OCTOBER 2011 VOLUME 12, ISSUE 10 AVAILABLE ONLINE AT TDA.ORG

InsideMedicaid Managed Care Update

TDA Smiles FoundationBridge City Smiles on WheelsThe Meadows Foundation Grant CompletionHoliday Cards DENPAC: No Rest for the Weary

TDA Perks TEXAS MeetingBigger and Better Evidence-based Tip of the Month TSBDE Rule Update

November Journal NewsTexas Dental Association Gold Medal Winner Distraction Osteogenesis for Craniomaxillofacial Problems Management of Invasive Cervical Resorption: Observations from Three Private Practices and a Report of Three Cases Guide for the Mentoring Dentist: The Admissions Office Perspective

Around the State

November 4 & 5Board of Directors meetingAustin November 11Texas State Board of Dental Examiners meetingAustin

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Join us on Facebookgroups.to/texasdental Follow us on Twittertwitter.com/theTDA Get LinkedInlinkedin.com, search “Texas Dental Association”

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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.

Do You Know The Status Of Water Fluoridation In Your Community? Delton D. Yarbrough, D.D.S., Chair, TDA Council on Dental Economics Do you, as a dentist, know the level of fluoride in your community water supply, or if it is or is not fluoridated? This link http://tiny.cc/wlb8p will allow you to access any community water system in the state of Texas and provide the fluoride level of the water source, and whether or not the community fluoridates to achieve optimal levels.

The concentration recommended by the Centers for Disease Control and Prevention (CDCP) to achieve the maximum therapeutic effect is .7ppm or .7mg/L. In today’s economy many cities, municipalities, and water districts are being asked to review their expenditures and cut budgets. Since fluoridation is recommended and not required, we are seeing it come under scrutiny, and in some cases cut to save money. The cost of fluoridation ranges from $0.50 per year per person in large communities to approximately $3.00 per year per person in smaller communities. Studies show that for every $1.00 spent on water fluoridation about $40.00 is saved in dental treatment cost. There is also an antifluoridationist faction which can create an undercurrent that sometimes muddles the decision making process.

The TDA Council on Dental Economics (CODE) is the TDA entity charged with addressing community oral health issues including community water fluoridation. CODE monitors activities related to community water fluoridation and has been made aware of several communities that have been working to make changes in their community water fluoridation policies. Recently, there has been activity in Austin, College Station, and Lufkin.

• Austin:InMay2011,IparticipatedinamoderateddebatewithactivistsoftheFluorideActionNetwork(FAN)atahearingofthePublicHealth and Human Services Subcommittee of the Austin City Council. The subcommittee took no formal action and this issue is not currently before the Austin City Council; however, it is a frequent topic of discussion and CODE will continue to monitor this issue.

• CollegeStation:InSeptember2011,theCityofCollegeStationCityCouncilvoted6-1againstrestoringbudgetfundstocontinueitscommunitywaterfluoridationprogram.Cityofficialsestimatethatnotfluoridatingwillsavethecityabout$42,000ayear.CODEaswelllocalcomponent leaders were in contact with College Station City Council members expressing its support of the continuation of community water fluoridation.

• Lufkin:CODElearnedthatthecityofLufkinmaystopfluoridatingwhentheircurrentsupplyofhydrofluosilicicacidisexpended.CODEwill be in contact with Lufkin City Council to express its support of community water fluoridation.

It is important that TDA component societies begin to monitor the activities of their city and county governments. This can be done by simply monitoring city council meeting agendas which are usually posted at least 3 days before each meeting. Component societies also have to watch for the posting of public hearings on issues relating to water and public health. Also, the local governmental contact about fluoridation is usually the water treatment/water management department or the city manager. CODE is seeing fluoridation stopped without the local dentists being aware that it is occurring. Dentists are the authorities on oral health. It is up to us to make sure that the governmental entities that make these decisions are made aware of the consequences of their actions. The American Dental Association has printed materials available to assist component leaders with discussing this issue with city council members, and CODE is also available to assist component societies when fluoride issues arise. Ifyouhavecommentsorquestionsaboutfluorideissuesinyourarea,thenpleasecontactCODEviaCassidyNealat(512)443-3675ext.152orcassidy@tda.org.

Dr.WarrenB.BranchofSanAntoniowasnamedthe2011TexasDentistoftheYear™ataspecialgalaonSeptember16duringtheTexasAcademyofGeneralDentistry’s(TAGD)annual Lone Star Dental Conference in Austin.

Dr.Branchwasoneof21dentistsnominatedfortheprestigiousaward,whichhasbeenpresentedbyTAGDsince1965.HewasnominatedbytheSanAntonioDistrictDentalSociety.LocalTAGDcomponents and Texas Dental Association societies submit nominations, which are open to general dentists and specialists. Individuals nominated for the award show a commitment to advancing excellence in dentistry through activism in organized dentistry, dedication to continuing education, and participation in charitable work and civic service.

Dr.Branchisa1981graduateofUniversityofTexasHealthScienceCenteratSanAntonioDentalSchool and has practiced for 30 years in San Antonio. He is a member of the American Dental AssociationandtheTDAwherehehasservedasthevicechairandthechairofDENPACfrom2008to2011.HeisalsoapastpresidentoftheSanAntonioDistrictDentalSociety.

Outside of his practice, Dr. Branch remains extremely active in his philanthropic efforts through mission tripstoMexicoandGuyanaandwiththeTDASmilesFoundationDonatedDentalServicesprogramandtheADA’sGiveKidsaSmile.Additionally,Dr.BranchservesontheboardsofdirectorsforBigBrothers,BigSistersofSanAntonioandSanAntonioYoungLife.

Dr. Warren B. Branch of San Antonio receives the 2011 Texas Academy of General Dentistry Texas Dentist of the Year Award™ in September.

Dr. Warren Branch Named TAGD Texas Dentist of the Year™

Texas Dental Association Student Organization Holds First MeetingThe Texas Dental Association Student Organization (TDASO) held its inaugural planning meeting in Austin on October 8. TDASO officers represented students from each Texas dental school. The purpose of the group is to educate students about the benefits of organized dentistry and to facilitate the transition from student to practitioner and increase new dentist recruitment into the tripartite while creating additional leadership opportunities for students. TDASO will also work closely with the American Student Dental Association to promote organized dentistry while recreating the tripartite structure at the dental school level.

ThemeetingwasfacilitatedbyTDACommitteeontheNewDentistchairDr.AndreaJ.KeithofIrvingandmemberDr.JoshuaA.AustinofSanAntonioandTDADirectorofMemberServicesMs.LeeAnnJohnson.TDASOofficersmadeplansforanexciting“kick-off”eventateachschoollaterthisfallandforeducationalsessionswhichwilltakeplacein2012.Thesessionswillfocusonthecorecomponentsoforganized dentistry: governance, membership, legislative and regulatory affairs, continuing education, and charitable care.

FormoreinformationonTDASO,pleasecontactMs.LeeAnnJohnson,leeann@tda.org,512-443-3675.

Pictured are Texas Dental Association Student Organization officers at its inaugural meeting in October: (back row, L-R) Texas A&M Health Science Center Baylor College of Dentistry (TAMHSC-BCD) student Joshua Aguilar, TDA Committee on the New Dentist member Dr. Joshua A. Austin of San Antonio, TAMHSC-BCD student Ryne Wilson, University of Texas School of Dentistry at Houston student Coleman Meadows, and University of Texas Health Sciences Center at San Antonio Dental School (UTHSCSA) student Blake Johnston; (front row, L-R) TDA Committee on the New Dentist chair Dr. Andrea J. Keith of Irving, UTHSCSA student Sarah Shin, and TAMHSC-BCD student Sarah Berriche.

October 2011 / TDA Today / 2

Happy, Healthy Smiles …

That’s Our Mission!

Bridge City Smiles on WheelsOnSeptember24,theTDASmilesFoundationheldits17thSmilesonWheelsinBridgeCity,Texas.Theeventwasahugesuccess,providing$139,728worthofcharitabledentalcareservicestoarecord-breaking218people.Thesupportfromthedentalcommunitywasamazingwithanastoundingvolunteerturnoutof45dentistsatthis16-chairevent.TherecordnumberoftreatedpatientsatthiseventwasduetotheincreasedvolunteersupportwhichprovidedTDASFwithenoughmanpowertokeepalldentalchairsoccupied throughout the entire day.

AhugethankyoutoTheStarkFoundationforanextremelygenerousdonationof$10,000;TheHousemanFoundationforanamazingdonationof$7,500;theDentalSocietyofSoutheastTexasandtoSETRPCforall of their hard work and dedication to this event!

The Meadows Foundation Grant CompletionTheTDASmilesFoundationisproudtoannouncethecompletionofthe3-year$115,000MeadowsFoundationgrantwhichwasinstrumentalincreatingtheSmilesonWheelsprogram.In3years,TDASFhasheld17SmilesonWheelseventsinruralareasaroundTexas,providing2,648peoplewithmorethan$1.5 million in charitable dental care! This amazing feat would not have been possible without all of the dedication and support of the TDA membership! Thank you!

142nd Annual Session of the Texas Dental Association

May 3 – 6, 2012 • San Antonio, Texas

Bigger and Better in Texas Victor Rodriguez, D.D.S., TDA Council on Annual Session

The2012TEXASMEETINGisfastapproaching!JoinyourfellowTexansfrom all over the state as they head to San Antonio for the largest dental meeting in Texas! In the Lone Star state we have become accustomed to thephrase“BiggerandBetter”andthatisnoexceptionwhenitcomestotheTEXASMeeting.Youandyourstaffwillhaveopportunitiestochoosequality continuing education, network with colleagues, and shop at the largest exhibit hall in Texas. Treat yourself and your staff to an exciting and rewarding3daysinbeautifulSanAntoniofortheTEXASMeeting.

Dr.FrankHigginbottom,2012TEXASMeetingChair,andtheTDACouncilonAnnualSessionhaveplannedanincredibledentalmeetingforyou.AttheTEXASMeetingyouandyour dental staff can fulfill all of your state CE dental requirements. Take advantage of one of yourincredibleTDAmemberbenefits—noconferencepre-registrationfeeforyouandyourstaff.TheTEXASMeetingisproudtopresentawidearrayof90nationallyrecognizedspeakers.The speakers will present dental seminars, certification classes, and participation workshops for the entire dental team. Topics will include cosmetics, restorative dentistry, pediatrics, implants, lasers, periodontics, endodontics, oral surgery, occlusion, practice management, and much, much more. But the fun is just starting.

Morethan350exhibitorshavebeencontractedandareeagertoshareinformationon“BiggerandBetter”dentalproductsandservices.TheTEXASMeetingexhibitorsprovidemanymeeting specials and the latest technology for you and your dental practice. The bustling exhibit hall will have many activities taking place during the meeting. Visit the special artist who digitally sketches a portrait of you and your friends, bid on a unique item at the DENPACSilentAuction,learnaboutyourpracticeopportunitieswithTDAPerks,andcheck-outthemanycharitableeventssupportedbyyourTDASmilesFoundation.Afteryourclassesandworkshops,unwindattheThursdayandFridayhappyhourswhereyouwillenjoycomplimentarybeerandwineintheexhibithallfrom4:30p.m.to6:00p.m.

Thursdayeveningshowcasesthefamous“TexasParty”withliveentertainmentfromthebandTheKlocks.Comekickupyourheelswithcomplimentaryfoodandbeveragesatthissocialeventplusacashbar.RememberyourTEXASMeetingbadgeisyourentrytotheparty.Ifthatisn’tenoughfunforyou,rememberallofthebreakfastmeetingsduringthe3-dayconvention,including the American College of Dentists and International College of Dentists, Christian MedicalDentalSociety,PierreFauchardAcademy,andmanymore.Fridaymorningfeaturesthe8thAnnualHealthySmilesGolfClassic,soifyouareagolfenthusiastpleasesupportthischaritableevent!AlsoFridayafternoon,can’tmisseventsaretheADACandidatesForum,theNewDentist(GOLD)Reception,andtheTDADistrictCaucuses.

What a great festive agenda set in the backdrop of the scenic San Antonio River Walk and the historicAlamo.Comeenjoythe“BiggerandBetter”TEXASMeetingMay3-6,2012!

TDASF Holiday Cards are Ready to Order!The holiday season is quickly ap-proaching!TDASFannouncesthereturnofitshand-madeholidaycards. This year there are several card options. Send your family, friends, and colleagues a unique card expressing your best wishes for the upcoming holiday season.

Also,forthefirsttime,TDASFisoffering card and price options. Every dollar goes directly to support theTDASFandthethousandsofTexans in need of dental care!

Options1&2haveembellishmentson the outside of the card, adding eye-catching,3-Ddetail.Bothof these cards also contain the following quote on the top half of the inside of the card:

“We forever thank you. We are sincere in saying thank you so much for

giving Daddy his smile and his life back.

He hasn’t smiled in 4 years.”

Family of Gaston P. DonahoNorth Zulch, Texas

Donated Dental Services Patient

To order any of these cards please visit tdasf.org or call (512)448-2441.

Option #2: Season’s Greetings — One card for $25 or five cards for $100Inside of card says, “Wishing you a year of smiles.”

Outside of Card:

Option #3: Snow Flake — 10 cards for $30Inside of card says, “Wishing you a year of smiles.”

Outside of Card:

Dr. Michael Jeansonne and part of his dental team volunteer their dental services at the 17th Smiles on Wheels held in Bridge City, Texas.

Dr. Chad Ford and a volunteer examine a patient for diagnosis before triage on September 24 at TDASF’s Smiles on Wheels.

Perks Partner News Debit-Card Processing Costs DecreasingEffective October 1, banks with greater than $10 billion in assets that issue debitcardswillhavetheirearnedfeescappedat21centspertransactionand0.05percent,duetotheDurbinAmendmentoftheDoddFrankAct.Becauseit’s not mandatory that your credit card processor pass the lower debit fees on to you (in the form of lower rates), your office may not see the savings.

TDAPerkspartnerBestCard,acreditcardprocessingcompany,hasalreadynotifieditsTDA-member customers of the savings to come by including a notice in August and September statements;andeffectiveOctober1,2011,BestCardscustomers’rateswillreflecttheloweredfees.Best Card estimates that its practices will save between $40–$100 per month — an approximately 40 percent savings on debit card transactions.

While these new rates may benefit your practice, many banks are now charging consumers additional monthly fees for using debit cards, so some patients may choose to deactivate their debit cards.YoucanreadmoreinanMSNBC.comarticle:http://tinyurl.com/BankFeesArticle.Formoreinformation about how the credit card industry’s recent changes may affect you, download an article byBestCardat:http://tinyurl.com/BestCard-Update.

TDA members can fax Best Card a credit card processing statement to (866) 717-7247 for a free, complete, confidential cost comparison for their practice. Or they can contact Best Card at: (877) 739-3952.

Receive Free Sample of NEW SUV Disinfectant WipesPerkslong-timepartnerOSHAReview,Inc.isofferingafreesampleofitsnewproductSUVDisinfectantWipestoTDAmembers.SUVDisinfectantWipesprovidesthesameexceptionalqualityandvalueasthePerks-endorsedSUVDisinfectant,butcomesintheformofaconvenient,ready-to-use,disposablewipe.ThepH-neutralheavy-dutyproductcancleananddisinfectatthesame time, yet contains no irritating perfumes, dyes, alcohols, bleach, or phenols. It meets Texas State Board of Dental Examiners, OSHA, and EPA requirements; CDC guidelines; and is proven tokillhepatitisBvirus(HBV),hepatitisCvirus(HCV),HIV,andH1N1.Toreceiveyourfreesample,ortolearnmoreabouttheproduct,pleasecallOSHAReviewat:(800)555-6248.

Perks Partner Recognized on Inc. 500|5000 for a Second YearPerks’website-designpartnerProSiteshasmadetheInc. 500|5000 list for a second year in a row. ProSiteswasranked#1677onthelistand#158withintheadvertisingandmarketingindustry.

“Inc. recognizes the creativity, dedication, and hard work that have gone into building ProSites into whatitistoday,”saysJaneBerentson,EditorinChiefofInc. magazine. “As an Inc. 5000 honoree, ProSitessharesaprestigiouspedigreewithsuchnotablealumniasIntuit,Zappos,UnderArmour,Microsoft,JambaJuice,Timberland,ClifBar,Patagonia,Oracle,Zipcar,andscoresofotherpowerhouses.”

“We are proud to be recognized once again by Inc.magazine,”saysLanceMcCollough,founderand CEO of ProSites. “Our success directly correlates with the success of our clients, and that’s what our dedicated team focuses on each and every day. Our exclusive technology and expertise in Internet marketing has helped our clients to grow their practices in a tough economy, and that’s reallyexciting.”

For more information regarding ProSites, visit tdaperks.com, click on “Endorsed Partners” and “Website Design.” Or, call ProSites at: (888) 541-6452.

Option #1: Holiday Sparkles — One card for $25 or five cards for $100 Inside of card says, “And a year of smiles.”

Outside of Card:

Rodriguez

October 2011 / TDA Today / 3

What Happens in Vegas …As I’m writing this message, I’m taking advantage of the small amountoffreetimeIhaveduringthe152ndAmericanDentalAssociation (ADA) Annual Session in Las Vegas. The lights and sounds of the city and the bustle of the convention are exciting. And, the cool temperatures have provided a welcome respite from hot San Antonio, but things are definitely heating up here. Especially for two of our leaders from Texas.

First,the2011ADAHouseofDelegateselectedDr.HiltonIsraelsonof Richardson as the new 15th District Trustee. A past president of the TDA, Dr. Israelson will have a strong voice for us in Chicago. Dr. S. Jerry Long previously held this post with much success, and I know that Dr. Israelson will continue leading the 15th District in a positive direction. Hilton, congratulations! I look forward to seeing you thrive in this new position.

Secondly,TDASpeakeroftheHouseDr.GlenHallofAbileneannouncedhiscandidacyforthe2012-2013ADASpeakerofthe House. This marks the beginning of Dr. Hall’s campaign for that position, the election of which will occur at the ADA annual sessionnextOctoberinSanFrancisco.Forthenextyear,Dr.Hallwill convince our peers nationwide what we already know — his passion for organized dentistry and strife for professional excellence have directly influenced his success as Speaker of the Texas House of Delegatesforthelast11years.Glen,youhavemyvotein2012.

Preston’s Press

J. Preston Coleman, D.D.S., TDA President 2011-12

Evidence-based Practice Tip of the Month

Stephen R. Matteson, D.D.S., F.I.C.D., TDA Editor

Texas Medicaid Electronic Health Record (EHR) Incentive ProgramThis is the 11th in a series of articles to keep you informed of the Texas Medicaid Electronic Health Record (EHR) Incentive Program and continuing efforts to implement health information exchange initiatives across Texas. The incentive program provides incentive payments to eligible Medicaid providers for the adoption and meaningful use of certified EHR technology. Future articles will focus on helpful reference websites, health information exchange, meaningful use for dentists, certified EHR technology for dental practices, and other relevant topics of interest to dentists.

Formorethanayear,theTexasDentalAssociationhasregularlyinformedmembersabouttheTexasMedicaidElectronicHealthRecord(EHR)IncentiveProgramandhowdentistsmayparticipate.Thismonth’supdatewillbedevotedtoansweringYOURquestions.

E-mailyourquestionstoTDApolicymanagerMs.DianeRhodesatdiane@tda.orgnolaterthanNovember1,2011.AllquestionsreceivedbythedesignateddatewillbeansweredintheNovemberTDA TodayMedicaidEHRupdate.

TRIPdatabase

Hereisaninformativedatabaseforhealthcaretopics.Google“TRIPdatabase”andenteryourtopicofinterest.Tryoneata time, dental implants, amalgam, impacted third molars or whatever. Have fun.

Future Changes to Texas Medicaid Dental ProgramAs reported last month, the Health and Human Services Commission (HHSC) announced the final contract awards for the HHSC Texas Dental Program to Delta Dental Insurance Company,DentaQuestUSAInsuranceCompany,Inc.,andMCNAInsuranceCompany.

Nowthatthefinalcontractawardsareinplace,thetransitionto commercial administration of the Texas Dental Program will proceedrapidlyinpreparationfora“golive”dateofMarch1,2012.Itiscriticalthatparticipatingdentistsbegininformingtheir existing patients about which dental plans they intend to participate. As a reminder, the state requires the dental plans to assistmembersinselectingaMainDentistwithin30daysofenrollment in a dental plan. If the member does not select a MainDentistwithin30daysofenrollment,thedentalplanmayassignthemembertoaMainDentistusinga“defaultprocess”approvedbyHHSC.Toprotectthemember’s“righttochoose”his or her dentist, HHSC prohibits dental plans from assigning memberstodentalpractices(offices).Forthoseclientsthatdonotself-selectaMainDentist,thedentalplanwillassignthemto a dentist using individual Texas Provider Identifier numbers.

HHSCwillbemailingenrollmentpacketstoMedicaid/CHIPmemberstheweekofOctober28,2011.Atthesametime,theTDA will be emailing a sample letter that participating dentists maysharewithpatientstohelpthemcompletethe“self-selection”processforaMainDentist.Althoughparticipatingdentistsmayinform their patients about which plans they intend to contract with, dentists are prohibited from influencing a member’s decision to choose one plan over another.

IfyouareinterestedinprovidingMedicaid/Children’sHealthInsurance Program dental services under the new program, contact the companies directly to begin the credentialing process.

• DeltaDentalInsuranceCompany (800)775-0523Ext.3066 E-mail:PR-Texas@delta.org• DentaQuestUSAInsuranceCompany,Inc. (800)685-9971 E-mail:dqrecruiters@dentaquest.com• MCNAInsuranceCompany–DavidL.Brownell,director

of provider relations; website: http://www.mcna.net/provider/texas-program/

Forquestions,contacttheTDA’spolicymanager,Ms.DianeRhodes at (512)443-3675ordiane@tda.org.

READER COMMENTInreadingyourEvidence-basedPracticeTipoftheMonth(September2011TDA Today), I chose to go the original, referenced source that was listed. What I found was not what was listed. While Walker may have commented on a published article, the reference is for the published article, written by WeltmanBetal.,andnotWalker’scomment.Furthermore,thecomments made by the editor on this paper appeared on page 11Aofthejournalasopposedto12A. Root resorption associated with orthodontic tooth movement: A systematic review Belinda. Weltman,a KatherineW.L.Vig,b HenryW.Fields,c Shiva Shanker,dandEloiseE.KaizareVancouver, British Columbia, Canada, and Columbus, Ohio(AmJOrthodDentofacialOrthop2010;137:462-76) The Walker reference is as follows:Walker S. Root resorption during orthodontic treatment. Evid BasedDent.2010;11(3):88. This communication is only for clarity so that the practicing dentist who chooses to go that step further will be able to access the information rapidly and accurately.

JamesL.Gutmann,D.D.S.,F.A.C.D.,F.I.C.D.Professor Emeritus, Baylor College of Dentistry

The editor encourages readers to send comments on the Evidence-based Practice Tip of the month. Thank you Dr. Gutmann.

ADA Awards Golden Apple to Fort Worth District Dental Society TheAmericanDentalAssociation(ADA)recentlyhonoredtheFortWorthDistrictDentalSocietywithaGoldenAppleawardintheExcellenceandAccesstoDentalCareProgramscategoryattheADAAnnualsessionheldinLasVegas,Nevada.

ThesocietywasawardedtheGoldenApplefortheSaveaSmileprogram—auniqueandpowerfulpartnershipbetweenlocaldentists,theFortWorthDistrictDentalSociety,andmultipleschooldistricts with the mission to provide preventive and restorative dental care to children in need at

targetedschools,frompre-kindergartenthroughthirdgrade.

LedbyCookChildren’sCommunityHealthOutreachdepartment,andundertheleadershipofDr.TonyaFuquaofSouthlake,SaveaSmilehasscreenedmorethan42,000studentsandprovidednearly$4.8millionindonateddentaltreatmentcomprehensiveinscopetolocal children in need since its inception.

I’m proud to stand beside Drs. Israelson and Hall as they lead us at a national level; organized dentistry enjoys its finest hour during these elections. We choose them to speak for us, to carry our message to the masses so we can ensure that the care we provide our patients and the profession we love so much is protected nationwide.Now,Icanhonestlysay,“WhathappensinVegas,makesusproudinTexas.”

Aside from the changing of the guard, the House of Delegates seems to be progressing well. There has been the usual debate andexchangesofopinion.Fromthefinancialview,theHousehas been very aware of the troubled financial times. Reserves are below projection but that has been a trend over the last few years for obvious reasons. The House will add $1.8 million to the proposed budget but has passed a $7 dues increase to finance four important areas. The House has approved continued support for State Public Affairs program grants for major advocacy issues facing state dental societies. There will be a comprehensive studyofADAGovernance.Astudywasfundedtodeterminethe implications for dentistry of the Affordable Care Act. In the membership area, a study of issues surrounding the economics of dental education and the impact on access to care will be done. Some of the discussion included ideas for helping new graduates cope with large loans as they are entering the profession.

Watch for more details in the ADA News and on the ADA website!

New Partners;Big Savings!

Now TDA members have access to very special pricing from three exciting new partners! Through TDA Perks Program, you can save on all Philips Sonicare and Discus products (including Zoom!). Save $299 on Demandforce, an online patient communications and marketing solution—(and Inc. 500|5000 lister). Plus, text your patients messages to confi rm appointment times and arrivals for only $125 month (plus a $99 setup fee) with theTEXTdoctor.com. (TEXT Doctor offers a free 30-day trial.)

Get details at: tdaperks.com, or call: (512) 443-3675.

Learn about other great programs: tdaperks.com.Questions? Call: (512) 443-3675.

OCTOBER 2011 VOLUME 12, ISSUE 10 AVAILABLE ONLINE AT TDA.ORG

EDITORIAL STAFFStephen R. Matteson, D.D.S., Editor

Nicole Scott, Managing EditorLauren Oakley, Publications Coordinator

Barbara Donovan, Art DirectorPaul H. Schlesinger, Consultant

BOARD OF DIRECTORS

J. Preston Coleman, D.D.S., PresidentMichael L. Stuart, D.D.S., President-elect

Ronald L. Rhea, D.D.S., Immediate Past PresidentVice Presidents

Lisa B. Masters, D.D.S., SouthwestRobert E. Wiggins, D.D.S., NorthwestLarry D. Herwig, D.D.S., NortheastKaren E. Frazer, D.D.S., Southeast

Senior DirectorsT. Beth Vance, D.D.S., Southwest

Michael J. Goulding, D.D.S., NorthwestArthur C. Morchat, D.D.S., NortheastRita M. Cammarata, D.D.S., Southeast

DirectorsYvonne E. Maldonado, D.D.S., SouthwestDavid C. Woodburn, D.D.S., Northwest

Jean E. Bainbridge, D.D.S., NortheastGregory K. Oelfke, D.D.S., Southeast

Ron Collins, D.D.S., Secretary-TreasurerGlen D. Hall, D.D.S., Speaker of the HouseDavid H. McCarley, D.D.S., Parliamentarian

Stephen R. Matteson, D.D.S., EditorMary Kay Linn, 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

ThisTSBDEUpdateaddressesTexasStateBoardofDentalExaminers(TSBDE)Chapter110—22TAC§110.5—ModerateSedation(Level3)Permit.TheTSBDEdefinesModerateSedationas,“Drug-induceddepressionofconsciousnessduringwhichpatientsrespondpurposefullytoverbalcommands,eitheraloneoraccompaniedbylighttactilestimulation.Nointerventionsarerequired to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained. A Level3Permitisrequiredformoderatesedationincludingparenteralroutesofadministration…”1ALevel3PermitautomaticallyqualifiesanapplicantforNitrousOxide,Level1,Level2,andLevel3Permitprivileges.2

Asareminder,althoughChapter110becameeffectiveJune1,2011,theTSBDEwillnotstartenforcingrequirementsuntilJanuary1,2012.Thisdelayisintendedtoallowampletimefordentiststobecomecompliantwithallfacetsofthenewregulationssuchasstandards of care and monitoring.

Asummaryoftheeducational/professionalcriteriafordentistsapplyingforaLevel3ModerateSedationPermit,takendirectlyfromChapter110—22TAC§110.5—ModerateSedation,isavailableontheTDAwebsite,tda.org.Spacedidnotpermititsinclusioninthispublication.Formoreinformation,pleasecontactTDApolicymanagerMs.DianeRhodesat(512)443-3675,diane@tda.org.

References1. 22TexasAdministrativeCode,§110.1(17).2. TSBDEWebpage:NewAnesthesiaPermitRegulationstobeEnforcedJanuary1,2012!:Http://www.tsbde.state.tx.us.

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.