AUGUST 2012 VOLUME 13, ISSUE 8 AVAILABLE ONLINE AT TDA.ORG

Inside

TDA Smiles Foundation TDA Member SpotlightDr Craig Reese, Livingston Health Insurance Exchanges TDA Perks DENPAC HIPAA Baylor Receives Grant

August Journal News

Are You Ready for the Betel Nut? Do Elderly Edentulous Patients with a History of Periodontitis Harbor Periodontal Pathogens?

Around the State

September 13-15Texas Academy of General Dentistry Lone Star Dental ConferenceAustin September 14TDA Smiles Foundation Board of Trustees meetingAustin September 20 & 21El Paso Dental ConferenceEl Paso September 21TDA Executive Committee meetingEl Paso

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.

Dentists Who Care (DWC) held its 16th annual charity dental conference August 3 and 4 at Isla Grand Beach Resort in South Padre Island. Four hundred twenty-five

people attended the event, the largest attendance in 16 years!

TDA President Dr Michael Stuart addressed the VIP luncheon attendees with a welcome address. Speakers at the conference touched on all areas of dentistry.

DWC is a private, non-profit charitable organization created to help solve the problem of poor oral health among children in the Rio Grande Valley. The mission is to improve and enhance the quality of life for low income children in the Rio Grande Valley of Texas through access to oral health care. To accomplish this goal, the organization directs the volunteer efforts of over 150 dentists and their dental assistants who donate their services on board the mobile dental clinic. Basic treatments include a digital panoramic X-ray and a comprehensive oral exam by the dentist. Time permitting, treatments such as cleanings, restorations, sealants, fluoride treatments, or extractions may also be performed.

For more information, please visit dentistswhocare.us.

Dentists Who Care Holds Conference

Changes to Texas Medicaid Dental ProgramAs of March 1, 2012, most children and young adults age 20 and younger enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) began receiving their dental services through 1 of the 3 state selected dental plans: Delta Dental, DentaQuest, and MCNA Dental.

On July 26, 2012, the Texas Dental Association (TDA) hosted the second in a series of quarterly meetings with the dental plans. Representatives from the TDA, the dental plans, and the Health and Human Services Commission (HHSC) attended the meeting to discuss the factors contributing to HHSC’s retroactive denial of certain Medicaid/CHIP clients’ eligibility; bundling and downcoding of specific procedure codes; TDA requested changes to each dental plan’s webportal; and TDA requested clarifications to each dental plan’s office manual.

The recent benefit change for THSteps Therapeutic Dental Services greatly concerns the TDA’s Committee on Access, Medicaid & CHIP (CAMC). As of July 1, 2012, porcelain crown procedure codes (D2740, D2750, D2751, and D2752) are only reimbursed for Texas Medicaid clients 17 through 20 years of age and clients 21 years of age and older residing in an Intermediary Care Facility for Persons with Mental Retardation (ICF-MR). CAMC is developing a position statement against this benefit change and will provide HHSC with the statement once it is finalized.

Effective August 15, 2012, the Texas Medicaid Provider Procedures Manual will be updated monthly instead of annually. The updates will be published approximately the 15th of each month. The manual will be available on the tmhp.com website by clicking the “Reference Manual” button on any webpage in the Texas Medicaid “Provider” section. Each month, the manual will be updated with policy and procedure changes that were implemented at the beginning of the previous month. The monthly updates will eliminate the need for the bimonthly Texas Medicaid Bulletin. The September/October 2012 Texas Medicaid Bulletin, No. 243 will be the final edition published. There will be no changes to website articles and banner messages.

It is critical for Medicaid participating dentists to remain current on Medicaid policy and procedure changes. Remember to check both the Texas manual updates and the updates from the three dental plans.

Work continues on the TDA’s Texas Dental Program webpage that may be accessed on the member side of the TDA’s website. The new expected “go-live” date is October 2012. CAMC intends the webpage to be a “one-stop shop” for Medicaid/CHIP dental information. Let us know the information you would like included on the webpage. E-mail your feedback to TDA Policy Manager Diane Rhodes at diane@tda.org.

Smart Mouth Debuts

Smart Mouth, the TDA’s newest publication, debuts as a supplement to the August 2012 Texas Dental Journal. Smart Mouth will be published bi-annually in August and December 2012. Designed for TDA members to leave in their waiting rooms, the publication offers patients easy-to-understand, useful preventive and oral health information.

Contributors to the publication include the TDA Council on Membership, the Council on Dental Education, Trade & Ancillaries, and the Council on Dental Economics.

Please look forward to your copy of Smart Mouth with the August 2012 Texas Dental Journal. For extra copies or more information, please contact TDA Managing Editor Nicole Scott, 512-443-3675.

Texas Dental Journal Receives Journalism Award

The International College of Dentists – USA Section Journalism Awards awarded the Texas Dental Journal with a Golden Pen Division 1 award for the “Living in Limbo: Ethics and Experience in a Conversation About Persistent Oral Lesions” article in the May 2011 issue.

The authors of the article are Dr Catherine Flaitz of the University of Texas School of Dentistry at Houston and Dr Nathan Carlin of the University of Texas Medical School at Houston. The award will be presented to TDA Editor Dr Stephen R. Matteson the American Association of Dental Editors meeting in San Francisco in October 2012.

UTHSCSA Marks 1 Year of Publishing the CAT of the MonthThe University of Texas Health Science Center at San Antonio Dental School (UTHSCSA) marks 1 year of publishing its Critically Appraised Topic (CAT) of the Month in the Texas Dental Journal.

The CAT of the Month is developed by dental students and faculty in the Evidence-based Practice Program in the Department of Developmental Dentistry at UTHSCSA under the direction of Professor and Director Dr John D. Rugh. It includes a clinical question, clinical bottom line, best evidence, key results, comments on evidence, and applicability or significance.

The published CATs of the Month are on display at the school. The CATs program is supported by NIH R25DE018663.

A Semiannual Publication of the Texas Dental Association

SMART MOUTHSummer / Fall 2012

Supplement to the Texas Dental Journal August 2012

In This Issue:

Is Your Mouth Making You Sick? 6-7

Continually Stuffy Noses Affect Face Development 8-9

A UTHSCSA dental student displays the school’s published CATs of the Month. The critically appraised topics are generated by dental students and faculty in the Evidence-based Practice Program in the Department of Developmental Dentistry. They’re included in each issue of the Texas Dental Journal.

Pictured is the Dentists Who Care Board of Directors: (L-R) Vice President Dr Grayson Sellers of Los Fresnos, Conference CE Coordinator Dr Adam Lalonde of Los Fresnos, Dr Marco Alaniz of Edinburg, Dr Ricardo Garcia of McAllen, Treasurer Dr Joey Cazares of McAllen, President Dr Miguel Castillo of Mission, Immediate Past President Dr Noel Garza of Mission, and Dr Larry Balli of Edinburg. Not pictured are Secretary Dr Pablo Tagle of McAllen and Dr Sergio Guzman of Mission.

Texas Dental Journal News

Perks Partner News

Starting a New Practice? TDA Perks Program is offering a free-for-TDA-members, 1-day symposium in Austin that will help guide you through the process. Limited to the first 60 registrants, the all-day program will take place on August 24, 2012, and cover: real estate, equipment, practice financing, patient financing, insurance and online marketing. Download a flyer with more information at tdaperks.com. To register, please contact Josh at 512-443-3675 or josh@tda.org.

TDA Perks Promotions Offer Chances to Win Cash This month, TDA members have chances to win a bundle of cash when they enroll in TDA Perks programs, CareCredit or The TEXT Doctor. Complete a short online form (tinyurl.com/PerksWin150), and enroll with patient-financing program, CareCredit, by July 31, 2012; and you’ll automatically be entered in a drawing for a $150 Visa gift card. Enroll with CareCredit by calling 800-300-3046 ext. 4519.

The TEXT Doctor, a program that enables your office to automatically confirm appointments with text messaging (at a cost of $125/month*), is also offering a chance to win cash when you try its risk-free, 30-day free trial. One of the first 10 offices to sign up for the trial will receive a $250 American Express gift card. Simply send an e-mail to: tdapromo@thetextdoctor.com to begin your trial and for a chance to win. If you have questions regarding TEXT Doctor’s service or the promotion, contact the company at 214-506-8383 or send an e-mail to abennett@arctechnologies.biz. Questions about TDA Perks Program? Call 512-443-3675 or visit tdaperks.com. * with a 1-time $99 setup fee

HB-300 Legislation Effective Date Draws CloserThe September 1, 2012, effective date for Texas House Bill 300 is drawing closer. Perks is offering cost-effective and convenient online training through Smart Training as a way to meet HB-300’s requirements. If you purchased a training module by July 31, you were automatically entered to win $150! For more information, visit tinyurl.com/Perks-HB300. If you have questions about the online registration, please contact Smart Training customer service at 469-342-8300.

August 2012 / TDA Today / 2

Health Insurance Exchanges This is the sixth 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.

On August 1, 2012, the Senate State Affairs Committee met jointly with the Senate Health and Human Services Committee to discuss issues related to monitoring the potential impact of the Patient Protection and Affordable Care Act (PPACA) on Texas’ insurance regulations, Medicaid and CHIP, health care outcomes, and the overall health of all Texans. Additionally, the joint committee monitors the current ongoing legal challenges to the PPACA to help ensure that the State doesn’t expend any resources until judicial direction is clear.

Texas Department of Insurance (TDI) Commissioner Eleanor Kitzman testified during the hearing about the Essential Health Benefits (EHB) benchmark process and listed Texas’ 10 benchmark plan options. Commissioner Kitzman further testified that TDI’s EHB stakeholder meeting will occur in mid-to late August as the United State Department of Health and Human Services decides the essential health plans for the HIXs by September 30, 2012.

As reported last month, given the limited time — September 2012 — to select an EHB benchmark, the TDA recently joined an EHB Stakeholder Workgroup comprised of patient and consumer advocates, health care provider associations, and other health care stakeholders. This workgroup successfully advocated for Commissioner Kitzman to convene the TDI meeting in late August.

The TDA continues to closely monitor the EHB and HIX landscape in Texas 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.

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

2012 Annual Giving Campaign Brady TMOMBrady TMOM

To be a part of future TMOM events, please visit tdasf.org or call 512-448-2441.

Brady hosted the most recent Texas Mission of Mercy (TMOM) event. Twenty dentist ands 100 other volunteers

Dr. Susan Delk spearheaded the local group who put this event together. Dentists at this 12 chair TMOM provided nearly $100,000 worth of care to 158 patients.

Beaumont TMOM Oct. 5-6Mt. Pleasant TMOM Nov. 2Atlanta TMOM Nov. 3

participated in the mission event o n July 28, 2012.

Are you looking for a way to give back and make a differ-ence in the lives of Texans without access to dental care? TDASF programs provide charitable dental care to thou-sands of citizens, statewide, each year and could not do so without the support from generous dental professionals like you! Please be on the lookout for our Annual Giving Campaign in your mailbox soon. Inside, you will find details about all of our programs, and how your contribution will help relieve the pain of thousands of Texans in need. Oral health can lead to great improvement in the quality of life for so many, and you can be a part of that by supporting TDASF!

Upcoming Events

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580

The OCR HIPAA Audit Program

Return on Investment — Part 1Most every dentist at some point must deal with the question of, “What is my return on investment (ROI)?” The question usually precedes a consideration of a possible expenditure of one’s present or future capital. Whether it is a proposed investment in one’s retirement, the purchase of a new piece of equipment, or the prospect of hiring a new employee, the decision is usually based on either a calculated financial equation or, more often than not, on an emotional hunch or perceived need. In business there is an axiom that a purchase is based on the prospect that it should be Better-Faster-Cheaper. That is to say, you should have at least 2 of these (rarely all 3) before investing; and if only 1 is possible, then the purchase becomes questionable.

When we examine dues dollars in terms of a ROI for our dental careers, it is not always easy to quantify it in terms of dollars. I’ll take a stab at it anyway. The following list gives you a very generalized overview of important categories where TDA dues dollars ($455 per year) are spent. I’ll highlight 3 of the 6 categories in this month’s message, and I’ll explain the other 3 next month.

Legislative Voice and Regulatory InputDentists understand how the amount of taxes, permits, and licenses collected from their practices as well as the regulations by which they must abide

Money Matters

Ron Collins, DDS, MAGD, TDA Secretary-Treasurer

affect their return on investment. Four-hundred fifty-five dollars per year pays to have someone looking over our shoulder for us to minimize the effect which taxing and regulating has on our net profit. This is a huge return on investment.

Continuing EducationA hallmark of a professional is the continued learning of one’s chosen career. The availability of many quality continuing education options at one state meeting venue as well as online courses and a hands-on opportunity to look over and try out new equipment and multiple products at one marketplace is a significant ROI for $37.91 per month.

Judicial and Peer ReviewIf you have ever received a letter from an attorney representing one of your unsatisfied patients or an angry colleague, then you know that sinking feeling which can occur in the bottom of your stomach. Legal representation for you at that point can easily run into the thousands of dollars. Eight dollars and seventy-five cents ($8.75) per week pays for the TDA peer review or judicial mediation to prevent lawsuits before they begin and can save you potentially thousands of dollars, a significant ROI.

Next month, please see my message in the TDA Today for the breakdown for Communications, Charitable Giving, and Membership Services.

The American Recovery and Reinvestment Act of 2009, specifically the section entitled Health Information Technology for Clinical and Economic Health Act (HITECH), requires the United States Department of Health and Human Services (HHS) to conduct periodic audits of entities (eg, dentists) and business associates covered by the Health Insurance Portability and Accountability Act (HIPAA). These audits are to help ensure that covered entities and business associates are complying with HIPAA Privacy and Security Rules and HITECH Breach Notification standards.

In November 2011, the Office of Civil Rights (OCR) began a pilot program auditing 115 covered entities, including dentists, to assess privacy and security compliance. The audits will conclude in December 2012. OCR will use then use the audit reports to develop technical assistance and corrective actions as appropriate. OCR will share best practices and other guidance on its website, hhs.gov/ocr/privacy.

The OCR announced released a comprehensive audit protocol in July 2012. You may view

the audit protocol in its entirety at http://ocrnotifications.hhs.gov/hipaa.html.

Dental offices covered under HIPAA must be compliant with all HIPAA regulations. The American Dental Association (ADA) has several products to help dental offices and staff with HIPAA compliance. The Complete HIPAA Compliance Kit (J598) includes a HIPAA manual, CD-ROM and subscription service (J594) and a HIPAA training CD-ROM (J596). The ADA also offers the ADA Practical Guide to HIPAA Compliance: Privacy and Security Kit (J594), which updates and replaces the 2002 HIPAA Privacy Kit and the 2005 Security Kit.

The ADA Practical Guide to HIPAA Training (J596) offers 2 levels of training. Level one was designed to help fulfill the training requirement for dental office staff and level 2 helps managers who are developing and implementing their office’s HIPAA compliance program.

To order, call the ADA Catalog at 800-947-4746 or visit adacatalog.org to order.

August 2012 / TDA Today / 3

As we wrap up the summer and head into fall, our expert legislative team is hard at work preparing for the 83rd legislative session. Also, our staff is currently assembling the special legislative issue of the Texas Dental Journal, which mails in October, so be watching for that very important edition.

In addition, your September membership directory will soon be arriving. Amongst the listings of allied groups, component society officers, and member contact information are a variety of very significant symbols. These special symbols recognize members who contributed to DENPAC and ADPAC —each symbol representing a specific level of giving. Although DENPAC has previously been ranked the largest health PAC in the state, this year DENPAC dollars are down for the first time in 10 years.

In the wake of redistricting, many veteran legislators retired and DENPAC lost several longtime friends in the recent primary and primary runoff. In order to build new relationships and maintain a strong presence in Austin as well as Washington, we need your support. Even a small donation makes a difference. As someone once said, fundraising is not an event, it is a process. Most fundraisers are ongoing, and they require repeat funds to be successful. So, whether you have a diamond or a triangle next to your name in the directory, know that your contributions are impactful and important. And, most of all, they’re appreciated.

President’sProse

Michael L. Stuart, DDS, TDA President

The primary runoff elections are over and party candidates have made their way to the November ballot. Many of the races were decided in the primary and primary runoff. The redistricting process leaves most congressional and legislative districts relatively non-competitive in the general election – the districts are drawn to favor candidates from one party over another – which results in many of the races being decided in the party primaries.

There were some very competitive races in the runoff and a few surprises. At the top of the ticket, Lt. Governor David Dewhurst was defeated by Ted Cruz for the US Senate seat being vacated by Kay Bailey Hutchison. In the Texas Senate, veteran incumbent Republican Jeff Wentworth (San Antonio) was defeated by Columbus physician Donna Campbell. In the Texas House, incumbent Republicans Sid Miller (Stephenville), Chuck Hopson (Jacksonville), and Jim Landtroop (Plainview), were defeated. The loss of these

incumbents puts the current number of Texas House members not returning next session at 40. When combined with the loss of incumbents in the 2010 election cycle, half of the Texas House will either be in their first or second terms when next session begins.

DENPAC lost several longtime friends in the primary and primary runoff. Grassroots dentists along with TDA legislative staff and consultants are busy building relationships and educating new incoming legislative members. At this point in the cycle, DENPAC is preparing for the November general election and the upcoming 83rd legislative session. With your support, DENPAC can ensure organized dentistry has a strong voice in the legislative arena. Confirm your commitment to the future of dentistry by contributing to DENPAC today!

General-ly Speaking

* denpac.org

TDA Member Spotlight

D entists have quite a bit in their armamentariums:

probes, mirrors, explorers, literature, medicines. However, one TDA member prefers to arm himself with tools of a different nature from a bygone era.

Dr Craig Reese is a member of the Civil War reenactment organization, the Cleburne Division of Reenactors, named after the Irish American solder Patrick Cleburne who fought in the Confederate States Army. Dr Reese is in the 5th brigade, 1st battalion and answers to Major rather than Doctor on battlefield reenactments, overseeing crews for 20 cannons, including 2 full-scale 1841-model 6-pounders for the local reenacting unit.

The 48-year-old general dentist lives in Livingston with his wife, Sherry. They have 2 sons, Zachary Willson, 22, and Craig Jr, 12. Dr Reese graduated from the UT Health Science Center at San Antonio Dental School in 1991 and joined his father in practice.

That same year he became involved in battlefield reenactments as he had many ancestors who fought in the Civil War. “I’ve always been interested in history and enjoy going to the battlefields,” Dr Reese says. His local reenactment component participates in demonstrations for schools and the public, service organizations, and cemetery dedications. In fact, he and others have placed 600 cemetery markers for Union and Confederate soldiers who were buried without them. Over the years he became immersed with the Cleburne Division for national military reenactments.

Recently, when the film crew for the major motion picture “Abraham Lincoln Vampire Hunter” needed extras

Dr Craig Reese, Livingston

for battlefield scenes, Dr Reese received a call from the Cleburne Division. “The 2nd brigade infantry battalion commander said they needed Civil War people to reenact for the movie and asked if I was interested,” he recalls. “We ordinarily do artillery, but they needed infantry for the movie, so I played both sides — Union and Confederate.”

From April to May 2011, Dr Reese traveled to Covington, LA, to shoot for 3 to 5 days at a time. He says the grueling hours and hot temperatures were a challenge. “We’d be there at 4:30 in the morning until 10 at night in 100⁰ heat in wool uniforms.”

The work wasn’t done when the scene wrapped. Dr Reese would then have to clean the weapons, remove the makeup and grime, and prepare for the next long day. And, he says the hardest scenes were the charges on the battlefield. “We’d be in full gear, it was hot, and we’d run straight as hard as we could, then they’d yell, ‘Cut!’ We’d have to do it all over again. Over, and over, and over.”

He says it was an experience he’ll never forget, and one that he luckily got to do again in May 2012 for a movie that will be released soon, “Beautiful Creatures.” After working on the sets for both movies, he declares he’ll always have an appreciation for the film crews. “They try to make things as authentic as possible,” he says. “Watching them create light, shading, smoke … there are hundreds of people behind the scenes.”

Some things he doesn’t keep behind the scenes are his Civil War artifacts and pictures. He says his patients are aware of his hobby. “They all know. They get a kick out of it. Some of them even come to the reenactments and take pictures!”

You can try to catch a glimpse of Dr Reese on the big screen. “Abraham Lincoln Vampire Hunter” was released in June 2012 and is playing in theaters nationwide.

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.

Dr Craig Reese (center) prepares for a scene as a Confederate soldier on the set of the movie “Abraham Lincoln Vampire Hunter.”

Dr Craig Reese (far left) plays a Union soldier during a charge on the battlefield in the movie “Abraham Lincoln Vampire Hunter.”

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Bone Augmentation for Implant PlacementA 2009 Cochrane Library Abstract addresses the subject of vertical and horizontal bone augmentation using 13 Randomized Trials. Vertical augmentation was compared with the use of short implants and various techniques of horizontal grafting techniques were compared. The authors stated,

“These conclusions are based on few trials including few patients, sometimes having short follow-up, and often being judged to be at high risk of bias. Various techniques can augment bone horizontally and vertically, but it is unclear which are the most efficient. Short implants appear to be a better alternative to vertical bone grafting of resorbed mandibles. Complications, especially for vertical augmentation, are common. Some bone substitutes could be a preferable alternative to autogenous bone. Osteodistraction osteogenesis allows for more vertical bone augmentation than other techniques which on the other hand can allow for horizontal augmentation at the same time. Titanium screws may be preferable to resorbable screws to fixate onlay bone grafts (1).”

The full abstract may be viewed at: CD003607 or PMID1982123112.

Reference1. Esposito M, Grusovin MG, Felice P, Karatzopoulos

G, Worthington AHV, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD003607. Review.

TDA members, visit the Publications site at tda.org for the new online archive of the Evidence-based PracticeTips of the Month. You can find all of the tips published since 2009.

Evidence-Based Practice

Tip of the Month

Stephen R. Matteson, DDS, FICD, TSA Editor

AUGUST 2012 VOLUME 13, ISSUE 8 AVAILABLE ONLINE AT TDA.ORG

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, 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

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.

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

TDA Perks Program Presents:

A One-Day Symposium

Aug. 24th 2012 Location: TDA Extension Building 1920 S. IH-35; Austin, TX 78704

Getting ready to start your own practice? This FREE-for-TDA-members symposium will help guide you through the process. The Program covers:

Contact TDA Perks Program for more information, or to register: (512) 443-3675

• Real Estate• Equipment• Practice Financing

• Patient Financing• Insurance• Online Marketing

Texas State Board of Dental Examiners Considers Rule ChangesDuring the Texas State Board of Dental Examiners (TSBDE) August 10, 2012, board meeting, the TSBDE voted to withdraw the proposed changes to the Business Promotion Rules (§§108.50 - 108.61) as published in the May 18, 2012, issue of the Texas Register and post a new version of the draft rules for public comment. The TSBDE made this decision based upon stakeholder comments to the rules as published in the May Texas Register, and the board’s desire to give clear guidance to licensees and registrants while preserving free speech.

Dr Rudolfo G. Ramos Jr chairs the TSBDE’s Advertising Ad-Hoc Committee along with committee members Dr William R. Birdwell, Dr D. Bradley Dean, Dr Tamela L. Gough, and Mr Arthur Troilo III.

The TDA will remain involved in the rulemaking process and after the rules are approved by the TSBDE and published for final adoption in the Texas Register, future issues of the “TSBDE Rule Update” will be devoted to a section by section analysis of the new rules as they will significantly impact dental advertising and business promotion in Texas.

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

Baylor College of Dentistry Receives Grant A Center of Excellence to advance diversity in faculty and students at Texas A&M Health Science Center Baylor College of Dentistry (TAMHSC-BCD) has been established through a new $3.4 million grant to the college from the U.S. Department of Health and Human Services’ Centers of Excellence program.

Awarded through the department’s Health Resources and Services Administration, the competitive grant program for health professions schools was developed to strengthen the national capacity to produce a quality health care workforce with racial and ethnic diversity that is representative of the U.S. population.

Starting with first-year funds of nearly $700,000, with recommended renewal for 4 additional years, TAMHSC-BCD’s 5-year grant is titled “Bridge to Dentistry: Awareness to Practicing, Teaching and Research” and will be led by Dr Ernestine Lacy, professor and director of student development in the Office of Student Development and Multicultural Affairs. The Center of Excellence will provide the college with the opportunity to further increase the numbers of underrepresented minority students that it enrolls and faculty that it appoints and retains by providing support that enhances the success of these individuals.

“We are ecstatic about receiving this highly competitive award,” said Dr Lawrence E. Wolinsky, TAMHSC-BCD dean. “This will give Dr Lacy and her team the opportunity to lead our college in the significant expansion of an already successful pipeline program. The grant also bolsters the dental school’s ability to serve as a national resource and educational center for diversity and minority health issues.”