November/December 2020 | Vol. 111, No. 6
Together. Better. Stronger. A profession serving as a beacon of light for more than 200 years.
Message from the ODA President Page 06
www.okda.org 1
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Contents
ADVERTISERS Thank you to these businesses who advertise in the ODA Journal
Inside Front Cover Valliance Bank Inside Back Cover Dr. First
November/December 2020 | Vol. 111, No. 6
ASSOCIATION
6
Message from the ODA President: Thriving Through Uncertainty
Back Cover Delta Dental of Oklahoma 3000IG Authentic Dental Labortory, Inc. Edmonds Dental Prosthetics,Inc. Endodontic Associates iCore Connect Lewis Health Profession Services OK Tobacco Settlement Endowment Trust
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.
32
Member Spotlight:
Dr. Justin Power
Reprints: of the Journal are available by contacting the ODA at (405) 848-8873, (800) 876-8890, editor@okda.org. Opinions and statements expressed in the OKLAHOMA DENTAL ASSOCIATION JOURNAL are those of the author and are not necessarily those of the Oklahoma Dental Association. Neither the Editors nor the Oklahoma Dental Association are in any way responsible for the articles or views published in the OKLAHOMA DENTAL ASSOCIATION JOURNAL. Copyright Š 2020 Oklahoma Dental Association.
04 Calendar of Events 0 5 Welcome New ODA Members 0 6 Message from the ODA President 07 New On-Demand CE Opportunities 08 Member Benefit Corner 09 ODA Marketing Coach 10 ODA Membership by the Numbers 11 2021 ODA Awards Nominations 1 4 ODA Rewards Partners 17 2021 Annual Meeting Speakers and Events 2 2 Newly Elected ADA Officers 2 2 Rep. Ryan Martinez ODA Legislator of the Year 2 3 Renew Your ODA Membership 2 3 In Memoriam 24 Get Involved with the ODA 25 2020 Relief and Disaster Grant Program Donors 2 6 2020 Smile Contributors 27 2020 Pride Contributors 54 Final Thoughts: Words of Wisdom
LEGISLATIVE LOOP 2 8 ADA Advocacy News 2 9 2020 DENPAC Members
SPOTLIGHTS 32 Dr. Justin Power 34 Past President: Dr. V. L. Andrews 35 Retired Member: Dr. Brandon Bowers
36
Differential Diagnosis Mucosal Mass of Lower Lip
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.
Oklahoma Dental Association
Cover Photo: Even Pierre Fauchard, Father of Modern Dentistry, wears a mask!
FEATURES 36 Differential Diagnosis: Mucosal Mass of Lower Lip 38 Socket Graft Management 4 0 Collect What You Produce (Part 6 of 10) 4 2 Hygiene Hotspot 4 4 Nicotine Poison Prevention 4 6 Good Shepherd Ministries 47 Lawton Clinic Adds Free Dental Care 4 8 Maximize Business with Electronic Processing
OKLAHOMA DENTAL FOUNDATION 50 MobileSmiles Oklahoma 51 Champion of the Uninsured Award Winner
CLASSIFIEDS 52 ODA Classified Listings
Is Your Information Correct? Help the ODA keep you informed about legislative actions, CE opportunities, events and other important member-only news. 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 3
ODA JOURNAL STAFF EDITOR Mary Hamburg, DDS, MS ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Daryn Lu, DDS Phoebe Vaughan, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates OFFICERS 2020-2021 PRESIDENT Paul Mullasseril, DDS president@okda.org PRESIDENT-ELECT Chris Fagan, DDS presidentelect@okda.org VICE PRESIDENT Robert Herman, 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 Dan Wilguess, 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 SPECIAL PROJECTS MANAGER Abby Sholar MEMBERSHIP SERVICES MANAGER Madison Bolton
16
CALENDAR OF EVENTS
Visit the ODA’s online calendar at OKDA.ORG/CALENDAR for all upcoming meetings and events. November 1-30 Virtual On-Demand CE Webinars November 6 Council on Governmental Affairs Zoom 9:00 a.m. Board of Trustees Meeting Zoom 1:30 p.m.
November 20 Medicaid Provider Webinar Zoom 9:00 a.m.
December 4 Relief and Disaster Grant Program Board Meeting Zoom 11:00 a.m.
ODA Annual Meeting Planning Committee Zoom 9:00 a.m.
December 14 New Dentist Conference Zoom 5:30 p.m.
November 26-27 ODA Office Closed
December 23-25 ODA Office Closed
January 1 ODA Office Closed January 8 Council on Nominations Meeting Zoom 9:00 a.m. ODA Council on Dental Education and Public Information Zoom 10:00 a.m.
January 15 ODA Annual Meeting Planning Committee Zoom 9:00 a.m. Council on Membership and Membership Services Zoom 10:30 a.m. DON'T FORGET All Dental Licenses and permits expire December 31, 2020. Visit www.ok.gov/dentistry TODAY for instructions on how to renew online or by mail.
*On June 19, 2020 the Oklahoma Board of Dentistry approved Resolution 2020-3 that states the Board will allow up to 70% of required continuing education hours to be completed on-line for the reporting period ending June 30, 2021. Live webinars are considered the same as in-person courses. The ODA Journal Editorial Board is interested in your ideas and original articles. Do you have a unique case study you wish to share with your colleagues? Do you have a concern or particular interest in dentistry that you want to know more about?
Stay connected with the ODA! 4 journal | Nov/Dec 2020
Visit www.okda.org/members-only to complete a simple form and the Journal Editorial Board will take it from there.
TheThe Oklahoma Oklahoma Dental Dental Relief Relief andand Disaster Disaster Grant Grant Program Program Board Board of Trustees of Trustees recognizes recognizes Dr. Dr. Larson Larson Keso Keso forfor his his exceptional exceptional support support of the of the mission mission of the of the RDGP. RDGP. Dr. Dr. Keso Keso served served on the on the Board Board of Trustees of Trustees from from 2014-2019 2014-2019 andand continues continues to be to abechampion a champion forfor thethe program. program. To donate, To donate, visit visit okda.org/programs okda.org/programs
Dr. Larson Dr. Larson Keso was Keso recognized was recognized at the RDGP at the RDGP Board of Board Trustees of Trustees MeetingMeeting by Dr. Vann by Dr.Greer Vannand Greer and Dr. Glenn Dr.Mead GlennonMead September on September 25, 202025, 2020
The RDGP The RDGP is a charitable is a charitable entity entity that that offers offers aid toaiddental to dental professionals professionals who, who, because because of misfortune, of misfortune, natural natural disaster, disaster, chemical chemical dependence, dependence, physical physical disability, disability, or other or other hindering hindering conditions, conditions, are not are wholly not wholly self-sustaining. self-sustaining. This program This program exists exists to award to award financial financial aid toaidOklahoma to Oklahoma dentists, dentists, yet relies yet relies solely solely on contributions. on contributions.
Thank Thankyouyouforforyour yoursupport! support!
www.okda.org 5
MESSAGE FROM THE ODA PRESIDENT
Thriving Through Uncertainty By Paul Mullasseril, DDS
Six eventful months have gone by and the next six months look as uncertain as ever. However, your ADA and your ODA remain strong and committed to serving you and our profession. As the nation claws its way out of this morass, the dental profession has shone a light on the steps needed to keep people safe. I am proud of the way our profession has mitigated the risks, safely reopened our businesses and inspired confidence in our patients. Both the ADA and ODA have worked hard to do their part in this recovery. Recently, under the chairmanship of Dr. Lindsay Smith and the leadership of Ms. Lynn Means, we conducted virtual meetings with our Oklahoma congressional delegates and Senators. The discussions
"I am proud of the way our profession has mitigated the risks, safely reopened our businesses and inspired confidence in our patients." were extremely cordial and productive. They included our concerns as a profession, including simplifying the process of PPP loan forgiveness, the tax implications of PPP, the increased financial burden created by increased PPE costs, and the McCarranFerguson reform. Each and every lawmaker was supportive of small businesses in general and dentistry in particular, and promised their assistance. On September 21, the House passed H.R. 1418, the Competitive Insurance Reform Act, due to the combined efforts of the ADA and individual state dental organizations. Future efforts to have it passed in the Senate will involve each and every one 6 journal | Nov/Dec 2020
of you. When passed into law, this reform will hold insurance companies to the same standards as any other business, fostering competition among insurance companies and benefiting our patients. Last week, under the chairmanship of Dr. Steve Young, the Council on Budget and Finance passed the budget for the upcoming year. In spite of the cancellation of our 2020 Annual Meeting, which brings in a substantial amount of money, we have a balanced budget. I am also pleased to inform our members that we will not be increasing ODA dues again this year. This is the tenth straight year of zero dues increases. I am very proud of Lynn Means, Shelly Frantz and the other ODA staff for working hard to make sure we are fiscally responsible. As you know, OkMOM 2021 in Shawnee has been cancelled. While this was a gut-wrenching decision for all, it was the collective opinion of all the stakeholders that going ahead with this massive event could prove disastrous. OkMOM 2022 will be held in Shawnee and we will partner with the same organizations to pull it off. This November, we had planned the first Veterans Day in collaboration with the OU College of Dentistry. Again, out of an abundance of caution, we have decided to postpone this event until February 2021. Planning is underway and I appreciate the hard work from the planning committee, ODA Special Projects Manager Abby Sholar, and Henry Schein for supporting this venture. Planning for the Annual Meeting in Tulsa continues with full force. Stacy Yates and the team are in the process of confirming our speakers. We have an exciting list of speakers and I hope we have an overwhelming response from our members. In light of the current state of affairs, the Board of Dentistry has increased the number of hours dentists can secure virtually, and the ODA has conducted multiple seminars to meet the needs of our members. I am pleased to report that in spite of troubled financial times for our profession and country, membership
has remained strong under the watchful eyes of ODA Director of Membership Kylie Faherty and Membership Manager Madison Bolton; our numbers have not been adversely affected. We hope to continue our efforts to provide value to our members. A major part of this success has been our Rewards Partners, including OneSource. Makenzie Dean (ODA Programs & Operations Manager) has kept our members updated with the latest offers from our partners. Another major development on the horizon is the push by Governor Stitt to institute managed care for our Medicaid system. While this did not make sense on many fronts, Lynn Means and our lobbyist, Scott Adkins, have made sure that we as an organization have a seat at the table during the initial negotiations. Under the guidance of the ADA, we’ve made sure that the Governor’s team knows our concerns, and we’ve been successful in providing our input right from the beginning, including the RFP process. We hope that the final outcome will serve our patients and dentists well. When I took over as President of the Oklahoma Dental Association, several past presidents advised me to articulate my vision for the year and then get out of the way of the staff. This has been an exhilarating six months for me. Whether it be handling media relations, keeping up with our membership numbers, or addressing budget matters, the process has been smooth and educational. I would be remiss in not acknowledging the selfless work of our volunteer dentists who serve on various councils and committees. Their efforts, dedication and wisdom keep our organization strong. “Of all the hardships a person has to face, none is more punishing than the simple act of waiting.” While we anxiously await the eradication of the virus, successful institution of a vaccine, and restoration of our way of life, I look forward to the next six months and pray that our profession thrives and our nation heals.
ON-DEMAND ON-DEMANDCE CE W eWs et se tr en r nR eRg ei go in oa nl a Dl eDn et na tl a El x Ep xe pr ei er in ec ne c e
EARN EARNUP UPTO TO18.5 18.5HOURS HOURS COURSES COURSES AVAILABLE AVAILABLE ONLINE ONLINE
NOVEMBER NOVEMBER1 1STST- 30 - 30THTH All TMJ All TMJ Patients Patients are are NUTS, NUTS, Right? Right? How How to Evaluate, to Evaluate, Diagnose Diagnose andand Treat Treat the the Most Most Common Common TMJ TMJ Problems Problems
FiveFive Patient Patient Lifestyle Lifestyle Habits Habits thatthat Influence Influence Healing Healing UcheUche Odiatu, Odiatu, DMDDMD | 2 CE| 2Hours CE Hours
Jamison Jamison Spencer, Spencer, DMD,DMD, MS |MS 3 CE | 3Hours CE Hours
Anterior Anterior Composite Composite Artistry Artistry
Minimal Minimal Intervention, Intervention, Maximal Maximal Outcomes: Outcomes: TheThe UseUse of Minimally of Minimally Invasive Invasive Dentistry Dentistry to to Maximize Maximize Aesthetic Aesthetic andand Functional Functional Outcomes Outcomes
LeeAnn LeeAnn Brady, Brady, DMDDMD | 3 CE| 3Hours CE Hours
Arthur Arthur Volker, Volker, DDS,DDS, MSEd MSEd | 3 CE| 3Hours CE Hours
Beauty Beauty or the or the Beast: Beast: CanCan YouYou Have Have it All it All withwith Ceramics? Ceramics? Making Making the the BestBest Choice Choice for for Beauty Beauty andand Strength Strength
Treatment Treatment Considerations Considerations to Replace to Replace the the Congenitally Congenitally Missing Missing Lateral Lateral Incisor: Incisor: A Multidisciplincary A Multidisciplincary Approach Approach
Susan Susan McMahon, McMahon, DMDDMD | 3 CE| 3Hours CE Hours
Roger Roger Hess,Hess, DDS,DDS, MBA,MBA, MPAMPA | 2 CE| 2Hours CE Hours
Defuse Defuse Angry Angry Patients Patients Before Before They’re They’re a Problem a Problem
TheThe Art Art of Communication of Communication andand Influence Influence
Lorraine Lorraine Sivak, Sivak, CPC CPC | 1.5 |CE 1.5Hours CE Hours
DinoDino WattWatt | 1 CE| 1Hour CE Hour
The Oklahoma The Oklahoma Dental Dental Association, Association, in collaboration in collaboration with with the Arizona the Arizona Dental Dental Association, Association, is pleased is pleased to offer to offer Oklahoma Oklahoma dentists dentists and staff and staff up toup 18tohours 18 hours of on-demand of on-demand continuing continuing education education through through the month the month of November. of November.
O DOADM A EMMEBMEBREDREDNETNI STT: I S T: $189 $189 O DOADM A EMMEBMEBRESRT SATFAF:F F: $95$95 N ONNO NM EMMEBMEBREDREDNETNI STT: I S T: $289 $289 N ONNO NM EMMEBMEBRESRT SATFAF:F F: $195 $195
L Le ae ar nr nmmo or er ea an nd dr er ge gi si ts et re ra at t wwe se ts et re nr nr er ge gi oi on na al .lo. or gr g/ O / OD DA A www.okda.org 7
ODA MEMBER BENEFIT CORNER Why is a membership with the ODA/ADA so valuable? The ODA/ADA supports all members at the national, state and local levels. From helping you manage your practice more efficiently and advocating on your behalf to offering you tools and resources that help you find the answers you’re looking for, we’re there every step of the way.
ADA TOOLKIT Now more than ever, the American Dental Association has your back!
The ADA’s Advisory Task Force for Dental Practice Recovery has developed a free toolkit with interim guidance that recommends measures to help protect patients, staff, and dentists from COVID-19 as dental practices re-engage in providing the full range of oral health care. The toolkit includes: • Sample letter to patients • Guidance on pre-appointment screening
• In-office patient registration procedures • Reception area preparation strategies • Chairside checklist • Staff protection strategies • Supplies shopping list The ADA is also urging third-party benefit programs to either 1. Adjust the maximum allowable fees for all procedures, or 2. Allow a standard fee per date of service per patient to accommodate the rising costs of PPE. Dental offices can use CDT code “D1999unspecified preventative procedure. By report” to document and report the use and cost of additional PPE. Dentists can use this code once per patient visit/claim to attempt to cover the cost of PPE.
ADA members can also access: Protocols to Follow if a Staff or Household Member is COVID-19(+), a comprehensive flowchart, and guide. Paying Staff Who Are on Leave Due to COVID-19, an overview of the employer’s responsibilities under the Families First Coronavirus Relief Act (FFRCA). The Patient Return Resource Center, a collection of tools to help educate patients on what to expect when they return to the office for routine care. The COVID-19 Hazard Assessment, a guide and checklist to help evaluate COVID-19 transmission risks in their practices. Find more guidance, digital events and the latest on COVID-19 and dentistry at ADA.org/virus.
COVID-19: Economic Impact on Dental Practices: Survey Results Health Policy Institute 2020 What is the Current Status of the Dental Practice? Week of March 23
5.1%
Week of April 6 Week of September 7
3%
Week of September 21
3.2%
Week of October 5
87.9%
8.5%
7.1% 87.3%
4.2%
41.7%
55.6% 51.6%
5.4%
45.2% 54.1%
40.5%
% of Total Respondents Open and business as usual
Open but lower patient volume than normal
Closed but seeing emergency patients only
Closed and not seeing any patients
How Does this Week Compare to What is Typical in Your Practice, in Terms of: Volume of Total Collections Week of April 6 Week of September 7 Week of October 5
68.8% 5.7%
15.6%
25.7% 14.3%
7.5%
7.1%
65.7% 14.3%
25.7%
28.6%
14.3%
% of Total Respondents Less than 5% of what was typical 5-10% of what was typical 11-24% of what was typical
8 journal | Nov/Dec 2020
25-50% of what was typical 51-75% of what was typical 76% or more of what was typical
86-95% of what was typical More than 95% of what was typical
American Dental Association. COVID-19: Economic Impact on Dental Practices: Survey Results. Health Policy Institute. 2020. Available at: https://www.ada.org/en/science-research/health-policy-institute/covid-19-dentists-economicimpact/survey-results.
ODA MARKETING COACH
MANAGING MARKETING
Patient Privacy / Social Media Patient privacy should never be compromised, yet stories about possible violations, especially via social media outlets, continue to be featured in the news. One recent story detailed a physician losing hospital privileges because of an online post that included information that could be used to identify a specific patient. Keep in mind that: • Photos and/or messages posted to the practice’s website or social media page, or the personal pages of team members, may violate privacy laws if the post identifies a patient or offers enough of an image or sufficient detail to identify
a patient or staff member who has not authorized the disclosure. Releases should always be obtained in writing. • You can protect patients’ privacy by developing staff policies and procedures regarding the use of social media. Conduct a formal training session to make sure everyone on the team is aware of the practice’s policy and knows what types of posts to avoid. The ADA Practical Guide to Creating an Employee Policy Manual contains sample policies as well as information to help you develop your own.
FOLLOW
U US
Copyright © 2019 American Dental Association. All rights reserved. Reprinted by permission. For additional resources on how to grow your practice, visit the ADA’s Center for Professional Success at ada.org/success.
Future issues of the ODA Journal will include individual articles from this module, but you can see the module in its entirety at http://success.ada.org/en/practicemanagement/marketing
Facebook @okdentassoc Twitter @okladentassoc Instagram @okdentassoc YouTube @TheOKDentAssoc www.okda.org 9
ODA MEMBERSHIP BY THE NUMBERS Gender Ratio 77% 23%
Male Female
Ages Breakdown 15%
75+
20%
65 - 74
17%
55 - 64
16%
45 - 54
20%
35 - 44
12%
25 - 34
Membership 77%
Active
23%
Retired
10 journal | Nov/Dec 2020
Member Locations
11% Central
8%
Eastern
6%
Northern
5%
Northwest
36%
Oklahoma County
10%
Southwest
24%
Tulsa County
Visit adapractic etransitions.com
*As of October 2020*
ODA Annual Awards Nominations Do you know of an ODA member colleague who should be recognized for his/her contributions to dentistry or someone who has gone above and beyond the call of duty with charitable and community work? The ODA looks forward to recognizing members for outstanding achievement in the following areas:
Distinguished Dentist Service
Robert K. Wynne Public information
(Formerly known as Dentist of the Year)
A member dentist who has worked to advance the knowledge of dentistry and dental health through public education and public relations efforts.
Young Dentist of the Year
Dan E. Brannin Professionalism
A new member dentist who exhibits an active interest in organized dentistry and has enhanced the image of the dental profession. Eligible candidates for this nomination must have been in practice for 10 years or less.
The member dentist selected as having made significant contributions to the advancement of the principles and practice of ethics and professionalism in dentistry.
Thomas Jefferson Citizenship
Richard T. oliver legislative
A member dentist who has made significant contributions to community service and philanthropic works in the area of dentistry.
A member dentist who has given outstanding effort and leadership in the Oklahoma legislative process on behalf of the Oklahoma Dental Association.
The dentist selected as having made the greatest contribution to the advancement of dentistry in Oklahoma.
Nomination Form The nomination form can be found on the ODA website at www.okda.org/members-only/member-awards/, or on page 45 of the 2020-21 Membership Directory. Nominations must be made by an ODA Member Dentist.
The deadline to submit nominations is December 31, 2020.
www.okda.org 11
3000 INSURANCE GROUP WE HAVE INSURED MEMBERS OF THE ODA FOR MORE THAN 45 YEARS. WE ARE THE ONLY AGENCY WHO CAN OFFER PLANS ENDORSED BY YOUR ASSOCIATION AS WELL AS STANDARD MARKET PRODUCTS. WE WOULD LOVE TO HELP YOU EVALUATE YOUR COVERAGE!
WHEN WAS THE LAST TIME YOU EVALUATED THESE COVERAGES? Prof. Liability- Malpractice, Errors & Omissions Comm. Property, Flood & Earthquake Business Owners Policy- includes Property, General Liability & Business Income Workers’ Compensation Business Auto Directors and Officers Liability Cyber Liability and Data Breach Protection Employment Practices Liability Health, Dental, Disability, Life, Vision Business Overhead Expense Accidental Death & Dismemberment Accident Only Disability Home & Auto Long Term Care 3000IG.COM O: 405.521.1600 F: 405.521.1610 3000 NW 149TH STREET, OKLAHOMA CITY, OK 73134 12 journal | Nov/Dec 2020
When the old meets new, possibilities are endless. 417.881.8572
www.okda.org 13
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 two of our Partners. Learn about all of the Partners at www.okda.org/rewards-partners.
http://bit.ly/ada_ge Already registered? Visit Shop4GE.com
The GE Appliances store is an exclusive shopping site where ADA members can save up to 25% OFF MSRP on select GE Appliances every day. Visit http://bit.ly/ada_ge and register using Authorization Code: MOADA20 to find great deals on the latest GE®, Haier, Café™, GE Profile™, Hotpoint®, and Monogram® appliances. ----------------------------------------------------------------------------------------------------------
SHOP OUR PREMIUM FINISHES
BLACK SLATE APPLIANCES
SLATE APPLIANCES
BLACK STAINLESS APPLIANCES
STAINLESS STEEL APPLIANCES
TO SEE CURRENT OFFERS VISIT: http://bit.ly/ada_ge
14 journal | Nov/Dec 2020
OKLAHOMA DENTAL ASSOCIATION REWARDS PARTNERS RESEARCHED. PROVEN. ENDORSED. Insurance Products For You & Your Practice The insurance coverage you need for your business, personal life & employee benefits.
Tours & Cruises Access to guided ocean, river and land-based tours designed to immerse travelers in the history and culture of people and places.
Debt Collection Services Members receive 10% off Tier 1 pricing.
Patient Payment Plans Help patients get what they need, without delay!
Interpretation Services Save nearly 70% off of interpretation services compared to those who aren’t ODA members.
Staff Logo Apparel Save up to 10% on products and logo embroidery. 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.
Scrap Metal Recovery Receive 85-97% of the current market price.
Electronic Insurance Claims Receive e-claims for only .25 cents.
Appliances Access to member-only savings of up to 25% off MSRP on select GE appliances.
STORE
Secure Communications Solutions Receive preferred pricing & waived set-up fees.
Website Design & Marketing Services Members can save on websites.
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.
Emergency Medical Kits Save 10% on emergency medical kits & AEDs.
Electronic Credit Card, Check Management & Payroll Processing Services Receive special pricing, efficiently pay your staff & manage general HR needs.
Empowered ePrescribing Simplify prescriptions with robust functionality and automation.
Answers On Employer Dental Plans The solution for dental practices & you receive a $300 discount.
Scrubs, Lab Coats & More Members receive a 15% discount of all purchases in-store and online.
Special Services & Shipping Discounts Members have access to new & improved flat discount pricing.
Point-Earning Credit Card The only credit card endorsed for ADA members.
On-Hold Messaging, Digital Video & Overhead Music Connect with your patients while they wait.
These are endorsed companies of the ODA that save members money while keeping dues lower by providing royalties to the Association.
FOR MORE INFORMATION:
VISIT OKDA.ORG/REWARDS-PROGRAM CALL 405.848.8873
www.okda.org 15
PROTECTING YOUR PRACTICE WITH EFFORTS RELATED TOPROGRAM INTEGRITY, COMPLIANCE AND UNDERSTANDING THE IMPORTANCE OF DOCUMENTING MEDICAL NECESSITY
3 FREE HOURS OF CE FRIDAY, NOVEMBER 20 AVAILABLE TOODA 9:00 A.M. TO12:00 P.M. MEMBERS ONLY WEBINAR VIA ZOOM REGISTER TODAY AT OKDA.ORG/PROGRAMS/EDUCATION 16 journal | Nov/Dec 2020
Oklahoma Dental Association
Annual meeting 2021 April 8 - 10 | Tulsa, OK
Exploration to Excellence Cox Business Center
Doubletree hotel
100 Civic Center Tulsa, OK 74103
616 W 7th St, Tulsa, OK 74127 ODA Group Rate: $123 918.587.8000 Reserve by March 17, 2021
okda.org/annual-meeting meeting registration opens online in February, 202117 www.okda.org
speakers Chris W. Campbell dMD Photography in Dentistry... How Much a Picture Is Really Worth The lecture course will help attendees understand camera selection, settings and patient/photographer positioning to become familiar with what constitutes a standard series of photos to assist in treatment planning. Attendees will learn to incorporate photography for shade selection, material selection and medico-legal purposes. The hands-on course will teach attendees to understand how to set, hold and operate an SLR camera and use basic photographic armamentarium as it is intended. Attendees will observe and practice the acquisition of a standard series of photos and experiment with patient, team member and photographer positioning for optimum results.
Morning Course: Afternoon Course:
3 CE Hours 3 CE Hours
Friday, April 9 Lecture Friday, April 9 Hands-On
Limited to 25 attendees
Ticketed Course
Alan Atlas dMD | clinical Professor Morning Course:
University of pennsylvania school of dental medicine
The What, How & Why on Adhesion and Posterior Composites Evidenced-based protocol for superior results
The scientific evidence indicates amalgam restorations are outperforming posterior composites at an alarming rate. Operator error, material selection and patient compliance will determine the long-term favorable outcome of direct composite resin restorations. This course will provide a current scientific update of which adhesive systems and direct esthetic materials to utilize for improving results.
Afternoon Course: Impress with Success! Prep, impress and cement using evidenced-based techniques for ceramics The rapid rise of digital technologies and ability to fabricate computer-aided design and computer-aided manufactured (CAD-CAM) crowns is transforming the dental profession dramatically. However, it is clear from the scientific evidence, the ability to deliver a long-term successful restoration is dependent upon many factors not experienced with the traditional fabrication methods. This course will demonstrate concise step-by-step treatment planning guidelines that fulfill esthetic demands and integrates current adhesive restorative materials with digital technology as well as conventional clinical protocols.
Morning Course: Afternoon Course:
3 CE Hours 3 CE Hours
18 journal | Nov/Dec 2020
Saturday, April 10 Saturday, April 10
Breakfast & Learn Heath EvanS dds | Founder/CEO Levin Group Opioid Use, Misuse and Abuse Dr. Evans was born and raised in Tulsa. He attended Union schools through his freshman year of high school, at which time he transferred to Cascia Hall. After graduation, he attended Villanova University, just outside of Philadelphia, where he played football while pursuing his degree in chemistry. He graduated cum laude and chose to continue his studies at the University of Oklahoma College of Dentistry. Throughout dental school, Evans was active in multiple campus organizations, including the American Student Dental Association, and served as vice president of his class. Upon the completion of dental school, he pursued his passion for Oral and Maxillofacial Surgery at Nassau University Medical Center in New York, where he was exposed to all aspects of the specialty.
1.5 CE Hours (Opioids)* Saturday, April 10
Ticketed Course
* DENTISTS ARE REQUIRED TO COMPLETE 1 HOUR OF OPIOID PRESCRIBING OR PAIN MANAGEMENT CONTINUING EDUCATION PER YEAR FOR A TOTAL OF 2 HOURS PER 2-YEAR REPORTING PERIOD. NEWLY LICENSED DENTISTS ARE REQUIRED TO COMPLETE 2 HOURS WITHIN THE FIRST YEAR OF RECEIVING THEIR INITIAL LICENSE.
Lunch & Learn Theresa Gonzales dMD, MS, MSS | Professor, dept. of stomatology
medical university of South Carolina
Ethical Decision Making: Judgement versus Justification Education in ethics has become an integral part of healthcare education and training over the past three decades. A main challenge in teaching ethics is to craft appropriate interventions and educational programs aimed at increasing ethical behavior. Making good ethical decisions requires a trained sensitivity to ethical issues and a practiced method for exploring the ethical aspects of a decision and weighing the considerations that should impact our choice of a course of action. In theater parlance- it is said that script does not become performance without continuous rehearsal. When we say something is an ethical obligation, we mean that it is not only right to do it, but that it is wrong not to do it. In other words, we are obliged to perform the action. We will look at obligations versus opportunities and judgement versus justification in routine delivery of ambulatory outpatient oral healthcare.
1.5 CE Hours (Ethics)* Saturday, April 10
Ticketed Course
* COMPLETION OF AN ETHICS COURSE IS REQUIRED DURING EACH CE REPORTING PERIOD.
www.okda.org 19
Social Events at the annual Meeting
20 journal | Nov/Dec 2020
www.okda.org 21
Newly Elected ADA Officers Dr. Daniel Klemmedson Installed as ADA President President-elect Cesar R. Sabates, Second Vice President Maria Maranga and five new trustees also assumed office: Dr. Chad R. Leighty, 7th District; Dr. Rudolph T. Liddell, 17th District; Dr. Michael D. Medovic, 6th District; Dr. Scott L. Morrison, 10th District; and Dr. Gary D. Oyster, 16th District.
Daniel J. Klemmedson, D.D.S., M.D., of Tucson, Arizona, took office Oct. 19 as the 157th president of the American Dental Association during the ADA FDC Virtual Connect Conference. “The pandemic has offered insight to the interconnectedness of our society and the economic engines that keep it running. The same is true for the interdependent nature of dentistry,” Dr. Klemmedson told the ADA House of Delegates during its virtual meeting. “COVID-19 catalyzed a domino effect that demonstrated just how fragile our return to normal was. A return to normal should not be our goal. Better and stronger is clearly within our reach.”
Dr. Klemmedson has been actively involved at the ADA for many years, serving on the ADA Council on Dental Benefit Programs from 2007 to 2011 and a strategic planning committee from 2009 to 2012. He was the 14th District trustee on the ADA Board of Trustees from 2015 to 2019, and he was a delegate in the ADA House of Delegates from 2005 to 2014. From 2019 to 2020, he served as president-elect of the ADA. In addition to Dr. Klemmedson’s achievements at the ADA, he is a past president of the Arizona Dental Association, Southern Arizona Dental Society, Western Society of Oral and Maxillofacial Surgeons and Arizona Society of Oral and Maxillofacial Surgeons. Throughout his career, Dr. Klemmedson has earned multiple awards, including the
Dentist of the Year Award and the Hall of Fame Service Award from the Arizona Dental Association. In 2018, he received the Gerald E. Hanson Outstanding Service Award from the Oral and Maxillofacial Surgery Foundation. Dr. Klemmedson is a fellow of the American Board of Oral and Maxillofacial Surgery, as well as a member of the Academy of Dentistry International, American Cleft Palate-Craniofacial Association and American Medical Association. He has received fellowships from the American College of Dentists, International College of Dentists and Pierre Fauchard Academy. After graduating from the University of Southern California School of Dentistry, Dr. Klemmedson earned his medical degree from the USC School of Medicine. He currently maintains a private practice in Tucson, Arizona, and serves as an attending oral and maxillofacial surgeon on the cleft palate and craniofacial team at Children’s Clinics.
17th District Trustee, Dr. Cesar R. Sabates elected ADA President-elect Dr. Sabates, a general dentist from Coral Gables, Florida, previously served as the 17th District trustee on the ADA Board of Trustees from 2016 to 2020 and as a delegate in the ADA House of Delegates from 2000 to 2016. He is also past president of the Florida Dental Association and South Florida District Dental Association.
Dr. Sabates received his dental degree from the University of Missouri-Kansas City School of Dentistry. He is a member of the Academy of General Dentistry, Hispanic Dental Association, American College of Dentists, International College of Dentists and Pierre Fauchard Academy.
Visit ada.org/publications/ada-news for a complete recap of the ADA meeting and information on all the new and returning officers.
Rep. Ryan Martinez honored with ODA Legislator of the Year award! Chosen by the ODA Council on Governmental Affairs, this honor is intended to recognize an Oklahoma legislator who has exhibited exceptional support for the art and science of dentistry in Oklahoma. 22 journal | Nov/Dec 2020
The ODA delivered the award to Rep. Martinez on September 30 at the State Capitol.
It's Time to Renew Your ODA/ADA Membership The 2021 membership renewal period begins at the end of November. Make sure you renew by January 1, 2021 to maintain all of the great benefits membership provides. Our strength in Washington, D.C., at our State Capitol, and in your community is reliant on our united dental front, so renew for 2021 and help us continue the fight! We even offer convenient installment plans to fit your budget. Renew right away to keep your profession strong and help save the ODA money on renewal notice mailings.
Convenient Dues Installment Payment Plans You don’t have to pay your 2021 ODA/ADA/Component (Tripartite) dues all at once. Your ODA understands that it may not be convenient to remit your membership dues in one payment. We are excited to provide you with the opportunity to pay your 2021 membership in 2-12 monthly installments! You have the option of renewing in a way that is convenient for you.*
To take advantage of an ODA dues installment plan, please contact Kylie Faherty, ODA Director of Membership, at kfaherty@okda.org or 405.848.8873. *There is a nominal $6.00 installment fee for each payment.
Auto Renew Plan This plan allows your dues to be renewed automatically and paid with your credit card or an ACH/ICA payment each year. The auto renew plan will give the option of a once-peryear payment or a 12-month payment plan that the ODA will process continuously from year to year until you ask the auto renew/payment to stop. You will be allowed to update/ change your credit card, recognizing it will expire at some point, or if you wish to change to a different card for future charges. However, to cancel any automated credit card charge, please contact the ODA. If the 12-month plan is selected, any monthly past-due payments will be automatically processed in order to catch up to the current month.
Related to voluntary contributions, the auto renew will continue to include the previous year’s amounts given (e.g., if you give $170 to DENPAC in one year, the auto renew option would continue to charge that same voluntary contribution in subsequent years). If you want to change a voluntary contribution for any subsequent membership year, simply contact the ODA to ask for the change in amount. The process renew payments onon thethe 15th of each TheODA ODAwill will processauto auto renew payments 15th of month.
each month. https://www.modental.org/member-center/
join-renew :////
The ODA extends our deepest sympathy for our colleagues and friends who have passed this year. Reuben A. Kirkpatrick
Jon H. Patton
Alan T. Plaxico
Floyd T. Sellers
Thomas A. Lekas
D. Adolph Williams
Buddy A. Shadid
Carl C. Collier
1/1/2020
2/17/2020
4/13/2020 4/13/2020
Tulsa County Dental Society Northern District Dental Society Oklahoma County Dental Society Oklahoma County Dental Society
5/22/2020 5/25/2020 7/27/2020 9/9/2020
Northern District Dental Society Eastern District Dental Society Tulsa County Dental Society Central District Dental Society www.okda.org 23
Get Involved with the ODA Are you interested in becoming more active with the ODA through participation in a Council or Committee? What about a position of leadership within your local dental society? There are many ways to participate. The ODA Council on Nominations is accepting nominations for election at the April 2021 House of Delegates meeting. Contact the ODA at 800.876.8890 for more information about any of the volunteer opportunities. Nominations may be submitted to Dr. Chris Fagan, Council Chair, at presidentelect@okda.org, your component dental society’s president-elect, or the ODA office by January 8, 2021.
Print Name: Component (District) Dental Society: Email Address: Phone Number:
Select the area(s) in which you are interested in serving: q Vice President
q Board of Trustees
q Speaker of the House of Delegates
q House of Delegates
q ADA Delegate
q DENPAC Board of Directors
q ADA Alternate Delegate
q
q Council on Budget and Finance
q Standing Committee on OHCA and DHS
q Council on Bylaws, Policy and Ethics
q Annual Meeting Planning Committee
q Council on Dental Care
q Oklahoma Mission of Mercy (OkMOM)
q Council on Dental Education and Public Information
Component (District) Office
Planning Committee
q Rewards Partners Committee
q Council on Governmental Affairs
q Investment Committee
q Council on Membership and Membership
q OK Dental Relief and Disaster Grant Program
Services
Board of Trustees
Nominations are Due by January 8, 2021 24 journal | Nov/Dec 2020
A Gift that Helps Your Colleagues Thank you to the following individuals who donated in 2020 to the Oklahoma Dental Relief and Disaster Grant Program The RDGP is a charitable entity that offers aid to dental professionals and their dependents who, because of misfortune, natural disaster, chemical dependence, physical disability, or other hindering conditions, are not wholly self-sustaining. This program exists to award financial aid to dental professionals, yet relies solely on contributions.
Dr. Jeffrey Ahlert Dr. Addie Allen-Steed Dr. Errol Allison Dr. Jim Ambrose Dr. Clay Anderson Dr. Jamie Ariana Dr. Douglas Auld Dr. Michael Auld Dr. Lauren Avery Dr. Bryce Baumann Dr. Justin Beasley Dr. William Beasley Dr. Brandon Beaver Dr. Kari Bender Dr. Tamara Berg Dr. David Birdwell Dr. Bryan Blankenship Dr. Elizabeth Bohanon Dr. Richard Bohlander Dr. Blaire Bowers Dr. C. Todd Bridges Dr. George Bridges Dr. Matthew Bridges Dr. Craig Buntemeyer Dr. Bonnie Burton Dr. Jamie Cameron Dr. Sarah Campbell Dr. Patricia Cannon Dr. Wuse Cara Dr. Scott Carel Dr. John Carletti Dr. Bobby Carmen Dr. Brian Chastain Dr. Adam Cohlmia Dr. Matthew Cohlmia Dr. Raymond Cohlmia Dr. Debbie Corwin Dr. James Corwin Dr. Jeffrey Danner Dr. Darrell Daugherty Dr. Susan Davis
Dr. David Deason Dr. Steven Deaton Dr. Kathy DeHart Dr. William Deprater Dr. Robert Dew Dr. Bryce Dorrough Dr. Ana Dotson Dr. Brian Drew Dr. Kevin Duffy Dr. Patrick Dukes Dr. Benjamin Edwards Dr. Heath Evans Dr. Christopher Fagan Dr. Barry Farmer Dr. John Folks Dr. Chad Garrison Dr. Mark Goodman Dr. Matthew Gray Dr. Evangeline Greer Dr. Clark Grilliot Dr. Jacob Hager Dr. Leslie Hardy Dr. Neslihan Hargett Dr. Aaron Harman Dr. Edward Harroz, Jr. Dr. Edward Harroz III Dr. Marilyn Hiebert Dr. Mathew Hookom Dr. James Hooper Dr. Brad Hoopes Dr. Eric Hopkins Dr. Jeffrey Housley Dr. Benjamin Humphrey Dr. Donald Johnson Dr. Eugenia Johnson Dr. Katherine Johnson Dr. Krista Jones Dr. Mohammad Karami Dr. Larson Keso Dr. Michael Kirk Dr. Michael Kubelka
Dr. Dennis Leseberg Dr. Dustin Lively Dr. Robert Livingston Dr. Gary Lott Dr. Steve Lusk Dr. David Marks Dr. Mark Massaro Dr. Alan Mauldin Dr. Stephen Mayer Dr. Garrick McAnear Dr. Jonas McCall Dr. Gene McCormick Dr. Stephen McCullough Dr. Dan McNair Dr. Glenn Mead Dr. Jamie Means Dr. Mark Mettry Dr. Robert Miracle Dr. Andrea Montgomery Dr. Patrick Montgomery Dr. Mohsen Moosavi Dr. Robert Morford Dr. Don Morton Dr. James Murtaugh Dr. David Nittler Dr. Samuel Owens Dr. Deborah Ozment Dr. Raymond Plant Dr. Karen Reed Dr. William Reeves Dr. William Reville Dr. Erin Roberts-Svob Dr. Brant Rouse Dr. Mack Rudd Dr. Miranda Ruleford Dr. Andrea Scoville Dr. Gregory Segraves Dr. Mickey Sehorn Dr. Jeff Shadid Dr. Paul Shadid Dr. Greg Shanbour
Dr. Kyle Shannon Dr. James Shelton Dr. LaTonya Shelton-Miller Dr. Floyd Simon Dr. Donald Smith Dr. Gregg Smith Dr. Lori Smith Dr. Brooke Snowden Dr. James Sparks Dr. Chad Spiva Dr. Braden Stoltenberg Dr. B. Dan Storm Dr. Patrick Stover Dr. James Strand Mr. Guy Strunk Dr. Joe Swink Dr. Jim Taylor Dr. John Thomas Dr. Paul Thomas Dr. Kara Tims Dr. James Torchia Dr. JayCee Van Horn Dr. Jonah Vandiver Dr. Christopher Ward Dr. Robert Webb Dr. Robert Wells Dr. Stephanie Wendt Dr. Mori White Dr. Steven White Dr. Theresa White Dr. Kim Wilkinson Dr. M. Karen Willhoite
Additional donations are needed! You can make a donation to RDGP at okda.org/programs. www.okda.org 25
Thank You to the 2020 Smile Contributors
Smile is a voluntary section of membership that helps the ODA shine a light on the importance of dentistry and all of the great things dentists are doing throughout Oklahoma. This voluntary contribution also helps support the ODA/ADA's ongoing Find-a-Dentist campaign. Your $25 Smile membership enables the ODA to promote a positive oral health message around the state through multiple public relations tools and also supports your ODA helping patients find a dental home. Please consider supporting this important effort when renewing your 2021 membership!
Dr. Jeffrey Ahlert Dr. Errol Allison Dr. Jim Ambrose Dr. Clay Anderson Dr. Jamie Ariana Dr. Marc Arledge Dr. Glenn Ashmore Dr. Douglas Auld Dr. Michael Auld Dr. Lauren Avery Dr. Jeffrey Baggett Dr. Bryce Baumann Dr. Robert Baumann Dr. Justin Beasley Dr. Brandon Beaver Dr. Kari Bender Dr. David Birdwell Dr. Bryan Blankenship Dr. Elizabeth Bohanon Dr. Richard Bohlander Dr. Matthew Bridges Dr. Bonnie Burton Dr. Jamie Cameron Dr. Patricia Cannon Dr. Wuse Cara Dr. John Carletti Dr. Bobby Carmen Dr. Adam Cohlmia Dr. Jeff Cohlmia Dr. Matthew Cohlmia Dr. Raymond Cohlmia Dr. Debbie Corwin Dr. James Corwin Dr. Lester Cowden Dr. Jeffrey Danner
26 journal | Nov/Dec 2020
Dr. Susan Davis Dr. David Deason Dr. Steven Deaton Dr. Robert Dew Dr. Michael Dial Dr. Calvin Doan Dr. Thai-An Doan Dr. Ana Dotson Dr. Brian Drew Dr. Kevin Duffy Dr. Patrick Dukes Dr. Heath Evans Dr. Christopher Fagan Dr. Barry Farmer Dr. Keifer Fisher Dr. Robert Flint Dr. John Folks Dr. Richard Freeman Dr. Emily Frye Dr. Chad Garrison Dr. Mark Goodman Dr. Matthew Gray Dr. Clark Grilliot Dr. Jacob Hager Dr. Michael Hansen Dr. Leslie Hardy Dr. Neslihan Hargett Dr. Aaron Harman Dr. Edward Harroz, Jr. Dr. Edward Harroz III Dr. William Hiatt Dr. Marilyn Hiebert Dr. Myron Hilton Dr. Mathew Hookom Dr. James Hooper
Dr. Eric Hopkins Dr. Moiz Horani Dr. Jeffrey Housley Dr. Jennifer Jenkins Dr. Donald Johnson Dr. Eugenia Johnson Dr. Katherine Johnson Dr. Mohammad Karami Dr. Stephanie Kendrick Dr. Michael Kirk Dr. Jandra Korb Dr. Jay Kruska Dr. Michael Kubelka Dr. Dennis Leseberg Dr. Robert Livingston Dr. Gary Lott Dr. Kevin Mailot Dr. David Marks Dr. Mark Massaro Dr. Alan Mauldin Dr. Stephen Mayer Dr. Garrick McAnear Dr. Stephen McCullough Dr. Glenn Mead Dr. Mark Mettry Dr. Robert Miracle Dr. Andrea Montgomery Dr. Patrick Montgomery Dr. Mohsen Moosavi Dr. Robert Morford Dr. Don Morton Dr. James Murtaugh Dr. Samuel Owens Dr. Raymond Plant Dr. Karen Reed
Dr. William Reville Dr. Erin Roberts-Svob Dr. Miranda Ruleford Dr. Robert Schick Dr. Andrea Scoville Dr. Gregory Segraves Dr. Mickey Sehorn Dr. Paul Shadid Dr. Floyd Simon Dr. Gregg Smith Dr. Lori Smith Dr. Brooke Snowden Dr. James Sparks Dr. Chad Spiva Dr. Trena Stewart-Green Dr. Braden Stoltenberg Dr. B. Dan Storm Dr. James Strand Dr. Joe Swink Dr. Jim Taylor Dr. John Thomas Dr. Paul Thomas Dr. Kara Tims Dr. James Torchia Dr. Jonah Vandiver Dr. Christopher Ward Dr. Robert Webb Dr. Robert Wells Dr. Stephanie Wendt Dr. Mori White Dr. Steven White Dr. Theresa White Dr. Kim Wilkinson Dr. M. Karen Willhoite
Thank You to the 2020 Pride Contributors Pride is a voluntary section of membership that shows how much you care about the future of organized dentistry. Your Pride membership dues go directly to offset some of the costs of lobbying at the State Capitol. It is imperative that we continue to maintain a positive and powerful presence at the Capitol and your $25 ODA Pride membership continues to make that possible. Please consider making this small, additional contribution when renewing your 2021 membership.
Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Jeffrey Ahlert Addie Allen-Steed Errol Allison Jim Ambrose Clay Anderson Jamie Ariana Marc Arledge Glenn Ashmore Douglas Auld Michael Auld Lauren Avery Jeffrey Baggett Robert Baumann Justin Beasley Brandon Beaver Kari Bender David Birdwell Bryan Blankenship Elizabeth Bohanon Blaire Bowers C. Todd Bridges Matthew Bridges Nathan Brown Craig Buntemeyer William Burchard Bonnie Burton Jamie Cameron Patricia Cannon Wuse Cara Scott Carel John Carletti Bobby Carmen Adam Cohlmia Jeff Cohlmia Matthew Cohlmia Raymond Cohlmia Debbie Corwin James Corwin Lester Cowden Jeffrey Danner Darrell Daugherty Susan Davis David Deason Steven Deaton
Dr. Kathy DeHart Dr. Robert Dew Dr. Michael Dial Dr. Thai-An Doan Dr. Ana Dotson Dr. Brian Drew Dr. Kevin Duffy Dr. Patrick Dukes Dr. Heath Evans Dr. Christopher Fagan Dr. Barry Farmer Dr. Robert Flint Dr. John Folks Dr. Richard Freeman Dr. Emily Frye Dr. Chad Garrison Dr. Mark Goodman Dr. Matthew Gray Dr. Jerry Greer Dr. Clark Grilliot Dr. Robert Gruenberg Dr. Jacob Hager Dr. Bruce Hall Dr. H. Douglas Hall Dr. Sarah Han Dr. Leslie Hardy Dr. Neslihan Hargett Dr. Aaron Harman Dr. Edward Harroz, Jr. Dr. Edward Harroz III Dr. Jeffrey Hermen Dr. William Hiatt Dr. Marilyn Hiebert Dr. Mathew Hookom Dr. James Hooper Dr. Eric Hopkins Dr. Moiz Horani Dr. Jeffrey Housley Dr. Benjamin Humphrey Dr. Jennifer Jenkins Dr. Donald Johnson Dr. Eugenia Johnson Dr. Katherine Johnson Dr. Mohammad Karami
Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
Jay Kruska Michael Kubelka Dennis Leseberg Shannon Lewis Dustin Lively Robert Livingston Gary Lott Steve Lusk Kevin Mailot David Marks Mark Massaro Alan Mauldin Stephen Mayer Garrick McAnear Jonas McCall Stephen McCullough Zachary McNickle Glenn Mead Joseph Meador Mark Mettry Robert Miracle Robert Mongrain Andrea Montgomery Patrick Montgomery Mohsen Moosavi Robert Morford Don Morton James Murtaugh David Nittler Samuel Owens Deborah Ozment Raymond Plant Karen Reed William Reeves William Reville Erin Roberts-Svob Brant Rouse Miranda Ruleford Andrea Scoville Gregory Segraves Mickey Sehorn Paul Shadid Greg Shanbour John Sheets
Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
LaTonya Shelton-Miller Floyd Simon Gregg Smith Lori Smith Brooke Snowden James Sparks Chad Spiva Trena Stewart-Green B. Dan Storm James Strand Marc Susman Joe Swink Jim Taylor John Thomas Paul Thomas Roy L. Thornbrough Kara Tims James Torchia JayCee Van Horn Jonah Vandiver Christopher Ward Robert Webb Robert Wells Stephanie Wendt Jay White Mori White Steven White Theresa White Susan Whiteneck M. Karen Willhoite David Womble
www.okda.org 27
LEGISLATIVE LOOP Legislative Overview & Political Update
ADA Advocacy News ODA Participates in ADA Virtual Lobby Day ODA members currently serving as ADA Action Team Leaders (ATL) recently participated in the ADA’s Virtual Lobby Day and had an opportunity to visit with Oklahoma’s congressional delegation, via ZOOM, about two issues on the ADA’s current legislative agenda: repeal of the McCarran-Ferguson Act and additional pandemic relief for dentists. Those participating were Drs. Doug Auld, Tamara Berg, Matt Cohlmia, Krista Jones, Juan Lopez, Lindsay Smith and Rieger Wood; and ODA President, Dr. Paul Mullasseril.
Competitive Health Insurance Reform Act of 2019 S. 350 and H.R. 1418
These bills would amend the McCarran-Ferguson Act (passed into law in 1945) to authorize the Federal Trade Commission and the Justice Department to enforce the full range of federal antitrust laws against health insurance companies engaged in anticompetitive conduct. The Competitive Health Insurance Reform Act would not interfere with the states’ ability to maintain and enforce their own insurance regulations, antitrust statutes, and consumer protection laws. The bill is narrowly drawn to apply only to the business of health insurance, including dental insurance, and would not affect the business of life insurance, property or casualty insurance, or any other similar insurance areas. Passage of antitrust reform would help inject more competition into the insurance marketplace by authorizing greater federal antitrust enforcement in instances where state regulators fail to act. Promoting lower prices, greater consumer choice, and increased innovation through robust competition is the role of the antitrust laws. The week after the ADA Virtual Lobby Day, the U.S. House of Representatives on September 21 voted to repeal the McCarran-Ferguson antitrust exemption for health insurance companies by passing HR 1418, the Competitive Health Insurance Reform Act. The House passed the bill by a voice vote which means no recorded vote was taken. The ADA strongly supported the bipartisan legislation, which was led by Representatives Peter DeFazio, D-Oregon, and Paul Gosar, R-Arizona. The bill will next need to be considered by the Senate before it can become law.
Additional COVID-19 Relief Issues Crucial to Dentistry
Many dentists took advantage of various programs created by the CARES Act and other COVID-19-related legislation. These programs helped dentists retain and rehire employees and make changes to their offices to keep patients safe. Although these programs were a muchneeded lifeline for dentists, their employees, and their patients, there are changes to these programs that would go further in easing the economic distress caused by the COVID-19 pandemic. There are other business and patient care-related policy proposals that would be key to ensuring that dental practices can continue to provide the public with the oral health care they need. When considering additional pandemic relief efforts, ADA Action Team Leaders encouraged members of Congress to:
•
Offer tax credits for small businesses for the purchase of additional personal protective equipment (PPE).
•
Exempt monies received from the Provider Relief Fund from taxable income.
•
Expand the Employee Retention Tax Credit (ERTC).
•
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Allow Paycheck Protection Program (PPP) recipients to be eligible for the ERTC.
Incentivize health care practitioners to work in healthdisadvantaged communities that have been further undermined by COVID-19 by providing certain incentives.
•
Increase the federal medical assistance percentage (FMAP) for Medicaid while keeping in place maintenance of effort (MOE) protections.
•
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Provide small business owners with liability safeguards against coronavirus-based claims.
Support a significant, long-term investment in the public health infrastructure of states, localities, tribal governments, and territories, as well as the Centers for Disease Control and Prevention (CDC).
•
•
Support the following enhancements to the Paycheck Protection Program (PPP):
Specify designated funding for the National Institutes of Health’s (NIH) National Institute of Dental and Craniofacial Research (NIDCR) to help re-launch research to prepandemic levels and to fund COVID-19 related research.
•
Provide adequate funding for the Indian Health Service (IHS) to help address the health care needs of American Indians and Alaska Natives (AI/ANs) disproportionately impacted by COVID-19.
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Allow 501(c)(6) nonprofit organizations to apply,
•
Include PPE as allowable and forgivable expenses for PPP funds, and
•
Streamline forgiveness for PPP loans under $150,000.
For more information on these and other ADA advocacy efforts, visit ada.org/advocacy 28 journal | Nov/Dec 2020
Thank you 2020 Oklahoma Dental Political Action Committee (DENPAC) Members! Members who support DENPAC are very special people. They’ve taken the added step of making that extra, very important donation to Oklahoma dentistry – a small personal investment that pays huge dividends for dentistry in general, and to you as a practicing dentist, in particular! DENPAC contributors provide the funding that fuels the ODA’s legislative engine. Keep up the good work and please remember to support DENPAC when renewing your 2021 dues!
Dr. Jeffrey Ahlert Dr. Addie Allen-Steed Dr. Errol Allison Dr. Jim Ambrose Dr. Clay Anderson Dr. Jamie Ariana Dr. Tabitha Arias Dr. Michael Auld *Dr. Douglas Auld Dr. Lauren Avery Dr. Jeffrey Baggett Dr. Janet Barresi Dr. Robert Baumann Dr. William Beasley Dr. Brandon Beaver Dr. Kari Bender *Dr. Tamara Berg Dr. David Birdwell Dr. Bryan Blankenship Dr. Elizabeth Bohanon Dr. Blaire Bowers Dr. Michael Breland *Dr. C. Todd Bridges Dr. Matthew Bridges Dr. Nathan Brown Dr. Craig Buntemeyer Dr. William Burchard Dr. Bonnie Burton Dr. Jamie Cameron Dr. Patricia Cannon Dr. Wuse Cara Dr. Bobby Carmen Dr. Steven Carson Dr. William Carter Dr. Brian Chastain Dr. Brian Coerver Dr. Adam Cohlmia Dr. Raymond Cohlmia *Dr. Matthew Cohlmia Dr. Debbie Corwin Dr. James Corwin Dr. Lester Cowden Dr. Jeffrey Danner Dr. Darrell Daugherty
*Dr. Susan Davis Dr. David Deason Dr. Steven Deaton Dr. Thai-An Doan Dr. Kali Domoney Dr. Myrna Domoney Dr. Ana Dotson Dr. Brian Drew Dr. Kevin Duffy Dr. Patrick Dukes Dr. Heath Evans Dr. Christopher Fagan *Dr. Tim Fagan Dr. Barry Farmer Dr. John Folks Dr. Emily Frye Dr. Chad Garrison Dr. James Gilliam Dr. Michael Gliddon Dr. Mark Goodman Dr. Matthew Gray Dr. Stephen Gray Dr. Evangeline Greer Dr. Jerry Greer *Dr. Shannon Griffin Dr. Clark Grilliot Dr. Robert Gruenberg Dr. Jacob Hager Dr. Harold Hall Dr. Michael Hansen Dr. Leslie Hardy Dr. Neslihan Hargett Dr. Aaron Harman Dr. Richard Haught Dr. Richard Henry Dr. Robert Herman Dr. Jeffrey Hermen Dr. Mathew Hookom Dr. James Hooper Dr. Brad Hoopes Dr. Eric Hopkins Dr. Moiz Horani Dr. Brian Howell Dr. Donald Johnson
Dr. Eugenia Johnson Dr. Katherine Johnson *Dr. Krista Jones Dr. Mohammad Karami Dr. Thomas Kierl Dr. Michael Kirk Dr. Jennifer Koonce Dr. Mitchell Kramer Dr. Jay Kruska Dr. Ashley Lanman Dr. Dennis Leseberg Dr. Robert Livingston Dr. Brandon Loeser Dr. Eric Loper Dr. Juan Lopez Dr. Jeff Lunday Dr. Kevin Mailot Dr. David Marks Dr. Mary Martin Dr. Mark Massaro Dr. Alan Mauldin *Dr. Stephen Mayer Dr. Gene McCormick Dr. Stephen McCullough *Dr. Glenn Mead Dr. Robert Miracle Dr. Mohsen Moosavi Dr. Robert Morford Dr. Don Morton Dr. Anaita Mullasseril *Dr. Paul Mullasseril Dr. James Murtaugh Dr. Samuel Owens Dr. Garrett Phipps Dr. Raymond Plant Dr. Karen Reed Dr. Erin Roberts-Svob Dr. Brant Rouse Dr. Miranda Ruleford Dr. Robert Schick Dr. Lance Schmidt Dr. Brandon Schultz Dr. Andrea Scoville Dr. Gregory Segraves
Names in Purple are 2020 OKCapitol Club Members Names in Gold are 2020 DENPAC Grand Members *Current DENPAC Board Member
Dr. Paul Shadid Dr. John Sheets Dr. Steffan Sigler Dr. Floyd Simon Dr. Larry Smith Dr. Lori Smith *Dr. Lindsay Smith Dr. Brooke Snowden Dr. James Sparks Dr. Braden Stoltenberg Dr. B. Dan Storm Dr. James Strand Dr. Marc Susman Dr. Joe Swink Dr. Jim Taylor Dr. Ryan Theobald Dr. John Thomas Dr. Paul Thomas Dr. Kara Tims *Dr. James Torchia Dr. Steve Truong Dr. Charles Tucker Dr. JayCee Van Horn Dr. Jonah Vandiver Dr. Christopher Ward Dr. W. Scott Waugh Dr. Robert Webb Dr. Robert Wells Dr. Mori White Dr. Steven White Dr. Theresa White Dr. W. Scott White Dr. Quint Whitefield *Dr. Daniel Wilguess Dr. Kim Wilkinson Dr. Thomas Williams Dr. Ronald Winder *Dr. C. Rieger Wood Dr. William Wynn Dr. Kendra Yandell
www.okda.org 29
we’re in this together. AS AN ODA MEMBER, YOU CAN SAVE ON DENTAL SUPPLIES. ODA Supply Source offers:
• • • • •
Only products from direct manufacturers or authorized distributors. More than 65,000 products from more than 500 brands (most available through dealers). Product lines of more than 60 direct manufacturers that don’t sell through dealers. No gray market, expired or counterfeit items. FREE ground shipping on any order, regardless of size. Endorsed by the Oklahoma Dental Association
877-659-7310 | support@ODASupplySource.com | Fax 877-659-5004 Customer is available Mon-Fri, 8 am–7 pm. 30 journal |support Nov/Dec 2020
www.okda.org 31
ODA MEMBER SPOTLIGHT
DR. JUSTIN POWER: A MAN OF “SCOUT’S” HONOR By: Abby Sholar, ODA Special Projects Manager The Boy Scout Oath is clear, On my honor I will do my best to do my duty to God and my country and to obey the Scout Law; to help other people at all times; to keep myself physically strong, mentally awake, and morally straight. For Dr. Justin Power, his many achievements in life can be credited to the skills and values he learned through his involvement with the Boy Scouts of America. Dental school at OU College of Dentistry is enough of a challenge for the average person, but after Power graduated in 2003, he took it a step further and completed his orthodontics residency in 2005. Today, Power practices at Orthodontic Associates in Oklahoma City and Edmond, along with teaching as a Clinical Associate Professor in the Orthodontics Department at OUCOD. Power’s parents are his heroes in life and through their example he learned the importance of a strong work ethic and giving back to his community. Power’s wife, Nicole, is a Speech Language Pathologist and an adjunct professor at Southern Nazarene University, while also practicing privately and specializing in language disorders. Samantha, their daughter, is a freshman at the University of Kansas and aspires to be a dentist. Ben, their son, is a freshman at Crossings Christian School. When faced with the universally daunting question “what do I want to do as a career”, Power was always certain he wanted to be a dentist. The inspiration may have come initially from the classic Rudolph movie, in which we meet the 32 journal | Nov/Dec 2020
little elf who wanted nothing more than to become a dentist. Once Power became intent on pursuing dentistry, he realized there were more plus sides than getting to live out a childhood dream. “Dentistry is a profession that has many plus sides to it,” Power said. “We have the opportunity to help people. We have the ability to own and run our own business according to our own core values. We get to use our hands like a skilled craftsman.” Many of Power’s passions, it seems, revolve around using a little elbow grease. Some of his favorite pastimes include cycling and working on cars. His ideal way to spend a day off would include taking both on the open road. However, his most rewarding endeavor is supporting and working with Boy Scouts of America (BSA). Power is involved with adult leadership courses and various youth programs for BSA. This past September, he staffed a course at Philmont Scout Ranch for people all over the United States, the first program offered since COVID-19 closed in-person activities. Through working with the Boy Scouts, Power has the opportunity to prove to young scouts that skills they learn through the program will help them become better friends, men and citizens. There are different kinds of “training” that can happen at Boy Scout camp. One type of training is learning scout skills which include tying knots, map and compass, cooking, personal fitness, first aid, and citizenship. These are skills from which scouts can benefit throughout
their entire lives. Scouts also learn to be effective leaders, selfless contributors to society, and upstanding citizens. The mission statement for BSA encompasses these goals, “to prepare young people to make ethical and moral choices over their lifetimes by instilling in them the values of the Scout Oath and Law.” “I think that these qualities can be achieved in other forms, but the BSA program does an excellent job at developing the character of our country’s youth,” Power said. “As an Eagle Scout, I am acutely aware that I am to be an example of the Scout Oath and Law. Since I was a young man, there really has not been a day that goes by that I don’t use my promise to these ideals as I conduct myself in daily life.”
Dr. Power and his son, Ben, after Ben was inducted into the Order of the Arrow
When it comes to working with adults in the BSA program, it is focused on learning and practicing effective leadership techniques and concepts. It is comparable to leadership seminars but it takes place in a camp setting while using the scout skills and methods as a framework for learning. These courses are similar to those that have been designed for boy scout youth, as well. “The intent of these courses is to give scout leaders better tools to help make the program better for their youth. The reality is that it makes their life better outside of their scouting unit, as well. Benefits definitely can be seen at home and at work.” When asked what is one quality that Power admires in others, he answered, “a servant’s heart”. It seems that he has taken a great quality he admires in others, and has been an example of it himself. Working
Dr. Power at the top of Mount Scott
so diligently with such a worthwhile organization will continue to change the lives of scouts and adults involved with the program for years to come. Power earned his Dentistry Merit badge as a boy scout by spending time in Dr. David Fray’s office in Broken Arrow. Fray was his family dentist growing up, and a major influence in solidifying Power’s dream to become an orthodontist. To this day, his career has been challenging, rewarding and an opportunity to change people’s lives. Of all the special moments that Power has experienced while practicing, his favorite was when he removed his daughter’s braces after she went through orthognathic surgery to correct her deficient lower jaw. Her life was changed and Power was able to be there with his daughter in this critically important moment.
Dr. Power in the dental clinic at the 24th World Scout Jamboree, July 2019
Power is a goal-oriented person and always has something he looks forward to accomplishing. His next big endeavor is taking a group of youth to the National Jamboree at Summit Bechtel Reserve in West Virginia, although the event has been postponed due to COVID. When reflecting on the Scout Oath, it is clear that Power is a man who practices what he preaches. He keeps himself phsyically strong with his passion for cycling. He is mentally awake by continuing to learn and improve as an orthodontist. He is morally straight and strives to be an example of a servant’s heart to everyone in his life.
The Powers on Independence Day, 2020 (Nicole, Samantha, Dr. Power, Ben)
Powerful Advice For the dentist about to graduate: Keep your priorities in check. Hone your skills to become a good dentist and the financial rewards will follow. For his younger self: Never question what you are capable of accomplishing and don’t be afraid to step outside of your comfort zone as it will only make you stronger.
Fun Facts If you could have any other career, what would it be? Automotive engineer for a race team What is your ideal vacation? Definitely in the mountains somewhere What is your favorite quote? He who serves his fellows is, of all his fellows; greatest. E. Urner Goodman, cofounder of the Order of the Arrow www.okda.org 33
PAST PRESIDENT SPOTLIGHT:
DR. V.L. ANDREWS (1999-2000) By: Makenzie Dean, ODA Programs and Operations Manager Dr. Victor Lynn Andrews served as ODA President during a time when people were worried about Y2K. The so-called Millennium bug was projected to cause havoc in computers and computer networks worldwide, and was probably the most pressing thing on many companies’ minds in 1999. It was during this consequential period that Andrews was occupied with something else: leading the Oklahoma Dental Association. Andrews is a native Oklahoman. Born in Driftwood, he moved with his family to Newkirk when he was five years old. He grew up in Newkirk until moving to Stillwater to pursue a bachelor’s degree at Oklahoma State University. He then attended the University of Missouri at Kansas City Dental School, graduating in 1965. Shortly afterward, he joined the United States Army Dental Corps, during which he served at Ft. Benning, Georgia and completed a tour in Vietnam. After completing his military service, he returned to UMKC to teach at the dental school until 1968, when he finally returned to Oklahoma for good, establishing his dental practice in Ponca City for the next 47 years until his retirement. Andrews and his wife, Jen, still call Ponca City their home to this day (although they have a condominium in Scottsdale, Arizona where they spend the winter months). Lucky for them, their children are split between Oklahoma and Arizona, so they always have family nearby. Their daughter, Lisa, lives in Scottsdale and
their son, Todd, lives in Tulsa. Two other children, stepson Jeff and stepdaughter Julie, live in Ponca City. Andrews and his wife are thankful to be close to all their children (and seven grandchildren) and love spending time with them. Andrews originally chose dentistry as a profession because of his interest in science and working with his hands, which was evident in his passion for woodworking and making model airplanes. He considers dentistry more of a cherished hobby than a job he had to go to every day. Because of that passion, he says that his 50 years in the profession just flew by. After serving on numerous local and state dental committees, Andrews was interested in being ODA President and in doing all that he could for the future of dentistry in Oklahoma and the dentists who would come after him. During his 1999-2000 presidency, he considered his biggest challenge to be getting new and young dentists to become involved in organized dentistry. He feels that this is a necessary component for the continuation and the future of the ODA. Being ODA President gave Andrews the opportunity to meet and work with many outstanding dentists across the nation. From these many contacts, he has been able to develop lifelong friendships. Reflecting on his term as president, Andrews is most proud of giving his time and energy to make a difference in the profession.
Dr. V. L. Andrews
Dr. Andrews and his wife, Jen
Dr. Andrews oil painting in Scottsdale, AZ
Who is your Hero and Why?
FAST FAC TS
My hero is the greatest man to ever walk the face of Earth: Jesus. Through following His guidance and teaching, I have experienced a very fulfilling life. What Is One Thing That Most People Don’t Know About You? I was the first dentist in the state of Oklahoma to receive a Mastership in the Academy of General Dentistry. What Hobbies Do You Enjoy?
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Golf, tennis, boating, fishing, and oil painting.
RETIRED MEMBER SPOTLIGHT:
DR. BRANDON BOWERS By: Madison Bolton, ODA Membership Manager Coming from a family of 16 dentists, Dr. Brandon Bowers is no stranger to organized dentistry. Born and raised in Shawnee, Oklahoma, Bowers was a member of the very first class at the OU College of Dentistry. When the school opened it had received over 1,200 applications to fill only 24 positions available in the first class! Bowers was one of those pioneering 24. He said, “I never really wanted to be anything else but a dentist! When the school opened up, it just seemed like a great opportunity!” Bowers graduated from the OU College of Dentistry in 1976, and around that time his father, Dr. Brady Bowers, was one of the only practicing dentists in Shawnee. “My dad had just built a new building and created a space in it for me if I ever decided to join him,” Bowers said. “I never pictured myself anywhere else. My dad’s practice is where I belonged.”
With two hip surgeries scheduled in his future, Bowers had to make the hard decision to retire in 2017. But he was thrilled to pass his practice on to his two daughters, Blaire and Lauren. Both daughters are also graduates of the OU College of Dentistry and now specialize in periodontics. They work part time at their father’s Shawnee practice. Even though he is now retired, Bowers still spends most of his time up at the office and keeps his license active and up to date to this day. He has also attended every Oklahoma Dental Association Annual Meeting since 1972, his freshman year in dental school. One of his favorite memories took place while attending the 1973 ODA Meeting. Bowers was paired with fellow classmate, Dr. Kelly Brown, to present a table clinic at the meeting, entitled “It’s 10 o’clock. Do you know where your pulpal floor is?” This was a parody of KFOR’s advertisement at the time, “It’s 10 o’clock. Do you know where
your children are?” “So many doctors came by for our presentation,” Bowers recalls, “and we ended up winning top table clinic honors!” For this achievement, the ODA flew the two students down to Houston, Texas to attend the American Dental Association’s annual meeting where they encored their table clinic and ended up winning national table clinic recognition! “We were just freshmen!” Bowers said. “We had little idea what we were doing, and we won!” Bowers and Brown remain close friends to this day. Bowers is enjoying the simple things in life after retiring. “I enjoy just being with my daughters and my wife, Janet,” Bowers says. “When you work in the dental profession every day for 40 years, you don’t have a whole lot of life going on outside of that.” Even though he has a lot of down time these days, he stays quite busy being a “full-time dog sitter, pool boy, cook, and maid!”
Dr. Bowers with busts of his father and grandfather, made by his mother
Dr. Bowers hooding daughter, Dr. Blaire Bowers, at her OU College of Dentistry graduation in 2010
Dr. Bowers hooding daughter, Dr. Lauren Bowers, at her OU College of Dentistry graduation in 2014
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ODA FEATURE
Differential Diagnosis: Mucosal Mass of Lower Lip
By: Glen D. Houston, DDS, MSD | Diplomate, American Board of Oral and Maxillofacial Pathology | gdhdds@heartlandpath.com CASE HISTORY A 7-year-old patient, referred by his pediatrician, presented for evaluation. During the examination, a fluctuant soft tissue mass was observed involving the labial mucosa of the lower lip. The parent noted that the area in question had been present for several days and developed following an athletic injury associated with the face. QUESTION #1 A working differential diagnosis for this lesion might include: a. Squamous cell carcinoma b. Mucous extravasation phenomenon (mucocele) c. Adenoid cystic carcinoma d. Traumatic neuroma e. Epidermoid cyst f. Hemangioma (cavernous) ANSWER #1 Your differential diagnosis should include: b. Mucous extravasation phenomenon (mucocele) d. Traumatic neuroma e. Epidermoid cyst f. Hemangioma (cavernous) All of the above lesions can present as a fluctuant mass involving the lower lip. The mucous extravasation phenomenon (mucocele) (b) most frequently occurs on the lower lip but may also involve the palate, buccal mucosa, tongue and the floor of the mouth. This lesion is most commonly observed in children or young adults and presents as a dome-shaped mucosal swelling. The traumatic neuroma (d) typically presents as a smooth-surfaced, nonulcerated, submucosal nodule. It can develop in any anatomic location but is most commonly observed in the mental foramen area, tongue and lower lip. It can be seen in any age group, but is usually found in middle-aged adults. 36 journal | Nov/Dec 2020
The epidermoid cyst (e) is usually associated with the skin of the head, neck and back. This lesion presents as a nodular, soft, fluctuant, yellow or white mass. Males tend to be affected more frequently than females. The hemangioma (f) is primarily a tumor of childhood. The most common location for this lesion is the head and neck, accounting for almost one third of all cases. A predilection for females is also observed for this soft, fluctuant vascular lesion. Squamous cell carcinoma (a) would not be included in the differential diagnosis because this condition typically presents in adult males who have experienced chronic actinic exposure. The clinical presentation is a crusted, asymptomatic, indurated ulceration characterized by a slow growth rate. Adenoid cystic carcinoma (c) is also not a consideration here. Although adenoid cystic carcinoma can occur in any salivary gland, the majority arise within the minor salivary glands with the palate being the most common location. The lesion typically presents as a slow-growing mass that is painful. It is rarely observed in people younger than age 20.
QUESTION #2 Your treatment plan should include: a. Referral back to the pediatrician for examination of all skin surfaces b. Exfoliative cytology c. 4 mm punch biopsy in the center of the mass d. No surgical intervention; follow closely for 3-6 months e. Biopsy the lesion ANSWER #2 Your treatment plan should include (e) biopsy the lesion. A solitary mass on the lower lip of a young patient is best managed by an excisional biopsy. Referral back to the pediatrician for examination of all skin surfaces (a) will be of little benefit in this case since it is not known what the mass of the lower lip represents from a histologic standpoint. Exfoliative cytology (b) is of very limited value in the diagnosis of a mass involving the lower lip; it is primarily utilized in the diagnosis of certain viral conditions, vesiculobullous diseases, and a limited number of infectious diseases. It is an adjunct but not a substitute for a surgical biopsy procedure. A punch biopsy in the
center of the mass (c) and no surgical intervention; follow closely for 3-6 months (d) are of no benefit in this case. There is nothing to be gained in the management of a fluctuant mass of the lower lip by utilizing either of these techniques. QUESTION #3 A tissue sample is submitted to the oral histopathology center for microscopic examination. The pathology report describes a circumscribed, cystic cavity composed of a thin wall of granulation tissue surrounded by numerous lobules of accessory salivary gland tissue. The lumen of this cavity is filled with an eosinophilic, amorphous coagulum containing variable numbers of neutrophils, lymphocytes and histiocytes. Considering the clinical presentation and microscopic description, the most likely diagnosis for this lesion would be: a. Foreign body with associated foreign body reaction b. Varix with organized thrombus c. Epidermoid cyst d. Mucous extravasation phenomenon (mucocele) e. Mucoepidermoid carcinoma ANSWER #3 The lesion is correctly diagnosed as (d) mucous extravasation phenomenon (mucocele). See the “Discussion” section. The other possibilities are not considered here because (a) foreign body with associated foreign body reaction is composed of foci of exogenous, foreign material with a typical multinucleated (foreign body) giant cell reaction (granulomatous inflammation). Varix with organized thrombus (b) is an abnormally dilated, tortuous vein with secondary thrombosis within the lumen. The epidermoid cyst (c) is composed of
a cavity lined with stratified squamous epithelium and exhibits a lumen that is filled with desquamated keratin. Mucoepidermoid carcinoma (e) is a malignant salivary gland neoplasm composed of a mixture of mucusproducing cells and epidermoid or squamous cells. These features are not observed in the current case. DISCUSSION The mucous extravasation phenomenon (mucocele), generally believed to be traumatic in origin, is a lesion involving the salivary glands and their ducts. Traumatic severance of the salivary gland duct, such as that observed by biting the lip or buccal mucosa or, in this case, an athletic injury, precedes the development of the mucocele. Once the salivary gland duct is severed, a continuous pooling of mucus occurs in the surrounding fibrous tissue, producing a well demarcated cavity filled with mucus. The mucocele arises most frequently on the labial mucosa of the lower lip. It may also involve the floor of the mouth (where it is known as a ranula), buccal mucosa, palate, or the ventral surface of the tongue. Although the mucocele may occur in any age group from newborn to adult, it appears to be commonly observed in the first three decades of life. An equal distribution in occurrence between males and females has also been reported. The mucocele may present a variable picture in terms of its clinical appearance. The lesion in a superficial location will manifest as a circumscribed, fluctuant nodule with a bluish, translucent cast. A deeper location may also present as a fluctuant mass, but the surface appearance and color are those of normal mucosa. As previously mentioned, this phenomenon typically occurs following a traumatic episode of the involved
area. The mucocele will usually grow to a certain size and may persist for long periods of time unless treated. If the contents of the mucocele are expressed, they are usually found to consist of a thick, mucinous material. Microscopically, the mucocele is composed of a circumscribed, cystic cavity in the fibrous connective tissue of the submucosa. The lumen of the cystic cavity is surrounded by a thin wall of granulation tissue and is filled with an eosinophilic coagulum (mucus) containing acute and chronic inflammatory cells. A “feeder duct” from the associated salivary gland tissue is usually observed. Local excision with extirpation of the underlying lobules of minor salivary gland tissue is the treatment of choice. Failure to remove the glandular tissue may contribute to recurrence and/or persistence of the lesion. It is of interest that the mucocele is restricted almost exclusively to the labial mucosa of the lower lip and is seldom, if ever, observed involving the upper lip. Conversely, salivary gland neoplasms are for the most part confined to the upper lip and only rarely occur on the lower lip. REFERENCES Brannon RB. The odontogenic keratocyst—a clinicopathologic study of 312 cases. Part I: Clinical features. Oral Surg Oral Med Oral Pathol 42:54-72, 1976. Brannon RB. The odontogenic keratocyst—a clinicopathologic study of 312 cases. Part II: Histologic features. Oral Surg Oral Med Oral Pathol 43:233-255, 1977. Forssell K, Forssell H, and Kahnberg KE. Recurrence of keratocysts: a long-term follow-up study. Int J Oral Maxillofac Surg 17:25-28, 1988. Morgan TA, Burton CC, and Qian F. A retrospective review of treatment of the odontogenic keratocyst. J Oral Maxillofac Surg 63:635-639, 2005.
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SOCKET GRAFT MANAGEMENT: WHAT YOU NEED TO KNOW By: David H. Wong, DDS | Diplomate, American Board of Periodontology Think for a moment about how common tooth extractions are in dentistry. Now think about bone loss, how it’s virtually irreversible, and how it’s associated with disease and inflammation. How are these two related and what can be done about it?
• Provide quality bone for implant osseointegration
As we explore this question, we need to ask more questions: What happens to the bone after a tooth is extracted? How long does it last? Is it preventable? How?
SURGICAL CONSIDERATIONS TO SOCKET SITE MANAGEMENT When it comes to extracting a tooth, care must always be taken to preserve the facial and lingual cortical plates. Without these valuable structures, a simple socket graft may turn into a more complex procedure. For the purposes of this article, socket graft management will be discussed assuming a four-walled socket. Situations where a bony wall is missing (advanced periodontal disease, root fractures, endodontic lesions, etc.) often require additional planning and different execution. To simplify socket grafting procedures, every effort should be made to minimize trauma. Utilizing an “atraumatic” surgical technique is of utmost importance.
INTRODUCTION There are many reasons why teeth are extracted: severe periodontal disease, non-restorable caries, root fractures, orthodontics, pathology, etc. What the literature says about extractions and bone loss may be surprising. For example, tooth loss creates 40% to 60% alveolar bone loss in the first 2-3 years and then a resorption rate of 0.5% to 1% every year for the rest of the patient’s life.3 Bone loss also occurs both horizontally and vertically. While the extraction socket does fill with bone, the socket is also often occupied with connective tissue.2 What is the cause of the quantity and rapidity of bone loss? The reason is best explained by the bundle bone, which occupies the facial plate of a tooth. This bundle bone is very avascular and receives its blood supply from the periodontal ligament, the periosteum, and the alveolar marrow spaces.1 Once a tooth is removed, the loss of bundle bone is rapid and is responsible for the majority of the bone loss that occurs early on. This bone loss occurs nearly universally in all individuals as well as with all teeth to varying degrees. The most common treatment to minimize (not eliminate) bone loss is to place a bone replacement graft into the socket at the time of extraction. There are several notable benefits to grafting an extraction socket:5 • Enable the placement and stability of implants • Reduce the loss of bone volume • Reduce the need for additional bone grafting
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• Improve the esthetics of the final prosthesis • Regenerate bone faster • Protect the adjacent teeth
GRAFT MATERIAL SELECTION When it comes to choosing bone replacement graft materials, the options are endless. Fortunately, for basic socket grafting needs several materials will suffice. Bone graft materials are generally categorized into four groups: autografts, allografts, xenografts, and alloplasts. • Autograft - Donor and recipient sites are in the same individual. • Allograft - Donor and recipient sites are from two different individuals of the same species, i.e. cadaver bone. These graft materials may also be further subcategorized into mineralized or demineralized products. • Xenograft - Donor and recipient sites are from two different individuals of different species, i.e. animal bone. • Alloplast - A group of synthetic bone grafts such as ceramics and glasses and a multitude of other materials.
It is important to note several features about grafted bone compared to “native” bone. Grafted bone yields similar bone-to-implant contact as with native bone (40%-65%) and offers good primary stability at the time of implant insertion. It also does not impair early osseointegration. Grafted bone is able to sustain loading conditions long-term. THE SCIENCE OF BONE GRAFTING There are several mechanisms at work when it comes to how bone graft materials are able to aid in the regeneration of bone in an extraction socket. Osteogenic materials are able to directly form bone. This is an ideal property. Meanwhile, osteoinductive graft materials stimulate bone growth by influencing undifferentiated mesenchymal cells. Finally, osteoconductive bone grafts lead to bone formation by serving as a scaffold for bone growth. Despite the properties that bone graft materials possess, several other factors must be present to allow for proper and predictable bone growth. According to Wang and Boyapati6 four critical factors must be present: • Primary closure/Passivity of the flap • Angiogenesis • Space Maintenance of the graft • Stability of the graft When performing bone grafting procedures, all of these factors should be considered to allow for maximum predictability and success. CASE STUDY A 65-year-old healthy female presented with a hopeless lateral incisor (#7). The tooth had fractured at the gingival margin and was determined to be non-restorable (Fig. 1). She presented with the crown of the tooth bonded to the adjacent teeth. Her ultimate goal was to have the tooth replaced with a dental implant. This case series focuses on site preparation with extraction of the tooth and placement of a socket graft.
Following informed consent, local anesthesia was achieved. As with every extraction, the first priority was to remove the tooth as atraumatically as possible (Fig. 2). The ultimate goal was to protect the facial plate and avoid fracturing the bone. Once the tooth was successfully removed, the extraction socket was thoroughly evaluated. To evaluate the socket, a periodontal probe or explorer is used to examine the socket walls. In cases where a fenestration or dehiscence is present in either the facial or lingual cortical plates, various utilizations of flap designs are available as well as the addition of additional materials such as barrier membranes or blood-derived growth factors. In this situation, a fourwalled socket was present, so the following steps were taken to graft the socket: 1. 0.5 cc of mineralized cortical bone was hydrated in sterile water for 15-20 minutes (Fig. 3). Many other bone substitutes are available which would suffice, and sterile saline is often utilized to hydrate the bone graft material instead of sterile water. 2. The socket was then thoroughly debrided of any inflammatory tissue using scalers and hand instruments
Figure 1
Figure 4
3. Once hemostasis subsided, the mineralized cortical bone was introduced into the socket and gently condensed utilizing a cotton tip applicator. Care was taken to not pack the particles too tightly so as not to interfere with proper fluid exchange and clotting. Particular attention was also paid to ensuring that the bone graft material was placed at the level of the adjacent bone, not the level of the gingival margin. 4. The soft tissue was partially closed by tying a figure 8 suture over the socket with 4-0 chromic gut suture (Fig. 4). An Essix retainer was then utilized as the temporary prosthesis (Fig. 5). 5. The healing at 12 weeks shows a mature socket that is now prepared for either a dental implant or fixed partial denture (Fig. 6). FINAL THOUGHTS Once extraction of the tooth and grafting of the socket is complete, it is generally recommended to allow 12 weeks before considering permanent tooth replacement with options such as a fixed partial denture or a dental implant.4
Figure 2
Figure 5
ABOUT THE AUTHOR: Dr. David Wong is a board-certified periodontist in private practice in Tulsa, Oklahoma. Dr. Wong received his undergraduate education and dental training at the University of Oklahoma. He then went on to complete a three-year residency in periodontics at the University of MissouriKansas City. He is a Diplomate of the American Board of Periodontology as well as an Adjunct Associate Professor at the University of Pennsylvania School of Dental Medicine and an Associate Clinical Professor at the University of Oklahoma College of Dentistry. He is a published author in several peer-reviewed dental journals but has also reached a mainstream audience in media such as Fox News and the Wall Street Journal. Dr. Wong presently resides in Tulsa with his wife and three children where he maintains a full-time private practice.
Figure 3
Figure 6
REFERENCES 1. Araujo MG et al. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol, 2005; 32(2): 212-8. 2. Barone, A et al. Xenograft versus extraction alone for ridge preservation after tooth removal: A clinical and histomorphometric study. J Periodontol, 2008; 79(8): 1370-7.
3. Christensen GJ. Ridge Preservation:Why Not? J Am Dent Assoc. 1996; 127: 669-670 4. Neiva R et al. Analysis of tissue neogenesis in extraction sockets treated with guided bone regeneration: clinical, histologic, and micro-CT results. IJPRD. 2011; 31(5): 457-469
5. Pagni G, et al. Postextraction alveolar ridge preservation: Biological basis and treatments. Int J Dent. 2012: 151030. 6. Wang H and Boyapati L. “PASS� principles for predictable bone regeneration. Implant Dent. 2006; 15(1): 8-17.
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Collect What You Produce:
INSURANCE MANAGEMENT By: Cathy Jameson, PhD | Part 7 of a ten-part series “Be insurance-aware but not insurancedriven.” (Cathy Jameson) Dental insurance is an asset to both you and your patients. You can increase the amount of care you provide and your patients can receive the dental care they need. While insurance is beneficial, there are frustrations. Your patients would like to have better coverage for needed and desired care, and you would like to be paid more equitably for the care you provide. Insurance-related challenges that you may face include: (1) little to no increases in yearly maximums resulting in an insurance plan that covers less and less care; (2) insurance companies dictating your fees and/or types of treatment; (3) inaccurate communication to your patients about your fees; and (4) a major impact of managed care on the profession. Approximately 85% of all dental insurance is PPO (Preferred Provider Organization), which is a major change in insurance coverage. Four out of every five dentists accept at least one PPO. There are fewer and fewer total fee-for-service (private pay) providers. According to the ADA, 50% or more of your income will flow through your practice in the form of insurance reimbursement. It is imperative that you manage this system correctly. The purpose of this article is to explore how best to manage insurance. It is not a comprehensive treatise on insurance management. If you have specific questions related to insurance, I refer you to Dr. Charles Blair’s books on managing insurance and on coding (Coding with Confidence and Administration with Confidence), or you can contact our consulting division at Jameson Management (info@jamesonmanagement. com or www.jamesonmanagement.com). THE PERSONAL NATURE OF INSURANCE People feel very close to their insurance plans. Thus, the way you handle your patient’s insurance is important. No matter how good or poor the plan, do not be critical of it in front of the patient. It’s a benefit they’ve paid for or received 40 journal | Nov/Dec 2020
from their employer. If you’ve chosen to participate in a managed care program (and adjust your fees accordingly) it’s your choice. It’s not the patient’s fault if the insurance company is difficult to deal with or doesn’t pay well. Handling insurance is a process that needs and deserves special attention. INSURANCE VERIFICATION It is important that you verify a patient’s insurance program before treatment is rendered. Gather relevant information about the benefit package. Is the patient eligible? What are the benefits? PRE-DETERMINATION OF BENEFITS Unless an insurance company requires a pre-determination of benefits, don’t provide one. Most patients who ask for a pre-determination do so because dental practices have taught them to do so. Some practices are so apprehensive about asking for money that they defer it by saying, “Let’s see what your insurance is going to pay, then we can see what we need to do— or see how much you will owe.” That’s a stall tactic – one that insurance companies love!. Approximately 50% of people who file a pre-determination of benefits will never proceed with treatment. According to insurance experts, a predetermination of benefits should be done only if (1) the insurance company requires it, (2) the patient requests it, or (3) the patient refuses to accept accountability for the strengths and weaknesses of their dental plan. Just because a patient receives a predetermination of benefits doesn’t mean the insurance company will pay. If a patient has an extensive treatment plan and insists on a pre-determination, consider filing the pre-determination but start only the restorative care. By the time a response is received, you would then be ready for more extensive or complicated treatment. If you are going to accept assignment of benefits, consider the following: 1. Quote the entire fee and let the patient know that they are ultimately responsible for the entire fee, regardless of what
insurance reimburses. 2. File insurance claims as a service to the patient. Take the assignment of benefits. 3. Collect the estimated patient portion at the time of the service. Do not under any circumstances file the insurance and wait to collect the patient portion after insurance has paid. This is financial suicide. 4. Let the patient know up front that they are responsible for the account; the insurance contract is between them and the insurance company. Put into writing that if for any reason insurance hasn’t paid in 45 days (or whatever time frame you choose) the patient will need to pay the balance in full. And if the insurance company doesn’t pay at all, the patient will be responsible for the total amount. 5. Be sure you have a written financial agreement on file. (Many people never remember that they ever agreed to anything.) 6. Keep track of this entire process. If insurance hasn’t paid within the agreedupon time frame or if payment leaves a balance remaining, call the patient immediately and collect the balance with a credit card or patient financing program or send a statement with a self-addressed stamped envelope. 7. Prepare a pre-authorization form that is secured and firewalled in your records. 8. Place any post-insurance balance (or the full balance if insurance doesn’t pay at all) onto the patient’s healthcare financing program or on a bankcard. MORE ABOUT INSURANCE MANAGEMENT Your insurance system must be managed/ monitored with extreme dedication. What do you collect per year? What is 50% of that? Your management of this much money is a critical factor of the business of your practice and must be handled accordingly. All management systems in the dental practice need to be both time- and cost-efficient, including insurance management.
About 77% of the population has some dental insurance, leaving 23% without coverage. The average maximum annual insurance coverage remains $1,000 to $1,500. The 77% with insurance may need assistance with the part not covered by their annual maximum. It goes without saying that the 23% without coverage will need assistance for a greater portion of their dental costs. If you are filing insurance, develop a controlled system for filing and following up on all claims. You should consider contacting a management expert who can help you set up that system, learn to administer it effectively, and make sure that you get great results (1) if you do not have a 7-10 working-day turnaround on all claims, (2) if you have 30-day past due claims, and/or (3) if you don’t really know the status of your insurance. Too much money is at stake. SUMMARY Be insurance-aware, not insurancedriven. Don’t let what an insurance company will or will not cover determine the type of treatment you recommend. Remember that insurance companies are not interested in whether or not the treatment you recommend is best for the patient. They are only interested in whether or not something is a covered benefit, and they will pay accordingly. Consider the following “Rule of 10 Insurance Musts”: 1. Decide whether or not you are going to accept assignment of benefits and manage accordingly. 2. Practice verbal skills and learn to
communicate about insurance. 3. Get insurance verifications quickly -before the patient arrives, if possible. 4. Move away from unnecessary insurance pre-determinations. 5. Collect the patient’s estimated portion at the time of the service. 6. Make sure your patients understand that they are ultimately responsible for the full treatment fee. 7. Develop a foolproof system for filing and collecting insurance claims. 8. Make sure you are receiving insurance payments within 7-10 working days and that you have no past due claims. 9. Collect any remaining post-insurance balance from the patient immediately. Do not let any such outstanding balances sit on your books and lose value every month. 10. Insurance collections are a major part of your entire income. Honor this with good management, time, attention, care and respect. Make it easy for people to pay. Convenience is important to busy people in today’s world. Insurance has been a wonderful supplement to people’s dental care and to the growth of dental practices. Now more people can use insurance benefits because they have a way to finance the difference after insurance pays with patient financing programs.
ABOUT THE AUTHOR: Cathy Jameson, PhD, is
the founder of Jameson Management, Inc., an international management, hygiene, and marketing firm which offers proven management and marketing systems for helping organizations improve in a positive, forward-thinking culture. Jameson holds a doctorate in management from Walden University where she focused her research on transformational leadership. She has been inducted into the College of Education Hall of Fame and is a Distinguished Alumna of Oklahoma State University. She serves on the Board of Governors there. Jameson has been named one of the top 25 Women in Dentistry and has received Lifetime Achievement Awards from the Excellence in Dentistry Organization and from the Academy of Dental Office Managers. She was a finalist for the Stevie Award for outstanding entrepreneurial women. She is a member of the American Association of Female Executives, National Speaker’s Association, Academy of Dental Management Consultants, National Society of Leaders and Success and Chi Omega Women’s Fraternity. Jameson has lectured in all US states and in 31 countries. She has had over 1,500 articles published throughout the US and the world. She is the author of eight books, including the 3rd Edition of her bestseller, Collect What You Produce and Creating a Healthy Work Environment. These can be purchased from Amazon. For more information on Dr. Jameson’s lecture or personal consulting services, contact her at Cathy@ jamesonmanagement.com. For more information on the consulting services of The Jameson Management Group, contact www.info@jamesonmanagement. com or www.jamesonmanagement.com
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HYGIENE HOTSPOT
A VISIT TO THE OUCOD DURING A PANDEMIC By: Donna F. Wood, RDH, MS, MEd and Kim Graziano, RDH, MPH Good morning and welcome to the OU College of Dentistry! What is your name please and what time is your appointment? Thank you, I see your name on our schedule and you are being treated today in the Shillingburg Clinic located on the third floor. Please enter through the revolving door and they will take your temperature and ask you some questions inside. This is the dialogue that occurs daily with every patient that enters the dental school. One hundred seventy-five faculty, staff and students volunteer weekly as screeners to help with this process to manage the entry of four hundred patients each day. Everyone is aware of the changes and challenges that COVID-19 has brought to the dental profession. The educational realm of the profession is no different. Dean Raymond Cohlmia and all of the OUCOD faculty have been working tirelessly since the pandemic was first declared to ensure that both the dental and dental hygiene students were and are able to receive a full education, both didactically and clinically, despite the necessary limitations caused by the virus. As many of you are aware, personal protective equipment (PPE) has been one of our greatest challenges during the pandemic. Every week it will be something new that is difficult to obtain. In the beginning it was N95 respirators; today, it is gowns. We anxiously await what new obstacle tomorrow may bring. Dean Cohlmia developed the Reengagement Task Force (RTF) to create policies and procedures that safeguard the dental school community. This committee created a return-to-service plan that
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allowed us to be one of the very first dental schools in the United States to reopen. The RTF continues to meet weekly to review and adjust current policies regarding the changes that occur nationally from the CDC, as well as those changes that occur on the OU campus. While many of our courses are occurring online, all of our classrooms have been adjusted to meet social distancing requirements. Because we’ve been able to modify classrooms to accommodate the dental hygiene classes at all of our educational sites, the majority of our classroom teaching is occurring in person. Prior to COVID-19, hands-on learning occurred three times a week with our first-year DH students working on student partners. Now that we are limited by social distancing and PPE, we’ve resorted to working on manikins two days per week and then student partners one day per week. The manikin clinics are working well as more students are allowed in the lab at one time. There have been relatively few modifications to the second-year DH students’ clinical education. The students have not been able to attend outside clinical rotations at our partnering clinics but we are hoping to add those to the schedule for the Spring 2021 semester. They are also not utilizing any aerosolizing procedures in their treatment of patients. Through it all, we have remained very optimistic and positive that we are maintaining the “OU standard of education” for our dental hygiene students, while keeping all our faculty, staff, students and patients safe.
ABOUT THE AUTHORS: Donna Wood, RDH, MS, MEd is the Dental Hygiene Program Director at the OU College of Dentistry. She is an Associate Professor and a Course Director for both didactic and clinical courses in the Dental Hygiene Program. She is currently a PhD candidate at the University of Oklahoma where she is studying Adult and Higher Education. Wood served as 2017-18 President of the Oklahoma Dental Hygienists’ Association, and has served as the Dental Hygiene Lead for the Oklahoma Mission of Mercy since its inception in 2010. Kim Graziano, RDH, MPH is the Director of Compliance at the OU College of Dentistry. She is an Associate Professor and a Course Director in the Pre-Doctoral Program and provides clinical teaching in the Dental Hygiene Program. Graziano has provided multiple CE courses on Infection Control and has served as the Infection Control Lead for the Oklahoma Mission of Mercy since 2011.
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NICOTINE POISON PREVENTION By: Scott Schaeffer* and Chantel Hartman** * Managing Director, Oklahoma Center for Poison and Drug Information ** Cessations Systems Coordinator at the Oklahoma State Department of Health Oklahoma acknowledges the traditional and sacred use of tobacco among American Indian people living in Oklahoma. Unless otherwise stated, any reference to tobacco in this article refers to the use of commercial tobacco.
While it may not seem likely, children are natural explorers and will readily eat things that adults would not think of ingesting, including cigarette butts and chewing tobacco. As little as one cigarette or three cigarette butts can cause toxic symptoms in a child, and vaping liquid can be quite toxic even in small amounts. Symptoms of nicotine poisoning typically occur rapidly and include sweating, dizziness and vomiting. In more severe intoxications, seizures, dysrhythmias and respiratory muscle paralysis can occur. The Child Nicotine Poisoning Prevention Act of 2015 requires the Consumer Product Safety Commission to hold liquid nicotine packaging to the same standard as other child-resistant packaging requirements for poisons and medications. During interactions with patients you should emphasize safe storage as a key strategy towards preventing inadvertent nicotine exposure. Tobacco products, including vaping liquid and nicotine replacement pharmaceuticals, should be stored out of the reach of children. You can also encourage patients to become familiar with the Oklahoma Center for Poison and Drug Information. The Oklahoma Center for Poison and Drug Information, which is staffed with specially trained pharmacists and nurses, provides poisoning management advice to Oklahoma residents and healthcare professionals. The Poison Center aims to save lives as well as provide a cost-effective service to patients and residents by promoting the appropriate use of health care resources. During interactions with patients it may be beneficial to highlight that there does not need to be a medical emergency for them to contact the Poison Center and to learn more about the prevention and management of potentially toxic exposures. If you are looking for ways to promote nicotine poisoning prevention in your practice, the Poison Center is equipped to provide dental providers with Poison Center magnets, stickers and brochures for patients. Center|also continues 44Thejournal Nov/Dec 2020 to partner with
the Oklahoma State Department of Health to develop additional resources, such as the Child Nicotine Poisoning Prevention and Nicotine Poisoning Symptoms & Prevention factsheet, and to explore new opportunities to address nicotine-related poisonings in Oklahoma. Informing patients about the dangers of nicotine poisoning presents another opening for dental professionals to encourage patients to quit for their health and families. To show additional support for patients who would like to quit and to bring awareness to the importance of planning for a tobacco cessation journey, dental professionals in Oklahoma are encouraged to celebrate the American Cancer Society’s Great American Smokeout® on the third Thursday in November. The Smokeout is an opportunity for dental professionals as healthcare providers who maintain lifelong relationships with patients from all backgrounds to highlight that the likelihood of a successful tobacco cessation journey is increased with a good plan and support. You can also inform patients that incorporating counseling and medications in their tobacco cessation journey can double or even triple their chances of quitting successfully. For more information about the Great American Smokeout® and to download free promotional materials, please visit the American Cancer Society’s website or contact the Oklahoma State Department of Health’s Center for Chronic Disease Prevention and Health Promotion at Cessation@health.ok.gov. Additional examples of how you can educate patients and staff on the dangers of nicotine poisoning and the importance of remaining tobacco and vape-free include the following: • Ensure that the entire dental team is confident in communicating the dangers of tobacco use, including the use of e-cigarettes and vapor products, and that no tobacco does not mean no nicotine. • Remind patients with small children in the home to never refer to tobacco or medicine as “candy” or another appealing name. • Remind patients who use tobacco products, including e-cigarettes and vapor products, and who have small
children in the home to only buy liquid nicotine refills that are in child-resistant packaging, and keep tobacco products/ accessories out of children’s reach. • Remind patients to save or post the Poison Control number (1-800-2221222) on or near every home telephone and cell phone for access 24 hours a day and 7 days a week in the event of possible nicotine poisoning • Update patient intake forms to ask about tobacco and vaping use in plain language. • Utilize the 5 A’s and motivational interviewing techniques for all patients, including teens. • Refer patients directly to the Oklahoma Tobacco Helpline for free counseling and nicotine replacement therapy by fax, electronic medical record, or through the web. Patients interested in quitting can explore options by calling 1-800-QUIT NOW (1-800-784-8669) or visiting OKhelpline.com. • Post Oklahoma Tobacco Helpline promotional materials in your waiting room. You can order or download free promotional materials, including pens and posters, by visiting OKhelpline.com. • Refer younger patients (13-17 years old) to the My Life, My Quit youth cessation program for free live text support, web chat, and phone coaching. To sign up, teens can text “Start My Quit” to 855891-9989 or visit MyLifeMyQuit.com. If you would like to learn more about patient resources or how to schedule trainings with a board-certified clinical toxicologist, please call 405-271-5454 or visit oklahomapoison. org. The Oklahoma State Department of Health’s Center for Chronic Disease Prevention and Health Promotion is also available to assist healthcare systems and providers create tobacco-free healthcare environments and implement a Helpline referral system. For assistance, contact the OSDH Center for Chronic Disease Prevention and Health Promotion at (405) 271-3619 or Cessation@health.ok.gov.
ABOUT THE AUTHORS: Chantel Hartman currently serves as Cessations Systems Coordinator at the Oklahoma State Department of Health. Her duties include the management and oversight of collaborative, population-based cessation assessments and assistance programs for adults and youth in Oklahoma. Hartman received her Master of Public Administration degree with a concentration in Public Health Administration from Troy University and a Bachelor of Science in Biology from Auburn University Montgomery. In addition to completing the Centers for Disease Control and Prevention's Office on Smoking and Health Leadership and Sustainability School, Hartman is a Senior Fellow of the Millennial Policy Initiative Commission on Healthcare , and an abstract reviewer for the Alcohol, Tobacco and Other Drugs section of the American Public Health Association.
Scott Schaeffer graduated from the University of Oklahoma College of Pharmacy in 1992 and has been working in the field of clinical toxicology for over 25 years. In addition to his position as Managing Director of the Oklahoma Center for Poison and Drug Information, he serves on several state and national committees related to drug abuse and toxicology. Scott has particular interest in the areas of drugs of abuse and health literacy.
Number of Oklahomans Helped by the Oklahoma Tobacco Helpline:
Put Your Patients on the Right Path You know the risks of tobacco, but what about your patients? Talk to them about tobacco use and introduce the FREE services from the Oklahoma Tobacco Helpline, including: - At least a two-week supply of patches, gum or lozenges - Access to Quit Coaching - 24/7 phone, web or text support
Now, 13-to-17-year-olds can receive free help to quit through live text, phone or web chat. Visit MyLifeMyQuit.com or text “Start My Quit� to 855-891-9989 855-891-9989..
These evidence-based methods are proven to increase the odds of quitting. For more information and free promotional materials, visit OKhelpline.com.
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GOOD SHEPHERD DURING A PANDEMIC By: Jeanie Bath, DDS, Dental Director, Good Shepherd Ministries When the pandemic hit, Good Shepherd already had an extraction phone line in place. We were ready to impact vulnerable members of our community at a time of their great need early in the pandemic. Many people with low income (or no income due to the pandemic) did not know where else to turn. Here are deidentified excerpts from a few patient notes during that time:
• Can’t do anything with the debilitating pain, can`t work, the pain is constant. • When it hurts, pain shoots up side of face and eye. “I cry: It hurts that bad, I cry.” Our numbers were down, but our care was intense. We saw patients with so much pain they • stayed awake many nights
• Pain was excruciating, worse than getting shot (and patient reports he`s been shot 3 times).
• tried to pull their own teeth
• Terrified of getting this virus so did not want to go to dentist, but couldn`t bear it any longer. Ran out of ibuprofen two days ago; scared to go buy more bc of the pandemic.
• blamed and hated themselves for letting their teeth get like this
• The only thing that makes it feel better is rinsing with mouthwash, which patient carries in his pocket. • Pain for a few days, then yesterday’s pain “so bad I thought I was gonna die.” • Patient took antibiotics from feed store and pain went away, then pain returned, then antibiotics from feed store again, then pain returned again.
• nearly overdosed on ibuprofen and/or tylenol and/or alcohol
• wondered how much longer they could take it before completely giving up. Ms. C told us she was evicted from her apartment shortly before the non-eviction rules. Two days later, her car broke down. Then her mom from out-of-state was in a nearly fatal car accident. She found an overhang to sleep under during a storm, but was sent away because the overhang was on private property. Pandemic closures meant she couldn’t find public restrooms. One bright spot: a local church welcomed her to
GOOD SHEPHERD CLINIC AWARDED $20,000 CHALLENGE GRANT FROM DELTA DENTAL OF OKLAHOMA FOUNDATION Good Shepherd Clinic was awarded a $20,000 grant from the Delta Dental Of Oklahoma Foundation to provide access to oral health care to assist low-income, uninsured residents of Oklahoma City to receive dental care they would otherwise go without. Delta Dental of Oklahoma Foundation is a not-for-profit dental benefits company. It is the mission of Delta Dental of Oklahoma (DDOK) to improve the oral health of all Oklahomans. DDOK strives to accomplish this mission by providing quality dental benefits plans to more than one million Oklahomans, and by donating 50 percent of annual contribution to reserves to its Foundation to advance dental education and access to care. The grant funds will be used to provide comprehensive mouth stabilization to all medical patients and urgent mouth care to any vulnerable member in the community. “We are honored to receive this grant allowing us to serve even more in our community who
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otherwise may go without desperately-needed care,” Good Shepherd Clinic’s Executive Director Pam Timmons said. “The funding will enable our organization to bring essential medical and dental services to uninsured Oklahomans while serving as a teaching clinic to hundreds of medical and dental students each year and relieving the burden on other community services.” Good Shepherd has remained on the frontlines and continues on by providing life-saving medical, dental, vision, and prescription medication to the working poor who are living in poverty. Our volunteer doctors, dentists, staff and hundreds of medical students have been continuing to make sure our community remains healthy and productive citizens. Good Shepherd is a charitable clinic in the heart of midtown Oklahoma City. We do not receive any insurance, federal, or state funding and rely on volunteers and donors to provide for those living in need.
sleep there while they were closed. Then her tooth abscessed. She has extreme dental anxiety and cried while preparing for her treatment. Her tooth came out without complication, and we thanked God together for this! Meanwhile, our Good Shepherd Dental Strategic Plan provides measures for keeping the purpose on track through this pandemic disruption. Prevention of mouth disease for our comprehensive care patients is intentional and measured. We are still early in this process but working toward larger impact goals. Pandemic restrictions on student activity required a massive increase in volunteer dentists, and WOW, Good Shepherd dentists have volunteered like never before! THANK YOU to many ODA member dentists who have cared so well for our community in this time of great need!
LAWTON CLINIC ADDS FREE DENTAL CARE TO ITS LIST OF SERVICES By: Stacy Yates, ODA Director of Communications and Education On Thursday, October 8th, at 4:00 p.m. Hearts That Care in Lawton, OK hosted a ribbon cutting followed by a live and silent auction to unveil their new facility at 1313 W. Gore. In addition to moving to a larger building, free dental care has been added to the list of services patients will be able to receive while visiting the center. For more than fifteen years, Hearts That Care has been serving the Lawton/ Fort Sill community by providing free medical care to individuals ages 19-64, at or below the 200% national poverty level, and who do not have health insurance. After many years of planning, strategic partnerships and securing the necessary monetary donations the organization is excited to be adding free dental care to its list of services. The hope is to add free eye care in the near future. After retiring, oral surgeon
Dr. David Lindley offered his office to be renovated for the new clinic which allows for additional space to meet the needs of even more patients. Hearts That Care is a nonprofit run entirely by volunteers. The clinic is open the first and third Thursday of every month for medical care and beginning October 22nd will be open the 2nd and 4th Thursdays of every month for dental care. “The community we serve is too old for Medicaid and too young for Medicare,” said Dr. Todd Bridges, Dental Director, and board member at Hearts That Care. “Oral health care is vital care. It is as important as having regular cholesterol, blood pressure and other health and wellness checks. By adding free dental care to the list of services at Hearts That Care we are meeting a critical need within our
Attending the grand opening were ODA members: [l-r] Drs. Wayne Littlefield, Paul Wood, Paul Mullaseril, Juan Lopez, Shannon Griffin, ODA Executive Director Lynn Means, and Todd Bridges.
community and are able to ensure patients are receiving comprehensive care during their visit.” The clinic has secured the facility and some equipment but is still in need of funding for the day-to-day expenses that come with treating patients. This includes obtaining the necessary supplies like PPE, gauze, pharmaceuticals, dental composite, and countless other items necessary to meet the medical and dental needs of patients. If you would like to help support the mission of Hearts That Care please visit facebook.com/HeartsThatCareLawtonOk, email htcvhc.lawton.ok@gmail.com, or call 580-354-9007.
"By adding free dental care to the list of services at Hearts That Care we are meeting a critical need within our community and are able to ensure patients are receiving comprehensive care during their visit"
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Maximize Business with Electronic Prescribing By: Robert McDermott, President & Chief Executive Officer It’s not every day the dental industry celebrates the arrival of a new law. This year, you started using electronic prescriptions for controlled substances containing an opioid. And, if you received a waiver postponing the switch from paper to electronic, the time is nearing for you to take action. If you view Oklahoma’s electronic prescribing law as a lead domino, the many dominoes that follow each represent opportunities to increase the speed of your operation and reduce current inconveniences to your patients. Consider examining the literal monetary cost to the time consumed by you, your staff and your patients just to navigate the current paper system. There are calls to and from pharmacies, plus time spent looking up drug information on websites or in reference books. Patients may leave the appointment without their prescription. Adherence drops when a patient feels inconvenienced when dropping off or waiting to pick up prescriptions. The list goes on. Every minute spent by you and your team can be calculated into a direct cost based on wages alone. However, when you consider second and third-order effects of interrupted workflow, the indirect costs grow even greater. Add these costs on top of the dangers of unintended interactions (or undetected prescription abuse) and the weight of the paper system really starts to show itself.
Compliance with the law is just one benefit of e-Prescribing. Speeding up your workflow is key, so look for the following functions in an e-Prescribe software and make sure they are included in the flat subscription rate. Prescribe on Your Office Computers, Laptop, Tablet or Phone A truly comprehensive cloud e-Prescribing solution allows you to e-Prescribe from desktops and laptops at no additional cost, from any location, any time. Integrate with Your Practice Management System (EHR) With true integration, your EHR populates your patient’s information directly from your system into your e-Prescribing software, eliminating duplicate work. Single-Click Access to the Oklahoma Prescription Monitoring Program (PMP) The national average duration to access a state PMP website is more than four minutes and 50 clicks. However, a comprehensive e-Prescribing cloud software that is properly integrated to your EHR can reduce this to one or two clicks. This is by no means a comprehensive list but it does shed light on opportunities to speed up your workflow, protect your patients and improve profit through productivity.
ABOUT THE AUTHOR: Robert McDermott is President and Chief Executive Officer of iCoreConnect, an award-winning provider of secure cloud-based communications and productivity software for high compliance industries, most notably in dentistry. During McDermott’s first six months on the job, he met with more than 2,000 dental and medical professionals around the country. Every one of iCoreConnect’s cloud-based services, from our practice management software and HIPAAcompliant email to our ePrescription tool, are designed on the input of those practicing doctors. Because of McDermott's commitment to the customer and product excellence, iCoreConnect was named one of the United States’ Top 10 Encryption Providers by Enterprise Security Magazine. iCoreExchange, the company’s HIPAAcompliant email, was named one of Dental Products Report’s Top 50 Products. Additionally, iCoreConnect was honored as a Top 10 Dental Solution by Healthcare Tech Outlook.
iCoreConnect is an ODA Rewards Partner with expertise in cloudbased technologies to improve and protect your practice. ODA members receive special discount pricing on iCoreRx-empowered ePrescription service. Add the +PMP function to simplify your mandatory prescription check with one-step, real-time access to Oklahoma PMP AWARE. Visit iCoreConnect.com/Oklahoma, or call 888.810.7706. 48 journal | Nov/Dec 2020
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OKLAHOMA DENTAL FOUNDATION
MobileSmiles Oklahoma: On the Road Again By: John Wilguess, Executive Director, Oklahoma Dental Foundation In 2013, the Oklahoma Dental Foundation placed a new mobile dental unit on the roads of Oklahoma. Since that time, we have been to nearly every county and numerous towns, literally touching every border possible except Colorado. (Guymon is as close as we’ve come to the Centennial State.) Our team still refers to it as the “new” mobile unit, even though it’s now nearly eight years old with thousands of miles on it and thousands of patients who have been in it. Thankfully, MobileSmiles is rarely seen as it is in the accompanying picture. Throughout the COVID-19 period, the MobileSmiles program has been placed on hiatus. That break has allowed us to have necessary work done to ensure it is ready to return to the road when we are able to see patients again. This picture, though, may need a bit of orientation. Under normal circumstances we view this mobile unit from the side, the inside or driving down the road. Never have we seen the underside – until now! Earlier this year, on the way to a rural non-profit site, the engine began to make noise and lose a tremendous amount of oil. After weeks and weeks of evaluation with mechanics of all sorts, it was determined that the only fix was a brand new engine. The photo shows the original engine being dropped out through the bottom of the unit. The mechanic team at Mikey’s Automotive in Oklahoma City have been laser-focused on getting the unit repaired for the long term to better The engine of the MobileSmiles unit ensure that our staff and equipment is safe when getting from one site to another and that the mobile unit can be kept on the road for years to come. In every dental practice, there is much attention and concern about keeping the dental equipment functioning at professional levels; the MobileSmiles program must not only address that issue but must also be on top of the mechanical side of the RV itself. The good news is that MobileSmiles is about to be back on the road. The even better news is that a brand new mobile unit will be built and delivered in 2021 to ensure that its vital dental education and outreach continue across Oklahoma for many years to come. Contact the ODF at 405.241.1299 or learn more about this program at www.okdf.org.
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TO THE
CHAMPION OF THE UNINSURED AW A R D W I N N E R Since 1959, the Oklahoma Dental Foundation (ODF) has been at the forefront of charitable dentistry in our state, providing oral health education to the public and creating a coordinated system for dentists to volunteer their professional services to those in need. Oklahomans are twice as likely to lack dental insurance than the average American, making dental care unattainable for many. The Oklahoma Dental Foundation steps in to provide Oklahomans with state-of-the-art dental care they may not otherwise have access to. ODF established the first mobile dental care program in the state, MobileSmiles Oklahoma, to increase access to care by bringing dental care directly into a community. Staffed with fourth-year dental students, overseen by an experienced dentist preceptor, MobileSmiles offers healing and hope for a health outcome many have given up on. This program has served more than 26,292 Oklahomans since 2010.
T H E O D F R E C E I V E D R E C O G N I T I O N AT T H E C H A M P I O N S O F H E A LT H V I R T U A L G A L A ON SEPTEMBER 29. To l e a r n m o r e a b o u t t h e C h a m p i o n s o f H e a l t h a n d i t s b e n e f i c i a r y , the Oklahoma C aring Foundati on, visit champi onsofhealth.org
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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 Opportunity in Shawnee, Oklahoma Various Options. Call Jack at (405)765-6541 Busy Norman, OK, General Practice for Sale Busy general practice outside Norman, OK for sale. Fully equipped dental operatories with room for large expansion. Over 2,200 active patients. Collections of $615,000 & adjusted EBITDA over $150,000. Real estate for sale as well. To learn more, contact Kaile Vierstra with Professional Transition Strategies either by phone at (719)694-8320 or by email at kaile@professionaltransition.com. Great Opportunity for the Future Looking for an Associate Dentist/Partner or future business owner to join a private practice in rural western Oklahoma. Starting salary of at least $125,000 with bonuses negotiable. Other benefits such as moving bonus, lab fees and covering insurance costs can be discussed. Mostly fee for service practice averaging 35-40 patients a month with potential for more. Practice is paperless and digital with up to date equipment, technology and extra operatories available in 3,400 sq. foot stand-alone building in great area of town. CO2 laser and scanner already incorporated into everyday clinical care. Practice located in town of around 12,000 people and draws from many more smaller towns in the area. Looking for someone of high character and morals who has a passion for dentistry and willing to work hard and continue to learn and grow in the profession. There are great long term opportunities including buy-in/partnership, ownership and expansion. If interested in learning more about the opportunity, please call or email the contact information below. Garrett Phipps, DDS Phipps Dental Practice: Creating Smiles and Impacting Lives in Guymon, OK W # (580) – 338 – 7210 C # (580) – 461 – 1479 F # (580) – 338 – 8318 phippsdentalpractice@gmail.com
EQUIPMENT FOR SALE IntraOral X-Ray Sensor Repair/Sales We repair broken sensors. Save thousands in replacement costs. Specializing in Kodak/Carestream, major brands. We buy/sell sensors. American SensorTech (919)229–0483 www.repairsensor.com
Place a Classified Ad Placing an ad with the ODA allows you to target your ad to a specific audience. Unlike other classified ad sources (local newspaper, other online classified sites, etc.), a listing with the ODA gives you exposure to the people who would be most interested in your ad. The online version of the ODA Journal contains active hyperlinks within the advertisement, ensuring you get maximum exposure for your ad.
SUBMIT A LISTING
Submitting a classified ad is easy with our online form. Find the form and more information at www.okda.org/classifieds.
PRICING ODA Members Online - Free ODA Journal - $40 for first 50 words (additional words $0.15 each)
52 journal | Nov/Dec 2020
QUESTIONS?
Non-ODA Members Online or ODA Journal - $83 (>50 words) (additional words $0.32 each) Bundle (online & Journal) $149 (>50 words) (additional words $0.32 each)
Visit: www.okda.org/classifieds Email: advertising@okda.org Call: 800.876.8890
STATEMENT OF OWNERSHIP, MANAGEMENT, AND CIRCULATION 1. 2. 3. 4. 5. 6. 7.
8. 9.
10. 11. 12. 13. 14.
Publication Title: Oklahoma Dental Association Journal Publication Number: 284-980 Filing Date: August 26,2019 Issue Frequency: Bimonthly Number of Issues Published Annually: 6 Annual Subscription Price: $56 Complete Mailing Address of Office of Publication: Oklahoma Dental Association, 317 NE 13th St, Oklahoma City, OK 73104 Contact Name: Stacy Yates, (405) 848.8873 Editor Name: Mary Hamburg, DDS Managing Editor: F. Lynn Means Complete Mailing Address of Headquarters or General Business: Oklahoma Dental Association, 317 NE 13th St, Oklahoma City, OK 73104 Full Names and Complete Mailing Addresses of Publisher, Editor and Managing Editor: Oklahoma Dental Association, 317 NE 13th St, Oklahoma City, OK 73104 Editor Name: Mary Hamburg, DDS, Managing Editor: F. Lynn Means Owner: Oklahoma Dental Association, 317 NE 13th St, Oklahoma City, OK 73104 Known Bondholders, Mortgagees, and Other Security Holders Owning or Holding I Percent or More of Total Amount of Bonds, Mortgages, or Other Securities: None Tax Status: Has Not Changed Publication Title: Oklahoma Dental Association Journal Issue Date for Circulation Data: September/October 2020
Are Areyou youan anexpert expertinin aa topic topicrelated relatedtoto dentistry? dentistry? Would Wouldyou youlike liketotoshare share that thatknowledge knowledgewith with oklahoma dentists oklahoma dentists or other or other dental professionals?
dental professionals?
The ODA is building a The ODA isbureau building speaker’s ofa speaker’s bureauwho of member dentists member dentists who are qualified and who are qualified desire to speakand at who desire to speak at various events.
various events.
Average No. Copies Each Issue During Proceeding 12 Months
15. Extent and Nature of Circulation a. Total Number of Copies (Net press run) b. Paid Circulation 1. Mail Outside-County Paid Subscriptions Stated on Form 3541 2. Mail In-County Paid Subscriptions Stated on Form 3541 3. Paid Distribution Outside the Mails Including Sales Through Dealers and Carriers, Street Vendors, Counter Sales, and Other Paid Distribution 4. Paid Distribution by Other Classes of Mail Through the USPS c. Total Paid Distribution [Sum of 15b] d. Free or Nominal Rate Distribution 1. Outside-County included on PS Form 3541 2. In-County included on PS Form 3541 3. Other Classes Through the USPS 4. Free Distribution Outside the Mail (Carriers or Other Means) e. Total Free Distribution (Sum of 15d) f. Total Distribution (Sum of 15c and 15e) g. Copies Not Distributed h. Total (Sum of 15f and g) i. Percent Paid (15c divided by 15f times 100) 16. Electronic Copy Circulation 17. Publication of Statement of Ownership required. Will be printed in the Nov/Dec 2020 issue of this publication 17. Signature and Title of Editor, Publisher, Business Manager, or Owner F. Lynn Means, Managing Editor, Sept 20, 2020
No. Copies of Single Issue Published to Filing Date
1710
1661
1689
1641
1689
1641
15 10 15 1704 6 1710 99.1%
10 1651 10 1661 99.3%
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Speaker’s Speaker’s bureau bureau o k d a . o r g / o d a - s p e a k e r s - b u rwww.okda.org eau
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okda.org/oda-speakers-bureau
FINAL THOUGHTS
WORDS OF WISDOM FROM DR. SARAH CAMPBELL, TONKAWA, OK 1. What motto do you live by? Always have a positive attitude and sincere gratitude. Love completely, forgive easily, give generously, and laugh often. 2. What is the best advice you’ve ever been given? Dentistry is about relationships-with your patients, your employees, and your community. People don’t care how much you know until they know how much you care. 3. What words of wisdom would you share with a dentist one year out of school? Focus on the type of dentistry that you enjoy and are passionate about and build your practice around that. You will have failures, learn from them and then move forward. This career can be stressful on you physically and mentally. It is essential to balance work with your personal/family/fun time. 4. Do you think you are wiser now than you were when you were younger? I certainly hope so. Being a business owner, dentist, and parent for many years has taught me a lot. But I don’t think I’m old enough yet to be called wise! 5. How do you define wisdom? I think wisdom is understanding the big picture and not getting caught up in the insignificant details. Always try to remember what truly matters and try not to worry about things you can’t control.
Dr. Sarah Campbell and husband, Kurt, with children Noah, Reagan and Carsten (left-right) 54 journal | Nov/Dec 2020
Dr. Sarah Campbell and husband, Kurt
Unite the Healthiverse www.okda.org 55
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