KDA Today

KDA Today

For Immediate Release

Date: Oct 16th, 2017
Contact: Dr. Beverly A. Largent
Phone: 800-292-1855
Email: info@kyda.org

The Opioid Epidemic in Kentucky

The opioid epidemic in Kentucky has been well-publicized, and has become a part of the current lexicon. What was in the 1960s considered to be the problem of the flower child, has now become a disease/addiction that affects the entire population. Every Kentuckian is touched in some way. Few cannot claim a friend or relative who is an opioid user, and everyone suffers the drain on the community through the cost of first responders, law enforcement and treatment centers. Everyone knows the problem, but the terms opiates, opioids, Methadone, Suboxone can cause confusion in the most educated who do not deal with the problem on a daily basis. 

In June 2017, the Kentucky Office of Drug Control Policy released its report on fatal overdoses in Kentucky for the year 2016. There was a 7.4% increase from the prior year. In 2016, 1,404 Kentuckians lost their lives to a drug overdose. The drug Fentanyl was associated with more than half of all the fatalities, as it was in 2015. Louisville, Lexington and Northern Kentucky suffered the most fatalities, but almost every county in Kentucky had at least one fatality due to a drug overdose. (1) Leslie County had the highest number of deaths on a per capita basis, followed by Bell, Powell, Gallatin and Campbell counties. (1) In far Western Kentucky, an older population continue to be prescribed opioids. Also impacting the western part of the State is the proximity of Missouri, the only state in the U.S. without a reporting system like KASPER, making doctor shopping relatively easy. (10)

Fentanyl is a Schedule II narcotic, and as a street drug, is manufactured outside the U.S. and smuggled through Mexico. It is approximately 50 times more powerful than heroin, alone, and is manufactured in such a way that users don’t know that it is present, or how much is present. Even in very small amounts it can be lethal. (3)

The American Society of Addiction Medicine (ASAM) defines addiction: “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.” (2)

Specifically, the impact of opioids on physical health includes drowsiness, constipation, depression of the Central Nervous System, liver and kidney disease, damage to vital organs, HIV, Hepatitis C, and hyperalgesia, or an increase in pain. (4)

What are the differences between opioids and opiates? An opiate is a drug that is natural and is derived from the opium poppy. The drugs morphine and codeine are opiates, as well as the lesser known Thebaine. Another class of opiates are the semi-synthetics such as Morphine-heroin, known as MS Contin; Codeine, under the names Vicodin, Lortab, Oxycodone, Percocet, Tylox and OxyContin, and Thebaine, which is not used therapeutically, but is converted into Naloxone, Naltrexone and Buprenorphine. The fully synthetic drugs are opioids. They include Methadone, Fentanyl and Darvon. Heroin is an opioid. (4)(5) “Heroin—known by nicknames such as Black Tar, Big H, Dog, Horse and Puppy Chow, is a highly addictive drug derived from morphine, which is obtained from the opium poppy. Heroin can be injected, smoked in a water pipe, inhaled as smoke through a straw or snorted as a powder through the nose. Heroin is especially deadly because it is both highly addictive and unpredictable. It is also dangerous because there is no way to know exactly what you‘re buying. A key driver behind the uptick in heroin abuse was the reformulation of two widely abused prescription pain drugs, making them harder to crush and snort. Drug manufacturers reformulated Oxycontin in 2010 and Opana in 2011. (9)

Opioids are successfully used in end-of-life care and for post-surgical pain. Unfortunately, most of the prescriptions for opioids in the United States are for common conditions, where the use of opioids could potentially cause more harm than good. (5) The American Association of Oral and Maxillofacial Surgeons (AAOMS) published a White Paper this year titled, “Opioid Prescribing: Acute and Postoperative Pain Management.” The recommendation from AAOMS is that Non-steroidal anti-inflammatory drugs be used as first line analgesic therapy. This White Paper can be accessed through the AAOMS website, and includes several considerations and recommendations for pain management, as well as support for the patient-practitioner relationship, allowing for the practitioner to make the judgement for appropriate pain control.

The current opioid epidemic can be traced to the 1990s with the introduction of OxyContin. The pharmaceutical company marketing the drug messaged to the medical community that people were being allowed to suffer needlessly. (5) In 1999, the Veterans Health Administration launched the initiative “Pain as the 5th Vital Sign”, requiring a pain intensity rating from 0-10 for all clinical encounters. (6) Although the 5th vital sign has been abandoned, these two factors have led to greater prescribing of pain medication. The increase of prescriptions for pain medications parallel increases in overdose deaths. There has been a 900 percent increase in opioid addiction in the U.S. since the 1990s. (7)(5)

In almost all populations of drug users, prescription pain medications were the starting point. When users are unable to get refills of their pain medications, they typically start to buy the drugs on the black market. Because of the high cost of the drugs, users who could, switched to heroin, a much cheaper drug. Heroin reacts with the brain in the same way as prescription drugs, so it is an easy switch. Some young adults have become addicted to heroin through recreational use. Heroin is available in most areas of Kentucky and the United States. Since 2015, there has been a marked increase in the mixture of black market Fentanyl with the heroin, which is thought to be the major cause of the increase in overdose deaths. (3) Some communities have reported several deaths in one night due to a bad batch of drugs. (3)

Kentucky has been on the forefront with policy to address the opioid epidemic. House Bill 1 was passed in a special session of the General Assembly in 2012. As described in “State Strategies for Combatting Heroin and Illicit Fentanyl”, HB 1 required the use of KASPER, required CEUs on addiction, changed requirements for ownership and operation of pain clinics, required coordination between licensing boards and law enforcement, and required licensing boards to promulgate regulations for the prescribing of controlled substances. House Bill 217 was passed in the 2013 Regular Session, which placed some of the items in HB1 into regulation and out of statute. Senate Bill 192 passed in Regular Session in 2015, and included a Good Samaritan clause for persons possessing a small amount of drugs who called 911 and stayed with an overdose victim. “The bill allows for local option syringe exchange and expanded access to Naloxone”, provides tougher penalties for drug traffickers, expands avenues for treatment over incarceration, and allocated $10 million for eight different programs. (8)

In addition to legislative efforts, there have been several efforts to educate practitioners and the public, create community grants for prevention efforts, and provide Naloxone kits. (8)

Naloxone is used in an emergency situation to reverse the effects of an opioid overdose. It is sold as Evzio and Narcan. Kentucky has provided Naloxone kits to emergency rooms in larger hospitals in the state, and is routinely carried by first responders and law enforcement.

There are three FDA-approved drugs used for the medical-assisted treatment of opioid use, to alleviate the withdrawal syndrome. They are Methadone, Buprenorphine and Naltrexone. The following descriptions are taken from the presentation “Medication Assisted Treatment for Opioid Addiction” by Mark Fisher, State Opioid Treatment Administrator.

Methadone is a Schedule II narcotic and was developed in Germany during World War II for pain relief. It is a long-acting analgesic and provides a blocking effect in the receptors in the brain. It is always delivered as a liquid. Methadone relieves the cravings, and helps the user return to “normal”, improving employment status and family life. Its safety is well-established, although there are cardiac concerns with initial use. (4)(11)

Buprenorphine is a Schedule III narcotic. Two forms were FDA-approved in 2002, Subutex and Suboxone. Both are delivered as a sublingual tablet. Buprenorphine blocks the receptors in the brain that generate the high from opioid use. Subutex is primarily used in the U.S. for pregnant women, and contains Buprenorphine, only. (Methadone is the Gold Standard when treating pregnant women.) Suboxone is Buprenorphine with Naloxone added as a means to decrease diversion. Buprenorphine can be expensive, and requires counseling. It decreases cravings and allows the user to return to a more “normal” lifestyle.

Naltrexone is not an opiate, but an opioid antagonist. It is primarily used to treat alcohol dependence. As with Buprenorphine, medication is only one component, and counseling is required. Treatment time is approximately three months, and it works best with highly-motivated patients. It can be prescribed by any physician, and is relatively inexpensive when compared to the other drugs. The stigma of visiting treatment centers is relieved with the use of Suboxone. (4)

In September 2017, CVS Pharmacy chain announced new guidelines for its pharmacists, expected to take effect in February 2018. The guidelines call for expanded customer education, for pharmacists to discuss the dangers of opioid addiction to both adolescents and their parents, a $2 million donation to federal treatment centers, new medication disposal kiosk, and holding pharmacist accountable to follow federal guidelines when prescribing opioids. (12)

All authorities agree that a successful war on the opioid epidemic must be two-pronged. Measures to stop trafficking, and measures to heal the addict are necessary. Senate Bill 192 has marked a change in Kentucky policy, treating the addict rather than incarceration. This bill also raised the risk to the trafficker, allowing up to 20 years of imprisonment. Public sentiment must change as well, and the realization that pain is not a disease is the first step.

1. 2016 Overdose Report Shows Fentanyl Driving Up Opioid Deaths, June 28, 2017, Http://kentuckky.gov/Pages/Activity-stream.aspx?n=Corrections&prld=71 ; accessed 9-20-17.
2. American Society of Addiction Medicine, asam.org/resources/definition-of-addiction; Entered site 9-21-17.
3. Opioid Death Reach Record High in Kentucky, Kelly Burch, 2-29-17, https://www.thefix.com/opioid-deaths-reach-record-high-kentucky; accessed 9-20-17.
4. Medication Assisted Treatment for Opioid Addiction, Mark Fisher, Program Administrator, State Opioid Treatment Administrator, Kentucky Division of Behavioral Health, https://dbhdid.ky.gov/dbh/documents.ksaods/2015/AckerFisherKeen3.pdf; accessed 9-15-17.
5. Our Evolving Profession and the Kentucky Lawyer; Spotlight CLE: The Opioid Epidemic in Kentucky; Inside Opioid Addiction: 10 questions with Dr. Andrew Kolodny, by Justin Allen; reprinted from https;//www.ket.org/opioids/inside-opioid-addiction-10-questions-with-dr-andrew-kolodny/99/9/16; http;//www.kybar.org/resource/resmgr/2017_conventionnnnnnn/pdfs/Opioid_Epidemic.pdf; accessed 9-19-2017.
6. J.Gen Intern Med. 2006 Jun;21(6);607-612.dio: 10.1111/;1525-1497.2006.00415.x
7. Kentucky has most opioid-dependent patients with private insurance, Terry DeMio, June 19, 2017, http;//www.cincinnati.com/story/news/2017/06/19/Kentucky-has-most-opioid-dependent-patients-private-insurance/395458001/; accessed 9-15-17.
8. Our Evolving Profession and the Kentucky Lawyer, 2017 annual convention, June 21-23, 2017; Spotlight CLE: The Opioid Epidemic in Kentucky; State Strategies for Combatting Heroin and Illicit Fentanyl; NGA Center for Pest Practices Learning Lab; http;//www.kybar.org/resource/resmgr/2017_convention/pdfs/Opioid-Epidemic.pdf; accessed 9-19-2017.
9. Our Evolving Profession and the Kentucky Lawyer; Spotlight CLE: The Opioid Epidemic in Kentucky; The Heroin Epidemic-There’s a New Drug of Choice in Kentucky: Heroin, Fentanyl; Reprinted from http;//odcp.ky.gov/Pages/The-Heroin-Epidemic.aspx; http;//www.kybar.org/resource/resmgr/2017_convention/pdfs/Opioid-Epedemic.pdf; accessed 9-19-2017.
10. Our Evolving Profession and the Kentucky Lawyer; Spotlight CLE: The Opioid Epidemic in Kentucky; Creating a Region-Wide Response to the Opioid Crisis in Western Kentucky, Patrick Reed; Reprinted from httpsl//www.ket.org/opioids/creating-a-region-wide-response-to-the-opioid-crisis-in-western-kentucky/(3/15/17); http;//www.kybar.org/resource/resmgr/2017_convention/pdfs/Opioid-Epidemic.pdf; accessed 9-19-2017.
Our Evolving Profession and the Kentucky Lawyer, 2017 annual convention, June 21-23, 2017; Spotlight CLE: The Opioid Epidemic in Kentucky; Maintenance Medication for the Opiate Addiction: The Foundation of Recovery; Gavin Bart, MD, FACP, FASAM; (2012) Journal of Addictive Diseases, 31:3, 207-225, DOI:10.1080/10550887.2012.694598
11. , reprinted by permission of Taylor & Francis, LLC (http;/www.tandfoline.com). http;//www.kybar.org/resource/resmgr/2017_convention/pdfs/Opioid-Epidemic.pdf; accessed 9-19-2017.
12. CVS to Follow Federal Guidelines for Opioid Prescriptions; Laura Kelly, The Washington Times; 9-21-12, www.washingtontimes.com; accessed 9-21-17.

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.

Apr 12th, 2024Hit A Trifecta with a KDA Membership
Apr 12th, 2024You Are What You Code
Apr 12th, 2024There’s a Lot Going On!
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
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
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