October 2011

Marion Polk The Newsletter of the Marion Polk Dental Society

The Newsletter of the Marion Polk

Dental Society

“Practicing Out Side the Office” By: Christine Woodward, DDS

OCTOBER 2014

Our start to the Marion Polk Dental Society was

spearheaded with an informative lecture about

“Practicing Outside the Office” with Medical

Teams International (MTI) at the Boys and Girls

Club in Downtown Salem. The evening began with

a deliciously catered meal by Loustic and followed

up with lifetime achievement awards and then the

lecture.

The lecture started with MTI representative Denny

Sanders introducing the topic and speakers Drs.

K. Alan Murray and Steve Deming and then

finished out with MTI representative Brenda Porter.

Dr. Demming started his presentation with an

interesting and sometimes comical slide show,

showcasing the various activities and setups of the

four trips he had been on in the past. He discussed

how these trips can and should be a good mix of

work and play. He showed conditions where

suitcases were used to prop up equipment and

patients for treatment. He said it was most

rewarding to meet and integrate into the local

cultures by eating meals prepared by the locals and

meeting their families. He employed the use of his

staff as well as his family to provide these services

and everyone was hands on at one point. He has

very much enjoyed and learned from his

experiences and is looking to go on another trip

soon.

Dr. Murray’s experience was similar and

provided some technical information regarding his

trips. His lecture was accompanied by an ongoing

slide presentation that played thorough out his talk.

He also reiterated that you should mix fun and

work when going to these locations and that they

have a lot to offer by way of activities in addition to

providing dental services. He said it is very crucial

to the success of the trip to utilize a local MTI

partner in the area you are going to act as a liaison.

He said trips can vary in treatment depending

on how primitive the locale. Treatment to range

from basic extractions and temporary fills to root

canals and dentures in better equipped areas. He

said that they can also use more portable units and

disposables onsite and that sterilization can be done

in a pressure cooker.

Many people are needed to provide these kinds of

services from dentists, assistants, hygienists and

many other support staff to organize/triage

patients and equipment. Most important he says it

is good to partner with local dental staff which

makes it safer and more amicable for everyone.

Brenda Porter gave some history on the background

of MTI and its founding father Ron Post. The

organization has grown from its beginnings in

Oregon to a multinational level with 5 chapters and

its ability to send dentists all over the world to

provide oral health care services. MTI can help

facilitate your groups’ plans for a trip by preparing

and assembling all of the necessary paperwork and

coordinating the trip details. They ask that

volunteers come up with most of the disposables

for the trips and then MTI can try to fill out the rest.

As of today they are in need of one more dentist

and one more assistant for a trip to Uganda. If you

are interested please contact Brenda Porter or MTI

at: Medical Teams International 14150 SW Milton Court,Tigard, OR 97224

Local Phone: 503.624.1000 Toll free phone: 800.959.4325

Fax: 503.624.1001 Email: info@medicalteams.org

The MP Newsletter is a member publication of the American

Association of Dental Editors

MARION POLK

DENTAL SOCIETY

BOARD OF DIRECTORS

PRESIDENT

Christine Woodward, DDS

PRESIDENT-ELECT

William Trevor, DDS

VICE PRESIDENT

Tuong Nguyen Nguyen, BDS, MDS

PAST PRESIDENT

Chris Finlayson, DMD

SECRETARY TREASURER

Jennifer Frankel, DMD

REPRESENTATIVE AT LARGE

Bart Carter, DMD

REPRESENTATIVE, MARION COUNTY

Ronda Trotman Reese, DMD

REPRESENTATIVE, POLK COUNTY

Selma Moon Pierce, DDS

ADMINISTRATIVE SECRETARY

Sabrina Hance

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

The Executive Board met on Sept. 2, 2014

Recruitment and retention: One 2014 waiver was

granted for a member that is outside the country

for a year. Gerald Anderson completed a retire-

ment affidavit on 8/21/14. One membership was

requested to be renewed. Ryan Bridges and

Tristan Wong submitted applications for member-

ship on 8/25/14 and were approved.

Membership by the numbers: total=204

Active=151 Retired=53

Newsletter and advertising:

It was suggested that a couple of different

dentists write short articles each after the ODA

conference.

There are two new sponsors for CE:

Saalfeld, Griggs PC and ADT Dental Lab.

There are two new sponsors for the newsletter:

Boldt, Carlistle Smith, CPA’s and Precision

Dental Restoration.

Financial report: MP investments were discussed

at the June board meeting regarding changes to

the money market account. More information

was needed and it will continue on the October

agenda. Non-profit tax preparation totaled

$1050.00.

Speaker Schedule updates: The speaker schedule

is complete with the confirmation of November

11th CE.

Adm. updates: Comments from members regard-

ing the May CE course have been addressed and

should be rectified by the caterers for October.

Roth’s venue has been reserved for 2015.

Old Business: HOD had only 3 dentists signed-

up, leaving MP short 7 delegates. A Leads BBQ

is scheduled for September 11th at the home of

Weston Heringer, Jr., as a thank you. It was re-

ported 18-20 post-op calls were made after

MOM, and very few complaints from patients.

New Business: none.

Page 2 OCTOBER

Page 3

MP President Christine

Woodward is shown present-

ing ADA/ODA/MP Lifetime

Member plaques to; Steve

Campbell, DDS & Robert

Rappleyea, DMD.

Lifetime Membership is

awarded after the comple-

tion of 30 years consecutive

membership or 40

non-consecutive years of

membership.

Speakers on 9/9/14

Drs. Steve Deming and

K. Alan Murray,

Denny Sanders and

Brenda Porter with

Medical Teams

International.

MP would like to say THANK YOU to

the Boys and Girls Club of Salem for hosting

the Kick-off CE course in their building on

September 9, 2014. Thank you; Jodi, Sue,

Eric, Maria and Mariah for your hospitality.

Page 4 OCTOBER

Our last meeting was held in May of this year, if you can remember back that far, and the topic pertained to Infec-

tious diseases by Pat Preston. So in case you have forgotten all of pertinent information or were not able

to attend, I will attempt to summarize the facts that were presented that day. So sit back, relax, get a

nice cold drink and don’t worry about that itch on your arm, it’s probably nothing.

Mr. Preston has spoken before on this subject and did not fail to entice his listeners with terrifying facts

and alarming statistics. A bit of trivia to start regarding the origin of the word hygiene which comes

from the Greek mythology name Hygiea. Hygiea was the daughter and assistant to Aesculapis, God of

Medicine and healing. Hygeia's symbol was a bowl containing a medicinal potion with the serpent of

Wisdom (or guardianship) partaking it. This is the same serpent of Wisdom, which appears on the

caduceus, the staff of Aesculapius, which is the symbol of medicine

To get the most recent information regarding “What in the World is Going On?”

www.outbreaktracker.com.

A. Bird Flu

A. mutates from bird to person making it more easily transmitted.

B. MERS stands for Middle East Respiratory Syndrome.

A. Coronavirus

i. Spikes with crown around it

B. Comes from young camels or bats possibly

SARS has similarities to MERS and in the last 18 months, as of this presentation, there were ~540

cases, 30% were MERS and most likely linked spreading from camels to humans, affects men 50+ and

it has spread to the USA now. 75% WHO (World Health Organization) workers are becoming affected.

CDC issued warning 2nd case in FL. For further review look up www.annulsofinternalmedicine.com

MERS article 01/28/2014.

NEJ (New England Journal of medicine) has had recent article regarding Ebola and to watch for in-

creasing numbers. Ebola, which are characterized by a long filamentous structure and is spread from

person to person by blood contact, infects the Langerhans cells and macrophages under the skin.

You can read up on MERS and Ebola, which seems to be making a comeback as of August 2014. It’s

like Pat could see into the future, wow!!

Lyme, West Nile, Whooping Cough and Flu

Reference for stats on the Flu is the Oregon State Public Health Laboratory. Tests show that 99% of

the respiratory infections are NOT the flu. The flu, which was gone by March of this year, carried with

it a high fever and affected most people 65+. A fever was not prevalent in younger persons.

*Remember any temperature that is 2 degrees above a person’s base line is considered a fever.

RSV is now the #1 cold virus in Oregon and in Adults, followed by adenovirus and pneumonia.

“Infectious Diseases, Risk Management in the Dental Setting”

By: Christine Woodward, DDS

Page 5

With a cold and viral conjunctivitis you get it in one eye at a time, with a cold and bacterial conjunctivi-

tis you get both eyes at the same time.

Flu – Almost all cases are Influenza A. Pandemic flu was predominant flu this year and mostly affected

the elderly. It is difficult to know which flu will be most common from year to year. Pregnant women

are very susceptible, 50% reduction in immune response when pregnant.

There is a new Type B flu in Eastern US. Flu shot consisted of 2A’s and 1 B, the new flu shot has 2A’s

and 2B’s, a quadrarelavent flu shot. Intradermal vaccine are just as effective but much more painful.

Persons 65+ did not respond well to the old shot, they do to the new with 88% more antibodies made.

Keep an eye out for new class of antibiotics called Carbapenums, becoming the new “goto” antibiotic.

Hep B&C

Hepatitis B, determine is it chemical or viral? 90% of infected persons loose the virus if they become

infected, the liver blocks it. A good reference is the US Preventive Services Task Force. They look at

risk groups by where they are from, sexual activity and/or drug use.

All persons with occupational exposure, like us, should be vaccinated THEN tested just after to see if

you have formed the proper antibodies.

Hepatitis C

a. ~ 5% carriers

b. 50% do not even know they have it

c. Affects Boomers 45-65 yrs of age

d.~ 25 lose the virus after exposure

e. Hep C is less easily treated than A or B

f. This is the leading cause of liver transplants

g. Progression of disease affects men more than women

h. Almost all cases in US are Type 1, which is 75% of all cases and hardest to treat

Hep C can be treated by Interferon but a new pill form has become available which it seems “cures” a person

of Hep C. It’s very expensive at $1,000 a pill for 12 weeks. This treats Types1-3.

HPV Oropharyngeal Cancer

There is vaccine available for this, encourages parents of young children to get this before they become sexually

active.

Hand hygiene, Disinfectants Laundering - follow OSHA standards and universal precautions.

The 2014-2016 dental hygiene renewal is now open. Be sure to check with your hygienists to make sure they renew their licenses. Hygiene licenses for the current renewal cycle will have expired on September 30, 2014. The board can impose a $2500 civil penalty for practicing without a license.

Page 6 OCTOBER

TUESDAY –OCTOBER 14, 2014

“Getting a Grip on your Own Retirement” Ron Kelemen, CFP with The H Group, Inc.

LOCATION: Salem Airport Main Terminal

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

Spouses welcome

OBJECTIVE: to provide attendees with:

A better understanding of today’s retirement landscape and the unique retirement planning issues

facing dentists.

Tools to assess your retirement readiness.

Action steps needed to take to retirement with confidence.

DESCRIPTION of LECTURE: Ron Kelemen, brings with him 33 years of experience, and is fee-only

Certified Financial Planner. Ron is the author of “The Confident Retirement Journey”, and a contrib-

uting author to three wealth management reference books. He will offer insights and strategies to

dentists of all ages. You will be provided with self-diagnostic tools to assess your readiness to

retirement.

COST: $20 cash or check please, with meal. Swiss steak, mashed potatoes, Caesar salad, garlic bread, dessert.

DEADLINE: Thursday October 9, 2014. All meals reserved and not honored will be billed. You may cancel on

or before October 9th without charge.

PARKING: To the left and right of the main terminal, no charge. Please do not park in rental car/truck area.

RSVP: Sabrina, (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: Artisan Dental Lab, O’Brien Dental Lab, Citizens Bank, Carestream

Note the location change!!! CE’s courses will be at the Salem airport through December.

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 (8/1/2011) to (8/31/15). Provider ID#212405

Page 7

NOTICE-Infection Control Mandate

I wanted to let you know that I checked with the Oregon Board of Dentistry and you have until

January 1, 2015 to update your new requisite for infection control, (2 hours are mandatory). This is a

new Board rule. I was told the OBD will not enforce the Statute until you go to renew your license in

March. I have also checked with Multnomah Dental Society to see if MP members could join their CE

course on October 17th, and they have graciously said yes, all ODA members are welcome. I have

added the course data and the contact info for Multnomah. Please call or register online at their website

as soon as possible.

Lori

October 17, 2014

OSHA Compliance & CDC Guidelines for Infection Control

Samuel Barry, DMD

Time: 9:00am-4:00pm

Cost: $30 individual / $100 office (up to 4 people)

6 CE Credits

Location: Oregon Convention Center

Congratulations to MP’s newest retiree

Gerald Anderson, DMD, retired and sold his Keizer practice on Friday August 8th. Dr. Anderson

joined the ADA in 1974 and the ODA in 1977. Good luck and enjoy your retirement!

Welcome MP’s newest members

Kristi Coulombe, DMD, is a 2014 graduate of the University Las Vegas and is now working out of the

office of Dan Saucy with her own patient base. Dr. Coulombe was formerly Dr. Saucy’s RDH.

Ryan Bridges, DMD, is a 2014 graduate of OHSU and is employed with Advantage Dental in Albany.

Tristan Wong DMD, is a 2014 graduate of OHSU and is employed with Willamette Dental in Albany.

MEMBER NEWS

Page 8

OCTOBER

Don’t forget to join the

membership Meeting at

the Salem Airport main

terminal on October 14th.

MPDS MISSION STATEMENT

“Committed to fostering collegiality, education and

community service”

SAVE THE DATES

2014

October 14th-Salem Airport

“Getting a Grip on Your Own

Retirement”

Ron Kelemen, CFP

November 11th-Salem Airport

“The Medical Mangement of

Caries with Silver Nitrate”

Dr. Steve Duffin

December 9th-Salem Airport

“Differential Diagnosis of

Periradicular Pathology”

Jeff Stewart, DDS, MS, OHSU

January 13, 2015-Roth’s

“Sleep Apnea”

Marty Johnson, MD

February 10, 2015-Roth’s

“Orthodontics-Planning &

Diagnosis”

Bart Carter, DMD, MS

Does your staff need CE credits?

Courses appropriate for staff will be

advertised as such.

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.

Page 9

The sponsorship program enables MPDS to have nationally renowned speakers and programs.

Sponsors are invited to all the MP CE meetings and are recognized for their generous continued support.

This allows MP to offer dentists in our society important education opportunities at reduced costs.

When you see sponsors at each meeting please thank them by checking out their products and displays.

Sponsors of the September 9th CE Carestream-Zack Cross

O’Brien Dental Lab-Mike Wilson & Jason Kroessin

ADT Dental Lab-Deb Hamilton

Columbia Bank-Jennifer Kinkade Thank you!

Page 10 OCTOBER

PLEASE WELCOME OUR NEW MARION POLK ADMINSTRATIVE

SECRETARY, SABRINA HANCE

I am a country girl born in Nashville Tennessee to 2 German parents. My husband and

I moved out West to be closer to the white peaks we loved to ski. We raised 2 boys on the

Canadian border of northern Washington before moving to The Dalles and eventually

Salem.

We have settled here for 10 years. My oldest, Mac, swam and played H20 polo in college and now

works in national sales for Traeger out of southern California. My youngest, Eric, went twice to Junior

Olympics for H20 Polo and started with the State of Oregon computer department. He continues to work

full time, take college classes, and spend every spare minute hiking, biking, snowboarding, or enjoying

what Oregon has to offer. My husband, Ivan, retired last year after 38+ years in the electrical field with

the federal government. He spends a lot of time fishing, hunting, and tinkering with his “Redneck

Tanning Booth” boat.

After studying banking at the University of Tennessee, and working in the field for several years, I

stayed home with the kids. Eventually I landed in the school district where I co-taught 3rd grade for 5

years. I found myself in The Dalles as a librarian at St Mary’s Academy until budget cuts. I ended up as

an office manager of a general dentist office. This is where I fell in love with the dental field but I

wanted to learn more! When we moved to Salem, I worked for McDonald, Campbell and eventually

Castilla Orthodontics as a schedule, treatment, and public relations coordinator.

Salem reminds me of Nashville without the humidity and unfortunately “lightning bugs”. It is the

place we call “home”; however, we love to travel. Having family in Germany, Seattle, Coeur D’Alene,

Orange County, Breckenridge, and Nashville gives us chance to rack up quite a few air miles. When not

visiting family, you will find me in or near the water. I love the ocean and have frequented the Florida,

Carolina, Abaco/Bahama, Hawaii, Caribbean, and Belizean coasts. I am excited for my new opportunity

at the Marion Polk Dental Society and getting to know the staff and doctor’s better in our fantastic

communities. I hope my smile is contagious! -Sabrina-

FAREWELL TO LORI

It is with extreme pleasure that I'm able to announce my departure from MP to serve as

the Coordinator, Member Compliance at the Oregon Dental Association starting October

6th.

It's been four and a half years since I took over the Administrative Secretary position, and I had no

idea how many wonderful dentists, spouses, staff members, sponsors and other community volunteers I

would meet during my sojourn.

I have worked for, and along-side past and present Board members that have shown me the ropes,

made my tenure enjoyable and helped to enrich my skill set that has made it possible to transition to this

new position

I would like to express my sincere appreciation for the friendships I've made and the opportunities

that came my way because of that friendship.

Happily I will see many of you at future ODA related functions. Thank you! -Lori-

Page 11

CHRIS MARTIN UPDATE

For those of you that haven’t heard,

Chris Martin suffered a serious fall

about September 6th. His wife Cody

reports that he is in critical condition

and on September 24th was transported to

Portland for rehabilitation.

At this time he is partially paralyzed and

they are uncertain if that will be perma-

nent or temporary. Cody is asking for

help finding a pedodontist and or pedo/

orthodontist to cover his office

immediately, preferably Monday-

Thursday, for an un-known amount of

time.

They are also looking for an associate to

take over the office permanently. If you

know of anyone who would be interested

please call Cody with information at;

(503) 580-0177, or email at;

jchrismartin47@gmail.com.

KEEPING PATIENT RECORDS

Each dentist shall maintain patient records and

radiographs for at least seven years from the date of last

entry unless; the patient requests the records, radiographs

and models be transferred to another dentist who shall

maintain them; the dentists gives the records, radiographs,

or models to the patient; or the dentist transfers the

practice to another dentist who shall maintain the

records.

Deceased adult patient records are to be kept for 7 years.

A child’s records are to be kept for 7 years or age 21

whichever is longer.

(information from the OBD & Chris Verbiest)

Oregon Dental Conference

April 9-11, 2015 Oregon Convention

Center, Portland

Mission of Mercy

November 24-25, 2015, Portland

Page 12

For MP members

To place an ad on the MP

website call (503) 581-9353

or send an email including

your info. to:

mpdentalce@qwestoffice.net

PATIENT RECORDS

Deceased adult patient

records are to be kept for 7

years.

A child’s records are to be

kept for 7 years or age 21

whichever is longer.

NOTICES

The Oregon Board of

Dentistry is now requiring all

dentists to have two hours of

continuing education related to

infection control by January 1,

2015. The rule has not been

enforced but will be in effect

when you go to renew your

license in March.

It is recommended that you

complete a CE course as soon

as possible on the subject.

OCTOBER

PAPERLESS

At the moment dental offices are not

required to go paperless, but, providers are

asked to move towards paperless as soon as

possible.

With the onset of changes with Medicare

and Medicaid reform, paperless will

ultimately be required.

The purpose of this change is to talk to one

another electronically. The law has nothing

to do with x-rays or digital x-rays, only

paper

If you have paper files now you may scan

them but are required to keep the files for a

minimum of 7 years.

New patients without

paper files can be

scanned.

Page 13

MOMENTS IN DENTAL

HISTORY 1980 The use of sealants be-gins.

Does MP have your

current e-mail

address?

Stay in the Loop. If you

have a change of address please

update with the MP office so you

will continue to receive your e-mail

blasts for upcoming CE courses,

newsletters and more.

HOD 2014

The mega-issue discussion at the ODA

House of Delegates was the ACA and

CCO’s, (Coordinated Care Organiza-

tions/Affordable Care Act).

A vote was passed to raise dues for

active members from $761 to $777 per

year (which includes $20 to the Dental

Foundation of Oregon and $130 to DO-

PAC), plus any dues required for trans-

mittal to the American Dental Associa-

tion and component societies. A member

may reassign the $130 DOPAC contri-

bution to the ODA General Budget Is-

sues Fund or, the ODA General Budget.

The member may reassign the $20 Den-

tal Foundation of Oregon contribution to

the ODA General Budget Fund, the

ODA General Budget or DOPAC.

Thank you Drs. Weston Heringer, Jr.,

Clayton Stearns, and Dan Saucy for

agreeing to be MP’s ODA House of

Delegate Representatives.

HOD Meeting Notes

The Changes that the ODA HOD made last

year concerning the election of Trustees to the

ODA and how they elect the officers, seems to

have worked well this past year. The ODA

Trustees had a much higher attendance at their

Trustee meetings this year as a result. It was

announced that the Trustees elected our own

Dr. Joni Young to be President Elect.

A very good discussion panel on DCO's and

CCO's was presented.

The HOD election of new Trustees was

successful and the positions were all filled,

however; there could have been more

candidates to choice from.

No major policy changes were in acted.

I was disappointed in the lack of MP

participation not being in attendance as

delegates of the house.

Weston Heringer Jr DMD

Page 14 OCTOBER

LOCATION CHANGE!!! The October 14th CE course will be back at the Salem Airport Main Terminal Building

A Simple Way to Help Kids!

Link Your Fred Meyer Rewards Card to the DFO Now every time you shop at Fred Meyer you can help low income children get free dental care and oral health education. It's easy and you keep your own rewards points. Just visit www.fredmeyer.com/communityrewards and search for The Dental Founda-tion of Oregon #81176. It doesn't cost you anything but a few seconds to enroll. Please join with over 30 "DFO families" who have already linked their rewards card and helped raise over $600 for programs like the Tooth Taxi. Thank you!

Page 15

Deadlines for all contribu-

tions, 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.

Please send your suggestions

or articles to:

mpdentalce@qwestoffice.net

Did you know the ADA has an Ethics Hotline?

The ADA Ethics Hotline — 800.621.8099 — is a service available to members of the ADA. This

member service is designed to assist new dentists and other members in managing ethical challenges

that may arise in day to day practice. The Ethics Hotline is not a legal resource but rather a service for

helping to resolve ethical dilemmas much like an ethics consult service. Callers will be matched with a

member of the Council on Ethics, Bylaws, and Judicial Affairs who will arrange to call the member at

a mutually agreeable time to discuss the dilemma and offer resources that may assist in resolving the

dilemma

From the ADA

Page 16 OCTOBER

Advocacy and Regulatory News

Page 17