tough conversation with their patients. Over 77% have yet to take additional training/CE about tobacco cessation since graduating from dental school. The data collected on this small survey made me realize the importance of quitline awareness and how we needed more organizational support. I then decided to bring the topic to a national level with the ADA. The resolution was presented to the 14th district to create a task force that would bring a better working relationship with each state quitlines and to mainstream the questions about their referral source. In addition, this would gather better data for the task force informing the ADA where we lack cessation programs, continuing education courses, and dental school curriculums. This resolution aims to create a more substantial, more accurate data source to improve cessation program access and participation by our patients who need help quitting. In return, it will bring improved oral health and behavioral change. The 14th District accepted the resolution. Next, it was presented to the Committee on Dental Benefits and Practice and Related Matters, which passed with a few changes. Finally, the House of Delegates accepted the resolution: “Advocacy for Dentists to Refer to Tobacco and Vaping Cessation Quitlines.” It was resolved that the appropriate ADA agency:
Winter 22–23 www.nvda.org 15 Featured Article 1. Establish relationships with each state’s quitline to gather accurate data on quitline referrals by dentists and other dental team members. 2. Facilitate a survey by state associations to understand quitline referrals by their members. 3. Increase tobacco and vaping cessation counseling and referral to quitlines. There needs to be more information on a dentist’s role in tobacco cessation, including a direct correlation between dentist referrals to the quitline. In addition, many U.S. dentists need to familiarize themselves with a quitline or how to counsel their patients regarding tobacco cessation to improve the overall health of their patients. JADA Investigation Cover Story in January 2022 concluded that receiving smoking-cessation advice from a dental care professional was associated with more attempts to quit smoking abstinence beyond six months. (JADA, 2022) The study used data from a survey from 2015–2018 that used an observational study design from data for the National Health and Nutrition examination survey. The sample size was 1,024. Eighteen years and older were current or former smokers who quit smoking in the last month and reported a dental visit within the previous 12 months. In addition, 44.6% received smoking cessation advice from a dental care professional. The conclusion was that receiving smoking cessation advice from a dental care professional was associated with more attempts to quit smoking abstinence beyond six months. The research was limited due to self-reporting data (recall and bias). In addition, this was a cross-sectional study, so temporality (temporality refers to the idea of a linear progression of past, present, and future or directionality—relating to or indicating the direction in which someone or something is situated, moving, or developing) was not present. The ADA offers online courses for tobacco cessation. For example, one course by Dr. Larry Williams titled “Tobacco Policy, Pharmacotherapy, and Dentistry” has a well-structured, step-by-step approach to helping our tobacco user patients. Another course titled “E-cigarettes and Vaping: Current Trends, Neurobiology, Cessation, and the Role of the Dental Professional” by Nicholas Chadi, MD, MPH, and Neeta Chandwani, DDS, MscD (pediatrician from Boston) is another well-sourced online course an ADA member can watch. Both online courses are available on the ADA CE Online website. In addition, the ADA currently has the 5 A’s to help our patients. 1. Ask—Identify and document the tobacco use status of every patient at every visit. (You may wish to develop your own vital signs sticker based on the sample below.) 2. Advise—In a clear, strong, and personalized manner, urge every tobacco user to quit. 3. Assess—Is the tobacco user willing to make a quit attempt now? 4. Assist—For the patient willing to make a quit attempt, use counseling and pharmacotherapy to help them quit. (See Counseling Patients to Quit and pharmacotherapy information in this packet.) »
NDA Journal 16 5. Arrange—Schedule follow-up contact, in person or by telephone, preferably within the first week after the quit date. Currently, the ADA supports a Tobacco-Free Kids coalition campaign for a proposed rule for tobacco product standards for menthol cigarettes and characterization flavors in cigars. Numerous national anti-vaping campaigns include the “Don’t Blow It” Anti-Vaping Campaign through Essentia Health (Essentia Health, 2022). Another campaign, “TobaccoFree Kids,” is an international group attempting to create awareness. The Federal Drug Agency has a “snarky and irreverent” poster campaign to shock the youth called “The Real Cost Campaign.” (FDA.gov) The FDA has included vaping in this campaign that began in 2014. The National Institute of Health (NIH) partners with the FDA for smokefree.gov and teen.smokefree.gov (NIH, 2022). Studies show that tobacco users have an increased chance of quitting with a combination of pharmacotherapy and counseling. (Pierce, 2018) The quitline is a resource for counseling that tobacco users can utilize. And it is an option for dentists in Nevada to provide this tobacco cessation information. There is still much work to be done, but with help from the ADA, the NDA, and our local dental societies, we can increase the use of the quitline as a resource for our patients. And we can collect the data needed to make sound decisions as we move forward to help our patients improve their oral health. 0 * Dr. Brandon Abbatangelo is the ADA Delegate for the NDA, an associate professor at the UNLV SDM, and currently enrolled in a MS Public Health program at UNLV. Featured Article References JADA Volume 153, Issue 1, P15-22, January 01, 2022, Investigation Cover Story. Smoking-cessation advice from dental care professionals and its association with smoking status. Analysis of National Health and Nutrition Examination Survey 2015-2018. The ADA has the 5 A’s (Ask, Advise, Assess, Assist, Arrange) and two online courses for CE. “Tobacco Policy, Pharmacotherapy, and Dentistry” by Dr. Larry Williams. “E-cigarettes, and Vaping: Current Trends, Neurobiology, Cessation and the Role of the Dental Professional” by Nicholas Chadi, MD, MPH, and Neeta Chandwani, DDS, MscD. northernstar-online.com/when-should-doctors-retire/. Pierce, J. P. (2018). Helping smokers to quit. BMJ : British Medical Journal (Online), 361 doi:https://doi.org/10.1136/bmj.k2806. 1 2 3 »
Winter 22–23 17 Contact us today! www.llmpubs.com | 800-647-1511 Advertise to Support Your Association! Make your company stand out while supporting your association so they can change your industry for the better! • Speak to your entire association’s member base • Complimentary graphic design services • Modify an existing ad or have a new one created • Multi-publication discounts Featured Article Grant Mansfield 503-445-2226 [email protected]
NDA Journal 18 NDA Executive Director’s Winter Message As we approach the end of 2022, we begin to reflect on the year and what we have accomplished and what is left to be done. As you can imagine, as an association representing organized dentistry here in Nevada, and having just completed the mid-term elections, we are staying very busy. As I reflect on our members, and those who volunteer their valuable time in support of our councils and committees, I also think about our relationship with the ADA, our dental societies, other state dental associations, and our vendor partners. It literally takes this entire group to support our mission and the vital role organized dentistry plays in the overall health of Nevada citizens. All you need to do is look at NDA’s leadership and how it is slowly becoming more diverse, attend a dinner meeting and look at all the new dentists in attendance, or watch the new relationships develop between us and with those setting policy in the state. We are moving forward while holding on to the values that got us here. Recent activities this Fall included a robust ADA House of Delegates where our delegation stood front and center, not only getting three of the 14th district resolutions passed, but having one of those resolutions sponsored by a brand-new delegate, Dr. Tina Brandon-Abbatangelo. Thanks to all our delegates; Drs. David White, Richard Dragon and Tina BrandonAbbatangelo, for their service in representing Nevada. Additionally, we have completed a first-ever online HPV Educational Series, sponsored events at the UNLV Dental School, and presented to HOSA—Future Health Professionals, formerly known as Health Occupations Students of America, on careers in dentistry and oral healthcare. Nevada has also seen some changes in staff this year to include Ms. Marianna Kacyra, the NDA Director of Member Services, and more recently, Ms. Esther Johnson, the new Executive Director of the Southern Nevada Dental Society. I am thrilled to report that the NDA, NNDS, and SNDS have come together to collectively support the success of our combined efforts. Please be sure to say hello to both Ms. Kacyra and Ms. Johnson when you have a chance. Lastly, it is at this time of year when the NDA is reaching out seeking your continued membership. We keep your faith in the NDA paramount to what we do each and every day. We hope you will continue to support organized dentistry here in Nevada by renewing your membership with the ADA, NDA, and your local dental society. Watch for an announcement on Wellness Wednesdays in January, where we are bringing a new program just for members to support member health so that you can continue to support patient health through dentistry. I wish you all a very Happy Holiday season and a very Happy New Year! We keep your faith in the NDA paramount to what we do each and every day. We hope you will continue to support organized dentistry here in Nevada by renewing your membership with the ADA, NDA, and your local dental society. NDA Executive Director’s Message Michele M. Reeder 0
Winter 22–23 www.nvda.org 19 NDA President’s Message Jason R. Doucette, DMD NDA President’s Winter Message Hello Fellow NDA Members! Once again, time is flying by with the holidays now upon us! The NDA has been very busy and focused on what is happening locally here in Nevada with the recent mid-terms and, more broadly, with the Massachusetts “Vote on 2” ballot that passed with an overwhelming 70% “yes” vote! This ballot requires dental insurance carriers to meet a dental loss ratio (DLR) of 83% (83% of paid patient premiums allocated directly to patient care, 17% of premiums retained by the insurance carrier for administrative costs, profit, etc). In addition, this ballot requires insurance carriers to refund excess premiums to its covered individuals and/or groups annually if 83% of paid premiums have not been exhausted. They are also required to report this data annually as well. Nevada has had DLR regulations in statute for many years but has yet to have much success regarding accountability and enforcement since its inception. But now, using the Massachusetts “Vote on 2” ballot, the NDA has already drafted legislation to amend our current DLR statutory regulations in Nevada to mimic that which just passed in Massachusetts. Watch for more details on this in the weeks and months ahead. Nevada’s next legislative session is just around the corner in February of 2023. Please make sure that you are getting all NDA’s communications so you can stay up to speed and help play a vital role in our legislative efforts. Your input and efforts are always much appreciated. Lastly, I wanted to extend a HUGE “thank you” to all of you who donated your precious resources to our NDA PAC fund this year. We raised over $60K in the last 12 months, which goes a long way in helping our lobbyist team, Tri-Strategies, ensure the long-term success of our legislative priorities. I hope that all of you will continue to support our legislative efforts through your PAC fund donations so the NDA can continue to be a successful advocate to legislators on all issues in Nevada on dental patient safety, third-party payer issues, and scope of practice protection. We have a big year ahead of us in 2023! I look forward to successfully representing all of you in whatever capacity necessary to achieve great progress for the NDA and our great state of Nevada. Have a great holiday season and a Happy New Year! 0 I wanted to extend a HUGE “thank you” to all of you who donated your precious resources to our NDA PAC fund this year. We raised over $60K in the last 12 months...
NDA Journal 20 SNDS President’s Winter Message Ronald J. Laux, DDS SNDS President’s Message Greetings from sunny, but much cooler, Las Vegas. Fall has arrived as I write this message; pumpkins are abound and the Raiders and Golden Knights are in full swing. Thanksgiving will be here before we know it (and probably gone by the time you read this). I am very pleased to announce the hiring of Ms. Esther Johnson as the new Executive Director of the Southern Nevada Dental Society. Esther has been getting a baptism by fire and has responded extremely well under the pressure. She has received welcomed support from the NDA and the NNDS. A strong SNDS is beneficial to the entire state organization and Esther and the SNDS Executive Committee are working extremely hard to create a member- friendly society. Please welcome Esther when you see her and know that she is dedicated to serving our profession and our patients. As the end of the year approaches remember to renew your ADA, NDA and SNDS memberships. The quicker you do this, the less work it creates for our staff. Be aware of the many benefits of membership. Check out the ADA website and see what they have to offer, such as practice management resources, continuing education, the latest news in advocacy, and new dentist information. There is a wealth of information to help you succeed in practice; take advantage of it. And remember there is strength in numbers. Insurance companies and government regulators must listen when the ADA speaks because the ADA represents the majority of dentists. This is not the case with other health care fields; and look at the situation most of them are in. The retooled SNDS is looking forward to a complete slate of activities in the new year. After our November membership dinner meeting, you can expect a regular line-up of dinner meetings, social events, and continuing education programs. Check your email and social media for notifications. Please attend as many of these events as possible. They are great ways to network, relax with colleagues, and keep up to date with happenings in the profession. As always, organized dentistry is working for your success and the protection of the patients we serve. Let me know what is on your mind and how organized dentistry can help you. A great example of organized dentistry working for you and your patients is happening right now (as I write this) in Massachusetts. The ADA is working non-stop and spending over $5 million to support a medical loss ratio ballot initiative that will require insurance companies to spend at least 83% of premium dollars collected on dental services or refund the difference to patients, as opposed to insurance companies using the money for executive salaries or other administrative costs. If this passes in Massachusetts, expect a domino effect across the nation as other states follow suit. This is already on the radar in Nevada and expect some action in the next legislative session in 2023. Anyone with any questions or concerns, please call the office. We are here to serve you. 0
Winter 22–23 www.nvda.org 21 SNDS Executive Director’s Winter Message Esther Johnson SNDS Executive Director’s Message Hello Nevada Dental Association Members. It’s that time of year where we brace for the cold with a hot drink and warm smiles! While most places are winding down for the holidays, rest assured that SNDS is firing up for a fantastic 2023! I am grateful for the opportunity to serve SNDS and I am certain that together, we can not only get back on track, but have a successful 2023. I’m really excited for the things we’re doing next year and can’t wait to share those experiences with all of you! I hope to meet you all and get to know you better at our upcoming close of the year events. Happiest of upcoming holidays to everyone and get ready for a fabulous SNDS 2023! In the meantime, my door is always open and I look forward to meeting over the weeks and months ahead. 0
NDA Journal 22 Lori Benvin [email protected] News from the Northern Nevada Dental Society NNDS Executive Director’s Message Welcome Newest NNDS Members As the holidays approach and 2022 comes to a close, I am thankful for much this year. We added two new events this fall thanks to your Executive Committee idea to bring back the Leadership Retreat and add a New Dentist Bootcamp. Both proved to be extremely informative and of great value. Thank you to Diaz Dixon for a great presentation by giving our attendees some very insightful “food for thought” self- reflection at our Leadership Retreat. Watch for NNDS Leadership Retreat 2.0 in 2023 where we plan to invite you, your staff, and family. To our very loyal and supportive vendors who hosted the Bootcamp in October; Bank of America, Insuring Everything, MUN CPAs, and BPE Law Group. The benefit of this amazing opportunity brought in nine non-members who we hope will join/ rejoin the tripartite in 2023 as we have more on this topic to come at our October 2023, general membership dinner meeting. I lastly must thank in this issue, as we celebrated our 20th year of hosting the Northern Nevada Dental Health Programs/Joel F. Glover DDS Charity Golf Tournament in September. What a glorious day it was, and on behalf of the 2022 Golf Tournament Committee, we’d like to thank the supporters on page 6, for another successful fundraiser in support of the NNDS’ longstanding non-profit Clifton Carpenter, DDS—General— WELCOME BACK Alison Defilippi, DMD—General David James, DMD—General— WELCOME BACK Shanna Kim, DDS—General, Orofacial Pain Management Jeremy Pham, DDS—General since 1985 to assist uninsured underserved children’s dental needs in northern Nevada. I’m very grateful for my committee as well—thank you Kathy Peak (my Co-Chair), Bob Barone, Kimberly Bender, Dr. Eric and Traci Dean, and Dr. Chris Galea. Here’s to 20 years of success thanks to all of you! For more info on our coming events and opportunities, go to our website at www.nndental.org and watch for our eNewletters and other e- communication. During this time of membership renewals, we thank you for choosing to continue to support the NNDS and your tripartite membership; we value all of you and we want to be of value to all of you, too. 0
Winter 22–23 www.nvda.org 23 NNDS President’s Message Hannah Beus NNDS President’s Winter Message Greetings from Northern Nevada! As always, thank you so much for already recognizing the value of being a tripartite member! Last month, the attitude of gratitude was a welcome arrival in our lives. I hope each of you has had the opportunity to give thanks with friends and family for the blessings we have received. I am so grateful for the strength and love from relationships as we navigate difficult times. Connections with others is what this life is all about. During this holiday season, let the spirit of generosity provide fulfillment by looking for ways you can help others. The simple act of stopping to connect by looking into people’s eyes and listening intently is a gift. You never know what hardship they may be going through that they are carrying silently. We all need that human connection. During our most recent CE Dinner with Dr. James Kelly, he highlighted what can happen with a few motivated individuals and an idea. It reminded me of my years in dental school where collaboration and discussion was naturally created within our curriculum. I am sure we have all witnessed a patient who has benefited from an interdisciplinary approach or just by investigating various treatment options with others in the same discipline. I want our members to truly know their neighbors and feel comfortable calling to ask each other for help. Anyone we interact with has something they can share to enlighten our lives, we just need to be willing to talk and listen. Our holiday mixer was a smashing success! We held it at a beautiful new venue with delicious food, drinks, music, and conversation! I’ll say it time and time again, people need people. This event filled everyone’s soul with love and support of one another. Already looking forward to next year! Our next event on January 12 will be very informative, come listen to our lobby group: Tri-Strategies. As dentists we were never trained on how to navigate and represent ourselves politically. I am so grateful our societies and associations recognize we need experts and hired the best! They continue to fight for us, and our patients’ rights, so we can focus on doing what we do best: dentistry. I am sure you’re sensing my theme here. We can’t do it all alone, and we weren’t made to be that way. Everyone brings a special and unique perspective and we are absolutely stronger as a society when we work together for our community and profession. Find the people that inspire you and learn from them, and recognize the people that are hurting and help them. “We rise by lifting others.” —Robert Ingersoll 0 “We rise by lifting others.” -Robert Ingersoll
NDA Journal 24 Northern Nevada D E N T A L S O C I E T Y NDA Calendar of Events 2022 November 11/5 NNDHP Give Kids A Smile Event #3 TMCC Dental Clinic, Reno 7:30am 11/8 NNDS Executive Committee Meeting 5605 Riggins Court, #101A, Reno 6:00pm 11/10 NNDS General Membership Dinner Meeting with Dr. James Kelly Atlantis Casino Resort Spa, Reno 6:00pm 11/11 All-day CE Course with Dr. James Kelly Atlantis Casino Resort Spa, Reno 8:00am December 12/9 NNDS Holiday Mixer The Club at Rancharrah 6:00pm *No NNDS Executive Board meetings Check our website for the latest updates to calendar at www.nndental.org. 2023 January 1/10 NNDS Executive Committee Meeting & Delegate Pre-Meeting 5605 Riggins Court, #101A, Reno 5:30pm 1/12 NNDS General Membership Dinner Meeting “Legislative Update” Atlantis Casino Resort Spa, Reno 6:00pm 1/17 NNDHP Advisory Board Meeting 5605 Riggins Court, #101A, Reno 5:30pm 1/28 NDA MidWinter House of Delegates Meeting Atlantis Casino Resort Spa, Reno 8:30am–5:00pm February 2/4 NNDHP Give Kids A Smile Event #1 for 2023 TMCC Dental Clinic, Reno 8:00am 2/7 NNDS Executive Committee Meeting 5605 Riggins Court, #101A, Reno 6:00pm 2/16 NNDS General Membership Dinner Meeting “Opioid Required Course” Atlantis Casino Resort Spa, Reno 6:00pm
Winter 22–23 25 NDA Executive Offices Michele Reeder, Executive Director 600 E William St, Ste 202 Carson City, NV 89701 702-255-4211 • FAX 702-255-3302 [email protected] • www.nvda.org PRESIDENT Jason Doucette, DMD VICE PRESIDENT Patrick Silvaroli, DMD PRESIDENT-ELECT Joseph Wineman, DMD SECRETARY Sheronda Strider- Barraza, DMD TREASURER Perry Francis, DMD PAST PRESIDENT Ed De Andrade, DDS Nevada State Board of Dental Examiners Hardeep Sull, Esq., Executive Director Sandra Spilsbury, Licensing Specialist 2651 N Green Valley Pkwy, Ste 104 Henderson, NV 89014 702-486-7044 • 800-DDS-EXAM FAX 702-486-7046 [email protected] www.nvdentalboard.nv.gov Northern Nevada Dental Society Lori Benvin, Executive Director 5605 Riggins Ct, Ste 101A Reno, NV 89502 775-337-0296 • FAX 775-337-0298 [email protected] • www.nndental.org PRESIDENT Hannah Beus, DDS, MS VICE PRESIDENT Christopher Galea, DDS, MD SEC./TREASURER K.C. Gilbert, DDS, MS PAST PRESIDENT Benjamin Brooks, DDS MEMBERS AT LARGE John McLennan, DMD K.C. Gilbert, DDS, MS Benjamin Syndergaard, DMD, MS ADA Business Resources affliated We are pleased to announce that the NDA and ADA have combined the purchasing power of dentists to gain discounts on a large variety of products and services. Call the company or the NDA to learn more. CareCredit Patient Financing 800-300-3046 x4519 www.carecredit.com InTouch Practice Communications 877-493-9003 www.intouchdental.com/ada NDA-Affiliated Products These companies and their products have been evaluated by the NDA and are recommended for use in running your practice. Let us know if you have any feedback or would like to recommend a product or service for affiliation. For a weblink to each company, go to www.nvda.org/ affiliatedproducts.shtml. Best Card, LLC Credit card processing 877-739-3952 www.bestcardteam.com The Dental Record Digital record keeping 800-243-4675 www.dentalrecord.com TDIC The Dentists Insurance Company 800-733-0633 www.tdicinsurance.com TDSC Supplies The Dentists Supply Company dentalsupplies.tdsc.com/nevada IC System Collection service 800-279-3511 www.icsystem.com/nda.htm Lands’ End Business Outfitters Uniforms 800-490-6402 www.ada.landsend.com Lenovo 800-426-7235 ext. 4886 www.adabusinessresources.com/en/ endorsed-programs/computers Mercedes-Benz Mercedes-Benz leasing 866-628-7232 http://ebusiness.ada.org/ adabei/luxury-vehicles.aspx Office Max Office supplies 702-647-8662 www.officemax.com SurePayroll Payroll processing 866-535-3592 www.surepayroll.com/ada Compliancy Group One stop shop for all things HIPAA www.compliancy-group.com UPS Shipping services 800-636-2377 www.adabusinessresources.com/en/ endorsed-programs/shipping Council on Communications Dr. Tina Brandon Abbatangelo, Chair Dr. Erin Anderson Dr. Ed De Andrade Dr. Daniel L. Orr II Council on Ethics, Bylaws and Judicial Affairs Dr. Gregory Hunter, Chair Dr. Margaret Heinen Dr. Todd Wilkin Administrative Offices NDA Committees Northeastern Nevada Dental Society Michele Reeder, Executive Director 600 E William St, Ste 202 Carson City, NV 89701 702-255-4211 • 800-962-6710 FAX 702-255-3302 www.nends.org PRESIDENT Jeremy Keener, DDS VICE PRESIDENT Todd Thompson, DMD SEC./TREASURER Scott Forvilly, DDS PAST PRESIDENT Jamie Marvel, DDS Southern Nevada Dental Society 9205 W Russell Rd, Ste 240 Las Vegas, NV 89148 702-793-4455 • FAX 702-733-6062 www.sndsonline.org PRESIDENT Ronald Laux, DDS PRES-ELECT Richard Schoen, DDS PAST PRESIDENT Sheronda Strider- Barraza, DMD SECRETARY Christine Lemon, DDS TREASURER Michelle Farnoush, DMD EXECUTIVE DIRECTOR Esther Johnson American Dental Association 211 E Chicago Ave Chicago, IL 60611-2678 312-440-2500 • 800-621-8099 www.ada.org ADA DELEGATES Richard Dragon, DMD Tina B. Abbatangelo, DDS David M. White, DDS Council on Government Affairs Dr. Antonina Capurro, Co-Chair Dr. Aimee Abittan Dr. Ed De Andrade Dr. Jason Doucette Dr. Gregg Hunter Dr. Robin Lobato Dr. Kellie McGinley Dr. Sheronda Strider-Barraza Dr. David White Council on Membership Dr. K.C. Gilbert, Chair Ms. Lori Benvin Mr. Spencer Carlisle Dr. Jeff Hadley Ms. Esther Johnson Ms. Marianna Kacrya Dr. Deaudre LeCato Dr. Amy Nygren Ms. Michele Reeder
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