SEPTEMBER 2010 VOLUME 11, ISSUE 9 AVAILABLE ONLINE AT TDA.ORG

Inside

TDA 2014: An UpdateAdvocacy TDA Smiles FoundationRecipient Shows ThanksRecord Breaking Waco TMOM TDA PerksName the E-newsletter ContestFreedom-of-Choice Dental Insurance TEXAS Meeting Preview TSBDE Rule Update Call for Texas Dental Journal manuscripts October Journal News

Special Legislative Issue2011 Legislative Landscape Vascular Lesions of the Maxillofacial Region Oral Health Care for the Pregnant Patient

Around the State

November 6Smiles on WheelsHondo November 12 & 13TDA Board of Directors meetingAustin November 19Texas State Board of Dental Examiners meetingAustin

Click & Connect

Update Profiletda.org – Membership Info September Journal (membership directory)tda.org/tdapublications

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.

Dr. C. Stephen Caldwell of El Paso was named the 2010 Texas Dentist of the YearTM at the Texas Academy of General Dentistry’s (TAGD) annual Lone Star Dental Conference in Austin on

September 10, 2010. TAGD has presented the award annually since 1965; it is considered one of the most prestigious honors a Texas dentist can earn.

Nominated by the El Paso Academy of General Dentistry and El Paso District Dental Society, Dr. Caldwell was one of 22 dentists around the state up for the award. Nominees show a commitment to advancing excellence in dentistry through activism in organized dentistry, dedication to continuing education, and participation in charitable work and civic service.

Dr. Caldwell is a 1979 graduate of the University of Texas Dental Branch at Houston and maintains a periodontal dentistry practice in El Paso. He is currently a member of the American Dental Association, American Academy of Periodontology, and the American Board of Oral Implantology where he serves as a Board Examiner. Dr. Caldwell has held numerous leadership positions with the TDA including serving as a delegate for the past 5 years. He is a past president of the El Paso District Dental Society.

In addition to his leadership positions, Dr. Caldwell is recognized by his peers for his commitment to continuing education. Dr. Caldwell focuses on implant-related restorative dentistry, and he now lectures around the country. He is also on faculty at the Temple Dental School in Philadelphia and the Misch International Implant Institute in Detroit.

Along with professional organizations, Dr. Caldwell is extremely active and generous in his community and abroad. He has organized and participated in trips to Chihuahua, Mexico, for the last 12 years and also travels annually to remote sites in the Sierras of Mexico. Additionally, he continues to work in nearby border towns and in his own community providing dental and hygiene care that some patients would otherwise never receive.

For more information on the TAGD, please visit tagd.org.

TAGD Names Dr. C. Stephen Caldwell the 2010 Texas Dentist of the Year

(L-R): TAGD president Dr. Craig S. Armstrong of Houston is pictured with the 2010 TAGD Dentist of the Year Dr. C. Stephen Caldwell of El Paso and the 2009 TAGD Dentist of the Year Dr. Ralph A. Cooley of Conroe. Dr. Caldwell received the prestigious award at the TAGD’s annual Lone Star Dental Conference earlier this month in Austin. He was among 22 nominees.

Head Start Dental Home Initiative Visits LaredoOn September 10, 2010, Head Start Dental Home Initiative (DHI) leader for Texas Dr. Paul Kennedy, Jr., of Corpus Christi visited Laredo to give interested dentists, their staff, and Head Start employees information about the DHI program and the importance of oral health care for young children.

The meeting group may have been small, but participants were excited to have the opportunity to meet face-to-face to discuss the obstacles preventing many enrollees in Laredo from receiving regular dental care.

Participant Dr. Joanna C. Ayala of Laredo and her staff strategized with Ms. Anna Maria Huerta, Ms. Pat Vela, and Ms. Gloria Salinas from Head Start about educating parents on the importance of regular dental care and reinforcing positive oral health habits at home.

Articles detailing similar Head Start DHI events in Houston on September 17 and El Paso on September 22 will be featured in upcoming issues of TDA Today. If you want to be involved in this important initiative, please e-mail headstart@tda.org. YOU can make a difference in a child’s smile!

Dr. Paul Kennedy, Jr., of Corpus Christi, the Head Start DHI Director, provides information about the DHI program in Laredo earlier this month.

The Texas Academy of General Dentistry (TAGD) named Dr. Joshua A. Austin of San Antonio as the 2010 New Dentist of the Year at the TAGD Leadership Reception during the Lone Star Dental Conference on September 9, 2010, in Austin. Nominated by the San Antonio Academy of General Dentistry and the San Antonio District Dental Society, Dr. Austin was one of eight nominees. The award celebrates up-and-coming leaders in organized dentistry and those who show a commitment to TAGD’s core values and mission of advancing excellence in general dentistry. Dr. Austin is a 2006 graduate from University of Texas Dental Branch in San

Antonio and currently maintains a private practice in San Antonio. He is a member of the American Dental Association and the Academy of General Dentistry. He serves as a TDA delegate and chairs the TDA’s Committee for the New Dentist and TAGD’s New Dentist Committee. Since 2007, he has worked as a clinical assistant professor at UTHSCSA. Dr. Austin is a contributor for the New Dentist magazine, authors a quarterly column on clinical dentistry, and is the editor and creator of The New Dentist Blog, newdentistblog.com. Last year, the TDA awarded Dr. Austin the New Dentist Leadership Award.

TAGD Names 2010 New Dentist of the YearTDA Member Dr. Joshua A. Austin Accepts the Award

(L-R): TAGD immediate past president Dr. Dan McCauley of Mount Pleasant presents the TAGD 2010 New Dentist of the Year Award to Dr. Joshua Austin of San Antonio earlier this month.

Since 2007, the TDA has been leading the Academy of Pediatric Dentistry’s Head Start Dental Home Initiative (DHI) in Texas. The TDA, with valuable support from the Texas Academy of General Dentistry and the Texas Academy of Pediatric Dentistry, has partnered closely with Head Start to continue improving the oral health of all children enrolled in the program throughout Texas.

Dentists agreeing to participate in the DHI become the

About Head Start Dental Home Initiative dental home for children enrolled in an identified Head Start center(s). Texas is a large, geographically diverse state, with more than 1,200 centers serving approximately 78,000 children. Head Start provides comprehensive health and education services for low-income preschool children between the ages of 3 and 5, including support service for their families. Federal regulations mandate that each child enrolled in Head Start has an ongoing source of continuous, accessible health care including a dental home.

September 2010 / TDA Today / 2

Happy, Healthy Smiles … That’s Our Mission!

Arteriovenous are rare malformations of vascular morphogenesis that are high fl ow lesions. It is reported that about 50 percent of these lesions occur in the craniofacial region. Although uncommon, life threatening bleeding events can occur if not correctly identifi ed or treated. Here are several abstracts for the interested reader. Enter the PMID number in google.com or pubmed.gov. If you wish to view the entire article of abstract #3 below, enter the PMCID (PubMed Central reference number): PMCID2740518 in pubmed.gov.

You might also keep an eye out for an article on vascular lesions in the October 2010 issue of the Texas Dental Journal (Perez D, Leibold D, Liddell A, Duraini M. Vascular lesions of the maxillofacial region: A case report and review of the literature. Tex Dent J 2010; 127:1045-1057).

1. Management of vascular malformations of the mandible and maxilla. Persky MS, Yoo HJ, Berenstein A. Laryngoscope. 2003 Nov;113(11):1885-92. PMID: 14603041.

2. Arteriovenous malformations of the head and neck: natural history and management. Kohout MP, Hansen M, Pribaz JJ, Mulliken JB. Plast Reconstr Surg. 1998 Sep;102(3):643-54. PMID: 9727427

3. Management strategy for facial arteriovenous malformations.Bhandari PS, Sadhotra LP, Bhargava P, Bath AS, Mukherjee MK, Maurya S. Indian J Plast Surg. 2008 Jul;41(2):183-9. PMID: 19753261.

Evidence-Based Practice

Tip of the Month

Stephen R. Matteson, DDS, Editor

On August 13 and 14, Waco hosted the 22nd Texas Mission of Mercy. Located at McClennan Community College, TMOM Waco was a huge success!

Th e Waco citizens started lining up in anticipation of the event 18 hours before the doors were scheduled to open. Ultimately, 991 people received $731,648 worth of charitable dental care, a record breaking amount for the TDA Smiles Foundation (TDASF).

Ninety dentists volunteered during the 2-day event. A special thank you to our volunteers and McClennan Community College for being such a gracious host, the staff of Meals on Wheels, Potters Vessel for planning the event, Th e Waco Foundation and Th e Cooper Foundation for their sizable grants to TMOM Waco, and of course, to the citizens of Waco for volunteering to help your neighbors.

TDASF’s next stop is Cactus located in the Panhandle, on September 25 and then onto Hondo, located near San Antonio, on November 6.

To register to volunteer, visit tdasf.org. We hope to see you soon!

Waco Hosts Record Breaking Texas Mission of Mercy

ad·vo·ca·cyn.Active verbal support for a cause or a position.

It has been said that advocacy is the greatest asset of an organization such as the TDA. You know it and I know it.

Th ere are many diff erent types of advocates. We all have patients who are advocates for our practice. We advocate good oral health. But, how does advocacy fi t into how we manage the Association? It is stated in our strategic plan TDA 2014 that the goal Advocacy is as follows: “TDA will be the pre-eminent advocate in the legislative and regulatory arenas on behalf of the public and profession of dentistry.”

We are going to accomplish that goal by addressing many fronts. One of those fronts will be in the State Capitol when the Texas Legislature convenes early next year. Th e TDA is fortunate to have a great in-house staff of experts with knowledge of the legislature and state government operations and a team of contract lobbyists to help us carry our message and advocate our positions to legislators. Th e fi rst Tuesday in November brings the election of our representatives in the oligarchy that governs our country. Once those elected offi cials take offi ce, our TDA will have a team in place to advocate the rights of our patients. What is best for our patients is best for our profession.

TDA 2014: An Update

R. Lee Clitheroe, DDS, Chair, Future Focus Committee

TDA Smiles Foundation Holiday Cards Is it really time to begin planning for the holidays already? Indeed, it is!

Th is year, consider honoring your friends, family, colleagues and patients with a gift to warm their hearts. For a small $25 donation each, a hand-made, die-cut holiday card will be sent directly to each person on your recipient list with turnkey handling from the TDASF staff . Or, the staff can send the cards to you in bulk for your own processing. It’s a fabulous way to honor those who support your practice through business or personal means and serve as a lovely gift to bestow upon your loved ones. And, yes! Th e contribution is fully tax deductible!

It’s simple to do:• Option One: Log onto tdasf.org, purchase your cards, and share your giving list with us. We’ll hand process, hand address, stamp, and mail out your gifts on your behalf. Finally, a truly hassle-free, one-stop shopping experience!• Option Two: Send us an order form printed from the same website with your payment enclosed, and we’ll send your cards in a package to your offi ce for personal handling.

Th ank you for planning to make the TDASF the recipient of your holiday honorariums and part of your practice’s ongoing annual celebration. We appreciate your support.

Dr. Kelly W. Keith of Austin, pictured with a patient and dental assistant, volunteered at the TMOM Waco last month.

A dental assistant is pictured with a patient at the TMOM Waco.

In last month’s TDA Today, TDA president Dr. Ron Rhea wrote about the TDA’s partnership with likeminded states to advocate to the ADA our collective opinion on workforce issues. Th e TDA was the catalyst for that group, now called the Austin Group, which will “support quality oral health care for the citizens of the United States”. Th e Austin Group is working on your behalf at the ADA level. Along with the values of the TDA, the Austin Group believes the health and safety of the patient must be the primary consideration in the delivery of oral health care and that the education, training, and licensure of dentists play an integral role in assuring the public that the dentist is qualifi ed to provide care.

Our country and our profession are at a crossroads. Th ere are those who would promote a dental workforce where a non professional is allowed to perform irreversible procedures (cutting hard and soft tissue, extractions) in the name of “access to care”. Th e TDA believes that the dentist is, and should continue to be, the head of the dental team, and with their advanced training, should be the only person allowed to perform these procedures.

Th ankfully, we have a dedicated and vigilant association advocating for all TDA members and our patients in the great state of Texas.

Advocacy� is is the seventh of eight articles highlighting the objectives and goals in TDA’s current strategic plan, TDA 2014.

Th e Texas Dental Association Smiles Foundation (TDASF) volunteers met Mr. Gene Burnett at the Taylor Texas Mission of Mercy (TMOM) in August. He hit a rough spot in his life and was among the thousands who lined up for charitable dentistry at the event. Many volunteers were drawn to Gene because of his appearance: a 6’4” tall, handsome man in fi nger-to-forearm casts on both sides of his body with gentle eyes and a nice smile.

Th e volunteers learned Gene’s story as he made his way through the process. Gene was electrocuted on the job; his arms and hands were irrevocably damaged and injuries were sustained across his entire body. Since electrician was his trade, he was deemed permanently disabled and off ered lifetime support from the government, which he declined. Gene, instead, trained for a new line of work. With the help of the Texas Workforce Commission, he started his own handyman company in Leander, Pro One Services.

After being fi tted with his new fl ipper at the event last month, Gene was ecstatic. He said wanted to off er something in return. As a hobby, Gene races one of about 45 registered “HOT Stock”

class cars on the Texas Th under Speedway in Killeen. His #43 stock car was to be his “thank you” billboard.

On any given night between March and October, about 20 drivers race on a quarter-mile dirt track in front of 1,200 or so fans. A qualifying heat race takes place to decide starting position. Since branding his car with a TDASF logo, Gene boasts three heat race wins and a 3rd place main event feature fi nish. Recent communication from Gene says, “I’m still looking for a trophy win on the 20-lap … It will be soon. You’ll know it by the SMILE that you have helped put back on my face, lighting up the sky!!!!!!!!!!!!!!!!!!!!”

To join the TDASF in “lighting up the sky,” sign up at tdasf.org for any of our upcoming events. TDASF will be in Cactus September 25, McCamey February 12, and Dallas April 15-16. Be a part of changing the next person’s life!

Gene Burnett inspects his smile after receiving a new fl ipper at the Taylor TMOM in August.

Gene Burnett shows his thanks to the TDA Smiles Foundation and its volunteers by including the logo on the side of his stock car.

TDASF Changes Lives … One Texan at a Time

September 2010 / TDA Today / 3

I’m nobody! Who are you?By Emily Dickinson

I’m nobody! Who are you?Are you nobody, too?Then there’s a pair of us — don’t tell!They’d banish us, you know.

How dreary to be somebody!How public, like a frogTo tell your name the livelong dayTo an admiring bog!

Have you considered, Who are you? You aren’t nobody! You are some of the finest dentists in the world; members of the Texas Dental Association; members who care about your profession.

You have all the finest intentions in the world to care for the patients that you see, to deliver to them to the best of your considerable ability, the highest quality of dentistry available. It is the job of the TDA to see that you continue to have the opportunity to do just that. It is my job, which you have entrusted to me for a year, to see that all of those outside of our profession, and some of those within, do not impair your efforts to care for the citizens of Texas. That is my ONLY GOAL, no hidden agendas, no numbered Swiss bank accounts.

Again, Who are you? You are surgeons. If you were educated in Texas, your professional degree says so: DDS — Doctor of Dental Surgery. You practice your art daily in the clay of living human tissue! Yes, you prescribe medicines, you diagnose and advise and motivate, but at the essential basics, a dentist is a surgeon, cutting, removing, repairing, rearranging, and replacing hard and soft living human tissue! Some schools of dentistry talk about dental medicine, and certainly you were well taught the principals of medicine. But if you can describe the rate of migration of the epithelial attachment of a Rhesus monkey, but can’t prepare a proper crown prep or extract a hopeless tooth, are you really a dentist? Yes! You are dentists! You are what stands between the citizens of this state and hopeless dental disease and misery. I am proud to be one of you. Thank you for all that you do every day.

So, with such a competent and willing professional community, what are the barriers to the delivery of quality dental care to all Texans? I would propose that these are poverty, geography, ignorance, and perhaps in some areas, care delivery capacity.

Some entities from outside the practicing dental community, and also some within the profession, would have us believe that we are incapable of caring for all of our citizens; that the access to dental care problems can only be addressed by radical changes in workforce. They would allow others besides a dentist to do irreversible surgical procedures on living human tissue! One foundation, an off-shoot of sugary cereal for kids, would redesign the dental care delivery system in our country. With their billions of idle dollars, they would force the creation of a Dental Health Aid Therapist (DHAT). These technicians would have a high school education and 20 months of vocational school training and be allowed to give local anesthetic injections, clean, drill and fill teeth, and do extractions while under minimal or no supervision.

This is a model that would give away what is the most basic responsibility of a dentist, to perform irreversible surgical procedures. The DHAT model has been adopted by this foundation as the exclusive program they are pushing as a solution to access to dental care. They are now targeting five states to change through legislative action their dental practice acts with NO input from the dentists to allow DHATs to practice! Our neighbor, New Mexico, is one of these states! Texas could be next!

One of our main defenses against this is conservative ADA policy that states only the dentist can perform irreversible surgical procedures. But the ADA Council on Dental Practice has come forward with resolutions to remove these policies! We must stop these resolutions from passing later this year in Orlando. A change in this policy could have far ranging effects even within our own state.

If you are going to the ADA Annual Session in Orlando, Florida, this October, please attend the special reference committee on workforce and testify. The floor is open to all members of the ADA. The future of your profession depends on it! Don’t let others give away your profession by reducing it to a trade.

Ron’s Ruminations

Ronald L. Rhea, DDS, TDA President 2010-11

NOTICE

Call for Manuscripts for Texas Dental JournalThe editor of the Texas Dental Journal requests the submission of manuscripts on the following topics. Please direct e-mail inquiries to Dr. Stephen Matteson, editor, smatteson@satx.rr.com or Ms. Nicole Scott, managing editor, nicole@tda.org.

1. Case reports of unusual diagnostic or treatment approaches;2. Major infections of the jaws that spread to the cavernous sinus or mediastinum;3. Unique applications of implant treatment, such as for orthodontic anchorage;4. Cone beam computed tomography applications for endodontic treatment planning; implant

treatment planning; third molar extraction5. Ethical dilemmas6. Drug and alcohol addiction of dental professionals; incidence and management;7. Misadventures in implant therapy;8. Hyperbaric oxygen therapy for dental applications;9. Smoking cessation programs;10. Unique CAD CAM applications;11. Management for patients with bleeding disorders of the oral cavity;12. Prevention and management of alveolar osteitis following third molar extraction;13. Latest materials for endodontic posts;14. Allergy to amalgam;15. Complications of implant treatment for diabetics;16. Lichen planus etiology and treatment;17. Dry mouth, etiology, and treatment;18. Periodontitis and heart disease19. Periodontitis and preterm birth;20. Burning tongue, etiology, and treatment;21. Comparison of trigeminal neuralgia vs. odontogenic pain;22. Management of intraoral bleeding;23. Neuroma and vascular lesions of the neurovascular bundle in the mandibular canal;24. Sleep medicine management with intraoral devices;25. Rare developmental abnormalities of jaws and teeth;26. Dental office security; physical and financial;27. Maxillofacial prosthodontic cases;28. Radiographic presentation of malignant disease of the jaws and maxillary sinus;29. Risks of botox therapy and cosmetic applications in the facial region; and30. Apthous ulcers, etiology, and treatment.

TDA Perks Program Launches “Name the E-Newsletter; Win a 3G Kindle” Contest Perks recently sent an e-mail to TDA members announcing its new E-newsletter and name-the-newsletter contest. Members were invited to submit their ideas for what they think the newsletter should be named. The winning entry will garner a 3G Kindle. If you missed the e-mail, you can still enter the contest. Visit tdaperks.com to learn more.

Perks Partner News • TDAPerksProgrampartner,ProSites,hasjustbeenrecognizedontheInc.5000listof

“America’s Fastest-Growing Private Companies.”

• TDArecentlyswitcheditscentral-officecreditcardprocessingcompanytopopularTDAPerks Program partner, Best Card.

• SeveralTDAPerksProgrampartnersarerunningspecialsforTDAmembers.Visittdaperks.com to learn about the money-saving, limited-time offers on everything from a defibrillator to sharps and waste management.

Dr. Roger Macias, Chair, TDA Council on Annual Session

It’s a new dawn…The fall season fast approaches as we get ready for our 2011 Texas Meeting! We are gearing up with our speakers, presentations, and festivities! Let me give you an example of the new dawn. We are very proud to be able to have some of the most dynamic speakers from the dental world with us next May. Some of the incredible speakers are: Drs. Lee Brady, Gary DeWood, Bob Winter, and Steve Ratcliff from the Spear Institute. Dr. Jim Fondriest and Mr. Matt Roberts (one of the most well known laboratory ceramists) will present some of the latest techniques in crown and bridge. Dr. Michael Unthank joins us to offer his amazing office design course. Making a most deserving return is the hilarious but most informative Mr. Bruce Christopher. In practice management we will have a highly energetic group of presenters: Mr. Kirk Behrendt, Ms. Debbie Castagna, Ms. Virginia Moore, Dr. Roger Levin, and Ms. Rosemary Bray. Dr. Joseph Massad on prosthodontics, as well as Ms. Jo Ann Majors on implant marketing join our great speaker lineup. An exciting new dentist, Dr. Mark Kleive joins along with Dr. Richard Hunt to present the latest in a workshop on exquisite provisionals. This is only a small tease of the great speakers that are coming!

It’s a new day…This year we are proud to be able to present for the first time at the TEXAS Meeting, a certification course for dental assistants on the application of pit and fissure sealants as well as a

coronal polishing course available for the first time as well. This has been a long time in coming and we are so very excited to be able to offer this to our membership.

It’s a new life…The TDA Council on Annual Session is aware of how the dentist/lab technician relationship plays such an important role in the dental team concept. Because of this, for the first time in a long time we are offering courses from some of the most prestigious speakers in the world for both the dentist and lab technician. This “Lab Track” on Saturday, May 7, 2011 from 8:30 AM to 1:30 PM offers five session options, culminating with lunch and an open forum, hosted by Dr. Mark Murphy, to discuss the “Role of the Dentist/Laboratory Technician in a Digital World.” Some of the greatest dentist and lab technician minds in the world will be here to participate. You won’t want to miss it!

The state-of-the-art exhibit hall is the place you need to be to find more than 500 exhibitor booths as well as the TDA Pavilion, TDA Smiles Foundation, DENPAC Silent Auction, and the TDA Perks Program Partners. In addition, there will be an amazing digital caricature artist, and happy hours on Thursday and Friday! Our own Dr. Bud Luecke and his band “Morning” will provide the great music for Thursday’s Texas Party!

It’s a new dawn. It’s a new day. It’s a new life.

And, I’m feeling good!

The TEXAS Meeting 141st Annual Session of the Texas Dental AssociationMay 5 – 8, 2011 • San Antonio, Texas

InsuranceAnsw

ers

Save $50 on an Emergency Oxygen Service Pack

(214) 704-2074 Toll Free: (866) Life-Gas

The ten minutes before emergency services arrive are vital. For a limited time, you can save even more on an emergency oxygen service pack than you would through Perks’ great everyday discounts. Through September, get the LIV LINE Emergency Oxygen Service Pack for $200/year—a savings of $50! The LIV LINE is self contained, and includes everything you need. You’ll also receive free yearly maintenance and next-working-day refi lls. Annual renewal is guaranteed at the same low price.

LifeGas is a division of Linde Gases North America, LLC.

FREE Oxygen Fill Through September, new customers with a signed agreement receive a free oxygen fi ll.

SEPTEMBER 2010 VOLUME 11, ISSUE 9 AVAILABLE ONLINE AT TDA.ORG

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

Nicole Scott, Managing EditorBarbara S. Donovan, Art DirectorPaul H. Schlesinger, Consultant

BOARD OF DIRECTORS

Ronald L. Rhea, D.D.S., PresidentJ. Preston Coleman, D.D.S., President-elect

Matthew B. Roberts, Immediate Past PresidentVice Presidents

R. Lee Clitheroe, D.D.S., SoutheastJohn W. Baucum III, D.D.S., Southwest

Kathleen M. Nichols, D.D.S., NorthwestDonna G. Miller, D.D.S., Northeast

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

Robert E. Wiggins, Jr., D.D.S., NorthwestLarry D. Herwig, D.D.S., Northeast

DirectorsRita M. Cammarata, D.D.S., Southeast

T. Beth Vance, D.D.S., SouthwestMichael J. Goulding, D.D.S., Northwest

Arthur C. Morchat, D.D.S., Northeast

Ron Collins, 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 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 Association, unless such statements have been adopted by the Association. Articles are ac-cepted 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.

aade

TSBDE Update

New RuleRule §107.203 – Administrative PenaltiesThe board approved the new rule to formalize the process under which aggravating and mitigating factors are taken into account when the board considers formal disciplinary action against a licensee or registrant.

Amended RulesRule §100.10 – Executive DirectorThe amended rule authorizes the executive director to accept voluntary surrender orders.

Rule §103.5 – Dental Hygiene LicensureThe oardb amended Rule 103.5, which relates to staggered dental hygiene registrations. As amended, Rule 103.5 now specifies that an initial license issued on or after September 1, 2009, expires on the 30th day after the date the license is issued if the holder of the license fails to pay the required license fee on or before the expiration date.

Rules §§107.11, 107.15, 107.17, 107.21 - 107.25, 107.47, 107.48, 107.50, 107.54, 107.55, & 107.63 – Procedures Governing Grievances, Hearings, and AppealsThe board amended the rules which detail procedures for governing grievances, hearings, and appeals. The

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.

Even Better Freedom-of-Choice Dental Insurance Available through Perks DentalQUICK offers true, freedom-of-choice dental insurance with immediate benefits to your patients. In most cases, your patients can be covered the same or next day. Its rates starting as low as $37 per month, and your patients receive up to $1,500 in annual benefits with no deductible. DentalQUICK covers up to $75, twice a year, for preventive products and services such as: exams, X-rays, cleanings, fluoride, sealants, and space maintainers. For more information, visit tdaperks.com or dentalquick.com.

As part of its ongoing statutory rule review process, the Texas State Board of Dental Examiners (TSBDE) recently gave final approval to both new and amended rules that went into effect on September 14, 2010. Due to the significant number of rule modifications going into effect, the next two issues of the TSBDE Update will be dedicated to summarizing the recent rule changes. Use the following link to access the current version of the complete set of TSBDE rules at http://www.tsbde.state.tx.us.

A brief description of each new or amended rule follows: amendments provide licensees and registrants with a better understanding of necessary procedural requirements. In addition, the amended language more accurately reflects current statutory provisions and integrates applicable Administrative Procedure Act statutes, State Office of Administrative Hearing rules, and Texas Rules of Civil Procedure. Examples of changes include computation of time, notification of decisions and orders, and appearances personally or by representative.

§107.59 – Ex parte consultationsThe board amended Rule 107.59, which governs Ex parte communications. The amended rule language more accurately reflects current statutory provisions of the Texas Government Code and defines specific instances when ex parte communications may be allowed.

§107.102 – Procedures for investigating complaintsThe board amended Rule 107.102 to align the wording of the rule with agency process and statutory requirements. For example, instead of stating, “the parties to the complaint,” the amended language now reads,” the person who filed the complaint and each licensee or registrant who is a subject of the complaint.”

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