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January 2020 General Meeting

Dr. Charles W. Miller, Texas Dental Association President

TDA Update

The January 21, 2020 meeting will feature your president speaking on current issues at the Texas Dental Association.  Dr. Miller’s presentation will be followed by a lecture course by:

Kirsten Mason, Pharm.D, BCPS & Dusten Rose, Pharm.D, BCIDP, AAHIVP

Sinking Your Teeth into Opioid and Antibiotic Stewardship in Dentistry

Date: January 21, 2020  

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, JANUARY 17

To RSVP & PAY with Credit Card, go to

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, January 17 will be billed

Opioid and Antibiotic Stewardship in Dentistry

Antibiotics and opioids account for three out of every four drugs prescribed by dentists in the United States and up to 10% of all prescriptions nationally. The consequences of inappropriate prescribing of these classes of medications is associated with increased antibiotic resistance, risk of opioid-use disorder, and adverse side effects for patients.  This presentation will review guidelines and strategies to optimize antibiotic and opioid prescribing by dentists in the inpatient and outpatient setting.

Course Objectives:

  1. Describe the burden of antimicrobial resistance (AR) and opioid use disorder (OUD) in the United States and patterns of prescribing in the practice of dentistry
  2. Review guidelines on antibiotic use for the prevention and treatment of infections, dental pain, and intraoral swelling
  3. Identify strategies for optimal antibiotic selection in the setting of antibiotic allergies and resistance trends for organisms associated with odontogenic infections
  4. Evaluate evidence-based opioid alternatives and pain management in patients with opioid use disorder
  5. Apply opioid-related regulatory changes to oral healthcare practice

Kirsten Mason, Pharm.D, BCPS

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Kirsten Mason, Pharm.D, BCPS, is a graduate of the University of Tennessee Health Science Center College of Pharmacy.  She completed a PGY1 Pharmacy Residency at the Memphis Veterans Affairs Medical Center and her PGY2 Internal Medicine Residency at the University Medical Center Brackenridge in Austin.  After residency, Kirsten accepted a clinical pharmacy specialist position in cardiology at Northwestern Memorial Hospital in Chicago.  In 2016, she relocated back to Austin and joined Dell Seton Medical Center at University of Texas as an internal medicine clinical pharmacy specialist.  In this role, she assisted in the development of an inpatient opioid use disorder treatment service. In 2018, Kirsten transitioned into a new role as a clinical pharmacy manager at Ascension Seton Medical Center Austin with an emphasis on project management and pain management.

Dusten Rose, Pharm.D, BCIDP, AAHIVP

Dusten Rose, Pharm.D, BCIDP, AAHIVP, is a Network Clinical Pharmacy Specialist in Infectious Diseases at Dell Seton Medical Center at University of Texas and the PGY2 Infectious Diseases Pharmacy Residency Program Director in Austin.  He is an undergraduate of Michigan State University and Ferris State University College of Pharmacy.  He completed his PGY1 at St. Mary’s Health in Grand Rapids, Michigan and specialty training in infectious diseases from UC Davis Medical Center in Sacramento, California in 2010.  Following residency, he practiced as the Infectious Diseases pharmacist at Indiana University Health in Indianapolis for four years prior to accepting a position in Austin in 2014.  In this role, he divides his time between rounding with the Infectious Diseases consult service, participating on local and national committees developing guidelines for appropriate antimicrobial utilization, and educating healthcare providers on antimicrobial stewardship.

Dr. Charles W. Miller, TDA President

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Dr. Charles Miller was born in Fort Worth and raised in Arlington.  He graduated from the University of Texas Arlington and then Baylor College of Dentistry in 1980.  He completed his pediatric dental residency at the University of Illinois College of Dentistry in Chicago.  Dr. Miller returned to Texas in 1982 and joined Drs. Phil Bailey and Jim Hyde as an associate in their pediatric dental practice.  Two years later he became a partner.  Dr. Miller was introduced to organized dentistry at his first Fort Worth District Dental Society meeting almost four decades ago.  Prior to becoming the 2019-2020 TDA President, Dr. Miller served in the TDA House of Delegates, and then the TDA Board of Directors.  Dr. Miller met his wife of 42 years, Dru Ann, during his sophomore year at Arlington High School.  They have two grown sons, James and Andrew.  Dr. Miller’s hobbies include gardening and photography.


KimesTrisha Pic

President’s Message January 2020

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Dentists in History-Cannon

Billy Cannon

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Jonathon Kimes 5-13

Editor’s Corner January 2020

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Membership in the ADA, TDA and Capital Area Dental Society

Thank you for your Membership in the ADA, TDA and Capital Area Dental Society!

By now, you should have received your 2020 Annual Dues Statement in the mail.  TDA offers three easy ways to pay – you can mail a check or your credit card information to the TDA, you can call the TDA to pay over the phone with a credit card or you can quickly and easily pay online today!
Can’t pay your dues in one lump sum?  TDA offers PAYMENT OPTIONS for all members.  The extended dues payment plan allows members to pay 2020 dues starting in January with monthly payments through October.  Members can also choose a 3-month plan paying 2020 dues from January through March. To take advantage of the maximum number of payments offered, members must sign up online by January 10, 2020.

TDA is also able to offer AUTO-RENEWAL for all members!  As you pay your 2020 dues you can choose to auto-renew for 2021.

It’s EASY to pay online!  Visit, login and then click on the “Membership Renewal” button located just beneath Access My Profile.  Once you have reviewed the mandatory and voluntary dues owed (Steps 1 and 2), you will come to a screen that allows you to enter your credit card information (Step 3 Order Summary and Payment).  On the Order Summary and Payment screen you will see three options for renewal which are Pay in Full, Pay in Installments or Pay with Auto-Renew (in full or in payment plans).  If you select an installment plan option, you will see the dates and payment amounts available for that plan.

Again, we thank you for your membership in the ADA, TDA and Capital Area Dental Society!



November 2019 General Meeting

Successful Management of Acute Dental Pain

Speaker:  Ken M. Hargreaves, DDS, PhD 

Date:  November 19, 2019   

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 


To RSVP & PAY with Credit Card, go to

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, Nov 15 will be billed

This evidence-based course is designed to provide effective and practical strategies for managing acute dental pain emergencies.  The latest information on NSAIDS, acetaminophen-containing analgesics and local anesthetics will be provided with the objective of having immediate application to your next patient emergency.  Want to know how to anesthetize that hot tooth? How to predictably manage severe acute pain after surgical or endodontic treatments? How to combine common medications to improve analgesia? This course will answer these practical tips and more using a lecture style that emphasizes interactions with the audience in answering common pain problems with useful solutions.  

Course Objectives:  At the completion of this course, the practitioner should be able to:

  1. Describe a fast and efficient routine for managing dental pain emergency patients
  2. Select the best combination of analgesics to manage dental pain that avoid or minimize the need for opioids
  3. Provide effective local anesthesia to the classic “hot” molar case

Ken M. Hargreaves, DDS, PhD

Ken Hargreaves received his DDS from Georgetown University, his PhD in physiology from the Uniformed Services University of the Health Sciences in Bethesda, MD, and his certificate in Endodontics from the University of Minnesota.  Ken spent 5 years at the Pain Clinic of the NIDCR and 7 years as an associate professor of Endodontics and Pharmacology at the University of Minnesota. He joined the University of Texas Health Science Center at San Antonio in 1997, as professor and Chair of the Department of Endodontics and is cross-appointed as professor in the Departments of Pharmacology, Physiology and Surgery in the Medical School.  He maintains a private practice limited to endodontics and is a Diplomate of the American Board of Endodontists. Ken has received an NIH MERIT Award for research, two IADR Distinguished Scientist Awards and the Louis I. Grossman Award from the AAE. He has published more than 160 articles and, with Harold Goodis and Frank Tay, co-edited the 2nd edition Seltzer and Bender’s Dental Pulp, and, with Lou Berman, co-edited the 11th edition of Cohen’s Pathways of the Pulp. Ken also serves as editor of the Journal of Endodontics.  


Jonathon Kimes 5-13

Editor’s Corner November 2019

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President’s Message November 2019

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Dentists in History-Maynard

Dr. Edward Maynard

Dentists in History

Edward Maynard was born in Madison, New York, on April 26, 1813.  In 1831 he entered the United States Military Academy at West Point but resigned after only a semester due to ill health and became a dentist in 1835.

Maynard continued to practice dentistry for the rest of his life, becoming one of the most prominent dentists in the United States.  Practicing in Baltimore and Washington, D.C., his clientele included the country’s political elite, including Congressmen and Presidents, and it is reported that he was offered but declined the position of Imperial Dentist to Tsar Nicholas I.  In 1857 he became professor of theory and practice at Baltimore College of Dental Surgery.

Maynard invented many dental methods and instruments, but is most famous for his firearms inventions.  In 1845 Maynard patented the first of 23 firearms-related patents he was awarded during his life.  He achieved lucrative fame for his first patent, an 1845 priming system which cycled a small mercury fulminate charge to the nipple of a percussion cap firearm.  His system used a magazine from which a paper roll, not unlike modern cap guns, advanced a charge over the nipple as the gun was cocked; this was intended to accelerate the gun’s rate of fire as the shooter could concentrate on loading and firing the gun. 

In 1845 the Maynard system was installed on 300 converted percussion muskets and trials were considered successful.  Maynard turned over the patent rights to his priming system to the United States Federal Government in exchange for a royalty of $1.00 per weapon: a substantial sum at the time (the cost of making an entire 1861 Springfield was $18.00).  However the system was complicated and often malfunctioned in wartime conditions.  In 1860 U.S. ordnance officers recommended dropping the Maynard Tape Primer System, and the famous 1861 Springfield rifled muskets did not use it.

In 1851, however, Maynard had patented a more successful idea: a simple lever operated breechloading rifle, which used a metallic cartridge of his own invention.  When the gun’s lever was depressed the barrel rose, opening the breech for loading. Afterwards the lever was raised to close the gun’s breech. The cartridge, which had a wide rim permitting swift extraction, was reloadable up to 100 times.  This was of particular advantage to the Confederacy, as the cartridges could be manufactured without the sophisticated equipment that the south generally lacked.  Another significant feature was that the use of a metallic cartridge prevented gas escape at the breech, a serious concern for early externally primed breechloaders.

The Springfield Armory manufactured a sample Maynard carbine in .48 caliber and it was tested in May 1856.  The gun, fired at ranges from 100 to 500 yards, was considered the best breechloader tested. 

Maynard and his financial backers founded the Maynard Arms Company in 1857, contracting the Massachusetts Arms Company to manufacture the new gun for civilian and military use.  The guns, known as Maynards, were offered in .35 and .50 caliber, and could be purchased with interchangeable smoothbore shotgun barrels.  A second army test resulted in a military contract for four hundred .50 caliber Maynard carbines. The factory began producing 20,000 Maynard carbines for the U.S. government but deliveries did not begin until June 1864, continuing through May 1865. 

Some Southern states had purchased Maynards for their state militias in late 1860 and early 1861.  About 3000 Maynards were in Southern hands during the war, mostly in Florida, Georgia, and Mississippi units.  The First Model Maynard was listed as an official firearm in Confederate ordnance manuals.  The Maynard had a good reputation for long range accuracy and Confederate sharpshooters made extensive use of it, especially during the Siege of Charleston.  It continued in production as a highly regarded centerfire target and hunting rifle until 1890.

In 1888 Dr. Maynard held the chair of Dental Theory and Practice at the National University in Washington.  He died on May 4, 1891, and was buried in the Congressional Cemetery in Washington, D.C.