Q2 2015 The Newsletter of the Lancaster County Dental Society www.lancastercountydentalsociety.org IN THE SPOTLIGHT MAY 8, 2015 “Evidence Based Analgesia” by Dr. Elliot Hersh “Office Anesthesia and Medical Emergencies” by John Brewer 8:00 AM- 4:00 PM MAY 14, 2015 Giving Wings to Big Ideas Empowering Families for Children's Health 6:00 - 8:00 PM Cork Factory Hotel RSVP by April 29, 2015 717-397-7625 MAY 29, 30, 2015 CARING FOR OUR COMMUNITY FREE Dental Services Pennsylvania Farm Show Complex North Hall Entrance Doors open at 6:00 AM JUNE 25, 2015 Deadline for article submission for next Handpiece Please e-mail to lcdentalsociety@ gmail.com or call Jenn TELEPHONE : 717-606-6534 THE PRESIDENT’S MESSAGE Dear Friends and Colleagues, Another year has passed and it’s time to say goodbye as president. I reflect on the year that’s passed and see many passionate people about dentistry and our society. I enjoyed seeing many of you at our events and hope to do so in the future. I personally want to thank Alycia for her dedication, organization and professionalism to the society. She has made my time as president quite frankly a breeze! We will miss her and wish her good luck. With that said, our new secretary Jenn Hean has provided a very smooth transition and hasn’t missed a beat. I also want to thank the executive committee, they are an impressive group. They are dedicated, full of ideas and passionate about the society’s mission. They will continue to work for us and support us in practice. Please join us on May 8th, for our all-day event, including the installation of our officers. As our CE calendar year draws to a close, a few important dates are approaching. April 24th- 25th, the PDA Dental expo at the Hershey Hotel. The Expo will provide social events, CE and vendor exhibits. Lastly, May 28-30, Mom-N-Pa event will take place in Harrisburg at the Farm Show complex. Please register at www.mom-n-pa.com/ volunteer-information. Thank you, Dr. John Vakkas THOUGHTs TO PONDER: CHAIRSIDE CHATTER So don't worry your pretty little mind because people throw rocks at things that shine. Taylor Swift If a man smiles all the time, he's probably selling something that doesn't work. George Carlin • Fee: $25 for most all procedures. Cash or check only • Patient source: By Referral from churches, dental community, teachers and staff. • Patient requirements: Patients must provide photo ID (drivers license or state photo ID) and may not have any criminal record or child abuse record since the Lancaster CTC Dental Clinic is located in a public school setting. The Lancaster County Career and Technology Center is starting a dental clinic, Lancaster CTC Dental Clinic, for indigent patients starting in April 2015. Our pilot program will enable students to practice their skills while providing a service to the community. Thanks to a generous grant from the LCCTC foundation, LCCTC school, and help from Please contact us if you have any questions, concerns, 3M, Superior Oxygen and Schein Dental, we will be able to want to volunteer or send patient referrals for Ms. Hudak or provide basic restorative and simple extractions for those myself. My email is: [email protected]. patients that need help with dental care. We will be charging Thank you for your support, Marie Kelly, DDS a minimal fee of $25 per tooth to help offset costs and keep the program sustainable. Patients shall be referred back to their referring dentist for continued care and any more Volunteer dentists extensive care that may be required. We are requesting that providing a "Dental Home" the dental community refer those patients that you identify for low-income uninsured that may be having financial problems and need some help. patients. Our pilot program will be operating from April until June 2015. In mid-September we hope to more fully implement this “No act of kindness, however small, is ever wasted.” -Aesop program into our curriculum to better prepare our students Dental Access Lancaster County (DALCO), a for their employment in your offices. partnership among Lancaster County Dental Society, local • Time Frame: Initial clinic-April to June 2015( graduation). dentists and Lancaster General Health, provides a “dental • Assignment of duties: Eight students may work in clinic home” for low-income, uninsured patients. at a time. 1 student sterilization area, 1 -2 students A dental home is a dental practice that provides assisting Dr. Kelly, 4 students doing individual ongoing care, including routine cleanings. Patients pay a small procedures, 1 student scheduling, 1 rover. Mrs. Hudak co-pay for each visit based on their income. DALCO’s database will be supervising the independent work with Dr. Kelly includes 140 local dental providers. doing exams and doing final checks on student work. Though the list continues to grow, it is small in • Patient flow for students: 4 Patients in AM, 2 in PM for comparison to the dental needs of the uninsured in this students- vital signs, med hx review, FMX or other community. DALCO currently has a 3 month wait list. We are necessary radiographs, study models, existing dental always looking for more dentists to participate with the DALCO charting, oral hygiene instructions, exam charting program. If everyone does a little, no one will feel they are doing with Dr. Kelly a lot. • Clinical days: 2 -3 days a week initially, for 6 -8 weeks. The DALCO providers have provided over $907,608 • Types of procedures for Dr. Kelly: exams, simple restorative, worth of donated dental care. We realize many dentists simple extractions. Providing bleaching trays for already link with other local organizations to provide dental "at home bleaching"(@$50) may be an option. care to those in need; but we are asking you to consider joining Patients would be appropriately referred to their DALCO as well. Signing up to see even one patient WILL make a family dentist or specialists as needed. Digital X difference. Rays could be emailed to the patient’s dentist. We If you would like to join this list of extraordinary will limit treatment for people 12 years and older community minded professionals or have questions about the since assisting with young children may be difficult DALCO program, please contact: Christine Eyer for beginning students. (717)544-3279 • Operative/surgical appointments: Dr. Kelly 2-3 patients in [email protected] morning; 2 in afternoon. Dental Access Lancaster County DALCO 2 3 a t l n S e e D r v E i c E e s R F Please Welcome a New Endodontist to the Area Snyder Endodontics, PLLC Minh Snyder, DMD Practice Limited to Endodontics Please welcome Dr. Minh Snyder to the Lancaster community. Dr. Snyder is originally from Easton, PA and has lived in Pennsylvania nearly all her life. She graduated from the University of Pittsburgh School of Dental Medicine where she continued her education to be an endodontist. She completed her Endodontic Residency Program in June of 2000. Dr. Snyder has over 14 years of group private practice experience in York, PA and is now excited to open her own practice, Snyder Endodontics, in Lancaster. Dr. Snyder and her team provide the highest standard of professional care in a friendly, comfortable environment . By referring your patients to her, your patients will receive the finest endodontic care. Dr. Snyder utilizes state of the art equipment for every dental procedure. Every treatment is visualized microscopically through a brand new Global G3 with LED microscope. Dr. Snyder likes to keep active and enjoys spending time with her family. She is dedicated to being a mother to her son Chance. She is active in Chance's school where she volunteers monthly in the classroom. Most of her free time is dedicated to time with Chance. They enjoy playing soccer, golf and traveling together. Dr. Snyder is a member of several professional organizations which include the American Association of Endodontists, American Dental Association, Pennsylvania Dental Association and Lancaster County Dental Society. Dr. Snyder is participating with most dental insurance plans and her office is located : 2207 Oregon Pike Suite #101 Lancaster, PA 17601 717-826-9959 4 5 St. Joseph Health Ministries is now CHI St. Joseph Children’s Health New name, new look, new possibilities! CHI St. Joseph Children’s Health is a leading force in the effort to improve the health and well-being of children in the Lancaster Community. Since 2004 our programs have focused exclusively on the health needs of children. We work in collaboration with community partners to assure access to appropriate quality health services and benefits for every child in the county. Our mission in children’s health began with the development of Brush.Brush.Smile!®, our mobile dental clinic program, and now includes multiple efforts, programs and services committed to improving the health of children and expanding healthcare access to children and families throughout Lancaster County. Our vision is that CHI St. Joseph Children’s Health will transform our community as it equips children and families with the knowledge, benefits, services, programs and advocacy necessary for every child to grow up happy and healthy. We work to achieve this through four initiatives: DENTAL OCCUPATIONS TRAINING AT TEC CENTRO Access to Care – Our goal is to secure health insurance coverage and benefits for all children in the Lancaster Community. Children’s Health Education – We work toward equipping children and families with the skills and knowledge necessary to improve children’s health outcomes. Children’s Oral Health – Our goal is to assure that every child in the Lancaster Community has a dental home. Community Investment – We strive to increase the capacity to improve children’s health outcomes through strategic investments, partnerships and advocacy. We invite you to join us on Thursday May 14 as we unveil our new Strategic Plan to the Lancaster Community (see information below or contact Beth Grossmann at 397-7625 for more information). CHI St. Joseph Children’s Health is dedicated to working with the local community to develop, implement and create solutions to maximize the unprecedented opportunities before us to assure that all children in the Lancaster Community are healthy and happy. The Spanish American Civic Association has made a significant investment in workforce development of the Latino community by creating the state's first bilingual technology center. Known, as Tec Centro, this community vocational training facility opened its doors in March 2014. Tec Centro is organized to provide : Workforce English Instruction Adult Basic Education (GED) Job Placement Services Skills Training in Dental Occupations Allied Health Culinary Arts Construction Trades Office Occupations In the development of a training classroom for dental occupations, a fully functional dental clinic has been established containing 5 dental chairs and required equipment. 1. Training in dental occupations: classroom training for dental assistants will be conducted by a qualified instructor. Two cycles of dental assistant training will be run annually. The cost of training 15 students per cycle is $25,000. 2. We would like to utilize the clinic to provide the community (especially children) with checkups and preventative care. What you can do... We would like to suggest that individuals and organizations who believe in our mission of assisting individuals to train for a career path in dental occupations as well as to bring dental services to a marginalized community become involved with us to meet the following immediate needs: 1. We need a pan x-ray machine. 2. We need dentists and hygienists to provide classroom training and conduct community clinics. 3. We need initial funding to begin the training of dental assistants. THANK YOU FOR CONSIDERING US. 6 7 ANNUAL KIT STUFFING - FASTEST EVER! February was a busy month! To celebrate Children's Dental Health Month, members of the Alliance held our annual Kit Stuffing Night on Feb. 5th at Highland Presbyterian Church. Cherisse Feddock, chairperson for the event, did the behindthe-scenes work of getting everything ready. Although we did receive a few donations from companies, the Alliance purchased most of the supplies for the kits, using money collected from the Holiday Sharing Card fund raising. Each kit contained a toothbrush, toothpaste, floss and mouthwash - everything a person needs to maintain their dental health. These kits go to homeless shelters, women's centers, day cares - anyplace there might be a person who could use the supplies. Hopefully the kit is a start to good dental hygiene habits! This year, Cub Scouts from Pack 102 and Boy Scouts from Troop 84 were enlisted to help us - and boy, did they come out in force! They get the award for being our fastest packers! That was much appreciated by the Alliance members, who in past years have been at the event quite late. After a snack for all the kids, the Scouts then helped clean up - again a bang-up job - even canvassing the floor for every last scrap of trash in our donated space! Kits were then delivered to organizations throughout the county by the members of the Alliance. Thank you to all Alliance members and their kids who showed up to help out, and special thanks to our industrious Scouts! POSTER CONTEST WINNERS Back again this year, the popular poster contest! The Alliance to the Lancaster County Dental Society sponsored a Children's Dental Health Month Poster Contest using the ADA's theme "Defeat Monster Mouth!" The contest was publicized in the Lancaster Newspapers, and fliers were also sent out (via email) to all LCDS dentists to hand out to patients. We had a great response! Judging was difficult as always - but our judges Pam Berg, Aurora Greene and Melissa Voler were finally able to settle on our nine winners. Winners in three age categories received $50 for first place, $35 for second and $20 for third. Dentists were encouraged to make displays in their offices to showcase the posters for the month of February. You can see from the smiles on their faces just how much they enjoyed the contest and the kids had a pretty good time too! Want to get in on the action next year? Be on the lookout next January for an email about the 2016 Poster Contest! 8 LAST MEETING OF THE YEAR Hard to believe, but most of our work for the year is finished! (Yay!) We will meet one last time for the Past Presidents/New Members Dinner - usually this is the first Thursday in May, held at a local restaurant. If you are not receiving the eVites to events (or you are brand new to Alliance and want to be put on the list), please contact Stephanie Grambau at [email protected]. Don't forget about the MOM-n-PA (Mission of Mercy in Pennsylvania) a 2-day volunteer event for dentists and laypeople, at the end of May check out mom-n-pa.com for more information! "DEFEAT MONSTER MOUTH" Children's Dental Health Month Poster Contest "THE WINNERS" Age group 5-7 1st place: Marlee Lauris, displayed at the office of Dr. Lamichane 2nd place: Theresa Duchesneau, displayed at the office of Dr. Ross 3rd place: Lindsey Rychener, displayed at the office of Dr. Scott Age group 8-10 1st place: Megan Rychener, displayed at the office of Dr. Scott 2nd place: Quinn Degenhard, displayed at the office of Dr. Grambau 3rd place: David Lapp, displayed at the office of Dr. Miller Dentists were encouraged to display the posters in their offices. Age group 11-13 1st place: Shantel Wenger, displayed at the office of Dr. Bender 2nd place: Cecilia Deel, displayed at the office of Dr. Lamichane 3rd place: Caelin Grambau, displayed at the office of Dr. Grambau 9 Lancaster County Dental Society Continuing Education 2014-2015 EVENT REGISTRATION FORM May 8, 2015: “Evidence Based Analgesia” by Dr. Elliot V. Hersh DMD, MS, PhD 8:00AM - NOON “Office Anesthesia and Medical Emergencies” by John Brewer 1:00PM - 4:00PM Location: Lancaster Country Club Time: 8:00 AM-4:00 PM, 7 CE Credits (Meal will be included) “Lancaster County Dental Society, is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by AGD for Fellowship/Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from (11/1/12 to 10/31/15).” Course Description: This presentation will first review the biochemical and physiological mechanisms behind post-surgical dental pain and then discuss various double-blind randomized controlled trials on the efficacy of various analgesic agents following the surgical removal of impacted third molar teeth. The final portion of this discussion will focus on meta analysis data for various analgesics in both dental pain and other post-surgical pain models. “IN OTHER WORDS WHICH ANALGESICS CONSISTENTLY LEAD THE PACK AND WHICH ARE CONSISTENTLY DOGS”. An updated flexible analgesic schedule which was published in JADA in August 2013 will also be introduced. Dr. Elliot Hersh Learning Objectives: • Discuss the utility of the oral surgery pain model. • List various peripheral chemical mediators which contribute to post-surgical dental pain. • Compare the analgesic efficacy of NSAIDs to single entity oral opioids in randomized placebo controlled double-blind oral surgery pain studies. • Describe the rationale for combining opioid with non-opioid analgesic agents, and NSAIDs with acetaminophen. • Compare the short-term side effect profile of NSAIDs versus opioids. • Discuss meta-analysis data on the numbers needed treat (NNT) to obtain one additional patient with at least 50% maximum pain relief beyond the placebo treatment. Bio: Dr Hersh is a Professor of Pharmacology at the School of Dental Medicine and Chair of IRB #3 Office of Regulatory Affairs at the University of Pennsylvania. He received his DMD degree from UMDNJ-NJDS in 1981 and his MS and PhD degrees from UMDNJ – Graduate School of Biomedical Sciences in 1983 and 1988 respectively. Since arriving at the PENN in 1988 Dr Hersh has won the Dental School’s Excellence in the Teaching of Basic Science Award 20 different times and was also presented with a University Lindback Award in 1993, the highest teaching honor in the entire University. He has published more than 125 scientific articles, abstracts and book chapters in the areas of dental pharmacology, drug interactions, analgesics and local anesthetics. His scholarly and research contributions in the areas of local anesthesia and pain control were recognized by the International Association of Dental Research in 2007 meeting where he was presented with the Distinguished Scientist Award in Pharmacology, Therapeutics and Toxicology. Dr Hersh states “that while the research accolades are nice, the most important thing I do is sharing this knowledge with my students and other dental professionals”. Conflict of Interest Statement During the past five years Dr Hersh and the University of Pennsylvania have received research grants from Septodont, Pfizer Consumer Healthcare, and St Renatus LLC. John Brewer Course Description: Medical emergencies can occur at anytime in the dental office. Preparation for such emergencies is extremely important. A team approach ensures that all members of the dental team are prepared to handle emergency situations effectively. Through lecture and emergency case review, participants will improve their recognition and understanding of medical emergencies in the dental office setting. Course Objectives : • Discuss the most common medical emergencies • Discuss drug related emergencies • Identify drugs/supplies required for the Dental Office Emergency Kit • Review the medical history and identify patients at risk for medical emergencies • Systematically approach the management of an office emergency. Please indicate those courses you wish to attend Light fare and beverages will be available at all lectures E May 8, 2015: “Evidence Based Analgesia” by Dr. Elliot V. Hersh DMD, MS, PhD 7 CE “Office Anesthesia and Medical Emergencies” by John Brewer Fees: Evening Course Pricing (3 CE Credits) Number of Attending Doctors Number of Attending Staff Cost Total Cost MAY 8, 2015 Course Pricing (7 CE Credits) LCDS Member Dr. : $40.00 per course LCDS Member Dr. : $80.00 LCDS Member Staff : $25.00 per course LCDS Member Staff : $50.00 Non-LCDS Member Dr. : $60.00 per course Non-LCDS Member Dr. : $120.00 Non-LCDS Member Staff : $40.00 per course Non-LCDS Member Staff : $80.00 No Refunds Available. All checks made payable to Lancaster County Dental Society. If you have questions, please contact Alycia Billy, LCDS Secretary at 717-606-6534, or [email protected]. Name: ___________________________________________ Address: _______________________________________________ ______________ _________________________________________________________________ Check # ______________ Preferred Phone #: Day ____________________ Night______________________ E-mail address:______________________ Please print names of all in attendance and letter designation of the course they are attending: RSVP to Lancaster County Dental Society, P.O. Box 5157, Lancaster, PA, 17606. All other courses, please RSVP no later than 3 days prior to the date of the lecture(s) you are attending. No Refunds Available. Cash or Check only. Questions: call 606-6534 or e-mail [email protected]. Bio: Mr. Brewer is a part-time paramedic with 30 plus years experience in EMS working as a career paramedic in an urban/suburban area just south of Pittsburgh Pennsylvania. Mr. Brewer has worked extensively with the dental community since 1998. He provides BLS, ACLS and PALS, courses in addition to medical emergency courses for individual offices, dental societies, PSOMS, University of Pittsburgh School of Dental Medicine, UPMC Children’s Hospital Dept. of Pediatric Dentistry, Duquesne University IV Sedation Course. Mr. Brewer also assists with helping offices purchase and organize emergency equipment, and prepare for office evaluations. Mr. Brewer has lectured throughout Pennsylvania, West Virginia, Ohio, Maryland and New Jersey, on the topic of medical emergencies in the dental office. Mr. Brewer has also recently started working as an anesthesia assistant in oral surgery offices. Registration Form for these Courses is on Next Page 10 11 INFORMATION REGARDING X-RAY CERTIFICATION/CPR and OSHA COMPLIANCE LCDS members, Every year there are some important certifications and regulations that all doctors and their staff need to take into consideration for compliance. Some of these topics would be CPR, OSHA and X-ray certification. Please see information regarding these compliances. CPR COMPLIANCE ~ Required every 2 years. CPR ~ This program is for healthcare providers. List of some CPR Instructors in the Lancaster Area : Lancaster EMS ~ (717) 481-4841 ~ www.lemsa.com HACC ~ 1-800-222-4222 ~ www.hacc.edu Susquehanna Valley EMS ~ (717) 435-8101 ~ www.svems.org Red Cross ~ www.redcross.org Manheim Township Ambulance Association ~ (717)569-6622 ~ www.manheimtownshipems.org Ephrata Community Hospital ~ (717) 733-0311 ~ www.ephratahospital.org OSHA COMPLIANCE ~ Required Yearly OSHA ~ Pennsylvania does not have its own OSHA plan, and rather depends on national OSHA standards. Here is a link to the Department of Labor page that talks specifically about OSHA requirements for dental offices: https://www.osha.gov/Publications/OSH3187/osha3187.html OSHA annual training must cover both the blood borne pathogens and hazard communication standards. According to the ADA, here is a list of what annual training should include: • • • • • • • • • • • • Explanation of the Blood borne Pathogens Standard and Exposure Control Plan General Information about the epidemiology and symptoms of blood borne diseases Modes of transmission of blood borne pathogens How to recognize tasks involving occupational exposure Use and limits of engineering controls; work practice controls and personal protective equipment Where PPE is located and how to use, remove, handle, decontaminate and dispose How to select appropriate PPE Effectiveness, safety, benefits and method of administering hepatitis B vaccine What to do if there is an emergency spill of blood What to do if there is an incidental exposure Post-exposure evaluation Labeling to warn against biohazards Employees must also be trained anytime they are exposed to a new risk in the dental office that they were not previously exposed to. This training should be recorded and the record should be kept for three years. • Each office must have an OSHA Job Safety and Health Protection poster posted in a prominent location in the office. It can be downloaded for free at www.osha.gov. Emergency telephone numbers should be posted where can be easily located. X-RAY CERTIFICATION ~ Required every 4 years. Please see requirements provided by PDA as to the number of CE needed. 12 According to Pennsylvania regulation (25 Pa. Code, Section 221.11(b)) anybody who operates an x-ray machine in the state of Pennsylvania (dentists, assistants and hygienists) must take continuing education in radiology; the continuing education must cover four specific topics: radiation safety, biological effects, quality assurance and quality control. However, the regulation is very vague; it puts no minimum standard on how many CE credits must be obtained, or how often, it has always been left up to discretion. The Department of Environmental Protection recommends that anyone who operates an x-ray machine obtain 4 credit hours (or 2 contact hours) of radiology CE every 4 years, but this is simply a recommendation. Contact hours are defined as traditional classroom CE, where CE credits are defined as self-study or less conventional CE methods. It is not the only way in which you can be complaint with PA law. Any continuing education in radiology, such as an online CE course, having a lecturer come into your office, etc. is in compliance with the law, as long as it covers the four above mentioned subject areas. It is important that you are doing something in terms of radiology CE. *So, yes our course does satisfy the standards set by Pennsylvania regulations even though it is only for 2 CE credits through the PDA online course. 13 CLASSIFIEDS THE CLASSIFIEDS PRACTICE FOR SALE - Lancaster County - Charming comprehensive general and cosmetic dental practice for sale. 100% fee for service. Full computerized, Dentrix software, Digital X-ray, Intraoral camera, Zoom2. Part-time practice with unlimited potential in a very desirable, historic location. For details contact [email protected]. DENTIST POSITION - Looking for a F/T or P/T dentist for a busy Lancaster General Practice. Email resume at [email protected] DENTAL ASSISTANT - Looking for additional work hours. Please contact Laura Burns for details and availibility. Email : [email protected] Cell phone : (717) 371-5487 PRACTICE TRANSITIONS - We specialize in Dental Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers or Buyers. Contact Philip Cooper, DMD, MBA, American Practice Consultants, 800-400-8550 or [email protected]. SERVICE OFFERED - Dr. Paul G. Heimer, Jr. is presently a Locum Tenens. He is available for temporary dental services (sick leave, maternity leave, vacation and hygiene coverage) in the Lancaster area. Telephone (717) 898-8975 OR FAX (717) 898-6895 SERVICE OFFERED - Dr. John Douglas is available to 'baby sit' your Hygiene. If you are out sick, last minute plans for a vacation or just need a day off than please call me to keep your staff working and eliminate the hassle of rescheduling your patients. Please call me at 717-330-2258. system specialties 3.75x5AD TRIVIA They grow in clusters and range in color from pale green to black. What are they ? COR NER James Bond is known as secret agent 007. What does the prefix "00" signify ? On both domestic and international flights, what do men do 24% less than women ? What is the common four-letter name for a killer whale ? Possibly the shortest team sport in summer Olympics; each of the four periods lasts only eight minutes. What challenging sport is this ? Answers to 1st Quarter 2015 "Handpiece" Trivia Corner Which of the following is not effected by wind chill ? Person, dog, car radiator or bird. Person. Wind chill is the combination of wind and temperature and is based on the rate of heat loss from exposed skin such as that of a person or animal. As the wind increases, heat is carried away from the body at an accelerated rate, driving the body temperature down. Wind chill has no effect on cars or other objects. What is the difference between sleet, hail and freezing rain ? Hail is a chunk or stone of ice dropped from a thunderstorm. Sleet is frozen rain. Freezing rain is liquid rain that freezes to a surface such as the road or a tree. 7/19/05 8:18 AM Page 1 Independent Dealer For… Nitrous Oxide & Oxygen Analgesia Equipment • Calibration • Testing • Repairs • Sales New Pennsylvania regulations require calibration Please contact Ken Rishar at 215-443-9293 or fax 215-443-9640 Systems Specialties, Inc. 1800-T Mearns Road Warminster, PA 18974 30 Years Experience On the average, one inch of rain is equivalent to how many inches of snow ? 10 inches of snow melts down to about an inch of liquid rain. How heavy does it have to be snowing to be considered "blizzard conditions" ? A blizzard occurs when you can’t see for 1/4 mile. The winds are always 35 miles an hour or more. The storm must last at least 3 hours to be classed as a blizzard. If any of these conditions are less, it is only a snowstorm. A ground blizzard is a weather condition where snow is not falling but loose snow on the ground is lifted and blown by strong winds. 14 Which 3 countries have the highest ski participation levels, with at least 25% of their population skiing ? Austria, Norway and Switzerland LCDS Member's Benefit The Dental Hygiene Association offers employment referrals service for full-time, part-time or temporary hygienists. For this service, please call Susan Horton, R.D.H. at her home, preferably evenings at (717) 581-1055. 15 PRSRT-STD U.S. POSTAGE PAID PERMIT NO. 1172 LANCASTER PA. 17604 P.O. Box #5157 • Lancaster, PA. 17606 TELEPHONE (717) 606-6534 The Newsletter of the Editor: Jenn Hean Layout & Design: VEEJAYEM GRAPHICS Vic Matroni is published quarterly by the Lancaster County Dental Society. Statements of opinion are not necessarily endorsed by the Lancaster County Dental Society, The Pennsylvania Dental Association, or any of its subsidiaries, councils or agencies. Publication deadline is the 1st of the month prior to the next edition. Please send articles, announcements, notices, suggestions and changes of address to: The Handpiece, Lancaster County Dental Society, P.O. Box #5157, Lancaster, PA. 17606 Telephone (717) 606-6534 President: Vice-President: President Elect: Treasurer: Immediate Past President: Executive Secretary: Dr. John Vakkas Dr. Eric Howard Dr. Laura Harkin Dr. Jason Phillips Dr. Michelle Cantwell Jenn Hean
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