tag:blogger.com,1999:blog-57991816261017467822024-02-20T17:41:50.824-07:00Wyoming State Denturist Association or wysda.orgGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.comBlogger59125tag:blogger.com,1999:blog-5799181626101746782.post-4003329324433232872019-09-30T18:23:00.000-06:002019-09-30T18:23:02.207-06:00Our Right to Serve September 6, 2019
The American Dental Association and its state attributes need to partnership with denturists and other allied dental healthcare professionals, freeing up the professions in governing themselves and providing the services they’ve been trained and educated to provide.
ADA and its state associated dental boards work and focus on their own self-interests, obstructing the missions and visions of allied dental healthcare professionals and their right to exist as independents and/or associated board members within state dental practice acts.
The American Dental Association needs to govern and educate its members along with submitting research and education to allied dental healthcare professionals, giving the professions opportunity in working toward community public health service.
The aging population along with limited oral healthcare in convalescent and eldercare facilities gives the denturist profession opportunities to serve, offering aging community’s better oral healthcare and quality of life.
As trained and educated denturists, our rights are being violated as they have been for over five decades by the American Dental Association and its state attributes. As a profession, we have the right to be recognized and to serve without being suppressed by the ADA.
Gary W. Vollan L.D.
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-53592020745177865262019-02-02T20:43:00.000-07:002019-02-02T20:43:14.008-07:00The Right to Practice My ProfessionMemo
To: Representative Winter
From: Gary W. Vollan L.D. 307-202-2636 P.O. Box 332, Basin, Wyoming 82410
cc: vollan@tctwest.net
Date: January 12, 2019
Re: Denturists Right to Practice
Representative Winter, please consider my plight. I have been educated and trained in the practice as a licensed Oregon denturist with a pathology endorsement. This training and education includes;
· Four years in the U.S. Navy’s Class A Dental Program as a Vietnam Vet.
· Two year Seattle Central Community College, Dental Lab Program.
· Associates Degree from the Oregon Denturist College Program.
· Associates Degree from George Brown College (Toronto, Canada) Denturist Program.
· University of Wyoming Bachelor’s Degree.
· Yearly required continuing education for the Oregon denturist license.
I’m requesting your representation in submitting a house bill amending 33-15-101, to regulate and recognize qualified denturists and their right to practice. I feel this would be appropriate after four to five failed attempts by Wyoming legislators to gain independent practice for denturists.
· My independent denturist practice was closed by order of state district court.
· My request through the Wyoming State Supreme Court to continue to practice my profession was rejected.
· My current 11 year employment, providing oral removable appliances with Dr’s Nelson, Page, Gilman, and Basse in Worland, Wyoming; due to limited needs of oral prostheses for the area population and I ventured out of the competitive area to other dental offices in Cody, Powell and Lovell for the past three years, being told by a dentist they didn’t want to hire me because they didn’t want to deal with the Board of Dental Examiners.
Since the Wyoming Board of Dental Examiners (as outlined in the ADA, American Dental Association’s Rules) has the state given power to keep me from practicing in what I’ve been trained and educated to do; like the dental hygienist profession, I feel the denturist profession has the same right to be included in the rules and regulations of the Wyoming Dental Practice Act, 33-15-101, giving dentists the right to hire qualified denturists without being intimidated by or in violation of the Dental Practice Act 33-15-101 and/or action by the Wyoming Board of Dental Examiners, as my current employer had to deal with after hiring me. It would also open Wyoming for other qualified denturists to practice with dentists.
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-81840113244328171102019-02-02T20:27:00.001-07:002019-02-02T20:31:34.182-07:00Denturist Profession No Harm to the Public<b>The Maine Society of Denturists</b> states that there would be no harm to the public if denturists’ scope of practice is expanded. They note that denturists in Maine must graduate from accredited denturist programs that teach all aspects of dental prosthetics, including partial dentures and dentures over implants.
<b>3.1.1</b> The denturists emphasize that they work only within healthy mouths; and they are sufficiently trained and educated to be able to identify healthy mouths. Educational programs train denturists to recognize abnormalities through course work in oral pathology, biology, microbiology and histology. Patients with abnormalities in the mouth are referred to the appropriate qualified practitioner for treatment.
Denturists offer two supporting arguments as evidence of their ability to safely serve the public.
<b>3.1.2 </b> First, denturists in Canada, Australia and some European countries have practiced under the wider scope of practice being sought in Maine; and there is no evidence that the provision by denturists of partial dentures or dentures over implants in these countries has endangered the public health, safety or welfare. The United Kingdom Clinical Dental Technicians Association asserts in its sunrise review submission that there are four key guidelines for the safe practice of denturism: adequate training; working within a defined scope of practice; strong ethical guidance; and mandatory continuing professional development. As long as these standards exist, an increased scope of practice poses no danger to patients.
<b>3.1.3</b> Second, the denturist associations repeatedly stated that, to their knowledge, no denturist in any country has ever been found liable for malpractice. Denturists, they claim, pay significantly lower liability insurance premiums, even in jurisdictions that allow denturists to provide partial dentures and dentures over implants.
<b>Reference:</b>
Report Of the Commissioner of Professional and Financial Regulation
To the Joint Standing Committee on Business, Research and Economic Development
Sunrise Review of the Expanded Scope of Practice for Maine Denturists
Submitted Pursuant to P.L. 2004 Ch. 669
December 1, 2005
John Elias Baldacci Christine A. Bruenn
Governor Commissioner
https://www.maine.gov/pfr/legislative/documents/denturists.doc
Denturist Profession No Harm to the Public
Current Regulation and Practice Washington denturist licensing requirements include: • Graduation from a formal, board-approved program of not less than two years in duration; • Successful completion of a written and clinical examination approved by the board; • Completion of seven clock hours of AIDS education. Applicants can also qualify if they are licensed in another state or territory of the United States with substantially equivalent licensing standards, including a written and clinical examination. There is an option for military trained applicants as well. Denturists in Washington are authorized to make, place, construct, alter, reproduce, and repair dentures for the public. This includes taking impressions. They are required to examine the patient’s oral cavity prior to making and fitting a denture. The denturist must refer the patient to a dentist or physician if he or she sees anything during the examination that gives him or her reasonable cause to believe an abnormality or disease process exists.
Reference: Information Summary and Recommendations Denturist Scope of Practice Sunrise Review December 2012 [Washington State]
http://www.doh.wa.gov/Portals/1/Documents/2000/Denturist.pdf
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-34632512869897094292019-02-02T20:05:00.000-07:002019-02-02T20:23:01.926-07:00American Dental Associations Partnership with Denturists and Other Allied Dental Healthcare Professionals for Better Public Health Services The 2000 Surgeon’s General Report on oral health has been “about” the Wyoming State Denturist Associations website http://www.wyomingstatedenturistassociation.org/about.html
from the start. The presentation’s, Enhance Oral Health Workforce Capacity, applies to 2020, and 2030 Oral Health needs and disparities of America.
<i><b>Enhance Oral Health Workforce Capacity</b>
The lack of progress in supplying dental health professional shortage areas with needed professional personnel underscores the need for attention to the distribution of care providers, as well as the overall capacity of the collective workforce to meet the anticipated demand for oral health care as public understanding of its importance increases.
To effect change in oral health workforce capacity, more training and recruitment efforts are needed. The lack of personnel with oral health expertise at all levels in public health programs remains a serious problem, as does the projected unmet oral health faculty and researcher needs.
The movement of some states towards more flexible laws, including licensing experienced dentists by credentials, is a positive one and today, 42 states currently permit this activity. The goal of moving society toward optimal use of its health professionals is especially important at a time when people have become increasingly mobile, moving from town to city and state to state, and when projected oral health workforce shortages are already evident in many rural locales. State practice act changes that would permit, for example, alternative models of delivery of needed care for underserved populations, such as low-income children or institutionalized persons, would allow a more flexible and efficient workforce. Further, all health care professionals, whether trained at privately or publicly supported medical, dental, or allied health professional schools, need to be enlisted in local efforts to eliminate health disparities in America. These activities could include participating in state-funded programs for reducing disparities, part-time service in community clinics or in health care shortage areas, assisting in community-based surveillance and health assessment activities, participating in school-based disease prevention efforts, and volunteering in health-promotion and disease-prevention efforts such as tobacco cessation programs.
Whether individuals are moved to act as volunteers in a community program, as members of a health voluntary or patient advocacy organization, employees in a private or public health agency, or health professionals at any level of research, education, or practice, the essential first step is to conduct a needs assessment and develop an oral health plan. Because the concept of integrating oral health with general health is intrinsic to the goals of this Call to Action, oral health plans should be developed with the intent of incorporating them into existing general health plans.</i>
<b>Denturist</b> means a person who is licensed to render removable oral prostheses services, education, and dental services, as well as other expanded duties required in the practice of a denturist’s duties.
<b>Denturitry</b> means a denturist who, makes, provides, repairs or alters removable oral prosthetic appliances and other removable artificial devices which are inserted into the human mouth or which come into contact with the human mouth and its adjacent tissues and structures;
The American Dental Association members (dentists), need to utilize valuable chair-time to focus on preventive and restorative responsibilities for children and young adults, regarding the epidemic of cavities and periodontal disease. The denturist profession provides more affordable, proper fitting, and functioning, oral prostheses, reducing the number of fully or partially edentulous people, along with reducing rates of obesity, depression, and ill-health. The aging population; along with limited oral healthcare in convalescent and eldercare facilities gives denturists opportunities to serve, offering aging communities better oral health and quality of life.
The denturist profession is regulated across Canada and six U.S. states being Washington, Oregon, Idaho, Montana, Arizona and Maine. There is proposed legislation in a number of other states to regulate the denturist profession.
The American Dental Association needs to govern and educate their members (dentists), along with submitting research and education to allied dental healthcare professionals, giving the professions opportunity in governing themselves, and working toward community public health. ADA and its state associated dental boards and organizations work and focus on their own self-interests, obstructing the missions and visions of allied dental healthcare professionals and their right to exist as independents and/or associated board members within the state dental practice acts.
Gary W. Vollan L.D.
P.O. Box 332, Basin, Wyoming 82410
307-202-2636
vollan@tctwest.net
<i>Italic Print Reference</i>: U S. Dept. of Health and Human Services. Oral Health in America: A National Call to Action to Promote Oral Health, A Report of the Surgeon General. Rockville, MD: U.S. Dept. of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.
<b>Denturist Associations and Boards</b>
http://www.wyomingstatedenturistassociation.org Wyoming State
https://www.oregondenturist.org Oregon
https://wadenturist.com/ Washington State
https://ibol.idaho.gov/IBOL/BoardPage.aspx?Bureau=DEN Idaho Denturitry Board
https://dentalboard.az.gov/directory Arizona
https://www.mainelda.com/ Maine
https://nationaldenturist.com/ USA
http://www.denturist.org/ Canada
https://international-denturists.org
https://www.nidcr.nih.gov/news-events/nidcr-news/surgeon-general-commissions-report-oral-health
<b>Denturist Education Programs</b>
https://batestech.edu/programs/denturist/ Oregon Bates Technical College
https://americandenturistschool.com/ American Denturist School
https://www.georgebrown.ca/S101-2012-2013/ George Brown Denturist Program
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-49999480379061082372013-12-30T15:24:00.000-07:002013-12-30T15:24:19.414-07:00Open Letter to Commission on Dental Accreditation (CODA)
"In addition to comment on this proposed standards document, the Task Force on Development of Accreditation Standards for Dental Therapy Education Programs and Commission are seeking feedback related to the program track for dental therapy education. The proposed standards are presented as an independent dental therapy track not related to prior dental hygiene education, though advanced standing is permissible."(1)
"The Task Force and Commission will accept comment on the proposed track as presented in this document. Specifically, is the non-dental hygiene track appropriate or should the proposed dental therapy education standards be modified to support a dental hygiene track?
Written comments on this question will be accepted until December 1, 2013.
Appendix VI Proposed Accreditation Standards for Dental Therapy Education CODA Winter 2013"(1)
To: Dr. Sherin Tooks, 19th Floor
Director, Commission on Dental Accreditation
211 East Chicago Avenue
Chicago, IL 60611
Dr. Sherin Tooks,
"Feedback related to the program track for dental therapy education. Specifically, is the non-dental hygiene track appropriate or should the proposed dental therapy education standards be modified to support a dental hygiene track?" (1)
Yes, the non-dental hygiene track is important and appropriate. There should also be a dental hygiene track with expanded duties but not to the extent of burdening the hygiene profession; displacing the hygiene profession from public health responsibilities and the time needed for preventive education corresponding with early childhood education. Dental hygienists should be trained for public health emergencies, working side by side with public health nurses.
Both tracks are important for meeting the oral healthcare needs of our nation. I served in the U.S. Navy during the Vietnam War as a “Class A School” Dental Technician with duties and responsibilities as a chairside technician, dental hygienist, and lab technician. I was stationed with the Marines, at Parris Island, S.C. recruit depot. We had extended duties (depending on which dentist you worked with) that included simple extractions, suturing and removal, carving amalgams, giving injections, along with many others duties which would include helping the medical corpsmen with surgeries and procedures at other duty stations.
"The dental therapist is a member of the oral healthcare team, who is supervised by a licensed dentist that is responsible for diagnosis, risk assessment, prognosis, and treatment planning for the patient."(1)
The dental therapist concept has been a military concept and working model in branches of the U.S. military, providing oral health services to large numbers of recruits and military personnel (patients), especially when there were fewer dentists. The proposed DT accreditation standards for education look good. Thank you for your request of service.
Gary W. Vollan L.D., vollan@tctwest.net 307-568-2047
State Coordinator, Wyoming State Denturist Association
www.wysda.org
https://twitter.com/denturist2th
(1) http://www.ada.org/sections/educationAndCareers/pdfs/proposed_dental_therapy.pdf
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-72116944224803530042013-12-30T14:48:00.001-07:002013-12-30T14:48:19.546-07:00Progressive and Innovative Dental Workforce Models: Ready to Serve America's Oral Healthcare NeedsThe needed action of progressive and innovative dental workforce models includes denturists, dental therapists, dental health aide therapists, and independent practices and boards for dental hygienists for better public health service. Open the flood gates of oral healthcare providers for all Americans across our nation, through more affordable and alternative delivery methods and models.
What about something as simple as regulating the denturist profession nationally. Most denturists are educated in oral healthcare, providing more affordable and quality oral prostheses care and referral services. Denturists, free-up dental chairtime for children, emergencies, and restorative procedures, providing full and partial denture services directly to those who are edentulous. Denturists are regulated in six states which include Montana, Idaho, Washington, Oregon, Arizona, and Maine. In all but Arizona denturists operate independently.
In Wyoming, an unregulated state, I work with four dentists in one office providing most of the removable prosthesis procedures. I’m a graduate of two denturist programs and a licensed Oregon denturist. It works. I continue to advocate for recognition and independence as a regulated, Wyoming licensed denturist.
Gary W. Vollan L.D. State Coordinator, Wyoming State Denturist Association, www.wysda.org
https://twitter.com/denturist2th
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-62694116535173540252013-12-30T14:43:00.001-07:002013-12-30T14:44:03.960-07:00Corporate Abuse by Super Pac ADA: Freedom of Choice?Corporate abuse by Super Pac ADA: suppressing and keeping competition away, working against ADA’s own nonprofit vision and mission statement.
The American Dental Association and its state dental constituents have too much federal and state lobbying power over our right to make our own oral healthcare choices. ADA lobbyist, limit transparency by federal and state government agencies; encouraging the agencies from recognizing and reporting statistics regarding the denturist profession.
<b>Freedom of Choice
</b>
You know people I'm really tired of the American Dental Association thinking it’s in control of our dental and oral healthcare choices. We need more choices. We don't need ADA and its state dental constituents, both state dental associations and state dental boards limiting our choices. Please consider this open letter to corporate ADA.
Corporate ADA! WE THE PEOPLE can decide what is best in meeting our oral healthcare needs. WE want the freedom to decide. The American Dental Association and its state dental constituents need to stick to dental research and policing its own members. Quit taking our freedom of choice away. Your greed is hurting too many Americans.
Quit persecuting qualified denturists. Denturists need the freedom to serve the people of our Nation in what we've been trained and educated to do; providing removable oral prostheses (denture) care directly to the public for better access and affordable care.
Denturists are tired of corporate ADA shutting us down, putting us in jail, taking our equipment away because we are competitors. Americans need choices in providers for oral healthcare. We need midlevel providers such as denturists, dental health aide therapists, and dental therapists. We need the freedom to go directly to a dental hygienist for x-rays and cleanings without paying the high cost of dentists overhead.
We need the freedom to have our teeth whitened at the mall, our home, or dental office. Let us decide what is best for ourselves. Let us make our own oral healthcare decisions regarding providers. Deciding to go to the dentist office is one choice. We need more choices.
Gary W. Vollan L.D., vollan@tctwest.net 307-568-2047
State Coordinator, Wyoming State Denturist Association
www.wysda.org
https://twitter.com/denturist2th
http://www.opensecrets.org/pacs/lookup2.php?strID=C00000729
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-52104526383148362202013-10-05T12:20:00.002-06:002013-12-30T14:32:30.379-07:00Expect More of the American Dental Association and its State Dental Constituents"Expect More of the American Dental Association and its State Dental Constituents"
Common sense policy recommendations by the U.S. Surgeon Generals and other oral health organizations are not implemented by the American Dental Association. Specifically, the need for change in ADAs existing ill-fated and outdated polices currently in place on workforce issues.
More diversity is needed on state dental boards for oversight of improved consumer protection and meeting oral healthcare needs; better and logical decisions in continued education requirements, expanded duties, and jurisprudence. The acknowledgement of more intrinsic connections between the mouth and the rest of the body should involve a medical doctor on all state dental boards. The dental board should consist of no more than two dentists, one medical doctor, public health specialist and three ordinary citizens.
We need dental hygienists at schools and public health facilities. We need independent practices for dental hygienists so they can have the freedom to work independently on the public health level providing services where needed, especially for oral health education in the early years of the public school systems.
We need dental therapists/dental health aide therapists for extended hands on dental procedures through dental teams working convalescent/retirement facilities, prisons, and Indian reservations.
We need more rural community health/dental clinics including mobile dental units traveling to rural areas, to include oral healthcare providers. Let denturists do the removables; freeing up dental chairtime for children, emergency, and restorative care.
Gary W. Vollan L.D. State Coordinator, Wyoming State Denturist Association, www.wysda.org
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-41356615807039953702013-04-04T22:16:00.002-06:002013-04-04T22:16:21.431-06:00ADA Doesn’t Have Time to Police its Own Due to Time Policing Its Competitors
The American Dental Association is so busy persecuting denturists; keeping denturists from providing the oral healthcare services denturists have been trained and educated to provide, along with policing and suppressing the other oral healthcare providers such as dental therapists, dental health aide therapists and independent boards and practices for dental hygienists; ADA doesn’t have the time it was created for in policing and enforcing the rules and regulations for its own dentists.
The denturist profession has been operating in the United States for over 30 years and across Canada for 50 years. The American Dental Association contributes millions of dollars to the U.S. Congress and states legislators, through state dental constituents, to disregard the services provided by denturists. As a profession, denturists have little or no federal or state stats. Denturists still have no professional or occupational code through the Department of Labor. CDC doesn't recognize the denturist profession in regards to asepsis and oral healthcare. There's a problem with transparency and the federal agencies recognizing the six regulated denturists states which include OR, WA, ID, MT, Arizona, and Maine.
There is no reason why Americans shouldn't have the statistic information regarding denturists. What are the pros and cons of the denturist profession? Are denturists safe? Why is the denturist profession not recognized and listed by the Department of Human Services and CDC regarding infection control? Does the denturist profession outsource dentures? Where is the money from the American Dental Associations Lobbyists going? Being a nonprofit, why is the ADA allowed to suppress and persecute its competitors without any action from the Federal Trade Commission? The American people have the right to know the statistical information regarding the safety and effectiveness of the services rendered by trained and educated denturists, as with any other oral healthcare professional. ADA needs to focus on the safety, effectiveness, and continuing education of its own dentist members.
Gary W. Vollan L.D. State Coordinator; Wyoming State Denturist Assn., www.wysda.org
https://twitter.com/denturist2th
http://www.opensecrets.org/pacs/lookup2.php?strID=C00000729
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-56812053514902520272012-09-12T23:42:00.001-06:002012-09-12T23:42:50.420-06:00World Faces Rising Oral Health Care Crisis, Says Leading International Dental OrganizationSwitch to HTML mode and paste the embed code over this textGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-40229210131789580922012-04-02T16:39:00.001-06:002012-04-02T16:39:49.481-06:00Freedom of Choice vs American Dental AssociationFREEDOM OF CHOICE vs American Dental Association.............................
You know people I'm really tired of the American Dental Association thinking CORP ADA is in control of our dental health [LET’S CHANGE It]
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Corp ADA! WE THE PEOPLE can decide for ourselves what is best to meet our dental needs. WE want the freedom to decide. The American Dental Association and its state constituents need to stick to dental research and policing its own members. Quit taking our freedom of choice away from us Americans. Your greed is hurting too many of us. Quit persecuting qualified denturists. Denturists need the freedom to serve the people of our Nation in what we've been trained and educated in and that is providing removable oral prostheses (denture) care directly to the public for better access and affordable care. Denturists are tired of corporate ADA shutting us down, putting us in jail, taking our equipment away because we are your competitor. People in America need choices in providers for oral healthcare and their dental care. We need midlevel providers such as denturists, dental health aide therapists, or dental therapists. We need the freedom to go directly to a dental hygienist for x-rays and cleanings without paying the high cost of dentists overhead. We need the freedom to have our teeth whitened at the mall, our home, or dental office. www.wysda.orgGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com2tag:blogger.com,1999:blog-5799181626101746782.post-82376247234918818782012-01-25T23:56:00.000-07:002012-01-26T00:12:59.887-07:00Denturists as Midlevel Oral Healthcare ProvidersRegarding the link from Dr. Bicuspid.com,titled <b>Bill would allow Calif. to study midlevel providers</b> By Editor Donna Domino,
<b>http://www.drbicuspid.com/index.aspx?d=1&sec=sup&sub=pmt&pag=dis&ItemID=309631&wf=1095
</b>
Padilla’s SB 694 includes the following; “The research parameters of the study shall include public health settings, multiple models of dentist supervision, multiple pathways of education and training, and multiple dental providers, including dentists and nondentists.”
We are in need of midlevel dental and oral health care providers that are independent and not subject to the American Dental Association policies. If ADA and its state constituents are so concerned about public safety; then pitch in some of the millions of dollars used for lobbying against competitors, and use it for education and training, the most important three words in SB 694.
If corporate ADA would quit squeezing out competition it would free up more chairtime for children, restorative, cosmetic, and emergency dental procedures but instead, the ADA and its state constituents lobby federal and state legislators to disregard legislation that would regulate the denturist profession in many states that include Kentucky, Oklahoma and Wyoming. The ADA and its state dental associations spend money to persecute denturists. It was just a year or two ago the California Dental Association sent letters to qualified and reputable denturist throughout California threatening felony prosecution if they didn’t close their denturist practices. Some had been established for decades. This is ridiculous. Please see 2nd link. Most dentists want nothing to do with dentures due to chairtime being consumed by problematic cases and procedures. In most cases it comes down to dentists charging for adjustments, discouraging patients from returning. This practice is unethical.
The ADA lobbied for exclusion of language to expand the Dental Health Aide Therapists (DHAT’s) programs. The American Dental Association, wasted money fighting Alaska and lost; trying to prevent DHAT’s from providing dental services to Natives of Alaska living in remote areas. ADA lobbies to suppress dental hygienists from having independent boards and practices. A few states like Maine and California; dental hygienists have recently gained their independence. This enables the dental hygienist to better serve public health interests.
Dental Therapists (DT’s) were created by the American Dental Association after the fact; Dental Health Aide Therapists (DHAT’s) were created as an independent practice for Alaskan Natives in Alaskas rural areas. Dental Therapist will work under the dentist supervision; in the same way a dental hygienist does in states not recognizing independence for hygienists. DT’s will have little impact on reducing the cost of dental care for the consumer. Dental Therapists and Dental Health Aide Therapists are two different professions with different responsibilities and work settings, DT’s within the dentist’s office and DHAT’s outside the dentist’s office via teleconference and video cams. Minnesota, so far is the only state with DT’s and Alaska is the only state with DHAT's. Please consider the following links; the third being from the Minnesota Dental Board, regarding Dental Therapists and the forth about Dental Health Aide Therapists.
The ADA’s self-serving political agenda is hurting consumers by suppressing qualified competitors that provide oral health care services to those with disparities. The American Dental Association works against its own vision and mission statement by suppressing competition that has been trained and educated in providing oral health care services to those that are unable to pay the high prices charged by dentist, leaving Americans without needed dental care. Free up chairtime by using the oral healthcare workforce that is trained, educated, and available. We can’t even get ADA’s exclusive CODA to approve our only denturist program at Bates Technical College, in Tacoma, Washington, (please see link #5) which is accredited by the Northwest Commission on Colleges and Universities (NWCCU), an institutional accrediting body recognized by the Council for Higher Education Accreditation and the Secretary of the U.S. Department of Education. Please see accreditation under same link.
Corporate ADA has the power and the money to change the current oral health care delivery system for the better if Americans would speak out against the American Dental Associations deceiving and pacifying public relations campaign for a better public image.
Gary W. Vollan L.D.
State Coordinator, Wyoming State Denturist Association
1.www.wysda.org
<b>2. http://www.sfweekly.com/2010-09-29/news/prosecutors-frown-on-guy-who-makes-dentures-for-ex-cons/</b>
3. http://www.dentalboard.state.mn.us/Default.aspx?tabid=1165
<b>4. http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CDAQFjAA&url=http%3A%2F%2Fwww.wkkf.org%2F~%2Fmedia%2FF2E86B5717174D2E9311359902DF7216.ashx&ei=RSoJT4z9DoLSiAK2g_yrBQ&usg=AFQjCNHqT9Dmfw7WG194N-Aw9xZKkB-a2A&sig2=8GUIJtr3416NhFGS17QfmQ</b>
5. http://www.bates.ctc.edu/page.asp?view=153Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com1tag:blogger.com,1999:blog-5799181626101746782.post-38927697811162044912012-01-06T22:59:00.000-07:002012-01-06T22:59:59.787-07:00American Dental Assn | OpenSecrets<a href="http://www.opensecrets.org/pacs/lookup2.php?cycle=2012&strID=C00000729">American Dental Assn | OpenSecrets</a><br /><br />Here is another reason why most people can't afford dental care.Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-16670793685851168932012-01-05T23:34:00.000-07:002012-01-05T23:34:07.308-07:00Specialty dental care remains out of reach for many poor Illinois children<a href="http://discussions.chicagotribune.com/20/chinews/ct-met-dentists-medicaid-20120104/10">Specialty dental care remains out of reach for many poor Illinois children</a>Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-29073537355161783592012-01-04T08:50:00.000-07:002012-01-04T08:50:20.911-07:00Specialty dental care remains out of reach for many poor Illinois children<a href="http://discussions.chicagotribune.com/20/chinews/ct-met-dentists-medicaid-20120104/10">Specialty dental care remains out of reach for many poor Illinois children</a>Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-28084422898260227862011-12-31T14:01:00.000-07:002011-12-31T14:01:13.547-07:00Wyoming Top Blogs » Wyoming State Denturist Association or wysda.org » Denturists and the Wyoming Dental Practice Act » Public Blog Aggregator of Wyoming (WY)<a href="http://www.wyomingtopblogs.com/Wyoming_State_Denturist_Association_or_wysda.org/2011/12/26/Denturists_and_the_Wyoming_Dental_Practice_Act">Wyoming Top Blogs » Wyoming State Denturist Association or wysda.org » Denturists and the Wyoming Dental Practice Act » Public Blog Aggregator of Wyoming (WY)</a>Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-57030163185155918482011-12-28T13:28:00.000-07:002011-12-28T13:28:32.934-07:00Occupy the Denturist ProfessionThis is my fight against corporate greed that affects each and every one of us unable to afford needed dental work. We are in need of midlevel dental and oral health care providers that are independent; not subject to the American Dental Association policies. <br />
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If corporate ADA would quit squeezing out competition it would free up more chairtime for children, restorative, cosmetic, and emergency dental procedures but instead, the ADA lobbies federal and state legislators to disregard legislation that would regulate the denturist profession in many states that include Kentucky and Wyoming. The ADA spends money to persecute denturists.<br />
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The ADA lobbied for exclusion of language to expand the dental health aide therapists programs. The American Dental Association, wasted money fighting Alaska and lost; trying to prevent dental health aide therapists from providing dental services to Natives of Alaska living in remote areas. The ADA lobbies to suppress dental hygienists from having independent boards and practices.<br />
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The ADA’s self-serving political agenda is hurting consumers by suppressing qualified competitors that provide oral health services to those with disparities. The American Dental Association works against its vision and mission statement by suppressing competition that has been trained and educated in providing oral health care services to those that are unable to pay the high prices charged by dentist leaving Americans without needed dental care.<br />
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Many people do without needed dental care because of high prices charged by dentist; not being eligible for Medicaid, low income programs and not having dental healthcare insurance. <br />
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Corporate ADA has power and money to change the current dental care delivery system for the better if Americans would speak out against the American Dental Associations deceiving and pacifying public relations campaign for a better public image. <br />
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Gary W. Vollan L.D. <br />
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State Coordinator, Wyoming State Denturist Association<br />
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www.wysda.orgGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-89747186670371447042011-12-27T13:57:00.000-07:002011-12-27T13:57:29.034-07:00American Dental Association's MissionThe American Dental Association needs to lighten up on competition, such as denturists, dental health aide therapists and independent practices for dental hygienist. It spends more time and money fighting these professions when it could be a positive influence on creating entry level education for these professions in high schools and junior colleges. The American Dental Association specializes in greed and control and is not seeing the big picture of its own vision and mission statements. State dental associations are following ADA's leadership. <br />
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The American Dental Association needs to open schools and dental education for the previous listed dental professions, start more dental programs in community clinics, let dental hygienist have their own boards so they can govern themselves; being more effective in prevention and public health areas. ADA needs to quit prosecuting and shutting down denturists across our nation as they have in my case here in Wyoming. This will help with the bigger mission and vision of better oral healthcare which contributes to better overall health for our children, senior citizens, and others in need of affordable dental care. <br />
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It will also create jobs in the public sector, spreading the workforce; alleviating pressure on targeted, geographic dental clinics, giving the public more access to oral healthcare professionals. A bigger dental workforce helps the dental professions ability to meet the lacking dental needs in institutions, such as prisons, convalescent and retirement centers across our nation. <br />
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This positive and more productive redirection for the American Dental Association would definitely change ADA’s public image in meeting their dental needs, more so then a mere $75 winnings, ADA’s offer to the public for a website design idea, to better ADA’s image sometime back. Seventy-five dollars won’t even cover an exam and x-rays in most dental clinics. Blessing’s for the New Year. <br />
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Gary W. Vollan L.D. <br />
Coordinator for the Wyoming State Denturist Association <br />
wysda.orgGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-12279007818352959792011-12-26T11:25:00.000-07:002011-12-26T11:25:27.047-07:00Denturists and the Wyoming Dental Practice ActDear Wyoming Legislators, <br />
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Okay, now what? The Wyoming Dental Board took away my impression privileges, I told you about sometime back as rule change forthcoming for the Wyoming Dental Practice Act. We have a shortage of dentists in areas of Wyoming and now it is mandatory that dentists take the master or final impression even though I and qualified dental chairside assistants and dental hygienist have been trained and educated in taking master and final impressions as a part of our daily procedures. My impressions have been next to excellent as the supporting foundation for removable procedures offered in services to our patients at Dr. Nelson’s, Page’s, Gilman’s and Basse’s dental office in Worland, Wyoming for the past four years. Let me guess as to what office they will watch for the new rules in impression taking requirements. My doctors have already received a warning letter from the state dental board. My dentists are the best in the state as far as empathy, quality and affordable prices for needed dental care. Wasn’t it enough in accordance to the Wyoming District and Supreme Court, that I work under the dentist’s umbrella? This is ridiculous. <br />
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I just finished the last of my classes to graduate in May of 2012 with a Bachelors Degree from the University of Wyoming. Since we are unable to pass legislation for a denturist program for the Wyoming people; will you consider passing legislation for a Dental Health Aide Therapists program such as approved in Alaska and some other states. These programs will provide better access to oral health care for the Wyoming people and I am willing to get the required education for a Wyoming DHAT program as long as I can provide removable oral prosthesis care. Kansas legislators are at this time considering a program. <br />
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The Wyoming people need alternatives to affordable dental care. Many are doing without needed care, especially seniors. The new rules changes for master and final impressions submitted and passed by the Wyoming Dental Board is a good example for the need of the Wyoming State Legislators to act in the best interest of the Wyoming people and their medical and dental needs. Why did the Wyoming Dental Board consider expanding duties for dentists when dental assistants, dental hygienists and denturists in Wyoming were doing a fine job in what they've been trained and educated in doing; giving dentists the time most needed in emergency and quality dental care for children and other Wyoming citizens?<br />
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Gary W. Vollan L.D.<br />
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Wyoming Denturist<br />
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Wyoming State Denturist Association<br />
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wysda.orgGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-11936842112705537512011-08-13T09:11:00.000-06:002011-08-13T09:11:17.965-06:00American Dental Association's Justification?Educated denturists are part of the oral health care team. The denturist profession needs the opportunity to serve those in need of removable dental prostheses and referral services. Chairtime for removables is demanding and needs to be freed up for children and emergencies. <br />
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The denturist profession needs to be independent from dentist's overhead in order to keep prices down and services available to those with disparities which includes an oral health exam for healthy tissue and if needed, referral services. <br />
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It's working in Washington, Oregon, Idaho, Montana, and Maine. The Arizona dental board has a freeze on the licensing of denturists in Arizona. The American Dental Association and affiliated state dental boards across our nation continues to suppress the denturist profession in other states by threatening to arrest and fine denturists such as they recently have done in California. <br />
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Denturists do NO invasive procedures or procedures which are irreversible and in most cases denturists guarantee their denture work with patient satisfaction or money back. Yet the ADA and state dental boards continue to allow oral piercing businesses to operate, turning their heads with fear of a backlash of protest from those involved. These procedures are extremely tissue invasive and in most cases irreversible with a greater chance of infection. Where is the justification? <br />
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Let denturists serve those we have been educated and trained to serve. Let denturists regulate our own on a national order so the people in need can have access and opportunity for an oral health care checkup and referral service along with a more affordable choice in denture care. What can be wrong with it? <br />
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Gary W. Vollan L.D. <br />
www.wysda.org<br />
Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-3769040417206065222011-07-01T22:57:00.000-06:002011-07-01T22:57:53.080-06:00Removing Dr. or D.D.S. on Google Sites Which My Name, Gary W. Vollan AppearsMy name is Gary W. Vollan. I'm a licensed denturist and for over three years I have worked with four excellent and professional dentists and the awesome staff associated with this dental office in Wyoming. In some of the google sites my name sometimes appears with Dr. in front of it or D.D.S. at the end of it. There is a dentist complaining about this outside of the dental group I work with. This is a concern with the dentists I work with because the complaining dentist is threatening to file a complaint with the Wyoming Dental Board against the dental group I work with. How can I get this correction made with the Google sites associated with this. I have never claimed or advertised to be a doctor or dentist. Thank you for your consideration in helping me with this problem. <br />
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Gary W. Vollan L.D.<br />
Basin, Wyoming<br />
vollan@tctwest.netGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-27939124950445978052011-06-03T00:44:00.000-06:002011-06-03T00:44:24.145-06:00The American Dental Association’s Leadership is the Biggest Barrier to Affordable Dental CareThis is in response to statements made by, Dr. Raymond F. Gist, president of the American Dental Association in the following, U.S. News & World Report article, <i>Some Dentists Reluctant to Treat Kids on Medicaid: Study</i>, <br />
http://health.usnews.com/health-news/managing-your-healthcare/insurance/articles/2011/05/23/some-dentists-reluctant-to-treat-kids-on-medicaid-study <br />
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<b>The American Dental Association’s Leadership is the Biggest Barrier to Affordable Dental Care<br />
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</b>“The president of the American Dental Association, Dr. Raymond F. Gist, said the study supports the ADA's longstanding position that better funding for public-assistance programs is critical.”<br />
"Lack of funding is among the greatest barriers to better oral health in America," Gist said. "But funding alone will not 'fix' Medicaid. Patients need help navigating an often complicated bureaucracy and overcoming other barriers."<br />
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Dr. Gist fails to see the needs of the American people. Dr. Gist fails to express empathy for the many Americans who face social, demographic, health and economic barriers preventing them from the much needed dental care, many can’t afford or don’t have access to. Many Americans are not eligible for Medicaid and have no dental insurance. Dr. Gist is putting the blame on low Medicaid funding, but fails to acknowledge ethics lacking in ADA’s leadership for professional public health responsibilities. Where is ADA’s philanthropy spirit? Many dentists receive a reasonable Medicaid payment for their interest in public health service to the economic, disadvantaged people of America.<br />
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The American Dental Association uses money to fight dental hygienists from having independent practices, so hygienists could better serve the public health sector in preventive measures. The American Dental Association fights and prevents denturists from having independent practices and in most cases funnels money to state dental associations to prosecute denturists so they can’t provide affordable denture care to people facing barriers. The American Dental Associations wasted money fighting Alaska to prevent dental health aide therapists from providing dental services to the Natives of Alaska living in remote areas. <br />
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Due to ADA’s greed, time and money are wasted pushing other professions away from the table and preventing Denturists professionals from serving those we have been trained and educated to serve. If the American Dental Association would quit squeezing out competition it would free up more chairtime for children, restorative, cosmetic, and emergency dental procedures. ADA’s self-serving political agenda is hurting consumers by suppressing qualified competitors that provide oral health care services. Midlevel oral healthcare providers include denturists, dental health aide therapists, and independent practice for dental hygienists.<br />
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I'm trained, educated and licensed as a denturist to provide denture care directly to the public. How does the American Dental Association continue to work against its vision and mission statement, under ADA’s nonprofit status to persecute and suppress competition?<br />
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Gary W. Vollan L.D.<br />
State Coordinator, Wyoming State Denturist Association<br />
www.wysda.org<br />
June 2, 2011Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-83050051511700841142011-02-05T22:57:00.000-07:002011-02-05T22:57:00.591-07:00Wyoming State Denturist Association or wysda.org: Committee Looks at Changes to Denturist Bill: by K...<a href="http://denturist-denturism.blogspot.com/2011/02/committee-looks-at-changes-to-denturist.html?spref=bl">Wyoming State Denturist Association or wysda.org: Committee Looks at Changes to Denturist Bill: by K...</a>: "For the sixth straight year, Rep. Lorraine Quarberg (R-HD28, Thermopolis) and Sen. Gerry Geis (R-SD20, Worland) have been working to pass a ..."Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-48786908358540751572011-02-04T21:42:00.000-07:002011-02-04T21:42:41.827-07:00Committee Looks at Changes to Denturist Bill: by Karla PomeroyFor the sixth straight year, Rep. Lorraine Quarberg (R-HD28, Thermopolis) and Sen. Gerry Geis (R-SD20, Worland) have been working to pass a bill that would allow licensed denturists to practice in Wyoming on their own.<br />
This session, the bill is originating in the Senate and SF49 is before the Health and Labor Committee. Geis and Basin denturist Gary Vollan both testified in favor of the bill before the committee.<br />
Vollan said he thought the chances of the bill advancing past committee “look pretty good.” He added that he appreciates the work of the local legislators on the bill.<br />
Geis said the committee plans on making some amendments to the bill before taking action. He said the timeline for moving the bill forward is getting tight. Friday is the last day for bills to be reported out of committee in the “house of origin.” And Monday is the final day for first reading for bills that originate in the Senate or the House.<br />
“I’d like to see it go (approved),” Geis said.<br />
As Wyoming law currently stands, licensed denturists cannot open a practice in the state. Vollan currently works as chairside assistant and dental laboratory technician with Nelson and Page Dental PC in Worland.<br />
SF49 (Wyoming Denture Practice Act) as its currently written, would set up a State Board of Denturists, provide for licensing and allow denturists to practice in the state.<br />
Geis said his understanding of some of the changes the Health and Labor Committee may look at is having denturists work under the auspice of a licensed dentist, similar to how a nurse practitioner works under the oversight of a physician.<br />
Vollan said some of the arguments against allowing denturists to practice don’t hold up. He said there is concern that denturists would diagnose and begin practicing dentistry.<br />
“We don’t diagnose. If we notice unhealthy tissue we refer the patient to the appropriate dentist or oral physician,” Vollan said.<br />
Under the bill, a denturist is defined as a person licensed under this article to engage in the practice of denturism; ’Practice of denturism’ means: (A) Making, placing, constructing, altering, reproducing or repairing a denture; and (B) Taking impressions and furnishing or supplying a denture directly to a person or advising the use of a denture and maintaining a facility for the same.”<br />
Vollan said opponents of the bill state that the school denturists go to is not accredited. He said Bates Technical College in Tacoma, Wash., is accredited but noted that the denturist program at the college has been stymied by dental associations from getting accredited.<br />
Vollan and Geis said it is uncertain at this time to know exactly what changes will be made Wednesday. “The changes will be interesting, but it’s going to be a start,” Vollan said.<br />
“This is about the people of Wyoming and providing accessible and affordable denture care for them,” Vollan said. He said denturists can offer denture care at about half the cost of dentists. He said surrounding states including Montana and Idaho have licensed denturists and it gives people a choice in caring for their dentures.<br />
“We do all the impressions, bite registrations and lab work. There’s no middle man,” he said.<br />
Along with working on legislators to approve a bill, Vollan in 2007 attempted to get an initiative on the ballot to let the people decide. He had obtained 17,000 signatures from 17 counties in Wyoming before family obligations made him cutback on his initiative work and they fell short of the required signatures.<br />
“It showed it’s something the Wyoming people want,” Vollan said.<br />
He said there are three other denturists in Wyoming, with inquiries annually from others that would like to come and practice in Wyoming.<br />
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Karla Pomeroy, Editor<br />
Basin Republican Rustler<br />
breditor@tctwest.net<br />
P.O. Box 640<br />
Basin, WY 82410<br />
568-2458<br />
FAX 568-2459Gary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0tag:blogger.com,1999:blog-5799181626101746782.post-81059056776798932852011-02-04T09:45:00.000-07:002011-02-04T09:45:15.550-07:00Dentists Oppose Wyoming Denturist Bill SF49 Moving ForwardWyoming Denturist Bill SF49 Moving Forward February 4, 2011<br />
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The hearing Monday for the denturist bill, SF49 went well with Senator Geis testifying, then Representative Quarberg, and then myself. The room was full of dentists and their associates. As expected they gave unsupportive testimony for denturist and oral health issues, yet the state dental boards and the American Dental Association continues to allow oral piercings to take place in our children's mouths across our Nation. Denturists do no invasive or irreversible procedures. <br />
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The dentists once again attacked our denturist education program at Bates Technical School as not being accredited knowing that the American Dental Association's accreditation agency, CODA, the Commission on Dental Accreditation (seal of approval), will not accredit a denturist program. There was no mention that Bates is accredited by the Northwest Commission on Colleges and Universities, which is a division of the U.S. Department of Education. The dentists accused the denturist profession of being in a non-progressive state; this being in response to Chairman Scott asking two of the dentists, "with Montana and Idaho and four other states regulating denturists, what was their opinion of the future of the denturist profession". Chairman Scott suggested that the dentist find ways to make this work, the dentists responded that there wasn't a need for denturists and they weren't interested. <br />
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The dentists that testified represented the Wyoming Dental Board, the Wyoming Dental Association and one dentist referred to his generational decades of dental practice. Not one dentist mentioned denturist legislation introduced in Kentucky and other states like Maine that improves the existing denture delivery system. They never mentioned, the court cases taking place across our nation, with denturists and their families fighting state dental boards so they can provide denturists services they've been trained and educated to provide. They didn't mention the progressive state of our graduates from Bates and the denturist colleges across Canada that work with community clinics and convalescent centers in regulated states, to provide affordable denture care. They didn't mention the many denture laboratory technicians across our Nation who work for dentists for low competitive fees; having to bushwhack dentures on the side to friends and friends of friends so they're able to make a living. <br />
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The dentists that testified never mentioned the many economically disadvantaged people that would never step across their dental office threshold for denture care because they know they can't afford their denture services but these same people will go to the denturist. The dentists did not mention that denturists are on the front lines of oral health care in recognizing healthy tissue and referring these people out to a dentists, oral surgeons or medical doctors that will empathize with their economic situation. The dentists didn’t mention the states work associated with the success and reputation of regulating the denturist profession, that includes referral service between denturists and other professions, licensing, compliance, and continuing education all working together for the patients best interest. This is all about a progressive profession. <br />
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After the testimonies the vote was to make amendments to the bill then take a vote on Wednesday. The bill was trimmed down to denturist working with dentists and denturists have to be licensed as denturists and it was passed out of committee with a 3 to 2 vote. It goes to the Senate floor Friday, to be voted on. It isn’t much when it passes in representing the needs of affordable denture care because we will be under the dentists overhead, however, quality denture care will be addressed and as most denturists know, quality denture care is a shortcoming for most dentists. They don't have the chair-time that is needed for dentures. So please consider this as an opportunity, a foot in the door for denturists who want to live in Wyoming. I see it as a reason to celebrate; the Wyoming State Legislator's recognition of the denturist profession. The Wyoming Silver Haired Legislators have worked hard to lobby the cause. Representative Quarberg and Senator Geis have worked hard to bring the bill forward for the sixth legislative session and I’m thankful to the Senate, Labor, Health and Social Service Committee. A good number of Wyoming people have worked hard to show the need for the denturist profession. There is still a lot of work to do after SF49 passes. I'm a praying man and I'm ready to go to work. <br />
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Gary W. Vollan L.D.<br />
www.wysda.orgGary W. Vollanhttp://www.blogger.com/profile/07275155792602422034noreply@blogger.com0