ODA Journal: May/June 2018

May/June 2018 | Vol. 109, No. 3

Building Relationships Dr. Shannon Griffin 2018-19 President

www.okda.org

1

QUA L I T Y C A R E For your patients, and your practice A t th e Pr i vate B ank at Valli a nc e we o f f er a n ar r ay o f tai lored s oluti o n s and speciali zed ser vic e o p ti o n s fo r den tists:

Streamlined banking operations to keep your office running smoothly Convenient access to credit Tools to attract and retain top employees

2018 2 journal | May/June downtown okc

405.792.6400

VBANK.COM

Contents

ADVERTISERS Thank you to these businesses who advertise in the ODA Journal

May/June 2018 | Vol. 109, No. 3

Inside Front Cover Valliance Bank Back Cover Delta Dental of Oklahoma 3000 Insurance Group Delta Dental of Oklahoma DentalPost Endodontic Associates Lewis Health Profession Services OK Tobacco Settlement Endowment Trust Paragon Dental Practice Transitions Patterson Dental

EDITORIAL 0 6 Editorial: Phoebe Vaughan, DDS

ASSOCIATION 04 Calendar of Events 0 5 Welcome New ODA Members 08 ODA Rewards Partners

34

09 ODA Rewards Partners Column

Annual Meeting Highlights

Lawton Dentist Awarded ADA Honor

THE OKLAHOMA DENTAL ASSOCIATION JOURNAL (ISSN 0164-9442) is the official publication of the Oklahoma Dental Association and is published bimonthly by the Oklahoma Dental Association, 317 NE 13th Street, Oklahoma City, OK 73104, Phone: (405) 848-8873; (800) 876-8890.

Fax: (405) 848-8875. Email: information@ okda.org. Annual subscription rate of $39 for ODA members is included in their annual membership dues.

Periodical postage paid at Oklahoma City, OK and additional mailing offices.

Subscriptions: Rates for non-members are $56. Single copy rate is $18, payable in advance.

Reprints: of the Journal are available by contacting the ODA at (405) 848-8873, (800) 876-8890, editor@okda.org.

Opinions and statements expressed in the OKLAHOMA DENTAL ASSOCIATION JOURNAL are those of the author and are not necessarily those of the Oklahoma Dental Association. Neither the Editors nor the Oklahoma Dental Association are in any way responsible for the articles or views published in the OKLAHOMA DENTAL ASSOCIATION JOURNAL. Copyright © 2018 Oklahoma Dental Association.

10 Message from the ODA President 11 2018-2019 ODA Executive Committee and

Board of Trustees 1 2 ODA Members Trending on Social Media

31

POSTMASTER: Send address changes to OKLAHOMA DENTAL ASSOCIATION JOURNAL, 317 NE 13th Street, Oklahoma City, OK 73104.

Oklahoma Dental Association

1 4 ODA Marketing Coach 1 5 The Big Value in Dental Scrap Metal 1 8 ODA Strategic Plan 1 9 Providing Aid to Dental Professionals 1 9 The Oklahoma Tobacco Helpline's 5 Keys to Patient Success 2 2 Dental Mission in Paraguay 2 3 Congratulations 2018 OUCOD Graduates 4 2 Finally, Five (not so) FAQs

LEGISLATIVE LOOP 24 Integrity Audit Reform 25 2018 OKCapitol Club Members

32

2 6 ADA Asks Congress for $44 Million in Funding for

CDC, HRSA Programs Is There a Cap on Use of Implant Healing Caps?

2 6 ADA Adopts Interim Opioids Policy 27 DENPAC Grand Level Members 2 8 Lobby Day in DC Reunites Dentists and Students

Cover Photo: Dr.JuanLopezpinsDr. ShannonGriffinwith the traditional ODA President's Pin.

2 9 CMS Finalizes Rule Rescinding Parts C, D,

Enrollment Requirements 2 9 ADA Shares Oral Health Priorities with New HHS Secretary

SPOTLIGHT 30 Past ODA President, Glenn Mead, DDS 31 Lawton Dentist Awarded 2017 ADA 10 Under 10

FEATURES 32 Is There a Cap on Use of Implant Healing Caps?

Is Your Information Correct?

Help the ODA keep you informed about legislative actions, CE opportunities, events and other important member-only news.

Contact Kylie Ethridge, ODA Membership Director, at kethridge@okda.org or 800.876.8890 to provide the ODA with all of your current contact information.

34 2018 Annual Meeting Highlights

CLASSIFIEDS 4 1 ODA Classified Listings

www.okda.org

3

ODA JOURNAL STAFF EDITOR Phoebe Vaughan,DDS ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Mary Hamburg, DDS Somer Heim, DDS Daryn Lu, DDS Mary Martin, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans MEMBER COMMUNICATIONS MANAGER Madison Huffines OFFICERS 2018-2019 PRESIDENT Shannon Griffin, DMD president@okda.org PRESIDENT-ELECT Daniel Wilguess, DDS presidentelect@okda.org VICE PRESIDENT Paul Mullasseril, DDS vicepresident@okda.org SECRETARY/TREASURER Robert Herman, DDS treasurer@okda.org SPEAKER OF THE HOUSE Doug Auld, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Juan Lopez, DDS pastpresident@okda.org ADMINISTRATIVE STAFF EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans DIRECTOR OF MEMBERSHIP Kylie Ethridge OPERATIONS MANAGER Cerissa Frazier MEMBER COMMUNICATIONS MANAGER Madison Huffines SPECIAL PROJECTS MANAGER Abby Sholar

Stay connected with the ODA!

CALENDAR OF EVENTS Visit the ODA’s online calendar at OKDA.ORG for all upcoming meetings and events.

June 7 City Views, Snacks and Booze: OKC Meet & Greet Packard's Rooftop 5:00 p.m. - 7:00 p.m.

June 8 Tulsa County Dental Society Charity Golf Tournament Forest Ridge Golf Club, Broken Arrow 11:00 a.m.

June 14 City Views, Snacks and Booze: Tulsa Meet & Greet Penthouse Bar at the Mayo Hotel 5:00 p.m. - 7:00 p.m.

June 15 OkMOM Steering Committee ODA Building 8:00 a.m. - 9:30 a.m.

ODA Council on Dental Education and Public Information ODA Building 11:00 a.m. - 12:30 p.m.

journal | May/June 2018

ODA Council on Membership and Membership Services ODA Building 1:00 p.m. - 2:30 p.m.

June 22 ODA Rewards Partners Committee ODA Building 9:00 a.m. - 10:30 a.m.

August 17 ODA Council on Dental Care ODA Building 1:00 p.m. - 2:30 p.m.

Relief and Disaster Grant Program Board ODA Building 11:00 a.m. - 12:00 p.m.

August 23 Oklahoma County New Dentist Party

July 4-5 ODA Building Closed July 13 ODA Board of Trustees ODA Building 1:30 p.m. - 4:30 p.m.

July 20 ODA Council on Governmental Affairs ODA Building 9:00 a.m. - 10:30 a.m.

ODA Annual Meeting Vision Committee ODA Building 11:00 a.m. - 12:30 p.m.

One solution.

Priceless hours saved.

Tired of endless paperwork for credentialing with multiple plans?

The ADA® credentialing service, powered

by CAQH ProView® is a digital solution to help streamline the process so you and your team can spend more time on patients and less time on paperwork.

Learn more at ADA.org/credentialing

4

Oklahoma Dental Foundation Board of Trustees ODA Building 1:30 p.m. - 3:30 p.m.

August 24 South Central States Meeting 1:00 p.m. - 4:00 p.m.

Grapevine, TX August 25-26 ADA District 12 Pre-Caucus Grapevine, TX

ODA

BERS NEW m

NEW ODA NEW ODA

Welcome, New Members

New Members Joined February 10, 2018 - April 10, 2018 Please join the ODA in welcoming our new members into Oklahoma’s community of organized dentistry

MEMBERS MEMBERS

NEW ODA NEW ODA

MEMBERS MEMBERS

NEW ODA NEW ODA

MEMBERSMEMBERS

Ryan Coursey Carolyn Hetrick Roshan Kalra Joshua Brasher Katelyn Kennedy Brian Drouillard Stephen Knox

Central Central Northern Oklahoma County Oklahoma County Tulsa County Tulsa County

NEW ODA

MEMBERS

www.okda.org

5

ODA EDITORIAL

Always Stay Inquisitive Phoebe Vaughan, DDS Editor, ODA Journal

each other for support and answers.

to lose our sense of wonder unless this curiosity continues to be cultivated.

We can stimulate curiosity in ourselves. We need not lose our natural inquisitiveness. Finding this curiosity again is paramount to our success as clinicians. According to Polly Campbell of Psychology Today, there are five ways to become more curious:

Our friend and former Editor, Dr. Randy White, frequently made the above statement and lived it virtually every day.

He continually strove to know more about dentistry, the human body, and many other facets of life. As a faculty member at the OU College of Dentistry, he inspired students to incessantly pursue knowledge.

As a colleague, he would continually encourage us to never stop learning.

What does it mean to be inquisitive?

Merriam-Webster defines this word as “given to examination or investigation” and “inclined to ask questions.” Phrased another way, being inquisitive could also mean being curious. We are naturally curious as children, which is critical for learning the systems of life. Somewhere in our development there can be a tendency

1. Find what fascinates you. What do you love? Seek this! In terms of dentistry, you could focus on procedures you enjoy and refer those you don’t to those who do like them.

2. Do things you don’t know how to do. Take that class about a new facet of dentistry that has piqued your interest.

3. Ask questions. Refuse to give in to fear; be brave to ask. Make your questions open-ended: veto formulaic questions in favor of spontaneous ones. Not every question has to be profound to be impacting. Others may benefit from your questions more than you.

4. Go to people, not Google. Socialize!

We have a great network of dentists here in the ODA and we can turn to

5. Don’t allow boredom to become you. Just because you have felt bored does not mean that you need to continue in that state. Expose the culprit of your boredom by reflecting on what you really want to do, eliminate distractions that keep you from identifying why you are bored, add challenges to your practice of dentistry, and do one thing a month that is new to you.

In terms of dentistry, maybe you’ve reached a point where you need a spark to keep your interest alive. Or possibly you’ve lost your interest in dentistry. Could it be that you’re still interested and engaged in learning, but need the right resources to reawaken your curiosity? The solution to these situations may be found right here in the Oklahoma Dental Association.

Take time to connect with others in this organization, attend the Annual Meeting, participate in the continuing education events offered throughout the year, or be inspired to learn new things by perusing the articles presented in the ODA Journal.

Above all, let us join together to “Always Stay Inquisitive.”

Meet the New Editor Dr. Phoebe Vaughan was confirmed as Editor by the ODA Board of Trustees during the March 2018 meeting. It is a two-year term. Dr. Vaughan is a 2011 OUCOD graduate and she is currently serving as the Director of the OUCOD Advanced Education in General Dentistry (AEGD) program. True to her dedication to the dental profession, she has served as a Restorative Co-Lead for the Oklahoma Mission of Mercy the past three years. She also volunteers as a board member and volunteer with D-Dent and was the lead dentist for the Baptist Mission Center in Oklahoma City. Dr. Vaughan was honored with the 2018 ODA Young Dentist of the Year Award.

She is married to Wes Vaughan and they make their home in Oklahoma City.

6

journal | May/June 2018

Dr.PhoebeVaughan(center)withDr.MartyScantlenandDr.SamWard at the 2018 OkMOM in Durant. Vaughan has served three years as a Restorative Co-Lead for the clinic.

We proudly serve and support the

Oklahoma Dental Association Health | Life | Disability | Business Overhead Expense | Home | Auto | Workers’ Compensation | Business Owner’s Policy | Professional Liability | Cyber | Employment Practices Liability

www.okda.org

7

These are endorsed companies of the ODA that save ODA members money while keeping dues lower by providing royalties to the ODA.

REWARDS

RESEARCHED. PROVEN. ENDORSED. DENTAL OFFICE

Receive e-claims for only .25 cents (866) eclaims (325-2467)

Save up to 10% on products and logo applications (800) 990-5407 www.landsend.com/business

Save 10% and get access to exclusive deals (888) 963-6787 www.healthfirst.com/ada

Save up to 30% on PC products (800) 426-7235 xt. 4889 lenovo.com/ada

Low cost diplomatic collection system (800) 711-0023 www.americanprofit.net

Discounts on gloves, masks, and additional disposable products (877) 484-6149 www.dentalassociationgloves.com

Receive discounts on interpretation services (844) 737-0781 www.cyracom.com/ada

Special pricing and a three-year rate guarantee (918) 809-5471 www.heartlandpaymentsystems.com

25% discount on a new website (888) 433-1747 www.prosites.com/oda

Free container with recycling with SolmeteX Hg5ÂŽ amalgam separator purchase (800) 216-5505 www.solmetex.com

Special pricing for waste pickup (870) 427-6017 www.medicalwasteservices.org Discounts on shipping services (800) 636-2377 www.savewithups.com/ada Discounted office supply program www.okda.org/officedepot

Receive 85-97% of the current market price (800) 741-3174 www.easyrefine.com

Setup fee is waived (800) 246-9853 www.demandforce.com/oda

TRAVEL

$250 member discount (844) 205-1171

Discounted annual rates (800) 527-7478 www.medjetassist.com

Savings on vehicles for purchase or lease (866) 628-7232 www.ada.org/mercedes

Discount of $125 off enrollment (800) 683-2501 www.iaplus.com

Preferred pricing and waived set-up fees 855.932.4232 pbhs.com/securemail

FINANCIAL SERVICES Sign up for a convenient patient financing solution for only $25.00 (800) 300-3046 www.carecredit.com/dental

Discounts on digital video services & on-hold messaging (800) 460-4653 www.works24.com

INSURANCE

Reduced premiums on a variety of insurance plans (800) 375-8356 www.3000ig.com

Point earning credit card for all your personal & business needs (888) 327-2265 www.adavisa.com

FOR MORE INFORMATION VISIT:

OKDA.ORG/REWARDS-PROGRAM 8

journal | May/June 2018

ODA PARTNERS COLUMN ODA members save up to 36%* on UPSÂŽ shipping services

The Oklahoma Dental Association is proud to bring you valuable discounts on the products and services you need. Make the most out of your membership and take advantage of competitive rates available on UPS shipping services. Whether you need your documents or packages to arrive the next day or are looking for an affordable shipping option, UPS understands the importance of speed, reliability, and cost.

To save on your UPS shipments, simply:

Call: 1-800-MEMBERS (1-800-636-2377) M-F, 8 a.m. - 6 p.m. EST Visit: savewithups.com/ada

Oklahoma Dental Association

*See savewithups.com/ada for specific services and discounts. All discounts apply to the effective UPS Standard List Rates at the time of shipment and shall be applied on a weekly basis, unless otherwise specified.

UPS, the UPS brandmark and the color brown are trademarks of United Parcel Service of America, Inc. and are used with the permission of the owner. All rights reserved.

ODA members save up to 30% off the everyday public web price of Lenovo products for the home and office, including laptops, tablets, desktops, accessories and more!

Take advantage of great deals on top products, such as the award-winning ThinkPad laptops and innovative multimode YOGA tablets. Check the site often for special offers and sales.

www3.lenovo.com/us/en/ada 1-800-426-7235, ext. 4886

Oklahoma Dental Association www.okda.org

9

FROM THE ODA PRESIDENT DR. SHANNON GRIFFIN

Building Relationships: New Dentists, ODHA and OUCOD Another April has come and gone and with it came the Annual Meeting and the passing of the president’s pin. I still find it incredibly humbling to have been selected to lead an association dedicated to protecting our wonderful profession.

I thank you for this opportunity. It is an honor and challenge I accept without reservation. I am committed to jumping in head first to continue the momentum created and nurtured by our previous president, Dr. Juan Lopez.

Our organization has a fantastic new Strategic Plan that was developed over the last year and adopted at our House of Delegates in April. Please review the Plan on page 18. Its key elements focus on [1] educating the public on critical oral health issues, [2] continued legislative advocacy, [3] enriching and increasing membership in the association, and [4] making our association more organized, streamlined and efficient. All four of these goals rely on one very critical component: relationships. This will be a year of building new relationships and fortifying old ones, thereby bringing forth the mission, goals, and objectives of our association. I’m looking forward to this task.

The relationships we experience in dentistry are multi-faceted. There are relationships within our work environments and with our peers. The ODA has relationships with different groups of related professions.

And we also maintain relationships from our past that have supported our success.

Stephen Covey famously promoted the notion of “seek first to understand, and then to be understood” in his book 7 Habits

10 journal | May/June 2018

of Highly Effective People. I will bring this approach with me as I reach out to different individuals and organizations in an effort to promote both our association and our profession. Specifically, I will work to enrich relationships with the Oklahoma Dental Hygienists’ Association, the OU College of Dentistry, and the newest members of our profession that have graduated within the last ten years.

Under the leadership of Dr. Lopez, we have already begun to look toward the future and how dentistry may be impacted in our state, as well as across the nation. With careful guidance of task force leader Dr. Tim Fagan, we are looking closely at the issue of access to care in Oklahoma and how best to address getting dental care to those who may not have the means, location or capacity to find care. Carrying forward with this mission we will engage with members of our hygiene team through their own association. This relationship is very critical in our dental treatment teams, and is necessary as we look toward the future together to make sure we are advocating for dentistry in Oklahoma in a clear and concise manner.

One of the shifts we have seen in dentistry is how new dentists enter the work force.

It is rather common for a new graduate to hold a position soon after dental school that may not be the same as what they envision for their long-term professional home. I see a huge opportunity for us to be a resource for these doctors as they make professional transitions several years after graduation. Long gone are the days when a new graduate was welcomed into their neighborhood or family dentist’s practice where they were nurtured and mentored until the senior doctor rode off into the sunset leaving the new doctor to carry on. These professional situations still happen, but they are occurring less frequently over time. We have young doctors, often two to seven years after graduation, seeking professional guidance and support as they embark on the next step in their professional development.

This may involve taking a new position in a different practice, opening a new business

from scratch, or transitioning/purchasing a practice much like the historic model. Both the ADA and the ODA have tremendous resources to assist them, but they often miss out on many of these services and resources simply by being unaware of them or having allowed their membership to lapse. This past year we initiated a task force to look at new dentists and how we can better serve them. A wealth of great information was gathered from several resources (including members and non-members) and as a result, we are developing a robust program and resource pool to address the wants and needs of the newer dental professional.

I have one other favorite Stephen Covey quote I’d like to share: “The main thing is to keep the main thing the main thing.”

It’s so simple, yet so profound. There is much happening in our profession and it would be easy to shift focus too far in any one direction and take our eyes off the many issues that could arise at any moment. However, with the guidance of our new Strategic Plan (the main thing), our leadership and Board of Trustees, our Councils and Committees, and our world-class ODA staff, we will be diligent on our progress into the future of Oklahoma dentistry by focusing on community, advocacy, membership and our organization.

2017-2018 ODA President Dr. Juan Lopez passing on the ODA President's Pin to Dr. ShannonGriffinduringthePresident'sDinner in Oklahoma City, OK.

2018-2019 ODA EXECUTIVE COMMITTEE

President Dr. Shannon Griffin

President-elect Dr. Daniel Wilguess

Vice President Dr. Paul Mullasseril

Secretary/Treasurer Dr. Robert Herman

ImmediatePastPresident Dr. Juan Lopez

Speaker of the House Dr. Douglas Auld

2018-2019 ODA BOARD OF TRUSTEES Dr. Shannon Griffin, President and ADA Delegate

Dr. M. Edmund Braly, Central Component Trustee (2018-2021)

Dr. Daniel Wilguess, President-elect

Dr. Sid Nicholson, Eastern Component Trustee (2017-2020)

Dr. Paul Mullasseril, Vice President

Dr. Jandra Korb, Northern Component Trustee (2017-2020)

Dr. Douglas Auld, Speaker of the House and ADA Delegate

Dr. Susan Davis, Northwest Component Trustee (2017-2020)

Dr. Juan Lopez, Immediate Past President

Dr. Edward Harroz III, OK County Component Trustee (2018-2021)

Dr. Stephen Glenn, ADA Delegate

Dr. Michael Gliddon, Southwest Component Trustee (2017-2020)

Dr. Krista Jones, ADA Delegate

Dr. Robert Herman, Secretary/Treasurer and Tulsa County Component Trustee (2016-2019)

Dr. Stephen Young, ADA Delegate

For the full list of ODA Council and Committee members, visit www.okda.org/about-the-oda/leadership. www.okda.org

11

ODA Members Trending on Social Media

Stay Connected to ODA News

M N P

www.Facebook.com/Okdentalassoc C

@OklaDentalAssoc

M

Y

@OkDentAssoc

CM

MY

OKDA.org

CY

CMY

K

ODA Members in the News

If you post photos of your philanthropic work on social media, use the hashtag #ODACARES and you could be the next practice highlighted in the ODA Journal.

Third-generation Dentist Carries on Family Tradition of Compassionate, Comprehensive Care Check out the NewsOK article on 2017 OUCOD graduate Dr. Derek Cohlmia. Find a link from the ODA Members in the News webpage.

12 journal | May/June 2018

405-607-2137 (OKC Metro)

PR@DeltaDentalOK.org www.okda.org

13

ODA MARKETING COACH

Patient Experience: A New Competitive Battleground for Dentists

on to another practice’s website.

In fact, according to Kissmetrics, 42 percent of users will go to a competitor’s site if they have a poor experience on yours2.

By Heather Frechette-Crowley, Director of Product Marketing at ProSites

Ok, so you’ve got patients in your waiting room, now all you must do is wow them with your cavityfilling acumen, right? Again, we politely disagree. While your clinical skills are at the root of patient care (see what we did there?), a number of components factor into overall patient experience. Some are peripheral (complimentary bottled water and WiFi are nice, but probably not prerequisites for most patients) while others, like patient interaction with doctors and staff, are more central. Generally, patients are more likely to excuse an outdated copy of People Magazine in the waiting room than they are a habitually late doctor or overly aggressive hygienist.

In today’s consumer-driven environment, it seems that everyone expects an “experience” and not just of the find-yourself variety (a.k.a. that gap year trip across Europe).

Perhaps it’s because busy schedules make time more valuable than ever, or that younger generations have simply become conditioned to expect more – the jury is still out on if reality TV or helicopter parents are to blame – either way the bar has been raised and patient experience is the new competitive battleground.

If you think that a patient’s experience begins when they step through your door, we’ll have to politely disagree - it begins at their first point of contact with your practice. And, for most of your patients, that first interaction isn’t with your friendly, front-desk staff – but rather it’s online, on your practice’s website. Your website is an invitation to prospective patients to choose you, so ensure it conveys the right message.

Beyond providing 24/7 access to essential information (e.g. office hours, insurance plans accepted, etc.), your website sets patient expectations. Think about it this way: If you received an evite to a backyard gathering, you would likely assume that the event was casual. However, if you received a formal, printed invitation to the same event, you would (hopefully) skip the cut-off shorts. The same is true of your website. If a prospective patient visits a modern, mobilefriendly (FYI - 80 percent of Internet searches are done on a smartphone1 ) professional website, they assume the same persona will carry over to both the physical practice and the care they receive. What if they don’t have a good website experience?

Chances are you’ll never know, because many prospective patients will simply move 14 journal | May/June 2018

The visit is over, the patient schedules their next appointment and the experience is complete, right? By now you know where this is going - yes, we have to politely disagree. Trust us when we tell you that the patient experience extends beyond their time in the dental chair. Postvisit communication is a great way to differentiate your practice and show patients that you care about their wellbeing.

Emailing or texting post-procedure instructions (or pre-visit medication reminders) will not only be appreciated, but will reduce the risk of complications.

Another way to extend the patient experience is to ask patients for their feedback by sending a follow-up patient satisfaction survey and/or review request after general hygiene appointments. In return, your practice receives valuable patient feedback and online reviews, which is more important than ever given that 70% of dental patients surveyed by Dentistry

IQ said that online ratings influenced their choice of dentist3.

In the end, customer understanding is at the core of patient experience. Whether you’re practicing in Beverly Hills or Dubuque, patients want to feel valued and respected.

Looking for more ways to enhance patient experience and increase patient loyalty?

Contact ProSites at 888-932-3644 to learn how their online marketing and patient communication solutions can help you put your best foot forward.

“The Device Trends to Know in 2017.” Global Web Index, Mar. 2017, insight.globalwebindex. net/hubfs/Reports/Device_Q1_2017_ Summary/GWI-Device-Q1-2017-Summary. pdf?t=1501508679294.

1

Bulygo, Zach. “Kissmetrics Blog.” Getting Your ECommerce Site Optimized for the Holiday Season, Kissmetrics, 21 Nov. 2013, blog. kissmetrics.com/optimized-for-the-holidayseason/.

2

Henry, Kevin. “Convenience, Honesty, and Online Reviews ... Some of the Things Your Dental Patients Want.” Dentistry IQ, 2 May 2013, www. dentistryiq.com/articles/2013/05/convenience-honesty--and-online-reviews-----some-of-thethings-.html.

3

Article written by Heather FrechetteCrowley, Director of Product Marketing at ProSites. ProSites is endorsed by the ODA for their website design and online marketing solutions including search engine optimization (SEO), social media, and payper-click advertising. ODA members receive 25% off the standard website set-up. For more information, or to start a free trial, call (888) 932-3644 or visit www.ProSites.com/ODA.

The Big Value in Dental Scrap Metal Precious metal reclamation is the conversion of scraps collected at the dental chairside or in the dental laboratory into an identifiable financial return. The scraps themselves come in many forms, from failed crown and bridgework to extractor bags and floor sweepings. The types of metal found in most dental scrap are gold, platinum, palladium and silver. Many dental offices have drawers or boxes full of precious scrap, but don’t know who to trust to refine it and provide the best value.

There are many ways to sell your gold and other precious metals. Refiners may call at your office, look at your scrap and tell you what it’s worth. You can also search the internet for gold buyers, or work with one of the many “pop-up” gold buyers on a neighborhood street corner. Unfortunately, many cash-for-gold transactions enrich the buyer, but shortchange the seller rather dramatically. Finding a reputable and safe way to receive excellent value for gold and other precious metals is a problem that is too familiar to dentists. Who is the person who calls on your office and wants to refine your gold? Are you being paid fair value?

How would you know?

One of the best ways to maximize your scrap metal return is to find a company that takes a scientific approach to valuing your scrap metal. They should be able to report

to you, in writing, the precise contents of the precious metals in your refining submission. Many refiners will try to assess the value of your scrap simply by visual inspection. This cannot be done with any degree of accuracy.

After shipping your precious metal scrap in an insured, sealed container, the refinery begins the process of reclaiming the precious metal content. The refinery should process your submission separately. Your metals are melted in a crucible, reducing the metal, porcelain and biological tissues to a molten substance. The molten material is poured into a block form and cooled.

A sample drilling is taken to forward to an independent assay office. The assayer analyzes the sample to determine the quantity of each precious metal present in the core sample. Once the assay has been determined, the bar is priced on the London-based precious metals commodity market.

Payment is then made to you for the value of the four precious metals at the established price. You receive a detailed analysis report showing the total weight of the material sent, the amount of nonprecious waste and the true weight and value of each of the precious metals.

Types of metal scrap Gold, platinum, silver and palladium are found in most dental alloys used in crown construction. Often included is a percentage of non-precious alloys, including copper, which are used to bond and fuse the manufactured alloys. The content of precious metals can vary by several percentage points. Additional

materials that constitute precious scraps include bench grindings from the technician. This is where the technician trims a crafted crown to meet the requirements of the patient. The grindings and trimmings are collected and melted in the same method as previously described.

Dental labs typically have larger-volume material, including extractor bags and sweepings, which also contain precious metals. This type of material can only be processed by incineration. Other scrap includes platinum foil (used in copings), rugs and carpets that have been in a laboratory for a considerable amount of time, and castings flashes from the casting machine.

There are many alternatives for precious metal refining. Your association has done the legwork for you and endorses D-MMEX EasyRefine for precious scrap metal refining. It uses the scientific approach described in this article. As an added benefit, members receive an added five percent premium on the total value of the submission. Current rates are 97 percent of the value for gold, 90 percent for platinum and silver and 85 percent for palladium.

For a shipping kit, call 800-741-3174 or order a kit online at www.easyrefine.com.

www.okda.org

15

Cloud Practice Management from Patterson Dental.

Every report, every schedule, and every patient.

Connected.

Totally connected Leverage the power of the cloud with Fuse. Centralize and streamline the way you run your practice and access useful reporting that scales with you, even as you expand to additional locations.

Intuitive interface Designed with an easy-to-learn, familiar interface, Fuse makes you feel at home while boosting productivity. View all of your patient’s clinical evidence in a simple, clean, visually engaging timeline.

Work smarter With Fuse, our goal was to create a different kind of practice management solution that could meet the changing needs of an evolving industry. We asked hundreds of dental professionals what they needed, we listened, and we acted. Fuse was uniquely built with the efficiency and convenience of the cloud in mind, with your dental practice and your patient’s experience at heart.

You’ll find our innovative Smart Screens throughout Fuse, everywhere you need them most. With Smart Screens, you can view, filter and act on real-time patient information and practice data on a single screen, in a way that’s never been possible before. They eliminate the need for many of the traditional reports you run today.

Uncommon support Fuse delivers training and support to maximize the software’s impact on your business – in person, online, over the phone, or by taking a selfguided journey through the software. We offer options to fit your practice needs and your lifestyle.

How much more can your practice accomplish with Fuse?

16 journal | May/June 2018

pattersondental.com/fuse

Flexible eService add-ons No two practices are the same, so there’s no such thing as a one-size-fits-all practice management solution. With that in mind, we designed Fuse to be able to adapt to your practice’s unique needs.

The flexibility you’ll find in Fuse includes additional service offerings that amplify its value. Like adding apps to a smartphone, your software’s core functionality can be enhanced with layers of additional features and functionality. As your needs change over time, you have the freedom to remove or add those layers to Fuse to amplify certain aspects of your business.

Insurance suite Save time and boost productivity by equipping Fuse with insurance feature enhancements. With real-time eligibility, online attachments, and electronic remittance advice, Fuse offers capabilities that let your staff spend less time dealing with insurance hassles and more time growing your business.

Marketing suite Automate your marketing and patient communications to make your office more effective and efficient, create new avenues for your patients to engage with you online, and wow your patients with education resources they can watch from their living room.

Built for innovation Fuse was built to enable ongoing integration with new software and new technology from outside vendors. With Fuse as the foundation, and Patterson as your partner, your practice will be fully empowered to stay on the cutting edge of innovation.

It all starts with the belief that your practice management software should fit your practice, not the other way around.

Connect with your Patterson representative today to learn more.

Dreamed by dentists.

Built by experts. www.okda.org 18T0042 (1/18)

17

ODA Strategic Plan The 2018-2021 Strategic Planning session was held Friday, June 2, 2017 at Twin Hills Golf and Country Club. Chris Chico, ADA Dental Society Outreach Manager, and Andrew Reynolds, ADA Council on Membership and Strategic Facilitation Senior Manager, facilitated the session. From that session, a draft Plan was developed. Thirty ODA members participated in the June 2 session: Doug Auld Jeannie Bath David Bird Ed Braly Matt Bridges Matt Cohlmia

Raymond Cohlmia Brian Drew Steve Glenn Michael Gliddon Shannon Griffin James Hackler

Kevin Haney Krista Jones Philip Kierl Juan Lopez Mary Martin Janna McIntosh

Paul Mullasseril Sam Owens Jeffrey Pierce Ray Plant Lynna Van Wavel Wells

Randy White Susan Whiteneck Dan Wilguess Jana Winfree Pat Woods Steve Young

All ODA Councils and Committees, as well as the ODA Board of Trustees, had an opportunity to review the proposed 2018-2021 ODA Strategic Plan and voted to accept the Plan as presented. The Plan was then adopted by the ODA House of Delegates on April 19, 2018.

ODA Strategic Plan 2018-2021 Community Goal: Create/increase awareness that oral health is essential Objective 1: Communicate key messages on oral health to key communities 1.1 Collaborate with healthcare professionals/organizations identifying collaborative messaging and an approach to a partnership 1.2 Develop targeted messaging for the public on the importance of oral health Objective 2: Actively support the development of an effective and viable CDHC Program by EOY 2019 2.1 Gain an understanding of CDHCs and promote the impact of their work

Advocacy Goal: Increase awareness of and educate members and legislature on dental issues Objective 3: Increase member engagement in advocacy efforts by EOY 2021 3.1 Enhance ODA Engage and increase member utilization by 20% 3.2 Inform and educate all members on legislative issues regularly 3.3 Increase the number and effectiveness of Action Team Leaders Objective 4: Increase DENPAC/ADPAC participation by 18% and contribution funds by 15% yearly 4.1 Develop a fundraising and participation plan in collaboration with the ADA Objective 5: Pass legislation requiring Assignment of Benefits and regulating Medicaid Audits 5.1 Develop and execute campaign plans on Assignment of Benefits and Medicaid Audits

Membership Goal: Increase member growth and engagement Objective 6: Increase member net growth by 3.5% 6.1 Utilize national recruitment and retention campaigns and resources 6.2 Develop a recruitment/engagement plan targeting market segments 6.3 Create a more welcoming and inclusive environment Objective 7: Decrease nonrenews by 35% 7.1 Develop a plan for nonrenew outreach identifying valuable benefits 7.2 Utilize local societies/volunteers in retaining nonrenews Objective 8: Improve member value rating from 54% in 2015 to 65% in 2021 8.1 Enhance the value and experience of the annual meeting 8.2 Develop effective and compelling member value communications for members and nonmembers

Organizational Goal: Ensure that ODA’s structure and capacity are sufficient to meet the needs of its members Objective 9: Evaluate relevancy of ODA House of Delegates with recommendations to the Board of Trustees by first quarter of 2019 9.1 Evaluate current structure of ODA House of Delegates Objective 10: Ensure decisions are driven by the strategic plan and that the majority of the plan has been implemented by 2021 10.1 Create and maintain a structure that efficiently and effectively provides for the coordinated execution of ODA Strategic Plan 18 journal | May/June 2018

Providing Aid to Dental Professionals Established by Oklahoma dentists, the Oklahoma Dental Relief and Disaster Grant Program is a 501c(3) charitable trust that offers aid to dental professionals and their dependents who, because of misfortune, age, physical disability, chemical dependence or other hindering conditions, are not wholly self-sustaining.

This program provides financial aid to Oklahoma dentists and other dental professionals in their time of greatest need, yet relies solely on individual donations.

Since 2013, the RDGP has awarded over $50,000 in grants to dental professionals whose homes or offices were affected by debilitating storms. Additionally, the RDGP granted the Oklahoma Dental Foundation’s Mobile Smiles Program $10,800 to aid in tornado relief efforts in Oklahoma communities. The RDGP has also supported other state dental foundations and relief programs in Louisiana, Missouri, Texas, Florida and Puerto Rico in the wake of devastating natural disasters.

“It’s encouraging to know that support exists from our colleagues; to know that we are assisting each other in times of need. The day after my home was destroyed by a tornado, the OK Dental RDGP staff reached out to me. It was helpful to have some supplemental cash to cover unexpected costs of daily living supplies that you normally always have on hand.”

Dr. Pete Stover, Elk City The disaster grant was established to help with immediate out-of-pocket costs associated with displacement, whether from one’s home or office. The fund is in no way equipped to support total loss, but it may help alleviate impending pressure. The program is funded solely by contributions from individuals…dentists…Oklahomans.

The RDGP also supports the Oklahoma Health Professionals Program (OHPP), administered by the Oklahoma State Medical Association. The OHPP is an outreach program designed to support

and monitor medical and allied health professionals throughout Oklahoma who are experiencing difficulty with substance abuse. The services provided are confidential and free of cost. This program provides a safe environment away from societal stigmas, and provides treatment for health care professionals so they can return to productive and meaningful lives and practices. The OHPP is breaking down the prejudices and misconceptions that surround chemical dependency one recovering health professional at a time.

“I praise God and am eternally grateful for programs such as OHPP that could answer the questions that I couldn’t. OHPP not only knew how to help, but they helped teach me how to help myself and others suffering from substance use disorder.”

Dr. Jason Buschman The RDGP is dependent on individual contributions. Please make a tax-deductible donation to lend a helping hand to your fellow dentists. It may be you, or someone you know, in need one day. Call the ODA at 800.876.8890 or email sfrantz@okda.org.

The Oklahoma Tobacco Helpline’s 5 Keys to Patient Success Dentists can play a huge role in helping their patients quit tobacco. At every checkup, talk with patients about the damaging impact tobacco has on their oral health, and offer the free resources available through the Oklahoma Tobacco Helpline. These resources can help patients find success on their journey to being tobacco-free.

In addition to advising your patients about tobacco’s danger on their oral health, make sure to display the FREE brochure holder filled with pamphlets and tip cards highlighting free Oklahoma Tobacco Helpline services. These helpful services include text and email support, phone and web coaching, and access to free patches, gum or lozenges. Your office can get a free brochure holder and Helpline materials at www.OKhelpline.com.

If you don’t know how to start a tobacco cessation on discussion with your patients, try approaching the situation by discussing the Helpline’s 5 Keys to Patient Success.

The keys are based on more than 25 years of research, as well as the Oklahoma Tobacco Helpline’s many years of experience in helping people successfully quit tobacco.

Whether it’s a patient’s first attempt at quitting or they’ve been down this road before, you can help them improve their oral health, smile brighter and be happier, healthier and completely tobacco-free.

KEY 1: SET A QUIT DATE Setting a quit date gives tobacco users a goal to work toward. Have them pick a date and mark it on the calendar. They

should tell family and friends about their quit date, too. Choosing a date within two weeks of their first call to the Helpline is recommended to give them enough time to prepare and plan for their quit date. Also, they should choose a day when they know they won’t be busy, stressed or tempted to smoke.

KEY 2: HAVE A GOOD SUPPORT SYSTEM Patients should find people who can help them quit. They could be family members, friends, coworkers or anyone www.okda.org

19

they trust who could provide advice and strength on their journey to becoming tobacco-free. Encourage patients to choose somebody who has successfully quit smoking themselves, as they can relate to their experience. As a provider, consider positioning yourself as part of your patients’ support system. You and a Quit CoachTM from the Oklahoma Tobacco Helpline can be valuable allies during their process. No matter who is in their support system, they should talk to them often and let them know how they can help.

KEY 3: TOBACCO-PROOF YOUR SURROUNDINGS A patient will have fewer urges to smoke if their environment supports their goal of being tobacco-free. They should clear their home, car and workplace of anything that reminds them of smoking, soak any leftover tobacco products under water so they cannot be used and give or throw away ashtrays, matches and lighters. Patients

should also look in drawers, purses, coat pockets or anywhere else where a stray cigarette may be hiding. Additionally, drapes and clothing should be cleaned, and cars shampooed to remove the smell of cigarettes.

At the end of their dental appointment, encourage patients to throw away their old toothbrush, and start fresh with a new toothbrush on their quit date. Providing a toothbrush from your office and reminding the patient to switch their toothbrush on their quit date will offer them a fresh start on their road to a tobacco-free life.

KEY 4: UTILIZE NICOTINE REPLACEMENT THERAPIES Nicotine replacement therapies (NRTs) are a safe, proven method that help break the cycle of addiction. They deliver small, measured doses of nicotine without the toxic chemicals and carcinogens found in tobacco products. This decreases

DENTISTS CAN PLAY A LARGE ROLE IN ENCOURAGING THEIR PATIENTS TO QUIT TOBACCO

THE OKLAHOMA TOBACCO HELPLINE IS HERE TO HELP YOU HELP YOUR PATIENTS BE SUCCESSFUL QUITTERS. FREE quitting support by phone, online, email and text and FREE patches, gum or lozenges are available to your patients through the Oklahoma Tobacco Helpline.

Order FREE Oklahoma Tobacco Helpline brochures, holders and other materials at OKhelpline.com

20 journal | May/June 2018

the withdrawal symptoms triggered immediately after one stops using tobacco.

The Oklahoma Tobacco Helpline offers free nicotine patches, gum or lozenges to registered participants.

KEY 5: PRACTICE WITH MINI-QUITS A mini-quit is when you practice quitting for a short period of time before actually quitting for good. Mini-quits help patients cope with the urges to smoke and can make quitting for the long term easier when their quit date arrives. Before their quit date, have patients practice with mini-quits for a few hours during different times of the day. Also, practice them during different activities, especially ones that trigger them to smoke.

Be a pillar of support for your patients during their quitting process. For additional support and a FREE customized quit plan, direct them to call 1-800-QUIT NOW.

O KL AHOMA H EALTH P ROFESSIONALS P ROGRAM

“The ODA Mentorship Program is life-changing.”

Since 1983, the Oklahoma Health Professionals Program (OHPP) has provided services to over 1,000 physicians and health care providers with alcohol and chemical dependence. OHPP is an outreach program designed to support and monitor medical and allied health professionals throughout Oklahoma who are experiencing difficulty with substance abuse.

The OHPP continues to be a leader nationally in identifying problems, assisting in treatment, and returning to practice health care professionals who have suffered from substance abuse or dependency.

OHPP services are confidential and include expert consultation and intervention designed to encourage health care professionals to seek help for substance abuse and behavioral concerns.

When an individual contacts the OHPP about a health care professional or about himself or herself, the director or designated associate director assesses the situation and assists in guiding the health care professional.

Participation with OHPP is voluntary and confidential.

OHPP will strongly urge a professional who is ill to get help, and although OHPP does not provide direct treatment, we will suggest specific treatment options.

We respond to the concerns of families, colleagues, and hospitals by providing coordinated interventions and referrals to treatment.

In addition, OHPP hosts a number of support group meetings open to all health care professionals, students, residents in recovery as well as those seeking peer support.

OHPP recognizes the difficulty of reporting a colleague who may be impaired. Because of the potential risk to patient care, OHPP encourages medical professionals to make referrals if a problem exists, no matter how long there has been a problem.

Direct Line: (405) 601-2536 Confidential Fax: (405) 605-0394 Robert Westcott, MD - Director

“I was paired with an ODA member who I now practice with. I couldn’t have asked for a better mentor to guide me and look up to.”

-Dr. Shak Feroz ODA Member and 2015 Mentorship program participant ODA Mentor Program Sign-Up Coming soon! Contact Madison Huffines at mhuffines@okda.org for information about the program. www.okda.org

21

Dental Mission in Paraguay

O

ver spring break, a group sponsored by the Christian Medical and Dental Association traveled to Paraguay and provided free medical and dental procedures to 3,054 patients. This association is comprised of providers, mostly from the Oklahoma University Health Sciences Center (OUHSC) faculty and students including dental, medical, physical therapy, physician associate, pharmacy, and occupational therapy.

Dr. Ron Livingston and Dr. Ed Braly.

Brandon Cousins (DS4), Dr. Ed Braly, Carmen Martinez (DS4), CrystalRajon(DS1),Dr.RonLivingston,andDonnie,amissionary from Peru, volunteering for a medical mission trip in Paraguay.

Dr. Livingston is a dedicated mission doctor having participated in more than 30 medical/ dental missions to countries all over the world. He typically makes two trips each year and he singlehandedly provided all of the instruments required for a four-doctor dental clinic from his own “mission kit.” He practices Oral and Maxillofacial Surgery in Muskogee, Okla.

The dental team was lead by ODA Members Dr. Ed Braly and Dr. Robert Livingston with help from OU College of Dentistry dental students Carmen Martinez (DS4), Brandon Cousins (DS4), and Crystal Rajon (DS1).

The clinics moved around to three different schools and one orphanage over the course of the week. They provided tooth restoration and surgeries. “My interest in this trip began with a phone call from my daughter,” said Braly. Kathryn Lane is an OUHSC physician assistant student and was traveling to Paraguay for spring break and encouraged her father to join them.

Patients waiting to be seen at one of the three clinics hosted by the Christian Medical and Dental Association volunteers.

22 journal | May/June 2018

Congratulations 2018 OUCOD Graduates!

The ODA hosted its annual Senior Signing Day on April 24. Most of the new OUCOD graduates attended and enjoyed food and fun, and most of all, completed an ADA/ODA Membership Application with zero dues. Welcome to the ODA!

Thank you to our Sponsors!

Drs. William Yeary and Troy Schmitz present the Randy WhiteMemorialScholarshipto Elizabeth Hoang.

3000 Insurance Group Bank SNB Carr Healthcare Realty Daily Dental Solutions Delta Dental First Oklahoma Bank International Dental Arts

Michael O. Brown & Associates Pereff Development Group RCB Bank Valliance Bank Woody & Associates

www.okda.org

23

LEGISLATIVE LOOP Legislative Overview & Political Update

Integrity Audit Reform

By Scott Adkins, ODA Contract Lobbyist

In December, the ODA requested that Senator Ervin Yen and Representative Leslie Osborn file SB 1121. This legislation would provide some much-needed relief for many of our Medicaid-contracted dentists during the Program Integrity Audit process with the Oklahoma Health Care Authority. SB 1121 would require 21 days advance notice of any office audit visit, 45 days for informal reconsideration or formal appeal, a peer-to-peer review process of initial findings, mandated provider training to be held annually by OHCA on the audit process, a detailed explanation of the statistical and extrapolation methods used, and a temporary moratorium of on-site audits until the initial providerspecific training was completed. The ODA had meetings and discussions with other Medicaid provider groups and received the strong support of both the Oklahoma State Medical Association (OSMA) and the Oklahoma Hospital Association (OHA).

disruption to our offices and practices.

While we might like to completely eliminate these types of audits, that isn’t a realistic option. Because of the ongoing state budget crisis, there are several bills in the legislature that expand audits of agencies and look at verifying Medicaid recipient eligibility. While these may not directly impact us, the emphasis is on more audits, not less. The federal government requires that each state extensively audit their Medicaid program. In Oklahoma, Medicaid is a $4.8 billion program (including all federal and other funding sources) and accounts for approximately 25 percent of the state's appropriated budget. There are almost 800,000 Medicaid recipients, 46,000 contracted providers (approximately 1,100 of them dentists, as of February), and tens of millions of reimbursed procedures each year in our state alone. So, reluctantly but understandably, there have to be audits.

To provide some background, the Program Integrity Audit division is managed by a certified public accountant. He is an employee of the OHCA. Their primary mission is to keep the billing error rate as low as possible (an error rate of less than 5 percent is mandated by law) and to watch for any financial abuses of the Medicaid system. Most provider groups such as Dentists, MD’s, DO’s, hospitals, and pharmacies are all subject to these audits.

There are basically two types of Program Integrity Audits. One is called a desk audit.

These are usually done electronically and do not involve a physical visit to the office of the provider. The other is more extensive and requires an on-site visit and manual copying of charts, records, etc. The OHCA then is supposed to review the material back in OKC.

When our legislation was filed, the Oklahoma Health Care Authority almost immediately reached out to the ODA and the authors of our bill. Sen. Yen and Rep. Osborn encouraged us to continue to meet with all interested parties and try to seek a consensus. The ODA then hosted a meeting at our offices with the most senior members of the OHCA staff. Their Director of Medicaid, Chief Medical Officer, Chief Legal Counsel, Dental Program Director, Audit Manager, and Government Liaison were in attendance. OHCA asked us to drop our legislation. We declined to do so. The Oklahoma Dental Association expressed our frustration with the program and stressed that we have had numerous meetings with OHCA on this issue and have yet to see any satisfactory relief for our dentists.

SB 1121 was a result of numerous reports from our dentists of potential abuses by OHCA, a definite lack of communication regarding the audit process, and significant

SB 1121 passed out of the Senate Health and Human Services Committee, and was scheduled for a vote on the Senate floor, with assurances from Sen. Yen that all

24 journal | May/June 2018

parties would continue to work together on the issue. At this time, the Medicaid Fraud Investigation Division of the Oklahoma Attorney General’s office expressed their concerns and opposition to our legislation.

I immediately met with the Attorney General’s office. Evidently, criminal fraud investigations and prosecutions have resulted from some of these audits. This was a serious setback to our prospects of passing the bill. No one at the Capitol, including our authors, welcomes going against the Attorney General.

Less than 48 hours before the deadline for SB 1121 to be heard on the Senate floor, the OHCA approached me with a deal. If we would drop our legislation, they would work with the ODA in their rule-making process and address many of our concerns.

Specifically they would agree to: 1. 14 days notice before on-site visits 2. 30 days for informal reconsideration or formal appeal 3. Clarification that all reviews on patient

Drs.JuanLopezandToddBridgeshosteda ComancheCountyDentalSocietyfundraiser forMickCornettonMarch30tosupporthis gubernatorial campaign.

care be done by a licensed dentist (the state Dental Director) 4. Written explanation to our dentists that on-site visits are only recordgathering and that treatment decisions are not made by nurses or dental hygienists 5. Training seminars and webinars on the billing, coding, and audit process 6. Written explanation of statistical and extrapolation methods used 7. An emphasis on desk audits and reduced reliance on site visits during the rule-making process 8. Regular quarterly meetings with the State Medical Director of the OHCA and the ODA

K

Faced with the very real prospect of the next day we could have no bill, no deal, and no more leverage, I made the decision on behalf of the ODA to take the deal.

Filing legislation at the Capitol and changing the statutes is always, and should be, the last resort to resolving any

differences. But after years of frustrating meetings and no visible relief for our dentists, we at the ODA felt we had no choice but to take our concerns to the Legislature on behalf of our members.

This compromise is now not just between the ODA and the OHCA but with the Legislature and Sen. Yen and Rep. Osborn.

Both legislators have committed to assist us in holding the OHCA to our agreement.

We understand that the compromises outlined are the ”broad strokes” and the devil will be in the details. We at the ODA will be diligent in keeping our partners at the OSMA and the OHA engaged and will do everything possible to make sure the result matches the intent.

Thank you all for your support and valuable assistance with this issue.

WE DON’T FUNDRAISE. WE FRIENDRAISE!

CAPITOL CLUB Dr. Jeffrey Ahlert Dr. Errol Allison Dr. Jim Ambrose Dr. Michael Auld Dr. Douglas Auld Dr. Tamara Berg Dr.ElizabethBohanon Dr. Ryan Brackett Dr. M Edmund Braly Dr. George Bridges Dr.Matthew Bridges Dr. C Todd Bridges Dr. Nathan Brown Dr. Steven Brown Dr. Patricia Cannon Dr. Wuse Cara Dr. J Andrew Carletti Dr. Bobby Carmen Dr. Chasity Carper

I took the outlines of the potential compromise to Sen. Yen, Rep. Osborn, the OSMA, and the OHA. They all agreed that we should drop the legislation and work with the OHCA. Sen. Yen did not want to take the bill to the floor, with a potential compromise in the works, and face the opposition of both the Attorney General and the Oklahoma Health Care Authority.

We should not be critical of him for that.

Deals are done like this at the Capitol every day.

THANK YOU TO THESE 2018 DENPAC CAPITOL CLUB MEMBERS!

Dr. Jason Carper Dr. Mary Casey-Kelly Dr. Adam Cohlmia Dr. Jeff Cohlmia Dr.RaymondCohlmia Dr.MatthewCohlmia Dr. Debbie Corwin Dr. James Corwin Dr. Russell Danner Dr. Susan Davis Dr. David Deason Dr. Steven Deaton Dr.William Deprater Dr. Brian Drew Dr. Heath Evans Dr.ChristopherFagan Dr. Timothy Fagan Dr. Barry Farmer Dr. Michael Gliddon

Dr. Matthew Gray Dr. Shannon Griffin Dr. Clark Grilliot Dr. Mark Hanstein Dr. Leslie Hardy Dr. Aaron Harman Dr. Edward Harroz Dr. Richard Haught Dr. Christina Henry Dr. Robert Herman Dr. Jeffrey Hermen Dr. James Hooper Dr. Brad Hoopes Dr. Moiz Horani Dr. Donald Johnson Dr.EugeniaJohnson Dr.KatherineJohnson Dr. Krista Jones Dr. Thomas Kierl

Dr. Jandra Korb Dr. Robert Lamb Dr. Shannon Lewis Dr. Eric Loper Dr. Juan Lopez Dr. Gary Lott Dr. Jeff Lunday Dr. David Marks Dr. Alan Mauldin Dr. Stephen Mayer Dr. Janna McIntosh Dr. Glenn Mead Dr. Mohsen Moosavi Dr. Paul Mullasseril Dr. Samuel Owens Dr. Karen Reed Dr.ErinRoberts-Svob Dr. Brant Rouse Dr.MirandaRuleford

Dr. Kyle Serfoss Dr. David Simon Dr. Floyd Simon Dr. Lindsay Smith Dr. Julie Speights Dr. James Strand Dr. Jackson Sullivan Dr. Joe Swink Dr. Jim Taylor Dr. Kara Tims Dr. James Torchia Dr. Vic Trammell Dr. W Scott Waugh Dr. Robert Webb Dr. SusanWhiteneck Dr. Daniel Wilguess Dr. C Rieger Wood Dr. John Wood Dr. William Yadon

OKCapitol Club is for that “ABC” group of DENPAC members; or those who want to be “ABOVE AND BEYOND CONTRIBUTORS.” OKCapitol Club members truly understand the importance of the ODA’s participation in the political process and want to support candidates who are committed to the state’s oral health and the issues that affect your practice. OKCapitol Club members support those efforts even more by contributing an additional $300 to DENPAC ($470 total) per year. For more information about Capitol Club, contact Lynn Means at 800-876-8890 or lmeans@okda.org. www.okda.org 25

ADA Asks Congress for $44 Million in Funding for CDC, HRSA Programs The ADA on April 26 testified before the House Appropriations Subcommittee on Labor, Health and Human Services, and Education to request oral health funding for fiscal year 2019.

Dr. Tim Fagan, chair of the ADA Council on Advocacy for Access and Prevention, testified on behalf of the Association.

For fiscal year 2019, the ADA is requesting $20 million for the Center for Disease Control and Prevention's Division of Oral Health and $24 million for the Health Resources and Services Administration's pediatric and general dental residencies.

Dr.TimFagan,apediatricdentistfromEnid,OklaandchairoftheADACouncilonAdvocacy

During his testimony, Dr. Fagan, a for Access and Prevention, testifed inWashington, D.C. before the House Appropriations pediatric dentist from Enid, Oklahoma, Subcommittee on Labor, Health and Human Services, and Education. who heads the Division of Pediatric Dentistry at the University of Oklahoma "Tooth decay or dental caries remains the oral health including community water School of Dentistry, thanked the committee most common chronic childhood disease," fluoridation, school-based programs such for "its continued commitment to oral Dr. Fagan said. "It is five times more as dental sealants and oral health residency health," but urged lawmakers to prioritize training. prevalent than asthma in children." oral health when allocating funds for Dr. Fagan shared information about For community water fluoridation, Dr. federal programs.

Fagan cited the latest studies by the the CDC's and HRSA's investment in

ADA Adopts Interim Opioids Policy The Association on March 26 announced a new interim policy on opioids that supports prescription limits and mandatory continuing education for dentists.

The new policy, officially titled Interim Board Policy on Opioid Prescribing, is believed to be one of the first of its kind from a major health professional organization.

"I call upon dentists everywhere to double down on their efforts to prevent opioids from harming our patients and their families," said ADA President Joseph P. Crowley. "This new policy demonstrates the ADA's firm commitment to help fight the country's opioid epidemic while continuing to help patients manage dental pain."

In the interim policy, the Association says it supports the following: •

Mandatory continuing education on prescribing opioids and other controlled substances.

26 journal | May/June 2018

•

•

Prescribing limits on opioid dosage and duration of no more than seven days for the treatment of acute pain, consistent with the Centers for Disease Control and Prevention's evidencebased guidelines.

Dentists registering with and utilizing prescription drug monitoring programs to promote the appropriate use of opioids and deter misuse and abuse.

In 2016, opioids (including prescription opioids, heroin and fentanyl) killed more than 42,000 people — more than any year on record — and 40 percent of those deaths involved a prescription pain reliever, according to the Centers for Disease Control and Prevention.

The White House has made reducing the number of U.S. deaths attributed to opioids a key priority of the Trump Administration and Congress has followed suit. To date, more than 130 opioids bills have been

introduced in Congress since the 115th Congress began in Jan. 2017.

At the national level, the ADA has been pursuing common sense policies to keep opioid pain relievers from harming dental patients and their families. This includes in 2016 successfully lobbying the Comprehensive Addiction and Recovery Act that supports a number of activities to help prevent opioid misuse and abuse.

In March, Dr. Crowley was part of a select group of health care organization representatives invited to participate in a national opioids summit on the topic.

At the upcoming ADA and American Student Dental Association Lobby Day, April 8-10 in Washington, D.C., dentists and students will advocate together on dentistry's role in preventing opioid abuse.

The ADA Board of Trustees adopted the interim policy after it was drafted and submitted by the ADA Council on Government Affairs during its March Continuedonpage28

Colorado School of Public Health that found 78 million Americans do not have access to a public water system that is fluoridated. The study suggests that if those water systems were fluoridated, $2.5 billion could be saved in dental costs.

"I see at least three children a day with decay so severe that the only way to treat them is under general anesthesia in an operating room. Almost all come from communities without water fluoridation. If these children had access to fluoridation, it would help prevent tooth decay and reduce treatment costs," he said.

In highlighting the CDC's Division of Oral Health, he praised the agency's efforts in helping states and communities purchase fluoridation equipment and its work in providing school-based dental sealant programs.

"Each sealed tooth saves more than $11 in dental treatment costs," Dr. Fagan said.

"Applying sealants to the nearly seven million low-income children could save up to $300 million."

He also stressed the need for funding for HRSA's Title VII pediatric and general dental residencies, where dentists receive additional training in child psychology and behavior guidance, age-appropriate pharmacology, management of oral-facial trauma, caring for children with special needs and anesthesia.

For an example of one state's challenges with getting children access to dental care, Dr. Fagan said Oklahoma has only 54 pediatric dentists to treat more than 500,000 children, and several counties don't have a single dentist. One solution would be a pediatric residency program at the University of Oklahoma College of Dentistry. The school currently lacks the funding to start a program.

"We need to increase the number of pediatric dentists in the state," he said. "We know that dentists tend to stay permanently in states where they do their residencies."

Dr. Fagan closed by asking the committee to help HRSA reinstate the position of chief dental officer, which was downgraded to a senior dental advisor in 2012.

"This occurred despite the administration's commitment in 2010 to establish the Oral Health Initiative, which highlighted several HRSA initiatives to improve access to oral health care, especially for needy populations," said the ADA in written testimony. "We thank the committee for its strong support directing HRSA to reinstate the CDO. However, while the title was restored last year, the function of the position remains unchanged. The CDO is expected to serve as the agency representative on oral health issues to international, national, state, and /or local government agencies, universities, oral

health stakeholder organizations, etc. We urge the committee to direct HRSA to fully restore this position with the appropriate duties of a chief dental officer."

Following his testimony, Rep. Tom Cole, R-Okla., subcommittee chair, praised the dental profession for the work that dentists do, particularly in charity efforts such as the Missions of Mercy events that take place nationwide.

Ranking Member Rosa DeLauro, D-Conn., echoed that thank you and went on to say that she was "stunned" that in 2018 there are still places that don't have community water fluoridation. She also said there need to be more oral health training programs.

"We need to be increasing the number of dental professionals in this country," she said.

Follow all of the ADA's advocacy efforts at ADA.org/Advocacy.

Garvin J. ADA asks Congress for $44 million in funding for CDC, HRSA programs. Posted online April 27, 2018 at https://www.ada.org/ en/publications/ada-news/2018-archive/april/ ada-asks-congress-for-44-million-in-funding-forcdc-hrsa-programs. Copyright © 2018 American Dental Association. All rights reserved. Reprinted with permission.

DENPAC Grand Level DENPAC funds our voice. Without our input, legislators are merely making decisions based on what sounds good, what makes the fewest people angry, or what is easiest for them.

Whether you like it or not, the campaign contributions we make to dentistry-friendly candidates are what open those lines of communication. It’s what reminds legislators once they’re in office to go directly to the ODA for information, and not somewhere else.

For more information about DENPAC, contact Lynn Means at 800-876-8890 or lmeans@okda.org.

THANK YOU TO THESE 2018 DENPAC GRAND ($1,000) LEVEL MEMBERS! Dr. Douglas Auld

Dr.MatthewCohlmia Dr.ShannonGriffin Dr. Robert Herman Dr. Paul Mullasseril

Dr. Edmund Braly

Dr. Susan Davis

Dr. Todd Bridges

Dr.MichaelGliddon Dr. Richard Haught Dr. Juan Lopez

Dr. Mark Hanstein Dr. Krista Jones

Dr. Lindsay Smith www.okda.org

27

meeting. The council also received guidance on crafting the interim policy from the ADA Councils on Scientific Affairs, Dental Education and Licensure and Dental Practice.

"Legislators on both sides of the aisle routinely tell us that the health professions have not done enough to curb over prescribing," said Dr. Frank Graham, CGA chair. "We are constantly asked about mandatory continuing education and prescribing limits. The intensity of this is unlike anything we've ever seen. It comes up at every meeting we have — with Republicans and Democrats alike."

"This is a serious public health issue," Dr. Graham added. "It's pressing enough that we asked the Board for a clear and meaningful interim policy to guide our advocacy efforts."

The ADA first adopted policy on opioids and treating dental pain in 2005. That policy was updated in 2016 and includes recommendations for dentists to consider nonsteroidal anti-inflammatory analgesics as the first-line therapy for acute pain management.

That ADA policy is supported in the April Journal of the American Dental Association article, "Benefits and Harms Associated with Analgesic Medications Used in the Management of Acute Dental Pain." In

that article authors from the University of Pittsburgh School of Dental Medicine, the American Dental Association, Case School of Dental Medicine and The Ohio State University examined five systematic reviews that explored the effectiveness and/ or adverse events associated with the use of oral medications for acute pain relief.

They found that for adults a combination of 400 mg of ibuprofen plus 1000 mg of acetaminophen was found to be superior to any opioid-containing medications studied.

The ADA continues to raise professional awareness about prescription opioid abuse, encouraging dentists to complete Continuing Education Provider Recognition training in model opioid prescribing and urging them to register with their state prescription drug monitoring programs.

Most opioid prescriptions for patients in the U.S. are written by physicians and other medical professionals for management of chronic pain, according to annual research compiled by the IMS Health National Prescription Audit.

In a 2012 article in the Journal of Preventive Medicine, researchers noted that in 1998 dentists were the top specialty prescribers of opioid pain relievers, accounting for 15.5 percent of all opioid prescriptions in the U.S. However, by 2012 this number had fallen to 6.4 percent.

For six years, the ADA has offered free online continuing education courses on safe and effective opioid prescribing for dental pain. The next webinar, scheduled for April 25, explores how dentists can use their Drug Enforcement Administration prescribing authorities to reduce prescriptions for dental pain.

Also on March 26, the ADA published the April JADA, which features four cover articles on opioid prescriptions from the dental perspective.

"The JADA articles shine an important light on a public health epidemic from the dental perspective, and signal that while the percentage of opioids prescribed by dentists has decreased since 1998, we can continue to do even more to help keep opioids from being a source of harm," said Dr. Crowley. "Working together with physicians, pharmacies, other healthcare professionals, policymakers and the public, we believe it is possible to end this tragic and preventable public health crisis that has been devastating our families and communities."

For more information on how the ADA is working to combat opioid abuse, visit www.ADA.org/opioids.

Garvin J. ADA adopts interim opioids policy.

ADA News. 49(7):1.Copyright Š 2018 American Dental Association. All rights reserved. Reprinted with permission.

Lobby Day in DC Reunites Dentists and Students The ADA Dentist and Student Lobby Day was held April 8-10 in Washington, DC. It was the second year in a row with the ADA and the American Student Dental Association (ASDA)meeting for a three-day advocacy event with nearly 1,100 dentists, dental students, state association staff and dental leaders attending. The advocates all came together to share information and stories with Members of Congress and their staff, in hundreds of meetings on the Hill, on the issues most important to patients and the profession.

ADA President Joseph P. Crowley, DDS addressed dentists' efforts and their role in preventing opioid misuse and abuse.

He also noted that the ADA's new interim policy on opioids is a priority issue for dentists and how supporting limits on prescriptions and mandatory continuing education for dentists are going to help address the serious public health issue of opioid addiction.

Those attending from Oklahoma were Drs. Doug Auld, Matt Cohlmia, Raymond Cohlmia, Susan Davis, Tim Fagan, Juan Lopez, James Lowe, Lindsay Smith and Rieger Wood, third-year OUCOD students Blake Campbell, Bryce Lamer and Lynna Van, and Mrs. Lynn Means, ODA Executive Director.

28 journal | May/June 2018

CMS Finalizes Rule Rescinding Parts C, D Enrollment Requirements

ADA Shares Oral Health Priorities with New HHS Secretary

The Centers for Medicare and Medicaid Services recently published a final rule revising the Medicare Advantage program (Part C) regulations and Prescription Drug Benefit program (Part D) regulations and to implement certain provisions of the Comprehensive Addiction and Recovery Act. The final rule rescinds a previously announced rule that would have required dentists who provide dental care and prescriptions for Medicare Advantage patients and Part D beneficiaries to be enrolled in Medicare or to have opted out in order for their services to be covered. As a substitute for the enrollment/opt-out requirement, CMS will utilize a preclusion list. The final rule will go into effect June 15, and CMS will begin utilizing the preclusion list on January 1, 2019. The preclusion list was something the ADA lobbied for in a January letter to CMS from ADA President Joseph P. Crowley and Executive Director Kathleen T. O'Loughlin. In the January letter, Drs. Crowley and O'Loughlin also asked the agency to rewrite the section of the rule that requires providers who order certain services covered by Medicare to enroll in Medicare or opt out. The ADA recommended applying the same preclusion list rules to those providers but the agency did not comply with this request. Dentists who order for Medicare beneficiaries clinical laboratory services (including sending specimens for pathology services) and imaging services still need to either enroll or opt out for the providers of those services to receive payment.

The Senate confirmed Alex Azar as the new Secretary at the Department of Health and Human Services in February. The ADA has asked the U.S. Department Health and Human Services to prioritize three key issues in 2018: eliminating regulatory burdens, improving Medicare and Medicaid, and continuing to raise professional awareness about opioids.

In a letter from ADA President Joseph P. Crowley and Executive Director Kathleen T. O'Loughlin to new HHS Sec. Alex Azar II, the ADA outlined ways it would like to work together to provide patients with the best oral health care possible. On the heels of the Center for Medicare and Medicaid Services' proposed rule that removes the Medicare Part D enrollment requirement for dentists and rescinds the enrollment requirement for dentists to provide supplemental services to patients enrolled in Part C, Drs. Crowley and O'Loughlin once again thanked the agency for listening to organized dentistry. The ADA would also like for HHS and CMS to eliminate the enrollment mandates for providers who do not perform Medicare-covered services and are not reimbursed for these services.

Follow all of the ADA's advocacy efforts at www.ADA.org/advocacy.

www.okda.org

29

ODA MEMBER SPOTLIGHT

Glenn Mead, DDS Purcell, OK

By Abby Sholar, ODA Special Projects Manager June marks Dr. Glenn A. Mead’s 41st year of practicing dentistry in Purcell, Oklahoma.

His interest in pursuing dentistry was sparked early, after a sports accident. As many grade school kids have experienced, a friendly basketball game led to a broken tooth; the resulting dental work planted a seed for Mead to pursue a career as a dentist in rural Oklahoma.

As the Oklahoma Dental Association goes through the transition of a new President, Mead reflected on his own year as ODA president. During his 1998-99 term, Mead focused on longterm changes and helping steady the ODA after a lawsuit against ODOS (Oklahoma Dental Office Supplies) led to some financial insecurity and member uncertainty. The Association seemed vulnerable to splintering. Focus was placed on being open and upfront “to a fault” and redeveloping trust between the ODA and its members. As for the rest of his term as president, Mead established more seamless “Conflict of Interest” protocols with high-level transparency as a major goal.

Helping people is the root of Mead’s passion for dentistry and his most prominent professional memories are centered around his patients. He recalls one Friday night after running the clock at a Purcell Dragons game. “As the game ended, a father approached me and asked if I could look at his 11-year-old son,” Mead recalls. “The young boy was extremely anxious. However, after a trip to the office that got the boy out of pain, I 30 journal | May/June 2018

had a new friend who was never nervous again when visiting me. In another example, I was able to watch a young lady bloom like a flower after removing extensive decay from her teeth in a matter of minutes. You never forget those smiles.

We in dentistry are so blessed to have the opportunity to help others in so many ways.”

Philanthropy is also an important aspect in Mead’s life. He has participated in all nine OkMOM events, he screens children at local Head Start Centers, and he makes long-term contributions to the OUCOD’s J. Dean Robertson Society. Mead also chairs the Board of Trustees for the Relief and Disaster Grant Program (RDGP).

“Oklahoma is prone to all types of natural disasters,” he said. “We rarely hear of the small disasters that only affect a few dentists, but we are all aware of the problems that affect dozens.

Individual problems get little press. The RDGP exists to aid dentists and dental professionals in times of hardship, and it has provided financial aid for disasters ranging from devastating tornadoes to income loss during times of poor health.

It doesn’t matter how rare an event is; if it hits you, you are 100 percent affected. RDGP funding is dependent on individual contributions. I challenge all my colleagues to make a tax-deductible donation to this important program.”

After over four decades involved in dentistry and the ODA, Mead credits his success to the many role models who have helped shape each aspect of his life, inside and outside of the profession. When asked what he gained from each dentist he admired, he replied, “From the late Bill Goodman, humor; Wally Haskett, calm professionalism; Jon Patton, kindness; Jerry Miller, mentor par excellence; Joe Swink, unconditional friendship; Steve Reagan, technical excellence; all the Cohlmias, the importance of family; the late Carl Collier, gentleman; Krista Jones,

enthusiasm; Rieger Wood, huge heart; Bob Berry, dedication and love of the ODA; Richard Haught and James Saddoris, Mr. Oklahoma Dentists; and Dean Bill Brown, my first dental hero.

Also, the current ODA staff are friends I wish I worked with more.”

Many of Mead’s heroes have also played major roles in ODA leadership.

He encourages all dentists who are thinking about becoming involved as a leader in the Association. “Dentistry is a major part of all of our lives, so any improvements make all of our lives better,” he said. “Younger members get to enjoy and make the most of these improvements throughout their practice lives.”

As most professionals can attest to, motivation and inspiration come from those closest to them, whether or not they share the same career. Mead’s father, Jelly Mead, was a “Pearl Harbor-era” Navy member who taught his son the value of perseverance. Jelly raised six successful children on the principles that guided him through his time of service in the United States Navy. Mead’s wife, Ann, was a stay-at-home mom who continues to be a source of encouragement. The Meads have two children, Scott and Heather. With two granddaughters (Elise and Jocelyn) and one more on the way, Mead works toward his goal of being the greatest granddad possible.

His advice to new dentists and students is this: “You do not have to know it all; you only need to know someone that does and then ask questions. I learned more in my first five years after graduation than I did in school. (My classmates and faculty always said I was a slow learner!)”

After being asked what lessons he wished he could go back and give his younger self, he emphasized one important pearl of wisdom: Try to be the friend your dog thinks you are!

Lawton Dentist Awarded 2017 ADA 10 Under 10

By Rylee Rose, ODA Creative Communications Intern Lawton dentist Dr. Michael Kroll is no stranger to hard work. Growing up being a jack-of-all-trades, it seemed there wasn’t anything Kroll couldn’t do. From sharpening ice skates or baling hay to helping families pick out nursery wall paint. Because of all this experience, he knew that helping others was where his heart lay, and dentistry was the perfect fit for his personality.

Kroll is a 2011 graduate of the Case Western Reserve University School of Dental Medicine in Cleveland, Ohio.

After graduation, he entered active duty military service and was stationed at Joint Base Lewis-McChord just outside of Tacoma, Washington. There he served as clinic chief (Officer in Charge) of a large dental clinic that served over 10,000 active duty soldiers.

For the next academic year, Kroll was selected to train in Oral Maxillofacial Surgery at Lewis-McChord’s Madigan Army Hospital. During this time, he also wanted to get as much restorative training as possible so he began working with a CEREC Redcam. From then on, he fell in love with digital restorative dentistry.

Soon after, Kroll decided to change career paths and follow his passion for restorative dentistry. He deployed with

Special Forces on a humanitarian mission and entered a two-year Comprehensive Dentistry Residency with an emphasis in restorative dentistry. Following his residency, he acquired a Master’s Degree from the Uniformed Services University in Bethesda, Maryland.

Since then, Kroll has become boardcertified by the American Board of General Dentistry, a Fellow of the Academy of General Dentistry, the Assistant Director of the Fort Sill Advanced Education in General Dentistry (AEGD) Program, and the Junior Deputy Consultant of the Surgeon General of the Army for Comprehensive Dentistry.

“I love to work on esthetically demanding patients.Theypush you to become a better and more empathetic provider."

As an experienced dentist and currently a major in the United States Army, Kroll’s job involves staffing and mentoring eight residents from across the country in all facets of restorative dentistry, as well as seeing 18-25 patients a day for exams and hygiene checks. His job involves a lot of digital dentistry ranging from 3D printing and digital case submission to hands-on fabrication of indirect restorations. His team helps mold young dentists into Army Professional Officers and Health Care Providers.

About his work Kroll says, “I love to work on esthetically demanding patients.

They push you to become a better and more empathetic provider. From the standpoint of altruism, I love that I do not have to ‘sell’ treatment to patients.

Taking a patient with a low dental IQ and intervening to increase their overall well-being, with no out-of-pocket costs to them, is one of the most rewarding things about my job.”

Kroll described being recently honored with one of the ADA’s 2017 ADA 10 Under 10 awards as an absolutely humbling experience. “Being a member of the Army, you realize that what you do is more than just a personal accomplishment. There is a team of people that has helped me get to where I am today,” he said. “Serving our service men and women makes me proud of the job that I and my residents accomplish on a daily basis. We strive to provide worldclass dental care. It feels amazing that we are doing things the right way!”

Kroll and his wife, Emily, met when they were in the 6th grade. They now have two children, Annabelle [3] and Aiden [1].

The Kroll family enjoys spending as much time together as they can. They enjoy hiking and visiting national parks, and have set a goal to visit every national park in the country. After that is checked off, their next stop…Patagonia!

www.okda.org

31

ODA FEATURE

Is There a Cap on Use of Implant Healing Caps?

By Mary Hamburg, DDS, MS

Anyone associated with dentistry and on social media of any kind has probably heard about the dentist in Las Vegas, Nevada who was media-roasted over the re-use of implant healing abutments. A faculty member at the UNLV School of Dental Medicine was placing reused sterile implant healing abutments on patients in his faculty practice. He stated that he re-used the abutments as many as five times. After it was noted that the implant packaging specified “single use only” the school contacted his patients and notified them that this practice could cause implant failure (The faculty member has since left the school and is now working in private practice.)

The public/media outcry is based on the manufacturer’s packaging stating that healing abutments and cover screws are for one-time use. The packaging further states that they should not be sterilized.

The manufacturer could not guarantee the product's quality through the sterilization process causing it to function improperly with multiple uses. This guideline has 32 journal | May/June 2018

nothing to do with implant failure or crosscontamination between patients.

The dentist in question correlated reused abutments to utensils used multiple times in restaurants. I felt this was a good analogy until I found a related research article (Wadhwani et al., 2016) on Google that discussed the presence of a protein on implant healing collars after being in the patient’s mouth for an extended period of time. This protein-that shall-not-be-named is not removed with normal cleaning processes such as steam autoclave and chemiclave. The protein is inactive (not alive) after the sterilization process but still present on the abutment. The problem with this protein is that we do not know what effect it has on the healing tissue around the implant. For all we know it could cause inflammation, delayed healing, and implant failure. Thus, we need to rethink our current practices.

As a periodontist, I get worked up over inflammation all the time. It’s kind of our thing. I mean, who doesn't love the smell of a good inflamed healing abutment upon its removal from the patient’s mouth? Nobody likes it, especially the patient. But here’s the takeaway: While inflammation may mean the esthetic outcome is not as good due to loss of attachment around the implant, it does not necessarily equal implant failure.

Think platform switching. If you’re not sure what that is, check Google.

Okay, so to avoid inflammation, the protein-that-shall-not-be-named and implant failure, use new abutments fresh from the package, right? I was on board until I came across a 2012 article from The Journal of the California Dental Association.

Those crazy west-coasters contaminated healing abutments and cover screws, then processed them with either steam autoclave or chemiclave, and demonstrated that the bacterial contamination was removed. The protein was not mentioned in the article, but actual bacteria were shown to be removed. So our sterilization processes do work. (Phew!)

What does all this mean for implant practices in Oklahoma? Implant companies may have experienced an increase in healing abutment orders. (Cha-Ching!)

Also, any bad press or outcome should make a responsible professional evaluate current practices and verify their validity.

Change might be needed. As for patients on the Google machine, I find that giving a long-winded, well-informed, researchbacked response to those patients who ask why I do something usually goes right over their heads. So for now I’m going with: More research is needed and recycling helps prevent global warming for now.

Let me know your thoughts at okmarioperio@gmail.com.

Mary Hamburg, DDS is a Diplomate of the American Board of Periodontology and serves as Assistant Clinical Professor at the University Of Oklahoma College Of Dentistry. She has served as an executive board member to the Oklahoma Association of Women Dentists for the last six years. She is a member of the Spears Study Club and has presented several continuing education courses for dental practitioners in Oklahoma.

Endorsed by:

All your reviews. All your listings. One portal.

Demandforce Choice Plus

Take control of your online reputation with this new comprehensive suite: Intelligent Reviews

Get more reviews directly on Google with automated email and text review requests.

Multi-listing Management

View all your listings and respond to all your reviews on Google, Yelp, Facebook and more - all in one place.

Competitor Dashboard

Easily compare your business’ ratings, reviews, and promotions to top competitors. *Product view may vary depending on business size and industry

Ready to see a demo?

Call 877.360.3869 or visit go.demandforce.com/OklahomaDental

www.okda.org

33

2018 ODA Annual Meeting THANK YOU TO OUR 2018 SPONSORS* Without sponsorships, the ODA Annual Meeting would not be possible! The following sponsors have demonstrated their support of dentistry in Oklahoma through their generous contributions to this year’s meeting. Please let our sponsors know how much we appreciate their support!

PLATINUM 3000 Insurance Group Delta Dental of Oklahoma

BRONZE Drs. Todd & Lori Bridges Dental Marketers Midwest Dental Equipment & Supply

GOLD Henry Schein Jameson Management & Marketing Patterson Dental SILVER Bank SNB CareCredit Endodontic Associates Heartland Payment Systems

OTHER SUPPORT Arvest Bank Cohlmia Family Dentistry Eagle Ridge at NorthCare Phil & Sara Hoedebeck

! s k n a

th

Exhibitors 3000 Insurance Group * A-dec Inc. Agency of Credit Control, Inc. Air Force Recruiting Service Anutra Medical ARIA Development ATS Dental Service Bank of the West Bank SNB Beasley Technology, Inc. BQ Ergonomics LLC Brasseler USA Burkhart Dental Supply BURST CareCredit Carestream Dental Carr Healthcare Realty Central Recycling Co. Delta Dental of Oklahoma Delta Dental of Oklahoma Foundation Dental Systems Inc. * Designs for Vision, Inc. Digital Doc, LLC Doral Refining Corp

DSG Heumann/Pearce Turk Emp10 Endodontic Practice Associates Express Dental Laboratory First Liberty Bank First Oklahoma Bank Flud Dental Laboratory Garfield Refining Company Glaxo Smith Kline Halyard Health Hayes Handpiece Co. HealthChoice Heartland Henry Schein Dental Implant Direct International Dental Arts, Inc. Ivoclar Vivadent Jameson KaVo Kerr Kaylor Dental Lab, Inc. Medical Waste Services * Michael Brown & Associates Midwest Dental Equipment & Supply National Dentex Labs

Ocean Dental Orascoptic OSMA Health Paragon Dental Practice Transitions Patterson Dental Pereff Development Group Perfection Dental Lab Pharmacists Mutual Insurance Company Philips Oral Healthcare Physical Therapy Central/Redbud Physical Therapy Planmeca USA, Inc. ProSites * RCB Bank Solmetex * SurgiTel Titan Data Services Tobacco Settlement Endowment Trust Ultradent Products, Inc. United States Army Valliance Bank Woody & Associates, CPA’s, PLLC Works24 * Young Dental/American Eagle Instruments

* ODA Rewards Partners 34 journal | May/June 2018

Continuing Education Speakers

Exhibit Hall Cox Convention Center

The Future

Is N W

www.okda.org

35

House of Delegates 1.

2.

3.

1.

Members of the House of Delegates convene for the 2018 meeting.

2.

Dr. Chris Fagan accepted the Whiteneck tray on behalf of the Northwest District Dental Society.

This is awarded to the Component with the highest attendance at the House of Delegates Meeting.

3.

4.

ODA Past President and DENPAC Chair, Dr. Ed Braly, with Dr. Chris Fagan. Dr. Fagan accepted the Kouri Cup on behalf of the Northwest District Dental Society.

The Component with the highest percentage of DENPAC members receives the cup.

Dr. Blaire Bowers accepted the Cohlmia Cup, presented by Dr. Ed Harroz, on behalf of the Oklahoma County Dental Society. This is awarded to the Component with the highest percentage of new members.

36 journal | May/June 2018

4.

Welcome Reception The Patio at Flint

The Future

Is N W

www.okda.org

37

President’s Dinner Casino Night in the City

Premium sponsor

Game table sponsors Arvest Bank Drs. Todd & Lori Bridges Cohlmia Family Dentistry Delta Dental of Oklahoma Phil and Sara Hoedebeck Midwest Dental Equipment and Supplies

To view more photos from the ODA Annual Meeting, visit the ODA Facebook photo album titled 2018 Annual Meeting

38 journal | May/June 2018

Congratulations to this Year’s ODA Award Winners

Legislator of the Year Award Representative Leslie Osborn

President’s Leadership Award Dr. Mathew Hookom

Richard T. Oliver Legislative Award

Dan E. Brannin Award for Professionalism & Ethics

Thomas Jefferson Citizenship Award

Dr. Robert Lamb

Dr. Shannon Griffin

Young Dentist of the Year Award

Distinguished Dental Service Award

James A. Saddoris Lifetime of Leadership Award

Dr. Phoebe Vaughan

Dr. Doug Auld

Dr. E. Vann Greer

Dr. Susan Davis

Not Pictured: Dr. David Wong receiving the Robert K. Wynne Award for Dental Education & Public Information Nominations for the 2019 ODA Awards will open in September. Be ready to nominate a deserving colleague. We look forward to honoring members who are committed to their service to the ODA, their profession and their community.

Visit the ODA Members-only website for a full list of previous winners.

Oda Members recognized for 50 years of membership Dr. Harold Allen

Dr. J. Don Harris

Dr. George Razook

Dr. Victor Andrews

Dr. Allen Keenan

Dr. Kent Shacklett

Dr. Jack Balenseifen

Dr. Wesley Lucas

Dr. Jerry Smith

Dr. Arnold Boyd

Dr. Jack McKinnis

Dr. Michael Stephens

Dr. William Brewer

Dr. Jerome Miller

Dr. Robert Watson

Dr. J. Walter Coffey

Dr. Jay Nelson

Dr. John Duplessis

Dr. Dale Prock

thank you! www.okda.org

39

Some Cyber Liability Insurance policies cover much more than data breach - does yours?

Gone are the days when a data breach sublimit on your Business Owners or Professional Liability policy is adequate protection. Today we encourage businesses to purchase a stand-alone Cyber Liability Insurance policy which provides higher limits and broader coverage.

Cyber Incident Responses

Incident response costs, legal and regulatory costs, security and forensic costs, crisis

communication costs, and third-party privacy breach management costs.

Cyber Crimes

Extortion, funds transfer fraud, theft of funds held in escrow, theft of personal funds, corporate identity theft, telephone hacking, and phishing.

System Damage and Business Interruption

System damage and rectification costs, system business interruption, and consequential reputational harm.

Network Security & Privacy Liability and Media Liability

Network security liability, privacy liability, management liability, regulatory fines, PCI fines, penalties and assessments, defamation, intellectual property rights infringement.

40 journal | May/June 2018

405.521.1600 info@3000ig.com 3000iG.com

CLASSIFIEDS Looking to fill an open position in your office, need to sell dental equipment or a practice? Check out the latest listings below and visit okda.org/classifieds for additional listings.

PRACTICES FOR SALE PRACTICE FOR SALE: NEW LISTING WEST OKLA. CITY SUBURB. $700K in collections in a 3-½ day work week. Leased office in a busy and visible location. Office has approximately 3,000 sq. ft. (MOL) with 4 fully equipped operatories and could easily have 5 and possibly even six. Fully digital X-rays throughout, with Cerac and lab grade milling machine, caries detection equipment, automated Endo (Tulsa Dental), and multiple intra-oral cameras. EagleSoft practice management software with 12 computer stations throughout office. Thirty-three new patients/month with more than 3,300 active patients. Call soon.

This won’t last very long. Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE

PRACTICE FOR SALE: BROKEN ARROW, OK. $850,000 in a 4-day week. Four ops full of excellent equipment and loaded with high tech; Laser, ALL digital X-ray and pan, intraoral cameras. Diagnodent, Carestream scanner, elec.

Handpieces. Plenty of room for treatment area expansion if desired. Huge potential for growth as owner refers a lot of work. Leased office. Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE

PRACTICE FOR SALE: SW of Oklahoma City in a short commutable drive. Two parttime satellite practice. Very low overhead.

Practice collected $722K in 2015 with very large profit margin. A serious money maker!! Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE THE OFFICES LISTED ABOVE MAY BE SEEN AT www.ppa-brokers.com or call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784.

OTHER

Place a Classified Ad

Opportunity Available Tired of working for the corporate man or Uncle Sam? Join us at Montgomery Family Dentistry in Lawton OK! Excellent opportunity for space sharing and/or associateship. Newly remodeled. We have 11 operatories, of which 5 are available, as well as a vacant private office and an overflow of new patients. Email Andrea at montgomerydentistry1@gmail.com.

EQUIPMENT FOR SALE Intraoral X-Ray Sensor Repair/Sales Repairs with rapid turnaround. Save thousands over replacement costs. We specialize in Kodak/ Carestream, Dexis Platinum, and Gendex sensors.

We also buy/sell dental sensors. Call us 919-2290483 www.repairsensor.com.

Placing an ad with the ODA allows you to target your ad to a specific audience. Unlike other classified ad sources (local newspaper, other online classified sites, etc.), a listing with the ODA gives you exposure to the people who would be most interested in your ad. The online version of the ODA Journal contains active hyperlinks within the advertisement, ensuring you get maximum exposure for your ad.

Submit a Listing Submitting a classified ad is easy with our online form. Find the form and more information at www.okda.org/classifieds.

Pricing ODA Members Online - Free ODA Journal - $40 for first 50 words

Non-ODA Members Online or ODA Journal - $83 (>50 words)

(additional words $0.15 each)

Bundle (online & journal) $149 (>50 words)

(additional words $0.32 each)

(additional words $0.32 each)

Questions?

Email: advertising@okda.org Call: 800.876.8890

www.okda.org

41

Finally, Five (not so) FAQs! Twana Duncan, DDS Antlers, OK

1. Study a little every day for two weeks or pull an all-nighter?

Both! I always feel underprepared.

2. When was the last time you belly laughed?

With my granddaughters.

3. I wish I could go back and tell my 10-year-old self: Make more cookies - the chocolate chips are calorie-free.

4. What was the last gift you gave someone?

A surprise birthday party.

5. What is your least favorite thing about humanity? Entitlement - destroys compassion!

Faster, Easier Credentialing

• Centralized database available to payers, hospitals and employers • Takes 20 minutes or less • Securely designed

The ADA Credentialing Service is a new member benefit that helps streamline the credentialing process. This service allows you to input, store and update your professional credentials in one centralized location, reducing repetitive paperwork for you and your office staff.

By entering your credentials only one time, your information will be stored in this securely designed portal and will be available to thirdparty payers.

The ADA is working with SKYGEN USA to engage their subsidiary Scion Dental, which provides dental payment solutions to government and commercial payers. By completing your credentials in this portal, the ADA can leverage your support to secure the participation of additional payers.

As an ADA member, this service is free. Register now!

ADA.org/credentialing

42 journal | May/June 2018

Put your best face forward

The new Find-A-Dentist is live — and it’s a hit with patients.

1MM visits to Find-a-Dentist 348K member profile views

ADA’s Utilization Campaign Resolution 67H-2016 Results to Date April-September 2017

Patients can see your location, office hours & more

Update your profile in 5 minutes or less!

Photo profiles get 11x more clicks More complete profiles appear higher in search results.

3 $18 19.6 TARGETING

year

million campaign

million U.S. adults

ADA’s Find-a-Dentist® campaign is designed to help bring in new patients.

Don’t have time? Ask a staff member to do it for you.

Learn more about the ADA campaign to help build your practice.

Visit ADA.org/UpdateNow to check your profile and add your photo. www.okda.org

43

44 journal | May/June 2018