October 2011

Marion Polk The Newsletter of the Marion Polk Dental Society

The Newsletter of the Marion Polk Dental Society

“ODA Conference”

By: Michelle Aldrich, DMD

Another year, another convention…I cannot even count how many Oregon Dental Conventions I

have attended in the last twenty-plus years. Each year has its similarities as well as its differences. This

convention was no different.

The dental hygienists have had the ODHA as a part of the convention and then separate in a building

across the street. It was nice to see them be a part of the convention again this year. Parking and traffic

remains a negative which can likely not be improved on without moving the convention to another

venue.

The exhibits and continuing education seem to be a constant across my memory of ODC. It is

always a great place to talk with vendors about problems encountered and new products available.

Continuing education courses can be just what you need to learn about, or a nice brush-up on an

old topic.

A few highlights of our visit to the exhibit hall were spending time with the people from Angie’s List

and learning how their program works for both dental offices and the consumer. The salesman from

Bisco taught us more about their new product, Thera-cal. We had heard about this product at a Gordon

Christensen course as a single step alternative for a liner/base/pulp-cap material. The show discount

helped our decision to purchase the product. Our staff found the free massages at the far end of the

exhibit hall and teeth bleaching at the Patterson booth. They were still talking about it this week!

One thing has never been a disappointment to me is the camaraderie of seeing and socializing with

my “dental brethren.” This is often the only time of the year I get to see certain individuals. It just goes

to show there is a little bit of everything at the Oregon Dental Convention. This year was no different.

MAY 2013

VOLUNTEERS ARE NEEDED

MOM 2014 will be in Salem,

July 10-13th.

Save the date, plan now to be there!

The MP Newsletter is a member publication of the American

Association of Dental Editors

MARION POLK

DENTAL SOCIETY

BOARD OF DIRECTORS

PRESIDENT

Bart Carter, DMD MS

PRESIDENT-ELECT

Chris Finlayson, DMD

VICE PRESIDENT

David Swiderski, DDS, MD

PAST PRESIDENT

Michelle Aldrich, DMD

SECRETARY TREASURER

Michelle Aldrich, DMD

(interim)

REPRESENTATIVE AT LARGE

Frank Allen, DMD, MAGD

REPRESENTATIVE, MARION COUNTY

Ronda Trotman Reese, DMD

REPRESENTATIVE, POLK COUNTY

Selma Moon Pierce, DDS

TRUSTEES TO THE ODA

Joni Young, DMD

Gary Boehne DMD, MAGD

PEER REVIEW COMMITTEE-CHAIR

Stephen Hough, DDS

ADMINISTRATIVE SECRETARY

Lori Lambright

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

EXECUTIVE BOARD

NOTES

The Executive Board met on April 2nd, 2013

The MP Dental Day committee met at 6:15PM

prior to the Board meeting start. All specifics are

being worked out. One last meeting on April

23rd , 6:30PM will be needed to finalize details

for the free clinic at Chemeketa on May 3rd.

The ODA Executive Board is working on

conference calls to fine tune finances with new

Director Donald Bretthauer, who is well versed in

the subject of budgets.

HOD representation will be very important this

year due to significant changes in Governance.

Delegates will now elect members of the Board

of Trustees.

Suggestions were taken for newsletter articles.

The 2013-14 speaker schedule is complete with

the exception of two dates where topics and titles

are needed. The schedule will be mailed to all

dentists in the summer.

It was announced that MOM 2014 will be located

at Chemeketa Community College in Salem,

July 10-13th. Details will be broadcast as they

become available.

New Board candidates names are needed for four

executive positions that will be open on June 1st.

Board members will make calls and contact

dentists to see if they have interest. With the

changes in ODA Governance the two current

Trustee positions will be eliminated leaving MP

with only eight board members.

MP will be asking sponsors of the September

10th CE course to provide a raffle as a big

welcome back motivator. This course will be

accommodated by the Boys and Girls Club of

Salem. All staff are encouraged to attend as the

topic will be on teens.

Page 2 MAY

Page 3

A Life member is an active retired dentist in good standing who is at least 65 and has maintained either

30 consecutive years or 40 non-consecutive years of active and or retired membership.

Active life members pay half of their active dues for both ODA and ADA, retired life members do not

pay dues. These MP members have reached a milestone in their tripartite membership and have

achieved life member status in 2013.

GERALD E. ANDERSON, DMD

DONALD J. FROMHERZ, DMD

DENNIS D. JOHNSON, DMD

JOHN CHRIS MARTIN, DMD

HENRY CLAYTON STEARNS, DMD

ROGER K. VANSANTEN, DDS

CONGRATULATIONS TO

MPs NEWEST RETIREE

Dr. Timothy Boehm, DMD, MS

as of May15th.

Dr. Boehm joined MP in March

2006, is a 1975 graduate of

OHSU and earned his MS in

2002.

Thank you for your years of service

to the community, enjoy your time!

MISSION OF MERCY 2014 IN SALEM

Add it to your calendar, it’s confirmed….Mission of Mercy 2014

will be held at Chemeketa Community College in their gym,

July 10-13th! Set up will be the 10th, patients are seen on the 11

&12 and tear down will be the 13th.

If you want to see how the process works please consider volunteering for MOM 2013 in Portland for

some hands on experience.

MPS NEWEST LIFETME MEMBERS

CONGRATULATIONS….

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

TUESDAY-MAY 14, 2013

“Techniques and Trends in Dental Materials”

Jon Fundingsland-3M/ESPE

MENU: Beef burgers with cheese and condiments, potato salad, baked beans, watermelon wedges,

beverages, light dessert and no host-bar, garden burgers on request.

COST: $20 cash or check only.

RESERVATION DEADLINE: is Thursday May 9th!!! All meals reserved and not honored will be

billed. You may cancel on or before May 9th without charge.

PARKING: Is behind Roth’s, use the Hospitality door upstairs to the 2nd floor, “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: Assured Dental Lab, WEO Media, O’Brien Dental Lab, Key Bank

BIO: After training as a Chemical Engineer, Jon Fundingsland joined 3M in 1979. During his long

career in dental materials, Jon has held positions of increasing responsibilities in the areas of research,

product development, technical services, international profession service and most recently, as the

scientific affairs manager for the Restorative Business Team. His current assignment is as professional

relations manager.

OBJECTIVE: Learn new techniques and tips to optimize the performance of today’s adhesives,

composites and cements. Differentiate between the restorative options for CAD/CAM dentistry.

DESCRIPTION LECTURE: During this presentation you will see both clinical and technical results

with today’s restorative products and cements. Adhesives have changed rapidly in recent years. How

are the new universal systems working? Nanotechnology: What can it offer to restorative materials,

from adhesives to flowables to universals to glass ionomers. Cements: With the increase in ceramic

restorations, cementation has become a topic of interest. Today’s systems are stronger, more efficient,

and more color stable. From a clinical perspective, techniques and tips collected through collaborations

LOCATION: Roth’s West Salem

TIME: 5:30 social hour 6PM dinner 6:45 Speaker Presents 2CE

All Staff Welcome to Attend!

Page 4 MAY

Page 5

A DAY OF GIVING-SATURDAY MAY 11, 2013

Northbank Surgical Center will be offering surgical procedures at no cost to patients on

Saturday, May 11th to those in our community that are unable to pay due to extenuating

circumstances such as no health care coverage, etc.

Volunteers include surgeons, anesthesiologists, nurses, business office teammates and janitorial

services. Medical Teams International through Dr. Phillips’ referral has graciously offered

their dental van to meet the needs of 15-20 patients that need extractions.

If you have a patient that you believe would be a candidate for the Day of Giving please

contact one of the Surgical Center at, (503) 364-3704.

NOTICES...

UPDATED 1-9 FORM REQUIRED FOR ALL NEW HIRES

The Department of Homeland Security announced that a new form 1-9 will be required for all

new hires immediately. Prior versions of the Form 1-9 can no longer be used effective May 7.

There is no fee for completing the form and it is not filed with the USCIS or any government

agency. However, employers are responsible for completing and retaining the forms for a

designated period and making it available for inspection by authorized government officers.

From: ADA

PROPOSED BOARD OF DENTISTY CHANGES TO SEDATION PERMITS

Dentists with Minimal Sedation permits will NOT be allowed to use benzodiazapines or

narcotics on children age six or younger. This ruling will require Oregon dentists to get

Moderate sedation permits if they want to sedate children. From: OBD

MEDICARE CLAIM DENIAL PROCESS BEGINS MAY 1

On May 1, Medicare will "turn on" a claim denial process that affects dentists and other health

care providers ordering particular Medicare-covered items or services for Medicare beneficiar-

ies. As of that date, a provider of a covered clinical laboratory, imaging, durable medical

equipment, prosthetics, orthotics and supplies (DMEPOS) or home health service will not be

paid if the ordering or certifying practitioner has not enrolled in Medicare or properly opted

out.

The announcement of Phase 2 implementation in a special edition of Medicare Learning Net-

work Matters includes guidance on orders or referrals by dentists.

For more coverage, please read the ADA News.

EFFECTIVE MAY 1ST-Regence will require all providers to receive claim payments via EFT.

Page 6

SAVE THE DATES

2013

May 3rd-Chemeketa MP Dental Day-Friday

9AM-2PM OIT/Health Sciences

Building

May 14th-Roth’s “Techniques and Trends in Dental

Materials”

Jon Fundingsland-3M/ESPE (Vote for new Executive Board)

Sept. 6-7th-Friday & Sat.

Sunriver, OR “HOD conference”

Sept. 10th-Boys & Girls-Club

“Teenagers-What Their Mouths

are Telling You But They Aren’t”

Lisa Copeland, RDH-Philips

Sonicare

October 8th-Roth’s

“Ergonomics in the Office-How to

Prevent Back Pain and What to

Do When it Hits”

Jeffrey Blanchard, PT, MS

Therapeutic Associates

November 12-Roth’s

“TBA”

Hrishi Iyengar, MD, FACC

Salem Heart Center

MAY

FRIDAY MAY 3rd, “MP DENTAL DAY”

1st ANNUAL FREE CLINIC AT the OIT

DENTAL HYGIENE BUILDING/

CHEMEKETA 9AM-2PM

MPDS MISSION STATEMENT

“Committed to fostering collegiality, education and

community service”

Page 7

HOD SEPTEMBER 6 & 7, 2013 SUNRIVER

RESORT

MP will need to fill 8 delegate positions

and 2 alternate positions before July 8th!!

Governance will be the new standard with changes

that were instituted at last years House. Delegates will

now elect the members of the Board of Trustees, while

also having direct input into other ODA business. It is

of the utmost importance that MP is fully represented.

Call or e-mail the MP office and let Lori know that you will be willing to represent your component

society this summer. MP will reimburse members $100 towards travel/room expenses.

Lodging: 1-800-801-8765 or www.sunriver-resort.com, mention HOD to take advantage of your room

discount.

Nearby recreation abounds. Horseback riding for all ages, guided outdoor tours, explore a crater, bike

tours perfect for kids. Bring your family and take a mini-vacation!

For more information regarding House of Delegates go to: www.oregondental.org.

Lori @ (503) 581-9353 or mpdentalce@qwestoffice.net

Page 8 MAY

THE EXECUTIVE BOARD NEEDS

YOU!

Nominations are being

accepted for the 2013-2014

MP Board.

Elections will be held on

May 14th, which is the last CE course of the current

series.

Is this the year you make time to volunteer? Many

of the past Board members have spent several years

in a variety of positions and have found it an great

way to become acquainted with other dentists in the

component. This is also an excellent avenue to

share your concerns and thoughts with other dental

colleagues.

Board Positions open June 1st are:

President Elect

Vice President

Rep. at Large

Secretary/Treasurer-Nominee Jennifer Frankel

Please contact Lori at the MP office with your

interest. @ (503) 581-9353.

VOLUNTEERS

EXIT HERE!

Upcoming DFO

Event - Chip for

Teeth Golf Tournament

Friday, June 21st.

Call the DFO to save

your spot.

(503) 594-0880.

Jennifer Frankel, DMD has a new office:

Dental Arts NW-4734 River Rd., Keizer, Or 97303

(503) 463-4663

Page 9

Platinum Sponsor: Chemeketa Community College Foundation Silver Sponsor: The H Group, Inc.

Pearl Sponsors: Rich Duncan Construction Saalfeld Griggs, PC Cravinho & Jaeger Financial, Inc. Drs. Bud & Selma Pierce Donofrio-Skyline Ford, Mercedes-Benz and Acura of Salem HR Central Inc. Willamette Valley Bank Columbia State Bank

Other Sponsors: DBC Oregon Tech Dental Hygiene Chemeketa CC Dental Assisting Assured Dental Lab Dr. & Mrs. Frank Allen Medical Teams International O’Brien Dental Lab Patterson Dental Boys & Girls Club of Salem Salem Free Medical & Dental Clinic

Approximately 17 of MPs dentists will be under the auspices of the OIT/CCC Dental Hygiene Clinic. MP dentists will be working with OIT’s second year hygiene students who will have completed all x-rays and will be administering anesthesia for the project. Chemeketa’s second year dental assistants will be assisting and are looking forward to the new skills they will acquire. There is general excitement for the project. This free dental clinic will treat 50-75 low-income patients that have been pre-screened to enable the event to run smoothly. The intent is to have a manageable, pleasant experience for all involved.

MP DENTAL DAY, MAY 3, 2013 The goal of $10,000

for MP Dental Day 2013

has been reached.

Thank you donors!!!

There is still time to make a donation! Make your check to: the ODA Charitable Activities Fund, with a memo-MP Dental Day. Mail checks to: MPDS 2020 Commercial St. SE, Salem, OR 97302 Any excess funds will be held in the ODA Charitable Activities Fund for future MP Dental Days.

Page 10 MAY

Tobacco and heavy alcohol use are the primary risk factors for oral cancer, which has traditionally been

a disease of older men.

Despite national primary prevention strategies that have resulted in a precipitous decline in the rate of

cigarette smoking since 1965, the overall incidence of head and neck cancer in the United States has

decreased only modestly. In addition, recent evidence suggests that the rate of some types of head and

neck cancer (oral and oropharyngeal) is increasing in younger (44-58 years) never-smokers.

Human papilloma virus (HPV) has been identified as a major risk factor for squamous cell carcinoma of the tonsil

and base of tongue and is the reason behind a striking increase in the incidence of oral, head and neck

cancers (OHNC) in young (less than 60), never-smoking patients. HPV infection is highly prevalent in

the U.S. population. If recent trends in the incidence of HPV-driven OHNC continue, it is estimated that

by the year 2020, the number of oropharyngeal cancers diagnosed each year will surpass cervical

cancers. Even more alarming, in the U.S. more people die from OHNC than from melanoma, cervical

cancer, and ovarian cancer combined.

The silver lining in this discouraging trend is that HPV-related OHNC appears to have a better progno-

sis than its HPV-unrelated counterpart. According to a recently published report, the three-year survival

of HPV-positive OHNC patients is 84% compared to 57% survival for HPV-negative patients who were

treated with the same standard chemoradiation therapy protocols. This realization has lead some

researchers to question whether or not standard therapeutic protocols can be “de-escalated” to improve

functional outcomes and quality of life, without sacrificing disease control.

Towards that goal in 2010, the Federal Drug Administration approved the use of the DaVinci Robot

for the treatment of oral, head and neck cancer. Known as ‘transoral robotic surgery’ or ‘TORS”, this

minimally invasive technique now affords a ‘natural orifice’ surgical resection of tumors of the orophar-

ynx that previously required extensive operations to perform, or were treated with combinations of

chemotherapy and radiotherapy. TORS offers the potential advantage of eliminating the need for

radiation and/or chemotherapy in some patients, or possibly decreasing the dose of postoperative

radiation therapy, thereby minimizing side effects of treatment. Surgeons at the Providence Cancer

Center were among the first on the West Coast to perform TORS for malignant tumors.

For many patients with OHNC, surgery remains the primary modality of treatment. The development

of modern reconstructive techniques, such as microvascular free tissue transfer, coupled with digital

treatment planning and image guidance, pioneered at Providence Cancer Center, has significantly

enhanced the surgeon’s armamentarium for the predictable reconstruction of ablative defects following

oral, head and neck cancer resections. These techniques allow for removal of the cancer and restoration

of the patient’s speech, swallowing and appearance in a single operation. Collaboration with dental

specialists also allows the replacement of missing bone and teeth to return the patient to optimal oral

function (figure 2-3). These technological advances in surgery have been coupled by novel chemothera-

peutic regimens that are increasingly incorporated into already well-established radiation therapy proto-

cols utilizing salivary gland-sparing intensity-modulated radiation therapy (IMRT) techniques.

The Providence Oral, Head and Neck Cancer Program was initiated at the Providence Cancer Center in

2009 with the goal of improving patient care by: 1) coordinating multidisciplinary diagnosis and

treatment; 2) utilizing technology to provide less invasive therapy and improve functional outcomes; Continued on next page

RISING RATES OF ORAL CANCER AMONGST NON-SMOKING YOUNG PEOPLE

By: R. Bryan Bell, MD, DDS, FACS

Page 11

and 3) collaborating with translational scientists in order to develop novel therapeutic agents and bring

them to clinical trial.

Opened in December 2012, The Providence Oral, Head and Neck Cancer Clinic blends medicine and

dentistry-creating a multi-disciplinary medical and dental oncology clinic, a first in the Pacific North-

west. The Providence Oral, Head and Neck Cancer Clinic has three distinct components:

The outpatient clinic will be located on the 6th floor of the Providence Cancer Center. The

program’s multidisciplinary team of more than 20 specialists includes head and neck surgeons,

otolaryngologists, oral and maxillofacial surgeons, radiation oncologists, medical oncologists,

reconstructive microvascular surgeons, radiologists, pathologists, dentists, speech/swallow

therapists, and social workers. Members of the team work together to develop treatment plans for

head and neck cancer patients that incorporate the latest technology and most advanced surgical

techniques, including minimally invasive surgery, robotic surgery, microvascular reconstructive

surgery, virtual surgical planning, and numerous nonsurgical cancer therapies.

A Maxillofacial Prosthodontist will consult with patients in the clinic. He will design and coordi-

nate prosthetic rehabilitation to replace missing areas of bone or tissue and to restore oral functions

such as swallowing, speech and chewing. Fitting of the devices will be done in the Providence Child

Center Dental Clinic.

Because various cancer treatments affect patients and alter dental care, a Dental Oncologist will be

an active member of the multidisciplinary team in the clinic beginning in July 2013. Pre-treatment,

dental intervention and active dental treatment to lessen the side effects of cancer and its treatment

will be provided to patients both in the Cancer Center Clinic and in the Child Center Dental Clinic.

Figure Legend:

Figure 1. Transoral robotic surgery (TORS) allows for minimally invasive

surgical resection of tumors of the oropharynx that previously required

extensive operations to perform.

Figure 2. Computer plan of oral cancer patient. A software program is

utilized to plan the resection (maxillectomy) and reconstruction with the

patient’s own fibula.

Figure 3. Specialized cutting guides are printed using a CAD/CAM process,

which assists in transfer of the virtual plan to the patient and optimal

reconstruction and return of form and function.

Figure 4. Panoramic radiograph demonstrating the resection and fibular

free flap with dental implants placed into the fibula.

Figure 5. Grateful oral cancer survivor. Modern reconstructive and prosthetic

methods allow for optimal functional outcomes, including a dental implant

supported, fixed prosthesis, despite removal of two thirds of the patient’s

upper jaw. Continued on next page

Page 12

Cancer continued

Quick Tip - Diagnosing oropharyngeal cancer

Most commonly presents as firm neck mass in adult (under 60 years old)

May be precipitated by throat pain, difficulty swallowing, hoarseness, but not necessarily

Tonsil mass or enlarged pharyngeal tonsil may or may not be present

Base of tongue tumors generally require nasopharyngoscopy to identify

NECK MASS IN AN ADULT IS METASTATIC SQUAMOUS CELL CARCINOMA UNTIL

PROVEN OTHERWISE

About Dr. Bell:

Dr. Bell, an oral and maxillofacial surgeon, is Medical Director of the Providence Oral, Head and Neck

Cancer Program and Clinic at the Providence Cancer Center, Affiliate Professor at Oregon Health and

Science University, and maintains a private practice at Head and Neck Surgical Associates in N.W.

Portland.

Acknowledgement: The author would like to thank Dr. Larry Over, a maxillofacial prosthodon-

tist from Eugene, Oregon, for his friendship, support and guidance during the reconstruction

of dozens of oral cancer patients over the last 10 years. His dedication and ingenuity has

benefitted the citizens of Oregon and most importantly, the patients whom it is our privilege to

serve. Dr. Over restored and prosthetically rehabilitated the patient presented in this article

(figures 2-5).

R. Bryan Bell, MD, DDS, FACS

Medical Director

Providence Oral, Head and Neck Cancer Program and Clinic

Providence Cancer Center, 4805 NE Glisan St., Suite 6N50, Portland, OR 97213

MAY

On behalf of the Pacific Coast Society for Prosthodontists, Dr. Larry M. Over would like to invite MP

members to the, 2013 Annual Meeting in Anchorage, Alaska. The meetings will take place at the Hotel

Captain Hook, June 26th-June 29th, 2013. For more information any interested

member may go to PCSP.com.

Thank you,

Larry M. Over, D.M.D, M.S.D.

SCHOOLS OUT

SKSD

June 6 & 7: Graduations

June 11: last day for K –5

June 12: Last day for 6-11

Dallas SD June 1 Graduations

June 5: Last day for all elementary

June 6: Last day for secondary

Central SD June 7: Last day

Page 13

ODA Dentists Well-Being

24-hour Hotline

1- 503-550-0190

For help with litigation stress

support,

contact ODA's central office at

(800) 452-5628 Ext. 108.

The May issue of the MP newsletter will be the last edition

until September. Members are encouraged to send updates or

photos on summer events, trips and projects, MP will be happy

to publish those in the Fall.

Thank you Lori

MP

MOMENTS IN DENTAL

HISTORY - 1846

William Thomas Green

Morton An American dentist

who first publicly demonstrated

the use of inhaled ether as a

surgical anesthetic in 1846.

The promotion of his questiona-

ble claim to have been the

discoverer of anesthesia became

an obsession for the rest of his

life.

Deadlines for all contributions, articles and sponsored ads is

the15th of the prior month.

Page 14

HIPPA Q & A

A dental association peer review committee has requested

records on one of our patients. The committee provided a release

signed by the patient. Are we in violation of HIPAA if we release

the records without a business associate agreement?

No. You are not in violation of HIPAA if you disclose information to your state

dental association for peer review. Business associate agreements have no

relevance to peer review in this situation. The key is to make sure the patient has

signed a release that authorizes disclosure of his or her records.

Beryl Fletcher, 503-218-2010 ext. 106. For any questions you might have.

MAY

ADA UPDATING HIPAA

MANUAL

Compliance is expected by

September 23, 2013. Most

covered dental practices will

need to review and revise

their HIPAA compliance

policies, procedures and

documents, such as, Notice

of Privacy Practice and Busi-

ness Associate Agreements,

to comply with regulations

that went into effect March

26th. Dental practices have

been given an additional 180

days from March 26th to

comply with requirements.

The ADA will send a

comprehensive update to

the ADA Practical Guide

to HIPAA Compliance

Privacy and Security Kit later

this year. Nine examples of

“major provisions” in the

final rule will be cited.

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MAY