MDS Tool Helps September - October 2010 Keeping You Connected with Your Society Mdsconnectionsee Page 12

Forecast Delta Fee Impact MDS Tool Helps September - October 2010 Keeping You Connected with Your Society MDSCONNECTIONSee page 12

BORID Answers MDS Members’ Questions About the Updated Regulations On August 20, 2010, updated regula- Do I need to buy an AED for my offi ce? tions from the Board of Registration in Most likely—234 CMR 6.15 specifi es the equipment and supplies that are Dentistry (BORID) went into effect. The required where local anesthesia is administered, and an AED is one of the Massachusetts Dental Society has been requirements. BORID understands that it may take some time for practices to communicating to its members through obtain AEDs and train staff on how to use this equipment. They are planning to the weekly enewsletter and Web site as take this into account during the educational phase of implementation and will to the importance of reviewing these assess the efforts of a licensee to achieve compliance with the regulations. updated regulations in their entirety. You can link to the regulations from (For a list of MDS Affi nity Partners offering AEDs at reduced prices, please visit the MDS Web site at www.massdental.org/newregulations. www.massdental.org/aed.) Additionally, members should be aware that BORID fully understands that dental professionals need time to educate themselves and become compliant Do I need to obtain additional continuing education to administer with these new regulations, so it is cooperating with the MDS during the three- anesthesia in my offi ce? to four-month educational phase by participating in MDS-sponsored seminars BORID has informed us that a dentist holding an Individual Anesthesia Permit on the regulations (see sidebar, below right). In a July 22 letter to MDS Presi- issued on or before August 20, 2010, is exempt from any new educational dent Dr. John Fisher, BORID Chair Dr. Mina Paul indicated that BORID will take requirements in 234 CMR 6.00 re. Anesthesia and Sedation and will be permit- this educational period into account when evaluating compliance: “Understand- ted to renew his or her individual permits as usual. Facility permits issued before ing that updating some practices may take time, the Board will be responsive to August 20, 2010, will also remain valid; however, facility permit holders will be demonstrable efforts to comply with the new regulations.” Read the complete expected to comply fully with the equipment, drugs, and staffi ng requirements of letter at www.massdental.org/newregulations. the regulations as soon as possible, certainly by the time the permit is renewed Since the regulations were announced, the MDS has received many (March 31, 2012). inquiries regarding them and has forwarded the questions to BORID for clarifi cation. The following are the most frequently asked questions and I am an orthodontist and do not administer any local anesthesia. BORID’s responses. For more questions and answers from BORID, please Do I still need to comply with the requirements of 6.15? visit www.massdental.org/newregulations/faq. For more infor- If you never administer any type of anesthesia or sedation, you will not have mation, visit BORID‘s Web site at www.mass.gov/dph/boards/dn to comply with the requirements of 234 CMR 6.00, including those in 234 CMR or email BORID directly at [email protected]. 6.15, Local Anesthesia. However, maintenance of an emergency drug kit in your offi ce is required by 234 CMR 5.16. Continued on page 6 TUSDM Dean Announces Plans to Step Down On September 15, 2010, Lonnie H. Norris, DMD, MPH, MDS Co-Hosts Seminars on New BORID Regulations announced that he will step down from his position as dean of Tufts University School of Dental Medicine To educate members on BORID’s updated regulations, the MDS is holding informational sessions across the state. As MDS CONNECTION went to press, several seminars had already (TUSDM) in August 2011. Dr. Norris, who began his been held; please see the list below for the remaining dates. Dr. Mina Paul, BORID chair, career at TUSDM in 1980 as a clinical instructor, has and Kathleen Atkinson, BORID executive director, will be the featured speakers. led the dental school since 1996. Advance registration is required. Register at www.massdental.org/boridreg. “I’ve been privileged to be a part of the TUSDM The cost is $25 per MDS member dentist and staff members; $125 per non-MDS member community for more than 30 years, and proud to have dentist and staff members ($100 of the fee may be applied to MDS membership if the led TUSDM for the past 16 years,” says Dr. Norris. non-member joins at the time of the meeting). Please note that there is no charge for MDS “My time here has been incredibly rewarding. I am immensely proud of the members for the seminars held on October 22 (Webinar) and November 19 (MDS headquarters). school, its students, alumni, faculty, and staff. It is time for me to move on Date Time Location and enjoy other aspects of my life.” October 13 6:30–8:30 p.m. Peabody—Carrabbas Restaurant One of Dr. Norris’s recent achievements is the school’s $68 million October 14 6:30–8:30 p.m. Springfi eld—Springfi eld Marriott October 22 12:00 noon–1:30 p.m. Webinar—Your computer vertical expansion project, which included the construction of fi ve new October 26 6:30–8:30 p.m. Lawrence—Salvatore’s Restaurant fl oors with 95,000 square feet added to the top of the school building. October 28 6:30–8:30 p.m. Middleboro—Fireside Grill The school remained fully operational during construction. November 2 6:30–8:30 p.m. Boston—The Back Bay Hotel The search for Dr. Norris’s replacement will be overseen by Jamshed November 16 6:30–8:30 p.m. Burlington—Boston Marriott Burlington Bharucha, Tufts University provost and senior vice president. At press time, November 19 9:00–11:00 a.m. Southborough—MDS Headquarters the search team has not been named.

this issue Page 3 Page 5 Page 6 Page 11 ➢ ➢ ➢ Greater Boston Pilot Beneﬁ ts of a Professional MDS Scores Pain Medication Group Takes Shape Practice Web Site Legislative Victories Prescribing Practices EXECUTIVE DIRECTOR’S MESSAGE

Robert E. Boose, EdD It Was Feasible! FIRST DISTRICT In May 2004, the MDS ing on February 26, 2010. These MDS leaders repre- TRUSTEE REPORT House of Delegates approved sented you very well. Robert A. Faiella, DMD, MMSc Resolution No. RC 7-04: Con- We prevailed in our two major goals. The insurance sideration of Action Regarding commissioner directed Delta to come back with a new Delta Dental 5% Discount. methodology. You should understand that the commis- As I reported previously in the May-June issue of This resolution directed the MDS and its resources sioner cannot direct an insurance company to implement MDS CONNECTION, several insurance carriers have to investigate the feasibility of the reduction or a specifi c plan; the insurance company must propose a initiated an effort to change billing and payment elimination by the Division of Insurance (DOI) of the plan that meets the approval of the commissioner. So, policies for non-covered services. These are current Delta Dental 5% discount and the feasibility Delta submitted its new methodology. On March 16, procedures that plan purchasers typically do not of changing or eliminating the professional service fee 2010, the commissioner issued a ruling denying the cap imposed on providers. Recommendations were implementation of Delta’s proposed new fee methodol- cover in their dental plans. As of August, the ADA to be reported to the Board of Trustees no later than ogy, stating that it was unreasonable. Delta would have Department of State Government Affairs reports November 2004. to submit another new fee methodology. that 14 states now have Non-Covered Services To many, this charge from the House of Delegates Finally, on July 15, 2010, the Commissioner issued (NCS) laws in place. was a daunting task. The formula that had been in play for an order approving Delta to implement a new fee The National Conference of Insurance decades was creating a major concern among our mem- methodology. In mid-August, you should have received Legislators (NCOIL) met in Boston on July 10 bership. Ten years before, the MDS went before the DOI fee information from Delta based on three-digit zip codes to consider, for the third time, model legislation and did not prevail. Would it be feasible to challenge this within three geographic regions: rural, suburban, and dealing with preventing insurers from capping long-standing methodology? This issue impacts a major urban. This new methodology eliminates the 5% discount non-covered services. The ADA executive director, portion of our membership, so we worked hard to present over three years, starting at 3% on January 1, 2011, then Dr. Kathy O’Loughlin, had initially asked me to a strong case. 1.8% on January 1, 2012, and then 0% on January 1, participate in the meeting on behalf of the ADA, The history of the 2013. As a result, Delta will also but a confl ict prevented my participation, and Delta issue is extensive. In “With the elimination of the replace its current CPI cap with a Dr. Steve Ura, our representative on the ADA December 2004, Dr. Alan 5% discount, we have achieved new factor, the Dental CPI, which DerKazarian, then MDS what our members wanted.” more fairly refl ects a dentist’s costs Council on Dental Benefi t Programs, gladly president, appointed the of operating a practice. testifi ed before the Health, Long-Term Care, and Delta Action Task Force, with Dr. Robert Faiella as chair. As you can see, with the elimination of the 5% Health Retirement Issues Committee of NCOIL. 2 Members were Drs. William Dennis, James Triant, John discount, we have achieved what our members wanted The committee was split regarding an opinion Fisher (current MDS president), Milton Glicksman, and through the action of the House of Delegates six on both the model legislation and the recently Robert Spingler. Drs. Kevin McNeil, Robert Losert, and years ago. This was a major accomplishment for our adopted amendment to allow insurers to cap Barry Brodil, along with Jack Eiferman and Len Freiman, membership. We have worked hard within the diffi cult fees on services that have exceeded the annual as consultants, and MDS Assistant Executive Director parameters of insurance law to put forward our best limit (i.e., reimbursable fees that are no longer Karen Rafeld and I as staff representatives. arguments on many other aspects of the methodology reimbursed due to policy limitations). The initial On April 14, 2009, the insurance commissioner ruled proposed by Delta. To learn more about the ruling, visit model legislation opposed the cap on services that the overall methodology employed by Delta Dental www.massdental.org/delta. And see page 12 that the plans do not cover, but was amended to reimburse participating dentists was “unreasonable.” for information on the economic analyis tool the MDS after debate. The commissioner found that Delta’s 5% discount and developed for members to forecast the Delta fee impact. the Consumer Price Index cap were unreasonable, and In addition to the testimony from Dr. Ura gave Delta 90 days to present a new methodology. regarding the negative effect on the existing We worked hard over the years to prepare arguments patient base related to changing policy provi- and determine the steps we needed to take to get a sions, Mr. Pat Quinlan, lobbyist for the Rhode hearing before the DOI. During that period, additional Island Dental Association, also testifi ed to the legal and economic experts were engaged. The fi rst was A Bimonthly Newsletter of the unfair nature of the contracts due to the unilat- Dr. Timothy Snail, an economist and principal from CRA Massachusetts Dental Society eral nature of the contract negotiation process. International, an economic consulting fi rm in Boston. The John P. Fisher, DDS Ultimately, the committee was again split on the second was the legal team of Paul Bauer, John Ziemba, and President support for the amendment, with some members Vincent F. O’Rourke from the fi rm of Bowditch and Dewey. Anthony N. Giamberardino, DMD indicating that insurers should not be involved in The third was Daniel Judson from the fi rm of Morrison Secretary setting fees unless the plans allow payment for Mahoney LLP. In addition, the task force commissioned Robert E. Boose, EdD those services. a survey by RRC Inc.’s Dr. Donald House; some of you Executive Director The discussion on the model legislation was may have participated in this study. Dr. House is a dental Scott G. Davis economist who has conducted studies for the ADA. Chief Communications Offi cer ultimately tabled until NCOIL’s fall meeting, We were granted a hearing on December 18, 2009. Melissa Carman which will be held in Austin, TX. The ADA will In addition to our legal team, Drs. Charles Silvius (current Managing Editor of Publications & Web Site establish a workgroup, including members of MDS president-elect), Andrea Richman (MDS past presi- Jeanne M. Burdette the Council on Dental Benefi t Programs and dent), Milton Glicksman (MDS past president), William Manager, Graphic Design the Council on Government Affairs, to prepare Dennis (former MDS trustee), and John Fisher presented Shelley Padgett testimony at that time. In addition, the MDS written and oral testimony. Dr. David Samuels, then MDS Graphic Designer continues to work diligently in support of NCS president, delivered oral testimony at an additional hear- legislation in Massachusetts.

MDS Connection September - October 2010 Membership Special Pricing Greater Boston Pilot Group Update on AEDs for Boston is known as “the Hub,” but it is also a dental hub, serving as home for Members three dental schools and several hundred Massachusetts Dental Society (MDS) members; in many ways, it represents the future of organized dentistry. For that As a result of the updated reason, delegates at the MDS House of Delegates in May approved the Sergio Guzman, DMD BORID regulations on creation of a task force to oversee the formation of a Greater Boston Pilot AEDs (for more informa- Group for the purpose of recruiting and engaging Boston members, as well as to strengthen relationships with the three dental schools. tion, see page 1), the MDS MDS President Dr. John Fisher has selected Sergio Guzman, DMD, to chair the Greater Boston has identifi ed companies Pilot Group Task Force. “Dr. Guzman was selected for this pivotal role because of his strong leader- that will offer our mem- ship skills and fi rsthand knowledge of the Boston area,” says Dr. Fisher. “He is uniquely qualifi ed to chair this task force since he has a group practice in Boston and also serves as the Metropolitan bers reduced pricing for District chair. This makes him sensitive to the Metropolitan District’s concerns regarding the possible an AED. If you need formation of a Boston District and knowledgeable about the importance of increasing participation assistance or have any in Boston.” The task force, which will introduce programs geared to engaging Boston members in the questions regarding the Society, will begin its efforts by holding focus groups with Boston-based MDS members in the fall. purchase of an AED, Dr. Guzman also plans to meet with chairs from other MDS committees and councils to develop please contact the MDS. supporting program initiatives and to work collaboratively to cultivate Boston participation. The Greater Boston Pilot Group Task Force includes representation from Boston-based private The list of AED affi nity practitioners, faculty, and community health center dentists. Members of the task force are Drs. Michael partners can be accessed at Arrigo, Robert Gauthier, Elissa Heard, Carl McManama, Romesh Nalliah, Frank Schiano, and Steven www.massdental.org/aed. Spitz. In addition, Dr. N. Peter Hjorth is serving as the Trustee Liaison to the task force. If you would like to get involved in the Boston Pilot Group activities, please contact Ellen Factor, assistant director of membership, at (800) 342-8747, ext. 228, or [email protected].

MDS Leadership Institute Shines the Light on Special Needs Patients 3

The MDS Leader- evaluated several approaches to addressing this access problem ship Institute is and decided to focus on developing an education program target- designed to em- ing the caregivers of special needs individuals because they believe power participating they can have the biggest impact with this outreach effort. dentists with the In order to address the multifaceted needs of this project, the necessary tools and Ad Hoc Project Committee is subdivided into three core working training to become groups: target group, curriculum, and delivery system. effective future The target group subcommittee is working on cultivating district, state, or relationships with organizations into which they can go to educate national leaders. caregivers. This may include caregiver schools, clubs, and net- The program re- working/support groups. The subcommittee is also researching quires participants current caregiver curriculums. to attend four half-day seminars that address key leadership skills. The curriculum subcommittee is focused on developing the After completing a year of leadership classes led by renowned education program. Once the curriculum is determined, the pro- national leadership speakers, participants then serve on a special gram can be packaged in multiple ways, such as online education, one-year Ad Hoc Project Committee. The task of this committee brochures, and lectures. is to identify a need within the profession and/or the MDS, and The delivery subcommittee’s goal is to determine the mode of to work together throughout the course of the year to create a delivery of the training. They will identify which mode is the most program targeted at improving the conditions. effective for teaching and which mode has the biggest impact, and Romesh Nalliah, DDS, was elected Ad Hoc Project Committee then analyze the related costs associated with each mode. The chair by his 2010 Leadership Institute colleagues. After much de- education program will also be available to MDS members. liberation, the class identiﬁ ed special needs individuals as the tar- The MDS Leadership Institute is in its ﬁ fth year of operation and get group for their ad hoc project based on the challenges special has graduated many participants who now hold active leadership needs patients face in receiving oral health care services and educa- roles in their communities and the Society. For more information on tion. Their research revealed that special needs and handicapped pa- how you can get involved in the Leadership Institute, please contact tients are more likely to have insurance, but also more likely to have Ellen Factor, assistant director of membership and access to care, at unmet dental needs when compared to unaffected individuals. They [email protected] or (800) 342-8747, ext. 228.

MDS Connection www.massdental.org Boston Convention & Exhibition Center January 26–30, 2011 Exhibits: January 27–29, 2011

Here is a glimpse of some of the electrifying highlights!

NEW rregistrationegistration GGrouproup DDiscountiscount Your Entire Dental Team Can Get Connected Register 4 dental professionals from the same ofﬁ ce and the 5th goes FREE* (Some restrictions apply.)

Entertainment The Fab Four comes to Yankee for Friday Night Only! Friday, January 28, 20111

Gordon Christensen, DDS Back by popular demand! Dr. Gordon Christensen, along with Dr. Paul Child, will share the latest in restorative dentistry and ﬁ xed prosthodontics, as well as new aspects of dentistry. 4

NEW Endodontic and Periodontic Fast-Track Sessions Yankee’s Fat Thursday A series of in-depth information-packed presentations. Carnival Every hour, a different speaker will present a new topic within the specialized program. Thursday, January 27, 2011 Come experience the excitement of Mardi Gras! live patient Yankee brings you the fun and demonstrations ﬂ avors of this world-class party with attractions, See cutting-edge procedures and products games, music, being used by some of today’s best clinicians. giveaways, surprises, A variety of live procedures will be pperformed and all the fun of over the course of three days. the fair at Yankee’s Fat Thursday Carnival.

Registration and Housing Open September 22, 2010, at 12:00 noon yankeedental.com  (877) 515-9071 MDS Foundation Wall of Wines Returns to The MDS Foundation is pleased to report Yankee Dental Congress that the endowment The energy from last year’s MDS Foundation booth at the has reached a total of Yankee Dental Congress was contagious as word spread $328,000 and is on track throughout the show ﬂ oor about the Wall of Wines. Visitors to to hit the $1 million mark the booth excitedly made their $20 donation in exchange for by 2012. Thanks to all MDS members for making this possible selecting a wrapped bottle of wine from the Wall in the hopes and for continuing to support the MDS Foundation. Our profes- of getting the premier $500 bottle of wine hidden in the wall. sionally managed endowment, which was launched in 2009, will With this in mind, the Foundation is pleased to announce that the 2nd Annual Wall of seek to support new and existing programs in places such as Wines is taking place at YDC 36 in January. We promise it will be bigger and better than last community health centers, schools, and nursing home clinics. For year, with a larger selection and more premium wines. We are currently seeking donations more information, visit www.mdsfoundation.org/giving of wines for the Wall. Make a donation by contacting Maryellen Geurtsen at mgeurtsen@ or contact Karen Rafeld at [email protected] or massdental.org or (800) 342-8747, ext. 202. To purchase a gift certiﬁ cate to the (800) 342-8747, ext. 241. Wall of Wines, log on to www.yankeedental.com.

A Professional Web Site: Key to a Successful Dental Practice The Internet is fast becoming the cornerstone of any successful marketing results of major search engines, such as initiative. Patients search online for dental care providers, and if you haven’t Yahoo! and Google. An SEO program established an online presence, you’re missing out on valuable patient leads. focused on proper keywords, optimized An attractive, functional Web site can be inexpensive (less than $1,000), and content, and strong link building can when designed and built properly, it can offer a better return on investment augment your site’s performance and than almost any other form of marketing available today. set you apart from competitors in the search results. The key to attracting new patients begins with a professional practice Web A local PPC ad campaign allows you to specifi cally target your advertise- site with quality content and patient-friendly tools. Your site should include ments to prospective patients at the exact moment they search for your identi- basic information about your practice, including staff bios and services offered. fi ed keywords and electives, such as “dentist” and “teeth whitening.” You only Streamline appointment scheduling with an online appointment setting feature, pay when a patient clicks on your ad, and how much you bid for your keywords 5 or educate your patients about the latest dental procedures with a patient depends on the competitiveness of your market. education library. Add photos to introduce new patients to your facility and staff, Finally, with local maps optimization, you obtain a listing for your practice in or incorporate testimonials to increase your practice’s credibility. When patients Google or Yahoo! directories, getting your site ranked in the increasingly popular visit your site, they’ll have 24/7 access to all of your practice information and maps results when patients search “dentist” and the name of your town. When a resources, and this means around-the-clock marketing for your practice. patient fi nds your listing, he or she will have direct access to your practice’s map, However, having a well-developed Web site isn’t enough to generate new phone number, services, promotions, patient reviews, emails, and zip codes. patients to your practice. In order to drive new patients to your site, you need More and more, patients searching for dental care are turning to the Internet to increase your online visibility. When implemented properly, advanced search as their primary source of information. Establishing an online presence helps you engine optimization (SEO), pay-per-click (PPC) advertising, and local maps connect with existing patients and reach new ones. Offi cite is an MDS Affi nity optimization strategies can earn your site prominent positions in the search Partner and offers package discounts to members. For more information on mar- results when patients search for dentists in your community. keting your practice through an expertly designed Web site, visit www.offi cite. An advanced SEO program will help boost your site’s ranking in the search com/mds or call (888) 748-2732.

Correction Due to a production error, an incomplete list of the 50-year dentists was published in the Summer 2010 JOURNAL OF THE MASSACHUSETTS DENTAL SOCIETY. The full list ap- pears below. We apologize for this error. Twenty-two of the 50-year members (pictured here) attended a luncheon in their honor at the MDS Annual Session in May.

Kenneth A. Atwill, DDS Arthur Fertman, DDS Anthony J. Koury, DMD Edward Rosenthal, DMD Angelo L. Bilionis, DDS Robert A. Flashner, DMD Maria Krivoshlikoff, DMD Cloyed L. Ross Jr., DMD Warren W. Blake, DDS Augustino T. Forcucci, DMD Thomas G. Leonard, DDS Martin Rutberg, DMD William F. Brady Jr., DDS Stanley H. Frodyma, DDS Marvin Lowy, DMD James T. Ryan, DMD Melvin K. Brockman, DMD David R. Gelinas, DMD Charles M. Manoli, DMD Edward H. Seadale, DDS Richard R. Brousseau, DMD Daniel B. Green, DDS Paul A. Marino, DDS William W. Sellers, DMD James P. Brown, DDS Irving T. Greenberg, DDS Robert W. Mattson, DMD Francis X. Shea, DMD William C. Brunelle, DDS Elliot M. Greenfeld, DDS James T. McInerney, DMD Leonard B. Shulman, DMD Paul J. Canniff, DMD Albert H. Guay, DMD Alfred J. McManama, DDS James W. Skillings, DDS John W. Carbone, DDS Richard A. Hallisey, DDS Robert H. Moriarty, DDS Pramod M. Soparkar, DMD Gerald R. Carrier, DMD Winthrop W. Edward M. Morin, DMD Richard J. Sorbera, DDS Charles A. Dean, DDS Harrington, DMD Richard T. Murphy, DMD Paul Sowsy, DMD Paul F. DePaola, DDS Sanford S. Hochman, DDS Boris A. Novak, DDS Donald B. Stackhouse, DMD Guy R. Dillaway, DMD Howard K. Jacobs, DMD Richard A. Nutile, DDS Mae D. Suminski, DDS Milton M. Dines, DDS Loring C. Johnson, DMD John J. O'Connell Jr., DDS Barton H. Tayer, DMD Joel L. Dunsky, DDS Lawrence P. Joseph, DMD Frank A. Odlum, DDS Earle A. Tompkins, DDS Arthur R. Falvey Jr., DMD Miltiades A. James V. Picone, DDS Raymond Widican, DDS Donald L. Farley, DDS Karamechedis, DMD Robert L. Radner, DMD David E. Winograd, DDS Antonio Fernandes Jr., DMD Peter G. Kimball, DMD Philip E. Richardson, DDS

MDS Connection www.massdental.org Legislative MDS-PAC— MDS Legislative We Need YOU! Agenda Laws that improve oral health and promote the practice of dentistry begin with the Pays Off legislature itself. We will not see those kinds of bills unless pro–oral health and pro–small This Summer business candidates are elected this Novem- ber. By making a voluntary contribution to the MDS-PAC/MDS-People’s Committee, you allow us to pool the resources of dentists from across the state. We can then support This summer, the Massachusetts Legislature did more than just debate casino gambling— the candidates who have demonstrated that it passed several bills that were signed by Governor Deval Patrick. Three of those bills were they will be a strong voice in favor of our strongly supported by the MDS: issues on Beacon Hill. Please log on to www.massdental.org/pacform and make • S.2567 – An Act Relative to Certain Temporary Registrations and Volunteer Den- your donation today. tistry. This bill allows for both volunteer and temporary dental licenses. The MDS has been working for several years to make volunteer licenses a reality, allowing dentists who work in a free care-clinic and receive no salary to have the fees waived BORID Regulations, continued from page 1 for their dental licenses. The temporary license aspect of the bill allows dentists If I don’t see children in my offi ce, do I still from outside Massachusetts to come to our state and take or teach live dentistry need to have a pediatric blood pressure cuff, courses without having to complete the full licensure process. epi-pen, and oxygen masks? • S.2585 – An Act to Promote Cost Containment, Transparency, and Effi ciency in the If there is absolutely no possibility that you will be Provision of Quality Health Insurance for Individuals and Small Businesses. Lan- treating children, then the need for pediatric-size guage in this bill allows small employers to band together to level the playing fi eld equipment is questionable. However, since patients on coverage and premiums. Specifi cally, the bill creates six cooperatives for the pur- do vary in size (you may have a very small 18- or chase of employee health benefi ts. While it will be some time before the necessary 80-year-old), it is advisable to keep pediatric-size 6 regulations are in place, the MDS is excited about the opportunity this bill provides equipment in your offi ce. our members for saving money in purchasing health insurance for themselves and their employees. Do dentists and staff need to wear name • H.4459 – An Act Relative to School Nutrition. In an effort to limit childhood obesity tags? and improve oral health, this bill encourages schools to sell healthier foods, such as Yes, all licensees and dental auxiliaries providing locally grown fruits and vegetables. It also requires that plain water be available to dental services to a patient or assisting a dentist students as an alternative to soda and other sugary beverages. in the direct care or treatment of a patient shall wear a name tag with the individual’s name and The MDS is incredibly pleased that these bills have become the law of the professional title and function. Refer to 234 CMR Commonwealth. As we celebrate these victories, we are already preparing for the next 5.03. The Board informs us that fi rst names only legislative session. The Standing Committee on Legislation and Governmental Affairs is are OK, but the professional title and function currently preparing its recommendations for bills to be fi led come January. If you have is important so that patients know if he/she is a any questions or suggestions, please send them to [email protected]. dentist, hygienist, or assistant.

If I am the only dentist in my offi ce, do I Featured on the Web need to wear a name tag with degree? www.mdsadvocacy.wordpress.com You must wear a name tag, but it doesn’t have to On the MDS Advocacy Blog, you can: have your degree on it. However, it should have your fi rst and/or last name, professional title, and • Read regular updates on the legislation affecting function. the profession • Learn how to become an effective advocate for dentistryistry When can I employ Expanded Function • Subscribe to receive email notifi cations or add the Dental Assistants (EFDAs)? blog to your RSS feed EFDAs may be employed immediately. See 234 • Comment on blog posts CMR 5.12 for delegable procedures.

DID YOU KNOW that of more than 7,500 bills fi led in the Massachusetts legislature this year, only 519 have been sent to the governor, including the MDS-sponsored volunteer dental license bill?

MDS Connection September - October 2010 Insurance & Finance

Small Business Wellness Programs and Health Care Reform

By George Gonser, CEO, MDSIS–Spring Insurance Group

The Affordable Care Act, the federal health care reform law, offers numerous op- The U.S. Department of Health and Human Services will administer the portunities for small businesses to expand and improve health benefi ts offered to grants. The Guide to Community Preventive Services, the Guide to their employees. One of the major components of the law focuses on comprehensive Clinical Preventive Services, and the National Registry for Effective Pro- wellness initiatives, specifi cally employer-based wellness programs that encourage grams will be consulted for this task. The Centers for Disease Control will also healthy habits while at work. provide technical assistance to employers looking to evaluate their existing With the recession, businesses and employees are being asked to do more program’s benefi ts. with less, and working more hours to maintain their businesses. When an Currently, MDSIS–Spring Insurance Group is working with national wellness individual faces a time crunch, fi tness and health measures are often the fi rst companies and insurance carriers to develop stand-alone wellness programs that sacrifi ces. However, this is not an optimal long-term scenario because the bene- can be applied to existing health insurance plans, along with health plans with fi ts of wellness cannot be overemphasized. The Affordable Care Act incentivizes integrated and federally approved wellness components built into the programs. small businesses (those with fewer than 100 full-time employees) with a grant The goal and benefi t are twofold: fi nancial and personal. First, building program enabling businesses that do not currently have wellness programs to a program with wellness components allows companies to take advantage create one. Beginning in 2011, these employers can apply for a pool of grants of the federal (in 2010) and statewide (in the future—2014) wellness grant totaling $200 million that must be used to create original and comprehensive and premium credit monies. This will help defray some health insurance employer-based wellness initiatives. The program requirements include: costs. Second, and possibly most important, is for companies to create and • Health awareness initiatives, such as health education, preventive foster an environment of wellness and fi tness. While none of the wellness screenings, and health risk assessments programs address the root of problems such as poor diet, long hours, or • Efforts to maximize employee engagement stress, they are a start. • Initiatives to change unhealthy behavior and lifestyle choices, such as Contact MDSIS–Spring Insurance Group at (800) 821-6033 or please visit counseling, seminars, online programs, and self-help materials www.mdsis.org for more on our wellness program products, updates on the • Supportive environment efforts, such as workplace policies to encourage federal and state health care reform laws, updates on the MassHealth rate cap healthy eating, activity, and improved mental health issue, and information on all of our insurance products, programs, and services. 7

The Sandwich Generation: Stuck in the Middle

If you’re helping your aging par- ings plans. At the least, contribute as your parents have a durable power ents and trying to meet your own much as your employer will match. of attorney authorizing you to sign children’s needs, while also looking If you have children, you’ll want checks, pay bills, and make fi nancial ahead to your own retirement, you’re to start saving, and with college decisions. part of what’s called the “Sandwich tuition soaring, the sooner, the better. Also, make sure your parents have the cost of long-term care, look into Generation.” Here’s a recipe to help There are several options—consider health care directives allowing you long-term care insurance. The cost of you cope with being jammed in the tax-advantaged strategies such as to make medical care decisions ac- a long-term care policy will depend middle. college savings plans, Coverdell cording to their wishes. And be sure primarily on the ages of your parents First, conduct an assessment of education savings accounts, and U.S. your parents have a will that’s been (in general, the younger they are when your current fi nancial situation and savings bonds. updated recently. the policy is purchased, the lower the fi nancial goals. Make improvements If necessary, look into the wide If your parents have limited premium will be), but it also depends where you can, and develop a budget variety of fi nancial aid programs income, talk to them about their on the benefi ts you choose. you can stick to. Be sure to monitor available during college, such as options. For example, can your If you’re feeling the squeeze, your fi nances so you can adjust to scholarships, grants, work-study parents sell their home or access the you’re not alone. There’s plenty of changing circumstances. Then conduct employment, and student and parent equity they have in it to increase their help out there, from local programs a similar assessment of your parents’ loans. Financial aid is based on two income? Will they need to move in to national organizations, from books fi nances as well, so that you fully things: the cost of a college educa- with you or another family member? to Web sites. And consider discussing understand their current situation. tion and your ability to pay. You’ll fi nd If they’re not willing to discuss this the specifi cs of your situation with Also, resist dipping into your that an increasing number of families with you, you may want to suggest your fi nancial professional. retirement savings, and try to keep with signifi cant incomes now qualify they talk with a trusted professional. Eastern Dental Financial Services, your retirement savings plan on track. for aid. Since government programs, such 200 Friberg Parkway, Suite 2002, Make investing in your fi nancial If you need to help your parents as Medicare and Medicaid, tradi- Westborough, MA 01581. Phone (800) 898-3342. Fax (508) 870-2897. future a priority by maxing out your manage their affairs, you’ll require tional health insurance, and disability Copyright © 2010 Forefi eld Inc. 401(k) and/or other retirement sav- legal authority to do so. Make sure insurance may not adequately cover All rights reserved.

MDS Connection www.massdental.org Visit our Web site at massdental.org or Yankee Institute call (508) 449-6050 for more course listings.

DENTRIX SEMINARS Hands-On Class Complimentary light lunch sponsored by Henry Schein for each session Speaker: Scott Stevens is a certifi ed Dentrix trainer and dental offi ce manager. UNRAVELING THE GHOSTS Choose one session or both. Fee: 1020 $100 Sessions 1 & 2 MDS Dentist Member/ OF PANORAMIC RADIOGRAPHS MDS Auxiliary Member Fee: 1022B $165 MDS Dentist Member/MDS Auxiliary Member 1020A $200 Sessions 1 & 2 Non-MDS Member 1022C $295 Non-MDS Member CEUs: 6 Hands-On SESSION 1 CONTINUING CARE Date: Friday, October 22, 2010 Let Dentrix Track Patients for You Time: Registration: 8:30 a.m.; Seminar: 9:00 a.m.–12:00 noon Fee: 1020B $70 Session 1 MDS Dentist Member/MDS Auxiliary Member Speakers: Anita Gohel BDS, PhD, is a diplomate of the American 1020C $140 Session 1 Non-MDS Member Board of Oral and Maxillofacial Radiology and CEUs: 3 Workshop director of oral diagnosis and radiology at the Henry M. Date: Wednesday, October 20, 2010 Goldman School of Dental Medicine at Boston University. Time: Registration: 8:30 a.m.; Seminar: 9:00 a.m.–12:00 noon Dentrix provides a fl exible way for you to monitor your patients’ pending dental care. You can Mary Ellen Sholes, CDA, is a dental radiology technologist create continuing care (CC) types for which you can control the name, time, and visit interval at the Henry M. Goldman School of Dental Medicine at as well as the provider. Allow Dentrix to track your patients so a staff member does not have to. Boston University. Learning Objectives: Participants will learn case-based interpretation of panoramic ➢ radiographs, principles of panoramic radiography, advantages and Learn how to set CC defaults and types for an individual patient disadvantages of panoramic fi lms, and commonly seen errors. ➢ Determine how to assign procedure codes to a CC type Learning Objectives: ➢ Understand how to attach CC to appointments, and print CC lists and reminder postcards ➢ Interpret panoramic images for proper diagnostic information in radiographs Participants should be familiar with Dentrix but do not need to have experience with the ➢ Review real and ghost formations Continuing Care section of Dentrix. ➢ Understand normal panoramic anatomy SESSION 2 CHARTING SEMINAR Recommended Audience: D Dentist H Hygienist A Assistant Fee: 1020D $70 Session 2 MDS Dentist Member/MDS Auxiliary Member 1020E $140 Session 2 Non-MDS Member CEUs: 3 Workshop Hands-On Class Date: Wednesday, October 20, 2010 Time: Registration: 12:30 p.m.; Seminar: 1:00–4:00 p.m. TEMPORIZATION The Dentrix chart’s complete chairside integration makes it the perfect tool to simplify record Fee: 1029 $170 MDS Dentist Member/MDS Auxiliary Member keeping, while giving users the opportunity to take advantage of the newest technological 1029A $300 Non-MDS Member innovations in dentistry. The patient chart module consists of four separate parts: patient CEUs: 6 Hands-On chart, clinical notes, perio chart, and treatment planner. Date: Friday, October 29, 2010 8 Learning Objectives: Time: Registration: 8:30 a.m.; Seminar: 9:00 a.m.–12:00 noon ➢ Demonstrate how to better utilize the chart to make charting fast and easy Speaker: Ellen Neuenfeldt, RDH, is a 3M ESPE professional ➢ Learn how to enter treatment using procedure buttons and procedure codes relations manager panel as well as creating multicodes Learn the important role of a temporary and address the common problems of provisional ➢ Learn how to utilize the treatment planner restorations. Participants will learn practical solutions utilizing advanced materials and ➢ Designed for users with either minimal Dentrix experience (typically 1–6 months) techniques. Fabricate a four-unit bridge and a single-unit crown in the course. or a desire to get a good review of the basics Learning Objectives: Recommended Audience: D Dentist H Hygienist A Assistant ➢ Learn to improve temporization techniques Thanks to Henry Schein for its support. ➢ Achieve excellent esthetic results ➢ Reduce chair time Thanks to 3M ESPE for its support. ➢ Improve overall patient satisfaction D H A Hands-On Class Recommended Audience: Dentist Hygienist Assistant CREATING NATURAL ESTHETICS WITH UNRAVELING THE MYSTERY: AUTISM 101 NEXT-GENERATION COMPOSITES Fee: 115 $70 MDS Dentist Member/MDS Auxiliary Member Fee: 1022 $245 MDS Dentist Member/MDS Auxiliary Member 115A $140 Non-MDS Member 1022A $345 Non-MDS Member CEUs 3 Lecture CEUs: 12 Hands-On Date: Friday, November 5, 2010 Date: Friday, October 22, 2010 Time: Registration: 9:30 a.m.; Seminar: 10:00 a.m.–1:00 p.m. Time: Registration: 8:00 a.m.; Seminar: 8:30–3:30 p.m. Includes complimentary continental breakfast and light lunch Speakers: Julie Fitzpatrick is a pediatric dental offi ce manager who has written a manuscript documenting her family’s journey Speaker: Frank J. Milnar, DDS, AACD, is cofounder of the Minnesota in helping those challenged by autism. Academy of Cosmetic Dentistry and board examiner for accreditation for the American Academy of Cosmetic Dentistry. Bob Ross, EdD, PhD, is senior vice president of curriculum and research at Behavioral Education Assessment and This seminar will focus on the construction of natural-looking restorations using Consultation, Inc. (BEACON Services) advanced shade selection and composite resin layering techniques utilizing a next- generation composite. It includes the demonstration of how the observation of natural In the last 10 years, the incidence of diagnosed autism has exploded to teeth, tooth morphology, surface texture, optical properties of light, and the four 1 in every 48 live births in Massachusetts. Chances are you are working dimensions of color, hue, chroma, value, and translucency can be applied to create with a child with autism. How can you be a part of saving this child’s restorations with optimal esthetic and functional qualities. future? Learn how to work successfully with the autistic child. Learning Objectives: Learning Objectives: ➢ Create accurate natural-looking restorations with a high degree of esthetic appeal ➢ Understand what the life of a child with autism is like, what to look for, ➢ Expanded use of composite materials and how you can help with early detection ➢ Create polychromatic restorations and three-dimensional restorations ➢ Learn practical suggestions, tools, and techniques to increase the rate of ➢ Learn to confi dently treat diffi cult Class IV, diastema, and composite veneer restorations success of in-offi ce visits for individuals with autism. Recommended Audience: D Dentist Thanks to Voco for its support. Recommended Audience: D Dentist H Hygienist A Assistant O Offi ce Staff

MDS Connection September - October 2010 Access to Care Berkshire District Dental Society “Opens Wide” It was only 6:30 a.m. on Saturday, June 5, 2010, completed a health history form and had blood but a line of Berkshire-area residents was quickly pressure taken by an emergency medical technician, forming outside of a building in Pittsfi eld. However, who was also a volunteer. Dental offi ce staff were they weren't lining up for Celtics playoff tickets or on hand to help fi ll out forms, answer questions, the latest iPhone. They were waiting for something and assist patients with signing up for access services MDS member Dr. John George consults with a patient far more valuable that would begin at 8:00 a.m.— for which they might be eligible. Thorough dental at the free-care day in Pittsfi eld. free dental care that they may have otherwise gone exams were performed, along with cleanings, X-rays, without. and fi llings, in addition to more extensive treatment. The following MDS members donated their time Through this event, organized in part by Mas- Approximately $100,000 worth of free care was by participating in the Berkshire free-care day: sachusetts Dental Society member John-Michael provided, including oral surgery, and 165 surgical • Lauren Ballinger, DDS Stewart, DMD, approximately 129 adults and tooth extractions were performed. Patients were • Matt Ballinger, DDS 11 children received no-cost dental treatment at sent home with postoperative instructions and pre- • James P. (Pat) Carsell, DDS several dental offi ces in Pittsfi eld. The day was scriptions if needed, as well as follow-up contact • Robert Edwards, DDS arranged in conjunction with the Berkshire District information if they had any questions. • Lisa Gamache, DMD Dental Society and Project 31, a venture established “This is a day funded and supported by the com- • Paul Gamache, DMD by the International Team for Implantology to help munity,” says Dr. Stewart, referring to the number of • John George, DDS adults obtain much-needed oral health care. Project local establishments that donated funds and materi- • Alan Gold, DDS (MDS past president) 31 is named after the approximately 31 million als or helped make the day possible in other ways. • Eric Holmgren, DMD, MD Americans who do not have access to dental care. The Pittsfi eld Rotary and other community spon- • Jolene Krol, DMD Berkshire dentists, dental hygienists, dental sors helped with event publicity and donations. A • Peter Shelsy, DDS assistants, and other volunteers donated approxi- local automotive dealer contributed a van to shuttle • Charlie St. John, DMD mately nine hours of their time that day to treat patients to the various offi ces; a hardware store • Bethany Stewart, DDS patients on a fi rst-come, fi rst-served basis at the donated chairs for the waiting areas; and the local • John-Michael Stewart, DMD offi ces of Oral Surgery Associates; Yarmosky Pediat- newspaper and radio station each donated advertis- • Michael Wasserman, DDS (Berkshire District Trustee) ric Dentistry; Lisa Gamache, DMD; Paul Gamache, ing space. Pittsfi eld-based Scarafoni Financial Group • Louis Yarmosky, DDS DMD; and John George, DDS. helped with fundraising for the day. The following Vermont State Dental Society Adult patients were triaged at the offi ce of This was the third Pittsfi eld-based Project 31 members also donated their time that day: Christo- Oral Surgery Associates and then shuttled to an event and the fi fth in New England. One hope for pher Bevin, DMD, and Lance Smagalski, DDS. 9 appropriate offi ce for treatment, while children the program is that the free-care day model spreads For more information, visit the International went directly to the pediatric offi ces. Each patient to other areas of New England. Team for Implantology’s Web site at www.iti.org.

MASSHEALTH UPDATE Collaborative Dentists—A New Way to Get Involved

By Barry Major, MassHealth Contract Director Massachusetts recently passed legisla- school or other public health setting, and he or she could refer the child to the tion giving dental hygienists the ability to collaborating dentist for a dental home. work in a public health setting and receive You could also choose to get involved on a more active basis and expand direct reimbursement from MassHealth without the supervision of a dentist. your practice out into the schools. Although PHDHs are authorized to bill on their The goal of this legislation is to increase access to care for children in the own, that doesn’t necessarily mean that they have to. Being enrolled as a PHDH Commonwealth. Public health dental hygienists (PHDHs) will primarily be also gives one the right to be listed as the rendering provider and bill under a focused on working to get oral health programs into the schools. They will group. Many of the fears that hygienists have of becoming a PHDH are around be applying topical fl uoride treatments, fl uoride varnish, and sealants to owning their own business. Savvy dental practice owners could establish their kids in areas where there is little or no access. own school-based programs and hire one or more public health hygienists to do I want to highlight the fact that this does not mean that dentists and the work. The practice could handle all of the billing responsibilities, and the hygienists will be competing to provide the same services. In fact, there hygienists would be there to provide quality care in a public health setting. This are opportunities that exist for dentists who are looking to expand their is a perfect opportunity for the providers who want to give back to the com- practice and increase access for children at the same time. As a Massachu- munity but may not want to provide those services in their own offi ce. This could setts licensed dentist, you now have several options to participate in the also be a great way to establish trust with the patients and reduce the anxiety PHDH program. of going to the dentist, subsequently moving the patient into a true dental home First, each PHDH is required to have a collaborative agreement with setting, while also reducing the likelihood of no-shows. a licensed dentist in order to practice on his or her own. As a collabora- Whichever way you choose to participate in this new and exciting program, tive dentist, you are there to assist the PHDH to prepare emergency plans we welcome you. If you have any more questions about how to get involved and treatment protocols, and provide advice in situations that require a and take advantage of the opportunities available in this program, please dental expert. Although dentists participating in collaborative agreements contact your MassHealth provider relations representative—Megan Mackin at are not required to accept referrals, this would be a great way to establish (617) 886-1728 or Keishia Lopez at (617) 886-1727—or me directly at a MassHealth patient base. The PHDH could be the initial contact in the (617) 886-1310.

MDS Connection www.massdental.org CLASSIFIEDS

You will earn more in our practices. Partnership is avail- Boston; willing to relocate. Doctor works well with To advertise in the MDS CONNECTION, Although the Massachusetts Dental Society able. Send your CV to Drs. Sam Shames and David Russell staff and patients. Interceptive treatment—func- contact Jessica Robinson, MDS advertis- believes that advertisements published in the at [email protected] or call (781) 647-0772. tional occlusions (cuspid function). Favors expansion ing coordinator, at (508) 449-6076, for a MDS CONNECTION are from reputable sources, to extraction. For information and resume, please call classifi ed ad contract, or visit the MDS Web the Society neither investigates the offers 1ST ADVANTAGE DENTAL—New England People. Pas- (857) 636-0004 or email [email protected]. site at www.massdental.org and submit made nor assumes responsibility for them. sion. Purpose. Have you considered escaping big-city life an ad online. Payment in advance, covering The MDS reserves the right to decline and/or for a more balanced lifestyle, culture, and a great place PRACTICES/OFFICES FOR SALE OR RENT the number of insertions, is required. withdraw advertisements at its discretion. to live and raise a family? 1st Advantage Dental is an es- CONDOMINIUM OFFICE SUITE for sale—1,750 sq. ft. 50 words or less (per insertion) ...... $55 Deadline for Ad Published tablished dental group with four practices nestled in the Prime location, ½ mile from Natick Center and three 50¢ each additional word beautiful Pioneer Valley area of Western Massachusetts miles from Wellesley Center, adjacent to the Leonard Rate includes immediate Web posting February 1 ...... March-April and Vermont, and we have an opportunity for full-time Morse Hospital. Consisting of fi ve large, pleasant of- dentists and an endodontist to join our team. Patient re- fi ces; offi ce for receptionist; two waiting areas, and MDS Box ...... $15 extra April 1 ...... May-June lationships have been the cornerstone of our practice for X-ray room. The suite is eminently suitable for conver- June 1 ...... July-August Upon publication, all classifi ed advertise- more than 15 years. Work in a neighborhood dental prac- sion to a dental practice. Priced to sell. Contact An- ments are posted on the MDS Web site at August 1 ...... September-October tice with a thriving patient base and with the professional thony H. Jackson, MD, at (508) 647-0222, ext. 122. www.massdental.org. October 1 ...... November-December and clinical support to best serve your patients. We offer Reply to a classifi ed advertisement by an excellent compensation package including outstand- DENTAL SPACE available in full-service dental build- addressing the envelope to: MDS CONNECTION December 1 ...... January-February ing benefi ts, doctor ownership, and a tremendous patient ing. Great opportunity. Approximately 1,300 sq. ft. Classifi ed Box ______For the most current MDS Classifi ed listings, base. This lucrative associate opportunity package also of space in Coolidge Corner dental building with Two Willow Street, Suite 200 please visit www.massdental.org/ includes malpractice, medical, and life benefi ts, and a parking. Last space available ready for easy buildout. Southborough, MA 01745 publications/classifi ed-ads. 401(k) plan with match. If you are someone who desires Make it your own! Contact MDS Box 1214. freedom from administrative and management hassles, more balance, and time to pursue personal interests, and VERMONT—Escape the rat race. Busy, modern, solo appreciates an enriching culture of professional camara- GP practice for sale with real estate in friendly, scenic, JOB OPPORTUNITIES AVAILABLE GREAT OPPORTUNITY—General dentistry. Geriatric derie and integrity, then we would love to speak with southwestern Vermont. Forty minutes to Troy, New PEDIATRIC DENTIST south of Boston. FT/PT pediatric as- dental care needed for a group of assisted living fa- you. Please contact Lynn Boucher at (413) 535-9519 or York; 30 minutes to Williamstown, Massachusetts; sociate wanted for our busy pediatric/orthodontic prac- cilities. $100K+ income with benefi ts, incentives, and email [email protected]. 30 minutes to major ski slopes. Owner takes home tice. Strong team environment where your clinical skills partnership opportunities. Email resume to drskarr@ $1.35M annually. Rare opportunity for ambitious, will be highly valued. Offering comprehensive benefi ts, aol.com. GREAT EXPRESSIONS DENTAL CENTERS (GEDC) is a hardworking one or two dentists. 100 percent fi nanc- including health insurance, paid malpractice, retirement patient-focused organization that operates more than ing to qualifi ed individual. Reply with contact infor- plan, and a fl exible schedule. A great chance to grow PART-TIME DENTIST—Experienced only. One day a 130 individual practices in seven states (CT, FL, GA, MA, mation to [email protected]. with our practice. Only 20 minutes south of Boston. week, 9:00 a.m.–5:00 p.m. No weekends. Great op- MI, OH, and VA). Our general dentists and specialists Please email your CV to [email protected]. portunity with excellent compensation in a busy urban have the clinical freedom and autonomy enjoyed in a MALDEN—1,500-sq.-ft. offi ce with two additional dental practice. Dentists, please call (617) 524-7860 traditional private practice without the additional fi nan- residential units. Call June DeFeo of ERA Andrew Real DENTAL ASSISTANT SUPERVISOR opportunity at Chil- between 9:00 a.m. and 5:00 p.m. Monday–Friday. cial or administrative burdens associated with practice Estate for more information at (617) 548-3197 or dren’s Hospital Boston. The Dentistry Department is management. When considering a career with GEDC, email [email protected]. looking for an experienced clinical professional for a SEEKING PART-TIME PEDIATRIC dentist with long-term new dental professionals can expect unlimited income, full-time position. The individual is responsible for the potential for well-established, multidisciplinary private a solid benefi ts package, a stable patient base, training CAPE COD—Hyannis dental offi ce for sale or lease. supervision of the dental assistant staff for the depart- practice in Boston suburb. We have two locations, opportunities, and long-term practice or regional career Two fully equipped operatories with room for one or ment. To apply, visit our Web site at www.childrens well-trained staff, and a friendly work environment. growth. To learn more about the “GEDC Lifestyle,” please two more. Large cellar, two-car garage, parking lot hospital.org/careers/Site2115/mainpage Guaranteed salary, excellent compensation, and bene- 10 call Todd Gustke at (248) 203-1117 or visit us on the one block from the ocean at Lewis Bay, and one block S2115P0.html and refer to AutoReqID 22435BR. fi ts. Visit our Web site at www.chestnutdental. Web at www.greatexpressions.com. from Cape Cod Hospital. Contact MDS Box 1226. com. Please contact Peter at (781) 444-6650 or email SENIOR DENTAL ASSISTANT opportunity at Children’s [email protected] for more information and BUSY MULTILOCATION PRACTICE south of Boston seeks NEW ENGLAND PRACTICE TRANSITIONS—The best Hospital Boston. The Dental Clinic is looking for an to send your resume. general dentists, an endodontist, an oral surgeon, and choice for buyers and sellers. A brokerage fi rm founded experienced professional for a full-time position. The in- hygienists to join our team. Experience and good inter- by dentists. Maine—Auburn: Partnership, buy-in op- dividual will provide technical assistance and support DENTAL EDUCATION PLANNER—Publisher and na- personal skills required. High earning potential. Fax portunity, multidentist practice. Bangor: Associate for providers during dental examinations and proce- tionally approved continuing education provider in resume to (781) 961-3375. opportunity, gross $1.4M. Central Maine: Buy-in/ dures. To apply, visit our Web site at www.childrens West Bridgewater seeks licensed, experienced dentist buy-out, gross $1M, six operatories. Southern Maine: hospital.org/careers/Site2115/mainpage with passion for professional education for 10 to 15 WENTWORTH-DOUGLASS Community Dental Center Four operatories, gross $370K, real estate available. S2115P0.html and refer to AutoReqID 22275BR. hours weekly. Assess current home-study and Internet is seeking a general dentist (32–40 hours) to provide Massachusetts—Mid-Cape: Well-established prac- CE curriculum, develop ideas for new courses, recruit comprehensive dental care to pediatric and adult pa- tice, gross $378K, three operatories, offi ce condo PERIODONTIST WANTED to join our ever-growing and guide authors in writing courses, review manu- tients. The Dental Center was established in 2005 to available, room to grow. Canton: Gross $272K, two group practice as a part-time associate one day per scripts, and evaluate courses. Required: Knowledge of provide dental access for medically compromised and operatories, real estate available. Cape Cod: Quaint week. Must have experience with perio surgery and im- current dental issues; experience writing and review- underserved patients in the local community. The ideal offi ce, gross $175K, three operatories. New Hamp- plants. Must be friendly, outgoing, and team-oriented ing dental publications; familiarity with educational candidate will have: DMD/DDS degree from a U.S. ac- shire—Hanover: Exciting buy-in opportunity, new with strong social skills. Please email CV to cda@ design and course development. Writing, continuing credited dental school, completion of a general practice and modern equipment, gross $1.6M. Vermont— norwoodlight.com. education/academia, and/or publishing background a residency, and be eligible for New Hampshire licensure. Burlington: Large, two-dentist, two-location prac- plus. Excellent oral and written communication skills, Please email CV to Wentworth-Douglass Community tice in nice area, gross $2.5M. Middlebury: General ESTABLISHED, BUSY FAMILY DENTAL PRACTICE in Fall well-organized, detail-oriented, computer and Internet Dental Center at [email protected] dentist practice located in nice college town with River seeks motivated general dentist. Loyal patient profi cient. Please send resume with cover letter to and [email protected]. brand-new equipment. New England Practice Transi- base, great location and community. Must be willing to [email protected]. tions. For information about our services or practice work evenings. Fax resume to (508) 677-4929. JOB OPPORTUNITIES WANTED listings, please contact us at (888) 888-6506 or visit DENTISTS in the Army National Guard. Serve only PERIODONTIST—Experienced and personable. Seeks one www.newenglandpracticetransitions.com. PEDIATRIC DENTIST—FT staff position available im- 39 days a year (one weekend a month and 15 days day a week or every other week in Boston metro area mediately at Mass General North Shore Center for annual training). Direct commissions; $120K student (within 50 miles) in GP, specialty, or multispecialty, fee-for- SPACE SHARING—Sublease private practice in Outpatient Care in Danvers. The Massachusetts Gen- loan repayment and $75K special pay bonus (over service setting. Please email [email protected]. Norwell. The practice was built-out three years ago, eral Hospital Dental Group has a multispecialty satellite three years); low-cost life and medical insurance; CME three operatories of which are available to rent. Two group practice in Danvers, north of Boston, with a focus conferences; 20-year retirement; and fl exible training EXPERIENCED PROSTHODONTIST seeks three days operatories available are plumbed, yet are without on excellence in care. Responsibilities include the care schedule. Call Joseph M. Guerriero at (571) 641-9032 per week in North Shore area in specialty of a multi- chairs or cabinets. Currently, there are two hygienists of healthy, medically compromised, and special needs or email [email protected]. specialty practice. Existing patient base. Please email working two days per week and one front desk per- children in a new state-of-the-art outpatient facility, [email protected]. son working fi ve days per week. Consultation room as well as dental rehabilitation in the operating room. ARE YOU A GREAT DENTIST? We’re looking for a few is available to share and a vacant offi ce would be There is an academic opportunity in teaching dental great dentists. If you have the ability to treatment plan ORTHODONTIST SEEKS working relationship with estab- available for the doctor who takes the space. Digital residents, and an appointment at the Harvard School and connect with patients, you will be a top earner lished practice. Highly regarded, Boston College, Harvard X-ray equipment is available to share. This would be a of Dental Medicine can be facilitated. Salary commen- with our ample patient fl ow. Gentle Dental of Massa- Dental School, and University of Washington, Seattle, great opportunity for an established dental specialist surate with experience. Full benefi ts package offered. chusetts has 26 multispecialty practices and a 30-year Orthodontics Program graduate. Finds satisfaction in suc- who is looking to move and doesn’t have the time or Forward CV to Agnes Lau, DMD, chief of MGH Division history of success. We handle nonclinical headaches to cessful orthodontics, beautiful occlusion, smiles, and happy money to do a full build-out. Also could be a great of Dentistry, at [email protected]. allow you to focus on patient care and your lifestyle. patients. Loves orthodontics; it’s not just a job. Living in opportunity for a specialist who wants to “go it on

MDS Connection September - October 2010 TO YOUR HEALTH his or her own,” yet doesn’t have the money for a full pand our business by introducing ourselves to new and build-out and is not sure of where the referrals would quality dentists. We give a lot of attention to the detail Appropriate Prescribing come from to start the practice. In this case, having a and quality of our work by using only the best in the general dentist could bring in many patients. You can market Noritake porcelain and High Noble metal. Being contact me by email at [email protected], or a small lab, we have the same type and quality of work Practices Involving call (781) 792-0100. all the time. We do not change employees, therefore changing the way cases are presented to you. There Pain Medication DENTAL PRACTICE FOR SALE—Boston. Location: are no surprises. We would like to introduce our work Brookline–Cambridge corridor. Highly visible on- to you by scheduling a lunch meeting in your offi ce. If By James T. Reilly, DMD, LADC-1 street location with a high traffi c count and ample you are interested, do not hesitate to call 3D Dental Executive Secretary parking. Gross revenue $241,530. Turnkey practice, Lab in Malden at (781) 724-1340. We also have a Web Dentist Health & Wellness Committee six operatories, three fully equipped. Priced for an im- site with lots of pictures for you to view. The Web site is mediate sale at $50K due to pending health issues. www.bostondentallab1.com. Yes, everything included for just $50K. Confi dential Many of the questions asked of the replies to Patrick O’Riordan at (617) 308-9195. Email ATTORNEY/DENTIST TEAM—More than 30 years [email protected]. of experience as a dentist/practice owner and attor- Dentist Health and Wellness Commit- ney now providing a broad range of legal services to tee (DWHC) each year pertain to issues CAPE COD—Established dental practice. Ideal for dentists, including: partnership/associate agreements, related to appropriate prescribing prospective retiree or as satellite offi ce. Priced to sell. business entity formation, purchase & sale of practices, practices involving pain medication, particularly when patients identify Owner seeking full retirement. Join the magic of Cape lease preparation/negotiation, real estate, collection themselves as “being in recovery.” The natural concern is whether or Cod. Please contact MDS Box 1232. services, licensure disciplinary proceedings. Attorney Richard S. Harold, DMD, JD. Call (617) 548-3819 not the practitioner may be found negligent for inadequately treating DENTAL PRACTICE for sale. Great opportunity to own or email [email protected]. legitimate pain symptoms, or accused of causing an iatrogenic physical a practice in busy business/residential area in Boston/ Attorney Daniel S. Casper, JD. Call (781) 224-1177 or dependence on opiates (addiction), or have contributed to a patient’s Dorchester. Over $300K collections on three days a email [email protected]. “relapse” (return to using alcohol or another controlled substance). week. A lot of potential for increased production. Call (978) 758-9487. MASSACHUSETTS DENTISTS’ ATTORNEY—Experi- In October 2007, the American Dental Association adopted a Policy enced, affordable dentists’ legal services, including Statement on the Use of Opioids in the Treatment of Dental Pain: BUYERS—Practices currently for sale and/or coming practice purchases, sales, and formations, licensing soon in several areas of Massachusetts. Visit our Web & discipline, partnership & associate contracts, other 1. The ADA encourages continuing education about the appropriate site at www.nptnetwork.com and register as a contracting, real estate, insurance, and estate plan- use of opioid pain medications in order to both promote responsi- “Network Candidate” to view current listings and to ning. Initial telephone consultation without charge. be notifi ed of all new opportunities as they become Steven H. Jesser, Attorney at Law, PC. (800) 424-0060, ble prescribing practices and limit instances of abuse and diversion. available. Call NPTN, formerly BCG, for details at (617) 421-0020 (Boston), (847) 212-5620 (mobile), 2. Dentists who prescribe opioids for treatment of dental pain are (877) 365-NPTN (6786). email [email protected], or visit www.sjesser.com. encouraged to be mindful of and have respect for their inherent abuse potential. NEWTON CENTER dental offi ce available for sublease BUYERS—We offer over 25 years of dental experience three days per week. Ideal for satellite or small relocat- in the Greater Boston area to provide you with confi den- 3. Dentists who prescribe opioids for treatment of dental pain are also ing practice. If interested, please call (978) 263-1313. tial professional advice to help you locate and fi nance encouraged to periodically review their compliance with Drug En- the proper practice for you—the buyer. We will guide forcement Administration (DEA) recommendations and regulations. SERVICES you and the seller through the entire process, helping 4. Dentists are encouraged to recognize their responsibility for ensur- 11 JG BAFFO, LLC. Certifi ed public accountant, providing to structure a transaction that makes sense. Because a ing that prescription pain medications are available to the patients dental professionals with: practice purchase and sale practice worth buying should not have to be advertised, advice, choice of business entity selection, accounting/ we have never had to advertise a practice. We make ev- who need them, for preventing these drugs from becoming a bookkeeping services, income tax preparation, and ad- ery attempt to show you only those practices that may source of harm or abuse, and for understanding the special visory services. John Baffo, CPA, has been working with be of interest to you, and all fees are paid by the seller. issues in pain management for patients already opiate dependent. dentists for over 12 years and will provide references Please contact Arthur B. Gordon, Northeast Dental Con- 5. Dentists who are practicing in good faith and who use professional from your colleagues. John Baffo, CPA. 28 Atlantic sulting, Ltd. (978) 774-2400. Fax (978) 750-1444. Email Avenue, Bay 217, Boston, MA 02110. (617) 248-9500. [email protected]. judgment regarding the prescription of opioids for the treatment Email [email protected]. of pain should not be held responsible for the willful and deceptive SELLERS—If you are considering selling your practice, behavior of patients who successfully obtain opioids for non-dental COMPUTER HELP—“May I send one of my expert com- we offer over 25 years of dental experience to provide purposes. puter techs to work for you for free?” Our team has over you confi dential expert advice. We work closely with 40 years of experience helping dentists. You will not be you—the seller—and your professional advisors to 6. Appropriate education in addictive disease and pain management asked to hire us or be made to feel guilty if you don’t. I’m mediate a transaction that makes good common sense should be provided as part of the core curriculum at all dental simply making this offer as a way for you to get to know us while keeping professional fees as reasonable as pos- schools. with absolutely no risk or cost. Go to www.actsmart sible. We take pride in the fact that we have never had checkup.com and sign up for your free service. to advertise a practice in order to sell it. We have sold The Dentist Health and Wellness Committee of the Massachusetts some of the premier practices in the Greater Boston Dental Society provides educational presentations with referral links to FOUR FREE ANTERIOR CASES—They can be PFM or area and we look forward to helping you. Please district meetings, local study clubs, dental schools, and dental hygienist Zirconia. They also have to be individual teeth (single contact Arthur B. Gordon, Northeast Dental Consult- crown). Bridges excluded. 3D Dental Lab is a small lab ing, Ltd. (978) 774-2400. Fax (978) 750-1444. Email and dental assisting programs. All members of the dental team play an conveniently located in Malden. We are looking to ex- [email protected]. important role in providing quality patient care and minimizing risk expo- sure for the patient and the profession. When prescribing any medication, the dentist is held responsible for being informed of and compliant MAC Van Moves On The MDS Executive Committee has with the current federal and state regulations. approved the sale of the MDS Foundation Mobile Access to Care (MAC) Van Patients experiencing moderate to severe pain due to trauma, pathology, to the Central Pennsylvania Institute (CPI). CPI, a technical institute, will use or a dental procedure require an informed diagnostic assessment and the van for dental training and outreach programs. The MAC Van Program was skilled treatment. An honest and open dialogue with the patient, held a three-year MDS Foundation project during which free care was provided to in strictest confi dence, usually will produce the most favorable treatment more than 4,000 children and hundreds of seniors. The funds received from plan to adequately meet the patient’s needs. Compassionate and diligent the Van’s sale will be distributed to the Foundation. The Executive Committee treatment, good record documentation, and judicious follow up will and the MDS Foundation Board are discussing the application of the funds for maximize the prognosis for a favorable and uncompromised outcome. continued access-to-care projects so that the mission of the For more information, visit www.cdad.org or call the MAC Van will live on. Thank you to everyone who donated confi dential DHWC Helpline at (800) 468-2004. their time and money to the MAC Van.

MDS Connection www.massdental.org Massachusetts Dental Society PRSRT STD Two Willow Street, Suite 200, Southborough, MA 01745-1027 US POSTAGE PAID (508) 480-9797 • (800) 342-8747 • Fax (508) 480-0002 WORCESTER MA www.massdental.org PERMIT NO. 2 Asked of MDS staff members Question on August 11, 2010 Address service requested Do You Ever Run Into Your Dentist at MDS Meetings and Events?

MDS Develops Tool to Forecast Delta Fee Impact Alicia Wright As you know, on August 16, 2010, Delta Dental released details of its new fee meth- Coordinator, Allied Scientifi c Program odology to providers. As a result of the new fee methodology, the MDS has developed “Actually, I have seen him at a CE course, an economic analysis tool that individual dentists can use to forecast the impact of and I know he goes to Yankee. I’ve also the new Delta fee methodology on their practice income over time. This model allows run into some of his offi ce team members members to input their current profi le information, frequency of procedures, and other at Yankee.” basic practice numbers into a Microsoft Excel spreadsheet, which will then estimate the change in income from Delta over the years based on the new fee methodology. Before utilizing this economic analysis tool, members should contact Delta Dental and request the individual practice analysis that Delta has developed for each participating dentist. Information from the Delta analysis can then be entered into the spreadsheet, which will calculate the changes for you. The economic analysis spreadsheet is available for download on the MDS Web site at www.massdental.org/delta. For questions about the economic analysis tool, contact Karen Rafeld at (800) 342-8747, ext. 241, or [email protected]. If you have any other questions on the new fee methodology, you can contact Delta Dental directly at (617) 886-1160. For background information on the Delta Dental fee methodology issue, please read the Executive Director’s Message on page 2 and visit www.massdental.org/delta. Marc Kaplan Director of Membership “You know what? No, I don’t. I look for Back to School and Back on the Air him often, but I don’t usually see him. ” With students starting or returning to school this fall, the MDS and the Standing Committee on Communications recently launched a new statewide radio campaign on the importance of dental exams as part of children’s overall health checkups. This was one of the issues highlighted in the Society’s Call to ACTION. Two 60-second commercials were broadcast on 14 stations for the campaign, which ran from mid-August through mid-September. The commercials ran a total of 1,423 times during the four weeks. Radio stations participating in the campaign were: ◆ In Boston—WBZ-AM, WBMX-FM, WKLB-FM, WMJX-FM, and WXKS-FM ◆ On Cape Cod—WCIB-FM and WCOD-FM ◆ In Fall River/New Bedford—WFHN-FM Lisa Davis ◆ In Springfi eld—WHYN-FM and WMAS-FM Meetings Assistant ◆ In Worcester—WXLO-FM “I don’t have to wait for a meeting to ◆ In Pittsfi eld—WBEC-FM and WUPE-AM and FM see my dentist. I can just walk down All the stations also donated free airtime to the MDS for the street and knock on his door. January 2011 because of their relationship with the Society and He’s my neighbor!” in appreciation for the fall media buy. The value of this free airtime is estimated to be more than $60,000.