Many dentists participate in the TDA grassroots initiative by becoming key contacts, contributing to DENPAC, and becoming experts in oral health policy, but the most important day for dental advocacy is TDA Legislative Day.

Legislative Day, being held in Austin on Wednesday, February 20, 2013, at the Intercontinental Stephen F Austin Hotel, presents a unique opportunity for member dentists and spouses to participate in the political process. During the morning program members will be introduced to the issues facing dentistry during the legislative session. Members will then deliver this message to legislators during Capitol visits that afternoon. The TDA relies on its members to be the face of the profession making these one-on-one meetings at the Capitol very important. The 83rd Texas Legislature will have a large number of first- and second-time legislators. It is crucial that Texas dentists establish strong relationships and continue to carry the message of organized dentistry.Registration for TDA Legislative Day is still open and transportation to the event is available through the following local component societies:• GreaterHoustonDentalSociety — Contact: Jayne Fuller, 713-961-4337, jfuller@ghds.org• SanAntonioDistrictDentalSociety — Contact: Linda Shafer, 210-732-1264, linda@sadds.org • DallasCountyDentalSociety — Contact: Keri Lee, 972-386-5741, keri@dcds.org For more information or to register for TDA Legislative Day, please visit tda.org/legislativeday.

JANUARY 2013 VOLUME 14, ISSUE 1 AVAILABLE ONLINE AT TDA.ORG

Inside

TDA Smiles Foundation Evidence-based Tip of the Month TEXAS Meeting Preview Health Insurance Exchanges TDA Perks President’s Prose EDitorial: Thoughts from Your ED TDA Member SpotlightDavid L. Doerre, DDS, Burkburnett TSBDE Rule Update

January Journal News

Layered Socket Grafting™ Using an Anorganic Bovine Bone Mineral-Collagen Composite Surgical endodontic management of an invasive cervical resorption class 4 with mineral trioxide aggregate: A 6-year follow-up

Around the State

February 8TDA Smiles Foundation Fluoride FestBurnet February 9TDA Smiles Foundation Mission of MercyBurnet February 20TDA Legislative DayAustin February 21 & 22TDA Board of DirectorsAustin

Click & Connect

Join us on Facebookgroups.to/texasdental Follow us on Twittertwitter.com/theTDA

Get LinkedInlinkedin.com, search “Texas Dental Association”

Using yoursmartphone,scan this barcodeto access the TDA website.

JUNE, 2008 VOLUME 9, ISSUE 6 AVAILABLE ONLINE AT TDA.ORG

InsideMedicaid in My Office?Yes, I Think So!Richard M. Smith, DDS

TDA Smiles FoundationTMOM gains ardent advocate

Ask the PresidentIncoming President’s messageHilton Israelson, DDS

Let’s TalkOutgoing President’s messageA. David May, Jr., DDS

2008-2009 TDA Board of Directors

Meet Your TDA StaffTDA’s new Finance Director Dee Dee Delagarza

Congratulations to TDA Component Societies

Streamline Your Insurance ClaimsSpeeding up confirmation of benefits and eligibility

TSBDE Rule UpdateRequirements for dental office radiograph machines

In the NewsTDA members in the news

July Journal NewsTooth Whitening: A Clinical Review

TDA Historical PerspectivesDentists, dental hygienists, and the dental team

The 2007 C.T. Rowland AwardOrthodontic case report

The El Paso Dental Conference

Around the StateAugust 14:TDA Board MeetingAustin, Texas

October 15-19:ADA Annual SessionSan Antonio, Texas

Click & ConnectUpdate Profile tda.org – Membership Info Ask a Colleague tda.org – Features TEXAS Meeting Photostexasmeeting.com/estore

Volunteer for ‘08 ADAtda.org/volunteerada08

Every Member MattersRise’ Lyman, DDS, TDA Future Focus Committee

Membership growth is vital to any thriving organization. The Texas Dental Association (TDA) Board is strongly committed to the Membership goal within the “TDA 2009” strategic plan, which addresses continued growth. I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received the following ADA awards in 2008:• Greatest Percentage Membership Net Gain: Texas had a net gain of 198 members in the year 2007.• Top Constituent Dental Society with Greatest Percentage of Non-Members to Membership: Represents a conversion of 4.7 percent of non-members into membership at end of year 2007.• Top Constituent Dental Society to Improve Retention Rate Percentage in 2007: Represents a 97 percent Association retention rate, which is an increase of 7 percent from the previous year.• Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those dentists who are 1-9 years out of school).

Another example of the commitment to the growth of our Association is the TDA Externship Program, which builds student awareness of organized dentistry. This innovative program, created in 2007, offers students the opportunity to gain insight into the different components of organized dentistry including legislative and regulatory affairs, membership, governance, continuing education, and charitable dentistry and to gain a better understanding of their role as future leaders of the dental team. The program is open to dental students from each of the three dental schools in Texas. This year the externship program will take place June 20 – June 27 in Austin at the TDA central office. As an ongoing effort to enhance the value and benefits of the Association, the TDA Council on Membership developed a survey that was sent to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, TDA publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs offered to members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Council on Membership, will survey members again in 2009. Participation from all members and a collaborative effort between the ADA, TDA, and local component societies are the keys to successful membership recruitment and retention. We encourage every member to get involved whether it is by attending local meetings, taking part in Give Kids a Smile! Day activities, volunteering at a Texas Mission of Mercy, or participating in TDA Legislative Day activities in Austin. Each member matters and is essential to the continued growth of our Association and of organized dentistry. This is the seventh and final in a series of articles focused on the TDA’s accomplishments guided by the strategic plan. To view the entire plan, log in at www.tda.org and click on “TDA 2009” under “Current Issues” on the member homepage. For more information, please contact Lyda Creus Molanphy, staff liaison to the Future Focus Committee, at the TDA central office, (512) 443-3675.

MembershipDentists will value membership and participation in the TDA.

Objectives1. Improve perceived value and benefits of membership in TDA. a. Increase members’ knowledge about the impact and benefits of TDA membership. b. Ensure that components are an integral aspect of the membership process. c. Create greater awareness of the availability of the Peer Review, Ethics & Judicial, and Risk Management benefits. d. Actively promote adherence to the Code of Ethics. e. Enhance communication with members and non-members. f. Build student awareness of and interest in organized dentistry and membership in TDA. g. Ensure ongoing contact with students throughout dental school. h. Work closely with dental school faculty. i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, TDA Smiles Foundation programs, etc.).Metrics1. Seventy percent of active licensed dentists in TX will be members of TDA by 2009 (baseline of 68.5% in January 2007); increase

membership retention rate to 97 percent by April 2007 (baseline 96% in 2006). a-d. Increase the number of dentists serving on component peer review and ethics and judicial affairs committees to attain a

participation rate of 2-5 percent relative to the total number of component society members by August 2009.2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89%

dental student conversion from the graduating class of 2005 in Texas).3. Increase the number of member dentists actively participating in TDA by 1 percent a year (as measured by a variety of means

– participation at TX Meeting, TMOM, TXDDS, FSI programs, DENPAC participations, TDA legislative day) with annual report to TDA Board by the Council on Membership.

4. Establish baseline of nonmember participation at TDA activities (CAS, TDA Smiles Foundation, Membership) 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membership through Member

Benefits and Services Survey (completed Nov 2006), re-evaluate % increase at that time for 2009.6. Sixty-five percent of all full-time faculty will be TDA members by 2009 (2006 baseline = 63%).

Mission: To be The Voice of DenTisTry in Texas

Manpower Advocacy OrganizationalExcellence

Public Image

Development Membership

The TDA will update it’s strategic plan with another statewide retreat in August of 2008.

In 2003, Texas Dental Association members from across the state develop TDA’s first strategic plan, TDA 2009.

TDA Prepares for Legislative Day in February

Medical Device Excise Tax in EffectAs reported in November, the medical device excise tax (2.3%) went into effect on January1,2013. Despite significant lobbying efforts by the American Dental Association (ADA) and other members of the dental industry, many dental products and devices are not exempted from the tax. On December 5, 2012, the Internal Revenue Service (IRS) released its final rules on the medical device excise tax (MDT) opting not to create a special rule governing dental devices. The definition of “taxable medical device” as stated in the final rules are those devices listed by the Food and Drug Administration (FDA) in the Code of Federal Regulations at 21 Certified Federal Register 872 — Dental Devices. According to the final IRS rules, the MDT is a manufacturer’s excise tax and the manufacturer or importer of a taxable medical device is responsible for reporting and paying the tax. Dentists are not responsible for assessing or collecting the tax. However, dentists may experience an increase in the cost of materials and finished dental devices as dental laboratories (ie, manufacturers) adjust prices to accommodate the tax (1).The National Association of Dental Laboratories advisory reported that domestically made crowns, bridges, dentures, veneers, and orthodontic appliances such as retainers will not be subject to the tax at the point of sale

from dental laboratories to dentists, but the materials and components used to make many devices will be taxable. These taxable materials include alloys, ceramic, resins, stock abutments, and individual denture teeth. Furthermore, sleep apnea devices and snore guards made in domestic dental laboratories must be listed with the FDA and are therefore taxable. Imported restorations made by foreign dental labs (all foreign dental labs are required to be listed with the FDA) will also be taxable (2).

For dentists, the tax appears to apply to equipment, material, and supplies, such as restorative materials, hand instruments, surgical instruments, and endodontic filling materials (2). Additional items affected by the tax include nitrous and oxygen delivery systems and gas, computer equipment used for diagnostic purposes, x-ray equipment, sensors, cone-beam CT systems, caries detection devices, handpieces, imaging equipment, and CAD/CAM machines (2).

To review a list of dental device categories, please visit www.ada.org/8054.aspx. For more information regarding the “retail exemption” and “facts and circumstances” test, visit the recent ADA Excise Tax Alert at www.ada.org/8053.aspx.Resources1. American Dental Association News. Dentists Not Responsible for Medical Device Excise Tax.

December 18, 2012. Available from: http://www.ada.org/news/8060.aspx.2. Domino, D. How will new medical device tax affect U.S. dentistry? DrBicuspid. December 19,

2012. Available from: http://www.drbicuspid.com/index.aspx?sec=sup&sub=pmt&pag=dis&ItemID=312139.

TDA Council on Legislative and Regulatory Affairs Chair Dr Richard Black of El Paso addresses the 250 attendees at the 2011 Legislative Day in Austin, Texas. To register for this year’s event, visit tda.org/legislativeday.

Texas Dental Program Medicaid/CHIPAs of December 1, 2012, most children and young adults age 20 and younger enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) started receiving their dental services through 1 of the 2 state selected dental plans: DentaQuest and MCNA Dental.

On December 14, 2012, the Texas Dental Association (TDA) participated in a successful Dental Implementation Roundtable meeting hosted by the Health and Human Services Commission (HHSC). The meeting showed HHSC’s continued commitment to working with dental stakeholders to address issues that impede efficiency and effectiveness of the Medicaid and CHIP dental programs.

HHSC appeared very receptive to hearing concerns about the transition of Delta Dental (a former contractor) patients into the 2 dental plans. HHSC continues to analyze assignment data submitted by the TDA. For previous Delta Dental patients, HHSC temporarily suspended through February 28, 2013, the requirement that a patient must be served by their Main Dentist. Please continue to see your patients as scheduled. If a patient has an appointment, but you are not shown as the Main Dentist, the patient can contact the dental plans’ call center and the assignment will be made immediately.

Additionally, HHSC reminds participating dentists that to help avoid retroactive denials for claims, dentists must verify eligibility through MEHIS/Your Texas Benefits Card AND with the patient’s dental plan on the date services are rendered.

MedicaidDentalFosterCareDelta Dental is still the contractor for the Foster Care, STAR Health program through January 31, 2013. DentaQuest will assume responsibility on February1,2013. If you need further information, contact STAR Health at 1-866-912-6283.

HHSCMedicaidStakeholderMeetingsinJanuary2013

City Date Time (AM) Time (PM) Location(s) Lubbock Wednesday, 9 am - 11 am n/a Texas Dept. of Agriculture January 23, 2013 3410 4th St, Main Conference Rm, Lubbock, TX Amarillo Thursday, 10 am - 12 noon n/a Kids Inc., January 24, 2013 2201 E. 27th Bivens Rm, Amarillo, TX Houston Tuesday, 9 am - 11 am 1 pm - 3 pm Southwest MHMR of Harris County January 29, 2013 7033 Southwest Fwy Rm B, Houston, TX Corpus Christi Wednesday, 9 am - 11 am n/a Nueces County Public Health District January 30, 2013 1702 Horne Rd, Auditorium, Corpus Christi, TX

MedicaidOrthodonticCarePlease advise your patients seeking Medicaid orthodontic services to do the following as directed by HHSC:1. Contact the Medicaid patient’s managed care plan (DentaQuest, MCNA Dental) for assistance in finding a Medicaid dentist on the patient’s plan to accept

the orthodontic case. The contact information for each dental plan is listed below.2. If the Medicaid patient is unable to receive assistance from the appropriate managed care dental plan, then the parent/guardian needs to call HHSC’s Office

of the Ombudsman at 1-877-787-8999. DentaQuestMedicaidProviderCallCenter: 1-800-896-2374

MCNAMedicaidProviderCallCenter: 1-855-PRO-MCNA (1-855-776-6262); Email: MCNATexasOrtho@mcna.net

NewTexas Dental ProgramTDAMemberWebpageThe TDA’s Committee on Access, Medicaid & CHIP continues refining the Texas Dental Program webpage on the member side of the TDA’s website. It will be a “one-stop shop” for Medicaid/CHIP dental information from the state and the dental plans and should be available by the end of January 2013.

Perks Partner NewsNew General Manager for TDA Financial ServicesTDA Financial Services, Inc. (FSI)General Manager David Bakerretired at the end of December 2012

after 15 years of service to TDA. Donovan Osio is FSI’s new general manager effective the new year. FSI is the wholly-owned TDA affiliate that manages TDA Perks Program.

Perks to Bring Popular New-Dentist Symposium to San AntonioTDA Perks Program presents its third new-dentist symposium, “Creating Your Successful New Office,” in conjunction with San Antonio District Dental Society on January 25, 2013, at Grand Hyatt San Antonio. Perks will also bring the highly acclaimed program to TEXAS Meeting 2013 in May. Visit tdaperks.com to learn more, or call 512-443-3675. The symposium is open to and is free of charge to all TDA members.

Promote Perks Program Continues its Beta TestTDA Perks Program’s Promote Perks Program (PPP) beta test is well under way, with 9 months left to go. PPP is giving a handful of district societies an opportunity to share in Perks’ profits. Its goal is to effect growth in Perks’ income through district society bolstered promotion of Perks and its TDA member benefit programs. The additional promotion will be provided by and take place in local societies, with the goal of increasing TDA-member participation in Perks programs. If, after a year, Perks’ profits are increased as projected, societies participating in the beta test will receive a share of the increase in profits. Upon its successful completion, PPP will be opened up to all TDA component societies. For more information, visit promoteperks.wordpress.com.

January 2013 / TDA Today / 2

Health Insurance Exchanges This is the eighth in a series of articles to keep you informed about the Health Insurance Exchange (HIX) in Texas. The HIX is an online marketplace tool enabling consumers to shop, compare, and enroll in a health insurance plan. Future articles will focus on helpful reference websites and other information about the HIX.

In November 2012, Governor Rick Perry officially notified the U.S. Department of Health and Human Services (HHS) that Texas will not be establishing a state-based HIX. Thus, it appears almost certain that Texas will have a federally-facilitated exchange starting in January 2014.

Texas also indicated to HHS that it will use Blue Cross Blue Shield Best Choice PPO as its default health insurance benchmark plan within the HIX (ie, the largest plan by enrollment in any of the 3 largest products in the state’s small group market). However, Best Choice PPO does not have an adequate pediatric dental benefit as required under the Affordable Care Act’s Essential Health Benefits, and Texas will most likely be required to supplement the benchmark plan with the Federal Employees Dental and Vision Plan.

On December 26, 2012, the TDA submitted comments to the Centers for Medicare and Medicaid Services at HHS regarding HHS proposed rule titled “Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value and Accreditation.” The TDA stated that HHS should offer clear and effective HIX guidance so that officials involved in establishing exchanges maximize competition by ensuring transparency on price, benefits, consumer protections and network adequacy. Overall, the goal should be to offer consumers a meaningful pediatric dental benefit that is both affordable and accessible.

The TDA continues to be involved in HIX development and will publicize new information as it becomes available. For questions or comments, contact TDA Policy Manager Diane Rhodes at 512-443-3675, diane@tda.org.

Risk Groups for Latex AllergyA 2009 article in the Journal of the Canadian Dental Association listed risk groups for allergy to latex dental gloves: “The prevalence of these reactions is higher among health care professionals, those with a family history of atopy, history of irritant or allergic eczema, hay fever, spina bifida, spinal cord injury, surgery before 1 year of age, history of multiple surgeries, congenital urogenital abnormality, intestinal malformation, female gender, and latex-fruit syndrome: allergy to avocado, banana, chestnut, kiwi, pineapple, peach, apricot, cherry, melon, grape, papaya, passion fruit, potato, tomato and celery (1).”The entire article can be accessed at: http://www.cda-adc.ca/jcda/vol-75/issue-4/279.pdf.Reference1. Kean T, McNally M. Latex hypersensitivity: a closer look at considerations for dentistry. J Can

Dent Assoc. 2009 May; 75(4): 279-82.

TSBDE Publishes New Business Promotion RulesThe Texas State Board of Dental Examiners (TSBDE) recently adopted new Business Promotion Rules (ie, advertising) under 22 Texas Administrative Code §§108.50 — 108.55 and §§108.57 — 108.63 as published in the December 7, 2012 issue of the Texas Register. This marks the near end of a more than year-long process by which the TSBDE’s Advertising Rules Ad-Hoc Committee updated the agency’s advertising rules based on emerging technologies and issues in the business promotion of dentistry and dental practices.

Although a majority of the new rules were approved by the board for final publication in the Texas Register, the TSBDE withdrew proposed new 22 Texas Administrative Code §108.56 Certifications, Degrees, Fellowships, Memberships and Other Credentials and re-posted it in the Texas Register for additional public comment prior to final board approval and adoption.

The new rules are modeled in part after the American Association of Dental Board’s (AADB) Guidelines on Advertising. In addition to the generally accepted guidelines promulgated by the AADB, the rules address the communication of specialty practices to the public, the inclusion of professional awards and honors in advertisements, and recommendations regarding website publications. A significant change in the rules is that the publication of patient testimonials is now permitted.

Overall, the newly adopted rules protect the public from false, misleading or deceptive advertisements and give the TSBDE’s licensees clear guidance as to restrictions on advertising.

ThenewruleswillbeeffectiveonMay1,2013,inordertogivelicenseesampletimetocomplywiththenewrequirements. The February, March, and April issues of the TSBDE Update will be devoted to analyzing and summarizing all sections of the new rules.

For more information, please contact TDA Policy Manager Ms Diane Rhodes at 512-443-3675, diane@tda.org.

2013 TEXAS Meeting Registration, Housing NOW OPENLisa B. Masters, DDS, MS, TDA Council on Annual Session

The TDA Council on Annual Session wishes you a happy and prosperous 2013. Mark your calendar now to attend the TEXAS Meeting, May 2-5! It’s a great opportunity to catch up with colleagues, see the latest and greatest products and services, and take some outstanding continuing education courses. The 2013 TEXAS Meeting can accommodate all of your team’s continuing education needs.

HousingopenedinDecember,andmeetingregistrationopenedinJanuary.The December 2012 issue of your Texas Dental Journal included the TEXAS Meeting housing form. Yes, it’s time to reserve your hotel room! We are fortunate enough to offer 15 hotel options for TEXAS Meeting attendees. Right now you can get the best rates at the best downtown hotels. Even my local San Antonio friends need to stay downtown — the meeting is just more fun when you stay and play! Let’s all be a tourist in San Antonio!

Reserve your hotel room as soon as you can. This is especially true if you are looking for certain amenities or special price ranges. And, you will have a much better chance to book a block of rooms “together” – for your staff, family and friends. Book them now!

The TDA staff and council members have worked extraordinarily hard to make the 2013 program better than ever with a mix of new and exciting speakers presenting more than 200 lectures and workshops to meet the continuing education needs of your team. Some courses and most workshops fill up quickly. Register now to confirm your continuing education curriculum.

Review your January 2013 Texas Dental Journal or your TEXAS Meeting registration brochure to secure your housing and registration today. Visit texasmeeting.com.

Your TEXAS Meeting will be bigger and better than ever, and we expect a record-breaking crowd for an incredible event! You don’t want to miss it!

See you in San Antonio!

May 2-5, 2013San Antonio

happy, healthy smiles...that’s our mission!

(L-R) Pictured are TDA Smiles Foundation Board of Trustee Member Dr Herbert Wade, University of Texas Health Science Center at Houston School of Dentistry (UTSD at Houston) students Andrea Sauerwein and Michael Rasmussen and UTSD at Houston Dean Dr John A. Valenza.

TDA Smiles Foundation congratulates Andrea Sauerwein and Michael Rasmus-sen for being the 2012 TDASF (Texas Dental Association Smiles Foundation) scholarship recipients. Both Sauerwein and Rasmussen are students at The University of Texas Health Science Center at Houston School of Dentistry.

2012 Scholarship Recipients

The TDA Smiles Foundation regrets the inadvertent inclusion of incorrect information in an article in the November 2012 TDA Today. The correct number of patients seen at the Mt. Pleasant TMOM was 143.

Baylor University2012 Winner of the TDASF Bragging Rights Challenge

It’s time to put your money where your mouth is with the Texas Dental Association Smiles Foundation (TDASF) Bragging Rights Challenge.

Every dollar you donate on behalf of your alma mater supports charitable dental care programs in Texas. The alma mater that raises the most money for TDASF will be recognized at the TDA annual session, highlighted at the TDASF Healthy Smiles Golf Classic, and will maintain school bragging rights for an entire year!

If green is not your color and bears aren’t your thing, then DONATE now!

GO BAYLOR BEARS!

Don’t miss out on this opportunity! To donate, contact the TDASF office at 512-448-2441 or visit tdasf.org.

105

Burnet Texas Mission of MercyThe Burnet mission will be held February 9, 2013. Dentists, dental hygienists, and community volunteers are needed. If interested, please visit tdasf.org or call 512-448-2441.

Errata

Evidence-Based Practice

Tip of the Month

Stephen R. Matteson, DDS, FICD, TSA Editor

Osio

D r David L. Doerre of Burkburnett often takes a stroll down memory lane. He takes with him his dental plaster and dental tools and gets to work. In his free

time, Dr Doerre constructs miniature replicas of homes and buildings near and dear to his family and friends. He calls them his Memory Lane houses.

“Everyone I’ve given something to has been amazed,” Dr Doerre says of his unique gifts. “They love it, and it’s something special for me.”

The first Memory Lane house that Dr Doerre created was for his wife, Gay, about 20 years ago. The couple has been married for 31 years and has 2 grown daughters, Jammie and Toni, and 2 grandsons, Boston and Quade. Dr Doerre is a general dentist and received his degree from the University of Texas Dental Branch at Houston in 1980. He is currently the chair of the TDA Council on Membership.

Dr Doerre says Gay would set up little villages among her Christmas decorations. He thought, “I could just make that!” And, so he did. Pouring a big block of dental plaster, he drew an outline and used his Jack Rabbit drill and other dental tools to whittle and chip away at the mold. The final product was an 8”x6”x5” replica of their home. Dr Doerre continued the hobby, creating miniature versions of his childhood home in Kansas and the 4-corner country store and gas station that his mother-in-law’s family owned in Kentucky.

“I utilize everything I learned in operatory and labs,” he says, joking that he was not accepted to dental school for his brains, rather his dental aptitude. “After all, I scored a 99% on perceptual motor ability.”

He recalls practicing for his dental admission tests by carving on small pieces of chalk. A broken piece resulted in a failing grade. The chalk test was discontinued prior to his admission, but the years of practice paid off for his career and his hobby.

January 2013 / TDA Today / 3

One of the most important events in the Texas Dental Association is held every 2 years in Austin. Of course, I am talking about the TDA Legislative Day! This year’s Legislative Day will be on Wednesday, February 20 and will be very important to the legislative agenda of our Association.

We always have a good attendance for Legislative Day and some of our local components even lease buses to make it easy for their members to attend. I hope YOU will make every effort to attend this year’s event. If you have not ever attended a TDA Legislative Day, you will be very impressed with the organization and agenda as planned by our Council on Legislative and Regulatory Affairs. Following a delicious breakfast, we will have the opportunity to hear from some of the most important legislators and officials in our Texas state government. Our council members and lobbyists will provide detailed information on our goals with important legislation affecting Texas dentists. Then, we will all march to the State Capitol to meet with our senators and representatives for the most important grassroots effort Texas dentists have.

I hope you will take the time out of you busy week to join fellow dentists in this most important effort. WE NEED YOU! I’ll see you there!

President’sProse

Michael L. Stuart, DDS, TDA President

David L. Doerre, DDSBurkburnett, Texas

This recurring section highlights the lives of TDA members outside of the office. If you have an interesting story about yourself, if you are working on a project that your peers might find interesting, or if you have a hobby that keeps you busy, please contact TDA Managing Editor Nicole Scott, nicole@tda.org, 512-443-3675.

TDA Member Spotlight

EDitorial: Thoughts from Your ED

Aaron Washburn, TDA Executive Director

Dr Doerre (right) sits with his son-in-law Blake Barnett in front of a replica of the Barnett family mountain cabin in Estes Park, CO. Dr Doerre took pictures of the cabin to recreate it for his daughter, who married Blake on the front steps of the cabin.

Dr David Doerre of Burkburnett creates a replica of the mountain cabin where his daughter was married in Estes Park, CO.

The pastime is time consuming, he admits. He sets up shop in the garage, turns on the radio and spends 75-100 hours at his workbench on each project. “When I get to working, I lose all track of time.”

Dr Doerre’s most recent project was a miniature replica of the log cabin in Estes Park, CO, where his daughter Toni was married in June 2012. It belongs to her husband’s family.

“I went around and took pictures of the house,” he says, recalling how the greatest challenge was that he did not include shrubbery on the model he made.

That’s where he usually leaves his signature mark, as a dentist: a small, perfectly carved molar. On this particular replica, he carved the tooth into the rocks on the fireplace, and his daughter had to search for it. “It’s fun for them to figure out where it is.”

After spending the last 2 months in different states, my family has finally made the transition to Texas. My kids have started school, the house is getting unpacked, and we are establishing new routines and traditions.I am settling into new traditions professionally as well. The TDA has a long history, and a stellar reputation. You have a hugely talented staff, and dedicated doctors volunteering their time and talents on behalf of their profession.I am honored to join the group and looking forward to working for you. My goal is to help lead a staff that meets the strategic plans of its Board, councils, committees, and members, and supports an Association that members continue to be proud to be a part of. As we transition into a new year, I hope to see many of you any of the numerous TDA events (Legislative Day, the TEXAS Meeting, etc.). I hope you enjoy the services we provide, and most importantly that we are exceeding your membership expectations. TDA is constantly working to improve the value of your membership. I will do my best to keep you updated on new programs, expanded services, legislative victories, and outstanding public missions through regular updates in the TDA Today.If there is anything we can do to enhance your membership experience, don’t hesitate to let us know.I look forward to beginning a new year at TDA, and the transitions ahead.

BoarD NoTESSeptember 15, 2012, special called meeting aPProVED48-2013-B: Approved Board to enter into negotiations with Aaron Washburn for the position of the TDA executive director.

November 2-3, 2012, meetings aPProVEDaDMINISTraTIoN55-2013-B: Discontinue services of Slaughter and Associates and hire the services of Bland Garvey Eads Medlock + Deppe, PC Capital Advisors.56-2013-B: Purchase and install 4 roof ventilators for the TDA Conference Center. Financial implication: $3,500 (Building Fund). 57-2013-B: Purchase and install 11 air conditioning units on the third floor of the TDA building. Financial implication: $50,000 (Building Fund). 42-2013-B: Repave the parking lot and repair curbs of the TDA Conference Center. Financial implication: $16,326.52 (Building Fund). 58-2013-B: On an annual basis, budget for the maintenance of the TDA buildings and deposit monies in the Building Account to maintain the TDA buildings. Financial implication: $105,979.72-2013-B: Expand TDA Committee on the New Dentist from 4 to 6 members. Financial implication: $3,000 (2013 Contingency). 65-2013-B: Revised a non-voting liaison of the Committee on the New Dentist. 71-2013-B: Revised Bylaws to include revisions to Committee on the New Dentist. BUDGET60-2013-B: Approved items over budget. Financial implication: $15,492. MISCELLaNEoUS59-2013-B: Approved legislative agenda for use during the 83rd Texas Legislature in 2013. 64-2013-B: Rescinded Resolution 36-1961-H. 66-2013-B: Amended Bylaws, Chapter VI, Elective Officers, Section 90-A, Duties. 67-2013-B: Amended Bylaws, Chapter, Chapter I, Membership, Section 30, Definition of “In Good Standing.” 68-2013-B: Amended Bylaws, Chapter V, Board of Directors, Section 40. Powers and Duties, Subsection A. Powers, paragraph b. 69-2013-B: Amended Board of Directors Manual, Section IV, Rules of Procedure, Mail Ballots. Rescinded Resolution 84-2004-CCBL-B. 70-2013-B: Amended Bylaws, Chapter IX, Councils and Committees, Section 90, with a new section title, Transaction of Business, and a new subsection B. 73-2013-B: Defined the TDA’s directives and scope of work with the Texas Department of Insurance. 75-2013-B: Approved editorial changes to the TDA 2014 strategic plan.77-2013-B: Honored the San Antonio District Dental Society with a special recognition award. Financial implication: $150. oUT-oF-STaTE TraVEL61-2013-B: Approved travel for Dr Richard C. Black, chair of the Council on Legislative and Regulatory Affairs; Mary Kay Linn, executive director; Aaron Washburn, new executive director; Jess Calvert, director of public affairs; Diane Rhodes, policy manager; Nora Del Bosque, legislative consultant; and Susan Ross, legislative consultant, to attend the 27th Annual American Dental Association Lobbyist Conference on November 29, 2012, to December 1, 2012 in San Diego, CA.62-2013-B: Approved travel to other dental meetings for members of the TDA Council on Annual Session.

EDITORIAL STAFFStephen R. Matteson, DDS, Editor

Nicole Scott, Managing EditorLauren Oakley, Publications Coordinator

Barbara Donovan, Art DirectorPaul H. Schlesinger, Consultant

BOARD OF DIRECTORS

Michael L. Stuart, DDS, PresidentDavid A. Duncan, DDS, President-elect

J. Preston Coleman, DDS, Immediate Past PresidentVice Presidents

Arthur C. Morchat, DDS, NortheastRita M. Cammarata, DDS, Southeast

T. Beth Vance, DDS, SouthwestMichael J. Goulding, DDS, Northwest

Senior DirectorsJean E. Bainbridge, DDS, NortheastGregory K. Oelfke, DDS, Southeast

Yvonne E. Maldonado, DDS, SouthwestDavid C. Woodburn, DDS, Northwest

DirectorsJerry J. Hopson, DDS, Northeast

William S. Nantz, DDS, SoutheastJoshua A. Austin, DDS, Southwest

Steven J. Hill, DDS, Northwest

Ron Collins, DDS, Secretary-TreasurerJohn W. Baucum III DDS, Speaker of the House

David H. McCarley, DDS, ParliamentarianStephen R. Matteson, DDS, Editor

Aaron Washburn, Executive DirectorWilliam H. Bingham, Legal Counsel

TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental As-sociation, 1946 S IH-35 Ste 400, Austin, Texas 78704-3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S IH-35 Ste 400, Austin, TX 78704-3698.Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental As-sociation (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30.Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6.Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Associa-tion, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.

Member Publication

Average Savings:

$1,277

Learn more at: tdaperks.comQuestions about Perks? Call: (512) 443-3675.

Questions? Call Best Card at:

(877) 739-3952

A Credit CardProcessorYou Can Trust. Confused about credit card processing? Unsure if you’re paying too much? Wish you could ask an expert you can trust? Hundreds of TDA members—and TDA’s Central Offi ce—have switched to Best Card, TDA Perks Program’s endorsed credit-card processor. They’re saving money, and receiving unparalleled customer service. And Best Card wants to prove itself to you.

Get a $5 Starbucks® Gift Card and a Free Cost Comparison. Fax a recent credit-card processing statement to: (866) 717-7247, and get a free, complete and confi dential cost comparison for your practice; and a $5 Starbucks® card! On average, practices save $1,277 (23%) a year with Best Card. Call a friendly Best Card team member today!

JANUARY 2013 VOLUME 14, ISSUE 1 AVAILABLE ONLINE AT TDA.ORG

TSBDE Rule UpdateThis recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices.

Texas State Board of Dental Examiners Approves Rule ChangesThe Texas State Board of Dental Examiners (TSBDE) recently adopted 3 new rules and 1 rule change as published in the De-cember 7, 2012, issue of the Texas Register. TheeffectivedatefortheruleswasDecember16,2012. A brief summary of the new and amended rules follows.

22TexasAdministrativeCode§107.2Effect of Child Support Payment Default on Licensure Application and Renewal:The new rule addresses requirements set forth in Texas Family Code §232.0135 Denial of License Issuance or Renewal. The rule states that the TSBDE will not grant a new license or renew the existing license of a child support obligor who has failed to pay child support for 6 months or more. The rule also outlines the conditions that must be met before a delinquent obligor may re-ceive an initial license or renew an existing license. The rule defines license as a “license, certificate, registration, permit, or other authorization issued by the Board.”

22TexasAdministrativeCode§107.3Effect of Student Loan Payment Default on Licensure:The new rule addresses require-ments established in Texas Education Code §57.491 Loan Default Ground for Nonrenewal of Professional and Occupational License. The rule states that the TSBDE will not grant renew of an existing license to a licensee who has defaulted on a student loan guaranteed by the Texas Guaranteed Student Loan Corporation, defaulted on a repayment agreement, or failed to enter a repayment agreement. The rule also states the conditions that must be met before an obligor in default may be granted renewal of an existing license. The rule defines license as a “license, certificate, registration, permit, or other authorization issued by the Board.”

22TexasAdministrativeCode§112.3Limited Oral Evaluation: The new rule authorizes dentists , in conjunction with a fed-eral, state, county, or city government health care program, a non-profit organization, or an educational institution, to perform non-diagnostic, non-comprehensive evaluations of individuals to screen for oral cancer and/or “evaluate” minors or underserved populations. The new rule defines a “limited oral evaluation (LOE)” and the standards of care expected of the dentist includ-ing record-keeping requirements (eg, informed consent). Specifically, the rule specifies that only a dentist is allowed to perform an LOE, although the rule does not prohibit a dental hygienist from collecting data or delivering fluoride or sealant treatments in conjunction with a dentist’s LOE. The TSBDE further clarified that it is beyond the dental hygienists scope of practice to screen, evaluate or diagnose any oral condition. However, the TSBDE encourages dental hygienists to continue to utilize their expertise to collect diagnostic and clinical data to assist the dentist in his or her evaluation or diagnosis.

22TexasAdministrativeCode§112.1Definitions and §112.2 Visual Dental Health Inspections:The amended rules address visual dental health inspections and the parties and purposes by whom and for which visual dental health inspections may be performed. The amendment to §112.1 clarifies the parties who may perform dental health inspections and introduces a limited oral health evaluation as an additional category of dental assessments. §112.2(b) addresses situations in which it may be appro-priate for dental students and others affiliated with the dental profession to engage in visual inspections. The rule also states that dental hygienists and dental hygiene students may engage in visual inspections in accordance with the requirements of §112.2(b) and (c).

A visual dental health inspection is a group activity for the purpose of making a “gross assessment” of the dental health status of group members. It is cursory and does not involve “making a diagnosis, providing treatment, or treatment planning.”

For more information, please contact TDA Policy Manager Ms Diane Rhodes at 512-443-3675, diane@tda.org.