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HANDS-ON TRAINING“Impressions to record making to delivery of the complete and implant-retained restorations”Saturday, March 12 • 8am–8pm Sunday, March 13 • 8am–2pm16 hours AGD Removable Participation Credit — IDBE has approved this portion for 16 hrs. of CEIf you attend the entire weekend AND are an AGD member, you will receive 24 hours of Participation Credit in Removable Prosthodontics. IDBE has approved the entire weekend for 24 hours of CE credit. 24 additional hours of participation credit may be earned by presenting a clinical homework assignment after the course and presenting in October of 2016. There is an additional fee. This course will allow the participants to go through a dry run of the procedures in the fabrication of complete and implant-retained restorations. From impressioning, to occlusal
A P U B L I C A T I O N O F T H E I O W A A C A D E M Y O F G E N E R A L D E N T I S T R Y
DENTISTRY...in general
D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5 1
Winter 2015
INSIDEPage
2016 Annual Meeting/ Mastertrack . . . . . . . . . . . . . . . . . . . . .1 & 7
IAGD Website . . . . . . . . . . . . . . . . . . . . . . . . .2President's Message . . . . . . . . . . . . . . . . . . . .2IAGD Board of Directors . . . . . . . . . . . . . . .2Drs. Brown, Baumann, Moreno and
Rasmussen . . . . . . . . . . . . . . . . . . . . . . . . . .32015 Fall Meeting Recap . . . . . . . . . . . . . . . .5IAGD Executive Director Update . . . . . . .6Medicaid Article . . . . . . . . . . . . . . . . . . . . . . .6IAGD Legislative Update . . . . . . . . . . . . . . .8IAGD Constituent Awards . . . . . . . . . . . . . .8AADEJ Report . . . . . . . . . . . . . . . . . . . . . . . .9Future IAGD CE Dates . . . . . . . . . . . . . . . .10
Julie Berger, Executive Director 3622 McLaughlin Drive • Lincoln, NE 68516
(O/F) 402.438.2321 [email protected]
Continued on page 7 .
LECTURE“Latest Concepts in Implants and Overdentures” Friday, March 11 • 7:15am–5:15pm 8 hrs. AGD Removable Lecture Credit — IDBE has approved the lecture for 8 hrs of CEThis course will contain current concepts and available product approaches in the applica-tion of building from the foundation up, the most “dreaded” of all restorations, the com-plete denture. This process will be applied as the guide to making all implant restorations for total reconstruction.
Learning objectives:• Apply current evidence to implement
implant-retained prosthetic restorations
• Utilize a protocol-based procedure to accomplish predictable results
• Achieve maximum efficiency and decrease chair time with increased quality by using a proven algorithm
2016 IAGD Annual MeetingJoseph J. Massad, DDS
“Latest Concepts in Implant & Overdentures”
Dr. Massad holds faculty positions at Tufts University School of Dental Medicine in Boston, an Associate Professor in the Department
of Prosthodontics at the University of Tennessee Health Science Center, College of Dentistry, Memphis Tennessee as well as an adjunct associate faculty with the Department of Comprehensive Dentistry, the University of Texas Health Science Center at San Antonio, and Past Director of Removable Prosthodontics at the Scottsdale Center for Dentistry in Arizona from 2006 – 2010. Dr.
Massad served from 1992 – 2003 as an associate faculty at the Pankey Institute in Florida. Dr. Massad is a fellow of the American College of Dentists, the International College of Dentists and Regent/Fellow of the International Academy for Dental Facial Esthetics. Dr. Massad practices privately in Tulsa, Oklahoma.
records, to delivery. Examples and exercises will be provided for a comprehensive experience.
Learning objectives:• Apply impressioning concepts to most
prosthodontic therapies. Utiilze a gothic arch tracing device for various dental scenarios.
• Make a final impression for complete edentulous to multiple implant restorations.
• Make an anterior esthetic setup in 10 minutes done at chairside.
The 2016 focus for the Iowa AGD is to increase our new members. Th e Academy of General Dentistry awarded a grant to our
constituency to be used for recruitment because we are one of the fastest growing state organizations in the country. Let’s reach out to our colleagues to explain the value of AGD membership and how increasing our numbers will, in turn, increase that value for all members.
An increase in membership provides the fi nancial support that allows our organization to bring world-class continuing education to Iowa. New membership
also provides new leadership, ensuring that Iowa dentists and their patients will continue to benefi t from excellent education and advocacy.
Tell your story. We each have a reason why we are dedicated to life-long learning and can describe its impact on us personally and professionally. We each have a reason why we chose the Iowa AGD — share your experience and your story.
Rick Nelson, DDSIAGD President
2 D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5
2015-2016 IAGD Offi cers and Board of Directors
IAGD Website!!Several months ago, we announced
the launch of our new website. Since then, we have seen traffi c increase
signifi cantly. We have mapped out a very user friendly, professional website. Most importantly we will be adding great value to our Iowa AGD community, members and future members. Our website is an integral tool in keeping our members connected during our continued growth!
The website format has been designed to help you easily stay informed about our continuing education courses, legislative topics, contact information for IAGD Offi cers, membership directory, current issues of “Dentistry in General” and many other helpful resources. We look forward to providing a great resource to keep you informed and connected with the Iowa AGD. Th e new web address is www.iowaagd.com.
We welcome your input; please let us know how we can improve this wonderful membership benefi t!! If you have any suggestions, please contact the IAGD Offi ce at 402-438-2321.
PresidentRichard Nelson, DDS2430 Tech Dr., Ste. ABettendorf, IA 52722-3258563-332-0415(F) [email protected]/Public Information OfficerKelly Huston, DDS1919 First Ave. ENewton IA [email protected] PresidentChad A. Johnson, DDS, FAGD915 10th Avenue Pl SEAltoona, IA 50009-2560515-967-4292(F) [email protected] Past PresidentChad Wagener, DDS, FAGD340 SE Delaware Ave.Ankeny, IA 50021515-964-5482(F) [email protected]
TreasurerRyan Hussong, DDS145 Grace Wood Dr.Waukee, IA [email protected]
Continuing Education ChairpersonCraig Driver, DDS, MAGD3308 Kimball Ave.Waterloo, IA 50702-5758319-232-6804(F) [email protected]
Dental Care ChairpersonPhilip Andersen, DDS907 Bank Ct.Center Point, IA 52213 319-849-1171(F) [email protected]
Legislative ChairpersonStephen R. Thies, DDS7506 Hickman Rd.Des Moines, IA 50324 515-276-0202(F) [email protected] ChairpersonDona W. Prince, DDS, MAGD4220 Sergeant Rd., Ste. 100Sioux City, IA 51106-4648 [email protected] Membership ChairCarol Moreno, DDS, MAGD1205 N Columbus St. West Liberty, IA 52776-9601 319-627-2153 [email protected]/Webmaster Jon L. Hardinger, DDS, MAGD1339 6th St. SW Mason City, IA 50401641-423-6172 (F) 641-423-6248 [email protected]
Constitution & Bylaws Communications ChairJohn J. Arend, DDS, FAGD206 3rd Ave. NEIndependence, IA [email protected]
National Trustee, Region 10Mark Malterud, DDS, MAGD770 Mount Curve Blvd.Saint Paul, MN 55116651-699-2822(F) [email protected]
Mastertrack ChairpersonSteve Burds, DDS, FAGD1540 High St., Ste. 201Des Moines, IA [email protected]
Member-At-LargeCarlin Lawhead, DDS, FAGD315 Sycamore St.Muscatine, IA [email protected]
Member-At-LargePatricia Meredith, DDS, FAGD51371 PFP UIHCIowa City, IA [email protected]
Member-At-LargeDebra Oldham, DDS, FAGD702 W Main StAnamosa, IA 52205-1636319-462-2531(F) [email protected]
Executive DirectorJulie Berger3622 McLaughlin DriveLincoln, NE [email protected]
President’s Message
Dr. Richard Nelson
D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5 3
Dr. Lindsay Brown is a lifelong resident of Cedar Rapids. Since 1981, he has been providing his
patients with exceptional comprehensive dental care. Highly educated, Dr. Brown
obtained a Bachelor of Science from the University of Iowa and his Doctorate of Dental Surgery degree from the University Of Iowa College Of Dentistry.
Dr. Brown feels it is important to stay
on the cutting edge of dentistry. Thus, he maintains memberships in many prestigious professional organizations to keep up-to-date on the latest techniques and technology. He
Dr. Scott Baumann returned home to Grinnell in 1996 to join his father’s practice formerly known as
Baumann, Agnew and Cochran. His father retired after 50 years of dentistry and the
practice is now known as Dental Associates.
Dr. Baumann completed his Doctor of Dental Surgery (DDS) degree at the University Of Minnesota School Of Dentistry. He is a graduate of
Hamline University in St. Paul, MN and he is a Grinnell High School alumnus.
Professionally, Dr. Bauman received his Master in the Academy of General Dentistry (MAGD) in San Francisco. The Academy of General Dentistry (AGD) advocates life-long learning and offers a wide variety of continuing education courses to keep dental professionals abreast of the latest developments. This means that he has been recognized as a leader and example to other dentists in not only meeting requirements to maintain his license, but far exceeding them. He is also a member of the American Dental Association (ADA) and has taught part-time at the Family Dentistry Clinic at The University of Iowa College of Dentistry.
Dr. Baumann loves spending time with his family and friends. His wife, Delphina, is the business manager of Dental Associates as well as the gift planning coordinator for the Greater Poweshiek Community Foundation. They have three children; Joel, Ian, and Chloe. He is an active member of the Grinnell United Methodist Church and he is also engaged in numerous professional and community organizations.
Jon L Hardinger DDS MAGD, IAGD Editor
In writing about Roberto, I must begin with a conversation I had with his mother, father and Roberto at a
reception held after a dental meeting. We sat on the couch around a coffee table and shared
stories about his father running in college, and Roberto’s interest in running cross country and track in high school and college. He doesn’t run competitively any more, but it is my pleasure to
think of another running buddy as a dental colleague.
Dr. Moreno is a graduate of City High School in Iowa City, and went to undergrad at University of Northern Iowa
Dr. Leigh Rasmussen is a native of Pella, and a graduate of Iowa State University and the University Of Iowa College Of Dentistry. She has practiced family dentistry in Pella since 2002, and joined Recker Dental Care in 2009. Dr. Leigh’s professional focus is family dentistry, especially for people with dental
anxiety. She emphasizes patient education and preventive care, and enjoys practical aesthetic restorations. She is a member of the American Dental Association and a Fellow in the Academy of General Dentistry.
Dr. Leigh balances dentistry with her family: her husband, Dak, and their three kids. They keep busy with activities like church, reading, and gardening.
Jon L Hardinger DDS MAGD, IAGD Editor
LINDSAY BROWN, DDS FAGD
ROBERTO MORENO DDS FAGD
SCOTT BAUMAN DDS MAGD is a longstanding member of the Academy of
General Dentistry and the Christian Dental Society.
To give back to his community, Dr. Brown has been volunteering with the Community Health Free Clinic and Donated Dental Services of Iowa for many years. He is an Adult Leader with a local Boy Scout troop. He is also involved in many volunteer areas in his church.
In his spare time, Dr. Brown enjoys camping, hiking, backpacking, traveling, and playing with his grandson.
Dr. Brown has over 30 years of experience working with patients of all ages, and he especially enjoys working with children. He confidently provides excellent dentistry for the entire family.
Jon L Hardinger DDS MAGD, IAGD Editor
and graduated from the University Of Iowa College Of Dentistry in 2010. He says that he enjoys many aspects of dentistry including endodontics, implantology, and using our CEREC CAD/CAM machine. His mother is Dr. Carol Moreno and was his biggest influence and inspiration for becoming a dentist. She provided the great opportunity to work with her. His sister, Kirstina Gratz DDS FAGD also practices dentistry in Bloomfield. Dr. Moreno said that he loves CEREC courses and attending the AGD national meeting and Iowa constituent meetings connected to the Mastertrack curriculum. Dr. Moreno said, “We had a great time in San Francisco. Not only did we get to enjoy the city for a bit but it was great that my sister and I were able to get on stage together to get our award.” Dr. Carol and Roberto own two practices, one in West Liberty and the other in Muscatine.
Jon L Hardinger DDS MAGD, IAGD Editor
LEIGH RASMUSSEN DDS FAGD
in the mouth the hinge at A will produce a downward and backward rotation producing interferences. Please note in the photo, the distance from longer arc from point A to the shorter arc from point C represents a change in the function of the second molar. He predicted that a second molar created from an articulator made with the hinge at point C would fail to restore that tooth every time. For a complete explanation Mr. Lee has demonstration videos at www.panadent.com.
It was interesting to see how his articula-tor worked and how the various problems I have had with articulators were improved with his system. There is a support for the facebow to mount the maxillary cast and there is a Bite Tab product for placing on the bite rim. He showed us a Plastic Articulator Light (PAL) product which featured the proper hinge axis and distance from the hinge to the incisors of 100 mm. Another feature was the KOIS Dento Facial Analyzer, a leveling facebow, to com-pensate for patients whose eyes and ears are not level to the floor.
One technique I will be interested in learning more about was shown by Dr. Gerner and Dr. Burns who each was able to restore the occlusion of selected teeth with composite using an overlay to guide the placement of flowable composite.
The lecture focused on the use of an orthotic device called the Maxillary
Anterior Guided Orthosis or MAGO. This orthotic is made with specific occlusion points and begins the process of rehabilitating the debilitated dentition. This device is also modified to maintain the restored person in health once treatment is completed.
D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5 5
The Iowa Academy of General Dentistry Fall meeting and the weekend MasterTrack was held at
the Hilton Garden Inn in Johnston, Iowa October 23-25. There were 45 in attendance at the lecture and 32 dentists went on to meet all day Saturday and part of Sunday to complete the hands on portion of the course.
Dr. James Gerner, who I happened to see in Lincoln NE at an AGD weekend course three weeks ago, coordinated the lecture with experts in dental laboratory, dental articulators and orthodontics throughout the day. Having four different speakers was a brilliant way
to carry on a full day lecture on an otherwise bland subject of occlusion. But, to say that this lecture was bland would misrepresent their approach to the discipline of occlusion because the speakers each represented their interests well and presented very interesting cases. I remember when occlusion was taught in dental school, and I was told how important it was to achieve neuromuscular release with a perfect CR to CO occlusion. The real life of my practice taught me that few people have this naturally, and Dr. Gerner said that only about 10% of the patients have CR equal to CO. The fascinating approach of all of our speakers was to show us time and again the value of a properly created occlusion to the head posture and airway.
Dr. Mary Burns an orthodontist from Hope PA spoke to me after the lecture and
told me that the reason we treat to a stable condylar position (SCP) is not to achieve a perfect bite, but that the body mainly uses the seated joint to initiate the swallow reflex and our body begins to automatically close our airway in the swallowing
process. She studies the Cone Beam to assess the patients head posture and airway, and the effect of establishing a stable condylar position on posture. She gave testimonials of
Fall Meeting 2015 RecapBy Dr. Jon Hardinger
patients who could breathe better and turn their head better after therapy.
Dan Klimesh, BDT really got down to specifics in talking about the occluding dentition. He described the anatomy of the teeth with such detail, as I noted our God given design; it made me proud to be a student of dentistry. For example, he pointed out the way lower incisors disclude the
posterior teeth by sliding forward off of the mesial marginal ridge of the maxillary anterior
teeth, and how this anatomy exists naturally. My readers can note contact he spoke of in this picture.
The following illustration which looks from the posterior of a set of models demonstrates how the act of chewing is not random, but directs the bolus of food toward the tongue. He placed a soft material between study casts and closed the cast to show how the majority of that material went to the lingual.
He also spoke of his role in fabricating tooth restorations with maximum anatomy to function well is based on the mounted articulators, which brings me to the presentation of Thomas Lee who is the President of Panadent Corporation, an articulator company. Tom is the son of Dr. Robert L Lee 1926-1997, who was a pioneer in dentistry and published in fixed prosthodontic journals and was a mentor to Dr. Gerner. Mr. Lee spoke like articulators were his business. Of course they were, but to have him talk about them with such depth and clarity was well worth the review. He reminded us of the importance restoring teeth using the proper hinge axis from the teeth, not achieved when using a mounted jig. He pointed out that a restoration made from an articulator with a hinge axis at C will be made with a more vertical opening than one created at hinge axis A. Thus when you place this restoration
Dr. James Gerner
Dan Klimesh BDT Esthedontics, Inc.
Tom Lee, President Panadent Corporation
Dr. Mary Burns
6 D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5
As I write this article, it’s hard to believe that Christmas is a few weeks from now. Where did 2015 go?
Th e IAGD has had an incredibly busy and great year! We just fi nished up our Fall Mastertrack with Dr. James Gerner,
along with Dan Klimesh and Dr. Mary Burns speak-ing on Occlusion. And we are gear-ing up for our 2016 Annual Meeting and Mastertrack week-end on March 11-13, 2016. Th e featured speaker will be world renowned speaker, Dr. Joseph Massad.
Dr. Massad will be talking about the “Latest Concepts in Implants and Overdentures”. If you are interested in attending the weekend course, I strongly encourage you to register early. We have sold out every weekend since we started the Mastertrack. Don’t delay in registering…register by January 6th to take advantage of huge member discounts! Registration information is available on our website at www.iowaagd.com or you can always call me to register over the phone!
We are also excited to announce that Dr. Frank Higginbottom will be our featured speaker for the fall 2016 IAGD lecture and Mastertrack weekend. Mark your calendars now for October 14-16, 2016! He will be
In the American Association of Dental Editors and Journalists conference in Washington DC which I attended in
November, our speaker, John Watson PhD who is a professor of journalism at the American University spoke about the role of a journalist to point out important facts that were reliable and helpful for others to know. I discovered new facts (and perhaps you will learn too) by reading the Wall Street Journal on 11.19.2015 http://www.wsj.com/articles/unitedhealth-cuts-guidance-evaluating-its-insurance-exchange-segment-1447933310.
In this article the United Health Insurance Company is predicting a 700 mil-lion dollar loss from the Aff ordable Care Act policies. Th ey cover about 500 million subscribers. Th is is unsustainable. I thought that insurance is supposed to be a pool of
speaking on implants! Mark your calendars now as you won’t want to miss this opportu-nity to hear him! (More information will be available soon!)
I am so excited for our IAGD mem-bers who received their Fellowship or Mastership in San Francisco at the AGD Annual Meeting. Th ose members receiving their Fellowship were: Drs. Karla Th ole-Bechtold, Steve Burds, Amy Groeltz, Laila Buck, Christopher McDonald, Niels Oestervemb, Carrie McKnight, Michelle Cook, Lindsay Brown, Kirstina Gratz, Roberto Moreno, Debra Oldham, Leigh Rasmussen, Eric Recker and Chad Wagener. Th ose receiving their Mastership were: Drs. Scott Baumann, Kristen Berning and Amy Wilken-Heying.
I can’t begin to express how excited I get at the AGD Convocation! Seeing all of my members walk across that stage…it almost brings tears to my eyes writing this. I feel like the proud momma in the back of the room cheering for her kids. When I fi rst started with the Nebraska AGD, I would attend the Convocation but never really grasped the signifi cance of the awards. Th at is until we started our own Mastertrack in Nebraska and it became evident to me, the magnitude of these awards. I still remember when we had the reception for the Region and my fi rst Mastertrack class was getting their Masterships. I had so many emotions that evening, just so proud of everyone! Th is year in San Francisco I felt the same way. So many
individuals of their own free will contribut-ing their part to a larger whole to protect the individual from a loss. As my readers know, preexisting conditions are now allowed and these increased costs come back to the par-ticipants; and it is required to own insurance or get a petty fi ne. Most of this was not new news to me except for a note by the authors, Anna Wilde Matthews and Stephanie Armour in which they quote an analyst who stated what could have been a headline - that the Medicaid carriers are quite profi table. Here is a quote.
“All the other big insurers are signal-ing the same problems,” said Ana Gupte, an analyst with Leerink Partners LLC. Th e major exception is companies that focus closely on the Medicaid population, such as Molina Healthcare Inc., she said. Th ese
of the current Iowa Mastertrack class received their Fellowships. And I know those doctors who received their Masterships; it was the end of a long journey and HUGE accomplish-ment!!! Congratulations to all of you!!!
For those of you who are considering starting the Mastertrack, give me a call. I’d love to chat with you about how we, the Iowa AGD, can help you attain that goal. And remember, you don’t have to have your Fellowship to start the Mastertrack!
So many great things are happening with the Iowa AGD and there are more to come!!! THANK YOU for allowing me to be your Executive Director and be a part of this wonderful organization. You have such a dedicated Board of Directors and they work very hard on your behalf. And we again have some FABULOUS continuing education hap-pening right here in Iowa!
I’ve said this before and I will say it again…get involved! Your input is important and valuable. You have chosen to be a part of an elite organization, one where together we CAN make a diff erence. If you haven’t been to a meeting in a few years, I invite you to join us! If you’re considering joining the AGD, now is the time! We welcome you to join us! Please feel free to contact me at any time. You can reach me at 402-438-2321 or [email protected].
I wish you and your family a happy and joyful Holiday season!
Julie Berger, Executive Director, IAGD
companies have lower-cost networks of health-care providers and also draw many low-income consumers whose coverage is largely subsidized.
I did not realize that the fi nancial suc-cess of these companies is because of low cost networks i.e. provider reimbursement. Th e article is about nationwide Medicaid companies, and I extrapolate this to Iowa. I take some limited Iowa Medicaid and I won’t change doing my part for Iowa’s wards. Th e take away from the article is that state’s third party should not be excessively profi t-able! Th is may be one reason why Governor Branstad sought new Medicaid companies.
Respectfully Jon L Hardinger DDS MAGD, IAGD Editor
Julie Berger
Executive Director’s Update
Private Insurers Struggle but Medicaid Carriers are Profi table!
D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5 7
Course Registration Form
Name
Staff
Address City State Zip
Phone Fax
E-mail (required)
AGD # Non-Member: Yes
PAYMENT METHOD
Check (made payable to the Iowa AGD) Credit Card Credit Card Type
Credit Card # Expiration Date Code on back
Credit Card Address (if different from above)
Credit Card City, State & Zip (if different from above)
Phone (if different from above) Fax (if different from above)
Signature Date
2016 IAGD Meeting & MastertrackMarch 11-13, 2016A block of sleeping rooms have been reserved at the Hilton Garden Inn for $109 until February 17, 2016. Ask for the “Iowa AGD” rate. To make reservations, call 515.270.8890. Although the block is available until 2-17-2016, we strongly encourage you make your reservations early.
COURSE FEES: AGD Dentists: Lecture Only $ 350 (Register by1-6-16 and receive a $50 member only discount)Non-AGD Dentists: Lecture Only $ 600 AGD Dentists: Entire 3 day Event Lecture & Hands-on $1,850 (Register by1-6-16 and receive a $200 member only discount) Includes materials and meals. Lodging not includedNon-AGD Dentist: Entire 3 day Event Lecture & Hands-on $2,500 Includes materials and meals. Lodging not included.Friday Lecture Only:Staff Member/Assistants/ Hygienists $ 100 Dental Students $ 35 Lab Techs $ 175
Total Amount Paid
Please mail registration form and payment to: IAGD, 3622 McLaughlin Drive, Lincoln, NE 68516. Or you can fax your registration with credit card to 402.438.2321. Registration can be taken over the phone with a credit card. PLEASE NOTE: A $50 processing fee will be applied to all persons requesting a refund before February 24th. No refunds will be issued after February 25th. You will receive an email confirmation when your registration is processed. Questions? Contact the IAGD Office at 402.438.2321 or email [email protected]
Continued from page 1.
2016 IAGD ANNUAL MEETING & MASTERTRACK
The AGD-Iowa is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership mainte-nance credit. Approval does not imply acceptance by a state or provincial board of dentistry. The current term of approval extends from 6/1/2013 to 5/31/2017. ID# 219301
PACEFAGD/MAGD Approved6/1/2013 to 5/31/2017
General InformationFriday, March 11, 2016 Lecture course held at Hilton Garden Inn 8600 Northpark Drive, Johnston, IA 515.270.88907:15 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration7:45 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Course Begins11:45 – 1:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . Extended Lunch Hour A chance to visit the exhibitors1:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Course Resumes4:00 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibits Close5:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Course Adjourns* Coffee breaks and lunch will be provided.
HANDS ON COURSESaturday, March 12, 2016 — 8 am – 8 pm • Sunday, March 13, 2016 — 8 am – 2 pmLimited Space AvailableThe hands on portion will be held at Patterson Dental Supply, 955 SE 28th Street, Grimes, IA
This event is sponsored by
immediately following the course
PLEASE JOIN US FRIDAY cocktail reception
5:15 – 6:30 pm
a cocktail reception
8 D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5
I recently had the pleasure of a meeting with Representative David Young of the third district of Iowa at my offi ce.
Congress was on recess. He nicely responded to my request for a meeting at my offi ce. We had very good discussion about current issues aff ecting dentistry.
First and foremost we discussed midlevel dental providers. Under the Aff ordable Care Act, HRSA has been authorized to fund the Alternative Dental Provider Demonstration
Program which creates midlevel providers. Funding has not been provided by the program and the House Appropriations Committee expressly prohibited the use of health workforce funds to use for the demonstration program. I explained the inadequate education of midlevel providers for the complicated involved procedures of restorative dental treatment. A dentist should be the only provider of restorative treatment. Midlevel providers do not have the training necessary to provide proper treatment. He understands that funding has not been provided for the
implementation of the midlevel providers. Th e lack of funding will continue due to the sequestration. He was receptive to the inadequate ability of midlevel providers to provide dental treatment.
Secondly, funding for the CDC Smoking Prevention Program has been reduced substantially. I explained the benefi t of the program in education for young adults and teens about the health problems involving tobacco. He explained that funding for
IAGD Representative David Youngall programs has been reduced due to sequestration. A compromise funding bill has been written but it may not pass. Negotiation will be required. Th e fi nal funding bill may provide more funding for the CDC.
Lastly, dental residency programs for general dentistry, pediatric dentistry, public health dentistry have had funding reduced. I explained that general dentists and pediatric dentists are the front line in providing dental treatment. We are the primary care providers. Th e residency programs develop the skills necessary for primary care dental providers. Public health residencies develop dentists for service in public health settings, specifi cally serving the underserved and the community health programs. Again, he explained that the reduction in funding was due to sequestration. He was receptive to increasing funding for the programs. However, an increase in funding is dependent upon a future funding bill.
Th e meeting was very friendly. He took notes and was interested in the discussion.
Stephen Th ies, DDSIAGD Legislative Chair
Representative David Young and Dr. Th ies
Iowa Academy of Dentistry Constituent Awards
Dr. Craig Driver Continuing Education Chair
Dr. Jon Hardinger IAGD Editor
Dr. Dona Prince Membership Chair
Dr. Kelly Huston Public Information Offi cer
Dr. Steve Th iesLegislative Chair
“Congratulations to the Iowa AGD on all the awards we received again this year at the AGD Meeting in San Francisco! Once again the IAGD won the Membership
Award, the William W. Howard (Newsletter) Award and also the Constituent of the Year! We also received Honorable Mention for
the Advocacy Award, the CE Award of Excellence and the Public Information Award. Congratulations to everyone on your hard work throughout the year!”
Julie Berger, Executive Director, IAGD
D E N T I S T R Y … I N G E N E R A L • W I N T E R 2 0 1 5 9
I attended the American Association of Dental Editors and Journalists (AADEJ) in Washington DC held at the Lowes
Madison Hotel on Tuesday and Wednesday November 3 and 4, 2015 with the blessing of the Iowa Academy of General Dentistry (IAGD) Board, who helped subsidize the trip. Th e IAGD has supported my being a member of this association for many years. Th is year I was persuaded to attend because of the speakers which included Dr. Michael Glick, the editor of the American Dental Association (ADA), U. S. Representative Paul Gosar, DDS of the Fourth District in Arizona, John C. Watson, PhD, from the American University School of Journalism, and our own former Academy of General Dentistry (AGD) Associate Editor, Dr. Eric Curtis, among others.
I am going to begin with Dr. Watson’s presentation which I will tie in with a personal application. Dr. Watson began his presentation by defi ning the word elite. He said, “Accept your skill set as an elitist, not just a hobby in this vital public service.” He told us that being a journalist was elite because of the professional training required to serve the public. He said, “Th e journalist is guided by dedication to serve society and provide information that people can rely on when they make decisions on important matters.” He went on to tell us that a journal-ist will receive criticism and that thick skin is required for the job. (I apply this to an ethical zone, not legal not forced, in which a writer works.) Continuing, he explained himself with the analogy of a watch dog and a guard dog. His friend’s apartment was continually being broken into, so he got two dogs, an outside watch dog and an inside guard dog.
Sure enough, the crimes stopped for a long time because the watch dog was there. Th is is the role of the journalist pointing out the important issues of the day. However, one day the apartment was broken into again, and the owner of the house complained that his watch dog had let him down, until he went in and heard a noise and a painful groan. Upon seeing the source of the noise he saw his guard dog by the thief and every time the thief made a sound the guard dog bit him. Th e journalist watches for trouble, but once inside guards and defends his territory, not with actual biting, but with reliable informa-tion calling for action in his words.
My personal application to this was to respond to a publication on my desk when I got back to my offi ce from my trip, a magazine entitled Perspectives on the Mid-Level Practitioner. Th is is a supplement to “Dimensions of Dental Hygiene.” Th is supplement features the words “Change” and “Th e Role of New Workforce Models In the Evolving Oral Health Care Delivery System.” Th ere are 15 articles in the supplement and all are sympathetic to the Mid-Level practitioner model as they call it. You know my friends and readers, this is direct competition to our dental professional turf, and this dressed up sophisticated argument based on a crisis of access to care and their solutions are now coming as complementary literature in our mail! I am hoping that my local dental associations are keeping vigilant on this issue as my presentation speaker illustrated, to keep on keeping on with reliable information to protect the public and serve them as professionals who are meeting the public needs for dental care. For myself, I am aiming to prove that my private dental practice does reliably serve the majority of the public need. An important trust we must maintain is the public’s goodwill. It is remarkable that we dentists pass only one board examination which is good for a lifetime, and maintain this license with biannual continuing education. Be prepared, however, and to accept criticism from fellow colleagues and family whose views are open to Mid-Level practitioners. Completing the previous watch/guard analogy, our speaker said several things about the debate. He said the French call sword fi ghting, fencing. In fencing, in the defense to a lunge, the sword must be
American Association of Dental Editors and Journalists Report
defl ected and a counter is made called the repost. A journalist must fi nd the weakest area to repost, and this is to make a point the public can rely on. My antagonists in the Mid-Level debate make a sensational claim that dental care is in a crisis. I add credibility to my own by saying I agree, but only as certain individuals are counted. In my repost let me off er for scale the Wellness Program which has 130,000 insured members, some of whom are in crisis, and these patients oft en have unmet dental needs and a desire to have them treated. I repost and submit that this is not the general condition of millions of Iowans. I come back to my antagonist with a point that they display their bias, bringing a benevolent government to be paying for unmet needs instead of private care, and secondly they are leveraging a way to have more pay and justify this pay by increasing the breadth of their own services, not necessarily serve the public. If they really felt this way, why not promote and develop private practice as it exists. Which I believe the Iowa Board of Dental Examiners is doing. I agree with Dr. Watson who recommended the pursuit of any ethical discussion of issues to be done with vigor, passion, caring and professionalism. I agree with another speaker, Representative Paul Gosar, who touched on this subject when he said, “If health care were a right, dentists and physicians would solely serve at the patient’s pleasure, rather health care is the recommendation of a doctor and thus a needed benefi t.”
Time and space constrain me to tell you about other presentations, but I will recommend two award winning articles. Th e fi rst place in the 2015 William J. Gies Award presented by the International College of Dentists (ICD) was “Conspiracy Ideation: A Public Health Scourge?” by Dr. Michael Glick and H. Austin Booth, MA, MIS. Th is was printed in the August 2014 Journal of the American Dental Association. Th e second article I recommend is the ICD Golden Pen Journalism Award “Th e Rise of Managed Group Practices” written by Eric Curtis DDS, MA, MAGD and it was published in the September 2014 AGD IMPACT and the Editor is Roger Winland, DDS, MS, MAGD.
Jon L Hardinger DDS MAGD, IAGD Editor
Drs. Glick and Hardinger
DENTAL REPAIR SERVICERichard Powell
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Opinions expressed are those of the writer and not necessarily those of the IAGD Board.
March 11–13, 2016“Latest Concepts in
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(8 hrs AGD Removable lecture credit AND IDBE approved)Also off ering a hands-on/participation course on March 12-13, 2016
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Presented byDr. Frank Higginbottom
Location — TBA (8 hrs of AGD Implant lecture credit — IDBE pending approval)
Also off ering a hands-on/participation course on October 15-16, 2016
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