FEBRUARY 2018

Volume 31 ● Issue 1

what’s inside

What Causes Pain? New York researchers on quest to identify cause of oral cancer pain to help alleviate it . . . .3

So, How Was Your Visit to the Dentist? Keys to ensuring a positive patient experience from beginning to end ...... 5

Speaking the Same Language Electronic delivery of health records requires digital systems that can communicate flawlessly with each other ...... 6

Smart Home Touro College of The perils of living in a digital environment. Dental Medicine Jeffrey Galler, D.D.S. Opens Dental t all started with a chocolate thick shake from After extensive consultations with decorators who are Carvel…. patients of ours, my wife and her fellow conspirators It’s not my fault that we pass the ice cream decided that our bedroom wallpaper, although beautiful Health Facility store on the way home from our dental office. and unblemished to my untrained eyes, would best be My wife, who besides being my office manager is changed at the same time. TOURO COLLEGE OF DENTAL MEDICINE unveiled also my best friend and harshest critic, said, “Will stopping “And,” this cabal declared, “while planning your new its new state-of-the-art dental health facility in for a thick shake help you fit into your black suit?” color scheme, we might as well change the furniture, the November on the college campus in Hawthorne, I BY JEREMY WELLS ILLUSTRATION I resent rhetorical questions and I resent diet remind- window treatments, the lighting and, at the same time, Westchester County. The facility, known as Touro ers. So, of course, I felt absolutely compelled to stop and junk the flat screen TV for a wall-mounted Smart Screen Dental Health, is the educational training com- buy an extra-large, extra-thick, chocolate thick shake with television.” ponent of the college. It began accepting patients extra chocolate chips. They smiled sympathetically at my protests. in January. Despite sipping as quickly as possible, I couldn’t Touro Dental Health is a modern dental treat- finish it by the time we got home. I carried the remain- GETTING SMART ment center housed in a former IBM research facili- ing drink up to our bedroom and, to my wife’s utter Doing business with patients is fraught with hidden dan- ty. It serves as an advanced educational training horror, accidentally spilled it over our beautiful, artisan gers. This malevolent gang of experts produced an electri- platform in clinical dentistry, as well as the site for turquoise rug. cian, also a patient of mine, to educate me on the mani- comprehensive, affordable care for residents of the And that’s when the trouble began. fold advantages of owning a Smart TV. lower Hudson Valley, Westchester County and met- It was a conspiracy. ropolitan New York, including seniors, adults and THE MIGHT-AS-WELLS One after another, they all expressed shock that a children. In addition to basic dental exams and Carvel does not, but absolutely should, post warning professional who practices dentistry with every modern, preventative care, students and faculty will provide signs, cautioning consumers that chocolate shake stains digital, computerized, electronic gizmo could possibly be cosmetic dentistry, advanced dental reconstruction on rugs are totally resistant to removal. A succession of satisfied living in an analog home. and TMJ diagnosis and treatment. housecleaners, rug shampooers and carpet specialists were “First,” they explained, “you absolutely must have a College officials are hopeful the treatment unsuccessful. smart thermostat that you can set with your personal center will help ensure access to care for under- “Well,” my wife declared, “this carpet needs replacement.” served populations and others in the community Feeling guilty, a weak, “Okay, dear,” was all I could manage. continued on page 2 who seek low-cost dental care. z “A Nest Cam features a functional, high-resolution Smart Home continued from page 1 security camera that allows you to monitor children and nannies throughout the day,” they advised. preferences, schedule, and a personalized sensor that I tried explaining that we no longer have chil- automatically adjusts the room temperature. dren or nannies at home, but that I would like to “Then,” they continued, “smart lighting is a must. EDITOR observe my goldfish remotely from my cell phone. Just imagine being able to adjust the color and hue Chester J. Gary, D.D.S., J.D. Their enthusiasm was undampened. based upon your mood; imagine being able to dim the “Are you ever nervous about leaving something lights from your smart phone; and, imagine the bene- MANAGING EDITOR plugged in once you’re out of the house? WeMo Mary Grates Stoll fits of the lights automatically turning off when the switch devices can help! Would you like to have a sensor registers lack of motion in the room!” semi-autonomous robot vacuum the house without ADVERTISING MANAGER I recalled sitting in my accountant’s new, needing human supervision? The new model Jeanne Deguire ultra-modern office two months ago when the Roomba is now available! lights suddenly went out. The sedentary CPA sud- “You can remotely control door locks with Smart ART DIRECTORS denly sprang out of his chair and started frantically Lock! Logitech Harmony Home Control can remote- Kathryn Sikule/Ed Stevens flapping his arms up and down. “The sensors turn ly control up to eight remote devices at one time!” off the lights every so often if they don’t detect I sighed and promised to consider all their proposals. NYSDA OFFICERS motion,” he explained. Lawrence J. Busino, D.D.S., President Brendan Dowd, D.D.S., President Elect The electrician continued. “In today’s environ- SLEEPLESS ON LONG ISLAND Payam Goudarzi, D.D.S., Vice President ment, it is imperative for a house to feature a smoke That night, I slept fitfully and had a vivid nightmare. Mark J. Weinberger, D.D.S., Treasurer and carbon dioxide Nest Protector that, besides I dreamt that I woke one morning in a dark, cold Steven Gounardes, D.D.S., Speaker of the House screeching loudly, turns on the lights if it senses you are Mark J. Feldman, D.M.D., Executive Director room. I clapped my hands to turn the lights on, and Chad Gehani, D.D.S., ADA Trustee walking in the dark, and also notifies your cell phone.” heard the garage door opening. I clicked the remote While listening to his sales pitch, I googled on my night table to raise the thermostat tempera- PRINTER “Nest Protect” and found that one reviewer wrote, Fort Orange Press, Albany ture, and heard the coffee maker turn on. “This device is good for causing you to have a While showering, I must have produced too much The NYSDA News (ISSN 1531-684X) is published quarterly, in panic attack! And, if you ever produce smoke by steam, because the smoke detector began screeching. February, May, October and December, by the New York State Dental getting a little too sloppy cooking dinner, quickly I turned on my electric shaver, and heard the Association, Suite 602, 20 Corporate Woods Boulevard, Albany, NY turn off any non-emergency alarms right from the 12211-2370. Subscription rates are $5 per year to members of the garage door close and my car start automatically. New York State Dental Association; $10 per year, or $2.50 per issue, Nest app, rather than disconnecting the whole While dressing, my automatic tie rack started for nonmembers. Periodicals postage paid at Albany, NY. Send address thing out of frustration.” spinning wildly out of control. The electrician’s face changes to NYSDA News, Suite 602, 20 Corporate Woods Boulevard, I continued to listen politely. Albany, NY 12211-2370. appeared on my Smart Screen TV. They went on to promulgate the purchase and “Dr. Galler,” he exclaimed, “get downstairs immedi- Editorial and advertising offices are at installation of Amazon Echo, which not only plays Suite 602, 20 Corporate Woods Boulevard, Albany, NY 12211-2370. ately. Instead of boiling coffee, you caused the water in Telephone (518) 465-0044. music, but also connects you to a voice-activated your fish tank to roast your goldfish!” Fax (518) 465-3219. digital assistant that can tell you the weather, browse I woke up screaming. My wife claims that I kept E-mail [email protected]. the web for random information and set alarms for shouting, “Carvel! Chocolate thick shake!” z Web site www.nysdental.org. calendar events. My wife asked, “Can it warn me if Dr. Galler is Dr. Galler is a general dentist from Brooklyn and a frequent con- trying to eat a gallon of Häagen-Dazs?” tributor of humorous articles to the NYSDA News and New They ignored her and continued. York State Dental Journal.

Navigating the Office Lease Minefield

Signing a lease without fully understanding the terms, could jeopardize your dental practice for years to come. Alain Sabbath

hat happens when you sign a dows or foot traffic. The doctor pulled out his lease to dental office lease without review the “relocation clause” and was horrified to reviewing it for risks? Consider learn that the landlord had full rights to move him the case of Dr. Brown. After under these circumstances. What’s more Dr. Brown associating for several years, had just 30 days to vacate, and all associated moving Dr. Brown was finally ready to open his own practice. expenses, including demolition, the move and the WHe found a location and was presented with the den- build-out of the new space, were entirely his financial tal office lease by a prospective new landlord. responsibility—a cost of $200,000. The lease agreement is one of the most expensive Ten years later, the lease expiry date had arrived and contracts dentists will ever sign in their career. Dr. Brown decided to sell the practice and move. He’d A thorough lease review will expose these and other Engineered by landlords to maximize the value of their gotten the landlord’s permission to sell, found a buyer risks in advance, giving you the opportunity to pre- properties, the lease comprises dangerous, hidden risks for the $700,000 deal and was ready to move on with his pare a lease negotiation strategy to improve the lease that give landlords many unfair privileges, putting the career. Unfortunately, at the eleventh hour of the sale, and secure a good deal that supports your practice dentist at risk for the landlords’ financial gain. the doctor was forced to give 50% of the practice sale goals. Set yourself up for success with a lease that Without reviewing or understanding the details proceeds to the landlord, as per the “assignment clause” gives you the flexibility and protection you need for a in the lease, Dr. Brown accepted the landlord’s offer in the dental office lease—a $350,000 mistake. long and profitable career in dentistry. z “as is” and signed off on a 10-year lease term without any idea as to how the details within would jeopardize PREVENTING THE PREVENTABLE his practice in the years to come. Dr. Brown’s fate is a common reality that thousands Mr. Sabbath is a principal at Cirrus Consulting Group, a firm devoted to providing office lease negotiation and review services for In year two of his lease, Dr. Brown received a of dentists face every day. The simple solution is to dentists. Visit www.cirrusconsultinggroup.com, or call (800) 459- notice from the landlord that he was being relocated review and understand the details in the dental office 3413 for more information. Or contact Mr. Sabbath directly at to a smaller office in the mall basement with no win- lease before you sign it. [email protected]. 2 NYSDA NEWS / FEBRUARY 2018 NYU, Columbia Researchers Look to Unlock Key to Oral Cancer Pain

THE NATIONAL INSTITUTE OF DENTAL AND adds, “An activated receptor apparently continues its surface of a nerve to the endosomes within the nerve. Craniofacial Research, part of the National Institutes of signaling role while contained in an endosome; to con- Dr. Schmidt will utilize pain severity data gathered Health, has awarded Brian Schmidt, D.D.S., M.D., firm this finding I investigated delivery of pain attenuat- from his patients, along with oral cancer tissue Ph.D., of the Bluestone Center for Clinical Research at ing drugs into endosomes.” Dr. Bunnett and Dr. Schmidt obtained during surgical resection. Dr. Bunnett will New York University College of Dentistry and Nigel now propose to delineate the mechanism by which pro- use high-resolution imaging and molecular probes on Bunnett, Ph.D., of Columbia University’s departments of teases associated with oral cancer initiate pain signaling patient tumors to track the GPCR intracellularly after Surgery and Pharmacology, a $3.7-million, five-year through cell surface receptors and subsequently, through cell surface activation. “This work has obvious impli- grant to study proteases and neuronal signaling respon- endosomal signaling. cations for treating patients,” says Dr. Schmidt, “and sible for oral cancer pain. Dr. Bunnett and Dr. Schmidt seek to unequivocal- may lay the foundation for development of a new Oral cancer is notoriously painful. The pain signaling ly identify tumor-generated proteases and define the class of drugs to treat cancer pain and chronic pain mechanisms responsible for cancer pain are not well under- signaling pathway from proteases to receptors on the without opioids.” z stood. Dr. Schmidt and Dr. Bunnett seek to identify the proteases—or enzymes that catalyze the breakdown of pro- teins—and signaling pathways that ini- tiate and sustain oral cancer pain. The researchers collaboratively The Undisputed Leader in Healthcare Properties investigated the role of proteases in oral cancer pain in 2009 when they Premier Available Dental/Medical Properties were both faculty at the University of California San Francisco. Dr. Schmidt moved to NYU Dentistry in 2010, and Dr. Bunnett moved to Monash University in Australia in 2011. In August 2016, Dr. Bunnett accepted the position of vice chair of research in surgery and professor of surgery and pharmacology at Columbia University; once again in the same city, Dr. Bunnett and Dr. PARK.SIXTY Schmidt renewed their collaboration. 110 East 60th Street Between Park & Lexington Avenue | Size: 4,500 – 155,000 SF +/- for lease Dr. Bunnett is an internationally recognized expert on G protein-cou- pled receptors (GPCR); over many years, he investigated how proteases

and a specific GPCR termed PAR2 SPECTACULAR PARK VIEWS NEW WEST SIDE DEVELOPMENT MEDICAL THE SUNNYSIDE BUILDING FOR LEASE 4 West 58th Street 600 West 58th Street 111 East 57th Street 38-01 Queens Boulevard 349 East 76th Street (protease-activated receptor 2) medi- Between Fifth & Sixth Avenue At Eleventh Avenue At Between 38th & 39th Street Between First & Second Avenue Size: 3,974 – 18,296 SF +/- for lease Size: 18,620 SF +/- for lease Size: 1,228 – 37,579 SF +/- for lease Size: 1,500 – 18,602 SF +/- for lease Size: 25,000 SF +/- for lease ate neurogenic inflammation and pain. PAR2 is a signaling receptor that can be activated on the surface of a cell. Dr. Bunnett’s landmark

Nature Medicine publication in THE BEST OF PARK SUTTON PLACE DENTAL BUILD TO SUIT MURRAY HILL MEDICAL CONDO THE DOWNTOWN MEDICAL BUILDING 400 East 56th Street 418 East 71st Street 308 East 38th Street 156 William Street 2000 on the role of PAR2 and neuro- Between East 71st & East Between Sutton Place & First Avenue Between First & York Avenue Between First & Second Avenue Between Ann & Beekman Street genic inflammation set the stage for Size: 2,100 SF and 2,330 SF +/- for sale Size: 3,257 SF +/- for sale Size: 985 – 4,735 SF +/- for lease Size: 516 SF +/- for sale Size: 3,000 – 19,385 SF +/- for lease pioneering work that determined the role of PAR2 and TRPV (a pain-relat- ed receptor) in colitis, neurogenic inflammation and pain. The role of 25-FOOT WIDE TOWNHOUSE FOR SALE/LEASE PERFECT FOR PSYCHIATRIST TURTLE BAY MEDICAL COLUMBUS CIRCLE DENTAL CONDO 168 East 80th Street 1035 Fifth Avenue 180 East 79th Street 338 East 49th Street 135 West 58th Street PAR2 in cancer pain, however, Between Lexington and Third Avenue Between East 84th & East 85th Street Between Lexington & Third Avenue Between First & Second Avenue Between Sixth & Seventh Avenue remained unexplored. Size: 7,600 SF +/- for sale Size: 1,275 SF +/- for sale/lease Size: 1,220 SF +/- for sale Size: 4,730 SF +/- for lease Size: 1,900 SF +/- for sale According to Dr. Bunnett, “Brian and I hypothesized that proteases (which we found at high levels in oral cancers) probably induce pain SUTTON AREA MEDICAL FABULOUS FIFTH AVENUE SMALL GEM ON FIFTH FABULOUS PARK AVENUE LOCATION EAST END SURGERY SUITE by activating PAR2 on oral nocicep- 333 East 57th Street 800A Fifth Avenue 1056 Fifth Avenue 700 Park Avenue 200 East End Avenue Between First & Second Avenue At East 61st Street Between East 86th & East 87th Street Between East 69th & East 70th Street Between 89th & 90th Street tors (nerves that initiate pain sig- Size: 1,200 SF +/- for sale Size: 950 SF, 1,860 SF & 4,293 SF +/- for lease Size: 678 SF +/- for sale Size: 1,800 SF +/- for sale Size: 4,170 SF +/- for sale nals). Manipulation of the protease/ PAR2 axis stands out as a potential therapeutic approach to pain.” More recently, Dr. Bunnett inves- RARE CENTRAL PARK WEST MEDICAL / RETAIL SUTTON PLACE RETAIL / MEDICAL PRESTIGIOUS PARK AVENUE CARNEGIE HILL MEDICAL SPACE tigated PAR2 and endosomal signal- 7 West 96th Street 260 East 67th Street 2 Sutton Place North 950 Park Avenue 1172 PARK AVENUE Between CPW & Columbus Avenue At Second Avenue York Avenue at 61st Street Between East 81st & East 82nd Street Between East 92nd & East 93rd Street ing. During the signaling process, an Size: 1,276 SF +/- for sale Size: 1,915 to 10,858 SF +/- for lease Size: 2,000 SF +/- for lease Size: 1,100 SF +/- for sale Size: 1,501 SF +/- for sale activated cell surface receptor, such For information on these properties and for the largest selection of Healthcare Properties in New York City, call: as PAR2, is internalized within endo- Paul L. Wexler | Lic. Associate Real Estate Broker | o: 212.836.1075 | [email protected] | www.healthcare-properties.com Real estate agents affiliated with The Corcoran Group are independent contractors and are not employees of The Corcoran Group. Equal Housing Opportunity. The Corcoran Group is a licensed real estate broker located at somes—small membrane-bound com- 660 Madison Ave, NY, NY 10065. All information furnished regarding property for sale or rent or regarding financing is from sources deemed reliable, but Corcoran makes no warranty or representation as to the accuracy thereof. All property information is presented subject to errors, omissions, price changes, changed property conditions, and withdrawal of the property from the market, without notice. partments within a cell. Dr. Bunnett

40190_PWexler_NYS DentalJournal_8.5x11.indd 1 1/19/18 4:43 PM 3 NYSDA NEWS / FEBRUARY 2018 Dental Lifeline • Donated Dental Services (DDS) Network New York In Partnership with the New York State Dental Association January 2018 P.O. Box 8326 New York, NY 10116 212.598.9000 HIV Oral Health Toll Free: 866.616.9001 In 2007, the New York State Dental Society partnered with Dental Fax: 866.408.1323 www.DentalLifeline.org Lifeline Network • New York in developing a Donated Dental Services Preceptorship Program (DDS) program to help people with disabilities or who are elderly or medically fragile and had no other access to dental care. The New York New York, New Jersey and the Caribbean DDS program is similar to programs developed by Dental Lifeline Network in 43 other states. DLN volunteers provided almost $25 million he New York State Department of in donated treatment in fiscal year 2016-2017. Health-AIDS Institute Oral Health Since inception, New York dentists and labs have donated over $9.1 million worth of comprehensive treatment for 1,553 vulnerable people. Resource Center, in collaboration with the Northeast Caribbean AIDS Donated Dental Services (DDS) Program Totals Education & Training Center Below is a snapshot of the first six months of this fiscal year (AETC), offers a unique chance to participate in an Dr. Tricia Quartey (Brooklyn), volunteer since 2016, with her DDS patient. compared with last year, and last year’s final statistics. THIV Oral Health Preceptorship Program. Preceptorships are available for dentists, dental 7/1/17 – 12/31/17 7/1/16 – 12/31/16 7/1/16 – 6/30/17 hygienists and primary care clinicians in New York, New Donated Treatment Value $453,805 $322,689 $658,154 Jersey and the Caribbean. These programs are individu- Donated Lab Value $23,662 $16,600 $51,649 ally tailored to meet the needs, interests and experience Average Value of Treatment* $5,165 $6,454 $4,842 level of the individual provider. Typical sessions are from Patients Served 91 50 159 one to five days and are available for people with no or Active Patients 149 157 155 very little HIV experience, to those looking for a more Patients on Wait-list 411 400 426 detailed clinical experience in an HIV primary care cen- Participating Dentists 557 599 558 ter, or discovering oral pathology. Participating Labs in NY 135 138 134 Preceptorship sites are in multiple locations in both Participating Labs outside NY 6 6 15 states. The actual location will depend on the level of the preceptorship program selected for the applicant follow- *Average value is based on patients receiving comprehensive treatment; does not include patients who continue to receive ongoing care ing assessment with the program director. Tuition for the from their DDS volunteer. program is fully covered by a grant from Health Resource and Service Administration (HRSA), and nationally The DDS program restores the oral health and often transforms the lives of the patients we serve, like 72-year- accredited continuing education credits are available from old Elizabeth, who lives alone in . A serious car accident several years ago left Elizabeth with a the New York State Dental Foundation and the Dental broken leg and caused her to retire from her job as a security officer. In addition, she had not been to a den- tist in years and her dental health was in poor condition. Many of her teeth were decayed and broken and her Hygiene Association of the State of New York. upper partial denture was old and no longer fit correctly. Relying on only a small Social Security Disability For further information or to register, contact benefit and the local food pantry, Elizabeth struggles to make ends meet. Though she truly needed help Howard Lavigne, program consultant, at (315) 247- addressing her dental problems, she could not afford the treatment. Fortunately, the DDS program was able 2998 ([email protected]) or Laura O’Shea, to help and two generous volunteers came to her aid: a general dentist and a lab. Thanks to these kind vol- program coordinator, at (315) 477-8124 (laura.oshea@ unteers, Elizabeth received more than $4,600 in donated treatment that restored her oral health! She health.ny.gov). z wrote to express her sincere appreciation for this amazing gift.

“I was so impressed when Dr. P. called my Proven Travel Savings house after the surgery to see how I was doing. for that Winter Getaway Thank you. I don’t hide

For more information about this and other my mouth anymore when Endorsed Programs call: 800-255-2100 I speak to people and I am Since NYSDA introduced its Travel able to go everywhere Discount Program last year, members have been enjoying its below-market and eat anything.” rates on hotel rooms and car rentals around the world. This program offers: 411 patients are waiting for care across the state. • Access to hotels and car rentals around the world • Discounts average 10 – 20%, and may exceed 50% Will you see ONE to CHANGE a life? • Unlimited business and leisure travel

* When enlarging or reducing this logo, always make sure to select Scale Strokes & E ects • Easy-to-use online search and booking process to maintain the integrity of the gradients in the core graphic. WillYouSeeOne.org

Main Logo on White Background This program is limited to association members and their Vertical Logos on White Background families and is not available to the general public. To access For more information contact: the program, log-in to your member account on the NYSDA Main Logo on Charcoal Background (with drop shadow behind-right of core graphic) Vertical Logos on Charcoal Background (with drop shadow behind-right of core graphic) Madeline Lebron, DDS Coordinator website and look under the Endorsed Vendors section of the [email protected]

Member Center. Plan your next trip today! Main Logo on Carbon Fiber Background (with drop shadow behind-right of core graphic) 212.598.9000 Reversed-out Vertical Logos on Green/Charcoal Background or go to: DentalLifeline.org

Reversed-out Main Logo on Carbon Fiber Background

2-color Main Logo 4 NYSDA NEWS / FEBRUARY 2018

* These logos are never to be placed over any other colors, photographs, illustrations, charts or type/text. Blaustein and Gillen_Blaustein and Gillen 7/5/11 7:46 AM Page 1

Ms. Frechette-Crowley is director of prod- uct marketing at ProSites. ProSites is endorsed by NYSDA for its website design and online marketing solutions, including search engine optimization, social media and pay-per-click advertising. NYSDA members receive 25% off the standard website setup. For more information, or to start a free trial, call (888) 932-3644; or visit wwwProSites.com/NYSDA.

REFERENCES 1. “The Device Trends to Know in 2017.” Global Web Index, Mar. Patient Experience 2017, insight.globalwebindex.net/hubfs/Reports/Device_ Q1_2017_Summary/GWI-Device-Q1-2017-Summary. A New Competitive Battleground for Dentists pdf?t=1501508679294. 2. Bulygo, Zach. “Kissmetrics Blog.” Getting Your ECommerce Site Optimized for the Holiday Season, Kissmetrics, 21 Nov. Heather Frechette-Crowley 2013, blog.kissmetrics.com/optimized-for-the-holiday-season/. 3. Henry, Kevin. “Convenience, Honesty, and Online Reviews ... Some of the Things Your Dental Patients Want.” Dentistry IQ, n today’s consumer-driven environment, it ed copy of People Magazine in the waiting room than Dentistry IQ, 2 May 2013, www.dentistryiq.com/arti- seems that everyone expects an “experience” they are a habitually late doctor or overly aggressive cles/2013/05/convenience--honesty--and-online-reviews----- and not just of the find-yourself variety hygienist. some-of-the-things-.html. (a.k.a., that gap year trip across Europe). The visit is over, the patient schedules his Perhaps it’s because busy schedules make or her next appointment and the experience time more valuable than ever, or that younger gener- is complete, right? By now you know where DENTISTRY WITH Iations have simply become conditioned to expect this is going—yes, we have to politely dis- more—the jury is still out on if realty TV or helicop- agree. Trust us when we tell you that the GENERAL ANESTHESIA ter parents are to blame. Either way, the bar has been patient experience extends beyond time spent raised and patient experience is the new competitive in the dental chair. Post-visit communication AND IV SEDATION battleground. is a great way to differentiate your practice George Gillen, ddS, fadSa If you think that a patient’s experience begins and show patients that you care about their Stuart Blaustein, dmd, fagd, fadSa, fiCoi when he or she steps through your door, we’ll have to well-being. Diplomate, National Dental Board of Anesthesiology politely disagree. It begins at the first point of contact Emailing or texting post-procedure Fellows American Dental Society of Anesthesiology with your practice. And, for most of your patients, instructions (or pre-visit medication remind- that first interaction isn’t with your friendly, front- ers) will not only be appreciated, they will NY State certified to use general anesthesia desk staff. Rather, it’s online, on your practice’s web- also reduce the risk of complications. Another in the practice of dentistry. site. Your website is an invitation to current and way to extend the patient experience is to ask Certificate Number 000014 prospective patients to choose you, so ensure it con- patients for their feedback by sending a fol- G.A. practice since 1975 veys the right message. low-up patient satisfaction survey and/or Beyond providing 24/7 access to essential infor- review request after general hygiene appoint- Ideal for patients unable to receive dental mation (e.g., office hours, insurance plans accepted, ments. In return, your practice receives valu- treatment in the conventional manner. etc.), your website sets patient expectations. Think able patient feedback and online reviews, All treatment performed in office. about it this way: If you received an evite to a back- which are more important than ever given Stuart Blaustein, DMD & George Gillen, DDS, LLP yard gathering, you would likely assume that the that 70% of dental patients surveyed by 161 Madison Ave. (East 33rd. St.) event was casual. However, if you received a formal, Dentistry IQ said online ratings influenced New York, New York 10016 printed invitation to the same event, you would (we their choice of dentist. hope) skip the cut-off shorts. In the end, customer understanding is at Convenient to all transportation and lodging. The same is true of your website. If prospective the core of the patient experience. Whether 212-481-3636 patients visit a modern, mobile-friendly (FYI—80% you’re practicing in Beverly Hills or Dubuque, www.sleepdentistryny.com of Internet searches are done on a smartphone ) pro- patients want to feel valued and respected. z fessional website, they assume that persona will carry over to both the physical practice and the care they receive. What if they don’t have a good website experience? Chances are you’ll never know, because many prospective patients will sim- ply move on to another practice’s website. In fact, according to Kissmetrics, 42% of users will go to a competitor’s site if they have a poor experience on yours. Ok, so you’ve got patients in your waiting room. Now all you must do is wow them with your cavity-filling acumen, right? Again, we politely disagree. While your clinical skills are at the root of patient care, a number of compo- nents factor into overall patient experience. Some are on the periph- eral (complimentary bottled water and Wi-Fi are nice, but probably not prerequisites for most patients), while others, like patient interac- tion with doctors and staff, are more central. Generally, patients are more likely to excuse an outdat-

5 NYSDA NEWS / FEBRUARY 2018 data in a usable form. When two separate operating systems or two providers each has his or her own com- Getting Systems Talking to Each Other puter system and management program they must be operating with compatible software that can The key to utilizing electronic health records effectively is making sure that our communicate with each other in order to share data. Disparate programs trying to communicate with each digital systems are talking to each other—in the same language. other is equivalent to two individuals trying to speak to each other in different languages—they are unable to Sharon A. Pollick, D.M.D. comprehend the other person’s message. Universal standards determine how we collect, store, display and transfer data. Employing universal ELECTRONIC HEALTH RECORDS (EHR) are pervasive in management software. More often than not, the images standards should enable a seamless exchange of infor- the delivery of medical and dental care. Intended as a you receive are a photocopy and not in digital form, mation between providers. The medical profession has tool to improve the efficiency and quality of healthcare, such as files on a disk, thumb drive or transferred via adopted standards developed by the Healthcare EHR has brought new concerns and a new vocabulary the Internet. If they were, you could simply upload them Information and Management Systems Society (HIMSS). into our profession. “Interoperability” is the capacity of to the patient’s digital record, maybe. I say “maybe” HIMSS is a non-profit organization focused on better providers to share, exchange and download patient because you have to consider the security protocol of health through technology. A goal of this organization information. How often have you had a patient present the software vendor to enter the program. And you may is to address the hurdles created by communication in your office who requests that you not take films and, need the aid of your software support team to complete issues and interoperability. instead, you obtain radiographs taken by a previous the process—more effort than expected. The ADA, a member of HIMSS, created its own provider? In many instances, those images are in digital For two systems to be interoperable, they must be Standards Committee on Dental Informatics (SCDI) in form and stored on that dentist’s computerized practice able to exchange data and, subsequently, present that the early 1990s. SCDI addresses everything from DICOM (Digital Imaging and Communications in Medicine) Wisdom Teeth Management requirements for dental radiography and photography to guidelines on hardware and software selection. The ADA standards include data Administration of Treatment of Facial Injury Anesthesia integrity, redundancy, accessibility and storage. Online access to these standards are available to all ADA members for free on the ADA.org website.* Dental Implant Corrective Jaw Surgery Surgery FACILITATING COMMUNICATION Many of us routinely communicate with external agencies to facilitate patient care. For instance, you may execute a written dental lab request, Dental and Soft Facial Cosmetic a report of a CBCT reading, a medi- cation prescription or a written treat- Tissue Surgery Surgery ment referral to another provider. These documents must be entered or “filed” into the patient’s electronic chart. This requires scanning the doc- ument into your system, downloading Head, Neck and TMJ and it to another software program or Oral Cancer Facial Pain secure sharing of the data from the Internet. This data can only be trans- ferred directly to your software if it is compatible. Compatibility or interoperability is addressed within a model created Obstructive Sleep Apnea Cleft Lip/Palate and for medical computer language. The Craniofacial Surgery Open Systems Interconnection Model (OSI) is a reference or standard spe- cifically for electronic health informa- tion (EHI) on how networks communi- cate with each other. HL7 () refers to a set of international standards for transfer of clinical and When should you consult an oral and facial administrative data between soft- ware applications. The major focus of this standard is on the application surgeon for corrective jaw surgery? layer, which is the user interface. It can be likened to using a computer When a problem cannot be corrected through orthodontia alone, the patient should be referred to access and operate patient man- to an Oral and Maxillofacial Surgeon (OMS). In cases where corrective jaw surgery is necessary, agement software program. Envision a vertical stack that consists of seven an OMS is uniquely qualified to determine which procedure is appropriate, to perform the actual separate layers, where the four surgery, and to work with the orthodontist to achieve an optimal esthetic and functional outcome. uppermost layers include the soft- Visit MyOMS.org for further information. ware used for networking services, encryption and connectivity func- tions. This is known as the “host” layer. The lower three layers consist mostly of the computer hardware or

continued on page 12

MyOMS.org *Copies of the draft standards are available by calling 1-800-947-4746, Ext. 2506, or sending

© 2015 American Association of Oral and Maxillofacial Surgeons (AAOMS). an e-mail request to [email protected]. For more information about ADA’s work on dental standards, visit www.ADA.org and search for “dental standards.” 6 NYSDA NEWS / FEBRUARY 2018 Fishing for Compliments Harness the power of patient reviews to boost your practice’s online reputation Allison Doyle

hese days, not paying attention to your dental practice’s online reputation is as risky for your growth potential and profits as not soliciting patient refer- rals. Even if your practice has had past success without the assistance of online review sites likeT Yelp, Google and Facebook, if you’re not leverag- ing these platforms, you’re missing out on incredible growth opportunities. When was the last time you searched for your dental practice online? How credible do you seem to an Internet user casually searching for a nearby New York dentist? According to the 2016 BrightLocal* study of consumer online behavior, 77% of searches for dental providers begin online. And 84% of people trust Malpractice Defense online reviews as much as they do a personal recommendation. If your With Help From Your Peers presence online isn’t strong, you might be losing patients you don’t For more information about this and other even know about. Endorsed Programs call: 800-255-2100

BASICS OF AN ONLINE REPUTATION Your dental practice’s online reputa- tion is made up of the following: • Endorsements and affiliations. • Social media The NYSDA-MLMIC Program for Dental Professional • Facebook page Liability Insurance • Google Local listing • Yelp page l New York’s #1 Dental Liability Insurance Provider • Twitter account. * When enlarging or reducing this logo, always make sure to select Scale Strokes & E ects l to maintain the integrity of the gradients in the core graphic. • Web presence A program controlled by the NYS Dentists we serve

l Main Logo on White Background • Website and/or blog. We’ve successfully defended more cases than Vertical Logos on White Background • Online reviews. any other insurer in the state

Together, these aspects represent Main Logo on Charcoal Background (with drop shadow behind-right of core graphic) one of your dental practice’s most To find out more about the NYSDA-MLMIC Program Vertical Logos on Charcoal Background (with drop shadow behind-right of core graphic) important assets. Your online reputa- visit MLMIC.com or call (888) 392-0638. Main Logo on Carbon Fiber Background (with drop shadow behind-right of core graphic)

tion greatly influences the number of Reversed-out Vertical Logos on Green/Charcoal Background new patients that discover you, choose you and show up for their Reversed-out Main Logo on Carbon Fiber Background first appointment. Professional mar- 2-color Main Logo keters will tell you trust is the number-one factor in making a sales-worthy

impression. Do you trust someone * These logos are never to be placed over any other colors, photographs, illustrations, charts or type/text. with a bad reputation? Neither will your patients.

THE POWER OF PATIENT REVIEWS This is where patient reviews show their true power and clout. If your dental practice has only two reviews, but they are both five-stars, that’s a great start. But it’s not enough. According to the same BrightLocal study, 90% of con- sumers feel they need to read around 10 reviews before they can trust a business. And the currency of those reviews is important as well. If you have great reviews, but they are all four years old, they won’t be as con- vincing to potential patients. So how do you harness the power of patient reviews to boost your practice’s online reputation?

continued on page 8 7 NYSDA NEWS / FEBRUARY 2018 UB Dental Ranked Among Top 10 in Nation and Number 11 Worldwide THE UNIVERSITY AT BUFFALO SCHOOL OF DENTAL papers that have been listed in Science Citation Index— Medicine was ranked No. 10 among dental schools in nearly two papers per year for each full-time faculty mem- the United States and No. 11 among dental schools ber on the clinical and tenure track. worldwide in the 2017 global rankings of the Academic “Our publications are often cited by other Ranking of World Universities (ARWU). researchers around the world,” Dr. Meyer said. “For The ARWU, also known as Shanghai Ranking, is example, according to Science Citation Index, 39 regarded as one of the most prestigious and influential percent of the papers we published in 2011-2017 global rankings. Rankings are largely based on university have been cited a total of more than 5,300 times.” research outcomes, such as number of articles published The UB School of Dental Medicine was among in high-impact academic journals, highly cited researchers 200 dental schools worldwide to receive the recogni- and scientific awards and per capita performance. tion in the Dentistry and Oral Sciences category of the According to Anne Meyer, Ph.D., associate dean for Global Ranking of Academic Subjects 2017. Forty of research in the School of Dental Medicine, in the past two the 66 dental schools in the United States met the crite- years, school faculty have authored more than 100 ria for ranking. z

Fishing for Compliments DCDS Annual continued from page 7 To successfully leverage positive patient experiences into reviews and social proof All-Day Seminar that will help you attract new patients, Wednesday, April 11, 2018 you need to focus on the following: • Providing exceptional patient Featuring: experiences. • Automating your post-appointment Dr. Steven Katz follow-up to include a review request. PUMP UP YOUR, PRACTICE: & Kelly Fox-Galvagni • Monitoring your social media A Team Approach to Improved networks and pages for com- Treatment Acceptance ments and new posts.

Introduction: • Gaining patient feedback to con- The acceptance of comprehensive treatment tinually improve your practice. The Presenters If you focus your efforts on these begins long before patients first contact our offices. It takes a commitment to the four areas of your dental practice, belief that we an change people’s lives you’ll start collecting more reviews and a careful coordination of all mem- online. And you’ll see an improvement bers of the team to create relationships in how and when patients engage with and gain the trust and confidence of you online—engage more with your patients seeking our care. patients and you’ll see them engage more with you. Continue offering Course Objectives: exceptional service and then asking for reviews—you’ll see your star rating and review count increase. Does this all sound great, but you’re thinking: “If only I had the time?” That’s where a platform like Demandforce can provide long-term value to your practice. Demandforce is a marketing and communications tool run entirely online. It syncs with your practice management system so that you can automate workflow to optimize the review collection pro- Tuition cess. Demandforce also provides one hub that allows you to keep your Before 3/7 After 3/7 Walk-Ins information updated online and get a

Held at the Hudson Valley’s Dentists: $129 $179 $229 good idea of how your practice looks most luxurious event venue: to a prospect. With one click, you can Staff, Residents $79 $99 $119 even send pre-written referral or review Assistants, RDH: request emails to certain patients in The Grandview 176 Rinaldi Boulevard, Poughkeepsie 12601 your database who would be happy to write you a review. Demandforce is a NYSDA- Reservations/Payment by check only to: endorsed vendor. If you’re interested Dutchess County Dental Society in learning more about boosting your PO Box 3748, Poughkeepsie, NY 12603  Earn 8 CE credits • online reputation, visit demandforce.

Fee includes continental breakfast and lunch. com/partner NYSDA; or call (877) For information registration, contact: 360-3869. Be sure to mention your Michael Smith, DMD • E: [email protected] Registration and continental breakfast begin NYSDA membership to get special pricing and waived setup. z at 7:30 a.m. *BrightLocal Consumer Review Survey, 2016. 8 NYSDA NEWS / FEBRUARY 2018 CLASSIFIEDS

FOR SALE PARAGON Practice Transitions PRACTICES FOR SALE: “We Put the SUCCESS in SUCCESSion”

LAKE GEORGE, QUEENSBURY AREA: Modernized and fully SOUTHWEST NASSAU: General Dentist. 4 operatories; all WESTCHESTER COUNTY: Southwest. Great merger opportunity. digital general dentistry practice collecting $840K on 4-day week. digital. Grossing $550K. Sold. 800 active patients. Immediate ROI. Five fully plumbed rooms. Minimal competition in area. Sale includes CEREC OmniCam and MC X milling unit (2016). Doctor WESTERN NASSAU: General dentist. 4 operatories; all digital. THOUSAND ISLANDS/ADIRONDACKS: Associate/partner- owns real estate. Inquiries to: [email protected]. Owner to stay. Grossing $815K. Sale Pending. ship available in growing, busy, 2-doctor practice with 7 ops. PENDING. WILLIAMSVILLE-CLARENCE: $400K gross. Mixed FFS and PPO, EASTERN QUEENS: General dentist. 4 operatories; all digital no Medicaid. Approximately 1,200 active patients with little or no with Pan. Grossing $1.5M. Sale Pending. SOUTHWEST BROOKLYN: GP with associates/specialists; advertising. 4 treatment rooms in 1,900 square feet. Free-standing $1.4M/year. PENDING. building with room for expansion; ample parking. Computerized EASTERN SUFFOLK: General Dentist. 5 operatories; all digital. practice with digital X-rays. Seller owns real estate. Reply to: Grossing $550K. NY 199. ROCHESTER: Pedo. Partnership opportunity in growing suburb; [email protected]; or mail to: PO Box 12, Clarence, NY 14031. $1.2M/year. MIDDLE SUFFOLK: General dentist. 4 operatories; all digital. MANHATTAN: Union Square, East/West Village. Modern, state- Grossing $610K. Real estate available. Sold. FINGER LAKES: $300K/year, part time; 4 ops. of-the-art dental practice for sale. Real estate (co-op) potentially for sale if buyer is interested. Located in prime location of Union NASSAU/QUEENS: Periodontist’s two offices. Highly desirable SYRACUSE: $1.3M/year; 8 beautiful ops; 2,500 active patients. Square, East/West Village. FFS/PPO-only practice. Over 3,500 locations with great leases. Grossing $590K. patients. Grossing over $1.25M. All digital with Dentrix and ITHACA: $1.4M/year; 6 ops. Dexis. Inquiries to: [email protected]. MIDDLE SUFFOLK: General dentist. 3 operatories; all digital. Grossing $432K. Real Estate available. NY217. WESTERN SUFFOLK: GP office in most desirable town, comput- SOUTHERN DUTCHESS COUNTY: Well-established FFS gener- erized, digital X-ray/Pan. Mid-$400s gross. al practice grossing $650K on three days/week. Six ops; 3,500 MIDDLE SUFFOLK: General dentist. 4 operatories. Grossing square feet. Great for 1-2 dentists, plus specialists. Opportunity to $218K. NY 222. BRONX: 3 ops; digital; $500K/year. purchase building. High-tech, modern office; great location and parking. Inquiries to: [email protected]; or call (914) 456-3000. NY 217 and NY 222 also available for sale together as a EASTERN SUFFOLK: $625K/year on 3 day-week. PENDING. merged practice. They are separated by one mile. CORINTH: General dental practice for sale. 3 ops. Dexis digital MID NASSAU (Perio): $400K/year part time, perfect starter or X-ray, CEREC. Mogo practice management software. Currently Contact Scott Firestone, D.D.S., satellite. 3-day workweek. Seller highly motivated. All office financial infor- Henry Schein Professional Practice Transition Consultant. mation readily available. Call Dr. William Green at (518) 798- SOUTHERN NASSAU: $350K/year. Dr. ready to move. Perfect 5205; or email: [email protected]. Email: [email protected] merger. PENDING. Phone: (516) 459-9258 CENTRAL NEW YORK: Mohawk Valley. $430K gross on 4-day PUTNAM: $350K/year, 700 active patients, located on main week. Very busy office with new patient waiting list. Looking to road, sale or merger. PENDING. LONG ISLAND SUFFOLK SHORE: GP with 4 ops in free-standing retire; referring out all endo and most crown & bridge. Two-story office on main road. FFS, with some insurance. Digital X-ray in 1,090 building with ample parking. Inquiries to: [email protected]. Visit our website www.paragon.us.com to learn more about all of square feet with full parking lot. Real estate available and includes our opportunities or contact us today! second floor tenant if interested. Seller willing to hold long-term lease. UPSTATE NEW YORK: Family practice for sale in upstate NY Ortho, Pedo, Oral Surgery, Perio and implants all referred out. Seller village. Long-term practice established in 1919. Great setting with Jonathan Carey, DMD; Ira Newman, DDS; willing to help with transition. Please contact Henry Schein Professional operatories overlooking the river. Located within village just steps Erin Page, DDS & David Page, MS Practice Transitions Consultant Michael Apalucci at (718) 213-9386; or to shops and restaurants. Last 3 years average gross $830K; net Phone: (866) 898-1867 email: [email protected]. #NY228. $420K. Four-day workweek, plus 10 weeks vacation per year. E-mail: [email protected] Owner ready to retire but willing to stay for transition. Building ONEIDA COUNTY: Terrific opportunity. Well-established practice available for rent or purchase. Inquiries to: [email protected]. in urban community. Converted residence; ample parking. Busy NORTH COUNTRY/TICONDEROGA: Busy fee-for-service general main street with professional businesses. Five operatories. Dentrix, practice. Great practice in small town; lots of outdoor activities. NEW ROCHELLE: GP solo practice. Insurance and FFS. No Dexis and experienced staff. Real estate available but not required Dentrix, fully digital, up-to-date equipment, great staff. Growing pop- Medicaid, no capitation. 4 ops and digital radiographs. Grossing for sale. For more details, contact Henry Schein Professional Practice ulation of baby boomers. Contact Henry Schein Professional Practice $880K; asking $495K. Email: [email protected]. Transitions Consultant Marty Hare at (315) 263-1313; or email: Transitions Consultant Donna Bambrick at (315) 430-0643; or email: [email protected]. #NY219. RIVERDALE: Established dental office (65 years) in co-op apart- [email protected]. #NY172. ment with private entrance. Prime location. Very reasonable maintenance; approximate- ly 800 square feet. Good public transporta- tion nearby. Reasonably priced. Office has been cleaned out, repainted and carpeted. Ready to go. Inquiries to (718) 230-7069. ERIC J. PLOUMIS, D.M.D., J.D. Attorney at Law DUTCHESS COUNTY: Awesome opportu- ______nity for recent grad or seasoned practi- tioner. Free practice with equipment pur- chase. 2 fully loaded ops, lab, etc. Turnkey. Why not use a lawyer who is also a dentist? 3-year rental lease with flexible options. Very private, 14-year part-time practice Comprehensive Legal Services for Dental Professionals grossing $200K+ on two days. Real estate purchase possible. Retiring and heading • Purchase and sale of practices south. Office wing attached to my Victorian • Employment & independent contractor agreements home on 4 acres. Well known in town. • Office leases Awesome opportunity. Call Dr. Tom (845) • Partnership agreements and dissolutions 855-3807. • Corporate and LLC formation • Real estate transactions BUFFALO/SOUTHERN TIER: Longstanding • Office of Professional Discipline representation general practice collecting $1.5M/year and • Patient dismissal issues growing. Brand new, state-of-the-art, fully digi- ______tal, 7-operatory facility with CEREC, CBCT and everything you could possibly need or MANHATTAN BROOKLYN want. 2,600 active patients, with 35 new 453 Second Avenue 322 Stockholm Street patients coming in every month. Seller willing New York, NY 10010 Brooklyn, NY 11237 to stay on PT for transition. Don’t let this incred- (212) 685-4320 (347) 221-1084 ible opportunity pass you by. Call Dr. Jonathan Carey at (585) 451-5898. www.DentalPracticeLawyers.com

9 NYSDA NEWS / FEBRUARY 2018 WESTERN NY: Newly renovated, well-established FFS family prac- GENESEE COUNTY: Well-established general practice. SYRACUSE: Eastern Suburbs. General practice with 4 ops, A-Dec tice. Up-to-date practice management software and fully digital; Diagnostic, preventive and restorative oral care. Occupies 1,600 equipment, Dentrix, digital. Stand-alone building with plenty of operating 32-hours/week. 4 spacious operatories, providing diagnos- square feet. 4 ops and ample parking. 1,740 active patients; 34 parking also for sale. FFS and insurance mix. Located near main tic and restorative oral care. 1,980 square feet; ample parking. Gross hours/week. Utilizes Softdent, intraoral cameras and panographic highways. For more information, contact Henry Schein Professional receipts $470K. Contact Henry Schein Professional Transitions X-ray. Gross receipts $497K. Real estate also available. Henry Practice Transitions Consultant Donna Bambrick at (315) 430- Consultant Donna Bambrick at (315) 430-0643; or email: Schein Professional Practice Transitions Consultant Christina Palma 0643; or email: [email protected]. #NY190. [email protected]. #NY191. at (585) 370-5301; or email: [email protected]. #NY206. BROOKLYN: Sunset Park. Fully equipped and computerized dental SOUTHERN ADIRONDACKS: Periodontal/Prosthetic practice. office with 2 operatories and room for third. Panoramic unit and all FFS. Beautiful office with home in lower level of 6,000-square-foot ALBANY/SCHENECTADY/TROY: Double hygiene in NY’s licensed software. As alternative, contents and equipment of office sprawling building. For more information contact Henry Schein Capital. $700K gross on 3-day week. Dentrix and digital X-rays. 3 can be sold separately and will close location. Willing to consider Professional Practice Transitions Consultant Donna Bambrick at ops and plumbed for 4 on busy street with off-street parking. Modern any offer. Please call (516) 984-4183 to discuss possibilities. (315) 430-0643; or email: [email protected]. facility. For more information contact Henry Schein Professional #NY197. Practice Transitions Consultant E. Scott Weinberger at (518) 512- FINGER LAKES: Established general practice for sale. Grossing 9988; or email: [email protected]. #NY213. $370K for 30-hour week. Charming, freestanding, 800-square- ORANGE COUNTY: Two-day-per-week ortho practice generating foot brick building on corner lot. 3 operatories and half-basement. $570K on 16-hour week. 3 treatment rooms and 5 chairs. Part-time ROCHESTER: General practice gem. Across from major hospital; Building also available for sale. Dentist willing to help through office shares equipment and 3 days with successful Pedo practice. always new patients and plenty of parking. 3 ops, great equip- transition. Contact: [email protected]. Contact Henry Schein Professional Practice Transitions Consultant ment, digital and Eaglesoft. Perfect satellite office. For more infor- Michael Apalucci by phone: (718) 213-9386; or email: mation contact Henry Schein Professional Practice Transitions [email protected]. #NY212. Consultant Donna Bambrick at (315) 430-0643; or email: [email protected]. #NY211. FOR RENT

GATEWAY TO FINGER LAKES: General practice adja- GRAND CENTRAL AREA: Up to 4 large, brand new treatment cent to hospital. Community offers great outdoor recreation. rooms in designer, state-of-the-art dental facility near Grand Central 4 ops, great staff, reasonable rent, plenty of free parking; Station. Large rooms with large windows, Doctor’s office, front off main highway. Only working 150 days. Huge potential. desk space, sterilization/lab areas, staff room, conference room. Contact Henry Schein Professional Practice Transitions From as little as half-day or daily rentals to full-time lease. Both Consultant Donna Bambrick at (315) 430-0643; or email: monthly or 5- and 10-year leases of 1-4 treatment rooms. Buying or [email protected]. #NY220. Transportation: near 4, 5, 6, 7, S, B, D, F, M, N, Q, R, 1, 2, 3 trains. See virtual tour at: www.aenycproperties.com. Inquiries by WATERTOWN: Plenty of new patients; near Army base. email: [email protected]; or call (212) 752-3636. Selling a Completely furnished office in busy strip shopping center; 2,000 square feet. Seller moving out of state. Digital pan and BROOKLYN: Dental office for sublet. Prime corner location in 4 ops. Revenue just under $400K. Seller has rental housing Canarsie. Fully equipped; turnkey situation. GP or specialist. Ideal for if needed. Contact Henry Schein Professional Practice recent grad. 4-5 days per week. 700 square feet. Street level. 2 large Practice? Transitions Consultant Donna Bambrick at (315) 430-0643; operatories, large reception room, business office, lab, darkroom and or email: [email protected]. #NY207. bathroom. Basement storage and alarm system. Enough space for future addition of third operatory. Near public transportation and Belt Hyde Park Kent ONEIDA LAKE AREA: Well-established FFS general Parkway. Possible future purchase of long-established private/PPO Ellenville Poughkeepsie practice in fastest growing community of Cicero, NY. Digital practice. Call (917) 589-1583; or email: [email protected]. We’ve got pan; new computers with Softdent and Gendex digital Walden New Milford Patterson sensors. Contact Henry Schein Professional Practice MIDTOWN MANHATTAN: Beautiful, new, large-windowed den- Fishkill you covered. Transitions Consultant Donna Bambrick at (315) 430-0643; tal operatories for rent. Pelton Crane equipment, massage chairs, Middletown private office, front desk space and staff available. Doorman; warm Carmel Newtown or email: [email protected]. #NY221. Danbury environment. Best location – 46th Street and Madison Ave. Please Monroe Milford WESTERN NEW YORK: Borders Letchworth State Park. call (212) 371-1999; or email: [email protected]. Warwick Story Point Current owner has been staple in this nice community Mount Wilton New City Kisco WHITE PLAINS: Modern, state-of-the-art operatories available in Ossining since 1970. Eaglesoft, digital. Building with second-floor Ringwood apartment and room to expand also available for $120K. large office with reception. Available FT/PT. Turnkey. Rent includes Newton Tarrytown Stamford Wanaque digital radiology with pan, equipment, Nitrous, all disposables. Start- Bloomingdale White Great satellite office. Long-term, dedicated staff. Huge Pompton Lakes Plains Greenwich up or phase down. Need a satellite or more space? Upgrade or down Rye potential to grow due to procedure outsourcing. Contact Rockaway Paterson Yonkers size. Please call (914) 290-6545; or email: [email protected]. Wharton Hackensack New Rochelle Henry Schein Professional Practice Transitions Consultant Clifton Mount Glen Cove Selden Donna Bambrick at (315) 430-0643; or email: Morristown Vernon Centereach Port Washington Commack SUFFOLK COUNTY: Prime location in South Setauket on Route Mendham Jersey Union City Deer Medford [email protected]. #NY226. East Jericho Madison Orange City Mineola Park Brentwood 347. Dental office for rent by landlord. 1,500 square feet. 4 treat- Bernardsville Hempstead Bay Shore Union Newark New York ment rooms, large waiting room with recep- Brooklyn West Plainfield Elizabeth Bayonne Massapequa Babylon tion office, lab room, doctor’s office and Lynbrook Iselin Somerville plenty of closet storage. Rent: $2,600/ Middlesex Long Perth Amboy Beach month includes gas heat, water and gar- New Brunswick Milltown bage. Flexible lease terms. Landlord’s email: Union [email protected]; or call (631) 793- Beach 2630.

GARDEN CITY: Two operatories available in beautiful, modern office on Stewart Avenue. Great opportunity for specialist; start-up or downsizing. Large lab, consultation room, Epstein Practice attractive front desk and reception. Busy build- ing and easy access to major roads. Easy Brokerage, LLC. parking. Call (516) 222-1717; or email: [email protected]. Serving NY/NJ Metropolitan MANHATTAN: Fully equipped operatory Area Since 1988 for rent. Turnkey situation. Use of manage- ment software and digital sensor can be included. Second operatory available for (973)744-4747 • (212)233-7300 two days as well. Modern office located two www.practice-broker.com blocks south of Grand Central. Use of labo- ratory and sterilization area is included, as well as private consultation area. Part time or full time; reasonable rent. Call (212) 685- Find Out What Your Practice 0312; or email: [email protected]. Is Worth. Call Today!

PUTTING CLIENTS FIRST

10 NYSDA NEWS / FEBRUARY 2018 TRIBECA: Modern office available June 1. Prime location. Open BUFFALO AND ROCHESTER AREAS: Western New York concept; first floor office with high ceilings and wood floors. No Dental Group has been committed to providing quality dental care Index To Advertisers construction needed. View of World Trade Center and accessible and excellent service to our patients in the Buffalo and Rochester by 1, A, C, E trains. Basement storage area and small lab. 3 chairs areas since 1972. Our dentists provide wide variety of services, 3% Dental ...... 9 already installed. HVAC mounted; tall windows. Must see opportu- including all phases of general, family and state-of-the-art cosmetic nity. All dental equipment negotiable. Inquiries to: dentistry. When the need arises for the services of dental specialist, American Sensor Tech ...... 11 [email protected]; or call (212) 245-4234. we provide treatment with the help of our in-house team of special- Blaustein & Gillen ...... 5 ists in pediatric dentistry, orthodontics, oral and maxillofacial sur- BAYSIDE: Dental office space for rent. 1-2 large, fully equipped gery, endodontics and periodontics. Western New York Dental Clemens Consulting ...... 7 rooms. Shared waiting room area with pediatric dentist. Looking Group is proud to provide competitive compensation package, Epstein Practice Brokers ...... 10 for GP or specialists. Chairs and computers in place. Please email: including comprehensive health benefits (Health, Vision, Dental), Eric J. Ploumis ...... 9 [email protected]; or call (917) 716-9594. Life Insurance, Long Term Disability, Professional Liability Insurance, 401(k) program with employer matching, and established mentor Jacobson Goldberg & Kulb ...... 10 programs and leadership opportunities. For more information MLMIC ...... 12 EQUIPMENT FOR SALE about our opportunities, please contact Peter Schwartz at [email protected]. NYSDA Support Services ...... 4 & 7 INTRAORAL X-RAY SENSOR REPAIR: We specialize in NYSSOMS ...... 6 repairing Kodak/Carestream, Dexis Platinum, Gendex GXS 700 & NASSAU COUNTY: North Shore. Seeking serious-minded asso- Schick CDR sensors. Repair & save thousands over replacement ciate with minimum 5 years experience in all aspects of general Paragon ...... 5 cost. We also buy & sell dental sensors. Visit: www.RepairSensor. dentistry. Ready to become an equity partner in unique, highly UB Continuing Education ...... 11 com. Inquiries to: (919) 924-8559. visible, well respected, established practice? Look forward to hear- ing from you. Reply to: [email protected]. Wexler Healthcare Properties ...... 3

SERVICES CAPITAL DISTRICT: Associateship leading to possible partner- ship available at very busy periodontal practice. All phases of TAXES: Your office; business or personal. Specialty dentists. Personable periodontal therapy, including surgical implants, pocket reduction CPA. Call Stuart A. Sinclair, CPA, at (516) 935-2086. Visit our website: therapy, regenerative procedures and perio/plastic procedures. www.dentaxsolutions.com; or e-mail: [email protected]. Offices Reply to: [email protected]; call (518) 374-4486; or fax: located at 1120 Old Country Rd., Plainview, NY 11803. (518) 393-1612. ARE YOU

DENTAL PRACTICE SALES & PURCHASING: 3PercentDental.com SOUTHWEST NASSAU COUNTY: Associate wanted. Part THROWING is dental practice brokerage service with very simple goal: helping you time leading to full time. 35-year-old quality complex restorative sell your dental practice without the standard 8% to 10% commission and general practice. Computerized, laser, digital X-rays, etc. AWAY MONEY typically charged. We charge just 3.99% commission. Are you selling Must have GPR and 3 years experience. Send CV to: real estate with your practice? We charge absolutely nothing to sell your [email protected]. ON DENTAL real estate. Are you buying? Pay us absolutely nothing. That’s correct. SENSORS? Our brokerage services are FREE to buyers. Dentists are beginning to BAYSIDE, QUEENS: Busy, multispecialty practice seeks experi- refer to 3PercentDental.com as the Costco of dental practice brokers. enced General Dentist with 2-3 years experience. Examine, We are very proud of that fact. Please visit us at www.3PercentDental. diagnose and provide treatment counseling to patients in a com- com to see our current practice listings. prehensive manner. Solicit patient feedback to improve service, direct assistants and other auxiliary personnel. Days available in our Port Washington location. Please email resume to: OPPORTUNITIES WANTED [email protected].

PERIODONTIST: Board-certified periodontist with over 13 years CAPITAL DISTRICT AREA: Associateship with partnership poten- experience seeks part-time position in general dental office in tial. Busy, mature practice 20 miles south of Albany. Friendly staff; Westchester area. Skilled in all periodontal procedures, extractions, appreciative patients. 2-4 days; 401(k). We need a new team bone and soft tissue grafting, and implant placement. Please call member! Please send cover letter and resume to: (917) 363-4672; or email: [email protected]. [email protected]. We Repair OPPORTUNITIES AVAILABLE Dental Sensors.

TICONDEROGA: Located on Lake Champlain. • Certified Technicians Multispecialty practice (oral surgery and general dentistry). IV sedation/general anesthesia services offered in office. • 2-3 Day Turnaround Flexible scheduling, great compensation and supportive staff. Position provides autonomy. Please email CV and any Sanford B. Sugarman Fund, AO Dental Fraternity & Buffalo • Your Sensor Fixed questions. Reply to: [email protected]. Metropolitan Dental Study Club present • All Major Brands BROOKLYN: Seeking dentist for extractions and implants. Offering average of 15 implants per week in Airway Centric Dentistry • Free Diagnostic very busy endodontic practice. Fantastic opportunity for 9am-4pm, Friday, April 20, 2018 skilled implantologist. Inquiries to: [email protected]; Salvatore’s Hospitality Center • Nationwide or text: (917) 836-0662. Guest faculty Dr. Michael Gelb discusses diagnosis & CAPITAL DISTRICT, WHITE PLAINS & BRATTLEBORO, treatment in everyday practice. Common obstacles of VT: With over 15 years of experience, 1st Advantage sleep testing and insurance billing will be discussed. Dental provides quality patient care in supportive group practice environment. We pledge to put the patient first Airway narrowing and sleep disordered breathing and treat each one like we would our family. Our 15 Your role in managing snoring, UARS, and OSA doctor-owned practices are located in Capital District of • Reading PSG and HST sleep tests We also buy & sell New York, as well as White Plains NY, Brattleboro VT, • Identifying airway narrowing on a CBCT gently used and refurbished and two locations in the Berkshires of Massachusetts. • Doctors and specialists are supported with network of • dental sensors. Call for resources and support, including leadership opportuni- Alum or AO Member $225, Nonmember Dentist $245, current stock and prices. ties, continuing education and even clear path to owner- Team Member $95, CE HRS: 6 ship. By utilizing latest technology and proven methodol- ogies, our team of clinical professionals delivers compre- hensive, multispecialty services to communities we serve. 1st Advantage Dental is proud to provide competitive compensation package, including comprehensive health benefits (Health, Vision, Dental), life insurance, long-term disability, professional liability insurance, 401(k) pro- gram with employer matching, and established mentor programs and leadership opportunities. For more infor- www.BuffaloCE.org or call (716) 829-2320 WWW.REPAIRSENSOR.COM mation, please contact Peter Schwartz by email: [email protected]. 919.229.0483 11 NYSDA NEWS / FEBRUARY 2018 Systems continued from page 6 STANDARD OPERATING PROCEDURE Flexibility is the archenemy of interoperability, because Current laws compel us to use a certified e-prescription free text is not trackable like standardized or coded the “media” layer. The media layer includes the routing, software program or Application Program Interface answers are. Certain documents may conform to and addressing and flow control of the data. (API), which may function as a stand-alone program. contain clinical terms that are encoded according to ICD- The standards are continually being improved. A The data is available to all providers who prescribe— 10 or CDT. Those clinical terms are extracted out but not newer standard, Fast Healthcare Interoperability essentially creating interoperability indirectly. Sharing always without the need for a “work-around” or “fix.” Resources (FHIR) is the latest under the HL7 organiza- digital files is accomplished using the cloud or remov- Years before the e-prescribe laws were instituted, tion. It was devised to simplify the process by allowing able media (e.g., a thumb drive) or secure messaging many of us used digital radiography because we saw for sectioning a chart into smaller modular domains, like encrypted email. Information in the form of clinical the major benefits to its use and were willing to deal i.e., electronic Rx, DICOM, an immunization register, examination findings and specific treatment reported with any downside or work-around. Equipment cost was PDF files, etc. It is more easily managed and shared. as free text may not be completely interoperable with- the biggest hurdle for dentists in private practice. On a FHIR reduces the need for larger, complex clinical out the use of Clinical Decision Support Systems personal level, I find tremendous value in the superior document architecture, which is cumbersome and (CDSS). This requires use of standardized terms rou- quality of digital images compared to chemically pro- harder to share. Fortunately, the needs of most dental tinely used in the ICD-10 (International Classification cessed films and the low-risk-to-high-benefit ratio. The providers are not as complex as they are for our col- of Diseases) or CDT (Current Dental Terminology). images do not degrade over time like films can. There leagues in medicine. ICD-10 and CDT terms create very specific data is no comparing the quality and detail afforded by Direct Secure Messaging Protocol is another tool entries, which allow tracking and analysis. Once data computerized images. For many, this was an easy used to permit the secure transmission of protected is collected, it can be studied and utilized to support switch to make. health information and free text messaging. It gives evidence-based medicine. Those of us who have made the switch to comput- dental providers a simple, secure method of sending Narratives and progress notes are “free” text, allow- erized records have done so for specific reasons. In authenticated, encrypted health information directly to ing flexibility in notes or reporting. However, this lack of New York State, the main impetus has been the man- known and trusted recipients over the Internet. standardization wreaks havoc on interoperability. date to use an e-prescribing program to issue prescrip- tions for our patients. Many dentists have gone further and have added their progress notes and charting to fully transform a practice into a “paperless” office. Nonetheless, we all know that the phrase “paperless” office means just the opposite. In 2009, the HITECH (Health Information Technology for Economic and Clinical Health) Act, which is part of the American Recovery and Reinvestment Act, was responsible for promoting expansion of electron- ic protected health information and improving quality, safety and effi- ciency in healthcare; engaging patients in their care; coordinating care; and improving the health status of the population. A goal of the HITECH Act was to promote creation of an EHR that can be easily shared with other providers. Data sharing allows knowledge of a patient’s cur- rent medical status and permits accu- rate diagnosing and appropriate treatment planning. This is the benefit of interoperability. Even though it is the law, the concept of and actual process of sharing data are not always easily accomplished. In situations where patients present with a photocopy of a beautiful digital radiographic MLMIC STANDS image, we are adept at providing the information to our colleagues. Nevertheless, it is not always easy or practical to complete the next step of integrating this imaging into our sys- BEHIND YOU tem. However, we realize that hav- ing this important information about our patients in real time has tremen- dous value to us as practitioners. All software is not created equal and the process of digitizing medical information is certainly here to stay, and will improve over time Choosing dental liability insurance is about trust. Knowing that you have the resources, guidance and expertise to support because “necessity is the mother of invention.” z you...today and tomorrow. So, at a time when others are struggling, MLMIC stands strong, and you can count on this: Dr. Pollick is a member of the NYSDA K_\\og\i`\eZ\Xe[\og\ik`j\f]k_\cXi^\jkdXcgiXZk`Z\ Information Technology Committee. She is ZXii`\i`eE\nPfibJkXk\ an oral and maxillofacial surgeon in East E

Put your trust in MLMIC. Visit MLMIC.com/dentist or call (888) 392-0638.

12 NYSDA NEWS / FEBRUARY 2018