Podcasts about dental examiners

"Well-behaved women seldom make history." Laurel Thatcher Ulrich Meet Dr. Amanda Wilson, a San Francisco native whose journey in dentistry has taken her from the heart of the Bay Area to the beautiful shores of Honolulu, Hawaii. Dr. Wilson earned her dental degree from UCSF Dental School and went on to achieve her Master of Dental Science and Orthodontics Certification at the University of Connecticut. With over a decade of clinical experience, she has completed thousands of orthodontic cases, both fixed and removable. Driven by a passion for teaching and mentoring, Dr. Wilson transitioned into corporate dentistry, where she has spent the past few years as a Dental Director and Consultant for both national and international orthodontic companies. Her work focuses on innovative areas such as early treatment, functional appliances, aligners, and tele-dentistry. Dr. Amanda Wilson made big waves in Hawaii's orthodontic world, not just in the clinic but also in the law! Back in 2005, she helped push for a bill (Act 121) that temporarily allowed orthodontists and other dental specialists to skip the usual state dental exam and get licensed based on their credentials. This was a big deal because at the time, Hawaii was changing its licensing exam and didn't have a clear process in place. How She Got Involved Dr. Wilson lobbied for and helped shape the bill because she saw a gap in the system—qualified orthodontists couldn't practice in Hawaii due to outdated licensing rules. Act 121 created a temporary shortcut for dental specialists to get licensed if they had the right education and experience. Her Own Battle for Licensure In 2005, Dr. Wilson applied for her own Hawaii dental license using this new law. But the Hawaii Board of Dental Examiners denied her application because they said her graduate training (residency) didn't count as actual "practice" under the law. Even though she had worked independently in California for 10 months, Hawaii required three full years of practice outside of school. Her Fight Against the Board She took the Board to court, arguing: Her residency training was in real-world dentistry and should count. She helped write the law, so it should have included her situation. The Board's decision was unfair and possibly biased against her. The court sided with the Board, saying their interpretation of the law made sense. Why This Matters Even though Dr. Wilson wasn't granted her license, her efforts paved the way for discussions about better licensing options for specialists. This highlighted flaws in Hawaii's system—showing how tricky it is for well-trained orthodontists to get licensed, even when they're fully qualified. While the law was short-lived (it was automatically repealed when the new licensing exam was introduced in late 2005), it gave other specialists a brief opportunity to practice in Hawaii without unnecessary barriers.   In 2016, Dr. Wilson saw a gap in orthodontic coaching services tailored for General Dentists and took the initiative to fill that need. She founded her own orthodontic management and coaching company, StraightSmile Solutions®, to provide guidance and support to her peers. Now living in Honolulu with her family, Dr. Amanda enjoys the vibrant local culture and outdoor adventures. When she's not working with clients around the globe, you can find her surfing, hiking, or leading her Cadette Girl Scout troop. She's also a proud USA Swimming Official, further reflecting her commitment to community and youth development. For more information and to connect with Dr. Amanda, check out her social media profiles: Instagram: @straightsmilesolutions Website: https://www.straightsmilesolutions.com Our friends at Designs for Vision brought this episode to you. Designs for Vision is providing a 45-day trial of their loupes to our listeners! No strings attached – if you don't love the loupes, simply send them back for a refund. To learn more, visit https://www.designsforvision.com/DentHtml/D-InfinityGA.htm  If you made it all the way down here, hit a like and share a comment. Until next time, Peace out peeps! ✌️ _______________________________________  

Occupational licensing boards today act like protectors of cartels, often going beyond merely issuing licenses to launching witch hunts and boxing out their competitors. February 2025 marks the 10-year anniversary of the US Supreme Court decision in North Carolina State Board of Dental Examiners v. FTC. In that case, that state's dental licensing board was ruled to be acting like a monopolist (using the power given to it by the state government) by trying to drive non-dentist teeth whiteners out of business. This policy forum will discuss the policy landscape that resulted from that decision and what it should mean for liberty-minded policymakers and litigators in the future. Hosted on Acast. See acast.com/privacy for more information.

The State Board of Dental Examiners says its seen an increase in unlicensed people posing as dental professionals over the last year and a half. Many patients are drawn in by low prices in social media advertisements. WRAL's Sarah Krueger explains how you can protect yourself.

The doctors chat about a viewer question regarding what do you do when you have a bad outcome with a patient? How do you best move forward clinically, professionally, and personally?Stephy Steph and Bobby also discuss how to set yourself up with a group to help you get through tough times in practice.The advice given does not constitute legal advice and Dr. McNeill represents his personal opinion and not that of the Texas State Board of Dental Examiners.

A wife of 20+ years, mother to 3 incredible children, a healthcare professional, small business owner, community volunteer, and lecturer, Dr. Truvella “Trudy” Reese wears many…many hats. She is a general dentist in a Las Vegas-based, private practice.  Opening Generations Dental in 2012, she quickly outgrew her location and purchased Crowne Dental in 2016.  In the decade that she's been in private practice, she has become one of the highest-rated and most sought general dentists in Las Vegas. Dr. Reese is an Infection Control Officer for the Nevada State Board of Dental Examiners & a peer-review advisor for several insurance companies.  She is a national speaker with Physicians Against Trafficking Humans; a prevention, education, and advocacy organization.  Her passion project is restoring the smiles of human trafficking survivors.  Her most recent accomplishment was being named Nevada Mother of the Year 2021.   All-American bombshell and true Texas girl, R'Bonney Gabriel is proudly born and raised in Houston to a Mom from Beaumont, small-town Texas, and a Dad who immigrated to America at age 19 on a college scholarship. As the first Filipina-American to proudly wear the Miss USA crown, she brings her southern charm married with her value for hard work as the foundation blocks of her career in pageantry. R'Bonney not only commands the room with her stately poise and stunning beauty but also enchants any audience with her talent as she frequently flaunts her own hand-crafted garment designs. This force for good in the world of fashion is ready to bring her visionary aesthetic along with her passion for making a sustainable difference in the lives of women to the Miss USA platform and beyond.   While growing up, R'Bonney was always called to creative forms of expression. She recalls being a part of everything in middle school - from the yearbook to volleyball, even playing the oboe and clarinet in the school band - she left no extra-curricular stone unturned as she honed in on her passions. When considering her pageant journey, R'Bonney encourages young women to use failure to their advantage. After placing runner-up on her first try in Miss Texas, she was devastated as she thought that it was her last year of eligibility. Upon further investigation, she realized that she had one more year to compete. She didn't want to have any regrets and as such in 2022, she went for it again - and WON!  Citing self-doubt as her biggest hurdle, R'Bonney's greatest lesson which she wants to leave with young women everywhere is - “never let someone else's opinions of you become your reality - I learned the beauty of reframing my mindset and that's been the starting point of all my successes”.

In this episode of Talking with the Toothcop, I share some sobering news that recently happened in Kansas. I'll also share some important updates that dentists need to be aware of that were highlighted in the Texas State Board of Dental Examiners Newsletter. Stay up-to-date on the latest dentistry compliance issues—don't miss it.  Outline of This Episode [0:21] 3-year-old boy dies during dental procedure [3:13] Get your dental unit waterlines tested through ProEdge! [4:30] Electronic Prescribing Waiver [6:03] Texas administrative code Rule 108.7 sub-section 16 [7:44] Tele-dentistry rule (HB2056) passed [12:50] Questions about Rule 108.7 sub-section 16 [14:33] Do dentists prescribe anxiety medication frequently?  [15:26] Learn more about protectIt dental's emergency medical kit [16:43] The Professional Recovery Network 3-year-old Boy Dies During Dental Procedure A 3-year-old boy in Wichita, Kansas went in for a simple procedure. He was sedated to have some teeth removed after a gum infection. Unfortunately, something went awry during the procedure and the boy passed away after being transported to a nearby hospital. The incident is currently under investigation though it appears there was no wrongdoing.  However, incidents like these are a sobering reminder to have your dental office prepared in case of emergencies. You need a written protocol in place, your team needs to be aware of their role, and it needs to be referenced as often as possible.  Electronic Prescribing Waiver As of January 1, 2021, the Texas Health and Safety Code 481.0755 dictates that “Prescriptions for controlled substances be issued electronically, except in limited circumstances, or unless a waiver has been granted by the appropriate agency.”  The waiver applies to dentists that issue prescriptions for controlled substances—but don't prescribe many at all. They can apply for a waiver to avoid setting up electronic prescribing. If granted, the waiver allows dentists to write up to 25 prescriptions for controlled substances per year. You can re-apply for your waiver up to 30 days before it expires (it lasts a year from when it's issued).  Please Note: Many drugs that you may not consider are classified as controlled substances. Do your research and don't let yourself get caught off guard by this.  Texas administrative code Rule 108.7 sub-section 16 Rule 108.7 sub-section 16 was the COVID rule. It's now been replaced with what was sub-section 17: You must “Hold a Level 1 permit (Minimal Sedation permit) issued by the Board before prescribing and/or administering Halcion (triazolam), and should administer Halcion (triazolam) in an in-office setting.” Basically, if you want to treat patients with these meds, you must hold a Level 1 permit.  In the newsletter, the featured a question a reader asked, “Can I prescribe or dispense a drug for sedation without a sedation permit?” The answer is no. You have to have a minimal sedation permit to prescribe sedation medications to patients (dosage recommendations in board rules 110.1 and 110.4). Texas Legislative House Bill 2056 Passes The bill passed on June 16th, 2021. But on August 11th at 1 pm, the Texas State Board of Dental Examiners will host a stakeholder meeting to address the specific rules for teledentistry. This is your opportunity to make your voice heard and shape these rules on the front end. What can you do? Look at other state's regulations and see what they're doing and what their recommendations are. Too often dentists don't get involved when they have the opportunity. If you're not involved, you can't complain about it! I think we will see rules formed by March.  Resources & People Mentioned Learn more about protectIt dental at https://dentalcompliance.com/drugkit or call them at 888-878-8916 and tell them that the Toothcop sent you! Get your dental unit waterlines tested through ProEdge! 3-year-old Boy Dies During Dental Procedure The Texas State Board of Dental Examiners Newsletter TWT Episode: Electronic Prescribing of Controlled Substances Texas administrative code Rule 108.7 sub-section 16 https://tsbde.texas.gov/ The Professional Recovery Network Connect With Duane https://www.dentalcompliance.com/ toothcop(at)dentalcompliance.com On Facebook On Twitter On LinkedIn On Youtube

Last week, I read an article about an oral surgeon in North Carolina who got busted after a patient died. So in this episode of Talking with the Toothcop, we’re going to talk about what happened, why it happened, and how it could have been prevented. This isn’t to shame the dentist or staff involved, but to learn from the mistakes that were made. Tragedies in the dental office should never happen.  Outline of This Episode [0:22] Death in the dental office [8:50] Get professional help before it’s too late [13:45] The Professional Recovery Network  [18:21] Your patients may not trust you anymore [20:20] The current action being taken [24:15] Upcoming CE courses Death in the dental office According to the article Leland oral surgeon suspended by Dental Board, under investigation by SBI for drug misuse, Dr. Mark Austin had his license suspended following an investigation by the State Board of Dental Examiners. The patient in question came in for an appointment to receive a dental implant. The doctor administered sedatives before and during the procedure. Unfortunately, the patient’s oxygen saturation dropped significantly, and after attempting to place an endotracheal tube, 911 was called. The patient died a few days later in intensive care.  This prompted an immediate investigation by the dental board. The DEA and state board combed through this dentist’s practice. Even worse, in an earlier audit, the doctor couldn’t account for substances that were supposed to be maintained at his office, including Fentanyl. The investigation also alleges that he used illicit substances personally for two years while practicing.  The patient was at 60-70% oxygen for 20 minutes. Brain death happens when it’s deprived of oxygen for 4–6 minutes. When EMS arrived, the patient didn’t have a pulse. The Dr. had not administered CPR prior to their arrival. His brain was deprived of oxygen for far too long, and he suffered irreversible brain injury and died 4 days later.  Get help—or get busted If you or someone you know is struggling with a drug or alcohol problem, get help. It can be done anonymously before you impact your patient’s lives. Because when a dental board gets involved, they’ll issue an emergency suspension which creates a public spectacle. This situation is attached to Dr. Austin’s license for the rest of his life. Every insurance company he attempts credentialing with will know. Some won’t take the risk. If someone had recognized he had a problem it could all have been prevented. It’s hard to get help. But when you do, you go to a special rehab just for doctors. You’re there with other dentists or physicians in recovery. You avoid a public stigma while getting acceptance and support. This isn’t about shaming dentists, it’s about getting them help.  It’s sad that a world-renowned cardiologist—someone who devoted his life to helping people—lost his life in a preventable situation.  You have a moral obligation to protect your patients Someone had to have seen the signs in this doctor and did nothing. You can’t hide a drug addiction for over a year. If you work with someone who is struggling, you have an obligation and responsibility to report this behavior. You’re either part of the problem or part of the solution. The staff had a moral and ethical obligation to make a decision. They didn’t make the right one.  The proper training and preparation for something like this could have prevented someone’s death. This is why we’re talking about this. Dental offices need to be taught the right way to do things. A reasonable person should ask, “What could I have done to prevent that?” Sadly, these staff members will carry guilt with them for the rest of their lives.  The current action being taken The dental board received information that Dr. Austin had prescribed controlled substances for staff members—outside the scope of dentistry. The board also received evidence that he was unable to account for controlled substances and had been taking them for two years. In a nutshell, he agreed to a suspension of his license.  Resources & People Mentioned Leland oral surgeon suspended by Dental Board Professional Recovery Network (Texas) Consent Order Suspending License Dental Compliance CE Courses Connect With Duane https://www.dentalcompliance.com/ toothcop(at)dentalcompliance.com On Facebook On Twitter On LinkedIn On Youtube

Kevin B. Earle, MBA, MPHwww.usdentaltriage.com for the patients and thenwww.drivendentalmarketing.com/emergencyMr. Earle has been working with the dental profession for much of his career. He led the Arizona Dental Association for eleven years from 2007 through 2019. He came to organized dentistry from a distinguished career in healthcare regulation, having previously served as the ExecutiveDirector of the Arizona Board of Dental Examiners, the NewJersey Board of Dentistry and the New Jersey Board of Medical Examiners. He is an Honorary Fellow of the American College of Dentists, the International College of Dentists and the Pierre Fauchard Academy. He holds a BA in Public Affairs from George Washington University, an MBA from Rutgers University and an MPH from Columbia University.In an effort to help emergency room doctors keep the focus on COVID-19 patients, Kevin has launched a special emergency response campaign for dental procedures.Every 14 seconds someone goes into the emergency room for a dental related issue. Emergency rooms are not equipped to handle definitive dental care. With the government limiting many dentist offices to handling urgent care and some of them actually closing, people are having challenges finding a dentist to treat their dental emergency or, they simply aren't going into the emergency rooms out of fear of contracting the coronavirus. Dentists are experts in infection control. This is why it's so important for patients to get connected to a dentist when experiencing pain or infection. I recently launched the U.S. Dental Triage so that we can help keep people out of the emergency rooms by connecting them with dentists who can treat them.What other precautions will dentists take to make sure the patient stays safe when visiting their office?The dentist will ask you to call them once you arrive at the office and they will come out to the car to get you and take you directly to a pre-sterilized room. The dentist and dental assistants will be wearing gloves and masks, and you will be isolated from any other patients on the premises.How will this also aid the healthcare workers in the dental community?Since many dental offices are closed across the country and only able to operate for dental emergencies, we are providing a solution to that. Many patients are unable to reach their dentist offices to schedule appointments and we are able to help thedentists with scheduling and new referrals to allow them to stay in business and provide lifesaving emergency services to people who need attention asap.For Dentist:Why is it important to you that a service like this exists? The coronavirus pandemic has added so much stress to the dailylives of our fellow Americans, we can address the additional stress of finding a dentist to handle an emergency dental case.Why is it beneficial to see a dentist as opposed to going to the emergency room?Emergency rooms are only equipped to handle to address the symptoms - - addressing pain or infection with pain medication orantibiotics. They aren't staffed to handle definitive dental treatment like fillings, root canals or extractions. These areservices that can really only be addressed in a dental office.What is considered a dental emergency?The American Dental Association Dental recently published a statement about dental emergencies. These are conditions that “are potentially life-threatening and require immediate treatment to stop ongoing tissue bleeding [or to] alleviate severe pain or infection.” Conditions include uncontrolled bleeding; cellulitis or a diffuse soft-tissue bacterial infection with intraoral or extraoral swelling that potentially compromises the patient's airway; or trauma involving facial bones that potentially compromises the patient's airway. As part of the emergency guidance, the Association added urgent dental care which “focuses on the management of conditions that require immediate attention to relieve severe pain and/or risk of infection and to alleviate the burden on hospital emergency departments.”We are available 24 hours a day and we will direct you to an available dentist that accepts your insurance and will see you right away. The dentist will then be able to do an online screening with the patient to make sure that they don't have symptoms of coronavirus themselves, and that their symptoms comply with the American Dental Association's list of urgent care procedures.Rhonda Peoples, Licensed & Certified B.A.N.K. TrainerRhonda Peoples Sales & Leadership Tucson, AZ 85746520-245-68211-844-222-9565rhonda@rhondapeoples.comhttps://dentalvss.comSOCIAL MEDIA: Facebook | Linkedln |Rhonda Peoples has over 20 years'experience as a sales consultant and Director of Finance and insurance for the automotive industry. She currently owns a Sales & Leadership business that focuses on women making 6-7 figures. She is licensed and certified in the B.A.N.K. methodology for sales training. Working with business owners, entrepreneurs and sales consultants teaching them how to use the B.A.N.K. system to increase their sales in less time.As Rhonda puts it, she is "married to the man of your dreams."  Rhonda's husband owns a club basketball team and has been working with kids for 20+ years, teaching them life skills, love skills, and business skills through the art of basketball.Rhonda sits on the board of directors of The Haven, a center for women of substance abuse that allows women to recover with their children how, and support 100+ Women, a charity that donates over $100,000/year to local nonprofits, She also volunteers for Downtown Tucson Partnership, Eagles Wings of Grace and Landmark Worldwide, which is a personal and professional training and development organization that has been in existence since the '80s.Rhonda has taken her talents to the dental industry, working with Performance Partners who have supported dental offices forseveral years. Rhonda Performance Partners have created a training program that includes the B.A.N.K. methodology and comes with a risk-free guarantee of 10x investment to the dental office's revenue.Rhonda Peoples Sales & Leadership Training is about people getting what they want out of their life. It's about standing in your power and getting into action and you were searching for training content that would land better with women and you found Ms. Cheri Tree's methodology of buy ology!!  I knew this content would resonate better with women in 
business and I could directly influence more women with this training to reach the 6·7 figure income mark. Being taught for years that sales was a numbers game and you needed to go through the Nos to get more Yeses, this training shows you how to get more Yeses, in less time and it's about PEOPLE. Perfect timing for where we are in today's world.

Dr. Nagesh Gidwani has been practicing in Phoenix since 1984, after completing his Masters degree in Oral Pathology and a rotation in Oral Surgery. He also serves on the Arizona State Board of Dental Examiners as a consultant. As a general dentist, Dr. Nick (as his patients call him) performs most procedures, but focuses on root canals, crown and bridge and cosmetic dentistry. He also does a lot of teeth whitening, leaving his patients with bright smiles and happy faces. Dr. Nick also teaches at the prestigious Midwestern University Dental School and enjoys imparting his dental skills to dentists of the future. Away from work, Dr. Nick enjoys travelling with his family (especially to South East Asia and Europe), playing the guitar, and reading. Join the community on Dentaltown at https://www.dentaltown.com 

Episode 3 Highlights Emergency Board Meeting of the Texas State Board of Dental Examiners  World Health Organization Statement Effects of COVID-19 for those with Periodontal Disease Kansas: Assistants scaling below the gum line Chicago MidWinter goes virtual for 2021 Quotes    “You should probably know if your State Dental Board is active or not”  “COVID gives providers more opportunity to have conversations about the Oral Systemic Link” “We can’t be afraid as an industry to say ’this is what you need to know and why’” “Covid has been the best excuse for the dental industry: - use it to set up great systems! “If you are an assistant, or dentist listening to this, you should know that https://www.danb.org is an important resource”   Links   Texas State Board decisions:  https://texreg.sos.state.tx.us/public/regviewer$ext.RegPage?sl=R&app=1&p_dir=&p_rloc=380950&p_tloc=&p_ploc=&pg=1&p_reg=380950&ti=22&pt=5&ch=108&rl=7&issue=09/04/2020&z_chk= COVID lawsuit link: https://ctmirror.org/2020/08/10/covid-sparks-lawsuits-in-ct-but-not-the-epidemic-those-seeking-lawsuit-shield-for-businesses-expect/ ADA responds to the WHO’s statement on postponing routine dental care: https://www.ada.org/en/press-room/news-releases/2020-archives/august/american-dental-association-dentistry-is-essential-health-care

In this episode: Wake County's stay-at-home order expires this Friday, allowing more businesses to reopen under statewide guidelines; a group of top health officials says the viral spread of COVID-19 appears to be slowing in North Carolina, making it possible to gradually reopen the state without overwhelming hospitals; the State Board of Dental Examiners has issued guidance for dentists operating during the pandemic, stressing the importance of sterilization and infection control to meet standards of care; a nationwide meat shortage lead President Trump to issue an executive order requiring processing plants to remain open, but outbreaks of the coronavirus at meat-packing facilities across North Carolina show the dangers of the President's order.

As of several months ago, Dental Anesthesiology is the 10th specialty recognized by the American Dental Association.  With the growing need for general anesthesia services in the pediatric dental office, the creation of this newest specialty is certain to expand opportunities for providers and especially for our patients.  Listen to Dr. Jeff Brownstein, Pediatric Dentist, Anesthesiologist, and practice owner in both areas, talk about his views on how anesthesiology will grow and will provide fantastic new opportunities to all.  You will learn many new things in this enlightening podcast. Jeffrey N. Brownstein, DDS, MeCSD is the senior partner at West Valley Pediatric Dentistry & Orthodontics, a multi-facility Pedo-Ortho group practice situated in the western suburbs of Phoenix, Arizona providing dental & orthodontic care for infants, toddlers, adolescents and adults with special healthcare needs.  He is also a partner in Arizona Dental Anesthesia and Nebraska Dental Anesthesia, dental anesthesia groups providing mobile office-based care for pediatric and adult patients.  Dr. Brownstein completed his graduate dental training at the Medical College of Virginia/Virginia Commonwealth University and his pediatric dental specialty training at the University of Florida where he served as chief resident during his final year of training.  Following his pediatric residency program, Dr. Brownstein completed an extensive Craniofacial Fellowship in the dental management of Cleft Lip & Palate in the Department of Pediatric Plastic Surgery at Washington University School of Medicine/St. Louis Children’s Hospital. In 2009, after nine years of providing care in a private practice setting, Dr. Brownstein returned to the University of California at Los Angeles to further his training in the area of anesthesiology.  After completing a year of medical anesthesia training at Harbor-UCLA, a major trauma center in Southwest Los Angeles, he was appointed to the position of chief resident in the Department of Dental Anesthesiology at the School of Dentistry at UCLA where he eventually attained his certificate in Dental Anesthesiology.   Dr. Brownstein is board certified and a Diplomat of the American Board of Pediatric Dentistry, American Dental Board of Anesthesiology and National Board of Dental Anesthesiology.  He is an oral board examiner for the American Board of Pediatric Dentistry and is a clinical oral conscious sedation and general anesthesia permit examiner for the Arizona State Board of Dental Examiners.  Dr. Brownstein was appointed by the American Academy of Pediatric Dentistry to a position on the AAPD Council on Clinical Affairs. He is a member of the Dental Patient Safety Foundation, a Surveyor for the American Association for Accreditation of Ambulatory Surgical Facilities, and a member of the Arizona State Board of Dental Examiners’ Anesthesia & Sedation Committee.  As a full-time clinician in private practice, Dr. Brownstein’s primary emphasis is in the area of pharmacologic management of special needs children and adults, while providing care in office, hospital, and surgical center settings.  He is a Clinical Faculty Member at the Midwestern College of Dental Medicine and in the Department of Anesthesia/Dental Medicine at NYU-Langone Hospital. He helps to instruct oral and intravenous moderate sedation courses, provides medical emergency seminars, and is a certified Basic Life Support, Pediatric Advanced Life Support & Advanced Cardiac Life Support instructor.   Dr. Brownstein has authored and coauthored an array of published journal articles and textbook chapters on topics including craniofacial disorders, pediatric physiology and office-based general anesthesia.  He also provides peer review for articles within the American Society of Dentist Anesthesiologists journal publication, Anesthesia Progress. He is actively involved in several ongoing clinical research at Midwestern College of Dental Medicine including projects focused specifically on improving the quality of pediatric sedation and general anesthesia. Dr. Brownstein is a past president of the Arizona Academy of Pediatric Dentistry and is an active member of the American Dental Association, American Academy of Pediatric Dentistry, American Board of Pediatric Dentistry, Arizona Dental Association, Central Arizona Dental Society, Southeastern Society of Pediatric Dentistry, Western Society of Pediatric Dentistry, International Association of Pediatric Dentistry, California Association of Pediatric Dentistry, California Dental Association, California Pedodontic Research Society, Academy of Dentistry for Persons with Disabilities, American Society of Dentist Anesthesiologists, American Dental Board of Anesthesiology, Arizona Society of Dentists Anesthesiologists, American Dental Society of Anesthesiology, National Dental Board of Anesthesiology, California Society of Dentist Anesthesiologists, International Federation of Dental Anesthesiology Societies, Society for Ambulatory Anesthesia, Society for Pediatric Anesthesia, Arizona Academy of Pediatrics, Society for Pediatric Anesthesia, American Academy of Pediatrics, American Cleft Palate – Craniofacial Association, Special Care Dentistry Association, American Association of Hospital Dentists, Malignant Hyperthermia Association of the United States, and several local study clubs.  Dr. Brownstein was a past Bank Director on the Board of West Valley National Bank/Arizona Dental Bank, a community bank specifically dedicated to financing private medical and dental ventures throughout the state of Arizona.  As an active member of the Arizona Special Olympics, Autism Speaks, Council for Exceptional Children, Make-A-Wish Foundation, and Federation for Children with Special Needs, Dr. Brownstein dedicates much of his free time advocating for the nearly 5 million school-aged special needs children living throughout the United States. Dr. Brownstein is a second-generation pediatric dentist, and has spent a majority of his life, in one way or another, involved in the field of medicine & dentistry while working with special needs patients.  For over thirty-years his father, Dr. Marshall Brownstein, served as Dean of Admissions & Student Affairs at both the Medical College of Virginia School of Dentistry and University of Nevada at Las Vegas School of Dental Medicine and is regarded nationally for his dedication to dental academics.  While his mother, Dr. Marjorie Brownstein, obtained her doctorate in Special Education and focused her career on the education for this underserved population.    On a personal note, Dr. Brownstein’s wife, Dr. Sheri Brownstein, also a second-generation dentist, is an Associate Professor & Director of Preclinical Faculty at Midwestern University College of Dental Medicine in Glendale, Arizona.  Sheri & Jeff have three wonderful children, Emma, Rogan and Landon and enjoy an active lifestyle, which includes photography, hiking, running, basketball, and traveling.

Do you really need legal representation shortly after a patient death or hospitalization? While it’s a scenario that no dentist ever wants to face over the course of their career you need to have a plan in place. Here to help you understand what you can expect and how to prepare for dealing with a patient death or hospitalization is Laura Diamond. Laura is an administrative and healthcare law attorney with experience representing healthcare providers in administrative proceedings. She is a partner in the firm of Dalrymple, Shellhorse, Ellis & Diamond, LLP. Laura’s practice focuses on assisting individuals and businesses in defending their occupational licenses. She represents clients at the agency level (complaint, investigation, and informal settlement conference) as well as before the State Office of Administrative Hearings (SOAH). Ms. Diamond advises dentists, nurses (RN, LVN), physicians, respiratory therapists, radiologic technicians, psychologists, and mental health providers including social workers and counselors (LPC, LCDC, LMFT, LSOTP). In our conversation, Laura explains how the self-reporting process works when a patient death or hospitalization occurs, the best way to protect yourself when that happens, why you need legal representation when you appear before a regulatory body, and much more. Don’t miss a minute of this valuable episode featuring Laura’s expert perspective! When to report a patient death or hospitalization. It may sound like an obvious answer, but there can be challenges when deciding when to report a patient death or hospitalization to a regulatory body. Of course, you need to report a patient death to law enforcement right away when it happens in your office, but you do have time before you need to report it to an organization like the State Board of Dental Examiners. When a death occurs as a direct result of a dental procedure or if they are admitted to the hospital due to that procedure, you are required to report it to your state regulatory body. To get the full discussion on this critical topic with Laura, make sure to listen to this episode! Why you need legal representation. Many dentists are so eager to comply with state or federal law when a patient death or hospital admittance occurs that they fail to protect themselves with legal representation. The point of securing legal representation at this crucial time is not to hide the facts or hinder the investigation it’s to make sure you are telling the full story. Too often dentists and their staff will volunteer information to state investigators without consulting with legal representation and unnecessarily open themselves up to liability. Don’t let that happen to your office! Have a plan in place, so your practice is covered and prepared. Use the timeframe requirements to prepare your documents. On a similar note, you need to make sure that as you prepare to submit a self-report to your state’s regulatory board that you do so only when you’ve got all your documents ready. This doesn’t mean you should file a report past the required deadline; it just means that you should use the full 72 hours or whatever time your state requires to your full advantage. Remember, you’ll need to submit copies of your patient’s chart, emergency protocols, electronic images, and a whole host of additional documents. Once you’ve self-reported, you’ll need to provide that information right away, that is why using the full timeframe is in your best interest. To learn more about this complicated process, make sure to listen to this episode! Make sure you have your bases covered. If it has been some time since you last reviewed your office’s procedure for a patient death or hospitalization, let this episode serve as your reminder. Take the time today to schedule your procedure review and put it on the calendar for the next review too. You can never be too careful when it comes to patient safety, legal representation, and dental compliance. If you’d like to follow up with Laura about specific questions or to get connected to legal representation for your practice, make sure to check out the links in the resources section at the end of this post. Outline of This Episode [0:22] I welcome my guest, Laura Diamond. [3:00] Laura and I talk about self-reporting patient deaths and hospitalizations. [5:30] How do you know when you should self-report a death or hospitalization? [8:30] Why you need legal representation when you appear before a regulatory body. [13:00] I share a story about a dentist that self-reported a patient death. [16:00] What you’ll need to provide when you self-report a patient death or hospitalization. [21:00] Understanding how the timeframe requirements work. [24:00] Closing thoughts. Resources & People Mentioned Dalrymple, Shellhorse, Ellis & Diamond, LLP Laura on LinkedIn Laura’s email address - LDIAMOND[at]DSEDLAW.COM Texas State Board of Dental Examiners - Texas.gov Connect With Duane https://www.dentalcompliance.com/ toothcop(at)dentalcompliance.com On Facebook On Twitter On LinkedIn On Youtube

On today’s show, we have Dr. Dawn Ewing all the way from Houston, Texas. Dr. Dawn Ewing is a naturopathic practitioner in, Executive Director of the International Academy of Biological Dentistry and Medicine (IABDM), and author of Let the Tooth Be Known, now in its fourth edition. She began her career as a dental hygienist after graduating from the University of Texas Dental School in 1988 and was eventually appointed to the Texas State Board of Dental Examiners by the governor, serving two terms. A thirst for knowledge about the human body immersed her in the world of emergency medicine. Becoming a Nationally Registered Paramedic, she spent 12 years on a 911 ambulance and four years in international air ambulance transport. She began teaching CPR to the public, Advanced Cardiac Life Support to health care providers and became an affiliate faculty member of the American Heart Association in 1987. She was drawn back into dentistry by a biological dentist. He was looking for someone with knowledge of the body as a whole, not just the mouth. This new excitement led her to return to school for a doctorate in naturopathy, a Ph.D. in holistic nutrition and a doctorate in integrative medicine at Capital University of Integrative Medicine. In today’s show we cover: Why root canals are extremely toxic for the body What you should do instead of getting a root canal Why 100% of root canals are infected Root canals link to heart disease, cancer, and other illnesses What you should do if you have a root canal What a cavitation is, and how you get one Why some people get ill and others seem fine Why you don’t want mercury or nickel in your mouth Whether toothpaste is necessary or not Why you shouldn’t be using fluoride & much more Dr. Ewing was a great guest and I look forward to er returning on the show to talk sometime soon. You can find Dr. Dawn Ewing here: http://drdawn.net/ Enjoy the show and don’t forget to share it with your friends and family, as well as writing a comment, or a review on iTunes. To Your Health & Happiness Ryan

The Texas State Board of Dental Examiners has released new regulations regarding nitrous oxide delivery. These regulations are going to change the way your practice handles routine business, and you need to be aware of them. On this episode of Talking With the Tooth Cop, I outline the new 3 main rules, what requirements have not changed, and why your office needs to take these changes seriously. Note that these rules apply to all levels of nitrous oxide delivery and sedation and they are applicable for patients of all ages. It’s a complicated subject with many details, so to get the full story listen to this podcast episode. These requirements have not changed, even after implementation of the new regulations Even with the new regulations, a few staples of dental care have not changed. You must employ qualified, trained staff who can identify problems and emergencies in your practice. Evaluating patients prior to sedation, utilizing consultations if necessary, and having written, expressed, and informed consent is still required when using nitrous oxide or any other method of sedation. Equipment checks must be completed thoroughly and regularly and proper patient records kept. You must also ensure all staff members are aware of who can and cannot be involved in delivering sedative drugs. To hear the full list of regulations that are still in place, be sure to listen. New rule #1 - Preoperative checklists must be completed This rule applies to sedating any patient via any method. The TSBDE now required offices to “create and maintain in the patient’s dental record” a checklist entitled “Preoperative Sedation Anesthesia Checklist.” Included in this checklist must be the following: Medical history review Confirmation of informed consent Confirmation of delivery of pre/post procedure instructions Physical examination Equipment readiness check confirmations Any special preoperative considerations Documentation for any/all reasons why portions of the checklist were not completed This checklist may physically or electronically stored and the same checklist should be used by the dentist and anesthesiologist. It may be completed at any time prior to delivery of nitrous, but it must be repeated prior to ALL instances of delivery. For all of the details regarding the new checklist, don’t miss this episode. New rule #2 - Offices must write emergency procedures and hold training sessions Every office now must have written policy procedures in place detailing how they are to handle emergency situations. Special attention must be given to respiratory crises and how the office will stock, monitor, and restock emergency kits. Staff must be trained regularly on these procedures to ensure everyone knows their responsibility during an emergency. It’s important to remember to not assign specific individuals emergency duties, but rather assign it to a position. Annual review sessions should be held as well to revise these procedures as necessary. New rule #3 - Permit holders must have the proper drugs on site and immediately available Every dental office must be diligent in the way they keep records on nitrous oxide delivery. Special attention should be given to medicine cabinets and storage units to ensure expired drugs are disposed of and restocked with fresh supplies on a regular basis. Emergency kits with reversal drugs, AEDs with fresh batteries, and other necessary equipment should also be carefully monitored. These new rules were established to ensure dental patients are receiving the best care possible. To ensure your practice is compliant, be sure to get the full story by listening to this episode of Talking With the Tooth Cop. Outline of This Episode [0:22] New nitrous oxide delivery rules are covered on this episode of Talking With the Tooth Cop. [2:33] Existing regulations on nitrous oxide delivery and office equipment [7:25] Equipment checks are necessary and IFUs should be present at all times [14:40] Preoperative documentation is required in these main areas [19:01] The dentist is the sole person responsible for these duties regarding nitrous delivery [21:57] Latest information on the AAPD guidelines for nitrous oxide delivery [28:35] Post-operative discharge record-keeping requirements [35:05] New rule #1 - Preoperative checklist must be completed [40:22] Why are these new rules so strict? [43:05] New rule #2 - All permit holders for nitrous oxide must create emergency preparedness procedure manuals and hold training sessions for all staff [48:14] New rule #3 - Permit holder must have the proper drugs on site and immediately available [50:53] These new rules are required for all levels of nitrous administration and sedation [54:01] What comes next after these rules? [56:00] Where to turn for resources about these new rules Resources & People Mentioned REPORT: “Blue Ribbon Panel on Dental Sedation/Anesthesia Safety of the Texas State Board of Dental Examiners” Duane’s insider resource: “Medical Emergency Training for Dental Offices” Connect With Duane https://www.dentalcompliance.com/ toothcop(at)dentalcompliance.com On Facebook On Twitter On LinkedIn On Youtube

Dr. Roda graduated from the Faculty of Dentistry at Dalhousie University in Halifax, Canada in 1981 and maintained a full-time private general practice in Dartmouth, Nova Scotia for ten years. He returned to school at Baylor College of Dentistry in Dallas Texas, and received his Masters of Science (Oral Biology) and Certificate in Endodontics in 1993. He became a Diplomate of the American Board of Endodontics in 1998. Dr. Roda has published and lectured internationally, most recently co-authoring the chapter on non-surgical retreatment in the 11th edition of Pathways of the Pulp. He is a Visiting Lecturer at the Arizona School of Dentistry and Oral Health, Past President of the American Association of Endodontists, Current President of the Arizona Dental Association, and is an active member the American Dental Association. Dr. Roda is an Associate Editor of the Journal of Endodontics, and is an Endodontic Consultant to the Arizona State Board of Dental Examiners. He maintains a private practice limited to Endodontics in Scottsdale, Arizona.   https://www.endoaz.com/

Kevin Earle has been the executive director of the Arizona Dental Association since 2008. In that role, he serves as the principal lobbyist for dentistry and better oral health care at the State Legislature. He is the former executive director of the Arizona Board of Dental Examiners.  Before his move to Arizona, he spent twenty years regulating professionals in the New Jersey Division of Consumer Affairs.  He was the Executive Director of the New Jersey Board of Dentistry for many years, and  in the past regulated  several other categories of health care professionals, including the Board of Medical Examiners. He holds a BA in Public Affairs from George Washington University, an MBA from Rutgers University and an MPH with a concentration in health policy from Columbia University.   www.AzDA.org

John Dovgan: “I have been retained by Defendants and Plaintiffs’ counsel as an expert in the area of dental standard of care. I have been a continually practicing full-time dentist for over 26 years and currently practice in Phoenix, Arizona. I have been a board approved consultant for over 20 years, adjudicating more than 1,000 dental board cases in Arizona. The primary responsibility of a board-approved consultant is to understand and define the standard of care and deviations from the standard of care. I have adjudicated cases that include failure to diagnosis, failure to treat dental conditions, dental fraud, inadequate treatment, over treatment, death of a patient, over sedation, inappropriate behaviors of a doctor and/or staff, inadequate clinical practice, inadequate treatment planning, appropriateness of care, and board generated cases due to malpractice settlements or awards. I have adjudicated cases in all fields of dentistry.   I was appointed by the Governor of the State of Arizona as their Dental Expert Witness for the Parsons’s v. Ryan class action lawsuit in 2013. I also was chosen by the Attorney General of the State of Michigan as their Dental Expert Witness for their class action lawsuit (Johannes v. Heyns) as well as Dental Defense Expert in the Federal Detainee Case in Illinois (Smego v. Mitchell).   In addition, I currently consult and provide expert reports to the Arizona State Board of Dental Examiners. I developed the only board-approved template used by dental consultants and board members as a guideline to assess appropriateness of care.   Also, I have been retained as a dental expert witness in over 100 cases for both defendants and plaintiffs since the beginning of 2010 due to my expertise in the standard of care. I have over 3,000 hours of continuing education, including advanced training in prosthetics (both removable and fixed), dental implants, risk management, Occupational Safety and Health Administration (OSHA), Computer-Aided Design (CAD/CAM), Cone Beam Computer Tomography (CBCT), full mouth reconstruction, digital x-rays, endodontics, and lasers (both hard and soft tissue). I have been a beta tester for Dentrix, a dental software program commonly used by dentists throughout the United States, and I am familiar with other commonly used dental software programs.   Furthermore, I have lectured and done live patient demonstrations using both hard and soft tissue lasers. I have taught hundreds of dentists how to operate dental lasers, and I have published in restorative implant dentistry.   “DOCS” has utilized several suggestions I have made in establishing Standard of Care guidelines for sedation protocols as well as incorporated labels for emergency kits I help develop. Additionally, I am a board-approved anesthesia evaluator and onsite inspection evaluator for the State of Arizona. I administer oral examinations and onsite inspections for anesthesia 1303 permits.   Lastly, I currently lecture on “The Standard of Care — What is it? What is it not?” as well as do Webinars for continuing education.”   www.dovgandental.com

Dr. Elliott is a 1980 graduate of the University of Texas Dental School in Houston. He has been in private practice there since then. He completed a 3 year implant residency at Loma Linda School of Dentistry in 2000. He is an Honored Fellow of the American Academy of Implant Dentistry and a Diplomate of the American Board of Oral Implantology/Implant Dentistry.   Dr. Elliott was a named plaintiff in a Federal lawsuit against the Texas Board of Dental Examiners for the right to claim specialty status in Implant Dentistry. The court found in favor of the plaintiffs by summary judgement in January 2016.   He is also  the director of TexMAX® the newest AAID sponsored MaxiCourse® for implant education in the world.

About this Episode: February is National Children’s Dental Health Month.  Nearly one in three children ages two to five years old in the U.S. are affected by tooth decay. It’s important to treat cavities and keep your child’s baby teeth in good shape, because they are the foundation for a healthy mouth.   This episode is brought to you by Jumpstart:HR, LLC HR Outsourcing for Small Businesses and Startups www.jumpstart-hr.com   About Jade Miller DDS: Dr. Jade Miller is the current President of the American Academy of Pediatric Dentistry. He has maintained a private practice in pediatric dentistry since 1983 in Reno, Nevada USA. He is married and is proud father of 3 children and 2 grandchildren. Besides maintaining a full-time dental practice Dr. Miller has many other involvements outside of his dental practice.   -Within Organized Dentistry- Past Delegate to the American Dental Association; ADA Council on Dental Education and Licensure Representative. Chairman, Committee on Anesthesiology; Chairman of Continuing Education Recognition Process (CERP) Committee; ADA Advisory Committee on Evidence-Based Dentistry; Past President, Nevada Dental Association and Northern Nevada Dental Society;   -Within Governmental Agencies: Chairman, Nevada State Board of Health; President, Nevada State Board of Dental Examiners; Nevada Trust Fund for Public Health; Nevada State Board of Dental Examiners, Examiner, Sedation Examiner and Disciplinary Officer; Medical Advisory Committee State of Nevada Medicaid.   -Certifications, Awards and Honors: Board Certified in Pediatric Dentistry; American College of Dentist; International College of Dentist; Academy of Dentistry International; Pierre Fauchard Academy;   -Academic appointments: Faculty, University of Nevada, School of Medicine-Cranial Facial Anomaly Team; Faculty, University of the Pacific, Arthur Dugoni School of Dentistry; Faculty, University of Washington School of Dentistry.

Brett is joined by Joe V., an anti-trust attorney, a Harvard Law graduate, and all-around smart guy to discuss Constitutional issues and Antitrust law.  Brett and Joe discuss how whether the evolution of the Second Amendment has hurt or helped gun rights, and also cover the case of North Carolina Board of Dental Examiners v. FTC, which is likely the most interesting court case you will hear this year about teeth-whitening. 

In Segment I, AAO general counsel Kevin Dillard and host Pam Paladin discuss the February 2015 Supreme Court ruling on North Carolina State Board of Dental Examiners v. Federal Trade Commission.     Segment 2 focuses on the RAISE bill, proposed legislation that would increase the annual cap on Flexible Spending Accounts, a tax-advantaged benefit offered by many employers, that families can use for healthcare services.  AAO's legislative counsel Kevin O'Neill of Squire Patton Boggs joins the conversation with Dillard and Paladin to explain the bill's status, and how AAO members can contact their representatives in Congress.   Length: 44 minutes

North Carolina State Bd. of Dental Examiners v. FTC | 10/14/14 | Docket #: 13-534