TDJSept2021 Low Res 9.27.21

September 2021
TEXAS DENTAL
Meeting the Challenge of

Primary Care Dentistry
www.tda.org | September 2021 573
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574 Texas Dental Journal | Vol 138 | No. 9

Your practice is one of your most important assets.
DO YOU KNOW WHAT IT’S WORTH?
While no one likes to think about it, things do happen and it’s always important to be prepared.
Knowing your practice’s value can make the difference between selling your practice or having
it become unsellable. That is why practice owners should have an up-to-date practice valuation.
Whether you are anticipating selling your practice and planning for retirement, recruiting
a new associate who potentially may become a partner, or preparing for the unexpected, there are
many reasons to have a current practice valuation.
A Henry Schein Professional Practice Transitions valuation considers both tangible
and intangible assets of the practice and can provide the many key factors which
influence the practice’s value.
To get started on your practice valuation or schedule a complimentary consultation,

give us a call at 866-335-2947.
■ PRACTICE SALES ■ VALUATIONS

www.henryscheinppt.com
■ TRANSITION CONSULTING/
866-335-2947 PLANNING ■ ASSOCIATESHIPS
© 2021 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
21PT4334_plans options worth_7x9.5.indd 3 1/26/21 5:26 PM

Contents September 2021
Established February 1883 n Vol 138, No. 9
FEATURES
590 | The Primary
Care Dentistry for
South Texas Project
at the UT Health
San Antonio School
of Dentistry
Hicks, Jeffery L., DDS, Dip. ABSCD

Challa, Suman N., BDS, MSPH, Dip.
ABDPH
Hendricson, William D., MS, MA
de la Torre, Magda A., RDH, MPH
Marwaha, Rochisha S., BDS, MPH, DPH
Department of Comprehensive Dentistry,

University of Texas Health San Antonio,
San Antonio, Texas
DEPARTMENTS 600 | Value for Your

Profession: How to Create a
580 | President’s Message Content Marketing Strategy
That Attracts New Patients
582 | Oral and Maxillofacial
Pathology Case of the Month 604 | Advertising Briefs
596 | Oral and Maxillofacial 614 | Index to Advertisers

Pathology Case of the Month
Diagnosis and Management 615 | In Memoriam |
Memorials/Honorariums
TDA members, use your 599 | Calendar of Events
smartphone to scan this
QR Code and access the
online Texas Dental Journal.

Editorial Staff Board of Directors
PRESIDENT
Daniel L. Jones, DDS, PhD, Editor Debrah J. Worsham, DDS
936-598-2626, worshamdds@sbcglobal.net
Paras B. Patel, DDS, Associate Editor
PRESIDENT-ELECT
Nicole Scott, Managing Editor Duc “Duke” M. Ho, DDS
Barbara Donovan, Art Director 281-395-2112, ducmho@sbcglobal.net
Lee Ann Johnson, CAE, Director of Member Services PAST PRESIDENT

Jacqueline M. Plemons, DDS, MS
214-369-8585, drplemons@yahoo.com
Editorial Advisory Board VICE PRESIDENT, NORTHEAST

Carmen P. Smith, DDS
214-503-6776, drprincele@gmail.com
Ronald C. Auvenshine, DDS, PhD
VICE PRESIDENT, SOUTHEAST
Barry K. Bartee, DDS, MD Georganne P. McCandless, DDS
281-516-2700, gmccandl@yahoo.com
Patricia L. Blanton, DDS, PhD
VICE PRESIDENT, SOUTHWEST
William C. Bone, DDS J. Ted Thompson, DDS
Phillip M. Campbell, DDS, MSD 361-242-3151, tedito@aol.com
817-238-6450, pdalw@yahoo.com
Michaell A. Huber, DDS
VICE PRESIDENT, NORTHWEST
Arthur H. Jeske, DMD, PhD E. Dale Martin, DDS
Larry D. Jones, DDS SENIOR DIRECTOR, NORTHEAST
Paul A. Kennedy Jr, DDS, MS Elizabeth S. Goldman, DDS
214-585-0268, texasredbuddental@gmail.com
Scott R. Makins, DDS, MS
SENIOR DIRECTOR, SOUTHEAST
Daniel Perez, DDS Glenda G. Owen, DDS
William F. Wathen, DMD 713-622-2248, dr.owen@owendds.com
Robert C. White, DDS SENIOR DIRECTOR, SOUTHWEST

Carlos Cruz, DDS
Leighton A. Wier, DDS 956-627-3556, ccruzdds@hotmail.com
Douglas B. Willingham, DDS SENIOR DIRECTOR, NORTHWEST
Teri B. Lovelace, DDS
325-695-1131, lovelace27@icloud.com
The Texas Dental Journal is a peer-reviewed publication. DIRECTOR, NORTHEAST

Jodi D. Danna, DDS
Texas Dental Association 972-377-7800, jodidds1@gmail.com
1946 S IH-35 Ste 400, Austin, TX 78704-3698
Phone: 512-443-3675 • FAX: 512-443-3031 DIRECTOR, SOUTHEAST
Email: tda@tda.org • Website: www.tda.org Shailee J. Gupta, DDS
512-879-6225, sgupta@stdavidsfoundation.org
Texas Dental Journal (ISSN 0040-4284) is published monthly (one issue will be a DIRECTOR, SOUTHWEST
directory issue), by the Texas Dental Association, 1946 S IH-35, Austin, TX, 78704- Richard M. Potter, DDS
3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional 210-673-9051, rnpotter@att.net
mailing offices. POSTMASTER: Send address changes to TEXAS DENTAL JOURNAL,
1946 S IH 35, Austin, TX 78704. Copyright 2018 Texas Dental Association. All rights
DIRECTOR, NORTHWEST
Summer Ketron Roark, DDS
reserved.
806-793-3556, summerketron@gmail.com
Annual subscriptions: Texas Dental Association members $17. In-state ADA Affili-
ated $49.50 + tax, Out-of-state ADA Affiliated $49.50. In-state Non-ADA Affiliated SECRETARY-TREASURER*
$82.50 + tax, Out-of-state Non-ADA Affiliated $82.50. Single issue price: $6 ADA Cody C. Graves, DDS
Affiliated, $17 Non-ADA Affiliated, September issue $17 ADA Affiliated, $65 Non- 325-648-2251, drc@centex.net
ADA Affiliated. For in-state orders, add 8.25% sales tax.
Contributions: Manuscripts and news items of interest to the membership of the SPEAKER OF THE HOUSE*
society are solicited. Electronic submissions are required. Manuscripts should be John W. Baucum III, DDS
typewritten, double spaced, and the original copy should be submitted. For more
361-855-3900, jbaucum3@gmail.com
information, please refer to the Instructions for Contributors statement printed in
PARLIAMENTARIAN**
the September Annual Membership Directory or on the TDA website: tda.org. All Glen D. Hall, DDS
statements of opinion and of supposed facts are published on authority of the writer 325-698-7560, abdent78@gmail.com
under whose name they appear and are not to be regarded as the views of the Texas
Dental Association, unless such statements have been adopted by the Association. EDITOR**
Articles are accepted with the understanding that they have not been published Daniel L. Jones, DDS, PhD
previously. Authors must disclose any financial or other interests they may have in 214-828-8350, editor@tda.org
products or services described in their articles.
LEGAL COUNSEL
Advertisements: Publication of advertisements in this journal does not constitute
Carl R. Galant
a guarantee or endorsement by the William H. Bingham, Advisor
Association of the quality of value of Association of
such product or of the claims made of Dental Editors and *Non-voting member
it by its manufacturer. Journalists. **Non-voting attendee

iHDS 2021 CALENDAR OF EVENTS
2021 DATES FACULTY & COURSE
Oct 8-9 Dr. Giancarlo Romero & Dr. Aldo Sordelli

8am-5pm From CBCT to Surgical Guide
Oct 22-23 Dr. Virgilio Gutierrez & Dr. Giancarlo Romero

8am-4pm Digital Photography
Oct 29-30 Dr. Giancarlo Romero & Dr. Aldo Sordelli

8am-5pm Ridge Preservation & Immediate Implant Placement
& Provisionalization in the Esthetic Zone
Nov 5-6 Dr. Rolando Nuñez & Dr. Giancarlo Romero

8am-4pm Severe Worn Down Dentition
Nov 18 Dr. David Alfi

THUR 6-9pm Digital Orthognathic Surgery
Dec 3 iHDS Symposium

FRI afternoon Followed by Christmas Party
Dec 11 Dr. Clark Whitmire

8am-4:30pm Levels 2 & 3: Nitrous Oxide & Sedation Renewal
All events subject to change

Stay current and connected: www.ihds-ce.com
THE
Institute of Houston Dental Synergy
i N S T I T U E of
HOUSTON Located at the Houston Dental Education Center
DENTAL 4548 Bissonnet St., Suite 210, Bellaire, TX 77401
SYNERGY
Call 713-589-9603 or send an email to marketing@ihds-ce.com
iHDS

Terry Watson, D.D.S. Jeremy Brown, J.D. Frank Brown, J.D., LL.M.
Free Dental Practice Valuation

Take the 1st step in selling your dental practice.
Contact us to receive a free practice valuation.
469-222-3200
579
* Call us for details on this offer.
www.tda.org | September 2021
Chewon this
Tell Your Story —
Recruit a Member TDA President
Debrah J. Worsham, DDS
W
hile writing my I drive 90 miles one way to go to message and tell your story? Let
President’s message dental meetings in 3rd district! them know what you like best
for the 2021 House of As a young dentist, I had 3 kids about being a member.
Delegates, I had time to reflect on along the way. I could have easily
how my life in organized dentistry made excuses to not attend had I If you think you don’t have time
began in a small district, the not been welcomed and become or you simply wouldn’t know what
East Texas Dental Society (3rd). I involved. But I had a job to do and to say, the TDA has made it easy
remember how one dentist, Dr a report to give. Dr Nichols took a for you. From now through the
David Nichols, came up to me after chance on me. He made a decision end of December, TDA is running
I attended only 2 or 3 meetings to invest in me as he has in many a membership recruitment
and said, “You need to be our others along the way! campaign and all the details on the
DENPAC rep.” I replied, “What’s campaign can be found at www.
DENPAC?” And the rest is history! I’m asking you to invest in tda.org/recruitamember including
ONE member changed the course organized dentistry, invest in the a campaign overview, sample text
of my dental life journey. profession, invest in the growth of messages, and emails you can
your local society. Could you ask use to reach out to a prospective
If it weren’t for Dr Nichols, I just ONE prospective member to member. The best part is if you
might not even be a member of join you at a local society meeting? recruit the most new members,
organized dentistry today. You see, Or could you shoot them a quick you can win free TDA dues for
2022! And each new member
you recruit gets 3 free months of
membership, as part of our “15 for
“
12” campaign. It’s easy—they join
It’s up to us to strengthen
now and get free dues through the
our profession.
end of 2021 with the commitment
Grab your phone and to join for 2022. Other states have
recruit a member today! used this program and they have
”
had very high retention rates
Dr. Debrah J. Worsham,
among those who joined.
TDA President
tda.org/recruitamember
Invite a colleague. Tell YOUR story.
Recruit a member today!
580 Texas
TexasDental
DentalJournal
Journal | |Vol
Vol138
138| No.
| No.
9 9
Practices For Sale
Since 1968
GREAT METRO SAN ANTONIO OPPORTUNITY: Located inside Loop 1604 in
a medical complex with excellent street visibility and highway accessibility. The
office is roughly 1,600 sq. ft. with 4 ops, computerized with Easy Dental. There are
approximately 1,350 active patients, 75% PPO/25% FFS. Collections are $412K+ on an
We are pleased to announce... abbreviated schedule and currently refers out most surgery, endo, pedo, and implant
placement, leaving ample opportunity for growth. Opportunity ID: TX-6797
Hassan Asghar, D.D.S. FANTASTIC $1.39M OPPORTUNITY: This opportunity is for two Medicaid practices
has acquired the practice of that collected $1.3M+ in 2019. This is an excellent opportunity to be an entrepreneur
and oversee management while having associates to help with production. These
John R. Loar, D.D.S. offices have a total of 7 ops, updated computers and software, CBCT Pano at one
Seven Points, Texas office and digital Pano at the other. Opportunity ID: TX-6792
RARE SAN ANTONIO OPPORTUNITY: This practice is located in a busy retail center
off of a well-traveled road and collects $445K+ on a 3-day workweek. There are 630
Harpreet K. Sidhu, D.D.S. active patients with an average of 26 new patients a month. The paperless office has
has acquired the practice of digital X-rays, digital Pano, and uses Dentrix. The office is 2,215 sq. ft. with 4 well-
equipped ops and a 5th op plumbed. Opportunity ID: TX-6789
Rishad Merchant, D.D.S.
BETWEEN HOUSTON AND GALVESTON! This practice is 60% Medicaid and 40%
Garland, Texas PPO with a healthy hygiene program. The facility has 5 equipped ops with another
op plumbed. Expect first-year earnings after all expenses and debt service to exceed
$250,000 on a 4 day work week. If you want a practice where you like to work with kids
We are please to have represented but also enjoy the diversity of providing more complex dentistry for adults, then this
all parties in these transitions. practice could be the right practice for you. Opportunity ID: TX-6789
Go to our website or call to request information on other available practice opportunities!
800.232.3826 Practice Sales & Purchases Over $3.2 Billion www.AFTCO.net
Specializing in: • Complimentary biopsy kits
• Conventional biopsy testing • Delivery via FedEx, local courier or USPS
• Cytopathology • Diagnosis within two business days of

receiving most biopsy specimens.
• Histochemistry
• UT M.D. Anderson Cancer Center and UTHealth
• Immunohistochemistry Medical School available for consultations as needed.
• Direct immunofluorescence testing • Affiliated with UT School of Dentistry at Houston.
713.486.4411 go.uth.edu/Pathology
Our Pathologists:
Jerry E. Bouquot, DDS, MSD Ngozi N. Nwizu, BDS, MMSc, PhD
Kalu U.E. Ogbureke, BDS, DMSc, JD, MSc Nadarajah Vigneswaran, DMD, DrMedDent

ORAL and maxillofacial pathology
case of the month
Clinical History What is your clinical/

A 32-year-old male is a new patient in
radiographic differential
your practice. He is in good health and diagnosis?
his health history is noncontributory. He
is asymptomatic. You discover a 2.5- The patient is referred to an oral and
3 cm symmetrical, well circumscribed maxillofacial surgeon who discovers a
and corticated pericoronal radiolucency compressible “cyst” surrounding the
associated with the crown of unerupted unerupted tooth. It separates cleanly from
#32 (Figure 1). There is no detectable the surrounding bone and the “cyst” is
bony expansion. therefore enucleated and the unerupted
tooth removed.
Figure 1. Patient presented with a well-defined unilocular corticated pericoronal radiolucency around unerupted #32.

The specimen is submitted to an oral
AUTHORS
pathologist for interpretation. The
cyst is lined by a thin and uniform John M. Wright, DDS, MS
stratified squamous epithelium Regents Professor, Diagnostic Sciences,
Texas A&M University College of Dentistry,
without surface keratinization. The
Dallas, Texas
basal cells are cuboidal to flattened
and the nuclei are not particularly
hyperchromatic (Figure 2). Mehrnaz Tahmasbi Arashlow, DDS
Clinical Assistant Professor, Diagnostic
Sciences, Texas A&M University College of
What is the final diagnosis? Dentistry, Dallas, Texas
What is your patient’s prognosis?
See page 596 for the answer and
Paras Patel, DDS
discussion. Assistant Professor, Diagnostic Sciences,
Texas A&M University College of Dentistry,
Dallas, Texas
Figure 2. Histologic features show a cyst lined by a uniform nonkeratinized stratified squamous epithelial
lining without prominent basal cells.

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Anesthesia Education & Safety Foundation Approved PACE
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FAGD/MAGD Credit.
Two ways to register: Call us at 214-384-0796 or e-mail us at sedationce@aol.com Approval does not
imply acceptance by a
Visit us on the web: www.sedationce.com state of provincial
NOW Available: In-Office ACLS & PALS renewals; In-Office Emergency Program board of dentistry or
AGD endorsement.
8/1/2018 to 7/31/2022.
Live Programs Available Throughout Texas Provider ID# 217924
Two ways to Register for our Continuing Education Programs:

e-mail us at sedationce@aol.com or call us at 214-384-0796
OUR GOAL: To teach safe and effective anesthesia techniques and management of medical emergencies in an understandable manner.
WHO WE ARE: We are licensed and practicing dentists in Texas who understand your needs, having provided anesthesia continuing
education courses for 34 years. The new anesthesia guidelines were recently approved by the Texas State Board of Dental Examiners. As
practicing dental anesthesiologists and educators, we have established continuing education programs to meet these needs. Dr. Canfield
New TSBDE requirement of Pain Management

Two programs available (satisfies rules 104.1 and 111.1)
Live Webcast (counts as in-class CE) or Online (at your convenience)
All programs can be taken individually or with a special discount pricing (ask Dr. Canfield) for a bundle of 2 programs:
Principles of Pain Management Use and Abuse of Prescription Medications and
Fulfills rule 104.1 for all practitioners Provider Prescription Program
Fulfills rules 104.1 and 111.1
SEDATION & EMERGENCY PROGRAMS:

Nitrous Oxide/Oxygen Conscious Sedation Course for Dentists:
Credit: 18 hours lecture/participation (you must complete the online portion prior to the clinical part)
Level 1 Initial Minimal Sedation Permit Courses:
*Hybrid program consisting of Live Lecture and online combination
Credit: 20 hours lecture with 20 clinical experiences
SEDATION REPERMIT PROGRAMS: LEVELS 1 and 2
(ONLINE, LIVE WEBCAST AND IN CLASS)
ONLINE LEVEL 3 AND 4 SEDATION REPERMIT AVAILABLE!
(Parenteral Review) Level 3 or Level 4 Anesthesia Programs
(In Class, Webcast and Online available):
American Heart Association Advanced Cardiac Life Support (ACLS) and
Pediatric Advanced Life Support (PALS) Initial and Renewal Programs
NOTE: ACLS or PALS Renewal can be completed by itself at any combined program
Combined ACLS-PALS-BLS and Level 2, 3 and 4 Program
WEBCASTING and ONLINE RENEWALS AVAILABLE! Live and archived webcasting to your computer in the comfort of your home.
Here are the distinct advantages of the webcast (contact us at 214-384-0796 to see which courses are available for webcast):
1. You can receive continuing education credit for simultaneous live lecture CE hours.
2. There is no need to travel to the program location. You can stay at home or in your office to view and listen to the course.
3. There may be a post-test after the online course concludes, so you will receive immediate CE credit for attendance
4. With the webcast, you can enjoy real-time interaction with the course instructor, utilizing a question and answer format
OUR MISSION STATEMENT: To provide affordable, quality anesthesia education with knowledgeable and
experienced instructors, both in a clinical and academic manner while being a valuable resource to the
practitioner after the programs. Courses are designed to meet the needs of the dental profession at all levels.
Our continuing education programs fulfill the TSBDE Rule 110 practitioner requirement in the process to obtain selected Sedation permits.
AGD Codes for all programs: 341 Anesthesia & Pain Control; 342 Conscious Sedation; 343 Oral Sedation
This is only a partial listing of sedation courses. Please consult our www.sedationce.com for updates and new programs.
Two ways to Register: e-mail us at sedationce@aol.com or call us at 214-384-0796

In response to oral health needs in Texas, the
University of Texas Health San Antonio School
of Dentistry (UTHSA SOD) is undertaking a
5-year Primary Care Dentistry for South Texas
project (PCDST) to expand and modify its
primary care dentistry residency programs.
The Primary Care Dentistry for South

Texas Project at the UT Health San
Antonio School of Dentistry
Hicks, Jeffery L. DDS, Dip. ABSCD
Challa, Suman N. BDS, MSPH, Dip. ABDPH
Hendricson, William D. MS, MA
de la Torre, Magda A. RDH, MPH
Marwaha, Rochisha S. BDS, MPH, DPH
Department of Comprehensive Dentistry, University of Texas

Health San Antonio, San Antonio, Texas
Project funded by:

United States Health Resources and Services Administration
Grant # D88HP37558

Abstract Introduction
T
In response to oral health needs in exas is the fastest growing large
Texas, the University of Texas Health state, and the population in 2019 was
San Antonio School of Dentistry 29.1 million, up from 25.1 million in
(UTHSA SOD) is undertaking a 2010, representing an annual growth rate of
5-year Primary Care Dentistry for 1.80%, the third highest in the U.S.1 Within
South Texas project (PCDST) to the next decade, more than a third of Texas’
expand and modify its primary general dentists will be at or past retirement
care dentistry residency programs. age.2 Texas’ aging dental workforce leaves
Through innovative linking of the many Texans unable to access dental care.
primary care postdoctoral programs There is only one general dentist for every
(general dentistry, dental public 2,764 Texans. About 20% of Texas counties
health and pediatric dentistry), have no practicing dentists, and a third have
increased numbers of residents will be no dentists enrolled as Medicaid providers.
cross-trained to manage oral health Because nearly 93% of dentists in the state
problems, evaluate systems of care, practice in metropolitan areas, the shortage
and design surveillance systems is most acute in rural Texas.3
to measure oral health status.
Residents from these advanced Between 2008 and 2013, Texas ranked third
programs will be trained to provide worst among US states for the percent of
care to rural populations and patients
who are elderly, from vulnerable
populations and those with complex
medical illnesses and developmental
disabilities. As a significant Texas’ aging
component of the project, dental
residents will provide care in federally
dental workforce
qualified health care centers (FQHCs) leaves many
in rural areas surrounding San
Antonio. This project also will provide Texans unable to
telehealth capabilities for rural dental
care providers and classroom and access dental care.
clinical training for medical providers
in the care of patients with orofacial
There is only one
pain of dental origin. general dentist
for every 2,764
key words
Health, minority, oral health, access
Texans.
to healthcare, Texas

third graders who have untreated decay.7 In 2016, Medicaid coverage, but
experienced dental caries 59% of adults in Texas about one-third of Texas
and seventh worst for the aged 18+ had a dental visit counties have no dentists
percent with untreated in the past year and 40% enrolled as Medicaid
dental caries.4 The had not. Approximately providers.9 Texas has
untreated caries prevalence 5 million Texans have no chosen not to implement
among Mexican American health insurance and only a Medicaid insurance
and poor children was limited access to primary expansion. This decision left
33%.5 In 2016, Texas was and preventive care. a coverage gap for nearly
ranked 43rd of 50 states Texas has the highest rate 1 million Texans who are
in a composite score of: of those without health not eligible for Medicaid,
edentulism, Medicaid dental insurance in the U.S., most of whom are working
benefits, water fluoridation, and as many as 42% are poor with no employee
state oral health plans, and uninsured in Texas’ border health insurance, denying
basic screening survey.5 regions. Children without them access to primary and
In 2019, 53% of Texas dental insurance are more preventive care.10
kindergarten children had than twice as likely to have
experienced dental decay dental needs and 4 times Many, if not most, schools
and 20% had untreated more likely to have urgent of dentistry in the US
decay. By the third grade, needs than children with have significant gaps in
67% of children had private insurance.8 Over 3 the care of patients from
dental caries and 21% had million Texas children have vulnerable, disabled and

rural populations and
in training of providers
developmentally disabled,
and little oral health care is
Outcomes
to deliver care in rural provided to patients in rural
settings, and in managing areas. We have established To address the particular
oral health problems, the Primary Care Dentistry needs of the citizens of the
evaluating systems of care, for South Texas Project State of Texas, our PCDST
and designing surveillance (PCSDT) project to address project will train residents
systems to measure oral these shortcomings of the from the University of Texas
health status. Care in dental education process. Health San Antonio School
dental schools is provided Our project’s was started in of Dentistry (UTHSA SOD)
generally in disconnected academic year 2020-21 and in primary care dental
clinics and to limited we will complete this initial disciplines to deliver care
numbers of persons with iteration of the project in effectively in clinics in rural
disabilities, especially the academic year 2024-25. as well as urban settings
Table 1. Project Objectives

1 Train increased numbers of residents in the Advanced General Dentistry,
Dental Public Health, and Pediatric Dentistry residency programs.
2 Train oral care providers to manage oral health problems, evaluate

systems of care, and design surveillance systems measuring oral health
status, and address childhood obesity, the opioid crisis, and social
determinants of health using telehealth modalities.
3 Inform, recruit and enroll increased numbers of trainees from

underrepresented and disadvantaged groups, from rural areas and those
in loan repayment programs.
4 Train residents in rural federally qualified health center dental clinics in

underserved South Texas communities.
5 Care for patients who are aged, underserved, and/or have special health
care needs.
6 Establish a special care clinic for patients with special health care needs.
7 Use mobile dental equipment for care in nursing homes in rural areas.
8 Use telehealth to connect, inform and advise providers in rural areas.
9 Increase the number of postdoctoral trained dentists who choose to

practice in rural areas and with vulnerable populations.

and in nursing homes. platform to present virtual A high priority in our PCDST
Residents will be trained clinics. ECHO is a model program is recruiting
to deliver comprehensive for lifelong learning for underrepresented minority
care with emphasis on practitioners that aims (URM) candidates and those
designing care systems to “move knowledge, not committed to practicing
that consider vulnerable people” by connecting in rural and medically
patients’ special health care subject-matter experts underserved south Texas
needs, social determinants with community health communities. Each primary
of health, ethnicity, and professionals serving care dental residency
socioeconomic status. populations with limited program will prioritize the
Residents will be trained health care access. enrollment of residents
also in the use of telehealth The Oral Health ECHO and trainees who are URM,
modalities and will study will link UTHSA dental of rural or disadvantaged
and present using the specialists with south origin, and U.S. veterans.
Extension for Community Texas practitioners to
Healthcare Outcomes provide guidance on patient
(ECHO) videoconferencing management.
Table 2. PCDST Project Outcomes

1 Increased overall number of primary care dentistry residents and
increased number of residents from rural, underrepresented minority,
and disadvantaged backgrounds.
2 Increased numbers of primary care residents and faculty trained in

the comprehensive care of patients with special health care needs, the
vulnerable elderly, the homeless, those with HIV/AIDS, with complex
medical needs and underserved/vulnerable populations.
3 Increased numbers of primary care dentists trained to manage oral

health problems, evaluate systems of care, and design surveillance
systems to measure oral health status.
4 Creation of a Special Care Clinic providing training/care for persons

with special needs.
5 Increased numbers of dentists and FQHCs trained in the use of

telehealth modalities.
6 Increased numbers of postdoctoral-trained dentists who choose

to practice in rural and/or underserved areas and with vulnerable
populations.

Activities of the core Dental Public Health
Competencies that guide
and vulnerable/at-risk
populations. We will
Primary Care DPH residency education.

The project will create a
facilitate the cross-training
of dental public health,
Dentistry for standardized curriculum,

training resources and
AEGD and pediatric
dentistry residents in an
South Texas cases for dental public
health residents nationally
interprofessional format,
and provide a pathway for
Project and will be disseminated to DPH residents to pursue a
other U.S. DPH residency second residency program
The project is establishing programs. The AEGD, in our AEGD or pediatric
an innovative model for DPH, and pediatric dental dentistry residencies.
interprofessional Education programs collaboratively
of Dental Public Health, will implement a
AEGD and Pediatric Comprehensive Care All of our school’s primary
Dentistry Residents. We Curriculum (CCC). The care dentistry programs’
will design and develop CCC will provide didactic residents will be provided
specialized curricula and experiential learning experiential clinical training
needed in dental residency in the areas described among rural, underserved
programs. For example, below to enhance dental and special needs
the DPH Video Curriculum, residents’ and other health populations in south Texas.
organized around clinical professionals’ capacity to For example, once activity
cases, will focus on the deliver oral health care will include providing care
for rural, underserved at San Antonio’s homeless
Table 3. Comprehensive Care Curriculum Elements

1 Rural Dental Practice Management, Community Health Leadership and
Promotion
2 Mini-residency in Geriatric Dentistry
3 Obesity Counseling
4 Vaping and Opioid / Substance Abuse Counseling
5 Child and Adolescent Patients with Special Healthcare Needs
6 HEENOT Health Assessment Workshop (Head, Ears, Eyes, Nose, Oral,

Throat)
7 Opioid Prescribing in Dentistry and Opioid Overdose Training

and transitional living care for patients from rural, The UTHSA SOD will
facility, Haven for Hope, vulnerable, and special institute care for patients
located in a mental health needs populations, and with special health care
Health Professions Shortage more likely to locate in rural needs (SHCN) in the San
Area. communities during their Antonio and south Texas
practice careers. area by establishing a
We have enacted Special Populations Oral
collaborations with our Residents will provide Health Education and Care
institution’s Schools of comprehensive dental Center. Dental primary care
Medicine and Nursing and care for geriatric patients residents, clinical staff and
with rural area FQHCs in our school of dentistry faculty will receive training
(federally qualified health and for nursing home and supervised clinical
care centers), which are residents who are without experience in providing care
community health centers funding sources and living for individuals with SHCN in
providing medical and in nursing facilities in rural the center. This clinic will be
dental care to underserved south Texas. We have the largest facility in south
populations. Residents will enacted agreements with Texas expressly devoted
rotate to the dental clinics nursing homes in rural to training students and
in these FQHCs and be areas and are creating residents in oral health
mentored by rural dental advisory committees for our care for individuals with
providers who care for nursing home and special special needs, including
underserved populations. care clinic elements that those with intellectual and
It is anticipated that, as include future patients’ developmental disabilities,
a result of this training, families and advocates. and will ultimately provide
residents in our Advanced These advisory committees training also for the dental
Education in General will help in the planning, practice community.
Dentistry (AEGD), Pediatric designing and implementing
Dentistry and Dental Public all activities. Additionally, we will
Health training programs provide regional anesthesia
will be better trained to and mandibular block

component/ objective. An
annual, PCDST end-of-
year meeting will include
a strengths/weaknesses/
opportunities/threats
exercise to identify
refinements in project
operations, communications
and management needed
for the next year.
As a Capstone Assessment
at the conclusion of each
primary care residents’
participation in the PCDST
anesthesia training for emergency room (ER) physicians, Project, we will assess the
physician assistants and nursing practitioners. We plan effect of the overall training
to help reduce the number of patients with pain from experience on the residents’
oral disease who require opioid medications and reduce perceptions of their
the number of patients treated surgically in emergency abilities to provide care to
rooms with resultant great cost to them and the treating underserved communities
emergency room. including self-assessment
of confidence, intentions
to use acquired knowledge
Outcomes Assessment and skills in future practice
and intentions to establish
We will establish data collection systems and an annual their dental practice in
end-of-year summaries of outcomes data for each training rural and/or underserved
communities.
We will track participating

residents’ subsequent
practice variables,
including practice location,
associated socio-economic
characteristics of the
practice area, and entry
into rural/community-
based primary care in a
health facility or public
health workforce after
residency completion. The
tracking surveys will elicit

participants’ self-report of their adoption/ 5. Oral Health in Texas Bridging Gaps
use of skills taught in PCDST in their post- and Filling Needs: A Report on the
residency practice with focus on special Burden of Oral Disease in Texas, Texas
health care needs, elder care, public Health Institute, 2018. Available from:
health, cultural competency, health literacy, https://www.texashealthinstitute.org/
opioid and other substance use, and use of uploads/3/9/5/2/39521365/thi_report_
telehealth modalities. Location of practice final.pdf
will also be tracked, to determine whether 6. Oral Health America, A State of Decay,
more dentists are serving rural areas than Volume 3, 2016. Available from:
would under non-project conditions. https://nhoralhealth.org/blog/wp-
content/uploads/2016/05/State-of-
Decay-2016-Vol-3.pdf
Dissemination 7. U.S. Centers for Disease Control
and Prevention, Oral Health Data,
Follow-up and overall project progress will 2020. Available from: https://nccd.
be submitted for publication in the Texas cdc.gov/oralhealthdata/rdPage.
Dental Journal to provide updates on aspx?rdReport=DOH_DATA.ExploreByLo
implementation and outcomes. cation&isILocation=48&iclTopic=ADT&isl
Year=2016
References 8. Texas has the most people without
health insurance in the nation — again.
1. QuickFacts Texas United State Census Texas Tribune, Sept 10, 2019. Available
Bureau, Department of Commerce, from: https://www.texastribune.
2020. Available from: https://www. org/2019/09/10/texas-has-most-
census.gov/quickfacts/TX people-without-health-insurance-
2. Professionally Active Dentists, State nation-again/
Health Facts, Kaiser Family Foundation, 9. Oral Health by the Numbers, Third
2020. Available from: https://www.kff. grade Oral Health Screening Survey,
org/other/state-indicator/total-dentists/ 2017-2018 Texas Health and Human
?currentTimeframe=0&sortModel=%7B Services, Texas Department of Health
%22colId%22:%22Location%22,%22s Services, 2020. Available from: https://
ort%22:%22asc%22%7D dshs.texas.gov/dental/Oral-Health-by-
3. Kaiser Family Foundation, Custom State the-Numbers.aspx
Report. Available from: https://www. 10. Medicaid Expansion in Texas:
kff.org/statedata/custom-statereport/?i Potential Economic and Employment
=32495~32496~32497&g=tx&view=3 Implications, The Commonwealth Fund,
4. Florida Department of Health Public 2020. Available from: https://www.
Health Dental Program. The oral health commonwealthfund.org/publications/
status of Florida’s third grade children issue-briefs/2019/aug/medicaid-
2013-2014, 2016. Available from: expansion-texas-potential-economic-
https://cod-oralhealthflorida.sites. employment-implications
medinfo.ufl.edu/files/2017/03/oral-
health-third-grade-2013-2014.pdf.

ORAL
Dentigerous Cyst (Follicular cyst)
and maxillofacial pathology
diagnosis and management—from page 583
Diagnosis a benign process. The odontogenic myxoma,

margins are well defined odontogenic fibroma,
The final diagnosis for and often corticated. ameloblastic fibroma and
this lesion is dentigerous Cortication is created by rarely other odontogenic
cyst (DC). Three things the normal bone adjacent tumors. The definitive
must be considered to the lesion. Lesions that diagnosis can only be
before developing a grow very slowly allow the established by biopsy and
differential diagnosis adjacent bone to produce microscopic examination.
for bone pathology. The new bone in an attempt Most pericoronal
nature of the pathology to wall off the process. radiolucencies are
itself in relation to the Cortication usually suggests dentigerous cysts.
surrounding normal bone a benign process. Lastly,
is either radiolucent, our lesion is pericoronal The pathogenesis of DCs is
mixed or predominantly in anatomic location. related to odontogenesis.
radiopaque. Assessing Being tooth associated is During odontogenesis, the
the margins and how the highly suggestive of an enamel organ is responsible
pathology interfaces with odontogenic origin. The for the deposition of
the normal adjacent bone differential diagnosis in enamel on the surface of
provides evidence of the our case should include, the crown. The cells of the
biologic aggressiveness therefore, odontogenic inner enamel epithelium
of the lesion. Lastly, the cysts and benign develop into ameloblasts
anatomic association with odontogenic tumors. that secrete enamel matrix
teeth provides insight into The differential would onto the surface of the
the underlying etiology and include dentigerous cyst, developing teeth. Once the
origin of the lesion. odontogenic keratocyst, full thickness of enamel is
calcifying odontogenic attained, the ameloblasts
In our case, the lesion is cyst (Gorlin cyst), become more quiescent,
radiolucent. Most bone glandular odontogenic becoming more cuboidal
pathology produces cyst, ameloblastoma and are known as reduced
osteolysis and radiolucency, (especially the unicystic enamel epithelium. The
so the differential diagnosis ameloblastoma), calcifying reduced enamel epithelium
for radiolucent lesions is epithelial odontogenic is organically attached to
much greater than those tumor (Pindborg tumor), the surface of the enamel
for mixed or opaque adenomatoid odontogenic until the tooth erupts.
lesions. Our lesion is tumor, squamous Outside the reduced enamel
symmetrical, suggesting odontogenic tumor, epithelium is a thin layer

of follicular connective cysts biopsied.1-3 They are may occur. The size of DCs
tissue. This produces mostly diagnosed in the is commonly greater than
the follicular space seen decades and most series the normal follicular space
radiographically on virtually show a male predominance, (3 mm). Attachment of
every unerupted tooth; it but rarely over 2:1.2-4 The DC at the cementoenamel
is typically about 1-2mm tooth affected correlates junction of the involved
thick. with a tooth’s likelihood tooth is an important
of being impacted and diagnostic clue.8
Occasionally the reduced as many as 50% of DCs
enamel epithelium affect the mandibular third Care must be exercised
separates from the tooth molars. Four DCs also occur when evaluating the size of
crown. Fluid begins to around supernumerary the follicular space around
collect in the created teeth and odontomas.5,6 unerupted teeth. Every
space, slowly increasing About 2.5% of cases are unerupted tooth shows a
it’s size and, eventually, multiple, usually affecting pericoronal radiolucency
leading to the formation of the third molars, but these representing the normal
a dentigerous cyst. During are not syndromic.7 Most follicle and, as has already
this process, the reduced patients with DCs are been mentioned, this
enamel epithelium slowly asymptomatic. As the cyst can range up to 2-3mm.
undergoes metaplasia, enlarges, cortical expansion Hyperplastic dental
converting almost can be appreciated. follicles can produce
completely to mature Occasionally DCs occur further follicular expansion
squamous epithelium. around teeth that are radiographically and this
The etiology of the initial erupting where the cyst will range from 2.5 mm to
epithelial separation is breaks through the alveolar 5-6mm. As the follicular
unknown but is not related cortical bone and presents space exceeds 5-6mm, a
to inflammation. The as a soft compressible mass pathologic process should
definition of DC includes on the alveolar ridge. This be assumed and the most
its unique pericoronal is a variant of DC known as common pericoronal
relationship to unerupted eruption cyst. radiolucency over 6mm is
teeth. While all DCs DC.9
are pericoronal, not all Radiographically, DCs
pericoronal radiolucencies appear as well-defined, The microscopic features
are DCs, hence the need for usually corticated, round of DC are characteristic but
a differential diagnosis and or ovoid, unilocular not necessarily diagnostic.
microscopic confirmation. radiolucencies surrounding Clinical/radiographic
Dentigerous cysts are the the crown of unerupted correlation is required with
second most common teeth, usually third molars the knowledge that the
odontogenic cyst, behind and canines. Occasionally cyst was in a pericoronal
apical periodontal cysts they can be multilocular. anatomic relationship to an
(radicular cysts) and they Displacement of the unerupted tooth. The cyst
constitute between 18- associated tooth and root lining is typically stratified
24% of all odontogenic resorption of adjacent teeth squamous epithelium that

ORAL and maxillofacial pathology, continued
is nonkeratinized. The basal removed also. Large lesions cyst: a retrospective

clinicopathological analysis
cells are not palisaded or can be marsupialized/
of 2082 dentigerous cysts in
hyperchromatic like those decompressed.13 The British Columbia, Canada.
in odontogenic keratocysts recurrence rate following Int J Oral Maxillofac Surg.
or cystic ameloblastomas removal is very low. 2010;39(9):878-882.
but rather more cuboidal 8. Scholl RJ, Kellett HM,
References Neumann DP, Lurie AG.
to flattened. The stroma of
Cysts and cystic lesions of
the DC consists of residual 1. Daley TD, Wysocki GP, Pringle the mandible: clinical and
follicular connective tissue, GA. Relative incidence of radiologic-histopathologic
which tends to be relatively odontogenic tumors and review. Radiographics.
oral and jaw cysts in a 1999;19(5):1107-1124.
loose and myxoid and
Canadian population. Oral 9. Browne RM. Metaplasia and
often contains rests of Surg Oral Med Oral Pathol. degeneration in odontogenic
odontogenic epithelium 1994;77(3):276-280. cysts in man. J Oral Pathol.
representing degenerating 2. Josell SD, Reiskin AB, Gross 1972;1(4):145-158.
BD. Dentigerous cyst with 10. Gulbranson SH, Wolfrey
dental lamina following
mural ameloblastoma. J Am JD, Raines JM, McNally BP.
odontogenesis. The Dent Assoc. 1979;99(4):634- Squamous cell carcinoma
microscopic features of this 636. arising in a dentigerous
follicular connective tissue 3. Prockt AP, Schebela CR, cyst in a 16-month-old girl.
Maito FD, Sant’Ana-Filho Otolaryngol Head Neck Surg.
can lead to a misdiagnosis
M, Rados PV. Odontogenic 2002;127(5):463-464.
of odontogenic myxoma cysts: analysis of 680 cases 11. Houston GD. Oral pathology.
or odontogenic fibroma. in Brazil. Head Neck Pathol. Ameloblastoma arising in a
On rare occasions, 2008;2(3):150-156. dentigerous cyst. J Okla Dent
the epithelial lining of 4. Shear M, Speight P. Cysts Assoc. 2007;98(9):28-29.
of the oral and maxillofacial 12. Spoorthi BR, Rao RS,
a DC can give rise to
regions 4 ed. Blackwell Rajashekaraiah PB,
neoplastic transformation, Munksgaard; 2007, p 59-75. Patil S, Venktesaiah
including ameloblastoma, 5. Byatnal AA, Byatnal A, SS, Purushothama P.
squamous cell carcinoma Singh A, Narayanaswamy V, Predominantly cystic central
Radhakrishnan R. Bilateral mucoepidermoid carcinoma
and mucoepidermoid
impacted inverted mesiodens developing from a previously
carcinoma.10-12 Pathologists associated with dentigerous diagnosed dentigerous cyst:
should be aware of this cyst. J Calif Dent Assoc. case report and review of
possibility and take care to 2013;41(10):753-757. the literature. Clin Pract.
6. Jayam C, Bandlapalli A, Patel 2013;3(2):e19.
rule out the occurrence of
N, Choudhary RS. A case 13. Nascimento RD, Raldi FV,
neoplastic transformation. of impacted central incisor de Moraes MB, Cardoso
DCs are generally treated due to dentigerous cyst PE, Holleben D. A large
by conservative surgical associated with impacted dentigerous cyst treated
removal, either enucleation compound odontome. BMJ with decompression and
Case Rep. 2014;2014. orthosurgical traction: a
or curettage. For those
7. Zhang LL, Yang R, Zhang L, case report. Gen Dent.
affecting third molars, the Li W, MacDonald-Jankowski 2015;63(1):e5-8.
offending tooth is usually D, Poh CF. Dentigerous

Calendar
of events
Texas Mission
JKJ Pathology
of Mercy
Oral Pathology Laboratory
Schedule 2021
John E Kacher, DDS
OCTOBER 21-22 2021:
• Available for consultation by phone or San Antonio, Texas
email Pre-Screening
• Color histology images on all reports
• Expedited specimen shipping with NOVEMBER 5-6, 2021:
tracking numbers
San Antonio, Texas
• Reports available online through secure
30-40 Chairs
web interface
Professional, reliable
service with high-
technology solutions so
that you can better serve Due to the COVID-19 global crisis,
your patients.
please check each meeting’s website
Call or email for free kits or for up-to-date information related to
consultation.
cancellations or rescheduling.
jkjpathology.com
281-292-7954 (T) THE TEXAS DENTAL JOURNAL’S CALENDAR
281-292-7372 (F)
will include only meetings, symposia, etc., of
johnkacher@jkjpathology.com
statewide, national, and international interest
Protecting your to Texas dentists. Because of space limitations,
individual continuing education courses will not
patients, limiting your be listed. Readers are directed to the monthly
liability advertisements of courses that appear
elsewhere in the Journal.

VALUE for your Provided by:
profession
How to Create a Content

Marketing Strategy That
Attracts New Patients
By Pete Johnson, Lasso MD

You’ve probably heard What Is It?
A content marketing strategy is a plan
it before, but content you develop to use content marketing
to help you achieve your business goals.
Content is especially important in a
is king—especially complex market like healthcare, where
many patients are not experts and want
help understanding important choices they
when it comes to digital face.
A good content marketing strategy for

marketing. your practice can educate prospective
patients and alleviate their concerns, tell
Publishing high-quality content audiences
them what makes your practice unique
find engaging (i.e., content marketing)
(and why they should choose you over the
is a great way to educate and build trust
competitor down the street), and help you
with prospective patients. The effort could
form a relationship with them.
ultimately lead them to choose you as
their provider.
But without a content marketing strategy,

Set Goals
success or failure is a matter of luck— The first step is to define clear and
and you risk wasting all the effort and measurable goals for your content
resources you invested. According to marketing strategy. You can adjust your
the Content Marketing Institute, 63% of strategy according to the success (or
businesses don’t have a written content failure) in achieving your goals.
marketing strategy.1 It’s no surprise a
similar percentage of businesses (64%) For example, your goal might be to
say learning how to build one is one of implement a search engine strategy that:
their highest educational priorities. • Generates 1,000 new views of your
website
In this article, we’ll focus on creating a • Generates 100 new inquiries
content marketing strategy focused on • Converts 10 prospects to new patients
the goal of generating new patients. We’ll
explain why having one is important and
give you a blueprint to create one on your
own.
1. Rose, R. (May 6, 2020). “Content Management and Strategy: A Disruptive Change We Need [New
Research].” Content Marketing Institute™. https://contentmarketinginstitute.com/2020/05/content-
strategy-research/

VALUE continued
Write a Mission Statement

Next, write a mission statement for your
strategy. You should include following.
Target Audience
One of the most common mistakes in
marketing is trying to succeed with
everyone, which usually results in
succeeding with no one. Instead, find a
segment of the market that matches your
strengths and is not already dominated by
a competitor. Pick your target prospects
carefully. Think like a general: concentrate
your forces, divide, and conquer.
Example of a target audience: to educate themselves on the

Families with a household income of services we provide, discover how
over $100,000 that live in zip codes: beautiful our practice is, receive
92130, 92014, and 92075 promotional pricing, and schedule an
appointment online without having
Content Type, Benefits to call the office.
Next, determine what your target
audience’s concerns are. This will guide Determine Preferred Delivery
you on what kind of content they will Channels. Develop a Distribution
want to read or see—and that you should
Strategy
provide.
You’ll also need to determine how your
identified audience likes to consume
Then identify how your targeted audience
content—e.g. some like to read, others
will benefit from your content marketing.
like seeing pictures or watching videos.
This should be related to your target
Also, find out what channels are more
audience’s concerns, identified in the
frequented by your target—social media,
previous step.
search engines? Then you can determine
Example: the type of content to produce and deliver.
Audience Concerns:
Financing, patient comfort, You’ve defined your audience, the topics
whitening, flexible hours they are searching for, and where it goes
Benefits: for information. Now, how will distribute
Prospective patients will be able your content?
602 Texas
Texas
Dental
Dental
Journal
Journal
| Vol
| Vol
138 138
| No.
| 9No. 9
Social Media
If your strategy points to social media, Create Content
focusing on your personality and friendly
Now you’ll need to decide what content
staff is a good bet. You’ll want lots of
you’re going to create and produce it.
photos with smiling faces and video with a
Use a strong mix of text, photo, and
personal touch.
video content in your strategy so you
communicate through all available media,
You can include use of a social media
regardless of the channel.
holiday calendar to figure out which
holidays line up with your social media
strategy and add them to your content Create a Content Calendar,
calendar.
Execute
Search Engines
A search-based strategy relying on It’s time to create a content calendar and
search engines needs content that’s much finally execute your strategy. You can
different from a program based on social always make changes as needed.
media.
When you succeed in the targeted
audience segment, you can leverage that
People searching on Google for a product
success and your growing reputation to
or service you offer will be more interested
add additional segments.
in educational content and the big picture.
If you provide this, you’ve taken the first If you’re struggling with any of the above
steps towards building trust with your steps, there are plenty of companies
target audience, and they will come to that will gladly assist you. If you choose
you for more information. Spend time to work with a marketing company, it’s
to do a thorough SEO (search engine still a great idea to create your content
optimization) analysis and carefully marketing strategy mission statement and
choose your keywords. Your research and share it with them. This produces a more
targeting can really pay off. collaborative approach that will result in
authentic content your target audience will
Example:
find engaging.
Channels Frequented by Target
Audience: Lasso helps dentists create predictable new
Facebook, YouTube, TikTok, patient flow through innovative digital & video
marketing strategies. The TDA Perks Program-
NextDoor, Yelp, Google Reviews
endorsed company’s ROI software gives
practice owners the ability to track where their
Type of Content We’ll Provide: marketing dollars are being spent and verify the
• Website and blog content (SEO effectiveness of the campaigns. Lasso is offering
focus) exclusive pricing to TDA members: Create a
year’s worth of video & photo content (plus much
• Video for website (SEO and social
more) for $850/month with its “Captivate Plan;”
media focus) which includes 15+ videos, 12+ blogs and 20+
• Promotional content (social media photos. Visit www.lassomd.com/tda-perks to
focus) learn more.

ADVERTISING BRIEFS
PRACTICE OPPORTUNITIES #T510): This is a rare opportunity to
purchase a turn-key orthodontic practice
ALL TEXAS LISTINGS FOR MCLERRAN
plus real estate north of Austin. The
& ASSOCIATES: To request more
facility has a modern, spacious layout
information on our listings, please register
with 4 equipped chairs (and 2 additional
at www.dentaltransitions.com or contact us
plumbed operatories) and a digital pan-
at 512-900-7989 or info@dentaltransitions.
ceph. The real estate (built in 2007) is
com. AUSTIN, ORTHODONTICS (ID
also available for purchase. NORTH OF
AUSTIN (ID #T515): This established,
general dentistry practice and real estate
Opportunities Online at
is in an excellent location situated in
TDA.org and Printed in the a rapidly growing community north of
Austin. The practice is located in a free-
Texas Dental Journal
standing building, contains 4 fully equipped
operatories, digital X-ray units, and CBCT.
ADVERTISING BRIEF INFORMATION
This 100% fee-for-service practice boasts
DEADLINE a strong hygiene recall program, which
Copy text is due the 20th of the month, 2 months
produces a third of practice revenue and
prior to publication (ie, January issue has a due
date of November 20.) a fantastic online reputation. CORPUS
CHRISTI (ID #T437): This primarily FFS
MONTHLY RATES
practice is located in the coastal community
PRINT: First 30 words—$60 for ADA/TDA members
& $100 for non-members. $0.10 each additional of Corpus Christi. With solid hygiene
word. recall, a dedicated patient base, consistent
ONLINE: $40 per month (no word limit). Online ads

revenue, and solid cash flow, this legacy
are circulated on the 1st business day of each office possesses many of the positive
month, however an ad can be placed within 24
qualities of a prime acquisition target.
business hours for an additional fee of $60.
There are 3 fully equipped operatories with
SUBMISSION room to build out an additional plumbed
Ads must be submitted, and are only accepted,
4th operatory, computers throughout,
via www.tda.org/Member-Resources/TDA-
Classified-Ads-Terms. By official TDA resolution, ads digital radiography and digital pano.
may not quote specific incomes or revenues and DALLAS—SOUTH OF FORT WORTH (ID
must be stated in generic terms (ie “$315,000”
should be “low-to-mid-6 figures”). Journal editors
#T448): This general dentistry practice
reserve the right to edit and/or deny copy. is located in a smaller community just 35

miles south of Fort Worth. The turn-key (ID #H480): This productive orthodontic
office is located in an attractive, 4,500 sq practice occupies an attractive free-
ft, free-standing building and features 4 standing building situated on a high traffic
fully equipped treatment rooms, an ortho street in a desirable community in the
bay with 4 chairs, CBCT, digital sensors, heart of east Texas. The practice has a
and paperless charts. The practice serves loyal fee-for-service patient base and has
a large, FFS/PPO patient base, annual realized annual revenue of 7 figures with
collections of well over 7 figures over exceptional profitability over the past few
the past 3 years with solid net cash flow. years. The office features a 4-chair ortho
DALLAS SUBURB (ID #T512): This PPO/ bay, 2 exam rooms, and digital pan/ceph
FFS general dentistry practice is located in unit. The real estate is also available for
a highly sought after suburb of Dallas. This purchase. HOUSTON (ID #H481): This
turn-key office features 3 fully equipped established, general dentistry practice is
operatories with paperless charts, digital located in a highly desirable area in west
X-ray units, a digital pano, and a digital Houston. The practice serves a large FFS/
scanner. HOUSTON, PERIODONTAL (ID PPO patient base with over 2,000 active
#H476): This beautiful perio practice patients. The office features 4 operatories
is located in a growing suburb south of equipped with computers, digital X-ray
downtown Houston. There are 5 fully units, a digital pano, and room for
equipped operatories, digital radiography, expansion by way of equipping the 5th
computers throughout, and a 3D Cone operatory. The real estate is also available
Beam CT in the well-appointed 2,400 for purchase. HOUSTON (ID #H482):
square foot modern space. HOUSTON This general family practice is located in a
(ID #H472): This established, boutique suburb of Houston in a spacious facility that
practice is located in a highly desirable boasts 10 operatories, CBCT, and digital
area of central Houston. The practice radiography. The practice serves a FFS/PPO
provides general, implant, and cosmetic patient base and has historically realized
dentistry services to a 100% FFS patient revenue of mid-6 figures. HOUSTON (ID
base and has an excellent reputation in #H483): This 100% FFS, general dentistry
the local community. The beautiful facility practice has been in operation for over 35
features high-end finishes/décor, 3 fully years and is situated in a 2,200 sq ft, free
equipped operatories, digital radiography, standing building with 5 fully equipped
and a CBCT. HOUSTON, ORTHODONTICS operatories. Hygiene production is very

ADVERTISING BRIEFS
healthy and the practice has seen 1,700+ revenue with substantial upside potential
active patients in the last 24 months through expanding the procedures offered
with a steady new patient flow, primarily in-house. The turn-key office features 3
through word of mouth referrals. The fully equipped operatories, digital sensors,
real estate is also available to purchase. intra-oral cameras, and a digital pano.
HOUSTON (ID #H484): This attractive SAN ANTONIO (ID #T464): This well-
practice is located in a high visibility established set of practices is located in
retail center at a bustling intersection the same facility in an upscale area of
in northwest Houston. The 1,750 sq ft northwest San Antonio. Combined, the
leased space has a total of 5 plumbed practices have around 2,600 active patients
operatories, and are fully equipped with and collected over 7 figures annually over
a dental chair and cabinetry in the 4th, the past 3 years. The practice is located
and digital radiography and computers in a high-trafficked retail area, and is
throughout. This is a great alternative equipped with 5 operatories, digital X-ray
to starting a practice from scratch. SAN sensors, a digital pano, and a CEREC digital
ANTONIO (ID #T432): This established, scanner and milling unit. SAN ANTONIO
general dentistry practice and building (ID #T501): This established, premier
is located in a growing suburb along the general dentistry practice is located in
I-35 corridor north of San Antonio. The a highly sought-after area along Loop
practice serves a large PPO/FFS patient 1604 in north San Antonio. The practice
base and has a tremendous amount of serves a large PPO/FFS patient base and
untapped potential, as approximately is located in a spacious office condo with
40% of total production is derived from 6 fully equipped operatories, digital pano,
hygiene services and the seller is referring digital X-rays, and digital sensors. SAN
out most specialty procedures. The facility ANTONIO (ID #T506): This established,
features 3 fully equipped operatories FFS/PPO practice and commercial real
with space to add a 4th operatory. SAN estate is located in northwest San Antonio.
ANTONIO—WEST (ID #T454): This The 4,100 sq ft facility boasts 5 equipped
established, general dentistry practice operatories, a digital pano, computers
and real estate is located in a rural throughout, and an additional 5 plumbed
community approximately 75 miles west operatories available for expansion. SAN
of San Antonio. The practice serves a PPO/ ANTONIO (ID #T516): This established,
FFS patient base, sees 30+ new patients general dentistry practice and real estate
per month, and offers consistent annual is located in a desirable area in west

ADVERTISING BRIEFS
San Antonio. The practice treats a large Located in highly sought-after affluent
PPO/FFS patient base, sees 20+ new Austin area that is in very high demand
patients per month, and refers out nearly and closely proximate to downtown
all specialty procedures (orthodontics, between entertainment and hi-tech
oral surgery, implant placement, and corridors (in the “Heart of Austin”). In
endo). The modern office features 6 a single-story stand-alone building that
fully equipped operatories with intraoral draws from mature upscale neighborhood
cameras, digital X-ray sensors, nitrous, and nearby schools. Practice produces 7
and a digital pano. SOUTH TEXAS (ID figures, in 5 operatories, (3 dental and 2
#T460): This established, legacy practice hygiene) within 2,000 sq ft. Immaculate
and free-standing building is located in a equipment, all digital with pano. Majority of
charming south Texas town. The office is patients 41 and older with 98% collection
located in a 2-story, free-standing building ratio. NOTE: Practice recently acquired
and has a spacious layout that includes 6 additional patient base that should boost
fully equipped operatories (one additional production, new patients and collections.
plumbed for expansion, digital sensors,
a digital pano, CBCT, and computers
throughout. To request more information
on our listings, please register at www.
dentaltransitions.com or contact us at 512- McLerran & Associates is the largest
900-7989 or info@dentaltransitions.com. dental practice brokerage firm in Texas.
When it’s time to buy or sell a practice,
AUSTIN, VICTORIA, SAN ANTONIO, we’ve got you covered.
AND DFW AREA (DDR DENTAL P RAC T I C E S AL E S P RAC T I C E AP P RAISA LS
Listings). (See also HOUSTON for DS O T RAN S ACT I O N S ASSOCIATE PLACEMENT
other DDR Dental listings and visit www.

DDRDental.com for full details. AUSTIN:
Austin 512-900-7989
GENERAL/PROSTHODONTIC practice DFW 214-960-4451
provides comprehensive care but focuses Houston 281-362-1707
on TMJ, occlusal rehabilitation and San Antonio 210-737-0100
South Texas 361-221-1990
high-end cosmetic procedures. Must be
prosthodontist or like training to apply. Emai l : t ex as@ den t al t r an si t i o n s.co m
Owner prepared to remain and train in www.dentaltransitions.com
latest occlusal rehabilitation techniques.

ADVERTISING BRIEFS
Contact Jim Dunn at 800-930-8017 or 8017 or christopher@ddrdental.com and
christopher@ddrdental.com and reference reference “San Antonio or TX569”.
“Austin Cosmetic or TX#560”. VICTORIA
AREA: GENERAL practice provides a wide AUSTIN: Associate to buy, planning on
range of procedures for a small town near long transition. Prefer GP interested in
Victoria. Gross collections in the high-6 orthodontics. Fee-for-service practice,
figures. The practice has a broad mix of 43 years same location, long standing
patient ages. Most are middle- to high- staff, beautiful view. Email Info@
income households. Practice is 100% fee- AustinSkylineDental.com.
for-service. In a single story stand-alone
building. Only 2 other dental offices within AUSTIN: Pediatric dentist. Progressive
15 miles. 2,800 sq ft. Expanded in 2000. pediatric dental practice in Austin is looking
Located on a high visibility street. Does for an energetic pediatric dentist to join
have digital X-ray and pano. This practice our team. We offer a comprehensive
uses mainly word of mouth as its source of compensation package. New grads
new patients. 99% collection ratio. Contact welcome to apply. Please email CV to
Christopher Dunn at 800-930-8017 or joinourpractice2010@gmail.com.
christopher@ddrdental.com and reference
“Victoria Area or TX#567”. SAN ANTONIO: DALLAS: Office to share. Ready to cut back
GENERAL practice provides comprehensive to a couple of days or start a new practice?
general dentistry in a growing major Texas Share my beautiful, fully digital office,
city. The practice is located in a highly located in the Richardson Telecom/City Line
trafficked area near a major highway. This area. 5 ops, all computers (Eaglesoft) and
practice is 1,536 sq ft with the ability to electronic services (support, back up, and
expand into the office next door. It has 2 patient communication) in place. Office
operatories with 1 used for hygiene. The currently used 3.5 days/week but willing
operatories are plumbed for nitrous. There to cut back to 3; must see to appreciate.
is a good mix of patients ages, with the Contact jack@drjackbodie.com or 972-235-
largest percentage between 30 to 65. The 4767.
practice has been at its current location for
35 years. The practice is mostly fee-for- DENTON: General dental practice for
service, with some PPO insurance accepted. sale. Exciting opportunity north of the
The practice has a 98% collection ratio. DFW metroplex. Experience the charm of
Contact Christopher Dunn at 800-930- a small, close-knit community with easy

ADVERTISING BRIEFS
access to all that DFW offers within an instructions; assist the practice towards
hour drive. The current doctor is interested excellence in oral health care requirements.
in transition options that include a Candidates must have current Texas
straight buy out or affiliation. They would, Dental Board License, CPR, DEA, NPI, and
however, prefer a short transition period. malpractice insurance. New graduates are
The practice itself is an hour north of the welcome to apply. Contact Rosie Mireles
DFW metroplex and just minutes outside at rosiem@starcitydental.com or 915-591-
the great community of Denton. 5 fully 7117.
equipped operatories. Over 2,600 active
patients. Visit our website for collections FORT WORTH: Practice for sale in the fast
and EBITDA amounts. To learn more, email growing southwest area. Average gross;
Kaile Vierstra with Professional Transition 6 operatories; Excellent lease. Seller is
Strategies: kaile@professionaltransition. relocating. Need to move quickly on this
com or call: 719-694-8320. https:// one. DFW 214-503-9696. WATS 800-583-
professionaltransition.com/properties-list/ 7765.
denton-tx-area-general-dental-practice-for-
sale/
DIOX HANDHELD X-RAY UNIT
Voted #1 Handheld Unit in the USA
EL PASO: Well-established, dentist 3 Year Warranty • 100% FDA Approved
owned and operated practice, seeking an $3795
associate dentist for a part-time position
in El Paso. Associate dentist will work
along with the owner dentists in a team-
oriented environment that allows you to
focus on what you do best, dentistry. We
offer guaranteed base and percentage
of production with uncapped earning
potential. An ideal candidate is dependable
and adaptable, committed to patient care,
provide accurate exams and patient-
focused treatment planning; Deliver
patient-focused preventive, restorative, Call Dr Scott for free 2nd opinion
and surgical procedures; compassionately 1-800-508-4050
communicate treatment plans and www.DDSprices.com

ADVERTISING BRIEFS
HOUSTON AREA: Several acquisition focused on children (Medicaid). Very, very
opportunities in the greater Houston area. high profitability. 1,300 sq ft, 4 operatories
General, ortho, pedo practices available in single building. 95% collection ratio.
for sale. Visit lonestarpracticesales.com or Over 1,200 active patients. 20% Medicaid,
email houstondentist2019@gmail.com. 45% PPO, and 35% fee-for-service. 30%
of patients younger than 30. Office open 6
HOUSTON, COLLEGE STATION, AND days a week and accepts Medicaid. Contact
LUFKIN (DDR DENTAL Listings). (See Chrissy Dunn at 800-930-8017 or chrissy@
also AUSTIN for other DDR Dental listings ddrdental.com and reference “Sharpstown
and visit www.DDRDental.com for full General or TX#548”. HOUSTON: GENERAL
details. LUFKIN: GENERAL Practice on a (PEARLAND AREA) GENERAL Located in
high visibility outer loop highway near southeast Houston near Beltway 8. It is
mall, hospital and mature neighborhoods. in a freestanding building. Dentist has
Located within a beautiful single-story, ownership in the building and would like
free-standing building, built in 1996 and to sell the ownership in the building with
is ALSO available for purchase. Natural the practice. One office currently in use by
light from large windows within 2,300 sq seller. 60% of patients age 31 to 80 and
ft with 4 operatories (2 hygiene and 2 20% 80 and above. Four operatories in use,
dental). Includes a reception area, dentist plumbed for 5 operatories. Digital pano and
office, a sterilization area, lab area, and digital X-ray. Contact Christopher Dunn at
break room. All operatories fully equipped. 800-930-8017 or christopher@ddrdental.
Does not have a pano but does have com and reference “Pearland General or
digital X-ray. Production is 50% FFS and TX#538”. HOUSTON: PEDIATRIC (NORTH
50% PPO (no Medicaid), with collection HOUSTON). This practice is located in a
ratio above 95%. Providing general dental highly sought-after upscale neighborhood.
and cosmetic procedures, producing It is on a major thoroughfare with high
mid-6 figure gross collections. Contact visibility in a strip shopping center. The
Christopher Dunn at 800-930-8017 or practice has three operatories for hygiene
Christopher@DDRDental.com and reference and two for dentistry. Nitrous is plumbed
“Lufkin General or TX#540”. HOUSTON: for all operatories. The practice has digital
GENERAL (SHARPSTOWN). Well established X-rays and is fully computerized. The
general dentist with high-6 figure gross practice was completely renovated in 2018.
production. Comprehensive general The practice is only open three and a half
dentistry in the southwest Houston area days per week. Contact Christopher Dunn

ADVERTISING BRIEFS
at 800-930-8017 or christopher@ddrdental. their patients and their community. Our
com and reference “North Houston or practice is an office supported by Pacific
TX#562”. WEST HOUSTON: MOTIVATED Dental Services (PDS), which means you
SELLER—Medicaid practice with production won’t have to spend your career navigating
in mid-6 figures. Three operatories in 1,200 practice administration. Instead, you’ll
sq ft in a strip shopping center. Equipment focus on your patients and your well-
is within 10 years of age. Has a pano and being. Add on excellent benefits, including
digital X-ray. Great location. If interested malpractice insurance, medical, dental
contact chrissy@ddrdental.com. Reference and vision insurance, retirement plans and
“West Houston General or TX#559”. much more and you’ll feel well taken care
of throughout your career. The average
KATY: Now is the time to join Grand Lakes full-time PDS-supported associate dentist
Dental Group and Orthodontics. You will earns low-6 figures in their first year. The
have opportunities to learn new skills from average income for a PDS-supported owner
our team of experienced professionals. If dentist, whose practice has been open
you’re ready to take your career to the next at least 2 years, is mid-6 figures. As an
level and gain valuable experience, apply associate dentist, you will receive ongoing
today! You’ve invested the time to become training to keep you informed and utilizing
a great dentist, now let us help you take the latest technologies and dentistry
your career further with more opportunity, practices. If you are interested in a path to
excellent clinical leadership and one of the ownership, our proven model will provide
best practice models in modern dentistry. you with the training needed to become an
In working with our practice you will have owner of your own office. PDS is one of the
the autonomy to provide your patients fastest growing companies in the US which
the care they deserve. In addition, you’ll means we will need excellent dentists like
enjoy the opportunity to earn excellent you to continue to lead our growth in the
income and have great work-life balance future. Apply now or contact a recruiter
without the worries of running a practice. anytime. We’d love to chat, get to know
You became a dentist to provide excellent you and share more about us. Pacific
patient care and have a career that will Dental Services is an equal opportunity
serve you for a lifetime. With us, you employer and does not discriminate
will have a balanced lifestyle, fantastic against any employee or applicant for
income opportunities, and you’ll work for employment based on race, color, religion,
an office that cares about their people, national origin, age, gender, sex, ancestry,

ADVERTISING BRIEFS
citizenship status, mental or physical focus on your patients and your well-
disability, genetic information, sexual being. Add on excellent benefits, including
orientation, veteran status, or military malpractice insurance, medical, dental
status. Apply here:http://www.Click2Apply. and vision insurance, retirement plans and
net/gwy6pkn22knbzwzx PI106822492. much more and you’ll feel well taken care
of throughout your career. The average
KATY: Now is the time to join Highlands full-time PDS-supported associate dentist
Dental Group. You will have opportunities earns low-6 figures in their first year. The
to learn new skills from our team of average income for a PDS-supported owner
experienced professionals. If you’re ready dentist, whose practice has been open
to take your career to the next level and at least 2 years, is mid-6 figures. As an
gain valuable experience, apply today! associate dentist, you will receive ongoing
You’ve invested the time to become a training to keep you informed and utilizing
great dentist, now let us help you take the latest technologies and dentistry
your career further with more opportunity, practices. If you are interested in a path to
excellent clinical leadership and one of the ownership, our proven model will provide
best practice models in modern dentistry. you with the training needed to become an
In working with our practice you will have owner of your own office. PDS is one of the
the autonomy to provide your patients fastest growing companies in the US which
the care they deserve. In addition, you’ll means we will need excellent dentists like
enjoy the opportunity to earn excellent you to continue to lead our growth in the
income and have great work-life balance future. Apply now or contact a recruiter
without the worries of running a practice. anytime. We’d love to chat, get to know
You became a dentist to provide excellent you and share more about us. Pacific
patient care and have a career that will Dental Services is an equal opportunity
serve you for a lifetime. With us, you employer and does not discriminate
will have a balanced lifestyle, fantastic against any employee or applicant for
income opportunities, and you’ll work for employment based on race, color, religion,
an office that cares about their people, national origin, age, gender, sex, ancestry,
their patients and their community. Our citizenship status, mental or physical
practice is an office supported by Pacific disability, genetic information, sexual
Dental Services (PDS), which means you orientation, veteran status, or military
won’t have to spend your career navigating status. Apply here:http://www.Click2Apply.
practice administration. Instead, you’ll net/ygmfkqjp6prswyc3.

ADVERTISING BRIEFS
NORTH HOUSTON: General dental SAN ANGELO: West central Texas
practice. New to the market is an exciting orthodontic specialty practice grosses
general dental practice for sale north low-7+ figures annually with 60%
of Houston. The practice is located in overhead;100% fee for services. Well
the highly desirable community of The established in community with strong
Woodlands, within an hour of downtown doctor and patient referrals. 200+ starts
Houston. The current doctor is interested annually. Practice was recently appraised.
in affiliation with a group, to continue the Doctor will stay for smooth transition.
upward trajectory of the practice. Set in Inquire to hilltoportho@gmail.com.
an expansive retail center, the practice is
prominent and easy for patients to visit. SAN ANTONIO: General dental practice.
5 operatories and expansion opportunity San Antonio general practice with doctor
for 2 additional plumbed ops. 35 new interested in partnering with a group and
patients per month. To learn more, email continuing to grow the practice. Located
Kaile Vierstra with Professional Transition in an office complex within 15 minutes
Strategies: kaile@professionaltransition. of downtown San Antonio, the practice is
com or call: 719-694-8320. https:// in a prime location off Loop 410. 5 fully
professionaltransition.com/properties-list/ equipped operatories. Nearly 3,000 active
north-houston-tx-general-dental-practice- patients and 20 new patients per month.
for-sale/ Visit the website to review collections
and EBITDA. To learn more, email Kaile
NORTH TEXAS. Come establish your Vierstra with Professional Transition
practice in a growing, robust, friendly town Strategies: kaile@professionaltransition.
just 1 hour north of Dallas. Office is located com or call: 719-694-8320. https://
on busy street across from park and professionaltransition.com/properties-list/
football stadium. 4 operatories (1 unused), san-antonio-tx-general-dental-practice-for-
panoramic, laboratory, private office, sale/
reception area. Outdoor shipping container
for storage. General practice includes oral WATSON BROWN PRACTICES FOR
surgery, endodontics, crown and bridge, SALE: Practices for sale in Texas and
and removable prosthetics. Call 903-647- surrounding states, For more information
3177. and current listings please visit our website
at www.adstexas.com or call us at 469-
222-3200 to speak with Frank or Jeremy.

ADVERTISERS
YOUR PATIENTS
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LAW OFFICES OF MARK J. HANNA
EXPERIENCED LEGAL REPRESENTATION FOR TEXAS DENTISTS
• Representation Before the Texas State Board of
Dental Examiners
• Medicaid Audits and Administrative Hearings
• Employment Issues—Texas Workforce Commission
Hearings
• Administrative (SOAH) Hearings and Counsel
• Professional Recovery Network (PRN) Compliance
• Employment/Associateship Contract Reviews
• Practice Acquisition and Sales
Mark J. Hanna JD • Business Organizations, PAs, PCs, and PLLCs
Former General Counsel,
Texas Dental Association • Civil Litigation
2414 Exposition Blvd., Suite A1 • Austin, Texas 78703 • Phone: 512-477-6200 • Fax: 512-477-1188 • Email: mhanna@markjhanna.com
Not Board Certified by the Texas Board of Legal Specialization
Those in the dental community Memorial and

who have recently passed Honorarium Donors to the
Lyndel C Stripling
Texas Dental Association
Smiles Foundation
MEMORIAL/HONORARIUM
Dallas
May 25, 1948–August 25, 2021
Dr Franklin Eggleston
Good Fellow: 2001 • Life: 2013 submitted by Dr Larry Spradley
IN MEMORIAM
William Clive Pierce II Dr Michael Vaclav

Georgetown submitted by Dr Larry Spradley
September 21, 1934–August 13, 2021 Dr Michael Vaclav
Life: 2000 • Fifty Year: 2010 submitted by Dr Jerry & Betty Long
Your memorial contribution
Larry B Schrader supports:
Austin • Educating the public and profession
December 22, 1944–September 8, 2021 about oral health
• Improving access to dental care for
Good Fellow: 1998 • Life: 2009
the people of Texas
Please make your
Samuel Boyd Holder check payable to:
Linden TDA Smiles
April 15, 1938–September 4, 2021 Foundation,
Good Fellow: 1991 • Life: 2003 • Fifty Year: 2016 1946 S IH 35
Austin, TX 78704

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616 Texas Dental Journal | Vol 138 | No. 9 | (214) 616-3222

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September 2021

Meeting the Challenge of

You’ll always have attentive customer

Enroll or learn more at: For more information, call:

574 Texas Dental Journal | Vol 138 | No. 9

To get started on your practice valuation or schedule a complimentary consultation,

■ PRACTICE SALES ■ VALUATIONS

21PT4334_plans options worth_7x9.5.indd 3 1/26/21 5:26 PM

www.tda.org | September 2021 575

Hicks, Jeffery L., DDS, Dip. ABSCD

Department of Comprehensive Dentistry,

DEPARTMENTS 600 | Value for Your

596 | Oral and Maxillofacial 614 | Index to Advertisers

576 Texas Dental Journal | Vol 138 | No. 9

Lee Ann Johnson, CAE, Director of Member Services PAST PRESIDENT

Editorial Advisory Board VICE PRESIDENT, NORTHEAST

Robert C. White, DDS SENIOR DIRECTOR, SOUTHWEST

The Texas Dental Journal is a peer-reviewed publication. DIRECTOR, NORTHEAST

www.tda.org | September 2021 577

2021 DATES FACULTY & COURSE

Oct 8-9 Dr. Giancarlo Romero & Dr. Aldo Sordelli

Oct 22-23 Dr. Virgilio Gutierrez & Dr. Giancarlo Romero

Oct 29-30 Dr. Giancarlo Romero & Dr. Aldo Sordelli

Nov 5-6 Dr. Rolando Nuñez & Dr. Giancarlo Romero

Nov 18 Dr. David Alfi

Dec 3 iHDS Symposium

Dec 11 Dr. Clark Whitmire

All events subject to change

578 Texas Dental Journal | Vol 138 | No. 9

Free Dental Practice Valuation

Go to our website or call to request information on other available practice opportunities!

800.232.3826 Practice Sales & Purchases Over $3.2 Billion www.AFTCO.net

Specializing in: • Complimentary biopsy kits

• Conventional biopsy testing • Delivery via FedEx, local courier or USPS

• Cytopathology • Diagnosis within two business days of

www.tda.org | September 2021 581

Clinical History What is your clinical/

582 Texas Dental Journal | Vol 138 | No. 9

www.tda.org | September 2021 583

PROTECT YOUR PATIENT FROM PAINFUL TISSUE PLUGS

CONTACT YOUR LOCAL DENTAL SUPPLY FOR THE E-VAC TIP

584 Texas Dental Journal | Vol 138 | No. 9

Two ways to Register for our Continuing Education Programs:

New TSBDE requirement of Pain Management

SEDATION & EMERGENCY PROGRAMS:

www.tda.org | September 2021 585

University of Texas Health San Antonio School

of Dentistry (UTHSA SOD) is undertaking a

5-year Primary Care Dentistry for South Texas

project (PCDST) to expand and modify its

primary care dentistry residency programs.

The Primary Care Dentistry for South

Department of Comprehensive Dentistry, University of Texas

Project funded by:

586 Texas Dental Journal | Vol 138 | No. 9

588 Texas Dental Journal | Vol 138 | No. 9

www.tda.org | September 2021 589

Table 1. Project Objectives

2 Train oral care providers to manage oral health problems, evaluate

3 Inform, recruit and enroll increased numbers of trainees from

4 Train residents in rural federally qualified health center dental clinics in

8 Use telehealth to connect, inform and advise providers in rural areas.

9 Increase the number of postdoctoral trained dentists who choose to

590 Texas Dental Journal | Vol 138 | No. 9