November/December 2010

November/December 2010ADAA Welcomes2010–2011 PresidentNatalie Kaweckyj,CDA, LDARF, CDPMA, COA, COMSA, MADAA, BA Building a volunteer–staffed 6 dental clinic OSAP infection control 12 CE course The Voice of Professional Dental Assisting Introducing the 2010–2011 ADAA Officers & Trustees 26NovDec2010 issue.indd 1 11/15/10 3:36:07 PM

ntroducing the newest addition to Septodont’s growing hand care line… NEW! SeptoSan SeptoSan kills 99.99% of germs in 15 seconds, making it safe to use in any practice. Enriched with natural Glycerin and vitamins A and E, SeptoSan hydrates with each use and is gentle on skin. It is clinically proven to be non-irritating even after frequent use.From the manufacturers of Septocaine® and N’Durance® Follow us on Twitter 800-872-8305 septodontusa.comanesthetics • materials • endodontics • infection control @Septodont_USA Order through your dental dealerNovDec2010 issue.indd 2 11/15/10 3:36:09 PM

The Voice of Professional Dental Assisting November/December 2010 FEATURES Air Force/ADAA 10 An Experience to be Experienced by MSgt Christaleen Hill A look at the Annual Session from the Air Force delegates’ view. 12 Annual Conference 26 It’s Just Magic compiled by Michi Trota Introducing the 2010–2011 ADAA Officers and Trustees, as well as award winners, ADAA Fellows and pictures from the Annual Session in Orlando. Clinical 6 Providing Dental Care for Those in Need compiled by Michi Trota The Journal conducts an interview with ADAA member Shelbi Brewer, CDA, RDA, regarding a volunteer dental clinic in Texas. cover story 4 Ms. Kaweckyj’s first address as ADAA President. 4 Continuing Education 12 The Spread of Diseases 6 provided by OSAP A CE course covering ways to halt the spread of disease in dental clinics. Legislative Update 40 Ignite Your Passion for Dental Assisting by Ronda V. Lane, CDA, RDA, BS Finding examples of positive change and ideas nationwide. 42 Legislative News compiled by Rosana Rodriguez, CDA, CDPMA, FADAA A news update on state legislative matters. Membership Matters 22 DARW 2010 Wrap Up compiled by Michi Trota A look at how DARW was celebrated in 2010 across the country. DEPARTMENTS 2 Editor’s Desk 37 Healthbeat 4 President’s Page 38 ADAA Roundtables 34 Association Bulletin 47 Advertiser Index 36 Brain Teaser 48 Publisher's Statement The Journal is printed using recycled materials and is a fully recyclable product.NovDec2010 issue.indd 3 11/15/10 3:36:12 PM

Editor’s Desk Michi Trota 010 is nearly over, and what a year it’s been! With 2011 on the horizon, the Journal proudly welcomes the 2010– 2011 ADAA Officers and Trustees. Turn to our 2010 Annual Session: Orlando Wrap–Up (pg. 26) for an intro- duction to the new officers and trustees, as well as a list of awards, Fellowship candidates and event highlights.ADAA President Natalie Kaweckyj pens her first President’s Letter (pg. 4), outlining her aspirations for the coming year.U.S Air Force delegates also provide their perspectives on Annual Session events (pg. 10). As always, it was a pleasure to see everyone at the meeting in sunny Orlando. It’s so inspiring to see such an outpouringof passion and dedication for the association and the profession of dental assisting. Congratulations to everyone on a yearwell done! Unfortunately, the unmistakeable chill in the air also heralds the return of cold and flu season. However, this also meansthe return to the Journal’s annual Infection Control issue, featuring a CE course outlining methods to address troublescenarios for the spread of disease, provided courtesy of OSAP (pg. 12). Don’t forget that you can take the test for thiscourse online as well on ADAA’s CE website, www.adaa1.com. Also, Texas dental assistant and ADAA member, Shelbi Brewer, CDA, RDA, talks with the Journal about her participa-tion in opening a volunteer–staffed dental clinic for the underprivileged (pg. 8), and we take one more look at how DARWwas celebrated in 2010 before the new theme takes hold in 2011 (pg. 22). Last but not least, the Journal thanks our readers for a fantastic year. Have a wonderful holiday season and a Happy New Year! The Dental Assistant (lSSN-1088-3886) is published bimonthly (every other November/December 2010 Volume 79, No. 6 month). Subscriptions for members are $10 as part of dues. Nonmember subscriptions: $20 in the U.S.; $30 in Canada/Mexico; $75 other foreign.ADAA President Natalie Kaweckyj, CDA, LDARF, Single copy price is $10. Allow 6-8 weeks for subscription entry and CDPMA, COA, COMSA, MADAA, BA change of address. Publisher is the American Dental Assistants Association, 35 East Wacker Drive, Suite 1730, Chicago, IL 60601-2211. PeriodicalsExecutive Director Lawrence H. Sepin postage paid at Chicago, IL, and additional mailing offices. POSTMASTER: Send address changes to The Dental Assistant, 35 East Wacker Drive, SuiteEditorial Director Anna Nelson, CDA, RDA, MA 1730, Chicago, IL 60601-2211.Editor and Copyright 2010 by the American Dental Assistants Association. Reproduction inCommunications Director Douglas McDonough whole or in part without permission is prohibited. The information and opinions expressed or implied in The Dental Assistant are strictly those of the authors and 312-541-1550 x203 do not necessarily represent the opinion, position, or official policies of the American Dental Assistants Association (ADAA). Authors of published materialsManaging Editor Michi Trota are solely responsible for their accuracy. 312-541-1550 x209 Note: The ADAA cannot honor claims for missed copies of The Dental Assistant unless they are made within 90 days of the cover date. For example, requests forAdvertising Sales Manager Robert E. Palmer missed copies of the January/February issue must be made prior to May 31. 312-541-1550 x212 The Dental Assistant 35 East Wacker Drive, Suite 1730Director of Education Jennifer K. Blake, CDA, EFDA, MADAA& Professional Relations Chicago, IL 60601-2211 *General inquiries 312-541-1550 x 200Director of Information fax 312-541-1496 • e-mail [email protected] & Meeting Planning Nancy Rodriguez Website ✇ www.dentalassistant.orgEditorial Review Board Kathleen Brown, CDA, RDA, FADAA Sharon K. Dickinson, CDA, CDPMA, RDA ADAA Mission Statement Mary Govoni, CDA, RDH David F. Halpern, DMD, FAGD To advance the careers of dental assistants and to promote the Gary Jacobs, CDA, RDA, M.P.A. dental assisting profession in matters of education, legislation, Linda Kihs, CDA, EFDA, MADAA Linda L. Miles, CSP, CMC credentialing and professional activities which enhance the John Molinari, PhD delivery of quality dental health care to the public.To obtain a copy of our Writer's Submission Guidelines or the Editorial Calendar,please go to the ADAA website, www.dentalassistant.org.2 The Dental Assistant November/December 2010NovDec2010 issue.indd 4 11/15/10 3:36:13 PM 5802-8

It’s here! The GI restorative with no measuring, triturating or mess. 1 Flip 2 Load 3 Dispense Contact your 3M ESPE Sales Rep to hear about our Special Offers© 3M 2010. All rights reserved. 3M, ESPE and Ketac are trademarks of 3M or 3M ESPE AG. Used under license in Canada. The new Quick Mix Capsule—designed to mix the two pastes inside Ketac™Nano *Source: External study for 3M ESPE, n = 120 the tip—saves time, steps and improves overall mixing. Light-Curing Glass Ionomer • Fewer voids Restorative • Fewer capsule failures* • Faster treatment Plus, as a TRUE glass ionomer, it’s an excellent choice for high fluoride release! Ketac™ Nano Light-Curing Glass Ionomer Restorative is built on 3M ESPE’s nanotechnology—providing great esthetics, low wear and superb polish. Now in our innovative Quick Mix Capsule. www.YouTube.com/3MESPEdental Call 800-634-2249 or visit www.3MESPE.com/KetacNano5802-810_KetacNano_DAJ_Rep.indd 1 8/19/10 1:57 PMNovDec2010 issue.indd 5 11/15/10 3:36:14 PM

10DS2 President’s Page Natalie Kaweckyj, CDA, LDARF, CDPMA, COA, COMSA, MADAA, BA ADAA President, 2010–2011 Creating the Magic from Within as We Move Forward The new ADAA President shares her hopes for the coming year aving just returned from the “Most Magical Place local, state or national component. I would like to challenge on Earth” and Annual Session in Orlando, Flori- many of you to challenge yourselves in becoming more active da, I am excited by the many opportunities I had within your association. Many of you have already stepped up in meeting many members of our association. For the first– to the plate by volunteering to serve on councils and commit- time delegates who attended the conference in Orlando, I tees, serving as officers once again at your local societies or hope it was all you had imagined it would be! For us sea- state associations, or by serving on the Board of Trustees. The soned veterans who make the yearly trek to conduct the “magic” is all around us! business of the association, catch up with friends and make As I start out my term, I look forward to the ensuing year new acquaintances through networking, I applaud you! as we continue what has been started and begin on new en- Some of the greatest bonuses of attending the annual deavors. I look forward to meeting new friends, sharing new meeting are the rewarding opportunities for getting together ideas and coming up with solutions to age old dilemmas. It is with other professionals who care about dental assisting as with strength in members that we can all work together and much as you do. Our dental assisting profession is more than achieve the same goal—a healthy and sound association. Net- a job—it is a community and a culture; most importantly, it is work with your friends and colleagues who may not yet be acareerformany.Thoseaffiliatedwithdentistrytendtohavea members and show them all what ADAA is about. passion about the field and with one another. Our profession As the days grow shorter and the holiday season quickly serves society by sharing knowledge amongst its members approaches, I want to wish each and every one of you a safe, and creating incentives to combine new information, tech- happy and healthy holiday season. Please remember those nology and experiences. The inner workings of the ADAA who are serving our nation and may be spending the holidays also helps our members build networks, find opportunities, away from their families and those who are no longer with us. recruit leadership and organize collectively around the topics Best wishes! that affect the association and profession as a whole, whether it be legislation, credentialing, education or service. Each and every one of you has a leader inside waiting to burst out. Each member brings something to the association, no matter how small or large of an active role you play in your4 The Dental Assistant November/December 2010NovDec2010 issue.indd 6 11/15/10 3:36:20 PM

10DS2175_DAsst_Nov 10/15/10 4:45 PM Page 1 INTRODUCING A NEW ADAA MEMBER BENEFIT… SPECTACULAR SCRUB OFFERS! Refresh Your Work Wear And Save With Henry Schein Dental! Henry Schein Dental is now offering a 15% discount* for the online purchase of Scrubs, Lab Coats, and Footwear for ADAA members! Now Offering These Fine Brands: Grey’s Anatomy © ABC Studios. All Rights Reserved.* To receive your 15% discount, purchase $50 or more in products from the many uniforms and footware selections shown in the online 2010 Fall Uniform Flyer.To order visit:www.dentalassitant.org/memberbenefitsNovDec2010 issue.indd 7 1-800-372-4346 www.henryscheindental.com © 2010 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors. 11/15/10 3:36:23 PM

Providing Dental Care For those in Need compiled by Michi Trota, Editor An interview with an ADAA member discusses the recentopening of a dental care clinic for the indigent in Longview, TexasIntroduction: Shelbi Brewer, CDA, RDA, has been a dental as- 2. What were some of the obstacles you faced in getting thesistant in Texas for over 10 years and currently works for Dr. John M. clinic off the ground?Red Fox. She is a member of both the ADAA and the Texas DentalAssistants Association (TDAA). She is the founder and President of To be honest, there were not an abundance of obstacles.the East Texas Dental Assistants’ Society, as well as the clinical coor- I think the only major one that we ran into were the plansdinator for the Longview Emergency Dental Outreach (LEDO).  for the clinic and the proper permits, since it would be lo-She presently resides in Longview, Texas, with Josh, her husband of cated in a church building. Those issues were smoothed outover 8 years, and 7–year–old son, Hayden.  promptly and the clinic was constructed.1. How did the idea of starting an indigent dental care clinic 3. Howdidyougettheresourcesyouneededtostarttheclinic?come about? AlpineChurchofChristinLongviewdonatedtheirlibrary In 2006, the population of Longview, Texas, was 77,793 for our location, which was the biggest blessing. Longviewwith about 16 percent of households being below the pov- Community Ministries serves as our ambassador to the pa-erty level. Our ministries that service our community were tient, taking their application, checking their financial statusseeing an increase in dental needs and Dr. Stephanie Gro- and sending their application to me for review. United Waygan–Payne was approached to create an assistance program bestowed a grant to the facility for supplies, equipment andfor those who could not afford dental care. Dr. Grogan– construction. Jay Knight and the staff with Henry ScheinPayne contacted me and asked if I would be the coordinator played a huge part in the design of the clinic, our supplies andof the clinic and I agreed without hesitation. ➤Photos above: Beginning phase of construction for the clinic (left). The finished product: Operatory One, aka 8“The Blue Room” (right). w6 The Dental Assistant November/December 2010 PNovDec2010 issue.indd 8 11/15/10 3:36:27 PM

Rewards } Enjoy the perks of a loyalty program that gives back. Patterson Advantagesm offers you a unique opportunity to earnPatterson Advantagesm Dollars on everyday purchases – from merchandise and Patterson financing to technical service and National Repair Center fees. These dollars are deposited into your Advantage Account, and can be applied toward future equipment and technology investments. Contact your Patterson representative today and find out how to start enjoying the Advantage Dollars your practice earns. 800-873-7683 11/15/10 3:36:28 PM www.pattersonadvantage.com P9911a (5/09)NovDec2010 issue.indd 9

the installation of equipment. The Texas all the patients first, so when the dental 10. How difficult was it to get people in-State Board of Dental Examiners was a provider arrives, he or she can make the volved in donating time and/or resourcestremendous help with all the legal as- diagnosis. After all radiographs are taken, to the clinic?pects we had in regards to our volunteers, we start treatment.implementation of paperwork and all the In all honesty, it has not been thatrules and regulations within a non–profit 7. How many people are involved in difficult. We have had to cancel a coupleorganization. There are so many people running the clinic? of clinics due to not being able to have ain our community who saw the need and dental provider see patients because ofjumped in without hesitation to support On any given night, we average about schedules, vacations, etc. We are still inus in any way possible. four to five people in the dental clinic. the process of attempting to sign on more We have a business volunteer, Sheree dental provider volunteers because we are4. How long did it take to get the clinic Motley, to make the charts and keep the quite limited, but the ones we currently haveup and running? patient flow effortless. We have one den- are more than happy to volunteer more than tal provider and two assistants, typically once a month. I have come to deeply appre- I guess you can say patience is a Cindy Gutierrez, RDA, and Karla Petty, ciate each and every one of our dental pro-virtue. It took about eight months to RDH, who assist the doctors during the viders, assistants, hygienists and our othercomplete construction, get the proper radiology and extraction process. I assist volunteers who come every night.permits, install the equipment and or- the doctors on occasion, assist with theganize the clinic. With the need being disinfection of the rooms, run steriliza- 11. What are the weekly hours the clinic isso high in our community, starting in tion and handle administrative issues in operation?January 2009, we were blessed to have that might arise.three dental providers who would treat We operate on the first Tuesday andpatients in their practice until we were a 8. Is everyone who works at the clinic a the second Wednesday of every month.fully–functioning facility. LEDO started volunteer? Who makes up the staff? We start seeing patients at 5:45pm and goseeing patients in the Alpine Church of until we are finished. I think the latest weChrist location on September 2, 2010. All dental staff members are volun- have stayed at the clinic was 10:00pm. That teers. The dental volunteers each night was one crazy night. I think all six patients5. Where is the clinic located? Can you are different, which gives us the opportu- ended up needing difficult extractions.describe the building? nity to meet and work with other dental professionals in our area. So many friend- 12. How many people come through the Our facility is located on the north- ships have been built on working with so clinic on a daily basis?east side of Longview at Alpine Church of many different people.Christ. We occupy the old library that was If there are two dental providers on staffdonatedtousbythechurch.LEDOhastwo 9. How often do you work at the clinic? that night, I normally schedule 10 patients. Ifoperatories, a sterilization area, a business What is your role? there is one provider, I give them six. We doarea and a separate room designated for our have patients that “no–show” their appoint-medical team of volunteers. We designate I am there every night the dental clin- ments. The day patients are called, they arenights that LEDO and Alpine Compassion ic is held, which is two to three times a informed that if they do not show, they willClinic (medical) will be occupying the clin- month, depending on our backlog of pa- not be placed back on the wait list and dentalic due to the high volume of patients. tients. I have so many hats when it comes care will have to be found elsewhere. We have to my role in LEDO. I call the patients for so many in our community who are in urgent6. Could you describe daily operations? their appointments, e–mail patient infor- need and if one patient does not show, they Since we are a non–profit, volunteer– mation to our business volunteer, set up have wasted another person’s appointment. the clinic for the night’s patients, maintainbased facility, we only perform dentistry equipment, patient flow, sterilization, or- 13. Who makes up the majority of patientstwice, sometimes three times a month. ganization…you name it, I do it. It can be at the clinic?Our volunteers come in after regular very overwhelming at times, but when aworking hours and volunteer about three patient gives you a hug and says, “Thank Our patients who come for treatmentto four hours of their time, perform- you so much for helping me,” it makes it are those who are financially unable to affording extractions. We take radiographs on all clear why we do what we do. dental care. Longview Community Minis- tries has reached out to those who need assis- tance with food, utilities, rent, and emergency medical and dental needs.8 The Dental Assistant November/December 2010NovDec2010 issue.indd 10 11/15/10 3:36:28 PM

Cindy Gutierrez, RDA and Shelbi Brewer, CDA, RDA. 14. What are some of the most common services patients are given? Keesptpaaftfiesnatfse!& The only services we provide patients Effective at this time are dental extractions. We do against not have enough funding to provide hy- H1N1! giene visits, fillings, crowns and bridges, root canal therapy, partials and dentures. In the future, we hope to be able to ex- pand our treatment. 15. Do patients pay on a sliding scale or is care freely provided? If patients are not charged for treatment, how is the patient care funded? Any patient who comes through our clinic doors is not charged and all services are provided free. Longview Community Ministries and United Way help fund our supplies and anything else we are in need of to properly function. ❖ Kills 99.999% of germs within 15 seconds!CLOROX® DISINFECTING CLOROX® GERMICIDAL CLOROX® ANYWHERE™SPRAY AND WIPES SPRAY AND WIPES HAND SANITIZERBLEACH-FREE HOSPITAL-GRADE DISINFECTANTS HOSPITAL-GRADEMULTI-PURPOSE DISINFECTANTS WITH BLEACH HAND SANITIZER ortdoerday! P: 1.800.323.4352 • www.BOSWORTH.COM 92010 November/December The Dental AssistantNovDec2010 issue.indd 11 11/15/10 3:36:33 PM

U.S. Air Force MSgt Christaleen Hill EAn Experience to Be xperiencedAir Force delegates to Annual Session reflect on their time in Orlandohis year the American Dental Assistant’s Association participantintheAirForce’sManagingEnlistedTalent(MET)pilothosted its 86th Annual Session in “Mickey’s House” aka program.TheMETprogramisslatedtoexplorewaystodeliberatelyOrlando, Fla., and a select few Air Force dental assistants use an airman’s experience, education and training to provide careerwere chosen as delegates to the Air Force Federal District. These vectoring and assignment possibilities.11 airmen, along with the AF District Trustee, CMSgt Thomas TSgt Shantelle Mingo, NCOIC Dental Evaluation and Con-Davis, voted on a variety of items, such as bylaw amendments, the sultation Services, also from Ft. Sam Houston, embraced the op-2011 budget, new board members and two new resolutions (cre- portunity to voice her opinion on real issues that affect dentaldentialing of dental assistants/tooth whitening procedures per- assistants. The World Marketplace Exhibit felt like “Christmas informed outside of dental facilities). Maj Gen Gerard Caron, As- October” to TSgt Mingo, and provided her with an opportunitysistant Surgeon General for Dental Services, brought greetings to to observe some of the new dental technology and materials. Shethe ADAA on behalf of the Air Force and thanked the ADAA for also had the opportunity to personally meet many of the represen-their continued partnership in providing educational opportuni- tatives with whom she works with on a daily basis in the perfor-ties for our 2,300 dental assistants. mance of her duties.The ADAA hosted a Convocation Ceremony honoring mem- In her management of two dental residency programs at Keeslerbers who had obtained their Fellowship or Mastership. We salute AFB,Miss.,MSgtLauraLeosischargedwith“TrainingandEducatingMs. Luann Brownson from Ellsworth AFB for earning her Clinical Dental Professionals.” She fondly remembers Ms. Janice Harper aka,Fellowship and Ms. Marta Garcia from Sheppard AFB on her se- “MissTennessee.” Ms.HarperisaninstructoratTennesseeTechnicallection as the 2010 Federal ADAA Sunstar America’s Pride Awards College and has an unyielding passion for teaching and humor. Fromrecipient. Job well done! The week concluded with the President’s theirinteractions,MSgtLeosdiscoveredthatsheandhercounterpartGala, where Immediate Past President, Angela M. Swatts, bid shared much in common, especially taking care of their patients andfarewell and newly installed President Natalie Kaweckyj was in- teaching the art of dental assisting.troduced. Our delegates were strategically seated throughout the MSgt Jennifer Jones, Superintendent Dover AFB, Del., anddinner, which allowed for networking and laid the foundation for MSgt Christaleen Hill, NCOIC, Dental Services, United Statesnew friendships with our civilian counterparts. Air Force Academy, Colo., sum up the experience in one word:TSgt Jason Cuevas, Dental Assistant Training Instructor, Ft. Remarkable! To have been afforded the opportunity to learn howSam Houston, Texas, states that his delegate experience was “amaz- ADAApolicycomesabout,participateinthecreationofresolutionsing.” It reassured him that while we are airmen first, we are certainly and interact with our civilian counterparts from across the nationprofessionals within our career field. The Air Force Track, led by was by far one of the greatest highlights of their careers. They recallCMSgt Davis, was also a highlight for TSgt Cuevas. CMSgt Da- dental assistant Mrs. Bettie “Bubba” Rogers, who openly sharedvis enlightened the delegates, along with airmen from MacDill and her love for the Air Force. To their surprise, a month after the An-Tyndall AFBs, on current and future staffing levels, the Hygiene nual Session they received a greeting card along with a photo thatScholarship Training Program and the Career Field’s selection as a “Bubba” had taken with the delegates. They are extremely proud10 The Dental Assistant November/December 2010NovDec2010 issue.indd 12 11/15/10 3:36:34 PM

of the fact that during the Annual Session, allof the delegates enrolled in the FellowshipProgram and are leading the way within theirrespective clinics in promoting a higher levelof education in dental assisting. All in all the AF delegates had a great ex-perience at annual session and returned to theirdental facilities inspired to do their part in car-rying out the AF mission to “Fly! Fight! Win”! ❖ MSgt Christaleen Hill is an AF dental The U.S. Air Force Federal District. (left to right) Back Row: SrA Belgarde, Maj Genassistant and is currently stationed at the AF Caron, MSgt Hill, TSgt Gordon, TSgt Mingo, SMSgt Madison, TSgt Cuevas. (leftAcademy in Colorado Springs, Colo., where she to right) Front Row: SSgt LePlante, SMSgt Lightsey, MSgt Jones, MSgt Leos, Chiefserves as NCOIC of Dental Services. She is re- Davis. Not pictured, MSgt Sheffield.sponsible for directing the operations for 65 per-sonnel and oversees the treatment needs of 2,000active duty members and 4,600 cadets. She hasearned an Associate’s Degree in Dental Assistingand is currently enrolled in the ADAA BusinessFellowship Program.• Inexpensive the original e-Vac tip• Disposable• Non-Toxic Protect your Patient from Painful tissue Plugs Protect your equiPment from costly rePairs contact your local dental suPPly for tHe e-Vac tiP Packaged 100/ZiPlock Bag e-vac INc.© call/FaX: 1-509-448-2602 • emaIl: [email protected] PurchaseD by:General Practitioners • Pediatric Dentists • Periodontists • Prosthodontists • Dental assistants • hygienists • hospitals • universities made in usa • FDa registered 112010 November/December The Dental AssistantNovDec2010 issue.indd 13 11/15/10 3:36:36 PM

CE CourseThe Spread of DiseasesInfection control depends on attention to detail Scenario 1 The incident: June (a new dental assistant) dismissed her last patient of the morning, removed her gloves at chairside and discarded them in the waste basket. She then went to the break/locker room, grabbed and removed her mask with attached face shield and discarded it in the waste basket. Her nose was itchy so she rubbed it but then thoroughly washed her hands. She removed her clinic gown, put on her heavy coat and snow boots, joined her fellow workers and went out for pizza.June touched the outside of her mask with bare hands and then Potential consequences:rubbed her nose before any hand hygiene was performed. Remem- The winter season is the most prominent time for colds andber, the outside of masks worn at chairside are commonly contami-nated with patients’ oral fluids. influenza. People infected with seasonal or 2009 H1N1 influenza shed virus and may be able to infect others from one day before getting sick up to five to seven days or more after. Some persons can be infected with an influenza virus and have no symptoms but may still spread the virus to others. Influenza viruses are spread when infectious droplets directly contact mucous membranes, by inhalation of aerosol particles and by indirectly touching respira- tory droplets on contaminated surfaces.1 June touched the outside of her mask with bare hands and then rubbed her nose before any hand hygiene was performed. Remember, the outside of masks worn at chairside are com- monly contaminated with patients’ oral fluids. Also, June ➤Learning Objectives ✔✔ understand the consequences of some breaches in infection control protocol; ✔✔ recite some of the disease agents that may be present in patients’ oral fluids; ✔✔ understand how hands may be involved in the spread of disease agents; ✔✔ understand how to prevent the spread of some diseases in a dental setting. 12 The Dental Assistant November/December 2010 11/15/10 3:36:38 PMNovDec2010 issue.indd 14

ZD107.1110.DAJSCCL-(out).pdf 10/19/10 1:37:21 PMNovDec2010 issue.indd 15 11/15/10 3:36:39 PM

removed some of her contaminated pro-tective equipment in the break/lockerroom where there may have been food,personal items and non–clinical surfacesthat could have become contaminated.Prevention:Patients with detectable symptomssuch as coughing or sneezing are obvi-ous shedders of microbes. However, it’sessentially impossible to determine ifpatients without visible symptoms arecarrying pathogenic microbes that canmake you sick. Thus we have to considerALL patients as well as ourselves as po-tential carriers of pathogenic microbesand apply our infection control proto- Wearing appropriate eye protection will prevent eye contamination from oral drop-cols universally. lets. Glasses that have small lenses and/or lack solid side shields (as pictured above)In regard to the scenario presented, do not give adequate protection.don’t touch your body with contaminated or container for storage, washing, with the human herpes virus type I (her-hands. Avoid those hands–to–nose andhands–to–eyes motions. Whenever you decontamination or disposal”3 pes simplex), and a small percent of themremove your gloves, wash your hands or (Occupational Safety and Health shed this virus in their saliva even whenuse an alcohol hand–rub, and do the same Administration—OSHA). they have no obvious symptoms. A newif your bare hands become contaminated herpes infection in or around the eye canwith patient materials. Remove masks by Scenario 2 occur even if you are already infected withtouching the elastic bands or ties which The incident: herpes somewhere else or have recurrentare less likely to be contaminated. The Edgar, a third year dental student, was herpes infections (e.g., fever blisters).Centers for Disease Control and Preven- extracting his first tooth. It was a simple re- There are many other potential causestion (CDC) offers information on proper moval of #7. Immediately after the tooth of conjunctivitis and respiratory diseasesremoval of personal protective equipment was removed the patient cleared her throat. thatmaybepresentinpatients’oralfluids.at: http://www.cdc.gov/ncidod/dhqp/ This caused some spatter of oral fluid to These include rhinoviruses (commonppe.html. escape her mouth. Just as she coughed, cold viruses), influenza viruses (such as Edgar turned and looked at her, and sure 2009 H1N1 and seasonal), Hemophi-Related regulations and enough,thosedropletshitEdgarrightinhis lis influenzea type b (a bacterial cause ofrecommendations eyes. Edgar mentioned this to his instructor “pink eye”) and a dozen or so others.4 who asked if he was wearing glasses. Ed- Another concern with spatter con-✓✓ “Remove barrier protection, in- gar showed the instructor the prescription tamination of the eye is the apparent po- cluding gloves, mask, eyewear and glasses. They were the “John Lennon” type tential for acquiring hepatitis B, if you’re gown before departing work areas with lenses about the size of a quarter. unvaccinated. A study in chimpanzees (e.g., dental patient, instrument Potential consequences: showed that eye contamination with hu- processing, or laboratory areas)”2 man serum containing the hepatitis B (Centers for Disease Control and One concern with getting oral fluids virus led to hepatitis.5 Prevention — CDC). spattered in your eyes is the potential✓✓ “When personal protective equip- development of conjunctivitis from the Prevention:ment is removed it shall be placed many bacteria and viruses present in sali- Wearing appropriate eye protection willinanappropriatelydesignatedarea va. For example most people are infected prevent eye contamination from oral14 The Dental Assistant November/December 2010NovDec2010 issue.indd 16 11/15/10 3:36:39 PM

AROUND THE WORLD droplets. Glasses that have small lenses and/or lack solid side shields do not giveTo emphasize the importance of patient safety, the World adequate protection.Health Organization (WHO) Patient Safety Curriculum Guidefor Medical Schools provides the following information on Related regulations andHealthcare Associated Infections. recommendations ☛☛Between 5 percent and ✓✓ “Eye protection devices, such as 10 percent of patients goggles or glasses with side shields, admitted to modern hos- or chin–length face shields shall be pitals in the developed worn whenever splashes, spray, world acquire one or spatter, or droplets of blood or oth- more infections. er potentially infectious materials may be generated and eye, nose or ☛☛The risk of health care– mouth contamination may be rea- associated infection in sonably anticipated” (OSHA3). developing countries is from two to 20 times ✓✓ CDC has a similar recommenda- higher than in developed tion.“Cleanwithsoapandwater,or countries. In some de- if visibly soiled, clean and disinfect veloping countries, the reusable facial protective equip- proportion of patients ment (e.g., clinician and patient affected by a health protective eyewear or face shields) care–acquired infection between patients”(CDC2). can exceed 25 percent. Scenario 3 ☛☛In the United States, one out of every 136 hospital The incident: patients becomes seriously ill as a result of acquiring an infection in the hospital; this is equivalent to two It seemed like everyone was putting million cases and about 80,000 deaths a year. off their cleaning appointments until af- ter the holidays. Alicia’s first patient af- ☛☛In England, more than 100,000 cases of health care- ter returning from the New Year’s break associated infection lead to over 5,000 deaths directly was Lucy, a longtime friend. Lucy had attributed to infection each year. driven 75 miles to get to the office that morning and was in a hurry to return ☛☛In Mexico, an estimated 450,000 cases of health care- home. Alicia noticed a lesion on Lucy’s associated infection cause 32 deaths per 100,000 in- lower lip but didn’t think much about habitants each year. it, for she had seen this before at some of her previous appointments. ☛☛Health care–associated infections in England are estimat- ed to cost £1 billion a year. In the United States, the esti- Alicia began her normal hand hygiene mate is between US $4.5 and US $5.7 billion per year. In procedures by gently rubbing her hands Mexico, the annual cost approaches US $ 1.5 billion. together with a little liquid soap under a flow of warm water. This was painful due Enrique Acosta–Gio, DDS, PhD to a longstanding dermatitis on her fin- National University gers. After drying her hands with clean Mexico paper towels she began her work on Lucy. The treatment was uneventful, and she proceeded to care for subsequent patients. A week later Alicia noticed ➤ 152010 November/December The Dental AssistantNovDec2010 issue.indd 17 11/15/10 3:36:40 PM

some new “bumps” on her fingers that No more patients developed herpes after ✓✓ The virus remained viable on Ali-appeared different from her dermatitis. she started wearing gloves. cia’s hands and caused a harmfulA few days later the bumps turned into infection.vesicles that were breaking down, so she This scenario demonstrates three av-went to her physician. He treated her and enues of disease spread: ✓✓ The virus was spread from Ali-advised her to quit work until her hands cia’s hands to the mouths of sev-got better or at least start wearing gloves ✓✓ Patient to dental team member eral patients.at work. She told him she needed the (Lucy to Alicia).continued income to pay off some bills. ✓✓ Some patients developed intraoralAlicia continued to work but wore fresh ✓✓ Dental team member to patient herpes.gloves with each patient. (Alicia to several patients).Consequences: Prevention: ✓✓ Patient to patient (Lucy to several Since treating Lucy was not an emer- Several people in the local commu- patients through Alicia’s hands).nity near where Alicia practiced devel- A summary of the consequences gency situation, her cleaning could haveoped new intraoral herpes infections and been postponed until the herpes lip lesionstwo had to be hospitalized. When their resulting from breaches in infection had at least crusted over. At that time thephysicians questioned them, it was dis- control protocol follows:covered independently that 20 of themwere Alicia’s hygiene patients. In looking GLOSSARY Wat Alicia’s appointment book, it was then Pdiscovered that all of the patients who ac- H1N1 influenza: This is a contagious respiratory disease iquired intraoral herpes had been seen by caused by a new type of influenza A virus first detected in wAlicia between the time when Lucy was people in April 2009. The virus spreads from human to hu-treated and when Alicia routinely started man, and on June 11, 2009, WHO signaled that a pandem- Twearing gloves. ic of 2009 H1N1 influenza was underway. It is thought to spread in the same way that seasonal influenza spreads. *S Note: This scenario is based on a Nreal–life situation before gloves were Seasonal influenza: This is a contagious respiratory disease Oroutinely worn in dental offices (previ- caused by influenza viruses other than H1N1 influenza virus.ously reported in the Journal of the Ameri-can Medical Association6) that caused in- ✓✓ Improper screening of the initial lesion’s infectiousness would be greatly de-traoral herpes in 20 hygiene patients. patient with active herpes labialis creased. If Alicia had been wearing gloves, caused a problem for the patient, the the spread of Lucy’s herpes virus to Alicia Lucy had recurrent active herpes la- dental health care worker (DHCW) would likely not have occurred. If Aliciabialis. During her treatment the virus was and other patients in the practice. could have washed her hands adequatelyspread from its original site to adjacent after treating Lucy, the virus might havesites increasing the number of lesions ✓✓ Since Alicia was not wearing been removed as a transient contaminanton the lip. The virus also contaminated gloves during care of the initial preventing the development of a herpesAlicia’s hands. Since Alicia had a painful patient, her hands came into di- infection on Alicia and subsequent spreaddermatitis, she did not wash her hands rect contact with the patient’s oral to other patients. However, the dermatitisthoroughly, and the dermatitis provided microbes, allowing their spread to could have facilitated retention of the vi-many additional sites for the virus to hide her hands. Alicia’s hand dermatitis rus to a level that even proper handwash-and escape removal by hand hygiene. provided additional sites on the ing might not have helped. Evidence thatSince Alicia did not wear gloves, the virus skin for the virus to hide. gloves really do protect was demonstratedon her hands was available to be spread to when disease spread was stopped aftersubsequent patients. Eventually a harmful ✓✓ The dermatitis interfered with gloves were routinely worn.6,7visible herpes infection developed on Ali- proper hand hygiene procedures. ➤cia’s hands, so she started wearing gloves.16 The Dental Assistant November/December 2010NovDec2010 issue.indd 18 11/15/10 3:36:41 PM

Don’t just deflate. Virtually eliminate gingivitis.*With powerful mechanical and antibacterial actions, the NEW Clinical NEW SYSTEM!PRO-HEALTHTM SYSTEM for Gingivitis helps break the cycle of gingivalinflammation and gingival bleeding for improved oral health in patientswith mild to moderate, persistent gingivitis. Specialized images show the average area and magnitude of improvement in gingivitis over time*Before using the system: 2 weeks of use: 6 weeks of use: Significant gingivitis Initial improvement Further improvement in of gingivitis gingival healthTo learn more, visit dentalcare.com/clinical*Six-week clinical results with NEW Crest® PRO-HEALTH® Clinical Gum Protection Toothpaste, NEW Oral-B® Glide® PRO-HEALTH® Clinical Protection for Professionals Floss, and Oral-B® Professional Care SmartSeries 5000 Electric Toothbrush with SmartGuide™.© 2010 P&G PGC-3060 OPAD10984 Continuing the Care That Starts in Your ChairNovDec2010 issue.indd 19 11/15/10 3:36:41 PM

PentrRelated regulations and ®recommendations The CDC2 and OSHA3 have vari-ous rules or recommendations relatedto this scenario.✓✓ Develop a written health program Cleans Occludes Tubules Desensitizes for dental health care workers (DHCW) that includes policies, PROOF IS IN THE OCCLUSION procedures, and guidelines for education and training, medical NUPRO® NUSolutions™ Prophy Paste with NovaMin® tubule conditions, work–related illnesses occlusion results after normal polishing and rinse after one minute. and associated work restrictions; contact dermatitis and latex hy- 2000x magnification persensitivity (CDC). 2000x magnification Before After 2000x magnification Before After Before After ✓✓ Health care workers with herpes Prophy Paste with ACP ® Prophy Paste with Recaldent™ infections on their hands should be restricted from patient con- NUPRO® NUSolutions™ Prophy Paste tact and contact with patient’s with NovaMin® Delivers: environment until the lesions • Three times more calcium than prophy heal (CDC). paste with ACP* • Sensitivity relief and tubule occlusion* ✓✓ Educate DHCW regarding the • Stain removal* signs, symptoms, and diagnosis of skin reactions associated with Calcium Release in Prophy Paste* frequent hand hygiene and glove use (CDC). Calcium Release PPM ✓✓ Wear gloves whenever there is a Calcium Phosphate Fluoride 600 PPM potential for contact with blood, 400 PPM otherpotentiallyinfectiousmateri- als, mucous membranes and non– 200 PPM intact skin (OSHA & CDC). 0 PPMResources Recaldent™ ACP NUPRO®1. CDC. 2009 H1N1 Flu (“Swine flu”) and you. NUSolutions™http://www.cdc.gov/h1n1flu/qa.htm.2. CDC. Guidelines for Infection Control in Dental * Data on file.Health Care Settings – 2003. Accessed December2009 at: http://www.cdc.gov/mmwr/preview/ | 1301 Smile Way | York, PA 17404 | www.professional.dentsply.com/nusolutions | 800.989.8826mmwrhtml/rr5217a1.htm. NUS01-0808-1.53. OSHA. Bloodborne Pathogens Standard. AccessedDecember 2009 at: http://www.osha.gov/pls/oshaweb/ 5. Bond WW, Petersen NJ, Favero MS et al. Transmis- Infection Control In Practice is a news-owadisp.show_document?p_table=STANDARDS&p_ sion of type B viral hepatitis via eye inoculation of a letter published eight times per year byid=10051. chimpanzee. J Clin Microbiol 1982; 15:533–534. OSAP, the Organization for Safety &4. Barnes SD, Pavan–Langston D, Azar D. Microbial Asepsis Procedures. This course appearedConjunctivitis. In Mandell, Douglas, Bennett (eds) 6. Manzella, JP et al. A outbreak of herpes simplex I in Vol 9, No. 1, February 2010, and is re-Principles and Practices of Infectious Diseases, 7th ed, gingivostomatitis in a dental hygiene practice J Amer printed here with permission from OSAP.New York, Churchill Livingstone, 2009 Med Assoc 1989; 252:2019–2222. Test question and 7. Rowe NH, Shipman C Jr, Drach JC. Herpes sim- answer sheet on page 20 plex virus disease: implications for dental personnel. Council on Dental Therapeutics. J Am Dent Assoc 1984;108(3):381–2. All photos provided by OSAP. ❖18 The Dental Assistant November/December 2010NovDec2010 issue.indd 20 11/15/10 3:36:44 PM

Pentron_TempSpan_C&B_ADA.qxd:Layout 1 10/20/10 4:22 PM Page 1 Temporize without compromiseTempSpan® Dual-Cure Temporary C&B Material Special Offer…Save time without sacrificing esthetics. Buy 2, Get 1 FREETempSpan Dual Cure Temporary Crown & Bridge Material is specifically On all TempSpanformulated to produce highly esthetic and durable provisional restorations in Dual-Cure Temporarythe shortest time possible. The dual cure ability of TempSpan C&B Material Crown & Bridgeprovides clinicians with the choice to light cure in 60 seconds or bench cure Material Refills*in 2 minutes. Order Today!> Dual cure formulation for intra-oral or extra-oral polymerization reduces chair time. Promo Code: TempSpan> Outstanding physical properties ensure durable provisional restorations. Visit us at Booth # 1409 during the 2010 Greater New York> 7 shades provide an extensive palette to match your patient’s dentition. Dental Meeting> Ideal working and setting times whether you light cure or self cure.> 1:1 mixing ratio for convenient dispensing with standard 50ml gun.> Composite formulation is easily repaired or touched up with flowable composite.Don’t compromise between esthetics and speed. Now you can have itall with TempSpan Temporary Crown & Bridge Material.8 0 0 . 5 51. 0 2 8 3 | w w w. p e n t r o n . c o m | 2 0 3 . 2 6 5 . 73 97Build-It® | FibreKor™ | FibreKleer® | TempSpan® Crown & Bridge Impression Adhesives Restoratives*Offer expires December 31, 2010. Additional shipping charges will apply. Subject to change or cancellation without notice. Orders subject to credit approval. Copyright © 2010 Pentron Clinical. All rights reserved.NovDec2010 issue.indd 21 11/15/10 3:36:45 PM

The Spread of Diseases (provided by OSAP) For Office Use Only Date Received:___________________Approved for ONE (1) continuing education credit. Date Graded: ____________________ Pass Fail: _______________________ Paper-Test Grading: Member/E–Member: $10, Non–member: $15 Online test grading: Member/E–Member: $7, Non–member: $15 Tests not accompanied by correct fee and #10 self–addressed stamped envelope WILL NOT BE GRADED OR RETURNED. Deadline for tests to be submitted to ADAA for grading is January 31, 2011.This course and exam are also available online at ADAA's CE website, www.adaa1.com, until January 31, 2011. All ADAA mem-bers have an account on the site, but if you don't know your log–in info, contact ADAA’s Central Office at 877-874-3785 (toll–free). Post–Test: Choose the one best answer1. What infection did Lucy have? b. H1N1 influenza 6. The written health program for dental health care workers recommended a. Tuberculosis d. Hepatitis C by CDC should include policies, procedures, and c. Herpes labialis a. guidelines for education and training; …medical conditions, work- related illnesses and associated work restrictions; and diseases experi-2. What virus did Alicia spread to 20 patients? enced by the worker’s family b. pregnancy or menopause statusa. HIV b. H1N1 influenza virus c. marriage statusc. Herpes d. Hepatitis B d. contact dermatitis and latex hypersensitivity3. How did Edgar breach infection control protocol? 7. How did June breach infection control protocol? a. He didn’t wash his hands properly a. She used unsterile instruments on a patient b. He used unsterile instruments on a patient b. She touched the outside of her used mask with bare hands and did c. He recapped a used anesthetic needle by hand not immediately wash her hands d. He did not wear adequate eye protection c. She wore inappropriate glasses at chairside d. She did not wear gloves when caring for patients4. When would be the ideal time to provide non-emergency dental care to a patient with herpes labialis? 8. Who recently published the document titled “Prevention of 2009 H1N1 a. Anytime Influenza Transmission in Dental Health Care Settings”? b. When the lip lesions have at least crusted over a. FDA b. OSHA c. OSAP d. CDC c. Only after giving prophylactic penicillin d. When the lip lesions are weeping 9. Between ____________of patients admitted to modern hospitals in the developed world acquire one or more infections.5. The most common ways influenza viruses can be spread are by coughs, sneezes and: a. 1% and 2% b. 3% and 4%a. contaminated hands b. used needles c. 5% and 10% d. 20% and 30%c. contact with contaminated feces d. mosquitos 10. H1N1 is a designation for a special type of: a. influenza virus b. herpes simplex virus c. rhinovirus d. hepatitis B virus(Use pen or pencil to completely fill in the circle of your chosen answer.)1. A B C D 5. A B C D 9. A B C D 10. A B C D 2. A B C D 6. A B C D 3. A B C D 7. A B C D 4. A B C D 8. A B C D Name:Address: City, State, Zip:Daytime Telephone Number: (_­ __)_______________ *ADAA Membership Number:*Do not use CDA or RDA #. Membership # can be found above your name on the address line of the magazine cover.☐ Check or money order enclosed ☐ Completed Certificate ☐ #10 SASE enclosed Return to American Dental Assistants Association, Continuing Education Department 35 East Wacker Drive, Suite 1730, Chicago, Illinois 60601-2211NovDec2010 issue.indd 22 11/15/10 3:36:48 PM SC2201

Now it doesn’t haveto be with NEW Moist SURE.™A complete line of hand hygiene products to carefor professional hands and encourage compliance.Clinically proven to moisturize your skin...important for dental professionals who arewashing their hands all day.Far more effective than store-bought products.Moist SURE soaps and sanitizers meet FDAproposed requirements for a healthcarepersonnel handwash. The retail stuff doesn’t.Try it FREE at moistSUREsample.com Infection prevention. FoamING saNItIzer | LIquId saNItIzer | FoamING soap | LotIoN soap | LotIoN | sultanhealthcare.comSC22011 MoistSURE-Ad_8.375x10.875-DA.indd 1 2/3/10 9:16:45 AMNovDec2010 issue.indd 23 11/15/10 3:36:48 PM

DARW 2010 Wrap Up 3 12 4 561. Submitted by Cynthia Porter, Centura College, 7 8 Norfolk, Va.Students were given gift bags from Patterson Den- attendees participated in a “Name that Fact” game and 7. Submitted by Michele Reeves, Missouri College,tal. DARW activities included special lectures, par- students were given goodie bags and large Crest Tooth- St. Louis, Mo.ticipation in a project contest with the prize being paste inflatatbles, furnished by Proctor & Gamble. Students and instructors raised $1950 for Ronaldstudent membership in ADAA and concluded 5. Submitted by Maria L. Pardorla, RDA, CDA, BA, McDonald House charities by selling tooth whiten-with a celebration and cake. Heald College, Concord, Calif. ing kits and taking donations from friends and fam-2. Submitted by Leslie Hernandez CDA, EDDA, Students created a colorful sign explaining DARW and ily. Various sundry supplies, such as tooth brushes, AscensionCollege,Gonzales,La. displayed pictures of students performing dental proce- toothpaste and deoderant, were also donated by stu-Governor Bobby Jindal of Louisiana, and May- dures. Students received a long stemmed rose presented dents and instructors to families staying at the Hous-or Barney Arceneaux of Gonzales, La., signed by dental mentors and celebrated with a potluck meal. es. Six instructors and 10 students also visited the St.proclamations declaring the week of March Throughout the week, a Candy Lei and Bake Sale Fund- Louis hospital to demonstrate proper dental hygeine7–13, 2010 to be National Dental Assistant raiser was conducted to raise funds for dental related edu- practices to child patients and their families.Recognition Week. Students wore special t– cational fieldtrips. 8. Submitted by Lois Bell, CDA, FADAA,shirts and were invited to a lecture by Elizabeth 6. Submitted by Antoinete Kahan, RDH, BA, Virginia Beach Greenville, Virginia Out–Patient ClinicSchmidt, President of the Louisiana Dental As- TechnicalandCareerEducationCenter,VirginiaBeach,Va. Dr. Stephen Perlstein surprised the clinic’s two dentalsistants Association, followed by a reception Students made dental gift bags for their guidance coun- assistants, Lois Bell and Debbie Bishop, DA, with awith refreshments and group photos. selors, principals and the city’s mayor. Students also made handmade poster touting his praise for them. Cards3. Submitted by Lucinda Johnson, North Dakota bookmarks for their home school and Tech Center teachers with expressions of gratitude, as well as a bag Hershey State College of Science, Wahpeton, N.D. and had both the schools display it on their marquees. Stu- Kisses, sat at each of their work stations. The posterThe students delivered homemade cookies to the dents were also invited to the mayor’s office to have him of- remained in the operatory, a global email announc-dental assistants at the college’s spring affiliation ficially proclaim March 7–13 Dental Assisting Recognition ingDARWwassenttotheclinicandtheweekendedsites (Wahpeton & Fargo, N.D.) in recognition of Week. The week ended with Dental Access Day (DAD). with another card and a gift certificate for dinner out.their talents and dedication. Events also included The students worked chairside with area volunteer dentists This is only a sampling of the many groups, classes anda luncheon provided by the Dental Assisting Su- to provide more than $7,000 in donated dental services for other affinity assemblages who honored the spirit ofpervisor, a “pay it forward” project, and a pizza the area’s dentally underserved, consisting mostly of exams, DARW. Thank you to everyone for your participation.and dessert buffet provided by the North Dakota x–rays, extraction and fillings. Welookforwardtoseeingwhatyoudonextyear! ❖Dental Assistants Association and the North Da-kota Dental Foundation.4. Submitted by Denise Murphy, CDA, CDPMA, FADAA, BA, Orlando Tech, Orlando, Fla.Dental assisting students placed an “infomer-cial” about “Team Effort on Dental Health” onthe school’sinformationmonitorsandeducatedunderclassmen on the proper oral hygeine andnutrition. DARW concluded with a luncheonhosted by the dental assisting faculty, at which22 The Dental Assistant November/December 2010NovDec2010 issue.indd 24 11/15/10 3:36:55 PM

Key to Productivity: The Professional Dental Assistant3 March 6-12, 201168 Contributing to quality dental care, today’s dental assistants are role models of professional development. Strengthening the entire dental team, they enhance patient satisfaction throughout the world. March 6-12, 2011, has been designated by the American Dental Assistants Association, along with the American Dental Association, the Canadian Dental Association and the Canadian Dental Assistants’ Association, as the perfect time to acknowledge and recognize the versatile, multitalented member of your dental team—your Dental Assistant.This message is promoted by the American Dental Association’s Council on Dental Practice in cooperation with the American Dental Assistants Association, Chicago, IL,the Canadian Dental Assistants’ Association, and the Canadian Dental Association, Ottawa, Ontario.NovDec2010 issue.indd 25 11/15/10 3:36:56 PM

P110369 (9/10)NovDec2010 issue.indd 26 11/15/10 3:36:56 PM

PArtnerShiP. integrity. INNOVATION. At Patterson Dental, we are proud to connect you with innovative tools and resources so that you can focus on providing expert dental care.Patterson Dental is the company you can call on for everything from operatory equipment,digital X-ray products, dental practice financing and innovative CAD/CAM impressioningsolutions as well as the service and support to seamlessly integrate these technologies intoyour practice.As the dental industry has evolved and practice needs have expanded, we’ve grown to meetyour needs, with 88 branch offices nationwide and more than 1,500 sales representativesand equipment specialists in the U.S. and Canada. Let us be your partner in providing 11/15/10 3:36:56 PM everything you need to excel at dentistry. Contact your Patterson representative, local branch or call 1-800-873-7683NovDec2010 issue.indd 27

“Just Like Magic” A final wrap-up of the 2010 ADAA Anuual Session in Orlando Introducing the 2010–2011 Board of Trustees MINNEAPOLIS, MINN., RESIDENT ALTA LOMA, CALIF., RESIDENT NATALIE KAWECKYJ, who holds nu- CLAUDIA POHL, CDA, RDA, BVEd, merous professional distinctions in the has been named national President–Elect of dental assisting field, has been named the ADAA. Ms. Pohl, a Certified and Regis- national President of the American Den- tered Dental Assistant for 35 years has been tal Assistants Association (ADAA). She active with the ADAA on the state level for is the clinic coordinator and in charge of thirty years and the national level for several compliance for Children’s Dental Servic- years. Serving on various committees andes, a nonprofit community dental clinic serving underserved chil- as president of the California Dental Assistants Association and thendren throughout Minnesota. as 12th District Trustee representing dental assistants in California, Ms. Kaweckyj holds a BA in biology from Metro State Univer- Nevada and Hawaii, she was then national secretary and has just com-sity and is a past president of the Minnesota Educators of Dental pletedatermasVicePresident. AftercompletingheryearasPresident–Assistants. She is currently finishing her master’s degree in public Elect, she will serve as ADAA President in 2011–2012.health with a focus on oral health education. Professionally she A graduate of California State San Bernardino with a degree in Vo-holds the ADAA’s highest educational award, the Masters designa- cational Education, she is RDA Program Director at Citrus College intion (MADAA), and is also a Certified Dental Assistant (CDA), Glendora, where she has been employed since 1999.LDARF, CDPMA, COA and COMSA. She is married to Michael Pohl, is the mother of Adam, Allison and She is active in local, state and national dental assisting associa- Erin, and grandmother of Lorelai Pohl.tions and has served as a three–term state president in addition tonumerous other positions within the Minnesota Dental Assistants WINTER HAVEN, FLA., RESIDENTAssociation. She has been instrumental in the progression of the SUSAN REXROAT, CDA, CDPMA, hasdental assisting profession in Minnesota and is currently serving as been elected Vice President of the ADAA.the state legislative chair and business secretary. As Vice President, she will serve on the Nationally, Ms. Kaweckyj was elected Secretary of the ADAA in Board of Trustees and assist the president2002, Seventh District Trustee in 2003 and 2006, Vice President in in administrative and cermonial capacities2008, President–Elect in 2009 and is a past director of the ADAA throughout the coming year.Foundation. She has served on the ADAA Finance, Governance, Ms. Rexroat is a Certified Dental Assis-Legislation, Annual Conference and Education Councils as well as tant and Certified Dental Practice Management Administrator, with athe Information Technology committee. She has authored several Masters in Administration of Educational Programs and EducationalADAA courses, including the ADAA courses on Geriatric Dentist- Leadership. She has been active with the ADAA on the national andry, Oral Cancer Genetics, Oral Pathology, Practice Management state level serving on various national committees and as president ofand Oral and Maxillofacial Surgery Basics for the Dental Assistant. the Florida Dental Assistants Association. She is currently serving asMs. Kaweckyj was also one of the first Masters of the American the state’s Executive Secretary.Dental Assistants Association. Married to Rex Rexroat, she is the mother of two, Elyn and Deon Rexroat, with three grandchildren. In addition to her duties as the Dental Assisting Program Administrator at Traviss Career Center, Lakeland, she found time to establish a clinic offering dental care to those “in need” in Polk County through the dental assisting program. She is also active in the county’s annual Give Kids a Smile program., ➤268 The Dental Assistant November/December 2010NovDec2010 issue.indd 28 11/15/10 3:36:59 PM

Flexes and feels like latex. Protects with the strength of nitrile. Natural Extensions Nitrile Plus gloves go on easy and deliver long-lasting comfort with uncompromising tactile sensitivity. Discover what perfect harmony feels like. Going latex-free never felt so good. Call your Friendly Benco Rep and try a pair today. Nitrile Plus White Gloves Nitrile Plus Blue GlovesX-Small [4151-268] X-Small [4193-115]Small [4151-357] Small [4193-124]Medium [4151-366] Medium [4193-133]Large [4151-375] Large [4193-142]X-Large (Box of 90) [4151-384] X-Large (Box of 90) [4193-151] Call your Friendly Benco Rep at 1.800.GO.BENCO to order.NovDec2010 issue.indd 29 11/15/10 3:36:59 PM

BATTLE GROUND, ORE., RESIDENT Award Winners & BONNIE L. MARSHALL, CDA, EFDA, Special Recognition EFODA, MADAA, who has distinguished herself in the dental assisting field by be- Henry Schein Award of Excellence coming a Master of the ADAA, has been Kristy S. Borquez CDA, RDAEF, FADAA, elected the association’s national Secre- Granada Hills, Calif. tary. As Secretary, she will be responsible for maintaining the ongoing records of all Loyal Assistant AwardADAA’s national business meetings. Ruby J. Roach, CDA, RDA, Clovis, Calif. Ms. Marshall is an instructor and coordinator in the dental assist-ing program at Portland Community College. She serves as a consul- Journal Awardtant for the ADA Commission on accreditation, works for the West- Betty L. Finkbeiner, CDA Emeritus, BS, MS,ern Regional Testing Agency and serves on the DANB Radiology test Ft. Myers, Fla.construction committee. She has held many positions with the Or- Honored for her article “Managing Cultural Differ-egon Dental Assistants Association, including that of president, and is ences in the Dental Office” in the September/Octobercurrently serving as ODAA secretary. Bonnie completed two terms as 2009 issue of The Dental Assistant.Tenth District Trustee ending in 2009. In 2007, she was the recipientof the Sunstar Americas Award of Excellence for educators. Kay Mosley Distinguished Service Award She is the mother of three children and nine grandchildren. Cathy J. Roberts, CDA, EFDA, COA, INDIANAPOIS, IND., RESIDENT, CDPMA, MADAA, Bloomington, Ind. ANGELA M. SWATTS, CDA, EFDA, will continue to serve on the board as Im- Sunstar Pride Awards mediate Past President of the ADAA. She Business: Joyce H. Baker, CDA, Newton, N.C. will chair the Council on Finance and lend Clinical: Carol A. Walsh, CDA, CDPMA, her support in other various capacities. Skokie, Ill. Educator: Claudia G. Pohl, CDA, RDA, FADAA Alta Loma, Calif. Federal: Marta Garcia, U.S. Air Force Dental Activity, Sheppard AFB, Texas New Member Involvement Award Rita Millikan, CDA, Rockingham, N.C.(Left–Right): Shari L. Becker, Cynthia Fleury, Gwen Graham–Feld- ADAA is proud to annouce the following can-kamp, Cathleen Meyer–Butler, Luann Brownson, Jennifer McCa- didates received Fellowship at the 2010 Annualrty, Melissa Appold, Claudia Pohl. Not pictured: Dori Burgess. Session in Orlando: • Luann Brownson, CDA, Ellsworth AFB, S.D. • Dori Burgess, CDA CDPMA, EFDA I & II, CNC, Colorado Springs, Colo. • Cynthia Fleury, CDA, Malone, N.Y. • Gwen Graham-Feldkamp, CDA, RDA, Dexter, Mich. • Cathleen Meyer-Butler, CDA, Fort Wayne, Ind. Also joining them were 2009 Fellowship candidates, Melissa Appold, CDA, RDA, BS, FADAA (Bay City, Mich.) and Jennifer McCarty, CDA, RDA, FADAA (Flushing, Mich.), who were unable to attend the 2009 Annual Session in Waikiki, Hawaii. ➤28 The Dental Assistant November/December 2010NovDec2010 issue.indd 30 11/15/10 3:37:03 PM F03451

Think all toothpastes work the same? Let’s take a look.Regular toothpaste Colgate Total®12 hours after brushing—significant * plaque bacteria regrowth 12 hours after brushing—minimal plaque bacteria regrowth The evidence is clear. Colgate Total® provides 12-hour antibacterial protection your patients can’t get from regular fluoride toothpaste. Colgate Total® works 3 ways: 1 Adheres to hard and soft tissue: teeth, gingiva, cheeks, and tongue1 2 Actively kills plaque- and gingivitis-causing bacteria more effectively than regular fluoride toothpaste2-4 3 Lasts for 12 hours after brushing—even after eating and drinking5www.colgateprofessional.com Rev 8/2010 ©2010 Colgate-Palmolive Company, New York, NY 10022, USA*Dramatization illustrating reduction of plaque bacteria 12 hours after brushing with Colgate Total® vs regular fluoride toothpaste. YOUR PARTNER IN ORAL HEALTHReferences: 1. Xu T, Deshmukh M, Barnes VM, et al. Acad of Gen Dent. 2004;25(7, suppl 1):46-53. 2. Panagakos FS, Volpe AR, Petrone ME, et al. J Clin Dent.2005;16(suppl):S1-S20. 3. Bolden TE, Zambon JJ, Sowinski J, et al. J Clin Dent. 1992;3(4):125-131. 4. Cubells AB, Dalmau LB, Petrone ME, et al. J Clin Dent.1991;2(3):63-69. 5. Amornchat C, Kraivaphan P, Triratana T. Mahidol Dent J. 2004;24:103-111.F03451 Total US JrnAd Composite Rv1.indd 1 9/30/10 3:02:02 PMNovDec2010 issue.indd 31 11/15/10 3:37:04 PM

2010–2011 District TrusteesFirst District: Fourth District Seventh District:Claudia Gauthier, CDA; Nanette Hill, CDA; Linette A. Schmitt,Worcester, Mass. Wake Forest, N.C. CDA, LDA, MADAA;Elected to a term Elected to a term Brooklyn Park, Minn.expiring 2013. expiring 2013. Term expiring 2011.Second District: Fifth District: Eighth District:Susan D. Bentley– JudyAnoff, CDA, RDA; MaureenMosse,CDA;Camizzi, CDA; Coral Springs, Fla. Davenport, Iowa.Buffalo, N.Y. Term expiring 2012. Elected to a termTerm expiring 2011. expiring 2013.Third District: Sixth District: Ninth District:Kimberly Arny, CDA, CathleenL.Meyer–Butler, Ronda V. Lane, CDA,CODA; Akron, Ohio. CDA; Fort Wayne, Ind. RDA, BS; Irving, Texas.Term expiring 2011. Term expiring 2011. Term expiring 2011. Tenth District: Lisa Lovering, COA, CDPMA, MADAA; Billings, Mont. Term expiring 2012. Eleventh District: Heidi Denson; CDA, BA; Fruit Heights, Utah. Elected to a term expiring 2013. DISTRICT ONE DISTRICT FOUR DISTRICT SEVEN DISTRICT TEN Twelfth District: CONNECTICUT KENTUCKY MINNESOTA ALASKA Shari L. Becker, CDA, MASSACHUSETTS RDA, FADAA; RHODE ISLAND NORTH CAROLINA NORTH DAKOTA MONTANA Concord, Calif. SOUTH CAROLINA SOUTH DAKOTA IDAHO Term expiring 2012. MAINE U.S. Army Federal VERMONT TENNESSEE WISCONSIN OREGON Services District: NEW HAMPSHIRE WASHINGTON SGM Exerline DISTRICT FIVE DISTRICT EIGHT M. Drumm, serving as DISTRICT TWO ALABAMA IOWA DISTRICT ELEVEN TrusteefortheU.S.Army. NEW YORK FLORIDA ARIZONA U.S. Air Force Federal NEW JERSEY GEORGIA KANSAS Services District: MISSISSIPPI MISSOURI COLORADO CMS Thomas Davis, PENNSYLVANIA NEBRASKA NEW MEXICO serving as Trustee for VIRGIN ISLANDS the U.S. Air Force. DISTRICT THREE DISTRICT NINE UTAH DELAWARE DISTRICT SIX ARKANSAS WYOMING ➤ ILLINOIS LOUISIANADISTRICT OF COUMBIA INDIANA OKLAHOMA DISTRICT TWELVE MARYLAND TEXAS HAWAII OHIO MICHIGAN VIRGINIA CALIFORNIA NEVADA WEST VIRGNIA GUAM30 The Dental Assistant November/December 2010 4667 crNovDec2010 issue.indd 32 11/15/10 3:37:16 PM

Does your mask have gaps in its defenses?Introducing SecureFit™ masks – Face Masks * Test data on file.custom fit for better protection! • Conform to any size or A recent study found that a tighter-fitting face mask shape face.may provide more than 100 times greater protectionagainst infection than a loose-fitting mask!* The • Form a tight seal that product of years of research and development, significantly reducesSecureFit masks have a patent pending design gapping at the bottomthat creates a tight, custom fit for enhanced facial and sides of the mask.protection. Don’t let germs slip through the cracks.Reduce the risk with SecureFit – the next • Available in all 3 ASTM generation of Crosstex face protection! performance (fluid resistance) classifications: Low, Moderate and High. Samples available at crosstex.comSterilization Surface Disinfectants Patient’s Choice Personal Barriers Environmental Barriers 888-276-7783 • crosstex.com4667 crosstex securefit_dental_asst.indd 1 10/29/10 10:29 AMNovDec2010 issue.indd 33 11/15/10 3:37:20 PM

One last look...Thank you again to everyone for attending and making the 2010 ADAA Annual Session inOrlando a rousing success. None of this would have been possible without your enthusiamand dedication to growing the Association and furthering its goals.Best of luck over the coming year and don't forget to mark your calendars for next year'smeeting, October 10 — October 13, 2011, in Las Vegas, Nevada!NovDec2010 issue.indd 34 11/15/10 3:37:26 PM

Thank you to everyone who donated, bid on and won items for the ADAAF Auction at Annual Session. Your support and generosity helped make this a fantastic and successful event.A-dec is pleased to supportthe mission of the ADAAin enhancing the deliveryof quality dental careto the public. ADAA_Ad.indd 2 a-dec.comNovDec2010 issue.indd 35 11/3/2010 9:36:54 AM 332010 November/December The Dental Assistant 11/15/10 3:37:29 PM

Association BulletinScholarships & Awards DANB announces 2010–2011 Board of(for ADAA Members only) Directors and Officers Several scholarships and a student achievement award are awarded to students enrolled CHICAGO—The Dental Assist-in a dental assisting program or those taking applicable courses aimed at furthering a career ing National Board, Inc. (DANB)in dental assisting. Awardees must be members or student members has announced the 2010–2011of ADAA. Board of Directors: The Juliette A. Southard/Oral–B Laboratories Scholarship program, named for Chair—Richard Hunt III, DDSthe founder of ADAA, is supported by a grant from Oral–B, ADAA and volunteer do- Vice Chair—Carol Oeder, CDA,nations. Established in 1929, the program awards monetary scholarships in varyingamounts (usually $750). Applications are due on March 31, 2011. COA, CDPMA, FADAA, LPN The Student Achievement Award is an individual award given to one student nation- Secretary—Karen Minca,ally and includes monetary recognition. Applications are due on March 31, 2011. CDPMA Application forms may be obtained from ADAA central office by e–mail at adaa- Bruce Barrette, [email protected]; or on our website www.dentalassistant.org—click AWARDS on thehomepage for the application. Please see ADAA’s website for complete scholarship and Carolyn Breen, CDA, RDA, RDH,award details. Ed.D mark your calendars: Marlene Futterman, MA We’ll see you there! Marry Harrison, CDA, EFDA, EFODA, FADAA Donna Kotyk, CDA, RDH, MA Frank Maggio, DDS Karen Minca, Carolyn Breen and Mary Harrison have been elected to the DANB Board from slates of qualified nomi- nees provided by the ADAA. Carol Oeder and Donna Kotyk are also ADAA members.34 The Dental Assistant November/December 2010NovDec2010 issue.indd 36 11/15/10 3:37:30 PM

ADAA Recognized for Outstanding Contributionsto Donated Dental Services (DDS)The American Dental Assistants Association has been hon-ored with an award for its significant contributions to DonatedDental Services (DDS), a program of Dental Lifeline Network.The award was accepted by ADAA Immediate Past PresidentAngela M. Swatts, CDA, EFDA, at a reception celebrating the25th anniversary of DDS during the recent American Dental As-sociation Annual Session in Orlando.Presenting the award were Larry Coffee, Founder and ChiefExecutive Officer, and Fred Leviton, President. Dental LifelineNetwork, formerly known as the National Foundation of Den-tistry for the Handicapped, is a charitable affiliate of the ADA.Through DDS and other programs, the organization provides ADAA Immediate Past President Angela M. Swatts (middle) ac-comprehensive dental care to people who are disabled, elderly cepted an award to the American Dental Assistants Associationor medically at-risk through its nationwide network of 15,000 from Larry Coffee (left) and Fred Leviton (right).dentists and 3,000 laboratories.“Without the outstanding support of the ADAA, DDS could and treatment of our DDS patients and supporting our Den-never have reached today’s milestone of providing dental ther- taCheques program—a major funding source. Our patients of-apies valued at $181 million to 100,000 people in 50 states,” ten express their gratitude to the dental teams that serve themLeviton noted. and ADAA members play a vital role as members of that team.“ADAA is our strategic partner inside and outside of den- We have a very high regard and appreciation for our relation-tal practices, participating in and supporting dentists in the care ship with ADAA.” ❖MOJO #2, 15, 18, 19 5th HandTMNo problem!...Just Relax! retracts all... Just Relax! Impression Material AccessoriesDamItTM www.danvillematerials.com3420 Fostoria Way, Suite A-200Mojo loads directly fromAsk about ourNO gagging!... cartridge. Saves time and new ErgoTipTM...Just relax! st San Ramon, CA 94583 800.827.7940money... Just relax! 25% less hand strain...Just relax! 925.973.0710 Fax 925.973.0764 352010 November/December The Dental AssistantNovDec2010 issue.indd 37 11/15/10 3:37:32 PM

ADAA Brainteaser 3 Answers on page 46 4created by Linda Kihs, CDA, EFDA, MADAA 7 18 s2 56 89 10 11 13 12 14 15 16 17 22 19 20 27 21 33 23 24 25 36 26 29 30 28 34 31 32 35ACROSS 371. The thin outer layer of skin5. A resistant, dormant structure formed inside some bacteria DOWN13. A substance that contains an antigen to which the immune 2. A flexible, wavy–shaped bacterium system responds 3. Through the skin14. The study of viruses 4. An agent that can kill mycobacterium tuberculosis15. The study of bacteria 6. A unit for measuring pressure in pounds per square inch20. An epidemic that has become worldwide 7. A mass of cells21. An antimicrobial chemical used to kill microorganisms on 8. A mass or layer of live microorganisms attached to a surface inanimate surfaces 9. Single–celled, microscopic eukaryotic organisms23. All items that can puncture the skin 10. Hepatitis B soluble antigen26. Derivatives of phenol used as active ingredients in some 11. The drawing of microogranisms through material that is wet intermediate–level disinfectants 12. An inflammation of the liver27. Hepatitis B core antigen 16. The ability to defend against the damage tht may be caused28. The presence of bacteria in the blood by a microorganism29. The absence of infection on infectious materials or agents 17. An organism that produces acids during growth31. Oral candidiasis 18. Microorganisms capable of causing disease in its host34. Rod–like bacteria 19. Hepatitis B surface antigen35. An infection caused by microorganisms that enter the body 22. Lethal to fungi from the environment 24. Corkscrew–shaped bacteria36. A symptom of disease in which the person feels bad and is 25. The microbial or organic material on a surface or object. usually tired and weak 30. Large droplets of oral fluids generated during use of handpieces,37. Spherical bacteria ultrasonic scalers and air/water syringes 32. A form taken by some bacteria that is resistant to heat, drying36 The Dental Assistant November/December 2010 and chemicals 33. Condition caused by an abundance of hydrogen ionsNovDec2010 issue.indd 38 11/15/10 3:37:33 PM

HealthbeatEvidence Shows Keeping Wisdom Teeth May Be consequences, including increased systemic inflammation which can lead to cardiovascular disease and preterm birth.”More Harmful than Previously Thought Moreinformationisavailableathttp://www.aaoms.org/thirdmolars.Having wisdom teeth removed during young adulthood notonly improves dental and oral health, but may also reduce the New Mask Study Supports CDC’s Updated Guidance forchance of illness later in life, according to research from American Seasonal Flu Prevention StrategiesAssociation of Oral and Maxillofacial Surgeons (AAOMS), sur-geons and academics. Crosstex International, a subsidiary of Cantel Medical Corp.The evidence–based data confirmed what dentists and health (NYSE: CMN), announced the publication of sponsored researchprofessionals have been telling patients for years: having your wis- that suggests a far greater infection prevention value of medical facedom teeth removed while you are young helps you stay healthy. masks, commonly referred to as surgical masks, than previously un-Even when wisdom teeth are not diseased or symptomatic when derstood. The key outcome challenges conventional wisdom that athey come into the oral cavity, their position and location in the medical mask or respirator is most effective when worn by a personmouth makes them difficult to keep clean and supports the accu- attempting to protect oneself from exposure to infectious matter. In-mulation and spread of harmful bacteria which can lead to more stead, if FDA–cleared medical face masks are worn at the potentialserious conditions later in life. Importantly, the local and systemic source of the infection, the level of overall protection is magnified uphealth implications of asymptomatic wisdom teeth are far broad- to300–fold.PublishedintheSeptemberissueoftheAmericanJournaler than previously thought. of Infection Control, the research study, entitled “Quantifying Exposure Risk and Mask Protection”, was conducted by Keith Diaz, MD, andAdditional key findings include:• An absence of symptoms does not equal the absence of GeraldSmaldone,MD,PhD,atStonyBrookUniversityMedicalCen-disease. ter in Stony Brook, N.Y.• Eighty percent of young adult subjects who retained previ- This study supports the newest Centers for Disease Control andously healthy wisdom teeth had developed problems within Prevention guidelines (September 2010) on Seasonal Influenza Pre-seven years. vention Strategies in Healthcare Settings, which recommend the use• Extracting wisdom teeth in young adults produces less pain of medical face masks to minimize potential exposure to influenza vi-and shorter healing times than in older patients. rusesinhealthcaresettings.Thesimulatedbenchstudyexaminedthe• Monitoring retained wisdom teeth may be more expensive efficacy of N95 respirators and medical face masks in their ability tothan extraction over a lifetime. reduce exposure to infectious particles when used either as protective• Most patients (60 percent) with asymptomatic wisdom devices (to protect the wearer) or as “source control” devices (to con-teeth prefer extraction to retention. trol infection at the source, such as a person with flu–like symptoms).Retaining wisdom teeth can increase the risk for broader con- Theauthors’resultsdemonstrate“themostimportantfactorinreduc-ditions including preterm birth and cardiovascular disease. ing exposure was deflection of exhaled particles at the source.”“Evenifwisdomteetharen’tcausinganyimmediateproblems, “This evidence offers health care providers and public health of-it’s likely that people will face complications down the road,” said ficialsnewinsightintothebenefitofmedicalfacemasksassourcecon-Dr. Louis K. Rafetto, chair of the AAOMS Task Force on Third troldevices,”saidGarySteinberg,CEOofCrosstexInternational.Molar Data. “The fact is, extraction is much easier in young adults While medical face masks are commonly referred to as “PPE”and research consistently shows that it is a simple way of improv- (Personal Protection Equipment), their original purpose was to pro-ing both dental and overall health.” tect the patient from acquiring an infection from the physician. ThisDespite extensive research published over the past ten years new research is the first to quantify their important role in controllingabout periodontal disease and other complications resulting the infection at the source and further demonstrated that a tighter fit-from retained wisdom teeth, some healthcare providers still do tingmedicalmaskperformsbestinsourcecontrol.not recommend this service to their patients. The findings come in the wake of the 2009 H1N1 pandemic“It is critical that both patients and healthcare providers fully when there were significant complications, shortages, and debate sur-understand how harmful retaining these wisdom teeth can be,” rounding the CDC's formal recommendation for the use of N95’s byDr. Rafetto noted. “Inaction can have serious long–term health healthcareworkersforprotectionagainsttheH1N1virus. ❖ 372010 November/December The Dental AssistantNovDec2010 issue.indd 39 11/15/10 3:37:33 PM

Learning in the Round 146th Chicago Midwinter MeetingWhere: McCormick Place Back by Popular Demand! West Hall, Room 181A Featuring New Products & New ManufacturersWhen (2 Sessions*): Have fun while you learn in this hands-on small group FRIDAY, FEBRUARY 25, 2011 experience.Session 1: 9 AM – Noon Share ideas with other dental assistants in your groupSession 2: 1:30 PM – 4:30 PM while you are introduced to new products and techniques *Different topics will be covered in each that will benefit your practice.session. You will come away energized with new ideas, new colleagues and lots of product samples for your office. ATTENDEES WILL BENEFIT FROM:• Product samples, education, door prizes, fellowship and fun.• 3 CEUs to be awarded for each session by the Academy of General Dentistry Program Approval for Continuing Education (PACE) and Dental Assisting National Board. PRE–REGISTRATION DEADLINE: Friday, February 18, 2011PRE–REGISTRATION is not required but highly recommended. Preregistration begins November 1, 2010. Seating will be limited. Don’t miss this opportunity!Fees: Course Moderator:$5 Per Session ADAA Members Jennifer K. Blake, CDA, EFDA, MADAAMembers sign up for both sessions for $8! Jen Blake has been a member of the dental$10 Per Session for E-Members & Non–Members team for over 35 years. She has been a clinicalE-Members & Non-Members sign up for both assistant, educator, and is past president of thesessions for $15 American Dental Assistants Association. Currently(No refunds) she is serving as ADAA Director of Education and Professional Relations. 38 The Dental Assistant November/December 2010 see next page for registration informationNovDec2010 issue.indd 40 11/15/10 3:37:34 PM

REGISTRATION INFORMATION American Dental Assistants Association 146th Chicago Midwinter Meeting McCormick Place — West Hall, Room 181Ag Any change in location will be noted in the on–site program and in the registration materials sent to pre–registered attendees. Pre–Registration for ADAA Learning in the Round Deadline: February 18, 2011 Pre–registration strongly recommended. Courses will be closed once maximum registration has been achieved. Registration for this course is separate from CDS and is handled by ADAA only. Pre–Registration for CDS Meeting Both members and non-members who wish to register for the CDS Meeting itself, including admission to the Exhibit Floor, should fill out CDS Meeting Registration forms and submit them with fee (if any) to CDS as directed on http://www.cds.org/mwm/. All of those pre–registered with the CDS will receive badges during February in the mail. These registrants need only stop by the Chicago es Dental Society registration desk to pick up a plastic badge holder and Midwinter program. Badges are not required for admission to ADAA courses, but are required for admission to the exhibit floor. On–Site Registration On–site registration for courses will take place outside the room in which courses are being presented and will be handled on a first– come, first–served basis if space is available. A charge of $10 will be added to the course fee for both ADAA Members, E–Members and Non–members. Those registering on–site for ADAA courses will also have to register at the CDS registration desk if they wish to obtain a badge and badge holder, required for admission to the exhibit floor, and to obtain a general program. There is no CDS registration fee for members of the Illinois Dental Assistants Association. Illinois ADAA members, be sure to bring your membership card for free CDS registration on–site. All other assistants, even if members of other ADAA state components, must pay a registration fee to CDS for badge and badge holder. Continuing Education Credit The courses offered by ADAA at this meeting are acceptable for CE Credit with the Dental Assisting National Board and most state agencies requiring dental assisting continuing education. (Check with your state board if you have any questions.) 0. ADAA is an AGD–Approved National Sponsor FAGD/MAGD Credit 04/10/1992 to 05/31/2011 Learning in the round 2011 Jan. 13–14: Rocky Mountain Dental Conference Jan. 27–29: Yankee Dental Congress Feb. 25: Chicago Midwinter Mar. 24–26: Hinman Dental Meeting May 5: Texas Dental Association Annual Meeting May 27: Discus Extravaganza Oct. 11: ADA/ADAA Annual Session: Las Vegas Nov. 27–28: Greater New York Dental MeetingNovDec2010 issue.indd 41 392010 November/December The Dental Assistant 11/15/10 3:37:34 PM

3079 OLegislative UpdateContributions by Ronda V. Lane, CDA, RDA, BS & Rosana Rodriguez, CDA, CDPMA, FADAAIgnite Your Passion for Dental Assisting functions delegated to dental assistants and many other states are contemplating or actively pursuing this concept as well.by Ronda V. Lane, CDA, RDA, BSThings are always changing in dentistry and the dental assisting profession is no different. Many state associa- Do you believe that if a dental assistant is formally educated, tions have been actively working to make some very tested and demonstrates competency in specific functions thatpositive changes in the legislative arena. How about your state? “Access to Care” could be improved? Why not now? Why notWhat changes has your state implemented that would promote your state? Could one state benefit from the accomplishmentthe profession of dental assisting? States such as Massachusetts, of other state’s successes?Rhode Island and New Jersey are working on having a dentalassistant representative included on their State Dental Board. These ideas of representation, increasing education require-What a fantastic idea: to learn “how to” from other states that ments and expanding delegated duties are only a few ideas thathave successfully accomplished representation, a voice, a con- can be ignited and accomplished collectively. Sharing “How To”tribution to a State Board of Dentistry, such as Minnesota, Cali- and “What Has Worked” from one state to the next is a processfornia, Michigan, New York, Pennsylvania and Vermont. Let’s that should be shared for the overall good of dental assistingget connected and share our success. May I be the first to invite and could benefit every state. Last year ADAA began workingyou to begin posting Legislative activities in your state on the in this direction and we are ready to implement the next step.ADAA Facebook page under Discussions, 5th topic: Legisla- We asked every state to investigate both CE and state creden-tion? This could really be fun, useful and ignite some passion. tial requirements. The next step is to share this information and gather more information. What a great idea to help one another Since the 1980s, an explosion of technology–driven in- move forward and achieve together what we cannot do alone.novations has made it challenging to stay abreast of the lat- Can ADAA count on you to help us all move forward—andest advancements. Highly trained sales representatives walk more importantly, move the entire profession of dental assist-into practices every day and present volumes of information ing to the next level?about multiple technologies which dentists, hygienists anddental assistants must analyze and make decisions about. I challenge you to:Continuing education plays a huge part in this process and 1. Become informed.increasing CE requirements of every dental team member is 2. Get Involved. 3. Share your experiences. 4. Participate when asked.being realized across the country. Should CE requirements The ADAA Council on Legislation is asking for your sup-for dental assistants be increased proportionately to what port and input as we contact each state and trustee with specificis required of dentists and hygienists? Absolutely. It only questions that will help us achieve improved communicationmakes sense to require all team members to stay current with from state to state and help those who need critical informa-technological advancements in dentistry. Has your state in- tion about specific state requirements. We will be striving thiscreased CE requirements? Do you believe that it should? year to share all information gathered, via the ADAA FacebookAgain, let’s get connected and share the success of states that page, and help one another achieve what others have done orhave successfully implemented these goals for the safety and wish to accomplish. No individual and no organization can re-best interest of the patients they serve. tain its leadership without growing, adapting, creating, buildingWith the new buzz phrase “Access to Care,” a lot of changes and not merely accepting, but promoting productive change.are on the horizon. Some of us are seriously worried and anx- This concept reminds me of a quote from Deuteronomy—“Weious about what the future holds, however a step forward for all warm ourselves by fires we did not build and drink fromdental assisting can be visualized for those who can find the wells we did not dig.” We owe our gratitude to those who madepositive. Increasing the expanded functions delegated to den- ADAA what it is today, but we owe it to future generations total assistants is being explored in many states. Texas, Ohio and keep the fire burning and the well in good repair. This CouncilMissouri have expanded or are in the process of expanding is asking for your help and participation for your future. ➤40 The Dental Assistant November/December 2010NovDec2010 issue.indd 42 11/15/10 3:37:36 PM

3079 Optramize Adv4:Layout 1 10/27/10 10:10 AM Page 1 Optramize your practice! With the Optra® family of innovative Dental Accessories.OptraGate® OptraDam® PlusLip and Cheek Retractor Anatomically Shaped Rubber Dam• Increased visibility and access to working field • Isolate and retract in one-step• Quick, easy application • Integrated metal-free frame eliminates the need for clamps• Latex free • Quick, easy application• Available in 3 sizes • Available in 2 sizes• Disposable • DisposableFor more information and instructional videos, visit www.ivoclarvivadent.com100% CUSTOMER SATISFACTION ivoclarvivadent.com GUARANTEED!Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada.©2010 Ivoclar Vivadent, Inc. Optra, OptraGate and OptraDam are registered trademarks of Ivoclar Vivadent.NovDec2010 issue.indd 43 11/15/10 3:37:36 PM

BDAJ_QLegislative News INTRODUCINGcompiled by Rosana Rodriguez,CDA, CDPMA, FADAA2010 Regular LAP FundsMichigan: Requested $3,000; A brand new website created for every member of the dental office. awarded $1500.00Legislative Chairman: SEARCH LEARN BELONG Lori Barnhart, CDA, RDAMDAA is working together with theMichigan Dental Association (MDA)Task force members to meet the require-ments of the Board of Dentistry’s Resolu-tion to recognize the non–licensed dentalassistant in the Public Health Code andplace a requirement on them for CPR andContinuing Education. Two MDAA/MDA task forces met over several years Join the newest dental website, www.DentistryIQ.com. This website featuresand MDAA has received notification from all of the latest news and updates in the dental industry.MDA stating they do not support any typeof mandate. This places the burden of ini- Become a member for instant access to:tiating legislation in the hands of MDAAwith or without the support of MDA. • Latest news in the dental industry • Network with your peers • Contests • Learn from industry leaders • New Products Announcements • Earn Continuing Education • Search all relevant dental • Increase your DentistryIQ score Representatives from MDAA met with websites powered by GoogleLobbyist and the State of Michigan Licens- Log on to www.DentistryIQ.com today!ing Health Professions to discuss MDAA’sposition and to inquire about the appropri-ate steps to take to begin laying the foun-dation for a legislative initiative. Surveys,voting ballots and changes to the MDAAStrategic plan have laid the foundation todirect the committee in its efforts.The MDAA legislative Committee willbe proposing a three–tiered Career Proposal:• Entry level dental assistant RDHand Featuring content from: ®• CDA through DANB DENTAL ECONOMICS ®• RDA The state offers several different types New Jersey: Requested $1500.00of listings that outline different criteriDaE.-014 7 haalfpwagaer.idndedd1$1500.00 assistant to the board. NJDAA has also de-The intent presently is to select one that Legislative Chairman: Tracy E. Marsh veloped a very good working re1l0a/1ti8o/1n0sh11ip:33 AM with the New Jersey Dental Association tomay or may not have the state monitor In an effort to facilitate the “security” promote a collegial approach to addressingthe non–licensed assistants CPR and CE of auxiliaries in New Jersey, NJDAA has the oral health needs of the residents of thecompliance, but will allow non–licensed worked very closely with the New Jersey state. NJDA does not oppose participationassistants to be brought up on disciplinarycharges like a dentist, hygienist or RDA. Dental Hygienist Association (NJDHA) of a dental assistant on the board; howeverThis would be a benefit in the future for to affectarelationshipofmutualsupportfor NJDAA will have to begin lobbying effortstracking those disciplined for performing thoseinitiativeswhichmightbenefitpatients to change the statue to add an additionalillegal functions. and auxiliaries in the state. The NJDHA has board member to which NJDA is opposed. provided public support to add a dental ➤42 The Dental Assistant November/December 2010NovDec2010 issue.indd 44 11/15/10 3:37:41 PM

BDAJ_Q410_4.qxd 9/21/10 2:17 PM Page 1 Birex – Now in a Wipe! ® Disinfection Perfection Excellent Cleaner ADVANCED DETERGENTS CLEAN & DISINFECT Kind to Equipment SAFE ON COMMON DENTAL SURFACES Broad Spectrum Efficacy TUBERCULOCIDAL, VIRUCIDAL, BACTERICIDAL, FUNGICIDAL Economical 50% MORE WIPES THAN LEADING COMPETITORS* Birex®. Seriously Effective Current Birex®SE users can now supplement their spray with this ready-to-use wipe. NEW! Disinfectant Wipes BI240 (240 – 6\"x 6.75\" wipes per canister) Please see label for full instructions.BDAJQ410 *50% more than the leading brand:NovDec2010 issue.indd 45 240 vs. 160, 6”x6.75” wipes per canister. 11/15/10 3:37:41 PM

California: Requested $3,000 Assisting Forum (DAF). The DAF is a sev- Legislative awarded $3,000Legislative Chairman: enmembercommittee,withtwoadditional In January of 2010 CDAA renewed liaison members from the Dental Board. its contract with Karen Wyant Legis-Leslie Canham, RDA The first DAF meeting took place in Sacra- lation Consultant. In 2009 CDAA re-Changes at the Dental Board mento on February 10, 2010. The commit- ceived $3000 from ADAA in “LAP” COMDA was eliminated in July 2009 tee members elected a chair and vice chair. funds to help with the cost of her fees.and its staff and facilities moved to recon- Currently, there are two positions that have The amount CDAA paid to Karen Wy-figured offices of the Dental Board. The not been filled on the Dental Assisting Fo- ant since our last Annual session in AprilDental Board has redesigned its website to rum. With the elimination of COMDA, all 2009 was $8685.20.incorporate the previous COMDA web- dental hygiene records were transferred tosite. Unfortunately, the website technology the newly formed Dental Hygiene Com- The activity these funds cover includ-did not support online license renewal for mittee of California (DHCC). ed a wide variety of legislative caucuses.dental assistants. There is no date for when The Alliance has received assurances CDAA Websitethis issue will be resolved. Licensed dental from the Dental Board staff that monies re- The CDAA website now displays Ex-assistants will have to mail their license re- ceived from dental assisting applicants andnewal to the Dental Board. The updated licenses, through application, examination, cerpts from the Dental Practice Act andlist of Duties and Settings and the outline and renewal fees, will be appropriately seg- Regulations related to Dental Assisting asfor the RDA written “Law and Ethics” regated from funds received from dentists, of January 1, 2010; Highlights of the Den-exam will be posted on the Dental Board so that dental assisting funds are not used tal Board Meeting February 25–26, 2010;website in the near future. for purposes other than dental assisting ex- and Finger Printing (Live Scan). amination, licensure and enforcement. The Dental Board established a Dental ❖NEW! Get Total Access! Cup on,Cup off! Plea 2pro™ cleans and polishes all tooth surfaces • Patented dual-action cup and tip design guarantees  with its unique cup and tip design!  total access to all tooth surfaces.  3 + 1 FREE!* • Patented gearless design ensures near-zero freeze-ups, Nam Buy any 3 bags of 2pro Prophy Angles, Get 1 bag FREE! less heat build-up, runs smoothly and quietly. Ad Soft/short (purple cup) sent unless otherwise requested. • Ergonomic (100˚) design allows easier access to all areas City of the mouth. Tel • Sturdy construction, latex free 5500101 Soft/Short Cup (purple cup) 5500102 Firm/Short Cup (blue cup) 5500103 Soft/Long Cup (white cup) 5500104 Firm/Long Cup (green cup) Each cup style comes in an assortment of colorful angles in a bag of 144 * To receive your free merchandise, forward a copy of your DEALER invoice indicating appropriate purchase(s) to Premier Redemption Center, P.O. Box 640, Plymouth Meeting, PA 19462-0640. Fax: 888-627-6160. Email: [email protected]. Offers valid in U.S. only. Offer valid 11/1/10 - 12/31/10. Redeem by 1/14/11. Indicate free goods of equal or lesser value. Premier reserves the right to substitute free goods. Subject to change or cancellation without notice. / 2pro U.S. Patent #7,104,796, #7,153,133.44 The Dental Assistant November/December 2010NovDec2010 issue.indd 46 11/15/10 3:37:43 PM

Greate2Nr0GeN1wr2e0ew0YaYo1tore0rrkk Annu8a6l Sthession Dental MDeeentitnagl The Largest Meeting Dental Free Registration* Conven�on/ Meeting Dates: Exhibi�on/ November 26 - Congress December 1 in the United Exhibit Dates: States November 28 - December 1Please send me more information about... *Free registra�on before November 26 Attending the Greater New York Dental Meeting Participating as a guest host and receiving free CE For More Informa�on: I speak _____________and am willing to assist international guests Greater New York Dental Mee�ng™ enter language 570 Seventh Avenue - Suite 800 New York, NY 10018 USAName Tel: +1 (212) 398-6922 Fax: +1 (212) 398-6934Address E-mail: [email protected] Website: www.gnydm.comCity, State, Zip/Country Code 11/15/10 3:37:43 PMTelephone E-mail Fax or mail this to: Greater New York Dental Meeting or visit our website: www.gnydm.com for more information.NovDec2010 issue.indd 47

Brain Teaser Answers E P I DE RM I S PACROSS DOWN P ET1. epidermis 2. spirochete I RU5. endospore 3. percutaneous ENDO S POR E C B13. vaccines 4. tuberculocidal SO UEC14. virology 6. psi BP H W IC TRO15. bacteriology 7. colony IR B I H H ACL20. pandemic 8. biofilm OO E VACC I NE S E NUO21. disinfectant 9. protozoa FT A K P T ELN23. sharps 10. HBeAg V I ROLOGY I B ACT E R I OLOGY26. phenolics 11. wicking LZ NT UC27. HBcAg 12. hepatitis MO IG IA SIP28. bacteremia 16. immunity H P ANDEM I C TC DA29. asepsis 17. acidogenic B M D I S I NF ECTANT31. thrush 18. pathogens SHARP S U B S DU LH34. bacilli 19. HBsAg A PHENOL I C S ON O35. exogenous 22. fungicidal G I IO G G HBCAG36. malaise 24. spirilla R T B ACT E R EM I A E37. cocci 25. bioburden ASEPS I S Y U NC N 30. spatter P L THRU SH I I A S 32. spore BAC I LL I DP CD C 33. acidic T A E XOG ENOU S MA L A I S E T NR LD E EI R COCC IADC_ADAA_2010_Layout 1 10/22/10 12:59 PM Page 1Quala Dental ProductsQuala Plastics NEW!NEW plastics line offers a variety of products in assorted colors andsizes! Includes Set-Up Trays and Covers, Denture & Retainer boxes,Disposable Screen Traps, Disposable Cuspidor Screens and SalivaEjector Screens. Imprinting available on denture & retainer boxes. Quala Toothbrush Expansion Now Online! www.quala.com The Quala toothbrush line has expanded to include Elite Dual Visit the Quala website for Toothbrushes and Elite Dual brand information including: Toothbrushes with Action Tip in 4 assorted accent • Product Information colors. Now available • Features & Benefits in blister packs. • Photos • MSDS • Directions for Use • Cross Reference Guideswww.quala.com Quala Dental Products are sold exclusively through authorized Quala Dealers. To place an order, contact your local Quala Distributor, or call 1-800-929-4ADC for an authorized dealer near you.46 The Dental Assistant November/December 2010NovDec2010 issue.indd 48 11/15/10 3:37:44 PM

3M ESPE List of Advertisers 5A–dec C4Benco 3 Henry Schein 41Biotrol 33 Hu–Friedy 24–25Bosworth 27 Ivoclar Vivident 7Colgate 43 Patterson 42Crosstex 9 Patterson Advantage 19Danville 29 PennWell 44DARW 31 Pentron 17Dentsply 35 Premier 47Dux 23 Proctor & Gamble 46E–Vac 18 Pulpdent C2Greater New York Dental 13 Quala 21 11 Septodont C3 45 Sultan Sunstar NovDec2010 issue.indd 49 472010 November/December The Dental Assistant 11/15/10 3:37:44 PM

Happy Holidays Classifieds & Classified ad rates: $20 minimum for 30 words or less, 25 cents forBest Wishes for each additional word. Blind box number: $3 additional. Display clas- a Happy New sified ad rates: $100 per column inch. Maximum depth accepted: 4 Year! inches. Line art must be supplied as high-res (minimum 300 dpi) .jpeg or .tif file. To place a classified or classified display ad, contact The Den- From your friends at tal Assistant — Classifieds, (312) 541-1550 x209 or [email protected]. the ADAA Central Office Staff Ads must be paid in advance. ADAA neither investigates nor assumes responsibility for ads published in this space. Next Issue: The Journal starts off the New Year with an old favorite. That’s right, it’s back—the Journal’s full–length Product Report, featuring an extensive overview of the latest in available den- tal equipment and products.Publisher's Statement of Ownership 48 The Dental Assistant November/December 2010 11/15/10 3:37:49 PMNovDec2010 issue.indd 50