• TDSC marks first-year milestone with $500K in member savings

    One year after clicking the “place order” button to purchase dental supplies online through The Dentists Service Company’s Marketplace, James Stephens, DDS, added up his 12-month savings — $13,000 total. Stephens, who owns a Palo Alto practice with his wife and business partner Susan Park, DDS, was among the first dentists to test the new TDSC Marketplace in February 2017, and he knew at the time that CDA was about to change the way dentists buy supplies.

    “The savings are substantial — buying through the Marketplace has saved us enough money to cover our tripartite dues, invest in our practice and even take a vacation,” said Stephens, past CDA president and past TDSC board chair. “The Marketplace has become the new norm in my office and it provides significant savings to my practice.”

    After a successful testing phase, the TDSC Marketplace was launched last June as a free benefit to all CDA members in response to members’ desire to have more control over their practices, including the ability to compete with large group practices that negotiate supplies at lower prices than solo practice owners.

    “Big dental supply companies set prices the way they want to because they can,” said Ruchi Sahota, DDS, associate editor of the CDA Journal. In her February 2018 editorial “One-Stop Shopping Equals Savings and Support,” Sahota enthusiastically urged all CDA members to buy supplies through the Marketplace, which has saved her Fremont practice time and money. “If we want these amazing prices to stick around, then we have to buy. We have to utilize the Marketplace. The more we buy, the bigger TDSC’s buying power becomes. The more we buy, the more TDSC can negotiate prices.”

    Built on values important to dentists, the Marketplace delivers savings and selection through an easy-to-use site for members and office teams who handle supply ordering. From composites to bonding agents, burs and gloves, the Marketplace boasts more than 25,000 products across 32 categories, with each item from a trusted, authorized vendor.

    Throughout 2017, the Marketplace platform added enhancements with features like “saved lists,” which offer the ability to save frequently ordered items and to set automated subscriptions for products ordered regularly to ensure a practice never runs out of the things used most. With a large catalog selection, products are categorized in a logical way and are easy to find via the on-site search function. Thanks to consistent feedback and hands-on support from early shoppers, the Marketplace has continually improved in this area, and today shoppers can easily search and find products by their product name, description or product number.

    In its inaugural year, the Marketplace garnered national attention, not only from dental industry manufacturers and suppliers but also dental-related publications. CDA member Jonathan Ford, DDS, shared his Marketplace experiences in both Dentistry IQ and Dental Economics magazines. In his January 2018 Dental Economics article, “How I compete with that DSO-supported office down the street,” Ford wrote that the Marketplace saved his practice more than $4,800 in the first six months.

    “Buying online has affected every other facet of the retail economy, so it’s no surprise that as the digital and dental worlds have evolved, e-commerce has found its way into the dental supply landscape as well,” Ford wrote. “Organized dentistry is at its best when we can leverage the shared strength of our membership to find innovative ways to stay ahead of a shifting landscape.”

    Following the Marketplace’s successful first year, TDSC is now focusing on growth for 2018. As more members discover significant savings on their dental supplies, CDA and TDSC want to ensure that all members know about this newest member benefit so they can capitalize on savings for their practices. Additionally, work is underway on out-of-state expansion plans that would allow the Marketplace to strengthen the group’s buying power and continue to drive savings.

    TDSC Marketplace access is a free benefit of CDA membership. To compare products, see savings and start shopping, visit
  • House Passes Action For Dental Health Act.

    The ADA News (2/27, Garvin) reports that the House of Representatives voted 387-13 on Feb. 26 to pass the Action for Dental Health Act of 2017, which calls for Congress “to amend the Public Health Service Act to improve essential oral health care for low-income and other underserved individuals by breaking down barriers to care, and for other purposes.” ADA President Joseph P. Crowley sent an action alert to ADA members, calling the legislation’s passage “a huge victory for dentistry and patients everywhere.” Dr. Crowley said, “All Americans deserve good dental health and this bill helps fund programs that combat dental disease before it starts.” The article reports that “the ADA is working with Senators to take action on this legislation.”

    For more information about the ADA’s Action for Dental Health initiative, visit
  • Dentists with DEA numbers must be registered with CURES 2.0

    “All health care practitioners authorized to prescribe or dispense Schedule II-IV controlled substances were required to register to use CURES 2.0 no later than July 1, 2016,” the Dental Board of California reminds dentists in an email distributed late January.

    California’s Controlled Substance Utilization Review and Evaluation System, or CURES 2.0, aids prescribers and dispensers in identifying fraudulent activity and is intended to reduce prescription drug abuse and diversion without affecting legitimate medical practice or patient care. Prescribers will soon be required to check a patient’s prescription history in the CURES 2.0 database prior to prescribing a Schedule II-IV substance in certain situations, with some exemptions.

    The dental board “encourages all licensed dentists who hold a DEA registration to take measures immediately to ensure they are in compliance with this CURES 2.0 registration requirement.” One of the following browsers is required to access CURES 2.0: Microsoft Internet Explorer Version 11.0 or greater; Mozilla Firefox; Google Chrome; or Safari.

    Register to access CURES 2.0. For CDA resources on CURES and opioid pain management, visit For assistance with CURES 2.0 registration, contact the CURES helpdesk by email or at 916.227.3843.
  • New infection control standard applies to treating exposed dental pulp

    An emergency regulation soon to be adopted by the Dental Board of California amends the minimum standards for infection control to require that water or other methods used for irrigation be sterile or contain recognized disinfecting or antibacterial properties when treating exposed dental pulp. All individuals licensed to practice dentistry in California will be required to follow the new infection control standard.

    Assembly Bill 1277 (Daly, D-Anaheim), signed into law last October by Gov. Jerry Brown, requires the dental board to adopt the emergency regulation “for the immediate preservation of the public peace, health and safety, or general welfare.” An outbreak of mycobacterial infection at a children’s dental clinic in Southern California in 2016 prompted the legislation, which CDA supported. More than 60 children were hospitalized as a result of their infections, some with severe complications. The investigation that followed suggested a bacterium was introduced by water during the performance of pulpotomies.

    This infection control standard adds to existing dental board regulations on water quality, which require that dental water lines be purged at the beginning of each workday and flushed between patients.

    The dental board is in the process of adopting the emergency regulation and has until Dec. 31, 2018, to adopt a final regulation that is consistent with the emergency regulation.

    CDA will keep members informed about any further action the board takes and additional regulatory requirements for dentists.

    ​Applications are being accepted through February 16 at for CDA’s two newest task forces: 

    The Dental Benefits and Economics Task Force will identify opportunities for CDA to assist members in response to the changing dental benefits marketplace. Volunteers who are diverse in practice experience, location and practice modality, with a range of experience with dental reimbursement and economic challenges are encouraged to apply. The following qualifications are desired:

    Direct knowledge of dental benefit plans as either a current or former dental PPO or HMO participating provider (required)

    Evidence-based thinkers experienced with dental benefit best practices when managing their dental practices  

    The Dental Office Staffing Task Force will evaluate factors contributing to staffing shortages, identify specific areas of staffing concerns, and help to develop actionable responses. Volunteers with diverse dental practice types, experience with dental office staffing issues, policy development and practice management experience, including engaging in related component activities, advising a local dental assisting program or working individually to address staffing shortages are encouraged to apply.

    If you have any questions, please contact the governance team at Thank you.
  • FDA bans active ingredients from nonprescription antiseptic products

    In a final rule issued by the Food and Drug Administration, 24 active ingredients used in nonprescription antiseptic products are “not generally recognized as safe and effective” (GRAS/GRAE) for use by health care professionals in health care settings or situations “due to insufficient data.” The rule — or the ban on use of these ingredients in over-the-counter antiseptics — finalizes the 2015 Health Care Antiseptic Proposed Rule and takes effect Dec. 20, 2018.

    By the rule’s definition, health care antiseptics include:

    Health care personnel hand washes
    Health care personnel hand rubs
    Surgical hand rubs
    Patient antiseptic skin preparations (i.e., preoperative and pre-injection skin preparations)
    Although the rule, which was published in December 2017, applies to 24 active ingredients, data from the FDA’s drug product registration database suggest that only triclosan is found in nonprescription antiseptic products that are currently marketed, as many manufacturers began phasing out the other ingredients following the FDA’s proposed rulemaking.

    In its summary of the major provisions of the final rule, the FDA cites new data suggesting that the “systemic exposure to these active ingredients is higher than previously thought, and new information about the potential risks from systemic absorption and long-term exposure is now available.” Additionally, new information has prompted the FDA to “reevaluate the data needed to determine whether health care antiseptic ingredients are generally recognized as effective.”

    The FDA has deferred rulemaking on six additional commonly used active ingredients —   benzalkonium chloride, benzethonium chloride, chloroxylenol, ethyl alcohol, isopropyl alcohol and povidone-iodine — until scientific studies have been completed.

    The rule does not cover consumer antiseptic washes or rubs.

    Ban does not apply to use of triclosan in toothpaste

    Dentists and their patients may have questions about the use of triclosan in toothpaste, which is not banned by the FDA’s final rule. The FDA states that after reviewing extensive data showing the effectiveness of triclosan in Colgate Total toothpaste, “evidence showed that triclosan in that product was effective in preventing gingivitis,” whereas the FDA in its final rule cited a lack of evidence that triclosan in nonprescription antiseptic washes and rubs is more effective than washing with regular soap and water.

    Dentists can refer patients who express concerns about triclosan in toothpaste to the consumer update “5 Things to Know About Triclosan” on the FDA’s website.

    Questions about the rule can be directed to the FDA at or 855.543.3784. View the final rule, which includes the complete list of banned ingredients, in the Federal Register.
  • Updates to 2017-18 Required Poster Set

    Regulatory changes have occurred since the printing of the 2017-18 CDA Required Poster Set. As of December 2017, the three changes are:

    The California Department of Industrial Relations updated Wage Order 4-2001 to reflect increases in the state minimum wage. The correct industry wage order, available on the department’s website, bears a revision date of 12/2016.
    Starting Jan. 1, 2018, all California employers are required to post a “Transgender Rights in the Workplace” poster developed by the Department of Fair Employment and Housing. The poster can be accessed on the DFEH website.
    The Division of Occupational Safety and Health, under the California Department of Industrial Relations, in November 2017 updated the Safety and Health Protection on the Job notice. All employers are required to print and post the notice found on the DIR website.
    All notices are required to be placed in an area frequented by employees and where they may be easily read during the workday.

    Because these changes come after the 2017-18 CDA Required Poster Set printing, each employer or practice owner is required to print and post the updated notices. The Required Poster Sets will not be reprinted to reflect this change.

    For more information, see the CDA Practice Support resource “List of Required Postings in a Dental Office.”
  • 10th Annual Ken Sanford, DDS Memorial Ride

    Don’t miss the 10th Annual Ken Sanford, DDS Memorial Ride in Baker City, Oregon September 16-18, 2018.

    Book your room NOW at the  Geiser Grand Hotel by calling 541.523.1889

    The “CDA Rides” discounted hotel rooms close on February 14, 2018! 


    For more information, please email
  • Volunteer Now for CDA Cares Anaheim 2018

    CDA Cares is coming to Orange County and we need your help in making the Anaheim event a huge success. 

    Each CDA Cares clinic provides dental services at no charge to an average of 1,950 individuals in just two days. We rely on hundreds of volunteers to make it happen. General dentists, oral surgeons, hygienists, assistants, lab techs, physicians, nurses and pharmacists share their clinical skills. Community volunteers register patients and volunteers, help set up, enter treatment data, escort patients, interpret and more.

    Anaheim Convention Center, Hall E
    800 W Katella Ave
    Anaheim, CA 92802

    Friday, April 27, 2018
    Saturday, April 28, 2018
    Patient follow-up care:
    If you are a licensed dentist in California, providing patient follow-up care after the clinic is also a great way to volunteer your skills. Sign up today for patient aftercare

  • Pharmacies are rejecting prescriptions due to noncompliant forms

    Dentists have reported to CDA that pharmacies have rejected their prescriptions due either to forms that are out of date or are missing required elements. All prescriptions have been for controlled substances, which must be on tamper-resistant forms printed by California-approved printers and containing California-specific pre-printed elements.

    Dentists should immediately check that their tamper-resistant prescription forms have the following:

    Security features that include a latent, repetitive “void” pattern printed across the entire front of the prescription blank; a watermark showing “California Security Prescription” printed on the backside; a chemical void protection that prevents alteration by chemical washing; a feature printed in thermochromic ink; an area of opaque writing so that the writing disappears if the prescription is lightened; and a description of the security features included on each prescription form.
    Six quantity checkoff boxes for the prescriber to indicate the quantity by checking the applicable box where the following quantities shall appear:
    151 and over
    In conjunction with the quantity boxes, a space or line to designate the units referenced in the quantity boxes when the drug is not in tablet or capsule form.
    Printed at the bottom, the statement “Prescription is void if the number of drugs prescribed is not noted.”
    The preprinted name, category of licensure, license number, federal controlled substance registration number (DEA number) and address of the prescribing practitioner.
    Check boxes for the prescriber to indicate the number of refills ordered.
    A place to indicate the prescription’s date of origin.
    A check box indicating the prescriber’s order not to substitute.
    An identifying number assigned to the approved security printer by the Department of Justice.
    A check box by the name of each prescriber when a prescription form lists multiple prescribers.
    Each batch of controlled substance prescription forms will have the lot number printed on the form and each form within that batch shall be numbered sequentially beginning with the numeral one.
    The law that establishes the requirements for tamper-resistant forms was last amended in 2012. For descriptions of  other requirements for controlled substances prescriptions, read the CDA Practice Support article, “Controlled Substances Prescribing and Dispensing.”

    A list of state-approved printers can be found on the website of the state Attorney General.

    On October 19, 2017, the fees assessed by the Dental Board of California (Board) increased in accordance with California Code of Regulations, Title 16, Sections 1021 and 1022.  These fee increases are a result of a rulemaking action that was approved by the Office of Administrative Law and filed with the Secretary of State on August 24, 2017. 

    Applications for new licenses and permits received by the Board on and after October 19, 2017 must be submitted with the new fee. Applications received by the Board without the correct fee will not be processed.

    Board issued licenses with an expiration date of January 31, 2018 and later are required to pay the new renewal fee. Failure to pay the new license renewal fee will result in licensure delinquency.



  • CDA urges Congress to oppose detrimental health care amendment

    CDA along with the California Medical Association and California Hospital Association sent the following letter to members of the California congressional delegation asking them to oppose the Graham Cassidy Block Grant amendment to the American Health Care Act. This amendment would cost millions of Californians their health care coverage and cost the state tens of billions of dollars in federal funding. CDA remains committed to ensuring quality health care coverage for Californians. Read the letter here.
  • TDIC alerts CDA members about copyright infringement risk

    The Dentists Insurance Company has received and is currently working to resolve several claims against its policyholders related to the unauthorized use of proprietary software code on the policyholders’ dental practice websites.

    Specifically, the claimant asserts the policyholders have committed copyright infringement by using, without permission, the claimant’s copyright-protected software that provides real-time online chat capability.

    Sometimes referred to as live chat, this software is just one feature that practice owners might consider and purchase as part of a website development package designed to meet the needs of today’s health care consumers who are largely researching, communicating and making decisions online. Practices might use online chat software to respond quickly and in a conversational format to questions from current or potential patients.

    “Long gone are the days when patients primarily chose their dentist based on provider directories, word-of-mouth or the Yellow Pages,” says TDSC Strategic Counselor Ashlee Adams. “Today, consumers are highly connected and able to research online reviews and ratings and peruse practice websites prior to making a dental or health care choice,” he adds.

    When hiring a website developer, ask questions

    Most practice owners are not designing their own practice websites. More commonly, they employ website developers to design websites with varying amounts of customization to meet the needs of their practice.

    As website development can and frequently does involve the use of copyrighted material, TDIC and The Dentists Service Company advise practice owners who are hiring, planning to hire or currently employing a company or independent contractor for website development and management services to take extra steps to protect themselves from liability.

    Such caution is particularly important given that the website developer may not own or have permission to use the copyrighted material, whether it be photographs or graphics, code for online chat software or a website theme.

    If the web design company does not build certain features itself, it is using third-party companies to help provide that exceptional patient experience that the practice owner wishes to deliver.

    First and foremost, practice owners should ensure they have a business associate agreement in place for any vendors they use for their practice. (CDA members can download the CDA Practice Support resource titled “CDA Business Associate Agreement.”)

    Additionally, TDSC Marketing Advisor Jessica Edgerton says practice owners should be aware and ask any web development company they are considering hiring or the web developer they are currently employing if they have proper licenses and permission to use all website features. These may include:

    Website content copyright.
    Licensing for images and videos.
    Agreements with third-party companies for the use of integrated online patient forms that collect information related to, for example, health history or dental benefits; live chat software; and appointment scheduling.
    Online review generation services. (These services help generate online reviews on Google, Healthgrades, Yelp, Facebook and similar websites.)
    Practice owners should carefully review the service agreements with the web developers and seek advice from their personal attorney prior to retaining a web developer’s services. Ideally, a web developer should promise that it has all rights and licenses necessary to grant the practice owner the right to use and access the website and that the web developer will indemnify and defend the practice owner from any third-party infringement claims related to the services or the website. This may help to limit or even remove exposure for the practice owner.

    “If the web developer does not have proper licenses or permission or is not able to provide a definitive answer to your questions, it may not be worth the risk for you to proceed with that relationship,” Edgerton adds.

    Unauthorized use easily detected with today’s tools

    Many companies use a tool that searches the internet for unauthorized use of photos, images and other copyrighted content by, for example, detecting watermarks within images. Often, when unauthorized use is detected, the owner of the copyrighted material will send a cease and desist letter with a demand of payment for the period of time that the unauthorized use has occurred.

    CDA uses such a tool to help ensure the integrity of its website and subsidiary websites. Edgerton says that with tools like these, “anyone looking to copy content without permission is unlikely to get away with it.”

     TDIC’s Professional Liability Policy offers protection

    Dentists insured with TDIC have coverage for defense and/or potential settlement of claims such as copyright infringement, which are classified as “advertising injuries” and are located under the Dental Business Liability section of TDIC’s Professional Liability Policy. The policy will provide coverage for advertising injuries as long as the policyholder’s alleged acts occurred within the policy period.

    Learn more about protection through TDIC’s Professional Liability Policy.
  • Employers must use newest Form I-9 beginning Sept. 18

    The U.S. Citizenship and Immigration Services on July 17 released a new Form I-9, Employment Eligibility Verification. Practice owners who are hiring or planning to hire employees soon may continue to use the current version of the Form I-9 or may choose to use the new version of the form through Sept. 16, but must begin using the updated Form I-9 beginning Monday, Sept. 18. CDA’s Employment Practices and Practice Management Analyst Michelle Corbo recommends that employers or authorized representatives of employers begin using the new form now to assist with the transition.

    The new Form I-9 includes changes in both the instructions and the form. Most significantly, the new form adds Consular Report of Birth Abroad (FS-240) to the list of employment eligibility documents. UCIS in a news releases states, “Employers completing Form I-9 on a computer will be able to select Form FS-240 from the drop-down menus available in List C of Section 2 and Section 3.” Similarly, employers using e-verify can now select Form FS-240 “when creating a case for an employee who has presented this document for Form I-9.”

    Other changes include renumbering of items in List C, the addition of an updated Handbook for Employers (M-274) and new language in the instructions.

    This update is the second in less than a year for the Form I-9. UCIS released an updated form in November 2016. Employers were required to begin using that form no later than Jan. 21 of this year, as CDA reported in November.

    Form retention, storage rules apply

    Employers should continue to follow existing form retention and storage rules for previously completed forms. Forms must be retained for three years after the date of hire or one year after employment is terminated, whichever date is later.

    The Form I-9 may be stored on-site or at an off-site facility in either a single format or combination of formats that include paper, electronic file or microfilm or microfiche. Ideally, forms can be kept in the confidential personnel files of individual employees. However, due to the sensitive confidential information on the forms, secure storage in a separate binder is recommended. This binder should also make it easier to produce the forms on file for an inspection request, should one occur, or for periodically auditing and shredding old forms. During an inspection, all forms retained for current and past employees can be included in an audit.

    The complete requirements for Form I-9 storage and retention are available on the UCIS website.

    Access the new Form I-9.
  • Rate increases and benefit restoration for Denti-Cal program

    The Department of Health Care Services on June 30 announced hundreds of procedure codes will receive a 40 percent supplemental rate increase as the result of Proposition 56, the tobacco tax measure sponsored and supported by CDA and approved by voters last November. Over $1 billion of the tobacco tax revenue is allocated to improved payments to physicians and dentists who treat Medi-Cal patients, with an unprecedented $140 million dollars allotted for dentists. If approved by the federal Centers for Medicare and Medicaid Services, anticipated federal matching dollars will bring up to $350 million in supplemental payments to dentists who treat Medi-Cal beneficiaries.

    DHCS has proposed supplemental payments of 40 percent above the Schedule of Maximum Allowances on hundreds of CDT codes across several categories including restorative, endodontic, prosthodontics, surgical and adjunctive services.
  • X-ray machine registration and other fees to increase Sept. 1

    Radiologic Health Branch fees are due to increase 26.76 percent Sept. 1, 2017, under the Budget Act of 2016, Chapter 23, in accordance with California Health and Safety Code section 100425.

    Five fee types are increasing. These are: registration of reportable sources of radiation renewal; certification in radiologic technology or nuclear medicine technology application; renewal for certificate in radiologic technology, nuclear medicine technology and other; schools of radiologic technology; and licensing of radioactive materials. 

    The California Department of Finance determined the new fee schedule, which can be found in the Radiologic Health Branch section of the Department of Public Health website. The fee tables list the current fees along with the amounts set to take effect Sept. 1. Dental practices are typically billed biennially.
  • House Committee Passes Action for Dental Health Bill

    The House Energy & Commerce Committee passed the ADA-supported "Action for Dental Health Act" (H.R. 2422) this morning by a unanimous vote.

    The bill would authorize funds for the Department of Health and Human Services to support activities that enhance oral health promotion and disease prevention programs.

    Following today’s approval, the next stop is full consideration on the House of Representatives floor. We will alert you before a final House vote so you can have your members call Congress and urge a "yes" vote.
  • Crest Teeth Whitening Product Earns ADA Seal.

    The ADA News (6/19, Manchir) reports that Crest 3D White Whitestrips Glamorous White has earned the ADA Seal of Acceptance. It is the first product in the Home-Use Tooth Bleaching Products category to earn the ADA Seal. The article reports, “The ADA Council on Scientific Affairs in May accepted Crest 3D White Whitestrips Glamorous White based on the finding that the product is safe and has shown efficacy in whitening natural teeth when used according to the manufacturer’s instructions.”

    To see the complete list of ADA Seal-accepted over-the-counter products, visit Dental professionals can also direct their patients to, ADA’s consumer website, for evidence-based information about tooth whitening.
  • Volunteer registration for CDA Cares Bakersfield is now open

    Join us in Bakersfield and help us create thousands of stories of health and happiness for the community members who need it most.

    CDA Cares Bakersfield
    F‌riday, O‌ctober 6 and S‌aturday, O‌ctober 7
    K‌ern C‌ounty F‌airgrounds
    B‌akersfield, CA 9‌3307

    Put your compassion into action. Volunteer with colleagues, friends, and family in Bakersfield this fall.

    You may register to volunteer by clicking here.
  • Amalgam separators update

    On June 14, the Environmental Protection Agency mandated the use of amalgam separators by most dental practices. To make it easier for members to comply with this new regulation, CDA endorsed programs has negotiated with PureLife to offer their ECO II amalgam separator at an exclusive price. Details on the ruling, including a full FAQ and product endorsement, can be found online. Member questions on the EPA ruling should be directed to CDA Practice Support's regulatory compliance analyst Teresa Pichay at 916.554.5990.
  • Practices may be required to change restroom signage

    Effective March 1, 2017, all single-occupancy restrooms in any business establishment, place of public accommodation or government agency must be identified as "all gender" and be universally accessible. The Equal Restroom Access Act, signed into law by Gov. Jerry Brown last September, applies to toilet facilities with no more than one water closet and one urinal and with a locking mechanism controlled by the user. Therefore, employers and practice owners should change signage used for single-user restrooms to comply with the law.

    A variety of all-gender signage is available for purchase but not all it complies with California law. The state of California requires the all-gender sign to have a geometric symbol that is an equilateral triangle superimposed onto a circle and the sign must be placed on the door. The symbol is not required to include pictograms, text or braille.

    The law authorizes inspectors or other building or local officials responsible for code enforcement to inspect for compliance.

    Find more information in the Jan. 19 issue of the Department of the State Architect Bulletin and on the California Building Standards Commission website..
  • EPA Reinstates Final Rule On Amalgam Separators.

    The ADA News (6/12, Garvin) reports that the Environmental Protection Agency issued a final rule on June 9 requiring most dental offices nationwide to install amalgam separators. The final rule, which closely follows the ADA’s best management practices, will be effective July 14, 2017, and the date for compliance is July 14, 2020. The EPA had issued the final rule in December 2016, but the agency withdrew the rule following the White House’s Jan. 20 memorandum ordering federal agencies to freeze all new or pending regulations. The ADA commended the agency for what it considers “a fair and reasonable approach to the management of dental amalgam waste.” In a statement, ADA President Gary L. Roberts said, “The ADA shares the EPA’s goal of ensuring that dental amalgam waste is captured so that it may be recycled.”

    The ADA provides more information at An unofficial version of the final rule is available online.
  • Proposition 65 resource updated for compliance

    Well ahead of the compliance deadline, CDA has updated its Proposition 65 resources to include the dental-specific notice that many dental practices (as well as dental schools and laboratories) will need to post at the entrance of the dental office by Aug. 30, 2018, unless the practice chooses instead to provide a warning with an informed consent form to be signed by the patient prior to exposure.

    The new notice, made available in 16 languages, replaces the three separate notices — for Bisphenol A (BPA), dental amalgam (and other restorative materials) and nitrous oxide — that dental practices formerly posted to comply with Proposition 65, known as the Safe Drinking Water and Toxic Enforcement Act. Since 2003, CDA has provided its member dentists with a specific court-approved notice for dental amalgam and other restorative materials. CDA then began providing a notice for nitrous oxide, which was added to the list of chemicals a few years later, and then a third notice for BPA when that chemical was added to the list in April 2015.
  • State Dental Associations Ask HHS To Eliminate Certain Regulations.

    The ADA News (5/18, Garvin) reports that in a May 4 letter to Health and Human Services Secretary Tom Price, MD, the dental associations from all 50 states and Washington, DC asked the agency to eliminate “the Medicare mandate enrollment requirement for providers who don’t perform Medicare-covered services,” and to enforce Section 1557 of the Affordable Care Act as written without the promulgation of regulations. “Our associations believe that [these regulations] unnecessarily contribute to the cost of providing care, making it more difficult for our members to deliver oral health care services at an affordable price,” they wrote. The letter concluded, “Addressing these issues will help free dentists from unnecessary administrative burdens and allow them to focus on getting care to patients who need it.”

    Follow all of the ADA advocacy efforts at
  • C.E. certificates available May 30, courses on demand

    More than 18,000 dentists, dental team members and dental students attended CDA Presents The Art and Science of Dentistry, which concluded Saturday, May 6, in Anaheim.

    Convention attendees chose from more than 175 lectures, courses and workshops led by speakers who presented on topics ranging from CAMBRA to digital imaging and from pain control to restorative dentistry. Attendees also had many course topics to choose from in the areas of health and wellness — ergonomics and nutrition, for example, as well as in the practice management category, including financial planning and practice transition.

    As attendees return to their practices at the start of a new week, they may have some questions about any next steps required to receive their C.E. certificates and more. They can find below some answers and information to help wrap up their Anaheim experience.

    Post-convention pricing for attendees
    Many exhibitors honor special pricing offered at CDA Presents for attendees who mention they were at the convention. For a list of companies that displayed on the exhibit hall floor, see the exhibitor index on pages 179-209 of the On-Site Program or visit From the webpage, clicking on an exhibitor name will display the company's contact information, products, services and, if offered, special pricing.

    C.E. certificates available by May 30
    Hosts will provide a three-digit code during every CDA Presents C.E. course. Attendees should hold on to these codes until they have their C.E. certificates in hand. Certificates will be available three weeks from the convention’s closing date. Licensed attendees will receive an email notification with a CDA login link from which they can obtain their C.E. certificates. Certificates can also be accessed at Attendees who are nonlicensed or who prefer to have their certificates mailed may contact CDA at 800.232.7645 on or after May 30.

    Viewing select C.E. courses on demand
    Those who missed a continuing education opportunity at CDA Presents can purchase select C.E. courses and view them from the comfort of home or office. A complete list of on-demand courses is available at and is searchable by session or speaker. Audio recordings of select courses are also available. Additional information can be found at

    The fun and memories continue
    Hundreds of convention-related photos and updates were shared on Facebook, Instagram and Twitter over the course of the convention. Attendees who did not take part in the CDA Presents Social Hub — an interactive website featuring all of the social activity happening at the convention — can still view and share these memories at

    CDA Presents The Art and Science of Dentistry is one of the most anticipated dental conventions in the U.S. Aside from being the premiere destination in the state for dentists to earn continuing education credits, the convention is the place to discover the latest in dental technology. In Anaheim, attendees had 130,000 square feet of exhibit hall space to roam.

    Registration opens in late May for the CDA Presents fall convention. CDA looks forward to seeing new and regular attendees Aug. 24-26 in San Francisco. Watch for more information in the June issue of the CDA Update and on
  • Practices required to post updated Wage Order 4

    As a best practice, all California practice owners or employers should know the applicable wage order for their business and employees along with the regulations contained in it.

    California’s Department of Industrial Relations regulates wages and hours of nonexempt employees. The wage orders, currently 17 in all, define the minimum wages, hours and working conditions of employees in specific industries. California employers must comply with one or more of the 17 wage orders, plus a minimum wage order as well as applicable statutes depending on the type of work performed.

    Dental practices typically fall under Wage Order 4 — specifically, Order No. 4-2001u, Regulating Wages, Hours and Working Conditions in the Professional, Technical, Clerical, Mechanical and Similar Occupations. The California Department of Industrial Relations updated Wage Order 4-2001 to reflect the 2017 and 2018 increases in the state minimum wage. The DIR amended sections 4(A) and 10(C) and also updated meal and lodging credit amounts. The correct industry wage order has a revision date of “12/2016,” which is found on the bottom of the cover page for each wage order. The wage orders are dated 12/2016; however, they were released by the DIR in May 2017.

    Each California Wage Order covers regulations on topics such as:

    Administrative, executive and professional exemptions.
    Overtime wages.
    Alternative workweeks.
    Minimum wages.
    Reporting time pay.
    Records retention.
    Cash shortage and breakage.
    Uniforms and equipment.
    Meals and lodging.
    Meal periods.
    Rest periods.
    Required posting of the order.

    Most wage orders contain similar provisions as stated; however, each can contain more obscure provisions. For example: “suitable seats when the nature of the work reasonably permits the use of seats.” Or for dental practices that are considering adopting an alternative workweek schedule, the details of what is allowed and required in order to adopt this type of schedule is spelled out in detail in Section 3(B).

    Although CDA recently printed and is continuing to distribute the most recent version of the Required Poster Set, it is difficult to know when state or federal postings will be updated. CDA Practice Support updates its resource “Required Postings in a Dental Office”   and encourages practice owners or employers to check the resource regularly to stay in compliance as new postings are updated and issued.

    As with the CDA Required Poster Set, employers should print a copy of the new wage order and post it in an area frequented by employees where it may be easily read during the workday. Where the location of work or other conditions make this impractical, every employer must keep a copy of this order and make it available to every employee upon request. The industry wage orders are formatted to print on 8 ½-inch by 11-inch paper.    

    Find "Required Posting in a Dental Office" and other Practice Support resources at

    If you haven’t ordered your 2017-18 poster set yet, you can do so today at
  • Resources Are Available To Help Dentists Avoid Ransomware Attacks.

    In the wake of the WannaCry ransomware attack, the ADA News (5/15) reports that the ADA Center for Professional Success has resources to help dentists fend off malware cyberattacks. Although most dentists are unlikely to be affected by this attack, according to Christopher Maag, director of the ADA Department of Technology Architecture and Infrastructure, dentists should be aware of the threat and know that the Center for Professional Success can help. Articles on the CPS site list several tips to help protect dental offices from ransomware. In addition, Mr. Maag advised replacing unsupported operating systems with a newer version and keeping computers up to date in regards to security patches and antivirus programs.

    Visit Success. to access an article titled, “Protect Your Practice from Ransomware.”
  • Watch for Delta Dental proposed settlement notice

    Updated May 2, 2017

    Dentists who are part of a class action lawsuit against Delta Dental of California should expect to receive notices of the proposed settlement in the mail soon. Preliminary approval of the proposed settlement by a San Francisco Superior Court judge triggers a settlement administrator to issue formal notices to dentists who are part of the class.

    The proposed settlement is the result of legal action CDA filed against Delta Dental regarding Participating Dentist Agreements with providers in the Delta Dental Premier® network. CDA took a stand on behalf of members to protect their rights to fair dealings after learning of Delta’s plans to reduce Premier Provider rates by 8 to 12 percent. The legal action successfully blocked Delta’s attempt to reduce reimbursement rates for 3 ½ years, which saved dentists nearly a half-billion dollars in fee reimbursements.

    The settlement administrator has until May 12 to mail the formal notices to dentists and set up a website,, and phone number for additional information. Dentists who choose not to participate in the class have a June 26 deadline to opt out. Dentists should read the notice carefully, including terms of the settlement and a revised PDA for Premier Providers.

    A final approval hearing on the proposed settlement is scheduled for Aug. 31 in San Francisco Superior Court. It is expected that all claims from the settlement amount will be completed within six months after the settlement becomes final. Any payments that remain unclaimed after 90 days will be paid to the CDA Foundation’s Student Loan Repayment Grant program.

    CDA is committed to supporting members in many ways, including the pursuit of this litigation on behalf of dentists. CDA also offers sophisticated practice management and dental benefits guidance through CDA Practice Support at, which offers important tools to assist with managing dental practices and evaluating accepted plans.

    CDA will continue to keep members informed about the proposed settlement process through the CDA Update, e-newsletter and
  • CDA updates guide to the California Dental Practice Act

    “Your Guide to California Dental Practice Act Compliance” was updated in January 2017 to reflect new laws concerning adverse event reporting, scope of practice, required language in the anesthesia informed consent form, online advertising through Groupon, notice of licensure, consulting the Controlled Substance Utilization Review and Evaluation System (CURES), prescriber dispensing of controlled substances and several other areas of practice.

    CDA last updated this guide in 2015 and offers it only to members and allied dental health professionals to assist them in complying with the California Dental Practice Act.

    The guide summarizes portions of the Dental Practice Act and organizes information in alphabetical order by subject. Some of the changes included in this latest edition are outlined here
  • New poster sets to stay ahead of labor law requirements

    Many dentists, in their roles as small business owners and employers, manage risks in areas beyond clinical care. A telling example is the requirement for all employers to post workplace labor law notices, since failure to comply in this area alone can result in substantial fines. 

    To assist members in the business ownership side of practice, CDA prints a full set of required posters every two years. The 2017-18 set is now available for distribution.

    The popular orange and grey poster set CDA provides is unique in that it has been developed not just for employers but specifically for dental practices. Within the enclosed notices, practice owners can find many answers to questions about employment in a dental practice, including:

    Questions about eligibility and use of California Paid Sick Leave;
    Employer and employee obligations related to managing meal and rest break laws;
    Employee and employer obligations related to Pregnancy Disability Leave;
    Information related to wages, hours and working conditions;
    Notice to Employees, Standards for Protection Against Radiation;
    Dental Board of California’s Infection Control Regulations;
    Scope of practice for dental hygienists; and
    Permitted duties for dental assistants.
    Employers are required to post information where it may be easily read and referenced in an area frequented by employees during the workday.

    CDA Practice Support supplements the poster set with a separate resource, “Required Postings in a Dental Office,” which lists current required postings and is updated throughout the year. CDA members can download new posters from the links provided, then print and place them over previous notices. This member resource can be found on the CDA Practice Support webpage and under “Regulations” on the “Advocacy” page of the CDA website.

    With rapidly changing employment laws, required postings can change periodically from the time of printing by CDA. Also, depending on the practice location, employers may be required to display additional posters, such as local minimum wage and paid sick leave laws notices, with eligibility rules and posting requirements varying from city to city. It is the responsibility of the practice owner or employer to regularly check federal, state and local city websites for updates and obligations.

    Maintaining compliance

    Once the CDA posters are received, simply posting them isn’t sufficient. For an employer to be in compliance, the following steps must be taken:

    Complete the contact fields on the Emergency poster.
    Complete the contact fields on the Access to Medical and Exposure Records poster.
    Complete the schedule information on the Pay Day Notice.
    Add the location of the medical provider network (MPN) notice, as applicable.
    Employers who use an MPN for workers’ compensation claims must obtain a notice from their carrier and post it in their practice.
    Complete contact information at the end of the Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability Leave notice.
    Add the specific location of the practice's Protection Against Radiation poster.
    As a copy of state Radiation Control Regulations must be posted or made available to employees, employers who have not already posted these regulations may download “Radiation Safety In Dental Practice” on the CDA Practice Support page.

    Ordering poster sets

    Unlike prior years, posters are distributed upon request. It’s a quick and easy process to request one no-cost CDA poster set for a practice you own. Simply visit and sign in using your current login and password. Then, answer a few questions about your practice to confirm your order. Additional sets can be purchased for $15 from the CDA Practice Support online store. Once you’ve received your new posters, be sure to discard outdated posters as you replace them with the current set.
  • April Is Oral Cancer Awareness Month

    April Is Oral Cancer Awareness Month

    Oral cavity and oropharynx cancers account for 2.9 percent of all cancers diagnosed in the United States and 1.6 percent of cancer deaths. The American Dental Association recognizes that early oral cancer diagnoses have the potential to significantly impact treatment decisions and outcomes. The ADA also supports routine visual and tactile examinations, particularly for patients who are at risk, including those who use tobacco or who are heavy consumers of alcohol.
    Take time this month to review statistics, find a protocol for oral cancer examinations and educate your patients about their risk factors and signs and symptoms to watch for.
    Professional resources can be found on Patient resources on oral cancer, risk factors and the association with HPV can be found on