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Summer 2010 JKDA

Summer 2010 JKDA

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The Summer 2010 Journal of the Kansas Dental Association
The Summer 2010 Journal of the Kansas Dental Association

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01/30/2013

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Volume 95

A Publication of the Kansas Dental Association

Number 3

summer2010
www.ksdental.org

Hamel Succeeds Roufs as KDA President, Herre Elected Vice President
At the 139th meeting of the KDA General Assembly on Saturday, June 26, Dr. Dave Hamel (Topeka District) became the 133rd (some early KDA Presidents served for multiple years) of the Kansas Dental Association. In his comments after accepting the gavel, Dr. Hamel thanked Dr. Roufs for his service and congratulated him on a job well done. He said that the statistics show that 95% of Kansas dentists are in private practice and Kansas dentists give away $35 million in free dental care each year. He asked for the members’ help during his term as KDA President and to reach out to contact more people regarding dental issues. He is looking forward to addressing the challenges that dentistry faces this year. Dr. Hamel’s comments can be viewed on the KDA website at www.ksdental.org. In the KDA officer elections, Dr. Craig Herre (Fifth District) was elected Vice President. Having served a term as

In This Issue...
President’s Message Children’s Dental Health Month KDCF Update 2 4 6

FDA Announces Amalgam Review 7 ADA workforce conference Tips to Controlling Your Destiny
Dr. David Hamel (standing) accepts the gavel from outgoing KDA President, Dr. Bret Roufs (left) and Dr. Hal Hale (right) assumes the position of President-elect

10 11 14 14

Ground-breaking for AEGD Site Classified Advertisements

the KDA Treasurer, Dr. Herre will now move up the officer chairs to serve as the 2012-13 President of the KDA. Dr. Cindi Sherwood (Southeast District) was elected KDA Secretary while Dr. Jason Wagle (Wichita District) was elected KDA Treasurer. Dr. Wagle served as KDA Secretary this past year. Congratulations! Dr. Hal Hale (Wichita District) is now President-elect while

Dr. Brett Roufs (Seventh District) completes his duties on the Executive Committee as Immediate Past President.

NEw SEDAtIoN REgulAtIoNS tAKE EffEct DEcEmBER 1
New sedation and general anesthesia regulations take effect on December 1, 2010. The new permit system will have three levels, and each level will have a separate associated permit for sedation or general anesthesia for patients 12 years of age or younger. All current permits expire on November 30, 2010. • Level I - Enteral conscious sedation or combination inhalationenteral conscious sedation Level II - Parenteral conscious sedation Level III - Deep sedation and general anesthesia The new regulations K.A.R. 71-5 (1 through 13) can be reviewed on the web site of the Kansas Dental Board at www.kansas.gov/kdb The deadline for application for a new permit is November 1, 2010, although applications can be sent in at any time before that. Before November 1, 2010, a dentist can apply for a permit based on training, or based on experience (what is commonly called “grandfathering”). The Board expects that many dentists who currently provide sedation treatment will choose to “grandfather” by submitting the case documentation form on the application form. On the dental board website, on the left side of the home page, is a shaded vertical menu. The fourth item is “Applications & Forms”. Choose the application based on whether your Kansas Dental License ends in an even or odd number This even/odd number reflects your renewal cycle for your regular dental license, and will put your sedation permit on the same cycle. You will notice that the permit fee differs for odd and even numbered licenses because the length of time left in the license renewal cycle is different. You can review the entire regulation through a link on the Dental Board home page. In addition, the part of the regulation that addresses record keeping, procedure and equipment requirements for each permit level will print as part of that permit application. If you choose to apply based on train-

• •

continued on page 3

KDA Budget Ku-KSu Sunflower Showdown tailgate Approved–2011 The tent has been reserved on KU’s Campanile Hill near Dues to Increase Memorial Stadium and planning is underway for the 5th
Annual KU-KSU Sunflower Showdown Football Tailgate to be held on Thursday, October 14 in Lawrence. The Tailgate Party will feature food and beverages prior to kickoff of the 2010 Kansas versus Kansas State football game. This year we have the luxury of knowing that kickoff is set for 6:30 p.m. so the tailgate will begin at 3:30 p.m. for those that are “ready for some football!” The KDA encourages members who already have tickets to the game to join us for the pregame tailgate. The game and tailgate is $125 while dentists with game Responding to the growing cost of living and the budget realities of the KDA, the membership approved a dues increase for active members of $50 from $460 to $510. The increase required a 2/3 majority vote to amend the KDA bylaws during the KDA General Assembly on Saturday, June 26 in Branson, Missouri. The 10.8% dues change is the first increase since 2005. U.S. Bureau of Labor statistics show that inflation has risen by 13.6% during the same time period. KDA 2011 dues statements will be mailed in November unless you are already participating in the KDA’s prepaid dues program.

tickets can attend the all-you-can eat and drink BBQ tailgate for $50. Registration information is available on the KDA website at www.ksdental.org. Come join your dentist colleagues at this KDA social event and cheer your favorite team to victory!

1

Dr. David L. Hamel KDA President

PresIdenT’s Message
Not that long ago I was one of many dentists who had their nose to the grindstone and would raise it occasionally to deal with dental association “stuff” that came across my desk. Many of my episodes of raising my head lasted just long enough to cynically mutter, “What has the ADA done for me?” Then I got a call, an invitation to be more involved. After accepting the invitation, I can only thank, Bert Oettmeier who made that called and asked for me to be involved at the state level. What I have found out is that you and I really ARE the ADA. And it starts with your involvement local district and KDA. I never really appreciated the behind the scenes efforts of our volunteer member leaders and KDA staff to keep our organization viable while promoting the objectives of our organization as we face issues and promote the health of the public and our profession. Take a moment to look at the policies of your dental association. They are found in the back of the member directory or on the KDA website, ksdental.org. You will find our guiding principles there and they are worthy of pursuing. The beginning of my year as KDA president has already been eventful. More than ever it will be important for us to work together for positive change. Communication is essential and it is also easier to accomplish. Place the KDA website, www.ksdental. org, on your computer favorite’s button and check it daily. There is lots of easy to receive information on it and all the different social media sites the KDA uses to communicate and you have a chance to interact with the KDA. Patient’s oral health and connections with systemic health, workforce issues and dental benefit issues are at the forefront of work being done by the ADA and are expressed concerns by our membership. Kansas is being targeted by outside foundations to change the workforce to include a lower tier provider of surgical and diagnostic treatment to patients. Insurance companies are formulating lower benefit reimbursement payments for patients in order to take advantage of the lower tier provider. And all of this is being done under the undefined catch phrase of “access to dental care.” Many very well intentioned people are pursuing avenues that are not data or science supported for effectiveness. Throw in a push to change the state dental regulatory statutes to allow corporate dentistry plus members continue to raise issue with regard to insurance companies and you now have major insurance companies paying patient benefits near the lowest 20th percentile. These are trends that are not conducive to providing excellent care to patients and professional accountability to patients as overall objectives for our profession. Last year showed what can be done when dentists became active and involved with the passage of SB 389 preventing insurance companies from offering contracts that set fees on procedures not covered by the insurance plans. We will need that same involvement as we promote continuing progressive professional care for patients and being advocates for our patients as well as our profession. Poor oral health of people is a continuing concern of our profession and Kansas dentists show their generosity by providing tens of millions of dollars of free care within their offices, as well as through programs such as KMOM, Give Kids A Smile and Donated Dental Services. A few years ago member dentists approved the ADA development of a community based position that will be focused upon prevention of oral disease and this is where the answer lies for improved oral health of Americans. As we listen to the various agencies discuss an “access problem”, we can see that their measurement of access does not include those efforts and is really based around the Medicaid/ SCHIP participation. We do want to give the Medicaid/SCHIP programs an opportunity to make changes and allow more access to professional dental care. Opportunities exist for additional access to professional dental care by removing the limited access within Medicaid. A recent sample survey of Kansas Dentists indicated 18% would provide care to those patients on Medicaid without additional charges to the patient, if the dentist did not have to be part of
continued on page 6

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Minute Briefs
Board of Delegates Chateau on the Lake Resort Branson, Missouri Friday, June 25, 2010
• • Approved the agenda as presented Approved the March 18, 2009 Board of Delegate Minutes

appointed members, two (2) to be appointed each year for a term of three (3) years. This council shall review such dental health care plans, benefit programs, including direct reimbursement and welfare programs, as may be brought to its attention and make recommendations to the Board of Delegates. The council shall act as an intermediary in such cases as complaints, conflicts, or concerns between providers and third-party payers. (These complaints, conflicts, and concerns will be forwarded to the ADA Council on Dental Benefit Programs when necessary.) The council shall promote and encourage the use of dental benefit programs which are consistent with KDA policy. The council shall act as advisors to both the Kansas Dental Association and third party officials in prepayment plans for dental care. Motion passed by a 2/3rd Majority • Amended Chapter IX, Section 10 of the KDA bylaws related to membership dues as follows: Chapter IX, Section 10 ACTIVE MEMBER. The dues of an active member shall be four hundred sixty five hundred ten dollars ($460.00 510.00) due January 1 of each calendar year • Approved the 2010-11 budget as presented

continued from page 1

ing, you will find a list of courses that have been approved under the menu link: “Sedation Permit Information & Approved Courses”. These approved providers have already submitted the “applications for Course Approval” that you will see on the website, and their courses have been approved. The Level I permit specifically requires “basic cardiac life support for the health care provider”, not the standard public level CPR class. The Level II and Level III permits require “advanced cardiac life support” or board approved equivalents. In the future, to renew a permit, there will be specific sedation/anesthesia related continuing education requirements, and they are in addition to the usual hours required for license renewal. For Level I permit renewal, 6 hours will be required, for Level II – eight hours, and for Level III – eight hours. A new permit is required for any dentist providing sedation or anesthesia after November 30 2010, even those who hold permits under the expiring regulations. You can send your application for a new permit to the Dental Board at any time before the application deadline of November 1, 2010.

KDA ANNUAL MEETING Chateau on the Lake Resort Branson, Missouri Saturday, July 26, 2010
• Amended Chapter VIII, Section 60 of the KDA Bylaws relating to the Council on Dental Care Programs as follows: Chapter VIII, Section 60 C. DENTAL CARE BENEFIT PROGRAMS. The Council on Dental Care Benefit Programs shall consist of the KDA President-Elect and six (6)

Board of Delegates Chateau on the Lake Resort Branson, Missouri Saturday, July 26, 2010
• • Approved the agenda as presented. Elected Dr. Bert Oettmeier to serve as the 4-Year Delegate/ Delegate to the ADA for a full four-year term expiring on April 30, 2014 Elected Dr. Brett Roufs to serve as an Alternate Delegate/ Delegate to the ADA for a full four-year term (2+2-Year Position) expiring on April 30, 2014 The 2010 Delegates/Alternate Delegates to the ADA House of Delegates are as follows:

Journal of the Kansas Dental Association ISSN# 08887063
PUBLISHED QUARTERLY BY Kansas Dental Association 5200 SW Huntoon Topeka, KS 66604-2398 EDITOR Eugene F. McGill, D.D.S. MANAGING EDITOR Kevin J. Robertson, CAE PRINTING Jostens 4000 SE Adams Topeka, KS 66609 PRODUCTION Niki Gustafson KDA Executive Committee PRESIDENT Dr. David Hamel PRESIDENT-ELECT Dr. Hal Hale VICE PRESIDENT Dr. Craig Herre SECRETARY Dr. Cynthia Sherwood TREASURER Dr. Jason Wagle IMM. PAST PRESIDENT Dr. Brett Roufs
Although the KDA publishes authoratative news, committee reports, articles and essays, it is in no respect responsible for contents or opinions of the writers. Advertising rates and circulation data will be furnished by request. Annual subscription price is $5.00 for member dentists, $25.00 for non-members, and $40.00 for Canada and foreign mailings. Single issue price is $10.00.

JKda

DelegateS NAME Dr. Dave Hamel Dr. Bert Oettmeier Dr. Kevin Cassidy Dr. Greg Peppes TERM TYPE President 4-Year 2+2-Year 2+2-Year TERM EXPIRES April 30, 2011 April 30, 2014 April 30, 2011 April 30, 2012

The Kansas Dental Association has launched a new online classified ad service for dentists, hygienists, dental assistants, and other auxiliary/office personnel, along with equipment and practices for sale.

KDA launches online classified Ad Service

alteRNate DelegateS NAME Dr. Hal Hale Dr. Robert Herwig Dr. Brett Roufs TERM TYPE President-elect 2+2-Year 2+2-Year TERM EXPIRES April 30, 2011 April 30, 2013 April 30, 2014

The requirement for the ad is that the opportunity must be located within the state of Kansas; in other words, an ad that promotes a sale of a dental practice or offers for hire, positions not located within the state, will be declined. Dentists who list an ad must be a KDA member. To submit a free (currently) classified ad, visit http://www.ksdental.org/classified.php.

september
2 12 13-14 13 16 20 22 27 Southern District Meeting, Wellington Southeast District Meeting, Pittsburg Wichita District (Tri-District) Meeting, Wichita Seventh District Meeting, Wichita Flint Hills District Meeting, Emporia Fifth District Meeting, Overland Park First District Meeting, Lawrence Topeka District Meeting, Topeka

Kda Calendar of events

October
1 1-2 8-13 14 15 KDA Strategic Discussion on Workforce Central District Meeting, Dodge City ADA Annual Session, Orlando KDA Sunflower Showdown Tailgate, Lawrence KDA Board of Delegates Meeting, Lawrence

november december
2-4 ADA Lobbyist Conference, Tucson, SC

3

cHIlDREN’S DENtAl HEAltH moNtH
February marked the thirteenth year for the Kansas Dental Association to sponsor Children’s Dental Health Month. This was a statewide event helping students learn more about oral health. Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums. “The McGrinn Twins say: Remember to Brush and Floss Every Day!” was the theme for the 2010 Children’s Dental Health Month drawing contest for Kansas 3rd grade students. The students used what they learned to create a poster that could have won them first place in their dental district. A new bicycle was awarded to the first place winner, with various prizes being awarded for 2nd and 3rd place winners. We want to thank all those that helped make this program a success. Please visit our Children’s Dental Health Month Facebook page or contact Tasha Morrissey at the KDA office at 785/272-7360 for more information about the program and what you can do to help in the future.
Madison Nagel No School Name Willow Neal West Elementary

Kassandra Cruz Olivares Ross Elementary

Central District

Southeast District
Kobey Stroud Enterprise Elementary Cassidy Dresher No School Name

T a District opek Seventh District

Raelyn Scott Council Grove Elementary

Flint Hills District

Back to School time offers chance to Put good Dental Hygiene into Daily Routine
Going back to school often means adjusting to new schedules and routines for both parents and children. But that new routine offers a great opportunity to make sure good oral hygiene is part of your child’s everyday routine. “I always tell parents that going back to school is a great time to integrate good hygiene into their routine,” says John Fales, a Pediatric Dentist from Olathe and a member of the Kansas Dental Association. “Every Monday is like every other Monday. The hard part is finding time to make it part of their daily regimen.” Good dental hygiene doesn’t take that much time, according to Fales and can even be done as a family activity. It’s showing your children what you do that helps establish good habits as they get older. “Really what we are asking them to do doesn’t take much longer than a television commercial. A very, very easy way to do it is to make it a family affair. Kids are like little sponges and they are paying attention to what their parents do and try to emulate it. So if the kids see their mom or dad brushing their teeth, they will pick up on that.” Over the course of the school year, kids will be involved in various activities, including athletics which have a higher likelihood of injury to the mouth. Parents need to pay attention to the types of activities and that risk. “Any time you are involved in any type of contact sport you need a mouth guard. But I also tell parents that activities where you accelerate your body can be dangerous. People often think of just football and wrestling, but children need to wear a mouth guard for things like skateboarding and jumping on a trampoline.” Fales says that there are very good off the shelf mouth guards and that generally speaking, the brand names and the more expensive mouth guards are usually better. In addition, he says that the mouth guard should only be used for one season and then replaced the next year.” And while the awareness of soft drink machines in schools has grown, parents often don’t have the same rules at home and this often leads to increasing risk of dental decay. “Those drinks expose the kids to high levels of carbohydrates and empty calories,” says Fales. “Pediatricians feel that kids are exposed to too much of a carbohydrate solution that leads to
No Student Name No School Name

NW / GB District

Trevor McDowell Jefferson Elementary

Southern District First District
higher decay rates in children.” For more dental health information for children, join our Children’s Dental Health Facebook page.

4

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MDDS is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Metropolitan Denver Dental Society designates this activity for the number of continuing education credits listed with each course summary in the convention program booklet.

MDDS credits are approved by the AGD for Fellowship and Mastership credit.

Rocky Mountain Dental Convention • January 13-15, 2011 • Denver, Colorado
5

Greg Hill, JD KDCF Executive Director

KdCF UPdaTe
Getting Excited About New Ideas
For me, there is nothing better than seeing other people’s innovate ideas to get my creative juices flowing. That’s a big part of the reason why attending the American Society of Association Executives Annual Convention is on my list of things to do. As those of you who regularly follow the KDA’s digital communications know, I recently attended the 2010 ASAE Annual Convention in Los Angeles. Now, I have written extensively about the meeting on my blog the “daily.briefing” you can find daily by visiting the KDA website www.ksdental.org, found under the heading communications. In a nutshell, here are my major “take-aways” from LA: organization in the future, we have to challenge ourselves to do things differently.

Don’t Be Afraid to Fail
Finally from Bill Capodagli, author of Innovate the Pixar Way, I learned that it’s time to, “destroy the old way of doing things.” He says to never overlook creativity and to encourage failure. That’s right, encourage failure. Now, that doesn’t mean that we should ask people not to do their work. It means that we must encourage people to work outside of their comfort zone and push the limits of ideas. Some work, others do not. In the end, do a post-mortem
continued from page 2

and find the five things that worked well and don’t neglect the five things you would do over again, even when something is a success. Today, the expected speed is instantaneous and we are working hard to deliver that speed. I’m excited about the things I learned and am very excited to be a part of bringing some of those new ideas to you.

Develop 21st Century Leadership
From Bill George, author of the best-selling book, True North, I learned that the Twentieth Century model of vertical or hierarchical leadership is dead. The Twenty First Century model calls for empowerment of individuals within your organization. He said that if the people you have working for you aren’t smarter than you, you need to get different people. That might be a hard concept to grasp, but one that I think deserves some thought.

Engage Generation Y
From Jason Ryan Dorsey, one of the leading experts on Generation Y, I learned that there are very unique ways to reach young people and that if we are to continue to be a successful

the Medicaid network. That raises the possibility that as many as 150 additional dentists would provide care to the population covered by the Medicaid/SCHIP if changes were made eliminate access restriction within the Medicaid program. The survey also reported 85% of the respondents would be willing to provide several days of access to care if those days were funded at a national average daily income for a dental office. Dental access pilot projects have occurred in a few offices that are based upon providing access to professional dental care without dentist needing to be contracted with Medicaid. They have been highly successful in providing care while eliminating the stated problems associated with the Medicaid/SCHIP programs. The approach could also provide a significant cost savings over the current programs or just allow more people to be treated for the same funding. However this program is not meant to replace the current Medicaid approach which works for some offices that see many children. It is meant to provide an opportunity for added access, by both children and adults, to the majority of practices across Kansas. I am asking for more volunteer dental offices to call us and let us know they will help with the pilot project. We also have the opportunity to partner with a program to serve urgent care needs of patients that is being administered through the Kansas Association of Medically Underserved (KAMU). It will allow funding to be provided at just above the Medicaid rate for some generously prequalified patients. One day of access to dental care in your office is what is being volunteered. Any day will work but a few of us are scheduling Sept 17, 2010 as our day of access. Let us know if you will help. You also do not need to set aside just one day. You may be involved with the Urgent Dental Care project as it best fit into your practice. Call the KDA office to get involved. October 15th will be our next Board of Delegates meeting. This is the Friday following the KSU-KU game in Lawrence on Thursday evening. I am asking you to be sure your district is represented to its fullest. Check with your delegates and alternate delegates about attending. If they are not able but you are then ask for a letter of representation from your district so you can attend in their place. We have a lot of issues facing us and we want your involvement. I look forward to serving and the chance to meet many of the dentists across Kansas. Please get involved. Please communicate with us and let us know how we can help each other and our patients.

life members Recognized
During the Kansas Dental Association’s annual meeting on June 26th, several log-time members were formally elected to Life Member status by the KDA membership. Life Members are 65 years old and have 30 consecutive years of ADA/KDA membership or a total of 40 years of membership. Congratulations to the following KDA members who have achieved this milestone in the profession:

Central
Dr. Lawrence L Trimmell Dr. Thomas E Tweito

Southeast
Dr. Ronald J Finley Dr. Michael L Shepard

Fifth
Dr. Harry L Boydston Dr. Robert G Smith

Southern
Dr. Leo J Anderson

First
Dr. Dennis T Myers

Topeka
Dr. Bruce D Cole Dr. Don C Gordy Dr. Larry C Hargreaves Dr. John R Niver Dr. Terry D Whitten

Flint Hills
Dr. Steve R Haught

Wichita
Dr. Harry J Kouri, Jr

6

KS Dental AD 12.16.09.pdf

12/16/09

7:09:06 AM

fDA Announces New Amalgam Review
By Craig Palmer Washington—The U.S. Food and Drug Administration will convene a dental advisory panel December 14-15 to review “scientific issues that may affect the regulation of dental amalgam. The panel meeting will focus particularly on the potential risk to vulnerable populations such as pregnant women, fetuses and young children,” said the FDA’s June 10 announcement. For more information, visit www.ada.org, which offers amalgam resources and materials for the profession and the public. The FDA concluded in 2009 that dental amalgam was a safe and effective restorative treatment and issued a final rule, which the Association supported, that reclassified dental mercury and amalgam components for regulatory purposes. The dental products panel of FDA’s medical devices advisory committee can advise the agency but has no authority to overrule FDA’s 2009 decision. Since that decision, the FDA has received several petitions “raising various issues relating to the final rule and special controls,” the agency said in the announcement posted at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm215061.htm. “The concerns raised include the adequacy of the risk assessment method used by the FDA in classifying dental amalgam, the bioaccumulative effect of mercury, the exposure of pediatric populations to mercury vapor, and the adequacy of the clinical studies on dental amalgam,” said the agency’s explanation for the new review. “In addition, a recent report on risk assessments issued by the National Academy of Sciences, titled ‘Science and DeciFor more information, sions: Advisit www.ada.org, vancing Risk which offers amalgam Assessment, resources and materials NAP 2009,’ for the profession and proposes new the public. approaches to conducting risk assessments. These may be some of the issues the agency asks the advisory committee to review,” the announcement said.

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The FDA will amplify this announcement with a notice scheduled for publication June 11 in the Federal Register, the official record of government regulatory activity. The FR notice will announce the opening of a docket titled FDA2010N0268 and invite public comment on amalgam regulation. The docket will close December 3. The advisory panel meeting December 14-15 will be open to the public.

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7

Dr. waters Provides care for urgent Dental care Program
Nearly seventy patients without dental insurance were treated this past weekend as part of the Kansas Urgent Dental Care Program, a project of the Kansas Association for the Medically Underserved (KAMU). patients. The program is aimed at adults with one or more dependents in their household who are Kansas residents making less than $56,857. The new pilot project is coordinated through KAMU. "We saw almost seventy people during the two days," said Dr. Nevin Waters, a general dentists from Olathe, said after what he called a Sunday on the couch. "Our staff worked incredibly hard for those two days to make this happen." The services covered through the program constitute most of the Medicaid covered services reimbursed at the Medicaid rate. While there is no benefit cap, there is a limit on total expenditure of the program of $1.4 million. Reimbursement is provided through federal grant dollars as part of the American Recovery and Reinvestment Act (ARRA) . During both days of treatment, Waters said that representatives of KAMU were in his office verifying the eligibiliy of the "We set up our program that it would be first come, first served," Waters said. "Each day we treated thirty and those on Friday that weren't treated were told to come back on Saturday. On Saturday, the names of those we couldn't treat were then given to Chris English who was going to try and refer them on to other dentists in the program." On Friday morning, Water posted on his Facebook page that the first patient arrived before he did. "Just shows the need I guess," he wrote. " Wish us luck and humor." According to Waters, the luck and humor weren't really needed. "We had a great time, but we did work hard. The people were very thankful and appreciative of the work that we did."

Waters said that one patient needed a full upper denture and a lower partial and that her employer told her that she couldn't come back to work until she had her teeth fixed. "All we can do is what we can do," he said. "We put a note up on our wall for our staff that said that. We got to make the decision what we could do for our patients. Not anyone else." Several suppliers donated supplies and services as part of the program.

S tR At E g I c A cc ESS DI S cu S S I o N
About 25 dentists from around the state have received personal invitations from KDA officers to participate in a strategic discussion on dental access and workforce issues in Council Grove on Friday, October 1. The day-long discussion is intended to explore dental access and workforce concerns in Kansas and then develop strategies to respond to them. These strategies could include an endless number of possibilities such as loan repayment, grants, public relations campaigns, new dental workforce models and the like. Any strategies recommended during the discussion group will require KDA Board of Delegate approval for implementation.

The KDA Board of Delegates will meet on Friday, October 15th at the Oread Hotel in Lawrence at 9:30 a.m. KDA Delegates should all plan to attend. Other Board of Delegates meetings this year will be held as follows: Friday, April 8, 2011 - BOD at Midwest Dental Conference, Kansas City, MO Thursday, June 23, 2011 – BOD at KDA Annual Meeting, Overland Park Thursday, June 23, 2011 – BOD at KDA Annual Meeting, Overland Park

KDA Board of Delegates to meet

On July 27th the KDA joined the Kansas Hospital Association and other healthcare organizations to host a day-long Disney Institute CE course entitled “Disney’s Approach to Quality Service for Healthcare Professionals.” About 240 attendees packed the Hilton Wichita Airport Hotel to take advantage of this unique opportunity concentrated on time-tested visions and ideals of Walt Disney. The presenters revealed the “business behind the magic” through various examples of the “Disney Way.”

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capitol federal foundation and topeka Rotary foundation Provide lead gifts for Emergency Dental care
The Capitol Federal Foundation and the Topeka Rotary Foundation today provided lead gifts to establish Shawnee County Dental Care funds that will assist low income uninsured residents of Shawnee County. The funding will be used to assist patients enrolled in the HealthAccess program in receiving needed emergency dental care provided by Marian Clinic Dental. “We are deeply grateful for the financial support and faith in this community dental initiative shown by The Capitol Federal Foundation and the Topeka Rotary Foundation,” said Robert Trepinski, Executive Director of Marian Clinic. The Capitol Federal Foundation provided a lead gift of $10,000 which was followed by a $2,000 gift from the Topeka Rotary Foundation. The gifts will establish emergency dental funds at the Topeka Community Foundation to assist with the emergency dental care needs of current and future patients. A brief ceremony announcing the gifts was held at Marian Clinic Dental (3164 SE 6th) at 10 AM on Thursday. Members of the public and media attended the event which included remarks by each of the community partners. “We are seeing a tremendous need from our friends and neighbors who require emergency dental care. Because of this new fund, patients who are in great pain and require emergency dental can receive the help they need,” said Trepinski. The Shawnee County Medical Society’s HealthAccess program exemplifies the power of local collaboration to provide for individuals that were falling through the cracks in our health care delivery system. Local physicians, optometrists, dentists, hospitals, clinics, and pharmacies generously volunteer to each do what they do best to provide coordinated charity care. Although the volunteers receive no reimbursement, claims are submitted to Blue Cross and Blue Shield of Kansas who donates the processing to track the care that is being donated. To date over $40 million in donated medications and health care has been recorded for the program. Approximately 2,300 HealthAccess patients are currently receiving donated health care and over 80% of Shawnee County physicians volunteer for HealthAccess and/or the Marian Clinic. The HealthAccess program was designed to complement and enhance the work done by the Marian Clinic and the Shawnee County Health Agency, increasing access to primary and specialty care and assisting with funding for generic medications. The Shawnee County Commission and the City of Topeka provide financial support for the generic medications for patients. Most of the administrative funding for the HealthAccess program comes from the Topeka Community Foundation and United Way of Greater Topeka.

Dr. Herzog Elected KDcf President
Dr. Mark Herzog, a general dentist from Ellsworth, KS, was elected President of the Kansas Dental Charitable Foundation. Dr. Herzog received his Undergraduate degree in 1982 from Kansas-State University. He went on to receive his Doctor of Dental Surgery from the University of Missouri-Kansas City in 1986. Since then he has maintained a solo-practice in Ellsworth, Kansas, and has been an active member of the American Dental Society, Kansas Dental Society, and the Academy of General Dentistry. The Kansas Dental Charitable Foundation was established in 2002, from a grant from the Kansas Dental Association Relief Fund. Its mission is to provide funding and resources to improve oral health in the state of Kansas. Since its inception, the KDCF has provided $100,000 in grants targeted to small, community based projects that focus on collaboration between community organizations. The primary project of the KDCF is the Kansas Mission of Mercy program, which has treated more than 18,500 patients with dental care valued at $8.5 million. In addition, Dr. Nick Rogers of Arkansas City was elected Vice President and Mildred Bergstrom, RDH, was elected Secretary/Treasurer.

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KANS A S At t E ND S AD A w o R K foR cE coNfERENcE
Nearly 170 state volunteer leaders including constituent presidents, presidents-elect, dental association executives, ADA trustees and council members convened at ADA Headquarters July 18 for the Conference on Workforce Issues. Attending the meeting on behalf of the KDA were President Dr. Dave Hamel, President Elect Dr. Hal Hale, and Executive Director Kevin Robertson. In addition, Dr. Bert Oettmeier attended the meeting as the Chairman of the ADA Council on Dental Benefits. The conference was facilitated by the ADA at the request of state dental society leaders who wanted to get more information about workforce issues in other states. Representatives from all 50 states, the District of Columbia and Puerto Rico attended to brainstorm, talk about their local issues and hear what others are doing in response. The seating was purposely random, allowing the volunteer leaders and executive directors to meet their counterparts from other states and exchange ideas they may not hear otherwise. The conference centered on the efforts of some to create a mid-level provider both within and outside of the dental team. Models or pilot programs have been proposed in various states, and different groups and foundations are lobbying legislators to support the position in other states. Those who attended may share different opinions regarding workforce but some common themes emerged. Many said that access to oral health care could be improved by increased communication to the public about how to prevent dental disease and by increasing reimbursement to the dentists providing dental services through public health programs. “We consider these mid-level provider discussions an unfortunate distraction that delays implementation of proven solutions like proper funding of safety net programs, oral health literacy initiatives and preventative services,” said ADA President Dr. Ronald Tankersley in his opening remarks. The workforce issue is one that will be highlighted by the ADA House of Delegates at the annual session in October in a special reference committee on the subject. The CDP will be sending a supplemental report on resolutions concerning workforce that were referred to it in 2009. This report, along with a minority report, will be forwarded to the House of Delegates for deliberation at the 2010 annual session. The Board of Trustees will review the reports during its July 25-27 meeting as part of its regular review of resolutions and reports that are being transmitted to the House. The Kellogg Foundation has been promoting the Dental Health Aide Therapist model developed in Alaska. Last year, Kellogg began to inquire with American Indian tribes in New Mexico, exploring ways to expand the DHAT model. Late last year, that effort was expanded to bring DHATs to five states—Vermont, Ohio, Kansas, New Mexico and Washington—as a licensed practitioner sanctioned by the state. To achieve this, Kellogg plans a threeyear grant program to each of the five states, awarding between $100,000$150,000 annually. The Pew Charitable Trusts have also taken an interest in access to dental care and the workforce model. Their approach has been to foster a variety of models, including the Community Dental Health Coordinator model proposed by the ADA, and try to determine the viability of each. Dr. David Holwager, member of the Council on Access, Prevention and Interprofessional Relations, stated that the

CDHC model is not a mid-level dental provider. CDHCs are based on the community health worker model and would be responsible for providing patient education, helping people navigate resources available to them under public health programs and connecting people who need treatment with dentists who will provide the care. More information on the ADA’s CDHC program may be found at www.ada.org/cdhc. aspx.

A CDHC does not do surgery or diagnose. The ADA is opposed to non-dentists making diagnoses or developing treatment plans or performing irreversible procedures. Pew launched the “Children’s Dental Health Campaign” to ensure that Medicaid and Children’s Health Insurance Programs work better for kids and providers so that insurance coverage translates into real access to needed care. Another goal of the campaign is to expand the sealant programs for kids who need them most; expand access to optimally fluoridated water; and expand the number of professionals who can provide care to low-income children. While not as visible a player as Kellogg or Pew, the Macy’s Foundation recently partnered with Kellogg to provide a grant to the American Association of Public Health Dentistry to develop the curriculum for the DHAT model that Kellogg is promoting. To read about the ADA’s current policies on a number of issues visit www.ada.org/currentpolicies.aspx. “I’m confident that if we stand united, we can convince openminded decision makers that we have the best solutions for ensuring the oral health needs of the nation,” Dr. Tankersley said. “We know that we can’t drill, fill and extract our way out of this situation.”

neW MeMBers
Central District
Dr. Adam Bowen, Hutchinson Dr. David Bunkall, Dodge City Dr. Dee Holman, Larned Dr. Bret Holman, Ulysses

NW/GB District
Dr. Jetta Holloway-Jankowski, Beloit Dr. Timothy Jankowski, Beloit Dr. Brandon Johnson, Hays Dr. Dustin Kruse, Clay Center Dr. Robert Moeller, Salina

Fifth District
Dr. Lindsey Christian, Shawnee Dr. Ashley Knight, Lenexa Dr. Geoffry Riley, Overland Park Dr. Andrea Schloegel, Leawood Dr. Audra Ward, Overland Park

Seventh District
Dr. Renata Prose, Newton

Southeast District
Dr. Jennifer Beurskens, Independence

First District
Dr. Daniel Bock, Lawrence

Topeka District
Dr. Ashley Maley, Seneca Dr. Amy Thompson, Topeka Dr. Stephanie Zeller, Topeka

Flint Hills District
Dr. Michelle Malone, Emporia

Wichita District
Dr. Lindsay Pauly, Wichita Dr. Jacob Saxton, Wichita

Do you know of a new dentist in your community, a recent graduate, or even a new colleague in your practice who is not on this list? Please contact the KDA at 785.272.7360 so we can invite them to become a member.

Kansas Donated Dental Service matching grant Reached
A matching gift challenge through the United Methodist Health Ministry Fund has been met, which will allow the Kansas Donated Dental Services Program to continue through the 2011-2012 fiscal year, according to Dr. Charles Squire, President of the Donated Dental Services Board of Directors. “Thanks to many KDA and non KDA members, KDA Districts, the KDA Board of Delegates, Kansas Dental Charitable Foundation, Kansas Delta Dental Foundation, many lay friends and private family foundations the $35,000.00 United Methodist Health Ministry Foundation’s Challenge Grant was successfully matched,” said Squire in a posting to the KDA Network earlier today. “The Board of Directors of the Kansas Foundation of Dentistry for the Handicapped is most appreciative of all the contributions of pledges, cash and purchase of DentaCheques Coupon Books.” Because of cuts in funding in the State of Kansas 2011 Budget, the Kansas Donated Dental Service Project risked begin eliminated completely. The Hutchinson, KS based foundation challenged the program to reach a commitment level totaling $35,000. “The DDS program represents a very valuable service reaching many very vulnerable Kansans,” said Kim Moore, President of the United Methodist Health Ministry Fund. “The program maximizes volunteers to serve people with severe oral health needs who otherwise would have not care.” Kansas Donated Dental Services (DDS) is a project initiated by the National Foundation for Dentistry for the Handicapped and the Kansas Dental Association. Its purpose is to provide free, comprehensive care for people who are permanently disabled, elderly and medically compromised who are unable to afford dental care. The Kansas dentists volunteering for DDS donated services in their own offices. Dental laboratories contribute services. ”Most of all we are most appreciative of the Board of Directors of the United Methodist Health Ministry Foundation for their belief and faith in the mission of the Kansas Donated Dental Services Program that provides so much needed care to most vulnerable in our society,” continued Squire. “The Program can now continue through the fiscal year 2010/2011. Let us hope and pray that at least some funding will be forth coming from the state of Kansas for fiscal year 2011-2012!”

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”what Down Economy?” 3 tips to controlling Your Destiny
What’s your number? I am sure we have all heard that expression before. Defining wealth is like asking someone what model car they want to drive. We all have different ideas of what wealth means. It is a very perTim Gaigals, CFP sonal thing. Wealth can be measured in dollars, in how much time your finances will allow you to spend with your family, or how much you contribute to charity. We are all aware of the uncertain economic times. All you need to do is pick up a newspaper or turn on the T.V. Many of these circumstances are out of our control, but what we can control are some simple things like building our own roadmap to retirement. This includes how much we save, where we invest our money, how much risk we are willing to take in our investments, and what type of investments we make? Do we buy stocks and bonds? Farmland? Certificates of deposit? plan based on your goals. From there, it’s time to start saving. Too late to start saving, you ask? No! Remember it is never too late in your career to build your roadmap. For each of these three time horizons there are buckets for your money. Setting these goals will determine in large part how successful you are in reaching your goals. First, put your goals and dreams in writing. Then begin building your map. You have a much better chance of success if you change your habits, build a plan, and set realistic objectives. Once you have established your goals, compare your assets with your debts to determine your net worth including cash, investments, valuable possessions minus what you owe on credit cards, student loans, mortgages, car loans. This will derive your net worth. Keep in mind that in early years this may be a negative number. Understanding this element, it is also critical to have a cushion. Most experts advise having a 3 to 6 month cushion of living expenses set aside. This money can be saved gradually through regular deposits to a saving account, even while working on other goals. Even though interest rates on these vehicles are low it is important that this money is set aside in a liquid account and not in higher risk investments that may fluctuate greatly in the short term. Consider money markets, certificates of deposit or shortterm bonds for your short-term goals.

2. Mid-Term: More aggressive
Mid-term goals should be things you want to accomplish in 5 to 15 years. This could be buying a home, family needs, or further education. Although retirement plans are a great longterm goal and 401(k) or profit sharing plans are a great way to achieve it, these plans are for retirement only and will fall under your longterm goals. If your mid-term goal is say buying a building for your dental practice in 10 years, you need to sit down and figure it out: • • • How much will the building cost? What down payment will be required? How much will you need to save to get there?

1. Short Term: Balance debt with a cushion

Short term goals are what you want to achieve in the first five years. These goals should begin with paying down debt and starting an emerThe most effective way to help reduce future gency fund, assuming you haven’t already done financial stress is to begin building a financial so. All of these goals require an integral part roadmap now. Don’t wait! Not a pro in finanof personal finance. Now let’s talk credit score. cial matters? It’s okay. By seeking out a trusted This figure gives you a hint of how well you financial advisor you have the potential to reach manage your money and how likely you are to your financial goals. manage it in the future. It doesn’t necessarily Below are three essential ways to craft these mean you have a lot of outstanding debt. It does goals: mean if you are considering debt, such as a home purchase, a higher credit score (850 being 1. Short Term. Understand your debt and the highest) will allow you to borrow at lower establish a safety net. rates. Without a sound credit score, higher 2. Mid Term. Decide how you will spend interest rates can eat away at your money fast. your money during your working years. Combine that with low interest investments 3. Long Term. Set a target for how much you and you have problems. Let’s say for example will need once you have stopped working. you have $20,000 outstanding on a credit card KS-JUN-2010.pdf 6/17/10 8:31:25 AM at a 15% interest rate. If you pay the minimum With that information you can begin to create a amount due it may take you as long as 34 years to pay down that debt and cost you over $25,000 in interest payments. Conversely, if that $20,000 were in a savings account PARAGON consultants have closed thousands earning 1.5% per year for the same 34 year of transactions for our clients. period, you would earn more than $13,000 in Let us help you reach your professional goals, interest. The lesson: pay off debt before you whether it be purchasing, selling or evaluating start investing! your practice.

And don’t forget to factor in inflation; a common mistake for many. This time frame calls for investments of mostly short-term fixed income securities with no more than 50% invested in stocks. The portfolio should be monitored closely and adjusted a few times per year to stay on track with you goal. Lets assume you want to purchase a building that cost $300,000 today and that you would like to make a 20% down payment, or $60,000 in today’s dollars. If you adjust for inflation using a 3.1% rate of inflation The building will cost $409,000 in 10 years. This means a 20% down payment becomes $81,800 in 10 years. Over the next 10 years you will need to save $527 per month at an average interest rate of 5% to hit your goal.

3. Long-Term: Risk and time
Long-term goals are viewed as more than 15 years out on the time horizon. One of the most common is retirement. But even if retirement seems a million years away you need to get started now. There are many tax delayed retirement vehicles available to dentists and their practices. Some of the most commonly used are 401(k) and profit sharing plans. These can be advantageous for a practice. This will allow you
continued on page 14

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Practice Sales Mergers Co-Ownerships Acquisitions Relocations Consulting Valuations Presales Associateships

Corporate Dentistry rumblings
The Kansas Dental Association has met with representatives of Comfort Dental, a dental corporation located in Colorado regarding their desire to locate dental franchises in Kansas. According to the Comfort Dental website, they have franchised dental offices in Colorado, Texas, Missouri, Ohio and New Mexico. Current Kansas law does not allow corporate or franchised dentistry in Kansas. The official KDA policy regarding corporate dentistry is as follows: Whereas, the membership of the Kansas Dental Association (KDA) believes that the best dental care is provided in dentist-owned dental practices where the dentist-owner is present a majority of time, and; Whereas, the KDA supports a dental workforce model of dentistry that maintains the private practice dentist as the centerpiece of the dental delivery model; and Therefore be it resolved that the KDA supports restrictions on dental practice ownership that prohibit the non-dentist corporate ownership of dental practices and the franchising of dental offices.
Call us for a complimentary consultation.
Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4/1/2009 to 3/31/2012

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Be it further resolved, that nothing in this resolution shall be interpreted to alter the KDA’s established support of not-for-profit indigent care dental clinics as defined by KSA 65-1466. It is likely that Comfort Dental will attempt to amend the dental practice act during the 2011 Kansas Legislative Session. In such case, the KDA will oppose such legislation as per KDA policy above. The KDA will keep the membership up-to-date on this issue as new information is received.

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11

tHE moSt REwARDINg ADA VISA cARD IS Now AVAIlABlE to ADA mEmBERS
During times like this, it’s important for dentists to have a strong financial partner on their side. In April of 2010, ADA Business ResourcesSM and [state association] announced an exciting relationship with U.S. Bank, culminating in the launch of a new credit card for ADA members: the ADA Visa Signature® Card. As the 5th largest commercial bank in the United States, U.S. Bank has a reputation for financial stability, as well as a highly trained customer service staff that can meet the unique needs of dentists. These strengths were important considerations of ADA Business Resources’ selection process for the new credit card provider. Thousands of dentists across the country have already signed up for the new ADA Visa Card. It provides members with an enhanced reward program, access to several Visa Signature perks, and other great advantages. Plus, each purchase with this card directly supports local state dental societies as well as ADA Business Resources. Exclusive Cardmember Benefits and Rewards The new ADA Visa Signature Card offers a variety of benefits and rewards. Cardholders earn one reward point for each net $1 spent everywhere Visa cards are accepted. Points may then be redeemed for free travel, merchandise, cash back, gift cards, and more. In addition, there is no preset spending limit with the ADA Visa Signature Card, and it offers unique travel, dining, sporting event and entertainment privileges, including 24-hour complimentary Concierge Service. Members can call this service any time they need help finding a gift, making a reservation or obtaining hard-to-get tickets. Special travel, hotel and shopping offers and upgrades are some of the other perks cardholders will receive as a Signature cardmember. card for everything from personal purchases to supplies for the practice. ADA members can start redeeming rewards at just 1,500 points. 1. Accounts must be open and in good standing to earn and redeem points. 2. No preset spending limit does not mean unlimited spending. Individual transactions are authorized by card issuer based on factors such as account history, credit record and payment resources. Card issuer will preset an upper limit for revolving balances and cash advances. 3. Cardmembers are responsible for the cost of any goods or services purchased by Visa Signature Concierge on cardmembers’ behalf. US Bank National Association NA is the creditor and issuer of the ADA Visa Card ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc. (ADABEI), a wholly-owned subsidiary of the American Dental Association. ADA is a registered trademark of the American Dental Association.

S A V E t H E D At E!
Plans are underway for the 10th KMOM project being held in Hutchinson, KS.

Applying for The ADA Visa Signature Card
To apply for the ADA Visa Card, simply call 888-327-2265, ext. 80028 or visit usbank.com/adavisa01. It takes just minutes to apply.

JANuARY 21-22, 2011

Already an ADA Visa Signature Cardmember? Remember that points are earned with every purchase. So be sure to use the

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Kansas Dental Association is a regional partner of the Southwest Dental Conference.
12

p p

members of State Board of Education Attempt to overturn School Vending machine Policy
The KDA reported in the Spring 2010 issue of the Journal of the Kansas Dental Association that the Kansas State Board of Education had voted 7-3 to adopt the Kansas pre-Kindergarten through grade 12 wellness policy guidelines on vending machines. During the State Board’s June meeting, however, some Board members attempted and failed to overturn that policy. The State Board received feedback from stakeholders regarding the policy. Several, including Oral Health Kansas, thanked the Board for their leadership on creating a healthy learning environment for Kansas schoolchildren. Others asked the Board to re-consider or delay implementation of the policy. The primary arguments against the policy centered on potential revenue loss to schools, which assumes that schools will see lower vending machine sales, and

HoA fouNDAtIoN golf touRNAmENt RAISES moNEY foR cHARItY
on a desire for the beverage industry to be able to sell diet sodas in the school vending machines. One school superintendent thanked the Board of Education for creating consistency for the children in his district. He said now all children in his district will see only healthy food and beverage options at breakfast, lunch and in the vending machines. While no action was taken to attempt again to overturn or delay implementation of the policy this week, Board Chair Janet Waugh indicated the issue may come up again at another monthly State Board of Education meeting. The KDA will continue to follow this story and bring you any further developments.
Oral Health Kansas contributed to this story.

Branson, MO – It looks as if some Kansas-Missouri bragging rights are going to remain in the Sunflower State for a while anyway. With the fourth Heart of America Dental Symposium complete, there are no further plans for a joint meeting between the Kansas and Missouri Dental Associations. Therefore, the honor of the final champions of the four-person scramble belongs to Kansas dentists David Hamel, currently the KDA President from Marysville; Gene McGill from Shawnee Mission; Larry McGary from Junction City; and Stuart Dexter of Prairie Village. The tournament was held at the Payne Stewart Golf Club in Branson, MO during the Heart of America Dental Symposium at the Chateau on the Lake Resort. Proceeds from the tournament went to support the Kansas Dental Charitable Foundation and the Missouri Dental Foundation. “You can rest assured that the honor of the KDA was upheld,” McGill said following the tournament. Besides earning a $100 gift card from Best Buy as part of the winning team, McGill also won the prize for the Closest to the Hole.

deceased dentists
04/04/2010

Dr. Charles V. “Bud” Neath
Kansas City, KS First District Southeast District

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KANSAS/MISSOURI – Dentists needed. Excellent opportunity for highly motivated practitioners. Patients and a dedicated well-trained team are waiting for you. Practice locations in the KC area, Mt. Vernon, MO, and Wichita, KS. Competitive commission plan plus excellent benefit package. Contact Robert Hildreth at 785-456-7083; fax 785-456-6520; or email dynmgmt@wamego.net. PRACTICES FOR SALE OR ASSOCIATESHIPS IN: KANSAS LISTINGS: Lawrence, Northeast Kansas, Mound City, South Johnson County & Central Kansas. MISSOURI LISTINGS: Jefferson City, Gladstone and Independence. Excellent opportunities. Well established profitable practices. Immediate ownership. Financing available. To obtain more information, contact Tom Smeed, Healthcare Practice Management at (913) 642-1988 or email t.smeed@worldnet.att.net DENTIST OPENINGS - Hiring Dentists for our practices in Kansas City, Topeka and Wichita. Stable and successful offices – very rewarding environment! We offer a guaranteed base salary above $120,000 and 100% benefit coverage. Relocation reimbursement and bonuses offered. For more information please call Jacob direct at 719-562-4460 or email jdkochenberger@forba.com PRACTICE FOR SALE IN CENTRAL KANSAS: Beautiful million-dollar general practice for sale located just an hour from downtown Wichita. Modern, well-decorated nine-operatory office. The building is available and the practice is priced to sell as the doctor seeks retirement. 100% financing should be available to qualified buyers. Please contact Steve Wolff at EMA Dental Practice Sales at 800-311-2039 or visit www. emadentalpracticesales.com to learn more about our listings.

Dr. oettmeier Reelected ADA Delegate, Dr. Roufs Elected ADA Alternate Delegate
The KDA Board of Delegates elected Dr. Bert Oettmeier to a second 4-year term as Delegate to the American Dental Association House of Delegates. Dr. Oettmeier was first elected ADA Delegate in 2006 after serving as the Kansas ADA Delegation from 2003-05 as Secretary, Alternate Delegate and Delegate while moving up the chairs to KDA President. Dr. Oettmeier is the current Chairman of the ADA Council on Dental Benefits. The KDA Board also elected Dr. Brett Roufs as KDA Alternate Delegate and Delegate to the American Dental Association House of Delegates. Dr. Roufs was elected to a first term as an ADA Alternate Delegate/Delegate (2+2 Position) expiring on April 30, 2014. Dr.

Roufs has served the past three years on the Kansas ADA Delegation as HOD Secretary, Alternate Delegate, and Delegate as part of his responsibilities as a KDA Officer. Kansas’ ADA Delegation representing the KDA at the 2010 ADA House of Delegates Annual Session in Orlando is as follows: Delegates: Dr. Dave Hamel, Dr. Bert Oettmeier, Dr. Kevin Cassidy and Dr. Greg Peppes alternate Delegates: Dr. Hal Hale, Dr. Robert Herwig and Dr. Brett Roufs aDa Secretary: Dr. Craig Herre Kansas is allotted four ADA delegates based on membership size to serve in the ADA House of Delegates and is in the ADA’s Twelfth Trustee District along with Arkansas, Louisiana and Oklahoma. Kansas’ 2+2 delegates are somewhat unique as delegates are elected to a four-year term…serving the first and second years of the term as an alternate delegate to the ADA and the third and fourth years of the term as a full ADA delegate.

The Wichita State University Foundation hosted a groundbreaking ceremony for WSU’s Advanced Education in General Dentistry (AEGD) facility on Thursday, July 22, south of the Eugene M. Hughes Metropolitan Complex.

wSu BREAKS gRouND oN ADVANcED EDucAtIoN IN gENERAl DENtIStRY SItE

the WSU Foundation Board of Directors and other university faculty and staff, in addition to the general public. “It was no surprise, but always an honor, to have Delta Dental of Kansas and Delta Dental of Kansas Foundation step forward to kick off the campaign in October 2008 with a lead gift of $3 million,” said King. “Their administrators and WSU leaders shared in the commitment to all Kansans to provide access to quality dental care. Today, that commitment is closer to reality.” When the facility is completed in about a year, the program will transition from a one-year to a two-year program with a capacity of 10 residents per year. First-year residents will train at the AEGD facility with clinical rotations at GraceMed Clinic, the Robert J. Dole Department of Veterans Affairs medical center and other sites. Second-year residents will rotate to clinical sites throughout Kansas. Training in the AEGD facility is provided in all phases of general dentistry, including pediatrics, orthodontics, periodontics, operative/restorative dentistry, endodontics, prosthodontics, implantology, oral surgery, oral medicine, oral pathology, patient management, practice management, conscious sedation and risk management.

Speakers were Don Beggs, WSU president; Elizabeth King, president and CEO of the WSU Foundation; Peter Cohen, dean of the WSU College of Health Professions; Dexter Woods, AEGD program director; and Linda Brantner, president and CEO of Delta Dental of Kansas. “The AEGD program, the only dental education program in Kansas, will significantly impact oral health care by increasing its access and workforce,” said Cohen. “It will facilitate dental residents in learning advanced clinical techniques, enabling them to provide primary and specialized dental care in urban and rural areas.” Ceremony attendees included members of the AEGD campaign cabinet, the first class of residents in the AEGD program, representatives of the top AEGD donors, members of

Donated orthodontic Services to Provide orthodontic care to Eligible children
The Donated Dental Services of Kansas has announced a new volunteer program for orthodontists. The Donated Orthodontic Services (DOS) program is designed to provide orthodontic care to children aged seven to eighteen of working families below 200-percent of the poverty guidelines. Some adults who will be considered under special circumstances on a case by case basis. the orthodontist’s name and phone number and will be responsible for scheduling an appointment for an examination. FINAL ACCEPTANCE into the program will only be made after the clinical examination when the specific treatment needs are established.

Upon receipt of the application, the patient will be placed on a waiting list. Due to program limitations, the program will not be able to process each application immediately upon receipt. For more information, contact the DOS Coordinator at 888.870.2066.
continued from page 11

Other eligibility requirements state that the patient must be a resident of Kansas and not already be in braces or between phases of orthodontic treatment. The parent or guardian must submit their most recent federal (and state if applicable) tax returns with their applications. Lastly, the patient must be ineligible for orthodontic treatment through insurance or public aid.

APPLICATION PROCEDURES
1. The patient will complete, sign and return an application, along with a copy of the last year’s tax return for the household. 2. A referral coordinator will call the patient to obtain any additional information (those who do not qualify will be told so during the call). 3. The referral coordinator will share the information about a person tentatively accepted with a volunteer orthodontist.

to allocate a portion of your income, before taxes, to a retirement portfolio. The money is taxed once you withdraw it. There are similar savings vehicles including individual retirement accounts, SIMPLE IRA’s, and simplified employee pension plans. All of which can be tax advantageous to a practice. These vehicles can decrease current taxation allowing you to sock away more dollars now and enable you to build wealth for your future. The allocation of these funds for your long-term goals depends on when you will need the money. The longer you intend to wait, the more aggressive you can afford to be. Stocks tend to be the riskiest portfolio class while cash and bonds are more reliable. More young investors are usually advised to allocate their portfolios mostly to stocks 85% to 90% while older investors should have a more conservative mix of stocks and bonds. One last rule of thumb is to subtract your age from 120 to determine the percentage of long term assets that should be invested in stocks. If you apply this rule at age 55, 65% of your money would be allocated to stocks.

cially the older you become. Set targets at different ages along your career to reduce your “riskier” investment allocations the closer you get to retirement. Remember, set your goals, build your roadmap, and be aware of where your money is being invested. And don’t forget it’s a marathon, not a sprint. “Always do your best. What you plant now, you will harvest later.” Og Mandino. Tim Gaigals, Certified Financial Planner™ is a Financial Advisor focusing on qualified retirement plans for businesses with Tax Favored Benefits in Overland Park Kansas. Tim is an investment advisor representative offering securities and investment advisory services through Ameritas Investment Corp.(AIC). Member FINRA/SIPC. Tim can be reached locally at 913-648-5526 or 800-683-3440 or via e-mail tim@taxfavoredbenefits.com AIC is not affiliated with Tax Favored Benefits.

Keep an Eye on It
It is important to monitor your portfolio regularly… espe-

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4. The patient will be notified of

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KDB Issues a Reminder on Record Keeping Requirements
In the July Kansas Dental Board Newsletter, the Kansas Dental Board issued a reminder on the dental record keeping requirements. “Questions often arise out record keeping requirements,” the newsletter says. “The basic requirements for patient records are listed in K.A.R. 71-1-14” We specifically asked the dental board if there were any particular issues they were finding or were going to begin to view under additional scrutiny in the future. The board indicated that there are some dentists who are not keeping as good of records as they need to be keeping. In many cases, the board will come into an office to investigate an issue and will find that the dentist is in violation. When a complaint is made to the dental board, the patient record becomes a vitally important document that is used when addressing the complaint. It is the dentist’s and dental hygienist’s report made at the time of treatment. The dental record entries document patient concern/reason for appointment, findings, diagnoses, treatments and plans for treatment as well as information given about possible outcomes and patient progress. While the primary purpose of good record keeping is to facilitate good patient treatment, it is also the licensed dental professional’s best defense. As stated in the regulation, the record must be legible. The record can be hand written, typed or kept in a computer entry and may include images such as radiographs, photographs, graphs and charts. The entries may be done in a SOAP (Subjective, Objective, Assessment, Plan) format, but this is not a requirement. A narrative entry can contain all of the required information as well. The length and detail of record entries will vary based on individual patient situations, treatment done, and the practice preferences of the licensee. The minimum requirements are those listed in the dental practice act however other pertinent information can be included. The entries must be dated. The requirement for quantity and strength of medication administered includes local anesthetic (for example: anesthetic used, number of carpules, volume and percent or mg dosage ). Lists of filed insurance reimbursement codes or their word definitions alone do not necessarily make an adequate record because those codes do not usually provide specific diagnostic information, information about medications, or any treatment particulars (some medical codes are diagnosis defining). In addition, the descriptors for codes are regularly reviewed by the American Dental Association and can change, so the description of a code today (or the day it is reviewed) may differ in a meaningful way from the description of that code when it was recorded. Codes are also deleted and added.

Each dental record must meet the requirements listed in the Dental Practice Act. The board is sometimes asked if a record must have this or that particular form or item, or how often a particular form or item must be updated. Some licensees have expressed interest in a list or protocol developed by the board. The board recognizes that practice needs and preferences vary, and to date has limited requirements to those now in the Dental Practice Act. You may wish to develop a list or protocol that fits your needs and those of your patients while adhering to the minimum standards that are listed in the Practice Act. There are many resources available from schools and universities, professional associations, liability insurers and consultants that may be helpful. When you review your record keeping practices, consider starting with these two questions: 1. Do the records meet the requirements set forth in the Dental Practice Act? 2. Are the records adequate to accurately report the treatment process if they are needed to stand in defense or clarify an issue that might be raised about treatment? TERM TYPE President 4-Year 2+2-Year 2+2-Year TERM TYPE President-elect 2+2-Year 2+2-Year TERM EXPIRES April 30, 2011 April 30, 2014 April 30, 2011 April 30, 2012 TERM EXPIRES April 30, 2011 April 30, 2013 April 30, 2014

ADA House of Delegates to meet in orlando
The American Dental Association (ADA) House of Delegates is the ADA’s legislative and governing body and as such, is the supreme authority in the ADA. The 473 members of the House of Delegates are chosen by the 53 constituent societies, the five federal dental services and the American Student Dental Association. Kansas has four delegates (see related article). The HOD speaks for the more than 156,000 dentist members of the Association and for the dental profession in the United States. The House meets once a year, during the Association’s Annual Session. This year the HOD will be meeting October 9-13, 2010 in Orlando. The officers of the House are the Speaker and the Secretary. The Executive Director of the Association serves as Secretary of the House of Delegates. If you would like to discuss issues facing the ADA, dentistry and/or the HOD you are encouraged to contact your Kansas HOD delegates as follows: DelegateS NAME Dr. Dave Hamel Dr. Bert Oettmeier Dr. Kevin Cassidy Dr. Greg Peppes NAME Dr. Hal Hale Dr. Robert Herwig Dr. Brett Roufs

alteRNate DelegateS

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Prsrtd Std U.S. Postage PAID Consolidated Mailing Corp

5200 SW HUNTOON TOPEKA, KS 66604-2398

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