The Second District Dental Society of New York Serving the counties of Kings and Richmond since 1868 VOLUME 40 NUMBER 4 JULY/AUGUST 2023 WWW.SDDSNY.ORG SDDS BULLETIN Looking for an Associate? Seeking Employment? See the SDDS Job Board on Page 14. Continued on Page 2 » When Retirement Comes Knocking: What Dentists Should Consider Before Opening the Door by Jack Irwin, D.D.S. The subject of retirement crosses the mind of every dentist as we get along in our career. We do the basics of our profession as we do clinical treatment or scientific research or administrative tasks depending on our area of concentration. I am sure most of us wonder what it would feel like to sit on a secluded beach or just walk along a hiking trail, knowing that we do not have to answer to anyone other than ourselves and never having to go into an operatory or deal with one more patient. According to Google, the definition of retirement is the action or fact of leaving one’s job and ceasing to work. Now, what does this really mean? I feel there are several types of retirement. They include traditional retirement, where you walk out of your office Upcoming Events *Advance registration is required for all events. Visit sddsny.org to register. TUESDAY OCT 17 Max’s Es-Ca Restaurant, Staten Island, NY, 7 P.M. Richmond County Dental Society Membership Meeting “Interdisciplinary Care: Case Studies and Outcomes for Straightforward and Complex Cases” by Christina M. Goodheart, M.A., CCC-SLP MONDAY OCT 02 SDDS Headquarters, Brooklyn, NY, 7 P.M. SDDS Board of Trustees Meeting THURSDAY OCT 12 Dyker Beach Golf Course, Brooklyn, NY, 6:30 P.M. SDDS General Membership Meeting “The Hole Tooth: The Prevention and Management of Perforations” by Marc Kunin, D.D.S. FRIDAY OCT 13 Dyker Beach Golf Course, Brooklyn, NY, 9 A.M. – 4 P.M. Continuing Education Course #2023-19 “Occlusion Simplified: Evaluation, Diagnosis and Treatment” by Marc B. Gainor, D.M.D. FRIDAY OCT 27 Hilton Garden Inn, Staten Island, NY, 9 A.M. – 2:30 P.M. Continuing Education Course #2023-21 “CPR and Medical Emergencies in the Dental Office” by Michael Kaliroff, Certified Instructor FRIDAY OCT 20 Hilton Garden Inn, Staten Island, NY, 9 A.M. – 12 P.M. Continuing Education Course #2023-20 “Enhancing Esthetic Outcomes Through Periodontal Surgery and Dental Implants” by Ye Shi, D.D.S., M.S. Orange County Convention Center, Orlando, FL ADA SmileCon 2023 Visit ada.org/education/smilecon for more information and to register. THURSDAY OCT 05 – SATURDAY OCT 07
The Bulletin is the official publication of the Second District Dental Society. It is published bimonthly, by the Journal of the Second District Dental Society, Inc. The opinions expressed are those of the writers and are not necessarily those of the Second District Dental Society. Subscription rates; members, $4.50 per year; others, $5.50 per year. Material for publication must be typewritten and double–spaced and must be received six weeks prior to the month of issue. Business communications and requests for advertising rates should be directed to the Second District Dental Society, 111 Fort Greene Place, Brooklyn, NY 11217 The Bulletin reserves the right to alter or reject any copy. ADVERTISING POLICY The SDDS Bulletin and website welcome advertising as an important means of keeping the dentist informed about new and better products and services for the practice of dentistry. Such advertising must be factual, dignified, tasteful, and intended to provide useful product and service information. The publication of an advertisement is not to be construed as an endorsement or approval by the SDDS Bulletin and website and/or its publisher, the Second District Dental Society, of the product or service being offered in the advertisement unless the advertisement specifically includes an authorized statement that such approval or endorsement has been granted. As a matter of policy, the SDDS Bulletin and website will sell advertising space when the inclusion of advertising material does not interfere with the purpose of their publication. The SDDS Bulletin and website reserve the right to accept or reject advertising, at its sole discretion, for any product or service submitted for publication. A Publication of the SECOND DISTRICT DENTAL SOCIETY 111 Fort Greene Place Brooklyn, New York 11217 Tel (718) 522–3939 Fax (718) 797–4335 STUART L. SEGELNICK, EDITOR Jeffrey M. Galler, Business Manager ASSOCIATE EDITORS Paul S. Albicocco Gabriel D. Ariola Babak Bina Alyson K. Buchalter Jacques Doueck Howard I.A. Lieb Lauro F. Medrano–Saldaña Deborah A. Pasquale Craig S. Ratner Reneida E. Reyes James J. Sconzo Paul W. Teplitsky OFFICERS President–Raymond A. Flagiello President–Elect– Tricia S. Quartey-Sagaille Vice President–Paul W. Teplitsky Secretary–Valerie Venterina Treasurer–Phyllis G. Merlino Librarian Curator–Position Vacant BOARD OF TRUSTEES Paul S. Albicocco William W. Bongiorno Alyson K. Buchalter Saad A. Butt Christen J. Carute Joann M. De Leonibus John P. Demas Michael J. Donato Cherry Libramonte Marc Meiselman Mitchell D. Mindlin Charles J. Mistretta Gisele F. Richard Sari R. Rosenwein Stephanie B. Sager Sandra S. Scibetta Stuart L. Segelnick Aia Shalan Ronald Turchak Kirstin A. Wolfe OFFICE STAFF Bernard Hackett, Executive Director Stephanie Carter Shayo Farinre Christine Terrio SDDS BULLETIN Continued from Page 1 » and keep on going, never to look back. There is semi-retirement, where you are not ready to walk away completely so you continue working but less than you did when you were younger. There is also temporary retirement, where you stop working but decide for many reasons that you are not ready to throw in the towel yet. There are many factors that go into retirement, but you can typically narrow them down to financial requirements and what to do with your extra time. There are many venues for financial advice on how to save money for retirement. These include but are not limited to an IRA, a SEP-IRA, a Roth IRA, a Roth 401K and many more entities. This article is not intended to give any financial advice and every person should seek out whatever advice they feel they need. I will also add at this point that funding many of these retirement accounts reduces your taxable income. Another consideration is your Social Security status: should you draw this at age 62 or work longer up to age 70, where you will draw the largest benefit possible? What are the benefits of retiring early or working longer and earning more money. Continuing to work for as long as possible will absolutely give you more choices and financial freedom in retirement, as you will have a larger monetary cushion. Another consideration is your health status and your psychological outlook. Are you burned out and do not want to see one more tooth in your lifetime? If you are in relatively good health as you get older, consider yourself lucky and chosen. Other factors to examine are if you are in debt, if you want to have a second career in another profession, or if you want to learn something different. Now let’s look at the opposite of retirement—you decide to continue working as you get older. Perhaps you find fulfillment in an organization’s or your own work. You will certainly improve your retirement finances if you continue to work and you do not need to draw on your savings. You can continue to support and donate to what you think are worthwhile causes. And if you continue to work as you age, you will probably stay mentally sharper. One of the thoughts to consider as you ponder retirement is what will you do with your dental practice. You can always just lock the door and walk away from a lifetime of achievement. Much of this depends on your real estate situation. Do you lease or own your space? If you lease, which is what most people do, you will have to get your landlord to offer a new lease to the incoming dentist so that you both can sell your practice and make sure it retains its value. Dealing with a landlord has its own set of issues and I would always recommend having legal representation in these matters. If you own your real estate, do you want to sell it along with the practice? Or do you want to become a landlord and get monthly rental income from what was your office? In this case the practice and the real estate are two totally distinct entities. Another side of the coin here is do you sell your practice earlier so it maintains more of its value and you would presumably get a higher price than if you worked a few more years? Or do you sell it later when the practice has regressed over time, as many of them do as the dentist gets older? The psychology here is somewhat difficult to potentially deal with. Most dentists identify who they are through their profession. Dentistry is a lucrative profession, which leads to the question —should you sell your practice earlier to get a top price? Or do you work even part time and continue to generate revenue at your pace, even if this distracts from the ultimate value of the practice? You must also consider what you will do with your additional time if you opt to sell your practice instead of continuing to work and possibly making less revenue, but at the same time keeping yourself occupied. It could come down to how much do you like or dislike your profession, as well as your health status. And let me conclude this article with some truisms that I found researching this topic. What is considered a good net worth at age 70? One rule I found suggests having a net worth equivalent to 20 times your annual expenses. And according to Charles Schwab’s annual modern wealth survey, Americans say you need a net worth of at least $2.2 million average to feel wealthy. The beauty of private practice dentistry is that you, as the practitioner, can make whatever decision you feel comfortable with. There is no right or wrong answer. As the old Yankees and Dodgers announcer, Red Barber, used to say, you are in “the catbird seat.” 2 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
WELCOME TO OUR NEW MEMBERS! TRANSFERS DR. MICHAEL JACQUES ERDOS (General Practice; Columbia University, 2018) 345 Kings Hwy, Brooklyn, NY, 11223 Transferred from New York County Dental Society DR. SHARON TORRES GARMA (General Practice; University of Southern California, 2019) 4864 Arthur Kill Rd #400, Brooklyn, NY, 10309 Transferred from Los Angeles Dental Society DR. JEANNA M. HELBIG (General Practice; Temple University, 2016) 215 Flatbush Ave, Brooklyn, NY, 11217 Transferred from Queens County Dental Society DR. LUCY VILLA (Periodontics; University of Medicine and Dentistry—New Jersey, 1997) 355 Ovington Ave Ste 100, Brooklyn, NY, 11209 Transferred from New York County Dental Society GRADUATE STUDENTS/RESIDENTS DR. NANA YAW BOAMAH-MENSAH (General Practice; Howard University, 2022) Brookdale Hospital Medical Center DR. AHMAD HATAHET (Oral and Maxillofacial Surgery; Nova Southeastern University, 2013) NYC Health + Hospitals/Woodhull DR. BAILEY M. HOLLIHAN (General Practice; West Virginia University, 2021) NYU Langone Hospital—Brooklyn DR. ARISTIDES KOUTSOUBIS (General Practice; Tufts University School of Dental Medicine, 2022) Veteran Affairs New York Harbor Health Care/ Brooklyn VA Medical Center A view of the volunteers providing dental care to patients at the TMOM event in Abilene, Texas SDDS Member Volunteers at 2023 Texas Mission of Mercy Event Dr. Edward Jastremski, a lifetime member of Second District Dental Society (SDDS) and past president of its branch society, Richmond County Dental Society, once again volunteered his time at the Texas Dental Association’s Texas Mission of Mercy (TMOM) event in Abilene, Texas on July 14 and July 15. TMOM is a mobile dental clinic that travels around Texas providing charitable basic dental care to its residents with limited access to care. The primary focus of the care provided is relieving pain and preventing infection by providing extractions and cleanings, as well as the diagnosis and treatment of oral pathology. At this year’s TMOM event, volunteers treated 605 patients and performed $840,000 worth of services for the community of Abilene, Texas. Since 2001, TMOM volunteers have treated over 42,821 patients, providing $26,348,666 worth of donated care. Dr. Jastremski has been a volunteer for TMOM for over 10 years. Dr. Edward Jastremski and Ms. Stacy Hill (director, Texas Dental Association Smiles Foundation and Texas Mission of Mercy) WWW.SDDSNY.ORG 3
Using High School Physics to Extract Teeth Atraumatically by Robert Weller, D.D.S., B.A., Ian Lerner, D.D.S., and April Lim, B.S. Conventional tooth extractions up to this point were achieved by moving the tooth with an elevator then rocking the tooth back and forth with forceps, thereby loosening the tooth in the socket. This frequently caused some fracture of the marginal bone in the socket and some cracking sounds that could unsettle the patient. This new technique using principles taught in high school physics enables us to withdraw the tooth without traumatizing the bone around the socket or creating any cracking sounds. During tooth extractions, retain- ed root fragments are a common occurrence. This can lead to bleeding, pain, infection and then an additional procedure of a flap with a surgical extraction resulting in more bone loss. Extracting teeth as atraumatically as possible by applying controlled tension in the long axis of the tooth will usually empower the dentist to conserve the alveolar bone, avoiding root fracture and causing the least trauma to the patient, allowing faster healing. Preserving the maximum amount of bone allows dentists to create a more ideal site for a bridge pontic or the placement of an implant. A method of achieving this goal is of especial importance in extracting third molars that would otherwise require a fair amount of tooth movement. Avoiding the bucco-lingual luxation and possible tooth depression may prevent trauma of the inferior alveolar nerve, a frequent complication of third molar extractions. This is even more critical in extracting a maxillary first bicuspid, a tooth with two slender roots, in which case bucco-lingual luxation can frequently result in fractured retained root tips, which must be promptly removed to avoid interference with the orthodontic treatment. This technique has been useful in the extraction of any tooth in the mouth. But it is critically important on upper first bicuspids and third molars. Luxation of first bicuspids frequently leads to root fracture. Third molars are difficult to luxate because they are surrounded by a great deal of bone buccally and lingually. Using leverage to elevate the tooth from the socket eliminates the need for luxation. I had been using this technique for eight years to improve the experience for the patient and me. The technique of how to extract third molars and first bicuspids is outlined below. Technique for Third Molars: Insert the periotome in between the gingival tissue and the tooth. Gently sever the tissue connection to the tooth by sliding the instrument on the entire periphery (Figures 1 to 5). Next, an appropriate forceps is applied to the buccal and lingual surfaces of the third molar and a fulcrum is placed under the forceps handle as close as possible to the tooth to be extracted while keeping clear of its “occlusal surface (Figures 6,7).” In my practice, we usually used a rounded hard-wood chopstick sometimes placed on a tongue depressor as the fulcrum. Gentle, slowly increasing pressure is applied to the forceps handles in the direction of the occlusal surface behind the fulcrum until the tooth is elevated (Figures 8,9). Disclaimer: Publication of the below article does not imply endorsement of the techniques discussed therein by Second District Dental Society (SDDS). Readers are advised that there is currently no research on the reviewed techniques and the content is presented solely for educational and informational purposes. There are potential risks in integrating any techniques and procedures discussed into practice without adequate supervised clinical experience to ensure competency. Figure 1 Figure 2 Figure 5 Figure 3 Figure 4 Figure 6 Figure 7 4 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
Technique for First Bicuspids: Frequently, because first bicuspids have a buccal and lingual root, lateral luxation results in frequent fracture of one of the roots. It is even more important to use this technique to prevent this from occurring. The periotome is used again circumferentially (Figures 10 to 13). The appropriate forceps is applied and in this case since the fulcrum must be over the anterior teeth, a tongue depressor is placed under the fulcrum to distribute the pressure over several teeth (Figure 14). As in the first case gentle slowly increasing pressure is applied to the forceps handles in the direction of the occlusal surface until the tooth is elevated with both roots intact (Figures 15, 16). The first bicuspids frequently have very slender delicate roots which could be a challenge to remove if fractured and retained in adolescents in cases that have been referred by the orthodontist (Figure 17). I have used this method many times with no root fractures and patients have been much less anxious when no luxation is used. Post-operative healing will be faster. In many cases, an implant can be placed in the lingual root socket immediately after the extraction with no flap and no sutures. Conclusion: If this technique is used, then there will be tremendous impact on clinical care. Since there is no bone traumatizing luxation, root fracture, and sounds of bone fracturing at the edge of the socket, patients will experience much less pain and faster healing after the procedure. With greater preservation of the bone and less damage to the socket, the dentist and the patient will have better options for further restoration of the affected area. Figure 8 Figure 10 Figure 12 Figure 13 Figure 14 Figure 15 Figure 16 Figure 17 Figure 9 Figure 11 WWW.SDDSNY.ORG 5
SDDS Photos of the Month On July 12, the Empire Dental Political Action Committee (EDPAC) held an event in honor of New York State Senator Andrew Gounardes that was attended by New York State Dental Association (NYSDA) members. The event, which took place at Threes Brewing in Gowanus, Brooklyn, is an annual traditional fundraiser and was also Senator Gounardes’birthday celebration. Senator Gounardes has been a close friend of dentistry for a number of years and EDPAC has supported him ever since his career as a politician started. He is also the son of Past NYSDA Speaker Dr. Steven Gounardes. EDPAC is the bipartisan voice of thousands of New York State dentists. Together, it helps elect candidates to state office who understand the importance of dentistry and dentistry’s unrelenting commitment to improving oral health care in New York State. Senator Andrew Gounardes delivering an address to the guests at the event A sign at the entrance announcing Senator Gounardes’ birthday celebration, which was a nice touch that contributed to an especially friendly atmosphere at the event From left to right: Dr. Phyllis Merlino (SDDS treasurer; member, NYSDA Council on Membership & Communications), New York State Senator Andrew Gounardes, Mrs. Meredith Flagiello and Dr. Raymond Flagiello (SDDS president; EDPAC secretary) 6 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
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Therefore, you should not rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of competent counsel in your jurisdiction. All policy provisions discussed in this brochure are subject to underwriting approval. Information in this document should not be construed as a The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. MLMIC features some of the most competitive dental premiums in the state. Comprehensive coverage options. Concierge-level service. Exclusive New York-focused extras. For dental professional liability insurance in New York, there’s simply no better choice than MLMIC. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. Coverage You Can The only dental professional liability carrier endorsed by NYSDA. 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Nothing contained in this document shall serve to amend, alter, or modify the terms, conditions or exclusions of each individual insurance policy. All references to MLMIC refer to MLMIC Insurance Company, Two Park Avenue, New York, NY 10016. Coverage You Can Trust. The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (800) 416-1241 today. MLMIC features some of the most competitive dental premiums in the state. Comprehensive coverage options. Concierge-level service. Exclusive New York-focused extras. For dental professional liability insurance in New York, there’s simply no better choice than MLMIC. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. Coverage You Can Trust. The only dental professional liability carrier endorsed by NYSDA. The material provided in this document is for general informational purposes only. Nothing contained in this document is intended to constitute, and should not be construed as, a solicitation of insurance in any state in which MLMIC is not licensed, an interpretation of any insurance provision or policy nor as legal advice on any subject matter. Therefore, you should not rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of competent counsel in your jurisdiction. All policy provisions discussed in this brochure are subject to underwriting approval. Information in this document should not be construed as a Coverage You Can Trust. The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. MLMIC features some of the most competitive dental premiums in the state. Comprehensive coverage options. Concierge-level service. Exclusive New York-focused extras. For dental professional liability insurance in New York, there’s simply no better choice than MLMIC. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. Coverage You Can The only dental professional liability carrier endorsed by NYSDA. The material provided in this document is for general informational purposes only. Nothing contained in this document is intended to constitute, and should not be construed as, a solicitation of insurance in any state in which MLMIC is not licensed, an interpretation of any insurance provision or policy nor as legal advice on any subject matter. Therefore, you should not rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of competent counsel in your jurisdiction. All policy provisions discussed in this brochure are subject to underwriting approval. Information in this document should not be construed as a coverage interpretation of the policy in whole or in part. Actual coverage determinations are subject to all of the terms and conditions of the actual policy, endorsements, application, and any actual claims. Nothing contained in this document shall serve to amend, alter, or modify the terms, conditions or exclusions of each individual insurance policy. All references to MLMIC refer to MLMIC Insurance Company, Two Park Avenue, New York, NY 10016. Coverage You Can Trust. The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (800) 416-1241 today. Coverage You Can Trust. The only dentist professional liability insurance carrier endorsed by NYSDA. MLMIC features some of the most competitive dental premiums in the state. Comprehensive coverage options. Concierge-level service. Exclusive New York-focused extras. For dental professional liability insurance in New York, there’s simply no better choice than MLMIC. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. The only dental professional liability carrier endorsed by NYSDA. The material provided in this document is for general informational purposes only. Nothing contained in this document is intended to constitute, and should not be construed as, a solicitation of insurance in any state in which MLMIC is not licensed, an interpretation of any insurance provision or policy nor as legal advice on any subject matter. Therefore, you should not rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of competent counsel in your jurisdiction. All policy provisions discussed in this brochure are subject to underwriting approval. Information in this document should not be construed as a The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. MLMIC features some of the most competitive dental premiums in the state. Comprehensive coverage options. Concierge-level service. Exclusive New York-focused extras. For dental professional liability insurance in New York, there’s simply no better choice than MLMIC. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. The only dental professional liability carrier endorsed by NYSDA. The material provided in this document is for general informational purposes only. Nothing contained in this document is intended to constitute, and should not be construed as, a solicitation of insurance in any state in which MLMIC is not licensed, an interpretation of any insurance provision or policy nor as legal advice on any subject matter. Therefore, you should not rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of competent counsel in your jurisdiction. All policy provisions discussed in this brochure are subject to underwriting approval. Information in this document should not be construed as a coverage interpretation of the policy in whole or in part. Actual coverage determinations are subject to all of the terms and conditions of the actual policy, endorsements, application, and any actual claims. Nothing contained in this document shall serve to amend, alter, or modify the terms, conditions or exclusions of each individual insurance policy. All references to MLMIC refer to MLMIC Insurance Company, Two Park Avenue, New York, NY 10016. The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (800) 416-1241 today. MLMIC features some of the most competitive dental premiums in the state. omprehensive coverage options. Concierge-level service. Exclusive New York-focused xtras. For dental professional liability insurance in New York, there’s simply no better hoice than MLMIC. See how much you can save. isit MLMIC.com/NY or call (888) 392-0638 today. Coverage You Can Trust. The only dental professional liability carrier endorsed by NYSDA. ial provided in this document is for general informational purposes only. Nothing contained in this document is intended to constitute, and should not be construed as, a n of insurance in any state in which MLMIC is not licensed, an interpretation of any insurance provision or policy nor as legal advice on any subject matter. Therefore, you t rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of Coverage You Can Trust. The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call 888) 392-0638 today. MLMIC features some of the most competitive dental premiums in the state. Comprehensive coverage options. Concierge-level service. Exclusive New York-focused extras. For dental professional liability insurance in New York, there’s simply no better choice than MLMIC. See how much you can save. Visit MLMIC.com/NY or call (888) 392-0638 today. Coverage You Can The only dental professional liability carrier endorsed by NYSDA. erial provided in this document is for general informational purposes only. Nothing contained in this document is intended to constitute, and should not be construed as, a on of insurance in any state in which MLMIC is not licensed, an interpretation of any insurance provision or policy nor as legal advice on any subject matter. Therefore, you ot rely on the information provided herein as a policy interpretation or as legal advice on any subject matter for any purpose and should always seek the legal advice of ent counsel in your jurisdiction. All policy provisions discussed in this brochure are subject to underwriting approval. Information in this document should not be construed as a e interpretation of the policy in whole or in part. Actual coverage determinations are subject to all of the terms and conditions of the actual policy, endorsements, application, actual claims. Nothing contained in this document shall serve to amend, alter, or modify the terms, conditions or exclusions of each individual insurance policy. Coverage You Can Trust. The only dentist professional liability insurance carrier endorsed by NYSDA. See how much you can save. Visit MLMIC.com/NY or call (800) 416-1241 today. WWW.SDDSNY.ORG 7
8 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
SMILE SALUTE VETS WITH A Through major acts of courage and simple acts of kindness, Veterans have protected Americans' rights and defended our freedoms. Yet millions of U.S. Veterans are going without much-needed, essential oral health care. The New York State Dental Foundation is organizing a crew of dentists across New York State who will pledge to provide free dental treatment to one or more United States Veterans in 2024. WILL YOU PLEDGE TO PROVIDE DENTAL CARE FOR ONE VETERAN IN 2024? "85%, or about 7.8 million veterans enrolled in the Veterans Affairs health care system, are ineligible for VA dental benefits... in order to qualify for dental services, Veterans must either have a dental issue that is service-connected or qualify based on narrow criteria." PLEDGE YOUR SUPPORT TODAY Fill out the pledge form. Your name will be added to our internal directory of Dental Heroes. We will spread the news about New York's Salute Vets with a Smile program and connect Veterans in need with a Dental Hero in their area. Free toothbrushes and up to $500 in funding for supplies will be provided to any components wishing to organize an additional Veterans event in their district. WWW.SDDSNY.ORG 9
The Hole Tooth: The Prevention and Management of Perforations Featured Clinician: MARC KUNIN, D.D.S. Associate Director of Endodontics, NYU Langone Dental Medicine Perforations occurring during root canal treatment may account for as many as 10% of all failed endodontic cases. Occurrence ranges from 2.3% to 12% and are reported to lower the prognosis of endodontic treatment to 50%. This presentation will discuss using the roadmap on the floor to locate calcified orifices, tricks to use to avoid perforations in different scenarios, and detailed descriptions of access of maxillary and mandibular molars. Causes of perforations in different locations on the tooth, recognizing perforations, and treatment and prognosis of different types of perforations will also be discussed. Upon successful completion of this lecture, attendees will learn: • Proper access techniques to prevent perforations • How to navigate clinical situations that often lead to perforations • Recognition and treatment of perforations • Prognosis of different types of perforations SDDS OCTOBER GENERAL MEMBERSHIP MEETING *Advance Registration Required—Register online at sddsny.org* Thursday, October 12, 2023 ◆ Dyker Beach Golf Course, Brooklyn, NY ◆ 6:30 P.M. ◆ MCEU – 1 HOUR Interdisciplinary Care: Case Studies and Outcomes for Straightforward and Complex Cases Essayist: CHRISTINA M. GOODHEART, M.A., CCC-SLP Board-Certified Specialist, Swallowing and Swallowing Disorders This presentation will include an outline of core team member roles and additional suggested disciplines for complex cases. It will also outline the rationale for functional assessment, objective testing and the need for patient participation. Two straightforward cases and two complex cases will be presented, along with their histories, treatment plans and outcomes. Upon successful completion of this lecture, attendees will: • Learn the rationale for interdisciplinary care even for simple cases • Describe three ways to professionally and successfully collaborate with other disciplines • Identify specialists essential to their specific specialty RICHMOND COUNTY DENTAL SOCIETY MEMBERSHIP MEETING *Advance Registration Required—Register online at sddsny.org* Tuesday, October 17, 2023 ◆ Max’s Es-Ca Restaurant, Staten Island, NY ◆ 7 P.M. ◆ MCEU – 1 HOUR Enhancing Esthetic Outcomes Through Periodontal Surgery and Dental Implants Featured Clinician: YE SHI, D.D.S., M.S. Clinical Assistant Professor, Department of Periodontology and Implant Dentistry, New York University College of Dentistry An attractive smile has always been the patient’s motivation for improving esthetic appearance and thus self-esteem. Clinicians can encounter several challenging scenarios in the esthetic zone such as missing teeth, uneven gingival margins and excessive gingival display. Each of these cases requires proper diagnosis and treatment planning to achieve long-term esthetic outcomes. To determine the proper treatment, both esthetic and periodontal evaluation are crucial during the treatment plan phases. Surgical crown lengthening, including soft and hard tissue management, is necessary. It can be used to decrease gingival display in cases of altered passive eruption, to enhance the clinical crown proportion or to establish biological width to maintain gingival health. Poor esthetic outcomes such as tissue regrowth or esthetic complications such as recession can occur with inaccurate treatment planning and inappropriate surgical techniques. Dental implants are indeed one of the treatment options for a single missing anterior tooth, which has been proven to have long-term success and survival rate. However, for a high smile patient, it is more important to obtain soft tissue harmony rather than just white esthetics. The ultimate goal of implant treatment is to achieve peri-implant soft tissue esthetics and long-term stability. This lecture will discuss the biologic rationale for different treatment options and factors and risks contributing to poor esthetic outcome, as well as propose clinical guidelines for the predictable achievement of stable gingival margins. It will also review clinically relevant literature and multiple case presentations to demonstrate from treatment planning to treatment execution. Upon successful completion of this course, attendees will learn: 1. Factors and risks that affect the esthetic outcome 2. Esthetic and periodontal evaluation during the diagnosis and treatment plan phases 3. Treatment options for the anterior esthetic zone, including esthetic crown lengthening and implants 4. Clinical guidelines of surgical treatment 5. Management of esthetic complications CONTINUING EDUCATION COURSE #2023-20 *Advance Registration Required—Register online at sddsny.org* Friday, October 20, 2023 ◆ Hilton Garden Inn, Staten Island, NY ◆ 9 A.M. – 12 P.M. ◆ MCEU – 3 HOUR Occlusion Simplified: Evaluation, Diagnosis and Treatment Featured Clinician: MARC B. GAINOR, D.M.D. Visiting Faculty, Spear Institute This program will provide a scientifically-based approach to occlusal evaluation, diagnosis and treatment. Attendees will learn various principles of occlusal, airway, joint and muscle evaluation and diagnosis, so they can gain confidence in managing occlusal problems in everyday practice. In addition, various occlusal treatment options including appliances and occlusal equilibration will be discussed in detail, along with various techniques to improve occlusal outcomes. Upon successful completion of this course, attendees will: 1. Review the key elements of occlusion, muscle and TMJ anatomy (as per the PankeyDawson occlusal philosophy) 2. Understand how bite force, obstructive sleep apnea, attrition, abrasion and erosion affect prognosis and treatment planning 3. Understand the key elements of a complete occlusal, muscle, joint and airway exam, and what positive findings mean 4. Know why centric relation is important, when to use it and when it’s safe to use the existing occlusion 5. Learn about the Learn Gauge and Lucia Jig—how to use them to safely load test the TMJ, deprogram muscles, and take consistently accurate centric relation bite records 6. Understand how to use exam findings to help choose the appropriate occlusal appliance 7. Know how to quickly assess occlusal risk—so you can know which teeth and which patients are safe to treat 8. Learn techniques to improve the accuracy of bite records, models, and mounting to help you analyze the occlusion 9. Understand how to properly adjust occlusal appliances 10. Understand when, why, and how to perform an occlusal equilibration 11. Provide some techniques to improve occlusal and restorative outcomes CONTINUING EDUCATION COURSE #2023-19 *Advance Registration Required—Register online at sddsny.org* Friday, October 13, 2023 ◆ Dyker Beach Golf Course, Brooklyn, NY ◆ 9 A.M. – 4 P.M. ◆ MCEU – 6 HOURS IN MEMORIAM Dr. Alan J. Sosnay – New York University, 1960 10 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
Advance registration required for all listed events. Register online at sddsny.org (excluding SDDS Hospital Resident members, SDDS Associate members and SDDS Life members). Buy more, SAVE MORE! Register for any TWO SDDS courses and get ONE course of equal or lesser value for free (excluding CPR). To redeem this offer, download a course registration form at www.sddsny.org and mail, fax or email to SDDS Headquarters. #2023-19 “Occlusion Simplified: Evaluation, Diagnosis and Treatment” SDDS Life Members $94.50 SDDS Members $135 SDDS Member’s Staff $100 SDDS Residents $35 ADA Members/Staff $175 Non-ADA Members/Staff $200 Marc B. Gainor, D.M.D. Friday, October 13, 2023 Dyker Beach Golf Course, Brooklyn 9 A.M. – 4 P.M. MCEU - 6 hours Breakfast and lunch included #2023-20 “Enhancing Esthetic Outcomes Through Periodontal Surgery and Dental Implants” SDDS Life Members $52.50 SDDS Members $75 SDDS Member’s Staff $50 SDDS Hospital Residents $25 ADA Members $100 ADA Member’s Staff $75 Non-ADA Members/Staff $110 Ye Shi, D.D.S., M.S. Friday, October 20, 2023 Hilton Garden Inn, Staten Island 9 A.M. – 12 P.M. MCEU - 3 hours Breakfast included #2023-22 “Skillfully Responding to Conflict in Work and in Life Through the Use of Basic Mediation Techniques” SDDS Life Members $94.50 SDDS Members $135 SDDS Member’s Staff $100 SDDS Residents $35 ADA Members/Staff $175 Non-ADA Members/Staff $200 Shahram (Sean) Shekib, D.D.S., J.D. Martin Applebaum, M.A., J.D. Friday, November 3, 2023 Dyker Beach Golf Course, Brooklyn 9 A.M. – 12 P.M. MCEU - 3 hours Breakfast included #2023-23 “Common Oral Lesions: A Guide to Diagnosis and Management” SDDS Life Members $94.50 SDDS Members $135 SDDS Member’s Staff $100 SDDS Residents $35 ADA Members/Staff $175 Non-ADA Members/Staff $200 Scott M. Peters, D.D.S. Friday, November 10, 2023 Hilton Garden Inn, Staten Island 9 A.M. – 4 P.M. MCEU - 6 hours Breakfast and lunch included #2023-24 “Pediatric Dentistry Pearls for Your Practice” SDDS Life Members $52.50 SDDS Members $75 SDDS Member’s Staff $50 SDDS Hospital Residents $25 ADA Members $100 ADA Member’s Staff $75 Non-ADA Members/Staff $110 Ann D. Kennedy, D.D.S. Friday, December 8, 2023 Dyker Beach Golf Course, Brooklyn 9 A.M. – 12 P.M. MCEU - 3 hours Breakfast included “CPR and Medical Emergencies in the Dental Office” *excluded from discount offers* SDDS Members $180 SDDS Member’s Staff $175 SDDS Residents $125 ADA Members/Staff $200 Non-ADA Members/Staff $295 Michael Kaliroff MCEU - 4.5 hours #2023-21 Hilton Garden Inn, Staten Island Friday, October 27, 2023 9 A.M. – 2:30 P.M. #2023-25 SDDS Headquarters, Brooklyn Friday, December 15, 2023 9 A.M. – 3 P.M. Second District Dental Society 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. Second District Dental Society designates each activity in this brochure for the stated number of continuing education credits. Second District Dental Society is a recognized sponsor by the N.Y.S. Education Department, ADA CERP and the AGD. Unless otherwise stated, all featured speakers have disclosed that they do not have any relevant financial arrangements or affiliations with any corporate organizations that would constitute a conflict of interest concerning the continuing education activities stated herein. CPR and Medical Emergencies in the Dental Office Instructor: MICHAEL KALIROFF Certified Instructor, American Heart Association This course provides dentists and their staffs with the knowledge and skills needed to properly respond to cardiopulmonary and other medical emergencies which can occur in dental offices. The specific advantages and disadvantages of performing CPR within the dental operatory will be discussed. This program utilizes hands-on practice sessions for all participants. Topics to be covered will include heart attacks and strokes (signs and symptoms), sudden cardiac arrest/ defibrillation, airway obstruction (choking), respiratory emergencies, anaphylactic reactions, emergency drug kits and more. Upon successful completion of this course, participants will gain the knowledge and hands-on experience needed to administer CPR safely and effectively. Completion of this course will also satisfy the New York State Education Department’s requirement for licensed dentists.* *This course may not fulfill the CPR certification requirements for staff/faculty of some hospitals/ universities. CHECK WITH YOUR EMPLOYER BEFORE TAKING THIS COURSE.* CONTINUING EDUCATION COURSE #2023-21 *Advance Registration Required—Register online at sddsny.org* Friday, October 27, 2023 ◆ Hilton Garden Inn, Staten Island, NY ◆ 9 A.M. – 2:30 P.M. ◆ MCEU – 4.5 HOURS WWW.SDDSNY.ORG 11
Limited spaces available. Sign up today! Call SDDS at (718) 522-3939 to reserve your spot. Documents shredded securely onsite in a mobile shredding vehicle by Time Shred Services Available only to current Second District Dental Society members in good standing *Limit of 10 file storage boxes per office FREE Shredding Event SDDS Second District Dental Society of New York Friday, October 6, 2023 Second District Dental Society Headquarters 111 Fort Greene Place Brooklyn, NY 11217 BY APPOINTMENT ONLY FOLLOW US! facebook.com/SDDSofNY twitter.com/SDDSofNY instagram.com/SDDSofNY 12 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
SDDS Board of Trustees Meeting Minutes May 1, 2023 BOARD OF TRUSTEES MEETING (via Zoom) President Dr. Raymond Flagiello called meeting to order at 7:02 P.M. PRESENT: Drs. Flagiello, Shalan, Buchalter, Mistretta, Libramonte, De Leonibus, Demas, Meiselman, Mindlin, Donato, Jr., Albicocco, Teplitsky, Merlino, Butt, Scibetta, Sager, Segelnick and Venterina; Mr. Hackett EXCUSED: Drs. Carute, Mistretta, Richard, Wolfe and Quartey-Sagaille ABSENT: Drs. Turchak, Rosenwein, Bongiorno and Rosenwein GUESTS: Drs. Oshrain, Gounardes, Young, Flamer-Caldera, Ibrahim, Cox and Ratner MOTION PASSED: Minutes of March 13, 2023, accepted as amended MEMBERSHIP: NEW MEMBERS: Dr. Rajesh Adhia – Nova Southeastern University, 2006 Dr. Aaron Moskowitz – New York University, 2012 REINSTATEMENTS: Dr. Mitchell Marmorsky – University of New England, 2017 TRANSFERS: Dr. Lucy Villa – University of Pennsylvania School of Dental Medicine, 2001 (Transferred from New York County Dental Society) Dr. Jeanne Helbig – Temple University, 2016 (Transferred from Queens County Dental Society) Dr. Michael Erdos – Columbia University, 2018 (Transferred from New York County Dental Society) Motion Passed: To elect the proposed members to membership. ANNOUNCEMENTS: See “Upcoming Events” calendar. REPORT OF OFFICERS AND STAFF: President — Dr. Raymond Flagiello: • Presided at the General Membership Meeting at the Hilton on April 20, 2023. Woodhull residents attended. Tottenville HS Dental Assisting awards presented. Elected Nominating Committee, meeting scheduled for June • GNYDM Budget Committee meeting via Zoom President Elect — Dr. Tricia Quartey-Sagaille: • Dr. Robert Korngut was appointed to a four-year term to GNYDM Treasurer — Dr. Phyllis Merlino: • Operating, Chase – $48,000 • Savings, Chase – $67,000 • Vanguard – up slightly over last month Executive Director — Mr. Bernard Hackett • Attended NYSDA Advocacy Day & Council on Govt Affairs. Drs. Demas and Gounardes also attended. Met with Senator Lanza and several others. Topics discussed: Vaccination administration, insurance reform for NCS $ MLR • Discussed NYSDA HOD, ten delegates and eight Alternates; resolutions to be posted. SDDSNY will support Foundation as always • New Dentist CE course and luncheon: Drs. Libramonte, Wolfe and Small will be making a presentation. Forty to sixty attendees expected • Another New Dentist Event is scheduled for June • The Nominating Committee will be meeting on June 22. Please contact members if you are interested in serving NYSDA REPORTS: NYSDA Trustee Report — Dr. John Demas: • Discussed newest changes in Medicaid as a result of a class action against NYS Department of Health. Details will follow Hospital Dentistry and CDEL Report — Dr. Pasquale: • Minutes emailed and are informational Council on Dental Practice: Emailed report from Dr. Quartey-Sagaille GNYDM Report — Dr. Richard Oshrain: • Monthly installment from GNYDM: $50,000 • Booth sales up for GNYDM at 742, ahead of 2019 numbers • Happy hour on the floor scheduled; Puppy Snuggle session being considered • Michael Imperiale will be keynote speaker; all key indicators are up this year • Registrants and courses (including the new DEA course) up over 2019 numbers • Registration opens April 1, 2023. Courses available July 1, 2023 Awards Committee — Dr. Craig Ratner: • Motion passed: That the SDDS present 20 awards of $10,000 each to the top applicants in this year’s Loan Forgiveness Program • Motion passed: That the SDDS retain ISTS as the third-party administrator of the SDDS Loan Forgiveness Program Both resolutions passed unanimously. Also discussed the importance of Mentorship Program/Boot Camp for residents/young dentists. UNFINISHED BUSINESS: (none) NEW BUSINESS: (none) GOOD & WELFARE: • Dr. Richard Oshrain is retiring! We wish him well! • Dr. Donato congratulated Dr. Segelnick on his publication in the California Dental Journal • EDPAC is hosting a reception for Governor Hochul. To be held at New York County Dental Society headquarters on May 16, 2023 ADJOURNMENT: 8:15PM WWW.SDDSNY.ORG 13
POSITIONS WANTED GENERAL DENTIST AVAILABLE PARTTIME: Experienced General Dentist available 1-2 days/ week and alternate Saturdays. Bay Ridge area, Park Slope, North Brooklyn and Staten Island. Contact: (917) 301-4436 POSITIONS AVAILABLE DENTIST WITH PREMIER PRACTICE: Looking for a dentist with high quality practice to join/merge into my well established, restorative/ cosmetic practice in Staten Island, NY. Potential for future buyout. My practice is high-end and focused on fee for service. The office is conveniently located near mass transportation and easily accessible. We have a professional and capable staff. For further details, please contact Steven G. Contact: (917) 428-8848 | steven.g@btqconsult.com DENTIST WITH NUCLEUS PRACTICE: Looking for dentist with high quality practice to join/ merge into my well established, restorative/cosmetic practice in Park Slope, NY. Potential for future buy out. My practice is high-end and focused on fee for service. The office is located conveniently by train lines, with a professional and capable staff. For further details, please contact Dr. Leonard Brenner. Contact: (516) 840-6153 | BRNRDNTL@AOL.COM ASSOCIATE DENTIST WANTED: Modern private practice in Brooklyn (Kings Highway) is seeking an associate dentist proficient in performing all phases of dentistry. There are both part-time and full-time opportunities. If you are looking for a career opportunity with unlimited professional growth potential or a partnership track please contact us or email your resume. Contact: Dr. Safonova | (718) 376-1090 | taladentalinfo@gmail.com EXPERIENCED PT OR FT DENTIST IN BROOKLYN: Modern private practice in Brooklyn is seeking an EXPERIENCED PT or FT DENTIST. Candidate must be proficient in performing all phases of dentistry, including molar root canal therapy, surgical extraction, and cosmetic dentistry. Please submit your resume to familysmiledental@gmail.com or contact Tanya. Contact: Tanya | (718) 332-4060 | familysmiledental@gmail.com PERIODONTIST: Looking for a periodontist. Hours and salary will be discussed upon interview.Contact: Dr. Nicholas Mattia or Alyssa | (718) 442-8440 | nmattiadds@gmail.com GENERAL DENTIST: Full-time and Part-time dentist with minimum 2 years experience. Contact: Dr. Tamara | tibadental@yahoo.com GENERAL DENTIST: Large dental practice on Staten Island looking for General Dentist. Flexible hours. Contact: Jill | (718) 494-0100 | jilldon310@ gmail.com ORTHODONTIST: Full or part-time position, for a busy Staten Island general and multi-specialist practice. Contact: Jill | Jilldon310@gmail.com ENDODONTIST AND PERIODONTIST (STATEN ISLAND): Multi-specialty practice is looking for an endodontist and periodontist to join our team. Flexible hours. Contact: hwdentalcare@ gmail.com PEDIATRIC DENTIST—BROOKLYN HOSPITAL: Board certified/ Board eligible pediatric dentist wanted for an attending position in a Brooklyn hospital, supervising pediatric dental residents. NYS license required. Please email your resume to Rena Kravitz. Contact: Rena Kravitz | rkravitz@ maimonidesmed.org ORAL SURGEON—ONE BROOKLYN HEALTH SYSTEM, PART-TIME: 2 day/ week at Brookdale Hospital Medical Center. Responsibilities: supervision/teaching residents. Contact: Dr. David J. Miller | (718) 613-4707 | dmiller@ interfaithmedical.org ORTHODONTIST PT—STATEN ISLAND: Well-established, busy high quality practice in Staten Island, NY seeking part-time Orthodontist. Please email your curriculum vitae to Dr. Salvatore Indelicato. Contact: Dr. Salvatore Indelicato | (718) 967-5213 | straiteeth@aol.com FT ASSOCIATE—BROOKLYN: Implant Practice seeks full time associate. Experience a plus. No Saturdays. Available immediately. Contact: Dr. Simon Kappel | (718) 436-0202 | doctorsmileone@gmail.com PEDIATRIC DENTISTS—ONE BROOKLYN HEALTH SYSTEM: Full Time position, Monday—Friday at Brookdale Medical Center (full benefits package and loan forgiveness eligibility), Wednesdays at Interfaith Medical Center. Responsibilities: supervision/teaching residents. Contact: Dr. David J. Miller | (718) 613-4707 | dmiller@ interfaithmedical.org ORAL SURGEON—NYP BROOKLYN METHODIST HOSPITAL: Seeking part time oral surgeon to help with clinic and on-call coverage. You have the skills and expertise that these new dentists need. Compensation, free precious Park Slope parking, and the satisfaction knowing you have helped the new dentist be the best they can be. If interested please email your CV to Dr. Sconzo. Contact: Dr. Sconzo | jjs9014@nyp.org GENERAL DENTIST—ONE BROOKLYN HEALTH SYSTEM: Part Time (3 days/week), Monday, Thursday and Friday preferred (full benefits package). Responsibilities: supervision/teaching residents. Contact: Dr. David J. Miller | (718) 613-4707 | dmiller@interfaithmedical.org ORAL SURGEON—ONE BROOKLYN HEALTH SYSTEM: Part-Time: 1 day/week at Interfaith Medical Center. Responsibilities: supervision/teaching residents. Contact: Dr. David J. Miller | (718) 613-4707 | dmiller@interfaithmedical.org FULL-TIME LICENSED DENTIST: FullTime Licensed Dentist to take over patients as soon as possible. Hours and salary will be discussed upon interview. Contact: Dr. Nicholas Mattia or Alyssa | (718) 442-8440 | nmattiadds@gmail.com ADVERTISING IN THE SDDS JOB BOARD The SDDS Job Board is a free member-benefit program for all Second District members who are seeking employment and for all SDDS members who have positions available at their office address in Brooklyn or Staten Island. This member benefit is available only to Second District members in good standing. Please call Christine at (718) 522-3939 or send us an email at info @sddsny.org for details on placing an associateship listing. SDDS Job Board 14 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
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