ODA Journal May/June 2023

May/June 2023 | Vol. 114, No. 3

Dr. Paul Wood

2023-2024 ODA President

www.okda.org

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journal | May/June 2023

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Contents

Thank you to these businesses who advertise in the ODA Journal Inside Front Cover 3000 IG Inside Back Cover ODASupplySource Back Cover OkMOM Legacy Fund Choctaw Nation Health Services DentaQuest Edmonds Dental Prosthetics Endodontic Associates Endodontic Practice Associates Lewis Health Profession Services Liberty Dental Plan MCNA MedPro Group Suction Solutions University of Oklahoma College of Dentistry

May/June 2023 | Vol. 114, No. 3

ASSOCIATION 04 Calendar of Events 0 5 Welcome New ODA Members 0 5 ODA Zoo Day 0 6 Message from ODA President 07 2023-2024 ODA Executive Committee & Board of Trustees 10 House of Delegates Recap

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

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

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

Opinions and statements expressed in the OKLAHOMA DENTAL ASSOCIATION JOURNAL are those of the author and are not necessarily those of the Oklahoma Dental Association. Neither the Editors nor the Oklahoma Dental Association are in any way responsible for the articles or views published in the OKLAHOMA DENTAL ASSOCIATION JOURNAL. Copyright © 2022 Oklahoma Dental Association.

1 2 ODA Rewards Partners

Message from ODA President

1 6 ODA 2023 Annual Meeting Highlights 2 0 ODA Award Winners 2 3 OkMOM Legacy Fund 24 OkMOM Legacy Fund Donors

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2 6 2023 Spring ODA Membership Events 27 ODA Member Benefit Corner

ODA 2023 Annual Meeting Highlights

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.

Oklahoma Dental Association

2 8 2024 OkMOM Save the Date 2 9 Oklahoma Dental Relief & Disaster Grant Program

LEGISLATIVE LOOP 32 What We Won 33 2023 DENPAC OKCapitol Club & Grand Members 34 ADA Legislative News

FEATURES

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36 Differential Diagnosis: The Umbilicated Lesion 38 Keep It Local 4 4 Practice Management: MyHealth Access Network 4 8 Good Shepherd Merges with Crossings Community Clinic

Good Shepherd Merges with Crossings Community Clinic

50 Office Showcase 52 Hygiene Hotspot: What It Takes to Be a Laser Hygienist

CLASSIFIEDS

OKSHINE

54 ODA Classified Listings

INFORMATIONAL WEBINARS Practice Management: MyHealth Access Network

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REMINDER:

The Oklahoma Board Of

WEB AP 12

This presentation reviews the details of recent legislation regarding participation in Dentistry's Continuing Oklahoma’s State Designated Health Information Exchange and reviews the capabilities Education reporting period and benefits of utilizing the HIE to provide care and services. This presentation also WEB ends June 30, 2023. summarizes the process for joining and getting connected to the Health Information AP Exchange (HIE). Scan the QR code with your smartphone to register for one of the 5 : 3 0Cover Photo: Visit ok.gov/dentistry to presentations today!

ODA President Dr. Paul Wood

report your hours for this reporting period (July 1, 2021–June 30, 2023).

www.okda.org

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ODA JOURNAL STAFF EDITOR Mary Hamburg, DDS, MS ASSOCIATE EDITOR Roberta A. Wright, DMD, MDSc, FACP EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS, FACS, FAACS Daryn Lu, DDS Phoebe Vaughan, DDS Meredith Turbeville, DDS Divesh Sardana, BDS, MDS, MBA, MPH, PhD EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates OFFICERS 2023-2024 PRESIDENT Paul Wood, DDS president@okda.org

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

May 29 ODA Closed June 2 Tulsa Dental Society Golf Tournament 12:30 p.m.

Forest Ridge Country Club

June 16 Rewards Partners 9:30 a.m.

ODA Building & Zoom

June 9 Council on Governmental Affairs 9:00 a.m.

ODA Building & Zoom

Membership & Membership Services 11:00 a.m.

ODA Building & Zoom

PRESIDENT-ELECT Daryn Lu, DDS presidentelect@okda.org VICE PRESIDENT Twana Duncan, DDS vicepresident@okda.org SECRETARY/TREASURER Nicole Nellis, DDS treasurer@okda.org

Annual Meeting Planning Committee 1:00 a.m.

ODA Building & Zoom

July 3 & 4 ODA Closed

SPEAKER OF THE HOUSE Mitch Kramer, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Robert Herman, DDS,MS 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 SPECIAL PROJECTS & COMMUNICATIONS MANAGER Apryl Awbrey MEMBERSHIP ENGAGEMENT MANAGER Ansley Jinkins PARTNER RELATIONS MANAGER Anna Kernes

Stay connected with the ODA!

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journal | May/June 2023

Is Your Contact 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.

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?

Visit www.okda.org/members-only to complete a simple form and the Journal Editorial Board will take it from there.

Welcome to the New ODA Members (February 7 - April 13)

Northwest Katrina Darcey

Oklahoma County Jaewon Kim

SAVE THE DATE

APP-SOLUTELY RE-IMAGINED! Designed for dentists, with dentists, the new ADA Member App is here and ready to put the resources you need in the palm of your hand.

• Chat 1:1 or with your network • Newsfeed customized to your interests • Digital wallet to store your important documents

day with

the oda

• Stream the new “Dental Sound Bites” podcast

Tap into possibility at ADA.org/App

AUGUST 5, 2023 oklahoma city zoo

www.okda.org

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FROM THE ODA PRESIDENT DR. PAUL WOOD We completed another great ODA meeting.

The CE lineup was excellent, and Dr. Robie Herman and Dr. Nicole Nellis did a great job with the meeting. No ODA event is possible without the tireless hard work of Lynn Means and the staff at the ODA. We viewed an inspirational video presentation

by ADA President Dr. George Shipley. He outlined the need to move forward with the new Strategic Forecasting Committee (SFC). It will define a bright future for our organization, and I am looking forward to all the great things in the future of the ADA. If you have not tried the mobile app you need to! It really turned out to be fantastic.

There was also a great update from our 12th District Trustee, Dr. Terry Fiddler. Thank you to Dr. Fiddler for his years of service as a Trustee. We will have a new Trustee for the 12th District moving forward and expect excellent representation from the individual from the Kansas delegation who is selected He outlined a bright future for the SFC. Congratulations to all of the award winners at the House of Delegates. A special thank you to Dr. Doug Auld for his many years of service.

The social events at the meeting were well attended, and we had a great time visiting with our fellow dental professionals. The Opening Session was inspirational, and

Dr. Wood being sworn into the presidency by Dr. Terry Fiddler, American Dental Association Twelfth District Trustee.

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journal | May/June 2023

along with the morning mixer, was a great start to the meeting. The Exhibit Hall was a happening place, with many interesting exhibitors offering innovative solutions.

It was great to see the tribal health system representatives who are making positive strides in providing comprehensive care to their tribal members. I met with DentaQuest representatives, and they are making steady progress in establishing all the contractual perimeters for their portion of SoonerCare. Liberty Dental was there and very positive about the future. Ronnie Shaw, the Chickasaw Dental recruiter, and I took a picture with the Mr. Liberty cardboard character. It was also great to see my old friends, Phil Hodabeck and Joel Richie, from Midwest Dental.

The ODA Party was a great success and a real tribute to all the planning that the ODA staff, Dr. Nellis, and Dr. Herman put into it.

Dr. Herman did a fantastic job as your ODA president, and I hope to live up to the high standard he set.

Now is a great time to be part of organized dentistry. The profession is shifting practice modalities, and it is amazing to see all those practice settings represented at our meeting.

The ODA represents more than 80% of all practicing dentists in Oklahoma, and it is our mission to provide the best care we can to the citizens of our great state. The public trust in dentistry has never been higher and we as an organization will continue that.

This coming year we hope to again pursue legislation that would make medical loss ratio for dental insurance in Oklahoma a reality. Our Governmental Affairs Council and lobbyists will continue to work hard to ensure that our concerns are heard by the Oklahoma Legislature. As dentists, we have always placed the needs of the patient first, and we need to get our lawmakers to understand that we are the people who care most about the oral health of the patient.

The coming year should be amazing.

Our profession is stronger than ever, and the future is bright. OkMOM 2024 will be in Lawton, and preparations are well underway, with multiple planning meetings having taken place. The planning committee consisting of Dr. Shannon

2022–2023 ODA PRESIDENT, DR. ROBIE HERMAN, PASSING ON THE ODA PRESIDENT'S PIN TO DR. PAUL WOOD DURING THE ODA'S HOUSE OF DELEGATES MEETING.

2023–2024 ODA PRESIDENT, DR. PAUL WOOD, GIVING HIS FIRST ADDRESS AT THE ODA'S HOUSE OF DELEGATES MEETING.

Griffin, Dr. Juan Lopez, and Dr. Todd Bridges, has been working hard to make OkMOM Lawton one to remember. Dr. Sara Spurlock and Dr. Jennifer Jinkins have really charged forward with the planning for the 2024 Annual Meeting in Oklahoma City at the Omni Hotel.Thank you for trusting me to be your President for 2023-2024. I will not let you down.

2023-2024 ODA EXECUTIVE COMMITTEE

President Dr. Paul Wood

President-elect Dr. Daryn Lu

Vice President Dr. Twana Duncan

Secretary/Treasurer Dr. Nicole Nellis

Immediate Past President Dr. Robie Herman

Speaker of the House Dr. Mitch Kramer

2023-2024 ODA BOARD OF TRUSTEES Dr. Paul Wood, President and ADA Delegate

Dr. Mary Temple-Goins, New Dentist Trustee

Dr. Daryn Lu, President-elect

Dr. Sara Spurlock, Central Component Trustee

Dr. Twana Duncan, Vice President

Dr. Douglas Auld, Eastern Component Trustee

Dr. Nicole Nellis, Secretary/Treasurer

Dr. Jandra Korb, Northern Component Trustee

Dr. Mitch Kramer, Speaker of the House

Dr. Colin Eliot, Northwest Component Trustee

Dr. Robie Herman, Immediate Past President

Dr. Edward Harroz III, OK County Component Trustee

Dr. Tamara Berg, ADA Delegate

Dr. Matthew Bridges, Southwest Component Trustee

Dr. Matthew Cohlmia, ADA Delegate

Dr. Paul Mullasseril, OUCOD Dean

Dr. Tim Fagan, ADA Delegate Dr. Lindsay Smith, ADA Delegate & Tulsa County Component Trustee For the full list of ODA Council and Committee members, visit www.okda.org/about-the-oda/leadership.

www.okda.org

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journal | May/June 2023

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www.okda.org

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

The House of Delegates met on April 27, 2023 at the ODA Annual Meeting in Tulsa. The House ratified a $1,152,830 budget, which includes a dues increase of $31. The House amended the Bylaws to add the Dean of the OU College of Dentistry to the Board of Trustees and voted down a motion to add a large group practice trustee to the Board. The House approved editorial amendments to the Guide for Disciplinary Hearing and voted to amend the Annual Session policy by striking ribbons recognition.

The House voted down a resolution to remove the names of member dentists from the following awards: Dan E. Brannin for Professionalism and Ethics, Robert K. Wynne for Public Education and Public Information, Shobe Memorial Tablet, and Richard T. Oliver for Legislative Leadership. The names of these ODA awards will remain the same. The ODA will purchase an updated Shobe Memorial Tablet and transfer the names of the prior recipients to the new Tablet to be displayed at the ODA building. The ODA will print a series of articles in the ODA Journal about all the awards to make members aware of the purpose and history of each award and its namesake.

The House adopted a policy on diversity, equity and inclusion: In principle and in practice, the ODA values and seeks diverse and inclusive participation within the dental profession. The ODA promotes involvement and expanded access to leadership opportunities regardless of race, ethnicity, gender, religion, age, sexual orientation, nationality, disability or type of practice. The organization provides leadership and commits time and resources to accomplish this objective while serving as a model for diversity to all associations.

The House confirmed the presidential appointments for Secretary/ Treasurer and Council Chairs: Dr. Nicole Nellis, Secretary/Treasurer Dr. Twana Duncan, Council on Budget and Finance Dr. Matthew Bridges, Council on Bylaws, Policy and Ethics Dr. Brian Molloy, Council on Dental Care Dr. David Wong, Council on Dental Education and Public Information Dr. Lindsay Smith, Council on Governmental Affairs Dr. Nicole Nellis, Council on Membership and Membership Services The House recognized the 2023 award winners: Dr. Scott Hubbard, Thomas Jefferson Citizenship Award Dr. Paul Mullasseril, Dan E. Brannin Award for Professionalism and Ethics Dr. Jeannie Bath, Robert K. Wynn Award for Dental Education and Public Information Dr. Forrest Bath, Dr. Eric Winegardner and Eric’s Pharmacy, Presidential Citations Mrs. Lynn Means, Richard T. Oliver Legislative Award Representative Marcus McEntire, Oklahoma Legislator of the Year Dr. Tim and Pamela Fagan, President’s Leadership Award Dr. Matthew Bridges, Young Dentist of the Year Dr. Lindsay Smith, Richard Haught Dentist of the Year Award Dr. Doug Auld, James A. Saddoris Lifetime of Leadership Award The following members were recognized for fifty-years of membership in the ODA: Dr. Thomas Gilbert

Dr. Robert Livingston

The House adopted a the following statement in opposition to the Health Information Exchange: The Oklahoma Dental Association opposes the requirement of electronic health information exchange throughout Oklahoma for healthcare providers for SB1369/SB574.

Dr. Stanley Groom

Dr. Claud McKee

Dr. James Hackler

Dr. James Nicholson

Dr. Jay Hodges

Dr. James Osgood

The House elected the following members into State Life Membership: Dr. Chris Bussman, Dr. Leon Conkling, Dr. Walter Davis, Dr. Robert Dew, Dr. Nicholas Hunter, Dr. Larry Kiner, Dr. James Lowe, Dr. Don Morton, Dr. Steve Pracht, and Dr. David Simon.

Dr. Richard Homsey

Dr. James Roane

Dr. Nicholas Hunter

Dr. Gregory Watkins

Dr. Richard James

Dr. Scott Waugh

The House elected the following members into leadership:

Dr. William Johnson

Dr. Gary Youree

Dr. Twana Duncan, Vice President Dr. Lindsay Smith, ADA Delegate Dr. Chris Fagan, ADA Alternate Delegate

If you are interested in serving on the ODA House of Delegates, contact your component president or the ODA office at 405-848-8873

The next meeting of the ODA House of Delegates is scheduled forApril 11, 2024 at 1:00 p.m. in Oklahoma City.

10 journal | May/June 2023

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www.okda.org

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BIG ENOUGH FOR EVERYONE OUR TENT IS

2023 ANNUAL MEETING April 28 & 29 | Tulsa, OK

Thank you to our sponsors!

SILVER Bioclear Biolase Endodontic Associates First Liberty Bank Fotona HuFriedy MCNA Dental

GOLD 3000 Insurance Group DentaQuest Patterson Dental SDI BRONZE DMMEX Dr. Robie Herman Liberty Dental ODA SupplySource Procter & Gamble 3000 Insurance Group Align Technology Aneritas Arvest Bank Ashton Gray, LLC Bioclear Matrix Solutions BIOLASE Brasseler USA Burkhart Dental Carestream Dental Catalyst Dental Allies Cherokee Nation Health Services Chickasaw Nation of Health Choctaw Nation Health Services Clark Professional Resources, LLC Clouscale365 Commercial Medical Electronics, Inc.

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Insurance Answers Plus Itouch Kaylor Dental Lab, Inc. Liberty Dental Lumio Dental Mariner Wealth Advisors Massco Dental MCNA Dental Medical Waste Services, LLC Midwest Dental National Dentex NBC Oklahoma Neocis Oklahoma Dental Foundation Optum Serve OSMA Patterson Dental Pearl Street Dental Partners Phase Ortho Positive Impact Dental Alliance

Procter & Gamble Prosites Q-Optics & Quality Aspirators Raley Scrubs Securian Advisors Mid America, Inc. Solutions Dental Lab Suction Solutions, LLC SurgiTel TSET Watermark Bank Wholesale Payments Inc. Woody & Associates, CPAs, PLLC Works24

* ODA Rewards Partners

Thank you to the Oklahoma Dental Assistants Association and the Oklahoma Dental Hygienists’ Association members who joined us this year!

16 journal | May/June 2023

Social Events

WELCOME RECEPTION THE MAYO HOTEL

SPONSORS:

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Oklahoma Dental Association Party A CELEBRATION IN HONOR OF OKLAHOMA DENTISTRY AND 2022/2023 ODA PRESIDENT, DR. ROBIE HERMAN

ENTERTAINMENT SPONSOR

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18 journal | May/June 2023

Continuing Education OPENEING SESSION

HANDS-ON

HANDS-ON

LECTURES

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www.okda.org

AWARD WINNERS CONGRATULATIONS TO THE 2023 ODA AWARD WINNERS!

Dr. Jeannie Bath

Dr. Paul Mullasseril

Dr. Scott Hubbard

ROBERT K. WYNN FOR DENTAL EDUCATION & PUBLIC INFORMATION

DAN E. BRANNIN FOR ETHICS & PROFESSIONALISM

THOMAS JEFFERSON FOR CITIZENSHIP

Dr. Tim & Pamela Fagan

Dr. Matt Bridges

Lynn Means

PRESIDENT’S LEADERSHIP

YOUNG DENTIST OF THE YEAR

20 journal | May/June 2023

RICHARD T. OLIVER AWARD FOR LEGISLATIVE LEADERSHIP

Dr. Lindsay Smith

Rep. Marcus McEntire

RICHARD HAUGHT

LEGISLATOR OF THE YEAR

DENTIST OF THE YEAR

PRESIDENT'S CITATION

Dr. Douglas Auld DISTINGUISHED DENTAL SERVICE

Dr. Forrest Bath | Dr. Eric Winegardner | Eric’s Pharmacy

2022 / 2023 EXECUTIVE COMMITTEE Dr. Robert Herman pinning Dr. Paul Wood with the traditional ODA president’s pin.

President: Dr. Paul Wood President-elect: Dr. Daryn Lu Secretary/Treasurer: Dr. Nicole Nellis

Vice President: Dr. Twana Duncan Speaker of the House: Dr. Mitch Kramer

www.okda.org

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HOUSE OF DELEGATES

ODA past president, Dr. Chris Fagan, pinning Dr. Robert Herman with the past president’s pin.

ODA Executive Director Lynn Means addressing the House.

Dr. Tabitha Arias accepts the Cohlmia Cup, presented by Dr. Colin Eliot accepts the Charles M. Kouri Cup, presented by Dr. Nicole Nellis, on behalf of the Oklahoma County Dental DENPAC Chair Dr. Chris Fagan, on Society. This is awarded to the Component with the highest behalf of the Northwest District. percentage of new members.

Representatives from the ADA present on the importance of Diversity, Equity, and Inclusion.

Dr. Jeannie Bath accepts the President’s Citation on behalf of Dr. Forrest Bath, Dr. Eric Winegardner, and Eric’s Pharmacy.

ODA MEMBERS RECOGNIZED FOR 50 CONTINUOUS YEARS OF MEMBERSHIP

Homsey Dr. Robert Livingston 50 YEARSDr. Richard OF MEMBERSHIP

Dr. Thomas Gilbert Dr. Stanley Groom Dr. James Hackler Dr. Jay Hodges

22 journal | May/June 2023

Dr. Nicholas Hunter Dr. Richard James Dr. William Johnson

Dr. Claud McKee Dr. James Nicholson Dr. James Osgood

THANK YOU FOR YOUR MEMBERSHIP!

Dr. James Roane Dr. Gregory Watkins Dr. W. Scott Waugh Dr. Gary Youree

HAVE YOU JOINED THE LEGACY?

Jeffery Ahlert Priyanka Kulkarni Steffan Sigler Ross Allen Robert Lamb Elizabeth Silver Clay Anderson Sallie Lau Floyd Simon Mark Argo Larry Lavelett Donald Smith Tabitha Arias Sally Le Gregg Smith Marc Arledge Grady Lembke Lindsay Smith Doug Auld Shannon Lewis Brooke Snowden Victoria Ball Brandon Loeser Sara Spurlock Jeannie Bath Karey Low Adelaide Steed Rishu Batta Pamela Low Michael Steffen Justin Beasley Daryn Lu Greg Stewart W. Lee Beasley Steve Lusk James Steyer Kay Beavers David Maddox Dan Storm Tamara Berg David Marks Julie Storm David Birdwell Mary Martin Jesse Storts Carol Blossfield Alan Mauldin Joe and Jill Strunk Elizabeth Bohanon Garrick McAnear Steven Sullivan Andrea Bowen Janna McIntosh Jennifer Teale Leon Bragg Glenn Mead Mary Temple-Goins Ed & Cindy Braly Lynn & Andy Means Leslie Tevebaugh George & Linda Bridges Clint Metcalf Ryan Theobald Matthew Bridges Miller-Mott College on Bootsey Torchia Todd & Lori Bridges Behalf of Stephanie Mark Unruh Richard Brown Crawford Jonah Vandiver Nathan Buckner Shyler Vincent Robert Miracle campaign was created by the incredibly generous gift by Dr.Matthew Tim andWalls Pamela BrentThis Burchard Frank Miranda Brandon Christopher FaganBurton of $448,000 that will be matched dollar-for-dollar until the deadline on Ward June 30, Melanie Miranda Shukla Graham Busby W. Scott Waugh Jack Morrison 2023. The money made through this matching gift campaign will be the sole funding Carla Campbell Robert Webb Nabors source for the Oklahoma Mission ofSonya Mercy through 2025 and beyond.

Kristen Campbell William Weber Nicole Nellis Tricia Cannon Robert Wells Northwest Dental Wuse Lynn White Society WeCara ask you to join the Legacy now by making your tax-deductible Jay monthly, quarterly, Bobby Carmen Susan Whiteneck Bob and Lisa Nowlin annual, or one-time gift.

Please help ensure essential dental care continues to be Steven Carson Dan & Shannon Wilguess Oklahoma Pierre Oklahoma Mission of Mercy!

Mary Casey Kelly provided each year during the Fauchard John Wilguess Stephen Cash Ralph Wilcox Laura Ousley Conrad Casler Karen Willhoite Samuel Owens Logan Coffee Noel Williams Garrett Phipps Jeff Cohlmia Brian Wilson Chris Ray Matthew Cohlmia Jufang Wong Karen Reed Raymond Cohlmia Paul Wood Chad Reid Cama Cords Rieger & Donna Wood Ryan Roberts Darrell Daugherty Donal Woodward Tyson Roulston DentaQuest Craig Wooten Miranda Ruleford Trung Tran Salem Lutheran Church Rande Worthen Gene Drake Trent Yadon Robert Schick David Deason Kendra Yandell Jeff Shadid Brent Dobson Charles Young Paul Shadid Bryce Dorrough Jack Sheets Gene Drake Matt Shelton

During the House of Delegates at the 2023 Oklahoma Dental Association Annual Meeting, those in attendance came together to raise

$18,369

toward the Oklahoma Mission of Mercy Legacy Fund.

Thank you!

JOIN THE LEGACY & DONATE NOW

If you are paying by check, please make the check payable to Oklahoma Mission of Mercy Legacy Fund and mail to: Oklahoma Dental Association Attn: OkMOM Legacy Fund 317 NE 13th St. | Oklahoma City, OK 73104

www.okda.org

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THESE INDIVIDUALS MADE A RECURRING PLEDGE OR A ONE-TIME DONATION TO JOIN THE LEGACY JEFFERY AHLERT

CONRAD CASLER

KEVIN HANEY

STEVE LUSK

CHURCH

JOHN WILGUESS

ROSS ALLEN

CORY CHAMBERS

MICHAEL HANSEN

JAMES MABRY

ROBERT SCHICK

DAN & SHANNON

JIM AMBROSE

JENNIFER CHAMBERS

MARK HANSTEIN

DAVID MADDOX

MICKEY SEHORN

WILGUESS

RICHARD AMILIAN

RUSSELL COATNEY

AARON HARMAN

DAVID MARKS

JEFF SHADID

RALPH WILLCOX

CLAY ANDERSON

LOGAN COFFEE

EDWARD HARROZ, JR.

MARY MARTIN

PAUL SHADID

VINCENT WILLCOX

MARK ARGO

MATTHEW COHLMIA

EDWARD HARROZ III

STEPHEN MARTIN

KYLE SHANNON

KAREN WILLHOITE

JAMIE ARIANA

RAYMOND COHLMIA

RICHARD HAUGHT

ALAN MAULDIN

JACK SHEETS

NOEL WILLIAMS

TABITHA ARIAS Jeffery Ahlert

AUTUMN HURD CAMA CORDBrian Drew

MATT SHELTON GARRICK Kulkarni MCANEAR Priyanka STEFFAN SIGLER TRACY MCINTIRE HAZLE ROBI CRAIG Benjamin DARRELL MARC ARLEDGE Ross Allen Edwards Robert Lamb ELIZABETH SILVER JANNA MCINTOSH DANNY CRAIGE DOUGLAS AULD Clay Anderson Colin EliotERIN HEATHCOCK Sallie Lau FLOYD SIMON GLENN MEAD ROBERT HERMAN JOSH CROSSLEY LAUREN MarkAVERY Argo Heath Evans Larry Lavelett CALEB SMITH JOSEPH HERMEN G. FRANS CURRIER VICTORIA BALLArias Tabitha Chris and JEFFREY Heather Fagan Sally Le MEADOR GREGG SMITH LYNN Lembke & ANDY MEANS WILLIAM HIATT RUSSELL DANNER JEANNIE MarcBATH Arledge Michael Fagan Grady DONALD SMITH JAMIE MEANS MARILYN Fagan HIEBERT DARRELL DAUGHERTY RISHU BATTA Doug Auld Tim and Pamela Shannon Lewis LINDSAY SMITH DAVID MERRELL MYRON HILTON DENTAQUEST JUSTIN BEASLEY Victoria Ball Ronald Faram Brandon Loeser BROOKE SNOWDEN CLINTLow METCALF STEVEN HOGG TARA DENTON W. LEE BEASLEY Jeannie Bath Twana Farley-Duncan Karey AARON SOUTHERLAND MILLER-MOTT RICHARD HOMSEY TRUNG TRANBarry Farmer KAYRishu BEAVERS Batta Pamela Low CHAD SPIVA COLLEGE MATHEW HOOKOM KARI BENDER Justin Beasley DAVID DEASON Joseph Fend Daryn Lu ON BEHALF OF STEPHANIE SARA SPURLOCK TAMARA BERG W. Lee Beasley STEVEN DEATON John FolksJAMES HOOPER Steve Lusk CRAWFORD DAVID STAPLETON WILLIAM DEPRATER KENNETH BEZAN Kay Beavers Mark FolksBRAD HOOPES David Maddox ROBERT MIRACLE ADELAIDE STEED MITCHELL HOOPES BRENT DOBSON DAVID BIRDWELL Tamara Berg Travis & Shelly Frantz David Marks FRANK MIRANDA MICHAEL STEFFEN ERIC HOPKINS CAROL BLOSSFELD David Birdwell BRYCE DORROUGH Rick Freeman Mary Martin MELANIE MIRANDA CLINTON STEVENS ANA DOTSON ELIZABETH BOHANON Carol Blossfield Emily FryeJAMES HULSEY Alan Mauldin SHUKLA GREG STEWART W. ROBERT HUNTER Garrick McAnear GENE DRAKEChad Garrison ANDREA BOWENBohanon Elizabeth ANDREA JAMES STEYER JENNIFER JENKINS BLAIRE BOWERS Andrea Bowen BRIAN DREWJames Gilliam Janna McIntosh MONTGOMERY DAN STORM COURTNEY JOHNSON Glenn Mead DAVID DRUMMOND ERSTENIUK Leon Bragg Mark Goodman JACK MORRISON DONALD JOHNSON LEON EdBRAGG & Cindy Braly KEVIN DUFFYSandra Grace Lynn & Andy Means JULIE STORM PAUL MULLASSERIL JESSE STORTS EUGENIA JOHNSON TWANA DUNCAN EDMUND & CINDY George & Linda Bridges Barry Greenley Clint Metcalf ANAITA MULLASSERIL JOE & JILL STRUNK RICHARD JOHNSON BRALY Matthew BridgesBENJAMIN EDWARDS Shannon Griffin Miller-Mott College on JAMES MURTAUGH WILLIAM JOHNSON COLIN ELIOTDaniel Griffiths MATTHEW BRIDGES Todd & Lori Bridges Behalf of Stephanie PATRICK STOVER SONYA NABORS STEVEN STRANGE KRISTA JONES TODD & LORI BRIDGES Richard Brown HEATH EVANS Andrew Guthrie Crawford NANDITA NANDA STEVEN SULLIVAN JANET JULIAN GEORGE & LINDA Nathan Buckner CHRIS & HEATHER Jacob Hager Robert Miracle NICOLE NELLIS MARC SUSMAN MOHAMMAD KARAMI BRIDGES Brent Burchard FAGAN Kevin Haney Frank Miranda NORTHWEST DENTAL JIM TAYLOR OLIVIA KARIM MATTHEW BRIDGES Brandon Burton MICHAEL FAGAN Michael Hansen Melanie Miranda Shukla SOCIETY STEPHEN TAYLOR CAROLYN KEYES TIM & PAMELA FAGAN TRACE BRIDGES III Graham Busby Mark Hanstein Jack Morrison DAVID NITTLER JENNIFER TEALE MICHAEL JOSHUA CarlaBROCK Campbell RONALD FARAM Edward Harroz, Jr.KIRK Sonya Nabors BOB & LISA NOWLIN MARY TEMPLE-GOINS JENNIFER RICHARD BROWN Kristen CampbellBARRY FARMER Edward Harroz III KOONCE Nicole Nellis OKLAHOMA PIERRE LESLIE TEVEBAUGH GENE KOOP S. KELLY BROWN Tricia Cannon JOSEPH FENG Richard Haught Northwest Dental FAUCHARD RYAN THEOBALD JANDRA KORB CASEY FISHBURN NATHAN BUCKNER Wuse Cara Darrell Hazle Society VAN NOWLIN MITCHELL & JANICE BRENT BURCHARD Bobby Carmen MARK FOLKSErin Heathcock Bob and Lisa Nowlin JOHN THOMAS LAURA OUSLEY KARA TIMS KRAMER BRANDON StevenBURTON Carson JOHN FOLKSRobert Herman Oklahoma Pierre ALAN OWEN BOOTSEY TORCHIA MICHAEL KUBELKA GRAHAM MaryBUSBY Casey KellyTRAVIS & SHELLY Myron Hilton Fauchard SAMUEL OWENS MARK UNRUH PRIYANKA KULKARNI JAMIE CAMERON Stephen Cash FRANTZ Steven Hogg Laura Ousley JOHN PHILLIPS JONAH VANDIVER ROBERT LAMB KRISTEN CAMPBELL Conrad Casler RICK FREEMAN Mathew Hookom Samuel Owens GARRETT PHIPPS NATHAN VILLINES SALLIE LAU EMILY FRYE James Hooper CARLA CAMPBELL Logan Coffee Garrett Phipps DANA PRICE SHYLER VINCENT LARRY LAVELETT CHAD GARRISON SARAH JeffCAMPBELL Cohlmia Brad Hoopes Chris Ray DENTAQUEST MATTHEW WALLS SALLY LE LAMONT GEE TRICIA CANNONCohlmia Matthew Eric Hopkins Karen Reed CHRIS RAY CHRISTOPHER WARD GRADY LEMBKE JAMES GILLIAM WUSE CARA Raymond Cohlmia James Hulsey Chad Reid KAREN REED W. SCOTT WAUGH MARK GOODMAN SCOTT CAREL Cama Cords W. RobertSHANNON Hunter LEWIS Ryan Roberts CHAD REID ROBERT WEBB ROBERT LIVINGSTON SANDRA GRACE JOHN CARLETTI Darrell Daugherty Jennifer Jenkins Tyson Roulston ROGER RICHTER WILLIAM WEBER BRANDON LOESER BARRY GREENLEY PETER CARLSON DentaQuest Courtney Johnson Miranda Ruleford JAMES ROANE DENNIS WEIBEL ERIC LOPER JERRY GREER BOBBY CARMEN Trung Tran Krista Jones Salem Lutheran Church DAULT ROBERTS ROBERT WELLS ERIC LOPEZ SHANNON GRIFFIN CHARLES GeneCARROLL Drake Janet Julian Robert Schick RYAN ROBERTS JAMES WENDELKEN JUAN LOPEZ STEVEN CARSON David Deason THOMAS GRIFFIN Carolyn Keyes Jeff Shadid TYSON ROULSTON JAY WHITE KAREY LOW WILLIAM CARTER Brent Dobson DANIEL GRIFFITHS Jennifer Koonce Paul Shadid MIRANDA RULEFORD STEVEN WHITE PAMELA LOW ANDREW GUTHRIE MARY CASEY KELLY Bryce Dorrough Jandra Korb Jack Sheets SALEM LUTHERAN SUSAN WHITENECK LUKramer JACOB HAGER STEPHEN GeneCASH Drake Mitchell &DARYN Janice Matt Shelton

24 journal | May/June 2023

BRIAN WILSON JUFANG WONG PAUL WOOD RIEGER & DONNA WOOD DONALD WOODWARD CRAIG WOOTEN RANDE WORTHEN SAVANNAH WRIGHT CARLA WHITNEY YEATES TRENT YADON KENDRA YANDELL CHARLES YOUNG

THESE ODA MEMBERS CONTRIBUTED ABOVE AND BEYOND THEIR ANNUAL MEMBERSHIP DUES TO JOIN THE LEGACY JEFFREY AHLERT

JEFF COHLMIA

MARILYN HIEBERT

JACK MCKINNIS

JOHN STARK

ROSS ALLEN

MATTHEW COHLMIA

MYRON HILTON

GLENN MEAD

MICHAEL STEFFEN

JIM AMBROSE

CHRISTOPHER CORBIN

RICHARD HOMSEY

JOSEPH MEADOR

CLINTON STEVENS

RICHARD AMILIAN

CAMA CORD

JAMES HOOPER

JAMIE MEANS

JAMES STEYER

CLAY ANDERSON

ROBI CRAIG

BRAD HOOPES

DAVID MERRELL

B. STORM

MARK ARGO

DANNY CRAIGE

MITCHELL HOOPES

ANDREA MONTGOMERY

JULIE STORM

JAMIE ARIANA

JOSHUA CROSSLEY

ERIC HOPKINS

JACK MORRISON

PATRICK STOVER

DOUGLAS AULD

G. FRANS CURRIER

JAMES HULSEY

TIM MOUNT

STEVEN STRANGE

LAUREN AVERY

RUSSELL DANNER

BENJAMIN HUMPHREY

ANAITA MULLASSERIL

MARC SUSMAN

VICTORIA BALL

DARRELL DAUGHERTY

W. ROBERT HUNTER

JAMES MURTAUGH

JIM TAYLOR

JEANNIE BATH

DAVID DEASON

JENNIFER JENKINS

CARSON NAIL

STEPHEN TAYLOR

BRYCE BAUMANN

STEVEN DEATON

DONALD JOHNSON

NICOLE NELLIS

RYAN THEOBALD

JUSTIN BEASLEY

WILLIAM DEPRATER

EUGENIA JOHNSON

DAVID NITTLER

JOHN THOMAS

W. LEE BEASLEY

BRYCE DORROUGH

RICHARD JOHNSON

VAN NOWLIN

KARA TIMS

KARI BENDER

ANA DOTSON

WILLIAM JOHNSON

ALAN OWEN

MARK UNRUH

TAMARA BERG

BRIAN DREW

JANET JULIAN

SAMUEL OWENS

JAYCEE VAN HORN

KENNETH BEZAN

DAVID DRUMMOND

MOHAMMAD KARAMI

DEBORAH OZMENT

JONAH VANDIVER

DAVID BIRDWELL

KEVIN DUFFY

CHARLES KEITHLINE

JOHN PHILLIPS

NATHAN VILLINES

CAROL BLOSSFELD

TWANA DUNCAN

CAROLYN KEYES

GARRETT PHIPPS

SHYLER VINCENT

ELIZABETH BOHANON

BENJAMIN EDWARDS

MICHAEL KIRK

RONALD PLANT

CARLIE WAGER

SUSAN BRACKETT

RENALLA ELLIS

JENNIFER KOONCE

JILLIAN PRATHER

MATTHEW WALLS

C. TODD BRIDGES

HEATH EVANS

GENE KOOP

DANA PRICE

CHRISTOPHER WARD

MATTHEW BRIDGES

BARRY FARMER

JANDRA KORB

CHRISTOPHER RAY

ROBERT WEBB

TRACE BRIDGES

CASEY FISHBURN

MICHAEL KUBELKA

KAREN REED

WILLIAM WEBER

JOSHUA BROCK

JOHN FOLKS

ASHLEY LANMAN

WILLIAM REEVES

DENNIS WEIBEL

S. KELLY BROWN

RICHARD FREEMAN

GARY LAWHON

CHAD REID

ROBERT WELLS

GRAHAM BUSBY

EMILY FRYE

GRADY LEMBKE

ROGER RICHTER

JAMES WENDELKEN

JAMIE CAMERON

CHAD GARRISON

ROBERT LIVINGSTON

JAMES ROANE

JAY WHITE

KRISTEN CAMPBELL

LAMONT GEE

BRANDON LOESER

RYAN ROBERTS

STEVEN WHITE

SARAH CAMPBELL

MARK GOODMAN

ERIC LOPER

TYSON ROULSTON

THERESA WHITE

TRICIA CANNON

SANDRA GRACE

ERIC LOPEZ

MIRANDA RULEFORD

RALPH WILLCOX

WUSE CARA

BARRY GREENLEY

GARY LOTT

MICKEY SEHORN

VINCENT WILLCOX

SCOTT CAREL

JERRY GREER

KAREY LOW

PAUL SHADID

MARY WILLHOITE

JOHN CARLETTI

THOMAS GRIFFIN

PAMELA LOW

KYLE SHANNON

BRIAN WILSON

PETER CARLSON

ANDREW GUTHRIE

STEVE LUSK

STEFFAN SIGLER

PAUL WOOD

BOBBY CARMEN

JACOB HAGER

JAMES MABRY

ELIZABETH SILVER

WILLIAM WYNN

CHARLES CARROLL

MICHAEL HANSEN

DAVID MADDOX

FLOYD SIMON

TRENT YADON

WILLIAM CARTER

AARON HARMAN

DAVID MARKS

GREGG SMITH

CORY CHAMBERS

EDWARD HARROZ

STEPHEN MARTIN

BROOKE SNOWDEN

JENNIFER CHAMBERS

DARRELL HAZLE

JOSEPH MASSAD

AARON SOUTHERLAND

BRIAN CHASTAIN

ROBERT HERMAN

ALAN MAULDIN

CHAD SPIVA

RUSSELL COATNEY

JEFFREY HERMEN

TRACY MCINTIRE

SARA SPURLOCK

LOGAN COFFEE

WILLIAM HIATT

JANNA MCINTOSH

DAVID STAPLETON

Use your smartphone’s camera to scan the QR code and make your donation online now.

Donations made by June 30, 2023 will be matched dollar-for-dollar.

www.okda.org

25

2023 Spring ODA Membership Events Women In Dentistry 2023 The annual ODA Women in Dentistry CE Brunch was held on February 17, 2023 at the Ambassador Hotel in downtown Oklahoma City. Attendees enjoyed a brunch buffet from Café Cuveé, coffee, and mimosa bar while earning 2 hours of CE from Tracy Butler, CRDH, MFT, who presented the course, Heart of Practice Growth with a Systemic Approach. Thank you to our sponsors, Straumann and First Liberty Bank. Look for more information on the next Women in Dentistry event next spring!

Thunder Up with the ODA! On March 3, 2023, the ODA hosted new dentists and dentists who work in large group practices at an Oklahoma City Thunder Game versus the Utah Jazz. Members and non-members were invited to enjoy snacks, refreshments and a Thunder win at the Paycom Center! There were 19 attendees including ODA President Dr. Robert Herman and ODA New Dentist Trustee Dr. Mary Temple-Goins.

Match@ODA The ODA’s annual Match@ODA event was held on April 20, 2023, at PARLOR OKC in downtown Oklahoma City.

At this casual networking event potential employees and potential employers met and discussed similar interests, and future professional endeavors. We would like to thank our sponsors First Liberty Healthcare Banking, Henry Schein Dental Practice Transitions, Lewis Health Profession Services, Mariner Wealth Advisors, Positive Impact Dental Alliance, and Specialty1 Partners for helping make this a successful event for all! We can’t wait to host this event again next year.

Interested in attending future ODA Membership events? Check your email, ODA 2023 social media, and okda.org for upcoming events!

26 journal | May/June

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 for you’re looking for, we’re there every step of the way.

HIPAA Compliance and Online Reviews

Many prospective patients turn to online reviews to help them evaluate potential dentists. In fact, 84% of the public trust online reviews to help them make decisions. With a majority of people turning to the internet to find a dentist, it is more important than ever for dental practices to maintain and respond to online reviews professionally and promptly – while ensuring they maintain HIPAA compliance.

Data revealed that 88% of dentists reported receiving online patient reviews, yet 39% of them felt they were unable to respond to reviews due to HIPAA regulations, according to a December 2022 survey by the ADA Health Policy Institute. While dental practices can be fined thousands of dollars for responding to online reviews with sensitive information, such as a patient’s name, insurance information, treatment plan, and/or cost information, they might also violate HIPAA for simply acknowledging a patient was at their practice.

Remember this: Just because a patient identifies themselves in a review, they have NOT waived their HIPAA protection—patient confidentiality must always be maintained!

Dental practices should consistently monitor their presences on major review sites to be aware of what’s been posted, whether positive or negative. To equip dentists with resources to help manage comments left on their social media accounts, review sites, or other platforms, the ADA has created a toolkit with information about navigating online reputation in a digital age.

This new resource discusses critical questions for dental practices, including: • How should I monitor my online reputation?

• How does HIPAA apply to online reviews?

• How should I respond to negative reviews?

To learn more about online reputation management and see sample responses to positive and negative reviews, visit ADA.org/socialtoolkit. copyright © 2023 American Dental Association. All rights reserved. Reprinted by permission.

KNOWLEDGE CONNECTS BC1 THE CLINICAL FOUNDATION OF FULL DENTURES

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FOR WHOM Dentists Dentistry Students Denturists Clinical Dental Technicians

SPRINGFIELD, MO CAMPUS

Earn 8 CE credits while learning the essentials of anatomic impressions, functional impressions, pre-bite registrations and the determination of the definitive jaw relations.

REGISTER EARLY NEXT COURSE OCT 20, 2023

www.okda.org

27

SAVE THE DATE

OKMOM 2024 FEBRUARY 9&10

GREAT

OKMOM.ORG

28 journal | May/June 2023

PLAINS COLISEUM LAWTON, OK

ARE YOU READY FOR STORM SEASON? D OD OY OYUO UO RO SR OSMOEMOENOENYEOYUOKU NKONWO W Oklahomans know well that never be too Oklahomans know allall tootoo well that youyou cancan never be too prepared for severe weather, but where do you turn when prepared for severe weather, but where do you turn when you S TSRTURGUGGLGEL W N CNECAEBAUBSUE S? E ?

E IWT HI T SH USBUSBTAS TA youimmediate need immediate in the aftermath of a devastating need relief inrelief the aftermath of a devastating storm? storm?

The RDGP also contributes to the Oklahoma Health The RDGP also contributes to the Oklahoma Health Help is available! The Oklahoma Dental Relief and Disaster Professionals Program which is an outreach program Professionals Program which is an outreach program HelpProgram is available!

TheisOklahoma Dental and Disaster Grant (RDGP) a charitable trustRelief established designed to support and monitor medical and allied health designed to support and monitor medical and allied health Program (RDGP) is a charitable trust by established toGrant provide aid to dental professionals affected natural professionals throughout Oklahoma who are experiencing professionals throughout Oklahoma who are experiencing to provide aid to dental professionals affected byornatural disasters, physical disability, chemical dependence, other with substance abuse.

TheThe services provided by by difficulty with substance abuse. services provided disasters, physical disability, chemical dependence, or other difficulty hindering conditions.

Aid is provided confidentially and without the OHPP are confidential and at no cost.

Services include the OHPP are confidential and at no cost.

Services include hindering conditions.

Overare theaffected last three RDGP remuneration.

Whether you at years, home the or office, expert consultation and intervention designed to encourage expert consultation and intervention designed to encourage awarded disaster assistance assistance to individuals and contact the$28,000 RDGP toinapply for immediate 800healthcare professionals to seek helphelp for substance abuse healthcare professionals to seek for substance abuse dental organizations affected by severe weather. Aid is 876-8890. and behavioral concerns.

If you or someone you know and behavioral concerns.

If you or someone you know provided confidentially and without remuneration. Whether The RDGP accepts tax-deductible donations from individuals needs help, please callcall the the 24-hour confidential direct line line needs help, please 24-hour confidential direct you are affected at home or office, contact the RDGP to and dental organizations from around the country to provide (405-601-2536).

The RDGP voluntary section on the ODA (405-601-2536).

The RDGP voluntary section on the ODA apply for immediate assistance 800-876-8890. aid after devastating destruction caused by tornadoes and dues statement funds thethe ODA’s contribution to the dues statement funds ODA’s contribution to Health the Health other disasterstax-deductible across the state.

Funds are awarded The natural RDGP accepts donations from individuals Professionals Program.

Professionals Program. toand dental professionals who from are victimized bycountry the storms. dental organizations around the to provide Additionally, the funds are used for programs the aid after devastating destruction caused bylike tornadoes and Whether you need help or or want to provide help, don’t wait!

Whether you need help want to provide help, don’t wait!

Oklahoma Dental Foundation MobileSmiles Program aid in other natural disasters across the state. Funds aretoawarded Contact the RDGP manager today at sfrantz@okda.org Contact the RDGP manager today at sfrantz@okda.org relief effortsprofessionals in several Oklahoma to dental who arecommunities. victimized by the storms. or or callcall 800-876-8890 800-876-8890 Additionally, thesolely fundson are used for programs like the and The RDGP relies contributions from individuals Tax-deductible donations to program cancan be mailed to: to: Tax-deductible donations the to the program be mailed Oklahoma Dental Foundation MobileSmiles Program dental foundations.

The donations received help prepareto& aid in OK Dental Relief and Disaster Grant Program OK Dental Relief and Disaster Grant Program relief efforts in several Oklahoma provide for those Oklahoma dentistscommunities. and dental foundations in 317317 NENE 13th Street 13th Street need resources destructive storms. from individuals Theof RDGP reliesafter solely on contributions Oklahoma City, OK 73104 Oklahoma City, OK 73104 and dental foundations. The donations received help For grant application andand program guidelines, prepare & provide for those Oklahoma dentists and dental For grant application program guidelines, visit okda.org/programs/member-support foundations in need of resources after destructive storms. visit okda.org/programs/member-support/

www.okda.org

29

SmileCon®, the ADA’s reimagined dental meeting, delivers endless opportunities for every career stage and specialty.

REGISTRATION OPENS JUNE 7!

Early Bird discounts end June 23 at 5 p.m. CT.

JOIN US AT CNHSA POSITION 1: GENERAL DENTIST Location | Durant Regional Medical Clinic 1801 Chukka Hina Durant, OK 74701 POSITION 2: GENERAL DENTIST Location: Rubin White Health Clinic 109 Kerr Ave Poteau, OK 74953 • SALARY: $175,000/Year • BENEFITS: Generous Full Benefits Package • DUTIES: Dental Procedures at CNHSA

THREE GREAT PASS OPTIONS

Procedures are restorations, amalgam and composite.

Extractions are simple and surgical, based on the comfort level of the dentist. Exams and digital x rays are offered. For complex extractions and molar endo we have both an endodontist (in Durant, OK) and the ability to refer out root canals to outside providers.

This also applies to oral surgery for complex cases, third molars, full mouth extractions or complex extractions where anatomical considerations may impact the case. Also, we do have one pediatric dentist (in Durant, OK). Dentures and partials are handled by outside providers, and the patient is given contact instructions.

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LEARN MORE, BUILD YOUR SCHEDULE AND REGISTER AT

JASON HILL, D.O. CHIEF MEDICAL OFFICER JLHILL@CNHSA.COM | 918.567.7007 ONE CHOCTAW WAY, TALIHINA, OK 74571

SMILECON.ORG

30 journal | May/June 2023

Health Services

Build Your Practice

What is a Dental Home?

A Dental Home is a relationship between a dentist and a patient where the patient chooses a dental office for the care of themselves and their loved ones. LIBERTY Dental Plan helps our members establish a Dental Home to support the patient-provider relationship and build trust.

The LIBERTY Advantage LIBERTY helps our Providers by encouraging members to keep the dental home they choose. We also help Providers advertise their other office locations and offer benefits such as: • • • • •

Lowering your administrative burdens Giving incentives for preventive care Office trainings and resources to achieve improved patient outcomes Encouraging preventive visits every 6 months Providing incentives to patients to recieve preventive services

Scan the QR code to get started today! or visit us at www.LIBERTYDentalPlan.com

www.okda.org

31

LEGISLATIVE LOOP Legislative Overview & Political Update

What We Won On Tuesday, April 11th, we sent an update in our e-newsletter informing you that HB 1694, the Insurance Transparency Act, did not advance out of the Senate’s Retirement and Insurance Committee. Though disappointing for all of us, I wanted to make sure you knew how much the ODA – and especially you as a member dentist – accomplished in this campaign.

WE NEED YOUR HELP TO CONTINUE TO BE SUCCESSFUL AT THE CAPITOL IN 2024!

The Insurance Transparency Act was a brand-new piece of legislation this year. Often, new legislation does not even get a hearing the first time it is filed. This bill not only got a hearing. It was passed by the House committee, then by the full House - both unanimously. In the Senate committee, we were only one vote short. There is so much potential to advance the bill even further next year.

None of this would have happened without you. Your outreach to lawmakers propelled this effort and laid the groundwork for us to build on what we achieved next year.

Even if you couldn’t actively participate in the campaign this season, you helped just by being a member of the ODA. Your membership gives us the resources and the standing to advocate for common sense laws that help you serve more patients and enhance the oral health of our communities.

We are not finished fighting for the Insurance Transparency Act and other policies that protect dentists and dental patients. In fact, we’re just getting started. Next year, we’ll begin this campaign with more allies, bettereducated lawmakers and the momentum from an incredible effort this year – all thanks to you. I won’t give up until we win, and I know you won’t either.

Thank you for all you do!

Sincerely,

Lynn Means ODA Executive Director

WHY JOIN DENPAC

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

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

32 journal | May/June 2023

K

CAPITOL CLUB Dr. Jeffrey Ahlert Dr. Clay Anderson Dr. Tabitha Arias Dr. Glenn Ashmore Dr. Douglas Auld Dr. Justin Beasley Dr. William Beasley Dr. Tamara Berg Dr. David Birdwell Dr. Elizabeth Bohanon Dr. Blaire Bowers- Ersteniuk Dr. Ed Braly Dr. Todd Bridges Dr. Matthew Bridges Dr. Trace Bridges Dr. S. Kelly Brown Dr. Tricia Cannon Dr. Wuse Cara Dr. John Carletti Dr. Bobby Carmen

WE DON’T FUNDRAISE. WE FRIENDRAISE! THANK YOU TO THESE 2023 DENPAC CAPITOL CLUB MEMBERS! Dr. Tennille Cheek-Covey Dr. Raymond Cohlmia Dr. Matthew Cohlmia Dr. Susan Davis Dr. Ana Dotson Dr. Brian Drew Dr. Twana Duncan Dr. Heath Evans Dr. Christopher Fagan Dr. Barry Farmer Dr. John Folks Dr. Richard Freeman Dr. Chad Garrison Dr. Sandra Grace Dr. Shannon Griffin Dr. Michael Hansen Dr. Kevin Haney Dr. Aaron Harman Dr. Edward Harroz Dr. Richard Haught

Dr. Haley Harrington Dr. Robert Herman Dr. Jeffrey Hermen Dr. Mathew Hookom Dr. James Hooper Dr. Brad Hoopes Dr. Scott Hubbard Dr. Karl Jobst Dr. Donald Johnson Dr. Eugenia Johnson Dr. Krista Jones Dr. Michael Kirk Dr. Jandra Korb Dr. Marti Levinson Dr. Juan Lopez Dr. David Marks Dr. Stephen Martin Dr. Stephen Mayer Dr. Tracy McIntire Dr. Janna McIntosh

Dr. Glenn Mead Dr. Kenner Misner Dr. Mohsen Moosavi Dr. Paul Mullasseril Dr. Nicole Nellis Dr. Samuel Owens Dr. Ronald Plant Dr. Dana Price Dr. Christopher Ray Dr. Karen Reed Dr. Ryan Roberts Dr. Brant Rouse Dr. Troy Schmitz Dr. Brandon Schultz Dr. Steffan Sigler Dr. Floyd Simon Dr. Chad Spiva Dr. Braden Stoltenberg Dr. Julie Storm Dr. Carla Sullivan

Dr. Marc Susman Dr. Jim Taylor Dr. Stephen Taylor Dr. Ryan Theobald Dr. Kara Tims Dr. Jonah Vandiver Dr. Nathan Villines Dr. Carlie Wager Dr. Robert Webb Dr. Mark Weems Dr. Robert Wells Dr. James Wendelken Dr. W. Scott White Dr. Dan Wilguess Dr. Brian Wilson Dr. Ronald Winder Dr. Rieger Wood Dr. Paul Wood

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

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

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

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

THANK YOU TO THESE 2023 DENPAC GRAND ($1,000) LEVEL MEMBERS!

Dr. Douglas Auld Dr. Ed Braly Dr. Matthew Bridges Dr. Matthew Cohlmia

Dr. Twana Duncan Dr. Shannon Griffin Dr. Richard Haught Dr. Haley Harrington

Dr. Robert Herman Dr. Krista Jones Dr. Juan Lopez Dr. Paul Mullasseril

Dr. Steffan Sigler Dr. Dan Wilguess Dr. Rieger Wood Dr. Paul Wood www.okda.org

33

ADA Supports Legislation to Reduce Medicaid Administrative Barriers The ADA led 14 other dental organizations in thanking Rep. Mike Simpson, DMD, R-Idaho, for introducing legislation that would reduce administrative barriers for dentists who participate in Medicaid.

H.R. 1422, the Strengthening Medicaid Incentives for Licensees Enrolled in Dental Act, would reduce administrative barriers by simplifying the credentialing process so that dentists do not have long wait times to become Medicaid providers. This bill would encourage states to use an integrated system such as CAQH to minimize paperwork and complete the credentialing process within 90 days.

“In order to help ensure access to care, a strong network of dentists is needed to see the patients served by Medicaid,” wrote ADA President George R. Shepley, DDS, and Executive Director Raymond A. Cohlmia, DDS, in a separate letter sent by the ADA. “Unfortunately, however, administrative requirements often discourage dentists from signing up for, or staying in the Medicaid program.

Additionally, the SMILED Act would ensure fair Medicaid audits by requiring that they be performed by a dentist from the same specialty and be based on clinical practice guidelines from the ADA and other dental organizations.

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

ADA Answers Your Questions on New DEA Registration Requirement Effective June 27 In December 2022, the U.S. Congress passed an omnibus spending bill that included the Medication Access and Training Expansion (MATE) Act. This new law requires prescribers of controlled substances, including dentists, to complete eight hours of one-time training on safely prescribing controlled substances (Schedules II, III, IV, and/or V) in order to receive or renew their registration with the U.S. Drug Enforcement Administration (DEA).

It’s likely that you received an email from the DEA last week notifying you of this new requirement, which goes into effect on June 27, 2023.

To help dentists comply, the ADA has created a Frequently Asked Questions document addressing common questions we have heard from members, including: • Does this new federal training requirement affect me?

• What am I required to do?

• How much time do I have to satisfy the new training requirement?

• Do I need to maintain records showing I have completed the training?

• How will I know what courses will satisfy the requirement?

• Will training hours completed prior to the law’s passage count toward the new requirement?

• Will I have to complete the 8 hours of federally required CE on a cyclical basis?

• Will CE credits that are accepted for state licensure count toward the new federal requirement?

• Can my state impose additional CE requirements?

• Am I required to complete training on topics that are outside of my scope of practice?

• Do I have to use a specific CE provider? Will ADA CERP credits count?

• Does the ADA offer CE on safe controlled substance prescribing?

The ADA will update the FAQ regularly to answer new questions and share additional information. Currently, our team is working to address questions about how the DEA will enforce the requirement, how the rule will affect prescribers with multiple DEA registrations, and other topics.

If you have further questions, the ADA’s Member Service Center is here to help. Contact the MSC via e-mail at msc@ada.org or call 312440-2500. Staff are available Monday through Friday from 8 a.m. - 5 p.m. central time.

In the meantime, I encourage you to visit the DEA Diversion Control Division’s website for more updates at deadiversion.usdoj.gov.

Additional information may be found at ADA.org.

George R. Shepley, D.D.S. ADA President

34 journal | May/June 2023

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35

ODA FEATURE

DIFFERENTIAL DIAGNOSIS: The Umbilicated Lesion By: Glen D. Houston, DDS, MSD (gdhdds@heartlandpath.com) HISTORY A 68-year-old man presents to your office as a referral from his primary care provider.

During your examination, an umbilicated lesion involving the right lower lip is observed. The patient states that the lesion has been present "for a few days and is painful to the touch." He also has a long history of alcohol use, smoking (tobacco and marijuana), and recently, vaping.

QUESTION #1 An appropriate differential diagnosis for this lesion might include: a. Keratoacanthoma b. Squamous cell carcinoma c. Basal cell carcinoma d. Ulcerated fibroma e. Erythema multiforme ANSWER #1 An appropriate differential diagnosis should include: a. Keratoacanthoma b. Squamous cell carcinoma c. Basal cell carcinoma All three of these entities may present as an umbilicated lesion with a raised, rolled border involving the lower lip.

A keratoacanthoma (a) is typically observed on actinically damaged skin, particularly the face, including the lower lip. This benign lesion has a clinical presentation and histologic characteristics similar to squamous cell carcinoma. This entity exhibits rapid growth and is typically observed in adult men.

Squamous cell carcinoma (b) of the lower lip typically presents as an oozing, crusty, symptomatic, ulcerated area. Eventually, this non-healing ulcer develops a raised, rolled border that is indurated. This lesion is much more common on the lower lip than the upper lip and is usually observed in adult men. Most squamous cell carcinomas arising

36 journal | May/June 2023

on the lower lip are associated with a lengthy history of sun exposure.

Basal cell carcinoma (c) is also typically observed on sun-damaged skin, particularly the upper face, with more than 85% of the cases found in the head and neck region.

Basal cell carcinoma is the most common form of skin cancer and is more common in men than in women. This neoplasm usually presents as a firm, painless papule that slowly enlarges and gradually develops a central depression with an umbilicated appearance.

Fibroma (d) is the most common "tumor" of the oral cavity. Although it can appear anywhere in and around the oral cavity, the buccal mucosa is the most common anatomic site. Fibroma would not be included in the differential diagnosis in this case because it typically presents as a smooth surfaced, dome-shaped nodule with a broad, sessile base that is asymptomatic and not ulcerated.

Although erythema multiforme (e) may present with a wide spectrum of clinical diseases, oral lesions typically begin as multiple erythematous patches that undergo epithelial necrosis and evolve into large, shallow erosions and ulcerations with irregular borders. Patients are usually men in the20- to 30-year-old age group. This condition is not considered in the present clinical differential diagnosis.

QUESTION #2 Which of the following procedures should be performed? a. No surgical intervention and follow closely for 3–4months b. Consultation with a specialist c. Biopsy d. Exfoliative cytology

ANSWER #2 Following a biopsy, the following procedures are indicated in this case: (b) Consultation with a specialist (c) Biopsy Consultation with a specialist (b) to determine optimal treatment and management of the patient is necessary.

Additionally, biopsy (c) of the lesion in order to establish a definitive treatment format is essential.

The choices no surgical intervention, follow closely for 3–4 months (a) and exfoliative cytology (d) would be of no benefit in the management of this umbilicated lesion.

QUESTION #3 Following a biopsy and submission of the specimen for histologic examination, the following microscopic features are noted for this lesion: a flask-shaped, central zone of keratin; the surrounding surface epithelium forms a "lip" or "buttress" over the sides of the central zone, producing a raised, rolled border; at the deep, leading edge of the lesion, islands of squamous cells are noted; and cytologic atypia of the squamous cells is not prominent. The correct diagnosis is: a. Squamous cell carcinoma b. Keratoacanthoma c. Basal cell carcinoma d. Necrotizing sialometaplasia

ANSWER #3 The correct answer is keratoacanthoma (b).

See Discussion section.

The other possibilities are not considered for the present case. Squamous cell carcinoma (a) arises from dysplastic surface epithelium and is characterized by invasive islands, ribbons, and cords of malignant squamous epithelial cells. Varying degrees of cellular and nuclear pleomorphism would be observed. Basal cell carcinoma (c) is composed of cells that are arranged into- well demarcated islands and strands that arise from the basal cell layer of the overlying surface epithelium and invade the underlying connective tissue. Epithelial islands typically demonstrate palisading of the peripheral layer of cells with a zone of "retraction" between the epithelial islands and the adjacent connective tissue.

Necrotizing sialometaplasia (d) is a salivary gland lesion characterized by necrosis of salivary gland acini with an associated squamous metaplasia of the salivary gland ducts. The histologic features noted for squamous cell carcinoma, basal cell carcinoma, and necrotizing sialometaplasia are distinctive for these three entities. These histologic features are not observed in the present case.

DISCUSSION Only since 1950, after the publication of papers by Rook and Whimster and Musso and Gordon, has this fairly common lesion been accepted as a distinct clinical entity.

The keratoacanthoma is a benign lesion that occurs on sun-exposed skin. The etiology is

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Would you like to share that knowledge with oklahoma dentists or other dental professionals?

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unknown, although genetic and viral factors have been considered.

From a clinical standpoint, keratoacanthoma is most frequently observed in men between the ages of 50 and 70 years of age. Approximately 90% of the lesions have occurred on sun-exposed skin, with the cheeks, nose, and dorsum of the hands most often involved. The lesion occurs on the lips in roughly 10% of cases. Keratoacanthoma presents as an elevated, umbilicated or crateriform area with rapid enlargement and a depressed central plug or core. Because of this clinical presentation, the keratoacanthoma may resemble both squamous cell as well as basal cell carcinoma; however, the microscopic features are characteristic and, if untreated, the lesion will spontaneously regress within 6-24 months.

Microscopic features of the keratoacanthoma are characterized by an abrupt marginal change with marked hyperkeratosis. The lesion has a flaskshaped crateriform configuration (keratin plug) with superficial collarette (buttress) and a bulbous, expanded base composed of surface epithelium. Well-formed keratin islands are observed "dropping off " into the underlying connective tissue. Cytologic atypia of the squamous cells in these islands is not prominent.

keratoacanthoma rather than a malignant neoplasm, and (2) the scar created by surgery is often more cosmetically acceptable than that which develops from spontaneous regression. After excision, approximately 2% to 8% of treated patients experience recurrent, persistent disease.

About the Author: Dr. Houston works at Heartland Pathology Consultants, PC in Edmond, OK. He can be contacted with questions at gdhdds@ heartlandpath.com REFERENCES Eversole LR, Leider AS, Alexander G: Intraoral and labial keratoacanthoma. Oral Surg Oral Med Oral Pathol. 1982; 54:663-667.

Janette A, Pecaro B, Longergan M, et al: Solitary intraoral keratoacanthoma: report of a case. J Oral Maxillofac Surg. 1996; 54:1026-1030.

Mandrell JC, Santa Cruz DJ: Keratoacanthoma: hyperplasia, benign neoplasm or a type of squamous cell carcinoma? Semin Diagn Pathol. 2009; 26:150-163.

Musso L, Gordon H: Spontaneous resolution of a molluscum sebaceum. Proc R Soc Med. 1950; Nov;43(11):838-839.

Rook A, Whimster I: Kerato-acanthoma. Arch Belg Dermatol Syphiligr. 1950; Sep;6(3):137-146.

Rook A, Whimster I: Keratoacanthoma—a thirty year retrospect. Br J Dermatol. 1979; Jan;100(1):41-47.

Schwartz RA: Keratoacanthoma: a clinic pathologic enigma. Dermatol Surg. 2004; 30:326-333.

Surgical excision is the treatment of choice.

Waiting for spontaneous involution is not advisable for two reasons: (1) One cannot be assured clinically that the lesion is a

Oklahoma Dental Association

Speaker’s bureau okda.org/oda-speakers-bureau www.okda.org

37

KEEP IT LOCAL

A full-mouth rehabilitation with FP1 prosthesis using advanced prosthodontics and periodontics approach: A case report (Part 2 of 2) By: Jaewon Kim1, DDS, MSD, PhD, Jekita Kaenploy2, DDS, MS Division of Periodontics, University of Oklahoma, College of Dentistry, OK 2 Department of Restorative Dentistry, University at Buffalo, NY 1

DISCUSSION Prosthodontic perspective Full-mouth reconstruction requires thorough data acquisition and treatment planning. A diagnostic work-up will guide clinicians to successful treatment outcomes by formulating a prosthetically-driven plan. In this case, the patient presented with chronic infection and pain. The initial treatment aimed to treat the infection. Regarding the decision to endodontically re-treat tooth #9, the overall success rate for secondarily endodontically treated teeth is 77%. However, higher success rates in maxillary teeth have been noted in the literature (1).

Therefore, a referral to an endodontist was made for re-treatment of tooth #9. There was also an extensive chronic periapical abscess from teeth #27-29 which were deemed non-restorable, and teeth #19, 21, and 26 were present with minimal tooth structure remaining. The decision was made to extract all lower teeth except the molars based on long-term prognosis and the patient’s desire for fixed prostheses.

Other potential treatment options included a partial denture on the lower arch in combination with surveyed crowns or implants.

However, teeth #21, 22, and 26 had questionable restorative prognosis due to extensive loss of tooth structure. Consequently, they would not be suitable abutments for a removable partial denture. An implantsupported removable partial denture was another alternative, but the long-term prognosis and esthetic outcomes would be deficient in meeting the patient’s expectations.

The virtual implant planning was performed with immediate placement and loading concepts. According to Gallucci et al (2), immediate loading in extended partially edentulous sites is predictable and there is high evidence of success when the implants are splinted during the interim phase. The ITI consensus statements from 2013 stated that implants to be placed immediately require correct 3D position of the implant and there is a minimum of 2 mm distance from the buccal wall of the socket to the surface of the implant (3). In this case, all the planned implant positions met these requirements, so immediate placement could be performed.

The intaglio surface contours of the interim prosthesis is crucial for the emergence profile of the final prostheses and oral hygiene maintenance (4). Care was taken to ensure that the intaglio surface of the pontic areas were convex and exhibited slight pressure to the tissue to create proper emergence profile (5).

The mandibular arch was restored with implant-supported zirconia crowns and bridge. Zirconia has high strength and desirable mechanical properties which made the material a great choice to support a bridge in this case. The natural dentition on the maxilla was 38 journal | May/June 2023

restored with lithium disilicate crowns for superior bonding to the tooth structure and better esthetics compared to zirconia. Conversely, zirconia exhibits better biocompatibility and lower plaque retention than glass ceramics (6). Hence, it is a great material to be used to fabricate implant-supported restorations with the emergence profile intimately adapted to the soft tissue.

Periodontal perspective For diagnosis, this case was classified as stage III as the patient was not aware of the reason for tooth loss. According to the 2018 AAP classification, interdental clinical attachment loss should be detectable at ≥2 non-adjacent teeth, and buccal or oral clinical attachment loss ≥3mm with pocketing of >3mm as detectable at ≥2 teeth. However, according to Kornman et al (7), if a single tooth shows enough evidence of periodontitis, then it will be classified as it is. A history of periodontitis in this patient was a strong concern as previous literature has shown a negative relationship to implant survival. According to Schwartz, previous history of periodontitis, poor plaque control, and no regular maintenance is a risk factor for peri-implantitis (8).

The patient came regularly for supportive peri-implant maintenance therapy to monitor implant status after completion of treatment.

According to Monje’s systematic review, a minimum of 5-6 months of maintenance is effective (9).

Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) have been extensively studied in the field of wound healing. PRP was first studied in the 1990s and is composed mainly of platelets, which secrete growth factors for initial wound healing. PRF, which is the complex fibrin matrix of autologous platelets and leukocytes, holds growth factors and cytokines that are valuable for wound healing. In Miron’s systematic review, PRF combined with an open flap approach to treatment, statistically noticeable benefit to healing was observed (10). The author used PRP to mix with bone graft, while using PRF on top of the membrane to have favorable wound healing when submerged under the flap.

Socket grafting was utilized to preserve the volume of the alveolar ridge after extraction. However, throughout the healing process the bone resorbed both vertically and horizontally. According to a systematic review by Avia-Ortiz, the clinical magnitude of alveolar ridge preservation compared with extraction sites without any graft was 2mm horizontal/mid buccal, 1mm vertical/midlingual, 0.5mm mesial and 0.2mm distal height changes (11).

When multiple implants are placed, it is important to note that the bone densities will be different at each location of osteotomy

preparation. This be evaluated preliminarily via radiograph or CBCT, and the tactile feedback during osteotomy preparation. In this case, one implant lost stability and spun upon removal of the temporary cylinder. This potentially could have been prevented with gentle screw-tightening. Moreover, a study found that lower insertional torque values show inferior outcomes (12). Thus, in this case, the decision was made to keep the implant submerged and wait for a healing period of 4 months. Ultimately, the implant osseointegrated and functioned well.

For the conscious intravenous moderate sedation, dexmedetomidine was used. Dexmedetomidine (Precedex, Pfizer) is a highly selective alpha-2 adrenergic receptor agonist.

It creates sedative and analgesic action via the central nervous system. Moreover, it may also result in bradycardia, which is a common side effect. It is recommended to dilute to 4mcg/ml prior to administration; combination with midazolam or fentanyl is also a possible protocol. Previous cohort studies have shown that dexmedetomidine can be a good alternative to midazolam and fentanyl (13). In this case, even though the patient was ASA III, there was no issue with sedation with Richmond Agitation Sedation Scale (RASS) score being evenly maintained with -3 throughout the procedure.

CONCLUSION This case was successfully managed with advanced digital prosthodontic and periodontal surgical techniques. Cooperation between both departments was a key factor. Clear and open communication between the patient and treatment team is essential to predictable outcomes. The digital workflow used for surgical planning and immediate load prosthesis CAD design illustrates the capacity to generate true-to-design accuracy for implant placement through the use of surgical guide and prosthesis stabilization utilizing existing teeth prior to their extraction. However, the use of the On1™ concept in this case has its limitations in terms of clinical applications and digital workflow.

Proper diagnosis, along with the thorough treatment planning and execution of therapy will ultimately achieve better outcomes for the patient and clinician.

References 1. Ng YL, Mann V, Gulabivala K. Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J. 2008;41(12):1026-46.

2.Gallucci GO, Benic GI, Eckert SE, Papaspyridakos P, Schimmel M, Schrott A, et al.

Consensus statements and clinical recommendations for implant loading protocols.

The International journal of oral & maxillofacial implants. 2014;29:287-90.

3. Morton D, Chen ST, Martin WC, Levine RA, Buser D. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. International journal of oral & maxillofacial implants.

2014;29(Suppl):216-20.

4. Able FB, Campanha NH, Younes IA, Sartori IAdM. Evaluation of the intaglio surface shape of implant-supported complete-arch maxillary prostheses and its association with biological complications: An analytical cross-sectional study. The Journal of Prosthetic Dentistry. 2022;128(2):174-80.

5. Pozzi A, Tallarico M, Moy PK. The Implant Biologic Pontic Designed Interface: Description of the Technique and Cone-Beam Computed Tomography Evaluation.

Clin Implant Dent Relat Res. 2015;17 Suppl 2:e711-20.

6. Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019;19(1):134.

7. Kornman KS, Papapanou PN. Clinical application of the new classification of periodontal diseases: Ground rules, clarifications and "gray zones". J Periodontol.

2020;91(3):352-60.

8. Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol. 2018;89 Suppl 1:S267-S90.

9. Monje A, Aranda L, Diaz KT, Alarcon MA, Bagramian RA, Wang HL, et al. Impact of Maintenance Therapy for the Prevention of Peri-implant Diseases: A Systematic Review and Meta-analysis. J Dent Res. 2016;95(4):372-9.

10. Miron RJ, Zucchelli G, Pikos MA, Salama M, Lee S, Guillemette V, et al. Use of platelet-rich fibrin in regenerative dentistry: a systematic review. Clin Oral Investig.

2017;21(6):1913-27.

11. Avila-Ortiz G, Elangovan S, Kramer KW, Blanchette D, Dawson DV. Effect of alveolar ridge preservation after tooth extraction: a systematic review and metaanalysis. J Dent Res. 2014;93(10):950-8.

12. Walker LR, Morris GA, Novotny PJ. Implant insertional torque values predict outcomes. J Oral Maxillofac Surg. 2011;69(5):1344-9.

13. Zhang Y, Li C, Shi J, Gong Y, Zeng T, Lin M, et al. Comparison of dexmedetomidine with midazolam for dental surgery: A systematic review and metaanalysis. Medicine (Baltimore). 2020;99(43):e22288.study. The Journal of Prosthetic Dentistry. 2022;128(2):174-80.

5.

Pozzi A, Tallarico M, Moy PK. The Implant Biologic Pontic Designed Interface: Description of the Technique and Cone-Beam Computed Tomography Evaluation. Clin Implant Dent Relat Res. 2015;17 Suppl 2:e711-20.

6.

Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current

The figures and tables are on pages 40-42.

Part 1 was printed in the March/April Journal .

status on lithium disilicate and zirconia: a narrative review. BMC Oral Health.

www.okda.org

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FIGURE 1

FIGURE 3

FIGURE 2

FIGURE 4

FIGURE 5

FIGURE 6

40 journal | May/June 2023

FIGURE 7

FIGURE LEGEND FIGURE 1: Preoperative intraoral photographs. (a) Right lateral, (b) Front, (c) Left lateral, (d) Maxillary occlusal, (e) Mandibular occlusal view, (f) Fullmouth series radiographs.

FIGURE 2: The digital workflow and fabrication of the immediate provisional restoration. (a) Front, (b) Occlusal.

FIGURE 8

FIGURE 3: (a) After extractions, teeth #24 and 25 remained to seat the surgical guide with tripod support. (b) #29 had bone loss in the apical area communicating through the buccal cortex (blue arrow). (c) Implant surgical guide seated. (d) Implants #22, 27, and 29 were placed immediately. Then the remaining teeth were extracted (e) Nobel Active Ti Ultra fixture. (f) Bone reduction guide. (g) After all implants were placed, the fenestration was grafted with a PRP-infused bone graft. (h) Bio-Gide membrane placed on top of the grafted sites. (i) PRF membrane was placed on top of the Bio-Gide membrane before flap closure. (j) After the healing abutment placement and bone graft, sutures were placed.

FIGURE 4: The digital workflow and fabrication of the second set of provisional restorations. (a) Front, (b) Occlusal.

FIGURE 5: The fabrication of the final restorations. (a) Jaw relation recorded in centric relation, (b) The provisional restorations used as a blueprint for the final restorations, (c) Final restorations designed using 3Shape software, (d) Milled and finished final restorations.

FIGURE 6: Comparison between initial presentation (a, b), temporary restorations (c), and final results (d,e).

FIGURE 7: Comparison between initial (a) and one-year postoperative full mouth series radiographs (b).

FIGURE 8: One-year postoperative periodontal charting.

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TABLE 1

TABLE 3

TABLE 2

TABLE LEGENDS TABLE 1: Medication list.

TABLE 2: Problem list.

TABLE 3: Diagnosis and treatment plan.

42 journal | May/June 2023

A Provider Friendly Program For over 30 years, MCNA has been a leading dental benefits administrator with a focus on providing exceptional service for Medicaid and CHIP members. Founded by dentists, MCNA serves over 5 million children and adults nationwide.

We are the largest dental insurer of Medicaid and CHIP programs in the country via direct contracts with state agencies. MCNA’s eight state partners include: Texas, Louisiana, Florida, Iowa, Idaho, Nebraska, Arkansas, and Utah. Our approach emphasizes prevention and compassionate care through our robust provider networks.

MCNA’s mission to care includes: • Preventive dental care in a dental home setting.

• Positive engagement with members beginning at a very young age.

• Innovative member outreach via our member advocate team.

• Dedicated support for our network providers via our in-state provider relations team.

• Clinical decisions made by licensed dentists and guided by leadership with extensive clinical and administrative experience serving Medicaid programs.

MCNA is an active and effective partner to our network providers in the delivery of oral health care and services. We invite you to learn more about us and our mission to care by visiting us online at www.mcna.net.

www.okda.org

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PRACTICE MANAGEMENT Health Information Exchange ODA STATEMENT During the ODA House of Delegates meeting last Thursday, the following Resolution was passed unanimously: Resolved, that the Oklahoma Dental Association opposes the requirement of electronic health information exchange (HIE) throughout Oklahoma for healthcare providers for SB1369/SB574.

Although opposed to the mandate, in order to be in compliance with SB1369/SB574, the bill passed at the end of session last year that mandates that ALL healthcare providers connect to the HIE, please file an exemption.

DO NOT SEND ANY MONEY TO OKSHINE AND DO NOT START THE PROCESS TO CONNECT TO THE SYSTEM. Complete the exemption form before July 1, 2023, and you will be in compliance with the law.

Complete your exemption by visiting surveymonkey.com/r/OKSHINEExemption

Health Information Exchange Fact Sheet

FACT SHEET (PROVIDED BY OKSHINE) B a c k g r ou nd

SB 574 (2021) • Created the Oklahoma State Health Information Network Exchange (OKSHINE) SB 1369 (2022) • Created the Office of the State Coordinator for Health Information Exchange OHCA • Created concept of a State Designated Entity for HIE Operations overseen by the office – OHCA has contracted with MyHealth Access Network as the SDE. • Requires that “all providers” participate in the statewide HIE by July 1, 2023. o Establish a direct secure connection to the SDE and transmit active patient data. o Actively utilize HIE services to securely access records during and/or in support of patient care.

• Coordinator may grant exemptions (financial hardship or technological capability).

Health Information Exchange Health information exchanges (HIEs) are connecting nationwide to seamlessly deliver patient health information across health systems, improving the patient experience by making their health information available whenever and wherever their care occurs.

With the statewide HIE, the state can vastly improve public health, care coordination, records exchange, and address care fragmentation and care gaps for providers.

• • • •

70% of Oklahomans have records in more than one health care delivery system.

The HIE currently covers more than 1400 locations serving more than 110,000 patients daily.

MyHealth is a non-profit organization and is the State Designated Entity for HIE operations.

There will be a one-time connection fee charged to establish interoperability.

Patient privacy: All patient data is only accessible in secure, approved ways, compliant with HIPAA, MyHealth Terms & Conditions and Network Policies. The HIE is set up to monitor access of all health care information it receives to ensure patient privacy.

Misuse of the system is a crime and is subject to all penalties associated with a HIPAA journal |More May/June 2023 44 violation. information on patient privacy can be found at

https://myhealthaccess.net/who-we-are/faq/ . Psychotherapy notes are excluded from transmission to the HIE as well as any Mental/Behavioral health data covered by 42 CFR part 2.

FAQs Why do healthcare providers need to share patient information?

If you have ever had to recall all of your medications or test results from memory to a new provider, or carry around printed medical records from one provider to the next on behalf of yourself or a loved one, you’ve experienced the need for information sharing between doctors. Because patients may see several different physicians besides their primary care provider, different sets of medical records for the same patient can be found in different offices. This creates burdensome paperwork for the patient, but also creates a very real risk that the patient could be prescribed a medication they are allergic to, or are already taking, or that the same tests already undergone (and paid for) are re-ordered.

A statewide HIE supports: o

Reduced health care costs associated with redundant testing, hospital readmissions and unnecessary emergency department visits.

o

Improving care coordination during transitions between health care settings, reduce adverse drug events and missed preventive care.

o

Improved patient experience and provider performance on quality measures

How can a statewide HIE improve health care?

•

One prominent study indicates that in 85% of families’ visits to the doctor, critical health information is missing that could have changed the treatment plan. An HIE ensures that the relevant information is available for every doctor to consider.

•

Eliminates the delays created when a doctor needs more information from other providers involved in a patient’s care and would otherwise have to wait on the mail, a fax or a returned phone call.

•

Enables your doctors to communicate directly and securely with one another to ensure care is coordinated appropriately.

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•

Helps to avoid additional costs and health risks created by duplicated medical tests (such as increased radiation), or complications caused by missing information (like medication reactions or missed preventive care).

What health information is stored in the HIE? Only high priority health information will be included in the HIE as required by Federal regulations (See the United States Core Data for Interoperability). Medical professionals have determined that information such as the following is needed to effectively coordinate your health care: 1.

2.

3.

4.

5.

6.

7.

8.

9.

Names of the doctors and other health professionals who provide your care Diagnoses Current medications prescribed to you Lab and x-ray results Past procedures Known allergies Immunization records Hospital discharge records Basic personal information (your name, address, family phone contacts, etc.)

Who will have access to medical records?

Only the health care professionals who are involved in a patient’s care is authorized to view their records. These healthcare providers include doctors, nurses, hospital clinicians, diagnostic technicians and pharmacists—the same individuals who maintain health records in separate systems today.

Access to data is guarded closely. MyHealth Access Network will rely on the same authorization procedures doctor’s offices uses today to determine which health providers are eligible to have access to a patient’s medical records. Access to clinical data elements is restricted to appropriate users such as a patient’s doctor and other doctors that are involved in care, and the system keeps track of every person who views medical records so that privacy will be protected through regular auditing of usage logs.

Can an individual restrict the sharing of my medical records?

Yes. Any patient may decide to prevent access to their medical records by signing and submitting an “opt out” form available from any participating health professional, or at Myhealthaccess.net/opt-out. Note that providers will continue to use and maintain information in their own systems—but opting out will remove the ability for that

46 journal | May/June 2023

information to be accessed through the HIE, except in unique situations like medical emergencies.

Can a medical provider see notes from therapy sessions? How is sensitive behavioral health information handled?

As has always been the case, Providers are in control of what data they share.

Sensitive information of any type (behavioral or otherwise) is withheld by providers who mark a chart or note as sensitive.

The system conforms to all HIPAA regulations and is regularly audited to ensure compliance. Additionally, any care or services covered under 42 CFR Part 2 are excluded from data transmission, as well as psychotherapy notes from any provider are marked as sensitive and excluded from transmission to the HIE. Progress notes may additionally be marked as sensitive and excluded from transmission.

What is the cost?

The estimated cost to establish connection is $5,000 for a typical clinic to establish EHR system interoperability. The cost covers the time and effort for the State Designated Entity (MyHealth) to meet with the providers’ EMR vendor or IT team, review the standards, setup the secure connection, and test the data flow to ensure data elements are categorized appropriately within the patient’s chart. A subscription fee is also required to access the network and is based on organization/provider types, and size.

If a provider finds that they will not be able to meet the mandate due to technological or financial burden, they may request a hardship exemption by submitting a request to the Office of the State Coordinator for HIE through the application describing in detail their situation as to why they are not currently able to meet the mandate. Form available at okshine.oklahoma.gov.

Where can I find more information about MyHealth?

MyHealth is an Oklahoma based 501c(3) non-profit organization whose board of directors is composed of medical associations, related disciplines (optometry, dentistry, first responders), community health organizations, insurance companies, medical universities, tribes, employers, public health, and patients.

https://myhealthaccess.net/

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Good Shepherd Merges with Crossings Community Clinic By: Jeanie Bath, DDS In August 2022, Good Shepherd formally merged with Crossings Community Clinic and became Crossings Midtown Clinic. Crossings Midtown continues to provide high-quality, dignity-affirming patient care to people who are uninsured, now with a new name.

Many ODA member dentists cared for patients at Good Shepherd, or as we called it in the late 1990s, “The Mission.” Although Good Shepherd’s 1977 origins in Chris’ Bar sound like the start of a questionable joke (some med students, homeless dudes, and a pastor walk into a bar) the mission continues more than 45 years later.

• You may have volunteered here as a dentist.

• Statistically speaking, you most likely started volunteering as a student in the student-led Extraction Clinic, serving your neighbors as soon as you had dental skills to share, carefully extracting infected teeth on Monday nights, when you could have been studying.

• Perhaps the Kids Clinic, added in 2003, is where you served.

• After 2014, you may have volunteered at the updated clinic, as we became a dental home for the adults of our medical clinic.

• Extraction Clinic, Kids Clinic, Unity Clinic, externships, partnerships with residency programs, D-DENT Community Dental Days, and Fun Fridays all continue at Crossings Midtown today.

The perfect alignment of Good Shepherd’s and Crossings Community Clinic’s missions made this merger possible. We are excited about the clinic’s future and the positive impact we will continue to have on the community, as a ministry of Crossings Community Church. Because of Good Shepherd’s rich history of service to the community combined with Crossings Community Church’s mission, we will continue to live by faith, be a voice of hope, and be known by love.

Thank you for your support and service for nearly half a century.

We look forward to what God has in store in this continued partnership with Oklahoma dentists!

UCO Pre-Dental Society’s Bring Your Own Dentist Day: Students invited dentists to mentor them as they volunteered together to care for their neighbors!

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The days of “dip-dipping” x-rays and spitting into a cup are long gone, but the humble service continues (2003).

ABOUT THE AUTHOR Dr. Jeannie Bath graduated from OU College of Dentistry in 2000 and completed her GPR at the OKC VA Hospital. She has volunteered with many charitable dental organizations and currently serves OkMOM as Pharmacy Lead. As the Dental Director for Good Shepherd Ministries in OKC, she shows God’s love by offering dental care to vulnerable members of our community and by mentoring pre-dental and dental students to do the same.

Hoping to prevent the mouth diseases she sees in adults, Dr. Bath’s alter ego, the Tooth Fairy, began teaching kids to care for their teeth by telling the story of The Three Little Teeth.

She presented to thousands of children in dozens of schools in four states. Unable to present for all schools, she collaborated with her brother to self-publish The Three Little Teeth as a children’s book to empower anyone (parents, teachers, and more) to educate children on mouth health.

The mission of Crossings Community Clinic is to humbly proclaim the message of Jesus by serving the physical, emotional, and spiritual needs of the uninsured.

Since 1981, students have led the Extraction Clinic at 5 p.m. every Monday during the school year. Now, during school breaks when students are unavailable, dentists can also volunteer to treat patients.

After many challenges in life, both in Burma and Oklahoma, Mr. B came to Crossings Midtown functionally edentulous, with a mouth full of root tips. Now that he’s healed and smiling, he says, “I feel like a little boy again!”

Students teach students the tradition of service. Here in 2018, they were preparing to volunteer at Kids Clinic. Several students from this class continue to volunteer as dentists at Crossings Midtown!

www.okda.org

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Office Showcase

Melanie Emerson, DDS (Oklahoma City) By: Melanie Emerson, DDS Fifteen years into a lease and outgrowing my current space, I started looking into building an office that would reenergize my desire to go to work. I was hearing from others that one way to get out of the burnout doldrums was to change my professional space. In the early phases of planning, my main goal was to expand enough to take on an associate, which would give me more flexibility in my schedule and the ability to incorporate and utilize technological advances in dentistry.

Once I decided to build within 5 years, I started looking for land to purchase. I practice in Midwest City, Oklahoma, and many of my patients live all over the city but work at Tinker Air Force Base. I live in Choctaw and treat many friends and family members. Therefore, my goal was to stay east of the OKC metro area and as close to my current office as possible. I consulted my dental reps, who put me in touch with a broker. As I started looking for land, I was shocked by the price of commercial land. It was doable, but much of the land near me that I was interested in required specific things such as the addition of city water. Then, a family friend and local realtor suggested that I try to rezone a residential property not even a mile from my current office. I took a risk, purchased the property, and went through the rezoning process. The risk paid off, and I now owned land. As I toured dental offices, I made notes on what was important to me and listened intently to team members and colleagues, and experienced reps who are part of the dental family and the best resources. The first stage was the architect. Architects are like magicians; they can make things that you dream appear.

They have smart boards and Google Earth, and the ability to draw your thoughts, and it didn’t take much to impress a middle-aged Gen Xer like me. It truly was a fun process. Do not be afraid to dream big, and scale back if you have to. You will not know what is possible until you ask. I ended up with an upstairs bonus room, a garage, and a saltwater fish tank built into the wall, because I asked.

As I think back on my biggest struggle during the expansion phase, and I would have to say it was my own anxiety. I worried about taking on debt and closing or an interruption in the ability to see patients. You cannot be expected to shut down your dental office for extended periods of time or to go for prolonged periods without vital elements such as operatories, sterilization, or mechanical equipment. Therefore, communicating with your contractor, dental equipment team, and current lease situation is key. Choosing the right equipment, cabinets/hardware, and a designer can be a challenge. You need to trust that the sales team is looking after you and not just trying to get the most productive sell. You need to ask a lot of questions and explore options. They will take you on tours. I chose Adec equipment because I was so impressed with the facility and the amount of testing that went into their equipment.

I haven’t been disappointed! I was fortunate to have a friend and colleague with design and dental profession experiencehelp me choose furniture, fixtures, paint, and art! I am forever grateful for Oklahoma orthodontist, Dr. Terry Cotterell who had the vision for my office design. Just a reminder to Oklahoma Dental Association readers that our profession has talented hobbyists in all sorts of fields!

We have been at our new location for three years, and I have achieved my goal of being busy enough to work with an associate. I love my space, utilize digital dentistry advances, and continue to grow as a practitioner by providing more services. I no longer feel the need to work extra days or stop taking new patients because I was feeling too busy and trapped in a space I had outgrown. Our new patient numbers are steadily increasing. I will never forget the emotion and excitement I felt when I saw my completed building for the first time. If you are thinking about building your dream office, start planning. It can certainly have a huge impact on your practice and mindset.

50 journal | May/June 2023

ABOUT THE AUTHOR Melanie Emerson, DDS was raised in Houston, Texas.She graduated in 1995 with a Bachelor of Science from Southern Nazarene University in Bethany, Ok. She worked two years as a research scientist at Oklahoma Medical Research Foundation and went on to graduate from University of Oklahoma College of Dentistry in 2001. She started her dental practice from the ground up in 2001. They opened at their new location in February of 2019. Dr. Emerson has 3 kids, and 2 grandsons. Her youngest daughter hopes to follow her mom into dentistry and own this dental practice one day. She is a recent published author of a small book which showcases her hobby of photography called Waxing and Waning which you can find on Amazon.

Currently, Dr. Meredith Turbeville, is an associate in the practice, and has brought cutting edge dentistry techniques to the practice after graduating from University of Texas San Antonio Dental School and completing the AEGD residency at University of Oklahoma.

Do you or someone you know have a new office space or one worth talking about?

We would love to feature it in the next Office Showcase!

Please contact the editor at editor@okda.org.

www.okda.org

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HYGIENE HOTSPOT

What It Takes to Be a Laser Hygienist By: Angie Wallace, RDH With all of the technological advancements in our world of dental hygiene, lasers are here to stay; they are truly changing the way dental professionals practice. We now see patients seeking out what lasers can do for them, as well as researchers and clinicians who continue to place the highest value on their capabilities. In addition, more and more “everyday” clinicians are looking to see how lasers can increase their practice efficiency and profitability.

To get the most out of what lasers can do for your practice as a hygienist, the best place to start is education. Hygienists interested in laser technology should start by doing their homework.

Familiarize yourself by reading industry publications about lasers, take a few online classes, and attend some classes. Compare laser manufacturers and their offerings to discover which laser will work best for you. When you are ready, take the next step and consider attending a Laser Certification course offered by a laser educator.

Consider the one offered by The Academy of Laser Dentistry (www. laserdentistry.org). ALD is the only unbiased laser organization, which means that they work with all levels of laser users on all different lasers. ALD laser educators provide laser courses throughout the United States and internationally, and a few of the educators can even provide laser education right in your office.

There are things you should carefully consider before using a laser on your patients: What do I want to use it for? Which laser should I use? What training or certification should I have before I use a laser?

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Let us examine these questions: As curettage is no longer an accepted procedure with the American Academy of Periodontology, lasers cannot be used by hygienists to cut tissue, just like we cannot use any other dental tool to cut tissue.

Depending on your state, common procedures that can be performed with lasers by hygienists are bacterial reduction, sulcular debridement, and bacterial decontamination. When performed with lasers, these procedures allow the tissue a chance to heal and new attachments to form, making the pocket easier to maintain.

Moreover, laser therapy in general is antimicrobial and decreases virulent red-complex bacteria, which can invade soft tissue and enter blood vessels, affecting overall health.

Other hygiene uses for the laser include the treatment of herpetic lesions or aphthous ulcers. These procedures are great practice builders, as patients are typically very pleased with results. As there are few over-the-counter treatments for herpetic lesions, lasers allow us to eliminate the pain from lesions, healing is significantly faster, and using a laser decreases the odds of lesions reoccurring in the same area. Lasers can provide superior results in the following procedures: 1) Laser Bacterial Reduction (LBR): We can eliminate bacteria at any hygiene appointment before completing hygiene procedures.

LBR is the practice of administering low-power laser energy within the sulcus throughout the entire dentition. This helps reduce bacteremia, cross-contamination, and bacterial load which in turn, helps prevent attachment loss.

2) Laser Assisted Periodontal Therapy (LAPT): Used for active periodontal therapy (SRP with laser decontamination) and in conjunction with traditional deep scaling appointments, LAPT is the practice of administering laser energy within the periodontal pocket for profound decontamination. LAPT also results in increased tissue interaction by removing inflammatory factors, significantly reducing bacteria within the pocket, and consequently promoting growth factors for healing with the ultimate goal of tissue rehabilitation.

3) Desensitizing of tooth structure: Laser energy can be used to eliminate sensitivity on the tooth structure.

4) Laser whitening: Laser technology is applied to activate bleaching solution to whiten teeth.

5) Photobiomodulation (PBM): Lasers are used for wound healing and pain management.

Once you determine what your clinical goals are in using a laser in practice, there are many lasers to choose from. Much like when you purchase a vehicle, it can be one that just gets you from point A to point B, or it can have all the bells and whistles that everyone loves. Look for one that fits what you actually want to do in order to benefit your practice and patients.

The types of lasers include Er:YAG and Er:CrYSGG, Diodes, Nd:YAG, and CO₂. Each has unique characteristics, and there are several manufacturers that specialize in each type.

I hope that I have sparked an interest for in lasers. Please do not hesitate to contact me at Angie@Laserrdh.com if you have questions about the role that lasers can play in your practice.

ABOUT THE AUTHOR: Angie Wallace, RDH has been a clinical hygienist for over 35 years. She is a member of the Academy of Laser Dentistry (ALD), where she obtained her Advanced level proficiency, her Educator Status, and received her ALD Recognized Course Provider 2007 and her Mastership with ALD in 2008. Angie currently serves as Chair for Education for the ALD Board of Directors and serves on the Auxiliary committee. She was the recipient of the 2014 John G. Sulewski, Distinguished Service Award from the Academy of Laser Dentistry and has been recognized as a worldwide speaker as a Laser Consultant for Dental and Dental Hygiene Schools, Laser Manufacturers and Private Offices. She can be reached at Angie@Laserrdh. comprogram.

Upcoming Continuing Education Opportunities

ORAL PATHOLOGY: A REVIEW OF ULCERATIVE LESIONS, LICHEN PLANUS, BURNING MOUTH AND TONGUE, THE HEAD & NECK & COMMON RADIOGRAPHIC CONSULTS PRESENTED BY: RONNIE FARAM, DDS, AND KATHLEEN HIGGINS, DDS, MS MAY 19, 2023 CREDITS: 6 HOURS

LASERS, PBM AND NEW PROCEDURES. IMPROVING PATIENT COMFORT AND OUTCOMES PRESENTED BY: STEVEN FOOSHEE, DDS JUNE 2, 2023 CREDITS: 6 HOURS

SCAN THE QR CODE TO REGISTER

OPIOID, ETHICS, CPR OSHA AND INFECTION CONTROL REFRESHER PRESENTED BY: DUNN CUMBY, DDS, KIM GRAZIANO, RDH, MPH, MARY HAMBURG, DDS, MS, AND CPR FOR LIFE JUNE 16, 2023 CREDITS: 7 HOURS

DO NO HARM DENTAL, PUTTING SAFER PAIN MANAGEMENT INTO PRACTICE PRESENTED BY: EDMUND BRALY, DDS, ACD, FAACS, AND STEVEN CRAWFORD, MD CREDITS: 2 HOURS This comprehensive four-module program was created specifically to satisfy the educational requirements for Oklahoma dental licensure.

For more information or to register online, visit: dentistry.ouhsc.edu/CE www.okda.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 Rural OK Practice For Sale - Grady County : General dental practice with 2 doc chairs and 1 hygiene room (with room for 4th chair), run as satellite office 1 day per week for 40 years. Mix of PPO and FFS. Loyal patient base and significant untapped potential in Minco/Union City area to be open more than once per week. All equipment included, Carestream Softdent and Dexis software. Implant drill and diode laser. Staff not included. Low overhead. Equipment is old but fully functional. Asking $115k, open to negotiation. Email contact preferred: elizabethksilver@gmail.com Practice for Sale/Lease: Western Oklahoma rural active practice with 1800 plus patients for sale owner willing to stay for transition. 3700 sq ft brick building on busy intersection. Computerized digital Xray and intraoral scanner. For more info contact the owner at drj2thfxr@icloud.com Greater Tulsa, OK Dental Practice for Sale: Looking for an excellent opportunity to own a general dental practice in the Greater Tulsa, OK area? Look no further than this highly-regarded practice, which is now available for sale.

Currently open four days per week, there is significant potential for growth if interested in expanding the practice hours. With limited advertising efforts, the practice consistently bring in 15-20 new patients each month, creating even more opportunities for growth and increased revenue. The current doctor is interested in continuing to practice and partnering with a group. Don’t miss your chance to own a thriving dental practice in the Greater Tulsa, OK area. FOR AN OVERVIEW OF THIS GENERAL DENTAL PRACTICE IN THE GREATER TULSA AREA: 7 operatories, Collections of $1.328 million, EBITDA $245,000, 3500 active patients, 15-20 new patients/month, Growth potential. To learn more and review the prospectus for this Tulsa, OK area dental practice contact Professional Transition Strategies.

Email Bailey Jones: BAILEY@PROFESSIONALTRANSITION.COM or call: 719.694.8320. REFERENCE #OK21523. We look forward to speaking with you!

DEER CREEK/WEST EDMOND DENTAL OFFICE FOR LEASE: High Traffic Intersection in Deer Creek/West Edmond. Office is ready to move in. 3 Operatories, Waiting Room and Reception Area. 1500 new homes under construction within 2 miles. Perfect Location. Office Space is for Lease and available now. Contact: Sam Coury | (405) 850-0532 | ascoury@gmail.com

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

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)

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)

QUESTIONS? 54 journal | May/June 2023

Email: advertising@okda.org

Call: 800.876.8890

Visit: okda.org/classifieds

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 support is available Mon-Fri, 8 am–7 pm.

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HAVE YOU JOINED THE LEGACY?

OKDA.ORG/LEGACY-FUND 56 journal | May/June 2023