OCTOBER 2009 VOLUME 10, ISSUE 10 AVAILABLE ONLINE AT TDA.ORG

Inside

DENPAC

Contributing to the PAC

TDA Smiles Foundation

Fluoride Fest

Holiday Cards

TDA Perks Program

Q&A with DentalQuick Part 1

TEXAS Meeting Preview

Evidence-based Tip of the Month

TSBDE Rule Update

November Journal News

2009 TDA Gold Medal for

Distinguished Service to

Dr. Stephen F. Schwartz

A Milestone: More than $100

Billion for Dental Services in 1 Year

— But Will It Last?

Epidemiologic Survey of Erosive

Tooth Wear in San Antonio, Texas

Around the State

November 6 & 7

TDA Board Meeting, Austin

November 13 & 14

Texas Mission of Mercy, Lubbock

November 20

Texas State Board of Dental

Examiners

Click & Connect

TDA Express

tda.org – Features

Personal Web Page

tda.org – Contacts

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.

ADA president Dr. John S. Findley of Plano (R) addressed the House of Delegates at the ADA’s 150th annual session earlier this month in Honolulu, Hawaii.

Dr. Findley’s address focused on health care reform and accomplishments achieved during his administration as president.

“We have been successful because we had science as a foundation, and we built our home on values: caring, integrity, honesty, openness, and a genuine concern for others,” said Dr. Findley. “What we value has brought us to this point.”

Regarding health care reform, he said we have the opportunity to see that oral health care will be expanded and improved. “Never has the time been more critical for moving our ideas forward in the public realm.”

Dr. Findley also presented the ADA Distinguished Service Award to Dr. Kenneth L. Kalkwarf of San Antonio. The Distinguished Service Award is the highest honor the ADA bestows upon an individual.

Dr. Kalkwarf is dean of the University of Texas Health Science Center (UTHSC) at San Antonio Dental School and past president of the American Dental Education Association (ADEA). He is lauded as a leader and consensus builder whose contributions have brought diverse communities together for the betterment of the entire profession. He has held membership and leadership positions in many professional organizations, including the TDA.

“Dr. Kalkwarf has touched so many groups in our profession and been a link between the educational community and the profession, and between young dentists and more established members. It’s his collaborative spirit that really shines through,” said Dr. Findley.

ADA president Dr. John S. Findley of Plano (R) presents the 2009 Distinguished Service Award to Dr. Kenneth L. Kalkwarf of San Antonio at the ADA annual session in Hawaii. The award is the ADA’s highest honor bestowed upon an individual.Photo by Lagniappe Studio, courtesy of ADA News. © 2009 American Dental Association

Texas’ Dr. John S. Findley Reflects on Presidency at 150th ADA Annual Session TDA Member Receives the ADA Distinguished Service Award

Official Call for Secretary/Treasurer Nominations TDA secretary-treasurer Dr. J. Preston Coleman will not seek re-election at the May 2010 TDA House of Delegates. Therefore, the position is open for nominations.

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 will also have to sign a conflict of interest statement. We request that nominations are made as early as possible so that membership eligibility can be verified and the House of Delegates can be prepared for an informal vote. Duties of the Secretary-Treasurer are enumerated in the Bylaws and include the following:

• ServeaschairoftheBudgetCommittee;• ServeaschairofAssetsManagementCommittee;• ExamineincomeandexpensesofTDAandreportateachBoardmeeting;• EnsurethatHouseofDelegatesandTDABoardminutesaremaintained;• Serveasanon-votingmemberofTDAExecutiveCommittee;and• PerformotherdutiesasspecifiedbytheBoardofDirectors. Nominations are to be mailed to Dr. J. Preston Coleman, TDA Secretary-Treasurer, Texas Dental Association, 1946 South IH-35, Suite 400, Austin,Texas78704;ore-mailedtoTDAExecutiveDirectorMs.MaryKayLinn,marykay@tda.org. (According to Article V, Section 10 of the Constitution of the Texas Dental Association and the TDABylaws, Chapter IV — Section 30, Chapter V — Section 40, Chapter VI — Sections 10, 20, 30 70 and 90).

OnJune19,2009,GovernorRickPerrysignedSenateBill(SB)455,TDA’sdentalassistantbill,whichwentintoeffectSeptember1,2009.Asyouaremostlikelyaware,SB455amendstheDentalPracticeActbyallowingTexasdentiststodelegateadditionaldutiestodentalassistants. Passage of this legislation concludes a 4-year workforce development study during which TDA utilized a variety of data gathering tools to determine the membership’s workforce priorities. The 2008 House of Delegates approved a series of workforce resolutions which ultimatelybecameSB455.

This is the last in a series of updates in the TDA TodaythatexplainthesectionsofSB455andhowtheywillapplyinyourdentaloffice.Ifyouhaveadditionalquestions,pleasecontactDianeRhodesorJessCalvertattheTDAcentraloffice(512)443-3675.

Continuing EducationSB455establishedamaximum12-hourcontinuingeducation(CE)requirementfordentalassistantswhoholdmorethantwocertificatesofregistration (radiology, pit and fissure sealant, and coronal polishing). Dental Assistants holding one certification of registration must complete 6 hours of CE each year.

AllCEmustbeinsubjectscoveringdentalassistantdutiesandbetakenfromaTexasStateBoardofDentalExaminers(TSBDE)approvedCEcourseprovider.Lastly,adentalassistantmayfulfillCErequirementsthroughTSBDEself-study,interactivecomputer,orlecturecourses.

Legislative Update

October 2009 / TDA Today / 2

Happy, Healthy Smiles … That’s Our Mission!

Fluoride Fest!On October 3, 2009, your TDA Smiles Foundation (TDASF) strengthened its educational offeringsbyhostingitsinauguralFluorideFestinAtlantainconjunctionwiththatcommunity’s Tall Pines Festival and the help of Northeast Texas Community College (NTCC) School of Dental Hygiene.

Components of the United Ways of Texas-funded Cavity Free Corral program, along with nutritional counseling, face painting, and other activities were available to attendees to stress the importance of fluoridated water to a community’s dental health.

Attendees received free milk, fluoridated bottled water, and healthy snacks, along with toothbrushes, paste, and floss. Children received free fluoride varnishes and free dental sealants. Sixty-nine children received over $10,000 in charitable dental care, and an estimated 200-300 children participated.

Our thanks to the town of Atlanta, NTCC’s School of Dental Hygiene, Dr. Mike Giesler, and everyone who helped make the TDASF flagship Fluoride Fest such a wonderful event!

DENPAC — Organized Dentistry’s Political Action Committee (PAC) When organized dentistry speaks, legislators listen. TDA’s PAC (DENPAC) and your grassroots involvement are key reasons why. Your contributions to DENPAC providesupporttopoliticaloffice-holdersandcandidatesand ensure organized dentistry’s voice is heard – and heard loudly. With health care reform at the forefront of issues facing lawmakers, your continued support of DENPAC is now more important than ever.

The regulations regarding contributing to a PAC can be confusing. The following article will provide you with an overview to contributing to DENPAC.

There are limitations to whoº can make political contributions to DENPAC. Generally, corporations, including non-profit corporations, are prohibited from making political contributions. This applies to “C” corporations as designated by sections of the Internal Revenue Code, or Subchapter “S” corporations referred to in the Tax Code. DENPAC is not able to accept contributions from these corporations, except in very limited circumstances.

Partnerships, limited liability companies (which do not have corporate members), professional corporations, professional associations, and sole proprietors can make political contributions to DENPAC, so long as such entities do not have a corporation as a partner or owner. For instance, professional corporations organized under Chapter303oftheBusinessOrganizationsCodeanditspredecessors are permitted to make political contributions. Please note that the contribution must clearly indicate that the entity is a Texas professional corporation. Similarly, professional associations organized under Chapter 302 oftheBusinessOrganizationCodeanditspredecessorsare allowed to make political contributions. Again, contributions from such associations must clearly indicate that the entity is a professional association.

Substantial penalties could result if state laws regarding political contributions are not followed. DENPAC carefully examines each contribution and will not accept one until it is clear that the contribution is made by a legally permitted entity, such as an individual, professional corporation or professional association. DENPAC reports contributions as required by state law. Contributions are entirely voluntary and a TDA member is not favored or disfavored by reason of the amount of contribution, or a decision not to contribute. Political contributions are not tax-deductible as either charitable contributions or business expenses for federal income tax purposes.

If you have any questions regarding contributions to DENPAC, please contact Leigh Ann Montague or Jess Calvertat(512)443-3675ordenpac@tda.org.

TDASF Holiday CardsLooking for the perfect, meaningful gift idea to honor those who support you in your practice and in your life? Consider supporting TDASF and managing your gift list by participating in our tax deductible holiday card program.

It’s easy!Option OneLog onto tdasf.org, let us know your gift recipients, and leave the rest to us. We’ll process, stamp, hand address, and mail your gifts out on your behalf! You can pay with a credit card online or via mail with a check (1946 S IH-35 #300, Austin, TX 78704).

Option TwoSend us an order form printed from the website with your payment enclosed and we will send your cards in a package to yourofficeforpersonalhandling.On behalf of the thousands of Texans we help each year — THANK YOU!

Some of Atlanta’s youngest residents receive free preventative dental care at the first-ever TDASF Fluoride Fest.

Fluoride Fest’s “Big Top” area bustled with learning activities all day, entertaining children as they waited for their clinical treatment.

Lubbock, TXNovember 13 & 14

2009

Save the date for TDASF’s next

TMOM event:

November 13–14, 2009Lubbock Civic Center

Texas Mission of Mercy Lubbock is COMING!

To volunteer, please visit tdasf.org

Questions and Answers about DentalQuickPart 1 of 2 Excitement has been generated by DentalQuick, the new freedom-of-choice individual/family dental insurance plan recently endorsed by the TDA Perks Program. Here are answers to questions about this newly endorsed TDA Perks Program.

Q. Does the TDA endorse the DentalQuick insurance program?A. No, the TDA, upon the advice of its attorney does not endorse any services, products, or companies. TDA Financial Services, Inc. has been thedesignatedendorsementaffiliateoftheTDAforover20years.ThiswhollyownedaffiliateoftheTDAmanagestheTDAPerksProgram.

Q. Why does the TDA have a for-profit endorsement affiliate?A. The TDA Perks Program‘s mission is to raise non-dues revenue for the TDA.

Q. Who comprises the corporate board that decides TDA Perks Program endorsements? A. These dentists comprise the board that evaluates and grants endorsements of products and services beneficial to TDA members: Dr.W.KennethHorwitz,president;Dr.TerryWatson,vicepresident;Dr.JerryKatz,treasurer;Dr.TanaBusch;Dr.ThomasHarrison;Dr.DanMcCauley;Dr.JohnStovall;Dr.MichaelVaclav;andDr.DavidWoolweaver.

Q. Why did the TDA Perks Program board approve the endorsement of an individual/family dental insurance program?A.Becausemanypatientsdonothaveaccesstogroupplansattheir workplace and are looking for assistance in paying their dental bills. The promotion of Direct Reimbursement, only available as groupdentalplans,generatedhundredsofdentalofficecallstotheTDA. These calls were made on behalf of patients looking for dental insurance that could be purchased by an individual for themselves and for their families.

Q. Why would TDA Perks Program be interested in helping patients secure dental insurance?A. According to ADA statistics, those who have dental insurance are more likely to visit a dentist and because they have financial assistance available through their dental insurance, they are more likely to purchase the dental care they need.

Q. Is the DentalQuick program an employer sponsored group dental insurance benefit? A.No,DentalQuickoffersdentalinsurancetoindividualsandfamiliesseparate from their workplace.

Q. Can a person who purchases a DentalQuick policy use it to supplement a group dental plan that an employer provides? A. Yes, DentalQuick claims can be filed to help a patient attain maximum reimbursement by combining a group plan claims payment with DentalQuick supplemental insurance.

Q. Is participation in the DentalQuick insurance plan mandatory for TDA members?A. No, just as all of the other 25 endorsed products and services endorsed

byTDAPerksProgram,DentalQuickisofferedtoTDAmemberswhowish to participate, but none of our programs is mandatory.

Q. To participate in the DentalQuick plan is a TDA member required to discount fees or join a discount network?A. No, DentalQuick is a freedom-of-choice plan that allows a covered patient to visit any dentist and encourages patients to stay with their dental home. Dentists bill their full fees by balance billing thepatientthedifferencebetweenDentalQuickreimbursementandthe normal fees charged for services.

Q. Is a dental office required to pay any fees to participate in the DentalQuick program?A. No, dentists do not pay any fees or discount any fees to serve a patient covered with a DentalQuick policy.

Q. Does DentalQuick require pre-determinations of treatment and submission of radiographs?A. No, predeterminations are not required and by eliminating the submission of radiographs, claims payments are not delayed as with some other dental insurance policies.

Q. What insurance company underwrites the DentalQuick dental insurance program?A. A-(Excellent) rated Assurant Health is the financially solid companythatunderwritesDentalQuick.ThepoliciesofferedbytheDentalQuick program are established, successful policies that have been on the market for over 6 years.

Q. Do the policies offered in the DentalQuick program have standard Type I (preventive), Type II (basic), and Type III(major) procedure designations? A. No, DentalQuick policies are “fee schedule” policies that list all procedures covered with an accompanying dollar reimbursement for each procedure, making it easy to determine value of benefits compared to premiums charged for the purchase of a policy.

Q. How does having a clear, definite fee schedule help a prospective purchaser of a DentalQuick policy? A. The value of the DentalQuick plan is transparent. The monthly premium quoted for a DentalQuick policy can be weighed by a potential purchaser against a list of dollar benefits for each procedure covered. The patient compares projected use of benefits against the premiums required, thus making an economic decision easy and logical. The DentalQiuick website has a benefit calculator to assist a potential DentalQuick policy purchaser with this decision.

Q. Many dental insurance policies have the same $1000 annual maximum benefit limit they have had for many years. What about DentalQuick?A. Dental Quick has a $1500 annual maximum benefit plus $150 additional annually for preventive care supplement, a total of $1650 of benefits available each year.

Contact TDA Perks Program general manager David Baker, david@tda.org; multi-media specialist Teresa Kim, tkim@tda.org; or marketing specialist Josh Epstein, josh@tda.org, for information about products or services. Log on to tdaperks.com or call TDA at (800) 832-1145.

The Freedom-of-Choice Dental Insurance Plan Endorsed by the TDA Perks Program

October 2009 / TDA Today / 3

May 10, 2009:SummaryofTDABoardofDirectors’actions,withTDApresidentDr.MatthewB.Robertspresiding.

Policy Resolutions

5-2010-B (P): Authorized continuation of Task Force on Dental Services by Non-Dentists to evaluate the unlicensed practice of dentistry, with members Dr. Mark Peppard (chair), Dr. Craig S. Armstrong, Dr. Donna G.Miller,andDr.RonRhea,andconsultantMr.WilliamH.Bingham.

Non-Policy and Board Policy Resolutions

APPOINTMENTS (5)1-2010-B (NP): AppointedTDAHoldingCompanyBoard–President:Dr.HiltonIsraelson;VicePresident:Dr.RonRhea;Secretary-Treasurer:Dr.PrestonColeman;PresidentofFinancialServices,Inc.:Dr.W.KennethHorwitz.2-2010-B (NP): Appointed Dr. R. Lee Clitheroe, Senior Director on the TDABoard,aschairoftheSunsetReviewCommittee.3-2010-B (NP): Reappointed Dr. Arthur H. Jeske as TDA Historian. 4-2010-B (NP): Appointed Dr. Jay C. Adkins as State Team Leader for the ADA Tripartite Grassroots Membership Initiative.

MISCELLANEOUS (2)6-2010-B (NP): Authorized architectural designs for conference facility and drainage improvements and authorized a $25,000 line of credit with FrostBank.

OUT-OF-STATE-TRAVEL (1)7-2010-B (NP):Approvedout-of-statetravelforDr.MatthewB.Robertsand Ms. Mary Kay Linn to Chicago for the ADA’s 150th Anniversary Celebration.

June 18-19, 2009:SummaryofTDABoardofDirectors’actions,withTDApresidentDr.MatthewB.Robertspresiding.

Policy Resolutions

21-2010-B (P): Appointed Dr. A. David May, Jr. (chair), Dr. Hilton Israelson,Dr.J.BradLoeffelholz,Dr.R.LeeClitheroe,andDr.RobertE.Wiggins, Jr., to a Task Force on the Building Better Oral Health; A Dental Home for All Texans report to determine any need for policy changes orfurtheractionsinareporttotheTDABoardatitsFebruary2010meeting.

APPOINTMENTS (6)9-2010-B (BP):Appointed2009-2010BoardLiaisons:CouncilonAnnualSession:Dr.KarenE.Frazer;CouncilonConstitutionandBylaws:Dr.JohnW.Baucum,III;CouncilonDentalEconomics:Dr.CraigS.Armstrong;CouncilonDentalEducation,Trade&Ancillaries:Dr.ArletR.Dunsworth;CouncilonEthicsandJudicialAffairs:Dr.KathleenNichols;CouncilonMembership:Dr.DonnaG.Miller;CouncilonPeerReview:Dr.JohnnyG.Cailleteau;CouncilonLegislative&RegulatoryAffairs:Dr.J.BradleyLoeffelholz;CommitteeonAccess,Medicaid,andCHIP:Dr.RobertE.Wiggins,Jr.;CommitteeontheNewDentist:Dr.LisaB.Masters;CommunicationsCommittee:Dr.LarryD.Herwig;DENPAC:Dr.R.LeeClitheroe;TDASmilesFoundation:Dr.RionaldL.Rhea;TexasStateBoardofDentalExaminers:Dr.HiltonIsraelson.10-2010-B (BP):AppointedDr.LisaB.MasterstotheFutureFocusCommittee, joining Dr. Johnny G. Cailleteau (chair), Dr. Ronald L. Rhea, and Dr. R. Lee Clitheroe.11-2010-B (BP):AppointedTDABoarddirectorsDr.KarenE.FrazerandDr.RobertE.Wiggins,Jr.,totheBudgetCommittee.12-2010-B (BP): AppointedDr.J.BradleyLoeffelholzandDr.KathleenNichols to the TDA Finance and Audit Committee.13-2010-B (BP):AppointedTDABoardmembersDr.CraigS.Armstrong, Vice President and Dr. Larry D. Herwig, Director to the Assets Management Committee.

OUT-OF-STATE-TRAVEL (1)16-2010-B (BP): Approved out-pf-state travel to Chicago, Illinois for Mary Kay Linn, Executive Director and Lee Ann Johnson, Director of Member Services and Administration to attend the ADA Management Conference in Chicago, Illinois, July 20-24, 2009.

BUDGET (1)17-2010-B (NP): Approved line item 14b, Salaries-Temporary, as over budget.

MISCELLANEOUS (1)14-2010-B (NP): ApprovedApril3-4,2009TDABoardminutes.15-2010-B (NP): ApprovedminutesoftheMay10,2009TDABoardMeeting18-2010-B (NP): Authorized investment account with Morgan Stanley —Brandes.19-2010-B (NP): Authorized investment account with Morgan Stanley — NWQ.20-2010-B (NP): Authorized investment account with Morgan Stanley — Madison.

“Aloha!” I am penning this message on the return flight from the American Dental Association’s 150th Annual Session. Now, before you think this was just a vacation, let me tell you that my feet never hit the sandy beaches of Waikiki. Your ADA delegation represented Texas extremely well and the work put in on behalf of your TDA was exemplary. Many, and I mean many, problems associated with the running of the ADA came to light through the strong leadership of our own Dr. John Findley this past year. The transparency of our parent organization has never been better and was strengthened through the actions of this ADA House of Delegates. Dr. Glenn Hall, TDA speaker of thehouse,ranforthespeakeroftheADAandlostthatelectioninacloserun-offtothesittingspeaker.TheADA’sloss continues to be our gain here in Texas.

The ADA delegates once again left our annual session with no dues increase to our membership. In these tough economic times, the leadership did everything they could to help keep the financial impact on our practices to a minimum.Iwillsayhoweverthatfutureduesincreases,inmymind,arenotfaroff.Lookformoreinformationinupcoming publications and on our website regarding actions taken in Hawaii.

Now, let me briefly update you on my travel over these past few weeks. I have attended the 7th, 12th, and 16th district dental society meetings. In addition, I represented the TDA at Texas House of Representatives Speaker Joe Straus’s fundraiser and delivered a DENPAC contribution to State Representative Chuck Hopson (D-Jacksonville) whocarriedourdentallegislationintheTexasHouseduringthelastsessionoftheTexasLegislature.Bythetimeyou read this, I also will have spent 2 days in Dallas delivering DENPAC contributions to many of the friendly incumbents that represent us in Austin. The schedule required is hectic and exciting, and I continue to thank you for allowing me to represent and lead the TDA. Until next time, you are In the Loop.

In The Loop

Matthew B. Roberts, DDS, TDA President 2009-2010

MK’s Board Notes

Mary Kay Linn, TDA Executive Director

Avulsed Teeth After entering pubmed.gov, search for “avulsed teeth.” There are many articles on this topic. I noticed interesting information about storage of the avulsed tooth, surface treatment of the root surface, and surveys of various groups of people about their knowledge of how to manage this traumatic event. Also, research using experimentalrootsurfacetreatingagentscanbefound.Thereseemstobeadifferenceofopinionregardingwhetherendodontic treatment should be done extraorally on all teeth, only on those teeth with closed apicies or not done until a later time depending upon the outcome of initial treatment.

Just for fun, you might like to narrow the search by clicking on “limits” tab just below the search box. To narrow thesearch,clickthecategoriesyouwouldliketoinclude;suchasEnglish, human, or clinical trial before you activate the search. This will reduce the total number of citations listed by excluding papers in other languages, animal studies and those other that clinical trials. In the case above, we still get many papers but this approach can be helpful when a search lists a smaller number of papers.

Evidenced-Based PracticeTip of the Month

Stephen R. Matteson, DDS, Editor

THRILLER TEXAS MEETING (as sung to “Thriller,” by Michael Jackson)By C. Roger Macias Jr., DDS, Member, Council on Annual Sessions

It’s close to registration time and something new is about to realizeUnder the firelight, you see some art glass melt right before your eyesYou try to scream from the hot sauce in the enchilada class you’re takingYou start to freeze as beauty looks you right between the eyes. You’re so surprised!

‘Cause this is a thriller, TEXAS MeetingAnd no one’s gonna save you from the enchilada that you’ll be eatingYou know it’s a thriller, TEXAS MeetingYou’re fighting for your beer inside New Location, Texas Party, Exhibit Hall A

You smell the spa breeze and realize you’re at an Olive Orchard just for funYou feel the warm hand as you pamper yourself with friends out in the sunYou close your eyes and are glad that this is not just imaginationButallthewhileyouhearthebusdrivercomingupbehind—You’reoutoftime

‘Cause this is thriller, TEXAS MeetingThere ain’t no second mulligan at the Healthy Smiles Golf ClassicThriller, TEXAS MeetingYou’re fighting for your par outside a killer, thriller, Pecan Valley Course

Night wine is calling, the wine tasters start to walk in their masqueradeThere’s no escaping the wine tasting seminar this time. (They’re open wide).This is a fun part of life!

They’re out to see you, your friends are closing in on every sideThey will forget you until they see you at an extended lunch time just outsideNow is the time for you and I to gather close together, yeahAt happy hour I’ll see you on Thursday and Friday from 4:30 until 6:00We’ll get to mix …

‘Cause this is thriller, TEXAS MeetingAnd though you fight to stay awakeYour body starts to quiverFor no mere dentist and team can resistThe fun of the thriller … TEXAS Meeting that is!

A ha ha ha ha ha ha ha ha ha ha!

Take a Risk Management Course; Save on PremiumsIf your professional liability coverage is provided by Perks-

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F I N A N C I A L S E R V I C E S

INSURANCE

OCTOBER 2009 VOLUME 10, ISSUE 10 AVAILABLE ONLINE AT TDA.ORG

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

Edwina J. Shires, Director of PublicationsNicole Scott, Publications Coordinator

Barbara S. Donovan, Art Director

BOARD OF DIRECTORSMatthew B. Roberts, D.D.S., President

Ronald L. Rhea, D.D.S., President-ElectHilton Israelson, D.D.S., Immediate Past President

Vice PresidentsCraig S. Armstrong, D.D.S., Southeast

Johnny G. Cailleteau, D.D.S., Southwest J. Brad Loeffelholz, D.D.S., Northwest Arlet R. Dunsworth, D.D.S., Northeast

Senior DirectorsR. Lee Clitheroe, D.D.S., Southeast

John W. Baucum III, D.D.S., Southwest Kathleen Nichols, D.D.S., Northwest Donna G. Miller, D.D.S., Northeast

DirectorsKaren E. Frazer, D.D.S., SoutheastLisa B. Masters, D.D.S., Southwest

Robert E. Wiggins, D.D.S., Northwest Larry D. Herwig, D.D.S., Northeast

J. Preston Coleman, D.D.S., Secretary-TreasurerGlen D. Hall, D.D.S., Speaker of the HouseMichael L. Stuart, 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 Association, 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 Association (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 affili-ated, $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 Associa-tion 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. Every effort will be made to return unused manuscripts if a request is made but no responsibility can be accepted for failure to do so. Anonymous communications will receive no consideration whatsoever. 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 Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. The Information for Contributors is available at tda.org.

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AtitsregularmeetingonAugust28,2009,theTexasStateBoardofDentalExaminers(TSBDE)gaveitsfinalapprovaltoanewrule which establishes a reference to the recordkeeping standard of care relating to dental hygiene practice. The new rule — §115.6 — reads as follows:

§115.6. Records. A Texas dental hygiene licensee practicing dental hygiene in Texas shall record treatments delegated by a Texas licensed dentist and performed for and upon each dental patient for reference, identification, and protection of the patient, the dentist, and the dental hygienist. Such recordings shall be entered in the dental records maintained and kept by the delegating dentist.

This new rule went into effect on September 20, 2009.

FormoreinformationcontactTDApolicymanagerDianeRhodesatdiane@tda.orgor(512)443-3675.

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.

Texas Dental Association Statement of Ownership