Wolinsky Named New Dean of Baylor College of Dentistry

Concluding a yearlong nationwide search, the Texas A&M University System Board of Regents earlier this month approved Dr. Lawrence E. Wolinsky as the new dean for the Texas A&M Health Science Center (TAMHSC) Baylor College of Dentistry in Dallas.

Dr. Wolinsky currently serves as the associate dean for academic programs and personnel in the UCLA School of Dentistry. He begins his new duties September 1. As the TAMHSC-Baylor College of Dentistry dean, Wolinsky’s responsibilities include promoting excellence in dentistry education, graduate education, and research through recruitment of high quality faculty; ensuring space and resources for all programs; and overseeing curriculum, student affairs, and educational policies. “We are delighted to welcome Dr. Lawrence Wolinsky to our leadership team,” said Dr. Nancy W. Dickey, president of the Texas A&M Health Science Center and vice chancellor for health affairs for the A&M System. “Dr. Wolinsky brings years of experience across a variety of roles — roles that ultimately led him to seek the role of dean. He is committed to excellence in research and innovation in education; both goals are consistent with the TAMHSC’s overarching goals.” Wolinsky is honored to be selected. “I am looking forward to moving to Dallas and continuing the tradition of excellence that the Baylor College of Dentistry and the Texas A&M Health Science Center share,” he said. In addition to being associate dean, Wolinsky is a professor in the Section of Oral Biology in the Division of Oral Biology & Medicine at the UCLA School of Dentistry, having joined the dental school faculty in 1980. His numerous academic achievements included creating a mentorship program for junior faculty to assist them in mapping their career development and guiding the dental school through a successful re-accreditation. Wolinsky’s research projects focus on identifying new treatment methods for periodontal disease and management of caries. He was among the first to explore the plaque-inhibiting effects of natural plant compounds and instrumental in developing an antimicrobial gel (Atridox®) for managing periodontal disease. He also aided in creating a remineralizing toothpaste (Enamelon®) to help reverse early tooth decay. Wolinsky obtained his Ph.D. in synthetic organic chemistry at the University of California, San Diego, his doctorate in dental medicine from Tufts University School of Dental Medicine and a certificate in periodontology from UCLA. His wife, Dr. Amerian D. Sones, is a prosthodontist, and they have three grown children — Julia, Zachary, and Andrew.

JULY 2011 VOLUME 12, ISSUE 7 AVAILABLE ONLINE AT TDA.ORG

Inside

Texas Medicaid Electronic Health Record Incentive Program Future Changes to Texas Medicaid Dental Program TDA Smiles FoundationRecord Breaking Smiles on WheelsWelcome, New Board Members TDA Leadership Conference Alliance of the TDA

August Journal News

Dental EthicsStrength of Our Profession

Around the State

August 5Texas State Board of Dental ExaminersAustin August 5 & 6Dentists Who Care ConferenceSouth Padre Island August 5 & 6TDA Smiles Foundation Smiles on WheelsTexarkana August 12TDA Board of DirectorsAustin August 13Strategic PlanningAustin August 27ADA 15th District Trustee Delegation Golf TournamentDallas August 28ADA 15th District Trustee Delegation Second CaucusDallas

Click & Connect

Join us on Facebookwww.groups.to/texasdental Follow us on Twittertwitter.com/theTDA Get LinkedInLinkedin.com, search “Texas Dental Association”

JUNE, 2008 VOLUME 9, ISSUE 6 AVAILABLE ONLINE AT TDA.ORG

InsideMedicaid in My Office?Yes, I Think So!Richard M. Smith, DDS

TDA Smiles FoundationTMOM gains ardent advocate

Ask the PresidentIncoming President’s messageHilton Israelson, DDS

Let’s TalkOutgoing President’s messageA. David May, Jr., DDS

2008-2009 TDA Board of Directors

Meet Your TDA StaffTDA’s new Finance Director Dee Dee Delagarza

Congratulations to TDA Component Societies

Streamline Your Insurance ClaimsSpeeding up confirmation of benefits and eligibility

TSBDE Rule UpdateRequirements for dental office radiograph machines

In the NewsTDA members in the news

July Journal NewsTooth Whitening: A Clinical Review

TDA Historical PerspectivesDentists, dental hygienists, and the dental team

The 2007 C.T. Rowland AwardOrthodontic case report

The El Paso Dental Conference

Around the StateAugust 14:TDA Board MeetingAustin, Texas

October 15-19:ADA Annual SessionSan Antonio, Texas

Click & ConnectUpdate Profile tda.org – Membership Info Ask a Colleague tda.org – Features TEXAS Meeting Photostexasmeeting.com/estore

Volunteer for ‘08 ADAtda.org/volunteerada08

Every Member MattersRise’ Lyman, DDS, TDA Future Focus Committee

Membership growth is vital to any thriving organization. The Texas Dental Association (TDA) Board is strongly committed to the Membership goal within the “TDA 2009” strategic plan, which addresses continued growth. I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received the following ADA awards in 2008:• Greatest Percentage Membership Net Gain: Texas had a net gain of 198 members in the year 2007.• Top Constituent Dental Society with Greatest Percentage of Non-Members to Membership: Represents a conversion of 4.7 percent of non-members into membership at end of year 2007.• Top Constituent Dental Society to Improve Retention Rate Percentage in 2007: Represents a 97 percent Association retention rate, which is an increase of 7 percent from the previous year.• Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those dentists who are 1-9 years out of school).

Another example of the commitment to the growth of our Association is the TDA Externship Program, which builds student awareness of organized dentistry. This innovative program, created in 2007, offers students the opportunity to gain insight into the different components of organized dentistry including legislative and regulatory affairs, membership, governance, continuing education, and charitable dentistry and to gain a better understanding of their role as future leaders of the dental team. The program is open to dental students from each of the three dental schools in Texas. This year the externship program will take place June 20 – June 27 in Austin at the TDA central office. As an ongoing effort to enhance the value and benefits of the Association, the TDA Council on Membership developed a survey that was sent to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, TDA publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs offered to members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Council on Membership, will survey members again in 2009. Participation from all members and a collaborative effort between the ADA, TDA, and local component societies are the keys to successful membership recruitment and retention. We encourage every member to get involved whether it is by attending local meetings, taking part in Give Kids a Smile! Day activities, volunteering at a Texas Mission of Mercy, or participating in TDA Legislative Day activities in Austin. Each member matters and is essential to the continued growth of our Association and of organized dentistry. This is the seventh and final in a series of articles focused on the TDA’s accomplishments guided by the strategic plan. To view the entire plan, log in at www.tda.org and click on “TDA 2009” under “Current Issues” on the member homepage. For more information, please contact Lyda Creus Molanphy, staff liaison to the Future Focus Committee, at the TDA central office, (512) 443-3675.

MembershipDentists will value membership and participation in the TDA.

Objectives1. Improve perceived value and benefits of membership in TDA. a. Increase members’ knowledge about the impact and benefits of TDA membership. b. Ensure that components are an integral aspect of the membership process. c. Create greater awareness of the availability of the Peer Review, Ethics & Judicial, and Risk Management benefits. d. Actively promote adherence to the Code of Ethics. e. Enhance communication with members and non-members. f. Build student awareness of and interest in organized dentistry and membership in TDA. g. Ensure ongoing contact with students throughout dental school. h. Work closely with dental school faculty. i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, TDA Smiles Foundation programs, etc.).Metrics1. Seventy percent of active licensed dentists in TX will be members of TDA by 2009 (baseline of 68.5% in January 2007); increase

membership retention rate to 97 percent by April 2007 (baseline 96% in 2006). a-d. Increase the number of dentists serving on component peer review and ethics and judicial affairs committees to attain a

participation rate of 2-5 percent relative to the total number of component society members by August 2009.2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89%

dental student conversion from the graduating class of 2005 in Texas).3. Increase the number of member dentists actively participating in TDA by 1 percent a year (as measured by a variety of means

– participation at TX Meeting, TMOM, TXDDS, FSI programs, DENPAC participations, TDA legislative day) with annual report to TDA Board by the Council on Membership.

4. Establish baseline of nonmember participation at TDA activities (CAS, TDA Smiles Foundation, Membership) 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membership through Member

Benefits and Services Survey (completed Nov 2006), re-evaluate % increase at that time for 2009.6. Sixty-five percent of all full-time faculty will be TDA members by 2009 (2006 baseline = 63%).

Mission: To be The Voice of DenTisTry in Texas

Manpower Advocacy OrganizationalExcellence

Public Image

Development Membership

The TDA will update it’s strategic plan with another statewide retreat in August of 2008.

In 2003, Texas Dental Association members from across the state develop TDA’s first strategic plan, TDA 2009.

Wolinsky

Grassroots Advocacy Helps TDA Achieve Legislative Goals On June 29, 2011, the 82nd legislative session officially ended with Texas lawmakers meeting for a total of 170 days — 140 days in regular session and 30 in special session. During that time, legislators were faced with balancing a budget with an unprecedented shortfall, redistricting, state agency reviews, and a host of other divisive issues including immigration reform, restructuring of the Texas Windstorm Insurance Association, and health care reform. This volatile legislative landscape made it very difficult for stakeholders to successfully achieve their goals. Most special interests focused energy and attention on retaining what they have. However, hard work by TDA’s legislative staff and consultants, along with calls, e-mails, and personal visits from member dentists to legislators, helped organized dentistry achieve many of its goals this session.

Budget Per the Texas Constitution, the biennial state budget is the only piece of legislation that must pass every session and it must be balanced. Without it, Texas government and all the programs it funds cease to function. Lawmakers faced a daunting task this session. Sales and franchise tax revenues were down and there was no appetite for tax increases or depletion of the Rainy Day Fund to close the estimated $20 billion budget gap. The legislature balanced the 2012-2013 budget by cutting spending. Although a majority of items funded by state government received some level of reduction this session, the TDA is very pleased to report that the Association’s advocacy efforts resulted in preserving funding for the two largest oral health programs in the state: Medicaid dental and Children’s Health Insurance Program (CHIP) dental. Throughout the session, TDA’s legislative staff and consultants worked closely with key legislators to defend funding levels for both dental programs. Neither program received additional funding cuts in the 82nd session and were funded at the same level as 2011 — more than $300 million dollars in funding protected. Adequate funding will promote continued dentist participation and access to oral health services for the state’s most vulnerable children. It is important to note that although funding for these programs was not cut, participating dentists will likely see a reduction in reimbursement rates because of the transition to the commercial administration of Medicaid. Managed Care Organizations (MCOs) are scheduled to begin administering the Medicaid program in March 2012. Funding for the State Oral Health Program at the Department of State Health Services was not cut but the method of finance changed from state funds to federal funds. Funding for the Texas State Board of Dental

Examiners (TSBDE) was reduced 10 percent, less than originally proposed and feared.

Insurance In addition to the daily work performed by TDA legislative staff and consultants, the grassroots activities of member dentists played a crucial role in passing SB 554, historic legislation which prevents state regulated insurance companies from capping fees on dental services they refuse to cover. Despite the insurance industry’s ceaseless attempts to kill or stall the legislation, the TDA prevailed due to the incredible response and work performed by member dentists who

contacted their legislator(s). The legislation takes effect September 1, 2011. Contracts signed or renewed before that date will be subject to prior law. It is important to note that this law only affects insurance plans regulated by the State of Texas. Dentists will need to determine if a particular insurance policy is regulated by the State of Texas or the federal government (Employee Retirement Income Security Act of 1974 or ERISA). The TDA’s Third Party Payor Web Tool (www.tda.org) serves as a resource to members. According to the Web Tool, “HMOs (and PPOs) regulated by the Texas Department of Insurance must include state “DOI” or “TDI” on the face of the identification cards they issue. If you see “DOI” or “TDI” on the card, you know that the plan is regulated by the Texas Department of Insurance.” Please use the tool as a resource. Staff members at the TDA central office are also available to assist you. Additionally, dentists may utilize the American Dental Association’s (ADA) Contract Review Service to analyze unsigned insurance contracts. This service offers analysis of third-party contracts (i.e., from managed care companies) and informs members about the provisions of the contracts so they can make informed decisions about the implications of participation. In order for a TDA member to use this service, the process must be initiated by the TDA. Please contact the TDA Member Services & Administration Department for more information.

Protecting Dentistry Along with advancing the dental profession, the TDA is equally committed to protecting the practice of dentistry. During the legislative session, the TDA tracked more than 200 bills relating to dentistry. Many of them violated Association policy and were killed or amended to protect dentists and the profession. For example, the TDA amended legislation exempting dental care benefits from an exclusive provider benefit plan as well as amending legislation to exempt dental practices from registering diagnostic imaging

Continued on page 2

July 2011 / TDA Today / 2

Happy, Healthy Smiles … That’s Our Mission!

A Record-Breaking Smiles on WheelsOn June 11, 2011, TDA Smiles Foundation (TDASF) broke its own record for value of care provided at a Smiles on Wheels event. Mineral Wells was the site of the 16th Smiles on Wheels. The local committee, spearheaded by Dr. Saskia Vaughan and Mrs. Ginny Arrott, helped make it an amazing success. Volunteer dental professionals came from all over Texas, joining local community volunteers, to set up operations in the Mineral Wells Senior Center and the First Baptist Church. Five of the dentists were first-time volunteers. Showing exemplary teamwork and efficiency, the team provided charitable dental care to 159 Texans. The value of care was $130,811, beating the previous record for value of care delivered at a Smiles on Wheels event by more than $14,000.

A New Style of MissionOn August 5 and 6, 2011, TDASF will debut a new program model and needs your help. Texarkana will be the launch site for the first half-sized Mission of Mercy event, tentatively nicknamed “Mini-MOM” or “Half TMOM.” Dentists, hygienists, nurses, dental assistants, office staff, and community volunteers are encouraged to sign up at the website, tdasf.org. With this mission, TDASF hopes to treat 500 patients over 2 days using 20 dental chairs. By comparison, a typical TMOM event uses 40 chairs over 2 days to treat 1,000 patients, and a typical Smiles on Wheels event uses 15 chairs for 1 day to treat 150 patients.

Welcome, New TDASF Board and Committee MembersTDASF is excited to welcome Dr. Ben Taylor of San Antonio, Dr. Doug Bogan of Houston, and Dr. James Douthitt of Amarillo to the TDASF Board of Directors. We are also pleased to welcome Dr. Colin Lathrop of The Woodlands, Dr. Jeff Harden of Houston, and Mr. Wade Barker of Dallas, to the TDASF Access Committee. All have been amazing assets to TDASF through their dedication and hard work. We look forward to having their incredible skills and knowledge at our fingertips.

Dr. Russell Owens of Ft. Worth and Dr. Kavin Kelp Austinof with a satisfied patient at Smiles on Wheels

in Mineral Wells.

Dr. Robert St. John of Bowie with a patient at Smiles on Wheels in Mineral Wells.

Dr. Steven Banks of Amarillo treats a patient at Smiles on Wheels in Mineral Wells.

Dr. Tom Novak of Weatherford treats a patient at Smiles on Wheels in Mineral Wells.

Dr. Saskia Vaughan (left) of Mineral Wells, the dental chair of Smiles on Wheels in Mineral Wells, poses with a local volunteer.

Texas Medicaid Electronic Health Record (EHR) Incentive Program This is the eighth in a series of articles to keep you informed of the Texas Medicaid Electronic Health Record (EHR) Incentive Program and continuing efforts to implement health information exchange initiatives across Texas. The incentive program provides incentive payments to Medicaid providers for the adoption and meaningful use of certified EHR technology. Future articles will focus on helpful reference websites, health information exchange, meaningful use for dentists, certified EHR technology for dental practices, and other relevant topics of interest to dentists. Last month’s update detailed the requirement for EHR program participants to use certified EHR technology. As it stands now, there is not a certification available for dental practice management software. However, both Patterson Technology and Henry Schein Practice Solutions are trying to certify Eaglesoft and Dentrix software. You may contact the vendors for additional information. In addition to using certified EHR technology, program participants must also prove “meaningful use” (MU) of the certified EHR technology. “Meaningful use” means that participants demonstrate that the EHR technology is being implemented in measurable ways. The Centers for Medicare and Medicaid Services (CMS) defines three main components for meaningful use:

• The use of a certified EHR technology in a meaningful manner, such as e-prescribing;• The use of certified EHR technology for electronic exchange of health information to improve quality of healthcare; and• The use of certified EHR technology to submit clinical quality and other measures.

Currently, many of the core meaningful use objectives don’t apply to dentists and this makes it very difficult for the average dentist to participate in the Medicaid EHR program. The Texas Dental Association’s Committee on Access, Medicaid & CHIP is currently working with the Health and Human Services Commission (HHSC) to help establish MU criteria for dentists in Texas. Once completed, HHSC will be able to transmit the information back to the federal government which ultimately determines the MU criteria for participating in the EHR program. CMS has detailed information for the Medicaid EHR program at www.cms.gov/EHRIncentivePrograms. For help in the Texas enrollment process, e-mail HealthIT@tmhp.com or call (800) 925-9126, Option 4.

equipment. The TDA also fought legislation that would have taxed cosmetic dental procedures, made dental assistants independent contractors, allowed dental patients the ability to consent to a prophylaxis without undergoing an X-ray if ordered by the treating dentist, and mandated dentists and other health care professionals to post their pricing information on the internet.

Scope of Practice The TDA prevented dental hygienists from once again trying to increase the number of facilities where they may perform designated services for up to 12 months before the dentist examines the patient. Legislation which would permit dental hygienists to administer local anesthetic was also halted.

Privacy of Electronic Health Information The legislature debated privacy of electronic health information during the session and the TDA helped shape the final legislation in a manner favorable to dentistry. HB 300 requires entities covered by the Health Insurance Portability and Accountability Act (HIPAA), including dentists, to comply with the amended Texas Medical Privacy Act (TMPA). Effective September 1, 2011, covered dentists must train new employees within 60 days of hire per federal (HIPAA) and state (TMPA) privacy requirements. Also, if a covered dentist uses an electronic health records system for patient records, he or she will have 15 business days from the date of the patient’s request to give the patient an electronic copy of their dental record.

Grassroots Advocacy, continued from page 1

This article appeared in the journal Lung recently; it reported that poor dental hygiene in nursing homes, including cleaning of dentures, increased the incidence of pneumonia. Enter Pubmed number 21533635 on the PubMed website: pubmed.gov. ReferenceEl-Solh AA. Association Between Pneumonia and Oral Care in Nursing Home Residents. Lung 2011 Apr 30. [Epub ahead of print].

Evidence-Based Practice Tip of the Month

Stephen R. Matteson, D.D.S., Editor

Health Care The legislature focused much of its time and energy this session on balancing the budget. Roughly 35 percent of the state budget funds health and human services agencies and programs. Several bills, including SB 7, were designed to create further efficiencies in state government health care programs. SB 7 also amends the Insurance Code to authorize the creation of “Certified Healthcare Collaboratives” that may include dentists. The legislation also expands Medicaid managed care into the Rio Grande Valley and allows Texas to partner with other states — Interstate Health Care Compact — to direct its own health and human services programs and take innovative health care approaches not currently available under federal Medicare and Medicaid regulations.

Looking to the Future The TDA’s legislative success is a true testament to the dedication and passion of TDA members, and the Association’s future success relies heavily on the continued involvement of each and every TDA dentist. There are numerous legislative initiatives that the TDA will need to address during the 2013 legislative session — hopefully a time in which the landscape will be more favorable for pursing specific priorities for dentistry. Such initiatives include helping prevent the illegal practice of dentistry, shielding dentistry from potentially unfair tax regulations, strengthening the State’s oral health infrastructure, and improving the dental public health safety net. The TDA continuously needs to strengthen its grassroots efforts and contact dentist database. If you have a personal relationship with a legislator and want to serve as a TDA Contact Dentist, please contact the TDA Department of Legislative and Regulatory Affairs.

TSBDE Rule UpdateThis recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices.

This TSBDE Update will address Texas State Board of Dental Examiners (TSBDE) Chapter 110 — 22 TAC §110.3 — Nitrous Oxide/Oxygen Inhalation Sedation permit. It is important to note that licensed dentists lacking sedation permits may continue to utilize local anesthetic and prescribe minor tranquilizers for anxiolysis. A dentist holding an active Nitrous Oxide/Oxygen Inhalation Sedation permit before June 1, 2011, will automatically have his/her permit reclassified as a new Nitrous Oxide/Oxygen Inhalation Sedation permit in accordance with §110.3. As a reminder, although Chapter 110 became effective June 1st, the TSBDE will not start enforcing requirements until January 1, 2012. This delay is intended to allow ample time for dentists to get any additional anesthesia/sedation certifications they need. The TSBDE defines Nitrous Oxide/Oxygen Inhalation Sedation as a minimally depressed level of consciousness, produced by the administration of nitrous oxide alone, in which the patient retains the ability to independently and continuously maintain an airway and responds normally to tactile stimulation and verbal command (1). The summary below is taken directly from Chapter 110 — 22 TAC §110.3 — Nitrous Oxide/Oxygen Inhalation Sedation. A dentist applying for a Nitrous Oxide/Oxygen Inhalation Sedation permit must meet one of the following educational/professional criteria: §110.3 (a) (1): satisfactory completion of a comprehensive training program consistent with that described for nitrous oxide/oxygen inhalation sedation administration in the American Dental Association (ADA) Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students. This includes a minimum of fourteen (14) hours of training, including a clinical component, during which competency in inhalation sedation technique is achieved. Acceptable courses include those obtained from academic programs of instruction recognized by the ADA Commission on Dental Accreditation (CODA); or courses approved and recognized by the ADA Continuing Education Recognition Program (CERP); or courses approved

Continued on page 4

July 2011 / TDA Today / 3

In the past month, I have had the privilege of visiting several component societies. Each one has been a unique and friendly experience that has shown how diverse, yet how similar, we are as dentists caring for the public in our own communities. These experiences have demonstrated to me how very important the Texas Dental Association is to all of us in the dental profession. Earlier this month, I received an invitation to a party sponsored by the Great Expectations program at the University of Texas Health Science Center at San Antonio Dental School (UTHSCSA). In San Antonio, Dr. Risé Martin has been the driving force for the program. I was familiar with Great Expectations, which originated at Texas A&M Health Science Center – Baylor College of Dentistry in Dallas by Dr. Moody Alexander several years ago. All three dental schools have since embraced the program, and this was my first opportunity to see it up front. When I arrived at the home of Dr. Pam Ray, about 90 dental students in small groups were discussing with a member of the San Antonio District Dental Society (SADDS) various aspects of the world of dentistry and dental education. Each group is assigned several mentors, one SADDS member, one instructor from UTHSCSA, and one student mentor. As I traveled from group to group, the dental students asked me many questions about the dental profession and the TDA. They even asked some questions about Texas politics and the recently completed legislative session. Their enthusiasm and curiosity about our profession was both amazing and refreshing considering that they are still students. As the evening continued and the students began to leave, I spoke with some of the SADDS mentors whom I had known for many years. I sensed their enthusiasm and saw how they placed great value on working with the dental students. And, I had one other revelation about our profession’s bright future. When talking to two students, I unwittingly asked, “How long have you been in dental school?” Was I ever amazed when one of them replied, “We all started 2 days ago.”

Preston’s Press

J. Preston Coleman, D.D.S., TDA President 2011-12

Alliance of the TDAThe Alliance of the TDA (ATDA) hosted its 6th Annual Cooking Class at the organization’s 81st Annual State Convention in San Antonio in May. State

Convention Chairman Ms. Janell Dunsworth (Dallas 5/NE) along with the Marriott Rivercenter Executive Chef Donald Hoffman put together an unforgettable “Chili Cook-off” for more than 50 ATDA members and guests. Chef Hoffman and his staff prepared a smorgasbord of ingredients and attendees divided into four teams. Members of Chef Hoffman’s staff assisted in the preparation; however, ATDA members came up with the recipes and did most of the cooking. Chef Hoffman donated cloth aprons which were embroidered by ATDA president-elect Ms. Sharon Bryant (Dallas 5/NE). Chili entries ranged from a traditional spicy chili to beer chili to vegetarian chili. Two members of Chef Hoffman’s team served as judges. The winning team’s “Sweet & Spicy” entry combined pineapples and cherries and had a little kick that caught the judges’ attention. The annual event has grown in popularity each year and is a way to introduce dental spouses to the ATDA. For more information about the ATDA, please contact TDA Alliance liaison Ms. Donna Musselman, (512) 443-3675, donna@tda.org.

On Saturday, June 25, 2011, TDA president Dr. J. Preston Coleman hosted the TDA Leadership Conference at the Austin Marriott South. The 1-day conference hosted by TDA Perks Program combined meetings of the TDA Presidents-Presidents-elect Conference, the TDA Council, Committee and Affiliate Training, and the TDA Component Society Presidents Committee. A total of 71 component society officers, various council and committee members, Texas dental school students, and TDA staff attended the conference. The morning session included presentations by TDA Financial Services, Inc. board member Dr. Michael D. Vaclav, who discussed the TDA Perks Program and its benefits to TDA members; TDA Smiles Foundation chair Dr. W. Kurt Loveless, who reported on the Foundation’s recent activity and encouraged participation in the Texas Missions of Mercy, Donated Dental Services program, and Smiles on Wheels events; and TDA Council on Legislative & Regulatory Affairs chair Dr. Richard C. Black, who moderated a panel discussion on recent legislative activity along with TDA director of public affairs Mr. Jess Calvert and TDA policy manager Ms. Diane Rhodes. Each council and committee chair also gave presentations detailing current and future projects. Presidents from each society gave an overview of society activities. Dr. Coleman and TDA Committee of the New Dentist chair Dr. Andrea Janik Keith installed students from each of the three Texas dental schools as officers of the TDA Student Organization (TDASO): University of Texas Health Science Center at San Antonio Dental School (UTHSCSA) D3 student Ms. Sarah Shin, the University of Texas Health Science Center at Houston School of Dentistry (UTHealth) D3 student Mr. Coleman Meadows, and Texas A&M Health Science Center (TAMHSC) — Baylor College of Dentistry D3 student Mr. Ryne Wilson. Members of the TDA Board of Directors, the TDA Smiles Foundation Board of Directors, the TDA Financial Services, Inc. Board of Directors, council and committee members, and TDA staff attended the afternoon sessions. Dr. Coleman, TDA speaker of the house Dr. Glen D. Hall, and TDA executive director Ms. Mary Kay Linn addressed the group on Association rules and policies, confidentiality, roles, interaction as representatives of TDA, conflicts of interest, and writing resolutions. TDA Future Focus Committee chair Dr. Lisa B. Masters offered a presentation on strategic planning, including plans for facilitating action plan updates, an invitation for feedback and communication with the committee, and advised of the committee’s continued support of the “TDA 2014” strategic plan for interim updates. At the Component Society Presidents Committee meeting, TDA president-elect Dr. Michael L. Stuart conducted a round table discussion about challenges and successes within component societies. Twenty seven officers representing 17 component societies attended, along with Greater Houston Dental Society executive director Ms. Susan McKee and several TDA staff members. TDA director of member services and administration Ms. Lee Ann Johnson addressed the committee and answered questions regarding membership and component society Directors and Officers insurance policies. Mr. David Baker, TDA Perks general manager, and Mr. Josh Epstein, Marketing Specialist, spoke to the group regarding the TDA Perks Advocate Program.

TDA installed officers of the new TDASO at the TDA Leadership Conference in Austin last month: (L-R): UTHSCSA D3 student Ms. Sarah Shin, UTHealth D3 student Mr. Coleman Meadows, and TAMHSC-Baylor D3 student Mr. Ryne Wilson.

TDALeadershipConference

Future Changes to Texas Medicaid Dental Program As previously reported, the Health and Human Services Commission (HHSC) is seeking the services of two or more dental contractors (managed care organizations) to commercially administer the statewide Medicaid/Children’s Health Insurance Program (CHIP) dental programs — the Texas Dental Program — beginning in March 2012. Although previously HHSC publicized that Texas would make the tentative contract award announcement on July 1, 2011, the official procurement schedule now shows that the award announcement will be made August 15, 2011. However, it is still very likely that HHSC will announce the selected dental contractors (managed care organizations) by late July 2011. With an anticipated contract start date of September 1, 2011, it is imperative that dentists interested in participating in the Medicaid part of the new Texas Dental Program be prepared, once the contracts are awarded, to immediately select the managed care organization (MCO) plan(s) in which they intend to participate. Additionally, as stated in the Request for Proposal (RFP), the awarded contractors (MCOs) must assist Medicaid members in self-selecting a “Main Dental Home” (MDH) within 30 days of enrollment in the MCO’s dental plan. Otherwise, the MCO will assign the member to a MDH. The TDA intends to work closely with both HHSC and the selected MCOs on developing MDH enrollment information that participating dentists may send to their current Medicaid patients as soon as possible. This will help ensure that Medicaid participating dentists are able to retain their existing patient base under commercial administration. For questions or comments, contact TDA’s policy manager Ms. Diane Rhodes at (512) 443-3675 or diane@tda.org.

(L-R): Members from around the state are pictured at the TDA Leadership Conference last month in Austin: TDA DENPAC chair Dr. Philip Nauert of Bellaire, TDA Council on Membership member Dr. Lynne Gerlach of Plano, Dallas County Dental Society president Dr. Bill Gerlach of Plano, TDA parliamentarian Dr. David McCarley of McKinney, and North Texas Dental Society president Dr. David Wilhite of Plano.

TDA president Dr. J. Preston Coleman addresses the group at the TDA Leadership Conference in Austin last month.

(L-R): Amber Todora, graduating senior dental student from the University of Texas Health Science Center at San Antonio Dental School (UTHSCSA), receives a $1,000 scholarship presented by Dr. Lisa Masters, president of San Antonio District Dental Society (SADDS), for her active participation in the American Student Dental Association and volunteerism at TDA and SADDS events. In order to qualify, Todora had to submit a short essay and the winner was chosen by the SADDS Board of Directors. The scholarship is meant to bridge the gap between family and financial aid until Todora starts to practice dentistry.

Marriott Rivercenter Executive Chef Donald Hoffman is pictured with members of the Alliance of the Texas Dental Association (ATDA) at the organization’s 6th Annual Cooking Class during its annual convention in San Antonio in May.

Learn about other great programs Perks offers at:www.tdaperks.com. Or call: (512) 443-3675.

If you haven’t registered for an Offi ce Depot account through Perks, Offi ce Depot won’t know you’re a TDA member. So you miss out on TDA Perks’s 10% discount on thousands of products.

It’s Easy to Register! Visit tdaperks.com, click on “Endorsed Partners,” “Offi ce Depot,” and follow the instructions. Not sure you’re registered, or rather register by phone? Contact John Listi at the number below, or: John.Listi@offi cedepot.com

Not Registered? You’re Not Getting the Perks Discount!

(512) 284-3392

JULY 2011 VOLUME 12, ISSUE 7 AVAILABLE ONLINE AT TDA.ORG

EDITORIAL STAFFStephen R. Matteson, D.D.S., Editor

Nicole Scott, Managing EditorBarbara Donovan, Art Director

Lauren Oakley, Publications CoordinatorPaul H. Schlesinger, Consultant

BOARD OF DIRECTORS

J. Preston Coleman, D.D.S., PresidentMichael L. Stuart, D.D.S., President-elect

Ronald L. Rhea, D.D.S., Immediate Past PresidentVice Presidents

Lisa B. Masters, D.D.S., SouthwestRobert E. Wiggins, D.D.S., NorthwestLarry D. Herwig, D.D.S., NortheastKaren E. Frazer, D.D.S., Southeast

Senior DirectorsT. Beth Vance, D.D.S., Southwest

Michael J. Goulding, D.D.S., NorthwestArthur C. Morchat, D.D.S., NortheastRita M. Cammarata, D.D.S., Southeast

DirectorsYvonne E. Maldonado, D.D.S., SouthwestDavid C. Woodburn, D.D.S., Northwest

Jean E. Bainbridge, D.D.S., NortheastGregory K. Oelfke, D.D.S., Southeast

Ron Collins, D.D.S., Secretary-TreasurerGlen D. Hall, D.D.S., Speaker of the HouseDavid H. McCarley, D.D.S., Parliamentarian

Stephen R. Matteson, D.D.S., EditorMary Kay Linn, Executive DirectorWilliam H. Bingham, Legal Counsel

TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental As-sociation, 1946 S. IH-35, Ste 400, Austin, Texas 78704-3698, (512) 443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S. IH-35, Ste 400, Austin, TX 78704-3698.Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental As-sociation (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30.Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6.Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Associa-tion, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.

Member Publication

and recognized by the Academy of General Dentistry (AGD) Program Approval for Continuing Education (PACE); or §110.3 (a) (2): satisfactory completion of an ADA/CODA approved or recognized pre-doctoral dental or postdoctoral dental training program which affords comprehensive training necessary to administer and manage nitrous oxide/oxygen inhalation sedation. Additionally, a dentist performing nitrous oxide/oxygen inhalation sedation must adhere to standard of care requirements (§110.3 (b) (1-4)) and clinical requirements (§110.3 (c) (1-8) (d)) including maintaining under continuous direct supervision auxiliary personnel capable of reasonably assisting in procedures, problems, and emergencies incident to the use of the sedation as well as maintaining current certification in Basic Life Support (BLS) for Healthcare Providers for the assistant staff by having them pass a course that includes a written examination and hands-on demonstration of skills. The dentist is responsible for the sedative management, adequacy of the facility and staff, diagnosis and treatment of emergencies related to administration of nitrous oxide, and providing the equipment and protocols for patient rescue. The dentist must induce the nitrous oxide/oxygen inhalation sedation and must remain in the room with the patient during the maintenance of sedation until pharmacologic and physiologic vital sign stability is established. In nonemergency situations, at least one member of the assistant staff should be present with the dentist during the administration nitrous oxide/oxygen inhalation sedation. After pharmacologic and physiologic vital sign stability is established, the dentist may delegate the monitoring of nitrous oxide/oxygen inhalation sedation to a dental auxiliary certified by the TSBDE to monitor the administration of nitrous oxide/oxygen inhalation sedation (§115.2 and §114.4). Permitted dentists under this section shall not supervise Certified Registered Nurse Anesthetist (CRNA) performing nitrous oxide/oxygen inhalation sedation unless the dentist holds a Nitrous Oxide/Oxygen Inhalation Sedation permit issued by the TSBDE. Patients considered for nitrous oxide/oxygen inhalation sedation must be suitably evaluated prior to the start of any sedative procedure. In medically stable individuals (ASA I, II), this may include a review of their current medical history and medication use. However, patients with significant medical considerations (ASA III, IV) may require consultation with the patient’s primary care physician or consulting medical specialist. The patient, parent, guardian, or care-giver must be advised of the risks associated with the delivery of nitrous oxide/oxygen inhalation sedation and must provide written, informed consent for the sedation.

The patient’s baseline vitals must be obtained in accordance with §§108.7 (Minimum Standard of Care, General) and 108.8 (Records of the Dentist). Required documentation per the permit includes: a patient’s pre-operative baseline vitals, the individuals present during the sedation administration, the maximum concentration administered, and the start and finish times of the inhalation agent. The dentist has the responsibility to evaluate all equipment for proper operation and delivery of inhalation agents prior to use on each patient. The inhalation equipment must have a fail-safe system that is appropriately checked and calibrated. The equipment must have either a functioning device that prohibits the delivery of less than 30 percent oxygen, or, an appropriately calibrated and functioning in-line oxygen analyzer with audible alarm. An in-line oxygen analyzer must be used with nitrous oxide and oxygen delivery equipment capable of delivering less than 30 percent oxygen. The permitted dentist/facility must be able to deliver positive pressure oxygen at all times and the equipment must have an appropriate nitrous oxide/oxygen scavenging system. Recovery from nitrous oxide/oxygen inhalation sedation, when used alone, should be relatively quick, requiring only that the patient remain in the operatory chair as needed. Patients having unusual reactions to the sedation should be assisted and monitored in either an operatory chair or recovery room until stable for discharge. Only the dentist may determine that the patient is appropriately responsive prior to discharge. The dentist is prohibited from leaving the facility until the patient meets the discharge criteria and is discharged from the facility. A dentist holding a Nitrous Oxide/Oxygen Inhalation Sedation permit shall not intentionally administer minimal sedation, moderate sedation, deep sedation, or general anesthesia. Because sedation is a continuum, it is not always possible to predict how an individual will respond. If a patient enters a deeper level of sedation than the dentist is qualified to provide, the dentist must stop the dental procedure until the patient returns to the intended level of sedation. A dentist must be able to rescue patients who enter a deeper state of sedation than intended. The dentist, personnel, and facility must be prepared to treat emergencies that may arise from the administration of nitrous oxide/oxygen inhalation sedation. For children twelve (12) years of age or under, the dentist should observe the American Academy of Pediatrics/American Academy of Pediatric Dentists Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures. For more information, please contact TDA policy manager Ms. Diane Rhodes at (512) 443-3675, diane@tda.org.

Reference1. TSBDE Chart: Anesthesia Rules – Summary of Requirements:

http://www.tsbde.state.tx.us.

TSBDE Update, continued from page 2