President’s Message November 2018


One of the first tasks third year medical students learn when they begin clinical rotations is how to request a specialist consultation. The referrals to specialists (e.g., cardiologists, internists, urologists, ENT, etc.) request the specialists to use their knowledge and expertise to ‘take charge” of patient care within their realm. More often than not the medical student will not be involved in the care of that
patient after the referral has been made. Wiser students maintain follow-up with the patient and the specialist to enhance their learning experience. By graduation, medical students know how to communicate and interact with specialists.
Third year dental students become primary caregivers to patients in a variety of diagnostic, restorative, and specialty clinics. One of the primary goals of dental school curriculum is to provide basic experience with specialty care (e.g., perio, endo, oral surgery, pedo, etc.) so the new dentist may clinically care for their patients in a general dental office setting. Whereas dental students receive limited experience with specialty care, they are not as adept as their medical student counterparts at managing the inter-specialty (interdisciplinary) needs of their patients by the time they graduate. This may produce some ambiguity about what the graduate dentist can do, should do, or if/when they should refer the patient to a specialist. How do you reply to a patient that asks “Doc, why can’t you do that for me rather than sending me somewhere else?”
Dentistry is an interdisciplinary profession. Every doctor desires the best outcome for their patients, which may necessitate several doctors providing their skillful care for a single patient. How do we attain excellent outcomes with multiple doctors involved treating a single patient? Every patient caregiver
must recall basic sciences, communicate well, know their limitations, learn what other caregivers can and cannot do, and welcome new information as well as accept criticism.
Exceptional treatment is based upon definitive diagnosis and partitioning care. A single patient may receive care from several doctors, with each doctor becoming “in charge” of the patient during their phase of treatment. Again, exceptional results occur when every doctor understands the treatment plan and yields “control” of the patient when it is time for another doctor to become “in charge”.

Bus analogy: The patient is the bus, and all the caregivers are in the bus taking turns driving it. The bus (patient) knows the destination, but does not know the terrain (anatomy), roads (physiology and pathology), or (treatment) challenges getting to their destination (completed treatment). The bus drivers (caregivers) change with each driver “in charge” of their portion of the journey. All drivers, even when not driving, must be aware of the entire route, confident of the other drivers, and adapt to changes in the itinerary.
Whether a general dentist or a specialist, it behooves us to remember basic sciences, maintain as well as advance our clinical skills, be very aware of the abilities of our colleagues, and have exemplary communication with everyone. Communication is the foundation for trust, friendships, and usually,
peace of mind when we go home after work.

The CADS Board of Directors excels as a multidisciplinary team to serve its members. This includes developing monthly meetings, continuing education and social events, representing you on the state and national levels, and even publishing the CADS web site and the STAR (you are reading it). Organized
dentistry keeps you informed and protects your interests by monitoring and interacting with state and national legislators.
Did you know that you can pay your annual dues with monthly installments from your credit card, rather than paying a “lump sum”? Thank organized dentistry!
Become involved! Come to meetings and CADS activities! Have fun interacting with your peers! We are here for you, and always welcome your help to make our profession the best it can be!
By Dale M. Gallagher, DDS, PA
CADS President, 2018-2019


New Dentist Corner November 2018

Thank you to everyone that came out to our Rock Rose Pub Crawl last month!  We loved seeing everyone in costumes and enjoyed mixing and mingling. Thank you to our wonderful sponsors DJ Bhola CPA and Wealth Strategies!  One of the highlights of our pub crawl was the kick off of our CADS Mentorship Program.  This is a unique and invaluable opportunity we offer our members and we are excited that the interest in the program was so high.  Members will automatically be paired with a mentor if you are in your first year after graduation. All others who are interested can sign up online at www.capitalareadental.org/mentorship/.  

We wish you a very blessed Thanksgiving!  It’s truly a joy serving as your New Dentist Chairs!


Emily Conley, DDS & Rebecca Montalvo, DDS
CADS New Dentist Committee Chairs



George Washington’s Dental Problems

George Washington never owned a set of wooden teeth, but he did own many sets of dentures.

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11-18Zachary Wassmuth

November General Meeting!!!

The Importance of Dental/Otolaryngology Collaboration in the Diagnosis and Treatment of Obstructive Sleep Apnea

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Jonathon Kimes 5-13

Editor’s Corner November 2018

Austin Paid Sick Leave Ordinance on Hold

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Dentists in History-PaulRevere

Paul Revere

Paul Revere (January 1735-May 10, 1818) was an American silversmith, engraver, early industrialist, and Patriot in the American Revolution.  He is best known for his midnight ride to alert the colonial militia in April 1775 to the approach of British forces before the battles of Lexington and Concord, as dramatized in Henry Wadsworth Longfellow’s poem, “Paul Revere’s Ride”.

During the 1760’s, an English dental surgeon named Dr. John Baker taught Revere how to make and fit patients with artificial teeth.  Revere set up his own practice in Boston and advertised his services in the Boston Gazette in 1770.  The National Museum of Health and Medicine notes that Revere fitted Dr. Joseph Warren (June 11, 1741 – June 17, 1775), a Harvard trained physician and fellow patriot, with a set of ivory dental prosthetics to replace his upper left canine and first premolar that he had attached to Warren’s jaw with gold wire.

Paul Revere inadvertently became America’s first forensic dentist when he was given the gruesome task of identifying the body of Dr. Joseph Warren, the man who sent him on his famous “midnight ride”.  Warren was struck down by a British bullet during the Battle of Bunker Hill on June 17, 1775 and his corpse was buried in a mass grave.  When Warren’s family unearthed the grave nine months later, visual identification of the bodies inside was near impossible because they had decomposed.  So Revere, the man who crafted the slain officer’s false teeth, was asked to locate Warren’s remains by finding the ivory dentures he crafted and wired to Warren’s jaw.

Identification of a person based on their teeth was an unconventional technique in the 18th century.  Paul Revere’s use of simple forensic dentistry is described by the National Museum of Health and Medicine as “one of the earliest cases of forensic evidence used to identify a fallen American soldier”.





CADS 2nd Annual Table Clinic Meeting

Capital Area Dental Society 2nd Annual Table Clinic Meeting

Date:  October 16, 2018   

Time:  FREE Happy Hour: 5:30pm – 6:30pm * Meeting starts at 6:30pm  

Austin Country Club – 4408 Long Champ Dr, Austin 78746

          Lecture Course * 2 Hours CE Credit

Cost: $40 member dentist/$50 members with late registration (if available)

$50 guest of member dentist; $70 nonmember dentist

RSVP: By 10:00 a.m. FRIDAY, OCTOBER 12

To RSVP & PAY with Credit Card, go here

To RSVP & PAY with Check or Cash, call 512.335.1405

If you need a vegetarian, vegan or gluten free meal, tell Nancy when

making your reservation.  Reservations are released at 6:30pm

Reservations not cancelled by 10:00am Friday, Oct 12 will be billed

Back by popular demand, this meeting will feature table clinic presentations rather than a single lecture.  The goal is to share as much information as possible in the room between the “table clinicians” and CADS members.  This is an excellent opportunity for sharing, teaching, and learning.

Here is how it works:  The presenting dentists will be assigned to a table where they will demonstrate or review a technique or practice pearl.  Meeting attendees will be free to visit any or all of the tables throughout the evening. Topics vary from clinical tips and tricks to practice management and leadership advice.

Presenters include:  Dr. Paul Gates, Dr. Shailee Gupta, Dr. Richard Hlista, Dr. Jerry Katz, Dr. Bill Kaylakie, Dr. Robert Naples, Dr. Arwa Owais, Dr. Fredrick Shaw, Dr. Alireza Torabi, Dr. David Yu, and more!



Scams: What a Tangled Web They Weave

By Jeanine Lehman, Attorney at Law

Dentists and their staff need to be wary of scams.  Here are a few to have on your radar.


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New Dentist Corner October 2018

This month marks the start of CADS Study Club and we couldn’t be more excited for the course lineup. Dentistry is dynamic and in order to stay current with advances in our profession, we are fortunate to have endless opportunities for continuing education at the local, state, and national level.  We encourage new dentists to make the commitment to be a lifelong learner. Whether you own your own practice or you’re an associate, the reward you get when you take time to work ON your practice versus IN it, is ten-fold.

One common question we see floating around social media is, “what is one of the best investments you’ve made?”. Time and again it’s not the newest gadget on the market, but rather time spent on furthering ones’ education. Make this investment now and join us for the third annual CADS Study Club that provides high quality, affordable continuing education geared to the New Dentist!


Rebecca Montalvo DDS and Emily Conley DDS
New Dentist Committee Chairs