northeastern society of periodontists bulletin · 2015-11-04 · northeastern society of...

NORTHEASTERNSOCIETY OF

PERIODONTISTS

BULLETINVOLUME 34, No. 2 FALL 2005

I t is not uncommon to be witness to presentations thatshow magical results that we are less likely to repro-duce consistently in a clinical setting.The speakers ofthis meeting are a different breed.They are not here to

boast about how they can make magic, but rather to dis-cuss their humble and confident ways of approaching andresolving problems in periodontics and implant treatment.NESP Program Chairman Dr. Mark Snyder, with great effortand success,has put together a list of sought-after speakers.These experts have no hesitation in sharing with us theleast talked about and the most valuable subject to the clin-ician: Complications and Problem Solving in the New Eraof Periodontal Therapy. All evidence points to this being agreat event, and one that you would not want to miss.

Program Agenda8:00–9:00 A.M. Meeting registration 9:00–9:15 A.M. I Really Don’t See Many Complications,

However . . . Dr. Stuart Froum

9:15–10:30 A.M. Medical Considerations in Patient Care:Identifying and Managing the Potential“Problem Patient,” Dr. Brian Mealey

10:30–11:00 A.M. Coffee Break (be sure to visit the exhibithall)

11:00 A.M.– Management of Implant Complications,12:15 P.M. Dr. Richard Lazzara

12:15 P.M. Luncheon for LearningPresentation of Isador Hirschfeld Award

1:30–2:15 P.M. Management of Implant-AssociatedTreatment Risks and Complications inan Atmosphere of Complete Disclosure,Dr. Alan Rosenfeld

2:15–3:30 P.M. Periodontal Surgery: Problems,Complications, and Solutions,Dr. Gary M. Reiser

3:30–4:00 P.M. Discussion and adjournment of the meeting

FALL MEETING • FRIDAY, OCTOBER 28, 2005

Complications and Problem Solving in the New Era of Periodontal Therapy

New York Marriott Marquis Hotel • 1535 Broadway, New York, NY

(CONTINUED ON PAGE 5)

Stuart J. Froum Brian L. Mealey

PROVIDER CODE 05397-58

Richard J. Lazzara

The NESP is a recognized ADA CERP provider.

Attendance at the meeting is open to all dues-paying members. Guests

have to pay the required fee as stated in the program. No refunds are

allowed.There is no cancellation policy for dues-paying members.

Attendees will receive 7 credit hours for the Fall 2005 Meeting lectures.

Gary M. ReiserAlan L. Rosenfeld

MARK YOUR CALENDAR

NESP Spring MeetingApril 7, 2006

NESP Fall MeetingNovember 3, 2006

not often that Dave agrees to givea full-day program; however, hisexperience with our group hasbeen exceptionally positive and sohe has agreed to come east again.Dave will share his techniques indetail with the membership, cov-ering both what makes them suc-cessful and potential problems.Wewill ask you to pay only for thecost of lunch, which is mandatorywith the day. NESP will pick up the cost of Dave’s hono-rarium,AV, and mailings as a member benefit. Everyonewho attends will leave with techniques that can be uti-lized in everyday practice.

I would like to thank the membership for allowingme to represent the Northeastern Society of Periodon-tists as their president. Our board is highly dedicated,and you are in good hands. I hope to see you all at theOctober 28 meeting. If you have any concerns do nothesitate to contact me. ��

VOLUME 34, No. 2 BULLETIN 3

Great Member Benefits

The program for the October 28, 2005 meeting ofthe NESP will be different from those presented

previously. This program, entitled “Complications andProblem Solving in the New Era of Clinical Periodon-tics” (with a subtitle of “Getting Out of Trouble and Stay-ing Out of Trouble”) will showcase noted speakers whowill discuss their failures, and then problem-solve themwith you and/or demonstrate how to avoid them. Itshould be refreshing to see the problems presented byRichard Lazzara and Gary Reiser, and to hear BrianMealey and Alan Rosenfeld let us know how to avoidgetting into trouble.

In the past I have informed the membership about theNESP’s excellent financial position.With this in mind, theBoard of Directors will give back to the membership byoffering two member benefits: a program for your dentalhygienists and a full day with David Mathews.

The Dental Hygiene program was developed by RoyFeldman and is free to the membership (if space per-mits, members will be able to send more than onehygienist). Speakers include Susan Karabin, BrianMealey,Tricia O’Hehir, and Deborah Dopson-Hartley.

Save the Date! Friday, February 10, 2006. Dave Math-ews is one of the finest clinicians in periodontics. It is

Barry D. Wagenberg

Message from the President

PERIODONTIC NEWS?

NESP Bulletin encourages news from advanced edu-cation programs in periodontics throughout thenortheastern region. News may include faculty andstudent activities or achievements, research projects,departmental changes or any other related activities.

The deadline for the next issue is January 17, 2006.You may send all correspondence in care of the Editor, Dr. Mehdi Saber. Please see the last page forcontact information.

NESP MEETING PLATINUM SPONSORS

NESP would like to acknowledge our Platinum sponsors3I-Implant Innovations

Astra TechNobel Biocare

StraumannSunstar/Butler

W. L. Gorewhose additional educational grants haveenabled this society to provide excellent programming and parallel functions to

our membership.

New MembersThe NESP welcomes the following new members:

Dr.Vanita Ahuja • New York, NY

Dr. Hiroshi Kimura • New York, NY

Dr. Daniel Nejat • Short Hills, NJ

Dr. Nancy Nie-Shiuh Chang • West Hartford, CT

Dr. Robert Perlman • Jacksonville, FL

Dr. Michael Plotno • Livingston, NJ

Dr. Edward Sugarman • Atlanta, GA

Dr. Richard Sugarman • Atlanta, GA

Dr. Joseph Zelig • New Milford, NJ

Visit us at www.nesp.org

4 BULLETIN VOLUME 34, No. 2

Even a Monkey Could Do Itby Timothy Donley, D.M.D.

I was already in a bad mood. The suction system hadbroken down (a day after the warranty expired).

Meanwhile, one of my staff was in tears because she hadjust received the devastating news that an old boyfriend(someone whom she dated once six years ago) marriedsomeone else. The films were sticking inthe processor (I learned that the sched-uled monthly maintenance had last beendone in about 1967), and my four-hour,sixteen-implant patient cancelled at thelast minute (she decided instead to ordera set of dentures online). Just another typ-ical day at my office. Amidst all of this acall came in.

A patient was on the line asking myreceptionist for the “price” of ourimplants. When told, the patient asked ifwe would be willing to “price match” anestimate she received from a dentist whopractices in a tent down by the river. Myreceptionist put her on hold, finally found me unstop-ping the commode in the patients’bathroom and soughtmy answer. So many thoughts went through my mind.

I first felt insulted by the call. I am a specialist, forgosh sakes, not a car salesman. Then I just got mad. Notmad that the patient asked the question, but that shethought the question was a legitimate one to ask. Thatwas not her fault. It is ours.

When they are faced with a serious medical problem,most people devote considerable effort toward finding

the practitioner most skilled to fix their problem.Almost all medical second opinions are sought to findout if there’s a better way of handling a problem. Noone seeks a second dental opinion to find the best solu-tion to their problem. The only time a dental patientseeks a second opinion is to find someone who will doit cheaper. After all, all dentists are alike, aren’t they?

You always hear people practically bragging abouttheir medical care. They will often say things like,

“Elmer went all the way to the ClevelandClinic to have his bunions removed.There is a guy there who is the world’sbunion removal expert.” You hardly everhear someone talk that way about a dentist.

We have led the public to believe thatany dentist can solve any dental problemwith equal aplomb. Certainly all dentistsshould be expected to provide a level ofservice that is at least at the standard ofcare. But patients should somehow know

that some dentists put the time and effortinto mastering a superior level of expertise

in specific areas of dentistry. Those dentists shouldcharge more for the care they render. Patients shouldrealize why care from those dentists costs more.

Continuing to embrace the concept that all dentistsare alike does not raise the standing of the least quali-fied among us. It lessens us all.

Reprinted with permission, KDA Today, official publica-tion of the Kentucky Dental Association,May/June 2005,Dr.Timothy Donley, editor. ��

Guest Editorial

Future Meetings and Bulletin Deadlines

Members are encouraged to write or provide materials of interest to the bulletin.


Bulletin Deadline: January 17, 2006


Bulletin Deadline: August 15, 2006

Winner of the Marriott VacationDr.Anca Bazile • Westport, CT

Isidor Hirschfeld Award Recipient

Dr. David Garber


STUART J. FROUM, D.D.S. will start the meetingwith an introduction: I Really Don’t See Many Compli-cations, However . . .

Dr. Froum received his dental degree from NYU andcompleted his periodontal training at the VeteransAdministration Hospital in New York City. He is a diplo-mate of the American Board of Periodontics and a trusteeof the American Academy of Periodontology. Currentlyhe holds the position of clinical professor at NYU DentalCenter in both the department of periodontics and thedepartment of implant dentistry,where he is the directorof research. Dr. Froum is currently on the research com-mittee of the Academy of Osseointegration. He is also amember of the continuing education oversight commit-tee of the AAP. He was the recipient of the IsidorHirschfeld Award and the AAP Clinical Research Award.He has lectured extensively, contributed chapters in two textbooks and published over 70 articles in peer-reviewed journals.

BRIAN L. MEALEY, D.D.S., M.S. will present Med-ical Considerations in Patient Care: Identifying andManaging the Potential “Problem Patient.” The visionof periodontology over the next two decades focuses onperiodontists as practitioners of periodontal medicine,surgery, and dental implant therapy. A primary focus inevery new patient encounter is to evaluate the patient’srisk for potential complications or problems that mayoccur pre-, intra-, or post-operatively.Which patients areat high risk for such problems? Which are at lower risk?These are the decisions we must make every day. Thislecture focuses on identification of common at-riskpatient types,with particular attention paid to major car-diovascular and cerebrovascular events, bleeding, andacute diabetic emergencies.Some of these patients are atrisk due to their underlying disease, while others are atrisk due to medications they take.The lecture will alsoreview prevention of adverse events and treatment ofpotential emergencies in the office.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: The attendees will:

• understand medical factors that place patients at riskfor complications and emergencies during or afterperiodontal therapy;

• know how osteoporosis affects oral health and peri-odontal/implant therapy;

• comprehend current guidelines for evaluating andtreating patients at risk for endocarditis, and thosewith hypertension and heart murmurs;

• know how to manage patients taking anticoagulants;

• understand current medical treatment methods forpeople with diabetes and how those methods affectrisk for in-office diabetic emergencies;

• be familiar with appropriate clinical management ofdiabetic emergencies.

Dr.Mealey is an associate professor in the departmentof periodontics at the University of Texas Health ScienceCenter at San Antonio. He is also an adjunct associateprofessor in the department of periodontics at BaylorCollege of Dentistry, Texas A&M University Health Sys-tem in Dallas,Texas. He received his D.D.S. from the Uni-versity of Texas Health Science Center at San Antonioand his periodontics certificate from Wilford Hall andhis Master of Science degree from the University ofTexas. Dr. Mealey served 21 years in the United StatesAir Force, where he was the chair of the department ofperiodontics at Wilford Hall Medical Center in San Anto-nio and the program director of the Air Force periodon-tics residency. He also served as the consultant inperiodontics to the Air Force Surgeon General. Heretired from active duty in 2004 in the rank of colonel.Dr. Mealey is a diplomate of the American Board of Peri-odontology. He has published over 60 articles, abstractsand textbook chapters in the scientific literature, withan emphasis on inter-relationships between oral and sys-temic health. He is co-editor and author of two text-books, Periodontics: Medicine, Surgery and DentalImplants, and Periodontal Medicine. Dr. Mealey is aconsultant to the American Dental Association Councilon Scientific Affairs and a former member of theNational Advisory Dental and Craniofacial ResearchCouncil at the National Institutes of Health. Dr.Mealey’smajor awards include the AAP’s Balint Orban MemorialResearch Award, the F. Earl Robinson RegenerationAward, and the Fellowship Award. He has served theAcademy on over 20 committees and task forces and isa former member of the AAP Board of Trustees.

RICHARD J. LAZZARA, D.M.D., M.Sc.D. willpresent Management of Implant Complications.Regardless of the clinical procedure,complications seemeventually to be part of therapeutic endeavors. Implantdentistry is no exception.This presentation will catego-rize complications in both the surgical and prostheticaspects of implant therapy. Treatment of complicationswill be discussed in detail and various types of compli-cations will be illustrated. Emphasis will be placed onthe solution or management of these situations. By rec-ognizing the causes for complications presented, the

PROGRAM DESCRIPTION (CONTINUED FROM PAGE 1)

PROGRAM DESCRIPTION (CONTINUED ON PAGE 6)


clinician will be able to evaluate treatment plans forfuture cases to avoid these pitfalls.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: Following this lecture, attendees will:

1. be able to recognize situations that may create complications;

2. learn how to reduce or avoid risk of complications;3. learn how to treat resulting complications.

Dr. Lazzara practices periodontics and implant den-tistry in West Palm Beach, Florida. He has published anumber of articles and textbook chapters on the subjectof osseointegrated implants. Research topics cover avariety of areas, including regenerative, restorative andearly loading protocols. Recent focus has been the clin-ical benefits of the changing therapeutic protocols as aresult of bioengineered surface technology. He is cur-rently clinical assistant professor at the University ofSouthern California School of Dentistry and associateclinical professor at the University of Maryland, Peri-odontal and Implant Regenerative Center, and associateprofessor at the University of Miami. He has lecturedextensively throughout the U.S. and internationally on the surgical and prosthetic applications of implantdentistry.

ALAN L. ROSENFELD, D.D.S., F.A.C.D. will pre-sent Management of Implant-Associated TreatmentRisks and Complications in an Atmosphere of Com-plete Disclosure. This presentation will review in detailthe utilization and implementation of contemporary CTscan technology to reduce risk and complications asso-ciated with implant treatment. Despite the increase inpatient treatment complexity, little progress has beenmade toward reducing pre-operative risk and improvingsurgical predictability by utilizing advanced imagingtechnology. The most commonly used radiographs areinaccurate, limit analysis of buccolingual relationships,do not enable precise three-dimensional assessments ofanatomy and do not fully integrate a presurgicallydefined prosthetic outcome as the means to establishprecise guidance at the time of surgery. Unless we openour minds to the possibilities of precise, prostheticallydirected surgery, we will continue to expose ourselvesto the inherent risks and complications associated withmentally navigated implant surgery. Furthermore, wewill lose the opportunity to offer our patients a mini-mally invasive surgical option and an important com-petitive advantage in the surgical implant marketplace.

Perhaps the most underappreciated value of 3-D com-puted tomography is the ability to consult with patientsand referring doctors in an atmosphere of complete dis-closure.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: • understand the limitations of currently used diagnos-

tic radiographs for implant treatment planning;• understand three-dimensional anatomy of the maxilla

and mandible by utilizing imaging masks;• understand how normal anatomy creates an inherent

implant/prosthesis incompatibility;• understand contemporary CT scans and their impli-

cation for treatment planning;• understand the importance and characteristics of

prosthetically directed scanning appliances;• understand the commonly unknown factors which

increase the risk of an adverse surgical outcome;• understand the different types of surgical guides and

their indications;• understand minimally invasive implant surgery with-

out bone exposure;• understand the power of collaborative accountability,

education and marketing from a CT perspective.

Dr. Rosenfeld limits his private practice to cosmeticand reconstructive periodontics and dental implants inPark Ridge, IL. He is a graduate of the University of Illi-nois College of Dentistry and completed his specialtytraining in periodontology at the University of Pennsyl-vania. He is a diplomate of the American Board of Periodontology and the former director of graduateperiodontology at Northwestern University DentalSchool. His collaboration with Drs. Richard Mecall and George Mandelaris has led to contributions in text-books and numerous journal articles. He has lecturednationally and internationally, and has been using CTtechnology for the placement of dental implants since1988. Dr. Rosenfeld is a professor of clinical periodon-tology at the University of Illinois College of Dentistry,where his chief responsibility is teaching implant and periodontal plastic surgery to graduate students. Inaddition, he has contributed in the development of Sim-plant planner. He serves on the medical advisory boardof Materialise, the developer of Simplant planner andSurgiGuides.

GARY M. REISER, D.D.S. will present PeriodontalSurgery: Problems, Complications, and Solutions. Themultiple values of periodontal surgery are among themost valuable and yet least understood of dentistry’s


PROGRAM DESCRIPTION (CONTINUED ON PAGE 11)


Special Member Benefit: Hygienist Program

SUSAN KARABIN, D.D.S. will present Gender,Health, and Healing. She will review current conceptsand differences with regard to gender in immuneresponse to viral and microbial challenges. There will be a discussion of the Institute of Medicine’s Committeefindings, and a definition of gender as it affects diseaseand organ systems. The “estrogen effect” on brain development and heart disease risk will be discussed in detail, along with pregnancy, pre-term low birthweight, and the effects of a chronic inflammatory state (periodontal disease) on outcomes and diseaseprogression.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: Participants will understand:1. how gender affects immune response to infections;2. the role of estrogen in organ system development;3. the effects of periodontal disease on pregnancy and

the risk of pre-term low birth weight.

Dr. Karabin is a diplomate of the American Board ofPeriodontology with a full-time practice in Manhattan.She completed her dental and periodontal training atColumbia School of Dental and Oral Surgery, where shecurrently holds the title of associate clinical professor.Dr. Karabin chaired the $7.5 million capital campaignfor the reconstruction of the dental school clinics andheld the position of director of professional develop-ment. Her area of expertise is women’s health and shehas lectured and published nationally and internation-ally on related topics for more than a decade. She is onthe editorial board of The Journal of Gender SpecificMedicine, The International Journal of Oral and Max-illofacial Implants, and Dentistry Today. She presentlyholds the position of president of the New York Acad-emy of Dentistry, president of the Northeast Society ofPeriodontists (Oct. 2005), and is president-elect of theAmerican Academy of Periodontology.

TRISHA O’HEHIR, R.D.H. will present Local Factors in Diverse Disease—Simple Problems and Dif-ficult Patients. This presentation will discuss an evi-dence-based approach to dental hygiene that assists intreatment of complex disease states, together withhygiene management techniques and improving patientcompliance.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: 1. participants will be able to distinguish between sci-

ence and tradition in matters of dental infection;2. participants will recognize and deal with risk factors

for oral health and general health.

Dental Hygiene in the Age of Systemic Disease

Susan Karabin Trisha O’Hehir Brian L. Mealey Deborah Dopson-Hartley

8:00 A.M. Registration, Exhibits and Coffee9:00 A.M. Welcome Back, We’ve Been Here Before…

Roy S. Feldman, D.D.S., DMScProgram ChairmanPhiladelphia, Pennsylvania

9:00–10:00 A.M. Gender, Health and HealingSusan Karabin, D.D.S.New York, New York

10:00 A.M. Exhibits and Coffee10:30–11:15 A.M. Local Factors in Diverse Disease—

Simple Problems and Difficult PatientsTrisha E. O’Hehir, R.D.H.Louisville, Kentucky

11:15 A.M.– Medical Considerations in Patient Care: 12:15 P.M. Periodontal Medicine

Brian Mealey, D.D.S., MSSan Antonio,Texas

12:15 P.M. LunchPresentation of Isador Hirschfeld AwardLuncheon for Learning

1:30–3:00 P.M. T.E.A.M.—Hygiene: The Value of DentalHygieneDeborah Dopson- Hartley, R.D.H.Tallahassee, Florida

3:00 P.M. Discussion

Ms. O’Hehir is an international speaker, author, instru-ment designer, award-winning educator, editorial direc-tor of Hygienetown Magazine, president of PerioReports Publishing, and author of the popular cartoonbook,The Toothpaste Secret. She is based in Phoenix andTucson, Arizona and serves as vice president, Perio-Data™ Company and teaches as adjunct faculty, Univer-sity of Louisville. Ms. O’Hehir is the current chair, OralResearch Group, International Association for DentalResearch, and is considered an innovative and focusedthinker who combines in continuing education pro-grams current research findings, clinical applications,and alternatives for the practice of the future.

BRIAN L. MEALEY, D.D.S., M.S.,will present Med-ical Considerations in Patient Care: Periodontal Medi-cine. This will be similar to his same-day course in thegeneral meeting, with a focus toward hygienists. Pleaserefer to his course details in the general meeting descrip-tion section of this bulletin.

DEBORAH DOPSON-HARTLEY, R.D.H. will present T.E.A.M.-Hygiene:The Value of Dental Hygiene.Her presentation will introduce new insight and philos-ophy from a practicing hygienist to help attendees bet-ter understand the relationship of hygiene profitability,case representation, and acceptance of ideal compre-hensive restorative dentistry. She will discuss how to setrealistic hygiene goals for production, case presentation,case acceptance, and retention.Attendees will leave thisintriguing and thought-provoking presentation withproven successful techniques that can be incorporatedimmediately into practice.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: 1. the participant will understand the entire T.E.A.M-

Hygiene’s role in practice development;2. the participant will recognize practice patterns to

schedule for higher production;3. the participant will learn proven techniques that will

assist with case presentation and acceptance.

Ms. Dopson-Hartley is a full-time practicing hygienistin Tampa, Florida. She sits on the boards of Contempo-rary Oral Hygiene, the Amara Institute, Global DentalSeminars, Canada, and is on the Executive EditorialBoard and is a contributing editor for Dentist’s MoneyDigest. Ms. Hartley’s presentations introduce newinsight, philosophy and understanding in hygiene prof-itability, case presentation and acceptance of compre-hensive restorative aesthetic dentistry. Reflected in hercourses are Deborah’s 30 years of practice experience,which has allowed her perspective to establish goals forherself and for those she teaches. �


AAP BOARD OF TRUSTEES UPDATE

AUGUST 2005

T he board met from August 20–21,2005. As usual,many activities were addressed at the meeting

and a number of the previous initiatives were dis-cussed and refined. As always, if you have any ques-tions please feel free to contact us.

The following are highlights of the August 2005report:

• approved a second reading of the Bylaws revision,which will stipulate that only Board Certified AAPvoting members elect the American Board of Peri-odontology Directors;

• a statement for the AAP News was approvedregarding bisphosphonates as related to treatmentin periodontal therapy;

• a budget with revenue of $10,441,804 and expen-ditures of $10,175,785 was approved. (The Boardusually approves several hundred thousands of dollars in additional spending necessary during theyear);

• approved a reduction of dues for full-time peri-odontal faculty;

• waived the policy of increasing dues by the Con-sumer Price Index for 2006;

• the editor of the journal, Dr. Robert Genco,announced his retirement at the end of his currentcontract.A search for editor will begin;

• approved several insurance code revisions relatedto sinus augmentation and three-dimensional radi-ography codes;

• a task force has been meeting to work on a proto-col for referral guidelines.This task force has beenhighly active and their work will be important forall periodontists.We are working with the PreViserGroup to determine if their program will be aneffective tool for referral guidelines;

• approved funding for annual licensing and the pur-chase of the software for legislative and regulatorymonitoring. This would enable the AAP to makeState Periodontal Societies aware of any upcominglegislation that will affect the individual states.

We hope to see you all in Denver at the Annual Meeting.

Brian Chadroff and Barry WagenbergDistrict VII Trustees


T he Advanced Education Program in Periodonticsconcluded this academic year in outstanding fash-

ion. Resident alumni/ae and faculty were successful inpassing the examinations for certification by the Ameri-can Board of Periodontology. Drs. Irene Boxser, JaklinMorovati, and Stuart Segelnick are now diplomates ofthe American Board of Periodontology,and our programis justly proud of their accomplishment.

We are proud as well of this year’s 2005 graduatingclass. Drs. Roya Mohajer, Mark Schlesinger, MelodySchiffer, Neha Shah, Allison Zaromb, and Joseph Zelighave completed our three year program with distinc-tion. Dr. Mark Schlesinger received the dual honor ofbeing recognized for his services as chief resident andhonors clinician.

The incoming first year residency class has demon-strated high academic and professional achievement intheir application to our three year program. The pro-gram welcomes Drs. Nancy Kim, David Lefkowitz,AmirMostaghi, Keren Sperling, Sahar Verdi, and MichaelZidile. Dr. Nikisha Jodhan has transferred to our pro-gram and will enter the second year residency class.The faculty applauds their motivations for a career inperiodontics.

Our advanced program participates in two annual sci-entific symposia that bring together residents and facultyfrom six advanced programs in the Northeast. In May,we

hosted residents and faculty of the P.G. programs ofBoston University and the University of Pennsylvania forthe annual two-day Tri-School Symposium.The Tri-Schoolsymposium brings together the three schools for a two day collaboration on research and clinical sciences.In addition, our program participated in the Metro-politan Periodontal Forum with residents and facultyfrom Columbia University and UMDNJ. The UMDNJhosted this one-day science seminar in Newark, NewJersey. These symposia stimulate research in periodon-tics, and add a social exchange between residents andfaculty that enhances each P.G. program.

Drs. Khalid Almas, Ron Craig, Bruce Davidson, JeffreyLemler,Veena Nanda, Robert Schoor, and Mea Weinberg of our faculty have been active in clinical research withmanuscripts accepted and published in JADA, J Perio.,Biomedical Materials Research,and the Journal of LongTerm Care.Dr.Stephanie Russell received her PhD in Epi-demiology from Yale University.

We welcome two new faculty members in theDepartment of Periodontics: Drs. Gerard Epelbaum andWayne Kye.Dr.Epelbaum received his specialty trainingat Columbia University, Dr. Kye from the University ofMaryland.

Submitted by:Robert S. Schoor, D.D.S.

Program Director

NYU NEWS

I n its infinite wisdom, NYS Dental Society haschanged the rules for our giving them the list of

attendees at the meeting. No longer will they acceptpoorly written names and missing ADA numbers wherethey have to look up the ADA number before they enteryour name in the CE Registry.

NYS Continuing Education works like this: you arerequired to have the Verification of Attendance formavailable to any auditor if you are ever audited as to thenumber of CE credits that you have. It is a good idea tomake a file to keep these forms in a central place whenyou complete a course. NYS also has a CE Registrywhere they compile your credits electronically andsend you a list annually. In the past we have asked youto sign up for that list and I send it the NYS and theymake the entries in their registry. They are inundatedwith poor cooperation from members who have illegi-

ble handwriting and absent ADA numbers. They havenow said that if the ADA number is missing, nocredit in the registry will be entered; they alsowant the names and ADA numbers sent to themelectronically.

This is where it leaves us. After the meeting I willenter the information into the computer and send it toNYS. If there is no ADA number present, you will notget credit. Please make it easy for us all and have yourADA number available when you sign the form andplease write legibly.

Looking forward to your presence at the October28th meeting as it promises to be a wonderful program.

David I. Kratenstein, D.D.S., pcExecutive Director NESP

NEW RULES FOR NY STATE CE REGISTRY

T he American Dental Association has issued a reporton the potential worldwide spread of severe

influenza and how dentists can be responsive to such anevent in the United States.

The new report, “Influenza Pandemic,” by Dr. AlbertH. Guay, ADA chief policy advisor, is available from theAssociation online in the Dental Topics content area ofADA.org or by calling the ADA at extension 2844.

“The threat of an influenza pandemic is real, and pre-diction of a pandemic’s onset or immediate containmentremains impossible,”says Dr.Guay. “”Yet, this is not a rea-son for hysterics or panic. Instead, I urge dentists to payattention to health reports from around the world, andto look for balanced information from reliable sources—not from alarmist opinions.”

In his report, Dr. Guay outlines the historical charac-teristics and typical progression of an influenza pan-demic. In discussing our federal government’s strategiesto handle a future event, he makes clear that no prede-termined plan will be absolutely the best for whateversituation may occur, since information about the exactnature of a pandemic must await its emergence.Nonetheless, he says, a well-developed plan will allow amechanism to be established for the most rapid response.

“How badly a potential pandemic might affect theUnited States is anybody’s guess,” he notes,“but we doknow that our public health infrastructure in the UnitedStates is vastly different than in the past, when devastat-ing influenza pandemics hit with little warning.”

Surveillance and early detection are key steps to con-taining the initial outbreak of a new and potentiallysevere strain of influenza. Sick patients would likely gofirst to the medical community with flu-like symptoms,rather than go to the dentist for treatment.

“Dentists’ role would be ancillary,” says Dr. Guay,“buttheir vigilance concerning patient behaviors could stillaid in the early detection of an influenza outbreak.”

However, in the event of a full-scale pandemic, themedical community would not be able to control ormonitor the situation on its own. Local medicalresources could be overwhelmed.

“The surge capacity would be over the top,” Dr. Guaysays,“and dentists may need to play a hands-on and vitalrole to counteract the spread of disease and safeguardthe public health.”

Infection control procedures, for example, wouldlikely need to increase,as well as apply beyond the oper-atory and dental treatment into the waiting room. Den-tal offices may be required to close down, except foremergency treatment. Two ADA councils, he notes, areconsidering which expanded infection control practicesmay be appropriate for dental offices to employ in theevent of a severe influenza situation.

Dentists might also be mobilized in ways similar to aresponse to bioterrorism, such as administering medica-tions and immunizations or using their dental offices astemporary medical centers.

“This is why the ADA is urging dentists to be familiarwith their state dental society’s emergency responseplan,” says Dr. Guay,“to keep themselves up-to-date withmass-disaster training programs and, above all, to payattention and keep informed by monitoring worldhealth events from reliable sources.

“The ADA will help,” he adds,“by providing informa-tion to dentists in a timely manner.” �


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Promoting Your Practice’s Web Site

To learn more about the following subjects for website promotion, visit the AAP site, perio.org.

• Print Promotion

• Site Referrals

• Search Engines

• Online Directories

• Strong Content

• Developing Your Web Site

• AAP Member Web Sites

Distribute AAP PatientPages in Your Office

As a benefit to AAP members, a full-color Patient Pageis now posted quarterly on perio.org for you to view,print out, or download to your computer.


O F F I C E R S

President . . . . . . . . . . . . . . . . . . . . .Barry Wagenberg,D.M.D.Immediate Past President . . . . . . . . . . Brian Chadroff,D.D.SPresident-Elect . . . . . . . . . . . . . . . . . . Susan Karabin, D.D.S.Vice President. . . . . . . . . . . . . . . . . . . Luis Fujimoto, D.M.D.Secretary . . . . . . . . . . . . . . . . . . . Patrice Buonocore, D.D.S.Treasurer . . . . . . . . . . . . . . . . . . . . . . . . Gail Childers, D.M.D.Executive Director . . . . . . . . . . . . David I.Kratenstein,D.D.S.

B O A R D O F D I R E C T O R S

Jay Fishbein, D.M.D. . . . . . . . . . . . . . . . . . . . . . . (2006)Louis Rose, D.D.S. . . . . . . . . . . . . . . . . . . . . . . . . . (2006)Mark B. Snyder, D.M.D. . . . . . . . . . . . . . . . . . . . . . (2007)Constantine Pavlakos, D.D.S. . . . . . . . . . . . . . . . . . (2007)Mitchell Bloom, D.M.D. . . . . . . . . . . . . . . . . . . . . (2008)Paul Tannenbaum, D.D.S. . . . . . . . . . . . . . . . . . . . . (2008)

B U L L E T I N S T A F F

Mehdi Saber, D.D.S., M.S.D. . . . . . . . . . . . . . . . . . . . . . EditorLeslie Taynor, D.D.S. . . . . . . . . . . . . . . . . . . . Associate Editor

MSP International, Inc. . . . . . . . . . . . . . . . . . . . . . . PublisherPort Washington, [email protected]

Correspondence pertaining to The Bulletin should be sent to the editor at the following address:Mehdi Saber, D.D.S., M.S.D.Editor, NESP Bulletin118 North Avenue West, Suite 102Cranford, NJ 07016Tel: (908) 709-6777 Fax: (908) 709-1142Email: [email protected]

NESP Bulletin is the official publication of the Northeastern Society of Periodontistsand is published biannually before each general meeting.Articles should be submit-ted to the editor before the January 15 and September 1 deadlines.Publication mate-rials may be deferred to future issues or edited without materially changing theauthor’s intent in order to conform with the requirements of the NESP Bulletin.Thepublication of an advertisement,opinion or statement does not reflect endorsement,approval, or policy of the NESP and its Bulletin unless stated.

A C K N O W L E D G M E N T S

The NESP wishes to thank the sponsors of the fall meeting for their financial support. All members

are urged to visit the exhibit booths and to acquire the latest information on periodontal products.

3I-Implant InnovationsA.Titan

Ace SurgicalAPW Dental Services PC

Astra TechBicon

BiolockBTI of North AmericaJohn O. Butler/Sunstar

CDx LaboratoriesCera Med

Designs for VisionExactech

Hartzell & SonHarvest Technologies

InnovaLifecore

Marriott Vacation ClubNewark DentalNobel Biocare

Oral Pathology LaboratoryOrapharmaOrascopticOsteohealth

Pfizer Consumer Health CarePhillips Oral Health /Sonicare

Straumann USATelevox

The Natural DentistThommen Medical USAUBS Financial Services

W.L. GoreZimmer Dental

clinical modalities. Carefully diagnosed and executedprocedures provide healthy, functional and estheticresults, which contribute remarkably to treatment out-comes. However, surgical outcomes vary and are depen-dent upon many factors, which include case selection,operator experience and skill. Several problems andcomplications may be encountered during or followingsurgery.The problems include flap management, sutur-ing problems, membrane complications, failure to pro-vide ideal root coverage, etc. These, as well as otherproblems, will be discussed and solutions suggested.

LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEE:: • to review the essential nature of careful diagnosis and

evaluation of the presurgical site;• to demonstrate that flap design and flap closure are

integrally related;

• to troubleshoot intra-operative problems;• to manage post-operative complications.

Dr. Reiser has been an active participant in the peri-odontal community. He has served in various capacitiesand is the chairman of American Board of Periodon-tology, is an associate clinical professor in Tufts Univer-sity department of periodontology, and served as thetrustee to the American Academy of Periodontologyfrom 1995 to 1999. He was chairman of the Dental CareCommittee, member of Long Range Planning and Con-tinuing Education Oversight Committees of AA, andreceived the AAP Clinical Research Award in 1999 andAAP Special Citation in 1998. Dr. Reiser has a privatepractice in periodontology and implantology in Swamp-scott, MA. �


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