Successful Management of Acute Dental Pain · 2 • September 2015 CAPITAL STAR By Jonathon R. Kimes, DDS EDITOR’S REPORT Don Leighton-Burwell, AIA; TX Architect #12079 512.323.2017

Official Publication of the Capital Area Dental Society www.capitalareadental.org

Academy of General Dentistry Approved PACE Program Provider

#219172 - FAGD/MAGD Credit4/01/2013 to 3/31/2016

September 2015 Volume 45, Number 4

...continued on page 3

STARC A P I T A L

Speaker: Ken M. Hargreaves, DDS, PhDDate: September 15, 2015 Time: Happy Hour: 5:30 p.m. – 6:30 p.m. * Meeting starts at 6:30 p.m.

Austin Country Club - 4408 Long Champ Dr, Austin 78746 Lecture Course * 2 Hours CE Credit

Cost: $40 Member Dentist $50 Guest of Member Dentist; $70 Non Member Dentist * CASH BAR

RSVP: 512/335-1405 by 10:00 a.m. FRIDAY, SEPTEMBER 11th

To RSVP & PAY with Credit Card, go to www.capitalareadental.orgOnly CHECKS & CASH accepted at the door.

If you need a vegetarian, vegan or gluten free meal, tell Nancy when making your reservation. Reservations are released at 6:30 p.m.Reservations not cancelled by 10:00am Friday, September 11th will be billed.

Successful Management of Acute Dental Pain

This evidence-based course is designed to provide effective and practical strategies for managing acute dental pain emergencies. The latest information on NSAIDS, acetaminophen-containing analgesics and local anesthetics will be provided with the objective of having immediate application to your next patient emergency. Want to know how to anesthetize that hot tooth? How to predictably manage severe acute pain after surgical or endodontic treatments? How to combine common medications to improve analgesia? This course will answer these practical tips and more using a lecture style that emphasizes interactions with the audience in answering common pain problems with useful solutions.

Objectives:

At the completion of this course, the practitioner should be able to:

1. Describe a fast and efficient routine for managing dental pain emergency patients

2. Select the best combination of analgesics to manage dental pain

3. Provide effective local anesthesia to the classic “hot” molar case

2 • September 2015 CAPITAL STAR

By Jonathon R. Kimes, DDSEDITOR’S REPORT

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Dental Design SpecialistsDental Design Specialistswww.dlb-architect.comwww.dlb-architect.com

DLB ArchitectDLB Architect

Beginning this month, the Texas State Board of Dental

Examiners will begin a lengthy and often arduous process knows as a Sunset Review. The Texas Sunset Act, passed in 1977, allows for the

Sunset Advisory Commission to review the purpose and effectiveness of about 130 different state agencies. Anything from the Texas Commission on the Arts to the Texas Low-Level Radioactive Waste Disposal Compact Commission (which meets next month in Montpelier, Vermont…you can’t make this stuff up). The purpose of the Sunset Review process is to keep the government accountable to the constituents and prevent any agency from becoming a useless budget drain. In its most basic sense, the Sunset Commission simply asks, “Is this

agency needed any longer?” Any state agency subject to Sunset Review can be automatically abolished unless a new legislative bill is passed that “renews” the agency. If the Commission feels the agency is still needed, then they will introduce a new bill, often with recommended changes to the operating policies of the agency, which must pass through the Legislature in order for the agency to continue to exist. If an agency is abolished, either by recommendation from the Commission or failure of a renewal bill, then that agency has one year to conclude its business.

The Sunset Commission consists of twelve people: five Senators, five Representatives, and two public members, one appointed by each the Speaker of the House and the Lieutenant Governor. The Commission also maintains a Director and staff. Beginning this September, the process begins with agencies submitting self-evaluation reports to the Sunset staff. The staff then spends the next year working closely with agency representatives and conducting their own evaluations. Public hearings will be held and the staff will prepare

its final report to submit to the Commission. Final recommendations and Sunset Bills will not be introduced until the next Legislative session, in 2017.

For the TSBDE, the last Sunset Review was finalized in 2003. As you know, because you have been paying them to renew your dental license, they passed and were renewed for 12 more years. Changes that were made to the Board policy and operations then included a reduction in the size of the Board, reduction in experience required for licensure by credentials, and a strengthened enforcement process. Interestingly enough, as recent as last year, the Board was still making policy changes to unburden the violation enforcement process. The Board was established in 1911, and it is unlikely that it will be abolished in 2017, but there could be some major changes made that could affect us. Any TSBDE Sunset Bill for the 85th session will certainly be on our radar, so we will keep you informed of any changes that would affect your practice.

— Jonathon R. Kimes, DDS Editor, CADS

Ride Off Into the Sunset

“The Board was established in 1911, and it is unlikely that it will be abolished in 2017,

but there could be some major changes made that

could affect us.”

CAPITAL STAR September 2015 • 3

Ken M. Hargreaves, DDS, PhD Ken Hargreaves received his DDS from Georgetown University, his PhD in physiology from the Uniformed Services University of the Health Sciences in Bethesda, MD, and his certificate in Endodontics from the University of Minnesota. Ken spent 5 years at the Pain Clinic of the NIDCR and 7 years as an associate professor of Endodontics and Pharmacology at the University of Minnesota. He joined the University of Texas Health Science Center at San Antonio in 1997, as professor and Chair of the Department of Endodontics and is cross-appointed as professor in the Departments of Pharmacology, Physiology and Surgery. He maintains a private practice limited to endodontics and is a Diplomate of the American Board of Endodontists. Ken has received an NIH MERIT Award for research, two IADR Distinguished Scientist Awards and the Louis I. Grossman Award from the AAE. He has published more than 160 articles and, with Harold Goodis and Frank Tay, co-edited the 2nd edition Seltzer and Bender’s Dental Pulp, and, with Steve Cohen and Lou Berman, co-edited the 10th edition of Cohen’s Pathways of the Pulp. Ken also serves as editor of the Journal of Endodontics.

...continued from front page


Capital Area Dental Foundation

CornerBy Alan B. Moore, DDS

We provide comprehensive oral and maxillofacial services:

Dear Friends:

It’s been a busy and exciting summer for the Capital Area Dental Foundation. In June, we learned that the Austin Community Foundation (ACF) awarded CADF a $10,000 grant from the Dr. Henry Renfert, Jr. Foundation to help us expand our reach in the community. The Austin Community Foundation helped CADF establish its endowment a few years ago and we look

forward to working with ACF in the coming years to bring essential dental care to people who desperately need it.

The planning for the first annual CADS/CADF Golf Classic & After-Party is in full swing. If you haven’t already, mark your calendars for November 20, 2015 at Avery Ranch Golf Club. Details and online registration are now available at www.capitalareadentalfoundation.org.

As always, if you have any questions about becoming involved with CADF, please do not hesitate to reach out to me directly at [email protected]. If you have questions about any of our programs or are interesting in volunteering, please contact Liz Rubio at [email protected].

Until next time, Alan B. Moore Chairman, Capital Area Dental Foundation

Capital Area Dental Society Membership Benefits

O Peer Review mediation service to reconcile complaints between patients and doctors

O Online membership roster

O Continuing education via general membership meetings and seminars

O Capital Star, the monthly newsletter of Capital Area Dental Society (free classified advertising for members)

O Dates and information for CE courses being offered in the Capital area.

O CADS members receive all membership benefits offered by the Texas Dental Association and American Dental Association

O The Capital Area Dental Foundation is the philanthropic arm of CADS. The service that you and your foundation provide to the community promotes the profession while helping those in need

O The Legislative Action Committee keeps legislators and local elected officials informed about the positions of the profession and inform members of CADS about legislation that affect dentistry


HYGIENISTS

BULLETIN BOARD CALENDAR

FRONT OFFICE

ASSISTANT/CHAIRSIDE

OF EVENTS FOR CENTRAL TEXAS DENTISTS

Dental Hygienists, Assistants and Front Office Staff who are interested in temporary or permanent work are listed here each month. To add a name to the Bulletin Board, email [email protected] by the 5th of the month for publication in the next issue. Include the following info: Category, Name, Availability & Phone

September 1, 2015CADS Board MeetingAustin Country Club

6:00 p.m. – 8:00 p.m.***

September 15, 2015CADS General Meeting

Austin Country ClubHappy Hour: 5:30 p.m. – 6:30 p.m.

Meeting: 6:30 p.m. – 8:30 p.m.RSVP by 10:00 a.m. Sept 11

***September 18, 2015

CADS New Dentist CommitteeAnnual Pub Crawl

Evite Coming Soon ***

October 6, 2015CADS Board MeetingAustin Country Club

6:00 p.m. – 8:00 p.m.***

October 20, 2015CADS General Meeting


Meeting: 6:30 p.m. – 8:30 p.m.RSVP by 10:00 a.m. October 16

***November 5-10, 2015

ADA 2015 America’s Dental Meeting

Washington, D.C.***

November 5, 2015CADS Board MeetingAustin Country Club

6:00 p.m. – 8:00 p.m.***

November 17, 2015CADS General Meeting


Meeting: 6:30 p.m. – 8:30 p.m.RSVP by 10:00 a.m. November 13

***November 20, 2015

CADS/CADF Golf Classic Avery Ranch Golf Club

8:00 a.m. Shotgun StartRSVP: 512-992-1217

***December 2015

No Board Meeting***

December 2015No General Meeting

***January 21-23, 2016

Star of the South Dental MeetingHouston, Texas

For Info: 713-961-4337www.starofthesouth.org

MaLissa Sturgis .....................Mon, Tues, Wed, Thurs, Fri........ 512-699-5060Dawn Adams ........................Mon, Tues, Wed, Thurs, Fri........ 512-749-8641Jan Henson ...........................Full/Part Time/Temp ................. 512-923-1441Sarah Powell .........................Full/Part Time/Temp ................. 512-769-6068 Lori Bonnett ..........................Wed, Thurs, Friday .................... 318-235-7268Toni Powell ...........................Wed, Thurs, Friday .................... 512-250-2907Cyndy Markley ......................Part Time/Temp ......................... 512-964-6457Jane Roye ..............................Temp/Part Time ......................... 512-343-7003Christine McCall....................Temp/Part Time ......................... 512-426-7321Laura Gallegos ......................Temp .......................................... 512-736-1714Camille Thornson .................Thursday, Friday ........................ 512-739-9548Kathryn Fruechte ..................Friday ......................................... 608-386-8009Martha Woodhouse .............Friday ......................................... 512-289-1567Kellie Rogers .........................Monday ..................................... 512-947-7728

Diane Rivas ...........................Temp/Full Time ......................... 512-672-9479Paulina Park ..........................Temp .......................................... 512-363-6163Judith Gayle ..........................Temp .......................................... 703-589-6890Jennifer Nieland ...................Temp .......................................... 512-560-5288Stella Hawthorne ..................Temp .......................................... 512-784-8447Alenka Radosavljevic ............Temp .......................................... 512-577-0977Nicki Meharg ........................Temp .......................................... 512-827-1001Raina Shie .............................Wednesday ................................ 512-789-2676Violet Gotsis .........................Temp/Full/Part Time ................. 512-230-3770

Susan Sinclair ........................Full/Part Time/Temp ................. 512-560-4694Sandee Davila .......................Full/Part Time/Temp ................. 512-350-8044Karyn Combs.........................Full Time .................................... 512-293-0283Katie McDaniel .....................Full Time .................................... 512-573-9270Raina Shie .............................Wednesday ................................ 512-789-2676Margarita Jaquez ..................Friday ......................................... 512-585-5960Violet Gotsis .........................Temp/Full/Part Time ................. 512-230-3770

CADS would like to thank the following for their generous Sponsorship of our

August General Meeting:

McLerran and Associates

Patterson Dental Supply, Inc.

Summit Dental Lab


PRESIDENT’S MESSAGEBy Elyse Cronin Barron, DDS

Practice sales in excess of $2,000,000,000. www.AFTCO.net1-800-232-3826

Helping dentists buy & sell practices for over 46 years.

(Since 1968)

FREE PRACTICE APPRAISAL

($5,000 value!)

Practice SalesPartnerships

Second Opinions

Insurance CoveragePersonal Net WorthRetirement Planning

CAN BE USED FOR:

Summer has come and gone, sort of. It is still bordering

hundred degree days and I’m still sweating as I walk from my car into the office but that carefree feeling of summer has been surely stuffed back into the classrooms along with all the kids in Austin. I came across this little

story about education and it reminded me that we need to keep learning, keep growing and to keep moving.

A college class was graduating on a hot and humid day.

As the graduates walked across the platform and received their diplomas from the president of the college, he smiled, shook their hands, and said loudly, “Congratulations!” Then, in a much lower voice, one that was firm and could be heard only by the graduates, he would say, “Keep moving.”

He was only trying to keep the line moving across the stage, but his words were good advice for a lifetime: “Keep moving.” After every

achievement growing up, graduation, marriage, job promotion, even retirement the best advice is, “Keep moving. Don’t stop. Don’t stagnate.”

There is more to life than you have found thus far. This is not the end; it is only the beginning. “Keep moving.”

When we approach life with this attitude, we look forward to the future and what God has in store for us.

LCDR Michael L. Schutz, CHC, USN

School will be back in session soon. Kids go back to school and traffic here in Austin will of course get worse. For some reason I miss those days of learning, cramming my brain with interesting, useful and useless information. But I’m a dork and I LOVED school. Most of you liked school or at least did well in school or you wouldn’t have become a dentist.

Did we stop learning at the moment we crossed the stage at graduation? Absolutely not. We have the opportunity to continue learning every day about

Back to School

...continued on page 7


dentistry whether it be about new innovative techniques, upcoming technology, advancements in materials, or how to approach a complex patient. The avenues are endless. Reading JADA or other publications, attending lectures, going to conferences, viewing webinars, finding a mentor, participating in local organized study clubs, even getting together with a group of your peers reviewing cases and discussing is an incredible way to learn and grow.

We have twelve mandatory continuing education (CE) hours required by the Texas State Board but there are many more hours of learning that we do whether or not it is certified CE. Things like practice management philosophies, how to use new computer software, what’s the most efficient way to extract a tooth are things we don’t necessarily learn in class. Sometimes we can best treat our patients and run our practices from asking questions of other dentists, specialists and representatives in the companies that we utilize.

At CADS we are deeply committed to serving our members. In this coming year we are going to start a mentorship program, have a list of local study clubs posted on our website, start a HIPPA compliant discussion forum and pilot area specific CADS study

groups. We are very excited about these projects and if you would like to become involved please contact me at [email protected] or call at 512-940-8267. Please visit our new and improved website often to see when these will become available.

Education is important because it keeps us thinking about better ways to do things. At CADS we care about educating our members but also finding better ways to serve our members. As Walt Disney said, “Keep moving forward.”

— By Elyse Cronin Barron, DDS CADS President, 2015-2016

Upcoming CESep 15, 2015 - Ken Hargreaves - Pain/Endodontics

Oct 20, 2015 - Tito Norris - Orthodontics

Nov 17, 2015 - Bill Robbins - Periodontics

Jan 19, 2016 - Andrea Taylor - Somatoform Disorders

Feb 16, 2016 - Oscar Tamez - Airway Disorders

April 19, 2016 - Paul McLornan - Sleep Dentistry


NEW DENTIST CORNERBy Dr. Anand Adatia and Dr. Kacie Stair

The CADS General Meeting RSVP reminders (yellow postcards) have been phased out in lieu of email reminders and reminders in the Capital Star. Please be patient with us during this transition! Meeting times and RSVP dates can always be found in the Capital Star or the CADS website (www.capitalareadental.org).

OFFICIAL NOTICE:Capital Area Dental Society General Meeting

Date: Tuesday,June16,2015HappyHour:5:30pm–6:30pm*Meetingstartsat6:30pm

Speaker: Frank L. Higginbottom, DDS

Topic: Dental Implants: “The Stuff You Need To Know” Lecture Course * 2 Hours CE Credit Cost: $40MemberDentist

$50GuestsofMemberDentist;$70NonmemberDentist*CASHBAR

Location: AustinCountryClub–4408LongChampDr,Austin78746RSVP: 512/335-1405 by 10:00AM FRIDAY, JUNE 12th

To RSVP & PAY with Credit Card, go to www.capitalareadental.org ONLY CHECKS & CASH ACCEPTED AT THE DOOR.

Ifyouneedavegetarian,veganorglutenfreemeal,tellNancywhenmakingyourreservation. Reservationsarereleasedat6:30p.m.Reservations not cancelled by 10:00AM Friday, June 12th will be billed.

ur last event, “The Path to Practice Ownership”,

was so valuable, we can’t thank McLerran and Associates enough for sponsoring it! Thanks to everyone that came out on August 27th.

We are going to keep the fun going with our next big event in September: our Annual Pub Crawl! Be on the lookout for the Evite coming soon.

Don’t forget to become a part of the official CADS New Dentist group at www.facebook.com/groups/cadsnewdentist where you can keep up to date with future events, start a discussion, give us suggestions, and recap previous events with pictures!

We are excited for all the new events we have planned for the 2015-2016 year! If you are interested in helping our New Dentist Committee plan social events, or help with social media, feel free to contact us.

— Dr. Anand Adatia and Dr. Kacie Stair [email protected] www.facebook.com/groups/cadsnewdentist


The Capital Area Dental Foundation launched the Sustainer’s Circle in 2014 to create an easy and affordable way for people to help those in need of dental care in the Austin area. So far, 30 donors

have stepped up and joined. You decide how much to donate per month and we’ll do the rest.

A donation as little as $25 per month is enough to connect two low-income patients with emergency dental care that will relieve their pain, restore their dignity and prevent more serious complications.

*SUSTAINER’S CIRCLE FOUNDING MEMBERS (The first 100 donors to give at least $1000/yr will be considered founding members for as long as the program exists.)

Questions? Ready to join? Contact Kristen Whaley at 512-992-1217 or [email protected] or go online to capitalareadentalfoundation.org and fill out the easy donation form!

THANK YOU CADF SUSTAINER’S CIRCLE DONORS!

Dr. Ronald Barnett* Dr. Jonathon Kimes Dr. Darryl Baucum Dr. Trisha Kimes Dr. Michael Bell* Dr. Stanley LaCroix* Dr. Mark Castor* Joe Langford* Dr. Griffin Cole Dr. Kent Macaulay* Lyda Creus Molanphy* Dr. Alan B. Moore Dr. Roland Davies* Dr. AnnMarie Olson* Dr. Michael Doughty* Dr. Bruce Roach Dr. Osborne Dykes Dr. Jim Root Jon Fidler* Dr. Barry Rouch Dr. Annalisa Heck* Dr. Matthew Steinberg* Dr. Eric Hollander Dr. Don Taylor* Dr. William Hyden* Becky Walker* Dr. Kelly Keith* Dr. Steven Widner* Dr. Kavin Kelp* Dr. Marc Worob*

Dr. Trisha Kimes, Goodwill program dental provider, with her patient, Juliet, before and after her donated care.


Dr. Fritz Hinze

711 W. 38th Street, Suite G-‐5, Austin, TX 78705 Ph# 512-‐453-‐1600 Fax# 512-‐ 453-‐1503 www.lonestarperio.com

Heathier gums and a better smile. That’s what

we’re all about!

Call 512-‐453-‐1600 to refer a patient today.

Dr. Chris Bingham

Capital Area Dental Society Balance Sheet

As of July 31, 2015

July 31, 2015ASSETS

Current AssetsChecking/Savings

Wells Fargo 159,876.35Building Fund 136,186.35

Reserve FundFree Market Fixed Income Fund 37,251.18Free Market Intl Equity Fund 17,283.92Free Market U.S. Equity Fund 26,174.97Charles Schwab - MM 1,233.64

Total Checking/Savings 378,006.41

Other Current AssetsBulk Mail Postage 2,106.17

Total Other Current Assets 2,106.17

Total Current Assets 380,112.58

TOTAL ASSETS 380,112.58

LIABILITIES & EQUITYEquity

Retained Earnings 398,161.86Net Income -18,049.28

Total Equity 380,112.58

TOTAL LIABILITIES & EQUITY 380,112.58

Capital Area Dental Society Balance Sheet as of July 31, 2015Welcome New CADS Members!Dr. Sinan Abdulkadir

Specialty: General Dentistry

Dr. Anita AlbertSpecialty: General Dentistry

Dr. Bruce Bentley, Jr.Specialty: Orthodontics

Dr. Sara BurnsSpecialty: General Dentistry

Dr. Shelly DuggalSpecialty: General Dentistry

Dr. Ali GolshaniSpecialty: General Dentistry

Dr. Soulmaz HeydariSpecialty: General Dentistry

Dr. Allan Hsu Specialty: General Dentistry

Dr. Tessia LamisonSpecialty: General Dentistry

Dr. Jennifer PhillipsSpecialty: General Dentistry

Dr. Walkiria RiveraSpecialty: General Dentistry

Dr. Melody SalehiSpecialty: General Dentistry

Dr. Audrey SuSpecialty: General Dentistry

Dr. Leigh VeilleuxSpecialty: General Dentistry

Dr. Sarah WojciechowskiSpecialty: General Dentistry


Capital Area Dental Society Income Statement * June through July 2015

13066 North Highway 183Austin, TX 78750

325 North Lake Creek DriveRound Rock, Texas 78681

Dr. Joseph P. Goodson has served the Austin community for over 35 years. Dr. Goodson and his entire staff are dedicated to providing each patient with individualized, state-of-the-art orthodontic treatment and courteous personal attention.

Our office is designed for your comfort and our trained professional staff works as a team to make your visit pleasant. We maintain a small staff, which enables us to give you the best care possible. Plus, you will see Dr. Goodson at every appointment.

We recognize that every patient has different needs, and we pride ourselves in the courteous service that we deliver to each person who walks through our door. Whether you’re an adult, teen or child, our knowledgeable doctor and staff are committed to helping you achieve a healthy, beautiful smile for a lifetime.

JOSEPH P. GOODSON, D.M.D., M.S.Specialist in Orthodontics for Children, Teens and Adults

512-258-6683www.goodsonorthodontics.com

Capital Area Dental Society Income Statement June through July 2015

Page 1 of 1

July 2015 June - July 2015 Annual Budget % of Budget

Income

Advertising Income 1,710.00 7,770.00 34,000.00 22.85%

Dues 1,100.00 4,650.00 113,350.00 4.1%

General Meetings Income 260.00 5,848.62 46,000.00 12.71%

Interest Income 3.35 6.82 0.00 100.0%

Investment Income 0.00 0.00 0.00 0.0%

Miscellaneous Income 0.00 120.00 1,000.00 12.0%

Unrealized Gains/Losses 0.00 0.00 0.00 0.0%

Total Income 3,073.35 18,395.44 194,350.00 9.47%

Expense

Accounting/Banking 809.28 821.78 3,500.00 23.48%

Board Meetings 1,329.01 2,438.76 9,000.00 27.1%

Building Fund Exp 0.00 0.00 0.00 0.0%

Capital Star 3,862.75 7,432.44 45,500.00 16.34%

Committee Expenses 4,357.22 10,023.22 26,600.00 37.68%

Donations & Gifts 0.00 0.00 3,500.00 0.0%

Equipment Purchases 0.00 0.00 500.00 0.0%

General Meetings 4,605.56 5,257.77 43,500.00 12.09%

Income Tax 0.00 0.00 4,000.00 0.0%

Management Fee 4,326.50 8,268.28 45,600.00 18.13%

Miscellaneous Expense 1,435.67 1,801.67 5,650.00 31.89%

Office Expenses 207.53 400.80 4,000.00 10.02%

Reserve Fund 0.00 0.00 0.00 0.0%

Special Events 0.00 0.00 3,000.00 0.0%

Total Expense 20,933.52 36,444.72 194,350.00 18.75%

Net Income -17,860.17 -18,049.28 0.00 100.0%


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Regulatory Updates

A reminder that the Opt-In/Opt-Out dates for Medicare have changed. The Centers for Medicare and Medicaid

Services have announced an extension for the deadline to either enroll or opt-out of Medicare for providers prescribing Medicare Part-D drugs. The new deadline is June 1, 2016, but the CMS encourages you to take action by January 1, 2016 to allow time for paperwork to clear.

The Texas State Board of Dental Examiners recently held Stakeholder Meetings to discuss possible changes to current rules pertaining to the advertising of a “specialty.” Check the CADS website (www.capitalareadental.org) for the most up to date information on this topic.

The Austin City Council Public Utilities Committee met recently to decide the fate of a proposal to remove fluoride from the community’s water supply. A full report will be made available on the CADS website and in the October issue of The Capital Star.

The EPA’s final rule on minimizing environmental mercury in the dental office is due next summer. The rule will have an effective date of three years after it is finalized (summer 2019). Under the proposed rule, dental offices (some specialty practices not included) will be required to install amalgam separators if their waste water is discharged to public treatment facilities.

September 18-19, 2015Lubbock, Texas

October 30-31, 2015Abilene, Texas

March 5, 2016Marlin, Texas

May 20-21, 2016Ft. Worth, Texas

July 9, 2016Brady, Texas

Texas Mission of Mercy Events 2015 - 2016

Visit www.TDAsmiles.org for more information and to sign up.


Temporary and permanent staffing exclusively for the dental profession.

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CADS/CADF present a day of golf and camaraderie with the 2015 Golf Classic & 19th Hole After Party!

Friday, November 20, 2015Avery Ranch Golf Club

7:00am - Registration, Driving Range, Breakfast

8:00am - Shotgun Start (4-person scramble)

1:30pm - 19th Hole After Party & Lunch Reception

$125/player or $500/team$25 for non-players attending 19th Hole After Party

Sponsorship Opportunities available ranging from $500 to $4,000

Register, sponsor, get more info:www.capitalareadentalfoundation.org

www.capitalareadental.org512-992-1217 | [email protected]


C A P I T A L S T A R

Dr. X, who is a couple of years away from retirement, wanted to discuss the value of her

practice and potential transition strategies. She had heard from various “experts” that dental practices are worth approximately 70% of their previous year’s gross revenue. While this “rule of thumb” sometimes holds true, there are many other factors that influence market value, with the most significant factor being profitability. When we brought up the tremendous impact that overhead and cash flow have on practice value, Dr. X’s positive demeanor began to change into one of concern.

Dr. X went on to explain that, while her practice’s gross revenue had been steadily increasing, her net income had not followed the same trend. After examining her practice financials for the past few years, it quickly became apparent that several overhead expenses were much higher than industry standards. This was particularly obvious in her lab expenses, which were running at 14% of gross income as compared to the industry norm of 8-10%, and dental supply costs, which stood at 10% of gross revenue as opposed to the normal range of 5-6%.

Dr. X related the inflated lab expenses to the fact that she did a large amount of crown and bridge, but our investigation revealed that the true culprit was a high lab cost per unit. Dr. X went on to reveal that her lab technician is a close friend and she had not shopped around in years. By using a more competitive price per unit (without sacrificing quality), we calculated that Dr. X could easily reduce her lab expenses to approximately 8% of gross income, a savings of over $24,000 per year.

We also found that the assistant who ordered dental supplies for the office had developed a close relationship with one of the supply representatives and was not competitively shopping for the best buys. After reassigning this task to another person, the supply expense immediately dropped to a more acceptable level of 6% of gross revenue, reducing overhead by an additional $16,000 per year.

From this experience, Dr. X learned that her profit and loss statement can serve as a valuable tool to compare her expense levels to industry norms, identify problem areas, and make changes that will lead to increased net income and practice value. She also realized that while gross income certainly influences market value, the net income generated from those

revenues has a much greater impact and plays a far greater role in gauging the health of an office. Through making a couple of minor changes, Dr. X increased the profitability of her office by 10% or $40,000, which made a huge difference in her quality of life as well as the value and marketability of her practice. That marketability can be achieved and applied to all dental practices, thus increasing their value.

We understand that dentists are busy people and don’t typically enjoy spending a great deal of time analyzing numbers or pouring over income/expense statements. Therefore, we suggest that doctors simply become familiar with the normal range for major overhead expenses (dental supplies, lab, staff, etc.) so that they can quickly notice if something is out of line and move to correct the problem, thus making their time and their practice more valuable.

McLerran and Associates, with over 25 years of experience serving the dental community, provides clients with transition and consulting services to help them achieve their goals. Contact David McLerran or Brannon Moncrief or visit www.dental-sales.com.

ASK THE EXPERTSBy Brannon Moncrief and David McLerran

The Importance of Controlling Overhead

SWINGINGFORSMILESBenefitting TDA Smiles Foundation

Topgolf AustinFriday, October 96-9 PM

Generous Grub, Drinks & Drives!

tda.org/topgolf 512-448-2441 [email protected] tickets or sponsorship opportunities contact:


VOLUNTEERS NEEDED

C A P I T A L S T A RC L A S S I F I E D S

WOULD YOU LIKE TO PLACE A CLASSIFIED AD?If you are a CADS member, then the service is free! Simply email your ad to [email protected] by the 5th of each month so we can make sure it appears in the next issue. There is a 30-word limit per ad. If you have any questions, please call (512) 335-1405.

EQUIPMENT FOR SALE

PRACTICE FOR SALE

ASSOCIATES/PARTNERS

SPACE AVAILABLE

EMPLOYMENT

Private care general practice, no PPO’s, seeking associate with intent to buy. 38 years in central Austin location. Longstanding, wonderful staff. Austin Skyline Dental. Call 512-452-9547.

Established general dentistry practice in downtown Austin seeks motivated, experienced dentist for space sharing arrangement available immediately. 3 operatories. Contact Shannon 512-320-8060 or [email protected].

Established private practice looking to add a quality oriented dentist with great communication skills & friendly demeanor. Skills in Endo, Invisalign, Pedo, Cerec and Exts a plus. Send Resume to [email protected].

Privately owned FFS North Austin office is looking for an associate / partner. Experienced candidates must be able to provide a high level of patient centered care. [email protected].

St. David’s Foundation is recruiting for two Lead Dentists. Visit http://stdavidsfoundation.org/about-us/working-at-sdf/careers for info. Send cover letter, resume & three references to [email protected] to apply.

Part time Dental Hygienist needed for Thursdays and Fridays at a busy South Austin Dental practice. Please send resumes to [email protected] or call 512-445-7070.

General Dentist with 20 plus years’ experience available for temp work...vacation, sick, maternity leave. Call Dr. David Butler 512-267-0890 or cell 512-971-1049.

The Donated Dental Services (DDS) Program needs volunteers (General & Specialists) to provide comprehensive dental care to the elderly & disabled in your office. To volunteer, contact the Capital Area Dental Foundation at 512-992-1217.

The Health Alliance for Austin Musicians (HAAM) Program needs volunteers (General & Specialists) to provide comprehensive dental care to Austin’s hard working musicians in your office. To volunteer, contact the Capital Area Dental Foundation at 512-992-1217.

Pelton and Crain Chairman Chair with Traverse Dark woodtone base with nautical blue upholstery in good condition. Mechanically completely sound/functions as designed. $2400.00. Call 512-343-9488.

Inexpensive major brand dental implants and components for sale. Variety of Nobel Biocare, AstraTech, 3i, Zimmer, Bicon, Biohorizons, Hiossen, Implant Direct, etc. Email questions to [email protected] for quote.

Marus Dental side unit with assistants package and light. $700 OBO. Email [email protected].

Adec 1003 chairs with units, lights. Gendex x-ray, Dental-Ez chairs, doctors & assistants stools, sterilizer, perio-pro developer, bathroom cabinets, compressor. [email protected].

For Lease: New medical office within Waterleaf Medical East-Bldg 1 in Southwest Austin. Approximately 3 miles from Circle C. ~1400-1500SF. White Box delivery. For more information, call 512-791-1584.

New large modern Endodontic practice in Waterleaf medical complex in Circle-C. Has 3 plumbed operatories available in a separate section for space sharing arrangements with another specialist. Contact 617-633-2233.

Round Rock. Corner, Intersection. New, modern space available. 2,000 to 4,000 sq. ft. shells available. Surrounded by great neighborhoods and schools. Call 512-751-1099.

Practice Sale: N Central Austin, 8 ops (6 equipped), 2,600’, 700k gross, sell for 485K, office finished out in 2004 for $325K, designed for 2 dentists, top condition, all digital, retiring. reply [email protected].

Retiring? Looking to sell? Husband and Wife dental team looking to purchase dental office in Austin Area. Seeking general practice, strong hygiene, ~$1M+ collections. We are preapproved. Email: [email protected].

ARE YOU LOOKING TO GROW,

EXPLORE NEW DENTAL TECHNOLOGIES AND FIND SOLUTIONS FOR BETTER PATIENT CARE?

PATTERSON DENTAL HAS THE EXPERIENCE TO BRING INNOVATION TO YOUR PRACTICE.

PATIENT EXPERIENCE, PRACTICE LIFESTYLESM

PRACTICE EXPERIENCE . . . WITH PATTERSON DENTALREVOLUTIONIZE HOW YOUR TEAM AND PATIENTS EXPERIENCE DENTISTRY.

CALL 512.218.5200 OR VISIT PATTERSONDENTAL.COM

TO START LIVING YOUR DENTAL DREAMS.

16P0399 (7/15)

Letters to the EditorDo you have something to say or a point to make about our profession or organization? Please let us know! Letters to the editor are always encouraged. Please send letters to [email protected]. The Capital Star and Capital Area Dental Society reserve the right to edit letters for clarity and length.


• DentalExtractions,IncludingImpactedThirdMolars

• DentalImplants-BoneGrafts-RidgeAugmentation–PRP

• ManagementofComplicatedTemporomandibularJointDisorders

• OrthognathicSurgery-ReconstructionofFacial&JawDeformities

• FullRangeofAnesthesiaServices

Wearehappytohelpyourpatientswhohavechallengingoralsurgical&medicalneeds.

ProudSupporterofCapitalAreaDentalSociety

Diplomate, American Board of Oral & Maxillofacial SurgeryAdult and Pediatric Care of the Jaws and Facial Structures

www.jawpain.comhttp://www.facebook.com/drdalegallagher

12210 Pecan Street • Austin, TX 78727Office: 512.258.1636

Backline#: 512.331.7246Fax: 512.258.6352

Email: [email protected]

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AUSTIN, TXPERMIT NO. 2702

CAPITAL STAR

IS A

PUBLICATION

OF CAPITAL

AREA

DENTAL SOCIETY

P.O. Box 202966

Austin, TX 78720-2966

512/335-1405

Fax: 512/335-1835

e-mail: [email protected]

www.capitalareadental.org

The opinions expressed herein are not necessarily those of the Editor, The Capital Area Dental Society Board of Directors or the Membership.

OFFICERS:Dr. Elyse Cronin Barron, President; Dr. Matthew Heck, President-Elect

Dr. Ensy Atarod, Treasurer; Dr. Dale Gallagher, SecretaryDr. Donald Taylor, Immediate Past President; Dr. Tim Franklin, Member at Large

EDITOR:Dr. Jonathon Kimes

WEBMASTER:Dr. Trisha Kimes

MANAGING EDITOR:Nancy Nisbett, Executive Director

SAVE THE DATE!!!

CADS/CADF Golf Tournament November 20, 2015

Avery Ranch Golf Club

Austin, Texas8:00 a.m.

Details to follow

Documents

Successful Management of Acute Dental Pain · 2 • September 2015 CAPITAL STAR By Jonathon R. Kimes, DDS EDITOR’S REPORT Don Leighton-Burwell, AIA; TX Architect #12079 512.323.2017