KDA Today

KDA Today

For Immediate Release

Date: Dec 20th, 2016
Contact: Dr. Beverly A. Largent
Phone: 800-292-1855
Email: info@kyda.org

Whats in Your Water?!

What’s in your water?! The Culligan Man (1) may not be the only one asking this question. In late September, it was reported that 24 children who had received pulpotomies on primary teeth at Children’s Dental Clinic of Anaheim (California) developed infections that have been traced to the dental waterlines in the clinic. One child had three permanent teeth, one primary tooth and part of her jaw bone removed. The infections were caused by Mycobacterium abscessus, which is treated surgically due to antibiotic resistance. In 2015, this rare infection caused hospitalization of 20 children with suspected or confirmed infections in Georgia. (2)


Care for dental waterlines is difficult due to the formation of biofilm in the water lines. “The term ‘biofilm’ refers to the development of microbial communities on submerged surfaces in aqueous environments. The growth of biofilm is considered to be a result of complex processes involving transport of organic and inorganic molecules and microbial cells to the surface, adsorption of molecules to the surface (formation of the conditioning layer) and initial attachment of microbial cells, followed by their irreversible adhesion, facilitated by production of extracellular polymeric substances often referred to as glycocalyx or slime.” (3) Biofilm is present in community water pipes, and its formation and accumulation is dependent on several factors including the roughness of the pipe wall, the water temperature and pH. Control of the biofilm in the drinking water is obtained by chlorination at different levels, flushing the system with high velocity flow, and in extreme cases scouring with mechanical devices. (4)

“Biofilm provides microbial cells with: 1.) easier exchange of genetic material; 2.) easier accumulation of nutritive substances from the water phase; 3.) protection against an excess of nutritive substances and against drying. Biofilm bacteria are substantially resistant to surfactants, biocides and antibiotics.” (3) Biofilm formation in dental waterlines has been known for nearly 40 years. The ADA first issued a statement on dental waterlines in 1995, calling for improved design in dental equipment. The source for dental water line biofilm is the municipal water used in the system and suck back of patient saliva when anti-retraction valves are not used. The slime, composed of colonies of bacteria, fungi and protozoa, forms on the inner surface of the waterlines, thickens, and traps more free floating microorganisms from the water source. Pieces of the biofilm can dislodge, and pass out of the waterlines through the handpiece or the water syringe, causing potential problems for the patient or the dental health care worker. (3)

Appropriate waterline treatment can be confusing for the dental practitioner, as many recommendations seem contradictory. For example, some sources recommend filtration, while others say that it has no effect on the biofilm. New waterlines would seem to be the obvious solution, but biofilm has been shown to form in new lines from 0-120 days. (3) Separate water reservoirs for dental waterlines do not offer freedom from biofilm formation even with sterile or distilled water, although they do avoid interruptions in care during “boil water” notices. Flushing of the waterlines at the beginning of the day, recommended by the CDC in 1993, has been proven to be ineffective in reducing the biofilm or consistently improving the quality of the water used during dental treatment.

The current recommendations from the ADA for dental waterline maintenance is from the Council on Scientific Affairs, and seeks to balance the cost in light of the expected benefit, based on sound science. The guideline is for non-surgical dental procedures. There are separate Centers for Disease Control guidelines for surgical irrigation which were last updated in 2003. The CDC recommends that “sterile solutions such as sterile saline or sterile water should be used as a coolant/irrigation in the performance of oral surgical procedures. Oral surgical procedures involve the incision, excision, or reflection of tissue that exposes the normally sterile areas of the oral cavity including biopsy, periodontal surgery, apical surgery, implant surgery, and surgical extractions of teeth (removal of erupted or non-erupted tooth requiring elevation of mucoperiosteal flap). Conventional dental units cannot reliably deliver sterile water even when equipped with independent water reservoirs because the water-bearing pathway cannot be reliably sterilized. Delivery devices (e.g., bulb syringe or sterile, single-use disposable products) should be used to deliver sterile water. Oral surgery and implant handpieces, as well as ultrasonic scalers, are commercially available that bypass the dental unit to deliver sterile water or other solutions by using single-use disposable or sterilizable tubing.” (5)

Dental unit water should meet the same standards as drinking water. The drinking water quality is established by the Environmental Protection Agency, the American Public Health Association, and the American Water Works Association. The standard dictates that safe drinking water may not exceed 500 Colony Forming Units per milliliter (CFU/mL) of heterotrophic bacteria. Heterotrophic bacteria is defined as bacteria that require a carbon source to grow. These bacteria are not necessarily harmful, and are found in every type of water. They are measured by the heterotrophic plate count and are used as an indication of the amount of residual disinfectant present in a water supply. (6) “Sudden increases in HPC above levels typically seen may indicate a change in the quality of raw water, or that bacterial regrowth has occurred in the distribution system or plumbing.” (7)

The ADA recommends identifying the source of water for the dental unit, which in most cases is a municipal water supply. Options for controlling water quality include installation of a point-of-use filter between the dental instrument and waterline tubing, retrofitting the dental unit so that the water is supplied by a self- contained water system for easy delivery of chemical treatments, or installing a system that allows delivery of cleaning agents at the junction box. In association with the manufacturer of the dental unit, products can be identified that are compatible with the dental unit and fit the needs of the practitioner. There is a listing of the products available to the practitioner at ADA.org under the heading of Dental Unit Waterlines.

Strict adherence to maintenance protocols is required to maintain the quality of dental unit water. Each office should develop a schedule for waterline maintenance depending on the recommended treatment methods, and assign the duty to a specific person.

Water quality can only be determined with testing. There are many products available to the practitioner for testing water quality in the office. There are also labs that provide the service. ADA.org has a listing of products and laboratories that meet testing requirements. There are varied recommendations on how often the water should be tested. Some sources recommend one time a week, while others endorse a quarterly routine.

While there is not a public health problem with dental unit waterlines, there is scientific evidence that dental waterlines left untreated can have water that is not considered safe to drink. The presence of biofilm in the dental waterlines can put immunocompromised and older patients at risk. Protection of the patient, and the ability to provide the highest quality dental services require attention to dental unit water.

References:
1. (2015). Retrieved from http://www.culligan.com/
2. Ross, Erin (2016, September 30). Infection Outbreak Shines Light on Water Risks at Dental Offices. KQED News. Retrieved from https://ww2.kqed.org/
3. Szymanska, J. (2003). Biofilm and Dental Unit Waterlines. Ann Agric Environ Med 2003, 10, 151-157. Retrieved from https://www.ncbi.nlm.nih.gov/
4. Reiff, F. (1996, Fall) Biofilm in Water. Drinking Water & Health Newsletter. Retrieved from http://www.waterandhealth.org/
5. Recommendations from the Guidelines for Infection Control in Dental Health-Care Settings. (2003). Retrieved from http://www.cdc.gov/
6. Dental Unit Waterlines. (Updated August, 2016). Retrieved from http://www.ada.org/en/member-center/oral-health-topics/dental-unit-waterlines
7. Gandham, L. Heterotrophic Plate Count: What is HPC and when is the right time to use it? [Web log post]. Retrieved from http://www.moldbacteriaconsulting.com/bacteria/heterotrophic-plate-count-what-is-hpc-and-when-is-the-right-time-to-use-it.html

Press Releases

Click on any title below to read the press release. The release will open up in a new browser window with no menus or images, so that you may print or copy the press release without extraneous graphics.

Feb 15th, 2024One Shining Moment
Feb 15th, 2024Will You Take the Leadership Challenge?
Feb 15th, 2024Together, We Thrive
Oct 31st, 2023WHO DEY Think Gonna Beat Dem Dentists?
Oct 31st, 2023Your Association is Changing, Ready or Not!
Oct 31st, 2023Together, We Thrive
Aug 18th, 2023You Have the Ability to Alter the Course of the Storm
Aug 18th, 2023Dental Access to Care: Is There a Correct Answer?
Aug 18th, 2023Together, We Can Move Forward
Aug 18th, 2023What Can Your Dental Office Do to Improve a Child’s Life in a Meaningful Way?
Jun 19th, 2023Back Home in Louisville
Jun 19th, 2023Our Mission to Help KDA Member Dentists Succeed and Serve Still Prevails
Jun 19th, 2023KDA is Here to Serve You
Jun 19th, 2023Be a Part of the 2023 Kentucky Meeting as Dentistry Just Keeps on Truckin’, Baby…
Apr 18th, 2023Take a New Dentist to Lunch! Invite Them to a Component Meeting!
Apr 18th, 2023The Dollars and Sense of Dental Education
Apr 18th, 2023What is Next.
Apr 18th, 2023Louisville ASDA Chapter Named Top Chapter Nationwide
Feb 17th, 2023There is Strength in Numbers, and We Need to Increase Our Numbers
Feb 17th, 2023Say Hello to Your New Little Friend...the Amazon App of the ADA!
Feb 17th, 2023Taxing Cosmetic Surgery Services in the Dental Office
Feb 17th, 2023Who Can You Hire for Less Than $3.90 a Day?
Dec 6th, 2022I Predict Obstacles Ahead, if We are not Proactive
Dec 6th, 2022KDA Legislative Initiatives for 2023 Session
Dec 6th, 2022As a Member of Organized Dentistry, You Can Be an Influencer for Good
Dec 6th, 2022Swan Song
Oct 25th, 2022Let Us Use Our Vast Arsenal of Tools, Wisely
Oct 25th, 2022Strategic Forecasting May Foster a Successful Dental Practice
Oct 25th, 20222022 Remarks to the KDA House of Delegates
Oct 25th, 2022Dental Specialties: Opportunities Abound for Dental Graduates
Aug 12th, 2022KDA Needs Your Involvement!
Aug 12th, 2022Only Time Will Tell Whether There is Real Harm Caused by Electronic Cigarette Use
Aug 12th, 2022Reform School
Aug 12th, 2022The New (Unwelcome) Normal in Dental Office Staffing
Jun 17th, 2022Do your Goals Align with your Real ID?
Jun 17th, 2022A Good Start
Jun 17th, 2022Greetings, Fellow KDA Members!
Jun 17th, 2022Be a Part of the 2022 Kentucky Meeting: Dentistry & All that Jazz!
Apr 22nd, 2022Let’s Finish the Race, Together
Apr 22nd, 2022Calling All Legislators!
Apr 22nd, 2022Bridging the Divide Between Medical and Dental Care
Apr 22nd, 2022Kentucky Dental and Oral Health in the COVID-19 Era
Apr 22nd, 2022Greetings, Fellow KDA Members!
Apr 22nd, 2022Reflections: My 55 Years in Dentistry
Apr 22nd, 2022How a Bill Really Becomes Law
Apr 22nd, 2022What is HB-370? Patient Transparency in Dental Benefits
Dec 21st, 2021Kentucky Dental Association Donates To Team Western Kentucky Tornado Relief Fund
Dec 21st, 2021Greetings, Fellow KDA Members!
Dec 21st, 2021Major Life Transitions Can Bring Sadness, Distress and Joy
Dec 21st, 2021Model Behavior!
Dec 21st, 2021What Does an ADA Delegate Do? A Report from Las Vegas
Dec 21st, 2021Begin Purposeful Planning Early in Your Career to Ensure Those Retirement Years Are Truly Golden
Dec 21st, 2021What Buyers Want: 5 Ways to Prepare for a Practice Sale
Oct 21st, 2021Cultivating Positive Mental Health in a New Era of Stress and Uncertainty
Oct 21st, 2021Ready or Not, It’s Here!
Oct 21st, 2021KDA 2021 HOD Remarks
Oct 21st, 2021You Can Make a Difference and Be a Friend of our Foundation
Sep 13th, 2021Build a Relationship with Your Legislator
Sep 13th, 2021Make a Conscious Effort to Search for Common Ground
Sep 13th, 2021Binge Your Profession
Sep 13th, 2021Board of Dentistry Clears Confusion Regarding CE & other Requirements
Jun 21st, 2021Catch Up on Old Times and Make Some New Friends
Jun 21st, 2021Take Time to Meet and Support Your KDA Leaders
Jun 21st, 20217 reasons why YOU DO NOT WANT TO MISS THE KENTUCKY MEETING!
Apr 27th, 2021The Relevance and Importance of Organized Dentistry
Apr 27th, 2021Good Times are Just Around the Corner!
Apr 27th, 2021The End of Days
Apr 27th, 20212021 KDA Advocacy Days: Virtual Takeaways & the importance of forming relationships with your legislators
Oct 20th, 2020Together, We Can Do Great Things!
Oct 20th, 2020We Need a Plan
Oct 20th, 2020Act Two
Oct 20th, 2020Kentucky EPCS Mandatory Electronic Prescribing of Controlled Substances is Coming. Are You Ready?
Oct 20th, 2020KASPER and Controlled Substance FAQ
Aug 21st, 2020Greetings from the Green River Dental Society - Don't Blink!
Aug 21st, 2020Faith
Aug 21st, 2020The Relevance and Value of Tripartite Membership: Essential in a COVID World
Aug 21st, 2020We will Return to the Pandemic after this Important Message…
Feb 21st, 2020Welcome Home!
Feb 21st, 2020Reporting Child Abuse: An Emotional and Ethical Dilemma
Feb 21st, 2020We’re Calling a Family Meeting
Feb 21st, 2020Child Abuse and Neglect: Kentucky is Number One
Feb 21st, 2020Kentucky Dental Association Co-Hosts 2020 Big Sky Ski & Learn Seminar
Jan 10th, 2020Why French Lick?
Jan 3rd, 2020Thankful is the Word
Jan 3rd, 2020Remarks to the 2019 KDA House of Delegates - Part Two
Jan 3rd, 2020Safety Begins with Teamwork and Teamwork Can Bring Much More to Our Practices
Jan 3rd, 2020ADA Practice Transitions Now Offers More Options for Kentucky Dentists
Oct 28th, 2019We Go Farther, Together
Oct 28th, 2019Remarks to the 2019 KDA House of Delegates: Part One
Oct 28th, 2019Why do Children Tell Tall Tales?
Aug 20th, 2019Members, where are You?
Aug 20th, 2019For your Patients’ Sake, learn about Vaping and be Ready with Answers
Aug 20th, 2019What Have You Done for Me, Lately?
Aug 20th, 2019Kentucky Dental Association affiliates with The Dentists Supply Company to offer members a new way to shop and save on dental supplies
Jun 20th, 2019First Roots, Now Roads
Jun 20th, 2019The Many Considerations for Treating Patients with Measles
Jun 20th, 2019BACK TO THE F_T_RE : Do Not Let the Only Thing Missing Be U!
Jun 20th, 2019Join Us for a Blast from the Past!
Apr 11th, 2019KDA Annual Session
Apr 11th, 2019Take Back the Tap
Apr 11th, 2019Reflecting on Reflections
Feb 18th, 2019Roots
Feb 18th, 2019…Coming to a Profession Near and Dear to You
Feb 18th, 2019Back to the Future
Feb 18th, 2019Opioids: A Review of Kentucky and National Legislation
Dec 17th, 2018A Rising Tide Floats All Ships
Dec 17th, 2018For Good or Bad, We Each Contribute to and Influence the Future of our Profession
Dec 17th, 2018Membership Matters: Become Involved in Organized Dentistry and Lead the Way for Your Non-Member Colleagues to See the Light…
Dec 17th, 20182018 ADA Meeting Highlights
Dec 17th, 2018Report from a Long-term Delegate
Nov 15th, 2018This Offer Is Not Available in Stores!
Oct 22nd, 2018Step Up and Do Your Part to Save the Future of Organized Dentistry in Kentucky
Oct 22nd, 2018Ladies, Evaluate your Lifestyle!
Oct 22nd, 2018I told her I was leaving the house to get milk…
Oct 22nd, 2018Cybersecurity 101
Aug 13th, 2018Thank You for Letting Me Serve
Aug 13th, 2018Well, That Happened
Aug 13th, 2018Find YOUR Magic
Jul 13th, 2018Kentucky Dental Association Opinion: In Response to the Recent Discontinuation of Dental Benefits
Jun 22nd, 2018Mentoring a Young Dentist Can Change the End of our Story
Jun 22nd, 2018Sage Advice for Making Your Dreams Come True
Jun 22nd, 2018It wouldn’t be a party (or an association) without you
Apr 30th, 2018What will your Legacy Be?
Apr 30th, 2018It is a New World
Apr 30th, 2018How NOT to Get Stuck with the Bill (and why)
Apr 30th, 2018Setting the Stage for Meaningful Collaboration with our Legislators
Feb 23rd, 2018Let’s Talk about Teeth.
Feb 23rd, 2018The Power of Positive Words
Feb 23rd, 2018Be There or Beware!
Feb 23rd, 2018What the Heck is KDPAC?
Feb 23rd, 2018Kentucky Dental Foundation Reinforces Its Support for SmileKentucky! Program
Feb 23rd, 2018Kentucky Dental Foundation Reinforces Its Support for SmileKentucky! Program
Feb 23rd, 2018We All Depend On Each Other to Win
Feb 23rd, 2018It’s a Good Time to assess our Actions and Attitudes
Feb 23rd, 20186 Reasons NOT to Renew Your KDA Membership
Feb 23rd, 2018Dental Auxiliaries in Kentucky
Jan 16th, 2018Big savings on chloroprene gloves, masks, disposable products through March 31
Oct 16th, 2017We have a Place for you at the KDA!
Oct 16th, 2017August Eclipse
Oct 16th, 2017On the Road (Again)
Oct 16th, 2017The Opioid Epidemic in Kentucky
Oct 16th, 2017Prepare for New Patients: 3 Ways to Get the Most from the ADAs New Find-a-Dentist Campaign
Oct 13th, 201710 Ways the ADA Made a Difference in 2017
Aug 18th, 2017Our Associations Future depends on the Engagement of Every Member
Aug 18th, 2017What a Long, Strange Trip Its Been!
Aug 18th, 2017Will the Future of Health Care Be More Closely Related to the Fertility Rate than the Actions of Congress?
Aug 18th, 2017New Regulations on Amalgam Waste Removal
Aug 18th, 2017Did You Know You Are Already Practicing Teledentistry?
Aug 11th, 2017Check Out our FREE Friday 2-fer Special!!!
Jun 26th, 2017An Amazing Year at the KDA!
Jun 26th, 2017We Need a New Sheriff in Town
Jun 26th, 2017The Road to French Lick
Jun 1st, 2017KDA Board Selects Bowman Insurance Agency to Service Association Health Insurance Plan
Jun 1st, 2017Are you interested in serving as a KDA Delegate or Alternate Delegate?
Apr 24th, 2017A Memorable Legislative Day
Apr 24th, 2017The Daunting Task of Changing Someone Elses Bad Habits
Apr 24th, 2017And The Winner Is
Apr 24th, 2017Reflections on our 2017 KDA Legislative Day
Apr 3rd, 2017Take advantage of great Q2 price reductions!
Feb 16th, 2017Still Much to Do and Many Changes on the Horizon
Feb 16th, 2017Celebrate the Best in Everyone!
Feb 16th, 2017A Look Ahead
Feb 16th, 2017KDA Editor Wins Prestigious William J Gies Award Editorial Award
Feb 16th, 2017Trends in Dentistrythe More Things Change, the More they Stay the Same
Feb 2nd, 2017Association Glove Program: 2017 First Quarter Specials
Dec 20th, 2016Membership is the Key to Our Future and the Responsibility of All: Our Own Members are Our Best Recruitment Tool
Dec 20th, 2016I Used To Be a Libra
Dec 20th, 2016Political Slogans and Other Words to Live By
Dec 20th, 2016Whats in Your Water?!
Oct 24th, 2016Happy Trails from the Mountains of Eastern Kentucky
Oct 24th, 2016Our KDA Foundation is Small, but We CAN Make a Difference
Oct 24th, 2016You Cant Always Get What You Want
Oct 24th, 2016Kentucky Dental Foundation Board Members Work to Establish Goals and Priorities to Ensure a Bright Future
Oct 10th, 2016October is Breast Cancer Awareness Month: Simple Steps Women Can Take to Reduce the Odds of Developing Breast Cancer
Sep 12th, 2016Does Frankfort Need a Better Understanding of our Medicaid Population?
Sep 12th, 2016Lets Move!
Sep 12th, 2016Bonus Points May Not Be Enough
Sep 12th, 2016Understanding the Aging Phenomenon/The Aging Tsunami: Demographic Imperative
Sep 12th, 2016Aging and Frailty Basics
Sep 12th, 2016Polypharmacy: A Geriatric Syndrome with Serious Implications for Oral Health
Jun 14th, 2016Half Way through 2016 and Still a year to Go...
Jun 14th, 2016What Can I Tell You?
Jun 14th, 2016Pigs in Space
Jun 14th, 2016Women Rising: The Unseen Barriers
Apr 15th, 2016Dentistry is Our Life's Work - Be passionate!
Apr 15th, 2016A Grateful Heart
Apr 15th, 2016Love Never Fails
Apr 15th, 2016Survivor Stories: How to Endure the Rank of New Dentist and Live to tell about it
Feb 12th, 2016Be PROACTIVE and Rededicate Yourself to Membership in our Tripartite Organization
Feb 12th, 2016My New Years Resolution
Feb 12th, 2016# the future is not what it used to be
Feb 12th, 2016NOW is the time to belong to the KDA!
Dec 28th, 2015You Can Keep Our Momentum Moving Forward
Dec 28th, 2015Meet the Bevins
Dec 28th, 2015Measuring the Burdon of Ethics
Dec 28th, 2015Downtown Fun. If You Dont Believe Us, Come See!
Dec 28th, 2015Highlights of the 2015 ADA House of Delegates
Nov 23rd, 2015Delta Dental of Kentucky Hints at a Large Statewide Project in the Works for 2016 at the Kentucky Oral Health Summit
Oct 27th, 2015Scary Good Web Design Tips From Officite
Oct 15th, 2015Medicaid Work Group Update
Oct 15th, 2015Just the Facts: Kentucky Meeting Changes Create Confusion
Oct 15th, 2015Our New Mission will require the Efforts of All
Oct 15th, 2015Oral Health Literacy as a Primary Goal and Not an Afterthought
Oct 15th, 2015Still Crazy after Just One Year
Oct 15th, 2015Womens Forum Enjoys Perfect Weather, Perfect Setting and Engaging Dialogue!
Aug 14th, 2015Calling ALL Members and Non-Members: We Need Organized Dentistry!
Aug 14th, 2015Can You Hear Me, Now?
Aug 14th, 2015First, Do No Harm?
Aug 14th, 2015A Plan for Our Future, and a New Mission StatementHelping Member Dentists Succeed and Serve
Jun 23rd, 2015Our new KDA Mission: Helping Member Dentists Succeed and Serve
Jun 23rd, 2015Weve got a Plan!
Jun 23rd, 2015Irrelevance
Jun 23rd, 2015My Introduction: A Smidge of Trepidation, Overwhelmingly Full of Pride and Anticipation
Jun 23rd, 2015Part II: The KDAs Dental Access Summit A Report
Jun 18th, 2015Medicare Part D: Q&A - American Dental Association - May 29, 2015
Apr 28th, 2015Thank You for the Opportunity
Apr 28th, 2015Ask not What Your KDA Can Do for you
Apr 28th, 2015The View from No Mans Land
Apr 28th, 2015KDAS Dental Access Summit Saturday, January 31, 2015 Report to KDA Part I
Feb 20th, 2015Think Big!
Feb 20th, 2015Its all about the membership in 2015!
Feb 20th, 2015For the Record
Feb 20th, 2015Into the Belly of the Beast
Dec 29th, 2014Things are Moving Faster than Fast!
Dec 29th, 2014Who Wouldnt Want to Be a Part of This?
Dec 29th, 2014When Is the Right Time?
Oct 24th, 2014Dental Insurance Direct Deposit Through A Virtual Credit Card; What Does It Cost Me?
Oct 21st, 2014Who Can I Hire for $100 a Month?
Oct 21st, 2014Last Call
Oct 21st, 2014Im here to Help
Oct 21st, 2014Get passionate! This is Our Profession!
Oct 21st, 2014Postscript for an Editors Passing
Oct 21st, 2014and he did what?!: Giving a Professional Second Opinion
Aug 21st, 2014Your KDA is Working Hard for You!
Aug 21st, 2014Nobody Goes Into Dentistry Because They Love Molars!
Aug 21st, 2014Synergy
Aug 21st, 2014KENTUCKY HEALTH NOW: The GOALS of our GOVERNOR
Jun 16th, 2014Think Big. Think Positively. Think Proactively.
Jun 16th, 2014Denigration
Jun 16th, 2014YOU HAD TO BE THERE!
Jun 16th, 2014New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry
Jun 16th, 2014New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry
Apr 24th, 2014I Only Have A Loose Screw!
Apr 24th, 2014Dare to Dream!
Apr 24th, 2014I am the KDA! You are the KDA! WE are the KDA!
Apr 24th, 2014The Dentists Guide to Social Media Marketing
Feb 20th, 2014Where Do We Go From Here?
Feb 20th, 2014Medicaid: An Example of Missing the Goals for Oral Health in Kentucky
Feb 20th, 2014UKCDs First Regional Dental Program: The First Ten Years
Feb 20th, 2014UofL Brightening the Smiles of Children
Feb 20th, 2014Go Tell It on the Mountains
Dec 23rd, 2013Letting the Secret Out
Dec 23rd, 2013It Is What They Left Behind
Dec 23rd, 2013Dr. John Thompson Awarded Distinguished Editor Award
Dec 23rd, 2013Teamwork Creates Champions: the Kentucky Meeting: March 13-16, 2014
Dec 23rd, 2013Listen to Interviews with our Speakers!
Dec 23rd, 2013Welcome Dental Students and New Dentists!
Dec 23rd, 20132014 Kentucky Meeting Details
Oct 17th, 2013I Still Like Maps!
Oct 17th, 2013Ground Game
Oct 17th, 2013Kentucky Department of Insurance, HB 497 and Non-covered Services
Oct 17th, 2013Dr. Janet Faraci Lees Legacy
Oct 17th, 2013Dr. Janet Faraci Lee Leadership Development Award
Aug 12th, 2013The Affordable Care Act: What does it mean for Our Members?
Aug 12th, 2013All Membership Is Local
Aug 12th, 2013White Crosses
Aug 12th, 2013KDA MembershipWhere Do We Go from Here?
Aug 12th, 2013Thoughts from a New Dentist: the Top Three Reasons that I am Involved with Organized Dentistry
Aug 12th, 2013How can KDAIS Benefit You, as a KDA member?
Aug 12th, 2013Beyond the Website: Marketing on the Modern Web
Aug 12th, 2013Delinquent Accounts.Collections..YUCK!
Aug 12th, 2013Every Patient Matters. So Does Every Transaction.
Jun 13th, 2013Preaching to the Choir
Jun 13th, 2013Something I Wish I Didn't Know!
Jun 13th, 2013The Foundation of the Kentucky Dental Association: Positioned to Make a Powerful Statement
Apr 15th, 2013Participate in Your KDPAC! Contribute and Deliver
Apr 15th, 2013The Pediatric Dental Benefit: Must Offer, May Purchase
Apr 15th, 2013Exchange What?
Apr 15th, 2013So Long, Farewell, Auf Wiedersehen, Adieu
Apr 15th, 2013United We Stand, Divided We Fall
Feb 12th, 2013Its a Dentist Thing
Feb 12th, 2013A Profession in Flux
Feb 12th, 2013Living Is What You Do When Life Gets In the Way
Feb 12th, 2013The Tip of the Iceberg: Actions by the Kentucky Department for Medicaid Services Which May Sink KMAP
Oct 19th, 2012Membership Matters
Oct 19th, 2012House Bill 1 and What It Means to You
Oct 19th, 2012Self-Regulation
Aug 21st, 2012The Perception of Dentistry
Aug 21st, 2012Sarrell Dental: Beyond the Operatory
Jun 18th, 2012Leadership or Politics?
Jun 18th, 2012What Part of the “Affordable Care Act” Has Been Affordable?
Jun 18th, 2012I Had an Uncle…
Apr 6th, 2012Many Thanks for a Great and Memorable Year
Apr 6th, 2012What a Year, so far!
Apr 6th, 2012The "New Old" Still have Teeth
Feb 21st, 2012Happy New Normal
Feb 21st, 2012All for One and One for All!
Dec 19th, 2011Access to Care?
Dec 19th, 2011The Wide World of Sports
Oct 28th, 2011Report of the Sixth District Trustee
Oct 28th, 2011To the KDA Executive Board and the entire KDA
Oct 18th, 2011Word-of-Mouth on Steroids!
Oct 18th, 2011Managed Care and Dentistry in Kentucky: a Dentist’s Dilemma
Oct 18th, 2011Why We Shouldn't Lose Sight of Our Purpose...
Aug 4th, 2011Mentor a Young Dentist and Change a Life
Aug 4th, 2011OMG, what is EBD?
Aug 4th, 2011CAPWIZ: Legislative Advocacy Made Easy
Jun 13th, 2011I Might Soon Be Coming to a Town Near You...
Jun 13th, 2011Outside Our Line
Apr 18th, 2011Let Me Ask For a Minute of Your Time
Apr 18th, 2011I Pledge to Be your Humble Servant…
Apr 18th, 2011Blindsided
Apr 18th, 2011On Your Side, Not Your List
Feb 17th, 2011Dr. Andy Elliott for President-elect of the American Dental Association
Feb 4th, 2011A Little Planning Really Helps
Feb 4th, 2011Adjusting Attitudes
Jan 4th, 2011Dental Management of Patients Taking Antiplatelet Medications
Nov 30th, 2010Holiday Greetings to All
Nov 30th, 2010Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida
Nov 30th, 2010Dental Education Found Worthy
Oct 25th, 2010Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida
Oct 7th, 2010What Happens in Alaska, doesn’t Stay in Alaska
Oct 7th, 2010We Need To Do a Better Job of Communicating
Oct 7th, 2010What If …?
Oct 7th, 2010I’m in a Hurry!
Oct 7th, 2010Who Will Speak for Me?
Aug 6th, 2010The Times They Are Changing
Aug 6th, 2010Kentucky's Dental Practice Act: The Passing of an Old Friend
Jun 10th, 2010How a Star was Born
Jun 10th, 2010I Need Your Help…
Apr 20th, 2010KDA and Louisville Water Company Share 150th Birthday and Public Health Vision
Apr 20th, 2010President's Message MA 2010
Apr 20th, 2010Getting It Right!
Feb 25th, 2010What is a Legacy?
Feb 25th, 2010Please Join Us for an Exciting, Event-Filled Year Ahead!
Dec 14th, 2009Holiday Reflections…
Dec 14th, 2009Challenging the Myth of the Suicide-Prone Dentist
Dec 14th, 2009There is Hope: Suicide Awareness and Prevention in Kentucky
Nov 6th, 2009Don’t Balance Health Care Books by Shortchanging Physicians
Nov 6th, 2009Break your Right Arm and Suddenly You have Time to Study Economics.
Jun 26th, 2009Making the World a Better Place, One Village at a Time!
Apr 13th, 2009Breaking Glass
Feb 20th, 2009At the Heart of any Worthy Project is a Committed Volunteer