ODA Journal: Jan/Feb 2022 by Oklahoma Dental Association

January/February 2022 | Vol. 113, No. 1

07 OkMOM News 19 2022 ODA Annual Meeting Details

www.okda.org

journal | January/February 2022

Contents

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

January/February 2022| Vol. 113, No. 1

Inside Front Cover 3000 IG Inside Back Cover ODASupplySource Back Cover Delta Dental of Oklahoma

Authentic Dental Laboratory, Inc. Endodontic Associates Endodontic Practice Associates Lewis Health Profession Services OK Tobacco Settlement Endowment Trust Valliance Bank

Oklahoma Dental Association

February is National Children’s Dental Health Month. Visit ADA.org/NCDHM2022 for activity sheets.

HEALTHY SMILE TIPS

National Children's Dental Health Month

• Brush your teeth twice a day with a fluoride toothpaste. • Clean between your teeth daily. • Eat a healthy diet that limits sugary beverages and snacks. • See your dentist regularly for prevention and treatment of oral disease.

07 OkMOM News 09 National Children's Dental Health Month 10 ODA Rewards Partners Column 11 ODA Rewards Partners 1 2 RDGP Contest Contributors & Winner 1 3 Get Involved at the ODA 1 4 Board of Trustees Recap 1 4 New Associate Editor 1 6 2022 ODA Leadership Academy 1 8 CORD Luncheon

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

1 9 2022 ODA Annual Meeting 2 2 Thank You to ODA Life Members 24 ODA CE Weekend Getaway

2022 ODA Annual Meeting

24 Advance Patient Health with the ADA Dental Experience and Research Exchange

LEGISLATIVE LOOP 2 6 2022 Legislative Session Around the Corner 2 6 ADA Advocacy 27 DENPAC in Action 2 8 ODA & DENPAC Legislative Reception 2 9 2022 Capitol Club & Grand Level Members

SPOTLIGHT

ODA & DENPAC Legislative Reception

30 ODA Member: Brandon Loeser 32 ODA Component Presidents

FEATURES 36 Differential Diagnosis: Solitary Gingival Mass 39 Hygiene Hotspot: Executing The Ultimate DoctorHygiene Patient Exam

Office Showcase: Grace Jun, DDS

4 0 Keep it Local: OU College of Dentistry 4 2 Office Showcase: Dr. Grace Jun 4 4 New Dentist Corner: Production and Rest 4 5 Oklahoma Children's First Dental Visit: The Physician Perspective 4 9 Dental Community Unites for Veteran's Clinic

CLASSIFIEDS 50 ODA Classified Listings

Is Your Information Correct?

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

www.okda.org

ODA JOURNAL STAFF EDITOR Mary Hamburg, DDS, MS ASSOCIATE EDITOR Roberta A. Wright, DMD, MDSc, FACP EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Daryn Lu, DDS Phoebe Vaughan, DDS Elizabeth Silver, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates OFFICERS 2021-2022 PRESIDENT Chris Fagan, DDS president@okda.org PRESIDENT-ELECT Robert Herman, DDS presidentelect@okda.org VICE PRESIDENT Paul Wood, DDS vicepresident@okda.org SECRETARY/TREASURER Mike Gliddon, DDS treasurer@okda.org SPEAKER OF THE HOUSE Doug Auld, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Paul Mullasseril, DDS pastpresident@okda.org ADMINISTRATIVE STAFF EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates DIRECTOR OF MEMBERSHIP Kylie Faherty PROGRAMS & OPERATIONS MANAGER Makenzie Dean MEMBERSHIP SERVICES MANAGER Madison Bolton "IMPORTANT CORRECTION: The American Dental Association was provided incorrect information regarding a member's passing - Dr. David L Schwartz is still alive and well. We apologize for the misprint in the Nov/Dec 2021 ODA Journal.

Stay connected with the ODA!

journal | January/February 2022

CALENDAR OF EVENTS Visit the ODA’s online calendar at OKDA.ORG/CALENDAR for all upcoming meetings and events. January 14 Annual Meeting Planning Committee ODA Building 9:00 a.m. Council on Dental Education & Public Information ODA Building 10:00 a.m. Council on Nominations ODA Building 11:30 a.m.

Council on Membership & Membership Services ODA Building 1:00 p.m.

Council on Bylaws, Policy, and Ethics ODA Building 2:30 p.m.

ODA Rewards Committee ODA Building 3:00 p.m.

Oklahoma County Awards Banquet 21C Hotel 5:30 p.m.

January 21 Relief Disaster Grant Program Board ODA Building 11:00 a.m.

January 28 Tulsa County Dental Society CE Event 8:00 a.m.-4:00 p.m. Tulsa Marriott Southern Hills

Council on Dental Care ODA Building 1:00 p.m. February 10 Virtual Legislative Orientation 5:30 p.m. Zoom

February 15 ODA & DENPAC Legislative Reception ODA Building 5:30 p.m.

February 11 Virtual Legislative Orientation 9:30 p.m. Zoom

February 25 Council on Governmental Affairs ODA Building 9:00 a.m.

March 22 Tulsa County CE and Awards Banquet 6:00-8:00 p.m. Ti Amo Restaurant

March 31 Board of Trustees 10:00 a.m. Oklahoma City Convention Center

Board of Trustees ODA Building 1:30 p.m.

ODA House of Delegates 1:00 p.m. Oklahoma City Convention Center

YOUR MEMBERSHIP MATTERS!

2022 membership is just a click away! 3 EASY WAYS TO RENEW

PAYMENT PLANS

Online: Visit okda.org and pay your dues today.

Installment plan options include two, four, six and twelve monthly payments and can be arranged by check or credit card.

Check: Mail your dues payment to 317 NE 13th Street, Oklahoma City, OK 73104 Phone: Contact the ODA Membership Team at 405.848.8873 for questions and to renew over the phone.

Select your payment plan online, or indicate your choice on your statement if renewing by check, or call the ODA Membership Team to arrange your plan over the phone.

AUTO-RENEWAL NOW AVAILABLE

One-time or payment plan options available. Email reminders before dues are charged, after dues are paid with receipt, and when your credit card is going to expire. Select Auto-Renew on your statement or online during dues payment.

www.okda.org/membership 405-848-8873

www.okda.org

journal | January/February 2022

Important OkMOM News

Dear ODA Member: This is a difficult letter to write, but I need to inform you the Oklahoma Mission of Mercy (OkMOM), scheduled for February 2022 in Shawnee, has been postponed. The latest variant of the COVID-19 virus is spreading quickly. If this strain follows the trend of other COVID-19 variants, Omicron is likely to peak in Oklahoma near the event date. With the health and safety of our volunteers and patients top-of-mind, the OkMOM Steering Committee voted to recommend to the ODA Board of Trustees to delay the event, and the Board has agreed postponement is the safest and most prudent course of action. This decision did not come easily, and every possible safeguard and scenario was discussed. We remain fully committed to the Shawnee community and will work to reschedule the event in Shawnee. We also remain committed to helping those in our community address their emergency dental needs. If you or someone you know is in need of dental care, please call the Delta Dental HelpLine at 405-607-4747 and a navigator will guide patients to the best dental care resources available in Oklahoma. Financial assistance for urgent dental care may be available for qualifying patients. For more information, please visit ResourceForDentalCare.org. I would like to thank Delta Dental of Oklahoma for their continued support of OkMOM. And on behalf of the ODA, the Oklahoma Dental Foundation and the Delta Dental of Oklahoma Foundation, I especially want to thank our committed volunteers for more than 10 years of support of the Oklahoma Mission of Mercy. This event is meaningful to all involved and is a great example of the strength and compassion of our profession. We will keep OkMOM.org updated with any additional resources and information as it becomes available.

Sincerely,

Chris Fagan, DDS ODA President

317 NE 13th Street, Oklahoma City, OK 73104 \ 405.848.8873 \ Fax 405.848.8875

www.okda.org

journal | January/February 2022

FEBRUARY 2021

SEALANTS MAKE SENSE National Children's Dental Health Month February is National Children's Dental Health Month, with the 2022 theme being “Sealants Make Sense.” The month is a national health observance that brings together thousands of dedicated professionals, health care providers and educators to promote the benefits of good oral health to children, their caregivers, teachers and many others. Irene Hilton, D.D.S., chair of the ADA Council on Advocacy for Access and Prevention’s advisory committee on dental sealants, said sealants are an equitable way to prevent caries.

and parents with resources to promote the benefits of good oral health to children. The guide includes easy-to-do activities, program planning timetable tips, a sample NCDHM proclamation and more. Copyright © 2021 American Dental Association. All rights reserved. Reprinted by permission.

Turn to page 45 to read more about a physician's perspective on a child's first dental visit!

“Sealants on permanent molars reduce the risk of caries by 80%,” Dr. Hilton said. “If your dentist recommends dental sealants, it is part of a comprehensive caries management approach. I am excited that this year’s National Children’s Dental Health Month theme is about dental sealants, so more families are aware of this cavity-preventing treatment.” The NCDHM Program Planning Guide, available in mid-November at ada. org/ncdhm2022, provides program coordinators, dental societies, teachers

Visit ADA.org/NCDHM2022 for more resources and ideas. February is National Children’s Dental Health Month. Visit ADA.org/NCDHM2022 for activity sheets. HEALTHY SMILE TIPS • Brush your teeth twice a day with a fluoride toothpaste. • Clean between your teeth daily. • Eat a healthy diet that limits sugary beverages and snacks. • See your dentist regularly for prevention and treatment of oral disease.

www.okda.org

ODA PARTNERS COLUMN

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

The ODA endorses companies that have been researched and proven to offer products and services that provide real savings. By being an ODA member, you’re automatically eligible for these savings. Below is information about one of our Partners. Learn about all of the Partners at www.okda.org/rewards-partners.

EASILY ACCESSS PHONE & VIDEO INTERPRETERS Communicate with your non-English-speaking patients in seconds. CyraCom supports hundreds of languages, including more than 25 languages over video. Visit www.cyracom.com/ada to access exclusively discounted prices for ADA Members.

Hello Hola

10 journal | January/February 2022

OKLAHOMA DENTAL ASSOCIATION REWARDS PARTNERS Insurance Products For You & Your Practice The insurance coverage you need for your business, personal life & employee benefits.

Answers On Employer Dental Plans The solution for dental practices & you receive a $300 discount.

Tours & Cruises Access to guided ocean, river and land-based tours designed to immerse travelers in the history and culture of people and places.

Staff Logo Apparel Save up to 10% on products and logo embroidery.

Debt Collection Services Members receive 10% off Tier 1 pricing. Cybersecurity Protect your business and reputation from Cyberattacks! Patient Payment Plans Help patients get what they need, without delay! On Demand or In-Person Fitness Options More fully customizable and flexible than any single gym membership. Expert HIPAA Compliance Use their software and one-on-one Compliance Coach guidance to avoid HIPAA fines. Interpretation Services Save nearly 70% off of interpretation services compared to those who aren’t ODA members. In-House Dental Membership Plan Provide better care for your uninsured patients, without insurance getting in the way. Scrap Metal Recovery Receive 85-97% of the current market price.

Electronic Insurance Claims Receive e-claims for only .25 cents.

STOR E

Student Loan Refinancing You can save on your student loan debt! Members are eligible to receive a special offer from Laurel Road. AND Mortgages Offering savings for members looking to purchase a new home or refinance an existing mortgage. Computers & Technology Members are eligible to save up to 30% off the everyday public web price of Lenovo’s entire product line. Bio-Hazard Waste Removal & Treatment Receive special pricing for waste pickup. Medical Evacuation Members receive reduced membership rates. Luxury Vehicles Exciting member discounts on Mercedes-Benz vehicles. Dental & Office Supplies Save on more than 65,000 products. Secure Communications Solutions Receive preferred pricing & waived set-up fees. Website Design & Marketing Services Members can save on websites.

Care For Your Air Providing powerful and consistent decontamination services for your practice.

The Leader In Amalgam Separation Members can receive a free NXT Hg5 Collection Container with Recycle Kit with purchase of an NXT Hg5 Amalgam Separator.

Appliances Access to member-only savings of up to 25% off MSRP on select GE appliances.

Scrubs, Lab Coats & More Members receive a 15% discount of all purchases in-store and online.

Emergency Medical Kits Save 10% on emergency medical kits & AEDs.

Special Services & Shipping Discounts Members have access to new & improved flat discount pricing.

Electronic Credit Card, Check Management & Payroll Processing Services Receive special pricing, efficiently pay your staff & manage general HR needs.

Point-Earning Credit Card The only credit card endorsed for ADA members.

Empowered ePrescribing Simplify prescriptions with robust functionality and automation.

On-Hold Messaging, Digital Video & Overhead Music www.okda.org Connect with your patients while they wait.11

#GIVINGTUESDAY ALL MONTH LONG! ODA MEMBERS CELEBRATED GIVING TUESDAY, A GLOBAL DAY OF GENEROSITY, DURING THE MONTH OF NOVEMBER BY DONATING TO THE OKLAHOMA DENTAL RELIEF AND DISASTER GRANT PROGRAM.

THANK YOU TO EVERYONE WHO DONATED!

DR. WILLIAM BEASLEY DR. TWANA DUNCAN MS. SHELLY FRANTZ DR. EVANGELINE GREER

DR. ED HARROZ, JR. DR. WARREN GOOD DR. KRISTA JONES DR. PAUL MULLASSERIL

CONGRATULATIONS TO THE WINNER OF THE GIVING CONTEST, DR. WARREN GOOD!

YOU CAN STILL MAKE DONATIONS TO THE RDGP AT OKDA.ORG/PROGRAMS/MEMBER-SUPPORT 12 journal | January/February 2022

LOOKING TO GET INVOLVED? Are you interested in becoming more involved in your ODA? Are you interested in developing your leadership skills and representing your colleagues at the state level? Return this form with your dues or contact the ODA at information@okda.org or 405-848-8873 for more information. Print Name: Email Address: Phone Number:

Select the area(s) in which you are interested in serving: Board of Trustees: Is the

administrative body of the Association and is comprised of the elected and appointed officers of the Association, delegates to the ADA, one trustee elected by each of the seven Components, and a new dentist trustee.

Annual Meeting Planning Committee: Coordinates all aspects of

the ODA Annual Meeting, including the selection of scientific speakers and topics, procuring sponsorships and planning social functions.

Oklahoma Mission of Mercy (OkMOM) Planning Committee:

The event is divided into many areas, both clinical and non-clinical, with each area being coordinated by a “Lead” to oversee the planning and onsite execution of the event. All OkMOM Leads must be available for set up, tear down, and during both treatment days of the event.

Rewards Partners Committee:

Enhances ODA membership value by researching companies that offer discounts on a broad range of professional and personal products and services, exclusive to ODA members, while generating non-dues revenue for the ODA.

House of Delegates: Establishes

all ODA policies not otherwise provided for in the Bylaws, elects the Speaker of the House and council members, confirms the appointments of the Secretary/Treasurer and the council chairs, adopts an annual budget and sets the membership dues. The House of Delegates meets annually and is comprised of the Board of Trustees, four officers from each Component, one delegate per fifteen members from each Component and four OUCOD dental students.

Council on Budget and Finance: Develops an annual budget for approval by the House of Delegates and oversees the annual audit.

Council on Bylaws, Policy and Ethics: Annually reviews the bylaws

and all policies of the Association, as well as investigates, mediates, and adjudicates complaints regarding a member’s alleged non-compliance with the ADA’s Guidelines and Principles of Ethics and Code of Professional Conduct.

Council on Dental Care: Interacts

with organizations concerned with the provision of dental health care, monitors dental manpower needs, develops programs to improve care availability in underserved areas, and maintains the ODA Mediation Review Program.

Council on Dental Education and Public Information: Conducts dental health education campaigns and programs to improve the public perception of dentistry and develops new initiatives for the ODA Journal and electronic communications.

Council on Governmental Affairs: Coordinates lobbying activities

DENPAC Board of Directors:

Oversees the Oklahoma Dental Political Action Committee (DENPAC) which works to support the dental profession by making political contributions to dentistry-friendly candidates running for state-level elected office.

OK Dental Relief and Disaster Grant Program Board of Trustees: Oversees the OK Dental Relief and Disaster Grant Program, a charitable trust established by dentists to provide aid to dental professionals affected by natural disasters, physical disability, chemical dependence, or other hindering conditions.

Interested in serving as an officer of the Association? The Vice President and Speaker of the House of Delegates are elected positions. The Speaker serves three terms and the Vice President proceeds to the offices of Presidentelect and then President. Want to represent the ODA on the national level? The ODA has five elected Delegates and five elected Alternate Delegates on the American Dental Association House of Delegates, each of which serves fouryear terms.

and maintains a “grassroots” program for effective communications for ODA members and their legislators, interacts with state and federal boards and agencies, and develops recommendations concerning rules, regulations, or legislation that affect the dental profession or the dental health of the public.

Council on Membership and Membership Services: Develops

all membership recruitment and retention programs.

www.okda.org

BOARD OF TRUSTEES RECAP The ODA Board of Trustees met on November 19 at the ODA building in Oklahoma City. In attendance was the 2022 class of the ODA Leadership Academy, which kicked off the session on November 18 with dinner and a presentation by Cathy Jameson. Upon recommendation from the Rewards Partners Committee, the Board voted to endorse four new companies: Dental HQ, which provides in-house dental membership plans; ClassPass, the world’s largest fitness membership; Laurel Road Mortgages; and Compliancy Group, for all HIPAA compliancy needs. For more information about these and other ODA Rewards products and services, visit www.okda.org/rewards-program. The Board approved the 2020 audited financial statements as presented by RSM US, LLC. The statements reflect the financial position of the Association as of December 31, 2020. The changes in net assets and cash flow for the year 2020 were found to be in conformity with generally accepted accounting principles, resulting in a positive opinion by the auditor. Upon recommendation of the Council on Budget and Finance, the Board of Trustees adopted the 2022 operating budget, which projects an income of $1,163,590 and expenses of $1,161,597, resulting in a net gain of $1,993. Furthermore, this budget was approved without a dues increase for the 11th consecutive year. The Board voted to conduct the 2024 Oklahoma Mission of Mercy in Lawton. The annual ODA/DENPAC Legislative Reception is scheduled for February 15 at 5:30 PM at the ODA building. All dentists are encouraged to attend and meet their legislators. The next meeting of the Board of Trustees is February 25 at 1:30 PM at the ODA building. If you have business for consideration by the Board, please contact your component Trustee, or for a complete list of the Board of Trustees, visit www. okda.org/about-the-oda/leadership/.

Meet the New ODA Journal Associate Editor Roberta A. Wright, DMD, MDSc, FACP Born and raised in the suburbs of Chicago, Dr. Wright is an enthusiastic, meticulous, and warm-hearted Midwesterner. Her acute attention to detail and constant focus on perfection were shaped by decades of pursuing a love for ballet. In caring for patients, she is guided by “the golden rule” of treating others how she would want to be treated. She wholeheartedly believes that clear communication with her patients and her peers is instrumental to successful relationships and treatment outcomes. She is a Diplomate of the American Board of Prosthodontics and a Fellow of the American College of Prosthodontists. Prior to joining Implant and Prosthodontic Associates in 2020, Dr. Wright worked for several years in private practice in Boston, MA, where she was recognized as one of Boston’s Top Dentists every year in practice. She formerly was on faculty in the Post-Graduate Implant Dentistry Program at Harvard School of Dental Medicine, and has continued her enthusiasm for teaching at the University of Oklahoma College of Dentistry in the Advanced Education in General Dentistry program. Learn more about Dr. Wright at www.implantassociates.net. 14 journal | January/February 2022

Endodontic Practice Associates Norman, Oklahoma

Dr. Spencer Hinckley and Dr. Percy Bolen

Serving the OKC Metro for 43 years - since 1977 Your patient’s experience is top priority 3D CBCT scanning for improved diagnosis Complex endodontic cases welcomed Complex and “heroic” teeth salvage Build-up and post & core placement available Cutting edge instrumentation and disinfection Zeiss microscopes used on every case Specializing in finding 4+ canals in molars Surgical and nonsurgical retreatment General anesthesia and oral sedation Open during pandemic shut-down

e pride ourselves in a trusted referral pattern that ensures your patient returns to you holding you in high regard - regardless of the reason for referral. We speak highly of you to your patient and reassure them they are in good hands in your care. We value communication between you and our office. Give us a call to talk about anything. We are even happy to help you navigate through a difficult case in your chair.

Phone: 405.329.7936 1.800.238.5215

Fax: 405.329.1722

www.endodonticpracticeassociates.com www.okda.org

Meet the 2022 ODA Leadership Academy Class!

The Oklahoma Dental Association’s Leadership Academy is a statewide program to develop future leaders in organized dentistry and educate them on the foundational keys to its success. The Academy is designed to be a series of courses that challenge and educate the candidates in order to prepare future leaders at the national, state and local Component levels. Candidates should have a sincere interest in strengthening their community and the dental profession. Please join us in welcoming the 2022 Leadership Academy Class!

Seth Brooks, DDS Norman

OU College of Dentistry, 2014

Twana Duncan, DDS

Antlers OU College of Dentistry, 1991

I was influenced to become a dentist and oral surgeon after working as an oral surgery assistant at my uncle’s office during college.

My dream vacation would be a multi-country tour with my husband, Jack, seeing architecture, art exhibits, culture, eating great food and drinking local wines.

If I could have a second profession, I would be a graphic designer.

Friends would describe me as passionate about my career and mission to provide care for children in SE Oklahoma.

My favorite place I’ve traveled is Antigua and if I had six months to live, I would travel with my family. The best concert I’ve ever been to is John Mayer at The Forum in Los Angeles.

Cheryl Fleming, DDS

Tulsa OU College of Dentistry, 2020

My favorite place I’ve traveled is Yellowstone National Park after visiting with my family when I was 8 years old. That’s when I realized how magical different places can be, my love for being outdoors and how cool our planet is. The book I’m currently reading is It by Stephen King. In my spare time, I love spending time with loved ones, my two fur baby golden retrievers, cooking new recipes and painting. | January/February 2022 16 journal

In my spare time, I like to play with my five grandchildren and travel. I’ve been to all 50 states and my next goal is 50 countries!

Jenny Harreld, DDS

Oklahoma City OU College of Dentistry, 2021

My proudest accomplishment is happening every single day. Dentistry. It was a difficult journey to get here and a challenge every single day. But the love and the learning from every single patient makes me better. If I could have dinner with anyone, it would be with my Grandpa. He passed away when I was too young to understand the importance of learning from him. He was a paratrooper, a PhD in psychology, and a professor, and my siblings and I suspect, a spy.

Sydney Rogers,DDS Enid

OU College of Dentistry, 2017

Troy Schmitz, DDS

Oklahoma City OU College of Dentistry, 2015

I am currently reading The Gifts of Imperfection by Brene Brown. I enjoyed what she says about meaningful work and the importance of using our individual gifts and talents to contribute to our community.

The best concert I ever went to was with Dr. Randy White while he was still teaching at the school. We went to Dallas to see one of my favorite bands, Neutral Milk Hotel.

I enjoy spending time with my husband and our two children - Alston is five and Iris is one. I also enjoy playing violin in our church orchestra and with the Enid Symphony Orchestra!

My proudest accomplishment is convincing my wife, Dianna, to marry me. Dentistry is stressful but having her support gets me through the hardest days.

I would take someone visiting Enid to see the world’s tallest Christmas tree. Enid is home to a 140-foot freshcut fir tree that is 75% taller than the Rockefeller Center tree.

Mary Temple-Goins, DDS Ardmore OU College of Dentistry, 2020

As a child, I didn’t have a smile I could be proud of; but after several years of dental work and ortho, my smile is now my favorite feature. I became a dentist to help my patients gain a smile that they can also be proud of. I’m currently reading the 4-Hour Work Week by Timothy Ferris. If someone was visiting my town, I would show them the beautiful countryside that rural Oklahoma has to offer where there are more cows than people.

If I could have a second career, it would have to be a Pizza Consultant.

Ryan Theobald, DDS

Oklahoma City OU College of Dentistry, 2011

The importance of great leadership has been a critical part of the ODA’s success for well over 100 years. I am looking forward to further developing my leadership skills through the ODA and to become a future leader in organized dentistry! With 3 ½ year old twins, most of my spare time is spent wrangling them. When I do get a free moment, I love having dates with my wife, Jackie, playing golf, and hanging out with friends and family. If I could have dinner with anyone tonight, it would be The Rock. I think it would be the perfect balance of laughter, motivation, and leadership.

Congratulations to this year’s candidates and thank you for your contributions and dedication to organized dentistry! We look forward to seeing the impact you have on the profession and the Association. For more information on the ODA Leadership Academy, or how to become more involved in the Association, please contact ODA Director of Membership Kylie Faherty, at 405.848.8873 or kfaherty@okda.org.

www.okda.org

Coalition of Rural Dentists (CORD) Caucus and Luncheon Thursday, March 31, 2022 at the ODA Annual Meeting OKC Convention Center - 206 A * 11:30 a.m. - 1:00 p.m. If you are a member dentist of the Central, Eastern, Northern, Northwest, or Southwest Component, then this lunch is for you! This is your opportunity to voice your opinion and discuss issues that will be presented to the ODA House of Delegates that same day at 1:00 p.m. Kindly RSVP by March 25, to Madison Bolton, ODA Membership Services Manager, at mbolton@okda.org or call 405-848-8873.

Oklahoma Dental Association

U US

18 journal | January/February 2022

Facebook @okdentassoc Twitter @okladentassoc Instagram @okdentassoc YouTube @TheOKDentAssoc

BRIGHTER BETTER

TOGETHER OKLAHOMA DENTAL ASSOCIATION

ANNUAL MEETING APRIL 1 & 2, 2022 OKLAHOMA CITY, OK Omni Oklahoma City Hotel 100 W Oklahoma City Blvd. ODA Group Rate: $199/night 1-800-the-omni Book by 3.9.2022

OKDA.ORG/ANNUAL-MEETING REGISTRATION NOW OPEN

www.okda.org

BRIGHTER BRIGHTER BB EE TT TT EE RR

ODA ANNUAL MEETING

CONTINUING EDUCATION FOR THE ENTIRE DENTAL TEAM

FRIDAY, APRIL 1, 2022 JILL DONOVAN

Opening Session 1 CE Hour 8:00 AM - 9:00 AM

TROY SCHMEDDING, DDS, AAACD

Principles and Protocols to Establish a Minimally Invasive Approach 3 CE Hours 9:30 AM - 12:30 PM Understanding the Indirect Material Choices in 2022 3 CE Hours 1:00 PM - 4:00 PM

KAREN DAVIS, RDH, BSDH

Executing the Ultimate Doctor-Patient Hygiene Exam 2 CE Hours 10:00 AM - 12:00 PM

JESSICA HSIEH, DDS, MDSc, FACP

Digital Dental Photography - Level I HANDS-ON!* 4 CE Hours 12:30 PM - 4:30 PM

SUZANNE EBERT, DDS

Prepare for a Successful Practice Transition 2 CE Hours 2:00 PM - 4:00 PM

CE FOR THE DENTAL TEAM COURSES PRESENTED BY ODAA

KEVIN HENRY, MA* 5 Ways Dental Assistants can C.R.U.S.H. Their Careers Friday, April 1 2 CE Hours 9:30 AM - 11:30 PM KIM GRAZIANO, RDH, MPH* Infection Control and OSHA in the COVID-19 Era Friday, April 1 3 CE Hours 1:30 PM - 4:30 PM

COURSE PRESENTED BY ODHA

MARY HAMBURG, DDS, MS The Three Letter Word in Dentistry: SRP Moving Patients from Compromised to Compliant [Lunch & Learn]* Friday, April 1 1.5 CE Hours 12:45 PM - 2:15 PM 20 journal | January/February 2022

g ETHER TO TO gETHER SATURDAY, APRIL 2, 2022

JEFF PUCKETT JEFF PUCKETT

Opioid Abuse [Breakfast & Learn]* Opioid Abuse [Breakfast & Learn]* 2 CE Hours 7:00 AM - 9:00 AM 2 CE Hours 7:00 AM - 9:00 AM Ethics in Dentistry [Lunch & Learn]* Ethics in Dentistry [Lunch & Learn]* 1.5 CE Hours 12:15 PM - 1:45 PM 1.5 CE Hours 12:15 PM - 1:45 PM

CLINT CLINT STEVENS, STEVENS,DDS, DDS,FAGD, FAGD,FICOI FICOI & BLAIRE BOWERS, DDS, MS & & BLAIRE BOWERS, DDS, MS & LAUREN LAURENKLAUS, KLAUS,DDS, DDS,MS MS

Stevens: Evidence-Based Dentistry: The Gap Between Stevens: Evidence-Based Dentistry: The Gap Between Theory Theoryand andPractice Practice Bowers & Klaus: Bowers & Klaus:Esthetic EstheticManagement Managementof ofComplex Complex Recession Defects Recession Defects 22CE CEHours Hours 9:15 9:15AM AM--11:15 11:15AM AM

JESSICA JESSICAHSIEH, HSIEH,DDS, DDS,MDSc, MDSc,FACP FACP

Digital DigitalDental DentalPhotography Photography- -Level LevelIIIIHANDS-ON!* HANDS-ON!* 33CE Hours 9:15 AM 12:15 PM CE Hours 9:15 AM - 12:15 PM

JOSHUA JOSHUAAUSTIN, AUSTIN,DDS, DDS,MAGD MAGD

Differentiate DifferentiateYourself: Yourself:Clinical Clinical&&Marketing MarketingTips Tipsto to Generate New Patients! Generate New Patients! 66CE CEHours Hours 9:00 9:00AM AM--12:00 12:00PM PMMORNING MORNING 1:00 PM 4:00 PM AFTERNOON 1:00 PM - 4:00 PM AFTERNOON

STEPHANIE STEPHANIETRAN, TRAN,DDS DDS

Crack Crackand andFracture FractureManagement Management 22CE Hours 10:00 AM CE Hours 10:00 AM--12:00 12:00PM PM Restoratively-Driven Restoratively-DrivenEndo EndoHANDS-ON!* HANDS-ON!* 33CE CEHours Hours 2:00 2:00PM PM--5:00 5:00PM PM

DAVID DAVID SYLVESTER SYLVESTERII, II,DDS DDS

Immediate,Full-arch Full-archImplant ImplantRehabilitation. Rehabilitation.Teeth Teeth Immediate, inaaDay. Day.Loading LoadingEvery EveryTime. Time. in CEHours Hours 2:00 2:00PM PM--5:00 5:00PM PM 33CE Ticketedcourses. courses.Prices Priceswill willbe beincluded includedininregistration registration **Ticketed information.Space Spaceisislimited. limited. information.

TheODA ODAreserves reservesthe theright rightto tochange/cancel change/cancelcourses coursesprior priortoto The theAnnual AnnualMeeting. Meeting. the

ODAANNUAL ANNUALMEETING MEETING ODA REGISTRATIONOPENS OPENSJAN.1 JAN.1AT AT REGISTRATION OKDA.ORG/ANNUAL-MEETING OKDA.ORG/ANNUAL-MEETING

president's party THE OKLAHOMA DENTAL ASSOCIATION INVITES YOU TO A

FOR THE ENTIRE DENTAL TEAM

IN HONOR OF DR. CHRIS FAGAN ODA PRESIDENT 2021-2022

friday april 1 6:30 pm park house

AT THE MYRIAD GARDENS, DOWNTOWN OKC

president's toast 7:30 TICKETS $50 BEFORE MARCH 1 $65 AFTER MARCH 1

SPECIALTY DRINK SPONSOR

www.okda.org

30+

Thank you to our Life Members! These individuals have supported organized dentistry for at least 30 years. Members like these are the reason we are the Association we are today. We thank each and every one of them for their support and want to specifically acknowledge these members for their contributions to organized dentistry. Thank you, thank you, thank you! Dr. Edward Abernethy Dr. John Ainsworth Dr. Gerald Alf Dr. Harold Allen Dr. Michael Allen Dr. Jim Ambrose Dr. Richard Amilian Dr. Gunnar Anderson Dr. Jay Anderson Dr. Ronald Anderson Dr. William Anderson Dr. Victor Andrews Dr. James Ariana Dr. Glenn Ashmore Dr. Ronald Austin Dr. Kevin Avery Dr. Lon Bair Dr. Bun Baker Dr. James Baker Dr. Jack Balenseifen Dr. Thomas Ball Dr. Donald Ballew Dr. Wesley Barker Dr. Harry Barnes Dr. Lillian Barnes Dr. Terry Bass Dr. Robert Baumann Dr. O. Logan Beard Dr. William Beasley Dr. William Beeson Dr. Fred Benenati Dr. Terry Bennett Dr. Kenneth Bezan Dr. John Biggs Dr. Terry Blackburne Dr. William Blubaugh Dr. Fred Blythe

Dr. Richard Bohlander Dr. David Boone Dr. Brandon Bowers Dr. David Boyd Dr. William Bozalis Dr. Susan Brackett Dr. Larry Bradley Dr. M. Edmund Braly Dr. Gary Breece Dr. Gary Brewer Dr. William Brewer Dr. George Bridges Dr. Doyle Brimberry Dr. Gary Britton Dr. James Brown Dr. William Brown Dr. Charles Bryan Dr. Gary Bryant Dr. John Bubert Dr. James Buchanan Dr. Craig Buntemeyer Dr. Hugh Burch Dr. James Burke Dr. Thomas Burris Dr. Bonnie Burton Dr. J. David Buxton Dr. Joseph Cain Dr. Dennis Carlile Dr. Charles Carroll Dr. William Carruth Dr. Robert Carson Dr. Conrad Casler Dr. William Castles Dr. Lee Centracco Dr. Stephen Chastain Dr. Don Cheatham Dr. Fred Child

22 journal | January/February 2022

Dr. Jack Chinn Dr. Billy Chrz Dr. Stephen Clark Dr. John Clayton Dr. Raymond Clock Dr. Jan Cobble Dr. Craig Cochran Dr. J. Walter Coffey Dr. Robert Coffey Dr. Larry Coggins Dr. Kent Cohenour Dr. Leon Conkling Dr. David Cooper Dr. Richard Corley Dr. Richard Corwin Dr. Terry Cotterell Dr. Keith Coulson Dr. Donald Courts Dr. Ameel Coury Dr. Thomas Coury Dr. Karen CoxHaymaker Dr. Kenneth Coy Dr. Danny Craige Dr. William Croom Dr. Gerald Cross Dr. John Curless Dr. G. Frans Currier Dr. Tanell Dakil Dr. Thomas David .. Dr. Samuel Davis Dr. Walter Davis Dr. David Deason Dr. Terry Deason Dr. Darrell Dedrick Dr. Steven Deem Dr. Gary Dempsey

Dr. Gayle Dennehy Dr. Richard DeVaughn Dr. Bruce Dieterlen Dr. JoAnn Dillard Dr. John Dmytryk Dr. Bryce Dorrough Dr. James Dougherty Dr. Albert Drake Dr. Neill Dubberstein Dr. Craig Dudley Dr. Michael Duffy Dr. Michael Dugan Dr. Manville Duncanson Dr. Lynne Dunham Dr. John Duplessis Dr. Steven Durr Dr. Benjamin Edwards Dr. K. George Elassal Dr. Lee Eliot Dr. Frank Evans Dr. Timothy Fagan Dr. Joseph Fallin Dr. Basem Farhood Dr. James Farley Dr. Barry Farmer Dr. Michael Fauks Dr. Lawrence Feldman Dr. Gary Fincher Dr. Jerry Finnell Dr. Gerhard Fischer Dr. Gary Fisher Dr. George Forney Dr. Michael Forth Dr. Glenn Foster Dr. Marc Frazier Dr. Terry Fruits Dr. Gary Gardner

Dr. Troy Garrett Dr. LaMont Gee Dr. Ernest Gentile Dr. Thomas Gilbert Dr. Richard Gilman Dr. Bill Gladd Dr. William Glasgow Dr. Stephen Glenn Dr. Kenneth Goljan Dr. Warren Good Dr. Randall Graham Dr. Ronald Graves Dr. William Gray Dr. Barry Greenley Dr. Evangeline Greer Dr. Jerry Greer Dr. Steven Gregg Dr. Edward Grimes Dr. Stanley Groom Dr. James Hackler Dr. Bruce Hall Dr. H. Douglas Hall Dr. Michael Hampton Dr. Terrence Hampton Dr. Mark Hanstein Dr. Jackson Haraway Dr. Greg Hardman Dr. Leslie Hardy Dr. Kenneth Harland Dr. David Harrell Dr. J. Don Harris Dr. Bailey Harrison Dr. Ronald Harrison Dr. Edward Harroz Dr. Phillip Hartgraves Dr. Wallace Haskett Dr. Donald Haskins

Dr. Richard Haught Dr. Chris Hawthorn Dr. Dorwin Hawthorne Dr. Darrell Hazle Dr. Harry Heget Dr. Gary Henderson Dr. John Henry Dr. Craig Herwig Dr. Robert Hess Dr. William Hiatt Dr. Jimmy Highfill Dr. R. Douglas Hill Dr. Ted Hine Dr. C. Mike Hinkle Dr. Jay Hodges Dr. Glen Hoecker Dr. David Hoffman Dr. Steven Hogg Dr. Jon Holman Dr. Richard Homsey Dr. Brad Hoopes Dr. Terry Hopkins Dr. Allen Horn Dr. Bruce Horn Dr. Glen Hornbuckle Dr. Glen Houston Dr. Michael Howl Dr. Richard Hudson Dr. Robert Hughes Dr. Nicholas Hunter Dr. Carroll Hutchens Dr. Gilford Hutchens Dr. Howard Iba Dr. John Ingram Dr. Bill Jackson Dr. Douglas Jackson Dr. Richard Jacobi Dr. Bobby James Dr. Richard James Dr. John Jameson Dr. Roger Janitz Dr. W.D. Jett Dr. Charles H. Johnson Dr. Charles R. Johnson Dr. Gregory Johnson Dr. Jeffrey Johnson Dr. John Johnson Dr. Richard Johnson Dr. William Johnson Dr. Krista Jones Dr. Richard Jungers Dr. Myron Katz Dr. David Keck Dr. Allen Keenan Dr. Michael Keenan Dr. Charles Keithline Dr. William Kent Dr. Larson Keso Dr. James Kierl Dr. Larry Kiner Dr. Thomas Kirkpatrick Dr. Tomas Klein Dr. Herbert Klontz Dr. Theodore Kondos Dr. Gene Koop Dr. Jay Kruska Dr. Gary Kuenning Dr. Lamar LaBahn Dr. Robert Lamb

Dr. Ronald Lamb Dr. Don Morton Dr. Stewart Shapiro Dr. Larry Lander Dr. John Mose Dr. John Sheets Dr. John Landrum Dr. Tim Mount Dr. Michael Shepherd Dr. Gary Lawhon Dr. James Murtaugh Dr. Cathy Sherry Dr. Larry Leemaster Dr. Mitchell Myers Dr. Ronald Shipman Dr. Dennis Leseberg Dr. Sunshine Myers Dr. Robert Shirley Dr. Gene Litteken Dr. George Naifeh Dr. Steven Shrader Dr. Cloyce Littlefield Dr. Ram Nanda Dr. Floyd Simon Dr. Robert Livingston Dr. William Neal Dr. Fred Sims Dr. Jimmy Lloyd Dr. Ernest Nelson Dr. John Sjulin Dr. Roman Lobodiak Dr. Jay Nelson Dr. William Skaggs Dr. John Lockard Dr. Michael Nelson Dr. Floyd Skarky Dr. Robert London Dr. Rodney Nelson Dr. Daniel Slanker Dr. Lael Long Dr. Mark Nichols Dr. John Slice Dr. Gary Lott Dr. James Nicholson Dr. Donald Smith Dr. William LoVellette Dr. David Nittler Dr. Jerry Smith Dr. Karey Low Dr. Fred Norton Dr. Larry Smith Dr. Pamela Low Dr. Van Nowlin Dr. Norval Smith Dr. James Lowe Dr. Kevin O’Halloran Dr. Terry Smith Dr. Fred Lucas Dr. James Osgood Dr. Paul Sockey Dr. Wesley Lucas Dr. James Owens Dr. Frank Sommer Dr. Angelo Luckett Dr. Phillip Parker Dr. Denny Southard Dr. Robert Ludrick Dr. Stephen Parker Dr. James Sparks Dr. Jack Luman Dr. Robert Partak Dr. D. Michael Spradlin Dr. Jeff Lunday Dr. Stanley Pastor Dr. Emilie Stahler Dr. Raymond Lyle Dr. Jimmie Patterson Dr. John Starcevich Dr. Earl Mabry Dr. Glenda Payas Dr. John Stark Dr. James Mabry Dr. David Pedicord Dr. Robert Steele Dr. John Mackechnie Dr. Jerry Perkins Dr. J. Michael Steffen Dr. David Maddox Dr. Joe Phillippe Dr. Michael Stephens Dr. Joe Maltsberger Dr. Richard Pitts Dr. Richard Stewart Dr. William Mann Dr. Paul Plowman Dr. Tom Stewart Dr. Michael Manuel Dr. Charles Polk Dr. John Stobbe Dr. Philip Marano Dr. Bryan Pollard Dr. B. Dan Storm Dr. David Marks Dr. Benjamin Powell Dr. Jesse Storts Dr. Robert Mars Dr. Steven Powell Dr. Paul Strahan Dr. Ted Marshall Dr. Steve Pracht Dr. Tony Stretesky Dr. Mary Martin Dr. Dale Prock Dr. Gary Suttle Dr. Joseph Massad Dr. Geoffrey Pruett Dr. Joe Swink Dr. Stephen Mayer Dr. G. Ken Rains Dr. Robert Talley Dr. Richard McBride Dr. Donald Ray Dr. Bill Taylor Dr. Jack McCalmon Dr. George Razook Dr. Jim Taylor Dr. Gene McCormick Dr. Stephen Reagan Dr. Paul Taylor Dr. Stephen McCullough Dr. William Reeves Dr. Gary Theobald Dr. Thomas McCullough Dr. J. Robert Reneau Dr. John Theobald Dr. Thomas McGarry Dr. William Reville Dr. Paul Thomas Dr. Thomas McGinnity Dr. Robert Rickey Dr. Jerry Thorman Dr. Roley McIntosh Dr. Terry Rigdon Dr. Roy Thornbrough Dr. Stanley McIntosh Dr. H. Grant Ritchey Dr. Darwin Tims Dr. Claud McKee Dr. James Roane Dr. Albert Tipton Dr. Stephen McKeever Dr. Don Roberts Dr. Charles Torbeck Dr. Jack McKinnis Dr. Edward Roberts Dr. Vic Trammell Dr. Glenn Mead Dr. Don Robison Dr. Charles Tucker Dr. Joseph Meador Dr. Douglas Rockwood Dr. Samuel Tucker Dr. Robert Melton Dr. Charles Roskamp Dr. Philip Tyree Dr. Steven Meltzner Dr. James Ruble Dr. James Underwood Dr. Roger Metcalf Dr. James Satterlee Dr. Will Uraneck Dr. Mark Mettry Dr. Robert Schick Dr. William Van De Dr. David Mier Dr. Jerry Schoeffler Linder Dr. Earl Miller Dr. Carl Schreiner Dr. Ronald Van Tuyl Dr. Robert Miller Dr. Terry Schreiner Dr. Randall Venk Dr. Frank Miranda Dr. Steven Scott Dr. Eugene Wagner Dr. Donald Mitchell Dr. Andrea Scoville Dr. Richard Walker Dr. Robert Mongrain Dr. James Sellers Dr. Dennis Wallis Dr. Carlton Montgomery Dr. Susan Settle Dr. David Warden Dr. Patrick Montgomery Dr. Kent Shacklett Dr. Gregory Watkins Dr. Dennis Morehart Dr. Scot Shadid Dr. O. Alton Watson Dr. Robert Morgan Dr. Greg Shanbour Dr. Robert Watson Dr. Jack Morrison Dr. Patrick Shannon Dr. Thomas Watts

Dr. W. Scott Waugh Dr. Michael Weaver Dr. Robert Webb Dr. William Weber Dr. Dennis Weibel Dr. Stephen Weichbrodt Dr. Joe Welch Dr. Donald Welk Dr. Dwight Wells Dr. Wavel Wells Dr. Charles Wesner Dr. James West Dr. Steven White Dr. James Whitehead Dr. Otho Whiteneck Dr. Susan Whiteneck Dr. Lowell Whitlock Dr. Mark Whitney Dr. Frank Wiebelt Dr. Chester Wilks Dr. Phillip Willey Dr. George Williams Dr. Ronald Williams Dr. Thomas Williams Dr. Robert Willis Dr. Charles Wilson Dr. Edwin Wilson Dr. Mark Wilson Dr. Ronald Winder Dr. David Womble Dr. C. Rieger Wood Dr. Joel Woodburn Dr. Patrick Woods Dr. Douglas Woodson Dr. C. Brant Worthington Dr. H. Gordon Wright Dr. John Wright Dr. William Wynn Dr. Trent Yadon Dr. James Yeats Dr. Stephen Young Dr. Gary Youree Dr. Dean Zervas

+ www.okda.org

Advance Patient Health with the ADA Dental Experience and Research Exchange Providing high quality, evidence-based care improves the health of your patients. Now, there’s an opportunity to advance the clinical excellence and health of your practice today – and oral health outcomes for years to come.

to help inform evidence-based decisions as a team. As the volume of data increases to support benchmarking, practices will be able to compare themselves to aggregated data from other participating practices.

The ADA Dental Experience and Research Exchange (DERE)™ is the first dental data registry open to all practice types. Traditionally, large institutions like payers have had access to data that can be used to drive care decisions. With DERE, a community of dentists can build the most comprehensive clinical data registry in oral health.

How it works DERE is a protected, cloud-based repository that connects with your practice management system and automatically accesses, extracts and stores practice, provider and a limited data set of patient data every 2 weeks in compliance with HIPAA. A limited data set of patient information excludes certain identifiers like names and addresses but may include identifiers such as treatment dates and zip code.

Why DERE is a benefit to dental practices Participating practices will have access to a dashboard that provides a personalized snapshot of their patient and practice data. This dashboard will also generate, visualize and analyze reports on specific quality measures that can help participating practices. Examples include: • Understanding the completeness of patient records • Assessing the practice’s procedure and population profiles • Assessing the practice's dental caries and periodontal disease prevention and disease management profile

Who can participate DERE is open to all practice types. There is no fee to join. How to enroll Practices that use Open Dental Version 19.3 or higher can get started today. Don’t use Open Dental? Leave your contact information to be notified when your practice management system is compatible. Explore more at ADA.org/DERE.

Participating practices can also grant access to their associates

ODA CE WEEKEND GETAWAY June 3-5, 2022 | Shangri La Resort on Grand Lake

CONTINUING EDUCATION: 6 HOURS Pearls and Pitfalls: What Has and Has Not Worked in our Oral Surgery and Periodontal Practice Objectives:

Dr. Robert Bryan

Dr. Jeremy Goodson

Dr. Hayden Fuller

REGISTRATION: $339

Extractions and Bone Grafts Expose and Bond Gingival Grafting Implant Surgery Implant Transition Zone Development

Registration limited to first 30 ODA members. ODA member-exclusive event

Includes:

Welcome Reception Friday evening 6 hours of CE

Breakfast Saturday & Sunday*

Don't forget to add golf, an afternoon at the spa or a sunset yacht cruise to your weekend when you register!

*For registrant attending CE course.

Visit okda.org/education for details, schedule and to register.

24 journal | January/February 2022

www.okda.org

LEGISLATIVE LOOP Legislative Overview & Political Update

2022 Legislative Session Around the Corner By: Scott Adkins, ODA Contract Lobbyist

The first Regular Session of the 58th Oklahoma Legislature will officially convene on Monday, February 7, 2022, with Governor Kevin Stitt delivering his State of the State Address to a joint session of the Oklahoma Senate and House of Representatives. The Oklahoma Constitution requires that the Legislature meet every year on the first Monday in February, and they must adjourn sine die (completely over) by 5:00 pm on the last Friday in May. Oklahoma also has a balanced budget provision in our Constitution; thus, deficit spending is not an option, and a new budget is written every year. The Oklahoma Dental Association will once again be engaged in the fight over managed care Medicaid and the delivery system that will serve Oklahoma and our Medicaid population. Your ODA has been vocal in our opposition to taking Oklahoma tax dollars and sending them to out-of-state insurance companies. We will continue our efforts to protect the freedom of Oklahoma dentists to manage the care of our patients and provide for the oral health care needs of our state. In addition to fighting managed care, the ODA will once again be initiating legislation to assist Oklahoma dentists in our constant struggles with insurance companies and

reimbursement. We are looking to model legislation from Utah, supported by the American Dental Association, which would clarify our rights and prohibit down-coding and bundling codes with the intention of reducing payments and lowering reimbursement for multiple dental procedures. As Oklahoma, the nation, and the world continue to struggle with COVID-19, a challenging legislative session regarding several policy concerns is expected. 2022 will likely be the year the legislature attempts to define policy regarding COVID-19 guidelines and other potential health emergency declarations. Mask mandates, vaccine mandates, and safe business requirements are among a number of contentious issues that the legislature and Governor will attempt to come to an agreeable consensus on during the upcoming legislative session. As if all of that was not already enough, 2022 is also an election year! Governor Kevin Stitt and all statewide office holders will be on the ballot, as well as all members of the Oklahoma House of Representatives and half of the members of the Oklahoma State Senate. As always, your ODA will be engaged and keep you informed of the latest news and developments from the Capitol and the campaign trail.

ADA Advocacy ADA letter urges passage of PREVENT HPV Cancers Act An ADA letter sent to U.S. Senate leaders asks them to pass the PREVENT HPV Cancers Act, which was passed by the House on November 30. The letter said data from the Centers for Disease Control and Prevention show HPV is linked to 19,000 cases of head and neck cancers annually in the US, and the ADA hopes the legislation will increase awareness and educate the public on the need for HPV immunization.

House passes bill to promote oral health literacy The House on December 8 passed the Oral Health Literacy and Awareness Act of 2021, which is supported by the ADA and the Organized Dentistry Coalition. The bill, which has now been sent to the Senate, would authorize the Health Resources and Services Administration to develop and test evidence-based oral health literacy strategies for prevention education. "Most oral health ailments can be avoided by increasing oral health literacy among all populations, with an emphasis on children to ensure they develop and maintain healthy habits into adulthood," the groups wrote in an October letter. Read about these and many other ADA advocacy efforts at ada.org/advocacy. 26 journal | January/February 2022

DENPAC in Action DENPAC members met with small groups of Oklahoma legislators at the ODA building on December 3 to distribute DENPAC campaign contributions. DENPAC is the political action committee of your ODA and supports dentistry-friendly, state-wide legislators. 100% of your DENPAC contribution (when made with a personal check or credit card) funds the campaigns of our friends in the state legislature – friends who support our issues and protect your business and the way you practice dentistry. Please help keep dentistry strong in Oklahoma by contributing to DENPAC when paying your 2022 dues.

2021 DENPAC Campaign Contributions HOUSE OF REPRESENTATIVES Denise Brewer

$500

Cynthia Roe

$1000

Bob Culver

$500

Lonnie Sims

$500

Jose Cruz

$500

David Smith

$500

Dean Davis

$500

Jay Steagall

$500

Sheila Dills

$500

Wendi Stearman

$500

Andy Fugate

$500

Preston Stinson

$500

Toni Hasenbeck

$500

Mauree Turner

$500

Jason Lowe

$500

Mark Vancuren

$500

Robert Manger

$500

John Waldren

$500

T.J. Marti

$500

Colin Walke

$500

Charles McCall

$2000

Tammy West

$500

Marcus McEntire

$1000

Danny Williams

$500

Cyndi Munson

$1000

Max Wolfley

$500

Terry O’Donnell

$1000

Rande Worthen

$500

SENATE Michael Brooks

$1000

Julia Kirt

$1000

Bill Coleman

$1000

James Leewright

$1000

Jo Anna Dossett

$1000

Greg McCortney

$2000

J.J. Dossett

$1000

Dave Rader

$1000

Jessica Garvin

$1000

Cody Rogers

$1000

Chuck Hall

$2000

Paul Rosino

$1000

Warren Hamilton

$1000

Blake Stephens

$1000

John Haste

$2000

Roger Thompson

$2000

Brent Howard

$1000

Darrell Weaver

$1000

WHY JOIN DENPAC DENPAC is the political action committee of your Oklahoma Dental Association. DENPAC works hard to make political contributions to dentistry-friendly, state-level legislators. $50 of your DENPAC dues also goes towards ADPAC to support national campaigns. Currently, 20% of the ODA membership funds 99% of the ODA’s legislative and advocacy efforts.

HOW TO JOIN DENPAC Contact Lynn Means at 800-876-8890 or lmeans@okda.org to join the DENPAC team TODAY!

www.okda.org

DDEE N P A C OKLAHOMA DENTAL ASSOCIATION OKLAHOMA DENTAL ASSOCIATION

TUESDAY, FEBRUARY 15, 2022 TUESDAY,317FEBRUARY ODA BUILDING: NE 13TH ST,15,OKC,2022OK 73104 ODA BUILDING:5:30317TONE 7:00 13TH ST,PMOKC, OK 73104 ALL ODA MEMBERS5:30 ARE STRONGLY TO 7:00ENCOURAGED PM TO ATTEND! ALL ODA MEMBERS ARE STRONGLY ENCOURAGED TO ATTEND! REGISTER AT OKDA.ORG/DENPAC REGISTER AT OKDA.ORG/DENPAC

LEGISLATIVE LEGISLATIVE RR EE CC EE PP TT II OO NN

We will host TWO Virtual Legislative Orientation Sessions that will address legislative issues the ODA faces during the upcoming legislative session and will provide you with talking points to cover with legislators on the day of the reception. ODA Legislative Issues Training Session 1: Thursday, February 10 from 5:30 – 6:30 PM ODA Legislative Issues Training Session 2: Friday, February 11 from 9:30 – 10:30 AM If you have any questions, please contact Makenzie Dean, mdean@okda.org.

TUESDAY, TUESDAY,FEBRUARY FEBRUARY15, 15,2022 2022

ODA ODABUILDING: BUILDING:317 317NE NE13TH 13THST, ST,OKC, OKC,OK OK73104 73104

5:30 5:30TOTO7:00 7:00PM PM

ALL ALLODA ODAMEMBERS MEMBERSARE ARESTRONGLY STRONGLYENCOURAGED ENCOURAGEDTOTOATTEND! ATTEND!

28 journal | January/February 2022

WE DON’T FUNDRAISE. WE FRIENDRAISE!

CAPITOL CLUB

Dr. Adam Bulleigh Dr. Jamie Cameron Dr. Wuse Cara Dr. John Carletti Dr. Bobby Carmen Dr. Jennifer Chambers Dr. Raymond Cohlmia Dr. Matthew Cohlmia Dr. David Deason Dr. Stacia Dowell Dr. Brian Drew Dr. Heath Evans Dr. Christopher Fagan

Dr. Barry Farmer Dr. Sandra Grace Dr. Mark Hanstein Dr. Aaron Harman Dr. Robert Herman Dr. Jeffrey Hermen Dr. Brad Hoopes Dr. Jennifer Jenkins Dr. Donald Johnson Dr. Krista Jones Dr. Jandra Korb Dr. Marti Levinson Dr. David Marks

Dr. Stephen Martin Dr. Alan Mauldin Dr. Glenn Mead Dr. Mohsen Moosavi Dr. Aaron Neale Dr. Nicole Nellis Dr. Robert Nowlin Dr. Karen Reed Dr. Roger Richter Dr. Erin Roberts-Svob Dr. Brant Rouse Dr. Mack Rudd Dr. Paul Shadid

Dr. Floyd Simon Dr. Carla Sullivan Dr. Stephen Taylor Dr. Jim Taylor Dr. Kara Tims Dr. Jonah Vandiver Dr. Nathan Villines Dr. Robert Webb Dr. Paul Wood

RECEPTION

Dr. Jeffrey Ahlert Dr. Clay Anderson Dr. Michael Auld Dr. Douglas Auld Dr. William Beasley Dr. Tamara Berg Dr. Bryan Blankenship Dr. Elizabeth Bohanon Dr. Michael Breland Dr. Trace Bridges Dr. C Todd Bridges Dr. Steven Brown Dr. Nathan Brown

THANK YOU TO THESE 2022 DENPAC CAPITOL CLUB MEMBERS!

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.

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 opens 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 2022 DENPAC GRAND ($1,000) LEVEL MEMBERS!

Dr. Douglas Auld Dr. Matthew Cohlmia

Dr. Karen Reed Dr. Paul Wood

Stay in the know on the efforts being made through the Oklahomans Caring for Oklahomans Coalition (The group fighting Insurance Managed Care Medicaid) by signing up for the email alerts at oklacares.org. www.okda.org

ODA MEMBER SPOTLIGHT

Brandon Loeser, DDS By: Makenzie Dean, ODA Programs & Operations Manager

The Oklahoma Mission of Mercy is an event that comes together through the cooperation of many. Each year, the ODA President designates a cochair to serve with him and facilitate the planning for OkMOM. The cochair assists in event planning and helps engage the local community in preparation for OkMOM. The co-chair for the upcoming OkMOM is Dr. Brandon Loeser a general dentist in private practice at Shawnee Dental in Shawnee, OK. Dr. Loeser was raised outside of Byron, Oklahoma, on a farm where his family raised cattle and grew alfalfa hay. He earned his bachelor’s degree from Oklahoma Baptist University in 2009, and later graduated from the OU College of Dentistry in 2015. While in dental school, he formed a strong mentorship with Drs. Scot and Nan Shadid, and he now practices alongside them and Dr. Jennifer Koonce in Shawnee. In retrospect, Dr. Loeser feels that both Drs. Shadid had an enormous impact on him professionally, and is grateful for their guidance in the early years of his career and to this day. He remembers that Drs. Scot and Nan Shadid helped him get off to a great Photo taken by Feamster Photography start during his first year of dental school, and he has had a blast with dentistry ever since!

Dr. Loeser has been married to his beautiful wife, Zoe, for nine years, and in April 2021, they were blessed with their son, Scott Miles Loeser. Together, Dr. Loeser and Zoe enjoy working with the Spero Project, a nonprofit that helps refugees and has historically helped other marginalized communities in Oklahoma City. Through their work with the Spero Project over the last decade, they have built deep, meaningful relationships with many new friends from all walks of life. The Loesers have met with one household, once a month for the past ten years, and they have grown to feel more like family than friends. He reflects that introducing them to their son was such a wonderful memory, and he will always remember it as a happy moment for their family!

Dr. Loeser with his team at OkMOM 2019

Fun Facts

Do you have any hobbies and what are they? I enjoy playing board games with friends, family and neighbors, and like to play the guitar. I used to be the front man for a band called Go Go Stereo, a group of high school/college friends that would play at battle of the bands, and church youth groups. What books are you reading? Rhythm of War, the fourth book in Brandon Sanderson’s Way of Kings series. If you could have any other profession, what would you choose to do? Dermatology What would your ideal vacation look like? Anywhere all-inclusive with friends. 30 journal | January/February 2022

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.

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www.okda.org

32 journal | January/February 2022

Nicole Nellis, DDS I knew from a very young age that I wanted to pursue dentistry as a career path. I became very aware back in high school of the ADA, ODA, and local components, as well as the various leaders in our state. It wasn’t until my senior year of dental school that I understood the true importance of organized dentistry and its role in our profession. My senior clinic director impressed upon me that one of the major ways in which we give back to our profession is to become involved with organized dentistry. As soon as I moved back to Tulsa after graduation, I was eager to get involved with the Tulsa County Dental Society. I initially served as the New Dentist Chair before I was elevated through the leadership structure of the TCDS Executive Committee. Now that I am serving as President of TCDS, one of my biggest goals is to increase attendance at our in-person events following a year of missed meetings due to the COVID-19 pandemic. I also want to encourage new members to get involved in leadership in our organization and help all members understand the importance and value of our membership in the ADA and ODA. With my leadership experience over the past several years, I have witnessed how the ADA and ODA are constantly working and advocating for our profession and for the path forward. This advocacy cannot happen without the dedication and time devoted by our leadership team and members. I want to encourage all of our members to continue their involvement and consider volunteering in leadership roles to protect the future of the profession.

TULSA COUNTY PRESIDENT Jandra Korb, DDS

Leadership in organized dentistry was a natural transition for me following years of service to my various school organizations. I had grown up around the ODA since my father, Steve Mayer, had spent many years in service to the ODA and ODF and had helped me form those relationships at an early age. I understood the value of the ODA, attending the Annual Meeting, and serving in any capacity before I even began dental school. It led me to serve as the youngest ever ODA President, from 2008-2009, with the support of mentors like Dr. James Torchia. After 21 years, I’ve been around the ODA long enough to see transitions such as the ease of serving in a leadership capacity in this era of technology. I would love to see more Northern District members get involved in our association through Membership on Councils and Committees; you can now attend most meetings via video conference or teleconference if you can’t make it in person. Every district is unique, and more representation for our district is always welcomed. Whether you’ve been out of school a few years or many, there’s a place for you, too. I know I will continue to serve the ODA and the Northern District in any way I can, as they have given me so much over the years.

NORTHERN PRESIDENT www.okda.org

Sydney Rodgers. DDS After graduating from the University of Oklahoma College of Dentistry, I completed a General Practice Residency at the Oklahoma City VA Health Care System. Working with veterans and the dedicated dental team at the VAHCS was a wonderful way to develop additional skills after dental school. After working another year at the VA as a staff dentist, I moved back to my hometown of Enid, Oklahoma, with my family in 2019 and am now an associate dentist at Enid Family Dental. Organized dentistry allows dentists to be better together, and I look forward to providing the Northwest Component with opportunities for community service, high-quality continuing education, and networking. I am thankful for the opportunity to serve as president this year!

NORTHWEST PRESIDENT Bryan Sorgen, DDS

After practicing for several years in a suburb of Houston, my wife and I moved to Oklahoma in 2012 to be closer to her family. I quickly needed a way to meet other dentists and network within our profession. The Oklahoma County Dental Society provided just that. I have been fortunate to meet not only some really great dentists, but some really great people. Many of these people have become close friends and mentors. As the new OCDS president, I look forward to leading our dental society onward. I want to help redefine the benefits of membership, helping new and experienced dentists understand our society’s importance. Our members need to understand that we have their best interest in mind, and that we are committed to improving and protecting our profession. I want to model our society after some of the leading societies in the country while increasing membership numbers and peer engagement, identifying useful continuing education opportunities, hosting regular networking events and serving our community. I look forward to working closely with our elected leaders and member dentists in the coming year.

OKLAHOMA COUNTY PRESIDENT

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Matthew Bridges, DDS I was introduced to organized dentistry before I was admitted to dental school. I actually became interested in becoming a dentist after volunteering at a Give Kids A Smile Day event. As a student, I was very involved with ASDA and was blessed by the opportunity to serve as ASDA’s Speaker of the House my 4th year. I have continued to stay involved with the ODA and have been President of the Southwest Component since 2018, and I am also serving as Trustee. My involvement with the ODA has helped me develop professional relationships and find clinical mentors. The current pandemic has highlighted the importance of the role of organized dentistry in communication with the public and legislatively to ensure we enact sound healthcare policy. I intend to remain involved in our association’s advocacy efforts to ensure that our interests and the interests of our patients are represented effectively.

SOUTHWEST PRESIDENT

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ODA FEATURE

DIFFERENTIAL DIAGNOSIS: SOLITARY GINGIVAL MASS

By: Glen D. Houston, DDS, MSD | Diplomate, American Board of Oral and Maxillofacial Pathology | gdhdds@heartlandpath.com HISTORY A 32-year-old male presented with a large fluctuant mass involving the mandibular gingiva. The patient noted that the area in question had been present for “a while” and would “bleed when I eat any food.” He reported a lengthy history of cigarette and marijuana use. The remainder of his health history was unremarkable. Clinical examination revealed extremely poor oral hygiene and a soft tissue mass that was quite hemorrhagic. QUESTION #1 An appropriate clinical differential diagnosis for this lesion might include: a. Gingival cyst of the adult b. Peripheral giant cell granuloma c. Histoplasmosis d. Squamous cell carcinoma e. Peripheral ossifying fibroma f. Pyogenic granuloma

ANSWER #1 Your differential diagnosis should include: peripheral giant cell granuloma (b), peripheral ossifying fibroma (e), and pyogenic granuloma (f). All three of these lesions can present intraorally as an isolated gingival mass. The peripheral giant cell granuloma (b) occurs exclusively on the gingiva or the edentulous alveolar ridge presenting as a red or reddish-blue nodular mass. The lesion can be sessile or pedunculated and may or may not be ulcerated. The peripheral giant cell granuloma may develop at any age, is more common in females than males, and affects the mandible more often than the maxilla. Much like the peripheral giant cell granuloma, the peripheral ossifying fibroma (e) also occurs exclusively on the gingiva. It presents as a nodular mass with a pedunculated or sessile base. It is pink to red in color and frequently ulcerated. The peripheral ossifying fibroma is a lesion of teen-agers and young adults with the majority observed in females. Over 50 percent of the reported cases have occurred in the anterior regions of the jaws. The pyogenic granuloma (f) typically presents as a smooth, lobulated mass that usually exhibits surface ulceration. This lesion exhibits a predilection for the gingiva. However, unlike the peripheral giant cell granuloma and the peripheral

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ossifying fibroma, it has also been observed on the lips, tongue, and buccal mucosa as well as other mucosal and cutaneous surfaces. The gingival cyst of the adult (a) would not be included in the differential diagnosis even though it is invariably located on the facial gingiva or alveolar mucosa. This lesion is often bluish or bluish-gray in color and presents as a tense, fluid filled swelling. Likewise, histoplasmosis (c) is not a consideration here. This is the most common systemic fungal infection observed in the United States today. Although primarily a pulmonary infection, it may manifest intraorally as a solitary, painful, firm ulceration with a rolled margin involving the tongue, palate, or buccal mucosa. Squamous cell carcinoma (d) can also be ruled out in this differential diagnosis. Although it is the most common malignancy observed intraorally (approximately 30,000 cases annually; three percent of all cancers in the United States), only about four to six percent occur on the gingiva or alveolar mucosa. This neoplasm typically presents as an area of erythroplakia, leukoplakia, or ulceration with rolled borders in this location. QUESTION #2 Your treatment plan should include: a. Intraoral radiographic survey b. Oral smear of the lesion for microscopic examination c. Excisional biopsy of the lesion d. No surgical intervention; follow closely for 3-6 months ANSWER #2 Your treatment plan should include intraoral radiographic survey (a) and excisional biopsy of the lesion (c). The intraoral radiographic survey (a)

will supplement your clinical observations and will complete a thorough intraoral examination. An isolated, asymptomatic gingival mass is best managed by an excisional biopsy (c). An intraoral cytologic smear (b) is of limited value in the diagnosis of a gingival mass. It is primarily useful in the diagnosis of certain viral conditions, vesiculo-bullous disorders, and a limited number of infections. It is an adjunct to, but not a substitute for, a surgical biopsy procedure. No surgical intervention; follow closely for 3-6 months (d) is also of no benefit in this case. There is nothing to be gained in the management of a gingival mass by following this lesion by observation.

here because epulis fissuratum (a), also known as inflammatory fibrous hyperplasia, is composed of a proliferation or hyperplastic mass of dense fibrous connective tissue with hyperkeratotic surface stratified squamous epithelium and a chronic inflammatory cell infiltrate. The peripheral giant cell granuloma (c) reveals a soft tissue lesion composed of multinucleated giant cells within a background of plump, ovoid, and spindle-shaped mesenchymal cells. The gingival cyst of the adult (d) consists of a thin, flattened, luminal, epithelial lining (keratinized or non-keratinized) in association with a fibrous connective tissue capsule.

QUESTION #3 The lesion was composed of a hyperplastic mass of granulation tissue covered with a layer of unremarkable ulcerated squamous epithelium. Numerous inflammatory cells were dispersed throughout the lesion. Based upon this description and the history, the diagnosis for the lesion is:

DISCUSSION The pyogenic granuloma (b) is a distinctive clinical entity representing a response of the soft tissue to a nonspecific infection, lowgrade trauma, or irritation.

a. Epulis fissuratum b. Pyogenic granuloma c. Peripheral giant cell granuloma d. Gingival cyst of the adult ANSWER #3 The lesion is correctly diagnosed as pyogenic granuloma (b). The other possibilities are not considered

In the oral cavity this lesion occurs most commonly on the gingiva followed by the lips, tongue, and buccal mucosa. The pyogenic granuloma usually presents as an elevated, sessile mass with a smooth, lobulated surface that is usually ulcerated and shows a tendency for hemorrhage. It is usually deep red or reddish purple in color, asymptomatic, and soft in consistency. It may vary considerably in size, ranging from a few millimeters to a centimeter or more in diameter. Cases have been observed in both young people and adults with no apparent gender or age group predilection.

Microscopically, the pyogenic granuloma is composed of a localized exuberant proliferation of granulation tissue. The overlying surface epithelium is quite atrophic and ulcerated. The most prominent features of this lesion are the numerous endotheliumlined vascular spaces enmeshed with immature fibrous connective tissue. There is also an infiltrate of acute and chronic inflammatory cells dispersed throughout the lesion. The pyogenic granuloma is treated primarily by surgical excision. Following the excision, care should be taken to examine the adjacent teeth to ensure that they are free of calculus or foreign material, since this may act as an irritant leading to recurrence or persistence of the lesion. REFERENCES Gordόn-Núñez MA, Vasconcelos Carvalho M, Benevenuto TG, et al: Oral pyogenic granuloma: a retrospective analysis of 293 cases in a Brazilian population, J Oral Maxillofac Surg 68:2185-2188, 2010. Epivatianos A, Antoniades D, Zaraboukas T, et al: Pyogenic granuloma of the oral cavity: comparative study of its clinicopathological and immunohistochemical features. Pathol Int 55:391-397, 2005. Bhaskar SN and Jacoway JR: Pyogenic granuloma— clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg 24:391-398, 1966

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HYGIENE HOTSPOT

Executing the Ultimate Doctor-Hygiene Patient Exam By: Karen Davis, RDH, BSDH The doctor examination portion of the hygiene visit often lends itself to increased stress, as it emerges as an interruption for dentists and an easy way to run behind for dental hygienists. However, this 5 to 7 minute examination does not have to be stressful! Dentists, your words are “magical” to patients, so be certain to make a clear and concise diagnosis. Dental hygienists, your time is precious, so prioritize and individualize procedures to suit the patient’s needs. Executing an ultimate experience is realistic, and implementation of these 5 tips will assist in achieving desired outcomes. 1. Rely on diagnosis to direct dental hygiene care In dental practices across the country, dental hygienists are desperately attempting to educate the patient, change behavior, scale all calculus, remove all stain and biofilm, perform and record periodontal evaluations, update radiographs, apply fluoride, and identify restorative concerns all in ONE prophylaxis appointment that lasts 45 – 60 minutes… IF you get started on time! Sound impossible? It often is. The American Dental Association has clearly defined the difference between a prophylaxis, scaling and root planing, and periodontal maintenance. Bloody prophys are counterproductive, and do not arrest disease. Early in the appointment, if data collected reveals a periodontal diagnosis, it is easy to determine the need for additional therapy. Informing existing patients of the need for nonsurgical treatment to arrest the disease can be accomplished with clear communication. “We now know that bleeding tissue is an indication of chronic inflammation that can be destructive to your teeth and gums, and can adversely affect your overall health. The good news is that with early diagnosis, periodontal disease can be successfully treated. I’d like to discuss how...” 2. Use visuals to replace wordy descriptions Patients will understand and retain information significantly better if audible and visual learning take place together. Clinicians should intentionally let “pictures

speak 1000 words.” Intraoral photographs, before and after images, radiographs, periodontal records, and educational videos all assist in the co-discovery process necessary for patients to understand and desire treatment recommendations. Use of a hand mirror or an intraoral camera can generate interest and create ownership during screenings by using the phrases such as, “Do you see how this area bleeds easily compared to other areas?” or “Do you see the crack and worn enamel on this tooth?” Patients naturally tend to wait until conditions are worsening or symptomatic before proceeding with treatment, yet we know that is almost a guarantee for treatment to be more extensive and more expensive. The use of visuals can help patients value and desire treatment prior to symptoms. 3. Sit the patient upright for communication When we are willing to pause, sit the patient upright to describe conditions, use visuals and discuss possible treatment, we actually need to say less because the patient’s ability to hear and retain information is significantly greater with the use of good eye contact and body positioning. Sitting the patient upright also allows the patient to feel more comfortable and ask questions, allowing us to become the listener. Utilize an open-ended question such as, “What concerns do you have about proceeding with this treatment?” to discover objections. Most patients will not proceed until they value treatment and their questions have been answered. 4. Don’t wait until the last five minutes of the appointment to have the exam In most busy dental practices, waiting until the appointment is finished before notifying the doctor for an exam is nearly a guarantee of running behind. Notifying the doctor once data has been collected and potential treatment discussed enables the dentist to look for a natural break in a procedure, pause the hygienist during his or her treatment, perform the examination, then both return to completion of their treatments. Utilizing a computer messaging system or light system is

advantageous in notifying the dentist for the exam without abandoning the patient to go find him or her. Ideally, the doctor’s exam will happen approximately halfway through the hygiene appointment, not at the end. Patients should hear the doctor asking for a synopsis of findings from the dental hygienist, and his or her findings should be a summary of Data collected, Discussion related to potential treatment, and Response from the patient (DDR). This enables a thorough and efficient relay of information and examination. 5. Ask for a commitment to treatment In the treatment room, where value is created and treatment recommendations are made, prior to handing the patient off to an administrator, clinicians need to ask a closing question such as, “So, James are you ready to get started?” Even when the product we are “selling” is optimal oral health, asking the patient to make a commitment fosters ownership of their health. ABOUT THE AUTHOR Karen Davis is founder of her own continuing education company, Cutting Edge Concepts®, and currently practices dental hygiene in Dallas, Texas. Her background as a clinician, consultant, coach, and speaker enable her to identify with challenges facing dentistry and offer innovative solutions vital to success in today’s marketplace. Dentistry Today has consecutively recognized Karen as a “Leader in Continuing Education” since 2006. Karen received her Bachelor of Science in Dental Hygiene from Midwestern State University. She is an accomplished author, maintains memberships in numerous professional associations, is a key opinion leader to various dental corporations, and currently serves on several advisory boards. Karen is a native of Texas, and enjoys sharing her passion with audiences to practice On The Cutting Edge. www.okda.org

KEEP IT LOCAL

OU College of Dentistry By: Fernando Luis Esteban Florez DDS, PhD, MS A new type of coronavirus (SARS-CoV-2) was identified by Chinese health authorities in December of 2019. Shortly thereafter, on January 9, 2020, the World Health Organization (WHO) announced that 59 new cases of this mysterious and highly infectious pneumonia-like disease were reported in Wuhan hospitals. On January 21, 2020, the Centers for Disease Control and Prevention (CDC) confirmed that a Washington state resident became the first person in the United States to have contracted the new SARS-CoV-2. Two days later, Wuhan hospitals announced that 13 additional deaths and over 300 new cases of COVID-19 had been confirmed. Because of the highly contagious nature of the disease, Chinese officials implemented a rigorous lockdown that impacted millions of citizens in Wuhan and Huanggang. On January 31, 2020, the WHO confirmed 200 deaths and over 9,800 new cases of COVID-19 across many countries including Germany, Japan, Vietnam, Taiwan, and the United States. Based on the rapid rate of spread, Tedros Adhanom Ghebreyesus ,Director General, WHO, said that the agency was “…deeply concerned by the alarming levels of

spread and severity of the outbreak…” before declaring COVID-19 a pandemic of global proportions. It was not until March 13, 2020, that former President Donald J. Trump declared the novel coronavirus a national emergency. On March 20, 2020, the University of Oklahoma Health Sciences Center College of Dentistry (OUCOD) paused all inperson clinical and educational operations. Employees were instructed to work remotely and only mission-critical personnel were authorized back on campus. In dentistry, the utilization of rotary instruments (low- and highspeed) and ultrasonic scalers results in the formation of significant amounts of aerosols containing a broad variety of microorganisms. Due to the nature of transmission of SARS-CoV-2 via aerosol transmission, OUCOD researcher, Esteban Florez, D.D.S., M.S., Ph.D., Assistant Professor and Head of Dental Biomaterials, began work on developing improved engineering controls capable of decreasing the risk transmission of respiratory infectious diseases in dental settings. In order to achieve that goal, Dr. Esteban Florez became a member of the OU Emergency Equipment Taskforce lead by Dr. Tom Wavering, Ph.D., who is the Executive Director of the Tom Love Innovation Hub (I-HUB). The taskforce had the objective of connecting OU researchers in Norman, Oklahoma City, and Tulsa to generate new technologies to combat the COVID-19 threat. A collaboration between OUCOD and the I-HUB was established by Drs. Esteban Florez and Wavering to design and produce a new aerosol evacuation system (ProTecT-Shield). The team was composed of Brandt Smith (Laboratory Director, I-HUB), Tyler Thibodeau (undergraduate student, OU School of Industrial and Systems Engineering), Dr. Paul Mullasseril (Dean, OUCOD), Mr. Michael Ferguson (Senior Associate Dean for Finances, OUCOD), Dr. Sharukh Khajotia (Associate Dean for Research and Innovation, OUCOD) and Dr. Chalmers Rieger Wood III (Director of Tulsa Clinic, OUCOD).

Following this, Dr. Esteban Florez established a research collaboration with experts in the field of aerosol management and control, Drs. Evan Floyd and Changjie Cai from the Department of Occupational and Figure 1. Dr. Esteban Florez demonstrating the proper positioning of the Pro-TecT-Shield over a phantom head coupled to the collison nebulizer used to suspend particles in air (right); 2-D model of Environmental Health of the OUHSC Hudson the Green Clinic illustrating the air vents/exhausts (red squares), dental chairs (blue/gray), cabinetry College of Public Health, in order to test Pro(green). The red circle on the blue chair indicates the position of the collison nebulizer. Numbers in the TecT-Shield’s efficacy in evacuating particles of know diameters (0.10 μm to 20.0 μm). The model indicate the locations where the analysis of particle concentrations took place (right, adapted testing of the Pro-TecT-Shield took place in from Esteban Florez et al., 2021).

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the Green Clinic (12 dental chairs, 1.8 m apart) in OUCOD and was conducted by Dr. Cai and Mr. Oni using a collison nebulizer to suspend the particles in air and two identical, previously calibrated portable real-time aerosol laser particle spectrometers to determine the concentrations of particles (of given diameters) in 70 different locations in the Green Clinic (shown in Figure 1, to the right). The results of that experiment have demonstrated that the Pro-TecT-Shield was capable of significantly decreasing (by 8.56-fold) the airborne spread of particles of greatest concern for the transmission of COVID-19 in dentistry. A recent publication indicated that “The ProTecT-Shield was designed to be inexpensive, completely adjustable, and to function in a hands-free manner so that the dentist and dental assistant are not required to hold, guide, or aim the Pro-TecT-Shield to improve its aerosol removal efficiency.” (Florez et al., 2021). More information regarding the results of this exciting project can be found at https://aip. scitation.org/doi/10.1063/5.0056229.

O KLAHOMA H EALTH P ROFESSIONALS P ROGRAM 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.

ABOUT THE AUTHOR Fernando Luis Esteban Florez DDS, PhD, MS is Division Head of Dental Biomaterials at the OU College of Dentistry. Education: Postdoctoral Fellow, The University of Oklahoma Health Sciences Center Doctorate in Restorative Dentistry, The São Paulo State University, Araraquara College of Dentistry, Araraquara, SP, Brazil Masters in Restorative Dentistry, The São Paulo State University, Araraquara College of Dentistry, Araraquara, SP, Brazil Doctor in Dental Surgery, The University of Marília, Marília City, SP, Brazil Select Honors & Accomplishments: Omicron Kappa Upsilon Dental Honors Society, Oklahoma Omicron Pi Chapter The University of Oklahoma Health Sciences Center Faculty Leadership Program, The University of Oklahoma Office of Technology Development, OU Growth Fund Award Winner, The Oklahoma Shared Clinical and Translational Resources, Translating Practice into Research Program (TPIR)

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 www.okda.org

Office Showcase

Grace Jun, DDS (Oklahoma City) By: Grace Jun, DDS Where do you start when building your dental practice? Do you start with your patients in mind, or do you start with what will make you the dentist happy? When I began building my practice, I decided to start with what would make me happy because I am the common denominator, and I will spend the most time in the clinic. As the leader of this clinic, it is important that I feel content in the place I spend the majority of my day. If I am not content, my team will not be either. So, I decided to create a work environment I was sure would meet my needs. I had no idea where to start as far as the budget was concerned. To help guide the prioritization of my desires in this process, I generated a list of my five non-negotiable attributes and five second-tier wish list items before beginning. For all other office desires, I accepted that I may have to adjust the costs or remove them from my wish list entirely in order to stay on budget. 5 non-negotiable items: 1) Natural sunlight in every operatory. Natural sunlight brightens the mood and is great for restoration shade selection. It also energizes the space. 2) I wanted the space to be mostly white, because white creates a feeling of freshness and makes a space look larger. 3) I wanted objects to be hidden, because clutter creates a feeling of disorder. 4) I wanted doors in every operatory, because privacy is important to me. I wanted the doors to be glass, so more light could flood the operatories. 5) I felt a wall designed especially for social media posts was necessary for marketing purposes.

5 second-tier wishes: 1) I wanted all cabinets and drawers to be soft-close, because I do not like to be startled in the middle of a procedure when my assistant may accidentally shut a drawer too hard. 2) I wanted six o’clock and ceiling mounted televisions in every operatory. The six o’clock TV for programming for patient education, and the ceiling mounted TVs for patient entertainment. 3) I did not want canister or fluorescent lighting that would figuratively blind the patients. I placed LED lights on the sides of the operatory ceiling to prevent patients' eyes from being shocked by the lighting. 4) I wanted sinks in every room, because I use the sink all the time. 5) I wanted nitrous plumbed through the chair, because I wanted unrestricted movement and less clutter. In determining how I wanted the office to flow, I had to first consider if I wanted the patient's treatment to be presented in the operatory or in a consult room. Did I want to use a cart system or would every operatory be equipped to perform most procedures? For my practice, I decided that having simple conversations concerning treatment or financials was easiest in the operatory, since each operatory has a door for privacy. There are remote terminals that can process payments in the operatories to avoid a front office bottleneck. All our operatories are fully stocked and ready for 80% of all dental treatment procedures (restorative and operative). The remaining 20% of procedures (endo, removable, surgery) are performed through a cart system we roll into an operatory. One of the most used carts in our office is the hygiene cart. We have a portable cavitron and its cart is fully equipped to perform hygiene procedures in any operatory. Once I decided how I wanted to practice, I looked for inspiration for the design of the practice. I relied on ideas from Pinterest, my past travels, and other everyday architectural influences for ideas

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to incorporate into the practice. During my travels, when I stayed at a grand hotel or visited a great restaurant, I would look for inspiration and try to figure out how I might incorporate similar ideas. Interestingly, my initial inspiration for my clinic was the Apple store. I wanted an open, modern, airy space. I personally did a lot of the design for the project because my budget restricted me from hiring a designer. I printed pictures to create a better visual and included them in a book of hand-drawn sketches that captured the essence of my overall design. Each picture included a description of how I wanted the idea recreated in the space. Curating a book that detailed every space was a helpful reference. It allowed me to better visualize the space, but it was most helpful as a reference for my architect. I found that it was invaluable in communicating to my general contractor exactly what I wanted. My goals were to create an environment that I would enjoy and would be within my budget. I was able to achieve both. When I look back at the experience, I am very happy with the results and am glad I did it. ABOUT THE AUTHOR Grace Jun, DDS was raised in Lawton, Oklahoma and came from humble beginnings. She graduated with her Bachelor in Arts and Sciences at the University of Central Oklahoma, her Master of Science from Cameron University, and her Doctorate of Dental Surgery from the University of Oklahoma in 2013. She has worked as an associate in private practice and corporate dentistry, and she has gained extensive experience from working in both environments. She began her start-up practice in November of 2017, and since has moved her practice (Pragma Dental) to a new location at 50 Penn Place in March of 2021. Dr. Grace Jun is married to Dr. Phil Jun (University of Oklahoma College of Dentistry, Class of 2009) who is currently practicing dentistry at Smile Galaxy and at Pragma Dental. They have two children, one attending the United States Air Force Academy and the other attending the University of Oklahoma. They are enjoying their new life as empty nesters.

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NEW DENTIST CORNER Production and Rest By: Treyon Grant, OUCOD DS4 In the dental profession, we are tasked with taking care of others. We must be caring to their immediate needs, informative on prevention, and intuitive for their future needs. As dentists, we must be caring to our patients, precise with our craftsmanship, diligent in our work ethic, meticulous with details, and efficient with our time… all while being mindful that we have other patients that are in need! In short, we must be productive and industrious health care providers, leaders, and experts. With so many roles and so many different hats, dentists and dental students alike pour our energy throughout the day to our patients, to our teams who make caring for them possible, and to our family and friends. Yet, we spend little time ensuring that the cups we are pouring from are full, let alone overflowing. Imagine going into the kitchen to grab an empty pitcher and trying to use it to pour yourself some water. You would get exactly what you would expect, nothing! Now imagine pouring an ounce of water from that same pitcher into 15 different cups. Unsurprisingly, you would find the amount of water in each cup overwhelmingly inadequate for anything. So, as I asked myself some time ago and will now ask you, why do we find ourselves surprised when we are over-worked, under-rested, and underproductive for our abilities? After posing this question to myself, I decided that I needed to become intentional in investing in myself in order to be a better producer in life. I did two things: first, I started an indoor garden, and second, I began resting without guilt. I started indoor gardening during the summer prior to my second year of dental school. I began with one aloe vera plant, and one plant became two, and two became 75 (now this seems excessive, but with a smile and slight chuckle I say I regret nothing). I have learned so much from my plant adventures. One of the most valuable things I have learned from indoor gardening is that a plant’s only job is to grow, and there are some seasons where it will grow less and some seasons where it will grow more, and maybe some where it will not grow at all; but, given the right things it will always be bigger and better than before. Surprisingly enough, I also found that when I left some plants alone they grew better - they simply needed time to rest from my demands. As I reflected on this, it seemed ironic to me how this relationship dynamic was mimicked in my own life. The more I allowed myself time alone

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to simply be, without the demands of others, and to rest, the more capacity I had to produce. As dental professionals, we all know that down-time can be hard to come by; however, we must create moments dedicated to rest. For some, that may be 30 minutes of quiet time in the car at the end of the day, or for others, it may be waking up an hour early for a quiet moment with a fresh cup of hot coffee. Whatever your preference, quiet time is a great way to intentionally recharge and grow. When we are rested we actually gain a larger capacity to grow and produce. Resting allows us to diffuse the day when we interact with our families and have a greater capacity for patience and leadership when interacting with our teams. Although I have not perfected the art and balance of rest and production, I have found a greater capacity for caring for my patients, learning, and interacting with those around me and it didn’t start in a book or clinic, but in my garden. Rest is not negligence of one’s responsibilities, but is required to complete the rest of our duties. With rest we have a greater capacity to show up as our best selves which empowers and encourages those around us to do the same! ABOUT THE AUTHOR Treyon Grant is a fourth-year OU College of Dentistry student, who was born and raised in Ardmore, Oklahoma. In his free time he loves to tend to his indoor garden, read, sketch, practice mindfulness, and be with his family. His goals are to curate spaces where those around them can be free and empowered to be their most authentic and best self through introspection and community, via a modeling and embodiment practice of leadership. His hope is to be a dentist that is known in his community for his kindness, compassion, empathy, skill and knowledge.

Oklahoma Children’s First Dental Visit: The Physician Perspective By: Alison Agee, BS; Alex Kirkpatrick, BS; Tim Fagan, DDS, MS; Jennifer Peck, PhD; and Kristen Eberly, MPH INTRODUCTION Tooth decay in children is a significant problem in the United States, and according to the American Academy of Pediatric Dentistry (AAPD), is the most common chronic disease in children.1 Notably, this disease is completely preventable. The AAPD recommends that a child see a dentist after the first tooth erupts or no later than the first birthday.2 In 2016, the Centers for Disease Control and Prevention (CDC) reported that over 80% of children aged one had not visited a dentist,3 while the average child under the age of one had visited a physician 7.36 times4 -- a quite drastic difference. After reviewing the literature, the authors identified the need for data regarding the perspectives of Oklahoma physicians regarding a child’s first dental visit, noting that no previous studies had examined this issue. The aim of our project was to survey licensed Oklahoma physicians

who are members of either the Oklahoma Academy of Family Physicians (OAFP) and/ or the Oklahoma Chapter of the American Academy of Pediatricians (OKAAP) to assess their perspectives and education levels regarding dental care for children and the adherence of such care to AAPD guidelines.

practice providing medical care for children of 0-5 years, age and gender of respondent, and county of practice. The assessment questions examined the following:

METHODS Data was derived from a survey conducted using REDCap,5,6 a web-based application that offers a streamlined process to capture data for clinical research projects. The survey was distributed to members of both the OAFP and the OKAAP using email and Facebook posts over a three-week period in 2020. Sent to a total of 723 physicians, the questionnaire included six demographicbased questions and eight questions designed to assess the respondent’s perspective and education level in regards to a child’s first dental visit. The demographicbased questions collected data on year of graduation, focus of practice, percentage of

2. Training level during residency with regards to dental care for children

1. Beliefs on whether dental care is important for child development and growth

3. Frequency of discussion about dental care with parents/guardians 4. Frequency of exams for visible tooth decay in children 0-5 years of age 5. Frequency of assessment for dental caries 6. Recommended age for child’s first dental visit 7. Changes in recommendations based on clinical assessments 8. Factors that might lead the physician to change general recommendations

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RESULTS When describing their training in residency with regards to dental care for children, 21.2% of pediatricians and 45.4% of family physicians reported that dental care for children was not addressed during residency. Of the 723 surveys distributed, 71 (9.8%) were completed and returned. The respondents included 33 pediatricians, 36 family physicians and two physicians identifying as “other.” Fourteen Oklahoma counties were represented in the respondent group, with the majority from Oklahoma and Tulsa Counties. Most of the respondents ranged in age from 30-39 years and had graduated in the 2000s. Gender breakdown was 39 females (59%) and 27 males (41%). All respondents either agreed (23%) or strongly agreed (77%) that dental care is important for child development and growth. However, only 36 respondents (53.7%) reported giving recommendations regarding a child’s first dental visit that aligned with AAPD guidelines. Pediatricians follow AAPD

46 journal | January/February 2022

guidelines at a higher rate (63.6%) than family physicians (45.4%), but this difference was not found to be statistically significant. (Table 1) More than 70% of respondents reported that if a child presented with obvious decay or was determined to have high-caries risk, they would recommend a dental visit sooner than their general recommendation. However, only 24 respondents (35.8%) reported always assessing the caries risk of patients. Notably, 60% reported always looking for visible tooth decay in a child’s mouth. Seven respondents (9.9%) reported using AAPD recommendations and resources for assessing the caries risk for each child. When asked about training received in residency with regards to dental care for children, only seven of the 67 respondents that answered this question reported that dental care was not only addressed but continuously emphasized throughout residency. On the other hand, 22 respondents (32.8%) reported that dental care for children was not addressed at all during their time in

residency. Thirty-five respondents (52.2%) reported limited training on dental care for children during their residency (Table 2). The frequency of discussion regarding a child’s first dental visit was compared across the demographic characteristics of the respondents. No significant differences were found between such characteristics and the frequency of discussion concerning the first dental visit. Similar demographic comparisons were examined for the question asking, “At what age do you generally recommend a child should begin seeing a dentist?” Again, no statistically significant differences were found by respondent characteristics. Discussion In 2019 the American Academy of Pediatric Dentistry published a report entitled “The State of Little Teeth Report: Second Edition.” This report encompassed many important facts and statistics in regard to oral health for children. Because a child is more likely to see a family physician or pediatrician before

the age of one, it is vital for physicians to be educated and equipped with the right tools and knowledge to help prevent and treat early childhood caries. According to the report, 20% of children under the age of five has experienced dental decay.7 Encouraging interprofessional relationships between dentists and doctors could help reduce the number of children experiencing early childhood caries. Oral health affects not only the teeth, but also overall health, speech development, social relationships, eating, sleeping, and school performance. As research advances, the connection between oral health and overall health becomes increasingly evident. Education provided by a physician or dentist can help parents/guardians create good dental habits that will result in fewer instances of tooth decay and produce overall healthier children. Unfortunately, according to a national survey conducted by the AAPD, parents/guardians do not take their children to a dentist before their first birthday because of a lack of knowledge and understanding of the importance of an early dental visit.7 While it is important for parents to be educated on the importance of dental visits for young children, it is equally important for physicians to be similarly educated. Increased physician participation in programs designed to increase knowledge and awareness of dental care would be beneficial. The authors (as well as 20 other professional organizations) endorse the Smiles for Life program,8 a web-based curriculum designed to educate primary care clinicians in the promotion of oral health for all age groups. It is also vital for dentists to create interprofessional relationships with physicians. According to the AAPD’s “The State of Little Teeth Report” while providers know the recommendations, they do not pass them along to their patients.7 It is possible that a physician/dentist relationship might facilitate a stricter adherence to recommendations for dental care and visits. The survey conducted for this investigation found no statistically significant differences between pediatricians and family physicians with regard to their adherence to AAPD recommendations. There were also no significant differences across different demographic groups. The low number of survey responses was a major limitation of this research. Those who chose not to respond may have different views than the group represented by this study. However, the study does provide insight into the perspectives

and practices of Oklahoma physicians and highlights the need for continuous education and increased physician/dentist interactions in hopes of improving the overall health of Oklahoma children. CONCLUSIONS All surveyed family physicians and pediatricians agree that dental care for children is important, but the majority of respondents do not follow recommendations set forth by various professional societies. It is important to educate and inform family physicians and pediatricians on not only these recommendations, but also the importance of early dental care for children. Interprofessional communication and collaboration can help prevent and arrest caries in children. Family physicians and pediatricians would both benefit from increased training and interprofessional relationships with dentists. In turn, patients would benefit in both their dental health and their overall health. ACKNOWLEDGEMENTS The authors wish to thank Thomas Wilson for his help with REDCap and in developing and distributing the survey used in this study. Funding for this project was provided by the OU College of Dentistry Student Research Program and the J. Dean Robertson Society. Jennifer Peck, PhD and Kristen Eberly, MPH were both supported by the Oklahoma Shared Clinical and Translational Resources (U54GM104938) with an Institutional Development Award (IDeA) from the National Institute of General Medical Sciences (NIGMS). The content of this article is solely the opinion of the authors and does not necessarily represent the official views of the National Institutes of Health. Special thanks are also extended to Dr. Sharukh Khajotia, Associate Dean for Research, and Ms. Ms. Luellen Chenoweth for their support in facilitating this research. REFERENCES 1. American Academy of Pediatric Dentistry. Policy on medically-necessary care. The Reference Manual of Pediatric Dentistry (Chicago, IL), American Academy of Pediatric Dentistry, pp 22-27, 2020.

4. Ashman JJ, Rui P, and Okeyode T. Characteristics of office-based physician visits, 2016. National Center for Health Statistics (NCHS) Data Brief, no 331. Hyattsville, MD, 2019. 5. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, and Conde, JG. Research electronic data capture (REDCap)--A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377-81, April 2009. 6. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, McLeod L, Delacqua G, Delacqua F, Kirby J, and Duda SN. The REDCap Consortium: Building an international community of software partners. J Biomed Inform [doj;10.1016/j.jbi.2019.103208], May 2019. 7. Hill BJ, Meyer BD, Baker SD, et al. The State of Little Teeth Report (2nd ed), Pediatric Oral Health Research and Policy Center (Chicago, IL), American Academy of Pediatric Dentistry, 2019. 8. Clark MB, Douglass AB, Maier R, Deutchman M, Gonsalves W, Silk H, Wrightson AS, Quinonez R, Dolce M, Dalal M, Rizzolo D, and Sievers K. Smiles for Life: A National Oral Health Curriculum (3rd ed), Society of Teachers of Family Medicine. 2010 www. smilesforlifeoralhealth.com.

ABOUT THE AUTHORS Alison Agee and Alex Kirkpatrick are fourth-year dental students at the University of Oklahoma College of Dentistry. Dr. Tim Fagan is Clinical Professor and Chair, Department of Developmental Sciences, and Division Head of Pediatric Dentistry at OUCOD. Dr. Jennifer Peck is Professor and Vice Chair, Department of Biostatistics and Epidemiology at the OU Health Sciences Center. Kristen Eberly is a Senior Research Epidemiologist and Supervisor, Sooner Survey Center at OUHSC.

February is National Children's Dental Health Month. Visit ADA.org/NCDHM2022 for resources and ideas to share with your patients and community.

2. AAPD research: Don't delay early dental visit (2018). Retrieved February 2021 from https://www.ada.org/ en/publications/ada-news/2018-archive/august/aapdresearch-dont-delay-early-dental-; visit#:~:text=A%20 child's%20first%20dental%20visit,oral%20 health%2C%22%20said%20Dr. 3. QuickStats: Percentage of Children Aged 1-5 Years Who Have Never Been To a Dentist, by Age and Year – National Health Interview Survey, Morb Mortal Wkly Rep (MMWR) 67:26, 2018.

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48 journal | January/February 2022

Dental Community Unites for Veteran’s Clinic Last year, the University of Oklahoma College of Dentistry and Oklahoma Dental Association joined forces with Henry Schein, Oklahoma Dental Foundation, Dale K. Graham Veteran’s Foundation, Dentists for the Disabled and Elderly in Need of Treatment, Eastern Oklahoma Donated Dental Services, and other organizations from across the state to provide essential dental care to Oklahoma veterans. The first clinic, which was postponed from November 2020 due to COVID, was held on Saturday, March 27, 2021. The second clinic was held on Saturday, November 6, 2021 in observance of Veteran’s Day. With limited dental benefits provided to veterans, receiving necessary oral health care can be difficult, and often, veterans delay urgent needs. Regular dental appointments are essential in evaluating, diagnosing, preventing, and treating oral diseases, which can affect systemic health. “As the Dean, it is my goal to support the mission of our college and provide the people of Oklahoma with high-quality dental care at an affordable cost,” said Paul Mullasseril, DDS, Dean of the OU College of Dentistry. “Further, as a former Army Reserve member, I understand the challenges that veterans face when trying to obtain accessible and affordable dental care. Therefore, I made it my mission during my ODA presidency to plan a free dental care day for Oklahoma veterans. My hope is to continue this clinic into the future and treat even more veterans who desperately need dental treatment.”

extractions in March, and was able to be fit for dentures in November. “Veteran’s Day Clinic is a fantastic event at the OU College of Dentistry because it provides an opportunity for people who are a part of an underserved population to receive care. Being a part of the previous event and this year’s event gave me the opportunity to see patients who returned to receive more care,” said Ali Agee, DS4, Student Council President. “This event is a great way for dental students, faculty, staff and outside dentists/volunteers to make a significant difference in the oral health of veterans who have served our country.” Chris Fagan, DDS, ODA President, said, “The Oklahoma Dental Association is proud of its partnership with the OU College of Dentistry. Offering free dental care is one way we can express our appreciation for the sacrifices these veterans have made in order to serve our country, and we look forward to opportunities that lie ahead.”

Oklahoma Dental Association

During each event, more than 100 faculty, staff, students and residents volunteered, performing a wide array of procedures ranging from routine cleanings and fillings to more complex procedures like crowns and extractions. At the March 2021 event, 60 Oklahoma veterans received free dental care; and at the November 2021 event, 56 Oklahoma veterans received free dental care. To help facilitate care during both events, Henry Schein donated many free products including restoratives, personal protective equipment and consumables. In light of hosting two free clinics in one year, the dental and dental hygiene students were able to provide care for some returning veterans. One veteran in particular received www.okda.org

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. PRACTICE FOR SALE Practice For Sale (Wilburton, OK) General practice for sale with option to buy building (2,000 ft) 3 ops and 1 hygiene room. Excellent location. Highly trained staff can do most every faucet of business. Computers every op, Open Dental software, Kodak xrays and pan, New Primescan digital scanner. Only practice within 50 mile radius. Highly profitable and low stress. Collection 2019-$821k, 2020-$759k, Jan -July 31 2021-$624K. Contact Casey 918.706.5584. General Practice For Sale With Option to Purchase Building in Muldrow, OK: Chance of a lifetime.... a “steal of a deal”! This is an excellent opportunity and selling price (value of real estate only) that is almost too good to be true. The attractive free-standing office is approx. 2600 square foot, has 4 equipped treatment rooms and is located on the main highway that runs through town. The practice opened in 1973 (by current doctor and owner) and has been the only dental practice in Muldrow serving the community and surrounding communities. The current doctor and owner is ready to retire, ready to make a good deal, and the city of Muldrow will need a new dentist. Muldrow is a very nice community with a good school system and is only 10 minutes from a larger city (Fort Smith, AR). If you are a new graduate who would like to own your practice and to be your own boss in a community that needs and will welcome a new dentist this is for you. The retiring doctor would stay for transition if buyer prefers. For more information call Don @ 479-629-4479 or text @ 479-651-2852. Small Practice in Beautiful SE Oklahoma For Sale: Small practice. Two operatories with lots of room for expansion. Includes building and extra lot. For more information, contact Angelo Luckett at 918.916.0347 or sluckett1224@gmail.com.

JOB OPENING Comfort Dental Partnership/Associateship: Looking for General Dentists to join our busy & successful practice. Opportunities for Associateship or Partnership ASSOCIATEship: GUARANTEED Salary or % of Collections (which ever is higher), NO Quotas! = NO Pressure PARTNER-/OWNERship: Work on average 33 hours per week, Very Flexible Schedule, Practice Transition Assistance MENTORSHIP! Experienced Doctors will help you become great Dentists and successful Business people. Our Doctors appreciate the outstanding 'Work-Life Balance': thriving practices, big incomes, lots of time off, and fulfilling careers that provide excellent care to our patients. Our offices are independently owned, use digital x-rays & Dentrix software, are well run, updated, and chart-less Pay: $144,000.00 - $300,000.00 + per year | Call 405-655-9231 | www.comfortdental.com/franchise

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An Intense Three-Day Team Summit on Clinical and Managerial Concepts Part 1: Utilizing Global Diagnosis and the Global Restorative Sequence in Treatment Planning and Restorative Care. This detailed presentation blends technical concepts with philosophic considerations in treatment planning, sequence of treatment honoring functional and aesthetic considerations in a way that you raise the bar in your practice. • How to Utilize Global Diagnosis

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Part 2: A Revolution in Direct Composite Bonding, Provisional. You will learn that cutting-edge clinical techniques of fabricating exquisite temporaries with a "shell overlay technique". The importance of developing provisionals that mimic the final restorations aesthetic and functional contours is essential. You will also learn how to use this shell technique for intermediate restorations and for direct composite bonding too. Also learn how to easily alter and customize color and contours on any permanent restoration using MiYo • Shell Overlay Provisionalization

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Part 3: The Practice-Building Mindset: A New Look at the “Basics” Things have changed. It's time to reset our mindsets. It's time to look "the basics" with a fresh outlook and new techniques to refocus our efforts on the key drivers of practice health. Discover best practice in new patient acquisition and retention, case acceptance, and patient loyalty. In they highly actionable session, Genevieve Poppe shares philosophies and practices for creating accountability and solidifying your teams' understanding their critical roles in building a thriving practice. • Understand the value of EVERY patient – new & existing

• Address cancellations and improve recare reminder systems

• Create new focus and perspective on the key drivers of practice success

• Learn to solicit referrals and strong reviews naturally and comfortably

• Define the process to convert calls and inquires to new patients

• Gain tools that create accountability without conflict

• Describe practices that raise unnecessary barriers and obstacles to case acceptance

• Understand the importance of frequent communication

• Define techniques for presenting care recommendations that increase case acceptance

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52 journal | January/February 2022

ODA Journal: Jan/Feb 2022

Articles inside

ODA Classified Listings

New Dentist Corner: Production and Rest

Office Showcase: Dr. Grace Jun

Keep it Local: OU College of Dentistry

Hygiene Hotspot: Executing The Ultimate Doctor Hygiene Patient Exam

Differential Diagnosis: Solitary Gingival Mass

ODA Member: Brandon Loeser

Get Involved at the ODA

2022 Capitol Club & Grand Level Members

Thank You to ODA Life Members

2022 ODA Leadership Academy

National Children's Dental Health Month

DENPAC in Action

RDGP Contest Contributors & Winner

ODA Rewards Partners Column