January/ February 2020

January/February 2020 | Vol. 111, No. 1

www.okda.org

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journal | January/February 2020

Contents

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

Oklahoma Dental Association

January/February 2020| Vol. 111, No. 1

Inside Front Cover Valliance Bank Back Cover Delta Dental of Oklahoma

ASSOCIATION 04 Calendar of Events

3000 Insurance Group Edmonds Dental Prosthetics Endodontic Associates Lewis Health Profession Services OK Tobacco Settlement Endowment Trust Tokuyama

0 6 New Members 07 ODASupplySource 08 OkMOM 2020

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New Dentist Corner-

Lead Yourself First

10 ODA Rewards Partners Column 1 2 Member Benefit Corner 1 3 ODA Marketing Coach 1 4 Message From the ADA President 1 4 Meet the New ODA Membership Manager 1 6 Board of Trustees Report 1 6 Actions of the 2019 ADA House of Delegates 17 Get Involved at the ODA 2 0 2020 ODA Annual Meeting CE Preview 2 2 2020 ODA Annual Meeting Social Events

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.

30 National Children's Dental Health Month

25

2019 ODA Dentist Day at the Capitol

25 2020 Dentist Day at the Capitol 2 6 We Need You-ODA Action Team Leaders

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SPOTLIGHT 28 ODA Member: Dr. Chris Leslie

Member Spotlight: Dr. Chris Leslie

FEATURES 32 Providing High-Value Care To Terminal Dentition Patients

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

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 © 2020 Oklahoma Dental Association.

LEGISLATIVE LOOP 24 SQ 802-Medicaid Expansion Referendum

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

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

39 Win a Team Dinner on the ODA

34 Hygiene Hotspot-Just A Cleaning?

35 New Dentist Corner-Lead Yourself First 36 Collect What You Produce: Developing Your Ideal Practice

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38 Important Opioid Prescribing Reminders

CLASSIFIEDS

OkMOM 2020 OKC

39 ODA Classified Listings

Cover Photo: Volunteers at the 2019 Oklahoma Mission of Mercy in Oklahoma City.

Photo taken by Gooden Group www.okda.org

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ODA JOURNAL STAFF EDITOR Phoebe Vaughan,DDS ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Mary Hamburg, DDS, MS Somer Heim, DDS Daryn Lu, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates OFFICERS 2019-2020 PRESIDENT Daniel Wilguess, DDS president@okda.org PRESIDENT-ELECT Paul Mullasseril, DDS presidentelect@okda.org VICE PRESIDENT Chris Fagan, DDS vicepresident@okda.org SECRETARY/TREASURER Robert Herman, DDS treasurer@okda.org SPEAKER OF THE HOUSE Doug Auld, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Shannon Griffin, DMD 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 Ethridge PROGRAMS & OPERATIONS MANAGER Makenzie Dean SPECIAL PROJECTS MANAGER Abby Sholar

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

January 1 ODA Office Closed January 3 Annual Meeting Planning Committee 10:00 a.m.

ODA Building OkMOM Routing Training 11:30 a.m.

ODA Building January 10 Council on Nominations 11:00 a.m.

ODA Building RDGP Board Meeting 11:30 a.m.

ODA Building February 7-8 2019 Oklahoma Mission of Mercy Payne County Expo Center-Stillwater See page 08

January 17 OCDS Officer Installation 6:00 p.m.

OKC Golf and Country Club January 24 OkMOM Treatment Leads Meeting 8:00 a.m. - 10:00 a.m.

ODA OkMOM All Leads Meeting 10:00 a.m. - 12:00 p.m.

ODA (Lunch Provided)

OkMOM 2020 Live Announcement 2:00 p.m. - 3:30 p.m.

ODA Building January 30 Eastern District Society CE Meeting 6:00-9:00 p.m.

Pete's in Krebs January 31 Rewards Committee Meeting 9:00 a.m.

ODA Building Tulsa County All Day CE Crowne Plaza 7902 S. Lewis Avenue 6 Hours of CE

February 14 Annual Meeting Planning Committee 10:00 a.m.

ODA Building

February 21 Council on Dental Care Meeting 1:00 p.m.

ODA Building

February 10 ODA Office Closed

Bylaws Committee 1:00 p.m.

ODA

February 11 Tulsa County Dental Society Meeting/CE 5:30-8:00 p.m.

Ti Amo's: 6024 S. Sheridan Rd

February 18 Dentist Day at the Capitol 4:00 p.m.

ODA Building See page 25

February 28 Council on Govermental Affairs Meeting 9:00 a.m.

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

ODA Building

Oklahoma County Dental Society Board Meeting 5:30-7:00 p.m.

ODA Building

MEMBERSHIP SERVICES MANAGER Madison Bolton

PRESENT

Stay connected with the ODA!

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journal | January/February 2020

Annual Meeting

& scientific day

be interested Oklahoma City, OK April 16 - 18, 2020 for more information, visit okda.org/annual-meeting

Thank you for being a member in 2019!

It's time to renew your ADA, ODA and local dental society membership for 2020.

RENEWAL MADE FAST, SIMPLE & SECURE • Pay your 2020 dues online at www.okda.org/renew.

• It’s your choice: Pay all at once or with our monthly installment options.

• Do you plan to retire by March 31, 2020?

Please contact Kylie Ethridge at (405) 848-8873 or kethridge@okda.org.

Just a few clicks away from your most convenient way to renew in 2020!

www.okda.org/renew

Questions?

Contact the Membership Services Team at (405) 848-8873 or membership@okda.org

www.okda.org

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Get Your Member Badge!

DO YOU HAVE THE 2020 ODA MEMBER BADGE ON YOUR WEBSITE?

DOWNLOAD IT TODAY AT OKDA.ORG/MEMBERS-ONLY

NEW ODA MEMBERS NEW ODA MEMBERS ERS NEW ODA MEMBERS Welcome, New Members MEMBERS NEW ODA MEMBERS New Members Joined October 12 - December 18 MEMBERS NEW ODA MEMBERS W ODA MEMBERS NEW ODA MEMBERS ODA MEMBERS NEW ODA MEMBERS ERS NEW ODA MEMBERS ODA MEMBERS NEW ODA MEMBERS NEW ODA MEMBERS NEW ODA MEMBERS EMBERS NEW ODA MEMBERS A MEMBERS NEW ODA MEMBERS ERS NEW ODA MEMBERS DA MEMBERS NEW ODA MEMBERS Please join the ODA in welcoming our new members into Oklahoma’s Community of Organized Dentistry

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journal | January/February 2020

Lauren Decker Daniel Kratzer Jeremiah Aigbedion Dwight Anderson Opeyemi Fadeyi Raymond Foskin Katie Higgins Jeffrey Johannesmeyer Taylor Kauffman Bryan Moore Thao Nguyen Sean Rathburn Jacob Rhodes Graden Trumble Adrienne Wong Ryan Harris

Central Central Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Oklahoma County Tulsa County

we’re in this together.

AS AN ODA MEMBER, YOU CAN SAVE ON DENTAL SUPPLIES. ODA Supply Source offers:

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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.

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FREE ground shipping on any order, regardless of size.

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877-659-7310 | support@ODASupplySource.com | Fax 877-659-5004 Customer support is available Mon-Fri, 8 am–7 pm.

www.okda.org

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OKLAHOMA MISSION OF MERCY STILLWATER

YXa FEBRUARY 7 & 8

PAYNE COUNTY EXPO CENTER

REGISTER TO VOLUNTEER AT OKMOM.ORG NEW FOR !

0 2 0 2

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OKMOM VOLUNTEER T-SHIRTS DESIGNED BY ESKIMO JOES!

Shirts are only guaranteed for pre-registered volunteers.

Online Registration closes January 28, 2020.

Sweatshirts available for purchase at okmom.org

journal | January/February 2020

HOW YOU CAN HELP Volunteers of all types are needed and encouraged to donate their time and efforts to OkMOM 2020. There are many areas where dental and non-dental volunteers can help.

Dental Volunteer Positions:

Non-Dental Volunteer Positions:

Dentists / Specialists Dental Students Hygienists / Hygiene Students Dental Assistants / Assisting Students

Patient Registrars Patient Runners Patient Exit Interviewers Patient Overnight Hospitality Physicians

Volunteer Hospitality Translators EMTs Pharmacists Nurses

AND MORE!

“Today was an absolute blessing! Thank you to all the volunteers. They have truly changed my life!”

– Samantha, Patient at OkMOM: OKC 2019

HOTELS HOME2 Suites by Hilton

306 E Hall of Fame Ave, Stillwater, OK 74074

Room Block: Oklahoma Mission of Mercy 2020 Call to Book: 405.372.2550 $79 / night

&

Holiday Inn Express & Suites

700 E Krayler Ave, Stillwater, OK 74075

Room Block: Oklahoma Mission of Mercy Call to Book: 405.332.5603 $89 / night

IN THE PAST 10 OkMOMs

16,138

83,337

PATIENTS TREATED

PROCEDURES PERFORMED

$12.7 M

IN DONATED DENTAL CARE

If you wish to donate to the 2020 Oklahoma Mission of Mercy in Stillwater, we invite you to mail a check to 317 NE 13th Street, OKC, OK 73104 , or make a secure donation online by credit card at okmom.org/donate.

As an ODA member your contribution to OkMOM 2020 can easily be included in your annual dues payment. Simply check the OkMOM box under Voluntary Donation when paying by mail or online

Thank you for your support of OkMOM 2020!

Y

OKLAHOMA MISSION OF MERCY

X

OKDENTALMISSION

a

OKDENTALMISSION www.okda.org

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

Bio-Hazard Waste Removal & Treatment Receive special pricing for waste pickup.

Medical Evacuation Members receive reduced membership rates.

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

Luxury Vehicles Exciting member discounts on Mercedes-Benz vehicles.

Debt Collection Services Members receive 10% off Tier 1 pricing.

Dental & Office Supplies Save on more than 65,000 products.

Patient Payment Plans Help patients get what they need, without delay!

Secure Communications Solutions Receive preferred pricing & waived set-up fees.

Interpretation Services Save nearly 70% off of interpretation services compared to those who aren’t ODA members.

Website Design & Marketing Services Members can save on websites.

Scrap Metal Recovery Receive 85-97% of the current market price.

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

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

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

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

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

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

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

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

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

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

Computers & Technology Members are eligible to save up to 30% off the everyday public web price of Lenovo’s entire product line.

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

FOR MORE INFORMATION:

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VISIT OKDA.ORG/REWARDS-PROGRAM journal | January/February 2020 CALL 405.848.8873

Communicate while they wait On-hold messaging, lobby video and more from Works24

Works24 is endorsed by the Oklahoma Dental Association REWARDS

Contact: Rick Jones

Engage and cross-sell with digital marketing services from Works24.

Our drag-and-drop system is the easiest way to deliver attentiongrabbing video content, timely on-hold messaging and much more.

800.460.4653 or 405.517.6900

rjones@works24.com

www.works24.com

ADA members save up to 50%* on UPSÂŽ shipping services

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

To save on your UPS shipments, simply:

Call: 1-800-MEMBERS (1-800-636-2377) M-F, 8 a.m. - 6 p.m. EST Visit: savewithups.com/ada *See savewithups.com/ada for specific services and discounts. All discounts apply to the effective UPS Standard List Rates at the time of shipment and shall be applied on a weekly basis, unless otherwise specified.

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

www.okda.org

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

ARE YOU LISTENING?

Are you a podcast lover? Do you even know what a podcast is?

Recently more and more professionals have been tuning in and subscribing to a variety of podcasts. Many practicing dentists have started their own podcasts, including our 2020 annual meeting speaker David Maloley. Some of our members have even been invited to be guests on various podcasts!

TOOTH TALK launched in October 2018 and is designed to keep dentists and dental professionals informed on all the latest news in Washington, D.C. and around the country. ADPAC manages the podcast and focuses on empowering dental professionals to achieve optimal health for all. A new installment airs on the second and fourth Monday of the month and is available on all major podcast sites.

If you don't know, a podcast is a digital audio file made available on the Internet to download onto your device. Typically they are available as a series and individuals can subscribe to receive new installments automatically.

BEYOND THE MOUTH is in its second season and is available on most major podcast sites. ADA’s Dr. Betsy Shapiro chats with a diverse group of people who can help with running a practice and all the other challenges life throws at us. During the podcast they won't talk about clinical dentistry, but everything else is fair game.

The ADA offers two different podcasts for its members, Tooth Talk and Beyond the Mouth. Both offer insight into the profession and aid listeners in staying up to date on all things dentistry.

We encourage you to take advantage of this member benefit in 2020 and start listening!

DR. DARYN LU'S FAVORI TE PODCASTS • White Coat Investor: This podcast really helped shift my perspective on student debt and wealth management and made heavy topics like loan refinancing, investments, and working with a financial planner so much more approachable.

• NPR Up First Daily: A 15-minute morning podcast that helps catch me up with the day's top stories and helps me have great, thoughtful conversations with my patients.

• NPR How I Built This: A fascinating podcast that shares the entrepreneurial backstory behind some of your favorite companies from Baskin Robbins to Lululemon.

• The Roadmap to Dental Practice Ownership: For any new dentist interested in the idea of transitioning to practice ownership, this podcast takes a step-by-step approach going into just the right amount of detail that makes ownership approachable and exciting.

• Dental Hacks Podcast: One of the first and most prominent dental podcasts supported by a large Facebook group touching on all

12 journal | January/February 2020

aspects of dentistry involved in the day-to-day stresses we can encounter.

• The Dental Practice Heroes Podcast: As a young dentist, this podcast shares highly relevant leadership and clinical topics in a very authentic and genuinely relatable manner.

• Relentless Dentist Podcast: A fantastic speaker and leadership coach, this dental podcast is encouraging, motivational, and a must listen.

• Craig Groeschel Leadership Podcast: One of the best and most consistent leadership podcasts I've listened to touching on relevant topics for dentists like how to give and receive feedback when working with a team.

Dr. Lu practices at Dental 32 in Oklahoma City. He graduated from OUCOD in 2011 and currently serves as the 2020 ODA Annual Meeting chair. He has also served on various ADA committees.

ODA MARKETING COACH

MANAGING MARKETING | THE PATIENT SURVEY

WHY SURVEY PATIENTS The most accurate way to assess what differentiates your practice from others in the area is to survey current patients. This activity is the start of your market research and will reveal what patients like about your practice and why they keep coming back.

While a patient survey may seem very basic, perhaps even too basic to yield any real “data,” it is an effective method of assessing patients’ reactions to your marketing messages and methods. It will also provide valuable input for developing, or redefining, your overall marketing strategy.

Consider the two following statements and select the one that you think would attract new patients: “Dr. Jones is an experienced dentist, well-versed in all facets of restorative dentistry, preventive approaches and the latest cosmetic treatments.”

“Dr. Jones is a wonderful dentist. She restored my smile, made me feel better about my appearance and really boosted my selfconfidence.”

While the first statement is a condensed version of your CV, the second statement presents an evocative and life-altering testimonial that will resonate with prospective patients. Patients looking for a dentist will relate to statements like that and imagine having a similar experience in your practice. The possibility of developing such a rewarding doctor-patient relationship will mean more to them than the newest technology you’ve added to the practice.

Again, surveying active patients who are satisfied with the treatment and care they’ve received in your practice provides timely, relevant and actionable feedback. That information can become the basis for your next marketing campaign.

FREE SURVE Y MAKING WEB SI TE S • surveymonkey.com

• typeform.com/surveys

• google forms

• SoGoSurvey.com

Copyright © 2020 American Dental Association. All rights reserved.

Reprinted by permission.

For additional resources on how to grow your practice, visit the ADA’s Center for Professional Success at ada.org/success.

Future issues of the ODA Journal will include individual articles from this module, but you can see the module in its entirety at http://success.ada.org/en/practice-management/marketing.

www.okda.org

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MESSAGE FROM THE ADA PRESIDENT

The ADA's Petition to the FDA about SmileDirectClub is Still Active For the American Dental Association, the work of patient advocacy extends beyond the clinic. Last spring with patient health in mind, we filed a citizen petition with the U.S. Food and Drug Administration (FDA) about SmileDirectClub, LLC’s direct-to-consumer plastic teeth aligner business.

As you may know, SmileDirectClub’s orthodontic “treatment therapy” model requires customers to self-report their dental condition without a dentist’s review of their records or an examination. It is our belief that this practice does not meet the applicable standard of care, and it evades the FDA’s designation of plastic aligners as a Class II medical device requiring a prescription. SmileDirectClub customers also waive any right to recourse in the event of a negative outcome.

Despite the inaccurate statements made in an Oct.4 news release issued by SmileDirectClub, the FDA has not rejected or dismissed any substantive aspect of the ADA’s petition. The petition has not been “shut down,” and these misstatements may keep customers who have had any problems in connection to a SmileDirectClub aligner from reporting experiences to the FDA. As advocates for patient safety, the ADA considered it a public duty to bring our concerns before the relevant regulatory agencies. In a May 30 letter in response to the ADA’s petition, the FDA noted the following: “We take complaints seriously and we will evaluate this matter to determine what follow-up action is appropriate.”

All substantive issues raised by the ADA’s citizen petition remain fully before the FDA at this time. The comment period of the public to address the petition is open until Oct. 22 at 11:59 p.m.* The FDA’s MedWatch voluntary reporting form may be used by both consumers and health care professionals to report poor clinical outcomes associated with medical devices, including plastic teeth aligners. The Federal Trade Commission also offers consumers an online form to report complaints about unfair and deceptive business practices on its website.

You can read the ADA’s complete statement on the issue at messaging.ada.org/c/119SIWXV9yGj0k4gyd04ZpgrGJQB. We will continue to keep you informed of any developments.

Thank you, Chad Gehani, DDS President, American Dental Association *The time for commenting on the ADA citizen petition ended on October 22. But the FDA MedWatch reporting site is always open and reports by both providers and consumers/patients can be made anytime.

Meet the New Membership Services Manager Madison Bolton Madison Bolton serves as the Membership Services Manager for the ODA. She is responsible for membership processing and planning events for dental students and new dentist members.

Originally from Moore, Oklahoma, Madison received her bachelor’s from the University of Central Oklahoma in Professional Media with a minor in Strategic Communications. During her time at UCO, Madison interned with 405 MAGAZINE, the Oklahoma Compost Conference, and the Oklahoma City Indian Clinic.

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www.okda.org

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BOARD OF TRUSTEES RECAP

The ODA Board of Trustees met on November 15, 2019.

Members of the Executive Committee: L-R Dr. Chris Fagan, Vice President; Dr. Dan Wilguess, President; Dr. Paul Mullasserill, President-elect; Dr. Robert Herman, Secretary/Treasuer

The Board voted to become a member of the Coalition for Modernizing Dental Licensure, founded by the ADA, ADEA and ASDA in October 2018. The Coalition will advocate for licensure reform and is committed to two key goals: 1) eliminating the single encounter, procedure-based patient examinations, replacing them with clinical assessments that have stronger validity and reliability evidence, and 2) increasing initial licensure portability to allow for professional mobility and improve access to care.

The Board approved a $28,000 expenditure to repair the floor and replace the carpet throughout the ODA building and adopted the 2020 operating budget to include income of $1,083,201 and expenditures of $1,089,072.

The next meeting of the ODA Board of Trustees is scheduled for February 28, 2020 at 1:30 p.m. at the ODA building in Oklahoma City.

During the Board of Trustees meeting Dr. Dan Wilguess, ODA President, presented Dr. Shannon Griffin, immediate pastpresident, with a commemorative photo book of her time as president.

AC TI ONS OF THE 201 9 A DA HOUSE OF DELEGATE S Compiled by Dr. Krista Jones, ADA Delegate The ADA House of Delegates met in San Francisco, California, San Francisco, California: September 6–9, 2019.

- There will be a dues simplification strategy instituted in 2021 where dues waivers for new DDS in the 2nd and 4th years after graduation of 25% and 75% will be dropped. They will still pay zero dues first year, 50% second year, and 100% 3rd year (so not as graduated).

- $30 for graduate students will be dropped in 2021.

- Active life members: Their 25% dues waiver will be dropped and they will be paying full dues starting in 2021 (that is, DDS that have been members for 30 years, age 65 and still working will pay full dues).

- The House may consider a 1.3 % CPI annual increase for dues stabilization starting in 2021.

-There is no dues increase for 2020 and ADA dues will remain $565.

- The Dentist’s prayer was removed from ADA policy but remains accessible to all.

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- In recognition of religious diversity and to be inclusive, a moment of personal reflection or personal prayer may begin meetings of this association.

- If non-dentist owners are allowed in the state, these entities should register with their dental licensing board and obtain a business license from the appropriate state agency.

-The ADA supports the right of patients to receive a benefit for dental procedures from their medical plan when they aren’t paid by their dental plan.

-ADA urges DDS, auxiliaries and labs to stay up to date with infection control and follow CDC guidelines.

- Board of Trustees recorded votes will be reflected by the overall tally failed and named votes will still be reflected in minutes.

-A Medical Loss Ratio policy standard was approved in order to define our position to third-party administrators and other entities that use statistics in evaluation methods.

CALL FOR NOMINATIONS Looking to get involved? There are several opportunities for members to be involved in the Oklahoma Dental Association, from positions of leadership within your local dental society to serving on a council that piques your interest. With time commitments ranging from one meeting per year to attendance at a few programs, we are confident you can find a way to serve that suits your needs and interests. Read below to see where you fit!

Council on Budget and Finance The Council on Budget and Finance develops an annual budget for approval by the House of Delegates at the Annual Session and, if necessary, presents a resolution setting forth any change in the dues structure. This Council ensures the Association remains good stewards of its members’ dues.

Program, a member-only benefit which helps settle dentist-patient disputes without litigation, is overseen by this Council.

develop and conduct educational programs to train ODA members to be legislative advocates.

OHCA and DHS Standing Committee

Council on Membership and Membership Services

This Committee consults and interacts with the Oklahoma Health Care Authority and the Department of Human Services.

This Council develops, plans and executes membership recruitment and retention programs and functions. As the liaison between the Association and the OU College of Dentistry, the Council provides opportunities for dental students to meet ODA members and encourages participation in the Association. This Council also oversees programs that support diverse member sub-categories and special interest groups, including New Dentists.

Council on Bylaws, Policy, and Ethics

Council on Dental Education and Public Information

This Council meets annually to review the Bylaws and governance manuals to ensure that actions of the House of Delegates are properly recorded and to ascertain that the Bylaws have not been violated. The Council also interprets the Bylaws to settle disputes, and drafts and approves text of amendments to the Bylaws and of Council resolutions prior to their submission to the House for action. The Council receives complaints and investigates, mediates and adjudicates such complaints regarding a member’s alleged non-compliance with the American Dental Association’s Guidelines and Principles of Ethics and Code of Professional Conduct.

This Council conducts dental health education campaigns and programs to communicate the dental health message to the public and improve the public perception of dentistry. It works with charitable entities and the media to provide oral health information to the public.

This Council is also in charge of all ODA member communications, including the ODA Journal and ecommunications.

Council on Dental Care The Council on Dental Care consults and interacts between the dental profession and organizations concerned with the provision of dental health care, private, state or federal. It monitors the dental manpower needs of the state and develops programs to improve dental health care availability in underserved areas. The Mediation Review

Council on Governmental Affairs The Council on Governmental Affairs consults and interacts with state and federal boards and agencies involved with dental care programs, develops recommendations concerning rules, regulations, or legislation that affect the dental profession or the dental health of the public, and maintains a statewide grassroots program in order to have an effective mechanism for ODA members to contact their legislators. The members also coordinate and supervise ODA lobbying activities, oversee and interact with DENPAC and ADPAC, and

Council on Nominations The Council on Nominations is comprised of one officer from each of the Component Dental Societies and is responsible for selecting nominees for all elective offices of the Association and for each occurring vacancy in the Councils for election by the House of Delegates. Interested in serving as an officer of the Association? The Vice President and Speaker of the House of Delegates are elected positions. The Speaker serves three terms and the Vice President proceeds to the offices of President-elect and then President. Want to represent the ODA on the national level? The ODA has five elected Delegates and five elected Alternate Delegates on the American Dental Association House of Delegates, each of which serves four-year terms.

During the ODA House of Delegates meeting on April 16, 2020 in Oklahoma City, the House will vote to fill open positions. For more information about each Council or Committee, visit the ODA Members-only website at www. okda.org/members-only. All terms begin upon adjournment of the ODA House of Delegates meeting. Please contact Shelly Frantz, ODA Director of Finance and Governance, at sfrantz@okda.org or 800.876.8890 with any questions. www.okda.org

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19

PRESENT

Annual Meeting & scientific day be interested Oklahoma City, OK April 16 - 18, 2020 The ODA is excited to have the OU College of Dentistry Scientific Day at the 2020 ODA Annual Meeting.

Students and residents will display and present their research projects in the Exhibit Hall Friday morning. The ODA welcomes the opportunity to share this combined event with an additional 500 dental students, dental hygiene students, residents, faculty and graduates.

This is an opportunity to meet and support the future professionals of dentistry! Meeting attendees will receive CE and have the opportunity to interact with the poster presenters while exploring the Exhibit Hall.

20 journal | January/February 2020

HOTEL ACCOMMODATIONS

10 N. Broadway Ave. OKC, OK 73102 405.228.8000 ODA Group Rate: $165 Block Name: ODA Annual Meeting Reserve by March 23

Meeting Registration Opens 0n February 10 at okda.org/annual-meeting

Continuing Education Continuing Education for the Entire Team

for the Entire Team

Friday, April 17 Friday, April 17

Jeremie Kubicek Opening Session: The 100X Leader Jeremie Kubicek

1 CE HourSession: The 100X Leader Opening 8:00 AM - 9:00 AM 1 CE Hour 8:00 AM - 9:00 AM N

OU College of Dentistry Hygiene & Dental Students OU College of Dentistry Poster HygienePresentations & Dental Students

ew Ne ! w!

1.5 CE Hours Poster Presentations 9:00 AM - 10:30 AM 1.5 CE Hours 9:00 AM - 10:30 AM

Robert Maguire, DDS, MASCL The Economics Great Communication Robert Maguire,ofDDS, MASCL

6 CEEconomics Hours The of Great Communication 9:30 AM - 12:30 PM (morning) 6 CE PM Hours 1:30 - 4:30 PM (afternoon) 9:30 AM - 12:30 PM (morning) 1:30 PM - 4:30 PM (afternoon)

Alyse Shockey, RDH, CHHP Tongue AnalysisRDH, for CHHP the Dental Hygienist Alyse Shockey, 3 CE Hours Tongue Analysis for the Dental Hygienist 1:30 PM - 4:30 PM 3 CE Hours 1:30 PM - 4:30 PM

Ishmael Essay Presentations

David Maloley, DDS Lessons LearnedDDS From the Titans of David Maloley, Dentistry (Live POdcast) Lessons Learned From the Titans of 2 CE Hours (Live POdcast) Dentistry

1.5 CE Hours Ishmael Essay Presentations 10:30 AM - 12:00 PM 1.5 CE Hours 10:30 AM - 12:00 PM

ODAA Courses for Dental Assistants ODAA Courses (ticketed)

for Dental Assistants (ticketed) Kevin Henry

Defy KevinGravity Henry 3 CE Hours Defy Gravity

9:00 AM - 12:00 PM 3 CE Hours 9:00 AM - 12:00 PM

JUlie Nabors Infection Prevention JUlie Nabors

3 CE Hours Prevention Infection 1:30 PM - 4:30 PM 3 CE Hours 1:30 PM - 4:30 PM

2:00 PM - 4:00 PM 2 CE Hours 2:00 PM - 4:00 PM

Saturday, April 18 Saturday, April 18 ODA Breakfast & Learn (ticketed) Michael A. Graham, aDA Sr. Vice President ODA Breakfast & Learn (ticketed) of Government & Public Michael A. Graham, aDAAffairs: Sr. Vice President AofWashington DC Update from Your ADA Government & Public Affairs: 1.5 CE Hours DC Update from Your ADA A Washington 7:30 AMHours - 9:00 AM 1.5 CE 7:30 AM - 9:00 AM

Christopher Barwacz, DDS, FAGD, FICD & Gustavo Avilo-Ortiz, DDS, MS, PhD Christopher Barwacz, DDS, FAGD, FICD Optimizing Single-ToothDDS, Replacement & Gustavo Avilo-Ortiz, MS, PhD Therapy in the digital Age: Optimizing Single-Tooth Replacement New Solutions to Old Problems Therapy in the digital Age: 2.5 Hours (morning) NewCE Solutions to Old Problems 2 CE Hours (afternoon) 2.5 CE (morning) 9:30 AMHours - 12:00 PM (morning) 2 CE Hours (afternoon) 2:30 PM - 4:30 PM (afternoon) 9:30 AM - 12:00 PM (morning) 2:30 PM - 4:30 PM (afternoon)

Kristy Menage Bernie, RDH, MS, RYT Top Trending in RDH, Dentistry Kristy MenageTopics Bernie, MS, RYT 2 CETrending Hours Top Topics in Dentistry 9:30 AM - 11:00 AM 2 CE Hours 9:30 AM - 11:00 AM

Sreenivas Koka, DDS, MS, PhD, MBA, FACD, FAP Treatment Planning Treating the Edentulous Sreenivas Koka, DDS,& MS, PhD, MBA, FACD, FAP or Terminal Dentition Patient (Lecture) Treatment Planning & Treating the Edentulous 3 Hours Dentition Patient (Lecture) orCE Terminal 10:00 AM - 1:00 PM 3 CE Hours 10:00 AM - 1:00 PM

Converting a Denture to a Temporary Fixed Hybrid Prosthesis (Hands-On) Converting a Denture to first a Temporary Fixed (Ticketed Course, LTD. to 30 Registrations) Hybrid Prosthesis (Hands-On) 2.5 CE Hours (Ticketed Course, LTD. to first 30 Registrations) 2:30 PM - 5:00 PM 2.5 CE Hours 2:30 PM - 5:00 PM

ODA Lunch & Learns (ticketed) Mike Hunter, OK Attorney General: Opioids ODA Lunch & Learns (ticketed)

1.5 Hours OK Attorney General: Opioids MikeCEHunter, 12:15 PM - 1:45 PM 1.5 CE Hours 12:15 PM - 1:45 PM

Theresa Gonzales, DMD, MS, MSS: Ethics

1.5 CE Hours Theresa Gonzales, DMD, MS, MSS: Ethics 12:15 PM - 1:45 PM 1.5 CE Hours 12:15 PM - 1:45 PM

ODHA Course for Dental Hygienists ODHA Course (ticketed)

for Dental Hygienists (ticketed) Breakfast

& Learn

Edie Gibson,& RDH, MS Breakfast Learn The Vape Update 2020 Edie Gibson, RDH, MS 1.5 Hours The CE Vape Update 2020 7:30 AM - 9:00 AM 1.5 CE Hours 7:30 AM - 9:00 AM

ODAA Meeting & CE for Dental Assistants ODAA Meeting & CE (ticketed) for Dental Assistants Jeannie Bath, (ticketed)

DDS SDF for Skeptics Jeannie Bath, DDS & ODAA Meeting SDF for Skeptics

2 & CE ODAAHours Meeting 9:00 AM - 12:00 PM 2 CE Hours 9:00 AM - 12:00 PM

www.okda.org Turn to Page 39 for annual meeting team contest information!

21

social events at the annual meeting

22 journal | January/February 2020

THE OKLAHOMA DENTAL ASSOCIATION INVITES YOU TO

a cocktail party for the entire dental team :

at the Myriad Gardens, downtown Oklahoma City ‘

T i c k e t s : $ 3 5 b e f o r e M a r c h 1 5 th, 2 0 2 0 / $ 4 5 a f t e r All attendees will receive dinner, two drink tickets and entertainment for the night.

:

Drink Sponsor www.okda.org

23

LEGISLATIVE LOOP Legislative Overview & Political Update

SQ 802 - Medicaid Expansion Referendum By: Scott Adkins, ODA Lobbyist

Many members of the Oklahoma Dental Association have had questions concerning the specifics of the Medicaid Expansion Referendum that will go to a statewide vote of the people in 2020.

Following is a brief synopsis of the proposal and discussion of its potential impact. This is the first update on several issues that the ODA will be following during the 2020 legislative session and election cycle.

To date, Oklahoma is one of 14 states that have not expanded their Medicaid programs to cover low-income working adults. Thirtysix states and Washington DC have expanded Medicaid. Medicaid expansion was authorized under the Affordable Care Act and was made available to the states in 2014. The Oklahoma legislature seriously considered expansion for the first time in 2019 when SB 605 passed unanimously out of committee but died when it did not advance before the next legislative deadline.

Advocates began collecting signatures to place SQ 802 on the ballot on July 31, 2019. Organizers had until October 28th to collect 178,000 signatures (15% of the total votes cast in the last gubernatorial election). On October 24 supporters turned in almost 313,000 signatures of which around 299,000 were verified as active and registered voters, well above the required threshold and a record for a statewide initiative. Governor Kevin Stitt has yet to choose the specific 2020 election date.

The measure adds a new article to the Oklahoma Constitution to expand the Oklahoma Medicaid program to include low-income, non-elderly adults who earn up to 133% of the federal poverty level ($21,595 annually for a single person or $34,248 for a family of four). The state would not be able to impose any more restrictions for this population than for any other currently served under SoonerCare.

It is estimated that Medicaid expansion in Oklahoma would cover around 200,000 additional individuals. Some opponents of the measure put that figure even higher. According to the provisions of the Affordable Care Act, the cost will be funded by a 90/10 match from the federal government. While this could result in an additional almost $1 billion of annual healthcare spending, there will be a significant cost to Oklahoma taxpayers. Our state share

2019

DENPAC Camapign Contributions 24 journal | January/February 2020

after the federal match could range from a low of $60 million to as much as $100 million (opponents also put that number potentially higher depending on final increases in enrollment) that will have to be appropriated each year from the legislature.

Four states have successfully expanded Medicaid through a ballot initiative similar to the Oklahoma proposal: Maine in 2017 and Nebraska, Utah, and Idaho in 2018. In all four states, the Governor and/or Legislature have sought to roll back or limit the full expansion approved by voters. While the Oklahoma legislature has become generally supportive of accessing the additional federal funding for Medicaid, they and the Governor are still strongly opposed to putting it into the state constitution, making changes or modifications almost impossible, as the ballot initiative would do.

Because of this mechanism, many elected officials are concerned that their hands would be tied during an economic downturn.

Governor Stitt and legislative leaders have been discussing alternatives such as a federal block grant or potential managed care scenarios in an attempt to maintain executive or legislative oversight and fiscal accountability.

A large increase in Medicaid funding and additional uninsured being covered by some type of payor would surely provide some needed relief for our SoonerCare dentists. An additional $1 billion in healthcare funding could benefit the entire system in Oklahoma. But it won’t be for free and the legislature will have to fund the Oklahoma portion of the match every year. Also, the ODA has publicly stated our continued opposition to taking Oklahoma Medicaid back to the days of managed care. The ballot measure doesn’t do that, but we will strongly fight any efforts of the legislature or Governor to tie funding for SoonerCare to a change to a managed care or block grant system.

Your Oklahoma Dental Association will continue to closely follow developments relating to the statewide vote and expanding Medicaid in Oklahoma and do our best to keep you informed. *Special thanks to the Oklahoma Policy Institute and the Oklahoma Council on Public Affairs (both on opposite sides of the issue) for their analysis and data used in this article.*

HOUSE OF REPRESENTATIVES

SENATE

Mickey Dollens Jason Dunnington Robert Manger Ryan Martinez Cyndi Munson Melissa Provenzano Tammy Townley Emily Virgin Rande Worthen

Michael Bergstrom Carrie Hicks Julia Kirt Greg McCortney Adam Pugh Rob Standridge Roger Thompson

$500 $500 $500 $1000 $500 $500 $500 $500 $1000

$1000 $1000 $1000 $2000 $1000 $1000 $1000

SAVE THE DATE!

oda Dentist Day at the Capitol TUESDAY, FEBRUARY 18, 2020 ODA Building: 317 NE 13th St

THIS EVENT PROVIDES YOU WITH

OKC, OK 73104

AN OPPORTUNITY TO MEET YOUR

4:00 P.M. ORIENTATION OF ODA'S

LEGISLATORS. DON'T SIT BACK

LEGISLATIVE AGENDA

AND ASSUME OTHERS WILL BE

5:00 TO 6:30 P.M. DENTIST /

REPRESENTING YOUR LEGISLATIVE

LEGISLATOR RECEPTION

DISTRICT. YOU BE THE ONE!

ALL ODA MEMBERS ARE STRONGLY ENCOURAGED TO ATTEND! REGISTER AT BIT.LY/DDAC2020

www.okda.org

25

We Need You The ODA works hard to advocate for you at the State Capitol, but we can’t do it alone! YOU are the key to our legislative success. What you do at the local grassroots level affects what your ODA lobby team can do for you on a statewide grass tops level.

Please consider serving as an ODA Action Team Leader (ATL).

Call the ODA today to volunteer and add your name to this growing list!

REPRESENTATIVE

DISTRICT

ODA ATL

Albright, Kelly 95 Leaha Nels Baker, Rhonda 60 Bell, Merleyn 45 Kevin Haney Bennett, Forrest 92 Troy Schmitz Blancett, Meloyde 78 Boatman, Jeff 67 Boles, Brad 51 Branham, Chelsey 83 Steve Sullivan Brewer, Denise 71 Lauren Avery

Lindsay Smith Burns, Ty 35 Bush, Carol 70 Richard Haught

Kathy Henry Caldwell, Chad 40 Caldwell, Trey 63 Todd Bridges Conley, Sherrie 20 Jeff Lunday Cornwell, Rusty 6 Jandra Korb Crosswhite-Hader, Denise 41 Davis, Dean 98 Dills, Sheila 69 Robie Herman Dollens, Mickey 93 Dunnington, Jason 88 Echols, Jon 90 Fetgatter, Scott 16 Fincher, Derrel 11 Ford, Ross 76 Frix, Avery 13 Dennis Weibel

Robert Livingston Fugate, Andy 94 Krista Jones Gann, Tom 8 Goodwin, Regina 73 Grego, Jim 17 Doug Auld Hardin, David 86 Hardin, Tommy 49 Hasenbeck, Toni 65 Todd Bridges Hilbert, Kyle 29 Hill, Brian 47 Humphrey, Justin 19 Johns, Ronny 25 Kannady, Chris 91 Kerbs, Dell 26 Brian Drew Kiger, Lundy 3 Kendra Yandell Lawson, Mark 30 Lepak, Mark 9

26 journal | January/February 2020

REPRESENTATIVE

DISTRICT

ODA ATL

Loring, Ben 7 Jamie Branham-Williams Lowe, Jason 97 Shannon Griffin Luttrell, Ken 37 Manger, Robert 101 Marti, T. J. 75 Martinez, Ryan 39 Doug Hall May, Stan 80 McBride, Mark 53 McCall, Charles 22 Matt Hookom McDugle, Kevin 12 McEntire, Marcus 50 Rob Schick Meredith, Matt 4 Brant Rouse Miller, Nicole 82 Mize, Garry 31 Moore, Lewis 96 Krista Jones

Dan McNair

Paul Mullasseril Munson, Cyndi 85 Lester Cowden

Matt Cohlmia Newton, Carl 58 Larry Kiner Nichols, Monroe 72 Nollan, Jadine 66 O'Donnell, Terry 23 Olsen, Jim 2 Ortega, Charles 52 Rick Henry Osburn, Mike 81 Robert Lamb Pae, Daniel 62 Juan Lopez

Todd Bridges Patzkowsky, Kenton 61 Susan Davis Perryman, David 56 Pfeiffer, John 38 Phillips, Logan 24 Pittman, Ajay 99 Provenzano, Melissa 79 Randleman, Randy 15 Ranson, Trish 34 Roberts, Dustin 21 Roberts, Sean 36 Tamara Berg Roe, Cynthia 42 Mark Wilson Rosencrants, Jacob 46 Susan Whiteneck Russ, Todd 55 Sanders, Mike 59 Trent Yadon Sims, Lonnie 68 Smith, David 18 Doug Auld Sneed, Chris 14

REPRESENTATIVE

DISTRICT

ODA ATL

Stark, Marilyn 100 Tamara Berg Steagall, Jay 43 Tamara Berg

David Deason Sterling, Danny 27 Scott Renfrow Stone, Shane 89 Strom, Judd 10 Tadlock, Johnny 1 Talley, John 33 Tamara Berg Taylor, Zack 28 Tom Williams Townley, Tammy 48 Vancuren, Mark 74 Virgin, Emily 44 Gabriel Bird Waldron, John 77 Walke, Collin 87 Krista Jones Wallace, Kevin 32 West, Josh 5 West, Kevin 54 West, Tammy 84 Worthen, Rande 64 Michael Gliddon Wright, Harold 57 Floyd Simon

SENATOR

DISTRICT

Allen, Mark 4 Bergstrom, Micheal 1 Bice, Stephanie 22 Boggs, Larry 7 Boren, Mary 16 Brooks, Michael 44 Bullard, David 6 Coleman, Bill 10 Dahm, Nathan 33 Daniels, Julie 29 David, Kim 18 Dossett, J.J. 34 Dugger, Tom 21 Floyd, Kay 46 Hall, Chuck 20 Haste, John 36 Hicks, Carri 40

Howard, Brent 38 Ikley-Freeman, Allison 37 Jech, Darcy 26 Kidd, Chris 31 Kirt, Julia 30 Leewright, James 12 Matthews, Kevin 11 McCortney, Greg 13 Montgomery, John 32 Murdock, Casey 27 Newhouse, Joe 25 Paxton, Lonnie 23 Pederson, Roland 19 Pemberton, Dewayne 9

Why you should join denpac WHYpaying JOINyour DENPAC when dues 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.

we don’t fundraise... we friendraise!

DENPAC is the political action committee of your Oklahoma Dental Association. DENPAC works hard to ODA ATL make political contributions to dentistry-friendly, statelevel legislators. $50 of your DENPAC dues also go toward Steve Mayer ADPAC Contact Lynn Means at 800-876-8890 or lmeans@okda.org to support national campaigns.

Currently, 20% of Doug Hall to join the DENPAC team TODAY! the ODA membership funds 99% of the ODA’s legislative Jana McIntosh and advocacy efforts. Most of us don’t want a free ride; Ed Braly Krista Jones that’s just not our way. We all know it’s a political world andSENATOR if our 20% should quit, who will carry the weight?

DISTRICT ODA ATL

HOW TO JOIN DENPAC

Heath Potter

Beau Porter

Steven Sullivan Lester Cowden Matt Cohlmia Rick Henry Krista Jones Floyd Simon Raymond Plant Kenner Misner

Juan Lopez Trent Yadon Robert Mongrain Larry Kiner Robert Livingston

Pugh, Adam 41 Dan McNair

Don Cheatham

Paul Mullasseril Quinn, Marty 2 Jandra Korb Term limits have found us in a new ball game every two Rader, Dave 39 Tricia Cannon years trying to keep our “dental majority” in both theHaught state

Richard house and senate.

Our “old friends” seem to go through

Lindsay Smith pretty quickly and new friends have to be made. They are Rosino, Paul 45 Scott, Paul 43 to their campaigns Steveand Gregg made, frankly, with contributions Sharp, Ron 17 contribution (when Dan Wilguess THIS TAKES MONEY! Your DENPAC

Krista to Jones made with a personal check or credit card) goes 100% Shaw, Wayne 3 contributions to the campaign funds supporting dentistrySilk, Joseph 5 Twana Duncan friendly candidates. One slip-up and our practices could Simpson, Frank 14 change drastically overnight, something we too often take Smalley, Jason 28 Brian Drew forStandridge, granted.Rob PLEASE consider doing your part andKevin joinHaney 15 DENPAC when paying your dues this year!

Stanislawski, Gary 35 Lauren Avery

Robie Herman Stanley, Brenda 42 Aronda Jones

Leaha Nels Thompson, Roger 8 Treat, Greg 47 Weaver, Darrell 24 Young, George 48

We need YOUR help now!

www.okda.org

27

ODA MEMBER SPOTLIGHT

Chris Leslie, DDS

Stillwater, OK GOING THE EXTRA MILE

By: Abby Sholar, ODA Special Projects Manager For a Stillwater native, there is nothing like getting to show off your hometown to outsiders. Dr. Chris Leslie will be able to do just that as Co-Chair of the 2020 Oklahoma Mission of Mercy to be held in February in Stillwater.

Leslie is a 2010 graduate of the OU College of Dentistry, finishing among the top five in his class. Not quite done with higher education, he stayed at OUCOD to complete the Advanced Education in General Dentistry (AEGD) Residency Program.

In 2015 he joined Cornerstone Family Dentistry in Stillwater, in a sense coming full circle since this is the same practice where he was a patient throughout his childhood. Being Stillwater born and raised, the city seemed like the perfect place to plant roots.

It’s also where he met Rachel (in 6th grade), his wife of almost 14 years. The Leslies are busy raising their two children, Cooper (9) and Emma (3). They had another daughter, Audrey, who tragically passed away 81 days after birth. Audrey impacted the lives of her family in a tremendous way and her legacy lives on. “We established a fund in her honor at the OU Children’s Hospital Foundation called Wings for Audrey,” Leslie said. “The fund has many goals, but it is particularly focused on comforting families with children in ‘end of life’ situations.”

Audrey’s short life inspired Leslie to strengthen himself spiritually and emotionally. Today, he focuses that strength in endurance challenges such as the Land Run Double, an annual 50K run that starts

in Stillwater and is followed by a 100-mile bike ride the following day. On a more casual (but still active) level, he enjoys running, cycling and fishing.

As with his endurance goals, Leslie is no stranger to setting and achieving professional goals. He decided he wanted to be a dentist when he was encouraged to learn more about the profession by a friend, Dr. Dan Morris. Dr. Clint Metcalf, who is now Leslie’s partner, taught him more about dentistry before he chose to apply to dental school.

Now, through OkMOM Leslie is going the extra mile for his community. To him, Stillwater is a special town because of its people and the ethnic and educational diversity they bring to a tight-knit and neighborly community. “OkMOM will benefit Stillwater by providing dental care to those in the area who do not normally have access to it,” Leslie said. “Furthermore, it will serve to bring attention to the need for more community dental centers in this region and in the state.”

After OkMOM, Leslie doesn't intend to slow down too much. He will continue enjoying his outdoor sports, and he looks forward to a summer vacation with his family. Some adventure and relaxation will be exactly what he deserves after going the extra mile to provide Stillwater with free, compassionate dental care.

During past OkMOMs, Leslie has volunteered in the Restorative area. He has some advice to impart on dentists who are considering volunteering for OkMOM 2020. “Volunteering at this event will allow you to recall why you chose dentistry as a profession. You will be energized by the commitment and compassion of your colleagues who are volunteering alongside of you and Book I am currently reading: Where Men Win your heart will be filled by all those Glory by Jon Krakauer patients who are thankful for your help.”

FAST FAC TS:

As OkMOM Co-Chair this year Leslie is taking on many new roles.

He stresses that anyone interested in following his lead in the future not be intimidated by the title. There are hundreds of people in the OkMOM community who are there to help the chair and support the clinic whenever needed.

28 journal | January/February 2020

For those about to graduate from dental school Leslie advises, “Be prepared to continue learning. Lifelong learning is a necessary part of the profession.” If Leslie could go back in time and tell himself one thing, it would be to take the time to enjoy the season of life he is in at each stage.

If you could have any other profession what would you choose? Landscape architecture

If you could visit any place in the world where would it be? Patagonia (the region in South America, not the clothing store!)

What is one of your favorite quotes? “We shall draw from the heart of suffering itself the means of inspiration and survival” – Winston Churchill

4.5 Million visits and counting

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www.okda.org

29

NATIONAL CHILDREN'S DENTAL HEALTH MONTH Fluoride in water prevents cavities! Get it from the tap!

FEBRUARY 2020 February is officially National Children's Dental Health Month. This month-long national health observance brings together thousands of dedicated professionals, healthcare providers, and educators to promote the benefits of good oral health to children, their caregivers, teachers and many others. This year's focus is: Fluoride in water prevents cavities. The ODA and ADA would like each of our members to consider doing something in February to help bring attention to developing good habits at an early age to help get a good start on a lifetime of healthy teeth and gums. Below are a few ways you can get involved!

Make it a habit!

Brushing your teeth 2 minutes 2 times a day keeps your mouth healthy and smile bright.

When you’re thirsty, choose tap water for a great smile! Fill in the calendar dates in the corner and then check off the boxes each time you brush!

Visit ADA.org/FromTheTap to download any of these activity sheets and find additional resources.

• Host a coloring contest.

• If a patient completes the habit calendar they get a prize.

© 2019 AMERICAN DENTAL ASSOCIATION

ALL RIGHTS RESERVED.

Celebrating 75 years of water fluoridation. Visit ADA.org/FromTheTap for more activity sheets.

• Brush your teeth twice a day with a fluoride toothpaste.

• Clean between your teeth daily.

• Eat a healthy diet that limits sugary beverages and snacks.

• See your dentist regularly for prevention and treatment of oral disease.

HEALTHY SMILE TIPS

• Host a children's dental health education night at your office.

Fluoride in water

• Print copies of the poster and hang them in your office.

prevents cavities!

SPONSORS

American Academy of Pediatric Dentistry

Use the word bank below to help solve the crossword puzzle!

Bacteria Saliva Floss Mouthguard Baby Fluoride Dentist Two Cavity Plaque Enamel X-Ray

• Volunteer to speak at a local school to help educate children on oral health • Distribute posters at local elementary schools for each child to take home.

© 2019 AMERICAN DENTAL ASSOCIATION © 2019 AMERICAN DENTAL ASSOCIATION

HEALTHY SMILE TIPS

SPONSORS

• Brush your teeth twice a day with a fluoride toothpaste.

• Clean between your teeth daily.

• Eat a healthy diet that limits sugary beverages and snacks.

• See your dentist regularly for prevention and treatment of oral disease.

American Academy of Pediatric Dentistry

Celebrating 75 years of water fluoridation. Visit ADA.org/FromTheTap for more activity sheets.

HEALTHY SMILE TIPS

SPONSORS

• Brush your teeth twice a day with a fluoride toothpaste.

• Clean between your teeth daily.

• Eat a healthy diet that limits sugary beverages and snacks.

• See your dentist regularly for prevention and treatment of oral disease.

American Academy of Pediatric Dentistry

Visit ADA.org/FromTheTap for more resources and ideas.

30 journal | January/February 2020

ALL RIGHTS RESERVED.

ALL RIGHTS RESERVED.

Celebrating 75 years of water fluoridation. Visit ADA.org/FromTheTap for more activity sheets.

Fluoride in water

© 2019 AMERICAN DENTAL ASSOCIATION

ALL RIGHTS RESERVED.

prevents cavities!

Celebrating 75 years of water fluoridation. Visit ADA.org/FromTheTap for more activity sheets.

HEALTHY SMILE TIPS

SPONSORS

• Brush your teeth twice a day with a fluoride toothpaste.

• Clean between your teeth daily.

• Eat a healthy diet that limits sugary beverages and snacks.

• See your dentist regularly for prevention and treatment of oral disease.

American Academy of Pediatric Dentistry

www.okda.org

31

ODA FEATURE

PROVIDING HIGH-VALUE CARE TO TERMINAL DENTITION PATIENTS Sreenivas Koka DDS, MS, PhD, MBA1-4 and Wayne Gonzales DDS1 The soon-to-be-edentulous, or “terminal dentition,” patient typically presents with significant biological and technical challenges along with psychological scars from previous suboptimal dental experiences. The dental management of such patients can be somewhat complex but in our opinion not the most challenging part of the clinician-provider relationship.

It is the personal trust that must develop between clinician and provider that underpins a successful outcome since it is only through a trusting relationship that a patient will accept and be fully satisfied with treatment.

In our experience, patients with a terminal dentition are well aware of their dilapidated dental state. For various reasons, they have put off seeking comprehensive care in lieu of emergency care because they are fearful of what comprehensive care entails. Yet, on any given day, despite a potentially decadeslong process culminating in a terminal dentition, many patients are willing to make that leap of faith. What makes them finally take this step?

We postulate that patients view their dental treatment through a lens of valuebased decision making. Value has two specific components: quality and cost.

Quality has three components associated with its interpretation: outcomes, service and safety/risk management. Outcomes for most patients revolve around their appearance, function and comfort. Cost

Come hear Dr. Koka at the 2020 Annual Meeting! Turn to page 21 for Course information.

32 journal | January/February 2020

has five components: financial cost, time cost, effort, psychological cost and opportunity cost. To the patient overall value (V) is defined as the quality (Q) of received care divided by the cost (C) of that care (V = Q/C). In essence, if a patient perceives that the outcomes are worth the collective cost, they will proceed with care for their terminal dentition. All of us use the value equation in any decision we make where there is a perceived outcome and an associated cost. Should we purchase or lease our next car? Should we get the extended warranty or the fancy sound system? These are classic value-based decisions; our patients are no different and perhaps they are more focused on value when the costs of comprehensive care are especially high as will be the case for comprehensive care to address their terminal dentition.

The choices of complete or immediate dentures, implant-retained overdentures or fixed-implant complete dentures each have clear benefits/risks, pros/cons, and prognoses. Each can serve a patient’s need well or poorly. Clearly, there is a large cost differential between these choices and not just financially speaking. The combined costs of biology, time investment, effort, psychological factors and opportunity are remarkably different between a traditional removable complete denture and a fixedimplant complete denture. When one assesses the outcomes, the same striking difference in what can be achieved functionally (mastication and speech) and from a comfort perspective is also observed.

Conversations with our patients typically focus on learning what their primary aspirations and fears are because each patient has a unique story. This is crucial for a patient-centered approach to providing care. A kind and unhurried conversation during consultation is imperative to establish the level of trust needed for patients to not only accept any

given treatment option but to be confident in the full knowledge that the costs will be more than worth the outcomes. Patients use time as a critical heuristic for whether their clinician cares about them; since first impressions are very critical, the time spent with the patient at the first appointment is time well spent even if subsequent appointments are relatively short in duration. When we are asking a patient to go on a journey that may last months, may require taking time off work or finding a babysitter, may involve pain and surgery, and may involve taking out a loan to pay for care, we need our patients to be convinced that we care about them as individuals. If patients trust their clinician’s intentions, the outcome is almost always a positive one both for them and for the clinician.

Sreenivas Koka DDS (Mich), MS (Mich), PhD (Nebr), MBA (MIT) is owner of Koka Dental Clinic, a private practice focused on patient care needs in removable and implant prosthodontics in San Diego. Dr. Koka is Vice-President of the International College of Prosthodontists, a TEDx speaker, and a member of MIT's Sloan School Alumni Board. He is past-President of the Academy of Prosthodontics, former Professor and Chair of Dental Specialties at Mayo Clinic, has received numerous outstanding teacher awards from dental students, and has published over 100 scientific articles and book chapters.

Corresponding author: Sreenivas Koka; skoka66@ gmail.com Affiliation:

1. Koka Dental Corporation, San Diego, California 2. Advanced Prosthodontics, Loma Linda University, Loma Linda, California 3. Advanced Prosthodontics, University of California, Los Angeles, California 4. Career Design in Dentistry, San Diego, California

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www.okda.org Call us at +1 (877) 378-354833

HYGIENE HOTSPOT JUST A CLEANING?

By: Donna Brogan RDH, BS ( Donna.brogan94@gmail.com) Do you ever feel like your patients don’t value you and the healthcare you provide? Surprisingly, dental professionals have had a part in creating this lack of value and respect through many years of minimizing what we do. Your word selection has an impact on how your patients view you; they can build you up or diminish you in their eyes.

Here are some examples of why choosing your words carefully can reflect the seriousness of what you are trying to convey. At the beginning of an appointment inform the patient that you will be doing a series of screening exams to determine their oral health.

When discussing blood pressure findings do not downplay an elevated reading by simply saying “it’s a little high today.” Since you may be the only person providing this vital screening component give it the value it deserves by alerting the patient of their exact stage of hypertension. A laminated page showing and explaining the stages can be a helpful visual aid for many. Explain the importance of periodontal probing depths and engage them in co-diagnosis by asking them to remember the highest number called out. When performing an oral cancer screening exam, do not call it a “minimassage.” This minimizes an often life-saving procedure and does not reflect the level of education required to perform it properly.

While reviewing radiographs never use the words “I see...” Instead,

Patients using tobacco?

say “your radiographs show...” Do not use the words “I found” to inform the patient of a fractured tooth. Instead, take a photo and let the patient see the broken tooth. Do not make light of hemorrhage by calling it “a little bleeding.” Alert the patient of existing bacterial infection and the fact that healthy tissue does not bleed.

Using proper terminology and involving the patient in co-diagnosis increases not only treatment acceptance but also their view of you as a professional they can trust.

Donna Brogan is a 1994 graduate and former faculty member of the University of Oklahoma Dental Hygiene Program. She was honored as the 2010 Alumna of the Year and received the Delta Dental Distinguished Service Award. She sits on numerous boards for local non-profits and was the first dental hygienist to serve as President of the College of Dentistry Alumni Association.

An educational consultant of over 20 years, Brogan enjoys writing for professional publications and facilitating courses around the world on dental-related topics including CAMBRA (Caries Management

by Risk Assessment), women’s wellness, nutrition, teeth whitening, alternative careers for dental professionals, and the oral/systemic link.

Time to brush up on oral health.

Stained teeth. Gum disease. Enamel erosion. Cancer.

Do your patients know how tobacco use impacts oral health?

Give them the help they need in the new year with support from the Oklahoma Tobacco Helpline.

With one call, they get FREE Quit Coaching, online support, texts, emails and a two-week supply of patches, gum or lozenges.

Help your patients get a fresh start in 2020.

Refer them to 1-800-QUIT NOW or OKhelpline.com.

34 journal | January/February 2020

New Dentist Corner LEAD YOURSELF FIRST By: David Maloley, D.D.S. Dentistry can be a demanding profession. Not only should you be continually expanding your clinical skills, many of you must also run a practice. Your team is looking to you for purposeful planning and thoughtful decisions. In order to optimally lead a team, you should first be a strong leader of yourself.

Let’s break down this concept into four components: 1) psychological 2) physiological 3) people skills and 4) personal productivity. Each of these areas can positively impact our lives and those we serve. The synergistic potential of all four is incredibly powerful.

There is a psychological power to understanding who you are, what you want to become, and how you intend to get there. This affects your psyche in two important ways. First, it gives you the ability to appreciate and expand upon the things you enjoy about your practice, such as: • The autonomy to recommend and administer patient care according to your own experience and clinical acumen, and • Satisfaction in knowing your work is meaningful in improving patients’ appearance, health, and well-being.

Second, it empowers you with the courage to change those things that are obstacles to your personal and professional missions.

Examples include: • Office environments that foster blame, duplication of effort, and inefficient appropriation of resources, and • Excess stress due to unmanaged patient commitments, paperwork, and overhead.

Sometimes the office schedule will require the energy output of an elite athlete. Many of you have felt the physical toll that patient care can take on your bodies. But how much importance are you putting on the physiological side of the profession? Being physically fit and refreshed allows your mind to be more alert and creative.

What keeps you feeling energized? Is it a walk, a run, lifting weights, or yoga? Being prepared for your days in practice means that your nervous system should be revved up when you walk through the office door. Having a morning routine that includes vigorous exercise is a great way to get prepared for the day. A high level of health will minimize fatigue and help prevent work-related injuries.

Strong people skills will allow interactions with assistants, hygienists and your administrative team members to become more collaborative and effective.

Be authentic about your own shortcomings and realize that you don’t have all the answers. Invite your team to offer ideas and advice. This autonomy also will spur your team to be more motivated and to lead themselves.

Come Hear Dr. Maloley at the 2020 Annual Meeting In Oklahoma City. Turn to page 21 For Course information.

To maintain a successful career, you should create goals and establish strong habits to achieve them. Personal productivity also requires a commitment to systematically remove bad habits! Analyze the wasted time and motion during your day. Be efficient when you are working in your practice and also when you are working on your practice. Your team is likely to follow your lead.

Self-leadership creates a focused approach to problem-solving. As our personal behaviors are improved, our goals can become bigger.

Steps required to accomplish your goals will seem easier and betterdefined. You can now be more intentional about how you respond to the challenges in your practice and in your life.

As you go forward stay accountable and embrace the concept that positive change in your practice starts with you. You deserve the very best. Your team, your patients and your family deserve the best you!

Dr. David Maloley is a graduate of the University of Nebraska College of Dentistry. He served as a Dental Officer in the U.S. Army for five years. While in the military, he was stationed abroad in Germany and Italy. After he returned to the U.S., he moved to Vail, Colorado to start Vail Valley Dental Care in 2009. He is the co-author of Titans of Dentistry, the host of The Relentless Dentist podcast and a Certified High Performance Coach. He loves to ski and travel with his family.

Having a successful practice is largely dependent on your people skills. No one can deny the importance of people (“soft”) skills in a dentist’s repertoire. People are naturally apprehensive when sitting in the dental chair; your ability to put patients at ease will result in smoother procedures, greater satisfaction, and better case acceptance. Mostly, patients just want to be understood. You also want to be understood. This requires clearly articulating the value of the services you provide to your patients.

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Collect What You Produce: DEVELOPING YOUR IDEAL PRACTICE

By Cathy Jameson, PhD | Part 2 of a ten-part series What is your vision of your ideal practice?

Have you written a specific plan of action to achieve this? Why settle for anything less than your ideal? You deserve to have the practice of your dreams. Happiness in your chosen profession and the pursuit of your ideal go hand in hand.

A VISION is future-focused and is a clear mental and emotional picture of your ideal practice. Just as you will change over time, your vision will evolve and change throughout your career. So you need to base your vision upon the mission or purpose of your practice—the “why” behind all that you do.

When a practice (or a person) is financially secure, the opportunities for giving increase substantially. One of the greatest gifts that result from financial accomplishment is philanthropy, whether in the form of money or time. The Oklahoma Mission of Mercy program gives us the opportunity to do both in the service of those less fortunate and in need of dental care. As many of us have experienced, seeing people line up anxiously awaiting the chance to be cared for by our wonderful Oklahoma dentists, their teams, and other volunteers, is heartwarming.

While there are many benefits to collecting what you produce, one of the most critical and rewarding is having the financial wherewithal to “give back.”

• What are the characteristics of your team members? How do they interact with each other, with you, and with your patients?

• What is your facility/workplace like?

• What kind of technology do you have and how are you maximizing it?

• How much do you want to produce and collect?

• What is your gross and net income?

• What is your reputation in your profession and your community?

Once you’ve imagined this ideal practice, ask yourself, “Do I have this now?” If the answer is yes, pat yourself and your team on the back for work well done! Now ask, “How can we do everything we are doing even better?” (The ultimately productive question!) However, if your answer is no, ask yourself: “What do I need to do to make this happen?” You may find that your existing systems are not functioning in a way that supports your new vision.

However, you can implement healthy change that will move you closer to your ideal. Don’t let anything or anyone prevent you from having your ideal business or workplace.

SYSTEMOLOGY

• What do you want?

Your practice is made up of both clinical and business systems that support the vision you wish to accomplish. You need to set up your systems, provide ongoing coaching/training for team members so that they can administer those systems properly, and monitor the systems in terms of their health and goals.

• What kind of service do you want to provide?

VISION + EXCELLENT SYSTEMS + GOALS +ENGAGED TEAM = SUCCESS.

• How do you want to provide those services?

ODA Past-President Dr. Shannon Griffin remarked, “From Day One I applied Cathy’s systems and principles in my practice. With her strong belief in goals and communication it becomes natural to build a comfortable and successful journey from diagnosis to financial agreement to treatment. Even in tough economic times,

CONCEIVE, BELIEVE, ACHIEVE Some important questions to consider as you develop your vision – the future focus of your ideal practice – are the following:

• What do you want your patients to experience each time they come to your practice?

36 journal | January/February 2020

by sticking to the principles in Collect What You Produce we have been able to maintain and grow. By working “smarter, not harder” I have a successful, twenty-year practice full of “forever patients.””

Accountability is dependent upon clear expectation. No one can perform well if not absolutely clear about what to do, when and how to do it, what tools will be necessary, and why each action is important to the whole. These principles are true in your financial systems just as they are in any system. Your financial systems need to provide financing so that the vast majority of your patients can proceed with care. This will increase case acceptance. In addition, you must collect all that you produce. This will eliminate private pay accounts receivable, increase cash flow, manage insurance effectively, and keep you out of the banking business. Your systems are strategic plans that accomplish desired goals in a smooth and stresscontrolled manner. These systems lead to smooth-flowing days in which people are maximizing time and talent.

STRATEGIC PLANNING = GOAL ACCOMPLISHMENT A strategic plan has three parts: [1] your present situation; [2] your future vision; and [3] your goals or action plan. Webster defines a goal as “the end toward which effort is directed.” Goals are the steppingstones that move you toward fulfillment of your vision of your ideal practice. Few people develop that clear vision, write goals, or follow a process of goal accomplishment.

Only a handful invest the time and energy necessary to plan for success. According to David Bach (Smart Women Finish Rich: 9 Steps to Achieving Financial Security and Funding Your Dreams): “Studies show that less than one percent of Americans write down specific goals for themselves each year. That's a shame, because writing down your goals is powerful.”

The following six-step goal-writing process will lead toward goal accomplishment (Be sure to include financial goals):

1. Write the goal. Be specific.

2. Design a detailed plan of action, including the steps you need to take.

3. Designate who will be responsible for each action item.

4. Time-activate each step (both short timelines and final deadlines) and adjust as needed 5. Routinely and regularly evaluate progress.

6. Celebrate the small and large victories along the way.

Dr. Michael Le Boeuf says, “That which is rewarded is repeated.” Recognize all positive steps taken toward a goal and say thank you. Positive reinforcement will always lead to greater performance than negative reinforcement or no recognition at all.

pay the bills, or if you don’t feel equitably compensated for your work, those negative feelings will be projected and you will attract people who are negative, demanding, and dominating (and who probably don’t have enough money of their own!). As an example, if your financial coordinator doesn’t feel comfortable discussing money with a patient, the patient will pick up on that immediately.

Such discomfort may have an adverse impact on the patient’s decision to proceed with treatment.

I provide personal coaching for a wonderful treatment coordinator who begins her day with the following affirmation: “I start each day thinking ‘I am here to help you—to serve you. If you are willing and if you want this treatment, we will find a solution that is just right for you.’” And she does!!! The goal of the treatment/financial coordinator is to find a financial solution for each patient.

Your goals can become benchmarks for decision-making. When you make a purchase or invest money, ask yourself if the purchase or investment upholds your values and fits with your short-term or long-term goals. At month’s end, look at your checkbook and analyze your bills (including credit card bills) and ask yourself: “Did my purchases this month make sense? Do they support my values and goals?” If you find yourself saying no to those questions, alter your purchasing patterns and decisions. Spending more than you make or buying something without evaluating the desired end results can cause financial stress, which can have a negative impact on you and on other people in your life. Getting yourself into a financial bind can happen if you are not clear about your goals.

Your money may be spent on “things” and you may miss the joy and peace of a fulfilled life. Be careful. Respect the values that you hold essential and let your relationship to money support your values and goals. As Jim Rohn says, “Time is more valuable than money. You can get more money, but you cannot get more time.”

ADA surveys state that money is the number one reason people don’t come to the dentist or accept treatment. This is not surprising. However, this is not something to avoid. Rather, this means that studying financing including available options, how to present those options, and how to overcome objections is essential.

THE MIRROR EFFECT

These foundational principles, adopted by each member of the team, lend the strength to the financial systems we will continue to develop as we strive to Collect What You Produce.

In the world of business (and your practice is your business) your dynamic with money can be positive and healthy or negative and stress-filled. If your practice is financially sound and you and your team are secure and happy, you will attract people who are the same. What you put out there will come back to you. Your patients and your relationships with them will reflect back on you. If you are stressed about or driven by money, if you don’t have enough money to

These aren’t magically obtained skills; they must be studied, practiced and applied.

Making a financial arrangement is not easy.

In fact, while the patient may say, “Oh, yes, Doctor. This is the kind of treatment I want,” until there is a firm financial agreement on both the total amount of treatment and the method of payment, there is no final “yes”. Only when a financial agreement is in place can an appointment be scheduled and treatment provided.

Cathy Jameson, PhD, is the founder of Jameson Management, Inc., an international management, hygiene, and marketing firm which offers proven management and marketing systems for helping organizations improve in a positive, forward-thinking culture.

Jameson holds a doctorate in management from Walden University where she focused her research on transformational leadership. She has been inducted into the College of Education Hall of Fame and is a Distinguished Alumna of Oklahoma State University. She serves on the Board of Governors there.

Jameson has been named one of the top 25 Women in Dentistry and has received Lifetime Achievement Awards from the Excellence in Dentistry Organization and from the Academy of Dental Office Managers. She was a finalist for the Stevie Award for outstanding entrepreneurial women.

She is a member of the American Association of Female Executives, National Speaker’s Association, Academy of Dental Management Consultants, National Society of Leaders and Success and Chi Omega Women’s Fraternity.

Jameson has lectured in all US states and in 31 countries. She has had over 1,500 articles published throughout the US and the world. She is the author of eight books, including the 3rd Edition of her bestseller, Collect What You Produce and Creating a Healthy Work Environment. These can be purchased from Amazon.

For more information on Dr. Jameson’s lecture or personal consulting services, contact her at cathy@jamesonmanagement.com. For more information on the consulting services of The Jameson Management Group, contact www.info@jamesonmanagement.com or www. jamesonmanagement.com

IN SUMMARY Visualize your ideal. Answer the vision questions posed in this article. Study the section on goal setting and strategic planning.

Plan for financial success.

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Important Opioid Prescribing Reminders This past legislative session there were several bills passed that were requested by the State Opioid Commission headed by the Attorney General’s office regarding prescribing and continuing education hours for all medical prescribers.

THE NEWEST REQUIREMENTS ARE AS FOLLOWS: 1. For acute pain, the prescriber shall not issue an initial prescription to exceed one week’s supply of the lowest effective dose of an immediate-release opioid drug. The words “acute pain” must appear on the face of the prescription. If the patient needs a second prescription, it cannot be written before the “do not fill date,” which would be one week after the initial prescription. The second prescription, not to exceed seven days’ supply, should not be written without a second consultation (by telephone or in person), which is then recorded in the patient’s chart. The chart entry should indicate that the prescription is necessary and appropriate, include the rationale for prescribing, and determine and document that the prescription does not present undue risk of abuse, addiction or diversion. “Acute pain” should also appear on the second prescription.

2. There are specific requirements for treating chronic pain with opioids, but they fall outside the normal parameters of dental health care. These patients are usually managed by physicians who are pain specialists.

3. The prescriber must thoroughly document the rationale for exceeding a 100mg MME (Morphine Milligram Equivalent).

There is an app from the CDC called “CDC RX” which contains a handy MME calculator, CDC guidelines for prescribing opioids, an online training series for applying these guidelines, and a list of twelve recommendations related to opioid prescribing.

4. Prior to the initial prescription, the practitioner shall [1] take and document a thorough medical history, [2] conduct and document a physical exam, [3] develop a treatment plan, [4] access the PMP, [5] limit the supply to no more than seven days for acute pain, and [6] enter into a written Patient-Provider Agreement with the parent or legal guardian if the patient is under 18 years of age. Such an agreement is also required if there is a third opioid prescription given for the same “acute pain” regardless of the patient’s age. This is also true if any patient is

given a prescription for an opioid and a benzodiazepine to be taken the same day.

5. Informed Consent and Risk Discussions: Prior to the initial prescription and again prior to the third prescription, the practitioner must discuss with the patient [1] the risks of addiction and overdose, and the dangers of taking opioids with alcohol, benzodiazepines and other CNS depressants, [2] the reason the prescription is necessary, [3] alternative treatments available, and [4] that risks may include fatal respiratory depression. The practitioner shall document these discussions in the patient’s chart.

6. A Patient-Provider Agreement (PPA) is required [1] at the time of a third prescription for an opioid drug, [2] if more than three months of opioid is required, [3] if the patient is to receive opioids and benzodiazepines together, [4] if the prescription exceeds 100mg MME, and/or [5] if the patient is pregnant. A PPA with the parent or legal guardian is required if the patient is under 18 years of age.

7. Exclusions: Senate Bills 1446 and 848 do not apply to patients receiving active treatment for cancer, hospice care, palliative care, drug abuse or opioid dependence, or to residents of a long-term care facility.

8. Any provider authorized to prescribe opioids must have a written policy that includes execution of written contracts with patients [1] requiring opioid therapy for more than three months, [2] being prescribed opioids and benzodiazepines together, and [3] being prescribed dosages that exceed 100mg MME.

Visit ok.gov/dentistry for the most up-to-date information on Opioid prescribing.

AT A GLANC E • As of January 1, 2020 prescribers will be required to electronically prescribe Schedule II through V controlled substances in Oklahoma.

• Waivers or extensions can be granted through the Oklahoma Board od Dentistry.

• Prescribers (or their designated staff) are required to check the Oklahoma PMP for new patients or if 180 days have elapsed since the last PMP check for the patient, prior to prescribing any of the following: opiates, synthetic opiates, semi-synthetic opiates, benzodiazepine, or carisoprodol (Soma).

• Dentists are required to do one (1) hour of Opioid prescribing or pain managment continuing education per year for a total of two (2) hours per two (2) year reporting period. Newly licensed dentists are required to do two (2) hours within the first year of receiving their initial license.

38 journal | January/February 2020

Jan/Feb 2015 | Vol. 106, No. 1

Together We Are

Stronger!

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.

In this issue:

OkMOM: Getting to the Root of it All Pg. 34

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1

JOB OPENINGS

PRACTICE FOR SALE

DENTAL OPPORTUNITY IN SHAWNEE, OK: If you are a dentist looking for a new opportunity this might fit your need. We have Oral Surgeons, Orthodontists and 2 other dentist in our complex. Equipment is in place and ready to use. Call for further information 405-395-2959.

EAST OKLAHOMA PRACTICE NEAR NORTHWEST ARKANSAS AND FT. SMITH: Established and reputable dental practice. Five operatories, digital x-ray, extra equipment, new sterilization, fully staffed, motivated seller. Great location at a busy retail business intersection. Three-year average collections of $573,700. Asking Price $600,000 Jeffrey.cantu@ cbiteam.com 479-770-3224

EQUIPMENT INTRAORAL X-RAY SENSOR REPAIR/SALES: We repair broken sensors. Save thousands in replacement costs. Specializing in Kodak/ Carestream, major brands. We buy/sell sensors. American SensorTech 919-229-0483 www.repairsensor.com

SUBMIT A LISTING Submitting a classified ad is easy with our online form. Find the form and more information at okda.org/classifieds.

YUKON DENTAL OFFICE BUILDING FOR SALE/LEASE: 2,924sf dental office building for lease or sale. Located at 1315 S. Holly Ave, Yukon, OK 73099. Please call with any questions 405-206-4033.

PRACTICE FOR SALE • Motivated owner of established profitable dental practice in Tulsa OK area.

• Stand alone, self-owned building with dental practice on bottom floor next to periodontist.

• Highly visible: located on busiest street in fastest growing town in the state.

• Centrally located in high acclaimed Broken Arrow school district.

• Plumbed four exam rooms, 3 fully equipped rooms.

• Fully equipped lab, private office, 2 bathrooms • Furnished waiting and break room Call for more information 918-810-3011

go team, go!

Yo u r d en ta l t ea m c o u ld w i n

a free dinner

c o u rt esy o f t h e o da * to enter, Register four people as a team for the 2020 Annual Meeting.

Once your team is registered, post a photo of your team holding this registration packet on social media and tag the oda for an extra contest entry! Use the hashtags #be interested & #ODAMeeting2020 Winners will be chosen at random. First place will receive a $250 gift card for a team dinner.

Second place will receive 4 free tickets to the 2020 president's party. * vist okda.org/team-contest for official rules & information

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40 journal | January/February 2020