AAOMS
Volume 2, Issue 4
September/October 2004
In This Issue
In My View .........................2
Treasurer’s Account ............5
Practice Management
Matters.............................14
Coding Corner.................14
Calendar ..........................16
News Briefs
ANNUAL MEETING ISSUE
This issue of AAOMS Today
contains highlights of the
86th Annual Meeting,
Scientific Sessions and
Exhibition in San Francisco,
California.
VIEW IMAGES FROM
THE MEETING
To relive the moments or to
order keepsakes, go to
thephotogroup.com, click on
“online proofing” and enter
the password “gallery.”
UNABLE TO ATTEND
THE MEETING?
You can still hear many of
the presentations with audio
and video recordings from
The Sound of Knowledge.
An order form is included
with this issue.
DRUG ALERT!
Bisposphonate treatment
linked to reports of
spontaneous osteonecrosis
of the jaw. See page 4.
TODAY A publication of the American Association of Oral and Maxillofacial Surgeons
OMSs Mine CE Gold at 86th Annual Meeting
The Sound and the Fury
Not to be deterred, AAOMS members braved both man and mother nature
to make the 2004 annual meeting in San Francisco the second most highly
attended in AAOMS history. Despite an earthquake, the threat of side effects
from a pending volcanic eruption, and the raucous – and constant – chants
of picketing union workers, the show went on without major disruption.
By The Numbers
1992 OMSs, 360 residents, 891 assistants,
95 non-members, 1410 spouses and guests and
1056 exhibitors brought total meeting attendance
to over 5800; a total registration second only to An ACLS recertification course was one
of more than 100 sessions available to
the 2002 annual meeting in Chicago.
attendees.
Science Rules!
As usual the
educational
Outgoing President, sessions dominated
Elgan P. Stamper, DDS, the program with
recapped his year in office
a schedule that
during the first session of
the House of Delegates. featured 11 major
symposia and a
morbidity and mortality conference on
anesthesia. Registrants also found more than
100 surgical and practice clinics, five abstract
sessions, and a poster session. Supplementing
the sessions were coding workshops, risk
management seminars, a number of open
forums, and programming designed
specifically for OMS staff. A new audience
response system utilized in some sessions was
an overwhelming success.
Special Lectures
Keynote Lecture Incoming President Daniel J. Picketing hotel workers surrounded the
Harold C. Slavkin, DDS, dean of the Daley Jr., DDS, MS shared his Hilton for most of the week.
University of Southern California School of priorities for the coming year after
Dentistry and former director of the National his installation on September 30.
Institute for Dental and Craniofacial Research,
discussed the possibilities for the application of basic science
discoveries and new technologies to the field of oral and
maxillofacial surgery and the evolution from using mechanical
solutions to biological solutions for diseases
and disorders.
Chalmers J. Lyons Memorial Lecture
AAOMS was proud to welcome Professor Dr.
Heinz-Otto Peitgen, professor of mathematics,
University of Bremen, Germany as the 2004
Chalmers J. Lyons Memorial Lecturer.
Professor Peitgen presented on “The Science
of Chaos and its Role in Surgical Planning.”
Philip Maloney Trauma Lecture Drs. Lanny R. Garvar, Thomas J. Skiba and R. Lynn White
are installed as trustees during the third session of the
Edward Ellis, III, DDS, MS, chief of House of Delegates on September 30.
oral and maxillofacial surgery at Parkland
Hospital, Dallas, TX delivered the Philip Maloney
Trauma Lecture as part of a symposium on trauma. Continued on page 6
His lecture addressed orbital trauma.
AAOMS Today • September/October 2004 1
 AAOMS TODAY IN MY VIEW
Volume 2, Issue 4
September/October 2004
AAOMS Today is published six times a year
by the American Association of Oral and
Maxillofacial Surgeons.
There Are Only Middles
Unless specifically stated otherwise, the opinions
expressed and statements made in AAOMS Today
do not imply endorsements by, nor official policy
Daniel J. Daley, Jr., DDS, MS, Two thousand active members will
of, AAOMS. Drexel Hill, PA, was installed as be selected at random to receive a
Daniel M. Laskin, DDS, MS, Editor
president of the American questionnaire to determine the
Robert C. Rinaldi, PhD, CAE, Executive Director
Janice K. Teplitz, Associate Executive Director Association of Oral and membership’s needs and perceptions
Janie K. Dunham, Manager, Editorial and Production Maxillofacial Surgeons on September involving every aspect of our
Julie A. Carr, Senior Staff Associate,
Design/Production 30, 2004, during the third session of association. I ask that if you receive
the House of Delegates in San this survey please give it your utmost
AAOMS
9700 W. Bryn Mawr Avenue
Francisco, CA. His inaugural thought and consideration. To assist
Rosemont, Illinois 60018-5701 address, in which he shares his views in that analysis, I will appoint a
847/678-6200, fax 847/678-6286
www.aaoms.org on the priorities of the specialty and priorities task force to review and
his plans for the coming year, is compare the data from this survey President Daniel J. Daley, Jr., DDS, MS
OFFICERS
Daniel J. Daley, Jr., DDS, MS, President excerpted here for those members and past surveys and to develop a
610/623-4211 Fax: 610/623-2850
E-Mail Address: daleyjro@aol.com who were unable to attend the list of priorities for board and staff maintain and advance our well-
2300 Garrett Road
Drexel Hill Medical Bldg
installation. review. As in the past, we will earned reputation and credibility. We
Drexel Hill, Pennsylvania 19026-1102 engage an outside consultant to will use every opportunity to
Jay P. Malmquist, DMD, President-Elect
503/292-8824 Fax: 503/297-7810 Several years ago Boyd Tomasetti facilitate a strategic planning retreat, influence the opinion of legislators,
E-Mail Address: jmalmqu950@aol.com
5415 S.W. Westgate Drive, Ste. L-7
pronounced this a great time to be the results of which will be presented regulatory bodies and the public.
Portland, Oregon 97221-2409 an oral and maxillofacial surgeon. It to the 2005 House of Delegates for When we have been given the
W. Mark Tucker, DDS, Vice President was true then and it is still their consideration. opportunity to tell our story, it
813/972-2000 Fax: 813/978-5864
E-Mail Address: w.tucker@med.va.gov true today, but it never gets Our strength lies Remember, the better comes through loud and clear. We
13000 Bruce B. Downs Blvd
Tampa, Florida 33612 any easier. To paraphrase in our hearts and the input, the better the need to stay on message and
Ira D. Cheifetz, DMD, Treasurer the great poet Robert Frost, output. continue to use the proven strategies
609/587-2900 Fax: 609/587-1749 our members’
E-Mail Address: iradc@aol.com “There are no such things as that have brought us success in
2303 Whitehorse-Mercerville Road, Suite 5
Mercerville, New Jersey 08619-1994 ends and beginnings. There ability to work As I assume the role of Tennessee and Virginia and in other
Elgan P. Stamper, DDS, Immediate Past President are only middles.” Since the together and president, I cannot help states.
818/952-8183 Fax: 818/952-6437
E-Mail Address: epstamper@aol.com earliest days of my stay focused... but reflect on the legacy
1370 Foothill Boulevard, #200
La Canada, California 91011 involvement in AAOMS we of leadership that has This is probably as good a time as
Robert C. Rinaldi, PhD, CAE, have simultaneously fought to brought us to where we are today. I any to reiterate the need for all
Executive Director and Secretary
847/678-6200 Fax: 847/678-4302 advance the practice of oral and think back to when I began my OMSs to continue to be available for
E-Mail Address: brinaldi@aaoms.org
9700 W. Bryn Mawr Avenue maxillofacial surgery while seeking training and realize that so much has facial trauma call. One of our
Rosemont, Illinois 60018-5701
to safeguard our hard-earned been accomplished in such a short strongest arguments in the credibility
Steven R. Nelson, DDS, MS
Speaker, House of Delegates victories from those who would take time. Our successes have given us a arena is the American College of
303/758-6850 Fax: 303/758-0729
E-Mail Address: snelson@rmoms.com them from us. As we prepare to vision of greatness; our struggles Surgeons’ Guideline for Optimal
6850 E. Hampden Ave., Suite 202. embark on AAOMS’s 87th year, I have made us strong and given us Care requirement that all Level I and
Denver, Colorado 80224
regret to inform you, nothing has the courage to stand tall and defend Level II trauma centers have an
TRUSTEES
Lee D. Pollan, DMD, MS, District I
changed. what is right. Our strength lies in OMS on call. As our opponents look
585/594-1122 Fax: 585/594-1870 our hearts and our members’ ability for ways to chip away at our scope
E-Mail: ldpoms74@aol.com
4415 Buffalo Road I am honored to follow in the path to work together and stay focused of practice, the lack of OMS
North Chili, New York 14514-1024
trod by AAOMS’s past leaders, for the betterment of the entire participation in trauma call will be
Edwin W. Slade, Jr., DMD, JD,
District II whose exemplary guidance has taken specialty. used against us.
215/345-7373 Fax: 215/345-0242
E-mail: eslade@comcast.net us from a specialty of exodontists to
101 Progress Drive a specialty that is fully involved in Going forward, advocacy in the area Outpatient general anesthesia has
Doylestown, Pennsylvania 18901-2509
Lanny R. Garvar, DMD, District III all aspects of care relating to the of scope of practice will remain a always been a core element of our
954/721-7990 Fax: 954/720-9484
E-mail: : lrg1jaws@aol.com maxillofacial complex. We did not priority. We have had many specialty. We are proud of our long
7401 N. University Drive, Suite 102
Tamarac, Florida 33321-2991
arrive at this point in our history by victories, but our opposition has history and record of delivering safe
Thomas J. Skiba, DDS, MS, District IV chance or by luck. Through the learned from us how to better fight and cost effective anesthesia care.
815/459-5600 Fax: 815/459-5601
E-mail: tskiba@sbcglobal.net years a dedicated cadre of members the battle. Economic competitors, We can never take this privilege for
Crystal Lake OMS, Ltd
690 North Route 31
and a remarkably able and especially in the area of cosmetic granted. The recent passage by the
Crystal Lake, Illinois 60012 committed support staff, have surgery, have formed a large and AAOMS House of Delegates of
R. Lynn White, DDS, District V
512/246-7949 Fax: 512/ 346-9427
worked and planned to improve well-funded coalition that monitors mandatory in-office anesthesia
E-mail: rlynnwhite@austin.rr.com quality of care and educational our every move on a state-by-state evaluation demonstrates our
Austin OMS Associates
7800 Mopac Expressway opportunities and to expand the and national basis. Their weapon of commitment to self-regulation and
Suite 270
Austin, Texas 78759 specialty’s horizons in every choice has been the media, and they the strengthening of our standards as
Richard A. Crinzi, DDS, MS, District VI direction. have fed this beast a steady diet of a means of improving patient care
425/881-3255 Fax: 425/885-1366
E-Mail: drcrinzi@aol.com misinformation designed to demean and quality outcomes. Health care
15955 NE 85th Street
Suite 104 The road map that guides us along our education, training, and remains one of the most highly
Redmond, Washington 98052 this path is the AAOMS Strategic competence. Several large regulated industries in the United
AAOMS ASSOCIATE Plan, which enables us to focus on newspapers, including the New York States. As the delivery of health care
EXECUTIVE DIRECTORS those programs and activities most Times and the Denver Post, have continues to favor an outpatient
Randi V. Andresen, Advanced Education
and Professional Affairs, ext. 4337 likely to help us achieve our goals. In had to retract statements regarding model, there are some providers who
Scott C. Farrell, Business and Operations, the very near future, we will embark these issues. We will continue to will push the envelope with
ext. 4352
Laura M. Jelinek, Continuing Education, on our triennial process to review challenge these assertions and disastrous results that may well
Meetings and Exhibitions, ext. 4309 and update the entire Strategic Plan. develop an advocacy action plan to sweep us along in the aftermath.
Carol L. O’Brien, Esq, General Counsel,
Advocacy and Legal Affairs, ext. 4351 Only by maintaining our high
Janice K. Teplitz, Communications and Publications,
ext. 4336
Karen Wittich, Practice Management and
Governmental Affairs, ext. 4334

2 AAOMS Today • September/October 2004


standards and being proactive in our
efforts will we be able to distinguish
ourselves from these lesser trained
practitioners and maintain our rights
and privileges. In 2006, we will
publish the next edition of the
AAOMS Parameters and Pathways,
and in 2005 as the new edition of
the Outpatient Office Anesthesia
Evaluation Manual. AAOMS has
always been a leader and a model
for others in these areas, and both of
these publications serve as “bibles”
for most state dental boards.
Over the past several years, AAOMS
has considered the root causes of the
faculty shortage affecting OMS
training programs around the
country, and sought innovative ways
to address the specific problem of
recruiting and retaining new faculty.
The future of our specialty is
dependent on training sufficient
OMSs to fulfill our educational
needs and the demands of the public.
If we cannot meet the clinical needs
of the patient population, other
specialties will surely step in and
usurp parts of our traditional scope.
Interestingly, it was less than ten
years ago that an AAOMS-
commissioned study concluded we
were training too many OMSs. My
how quickly times have changed!
To enhance the image of, and add
value to, the terms “educator” and
“researcher,” AAOMS will sponsor a
three-day research summit in the
spring of 2005 to promote training
to insure adequate numbers of
talented, well-trained and diverse
investigators. We are pursuing
NIDCR participation to raise the
profile and prestige of this effort.
The goals of this summit include:
1. Identify and coordinate areas
of scientific opportunity in
OMS.
2. Expand research training and
educate attendees on grant
writing and career
development.
3. Enhance awareness of research
opportunities that cross
programmatic and
organizational boundaries.
4. Enhance the translation of
research results with the
ultimate goal of improved
patient care in the oral and
maxillofacial region.
Staying in the research vein – with
the passage of Resolution B-7 –
funds will be available to complete
the final phase of the Third Molar
Study. To refresh your memory, this
study began as a five-year effort to
examine decision-making criteria for
the removal or retention of third
molars. Our sincere thanks to Dr.
Raymond P. White, his research
team, and the multi-center clinicians
who provided the outcomes data. To
date there have been 45 papers and
abstracts published. We will look
forward to the final summary of this
project.
As I look ahead to the coming year, I
ask that you continue to support and
participate in our allied and sister
organizations: OMSPAC, ABOMS,
OMSF, ASI and OMSNIC.
Dr. Assael, we look forward to
another outstanding year of
publication of JOMS and the newly
formed dental implant section.
AAOMS will continue to provide
state-of–the-art educational
opportunities in clinical and practice
management to help us keep up with
important and ever-changing aspects
of our practices.
None of these activities would be
possible without the effort of our
members who give unstintingly of
their time to committee assignments,
task forces, and continuing
education obligations, all for the
benefit of AAOMS and the specialty.
Supporting all of this is a dedicated,
energetic and relentless staff under
the direction of Dr. Robert Rinaldi.
I deeply appreciate and understand
the privilege you have bestowed on
me this year and know full well I
will look to you for wisdom and
advice and cherish every moment of
the year.
I look forward to seeing you all in
Boston next September. Stay well,
stay safe, and stay involved.
I am Daniel J. Daley, Jr. and I
approve this message!!! THANK
YOU!
AAOMS Fellow Robert Brandjord
New ADA President-Elect
Robert M. Brandjord,
DDS, Eden Prairie, MN
was installed as
president-elect of the
American Dental
Association at its 145th
Annual Session in
October. He will assume
the presidency of the
149,000-member ADA
in 2005.
Dr. Brandjord, a past Robert M. Brandjord, DDS University of
president of the
Minnesota Society of
Oral and Maxillofacial Surgeons
and the Minnesota Dental
Association, had just completed
four years as ADA trustee from
the Tenth District, which includes
Iowa, Nebraska, Minnesota,
North Dakota and South Dakota
prior to his installation as
president-elect.
Dr. Brandjord received his dental
degree from the University of
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AAOMS Today • September/October 2004
Minnesota and
completed his oral
and maxillofacial
surgery training at
Detroit-Macomb
Hospitals and
Children’s Hospital
of Michigan, both
in Detroit. He was
named Outstanding
Clinical Instructor
for 1971 at the
Minnesota School
of Dentistry and
received the President’s Award
from the Minnesota Dental
Association in 2000. He maintains
a private practice in Burnsville.
In addition, Ronald L. Tankersley,
DDS, Greenville, SC was elected
to serve as trustee for ADA
District 16. Frank C. Grammer,
DDS, MDS, Fayetteville, AR
serves on the ADA board from
District 12. ■
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3
 Bisphosphonate Treatment Linked to Reports of Spontaneous Osteonecrosis of the Jaw
On September 24, 2004, the Food
and Drug Administration and
Novartis notified healthcare
professionals of revisions to the
PRECAUTIONS and ADVERSE
REACTIONS sections of labeling,
describing spontaneous reports of
osteonecrosis of the jaw mainly in
cancer patients, who have received
bisphosphonates as a component of
their therapy. A dental examination
with appropriate preventive dentistry
should be considered prior to
treatment with bisphosphonates in
patients with concomitant risk
factors (e.g. cancer, chemotherapy,
corticosteroids, poor oral hygiene).
An early report regarding the
potential adverse effects of
bisphosphonates therapy appeared in
the May 2004 issue of the Journal of
Oral and Maxillofacial Surgery 1
In a “Dear Healthcare Professional”
letter dated September 24, 2004,
Novartis Oncology advised of
changes to the Precautions and Post-
physician should guide the
management plan of each patient
based on individual benefit/risk
assessment.
In the U.S. Package Insert for both
Aredia and Zometa the following
information on osteonecrosis had
previously been added to the
Adverse Reactions section under
Post-Marketing Experience:
Post-Marketing Experience
Cases of osteonecrosis (primarily
involving the jaws) have been
reported in patients treated with
bisphosphonates. The majority of
the reported cases are in cancer
patients attendant to a dental
procedure. Osteonecrosis of the jaw
has multiple well documented risk
factors including a diagnosis of
cancer, concomitant therapies (e.g.,
chemotherapy, radiotherapy,
corticosteroids) and co-morbid
conditions (e.g., anemia,
coagulopathies, infection, pre-
existing oral disease). Although
causality cannot be determined, it is
prudent to avoid dental surgery as
recovery may be prolonged. (See
PRECAUTIONS)
Healthcare professionals should
report all serious adverse events
suspected to be associated with the
use of Aredia or Zometa to FDA’s
MedWatch Reporting System by
phone at 1-800-FDA-1088, by
facsimile 1-800-FDA-0178, by mail
The Year of the Dental
using the Form 3500 at
http://www.fda.gov/medwatch/index.
html.
Read the MedWatch 2004 safety
summary, including links to the
"Dear Healthcare Professional"
letter and the revised label, at:
http://www.fda.gov/medwatch/SAFE
TY/2004/safety04.htm#zometa ■
1
J Oral Maxillofac Surg. 2004
May;62(5):527-34. Related Articles,
Osteonecrosis of the jaws associated
with the use of bisphosphonates: a
review of 63 cases. Ruggiero SL,
Mehrotra B, Rosenberg TJ, Engroff SL,
Division of Oral and Maxillofacial
Surgery, Long Island Jewish Medical
Center, New Hyde Park, NY 11040,
USA. ruggiero@lij.edu

▼
▼
▼
Implant: Present and
Marketing Experience section of the Future State of the Art
Aredia® (pamidronate disodium)
Injection and Zometa® (zoledronic
acid) Injection prescribing
information. In the U.S. Package
Insert for both Aredia and Zometa,
the following information on
osteonecrosis of the jaw has been
added under the Precautions Section:

Precautions
Osteonecrosis of the jaw
Osteonecrosis of the jaw (ONJ) has
been reported in patients with cancer
receiving treatment regimens
including bisphosphonates. Many of
these patients were also receiving
chemotherapy and corticosteroids.
The majority of reported cases have December 3-4, 2004
been associated with dental
procedures such as tooth extraction.
Chicago, Illinois
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Many had signs of local infection Sheraton Chicago Hotel
including osteomyelitis. and Towers
Hear from the experts on:
A dental examination with ■ Reconstruction of the edentulous maxilla
appropriate preventive dentistry and mandible
should be considered prior to ■ New techniques for aesthetic implant
treatment with bisphosphonates in restorations

patients with concomitant risk ■ Avoiding complications

factors (e.g. cancer, chemotherapy, Complement your educational experience

corticosteroids, poor oral hygiene). with an exhibition offering everything you
need to maintain your state-of-the-art den-
While on treatment, these patients tal implant practice!
should avoid invasive dental
procedures if possible. For patients
who develop ONJ while on ▼
bisphosphonate therapy, dental ▼
surgery may exacerbate the
condition. For patients requiring
▼
dental procedures, there are no data
available to suggest whether The American Association of Oral and Maxillofacial Surgeons is
accredited by the Accreditation Council for Continuing Medical
American Association of Oral
discontinuation of bisphosphonate Education to provide continuing medical education for physicians. and Maxillofacial Surgeons
treatment reduces the risk of ONJ.
Clinical judgment of the treating

4 AAOMS Today • September/October 2004

TREASURER’S ACCOUNT
Corporate Support: A Present and Future Partnership
The officers and trustees of the
American Association of Oral and
Maxillofacial Surgeons take seriously
the AAOMS mission to “contribute
to the public welfare; to advance the
specialty; and to support our fellows
and members through education,
research and advocacy.” We are also
aware that AAOMS’s resources are
finite, and that non-dues revenue is
an important source to help us
achieve the goals set out in our
mission. Over the years, it has been
our good fortune to partner with
solid, committed companies that
recognize the benefits of our
specialty and the unique
opportunities presented by AAOMS
educational programs and
publications.
This year 3i, Implant Innovations,
Inc. underwrote a one-year
subscription to JOMS for final-year
OMS residents, and also provided
support for the special dental
implant supplement to JOMS, which
accompanied the September issue of
the Journal. At our 86th annual
meeting, 3i and W. Lorenz Surgical,
Inc, each provided a $100,000
Faculty Educator Development
Award Grant, payable over three
years, to encourage promising young
oral and maxillofacial surgeons or
faculty members to pursue a career
in academia within the specialty.
Our annual meeting and dental
implant conference are popular
choices for companies seeking to
support the specialty. 169 companies
exhibited at the meeting in San
Francisco, with 1,050 representatives
serving in the booths. As we’ve tried
to enhance our meetings while still
controlling our expenses in light of
rising costs, we’ve looked to our
corporate partners to assist us by
providing support for our social
events; promotional activities such as
the meeting bags, badge lanyards,
and walking maps; publications,
including the passport; symposia and
educational programming; and some
of the program features that make
the annual meeting work, such as
the buses to and from the Moscone
Center.
Once again in 2004, our exhibit
partners have generously stepped
forward and provided funding for
many of these enhancements. I’m
sure those of you who attended the
recent meeting in San Francisco will
agree that the annual meeting has
come a long way in the last five
years. The corporate support fees
provided by our partners are above
and beyond what they pay for
exhibitor booth space, staff
representation at the meetings, costs
of the exhibits themselves, and costs
of transportation. This year, six
corporate supporters achieved the
highest status, Platinum Level,
reflecting their significant
contributions to AAOMS-sponsored
events. They are 3i, Implant
Innovations, Inc., Discus Dental
Software, Nobel Biocare USA, Inc.,
Straumann USA, Inc., W. Lorenz
Surgical, Inc. and Zimmer Dental.
Treasurer
Ira D. Cheifetz, DMD
Two corporate supporters, KLS
Martin, LP and Synthes
Maxillofacial, achieved Gold Level
status, and three corporate
supporters, AAOMS Services, Inc.,
Criticare Systems, Inc. and Treloar
and Heisel, Inc., achieved Silver
Level status.
Other corporate supporters at the
Bronze Level include Astra Tech,
Inc., Bicon Dental Implants; CDx
Laboratories, Inc.; Dentsply Friadent
Ceramed; Elsevier Science; Inion
Inc., Lifecore Biomedical, Inc.;
Osteomed, LP; PracticeWorks, Inc.;
Continued on page 11
AAOMS Today • September/October 2004 5

Abstract and Poster Sessions
Each of the five abstract sessions
was devoted to a particular topic.
They included oral scientific
presentations of original work on a
clinical or research topic, and
scientific innovations intended to
introduce new ideas and share
experiences that might stimulate
investigations.
2004 Straumann
Resident Scientific
Presentation Awards
Four oral and maxillofacial surgery
residents received the 2004
Straumann Resident Scientific
Presentation Awards. This year’s
recipients were:
James R. Morgan, DDS,
Iowa City, IA
“The Involvement of NA(V)1.8 in a
Behavioral Model of Orofacial
Inflammatory Hyperanalgesia”
Mark R. Ryser, DDS,
New Orleans, LA
“Relationship of Vertical and
Horizontal Crestal Bone Levels on
Implants and Teeth to Papilla”
Ma’Ann Sabino, DDS, PhD,
Minneapolis, MN
“Tumor-induced Injury of Sensory
Nerve Fibers in Bone Cancer Pain”
Rick C. Tsay, DMD, MD,
New York, NY
“Differential Growth Factor
Retention by Platelet-rich Plasma
Composites”
The annual competition is designed
to stimulate scientific research and
publication among residents in
recognized OMS training programs.
Sponsored by Straumann USA, the
awards of $2,000 are presented to
the primary authors of the winning
manuscripts. The AAOMS
Committee on Continuing Education
and Professional Development selects
the winners. Applications for the
2005 Straumann Resident Scientific
Presentation Award may be obtained
6 AAOMS Today • September/October 2004
ANNUAL MEETING RECAP
by visiting aaoms.org or by
contacting the AAOMS Department
of Continuing Education at
800-822-6637.
2004 Synthes Scientific
Abstract and Poster Awards
Synthes Maxillofacial generously
provided a $10,000 unrestricted
grant to provide monetary awards to
scientific poster and abstract
presenters at the 2004 AAOMS
Annual Meeting. The following
abstract and poster presenters each
received an award of $1,000:
Abstract Awards
Abstract Session 1:
Anesthesia/Infection/Epidemiology/
Trauma Management
T. Matthew Jacks, DDS, University
of North Carolina, Chapel Hill, NC
“Progression of Periodontitis in the
Third Molar Region in
Asymptomatic Patients”
Abstract Session 2:
Maxillofacial Pathology/Other
Rui Fernandes, DMD, MD,
University of Maryland,
Baltimore, MD
“T1 Oral Tongue Squamous Cell
Carcinoma: Local and Regional
Failures”
Abstract Session 3:
Maxillofacial Reconstruction
Haru Abukawa, DDS, PhD,
Massachusetts General Hospital,
Dept. of OMS, Boston, MA
“A Novel Fused Interconnected
Scaffold for Bone Tissue
Engineering”
Abstract Session 4:
Maxillofacial Reconstruction/
Nerve Repair/TMJ/Facial
Cosmetic Surgery
Srinivas Susarla, Harvard
University, Cambridge, MA
“Surgeon versus Patient Assessment
of Neurosensory Function After
Lingual Nerve Repair”
Abstract Session 5: Best Basic Science Presentation
Orthognathic/Wound Repair Takahiro Koyama, DDS, University
Michael W. Morrison, DDS, Graduate School of Medical and
University of Pittsburgh, Dental Sciences, Niigata, Japan
Pittsburgh, PA “Development and Characterization
“Rescue of Premature Coronal of Tissue-Engineered Oral Mucosa
Suture Fusion with Tgf-beta2 Using Cryopreserved Oral
Neutralizing Antibody in Rabbits Keratinocytes”
with Delayed Onset Synostosis”
Best International Presentation
Mikiko Nakamura, DDS, PhD,
Poster Awards University of Fukui, Fukui, Japan
“FDG-PET and Tumor Angiogenesis
Best Clinical Presentation
in Oral Squamous Cell Carcinoma”
Maico Melo, DMD, Washington
Hospital Center, Washington, DC
The poster session, an informal
“Bisphosphonates and Avascular
forum that allows for discussion of
Necrosis of the Jaws: A
clinical findings, featured 23
Pathophysiologic Paradox?”
presentations. The session was
offered Thursday through Saturday
to provide a convenient viewing time
for meeting attendees.
2004-2005 AAOMS Officers and Trustees
2004-2005 Officers and Trustees. Standing, left to right: Richard A. Crinzi, DDS, MS,
Redmond, WA (District VI); R. Lynn White, DDS, Austin, TX (District V); Thomas J. Skiba,
DDS, MS, Crystal Lake, IL (District IV); Lanny R. Garvar, DMD, Tamarac, FL (District III);
Edwin W. Slade, Jr., DMD, JD, Doylestown, PA, District II); Lee D. Pollan, DMD, MS,
North Chili, NY (District I); and Steven R. Nelson, DDS, MS, Denver, CO, Speaker of the
House. Seated left to right: Elgan P. Stamper, DDS, La Canada, CA, immediate past
president; W. Mark Tucker, DDS, Tampa, FL, vice president; Daniel J. Daley, Jr., DDS,
MS, Drexel Hill, Pennsylvania, president; Jay P. Malmquist, DMD, Portland, OR,
president-elect; Ira D. Cheifetz, DMD, Mercerville, NJ, treasurer; and Robert C. Rinaldi,
PhD, CAE, secretary and executive director.
Daniel J. Daley, Jr., DDS, MS, The following trustees were elected
Drexel Hill, PA was installed as to two-year terms on the board:
AAOMS president for the coming Lanny R. Garvar, DMD, Tamarac,
year and Elgan P. Stamper, DDS, La FL (District III) and Thomas J.
Canada, CA, will serve as immediate Skiba, DDS, MS, Crystal Lake, IL
past president. They will be joined (District IV). R. Lynn White, DDS,
by the following officers: President- Austin, TX was re-elected to a two-
Elect Jay P. Malmquist, DMD, year term representing District V.
Portland, OR; Vice President W. Trustees continuing their service on
Mark Tucker, DDS, Tampa, FL; the AAOMS Board of Trustees are
Treasurer Ira D. Cheifetz, DMD, Richard A. Crinzi, DDS, MS,
Mercerville, NJ; and Speaker of the Redmond, WA (District VI); Lee D.
House Steven R. Nelson, DDS, MS, Pollan, DMD, MS, North Chili, NY
Denver, CO. Drs. Tucker and Nelson (District I) and Edwin W. Slade, Jr.,
will serve one-year terms; Dr. DMD, JD, Doylestown, PA (District
Malmquist will succeed to the II) ■
position of president at the
conclusion of the 2005 annual
meeting.
Anchors Aweigh for President’s Event The Perfect
Complement
The President’s Event set the course
for fun on Thursday evening when
more than 1150
boarded the San
Francisco Belle, a
paddlewheel
steamboat that is
the newest
attraction on the
San Francisco Bay.
After a dockside
reception and
buffet dinner, guests
cruised the bay to
the strains of jazz,
Guests of all ages kept the Belle
reggae or rock and rocking through the moonlit cruise
roll wafting from of the San Francisco Bay.
each of the Belle’s The sold-out exhibit hall housed
four decks. 169 firms displaying all the
products and services available to
the successful practice of oral and
The event was held maxillofacial surgery.
in honor of AAOMS
President Elgan P.
Stamper, DDS and
his wife, Carolyn.

The 2004 President’s Event, the One of the city’s

annual meeting’s main social event,
was held in honor of AAOMS
Belle was the venue
President Elgan P. Stamper, DDS and
his wife Carolyn.
And the
Winner Is…
newest attractions,
the San Francisco
for the 2004
President’s Event.
Five exhibitors hosted showcase
sessions to highlight their newest
products. Knowing that annual
meeting time is at a premium for
members, AAOMS specifically
arranged the schedule to ensure
that no educational or business
sessions conflicted with the
showcases or the Connection
Reception in the exhibit hall that
immediately followed them.

AAOMS and Nobel

Biocare once again raffled
the chance to win a
three-year lease on a
luxury vehicle – this year
for the coveted Porsche
Boxter. The lucky
winner was Mel Hebel.

AAOMS Today • September/October 2004 7


Opening Ceremony Honors Major Specialty Achievements
The annual meeting opening
ceremony was held Wednesday
evening, September 29. The
ceremony featured the presentation
of awards honoring distinguished
achievements in the specialty. Those
honored include:
86th Annual Meeting Dedication
• Dr. Thomas J. Starshak
Mrs. Barbara Starshak, representing her
late husband, Dr. Thomas J. Starshak, as
86th Annual Meeting Dedicatee, receives
a plaque form AAOMS President Elgan P.
Stamper.
Committee Person
of the Year Award
• Dr. Arthur C. Jee
Dr. Arthur C. Jee (right) receives the
Committee Person of the Year Award
from AAOMS Immediate Past President
Larry W. Nissen.
William J. Gies Foundation
Award in OMS
• Dr. Edward Ellis, III
Dr. Edward Ellis, III (left) is presented
the William J. Gies Foundation Award
in OMS by AAOMS President-elect
Daniel J. Daley, Jr.
8 AAOMS Today • September/October 2004
ANNUAL MEETING RECAP
Donald B. Osbon Award for an
Outstanding Educator
• Dr. Leonard B. Kaban
Dr. Leonard Kaban (center), receives
the Donald B.Osbon Award for an
Outstanding Educator from Dr. Patrick J.
Louis, chair, Faculty Section (right) and
Mr. Joel Pratt, W. Lorenz Surgical.
Daniel M. Laskin Award for an
Outstanding Predoctoral Educator
• Dr. Richard A. Smith
Dr. Richard A. Smith (left) is presented the
Daniel M. Laskin Award for an Outstanding
Predoctoral Educator by AAOMS Vice
President Dr. Jay P. Malmquist.
Presidential Achievement Awards
• Drs. Alan H. Kaye and Stuart N. Kline
Dr. Alan H. Kaye (left) is presented the
Presidential Achievement Award by
Dr. Malmquist.
Special Honorary Fellowship OMS Foundation
• Mr. David Barnard, President of Torch Award
British Association of Oral and • Mr. Ethan I. Jackson
Maxillofacial Surgeons
Mr. Ethan I. Jackson (right) accepts the
Special Honorary Fellow Mr. David OMSF Torch Award from Dr. Braun.
Barnard accepts a certificate from
Dr. Stamper.
OMS Foundation Research AAOMS/OMSF Faculty Educator
Recognition Award Development Awards (FEDA)
• Dr. Stephen E. Feinberg • Dr. Deepak Kademani
• Dr. Jessica J. Lee
• Dr. Teresa A. Morgan, 3i Implant
Innovations, Inc. Faculty Educator
Development Award
• Dr. Paul S. Tiwana, W. Lorenz
Surgical Faculty Educator
Development Award
• Dr. Brent B. Ward
Dr. Stephen Feinberg (left) receives the
Oral and Maxllofacial Surgery Foundation
Research Recognition Award from OMSF
Chairman Thomas W. Braun.
Dr. Deepak Dr. Jessica J. Lee
Kademani
Dr. Teresa A. Dr. Paul S. Tiwana
Morgan
Dr. Stuart N. Kline (left) is presented the
Presidential Achievement Award by Dr.
Nissen.
Dr. Brent B. Ward
 We Couldn’t Have Done It without You
The generosity of corporate SILVER LEVEL
Outstanding Legislator OMS Foundation sponsors enabled programs and
AAOMS SERVICES, INC
of the Year Awards Daniel M. Laskin Award services and just plain perks that
Daily Schedule of Events
• California Senator Samuel M. • Dr. David H. Perrott AAOMS could not have provided
Shuttle Bus Service
Aanestad (R-CA) • Ms. Judy P. Yuen alone. A heartfelt thank you to all
Resident Organization
• U.S. Senator Charles E. Grassley • Ms. Randi V. Andresen our corporate partners who
(ROAAOMS)
(R-IA) • Dr. Thomas B. Dodson contributed to the meeting’s
success:
CRITICARE SYSTEMS, INC
Annual Meeting Bucks
Resident Organization
PLATINUM LEVEL (ROAAOMS)
3i-IMPLANT INNOVATIONS INC
TRELOAR & HEISEL, INC
Registration Passports
Resident Organization
President’s Event
(ROAAOMS)
JOMS Subscription for Senior
New Fellow/Member/
Residents
House of Delegates Reception
JOMS Dental Implant Supplement
Dr. Samuel M. Aanestad is presented the Dr. David H. Perrott (right) accepts the
3i Faculty Educator
Outstanding Legislator of the Year Award OMSF Daniel M. Laskin Award from Development Award
by Dr. Stamper. Dr. Braun.
BRONZE LEVEL
DISCUS DENTAL SOFTWARE ASTRA TECH, INC
Message/E-mail Center Audiovisual Equipment
President’s Event
Outstanding Fellow/Member OMS Foundation Ambassador Resident Organization BICON DENTAL IMPLANTS
Political Activist Award Service Awards (ROAAOMS) Shuttle Bus Service
• Connecticut Society of OMS • Dr. James Q. Swift
• Dr. James A. Davis NOBEL BIOCARE USA, INC CDX LABORATORIES
Auto Raffle Annual Meeting General Fund
Connection Reception Resident Organization
Resident Organization (ROAAOMS)
(ROAAOMS)
DENTSPLY FRIADENT CERAMED
STRAUMANN USA, INC Annual Meeting General Fund
Badge Lanyards
Hotel Key Cards ELSEVIER SCIENCE
San Francisco Walking Maps Presenter’s/Program Office
Resident Scientific Presentation
Awards INION, INC
Dr. Alan R. Rissolo (left) accepts the International Reception
Outstanding Fellow/Member Political Dr. James Q. Swift (center) and Dr. James
Activist Award from AAOMS Treasurer Ira W. LORENZ SURGICAL, INC
A. Davis (right) are presented the OMSF
D. Cheifetz on behalf of the Connecticut Ambassador Service Awards. Opening Reception LIFECORE BIOMEDICAL, INC
Society of Oral and Maxillofacial Surgeons. Resident Organization Symposia
(ROAAOMS) Resident Organization
Donald B. Osbon Award (ROAAOMS)
W. Lorenz Surgical Faculty
AAOMS Community Service Educator Development Award OSTEOMED, LP
and Leadership Award Beverage Break
• Dr. Gregory V. Sarka ZIMMER DENTAL
Registration Bags PRACTICEWORKS, INC
Shuttle Bus Service

GOLD LEVEL SOUTHERN ANESTHESIA

& SURGICAL
KLS MARTIN, LP
Allied Staff Programs
President’s Event
Annual Meeting General Fund
Resident Organization
(ROAAOMS)

SYNTHES MAXILLOFACIAL
Dr. Gregory V. Sarka receives the AAOMS Poster Session Awards
Community Service and Leadership Abstract Session Awards
Award from Dr. Cheifetz. Annual Meeting General Fund
Resident Organization
(ROAAOMS)

AAOMS Today • September/October 2004 9


Taking Care of Business: Actions of the 2004 House of Delegates
During its first session, the AAOMS
House of Delegates elected Mark E.
K. Wong, DDS to a seven-year term
on the Board of Directors of the
American Board of Oral and
Maxillofacial Surgery. In a closed
session, the House also elected
Professor Hugo L. Obwegeser to
honorary fellowship in the
association.
The second session of the House
convened on Wednesday, September
29. Below is a summary of the
resolutions adopted during this
session.
Four of the resolutions generated
significant discussion, both in
reference committee hearings and on
the floor of the House:
• A resolution amending the bylaws
concerning component
membership and fulfillment of the
office anesthesia evaluation and
re-evaluation program. After
much debate concerning the
content, timing and
applicability of the
evaluations, the
resolution was
adopted by the
House.
The amendment
requires that those
fellows/members
grandfathered from
the vertical
membership
requirement must
still successfully
complete the office anesthesia
evaluation. The amendment also
specifies that those who were
grandfathered shall not have their
AAOMS membership
discontinued solely as a result of
their failure to hold membership
in their component society.
• A resolution increasing honoraria
for officers of the Board of
Trustees and instituting honoraria
10 AAOMS Today • September/October 2004
ANNUAL MEETING RECAP
for the district trustees was
adopted. The House vote reflected
the overriding sentiment that
honoraria help ease the financial
burden of what has become an
extensive commitment to the
association and that the financial
assistance, although limited, may
help encourage greater numbers
to consider service to the
organization.
The honoraria are as follows:
$100,000 to the president;
$80,000 to the president-elect;
$50,000 to the vice president;
$40,000 to the treasurer;
$40, 000 to the immediate past
president and $35,000 to each of
the six district trustees.
• The House referred to the
appropriate AAOMS committee
for review with a report to the
2005 House of Delegates a
resolution amending the Code of
Professional Conduct with respect
to advertising a dental or medical
specialty other than oral and
maxillofacial surgery.
Subsequently, during its third
session, the House accepted as
new business and adopted a
resolution stipulating that the
Commission on Professional
Conduct respond to advertising
complaints (which currently
account for half of the complaints
received by the commission) with
advisory opinions only, reserving
the right to apply disciplinary
actions in the most egregious
cases.
The House adopted a resolution
approving the policies as
approved by the Board of
Trustees for the period October
2003-September 2004, with the
exception of an item concerning
the House of Delegates’ reserve
fund. That item was referred to a
special committee of the House
with geographical representation
for clarification and re-evaluation
with a report to the 2005 House
of Delegates.
Subsequently, during its third
session, the House appointed the
following to a special committee
to review and evaluate policies
relating to the reserve fund:
Dr. Donald L. Gossett (MO),
chair
Dr. Michael J. Hunter (MA)
Dr. Michael A. Kleiman (NJ)
Dr. Robert A. Strauss (VA)
Dr. Timothy E. Kabot
(IL)
Dr. Henry C. Windell
(OR)
Dr. Steven R. Nelson
(CO), consultant,
Speaker of the
House
Under new business,
the House adopted a
resolution that the
House reserve fund
contribute $100,000
to an AAOMS House
of Delegates FEDA
Award for 2005-07.
In other actions, the House adopted:
• A resolution, designed to
encourage and facilitate resident
membership in organized OMS,
that requires component state
societies to establish a resident
member category in their bylaws
and allows residents to begin their
component society membership
application process in their senior
year, prior to graduation from
their training program.
• A resolution amending the bylaws
concerning a dues reduction for
faculty fellows and members to
clarify that eligibility for this
reduction is on a one-time basis
only.
• A resolution amending the
definition of oral and maxillofacial
surgery by adding a statement on
anatomical parameters.
• A resolution re-certifying the
following state societies as
component state societies of
AAOMS: Colorado, Connecticut,
Florida, Georgia, Kansas,
Massachusetts, Nebraska,
New York, Pennsylvania,
and Washington.
• An amendment to the bylaws
changing the name of the
Committee on Budget and
Finance to the Committee on
Finance and Audit.
• A resolution directing the
contribution of $60,000 to the
final year of the Third Molar
Study from the House of
Delegates Reserve Fund.
• A resolution approving a
proposed 2005 operating budget
with revenue of $13,211,492 and
expenses of $13,027,456.
• A resolution amending the name
and duties of the Advisory
Committee on Research and
Technology Assessment to the
Advisory Committee on Research
Planning and Technology
Assessment.
2005 Oral and Maxillofacial Surgery Self Assessment Tool (OMSSAT) — April 18-19, 2005
The 2005 OMSSAT is in the final stages of preparation. The 2005 OMSSAT RATIONALE: Example 2:
will include: Symptoms of superior orbital Post auricular ecchymosis in cases of
fissure syndrome include: high velocity trauma is usually
Content Area Section Editors 1. Pupillary dilation via indicative of:
TMD/Pain Samuel J. McKenna alteration in cranial nerve III
Pathology/Reconstruction Eric R. Carlson function in it’s innervation of A. fracture of the vertex of the skull
Anesthesia Jeffrey D. Bennett the pupillary constrictors. B. mandibular fracture
Orthognathic/Cleft/Craniofacial Ramon L. Ruiz 2. Paresis of cranial nerves III, C. basilar skull fracture
IV, and IV causing D. LeFort III fracture
Please keep the following deadlines in mind: ophthalmoplegia.
3. Cranial nerve III involvement ANSWER: C
causes paresis of the levator
Date Activity
palpebrae superiorus muscle, RATIONALE:
November 30, 2004 Applications due for Programs leading to ptosis and loss of A fracture of the skull base results in
the superior palpebral fold. the extrusion of blood
January 14, 2005 Applications due for Diplomates
4. Neurosensory disturbance to subperiosteally. This hematoma or
and OMS practitioners
the first division of cranial ecchymosis may be exhibited at the
January 21, 2005 Fees due from programs nerve V with hypesthesia of thin skinned mastoid region (post-
the supraorbital and auricular), as hemotympanum, as
March 21-April 15, 2005 Register for examination with NCS Pearson
supratrochlear nerves and loss bilateral periorbital ecchymosis, or
April 18-29, 2005 Examination of the corneal reflex. as a posterior pharyngeal ecchymosis
5. Proptosis from engorgement or hematoma.
of the ophthalmic vein and
The OMSSAT application can be The OMSSAT is also available as a lymphatics. REFERENCE:
found and completed at self assessment mechanism to Wong, M.E.K., and Johnson, J.V.; in
www.aboms.org. All resident ABOMS diplomates and AAOMS The orbital apex syndrome Fonseca, R.J.: Oral and Maxillfacial
applications must be completed by fellows. The fee for non-residents is includes all of the above plus Surgery. W.B. Saunders, Co. 2000:
November 30, 2004. All resident $270. optic nerve involvement, leading 254, 255
fees must be paid by January 21, to changes in visual acuity. Stedman’s Medical Dictionary; 27th
2005. If the training program has Once the assessment tool has been Ed. 2000 Lippincott Williams &
not paid the fees by January 21st scored those participating in the test REFERENCE: Wilkins, Philadelphia, PA
residents from that program will not are free to go to the ABOMS Web Zacharides et al, The superior
be permitted to take the OMSSAT. site to view statistical data on those orbital fissure syndrome. J
The fee is $135 per resident. who took the OMSSAT. In addition, Maxillofac Surg 13: 125-8, 1985
the entire assessment which includes Zacharides et al, Orbital apex
A number of improvements will be the items, correct answer, references syndrome. Int J Oral Maxillofac
implemented for the testing process from which the items were Surg 16:352-4, 1987
in 2005. For example testing centers developed and the rationale for the
will be made available in Canada, correct answer can be downloaded
France, Germany, and Great Britain. and printed for future review and
Special arrangements will have to be study. A few sample items from the
made for these centers and 2004 OMSSAT can be found below.
information on facility requirements,
testing system installation and setup, Example 1:
registration and scheduling, The clinical sign differentiating
examination administration, and superior orbital fissure syndrome
post testing protocols will be sent to from orbital apex syndrome is:
all training programs who have this A. absence of superior palpebral
available to them. fold
B. proptosis Treasurer’s Report continued from page 5
There will be greater opportunities C. dilated and fixed pupil
for Saturday testing. Programs who D. decreased visual acuity and Southern Anesthesia & Surgical, have forged close ties with our
wish to schedule all their residents Inc. In all, over $650,000 has been exhibitors over the years. At future
on Saturday can make special ANSWER: D raised this year in the form of cash meetings including this year’s dental
arrangements through the ABOMS and in-kind contributions for the implant conference, I ask that all
staff. annual meeting and other activities, AAOMS members continue to
including $77,000 targeted for patronize our exhibition partners,
ROAAOMS activities. who in turn will continue to provide
much-needed support to our
And let’s not forget all those organization. Remember, AAOMS
companies that participate in the members have year-round access to
annual meeting and dental implant AAOMS exhibitors via the online
conference exhibit halls. In San Virtual Exhibit Hall on the
Francisco, many exhibition partners aaoms.org Web site. Click on
again went above and beyond our “Exhibitors” located on the left side
expectations in supporting AAOMS of the home page to visit the online
activities at the annual meeting and Virtual Exhibit Hall. ■
other events. Like me, many of you

AAOMS Today • September/October 2004 11

 How Health Savings Accounts (HSAs) Can Impact You and Your Practice
By Kenneth C. Thomalla, CPA, CLU, CFP®, Vice President, Marketing, Treloar and Heisel, Inc.
A Health Savings Account (HSA) is
similar to the older Medical Savings
Account in that deposits can be
made into an account that
accumulates year after year. An
important difference with the HSAs
is that they are open to everyone
with a qualified high deductible
health insurance policy. A high
deductible health insurance plan is
one with a deductible of at least
$1,000 for an individual or $2,000
for a family.
In 2004, an HSA can be opened and
deposits made of up to $2,600 for
an individual and $5,150 for
families. Deposits can be made by an
employer, employee or combination
of both up to the maximum limits.
The employer contributions are tax
deductible and not taxable income to
an employee. There are no earning
limits for an HSA.
Portable Anesthesia
Pulse Oximeters
Defibrillators
Vital Signs & CO2 Monitors
12 AAOMS Today • September/October 2004
The accumulating deposits within an
HSA can be used to pay for health
insurance deductibles, co-payments,
prescription and over-the-counter
drugs, medical services and products.
Additionally, these funds can be used
to pay long-term care insurance
premiums. Remaining funds after
each year are left to accumulate. The
accumulation benefit differs from
Flexible Spending Accounts (FSA) in
that, under an FSA, unused deposits
are lost at year’s end.
Interest and investment gains of an
HSA are not taxable as long as the
funds are used for qualified
expenses. Non-qualified withdrawals
will be taxed as ordinary income. If
a non-qualified withdrawal takes
place prior to age 65, there will be
an additional 10% tax.
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The investment options will vary
between companies. Some will offer
a fixed rate of return while others
may offer an array of mutual funds.
Some consider an HSA another way
to save for retirement while
providing benefits during your
working years. As mentioned
previously, any unused benefits
withdrawn on a non-qualified basis
after age 65 are taxed the same
way as a distribution from an IRA
would be taxed. Thus, by making
maximum contributions to an HSA,
an individual may indirectly benefit
and supplement other retirement
programs.
Individuals currently insured with a
high deductible plan should give
serious thought to establishing an
HSA. Practices that cover all
employees will need to consult with
AEDs (Defibrillators)
Ask about our
AAOMS member
rebate program.
their insurance advisor regarding the
benefits of establishing an HSA.
These practices may need to increase
current deductibles for their staff.
However, the decreased cost of the
health insurance may allow the
employing doctor the opportunity to
fund a portion of the HSA for their
staff.
Regardless of your practice’s health
insurance situation, it may be
beneficial to review a HSA with
your advisors to ascertain the
benefits. For more information,
contact Treloar and Heisel, Inc. at
1-800-852-4900.
This article is only advisory in
nature. No action should be taken
without full and complete
consultation with your accountant
and other financial advisors. ■
Surgical Chairs
Patient Monitors
Anesthesia Systems
OMSF Gift
Remembers
Beth Ingrassia
Dr. James R. Ingrassia of South
Carolina has made a generous estate
gift to the Oral and Maxillofacial
Surgery Foundation in memory of
his loving wife, Beth, who recently
passed away after a long illness. Dr.
Ingrassia wrote this about his wife.
“We met while attending the College
of Pharmacy at The Ohio State
University. In time we embraced the
charm and beauty of the South and
have cherished our many friends in
AAOMS.”
Dr. Tony
Traynham, friend
of Dr. Ingrassia,
added his own
special thoughts
about the couple.
“I cannot
remember
attending a
Beth Ingrassia Southeastern
Society meeting
without seeing Beth and Jim. While I
was playing golf, having a beer, etc,
they would spend most of their time
together. Beth’s wish was that she
live until Jim became president of
the Southeastern Society. She almost
made it— this year he is our
president.”
The OMSF expresses our deepest
sympathy to Dr. Ingrassia and his
family and sincerely appreciates his
gift in memory of Beth.
THE EDITOR’S CORNER
“I Don’t Know”
As a healthcare provider, saying
these three words to a patient can
be an onerous task. After all,
aren’t we supposed to know
everything in our field? Doesn’t
saying it show ignorance or failure
on our part? In dental school
saying this to an instructor meant
we had neglected our studies or
had not mastered the information.
We became conditioned to never
say, “I don’t know.”
This attitude often carries over
into residency training until we
realize that academic survival is
not an overriding concern and that
there are really no tests to worry
about. At this point, not knowing
hopefully becomes a springboard
to learning. It indicates the gaps in
our knowledge and what we need
to know. Rather than feeling
humiliated when we don’t know
something, we become stimulated
to find the proper information
because we realize that a patient’s
welfare could depend upon it. We
even feel confident enough to
admit it to our fellow residents
when we are faced with a problem
that we cannot solve.
All this seems to change when we
become teachers and practitioners.
When questioned by a dental
student or a resident, how often
have we dared to say that we do
not know the answer rather than
disguise it in circumlocution? If
the student or resident accepts the
explanation, they will never seek
the correct answer. This may
preserve our reputation, but it
does not benefit the student.
Perhaps a more honest reply
would break down some of the
barriers that often exist between
students and teachers and make
them less afraid to ask questions
when they lack the necessary
information. They would benefit
from such a situation and so
would we.
As practitioners, we are also asked
many questions. In this new
world, patients are educating
themselves more about their
physical problems and are
constantly seeking
additional
information as
they endeavor to
become informed
consumers. Here
again, we are
often faced with Daniel M. Laskin,
questions that we DDS, MS
may not be able to answer. Do
we give patients a roundabout
answer, or do we admit that we
do not know? To gain a patient’s
trust, I believe that we need to be
competent and have an adequate
body of knowledge, but we must
also be willing to admit when we
do not know an answer. When this
means that more information
about the history or physical
findings is needed, more tests or
radiographs are needed, or we
need to discuss this problem with
someone who may be more
experienced or have more
knowledge in this area, such
honesty can only instill greater
confidence and improve, rather
than weaken, the doctor-patient
relationship. This I do know!!! ■
AAOMS Today • September/October 2004 13
 Practice Management Matters
Knowing and Keeping a Talented Team
Question:
Is it essential for the OMS office to
utilize a performance appraisal for
employees?
Answer:
How does the doctor or the office
manager discover the inner talents —
or the inner desires — of personnel?
The performance appraisal,
performed no less than once a year,
is an excellent way to not only
measure past and present
performance, but also to discover or
uncover new ideas, new talents and
desired challenges. The performance
appraisal enables the supervisor to:
(1) get to know the team members
better; (2) encourage growth; (3)
discover interests by asking what the
employee thinks are his or her strong
points and how those strengths may
be further developed; (4) learn which
new skills the employee would like
to develop; and (5) accertain what
areas of their performance would
they like to improve.
The performance appraisal provides
the supervisor the opportunity to
talk about and design projects that
may involve the employee. These
projects may improve or solve
problems for the practice and could
give employees a chance to expand
their horizons. If employees are not
permitted and encouraged to use
their knowledge and talents on the
job, the practice risks losing to a
more challenging career.
Question:
Once a team of talented personnel
has been developed, how do you
keep them from leaving the practice?
Answer:
Each employee is unique and must
develop his or her own style for
accomplishing tasks. You can
enhance this uniqueness to the
benefit of your practice by
incorporating these six basic
strategies for keeping talented team
members:
1. Learn about your team members
and their skills and interests
through conversations and
performance appraisals.
14 AAOMS Today • September/October 2004
2. Be alert for such signs as
absenteeism, slow performance of
tasks, loss of enthusiasm, and
poor attitude, which may indicate
a need for change.
3. Match your team members’ skills
with their interests.
4. During the employee’s
performance appraisal, establish
and write goals for their personal
development.
5. Let employees know that personal
growth and development is
possible within your practice and
that that even though they have
come a long way, there is still
room for growth. Every person
wants and needs to hear that from
their employer. This
encouragement along with
appropriate action can boost
employee morale.
6. Recognize, reinforce and praise
your employees for their
accomplishments and for work
well done. Positive reinforcement
solidifies excellent behavior and
brings about desired results.
Whether this reinforcement comes
in the form of formal recognition,
such as a bonus check, or as an
informal recognition, such as a
compliment, you will find that
this may be the most important
thing that you can do to
encourage employee satisfaction.
Dr. Michael LeBoeuf, author of
GMP, The Greatest Management
Principle in the World, says that
you must pay attention to what is
being rewarded, because that
which is being rewarded will be
repeated.
This edition of Practice Management
Matters was authored by Cathy
Jameson, PhD. Dr. Jameson is
president of Jameson Management,
Inc., an international dental lecture
and consulting firm. Cathy will be
the featured speaker at the April 9,
2005 Practice Management Meeting.
Visit the AAOMS Web site for more
details.
Do you have any Practice
Management questions that you
would like addressed in Practice
Management Matters? Please contact
Beth Nardiello at 800/822-6637 ext.
4357 or bnardiello@aaoms.org
CODING CORNER
New Codes for Alveoloplasty –
One to Three Teeth!
The long-time dilemma of not An alveoloplasty involves more
being able to report alveoloplasties than simple bone smoothing and
performed on “less than a the OMS must document the
quadrant” as defined by CDT service in the patient’s record. It
should be resolved starting January would not be appropriate to bill
1, 2005. CDT 2005 includes two for an alveoloplasty when routine
new codes – D7311 and D7321 – protocol is followed during an
both describing alveoloplasties extraction. A true alveoloplasty
performed in less than a quadrant. must include significant
D7311 will be used to report an recontouring of the socket margins
alveoloplasty performed in and typically requires suturing for
conjunction with extractions in less optimal healing.
than a quadrant and D7321 will be
used to report alveoloplasty not in As such, in conjunction with the
conjunction with extractions, but addition of the two new alveolo-
again, in less than a quadrant. plasty codes, it was recognized that
descriptors of existing extraction
The “per quadrant” terminology in codes D7111, D7140 and D7210
existing alveoloplasty codes, required clarification and have
(D7310 and D7320) is defined in been revised accordingly to specify
CDT as “four or more contiguous the inclusion of minor smoothing
teeth and/or teeth spaces distal to of the socket bone.
the midline,” which precluded their
use for alveoloplasties performed Be sure to see the enclosed Practice
on one to three teeth. Management Notes for a complete
explanation of the upcoming
changes to CDT 2005 effective
January 1. ■
Don’t let time stand in the
way of an open position or
a great career opportunity...
The AAOMS Employers can recruit the best and brightest
candidates by listing opportunities on the AAOMS
Career Line gives Career Line. You also have the option to receive
instant e-mail notification when candidates meeting
employers instant the criteria apply.
access to available Candidates can use the AAOMS Career Line to
help make that strategic professional move. Post
candidates, and a your resume. Create an online profile. Receive job
alerts.
platform for job Click on the Career Line button on the AAOMS
seekers to post splash page (www.aaoms.org) or call 888/884-8242
for more information.
their resumes Career Line is a premiere recruitment service
24 hours a day, provided to AAOMS members through AAOMS
and the HealtheCareers Network.
seven days a week.
All disciplines
benefit...
 OMS practices using
PBHS Truform™ online
patient registration are
saving thousands of
dollars and hundreds
of hours in char t
preparation.

“Our office has approximately

70% of patients pre-register

with Truform.” says Sarah Leath,

Office Manager of Avon Oral

Surgery in Avon, Indiana. “We

save about 15 minutes per chart

or 7.5 hours a day in preparation

and data entry.” Charts are

PBHS designed websites prepared in less time and data

can be passed to the practice

enhance office productivity. management software.

“Patients are happier because

they can fill out our custom forms

Practice Branding from the comfort of their own

home. We’re happier because

Website Design Services
it’s legible and they can’t forget
Referral Based Marketing the forms at home.”

Patient Education

Dental Implant Shouldn’t your practice benefit

Demographic Marketing
from the latest in PBHS website technology?
DVD Informed Consent

Truform™ utilizes the same encryption technology as online

banking institutions and is HIPAA compliant. For more information

pbhs call PBHS at (800) 840 5383 or visit www.pbhs.com today.

AAOMS Today • September/October 2004 15

 AAOMS CALENDAR

2004 DECEMBER December 3-4

AAOMS Dental Implant
2005 MAY
December 2 Conference May 4-6
NOVEMBER Hard and Soft Tissue Sheraton Chicago MARCH AAOMS Research Summit
Courses Hotel and Towers Rosemont, IL
November 14–15 March 17-19
Sheraton Chicago Chicago, IL
Coding Workshop: AAOMS/ADSA Anesthesia
Hotel and Towers SEPTEMBER
Beyond the Basics Symposium:
Chicago, IL
Denver, CO Complications and Risk
September 20-23
Management in
Business Sessions
Ambulatory Anesthesia
Charleston, SC September 21-24
Scientific Sessions
September 22-24
Exhibition
AAOMS 87th Annual
Meeting, Scientific
Grow your practice with cost-saving programs Sessions and Exhibition
Held in conjunction with
approved by AAOMS/ASI the British Association of
Oral and Maxillofacial
Surgeons
Hynes Convention Center
Boston, MA

DECEMBER
P R O G R A M S F O R YO U R P R A C T I C E : December 2-3
APPROVED BY  Credit Card Processing through Chase Merchant Services: Members receive low AAOMS Dental Implant
swipe rate, plus many other benefits such as 20¢ per transaction fee, no application fee Conference
and a FREE pin pad for debit card transactions. Call 800/801-0392 for more information.
Member Code: AAOMS. Sheraton Chicago
 CareCredit: Patient Financing Programs with no recourse. Call 800/300-3046, ext. 519. Hotel and Towers
 Corporate Credit Card: No annual fee, low APR, high credit line. AAOMS Platinum Plus® Chicago, IL
for Business MasterCard®. sets individual credit lines for staff and simplifies tax preparation
with free quarterly reports. Call 800/598-8791. Priority Code NCV5.
 D.R.E., Inc.: Purchase refurbished and new medical equipment at a special AAOMS
discount of 3%. Call 800/499-5373 to speak with a D.R.E. representative about your
specific equipment needs.
 DRx – A Division of Wellinx: Pre-packed Prescription Dispensing Service; Advertising
Call 800/999-9379 for FREE DRx Demo-Kit.
 FastAttach™: Electronically transmit x-rays, operative reports, intraoral photos, EOB’s Advertising inquiries
and any other required information for insurance carriers to view in support of electronic
claims. You can also view attachments from referring dentists with new FastAttach™ Plus. other than classifieds
AAOMS members receive 65% discount off $200 registration fee. Go to www.nea-fast.com should be directed to
and put AAOMS in the promotion code box or call 800/782-5150, ext. 2 for more Ms. Inez Herrero,
www.aaomsservices.org information. Member Code: AAOMS.
 Henry Schein Financial Services/Choice Health Leasing: Expand your leasing and Advertising Sales
If you have financing options with HSFS, a new ASI and AAOMS Approved Partner Program. They have Representative, Elsevier
resources and experience to help your OMS practice deal successfully with the financial Science, 360 Park
any questions or challenges created by today’s industry demands. Call 800/668-0629 for more information.
comments about any Member Code: AAOMS. Avenue South, New
of the programs,  Office Depot: AAOMS members experience up to an 80% discount on a core list of office York, New York;
supplies and 3% on other items whether ordering on-line, by fax or phone. For detailed telephone: 212/633-
please contact instructions on how to enroll call AAOMS Services, Inc. at 800/822-6637, ext. 4319.
AAOMS Services, Inc.  Professional Apparel: AAOMS members and their staff can purchase quality scrubs and
3122; fax: 212/633-
at 800/822-6637, protective medical apparel at a special discount. 800/922-1456 for more information. 3820; e-mail:
AAOMS discount code is A1503. i.herrero@elsevier.com.
ext. 4319.  Southern Anesthesia & Surgical: Receive discounted pricing on In-Office Sedation and
Surgical Supplies. Call 800/624-5926.
Only advertisers in the
 Tech Depot: Save on over 100,000 technology products for the office and home shown Journal of Oral and
RECEIVE $100 on Tech Depot’s Web site at www.aaoms.techdepot.com. To enjoy this benefit, simply fill out Maxillofacial Surgery
ASI is searching for new the membership form on the Tech Depot partner page on the ASI website at will be accepted. The
www.aaomsservices.org, or call Dave Mast at 800/721-8340.
programs for 2005. publication of an
If your suggestion is PERSONAL LIFE STYLE PROGRAMS:
advertisement is not to
approved by the ASI  HealthCare Associates Credit Union (HACU): AAOMS members and their office staff be construed as an
receive very competitive vehicle and first mortgage loan rates through HACU. For more
Committee and The information, please call 800/942-0158 (Chicago area residents call 630/276-5555). endorsement or
AAOMS Board, Member Code: AAOMS. approval by the
you will receive a  MBNA Deposits Program: Offers preferred rates to AAOMS members for CDs, Money American Association
Markets and IRAs. Call 800/900-6693, Priority Code HA08M.
$100 finder’s fee of Oral and
 Personal Credit Card: No annual fee, low APR, earn points towards travel and
Print out the form merchandise. AAOMS WorldPoints Platinum Plus Rewards® MasterCard®. Apply on-line at
SM Maxillofacial Surgeons
on the ASI website at www.aaomsservices.org or call 866/438-6262. Priority Code BUN2. of the product or
www.aaomsservices.org  Preferred Auto Brokers: Pre-owned or new luxury vehicles at an affordable price are service being offered in
available for AAOMS members to either lease or purchase. Vehicles can be delivered direct
or call ASI at to your home or practice at no extra charge. Call 303/886-4426 and use the AAOMS the advertisement unless
800/822-6637, Member ID Code: AAOMS4PA. the advertisement
ext. 4319.  Wide World of Golf (WWG): AAOMS members receive a 5% discount on all specifically includes an
Signature Tours or a Tailor Made Tour. To view the selections of tours, look online at
www.wideworldofgolf.com, then call 800/214-4653. Make sure to identify yourself authorized statement
as an AAOMS Member in order to receive the 5% discount. that such approval or

www.aaomsservices.org endorsement has been

granted. ■

16 AAOMS Today • September/October 2004