R·A·S·K·A ASSOCIATION 3120 "0" Street, Lincoln, Nebraska 68510
VOLUME 94, Issue 4 AprWMay 1994 Contract Analysis Voice Mall at NDA The ADA's Contract Analysis Service has reviewed a few Your ever efficient and dedicated NDA staff tries more agreements that dentists in Nebraska have received to answer every phone call. Occasionally the calls out over the past several months. They have reviewed DNoA number the staff and after 3 rings the caller gets Select, Guardian, Insurance Dentists of America, Country connected to our Voice Mail. Please leave a message wide Dental Program & Direct Dental Services, Inc. Several and we'll call you back ASAP. The mention of treats months ago, we had the ADA review the PPO Agreement for the NDA staff usually puts your call at the top of from BC/BS of Nebraska and the referral service agreement the list. Threats to our job security also get our from Precision Dental Associates (PDA). attention but the caller should know there are still a If NDA members are interested in receiving a copy of any few committee assignments left to be filled. of these analysis, we need your request in writing. Just send us a note asking for one or all of the documents - NDA, 3120 "0" Street, Lincoln, NE 68510...... 1500 Posters From Regarding the above information, we would like to thank those members who have sent us samples of insurance and 100 Schools referral contracts and assorted agreements. Here's a note that accompanied one such packet: The 5th annual Dental Health Poster Contest for 5th Dear Tom, graders throughout Nebraska was another big success. Themes Just thought I'd send you some different plans asking me for this year's contest were, "A healthy smile is a treasure" to work for free or less money, so they can make money on and "Mouthguards save smiles." my education, time, and money spent to become a dentist. Here's a list of the top 3 place winners. I was gone from the office for 2 days and when I returned 1st - Bernida Byrd - Egging, Kimball, West Elementary I was surprised to find 4 of these. Please mention these new 2nd - Mike Nielson, Elmwood-Murdock plans in the next newsletter because I'm sure other dentists 3rd - Brycen McMullen, Anselmo - Merna have been solicited but count me out. Thanks to all the NDA members and their staff who helped judge posters at the district level. At the state level, we had help in the judging process from representatives of Advance Notice * Dues Pre-Payment the Assistants' and Hygienists' Associations, State Health For those who prefer the installment plan, the NDA/ADA Department and the Alliance to the NDA. has a deal for you. Sign-up for the Dues Pre-Payment Plan and from July through November make 5 "easy installments" and viola (or is it violin?) you're paid up for 1995. In a few weeks you'll be receiving your notice to enroll in this program. Last year 200 NDA members took advantage of this method of dues payment. You write 5 checks and the NDA does the bookwork. Hey - it's a heckuva deal!
ODDS/NDA Membership .. Time to recnlit
NDA Director OSHA Inspections Via the phone! Tom Bassett Dental Provider Contracts How to evaluate one congratulates Mike Nielson of NDA Annual Session A photo collage Elmwood Murdock school PLUS a list of members who and his teacher, didn 'tforget to join Mrs. Renee ADPAc/NEDPAC Kovar.
A NEWSLETTER SERVING THE DENTISTS ()F NEBRASKA 2 NEBRASKA DENTAL ASSOCIATION
A Message From the President Ed Vigna, DD.5. President Nebraska Dental Association I would like to take this opportunity, the first of my President's messages, to share with you some of the thoughts I gave to the House of Delegates at the Annual Session in Omaha. Times are rapidly changing in dentistry. With the advent of PPO, EPA, OSHA, and a host of other acronyms, and health system reform, the playing field is different. For a time, it seemed as though things flowed along, and our decisions and choices were of a personal nature as they affected our individual practices. Today, however, circumstances are vastly different. Not only are we faced with the same practice choices, but with far greater situations that may threaten our profession as a whole and certainly the way each and every one of us delivers care to our patients. No matter how resistant we are, and we all are, change in some fashion is upon us. As my personal situation has changed recently, I can assure you, we all have a comfort zone which we are reluctant to move away from. We all know what works and what doesn't; what our capabilities and limitations are and what Dr. Etl Vigna outcomes to predict. As we all think of our professional lives, many changes have occurred. Most have been technological improvements that we have all readily accepted without third pal1y or government intervention. But now, government and husinesses are proposing possible changes that are so radical to our way of thinking that we must guard against feeling panicked and ovelwhelmed. Change is inevitable. To succeed, we must lean to not just resist change, but more importantly, to direct and manage change. If we are to control our destiny, we must work to prepare ourselves to meet the challenges in today's marketplace. We dare not do any less, for if we don't someone will do it for us, or to us. Unfortunately, business as usual is over. As we continue to watch the gradual erosion of many of the principles and freedoms of our profession, and the increase in cOnLrol and regulation, the time may come when we must stand up and be firm in our beliefs and resolve. A strong and unified voice is critical to our future. We have been fortunate thus far but this next year may bring several issues on a state level that will require us to stand together as a profession. Where do we draw the line? We must all work to recruit our non-member colleagues. W'e must work to keep our dental team unified. We can not fractionalize our profession with interprofession squabbling. We all have a charge to make a difference. There are 3 kinds of dentists. Those that make things happen (active members of organized dentistry), those that watch things happen (inactive members of organized dentistly), and those that wonder what happened (both members and non-members). The choice is ours. Thank you for entrusting me with the leadership of the NDA. Together we can make a difference and insure a bright future for our profession.
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How To Evaluate ADental Provider Contract ------Micbele H. Tbome, ID., DireCior 3. Make sure that you have the entire agreement. Before ADA ()/ztraet AnaZJlsis Sel7Jice signing, obtain and review all attachments, schedules, exhibits and Diuisi()/1 q/L 'gal iV/airs mahuals referenced in the contract. Generally, items referenced in Aillerican Dental Association the contract are binding on the parties and are considered to be part Docs it seem like you receive a new dental provider contract of the agreement. Also. if you and the DBa have clarified certain almost every day' Is your "iN" box filled with contracts that you are important points over the telephone or in a separate writing, make considering signing' In order to help you better evaluate those sure that your attorney actually includes those points in the final contracts, the ADA's Contract Analysis Service offers you the follow agreement that you sign. Oral or written understandings outside the ing six "tips": actual agreement that you have with the DBa might not be enforce Please note: This information is not intended as legal advice, able. nor can it serve as a substitute for consultation with one's own 4. Understand what happens if things go wrong. Is there a attorney. requirement that you idemnify and hold harmless the DBa in certain 1. Read the contract. If, after reading the contract, you are situations? Do you agree to be "solely responsible" for all dental seriously considering signing, contact your state dental society to advice and treatment? Do you release the DBa from liability for obtain a copy of "What Every Dentist Should Kno'vv Before Signing certain acts or omissions' If the DBa becomes insolvent, are you a Dentall'rovider Contract" ;lIld to inquire as to whether the society prevented from collecting from patients the amounts you are still has in its files a contract analysis prepared by the ADA's Contract owed? Analysis Service. You should ;1 Iso have the contract reviewed by your 5. Know how to get out. How and when may one palty notify personal attorney, especially if you expect that it will have a the other that it wants to terminate the agreement' For what reasons? significant impact on your patient volume. At termination, must you give the DBa free copies of all records and 2. Ask questions. For example, you may want to ask the dental radiographs of covered patients? Have those patients agreed to benefit organization (DBa) what employers are offering the plan? release their records? Must you complete "treatments in progress" Is there an 800 telephone number for prOVider questions' How are and, if so, how will yOLI be compensated? Who will notify the p:Hient eligibility and coverage verified' \'(1ho reviews claims? How patients? Must you agree not to solicit certain patients for a period can I appeal claims decisions' Are there any restrictions on specialty of time after termination' Which patients and for how long? referrals' Must I participate in any grievance, utilization review and 6. Keep a fully-signed, dated copy ofthe agreement in your quality assurance programs' If so, \vhat are the procedures and rues for easy reference. During your relationship with the DBa, standards, who are the decision-makers, what are the consequences questions on procedures, policy and contract terms will arise from of adverse decisions, and how can I appeal those decisions? How time to time. For your protection, you will want to have a complete can the contract be amended? The fee schedule? If I agree to copy of the contract that was signed and dated by both parties, plus participate in this program, must I also participate in other programs all attachments, schedules, exhibits and manuals relating to that established by the DBG' Will the terms differ? contract. 4 NEBRASKA DENTAL ASSOCIATION Glossary: Health System Reform Accountable Health Plan (AHP): AHPs would be anyone of a contract with HMOs to provide specific services at fixed or set rates. number of health care delivery systems accredited by the National Managed Care: Managed care refers to any cost containment Health Board (NHB). They will be required to offer benefits defined system that restrains the utilization of health care by restricting the by the NHB. AHPs will require providers to report medical out type, level, and frequency of treatment, limiting the access to care, comes and will need to meet quality and cost standards established and controlling the level of reimbursement for services. HMOs are by the NHB. Furthermore, AHPs will not be able to "cherry pick" quite common examples. healthy individuals from other plans, charge extremely high rates for persons with costly medical problems, or deny coverage for a Managed Competition: Managed competition attempts to meld pre-existing illness. government regulation and market competition. In simplified terms, the idea is to blend employers into large purchasing networks that All-Payer System: Every entity responsible for health care bills will shop for the highest quality health coverage at the lowest price. the government, private insurers, companies, or individuals The government would require any insurance company, HMO, or would pay uniform rates for the same medical service. The uniform other health plan bidding for the business of the purchasing fees would prohibit providers from shifting costs onto those more networks to offer a standard package of benefits. The hope is that able to pay. the network's huge buying power would generate competition Community Rating: A key element in many health system reform among health plans, lower prices, and improve quality. proposals, community rating would set health insurance premiums National Health Board (NHB): The NHB would be a federally based on the average cost of medical services to all people in a appointed board with carefully defined authority to oversee the geographic area. No longer would there be adjustments for an implementation of a health care system modeled on the develop individual's medical history or likelihood of using such services. ment of managed competition. It would monitor compliance and The geographic regions most frequently proposed are states. functioning of health alliances, make recommendations to reflect Fee for Service: Fee for service harks back to the "Golden Age" changing technology, and set regional spending ceilings. It would of dentistry. Under this arrangement, payment is made to practi also determine the quality of service and care offered by health tioners on a service-by-service basis rather than by salary or plans and publish these results to promote informed consumer capitation. choices. Global Budget: The government would set a health care budget, Preferred Provider Organization (PPO): A PPO is an arrange placing caps on health care spending. The cap would cover both ment between an insurance company and employer under which public and private spending. discounted fees with a network of health care providers is provided Health Insurance Purchasing Cooperative (HIPC): This is at in return for a guarantee of a certain volume of patients. Consumers the very core of the Clinton plan. HIPCs (or health alliances as they in a PPO can elect to receive treatment outside the network but are now more frequently being referred to) would act as purchasing are discouraged to do so with high co-payments or deductibles. agents, by collecting and distributing premiums and certifying and Pay-or-Play: This refers to the proposal that if an employer selling health plans to consumers. They would also ensure that decided to not provide health insurance for its workers it would average premiums grow no faster than federally set limits. HIPCs be required to pay a tax for financing a government plan to cover would negotiate with local proViders and hospitals to set fees for those workers and others in similar situations. services provided outside HMOs. Single-Payer: This is a system in which one entity, almost always Health Maintenance Organization (HMO): HMOs are legal the government, pays for all health care for everyone. Canada has entities which accept responsibility and financial risk for providing the best known single-payer system, where people are still able to specified services to a defined population during a defined period choose a hospital and their own physician. It is financed by taxes. of time and at a fixed price. Enrollees are generally assessed a Legislators have proposed this system for our countty. monthly payment for health care services and may be required to (From Ohio Denta!.lournal, March 1994) remain in the program for a specific amount of time. Providers NDA Board &House Actions On April 8th the NDA's Board of Trustees gathered for their Following a recommendatio'n by the Insurance Council, the Spring meeting, the House of Delegates convened the next day. Home Life Group major medical program Was endorsed. Harold The NDA's officers for 1994-1995 are as follows: Diers and Company will market and administer the plan. The Board and House thanked Gene Merchant for the excellent job he has Ed Vigna - President Delegates/Alternates to the done over the past 4 years as Secretary. Gene retired so he can better Bill Thiemann - President Elect 1994 ADA House pursue his profession as a retired dentist. Jim Smith - Vice-President Delegates - Ed Vigna Reports were made to the Board and the House regarding the Bill Corcoran - Immediate Past President Bill Thiemann formation of a new Nebraska Dental Foundation. The "old" Access Dick Brunmeier - Treasurer Mike Pudwill to Care Foundation will be part of this new venture. Past President David Blaha - Secretary Ben Kutler Bernie Moran has been instrumental in helping Tom Bassett and Bob Howell - Speaker of the House Alternates - Jim Smith David Blaha current officers lay the groundwork for this new foundation. Bob Wilson The House officially adopted the ADA's position on Health Dick Tempera System Reform. The Board voted to increase the monthly relief fund payment A resolution was passed to ask the Board of Examiners to revise to Dr. Cliff Hicks of Lincoln, from $350 to $400. the rules and regulations and allow dental assistants to do coronal The Board requested that any potential NDA candidate for polishing (after they have taken coursework as set forth by the Tenth District Trustee make their intentions known so the NDA's Board). House of Delegates, at their Spring meeting in 1995, can act on A resolution was passed appropriating up to $4,000 to send an endorsing a candidate. The Tenth District will elect its next Trustee additional 2 alternate delegates to the ]994 ADA House. at the ADA's ]996 Annual Session. NEBRASKA DENTAL ASSOCIATION 5
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SHEPPARD MANAGEMENT "MAKING APPOINTMENTS WILL NEVER BE P.O. BOX 30054 THE SAME. OVER 5,000 COPIES SOLD. CLEVELAND, OHIO 44130 ORDER YOUR COPIES OF THESE (216) 267-5938 TAPE CLASSICS TODAY" Academy of General Dentistry (AGO) Approved National Sponsor 6 NEBRASKA DENTAL ASSOCIATION 1994 Annual Session A rl'cord nUl1lbl'r of l'xllihitors ~lI1d Nl'hr;lsk~I'S higgest Holiday Inn lK'lpl'd gi\l' lllis \l';Ir"S ;II1I1lUll11L'l'ling ~I dillL'rL'nl "Ill\or," !\!ost of tlK' wmds \\l' IU\l' ill';lrd from NDA Il1l'll1lx:rs \yllo ;lttl'l1l1L'd \\'l'l'l' posili\l' and suggL'stions for impron='nwnt will of COurSl' hL' considl'rL'd. ThL' Annual Sl'ssion is an important henefit tlf memhership as \\l'11 ;IS tilL' LIrgl'st sourl'e of non-dues rl'\l'nue. \'11l' hope to continue the tradition of qu~"ity spe;lkers. entertaining soci~" g~l\lll'rings, a good Y:lriL'ty of exhibits, opportunitil's to Yisit colleagues :lIld ~"I at ~l Ltir pril'e. Dr. and Mrs. Howard The fin:lIlcial SUl'Cl'SS of our Annual Yost, Hall ofFame Session is among the biggest relsons there h~ls not betn an NDA dues inneasl' SilK\:' Dr. ,,,,d M'..... Jim .' 19H7. Huerter, Hall ofF",ne . . Dr". Dick Tempero (left) "Ho\\' many pL'ople President's Award recipient, :lttended," you ask? We're still doing Dr. Rich Fitzgerald, ..,' 'S' ,. our hook\\'(lrk hut it's likely that the Outstallding Council Chainnan Award. ,..".. I •. ~ tot~d ~\'ill r gr;lnd exceed 1600. Next year ~. .. \\'e'll be in Lincoln on April 2, 3, and ~ -1. Our ne\y president. Dr. Ed Vign;I, notes that Lincoln doesn't h;IH' a Lied .lungle to host a dinner but things can occlsionally get a bit "unusual" on the Dr. Jom, Si,'ers llNL campus, m;lking one think they're Outstanding• Young ne;lr ~l jungle. ProfessiOlml AII'ard NEBRASKA DENTAL ASSOCIATION 7
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Box 33, 520 East Fifth SI. Toll-Free WATS Line Topeka, Kansas 66601 (Kansas Only) 800-432-3586 Telephone (913) 235-9293 (Nationwide) 800-255-2412 8 NEBRASKA DENTAl ASSOCIATION Join NEDPAC/ADPAC ASAP/PDQ or you could be SORRY by T Bassett Check this list of current NED PAC members. If you're not on it and it's the fault of our office, let us know. If it's your fault, let LIS know. In the dues paying process, NEDPAC sometimes gets left out of the equation. Since it's important, here's a reminder. Send a personal check for $50 to the NDA office and join the cause to keep dentists in charge and not a bureauracracy in the driver's seat. ADPAC/NEDPAC Members (as of 4/25/94)
John P, Ahlschwede Don Fricke Stephen H. Leeper G. Herbert Seberg J Michael Allen Charles Genrich Edward H. Lockwood John R. Seberg Charles W, Anderson James G. Gerner David Lofgreen John W. Segrist Steve F. Anderson Ruger B. Gerstner Daniel J Maas Michael Sesemann Don Asbjornson John Pat Giddings Chris iVlacKnight Joan Sivers Jon c. Asbjornson Robert C. Glandt David ManalY Charles S. Skoglund Earl Augspurger Tom Gomon John A. Marcuzzo Eric Edward Smith William F. Baeder Raymond Grove, Jr. Richard Marshall Jerry Smith Dana Bailey Dennis Gutz Max IVlartin Robert Smith Charles D. Bauer Francis J Hale Philip J Maschka David Spann Gary L. Bjerrum Gerald M. Haney .lames McCaslin Robert Stallings David A. Blaha Frederick Hecox Pat McCulla James States Bryce W. Bonness Louis M. Hedlund Jim McKnight Steve Stec Robert Brady David Higgins Sam McMillan William Steiner Richard Brunmeier Robert Hinrichs Robert E. J\lcPherson J. Terry Sullivan Richard A. Brunmeier Roland H. Hoff Eugene Merchant Paul Swayne Michael J Bryson David L. Hoffman James Morgan Donald N. Taylor, Jr. Richard Bush Paul E. Holm Scott L. Morrison Richard Tempero James E. Buttermore William Holthaus James Murphy Don L. Theophilus Keith Christiansen Jeffrey Howard Michael P. Neal William .J. Thiemann Jeff Clarke Donna Howe Herbert C.Q. Nelson Keith C. Thomas A.C. Coco Roben Howell Kenton Neuhaus Allen Thomsen Steven Combs Anne E. Hurlbert Scott R. O'Neil Harry Tolly Jack Cooper Richard J Huston Frank D. Odorisio James Trambly Herbert Coulter Mansoor H. Jabro Gerald Ott Vicki Treat Lee Dahl Sam Jacoby Richard W. Parker Byron Tullis Fred J Diedrichsen Dick Jeffers Earle Person Kenneth Tusha Michael Dowd Robert Jeffers William Petta Gerald Tussing James Doyle James F. Jenkins James Peitro Timothy Tvrdik Randolph Drahota Peter M. Jensen William Printz Eldon A. Valetski David H. Duey Terry Jensen M.L. Pudwill Edward Vigna Marvin Dvorak David B. Jones Bruce Rauscher David Wallnie Mark Ebers Wayne Kaldahl Robert Roesch Aaron Walter Donald Edwards E. Newton Kelley Harold E. Rosenau Christopher R. Waters Phil Etzelmiller Dennis K. Kent Roger Roubal Steven Wegner Douglas Eversoll Thomas Kiefer Nicholas R. Saeger Jack Wesch Thomas Fagot Dennis King George H. Schlothauer Wayne E, Wessel James Farris Barrett Klemm Trudy Schlumberger Terry Whitten Donald Fenster Gayle S. Knoll .lack Schneider Clint Wilber Judy Fitzgerald Marvin Kramer Robert Schoettger Robert Wilson Richard Fitzgerald Harold Kreski Cynthia L. Schroeder David Wood Michael Fleming Benton Kutler Scott R. Schroeder Robert Zaiman Gary A. Flower Sandra S. Larson Gregory S. Sears David Zalewski Peter A. Ziegler
_____~ ~ f _ Clip and Send with a checkjor $50 made out to NDA to: NDA, 3120 "0" Street, Lincoln NE 68510
Name Yes, I want to join
Address ADPAC and NEDPAC O:::Z 3
Saturday, June 11, 1994 For Further Information Marriott Hotel Omaha, NE • Contact Steven D. Wegner. DD.s. Bob Roesch, D.D.S. 11840 Nicholas St. 553 N. Broad St. Omaha. NE 68154 Fremont, NE 68025 (402) 498-0400 (402) 727-7331 Unraveling the Mystery Program Highlights and Objectives ...t •:!l C The Relationship Between Q) Occlusion and the TM Joints The morning session brings the entire o ~ "team" together to present the foundation Q) I:: for excellent restorative dentistry. The Q) () This program is intended for your entire "Team". objective is to create a complete understand .....o ""' zvrA. rv.A. C:EzvrErvT 0 F r.> E rvTA.L T R A. LTzvrA. Irv PRIzvr.A.R'Y .A.rvr.> 'YOLTrvc: PERzvrA.rvErvT TEET~ STA.rvr.>A.Rr.>S OF C.A.RE Irv E3E~.A.'V"IOR zvr.A.rv.A.C:EzvrErvT: QTJA.LIT'Y .A.SSTJR.A.rvCE OR PRA.CTICE IrvFRIrvC:EzvrErvT? r.>R _ r.>ErvrvIS J _ zvrc:TIC:TJE THE FIRST PRESENTATION WILL PROVIDE DETAILED COVERAGE OF THE DIAGNOSIS AND CLINICAL MANAGEMENT OF A WIDE VARIETY OF INJURIES TO PRIMARY AND PERMANENT TEETH AND TO 'fHEIR SUPPORTING STRUCTURES. THE SECOND ISSUE TO BE ADDRESSED WILL DISCUSS THE ATTITUDES AND PRACTICES OF BEHAVIOR MANAGEMENT OF CHILD DENTAL PATIENTS AND HOW THEY HAVE CHANGED DRAMATICALLY IN THE PAST DECADE. THIS PRESENTATION WILL OVERVIEW THE AMERICAN ACADEMY OF PEDIATRIC DENTISTRY'S "GUIDELINES FOR ~ BEHAVIOR "HANAGtMENT" EMPHASIZING HOW THEY IMPACT THE GENERAL DENTIST. DR. DENNIS McTIGUE IS DEAN OF ACADEMIC AFFAIRS AT THE OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY. HE EARNED HIS BACHELOR OF SCIENCE DEGREE FROM LORAS COLLEGE AND HIS D. D. S. AND M. S. IN PEDIATRIC DENTISTRY FROM THE UNIVERSITY OF IOWA. FROM 1976 THROUGH 1984 HE TAUGHT IN THE DEPARTMENT OF PEDIATRIC DENTISTRY AT LOUISIANA STATE UNIVERSITY IN NEW ORLEANS, LA. HE ALSO SERVED AS CHAIR OF THE DEPARTMENT OF DENTISTRY AT CHILDREN'S HOSPITAL THERE. FROM 1984 THROUGH 1991, HE WAS CHAIR OF THE DEPARTMENT OF PEDIATRIC DENTISTRY AT THE OHIO STATE UNIVERSITY, COLLEGE OF DENTISTRY. DR. McTIGUE IS A DIPLOMATE OF THE AMERICAN BOARD OF PEDIATRIC DENTISTRY AND IS VICE PRESIDENT OF THE AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. HE IS A PAST PRESIDENT OF THE ACADEMY OF DENTISTRY FOR THE HANDICAPPED AND IS A FELLOW OF THE AMERICAN COLLEGE OF DENTISTS. DR. McTIGUE IS ALSO ASSOCIATED WITH THE PEDIATRIC BOARD REVIEW. T:H:E 1994 NE13R.A..SK..A.. SOCIET"Y OF DENTISTR"Y FOR C:H:ILDREN .A..NNL..T.A..L l"'1:EETING -W-ILL PRESENT: MANAGEMENT OF DENTAL TRAUMA IN PRIMARY AND YOUNG PERMANENT TEETH & STANDARDS OF CARE IN BEHAVIOR MANAGEMENT: QUALITY ASSURANCE OR PRACTICE INFRINGEMENT? PRESENTED BY DR DENNIS MCTIGUE DATE: MONDAY SEPTEMBER 12, 1994 TIME: 8:30am-4:00pm REGISTRATION: 8: OOam LUNCH WILL BE PROVIDED LOCATION: INTERSTATE HOLIDAY INN, GRAND ISLAND,NE (JUNCTION OF 1-80 AND HIGHWAY 281) OUR ANNUAL GOLF OUTING WILL BE AT LOCHLAND COUNTRY CLUB, CALL ED LOCKWOOD TO ARRANGE YOUR T-TIME AT (404) 462-6557. PRE-REGISTRATION FORM REGISTRATION FEES:(# ATTENDING) ( ) $145 FOR EACH DENTIST WHO IS A NSDC MEMBER ( ) $ 45 FOR EACH STAFF MEMBER ( ) $195 FOR EACH DENTIST WHO IS NOT A MEMBER OF NSDC NAKE _ ADDRESS, _ CITY _ STATE, _ ZIP _ PHONE _ PLEASE COMPLETE THE ABOVE FORM. MAKE CHECKS PAYABLE TO: NEBRASKA SOCIETY OF DENTISTRY FOR CHILDREN MAIL BY AUGUST 30, 1994 TO: CYNDI RUSSELL, D.D.S. 5017 LEAVENWORTH ST. SUITE 2 OMAHA, NE 68106-1428 FOR MORE INFORMATION CALL: CYNDI RUSSELL, D.D.S. (402)-553-4008 NEBRASKA DENTAL ASSOCIATION 9 OSHA Investigating Via Phone ------ I once heard of a fellow that was so naive and trusting The last two options can only be used with the consent of that he would play craps with you over the phone. That was the person who filed the complaint with OSHA. funny but OSHA over the phone isn't - it'S fact. Responding to a telephone inquily from an OSHA in Dig out your ADA News, March 7, 1994. It contains an spector involves risk to employers. The employer will be article on this subject and it's worth reading and putting with asked to respond over the telephone to allegations he/she your other OSHA information. has never seen in writing. The inspector is likely to refer to Here's a portion of what the article has to say. specific OSHA standards which the employer may not have A nonformal complaint is any complaint that does not available for reference. meet the requirements of a formal complaint, e.g.. , unsigned The inspector will ask questions about office conditions or oral complaints by current employees, written and oral which the employer has not had an opportunity to investi complaints by nonemployees or former employees) gate. Perhaps most importantly, a problem always present in OSHA's procedure has been to conduct an unannounced oral communications is that one or both parties will not workplace inspection in response to a formal complaint. understand what the other palty means by the question and When OSHA receives an informal complaint, it has typically answers. sent the employer a letter, informing him/her of the alleged In these circumstances, the employer runs the risk of violations and asking the employer to investigate and re making statements that are not in his/her best interest or, spond within a specified time. even worse, will be interpreted as admissions to violations. OSHA will usually share a copy of the response with the It must be remembered that OSHA has the power to issue complainant and ask him/her to comment. If it appears that citations based solely on an employer's statements, without no violation exists, or that the employer has taken appropri conducting an inspection. ate corrective action, OSHA will usually close the file. For this reason, some dentists may choose not to be Under the new procedure, an investigation of a nonformal intelviewed by telephone. However, this will not end the complaint may be conducted by telephone, as well as by investigation. OSHA will simply conduct it by other means, letter, if the complaint can be satisfactorily resolved in this e.g., by letter or on-site inspection. manner. If you can't locate your March 7th, ADA News, call the In the case of formal complaints, inspectors now have NDA and we can send you a photocopy. If you need further three choices: (1) conduct an on-site inspection; (2) send the information call the ADA's Division of Legal Affairs (800-621 employer a letter; or (3) conduct a telephone investigation. 8099), extension 2914. ODDS/NDA Seek More Members The NDA is slightly above the national average in the percent of dentists who belong to the state association and ADA. The bad news is that we are barely above the average and need to improve our numbers. Thanks to an ADA sponsored program, the Omaha District has been selected as an "emphasis site" and will receive some special assistance in membership recruitment and retention. Since the NDA staff and several Membership Council members will be very involved in the process, it's likely that other districts will profit from this program. We are optimistic that we can boost our numbers from their current 80% to a more respectable 85%. We will of course need the help of NDA members to invite colleagues who are not members to join organized dentistry. END OF YEAR 19 1993 MEMBER NONMEMBER MARKET TOTAL COMPONENT NUMBER SHARE% NUMBER PERCENT% MARKET OMAHA DISTRICT 283 72.4 108 27.6 391 LINCOLN DISTRICT ASSN. 155 80.7 37 19.3 192 SOUTHEAST DISTRICT 38 84.4 7 15.6 45 CENTRAL DISTRICT 26 92.9 2 7.1 28 NORTH NEBRASKA ASSN. 70 81.4 16 18.6 86 NORTHWEST DISTRICT 85 84.2 16 15.8 101 SW NEBRASKA DISTRICT ASSN. 42 95.5 2 4.5 44 WEST DISTRICT SOC 43 91.5 4 8.5 47 TOTAL 7-12 79.... lIn 211.h l)~-I SOURCE: 1993 ADA DENTIST MASTERFILES 10 NEBRASKA DENTAL ASSOCIATION Report of NDA Lobbyists by Lan]! L. Ruth and '(f/i1/iaJJ1.f. Mueller dental offices from the requirements of obtaining a'ertificate On April 15, 1994, the Nebraska Unicameral adjourned f need. at the close of its sixtieth legislative day. This so-called "'hort" legislative session resulted in 231 I ills that he-amc law. There will no be an interim peri d be een this Scope ofPractice session and the 90-day legislative sessi n scheduled t ne bill was introduced, L.B. 904, which would have 100 'en d the r quirem nts to obtain an expand d cope of convene in Jan I ry, 1995. The NDA took positi ns on a number of ills, and prac ice. This bill 'as supported by a number r professions amendm nts to them. 1 94 has n a year f health care desiring to expand their scope ofpracti , The NDA opposed reform at tbe f der, I and state 1 vel, and brtlska h £11th this I ill, it remained in c mmitte ,and was killed at the end care reform is of parti ular int rest. ther area of con ern f the s ssion. Ther will be an imcrim study of the "407 included certificate f n d, sc pe of practice. radiograpl , process" (the I gislative and administrative proces in obtaining L n expand d sc pe f practice) during this interim period. tax on services, b ar Is f health composition, and smok 1 ss tobacco issues. Medical Radiography Health Care Reform An area of continuing interest to the medical con munity There was no legislati n passed this year to impose a is tl1 Ii nSLlre f part-time x-ray operators. L.B. 111'5 would provider tax as a part of health care reform to fund medicaid hav set r quirements for operators, and deadlines for expenses. In 1993, bill was passed which placed a tax of qualitkation. The N A was concerned that the bill may have inadvert~ntly sorts on hospitals (but not physicians or dentists), and that extended such requirements t dental au. iliaries, bill's approach was approved by HCFA early this year. and we worked with all parties to make certain that there is Accordingly, there was no necessity to impose a provider tax n t uch extension. The bill was not passed this y ar, but will on physicians or dentists, but as medicaid expenses continue be reintroduced in 1 95. to grow, the possibility of a tax on providers of medical services will continue to be debated in the legislature. Tax on Services L.B. 1222 was pal1 of the Governor's health care reform There were three legislative bills of concern to the package of legislative bills. This bill provided for the medical community in the ar a of taxation of services. All standardization of claims forms, and the Director of Insurance were eventually killed or held in committee, but there will will develop uniform forms and electronic transfer procedures be an interim study on taxation of services. Taxation of for health care practitioners. It is hoped that the NDA can services \vould cut across all services (e.g.. attorneys, work with the Director ofInsurance to utilize forms customarily accountants, financial, bair styling, etc.) and is not to be used by dentists for claims. confused with medical provider taxation to funcl medicaid. L.B. 1223 was also a part of the Governor's health care As the service sector of Nebraska's economy grows, and reform package. It ventured into the area of professional its manufacturing sector remains relatively stagnant, there discipline, and enacted a number of new reporting will be more pressure on state government to expand tbe reqUirements. Licensees of the same profession (dentists, for sales tax base to include a sales tax on services. The NDA example) will now be required to report incidents of gross has expressed its strong opinion that taxation of dental incompetence, pattern of negligent conduct, unprofessional services is extremely unfair, regressive, and should not be conduct, and impairment which is observed in other dentists. enacted in the state. Licensees only have to report incidents ofgross incompetence and impairment observed in licensees of another profession. (This is called cross-reporting, and would include a dentist Local Boards ofHealth reponing a dental hygienist, or vice versa.) Association peer L.B. 1110, as introduced, removed the selection of dental review committees will be exempt from the reporting members for local boards of health (city, county and district) requirements under the act. from lists submitted by local dental societies. The reason for Under L.B. 1223, rulemaking by the Department of this change in tbe law was that it is considered to be illegal Health will define what is reportable as an adverse settlement to have public officials selected by private organizations, and by any licensee. The standard of proof for disciplining a mandatory selection from lists submitted by local dental dentists would remain as is currently in the statute. Finally, societies amounts to the local dental society naming the membership on the Board of Examiners in Dentistry was group from which dental representatives will be taken. The expanded to include an additional layperson, an additional bill was amended, however, to allow local societies to dental hygienist, and the requirement that the representatives continue to submit lists from which dental members may be from the dental colleges be dentists. selected, changing the participation of the local societies to making reconunendations only. This avoids the legal problem, Certificate ofNeed (CON) while allowing local dental societies to have a real impact on the selection of dental members on local boards of health. L.B. 1210 was passed on the last day of the legislative session, and it opened up the celtiJicate of need statutes. The NDA was successful in obtaining a general exemption for (continued on page 11) NEBRASKA DENTAL ASSOCIATION 11 Report of NDA Lobbyists (continued Jroll1 page 10) Smokeless Tobacco Interim AcUvities 1994 saw a stiffening of resistance to tobacco interests There have been a number of interim studies approved at the federal, state and local level. L.B. 495, introduced in by the legislature for review over [his time between sessions. 1993, would have allowed promotional distribution of The DA will monitor these interim studies, and keep you smokeless tobacco to adults. The NDA helped to form a coalition to oppose L.B. 495, and the bill stalled on General informed of hearings around the state in such areas as File last year. This year, the proponents of the bill did not taxation of medical services, health care reform, and other attempt to move it forward in the legislative process. NDA areas of interest to dentistry. Please keep us informed about legislative liaisons who became involved in this project over legislative races in your area, and let us know how candidates the last two years, and previous years, can be proud of their ar- reacting to legislative issues of interest to us. accomplishments in stymieing the promotion of this velY harmful product. ADA grassroots campaign update By the first week of March, more than 2,500 dentists in 121 key Congressional districts in the country had Other ADA grassroots volunteered to selve on action teams that are the heart of the ADA grassroots campaign on health system re campaign actions: form. • A letter on tax deductibility for dental benefits The ADA hopes to recruit about 7,000 dentists for was sent in February to every elected official in action teams which will be used in education and Congress. The letter, which urged opposition to advocacy effoI1s. Action team members receive a special any legislation that would tax dental health communications kit with key information on dentistry's benefits and limit access to oral health care, role in overall health care and its position in the ongoing stated, "Any change in the tax deductibility of discussions on reform. health benefits would encourage employers to The kit contains: a comparison of dental coverage cease offering dental plans to their employees. under various health system reform proposals; a speech Workers would shun dental benefits in order to on dentistry's role in health system reform; pocket limit their taxable income. The current dental reference card with dentistry's key reform messages; benefits system would be irreparable damaged, background on the dental health system reform agenda' and access to oral health services would de 10 one-page papers on dental issues; and button with cline." The letter was signed by 22 dental orga the grassroots campaign logo: "Dentistry: Health Care nizations. including the ADA, most of the spe That Works." cialty organizations, the AGD, major trade orga The kits also will be distributed to key Cc ngressional nizations and key dental groups. members, government officials and select media. Bringing the campaign to the dentist-patient level, • The annual ADA Public Affairs Conference held the March 21 ADA News has a poster for display in in early March in Washington, DC, focused on dental offices and a letter that can be copied and given the ADA legislative agenda :1I1d future activities to patients. Both explain how dentistry could be ad of the grassroots campaign. The conference had versely affected by various proposals for health care a record ::mendance. reform and encourage patients to contact their elected • An ADA-produced television news release on representati\·es. dentistly's position in the current he:.tlth care Oyer 130 NDA members said "\\'e'll help." reform debate was sent via satellite early March to 700 stations nationwide. At the Public Affairs Conference in Washington, D.C., ADA President Jim Gaines told an insightful story. A dentist called him on the ADA's Watts line and said he was committed to helping with the grassroots campaign to urge Congress not to tax dental health benefits. Then he asked the ADA to send him a 29 cent stamp so that he could mail in his letter of commitment. President Gaines pointed out that he was hoping for a higher level of commitment than this dentist evidenced. 12 NEBRASKA DENTAL ASSOCIATION Your Colleagues Congrats, Thanks, Etc. {~YJulie Berger Several months ago we told readers about Dr. Tom Fritsch This momh's featured Young Professional's are Drs. ofLincoln, who had helped rebuild an owl's beak. We're proud Shari and Steve Hadley. They have a family practice in to report that the owl is feeling hootingly healthy these clays and southeast Lincoln and are both graduates of UNMC College no longer feeling "owly". of Dentistry. Shari and Steve have 2 children: Emily - 9 and ~.~. Miles - 6. Congrats to the Raw Nerve (the all dentists band) for In their spare time, they both enjoy spending time with booking their first gig on the road! The Raw Nerve returned last their family. They also enjoy swimming, soccer, reading, month from playing in Alaska at their state dental meeting. Aside gardening and golf. Their goals include raising happy and from being very cold and having limited daylight, they all had a great time. Alaska wants them to come back. The band health children. includes: Drs. Broce Bavitz, Doug Eversoll, Jint Jenkins, Thanks to both of you for being part of this column. Dave Blaha, Bob Schoettger, Steve Pejsar andJohn Salstrand (the only non-dentist, but married to a dental assistant). Best of Luck - We can say we knew you when! ~.~. Dr. Ralph Dwornik ofLincoln was featured on "Rescue 911" several months ago. Dr. Dwornik helped Eric Lunde, now a Union College senior, remove a plaster impression from his face. Eric and another student were doing the impressions for art class. They let the plaster set too long, and when they tried to take it off, it was stuck to Eric's forehead. The students tried everything to remove the plaster, but to no avail, nothing worked. They even called 911, but the firefighters suggested they go to the emergency room. That's where Dr. Owornik came in. His office was right across the street. After a slow and tedious process, which took about an hour, the mask was removed. Congratulations on a job well done' ~.~. Dr. Shari Hadley, Miles, Emily and Dr. Steve Hadley. Congratulations to Dr. Lonnie Kennel ofGeneva! Lonnie was the lucky winner of 5100.00 for pre-registering for Annual The Alliance's Capital Session! ~.~. Adventure Congratulations to 2 ebraska CDTs for being recognized for 25 years of service to the dental profession as a Certified by Anita Cooper, Legislative ChaiJ-~ Dental Technician. They are David Stubbs of Keanley alld Alliance to the NDA William Noel ofLincoln. We appreciate your professional and If you would like to take a day off from work just have personal contribution to dentistry and the health of others! the Alliance to the Nebraska Dental Association schedule ~.~. their annual trip to the Unicameral to distribute packets for Kudos to Dr. Ray Steinacher ofLincoln for being hon that particular day. The original date scheduled for February ored by Lincoln's KFOR radio for "Outstanding College Teacher." 22 was cancelled due to six inches of snow. March 1 was not Dr. Steinacher was nominated by Dr. Steve Leeper, Dean of much better, with fog so thick the highway patrol closed UNMC College of Dentistty and was honored at a luncheon at Highway 2. the Governor's Mansion. Congratulations on your award! President Sue Pudwill, Past President Jan Ott, Legislative ~.~. Chairman Anita Cooper, and Lincoln District President Doris Congrats to Dr. Fred Hecox ofCozad, for being the lucky Bradley met at the NDA office in Lincoln on March 1 to put winner of the grand prize in this year's fundraising raffle. Dr. together the packets to distribute among the 49 State Sena Hecox will spend 3 days and 2 nights in a condo at Pointe tors, the Governor, the Lt. Governor, and the Secretary of Royale, near Branson. State. ~.~. Jan Ott brought apples, donated by the Food 4 Less on Congratulations to Dr. Gary Westerman and Dr. Rich Van Darn, to be included in the packets. The apples brought ard Blankenau ofOmaha. They and several others worked enthusiastic comments from many of the offices we visited. together in research and recently (April 1994 JADA) their article Also included in the packets was dental floss, donated was published. They even received front page coverage. Congrats by Brett Cascini; and toothpaste, donated by Crest. Letters to both of you on the wonderful honor! from both the Dental Association and the Alliance were also included. The Demal Association provided various stickers, bookmarks, brochures, and tooth brushes to add to the In Memoriam packets as well. Dr. Leonard Aksamit of Lincoln, passed away on April Sue, Jan, and Anita went to the state capitol and distrib 1, 1994. He was 88. Dr. Aksamit was a 1929 graduate of uted everything in about an hour. The help of everyone UNMC College of Dentistry and a Life member of both the involved was much appreciated and it is always pleasant NDA and ADA. He practiced in Crete for over 45 years. Our working with the staff at the NDA office. sympathies to his family. NEBRASKA DENTAL ASSOCIATION 13 Relapse in Chemical Dependency Licensee Assistance Program No Need To Pay $139 hv T. Bassett Many people who have a chronic disease also experience (This is a re-run from the March 1994, issue of the NDA relapse as a part of the disease process. Terence Gorski, author Newsletter. The calls on this topic indicate that not of Counseling For Relapse Prevention, has defined relapse as "a everyone read this alticle.) process that manifests itself in a progressive pattern of behavior that reactivates debilitating conditions in a person that has You may be contacted by some enterprising and preViously experienced remission from the illness." Or more "well meaning" sales people offering you an informa simply he describes relapse as "the absence of recovery." tion packet regarding the need for dentists to create an People who are recovering from the disease of chemical depen office "safety committee." Thanks to passage ofLB 757, dency can and do relapse. However, relapse is not just the in 1993, our state's Labor Department has the challenge dependent persons return to active chemical use. Relapse patterns begin prior to chemical use and are formed by attitudes, of seeing to it that darn near every office, regardless values, and behavior responses that occur within the person. of size and professional, has a "safety committee." Relapse can be prevented. Prevention requires recognition The law was written in way too broad a manner of relapse patterns prior to a return to chemical use. Relapse and may be amended in the near future. Dental offices, warning signs may include: thanks to OSHA, should already have guidelines in • Denial and defensiveness place that are very similar to those set forth in LB 757. • Compulsive and/or impulsive behavior If a dental office is complying with OSHA guidelines, • Depression they are doing as much or more than is called for in • Uncaring attitude this legislation. . • Self-pity Our contact at the Depattment of Labor indicated • Discontinuing treatment/support group attendance that dental offices are not really who this law was • Thoughts of "controlled" chemical use meant to cover. Non-medicallhealthcare offices were If you recognize these warning signs in your personal the intended "target." So, save your money and play it recovery process, remember that relapse can be prevented prior safe under CDC and OSHA regs. If you really want to a return to chemical use. The following steps can assist in more information (free) on this subject, call the Ne managing relapse symptoms: braska Depattment of Labor and request an infonna 1. Seek the assistance of a trained chemical dependency tion packet (402) 471-2239. counselor. 2. Maintain support group attendance and participate fully in the group. 3. Learn about relapse and identify your personal relapse warning signs. Smoking linked to implant failure 4. Involve significant others in your recovery process. For the first time, smoking has been identified as a major If you feel you need assistance with relapse issues or factor in implant failure, according to the results of a study chemical dependency issues in general, please contact Tim reported in The International.!ourna! of Oral and Maxillo Lee, M.S.W., Licensee Assistance Program Coordinator at 1 facia! Implants. 800-851-2336. The Licensee Assistance Program is a confi Researchers Crawford A. Bain, DDS, MSEd, of Dalhousie dential benefit for state licensed professionals who are University, Halifax, Nova Scotia; and Peter K. May, DMD, dealing with substance ahuse/addiction issues. University of California, Los Angeles, evaluated the influence of smoking on the failure rate of implants placed in 540 patients between 1984 and 1990. 9Speakers in One Day A total of 2,194 implants were placed in 311 women and UNMC's College of Dentistry presents a "Symposium on Head 229 men. Implants included completely and partially eden and Neck Pain," on Friday, May 20th, at the Nebraska Center for tulous arches, as well as single-tooth replacements. Both Continuing Education, a variety of topics will be discussed. They fixed and removable prostheses were included. include: Headaches, Differential Diagnosis of Odontogenic/TMD Patients were divided into smoking and nonsmoking Pain, Behavioral Aspects of Head and Neck Pain, Pain Related to groups, with 390 implants placed in smokers and 1,804 Head and Neck Cancer and other related subjects. implants placed in nonsmokers. Of the implants placed in This one day program will feature the clinical application of smokers, 44 were classified as failures, a failure rate of 11.28 basic sciences in the differential diagnosis and management of percent. Of the implants placed in nonsmokers, 86 implants head and neck pain and dysfunction. The management of pain in failed, a failure rate of 4.76 percent. this region is enhanced with a multidisciplinary approach because According to the researchers, analysis of the different of the different anatomic, physiologic, and psychosomatic factors that interact in the head and neck areas. The presenters will regions of the mouth revealed that in all areas except the represent the health disciplines of dentistry, neurology, radiology, posterior mandible, the failure rate in smokers was signifi clinical psychology, physical therapy, otolalyngology, and anes cantly higher than in nonsmokers. thesiology. As such, this program will be of interest to the clinical The researchers say that to date, no clear evidence exists diagnostic disciplines, health science students, interns, reSidents, as to the mechanism whereby smoking contributes to the and clinicians. failure of dental implants. They say that more research is For further information contact Dr. Myron Pudwill, 472-1272 needed in this area and in other factors that contribute to or Dr. Ronald Attanasio, 472-1368. implant failure. 14 NEBRASKA DENTAL ASSOCIATION Omaha Celebrates NCDHM The Omaha District Dental Society really helped Nebras Rising Fears of kans celebrate National Children's Dental Health Month in a big way. According to Scott Trapp (District Co-Chairman, NCDHM), Tuberculosis the Omaha District Dental Society in conjunction with Kids (Your Executive Director asked a 1'I'le11'lber qf the Production Inc. and Childrens Hospital held its annual event Nebraska Department ojLabor to sbare thefallow at the Omaha Civic Auditorium promoting childrens dental ing information), health. The 3 day event was called Kids Explore and gave Dear Tom, children the opportunity to engage in a variety of activities In summary of our conversation we had today promoting education. Patterson Dental Co. donated the use I submit the following: of two dental chairs to give rides to the children and Procter & Gamble, Warner Lambert and Colgate donated well over I recently attended a meeting in Chicago with 50,000 sample products. The Omaha District's booth was the authors of [he forthcoming Tuberculosis Stan staffed by numerous dentists, dental hygienists, dental assis dard from OSHA. It was made clear that at present tants and dental students to answer dental related questions the agency does not expect much impact to the and give out free samples of toothpaste and mouth rinse. The practice of dentistly by the new rules in most event turned out to be a huge success due largely to Dr. Mike settings. However, dental workers under certain Carlisle's and Dr. Galy Westerman's efforts. A special thanks circumstances are covered by the current enforce to Troy Ross from Warner Welcome and Stewart Peters of ment policy and will be covered by the new rule. Proctor & Gamble for their personal financial donations. In particular, dentists practicing in other health care settings, correctional institutions, homeless shelters, long-term care facilities for the elderly, or drug treatment centers should be advised to take precau tions to protect themselves and there staffs imme diately if they have not already begun to do so. Guidance on the methods of protection and all the details OSHA expects employers to provide TB exposed healthcare workers in available if those dentists practicing in those unique conditions will call me. As always, our otfice is available for assistance with any occupational safety and health concerns. Please remind your members that they can call me at (402) 471-4713 if they have questions. Thank you. Sincerely, Mark Safarik, CIH Young Dentist Conference The eighth national Conference on the Young Dentist Know Any Local Media Folks? will have keynoter Mark Sanborn addressing how to success The NDA sends out news releases to newspapers and fully apply dental education skills in a dental practice. Other radios throughout Nebraska. Many pertain to dental healthcare speakers and workshops topiCS range from clinical topics to tips, others are political (i.e. health system reform) and others practice management. announce health fairs or similar good deeds. The conference is August 18-20 at the Minneapolis Hilton We really, really could use the name(s) of people in the and Towers and is sponsored by the ADA Committee on the media business so that we can mail our news items directly New Dentists and partially funded by a grant from to them instead of using the "Dear Occupant" approach. Step Chesebrough-Ponds's USA Co. #1 would be NDA members telling us the names of editors, ADA members can get a discounted registration fee. reporters and newscasters who are responsible for creating Additional discounts apply for early registration. For infor your local gazette or radio news cast. Knowing that may mation, contact the Committee on the New Dentist, ADA prOVide us a better chance of getting our information in print WATS line, ext. 2779. or on the air. Step #2 would be a call or note from you to that local media person alerting them to the fact that from time to time they will be hearing from the NDA. Remind them A DENTIST in Southern Pines, N.C., posted this sign how much you would appreciate it if they print or broadcast in his office /IF/ass that bridge when you come to it. /I these important announcements. If that doesn't "sell", offer them a handful of toothbrushes. You get the idea! NEBRASKA DENTAL ASSOCIATION 15 EXPERIENCED GENERAL DENTIST seeking dental prac COMPETENT ASSOCIATE needed part to full time. Potential tice within 45 miles of Omaha, partnership with or buyout buy in 0ppoltunities. Midtown Omaha location. ('102) 733 from present dentist. Send replys to NDA Box 426. 3932 - Valorie or (402) 551-2238 - Dr. Lippold. FOR SALE: Dental Office EqUipment. Includes X-Ray units, PRACTICE FOR SALE: 1,400 sq. ft. faCility, 3 opera tories, numerous small instruments, oyen, casting machine. Mrs. nicely eqUipped. Rural setting within easy drive distance to Clifford Moss. Syracuse, NE. (402) 269-2644. Lincoln and Omaha. Nice net on 4 1/2 day week. For more SPACE AVAIlABLE for dental offi e in professional build information reply to NDA Box 1122. ing. Rapidly growing community near Lincoln and Omaha. USED EQUIPMENT FOR SALE: Satellite office N"\V Ia.; 2 Ops for more information write the NDA at Box 427. complete, AT 2000 processor. PAJ\!, Compressor, Vac, Cabinetry. TEMPORARY PLACEMENTS. TEMPORARY STAFFING. 5-6 Years old. New portable 0,. For complete list call (712) 423-2627. PRACTICE OPPORTUNITIES AND SALES. Dental Locum Tenens, Inc. 1128 Seiler Lane, laCross, WI 54601. (608) 787 FOR SALE: Oral Vision Plus Intraoral Camera System. r have 0984. upgraded to a multi-op system and have a single-op system FOR SALE: Intra oral video camera-complete printer (cart, for sale. Includes Panasonic Printer, KS152 Camera, Printer VCR, Etc.). Direct inquires to: P.O. Box 550, Oshkosh, NE and Cart. 6 months old for 58,200.00 ph. (402) 694-6244. 69154 or Phone (308) 772-3212. JUNE 4 & JUNE 18 FOR SALE: Small town practice 0,000 Population). Well Registered Professional Architect and practing Dentist, Dr. equipped with three chairs. 190K Average for the past three Michael Unthank, will present the Designing Solutions Seminar, years. Financing available. Respond to P.O. Box only, NDA Saturday. June 4th at The Guest Quarters Suite Hotel in Box 428. Chicago, and Saturday, June 18th at The Westin Crown Center Hotel in Kansas City, Missouri. The content of the seminar FOR SALE: Twin Dental Ez Vacuum System - 880, Two covers all aspects of dental office planning and is approved dental chairs tops - 5200 & $450, One Deltube chair com by the Academy of General Dentistry for 7 hours of Fellowship/ plete - 5750, Two doctor stools - $95 each, Triad Lab Light Mastership creelit. For additional information and registration Curing Unit, Pro-Lite Lab Light Curing Unit - 595, Dentomat please call (402) 438-1951. amalgam triturator, Wiggle bug amalgam triturator, Perio med irrigator (thermostat) with foot control, 286 Computer All ads with an NDA box number should be system complete - $500, Olympia electric correcting type mailed to: writer. Phone 423-3111, Lincoln. Nebraska Dental Association FOR SALE: Established practice in growing, velY progres NDA Box # _ sive community in central Nebraska. 3 operatories, lab, 3120 "0" Street private office, etc., spacious, state of the art equipment. Lincoln, NE 68510 Reply to NDA Box 1022. NEWLY DECORATED DENTAL OFFICE, most recently CLASSIFIED ADVERTISEMENTS: j\llust be submitted in L1sed by Endodontists, 756 sq. ft., 5250.00 per month, located typewritten form. Indicate the number of issues in which in Fremont, available immediately, (402) 721-599'1 the ad is to be published. Rates for NDA Members (per FOR SALE: 1 Chrome, 5-slot tub rack, 520.f)O; 2 chrome, 8 issue): $6.00 for 30 words or less; 20 cents for each slot tray racks, 520.00 each; 3, teledyne densco condensaires additional word. For replies to NDA box number, an with tips, 5150.00 each. Like new condition. Write: P.O. Box additional $1.00. For Non-NDA Members add fifty 224, Ord, NE 68862. percent to these rates. NOTE: Advanced payment for classified ads MUST accompany order. For Display PERSONALIZED PROFESSIONAL CLEANING - For clean Advertising rate card, contact the NDA office. Send office with a personal touch call Harold Christiansen classified ad with remittance to: Lincoln (402) 488-3685.8 years experience cleaning medical bcilities. References avaibble. Nebraska Dental Association 3120 "0" Street PART-TIME ASSOCIATESHIP WANTED with established Lincoln, NE 68510 general dental practitioner, in Omaha or surrounding area. If interested. Please send reply to NDA Box 224. DEADliNE: Four weeks before publication. New Members, Phone #'s, Addresses Please keep us updated re: new addresses, new plJone numbers, or corrections in the membership directoryl. NEW MEMBER NEW ADDRESSES Dr. Diane R. Hourigan Dr. Bret Cooper Dr. .Julia Loecker Dr. David K. Roberts Hioo Garden Street z20 5210 S. 40th Street, z44 3024 25th Street 201 East 12th Street Santa l3arbara. A 93101 Lincoln, NE 68516-4538 Columbus. NE btl60! Schuyler, i\'E 68661 (80";) 963-246l (402) 421-3313 (402) 563-4565 (402) :~'i2-2678 Dr. Veronica Cooper Dr. Robert Moore. Dean NEW PHONE # Dr. Marty Matz 5210 S. 40th Street, ,,44 School of Denti,try Dr. Wihelmina P. Jensen 10tll0 Prairie Hills Drive Lincoln, NE 68516-4538 \,Iest Virginia Uni\·ersity 7(,15 CISS Street Omaha, Nf 68144 (402) 421-3313 PO. Box 9400 Onwha, Nf 68114 (402) 397-tl050 Morgantown, WV 26506-9400 (402) 392-2880 Dr. Gene Huebner 9230 BUrl Street, Art. 313 As always, please welcome new colleagues, Omaha, NE 68114 new members and /'lew neighbors. (402) 393-7104 16 NEBRASKA DENTAL ASSOCIATION MAY 12 JUNE 9 ODDS Spring Golf Outing, Indian Creek Golf Course. CE. Course, "Update in Esthetic Dental Materials & For more information contact: Dr. Scott Morrison at (402) Adhesive Systems", Dr. Wayne Barkmeier, Creighton 496-6275. Univ. This course will be held in Scottsbluff. (6 hrs. CE.) MAY 13 JUNE 11 C.E. Course, "Restorative Dentistry", Dr. Gordon CE. Course, "Update in Esthetic Dental Materials & Christensen. Co-sponsored by ODDS and Creighton Adhesive Systems", Dr. Wayne Barkmeier, Creighton University School of Dentistry, 8 am - 3 pm. For more Univ. This course will be held in Deadwood, SD. (6 hrs. information contact Marletta McKercher at Creighton, 1 CE.) 800-544-5072 or 280-5054. JUNE 17 JUNE 3 CE. Course, "OSHA Annual Update," Dr. Roben Cooley, CE. Course, "Medical Emergencies In the Dental Office," Creighton Univ. (6 hrs. CE.) Dr. Richard Tempero, UNMC (6.5 1m. CE.) JUNE 18 JUNE 4 Same course as listed for June 4, in Westin Crown Center Designing Solutions Seminar, Guest Quarters Suite Hotel, Hotel in Kansas City, Missouri. (see ad in classified). Chicago, Dr. Michael Unthank, for information call (402) 438-1951 (see ad in Classified). JUNE 8 LDDA Golf Outing, Pioneers Golf Course, starting at 12 ·UNMC Course Registration (402) 559-4523 noon. Dinner and cocktails at Prospector Restaurant at 6 For Information (402) 559-4152 pm. For more info: contact Dr. Bruce Bavitz at 472-1314. University of Creighton registration and information in Omaha 280-5054. outside Omaha 1-800-544-5072 JUNE 8 CE. Course, "Update in Esthetic Dental Materials & Adhesive Systems", Dr. Wayne Barkmeier, Creighton Univ. This course will be held in Kearney. (6 hrs. CE.) N·E·B·R·A·S·K·A Nebraska Dental Assocation NON-PROFIT ORG. 3120 "0" Street U.S. POSTAGE DENTAL ASSOCIATION PAID Lincoln, Nebraska 68510 LINCOLN, NEBRASKA PERiVlIT NO. 643 PUBLISHED BY The Nebraska Dental Association 3120 "0" Street, Lincoln, NE 68510 (402) 476-1704 1-800-234-3120 FAX (402) 476-2641 OFFICERS Dr. Ed Vigna Dr. Richard Brunmeier President Treasurer Dr. Bill Thiemann Dr. Robel1 Howell PresideIll-Elect Speaker ti/the House Dr. James Smith Dr. Bill Corcoran Vice Presidellt Immediate Past PreSident Dr. David Blaha Dr. Myron Pudwill Secretary ADA Delegate Dr. Benton Kutler ADA Delegate Gary Westerman, DDS TRUSTEES 1106 So. 91st Ave. Dr. James Gerner Omaha Dr. Max Mal1in Lincoln Omaha, NE 68124 Dr. Mark Pinkerton Southeast Dr. SCOl! Wieting Central Dr. John Williams North Dr. Dan McClenahan Northwest Dr. Robert Wilson Southwest Dr. George Schlothauer West Tom Bassell Executive Director & Editor Julie Berger Administrative Assistant Gerilyn Hommerding Bookkeeper