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volume 75 July - September 1998 Number 3

TABLE OF CONTENTS 4 Editorial 5 Letters to the Editor 6 Message From the President 7 Abstracts

11 Infection Control & Environmental Safety 12 ADA Awareness Campaign 14 VDA June Committee Meetings 15 VDA Library 18 Executive Council Actions in Brief 22 VDA Annual Meeting 24 Hygiene Issues Revisited 25 MCVNCU Names New Dental Dean 27 Gilmore Names Board Appointees 29 From the Executive Director 31 Upcoming Continuing Education 32 Legislative Update 34 Membership Benefit Highlight: Practice Management Resources 36 DR News 37 VDANews 38 Alliance News 39 VDA Assistants News 39 CDHANews 40 Component News & Specialty News 48 Classified Advertising

COVER: Site of 139th ADA Annual Session, San Franciso, California. PUBLICATIONTEMPLATE: C:\Change

THE VIRGINIA DENTAL JOURNAL (ISSN 0049 6472) is published quarterly (January-March. April-June, July-Sep1ember, October-December) by the Virginia Dental Association, 5006 Monument Avenue, PO Box 6906, Richmond, Virginia 23230-0906, Telephone (804)358-4927 SUBSCRIPTION RATES Annual: Members, $6.00. Others $12.00 in U.S., $24.00 Outside U.S. Single copy: $6.00. Second class postage paid at Richmond, Virginia. Copyright Virginia Dental Association 1996 POSTMASTER: Send address changes to: Virginia Dental Journal, PO Box 6906. Richmond, VA 23230-0906 MANUSCRIPT AND COMMUNICATION for publications: Editor, PO Box 6906, Richmond. VA 23230-0906. ADVERTISING COPY, insertion orders, contracts and related information: Business Manager, PO Box 6906. Richmond. VA 23230-0906

VIRGINIA JOURNAL

EDITORIAL BOARD

Ralph L. Anderson James R. Batten Cramer L. Boswell James H. Butler Gilbert L. Button Charles L. Cuttino III Frank H. Farrington Barry I. Griffin Jeffrey L. Hudgins Wallace L. Huff Lindsay M. Hunt, Jr. Thomas E. Koertge James R. Lance Daniel M. Laskin Travis T. Patterson III W. Baxter Perkinson, Jr. Lisa Samaha David Sarrett Harvey A. Schenkein James R. Schroeder Harlan A. Schufeldt John A. Svirsky Ronald L. Tankersley Douglas C. Wendt Roger E. Wood

Annual Meeting Bruce R. Hutchison

Auxiliary Education & Relations T. Andrew Thompson

Budget and Financial Investments Raymond L. Meade

Cancer and Hospital Dental Service James A. Pell

Caring Dentists Harry D. Simpson, Jr.

Constitution and Bylaws/Nominating William H. Allison

Dental Benefits Programs Fred A. Coots, Jr.

Dental Delivery for the Special Needs Patient AI J. Stenger

Dental Health and Public Information AI J. Rizkalla

Dental Practice Regulation Albert L. Payne

Dental Trade and Laboratory Relations George L. Nance, Jr.

Direct Reimbursement Benita A. Miller

Infection Control & Environmental Sal Paul F. Supan

Ethics and Judicial Affairs M. Joan Gillespie

History and Necrology French H. Moore III

Institutional Affairs Elizabeth A. Bernhard

Journal Staff Leslie S. Webb, Jr.

Legislative T. Wayne Mostiler

Membership H. Reed Boyd III

New Dentist Carolyn C. Herring

Peer Review and Patient Relations Neil J. Small

Planning William H. Allison

Search Committee for VA Board of Dentistry William H. Allison

VDA Foundation Relief Foundation Ralph L. Howell, Jr. Scott H. Francis

Virginia DentalServices Corporation Jeffrey Levin, President

1998ADADELEGAnON

Delegates: /39th ADA Session, October24· 2~ /99~ SanFrancisco, C4 William H. Allison (1999) Gary R. Arbuckle (1998) M. Joan Gillespie (2000) Wallace L. Huff (1998) Emanuel W. Michaels (1999) Leslie S. Webb, Jr. (2000) Ronald L. Tankersley (1999) Raleigh H. Watson, Jr. (1998) Richard D. Wilson (1999)

Alternate Delegates: Anne C. Adams (1998) David C. Anderson (1998) Thomas S. Cooke III (1999) Charles L. Cuttino III (2000) D. Christopher Hamlin (1998) Lindsay M. Hunt, Jr. (1999) Bruce R. Hutchison (1999) Gus C. Vlahos (1998) Andrew J. Zimmer (1 999)

--

Representing and serving memberdentists by fostering quality oral health care and education.

OFRCERS President: Wallace L. Huff, Blacksburg President Elect: Charles L. Cuttino III, Richmond Immediate Past President: William H. Allison, Warrenton Secretary-Treasurer: Thomas S. Cooke III, Sandston Executive Director: William E. Zepp, CAE

P.O. Box 6906, Richmond, 23230-0906

EXECUTIVE COUNCIL Includes officers and councilors listed and: David C. Anderson, Alexandria -Vice Chairman Gus C. Vlahos, Dublin Richard H. Wood, Richmond Andrew J. Zimmer, Norfolk

Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: D. Christopher Hamlin, Norfolk Dean, School of Dentistry: Lindsay M. Hunt, Jr., Richmond

COUNCILORS I Edward J. Weisberg, Norfolk II Bruce R. DeGinder, Williamsburg III Harold J. Neal,Jr., Emporia IV James R. Lance, Richmond V Daniel E. Grabeel, Lynchburg-Chairman VI Ronnie L. Brown, Abingdon VII William J. Viglione, Charlottesville VIII Rodney J. Klima, Burke

SOCIETY

Tidewater, I

Peninsula, 11

Southside, III

Richmond, IV

U Piedmont, V

~_. Southwest, VI

> Shenandoah Valley, VII

PRESIDENT

James W. Baker 2995 Churchland Blvd Chesapeake, VA 23321

Guy G. Levy 367 Denbigh Blvd Newport News, VA 23608

John M. Bass 212 N. Mecklenburg Ave South Hill, VA 23970

Gary R. Hartwell P.O. Box 980566 Richmond, VA 23298

Frank C. Crist, Jr. 8116 Timberlake Road Lynchburg, VA 24502

William B. Thompson P.O. Box 318 Chilhowie, VA 24318

Gerald J. Brown 1871 Amherst Street Winchester, VA 22601

SECRETARY

Ralph Howell, Jr. 102 Western Avenue Suffolk, VA 23434-4434

Wayne E. "AJ" Booker 6632 Geo Wa Mem Hwy Grafton, VA 23692

Scott E. Gerard 9401 Courthouse Road Chesterfield, VA 23832

Charles E. Gaskins III 703 I~. Courthouse Rd,#201 Richmond, VA 23228

Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112

Dana Chamberlain 645 Park Blvd. Marion, VA 24354

J. Darwin King 1220 N Augusta Street Staunton, VA 244010

PATIENT RELATIONS

James H. Nottingham, Jr. 142 W. York St, Ste 705 Norfolk, VA 23510

Lawrence A. Warren 106 Yorktown Road Tabb, VA 23693

John R. Ragsdale III 9 Holy Hill Drive Petersburg, VA 23805

William J. Redwine 6808 Stoneman Road Richmond, VA 23236

Frank C. Crist, Jr. 8116 Timberlake Road Lynchburg, VA 24502

Paul T. Umstott 300 W Valley Street Abingdon, VA 24210

Alan Robbins P.O. Box 602 Timberville, VA 22853

Northern Virginia, VIII Kirk M. Norbo Neil J. Small Paul N. Zimmet 6200 Wilson Blvd, #114 9940 Main Street 5206 Dawes Avenue Falls Church, VA 22044 Fairfax, VA 22031 Alexandria. VA 22311

Decision Time!

The American Dental Association Awareness Campaign to let members preview a $30,000,000 per year dental advertising promotion continues by means of a videotape presentation to each VDA component and ADA NEWS articles. In our last Virginia Dental Journal, Dr. Reed Boyd, chairman of the VDA Membership Committee, wrote an article on why he supports the ADA awareness initiative. In this issue, an article provides information on the Awareness Campaign; and in a letter to the editor, Dr. Richard Hewitt, 16th District member of the ADA Council on Communications, urges support forthe campaign.

At the VDA annual membership meeting on Sunday morning, September 20 in Williamsburg, Clay Mickel, director of the Council on Communications, will review the Awareness Campaign for our members. Then the VDA House of Delegates will debate and vote on this issue. Their vote will give direction to your ADA delegates for their vote in San Francisco in October. To be funded, a two-thirds vote of the House is required.

How will adoption of the Awareness Campaign affect you? Certainly it has financial implications. Current ADA dues ($365) and VDA dues ($235) total $600. To this add component dues and badly needed PAC contributions (both VADPAC and ADPAC). This year's ADA House will also be debating a dues increase potentially in the $50 to $80 range to fund needed reserves, asbestos removal in the ADA building and other programs. To this, add the $300 annual increase to pay for the Awareness Campaign during the next three years. Will you support this dues increase? It is tax deductible,but it does come out of your income. Will it cause a membership decline leading to reduced political clout and severe impact on tight budgets at each tripartite level- or will it increase membership? Will its adoption cause curtailment of other needed ADA programs, such as DR promotion and membership services in an effort to restrain costs? Will it put patients into your office? Research from the campaign will only show the ad recognition value not numbers of patients influenced to visit the dentist. Will it elevate the oral health of our citizens? Will it have a positive affect on the image of dentistry? No one can absolutely answer any of the above questions, but we must make a decision. This decision will affect you and our profession.

As a Virginia ADA delegate who will cast a vote, I ask you to let your delegates know how you feel. I am surprised how little comment I am receiving on such an important issue to dentistry. It is neither right nor wrong to support or oppose this advertising campaign. It is your opinion that is important.

Let your' voice be heard! Then, when the decision is made, let us unite to keep dentistry a strong profession.

Leslie 5. Webb, Jr., D.D.S. Editor

4 Virginia Dental Journal

LETTERS TO THE EDITOR [:: :- J How You Gonna Stop 'Em From Not Gain'? (Why We Need a Public Awareness Campaign)

Years ago when Yogi Berra, the famous Yankee catcher, was managing the hapless, winless Mets, he was complaining about the empty stadium game after game. "But," he moaned, "how you gonna stop 'em from not goin'?"

Such is the challenge we face daily in our practices-how to get millions ot patients who need treatment (but aren't seeking it) in our chairs so we can educate them on what dentistry can do to improve their lives. For most people, payment for a trip to the dentist comes 'from their discretionary funds - that is, what is left over after the necessities such as food, shelter, clothing, etc. This means we are in competition with vacations, dinners out, Air Jordan sneakers, and Beanie Babies. Will mom spend $75 on a Tommy Hilfiger shirt, or will she schedule Johnnie's sealant appointment? Will dad buy the $450 Big Bertha driver, or make the appointment for the crown he has needed for years?

The ADA, in response to increasing demand from the membership, is meeting this challenge full force. After a year of intense effort, a national Public Awareness Campaign has been developed and is being taken around the country, state by state, to be shown to as many members as possible to determine if the membership wants to present the campaign to the public.

The purpose of the campaign is simple: to improve the image of dentistry, to increase the public's awareness of the many dental services that are available, to elevate the importance of seeking this care, and to encourage them to seek it from an ADA member dentist. It is a top flight, professionally done campaign designed to include national prime time TV, cable TV, leading magazines and print media, and coordinated in-office educational material.

If you think it is time for the ADA to begin helping you promote dentistry and your practice, then this campaign is just what you've been looking for. Is there a cost? Sure - about $300 per member per year. For a national prime time campaign of this caliber, that's a bargain. Considering it's a before taxes expense and therefore will actually cost only about $150-$175, that makes it a steal. It just might be the best practice promotion dollars you ever spent. If you missed it when it was presented in Virginia in January, make sure you see the video summary (ask Bill Zepp), and then tell your ADA delegate to support it this fall when it comes up for a vote.

How do you stop 'em from not goin'? Easy. You "stop 'em from not knowin'" all the good things you can do for them and the importance of gettin' them done. Put into English: You have a National Awareness Campaign. And if you think this one is long overdue, tell your ADA delegate to support it on your behalf. The ADA is your Association, and this campaign just may become one of the most important benefits of your membership.

Richard Hewitt, D.D.S.

Or. Hewitt represents the 16th District (Virginia, North Carolina, and South Carolina) on the ADA Council on Communications, and he is past president of the South Carolina Dental Association.

Virginia Dental Journal 5

MESSAGE FROM THE PRESIDENT

As I prepare my remarks for the next issue of the Virginia Dental Journal we have just completed our June committee meetings in Virginia Beach. I hope that all the dentists were able to spend some quality time with their spouses and children (family) on the beach.

I want to thank all the Northern Virginia member dentists who volunteered their time to participate in the USA Today dental hotline. Without your support in answering callers questions and concerns on oral health issues, it would not have been possible to perform this important service to the public. From all accounts it was a tremendous success, and dentistry received several days of positive coverage from this one day event. This is a good example of when "working together, we can become even stronger and a more effective force for our profession."

At the time of this writing, the ADA backed Patient Access to Responsible Care Art (PARCA) as a bill appears to be in trouble. I received a fax this week stating that Rep. Charlie Norwood has set aside PARCA, choosing instead to support the House GOP leadership bill. That bill and the democratic leadership bill are now the most viable patient protection proposals. Both of these bills have short-comings that could be addressed through revision or amendment. But time is short for the 105th congress and it will be all too easy for congressional leaders to "run out the clock" before any bill reaches the house floor.

Regardless of PARCA's outcome, I feel that it has been tremendously successful as a vehicle that brought the issue of patient protections to the forefront. With bipartisan cosponsors, congress has and is being forced to deal with important patient protections, e.g. choice, accountability and anti-discrimination. As the ADA President, our own Dave Whiston stated, we will not support a bill that doesn't adequately address these needs-choice for patients and accountability from health plans.

By this time I hope that everyone has viewed the ADA public awareness video at least one time. As you are aware, the 1996 ADA HOD directed the ADA to explore the feasibility of such a campaign and the 1997 HOD endorsed the results of this study and recommended that a year long member education initiative be carried out before taking a house vote on a national campaign.

Also the board sent out a survey in May to approximately 38,000 member dentists that will be used to gauge member sentiment about the campaign including whether or not they will maintain membership if the campaign is approved. The survey was sent out in May in order that there would be adequate time for a follow up to insure a valid statistical sample of all categories and to have time for the results to be tabulated for the pre-1998 ADA HOD caucuses.

Therefore, I urge each member to watch this video closely and then discuss it with your delegates to the ADA House. Also look at the results from the member survey to help you gauge your opinion whether this campaign should be undertaken.

It is not my intention to influence a single members decision on this important matter (either for or against). We know that this campaign will cost $30 million annually for three years (which equals to approximately $300.00 a year/member for three years). While this is a small figure compared to what most dentists spend on practice promotion, it never the less requires your close evaluation of all the information provided to make an informed decision which will be in the best interest of your patients and your profession.

Finally, I would remind all members to mark their calendar for the VDA annual meeting held September 16-20 at the Colonial Williamsburg Lodge and Conference Center. An additional presentation of the proposed public awareness campaign will be presented at the opening session of the VDA HOD.

Wallace L. Huff, D.D.S. VDA President


The following abstracts were provided by the Department of Periodontics at VCUIMCV School of Dentistry. We appreciate the contribution that these individuals have made to the Journal.

Elter JR, Lawrence HP, Offenbacher S, Beck JD. Meta-analysis of the effect of systemic metronidazole as an adjunct to scaling and root planing for adult periodontitis. J Periodont Res 1997; 32:487-496.

Abstract AIMS: To summarize existing data to determine whether the effect of systemic metronidazole (S-MET) in conjunction with S/RP is superior to S/RP alone in reducing PD, and preventing clinical attachment loss (CAL) in adult periodontitis (AP) patients as it relates to time to evaluation. METHODS: Studies were deemed eligible for meta-analysis if they evaluated S-MET as an adjunct to S/RP in adult humans; employed randomization of persons, quadrants or halves of mouths to treatment groups; reported results for lengths of follow-up between 4 and 26 weeks; and reported results as differences in PD or CAL. 8 clinical trials were chosen based upon a priori selection criteria, and 2 outcomes, reduction in PD and gain in clinical attachment level, were analyzed. Results for each outcome were stratified by initial PD 1-3 mm, 4-6 mm, or?7 mm and length of follow-up 4-6, 9-13, or 14-26 weeks. RESULTS: S-MET + S/RP was superior to S/RP alone in reducing PD where initial PD=4-6 mm and length of follow-up was 9-13 weeks (0.31 mm) and where initial PD?7 mm and length of follow-up was 4-6 weeks (0.70 mm). No significant heterogeneity of effect was present at any level of initial PD or length of follow-up. No significant advantage was observed for S-MET for reducing PD where initial PD < 4 mm or followup was longer than 13 weeks. S-MET+ S/RP was superior to S/RP alone in reducing CAL where initial PD=4-6 mm and length of follow-up was 4-6 (0.29 mm) and 9-13 weeks (0.32 mm). No significant heterogeneity of effect was present at any level of initial PD or length of follow-up. No significant dose-response relationship was observed. CONCLUSIONS: The results suggest that S-MET + S/RP may offer benefit over S/RP alone in treatment of AP patients in managing pockets of 4 mm or greater, but the additional benefit was not evident if PD was less than 4 mm or follow-up was beyond 13 weeks.

Bottom Line Systemic metronidazole in conjuction with S/RP was more effective than S/RP alone in managing pockets of 4 mm or greater, but the additional benefit was not evident if PD was less than 4 mm or follow-up was beyond 13 weeks.

Dr. Augusto Araujo is a 3rd year postdoctoral student.

Becker W, Becker BE, Israelson H, Lucchini JP, Handelsman M, Ammons W, Rosenberg E, Rose L,Tucker LK, Lekholm U. One-step surgical placement of Branemark implants: A prospective multicenter clinical study. Int J Oral Maxillofac Implants 12: 454-462; 1997.

Abstract AIM: To evaluate the clinical outcomes after placement and restoration of I -step Branemark implants into the maxillae and mandibles of completely and partially edentulous patients. METHODS: Six periodontal treatment center participated in this study. Partially edentulous patients underwent comprehensive periodontal examinations as well as periodontal treatment as deemed necessary. Sixty-three patients participated in the study. During the surgery the bone quantity and quality were evaluated according to Lekhohn and Zarb's classification system. A total of 135 Branemark implants were placed into the prepared sites in one surgical step. A midbuccal measurement was taken from the top of the implant cylinder to the alveolar crest. Patients were seen for evaluation after 3 or 6 months. All patients were evaluated on average 12 months after implant restoration. Bone height measurements were digitized to determine bone loss around implants. For each radiograph taken at abutment connection and follow-up, bone height was measured from the bottom of the implant head to the first mesial and distal bone to make implant thread contact. RESULTS: 62 patients with 134 implants were available for evaluation (45 maxillary and 90 mandibular implants, 53 patients were partially edentulous and 12 were completely edentulous). Six implants were lost prior to loading, resulting in a 95.6% success rate at one year. To evaluate crestal bone changes, 54 midbuccal bone crest sites were remeasured following prosthetic abutment connection. Crestal bone changes in the maxilla and mandible were statistically and clinically insignificant. Radiographic evaluation of marginal bone loss was performed at abutment connection and at 6 and 17 months after loading. For mandibular implants, the mean radiographic bone level at prosthetic abutment connection was 1.07 mm; after loading, it was 1.35 mm. For maxillary implants, the mean radiographic bone height at prosthetic abutment connection was 1.16 mm; after loading, it was 1.36 mm. These changes were not statistically significant. CONCLUSION: One-step Braneinark implants may be considered a viable alternative to 2-step implants.

Bottom Line The one-year outcomes from this patient series indicate that one-step Branemark implants provide excellent clinical results (95.6% success rate) when placed in completely and partially edentulous patients with good bone quality and quantity.

Dr. Sharon Kasprzak is a 2nd year postdoctoral student.


ABSTRACTS cont.

Zhang M, Powers RM, Wolfinbarger L. Effects of the demineralization process on the osteoinductivity of demineralized bone matrix. J Periodontol1997; 68: 1085-1092.

Abstract AIMS: To investigate the relationships between residual calcium levels and particle size of ground demineralized bone matrix and its osteoinductive potential using in vitro and in vivo assays. The effects of variable residual calcium levels, variable particle sizes, and donor age and gender were also studied. METHODS: Ground bone matrix was demineralized at different levels by exposure to diluted hydrochloric acid. Different particle sizes were then obtained ranging from < 250 microns to 850 microns. Demineralized bone matrix was implanted into muscle pouches of ten-week old mice for the in vivo portion of this study. Demineralized bone matrix was incubated with human periosteal cells for the in vitro portion of the study. The osteoinductive potential of the bone-derived biomaterial was assessed by measuring the degree of new bone formation (change in percent calcium content after 4 weeks of implantation) in the in vivo assay and levels of alkaline phosphatase activity in the in vitro assay. In addition the donor age and gender were included for statistical analysis. RESULTS: Slightly demineralized bone matrix and overly demineralized bone matrix possessed a degree of osteoinductive potential whereas bone demineralized to levels of approximately 2% residual calcium provided for maximum osteoinductive potential in both assay systems. Particles ranging in size from 500 to 710 microns provided for the highest level of calcium deposition (increase of 8.1% weight percent calcium). The study indicated that demineralized bone matrix from female donors in the 31 to 40 age group and males in the 41 to 50 age group possess the highest osteoinductive potential. CONCLUSIONS: The results of this study indicated that the level of demineralization, particle size, and age of the donor were all significant factors in determining the osteoinductive potential of demineralized bone matrix.

Bottom Line The results of this study indicated that the level of demineralization, particle size, and age of the donor were all significant factors in determining the osteoinductive potential of demineralized bone matrix.

Dr. Ben Duval is a 2nd year postdoctoral student.

Simion M, Jovanovic S, Trisi P, Scarano A, Piattelli A. Vertical ridge augmentation around dental implants using a membrane technique and autogenous bone or allografts in humans. Int J Periodontics Restorative Dent 1998; 18: 9-23.

Abstract AIMS: To investigate the beneficial effect on vertical bone formation of the addition of DFDBA or autogenous bone to the reinforced membrane technique. METHODS: 20 partially edentulous patients, 34-66 years, with vertical jawbone deficiencies were selected. Patients were divided into two groups of 10. DFDBA(group A) and autogenous bone(group B) were used as grafting materials. Group A had a total of 26 implants and Group B had 32. 22 implants extended 1.5-4.5mm superior to the original bone crest in Group A. Group B had 15 implants placed simultaneously as the graft, and 15 were inserted after augmentation. 30 implants in Group B were 2-7.5mm superior to the original bone crest. In five sites of each group, a Ti miniscrew protruded to improve membrane support and provide a biopsy for histologic exam. Ti reinforced e-PTFE covered the defects, and flaps were sutured tension-free. RESULTS: The overall percentage of healing complications was 18%, in the forms of membrane exposures and abscesses. Clinical: In the remaining sites, there was no evidence of inflammatory reaction in the tissue at membrane removal. The new tissue resembled bone covered with a thin soft tissue layer. The site was curetted until bone was detected. The clinical measurements from Group A showed a mean vertical bone gain of 3.14mm with a mean bone gain of 124%. Group B had a mean vertical bone gain of 5.02mm and mean percentage of 95%. All 58 implants were osseointegrated at the abutment connection. Histology: Specimens demonstrating pre-existing cortical bone had a mean density of 53.1% and showed large trabeculae composed of a core of woven bone and graft particles surrounded by lamellar or parrallel-fibered bone. The demarcation between the original bone and new bone was easily distinguishable. Specimens with pre-existinq spongious bone showed a thin bony trabeculae hardly distinguishable from the preexisting bone. The medium bone density was 36.6%. The mean percentage of bone contact with the retrieved screws was 39.1%. CONCLUSION: There is a beneficial effect of the addition of DFDBA or autogenous bone particles to vertical ridge augmentation procedures in humans.

Bottom Line There is a beneficial effect of the addition of DFDBA or autogenous bone particles to vertical ridge augmentation procedures in humans. The clinical measurements from DFDBA showed a mean vertical bone gain of 3.14mm with a mean bone gain of 124%. The group with autogenous bone had a mean vertical bone gain of 5.02mm and mean percentage of 95%.

Dr. Gabriel Yeung is a 2nd year postdoctoral student.


Gouvoussis J, Sindhusake D, Yeung S. Cross-infection from periodontitis sites to failing implant sites in the same mouth. J Oral Maxillofac Implants 1997,12: 666-673.

Abstract AIMS: To study the potential for periodontopathogenic organisms from tooth sites to cross-infect implant sites in the same mouth. METHODS: 9 subjects (I 5 teeth; 16 implants) with at least I ossteointegrated Branemark implant present for at least 2 weeks following stage" surgery were selected. Oral examination which included periodontal charting, presence of BOP, suppuration and gingival reddness was performed for each test site. Each test site was assigned to a clinical category based on the results of the oral exam: 1) healthy teeth (TH); 2) healthy implants (IH); 3) gingivitis teeth (TG); 4) periodontitis teeth (Tp); 5) periodontitis implants (Ipj); and 6) ailing implants (I ) . Plaque samples from both tooth and implant

A

sites were tested for the following organisms using DNA probes: Aa, Pg, Pi, Ec, Fn, Td, Cr. RESULTS: The presence of Aa or Ec at the tooth site predicted the presence of the same organisms at the implant site 100% of the time. If Pi and Fn were found at the tooth site, there was an 83% and 87% chance, respectively that they would be detected at the implant site. On an individual basis, 5/9 subjects showed a high likelihood of transmission from tooth to implant sites. The same 5 patients exhibited high numbers of periodontopathic organisms at their tooth test sites. DISCUSSION: The results of this study support the proposition that transmission of periodontopathic organisms from periodontitis sites to implant sites in the same mouth is a likely event.

Bottom Line The results of this study support the proposition that transmission of periodontopathic organisms from periodontitis sites to implant sites in the same mouth is a likely event.

Dr. Tracy Ginsburg is a 2nd year postdoctoral student.

Taylor GW, Burt BA, Becker MD, Genco RJ, Shlossman M. Knowler WC, Pettit DJ. Non-insulin dependent diabetes mellitus and alveolar bone loss progression over 2 years. ..I Periodontol1998, 69: 76-83

Abstract AIMS: To extend previous findings on non-insulin dependent diabetic Pima Indians and to test the hypothesis that persons with non-insulin dependent diabetes mellitus (NIDDM) have greater risk of more severe alveolar bone loss progression than do those without NIDDM over a 2-year period.

METHODS: This study used data from the ongoing longitudinal study on I\IIDDMand periodontal disease among a population of Pima Indians. SUbjects were included who had 20 or more teeth, lost no teeth during the study and had less than 25% radiographic bone loss at baseline. A total of 362 subjects were included, 338 who did not have I\IIDDM and 24 who did have NIDDM. The percentage of bone loss was recorded on each tooth and given a score of 0-4. These scores corresponded to bone loss of 0%, 1-24%, 25-49%, 50-74%, and >75%. Change in bone score category was computed as the change in worst bone score reading after 2 years. Age, calculus, NIDDM status, time to follow-up exam, and baseline worst bone score were variables studied. RESULTS: Overall, a higher percentage of subjects with NIDDM showed an increase in worst bone score over the two years of study. For subjects that experience bone loss, there is a tendency for the bone loss to be more severe among those with NIDDM. The cumulative odds ratio for I\IIDDM was found to be 4.23. CONCLUSIONS: The results of this study support the hypothesis that I\IIDDM is a significant risk factor for more severe alveolar bone loss progression during a 2-year period of examination.

Bottom Line The results of this study support the hypothesis that NIDDM is a significant risk factor for more severe alveolar bone loss progression during a 2-year period of examination.

Dr. Bijan Kooshki is a 1st year postdoctoral student.

Iyama S, Takeshita F, Ayukawa Y, Kido M, Suetsugu T, and Tanaka T. A study of the regional distribution of bone formed around hydroxyapatite implants in the tibiae of streptozotocin induced diabetic rats using multiple fluorescent labeling and confocal laser scanning microscopy. ..I Periodontol1997; 68:1169-1175.

Abstract AIM: To compare the amount and regional distribution of bone formation around hydroxyapatite (HA) implants in normal (control) rats with that of animals with diabetes mellitus (DM), induced by streptozotocin. METHOD: Ten male Wistar King A rats were divided into 2 groups of 5 each consisting of DM group and a control normal group. Blood was obtained twice from the tunica conjunctiva palpebra, before implantation and at time of sacrifice to confirm whether or not diabetes had been induced. Cylindrical dense HA implants (diam. 1.0 mm; height 1.5 mm) were inserted into the tibiae of all rats. The rats were time labeled with fluorochrome by injecting with calcein, alizarin complexone, and tetracycline. At 28 days after implantation, the animals were sacrificed and specimens were fixed and processed for analysis under the confocal laser scanning microscopy (CLSM).


ABSTRACTS cont.

RESULTS: In both groups, bone formation developed from the HA surface to the endosteum, periosteum, or bone marrow. In the control group, around the HA close to the endosteum and periosteum. the new bone showed an extensive lamination pattern of three color layers (CAL, AL, and TC), but in the DM group the labeling density of TC on the 21st day was low. In contrast, on the lateral part of the HA surface (away from the endosteum and periosteum), there was considerably less bone formation in the control group, and in the DM group it was almost completely suppressed. CONCLUSION: Bone formation around the HA was initiated from the HA surface in the control group, while in the DM group. bone formation along the lateral part of the HA away from the endosteum and periosteum was almost completely suppressed.

Bottom Line In both groups, bone formation developed from the HA surface to the endosteum, periosteum, or bone marrow. In the control group, around the HA close to the endosteum and periosteum, the new bone showed an extensive lamination pattern of three color layers (CAL, AL, and TC), but in the DM group the labeling density of TC on the 21st day was low. In contrast, on the lateral part of the HA surface, there was considerably less bone formation in the control group, and in the DM group it was almost completely suppressed.

Dr. John Lee is a 1st year postdoctoral student.

Ferreira C, Grossi S. Novaes A, Dunford R, Feres-Filho E. Effect of mechanical treatment on healing after third molar extraction. Int J Periodontics Restorative Dent 1997; 17: 25 1-259.

Abstract AIMS: To evaluate the effect of SRP in promoting healing on the distal surface of second molars after extraction of erupted third molars. METHOD: Twenty-eight patients with contralateral erupted third molars in need of extraction and periodontal lesions on the distal surface of the second molars participated in the study. Patients received oral hygiene instructions and monitoring for 3 weeks. Baseline measurements of PD, relative AL (RAL), BOP and the presence or absence of supragingival plaque were recorded. Contralateral sites were randomly assigned to experimental or control treatment. Experimental sites received extraction followed by subgingival SRP with Ia 13/14 Gracey curette. Control sites received extraction :only. Sutures were placed after extraction in both groups. Postoperative assessment was performed 2 months followling extraction and included all clinical parameters assessed lat baseline.

I 0 Virginia Dental Journal

RESULTS: Following treatment, the experimental sites showed 32% improvement in plaque accumulation compared to only 11 % in controls. BOP was reduced by 61% in experimental sites versus 29% in controls. Experimental sites showed a 2.54 mm reduction in mean PD compared to only O. 73 mm in controls. Change in RAL was O. 62 mm in experimental sites versus 0.10 mm in controls. No differences were found between maxillary and mandibular sites. CONCLUSIONS: Experimental sites showed less plaque accumulation, less BOP, a greater reduction in pocket depth and a greater gain in attachment level compared to unscaled control sites.

Bottom Line Scaling and root planing the distal surface of second molars after extraction of erupted third molars can result in less plaque accumulation (32% improvement in experimental sites vs. 11% in controls). less BOP (61% reduction vs. 29%) , a greater reduction in PD (2.54 mm vs. O. 73 mm) and a greater gain in attachment (0.62 mm vs. 0.10 mm) compared to unsealed control sites.

Dr. Valerie Smith is a 1st year postdoctoral student.

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II I Ii INFECTION CONTROL & ENVIRONMENTAL SAFETY Ii [I .--J,

Dr. Andrew B. Martott, Infection Control & Environmental Safety Committee Member

Dental Care Workers continue to have an occupational risk because of infectious pathogens in the patient population. Our risk is similar to, but in some areas different than health care workers in general. This paper will discuss some of the most prevalent and important pathogens that we encounter. They include: viral hepatitis, HIV, tuberculosis, and two other less frequent bacteria, methicillin resistant staphloccus aureas, and vancomycin resistant enterococcus.

Hepatitis B continues to be the most threatening pathogen to which health care workers are exposed. Since 1990 over 600 health care workers have become occupationally infected. The vaccine for hepatitis B has been around since the early 80's and all health care workers including dental personnel should be vaccinated. Immunization with hepatitis B vaccine is considered to have occurred if a concentration of surface antibodies greater than 101UlL developed. Antibody levels are expected to decrease over time to even measures that are barely detectable. Current thinking is that for individuals that have measurable amounts of circulating antibodies, they are considered immune. If personnel are exposed occupationally to a blood exposure and do not have measurable antibodies, a booster is recommended. There appears to be a less than half percent chance (.05%) of somebody contracting hepatitis B, who has once had an measurable immune titer. Those individuals who do become infected do not develop chronic or persistent hepatitis and they have a much milder course. Hepatitis C or non-A, non-B, as it used to be called, is also spread by a blood borne route. It appears to be on the increase among health care workers and dentists, especially in oral surgeons. There is currently no immunization available for hepatitis C. The disease seems to be less severe but is more likely to form a persistent or chronic state. There are 3 or 4 other kinds of hepatitis out there and they will be further defined as the viral information becomes available. Currently, there is a serologic test for hepatitis C and a serologic test for the delta antigen which is a protein portion of the viral hepatitis D particle. Universal precautions have been shown to be effective in lowering or precluding the transmission of these viruses in the dental setting.

HIV has continued to increase in numbers through the United States and the world. Patients are living longer on the multiple drug therapies. Many of the individuals who are receiving multiple drugs have no measurable viral load. The patient's relative infectivity to health care workers and others, is thought to be proportionate to their viral load. However, the virus is continually mutating and becoming resistant to antiviral therapy. The concern is those individuals who then start to produce a measurable viral titer represent evolving virus that is no longer sensitive to antiviral modalities. There is only one documented case of HIV transmission in a dental office and that was the Orlando dentist (Dr. Acer) who infected 4 or 5 of his patients. No other dental patient or dental health care provider has become infected in the dental care industry. The salivary proteins tend to diminish the virulence of the virus and therefore, dental health care workers have very, very low risk for developing HIV from a occupational exposure. Post exposure of a dental health care worker to the blood or saliva of a known HIV+ patient should be considered for immediate prophylaxis based on the severity of the exposure and the viral status of the patient to which the worker was exposed. This should be started immediately with

verification of the patient's HIV status. This can best be accomplished by the internist who takes care of your overall health needs.

Tuberculosis continues to increase in numbers since the early 90's. Additionally there appears to be an increase in multiple drug resistant mycobacterium tuberculosis. Dental offices continue to be a very low risk area for exposure to tuberculosis. Much different, for instance, than in-patient facilities that treat patients with acute tuberculosis infections. Certainly all dental health care workers should be tested annually for a change in their PPD skin test. Reactivity for those who have never been reactive suggest infection. A patient history will detect most individuals who are under active treatment or have been previously infected with tuberculosis. Review of a patient's medical history of cough, weight loss, and night sweats, suggest undiagnosed tuberculosis. Resistant organism strains are emerging, and tend to be most prevalent in nosocomial infections and institutionalized patients.

In the age of increased antibiotic usage resistant bacterial pathogens are becoming more prevalent as nosocomial infections. The two most concerning strains of these organisms are methicillin resistant staphloccus aureus, (MRSA) and vancomycin resistant enterococcus (VRE). Hospital care workers can become occupationally infected and then represent a risk to their patients. The number of patients that are infected is small. (If you treat a patient with MRSA or VRE in your practice you should use universal precautions. Special room cleaning with a hospital grade glutaraldehyde solution and leave the wet surface to air dry. That should also be the last patient seen that day in that operatory.)

All dental health care workers can reduce their risk for occupational infection by vaccination against (or have documented immunity to) hepatitis B, Influenza, Measles, Mumps, Rubella, and Varicella. Additionally frequent hand washing between patients, barrier techniques, universal precautions and removal of clinic attire after patient care is completed, further lower your risk for becoming occupationally infected.

Dr. Andy Martof of the Univeristy of Virginia (right), Dr. Julia Sharp of MCV(center), and VDA staff Elizabeth Keith (left) review some of the latest Natural Rubber Latex allergy findings in the ADA News.


THE FACTS ABOUT THE ADA AWARENESS CAMPAIGN

You probably know that the ADA is exploring the possibility of a national public awareness campaign to educate the public about new dental techniques and procedures and to enhance the profession's image.

At the direction of the 1997 ADA House of Delegates, a year-long member education initiative on the campaign is now underway. This year's House will vote on whether to proceed with the three-year campaign, beginning in 1999.

Live presentations on the campaign, including TV spots, magazine ads and in office materials, will be made in all 50 states. Virginia's presentation January13, 1998 was the first state presentation to take place. On Sunday, September 20 a second presentation will be given at the VDA Annual Meeting in Williamsburg. In addition, videos and printed materials explaining the campaign will be distributed to each state dental society, information and materials will be on ADA ONLINE (http://www.ada/org), and there will be coverage in the ADA News.

After a thorough screening process, the ADA selected Jordan Associates, an Oklahoma City-based advertising agency, to develop and implement the campaign.

"It is not the American Dental Association's intent to influence your decision on this important matter," says Dr. David A. Whiston, ADA president. "But with a possible price tag of $30 million annually for three years, this project merits your close study. We will try to provide all the information that you will need to make an informed decision, in the best interest of both your patients and the profession."

Research· Understanding Consumer Motivation

Extensive research was conducted to identify the target audience, promotable services, leverageable messages, communication effectiveness and motivation potential.

From the research, the recommended target audience was identified as adults 2534 (With a slight female skew); working parents (employed full- or part-time), and $30,000 plus annual household income.

The research also established five areas


that will provide direction for the proposed campaign:

• Concern for dental health is a national issue, regional differences are relatively minor.

• The mobility of Americans and the effect of HMOs can influence dentistry.

• Several consumer attitudes act as barriers to regular dental care.

• Consumer education can positively influence patients' desire for regular care.

• Consumers are receptive to information on new developments in dentistry, want to perceive dentists as health care providers, and are less receptive to information about cosmetic procedures used to promote "superficial beauty."

Two conclusions drawn from the research are that the potential for a national campaign is significant, and that such a campaign can make a difference through positive education which could help change attitudes and provide motivation.

Creative Strategies Communicate the Message

The proposed campaign's key message is the importance of maintaining good oral health. This message will be supported by others that increases awareness of ADA member dentists, enhance the level of dental health relevance, focus on the latest preventive treatments, and stimulate a desire to explore cosmetic options.

The messages are designed to achieve several objectives, the overall one being to increase public awareness, followed by creating a favorable predisposition toward ADA member dentists and today's dental health options, peaking consumer interest in the latest procedures, and stimulating consumers to take action by asking ADA member dentists for more information about these procedures.

The campaign is called "For Keeps" to build on the research-supported consumer feeling that it is important to go to the dentist regularly to keep one's teeth. The creative implementation of the campaign includes two 30-second TV spots emphasizing the relevance of dental health in people's lives and increasing receptivity to news about technology and services; magazine ads featuring more detailed information on the latest preven

tive treatments and cosmetic procedures; and dental office merchandising materials (brochure racks, posters and table tents) to remind consumers about what they have seen and heard in the campaign and to educate them about additional services available.

The imagery in the TV spots, a picket fence in one and piano keys in the other, is paired with scenes of friendly, professional dentists using current technology to communicate that dental advancements should be further investigated. The theme of the spots is "For the Look That Will Last," which reinforces the key message of "keeping your teeth" that consumer focus groups related to so strongly.

Magazine ads in consumer publications (such as Newsweek, TIME, People, Family Circle, Redbook, Parents) and newspaper delivered magazines (such as Parade) will support the television advertising with more information, including urgings to consult an ADA member dentist, call an 800 number that will bounce to the state society serving the caller's area code, and visiting ADA ONLINE for a searchable member directory and more information.

The campaign will further reach consumers through quality in-office merchandising materials provided free to each member dentist that will have the look of the TV spots and magazine ads and will prompt patients to ask for more information on treatments and cosmetic procedures.

Media Planning. Maximizing Investment

It is recommended that the proposed public awareness program run for a minimum of three years to gain sufficient exposure and message communication. At that point, based on similar campaigns, message awareness could be expected to lead to changes in perceptions and attitudes, which only then would result in a change in consumer behavior.

The primary media objectives in the program's first year would be to provide national exposure for the message, maximize the efficiency of media purchases, and reach the most people possible, as many times as possible, These objectives would be accomplished by heavy advertising in February, May and August on network and cable television and In Sunday magazine inserts, and by continu

ous advertising in all months in various national magazines. TV spots would air an estimated 50 times in February, May and August; cable spots would air 45-60 times in those same months; Sunday magazine inserts would appear in 848 newspapers in those months, and national magazine ads would appear five to seven times each month of the year.

The selection of February, May and August coincides with National Children's Dental Health Month and planning for family activities at the end and the beginning of the school year respectively.

Purchasing national network television advertisements is more efficient than purchasing advertising on a market-to-market basis because the ADA would get some 20 percent more for its money, and another 20 percent more in message effectiveness due to spots being placed at breaks in programs rather than between programs. The spots would appear in news programs, family-oriented comedies, dramas and movie specials

As extensive as national network television advertising is, the Sunday magazine inserts reach 69 percent of all U.S. households, which is the highest one-time reach of any media vehicle available. Cable television is seen as an excellent frequency medium because of its many loyal viewers tuning in to their favorite cable networks daily. And national magazine advertisements reach targeted demographic groups and generate) high involvement from readers taking an interest in relevant messages.

In the first-year media plan, 63 percent of the budget would be allocated to network television, 17 percent to national magazines, 8 percent to newspaper magazines, and 12 percent to cable television. In the first year, 97 percent of the target audience would be exposed to ADA advertising messages an average of 23 times.

Budget Plan Year One

The budqet proposed for the first year of the proposed campaign is $30 million, to be allocated as follows:

Media $31 million Network TV 19.3 million Cable TV 3.7 million Newspaper magazines 2.6 million National Magazines 5.4 million

Creative/Production $885,000

In-Office Material/Public Relations $240,000

Research $165,000

TOTAL 32.29 Million

Media Commission Rebate $2.325 million

Total Cost to ADA $29.965 million

Thus, the ADA receives a $32 million campaign for less than $30 million.

Yes or No? It's Your Decision The ADA House of Delegates votes on whether or not to fund this campaign at the 1998 ADA Annual Session in San Francisco. Educate yourself about the campaign,discuss it with your fellow members, and let your opinion be known so that the House of Delegates can vote wisely when it meets in October.

Thematerials you see in reduced size to the right and below include still photos from a proprosed TV commercial, a magazine ad, an advertising poster and table tent suitable for inoffice use and an in-office brochure rack.


VDA JUNE COMMITTEE MEETINGS

Dr. Thomas S. Cooke III, VDA Secretary-Treasurer

The Virginia Dental Association June Committee Meetings were held June 12-14, 1998. The weekend was for both committee work and beach time. VDA committees met and presented their proposals and budgets for 1999. Dr. Charles Cuttino, VDA President-elect, met with the incoming Component Presidents for lunch on Friday and Dr. Wally Huff, VDA President, met with all VDA and Component officers on Saturday. He also hosted a cocktail party on Saturday night celebrating the birthdays of several of our members and spouses. This meeting, while important for the VDA, is also a lot of fun and a time when you can informally gather and renew acquaintances. It is open to all members and we hope to see more of you next year.

f Drs. Miller,Miller.and Miller? Drs. Mike and Benita Miller proudly Dr. Richard Wood's children enjoy the President's Reception show off the newest edition to the Miller family. Anne. while Dad continues to talk shop.

. - Chuck Duvall, VDA lobbyist, gets the Legislative Committee Dr. AI Rizkalla. chairman. and the Dental Health and Public up to date on legislative issues which affect the VDA. Information Committee members discuss areas where their

committee can get involved.

Dr. Wally Huff. VDA President. responds to a comment during the Executive Council Meeting.


VDA LIBRARY l- ~I The following titles are available for you to check out at the Virginia Dental Association Central Office:

AUDIO VISUAL LIBRARY

Dental Education for Children 1. The Barnyard Snacker 2. Dudley's Classroom Adventure 3. Toothbrushing with Charlie Brown 4. It's Dental Flossophy Charlie Brown 5. Flash that Smile 6. Showdown at Sweet Rock 7. The Munchers: A Fable 8. Dudleys Visit to the Dentist 9. The Haunted Mouth 10. Dudley and Dee Dee in Nutritionland 11. Brushing with Dudley and Dee Dee 12. Protect Your Winning Smile (Grade School)* 13. Protect Your Winning Smile (High School)* * Guide to Establishing Mouthguard Programs Available

Child Abuse & Maltreatment 1. Child Maltreatment: Perspectives For the Dental

Community 2. Conversations on Child Abuse & Neglect 3. Recognizing Child Maltreatment 4. The Visual Identification of Non-accidental Trauma

Smokeless Tobacco & Drugs 1. Smokeless Tobacco (Booklet "Up to Snuff") 2. DEA: Say No to Drugs (it's your decision)

ADA Risk Management Series* (*booklet available) 1. Even Good Guys Get Sued 2. Risk Management Techniques for Endodontic

Procedures 3. Professional Liability Aspects of the Doctor Patient

Relationship 4. Diagnosing and Managing the Periodontal Patient 5. Risk Management Techniques for Oral Surgery

Procedures

Saliva in Oral Health 1. Saliva in Oral Health (Conference) 2. Saliva in Oral Health (Promo)

PMP 1. Perioral Musculature Phenomenon Part 1 2. Perioral Musculature Phenomenon Part 2

Miscellaneous 1. Dental Amalgam & Alternative Restorative Materials 2. Controlled Substances: Medicine or Drugs of Abuse

3. Caregivers Guide to Oral Health 4. Careers in Dentistry I 5. Dentistry: Healthcare that Works 6. DEA - A Profile 7. Allied Dental Careers for your Future 8. TV Spots for Dental Hygiene 9. Video News Release on Health System Reform 10. Dental Assisting 11. Dental Assisting - A Career for You 12. Safety in the Dental Office & Back to School

Dental Exams 13. Bottle Bills are History 14. Speak Your Mind - PAC Video 15. Trouble with Insurance 16. Hard Talk about Soft Drink Taxes 17. Portrait of the ADA 18. ADA Walking Tour 19. The Joan Beck Case: How Peer Review Works 20. 60 Minutes 21. Wisconsin Dental Association Commercial Spots 22. 48 Hours: "Fatal Secret" 23. ADA Action Teams: On the Front Line 24. Issues in Managed Care for Dentists 25. Membership That Matters (ADA) 26. The High Road to Collections (I.C. System)

OSHA 1. ADA OSHA Infection Control in the Dental Environment

Kit includes:

• 2 Videos • "Principles and Fundamentals of Infection Control"

• "Clinical Procedures"

• Infection Control Workbook

• Accepted Hand Antiseptics and Hand Cleaners Guide

• Answers to Your Legal Questions About OSHA

2. OSHA "WHAT YOU MUST KNOW" includes: • 2 Videos Part 1 & 2

• Workbook

Other Kits 1. Skills of Daily Mouth Care Kit includes:

• Caregivers Guide Video

• Xerostomia Memo

• "Caregivers Guide Booklet"

• "Oral and Dental Care Manual"


2. Bite into Dental Health Kit includes: • Bite into Dental Health Video

• Brochures on Elderly Oral Health

• Activity Pages to be xeroxed

• Posters • Announcement

3. Effective Infection Control kit includes:

• Video

• Workbook

SLIDES 1. Nursing Bottle Mouth 2. Nutrition and Oral Health Seminar 3. IPA Research - 1997 (Prepared by Dr. Fred Coots)

• Slides • Script • 1996 Statement of Antitrust Enforcement Policy in

Health Care

BOOKS Dental Practice library: 1. Building A Financial Foundation for Your Practice 2. Building Successful Associateships 3. Computers in the Dental Office 4. Financial Management in the Successful Dental

Practice

5. Personal and Professional Success Through Strategic Planning and Goal Setting

6. Practice Growth Through Partnerships. Group Practices and Shared Office Arrangements

OSHA: 1. Regulatory Compliance Manual With Updates

a. Infection Control b. Hazard Communication c. Medical Waste Disposal

Practice Management Series: 1. Successful Dental Office Design 2. The Successful Dental Practice: An Introduction

Feel free to call the VDA Central Office, if interested in checking out any of the above titles, 800-552-3886.

Can you name all the NEW MOVERS in your zip code?

We Can! NewClients, Inc. specializes in helping dentists get more patients by providing new mover names, addresses and creative direct mail pieces. Our mailing lists are derived from the most up-to-date public information available and can be supplied on pressure sensitive labels, diskette or ink-jet printing directly on your mail piece. We'll even take your monthly mailings to the post office and bill you for the postage. Be the first to reach the people in your market area who need a dentist.

Call (804) 560-7000 or (800) 582-9850 THE NEWCLIENTS. INC,'

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STORE


EXECUTIVE COUNCIL ACTIONS IN BRIEF

June 12 and 14, 1998

The Following Recommendations Were Considered: b. Duties: The duties of this Committee shell iA

10. Approved a recommendation that the VDA Policy concerning the administrative progression for presiding officer during elections will be the President, President-Elect, Secretary/Treasurer, and Immediate pastPresident when the appropriate presiding officer is involved in an election.

elude the follo"iAg: stimulating interest iA out staAdiFlg persoAalities aRd e'veRts iA VirgiRia deAtistry of t~e past; arraAgiAg for the com memoratioA of sue'" eveAts or persoRs through publicatioFl of articles or the placiFlg of suit able memorials; eollectioA aAd preseFdation of items of "'istorical interest iR VirgiAia deFl

11. illmroved a recommendation that the VDA Constitu tistry; review'iAg questioFls iA'v'ol'v'iRg cOAflict of

tion and Bylaws be amended as follows: views of facts iA VirgiFliB deFltal history; aAd publis~iRg or seel<iFlg puolicatiOR of vBrious

Article VIII, Section 1. historical accouFlts of geReral iAlerest to the

C. Administrative Standing Committees Strike out and renumber.

public aRd professioA. This Committee shall report to the AFlAual MeetiRg all deaths of members of the AssociatioFl duriAg t"'e 1'ear.

1. IlistOF1' aRd Necrology Committee The Committee ChairmaR shall haAdle af} propriate correspoAdeAee with t~e families of

Article IV, Section 4-C.g these memoers.!

Insert the word and after Budget and Financial Investments Committee and delete the remainder of the 12. illm.royed a recommendation that the VDA Constitution

sentence after Annual Meeting Committee to read as and Bylaws be amended as follows:

follows: Strike out last sentence under Article V, Section I to read

g. Serve as an ex officio member of the Budget as follows:

and Financial Investments Committee and the Annual Meeting Committee. aAd t~e Histm'y' aAd Necrol ogy Committee.

Article V Section 1. The number of Delegates to the House of Delegates of the American Dental Association is pro

Add Section 4-C.k to read as follows: portional to the membership of this Association and is determined by the American Dental Association. The

& Perform the duties previQuslv assigned to the History and Necrologv Committee including the following: stimulating interest in outstandinQ personalities and events in Virginia dentistry Qf the past: f3rranlJ

number of Alternate Delegates shall equal the number of Delegates. TAe Deal" of the MCV School of DeRtistry shall be reeommeFlded for nominBtiOA to seFde as aR AltemBte Delegate.

ing the commemoration of such events Qr persons through publication of articles or the placing of suitable memorials; collection and preservation of items

13. Approved a recommendation that the VDA Constitution and Bylaws be amended as follows:

of histQrical interest in Virginia dentistry; reviewing questions involving conflict of views or facts in Virginia dental history; and publishing or seeking publication of various historical accounts of general interest to the public and profession. The SecretarylTrea-

Article VIII, Section 4A.12 Strike out the last sentence and insert "the chairman shall be the most senior past president serving on the Committee." to read as follows:

surer shall report to the Annual Meeting all deaths of members of the Association during the year and handle appropriate correspondence with the families of these members,

Article VIII Section 4 A. REGULAR STANDING COMMITTEES

Article VIII, Section 4 12. Planning Committee

C. ADMINISTRATIVE STANDING COMMITTEES a. Membership: This Committee shall consist of the

Strike out and renumber President-Elect, four Immediate Past Presidents, and four members-at-Iarge, two who shall be appointed for

History aAd ~4ecrology Committee a. Members~ip: T~is Committee shall cOAsist of at

two-year terms by the President-Elect. One of these at-large members shall have graduated from a dental

least eight memoers, iRcludiAg ORe represeAtati'v'e from each compoFleFlt society aAd such other mem Bers of t~e AssociatioFl as may show a sf}eeial inter est aFld be appoiRted by the PresideAt. ORe of these

school within the past ten years. The Committee shall elect its OWl" ChBirmaA aAFlually from amoRg t"'e four Past PrcsideFlts. The Chairman shall be the most senior past president serving on the Committee.

may be especially desigMted as IlistoriaR by the President. The Secretary Treasurer shall Be aR ex 14. Approved a recommendation that the VDA Constitution

official member of this Committee. and Bylaws be amended as follows:


Article VIII the definitions of Dentistry and the Special Areas of Section 1 Dental Practice Be recognized by state dental licensing A. Regular Standing Committees boards and included in the rules and regulations of Addition of Dental Continuing Education Committee In said boards; sert after 15 to read as follows:

THEREFORE, be it resolved that the Virginia Dental 15. Dental Continuing Education Committee Association, in concert with the eight recognized Spe

cial Areas of Dental Practice, respectfully request that Article VIII these definitions be adopted by the Virginia Board of Section 4 Dentistry and incorporated into the rules and regulaA. REGULAR STANDING COMMITTEES tions of the Board. Insert 15 to read as follows:

37. Approved a recommendation that the VDA fund a total Dental Continuing Education Committee of $1,300.00 for the VDA Science Talent Award Proa. Membership: This Committee shall consist gram, in order to recognize the sixteen program semiof 10 members including one representative finalists and a $50.00 award each, in addition to the from each component society and 2 members $500.00 Malbon Prize. from the MCVNCU School of Dentistry.

38. Approved a recommendation that the VDA's upcoming b. Duties: Establishment of continuing edu Annual Meeting schedule be confirmed as follows: cation programs for member dentists and their staffs: monitoring VDA's central calendar of all 1998 Colonial Williamsburg Lodge Williamsburg continuing education programs in Virginia: 1999 Hyatt Regency Reston continual review of new technological ad 2000 Colonial Williamsburg Lodge Williamsburg vances in CE presentations: and serve as a 2001 Hyatt Regency Crystal City repository for potential CE speakers. 2002 Marriott Norfolk

15. Approved a recommendation that the 1999 Virginia 39. Approved a motion that there be a regular agenda item Dental Association Proposed Budget be approved as of the Executive Council that the Chairman of the VDA presented. Delegation to the ADA House of Delegates, or a mem

ber of the VDA Delegation, give verbal and written re16. Approved a recommendation that the 1999 Direct Re ports to the Executive Council of the position and re

imbursement Proposed Budget be approved as pre sults of the prioritized issues that have been or will be sented. voted upon at the ADA House of Delegates meeting.

17. Approved a recommendation that the VDA House of 40. Approved a recommendation that the Executive CounDelegates approve the ADA National Awareness Cam cil refer the definition of the Affiliate Staff/Surviving paign at the VDA House of Delegates Second Session Spouse membership classification to its legal counsel Sunday, September 20, 1998. for review and its recommendations.

The Executive Council recommends adoption of the above 41. Approved a recommendation by the Dental Benefits recommendations by the House of Delegates. Program Committee that the VDA contact the ADA to

explore the possibility of establishing a COT Code (faculty code) for Mobile Dental Services.

The Following Recommendations Were Approved: 42. Approved a recommendation that in 1999, the annual

34. Approved a recommendation that the editorial in the meeting registration fees for hygienists, dental assisCURET newsletter and the response by the VDA Sec tants and office staff be increased by $5.00 on and off rstary/Treasurer be published in the VDA Journal. site. All other fees will remain the same.

35. Approved a recommendation that the VDA President VSOMS $ 90 $140 present the VDAA President a $500.00 donation to the DDS-VDA 90 140 ADAA Foundation in honor of the 50th anniversary of DDS - Non VDA 190 240 theVDAA. DDS - Non ADA 290 340

Hygienists 50 60 36. Approved a recommendation that the following Reso VDM 20 30

lution be presented to the Virginia Board of Dentistry: Office Staff - Non VDAA 20 40

WHEREAS, the 1997 House of Delegates of the American Dental Association adopted a definition of Dentistry; and

WHEREAS, definitions of the eight recognized Special Areas of Dental Practice have been adopted by the American Dental Association; and

43. AQRroved a recommendation that each component's VDA delegates and alternate delegates participate in a phone survey asking VDA members their views regarding the ADA Public Awareness Campaign. The callers should also update other information beneficial to the VDA, such as fax numbers, etc. This effort should be coordinated by the VDA Membership Committee.

WHEREAS, it is both informative and appropriate that Virginia Dental Journal 19

44. Approved a recommend that the VDA sponsor an ADA should be greater limits established for affiliPeer Review Assistance Workshop at the January ate staff than surviving spouses. This is a 1999 Committee Meetings. If possible, the Commit legal question. tee asks that the workshop be open to all VDA mem 2. The name of the membership category is bers and that consideration be given to continuing confusing and difficult to define. This is aneducation credit for this program. other legal question.

3. The word affiliate is confusing and difficult to 45. Approved a recommendation that the Planning Com define.

mittee, in consultation with other association re 4. This Committee recommends that VDA lesources, will be the planning and implementation gal counsel should review the language of source for the ongoing development of non-traditional this membership category. accredited dental hygiene educational programs within the Commonwealth. 12. Received as information only the Committee For Di

rect Reimbursement decided to renew its member46. Approved a recommendation that the general mem ship in the ADRP for 1999.

bership approve the ADA National Awareness Campaign at the VDA General Business Meeting Sunday, 13. Received as information only that the Committee For September 20, 1998. Direct Reimbursement will continue Direct Reim

bursement advertisements in the Virginia Health Care 47. Approved a recommendation that the by-virtue seats Buyer and the Virginia Business Magazine.

will be elected en masse after all other elections are held. 14. Received as information only that whereas the latex

allergy issues, OSHA bulk mercury collection and The Following Recommendation Was Referred To other concerns have legal ramifications, the Infection Committee: Control and Environmental Safety Committee requests

that the VDA subscribe to the ADA Legal Advisor Pub7. Referred to the Constitution & Bylaws Committee a lication and that this publication be made available to

recommendation that the Fellows Committee be as the Committee. signed to the "other Committee" category, comparable to VADPAC, with all appropriate rights and privileges. 15. Received as information only that whereas bulk mer

cury collection programs have been shown to be able The Following Recommendations were Received as Infor to reduce free unused mercury from the dental office mation Only: environment, the Infection Control and Environmental

Safety Committee will further investigate the possibil10. The following slate of names were submitted by the ity of initiating a bulk mercury collection project in the

Nominating Committee for nomination at the 1998 state of Virginia. Annual Session Sunday, September 20, 1998 at the Williamsburg Lodge, Williamsburg, Virginia: 16. Received as information only that the Infection Control

and Environmental Safety Committee approved that President-Elect: Dr. Daniel E. Grabeel the summary report developed by Dr. Andrew Martof

Dr. Andrew J. Zimmer on infectious diseases affecting the health of dental care workers be considered for publication in the Vir

Member-At-Large, ginia Dental Journal. Executive Council:

Dr. William J. Viglione 17. Received as information only that the Legislative ComDr. Gus C. Vlahos mittee continues to monitor the following legislative Dr. Richard H. Wood issues:

ADA Delegate: Dr. David C. Anderson Assignment of Benefits (3 yr. 1999-2000-2001) Dr. Charles L. Cuttino III Dental Services Medicaid Reimbursement Rate

Dr. Wallace L. Huff Reimbursement For General Anesthesia For Special Needs Dental Care

ADA Alternate Delegate: Dr. Anne C. Adams Dental Hygiene Funding (2 yr. 1999-2000) Dr. Bruce R. DeGinder Point Of Service

Dr. Rodney J. Klima Dr. Edward J. Weisberg 18. Received as information only from the Membership

Committee a recommendation that the VDA recognize components with the lowest percentage of non

11. Received as information only the Constitution and By renewals and the components with the highest perlaws Committee was unable to create meaningful lan centage of increase in new members in a Virginia guage for the creation of an affiliate staff/surviving Dental Journal membership article. spouse membership category, due to the following considerations: 19. Received as information only that in the event that the

VDA survey continues to demonstrate a high level of 1. Are the parameters of affiliate staff and sur interest in an awareness campaign, and the ADA Pub

viving spouse the same? We feel that there lic Awareness Campaign does not take place, the


20.

21.

22.

23.

24.

VDA Membership Committee will establish a subcommittee to gather preliminary information on the development of a statewide public awareness campaign.

Received as information only that the Peer Review Committee would like to conduct a one-day Peer Review Assistance Workshop at the January 1999 Committee Meetings.

Received as information---.illliY that the Planning Committee directs the Chairman of the Committee with the President and President-Elect of the VDA to: A Solicit information personally from those ac

tively engaged in non-traditional dental hygiene education programs (i.e., Wisconsin, Kentucky, etc.).

B. Meet with Dr. Oliver of the Community College System to discuss such programs.

C. Meet to review such meeting, information, etc. and develop with input of the Planning Committee, an action plan to be submitted to the Executive Council and VDA House of Delegates at next meeting in September 1998.

Received as information only that the Dental Delivery For The Special Needs Patient Committee would like to establish an annual community service award to recognize an individual who meets certain criteria to be established by the Committee at a later date. The Committee is encouraging the membership through their respective Committee Chairmen to bring forward names and biographic information as possibilities for the naming of the award.

Received as information only that the Dental Delivery For The Special Needs Patient Committee would like the names of dentists who volunteer in free clinics to be published annually in the Virginia Dental Journal.

Received as information only that the VADPAC Committee recommends the following amendments be made to the Constitution and Bylaws of the Virginia

25.

Dental Political Action Committee:

To amended Section 2 to read as follows: Section 2- Candidates for membership

Candidates for membership shall be subject to approval by the Board of Directors and to the payment of prescribed minimum dues annually. Categories of dues shall be established bv the Board of Directors as theY deem appropriate.

SectioA 3 Dues - Delete Dues shall be: Active Membership $5B CommOA'Nealth Club $100 (plus Active

Membership Dues)

Section 4 - Contributions - Renumber to Section 3 Contributions Contributions to VADPAC shall be subject to the approval of the Board of Directors and such funds shall be disbursed at its discretion.

In accordance with the Constitution and Bylaws of the Virginia Dental Political Action Committee, a written copy of these amendments will be mailed to the full committee for their approval.

Received as information only that beginning 1999, active VADPAC membership dues will be increased from $50 ($25 VADPAC and $25 ADPAC) to $60 ($35 VADPAC and $25 ADPAC).

The Following Was Postponed Definitely:

1. Postponed definitely to the next meeting of the Executive Council a recommendation that the VDA allow for monthly payment of membership dues through bank draft or credit card beginning in the year of 1999. This will allow the Secretary-Treasurer time to determine the financial impact and if such a monthly system can be implemented.

Looking for info on upcoming CE courses?

What's happening at the VDA?

Want to learn more about Direct Reimbursement?

Visit the VDA's website for answers to these questions... and much, much more.

www.vadental.org


Colonial Williamsburg Lodge September 16-20,1998

Greetings from the Annual Meeting Chairman

Dear Members,

On behalf of the members of the Annual Meeting Committee, I would like to invite all ofyou to Colonial Williamsburg for the 129th Annual Meeting of the Virginia Dental Association. This session promises to be exciting and educational.

We will kick off this session with a Golf and Tennis tournament at the Golden Horseshoe on Wednesday. The House of Delegates will meet on Thursday morning with Reference Committee meetings in the afternoon. The Grand Opening Membership Session will be held Thursday evening followed by the opening of the Exhibit Hall and a Member's Reception.

We are very fortunate to have Dr. Frank Spear and Dr. Robert Winter speak for two days on the "Art and Science of Exceptional Restorative Dentistry." Dr.Lynn Mouden will also speak on the topic of recog

nition and prevention of child abuse.

Friday evening will be quite special with the introduction of the 1st Annual Casino Night. All proceeds from this event will benefit the Virginia Dental Association Foundation. Participants will enjoy food, fellowship, and an opportunity to win many wonderful prizes. Several prizes include: a free weekend and brunch for two at the Virginia Beach Resort and-Conference Center, a framed original Water Color painting by Dr. Baxter Perkinson, burr kits from Brassier, a handpiece from Adec, and many more.

Saturday evening we will honor Dr. Wally Hufffor his year as President of the Virginia Dental Association with a dinner and dance. The entertainment for the evening will be "Baby Huey and the Babysitters".

The meeting will conclude on Sunday with the General Membership Meeting, election of new officers, and House of Delegates second Session. Discussion surrounding the national public awareness campaign as well as other important matters of the Association will be debated throughout the weekend; therefore, it is very important that you attend as we, the VDA, 'prepare for revolutionary change.'

Looking forward to seeing you in September,

Ralph RalphL. Howell, Jr., D.D.S.

JUSTAREMINDER.." The 1998 VDA Annual Meeting planned for September 16-20,1998 in Williamsburg promises to be a well attended event. An outstanding CE Program and discussion on the proposed ADA Public Awareness Campaign should bring out our members in large numbers. All exhibit space was sold out by May! This is great for our meeting but will undoubtedly cause a problem with room availability. Be aware of this and make your reservations early.

Hope to see you there.

e.: Bruce Hutchison, D.D.S.

VDA Annual Meeting Committee Chairman

pjJ~jkt~~~ 22 Virginia Dental Journal

Schedule of Events

WEDNESDAY, SEPTMEBER 16, 1998 8:00am 11:00am l2:30pm 1:OOpm 2:00pm 5:30pm

THURSDAY, SEPTEMBER 17, 1998 8:00am 8:00am 8:00am 1O:00am 1O:30am l2:00pm 1:30pm 5:00pm 6:15pm 7:30pm

FRIDAY, SEPTEMBER 18,1998 7:00am 7:00am 7:30am 8:00am 8:30am 9:30am lO:OOam 11:30am 11:30am 1:30pm 1:30pm 1:30pm 4:30pm 4:30pm 5:00pm 5:00pm 7:00pm

SATURDAY, SEPTEMBER 19,1998 6:30am 7:00am 7:30am 8:30am 8:30am 9:00am lO:OOam 11:30am l2:00pm 1:30pm 1:30pm 2:00pm 4:30pm 6:30pm 7:30pm

SUNDAY, SEPTEMBER 20, 1998 7:00am 8:00am 8:00am 8:30am 10:00am 1:00pm

Executive Corrunittee Meeting Golf Exhibition Golf Tournament Registration and Ticket Sales Tennis Tournament Golf & Tennis Reception

Registration and Ticket Sales Board of Dentistry Meeting Executive Council Meeting Credentials Committee VDA House of Delegates VDA Fellows Luncheon VDA Reference Committees 129 th Annual Meeting Opening Session Exhibition Hall Opens/Member's Reception American College of Dentists Dinner & Dance

Registration and Ticket Sales Risk Management Course Virginia Academy of General Dentistry Breakfast Board of Dentistry Meeting Spear Course - Art and Science of Exceptional Restorative Dentistry Alliance Meeting Exhibition Hall Opens Luncheon for Leaming ADA 16th District Delegation Meeting Spear Course - Art and Science of Exceptional Restorative Dentistry Mouden Course - How the Dental Team Succeeds at Preventing Child Abuse & Neglect Virginia Association of Orthontists Board Meeting Constitution & Bylaws Corrunittee Meeting Virginia Academy of General Dentistry Board Meeting Reception with Exhibitors P.A.N.D.A. Coalition Casino Night

Fun RunlWalk Registration and Ticket Sales International College of Dentists Breakfast Winter Course - Art and Science ofExceptionaJ Restorative Dentistry Mouden Course - Dentistry's Involvement in Preventing Child Abuse & Neglect Alliance Business Meeting Exhibit Hall Opens Pierre Fauchard Academy Luncheon CDHS Luncheon & Annual Meeting Winter Course - Art and Science ofExceptional Restorative Dentistry Endodontist Meeting DANB ICE Examination Relief Foundation Board Meeting VDA & MCV Reception President's Banquet & Dance

VADPAC Breakfast Registration VDHA Board Meeting VDA Annual Business Meeting House of Delegates Executive Council


VDA SECRETARY-TREASURER RESPONDS TO VDHA PRESIDENT

In The Virginia Curet, Vol. 21, No.1, March 1998, the newsletter of the Virginia Dental Hygienists' Association, the following statements were made by the VDHA Past President, Debbie Nastelli:

"1. VDHA does support local anesthesia for dental hygienists UNDER THE DIRECTION of a dentist. In fact, in May 1996 all licensed RDH in the Commonwealth were surveyed on this issue. Of those who responded 47.5% were not members of ADHA. VDHA mailed 2196 surveys, 525 were returned with 88.19% in favor of local anesthesia for dental hygienists.

2. At the American Dental Association meeting in Oct. 1996, VDA passed three resolutions supporting the establishment of non-accredited dental hygiene programs based on a preceptorship model. (See Ladder to Preceptorship) One of these resolutions was submitted by the Virginia Dental Association.

3. VDHA does not support independent practice, in fact, policy was adopted against this in 1983. VDHA does however, support other states rights to change restrictive requirements and open access to care.

4. VDHA neither supports nor opposes managed care, this is an individual decision that must be made on quality of care. This is a choice your employers makes whether or not to participate in managed care as they are the ones who sign the contract with the managed care company.

5. VDHA was not present at the Senate Education and Health Committee meeting in October 1996 urging the passage of House Bill 826 which removed the post test because in August 1996 testimony was sent to Del. Ruff not opposing this legislation therefore permitting the use of our legislative dollars elsewhere.

6. The Commonwealth Dental Hygiene Society mailed a newsletter to all licensed hygienists in the Commonwealth. The questions that were asked on local anesthesia have been answered many times over. The survey results that were printed never stated how hygienists were surveyed, what organization did the respondents belong to, how many responses did they receive. The lack of information makes this an invalid survey. Also this small group of hygienists share the same bulk mail permit number as the Virginia Dental Association."

In response to the above statements, VDA Secretary-Treasurer Dr. Tom Cooke addressed the following letter to Debbie Nastelli:

Dear Ms. Nastelli:

I read with some interest and disappointment your last President's Message in The Virginia Curet. In the letter you made six points and I would like to respond point by point.

1. The VDA and VDHA will have to agree to disagree on the issue of anesthesia. 2. At the ADA meeting in October, three resolutions were passed concerning hygiene programs but only one had non

accredited language. A resolution was submitted by another state in the Sixteenth District, not by Virginia. The Virginia Delegation did manage to get the language changed to say accredited programs. The VDA does not support the establishment of any non-accredited hygiene program. The model is based on the Wisconsin, not Alabama model.

3. While the VDHA may not support independent practice, the ADHA has publicly stated this as their goal. 4. Again, the stated policy of the ADHA is to support managed care. 5. We are glad that we were able to help in getting the post-test legislation changed, we realized it was demeaning to

hygienists. 6. I'm not sure why this has been brought up again, both you and your lobbyist have been informed that we do not pay any

CDHA bills. They use the same mailing service and the permit belongs to that service, not the VDA. The organizations are billed separately.

The letter ends stating that no matter how many times the facts are published, they get lost or misconstrued. Recent events have worked to separate the VDA and VDHA and this is both counterproductive and distasteful. It seems that the misrepresentation of facts in The Virginia Curet will serve to accelerate this process rather than prevent it. I hope we can come to some common ground and develop dialogue that will bring our two organizations closer together- I will sincerely work to this goal.

Sincerely, Thomas S. Cooke III SecretaryfTreasurer Virginia Dental Association


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MCUNCU NAMES NEW DENTAL DEAN

Thomas Burke, VCUlMCV School of Dentistry Assistant Dean

Dr. Ronald J. Hunt

Virginia Commonwealth University has named Dr. Ronald J. Hunt as the fourteenth Dean of the School of Dentistry. Dr. Hunt will assume his responsibilities on September 1. He succeeds Dr. Lindsay M. Hunt, who is stepping down after 13 years service to the School.

Dr. Ronald Hunt comes to the Medical Campus of VCU from the University of North Carolina at Chapel Hill, where he is Professor and Associate Dean for Academic Affairs at the School of Dentistry. Dr. Hunt received his DDS degree in 1973 from the University of Iowa. Upon graduation, Dr. Hunt established a private dental practice in Iowa before pursuing a career in public health and dental education. He completed a master degree in dental public health in 1982 from the University of Iowa. Dr. Hunt is a board-certified public health dentist, and has held academic and administrative positions in the dental schools at both the University of Iowa and the University of North Carolina.

Since 1983, Dr. Hunt has been an active dental educator, researcher, clinician, and administrator. His teaching expertise includes courses in epidemiology, dental public health, and research methodology, while also conducting research aimed at the evaluation of oral health and oral disease in older adults. Having conducted both federally and commercially funded research projects, Dr. Hunt has also published more than 40 scientific papers in the dental and public health literature.

During the 1995-96 academic year, Dr. Hunt led the UNC School of Dentistry's self-study and reaccreditation process for its predoctoral, advanced, and allied dental programs. Dr. Hunt was awarded a prestigious William J. Gies Educational Fellowship at the American Association of Dental Schools in Washington, D.C., where he researched and studied issues affecting dental school faculties. Recently, he spearheaded the development of the school's Electronic Course Syllabus for DDS students at UNC.

At VCU, Dr. Hunt will be named the Harry Lyons Professor in the School of Dentistry and Professor of Preventive Medicine and Community Health in the School of Medicine. "I plan to focus my initial efforts on strengthening the research enterprise, increasing diversity, bolstering the scholarship in graduate programs, and completing the renovation of several clinical and preclinical facilities. Maureen and I are looking forward to becoming part of the VCU, VDA, and Richmond communities."

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Governor James S. Gilmore III appointed Dr. Richard D. Wilson to the Virginia Board of Dentistry.

Dr. Wilson has been in the private practice of general dentistry in Richmond since his graduation from Temple University School of Dentistry in 1958. He has recently completed 29 years as Clinical Professor at the Scool of Dentistry, VCU and has just finished four year terms on the ADA Council on Dental Education and the Commission of Dental Accreditation, the last two years serving as Chair of both.

Dr. Wilson plays an active role at various levels of organized dentistry, including Fellow of the American College of Dentists, Fellow of the VDA, and delegate to the American Dental Association House of

Delegates. He also served eight years as the Editor of the Virginia Dental Journal. Dr. Wilson is married and the father of five children.

Governor James S. Gilmore III appointed Dr. James R. Schroeder to the State Board of Health.

Dr. Schroeder is in the private practice of general dentistry in Richmond. He received his D.D.S. degree from MCV/vCU School of Dentistry and completed his residency program at UVA. Dr. Schroeder served as Secretary-Treasurer of the Richmond Dental Society and is part-time faculty at MCV/vCU School of Dentistry.

Dr. Schroeder currently serves as Chairman of the Chesterfield County School Board. He is married with four children and resides in Chesterfield County.

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lliFROM THE EXECUTIVE DIRECTOR. ·~t

While it is certainly true that the volume of incoming calls from members is greatly reduced after we pass Independence Day, the dog days of summer are but a staging area for the Virginia Dental Association Fall Tour. The VDA June Committee Meetings and the Annual Sessions of the Virginia Association of Orthodontists and the Virginia Society of Oral & lVIaxillofacial Surgeons are (mostly) pleasant memories; we have now turned our collective attention to September, October and November.

Registration materials for the 129th Annual Meeting of the VDA will reach you prior to this issue of the Journal. We anticipate a very full house; the trade show has been sold out since April and Liz Keith could fill another forty slots if the space were available. We have added additional rooms in the Providence Wing of the Inn and at both the Woodlands and the Governor's Inn, since our block appears to be filling fast. The Annual Meeting really is outgrowing a number of our traditional venues.

As this is written, we are preparing to finalize materials for the 27th Meeting of the VDA House of Delegates. Speaker of the House Christy Hamlin and Bonnie Anderson work throughout the year to insure that all appropriate business is placed before the House in proper form, as well as helping to assemble the various groups and committees which assist in the operation of the House. The effort and attention have certainly been visible in the last several sessions.

Several VDA staff members will participate in ADA Management Conference week activities in mid-July. Lisa Finnerty has been invited to participate in the ADA Contact Program, which provides a complete orientation to ADA operations and a chance to meet with ADA staff from all areas. The Contact Program was originally designed for Executive Directors, but has been expanded to include key staff members. Lisa will also attend the Management Conference sessions. Connie Jungmann will also attend Management Conference sessions and will participate in the Micro-Membership Users Group meeting and the ASCDE (Executive Directors) meeting. Ronya Edwards will join me after the abovementioned meetings for the For Profit Subsidiaries Conference. In addition to giving the VDA a place at the table, which is essential, these meetings increase the background and expertise of the staff serving you, the membership.

Before August is over, VDA leadership and staff will participate in the ADA Direct Reimbursement Days Conference and the Annual Presidents Conference, as well as Component Meetings in both Southwest and Tidewater Virginia. I will attend the Annual Meeting of the American Society of Association Executives in Nashville, the Association Executives version of the ADA Annual Meeting. VDA will also host a DMAS Advisory Council meeting and the semi-annual Staff Council, not to mention the ever-increasing business of the VDSC. So, while things may slow down on the telephone lines, the activity level of the VDA continues at a relatively fast pace.

A (mostly) pleasant digression, if I may (I may, it's my column): As the attendees at the VSOMS AnnuallVleeting settled in the IMAX theater at the Virginia Marine Science Museum to watch Rodney and friends seek the Great White Shark, a young lady very confidently extended a special welcome to the "Virginia Society of Oral & Malfacial Surgeons." It certainly makes more sense to me than that tongue-tying "maxillo" thing. Onward to September ...

Regards, William E. Zepp, CAE Executive Director


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UPCOMING CONTINUING EDUCATION

Month Component Meeting Location Speaker/Topic

Sept. 9, 1998 Southside (3) Business Meeting Country Club of Petersburg

Sept. 16-20, 1998 VDA Annual Meeting Williamsburg Lodge, Drs. Frank Spear & Robert Winter Williamsburg and Dr. Lynn Douglas Mouden

Sept. 16-20, 1998 AAOMS Annual Meeting New Orleans, LA

Oct. 24-28, 1998 ADA Annual Session San Francisco, CA

Oct. 30, 1998 Tidewater (1) CE Program TBA Dr. Joe H. Camp, "Management of Traumatic VDA co-sponsored Injuries & Pulpal Involvement of Primary and

Young Permanent Teeth"

Oct. 30, 1998 Peidmont (5) CE Program Lynchburg Hilton Dr. David A. Felton, "Update in Fixed VDA co-sponsored Prosthodontics"

Nov. 13,1998 Southwest (6) CE Program Donaldson Brown Dr. Hugh Doherty, "How to Play the ConferenceCenter, Game of Business....and Win!" Blacksburg

Dec. 4, 1998 Richmond (4) CE Program TBA, Richmond Dr. Ross Nash, "Esthetic Dentistry"

Feb. 5, 1999 Richmond (4) CE Program TBA, Richmond Dr. Charles Blair, "Practice Finances"

March 6, 1999 NOVA (8) CE Program TBA Dr. John Svirsky VDA co-sponsored

March 12, 1999 Peninsula (2) CE Program Newport News Dr. John Svirsky VDA co-sponsored

March 12, 1999 Southwest (6) CE Program Van Dyke Center, Emory Dr. Jeffrey Hutter, "Facial Space Infections of Dental Origin & Traumatic Injury Update"

March 26, 1999 Richmond (4) CE Program TBA, Richmond Dr. Dan Fisher, "Everyday Adhesive Dentistry"

Apr. 3D-May 1, 1999 Piedmont (5) CE Program The Homestead Dr. Daniel Becker, "Update in Pharmacology for the Dentist"

May 14-16, 1999 Southwest (6) CE Program Pipestem State Park, Dr. Dave Chance Pipestem, WV

Aug. 13, 1999 Southwest (6) CE Program Higher Educational Center, Dr. Samuel B. Low, "Successful VDA co-sponsored Abingdon Management of the Perio Patient"

Nov. 12, 1999 Southwest (6) CE Program Donaldson Brown Dr. Michael V. Dishman, "Bleaching & ConferenceCenter, Cosmetic Dentistry" Blacksburg

AIDA C-E-R.-P CONTINUING EDUCATION RECOGNITION PROGRAM -roE.- \fut I:. r~C(Jor,;zec: C:, c. '::':t:.,.~ :flee' spon.::;~ C· cor:li~-i,J'r;c ocnrc ::'=J::0

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LEGISLATIVE UPDATE

Chuck Duvall, Jr., VDA Lobbyist Lisa M. Finnerty, VDA Public Affairs Coordinator

Though everyone's attention is focused on vacations and the 1999 session of the Virginia General Assembly seems like a distant thought, VDA is making preparations now for the upcoming session. We thought we might give you a general overview of the status of several of the items presently being actively pursued.

Medicaid Dental Service Reimbursements - The Medicaid Dental Health Coalition, established in the 1998-2000 budget, will have had two meetings by the time this document reaches your desk. Representing VDA in deliberations with Medicaid staff are Dr. Joseph A. Paget, Jr. (Blacksburg), Dr. Vicki Tibbs (Quinton), William E. Zepp, CAE, VDA Executive Director. Representing the Virginia Association of Orthodontists are Dr. William Horbaly (Charlottesville) and Dr. Thomas E. Spillers (Richmond). The 1998-2000 budget approved an increase of over 10 million dollars in Medicaid reimbursements.

The initial sessions have been spent reviewing the new Medicaid reimbursement rates, setting a strategy for involving more dentists in the area of treating Medicaid patients and looking to the future to try to establish an even more appropriate Medicaid reimbursement rate. Over the weeks and months ahead we will be reporting to you in more details about these deliberations.

Kid Care - Governor Gilmore signed the 1998-2000 Budget Bill which outlined the Kid Care program. Highlights of the Kid Care program include:

• Coverage for over 83,000 uninsured children, • Medicaid style program up to 150% of the poverty level, • Up to 185% of the poverty level will be on a co-pay arrangement, • State funds in the program total approximately $37 million, $57 million in federal matching funds.

Governor Gilmore has submitted the outline for his Children's Medical Security Insurance Program to HCFA. There is a broad outreach program underway that will include a lot of community based operations such as homeless shelters and headstart centers. Outreach also will include the establishment of a toll free hotline number where recipients can secure additional information. It is important to note that all Medicaid services including dental services will be covered under this program.

Special Need Dental-Care Reimbursement for General Anesthesia - A working group has been established to provide appropriate information to the Special Advisory Commission on Mandated Health Insurance in the Bureau of Insurance. The Mandates Commission is the agency created by the General Assembly to allow a more detailed review of insurance mandates.

HB 931, introduced at the VDA's request during the 1998 session of the Virginia General Assembly by Delegate Jim Shuler (DBlacksburg), has been referred to the Mandates Commission.

A VDA working group is being formed to provide appropriate information the Mandates Commission and to make selected contacts. Members of the Mandates Commission include: The Honorable Stephen H. Martin; The Honorable James M. Shuler; The Honorable H. Russell Potts, Jr.; The Honorable Vivian E. Watts; John T. Ashley, MD; Duval Dickinson; Matthew D. Jenkins; Johanna B. Chase; Rowena J. Fullinwider; Bill McCall; Kelley Osborn; George W. Dawson; Charles B. Garber; Myrna McLaughlin and Ex Officio Members Alfred W. Gross and Randolph L. Gordon, MD, MPH.

If you know any of the Commission members well enough to contact them about this issue, we would appreciate you advising Lisa Finnerty at the VDA office (800/552-3886) at your earliest convenience.

Assignment of Benefits - You may recall that the VDA had introduced during the 1998 session of the Virginia General Assembly HB1230. This measure, patroned by Delegate John Tate (D-Marion), was not approved. A very similar measure will be introduced during 1999. This legislation is being driven by the fact that one insurance carrier in this Commonwealth is refusing to honor assignment of benefits. This third party payer's refusal to honor assignment of benefits seeks to generate procedural obstacles and attempts to create a negative change in the traditional patient/provider relationship. Both the patient and the provider are being penalized for exercising their freedom of choice.

As we approach the 1999 session of the Virginia General Assembly many of you will be asked to make contacts with members of the Virginia House of Delegates and State Senate to advise them of your interest in this particular issue.

VADPAC Update - VADPAC is moving ahead in a commendable fashion. Thus far - though we are having a good year, we only have 42% of VDA members that are participating in the program. If you wish to become a member of VADPAC or have questions about your VADPAC membership status please contact Lisa Finnerty at the VDA office (800/552-3886); she will be glad to provide you with the appropriate information so that you can join your colleagues in becoming a member.

In 1999 the entire House of Delegates and State Senate stand for election. It is vital that VADPAC be in a position to assist in selected campaigns.


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MEMBERSHIP BENEFIT HIGHLIGHT: PRACTICE MANAGEMENT RESOURCES

Kimberly S. Swanson, D.D.S., VDA Membership Task Force

We have all made a serious commitment in time, energy, and money for our education. This is especially evident to recent dental school graduates! Effective practice management and marketing are essential for a successful professional career. Practice management assistance is a primary benefit of membership in organized dentistry. The ADA continually researches and develops strategies and techniques to help you serve your patient base and attract new patients. Members have access to seminars, publications, and resources on associateships, retirement plans, how to start a practice, how to sell one, successful patient communications, and financial planning. ADA staff experts also offer information resources to assist in selecting practice management consultants and recruiting and retaining office staff. Call the Council on Dental Practice at extension 2895, or Dental Practice Marketing, extension 2662.

The ADA Catalog contains more than 40 expert practice management and marketing publications. The ADA's Dental Practice Series offers guidebooks for ensuring your practice's success, including:

• The Successful Dental Practice: An Introduction

• Building Successful Associateships

• Successful Valuation of a Dental Practice

• Building a Financial Foundation for Your Practice

• Practice Growth Through Partnerships, Group Practices and Shared Office Arrangements

• Computers in the Dental Office

• Financial Management in the Successful Dental Practice

• Successful Dental Office Design

The Marketing Handbook Series offers several guidebooks on building your patient base. • Effective Yellow Page Advertising for the Dental Practice

• Measuring Patient Satisfaction in the Dental Practice

• Effective Direct Mail Programs for the Dental Practice

• Topic Outlines for Powerful Presentations

• How to Develop a Practice Newsletter

To order any of these publications, request more information, or to obtain a free copy of the latest Catalog, call ADA Catalog Customer Service staff at 1-800-947-4746.

The Following resources are available free to members: Referral Guidelines, General Guidelines for Written Employment Agreements Between Dentists and Employees, Communicating Infection Control to Your Patients, Flexible Benefit Plans in Dental Offices, Directory of Dental Practice Appraisers, Dental Marketing Resources, and Marketing Tactics to Help Build Your Practice. Call the Council on Dental Practice, extension 2895.

Customized state and county level demographic reports provide population statistics and numbers of dentists and their occupational status for specific states and counties. This information would be useful to members who are deciding where to open a practice or a satellite office. Call the ADA Survey Center for a current publication list, extension 2568.

Book loans and journal articles on practice management are available to members by mail. Contact the ADA Library, extension 2653.

The ADA can give you extra assistance in locating a position or office. A good place to start is with classified advertising in the Journal of the American Dental Association as well as the Virginia Dental Journal and your local dental society newsletter. In addition, the ADA's Council on Dental Practice publishes the Directory of Dental Placement Services, free to members. To request the directory, call the Council at ext.2895.

For more information on the many benefits of membership in organized dentistry, call the ADA at (312) 440-2500 or use the members-only 800 number listed on the back of your membership card. You may also call the Virginia Dental Association at (804) 358-4927 or your local dental society. Membership matters!


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-- ~

Connie Jungmann, VDA Assistant Executive Director

Virginia, Pennsylvania and Montana top new plans.... The June-July 1998, issue of ADA's publication Direct Reimbursement News provided the following status report on the ADA's national DR media and direct campaign:

"Between January 1 and May 20, New York and California led the pack with the highest number of campaign-related DR leads, but Virginia, Pennsylvania and Montana are tops when it comes to actual DR plans implemented so far this calendar year. ADA records show that l\lew York has received 152 leads, California received 132, and Illinois received 123 - impressive numbers that speak to the strong potential for DR in these states. Virginia leads the way with five new campaign-related implementations this year, and Pennsylvania and Montana follow with four each.

California continues to lead the number of total existing DR dental plans. Our updated records show approximately 350 DR plans (almost 19,000 lives) operating in that state. North Carolina boasts the most covered lives, with over 40,000 lives (approximately 120 plans) covered by DR."

During this same reporting period, Mobil Oil (a Virginia-based employer) effected it's DR plan to cover its 15,000+ U.S. employees and their dependents. Although we do not have precise numbers, it is safe to estimate that with both Mobil Oil and Wachovia Corporation bringing DR to their Virginia-based employees, there are now at least 10,000 people in the Commonwealth covered by a DR plan.

Three more choose DR.... Benefits Administration, Inc. has recently added three more clients to their ever growing list of DR

clients. We are pleased to announce that the following Virginia employers have chosen DR as the plan of choice for their employees:

David R. McGeorge Car Co. - Richmond - SAl referral' C.L. Lewis Co. - Lynchburg - ADA referral; and ' Perma Treat - Fredericksburg - ADA referral.

Referrals from VDA dentists down.... While both the ADA and VD~s advertising campaigns continue to generate serious interest in DR among business decision makers, the number of DR referrals from dentists have declined. In their report to the Committee on Direct Reimbursement at its June meeting, Jon Swan and Cork Coyner (BAI) reported that during the first half of 1998, VDA member dentists had generated 12 DR referrals, down from 51 during the first half of 1997.

SAl further reported that brokers are beginning to respond to the ADA promotion, and SAl is looking very favorably to developing a productive broker network throughout Virginia.

Knowing that the dentist referral is still considered to be the best "door opener" into a company to talk with them about DR, the Committee is formulating a plan with the help of the local component DR committees to educate VDA member dentists and their staff about DR and to get them actively involved in its promotion.

If your office is interested in getting involved with the promotion of DR, please contact Connie Jungmann or Ronya Edwards at the VDA Office. Brochures and other DR educational materials are available to VDA member dentists at no cost upon request.


VDA NEWS - - !I: ________________1)

Note these dates:

VDA 129th Annual Meeting Williamsburg, VA September 16-20, 1998

ADA 139th Annual Session San Francisco, CA October 24-28, 1998

VDA Leadership Conference Wintergreen, VA November 5-8,1998

VDA January Committee Meetings Richmond, VA January 29-31, 1998

Planning Ahead

The Fall Leadership Conference will be held November 5 - 8, 1998 at the Wintergreen Resort in Wintergreen, Virginia. Please contact the VDA Central Office with questions about this conference, 800-552-3886. The Leadership Conference is open to the entire VDA membership.

SAN FRANCISCO

Questions about the Annual Session

For further information call (800) 621-8099, and ask for the following extensions:

Business Session/House of Delegates Hotel Information U.S. Registration Information Scientific Program Ticket Sales Tours

For Further Information:

139th Annual Session American Dental Association 211 East Chicago Avenue, Suite 200 Chicago,IL60611-2678

Tel: (312) 440-2758 Fax: (312) 440-2707

ADA ONLINE http://www. adaorg/session

x2946 x2583 x2381 x2745 x2382 x2880

For Further Information about the San Francisco area, contact:

San Francisco Convention and Visitors Bureau Visitor Information Lower Level Hallidie Plaza, Union Square 900 Market Street San Francisco, CA 94102 415-391-2000

http://www.stvisitor.org

SAN FRANCISCO

American Dental

Association

139th Annual Session

October 24 - 28, I 998

Pte-sessions. Fi'-day Uctobet 23 1998 Technology Dav·Team BUildlniJ Conference

~----------------------

Please send information on the

1998 Annual Session

Name

ADA Membership, if applicable

Address

CIty, State, Zip

Country, il not USA

Return to: Council on ADA Sessions

and lnternationa' Programs American Dental Association

211 East Chicago Avenue SUIte 200

"",go. 111'001, 6061 1·2678 USA j Virqinia Dental Journal 37

VDA ALLIANCE NEWS

Alliance of the VDA Meeting Schedule

Thursday, September 17 11:00am Dutch Treat Lunch at the Boxwood Inn and a Tour of Lee Hall Mansion. Lee Hall is the only large mid

nineteenth century plantation house remaining on Virginia's lower peninsula. The home of affluent planter Richard Decauter Lee, Lee Hall, became a command center for Confederate generals John Bankhead Magruder and Joseph E. Johnston during the 1862 Peninsula Campaign. Lee Hall stands today as a symbol of Newport News' pastoral past and the war that forever changed the Peninsula social, political and economic fabric. (Limited to 20 people.)

Friday, September 18 9:00am 5:00pm Registration 10:00am 12:00pm AVDA Board Meeting 12:3Opm 1:30pm AVDA Board Luncheon 2:00pm 3:30pm Seminar, "Caring for Aging Parents" 1O:00am 4:00pm Hospitality Suite Open

Saturday, September 19 8:00am 12:00pm Registration 8:30am 11 :3Oam P.A.N.D.A. Course - Dr. Mouden, the ADA spokesman on child abuse prevention, will present his seminar

entitled "How Dentistry Succeeds in Preventing Child Abuse and Neglect." The program is designed to provide a positive view of this difficult topic.

12:00pm Annual AVDA Meeting & Luncheon 1:30pm Adjourn 1:30pm Free to visit Colonial Williamsburg, outlet malls, Williamsburg Pottery.

Non-AVDA members are welcome to attend any of these meetings.

Please make reservations by September 1, 1998.

Mail to: Checks payable to: AVDA

Sandy Parks 25 Museum Drive Newport News, VA 23601 Telephone: 757-595-5438

Name: _ Amount Enclosed: _

Address: _ Zip Code: _

Phone Number: _

__ I plan to attend the Boxwood Inn luncheon and tour of Lee Hall Mansion $20 __ I plan to attend the Seminar "Caring for Aging Parents" No Charge __ I plan to attend the Mouden "P.A.N.D.A." Course No Charge __ I plan to attend the AVDA Annual Meeting Luncheon $25


- -- --

VDA ASSISTANTS NEWS

Virginia Dental Assistants Association Schedule

Thursday, September 17 8:00am 6:00pm 5:00pm 6:15pm 6:15pm 7:15pm 7:30pm 9:30pm Friday, September 18 7:00am 5:00pm 8:30am 11:30am I 1:30am 1:30pm

1:3Opm 4:30pm 2:00pm 3:30pm 3:45pm 4:30pm 4:45pm 5:15pm 5:30pm 6:30pm 6:30pm 12:ooam Saturday, September 19 6:30am 7:30am 7:00am 5:00pm 8:00am 8:15am 8:30am 11:3Oam 8:30am 11:3Oam 12:00pm 1:30pm 2:00pm 4:30pm 2:15pm 4:30pm 1:30pm 4:30pm 5:00pm 6:00pm 6:30pm 10:00pm Sunday, September 20 7:30am 9:00am

9:15am 11 :OOam l1:ooam 12:00pm

VDA & VDAA Registration - East Gallery, Williamsburg Lodge VDA Opening Session - Auditorium, Williamsburg Lodge Opening of Trade Show - Virginia Ballroom, Williamsburg Lodge VDAA Preconvention Board Meeting

Registration & Ticket Sales - East Gallery, Williamsburg Lodge Spear Course - Auditorium, Williamsburg Lodge Exhibits & lunch or ACD Luncheon for Learning - Tidewater, Williamsburg Lodge Spear Course Cont. - Auditorium, Williamsburg Lodge VDAA First House ADAAJVDAA Forum Balloting President's Social VDA Casino Night - N0l1hBallroom, Williamsburg Lodge

VDA Fun RunlWalk - East Gallery, Williamsburg Lodge Registration - East Gallery, Williamsburg Lodge Balloting Mouden Course (Staff) - Korth Ballroom, Williamsburg Lodge Winter Course - Auditorium, Williamsburg Lodge Past Presidents Luncheon DANB ICE Exam - $40 - Room F,Williamsburg Lodge OSHA Update (Members & Students) Carolyn Prosise Winter Course Continued - Auditorium, Williamsburg Lodge Student Reception President's Banquet

Past President Breakfast, Dr. Thomas Butterfoss (Dentistry-Bland Mission) - $12 VDAA 2nd House(including Installation of Officers) Post Convention Board Meeting

Friday, September 18 8:00am 5:00pm 8:30am II :30am 11:30am 1:30pm 1:3Opm 4:30pm 5:00pm 6:30pm 6:30pm 12:(XYdJ11

Saturday, September 19 8:00am 5:00pm 8:30am 11 :3Oam 8:30am 11:30'dJ11 I2:00pm I:3Opm 4:30pm

CDHA NEWS

Commonwealth Dental Hygienists Society Schedule

Registration Spear Course ACD Luncheon for Learning Spear Course Reception with exhibitors Casino Night

Registration Mouden Course Winter Course Luncheon/Annual Meeting ($15) Winter Course

Luncheon fee should be made payable to CDHS and mailed to:

Gerryann Priest 2406 Crowncrest Dr. Richmond, VA 23233


II

Component I Tidewater

Dr. Barry Einhorn, Editor

As I write this report the heat index in Tidewater is 105. I remember writing in my last report that I wish summer would finally arrive. Enough said on the weather!

This has been a productive year for the Tidewater Dental Association. We have had three outstanding continuing education programs. One of which was held in conjunction with the Peninsula Dental Society. We held a very successful Dental Health Fair for Children's Dental HealthMonth. Our members have taken an active role in many VDA activities and continue to do so. We look forward to serving as co-hosts for the VDA annual meeting in Williamsburg in September. Our annual meeting will be held on August 19 at the Norfolk Airport Hilton Hotel.

We are extremely proud of our Colleague Dr. David Paul for his academic accomplishments. In December 1993 he received his MBA degree and this summer he was awarded a PHD. His doctoral dissertation was entitled "Measurement of Perceived-Service Quality of Selected Dental Specialists." He is threatening to get his law degree next.

In closing I would like to leave you with a bit of humor. A Spanish lady gave birth to identical twins but was unable to raise them both. She named one Juan and the other Amhal. She kept Juan and Amhal was adopted by an Arab family. Years later her husband wondered aloud as to what Amhal looked like. His wife replied , "Since they are identical, if you've seen "Juan, you've seen Amhal."

Have a great summer!!


Component II Peninsula

Dr. A.J. Booker, Editor

No news reported.

Component III Southside

Dr. Reed Boyd, Editor

The Southside Dental Society has had an eventful spring and is now gearing down for the summer months. Recently it has been hot in this part of the state and it is only early June. I cannot imagine what August will bring, only time will tell.

Back in June, we hosted our semi-annual CE Course with Dr. VanArsdale from Pennsylvania. This was an interesting CE Course from several aspects. The material presented was stimulating to all of the attendees; there was something for everyone, general practitioners, oral surgeons, periodontists, pedodontists and orthodontists. Rarely does a course hold something for everyone, but this one did. We adjourned in the early afternoon for the Pork Festival. Several of our members, Harold Neal and Roger Palmer live in Emporia and with their wives, Jamie and Janice they graciously opened their homes t~ us for the afternoon and evening as well and we thank them for their hospitality.

We are preparing for our semi-annual business meeting to be held in early September. We are looking at several possible format changes for this meeting. We are considering an afternoon outing of golf and tennis with a barbeque buffet and business meeting to follow. I will keep you updated on the success of this event.

Summer is busy and full of vacations so I have no personal or social news to

report. However, as Chairman of the Membership Committee would like to urge each VDA member to take 25 minutes to view the ADA video on the proposed Awareness Campaign. These videos can be gotten from your component's president or membership chairman, the VDA Central Office, or myself. With the video is a yellow survey card with a few short questions. Please mail this card, the postage is prepaid and it is self addressed, back to the VDA Office.

Please contact your Component's Delegates and Alternate Delegates to the VDA House of Delegates and make your opinions known to them about the Awareness Campaign and any other issue in the VDA. Their job is to represent you and your opinions and they cannot do this effectively if they do not know how you feel. Along that same line, the Membership Committee will be contacting each of the Delegates and the Alternate Delegatesrequestingthem to contact you to discuss all of the issues with you, in particular the Awareness Campaign. Please look at the Awareness Campaign as just that, a public awareness campaign. It is not designed nor intended to be an advertising campaign. It is a campaign to expose our profession, reintroduce the entire profession of dentistry, not we as individual dentists, in a positive light to the public we serve and depend on. I urge you to make an INFORMED decision on this issue.

The Membership Committee asks that you look past the dues increase. We realize this campaign carries a heavy pricetag, estimated at $300 a year for three years. The campaign will have an impact on the membership of the VDA no matter how it settles out. The Membership Committee has proposed some alternative dues payment methods to the Executive Council for their consideration to soften the financial hardship of our members. Please realize that this campaign, if broken down on a monthly basis, is approximately $15 per month. We can all afford that for the good of our entire profession, Please judge this campaign on the merits of the campaign itself, which naturally must include the costs of the campaign, and what it will do for den

tistry as a whole. If you have any questions or comments please do not hesitate to contact me directly.

The Annual Meeting of the VDA is scheduled for the weekend of September 16 - 20 in Williamsburg. Hope to see all of you there. The House of Delegates will be meeting, the election of officers of the VDA will be held and there will be some outstanding CE Courses as will as Commercial Exhibitors. Please mark your calendars for this important weekend of activity, learning and fun. Have a great summer! Please be careful on the highways!

Component IV Richmond

Dr. Charles E. Gaskins III, Editor

As summer vacations continue, several "post-notes" related to the Component are in order. First, congratulations are in order to Mike and Benita Miller. In May they became the proud parents of their first child, Anne Alexandra. Next, a big round of thanks to all of the members, corporate sponsors, and everyone else who helped to plan, direct, and support the annual golf, tennis, and cookout outing; which was held on May 15th at the Country Club of Virginia's James River Course. The event was well supported, and many faces from both MCV, and outside of the component, were spotted in attendance.

With the 1997-1998 "organizational year" coming rapidly to a close, many other thanks also need to be offered at this time. The current officers: Executive Councilor; Parliamentarian, those many members who chaired and/or staffed our component-level, state-level, and national-level committees; our Executive Secretary; and the general membership all should be thanked for their significant individual and group hard work and financial support. An enormous cumulative effort (often untold, and therefore unrecognized by many) goes into making an "organizational year" enjoyable, productive, and successful for members.

At the next monthly membership meeting on September 11 th, the following component leadership will be installed for 1998-1999: Dr. John S. Kittrell will become President; President-Elect will be Dr. Charles E. Gaskins III; Dr. H. A. "Jack" Dunlevy will become Secretary; Dr. Russell N. Mosher, Jr. will continue as Treasurer and Dr. James R. Lance will continue as Executive Councilor. Dr. Norman Marks and the Dental Education and Continuing Education Committee have proposed yet another terrific slate of CE programs and speakers for the upcoming year. Members always receive a great professional value return when they attend these Component functions. Many thanks to both Norman, and the many general practice and dental specialty practice committee members, who collectively forge the annual CE schedule.

Between swimming, golfing, relaxing, etc. this summer, Richmond Dental Society members are reminded to finalize their plans to attend the 129th VDA Annual Meeting in Williamsburg, from September 16th to the 20th, at the Williamsburg Lodge. See you there!

Editor's post-script: This column marks the end of my two years as Component IV's JVDA Associate Editor. As previously cited, in September Dr. Jack Dunlevy will become RDS Secretary (and the Component JVDA Associate Editor). He will do a great job, both for the Component, and for the Journal. Somewhere during the times that I attempted to compile and publish the many events that have concerned Component IV, I began to realize how large and diverse our membership has become. Indeed, Component IV geographically covers a lot of square miles. Component IV lists members that serve many varied populations, with their varied dental needs, goals, and demographics. Member communication with the RDS office is essential if the elected leadership is to be aware of, and subsequently responsive to, the needs and desires of both the membership and the public that we serve. Many services are available through organized dentistry, but members need to avail themselves of them. By becoming personally involved in organized dentistry over the

years, I feel that I have been rewarded by a greater understanding of many of the things that can effect the conditions under which we all practice. If you are not personally involved with organized dentistry at this time, please consider becoming involved. YOU will benefit greatly from your efforts, so will your colleagues and your patients. Best Wishes to all, and thank you for allowing me to serve these last two years. --Charlie

Component V Piedmont

Dr. Barry Cutright, Editor

Our component met on May 1st in Roanoke, Dr. Paul Belvedere presented his "bag of tricks" on how to do the perfect posterior composite for those who don't want their patient's dentition to resemble a piano keyboard. First you do this, then you do that- somewhat reminiscent of the late Dr. Bill Fitzhugh in senior dental school clinic. The presentation format was good-a lecture/ hands-on combination. But, I have to confess, I'm a little burned out on this subject. And, although Dr. Belvedere's patient had a beautiful MOD composite on #4-he still had a gold inlay/onlay on #5 ten years down the road. In the big cosmetic picture I see #5 before #4 so I left wondering what about #5? In the end, Dr. Belvedere did mention that, "your own clinical observation is more important than what you are told."

During our business meeting, Dr. Scott Ward was nominated to serve on the Executive Council from Roanoke. Dr. Mike O'Keefe was nominated to serve as our councilor. Dr. Mark Crabtree was nominated as president. Dr. Fred Coots was nominated as president elect of this component.

Fast forward to October 1998 and mark your calendar for the 30th. Our speaker will be Dr. David Felton, Chairman of the L1NC Prosthodontics Department. We plan to meet in Lynchburg.


A special thanks to Dr. Donna Helton for her role in staffing the clinic for the VWCC-DCC Joint Venture Dental Hygiene Program. Year-to-Date report on the VWCC-DCC program next issue. Also, Dr. Tonya Reed has joined Dr. George Stermer in the practice of general dentistry.

As summer unfolds let's make an effort to hit homeruns and whenever possible avoid sliding into first or running from home to third as my left handed son does in Tee-Ball. Whatever your agenda is, stay on the team.

OUCH! Errata last issue Cornett-Icon not Toon. I must need a new ribbon in my printer.

Component VI Southwest

Dr. Robert G. Schuster, Editor

Gregory Peck was a recent visitor to southwest Virginia for a performance at the historic Barter Theater in Abingdon. Abingdon will also be the site for our component's next meeting. The summer meeting will be held at the Virginia Highlands Community College Higher EducationConference Center on August 14. The meeting coincides with the Virginia Highlands Arts and Crafts Festival also held in Abingdon. The featured speakers will be Dr. Jasper Lewis and Ms. Anne Page Griffith, founders of Practicon. Their topic will be, "Secrets to Managing the Accelerated Dental Practice".

The annual meeting of the Virginia Dental Association will be held in Williamsburg on September 16-20. The following members of Component six will serve as delegates:

Dr. Dana Chamberlain Dr. Susan O'Connor Dr. Anne Johnston Dr. Robert Schuster Dr. David Stepp Dr. Bill Thompson Dr. Paul Umstott

Component six will want to be well-represented at the state meeting as we honor, one of our own, Dr. Wallace L. Huff for his outstanding service to dentistry as President of the Virginia Dental Association.

The final component meeting of the year will be held in Blacksburg on November 13th, with the program being presented by Dr. Hugh Doherty.

To all members, I hope you have wonderful summer vacations and hope to see you in Abingdon or this fall in Williamsburg.

The below photos were taken at Component VI's May meeting at Pipestem Resort and State Park, Pipestem, West Virginia.

Posing proudly on the 18th hole are: (from left to right), Bill Haynes, seminar speaker; Dr. Tom Haller, golf tournament organizer; Dr. Pete Mowbray and Dr. Joe Paget.

Component's VI's 8th Annual Captain's Choice Golf Tournament at Pipestem Resort in West Virginia, May 16, 1998. Join us next year May 14·16, 1999 for a weekend of education and family fun.

~;

Golfers were able to enjoy a traditional family barbecue while being entertianed by the band "The New River Boys".

Component VII Shenandoah Valley

Dr. Bob Hall, Editor

Component VII VDA committee members recently attended the VDA workshop in Virginia Beach. Our thanks to the VDA staff members and officers who made this meeting a success.

Our summer component meeting was recently held in Winchester, where we were fortunate to have Dr.James Coffey, who gave an excellent presentation on fixed prosthodontics. Mr. Chuck Duvall gave us a VADPAC update and the ADA Awareness Campaign video was shown. All members are strongly urged to view this tape. Help is also needed with the Donated Dental Services program.

Our fall meeting will be held in Charlottesville at the Holiday Inn on Friday, September 11 tho The speaker will be Harold Crosley.

Component VIII Northern Virginia

Dr. Melanie Love, Editor

Greetingsfrom Component8! Our members have had a busy spring with frequent viewings of the ADA Public Awareness Campaign. It has received mixed reviews,althoughmost have been supportive. We encourage as many members as possible to express their opinions after viewing the campaign, which is available on video.

This year NVDS's Science Talent Awards Program recognized 64 young researchers from almost 1,500 entries. Six NVDS members were judges for the VDA's Science Talent Awards Program at the Virginia State Science and Engineering Fair held in April. Both NSTAP and VSTAP "seek to recognize the sci


ence talent of Virginia's high school students while, simultaneously encouraging them to consider dentistry and dental research as a career." Dr. Will Allison represented the VDA at the State Fair awards ceremony. There he presented sixteen VSTAP awards including one winner from each of thirteen internationally recognized science categories and a three-member team project.

Component 8 would like to welcome the following new members:

Nina Hirshman, DDS Long Kim Hoang, DDS Peter J. Lanzaro, DDS Glen Miller, DDS Bhavana Mistry, DDS Zoltan Rusznak, DDS Su-En Thlick, DMD

We are saddened to report the tragic death of Dr. Miles Merritt who was killed in an airplane accident on May 19, at the Manassas Regional Airport. Dr. Merritt was performing an air show for students when the accident occurred. He was a NVDS member since 1979 and practiced in Burke.

,.---._---------VAE NOTES

Gary R. Hartwell, D.D.S., Elected Director of the American

Board of Endodontics

May 11,1998, Chicago - During the 55th Annual Session of the American Association of Endodontists (AAE), held May 6-10 in New York, Dr. Gary R. Hartwell was elected to the Board of Directors of the American Board of Endodontics (ABE). The ABE is the certifying board for the dental specialty of endodontics that is recognized by the American Dental Association and the AAE.

Dr.Hartwell has been a very active member of the AAE since 1971. He has served on the Board of Directors and has been involved with several committees. He has been on the EditorialBoard

of the Journal of Endodontics since 1991 and on the Scientific Advisory Board since 1985. Dr. Hartwell is also involved in several state and local dental organizations. He is currently a delegate to the Virginia Dental Association and President of the Richmond Dental Society.

Dr. Hartwell is currently the Chairman of the Department of Endodontics and Directorof the Advanced Education Program in Endodontics at the Virginia Commonwealth University School of Dentistry where he has been a part of the faculty since 1987. He is also a retired,Colonel of the U.S. Army Dental Corps.

Among the many honors bestowed upon him, Dr. Hartwell is an active member of many honorary societies, lncluoinq Omicron Kappa Upsilon and the Pierre Fauchard Academy, and he is a life member of both Delta Sigma Delta and Alpha Epsilon Delta. Dr. Hartwell is also a Fellow of both the American College of Dentists and the International College of Dentists.

Dr. Hartwell received his DDS degree from West Virginia University School of Dentistry in 1966, earned his Certificate in Endodontics from the Madigan Army Medical Center in 1973, and received his MS degree in Oral Biology from George Washington University in 1974. In 1980, he earned his Diplomate status from the ABE.

Dr. Hartwell and his wife, Nancy, live in Richmond and have two daughters, Christie and Carrie.

Dr. Robert Miller, Past President

The Virginia Association of Orthodontists had their annual meeting at The Westin Resort on Hilton Head Island, S.C. The meeting was well attended by members and their families.

Our featured speaker, Dr.Joseph O'Neil, discussed marketing strategies for the optimized orthodontic practice. Joe maintains a full-time consulting business in Williamsburg after practicing restorative dentistry in Louisiana for 22

years. His field-tested techniques have benefited many orthodontic practices across the country as well as here in the Commonwealth. He offered a fresh insight on communications to both patients and referring dentists for the practicing orthodontist. For questions regarding Dr. O'Neil's services, he can be reached at 757-565-2277.

What do three-time Olympic volleyball gold medalists, Karch Kiraly, Scott Mitchell (quarterback for the Detroit lions), and Temmu Selanne (one of the leading scorers in the NHL) have in common? They all attribute their increased speed, flexibility, and injury prevention to Adrian Crook. Adrian, a movement and flexibility consultant discussed and demonstrated ways to reduce occupational injuries through proper stretching techniques. His daily 30 minute stretching workout is good for both the professional athlete and those professions, such as ours, that are susceptible to back and neck injuries. For those interested in ordering his instructional/workoutvideos you can call 1-800463-5393.

Other than the outstanding weather, the highlight of the meeting was the Earl Williams Band who provided musical entertainment one evening. We also had the highest stakes for any golf tournament as many manufacturersdonated prizes from archwires to curing lights! A tennis tournament and fun run rounded out the athletic events for the meeting.

Several motions were adopted by the general membership, mainly in the area of restructuring of By-Laws. The Medicaid increase was discussed and a motion was made regarding fees and treatment indices which are intended to encourage orthodontists to become Medicaid providers. For those who already are Medicaid providers reimbursement rates have increased approximately 30%. New VAO officers were voted in and they include: Dr. Alan Bagden, President; Dr. RodKlima, Vice President; Dr. David Jones, Secretary-Treasurer; Dr. Steve Hearne, Director; Dr. Bill Dabney, Director; Dr. Steve Garrett, SAO State Director. Other board members include Dr. Bob Miller, Immediate Past President; Dr.


Mac McCorkle, Past President; Dr. Eddie Ross, AAO Delegate. I would encourage you to contact one of these board members if you want to express a concern regarding the VAO.

I would like to take this opportunity to thank each of you for supporting me during my tenure as your president. I would like to particularly thank Dr. Alan Bagden for his efforts arranging our featured speaker and also for his help with last years winter seminar. We are in very able and experienced hands as, he serves as our next president.

Dates of upcoming meetings:

Southern Association of Orthodontists Annual Meeting October 16-20, 1998 at Grove Park Inn, Ashville, NC.

Virginia Association of Orthodontists Winter Seminar January 17-24,1999 at Big Sky, Montana

Dr. Michael E. Miller, President

For most oral and maxillofacial surgeons, the summer months bring a certain "seasonality" to our practices that is both welcomed at its commencement and often ushered-out just as enthusiastically once the Labor Day weekend approaches. During this time when we juggle a bulging surgical schedule with a plethoraof personal and family responsibilities, it was great to see the faces of colleagues who attended the recent VSOMS annual meeting in Virginia Beach. Dr. Pat Dolan presided over the agenda with aplomb as he did throughout the year at each of the board meeting. Many thanks Pat for a year of hard work and a job well done.

This year's annual meeting took place at the Sheraton Hotel, which appeared to be a quite popular alternative to the Ramada Inn and Cavalier Hotels that were venues in past years. Our guest speaker Dr. Barry Steinberg braved the Florida Wildfires, and not without trepi


dation, returned to one of his many training grounds to endure the banter of a number of historical "co-residents," such as me, while attempting to educate the group on various aspects of pediatric maxillofacial surgery. Dr. Steinberg's material was relevant, interesting and up-to-date, leaving us to realize that he truly has become one of the gifted "subspecialists" in our profession. Other notable guest speakers included our District 3 Trustee, Dr. Larry Nissen who brought us up to speed on pertinent issues facing our specialty and the Boards outlook for the future and Dr. Stem Holmes presented a very informative insight on how AAOMS Nationallnsurance continues to grow, fight for its insureds and consequently keep our malpractice premiums reasonable. Friday evening's cocktail reception was both a culinary and social success that gave Benita and me an opportunity to introduce our two month-old daughter, Anne, to many of the friends we unfortunately only see on a seemingly annual basis. Everyone seemed to enjoy the Saturday nightseafood buffet as well as the excursion to the Marine Science Museum for the walking tour, IMAX presentation "SHARKS", and the dessert reception that followed. Sunday morning brought the conclusion of our business agenda along with the election of officers for the coming year. Dr. Paul Hartmann was named President-elect, Dr. Robert O'Neill selected as Secretary-Treasurer and Drs. Steve Paulette and Kimberley Swanson added to our list of Councilors-at-Iarge. Congratulations! I also thank the various exhibitors who helped sponsor our meeting and help to educate us on what's new with materials and instrumentation many kudos for this wonderful addition to our meetings. A very special and much deserved THANK YOU goes out to Mr. Bill Zepp, our executive director, along with his wife Pat who labored diligently to pull off a well-run and pleasant annual meeting once again!

The 1998 AAOMS Leadership Conference, a bi-annual event sponsored by our parent organization and held in Chicago was recently attended by Dr. Paul Hartmann and myself. A brief synopsis of the salient issues presented at this meeting is warranted. The contem

porary scope of our specialty requires that the current ADA recognized definitions of dentistry and its specialties be adopted by the state boards of Dentistry and this issue is currently being addressed in Virginia. A close working relationship with our own Board is essential as well as our future interactions with the VDA to insure that our state remains current on this issue. The AAOMS is also developing Clinical Pathways and Outcomes Assessments and already has drafts for the treatment of third molars, mandibular retrognathia, mandibular fractures, and the administration of office-based anesthesia; these are continuing to be modified and will be available to the profession in the near future. Our liaisons on Capitol Hill are helping the ADA in its efforts to push a meaningful healthcare bill through Congress this session and we hope that these efforts ensure that a few simple patient protections such as point-of-serviceoptions and accountability of insurance providers remain within such badly needed legislation. A "courageous" third molar study is also underway, sponsored by the AAOMS and the OMFS Foundation; this will take place at multiple teaching and private-practice sites across the country, span 4-5 years and hopefully provide the information necessary to deal better with this area of our practice in the managed-care arena. Dr.Hartmann and I also engaged in a roundtable discussion with Dr. Larry Nissen and many other southeastern surgeons to elucidate what the concerns are of those practicing in our region. The conference delivered excellent insights into an abundance of aspects of our profession and was an enjoyable trip as well.

To the members of the VSOMS, I thank you for the opportunity to work for our specialty in Virginia. I am excited that we have planned to coordinate next years annual meeting in conjunction with the VDA Annual Meeting in Reston, Virginia. This combined conference will be sponsored by Implant Innovations Inc. and should prove to be a well-attended. fun and educational venue for our members and colleagues. Have a safe and successful summer.

('\.

VSOP NOTES '1) Dr. Steven L. Saunders, President

The Virginia Society of Periodontists held its annual summer meeting at the Tides Inn, July 25-26, 1998. The educational portion of our program included:

Saturday, July 25 Dr. Tom Waldrop; Periodontal Regeneration: Criteria for Success

Dr. John Burmeister; Local Drug Delivery Systems:How Do We Use Them.

Dr. Harvey Shenkein; Inheritance as a Determinant of Susceptibility for Periodontitis.

Sunday. July 26 Dr.Gary Maynard led the group in a discussion on The Future of Periodontics.

As always the Tides Inn provided our group with a wonderful environment within which to share education as well as relaxation.

Our spring meeting was held April 4, 1998. The V.S.O.P. challenged our speaker Dr. Edward "Pat" Allen to contribute to the School of Dentistry's Excellence Through Research- and Investment in Our Future campaign. He graciously agreed to contribute $1,000.00. The members of the V.S.O.P. then agreed to a matching contribution.

The members of the V.S.O.P. would now like to challenge the other specialty groups of Virginia to consider contributing to this most worthwhile campaign in a similar manner.

Our 84th annual American Academy of Periodontology meeting will be held in Boston. Massachusetts September 12-16, 1998. Early registration is encouraged. To receive registration information, contact AAP's Department of Meetings and Membership Services at 312/573/3210 or 3216.

, \l PUBLIC HEALTH NOTES)

Dr. Karen C. Day, Director Division of Dental Health

Joe and Helen Doherty Honored...

A special tribute and luncheon was held in honor of Joseph and Helen Doherty in October 1997, during the Annual Meeting of the American Association of Public Health Dentistry to present them both with the Distinguished Service Award, the Association's highest honor. Helen was honored for her 14 years of service as Administrative Secretary to the Association and Joe was awarded for his distinguished career in dental public health and service to the Association. Helen was the Association's first employee and established the Association's national office in 1984. Joe held every elected office in the Association and for the past four years served as Special Consultant to the President(ExecutiveDirector) for the Association.

Dr. Doherty served as Director for the Division of Dental Health, Virginia Department of Health, for 17 years (1977 1994). During that time, he was active in dental affairs on the local, state and national levels. On the local level, he served as President of the Richmond Dental Society. At the state level, he served on many of the committees of the Virginia Dental Association and attended all of the Executive Council meetings of that Association. On the national level, he served on the American Board of Dental Public Health and was its President in 1988. Dr. Doherty is a Diplomat of the American Board of Dental Public Health and a member of the American College of Dentists, the Pierre Fauchard Society and is a fellow of the Virginia Dental Association.

He is still active in his "retirement". He presently represents the Richmond Dental Society on the Central Virginia Health Planning Agency, having just been elected its first Vice-President. He is Chairman of the Virginia Dental Association Practice Regulation Committee and Chairman of the Legislative Committee of the Virginia Public Health Association. Joe is still working part-

time as a Consultant to the Division of Dental Health.

The Division of Dental Health would like to express its appreciation to Joe and Helen Doherty for their support, hard work and leadership for the American Association of Public Health Dentistry.

Photograph (left to right) at the Awards Luncheon: Rhys Jones, Immediate Past President of American Association of Public Health Dentistry (AAPHD): Joe Doherty, Special Consultant to the President, AAPHD; Helen Doherty, Administrative Secretary, AAPHD;Robert Collins, President, AAPHD; Myron Allukian, Host and Past President, AAPHD.

( SCHOOL OF DENT~STRY "!

l NOTES) Tom Burke, Assistant Dean

NATIONAL INSTITUTES OF HEALTH AWARD MAJOR RESEARCH GRANT

Dr. David R. Burns receives $825,000 grant

Dr. David R. Burns, Associate Professor of Prosthodonticshas been awarded a R-01 research grant of $825,000, to study a variety of dental implant supported overdentures. This grant will fund clinical investigations that will be conducted over a five year period. I'JIH grant funding for clinical research is difficult to acquire and this grant is the only one of its kind in the field of Prosthodontics within the United States.

Dr. Burns is the Director of the Postgraduate Prosthodontic Residency Program and has been on the dental faculty for thirteen years. His study will involve a number of investigators from the MCV campus including colleagues


in the School of Dentistry and Medicine. The study will enroll thirty edentulous patients. Each patient will receive four dental implants in the anterior mandible. The widely variable dental implant-denture treatment modalities offer a range of complexity that will be evaluated and analyzed.

The study is designed to provide scientific data surrounding the number of dental implants required to support and retain lower dentures when treating patients who have lost all their teeth. Additionally, research will be conducted that will identify the best methods for connecting lower dentures to dental implants. Thus, by evaluating these hypotheses, it is hoped that the results may provide dentists and patients with less complex and expensive treatments while maintaining effective treatment outcomes.

"EXCELLENCE THROUGH RESEARCH - AN INVESTMENT IN OUR

FUTURE CAMPAIGN" UPDATE $4 Million Goal Achieved

The "Excellence Through Research - An Investment In Our Future Campaign" continues to receive support from alumni and friends of the School. ''The goal for the Campaign was to raise $4 Million. I am very pleased to report that as of June 30, we achieve our goal, said Dr. Jeff Levin, Campaign Chairman. While we have reached the $4 Million mark in cash and pledges, we still need additional support to meet the Willie Crockett Scholarship Fund goal of $220,000. To date we have raised $123,000 dedicated to this goal and will continue our efforts in this area. The other goal, I would like to see accomplished is the establishment of an endowment for the research center. This will require a major gift from a special donor who wishes to establish a named endowment fund for the Institute for Oral and Craniofacial Molecular Biology."

The construction of the Institute is scheduled to begin in the spring of 1999. Dr. Francis Macrina, Chairman and Director of the new Institute has been involved with the design of the new facilities. "I am very pleased with the progress of this campaign and want to


express my appreciation for the support of the alumni and friends of the School. I will do everything in my power to ensure that this Institute will provide cutting-edge molecular research in the field of head and neck cancers. It is my intention to collaborate with colleagues in the Massey Cancer Center and the School of Medicine to facilitate our research efforts."

The Campaignhas received supportfrom over 800 alumni and friends of the School. A complete list of contributors of $500 or more is published in the Summer edition of the School of Dentistry Newsletter. "This Campaign has been a huge success based on the involvement of many alumni and friends of the School. However, one individual whom deserves special attention for his efforts is Dr. Levin," said Tom Burke, Assistant Dean for Development and CEo "He is a remarkable fellow when you consider all of his commitments with the VDA, his patients, and his community work. He is a living example of the expression 'if you want to get something done - find someone busy to do it.' On behalf of the alumni, faculty, friends, and students of the School of Dentistry, we thank him for his commitment and leadership of this Campaign."

DR. RONALD HUNT IS NAMED DEAN

Dr.Ronald Hunt has beenselected Dean of the School of Dentistry. Dr. Hunt will be succeeding Dr. Lindsay Hunt effective September 1. Dr. Hunt is currently, Associate Dean for Academic Affairs at the University of North Carolina School of Dentistry. Dr. Hunt will become the fourteenth Dean of the School of Dentistry. A complete story on Dr. Hunt is published in this edition of the Journal. Please welcome Dr. Hunt to our dental family in Virginia

THREE ALUMNI RECEIVE UNIVERSITY RECOGNITION

Three School of Dentistry Alumni were recognized during this year's Homecoming and Commencement activities. Dr. French Moore, Jr. was presented the Universities highest honor during commencement by President Eugene P.

Trani. Dr. Moore was presented the Edward A. Wayne Medallion for his outstanding contributions to the University Community. Dr. Moore served on the VCU Board of Visitors for eight years and served as its Rector from 1989 to 1992. He also co-chaired the University's "Partners for Progress" Campaign forthe MCV Campus.

Two alumni were also recognized during Homecoming festivities. Dr. Cyril R. Mirmelstein was presented with the Medical College of Virginia Alumni Associations' Alumnus of the Year Award. He was selected for this honor due to his many years of dedicated and selfless service to the School and the University. In 1989, Dr. Mirmelstein established the Mirmelstein Ethics Lectureship which is dedicated to ethics and professionalism, and is held annually in August.

Dr.Sanford Lefcoe,was also recognized during this years' Homecoming Banquet. Dr. Lefcoe was presented with the dental division of the MCV Alumni Association Outstanding Dental Alumnus Award. Dr. Lefcoe was selected for this honor based on his service to the School, organized dentistry, and to the international community. Dr. Lefcoe also recently established an endowment fund to support dental student research activities in conjunction with the Institute for Oral and Craniofacial Molecular Biology.

All three of these alumni are proud examples of individuals who have dedicated a signficant portion of their professionallives to volunteer service and leadership.

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Classified Advertising

Classified advertising rates are $30 for up to 30 words. Additional words .25 each. All advertisements must be prepaid and cannot be accepted by phone or fax. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 15th of December, March, June, and September. Example: September 15, at 5pm is the closing date for the October-November-December Journal issue. After the deadline closes, the Journal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is firm.

As a membership service, ads are restricted to VDA and ADA members and are restricted to non-commercial copy. Advertising copy must be typewritten and sent to: Journal Classified Department, Virginia Dental Association, P.O. Box 6906, Richmond, VA 23230-0906.

The Virginia Dental Association reserves the right to edit copy and does not assume liability for the contents of classified advertising.

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