PENNSYLVANIA DENTAL JOURNAL · 2016-09-13 · resume to the dean at your local dental school. If...

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PENNSYLVANIA DENTAL JOURNALPENNSYLVANIA DENTAL JOURNAL

YOUR PDA MOVING FORWARD

AFTER HISTORIC ANNUAL SESSION

SEE PAGE 13

Of f i c e r s

Dr. Stephen T. Radack III (President)413 East 38th Street, Erie, 16504(814) 825-6221 • [email protected]

Dr. Wade I. Newman (President-Elect)Bellefonte Family Dentistry115 S. School St., Bellefonte, 16823-2322(814) 355-1587 • [email protected]

Dr. R. Donald Hoffman (Imm. Past President)105 Penhurst Drive, Pittsburgh, 15235(412) 648-1915 • [email protected]

Dr. L. William Veihdeffer (Vice President)2021 W. 8th St., Erie 16505(814) 455-9194 • [email protected]

Dr. Peter P. Korch III (Speaker Emeritus)4200 Crawford Ave., NorCam Bldg. 3P.O. Box 1388, Northern Cambria, 15714-1388(814) 948-9650 • [email protected]

Dr. Jeffrey B. Sameroff (Secretary)800 Heritage Dr., Ste 811 • Pottstown, 19464-9220(610) 326-3610 • [email protected]

Dr. Samuel E. Selcher (Treasurer)700 Spring Garden Drive, Middletown, 17057-3034(717) 944-0426 • [email protected]

Tru s t e e s By D i s t r i c t

1st | Dr. Anand V. Rao | 20171845 Walnut Street, Ste. 950, Philadelphia, 19103(215) 567-0110 • [email protected]

2nd | Dr. Ronald K. Heier | 2015Drs. Graff & Heier, LLC100 Deerfield Lane #290 • Malvern, 19355-2159(610) 296-9411 • [email protected]

3rd | Dr. Eli Stavisky | 2016 700 Glenburn Road, Clarks Summit, 18411-2306(570) 587-5495

4th | Dr. Frederick S. Johnson | 2017Dental Art Images, LLC221 West Penn Ave. #213, Cleona, 17042(717) 272-8500 • [email protected]

5th | Dr. James M. Boyle | 2017Susquehanna OMS, PC2251 Eastern Blvd., York, 17402(717) 755-9695 • [email protected]

6th | Dr. Nicole Quezada | 201811671 Route 6, Wellsboro, 16901-6750(570) 724-2565 • [email protected]

7th | Dr. Cynthia A. Iseman | 2018100 Grant St., PO Box 338, Salisbury, 15558-0338(814) 662-2771 • [email protected]

8th | Dr. Thomas C. Petraitis | 2015101 Hospital Ave., DuBois, 15801-1439(814) 375-1023 • [email protected]

9th | Dr. Joseph E. Ross | 2016Olde Libray Office Complex106 E. North St., New Castle, 16101(724) 654-2511 • [email protected]

10th | Dr. Herbert L. Ray Jr. | 2015Univ of Pittsburgh School of Dental Med3501 Terrace St., 3063 Salk AnnexPittsburgh, 15261-2523(412) 648-8647 • [email protected]

ADA Th i rd D i s t r i c t Tr u s t e e

Dr. Andrew J. Kwasny3219 Peach Street, Erie 16508-2735(814) 455-2158 • [email protected]

PDA Cha i r s

Communications & Public RelationsDr. Tamara Brady

Dental Benefits CommitteeDr. George L. Hamm

Government RelationsDr. Craig A. Eisenhart

Membership CommitteeDr. Lawrence Montgomery III

Access to Oral Health CareDr. Gary Davis

Annual Awards CommitteeDr. Andrew J. Kwasny

Concerned ColleagueDr. Bartley J. Morrow

Environmental IssuesDr. Marian S. Wolford

New Dentist CommitteeDr. Amanda Q. Hemmer

PDA Cen t ra l O f f i c e

3501 North Front StreetP.O. Box 3341, Harrisburg, 17105(800) 223-0016 • (717) 234-5941FAX (717) 232-7169

Camille Kostelac-Cherry, Esq. Chief Executive [email protected]

Mary DonlinDirector of [email protected]

Marisa SwarneyDirector of Government [email protected]

Rob PuglieseDirector of [email protected]

Rebecca Von NiedaDirector of Meetings and [email protected]

Leo [email protected]

Ed i t o r i a l B o a rd

Dr. Daniel BostonDr. Allen FieldingDr. Marjorie JeffcoatDr. Kenneth G. MillerDr. Andres PintoDr. Deborah Studen-PavlovichDr. James A. WallaceDr. Charles R. WeberDr. Gerald S. Weintraub

JUL /AUG 2014 | P ENNSYLVAN IA DENTAL JOURNAL2

The Official Publication of the Pennsylvania Dental Association

FEATURES

CONTENTS

JUL/AUG 2014 | v81, n4

PENNSYLVANIA DENTAL JOURNAL (ISSN 0031-4439), owned and published by the Pennsylvania Dental Association, 3501 North Front Street, Harrisburg, 17110, is published bi-monthly: Jan/Feb, Mar/Apr, May/June,July/Aug, Sept/Oct, Nov/Dec. Address advertising and subscription queries to 3501 North Front Street, P.O. Box 3341, Harrisburg, 17105. Domestic subscriptions are available to persons not eligible for membership at$36/year; International subscriptions available at $75/year. Single copies $10. Periodical postage paid at Harrisburg, PA. “The Pennsylvania Dental Association, although formally accepting and publishing reports of the variousstanding committees and essays read before the Association (and its components), holds itself not responsible for opinions, theories, and criticisms therein contained, except when adopted or sanctioned by specialresolutions.” The Association assumes no responsibility for any program content of lectures in continuing education programs advertised in this magazine. The Association reserves the right to refuse any advertisement forany reason. Copyright ©2014, Pennsylvania Dental Association.

The mission of the Pennsylvania Dental Journal is to serve

PDA members by providing information about topics and issues

that affect dentists practicing in Pennsylvania. The Journal also

will report membership-related activities of the leadership of the

association, proceedings of the House of Delegates at the annual

session and status of PDA programs.

Editor | Dr. Bruce R. Terry85 Old Eagle School Road, Wayne, 19087-2524(610) 995-0109 / [email protected]

Associate Editor | Dr. Brian Mark Schwab1021 Lily Lane, Reading, 19560-9535(610) 926-1233 / [email protected]

Director of Communications | Rob PuglieseP.O. Box 3341, Harrisburg, 17105(800) 223-0016 / FAX (717) 234-2186 / [email protected]

Editor Emeritus | Dr. Richard Galeone3501 North Front Street, Harrisburg, 17110(215) 855-4092 / [email protected]

Editor Emerita | Dr. Judith McFadden3386 Memphis Street, Philadelphia, 19134(215) 739-3100 / [email protected]

POSTMASTER: Send address changes to Pennsylvania Dental Association, P.O. Box 3341, Harrisburg, PA 17105. MEMBER:American Association of Dental Editors

3

12-25 146TH ANNUAL SESSION RECAP

13 YOUR PDA IS MOVING FORWARDBy Dr. Bruce R. Terry, Editor

28 MEET PDA PRESIDENT DR. STEVE RADACKBy Rob Pugliese, Director of Communications

DEPARTMENTS

IMPRESSIONS

5NEW MEMBERS

11

IN MEMORIAM

37INSURANCECONNECTION

CONTINUINGEDUCATION

4139CLASSIFIEDADVERTISEMENTS

43

GOVERNMENTRELATIONS

7

4 JUL /AUG 2014 | P ENNSYLVAN IA DENTAL JOURNAL

IMPRESSIONS

are just a few of the advancements intreatments, but just imagine whatendodontic rotary instrumentation hasdone for endodontics and air abrasionand lasers have done for restorativedentistry. Imagine a future that castsaside all of our current treatments as ifthey were as outdated as gold foil.Dental universities are aware of the

opportunities available for the discovery ofnew techniques, products and therapies.There is a rush to find research-orientedfaculty with a strong background inlaboratory research and fewer clinicalskills. If you are reading this and thinkingthat private practice is not for you, it’stime to get your PhD and present yourresume to the dean at your local dentalschool. If you are a soon-to-be graduateyou may want to consider a career inacademics, for this is truly an overlookedopportunity.Researchers with a dental background

are like college athletes on the day of adraft. Dental schools are recruiting and forgood reason. The dental schools arehoping to increase their public exposurewith new product research anddevelopment, not to mention the incomegenerated from these products and ideas.Most universities have technologydevelopment departments designed tohelp develop, patent and market products,all with the hope of a future revenuestream. They are investing in the future,much in the same way that corporateAmerican is doing.Just reading issues of IADR and AADR

(International and American DentalResearch) Journals or JADA, one can seethe myriad of research going on. Thisresearch will change the way we practice.Just as we moved from the back room ofthe local tavern to the modern dentaloffice, but the central theme will still beelectricity. It seems without it we will still

cancel the appointment. I explained thesituation to my patient and she was veryunderstanding. We got her anothermagazine and waited. At 9:00 a.m. I hearda click and hum. It was the vacuumsystem powering on. In fact everythinghad come back to life. Within a fewminutes I was able to start the surgery andthe rest of the day was uneventful.During the surgery I joked with my

patient about our dependence on powerboth in and out of the office. I told herthat I go camping frequently and find itdifferent to live “off the grid.” We talkedabout what dentistry was like long agowhen power was not readily available andI told her that back then an extraction inthe back room of a tavern was the mostcommon dental procedure performed.Later, I got to thinking about the future

of dentistry. With all of our moderntechnology and nearly faultless powersupply, what will the dental office of thefuture be doing and how will it be differentfrom today?Nearly every area of dental care has and

will continue to change. New techniquesfor saving teeth are already being used onpatients. Pulpal regeneration is changingthe way we provide endodontic therapy. Aday may come soon when we won’t cleanand fill a necrotic tooth with gutta percha,but instead, clean and place stem cells orplasma to effectively grow a new pulp.Tests and therapies are being developed

to limit the destructive bacteria thatcause tooth and gum disease. Lasers arereplacing handpieces. CBCT machines arereplacing conventional radiography.On a molecular level there is a great

deal of research into nanotechnology, thedevelopment of sub-molecular buildingblocks to do just about anything fromdelivering medication to repairing andrebuilding what has been lost due to disease.Preventative therapies and regeneration

Lights Out

I lost partial power at my office theother day. It was strange that some of theoutlets worked and others didn’t. I learnedthis as I arrived at my office at 8 a.m.My first patient was an apicoectomy at8:30. I checked the X-ray machines andwe were lucky that two of the fourmachines were working. We had powerto the chair and light in all of thetreatment rooms. Even the computers ineach treatment room, as well as theserver, were functioning. Elsewhere in theoffice, computers were out, copy machinesoff and the credit card machine dead.Luckily, we got everything going with afew extension cords. We called PECO andthey said they were aware of the problemand were fixing it as fast as they could.I was confident that we could survive.I had four treatment rooms and two hadX-ray units that worked.I got my patient numb and began to

prepare for the surgery. When the patientrinsed out we quickly realized that thesuction was off. I went to the utility closetand checked everything. The compressorwas working, the phone system wasworking, but the 30 amp hard wiredvacuum system was not. Uh oh, now what?I tried to turn the circuit breakers on

and off, but that did not help. I couldn’tplug it into something else because itwas hardwired. I called my dental supplypeople and asked if they had a “MacGyver”solution. They suggested a Shop Vac forthis type of problem, but I didn’t have oneand I needed to start this surgery or

JUL /AUG 2014 | P ENNSYLVAN IA DENTAL JOURNAL 5

By Dr. Bruce R. TerryEditor


IMPRESSIONS continued

have to close our practice for the day.Someone must also find a way to

bring these advanced treatments toplaces in the world where dental care isstill a luxury. It’s a shame that mostmission work is limited to cleanings,simple restorations and extractions.I look forward to the day when researchbrings us working solutions as simpleas fluoride to prevent tooth decay andspray on enamel when decay hasstarted. I think that is where we need tofocus our research for now. Oh, and let’snot forget the back-up power supply.

—BRT

GOVERNMENT RELATIONS

allowed Dental Lifeline Network to rehirea regional coordinator for the eastern partof the state while maintaining thecoordinator already existing in westernPennsylvania. These individuals screenpatients, recruit volunteer dentists andlaboratories and handle the administrativeand logistical tasks for volunteers andpatients.Dental Lifeline Network entered into

a contractual arrangement with theDepartment of Health, which will overseethe release of state funds. In thesummer, Dental Lifeline Network hired anindividual for the open coordinatorposition, who is working full-time at anoffice based in Harrisburg.

members who are constituents of thecommittee members, asking them tocontact their representative and senatorto request support for this legislation.PDA is hopeful that the General Assemblywill pass this legislation in the fall.

Donated Dental Services programDental patients with limited or no

financial means will benefit from thecontinuance of the state’s funding in theDonated Dental Services (DDS) program.The program, which is administered byDental Lifeline Network, facilitates care forpatients who are elderly, disabled ormedically fragile and unable to afford thecost of care. The restoration in funding

The Pennsylvania General Assemblyadjourned for the summer after missingthe constitutionally-mandated deadline ofJune 30 to pass the budget for FY 2014-2015. The last few weeks of sessionfocused on the highly-contested issues ofpension reform and liquor privatization,discussions on which delayed passage ofthe budget until July 10. Legislators are now at home in their

district offices until mid-September. Weencourage you to contact them over thesummer, just to keep open the lines ofcommunication and strengthen yourrelationships with them. We also ask thatyou participate in PDA’s LegislativeCheckup Week, scheduled for September8-12. Simply schedule an appointmentwith your representative and senator forone day during that week to discussPDA’s issues. That way our issues will beat the forefront of legislators’ mindswhen they return to session the followingweek. We’ll provide all the informationyou need for these meetings. Call thegovernment relations staff at (800) 223-0016, or log on to padental.org to findtalking points, legislative handouts andother information.

Legislative Update

Assignment of Benefits (HB 2263 andSB 520)In the spring, Rep. Karen Boback

(R-Columbia, Luzerne & Wyoming)introduced a companion bill in the Houseof Representatives that would requireinsurers to honor assignment of dentalbenefits. HB 2263 is identical to SenateBill 520, which would require insurancecompanies, upon patients’ request, toassign benefits directly to non-participatingproviders.Both HB 2263 and SB 520 are assigned

to the respective House and Senatecommittees that handle insurance issues.Over the summer, PDA reached out to our

7JUL /AUG 2014 | P ENNSYLVAN IA DENTAL JOURNAL


GOVERNMENT RELATIONS continued

to assist MA providers in understandinghow to demonstrate “meaningful use” ofthe system, the Department of PublicWelfare (DPW) issued guidance to theprovider community, which is available onPDA’s website at www.padental.org.Providers should contact DPW directly

with questions about this program. Forquestions and/or to provide feedback aboutthe Medical Assistance Electronic HealthRecords Incentive Program, pleasecontact DPW at [email protected] 1-888-734-6433.

Prescription Drug AbuseThere is growing concern among

lawmakers and the Administration aboutthe misuse of prescription drugs, whichoften results in an addiction to heroin,especially among teens. PDA has beenasked to participate in stakeholdermeetings to develop guidelines andresources for the health care providercommunity. Rep. Ron Marsico (R-Dauphin),

in funding. The additional funding shouldincrease the number of slots available todentists. The program gives a maximumloan forgiveness capped at $64,000 forfour years of service.

Other News

Electronic Health Records IncentivePayment ProgramThe Medicaid Electronic Health Records

Incentive Payment Program is a federalprogram that provides funding to states todevelop and administer Medical Assistance(MA) provider electronic incentiveprograms. States receive a 90/10 percentmatch for program administrationexpenses and 100 percent match forprovider incentive payments. The program’sintent is to encourage provider adoption,implementation and meaningful use ofelectronic health records. Professionalscould be eligible to receive payments upto $63,750 over a six-year period. In order

Funding for this program continues tobe an issue each year. PDA must be diligentin making sure that the state continues toappropriate the $150,000 required tomaintain the two coordinators needed torun this program. We are happy to reportthat the legislature maintained fundingfor FY 2014-15.

Health Practitioner Student LoanForgivenessGovernor Corbett’s budget proposal

included expanding access to primary careservices in underserved areas byincreasing by $4 million funding for thestate’s health practitioner loan forgivenessprogram. The funding would be used tooffer loan repayment to an additional70 physicians, dentists and other primarycare practitioners who agree to serve acertain number of years in designatedhealth professional shortage areas. The budget passed by the General

Assembly included an additional $1 million


GOVERNMENT RELATIONS continued

initiatives, including reforms to the MedicalAssistance program. The coalition alsoresponds to local communities thatdebate whether to remove fluoride frompublic water supplies and assists thosecommunities that wish to have it added.In the coming months, PCOH will requestfeedback from Governor Corbett andhis opponent Tom Wolfe on where theystand on oral health issues. Stay tuned fora comprehensive update on PCOH in theSeptember/October issue of the Journal.

These resources are available athttp://www.ada.org/7541.aspx.

Pennsylvania Coalition for Oral HealthIn July, PDA staff and volunteer

members participated in a quarterlymeeting of the Pennsylvania Coalition forOral Health (PCOH) in Harrisburg.Dr. Bernie Dishler, former president ofPDA, presided over the meeting as chairof PCOH’s steering committee. PCOH is focusing on a number of policy

chair of the House Judiciary Committee,also asked PDA’s assistance withinforming the dental community aboutthis crisis and ask for help to mitigatethe potential for abuse.The ADA offers dentists a number of

programs to help, including a freecontinuing education webinar. Theseresources provide guidance onappropriately prescribing drugs and howto identify the warning signs associatedwith patients who may have an addiction.

Did You Know?

Did you know that under certain circumstances, dentalhygienists are able to provide care to patients without thedentist being physically present in the office? Dentistsmust first use the ASA Classifications to determine apatient’s health and treatment plan and the appropriatelevel of supervision of the dental hygienist. ASA CLASS I—A classification of patient status developedby the American Society of Anesthesiologists for apatient without systemic disease.ASA CLASS II—A classification of patient status developedby the American Society of Anesthesiologists for apatient with mild systemic disease.ASA CLASS III—A classification of patient status developedby the American Society of Anesthesiologists for apatient with severe systemic disease that limits activitybut is not incapacitating.ASA CLASS IV—A classification of patient status developedby the American Society of Anesthesiologists for apatient with incapacitating systemic disease that is aconstant threat to life.ASA CLASS V—A classification of patient status developedby the American Society of Anesthesiologists for amoribund patient not expected to survive 24 hours withor without operation.

General supervision is defined as the supervision of adentist who examines the patient, develops a treatmentplan, authorizes the performance of dental hygiene servicesto be performed within one year of the examination andtakes full professional responsibility for the performance ofthe hygienist.

Direct supervision is still defined as supervision by adentist who examines the patient, authorizes the procedureto be performed, is physically present in the dental facilityand available during performance of procedures, examinesand takes full professional responsibility for the completedprocedure.

Following are the supervision requirements in privatedental offices:

Placement of subgingival agents: Hygienists may provide thisservice under direct supervision, but general supervisionwould apply if the dentist has reviewed the patient’s recordsand medical history and has written a prescription or givenan order for the placement of subgingival agents.

Periodontal probing, scaling, root planning, polishing or anotherprocedure required to remove calculus deposits, accretions,excess or flash restorative materials and stains from the exposedsurfaces of the teeth and beneath the gingiva: Hygienists mustprovide these services under direct supervision when thepatient is suffering from systemic disease which is severe,incapacitating or life threatening. General supervision wouldapply if the patient is free of systemic disease or suffersfrom mild systemic disease (as determined by the dentist,with input from the hygienist).

Evaluation of that patient to collect data to identity dental hygienecare needs: Hygienists may provide this service undergeneral supervision.

Application of fluorides and other recognized topical agents forthe prevention of oral diseases: Hygienists may provide thisservice under general supervision.

Conditioning of teeth for and application of sealants: Hygienistsmay provide this service under general supervision.

Taking impressions of teeth for athletic appliances: Hygienistsmay provide this service under general supervision.

Administration of local anesthesia; Hygienists may providethis service only under direct supervision.

Expanded function dental assistants and dental assistantsmust always practice under the direct supervision of adentist. If you have questions about supervisionrequirements, please contact PDA’s government relationsstaff at (800) 223-0016.

NEW MEMBERS

11JUL/AUG 2014 | P ENNSYLVAN IA DENTAL JOURNAL

Nigar Aftab, DDSDemontmorency College ofDentistry, Pakistan 1973King of Prussia

Corey B. Chmil, DMDTemple University ‘05Scranton

Eric J. Granquist, DMDThe University of Connecticut ‘04Philadelphia

Francis Hoerz, DMDTemple University ‘96King of Prussia

Katti M. Karas, DDSUniversity of Missouri, KansasCity ‘13North Wales

Welcome New Members!Following is a listing of members who have recently joined PDA, along with the dental schools from which they graduated and theirhometowns.

Adeel Khan, DDSOhio State University ‘09Pittsburgh

Rajeev Mahajan, BDS, DMDUniversity of Pittsburgh ‘12State College

Michael K. McGannon, DMD, MDUniversity of Pittsburgh ‘08Gainesville, FL

Mana K. Nejadi, DMDUniversity of Pennsylvania ‘04Philadelphia, PA

Michael J. Noonan, DDSUniversity of Iowa 1972Altoona

Jung-Joo Park, DMDUniversity of Pennsylvania ‘13Philadelphia

Ajaykumar N. Patel, DDSUniversity of Southern California‘13North Wales

Jason L. Shoe, DMDHarvard University ‘05Hanover

Rehan Sibgatullah, DDS, BDSNew York University 1998Conestoga

Diana Y. Silva, DMDUniversity of Pennsylvania ‘08Philadelphia

Paulette Soltis-Hamilton, DMDTemple University 1997South Abington Twp

Charmie D. Soni, DMDTemple University ‘12Philadelphia

Kimberly R. Stampien, DMDTemple University 1993Clarks Summit

Robert M. Weston, DDSCase Western Reserve University1987Reading

PENNSYLVANIA DENTAL ASSOCIATION | 146TH ANNUAL SESSION | HERSHEY, PA


Very few things at the PennsylvaniaDental Association can be called epic.But that is exactly what we will call the146th House of Delegates that metApril 25-26, 2014 in Hershey. Why epic?Because, after more than five years ofdiscussion and planning, the Houseeffectively voted to dissolve itself for thegood of the association.Let me take you back for a moment.For some time, PDA has been struggling

to maintain and grow membership whilecontinuing to conduct business and followits mission statement. Dynamic forceslike an aging population of dentists,burdensome debt of recent graduates andchanging ideals in millennials had allcontributed to a slow, but steady, declinein membership.In 2009 we faced some severe financial

challenges, and just like many of you didwith your home and practice finances, PDAneeded to have a strategic plan in orderto move ahead. One of the things that we did was to

hire a well known association consultantwho had lectured to us several times in

the past. Mary Byers is respected in herfield and has written a book called “Racefor Relevance.” She writes about theassociation of the future and gives exam-ples of what organizations similar to PDAshould look like moving forward.At the same time, we were facing

financial challenges because our incomestream was declining. While we hadgained significant income with PDAIS, wewere aware of several important futureissues. The first was that with each loss ofa member we would see less income.Next, each retired member moving to anew reduced income category would resultin less income. Third and most important,we were concerned with the AffordableCare Act and how it might affect PDAISand our future income stream.All of these financial factors created a

perfect storm of trouble. Our leadershipcould see this storm coming and had theforesight to start preparing. As in all wellmeaning groups there was lively discussionwith agreement on some issues but noton others.While all of this was taking place, those

involved with membership continued tolook for ways to retain and increasemembership. Sadly, despite much timeand effort spent on securing our future, wecontinued to decline as an organization.Despite our concerns, we continued to

sponsor events for new dentists and nonmember dentists. We also continued ouradvocacy efforts with Day On The Hilland other initiatives that resulted inlegislation in our favor with insuranceissues and license issues. We were alsoeffective in keeping the government outof our offices when OSHA and stateregulators were trying to make the practiceof dentistry more difficult.So, with that as background, let’s move

ahead. Three years ago the House ofDelegates was persuaded that we neededto change how PDA governs itself. Weformed a committee that explored howother states work and we invited com-ments from members. When the Houseconvened in 2013, it approved a provi-sional plan that would create a new Boardof Trustees and eliminate the House ofDelegates altogether. The idea was to

YOUR PDA IS MOVING

FORWARDBy Dr. Bruce R. Terry, Editor

146TH ANNUAL SESSION


have a core group of individuals makingthe choices of the association as neededwithout a yearly meeting to approve largechanges. This would in effect make PDAmore nimble and enable leadership toreact as needed. In this fast paced newworld of information at the speed of light,the change made sense.But, change is never easy, and there

was much discussion regarding the prosand cons of such a change. The goal ofthe leadership after the 2013 House ofDelegates meeting was to take all of thebroad changes and ideas and make themspecific and palatable for everyone. Foranother year a committee (GovernanceTask Force) met regularly to examine ideasand write the new rules to govern PDA.At this year’s House meeting, we finally

agreed on those changes and we are nowprepared to move forward.What does this mean to you as a

member?Well, you now have the opportunity to

be more involved than ever. Probably thebiggest change to our organizationalstructure is that we will no longer have aHouse of Delegates. Instead we will havea Board of Trustees comprised of a trusteefrom each of our 10 districts. That hasnot changed. We will replace the Housewith a Council of Presidents consisting ofeach district president, with the president-elect and each local president servingas ex-officio members. These two groups

will form our new PDA leadership. Theywill meet regularly and communicateelectronically to handle the business ofPDA. That includes, but is not limited to,how and where to spend our money,what issues of advocacy are timely andimportant, what programs need to beimplemented, changed or stopped, andhow to help our membership thrive.These groups will be seeking input fromthe membership. You will be able to makeyour voice heard.We also agreed that we are a collegial

group, and as such we will continue tohave an annual session. During this nextyear we will explore how that will occur.It’s important to note that it will now beinclusive to all members and not just thepast House of Delegate members. It mightinclude a day of continuing educationor a vendor showcase. We don’t have theexact format figured out yet. Stay tunedto the Journal, eNews Update, the websiteand Dr. Steve Radack’s President’s Blog onthe PDA Social Network for news on theApril 2015 annual meeting as it develops. Our PDA, your PDA, is moving forward.

Before the House concluded its 2014business, delegates approved severalresolutions relevant to you, the memberdentist. Besides all of this work toreorganize, we also recognized that weneed to help our newer members with apolicy to help advocate for solutions tothe burdensome debt of recent graduates.

We also agreed to create a new committeethat will help explore issues with third-party carriers. The House agreed to makepolicy to fight for the dental team tocontinue to be supervised by a dentist evenif we see new mid-level providers.We can now focus on what’s really

important: our members and future mem-bers. We want to make our associationthe very best. We want non members tobeg to become members. We wantPennsylvanians to expect their dentiststo be PDA members. We want legislatorsto come to us for advice and listen whenwe want change. We are going to do allthis and more, but we are also going toneed your help. Please spread the wordthat there is a new PDA. Tell your nonmember friends that there is strength innumbers. If our practices are going tosurvive this new world of health care andfinancial uncertainty we need one voice.That voice is your PDA.

—BRT


Metamorphosis:met·a·mor·pho·sismet-uh-mawr-fuh-sis1. A profound change in the form,structure, or substance;

2.Any complete change in appearance, character, circumstances;

3. A form resulting from any such change.

After the brilliant light and intensiveenergy of summer, the natural world coolsand contracts. The dimming days ofautumn are all too soon followed by thedescent into the dark months. In Januaryfrigid masses of North Pole air spun south.In addition to sub-zero temperatures,disruption of travel and general misery, anew phrase, Polar Vortex, was introducedto describe extreme winter weather.Winter brings powerful storms, but alsoradiant clear days with azure skies anddeep vistas. Unlike most animals,human activity seems to increase as thetemperature drops. As the fall progressedto winter, all manner of hustle and bustleoccurred at 3501 North Front Street.

Organizational Restructuring

In April 2013, the PDA House ofDelegates passed HD 13-09 which directedthat a “Governance Task Force beappointed… in order to assist in thetransition to a new governance structure.”From this resolution, GTF 2.0, chaired byDr. D. Scott Aldinger (3), was established.Parallel with this effort, as directed byHD 13-10, HD 13-11, HD 13-12 andHD 13-13, Speaker Korch (7) worked withthe Bylaws Committee and establishedthe “District Select Bylaws Review Group”to “craft the bylaw changes necessaryto implement” the governance model pro-posed by the 2013 Reference Committeeon Organizational Affairs. Over thepast months, both groups have workedassiduously to fulfill their charge. As the country adjusts to the New

Normal economics of the post 2009 GreatRecession era, it is becoming increasinglyobvious that organizations, be they yourlocal Rotary or Lions Club, golf course,or any other organization, cannot continueto conduct business as they did in the

2000’s or before. Even a casual review ofthe membership trend data provided byMs. Donlin or the financial data providedby Treasurer Selcher (5) shows that thereis a need for the PDA to change itsgovernance and operational models. Thepressing issues facing dentistry requirethe PDA to be a strong advocate fordentistry, facilitated by a strong financialfoundation, without being compromisedby cutting valuable member programsor by forgetting who we are and what wevalue as a profession. While you may ormay not approve of all, or parts, of therestructuring reports that will be put forthat this year’s Annual Session, the need forthe PDA to change is evident. I urge youto approach this process with an openmind, work towards compromise, anddevelop a governance structure that willtake the PDA into the future. Yourdeliberations on a new governance modelfor the PDA cannot afford to experiencethe unwillingness to compromise that isso prevalent today in D.C.


President Dr. R. Donald Hoffman’s

REPORT TO THEHOUSE OF DELEGATES


Legislative/Advocacy Activities

PDA’s legislative activities began onJune 4 with our annual Day on the Hillmeetings. Subsequent to this, the followingoccurred:• As part of the Commonwealth’s FY14budget, full funding for the DonatedDental Service (DDS) program wasrestored. The restored funding allowedthe Dental Lifeline Network to restoreone regional coordinator positionin the eastern part of the state whilemaintaining the coordinator alreadyexisting in Western PA. This program,funded by the Dental Lifeline Network,provides dentistry to individuals withdisabilities or without financial means.

• Volunteer License: HB 1056 would allowthe State Board of Dentistry to issuetemporary volunteer licenses to dentistswho are in good standing in other statesor territories, so that they may volunteerat charitable events, or provide careduring emergencies in Pennsylvania.HB 1056 passed the House in April 2013and the Senate in January 2014; andwas signed by Governor Corbett inFebruary. The bill (Act 7) now mustmake a convoluted journey through theregulatory review process, which cantake up to 18 months. Efforts are beingmade to expedite this process.

• Assignment of Benefits (AOB) – Effortsto achieve Senate approval of AOBhave been unsuccessful. On January 25the PDA Board met with Ms. Callahanof the Winter Group to discuss strategy.At this meeting a decision was made tochange our approach from seeking initialapproval in the Senate to seeking initialapproval in the House of Representatives.A meeting with Majority Leader MikeTurzai (R-28) was scheduled for March 10.

• The Fluoride Now Coalition evolved intothe PA Coalition for Oral Health (PCOH).During 2013 Immediate Past PresidentBernie Dishler (2) was appointed by thePCOH steering committee to serve asits Chair. The PCOH advocates for manyof the policies supported by the PDA –streamlining Medicaid credentialing andbilling; loan forgiveness and tax incentivesfor dentists; oral health campaignsfocused on prevention and care forchildren – and the PDA intends to takean active role in their implementation.

I look forward to your participation inPDA’s upcoming Day on the Hill inHarrisburg which is scheduled for June 3,2014. Dr. Stephen Radack (9), yourincoming President, is a pragmaticindividual. He is receptive to new ideas,and wise from his experiences as yourformer Treasurer and District NineTrustee. His consensus-building skills willfurther advance PDA’s collaborativeefforts. I extend my best wishes to STR3as he begins his tenure as your President.

Weber Campaign

In 2012 Dr. Charlie Weber (2) declaredhis intention to be a candidate for ADAPresident-elect. Unfortunately, the resultdid not turn out as we had hoped. Thankyou, Charlie, for conducting a professional,well-run campaign. Thanks also need tobe expressed to Drs. Linda Himmelberger(2) and Ron Heier (2); and to Charlie’scampaign committee for its efforts onhis behalf. Their efforts, along with thoseof the PDA delegation during the ADAAnnual Session, and the countlessothers who toiled in this effort are deeplyappreciated.

In Closing

At the conclusion of the AnnualSession, the Ferryman will transport meto the land of former officers. BeforeCharon takes me on this journey, I wouldlike to thank you, the membership, forenabling me to participate in the leader-ship of the PDA as Trustee, Treasurerand President. I would also like to thankthe members of District Ten and thecurrent and former Board members fortheir support over the years. These arehard-working groups and they deserverecognition for the many hours theyexpend in serving the Association anddentistry. Also, I extend my heartfeltgratitude to the staff, present and thoseno longer with us, who have facilitated myefforts and the interests of the PDA.Thanks again for the honor of serving asyour President.


Dr. R. Donald Hoffman presented the PDADistinguished Service Award to Dr. RobertRunzo on April 26 during the SecondMeeting of the House of Delegates.

The recipient of the 2014 PDADistinguished Service Award is Dr. RobertRunzo. Bob has been a fixture in my lifefor 42 years as a mentor and a friend andI should say that many of you also haveknown him, been mentored by him, andbeen guided by his direction over the years.Bob would you come up for the award.

Dr. Runzo’s remarks: Mr. President, thank you for your very,

very kind introduction. And, also I want tothank Dr. Hoffman for his excellent servicethis year as president of our PDA, andmore than that, his 40 plus years at Pittboth as an educator and administrator.Forty years is a long time and he is one ofthe factors that helped make Pitt one ofthe great dental schools in the UnitedStates. So, thank you. Officers, trustees, members of the

House, colleagues and most importantly,

friends, it’s truly a great honor to beincluded as a member of a very specialgroup of individuals who have receivedthis award over the years. Sixty-six years ago, most of you are not

that old, 1948, I graduated into the worldof dentistry and I entered the University ofPittsburgh as a freshman. I certainly haveloved my profession over the years andI would do it all over again – it’s a fabulousprofession. I served both as a pediatricanesthesiologist and a pediatric dentistand I’m most grateful for having hadthe good fortune and privilege of beinga dentist. Now over the years there have been a

lot of changes in dentistry, mostly for thebetterment, not only of the profession butfor our patients, which is very important.But aside from all of the new techniquesand procedures, equipment and the 3-D’sand all the other stuff in the office, I thinkthe greatest change I’ve noticed over theyears is a proliferation of dental groups,individuals and organizations whosemembers have given so freely of their timeto help the tens of thousands of individuals

who in the past have needed care andnot been able to receive it for many, manyreasons. To name just a few groups: SpecialCare Dentistry, the American Society ofGeriatric Dentistry, The Academy ofDentistry for Persons with Disabilities, andthe dental homes that have been estab-lished. Both the American College and theInternational College have foundations tohelp. Give Kids a Smile (which everybody’sin), the Catholic Charities, the FisherHouse, Donated Dental Services, and veryimportantly Missions of Mercy whichkind of brings us very close to home. Garyspoke of this a little bit ago and we haveour own in Pennsylvania. I think mainly,initially, because of Bernie Dishler andGary Davis, who in 2012, founded andincorporated this and you all know thedetails. A year later almost 2,000 peoplein a two-day period were treated for dentalcare in a big facility in North Philadelphiasomewhere and these people probablyhad never had care before, and thesewonderful people gave their time (to methey were magnificent) a thousandmagnificent people gave of themselves


Dr. Robert Runzo Receives

PDA DISTINGUISHEDSERVICE AWARD


DR. JON JOHNSTON RECEIVESPIERRE FAUCHARD AWARDDr. Jon Johnston, received the Pierre Fauchard Award from formerPDA president Dr. Linda K. Himmelberger at the First Meeting of theHouse of Delegates April 25.

without seeking anything in return. A truestatement is that a few determinedindividuals can really make great thingshappen and they did. At this point I want a few thanks and

accolades to go out to a few people here.First of all to my own group in Pittsburgh,we have a nomination committee andthat committee started with MichaelGans, Don Stoner and Cindy Schuler andthey nominated me for this very, verywonderful honor. So, for them, I thank you.Also, Tom Gamba and his annual awardscommittee, I thank you too. I don’t want

to neglect to mention Gary Davis,congratulations on your award. Accoladesgo to Camille and her staff and also to Janand Marion in our own office in Pittsburgh.These wonderful people whom we don’tsee that often have given their time andtheir devotion and dedication to takingcare of us and we should always thankthem for what they do. Very special thanksto the love of my life, Joanne my wife, she’sgiven me 61 years of joy and happinessand even more than that she has fulfilledone of the most important and challengingroles that life offers—that of being a

mother. So, if any of you ladies are mothersyou know what I’m saying—we shouldalways thank our wives for being mothers.Each day give thanks to the Lord for allthat he’s bestowed upon us and to eachof you here I would like you to alwayshave health to spare, friends who care, andlove to share.So, to all of you, best wishes for a very,

very happy and healthy future in your lives,as well as your professional lives andyour personal lives. I thank you very muchand God bless.

Thank YouLeader’s Circle ($25,000 and above)

Pennsylvania Dental AssociationInsurance Services, Inc. (PDAIS)President’s Circle ($5,000 - $9,999)

Pennsylvania Society of Oral andMaxillofacial SurgeonsThe Dentists Insurance Company (TDIC)DemandforceThe Dental Society of Western PA

Trustee’s Circle ($2,000 - $4,999)

Thayer Dental Laboratory, Inc.Capital Blue Cross

Delegate’s Circle ($1,000 - $1,999)Eastern Dentists Insurance Company (EDIC)Delta DentalBank of AmericaGoldberg Katzman, P.C.Citizen’s Bank

Member’s Circle ($500 - $999)Fifth District Dental SocietyCareCredit

Contributor’s Circle ($250 - $499)Liberty Mutual InsuranceMetro Bank (in kind)Hershey Resorts (in kind)

The Pennsylvania Dental Association is deeply grateful to the followingsupporters of the 146th Annual Session


Dr. R. Donald Hoffman presented the PDAPublic Service Award to Dr. Gary Davison April 26 during the Second Meeting ofthe House of Delegates.

The recipient of our Public ServiceAward is Dr. Gary Davis. Dr. Davis has beena driving force in bringing oral health careto the indigent and underserved both inhis community in Cumberland County andlands far away. He has seen up close thebarriers faced, the difficult living conditionsand the lack of living necessities that theaverage person takes for granted. Allthese years of dedicated service built upto the monumental role he took as generalchair of the first MOM-n-PA project. Forhis unwavering commitment and inspiringleadership that brings quality oral healthcare to those most in need, PennsylvaniaDental Association is pleased to honor Dr.Davis with the 2014 Public Service Award.

Dr. Davis’ remarks:Thank you. I am humbled and honored

to be given this prestigious award. Mydeepest thanks to the selection committee,

the PDA and the Fifth District, whichnominated me.I share this award with all those who

have been my mentors, advisors, partnersand friends along this journey. I especiallywant to thank my wife Marie and my kids– Zach, Elizabeth, and Rebecca – who putup with me spending hours upon hours atmeetings and on the computer and whohave always supported my passion to helpthose less fortunate than us. My journey with dental mission work

began almost as soon as I joined organizeddentistry. It was Mike Cerveris and BobZimmerman at my local – the CumberlandValley Dental Society – who talked meinto working at our annual Migrant WorkerClinic at Mike’s office. It was an eyeopener for such a young dentist to seejust how much need there was in our backyards. I was hooked. Thank you Mike andthanks to my colleagues at the CVDS.And after doing this for a few years

several of my colleagues in the Fifth Districtprodded me to do mission work in aforeign country. People like Bill Spruill andJack Hankle encouraged me to follow my

passion. My experience treating hundredsof children, many of whom are orphans,changed me and changed my appreciationfor living in the United States. My experi-ence with Ecuadent was not always easy(cold water for showers, sometimes nowater, sometimes we would have power,sometimes we would not, earthquakes,lots of bugs, tough working conditions,lots of potholes on long military bus ridesin the Andes Mountains, scorpions, andmuch more) but it is an experience I willnever forget and one that I will continueto do as long as people let me! Thank youto those who have worked beside me atEcuadent and other missions - Marie, JoeKohler, Bill Spruill, and Lillian Wong.And of course, our most recent adven-

ture with missions is MOM-n-PA. If itwas not for the leaders we have here atthe PDA House, MOM-n-PA would notbe a reality. MOM-n-PA is a great missionbecause people like Bernie Dishler, TommyGamba, Pete Carroll, Julie Barna, BruceTerry and Bill Spruill believed that it wasthe right thing to do and that we could doit. It was a dream of ours and although


Dr. Gary Davis Honored with

PDA PUBLICSERVICE AWARD


there were many obstacles and manypeople who said that it could not be done,we never gave up. I must thank all of ourchairs and leads - they made MOM-n-PAhappen. Please stand. And to all of youthat donated to MOM-n-PA, that helpedin organizing it, and especially for thehundreds of dentists and others thatvolunteered last May in Philadelphia, ISHARE this award with you. You are allleaders, you all made a big difference for

those in need and I am proud to be yourfriend! I hope to see all of you at our nextmission in Allentown in September!I strongly believe that all of us were

placed on this earth for a reason. We eachhave different gifts and vocations for thepurpose of making this life better forothers. Mission work is not for everyoneand your purpose in life may be differentthan mine. Whatever your gift – use it thebest you can to make life better for others.

I promise you that when you do you willfind like I have- that real joy in this lifeis more than winning for ourselves. Whattruly matters in this life is helping otherswin! My pledge to you today is that I will

continue to serve others for as long as Ican and hopefully one day I will be worthyof this gift that you presented to me today.Thank you for allowing me to do what Ilove and peace be with all of you!

Scott Aldinger David A. Anderson Henry J. Bitar, Jr.James M. Boyle, III Tamara S. Brady Thomas W. BraunKarin D. Brian Ronald D. Bushick Peter J. CarrollMichael D. Cerveris Dennis J. Charlton Richard J. Clark, IIIGary S. Davis MaryAnn Davis Lisa Poole DeemBernie P. Dishler James S. Doyle Craig A. EisenhartThomas W. Gamba Michael J. Gans Jay M. GoldbergRonald B. Gross George L. Hamm, III Joseph J. HavrillaRonald K. Heier Linda K. Himmelberger R. Donald HoffmanCharles J. Incalcaterra Frederick S. Johnson Nicole Stachewicz JohnsonJon J. Johnston Raymond M. Juriga John L. KautzJoseph J. Kohler, III Stephen L. Kondis Peter P. Korch IIIChristopher J. Kotchick Stephen A. Kuniak Andrew J. KwasnyLester L. Levin Cary John Limberakis Rochelle G. LindemeyerBernadette A. Logan Elliott D. Maser Judith A. McFaddenEdmund J. McGurk Lawrence P. Montgomery, III John B. NaseThomas P. Nordone Thomas C. Petraitis Stephen T. Radack, IIIHerbert L. Ray, Jr. David A. Redding Nancy R. RosenthalRobert S. Runzo David A. Schimmel Martin L. SchroederCynthia L. Schuler David A. Schwartz Samuel E. SelcherWilliam T. Spruill Eli Stavisky Donald A. StonerAngela Stout Deborah A. Studen-Pavlovich James A. H. TaubergBruce R. Terry William B. Trice Paul D. TripodiCharles R. Weber Donald W. Wells Jay R. Wells, IIIJohn C. W. Worsley, Jr. Dennis A. Zabelsky

ICD-USA District 3 wishes to recognize these Fellows for participating in the 2014 PDA Annual Session.You are truly the leaders of dentistry in Pennsylvania. Thank you for your service!

I N T E G R I T Y L E A D E R S H I P S E R V I C E


What a year it has been since our lastAnnual Session. Who would have imaginedthe governance changes that were votedin by our House of Delegates (HOD) lastyear in Hershey? As a member of theGovernance Task Force (GTF), I washopeful, but as a member of the HOD whohas seen some of the skepticism of thehouse for change, I was not completelyoptimistic the changes would be adopted.Since we adjourned last year, the Speakerof the House and the Bylaws Committeeof the Board of Trustees (BOT) craftedthe bylaws changes to implement the newgovernance model. The speaker vettedthe changes through district and localleaders and the BOT. I was part of thosevarious SoNet forums and of the debateregarding these bylaws changes. I amhopeful that this vetting process will haveproduced a final product that will passthis HOD with the required 2/3 majority.The GTF 2.0 has also been working

hard on the details that need to be naileddown if our governance model is to change.At the pleasure of President Hoffman,I served as a consultant on the task force

and believe they have done a good job.There were many issues that needed tobe ironed out and questions that neededto be answered based on the model thatwas passed last April. Many of thosequestions had to do with the new annualmeeting format. I believe the GTF’s newAnnual Session format will produce anexciting meeting that will attract memberswho have never attended our governance-based Annual Session in the past. With the loss of the HOD, there are

some who have said we will be “disen-franchising” members or limiting leadershipopportunities. I do not think so; I believeit is just the opposite, because we areopening our annual meeting up to ALLmembers who will now have a voice anda vote for our officers. I look forward tosaying goodbye to an old friend, theHouse of Delegates, and hello to a newAnnual Session and a new way of doingthe business of our association.Since we last met, the PDA has moved

forward and beyond the financial turmoilthat we experienced in 2012. The associa-tion is living within its “means” spending

only what we take in during the associa-tion’s fiscal year and not using the duesmoney for the next year to pay the prioryear’s expenses. In 2013, we even finishedwith a surplus and were able to pay forupgrades in technology and infrastructureat the headquarters without tapping ourreserves. We will continue to live on whatwe take in for 2014 and should thankthe treasurer, the CEO, the controller, thefinance staff and all the PDA staff for thegreat job they have done. I encourage youto read both the PDA treasurer’s reportand the PDAIS report for the good financialnews of our association.And speaking of PDAIS, it has been my

privilege to serve on the PDAIS board forthe last six years, serving as both a directorand the treasurer. The board is a dedicatedgroup and the staff has been wonderful towork with. I have also been a policyholderof PDAIS products since it was formed.I encourage all members to give PDAIS alook when it comes to your insurance needs.Also take a look at the products andservices that have been endorsed by PDAand PDAIS. I believe you will be pleasantly


Dr. Stephen T. Radack III,

INCOMING PRESIDENT,ADDRESSES THE HOUSE


surprised.This past year we have continued to

provide the high quality member serviceswith a smaller and very dedicated PDAstaff as well as the outstanding staff atPDAIS. It continues to amaze me the workproduct they put out each and every day.Please make the effort to thank them.We have also been able to provide verytimely and informative webinars dealingwith the Affordable Care Act and changesto HIPAA. Thanks to Camille Kostelac-Cherry, Gil Davis and Tom Weber for theirleadership in making these valuablemember benefits happen. If we hope toretain our existing members and attractnew ones we need to continue to provideour members with high value servicesthat they cannot get anywhere else.You will be hearing much about this

same theme in the coming year, if youhave not already. Dr. Charles Norman, theADA president, started his term off inNew Orleans last November with thetheme of the “Power of 3-Building MemberValue.” This is all about strengtheningthe unique tripartite structure that ourorganization has. In January, I attendedthe ADA President-elects’ Conference inChicago, hosted by the ADA president-elect, Dr. Maxine Feinberg of New Jersey.The underlying theme of that conferencewas also the “Power of 3.” I am encouragedby the presentations and the discussionsI had with my fellow president-elects from

around the country. I am also encouragedby the solutions that came out of thatconference. I look forward to seeing astronger, more efficient, more cohesiveand valuable tripartite relationship.As I wait in the wings to take the PDA

stage, I realize how fast the next 12 monthswill fly by and know that there is onlyso much a PDA president can accomplish.My goal is to make sure we remainrelevant and remain an association thatevery dentist wants and needs to belong.I want to make sure we reach out to thedental students and make sure they knowthat PDA is a partner with them nowand in the future to make sure they aresuccessful. Can we help them “work lessstressfully, more productively, and moreprofitably?” (I had to throw in a “Race forRelevance” quote somewhere.) We needto show them early on what ourassociation has to offer. We need to be inthe dental schools early and often andmake sure they know our organization iswith them and will be with them throughtheir entire careers.That being said we must not forget the

new dentists who are finding their waythrough the challenges of those first fewyears of practice. I have been fortunateenough to meet many of these membersand talk with them and learn from them.Their wants and needs are much differentthan mine and most of the members ofthis House. If the PDA, and for that fact all

of the tripartite of the ADA, are to remainthe premier dental association in thecountry, we must provide them with avalue proposition. What will we offer, notonly these members, but all of ourmembers, that they can’t get anywhereelse? During lunch at the ADA AnnualSession last October in New Orleans, I hadlunch with one of my younger colleaguesand asked her why she stayed inPennsylvania when she had the opportunityto go home and practice with her father.She said because PDA felt like her “family.”We need to make sure we keep the newdentist in the family or we will continue tosee our family dwindle away.Our member dentists are our MOST

important assets and we have to ensurewe make them the highest priority at alltimes. In closing, I want to share my optimism

for the future of PDA. We are on theprecipice of a new and better organizationthat will be positioned for the future. Ilook forward to a meaningful, thoughtfuland collegial debate of our issues at thismeeting and once the debate is done,look forward to the changes this bodywill make. And I look forward to being thepresident of OUR Pennsylvania DentalAssociation!


Resolved That the 10th District Dental Society of Western HD 14-01: Pennsylvania offer its most sincere congratulations

and appreciation to Dr. R. Donald Hoffman for his dedication and unselfish service on the completion ofhis term as Pennsylvania Dental Association President.

Resolved That the 10th District Dental Society of Western HD 14-02: Pennsylvania offer its most sincere congratulations

and appreciation to Dr. James A. H. Tauberg for his efforts on our behalf on the completion of his term asVice-President of the Pennsylvania Dental Association.

Resolved That the proposed Bylaws be amended by striking HD 14-03: the word District everywhere the phrase Council of

District Presidents appears.

Resolved That PDA proposed Bylaws Article 7.0 OFFICERSHD 14-04:be amended by adding section 7.3.2.6 to the duties of

the President-Elect.

7.3.2.6 To serve as chair of the Council of Presidents and as its liaison to the Board.

Resolved That PDA proposed Bylaws Article 9, Section 9.12 HD 14-05: Council of District Presidents, section 9.12.2 be

amended as follows:

9.12.2 This council shall elect annually a chair from among its members. This council shall be chaired by the president-elect.

[Secretary’s note: In crafting the final amended bylaws package the article number was changed to 9.12.1.1.]

Resolved That PDA proposed Bylaws Article 9, Section 9.12 HD 14-06:Council of District Presidents, be amended by adding

section 9.12.3.

9.12.3 The president-elect shall cast the deciding vote in the case of a tie.


Resolved That the Board of Trustees shall consist of one (1) HD 14-07: trustee elected from each of the PDA districts,

the PDA President, PDA President-elect, and PDA Treasurer.

Resolved That PDA proposed Bylaws Article 9, Section 9.12 HD 14-08:Council of District Presidents, be amended by adding

section 9.12.4.

9.12.4 The presidents of the local dental societiesand district presidents-elect shall serve as ex officio members.


Resolved That PDA proposed Bylaws Article 9, Section 9.12 HD 14-09: Council of District Presidents, be amended by adding

section 9.12.5.

9.12.5 This Council shall plan only electronic ortelephonic meetings to achieve its stated purpose,unless as otherwise stated in these bylaws. Electronic business conduct shall follow the adopted PDA formatfor e-business conduct of PDA committees protocol.


2014 House of Delegates

ADOPTEDRESOLUTIONS


[Secretary’s note: In crafting the final amended bylawspackage the article number was changed to 9.12.1.4.]

Resolved That PDA proposed Bylaws Article 9, Section 9.12 HD 14-10: Council of District Presidents, be amended as follows:

9.12.2.6 Duties9.12.26.1. To meet in person at attend the meeting of the Council during the PDA annual meeting and to conduct their business by actively participating via theSocial Network and to advise the Board of petitions from the membership.9.12.26.2 To have the chairperson of the Council of Presidents submit an advisory report to the Boardof Trustees two weeks prior to any prescheduled board meeting.9.12.26.3 To serve as the Disciplinary Appeals Review board.9.12.26.4 To review, vet and refine the issuessubmitted for Board of Trustees action or for the PDA annual annual Town Hall meeting issues agenda. 9.12.26.5 To communicate regularly with thepresidents of local dental societies within the district to inform them of board actions during the year.9.12.26.6 To communicate information from membersand component dental societies in both a lateral and vertical direction throughout PDA.9.12.26.7 To identify and encourage groom mentorpotential new volunteer leaders.9.12.6.8 To attend and participate in the Town Hall Meeting PDA annual meeting.[Secretary’s note: In crafting the final amended bylaws package the article numbers were changed to 9.12.2 through 9.12.2.8 consecutively.]

Resolved That PDA proposed Bylaws Article 4.0 MEMBERSHIPHD 14-11: MEETINGS be amended by adding section 4.2.4.

4.2.4 A special meeting called by the Council of Presidents to modify the authority of the Board of Trustees will be comprised of representation by the districts in the same numbers calculated in the same manner as the last House of Delegates and willhave the authority to modify the Bylaws. The Bylaws can be amended by this group by a two-thirds (2/3) majority vote.

Resolved That PDA proposed Bylaws Article 13.0HD 14-12: AMENDMENTS be amended by addition as follows:

ARTICLE 13.0 AMENDMENTS: These Bylaws may be amended by a two thirds (2/3) majority vote of boththe Board and a two-thirds (2/3) majority vote of the Council of Presidents or as otherwise noted in these Bylaws.

Resolved That PDA Bylaws Article 4.0 MEMBERSHIPHD 14-13: MEETINGS Section 4.2.2 be amended as follows:

4.2.2 If so directed by a resolution adopted by vote of three fourths (3/4) two-thirds (2/3) a majority of the members of the Board present and voting at any meeting of the Board, or by two-thirds (2/3) a majority of the members of the Council of Presidents. The timeand place of such special session shall be determined by the president, who shall fix a date not later than forty-five (45) days after the date the vote was taken.

Resolved That PDA proposed Bylaws Article 8.0 BOARD be HD 14-14: amended by adding section 8.2.5.

8.2.5 A PDA member may not serve simultaneously as a voting member of the Board of Trustees and on the Council of Presidents.[Secretary’s note: In crafting the final amended bylaws package the article number was changed to 8.1.5.]



Resolved That the proposed Bylaws be adopted as amended.HD 14-15:

Resolved That the members of 2013-14 a Governance Task HD 14-16: Force be reappointed by the PDA president through

2014-2015, and shall serve under the direction of the Board of Trustees in order to assist in the transition to a new governance structure implementation of the 2014 House of Delegates governance actions. (Fiscal Implication: $10,000)

Resolved That PDA Bylaws section 9.3.1.1 be amended as follows:HD 14-17: To act as the liaison between the PDA and/or its

individual members and the insurance companiesadministering dental insurance plans in theCommonwealth of Pennsylvania. Each An advisory group member shall act as a liaison to an insurance carrier as deemed appropriate by the advisory group chair.

Resolved That HD 04-42 be rescinded.HD 14-18:

HD 04-42: That the PDA establish a restrictedreserve account to fund future ADA campaigns by a PDA member. Such account shall be funded annually with 10% of the audited annual net surplus in anaccount not to exceed $15,000 per year, with amaximum account balance not to exceed $100,000 and be it further resolved that upon endorsement by the PDA House of Delegates, a candidate seeking funding will provide a campaign expense proposal anda post-campaign financial report.

Resolved That PDA Bylaws article 1.0, membership, section1.8.1HD 14-19: be amended as follows: An ADA member dentist in

good standing who practices outside theCommonwealth of PA in another state and whoresides in Pennsylvania, upon application and paymentof appropriate dues shall to and approval by the board, may be classified as a PDA affiliate member.

Resolved That the Board of Trustees recommend to the 2014HD 14-20: PDA House of Delegates That PDA contribute up to

$5,500 to Dr. Gamba’s campaign for ADA VicePresident.

Resolved That the Pennsylvania Dental Association’s positionHD 14-21: on any proposed new member of the dental team

shall be an individual supervised by a Pennsylvanialicensed dentist authorized by the Pennsylvania State Board of Dentistry to practice in the Commonwealth of Pennsylvania. Such level of supervision shall and be based upon a determination of need, sufficienteducation, and training, and a scope of practice that ensures the protection of the public’s oral andsystemic health. (Fiscal Implication: $0. – lobbying fee)

Resolved That the Pennsylvania Dental AssociationHD 14-22: acknowledges the crushing burden of dental student

indebtedness and its consequences for the profession and is committed to work with elected officials (state and federal) to create solutions that ensure a fair and equitable solution.The Pennsylvania Dental Association supportsmirrors the approach of the American DentalAssociation in addressing student indebtednessinclusive of, but not limited to, reducing interest rates and accrual, improving refinancing and consolidation options, as well as increasing deferment periods.endorsing the following items while moving toward a permanent solution:

Resolved That PDA promotes (via electronic and print means)HD 14-23: to interprofessional stakeholders, legislators, and the

public:• the importance of oral health's effects on generalhealth, to support efforts to achieve optimal oralhealth for all through use of programs including,but not limited to, mouthhealthy.org, 2min2x.org,Connect the Dots, and oral health literacy,

• efforts to provide optimal fluoridation of watersupplies in Pennsylvania,

• reimbursement of oral health services by the dentalbenefits industry by reducing administrative burdenand policy limitations,

• collaboration with PCOH Pennsylvania Coalition ofOral Health, and

• infrastructure development to provide basic dentalcare for adults and children.

Resolved That the 2014 PDA Capital Budget of $145,471 to beHD 14-24: funded by the capital reserve fund be approved.

Resolved That the 2014 PDA budget in the amount ofHD 14-25: $2,885,479 be approved.

Gov. Corbett signs VolunteerLicensure Bill into LawPDA achieved a significant legislative victory this year

with the passage of our volunteer dentistry bill (HB 1056),

that allows the State Board of Dentistry to issue temporary

licenses to out-of-state dentists who wish to volunteer

at charitable events or provide care during emergencies in

Pennsylvania. On June 2, we were represented at Gov.

Tom Corbett’s bill signing ceremony. In attendance with

Gov. Corbett were Dr. Bill Spruill (Former PDA president),

Peg Callahan (PDA lobbyist), Rep. Keith Gillespie, who

sponsored the bill, and Rep. Harry Readshaw, who helped

ensure its passage.

H B 1 0 5 6



2014 House of Delegates

ATTENDANCE RECORD

FIRST DISTRICT Friday SaturdayCarroll, Peter X XFennell-Dempsey, Renee X XFilip, Thomas X XGamba, Thomas X XGoldberg, Jay X XKlatte, Kevin X X*Markiewicz, Stanley X*McFadden, Judith X

Rao, Anand X XRust, Mary X X

SECOND DISTRICTBrian, Karin X XBurrell, Joanne X XClark, Richard X XDaley, Daniel X X*Brady, Tamara X*Devine, Theresa XEly, Stephen X XFreedman, I. X XFriel, Hugh X XFunari, G. X XGordon, Donald X XHemmer, Amanda X XKessler, Lon X XLimberakis, Cary X XMcGann, Stephanie X XMcGurk, Edmund X XMontgomery, Lawrence X XNase, John X XPellegrino, Jason X XRosenthal, Nancy X XStevenson, James X XStout, Angela X XStraka, J. X XTerry, Bruce X XWalsh, Brandon X X

THIRD DISTRICT Friday SaturdayAldinger, Scott X XGrossman, Richard X XKaram, Joseph X XKotchick, Christopher X XPuhak, George X XZale, Matthew X X

FOURTH DISTRICTAyle, H. X XParkinson, Scott X XReitz, John X XSchwab, Brian X X

FIFTH DISTRICTDavis, Gary X XGrimes, John X XHaines, Sara X XHamm, George X XHengst, Daniel X XKiessling, John X X*Larson, David X*Cloyd, William X

Pate, Craig X XPhillips, Jason X XShirley, Eric X XSpivak, Bruce X X*Vakkas, John X*Kline, Ross X

Weiss, Eric X X

SIXTH DISTRICTBetlyon, Alexandra X XCoole, John X XGrove, John X XQuezada, Nicole X X

SEVENTH DISTRICTChristian, Brian X XHolden, Barry X XHovan, Edward X XSaad, Mina X XSchimmel, David X X

EIGHTH DISTRICT Friday SaturdayRees, Paul X XRockwell, Theodore X X

NINTH DISTRICTKohler, Joseph X XKwasny, Andrew X XMansour, Samer X XRadack, Stephen X XRobb, John X X

TENTH DISTRICTAnderson, David X XBitar, Henry X XChorazy, Chester X X*Davis, Maryann X*Juriga, Raymond X

Gans, Michael X XKautz, John X XMertens, Jeffrey X XMidla, Les X XRunzo, Robert X XSchuler, Cynthia X XStoner, Donald X XTauberg, James X XTroy, Beth X XWells, Jay X X

ASDABassani, Alice X XCole, David X XLimberakis, Jonathan X X


By Rob Pugliese, Director of Communications

The 146th PDA Annual Session was historic. The House ofDelegates capped off a multi-year process of governancerestructuring by adopting transformational Bylaws changesthat will completely reshape this association.

For starters, there is no more House of Delegates, but instead a newleadership body that will work with the Board of Trustees, the Council ofPresidents. The format of the 2015 Annual Session (Pennsylvania’s DentalMeeting and Expo) and all subsequent gatherings will be much differentthan anything previously conducted in this state.

Monumental change has come to your PDA.It is fitting that the person at the helm for 2014-2015 is a leader who

not only believes deeply in this bold, new path, but one who has taken apivotal role in mapping it all out. Dr. Stephen T. Radack, III, is perhaps thebest possible president to lead PDA through this exciting, yet potentiallydaunting, time of transition.

An Erie native who began sounding the wake-up call for his colleaguesseveral years ago after seeing and experiencing first-hand the structuralchallenges and demographic realities facing organized dentistry at all levels,Dr. Radack came into the presidency embracing this opportunity to reshapePDA, with an unmistakable focus on revitalizing membership numbers.

Near the conclusion of the PDA House, he asked the assembled delegatesand alternates to join him in an aggressive effort to reach a set of specificgoals, some that he admitted may take longer than one year: reversing adeclining market share and reaching the ADA’s target of 65 percent;converting and retaining a much higher percentage of dental students asmembers and getting 100 percent of the fourth-year dental students atPenn, Pitt and Temple to sign with ADA next spring; passing an assignmentof benefits bill in the General Assembly; and significantly improving the 19percent market share of PDA members in PDAIS’ core revenue.

Dr. Radack bluntly explained that a declining market share imperilsPDA’s brand as The Voice of Dentistry in Pennsylvania as well as its statusas an ADA single state district.

“To that end I am challenging all members here and throughout theCommonwealth to be a partner with me in reversing this trend,” he said.

This push comes during a time when the ADA’s “Power of 3” theme iscentered on working to strengthen the tripartite structure. While there area multitude of reasons for the recent negative trends organized dentistryconfronts, Dr. Radack is candid and resolute about what needs to happen.Seven years as PDA treasurer and trustee have shaped his vision, thatwhen everything else is stripped away, success comes down to one thing.

Stephen T. Radack, III, DMD


“As I said last year when I became president-elect, my main focusis membership. To me it is all about membership, membership,membership,” Dr. Radack said. “I don’t think we can stress it enough.I was in Chicago at the ADA Recruitment and Retention Conference[in April] and we got the realities of where membership is going,and we have to do a better job at letting folks know what we haveto offer and what PDA, ADA and our components can do for them.”

His top priority is to raise PDA’s market share from 58.5 percentcloser to the 65 percent level. Along with that goal, Dr. Radackknows PDA must do much better with converting recent dentalschool grads to full members, primarily by forging goodrelationships during the early years of dental school and makingsure they understand the importance of membership.

“We need to show them that there’s a reason to stay involved andget them involved at the local level – I think that’s key. I think PDAcan help with that effort but that’s also going to be crucial on a

local level,” he said. “My message to them has always been, come toyour locals, meet some people, get involved, and bring your friends.It’s an opportunity to be with your colleagues. Especially as a solopractitioner, you are alone in your office every day, all day, all week,all month…you might get an opportunity, like we do with ErieCounty, where there is a monthly membership event, you cometogether, swap stories and it’s a great thing to come to.”

When it comes to building membership numbers, he plans totalk with people all over the state, with the hopes of bringing themtogether and facilitating a membership summit during his term.

“We are looking at holding a virtual membership summit andbringing together key stakeholders from the state - new dentists,members of the leadership committee, deans of the three dentalschools, a lot of different folks across the commonwealth,” Dr.Radack said. “One of the powerful things we need to do is get backinto the dental schools. Our conversion rate for dental students isnot real great in Pennsylvania and that is the future of theassociation. If we don’t have those people converting over to ADAand PDA membership, we are probably not doing the best job weneed to right now.”

In addition to swelling the membership numbers, the secondpart of that effort will be to spread the spirit of volunteerism andbroaden the base of members who seek active roles, andpotentially leadership spots. Dr. Radack realizes that will requiredifferent approaches in different parts of the state.

“We are lucky in Erie County that we have always been open toyoung dentists. Once they come to a meeting, we want them to beinvolved, we get them to join. Our board – president, president-elect, secretary and treasurer are all probably 33 years old andunder right now – so we have a very youthful board, an energeticgroup of people who are involved,” he said. “That doesn’t mean thatthe older dentists don’t come. The more seasoned people still comebut it is nice to see that leadership development,” he said.

“To try to transition that into the whole state and the differentcomponents – I think it's different everywhere and I think there aresome challenges but there are a lot of components in the state thatwill develop leaders and encourage them that you have to beinvolved, you have to be a leader, step up and take some action andknow what's going on. That’s really what it’s about.”

Dr. Radack relishes each opportunity to connect with a dentalstudent or a young dentist because his personal story is one that hebelieves will appeal to all prospective members, in all parts of the state.

“The gentleman I purchased [my] practice from, Dr. Gilbert Steg,took me to my first meeting, and over time you get to know a fewmore people. Some of my best friends right now are people I metthrough the Erie County Dental Association, same with mycolleagues across the state,” he said. “Once you get involved [locally],you move on to another level and meet more people. Getting toknow the information, getting to know what's going on – that isone of the main reasons I have stayed involved. People ask me ‘whyare you still involved?’ why are you on the board?’ It’s because I wantto know what is going on, I want to be part of the action, besomeone who is part of the process. It’s ok if other people aren’t,but you have to have people who want to be part of it.”

“To me it is all about

membership, membership,

membership.”

- Dr. Radack


Since his installation, Dr. Radack has crisscrossed our state, and others, taking partin a number of events, while also ramping up the planning of the new AnnualSession (PA-147 is scheduled for April 24-25, 2015). The bold change in directionwith the new format is right in line with his philosophy and he hopes to expand thenumber of members who take an active role and attend Pennsylvania’s DentalMeeting each year.

This will no longer be strictly a governance meeting dominated by House of Delegatesbusiness, reference committees and caucuses. PA 147 will be open to all members.

Dr. Radack has the most active social media presence of any PDA leader, aggressivelycommunicating to the membership via his President’s Blog (“Club 814’) on the PDASocial Network as well as tweeting updates from all the events he attends.

He is always excited about new ideas, but at the same time pragmatic about whatis realistic. His effective consensus-building should prove to be a valuable asset. Andhe always brings the passion and energy to whatever he is working on.

“I’ve been known as someone who may be a little more blunt than others. Forbetter or worse I like to take the bull by the horns, and once I have a project I’m thereto see it through,” Dr. Radack said. “I have been known to push a few bodies aside inthe process and get a little vocal when it comes to debating issues. But the bottomline is, if you want to do something and you are passionate about doing somethingthen you have to get to the conclusion and complete the task.”

A graduate of Grove City College and the University of Pittsburgh School of DentalMedicine, Dr. Radack has been practicing in Erie for the last 28 years.

Upon entering private practice, it did not take him long to get involved in ErieCounty Dental Association and the Ninth District Dental Society.

“Shortly after I came back to Erie, the gentleman I purchased my practice fromwas a member of the Erie County Dental Association and a former president, andlike a lot of people my age, an older member of the society grabbed you and saidyou’re coming to the first meeting and that’s what he did, and ever since then I haveprobably missed half a dozen meetings in 28 years,” Dr. Radack said. “One of thethings about our local society in Erie County is once you get in, they get youinvolved quickly.”

Almost immediately he became an officer in Erie County, serving as presidentin 1992-93. He then began volunteering on a variety of PDA committees whileat the same time becoming Ninth District president in 1995-96. Dr. Radackserved as the Ninth District trustee on the PDA board from 2000-2004, whilealso becoming PDA treasurer in 2002, a position he held for five years. Followingthat term, he held positions on a number of ADA committees while stillremaining active at his local dental society, and eventually serving anotherterm as Erie County president while gearing up on PDA’s Governance TaskForce in 2012, taking the lead in a process that has led to the currentrestructuring and building a new PDA. Dr. Radack has been a member of PDAISboard of directors since 2009. He is a Fellow of the Pierre Fauchard Academy,the International College of Dentists and the American College of Dentists.

While membership tops the agenda, a strong presence in the legislativearena is also important to him.

“Obviously the intangible benefits we have being a part of organized dentistry,the advocacy we offer at ADA and PDA is huge,” Dr. Radack said. “You can’t put adollar figure on it and it serves the whole profession.”

Following up on another highly successful Day on the Hill event June 3, Dr.Radack is optimistic that PDA will continue the success evident over the last severalyears in a string of recent victories at the Capitol, with the passage and signing intolaw of HB 1056 (now Act 7), PDA’s volunteer dentistry bill, the recent restoration andcontinuing of vital Donated Dental Services funding and of course the signing of Act168, the non-covered services bill.

“I think we have done a phenomenal job in the past few yearsgetting our initiatives passed,” Dr. Radack said. “We have some greatleaders in Pennsylvania who can work well with the legislature, aphenomenal group of lobbyists who help out, our staff here at PDA iswonderful and that is not going to stop -- that is going to continue.”

Legislative focus has turned to assignment of benefits legislationas well as continuing the push for student loan forgiveness,something PDA has long advocated.

“Those are important issues for us as our student colleagues aregraduating with hundreds of thousands of dollars in debt. Thembeing able to work in an underserved area and have some of thatdebt paid down as a tradeoff is a wonderful idea and an issue westill have to push,” Dr. Radack said. “There are areas of the statewhere dentists are not coming back to Pennsylvania. We’ve heardstories where there are two dentists in a town and they are both inthe late stages of their careers. What is going to happen when theyare going to hang up their shingle and no longer practice? We’veheard stories of people who travel 60-70 miles to get an extractionfrom an oral surgeon in this state. We need to do something to getour colleagues back into those underserved areas.”

As busy as he has been with organized dentistry over the lastthree decades, Dr. Radack has an impressive list of communityorganizations in which he has volunteered, including those of hisfamily’s school and church. He spent five years on the school boardof St. Luke’s School in Erie, served five years on the Finance Councilof St. Luke Catholic Church, including two years as chair. He alsogave his time as a volunteer dentist at the St. Paul’s NeighborhoodFree Clinic in Erie and for the School District of the City of Erie.

He and his wife Mary have been married for almost 26 years andare the proud parents of two daughters.

“Being a parent to Cassie (23) and Stephanie (21) has been thebest job ever,” Dr. Radack said. “It is amazing how fast the timepasses when you have kids to follow through all the grade schooland then high school events and then go on the road to college forthose four years.”

Cassie is a graduate of Point Park University and works inHarrisburg in the Legislative Affairs Office of Gov. Tom Corbett.Stephanie will be a senior Interior Design major this fall at KentState University. The Radacks also enjoy their "best dog” Lexie, anine-year-old chocolate cocker spaniel.

Hobbies and leisure time include annual beach vacations inMyrtle Beach, biking, golfing and sailing.

“We consider ourselves very novice sailors, but enjoy the time on‘Sea Dancer’ during the short three-month season in Erie,” he said.“We also enjoy hanging by the pool on warm summer weekends,but it doesn’t get as much use as it did when our girls wereyounger. When summer turns to fall we spend our Saturdaystrekking up and down I-79 with Jim and Kim Hissom and Andy andSharon Kwasny to Heinz Field, as we have for the last 13 yearsrooting on our alma mater, the Pitt Panthers football team.”

Fresh off attending the ADA’s New Dentist Conference in KansasCity in mid-July, Dr. Radack is energized to attack the goals he laidout. Whatever doesn’t get accomplished this year certainly won’t bebecause of a lack of vision.

“There is no question that my 30-year-old colleagues and I havedifferent reasons for wanting to belong, different things going on inour lives. And they might want something different out oforganized dentistry than I want,” he said. “I think we need tocontinue to prove that we’re giving them a unique, high levelorganization that gives them some tangible benefit they can see,that will help them in their practices, help them communicatebetter with their colleagues. You have to get them in at the locallevel to see what they can experience.”

Dr. Radack is anxious to hear from you. Connect with him [email protected]. He is active on Twitter @DocSTR3. Follow hisPresident’s Blog (Club 814) on the PDA Social Network.

CLINICAL HISTORY

A 55-year-old female presented to the University of Pittsburgh School of Dental Medicine, with a 1-cm, linear, non-healingulcer of 8 weeks duration located on the right lateral border of the tongue (Figure 1). On palpation, the lesion felt indurated,but was non-tender. Extraoral examination revealed a palpable, slightly tender, right submandibular lymph node. Theremainder of the soft tissue exam was otherwise unremarkable. The patient’s social history was positive for tobacco smokingand frequent alcohol use. The patient’s medical and dental histories were unremarkable.

Given the above clinical findings, a biopsy was recommended in order to further evaluate the lesion. An incisional biopsy wasperformed and sent for histopathologic evaluation. Microscopic examination of the specimen revealed hyperplastic stratifiedsquamous epithelium abutting a large ulcer. The ulcer bed consisted of fibrin and inflammatory cells with underlyinggranulation tissue. Within the granulation tissue, a dense inflammatory infiltrate consisting of lymphocytes, plasma cells andeosinophils was noted. Eosinophils were also present deeper within the striated muscle and were associated with disruptionof muscle tissue (Figure 2).

Clinicopathologic Review:

NON-HEALING ULCER OF THE TONGUE

AUTHORS

What is the diagnosis??

* Clinical image courtesy of Dr. Blake Warner, Resident, Oral and Maxillofacial Pathology,School of Dental Medicine, University of Pittsburgh.

A. Squamous cell carcinomaB. Major aphthous ulcerC. Traumatic ulcerative granulomawith stromal eosinophilia

D. Histoplasmosis

Adepitan A. Owosho, BChDResident, Oral & Maxillofacial [email protected]

Joanne L. Prasad, DDSClinical Assistant ProfessorOral & Maxillofacial Pathology

Department of Diagnostic Sciences3501 Terrace Street, Salk HallSchool of Dental MedicineUniversity of Pittsburgh, PA 15261

A B

Figure 2.Photomicrographs of the lesion showing an ulcerwith an associated dense inflammatory infiltrate(A) H&E x100; Numerous eosinophils are presentdeep within the tissue, causing disruption of musclefibers, arrows point to eosinophils (B) H&E x400.


Figure 1.Clinical picture ofthe non-healing ulceron the right lateralborder of the tongue*.


DISCUSSION

Option A. Squamous cell carcinoma (SCC) is a reasonabledifferential diagnosis for a non-healing ulcer of the lateral borderof the tongue, which is one of the commonest site for squamouscell carcinoma in the oral cavity. SCC is estimated to constituteapproximately 94 percent of all oral malignancies.6 Clinically,SCC of the tongue typically presents as a painless, indurated ulcerwith rolled borders, which has been present for several months.With time, SCCs might achieve sizes considerably larger thanTUGSEs. Most of the patients who develop a SCC are usually overthe age of 50 years and common risk factors are tobacco andalcohol use. Due to the clinical presentation and persistent natureof the lesion, an incisional biopsy for histopathologic examinationis usually warranted in order to achieve a correct diagnosis andfor appropriate treatment.

Option B.Major aphthous ulcers are large aphthae which measuregreater than 1 cm in diameter, whereas ulcers associated with thefar more common minor variant measure less than 1 cm. Thenumber of ulcers varies from 1 to 10 and, although multiple lesionsare more common, some afflicted individuals could present witha solitary lesion.5 Major aphthae take from 2 to 6 weeks to healand may be perceived as persistent or non-healing by a clinician.Scarring at the site of healed ulcers is not uncommon.While thelesions have a predilection for non-keratinized tissue, they canaffect any oral mucosal surface. Clinically, major aphthous ulcersare associated with considerable pain. Generally, aphthae respondwell to treatment with corticosteroids.5 Histopathologicexamination of the lesion shows features of a non-specific ulcerwhich lacks eosinophils in the ulcer bed and deep stroma.

Option C. Traumatic ulcerative granuloma with stromal eosinophilia(TUGSE) is a chronic benign ulcerative lesion of the oral mucosa.TUGSE was first identified by Richard Elzay in 1983, when hedescribed 41 cases.1 Various synonyms have been used for TUGSE,such as traumatic ulcer, oral traumatic granuloma, eosinophiliculcer, eosinophilic granuloma of the soft tissue, or ulcerativeeosinophilic granuloma.2-4 The tongue is the typical site for TUGSE,but various oral mucosal surfaces can be involved, such as labial,buccal, vestibular, and alveolar mucosae.5 Trauma is the implicatedetiology for this lesion because of the incidence at sites that aresubjected to chronic insult. Clinically, TUGSE presents as apainless, persistent ulcer with indurated borders, commonly foundon the lateral border of the tongue, making it difficult to clinicallydifferentiate this lesion from a squamous cell carcinoma. Giventhat the lateral border of the tongue is a high risk site for oralcancer, it is important that persistent ulcers in this location beadequately evaluated and biopsied when necessary. Histologically,TUGSE differs from other ulcers due to the presence of eosinophilswithin the underlying stroma. TUGSE is treated by conservativeexcision or with an incisional biopsy, since incising the lesion caninduce healing.5 Since this lesion can mimic a malignancy, it isimportant to biopsy a non-healing ulcer when no source of chronic

irritation can be identified, particularly for persistent ulcers foundat high risk sites. Due to the benign nature of this lesion, it is alsoimportant to achieve a correct diagnosis to avoid overtreatment.

Option D.Histoplasmosis is a respiratory fungal infection caused byHistoplasma capsulatum, an organism found in soil contaminatedwith bird droppings.7, 8 Infection occurs mainly through inhalationof airborne organisms. In the oral cavity, histoplasmosis usuallypresents as a chronic ulcer in patients with disseminated disease.It occurs predominantly in immunocomprised patients.9, 10 Themost commonly affected intraoral sites for histoplasmosis arethe tongue, buccal mucosa, and palate. Clinically, patientstypically present with other systemic symptoms of disseminateddisease, such as weight loss, dysphagia, chronic cough, and fever.11

Patients tend to do well with the use of a systemic antifungal likeamphotericin B.11 Histopathologic examination of the lesionshows numerous histiocytes with formation of granulomas. Theorganisms can usually be identified within giant cells or with theaid of special stains.

CONCLUSION

In conclusion, TUGSEs are benign, reactive lesions which presentas persistent oral ulcers, with a predilection for the lateral borderof the tongue. Sources of chronic trauma or irritation, such as anearby sharp broken tooth cusp should be identified if present toavoid overtreatment of this benign condition. However, TUGSEcan clinically mimic a malignancy (squamous cell carcinoma)and other worrisome conditions (disseminated deep fungalinfections or tuberculosis). Therefore, if no readily apparent sourceof irritation can be identified, the lesion should be biopsied toavoid underdiagnosis of a potentially life-threatening condition.

REFERENCES1. Elzay RP. Traumatic ulcerative granuloma with stromal eosinophilia (Riga-Fede’s disease

and traumatic eosinophilic granuloma). Oral Surg Oral Med Oral Pathol1983;55(5):497-506.

2. Regezi JA, Zarbo RJ, Daniels TE, Greenspan JS. Oral traumatic granuloma. Characterizationof the cellular infiltrate. Oral Surg Oral Med Oral Pathol 1993;75(6):723-7.

3. Movassaghi K, Goodman ML, Keith D. Ulcerative eosinophilic granuloma: a report of fivenew cases. Br J Oral Maxillofac Surg 1996;34(1):115-7.

4. el-Mofty SK, Swanson PE, Wick MR, Miller AS. Eosinophilic ulcer of the oral mucosa.Report of 38 new cases with immunohistochemical observations. Oral Surg Oral Med OralPathol 1993;75(6):716-22.

5. Neville BW. Oral and maxillofacial pathology. 3rd ed. St. Louis, Mo.: Saunders/Elsevier; 2009.

6. Barnes L. Surgical pathology of the head and neck. New York: Informa healthcare; 2009.

7. Lamps LW, Molina CP, West AB, Haggitt RC, Scott MA. The pathologic spectrum ofgastrointestinal and hepatic histoplasmosis. Am J Clin Pathol 2000;113(1):64-72.

8. Valle AC, Moreira LC, Almeida-Paes R, et al. Chronic disseminated histoplasmosis withlesions restricted to the mouth: case report. Rev Inst Med Trop Sao Paulo 2006;48(2):113-6.

9. Wheat LJ. Diagnosis and management of histoplasmosis. Eur J Clin Microbiol Infect Dis1989;8(5):480-90.

10. Goodwin RA, Jr., Shapiro JL, Thurman GH, Thurman SS, Des Prez RM. Disseminatedhistoplasmosis: clinical and pathologic correlations. Medicine (Baltimore) 1980;59(1):1-33.

11. Antonello VS, Zaltron VF, Vial M, Oliveira FM, Severo LC. Oropharyngeal histoplasmosis:report of eleven cases and review of the literature. Rev Soc Bras Med Trop 2011;44(1):26-9.

The Answer:?C. Traumatic ulcerative granuloma with stromal eosinophilia

Endorsed Vendor Corner

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Automated Marketing & CommunicationsPDA Endorsed Vendor since 2012(800) 210-0355 | demandforce.com/pdaDemandforce is a marketing and patient communications solutionthat integrates seamlessly with your practice management softwareto automate your communications with existing patients and growyour practice. Demandforce automates texts, emails and postcardsto reactivate lost patients, reduce no-shows and stay top of mindwith your patient base to increase visit frequency. They alsoautomatically collect reviews that they syndicate to sites includingBing, Google, Citysearch and Facebook to help attract new patients.Additionally, Demandforce guarantees to generate $3 in value ofevery $1 spent each month or the next month is free.

Visit demandforce.com/pda or call 800-210-0355 to learn moreand see a personal product demonstration. Be sure to mention youare a PDA member to receive special pricing!

For more information on our endorsed vendors, visit pdais.com/vendors or call (877) 732-4748.


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Special Smiles, Ltd SAVE THE DATE2nd Annual MOM-n-PAThe second MOM-n-PA dental mission willbe held in Allentown on Friday, September 12and Saturday, September 13, at the Agri-Plex

at the Allentown Fairgrounds.Last year the MOM-n-PA mission providedmore than $850,000 in free dental serviceswith more than 1,000 volunteers taking partin the event. You can help with the 2014

effort by volunteering your services or makinga donation. For more information, visit the

website atwww.mom-n-pa.com.

IN MEMORIAM

JUL/AUG 2014 | P ENNSYLVAN IA DENTAL JOURNAL 37

Dr. Donald M. GoodLancasterUniversity of Pennsylvania (1960)Born: 1926Died: 5/19/2010

Dr. Andrew R. ChobyLigonierUniversity of Pittsburgh (1941)Born: 1913Died: 5/1/2014

Dr. Richard V. BarrickmanState CollegeUniversity of Pittsburgh (1951)Born: 1925Died: 3/22/2013

Dr. James R. PaigeNew CastleUniversity of Pittsburgh (1961)Born: 1931Died: 5/23/2014

Dr. George A. BullockJamisonUniversity of Pittsburgh (1978)Born: 1952Died: 4/25/2014

Dr. Alvin R. WilliamsWillingboroHoward University (1964)Born: 1931Died: 9/12/2011

Dr. Neil L. BalickLansdaleTemple University (1970)Born: 1945Died: 5/6/2014

Dr. Robert S. KornekeNew FlorenceUniversity of Pittsburgh (1982)Born: 1953Died: 4/26/2014

Dr. Jerome C. GorsonBala CynwydUniversity of Pennsylvania (1945)Born: 1922Died: 4/24/2014

INSURANCE CONNECTION


reading the online report, “Beyond theWebsite: The Early Implementation of theAffordable Care Act in Pennsylvania.”The report, which can be found on the FelsInstitute’s website, provides a synopsisof the many topics discussed during theconference. The report also serves as themost comprehensive examination to dateof Pennsylvania’s implementation. Itaddresses such topics as the cost andquality of health care plans offered in eachcounty, along with a comprehensive reviewof the Small Business Health OptionsProgram (SHOP) exchange, whichbusinesses can use to provide medicalinsurance to their employees. Please visitthe following link for more information:https://www.fels.upenn.edu/sites/www.fels.upenn.edu/files/aca_final_feb_6.pdf.

operate their own marketplaces are moresuccessful than deferring to the federalgovernment. Pennsylvania is one of thosestates whose exchange is run by thefederal government. Additionally,Governor Tom Corbett is promoting hisown statewide plan, named HealthyPennsylvania. Insurers in Pennsylvania areexpressing strong interest in this plan,which would extend private healthinsurance to hundreds of thousandsenrolled in Medical Assistance. Thisextension would be funded with MedicalAssistance dollars. The federal governmentmust first approve Gov. Corbett’s planbefore its scheduled implementation onJan. 1, 2015.In order to better understand the ACA’s

role in Pennsylvania, we recommend

The Affordable Care Act (ACA) is aconcoction of mandates, regulations andsubsidies designed to increase Americans’access to quality care with limited costs.These ingredients, however, seem toconfuse and frustrate those who try toimprove their understanding of thisbureaucratic recipe. We share yourfrustration, and that is why we continuouslymonitor the ACA’s implementation.The ACA impacts all states, federal

agencies, insurance companies, healthproviders, employers and consumers.It’s impossible to escape this mammothsystem and pointless to predict itsevolution. Pennsylvania is just one example.It’s a large state that must respond andadapt to shifting demographics, healthcare costs and unforeseen actions takenas a result of the ACA.In order to better understand the health

care law, PDA staff recently attended aconference (“Obamacare: What’s True?What’s False? What’s Next?”) hostedby the Fels Institute of Government at theUniversity of Pennsylvania. Since August 2013, the Fels Institute and

the Rockefeller Institute at SUNY-Albanyhave co-sponsored a national network ofresearchers in 35 states studying the ACA.The research project’s preliminary findingswere discussed during the conference.The speakers’ first round of studies

focused on western states, includingColorado and California. Both states haveembraced the ACA, believing its regulatoryframework will improve transparency.All speakers acknowledge, however, thatenrollment in the ACA will become moreexpensive in the near future.Among the panelists at the conference

were Dr. Elaine Kamarck (BrookingsInstitution), Dr. Stuart Butler (The HeritageFoundation), E.J. Dionne (The WashingtonPost), and Joe Klein (TIME Magazine).Panelists reported that states that

PDA Attends Obamacare Conference in Philadelphia

CONTINUING EDUCATION


Contact: Lori BurketteAdministrative Secretary(412) 648-8370

September 26A Review of Radiologic Proceduresfor the Dental Professional: DEPRecommendationsJill Beach, RDH, MSMarie George, RDH, MS

October 3Restoration of Complex Denture,Fixed and Implant Patients – Pitfallsto AvoidCarl Driscoll, DMD

October 10The Phantom of the Operatory –An Overview and Update inPharmacology for Dental ProfessionalsThomas Viola, R.Ph., C.C.P.

October 17An Introduction to Rotary MolarEndodontics: A Hands-OnSimulation Patient ExperienceMarin Mandradjieff, DMD, MedHerbert Ray, DMD

October 24Concise Up-to-Date Information inTreating Patients with CardiovascularDisease – Plus Treating Yourself to aHealthier LifestyleJames Lichon, RPh, DDS, NCCM

October 31Current Concepts in Clinical Geriatricsfor the Dental TeamStephen Shuman, DDS, MSPeg Simonson, RDH, BS

November 14Infection Control Is Not Optional:Dental Practitioners Need to BeInvolved (morning session)Open Wide: Let’s Look Inside(afternoon session)Louis DePaola, DDS, MS

December 5Modern Material Science andTechnology: Using Products toEnhance Restorative SuccessSabiha Bunek, DDS

University of Pittsburgh

Contact: Nicole Carreno (215) 707-7541(215) 707-7107 (Fax)[email protected] at dentistry.temple.edu/continuing-ed

September 12-14Bender Seltzer and Grossman Academic Review of Endodontology Course Director: Dr. Cemil Yesilsoy; Speakers: Drs. Eleazer, Fouad, Hersh,Holland, Hutter, Keiser, Khan, Pringleand Trope

October 10Orthodontic Diagnosis andTreatment Planning for the GeneralDentistHarold Slutsky, DMD

October 24The Full Crown Preparation(Hands On) Joseph Breitman, DMD, MS, FACP

November 74th Annual Straumann Speaker LectureEsthetics and Function in ImplantDentistry: Surgical and RestorativeAspectsDr. Carlo Ercoli

Temple University University of Pennsylvania

Contact: Pamela RiceAdministrative Secretary(215) [email protected]

October 10Department of Orthodontics61st Annual Alumni and FriendsMeetingAccelerated Osteogenic OrthodonticsCourse Directors:Chun-Hsi Chung, BDS, DMD, MSPeter Greco, DMDwww.dental.upenn.edu/pennortho2014

October 24-25ARONJ: An UpdateCourse Directors:Anh D. Le, DDS, PhDThomas P. Sollecito, DMD, FDS RCSEdwww.dental.upenn.edu/ARONJ2014

November 8-9Endodontic Retreatment:Surgical/Non-Surgical ManagementCourse Director:Syngcuk Kim, DDS, PhD, MD (hon)www.dental.upenn.edu/endoretreat2014

Tokishi Training CenterContact: Rebecca Von Nieda, PDA(800) 223-0016, ext 117

September 12Composites: Better, Faster and EasierJames C. Hamilton, DDS

October 24OSHA, Infection Prevention andHIPAA ComplianceMary Govoni, CDA, RDH, MBA

Wellsboro

December 6Anesthesia Permit Renewal – Part 1:Update of Local Anesthetics andAnalgesicsMatthew Cooke, DDS, MD, MPHPaul Moore, DMD, PhD, MPH

December 12Local Anesthesia Review forDental Hygienists Matthew Cooke, DDS, MD, MPHMarie George, RDH, MSPaul Moore, DMD, PhD, MPH

December 13Medical Emergencies in theDental OfficeMichael Cuddy, DMD

December 13BLS Healthcare Provider RenewalCourseJohn Brewer, NREMT-P

Off Campus

Bradford

September 18The Scope of Forensic DentistryDr. John Hosage

October 23When Dentist and Child Meet —The Pearls of Pediatric DentistryDr. Matthew Cooke

Johnstown

October 17Kiss and Make It Better: The SimpleSolution to Pediatric Dental TraumaDr. Mary Beth Dunn

November 19Dental Implants for the GeneralDentist: Diagnosis and TreatmentPlanning ConceptsDr. Nicholas Mangini

Reading

September 19Achieving Excellence in Treating andCounseling the Oncology PatientSandra Boody

October 24The Diagnosis and Management ofOral Disease in the Older PatientDr. Scott De Rossi

The Orchards RestaurantContact: Rebecca Von Nieda, PDA(800) 223-0016, ext. 117

October 3Drugs in Dentistry—IncludingHerbals and Natural ProductsRichard L. Wynn, PhD

November 14Diagnostic Considerations and NewTreatment Options for DifficultRestorative CasesEdward M. Feinberg, DMD

Chambersburg

Dental Society of ChesterCounty and Delaware County

DKU Continuing Dental EducationSpringfield Country ClubDelaware CountyContact: Dr. Barry Cohen (610) [email protected]

November 7Avoid Liability; Know Your Patients’Medications and Their Impact onDental Treatment!Harold Crossley, DDS, MS, PhD

December 3What Every Dentist Needs to Knowabout Temporomandibular DisordersJeffrey P. Okeson, DMD

January 14, 2015Offensive DentistryBrian Nový, DDS

April 10, 2015Functional Aesthetic DentistryDavid Hornbrook, DDS

May 8, 2015The Wellness Advantage: the ValueAdded PracticeUche Odiatu, DMD

(Those taking the full DKU serieswill receive both bonus courses)October 24, 2014 — EmergencyMedicine – Stanley Malamed, DDSMarch 4-5-6, 2015 — Memberschoose one course from the ValleyForge Dental Conference at theValley Forge Radisson Hotel


CONTINUING EDUCATION continued

Danville

Hemelright Auditorium, GeisingerMedical CenterContact: Rebecca Von Nieda, PDA(800) 223-0016, ext 117

September 10Oral & Systemic Health – TasteMechanisms & Nutrition NewsBetsy Reynolds, MS, RDH

October 8Esthetic Options and PredictableProcedures from A to ZChristopher D. Ramsey, DMD

November 12Local Anesthetic and AntibioticUpdateElliot V. Hersh, DMD, MS, PhD

December 10New Data – On Critical DentalQuestionsRella P. Christensen, RDH, PhD

The Institute For Facial Esthetics

Fort WashingtonContact: Linda Maroney, CECoordinator(215) 643-5881On-Line Registration:www.iffe.net/registration

January 19-20, 2015Teeth In A Day® Thomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBEJames R. Bowers, DDS

February 2, 2015All-On-4 and MoreThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

April 13, 2015Advanced Guided Surgery withZygomaThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

May 18, 2015Severely Atrophic MaxillaThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

June 1, 2015All-On-4 and MoreThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

June 13, 2015Dental Assisting in the ImplantPracticeJames R. Bowers, DDSHillerie Swinehart, EFDA

September 14-15, 2015Teeth In A Day® Thomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBEJames R. Bowers, DDS

October 5, 2015All-On-4 and MoreThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

November 9, 2015Advanced Guided Surgery withZygomaThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE

November 14, 2015Dental Assisting in the ImplantPracticeJames R. Bowers, DDSHillerie Swinehart, EFDA

December 7, 2015Severely Atrophic MaxillaThomas J. Balshi, DDS, PhD, FACPGlenn J. Wolfinger, DMD, FACPStephen F. Balshi, MBE


CLASSIFIED ADVERTISEMENTS

Lancaster Group PracticeAssociateship or Associate to Partnership in Lancaster. Large group dentalpractice. Income potential of $150,000 to $300,000 plus. Must be a multi-skilled, excellent dentist. This may be one of the best dental practices in thestate! Call (717) 394-9231 or email [email protected].

Outstanding Career OpportunitiesIn Pennsylvania, providing ongoing professional development, financialadvancement and more. Positions also available in FL, GA, IN, MI, VA and MD.For more information contact Jeff Dreels at (941) 955-3150, fax CV to(941) 330-1731 or email [email protected] or visit our websitewww.Dentalcarealliance.com.

Associate - General Dental PracticeBeaver County Pennsylvania (Pittsburgh area) extremely busy general practiceseeking quality long term associate or buy in candidate. Contemporary practice iscomputerized and has all digital X-rays. Experience in all phases of general practiceincluding endo, implants and crown and bridge preferred but will consider a recent,qualified graduate. Established practice includes experienced staff, modernequipment, great location, and doctors willing to make this a win-win situation.Contact office at (724) 775-4115 or email [email protected].

OPPORTUNITIES AVAILABLE

Rates: $45 for 45 words or less, $1 for each additional word. $1 foreach word set in boldface (other than first four words). $10 to box anad. $5 for PDA Box number reply. One free ad to deceased member’sspouse.

Website: All Journal classified ads will be posted on the publicsection of the PDA website, unless otherwise requested. Ads will beposted within 48 hours of receipt, but no earlier than one monthprior to the date of the Journal issue. Ads will be removed at the endof the two months of the Journal issue.

Deadlines: Jan/Feb Issue — Deadline: Nov 1 • Mar/Apr Issue —Deadline: Jan 1 • May/Jun Issue — Deadline: Mar 1 • Jul/Aug Issue— Deadline: May 1 • Sept/Oct Issue — Deadline: Jul 1 • Nov/DecIssue — Deadline: Sept 1

Payment: Upon submitting ad.

Mailing Address: Send ad copy and box responses to:PDA Dental Journal • PO Box 3341 • Harrisburg, PA 17105

Classified Advertising Policy: The Pennsylvania Dental Associationis unable to investigate the offers made in Classifieds and,therefore, does not assume any responsibility concerning them.The Association reserves the right to decline to accept or withdrawadvertisements in the Classifieds. The Journal reserves the right toedit classified ad copy.

How to reply to a PDA Box Number:

Your Name& Address Here

Pennsylvania Dental JournalPO Box 3341Harrisburg, PA 17105

Attn: Box J/A____

General Dentists NeededDental Dreams desires motivated, quality oriented general dentists to work inour busy Pennsylvania practices. At Dental Dreams, we focus on providing theentire family superior quality general dentistry in a modern technologicallyadvanced setting with experienced support staff. Because we understand thetremendous value of our associate dentists, we make sure that theircompensation package is amongst the best. Our competitive compensationpackage includes: minimum guaranteed salary of $150,000 with potential toearn up to $300,000, visa sponsorship, and health and malpractice insurancereimbursement. Make Dental Dreams a reality for you! To apply, please emailCV to [email protected] or call (312) 274-4520.

Associate WantedWe are a two doctor, general dentistry private practice. Our fee for servicepractice boasts long term, experienced staff and is highly regarded in the dentalcommunity. We are highly skilled in orthodontic, endodontic and prostheticdentistry and have been performing implant dentistry since 1985.

Our preference for an associate would be someone that is motivated, seriousabout their profession and willing to commit to the development and expansionof their professional skills. This individual should be interested in establishingroots in the area with a goal toward practice ownership in the near future.

Applicants may respond by calling our office at (610) 374-8009, ask to speak toKim or by emailing their resume to [email protected].

Endodontist WantedChestnut Hill Dental (CHD) provides quality, convenient and affordable care toover 50,000 patients in southwestern PA in our 10 practice locations. The groupconsists of General Dentists, Specialty Doctors, Hygienists and a team ofDental Assistants and operational support staff. Chestnut Hills Dental has beenaccredited by the Accreditation Association of Ambulatory Health Care.

CHD currently has a wonderful opportunity for an Endodontist to join our team.You’ll have the opportunity to work at multiple practices throughout GreaterPittsburgh and beyond! We offer competitive salary and excellent benefit packageincluding a 401K, health insurance and a professional work environment. Pleaseemail your CV to [email protected].

Dentist WantedSt. Luke’s University Health Network is seeking candidates for a part-time(32 hours a week) Dentist for our Mobile Van Program. The primary responsibilityof this position is to provide dental health services on the dental van whichservices local schools and community organizations. When schools are closedthis individual will see patients in either our Bethlehem, or Easton, PA clinics.During the summer the shifts will rotate between the clinics and the vandepending on the needs of the community. For more information please callNicole at (484) 526-6043 or email: [email protected].

Dentist Wanted In ErieLooking for a Dentist for a busy General Dentistry office in Erie. Thisestablished practice has a large patient base with a mission statement toprovide care for a diverse population from all cultural backgrounds. If you’regoal is to provide quality dental care with a personal touch in a caringenvironment, then this may be your opportunity. Starting pay is $80 perhour. (No evening or weekend hours) Cover letter and resume may be sentto [email protected] or call (814) 453-6374. New graduatesare welcome to apply.


CLASSIFIED ADVERTISEMENTS continued

Dentist WantedLooking for an outstanding dentist in any part of your career for part or full timeposition in either Edinboro or Corry. Great Commission, 401K. Highly trainedand positive staff. Guaranteed base salary. Future office in Erie opening. Pleasecall (814) 602-7099.

DO YOU WANT TO BE A PART OF THE MOST CHARMING DENTALPRACTICE IN NORTH CENTRAL, PA?Apple Dental is seeking an Associate General Dentist to join our rapidlygrowing practice. Our practice has been in business for over 22 years providingcomprehensive and quality dental care. Many new patients for an associate witha mentor doctor with over 31 years of experience. We are persistently seekingpositive change in our pursuit of excellence. Located at the heart of Pennsylvania,this friendly college community has great schools and safe neighborhoods.Please send resume to: Apple Dental, LC, Attention: Lawrence Leggieri, DDS,929 Lycoming Mall Drive, Pennsdale PA, 17756, email [email protected] phone (570) 546-8888.

General Dentist WantedPart Time leading to Full Time. General Dentists needed, 2 days per week in2 locations. One in Oil City and one in Johnstown. No nights or weekends. Busyfacilities operated by the Salvation Army. [email protected],if interested.

Dental Associate WantedLooking for a full time Dental Associate. General family practice with strongpatient base. Surgical and endo skills would be required. This is a wonderfulopportunity for an associate willing to commit to the practice and patients. Practicebased in Mercer, Pennsylvania area. Please call (724) 456-1818 for more details.

Seeking General DentistOrange County: Seeking General Dentist/Associate for long term position ingrowing practice near the beautiful Delaware River. Willing to mentor youngdentist in remodeled facility with well trained staff. Applicants must have equallygood clinical/verbal skills. Come join our team! Fax C.V. to (845) 856-3000 oremail to [email protected].

Trial Partner WantedTrial partner wanted in $4,000,000 general practice, located in NJ suburbs ofPhiladelphia. Owner will mentor in implant placement and oral surgicalprocedures. $315,000 anticipated net income for trial partner. Please forwardresume to [email protected].

IMMEDIATE OPENING FOR ASSOCIATEExcellent opportunity for recent graduate or experienced dentist for a 5,000patient practice located in Schuylkill County. We are looking for a full or part timeassociate. Benefits include healthcare, pension plan, etc. A profile is available uponrequest. Call (570) 544-4845 or email [email protected] for further details.



Oral Surgeon WantedFast growing, upscale General Practice looking for part-time Oral Surgeon to jointeam. Office accepts PPO and FFS plans. High number of oral surgery patients.Please send resume to [email protected].

Practice AvailableDue to a retirement an operating office with fixtures and dental equipment isavailable in Lords Valley, Pike County, PA. A new lease is required for the1,300 s/f office in a Weis grocery anchored shopping center. Call Pete at(609) 790-7718. [email protected]

Associate General DentistUnique opportunity for a full/part-time general dentist to join a highly successful,well-respected, quality-oriented private practice. We have a high volume ofpatients and the number continues to grow daily. Must be comfortable workingwith both pediatric and adult patients. All modalities of anesthesia provided(general, IV and oral) on a weekly basis in our new surgical suites. Please sendyour curriculum vitae to [email protected].

General DentistPart-time position available in the Wilkes-Barre, Scranton area for an experiencedDDS or DMD. Flexible scheduling. Fixed location. No eves or weekends. Experiencewith medically compromised patients preferred. Please email resume [email protected] or fax (855) 562-8030 or (215) 794-8873.

Dentist Full Time Perkiomen Valley PAEstablished, private dental practice is seeking a highly motivated Dentist to joinour team on an independent contracting basis. Doctors wanting excellence incare and long term relationships with staff, patients and dentistry will appreciatethe full potential of what is offered. Must hold an active license, D.D.S. or D.M.D.for PA. Successful candidate will have minimum of 5 years general dentistryclinical experience with good fundamentals for diagnostic and treatment planning,and be committed to providing quality care to patients. This is an outstandingopportunity for the right individual. Please submit letter and C.V. for immediateconsideration to [email protected].

FOR SALE

Love Doing Dentistry?Smilebuilderz is a comprehensive dental practice offering a full array of dentalservices, specialties, and walk in emergency care! We provide a professionalsupport staff, excellent facilities, and advance dental technologies toallow each of our Doctors to shine. As a rapidly expanding practice we arelooking for exceptional Doctors to join our team! Please contact our humanresource department to learn more about our opportunities by email [email protected], call Christi at (717) 481-7645 ext. 1084, and visitour site at www.smilebuilderz.com.



Dental Practice for SaleEstablished 23 years. Located in growing Butler Twp., Luzerne County, PA.4 large operatories, plus room to expand. Large white brick ranch on 3/4 acre.Owner will stay to introduce (570) 788-7010.

For SaleWell established 20 plus year general practice in beautiful modern office usingDentrix and digital radiography. Stunning center city Philadelphia views froma 3 operatory office. Strong hygiene program with over 1,700 active patients andover $620,000 on gross collections in a 3 day week. Please call (267) 973-9567or [email protected].

Space Available in Havertown 19083State of the art dental office located on a busy intersection. 3 operatories,business area, private office. Space available Monday, Tuesday afternoon/evening,Thursday, Friday and Saturday. Please phone (610) 283-3902 or [email protected].

For SaleDental practice and office building with surrounding ground. The office is locatedat 1305 Mifflin Street, Huntingdon, PA 16652. The dental office has threeoperatories fully equipped for both general dentistry and orthodontic treatment.We treat both adults and children orthodontically with braces and adjustableremovable appliances. We see children at age 8 for early orthodontic treatment.Call office (814) 643-5760 or home (814) 627-4290.

Dental Office for SaleVery modern dental office in Berks County. Four (4) treatment rooms with digitalradiography, Dentrix computer, staff lounge and large sterilization area.Free-standing building on large lot. Much expansion available. Will sell practicewith or without building. No brokers please. Call (610) 324-6897 or email [email protected].

For SaleGeneral Dental Practice Northeast Philadelphia. Established practice at samelocation for 61 years. Presently two operatories but has room for expansion.Excellent opportunity for an energetic business-minded doctor to build a close-knit neighborhood practice. Please call (609) 280-2768.

For SalePITTSBURGH, EASTERN SUBURBS. Established General Practice in free-standing architecturally-designed professional building; 3 ops + hygiene.FFS and INS based. Yearly gross consistently $560,000+ on 4 day work week.Owner wants to stay to assist with transition. One third of financing costcan be borne by seller. Excellent turn-key operation. Much opportunity forgrowth. Building is also available for sale. Please respond to PDA Box M/A 1.



WESTERN PENNSYLVANIA / GREATER PITTSBURGH AREA Numerous practices available for sale with collections rangingfrom $125,000 to $6,200,000: PA (#s are collections): GENERAL DENTIST – Beaver Valley $225,000,Clarion County $630,000, Cranberry Township $300,000,Indiana County $400,000, Pittsburgh and surrounding area $2,500,000,Pittsburgh-Airport area $280,000, Pittsburgh-North Hills area $300,000,South Hills $1,100,000, State College $460,000, West Mifflin $480,000.PERIODONTIC – East Pittsburgh Suburb $125,000, Tri-State area $600,000. PEDIATRIC – East Pittsburgh Suburb $400,000. OUTSIDE OF PA PERIODONTIC: San Antonio, Texas $6,200,000,Odessa, Texas $2,100,000. We offer formal Valuation Services in case of divorce, business planning,estate planning, retirement planning, help in determining exit strategy, partner“buy out”, etc. As always, we treat these matters with the highest amountof confidentiality and any contact with United Dental Brokers of America willbe kept completely confidential.Please contact Bob Septak at (412) 931-1040 or email [email protected]. Register your email address at www.UDBA.biz for up-to-date notification ofnew dental listings.

For SaleGeneral Dentist Retiring – 500K gross, 4 ops, apt. upstairs, parking lot on doctor’srow. Huntingdon with Juniata College and Lake Raystown. Turnkey: reduces to$225,000 for the lot. Owner is very flexible for transition. Reply:[email protected].

Indiana, PAWhat a great environment to raise a family and take advantage of entertainmentand educational programs offered by Indiana University of Pennsylvania. Thepractice is grossing over $500,000 per year and the new doctor could easilyrecognize $185,000. The office suite can be purchased when the time is right.The practice is uniquely positioned for a tremendous amount of growth. ContactDavid A. Moffa, DMD, MAGD, (724)-244-9449 or [email protected] learn more.

Practices Available/Western PennsylvaniaSmaller Merger opportunities to practices grossing over $1 Million annually.Visit our website at www.paragon.us.com or contact David A. Moffa, DMD,MAGD (724) 244-9449 or [email protected].

Rent Dental Office Space (Main Line)Share state of the art dental office on prestigious main line with unlimited use ofthree fully equipped operatories. Digital X-ray (dexis), network computer system,chair/unit (pleton/crane), computer with 2 monitors and three 32inch flatscreen TVs. The office is equipped with lasers, bleaching light, digital panoramicmachine and a 3m digital scanner. Dental staffing is available. Contact F. AlanDickerman, 139 Montgomery Ave, Bala Cynwyd, PA 19004, (610) 667-0588,www.baladental.com, [email protected].

General Dentistry Practice for SaleGreat location in the Squirrel Hill neighborhood of Pittsburgh. Low overhead.Contact [email protected] or call (412) 421-9111 for more information.

For SalePENNSYLVANIA: General practice, Poconos, 1,500 active patients. Collections400K. Doctor transitioning to retire. 28 hrs per week. Tremendous opportunityfor growth. Call (570) 856-0905 or email [email protected].

LehightonBusy 3 operatory, general dentistry practices. Real estate, with additional 2 incomeresidential rentals, for sale or rent. Call (610) 377-4719 or email [email protected].

PRACTICES FOR SALEMARYLAND, DC, VIRGINIA: No buyers fees. SOUTHERN MD – 3 ops grossing$580K. 3 day week. Near Naval Base. EASTERN SHORE MARYLAND – 3 opsgrossing $600K. Modern. SILVER SPRING – 2 ops plumbed for 4. Part time office.ALEXANDRIA, VA prosthetic cosmetic practice. Call for more. POLCARIASSOCIATES, LTD (800) 544-1297. Website listings www.polcariaassociates.com.

LEHIGH VALLEY DENTAL PRATICE FOR SALEWell established and modern cosmetic & family dental office with 4 ops andover 3,000 active patients. Great location, patients and staff. Practice has muchpositive growth opportunity.**Confidential information [email protected] or call (610) 217-5507

For SaleMontgomery County – Great location! Upscale area. Open 3 days – 900 s/fleased space. Fee for service. 3 ops. Contact Donna Costa (800) 988-5674,[email protected]. #PA127

For SaleYork County. Comprehensive / implant / cosmetic, 5 op practice located in asmall community. Uses Dentrix, paperless. Digital, intraoral cameras, a pano-graphic X-ray unit. Occupies 187 s/f. Building owned by Seller. Second floorapartment for sale. Doctor retiring. Contact: [email protected] at (800) 988-5674. #PA129

PRACTICE SALEPhiladelphia County - Well estab. P/T practice (2 days), 3 ops, great location!Digital X-ray. Newer equip, participating with several higher end PPO’s.Motivated Seller. Contact: [email protected] or (800) 988-5674.#PA120

PRACTICE SALEPhiladelphia – Nice opportunity in great location! 2 ops + 1 add’l. 50% profit –working 25 hours/wk. Leased space. Contact: [email protected] (800) 988-5674. #PA124

For SaleFOX CHAPEL – Dental office in professional building with below market rentand some patient following. Long standing practice for sale or take over theoffice space. Contact PDI at (412) 373-7044 for confidential information.

For SalePERIODONTAL PRACTICE: East suburbs of Pittsburgh. Great periodontalpractice with huge recall, great implant referral base. Owner is ready tohelp buyer with introductions to the patients, the referring doctors, and more.Contact PDI at (412) 373-7044 for confidential information.

South HillsFee for service General Practice, great patient base established over fortyplus years, low rent with three well designed open concept treatment areas.Gross collections over $260,000/year. Contact PDI at (412) 373-7044 forconfidential information.

For SaleDELMONT/MURRYSVILLE - Newly equipped, state of the art dental officefor rent/purchase/time share to develop your own specialty or generalsatellite office. All equipment, instruments available for Endodontic,Periodontics, Oral surgery, Orthodontics, or Implant Dentistry. Staff is availableto help. Contact PDI at (412) 373-7044 for confidential information



Financial ServicesFischer Financial Services, Inc. is an independent money management firmlocated in Harrisburg. As a “Registered Investment Adviser” with the U.S.Securities and Exchange Commission, the firm specializes in money managementfor institutions and individuals. To learn more, call (888) 886-1902 or visitwww.fischerfinancialservices.com.

Practice TransitionsWe specialize in Practice Sales, Appraisals and Partnership Arrangements inEastern Pennsylvania. Free Seller and Buyer Guides available. For more detailson our services, contact Philip Cooper, DMD, MBA America Practice Consultants,(800) 400-8550 or [email protected].

Practice TransitionsIf you are considering VALUING – SELLING – BUYING – MERGING –ARRANGING ASSOCIATESHIP – EXITING PRACTICE, contact the Transition &Valuation Specialists: Professional Practice Planners, 332 Fifth Avenue, McKeesport,PA 15132. (412) 673-3144 or (412) 621-2881 (after hours) or [email protected].

FOR SALELigonier-Latrobe area. Active general practice. Excellent facility, modernequipment (digital), staff, patient base, opportunity. PROFESSIONAL PRACTICEPLANNERS, 332 Fifth Avenue, McKeesport, PA 15131, (412) 673-3144,(412) 621-2882 (after normal hours), [email protected].

For SaleWestmorland County. Active general practice. Excellent facility, patient base,opportunity. PROFESSIONAL PRACTICE PLANNERS. (412) 673-3144 or(412) 621-2882 (after normal hours), [email protected].

FOR SALESchuylkill County. Active general practice. Excellent facility, staff, patient base,opportunity. PROFESSIONAL PRACTICE PLANNERS, 332 Fifth Avenue,McKeesport, PA 15132, (412) 673-3144, (412) 621-2882 (after hours),[email protected].

MISCELLANEOUS

DR. FILL-IN “Dentists helping Dentists”Dr. Fill-in was established 5 years ago to match qualified dentists with dentistswho are looking for temporary or permanent dental coverage. We serve thePennsylvania and New Jersey area to keep your office open while you areaway. For more information, please visit our website at www.doctorfillin.comor if you prefer contact us by phone at (610) 216-2899.

PROFESSIONAL SERVICES

Practice Sale/PurchaseOFFICE LAYOUT and DESIGN, HELP WITH EQUIPMENT SELECTION,PRACTICE AND EQUIPMENT APPRAISAL, GREAT SELECTION OFREFURBISHED AND NEW EQUIPMENT, CONSULTING SERVICES.ESTABLISHED IN 1986 to THINK AS A DENTIST with DENTISTS IN MIND.Contact PDI at (412) 373-7044 for confidential information.

PENNSYLVANIA DENTAL JOURNAL · 2016-09-13 · resume to the dean at your local dental school. If...

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Transcript of PENNSYLVANIA DENTAL JOURNAL · 2016-09-13 · resume to the dean at your local dental school. If...