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Summer Journal Cover 2007.qxp 6/21/2007 8:40 AM Page 1 Considerations for Treating the Patient with Scleroderma Summer Journal 2007.qxp 6/21/2007 9:56 AM Page 1 The Best in Dentistry Under One Roof New Location Boston Convention & Exhibition Center January 30 – February 3, 2008 Exhibits, January 31 – February 2 EDUCATION • EXHIBITS • EVENTS • EDUCATION • EXHIBITS • EVENTS Celebrity PROGRAM HIGHLIGHTS Entertainment Bruce Bavitz, DMD, Oral Surgery Sheryl Hal Crossley, DDS, Pharmacology Crow Jennifer de St. Georges, Practice Management FRIDAY Mel Hawkins, DDS, Pharmacology February 1, 2008 Kenneth Koch, DMD, and Dennis Brave, DDS, Endodontics Tickets go on sale Henry Lee, PhD, Forensics September 26, 2007, at 12 noon. John Molinari, PhD, Infection Control Anthony Sclar, DMD, Implants Jane Soxman, DDS, Pediatrics SCENIC SEAPORT Frank Spear, DDS, Restorative Jon Suzuki, DDS, Periodontics YDC HAS John Svirsky, DDS, Oral Pathology BOSTON’S BEST HOTEL . and many more of the best clinicians in dentistry! CHOICES DON’T MISS THESE Visit our Web site NEW PROGRAMS to view our housing blocks Las Vegas Institute of Advanced Dental Studies Medical/Dental Forum—The first program of its kind! BEAUTIFUL BACK BAY New Date! Housing & Registration Open September 26, 2007, at 12:00 noon EST VISIT WWW.YANKEEDENTAL.COM 800-342-8747 (MA) • 800-943-9200 (Outside MA) Summer Journal 2007.qxp 6/21/2007 9:57 AM Page 2 MASSACHUSETTS DENTAL SOCIETY Executive Director Robert E. Boose, EdD Senior Assistant Executive Director, Two Willow Street, Suite 200 Meeting Planning and Education Programs Southborough, MA 01745-1027 Michelle Curtin (508) 480-9797 • (800) 342-8747 • fax (508) 480-0002 Assistant Executive Director, Senior Policy Advisor www.massdental.org Karen Rafeld Chief Financial Officer Kathleen M. Boyce, CPA Senior Director, Executive Office Operations OFFICERS Lois Holt Chief Communications Officer President Andrea Richman, DMD Scott G. Davis PO Box 576, 18 Westford Road, Carlisle 01741, (978) 369-7967 Director of Membership President-Elect Milton A. Glicksman, DMD Marc Kaplan, CAE 49 State Road, #101, Nauset Bldg., Dartmouth 02747, (508) 999-2234 Director, Convention and Continuing Education Services Marlene Petro Vice President David S. Samuels, DMD Director, Governmental Affairs and Grassroots Advocacy 2 Stevens Street, Andover 01810, (978) 475-0567 Robert J. Alconada, MPA Speaker of the House Thomas P. Torrisi, DDS Director of Sales 60 East Street, #3000, Methuen 01844, (978) 681-7740 Shannon McCarthy Director of Events and CR Secretary Charles L. Silvius, DDS Maryellen Geurtsen 34 Shirley Avenue, Revere 02151, (781) 286-3700 Director of Continuing Education Assistant Secretary Anthony N. Giamberardino, DMD Dorrey Powers 84 High Street, #304, Medford 02155, (781) 396-3800 Manager, Membership Operations Maggie Brown Treasurer Charles A. Gagne, DDS Manager, District Membership Services PO Box 367, 1A Hawthorne St., N. Grafton 01536, (508) 839-6464 Ellen B. Factor Assistant Treasurer David A. Schmid, DDS Manager, Exhibits and Operations 435 Furnace Street, Marshfield 02050, (781) 837-1810 Stefanie Cunniffe Manager, Community Relations and Dental Access Immediate Past President Alan S. Gold, DDS Michelle Sanford 515 South Street, Pittsfield 01201, (413) 443-3144 Manager, Information Systems Editor David B. Becker, DMD Jesse Mirenda 34 Shirley Avenue, Revere 02151, (781) 286-3700 Technical Support Specialist Mike Foster Assistant Editor Arthur I. Schwartz, DMD Accounting Coordinator 599 North Avenue, Door 9, Wakefield 01880, (781) 245-8811 Miriam Miranda Senior Coordinator, Allied Services and Continuing Education Susan Karp Exhibit Sales Meghan Sullivan DISTRICT TRUSTEES Coordinator, YDC Registration and Catering Berkshire Michael Wasserman, DDS Lori Robinson 54 Wendell Avenue, Pittsfield 01201, (413) 442-2052 Volunteer Coordinator Tammy Putney Cape Cod Anthony T. Borgia, DDS 441 Route 130, Sandwich 02563, (508) 888-8482 Allied Program Coordinator Alicia Wright East Middlesex Lisa Vouras, DMD Scientific Program Coordinator 85 Woburn Street, Reading 01867, (781-944-4940 Jacqueline Joy Merrimack Valley Howard M. Zolot, DMD Exhibits Coordinator Rachel Marks 114 Executive Park, 1538 Turnpike Street, North Andover 01845, (978) 687-7788 Customer Relations Coordinator Kate Maher Metropolitan James S. Cinamon, DMD Scientific Program Assistant 223 Walnut Street, #6, Framingham 01702, (508) 872-1422 Amy Jordan Middlesex Janis C. Moriarty, DMD ADMINISTRATIVE ASSISTANTS 607 Main Street, Winchester 01890, (781) 729-7767 Executive Assistant - Colleen Chase Membership - Marsha Fisher North Metropolitan David B. Becker, DMD Membership and Cash Receipts Administrator - Barbara Morgan 34 Shirley Avenue, Revere 02151, (781) 286-3700 Governmental Affairs & Communications - Andrea Dotterer Meeting Planning - Arlene Haddad North Shore John P. Fisher, DDS Marketing - Julie Pearson 18 Hawthorne Boulevard, Salem 01970, (978) 744-1209 Special Projects - Jessica Robinson Southeastern Michel A. Jusseaume, DDS Receptionist - Anne Morin PO Box 3297, 1021 Main Road, Westport 02790, (508) 636-5111 MDS FOUNDATION Manager, Foundation Development for Access to Care Programs South Shore David B. Harte, DMD Tara Brady 480 Adams Street, Milton 02186, (617) 696-5257 MAC Van Coordinator Michael Henry Valley Stephen W. McKenna, DMD 1285 Springfield Street, Feeding Hills 01030, (413) 786-4000 MDS INSURANCE SERVICES, INC. Managing Director - George Gonser Jr. Wachusett Roderick W. Lewin, DMD Supervisor, Client Services - Robin Anastas 100 Gibson Road, Ashburnham 01430, (978) 665-5897 Client Services Analyst - Sarah Kulis Client Services Analyst - Anna Karas Worcester William R. Dennis, DDS Administrative Assistant - Patricia J. Gunning 622 Main Street, Shrewsbury 01545, (508) 845-1156 Journal of the Massachusetts Dental Society Summer Journal 2007.qxp 6/21/2007 9:58 AM Page 3 COVER DEPARTMENTS 16 Scleroderma and Dentistry: Every Dentist 36 Clinician’s Corner Is a Scleroderma Specialist A Clinico-Pathologic Correlation DAVID M. LEADER, DMD JAMES A. KRAUS, DMD Patients suffering from scleroderma, an WILLIAM GILMORE, DMD, MS autoimmune, rheumatoid factor-positive disease, can experience symptoms that affect their oral COLUMNS health and treatment and as such may require specialized treatment while in the dental office. 4 Editorial 5 Letters to the Editor 6 EDIA—Financial Services Corner 9 Health Insurance FEATURES 10 Technology Today 14 Viewpoint 11 The 6th Annual MDS Foundation 35 Author’s Guidelines/Advertising Information Golf Tournament & Spa Day Fundraiser 39 Pathology Snapshot 40 Clinical Case Study 12 143rd MDS House of Delegates 43 Book Reviews Annual Session 46 Classifieds EDITORIAL STAFF 47 Advertiser Index A wrap-up of the May 12, 2007, meeting of the Society’s policy-making body. 48 Art of Dentistry 20 Panoramic Radiographs: A Screening Tool for Calcified Carotid Atheromatous Plaque ARUNA RAMESH, BDS, DMD, MS, DIP ABOMR HOW TO REACH US TARUNJEET PABLA, BDS, MS, DIP ABOMR The carotid bifurcation area, which is a likely All communication intended for publication site for the atherosclerotic plaque accumulation should be addressed to Dr. David Becker, that leads to strokes, is within the field of view Editor, JOURNAL OF THE MASSACHUSETTS DENTAL of a panoramic radiograph. This diagnostic tool SOCIETY, Two Willow Street, Suite 200, can help screen for calcifications in the cervical Southborough, MA 01745. Opinions and carotid arteries—and potentially save lives. statements by contributors indicate personal views of the authors and are not to be 22 J. Murray Gavel, DMD: Bridging Research and Practice construed as expressing an official position JENNIFER KELLY of the Society. In his 65-year career as a practicing dentist and active member of organized dentistry, Dr. Gavel believed that continuing FEEDBACK To contact our Editorial education was the key to providing the best dentistry for Department, call (800) 342-8747, ext. 260, or patients. This article takes a look at his career and write to Melissa Carman, JOURNAL OF THE MDS, achievements. Two Willow Street, Suite 200, Southborough, MA 01745, fax (508) 480-0002, or email 29 5th Annual Beacon Hill Day [email protected]. EDITORIAL STAFF A summary of the MDS’s annual meeting with state legislators to discuss QUESTIONS Send your questions to JOURNAL matters important to the future of dentistry. OF THE MDS, Two Willow Street, Suite 200, Southborough, MA 01745, fax (508) 480-0002, 30 Commonly Encountered Radiolucencies or email [email protected]. Include and Radiopacities of the Jaws your name, address, and office phone number. VIKKI NOONAN, DMD, DMSc We can’t reply by mail, but we will publish as SPENCER KEMP, DDS many questions as space permits. Radiolucencies and radiopacities of the jaws are often encountered during routine radiographic ONLINE Remember to check out the JOURNAL, examination. Understanding when such radiographic features indicate a need for now available online, at www.massdental.org. biopsy and histopathologic examination is important for appropriate patient management. Vol. 56/No. 2 Summer 2007 3 Summer Journal 2007.qxp 6/21/2007 9:58 AM Page 4 Editorial JOURNAL OF THE EVERY DENTIST’S RESPONSIBILITY MASSACHUSETTS DENTAL SOCIETY HE GOAL OF THE ANNUAL WASHINGTON LEADERSHIP CONFERENCE IS TO EDUCATE MEMBERS EDITOR of Congress about issues of importance to dentistry. Dentists from all over the country, Dr. David B. Becker representing the complete spectrum of professional interests and political positions T ASSISTANT