1. health and fitness
2. dental care

VFDJ
VALLEY FORGE DENTAL JOURNAL
SUMMER 2014
Mom-n-PA
is coming to
Allentown Agri-Plex
on Sept. 12 & 13, 2014
See Page 7
2014
Conference
Highlights
Medical
Emergency
Preparation
by Dr. Stanley Malamed
See Page 16
The Official Publication of the Second District
Valley Forge Dental Association of Pennsylvania
VFDJ
valley Forge Dental Journal
SUMMER 2014
eDitor
Dr. Tamara Brady
EDITORIAL BOARD
Dr. Karin Brian, Dr. Elliott Maser
Website eDitor
Dr. John Nase
OFFICERS
Dr. Linda Himmelberger
PresiDent
PresiDent-elect
Dr. Brian Straka
vice PresiDent
Dr. Cary Limberakis
iMMeDiate Past PresiDent
Dr. Nancy Rosenthal
Dr. Barry Cohen and Commissioner
Mario Civera discuss ways to help more
patients during the C/D April GKAS event.
Dr. Jay Freedman, Rep. Madeleine Dean of PA
153 District and office manager/community
policing officer, Jan Harris during the
M/B GKAS event in March.
treasurer
Dr. Joel Funari
secretary
Dr. Cynthia Olenwine
PDa trustee
Dr. Ronald Heier
FEATURES
vFDc steering chair
Dr. Elliott Maser
President’s Message – Dr. Linda Himmelberger . . . . . . . . . . . . . . . . . . . . . . . . 4
Memorial – Dr. George Bullock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MOM-n-PA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Conference Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Presidential Dinner Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Thank You to the 2014 VFDC Exhibitors . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Medical Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-20
2014-2015 Proposed Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Nominating Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
By-Laws Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
DEPARTMENTS
Local Happenings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-15
Classified Ads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Need to Reach the Second District Valley Forge
Dental Association or the VFDC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ALSO IN THIS ISSUE
Upcoming Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Valley Forge Dental Conference: March 4-6, 2015 . . . . . Inside Back Cover
Fall CE Course . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Back Cover
ON THE COVER…
MoM-n-Pa event located at the liacouras center,
Philadelphia, May 31, 2013. Photo courtesy of
sean connolly, the bravo group
MeMber oF
aMerican
association
oF Dental
eDitors
executive secretary
Ms. Betty Dencler
DIRECTORS
Chester-Delaware
Dr. Richard Clark
Dr. Bernadette Logan
Dr. Jamie Wolitarsky
Lehigh Valley
Dr. Charles Incalcaterra
Dr. Gary Peters
Montgomery-Bucks
Dr. I. Jay Freedman
Dr. Stanley Heleniak
Dr. Larry Montgomery
Dr. Laurence Stone
Dr. Bruce Terry
The Valley Forge Dental Journal is the official
publication of the Second District Valley Forge Dental
Association of Pennsylvania, 4781 Steeplechase Drive,
Macungie, PA 18062. 1-800-860-3551
Advertising rates are available from, and all
advertising materials and correspondence should be
sent to Lynn Moreland, 1-800-854-8332 or
[email protected]. The Second District
Valley Forge Dental Association of Pennsylvania
reserves the right to refuse any advertisements for
any reason.
Articles for publication may be sent directly to
Dr. Tami Brady: [email protected].
Classified advertising should be sent directly to
Lynn Moreland. Classified rates are $35 for the first 50
words or less, 50¢ for each additional word.
The Journal is published three times a year: Winter,
Summer & Fall. The opinions expressed in the Journal
are those of the authors and do not necessarily reflect
those of the Association, nor does the appearance of
advertisements imply endorsement by the Association.
President’s Message
Dr. Linda K. Himmelberger
[email protected]
500 HATS
I’m sure many of you remember the children’s book,
The 500 Hats of Bartholomew Cubbins, written by Dr.
Seuss.
For those of you who don’t know the story, the
plot, as summarized by Wikipedia is this:
Set in feudal times, the story begins in the
Kingdom of Didd, when King Derwin is riding
through a street past Bartholomew Cubbins, a poor
boy in the market. Bartholomew removes his hat,
according to the laws, but another hat mysteriously
appears; when he attempts to remove this one too,
another one appears again, and this continues, even
as he removes more and more hats, each growing in
extravagance and beauty from the 451st hat
onwards.
Eventually, as Bartholomew is being threatened
with death, the 500th hat, studded with massive
gems and gilding, comes off and Bartholomew's
head is bare again. Stunned by the beauty of the hat,
King Derwin grants him reprieve and trades him
500 gold coins for the 500th hat.
I am grateful for the opportunity to wear the hat of
President of Second District. (It is an opulent hat, but
one that I would not trade for anything!) It has given
me the opportunity to work with a remarkable group
of dedicated volunteers who are re-evaluating the
programs we provide to you, the members, to be sure
that we are providing an excellent member value. I
welcome your feedback and your ideas for what the
organization can be doing to better meet your needs.
Please contact me at [email protected].
Another hat I wear is that of the vice-chairperson of
the ADA Council on Ethics, Bylaws and Judicial Affairs
(CEBJA). As the name implies, our Council is
responsible for maintaining the ADA Principles of
Ethics and Code of Professional Conduct (the “Code”
for short). Recently, the ADA instituted an Ethics
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Hotline. Originally conceived as a member benefit
targeted to the new practitioner, the response has been
so gratifying that the service has been expanded to
include all dentists, regardless of the number of years in
practice. If you are facing an ethical challenge and want
advice on how to approach your dilemma, I urge you
to call 1-800-621-8099 and ask to be connected to the
hotline. You will be matched with a CEBJA volunteer
who will be happy to discuss your ethical dilemma with
you. Our Code is something of which we can all be
justifiably proud. In fact, in 2016 we will be celebrating
the 150th anniversary of the Code. This is a
remarkable milestone. Stay tuned for information on
the celebration!
One hat that I would encourage each of you to put
on is “Volunteer” at the upcoming MOM ‘n’ PA
dental mission to be held at the Agri-Plex in Allentown
on September 12th and 13th. The goal is to provide
treatment to two thousand (yes, 2000!) patients during
the two day event. This is a bold goal and one that can
be achieved only with your help. General dentists, oral
surgeons, endodontists, pediatric dentists, other
specialists, dental hygienists, assistants, receptionists
and lay volunteers to help with escorting, data
collection, and serving food are encouraged to sign up
at www.mom-n-pa.com. According to the organizers of
last year’s event in Philadelphia, volunteers said that
participating in that event was one of the most
satisfying professional experiences of their lives! Join us
in Allentown and help to make a difference in the lives
of those who cannot afford treatment otherwise.
We all wear a number of hats – as practitioners, as
partners, as parents, and as participants in our
communities. Thank you to each of you for all that
you do. And a special tip of the hat to Dr. Nancy
Rosenthal, now the Immediate Past President of
Second District, for her leadership and her boundless
energy and enthusiasm during her recently completed
term of office and to Dr. Jeffery Sameroff who has
completed his stellar service as Secretary of the PDA.
Memorial
On April 25, 2014 the dental community lost
a true leader and colleague, and to those of us
who knew him – a cherished friend. After a
valiant fight, Dr. George “Rusty” Bullock of
Jamison lost his nearly one year long battle with
brain cancer. He was only 62.
Rusty graduated from Juniata College in 1974
with a BS in Biology. He continued his
education at the University of Pittsburgh where
he received his Doctor of Dental Medicine in
Dental Association, past
president of Montgomery
Bucks Dental Society, and a
delegate to the Pennsylvania
Dental Association. He held
memberships in the College
of the American Board of
Orthodontics, the International College of
Dentists, and Omicron Kappa Upsilon. Rusty
was also an active member of the Warrington
Rotary Club where he was a past president He
served as President of the Warrington Rotary
Foundation, a 501C3 foundation that he
himself created in 1994. It provides
scholarships based on community service to
graduating high school seniors in the Central
Bucks school district.
In addition to Betsy, his devoted wife of 31
years, Rusty is survived by his father, sons David
J. Bullock and Dr. Peter J. Bullock, a 2014
graduate of the Temple University Kornberg
School of Dentistry.
Rusty and his son, David, at the MOM-n-PA Event
1978. He then served in the military as a Navy
Dentist at Quantico Marine Base, in Quantico,
Virginia from 1978-80. He received his
Certificate in Orthodontics from the University
of Connecticut in 1982.
Rusty’s true passion was the practice of
Orthodontics and his commitment to organized
dentistry. He served the Doylestown
community as an orthodontist for 28 years
creating many beautiful smiles. He achieved
numerous accolades in the field of dentistry. He
was past president of the Pennsylvania
Association of Orthodontics, the past president
of the Greater Society of Orthodontics, past
president of the Second District Valley Forge
Rusty was also instrumental in bringing the first
MOM-n-PA event to Pennsylvania. This year’s
event will be held in Allentown on September
11,12 and 13 and will be dedicated to Rusty’s
memory. Contributions can be sent in his name to
Mom-n-PA c/o 420 East Orange Street,
Shippensburg, PA 17257.
Rusty with his family; wife, Betsy; sons, Peter and David;
and daughter-in-law, Joelle.
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THE DENTAL SOCIETY OF CHESTER COUNTY
Regis
AND DELAWARE COUNTY, PA
on - li ter
DKUd ne at
proudly presents
ental
.c
DKU Continuing
Dental Education
Springfield Country Club,
Delaware County
DKU is an ADA CERP Recognized Provider. ADA CERP
is a service of the American Dental Association to
assist dental professionals in identifying quality
providers of continuing dental education. ADA CERP
does not approve or endorse individual courses or
instructors, nor does it imply acceptance of credit
hours by boards of dentistry. DKU designates this
activity for 30 continuing education credits. Concerns
or complaints about a CE provider may be directed to
the provider or to ADA CERP at www.ada.org/cerp.
om
Approved PACE Program Provider
FAGD/MAGD credit. Approval does not
imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval
extends from 3/1/2013 to 2/28/2017.
Provider ID #217995
Friday, November 7, 2014
Harold Crossley, DDS, MS, PhD – Cambridge MD – Avoid Liability; Know Your Patients’ Medications and Their Impact on Dental
Treatment! Your patients are living longer thanks to their medications but many of the physician-prescribed medications used by your patients have dental implications and side effects affecting your
treatment plan. Some of these medications are the drugs of choice of “doctor shoppers”. And one of these medications is the mo st prescribed medication abused by adolescents. This presentation includes
the indications, contraindications, and side effects of the most commonly prescribed medications. Many of these medications wer e not approved when you took your pharmacology course in dental school .
At the conclusion of this course, the attendees will know: Medications that could adversely interact with dental drugs; Why your patient is taking their medications; What oral side effects may be caused by
these medications; Maximum doses for commonly prescribed pain medications; When not to prescribe NSAIDs; How to manage patients taking some of the newer anticoagulant medications; How to combine analgesics to maximize their effects; Indications and contraindications for opiate analgesics; and Current recommendations for SBE and orthopedic prosthesis prophylaxis. Harold L. Crossley is Professor
Emeritus at the University of Maryland Dental School where he was awarded his D.D.S. degree. The liaison between the classroom and his part-time dental practice produced a practical approach to understanding the pharmacology of drugs used in the dental office. Bring your hygienist to this important Pharmacology update! This course is supported by educational grants from Dodd Dental Lab, Dentsply,
Hayes Handpiece Repair, and PDAIS.
Wednesday, December 3, 2014
Jeffrey P. Okeson, DMD – Lexington KY – “What every dentist needs to know about Temporomandibular Disorders” The management of temporomandibular disorders is a complex problem in dentistry. This complexity arises from the many different disorders that can be present as orofacial pain in the masticatory structures. In order to effectively manage TM disorders the clinician must first be able to differentiate these disorders from other orofacial pain conditions. Emphasis will be placed on diagnosis so that correct therapy will be selected for each
patient. The role of occlusion and joint stability in TMD will be discussed. Appropriate use and fabrication of occlusal applia nces will be presented. This course will benefit all practitioners. Y ou will learn: To
identify those pain disorders that will likely respond to your therapy from those that will not; The relationship between occlusion, bruxism and temporomandibular disorders; The most favorable condylar position for restorative dentistry and why there is so much controversy; and The appropriate use of occlusal appliance therapy. Dr. Okeson is a graduate of the University of Kentucky College of Dentistry where
presently he is Professor and Chair of the Department of Oral Health Science and Director of the College's Orofacial Pain Center, which he established. This course is supported by educational grants from
Dodd Dental Lab, Dentsply, and PNC.
Wednesday, January 14, 2015
Brian Nový, DDS, – Loma Linda, CA – “Offensive Dentistry” Let’s face it, sitting through a lecture about dental caries doesn’t sound appealing (in fact it sounds downright
boring). However, the science of clinical cariology is beginning to have an impact on restorative techniques and technology. Handpieces and burs will remove compromised tooth structure, but comprehensive patient care involves addressing the chronic disease that leads to cavitation. Combining the medical management of dise ase along with bioactive restorative materials can take the practice of dentistry to new heights – and give Streptococcus mutans more to fear than stronger fluoride. At the end of this course, participants should be able to: Describe the systemic theory of dental caries; Provide
basic salivary analysis to identify “hidden” risk factors; Control patient caries risk with focused therapeutics; Design restorations to minimize recurrent decay; and Identify restorative materials that create ionic bonds. Dr. Nový is the Director of Practice Improvement at the DentaQuest Institute, and an Assistant Professor of Restorative Dentistry at Loma Linda University. He served on the ADA Council
of Scientific Affairs 2014 and acts as the chairman of the CAMBRA coalition. This course is designed for the entire clinical team. This course is co-sponsored by a major educational grant from GC America
along with grants from Air Techniques, Dodd Dental Lab, Dentsply, Hayes Handpiece Repair and Shofu.
Friday, April 10, 2015
David Hornbrook, DDS – San Diego, CA – “Functional Aesthetic Dentistry” For the past decade, the search for invisible, beautiful dentistry has been the goal of both
the clinician and the manufacturers. Coupled with the public’s quest for ideal aesthetics and a youthful, white smile, as the journey continues, it has also become more difficult. More difficult because our
patients are more demanding for perfection today than ever before and more confusing because of the vast array of new materials and options available to provide this care. Join Dr. David Hornbrook as
he explores our options for aesthetic, metal free dentistry for our patients in applications including smile design, posterior restorative, bridge applications, and full mouth rehabilitation. Discussion will
include: updates of dentinal adhesion; ideal cementation of the new materials using the new resin cements; and addressing the role function plays in our decision making. Objectives and subjects covered will include: Understanding the advantages of the new ceramics ideal for smile designs; The use of lasers to enhance the aesthetic result; Reviewing and evaluating the diagnostic wax up; Learning
how to predictably choose the correct cements for different materials that enhance aesthetics and long term success; and Understanding how we can truly be metal free, even with posterior bridges. This
is a great course for the entire clinical team. Dr. Hornbrook serves on the faculty of many postgraduate university programs in aesthetic or cosmetic dentistry, including those at Baylor University, Tufts
University, SUNY at the University at Buffalo, and UCLA. This course is supported by educational grants from Bisco, Dodd Dental Lab, Dentsply, PNC and PDAIS.
Friday, May 8, 2015
Uche Odiatu, DMD, – Toronto, Canada – “The Wellness Advantage: the Value Added Practice!” Want to add incredible value to your patient experience? There's
an avalanche of evidence demonstrating the link between your patients’ mouth with their lifestyle habits: lack of sleep, shift work, poorly managed stress, overeating & sedentary living. Patients appreciate the dental professional who sees the bigger picture & understands the relationship between the body, mind & mouth. You will gain new appreciation into the miraculous nature of the human body
and to the way every part is connected. • Recognize the destructive inflammatory cascade in your patients. • Discover how visceral fat behaves like an active organ causing havoc throughout the body &
mouth. • Identify 7 key foods & lifestyle habits that contribute to inflammation • Discover new lifestyle questions to add to your new patient exam. We'll go into advanced strategies to create change in
your patients’ daily health practices & maybe yours? Across the board, your patients’ lifestyle cannot be ignored as you work at getting them to optimal health. From sedentary living (Is Sitting the New
Smoking?) to mismanaged stress, you will discover a new way of looking at how chronic inflammation and disease is supported by your well-intentioned patients. Understand why certain patients do not
respond well to your hygiene programs. Spot how stress & disrupted sleep shows up in your patients’ mouth. Implement a new dimension to your overall treatment planning. Develop team building strategies to get your entire office on board focusing on whole body health. Create a circle of influence & develop relationships with allied health professionals & get loads of referrals. Dr. Odiatu is an internationally recognized wellness & performance expert. This practicing dentist from Toronto is also an NSCA certified personal trainer, a holistic lifestyle coach, and a professional member of the American
College of Sports Medicine. Invite the whole dental team for this day of health. This course is supported by educational grants from Dodd Dental Lab, Dentsply, Hayes Handpiece Repair and PNC.
Those taking the full DKU Series will receive both Bonus Courses
Friday, October 24, 2014
BONUS #1: Stanley Malamed, DDS; “Emergency Medicine” at the Valley Forge Casino & Convention Center (Lower Level)
Wed.– Fri., March 4-5-6, 2015
BONUS #2: Members choose one course from the Valley Forge Dental Conference at the Valley Forge Radisson Hotel
All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA, except for the Bonus Courses.
Registration for all courses 8:15 AM. Lecture 9:00 AM – 4:15 PM. Continental breakfast and lunch included for all DKU courses.
FEES
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Delco and Chesco Society Members - Entire Series plus both bonus Courses - $695, Individual Courses - $195, 3 Courses - $530, 4 Courses - $615
Other ADA Members - Entire Series plus both bonus Courses - $745 Individual Courses - $210, 3 Courses - $570, 4 Courses - $665
Non-ADA Members - Entire Series plus both bonus Courses - $815, Individual Courses - $225, 3 Courses - $605, 4 Courses - $715
Staff members accompanied by a doctor will be $95 per course per person with reservation at least one week in advance, $110 per course per person at door.
Cancellations and Refund Policy - No refunds will be made without notice of at least one week prior to course date. (A $25 administrative fee will be deducted.)
For information please contact: DKU • c/o Barry Cohen, DMD • 4750 Township Line Rd • Drexel Hill, PA 19026 • 610-449-7002 • [email protected]
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Conference Highlights
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Presidential Dinner Highlights
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VFDA Thank You
The Second District Valley Forge Dental Association would like to thank the following
companies for their support of the 2014 Valley Forge Dental Conference.
A-DEC
KETTENBACH
AFTCO
MERIT DENTAL
BANK OF AMERICA PRACTICE SOLUTIONS
NSK
BENCO DENTAL
ONPHARMA, INC.
BONADENT DENTAL LABORATORIES
ORAPHARMA
BQ ERGONOMICS LLC
"ERGONOMIC STOOLS & CHAIRS"
ORASCOPTIC / KERR TOTAL CARE
CARECREDIT
COLGATE
CORNERSTONE DENTAL LABS
DELTA DENTAL
DENTSPLY TULSA DENTAL
DIGITAL DOC, LLC
DIGITAL SIGN ID
DODD DENTAL LABORATORY
DORAL REFINING CORP.
ESSENTIAL DENTAL SYSTEMS
FRIENDSHIP DENTAL LABORATORIES, INC.
GC AMERICA, INC.
H&R DENTAL STAFFING & EMPLOYMENT
PDAIS
PLANMECA USA, INC.
PMC INSURANCE SOLUTIONS
PNC BANK
PROPHY MAGIC
ROSE MICRO SOLUTIONS
SHAMROCK DENTAL COMPANY
SHOFU DENTAL CORPORATION
SK TECH GROUP
SMILE REMINDER
SUNSTAR/BUTLER
SURGITEL / GENERAL SCIENTIFIC
CORPORATION
HEARTLAND DENTAL
SYNCRETIC
HENRY SCHEIN DENTAL
TD BANK,
AMERICAS MOST CONVENIENT BANK
i-CAT IMAGING SCIENCES INTERNATIONAL
ING FINANCIAL PARTNERS
KAPRICORN SYSTEMS, INC.
KERR / SYBRON ENDO
vFDJ
PATTERSON DENTAL
HEALTH-PRO REALTY GROUP
HIOSSEN DENTAL IMPLANTS
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PARAGON DENTAL PRACTICE TRANSITIONS
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THE DENTISTS CHOICE
LOCAL HANDPIECE REPAIR
ULTRADENT PRODUCTS, INC
VOCO AMERICA, INC.
WILLIS OF DELAWARE
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Local Happenings
On Monday, April 28, 2014 the Dental Society of Chester
County and Delaware County hosted a GKAS event at the
private dental office of Dr. Barry Cohen in Drexel Hill. 27
children, ages 5 to 20, were treated with $9,810 worth of
dental treatment. Delaware county
commissioner, Mario Civera was the
Honorary Chair and stopped by the event
to meet with the dentists and children.
On Saturday, March 1, 2014, Dr. I. Jay Freedman and Dr. Cary J.
Limberakis of the Montgomery Bucks Dental Society hosted
Give Kids a Smile events at their private offices. PA
Representative Madeleine Dean attended the event at Dr.
Freedman’s office. Abington
Police PAL is a community
partner for the events. $15,000
worth of dental treatment was
provided to children in
need. This is the 3rd year for the
event and a three-year total of
over $34,000 of dental
treatment has been provided.
During the annual business meeting of the Chester/Delaware
dental society the GKAS Champion awards were presented to
recipients by Drs. Linda Himmelberger and Bernie Logan.
Recipients pictured from left to right: Dr. Stuart Gutsche, Dr.
Ron Heier, Dr. Allen Yang, and Dr. Joel Funari. Missing from
the photo are recipients Dr. Harold Romesburg and Dr.
Christopher Hussin.
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Local Happenings
3rd Grade poster winner
The PDA’s NCDHM 3rd grade poster contest winner
resides in 2nd District and attends Octorara Elementary
School. Dr. Charlie Weber presented winner Hannah
Hulton with her framed poster and $500 prize during a
school assembly. OES also received a $250 prize for
participating in the event and having the winning student.
On Friday, June 6, 2014, the Lehigh Valley Dental Association hosted
their annual evening at the Iron Pigs game. Members and their guests
were treated to a buffet dinner, a 7 to 2 Iron Pigs victory over Louisville,
and fireworks after the game.
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Local Happenings
On Thursday, April 24, prior to the opening of the 146th
Annual Pennsylvania Dental Association House of
Delegates, Dr. David A. Anderson presented a
lecture entitled Collateral Consequences of Global
Conflict -- In Your Dental Office. This course was cosponsored by the Eastern PA American College of Dentists
(ACD); the Western PA American College of Dentists
(ACD); and the Pierre Fauchard Academy (PFA), PA
Section. Pictured are Dr. Cary Limberakis, President,
Eastern PA ACD; Dr. David A. Anderson, speaker; Dr. Linda
K. Himmelberger, PA Section Leader, PFA; and Dr. Peter
Korch, Regent, District 3, International College of DentistsUSA Section
Second District members participating in PDA’s
Day on the Hill • June 3, 2014
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Local Happenings
GKAS Thanks…
We would like to thank the dentists, hygienists, assistants, and staff members who
donated their expertise and dental supplies to provide dental care and education for indigent
children on Monday, April 28th at Dr. Barry Cohen’s office in Drexel Hill. The list of
volunteer dentists includes Drs. Haddy Alrez, Liliana Angelova, Tami Brady, Dick Clark,
Barry Cohen, Theresa Devine, Marianna Evans, Claire Field, Linda Himmelberger, and
Bernie Logan.
Drs. Behnam; Cimino; Grzybicki; Gustainis, Disque, Trentacost, & Kazemi; Harshaw; Maser; Pfeiffer; Renneisen;
Robbins; Scharlock & Russo;Shipon; and Zartarian graciously supported our efforts with their kind gifts!
Since our April 28th Give Kids A Smile event, the following dentists have provided pro bono follow-up dental
care for children who could not wait until our fall events: Drs. Shurong Cao, Ray Buttenbaum, Ken Fetter, Joel
Funari, Michelle Halpern, Neal Neuman and Robert Ritrovato!
Thanks to your efforts, our GKAS Program continues to provide dental care and education to children who would
otherwise not receive this integral component of their health and well-being.
With gratitude,
and his firm take the hassle out of finding
new medical or dental space, for lease and purchase, or
negotiating your lease
Pennsylvania
Our longtime commitment
to medical and dental
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alliances with area contractors, lawyers, architects,
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OUR SERVICES DO NOT REQUIRE A FEE...
Email: [email protected]
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Medical Emergencies – Preparation and Management
Dr. Stanley F. Malamed
Dentist Anesthesiologist, Professor of Anesthesia & Medicine
Herman Ostrow School of Dentistry of USC, Los Angeles, CA
Dr. Malamed is a consultant to HealthFirst Corporation.
Introduction
Medical emergencies can and do
happen in the practice of dentistry.
Recent surveys of dentists in
Australia,1 New Zealand,2 the United
Kingdom3 and U.S.A.4 demonstrate
that, though rare, potentially lifethreatening situations do develop in
the dental office. Table 1 lists the
most common emergencies found in a
survey of 4309 dentists practicing in
North America. These constituted
98.7% of the 30,608 emergencies
reported.4
Dental offices must be prepared to
promptly recognize and effectively
manage medical emergencies. Though
no ‘national standard’ exists in the
USA for preparation, some specialty
groups (e.g. American Association of
Oral & Maxillofacial Surgeons;
American Academy of Pediatric
Dentistry, and the American Academy
of Periodontology) have published
Guidelines for their members and
other interested parties.5-7
In a medical emergency it is the
obligation of the Healthcare Provider
“to keep the victim alive until they
either recover or until help arrives on
scene to take over management,
provided that they are better qualified
to handle the situation.”
Prevention
Prevention of an emergency is
much more desirable than managing
one once it occurs. Approximately
75% of medical emergencies are
preventable. Thorough evaluation of
the medical history, recording vital
signs, assessment of medical risk
(ASA classification), and use of
treatment modifications, as needed,
can prevent ‘stress-induced’
emergencies.
Table 2 lists other Quality Resource
Guides discussing dental management
of higher-risk patients.
Preparation
Preparation of the dental office and
staff to recognize and manage medical
emergencies is essential to a
successful outcome. Table 3 is an
16
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example for an office preparation plan
listing the components involved in
adequate preparation. Each dental
office should develop their own
detailed and specific plan fitting their
circumstances.
(1) Basic Life Support. Without
doubt basic life support (BLS) is THE
most important element in successful
management of medical emergencies.
Though not all state dental boards
mandate BLS (also known as ‘CPR’)
for licensure, the drug package insert
accompanying all local anesthetic
drugs states:8
“Dental practitioners and/or
clinicians who employ local
anesthetic agents should be well
versed in diagnosis and management
of emergencies that may arise from
their use. Resuscitative equipment,
oxygen, and other resuscitative drugs
should be available for immediate
use.”
Resuscitative equipment has been
interpreted in court as integral to the
ability to perform BLS. Training in
the use of all resuscitative equipment
is essential for proper utilization.
BLS Healthcare Provider (BLSHCP) is the minimum level of training
required. Though states mandating
current-BLS cards for dental licensure
require recertification every 2 years,
multiple studies have demonstrated a
significant decrease in technical
prowess after as little as 6 months.9-10
It is suggested that BLS-HCP
recertification be done annually.
Where BLS is mandated it is often
required only of the doctor, perhaps
the dental hygienist and more rarely
the assistant. From a practical
perspective, emergencies can happen
to anyone, anytime, anywhere. In the
surveys cited above,1-4 a number of
medical emergencies developed in
dental office personnel, including the
doctor. BLS-HCP certification should
be included in the job description of
all dental office personnel.
As we are preparing ourselves to
manage emergency situations in the
dental office, it is strongly suggested
that BLS-HCP courses be taken IN
YOUR DENTAL OFFICE placing the
mannequin in dental ‘situations,’ such
as in the dental chair and on the floor
in the reception room.
All staff members should be trained
to ventilate using a mask. ‘B’
[breathing] in BLS has always been
the step rescuers are most reluctant to
perform, especially when the victim is
a stranger. Regurgitation commonly
occurs in unconscious victims.
Additionally, it is likely that the
mouth will contain blood, pus, or
other debris associated with the dental
treatment. Learning to ventilate with a
mask enables the rescuer to deliver
oxygen to the victim (1) mouth-tomask [16% O2]; (2) bag-valve mask
device [21% O2]; or (3) with positive
pressure O2 [100% O2] (though
positive pressure O2 is no longer as
highly recommended due to the risk
of overventilation).
Chest compression, if needed, CAN
be effectively performed with the
victim still in the dental chair. Lepere
demonstrated that the modern dental
chair provides firm support for the
spinal cord, enabling sufficient blood
volume to be circulated during cardiac
arrest.11
Training in use of the AED is an
essential component of the BLS-HCP
course. When available in an office
it’s use should be reviewed
periodically by all staff members.
Lay person BLS has, in certain
specific instances, been modified so as
to eliminate ventilation. CPR
consisting of chest compressions is
taught in these situations. It is
important to remember that as
Healthcare Providers the dental office
staff is STILL OBLIGATED TO
VENTILATE THE APNEIC VICTIM.
(2) Dental office emergency team.
When an emergency arises all office
personnel should be able to respond
rapidly and efficiently. This mandates
existence of a predetermined plan
describing each persons function. A
simple plan is described:
MEMBER #1 is the first person at
the scene of the emergency. When the
situation develops in the dental chair
this might be the doctor, hygienist or
assistant. Where the situation occurs
in the reception area it is the ‘front
office’ people who will respond first.
Thus the earlier recommendation that
all office personnel be BLS-HCP
trained.
Member #1 (1) remains with the
victim; (2) administers BLS, as
needed; and (3) activates the dental
office emergency team (e.g. Yells for
help!).
MEMBER #2 is assigned to
immediately ‘bring the stuff’ to the
site of the emergency. The oxygen
cylinder, emergency drug kit, and
automated external defibrillator
(AED) are kept together in an easily
accessible location (e.g. near a
telephone).
MEMBER #3 is, in fact, the
remaining members of the office staff.
Possible duties include: activation of
EMS; waiting outside for arrival of
EMS and escorting them to the office;
‘holding’ the elevator in the lobby for
EMS; monitoring vital signs;
preparing emergency drugs for
administration; keeping a written
record of the event, including a time
line and treatment (e.g. 10:15 AM –
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17
EMS called; 10:21 EMS arrives in
dental office); and assisting in BLS.
The dentist remains the team
leader, the one legally responsible for
the health and safety of the patient
(e.g. victim). Tasks may be delegated
as long as the person performing the
task is capable of doing it well under
the dentist’s supervision.
(3) Summoning assistance. Two
questions: WHEN? And WHOM?
WHEN TO CALL FOR HELP:
Emergency medical assistance should
be sought as soon as the doctor (the
person legally responsible for the
patient) feels it is needed. This occurs
(1) if the diagnosis of the problem
remains unknown; (2) when the
diagnosis IS known but is disturbing
to the doctor; and (3) at any time the
doctor feels uncomfortable and wishes
help.
Never hesitate to seek assistance in
managing a medical emergency if you
feel it is warranted.
WHOM TO CALL: Emergency
medical services (EMS) are the first
responders to life-threatening medical
emergencies in your community. In
most areas of the USA 9.1.1. is the
EMS number. EMS response times
vary significantly from community to
community. Where response time is
prolonged and the dental office is
located in a ‘medical-dental’ complex
there might be available another
healthcare professional well trained in
emergency management. It is this
authors opinion that the Oral &
Maxillofacial Surgeon usually meets
that standard since they are generally
trained in Advanced Cardiovascular
Life Support.
Once EMS arrive at the site of the
emergency they will take over its
management. Primary duties of EMS
are to (1) stabilize the victims
condition at the scene and (2)
transport to the emergency department
of a hospital for definitive care, if
needed.
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(4) Emergency drugs &
equipment. (Table 4) Many, if not
most, dentists admit they would be
quite uncomfortable administering
drugs during a medical emergency.
Given, however, that the availability of
emergency drugs is mandated (see
local anesthetic package insert,
above), it seems prudent to prepare an
emergency drug kit consisting of
drugs which are considered to be
essential. Dentists should continue to
seek continuing education to upgrade
their knowledge and ability to safely
and successfully employ emergency
drugs.
The following seven drugs
represent the ‘bare bones basic’
emergency kit. It contains seven
drugs: 2 injectable and 5 noninjectable.
Injectable drugs: Epinephrine
1:1000 (1:2000 for children [15 kg to
30 kg]) in a preloaded syringe
represents the most important drug in
the emergency kit and, happily,
probably the least likely to be used.
The availability of two TwinJect® (2dose) preloaded epinephrine syringes
is recommended. A histamine-blocker,
such as diphenhydramine (Benadryl®),
50 mg/mL, is the other injectable
drug. It is recommended that the
emergency kit contain 2 or 3 1-mL
ampules of diphenhydramine.
Both injectable drugs are used to
manage the allergic reaction, be it
non-life-threatening
(diphenhydramine) or life-threatening
(anaphylaxis – epinephrine and
diphenhydramine).
Non-injectable drugs: Oxygen
(available in an “E” cylinder) can be
administered during almost any
emergency situation. An ‘E’ cylinder
provides O2 for approximately 30
minutes during ventilation of an
unconscious, apneic adult.
Nitroglycerin, a vasodilator, is used to
manage the acute anginal episode.
Recommended for the dental office is
the spray form, Nitrolingual Spray®
rather than sublingual tablets
(NitroStat®). Albuterol is the preferred
bronchodilator used to manage
bronchospasm (acute asthmatic
episode). Hypoglycemia (low blood
sugar) is a common occurrence in
dentistry. An antihypoglycemic, a
source of sugar such as a tube of a
glucose gel should be included in the
emergency drug kit. Alternatively, 12ounces of orange juice or soft drink
(non-diet) can be used. Aspirin,
preferably chewable, is recommended
in the prehospital management of
‘suspected myocardial infarction’
victims. A dose of 325 mg (one adult
tablet) is chewed then swallowed.
Aspirin inhibits platelet aggregation
thus minimizing the size of the blood
clot developing during the ‘heart
attack.’
Equipment: (Table 5) Oxygen
delivery system including a positive
pressure mask and/or a bag-valvemask device with several sized face
masks (pediatric, small- and largeadult). Also recommended is a pocket
mask to aid in mouth-to-mask
ventilation. An automated external
defibrillator (AED) is considered an
absolutely essential part of emergency
preparedness as early defibrillation is
THE most important intervention in
successful resuscitation from cardiac
arrest. Other equipment includes:
syringes and needles for drug
administration; suction and suction
tips; tourniquets; and Magill
intubation forceps (for easy retrieval
of foreign objects from the posterior
part of the oral cavity or the pharynx).
These items are described in table 5.
Recognition & Management
Prompt recognition and efficient
management of a medical emergency
are essential to a successful outcome.
Recognize the presence of a
problem, discontinue dental treatment
and institute emergency management
as soon as the problem is noted.
Recognition is based upon
presenting signs and symptoms (S&S)
including altered consciousness,
respiratory distress, and chest pain. If
ever a patient reports any unusual
S&S immediately stop the dental
procedure and try to determine the
cause of the situation and to manage it
as efficaciously as possible.
The following algorithm represents
the management sequence for all
emergency situations except cardiac
arrest: P→A→B→C→D (Figure 1).
The cardiac arrest algorithm has been
changed (October 2010) to
P→C→A→B, chest compression
commencing immediately on
determining apnea and pulselessness. 12
Position the patient appropriately. If
conscious (e.g. speaking, moving) the
position of choice is whatever is most
comfortable for them.
Unconsciousness is defined as the
absence of response to sensory
stimulation (e.g. verbal or physical
stimulation). A decrease in blood flow
to the brain (e.g. low blood pressure)
is, far and away, the most common
cause of unconsciousness. All
unconscious persons are placed, at
least initially, into the supine position
with their legs elevated slightly.
Airway, breathing and circulation
are assessed and implemented as
needed. In the conscious victim who
can speak A, B and C are deemed to
be ‘adequate’ (by virtue of the patient
being conscious and capable of
speech). With loss of consciousness
each step must be assessed
individually. In most unconscious
persons, head-tilt chin – lift (A)
provides for a patent airway. However
airway patency must still be assessed
using the ‘look’, ‘listen’ and ‘feel’
technique (B) with two rescue breaths
(e.g. mouth-to-mask) delivered in the
absence of spontaneous respiratory
efforts (e.g. apnea). Next, the carotid
pulse is palpated for not more than 10
seconds (C) and, if absent, (e.g.
cardiac arrest), chest compression
begun. With cardiac arrest, 30 chest
compressions are delivered rapidly (at
least 100/minute), forcefully (at least
2 inches [adult]; about 2 inches for the
child) minimizing interruptions as
much as possible, prior to delivery of
2 breaths.12
The goal of the steps (P→A→B→C)
described thus far is to ensure that the
victim’s brain and heart are receiving
an adequate supply of blood
containing oxygen and ‘sugar’, the
fuels required by the cells of the body
to maintain normal function.
vFDJ
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19
REFERENCES
Definitive care represents the final
step of management. Possible
components of definitive care include
diagnosis, drugs and defibrillation.
When possible, a diagnosis is made
and treatment proceeds accordingly
(examples of easily diagnosed
problems are: asthma, hypoglycemia,
and angina).
Drugs, other than oxygen (which
may be administered in any
emergency situation) are rarely
needed. Notable exceptions are acute
bronchospasm (asthma) and anginal
pain. In both cases the patient (who
arrives in the office with a pre-existing
history of asthma or angina) will (1)
diagnose the problem; (2) likely have
their own bronchodilator or
vasodilator available; and (3) medicate
themselves. In the highly unlikely
event of cardiac arrest prompt
defibrillation is essential.
Emergency medical services (EMS)
should be summonsed at any time it is
felt necessary.
Space precludes in-depth discussion
of management of specific
emergencies. The interested reader is
referred to textbooks such as
Handbook of Medical Emergencies in
the Dental Office.13
20
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Conclusion
The legal obligation of the dentist
managing a medical emergency is to
keep the victim alive until (1) they
recover or (2) someone, better trained
in emergency care, takes over
management of the victim.
The ultimate goal for a dentist
managing a medical emergency is to
prevent the death of the victim, a goal
achieved through office preparation,
prompt recognition and effective
management. In the most common
dental office emergency, syncope (e.g.
‘fainting’), simply instituting the steps
of BLS (P→A) leads to the prompt
recovery of consciousness. Drugs are
never the first line of management.
The management sequence introduced
in the algorithm is adhered to in ALL
emergency situations except cardiac
arrest, in which chest compression is
started immediately.
1. Chapman PJ: Medical emergencies in dental practice
and choice of emergency drugs and equipment: A survey
of Australian dentists. Austral Dent J 42(2) 103-108,
1997
2. Broadbent JM, Thomson WM: The readiness of New
Zealand general dental practitioners for medical
emergencies. New Zeal Dent J 97 82-86, 2001
3. Atherton GJ, McCaul JA, Williams SA: Medical
emergencies in general dental practice in Great Britain.
Part 1: their prevalence over a 10-year period. Brit Dent J
186(2) 72-79, 1999
4. Malamed SF. Managing medical emergencies. J Am Dent
Assoc 124:40-53, 1993
5. American Association of Oral and Maxillofacial
Surgeons: Parameters of care for oral and maxillofacial
surgery: a guide for practice, monitoring and evaluation,
Rosemont, Ill, 1995, The Association.
6. American Academy of Pediatric Dentistry: Clinical
Guideline on the Elective Use of Minimal, Moderate, and
Deep Sedation, and General Anesthesia for Pediatric
Dental Patients, American Academy of Pediatric
Dentistry, Reference manual 2004-2005
7. Academy Report: The Use of Conscious Sedation by
Periodontists. J Periodontol 74:933, 2003
8. Septocaine® Drug Package Insert. Septodont, Inc. New
Castle, Delaware. May, 2006
9. Woolard M, Whitfeild R, Smith A, Colquhoun M,
Newcombe RG, Vetteer N, Chamberlain D. Skill
acquisition and retention in automated external
defibrillator (AED) use and CPR by lay responders: a
prospective study. Resuscitation 60(1):17-28, 2004
10. Riegel B, Nafziger SD, McBurnie MA, Powell J,
Ledingham R, Sehra R, Mango L, Henry MC. PAD Trial
Investigators. How well are cardiopulmonary
resuscitation and automated external defibrillator skills
retained over time? Results from the Public Access
Defibrillation (PAD) Trial.Acad Emerg Med 13(3):254263, 2006
11. Lepere AJ, Finn J, Jacobs I. Efficacy of cardiopulmonary
resuscitation performed in a dental chair. Aust Dent J
48(4):244-247, 2003
12. Field JM, Hazinski MF, Sayre MR, Chameides L,
Schexnayder SM, Hemphill R, Samson RA, Kattwinkel J,
Berg RA, Bhanji F, Cave DM, Jauch EC, Kudenchuk PJ,
Neumar RW, Peberdy MA, Perlman JM, Sinz E, Travers
AH, Berg MD, Billi JE, Eigel B, Hickey RW, Kleinman
ME, Link MS, Morrison LJ, O’Connor RE, Shuster M,
Callaway CW, Cucchiara B, Ferguson JD, Rea TD,
Vanden Hoek TL. Part 1: Executive Summary. 2010
American Heart Association Guidelines for
Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care. Circulation 122(suppl 3)S640S656, 2010
13. Malamed SF. Handbook of Medical Emergencies in the
Dental Office, ed. 6, 2007, C.V. Mosby, St. Louis
vFDJ
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21
2014–2015 SECOND DISTRICT PROPOSED BUDGET
The 2014/2015 Second District Valley Forge Dental Association proposed operating budget will be presented for vote during the Annual
Business Meeting, Friday, October 24, 2014 at 12:00 Noon at the Valley Forge Convention Center, King of Prussia, PA
INCOME:
I-1 Membership Dues
I-2 Journal Ad Income
I-3 Pres. Dinner Tix
I-4 Trans. From Prin
TOTALS
EXPENSES:
1. Treasurer’s Exps.
2. Exec. Sec. Salary
3. Exec. Sec. Travel
4. Audit Fee
4a. Bookkeeping Expenses
5. Com. & Brd. Exps.
5a. VF Steering Mtgs.
6. President’s Exps.
7. Journal Printing
8. Journal Postage
9. State Mtg.Pre-Cauc
10. State Mtg. On-Site
11. Campaign Funds
12. ADA Conferences
12a. Member Value Project
12b ADA Retention & Recruitment
12c Washington Conf
13. Gifts/plaques
14. Insurance & Bond
15. Stationary
16. PDA Deleg. Reimb
16a. Altern. Reimb.
17. Misc.
18. VFDC VIP Exps.
19. Storage Room Rental
20. Past Pres. Lunch
21. Pres. Banquet
22. Charitable Contributions
23. ADA Alt. Delegate Reimb.
25. Valley Forge Dental Conf.
26. Reserves
TOTALS:
(1)
(2)
(3)
(4)
2014 Proposed
$96,000.00
14,000.00
3,000.00
0.00
2014 Actual as of 6/1/14
$ 89,661.00
7,212.00
3,060.00
0.00
2015 Proposed Budget
$213,000.00
10,000.00
3,000.00
0.00
$113,000.00
$99,973.00
$226,000.00
$2,500.00
18,324.00
3,500.00
9,500.00
4,000.00
6,500.00
2,000.00
1,000.00
10,500.00
2,000.00
3,100.00
3,000.00
5,000.00
$1,926.07
17,716.00
752.58
5,076.53
1,514.70
7,804.65
51.96
0.00
13,387.97
688.88
0.00
2,985.68
111.82
$ 500.00
18,324.00
3,500.00
3,000.00
4,000.00
6,500.00
2,000.00
1,000.00
14,000.00
2,000.00
0.00
0.00
1,000.00
1,500.00
1,500.00
0.00
1,300.00
2,300.00
1,500.00
7,680.00
3,840.00
1,000.00
2,000.00
1,676.00
600.00
11,200.00
2,500.00
3,480.00
0.00
0.00
0.00
1,180.26
0.00
921.46
2,230.00
0.00
6,080.00
4,800.00
735.76
2,000.00
1,314.40
120.82
6,906.12
5,000.00
928.00
0.00
0.00
2,000.00
2,000.00
2,000.00
1,300.00
2,300.00
1,500.00
1,000.00
0.00
1,000.00
2,000.00
1,676.00
300.00
10,000.00
5,000.00
7,851.00
117,000.00
13,249.00
$113,000.00
$84,226.66
$226,000.00
(1)
(2)
(3)
(4)
Reimbursement for President and President Elect to attend 2015 PDA Town Meeting
Removal of delegation reimbursement following PDA resolution to dissolve the House of Delegates beginning in 2015
Reimbursement of 3 ADA alternate delegates not funded through the PDA … 3 @ $2,617.00 ( Freedman, Rosenthal and Nase)
Funding for Second District members to receive complimentary courses for the 30th Anniversary of the VFDC in 2016
Have you visited www.vfdental.org?
The 2nd District, Valley Forge Dental Society has a website you can visit today. Things
you will find there are current local CE opportunities listed, past issues of the Valley
Forge Dental Journal and links to the local component websites, the PDA and the
ADA. Take a minute today and check out www.vfdental.org!
22
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SECOND DISTRICT VALLEY FORGE DENTAL ASSOCIATION
Members will vote on this item during the Annual Business Meeting, Friday, October 24, 2014 at 12:00 Noon at the Valley
Forge Casino & Convention Center, King of Prussia, PA
SECOND DISTRICT NOMINATING REPORT – Elected October, 2014 • Installed March, 2015
President
President Elect
Vice President
Secretary
Treasurer
PDA Trustee
Dr. Brian Straka
Dr. Cary Limberakis
Dr. Joel Funari
Dr. Cynthia Olenwine
Dr. Joel Funari
Dr. Charles Incalcaterra
DIRECTORS
Montgomery Bucks:
Dr. I.Jay Freedman 2014-2016
Dr. Stanley Heleniak – 2014-2016
Dr. Bruce Terry – 2014-2016
Dr. Larry Montgomery – 2014-2015
Dr. Lon Kessler-2014-2015
Chester Delaware:
Dr. Richard Clark – 2013/15
Dr. Jamie Wolitarsky – 2014/16
Dr. Bernadette Logan – 2014/16
Lehigh Valley:
Dr. Gary Peters – 2014-16
Dr. Charles Incalcaterra – 2013-2015
Your
• nosecones/angles
• surgical
• electrical
We provide 24–48 hour turnaround
We stand behind our warranties
ures
h
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o
r
an d b
s
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e
l
i
ma
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i
a
rep
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fo
Mastercard, Visa & AE accepted
Call
Pennsylvania Handpiece Repair Specialists
We repair all brands of handpieces
• high speeds
• slow speeds
• scalers
PDA DELEGATION IF NEEDED:
Chester Delaware:
Drs. Jaime Wolitarsky, Marie Scott,
Tami Brady, Karin Brian, Steve Sierakowski,
Ted McGurk, Theresa Devine, Bernie Logan
and Dick Clark
Montgomery Bucks:
Drs. Anne O’Day, Joanne Burrell,
Angel Stout, Steve Moriconi, Pappy Chhina,
Jay Freedman, Stan Heleniak, Lon Kessler,
Larry Montgomery, Bruce Terry and
Cary Limberakis
Lehigh Valley:
Drs. Steve Ely, Brandon Walsh, Hugh Friel,
Jason Pellegrino and Brian Straka
PDA ALTERNATE DELEGATES:
Chester Delaware:
Drs. Joel Funari, Charlie Weber, Ron Bushick,
Ron Heier, Linda Himmelberger, Stephanie
McGann, Doug Filidore and Dan Daley
Montgomery Bucks:
Drs. Nancy Rosenthal, Amanda Hemmer,
Alyssa Neilubowicz, Hadi Ghazzouli,
Dave Kaffey, Ada Greenfield, Jim Stevenson,
Christina Gregory, George Mara and
Elliott Maser
Lehigh Valley:
Drs. Lauri Passeri, Charles Incalcaterra,
William Cherry and Gary Peters
Shamrock Dental Company
107 Merlin Drive
McMurray, PA 15317
888.942.4188
vFDJ
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23
BY-LAWS AMENDMENTS
I M P O RTA N T N O T I C E
Second District Dental Association, Inc.
As a result of the re-organization of the Pennsylvania Dental Association, and the elimination of
the House of Delegates, the Second District is required to amend our Bylaws accordingly. We also
took this opportunity to do a general rewrite/review/housekeeping of the Bylaw document.
The Bylaw Amendments will be introduced for vote during the Second District Annual Business
Meeting on Friday, October 24, 2014 at 12:00 Noon at the Valley Forge Casino and Convention
Center, King of Prussia, PA
To review the proposed Bylaw amendments, which can be found on the PDA Social Network,
please do the following:
Access the amendment document at www.community.padental.org If you have already
joined the Social Network (SoNet), proceed to the heading “GROUPS” and scroll down
to “MyGroups” and select. Then choose Second District Dental Society from the list.
The Recent Library items are displayed on the middle right box. This is where the 2014
proposed Bylaw amendments will be listed for viewing or download.
If you have not registered on the SoNet, you can “Get Started” by entering the box on
the upper right corner of the SoNet home page. Your initial log-in is your first initial,
last name and year of birth (ex: jsmith1970) and your default password is the letters
“ada” immediately followed by your ADA number (ada0123456).
If you have any questions regarding the Bylaw amendments please contact the Second District
office at 800-860-3551. If you need assistance with the SoNet contact the PDA at 800-223-0016.
CLASSIFIED ADVERTISEMENTS
CLASSIFIED LISTING:
LEHIGH VALLEY DENTAL PRATICE FOR SALE.
Well established and modern Cosmetic & Family dental
office with 4 Ops and over 3000 active patients. Great
location, patients and staff. Practice has much positive
growth
opportunity.
**Confidential
information
[email protected] or call (610) 217-5507.
need a new dental office? FOR RENT office at 1000
N Gravel Pike Schwenksville Pa 19473 – Center reception
area,32 x 25 surrounded by 3 offices, 1st 16 x 12, 2nd 8
x 13, 3rd 11 x 13 a file room 9 x 13 and kitchen area,
ADA approved bathroom. $1310.00 plus CAM charges.
For more information see www.freestylere.com or call
Jackie smith at 215-896-0345
24
vFDJ
suMMer 2014
FOR SALE 1) Osada electric drill model XL-30W. with
foot pedal-$250. 2) Osada Peristaltic Irrigation Dispenser
Model ID 2-$200. 3) Three slow speed handpieces for
Osada straight, latch angle, friction grip angle-$150. 4)
Nellcor Pulse Oximeter Model N-100c with finger probe$200. 5) WelchAllyn vital-signs Monitor 6200 series :
printer, EKG, respirations, NIBP, Nellcor SPO2$2000. 6) Cameron-Miller Electrosurgery unit. Model
26-230-$125. 7) Portable O2 D size tank, regulator, and
carrying case-$100. If interested, will negotiate. Respond
to: [email protected].
The Second District Valley Forge Dental Association reserves the right to
accept or decline classified advertisements at its discretion. In addition, the
Association does not inquire into the offers being made nor does it assume
any liability for them.
Classified advertising should be sent to: Lynn Moreland,
1-800-854-8332 or [email protected]. Classified rates are
$35 for the first 50 words or less, 50 cents for each additional word.
2014–2015 OFFICERS & DIRECTORS OF SECOND DISTRICT
PRESIDENT
EDITOR
Dr. Linda Himmelberger – [email protected]
Dr. Tamara Brady – [email protected]
DIRECTORS:
Chester/Delaware
PRESIDENT-ELECT
PDA TRUSTEE
Dr. Brian Straka – [email protected]
Dr. Ronald Heier – [email protected]
IMMEDIATE PAST PRESIDENT
VFDC STEERING CHAIR
Dr. Nancy Rosenthal – [email protected]
Dr. Elliott Maser – [email protected]
Lehigh Valley
VICE PRESIDENT
EXECUTIVE SECRETARY
Dr. Cary Limberakis – [email protected]
Betty Dencler – [email protected]
Dr. Charles Incalcaterra – [email protected]
Dr. Gary Peters – [email protected]
Dr. Richard Clark – [email protected]
Dr. Bernadette Logan – [email protected]
Dr. Jamie Wolitarsky – [email protected]
Montgomery Bucks
SECRETARY
Dr. I. Jay Freedman – [email protected]
Dr. Stanley Heleniak – [email protected]
Dr. Larry Montgomery – [email protected]
Dr. Laurence Stone – [email protected]
Dr. Bruce Terry – [email protected]
Dr. Cynthia Olenwine – [email protected]
TREASURER
Dr. Joel Funari – [email protected]
Need to Reach the Second District Valley Forge Dental Association or the VFDC?
ONLINE:
(Second District)
PHONE:
1-800-854-8332 VFDC
1-800-860-3551 SD
FAX:
1-610-340-2585 VFDC
1-610-395-5669 SD
www.vfdc.org
E-MAIL:
(Valley Forge Dental Conference)
[email protected]
[email protected]
MAIL:
4781 Steeplechase Drive
Macungie, PA 18062
www.vfdental.org
vFDJ
suMMer 2014
25
Upcoming Events
2nd District Valley Forge Dental Association
Friday, October 24, 2014—Dr. Stanley Malamed
Emergency Medicine in Dentistry
Annual Business Meeting
Wednesday, March 4, 2015 to Friday, March 6, 2015
Valley Forge Dental Conference
Lehigh Valley Health Network
Wednesday, September 17, 2014—Dr. John West
Endodontics
Friday, November 7, 2014—Dr. Maria Fornatora
Oral Pathology
Wednesday, December 3, 2014—Dr. Charles Blair
Insurance Administration and Coding
Friday, January 16, 2015—Dr. Ronald Auvenshine
TMD Diagnosis and Management
Wednesday, February 4, 2015—Dr. Kirk Behrendt
Practice Management
Friday, April 10, 2015—Dr. Jamie Lozada
Basic Implants
Wednesday, May 13, 2015—Dr. Michael Glick
Medically Complex Patients
Montgomery/Bucks Full Day Program
September 19, 2014--Dr. John Svirsky
Oral Pathology
November 14, 2014--Dr. Fay Goldstep
Minimally Invasive Dentistry
January 23, 2014--Dr. Robert A. Lowe
Clinical Treatment Planning and Problem Solving
March 27, 2015--Dr. Karl Koerner
Oral Surgery
Chester/Delaware DKU
Friday, November 7, 2014--Dr. Harold Crossley
Pharmacology
Wednesday, December 3, 2014--Dr. Jeff Okeson
TMD/Occlusion
Wednesday, January 14, 2015--Dr. Brian Novy
Conservative Restorative Dentistry
Friday, April 10, 2015,--Dr. David Hornbrook
Esthetic Dentistry
Friday, May 8, 2015--Dr. Uche Odiatu
Health and Wellness
26
vFDJ
suMMer 2014
VFDJ
valley Forge Dental Journal
4781 steePlechase Drive
Macungie, Pa 18062
Prsrt stD
us Postage
PaiD
uPPer Darby, Pa
PerMit no #34