NOVEMBER 2011 VOLUME 12, ISSUE 11 AVAILABLE ONLINE AT TDA.ORG

InsideTDA Smiles FoundationTexas Mission of Mercy AmarilloHoliday Cards Medicaid Electronic Health Record Update TDA Perks Evidence-based Tip of the Month

TDA Freshmen Day at UTHSCSA

TDA Unveils New HB 300 Training Module

TEXAS Meeting Preview TSBDE Rule Update Notice of Grant Availability DENPAC December Journal NewsThe Greater Houston Dental Society Star of the South Dental Meeting

Reaching the Texas Dental Goals of Healthy People 2010

Shear Bond Strengths of a Selenium Containing and a Conventional Light Cured Adhesive for Orthodontic Bonding

Oral Health and Social Justice: Opportunities for Leadership

Sumter S. Arnim, D.D.S., Ph.D.: Texas Leader in Evidence-based Dentistry

Around the State

January 12 – 14Southwest Dental ConferenceDallas January 27Texas State Board of Dental ExaminersAustin Click & Connect

Join us on Facebookgroups.to/texasdental Follow us on Twittertwitter.com/theTDA Get LinkedInlinkedin.com, search “Texas Dental Association”

Using your smartphone, scan this barcode to access the TDA website.

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.

Former TDA President Dr. Hilton Israelson of Richardson was installed as a trustee at the American Dental Association (ADA) 152nd Annual Session and World Marketplace Exhibition in Las Vegas in October.

Dr. Israelson will serve a 4-year term on the ADA Board of Trustees as the trustee from the Fifteenth District, which represents Texas. The ADA Board formulates and reviews policies and programs and makes recommendations to the members of the ADA’s governing body, the House of Delegates. As a member of the ADA Board, Dr. Israelson will play a major role in the ADA’s organizational objective of being America’s leading advocate for oral health.

Dr. Israelson is a past president of the TDA and was honored as the Dallas County Dental Society Dentist of the Year in 2006. He received the President’s Award for both the TDA (2006 and 2011) and the Texas Society of Periodontists (2008).

A graduate of the Dental School at the University of Witwatersand in Johannesburg, South Africa, Dr. Israelson completed his periodontal training at Tufts University, School of Dental Medicine in Boston. He maintains a private practice in Richardson and serves as an associate clinical professor in the Department of Periodontology at Baylor College of Dentistry in Dallas.

Former TDA President Installed as ADA Fifteenth District Trustee

Official Call for Speaker of the House NominationsNominations for the elective office of Texas Dental Association (TDA) Speaker of the House may be submitted to Dr. Ron Collins, TDA Secretary-Treasurer. Only an active, life, or retired member in good standing of this Association shall be eligible. A Curriculum Vitae (CV) must accompany a letter of intent and the nominee must sign a conflict of interest statement. If a CV is not submitted, nominees must present his/her qualifications verbally before the House of Delegates. Nominations are in order up to the time the official nominations are made at the electing House of Delegates. Nominations must be made as early as possible in order to verify membership eligibility.

Duties of the Speaker of the House are enumerated in the Bylaws and include the following:

a. To serve as an ex-officio member of the Board of Directors without vote.b. To serve as an ex-officio member of the Executive Committee without

vote.c. To preside at all meetings of the House of Delegates.d. To determine the order of business for all meetings, subject to the approval

of the House of Delegates.e. To appoint tellers to assist him/her in determining the result of any action

taken by vote.f. To appoint members of reference committees in consultation with the

President, President-elect and the Immediate Past-president by the first Board of Directors meeting of the calendar year.

g. To notify the divisional officers and the Committee on Credentials, Rules and Order, prior to the annual session, the number of delegates and alternates necessary to constitute a quorum.

h. To meet with the divisional officers prior to the meeting of the divisional caucuses at the annual session to review the Rules For Caucus Procedures, Nominations, And Elections.

i. To appoint a parliamentarian pro tem, should it become necessary for the parliamentarian to be absent during a session of the House of Delegates.

j. When the need shall arise, appoint special committees to perform duties not otherwise assigned by these Bylaws, to serve until adjournment sine die of the session at which they were appointed.

k. In the event that the divisional nominee for a particular office be declared ineligible, that the Speaker of the House of Delegates shall direct the divisional caucus to reconvene to select a new nominee.

l. The installation of officers shall be held during the closing meeting of the House of Delegates at such time as determined by the Speaker and conducted by the retiring President or Past-President. The term of new officers begins at the adjournment of the House of Delegates.

m. The Secretary of this Association shall serve as the Secretary of the House of Delegates. In absence of the Secretary, the Speaker shall appoint a Secretary of the House of Delegates pro-tem.

Nominations are to be mailed to Dr. Ron Collins, TDA Secretary-Treasurer, Texas Dental Association, 1946 South IH-35, Suite 400, Austin, Texas 78704; or e-mailed to TDA Executive Director Ms. Mary Kay Linn, marykay@tda.org.

(According to the TDA Bylaws, Chapter IV – Sections 30E, 60, 110A, 150D, Chapter V – Sections 70Aa).

TDA Speaker of the House Dr. Glen D. Hall of Abilene announced his candidacy for the American Dental Association (ADA) Speaker of the House at the organization’s annual session in Las Vegas in October.

The current ADA Speaker of the House, Dr. J. Thomas Soliday, will retire from the position after the ADA House of Delegates in October 2012 during which time the delegates will elect a new candidate.

For 11 years, Dr. Hall has served as TDA Speaker. He has been an ADA delegate or alternate delegate for 23

years. Dr. Hall practices general dentistry in Abilene.

For more information on Dr. Hall’s campaign, please contact TDA policy manager Ms. Diane Rhodes, diane@tda.org, (512) 443-3675.

TDA Speaker of the House Announces Candidacy

Future Changes to Texas Medicaid Dental ProgramOn October 28, 2011, the Health and Human Services Commission (HHSC) mailed enrollment packets to all Medicaid/Children’s Health Insurance Program members. It is very important for participating dentists to begin informing their existing patients about which dental plans they intend to participate.

The Texas Dental Association has a sample letter, approved by HHSC, that participating dentists may share with their patients to help them complete the “self-selection” process for a Main Dentist. It is important to note, that although participating dentists may inform their patients about which plans they intend to contract with, dentists are prohibited from influencing a member’s decision to choose one plan over another.

The “self-selection” letter was e-mailed to the TDA membership the week of November 14, 2011. To request a copy of the “self-selection” letter, contact the TDA’s policy manager Ms. Diane Rhodes at (512) 443-3675 or diane@tda.org.

Hall

November 2011 / TDA Today / 2

Perks Partner News

Perks Partners Sponsor East Texas Dental Society Meeting

TDA Perks partners, CareCredit, DentalQUICK, LifeGas, The Glove Group, Sedation Resource and TDA Financial Services Insurance Program generously sponsored, collectively, more than $1,000 for the October 21 East Texas Dental Society fall meeting in Tyler. TDA Perks Program staff also presented a brief Program update at the well-attended meeting. If your component society is interested in Perks programs sponsoring future meetings or purchasing advertising in component publications, please contact Josh Epstein at (512) 443-3675. For more information on TDA Perks Program, please visit tdaperks.com.

TDA Perks Program Adds New Partners, Including Philips Sonicare and Discus

The TDA Financial Services Board of Directors recently added three new partners to TDA Perks Program: Philips Sonicare and Discus Dental (Philips purchased Discus in late 2010), Demandforce and TextDoctor. All Philips Sonicare products — including the new AirFloss — as well as all Discus products are available at significantly discounted prices to TDA members. Demandforce automates patient communications and online marketing, and TextDoctor.com allows you to automatically confirm patient appointments via text. Both of these programs offer TDA members special pricing, as well. For more information, visit tdaperks.com, and click on “Endorsed Partners.” Questions? Please call TDA Perks at: (512) 443-3675.

This is the final publication 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 eligible Medicaid providers for the adoption and meaningful use of certified EHR technology.

Last month’s update asked Texas Dental Association members to submit their questions about the Texas Medicaid Electronic Health Record (EHR) Incentive Program. The questions received along with the answers are listed below.

Q: Could you please inform me of at least one dental software that has been approved/certified for the EHR incentive program?

A: All EHR systems and technology must be certified specifically for the EHR Incentive Program by the Office of the National Coordinator for Health Information Technology (ONC) and its authorized certification organizations. The Certified Health IT Product List is available at healthit.hhs.gov/CHPL. This is a list of all complete EHRs and EHR modules that have been certified for the purposes of this program.

Examples of certified EHR systems that have modules supporting dentistry include MacPractice DDS 4.1, the dental component of MacPractice MD 4.1., and NextGen by Quality Systems Inc.

At this time, there is not a certification available for dental practice management software. According to the Dentrix website, “We [Henry Schein Practice Solutions] are also participating in the American Dental Association workgroup for Electronic Dental Record (EDR) standards with the goal of creating a certification for EDRs that can apply more easily to the CMS meaningful use criteria.”

According to the Patterson Dental website, “Patterson is actively reviewing all new legislation and legislation interpretation to determine Eaglesoft’s ability to be Electronic Medical Record certified. We will continue to educate our customers by publishing new information to this FAQ answer as it is available to us.”

Q: I have been in contact with our vendor who administers our dental software, Patterson Dental, and have questioned to them the status of getting their software credentialed so we can participate in the incentive program. They advised our office that the dental requirements still have not been defined. Can you email me a copy of the definitions that a dental software program must produce in order to participate in the incentive program or the name of a dental software that has worked through this program?

A: The testing criteria that each certified EHR must pass include more than 45 test points. Some key points are whether the EHR: • Canincorporatelabtestresults; • Canmaintainanactivemedicationlistaswellasamedicationallergylist; • Includesadrug-drug/drug-allergyinteractioncheck; • Providesdataencryptionwhenexchangingelectronicinformation; • Deliverselectronicdischargeinstructions;and • Calculatesandsubmitsclinicalqualitymeasures.

If you are interested in reading the full listing of all testing requirements, go to tinyurl.com/352m6ss.

Vendors can submit their EHR products to the certifying bodies to be tested and certified. Hospitals and practices that have developed their own EHR systems or products can also seek to have their existing systems or products tested and certified. Complete EHRs may be certified, as well as EHR modules that meet at least one of the certification criteria.

Once a product is certified, the name of the product will be published on the ONC website: healthit.hhs.gov/CHPL.

Should you want to investigate other questions pertaining to EHR certification, please see the FAQs presented by CMS at tinyurl.com/brjudws or by the ONC at tinyurl.com/6cvxcwb.

Are you tired of hearing “Gig ‘em Aggies” and seeing maroon and white everywhere? Then it’s time to put your money where your mouth is with the Texas Dental Association Smiles Foundation (TDASF) Bragging Rights Challenge.

Every dollar you donate on behalf of your alma mater supports charitable dental care programs in Texas. The alma mater that raises the most money for TDASF will be recognized at the TDA Annual Session, highlighted at the TDASF Healthy Smiles Golf Classic, and will maintain school bragging rights for an entire year!

Although the challenge officially kicks off January 1, 2012, TDASF is offering members a chance to DOUBLE their money during Spirit Season. Today through December 31, 2011, your alma mater will receive double points for every dollar you donate.

Don’t miss out on this opportunity! To donate, contact the TDASF office at (512) 448-2441 or visit tdasf.org.

Texas A&M University2010 Winner of the TDASF Bragging Rights Challenge

happy, healthy smiles...that’s our mission!

Holiday Cards are Ready to Order!

Amarillo Texas Mission of Mercy

Season’s Greetings1 for $25 or 5 for $100

Don’t forget to order your TDA Smiles Foundation (TDASF) Holiday Cards! Send your family, friends, and colleagues a unique card expressing your warm wishes for the upcoming holiday season.

To order any of these cards please visit tdasf.org, call (512) 448-2441 or e-mail TDASF foundation manager Ms. Judith Gonzalez at judith@tda.org.

For more holiday card options visit tdasf.org

Holiday Sparkles1 for $25 or 5 for $100

Amarillo TMOM patient

Amarillo TMOM patient

(before)

(after)

It was a winter wonderland during set-up for the Amarillo Texas Mission of Mercy (TMOM) last month! The temperatures dropped and the snow fell, but that didn’t deter the volunteers from setting up the equipment and supplies for the TMOM.

The patients didn’t seem to mind the cold weather, either. They began lining up to receive services at 5:00 p.m. Thursday, October 27, 2011 .

By Friday morning, October 28, 2011, the snow had cleared and the volunteer dentists were providing patients with much needed care. A total of 101 volunteer dentists, with the help of almost 1,000 volunteers, provided 1,089 people with $736,339 worth of charitable dental care.

Thank you to everyone that came out to volunteer or provided the financial support needed to help these patients!

,

Texas Medicaid Electronic Health Record (EHR) Incentive Program

November 2011 / TDA Today / 3

Season of ThanksgivingAmidst the anticipation of the coming holiday season, we must not forget what we are truly thankful for in our lives. Before I get caught up in it, I’d like to express my appreciation for the following: 1. Organized dentistry: Being a member of the Texas Dental

Association allows me, a solitary dentist, to have a bigger voice and opportunity. I have been a member of TDA since 1974. For 37 years, I have enjoyed the benefits of being a member of our professional organization. I can count on the TDA to advocate for me at the Texas Capitol, to present me with scientific and research information through its publications, to give the public a glimpse of the caring side of our profession through charitable care through the TDA Smiles Foundation (TDASF), and to put on a top notch annual session featuring CE and exhibitors of the latest in dental care and products. The TDA staff does tremendous work for us daily to keep us informed and responsive to matters that affect our profession and the people we serve.

2. My staff: As president of the TDA, I spend a significant amount of time away from the office. If I’m not in San Antonio treating patients, I’m in Austin at a Board of Directors meeting or I’m visiting one of the 26 component societies across the state. This is all possible because of the capable and talented people who work with me. Thank you to Jo Nell, Chris, Crystal, Sara, and Lily. Also thanks to Dr. Jeff Wert, my partner, for your help and support.

3. DENPAC: The political action committee of the TDA is hard at work making your dollars matter. I am a member of the DENPAC Platinum Club and the ADPAC Capital Club. I know that the money I send to DENPAC supports legislative candidates who support the improvement of oral health for all Texans.

4. TDA Smiles Foundation: When the Texas Dentists for Healthy Smiles Foundation (TDHSF) sponsored the first Texas Mission of Mercy in 2003, I knew we had hit on something big but I never imagined the change in 2006 to the TDASF would match and exceed the accomplishments of the TDHSF. The TDASF has been a grand success. To date, the TDASF has provided $17.7 million in charitable care to 25,142 patients. Providing dental care to those who need it most is one of the most rewarding opportunities in our profession.

5. Last, but far from least, I thank my spouse, Sue Ann, and children, April, Vanessa, Preston, Jareth, and George. Their lasting love, understanding, and support have helped me immeasurably as your president.

For God and this country and all of these, I am so grateful!

Preston’s Press

J. Preston Coleman, D.D.S., TDA President

Evidence-based Practice Tip of the Month

Stephen R. Matteson, D.D.S., F.I.C.D., TDA Editor

Here are several recommendations on flourides published by expert panels sponsored by the American Dental Association.

1. “Dietary fluoride supplements should be prescribed only for children who are at high risk of developing caries and whose primary source of drinking water is deficient in fluoride (1).” See PMID #21158195 on pubmed.gov.

2. “When dentists advise parents and caregivers of infants who consume powdered or liquid concentrate infant formula as the main source of nutrition, they can suggest the continued use of powdered or liquid concentrate infant formulas reconstituted with optimally fluoridated drinking water while being cognizant of the potential risks of enamel fluorosis development (2).” See PMID #21243832 on pubmed.gov.

They also state that, “These recommendations are a resource for practitioners to consider in the clinical decision-making process. As part of the evidence-based approach to care, these clinical recom-mendations should be integrated with the practitioner’s professional judgment and the patient’s needs and preferences. Providers should carefully monitor the patient’s adherence to the fluoride dosing schedule to maximize the potential therapeutic benefit.”

References1. Berg J, Gerweck C, Hujoel PP, et al. Evidence-based clinical

recommendations regarding fluoride intake from reconstituted infant formula and enamel fluorosis: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2011 Jan;142(1):79-87.

2. Rozier RG, Adair S, et al. Evidence-based clinical recommendations on the prescription of dietary fluoride supplements for caries prevention: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2010 Dec;141(12):1480-9.

HB 300 — Prepare Your Practice!HB 300, passed during the 82nd Regular Session of the Texas Legislature, amends the Texas Medical Privacy Act (TMPA) — Chapter 181 of the Health and Safety Code. The legislation addresses the privacy of protected health care information by establishing guidelines for the storage, transmission, and security of protected health care information. The legislation sets forth administrative, civil, and criminal penalties for disclosure or sale of protected health information (PHI) or other violations of Chapter 181 of the Health and Safety Code.

Additionally, the legislation requires training by each covered entity (any person, as defined, who comes into contact, possession of, or obtains or stores PHI) for its employees regarding the state (TMHP) and federal law (Health Insurance Portability and Accountability Act of 1996 (HIPAA)) concerning PHI, and also contains provisions for consumer access to electronic health records, if used by a health care provider.

With HB 300, covered entities are mandated to train new employees on both HIPAA and the TMPA within 60 days of hiring and every 2 years thereafter.

Although the legislation takes effect September 1, 2012, TDA has partnered with Smart Training to design a cost effective ($27.50 per person) internet based HB 300 training module. Additional details about accessing the module will be e-mailed to all TDA members in December 2011.

Texas Dental Association Notice of Grant Availability 501(c)(3) Non-Profit Dental Organizations

T he Texas Dental Association (TDA) announces availability of financial assistance for qualifying 501(c)

(3) non-profit organization affiliated with dentistry. The monies are derived from TDA Relief Fund interest income earned over the previous fiscal year. Grantees will be determined by the TDA Board of Directors.

Eligibility: Grantees must be 501(c)(3) non-profit organizations affiliated with dentistry.

Application: Letters of interest detailing the proposed project(s) and including a budget(s) should be mailed to: TDA Board of DirectorsAttn.: Mr. Terry Cornwell1946 S. IH 35, Ste. 400Austin, TX 78704

Deadline: Letters of Interest must be re-ceived no later than January 31, 2012.

Approval: Letters of Interest will be re-viewed and considered by the TDA Board of Directors at its March 2012 meeting.

Notification: All recipients will be notified in writing by May 15, 2012.

Previous Recipients: In 2011, grants were awarded to Christian Community Action in Lewisville, the Community Health Center of Lubbock, the Covenant Health System Foundation in Lubbock, Dentists Who Care in Edinburg; the Good Neighbor Health-care Center in Houston, the Jack T. Clark Foundation in Austin, the San Jose Clinic in Houston, and the St. Paul Children Foun-dation in Tyler.

For more information, please contact Mr. Terry Cornwell, TDA, (512) 443-3675 or terry@tda.org.

Pictured at the TDA Freshmen Day at UTHSCSA in November: (L-R) Dr. Joshua Austin of San Antonio, UTHSCSA freshman dental students Natalie Garza, Kyle King, Peyton Cometti, Shingmei Chang, Soulmaz Heydari, Dr. Max Kerr of San Antonio, and Brenda Rodriguez.

TDA Freshmen Day at UTHSCSATDA sponsored its annual luncheon for the freshmen dental class at the University of Texas Health Science Center at San Antonio Dental School (UTHSCSA) on November 16, 2011. Dr. Joshua Austin and Dr. Max Kerr, both TDA New Dentist Committee members, hosted the event along with TDA managing editor Ms. Nicole Scott and publications coordinator Ms. Lauren Oakley. TDA editor Dr. Stephen Matteson also attended the event focused on welcoming the freshmen class into the profession of dentistry.

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NOVEMBER 2011 VOLUME 12, ISSUE 11 AVAILABLE ONLINE AT TDA.ORG

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

Nicole Scott, Managing EditorLauren Oakley, Publications Coordinator

Barbara Donovan, Art DirectorPaul 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

This TSBDE Update will address Texas State Board of Dental Examiners (TSBDE) Chapter 110 — 22 TAC §110.6 — Deep Sedation or General Anesthesia (Level 4) Permit. The TSBDE defines Level 4 Deep Sedation as, “A drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained (1).” A Level 4 Permit automatically qualifies an applicant for Nitrous Oxide, Level 1, Level 2, and Level 3 Permit privileges (2).

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 become compliant with all facets of the new regulations such as standards of care and monitoring.

A summary of the educational/professional criteria for dentists applying for a Level 4 Moderate Sedation Permit, taken directly from Chapter 110 — 22 TAC §110.6 — Deep Sedation/General Anesthesia, is available on the TDA website, tda.org. Space did not permit its inclusion in this publication.

References1. 22 Texas Administrative Code, §110.1 (6). 2. TSBDE Webpage: New Anesthesia Permit Regulations to be Enforced January 1, 2012: tsbde.state.tx.us.

For more information, please contact TDA policy manager Ms. Diane Rhodes at (512) 443-3675, diane@tda.org.

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.

142nd Annual Session of the Texas Dental Association

May 3 – 6, 2012 • San Antonio, Texas

Steven Spivack, D.D.S., TDA Council on Annual Session

May 2012 seems very far away. But it’s not! The holidays are quickly approaching and before you know it, the new year will be here. Tempus fugit, or time flies, it seems. It’s not too soon to make your plans for the 142nd Annual Session of the Texas Dental Association, The TEXAS Meeting, May 3-6, 2012, in San Antonio, Texas.

The brochure detailing all of the activities taking place at the annual meeting will be mailed in late November. Housing opens on December 1, 2011; visit texasmeeting.com to complete your housing requests. The Marriott Rivercenter Hotel serves as the headquarters hotel. A benefit of registering early is that you can reserve a room in the hotel of your choice before the block is sold out. We are only able to arrange for a certain amount of rooms at each hotel due to the discounted rate available.

Ring in the New Year! Registration opens on Monday, January 2, 2012. Online registration is the most efficient and your confirmation is sent almost immediately. By registering early you’ll have the benefit of guaranteeing yourself a place in the most popular seminars. As you know from past experience, these seminars fill up quickly and once the allotted slots are filled, the session is closed. Early registration allows your Council on Annual Session to continue making appropriate logistical arrangements for this incredible meeting.

The TDA arranges for nationally recognized speakers covering the most up-to-date topics and issues. Additionally, the exhibit hall is always packed with companies demonstrating state-of-the-art equipment and cutting edge procedures.

Texas is a big state, and past attendees tell us that the TDA annual meeting allows them the chance to renew friendships with dentists from all over the state with whom they don’t often get to visit. Come experience the spirit and camaraderie of your TEXAS Meeting.

Spring time in San Antonio offers perfect weather conditions. You will enjoy the warm and sunny climate, which is perfect for enjoying the River Walk and the many outdoor venues! We look forward to seeing you there.