ODA Journal: March/April 2021

March/April 2021 | Vol. 112, No. 2

virtual

Oklahoma Dental Association

Annual Meeting

Speakers From Around the World April 9 & 10 Details on Page 23 www.okda.org

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journal | March/April 2021

ADVERTISERS

Contents

Thank you to these businesses who advertise in the ODA Journal Inside Front Cover Valliance Bank Inside Back Cover 3000 IG Back Cover Delta Dental of Oklahoma

March/April 2021 | Vol. 112, No. 2

virtual

EDITORIAL 0 6 Editorial

Oklahoma Dental Association

Annual Meeting

ASSOCIATION

Exploration to excellence

Authentic Dental Laboratory, Inc. Edmonds Endodontic Associates Endodontic Practice Associates iCoreRX Lewis Health Profession Services MedPro ODASuppySource OK Tobacco Settlement Endowment Trust

If you or a company you know is interested in advertising in the Journal please contact Stacy Yates at advertising@okda.org 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.

04 Calendar of Events

April 9 & 10, 2021

0 5 Welcome New ODA Members 09 Message from the President

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Tear-out 10 Dr. Paul Mullasseril - An Unprecedented Presidency Registration Form Inside Register Dr. at Paul Mullasseril 1 2 ODA Rewards Partners okda .org/annual-meeting 1 3 ODA Rewards Partners Column An Unprecedented Presidency

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1 4 Get to Know Your Incoming President 1 6 ODA 2021 Nominations 17 Council Nominations

An Unprecedented Presidency

1 8 Proposed Bylaws and Policy Amendments

During his year as ODA president, most of Dr. Mullasseril’s duties were held via Zoom because of the ongoing pandemic. So, it only seemed fitting for the Executive Committee to say THANK YOU for his leadership in the same way (see zoom meeting photo tribute above)!

This was not the easiest year, but despite the hurdles, Dr. Mullasseril adapted to change, remained positive, and led the dentists of Oklahoma through some of the hardest times in their profession. On behalf of the entire membership, we say THANK YOU!

2 0 ODA Member Benefit Corner 2 1 ODA Marketing Coach 2 1 Patient Resources on Covid-19 Vaccines 2 3 2021 ODA Annual Meeting

Collecting OkMOM supplies to donate to OKC hospitals at the beginning of the pandemic.

March 2020

2 6 CORD Caucus and Luncheon

Speaking at the 2020 ODA House of Delegates meeting after being installed as president.

April 2020

2 8 Did You get your COVID Vaccine?

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50 Final Thoughts: Words of Wisdom

Member Spotlight: Dr. Nicole Nellis

Interviewing with local news sources about why it is safe to visit the dentist during the pandemic.

August 2020

Complex Restorative Dentistry

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.

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 © 2021 Oklahoma Dental Association.

LEGISLATIVE LOOP

Attending the Hearts That Care Clinic grand opening in Lawton, OK. October 2020

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

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

Oklahoma Dental Association

30 Letter to Oklahoma Legislators 31 2020 Federal Legislative and Regulatory Accomplishments 34 2021 Virtual Dentist Day at the Capitol Recap 35 2021 OK Capitol Club & Grand

SPOTLIGHT 36 ODA Member: Dr. Nicole Nellis

Cover: Headshots of all our 2021 Virtual Annual Meeting Speakers.

Turn to page 23 for all the details!

FEATURES

38 Complex Restorative Dentistry 4 0 Oklahoma COVID-19 Response: Focus on Vaccines 4 2 Collect What You Produce: When Patients Complain About Your Fees 4 4 Hygiene Hot Spot-Just Because It's Green Doesn't Mean It's Guacamole!

4 5 Life-Threatening Emergencies In The Dental Office

Is Your Contact Information Correct?

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

4 6 Keep It Local: Botulinum Toxin

CLASSIFIEDS 4 8 ODA Classified Listings

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

www.okda.org

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ODA JOURNAL STAFF EDITOR Mary Hamburg, DDS, MS ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Daryn Lu, DDS Phoebe Vaughan, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates OFFICERS 2020-2021 PRESIDENT Paul Mullasseril, DDS president@okda.org PRESIDENT-ELECT Chris Fagan, DDS presidentelect@okda.org VICE PRESIDENT Robert Herman, DDS vicepresident@okda.org SECRETARY/TREASURER Mike Gliddon, DDS treasurer@okda.org SPEAKER OF THE HOUSE Doug Auld, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Dan Wilguess, DDS pastpresident@okda.org ADMINISTRATIVE STAFF EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz DIRECTOR OF COMMUNICATIONS & EDUCATION Stacy Yates DIRECTOR OF MEMBERSHIP Kylie Faherty PROGRAMS & OPERATIONS MANAGER Makenzie Dean SPECIAL PROJECTS MANAGER Abby Sholar MEMBERSHIP SERVICES MANAGER Madison Bolton

Stay connected with the ODA!

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journal | March/April 2021

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

March 4 Virtual ODA Match 6:00 p.m.

Zoom March 5 Dental Care Meeting 2:30 p.m.

Zoom

March 12 Council on Governmental Affairs Meeting 9:00 a.m.

Zoom Board of Trustees Meeting 1:30 p.m.

Zoom

March 25 ODA Virtual Cocktail Hour 6:00 p.m.

Zoom March 27 Veterans Day Clinic All Day OUCOD

April 1 DENPAC Board Meeting 5:30 p.m.

Zoom

House of Delegates Meeting 1:00 p.m.

Zoom

April 22 Virtual Pizza Party 5:30 p.m.

Zoom

April 8 Board of Trustees Meeting 10:00 a.m.

Zoom

April 9 & 10 Virtual Annual Meeting Turn to page 23 for all the details.

April 29 Sr. Signing Day 5:00 p.m.

CORD Caucus Meeting 12:00 p.m.

Zoom

REGISTRATION CLOSES ON APRIL 5. FOR MORE INFO VISIT:

okda.org/membership/events

ODA VIRTUAL PIZZA PARTY!

FEBRUARY 4 & 5, 2022

FREE FOR ODA MEMBERS!

HEART OF OKLAHOMA EXPO CENTER LEARN MORE AT OKMOM.ORG

April 22 • 5:30-7:30 via Zoom

Amanda Akkari Oklahoma County Erin Bartlett Northwest District Amber Bewley Oklahoma County Taylor Bingham Oklahoma County Austin Brasher Oklahoma County Allison Brewer Oklahoma County Tendai Dandajena Oklahoma County Mason Davis Southwest District Jacob Dawson Northern District Dylan Droege Tulsa County Christopher Eaton Tulsa County Stefan Gelvin Tulsa County Joseph Ghazal Tulsa County Jacy Glover Oklahoma County Alin Gorgan Oklahoma County Kathryn Greene Tulsa County Brittany Hand Southwest District Sean Harvey Oklahoma County Bree Highstrom Oklahoma County David Hinkl Oklahoma County Chris Hunt Oklahoma County Berlian Jeffery Oklahoma County

Ayesha Kashif Oklahoma County Aaron Kotecki Oklahoma County Olga Kvitkina Oklahoma County Tara Littlefield Tulsa County Matthew Loeb Oklahoma County Olanrewaju Meeks Oklahoma County Kyle Michelsen Oklahoma County Samirah Mohamad Tulsa County Thanh Nguyen Oklahoma County Chad Packard Eastern District Randy Patterson Oklahoma County Christian Pilgrim Central District Ali Rahill Oklahoma County Kate Ring Oklahoma County Moumita Saha Tulsa County David Scheuerman Oklahoma County Nate Sethman Northern District Graham Shadwick Tulsa County Shuhad Shambille Tulsa County Kaylee Speer Oklahoma County Clinton Stevens Tulsa County www.okda.org Philip Worthen Oklahoma County

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ODA EDITORIAL

CE From Around the World As you have probably heard by now, this year's ODA Annual Session will be a virtual meeting. Like many of you, I was looking forward to this meeting to reunite with dental friends from around the state while gaining valuable knowledge for my practice. As this year's meeting CE Chair, I was excited for this program to be in-person; however, as 2020 has taught us, life throws us curveballs sometimes and this was just another one.

David Wong, DDS CE Chair, 2021 Virtual ODA Annual Meeting

" With a virtual meeting, we were able to attract talent from around the world!"

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journal | March/April 2021

Friends, I have some exciting news in spite of this sudden change!

Normally, our CE budget limits us to having only a few great speakers, and we often have to rely on local talent to fill the voids. This year, I'm excited to announce that we have even MORE presentations to give you from MANY speakers on a variety of different topics that are sure to grab your interest.

With a virtual meeting, we are able to attract talent from around the world. From Dr. Troy Schmedding, an accredited AACD cosmetic dentist from northern California, to my good friend, Dr. Stephanie Tran, an endodontist from New York City. In addition, three of our speakers hail from Canada: Dr. Paresh Shah from Winnipeg and Dr. Vinay Bhide and Dr. Nada Albatish from Toronto. To give this meeting a true international flare, we also have Dr. Dean Licenblat joining us all the way from Sydney, Australia. I am so grateful that the ODA is able to tap into this level of talent this year, and I know that I will thoroughly enjoy this format. I hope

you will, too. This list of speakers is not even the entire list! Our keynote speaker is Sooner legend, Spencer Tillman, and we have much, much more!

I look forward to "seeing" you all there!

www.okda.org

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Some of your favorite vendors all in one spot, with more on the way.

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journal | March/April 2021

FROM THE ODA PRESIDENT Leaving 2020 behind did not put an end to the misery that befell us last year. The new year has brought new challenges - the virus continues to ravage the lives of many people, albeit in diminished numbers, but there is hope around the corner as more people get immunized. The economy and our practices continue to struggle with uncertainties that might take another year to resolve.

The ingenuity and hard work of our scientists, combined with the partnership between pharmaceutical companies and our leaders in government, produced several vaccines in record time. Below, is a letter written by Thomas Jefferson to the English physician Edward Jenner whose work led to history’s very first vaccine, against smallpox. It should be food for thought for those with an irrational skepticism to vaccination.

A year with LOTS of hand sanitizer!

Immediate Past President Dr. Dan Wilguess pinning incoming President Dr. Paul Mullasseril.

I have received a copy of the evidence at large respecting the discovery of the vaccine inoculation which you have been pleased to send me, and for which I return you my thanks. Having been among the early converts, in this part of the globe, to its efficiency, I took an early part in recommending it to my countrymen. I avail myself of this occasion of rendering you a portion of the tribute of gratitude due to you from the whole human family. Medicine has never before produced any single improvement of such utility. Harvey's discovery of the circulation of the blood was a beautiful addition to our knowledge of the animal economy, but on a review of the practice of medicine before and since that epoch, I do not see any great amelioration which has been derived from that discovery. You have erased from the calendar of human afflictions one of its greatest.

Yours is the comfortable reflection that mankind can never forget that you have lived. Future nations will know by history only that the loathsome small-pox has existed and by you has been extirpated.

Accept my fervent wishes for your health and happiness and assurances of the greatest respect and consideration.

Thomas Jefferson The major legislative push this session is our opposition to moving our current Soonercare to managed Medicare. Many of our leaders have written op-eds in various newspapers, called our legislators and written to the Governor in an effort to educate and stress upon them the importance of preserving Soonercare for our underserved children. The last time the state had managed care, the number of providers diminished to 100, creating access-to-care issues for our children. A privatized system would cut benefits to our children, adversely affect the capacity of our providers to care for them and send money out of state to private insurance companies. The fight is not over; we will continue our efforts to educate our legislators and the people of Oklahoma. ODA’s Dentist Day at the Capitol was conducted via Zoom over two consecutive days this year, with great representation from the ODA and the Legislature. Again, our goal was to educate them (some of them first-time lawmakers) about Soonercare, and impress upon them the views of a broad coalition including our organization, the Oklahoma Medical Association and the Oklahoma Hospital Association that WE ARE ALL AGAINST IT AND THINK IT WILL HARM OKLAHOMANS. I want to thank each one of you for doing the same.

As you know, OkMOM was cancelled for 2021 but will be held in

Shawnee in 2022 to carry on the tradition of service where we left off in 2020. A new venture this year was to set aside a day at the OU College of Dentistry to provide much-needed dental care to our veterans. What started off as an ambitious goal in 2020 became fraught with multiple obstacles due to COVID-19. This joint venture with the ODA, the ODF, D-DENT and Henry Schein has been rescheduled for March 27. Around 70 patients have been screened and identified to receive care from our fourth-year dental students and secondyear dental hygiene students. I pray that by the time you read this, it will have been a success.

The announcement for the annual meeting was recently sent out; it will be a virtual event this year. The organizing committee and the ODA staff have worked tirelessly to make sure that this will be the best virtual event you have attended. Your ODA depends on the annual meeting from a budget standpoint. This has allowed us to keep our dues constant over the past decade. This is an incredible achievement and I am proud of the organization and the staff for making this happen. Please attend and make it a success.

As my term as your president comes to a close I would like to thank: Executive Director Lynn Means and her staff (Shelly Frantz, Kylie Faherty, Stacy Yates, Abby Sholar, Madison Bolton and Makenzie Dean) for working with me and tolerating my demands and wishes; ODF Executive Director John Wilguess and his team for working closely with us in accomplishing our priorities; the members and chairs of our various committees and councils for their selfless work on behalf of our organization; and ODA lobbyist Scott Adkins for being our eyes and ears at the Capitol, and for looking out for us and advising us.

Finally, thank you for giving me the opportunity to serve. It has been an honor. www.okda.org

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Dr. Paul Mullasseril

An Unprecedented Presidency

During his year as ODA president, most of Dr. Mullasseril’s duties were held via Zoom because of the ongoing pandemic. So, it only seemed fitting for the Executive Committee to say THANK YOU for his leadership in the same way (see zoom meeting photo tribute above)!

This was not the easiest year, but despite the hurdles, Dr. Mullasseril adapted to change, remained positive, and led the dentists of Oklahoma through some of the hardest times in their profession. On behalf of the entire membership, we say THANK YOU!

Collecting OkMOM supplies to donate to OKC hospitals at the beginning of the pandemic.

March 2020

Interviewing with local news sources about why it is safe to journal | March/April 2021 10 visit the dentist during the pandemic.

August 2020

Speaking at the 2020 ODA House of Delegates meeting after being installed as president.

April 2020

Attending the Hearts That Care Clinic grand opening in Lawton, OK. October 2020

Messages from the ODA executive committee I n a p p r e c i at i o n o f d r . Pa u l m u l l a s s e r i l Dr. Mullasseril approached me at an Oklahoma County meeting four years ago, when he was first appointed into ODA leadership as Secretary/Treasurer, about his goal of co-hosting a free dental clinic for US Veterans with the OUCOD during his Presidency. When he spoke about it, he had so much deference and respect in his voice. This was one of the first real conversations I’d ever really had with him so I didn’t know at the time that he had served our country himself. He told me he knew this was a giant void in our healthcare system, dentistry for veterans, and wanted to give something back to the country that had given him so much. The ODA staff is so excited to (finally) help make this event happen for him in March and we hope it continues for many years!

His term as ODA President has certainly dealt some disappointments – no OkMOM, no in-person Annual Meeting, and no in-person meetings at all, for that matter. So I hope the world goes back to normal enough by summer so that he can at least visit another national park with his family. He has certainly earned that! It has been a true pleasure serving under such a genuinely kind, unflappable and hard-working GENTLEMAN. And here’s a little-known fact about Dr. Mullasseril (unless you also attended the 2019 ODA President’s Party): that “short, bald, brown man” (his words, not mine) sure can cut a rug!

Lynn Means, ODA Executive Director It is difficult to imagine the challenges that Dr. Mullasseril has faced this year. He was tasked with leading the ODA through an unprecedented pandemic and he was called to represent all of dentistry in our fight against managed care in Oklahoma. He met these tasks head on and has done an exemplary job.

I appreciate the fact that with every new challenge the ODA faced this past year, Dr. Mullasseril was inquisitive first.

He was the first to ask questions to guide us to specifically identify the issues. This is a great leadership quality to have and I’m sure it is what makes him a great educator, as well. I can only hope to live up to the high standards he has set.

Dr. Chris Fagan, President-elect Despite the myriad of challenges that a COVID environment presented, Dr. Mullasseril proved time and again the value of his effective leadership. I was especially impressed with his ability to focus the Board of Trustees and the Executive committee on the many challenges surrounding the re-opening of dental offices in Oklahoma.

Additionally, Dr. Mullasseril has been a tremendous voice for dentistry within the coalition of medicine as we have worked to navigate the proposed move to managed care. I am particularly grateful to have had the opportunity to continue to learn from Dr. Mullasseril, much as I did as a student in school.

Dr. Robie Herman, Vice President Dr. Paul Mullasseril has been a most estimable leader for the Oklahoma Dental Association and its members. His leadership has helped us all navigate through one of the most difficult and trying times most of us have had to practice and live through. His military background exemplifies the way he lives, through self service and sacrifice.

His dedication to the military community continued this year with his dogged enthusiasm and drive in ensuring this year’s Veterans Day will be an amazing success.

Dr. Mike Gliddon, Secretary/Treasurer It has been an honor and privilege to work alongside Dr. Mullasseril these past several years. He has been such a great leader for the ODA. He has led with integrity and the highest of ethical principles.

I am so proud of the way in which Dr. Mullasseril has led the ODA during this year of COVID-19 and the pandemic.

He has been a true asset, who has represented all dentists of Oklahoma. We were all impacted by this pandemic, and Dr. Mullasseril was always striving to make sure each dentist maintained the opportunity for success.

It was a pleasure to attend meetings both locally and nationally with Dr. Mullasseril. He is such a forward thinker who has a great passion for leadership. His intentionality and purpose in leadership is to be envied.

Dr. Dan Wilguess, Immediate past president It has been an honor to serve with Paul during this very difficult time. He has demonstrated professionalism and grace and I thank him for his dedication and commitment to our great organization. I wish we could have had inperson meetings but he handled it in stride. Well done!

Dr. Doug Auld, Speaker of the house

Congratulations on a successful presidency!

www.okda.org

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GET TO KNOW YOUR INCOMING ODA PRESIDENT

CHRIS FAGAN, DDS I have had some impressive adventures in my life. I’ve been a whitewater raft guide, backpacked through Glacier National Park alone, and moved 1,600 miles from home because I wanted to be a ski bum for a season -- and ended up staying for five winters! But of all my life experiences, I believe my next year as president of the Oklahoma Dental Association will be the most challenging. I say this because these are extraordinary times. I don’t need to explain the impact of this past year, and even the start of 2021, has had on everyone. You’ve all been through it, too.

Before I look to this upcoming year, I must first acknowledge Dr. Paul Mullasseril for his outstanding performance as our president this past year. He took over in the midst of a pandemic that was still in its infancy. If I remember correctly, it was during the time that dental offices were shut down or limited to emergency procedures only! He has led this organization and Oklahoma Dentistry through some of its most difficult times with a grace and poise that I can only hope to emulate. Our Executive Director, Lynn Means, and her staff also deserve many accolades. They have been working tirelessly, often in difficult situations. This past year the staff has had to cancel, reschedule, adjust, and postpone many of the events we have become accustomed to attending as ODA members. They have done a fantastic job of keeping us informed amidst a sea of misinformation regarding COVID-19, as well as advocating for our profession. The ODA has also joined the fight against managed care in Oklahoma and our ODA staff has worked countless hours on this issue so far.

Recently, I had the opportunity to interview dental student applicants for the OU College of Dentistry. It is always interesting to hear how these students ended up in a chair across from me. It always makes me think back to my path to Dentistry. One of my first experiences was visiting a young new pediatric dentist in my hometown of Enid. I was one of his first patients -- his only one that particular day because the other one canceled. I know all this because I still have chart #32 with my name on it and the paper and pencil appointment book page framed in my office. To make a long story short, he and my mother eventually got married and he became my father. I grew up as the son of a dentist. I also worked in his office; since my junior high school was about three blocks from his office, most days I would walk there

Dr. Fagan exploring their land outside of Enid with his two boys.

14 journal | March/April 2021

Dr. Chris Fagan and his wife, Heather, with their two sons Cooper (6) and Caleb (4).

after school. I remember pulling paper charts for the following day’s patients and refiling the current day’s charts. I had to shovel snow and wash windows at the office on the weekends. Most of our vacations involved dental meetings. Trips to Oklahoma City usually involved a stop by the ODA building for a meeting or a stop at Sam’s so he could buy supplies for the office. At some point I decided that I did not want to be a dentist.

I graduated from St. Gregory’s University in 2000 with a degree in Communications and had no clue what I wanted to do after graduation. I was having difficulty finding a meaningful job so, much

Caleb trying on his dad's loupes while helping at the office.

The boys helping take care of the chickens on their farm.

to the chagrin of my parents, I loaded up my truck and moved to the northern tip of Idaho to snow ski. My first job at the mountain was to flip hamburgers in the Café -- hundreds of hamburgers a day. It was great! I got to ski every day, got a free meal every day, and I didn’t have to stand out in the snow on the really cold days.

After ski season ended, I took a job with a local company that provided consulting for mostly small business owners. They had a niche market with dentists. It was a great job because I got a ton of time off and I got to live in the mountains. I spent my summers hiking and traveling and I spent my winters on the mountain.

My job allowed me to interact with dentists from across the country. I realized that the thing that most of them had in common was that Dentistry allowed them to have jobs that were really rewarding because they involved taking care of people. The profession also allowed them a lot of freedom, not just because they were financially successful, but also because they could set their own schedules. This was all very appealing to me. After a visit from my very persuasive mother, I loaded up the truck and headed home to enroll at the University of Oklahoma. Even though I had a degree, I needed a few prerequisite courses to apply to dental school.

I applied to the OU College of Dentistry and didn’t get in.

Undeterred, I went to work with my father as a dental assistant and applied again. I spent the year learning what it was like to work in a very busy office, and again, probably washed a few windows. I was accepted into the class of 2011 and the rest is history!

wine. We love nothing more than having some friends over to try a new recipe and to enjoy a glass of wine.

I look forward to the challenging opportunity ahead of me. The Oklahoma Dental Association has been instrumental in guiding Dentistry through this pandemic as it started, and will continue its efforts as we emerge from these trying times. We have begun a valiant fight against managed care on behalf of our most vulnerable patients and that fight will continue. It is my hope that we can all get together in the near future for the camaraderie that is so important to this organization. I look forward to seeing all of you soon.

Dr. Fagan and Heather during one of their recent trips.

I moved back to Enid and joined my father in his practice. Three years later I bought his dental practice and started adding adults.

Enid has a population of about 50,000 people but I have a rural practice. Every day I have patients that travel from all parts of Northwest Oklahoma. I have patients that drive over three hours from the panhandle to get their dental care. We take care of patients with special needs and offer in-office sedations, as well as general anesthesia cases at the local hospital. Our mission is simple: “Helping Families Become Healthier.” I pride myself on treating every member of Northwest Oklahoma, regardless of age or socioeconomic status.

Dentistry has given me so much in the past decade. Two years ago, my wife, Heather, and I bought a house on a few acres outside of Enid. We are enjoying raising our boys, Cooper and Caleb, out on the farm. We currently have 16 chickens, two dogs and a cat. We enjoy traveling, especially to Colorado, and we’ve started collecting

Cooper and Caleb enjoying "Donut Friday" with their dad.

FAST FAC TS

About Your Incoming President:

• Enjoys golfing.

• Enjoys Waterfowl and Turkey hunting.

• Enjoys cooking and tasting wine. Nothing better than a new recipe and having a few friends over for dinner and a glass of wine.

• Loves to read.

• Has recently taken on several woodworking projects.

Dr. Fagan and Heather enjoying a trip to Napa, CA.

Dr. Fagan and Heather ready for an Ugly Christmas Sweater Party.

• Don't ask him to play the guitar.

www.okda.org

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OKLAHOMA DENTAL ASSOCIATION 2021 NOMINATIONS THE COUNCIL ON NOMINATIONS NOMINATES THE FOLLOWING MEMBERS FOR VICE PRESIDENT AND TO REPRESENT THE ADA DELEGATION. THESE NOMINEES WILL BE VOTED ON BY THE HOUSE OF DELEGATES ON APRIL 8, 2021.

VICE PRESIDENT IS A ONE-YEAR TERM. ADA DELEGATE AND ALTERNATE DELEGATE ARE FOUR-YEAR TERMS.

VICE PRESIDENT Paul Wood, DDS Southwest District

Dr. Paul Wood is from rural Vernon County in west central Missouri. After graduating high school in 1978, he joined the US Army and spent the next 33 years in uniform. He served as an enlisted soldier, Field Artillery Officer, Military Intelligence Officer, Area/Regional Consultant and National Consultant in Oral and Maxillofacial Surgery. Wood obtained two bachelor’s degrees from Missouri Southern State University, one in Economics and one in Biology. He then attended the University of Missouri at Kansas City School of Dentistry, graduating in 1991. During dental school, he served as Commander of Service Battery, 1/129 Field Artillery of the Missouri Army National Guard.

After serving two years on active duty, he was selected to attend long-term training in oral and maxillofacial surgery at The Ohio State University. He completed residency and then was successful with both the written and oral portions of the American Board of Oral and Maxillofacial Surgery. While serving as the National Consultant in Oral and Maxillofacial Surgery in Commission Corp of the United States Public Health Service, he served in many regions of the US and was repeatedly assigned to the Coast Guard. Wood was a faculty member at the Graduate Practice Residency Programs at W.W. Hastings Hospital in Tahlequah, Oklahoma, and at the Navajo Area Medical Center in Gallup, New Mexico. He has been in the private sector of Oral and Maxillofacial Surgery since his retirement from active duty and enjoys his current position at Live Oak OMS in Lawton. He is a member of the American Dental Association and Oklahoma Dental Association, and serves on the ODA Board of Trustees as the Southwest Component Trustee. He is also a member of the Texas Dental Association, Texas 13th District Dental Society, Comanche County Dental Society, and Stephen’s County Dental Society. Wood enjoys spending time with his wife, children, and grandson. His hobbies include stock options, welding and old International Harvester trucks.

ADA DELEGATE TIM FAGAN, DDS Oklahoma County Tim Fagan, DDS, MS holds the William E. Brown Chair in Dentistry at the University of Oklahoma College of Dentistry where he is a Clinical Professor, Chairman of the Department of Developmental Sciences, and Head of the Pediatric Dentistry Division. He also maintains a private practice specializing in Pediatric Dentistry in Enid. Fagan received his dental degree from OU in 1981 and completed his pediatric 16 journal | March/April 2021

specialty training in 1984 at the University of Iowa. He is a member of the American Dental Association, Oklahoma Dental Association, Northwest District Dental Society, American Academy of Pediatric Dentistry, Southwestern Society of Pediatric Dentistry, and the Oklahoma Association of Pediatric Dentists.

He has held multiple leadership roles in organized dentistry including serving as President of the Oklahoma Dental Association, Southwestern Society of Pediatric Dentistry, Oklahoma Association of Pediatric Dentists, Garfield County Dental Society, and as Trustee on the American Academy of Pediatric Dentistry’s Board of Trustees. He is a past Chairman of the American Dental Association’s Council on Advocacy for Access and Prevention and served as the council’s liaison to the ADA Council on Governmental Affairs. Fagan served as chairperson of the ADA’s 3CL (Council, Commission and Committee Leadership) Group from 2017 to 2018. He has been an Oklahoma delegate or alternate delegate to the ADA’s House of Delegates since 2012. He is a past ADA Action Team Leader for Oklahoma’s 5th Congressional District. Fagan has served as an examiner and member of the examination committee for the American Board of Pediatric Dentistry. He has been a member of the Oklahoma Dental Association House of Delegates, served on the ODA’s Council on Communications, ODA Rewards Partners Program, ODA Special Task Force on Managed Care Issues, DENPAC Board of Directors, Governor’s Task Force on Children and Oral Health Implementation Focus Group, and was Chairman for the 2014 Oklahoma Mission of Mercy. In 2017, he chaired the ODA Task Force on Medicaid Best Practices, and in 2018, chaired the ODA Task Force on Alternative Work Force Models.

Fagan is a Diplomate of the American Board of Pediatric Dentistry and a Fellow of the American Academy of Pediatric Dentistry, the American College of Dentists, the International College of Dentists, and the Pierre Fauchard Academy. In 2014, he received the OU College of Dentistry’s Outstanding Achievement for PartTime Faculty Award and was named the recipient of the College’s Dental Alumnus of the Year Award in 2015. Fagan was the 2017 recipient of the Oklahoma Dental Association’s Dan E. Brannin Award for Professionalism and Ethics. In 2020, he was awarded the Outstanding Professional Achievement Award by OUCOD for contributions to the overall betterment and welfare of the College and outstanding performance in the broadest sense of education, research and teaching. His dental interests include eradicating early childhood caries, solving access to dental care issues, pediatric restorative techniques, and infant oral health care. Fagan has published numerous articles and presented many continuing education programs in these areas. In the fall of 2018, he was instrumental in establishing the OUCOD senior dental student rotation through the Little Smiles of Norman charitable dental clinic.

Last year the dental students provided over $45,000 of donated dental care to underserved students in the Norman Public School system. He also established the Infant Oral Health Clinic at the OU

College of Dentistry which provides valuable hands-on experience for dental students in managing the dental needs of infants and counselling their parents on infant preventive dentistry strategies.

He is a Life Fellow of the J. Dean Robertson Society.

Fagan has led or participated in numerous foreign medical/dental/ construction mission trips for Volunteers in Mission throughout his career. He currently volunteers monthly at the Good Shepherd Dental Clinic in Oklahoma City, supervising dental students rendering dental care in the children’s clinic. Other community service activities include being a past member of the Executive Council of the Great Salt Plains Council of the Boy Scouts of America, past Board member and Secretary of the Youth and Family Services of North Central Oklahoma, and Past President and Board member of Opportunity School, Inc. He currently is a Pediatric Advanced Life Support (PALS) Instructor for the American Heart Association. He has been married for 34 years to Pamela and they have three grown children and four grandchildren.

The Council on Nominations meets annually to fill volunteer positions within the ODA. Representatives from each component dental society bring forth nominees for election by the House of Delegates. If you are interested in serving on a council, committee or office of the ODA, please contact your component president or you may notify the ODA directly.

ADA ALTERNATE DELEGATE DANIEL WILGUESS, DDS Oklahoma County Dr. Daniel Wilguess earned his undergraduate degree at Oklahoma State University and his doctoral degree at the University of Oklahoma College of Dentistry. He has served two terms as Secretary/Treasurer for the Oklahoma Dental Association and is a past Trustee representing Oklahoma County.

He chaired the Council on Budget and Finance from 2011-2014 and served as President of the ODA in 2019-2020. He has been a member of the ODA House of Delegates for several years. He served on the ADA Delegation from 2017-2019, beginning as Secretary of the Delegation, then serving as Alternate Delegate and Delegate in 2019, and currently serves as DENPAC Chair. Wilguess is a Past President and former Membership Chair for the Oklahoma County Dental Society and a Fellow of the American College of Dentists.

He has been honored as Oklahoma's Young Dentist of the Year, served on the OCDS Peer Review Committee, and twice co-chaired the ODA Annual Meeting Planning Committee. Additionally, he participates annually in ODA outreach initiatives such as Dentist Day at the Capitol and the Oklahoma Mission of Mercy. Wilguess volunteers his time in his community helping others through dentistry. He also is active in Oakdale Baptist Church. He and his wife, Shannon, have two children, Sydney and Daniel. He enjoys cooking, traveling, and golfing in his spare time. He maintains a dental practice in Edmond.

COUNCIL NOMINATIONS THE COUNCIL ON NOMINATIONS NOMINATES THE FOLLOWING MEMBERS FOR ODA COUNCIL SERVICE. THESE NOMINEES WILL BE VOTED ON BY THE HOUSE OF DELEGATES ON APRIL 8, 2021. COUNCIL TERMS ARE THREE YEARS. FOLLOWING THE NAME OF EACH NOMINEE IS AN ABBREVIATION. THE LETTERS INDICATES THE COMPONENT WHICH THE MEMBER REPRESENTS, THE FIRST NUMBER IS THE TERM OF OFFICE, AND THE SECOND NUMBER IS THE YEAR THAT TERM EXPIRES. ADDITIONAL NOMINATIONS MAY BE PRESENTED FROM THE FLOOR OF THE HOUSE. Bylaws, Policy and Ethics Douglas Auld (E-3-24) Matthew Bridges (SW-1-24) Dental Care Kevin Haney (OC-2-24) Matt McReynolds (OC-1-24) Jarett Turney (N-1-24) Standing Committee on OHCA and DHS Chris Fagan (NW-2-24) Stephen Gray (OC-1-24) James Hackler (TC-6-24) Gregory Shanbour (OC-1-24)

Dental Education and Public Information Ben Baty (TC-3-24) Matthew Bridges (SW-2-24) Kevin Haney (OC-2-24) Jeremy Morris (OC-1-24) David Wong (TC-3-24)

Governmental Affairs Matthew Cohlmia (OC-3-24) Juan Lopez (SW-2-24) Ray Plant (OC-6-24) Scott Renfrow (C-1-24) Scott Street (TC-1-24) Membership and Membership Services Kristen Campbell (C-2-24) Eugenia Johnson (TC-3-24) Paul Wood (SC-1-24)

www.okda.org

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Proposed Bylaws Amendments THE COUNCIL ON BYLAWS, POLICY AND ETHICS SUBMITS THE FOLLOWING AMENDMENTS TO THE ODA BYLAWS AND POLICY MANUALS FOR CONSIDERATION BY THE HOUSE OF DELEGATES ON APRIL 8, 2021.

In April 2020, the House of Delegates referred the Guide for Disciplinary Hearing back to the Council. Upon further review and revision of the Guide, the Council submitted it to legal counsel for opinion. The ADA legal counsel deemed it appropriate and did not have any recommended changes. Therefore, the Guide will be presented to the House of Delegates for approval on April 8, 2021.

Upon adoption of the Guide for Disciplinary Hearing, resolved, to amend the Council Manual: Council on Bylaws, Policy and Ethics: Duties by adding as “g.” g. Recommend to the ODA Board of Trustees the discipline of any members by censure, probation, suspension or revocation who have been convicted of a felony or convicted for violation of the State Dental Act, or the dental practice act of any other governmental jurisdiction or the violation of the Principles of Ethics and Code of Professional Conduct of the ADA subject to the ODA Guide for Disciplinary Hearings and provision of the bylaws of the American Dental Association with appeals to the ADA CEBJA. Upon adoption of the Guide for Disciplinary Hearing, resolved, to amend the Bylaws, Article VII, Section 4 by striking E. E. To discipline any of its members by censure, probation, suspension or expulsion who have been convicted of a felony or convicted for violation of the State Dental Act, or the dental practice act of any other governmental jurisdiction or the violation of the Principles of Ethics of this Association subject to the provisions of Chapter XII, Section 20, D. bylaws of the American Dental Association.

Upon adoption of the Guide for Disciplinary Hearing, resolved, to amend the Bylaws, Article XII – Disciplinary Powers amend by substitution: A member may be disciplined by the ODA or by a member’s component for: 1. Having been found guilty of a felony; 2. Having been found guilty of unprofessional conduct as defined by the laws and regulations of any state, or failing to abide by Mediation Review; or 3. Violating the Bylaws of the ADA, ODA, or component society or the Principles of Ethics and Code of Professional Conduct of the ADA (hereinafter referred to as The Code).

May be referred to the Council on Bylaws, Policy and Ethics (CPBE) for review and possible recommendation of penalty of 1) censure the member by formal statement of reprimand, 2) suspension of membership for one to twelve months, or 3) recommendation of permanent revocation of membership.

Any recommendation of censure, reprimand, suspension of membership or revocation of membership issued following a disciplinary hearing of an ODA Member by the CBPE shall remain confidential pending the notification and review of the findings by the Board of Trustees of the Oklahoma Dental Association. Such review will begin with the transmission of the findings and associated evidentiary documentation to the Board of Trustees immediately upon the expiration of the final appeal deadline for the Member found in violation. After the appeal deadline has expired, the Board of Trustees shall meet either in person or utilizing other media which allow for contemporaneous debate within 15 days of receipt of the notification from CBPE. Three actions may be taken by the Board of Trustees: 1) accept the findings and recommendations of the CBPE by placing the record into the membership file of the dentist and referring the findings to the ADA and NPDB 2) modify the recommendation or 3) reject the recommendation. The decision of the Board of Trustees may be appealed to the ADA CEBJA. If the final disposition of the case is determined on appeal to CEBJA, the Board will place that judgment in the membership file.

The CBPE will follow the ODA Guide for Disciplinary Hearing to ensure fairness and consistency.

The CBPE urges all parties involved in ethics investigations and the hearing process to remember that all individuals are innocent until proven guilty of any charges or complaints filed against them. The final determination of innocence or guilt is entrusted to the hearing panel members who sit in judgment at the hearing and the penalty is determined by the ODA Board of Trustees.

18 journal | March/April 2021

ODA HEARING PROCESS FOR REFERRAL CASES Pursuant to ODA Bylaws Article XII, members who have been found guilty of, or disciplined by the Oklahoma Board of Dentistry, for professional misconduct, or having failed to abide by Mediation Review, or having been convicted of a felony, are directly referred to the CBPE to determine if the matter should be referred to the Board of Trustees. The ODA will request the official record of all proceedings against any ODA member who has been so disciplined by the Board of Dentistry, having failed to abide by Mediation Review, or having been convicted of a felony. A screening panel of three members of the CBPE will thereafter determine whether or not to refer the case to the entire CBPE. Notice shall be provided in accordance with the Bylaws.

The purpose of the hearing is to determine whether there was a violation and what recommendation of penalty, if any, is appropriate. At the hearing, the Checklist of Violation of the Code will be the primary evidence. The member has the opportunity to appear and/or submit information to the CBPE in explanation or mitigation. The member is advised to bring witnesses or other evidence to the CBPE and prepared to answer questions.

Any member judged guilty of charges shall have the right to appeal from a decision by the component to 606 the House of Delegates of the Oklahoma Dental Association and to the House of Delegates of the 607 American Dental Association; provided that any appeal must be filed within thirty (30) days. No decision 608 shall become final when an appeal is pending. The House of this Association shall hear and decide any 609 appeal in the course of the first session following the filing of the appeal else the decision of the 610 component shall be considered to have been confirmed.

Resolved, to amend the Bylaws, Article III, Section 5, Item A: A.The House of Delegates Board of Trustees shall set dues for all membership categories to be considered for ratification by the House of Delegates at its next meeting. Life Members and Honorary members shall be exempt. Dues may be changed by a vote of the House of Delegates by a two/thirds affirmative vote.

Resolved, to amend the Bylaws, Article III, Section 5 by striking Item F and renumbering Item G as F. These amendments were also sent earlier in March via email to the House of Delegates.

Work Faster, Protect Patients: Prescribe Electronically

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.

Advocacy

By: Mackenzie Dean, ODA Programs & Operations Manager The Oklahoma Dental Association is constantly looking out for the best interests of our members through its endorsed partner program, numerous CE events, social and leadership opportunities, and publications and other important communications. This is also evident in our advocacy, not only for dues-paying members, but also for every dentist in Oklahoma. Every year during the legislative session, the ODA is a proponent for dentists in the state; we believe that having a unified voice is important in passing legislation that benefits you, your practice and your patients.

A portion of your ODA dues goes toward our efforts to advocate for and protect dentistry on the local, state and national levels. As a member, you are choosing to stand in solidarity with your peers for the advancement of your profession. With over 1,700 state members and nearly 157,000

ADA members, our voice is strong.

The ODA is proud to uphold dentistry in the state, not only during the legislative session, but also throughout the year.

Through the efforts of our Executive Director, Lynn Means, and our ODA lobbyist, Scott Adkins, we have been able to positively impact the health care community. Just this past year, the ODA joined multiple coalitions with other health care organizations, working to protect their practitioners and patients. In January, we hosted the first-ever virtual Dentist Day at the Capitol event, with a primary goal of informing state legislators why the ODA does not support a managed care Medicaid system. Our Action Team Leaders are also vastly beneficial to the success of the association’s legislative efforts.

They are constantly reaching out to their designated legislators and encouraging them to support or oppose legislation

for the advancement of the profession.

As a member of the Oklahoma Dental Association, you can always be confident that there is an association standing with you and championing for the greater good of Dentistry. It is important to be a part of something bigger than yourself that will benefit the dental profession for years to come. Just know that there is power in numbers and in organized dentistry!

For more information on ways to get more involved with the ODA’s advocacy efforts, please visit okda.org/advocacy/ or contact ODA Executive Director, Lynn Means, at lmeans@okda.org.

Turn to page 34 to read the recap of Virtual Dentist Day at the Capitol and learn how you can get involved!

Meet. Play. Learn.

Oct. 10–13, 2021 With electric events, dynamic speakers, hot-off-the-press content, non-stop inspiration, and a community that’s Ahhhmazing, the ADA is proud to present a reimagined annual meeting that is sure to make you smile.

REGISTRATION OPENS SOON

LEARN MORE AT SMILECON.ORG/EN

20 journal | March/April 2021

ODA MARKETING COACH

Managing Marketing | Legal and Ethical Aspects of Marketing

Online Reviews / Social Media According to the marketing intelligence agency Mintel, 70% of those consumers who seek advice before purchasing a product or service visit online review sites for information as part of the decision-making process.

Many times, service providers or business owners who receive negative ratings say that online ratings sites are unfair and that allowing reviewers to post anonymously encourages them to post without regard for the facts. While that may or may not be true, the reality is that online reviews are a fact of life in today’s online world.

See the articles Online Reviews and Negative Online Reviews in this module for more details about how to manage this aspect of your practice’s online presence.

If your practice is the subject of a negative online review, you may be able to protect its online reputation, or minimize the fallout, by addressing the following steps. More information is available in the article titled

Negative Online Reviews in this module.

• Decide how to handle any negative review on a case-by-case basis. Some dentists opt to simply ignore them.

• If you decide to respond, do not engage or get drawn into an online debate over the incident that prompted the negative review. Doing so can make you appear defensive, confrontational, or accusative and may inadvertently reveal protected healthcare information.

• Make sure that any response presents you as the caring, concerned and compassionate dentist you are. Consider a statement along the lines of:

• Also make certain that any response offers no hint as to the identity of the person posting; always protect the patient’s privacy.

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.

• “I’m sorry to hear that you had a less than exceptional experience at our office. I would like to learn more about what happened and how we can improve the situation.

Please contact us as soon as possible so we can make things better.”

COVID-19 Vaccine Resources NEW PATIENT RESOURCE ON COVID-19 VACCINES: Help educate patients on the importance and safety of COVID-19 vaccinations with this new article from the ADA's MouthHealthy.org. "COVID-19 Vaccines: 7 Things Your Dentist Wants You to Know" shares essential vaccine facts and helps debunk common vaccine myths. Check out the article at MouthHealthy.org/vaccine.

ADA RELEASES TOOLKIT FOR INCREASING VACCINE CONFIDENCE: The ADA has released a toolkit to help dentists increase patients' confidence in COVID-19 vaccines. The downloadable resource includes answers to commonly asked questions, advice for social media interactions and tip sheets for dispelling myths about the vaccines and sharing science-based recommendations for pregnant women or those planning to start a family. An Associated Press poll in February found a third of American adults harbored doubts about COVID-19 vaccines. Find the tool kit at bit.ly/3chdm6n.

The ADA and ODA continue to monitor developments related to COVID-19 vaccine authorization and administration. Visit ADA.org/virus for the latest information. www.okda.org

21

Endodontic Practice Associates Norman, Oklahoma

Dr. Spencer Hinckley and Dr. Percy Bolen

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

W

e pride ourselves in a trusted referral pattern that ensures your patient returns to you holding you in high regard - regardless of the reason for referral. We speak highly of you to your patient and reassure them they are in good hands in your care.

We value communication between you and our office. Give us a call to talk about anything.

We are even happy to help you navigate through a difficult case in your chair.

Phone: 405.329.7936 1.800.238.5215

Fax: 405.329.1722

www.endodonticpracticeassociates.com

22 journal | March/April 2021

virtual

Oklahoma Dental Association

Annual Meeting Exploration to excellence

April 9 & 10, 2021

Register at okda.org/annual-meeting

www.okda.org

23

Annual Meeting April 9 & 10, 2021

An Invitation from the oda president Dr. Paul Mullasseril

Virtual Meeting details What to expect

“It is not the strongest of the species that

Continuing Education From Around the World!

survives, nor the most intelligent. It is the

We are excited to offer TWO days packed with 27 hours of LIVE streaming CE from which you and your team may choose! With a dentist track and a dental team track, you and your team will be able to fulfill your in-person/live CE requirements all in one place.

one that is most adaptable to change.”

Charles Darwin The ODA has been nimble and adaptable to change over the past year and we believe that we are stronger because of it! This year, the Board of Trustees made the tough decision to shift our Annual Meeting to a complete virtual experience. We believe it was the right decision to keep everyone safe and we hope that you, our fellow colleagues, will help us make it as successful as any of our past in-person meetings!

The Annual Meeting Planning Committee and the ODA staff have worked hard to provide a diverse and engaging lineup of speakers that will not only help you and your team fulfill the necessary CE requirements, but help your practice grow and flourish! I would like to personally thank Dr. David Wong, our 2021 Annual Meeting CE chair, for helping us secure these amazing speakers from around the world and to help ensure we are able to still offer the BEST CE experience, despite moving to

REGISTRATION is now open!

Visit okda.org/annual-meeting and click REGISTER NOW, then complete the online registration form. You will immediately receive a confirmation email once submitted. Online registration is open through April 10.

On page 27 of this journal is a mail-in registration form if you would like to mail in a check instead of paying online. Once your registration is processed by the ODA team, you will receive a confirmation email. Mail-in registrations must be postmarked by April 5.

It is VERY important you save your confirmation email. It will contain ALL the details you need for the virtual meeting including your EXCLUSIVE badge number which will provide the necessary information for your CE certificate.

If at any time you have trouble or have questions about the registration process, please contact the ODA team. We are ALWAYS here to help and assist in the process. information@okda.org | 405.510.0320

a virtual meeting.

LIVE Speaker Virtual Experience

We are excited to offer TWO full days of CE for your entire dental

While this is a virtual meeting, ALL courses will feature a LIVE Q&A with the speaker!

team. The ODHA and the ODAA collaborated with us on the dental team track and we know it will not disappoint!

There is a registration form on page 27 if you’d like to mail your

ONLY individuals who attend the live meeting, April 9 &10, will receive credit for attending in-person CE.

registration OR visit okda.org/annual-meeting to register online.

Registrants will have an opportunity to re-watch the sessions.

Join us on the exploration to excellence!

On June 19, 2020 the Oklahoma Board of Dentistry approved Resolution 2020-3 that states the Board will allow up to 70% of required continuing education hours to be completed on-line for the reporting period ending June 30, 2021. Live webinars with the opportunity for Q&A are considered the same as in-person courses.

Accessing your CE Certificate

Paul Mullasseril, DDS ODA President

Thank you to the 2021 ODA Virtual Annual Meeting Premier Sponsor

As you look through the schedule you will notice there are 15 minutes between each speaker. This is to ensure attendees have time to take the CE survey immediately following the course. All courses will be recorded on one certificate and stored within the virtual platform.

Click on the “My CE” arrow in the virtual lobby to access your certificate.

Register at okda.org/annual-meeting @okdentassoc @okdentalassoc

24 journal | March/April 2021

@okLAdentalassoc

Continuing education For the entire dental team

Friday, April 9 Spencer Tillman TX, USA Opening Session: What’s Your Game Plan?

1 CE Hour

8:00 AM - 9:00 AM

Saturday, April 10 Course Sponsored by:

Roger Levin, dds MD, USA 10 Powerful Strategies to Increase Production in the COVID-19 Era 1.5 CE Hours

9:15 AM - 10:45 AM

Course Sponsored by:

Heath Evans, DDS Opioid Use, Abuse and Misuse

OK, USA

Theresa Gonzales, DMD, MS, MSS Ethics of Justification

SC, USA

2 CE Hours

1.5 CE Hours

7:30 AM - 9:30 AM

7:30 AM - 9:00 AM

Alyse Shockey, RDH, CHHP, CSOM MD, USA Tongue Analysis for the Dental Professional

Paresh Shah, DMD, MS Winnipeg, Canada The Importance of Integrated Treatment Planning

Chris Campbell, DMD SC, USA Photography in Dentistry… How much a Picture is Really Worth

Alan Atlas, DMD PA, USA What, How and Why on Adhesion and Posterior Composites

Kevin Henry, MA CO, USA Defy Gravity: Don’t Let the Demons of Dental Assisting Get You down

Brandon James, DDS KS, USA Creating Predictability in Full-Arch Fixed ImplantCourse Sponsored by: Supported Restorations

1.5 CE Hours

1.5 CE Hours

9:15 AM - 10:45 AM

11:00 AM - 12:30 PM

Sponsored by the Oklahoma dental Assistants association

1.5 CE Hours

11:00 AM - 12:30 PM

Vinay Bhide, dds, ms c , frcd Ontario, Canada Is there a role for probiotics in oral health?

1 CE Hour

12:45 PM - 1:45 PM

Joana Breckner CA , USA A Routine dental visit saved my life 1 CE Hour

12:45 PM - 1:45 PM

Dean Licenblat, BD ent , MS C Sydney, Australia Current Concepts in Biomaterials and Socket Grafting

1 CE Hour

2:00 PM - 3:00 PM

Julie Nabors, RDH, Me d OK, USA Infection Prevention: A Practical Look at the CDC Guidelines

1 CE Hour

1.5 CE Hours

1 CE Hour

9:15 AM - 10:15 AM

10:30 AM - 12:00 PM

Course Sponsored by:

12:15 PM - 1:15 PM

Stephanie Tran, DDS NY, USA Restoratively-driven endodontics 1 CE Hour

1:30 PM - 2:30 PM

Troy Schmedding, DDS CA, USA Select, Treat and Bond Modern Ceramic Restorations 1 CE Hour

2:45 PM - 3:45 PM

Alan Atlas, DMD Impress with Success!

1.5 CE Hours

PA, USA

Course Sponsored by:

Course Sponsored by:

4:00 PM - 5:30 PM

Jim Kessler, DDS OK, USA Preparation designs and laboratory communications 1.5 CE Hours

4:00 PM - 5:30 PM

Course Sponsored by:

Sponsored by the Oklahoma dental Assistants association

2 CE Hours

2:00 PM - 4:00 PM

Nada Albatish, DDS, FAGD Ontario, Canada Restoring the Worn Dentition: From Treatment Planning to Execution 1.5 CE Hours

3:15 PM - 4:45 PM

Preview of the Virtual Annual Meeting Lobby

Roger Levin, dds MD, USA 5-Star Customer Service – How To WOW Every Patient Every Time 2 CE Hours

3:15 PM - 5:15 PM

Course information is subject to change.

www.okda.org

25

Registration Form ODA Virtual Annual Meeting 2021

April 9 & 10

Register online Open through April 10 www.okda.org/annual-meeting

I. Registration Information

Register by mail Must be Postmarked by april 5 Mail completed form with payment to: Oklahoma Dental Association attn: Membership 317 NE 13th Street Oklahoma City, Oklahoma 73104

First Name:_________________________________________________

Last Name:_________________________________________________ ADA Number (if applicable):___________________________________ Address: ___________________________________________________ City: _____________________________________

State: __________

Zip: __________________________ Phone:_____________________ Email Address: ______________________________________________

ONLY ONE REGISTRANT PER REGISTRATION FORM Please copy this form for additional registrations.

To register by mail, payment must be received in full and payment may only be made by check.

II. Registration Fees ODA/ADA Member

$198

_________

Non ODA/ADA Member

$378

_________

Retired ODA/ADA Member

$40

_________

The presentations of the clinicians in no way imply endorsement of any product, technique, or service presented during the courses. The Oklahoma Dental Association specifically disclaims responsibility for any material presented.

Registered Dental Hygienist

$98

_________

Dental Assistant /Office Staff

$68

_________

Become an ODA/ADA Member to take advantage of member-only discounts on the Annual Meeting and other CE opportunities throughout the year. Contact the Oklahoma Dental Association office at 405.510.0320.

ODA Retired State Life Member

$0

_________

Student (DDS, RDH, DA)

$0

_________

To edit your registration, please contact the ODA at 405-510-0320. To cancel your registration, the ODA will refund your registration fee, less a $30 administration fee, if a written request is delivered to the Executive Director or postmarked no later than March 31, 2021. There will be no exceptions.

CO RD

If you are a member dentist of the Central, Eastern, Northern, Northwest, or Southwest Component, then this virtual meeting is for you! This is your opportunity to voice your opinion and discuss issues that will be presented to the ODA House of Delegates that same day.

Coalition of Rural Dentists

26 journal | March/April 2021

Register Now! by visiting: bit.ly/CORDMeeting

Thursday, April 8 12-1 via Zoom

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www.okda.org

27

dental health professionals and the

COVID-19 VACCINE

Across Oklahoma, dentists and their teams have had the opportunity to receive the COVID-19 vaccination. These professionals chose to receive the vaccine to protect themselves, loved ones, their patients and communities.

Through timely communication from the Oklahoma Dental Association, the efforts of the Oklahoma State Department of Health, individual county health departments, and organizations such as Delta Dental of Oklahoma, hundreds of thousands of Oklahomans have received the vaccine so far.

Additionally, dentists have chosen to enroll as vaccine providers to help spread the distribution across Oklahoma. Communities recognize their dental offices as convenient and safe sources for protection against COVID-19.

Dr. Daniel Klemmedson, ADA President, receiving the COVID-19 vaccination

28 journal | March/April 2021

Dr. Paul Mullasseril, ODA President, after receiving the COVID-19 vaccine

THESE ODA MEMBERS ARE PROUDLY VACCINATED. TAG US!

www.okda.org

29

LEGISLATIVE LOOP Legislative Overview & Political Update

The ODA continues to fight the Governor’s executive order to move the state’s Medicaid program to managed care. As part of that effort, the following letter was sent to every state Senator and Representative. Please help by contacting your Legislators and sharing any of the following arguments: On behalf of the over 1,600 member dentists of the Oklahoma Dental Association, I am writing to urge you to please stop managed care Medicaid in Oklahoma. If this change to our Medicaid system comes to fruition, it will be a HUGE mistake with regards to our state budget, and more importantly, the health of our patients.

Under Oklahoma’s previous experience with managed care, 90% of Oklahoma’s dentist providers quit the program for many reasons, resulting in less than 100 total Medicaid providers in the entire state. This obviously had a catastrophic effect on access to essential health care for our underserved children. Caregivers were having to drive their children across several counties, and in many cases several hours, just to get their children’s basic oral health care needs met.

The Oklahoma Health Care Authority currently operates at a less than 5% administrative overhead. Dental MCOs in other states operate at an average of 15% overhead. One way MCOs save the state money while spending THREE TIMES more is by is routinely denying claims and denying approval for procedures – placing the for‐profit insurance company squarely between the doctor and his/her patient. Doctors will not continue to work within a system where we are not allowed to provide the health care we know our patients need. The MCOs will make empty promises about “managing healthcare to improve health outcomes”, but how can that possibly be true when they routinely, as a business practice, deny the health care doctors have determined their patients need?

Another way MCOs operate in an effort to save the state money is by methodically reducing provider reimbursements. MCO reimbursement rates nationwide are less than the actual costs of providing the care. MCOs will make promises about keeping the reimbursements at current levels, but in every other state, it has been a bait and switch. Current levels will be observed for one‐two years and then they will start slashing rates every year.

The Governor wants to make this change to improve Oklahoma’s health, but how can sending our tax dollars to an out‐of‐state, private insurance company that operates with significantly higher administrative costs, save money while maintaining the same level of care and same number of doctors who provide that care? The math simply does not add up. And the question you should really be asking is how can a private insurance company have any effect or bearing on a person’s health? Insurance companies cannot make guarantees about health outcomes when they have absolutely no control over the most common health determinants, such as obesity, smoking, poverty, eating habits, activity level, etc.

And why would anyone want to make such a monumental change to a system 1) in the middle of a global pandemic and 2) that is wholly unsupported by ALL contracted health care providers? History will repeat itself and our state’s most vulnerable population will suffer – while these big insurance companies profit – by compromising the health of our patients.

We respectfully ask again, please assert your legislative authority and stop managed care Medicaid

We respectfully ask again, please assert your legislative authority and stop managed care Medicaid before this costly mistake is made. before this costly mistake is made.

Thank you for your consideration, and should the ODA ever be of any assistance to you, please do not hesitate to reach out to any of us Thank you for your consideration, and should the ODA ever be of any assistance to you, please do not listed below. We want to serve as a resource to you and are happy to help in any way.

hesitate to reach out to any of us listed below. We want to serve as a resource to you and are happy to help in any way.

Sincerely,

Paul Mullasseril, DDS President, Oklahoma Dental Association 509‐688‐3295 cell paul‐mullasseril@ouhsc.edu

F. Lynn Means, Executive Director

Scott Adkins, Contract Lobbyist 405‐301‐4073 cell lmeans@okda.org 918‐633‐2044 cell scottadkins.ok@gmail.com

30 journal | March/April 2021

2020 Federal Legislative and Regulatory Accomplishments SBA Loans and Tax Benefits • Secured passage of a Small Business Administration (SBA) Paycheck Protection Program (PPP) loan program that was funded at $349 billion.

• Secured the creation of an Economic Injury Disaster Loan (EIDL) advance which provides grants of up to $10,000 for those that apply for the EIDL program.

• Obtained flexibility for pre-existing SBA loans to be used for mortgages, salaries, rent, debt, and other overhead expenses, regardless of any prior restrictions on the use of those funds.

• Successfully lobbied for ensuring SBA loan forgiveness will be tax free if loans were used on operating and payroll expenses.

• Clarified SBA guidance allowing dentists to apply for both EIDL and PPP loans, thus providing them with two potential sources of emergency funds.

• Advocated for additional funding for EIDL and PPP loans, and helped secure an additional $674 billion for these programs.

• Eliminated the requirement that PPP loan forgiveness would be reduced by the amount of a business’s EIDL grant.

Supported reimbursing EIDL grant amounts for those who have already filed for and received PPP forgiveness.

• Advocated for and helped achieve: • Streamlining forgiveness process for PPP loans.

• Making Personal Protective Equipment (PPE) and office retrofitting for mitigating COVID-19 transmission allowable operating expenses for PPP loans.

• Enabling 501(c)(6) organizations to apply for PPP loans.

• Assuring expenses paid for with PPP loans are eligible for tax deductibility.

• Securing a second round of PPP loans for small businesses, including dental practices.

• Allowing the Employee Retention Tax Credit to be utilized even if business received a PPP loan and increased the wage cap and percentage of eligible wages for that credit.

Personal Protective Equipment • Developed information and guidance to help state executives locate PPE donations and Emergency Department (ED) Referral programs.

• Obtained a commitment from the Federal Emergency Management Agency (FEMA) to allow dentists to receive 4.5 million KN95 masks and 1.8 million gowns.

Clinical Guidance / Return to Work • Obtained Centers for Disease Control and Prevention (CDC) guidance for protecting dental patients and staff from COVID-19 during emergency and urgent care situations.

• Obtained CDC guidance for safely reopening dental practices for non-emergency care during the deceleration phase of COVID-19.

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31

Provider Relief Funding • Secured from the Department of Health and Human Services (HHS) the release of Provider Relief Funds (PRF) to all dentists beyond those affiliated with public programs.

• Ensured that HHS distributed funding to new dentists, dentists who had a recent change in ownership, dentists who filled out their applications incorrectly, and dentists who see Medicare patients.

• Successfully advocated for HHS to open a new phase of PRF with more funds to help dentists.

Paid Sick and Family and Medical Leave • Secured a small business exemption from the Department of Labor (DOL) to the paid leave and Family and Medical Leave Act (FMLA) provisions of the CARES Act. • Assisted in obtaining a tax credit for dentists who are providing COVID-19 related leave to their employees.

OTC Drugs • Secured passage of legislation reforming the FDA’s 40-year-old system for regulating over-the-counter (OTC) drugs, which could provide alternatives to opioids for managing post-operative pain.

• Successfully lobbied for consumers to be able to purchase OTC drugs with Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs).

Vaccine Access • Secured a National Academies of Sciences, Engineering, and Medicine (NASEM) recommendation for dentists and their teams to be in the top tier (Phase 1a) of essential workers who should be offered immediate access to a COVID-19 vaccine.

• Secured a CDC recommendation for dentists, dental teams and dental students to be in the top tier (Phase 1a) of essential workers who should be offered immediate access to a COVID-19 vaccine.

Appropriations • Secured an additional $15 million for Fiscal Year 2021, in collaboration with our dental partners, for federal dental programs increasing our overall funding portfolio to $900+ million in support of programs across various agencies to address oral health access & prevention, direct dental care, workforce recruitment & development, Indian health and dental research.

• Supported the mandatory funding extension for Community Health Centers, Teaching Health Centers and the National Health Service Corps through Fiscal Year 2023.

Federal Dental Services • Through Presidential Executive Order (Increasing Economic and Geographic Mobility), reduced the burden of occupational regulations in order to promote the free practice of commerce, lower consumer costs, and increase economic and geographic mobility. In particular, the Order supports relocated military spouses in pursuit of new licenses, to include dental licenses, when they move to a new jurisdiction.

• Adopted new policy aligning with the Department of Veterans Affairs (VA)’s pilot program for veterans not eligible for dental care through the VA. • Supported the VA’s current practice of allowing VA health care professionals to deliver health care services in a state other than the professional’s state of licensure, registration, certification, or other state requirement. The ADA fully endorsed this “Fourth Mission” and supported dentists moving across state borders to meet VA mission requirements and provide essential oral health services to veterans.

• Secured passage of legislation creating a United States Public Health Service (USPHS) Ready Reserve Corps to backfill vacancies when active duty USPHS officers are called to respond to public health or national emergencies.

32 journal | March/April 2021

• Successfully advocated for an amendment of Section 1557 of the Affordable Care Act to no longer require health care providers to include taglines on notices in 15 different languages. It is estimated that Section 1557 cost dentistry over $240 million.

• Tobacco/Vaping Received the support of over 300 bipartisan cosponsors (a supermajority) and 40 bipartisan Senate cosponsors for the •Ensuring LobbiedLasting the FDA to proceed with its rulewould characterizing as an added flavor inhealth tobacco products as medically harmful Smiles Act (ELSA).

ELSA require allmenthol private group and individual plans to cover to public services health. resulting from a congenital anomaly or birth defect. These services would include inpatient and necessary carelobbied and reconstructive services and Sales procedures, as well asto adjunctive dental, orthodontic, or prosthodontic •outpatient Successfully for the Preventing Online of E-Cigarettes Children Act, which passed Congress and became support.

The House Energy and Commerce Committee favorably reported the bill out of Committee on September law. This act will prevent e-cigarettes from being sold online to minors, by making online sales subject to the same9. safeguards person to sales are subject • The ADA has that beeninworking prevent dentalto. insurers from dictating fees a participating dentist may charge for noncovered services.

In the last few sessions of Congress, legislation has been introduced in the House, but never before has Additional Efforts non-covered services bill been introduced in the Senate.

Theinto ADAlaw worked with 10 Senators •a dental Successfully achieved passage of McCarran-Ferguson reform afterclosely more than years Joe Manchin (D-WV) and Kevin (R-ND) to establish compromise language for a federal non-covered services bill (the DOC of working with Cramer Congress.

Access Act), which was introduced on November 12, 2020.

• Obtained a commitment from the Environmental Protection Agency (EPA) to be flexible in enforcing its amalgam • The Nationalcompliance Conferencedeadline. of Insurance Legislators (NCOIL) adopted the Dental Care Bill of Rights Model Act which separator includes provisions on: 1) provider network leasing; 2) prior authorization; and, 3) virtual credit cards that will help state •dental Worked to relieve dentists paying federal student loans for 6 months, without accumulating interest. societies pursue thesefrom issues in their states.

• Successfully advocated for an amendment of Section 1557 of the Affordable Care Act to no longer require health care providers to include taglines on notices in 15 different languages. It is estimated that Section 1557 cost dentistry over Follow all of the ADA’s advocacy efforts at ADA.org/advocacy. $240 million.

• Received the support of over 300 bipartisan cosponsors (a supermajority) and 40 bipartisan Senate cosponsors for the Ensuring Lasting Smiles Act (ELSA). ELSA would require all private group and individual health plans to cover medically necessary services resulting from a congenital anomaly or birth defect. These services would include inpatient and outpatient care and reconstructive services and procedures, as well as adjunctive dental, orthodontic, or prosthodontic support. The House Energy and Commerce Committee favorably reported the bill out of Committee on September 9.

• The ADA has been working to prevent dental insurers from dictating fees a participating dentist may charge for noncovered services. In the last few sessions of Congress, legislation has been introduced in the House, but never before has a dental non-covered services bill been introduced in the Senate. The ADA worked closely with Senators Joe Manchin (D-WV) and Kevin Cramer (R-ND) to establish compromise language for a federal non-covered services bill (the DOC Access Act), which was introduced on November 12, 2020.

• The National Conference of Insurance Legislators (NCOIL) adopted the Dental Care Bill of Rights Model Act which includes provisions on: 1) provider network leasing; 2) prior authorization; and, 3) virtual credit cards that will help state dental societies pursue these issues in their states.

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

DENPAC Board Member, Dr. Tamara Berg, recently met with Rep. Jay Steagall at her office in Yukon and shared the ODA’s legislative agenda and a campaign contribution.

www.okda.org

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Virtual Dentist Day at the Capitol By: Makenzie Dean, ODA Programs & Operations Manager

Dentist Day at the Capitol is normally an evening where state legislators and ODA members come together to discuss policies that are important to Oklahoma dentists.

But this year looked different: much like many of the events in the past year, we had to meet via Zoom. While the setting changed the mission remained the same.

The ODA provided a forum for legislators to have conversations with ODA members in a face-to-face setting. Legislators heard stories and statistics from dentists and had the opportunity to ask questions and gain even more clarity on the subject that matters most this year: the possibility of a Medicaid managed care system. This year’s event took place virtually on two consecutive nights: Monday-Tuesday, January 25-26.

On Monday, we heard stories from Drs. Robie Herman and Twana Duncan who are both Medicaid providers. Their practices and their patients would be greatly harmed if the state were to switch to a Medicaid managed care system.

Herman said that “managed care is bad business for Oklahoma” and shared some statistics proving that switching to such a system would not actually save the state money. Currently, the Oklahoma Health Care Authority operates their SoonerCare program at an administrative cost of five

percent or less. Other states that have a managed care system operate at an average of 15 percent overhead. Duncan, a rural dentist in Antlers, shared that 75 percent of her patients are Medicaid children and stated that “under managed care, far less dentists will accept Medicaid and these patients will be left without options.”

Tuesday night was spent listening to Drs. Brian Molloy and Doug Auld. Molloy, a pediatric dentist with a practice in south Oklahoma City, spoke about his personal experiences as both a pediatric dentist and former foster parent. He believes that the switch to a managed Medicaid system “will only make it harder for our most vulnerable children to receive the necessary dental care.” Auld, a general dentist from McAlester, agreed that children in the state would suffer, adding that “The current system may have flaws, but it needs to be improved upon from within, not taken over by out-of-state companies that profit while limiting necessary treatment for children in the SoonerCare system.”

Both nights of our virtual event were extremely successful with a total of 68 ODA members, 28 Representatives, 13 Senators and nine additional staff joining the calls. Each night ended with questions from the Legislators that ODA members

had an opportunity to answer. Overall, this year’s event was rewarding to both members and Legislators. We look forward to seeing you next year at Dentist Day at the Capitol 2022!

Contact Lynn Means, ODA Executive Director, at lmeans@okda.org or 405.848.8873 if you have questions about this important topic.

To help the ODA convince our lawmakers that managed care Medicaid is not what Oklahoma needs, please take time to connect with your State Representative and Senator. Many of our lawmakers are very active on Twitter and other social media platforms which is a great way to connect with them directly. Additionally, a personal phone call or letter to them shows that their constiutents are against this issue.

Visit okda.org/members-only/advocacy for a complete list of Oklahoma Legislator social media accounts and contact information.

34 journal | March/April 2021

K

WE DON’T FUNDRAISE. WE FRIENDRAISE! THANK YOU TO THESE 2021 DENPAC CAPITOL CLUB MEMBERS!

CAPITOL CLUB Dr. Douglas Auld Dr. Justin Beasley Dr. Brandon Beaver Dr. Tamara Berg Dr. Elizabeth Bohanon Dr. Matthew Bridges Dr. Todd Bridges Dr. Steven Brown Dr. Bonnie Burton Dr. Jamie Cameron Dr. Tricia Cannon Dr. Wuse Cara Dr. Bobby Carmen Dr. Cory Chambers Dr. Jennifer Chambers

Dr. Adam Cohlmia Dr. Matthew Cohlmia Dr. Jeffrey Danner Dr. Russell Danner Dr. Susan Davis Dr. David Deason Dr. Steven Deaton Dr. Thai-An Doan Dr. Brian Drew Dr. Heath Evans Dr. Tim Fagan Dr. Barry Farmer Dr. Leslie Hardy Dr. Aaron Harman Dr. Richard Haught

Dr. Robert Herman Dr. Jeffrey Hermen Dr. Marilyn Hiebert Dr. James Hooper Dr. Brad Hoopes Dr. Donald Johnson Dr. Eugenia Johnson Dr. Krista Jones Dr. Michael Kirk Dr. Mitchell Kramer Dr. Shannon Lewis Dr. Gary Lott Dr. David Marks Dr. S. Ross Martin Dr. Mark Massaro

Dr. Alan Mauldin Dr. Stephen Mayer Dr. Janna McIntosh Dr. Robert Miracle Dr. Mohsen Moosavi Dr. Paul Mullasseril Dr. Erin Roberts-Svob Dr. Brant Rouse Dr. Miranda Ruleford Dr. Robert Schick Dr. Paul Shadid Dr. Floyd Simon Dr. Jaymi Simpson-Wert Dr. Brooke Snowden

Dr. James Steyer Dr. Braden Stoltenberg Dr. Steven Strange Dr. Jamie Talley Dr. Jim Taylor Dr. John Thomas Dr. Kara Tims Dr. Corbyn Van Brunt Dr. Jonah Vandiver Dr. Nathan Villines Dr. Robert Webb Dr. Daniel Wilguess 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 2021 DENPAC GRAND ($1,000) LEVEL MEMBERS!

Dr. Doug Auld Dr. Ed Braly Dr. Matthew Cohlmia Dr. Raymond Cohlmia

Dr. Susan Davis Dr. Chris Fagan Dr. Mike Gliddon Dr. Ed Harroz, III

Dr. Richard Haught Dr. Robert Lamb Dr. Juan Lopez Dr. Paul Mullasseril

Dr. Lindsay Smith Dr. Steve Sullivan Dr. Dan Wilguess Dr. Paul Wood www.okda.org

35

ODA MEMBER SPOTLIGHT

NICOLE NELLIS, DDS

Tulsa, OK

By: Madison Bolton, ODA Membership Manager

After being inspired by her childhood dentist (also her father’s high school best friend) Nicole Nellis knew she wanted to be a dentist and nothing else at a very young age. She recalled, “When I was in second grade, I wrote in one of my journals (which I still have) that I wanted to be a dentist. By the time I was in fourth or fifth grade, I was literally obsessed with anything and everything related to dentistry. I dressed as a dentist every year for Halloween and I built a dental office for my Barbie dolls in my bedroom. I started shadowing on school breaks when I was in sixth grade and I had my first job in a dental office at age 15.

She still has the Barbie doll dentist office she built back in grade school. This project was brought to real life recently when she opened a brand-new location in Tulsa. Nellis admits, “It was a challenge working with some contractors, but the experience has made me a stronger person.”

Her future plans are to start a family with her high school sweetheart and husband of three years, Stephen. For now, though, she is living the dream and being an excellent role model for women in dentistry.

After completing her undergraduate studies at the University of Oklahoma, Nellis received a scholarship from The University of Texas Health Science Center at San Antonio to attend its School of Dentistry. She says, however, “Although my diploma is from Texas, I’m a die-hard OU Sooner fan!”.

After her graduation from dental school in 2014, Nellis returned to Oklahoma and completed the Advanced Education in General Dentistry (AEGD) Residency at the OU College of Dentistry, where she met “some amazing role models” that included Drs. Rieger Wood, Shannon Griffin, and Paul Mullasseril. She was not only inspired by their clinical knowledge, but also their leadership roles in the ODA. Nellis learned at an early age how important it was to become a member of organized dentistry and knew that she would be an ODA member one day. She said, “When I was in high school, I would print off issues of the ODA Journal from the website and read them.

All the wonderful people leading the dentists in our state fascinated me. While in dental school, one of my professors stressed that the single most important thing we can do once we graduate is to be members of organized dentistry. I never thought twice about signing up for ODA membership the moment I could.”

Since joining the ODA, Nellis has definitely been very involved! She is currently serving as President of the Tulsa County Dental Society, Chair of the Council on Membership and Membership Services, and was appointed by ODA President Dr. Paul Mullasseril to chair the 2021 ODA Annual Meeting Planning Committee.

When she isn’t busy with her many roles in organized dentistry, Nellis finds time for her hobbies, which include being a Lilly Pulitzer clothing enthusiast and collecting Barbie dolls!

36 journal | March/April 2021

DR.NICOLE NELLIS BARBIE DENTAL OFFICE est. 1 999

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ODA FEATURE

CASE REPORT:

COMPLEX RESTORATIVE DENTISTRY By: Joe F. Maltsberger, DDS

Complex restorative dentistry requires a detailed approach to every step of treatment.

Appropriate data must be gathered to facilitate a proper diagnosis and critically evaluate different treatment approaches.

Discussions with the patient (and spouse if possible) along with photos and models of previous similar cases will allow the patient to choose the treatment they want, and will also facilitate development of a written financial arrangement. Once treatment has been determined the dentist can work out a detailed sequence of treatment and an appointment schedule based on the patient’s needs and preferences. Complex restorative treatment is within the reach of many dentists, but it requires a commitment to detail, extra training, finding and working with an exceptional lab, and a desire to do what is best for the patient. Your professional fulfillment and enjoyment is virtually guaranteed as you see beautiful and long-lasting results and, most importantly, a happy and satisfied patient.

A thorough accumulation and review of all relevant data is critical to the success of any complex case. This process involves consideration of the following areas: • Registration/Insurance Issues • Medical History - A detailed history, including a thorough patient interview and calls to medical providers as necessary to gain knowledge of any medical conditions that could be pertinent to the treatment.

• FMX – A 20-film full mouth series to fully examine root tips, interproximal areas, and the bone levels of every tooth. In cases where gagging or tori are problems, a panoramic x-ray may be needed as well.

38 journal | March/April 2021

• Periodontal Probing – Probing/ documenting six measurements around each tooth, and recording any areas of bleeding, recession or mobility.

• Hard and soft tissue evaluation - This includes a cancer evaluation of the head and neck, as well as carefully documenting all caries or tooth anomalies.

• TMJ Evaluation/Occlusal Evaluation using Mounted Models – Mounting accurate upper and lower arch models on a semi-adjustable articulator with facebow transfer and a centric relation bite using the Lucia Jig. • Intraoral/Extraoral Photographs A minimum of eight photographs is recommended.

• Patient interview – The interview outlines the patient’s objectives and goals, allows for a consideration of treatment alternatives and budgetary matters, and may reveal other hot button issues pertinent to treatment recommendations.

CASE REPORT A 50-year-old female presented to my office with no evident medical issues or current medication history. The following is a brief summary of examination findings: FMX revealed multiple restorations, but no evident decay. Bone levels appeared within normal limits, but there were areas of severe wear, most notably in teeth #21-28. Periodontal probing found no pockets exceeding 4mm; there was minimal bleeding with probing and no mobility or other periodontal concerns. Hard tissue examination revealed no caries, but an upper right bridge was broken in the pontic area (#4) and the wear noted on the radiographs

was corroborated intraorally. This was a red flag that she was grinding her teeth at night (and possibly during the day); along with associated muscle problems this could affect any new restorations. TMJ evaluation produced reciprocal clicks in both joints. The muscles were very tense, and it was difficult to manipulate her jaw into centric relation. There was muscle sensitivity upon palpation of the left and right anterior temporalis and masseter muscles; the patient reported headaches in these areas 2-3 times per week. There was no deviation upon opening. Her mounted and articulated models showed a discrepancy between centric occlusion and centric relation. She had a mutually protected occlusion with canine lift on both sides, a 7mm overbite, and a 3mm overjet. Extraoral photographs showed prominent spacing between her upper central incisors, a high lip line, and color variations in her teeth due to tetracycline staining, poorly matching restorations and failing composites. (Figs 1-3) Her concerns about the gap between her upper centrals and the color variance in her upper teeth were reinforced during our interview. In addition, she wanted her teeth to be lighter. I explained that to get the results she desired would require multiple crowns in the upper arch, placed in correct position when finished, so that the final result would be fully functional as well as esthetic. I informed her that she might need to wear an appliance at night for the rest of her life; she would also need to commit to an aggressive preventative plan with consistent daily care at home and regular visits to our office for cleaning and check-ups.

TREATMENT PLAN Based on these findings the following comprised the elements of my

retentive as PFM (porcelain-fused-tometal) crowns. I reduced only the amount needed for an E-Max crown. If I had any concerns that there would not be enough tooth structure for long-term retention, I would prep the upper model in the lab to evaluate retention. proposed plan of treatment: • Prophylaxis and thorough instruction/ training on proper oral care at home • Anterior Bite Splint (ABS) • Major Equilibration • Diagnostic Wax-up- 11 units • Eight lithium disilicate crowns (E-Max) layered with feldspathic porcelain • One three-unit zirconia bridge layered with feldspathic porcelain • Aggressive 6-month preventative program ANTERIOR BITE SPLINT/MAJOR EQUILIBRATION I made slight adjustments to the bite to correct the CO/ CR discrepancy and lateral interferences.

Once the equilibration was completed, we constructed an ABS. The patient’s masseter muscles were so tense it was difficult to manipulate her mandible into CR. If the mandible is not in CR then the bite registration will be inaccurate, which would make the diagnostic wax-up inaccurate creating a serious foundational issue. The ABS worn nightly will force the muscles of mastication to relax at night; the equilibration will help them to relax during the day. After two weeks of ABS therapy, I took a new CR bite and checked it for accuracy.

DIAGNOSTIC WAX-UPS FOR CROWNS The ideal plan was to crown the upper arch, first molar to first molar. We would wax up the centrals in an ideal esthetic position, and then work out the occlusion to be functional and stable. This approach will address the coloration issue and would also simplify the case by using the patient’s second molars to maintain VDO while prepping the other teeth. The diagnostic wax-up was critical to verify the details of upper arch reconstruction and determine if this was possible without opening the VDO. PREPARATION/TEMPORIZATION Since this was an all-porcelain esthetic case, proper reduction was critical for strength and beauty. Retention form is also critical because full-porcelain crowns are not as

All preparations were completed in one sitting, carefully stopping at the tissue level with no cords in place. A two-cord technique was used to acquire accurate final impressions. An intra-oral stent was used to check for proper reduction and to fabricate all 11 temporaries. The centric relation interocclusal record was taken. Proper trimming of the temporaries with proper emergence profile, room for tissue in between the preps, and excellent marginal fit, combined with a high polish allowed for healthy non-bleeding tissue around each individual tooth when the final crowns were seated. New photos of the finished temporaries were sent to the lab.

FINAL SEATING/ X-RAY EVALUATION At the seating appointment each crown was tried in and the margins and occlusion checked. I never seat a crown until the margin is nearly non-detectable. I cemented the E-Max crowns and zirconia bridge with Multilink (Ivoclar). After final seating, an FMX of the upper arch was taken to check that all margins were properly sealed properly with no cement left under the tissue. A new ABS was fabricated and the patient was instructed to wear this appliance every night.

DISCUSSION Had we needed to change the VDO this case would have been much more difficult.

The second molars were critical guides into Centric Relation at the proper VDO. Also, because of the prior work to relax the muscles of mastication our inter-occlusal records for the lab were accurate and easy.

Because the diagnostic wax-up was accurate both esthetically and functionally, the crowns functioned very nearly as the lab and I had anticipated, and the patient was pleased with the appearance.

The Anterior Bite Splint (ABS) is a great appliance for allowing the muscles of mastication to rest at night. Fitting on the upper six anterior teeth, it is only in occlusion with the four lower incisors, forcing the condyle to be seated firmly in the socket on both sides and ensuring that the patient is in Centric Relation. Two important points to consider when using this appliance: 1. The patient can wear it no longer than eight hours in a 24-hour period. If worn longer, there is a risk of hyper-eruption

of the posterior teeth causing some profoundly serious problems. You must explain this carefully to the patient, and you must have a signed informed consent that is VERY clear about the problems this appliance can cause.

2. If the patient has an intra-capsular TMJ problem this appliance will make their joint hurt. They must immediately stop wearing it; a different approach would be needed for such patients.

FOLLOW-UP AND OUTCOME Since late 2014 when the restorations were seated there have been minimal problems.

The crown on #10 came off once due to an occlusal interference; since its adjustment there have been no recurring problems.

A few other occlusal adjustments were needed to make the patient completely comfortable. This case is now over six years old and the patient is quite pleased with all aspects of the treatment. The change in her appearance has been dramatic. (The post-op photos were taken four years after seating crowns.) She is involved in an aggressive biannual preventative program with our dental hygienist Lashel Thulin, RDH. She is meticulous with daily home care and diligently wears her ABS every night.

In this case our objectives were fully met: A happy and comfortable patient, positive professional fulfilment, a wonderful posttreatment relationship between the patient and our dental team, and an excellent longterm prognosis.

(Grateful acknowledgement is extended to Functional Esthetics [Kyle Swan, CDT], Lewisville, Texas for the excellent laboratory work they provided on this case.)

ABOUT THE AUTHOR: Dr. Joe Maltsberger is a 1981 graduate (with honors) from the University of Oklahoma College of Dentistry. Born and raised in Pawnee, OK, his dental practice (Innovative Family Dentistry) is located in Oolagah, his home for over 35 years, where he is also involved in numerous community and charitable activities. Maltsberger loves the artistry and detail of dentistry, and says, “providing lifechanging treatment is the most exciting part of my job.” He enjoys travelling, back packing, and some occasional golf, but mostly spending time with Terri Jo, his wife of 40 years. The Maltsbergers have four children and 11 grandchildren.

www.okda.org

39

OKLAHOMA COVID-19 RESPONSE: FOCUS ON VACCINES By: Jana Winfree, DDS Remember March 2020? The first reported COVID-19 case in Oklahoma was on March 7. On March 11, the basketball game in OKC between the Thunder and the Jazz was cancelled resulting in the shutdown of the NBA season. Then came Spring Break.

Students were excited, parents confused – What do you mean a two-week Spring Break?!? Public testing began in March, and the first reported death to COVID-19 occurred on March 19. By the end of the month, there were 565 confirmed COVID-19 cases and 23 deaths in Oklahoma. To our dismay, this was the beginning of an unfathomable health crisis that changed the way we exist in the world.

Thanks to PH experts, messages for prevention of COVID-19 are universal.

Since COVID-19 is a novel coronavirus, when it arrived there were unknowns about transmission, susceptibility, progression and treatment. Much has been learned. As the one-year anniversary approaches, we continue to mask, wash our hands and social distance. Dentists sought guidance on how to serve their patients during a pandemic. Using reputable sources, the Board of Dentistry and the ODA compiled verifiable guidance to safely practice dentistry while mitigating the risk of infection to staff and patients.

As expected, guidance is adapted with practical experience gained as the pandemic progresses.

Thanks to science, vaccines for COVID-19 are available for mass use. In Oklahoma, the first COVID-19 vaccine was administered on December 14, 2020 to an RN who works in the emergency room at the Integris Baptist Medical Center. During the two months following, 681,466 total vaccine doses were administered (477,397 prime doses and 204,069 boost doses) according to the Oklahoma weekly epidemiological report dated February 18.

COVID-19 vaccines available in Oklahoma.

There are two vaccines with Emergency Authorization Use (EAU) in the US – Pfizer and Moderna. Johnson & Johnson may achieve EAU by the end of February 2021.

The Adenoviral vector vaccines are cheaper and easier to store – their approval will be 40 journal | March/April 2021

welcome in the vaccine effort. There are many other drug companies developing vaccines. The following chart was created with information found online. This information is subject to change as clinical knowledge expands. For example, Pfizer is seeking ways to eliminate the ultra-cold storage requirements, allowing for greater accessibility to the vaccine. Age requirements may change as trials are completed on adolescents and teens.

COVID-19 vaccine eligibility. By now, most are familiar with the four phases for the vaccine rollout. An overlapping approach is used, meaning anyone who is eligible remains eligible in subsequent phases. A clear timeline is difficult to predict. However, when Phase four arrives, everyone that wants a vaccination will have an opportunity to get it.

Phase one included nursing home residents and emergency healthcare workers. Phase two (which we are currently in) includes those over age 65 and healthcare workers providing direct care services (such as dental professionals) – these two subgroups are receiving vaccine. Starting February 22, those with co-morbidities, and teachers/ staff (grades pre-K – 12) will be eligible. The goal is to have PODs (Points of Dispensing) for pre-K – 12 teachers and staff completed before Spring Break. Phase three will include teachers and students outside of pre-K – 12 (such as colleges/vocational technology

schools) and essential business/industry workers. Phase four is for everyone.

Neither of the currently approved vaccines can be re-frozen. No vaccine should go to waste, which is why occasionally vaccines are given to those in close proximity, regardless of which phase they are in. These deviations happen when there are extra doses; vaccinating a person is vastly preferable to throwing a dose away. Keep in mind, every dose injected protects the community.

I worked a boost POD on February 19 in Grady County for people over age 65. My duties included preparing needle draws, administering shots, and monitoring post-injections. I’m not sure how many shots were given, but it was more than 800. Several people showed up without an appointment hoping to receive their second vaccination (some because they had missed an appointment during the winter weather event).

A handful were successful, but others were out of luck because the vaccine supply was depleted. People traveled relatively long distances and were pleased with the smooth flow and friendly, competent nurses.

The overwhelming gratefulness of family members assisting their loved ones and those getting their boost shots was reminiscent of those attending an OkMOM event.

Two takeaways: 1) For Pfizer and Moderna, boost shots can be given up to four days prior to the recommended interval of 21 and 28 days, respectively; there is no maximum interval for either vaccine; and 2) Drawing that last precious dose from a vaccine vial requires experience and skill.

COVID-19 vaccine POD sites. The availability of vaccine appointments depends on vaccine supply and the number of providers available to administer the injections. With Pfizer and Moderna, the supply must include vaccine for boost shots.

At this time, the demand is greater than the supply resulting in appointments being quickly booked. Supplies have been limited, delaying PODs and pharmacies from having adequate vaccine. More providers are on the horizon and soon more product will be available. This information is fluid.

• State portal – the scheduler for most county health department-administered PODs: vaccinate.oklahoma.gov • OK County and Tulsa County Health Departments – check their websites/ postings. OK County may use vaxOKC. com or SignUpGenius; Tulsa may use the state portal.

• Walmart/Sam’s Club – 43 locations in Oklahoma are or will be offering vaccines; check their corporate websites.

• Walgreens and CVS – assisted vaccination efforts in long-term care facilities. Check their websites for updates on when they will have vaccination available for the public.

• Clinics/Medical facilities/etc. – check local pandemic providers, social media, and local news sources for PODs in your area.

Immunity and our role. Once a person has completed the appropriate vaccine doses, the expected efficacy level of immunity will occur in ten days to two weeks. It’s unclear how long this immunity lasts, to what level, how effective the vaccine is on variants, and if annual boosts will be recommended. As

the world becomes vaccinated, scientists are studying these questions. Lessons learned will inform future recommendations.

Vaccines do not cure or treat disease.

Rather, vaccines make us less susceptible to getting sick and lessen the severity of disease and death thus making transmission more difficult. Herd immunity occurs when enough persons in a population are immune from an infectious disease to prevent community spread. Herd immunity protects both the most vulnerable and society as a whole. The percentage of those who are eligible yet hesitate or refuse to receive the vaccine is uncertain. These individuals, by their inaction, put themselves and others at risk.

As healthcare providers, our words and actions matter. It’s our responsibility to stay informed, cite credible sources and promote prevention. Trust public health experts. The vaccines are safe and effective. Encourage your staff, patients, family and friends to get vaccinated. Be a role model. Be the light in the darkness and always speak the truth.

Oklahoma COVID-19 data. Oklahoma produces a weekly COVID-19 epidemiology and surveillance report as well as daily updates. The reports are comprehensive and are comprised of daily, weekly and cumulative data, including cases, vaccines, hospitalizations, deaths, demographics, and much more.

Original article written 2.22.2021 Update, 3.8.2021: Since the article was written, there have been changes made in the way COVID-19 deaths will be reported in Oklahoma. The state will begin using CDC death certificate reports rather than reporting cases confirmed via a full investigation. This upcoming change will result in higher and timelier death counts.

As of March 7, 2021, there have been 428,007 cases and 4,534 deaths.

Persons age 60 and above accounted for 95% of the deaths; 57% of those deaths were male.

For vaccines, 638,966 prime doses have been administered and 368,851 persons have completed the series. Johnson & Johnson’s Janssen vaccine has achieved Emergency Use Authorization (EUA).

You can sign up to receive the reports electronically. Links to multiple coronavirus resources are available at coronavirus. oklahoma.health.ok.gov.

ABOUT THE AUTHOR: Dr. Jana Winfree has been the State Dental Director at the Oklahoma State Department of Health since 2008. As the State Dental Director, her duties include dental public health efforts for the state: community water fluoridation, oral health surveillance, dental education, acting as subject matter expert and administering the state Dental Loan Repayment Program. Dr. Winfree graduated from the University of Oklahoma College of Dentistry in 1985 and earned her Master of Public Health from the OU College of Public Health in 2015.

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41

Collect What You Produce: WHEN PATIENTS COMPLAIN ABOUT YOUR FEES By: Cathy Jameson, PhD | Part nine of a ten-part series “I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” (Maya Angelou) January is a perfect time to analyze the critical factors of your business, including your fee schedule. National fee surveys are usually published in January and this can help you determine how appropriate your fees are for your area and type of practice.

You may be concerned about increasing fees due to the pandemic or other factors that may be impacting your practice. At the same time, your costs of operation have probably risen over the past year. For example, it is estimated that the average cost of infection control per patient has increased twofold from $15.00 to $30.00.

You may also be concerned that patients will complain if there is any kind of fee increase. You may fear losing patients to other practices that charge less. However, no matter where you set your fees, some patients will regard them as too high even though most people don’t really know or understand the fees for dental procedures.

But complaining about a fee doesn’t mean that they don’t want to proceed with treatment; it may just mean that they need help with a way to pay.

There are only three ways to increase profit margin: [1] increase production; [2] decrease costs; and/or [3] increase fees.

If your costs of operation have increased, your profit margin will go down unless you increase production or raise fees.

ANALYSIS OF FEES We recommend that you analyze fees every six months to determine if your costs of operation (including individual dental procedures) have gone up and to respond appropriately and logically. Such analyses may but will not necessarily result in widespread fee increases.

If your analysis indicates that fees should be adjusted upward, do so – as long as your fees are equitable, in line for your area, 42 journal | March/April 2021

and reflective of the quality of care you are offering. If you continually update and upgrade your services most people will not even recognize that you have adjusted your fees.

THE LAW OF SUPPLY AND DEMAND Many practices today are so busy that they are stressed to the max, so much so that they can’t even imagine putting in the time necessary to clean up their systems. The “busyness” of such practices and their dayto-day demands are holding them hostage.

They are seeing large enough numbers of patients that they are having a hard time seeing them expediently. New patients are put off much too long; hygiene patients are not seen in a timely manner; major procedures are deferred far into the future because the appointment book is stuffed full of smaller appointments.

Being too busy can squeeze patient time, increase overhead, and produce stress.

You and your team need to orchestrate a plan to increase revenue while decreasing both the costs of operation and the stress level. Focusing on your practice’s fulcrum -- thorough diagnosis, careful and complete treatment planning, and well organized and presented consultations -- will lead to more comprehensive care, longer appointments, and less stress for both you and your patients. And if you are too busy and cannot see patients expediently, the law of supply and demand is in your favor. It’s under circumstances such as these that you should consider increasing your fees. You may lose a few patients in the process but you will be able to focus more intently on gaining higher levels of case acceptance and getting your practice under control.

You must get out of the habit of thinking that high numbers of patients per day is the only way to be productive. What matters is how much dentistry you are doing in a day. Our Model of Success at Jameson Management includes seeing fewer patients each day, doing more dentistry per patient (when and where appropriate) and seeing those patients for fewer visits, minimizing

the number of team members while maximizing their talents, increasing (and sharing) profits, and decreasing stress.

RAISING FEES: WHEN AND BY HOW MUCH? Increasing fees by 10% may cause a small percent of patients to go elsewhere.

However, according to Dr. Charles Blair, a leading authority on dental insurance coding, if a practice’s overhead is 65%, it would have to lose 22.3% percent of its patient family before bottom line profits would be negatively impacted. In this case, a 10% across-the-board fee increase (with no additional overhead items) would increase bottom line profit over 28.6%.

If you want to increase profitability by increasing your fees, you must be prepared for possible negative response by some patients. A few of them may decide to leave your practice to go to a lower-fee competitor. (In our experience, this rarely happens.) You and everyone on your team must believe in the equitability of your fees.

You should also agree that seeing fewer patients each day, doing more dentistry per patient, and seeing patients for fewer visits are desirable goals.

INSURANCE AND FEES: USUAL AND CUSTOMARY If a patient receives a letter from an insurance company inferring that your fees are above usual and customary the patient could be understandably confused. This is a prime example of a third party intruding on the doctor/patient relationship. You would be upset if the patient developed a misconception about the legitimacy of your fee. Your team could also conceivably become “gun shy” about dealing with upset patients.

The following steps can help deal professionally with any complaints your patients may have about your fees.

1. Have your entire team practice the verbal communication skills necessary to manage patient objections.

2. Create a letter that can be sent to patients to address any protests about “usual and customary.”

3. Develop a letter to send to insurance companies and to the state insurance commissioner to protest their intrusion into the patient/dentist relationship.

SUMMARY Obviously, you don’t like to have patients complain about your fees, and you certainly don’t want to lose them to someone else offering lower fees. In reality, this happens much less than you might imagine. The dentist/patient relationship is usually so personal that your patients’ trust in you and your team will be sufficient to retain them if they perceive that your fees are equitable for the services they are receiving.

Do not let those few patients who may give you a hard time influence your fee decisions.

A small handful of such patient protests will not cause you to go belly up; but not raising your fees when your costs of operation increase could do so.

Set your fees to match the excellence and quality of what your practice offers to your patients. Make adjustments as necessary to respond to any situations that affect your practice income.

Study and develop the necessary communication skills to fully and accurately present your fees and where necessary the rationale behind them. You may be surprised how much this step alone can overcome patient objections. In closing, provide care you are proud of and let your fees stand as a clear indication of your practice of excellence.

ABOUT THE AUTHOR: Cathy Jameson, PhD, is the founder of Jameson Management, Inc., an international management, hygiene, and marketing firm which offers proven management and marketing systems for helping organizations improve in a positive, forwardthinking culture.

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

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,

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43

HYGIENE HOTSPOT

JUST BECAUSE IT’S GREEN DOESN’T MEAN IT’S GUACAMOLE! By: Dawn Wilson, RDH He said, “It looked like guacamole, I swear!” I responded, “But you were in a sushi restaurant.”

True story! He thought the green ball of goodness was guacamole and put the whole thing in his mouth. Ouch! An easy mistake to make if you’re a first timer to a sushi house, and especially if you live in the South where Tex-Mex is all about the green. Lesson learned.

For many of us, periodontal disease is often defined by one characteristic: the number. Just as something green is not always guacamole, not all 6mm pockets need scaling and root planing (SRP) or laser therapy. No two pockets are ever alike. Ever. A 6mm pocket on Mary is not the same as a 6mm pocket on Joe. It’s important to assess the whole situation to find out the culprit before deciding on the best treatment for a patient. Where we can get lost is focusing on the number (6mm) rather than on all the factors surrounding

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44 journal | March/April 2021

that number, which tells more of the story. Is it an active disease or a functional condition that’s causing the pocket? What color is the tissue? Is it bleeding? Is there inflammation in the area? Is there a restoration infringing on the biological width? It’s easy to see a deep pocket and automatically want to treat with SRP or laser therapy when neither is warranted. It can also be frustrating when we perform SRP and nothing changes. Ask yourself (and the patient): what’s behind the number? Many times it’s not as it seems, just like the green ball of goodness in a sushi restaurant.

Pocket depth is our bread and butter. It’s where we live. The numbers make up our road map; they help us navigate a patient’s mouth. But more important is knowing the cause, which will help determine how best to address and guide our treatment. Just because it’s deep doesn’t mean it needs extraordinary treatment. It would be safe to say that most perio problems are due to a lack of oral care but there are many cases involving bone loss that are not due to a disease state but rather to a functional condition. We can better understand a patient’s periodontal needs by focusing not the number but on the cause.

While I’ve practiced dental hygiene in both general dentistry offices and periodontal offices, working in perio is my preference. When people ask me the difference between being a hygienist in a perio practice versus a general practice I just say, “It’s like the difference between washing a VW Bug and a school bus. There’s a lot more surface area and more nooks and crannies to clean.”

ABOUT THE AUTHOR: Dawn Wilson RDH, BA is a 1993 graduate of the Tulsa Community College dental hygiene program. Since graduation , she’s worked clinically overseas in Doha, Qatar and all over Oklahoma in both general practice and (since 2005) periodontics. She and her husband Tim celebrated their 25th wedding anniversary earlier this year with a trip to their favorite beach. When they aren’t traveling, they stay active volunteering and fostering dogs for Lab Rescue of Oklahoma and have two fur babies of their own.

Currently residing in Stillwater, they are both avid OSU fans and very happy that football has started up again!

LIFE-THREATENING EMERGENCIES IN THE DENTAL OFFICE Dr. Rich Herman, Chair, ADA Culture of Safety in Dentistry Workgroup | ddsrph@aol.com A safe dental office will have in place a plan of action for when a life-threatening emergency occurs. An emergency, whether medical or dental, can present at any time; successfully handling it requires a plan of action that the entire staff understands and has practiced. After all, it may be the dentist having the emergency!

Emergency policies must be developed specific to the size and type of dental practice. What is appropriate for a small general practice is entirely different than that of a large clinic, which is yet again different from what would be expected in an oral surgery practice.

Regardless of the type of practice, the goal of an emergency plan is to manage the patient until help arrives. This comes down to maintaining an oxygen supply to heart and brain (thus managing the airway), breathing and circulation.

The small or solo practice may have a simple policy of two basic steps:

In this situation, the entire staff must have current CPR training, which now includes the use of an AED. There should be a staff member (and backup) designated to call 911 stat.

An oral surgeon’s office or a practice that utilizes sedation or general anesthesia should have access to more resuscitation equipment and be able to provide more advanced care.

In both settings, only repeated practice can result in calm, clear communication and effective addressing of the emergency.

The takeaway: Have a basic plan and practice that plan!

ABOUT THE AUTHOR: Dr. Casamassimo is an ADA member, a member of the ADA’s Establishing a Culture of Safety in Dentistry Workgroup, a general dentist (DDS) and former chair of the ADA’s Council on Advocacy for Access and Prevention

1. Calling 911 2. Instituting Basic Life Support (BLS) procedures to support oxygenation culminating in the use of an automated external defibrillator (AED).

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45

KEEP IT LOCAL

BOTULINUM TOXIN: WHY AND HOW TO INTEGRATE IT INTO YOUR PRACTICE

By: Tracy S. Blessing, DMD Dentistry isn’t changing. It has changed.

Forty years ago, amalgam fillings were the norm and patients weren’t concerned with achieving white teeth via bleaching. Twenty years later, composite bonding and teeth whitening options became “on trend” and now they are the new standard. Even just ten years ago, porcelain-fused-to-metal was still the predominant crown material of choice. In recent years, incredible advances in the digital and dental material worlds have shifted doctor and patient demands to all-ceramic options—another new standard.

Dentistry is constantly evolving to address both cosmetic and functional issues. These advancements expand our scope of practice, in turn improving the quality of care we’re able to offer and improving our patients’ quality of life.

Botulinum toxin was originally developed in the 1970s to treat strabismus (crossed eyes) but has subsequently been used to address a growing number of different functional and aesthetic problems. It is quickly becoming a part of the modern dental practice due to its tremendous ability to help patients cosmetically and functionally. What has been a new trend will soon become a standard as patients increasingly turn to their dental providers for these treatments.

My journey with facial injectables (botulinum toxin and dermal fillers) began

ten years ago when I decided to expand my scope of practice outside of the mouth and learn about these treatment modalities. I refreshed my knowledge of facial anatomy, studied appropriate literature, and finally shadowed expert injectors. Soon afterwards, I introduced facial injectables into our dental practice.

Aesthetically, I utilize botulinum toxin in both the upper and lower face to rebalance specific muscles in order to reduce skin wrinkles or to subtly improve the positioning of the overlying soft tissue. Goals of upper face treatment include reducing crow’s feet around the eyes, vertical frown lines between the eyebrows, horizontal “worry” lines on the forehead, and lifting or sometimes “arching” the eyebrows. In the lower face, carefully placed Botulinum toxin can make dramatic changes to the frame of a patient’s smile. Injection in specific lower lip muscles can reverse downturned oral commissures and reduce the appearance of a resting frown. Additionally, the dynamic nature of the orbicularis oris muscle inevitably leaves its mark in the overlying skin in the form of stubborn vertical lip lines or perioral rhytids (wrinkles). Using small, targeted injections of botulinum toxin can calm the hyperdynamic muscle resulting in a smoother, softer, and more youthful lip and smile. Finally, the appearance of a “gummy smile” can be minimized or eliminated using

targeted treatment with botulinum toxin to the lip elevators.

Functionally, botulinum toxin adds tremendous value to our practice in helping patients suffering from TMD with a muscular component. While botulinum toxin is no substitute for a well-adjusted occlusal guard, many patients are noncompliant or simply unable to break the “clench” habit even with this therapy.

Botulinum toxin injected into the masseter and/or temporalis muscles reduces these muscles’ strength and size, appropriately weakening their bite force and reducing clenching and grinding. Patients report less tension in their jaw, fewer headaches and a noticeably slimmer appearance in the contour of their face.

Facial injectables now account for roughly 60% of my practice and is one of those procedures that I enjoy seeing on my schedule. Over time, I have progressed to addressing patients’ total facial aesthetic and functional issues using a combination of botulinum toxin and dermal fillers.

Each patient’s case is unique and requires careful thought, planning and creativity with a delicate touch, which challenges and stimulates me while also fulfilling my artistic inclinations. I have found that these patients want to be in my chair and want the treatments; a nice feeling that is not always

Botulinum toxin gummy smile - before and after

Botulinum toxin gummy smile - before and after Botulinum toxin frown lines - before and after

46 journal | March/April 2021

common in everyday dentistry.

Treatments take anywhere from 10 to 30 minutes and produce quick results (1-4 days with botulinum toxin and almost immediately with dermal fillers). That same “wow” effect you get when your patient sees their new smile for the first time is the same “wow” effect you get each time you hand a patient the mirror after an injectables session — a wonderfully rewarding experience. The patients receive near instant gratification and they appreciate being able to “pop in” for a treatment that offers such great and fast results, which also helps fill holes in our schedule.

In our practice, staff esprit de corps is boosted because of facial injectables; they often want these procedures done on them and are eager to share their enthusiasm and results with patients. Throughout the year, our staff helps set up and run injectable parties and promotional events, which generates a buzz in the practice and helps to recruit more patients. Our practice growth has directly benefitted from adding injectable procedures — patients that come in initially for facial aesthetic treatments often end up becoming our dental patients and vice

versa. This synergy of dental and facial cosmetic procedures allows us to be more comprehensive in our treatment planning and enables us to offer “Total Facial Aesthetics” to our patients.

As our patients become increasingly aware of the aesthetic value of dentistry, we dentists have the opportunity to branch out beyond just the teeth. If you are looking for a new dynamic that will challenge you and allow you to offer more to your patients, then facial injectables might be right for your practice. Approached conservatively, these treatments are safe, minimally invasive, and most of all, fun for you and the patients. Aside from your investment in proper training, there are no big ticket items you need to purchase to get started — just a few basic supplies including insulin needles, alcohol swabs, and marking pencils.

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U US

ABOUT THE AUTHOR:

Tracy S. Blessing, DMD graduated from Tufts University School of Dental Medicine in 2010 and completed a residency program in New York City the following year.

She is currently Associate Director of the University of Oklahoma College of Dentistry’s Advanced Education in General Dentistry (AEGD) program. She maintains private practices in Oklahoma City and Miami Beach, FL. She is also the founder of Aesthetic Interface, a training and consulting company dedicated to facial injectables in dentistry. Through her company, Blessing provides seminars, certification courses, original marketing and consulting services in the use of botulinum toxin and dermal filler to offer patients a new concept of "Total Facial Aesthetics."

If you have a case your study club would like to submit for publication please contact Dr. Mary Hamburg, ODA Journal Editor, at editor@okda.org.

Facebook @okdentassoc Twitter @okladentassoc Instagram @okdentassoc YouTube @TheOKDentAssoc www.okda.org

47

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 Great Opportunity for the Future: Looking for an Associate Dentist/Partner or future business owner to join a private practice in rural western Oklahoma.

Starting salary of at least 125,000 with bonuses negotiable. Other benefits such as moving bonus, lab fees and covering insurance costs can be discussed. Mostly fee for service practice averaging 35-40 patients a month with potential for more. Practice is paperless and digital with up-to-date equipment, technology and extra operatories available in 3400sq foot stand-alone building in great area of town. CO2 laser and scanner already incorporated into everyday clinical care. Practice located in town of around 12,000 people and draws from many smaller towns in the area. Looking for someone of high character and morals who has a passion for dentistry and willing to work hard and continue to learn and grow in the profession. There are great long term opportunities including buy-in/partnership, ownership and expansion. If interested in learning more about the opportunity, please call or email the contact Garrett Phipps, DDS | Phipps Dental Practice: Creating Smiles and Impacting Lives W # (580) 338-7210: C # (580) 461-1479 F # (580) 338-8318 | phippsdentalpractice@gmail.com Practice or office Building for Sale: Various options for dental practice in Shawnee, OK. 1) Move into one side of the building with most of the equipment in place 2) Move into other side of the building and put your own equipment in. 3)Buy 1/2 of the building. 4) Buy both sides of the building.

Call Jack Chinn for more information at 405-765-6541

JOB OPENING Busy Practice in Muskogee Looking for a FT Associate/Partner Dentist: The Dental Care of Muskogee has a very large loyal patient base with a significant number of new patients every month. We are very busy and are having a hard time seeing all of our new and existing patients as quickly as they like because being popular is a good problem to have but is still a problem. We pride ourselves on offering the very best restorative and preventive care for our patients. We offer the best that modern dentistry has to offer, including CBCT and 3D Scanner. We are looking for an excellent dentist that is motivated, skilled, caring and considerate to join our practice. We are looking for someone during the short term or the long term since there are great advancement opportunities available, including buy-in or partnership options down the road. We offer all employment benefits and a very competitive compensation package with a sign on bonus. New grads are welcome to apply and would receive guidance and mentorship. For more information, please contact either Janie Sherrell at 918-360-4187 jsherrell.dcom@gmail.com; or Moiz Horani, DDS at 918-280-8309 moizhorani@gmail.com.

Seeking Full Time Hygienist: Looking to hire full-time hygienist Monday – Thursday for busy rural practice in Guymon, OK. Great friendly staff with nice patients in a small community. Office has current technology and hygiene assistant.

Would prefer someone who already has a current Oklahoma license.

Please call our office number at (580) 338-7210 or use the office email phippsdentalpractice@gmail.com to inquire more about the opening.

Part Time Dental Consultant: Work from your home or office a minimum of 3-4 hours per day, Monday-Friday. Must have a clean active Oklahoma dentist license with a min of 5 years clinical experience. Seeking a dedicated individual. Please submit resume TLite@pandrdental.com or fax 609-445-0830 Full-Time Hygienist & Full-Time Experienced Dental Assistant: Our office is looking for a hygienist and experienced dental assistant. Both positions are full time. We are a private practice located in Grove OK. Please email resumes to lakehavendentalpc@gmail.com.

OTHER

EQUIPMENT FOR SALE IntraOral X-Ray Sensor Repair/Sales We repair broken sensors. Save thousands in replacement costs.

Specializing in Kodak/Carestream, major brands. We buy/sell sensors.

American SensorTech (919)229–0483 www.repairsensor.com

OFFICE SPACE FOR LEASE : Beautifully finished Dental/Medical office. Four (or five) operatories. 2,600 SQ ft. with large plush private office and bath. Large reception room with private business office. One block north of Westmoore High School with curbside parking. For more information, please contact aj@creekcre.com or Dr. Alton Watson at 405-343-2024.

Place a Classified Ad SUBMIT A LISTING

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

QUESTIONS?

Visit: www.okda.org/classifieds

48 journal | March/April 2021

Email: advertising@okda.org

Call: 800.876.8890

JOB OPENINGS CONTINUED Dental Associate – Opportunities Available in Shawnee & Chickasha, OK Are you ready to join a team and practice where you can focus on perfecting your clinical skills while we take care of the business day to day? Our practice is committed to a simple philosophy: “Providing professional care with a personal touch”.

Each patient that walks in our office is treated like family, not just another procedure to perform. If your clinical philosophy matches ours, then we would like to offer you the opportunity to learn more about working together. With over 30+ years of clinical and practice management, we have the stability of an established group with the speed and agility of a startup, where ingenuity and growth are a driving factor. Life in Our Office: There are a few key principles to keep in mind as you consider working with us at T&B. These principles illustrate what we do and why we do what we do: • We are committed to a simple philosophy: “Providing professional care with a personal touch.”

• We think our philosophy works best when each of us is committed to providing the best care and service that we can to every patient.

• Our patients are not just procedures to perform but are people that we come to know and care about...they become “family.”

At T&B we strive to only hire the best, and as a result of that, we trust each other to use good judgment, treat each other with respect, professionalism and honesty.

That means that we hold each other accountable to our best expectations, and we each strive to proactively improve ourselves and the company. Our desire is to lead and manage without micromanaging. How will we succeed? In order to provide the best care possible to our patients, we must first commit to treating ourselves and those at our office with respect, professionalism and honesty. When we as a team are unified in this approach, it translates over into the care that we provide to our patients throughout the entire time they are in our practice.

Who You Are: You are a dental practitioner who has a desire to provide the best patient care possible to each and every patient that walks through the doors. A clinician that is a problem solver, someone who is proactive in bettering themselves and those around them and has the ability to lead an office to becoming a highly profitable practice while setting itself apart from other dental practices in the area.

What You Will Do • Provide the best patient care possible • Work to better yourself clinically by participating in Continuing Education and adding to your clinical abilities • Confidently educate patients on diagnosed work and the benefits to their overall health.

• Serve as a source of motivation and inspiration to help team members to reach their true potential • Participate in community engagement events as needed • Listen to team members to understand opportunities for problem solving

• Help the office grow and find ways to set the practice apart from others in the community What You Will Need • Diploma in Doctor of Dental Surgery or Doctor of Medical Dentistry • Current NPI Certificate, Current OSBI Certificate, Current DEA License • Active license to practice in the state of Oklahoma

• Ability to educate patients on their oral health and to explain the need for any dental procedure • Strong interpersonal skills and high level of professionalism

• Passion for personal development clinically and in practice management • Confidence in your clinical skills to function as the primary practitioner in a practice Why You Should Join T&B Dental Services We strive to offer an environment where you can grow professionally. For those that are new graduates, the first few years are typically geared towards perfecting their clinical skills. You will have the opportunity to learn from a doctor with over 30 years of clinical and practice management experience. For those that have worked in the corporate field or worked as an associate and are ready to take on a new challenge, you will have the opportunity to be the primary doctor and get to practice in a private setting with a support team.

• Here are some additional highlights to joining our team.

• Partnership Opportunity • Compensation based on collections with a sliding pay scale • Primary doctor in a practice producing over $500k annually with a 95% plus collection rate on average • You focus on the clinical side of the practice while we provide business services • Mentorship from doctor with 30+ years of experience

www.okda.org

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FINAL THOUGHTS WORDS OF WISDOM FROM DR. KENDRA H. YANDELL POTEAU, OK

1. What is the best advice you’ve ever been given?

Focus on what success feels like, and that will guide your decisions. It's not a certain amount of money, patients, accolades, etc. for me.

2. Who is your Mentor? (Professional and/or Personal) My late father, Ken Hammond, DDS---- professional AND personal.

3. What words of wisdom would you share with a dentist one year out of school?

Respect where dentistry came from. You can learn so much from your colleagues and enjoy where it is headed together!

4. What is your "go to" inspirational quote?

The Serenity Prayer-- God grant me the serenity to accept the things I cannot change; courage to change the things I can; and the wisdom to know the difference.

5. How do you define wisdom?

Making the best decision with the best information in your hands and mind.

50 journal | March/April 2021

Visit adapractic etransitions.com

Corporate Professional Liability & Why YOU Need It! What is CPL? CPL is a policy that provides a separate set of limits for your business.

When & why do you need CPL? When more than one dentist works in a practice, to protect your practice assets from vicarious liability.

CPL Q&A Q: How much does it cost?

A: Typically, it's 10% of individual dentist's individual policy premium.

Q: Are limits of liability shared?

A: No, this policy has its own limits of liability.

Q: Does this policy insure the entity?

A: Yes! Q: Who do I need to contact about CPL? A: Contact Lydia Christine, Director of Association Business Lydia@3000ig.com 910.233.3011 3000ig.com www.okda.org

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Earn CE Credits Virtually with

DDOK Training Sessions Now Available Online!

Delta Dental of Oklahoma is now offering virtual training sessions on OSHA, HIPAA and our new Health through Oral Wellness® (HOW®) enhanced benefits.* Our specialized training programs are facilitated by a live trainer to provide personalized, up-to-date information on regulations and opportunities relevant to your dental practice.

All courses provide Category B Continuing Education (CE) credit and may be scheduled as a single course or a package of multiple courses.

Contact us to schedule your online training course or package today!

405-607-2137 (OKC Metro), 800-522-0188, Ext. 137 (Toll Free) or PR@DeltaDentalOK.org *HOW® training course is provided at no charge 52 journal | March/April 2021