SouthernCalifornia Orofacial SCOA PROCEEDINGS Academy · John practices in the Newhall-Santa...

2011 SPRING CONFERENCE

Fri March 11-Sun March 13Catamaran Hotel & SpaMission Bay, San Diego

PresentersRaymond J Melrose DDSFrank L Pavel DMD

Graham L Simpson DDSWith Six Pearls Presenters

Information Page 24 and Inserts

SCOA PROCEEDINGSSouthernCaliforniaOrofacialAcademy

Winter 2011

I hope this edition of theSCOA Proceedings finds youhealthy, happy, and ready toget together with membersnew and old for camaraderieand a spectacular continuingeducation program in SanDiego in March. This is a newvenue for us, and we expect itto be a perfect mix of ele-gance, fun, and family-friendlyactivities.

Because this is my firstcontribution to our newsletter, Iwant to express what an honorand privilege it is to bePresident of the SCOA. I wasinvited to join from the verystart by the instructors whoshaped my surgical career. Ihave seen this organizationgrow and become establishedby providing a quality productand also promoting fellowship.One of my main goals asPresident of the SCOA is tomaintain the established highstandards and to take thenecessary steps to ensure thatwe thrive for years to come.

It is a rather dauntingtask to follow in the footstepsof Bob Huntington, Jack Lytle,Ross Prout, and GeorgeGamboa. Luckily for me, allfour of these gentlemen helpedshape my career and hone mysurgical skills. They have awealth of knowledge and theyall continue to offer theirinsight, wisdom, and support.Another stroke of good fortunefor me is that the SCOA Boardof Directors is filled with awonderful mix of surgeons thatwill undoubtedly ensureexcellence for the present andthe future. And the SCOAwould also not be theorganization it is today withoutthe consistent guidance of MsSusan Smith, our dedicatedExecutive Director.

On behalf of the Boardof Directors, I would like toencourage all of our membersto attend the meeting in March.And since this meeting blendssurgical and prosthodontictopics as well as our members’“Pearls of Wisdom,” it toucheson areas of interest to a widevariety of practitioners - perfectfor inviting our restorativecolleagues. I’m looking forwardto seeing you in San Diego!

Theodore A Tanabe DDSSCOA President

President’s Message

IN THIS ISSUEPresident’s Message ................1SCOA Information ....................2Editor’s Corner ........................2Past, Present and Future ........5Fall Conference Report ..........11For Dr Stan Phillips ..............13For Dr Seymour Morrow ........17For Dr Cap McCarthy ............19AB 2637 for DSA Course ......22Our Spring Exhibitors ............23Advertisers’ Index ..................23In Memoriam ..........................232011 Spring Conference ........24

Plus Photos & SpringConference Insert

2011 FALL CONFERENCEJames D Ruskin DMD MDInformation on Page 3

SOUT

HERN CALIFORNIA OROFACIAL ACADEM

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EXCELLENCE IN ORAL AND MAXILLOFACIA

LSU

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FOUNDED 2001

HISTORICAL PRESERVATION

CAM

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PROFESSIO

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Southern California Orofacial Academy

BOARD OF DIRECTORSTheodore A Tanabe DDS

PresidentR Dean Lang DDS

Treasurer

Rick J Berrios DDSNew Board Member 2010Robert E Huntington DDS

Immediate Past President/HistorianJames P Jensvold DDSExhibits/WebmasterBach Le DDS MD

New Board Member 2010Kevin E Lew DDS MD

ResidentsJohn J Lytle MD DDSPast President/EditorBrian D Mudd DDS

MembershipFrank L Pavel DMD

PearlsRoss W Prout DDSPast President

John M Scaramella DDSACLS/Program

ADVISORY COMMITTEEThomas H Birney DDS

Robert V Fontanesi DDS MSGeorge C Gamboa DDS MS EdD

Joseph H Goodsell DDSCol Robert G Hale DDS

EXECUTIVE DIRECTORSusan Leslie Smith

VOLUNTEER STAFFJane GleasonVicki Hanes

Henrietta J RomeroSandy Wells

SCOA ADMINISTRATIVE OFFICE8236 Garibaldi Ave

San Gabriel CA 91775-2436TEL 626-287-1185FAX 626-287-1515

EMAIL [email protected] www.socalorofacial.org

SCOA PROCEEDINGS WINTER 2011

EDITOR’S CORNERBy Thomas H Birney DDS

I was presumptuous and premature instating that my previous Editorial would be myfinal presentation.

My previous Editorial had a tragic end-ing following the extraction of a deciduoustooth on an 8-year-old by a young female gen-eralist in the presence of a large undiagnosedarterio-venous defect which resulted in a mas-sive uncontrolled bleed and a subsequent andresultant fatality. Since this report generatedsome interest by the readership, I will attemptto be fair and balanced and report a case doneby a Board Certified OMS with an equally trag-ic result. Aside from the sad and morbid curios-ity of these cases, it is my hope that somethingpositive will be gained.

This case involves an 80-year-old ladywho was brought to the OMS office for theremoval of all remaining teeth and the insertionof a complete maxillary and completemandibular denture.The patient underwent theusual pre-operative workup and this proved tobe uneventful. In addition, with her daughterpresent she reviewed a video of the procedureand postoperative care to follow.

The procedure was performed underlight general anesthesia and was accom-plished uneventfully.The patient was transport-ed to the recovery area when surgery wascomplete. In addition to the previouslyreviewed post-operative instruction film, shewas given both verbal and written postopera-tive instructions in the presence of her daugh-ter and caretaker.

A rolled-up gauze hemostatic pack wasplaced in the left and right posterior areas andthe patient was instructed to bite and placefirm pressure on the packs. The patient wasdischarged from the OMS office in the care ofher daughter and caretaker. A short while laterwhile at home sitting upright and watching TV,the patient experienced a coughing episode.

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Dr. Birney, Continued from Page 2

The patient was found to have a mouthful ofblood and an attempt was made by the care-taker to evacuate the blood from her mouth.

At this point the sequence and historyof events becomes murky. Clots and possiblysome saturated gauze packs were manuallyremoved and eventually both dentures wereremoved. The patient was becoming moreagitated. The distress level was elevated aschoking and coughing continued and breath-ing became increasing more difficult. Thecaretaker then called 911. The paramedicsarrived and the patient was transported fromher home to an urgent care facility.

Unsuccessful attempts were made toclear the airway and control bleeding.Breathing became more labored. It is uncer-tain at this point but intubation was attemptedand in any event, it was not successful. Oneof the staff stated that there appeared to be apossible gauze blockage deep in the trachea.A decision was made by the staff to transportthe patient to a facility where a bronchoscopycould be performed. No reference was madeto a possible tracheotomy. The patient wasbeing loaded into the ambulance in the drive-way when she arrested. Attempts at resusci-tation were not successful and the patientexpired.

Apparently there was enough blame inthis case to be spread around to all thoseinvolved. The OMS was criticized for sendingthe patient home with packs in her mouth thatwere not sufficiently protruding so that onecould grasp them should removal be neces-sary. He also neglected to establish completehomeostasis. The daughter was given post-operative instructions but stated she was nottold packs were placed. The caretaker wasblamed for doing blind manual sweeps of theoral cavity at home with no prior experience ofthis procedure. The plaintiff attorney allegesthat her blind sweeps resulted in pushing thegauze packs beyond the cords and deeperinto the trachea. Emergency room personnel

were blamed for not immediately establishinga patent airway.

The downhill scenario started proba-bly when proper hemostasis was notobtained. Secondly, gauze packs were placedthat easily became saturated and then sub-sequently became dislodged. These twoareas the OMS had control over and meticu-lous care and attention in these areas mayhave avoided the tragic disaster that followed.Other areas, although faulty and subject tocriticism, probably were where there was littlethe OMS could have done to correct them.

This case is not presented to layblame on any one individual involved in thecare of this patient. It does show how rapidlythings can deteriorate and quickly result in atragedy. We all become the proverbial“Monday Morning Quarterback” and dispenseour “What-Ifs.” Hopefully we will all do areassessment of our emergency in-houseprocedures.

I appreciate the opportunity as Editorto share these few thoughts with you. I amhonored to be a part of this great group ofpeople.

Written by EditorThomas H Birney DDS

SCOA 2011 Fall ConferenceWed Oct 19 Hilton Pasadena

James D Ruskin DMD MDRegenerative Therapy and Nerve

Repositioning for Placement of Implants

Clinical Realities of Bone Grafting

Auxiliary SessionsDental Implants and Treatment Planning

Simulated Emergencies Required by theDental Board of California

Prepare for Your Mandatory Onsite Evaluation

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PAST, PRESENT, AND FUTUREBy Robert E Huntington DDS

SCOA Immediate Past President/Historian

“The future is now.” “The future is here.”The future is yours.” All three phrases aresomewhat trite truisms. But the quote I thinkfits best for this final editorial is “OUR LEGACY,OUR FUTURE.”

Admitting my plagiarism, the phrase“OUR LEGACY, OUR FUTURE” comes fromthe theme of the ADA’s current financial drivefor educational funds. I use those four wordshere because I believe they best capsulize mytrilogy of musings about “Past, Present, andFuture.” The illustrious history of the SouthernCalifornia Society of Oral and MaxillofacialSurgeons and the current status of theSouthern California Orofacial Academy havebeen documented in my past two president’smessages. Now it is time to look to the futureand entrust SCOA into the care of a youngergeneration of bright, well-trained and enthusi-astic oral and maxillofacial surgeons.

Professional organizations have alwaysbeen about people…dedicated doctors, inno-vative leaders, hard-working staff, loyalexhibitors, and even our families, all of whomparticipate in our meetings and activities. Wehave many talented SCOA members as evi-denced by their continuing education programsand their many “Pearls of Wisdom” presenta-tions. Some of them have and will continue toassume leadership positions in SCOA, presentPearls, and have many future productive yearsin our specialty.

It is now a pleasure to offer a few wordsabout the good people…the officers, directors,and staff who will carry on the legacy ofSCSOMS and SCOA.

DR TED TANABE – Our new presidentis no stranger to leadership positions.Completing his various training and residencyprograms in 1997, Ted has been activelyinvolved in numerous organizations. He is apast Director and President of the SouthernCalifornia Academy of Oral Pathology, theMarsh Robinson Academy, the Whittier DentalSociety, and currently is a member of theContinuing Education Committee of theCalifornia Association of Oral and MaxillofacialSurgeons. He has continued on the AttendingStaff at Los Angeles County/USC MedicalCenter and was given an Outstanding ServiceAward for Part-Time Faculty for his many yearsof teaching at USC. Ted has long been a SCOADirector and served as treasurer the past twoyears. He is in private practice in Whittier.

DR DEAN LANG – Dean assumes theduties of Treasurer after several years as aDirector, Arrangements Chairman andProgram Chairman of SCOA. Dean has notonly contacted and arranged great speakersfor our Fall Implant Conferences and AnnualDesert Meetings but he has presentedadvanced implant seminars for many profes-sional groups around the country including ourown SCOA. Dean has an impressive CV, isextremely articulate and is one reliable guywho gets the job done. Dean maintains a pri-vate practice in West Hills.

DR JOHN SCARAMELLA – NewProgram Chairman is John Scaramella whowas the SCOA Editor for several years. John,pretty much on his own, initiated and arrangedour first Advanced Cardiac Life Support courselast year. He expended not only a lot of timeand energy but also his own personal funds tobring it off successfully. Talk about dedication!John practices in the Newhall-Santa Claritaarea and drives many miles to attend board

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meetings. And on week nights no less. He isan important contributor to the Board discus-sions and SCOA activities.

DR JAMES JENSVOLD – Jim has longbeen a Director and has sought out, cajoledwith and sustained important relationshipswith our exhibitors as Exhibits Chairman. Heis also our indispensible webmaster as hecoordinates the computer PowerPoint presen-tations of our speakers and he always seemsto correct the most baffling computer glitches.His wry humor and cogent comments addconsiderably to every meeting. A hard workerfor SCOA, Jim is in private practice inWoodland Hills.

DR FRANK L PAVEL – After his firstPearls presentation, Frank jumped right in asPearls Chairman when he joined the Board.He continues to arrange Pearls presentersand has many great contacts in and out of theprofession. Besides arranging the hotelaccommodations for our Spring Meeting inSan Diego, he will be the main speaker. Anenergetic and enthusiastic guy, Frank prac-tices the full scope in two busy offices in theSan Diego area. He takes time out of hisoffice and has perhaps the longest travellingdistance to attend board meetings. But he’salways there!

DR BRIAN MUDD – Retired from theUS Air Force Reserve where he obtained therank of Colonel, Brian was active withSCSOMS some years ago where he workedwith the SCPIE professional liability insuranceprogram. He joined the SCOA early on andrecently was a Pearls presenter at our DesertConference. Brian is another member whodrives a considerable distance from hisOceanside practice to attend board meetingsand our Fall Conferences in Pasadena.

DR KEVIN LEW – From a familyloaded with DDSs, MDs, and oral and max-illofacial surgeons, Kevin came on board sev-eral years ago. He has been our ResidentsChairman and continues to help us stay

young and connected with the residents. Hehas been busy and successful in not onlyopening his new practice but in also producinga new baby girl (with considerable assistancefrom his wife!). Kevin’s new office is in theLarchmont area of Los Angeles.

DR BACH LE – Just added to the boardin October, 2010, Bach is gaining a nationalreputation as an astute implant surgeon andhas lectured extensively, including a majorpresentation to SCOA just a few years ago. Wewelcome Bach to the Board and look forwardto his expertise and contributions. Betweenteaching and presenting CE courses, Bachpractices in East Whittier with special emphasis on implants.

DR RICK BERRIOS – Rick also graciously accepted appointment as a newBoard member. Rick was a recent Pearl presenter and his talk was notable for hisextensive review of the literature and the clinical correlations. Rick has practiced inSouthern California for nearly two decades inan office in Huntington Beach and recentlytook over an active office in Costa Mesa. Wewelcome Rick’s wisdom and experience.

DR ROBERT HALE – Though no longera local boy, we continue to hear from our friendand former board member (now on the SCOAAdvisory Committee), and long-time SCOAEditor Bob Hale, now known as ColonelRobert G Hale of the US Army Dental Corp.Col Hale left private practice in SouthernCalifornia and returned to active duty afterspending time treating war injuries in Iraq andAfghanistan. He has published extensively andhas shown many cases of maxillofacial traumaat our SCOA meetings. He is currentlyProgram Director of the OMS Residency atBrooke Army Medical Center, Fort SamHouston, Texas. Bob contributed much toSCOA (he designed our logo and named ournewsletter, SCOA Proceedings) and still main-tains contact despite the time and distance.

Dr. Huntington, Continued from Page 5

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With the ever-increasing popularity ofand attendance at our SCOA courses andconferences, several part-time staff membershave become a necessity to aid our ExecutiveDirector, Susan Smith.

VICKI HANES – Vicki is the wife of DrStan Hanes, a long-time oral and maxillofacialsurgeon in Lake Tahoe. Stan and I were oneyear apart at the USC School of Dentistry soit was great to see Vicki and Stan start attend-ing our Desert Conference in Palm Springs afew years ago. They live part-time in thedesert. Susan says Vicki appeared at a desertconference ready to help, and has been indis-pensible at our meetings ever since.

JANE GLEASON – Susan and Janehave been friends since Menlo-Atherton HighSchool in Northern California. Jane moved toLa Jolla a few years ago and has been a valuable assistant. Susan says Jane learnedthe SCOA meeting routine quickly and is getting to know our members. Next time yousee her at a meeting be sure to introduceyourself.

As a parting comment I feel compelledto address the following: Several years agotwo officers of the Southern CaliforniaOrofacial Academy met with two officers of theCalifornia Association of Oral and maxillofa-cial surgeons to discuss the possibilities ofsome sort of “cooperative reunification.” Giventhe history of the Northern and SouthernCalifornia Societies, the vast geographical distances of California, and the concept thatgovernance works most efficiently at the locallevel, further dialog on this subject stalled. Ihave long been disappointed to hear a fewpoliticos suggest that SCOA was a “rebelgroup” and in competition with CALAOMS. Wehave consistently advocated support andmembership in both CALAOMS and SCOA.Conversations and informal polling of ourmembers reveal that most all support this concept and indicate exceptional satisfaction

with the SCOA objectives of camaraderie and continuing education on a more manageablelocal level. That is not to preclude any futuredialog to negotiate an amicable, efficientorganization that allows the vast number of oral and maxillofacial surgeons in thesouthern part of the state to manage theirown continuing education courses and theirown affairs with their own local headquartersand staff.

“OUR LEGACY, OUR FUTURE” areyours to do what you wish with them. “THEFUTURE IS YOURS.”

Thank you all for your continuing sup-port and for our lasting friendships.

Written byBob Huntington

Dr. Huntington, Continued from Page 7

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1. SCOA Board Members present at Oct 20Conference: Drs Bach Le, Joe Goodsell, BobFontanesi, Frank Pavel, Dean Lang, Tom Birney, JimJensvold, Jack Lytle, Bob Huntington, Ted Tanabe.2. Outgoing SCOA President Dr Bob Huntington withIncoming SCOA President Dr Ted Tanabe.3. Drs Craig Chan, Gary Chan, Bill Owen.


Our Annual Fall Implant Conferencewas held at the Hilton Pasadena for the fourthyear. Their International Ballroom has becomepopular with our presenters, doctors andexhibitors.

Dr Ray Melrose started the meetingwith To Biopsy or Not to Biopsy: Is That theQuestion? Ray has agreed to present a shortlesson on oral pathology at all of our meetingsfrom now on, which we appreciate.

Dr Dennis Smiler continued the pro-gram with Harvesting Stem Cells for BoneGraft Success. Dennis discussed stem cellbiology and function as it relates to osteogen-esis and bone marrow aspirate.

Dr Alan Kaye presented How You MayLose Your Profession if You Don’t Protect YourPractice. Alan’s topics gave us all concern forour profession and what we do in our offices.

Dr Stewart Balikov presented The Nuts& Bolts of Proper Record Keeping andDocumentation. Stewart reminded us howimportant it is to keep comprehensive patientdocuments and records.

Thanks to Vicki Hanes, HenriettaRomero, Patti Purdom, and Ruth Camardiwho took care of this meeting in Susan’sabsence. Thanks to Vicki again for all the pho-tos she took that day.

SCOA 2010 Fall ConferenceBy R Dean Lang DDSPast Program Chairman

1. Dr Ray Melrose, Fall 2010 Presenter.2. Dr Bob Huntington with Dr Dennis Smiler, Fall2010 Presenter.3. Dr Stewart Balikov, Fall 2010 Presenter, DrNorm Fischer, Dr Alan Kaye, Fall 2010 Presenter,Dr Moris Aynechi.

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Stan Phillips was the first oral surgeonI knew personally in Glendale. He returnedhome from “The War” in 1946 and opened hisoral surgery practice on North Brand Blvd inGlendale and remained in practice until heretired in 1980. Joe Goodsell continuedStan’s practice until recently when he handedit off to Mark Urata et al and the practice con-tinues to this day at the North Brand location.By the time I was in High School, Stan wasthe best known “wisdom tooth remover” inGlendale.

Stan was Mister Glendale who seem-ingly knew everything and everybody in town.He was born in Eagle Rock but moved toGlendale at age two and went entirely throughthe Glendale School system, graduating fromGlendale High in 1933, then Glendale Collegeand finally on to USC Dental School where hegraduated in 1941. He and Jane were marriedin September 1941 and Stan was employedteaching at the Dental School.

The Second World War broke out onDecember 7, 1941 and by February 1942Stan was an Army Dentist. He was a highlyregarded volunteer and was assigned toWalter Reed Hospital in Washington DC fortraining in oral surgery. He completed his yearof training and was assigned to Woodrow

Charles Stanley Phillips DDSJune 20, 1914 - August 30, 2010

Wilson General Hospital in Staunton Virginiawhere he served as chief of oral surgery untilhis release from service in at the War’s end.

When he returned to Glendale he waswelcomed by the two Glendale oral surgeons,Roland Grubb and Lock Hales, who by virtueof age and community need had remainedhome during the War. My dad was practicinggeneral dentistry in Glendale and I rememberclearly him talking about the “fine young oralsurgeon” who had just come home from thewar and begun oral surgery practice. He wasbusy immediately and remained so for thenext 35 years.

Stan is survived by his wife Jane, sonsStan Jr and Christopher, daughter Paige,eight grandchildren and five great grandchil-dren. In his younger years Stan was very ath-letic and always remained physically active. In1954 he and Jane acquired the only ranch-land left in Glendale and Verdugo Oaks Ranchis where they raised their family and enter-tained their many friends and associates. Stanwas very active at Glendale MemorialHospital and the medical staff held their annu-al staff picnic at Stan and Jane’s wonderfulranch home for many years. Stan was wellregarded by the medical community andserved on the credentials committee atGlendale Memorial Hospital before his retire-ment.

Stan loved horses; he owned severalover the years and rode frequently in theVerdugo Mountains surrounding his home. Heparticipated in the De Anza trail ride fromRiverside to the Mexican border for manyyears, often with his sons or other oral sur-geons such as Sheldon Brockett of SanDiego.

Stan was a strong supporter of USCfootball and had many stories about the earlydays of USC football when Howard Jones wascoach and Marion Morrison (John Wayne)played for Glendale High and USC.

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Stan was truly devoted to the SouthernCalifornia Society of Oral Surgeons and wasPresident in 1966. He delighted in telling stories about clinicians who came to speakwho he had known during the War. He was afriend of Bob Shira who many of us knew andwho Stan had invited to speak at our meetingson several occasions.

Stan was also technically skilled andused the “impactor” to remove bone aroundthird molars and to produce a split. This handpiece-driven device utilized a springmechanism that could be adjusted to producevariable force and it was a technique that Stan developed to perfection. He was always

ready to share his knowledge and expertise.He remained active in the affairs of oral andmaxillofacial surgery following retirement andwas a valued advisor in the formation of thisorganization (SCOA).

Stan made friends easily and remaineda friend for life with his many colleagues inoral and maxillofacial surgery and in theGlendale community. His long and productivelife had a very positive impact on his commu-nity, his profession, and most importantly onhis friends and family. He was a friend andadvisor who will truly be missed.

Written by John J Lytle DDS MD

Dr. Lytle, Continued from Page 13

SCSOMS Past Presidents were honored on January 18, 1995. Seated from left: Frank Pavel DDS, Robert BSteiner DDS*, S James Vamvas DDS*, Sheldon I Brockett DDS, C Stanley Phillips DDS*, Roger S KingstonDDS, Frank E Barbee DDS MS*; Standing from left: Thomas A Seaton DDS*, Robert W Thompson DDS, RossW Prout DDS, Leland W Reeve DDS*, Robert V Fontanesi DDS MS, John J Lytle MD DDS, Howard P BollerDDS, Charles R Petty DDS MS*, Dennis-Duke R Yamashita DDS, W Howard Davis DDS, Leon WeissmanDDS*, Robert E Huntington DDS, Thomas H Birney DDS. (*Deceased)


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Santa Monica, California -- Seymour MorrowDDS lost his four-year battle with pancreaticcancer on December 6, 2010 at the age of 87.A devoted husband, father, and grandfather,he is survived by his wife of 63 years,Donelda, two children and his six grandchil-dren.

Dr Morrow graduated from LosAngeles High School at the age of 16 andwent on to attend UCLA where he was amember of the honor society and the AlphaOmega Fraternity. He completed his dentalstudies at USC where he again excelled,graduating with honors. He joined the Navy atthe beginning of the Korean War as an officer.Assigned to a battleship, he served as theship’s dentist and mess officer.

In 1948 he married and settled in theSan Fernando Valley where he raised his family and ultimately established a thrivingoral surgery practice. In 1968 he was joined inthat practice by Robert Shuken, and later byJeffrey Foltz in 1980. After more than 25years, he chose to retire, pursuing other passions and devoting more time to family,faith, business, and tennis. The practice continues under the guidance of Drs Shukenand Foltz today, in the same location built byDr Morrow.

Seymour Morrow DDSOctober 14, 1923 - December 6, 2010

He was a long-time member ofSCOMS and an active participant in their tennis tournaments, the sport he loved themost. He was a respected member of theUSC Oral Surgery Resident teaching staff,held in high esteem for his skill and talentwhile equally respected for his kind, gentlemanner. He was the consummate professional who always took time to sharehis experience and wisdom with those hecame to mentor over the years.

As his partners, we were continuallyimpressed not only by his exceptional surgicalskill, but by Seymour Morrow the man; hisintegrity, his love of family and his sense ofcommunity. He was compassionate with hispatients and built his practice on a foundationof uncompromised standards of excellence.Our profession was indeed enriched bySeymour Morrow; the surgeon and the man.As a partner, a friend and a colleague, he willbe missed.

Written by Robert Shuken DDS and Jeffrey Foltz DDS

1. Dr Joe Anthony, Dr Ken Malone, Justin Swann,Xemax Surgical Products, Dr John Scaramella.2. Drs Larry Hundley and Keith Hoffmann.

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We often speak of “giants” in dentistryand our specialty of oral and maxillofacial surgery. Frank M “Cap” McCarthy trulybelongs to that elite group of dentist physicians who made a lasting impact on ourprofession. He was the first and longesttenured director of outpatient dental generalanesthesia at the Los Angeles CountyGeneral Hospital, later known as the LACounty/USC Medical Center. He was asked tostart the program soon after he arrived inSouthern California and joined the AdrianHubbell DDS oral surgery practice in LongBeach.

He had attended the University ofPittsburgh for his undergraduate pre-doctoraleducation obtaining the BS in 1943, DDS in1946 and his MD in 1949. He completed hismedical internship at Mercy Hospital inPittsburgh PA. When he finished his tour ofduty in the U.S. Navy, including a year inJapan in 1952, he and Judy decided to headwest to California. I’m sure Dr Hubbell waspleased to add this young oral surgeon to his burgeoning practice that at times daily completed more than 50 cases of dento-alveolar surgery under straight pentothal and later straight methohexitalanesthesia.

Frank M McCarthy BS DDS MD ScD (hon) FACD FICDAugust 27, 1924 - January 20, 2011

It didn’t take Cap long to see opportunity in the Westchester area where he set up his own oral surgery practice whichwas an immediate success. He and Judymoved the family to Rolling Hills Estateswhere their two children, son Robert anddaughter Lee were raised. In the early 70sCap and Judy moved to a penthouse condominium on Orange Grove Avenue in Pasadena and Cap redirected his professional activities.

He retired from private practice in 1975and became a full-time professor of physicaldiagnosis, outpatient sedation, office generalanesthesia and emergency medicine. He had always been interested in academics and had more than 100 published articles inpeer-reviewed journals. He was editor of theanesthesia section of the Journal of Oral andMaxillofacial surgery from 1972 through 1981.

In addition, his popular 1965 DentalClinics of North America Monograph onMedical Emergencies in Dental Practice wentthrough three printings and was expanded in1967 to the definitive text on Emergencies inDental Practice which went through three editions and was published in six foreign editions over the subsequent 25 years.

Dean Bill Crawford appointed himChairman of the Division of Surgical Sciences in 1977 and Associate Dean for Administrative Affairs. He continued to actively teach undergraduates and was recognized by the students as ‘OutstandingTeacher of the Year’ on multiple occasions. Hewas my boss during my tenure as Chairmanof Oral and Maxillofacial Surgery at USC. Dr McCarthy retired to Pasadena in the mid-nineties where he and Judy resided untilhis recent hospitalization and passing.

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Judy McCarthy spotted Cap when shewas an undergraduate at the University ofPittsburgh where she obtained her BA and MAin modern foreign languages. They married inNovember 1949 when Cap completed his fellowship at Georgetown under the tutelage ofGustav Kruger. Cap was always interested inautomobiles and had a number of exotic cars,mainly Jaguars as I recall. Judy says Capbecame interested in her not because of herstriking appearance but because she had aBuick convertible. Her dad owned the BuickAgency in Sewickley Pennsylvania about 12miles north of Pittsburgh where she was raisedbefore attending “Pitt.”

In 1958 Dr Charles Yoon and I enteredthe residency program and we heard Capspeak often and eloquently about outpatientultralight general anesthesia, a term he haddevised. We soon learned that as entering residents we would be “put to sleep” with pentothal to prepare us to honestly say topatients we had experienced outpatient general anesthesia. There was no arguing withCap despite our reluctance to submit on ourfirst visit to the outpatient clinic at LA County.We both were uneasy about undergoingunnecessary anesthesia but following successful emergence we were relieved andpleased with the experience. Cap was right.

He was a very active member of theSouthern California Society of Oral andMaxillofacial Surgeons and was president ofthat organization in 1974. He was the honoreeof the SCOMS in 1977, an early recognition ofhis contributions to our society, oral and maxillofacial surgery and to anesthesia in dentistry. He was the prime force in makingsure office evaluations occurred during histenure and passed that responsibility on to me.We maintained a permanent file of our activities and all of the office evaluations thatwere conducted.

It is well known that the office anesthesia evaluation program and the training of surgical anesthesia assistants wasinitiated by Cap who served first as anesthesiachairman for the SCSOMS and later, in 1972,as chairman of the American Society of Oral

Surgeons anesthesia committee. Cap was anexceptional oral and maxillofacial surgeon whois fondly remembered by those who weretaught by him and worked with him over hisexceptional career. He was a forceful advocatefor the formation of the Southern CaliforniaOrofacial Academy and served on the Boardfrom 2002 until he was no longer able toattend. He was our honoree in 2007. We willmiss his guidance and friendship that weenjoyed for more than fifty years.

Written by John J Lytle MD DDS

Frank M McCarthy, Continued from Page 19

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1. SCOA Staff: Vicki Hanes, Patti Purdom, RuthCamardi, Henrietta Romero.2. Scott Price, Brady & Associates, Drs Stan Hanesand Ted Tanabe.3. Drs Michael Jensen, Loretta Gilmore, MarvJensen.


AB 2637 for DSA CourseBy John M Scaramella DDS

Course Director

Dental Sedation Assistant Pilot CourseThe CDA collaborated with the Dental AssistingAlliance, representatives from general practice,and all recognized dental specialties tostrengthen the career path for dental assistants.Six years (2002-2008) of public, legislative, andregulatory work was completed in response tothe evaluation of the dental assisting structure.

AB 2637SB 1546 was the original legislation enacted in2004. This law was sunsetted and replaced byAB 2637 which establishes the DSA and theROA.

DSA PermitThis permit creates a clear entry point andcareer ladder for the dental assisting professionby offering additional training and permits forspecialized duties. The permit provides forexpanded functions for the current core cate-gories DA, RDA, RDAEF. Two add-on permitsfor those who wish to perform certain specialty-specific duties are for Orthodontic andOMS/Periodontics.

Eligibility Requirements for LicensureTwelve months of work experience as a DA(may commence study after six months ofemployment); California Dental Practice Act,Infection Control and BLS courses; 110 hours ofDBC-approved course education: Didactic (40hours); Laboratory and Pre-clinical (hands-on)(32 hours); Clinical (involving patient treatment)(38 hours); Written examination administeredby the DBC.

Dental Sedation Assistant ProvisionsThe DSA expands opportunities within dentalassisting without changing dentists’ fundamen-tal oversight responsibilities; The dentist holdingthe general anesthesia or conscious sedationpermit is required to be at the patient’s chairside to make all anesthesia decisions and toinstruct and verity the permitted DA’s actions.

Dental Practice ActUnder the Business and Professions Code1750.5: Persons holding a DSA permit mayperform the following duties under the directsupervision of a licensed dentist or otherlicensed health care professional authorizedto administer conscious sedation or generalanesthesia in the dental office.

DSA Licensed DutiesMonitor patients undergoing conscioussedation or general anesthesia utilizing datafrom non-invasive instrumentation such as pulse oximeters, electrocardiograms,capnography, blood pressure, pulse, and respiration rate monitoring devices;Evaluation of the condition of a sedatedpatient shall remain the responsibility of thedentist or other licensed health care professional authorized to administer CS orGA, who shall be at the patient’s chair sidewhile CS or GA is being administered;Drug identification and draw, limited to identification of appropriate medi-cations, ampule and vial preparation, and withdrawing drugs of correct amount as verified by the supervising licensed dentist;Removal of Intravenous lines; Add drugs,medications, and fluids to intravenous linesusing a syringe, provided that a supervisinglicensed dentist is present at the patient’schair side, limited to determining patency of intravenous line, selection of injectionport, syringe insertion into injection port, occlusion of intravenous line and blood aspiration, line release and injection ofdrugs for appropriate time interval; Theexception to this duty is that the INITIALDOSE of a drug or medication shall beadministered by the supervising licenseddentist; The duties listed above may not beperformed in any other setting than a dentaloffice or clinic.

Dental Sedation AssistantThe educational requirements for the DSApermit ensure that the permitted assistant isfamiliar with the environment of an officedelivering ambulatory conscious sedationand general anesthesia. This brings a moreeducated assistant into the dental surgeryenvironment.


Bob Steiner 2001Frank Barbee 2001Helen Brockett 2002Woody Eklund 2002Jerry Sheppard 2002

Robert Williamson 2002Bill Bogart 2002Tom Seaton 2003

Edwin Williams 2003Duke Jones 2003

Lynn Fontanesi 2003‘Little’ Bob Thompson 2005

Lee Reeve 2006David Cordoba 2007Paul Knight 2008Phil Boyne 2008

Bill McMillan 2008Gerry Hanson 2009Desmond Hinds 2010Jeffrey Pulver 2010Stan Phillips 2010

Seymour Morrow 2010Cap McCarthy 2011

Since SCOA started in 2001:

In Memoriam

The Southern California Orofacial Academy is notaffiliated with or endorsed by the California Association of Oraland Maxillofacial Surgeons or the American Association of Oraland Maxillofacial Surgeons; is not politically motivated; reachesout to Oral and Maxillofacial Surgeons and other specialties inCalifornia and the western states with increased options forcontinuing education; offers camaraderie and SouthernCalifornia locations for two conferences each year; is registeredwith the Dental Board of California as a Dental Society.

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March 11-13Catamaran Hotel & SpaMission Bay, San Diego

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A Symposium for Doctors & StaffJoin Us at Our New Location

The Catamaran on Mission Bay in San Diego

PresentersFrank L Pavel DMD and Graham L Simpson DDS

Will Present Surgical Implant and Prosthetic Restorative Cases,Materials & Techniques, 3D Virtual Treatment Planning and Much More,

Based on Their Combined 50+ Years of Private Practice

Raymond J Melrose DDSWill Present a CPC Format

Pearls PresentersRonald M Kaminishi DDS, Chris A Larson DDS,Steven R Olmos DDS, Peter M Scheer DDS MS,

Alejandro Semanduras DDS, Gerald P Unhold DMD MD

Special Room Rates Before, During and After Our ConferenceFriday Afternoon & Evening Welcome Reception & Cruise on the “Bahia Belle”

Saturday Afternoon Golf Tournament & Private Tour of the Evans Garage MuseumSaturday Evening Dinner Cruise on the “WD Evans”

Enjoy “America’s Finest City” Family Activities

PLEASE SEE INSERT IN THIS ISSUE FOR SAN DIEGO PROGRAM DETAILS,WEEKEND SCHEDULE, REGISTRATION AND CREDIT CARD FORMS

SCOA ANNUAL SPRING CONFERENCEFriday March 11 to Sunday March 13, 2011

SOUT

HERN CALIFORNIA OROFACIAL ACADEM

Y

EXCELLENCE IN ORAL AND MAXILLOFACIA

LSU

RGER

Y

• •

FOUNDED 2001

HISTORICAL PRESERVATION

CAM

ARAD

ERIE

PROFESSIO

NALISM

SouthernCalifornia Orofacial SCOA PROCEEDINGS Academy · John practices in the Newhall-Santa...

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