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Pearls From Local Dentists: The Problem In Your Practice Probably Isn’T A Staffing Problem

West Michigan District Dental Society Bulletin

"Clinical Corner: Pearls from Local Dentists" is a section of the WMDDS Bulletin where local dentists share clinical wisdom for fellow practitioners. This edition discusses The Problem in Your Practice Probably Isn’t a Staffing Problem.

J Mich Dent Assoc Sept. 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-plus members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.

The September 2026 (Volume 108, No. 9) issue of the Journal is published in 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 full compilation of the September 2026 Journal of the Michigan Dental Association features the deans' reports from the …

From State House To World Health Assembly: The Distinct Missions Of National And International Leadership In Oral Healthcare, Robert A. Faiella Dmd, Mmsc., Mba, William R. Calnon Dds, Facd

Journal of the American College of Dentists

Leadership in oral healthcare has long been treated as a skill assimilated over time through experience rather than intentionally defined, taught, and assessed. Unlike clinical practice, education, research, and infection control, leadership in oral healthcare lacks consistent standards despite its critical role in integrating these systems and guiding the profession’s future. As healthcare becomes increasingly collaborative and global, dentistry must deliberately develop leadership capabilities at multiple levels. This article examines leadership at the national and international levels, using the American Dental Association’s role within U.S. and global health and dental organizations as examples. It explores why these leadership contexts require …

What Is A Standard? Perspectives On Acd’S Standards For Leadership In Oral Healthcare, N. Karl Haden Phd, Facd

Journal of the American College of Dentists

The American College of Dentists’ new Standards for Leadership in Oral Healthcare mark the first attempt in dentistry to articulate standards specifically for leadership, complementing the broader orientation offered by the Ethics Handbook for Dentistry. This article explores the basic question, “What is a standard?” Close reading of the document indicates at least three distinct but related senses of the term: an expectation, a norm, and a guiding principle. The article offers an interpretation of how these three senses fit together coherently. Referencing the Handbook, the article argues that the leadership standards are most impactful only when habituated, when practiced …

American College Of Dentists Team Leadership Standards, Julie Connolly Dds Mph Ms Facd, Sreenivas Koka Dds Ms Phd Mba Mas Facd Fcgdent

Journal of the American College of Dentists

Leadership standards elevate the profession of dentistry by establishing how leaders can be effective and impactful. The American College of Dentists presents 10 carefully curated team leadership standards that serve as guiding principles for team leaders in dental settings. When these standards are followed, leaders increase the likelihood of creating and sustaining a high-performing, mission-focused team. The importance of each standard is described and, where appropriate, examples are provided.

Standards For Leadership In Oral Healthcare: Applying Local And Regional Standards In Practice, Teresa A. Dolan Dds, Mph, Facd, Robin Henderson Dds, Facd

Journal of the American College of Dentists

The dental profession has well-established standards governing clinical practice, education, and research, yet has lacked comparable standards to guide leadership behavior. The American College of Dentists (ACD) Standards for Leadership in Oral Healthcare Task Force developed a comprehensive framework spanning four levels: 1) core; 2) team; 3) local and regional; and 4) national and international. This article describes the local and regional standards, which include 10 standards organized into three themes—Building Foundation, Leading with Purpose, and Developing Others—and their application through interactive workshops at the ACD Spring Leadership Conference 2026. Using structured role-playing exercises, Section leaders and Regents stress-tested the …

Unpacking And Re-Imagining Dental Ethics With Anti-Oppressive And Interdisciplinary Praxis, Eleanor Fleming Phd, Dds, Mph, Ficd, Facd

Journal of the American College of Dentists

Dental ethics are assumed to be neutral in their intent. With a social contract grounded in liberalism and assumptions centering whiteness, the resulting ethics reinforce hierarchy, otherness, and inequities. Because concepts and practices are rarely neutral, dental ethics is embedded with biases, which results in it falling short of the demands of the 21st century and exacerbating health inequities rather than supporting efforts for health justice. This manuscript invites the reader to reflect critically and re-imagine dental ethics using anti-oppressive and interdisciplinary praxis. For the improvement of public health, the narrowing of inequities, and a functioning oral health system, the …

Core Standards For Leadership In Oral Healthcare, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc

Journal of the American College of Dentists

This article introduces the American College of Dentists’ core standards for leadership in oral healthcare, grounded in well-established ethical principles and in response to ever-increasing expectations for patient-first care. It is suggested that the new standards must be consistently upheld to maintain patient trust and professional credibility. Effective leadership, in contrast to management, improves patient engagement and outcomes, team performance, and resilience. The article calls for more leadership training in dentistry, beginning in dental schools, and highlights the need for effective leadership in oral healthcare to strengthen the profession’s standing and status.

Standards For Leadership In Oral Health Care. A Project Of The Board Of Regents Of The American College Of Dentists, Robert A. Faiella Dmd, Mmsc., Mba, Teresa A. Dolan Dds, Mph, Facd, N. Karl Haden Phd, Facd, Sreenivas Koka Dds, Ms, Phd, Mba, Mas, Facd, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc

Journal of the American College of Dentists

This section of the Journal of the American College of Dentists presents professional conference proceedings and/or published guidelines relevant to dentistry, ethics, education, leadership, policy, or clinical care. Conference proceedings may also include documents from affiliate organizations in dentistry.

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 …

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 …

J Am Coll Dent 2025 92 1

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

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.

What The ‘One Big Beautiful Bill’ Means For Dentists, John Looby Cpa, Theodore C. Schumann Ii Mba, Msf, Cfp, Aif

The Journal of the Michigan Dental Association

Executive Summary: The One Big Beautiful Bill (OBBB), signed July 4, 2025, significantly impacts dentists by extending and making permanent many 2017 tax policies. Key tax changes include permanent tax rates, an increased state and local income tax (SALT) cap, and new deductions for seniors, qualified tips, overtime wages, charitable donations, and auto loan interest. The qualified business income deduction is now permanent, and first-year bonus depreciation is restored. New "Trump Accounts" are established for children. Crucially, the OBBB introduces $50,000 annual and $200,000 lifetime caps on professional degree student loans, effective July 2026, and establishes the Repayment Assistance Plan …

Dentistry And The Law: Length Of Covenants Not To Compete, Dan Schulte Jd

The Journal of the Michigan Dental Association

This article clarifies the distinct legal standards for covenants not to compete in Michigan, particularly relevant for dentists selling their practice and remaining employed. A covenant in an employment agreement is enforceable if "reasonable," typically limited to two to three years and the employer's patient draw area. In contrast, a covenant within a purchase agreement, considered a commercial contract, is judged under a more lenient "rule of reason" standard. This standard is easier to satisfy, requiring only that the covenant does not adversely impact the relevant market. Consequently, purchasers often use the purchase agreement to impose harsher, longer-term restrictive covenants.

Guest Editorial: Who’S Special Now?, Michael Maihofer Dds

The Journal of the Michigan Dental Association

This editorial discusses a controversial change in Michigan's dental specialty advertising law, which occurred in 2020. Previously, only state-recognized specialists, undergoing rigorous advanced training, could advertise their specialty status. However, a new rule, resulting from an out-of-court settlement, paradoxically allows general dentists not recognized as specialists to advertise as such without following advertising rules. This change is criticized for undermining public protection and creating unethical, misleading situations where general dentists advertise as pediatric dentists, for instance. The Michigan Dental Association (MDA) is actively working to revert this law by supporting House Bills 4593 and 4594 to ensure only recognized specialists …

The New Professional: Tracking Success: Essential Kpis For Owners And Associates, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article underscores the importance of Key Performance Indicators (KPIs) for data-driven success in modern dental practices. For new practice owners, essential KPIs include production, collections, and overhead ratio to ensure financial stability and operational efficiency. Patient flow metrics, such as new patient numbers and retention rates, are vital for growth. For both owners and associates, case acceptance rate reflects treatment plan conversion, and chair time utilization measures clinical efficiency. Other critical KPIs encompass hygiene production, patient satisfaction scores, online reviews, and accounts receivable aging. Associates can also track personal production and referral patterns for career development.

The Back Page: Commentary: Going Non-Par: My Perspective, And 10 Lessons I’Ve Learned, Robert Antolak Dds

The Journal of the Michigan Dental Association

Dr. Robert Antolak shares his experience and ten lessons from transitioning his dental practice to a non-participating (non-par) status with insurance in January 2025, driven by declining reimbursements and the need to prioritize patient care. He highlights the unfairness of lower PPO reimbursements for newer dentists. Key lessons include securing a trusted coach, early patient communication, building a financial safety net, ensuring full team buy-in, committing with faith, tightening billing systems, frequent patient reminders, advocating for patients, creating an in-office payment plan (not percentage discounts), and clearly articulating the "why". Though revenue initially dropped, he anticipates full recovery, aiming to …

Moving Drives You Crazy, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

The Editor-in-Chief shares her frustrating experience moving a dental office. Key challenges included dental insurances dropping the practice from networks during recredentialing, causing denied claims for 30-60 days despite no changes to tax ID or NPI. State regulations also required new payments for radiation tubes, rather than crediting previous payments, despite a reduction in equipment. Furthermore, dental supply companies and movers did not take responsibility for broken equipment during the move. Despite these "insane and archaic" hurdles, most patients transitioned, and the article concludes with a comprehensive resource list for practice address changes

To Thine Own Self Be True

The New York State Dental Journal

THE NYSDA DIVERSITY and Inclusion Task Force, charged with acknowledging and promoting the disparate components of the Association’s membership, joins in the national observance of June as Pride Month. Designated in 1999, Pride Month commemorates the contributions to life and culture made by lesbian, gay, bisexual, transgender and queer people. Among those celebrating and being celebrated this month is NYSDA member Alison Rascon, D.D.S., M.S.

The New Professional: Reimagining Rapport: Innovative Ways Dental Teams Connect With Patients, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article explores innovative communication strategies for dental practices to enhance patient interaction. It highlights the importance of digital onboarding for streamlined intake, two-way text messaging for efficient appointments, and personalized video messages to foster connection. Practices are adopting multilingual communication and AI tools like chatbots for 24/7 inquiry handling, integrating them with patient records for tailored responses. Interactive platforms with 3D visuals and video tutorials are used for patient education, empowering them in oral health decisions. The article also emphasizes leveraging social media for engagement, capturing real-time patient feedback, and maintaining empathy-driven human interaction despite technological advancements

It’S Time To Dare Greatly At The Ada, Michele Tulak-Gorecki Dds

The Journal of the Michigan Dental Association

Dr. Michele Tulak-Gorecki, a candidate for ADA president-elect, outlines her platform, emphasizing the urgency for bold, collaborative leadership within the ADA. She addresses member concerns following the executive director's resignation, focusing on rebuilding trust and enhancing oversight. Her vision confronts declining membership, financial issues, and the flawed association management system (AMS) rollout, advocating for increased transparency and financial literacy. Tulak-Gorecki stresses the ADA's vital role in advocacy and unity across the tripartite model to protect the profession's standing. She calls for collective action to create a transparent, inclusive, innovative, and unified ADA

The New Professional: Demystifying Dental Insurance For The New Professional, Amrita Patel D.D.S.

The Journal of the Michigan Dental Association

This comprehensive guide explains dental insurance complexities for new associates and practice owners. The author distinguishes dental insurance from medical insurance, noting annual benefit caps of $1,000-$2,000 versus unlimited medical coverage. Four main plan types are detailed: PPO plans (most common, flexible), HMO plans (lower costs, network restrictions), Indemnity plans (no network limits, higher costs), and Discount plans (membership programs, not insurance). Key business considerations include in-network versus out-of-network decisions, with in-network providing patient attraction but reduced reimbursements, while out-of-network allows fee control but limits patient base. The article addresses practical challenges including write-offs (difference between standard fees and insurance …

Mda At Your Service: One Way To Free Your Practice From Insurance Plan Restrictions, Rachel Sinacola D.D.S.

The Journal of the Michigan Dental Association

This Q&A-style article provides practical answers to common member questions. Topics include managing in-office dental plans (via Quality Dental Plan), evaluating associate contracts, showcasing MDA membership, handling radiography training course transfers, and understanding patient record retention requirements. The article encourages using MDA-endorsed resources and legal guidance to enhance practice efficiency and compliance.

Getting Help When The Going Gets Tough, Michelle C. Dziurgot D.D.S.

The Journal of the Michigan Dental Association

In her editorial, Dr. Dziurgot emphasizes the importance of emotional support and mental health resources for dentists. She shares her own experiences of turning to family in tough times and offers practical alternatives for those without such support. Strategies include journaling, creative expression, and seeking professional counseling through programs like the MDA Member Assistance Program and ADA Talkspace. She encourages open dialogue and mutual support within the dental community.

Mda Foundation: Lead Leads To A Key Role On The Mda Foundation, Anne Berquist

The Journal of the Michigan Dental Association

This article highlights the role of the MDA Foundation in providing opportunities for professional development and expanding the impact of dentists' careers. It focuses on Dr. Beth Rosenberg's experience, who became a Foundation Board Member after participating in the MDA's Leadership Exploration and Development Program (LEAD).

The LEAD program builds leadership skills through immersion in organized dentistry. The Foundation raises funds through various events to provide scholarships to dental students and grants to community organizations that improve access to care. The article encourages MDA members to participate in Foundation fundraisers and to consider volunteering or donating.

Meet The Mda’S New President, Cheri Newman, Dds, David Foe

The Journal of the Michigan Dental Association

This cover story introduces the new president of the MDA, Dr. Cheri Newman, highlighting her unique journey from dental hygienist to dentist. Dr. Newman discusses her motivations for becoming involved with the MDA, emphasizing the importance of giving back to the profession and the influence of mentors. She outlines her goals for the upcoming year, which include increasing membership, addressing workforce shortages, and tackling student debt. Dr. Newman also stresses the significance of member involvement in organized dentistry and acknowledges the challenges related to workforce issues like the need for more dental hygienists and assistants. She underscores the value of …

The New Professional: Exploring Careers Other Than Clinical Dentistry, Amrita Patel Dds

The Journal of the Michigan Dental Association

This "New Professional" column explores alternative career paths for dentists who find clinical practice unfulfilling. It encourages reflection on personal interests and highlights various options within the dental field and beyond, such as dental education, research, practice management, dental sales, product development, and public health dentistry. The article emphasizes that a dental degree provides a strong foundation for diverse roles that still contribute to the well-being of others. It suggests that transitioning to a new career path requires an open mind and a focus on one's passions and values. Entrepreneurship is also mentioned as a potential avenue.

Mda At Your Service: Questions About Dental Insurance Participation, Kristin Johnson Dds

The Journal of the Michigan Dental Association

This article by the MDA membership Chair Kristin Johnson and the Michigan Dental Association (MDA) Department on Membership addresses common questions from dental professionals. It highlights the MDA's endorsement of PPO Negotiation Solutions to help members maximize profitability through insurance network participation and fee negotiation.

The MDA also provides guidance on hiring associates and their network participation, emphasizing the importance of understanding patient base and practice goals. Furthermore, the document outlines the MDA's resources for patient inquiries on water fluoridation, including talking points and online materials. Information on MIOSHA regulations and compliance within dental practices is also available through the …