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Delta-Sierra Dental DigestDelta-Sierra Dental Digest
In this issue ...
President’s Message
Maria Stefan, DDS
President
For older generations of dentists like
me that went through dental school
without using magnification, starting to
use it can be very challenging. As you
increase magnification, the learning curve
becomes steeper, and the field of view
(how much of the working site you can
see through the loops) decreases. At first,
I found myself flipping them out of the
way to be able to have a better picture of
Take Your Loops Off!the entire clinical field. It is like having
“tunnel vision.”
Several months ago, I was sitting
down by my mother’s bed having a
conversation. These moments were
special and rare since she was mostly
under the influence of opioids, fighting
terminal cancer. I was telling her how
awful I felt the whole day doing menial
jobs (cleaning, cooking, mopping, ironing,
etc.) during my day off. She looked at me
with loving eyes and told me in a soft
voice, “Oh, my sweet child, I cannot
describe to you, in words, how much I
miss all these chores!”
Our parents never stop teaching us
lessons!
In an instant, I felt selfish and
ungrateful. I was “wearing loops” again.
Instead of seeing the bigger picture and
my blessings (my family, my good health,
all the people that love me, etc.), I was
focusing on a single, tiring day, blowing it
out of proportion.
I learned that day that once in a
while it helps to “take my loops off” and
look at life from a different perspective.
In the memory of my mother who
passed away at the end of May.
Save the Date and Sign Up to Volunteer
CDA Cares Stockton will take
place Oct. 15-16, 2016 at the
San Joaquin County Fairgrounds
(Read more on page 13 and register)
Page 2
Staff AppreciationNight
EntertainmentTable Clinics
DinnerSocializing
Raffle Prizes andMuch More ...
Mark your calendar andstart planning now for youroffice raffle prize donation.
General Membership MeetingThursday, September 22, 2016
Integrated Therapy - “A RighteousDinosaur Fighting Extinction in
Dentistry’s Modern Era”
4:00 PM - 9:00 PM(NOTE START TIME)4 CE (Core)
Manteca Transit Center220 Moffat Blvd.
Manteca
Dr. Craig S. Wada
Dr. Sean P. Avera
Cathy J. Avera, RDH Dr. Paul Bianchi
ProgramTechnology is changing modern Dentistry at a faster clip than
most practitioners can keep up with. Specifically, digital tech-
nology (x-rays, impressions, restoration design, restoration
fabrication) delivered with space age futuristic equipment is
transforming the Dental Profession before our very eyes.
Less radiation, no messy goop in your mouth, increased preci-
sion, increased accuracy and fit of restorations and decreased
chair time - all make perfect sense right? Absolutely, but
there’s one area in dentistry that can’t be abbreviated and still
requires “hands on, roll up your sleeves,” effort - the exami-
nation, diagnosis and treatment planning process. There is
no substitute or abbreviated option for a comprehensive ex-
amination. Complete extra oral head and neck, TMJ, oral
cancer screening, occlusion, periodontal and restorative
evaluations are taught in all dental schools but rarely per-
formed in private practice. Why? Is it because the experi-
enced dentist is vastly superior to the protocol taught in
school? Maybe it’s because the experienced dentist is clair-
voyant and can diagnose problems without examining the pa-
tient. Sadly, in most cases, the “time equals money” busi-
General Membership MeetingThursday, October 27, 2016
5:30 PM - 9:00 PM
Brookside Country Club3603 St. Andrews Drive
Stockton, CA
-- Continued - Page 6
2016 ProgramsMark Your
Calendar
Page 3
General Membership MeetingThursday, November 17, 2016
4:00 PM - 9:00 PM(NOTE START TIME)
Stockton Golf & Country Club
3800 W. Country Club Blvd.
Stockton, CA
“California DentalPractice Act &
Infection Control”
SpeakerLeslie Canham, CDA, RDA
*Tentatively: This program will be teleconferenced for
regional members and their staff.
Page 4
2016 Board of Directors
OFFICERS
Dr. Maria Stefan ........................ President
Dr. Pankaj Patel ............... President-Elect
Dr. John Reed ........................... Treasurer
Dr. Cameron Wheeler ................ Secretary
Dr. Rommel Bal ............... Immediate Past
President
BOARD OF DIRECTORS
CDA Trustee:Dr. John Hall
Dr. Mircea Mitu
Dr. David Neal
Dr. Lita Rodriquez
Dr. Mickey Samra
Dr. Bruce Toy
Deadline to Submit Articlesfor the Next Issue - 9/16/16
EDITORIAL BOARD -
SJDS Board of Directors
EDITORIAL STAFF
Lyndon Low, DDS, EditorKathy White, Managing Editor
Colleen Lee, Executive Director
Laura Lomba, Secretary
Delta-Sierra
Dental Digest
Published by theSan Joaquin Dental Society
7849 N. Pershing Ave.
Stockton, CA 95207
Phone (209) 951-1311
FAX (209) 951-1321
Website: www.sjds.orge-mail: [email protected]
Dr. Tony Arredondo
Dr. Jim Grabow
Dr. Jennifer Low
Dr. Lyndon Low
Dr. Michael Moreno
A Warm Welcometo Our New SJDS
Members
Ivan Chicchon, DDSProsthodontics
2013 Graduate, UOP
2016 Graduate, Univ of Michigan
2363 W. March Lane
Stockton, CA 95207
209-952-3951
Robert Rasco, DDSGeneral
Transferring from Tri-County
Dental Society
2016 Graduate, Loma Linda
University
19969 Greenley Rd., Stes. C & D
Sonora, CA 95370
253-797-0801
Matthew Winkle, DDSGeneral Dentistry
Transferring from Humboldt
Del Norte
2005 Graduate, UOP
5100 Obyrnes Ferry Rd.
Jamestown, CA 95327
707-923-4313
Revised CPR
Schedule
CPR classes are only offered on a
limited schedule for the rest of 2016
instead of on a monthly basis due to
low enrollment. There are only two
classes being offered:
Wednesday, October 5
Tuesday, November 15
All classes are the American Heart
Association Program with two year
certification and 3.5 hours of continu-
ing education. Call the dental society
office to register or go online to
www.sjds.org for a registration form.
New Dentist SocialThurs., September 15, 2016
Casa Flores Marina3210 W. Benjamin Holt Dr.
Stockton
6:00PM to 8:00PMDinner, Drinks and Football!
Our SJDS Mission ...
The mission of the San
Joaquin Dental Society, an or-
ganization of local dental pro-
fessionals, is to provide pro-
fessional development and ad-
vancement for its members.
The Society is committed to
improving the community’s oral
health through information,
education and service while
maintaining the highest stan-
dards of ethics.
Page 5
Editorial Book Review
Lyndon S. Low, DDS, MS
Let me first say that I am not a big
Tony Robbins fan. I have never
read any of his motivational books nor
have I ever attended any of his seminars.
I, for sure, have not walked over hot
coals. Having been an observer of the
highly successful and popular self-help
guru, I was intrigued recently when some-
one I respected suggested I read his third
best-selling book on money and financial
freedom. This is the first book that Mr.
Robbins has published in more than
twenty years and after its release in late
2014 (paperback 2016), it went to the top
of the New York Times business best
seller list.
Mr. Robbins bases his seven steps af-
ter extensive research and interviews with
50 of the world’s most brilliant financial
minds. Many of the lessons he lays out
come from an impressive list of the mas-
ters of money he spent time with in pre-
MONEY - Master the Game:
7 Simple Steps to Financial Freedom
By Tony Robbins
paring for this book: Warren Buffet, Carl
Icahn, John Bogle, Charles Schwab, and
Ray Dalio just to name a few.
As in many of his other publications
and seminars, there is a lot of fluff and
filler in between some very helpful infor-
mation. Whether you are a beginning, in-
termediate, or advanced financial inves-
tor, this book will offer insights and strat-
egies that will pay dividends when prop-
erly studied and applied.
Step 1 of his strategy is by far the
most important step in your financial fu-
ture. It is making the decision to become
an investor and not just a consumer.
Without automatically committing a por-
tion of one’s income to savings and in-
vesting, one can never be financially free.
This coincides with some sage advice
given to me by another dental colleague
many years ago:
It’s not the money you’ll
make from dentistry that
will dictate if you can
retire or have the finan-
cial freedom you desire,
it’s what you do with
that money that will ulti-
mately determine your
future.
Knowing the rules of the game is
important and what you don’t know can -
and likely will – hurt you. Investors have
long been marketing a set of myths that
are supposed to guide their decision mak-
ing. Being aware of sound principles and
fighting financial ignorance is key to de-
bunking the constant barrage of misinfor-
mation. Fortunately, I discovered many
years ago the magnificent power of com-
pound investing and the importance of
time, when it comes to helping achieve
one’s financial goals. It’s easy to make
more money, but you can never make
more time.
Mr. Robbins makes a great case for
investing in index funds to take advantage
of diversification, tax efficiency, and the
difficulty in picking the “right” stocks or
mutual funds. When 96% of all actively
managed funds and a near identical num-
ber of hedge fund managers fail to beat the
S&P 500, how cool is it to know that by
investing in an index fund that mirrors the
extended market, you are doing better than
nearly all of the world’s so-called experts!
One of the better parts of this book I
found to be interesting was the notion of
asymmetric risk vs. reward. This concept
involves minimizing your downside risk
while garnering a greater upside potential.
While there was no specific strategy or
tips to achieve this, it is something that an
intelligent investor should be looking to
incorporate in the myriad of decisions of
sound financial planning and especially in
asset allocation.
Overall, the book is long (700
pages) but an interesting read. There is a
lot of name dropping and inconsistencies
that makes one question his motives and
self-promotion. There is a lot of fluff that
the reader has to get through to make it to
the final steps, but I still found the book to
be entertaining and a reassurance of my
desire to be a better investor.
Page 6
ness philosophy has significantly altered
how dentists evaluate their patients. To
date, no computer program or robot is
equipped to palpate the head and neck
lymph nodes for disease; palpate and lis-
ten to the TMJ’s for TMD; visually inspect
and palpate the oral cavity for cancer;
analyze static and functional occlusion
for signs of malocclusion or trauma;
probe for attachment loss, furcation in-
volvement and mucogingival problems
and assess the serviceability of existing
restorations.
The predictability and longevity of
the Treatment Plan is dependent on the
accuracy of the diagnosis and only as
good as the education, experience and
technical skill of the clinician(s) executing
it. Integrated Therapy is best performed
by clinicians through a collaborative pro-
cess involving a two way dialogue and
exchange of information and ideas. Al-
though technology can make the interac-
tive process more convenient (Go to
Meeting conference calls, Skype, etc.), it
is by no means a substitute or replace-
ment.
As we do what’s best for the financial
bottom line in our practices, let’s not for-
get about what’s best for the patient. “Do
what’s best for the patient” means com-
prehensive examination and planning
BEFORE initiating treatment. In the
midst of cutting corners, scrutinizing
overhead and lab costs, procedure times
and jumping onto the latest technological
bandwagon, it’s very easy to lose sight of
our bottom line responsibility to the pa-
tient. This moral awakening is personified
in a scene from the 1957 movie, “The
Bridge on the River Kwai.” In the film’s
most climatic moment, British POW Colo-
nel Nicholson (Alec Guinness) realizes
the fruits of his men’s lives, labor and
suffering, although monumental in build-
ing a bridge over the river (complete with
train tracks) isn’t worth defending from
imminent destruction because its mere
existence DIRECTLY BENEFITED THE
ENEMY. . .
This presentation explores Inte-
grated Therapy and the importance of the
Team Conference prior to treating the pa-
tient. Valuable insights into both the risks
and benefits of performing treatment with
and without a complete examination, ac-
2016 General Membership Meetings -- Continued from Page 2
“Integrated Therapy - “A Righteous Dinosaur Fighting Extinction in Dentistry’s Modern Era”
Thursday, September 22, 2016
curate diagnosis and treatment plan will
be provided. The unique presentation for-
mat will include all members of the treat-
ing team including Implant Coordinator,
Periodontist/Surgeon, Endodontist, Pros-
thodontist and Hygienist. Clinical cases
will be used to illustrate the importance of
“look before you leap” planning, treatment
and maintenance. Perspectives from
the Periodontal, Endodontic, Prostho-
dontic and Hygiene disciplines will be pre-
sented. Emphasis on the second half of
the lecture will be devoted to the plan-
ning, treatment and maintenance of con-
ventional, implant and combination cases
including all-on-4 and precision attach-
ment overdenture cases.
Continued - Page 11
Page 7
In Memory of
Leland A. Rosenau, DDS
August 8, 1931 - May 26, 2016
In Memory of
Daniel F. Talbot, DDS
April 22, 1936 - May 31, 2016
Page 8
Annual Leadership Development
Committee Report
2017 Nominations for Officers and Board of Directors
Rommel Bal, DDS, Chair, Leadership Development Committee
Use this QR Code to open the SJDS
website with your smart phone. Don’t
have a QR Code app? They are free
from your app store!
Page 9
SJDS Member Profile
Thao Le, DDS, MS
Interviewed by Lyndon S. Low, DDS, MS
Where did you go to college andwhere did you have your profes-sional training?
I went to college at UC Berkeley
and pursued my dental degree at Colum-
bia University. I subsequently completed
a one-year General Practice Residency at
West Los Angeles VA hospital and then
attended Harvard School of Dental Medi-
cine for my specialty training in endodon-
tics.
What differences have you notedbetween East Coast dentistry andWest Coast dentistry?
Clinically, I haven’t noticed any dif-
ferences. However, I have noticed that on
the West coast, there are a greater number
of corporate chain dental practices, more
so than on the East Coast.
Your implant fellowship traininggives you a unique skill set. How doyou integrate that with the practiceof endodontics?
I was blessed to have the opportu-
nity to pursue a two-year implant fellow-
ship at Harvard after completing my endo-
dontic residency. By attaining dual train-
ing in endodontics and implantology, I
have a better understanding of either treat-
ment option.
During my time teaching pre-doc-
toral students at Harvard School of Dental
Medicine, there were many instances
where extraction versus saving a tooth be-
came a heated topic of discussion amongst
faculty and students during our
multidisciplinary discussions. At times, I
found that our decisions are biased, for
they are based on our own clinical exper-
tise and knowledge. My basic understand-
ing of implant therapy became an impetus
to pursue further training as an endodontic
resident. The advantage of being trained in
both disciplines allows me to have a dis-
cussion with colleagues and patients of
both options, either implant replacement
or root canal therapy, without a biased
opinion.
If given the choice, most dentists
would choose the natural tooth if the tooth
is deemed restorable. There was a period
when the im-
plant pendulum
was swinging
too far in one di-
rection and natu-
ral teeth that
could be saved
were extracted.
Within the
last couple of
years, I am see-
ing the endodon-
tic implant pen-
dulum resorting
back to saving
natural teeth as
we now have
more reliable
clinical data. I
recommend reading a recent article from
the Journal of Dental Research which is a
retrospective clinical study looking at the
“Effectiveness of Implant Therapy Ana-
lyzed in a Swedish
Population: Preva-
lence of Peri-
implantitis, by Derks
et al.”
Dr. Dennis
Tarnow provided his
perspective in regards
to the paper and
noted the alarming
prevalence of peri-
implantitis. He rec-
ommends we should
inform our patients
after implant place-
ment that “your im-
plant may have to be
revisited,” similar to how orthopedic sur-
geons would often say to their patients
when their prosthetic may last 15 years
and needs to be revisited.
The most challenging cases any im-
plant dentist would face are anterior high
smile line cases. I make every effort to try
to save an anterior tooth for a patient with
a high smile line. I often cringe when I see
a restorable anterior tooth removed, as
trying to regain the natural hard and soft
Dr. Thao Le (right) and his wife, Tram Nguyen
Continued - Page 10
L-R: Tram Nguyen (wife), Dr. Le’s mom and dad, Dr. Thao Le.
Page 10
tissue architecture of the tooth becomes a
monumental task.
Would you please share with us abit about your family?
My family roots are traced through
my parents back to the late 1970s when
hundreds of thousands of Vietnamese
refugees were fleeing South Vietnam from
the communist take-over of the country.
My parents were fortunate enough to es-
cape by boat. After spending nearly a
week at sea with hundreds of others on
board in search of political freedom, they
were rescued by personnel on an oil rig in
the South China Sea. From
there, they ended up in a refugee
camp in the Philippines for a
year in 1978.
Subsequently, they
gained refugee status and immi-
grated to the United States in
1979. I grew up not too far from
Atwater in Livingston, CA.
I often reflect on my
parents’ journey to the United
States and what they had to face
in order for us to have the life
that we have today. I have a
strong sense of gratitude for ev-
erything they sacrificed for my
brothers and myself. They are
the reason for my motivation to seek
higher education, as they never had the
opportunity to do so.
What are your favorite foods tocook, prepare and eat?
I’ve always been open to try and eat
foods from all different cultures. By go-
ing to school in the Bay Area, Los Ange-
les, Boston and New York City, I have
been fortunate to try and appreciate the di-
verse ethnic foods that were available.
However, nothing beats a home cooked
meal by my mom. Even though I try to
copy her recipes, it is never the same.
L-R: Dr. Thao Le and nephew, Logan
- Continued from Page 9
SJDS Member Profile
Thao Le, DDS, MS
SJDS once again celebrated a
Stockton Ports Night on July
16th. The members, staff, family
and friends who attended en-
joyed a fun night of entertain-
ment and camaraderie. Although
the Ports had a tough time play-
ing against the Modesto Nuts
that night, they and their staff
throughout the ballpark strived as
always to treat us all very well
and also recognized SJDS on
the scoreboard inbetween in-
nings. As a finale to the evening,
a fireworks show highlighted the
night.
SJDS Nightat the
Stockton Portsby Doug Fong, DDS
Dr. Doug and Marcella Fong and
family
Dr. David and Beth Neal
Page 11
The Dental PPA ...
A Better Way
The Mission of the Dental PPA is to provide quality dental care for a reasonable
reimbursement, to provide our patients with the freedom to choose their own prac-
titioner, and to accomplish these objectives at a cost savings to the employer
whenever possible.
www.projectsandsolutions.com
2016 General MembershipMeetings -- Continued from Page 6
Thursday, Sept, 22, 2016
We of The Dental PPA are very
pleased to announce the selection of
Daugherty Insurance Services as our
exclusive representative of the PPA’s
self-funded dental plan for employers
throughout California. Daugherty In-
surance Services, located in Stockton,
CA and part of the international insur-
ance brokerage firm of Integro USA,
Inc. has an insurance presence dating
back to 1860. Scott and Jeff Daugherty
have made a commitment to grow the
customer base of The Dental PPA and
are pleased to have been selected to
represent our organization. We of The
Dental PPA are committed to main-
taining the private practice of den-
tistry, with quality care, at a fair and
reasonable reimbursement.
Jeff commented, “We are excited
to represent The Dental PPA and look
forward to successfully meeting the
growth objectives of such a progressive
organization and build upon its 15 year
track record that has already saved em-
ployers nearly $1,000,000.”
We are confident that The Dental
PPA, and all our member dentists, will
benefit greatly through this relation-
ship. We will be updating our website
with new content and it will reflect this
arrangement with Daugherty Insurance
Services. In the meantime, please
feel free to contact Jeff Daugherty
by phone: (209) 475-4455 or a t
[email protected] for any ques-
tions or to refer a prospective employer.
Remember, The Dental PPA’s
growth is beneficial to our private prac-
tice success while serving local em-
ployers and their employees. “The
Dental PPA – A Better Way.” Visit the
website at www.thedentalppa.org
Page 12
Can you be-
lieve it’s been al-
most eight years
since I stepped
into the position
of the Executive
Director? Over
that period of
time, there have
b e e n m a n y
changes that have
occurred in the
dental society. Thanks to our members
who donated, we’ve gone through an of-
fice purchase/expansion and remodel.
Each year, a new President takes over the
helm of the dental society, new Board
members begin their term, new members
join, members retire and members transfer
to other dental societies. These and other
changes take place throughout the year.
Even with all these changes occur-
ring, there is one main constant: your
dental society. Your dental society has
been here for over 100 years, serving the
needs of its members and providing valu-
able resources. The dental society pro-
vides a cohesive and organized method of
referring patients, providing continuing
education units, providing CPR classes,
providing a dental auxiliary job referral
service, and providing information that
you, as a member of the dental society
seek. If we don’t have the answer, we’ll
direct you to where you can get an answer
to your question.
Did you know there is a fun side to
the dental society? There is always an op-
portunity to have fun at our annual leader-
ship conference, our CE meetings, our
shred/e-waste/fire extinguisher check
event, our night at the Stockton Ports
game, our annual golf tournament, our
new dentist meetings and our Staff Appre-
ciation night.
Speaking of fun, come join us for
our annual golf tournament. This year’s
tournament will benefit CDA Cares Stock-
ton on October 15-16 and will be held at
the Brookside Country Club in Stockton
on August 26. Play in the tournament and
sign up to volunteer to provide dental ser-
vices at CDA Cares Stockton. You’ll have
a lot of fun and contribute to a great
cause! We’re counting on you, our mem-
ber, to get involved!
Your dental society is here to stay
and to help provide you, our member, with
the resources and information you need
and provide fun too!
Colleen’s Commentary
by SJDS Executive Director, Colleen Lee
Page 13
After a successful event in Ventura
in April, CDA Cares returns to the Central
Valley in October.
CDA Cares Stockton will take
place Oct. 15-16 at the San Joaquin
County Fairgrounds and provide for a
population in dire need of oral health
care.
“The population is primarily an ag-
riculture community so you have a high
number of migrant and seasonal workers.
And since the recession, Stockton has
been a slow recovery area of high unem-
ployment,” said Bruce Toy, DDS, CDA
Cares Stockton co-chair. “Being that it is
an agriculture-based community, there
aren’t technical jobs so farming is the
main employer. There is a high poverty
rate and high unemployment.”
Toy knows the community well as
he has practiced in Stockton for 35 years.
He also has chaired the local Give Kids a
Smile events and established a free local
dental clinic of his own. In between that,
he has made time to volunteer at seven of
the CDA Cares events across the state. His
fellow Stockton CDA Cares co-chair,
Brad Louie, DDS, has volunteered at
about the same number of CDA Cares
events and has practiced in the area for 32
years himself. He shared Toy’s sentiments
about the population.
“It’s great that CDA Cares is com-
ing to Stockton because the needs in the
Central Valley are generally higher than
other parts of the state,” Louie said. “All
but emergency services in the adult Denti-
Cal program were eliminated in 2009 and
that hit this area hard. We don’t have a lot
of industry in the Stockton area other than
farming, so we have a lot of people who
CDA Cares Returns to Central Valley - Oct. 15-16, 2016Reprinted with permission from California Dental Association
don’t have resources for dental care. Es-
sentially, the population of those in need
here gets larger and larger.”
Louie, who currently serves on a
local task force to increase access to care
in the Stockton area, said “CDA Cares is
one of the most important things CDA
does.”
CDA Cares is a volunteer dental
program hosted by the CDA Foundation
that provides dental services at no charge
to Californians who experience barriers to
care. CDA Cares also educates the public
and policymakers about the importance of
good oral health and the need for an ad-
equately funded dental safety net, which
includes a well-functioning Denti-Cal pro-
gram. Dental volunteers help relieve pain
and infection by offering extractions, fill-
ings, cleanings, root canals, oral health
education and a limited number of den-
tures and temporary partial dentures.
At CDA Cares Ventura in April,
volunteers delivered $1.5 million in chari-
table dental services to 1,884 people. To
date, CDA Cares has provided $14.6 mil-
lion in dental services to 17,965 people
thanks to 14,312 volunteers.
“I always get more back
than I give at CDA
Cares,” said Louie, who
has volunteered in the
oral surgery, restorative
and pediatric dentistry
areas of CDA Cares
events.
“You get to participate in such a positive
event and there are so many volunteers
who are there for the same purpose. You
relieve pain and infection, but you also re-
store dignity and hope for people. The pa-
tients feel like they have hope after getting
treatment and can go out and get a job,
make friends and restore relationships.”
To ensure these life-changing trans-
formations happen at CDA Cares Stock-
ton, Toy and Louie are working to raise
funds in the community from large em-
ployer groups and corporate sponsors, and
looking for in-kind donations such as
food, water, compressors, forklifts and
more.
“We are currently talking to the city
and county government. The business
community response has been positive.
All the local Rotaries have donated and
the local hospitals and insurance compa-
nies are considering support,” Louie said.
The event, of course, also needs
dentists to volunteer.
“I’m sure dentists are aware of how
many poor and underserved people are in
this community and if they could volun-
teer half a day or a day that would be
great,” Toy said. “Providing the care is
awesome, we’re doing extractions, we’re
relieving infection and pain, and patients
are grateful and thankful they can receive
these services at no charge. The denture
patients who haven’t had teeth in a while
are so happy to receive new teeth. They
look at themselves in the mirror and they
are so emotional and crying from being so
happy.”
To help provide oral health care
services to the large number of expected
patients in Stockton, the CDA Foundation
is currently seeking additional sponsors,
as well as volunteer dental and health pro-
fessionals to sign up for an entire day,
rather than a shorter shift. Additionally,
community volunteers are needed to assist
with registration, clinic setup, data entry,
escorting patients, interpreting and much
more.
“CDA Cares would not be possible
without the support of many volunteers,
organizations and businesses from
throughout the community and state that
donate their time, talents, funds, food and
supplies to help the many patients who
cannot help themselves. We give a heart-
felt thank you,” Toy said.
Local SJDS Committee Chairs
L-R: Drs. Brad Louie and Bruce Toy
Page 14
Scholarships were awarded to three de-
serving students from the local dental as-
sisting and hygiene schools. Beginning
last year, the SJDS Board of Directors
names the dental assisting scholarship
after a past SJDS member. This year,
the scholarship was named the SJDS
Memorial Scholarship in Honor of Dr.
Kenneth Yi. The following students
were this year’s recipients:
SJDS Memorial Scholarship in Honor
of Dr. Kenneth Yi
Maria Gomez - UEI College
Allee Popp - UEI College
SJDS Dental Hygiene Scholarship
Bailey Penix - UOP
The presentation took place at the Board
of Directors meeting on June 9, 2016.
2016 Scholarship Awards
Also attending were Gina Macias,
Campus Department Chair, DA, UEI
College; Deborah Horlak, Dental Hy-
giene School Director, UOP; and the
recipients’ families.
The awards were presented by Dr.
Bruce Toy, SJDS Long Term Del-
egate and Past President.
Dr. Bruce Toy and 1. Allee Popp, 2. Maria Gomez amd 3. Bailey Penix
CDA Cares Coming to Stockton this year!Saturday & Sunday, October 15-16, 2016
3
1 2
Page 15
San Joaquin County’s Homeless Vet-
eran Stand Down—a biannual “benefit
faire” for homeless veterans—was last
held on September 26, 2014. The military
term “Stand Down” stands for a grass-
roots, community-based intervention pro-
gram designed to help homeless veterans
“combat” life on the streets. Like the first
four events before it, the last Stand Down
was a one-day event held in Stockton. The
sixth, however, will be a three-day event
beginning September 16, 2016 and ending
September 18, 2016, at
Mather Air Force Base in
Sacramento. Transporta-
tion of local veterans will
be arranged by Veteran
Stand Down San Joaquin,
Inc., which governs local
stand down events.
A growing popu-
lation of men and women
who have served their
country are returning
from combat with Post
Traumatic Stress Disor-
der and other psychologi-
cal ills. Media has re-
ported that forty-five per-
cent of the 1.6 million veterans from the
wars in Iraq and Afghanistan are seeking
compensation due to service-related af-
flictions. Many of these veterans do not
seek the professional help they need, but
turn instead to “self-medication,” fre-
quently resulting in the development of
substance-abuse problems. Veterans may
ultimately lose their families, jobs, and
motivation to these illnesses, casting them
into a downward spiral and leading in
some cases to homelessness.
September 2014 marked the first
year that a homeless veteran mother at-
tended the Stand Down with her children,
and volunteers observed the high percent-
age of younger veterans in attendance this
time, especially ones that had suffered ob-
vious traumatic injuries.
San Joaquin County Homeless Veteran Resource Faire:
2016 “Stand Down”
September 16-18, 2016
Mather Air Force Base, Sacramento
The Stand Down committee of vol-
unteers came together with a common be-
lief that there is just something fundamen-
tally wrong with the concept of “homeless
veterans.” The committee wanted to give
back, even if just a tiny bit of honor and
appreciation, to let America’s veterans
know that we care and we still remember
that they served our country to keep us all
safe, secure, and free. We wanted to ex-
press our thanks and gratitude for all that
our veterans have done for us.
Past Stand Down events were held at
San Joaquin County WorkNet in Stockton,
with a number of services being offered
nearby at the Stockton Shelter for the
Homeless property and the adjoining St.
Mary’s Interfaith Community Services.
Booths were set up at the two locations for
the thirty-plus service providers.
The events culminated in a 3:00
p.m.-5:00 p.m. standing-room only session
of the Homeless Court. At the last Stand
Down, we saw between 80-85 veterans
during the court session, who cleared ap-
proximately 125 old court cases. The 2014
Stand Down yielded over 200 volunteers,
including San Joaquin County S.T.A.R.S.
(Sheriff’s Team of Active Retired Seniors)
and Stockton Police V.I.P.S. (Volunteers in
Police Service) who provided transporta-
tion. University of the Pacific volunteers
including both students and faculty served
in a variety of capacities at the events, in-
cluding many community members and
volunteers representing numerous organi-
zations.
Over 200 homeless veterans at-
tended the last Stand Down and were of-
fered full medical, dental, and eye exams;
showers; and a clothes closet. Legal ser-
vices, employment referrals, housing as-
sistance, health services, mental health
services, substance abuse
counseling, Veterans Af-
fairs benefits counseling,
Department of Motor Ve-
hicles services, hot
meals, and more were
also offered. As a final
stop, each veteran re-
ceived the ever-popular
large backpack stuffed
with all sorts of useful
items as a parting gift.
Legal services for
each of the five prior
Stand Downs were coor-
dinated by Charles
“Chuck” Keen, a local
attorney, and legal advice was provided in
all areas of the law. In past years, in addi-
tion to Child Support and Homeless Court
clients, additional legal services were pro-
vided to approximately 50 veterans.
Members of our local Bar have gener-
ously volunteered their time and talent
over the years to provide free legal advice
at each of the Stand Downs.
A major goal of the Stand Downs
has been to provide services to the home-
less veterans that will connect them with
continuing services beyond the single
event that will assist in breaking the cycle
of homelessness. We aim to encourage re-
integration of the veterans into main-
stream society with volunteer organiza-
- Continued - Page 16
Page 16
Friday, August 26, 2016SJDS Golf Tournament
Saturday, October 15 andSunday, October 16, 2016
CDA Cares Stockton
www.sjds.org
tions continuing to offer follow-up ser-
vices to this population as necessary.
It is hard to tell who gets the most
out of the Stand Down events: the Home-
less veterans or the multitude of commu-
nity volunteers and participating agencies.
The veterans are always so very apprecia-
tive of all our efforts, services and dona-
tions. The volunteers and participating
agencies experience the feeling of making
a difference in the lives of this deserving
group. It is an honor and a rewarding ex-
perience to serve our homeless veterans at
these Stand Downs.
This year, the local committee will
be providing legal support services in co-
ordination with the Sacramento Stand
Down’s legal group. We anticipate that
that we will be on-site for all three days. If
you can spare a morning or afternoon and
would like to help on-site or, if unable to
be there in person, could be available for
telephone consultation in your area of ex-
pertise, please contact Chuck Keen at
(209) 948-0434 or email: [email protected].
We will get back to you as soon as pos-
sible to confirm your participation once
the final details have been ironed out.
To volunteer as a general volunteer
for the Stand Down (not providing legal
services), please contact Jason LeBeouf at
[email protected] or (209) 954-3920.
There are plenty of tasks to assist with, es-
pecially since the combined Stand Down
will now last for three days.
- Continued from Page 15
San Joaquin County Home-
less Veteran Resource Faire:
2016 “Stand Down”
Moscone SouthSan Francisco
Thurs.-Sat.Sept. 8-10, 2016
www.cdapresents.com
Page 17
Risk Management
Data breach news is ongoing and
2015 closed with no shortage of informa-
tion about medical and dental record
breaches.
The U.S. Department of Health and
Human Services’ (HHS) online listing of
protected health information breaches,
known as the “wall of shame,” includes
nearly 1,400 incidents of major data
breaches (affecting 500 or more people)
since 2009 when the HIPAA
Breach Notification Rule be-
gan. One incident alone last
year exposed the dental
records of more than 151,000
patients to unauthorized users
when an internal database was
hacked at an Oregon-based
dental services provider.
The Dentists Insurance
Company receives numerous
calls to its Risk Management
Advice Line regarding data se-
curity, and analysts say den-
tists may not be aware of data
security risks and the extent of
notification required if a data
breach occurs.
“Dentists can be un-
aware of their obligation to protect patient
data and are astonished at how easily pa-
tient information can fall into the hands of
unauthorized parties,” said Sheila Davis,
TDIC assistant vice president of claims
and risk management.
A data breach is generally defined as
an impermissible use or disclosure under
the HIPAA Privacy Rule that compromises
the security or privacy of patients’ pro-
tected health information (PHI).
“The term data breach is often asso-
ciated with someone hacking into your
computers or website, but a data breach is
when protected health information is in the
possession of an unauthorized person or
entity,” Davis said.
The HIPAA Privacy Rule defines
PHI as individually identifiable health in-
formation that is transmitted or maintained
Top Seven Data Breach ConsiderationsBy TDIC Risk Management Staff
in electronic, oral or paper form. State
laws address PHI and may vary from state
to state. Examples of protected informa-
tion include medical and dental records,
defined as “any information regarding an
individual’s medical history, mental or
physical condition, or medical treatment
or diagnosis by a health care profes-
sional.”
Also protected is personal informa-
tion such as a person’s first name or first
initial and last name in combination with
identifiers such as a Social Security num-
ber, driver’s license number, account
number, credit or debit card number, in
combination with any required security
code, access code or password that would
allow access to the person’s financial ac-
count. A username or email address, in
combination with a password or security
question and answer that would permit
access to an online account, is also pro-
tected.
In the constantly changing digital
environment, TDIC reminds dentists of
the following data security consider-
ations:
Electronic theft:Theft of computers, hard drives,
portable devices and back-up drives is the
leading cause of data breach. The HHS
Office for Civil Rights data breach portal
indicates the type of breach and location
of compromised information, and theft is
by far the most common type of breach
listed. Back-up drives and portable de-
vices are especially vulnerable to theft.
“Data breach occurs
when there is a theft of
unencrypted patient data,
either in the office or of
portable equipment stolen
in transit,” Davis said.
“There can be several
thousand records in-
volved.”
TDIC can assist with
breach claims for policy-
holders who purchase
data compromise cover-
age as an addition to their
commercial property
policy. In one recently
closed case, TDIC cov-
ered the five-figure cost
of determining the extent
of patient data on a stolen mobile device,
as well as the required patient notification
and credit monitoring services.
Notification:Both federal and state laws require
patient notification in the event of a data
security breach. Regulations vary from
state to state regarding data security
breaches, but most states require notifica-
tion of affected individuals. State attor-
neys general offices have state-specific in-
formation. For instance, in California,
businesses are required to send consumers
a letter if an unauthorized user has ac-
quired their data. If letters are sent to
more than 500 individuals, businesses
must notify the attorney general’s office.
Continued - Page 18
Page 18
“Dentists can be caught off guard re-
garding the extent of patient notification
required when they become aware of a
data breach,” Davis said. “They may also
believe that unless someone has attempted
to access or use the information, they do
not need to notify their patients.”
“The problem is that once someone
has attempted to access the information,
then it’s too late to try and take preventa-
tive measures,” Davis added. “What could
be viewed as careless security of patients’
data compounded by a failure to notify the
affected parties may have longstanding
reputational damage for the practice.”
Notification expenses:The cost of data breach notification
is estimated at $200 per individual, ac-
cording to the Ponemon Institute, a re-
search center focusing on data protection.
This expense includes the cost of fines,
mailings, published notification and credit
monitoring services.
Increasing regulation:At least 32 states in 2015 introduced
or considered security breach notification
bills or resolutions, according to the Na-
tional Conference of State Legislatures.
This is in addition to laws that impose
monetary penalties upon individuals and
institutions that fail to protect the privacy
of patient medical records. With varying
degrees of success, many of the newer
bills sought to amend existing security
breach laws to require entities to report
breaches to attorneys general or another
central state agency or expand the defini-
tion of “personal information” to include
medical, insurance or biometric data in
the event of a security breach.
California’s data breach notification
law was amended to require changes, ef-
fective this month, to breach notification
notices. New requirements include format-
ting, such as specified headers and text no
smaller than 10-point type, of the notice to
call attention to the significance of the
content.
Also in California, additional legis-
lation defined “encryption” as “rendered
unusable, unreadable or indecipherable to
an unauthorized person through a security
technology or methodology generally ac-
cepted in the field of information technol-
ogy.”
Hawaii looked to expand the defini-
tion of “personal information,” establish a
timeline in which a business must notify
individuals affected by a security breach
and prohibit use of email as a means of se-
curity breach notification if login creden-
tials for email were compromised.
In Illinois, proposed legislation
aimed to amend the Personal Protection
Act, expand the scope of protected infor-
mation to include medical, health insur-
ance, biometric, consumer marketing and
geolocation information and require no-
tice of security breaches to be provided to
the attorney general.
Staff training:Malware infection of office comput-
ers can cause data breach, and the entire
dental team must use caution in accessing
unfamiliar email, using the Internet and
handling protected health information.
Email security:Given that many breaches occur
when data travels outside the walls of
your practice, it’s important to ensure that
data can’t be compromised when travel-
ling from point A to point B. HIPAA/
HITECH regulations mandate that medi-
cal patient data being sent over the net-
work must be encrypted.
If you send unsecured email with pa-
tient information, make sure to have the
patient’s signed consent on file. TDIC has
a patient release form on its website at
thedentists.com for this purpose.
Encryption:Analysts say encryption is the most
effective way to minimize the damage that
can occur from a breach of protected
health information. Password protection
of computers alone is not secure. If you
are not sure if your office computers,
back-up drives and portable devices are
encrypted, chances are they are not. An
experienced IT professional can help pro-
tect your data. Encrypting protected health
information provides safe harbor under
HIPAA’s data breach notification rule.
Call TDIC’s Risk Management
Advice Line at 800.733.0634.
Top Seven Data Breach Considerations - Continued from Page 17
Volunteers Needed!
A Hearty Thanksto Our
St. Raphael’sDental ClinicVolunteers
Our thanks to the following mem-
ber volunteers who gave of their
time and talents in June-July 2016
at St. Raphael’s Dental Clinic:
You can’t change the world in four
hours, but volunteering 4 hours
per month or every other month at
St. Raphael’s Dental Clinic is a
start. Call Mary Ann at the clinic
to sign up (467-0703). For ques-
tions call Dr. Lester Low (474-
3333).
Volunteer Form atwww.sjds.org
click on Dental Health St.
Raphael’s Volunteer
Page 19
why a suggestion to boost productivity
with time off might sound counter-
intuitive. Studies have shown that paid
time off ranks high on the wish-list of
potential job candidates, especially young
parents. Without a paid time off policy,
you may be at a disadvantage when
competing with larger firms for
employees.
When it comes to fraud, the old
adage about a small amount of prevention
being worth a large amount of cure is spot
on. Investing in fraud prevention methods
can be more cost-effective than spending
time and money on clean-up after a fraud
has been detected.
PayrollIf your company uses payroll
software, set up the internal control
features to keep master hourly rates, hours
worked, and bank direct deposit
information secure. Depending on the
Brett L. Tholborn, CPA
No business wants to be hit by fraud.
The following are several simple
ways which could help you protect
yourself and your business. The goal is to
make sure that your business cannot easily
be taken advantage of by employees and
others.
Paid Time OffPaid time off can be a critical
component of your employee benefits
package. Besides the obvious perk to
workers, as a business owner, you stand to
gain from offering paid time off as well.
One reason is that paid time off is tax
deductible, just like regular wages. Other
reasons include health and customer
service benefits. When combined with a
sick leave policy, paid time off can help
persuade employees with contagious
illnesses to stay home. What’s more, if
your workers have a high level of contact
with the public, paid time off can be a
marketing tool to help assure your
customer base that your company takes
safety and health issues seriously.
Paid time off can also help you
attract higher quality workers. A good
employee is a valuable company asset,
and no doubt you want your employees to
be as productive as possible – which is
size of your business, you might want to
consider pulling timecards periodically to
verify that payroll checks are being issued
to actual employees, not “ghosts.” (Ghost
employees are workers who do not
actually work for your company, such as
former employees who continue to receive
paychecks.) Monitor your expense
accounts and financial statements.
Higher-than-budgeted payroll costs are a
potential tip-off to payroll fraud.
Accounts PayableEstablish a very clear segregation of
duties between the employees who receive
goods or authorize services, and the
employees who process the payments for
those goods and services. Having more
than one person complete a task makes
fraud more difficult. Take time to get to
know your vendors. You want to be sure
the companies you are paying are real, not
fictitious entities. Monitoring the number
of invoices you receive from individual
vendors, as well as the average payment
amounts for specific vendors, can alert
you to suspicious payments.
One More TipCommunication about what is and is
not acceptable behavior is also a
prevention method. Emphasize to your
employees, your vendors, and your clients
that unethical behavior and practices are
not acceptable, and clearly state the
consequences.
Whatever the size of your business, fraud
can impact your bottom line. Employee
downtime is not wasted time if it is part of
a thoughtful plan. If you have questions
about implementing fraud prevention
strategies, contact your Certified Public
Accountant. Request suggestions and tips
that can help keep your business assets
safe.
Brett L. Tholborn, CPA
Brett L. Tholborn is a managing partner at
Tholborn, Ostrowski & Crane, LLP. These
Accountants and Consultants are located at
4525 Quail Lakes Drive, Suite B, Stockton,
CA 95207. If you have any questions or com-
ments, please call Brett at 209-474-3375 or e-
mail him at [email protected].
Business Fraud Prevention
Page 20
Page 21
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August 2016
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SJDS Activity Calendar
CDA Presents(Formerly CDA Scientific Sessions)
September 8-10, 2016 ....... San Francisco
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May 17-19, 2018 ......................... Anaheim
ADA Annual MeetingsOctober 20-23, 2016 ..................... Denver
October 19-22, 2017 ..................... Atlanta
September 27-30, 2018 ...San Francisco
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