entistry in South Dakota - South Dakota Dental Association

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entistry in South Dakota - South Dakota Dental Association Powered By Docstoc
					D                  entistry
                    in South Dakota
                                                                                                                   Volume 43, No 3

Published by the South Dakota Dental Association
Published by the South Dakota Dental Association                                                                           Fall 2008

What Every Dentist Should Know About Initiated Measure 10
    t would take most of the space           Additionally if anyone who does
I   available in this newsletter to
fully describe the potential impact of
                                             business with a governmental entity
                                             or school district - no matter what
                                                                                       What else does Initiated Measure
                                                                                       #10 do?

Initiated Measure 10 (IM 10). How-           amount of money - would be con-           It stops locally elected officials and
ever, this article will primarily ex-        sidered to be involved in a “no bid       local employees (people who serve
plain the impact on dentists as pri-         government contract.” Anyone in-          or work for your city, county, and
vate business people in South Da-            volved in one of these contracts          schools) from joining together
kota and will briefly describe other         must sign a contract restricting their    through any association that lob-
consequences associated with IM              ability to participate in the political   bies. This means locally elected of-
10.                                          process by stating they will not          ficials and employees will need to
                                             make, induce, or solicit any contri-      lobby the Legislature directly on
How does Initiated Measure 10                bution or independent expenditure         their own rather than joining to-
affect dentists?                             for the benefit of any candidate for      gether through an association with
                                             any elected office within the state,      one common voice to represent
If a person or business has a con-           or to any person (or business, asso-      them.
tract with any governmental entity           ciation, etc.) who intends to make a
for $500 or more, that person will           contribution.                             The measure also states that no
be prohibited from making contribu-                                                    public funds can go to a “legislative
tions to political candidates of the         Who’s going to enforce Initiated          body.” The term “legislative body”
government entity responsible for            Measure 10?                               does not just mean the State Legis-
awarding the contract. This would                                                      lature – it also takes in every city
preclude all dentists who are Medi-          IM 10 lets people report you to the       council, county commission, school
caid providers from contributing to          Attorney General, or directly to cir-     board, township board, etc. And
candidates for the Legislature and           cuit court, if they think you have vio-   lobbying is
any state office. Beyond that, candi-        lated any of the above “contract”                        (continued on page 2)
dates for elected office in South Da-        provisions. If the Attorney General
kota will be prohibited from receiv-         fails to react within 15 days, the
ing contributions from anyone re-            party that reported you can take                           INSIDE
lated to that dentist including their        you directly to circuit court!
spouse, child, spouse’s child, son-                                                     New Members ...........................3
                                                                                        10th District Report ......... 4 & 11
in-law, daughter-in-law, parent, sib-        IM10 would require all of those peo-       Dakota Smiles Program ...........6
ling, grandparent, grandchild, step-         ple and businesses that do $500 or         Cancer Development &
brother, stepsister, stepparent, par-        more in business with any govern-              Response ............................9
ent-in-law, brother-in-law, sister-in-       mental entity to file a report with the    Lake Area Tech .......................11
law, aunt, uncle, niece, nephew,             State. This would then be amassed          State Board Reminder ............11
guardian, or domestic partner.               into a searchable database avail-          Annual Session Update .........12
                                             able to the pubic through a website.       Board of Trustees Actions .....12
                                                                                        Bits and Pieces .......................14
                                                                                        Classified Ads .........................14
                                                                                        Privacy Rule Answers ... 17 & 18
                                                                                        South Dakota Dental Foundation
                                                                                        Western Dakota Tech .............21
                                                                                        Univ of MN Grand Rounds .....21
                                                                                        CE Calendar ............................23
Volume 43, No 3                    Published by the South Dakota Dental Association                                  Page 2

 From the President . . .

 T     his fall the Board of Trustees and the 10th District of the ADA had their meet-
       ings – all in the span of four days. The issues of mid-level provider, access to
 care, and the best interest of our patients are the major topics. It is amazing how the
 ADA and the SDDA mirror each other. National trends will affect us and yet like our
 government, some decisions will be left to us to determine what is best for our state.

 As members of the SDDA, you should be proud. We currently have an excellent
 board of trustees. They are willing to engage in earnest education, lively discussion,
 and serious contemplation about what is best for dentistry and the oral health of our
 state. By focusing on common goals, our discussions are leading to productive deci-

 The decisions made in the near future by the ADA, the SDDA, and the government              Dr. Amber A. Determan
 will change the shape of dentistry for years to come. I will be attending the Minnesota
 Board of Trustees and House of Delegates this coming week to learn more about the progress on mid-level provid-
 ers, and other issues there. I encourage each of you to attend your district meetings this fall. Have a great fall!

 Amber Determan DDS
 SDDA President

                  Mid Levels Expected to Become a Reality in Minnesota

T     he Minnesota Dental Association was successful at
      fending off an attempt to create an Advanced Den-
tal Hygiene Practitioner in their state, but near the end
                                                                and proposed legislation. By all indications it appears
                                                                that Minnesota will act on legislation to create a mid
                                                                level dental provider that they have dubbed an “Oral
of Minnesota’s Legislative Session they were forced to          Health Practitioner”. The details regarding education
compromise and agreed to the creation of a workgroup            and training, supervision and scope of practice have not
whose purpose was to define to concept of an “Oral              yet been resolved. The action being taken in Minnesota
Health Practitioner” for Minnesota. The result of the           is one of the most talked about topics in dentistry across
workgroup’s effort is expected to be drafted into legisla-      the country and one that the SDDA will be watching
tion for consideration in 2009. The workgroup is now            closely.
meeting on a regular basis to develop recommendations

(continued from page 1)                  sion. Under Initiated Measure 10,            for Open and Clean Government,
defined as attempting to influence       this would mean they could not re-           but because the majority of the con-
activity by communication with any       ceive any public funds.                      tributions are coming from “shell”
member or employee of those                                                           organizations, we don’t know much
councils and commissions. So a           Who are the proponents of Initi-             about the real financial contributors.
local volunteer fire department ap-      ated Measure #10?                            What we do know is that individuals
pearing before a city or county com-                                                  living outside of South Dakota are
mission to ask for funding would, by     We don’t know for sure. The meas-            funneling thousands of dollars
the act of communicating their           ure was put on the ballot by a ballot        through shell organizations to sup-
need, have lobbied that commis-          committee called South Dakotans              port this measure.

                                       University of Nebraska Alumni

Y   ou are invited to a reception for South Dakota students currently in dental school at the University of Nebraska.
    The reception will be held on Friday, October 3, 2008, from 4:30 to 6:30 pm at the Embassy Suites Hotel in
Lincoln. The event is hosted by the South Dakota Dental Foundation and the Delta Dental Philanthropic Fund.
                                                             Hope to see you there.
                                                             Steve Buechler, DDS
Volume 43, No 3                      Published by the South Dakota Dental Association                             Page 3

                                           New SDDA Members
D    r. Jay Benusis, a 2002 gradu-
     ate of Creighton College of
Dentistry in Omaha, joins Dr. Ken
                                           Dr. Tracy Grossman, a native of
                                           Ortonville, Minnesota, attended St
                                           John’s University and the University
                                                                                   have two children, Levi and Libby.
                                                                                   She enjoys golf and camping.

Benusis, in his practice in Rapid          of Minnesota College of Dentistry.      Dr. Reid Stone graduated from the
City. Following dental school, Dr.         He is employed by Horizon Health        University of Colorado College of
Benusis practiced in Kansas. Dr.           Care, Inc. and practices in Howard,     Dentistry in 2008. Dr. Stone and his
Benusis is married to Alicia and he        SD.                                     wife, Linsey, moved to Lead where
enjoys rock climbing, mountain bik-                                                he has joined Dr. Todd Jones in his
ing and computer music production.         Dr. Kate Haave attended the Uni-        practice. He enjoys cycling, golf and
                                           versity of Nebraska Medical Center      other outdoor activities.
Dr. Angela Curry, a native of Elk          College of Dentistry . Dr. Haave
Point-Jefferson, received her dental       and her husband Adam have relo-         Dr. Eric Unkenholz, a native of Pi-
degree May 2008 from the Univer-           cated to Rapid City where Dr.           erre, graduated from the University
sity of Nebraska Medical Center            Haave practices with Dr. Mary           of Minnesota College of Dentistry.
College of Dentistry in Lincoln. She       Roth.                                   He and his wife, Tasha, have relo-
joins Dr. Ed Kusek in his Sioux                                                    cated to Rapid City with their three
Falls practice. Dr. Curry enjoys trav-     Dr. Elycia Harms graduated in           children, Jack, Elise and Collin. He
eling, recreational softball and bas-      2004 from the University of Ne-         has associated with Dr. Greg Han-
ketball, golf, cycling, hiking and fish-   braska Medical Center College of        son.
ing.                                       Dentistry. She then practiced in Ne-
                                           braska till moving back to Yankton,     Dr. Scott Wenande attended the
Dr. Jesse Fast graduated from the          with her husband Marty, to associ-      University of Minnesota College of
University of Nebraska Medical             ate with Dr. Bryan Schoenfelder.        Dentistry. After specializing in or-
Center College of Dentistry Center         She enjoys golf, walking, swimmng       thodontics, he has chosen to join
in May 2008. He is originally from         and basketball.                         Dr. Ross Crist of Sioux Falls. Dr.
Iroquois and has returned to join Dr.                                              Wenande enjoys golfing, reading,
Bruce Wintle’s practice in Huron.          Dr. Thomas Kaiser graduated from        boating and travel.
He likes basketball, golf, hunting         Creighton College of Dentistry in
and spending time with his wife,           2008 the joined the practice of Drs.    Dr. Kendra E. Zuercher, a native
Kara, and his family.                      Jason Grebner, Daniel Harvey and        of Pierre, has joined the practice of
                                           Robert Sanders of Aberdeen. He          Dr. Nichole Poole in Sioux Falls.
Dr. Michael J. Frankman gradu-             and his wife, Rebecca, have two         She is a 2008 graduate of the Uni-
ated from the University of Michigan       children, Grace and Lincoln. He en-     versity of Nebraska Medical Center
School of Dentistry in 2005. He            joys watching the Packers, hunting      College of Dentistry. Her hobbies
practiced dentistry in Arizona before      and farming/ranching.                   are reading and knitting.
returning to his hometown of Sioux
Falls where he will be working as a        Dr. Jonathan Kuipers is a recent
                                           graduate of the University of Minne-
                                                                                    Soda Pop Brochures
faculty member for the University of

South Dakota School of Health Sci-         sota Dental School. Originally from
                                           Rochester, MN, he earned his                  he South
ences Dental Hygiene clinic in                                                           Dakota
Sioux Falls.                               bachelor’s degree from St. Olaf Col-
                                           lege, Northfield, MN. He has asso-      Dental Asso-
Dr. Joshua Friedman joined Ray             ciated with Dr. Mark Bierschbach of     ciation has
Dental Group in Rapid City follow-         Milbank, SD.                            just received a
ing graduation from the University                                                 new supply of “Sip
of Michigan School of Dentistry in         Dr. Jonathan Reth has purchased         All Day - Get Decay”
2007. Fishing, hunting and travel          the practice of Dr. Jeff Wiswall in     brochures to help dentists
are his hobbies.                           Spearfish. He attended Loma Linda       educate adults and kids about the
                                           University where he obtained his        dental health consequences of sip-
Dr. Rick Fuchs attended the Uni-           DDS in 2008. He and his wife Diana      ping pop all day. Our goal is to get
versity of Nebraska Medical Center         have two children, Hayli and Fre-       the word out through every dental
College of Dentistry where he pur-         derick.                                 office and school in the state.
sued his pre-dental degree. He re-
                                           Dr. Amy Scepaniak graduated             We’re counting on you to help put a
ceived his DDS degree in 2006
                                           from the University of Nebraska         stop to rising cavity counts. Order
then attended the University of Min-
                                           Medical Center College of Dentistry     your brochures today by emailing
nesota College of Dentistry where
                                           in 2008 and is associating with Drs. or by
he specialized in orthodontics. Dr.
                                           James Engler, Donn Cutler, Tho-         downloading the order form at www.
Fuchs has joined Dr. Michael
                                           mas Hodgsen, Paul Leon and Kris- On the website, the
Fuchs’ practice in Huron and their
                                           tin Teigen in Aberdeen. Dr. Sce-        form is located under Oral Health
satellite practice in Mitchell. He
                                           paniak and her husband Wyatt            Information.
likes to hunt, fish and play hockey.
Volume 43, No 3                    Published by the South Dakota Dental Association                                    Page 4

ADA 10th District Report
By: Dr. Kathryn Kell

T     he ADA House of Delegates
      meets Oct. 17 through the 21st
in San Antonio. The number of re-
                                         the CDHC program and adopted
                                         resolutions approving next steps for
                                         program implementation and
ports and resolutions is large and       evaluation. The Board reviewed
many issues will be debated in cau-      current funding status as well as
cuses and on the floor of the            anticipated additional financial im-
House. Resolutions deal with licen-      plications for the ongoing opera-
sure, education, universal cover-        tions and evaluation of the pilot
age, mid-level providers, accredita-     sites and has made a recommenda-
tion standards, association reserve      tion that the ADA commit to long-
funds, the budget, dues, member-         term financial support of the pro-
ship, ethics, oral health, and public    gram.
health concerns. In preparation for                                                                Dr. Kathryn Kell
                                                                                                    Dr. Kathryn Kell
this the Board has met several           Dr. Brandjord also updated the
times this summer and fall to review     Board on the progress in develop-            Delegates has proposed several
and make recommendations on              ing the Oral Preventive Assistant            resolutions, using both electronic
these and other issues. The Tenth        (OPA) curriculum. The Board re-              and paper means to distribute
District was well represented with       viewed the information on the com-           House materials beginning in the
reports from both Ed Vigna the           pleted OPA curriculum and affirmed           2010 meeting and changing the
Trustee-Elect for the Tenth District     its support for the OPA concept.             timetable for Board meetings to fa-
and Bob Brandjord, ADA Past-             The Board believes that the OPA              cilitate the ready availability of
President and Past Tenth District        materials are ready for dissemina-           documents. The Board of Trustees
Trustee.                                 tion and approved the following              appreciates the work of the Com-
                                         resolution: Resolved, that appropri-         mittee in developing a proposal for
The Board participated in an exten-      ate staff develop the operational            managing the timely distribution of
sive discussion about how the den-       mechanisms for making the OPA                materials to delegates.
tal community and stakeholders can       curriculum materials available to
best prepare future dentists to ad-      state dental associations and edu-           This substitute resolution, approved
dress the challenges and opportuni-      cational institutions and provide a          by the Board and recommended for
ties of the 21st century dentistry.      report to the Board in September             House approval, calls for distribu-
Panelists included Dr. Charles N.        2009 on the dissemination and utili-         tion of House of Delegates materi-
Bertolami, dean, NYU College of          zation of the OPA curriculum.                als in an electronic format no later
Dentistry and president of American                                                   than 2012, with the Board responsi-
Dental Education Association, Dr.        ADA staff updated the Board on re-           ble for developing a timeline for the
Edward Vigna, Nebraska, chair of         marks made at a recent Pay-for-              transition, identifying all appropriate
the workgroup to study the educa-        Performance Conference concern-              details and issues.
tional experience, and Dr. Steve         ing the future structure of our health
Geiermann, ADA senior manager,           care system according to some in-            In recent ADA annual sessions,
Council on Access, Prevention and        surance companies and health                 there has been great concern ex-
Interprofessional Relations. The         plans. It is believed that this “grand       pressed about the erosion of ethics
discussion highlighted some inter-       plan” for our system will reassign           in the dental education community.
esting trends in dental education.       responsibility for the various levels        In July 2007, the Board of Trustees
Preliminary results on an opinion        of care such that individuals will be        adopted a resolution calling on the
survey on extending or expanding         responsible for their own wellness           Council on Dental Education and
the dental education model were          maintenance, “mid-level providers”           Licensure and the Council on Eth-
presented. Potential challenges and      will be responsible for primary care,        ics, Bylaws and Judicial Affairs to
opportunities of alternative models      doctors handle second and tertiary           develop an action plan. The two
were examined.                           care and hospitals will provide in-          groups formed a subcommittee and
                                         tensive care. The dilemma for den-           dove into a very ambitious action
The Board heard a presentation by        tistry is that it does not easily fit into   plan that included 17 goals. A num-
Dr. Robert Brandjord, ADA past-          this model, since most dentistry is          ber of these recommendations re-
president and chair of the ADA           provided by a single dentist and at          volve around engaging other
CDHC Task Force on the program           a single site. Many of our states will       groups – ADEA, ASDA, dental
at its August 2008 meeting. The          deal with the concept of a “Dental           schools and the American College
Board found the presentation to be       Home” and what this will mean for            of Dentists - to partner or develop
very helpful in explaining the CDHC      dentistry and the future of oral             complimentary projects within their
concept and has directed that the        health care.                                 organizations. There’s also an ex-
presentation be made available to        The Committee to Study the Intro-            panded commitment to CE courses
all members of the House of Dele-        duction of Business in the House of          on ethics (continued on page 11)
gates. The Board strongly supports
Volume 43, No 3   Published by the South Dakota Dental Association   Page 5
Volume 43, No 3                     Published by the South Dakota Dental Association                                  Page 6

                                           Dakota Smiles Program
                                                    By Carrie Mikkonen

B    y now, most of you should have heard that there’s a second mobile dental truck roaming the highways and by-
     ways of South Dakota. While similar in size, mission and operations, there are a couple of things that are differ-
ent about this truck. First, the Care Mobile is built with a truck base; the Smile Mobile is actually a dental office inside
the body of an RV. The Smile Mobile also has a center pop-out which adds a bit more room to the in-take area.

The most exciting “new” element to our operation is that we will be using a handheld x-ray system. We believe using
handheld equipment will significantly increase our productivity by allowing more flexibility to where the x-rays can be
taken. The easy portability of the unit will allow us to x-ray both on the truck and, if needed, in a building with our port-
able equipment. We have purchased the Nomad Pro system by Aribex. The entire unit weighs just over five pounds.

While roughly 40 other states allow use of handheld x-ray equipment, South Dakota had not yet approved its use
when we first began to explore this product. Because we were convinced that this equipment was the way to go, we
pursued a rules change from the Department of Health that would allow the use of handheld equipment in South Da-
kota. As of this writing, we expect those new rules to be effective on September 15, 2008.

We continue to welcome dental volunteers for both units, so if you’re interested in experiencing this exciting new
technology firsthand, contact us for dates and locations.

    Pictured above is the second mobile unit in Delta’s Mobile Dental Program. It’s been dubbed the SmileMobile.
Volume 43, No 3   Published by the South Dakota Dental Association   Page 7
Volume 43, No 3   Published by the South Dakota Dental Association   Page 8
Volume 43, No 3                      Published by the South Dakota Dental Association                                Page 9

   Identical but different: Mechanism of Cancer Development and Response
               to treatment for Human Papilloma Virus related and
            non-related Squamous Cell Cancer of the Head and Neck
                                              By John H. Lee MD-FACS
               Specializing in Treatment of Head and Neck Cancer Advanced Sinus/Skull Base diseases

D     ue to the dental exam and dental care during and
      after therapy, dentists play a key role in the diagno-
sis and oral management of squamous cell carcinoma of
                                                                 combinations of surgery, chemotherapy and radiation.
                                                                 Due to the complexity of treatment, HNSC’C’s are best
                                                                 completed at cancer centers with multiple disciplinary
the head and neck (HNSCC) which remains the ninth                oncology groups which include the following specialist:
leading cause of cancer in the world. Despite advances           surgical oncologist, reconstructive surgeon, medical on-
in surgical resection and reconstruction techniques, sur-        cology, radiation oncology, PET imagining, Head and
vival has improved little in the last 30 years. One of the       neck radiologist, Dentistry/OMFS, speech pathologist,
major reasons for this lack of advances is a relative poor       nutritionist. These multiple disciplinary teams help in as-
understanding of cellular changes that lead to the devel-        sessment, treatment and post-operative support needed
opment of cancer. During the past 5 years, molecular             for these patients. Due to its prognostic value (HPV+
medicine has allowed us to discover that the human               cancers have a 30-40% improvement in survival), it is
papilloma virus (HPV) plays a key role in cancer devel-          currently indicated to HPV type all HNSCC. Current clini-
opment for about 25% of all HNSCC’s. While HPV+                  cal trials, including trials that are being undertaken by
cancers remain histologically identical to their HPV-            Sanford ENT-Head and Neck surgery multiple discipli-
counterparts, the response to treatment and biology is           nary team, will be developed to selectively treat this
very different. The following article will briefly review this   HNSCC cancer sub-type. This approach that uses a mo-
dichotomy of cancer development from an epidemiologi-            lecular test to determine treatment will be one of the first
cal, biological and treatment perspective.                       examples of how molecular biology understanding is
From and epidemiologic perspective, alcohol and to-              changing our treatment approaches for patients and offer
bacco use remain prominent risk factors for the develop-         us novel ways to decrease morbidity and increase sur-
ment of HNSCC, however, persistent HPV infection is              vival for HNSCC patients.
almost as important. Patients who develop HPV+ can-
cers tend to be younger and have lower propensity to             For more information, please contact Dr. John Lee at
use alcohol or tobacco. Several studies have shown that          Sanford Clinic Ear, Nose & Throat by calling (605)328-
risks for HPV+ cancers are related to the number of sex-         8200.
ual partners and certain sexual practices. Unlike tobacco
related head and neck cancers, HPV+ cancer cases
have increased in the last 15 years. This surprising trend
may be altered in the next several years with the devel-
opment of the HPV vaccine, but education regarding
these risks will need to be considered to also decrease
this trend.
Much has been understood regarding the biology of HPV
related cancer. The virus produces proteins which de-
grades a cellular protein(p53) important for normal cell
death. It also produces a second protein that degrades a
cellular protein (pRb) important in stopping a cell from
dividing. Due to the viral induced cellular changes the
HPV+ cancer cell does not need to undergo as many
mutations. These same proteins that induce the cancer
also likely make the cancer treatable. Work from our lab
at the Sanford Cancer Research Center has shown that
the immune system can recognize the cancer cells dur-
ing treatment and helps explain why HPV+ cancers are
more curable (compare to HPV- counter parts) despite
presenting with advance stage disease. We are currently
implementing clinical trial to help improve therapy
through immunotherapy. Such approaches may improve
therapy for these patients.

Changes in treatment based on HPV status will be rap-
idly evolving over the next 5 years. Currently, both tumor
types are treated with the same multi-modal treatment
Volume 43, No 3   Published by the South Dakota Dental Association   Page 10
Volume 43, No 3                    Published by the South Dakota Dental Association                             Page 11

  Lake Area Technical Institute Dental Assisting News                              State Board Reminder

                      By Rhonda Bradberry, CDA, B.S.
                                                                                        he SD Board of Dentistry
                          DA Program Coordinator
                                                                                        would like to remind all den-

W      e just received exciting          tion of the professional community       tists or office managers to ensure
       news!!! Lake Area’s Dental        to maintain an ADA accredited pro-       that your employee’s have submit-
Assisting program received notifi-       gram.                                    ted to you a new 2008-2009 certifi-
cation that as a result of the year-                                              cate to display.
long self-study and site visit by the    The program graduated 37 students
Commission on Dental Accredita-          in July; most of these graduates are     A license can be verified from our
tion of the ADA this time last year,     working as dental assistants in          web site. You can search by last
the program has been awarded             South Dakota or furthering their         name or license number or if you
“approval without reporting require-     dental educations. The 2008-2009         should need assistance please call
ments” and will retain this status       school year is underway with forty       our office.
until 2014. This summer the pro-         two new students. The class
gram was also awarded the 2008           elected officers to the student chap-    It is important when you hire a new
State Director’s Award for Exem-         ter of the ADAA and are already          employee make sure they have a
plary Program in Health Sciences.        busy with numerous activities.           current SD license. The employee
The award was presented by The                                                    should present you with a current
South Dakota Department of Edu-          We are busy planning many con-           license before seeing patients.
cation, Office of Career and Techni-     tinuing education opportunities for      (36-6A-51)
cal Education. I wish to commend         the entire dental office staff. Please
my staff and everyone in the dental      check elsewhere in this newsletter       Check the Announcements on our
community that made contributions        for details. We will update the cal-     web site www.sdboardofdentistry.
to assist the program in achieving       endar as new courses become              com for updates, frequently asked
these prestigious honors. It takes a     available.                               questions, and new courses on the
huge amount of work and coopera-                                                  CE approved calendar.

(continued from page 4)                  can find on The Board un-       operating expenses. Liquid re-
                                         derstands that by urging CODA to         serves are defined as the total un-
own and a strengthening of ethical       accept and implement these recom-        committed balance of the Reserve
codes across the board. It ex-           mendations, it is asking the Com-        Division Investment Account. Both
pressed profound concern over the        mission to commit to a tremendous        a recently completed benchmarking
reported decline in the public’s es-     volume of work. In an attempt to         study and published ASAE informa-
teem of and trust in the dental pro-     underscore its strong belief in both     tion seem to support raising the tar-
fession. They believe it is important    the intent and recommendations of        get to 50%. The Board recom-
that the same expectations of pro-       the task force report, the Board         mends that the House of Delegates
fessionalism and ethical behavior be     wishes to demonstrate to CODA the        formally adopt the long-term finan-
required in dental practices and or-     resolve of the ADA to assist in the      cial strategy of dues stabilization
ganizations as it is in dental schools   extensive undertaking.                   and the target of 50% reserves.
among students and faculty.
                                         At the 2007 ADA House of Dele-           These are just a few of the issues
Following lengthy discussion at our      gates, Resolution 59 was referred        before the House of Delegates.
April 2007 meeting, the Board of         to the Board of Trustees for study       Please contact your delegates if
Trustees adopted a resolution creat-     and report to the 2008 House of          you have concerns and also thank
ing a task force to examine the          Delegates. This resolution urged         them for their efforts in representing
structure, governance, policies, op-     the Board to maintain the ADA’s          all of us. All of you should attend
erating procedures and functionality     liquid reserves at a targeted level of   the ADA Annual Session if possible.
of the Commission on Dental Ac-          50% of the Association’s annual          It will be a great event with educa-
creditation. The task force was          budgeted operating expenses, and         tional experiences, the latest equip-
charged to provide a comprehensive       to consider any excess in develop-       ment and techniques, and a great
report of its findings and recommen-     ing the following year’s annual op-      way to meet your colleagues.
dations to the 2008 House of Dele-       erating budget consistent with a
gates. Following extensive discus-       long-term strategy of dues stabiliza-    This is my last year as your ADA
sion, the Board voted to accept the      tion, taking into consideration any      Trustee. I have enjoyed represent-
report of the task force. The task       known contingent use of reserves.        ing you on the ADA Board and wish
force made 34 detailed recommen-         The current ADA reserves policy          my successor, Ed Vigna, all the
dations in seven broad categories.       specifies liquid reserves be main-       best in his upcoming years. It’s
The full task force report, complete     tained at a targeted level of 40% of     been an honor to serve you and our
with its nine attachments, which you     the Association’s annual budgeted        profession.
Volume 43, No 3                   Published by the South Dakota Dental Association                             Page 12

        Clinicians Scheduled for                                 Casino Night Scheduled for
         2009 Annual Session                                       2009 Annual Session Mixer

T    he 2009 Annual Session will feature a Friday morn-
     ing keynote speaker, Dr. Chester Douglass, who
is currently the Chief of Dentistry and Oral Surgery for
                                                             P    oker anyone? Plan to attend the 2009 Mixer, which
                                                                  will feature a “Casino Night”. The Kiwanis Club out
                                                             of Mitchell, SD will host several poker, blackjack, rou-
the Cambridge Health Alliance. His session is entitled,      lette and craps tables. Each Mixer attendee will receive
“The Emerging Market for Dental Care in the U.S.”            chips so they can join in the fun, and maybe even win
                                                             prizes at the end of the night!
Another feature during the 2009 Annual Session will
include an “Implant Symposium”.                              The “David Jones Trio” will provide musical entertain-
                                                             ment during the Mixer event. Their extensive repertoire
Dr. Thomas Salinas from the Mayo Clinic and                  includes jazz classics, romantic ballads and pop covers
Dr. Robert Schneider from the University of Iowa             played on both the alto and soprano saxophone.
Department of Prosthodontics will be Saturday
morning’s featured speakers.

Other scheduled speakers include:
                                                                Now Is the Time to Reserve
                                                                         Your Room for the
Ms. Kim Laudenslager, RDH, MPA, will present,                           2009 Annual Session
“OSHA/Infection Control Training”.

Stephen Shuman, DDS, MS and Peggy Simonson,                  T    he Sheraton in Sioux Falls will be the hotel site for
                                                                  the 2009 Annual Session, May 14-16. A block of
                                                             rooms is being held at the Sheraton for those attending
RDH, BS will present, “Current Concepts in Clinical
Geriatrics for the Dental Team”                              the meeting. A group rate of $104 for single and double
                                                             occupancy is available to all meeting attendees. Call
                                                             the Sheraton directly at 605-331-0100 for reservations.
                                                             The Sheraton requests that you make reservations un-
                                                             der individual names, rather than dental offices.

                                        SDDA Board of Trustees

S   ummary of actions taken by the SDDA Board of Trustees at the September 5, 2008, meeting:

      Agreed to test the CAP WIZ electronic grassroots action system, which is free for one year.

      Agreed to support the concept of a new member of the dental team – a Community Dental Health Coordina-
      tor – being developed by the ADA and the pilot of this position within the Indian Health Service in South Da-

      Adopted several new policies including: a whistle blower policy; a document retention/destruction policy; and,
      a conflict of interest statement for board members and staff and recommends their adoption by the House of

      Discussed recent reports of teeth whitening done by someone other than a dentists or someone under the su-
      pervision of a dentist. Agreed to report these to the Board of Dentistry and ask them to investigate.

      Reviewed and revised draft language for “Public Health Supervision” of a dental hygienist. Agreed to share the
      revised draft with the South Dakota Dental Hygienists’ Association and the South Dakota Oral Health Coali-

      Discussed recent changes to sales tax status of dental items. Including that toothpaste prescribed by a dentist
      is now exempt from sales tax.

      Agreed to transfer authority over the Dental Relief Fund to the South Dakota Dental Foundation.

      Discussed a course being developed by the Lake Area Technical Institute Dental Assisting Program to provide
      an alternate educational pathway for expanded function dental assisting.
Volume 43, No 3   Published by the South Dakota Dental Association   Page 13
Volume 43, No 3                     Published by the South Dakota Dental Association                               Page 14

Bits & Pieces
    DDA President, Dr. Amber De-           Dr. Konard Hauffe of Brookings
S   terman, received a special
award as thanks for the SDDA’s
                                           has been deployed for a second
                                           time in support of Operation Iraqi        Laboratory
support of the Masons SDChip Pro-          Freedom. This deployment will last
gram. The award was presented by
Grand Master of Masons of South
                                           approximately three months and will
                                           take him to camp Victory near Bag-
                                                                                         Pads . . . . .
Dakota, Denny Robinson at the              dad.
Grand Lodge of South Dakota on
June 21, 2008. SDChip is a child           Dr. Chad Lewison of Canton has
identification program sponsored by        accepted a part-time faculty posi-
local Masons throughout South Da-          tion with Creighton University
kota.                                      School of Dentistry. He will instruct
                                           in Creighton’s oral surgery depart-
                                           ment where he will oversee surgical
                                                                                   Now for sale
                                           placement of dental implants, ex-
                                           tractions, and various procedures        online
                                           along with administering IV seda-
                                           tion. Dr. Lewison will continue his
                                           implant practice in Canton.
                                           Dr. Tom Holland has expanded his              www.
                                           practice at its current location at
                                           Dakota Dunes.

                                                 Classified Ads
B     lack Hills General Practice for Sale. Gross $225K
      Net $98K on 3 days/wk. 4+1 ops, 1700 Sq. Ft. Dr
retiring. Peter Mirabito, DDS, or Jed Esposito, MBA Pre-
                                                                free standing 1200 sq. ft. dental office with 3 ops, lab,
                                                                darkroom, sterilization area, reception room, business
                                                                office, storage area, private office, bath and more. The
cise Consultants, 1-800-307-2537.                               building is located one half block off main street with ex-
                                                                tra parking. The building and equipment is affordably
Don’t engage a consultant or broker until you’ve con-           priced and great for the new graduate or for relocation
tacted us. Whether you’re beginning to contemplate              and a first practice. Many options. For more information
your transition alternatives or simply curious as to the        contact Dr. Greg Hermsen at
market value of your practice, we can help. Founded in
1968, Midwest Dental is a leader in the Upper Midwest.          $10,000 Hiring bonus to all new FT Associates. Addi-
Led by doctors, we are a long-term investor in high qual-       tional Generous bonus and guaranteed salary for our
ity dentistry and we know what practices are really sell-       new Alexandria location! (Multiple positions are avail-
ing for - not just theoretical numbers. If you’re interested    able in and outside of the Twin Cities Metro area.)
in a free, confidential and zero-obligation discussion          Family & Cosmetic Gentle Dentistry, a privately owned
about your transition options or practice valuation,            group practice, has provided care to residents of Minne-
please contact Sean Epp, Director of Practice Invest-           sota for over 30 years. Or patient base is comprised of
ments, (715) 579-4188 or               all socio-economic groups which contributes to an excit-
Please visit our website at             ing and diverse work environment. We are seeking
                                                                skilled, compassionate individuals who are commited to
Dentist retiring. (willing to work part time) Black Hills       quality care. We have need of Associates with strengths
Practice for sale in Rapid City. We have an excellent           in all areas of General Dentistry as well as Endodontics,
staff and we are located in a medical building with very        Oral Surgery, and Pros. Our Associates earn well above
high visibility next to the hospital with numerous busy         the National average and are eligible for benefits includ-
physicians. This year projected gross income $600,000,          ing medical insurance and 401k. No evenings or week-
overhead $250,000. Great opportunity for ambitious              ends required but are available if you wish. If you are
dentist. Send inquiry to PO Box 3853, Rapid City, SD            interested in joining a practice that makes a difference in
57709-3853.                                                     the lives of over 40,000 fellow Minnesotans, please con-
                                                                tact Diana Gavic at 612-309-6056 or dgavic@smilemn.
For Sale: Enjoy hunting and fishing as well as raising a        com to set up a confidential interview today!
family in the smaller town environment of Winner, SD. A
Volume 43, No 3   Published by the South Dakota Dental Association   Page 15
Volume 43, No 3   Published by the South Dakota Dental Association   Page 16
Volume 43, No 3                     Published by the South Dakota Dental Association                              Page 17

                When does the Privacy Rule allow covered entities to disclose
                 protected health information to law enforcement officials?

A    nswer:
     The Privacy Rule is balanced to
protect an individual’s privacy while
                                          of distinguishing physical character-
                                          istics. Other information related to
                                          the individual’s DNA, dental records,
                                                                                        Child abuse or neglect may
                                                                                    be reported to any law enforce-
                                                                                    ment official authorized by law to
allowing important law enforcement        body fluid or tissue typing, samples,     receive such reports and the agree-
functions to continue. The Rule per-      or analysis cannot be disclosed un-       ment of the individual is not re-
mits covered entities to disclose         der this provision, but may be dis-       quired (45 CFR 164.512(b)(1)(ii)).
protected health information (PHI)        closed in response to a court order,
to law enforcement officials, without     warrant, or written administrative re-         Adult abuse, neglect, or do-
the individual’s written authoriza-       quest (45 CFR 164.512(f)(2)).             mestic violence may be reported
tion, under specific circumstances                                                  to a law enforcement official au-
summarized below. For a complete          This same limited information             thorized by law to receive such re-
understanding of the conditions and       may be reported to law enforce-           ports (45 CFR 164.512(c)):
requirements for these disclosures,       ment:                                          If the individual agrees;
please review the exact regulatory
text at the citations provided. Dis-           About a suspected perpetra-               If the report is required by law;
closures for law enforcement pur-          tor of a crime when the report is        or
poses are permitted as follows:            made by the victim who is a
                                           member of the covered entity’s                If expressly authorized by law,
To comply with a court order or            workforce (45 CFR 164.502(j)(2));        and based on the exercise of pro-
court-ordered warrant, a sub-                                                       fessional judgment, the report is
poena or summons issued by a                    To identify or apprehend an         necessary to prevent serious harm
judicial officer, or a grand jury          individual who has admitted par-         to the individual or others, or in cer-
subpoena. The Rule recognizes              ticipation in a violent crime that       tain other emergency situations
that the legal process in obtaining a      the covered entity reasonably be-        (see 45 CFR 164.512(c)(1)(iii)(B)).
court order and the secrecy of the         lieves may have caused serious
grand jury process provides protec-        physical harm to a victim, provided          Notice to the individual of the
tions for the individual’s private in-     that the admission was not made in       report may be required (see 45
formation (45 CFR 164.512(f)(1)(ii)        the course of or based on the indi-      CFR 164.512(c)(2)).
(A)-(B)).                                  vidual’s request for therapy, coun-
                                           seling, or treatment related to the     To report PHI to law enforcement
To respond to an administrative            propensity to commit this type of       when required by law to do so (45
request, such as an administrative         violent act (45 CFR 164.512(j)(1)(ii)   CFR 164.512(f)(1)(i)). For example,
subpoena or investigative demand           (A), (j)(2)-(3)).                       state laws commonly require health
or other written request from a law                                                care providers to report incidents of
enforcement official. Because an          To respond to a request for PHI          gunshot or stab wounds, or other
administrative request may be             about a victim of a crime, and the       violent injuries; and the Rule permits
made without judicial involvement,        victim agrees. If, because of an         disclosures of PHI as necessary to
the Rule requires all administrative      emergency or the person’s incapac-       comply with these laws.
requests to include or be accompa-        ity, the individual cannot agree, the    To alert law enforcement to the
nied by a written statement that the      covered entity may disclose the PHI      death of the individual, when there
information requested is relevant         if law enforcement officials represent   is a suspicion that death resulted
and material, specific and limited in     that the PHI is not intended to be       from criminal conduct (45 CFR
scope, and de-identified information      used against the victim, is needed to    164.512(f)(4)).
cannot be used (45 CFR 164.512(f)         determine whether another person
(1)(ii)(C)).                              broke the law, the investigation                Information about a decedent
                                          would be materially and adversely         may also be shared with medical
To respond to a request for PHI           affected by waiting until the victim      examiners or coroners to assist
for purposes of identifying or lo-        could agree, and the covered entity       them in identifying the decedent,
cating a suspect, fugitive, mate-         believes in its professional judgment     determining the cause of death,
rial witness or missing person;           that doing so is in the best interests    or to carry out their other author-
but the covered entity must limit         of the individual whose information       ized duties (45 CFR 164.512(g)
disclosures of PHI to name and            is requested (45 CFR 164.512(f)(3)).      (1)).
address, date and place of birth,         Where child abuse victims or adult
social security number, ABO blood         victims of abuse, neglect or domes-      To report PHI that the covered en-
type and rh factor, type of injury,       tic violence are concerned, other        tity in good faith believes to be
date and time of treatment, date          provisions of the Rule apply:                        (continued on page 18)
and time of death, and a description
Volume 43, No 3                    Published by the South Dakota Dental Association                               Page 18

         Foundation Helps Dental Causes in South Dakota and the Region

T     he South Dakota Dental Foundation has approved $35,000 of for 2008 with more than $24,000 coming from the
      Foundation’s Endowment Fund. Awards approved by the Foundation Board include area dental schools; dental
assisting and dental hygiene scholarships; and Delta Dental’s Mobile Dental Program. The endowment fund, which
was started eight years ago, has grown to more than $340,000 and contributions from the fund have also grown
steadily during that time. The Foundation will
continue to make awards throughout the year.                        Contributions Given by the
Requests can be directed to the SDDA office                  South Dakota Dental Foundation in 2008
at 605-224-9133.
                                                    Delta’s Mobile Dental Program                  $ 5,000
                                                    USD Hygiene Scholarship                        $ 1,000
                                                    Volunteer Scholarships for Auxiliary Staff (4) $ 1,000
Aaron Bumann                                        New Dentist Conf Scholarship                       500
demonstrates                                        Western Dakota Technical Institute             $ 2,500
the use of a                                        Lake Area Tech – Assisting Scholarships        $ 1,000
new hand-held                                       South Dakota Voices for Children               $ 1,000
dental x-ray                                        Tobacco Free Kids Network                      $ 1,000
machine. The                                        USD Pre-dent Club                              $ 500
hand-held unit                                      Sunshyne Smiles Program                        $ 2,000
was purchased                                       Dental Student Project                         $ 8,000
for use on the                                      Donated Dental Services Program                $ 2,000
SmileMobile                                         Southeast Technical Institute                  $ 500
with a gift from                                    Creighton University                           $ 3,000
the South                                           University of Minnesota                        $ 3,000
Dakota Dental                                       University of Nebraska                         $ 3,000
                                                        TOTAL                                      $35,000

(continued from page 17)                   threat to the health or safety of an       or others at a correctional institu-
                                           individual or the public (45 CFR           tion or responsible for the trans-
evidence of a crime that occurred          164.512(j)(1)(i)); or                      porting or transferring inmates; or
on the covered entity’s premises             To identify or apprehend an in-          for the administration and mainte-
(45 CFR 164.512(f)(5)).                    dividual who appears to have es-           nance of the safety, security, and
                                           caped from lawful custody (45              good order of the correctional fa-
When responding to an off-site             CFR 164.512(j)(1)(ii)(B)).                 cility, including law enforcement
medical emergency, as neces-                                                          on the premises of the facility (45
sary to alert law enforcement            For certain other specialized gov-           CFR 164.512(k)(5)).
about criminal activity, specifi-        ernmental law enforcement pur-
cally, the commission and nature of      poses, such as:                          Except when required by law, the
the crime, the location of the crime                                              disclosures to law enforcement
or any victims, and the identity, de-         To federal officials authorized     summarized above are subject to a
scription, and location of the perpe-      to conduct intelligence, counter-      minimum necessary determination
trator of the crime (45 CFR 164.512        intelligence, and other national       by the covered entity (45 CFR
(f)(6)). This provision does not ap-       security activities under the Na-      164.502(b), 164.514(d)).
ply if the covered health care pro-        tional Security Act (45 CFR
vider believes that the individual in      164.512(k)(2)) or to provide pro-      When reasonable to do so, the cov-
need of the emergency medical              tective services to the President      ered entity may rely upon the repre-
care is the victim of abuse, neglect       and others and conduct related         sentations of the law enforcement
or domestic violence; see above            investigations (45 CFR 164.512         official (as a public officer) as to
Adult abuse, neglect, or domestic          (k)(3));                               what information is the minimum
violence for when reports to law en-          To respond to a request for PHI     necessary for their lawful purpose
forcement are allowed under 45             by a correctional institution or a     (45 CFR 164.514(d)(3)(iii)(A)).
CFR 164.512(c).                            law enforcement official having        Moreover, if the law enforcement
                                           lawful custody of an inmate or         official making the request for infor-
When consistent with applicable            others if they represent such PHI      mation is not known to the covered
law and ethical standards:                 is needed to provide health care       entity, the covered entity must verify
    To a law enforcement official          to the individual; for the health      the identity and authority of such
  reasonably able to prevent or            and safety of the individual, other    person prior to disclosing the infor-
  lessen a serious and imminent            inmates, officers or employees of      mation (45 CFR 164.514(h)).
Volume 43, No 3                      Published by the South Dakota Dental Association                              Page 19

              Removing the “Shield” that Minimizes New Patient Flow
                                       By Dr. Richard Madow and Dr. David Madow

N      ew patients are the lifeblood of dental offices. Suc-
       cessfully handling the initial phone call from poten-
tial new patients is critical to establishing these impor-
                                                               ♦ Putting the caller on hold. The dental team is very
                                                                 busy. A potential new patient calls the office and is
                                                                 immediately placed on hold without an on-hold mes-
tant relationships. Patients calling your practice for the       sage, so they simply hang up. No appointment was
first time may be dealing with numerous obstacles that           made, the new patient is lost.
are unknown to you. They may be fearful, or think the          ♦ Pre-judging a patient by their insurance. If the first (or
treatment will be too expensive, or perhaps they had a           second) question asked is the type of insurance the
negative experience at another practice. It is your goal         potential patient has, the patient might think the only
to put the patient at ease and address their concerns.           thing the office cares about is being paid, rather than
Unfortunately, many practices put up an imaginary                expert dental care. Or the potential patient might not
“shield” that prevents the patient from ever scheduling          have insurance or an insurance plan that is accepted
or keeping that first appointment.                               by the practice, and gets embarrassed for having to
                                                                 admit they don’t. No appointment is made, the new
How the “Shield” works                                           patient is lost.

A “shield” is an unnecessary barrier or obstacle that          Overcoming the “Shield” with the ALASKA System
causes practices to lose potential patients. Here are
some examples of how a “shield” is used during a po-           In each of these situations, as during most telephone
tential new patient call:                                      calls, there is a certain flow to the conversation. Cor-
♦ Being inflexible in screening new patients. A potential      rectly responding to that flow and using the appropriate
  patient calls and asks, “How much do you charge for a        communication techniques are important to handling the
  cleaning”? The dental team will not provide a quote          call successfully. We created the ALASKA System to
  over the phone, and instead, insists they come in for        teach dental teams how to properly communicate with
  an exam and x-rays first. The potential patient only         callers, helping to secure the maximum number of new
  wants a cleaning, so the call is released. No appoint-       patient appointments.
  ment was made, the new patient is lost.                                                          (continued on page 20)
Volume 43, No 3   Published by the South Dakota Dental Association                             Page 20

                                            (continued from page 19)
                                              A – Answer the phone quickly and correctly, and
                                              don’t immediately put callers on hold.
                                            Answer within 2 rings. If the phone is ringing more than
                                            twice, it’s time to add another person to the front office
                                            ♦ Try to answer the phone with: “Dr. Jones’ office, this is
                                              Linda speaking. I can help you.” – Identify the office,
                                              give your name, and say that you can help them. This
                                              projects confidence.
                                            ♦ L – Listen to what the caller is saying.
                                            ♦ Don’t judge or predetermine need or try to quickly get
                                              off the phone so you can get back to more “important”
                                              tasks. Listen and respond to the person’s needs.
                                            ♦ A – Analyze what they are saying to uncover hidden
                                              barriers or concerns.
                                            ♦ Do they want an appointment but are fearful of pain?
                                              Are they concerned about the cost?
                                            ♦ S – Solve their problem-- this is your chance to shine.
                                              they call you with a problem, “I need a new dentist.” –
                                              Help them set the first appointment.
                                            ♦ If they call with a concern, “My last dentist said I need
                                              a lot of expensive work, but I don’t have a lot of
                                              money.” – Explain how your practice makes treatment
                                              more affordable by offering a no interest payment pro-
                                              gram like CareCredit, and explain how it works.
                                            ♦ K – Kindness, say something nice to the caller
                                            ♦ Assure them they’ve made the right decision, “You’re
                                              going to love Dr. Jones, he is so gentle!” – Treat them
                                              like a friend. Be nice and kind first, then professional
                                              and businesslike.
                                            ♦ A – Action, take action by asking them when they’d
                                              like to come in.
                                            ♦ Offer several choices for appointment times and dates
                                              that are available, “Would you like to come in today at
                                              2:30? Or on Thursday at 1:00?” – Seize the opportu-
                                              nity to appoint the patient whether they’ve asked for
                                              an appointment or not.

                                            Remember, when a potential patient calls, the dental
                                            office’s main goal is to secure an appointment. Properly
                                            Answering, Listening, Analyzing, and Solving their prob-
                                            lem will help that person feel important. Treating them
                                            with Kindness and taking Action by setting up their ap-
                                            pointment will reinforce to them that they’ve made the
                                            right decision by calling you. Using the ALASKA System
                                            is a great way to help your patients feel good about their
                                            experience, and look forward to their first appointment.

                                            Author Bio:

                                            Dr. Richard Madow and Dr. David Madow founded The
                                            Madow Group in 1989, an education and marketing
                                            company dedicated to helping dentists and their teams
                                            become more successful in their practices.
                                            They are internationally recognized by dental teams for
                                            their exciting seminars such as “How to Love Dentistry,
                                            Have Fun, and Get Rich,” “TBSE (The Best Seminar
                                            Ever)”, and “How to Love Dentistry, Have Fun, and Get
                                            Rich - Even More.” The Madow Group can be con-
                                            tacted at 1-888-88-MADOW or
Volume 43, No 3                   Published by the South Dakota Dental Association                           Page 21

 University of MN School of Dentistry                        Western Dakota Technical Institute
                                                                   Patsy Schmidt, Associate Vice President
   Clinical Grand Round Series                                    Corporate Education Center, Rapid City, SD

T    he SDDA has partnered with the University of Min-
     nesota School of Dentistry to bring their Clinical
Grand Round Series to Sioux Falls via live remote
                                                            T    he Dental Assistant Apprenticeship Training Pro-
                                                                 gram at Western Dakota Tech in Rapid City first
                                                            began in 1991 and to date 214 students have gradu-
video.                                                      ated from the program. This year, due to a high de-
On the first Thursday evening of each month, begin-         mand, two classes are running with 15 students each.
ning October 2, 2008 the grand rounds will be available     The instructors are Maggie McDonald (Ft. Meade Den-
on the campus of Southeastern Technical Institute from      tal Services, Sturgis) and Walter Raby (Custis Dental,
6:30 to 8:00 p.m.                                           Custer).
This "Clinical Grand Round Series" is completely de-        It has been a busy year for the program. Western Da-
voted to diagnosis and treatment planning of complex        kota Tech remodeled a classroom specifically for the
cases. Each session features cases selected from a          dental assistant program. The dental chairs donated by
different discipline in dentistry. Open to all SDDA mem-    Dr. Paul Rezich are now functional due to two other do-
ber dentists, dental hygienists and dental assistants.      nations: a compressor from Dr. Ed Lynch and an
                                                            evacuation system from RamVac in Spearfish. In addi-
October 2, 2008 - Oral Medicine/Medically Compro-
                                                            tion, the program received donations for the purchase
mised Patients - Dr. Kevin Nakagaki
                                                            of dental mannequins for the training lab in the amount
November 6, 2008 - TMD - Dr. Gary Anderson                  of $9,000 from Delta Dental Philanthropic Fund and
                                                            $2,500 from the South Dakota Dental Foundation.
December 4, 2008 - Restorative/High Caries Risk Pa-
tients - Dr. Gary Hildebrandt                               This partnership between education and the dental
                                                            community is one that is being modeled in other states
$20 per session / $10 per session for School of Den-        across the nation and is recognized by other industries
tistry Alumni Society Members.                              as well. You are to be commended for your investment
                                                            in training for your employees, and we thank you for
For additional information contact Dr. Scott Wenande        your generous contributions and for the continued sup-
at 605-361-0016.                                            port from the members of the Black Hills District Dental

                         Yes, we buy dental practices. . . .
   but more importantly:

       •   We offer continued leadership opportunities for selling doctors;
       •   We provide long-term job security for practice staff;
       •   We ensure continuity of care for your patients;
       •   We deliver full-service practice administration support; and
       •   Full-time employees are eligible for a complete benefits package including health insur-
           ance, dental care, and 401(k) with employer match among other benefits.

   Founded in 1968, Midwest Dental currently supports a family of 90 doctors and 56 fee-for-
   service dental practices in Wisconsin, Minnesota, Illinois and Iowa. We seek to conservatively
   expand our family of clinics in the Upper Midwest and would appreciate the opportunity to
   speak with successful doctors about their transition plans.

   If you would like to learn more about Midwest Dental and prevailing transition alternatives –
   including a free, confidential, zero-obligation practice valuation – please contact Sean Epp, Di-
   rector of Practice Investments, at (715) 579-4188 or

   Learn more about us at – we look forward to hearing from you!
Volume 43, No 3   Published by the South Dakota Dental Association   Page 22
Volume 43, No 3                    Published by the South Dakota Dental Association                         Page 23

                           CONTINUING EDUCATION CALENDAR
                                                     Fall 2008

The listing of these programs is provided as a service to SDDA Newsletter subscribers, and does not mean that these
programs have been endorsed or approved by the SD Dental Association or the SD State Board of Dentistry. All
members are cautioned to evaluate the programs on their own merit.
SD DENTAL ASSOCIATION ANNUAL SESSION                         October 28, 2008
   Contact: Brenda Goeden              605-224-9133          ► American Heart Association Healthcare Provider
                                     CPR Recertification Session, 6-9PM

May 14-16, 2009, Sioux Falls, SD                             LAKE AREA TECHNICAL INSTITUTE
                                                             Contact: Rhonda Bradberry   605-882-5284, ext. 214
SE DISTRICT DENTAL SOCIETY                                                 
Contact: Dr. Mike Smith                  605-338-6118
                                                             October 3, 2008
September 26, 2008                                           ► CT Scans & Radiology for Dental Implants,
► Dr. Leonard Carapezza: “Early vs. Late Treatment -           8:15-9:45AM
  the World of the Growing Child”                            ► P.A.N.D.A., 10:15AM-12:00PM
November 7, 2008                                             January 30, 2009
► Cathy Jameson: “A Model of Success”                        ► “Oral & Systemic Health: Baby Boomers & Beyond”
January 23, 2009                                             February 27 & 28, 2009
► Dr. Nasser Barghi: “The Practical Aspects of               ► “Introduction to Basic Concepts in Dental Radiogrphy
  Precision Restorative Care”
March 6, 2009                                                Home Study Radiology Courses available:
► Dr. Michael Glick: “Management of the Medically            ►Radiology Safety
  Compromised Dental Patient”                                ►X-ray Production

SURGERY                                                      ASSOCIATION
Contact: Shelly                          605-335-1080        Contact:              
September 16, 2008
► Food & Fermentations Restaurant in Sioux Falls, SD         November 2-8, 2008
  Dr. Ross Crist, “Implants, Orthodontics and the            ►Shadow Mountain Resort, Palm Desert, CA: 16 units
  Young Adult.” Overview of treatment planning, antici-        CE in the mornings and tennis tournaments in the
  pating the need for hard and soft tissue grafting.           afternoons.
  Review of CT scans. Medical update. Bisphospho-
  nate review.                                               UNIVERSITY OF SOUTH DAKOTA
October 21, 2008                                             Contact: Dept. of Dental Hygiene,      605-677-5379
► Food & Fermentations Restaurant in Sioux Falls, SD
  Dr. Nolan Carson, “Single Posterior Tooth                  Home Study Radiology Courses available:
  Restorations.” CT guided surgery and manufactured          ► Digital Radiography, Advantages & Disadvantages
  guides. Occlusion and overloading. Nobel Active            ► Exposure Errors of Periapicals & Bitewings
  implant and platform switching.                            ► Processing Errors
November 18, 2008                                            ► Occlusal Exposures for Children, Alternative Use for
► Food & Fermentations Restaurant in Sioux Falls, SD           an Occlusal & Vertical Bitewing
  Dr. Robert Schneider, “Full Removable Reconstruc-          ► Oral Effects of Head & Neck Radiation Therapy
  tion”                                                      ► Panoramic Radiography

Contact:                                 605-718-2410        Contact:       

September 26 & 27, 2008                                      UNIVERSITY OF MN SCHOOL OF DENTISTRY
► Dental Assistant Radiology, 16-hour course,                Contact:            
September 30, 2008                                           ADA CE ONLINE
► American Heart Association Healthcare Provider             Contact:         
  CPR Class, 6-10PM
                                                                                                           U.S. POSTAGE
                                                                                                            PIERRE, SD

Dentistry in South Dakota                                                                            SDDA
Editor:                            Paul Knecht                                                Future Meeting Dates
Contributors this issue: Amber Determan, DDS, President, SDDA
                         Kathryn Kell, DDS, ADA 10th Dist Trustee                               Trustees Meeting
                         Carrie Mikkonen, Dakota Smiles                                                and
                         Patsy Schmidt,                                                          Legislative Day
                            Western Dakota Technical Institute
                                                                                                February 20, 2009
                         Rhonda Bradberry,
                            Lake Area Technical Institute                                             Pierre
                         John Lee, MD, Sanford Health
                         Drs. Richard and David Madow
                                                                                                  Annual Session
Published quarterly by the                                                                       May 14-16, 2009
South Dakota Dental Association                                                                Sioux Falls - Sheraton
804 N Euclid, Ste. 103
PO Box 1194
Pierre SD 57501
Telephone: 605-224-9133
Fax:       605-224-9168
Member publication:                   American Association of Dental Editors
South Dakota Dental Association Executive Committee
President:                                                 Amber Determan, DDS
                                                                     Mitchell SD
President-Elect:                                                G. Jack Muller, DDS
                                                                      Rapid City SD
Vice President:                                                     Dan Goede, DDS
                                                                     Sioux Falls SD
Secretary-Treasurer:                                       Nathan Schwandt, DDS
                                                                   Rapid City SD
Immediate Past President:                                    Steven Buechler, DDS
                                                                   Gettysburg, SD
Executive Director:                                                Paul Knecht, CAE
                                                                          Pierre SD
Opinions expressed in the Dental Forum may not be those of the South Dakota Dental Associa-
tion. Advertising rates and circulation data will be furnished by request.

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