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J Mich Dent Assoc January 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons. The January 2026 (Volume 108, No. 1) issue of the Journal is published in a print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

This issue includes feature articles on Pediatric Dentistry and 2025 Life Membership recipients.

Regular monthly contributions include:

• Editorial …

Life Membership Status Awarded To 61 Members, Mda Membership Department Staff

The Journal of the Michigan Dental Association

The Michigan Dental Association (MDA) recently awarded life membership to 61 members for their long-term commitment, requiring either 30 consecutive or 40 total years of membership. This status includes active life members, who still practice, and retired life members, who are exempt from dues. These individuals contribute to the profession through mentoring, teaching, and legislative outreach, as well as volunteering in local clinics. The article lists new life members across various Michigan districts, including Central, Detroit, and West Michigan. This recognition honors their decades of dedication to organized dentistry and their ongoing impact on both the association and their local …

Government And Insurance And Access (Cgia) Update, James Budd Mpp

The Journal of the Michigan Dental Association

The MDA Board of Trustees has established its 2026 legislative priorities, focusing on dental loss ratios, assignment of benefits, and virtual credit card payment reform. Key issues include addressing the workforce shortage, student debt, and improving Medicaid anesthesia reimbursement. The update also tracks several House Bills, such as those regarding voluntary license surrender (HB 4929) and foreign-trained dentist licensure (HB 4921), which the MDA opposes to maintain standards. Despite a slow legislative session in 2025, the MDA continues to advocate for transparency in third-party litigation and updates to specialty advertising rules. These efforts aim to protect the profession and ensure …

What About Our Teen-Age Patients?, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

This editorial advocates for "mentally treating" teenage patients, specifically those around 14 years of age, as adults. By respecting their concerns and allowing age-appropriate decisions, clinicians can enhance a teen's dental IQ and self-esteem. This approach fosters confidence, communication, and independence, encouraging patients to take accountability for their treatment outcomes. Respectful dialogue leads to better compliance with home care, such as using rotary brushes or wearing retainers. Ultimately, treating teenagers with empathy and valuing their opinions helps them blossom into responsible adults while building lasting professional bonds.

Molar-Incisor Hypomineralization: Diagnosis, Management, And Treatment, Giovana Anovazzi Medeiros Dds, Msc, Phd, Bahareh Enghiad Dmd, James R. Boynton Dds, Ms

The Journal of the Michigan Dental Association

Molar Incisor Hypomineralization (MIH) is a qualitative developmental enamel defect affecting at least one permanent first molar. Characterized by high porosity and reduced mineral content, MIH leads to hypersensitivity, post-eruptive breakdown, and increased caries susceptibility. The etiology is multifactorial, typically occurring between birth and four years of age. Management depends on severity, ranging from topical fluorides and sealants for mild cases to stainless-steel crowns or extractions for severe instances. Because porous enamel facilitates bacterial penetration and pulpal inflammation, achieving effective local anesthesia is often difficult, necessitating individualized behavioral management and early intervention to preserve tooth structure.

Is Being A Shareholder ‘In Name Only’ A Problem?, Daniel Schulte Jd

The Journal of the Michigan Dental Association

This column addresses the legal risks for Michigan dentists entering "shareholder in name only" agreements with non-dentist entities. Michigan law requires dental practices to be owned by licensed dentists to ensure professional control over public healthcare. Arrangements where management companies or manufacturers can reclaim stock for a nominal fee effectively strip the dentist of true ownership. This lack of control can lead to ethical conflicts, such as pressure to sell specific appliances regardless of professional judgment. Engaging in such schemes may endanger a dentist's license by thwarting state laws intended to protect clinical independence.

Lessons Learned From My First Patient Transition, Amrita Patel Dds

The Journal of the Michigan Dental Association

A new associate reflects on the challenges and lessons of transitioning into her father's established practice. The author emphasizes the importance of listening to long-term patients to understand their history and build trust. While new practitioners often feel the need to prove technical skills, patients primarily seek reassurance and continuity of care. Successful transitions require a balance between respecting existing systems and gradually introducing a new perspective. Introductions by the senior doctor can significantly ease patient apprehension. Ultimately, the experience underscores that dentistry is deeply rooted in relationships and communication, requiring patience and humility to maintain the stability of the …

When Should I Pay For Continuing Education?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This article outlines legal requirements for compensating staff for Continuing Education (CE) under the Fair Labor Standards Act. Training time is considered "hours worked" unless it is voluntary, outside regular hours, non-job-related, and involves no productive work. If these criteria are not met, employers must pay for training and associated travel time, including it in overtime calculations. While mileage reimbursement is not federally mandated, many practices offer it as a benefit. Creative cost-saving measures include stipends or in-office lunch-and-learns. Establishing a clear, written policy in the employee handbook is essential for consistent application and can serve as a valuable tool …

Turning Your Membership Into Measurable Value, Reva Darling

The Journal of the Michigan Dental Association

MDA membership offers significant financial leverage by negotiating programs that return money to dental practices. In 2025, practices utilizing endorsed vendors realized potential annual savings exceeding $50,000. Highlighted services include MEDVA, which provides virtual assistants to reduce salary expenses by over 60%, and PPO Negotiation Solutions, which has increased some practices' collections significantly. Members also benefit from discounts on dental supplies (TDSC.com), accounting services, and precious metal refining. Furthermore, Bridge Commercial Realty assists with real estate transitions, offering fee discounts and free appraisals. Collectively, these endorsed programs are designed to offset membership dues and strengthen a practice's financial health.

Does The Mda Still Offer A Staff Compensation Study?, Rachel Sinacola Dds, Ms, Angie Kanazeh

The Journal of the Michigan Dental Association

This Q&A section clarifies that the MDA no longer distributes staff compensation surveys due to 2023 FTC enforcement policy changes. However, members can access UCR fee analysis reports at a discount through PPO Negotiation Solutions. For dentists nearing retirement, the MDA offers retired and retired life membership categories, which provide dues discounts or exemptions for those no longer earning income from dentistry. The source also recommends Best Card for credit card processing to save an average of $6,496 annually. Finally, practitioners are reminded that licensure renewal must be completed through the MiPLUS platform, which primarily issues electronic licenses.

The New Professional: The Legacy Of Women In Dentistry, And Your Place In It, Amrita Patel Dds

The Journal of the Michigan Dental Association

Women now constitute over half of dental graduates, transforming the profession’s culture and leadership. While women hold a majority of seats on the MDA Board of Trustees, wage disparities, underrepresentation in certain specialties, and work-life balance pressures remain challenges. The author emphasizes that the legacy of women in dentistry is an active, evolving force. New professionals have the opportunity and responsibility to advance this legacy by engaging in mentorship, advocating for fair workplace policies, pursuing ownership, and serving as role models. This ensures the profession is defined by opportunities rather than barriers.

Impact In Action: Your Michigan Dental Association Foundation, Anne Berquist

The Journal of the Michigan Dental Association

The Michigan Dental Association (MDA) Foundation, a 501(c)3 non-profit, works to promote better dental health and support the future dental workforce through educational scholarships. The Foundation’s impact is increasing yearly, evidenced by a 42% increase in scholarship awards in 2024, providing $44,000 to 15 recipients. It also provides grants to statewide organizations delivering dental care to uninsured, impoverished, and underserved populations, awarding $141,500 in 2025. A high-profile program is the biannual Michigan Mission of Mercy (MOM), which provided over $1.1 million in donated care in Flint in 2024. Support is generated through various fundraisers, including the Year-End Fundraising Campaign.

Here’S What’S New — Coming To The 2026 Mda Annual Session, Andrea Sunderman, David Foe

The Journal of the Michigan Dental Association

The 2026 MDA Annual Session, held April 30 – May 2 at DeVos Place in Grand Rapids, will feature significant improvements. The major change eliminates cumbersome a la carte pricing for courses. Instead, attendees can purchase a one-day pass or a full conference package, granting access to any course without advance sign-up. The schedule is shortened to two-and-a-half days. Passes include a hot lunch in the Exhibit Hall on Thursday and Friday, and courses are streamlined to allow more time for vendor visits and socializing. The event will also feature three keynote addresses and a new Friday night social event, …

Mda At Your Service: A Deaf Person Wants To Become My Patient, Rachel Sinacola Dds, Ms

The Journal of the Michigan Dental Association

The column clarifies that under the Americans with Disabilities Act (ADA), dental offices must provide auxiliary aids or services for patients with hearing impairments, which may require a professional interpreter paid for by the dentist in complex visits. Members are encouraged to notify the MDA about practice/life changes (e.g., address changes or caseload shifts) to ensure proper benefits and dues discounts. New associates are strongly urged to utilize the MDA resource for contract review, which offers a 10% discount with Kerr Russell Attorneys. Additionally, the MDA Store provides free Labor Poster Packets, fulfilling state and federal employer requirements.

J Mich Dent Assoc December 2025

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons. The December 2025 (Volume 107, No. 11) issue of the Journal is published in a digital-only format to provide updates and insights for Michigan's oral health community and MDA members. Print editions will resume in the new year.

This issue includes feature articles on the Michigan Dental Foundation, A Case for Credentialing Dental Assistants, and a feature …

Staff Matters: How To Get Creative With Staff Benefit Offerings, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

Small practices must be intentional and creative with benefits to distinguish themselves in the competitive labor market. Strategies include offering Individual Coverage Health Reimbursement Arrangements (HRAs) or covering dental/vision care. Work-life balance benefits are highly valued, such as flexible scheduling, additional paid time off beyond the state-mandated Earned Sick Time Act, or time off for birthdays. Practices should consider financial wellness options like retirement savings plans or student loan repayment assistance. Professional development, like covering certifications and offering mentorship, is crucial. Using platforms like TASC or Fringe to provide flexible "lifestyle" benefits allows employees to choose perks that matter most …

Back Page: 9th District Delegation Attends Ada House Of Delegates, Michelle M. Nichols-Cruz

The Journal of the Michigan Dental Association

The ADA 9th District delegation, representing Michigan and Wisconsin, attended the ADA House of Delegates meeting in Washington, D.C., in October, which coincided with the ADA SmileCon event. During the meeting, Dr. Deb Peters, former MDA president and MDA House Speaker, was elected Speaker of the ADA House. This historic election makes Dr. Peters the first female ADA speaker. Dr. Michele Tulak-Gorecki, outgoing 9th District ADA trustee, was unsuccessful in her bid for ADA president-elect. The next ADA House meeting is scheduled for October 10-13, 2026, in Indianapolis, Indiana.

The Case For Credentialing Dental Assistants, Michelle Godofsky

The Journal of the Michigan Dental Association

Credentialing dental assistants is presented as a method to enhance productivity and address workforce shortages; currently, only about 15% of Michigan dental assistants are Registered Dental Assistants (RDAs). A case study at Thunder Bay Community Health Service, an FQHC in Northern Michigan, illustrates success, where RDAs perform expanded functions—like placing restorations and monitoring nitrous oxide—boosting clinic productivity by 16%. The clinic supports its dental assistants by covering education and exam expenses and providing study time during work hours. This investment improves job satisfaction, confidence, morale, and patient communication among staff, strengthening employee retention.

What Doesn’T Kill You, Makes You Stronger, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

The editorial describes the significant damage caused to a dental office in August 2025 by an "all-out power surge" resulting from a direct lightning strike, which fried equipment including dental chairs, computers, and HVAC. This forced the practice to close and reschedule patients. The experience highlighted the critical importance of having property and business interruption insurance through MDA Insurance to cover physical damages and lost scheduled procedures. Dentists are advised to install surge protectors at their fuse boxes, review their policies, document all damage with photos and receipts, and advocate aggressively for timely claim payments to ensure the practice is …

The New Professional: Evaluating A Practice Purchase: Guidance For The First-Time Buyer, Amrita Patel Dds

The Journal of the Michigan Dental Association

This guidance for first-time dental practice buyers stresses that evaluating a practice involves more than just the price tag, encompassing financials, people, culture, and potential growth. Buyers must analyze at least three years of financial statements, paying close attention to collection trends, accounts receivable, overhead, net income, and the mix of insurance plans. Patient loyalty is critical; buyers must assess the number of "active" patients (seen in the last 18–24 months) and recognize that attrition may occur if loyalty was tied strongly to the selling doctor. Inheriting experienced, welcoming staff and a positive office culture is crucial for success. Practical …

J Mich Dent Assoc November 2025

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.

The November 2025 (Volume 107, No. 11) issue of the Journal is published in both hard copy and with a digital-only format to provide updates and insights for Michigan's oral health community and MDA members. Print editions will resume in November.

The November issue focuses on membership along with a reprinted clinical article on the Oral Manifestations …

News You Need: How Many Of These Ada/Mda Practice Resources Are You Using?

The Journal of the Michigan Dental Association

This October, MDA offers updates and resources including support for human resources, ongoing education, and professional tools. Michigan was selected for the Medicaid Oral Health Workforce Implementation Learning Series to enhance access to care. The MDA launched HERM-E, an AI-powered digital assistant providing 24/7 access to resources and quick answers. Supporting chairside advocacy for community water fluoridation, the News reports that a national survey indicates 81% of Americans support or are neutral about water fluoridation. Applications are now open for the 2026 MDA LEAD Program, and nominations are being accepted for MDA awards and leadership positions. The News column further …

Mda At Your Service: Can I Be A Member Of Two Different Local Dental Societies?, Rachel Sinacola Dds, Ms

The Journal of the Michigan Dental Association

This Q&A section with MDA’s Membership Committee Chair Dr. Rachel Sinacola, clarifies membership and service issues. MDA membership is tripartite, including ADA and one local dental society. Members seeking to join an additional local society may inquire about affiliate membership, usually available for a fee. The MDA also offers travel medical insurance through GeoBlue, beneficial for international mission work or leisure, especially for Medicare recipients. Due to the upcoming launch of new association management software, members who previously used auto-renewal for dues must log in to their new profile this fall to set it up again. Additionally, the MDA offers …

J Mich Dent Assoc October 2025

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADACommons. The October 2025 (Volume 107, No. 10) issue of the Journal is published in a digital-only format to provide updates and insights for Michigan's oral health community and MDA members. Print editions will resume in November. The October issue highlights the critical importance of advocacy through the MDA Dental Political Action Committee (PAC) and provides practical, management-focused information …

The New Professional: The Unspoken Costs Of Saying ‘Yes’ To Everything, Amrita Patel Dds

The Journal of the Michigan Dental Association

Dr. Amrita Patel’s regular New Professional column guides new dentists who often feel pressured to say "yes" all the time to build goodwill and prove themselves. It warns that this mindset can lead to burnout, resentment, and loss of personal time. The outdated belief that professionalism requires constant sacrifice is considered harmful. Boundary-setting is shown as a vital skill, not a character flaw, for a sustainable career. The author offers scripts for politely turning down requests when at capacity. By emphasizing well-being and demonstrating healthy boundaries, new dentists gain respect and foster a more sustainable workplace for everyone, reinforcing that …

Mda Insurance: Review Your Health Insurance Plan For 2026 Open Enrollment, Craig Start

The Journal of the Michigan Dental Association

MDA Insurance President Craig Start urges members to review their health insurance ahead of the 2026 open enrollment period. Open enrollment is the annual window to change carriers, elect new plans, or add dependents. Dates vary by plan: the MDA Health Plan runs from October 1–November 15, while Medicare Supplements/Advantage/Medigap Plans run from October 15–December 7. Members must assess anticipated health changes, potential costly prescriptions, and financial comfort with higher deductibles versus higher premiums. MDA Insurance assists members in making informed decisions and acts as the member's agent of record to help resolve claims and issues throughout the year.

Mda Dental Pac: Why It’S So Important To You, James Mashni Dds

The Journal of the Michigan Dental Association

The MDA Dental PAC (Political Action Committee) supports the Michigan Dental Association’s (MDA) lobbying efforts on state legislation. It is funded entirely by voluntary contributions from MDA member dentists, mainly collected through a notice included in the annual dues statement. The PAC pools these funds to support political officials who advocate for issues important to organized dentistry, regardless of political party. Key advocacy priorities for 2025 include establishing Dental Loss Ratio laws, legislating Assignment of Benefits, regulating Virtual Credit Card Payments, addressing fees for Non-Covered Services, and increasing Medicaid Anesthesia Reimbursement. The PAC is managed by a Board of Governors …

Oral And Maxillofacial Pathology Case Of The Month, John E. Kacher Dds

The Journal of the Michigan Dental Association

This case concerns a 39-year-old female patient presenting with an asymptomatic radiolucency and spiking root resorption in the right posterior mandible (tooth #30). The patient delayed treatment for three years due to the COVID-19 pandemic and fear of surgery. Upon return, the lesion had greatly expanded in size (approximately 22-by-17 mm), with increased root resorption. Surgery involved extraction of the tooth and thorough curettage of the lesion. Microscopic examination showed cellular tumor composed of plump spindle cells and interspersed psammoma body calcifications. The final diagnosis was aggressive ossifying fibroma, psammomatoid variant. Treatment typically involves complete local excision and curettage …

Dean’S Report: Detroit Mercy Dental - Dental Schools — Safeguarding The Future Of Oral Health, Mert N. Aksu Dds, Jd, Mhsa, Cert. Dph

The Journal of the Michigan Dental Association

This report from the University of Detroit Mercy School of Dentistry highlights its mission to prepare students as clinicians, leaders, and advocates for public health and equitable access to care, emphasizing evidence-based practices and community service. It addresses critical public health measures like community water fluoridation and HPV vaccination, advocating for policies that protect oral health. The report notes concerns over proposed Michigan Medicaid dental program changes that could burden dental schools with increased uncompensated and emergency care. Initiatives to meet workforce needs include the new Detroit Mercy Dental Vermont Track and community-based education programs, which provided care to over …

J Mich Dent Assoc September 2025

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists.

The September issue marks the return to a hybrid publishing schedule, with print issues published bimonthly in January, March, May, July, September, and November, and online-only digital issues in February, April, June, August, October, and December. This return to print follows a suspension in May due to association-wide financial issues, with the MDA Board of Trustees approving changes in the 2025 budget to …