May 2019 Volume LIV Number 3


Saturday, May 24

January 2014 Volume L Number 1

 Breakfast Rounds I
Saturday, May 24
7 8 am
Breakfast rounds are the perfect opportunity to enjoy breakfast with a recognized clinician to discuss a topic of contemporary mutual interest. This informal small group setting encourages interaction between the speaker and the attendees. The topics are chosen to provide a diversity of subjects while giving particular attention to areas identified by attendees in the past.

See additional courses and workshops on page 31 for complete details.
200. Beyond the Dental Chair: Establishing Dental Homes for the Underserved
Saturday, May 24
8:30 10 am
Moderator: Paul Casamassimo, D.D.S., M.S. Faculty: Courtney Alexander, D.D.S., Kevin Donly, D.D.S., Cathy Flaitz, D.D.S., Mario Ramos, D.M.D., and Dave Tesini, D.M.D. As a pediatric dentist or staff member there are many ways for you to address children's oral health needs besides providing pro bono work in your practice. Join Healthy Smiles, Healthy Children to explore what it means to be a Dental Home to underserved children in your community. This session will help you learn how to apply the Dental Home concept and how to provide oral health care to the underserved beyond the dental chair. Attend this session to examine resources available and discuss comprehensive approaches for assisting children in need of oral care.
Moderated by Casamassimo, this session will feature experts speaking on the value of volunteering, hosting oral health service projects, running clinics for the underserved and how HSHC Access to Care Grants can help you with your efforts. Attendees will gain practical skills and knowledge needed to provide oral health care in your community outside of your practice.

After attending this presentation, attendees will be able to:
  • Understand and apply the Dental Home concept to care for the underserved 
  • Apply dental training in new ways to provide oral care to the underserved
  • Balance volunteer involvement with career and family obligations
Evidence-Based Training Workshop
Saturday, May 24
8:30 am 5 pm 
210. MiniClinics I
Saturday, May 24
8:30 11:30 am
8:30 9:15 AM
Five keys to Successful Pediatric Soft Tissue Laser Dentistry
Rishita Jaju, D.M.D.
This presentation will emphasize the importance of various considerations while using lasers in soft tissue pediatric dentistry. Aspects of a successful procedure will be discussed including: patient selection and management, wavelength selection and rationale, tissue biotype considerations, and technique and energy parameters.

9:15 10 AM
Malocclusion and Risk for Sleep Disordered Breathing (SDB)/Obstructive Sleep Apnea (OSA) in Children-Part 1: Airway-Awareness for the Pediatric Dentist.
Kevin Boyd, D.D.S., M.S.
The primary thesis is centered around anthropological evidence indicating that human malocclusion is a relatively recent phenomenon when viewed from an evolutionary perspective. The talk will also present evidence that certain components of malocclusion indicate increased risk for sleep deprivation and can often be detected in very early childhood.

10 10:45 AM
Pediatric Dental Appliances 

LaRee Johnson, D.D.S., M.S.

This discussion will address pediatric dental appliances with variations and tips for quality assurance and success. Space maintenance, expansion, minor tooth movement, habit and tooth replacement appliances will be reviewed. More than 20 different appliance prescriptions will be discussed. 10:45 11:30 AM Self-Directed Practice Transition with Creative Financing Jeffrey Camm, D.M.D. In recent years, practice transitioning and retirement has been complicated by many factors. Senior dentists are unable to find buyers who can or will pay the value of the practice, and junior dentists are unable to find financing. A model that satisfies both the senior and junior dentist will be presented. 

220. Early Treatment of Malocclusion Argument Defense vs. Critics: Philosophy, Research and Treatment
Saturday, May 24 
8:30 11:30 am
Leonard Carapezza, D.M.D.
The pediatric dentist should understand the controversy dealing with early versus late orthodontic treatment. The clinician should critique the evidence related to this controversy and quantify the outcome benefits in regards to effectiveness and efficiency of both treatment approaches as it functions in a pediatric practice. This lecture introduces new concepts and treatment techniques based on clinical research and early treatment priorities. Carapezza, a strong advocate of early treatment of malocclusion, presents a hypothesis on dental crowding and critically evaluates the "gold standard" of Class II treatment. Which philosophy should a pediatric dentist follow into this new millennium and to whom should we listen? This presentation may help you decide.
230. "I've Heard That Before!" Great Answers to Everyday Questions and Concerns Asked by Parents"
Saturday, May 24
8:30 11:30 am
Moderator: Robert D. Elliott, D.M.D., M.S. Faculty: Martha Ann Keels, D.D.S., Ph.D.; Arnie Weiss, D.D.S., M.Sc.D.; Kathy Pauze; Phil Slonkosky and Jodie Efland Are you ready to strengthen your preventive parent management skills? Just as we use preventive patient management at the chair, we all use preventive parent management when dealing with the parents and answering those challenging questions. We understand the frustration and stress that can occur when we find ourselves at a loss for words. This panel discussion was developed to communicate ways to help parents understand in five minutes what has taken us years of experience to understand. "I'm late and you ARE going to see my child!", "Fluoride is a poison and radiographs cause cancer!", "Did you raise your fees? Because that's more than it was last time!", "My 4-year-old won't brush his teeth—will you make him?" If you have ever been in that situation and want to know how you can improve your ability to communicate with your patient families, then please join this dynamic and entertaining group of practicing pediatric dentists and practice administrators. These seasoned veterans talk the talk and walk the walk on a daily basis and will share their experiences and wisdom with the group.

Learning Objectives:

  • Develop evidence-based answers to parents common questions that teams can take back with them after the Annual Session and implement immediately
  • Improve consistent messaging and team dynamics in your practice—ideally the whole team is communicating the same information. Parents have to perceive both the administrative team and the clinical team together as one team
  • Demonstrate trust-building statements as well as appropriate empathy and concern in our answers that build relationships between families and your practice 
250. MiniClinics II
Saturday, May 24
1 4 pm
1 1:45 PM Malocclusion and Risk for Sleep Disordered Breathing (SDB)/Obstructive Sleep Apnea (OSA) in Children-Part 2: Airway-focused Orthodontics
Barry Raphael, D.M.D.
As a compliment to Dr. Kevin Boyd's presentation (Part 1), this lecture will discuss the practical aspects of preventive sleep medicine using various airway-focused orthodontic techniques. The lecture will address prevention, correction, and management of pediatric sleep and breathing dysfunctions. A look at how this paradigm is currently being taught at a pediatric program at the Mt. Sinai School of Medicine in NYC will finish the lecture. 

1:45 2:30 PM    

Osteogenesis Imperfecta and Pediatric Dentistry: Over 10 Years of Collaboration Between the Montreal Children's Hospital and the Shriners' Hospital in Montreal
Annie Marleau, D.M.D.
For over 10 years, the dental clinic of the Montreal Children's Hospital has been a center of reference for the Shriners's Hospital in Montreal. We have received and treated OI patients coming from all over the world. We have documented dozens of cases. These patients have specific medical and dental needs. We feel we should share our expertise with other dentists so these children can be treated closer to their home. 2:30 3:15 PM Pediatric Maxillofacial Trauma Bonnie Padwa, D.M.D., M.D. This presentation will be an overview of maxillofacial trauma in children, including an overview of treatment options for each type of facial fracture including the potential impact on facial growth and long-term sequela.

3:15 4 PM Self-Determination Theory: a Motivational Approach for ECC Prevention Karin Weber-Gasparoni, D.D.S., M.S., Ph.D. The presentation will present principals of the selfdetermination theory, the scientific basis behind this theory of motivation, and results of original research work with this theory.

260. Nusmile GsRA Presentations and 3M ESPE Preventive Pediatric Dentistry Postdoctoral Research Fellowship Presentations Saturday, May 24

1 4 pm

The NuSmile GSRA award recipients present their research and answer questions. The 3M ESPE research fellows present their year-long research and answer questions on their study. 


270. Dental Acid Erosion and GERD

Saturday, May 24

1 4 pm

Martha Ann Keels, D.D.S., Ph.D. and Martin Ulshen

This presentation will cover how to recognize dental acid erosion and its progressive stages. Attendees will be able to differentiate dental acid erosion from bruxism of acid erosion. Several case scenarios will be reviewed to help attendees learn how to work-up a child with dental acid erosion, triage the causes and make treatment recommendations.

This presentation will discuss new concepts of the pathophysiology of gastroesophageal reflux (GER) and, specifically, how GER presents in infancy and childhood. The differential diagnosis of GER will be enumerated. The role of diagnostic evaluation and testing in ruling out other causes of symptoms and in evaluating the degree of reflux will be discussed. The range of medical as well as surgical treatment will be described. Specific complications of GER will be discussed.


Dr. Martha Ann Keels received her dental degree from the University of North Carolina, Chapel Hill in 1984. In 1990, she received a certificate of Pediatric Dentistry from the University of North Carolina, where she also completed her Ph.D. in Epidemiology in 1991. In 1991, she established the Pediatric Dental program at Duke University Medical Center. She is the division chief of Pediatric Dentistry at Duke Children's Hospital. She is also board certified by the American Board of Pediatric Dentistry (ABPD) and serves on the Examining Committee for the ABPD. Keels holds fellowships in the American Academy of Pediatric Dentistry, American College of Dentists, the International College of Dentists, and is a member of several national and international associations and societies. In 1984, she was elected to membership in OKU (dental honor society). She has served as president of the North Carolina Academy of Pediatric Dentistry; on the editorial board of Pediatric Dentistry; and on the Council for Clinical Affairs for the American Academy of Pediatric Dentistry. She served as the chair of the Section of Pediatric Dentistry and Oral Health within the American Academy of Pediatrics from 2004-2010. She is currently the chair of the AAPD Council on Scientific Affairs. She was the recipient of the NIH DentistScientist Award, which funded specialty training in Pediatric Dentistry and Ph.D. training in Epidemiology at the University of North Carolina. Keels has received recognitions for her research efforts as a Pfeiffer Foundation Research Fellow and has been awarded the Quintessence Award for Research Achievement and the Derek Turner Postdoctoral Research Award in Clinical Sciences. She received NIH funding for an epidemiological study of water fluoridation from 1997-2001; currently, she continues her research in dental caries risk factor analysis and dental acid erosion in pediatric patients.

Martin Ulshen is professor of Pediatrics and chief, the Division of Pediatrtic Gastroenterology, Hepatology and Nutrition at Duke University Medical Center. He trained in this field at the University of Colorado, Denver and Boston Children's Hospital. He has extensive clinical experience and has written more than 50 original articles and 15 book chapters, including, among a number of topics, gastroesophgeal reflux and vomiting. Ulshen was an associate editor for the Journal of Pediatrics and, for the past 25 years, has been the medical editor of the Subboard for Pediatric Gastroenterology of the American Board of Pediatrics. He has been a designated Grand Rounds speaker for the North American Society for Pediatric Gastroenterolgy, Hepatology and Nutrition for the topics of gastroesopheal reflux as well as carbohydrate malabsorption in childhood.

280. Growing Trends in Large Group Practices
Saturday, May 24
1 4 pm
Moderator: Joel Berg Faculty: Ed Meckler, D.M.D.; Stephen E. Thorne IV, B.A., M.H.A. and Ron Hsu, D.D.S., M.S.
One of the most significant trends in the dental profession, and in Pediatric Dentistry, is the growth of large group practices, particularly in the form of dental service organizations (DSO). The rapid consolidation of individual practices into large groups has many effects, raises many questions, as well as potential concerns and also some significant opportunities. This panel discussion will feature individuals from the DSO world who can relay some facts about the reason for existence of large groups as well as personal experiences.


Dr. Joel H. Berg is dean of the University of Washington School of Dentistry in Seattle. He is professor in the UW Department of Pediatric Dentistry and also holds the Lloyd and Kay Chapman Chair for Oral Health. Berg is a board-certified pediatric dentist and was president of the American Academy of Pediatric Dentistry from 2012-13. Berg previously held positions as chair of Pediatric Dentistry at the University of Washington from 2003-12, as vice president of Clinical Affairs at Philips Oral Healthcare from 2000-03, as Head of the Scientific Department for ESPE Dental AG from 1998-2000, and as director of the Postgraduate/Residency Program in Pediatric Dentistry at the University of Texas, Houston from 1989-1995. He is the author of the textbook Early Childhood Oral Health, and of numerous manuscripts, abstracts and book chapters on subjects including dental restorative materials for children and other work related to biomaterials. His current research interests include the development of dental caries prevention programs using risk assessment models and early childhood oral health, and he conducts clinical trials evaluating restorative dental materials and caries (dental decay) management in children.


Dr. Ed Meckler serves as chairman of the board of DentalOne Partners Inc., formerly Sears Family Dental Centers, a position that he has held since 1981. Meckler originally founded Sears Family Dental Centers in 1981 and remained the sole shareholder prior to the recapitalization in 1996. Prior to founding the company, Meckler was in private practice from 1974 through 1984 in Cleveland, Ohio. Meckler earned his undergraduate degree in 1970 from Ohio State University and a D.M.D. degree from Case Western Reserve University School of Dental Medicine in 1974. Meckler is an assistant clinical professor at Case Western Reserve School of Dental Medicine. He also holds a number of positions in organized dentistry, such as executive director of dentists for Oral Health Innovation (DOHI), a newly formed non-profit comprised of dentists affiliated with Dental Service Organizations (DSOs), as well as executive director emeritus of the Dental Group Practice Association (DGPA), a non-profit organization connecting and providing a voice to large DSOs. Meckler also currently serves on the board of directors of the American Dental Association Business Enterprises, Inc. (ADABEI), is a delegate to the Ohio Dental Association and has been an alternate delegate to the American Dental Association. He is a member of the advisory board to Case Western Reserve School of Dental Medicine, is a fellow in International College of Dentists and a member of the Dental Honor Society, the Pierre Fauchard Academy. Meckler is also a member and supporter of numerous other professional dental organizations and continuous advocate for various philanthropic endeavors in and around the area of dentistry and healthcare. In his free time Meckler and his wife of 43 years enjoy traveling, golf and spending time with their six grandchildren.

Stephen E. Thorne, IV, is the founder, president and CEO of Pacific Dental Services (PDS), a dental support services company located in Irvine, Calif. Started in June 1994, the company has experienced exceptional growth, growing an estimated 555 percent since 2004. By year-end 2013, PDS will provide services to approximately 360 practices throughout California, Arizona, Nevada, Colorado, Idaho, Oregon, Washington, Texas, Utah, New Mexico, Missouri, Kansas and Georgia. Thorne began his work in the dental field in 1989 when his father, a dentist, offered him a job managing a struggling dental office. That first office became a big success, and Thorne continued to work with his father for several years before venturing out on his own and creating Pacific Dental Services. Thorne graduated from the University of California Los Angeles in 1989 with a major in EconomicsBusiness. In 1994, he earned his Masters Degree in Health Administration from Chapman University. Pacific Dental Services was borne on the fundamental belief that the company would be the best choice for practicing dentists through the development of efficient systems, dedication to effective quality support services, and a commitment to maximizing individual and professional God-given potential. Thorne was instrumental in forming the Dental Group Practice Association which is the largest association of dental support services organizations in America, and served as the founding president for the first three years. He has been married for 22 years and has seven children.


Dr. Ron Hsu is a diplomate of the American Board of Pediatric Dentistry (2007) and a member of the International Association of Dental Traumatology (2003). He received his D.D.S. from the University of Washington (2003) and his M.S. in Pediatric Denitstry from the University of North Carolina Chapel Hill (2006). He currently resides and practices in Vancouver, Wash., with Gentle Dental. He is a full-time clinician, and has been serving as regional clinical director for Specialty services since 2010. 

PALS Recertification

Saturday, May 24

9 am 3 pm

See additional workshops on page 30 for more information.