May/June 2011

May/June 2011Coming Together:A look at how staff meetingscan strengthen dental teams. Helping the pracitce 6 survive a slow economy 20 Product Report 38 Using the XCP–ORA device MayJune11.indd 1 5/23/11 12:18:37 PM

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May/June 2011 FEATURES Air Force/ADAA 18 Education and Career Enhancement by TSgt Francis Sloat Continuing education is a key component to a professional dental team. 38 Annual Session 12 Annual Session Update Meet the speakers for the ADAA Annual Session Dental Assistant Eductation tracks, learn how to get session information on your smartphone and more. Army/ADAA 10 Opportunities for Civilian Dental Professionals in the U.S. Army USA Civilian Dental Corp puts out call for dental professionals. cover story 34 Tips on how to make your staff meetings work for you. 34 Clinical 38 Assembly And Clinical Use Of The Xcp–Ora: A Three–Cover photo courtesy of iStockphoto.com Function Dental X–Ray Film Positioning Device For 20 Taking Anterior And Posterior Periapical And Bitewing Intraoral Radiographs by John S. Mamoun, DMD Correct assembly and clinical use of the newer XCP dental X–ray film positioning device, the XCP–ORA. Dental Business 6 How to Flourish During an Economic Downturn by Sandy Pardue Simple tips to protect a practice in a slow economy and maintain team efficiency. Health Matters 14 Stand Taller for Posture Month by Steven Weiniger, DC Improving your posture for better health. DEPARTMENTS 2 Editor’s Desk 32 Legistlative InfoNotes 4 President’s Page 44 Healthbeat 20 Product Report 47 Association Bulletin 30 Brain Teaser 48 Advertiser Index The Journal is printed using recycled materials and is a fully recyclable product.MayJune11.indd 3 5/23/11 12:18:46 PM

Editor’s Desk Michi Trota f there’s one thing I’ve learned since becoming part of ADAA, it’s the importance of teamwork and communication in practice management. It’s no small task to take a group of talented individuals and create the necessary amount of cohesion to get them all to work together, especially when, as most dental assistants do, those individuals take onmultiple roles within the same team. A strong team can make the difference in a practice’s viability, especially in times ofeconomic stress. Staff meetings are an excellent tool to maintain the lines of communication between team members. Kathleen Romanpresents tips on how to make the most of your staff meetings and give team members a forum in which they can express theirideas and obervations for everyone’s benefit (pg. 34). Want to improve the practice’s chance of surviving an economic down-turn? Sandy Pardue has some pointers about sharpening team efficiency and practice operations (pg. 6). The Air Force DentalService highlights the importance of continuing education in an informed dental team (p. 18) and don’t forget that properposture goes a long way toward maintaining healthy team members (p. 14). Also, Dr. John S. Mamoun follows up on his January/February XCP article with a look at the newer XCP–ORA mod-els (p. 38); there are discounted flights to Las Vegas for Annual Session and a new Annual Session app for smartphones(p. 12); and the “Product Report” is back with a look at what’s new in the dental market (p. 20). Thanks again for reading, and Happy Spring! The Dental Assistant (lSSN–1088–3886) is published bimonthly (every MAY/JUNE 2011 other month). Subscriptions for members are $10 as part of dues. Volume 80, No. 3 Nonmember subscriptions: $20 in the U.S.; $30 in Canada/Mexico; $75 other foreign. Single copy price is $10. Allow 6–8 weeks for subscriptionADAA President Natalie Kaweckyj, CDA, LDARF, entry and change of address. Publisher is the American Dental Assistants CDPMA, COA, COMSA, MADAA, BA Association, 35 East Wacker Drive, Suite 1730, Chicago, IL 60601–2211. Periodicals postage paid at Chicago, IL, and additional mailing offices.Executive Director Lawrence H. Sepin POSTMASTER: Send address changes to The Dental Assistant, 35 East Wacker Drive, Suite 1730, Chicago, IL 60601–2211.Editorial Director Cynthia K. Bradley, CDA, CDPMA, EFDA, MADAA, BA Copyright 2011 by the American Dental Assistants Association. Reproduction inEditor and Douglas McDonough whole or in part without permission is prohibited. The information and opinionsCommunications Director expressed or implied in The Dental Assistant are strictly those of the authors and do not necessarily represent the opinion, position, or official policies of the 312–541–1550 x203 American Dental Assistants Association (ADAA). Authors of published materials are solely responsible for their accuracy.Managing Editor Michi Trota Note: The ADAA cannot honor claims for missed copies of The Dental Assistant 312–541–1550 x209 unless they are made within 90 days of the cover date. For example, requests for missed copies of the January/February issue must be made prior to May 31.Advertising Sales Manager Robert E. Palmer The Dental Assistant 312–541–1550 x212 35 East Wacker Drive, Suite 1730Director of Education Chicago, IL 60601-2211& Professional Relations Jennifer K. Blake, CDA, EFDA, MADAA *General inquiries 312-541-1550 x 200 fax 312-541-1496 • e-mail [email protected] of InformationSystems & Meeting Planning Nancy Rodriguez Website ✇ www.dentalassistant.orgEditorial Review Board Kathleen Brown, CDA, RDA, FADAA ADAA Mission Statement Sharon K. Dickinson, CDA, CDPMA, RDA Mary Govoni, CDA, RDH To advance the careers of dental assistants and to promote the David F. Halpern, DMD, FAGD dental assisting profession in matters of education, legislation, Gary Jacobs, CDA, RDA, M.P.A. Linda L. Miles, CSP, CMC credentialing and professional activities which enhance the John Molinari, PhD delivery of quality dental health care to the public. Rhonda R. Savage, DDSTo 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 May/June 2011MayJune11.indd 4 5/23/11 12:18:48 PM

Dentin Look for greatHypersensitivity? tasting relief. Colgate® Sensitive Enamel Protect The toothpaste that gives your patients Potassium nitrate to desensitize the dental pulp nerve fibers of the tooth and help prevent nerve stimulation for sensitivity pain relief1 Sodium fluoride to effectively protect against caries and strengthen enamel2,3 Great mint taste your patients will love, to ensure compliance for continued reliefTo learn more, visit www.colgateprofessional.comRev 6/2010 ©2010 Colgate-Palmolive Company, New York, NY 10022, USA YOUR PARTNER IN ORAL HEALTH Fast Relief Enamel ProtectionReferences: 1. Ayad F, Berta R, De Vizio W, McCool J, Petrone ME, Volpe AR. Comparative efficacy of two dentifrices containing 5% potassium Fresh Mint Tastenitrate on dentinal sensitivity: a twelve-week clinical study. J Clin Dent. 1994;97-101. 2. Marinho VCC, Higgins JPT, Logan S, Sheiham A. Fluoridetoothpastes for preventing dental caries in children and adolescents (Review). Cochrane Database Syst Rev. 2003;(1):CD002278. 3. Lynch RJM,Navada R, Walia R. Low-levels of fluoride in plaque and saliva and their effects on the demineralisation and remineralisation of enamel; role offluoride toothpastes. Int Dent J. 2004;54:304-309.MayJune11.indd 5 5/23/11 12:18:48 PM

President’s Page Natalie Kaweckyj, CDA, LDARF, CDPMA, COA, COMSA, MADAA, BA ADAA President, 2010–2011 Practicing the TEAM Concept in All Dental Settings Why working together is essential to the success of a practice s your ADAA President, I have had the opportunity to ob- The “A” in the concept represents achievement. Both praise and P serve many different types of dental settings and share criticism are essential pieces of the puzzle found in most workplace practice management tips with assistants from all over the situations. Both are useful tools and must be used effectively to P111United States. Being able to “talk shop” and learn what works and achieve practice goals. Praise is a wonderful thing for an individualwhatisessentialtothedailyworkingofasuccessfulclinicisoneofthe or group experience. As human beings, we all enjoy and even strivehighlights of my time as president. Many common struggles are for the praise of others, no matter how much; it simply makes usshared by more than one type of dental practice and almost all have feel as though we are doing the right thing and being recognizedthe same goal: An exceptional dental team providing top–notch ser- for our efforts.vicestoourpatients.ThisissueoftheJournalspotlightspracticeman- However, both praise and criticism can have a negative impactagement concepts, something needed in every successful practice. upon a team. The team that accomplishes a goal may be praisedThe “T” in the TEAM concept represents the talent of the den- for doing so, but if the team is capable of even greater things, thistal team. These diverse talents may often be intertwined because should be communicated. The opposite also holds true in that criti-any time a group of individuals comes together for the purpose cism should be accompanied by solution. If an individual or groupof accomplishing a goal, there will always be an extensive range is criticized for some reason, then the criticism should be construc-of opinion, talents and abilities. These different approaches can tive and followed up with suggestions as to how the situation couldbe influenced by culture and individuality, as well as by the career be circumvented in the future. Both praise and criticism are usefulexperiences of its members. As the team comes to understand the tools; however if they are improperly used, the integrity of the teambenefits and importance of each member and his or her role within as a unit can be put at risk.the practice overall, the team begins to perform more effectively The “M” in the concept represents motivation. A happy prac-and produce tangible results. tice environment should be a number one goal because satisfiedThe “E” in the concept presents the opportunity for educat- team members are more likely to provide satisfying service to theiring as well as learning. As situations present themselves, team patients. The team needs motivation every day and should havemembers come to understand that each individual may present a the mindset that challenges are welcomed and viewed as simply aunique approach or solution to practice obstacles or overall goals. part of the day to day process of a successful dental practice. Chal-As members work together and brainstorm, varied backgrounds lenges should be faced with confidence and viewed as opportunitiespresent an assortment of thoughts. Where one team member felt whenever possible. The team that pulls together and works throughhis or her approach was best, the experience of another shows that challenges will ultimately gain strength as a group from the experi-a different approach is better suited for the situation at hand. The ence. The team that works through challenges—and employs a can–opportunity to learn is presented. do rather than can’t–do spirit—comes to understand that there isAs the team makes strides and begins to accomplish goals, the strength in one another and that more can be efficiently achieved byoverall morale of the team begins to increase and becomes a founda- working together. This is a positive mental approach rather than onetion on which to build and further grow upwards. In the early stages, that is defeatist in nature and lends itself to failure.perhaps the members were in a competitive mode in an effort to Finally, as the dental team accomplishes its practice goals, thereprove their worth to the team. As the group moves toward more co- should be a sense of success and accomplishment. Where thereoperation, members begin to see the larger picture unfold and begin were once individuals, there is now a team. Where people acted into understand the scope of what may be accomplished when the tal- the best interest of self, they now act for team. When the team is uni-ents and abilities of all are focused on the objective of the practice. (Continued on page 46)4 The Dental Assistant May/June 2011MayJune11.indd 6 5/23/11 12:18:51 PM

Practice Growth... with Patterson Dental P111411 (3/11) > Practicing dentistry is your responsibility.MayJune11.indd 7 Helping your practice grow is ours. That’s why we created the Patterson Advantage® membership program. Unlike any other membership program in the industry, Patterson Advantage helps you grow your business. Through your everyday purchases, you’ll earn Advantage Dollars that you can use to reinvest in technology and equipment for your practice. Practice growth with Patterson Dental. Contact your Patterson representative, call 800.873.7683 or visit www.pattersondental.com today to learn more about the Patterson Advantage program. 5/23/11 12:18:51 PM

Dental Practice Sandy Pardue How to Flourish During an Economic Downturn Tips on safeguarding the practice veryone knows that America’s economy is in trouble. Ignore outside influences How is this affecting dentistry? Many practices are This includes television, newspaper, radio, the Internet, experiencing more open time, a record number of the practice down the street and other hearsay. Know thatbroken appointments and less production as Americans your actions and those of your team are what will determinetighten their purse strings. Some practices are closing their success or failure—nothing else. Know that you are in con-doors and there are dentists looking to work additional days trol of your destiny and it is imperative that you are proactivein busier practices. People are losing jobs and insurance ben- and believe in your ability to make your business successful.efits as the country slips further into an economic tailspin.We might hear more complaints about dollars, but people Develop your teamstill want and need dental care. It doesn’t have to be all doom Start by evaluating each team member. Look at their in-and gloom. There are ways for your practice to stay afloat andactually flourish during this economic downturn. dividual performances, attendance, referrals to the practice, aptitude, attitude and abilities. Now more than ever, having a As Americans spend less and try to save more, many prac- strong team that is working toward the practice goals is vitaltices are prospering. Their success is not due to “good luck.” to your success. This is easier to attain than ever before dueThey are overcoming these obstacles because they are looking to the fact that more people are looking for opportunities infor missed opportunities and working smarter. I always find it the job market. The economic downturn provides a better se-interesting to see how practices can be located in a close prox- lection of applicant prospects. Once the team has developed,imity and vary so much in new–patient numbers, production allow them to be a part of the process of creating a practiceand collections. Dentists have told me, “I’m going to move vision and listing realistic goals.my office near Dr. Smith’s $2 million practice.” Actions like Look for barriers and blind spotsthis are not the recipe for success. You must know that your I’m referring to obstacles that you may be putting up forsuccess is dependent on what happens within your own four current and potential patients. Blind spots are responsiblewalls and has less to do with outside factors. for the majority of broken appointments and instances ofI am going to share specific measures to help you safe- low production. Barriers keep the new patient numbers low.guard your practice in this economic slowdown. There is no There are three systems that you should evaluate. They allsilver bullet, but I know the practices that are flourishing are have a major impact on your practice.being proactive, applying themselves and implementing the 1. Initial Contact—I do a lot of mystery shopper calls atfollowing actions and protocols. the request of clients. I’m amazed at the roadblocks that ➤6 The Dental Assistant May/June 2011MayJune11.indd 8 5/23/11 12:18:54 PM

MayJune11.indd 9 5/23/11 12:18:57 PM

practices typically put up for the average Front Desk Roadblocksperson calling a dental office. It’s no won-der so many new patients never arrive, a. Answering machines picking up in the middle of the day, withthe doctor has low new patient numbers no live person available.and open time on the schedule. Approxi-mately seven out of 10 calls made to prac- b. Office staff come across to the patient like the call was antices are unsatisfactory. (Their low score is interruption.due to the reasons listed at Box 1, right.) c. Lack of dental knowledge. 2) Poor Recall System—Don’t as-sume that you have this under control. d. Inability to answer the caller’s questions.Consider the number of existing patientsin your practice, the number of new pa- e. No promotion of the office or doctor.tients added each month and the factthat everyone needs to be seen at least f. Office staff promotes insurance, making it the most importanttwice a year. You can do the math on this part of the call when the caller never expressed concern.one. Most practices are retaining about50 percent of their patients. They are “hit g. Too many rings before someone finally answers.and miss” with their recall protocols. h. Phone lines busy. Few practices have taken time towrite up their recall system and train i. The caller was never asked if they would like an appointment.staff on the way it should be consistentlyhandled. The recall system consists of j. Too many guidelines and rules put on the patients beforepre–scheduling appointments with the they’ve ever met the doctor or made it to the practice.hygienist, sending appointment cards topatients who are prescheduled, sending k. The patient’s immediate concerns are rarely addressed. Therecall cards to patients who are due and caller finally musters up the nerve to contact the practiceare without an appointment, and finally, about a dental problem and is given an appointment for some-staying on top of the patients who are thing else.past due and have fallen in the cracks. Box 1 3) Poor Confirmation Protocols—I evaluate broken appointments from in. A message left on a machine is not a You can be more successful in break-practices all over the country. Most can true confirmation. Confirm early in the ing through this barrier if you listen tobe avoided with a system for confirma- day or on the day before. Don’t confirm patients and acknowledge their financialtion. When an appointment is not prop- too far in advance. Listen to the patient’s concerns. When patients tell you thaterly confirmed, or not confirmed at all, tone of voice and what the patient is say- they don’t have the money, say some-chances are the patient will miss his or ing. Many times the patient will try to thing like, “I do understand Mrs. Jones,her appointment. When the confirma- back out or seem surprised to learn they but it will end up costing you more if yoution system is under control, your days have an appointment. The person with put it off and do nothing.”will be more productive and appoint- the best verbal skills should do the con-ment changes or no–shows will become firming, so that he or she can handle pa- Remind them of the priority of theira rare occurrence. tient objections if they arise. permanent dental health over their temporary financial situation. Let them Before any calls are made to confirm, Overcome financial problems know what will happen if they don’tthe scheduler must verify that financial and “I can’t afford it” get the needed treatment. Do this in aarrangements are complete. When con- light–hearted manner and their inter-firming, the scheduler should be aware More patients might be saying that they est in their dental condition will even-of prior broken appointments, past–due can’t afford to get needed treatment. For tually win out over a financial problem.balances and why the patient is coming many, once the patient says “I can’t afford You can ask them, “Don’t you think we it,” all communication stops. This becomes should do this before it gets worse and a barrier to getting patients to accept a treat- costs more? It will save money in the ment plan and get the help they need. long run.”8 The Dental Assistant May/June 2011MayJune11.indd 10 5/23/11 12:18:57 PM

When patients ask how much it will friendly, patients can get right in, the team project checklist is available to you as acost, break it down into small segments. members make their patients feel com- courtesy at www.classicpractice.com.Let them know that you can start with fortable and have very few upsets. Don’t procrastinate,the most pressing part of the treatment get started today!plan. Most people can confront a smaller Enhance performance/trainingamount because it doesn’t seem as costly Practices that train existing staff in a If the economic downturn is affect-to them. This holds true even when our ing your patient flow or you want toeconomy is strong. Practices that break slow economy will be better prepared recession–proof the practice, start today.the treatment down into phases have a and more efficient when the economy There is no better time than right now forhigher percentage of treatment plan ac- recovers. You can use this time to finish you to evaluate the systems in the prac-ceptance and higher new patient num- job descriptions and procedure manuals tice and take a closer look at how you canbers without marketing. that are incomplete. Utilize staff meetings improve service and efficiency. Share this for role–playing and additional training. article with the team members and dis- As a last resort, you can tell them that cuss the ways the practice can improveyou can do something temporary to Skill training that equips employees customer service, deliver better dentistry, with tools to perform better increases the run smoother and promote services.“There is no better time than right now for you to evaluate The new economy will require prac- tices to develop and train the dentalthe systems in your practice and take a closer look at team, get organized, focus on patient education, improve communicationhow you can improve service and efficiency.” and deliver a better experience for the patients. I believe we will see more prac-“hold them over for a while.” Let them quality of customer service, income and tices putting the hot towels and paraffinknow that the condition of their mouth profitability, not overhead. wax in the back closet and getting backis affecting their overall health and the to bread and butter dentistry.cavities are getting larger. Reactivate patients back into the practice: (Reprinted with permission of Dental-Improve customer service town Magazine and Dentaltown.com.) Know that your patients have a choice Your schedule might be empty but most practices have hundreds, maybe ❖about which dentist they see. This is why even thousands of patients who haven’tcustomer service is so important in a been in for years. Some of them have seen Sandy Pardue is an internationallyslow economy. What makes your prac- another dentist and regret it, or if they recognized lecturer, author and practicetice different? Take a look at your practice haven’t seen another dentist, just embar- management consultant. She has assistedthrough your patients’ eyes so that you rassed to come back since so much time hundreds of doctors with practice expan-can attract and retain more patients in the has passed. A card is just the thing to mo- sion and staff development over the past 20future. What do they see when they drive tivate them to call your office. It’s a huge years. She is known for her comprehensiveup to your office? How are they treated mistake to deactivate patients too soon. and interesting approach to dental office sys-when they walk into the reception room tems, and offers a refreshing point of view onand speak to the receptionist? How are This is a perfect time to find out who how to become more efficient and produc-they received when they call? Do they get hasn’t been coming in and communicate tive in a dental practice. Sandy is director ofa live person or a machine? with them. I have found that a reactiva- consulting with Classic Practice Resources. tion project can generate a lot of activity She is also a consultant to leading dental The most successful practices pro- for a practice. In addition to getting back companies for product evaluation and de-vide stellar customer service. Patients are 10 to 18 percent of all patients due, you sign. For more information, please e–mailgreeted by name when they arrive and a will be able to update addresses, find out [email protected] always answers the phone dur- who moved out of town, who is deceased,ing regular business hours. The team is who changed dentists, etc. The complete 92011 May/June The Dental AssistantMayJune11.indd 11 5/23/11 12:18:57 PM

U.S. Army Opportunities forCivilian Dental Professionals in the U.S. Army Dentists and dental hygienists, assistants, and lab techsamong the many jobs available–visit www.civiliandentaljobs.com/webfairivilian dental professionals are essential to the Quoted in a recent issue of ADA News, John Heath, Hu-overall care of our troops and their families,” man Resources Manager for the U.S. Army Dental Com-says John Heath, DENCOM Human Re- mand said, “When our military providers are deployedsources Manager. “The need for civilian providers is steadi- around the world, our civilian s remain to ensure local orally rising as the Army continues to grow and oral care re- care needs are met. Approximately half of the Army dentalquirements increase.” care workforce is civilian.”Potential candidates are encouraged to check the Civil- The USA Civilian Dental Corps maintains the day-to-dayian Dental Jobs website periodically for new listings. The site oral care of active and retired military personnel and theiroffers a convenient way to view and apply for current open- families through a global network of treatment facilities. Theings at more than 150 clinics by providing a database where Civilian Corps is comprised of civilian federal employees,job-seekers can search by keyword or category. who serve alongside military counterparts.For more information, please visit the website http:// (See ad for USA Civilian Dental Corps on page 43)www.civiliandentaljobs.com and be sure to view the on- ❖site calendar for a DENCOM job fair near you. 10 The Dental Assistant May/June 2011 5/23/11 12:19:03 PMMayJune11.indd 12

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Annual Session UpdateThe ADAA Annual Session in fabulous Las Vegas is justfive months away. The Journal tells you what you needto know about the “can’t miss” event of the year.Updated: Bios for Session speakers now available Photo courtesy of the Las Vegas News BureauJen Blake, CDA, EFDA, MADAA Sonja LaurenCourses 5101/5111—Dental Assisting Roundtable Learning; Course 5104—“The Covered Smile:” A Patient’s Point of View 6101—Be the Best You Can Be: A Seminar for Dental Assistants Only and the Importance of the Dental Assistant RoleMs. Blake is director of education and professional relations for the Sonja Lauren is the president of the Sonja Lauren Foundation, Inc.,American Dental Assistants Association and an ADAA past–presi- and author of “The Covered Smile.” Ms. Lauren speaks nationallydent. She has been a dental assistant for more than 35 years. and is recognized for speaking out on the importance of good oralJackie Dorst, RDH health and its relationship to living a healthy life.Courses 6111/7101—Leading the Way to Infection Control Excellence Shannon Pace, CDAPresident of Safe Practice, a sterilization consultancy, Jackie lectures Course 7210—There’s No Such Thing as Too White; 7220 New Dentalinternationally, writes and consults on sterilization design and infec-tion control and is OSHA–certified. She is an Academy of General Materials Showcase; 8205 The Art of Clinical PhotographyDentistry clinician graduate and a member of OSAP, APIC and Na- Shannon Pace Brinker is a national and international speaker, pub-tional Speakers Association. lished author and a 1994 graduate of the Dental Assisting ProgramRenee Graham, RDH, MEd* at Bowman Gray School of Medicine. She works with Dr. DanCourse 6311—Aiming for Success: Radiographic Techniques Etheridge in his private practice in Chesapeake, Va. Debra Stewart, DDS from Analog to Digital Courses 7204/7214—Temporary Crowns and Bridges Made Easy!;ReneeGraham,DENTSPLYProfessionalclinicaleducator,bringsmorethan 19 years of clinical experience, as well as 11 years in academia. Re- 8101—CosmeticDentistry:TheTeamApproachtoCreatingBeautifulSmilesnee is serving the Commission on Dental Accreditation and is very ac- Dr. Stewart is an international speaker from Houston, Texas, with moretive with regional testing agencies and dental curriculum development than 30 years in dentistry, who has been honored for her work by herin the State of Georgia. *NOTE: Ms. Graham replaces Shirley Braham, profession. She is a former dental assistant who gives a unique and per-MBA, RDH, who was initially reported as speaker for this course. sonalized touch to her lectures to which the dental team can relate.Pat Roetzer, DDS Victoria Wallace, CDA, RDACourse 6112—Creating a Great First Impression of Your Patients: Courses 5309—Adhesive Tips, Education and Troubleshooting Remakes are Expensive for the Dental Team; 5317—Enhancing Your Selling SkillsDr. Roetzer is a 1974 graduate of Marquette University School of Ms. Wallace’s chairside career has included general and cosmetic den-Dentistry and has written many articles and lectured internationally. tistry. She is an active member of the ADAA and a past Vice Chair-Dr. Roetzer is currently an assistant professor in restorative dentistry man of the ADAA Foundation. She has been employed by Ultradentat the University of the Pacific Arthur A. Dugoni School of Dentistry. Products, Inc., since 1996.Karen Hays, RDHCourse 6319—Aiming for Success: Radiograph Techniques NOTE: Courses will be held at the Mandalay Bay Con- vention Center unless otherwise noted. A ticket is re- from Analog to Digital quired for all ADAA continuing education courses. Tick-Karen Hays, DENTSPLY Professional clinical educator, has more ets may be obtained through advance registration onlinethan 20 years experience teaching both dental hygiene and dental as- at ada.org/session or on–site up to the day before thesisting. Her focus is providing dental professionals current scientific scheduled course (based on availability). Tickets are onresearch and information assisting them implementing effective and a first–come, first–served basis, and seats are limited, soefficient treatment protocols in their clinical practice. register now and get your tickets early!12 The Dental Assistant May/June 2011MayJune11.indd 14 5/23/11 12:19:04 PM

Don’t forget your tickets for the highlight of the ADAA Annual Session the ADAA President’s Gala.Be sure to join the ADAA Officers, Trustees members and honored guests in celebrating theADAA’s 87th Anniversary and the newly elected officers. Event Code: E004Location: Luxor Hotel Date: Thursday, October 13, 2011 Time: 6–10pm Tickets: $69Annual Session App Blackberrynow available for smartphones 1.Gotohttp://m.core-apps.com/adaas2011. 2. Visit App World on your Blackberry and Dental professionals can hold this search for “ADA Annual Session.” year’s most versatile tool for Annual Ses- 3. Scan the QR code (right). sion planning and information in the palm of their hands when they download the For more information on the ADA Annual Session in Las Vegas free ADA Annual Session mobile applica- or to register, visit ada.org/session. tion to their smartphones. Follow Annual Session updates The ADA Annual Session app lets users on Facebook and Twitter build a meeting agenda including CE cours- es they’ve registered for through the online Now you can get the latest in Annual Session news via Facebook registration system; search for CE courses, and Twitter. To join the ADA Annual Session Facebook page and exhibitor and product listings; read exhibi- Twitter feed, go to ada.org/session and click on the Facebook and tor e–brochures and product information Twitter icons on the lower righthand side of the page. that will be updated continually throughthe start of annual session; get information on show specials; and United and Delta offer airfare discountsbuild an ADA World Marketplace Exhibition shopping list. Don’t wait! Book your travel now and save on United Airlines There are three ways to download the app: iPhone and Delta Air Lines. Las Vegas is a very popular city and the best fares 1. Go to the link http://bit.ly/adaas2011. will sell out early. 2. Visit the iPhone App Store and search for “ADA Annual Session.” • United Airlines—Receive a 5% discount by going online 3. Scan the QR code (right). to www.united.com and inserting 585MS in the promo- tion code box under “more search options.” You may also Droid call the United Airlines Meeting Desk at 800–521–4041 1.Gotohttp://m.core-apps.com/adaas2011. and give the agent meeting ID code 585MS. 2. Visit the Android Market on your Android and search for “ADA Annual Session.” • Delta Air Lines—Receive a discount on most applicable 3. Scan the QR code (right). airfares to Las Vegas by calling Delta Meeting Network reser- vations at 800–328–1111, Monday through Friday, 7:00am– 7:00pm Central Time. Refer to ticket designator NM7BM. ❖MayJune11.indd 15 132011 May/June The Dental Assistant 5/23/11 12:19:06 PM

Health Matters Steven Weiniger, DC Stand Taller for Posture Month How to assess and correct your posture ay was National Correct Posture Month, and it seems from my book, Stand Taller~Live Longer, An Anti–Aging Strategy: Mom was even right about standing up straight. 10 Minutes a Day to Keep Your Body Active and Pain–Free. From athletes like Soul Surfer Bethany Hamilton The first StrongPosture exercises I recommend are the Storkwho work with a postural alignment therapist, to the thousands of for strengthening balance and WallStand to strengthen alignment.people with back pain and muscle aches being helped by CertifiedPosture Exercise Professionals, strengthening posture is important. • Best Posture STORK: Train yourself to stand tall while building good posture by balancing on one foot. First, Improving your posture is not just about looking good. Studies stand tall with your best posture, and then focus on stay-show people with better posture really are healthier and actually ing tall and straight as you lift your thigh so your knee is atlive longer. From kids with backpacks or cane–carrying seniors, hip height. Keep standing tall for 30 seconds on each side,studies show poor posture is a major cause of back and neck pain focusing on keeping your body well aligned.for all ages, and over time often contributes to digestive and car-dio–pulmonary problems. • Vertical WALLSTAND: Back up to a wall so your heels, buttocks, shoulders and head all lightly touch the wall Here are three things to help keep you standing tall: Take an an- while you keep everything level, relaxed and aligned, andnual posture picture; do posture strengthening exercises; and have take three slow breaths, feeling your body’s best posture.smart posture habits. Note: If you feel any areas of stress, have your posture checked by a professional. 1. Take an annual posture picture to set the benchmark for ➤YOUR body. Ask a friend to take your picture from the front, backand side. Print them out, one to a sheet, and look at your bodysymmetry. Just comparing posture pictures from year to year canbe eye–opening. You can assess your alignment by putting a dotbetween your feet on the front and back view, and at your ankle onthe side view. Then, fold each paper in half neatly at the dot.Frontandbackview:The two halves of your body should be thesame. If your head and/or torso is off to one side, or your arms arehanging differently, your posture is not symmetrical.Side view: The line from your ankle should pass thru yourshoulder and ear. If your head is way forward of that line, you mayhave a posture distortion called Forward Head Posture (FHP).File your posture picture and compare it to a new one next year. 2. Do Posture Strengthening Exercises to maximize the benefit Ask a friend to take your picture from the front, back andof any workout, or as a beginning exercise to get in shape. Yoga, side so that you can monitor your posture.Tai–Chi and Pilates are all great for building body awareness andcontrol, along with the new StrongPosture™ exercise programs14 The Dental Assistant May/June 2011MayJune11.indd 16 5/23/11 12:19:08 PM 5886_C

How your patients feel about Comfort Plus™traditional saliva ejectors. Premium Saliva Ejectors Comfort PlusTM Saliva Ejectors take in uid, not tissue! Traditional blunt- • The Comfort Plus Saliva Ejector is perfectly bendable, yet rmly holds the shape you ended saliva ejectors can lock onto your create. patients’delicate mucosal tissue and causediscomfort. Revolutionary Comfort Plus saliva ejectors NEW! Available inhave a unique, patented tip design with rounded edges, Bubblegumsmooth surfaces and perfectly placed suction ports that scented!optimize uid removal while minimizing trauma to tissue.End the“ouch”with Comfort Plus, the kinder, gentlersaliva ejector! “Finally, a saliva ejector that is kind to oral tissues. With its innovative design, Comfort Plus is easy to position and does not cause tissue trauma.” – Sheri B. Doniger, DDS Lincolnwood, ILSterilization Surface Disinfectants Patient’s Choice® Treatment Accessories Operatory Protection 888-276-7783 • crosstex.com5886_Crosstex_SalivaEjectors_DenAsist Ad.indd 1 5/5/11 3:34 PMMayJune11.indd 17 5/23/11 12:19:08 PM

The two halves of your body should be the same. If your head and/or torso is off IN OFFICE TREATMENTto one side, or your arms are hanging differently, your posture is not symmetri-cal. The posture on the left is disorted while the posture on the right is balanced. The Prescribing Information covers the following product sizes: 0.07 OZ (2.0 g) unit dose cups and 3. Choose smart posture habits. Get a and teach individualized posture exercise rou- 3.0 OZ (85 g) tubesgood chair, and change it’s position during tines for pain management and wellness.the day. If you’re going to play videogames, PRESCRIBING INFORMATIONexercise more than your thumbs with Your posture is how the world sees you,games that make you move, such as the the and a bit of effort at strengthening your pos- Description: Colgate® Sensitive Pro-Relief™motion sensing Nintendo Wii or Xbox Ki- ture is an anti–aging habit to make you look is a desensitizing paste that provides instantnect. Invest in quality shoes and consider and feel better, avoid injury and exercise ef- sensitivity relief after 1 application. The Pro-using a shoe insert or orthotic, especially if fectively to stay active and age well. Argin™ Technology effectively plugs and sealsyou’ve had foot problems. open dentin tubules when polished into teeth with ❖ a rotary cup. If you have back pain, neck soreness orother posture problems, or want to find out Steven Weiniger, DC, internationally rec- Composition: Colgate® Sensitive Pro-Relief™how strengthening your posture can improve ognized expert on posture and anti–aging, is Desensitizing Paste contains hydrated silica,sports performance (i.e.—golf, tennis, base- author of Stand Taller~Live Longer. He is calcium carbonate, glycerin, arginine, water,ball) and wellness, help is available. Consult a also senior editor of BodyZone.com, an online bicarbonate, flavor, cellulose gum, sodiumCertified Posture Exercise Professional or oth- wellness resource that offers a national directory saccharin, FD&C blue no.1.er chiropractor, a physical therapist or massage for C.P.E.P.s (Certified Posture Exercise Profes-therapists trained to analyze posture pictures sional) and other posture professionals. Indications and Usage: Colgate® Sensitive Pro-Relief™ is to be used for the management of sensitive teeth, post scaling and root planing. It is a tubule occluding agent designed for professional application with a rotary cup during standard dental practice hygiene procedures. Dosage: To be determined by the dental professional for the treatment of dentin hypersensitivity. Directions for use: 1. Place enough paste for one procedure in a clean dappen dish or other suitable container (when dispensing from tube). 2. Fill a rotary cup with paste and run rotary cup at low to moderate speed. 3. Polish product into each tooth, on sensitive areas or areas that can become sensitive (can be applied to entire dentition). Apply product to sensitive areas for 3 seconds, then repeat. NOTE: Throughout procedure, sufficient paste should be maintained on the cup to avoid overheating of the tooth surface. Saliva evacuation is recommended to avoid excess dilution and swallowing of the paste. Contraindications: Colgate® Sensitive Pro- Relief™ is contraindicated in patients with a known allergy to any of the components. Warnings: Colgate® Sensitive Pro-Relief™ may cause eye irritation upon contact. If contact with eyes occurs, immediately flush eyes with plenty of water for 15 minutes. Seek medical attention if irritation or discomfort persists. Precautions: Colgate® Sensitive Pro-Relief™ should be used only by individuals professionally trained to perform dental prophylaxis. During use, wear protective glasses, mask and gloves. Storage: Store at room temperature. Do not store pastes above 77°F (25°C). Keep out of direct sunlight. Close cap immediately after use to avoid moisture loss. Lot number and Expiration date: The lot number should be quoted in all correspondences which requires identification of the product. Do not use after the expiration date. Rev. 04/09 Colgate Oral Pharmaceuticals, a subsidiary of Colgate-Palmolive Company. New York, NY 10022 U.S.A. For full prescribing information please visit www.colgateprofessional.com Questions? Comments? Please Call: 1-800-962-234516 The Dental Assistant May/June 2011 00728_cp_CSPR_TDA_Pub_JAN_PI.indd 1 12/1/10 3:44 PMMayJune11.indd 18 5/23/11 12:19:11 PM 00995

Pro-Argin™ Technology –a breakthrough in dentin hypersensitivity relief Pro-Argin™ Technology enters and helps plug tubules* Gingival recession exposes dentin* Tubules are sealed* *The above graphical representations are for illustration purposes onlyColgate® Sensitive Pro-Relief™ desensitizing pasteis clinically proven to provide instant and lastingsensitivity relief that lasts for 4 weeks. Contains calcium carbonate and arginine, an amino acid naturally found in saliva Effectively plugs and seals the open dentin tubules Can be used before or after dental procedures such as prophylaxis and scaling Fast and easy application using a rotary cup, applied with a prophy angle Rx OnlyYOUR PARTNER IN ORAL HEALTH www.colgateprofessional.comor call 1-800-2COLGATE to speak to your Oral Care Consultant today Rev. 12/2010 ©2010 Colgate-Palmolive Company, New York, NY 10022, USAImportant Safety Information: Colgate® Sensitive Pro-Relief™ is a desensitizing paste that should only be administered by individualsprofessionally trained to perform dental prophylaxis. It may cause eye irritation upon contact and is contraindicated in patients with a knownallergy to any of the components. See adjacent (or following) page for full Prescribing Information.00995_cp_CSPR_TDA_Pub_JAN_pk_updated.indd 1 12/3/10 4:33 PMMayJune11.indd 19 5/23/11 12:19:12 PM

U.S. Air Force TSgt Francis Sloat Education and Career Enhancement Continuing education and professional enhancement make stronger dental team members ducation and career enhancement are two totally different Manager, continues to fight for funding to offer continuing edu- things but can also be one and the same: without education cation for AF dental assistants with a requirement of obtaining 12 you can’t advance in your career. For Air Force (AF) mem- credit hours a year. In 2010, AF dental assistants completed 2,968bers, education is encouraged from day one of technical training CE courses through the ADAA. At MacDill AFB, we completedschool. The dental assistant training we receive is translated to college 77 courses last year. Continuing education (CE) is a great way tocredit through the Community College of the Air Force (CCAF), a further our professional education in our own career field. CE en-regionally accredited school and part of the AF’s Air University. ables us to be better equipped to answer the questions our patientsAs we continue through our dental assisting careers, the distance are known to ask.learning and on–the–job continuous training we receive also earns us Another opportunity for education in the AF that we’ve takenCCAF credits. We are not only dental assistants in the Air Force Den- advantage of recently is attendance at the ADDA’s annual session.talService;wearemilitaryprofessionalsfirst—trainedandreadytoex- In 2010, six dental technicians from the MacDill AFB clinic attend-ecute the orders of the Commander in Chief. Just as we continuously ed the ADAA Annual Session in Orlando, Fla. This year, it will bedevelopourtechnicalskills,wedothesamewithour Airmanship. in Las Vegas, Nev., and we are planning to send our 2010 AnnualThere are many different ways to enhance ourselves in the Air AwardwinnerssothattheycangetCEhoursandknowledgeofnewForce. One way is taking professional military education (PME) products and technology to bring back to our clinic. Learning aboutcourses. These courses are set up as stepping stones in our career new ideas, products and equipment is another great way to enhanceas airmen. At the junior level, airmen attend Airman Leadership our skills and knowledge and develop ourselves professionally.School to learn the art of leadership. As Non–Commissioned Of- Continuing education is where it begins, but for those of youficers (NCOs), we are encouraged to attend professional enhance- who are not willing to stop there, the AF Dental Service is offeringment seminars to improve our leadership skills and knowledge. We us a way to become certified in what we do. While not required, thealso attend the Non–Commissioned Officer Academy to develop Certified Dental Assistant (CDA) is highly desired within the AF. Itourselves to better lead and manage airmen. As Senior NCOs, we has been made even easier for AF dental assistants to take two of theare given the managerial skills through Senior NCO Academy by three tests required to obtain the CDA credential by offering DANBcorrespondence, and then in–residence at Maxwell Air Force Base exams in technical school, leaving only the chairside assisting test to(AFB) in Alabama. The knowledge obtained from these PME be taken after OJT is completed. It is at no cost to the AF members.courses is also translated to college credit and is applied toward a In the end, whether we are military or civilian dental assistants,CCAF degree in a technical specialty and in the case of Air Force continuing education is important for us to continue to developdental assistants, an Associate of Science in Dental Assisting. our dental assisting skills. As you can see, we in the military haveThe AF Dental Service is very supportive of its assistants’ edu- many avenues we can take through online ADAA courses, techni-cation. Chief Master Sergeant Thomas Davis, Dental Career Field cal and professional military education. As a civilian assistant, you18 The Dental Assistant May/June 2011MayJune11.indd 20 5/23/11 12:19:13 PM

can sharpen your skills through attendinglocal and national dental conventions andcompleting CE courses as well. I encourage all dental assistants, militaryand civilian, to work towards obtaining na-tional certification. In fact, it was recentlyannounced that there is a national certifica-tion for oral preventive assistants. So as youcan see, there are many opportunities forcontinuing education and career growth fordental assistants. In the words of Chief Master Sergeant ofthe Air Force (ret) Robert D. Gaylor, “Whatare you waiting for?” ❖ TSgt Francis Sloat is an Advanced Oral Air Force dental assistants receive continuing education credits while attend-Hygiene Technician assigned to the Preventive ing the ADAA’s annual conference.Dentistry Team at the 6th Dental Squadron,MacDill AFB, Fla.• 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 192011 May/June The Dental AssistantMayJune11.indd 21 5/23/11 12:19:14 PM

Manufacturers and suppliers of dental care products take pride in meeting the diverse needs of the dental community by pro-viding a complete span of products. From impression material to toothbrushes to electronic record–keeping programs, thesecompanies offer the latest products available at a variety of levels. Some of the leading manufacturers and suppliers sharetheir newest and most popular items here.This feature is composed of material from contributors to the ADAA Foundation.**The information provided in this report is strictly that of the product manufacturers and does not necessarily represent the opinion, position or official poli-cies of the ADAA. Philips Sonicare introduces new Sonicare AirFloss. Microburst technology delivers a quick burst ofair and microdroplets of water or mouth rinse that reach between teeth to remove interproximal plaque,Philips Sonicare explains. The company claims that with one–button functionality and a guidance tip fortargeted cleaning, patients using AirFloss can clean the entire mouth in 60 seconds. To learn more about Sonicare AirFloss, call your Philips Sonicare representative at 800–676–SONIC(7644) or visit www.sonicare.com/dp.Philips Sonicarewww.sonicare.com800–676–7644 DentalEZ® Group introduces the new Free–Motion Elbow Support. ➤ The Free–Motion Elbow Support System is compatible with all DentalEZ dental stools or any stool available on the market, and can be easily fastened to the stool cyl- RB-85 inder, the manufacturer says. According to DentalEZ, the telescoping elbow height adjustment locks in place with a thumb lever. 5/23/11 12:19:18 PM DentalEZ says that the Free–Motion Elbow Support System is designed to support the elbow of the dental professional without limiting movement or interfering with dental procedures. The Free–Motion Elbow Support System features two free–moving, height– adjustable elbow supports that follow movement without restriction meant to provide sup- port and stability of the neck, back, arm, and shoulder muscles, the manufacturer states. For more information, call 866–DTE–INFO or visit www.dentalez.com. DentalEZ www.dentalez.com 866–383–4636 20 The Dental Assistant May/June 2011MayJune11.indd 22

Serious about germs. LYSOL® BrandIII I.C.™ Disinfectant Spray — the brand designed for Healthcare use, now meets the latest California EPA standards, and you won't even notice the difference. New formulation, same powerful germicidal efficacy! Now available from your Dental dealer.RB-85 LYSOL IC Ad_DAJ_v2.indd 1 5/4/11 10:25 AMMayJune11.indd 23 5/23/11 12:19:18 PM

Young Dental introduces Pointed Polisher—the latest version of their Classic disposable prophy angle. According to the company, the polisher is equipped with a firm, latex–free cup that comes to a complete point for interproximal access and polishing pre- cision. This screw–type point either comes attached to the Classic angle or it can be purchased separately for autoclavable use, Young Dental says. Young Dental reports that the Pointed Polisher has been designed to increase stability and allow for enhanced stain removal because of its er- gonomically–designed tip to improve access around crowns, bridges, im- plants, wide embrasures, and furcations. Additionally, the point is flexible to fit around brackets and under orthodontic wires, the company says. As aspecial for the second quarter, Young Dental offers clinicians a free $10 Target gift card for any box of 100 pointed polisherspurchased by June 30, 2011. The Classic Pointed Polishers are all latex–free and come in packages of 100, while the individual points (for use on metalangles) are color–coded as either gray (natural rubber) or blue (latex–free), and come packaged in 144–count quantities. Formore information, please visit www.youngdental.com, or call 800–325–1881.Young Dentalwww.youngdental.com800–325–1881 Isolite Systems has released a new Small Deep Vesti-bule mouthpiece size. Isolite has designed the mouthpiece to allow the patientto rest his or her jaw on a soft bite block versus having to holdit open for the dental procedure. With the tongue retractedby the mouthpiece, it is kept away from the dental procedureand the dental drill, the manufacturer states. Additionally, themouthpiece shields the patient’s airway to prevent inadver-tent aspiration of a foreign body, Isolite reports. According to the manufacturer, the new size was developedfor patients who need a small bite–block but have a deeper ves-tibule compared to other small–mouthed people. Isolite saysthe shape is designed to allow for maximum tongue retractionand better fit in a patient’s mouth. Its expanded cheek shieldshape can provide suction that goes deeper into the vestibule and the new design features a more stable bite block to provide ad-ditional suction capacity behind the bite block itself to help prevent saliva from pooling behind the mouthpiece, Isolite claims. For more information about Isolite Systems and its products, including a video tour and clinical videos, visit Isolite’s websiteat www.isolitesystems.com or call 800–560–6066.Isolite Systemswww.isolitesystems.com800–560–606622 The Dental Assistant May/June 2011MayJune11.indd 24 5/23/11 12:19:20 PM

Patterson Dental Supply, Inc. introduces Smile Channel 10, an up-dated version of its reception area programming that entertains and ed-ucates patients while promoting dental services. As part of the CAESYEducation Systems family, Smile Channel 10 offers presentations withbefore–and–after photos, 3–D animations, full–color graphics andfull–motion video. Patterson describes this edition of Smile Channel 10 as featuringan updated look and feel, with new presentations covering smile res-toration topics such as “Hiding Your Smile?” “Why Not You?” and“Healthy Mouth, Healthy Body.” Additionally, the company says thatnew presentations are offered, including Identafi and Under Armour,and updates have also been made to existing presentations such as“Smile Restorations,” “Repairing Chipped Teeth” and “CEREC CAD/CAM.” For more information, visit www.caesy.com or call 800–294–8504.Patterson Dental Supply Sultan Healthcare introduces PUREVAC SC, designed specifically for evacua-www.pattersondental.com tion systems with amalgam separators.800–328–5536 According to Sultan, PUREVAC SC’s pH complies with EPA and Solme- teX’s specs and features non–foaming cleaning action that’s compatible with all amalgam separators. PUREVAC SC is designed to help keep evacuation systems clean and free of build–up, the manufacturer says. Sultan reports that the product is a biodegrad- able, citrus–scented concentrate available exclusively through dental dealers. To learn more, visit sultanhc.com. Sultan Healthcare sultanhc.com NUPRO Sensodyne Prophylaxis Paste by DENTSPLY contains No-vaMin, a calcium phosphate crafted to relieve sensitivity, provide stain re-moval, and is dye and gluten free, the company says. DENTSPLY reportsthat NovaMin relievesdentinalsensitivitybytubuleocclusion,theblockingof the microscopic channels in the tooth’s dentin that lead to nerve end-ings in the dental pulp, while amplifying the natural protective and repairmechanisms of saliva. NUPRO Sensodyne Prophylaxis Paste is available in polish and stain–removal grits, the company says. DENTSPLY has made spearmint, peppermint, orange and citrus mint flavors available insingle–use cups, and orange and spearmint flavors available in 12–ounce jars in fluoride and non–fluoride formulation, polishand stain removal grits.DENTSPLY ➤www.dentsply.com 232011 May/June The Dental AssistantMayJune11.indd 25 5/23/11 12:19:22 PM

P110369 (9/10)MayJune11.indd 26 5/23/11 12:19:22 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 5/23/11 12:19:22 PM everything you need to excel at dentistry. Contact your Patterson representative, local branch or call 1-800-873-7683MayJune11.indd 27

3M ESPE announces RelyX™ Unicem 2 Self–Adhesive Resin Ce- ment in the Clicker™ Dispenser. 3M ESPE reports that this system com- bines convenience and easier mixing with clinical performance and bond strength, as well as balanced mechanical properties and long–lasting es- thetics without post–operative sensitivity. Advantages of the Clicker dispenser include its consistent mixing ratio, dosage through easy clicks and a consumption level indicator for better ma- terial management, the company says. The desired amounts of base and cat- alyst paste are simultaneously extruded onto a mixing pad by activating the Clicker, and the cement can then be applied to the restoration and seated on the tooth without prior etching, priming or bonding of the tooth required,3M ESPE explains. According to the company, the material’s moisture tolerance leads to adhesion even in a moist environment, andonce cured, the excess material can be removed. 3M ESPE states that RelyX Unicem 2 cement will continue to be available in the Automix syringe delivery system. For moreinformation on the complete 3M ESPE line of dental products visit www.3MESPE.com or call 800–634–2249.3M ESPEwww.3MESPE.com800–634–2249Sheer White! ™ films by CAO Group is available exclusively from Henry Schein Den-tal. According to the company, the carbamide peroxide gel remains active for as longas 6 hours for longer wear and faster whitening. The films are describedas thin and moldable to contour to teeth and arch, adapting toeach patient’s anatomy. The films can be worn for an hour orovernight, Henry Schein Dental says.Henry Schein Dentalwww.henryschein.com Introducing the Bubble Gum Scented Comfort Plus ® Premium Saliva Ejector from Crosstex International. Comfort Plus features a patented tip design with rounded edges and suction ports to help enhance patient comfort while protecting delicate mucosal tissue, Crosstex reports. The manufacturer states that Comfort Plus optimizes fluid removal, minimizes trauma to mucosal tissue and facilitates fluid and light debris removal. Crosstex says Comfort Plus has a bubble gum scent and comes 100 per bag featuring a pink tip with white tube. Crosstex International www.crosstex.com 888–276–7783 ➤26 The Dental Assistant May/June 2011MayJune11.indd 28 5/23/11 12:19:24 PM

‘‘eAasmieurcwh ayto cleanbetweenteeth.I love it.’’ – Michelle Hurlbutt, RDH, MSDHExperience Breakthrough Innovation: Philips Sonicare AirFlossPatients who just won’t floss will love the new Philips Sonicare AirFloss. Its innovative microburst technology delivers a quick burstof air and microdroplets for a gentle yet powerful clean in-between.Effective: Sonicare AirFloss gently and effectively helps improve interproximal gumhealth in just two weeks1Easy to use: Reported easier to use by 86% of patients surveyed 2Preferred: After one month, 96% of patients who flossed inconsistently usedSonicare AirFloss at least four times per week3Call 1-800-676-SONIC (7664) to schedule an in-office Lunch & Learn.sonicare.ca1 de Jager M, Jain V, Schmitt P, DeLaurenti M, Jenkins W, Milleman J, Milleman K, Putt M. Clinical efficacy and safety of a novel interproximal cleaningdevice. J Dent Res 90 (spec iss A), 2011. 2 Krell S, Kaler A,Wei J. In-home use test to evaluate ease of use for Philips Sonicare AirFloss versus Reachstring floss and Waterpik Ultra Water Flosser. Data on file, 2010. 3 Krell S, Kaler A,Wei J. In-home use test to assess compliance of Philips SonicareAirFloss. Data on file, 2010.MayJune11.indd 29 5/23/11 12:19:24 PM

Dentrix eCentral automates time–consuming tasks and provides tools for engaging patients, Dentrix says. The company reports that eCentral allows au- tomated appointment reminders and recall processes with e–mails, text mes- sages and postcards delivered based on the information from Dentrix software. eCentral also provides patients with a secure login to websites where they canview upcoming appointments, complete electronic forms and submit online payments; patients can also complete forms fromthe reception area using eCentral’s kiosk functionality, Dentrix explains.Dentrixwww.dentrix.com800–336–8749 DUX Dental announces that PeelVue+ now features visual guides printed on the pouch called“Closure Validators.” PeelVue provides dental professionals with a visual guide to achieve the properseal, Dux says, as pouches that are not sealed properly have holes or gaps where contamination canseep in, defeating the purpose of the packaging. Closure Validators are designed to assist PeelVueSmart Pouch™ in providing sterilization and patient safety. To learn more please visit www.duxdental.com or call 800–833–8267Dux Dentalwww.duxdental.com800–833–8267 Hu–Friedy announces Team Vista™ Waterline Products are now available for purchase in both the United States and Canada. As part of Hu–Friedy’s In- strument Management System (IMS®) line, these products offer an economi- cal and easy to use waterline treatment system for the cleaning and control of microbial contamination, the company says. According to Hu–Friedy, Team Vista includes both a daily irrigant and periodic antimicrobial cleaner to meet the water standards set forth by the CDC and ADA. To maintain clean waterlines while protecting patients and clinical staff, add VistaClean™ drops each time the water bottle is filled and use VistaTab™ about once a month or as needed, Hu–Friedy instructs. The company describes VistaClean Irrigant Solution as an aqueous cleaner de- rived from citrus botanicals to emulsify contaminants, soils and oxidation products in waterlines, helping to protect the lines and system components from deposits and scale. VistaClean is completely non–toxic, non–corrosive and environmentally friendly, with no negative effects on bond strength, Hu–Friedy reports. VistaTab is a tablet used for the cleaning of microbial contaminants in dental unit waterlines. According to Hu–Friedy, thesolid tablet quickly dissolves in water to create a non–corrosive solution reportedly more effective than bleach. VistaClean and VistaTab can also be purchased separately. For more information on Team Vista Waterline Treatment Productsor to request a sample, please contact Hu–Friedy at 1–800–HU–FRIEDY or go to www.hu-friedy.com.Hu–Friedy800–HU–FRIEDYwww.hu-friedy.com The next Product Report will appear in the September/October 2011 issue.28 The Dental Assistant May/June 2011 JuneAMayJune11.indd 30 5/23/11 12:19:27 PM

When it comes to taking care of your patients, you can put your Total Trust in TotalCare. Only TotalCare products give you the confidence that you’ve doneeverything you can to protect your patients and yourself—every day. NOW FRAGRANCE FREE TOTAL PREVENTION TOTAL PROTECTION Our innovative prophy angles and paste help protect your patients from dental disease and our ergonomic design helps protect you from fatigue.Recommended by top hygienists, CaviWipes® and CaviCide® surface disinfectant have a fast 3 minute TB kill time and is fully compliant with CDC guidelines.**CDC Guidelines for Infection Control in Dental Healthcare Settings – 2003. MMWR 2003;52(No.RR-17): p. 63. FREE SAMPLES TURN YOUR STORY OF Order your free sample pack with PROTECTING PEOPLECaviWipes®, CaviCide® & PerfectPearl™ INTO A VACATION AT A at kerrtotalcare.com/da5s or call 800.841.1428. MAJOR ANAHEIM THEME PARK Note: Not available in Canada. kerrtotalcare.com/da5cPMS 289 blue and 367 Green©TotalCare 2011. All Rights Reserved. CaviWipes and CaviCide are federally registered trademarks of Metrex Research LLC. PerfectPearl and TotalCare are trademarks of Metrex Research LLC.PROTECTING PEOPLEJuneADAA_flpg_TotalCare.indd 1 5/5/11 4:27 PMMayJune11.indd 31 5/23/11 12:19:28 PM

Brain TeaserCreated by Linda Kihs, CDA, EFDA, MADAA Across: (Answers on page 46) 1. scheduling coordinator or patient care facilitator 6. a measurement of time 5/23/11 12:19:31 PM 3MES- 8. remove or pull 10. contract or note 11. a listing of charges, payments and adjustments for the day 12. another name for recall 16. company that distributes money to the provider 19. employee who represents the family in relation to the prepayment plan 20. operatory Down: 2. a set fee per person per given period of time 3. subscriber is obligated to pay based on amount or percentage of approved amount 4. sum the covered person pays toward the cost of treatment 5. body language, voice, and facial expressions 7. three words for “old patient” 9. finding the right person for the task 13. a better word for “bill” 14. intentional perversion of truth 15. patient’s eligibility, covered amounts, deductible, copayment and maximum 17. filling 18. price or charge 30 The Dental Assistant May/June 2011MayJune11.indd 32

© 3M 2011. All rights reserved. 3M, ESPE and Adper are trademarks of 3M or 3M ESPE AG. † Source: 3M ESPE internal data I’m sensitive …I can’t chew on one side. We can fix that. Adper™ Easy Bond Self-Etch Adhesive applies easily and virtually eliminates post-operative sensitivity† – guaranteed*. Formulated to create strong, lasting bonds between enamel and dentin, it’s backed by over 100 years of adhesive science. See for yourself! Go to www.3MESPE.com/Adper or call 1-800-634-2249. * Visit www.3MESPE.com/Adper for details about our Guarantee. Adper™ Easy Bond Self-Etch Adhesive Scan this tag with your mobile phone For details on our guarantee and special offers. Get the free tag-scanner app at: http://gettag.mobiM3MayEJSu-n0e6121_.Dinedndtas3s3tjournalmay.indd 1 5/23/141/5/1121:191::3328 PPMM

Legislative InfoNotesArkansas enacted equine dental care provider. Tooth floating is Board of Barbers and defined in the legislation as the performance of Cosmetologists plans to prohibitand pending legislationStatewide Fluoridation, Act 197, was re- an equine dental procedure on bovine, equine, tooth whitening by non–dentistscently enacted into law which will result in the porcine or other livestock to remove dentalfluoridation of approximately 32 additional enamel points or smooth, contour, or level in- The Montana Board of Barbers and Cos-community water systems (communities cisors or dental arcades or extract deciduous or metologists, which regulates the practice ofwith populations of 5,000 or more) through- vestigial teeth without sedatives, tranquillizers cosmetology, esthetics, and manicuring, hasout the state of Arkansas. This represents a or other prescription anesthetics. proposed a rule to prohibit their licenseeshuge public dental health measure which has from offering or performing tooth whiteningsolid scientific documentation that commu- Lawsuits and court battles over equine services in salons. They join a number of oth-nity water fluoridation provides significant dentistry in Texas are not rare, and the root of er state regulators who have moved to ban thisprevention of dental decay. The Pew Report the veterinarians’ case against non–DVM den- practice after the recent appearance of tooth–on state dental policies played a big role in tistry procedures is the use of sedation by non– bleaching businesses in non–dental settings.the passage of this legislation. To see the re- DVM’s. Equine dental care providers, underport, on what grade each state was given, go the new law, could be non–DVM’s who have The public will now be notified of theto: http://www.pewtrusts.org/uploaded- earned certificates to practice equine dental Board’s intent to adopt this rule and will beFiles/Cost_of_Delay_web.pdf. care. Four hours of CE will be required annu- offered an opportunity to comment. ally to renew certifications for equine dental Arkansas also enacted new legislation, Act care providers. (Note: Interesting to see that CE The Montana Dental Association sup-90, which will allow pediatricians who have will be required for equine dental care providers ports the Board’s decision to adopt this rule.received proper training to apply fluoride var- but there are still states that do not require CE for Current tooth bleaching materials are basednishes to patients who do not visit a dentist dental assistants who work on people.) primarily on either hydrogen peroxide orregularly, thus improving access and preven- carbamide peroxide. Both may change the in-tative dental care to Arkansas children. Alabama State Board of Dental herent color of teeth, but have different con- Examiners releases survey results siderations for safety. Bleaching may result in Pending legislation that would include an adverse effect on hard tissue, soft tissue,dentists is bill SB 345, a new prescription drug The Alabama State Board of Dental Ex- and dental restorative materials. The Ameri-monitoring program that will allow dentists aminers recently published on their website can Dental Association advises patients toand other applicable health care providers the results of a survey taken on Expanded duties consult with their dentists prior to whiteningability to search patients’ prescription drug re- for Dental Auxiliaries: http://www.dental- treatment. A dental exam will elicit a healthcords. The Arkansas State Dental Association board.org/pdf/Expanded%20Duties%20 and dental history, examination for oral can-supports this bill. Questionnaire%20final%20results%20 cer, abscesses, periodontal disease, and other pathology that may be affected by bleaching. all%20on%20one%20page.pdf. A dental exam would also elicit informationNew Mexico dental offices may This survey asked if the respondents (pri- about tooth sensitivity and dental restorations.need to install amalgam separators marily dentists and hygienists) support chang- Non–dental personnel lack the knowl-New Mexico has legislation pending that ing the Dental Practice Act to allow for Expand- edge, resources (such as radiographs), educa-may require dental offices to install an appro- ed Duty Auxiliaries be allowed to: administer tion, and license necessary to provide dentalpriately sized amalgam separator system if that buccal/lingual infiltrations and mandibular exams. Their facilities generally lack effectiveoffice places or removes amalgam restorations. block local anesthesia; restore prepped teeth infection control capabilities and protocolsTheNewMexicoBoardofDentalHealthCare with amalgam and composite materials; reg- that exist in the dental office and personnelcould impose penalties and discipline actions ister occlusal relationships for fixed and re- are not trained in standard infection controlfor offices that do not comply with amalgam movable teeth; adjust and deliver permanent precautions and may not be prepared to pro-waste recycling or disposal recommendations. crowns and stainless steel crowns and use of vide emergency care for allergic reactions. If a diode laser in the treatment of periodontics. a patient chooses to pursue tooth bleaching,Defining teeth floating in Texas The results were quite interesting with some the dental team can consider and recom-Senate Bill 895, a new bill in Texas is be- expanded functions being close to a 50/50 mend appropriate materials, techniques anding presented to ensure that the practice of split. Additionally, the specialists who par- delivery systems to best suit the patient’s par-equine dentistry, other than tooth floating, is ticipated in the survey responded quite dif- ticular oral health needs.performed only by a veterinarian or certified ferently than the general dentist did. ❖32 The Dental Assistant May/June 2011MayJune11.indd 34 5/23/11 12:19:35 PM

What’s inside The CDC strongly recommends single-useyour metal disposable instruments whenever possible.*syringe tip? ™ Unlike other leading brands, FlashTips’ inner tube doesn’t dislodge under pressure. Lock indicatorfor a secure fit, every time. Now, help prevent cross contamination in seconds… with NEW FlashTips™! Your metal tip’s tiny chamber could be home to a nasty buildup from blood, saliva, dental materials and tip corrosion. Over time, that buildup gets harder and harder to properly clean and sterilize. Don’t take the risk anymore! New FlashTips are the fast, easy answer… for you, your practice and your patients. For more info visit www.flashtips.net * Source: CDC Guidelines MWR Dec 19 2003. Guidelines for Infection Control in Dental Healthcare Settings – 2003. sultanhealthcare.comMayJune11.indd 35 5/23/11 12:19:36 PM

Dental Practice Kathleen M. Roman, MS Staff Meetings: Their Impact on Dental Practices How to use meetings to increase dental team cohesion successful dental practice is never an accident. Key of that group, four percent of doctors confessed that they elements of a well–run dental office include clini- themselves might not always attend the staff meetings. cal excellence, effective business processes and pa- Staff meetings are an important means of building a suc-tient–centered communication. Of the three, communica- cessful dental practice. Their numerous benefits have beention is most easily overlooked. Since most dental offices em- reported by human resources experts, clinical consultantsploy fewer than 20 people, doctors and staff may assume that and business schools. Following is a sampling of benefits thatcommunication should occur often and freely within the have relevance for dental offices:team. But in the course of a busy office day, important ele-ments of good communication can get lost in the shuffle— 1. Everyone is on the same page. Staff meetings keepunless they are part of the culture of the organization. members of the team apprised of the ongoing activities of the practice while providing a forum for identifying and ad- These losses may result in errors—even the smallest errors dressing changes, questions or concerns. Staff meetings alsocan have a negative impact on efficiency, expenses, and team enable the group to take action by:morale. Some errors also have the potential to anger patientsor even to cause them harm. Communication is an effective a. Formulating multiphase action plans;means of preventing these problems but it should occur within b. Broadeningtheforumforideas,suggestions andresearch.a framework and should influence every activity that takes placewithin the practice. When this occurs, communication skills c. Preventingand/oraddressingmisunderstandings,devia-can be modeled, taught and reinforced. tion from group policies and unpleasant surprises.The office staff meeting is an excellent means for enhanc- 2. The group has a forum. Rather than using a shotgun ap-ing communication. This type of meeting provides an op- proach to address questions and concerns, staff meetings pro-portunity, away from the ongoing interactions with patients, videaframeworkthatshouldpreventimportantissuesfrombe-for members of the dental team to answer questions, address ing overlooked, forgotten or decided in haste without thoroughchallenges, formulate plans and improve team effectiveness review and discussion.and satisfaction. Here’s an example. On a busy day, a dental assistant sud-For example, during a series of recent risk management denly had a brainstorm about how to solve a particular prob-seminars, over 1000 dentists were asked how many of them lem. She planned to share her idea with the practice admin-held staff meetings. Overall, 48 percent reported that they did istrator when she came back from lunch. But she got busyhavestaffmeetings.However,only38percentstatedthatthey and soon forgot all about it. If the practice had developed anschedule staff meetings at least quarterly. Of those reporting idea box or a meeting agenda plan, the assistant could haveregularly scheduled meetings, 55 percent reported monthly immediately saved her idea in a place where it would get thestaff meetings as part of their regular team updates. However, attention it deserved. ➤34 The Dental Assistant May/June 2011MayJune11.indd 36 5/23/11 12:19:39 PM

Reduce Missed Appointments! eCentral reminds your patients with emails, postcards and text messages. TM The days of time-consuming postcard preparation and tedious confirmation phone calls are over. eCentral works seamlessly with Dentrix to automate your reminder process and reduce missed appointments. Send Your First Month of Postcards Free!* Learn more about automating your appointment reminders at: www.dentrix.com/appointmentbliss 1-800-734-5561 A - E S A R DA - Q 211 *Offer expires September 30, 2011. Postage not included. ©2011 Henry Schein Inc. All rights reserved. Henry Schein, Dentrix, eCentral, the red ‘e’ logo and the ‘S’ logo are trademarks or registered trademarks of Henry Schein Inc.MayJune11.indd 37 5/23/11 12:19:40 PM

3. The better the team, the better the Use the following checklist to see if you’re getting theleadership. Staff meetings are inclusive most benefit from your team meetings.activities. They encourage openness andparticipation. They help prevent inadver- True/False:tent communication errors by identifyingand resolving misunderstandings and dis- _____ Our team has staff meetings at least once per quarter.agreements. In offices that don’t encour-age the sharing of information, the doctors _____ Everyone on the staff attends.may be the last to know when somethingisn’t going as planned. Unaware, they lose _____ Our dentist/s always attend our staff meetings.the chance to defuse to situation. Andfrom a risk management perspective, what _____ We establish an agenda in advance. Anyone canthe doctor doesn’t know may be a matter propose a topic.of practice error, patient safety, and poten-tial liability. A dental practice is a business. _____ We use our staff meetings as a platform forIts leaders must exemplify people skills as identifying problems.well as business skills and clinical skills.Team meetings provide benefits for each _____ We use our staff meetings as a platform forof these important areas. providing information and updates. 4. The better the team, the better their _____ Every staff meeting has an educational component.satisfaction. Numerous industry and hu-man resources experts report that em- _____ We use staff meetings to build team effectivenessployees’ sense of inclusion and value as and good will.part of a team is the single most impor-tant factor in the retention of an outstand- _____ Our staff meeting allows time for questionsing workforce. Staff meetings comprise and answers.one of several effective tools doctors useto build collaborative and professional The American Dental Association ©Reprinted with permission from Theteams. Outstanding teams also have a (ADA) provides a variety of educational Medical Protective Company. 2009. Allremedial effect on employees who may materials and information about the im- rights reserved.be struggling to complete their assigned portance of training and mentoring forduties, comply with office policies, and dental office employees. Professional li- Kathleen M. Roman, MS, is Riskmaintain professional working partner- ability insurance companies and health- Management Education Leader for Medi-ships. Employees of a dental practice may care business consultants are also good cal Protective, the nation’s oldest professionalnote the strengths and weaknesses of a resources for information about team– liability insurance company, serving health-new employee before the doctor. building in small businesses. Regardless care since 1899. Kathleen welcomes readers’ of the environment, regularly’scheduled, comments and questions. She can be reached 5. A highly professional staff reduces results–focused meetings help the team at: [email protected] doctor’s workload and may also help stay on target. They encourage propos-reduce the doctor’s liability exposures. In a als, evaluation and discussion of topics Editor’s Note: Please visitbusy practice, it’s impossible for the den- that are directly related to the group’s www.dentalassistant.orgtist to monitor everything at once. The mission statement. to review ADAA’s extend-only way to develop a trustworthy team ed selection of practiceis for the group to rely on one another. As Conclusion management and dentalstaffers assume personal accountability Team meetings help establish esprit de business continuing edu-for various duties, the doctor will not feel cation courses.compelled to look over everyone’s shoul- corps. They enable doctors and their em-der; rather, the dental staff can focus on ployees to model inclusivity, teamwork,coaching and leadership. and patient partnerships. Team meetings help prevent misunderstandings and er- rors. They can help improve efficiency, re- duce costs, and lower liability exposures. ❖36 The Dental Assistant May/June 2011MayJune11.indd 38 5/23/11 12:19:41 PM Isolite

It’s a Love Fest! 7/16/10 4:17:47 PM 5/23/11 12:19:42 PM Dental Assistants & Isolite Systems Isolite Systems, a major sponsor of the A.D.A.A., knows what a pivotal role Dental Assistants play in the practice. We even created the Isolite Dryfield Illuminator® with you in mind. Both the original Isolite,™ with 5 levels of brilliant intra-oral lighting, and the new lightless IsodryTi™ systems provide continuous adjustable suction, tongue and cheek retraction, throat protection, and a comfort bite block. With this new standard of dental isolation professionals experience: 30% Faster Procedures • Improved Patient Comfort • Reduced Ergonomic Strain Isolite is the Dental Assistant’s ally, freeing you to do more for the dentist next to and away from the chair, all with greater ease and less stress. In fact, while many of our Dental Assistant fans have nicknamed the Isolite “The Assistant’s Assistant”, a few recently told us they experience “Iso Luv.’” Well, as we hope you now know, we luv’ you too. Learn More about Isolite by Calling 800-560-6066 OR VISIT I S O L I T E S Y S T E M S .COM ADAA2010IsoliteAssistantAd9.indd 1MayJune11.indd 39

Clinical AJouhthnoSr. NMaammeo,uXnX,XD, MYYDY, ZZZ Assembly and Clinical Use of the XCP–ORA:A Three–Function Dental X–ray Film Positioning Device for Taking Anterior and Posterior Periapical and Bitewing Intraoral Radiographs.Abstract:This article describes the assembly and clinical use of a newer type of XCP dental X–ray film positioning device, called the XCP–ORA. The previ-ous version of the XCP consists of three separate devices for taking anterior, posterior, and bitewing radiographs. The XCP–ORA dental X–ray filmholder combines all three of these dental X–ray functions into one device, in contrast to the previous generation of XCP holders. The large parallelingring of the device contains three color–coded square–shaped holes that attach to a metal rod. This single metal rod with two right angle bends containstwo sets of corresponding color–coded prongs that attach the anterior, posterior and bitewing X–ray film holders. One set of prongs consists of two redprongs that correspond to the insertion points of the bitewing X–ray film holder. The other set of prongs consists of one prong that is yellow colored,and another prong that is blue colored. Both of these prongs fit into the insertion holes of either the yellow (posterior) or the blue (anterior) film hold-ers. The multi–function XCP–ORA device reduces the total number of XCP parts that are needed to take intraoral dental radiographs. Fewer partsmake the device less confusing to assemble and reduce the number of steps that are needed to prepare the XCP–ORA parts for autoclaving. he XCP–ORA is a type of dental X–ray film positioning (cut perpendicularly to the beam or at a right angle to it) with the device. XCP–ORA stands for “eXtension Cone Parallel- plane of the intra–orally located film. ing—One Ring and Arm.” This acronym refers to the The three–function XCP–ORA dental X–ray positioning de-device’s capability to enable an assistant to parallel the plane of the vice consists of five different parts, three parts of which togetherdifficult–to–see intra–orally located dental X–ray film with the make a specific assemblage for taking anterior, posterior or bite-cross–section of the X–ray beam as the beam emerges from the wing radiographs, respectively. (Figure 1, p.39, bottom left).extension (or collimating) tube that extends from the X–ray ma- One part is a small film holder piece. There are three types ofchine head. It also refers to the ability to use this one device to per- these film holders, which are color–coded. The two periapical ra-form all three functions of taking anterior periapical, posterior pe- diographic film holders are colored yellow for posterior and blueriapical and bitewing radiographs. This article describes the clinical to distinguish anterior. The film holder for bitewing radiographictechniques of assembling the XCP–ORA device and of position- imaging is colored red. The film holder piece consists of two fuseding it intra–orally for taking dental radiographs. The reader should, planes. One plane holds the dental X–ray film (which fits into slotshowever, consult other sources for a complete overview of how to on that plane) while another plane is a platform that the patient oc-produce a full mouth series of radiographs or how to take oral and cludes into to hold the X–ray film holder and film in position. Themaxillo–facial radiographs in general.1–3 occluding platform contains two insertion holes for the prongs of aThe XCP–ORA device contains a film holder that provides a metal connecting rod.stiff backing plane for the film, allowing intra–oral placement of A second part is the metal connecting rod, which connects thethe film so as to overcome intra–oral muscular forces that might film holder piece with the large circular paralleling ring. The metalnormally dislodge a film placed intra–orally by itself without a rod lies flat on a two–dimensional plane and has two sets of twobacking support. A metal rod connects the film holder to a large prongs on it. One set of prongs is color–coded red; the insertioncircular guiding or paralleling ring, the plane of which is parallel holes of the red bitewing film holder connect into both of theseto the film–holding plane of the film holder. The assistant aligns prongs when taking bitewing radiographs.the plane of the X–ray tube opening parallel with the plane of the Anothersetofprongsconsistsofoneprongthatisyellowcolored,extra–orally located paralleling ring. By doing so, the assistant par- and another prong that is blue colored. These two prongs fit into theallels the plane of an imaginary cross–section of the X–ray beam insertion holes of either the yellow (posterior) or the blue (anterior)38 The Dental Assistant May/June 2011MayJune11.indd 40 5/23/11 12:19:43 PM

film holders. Whether the yellow or the blue rectly add the metal rod to the film holder. the ring when the assistant looks through thefilm holder is used, both insertion holes of The circular paralleling ring should be the ring. That is, the top and bottom sides of thethat piece will connect into the prongs. last part added to the xcp–ora assem- film are both equidistant, respectively, from blage, after the metal rod and the film holder the top and bottom aspects of the paralleling When a film holder is connected to one have been attached. ring, and the left and right sides of the filmset of the prongs, the other set of prongs is un- are both equidistant, respectively, from theused and is left open. The metal connecting Assembling the XCP–ORA device left and right aspects of the paralleling ring.rod is designed so that, when the XCP–ORA for taking bitewing radiographsis fully assembled for a particular type of imag- There is only one correct assemblage ofing (anterior, posterior or bitewing), and the The bitewing X–ray film holder consists the bitewing X–ray film holder, and this as-XCP–ORA device is positioned intra–orally, of two planes, a film–holding plane and a bite semblage enables imaging of the posteriorthe unused set of prongs will be located extra– plane. The film–holding plane is fused at its teeth of both the left and the right sides of aorally and out of the way of the patient’s bite. midline to the bite plane. The film–holding patient requiring bitewing radiographs. plane contains two film–holding slots. The A third part is a large circular paralleling X–ray film packet is oriented horizontally and Some assistants may assemble the bite-ring that contains three square–shaped inser- is placed into these slots so that the white side wing XCP in an “inverted” way, by reversingtion holes in it. The holes are color–coded red, of the film packet faces the bite plane of the the orientation of the bitewing film holderblue and yellow, for bitewing, anterior and film holder. The bite plane of the film holder so that the bite plane is towards the medialposterior films, respectively. The non–prong is placed between the maxillary and man- aspect of the mouth and the film–holdingend of the metal rod (which is also square– dibular teeth being imaged so that the patient plane and its film–holding slots face the teethshaped in cross section) inserts into the color can occlude on it. The bitewing film holder being imaged. Here, the film is placed so that–coded hole that corresponds to the type of would be oriented in the mouth so that the the white part of the film faces away from theradiographic image to be taken to connect the film–holding plane is located between the film–holding plane and away from the bitefilm holder with the paralleling ring. tongue and the lingual aspect of the teeth be- plane. The assemblage is placed intra–orally ing imaged. (Figure 3, pg. 40, bottom left) so that the bite plane pushes the tongue outAssembling the of the way. This way of assembling the bitew-three–function XCP–ORA device After attaching the metal rod to the prop- ing XCP is technically incorrect, although it erly oriented bitewing X–ray film holder, the may produce acceptable bitewing films. (Fig- The author suggests that, in general, large round paralleling ring is attached to the ure 4, page 40, bottom right)the assistant begins assembling the three– metal rod by inserting the non–prong end offunction XCP device by first orienting the the metal rod through the red bitewing in- Assembling thefilm holder part of the device in three–di- sertion slot on the paralleling ring. The paral- XCP–ORA device for takingmensional space, given what type of imag- leling ring is correctly attached to the metal anterior periapical radiographsing (anterior, posterior or bitewing) is to rod when the assistant can see the white sidebe taken (Figure 2, bottom right). Once the of the X–ray film packet within the ring and The anterior X–ray film holder consistsfilm holder is correctly oriented in space, it also when the film appears centered within of two planes, a film–holding plane and ais more systematic and less confusing to cor- bite plane. They are both of the same ➤Figure 1: The various parts of the three–function XCP–ORA device. Figure 2: Examples of intra–oral orientations of anterior (blue), posterior (yellow) and bitewing (red) XCP film holders. 392011 May/June The Dental AssistantMayJune11.indd 41 5/23/11 12:19:48 PM

width and are fused to each other at a right rod inserts into the insertion holes on the form a right angle. The end of the bite planeangle. The bite plane contains at its end the anterior (blue) X–ray film holder. The metal contains two insertion holes for the two cor-two insertion holes for the two prongs (one rod is oriented so that the two unused red responding prongs (one yellow and one blue)yellow and one blue) on the metal rod. The bitewing prongs on the rod are located lateral on the metal rod. The film–holding plane hasfilm–holding plane contains a slot at the bot- to the patient’s mouth opening. The other a slot at the bottom in which the dental X–raytom in which the dental X–ray film is placed. non–prong end of the metal rod protrudes film is placed. The white, exposure, side of theThe white, exposure, side of the film packet anteriorly, straight out in front of the lateral film packet faces away from the film–holdingfaces away from the film–holding plane of aspect of the patient’s mouth opening. (Fig- plane of the posterior X–ray film holder.the anterior X–ray film holder, and faces to- ure 5, pg. 42, bottom left)wards the bite plane of the film holder. The large paralleling ring is then attached The large paralleling ring is then attached to the metal rod, by sliding the non–prong When taking maxillary anterior periapi- to the metal rod, by sliding the non–prong end of the metal rod through the insertioncal images, the anterior X–ray film holder end of the metal rod through the blue inser- slot located within the yellow posterior X–rayis oriented in the mouth so that the film– tion slot on the paralleling ring. The parallel- protrusion on the paralleling ring. The paral-holding plane of the anterior film holder is ing ring is correctly oriented when the assis- leling ring is correctly oriented when the assis-superior to the bite plane of the anterior film tant can see the white side of the dental X–ray tant sees the plain white side of the film packetholder. The superior aspect of the film–hold- film packet when looking directly through the when looking directly through the ring, anding plane is close to or barely touching the ring, and the film appears centered within the the dental X–ray film appears centered whensuperior aspect of the palate. The bite plane ring. That is, the top and bottom sides of the looking directly through the ring. That is, theis oriented so that the patient’s anterior teeth dental X–ray film appear equidistant from the top and bottom sides of the dental X–ray filmocclude as close to the end of the bite plane top and bottom sides, respectively, of the par- appear equidistant from the top and bottomas is practical, and the two insertion holes at alleling ring, and the left and right sides of the sides, respectively, of the paralleling ring, andthe end of the bite plane are located at or just film appear equidistant from the left and right the left and right sides of the film appear equi-anterior to the mouth opening. sides, respectively, of the paralleling ring. distant from the left and right sides, respec- tively, of the paralleling ring. When taking mandibular anterior peria- There is only one correct assemblage ofpical images the anterior X–ray film holder the anterior X–ray film holder, and this as- The film–holding plane is superior tois oriented in the mouth so that the film– semblage enables imaging of both the maxil- the bite plane when the X–ray film holderholding plane of the anterior film holder is lary and mandibular anterior dentition. is oriented in the mouth to take maxillaryinferior to the bite plane of the anterior film posterior images of the teeth. The superiorholder. The inferior end of the film–holding Assembling the XCP–ORA device for edge of the film–holding plane is close to orplane protrudes (gently) into the floor of the taking posterior periapical radiographs touching the midline of the palate. The film–patient’s mouth. The patient’s anterior teeth holding plane is positioned as parallel as pos-occlude into the end of the bite plane. The posterior X–ray film holder consists sible with the lingual aspect of the posterior of a film–holding plane and a bite plane, with teeth being imaged. The posterior X–ray film The set of two prongs, one of which is the film–holding plane wider than the bite holder bite plane protrudes towards the ➤yellow while the other is blue, on the metal plane. The planes are fused to each other toFigure 3: The technically correct assemblage of the bitewing XCP– Figure 4: The technically incorrect assemblage of the bitewingORA device, used clinically. XCP–ORA device, used clinically.40 The Dental Assistant May/June 2011MayJune11.indd 42 5/23/11 12:19:54 PM

MayJune11.indd 43 5/23/11 12:19:54 PM

lateral aspect of the patient’s mouth, so that ing of the maxillary right posterior dentition use a pediatric–sized film instead of an adultthe posterior teeth being imaged occlude also enables imaging of the mandibular left sized film in this area.into the edge of the bite plane. posterior dentition. Likewise, the assem- blage that enables imaging of the maxillary In general, the assistant should continu- When taking images of mandibular pos- left posterior dentition also enables imaging ously observe the locations of the cornersterior teeth, the posterior X–ray film holder is of the mandibular right posterior dentition. and edges of the dental X–ray film packetoriented in the mouth so that the film–hold- while placing an XCP device to ensure thating plane is inferior to the bite plane. The in- Avoiding sensitive the corners are not aggressively pushing intoferior edge of the film–holding plane is gently intra–oral structures while sensitive intra–oral structures.pressed into the floor of the mouth so that it is positioning the XCP–ORA devicepositioned between the tongue and the lingual When taking mandibular X–rays, theaspect of the posterior teeth being imaged. The In general, prior to placing the XCP–ORA corners and edges of film used should befilm–holding plane is positioned as parallel as device, the assistant should briefly look in- between the tongue and the lingual aspectpossible with the lingual aspect of the poste- side the patient’s mouth to identify intra–oral of the gingiva during placement. The verticalrior teeth being imaged. The posterior X–ray structures that a dental X–ray film packet may depth of the lingual sulcus, and the amount offilm holder bite plane protrudes towards the impinge upon. These include mandibular tori flexibility or “give” of the muscles in the floorlateral aspect of the patient’s mouth. (if present), the floor of the mouth, palatal tori of the mouth, affect how deeply a film may be (if present), the palatal midline, the lingual placed in the floor of the mouth. The inferior The two prongs, one of which is yellow boundaries of the mandibular gingiva and the edge of the film should be contacting thatand the other blue in color, on the metal rod palatal boundaries of the maxillary dentition. aspect of the floor of the mouth where thereinsert into the insertion holes on the posterior is maximum muscular flexibility or displace-X–ray film holder. When the posterior XCP– After identifying the locations of these ment in a downward direction. An assistantORA assemblage is placed intra–orally, the intra–oral structures in the patient’s mouth, should use his or her best judgment to deter-metal rod is oriented so that the two unused the assistant should also observe the sizes or mine where this area of maximum flexibilityred bitewing prongs on the metal rod are posi- dimensions of these structures. For example, is located in the floor of the mouth.tioned anterior to the patient’s mouth opening. a dental arch that has a narrow or acute angleThe other end of the metal rod (non–prong of curvature towards the anterior, or that fea- If the edges and corners of an adult sizedend) protrudes laterally to the patient’s mouth tures large mandibular anterior tori that pro- film push too aggressively into intra–oralopening. (Figure 6, bottom right) trude lingually, may feature a small horizontal structures, so that the film cannot be placed distance between the opposing lingual sides posteriorly enough to obtain a complete im- There are two possible ways of assem- of the arch towards the anterior. age of the third molars, a pediatric sized filmbling the posterior XCP–ORA device. The may be small enough to enable such imag-posterior XCP–ORA assemblage that en- As a result, the corners of an adult sized ing. The smallness of a pediatric sized filmables imaging of one quadrant of posterior film may aggressively push into the lingual may enable an assistant to place a posteriorteeth also enables imaging of the opposite aspects of the arch, unless the film is placed XCP assemblage posteriorly, and then subse-diagonal quadrant of posterior teeth. For more posteriorly so that its corners do not quently to rotate the assemblage in a poste-example, the assemblage that enables imag- impinge as such. Otherwise, an assistant may rior–medial direction, so that the imaginary Figure 5: Clinical use of the anterior XCP–ORA device. Figure 6: Clinical use of the posterior XCP–ORA device. 42 The Dental Assistant May/June 2011 5/23/11 12:19:56 PMMayJune11.indd 44

axis connecting the paralleling ring and the to computer–generate a full mouth series of John Mamoun, DMD, is a 2003 gradu-film passes through the third molars. images. However, there will likely remain a ate of the University of Medicine and Dentistry need to take single dental radiographs manu- of New Jersey. He completed a one–year Ad-Conclusion ally using X–ray positioning devices. vanced Education in General Dentistry resi- The three function XCP–ORA dental dency at the Eastman Dental Center, a division ❖ of the University of Rochester Medical SchoolX–ray positioning device combines ante- in Rochester, N.Y., and later earned Fellowshiprior, posterior and bitewing dental X–ray References from the Academy of General Dentistry. Hepositioning functions in one device. This 1. Haring, Joen Iannucci, and Lind, Laura Jansen. is currently in private practice in Manalapan,may simplify the process of manually taking Dental Radiography: Principles and Techniques. N.J. Dr. Mamoun has published several articlesdental radiographic films and the process 3d ed. Philadelphia, Saunders, 2005. in peer–reviewed dental journals and serves asof cleaning and sterilizing the XCP device, 2. Whaites, E. Essentials of dental radiography a manuscript reviewer for General Dentistry,since fewer parts are needed to take the three and radiology. Edinburgh: Churchill Living- the peer–reviewed journal of the Academy offorms of X–rays. The XCP–ORA device stone, 3rd edition, 2002. General Dentistry. He is currently interested inalso comes with film holders that are shaped 3. White S, Pharaoh M. eds. Oral radiology: prin- analyzing how the use of high–magnificationto accept the various sizes of digital X–ray ciples and interpretation. 5th ed. St Louis, Mo: loupes or microscopes in clinical practice cansensors. There may be less need for use of Mosby, 2004. lead to improved diagnoses and treatments ofmanual intraoral film positioning devices to dental problems.take a full mouth series of radiographs in the Acknowledgementsfuture because digital panoramic or three– The author would like to thank Ghena Ma-dimensional cone beam scans can be used moun and Anna–Marie Triano, RDA, for as- sistance in taking photographs for this article. Vast Opportunities Exceptional Benefits Rewarding Careers CivilianDentalJobs.com » FIND JOBS » POST RESUMES » START TODAY Practice your specialty with one of the largest health care networks in the world. USA Civilian Dental Corps – providing world-class dental care to military personnel and their families at more than 150 clinics throughout the United States, Europe and the Pacific. THE DEPARTMENT OF DEFENSE IS AN EQUAL OPPORTUNITY EMPLOYER. Applicants will receive appropriate consideration without regard to non-merit factors such as race, color, religion, sex, national origin, marital status, sexual orientation except where specifically authorized by law, age, politics or disability which do not relate to successful performance of job duties.MayJune11.indd 45 432011 May/June The Dental Assistant 5/23/11 12:19:57 PM

HealthbeatDental implants restore youth Spotlight: FDA Acts to Reduce Harm from Opioid Drugsto aging but active population The White House recently unveiled FDA Opioid Strategy: In concert Thanks in part to the slow–to–recover a multi–agency plan aimed at reduc- with the White House plan, the Foodeconomy, more seniors are working later in ing the “epidemic” of prescription and Drug Administration (FDA) is an-life and deferring retirement. In youth–ob- drug abuse in the U.S. This includes nouncing a new risk reduction program,sessed American culture, many of those se- an FDA–backed education program called Risk Evaluation and Mitigationniors know they need to look younger to stay that zeros–in on reducing the misuse Strategy (REMS), for all extended–competitive in the workforce. Charles Mar- and misprescribing of opioids. release and long–acting opioid medica-tin DDS, founder of the Richmond Smile tions. Opioids are synthetic versions ofCenter, has one solution: dental implants. Gil Kerlikowske, director of the opium that are used to treat moderate White House Office of National Drug and severe pain. “Dental implants lead to a more youth- Control Policy, says the plan—a collab-ful appearance by maintaining the bone orative effort involving agencies of the FDA experts say extended–releasestructure of the face,” Dr. Martin explained. departments of Justice, Health and Hu- and long–acting opioids—including“And we now know a healthy mouth con- man Services, Veterans Affairs, Defense OxyContin, Avinza, Dolophine, Durag-tributes to both physical and psychological and others—provides a national frame- esic, and eight other brand names—arehealth. Seniors with dental implants are work for reducing prescription drug extensively misprescribed, misused andable to eat better than those with dentures abuse and the diversion of prescription abused, leading to overdoses, addictionor with uncorrected tooth loss, and they re- drugs for recreational use. and even deaths across the United States.port feeling better about themselves.” FDA says a 2007 survey revealed that “The toll our nation’s prescription more than half of opioid abusers got the Removable dentures make it difficult drug abuse epidemic has taken in drug from a friend or relative.to chew many of the foods found in a bal- communities nationwide is devastat-anced, healthful diet, resulting in increased ing,” says Kerlikowske. “We share a Opioids—such as morphine andoccurrence of gastrointestinal disorders; responsibility to protect our commu- oxycodone—are used to treat moder-dentures also accelerate gum and bone nities from the damage done by pre- ate and severe pain. Over the past fewerosion. Many denture wearers even find scription drug abuse.” decades, drug makers have developedthemselves gaining additional wrinkles, extended–release opioid formulas tolosing facial tone and having difficulty Key elements of the plan called Epi- treat people in pain over a long period.speaking clearly because their musculature demic: Responding to America’s Pre-and tongue dynamics simply are not truly scription Drug Abuse Crisis include: The new REMS plan focuses pri-compatible with dentures. marily on: educating healthcare pro- • expanding state–based prescrip- fessionals about proper pain manage- Dental implants, on the other hand, tion drug monitoring programs. ment, patient selection, and otherfunction like real tooth roots. Once an im- requirements and improving patientplant is anchored in the jawbone, a skilled • recommending convenient and awareness about how to use thesedentist can attach a new tooth to it. Dental environmentally responsible ways drugs safely.implants should not cause bone or gum to remove unused medicationsloss or affect speech. Plus, says Dr. Martin, from homes. As part of the plan, the FDA wantsdental implants are just plain comfortable. companies to give patients education • supporting education for patients materials, including a medication guide “For many people, implants are noth- and health care providers. that uses consumer friendly languageing short of a miracle,” Dr. Martin stated. to explain safe use and disposal.“Dental implants protect adjacent teeth • reducing the number of “pillfrom excessive stress while enabling pa- mills” and doctor–shoppingtients to maintain their smiles and chew through law enforcement.properly. Those factors contribute to amore youthful appearance and betterquality of life, both of which are necessaryif seniors intend to keep working past theirexpected retirement age.”44 The Dental Assistant May/June 2011MayJune11.indd 46 5/23/11 12:19:57 PM

Further, the FDA wants drug makers “Opioid drugs have benefit when Surprising number of patients tryto work together to develop a single sys- used properly and are a necessary super glue before visiting dentisttem for implementing the REMS strate- component of pain management forgies. Toward that goal, the FDA is now certain patients, but we know that Prior to the Chicago Dental Society’snotifying opioid makers that they must they pose serious risks when used (CDS) 146th annual Midwinter Meeting,propose a REMS plan within 120 days. improperly—with serious negative more than 300 of the society’s member consequences for individuals, families dentists responded to a survey covering Janet Woodcock, director of the and communities,” says FDA Com- current trends, dental care tips and more.FDA’s Center for Drug Evaluation and missioner Margaret A. Hamburg, Here’s what the CDS survey revealed:Research, says this risk management M.D. “The prescriber education com-strategy is designed to improve pain ponent of this Opioid REMS balances • Patients self–treat before they visitmanagement, while preserving patient the need for continued access to these the dentist. Nearly 70 percent ofaccess to these needed medications. medications with stronger measures dentists have taken care of pa- to reduce their risks.”  tients who tried to treat their own “This will be an important step to- dental problem before visiting theward addressing what has become a Although training is not manda- dentist. The most common homecritical public health problem,” she says. tory under the REMS plan, other treatment among patients, den- federal agencies are working to get tists said, is Super Glue for broken Doctor training, patient counseling, Congress to link mandatory train- dental work, like crowns and den-and other risk reduction measures de- ing to the already required Drug En- tures. Using an emery board to fileveloped by opioid makers as part of the forcement Administration registra- chipped teeth or overusing topicalREMS initiatives are expected to become tion number that doctors must have painkillers, like teething gels, toeffective by early 2012. They will be re- to prescribe controlled substances. deaden pain were also common.quired for various brand name products Remarkably, several dentists hadknown under the generic names: FDA will also require the risk man- treated patients who attempted to agement plan to include a way to de- give themselves a root canal using • hydromorphone termine if the education programs are power tools. • oxycodone helping to reduce problems associated • morphine with long–acting and extended–release • Dentistsareinteractingonline.Near- • oxymorphone opioids, as well as allowing patients ly 20 percent of dentists now use Fa- • methadone who need opioids to get them. cebook for their practice, compared • transdermal fentanyl to the nearly 60 percent who use it • transdermal buprenorphine The FDA has had the power to re- personally.Only6percentofdentists Widespread Problem: The FDA quest companies to develop REMS use Twitter for their practice.estimates that more than 33 million since 2007. The plans may also includeAmericans age 12 and older misused ex- medication guides and patient package • Women have the brighter smiles.tended–release and long–acting opioids inserts. More than 60 percent of dentistsduring 2007—up from 29 million just say women professionally whitenfive years earlier. And in 2006, nearly This article appears on FDA’s Con- their teeth more than men.50,000 emergency room visits were re- sumer Updates web page, which featureslated to opioids. the latest on all FDA–regulated products. • Dentists have a sweet tooth, too. Nearly a quarter of dentists sur- ❖ veyed admitted that ice cream is their favorite treat. Cookies and pie came in second and third as favorite desserts. Only 6 percent of dentists claimed they don’t like sweets at all. • More dental injuries from basket- ball than any other sport. More than 30 percent of dentists report that basketball was the sport that ➤ 452011 May/June The Dental AssistantMayJune11.indd 47 5/23/11 12:19:58 PM

resulted in the most dental injuries for Brain Teaser Answerstheir patients. Hockey came in second,with nearly 20 percent. And more than from page 3015 percent of dentists treat dental inju-ries related to baseball or softball. Across:• Economic impact on dentistry re- 1. receptionistmains steady. Nearly 70 percent of 6. unitdentists say their patients are delaying 8. extractionneededdentaltreatment–afigurethat 10. agreementremains relatively close to last year’s 11. day sheet75 percent. More than 50 percent of 12. recaredentists say their patients are delaying 16. carriercosmetic treatments; and more than 19. subscriber40 percent say their patients are delay- 20. treatment rooming preventative care. Down:• Smiles are becoming “too perfect.” 2. capitationMore than half of the dentists sur- 3. copaymentveyed think that smiles are getting so 4. deductibleperfect that they look artificial. 5. communication• Dentists want you to relax. More than 7. patient of record25 percent of dentists surveyed pro- 9. delegatingvide their patients with amenities such 13. statementas iPods, TVs or massage chairs to pro- 14. fraudvide some comfort during their visit. 15. predetermination• Root canals are not painful! A majority 17. restorationof dentists surveyed felt that the big- 18. feegest dental “myth” that needs to be de-bunked is the level of pain experiencedwith a root canal. Advancements intechnology have made this commondental procedure virtually pain–free. ❖President’s Letter this through their teachings. It was a pleasure to offer words of encour- agement as the students prepared for their externships.Continued from page 4fied and becomes a group which works through challenges and dif- During my scheduled visit to Elmendorf Air Force Base, also inficulty, the result is more often than not one of success. The pride of Anchorage, I also had the chance to lunch with the clinical team pri-accomplishment is very powerful and when individuals come to real- or to touring the clinic. I experienced the enthusiasm of the dentalize previously untapped potential and accomplish a goal, the inner technicians as they explained a typical day in the clinic as well as outfeeling of success is experienced by all involved. This sense of accom- in the field. It was such a positive workplace environment that team-plishment and success is an extraordinary building block for future work was evident in every corner of the clinic, from dental receptionteam work and long term practice success. Once this level is achieved, to sterilization to the central supply area. Kudos to the team therethe sky is the limit for what the team feels it can accomplish. and thanks for the great visit!I observed two of the best examples of the TEAM concept while Best of luck to each and every one of you as you all are vital mem-I was on vacation in Alaska this past April. I had the opportunity to bers of your team and your profession. May your practices flourishvisit the dental assisting program at the University of Alaska in An- and your motivation inspire others! Keep up the great work!chorage and observe the last semester students working together as ❖a team in the clinic on their expanded function requirements. It wasevident by the cohesive and positive behavior of the students that thefaculty members believed in teamwork and were able to demonstrate46 The Dental Assistant May/June 2011MayJune11.indd 48 5/23/11 12:19:59 PM

Association BulletinADAA appointments of the Educator’s and Student Newsletters will be the final print editions and will switch to online versions with the Fall 2011 ADAA Immediate Past President Angela M. Swatts, installments. Business Beat will begin its online incarnation withCDA, EFDA, of Indianapolis, Ind., has been appointed as the forthcoming Spring/Summer 2011 installment. Please con-ADAA’s representative to the ADA Commission on Den- tact ADAA at [email protected] to update your e–mail infor-tal Accreditation (CODA) Appeals Board Representative. mation and ensure you continue recieving these newsletters.Her term becomes effective as of the ADA Annual Sessionin Las Vegas, Nev., and will continue until the ADAA An- ❖nual Session in 2015. ADAA member Lori Gagliardi, CDA, RDA, RDH, Ed.D.,of La Verne, Calif., has been appointed to fill the remainingtwo years of the late Anna Nelson’s term as ADAA’s Commis-sioner of CODA. As commissioner, Dr. Gagliardi will also actas Chair of theDentalAssistingReviewCommittee(DARC),the advisory committee to CODA.ADAA Newsletters go online All three of ADAA’s Newsletters—ADAA Educator’sNewsletter, ADAA Student Newsletter and Business Beat—aregoing exclusively online. The forthcoming spring editions ADAA carries over 60 courses in its extensive CE library. All for your education fulfillment! Visit us online for a complete listing at www.adaa1.comCheck out ADAA’s new & updated education courses for 2011! Medical Emergencies Radiology Practice Management Infection ControlTreatment of Diseases/Conditions Eco-Friendly Record KeepingUPDATED NEW1001 – Maintaining Proper Dental Records 1002 – Electronic Dental Records: Start Taking the Steps Today1003 – Gingival Health — Periodontal Assessment 1005 – Go Green: It’s the Right Thing to Do1007 – Oral Cancer Genetics: From Diagnosis to Treatment 1006 – The Patient with Special Needs: General Treatment1008 – Intraoral Radiographic Techniques Considerations*1011 – Hepatitis: What Every Healthcare Professional Needs 1009 – An Update on the Dangers of Soda Popto Know 1010 – Dentinal Hypersensitivity: Dilemmas and Treatment1012 – Designing a Comprehensive Health History 1013 – Introduction to Specialized Dental1017 – Understanding Nicotine Addiction and Intervention SoftwareTechniques for the Dental Professional Place any order now before June 30,1018 – An Introduction to the Herpes Viruses 2011 and get $5 off any order! Just use the code: 9cead1019 – Sports–Related Dental Injuries and Sports Dentistry Not valid on previous orders.*1107 – Prevention and Management of Oral Complicationsof Cancer Treatment: The Role of the Oral Health Care Team*1109 – The Dental Assistant’s Management of MedicalEmergencies* Updated in 2011 472011 May/June The Dental AssistantMayJune11.indd 49 5/23/11 12:20:01 PM

11DM42 List of AdvertisersADAA Cafe 13 Kerr TotalCare 29ADAA CE 47 Patterson Advantage 53M ESPE 31 Patterson Dental Colgate 3 Philips Sonicare 24–25Colgate 16–17 Proctor & Gamble 27Crosstex 15 Septodont 7Dental Creations 41 Sultan C2E–VAC, Inc. 19 Sultan 21Henry Schein Dental C3 Sunstar 33Henry Schein Practice Solutions 35 Team Placement 11Hu–Friedy C4 USA Civilian Dental Corp. 48Isolite 37 43Classified ad rates: $20 minimum for 30 words or less, PrDofenetsasilonal25 cents for each additional word. Blind box number: $3 ad-ditional. Display classified ad rates: $100 per column inch.Maximum depth accepted: 4 inches. Line art must be suppliedas high–res (minimum 300 dpi) .jpeg or .tif file. To place a clas-sified or classified display ad, contact The Dental Assistant —Classifieds, (312) 541–1550 x209 or [email protected]. Adsmust be paid in advance.ADAA neither investigates nor assumes responsibility for ads pub-lished in this space. Next Issue: The next issue features the sec- Introducing the FIRST ond of the three ADAA Continuing Educa- Dental Travel Program tion courses offered in the Journal. Also featured: a profile of retiring ADAA in the Country! Federal Trustee to the U.S. Air Force, Chief Thomas Davis, an interview with U.S. Army For An Information Package: DENCOM commander Col. Hamilton, and Send Your Resume to: continuing updates on the 2011 ADAA An- nual Session in Las Vegas. [email protected] or Visit: www.teamplace.com/travel 48 The Dental Assistant May/June 2011 5/23/11 12:20:02 PMMayJune11.indd 50