October 2011

Marion Polk The Newsletter of the Marion Polk Dental Society

The Newsletter of the Marion Polk

Dental Society

“POTPOURRI OF ENDODONTICS”

By: Jennifer Frankel, DMD

MARCH 2014

Continued on page 3

Dr. Nguyen gave us a nice review on endo diagnosis

and treatment at our February meeting.

Dr. Nguyen was born in Vietnam in 1973. He then

moved to Belgium in 1982 where he attended

dental school. What he remembers from his time

in Belgium are the “Belgium” fries.

Dr. Nguyen then discovered he wanted to

mainly focus on endodontics but was unhappy with

the dental system in Belgium so he set his sights on

the United States. He attended Case Western and

received his Masters Degree in 2001. He studied

under Dr. Thomas Charles Dumsha who became

not only his mentor but a friend and colleague.

It is Dr. Dumsha that he has dedicated his office

to and thus where TCD Endodontics gets its name.

Dr. Nguyen has said that he is trying to not only

get a periodontist to join the practice but an oral

surgeon as well. This summer another endodontist

will be joining the TCD team giving Dr. Nguyen

the opportunity to spend more time in Salem.

Diagnosis is the first step when it comes to

treating a tooth endodontically. He emphasized

the importance of having both a pulpal and

radicular diagnosis. It is also important to

determine if it is a Lesion of Endodontic Origin

(LEO). He recommends taking multiple radio-

graphs at different angles to determine if the lesion

is associated with root contours. Multiple radio-

graphs are also beneficial when determining if

there is internal vs. external resorption.

If a patient presents with a sinus tract he recom-

mends using gutta percha to determine the origin

of the infection.

In determining if a tooth is cracked he recom-

mends using a tooth sleuth. Patients will typically

have pain not when they bite down but when they

release. Treatment of a tooth that is cracked is

with a crown but make sure the patient is aware

that the tooth may need root canal treatment in the

future. A temporary crown does not always allevi-

ate the symptoms of a cracked tooth so getting the

final restoration on is key. A vertical root fracture

is usually associated with a tooth that has already

had a root canal and treatment is usually extraction.

During root canal treatment you want to make

sure that you know your tooth morphology. This

will help when accessing the tooth and determining

the number of canals. When using ultrasonic tips

he recommends using magnification in the form

of loupes or a microscope. Straight line access

can be achieved using safe ended burs or gates

with a brushing motion. This will help eliminate

instrument fracture during cleaning and shaping.

Dr. Nguyen says that an apex locator is key to

determining the working length of the canal rather

than relying on radiographs. Dr. Nguyen prefers

warm vertical condensation when obturating. This

will ensure that you fill all those tiny lateral canals.

The MP Newsletter is a member publication of the American

Association of Dental Editors

MARION POLK

DENTAL SOCIETY

BOARD OF DIRECTORS

PRESIDENT

Chris Finlayson, DMD

PRESIDENT-ELECT

Vacant

VICE PRESIDENT

Vacant

PAST PRESIDENT

Bart Carter, DMD, MS

SECRETARY TREASURER

Jennifer Frankel, DMD

REPRESENTATIVE AT LARGE

Christine Woodward, DDS

REPRESENTATIVE, MARION COUNTY

Ronda Trotman Reese, DMD

REPRESENTATIVE, POLK COUNTY

Selma Moon Pierce, DDS

ADMINISTRATIVE SECRETARY

Lori Lambright

PEER REVIEW COMMITTEE-CHAIR

Stephen Hough, DDS

ADA

PH: (800) 621-8099

FAX: (312) 440-2500

Website: www.ada.org

ODA

PH: (800) 452-5628

FAX: (503) 218-2009

Email: info@oregondental.org

Website: www.oregondental.org

MP

PH: (503) 581-9353

FAX: 503) 581-0628

Email: mpdentalce@qwestoffice.net

Website: www.mpdentalce.com

2020 Commercial St. SE, Salem 97302

EXECUTIVE BOARD

NOTES

The Executive Board met on Feb. 4, 2014

Minutes: From January 7th, read and approved.

Recruitment: A new member application was

received from Jeff Van Kirk and was approved.

Two former MP members submitted applications

for reinstatement and were approved. One full

permanent medical waiver was received and

granted. A retirement affidavit was received from

William Girsch.

Financial report: Nothing new to report

Speaker Schedule: Steve Deming and K. Alan

Murray have agreed to present along with Denny

Sanders of Medical Teams International,

September 9th at the Boys and Girls Club of

Salem. The topic will be overseas trips and

volunteerism. The Board is looking into a future

course on pharmacology and drug interactions.

With Roth’s meeting room closure due on April

1st due to construction, the Board has been

researching venue sites to accommodate CE

meetings through next year. Cost, location, AV

equipment and room size were all factors in pick-

ing a new location. The venue announcement

will be made by the first of April.

Bill 483 will take effect July 1st; see article in

this newsletter.

New Board members are still needed before the

June 1st term ends. There was discussion on how

to reach out to members.

Mission of Mercy Salem: The MOM project is

rapidly approaching and volunteer registration is

now open. The project will need at least 1000K

volunteers and all MP members are asked to sign

up ASAP, as the community is showing great

need. The Statesman Journal has been contacted

and is willing to do articles with photos. Several

“local celebrities” are scheduled to attend.

THE SEPTEMBER 10TH CE AT THE BOYS

Page 2 MARCH

Page 3

Dr. “Win Win” the featured speaker

of the Feb. 11, 2014 CE

Potpourri from page 1

He ended with discussing the endo dance. You must

work as a team and make sure everyone in the office has

the proper training and is aware of how you want the

office to run. Dr. Nguyen wants the general dentist to be

able to treat their patients but if they find themselves at a

point where they don’t feel comfortable he says to send

the patients his way.

MP members enjoying the

social hour.

Marion Polk Dental Society has been designated an approved PACE program Provider by the Academy of General Dentistry. This program provider’s formal CDE programs are accepted by the AGD for

membership maintenance, Fellowship, and Mastership credits. The current term of approval that has been

requested by the Oregon AGD, from National AGD on your behalf is from August 1, 2011 through July 31, 2015. Provider ID#212405

COST: $20 cash or check.

MENU: Saltimbocca chicken, bakery rolls, rice pilaf, seasonal blend vegetables, drinks and light

dessert. (Note: the no-host bar is no longer available).

RESERVATION DEADLINE: is Thursday March 6th!!!, All meals reserved and not honored will

be billed. You may cancel on or before March 6th without charge.

PARKING: Behind Roth’s, use the “hospitality door” upstairs to the Oregon Room.

RSVP: (503)581-9353 or e-mail mpdentalce@qwestoffice.net. You are asked to reserve with or

without a meal in order to have the proper amount of seating available.

SPONSORS: Carestream, Assured Dental Lab, DFF Dental Lab

LOCATION: Roth’s West Salem

TIME: 5:30 social hour 6PM dinner 6:45 Speaker Presents

2CE

Page 4 MARCH

STAFF HYGIENTSTS are welcome

OBJECTIVE: To be able to discuss soft tissue augmentation procedures with regards to xenograft, allograft options.

As well as autogenous sources. Techniques using Pat-Allen tech/along with materials like Emdogain™,

Gem 21, Dyna Matrix , etc.

LECTURE DESCRIPTION:

Other alternatives to the traditional “tire-patch” graft are available for todays

esthetically demanding patients. Two phased soft tissue augmentation will

be discussed as well as when to refer to a specialist for best results. Follow-

up, care and post-op recommendations will also be discussed.

TUESDAY –MARCH 11TH

“Evaluating the Need for Soft Tissue Augmentation:

Guidelines and Materials”

Sunny Drake, DMD, MS

Pre-op Post-op

Page 5

I am a born and raised Oregonian spending most of my childhood in Portland and my teenage years

in Redmond. I completed my undergraduate work at the Oregon Institute of Technology in Klamath

Falls where I also ran track and field.

In 2013, I graduated with my dental degree from Oregon Health and Science University. Upon

graduation, I was the recipient of the American Association of Oral Biology Oral Biology Award. In

addition, I was inducted into the Omicron Kappa Upsilon Dental Honor society.

In my free time, I enjoy reading, running, gardening, and watching movies. Both avid “do-it-

yourselfers,” my husband, Brett, and I have begun the challenge of renovating our home from top to

bottom. Completed projects include a bathroom remodel and the installation of a gas furnace and

fireplace.

I am excited to begin working as an associate dentist at Hunsaker Dental in both their Salem and

Aumsville offices.

AMY TREVOR, DMD

Get to Know….

Note: It was reported in the February newsletter

that Dr. Trevor was an associate of John Shurtz,

that position was temporary. Her new contact

information is Hunsaker Dental at;

1595 Commercial St. SE, Salem, OR 97302-4309

(503) 363-2536.

ATTENTION

MP MEMBERS:

The Monmouth City Council

is looking at removing

fluoride from their water

system.

Please know the ODA is here

to help with any information

or organizing assistance that

is needed. There is need of a

point of contact person for

concerned citizens that are

looking to get involved.

The Board of Dentistry

Assistance is actually from

Monmouth and brought this

to our attention.

Thank you,

Christina Swartz Bodamer

Managing Director, Public

professional Affairs, ODA.

(503) 218-2010.

Page 6 MARCH

MPDS MISSION STATEMENT

“Committed to fostering collegiality, education and

community service”

MONDAY March 17TH– Saint Patrick’s Day SUNDAY March 9th-Spring ahead Daylight savings ends

Get Your “Pot-O-Gold”

of knowledge when you

join your colleagues for

upcoming CE member-

ship Meetings!

SAVE THE DATES

2014

March 11-Roth’s

“Evaluating the need for Soft

Tissue Augmentation:

Guidelines and Materials”

Sunny Drake, DM, MS

April 3-5th-Portland

“Dentistry, Where Art &

Science Meet” Oregon Dental Conference at the

Oregon Convention Center

May 13-Salem Airport

“Infectious Diseases Risk

Management in the Dental

Setting”

Pat Preston, MS

July 10-13-Chemeketa CC

“MOM 2014 Salem”

September 5 & 6th-Bend River

House Hotel & Convention Ctr.

“House of Delegates”

Does your staff need CE credits?

CE programs that are appropriate

for staff members will be

Page 7

MP WELCOMES NEW MEMBER! Jeff Van Kirk, DMD is a 2009 graduate of Case Western Reserve University and a 2010 graduate of

Cleveland VAMC GPR program. Dr. Van Kirk recently purchased the office of Roger VanSanten at;

450 E. Washington St., Stayton, OR 97383, (503) 769-6351.

GONGRATULATIONS TO MP’s NEWEST RETIREE!

Bill Girsch, DMD retired as of February 20, 2014. Dr. Girsch has been a member of MP since 1982,

enjoy your retirement!

BOARD MEMBERS

NEEDED!!!

New Board members are need-

ed by May 13th.

MP is in need of a President

Elect and Vice President for the

upcoming year. Please contact

the MP office or one of the

current board members with

your interest.

Thank you!

VETERAN WITH IMMEDIATE DENTAL NEEDS

My name is Theresa Cheng and I am a periodontist in Issaquah, WA. I have worked to get dental help

for veterans for the past few years. I am enclosing a link about what we do in the healing of our veterans

who have been deployed.

- http://www.wsda.org/headlines/2012/9/20/dr-theresa-cheng-restoring-our-veterans.html

The reason I am writing is that an Iraq War veteran in Salem has asked me for help getting him some

dental care. He is a nice young man, going to school and working at moving forward with his life. I

hope you will pass this information out to dentists in the Salem area and hopefully someone will be a

hero and step up to provide free dental care to help this veteran.

I look forward to hearing from you at your earliest convenience. Please feel free to call me anytime on

my cell at (425) 830-6402.

Sincerely,

Theresa

Theresa Cheng DDS Issaquah Periodontics & Implants

22516 SE 64th Pl #250

Issaquah, Wa. 98027

(Note: Dr. Cheng has expressed that this young man needs to have a dental home with long term

thorough care, more than a MOM project or a Stand Down clinic can provide)-Lori

Page 8 MARCH

Senate Bill 483, Oregon’s Early Discussion and Resolution law, takes effect on July 1, 2014. The

law applies to most health care providers and facilities, including dentists, dental hygienists, and dentu-

rists. If an “adverse health care incident” occurs, defined in statute as an “unanticipated consequence

of patient care which is usually preventable, and results in death of, or serious permanent physical

injury to the patient,” the program may be activated.

The goals of the program are to allow for free and open discussions of medical/dental errors which

have lead to serious patient harm or death, and, if appropriate, to allow for fair and just settlements

without litigation.

Early Discussion and Resolution programs have been in place for many years at the University of

Michigan Health Care System and at the Stanford University Hospital system. Both hospital systems

have reported a significant decrease in the number of lawsuits filed, a decrease in liability costs, and

improvements in patient safety after initiating early discussion and resolution programs. It is hoped

that the Oregon statewide program will experience similar success.

PARTICIPATON IN THE OREGON EARLY DISCUSSION AND RESOLUTION PRO-

GRAM IS ENTIRELY VOLUNTARY FOR PROVIDERS, AND NEITHER PARTICIPATION

NOR LACK OF PARTICIPATION IN THE PROGRAM CAN BE USED AGAINST THE PRO-

VIDER IF A LAWSUIT IF ULTIMATELY FILED. If a serious adverse medical event occurs, and

if the practitioner wishes to participate in the Early Discussion and Resolution process, the practitioner

files a simple form describing the event with the Patient Safety Commission. It is anticipated that most

practitioners will obtain assistance from their liability carriers upon filing with the Early Discussion and

Resolution program. Once initiated, all conversations between the provider and patient are protected

from discovery. This means that if a lawsuit is ultimately filed, a plaintiff’s lawyer cannot ask you,

neither in deposition nor in testimony, about anything that you said to the patient while engaged in the

Early Discussion and Resolution process.

The Early Discussion and Resolution process may, or may not result in a settlement offer made on

your behalf by your liability carrier. If the patient and provider are close to, but cannot achieve settle-

ment, the Patient Safety Commission will provide a list of mediators who can assist in settlement

discussions. At closure (and not to exceed 180 days from filing unless agreed to by all involved

parties), the provider files a closure notice with the Patient Safety Commission, describing whether or

not resolution was achieved and the nature of the resolution.

It is important to note that the Oregon law also allows patients to file a notice asking providers to

participate in the Early Discussion and Resolution program. The Patient Safety Commission will notify

all involved providers about the filing. Upon receiving the notice, PROVIDERS MAY PAR-

TICPATE OR DECLINE PARTICIPATION IN THE PROCESS, WITH NO PENALTY FOR

NON -PARTICPATION.

The statute of limitations for filling a lawsuit is tolled (put on hold) during the Early Discussion and

Resolution process. A financial settlement in Early Discussion and Resolution does not preclude a

future lawsuit (unless a lien is obtained as determined by both parties in settlement negotiations).

Continued next page

“EARLY DISCUSSION AND RESOLUTION” By: Bud Pierce, MD

Page 9

OrMOM in SALEM July 10-13th at Chemeketa Community College

-Patients will be seen Friday & Saturday-

We need many different types of volunteers - dentists, assistant, hygienists, pharmacists, doctors,

students, people from the community, etc. We could use all of your help! At the 2010 OrMOM, 1244

volunteers helped 1544 patients in two days, and in 2011, we had over 1800 volunteers provide treat-

ment for over 2000 patients! There will be 100+ dental chairs in use, so we'll need to have them filled,

at all times, with dental care professionals. That leaves around 500 available positions for 'day of'

behind the scenes help (registration, routing, food service, etc.), help with actual patient care, and help

with interpretation and patient escorts. Patients will never be left alone, so we need a lot of people from

the community to help us escort the patient between departments as they are preparing for treatment.

To volunteer go to www.oregondental.org.

SERVICES PROVIDED:

Cleanings

Fillings

Root canals on front teeth in limited numbers

A limited number of partials

Extractions

Oral health education

X-rays

SERVICES NOT PROVIDED:

Full dentures

Dental implants

Root canals on molars

Crowns

Extractions of unexposed teeth/wisdom teeth

Narcotics will not be dispensed

If a future lawsuit results in and additional financial award, the money awarded in the Early Discus-

sion and Resolution settlement is subtracted from the lawsuit award.

To protect the participants of the Early Discussion and Resolution process, information reported to

the Patient Safety Commission as part of the Early Discussion and Resolution process may not be

reported to any entity including the dental board, insurance plans, health care facilities, and government

agencies. As dental errors that result in serious patient harm commonly involve errors in care systems,

and not deficient care by a “bad” provider, the Patient Safety Commission will alert the dental commu-

nity when system errrors are identified, to help prevent future errors. The alerts will be written in a way

that protects the anonymity of participants in the early discussion and resolution process.

To summarize, Early Discussion and Resolution programs have a proven track record in closed

health care systems, where they have been proven to decrease the number of lawsuits, lower liability

costs, and to improve patient safety. Oregon will attempt to replicate these results in our statewide

program. We ask that you consider voluntary participation in our Early Discussion and Resolution

program.

William “Bud” Pierce, MD, PhD, Hematology/Oncology of Salem

Co-Chair, Early Discussion and Resolution Implementation Task Force Committee

Page 10 MARCH

TOOTH TAXI OPPORTUNITY

Spread the word we are looking for a new full-time dentist for our Tooth Taxi mobile dental clinic.

We would greatly appreciate if you would help promote the announcement. If you have any questions or

know anyone who might be interested in this position, give me a call. Please visit our website to view

the PDF of the recruitment ad and a word document with information about the search.

Thank you very much for your consideration and for supporting the ODA’s charity.

Charlie LaTourette

Executive Director

The Dental Foundation of Oregon

503-594-0881 www.SmileOnOregon.org.

DFO announcement: Win a 2014 Ford Mustang and help kids on

the Tooth Taxi. Tickets only $100, and you need not be present to

win. Get your ticket now.

HOD MEMBERS NEEDED

It’s not too early to sign up for the House of Delegates,

September 5 & 6th. This year HOD will be held in Bend at

the River House Hotel and Convention Center. MP will need

8 delegates and alternates to be fully represented. Take the

family and make it a mini vaca. There are tons of great out

door activities for the whole family.

Reservations: 866 453-4480. Make sure you tell them you

are with the ODA/HOD to get your discount. Maximize Insurance Benefits for

Patients Every year, patients leave an enormous

amount of potential dental insurance benefits

on the table, unused and lost forever. What-

ever your attitude about insurers, you owe it

to your patients-and to your practice to do

what you can to help them take full ad-

vantage of available dental coverage.

Do present a covered treatment plan for

the year. Start the insurance year the right

way by presenting each insured patient with

a treatment plan that addresses their oral

health needs and makes the most of their

coverage. Whether or not the treatment pro-

posed is accepted, the patient will appreciate

the attention and concern this demonstrates.

Page 11

MOMENTS IN DENTAL HISTORY

-1909

Dr. Frederick S. McKay, a Penn Dental

Graduate of 1900, discovered the

revolutionary finding that adding

fluoride to your water supply can

strengthen your enamel. He observed

the browning and mottling effect

of too much fluoride. He was originally

an orthodontist!

Oregon Mission of Mercy Register to volunteer today!

July 11-12, 2014 (Salem,OR)

Oregon Dental Conference Dentistry: Where Science & Art Meet

April 3-5,2014 (Portland,OR)

ODA House of Delegates September 5-6 ,2014

(Bend,OR)

Deadlines for all

contributions, articles

and sponsored ads is

the15th of the prior

month.

MP members and staff

are encouraged to

submit articles, events,

trips, awards,

announcements or

photos.

NO CE COURSE INAPRIL DUE

TO ODA CONVENTION

Page 12

MARCH

MPs goal is to make this

newsletter informational

and educationally relevant

to the membership.

If there is a topic you would

like to see covered, or an

article you are dying to

write, please send your

suggestions or articles to:

mpdental-

ce@qwestoffice.net

ODA Dentists

Well-Being

24-hour Hotline

1- 503-550-0190

Confidential, caring assistance

for help in dealing with

substance abuse and addiction,

disability, litigation stress, and

mental health challenges.

contact ODA's central office at

(800) 452-5628 Ext. 108.

Classified for members To place an ad on the MP

website call (503) 581-9353

or send an email including

your information to:

mpdentalce@qwestoffice.net

PEER REVIEW

As a member dentist,

remember to suggest the

ODA’s confidential Peer

Review process to your

patients as the best alternative

to filing a complaint with the

Board and/or taking legal

action.

CLEAN SMILE TRANSFER RECORDS

Clean Smile that was located in the Walmart building on Turner

Rd. is now closed. If you have new or existing patients that are

requesting records from that office please direct all inquires to:

Advantage Dental 1-888-468-0022 and ask for Customer

service. Advantage Dental has the records and are trying to get into

the pano server and should have all information available by the

first part of March. They have agreed to email records to your

office upon request.

Thank you Lisa Paluska, office manager for Chip Paluska, for

researching this information and passing it on to the MP office.

NOTICES

Page 13

Thank you Dr. Jennifer McLeod for your service at, “Give

Kids A Smile Day” at the Boys & Girls Club of Salem! INFORMATION TO KEEP IN

YOUR OFFICE

Infectious Waste

The following businesses and

organizations may be able to help

ODA members properly dispose of

infectious/medical waste.

State of Oregon Department of

Public Health: “Infectious Waste

Questions and Answers”

Oregon Department of Environmen-

tal Quality: (503) 2239-5913.

Local Garbage haulers-many pick up

sharps and some other waste on a

different day of the week from regular

trash pick-up.

Metro: (503) 234-3000.

Sharps disposal: The following

companies are known to pick up

sharps in Oregon. Bio-Med of

Oregon, Safety-Kleen Systems, Inc.,

Stericycle, Inc

From: ODA

Page 14 MARCH

Oregon Dental Association Relief Fund

Choose 'Oregon Dental Association Relief Fund' as your Amazon Smile charity of choice, and

0.5% of eligible purchases will be donated to OrMOM. The Relief Fund is the former name

of the ODA's Charitable Activities Fund, our 501 c(3) through which we pay for OrMOM

clinics.

Make a Donation:

If you or your organization would like to help us make a

difference by making a tax-deductible contribution, please

send your donation to:

ODA Charitable Activities Fund

Attn: OrMOM, PO Box 3710, Wilsonville, OR 97070

**Be sure to include Mission of Mercy in the memo line.**

For every $1 we receive, we are able to provide $5-$7 of care.

Via Amazon Smile

Shop at AmazonSmile And Amazon will make

A donation to: Oregon Dental Association

Relief Fund

REMINDER! Dental Licenses expire on March 31st!

The Most Frequently Asked Questions Regarding Dental Codes

When it comes to the Code on Dental Procedures and Nomenclature, better known as the CDT Code,

most dentists have the same basic questions about their proper use. Common concerns include what to

do if you can’t find a code that matches your procedure, how to react if your claim gets denied and

where to go for help. Collected by the ADA’s Council on Dental Benefits Programs (CDBP), the ques-

tions (and answers) below are representative of the most-asked questions received from ADA members.

1. Why is the CDT Code updated annually?

Dental procedures continually evolve and the CDT Code provides a means to document services that

dentists are delivering. Annual updates enable the CDT Code to effectively accommodate that evolu-

tion. As a named HIPAA national standard for electronic claims transactions, the ADA is obligated to

review the CDT Code annually.

Page 15

Celebrate Dental Assistants Week March 2-8 2014

The first dental assistants were known as "Ladies in Attendance" dating back to 1885. Duties were

likely mixing dental materials and cleaning up after procedures. Malvina Cueria, recognized as the first

dental assistant in modern history was only a teen when she began her career. Her presence in the dental

office made it possible for women to have dental treatment done without their husbands' company in the

operatory, an unrecognized triumph for women's rights.

Malvina Cueria served as an American Dental Assistants Association district trustee from 1953 to 1956.

At the age of 87, she was honored by the professional organization and spoke of her experiences as a

dental assistant in the beginnings of dentistry at a convention in New Orleans in 1980. Malvina Cueria

passed away December 4, 1991 at the age of 98.

Don’t forget to take time to honor those in your office that make it possible for you “to embrace

changes in the profession”.