ODA Journal: Fall 2025 by Oklahoma Dental Association

ADVERTISERS

Thank you to the following businesses who support the Oklahoma Dental Association by advertising in the Journal:

Alliant Insurance Services

Armor CPR

BancFirst

Endodontic Associates

Endodontic Practice Associates

Garﬁeld Reﬁning

MedPro Group

ODA Rewards Partners

Personalized Dental Consulting

ProSites

Suction Solutions

TSET Tobacco Settlement Endowment Trust

THE OKLAHOMA DENTAL ASSOCIATION JOURNAL (ISSN 0164-9442) is the ofﬁcial publication of the Oklahoma Dental Association and is published bimonthly by the Oklahoma Dental Association, 317 NE 13th Street, Oklahoma City, OK 73104, Phone: (405) 848-8873; (800) 876-8890. Fax: (405) 848-8875. Email: information@okda. org. Annual subscription rate of $39 for ODA members is included in their annual membership dues.

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

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

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

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

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

EDITORIAL

Making the Most of Your ODA Rewards Program by Whitney Yeates, DMD

STATE ASSOCIATION

ODA Calendar

ADA President Dr. Brett Kessler visits Oklahoma for White Coat Ceremony

Actions of the ODA Board of Trustees

ODA's Newest Team Member

Editorial: Making the Most of Your ODA Rewards Program

Welcome New Members

LEGISLATIVE LOOP

Summary of Oklahoma SB 669

ADA Urges HHS to Reduce Dental Regulations that Burden Providers

COVER STORY

The Fight for Fluoride: Preserving Community Water Fluoridation in Oklahoma

CLINICAL

The Silent 7: Early Diagnoses Hiding in Plain Sight by Stacy Sigler, RDH

Case Study: Restorative Management of Esthetics and Structural Loss by Tzu Yi (Clement) Hsu, DDS

Case Study: Severe Attrition Rehabilitation by Sriteja Gummadi, DMD

Case Study: Residual Roots as an Anatomical Guide for Implant Placement by, Dorna Akhavain, DDS

FEATURES

Rewards Partners List

Rewards Partners Catalog

CLASSIFIEDS

Classifed Ads

Would you like to submit a case study, scientiﬁc article, or editorial for publication ODA Journal?

Email editor@okda.org with story ideas.

Is Your Information Correct?

Help the ODA keep you informed about legislative actions, educational opportunities, events, and other important member-only news. Contact Ansley Jinkins at ajinkins@okda.org or 800.876.8890 to provide ODA with your current contact information.

ODA JOURNAL STAFF

EDITOR

Mary Hamburg, DDS, MS

ASSOCIATE EDITOR

Roberta A. Wright, DMD, MDSc, FACP

EDITORIAL BOARD MEMBERS

Daryn Lu, DDS

Sydney Rogers, DDS

Stacy Sigler, RDH

Roy L. Stevens, DDS

ODA OFFICERS 2025-2026

PRESIDENT

Twana Duncan, DDS president@okda.org

PRESIDENT-ELECT

Nicole Nellis, DDS presidentelect@okda.org

VICE PRESIDENT

Colin Eliot, DDS, MS vicepresident@okda.org

SECRETARY/TREASURER

Sydney Rogers, DDS treasurer@okda.org

SPEAKER OF THE HOUSE

Matthew Bridges, DDS speaker@okda.org

IMMEDIATE PAST PRESIDENT

Daryn Lu, DDS pastpresident@okda.org

ADMINISTRATIVE STAFF

EXECUTIVE DIRECTOR

F. Lynn Means

DIRECTOR OF GOVERNANCE & FINANCE

Shelly Frantz

DIRECTOR OF MEMBERSHIP

Ansley Jinkins

DIRECTOR OF COMMUNICATIONS

Jill Johnson

DIRECTOR OF EVENTS & EDUCATION

Ramsey Tarrant

OFFICE & COMMUNICATIONS MANAGER

Katie Douglas

CALENDAR

See more and register at OKDA.ORG/EVENTS

September O ce Manager Appreciation Month & National Gum Care Month

September 2

OK County Dental Society Board Meeting ODA O ce 6:00pm - 7:00pm

September 12

OkMOM Leads Meeting Online via Zoom

6:00pm

September 12

ODA Wellness Webinar: Burnout + Improving Team Trust (1.5 hrs CE) Online via Zoom 1:00pm - 2:30pm

September 19

NW Component Annual Meeting & CE (5 hrs CE)

Oakwood Country Club, Enid 8:00am - 1:30pm

September 19 State of Dental Marketing Webinar (1 hr CE) Online via Zoom 12:00pm - 1:00pm

September 19

OUCOD Dean's Circle Dinner + Alumni Weekend dentistry.ouhsc.edu/ alumniweekend2025

September 26

ODA Workforce

Task Force Meeting ODA O ce 11:00am - 1:00pm

September 27

OK County Dental Society Annual Party e Jones Assembly 1:00pm - 4:00pm

October

Dental Hygiene Month

October 1 Leadership Academy Application Deadline

October 3

ODA Risk Management Webinar (2 hrs CE) Online via Zoom 11:00am - 1:00pm

October 15

ODA Council on Budget & Finance Online via Zoom 5:30pm

October 23-28

ADA SmileCon Washington, DC Register at ada.org

October 30

ODA New Dentist Committee Meeting ODA O ce 6:00pm

November

TMJ Awareness & Mouth Cancer Awareness Month

November 1

Women in Dentistry Champagne Brunch & CE (2 hrs CE) e Lume, OKC

10:00am - 12:00pm

November 7-8

ODA Botox and Dermal Fillers Course (24 hrs CE) Online + ODA O ce

November 7

ODA Council on Governmental A airs OUCOD, Room 540 9:00am

November 7

ODA Council on Membership and Member Services OUCOD, Room 540 11:00am

November 7

ODA Board of Trustees Meeting OUCOD, Room 540 1:30pm

November 7

DENPAC Wine Tasting Event Walcourt Building, OKC 6:00pm - 8:00pm

November 13-14 Oklahoma County General Assembly Meeting & CE

November 27-28

ODA O ces Closed for anksgiving

SAVE THE DATE

Stay connected with the ODA!

Oklahoma Mission of Mercy February 6-7, 2026 at Stride Bank Center in Enid, OK

Oklahoma Dental Association Annual Meeting & Conference May 1-2, 2026 at Embassy Suites in Norman, OK

Making the Most of Your ODA Rewards Program

by Whitney Yeates, DMD

As dentists, we are constantly looking for ways to bring value to our practices, our teams, and our patients. e same should be true for our professional memberships. at is why the Oklahoma Dental Association works hard to ensure that the investment you make in membership comes back to you many times over. One of the most tangible ways we accomplish this is through the ODA Rewards Program.

If you are not yet familiar with ODA Rewards, this is the perfect time to take a closer look. e program currently has 33 partners, and each one o ers discounts and bene ts on products and services that most of us already purchase. From o ce supplies and technology to continuing education and personal services, ODA Rewards makes it easier to save money on the things you use every day.

e program is designed with two key goals in mind: to help our members save money and to strengthen the Association’s ability to serve you. Many of our Rewards Partners provide royalties or commissions back to the ODA. at means when you choose to buy through these trusted vendors, you are not only saving on your expenses—you are also directly helping the Association o set operating costs. is allows us to keep

member dues stable and focus resources on the programs and advocacy e orts that matter most to you. In other words, the more our members use the Rewards Program, the stronger the ODA becomes.

Let’s be honest: running a dental practice is expensive. Overhead costs can feel relentless, and every bit of savings adds up. If you could reduce costs on supplies, equipment, or even everyday business purchases simply by taking advantage of a program you already have access to, why wouldn’t you? e ODA Rewards Program is one of the easiest ways to do just that. e discounts are negotiated speci cally for our members, meaning you’re likely getting pricing that wouldn’t otherwise be available.

What I hear most o en from members who actively use the program is surprise at how quickly the savings add up. A few dollars o here, a discount there—it may not seem like much at rst. But over the course of a year, many members report saving hundreds, even thousands, of dollars. For some, those savings alone can more than cover the cost of their ODA membership. at’s real, measurable value that goes straight back into your practice and your bottom line.

Beyond the nancial impact, the Rewards Program also builds connections. Each partner is vetted and selected because they understand the unique needs of dental professionals. ese are companies who want to support dentists in Oklahoma and who recognize the importance of organized dentistry. When you choose to work with our Rewards Partners, you are engaging with businesses that actively want to see your practice succeed.

Of course, we also know that no single program is perfect, and that’s where you come in. As chair of the ODA Council on Membership and Member Services, I want to hear from you.

Are there companies or services you wish were part of ODA Rewards? Is there a product you purchase regularly that you think other members would bene t from having discounted? We are constantly looking to expand the program with new partners that bring real value to our members. Your feedback is essential in making sure we continue to grow in the right direction.

In my own work, I’ve seen rsthand the bene t of using ODA Rewards Partners. What excites me even more, however, is knowing that every time I do, I’m helping support the ODA’s mission to advocate for dentistry and improve oral health in Oklahoma. It’s a win-win—my o ce saves money, and my professional association gains resources to keep working on my behalf and on behalf of our patients.

So, I encourage you: if you haven’t taken advantage of ODA Rewards yet, start today. Explore the list of 33 partners on the ODA website or in the catalog in this issue (page 29). Look for the products and services you already use. Try out the discounts. And most importantly, know that every time you do, you are making your membership work harder for you while also strengthening the Association we all depend on.

Organized dentistry is at its best when members are engaged and active. ODA Rewards is one simple, practical way to make sure you’re getting the most out of your membership. I invite you to be part of that e ort—and if you have suggestions for how we can grow the program, please reach out to me directly. Together, we can continue building a stronger, more valuable ODA for all.

Find more information about the ODA Rewards Program on the ODA website.

Dr. Whitney Yeates is chair of the ODA Council on Membership and Member Services.

Malpractice insurance that’s all about you.

As a dentist, you face unique challenges every day. That’s why at MedPro Group, we created an industry-leading malpractice policy that keeps you safe.

Here’s what else you can expect with MedPro on your side.

Get unmatched coverage.

You’ll get great coverage at a great price. We also offer policy options that others don’t — including Occurrence and a pure consent clause, which gives you more control during a claim.

Practice more safely.

With 24/7 access to our free risk resources and on-staff experts, you and your practice will be better prepared for every day challenges. We don’t just defend claims, we help you avoid them.

Protect your good name.

The average dentist is sued at least once in their career, which is why we’re in your corner when it matters most. We lead the industry with a 95% dental trial win rate (plus 8 out of 10 claims close without payment).

STATE ASSOCIATION NEWS

ADA President Dr. Brett Kessler visits Oklahoma for OU College of Dentistry's White Coat Ceremony

Dr. Brett Kessler addresses the OU College of Denistry's second year students.

On July 18, 2025, the University of Oklahoma Health Sciences hosted White Coat Ceremonies for both the Colleges of Medicine and Dentistry.

e College of Dentistry welcomed 66 second-year dental students into their clinical journey. e event included a keynote from Brett Kessler, DDS, president of the American Dental Association, who spoke on patientfocused care and leadership in dentistry.

Following the presentation, students received their white coats and took an Oath of Commitment, pledging to uphold professionalism and high standards in patient care—a tradition that also signi es their shi from academic learning to hands-on clinical practice.

e ceremony highlights OU's ongoing dedication to preparing graduates who will enhance healthcare accessibility and outcomes across Oklahoma, as many of these students are expected to eventually serve local communities.

Below is Dr. Kessler's speech from the ceremony:

Hello, Oklahoma! It’s my absolute honor to join you today as ADA President. To the distinguished faculty, proud families, friends, and most importantly, our honored students — thank you for your warm welcome. And many thanks to Dr. Paul Mullasseril for the kind invitation.

Students, I’d like to begin by congratulating you as you mark this incredible milestone. Today is a big day. You’ve poured your time, your talents, and your heart into this journey. And now, you step into a new chapter — not just as clinicians, but as leaders in health.

is day symbolizes more than an academic achievement. It’s a reminder of your readiness to serve others through the art and science of dentistry. As you don your white coat, you’re embracing more than a profession. You’re joining a legacy — one built on trust, compassion, and service.

generations. And today, that trust — the trust of our profession and of the communities we serve — is being passed on to you. You are the next stewards of that legacy. And I cannot think of a more capable, passionate group to carry it forward.

You are pledging to uphold the ethics, integrity, and patient-centered values that have de ned our profession for

It’s a privilege. And it’s a responsibility. One that is just as real today as it was when I rst put on my white coat. Although, let’s be honest, dentistry looked very di erent back then. Technology has reshaped everything.

When I was in your shoes, I couldn’t have imagined things like arti cial intelligence, salivary diagnostics, 3D printing, and milling. Today, we can provide better results for our patients than ever before. And we’re nally reconnecting the mouth to the body — proving what we’ve known all along: oral health is health.

So you’re not just stepping into practice; you’re stepping into a profession that is rede ning the future of healthcare.

Continued on page 9

Dr. Isabel Rambob (left) and Dr. Tamara Berg (right) with Dr. Kessler at the Oklahoma City National Memorial and Museum.

Content provided by OU College of Dentistry and Dr. Brett Kessler

On a tour of Oklahoma City, Dr. Kessler stopped by the ODA offices.

STATE ASSOCIATION NEWS,

But I’d be remiss not to acknowledge something important: the road ahead won’t always be easy. We’re living through a time of immense change — politically, socially, in our profession, and across the entire healthcare landscape.

But here’s the thing: you were made for this moment. Now more than ever, dentistry needs your voice, your passion, and your purpose.

e great Mark Twain once said, “ e two most important days of your life are the day you were born and the day you nd out why.” Dentistry is what we do. It is a big part of who we are, but it is not the only part of who we are.

Perhaps your path will lead you to private practice. Or maybe public health, academia, or specialty training. Wherever your path takes you, remember this: your degree is more than a symbol. It’s a reminder of your “why.” Why you chose this path. Why you show up. Why you care.

using my story to help others do the same. Eventually, my wife Gina — who I met in dental school and married during our fourth year — and I moved to Colorado.

ere, I started volunteering at Sobriety House, providing dental care to people in recovery with nowhere else to turn. at led to the creation of the Smile Again program, a nonpro t that mobilized more than 800 dental professionals to serve people in recovery across Denver.

For me, my “why” is clear: to be a catalyst for positive change in the world. But nding my purpose wasn’t always easy. If you had told me years ago that I’d be standing here today as ADA President, I wouldn’t have believed you.

Yet here I am. I went from rock bottom to living what I consider my best life possible. And that is possible for any and all of us. I credit that to the power of doing the next right thing — a philosophy that shaped my journey through the years.

I entered dental school with a substance use problem, and I graduated with a worse one. In my third year of practice, I hit rock bottom. at’s when I made a call to the Michigan Dental Association — and that call saved my life. My own professional community gave me the support I needed to begin recovery.

at work took me places I never imagined: testifying before Congress, doing national interviews, and becoming president of the Colorado Dental Association. One of my proudest moments was helping to develop and pass a Medicaid dental bene t in Colorado, giving 300,000 adults access to care. at included the very people I was serving through Smile Again, plus many, many more.

Now, as ADA President, I have the privilege of giving back to the profession that gave me a second chance — to an organization that, in many ways, saved my life. And now, I also have the privilege of supporting, and hopefully inspiring, all of you — the next generation of dentists — as you begin your journey.

every day — staying curious, being a lifelong learner, reading articles, listening to podcasts, and keeping your brain sharp.

Emotional wellness means allowing yourself to feel the full range of emotions this work brings: joy, frustration, empathy, grief, awe. If you can’t, seek help. Social wellness means building community, talking to your colleagues, and asking for help. You are not in this alone. You are part of a community of colleagues, mentors, and leaders who believe in your potential.

at was my turning point. From there, I committed to living my best life — and

It’s in that spirit that I want to share the three pillars guiding my presidential year — pillars I hope will inspire and guide your journey, too.

e rst is wellness. Dentistry is hard work. You are your most valuable asset, and you must take care of yourselves as such. I encourage you to think of wellness across ve key areas: physical, mental, emotional, social, and spiritual.

Physical wellness means moving your body, paying attention to posture and ergonomics, investing in your health, sleeping well, and eating well. Mental wellness means feeding your mind

And nally, spiritual wellness. You’re answering a calling. When you approach this work with purpose, it becomes so much more than a job. You will change the lives of your patients — and your community. Remember, your path will evolve, just as mine did, and even 30 years into practice, I am still learning. e key is balance.

e ADA is here to support your wellness journey, too. Members and students have access to tools like the Mayo Clinic Well-Being Index and Talkspace apps for mental health support.

My second pillar is creating a culture of respect. I believe in a profession where everyone feels seen, heard, and valued — regardless of how you look, think, or practice. Dentistry needs all of you. Leaders from every background and every corner of our eld. Together, we are creating a future that re ects the richness of our diversity and the communities we serve. Together, we are stronger.

And nally, my third pillar: reconnecting the mouth to the body. For too long, dentistry has been separated from medicine. But we know, and science shows, that oral health is health. e future of dentistry depends on our ability to integrate fully into the healthcare system.

Continued on page 11

From attracting new patients with a high-converting website and dental specific marketing services to keeping your current patients engaged with automated reminders, we deliver everything you need to fill your schedule and boost your bottom line—all from one trusted provider.

STATE ASSOCIATION NEWS,

at’s why the ADA is advocating for change — improving access and dentalmedical integration, championing fair insurance practices, supporting those burdened by student debt, and advancing science through the ADA Forsyth Institute. From regenerative dentistry to breakthroughs in oral-systemic health, we are shaping the future of care. You’re not just entering the profession — you’re helping shape what it becomes. And we are just getting started.

Before I go, I’d like everyone to join me in a quick exercise. Take your hands and hold them in front of you. ese hands are your instruments — your tools to change lives. Care for them and use them wisely, always in the best interest of your patients.

Now, place your hands on your forehead. is is your prefrontal cortex — where your executive function lives. Grow your mental capacity in everything you do, so you can put these hands to good use.

Next, place your hands above your ears. is is where your hippocampus and medulla are located — where your emotions and memories live. Feel your emotions fully, and make good memories every single day.

Finally, take your hands and raise them up. And if you feel comfortable, hold hands with the person next to you. Remember, you are part of something bigger than yourself — a profession, a community, a calling. Lean on your colleagues and let them lean on you.

Be proud of how far you’ve come, and know that you are not walking this path alone. Each of you carries the power to create real change. And the world needs that.

So, take a breath. Soak in this moment. e future isn’t just waiting for you — it’s waiting to be shaped by you

Congratulations once again on this remarkable achievement. May you wear your white coats with pride. Your future — and the future of our profession — is in good hands.

Go forward with purpose. Lead with your heart. And never forget why you are here.

Combining over 70 years of experience and state-of-the-art technology to provide your patients with the best endodontic care.

Myron S. Hilton D.D.S., M.P.H.

Brandon Schultz D.D.S.

Zane Dubberstein D.D.S., M.S.D.

Brent Haynes D.D.S.

Dayna S. Duke D.D.S.

BEYOND THE ARCH

The Silent 7: Early Diagnoses Hiding in Plain Sight

Spotting Underrecognized Symptoms for Life-Changing Intervention

by Stacy Sigler, RDH

ABOUT THE AUTHOR

Stacy Sigler is a lifelong Oklahoman and graduate of the University of Oklahoma College of Dentistry. She holds dual bachelor’s degrees in science and business, and she practices at Downtown Dental in Oklahoma City. Stacy has been married since 2012 and has two fur kids. She enjoys traveling, cooking, sports, volunteering, and learning anything new—especially when it comes to healthcare.

How long does an extra- and intraoral examination take? Long enough to save or change a life. Patients o en view extra- and intraoral examinations (EIEs) as a “cavity check,” but they may see more value if they understand their dental clinicians are monitoring whole-body health. is review highlights systemic conditions that may rst manifest as subtle oral or craniofacial signs, and it provides follow-up questions and clinical observations to guide di erential diagnoses and timely medical referral.

AUTOIMMUNE

Scleroderma (Systemic Sclerosis)

An autoimmune disease characterized by excess collagen deposition, scleroderma produces thickened, hardened skin and brosis of masticatory muscles. Manifestations can include trismus, atrophy, perioral tightening, telangiectasia, Raynaud’s phenomenon, trigeminal neuralgia, and mandibular resorption. Patients o en miss or dismiss the more "minor" changes to their bodies, which is a common theme in underdiagnosis. Condylar or mandibular resorption occurs in 20–33% of cases and may be rst detected on dental radiographs, o en before patients recognize systemic

symptoms. When present, the right followup questions (skin changes, color changes, and sti ness) can lead to earlier diagnoses and better outcomes.1

Systemic Lupus Erythematosus (SLE)

Before multi-organ damage occurs, SLE may manifest via discoid lesions, leukoplakialike patches, lichen planus, and pigment alterations. A study of 182 lupus patients found that 26% presented with oral lesions, most of which were painless (82%) and located on the hard palate (89%).2 A metaanalysis of 53,307 lupus patients found oral lesions in 31%, as well as erythema (9%), oral candidiasis AKA thrush (9%), petechiae (8%), cheilitis (6%), and white plaque (3%).3 Since painless lesions can go unnoticed by patients, clinical cognizance is critical. Asking questions about fatigue, joint pain, and rashes could prevent long-term complications like organ failure or stroke.

ENDOCRINE

yroid Disease

More common in women and o en autoimmune in origin, thyroid disorders present with mild, ambiguous symptoms that are easily overlooked. Palpation during EIE should be standard but may not reveal all cases. Orofacial signs include macroglossia (patient may report speech or swallowing di culties), delayed eruption, delayed wound healing, salivary gland enlargement, increased caries, facial pu ness, hyperpigmentation, exophthalmos, and lymphoid hyperplasia in the oropharynx.4 Unrecognized thyroid disease can lead to metabolic imbalance, cardiovascular complications, compromised airway, hormone disruption, and even thyroid malignancy.

Addison’s Disease

BEYOND THE ARCH,

GASTROINTESTINAL (GI)

Crohn’s Disease

Oral granulomatous in ammation can precede GI onset. Oral manifestations can include cobblestoning, linear ulcerations, angular cheilitis, or nodular swelling. ough xerostomia is commonly reported in GI diseases, it is a ubiquitous symptom with diverse etiologies, limiting its utility in di erential diagnoses. Similarly, ulcers and cobblestoning can appear in many diseases hallmarked by in ammation, but they are far more reported in Crohn's than vegetative pyostomatitis (VP), a highlyspeci c IBD marker. VP o en appears more ulcerative, while cobblestoning can resemble displaced rugae or clustered bumps. A systematic review concluded gingivitis to be common yet periodontitis less common in Crohn's.7 ough angular cheilitis and nodular swelling are more common, 44% of oral manifestations are cobblestoning (44%), oral ulcers (25%), and mucogingival in ammation. Salivary diagnostics may detect Crohn’s with 70% accuracy, o ering a less invasive option than colonoscopy.8

Oral signs may precede gastrointestinal symptoms by years. A speci c marker of malabsorption syndromes is de ciencies— like enamel defects. Signs to monitor include enamel hypoplasia (especially on permanent incisors and second molars), recurrent aphthous ulcers, and atrophic glossitis. A Brazilian study of 1,962 permanent teeth (out of which 3% had enamel defects) found a higher occurrence of dental enamel defects in patients with celiac disease (P = 0.054), reporting that 71.8% of the 59 teeth exhibiting enamel defects were from patients with celiac disease.9 is statistic aligns with a recent systematic review of 18 qualifying studies, which con rmed the high prevalence of enamel defects in celiac patients—the lowest reported at 50% and the highest at 94.1%.10 Defects range from mild discoloration to severe structural loss, o en presenting bilaterally. Delayed eruption in children with celiac disease occurs in more than onethird of cases.11 Systemic manifestations include GI distress and bilateral, itchy rashes a er gluten consumption. Early diagnosis can prevent more serious complications and comorbidities.

NUTRITIONAL

Malnutrition o en presents subtly, with early signs mild enough for patients to ignore until they become chronic or debilitating.

• B3 (Niacin): Pellagra, glossitis, burning tongue, GI distress; severe de ciency may cause dementia.

• B6 (Pyridoxine): Neuropathy, stomatitis, glossitis, skin rashes, cheilitis.

• B9 (Folate): Neural tube defects in pregnancy, glossitis, ulcers.

• B12: Anemia, glossitis, pallor, angular cheilitis, ulcers, paresthesia; may cause hyperpigmentation resembling Addison’s.5

• Vitamin C: Petechiae, gingival bleeding, delayed healing, scurvy.

• Vitamin D: Mandibular osteopenia, enamel hypoplasia.

• Zinc de ciency: Burning mouth, lichen planus, dysgeusia, alopecia, dermatitis.12

• Zinc toxicity: Acute signs include metallic taste, GI distress, dyspnea, fever, and chills; chronic exposure can cause copper de ciency, anemia, immune suppression, and myelopathy. It is crucial to know that some denture creams contain up to 34 mg/g zinc (the UL is 40 mg/day). Copper de ciency presents with similar symptoms, and those with malabsorption syndromes are further at risk.

• Iron-de ciency anemia: Glossitis, angular cheilitis, pallor, pica, fatigue, tachycardia, dyspnea, koilonychia (spoon nails). Severe or chronic anemia increases risk for atrial brillation, heart failure, and candidiasis. Dysphagia may indicate esophageal webs in Plummer–Vinson syndrome, a premalignant condition raising esophageal cancer risk.13

CONCLUSION

Some conversations are more di cult to have than others, but as with our rst periodontal diagnosis or biopsy recommendation, skill improves with practice—and patients bene t from our willingness to engage. A thorough head, neck, and oral examination allows discerning dental providers to function as essential partners in whole-body health. Dentistry is uniquely positioned: we o en see patients more regularly than their physicians and examine tissues that may hold the rst clues of systemic disease. Recognizing these silent signs is not an adjunct to dentistry; it is an essential extension of it. By sharpening our perception of these subtle cues, we elevate dentistry from the perceived margins of oral care to its rightful role in systemic health.

References on next page

Celiac disease

BEYOND THE ARCH,

REFERENCES

1. de Figueiredo MAZ, Cherubini K, de Oliveira CE, Salum FG. Orofacial manifestations of systemic sclerosis: a review. Craniomaxillofac Trauma Reconstr.2011;4(2):89-93.

2. Jonsson R, Heyden G, Westberg NG, Nyberg G. Oral mucosal lesions in systemic lupus erythematosus—a clinical, histopathological and immunopathological study. Arthritis Rheum. 1978;21(4):456-461.

3. Xu J, Wang Y, Chen Z, et al. Oral lesions in patients with systemic lupus erythematosus: a systematic review and meta-analysis. BMC Oral Health. 2023;23:122.

4. Gupta S, Goyal S, Suri V, Lal V, Singh P. Oro-dental manifestations and their correlation with thyroid disorders. Indian J Endocrinol Metab. 2011;15(Suppl2):S113-S116.

5. Patil S, Rao RS, Sanketh DS, Warnakulasuriya S. Oral manifestations of Addison’s disease: a systematic review. Indian J Dermatol. 2024;69(1):14-20.

6. Betterle C, Dal Pra C, Mantero F, Zanchetta R. Autoimmune adrenal insu ciency and autoimmune polyendocrine syndromes: autoantibodies, autoantigens, and their applicability in diagnosis and disease prediction. J Autoimmun. 1995;8(3):401-410.

7. Kämpe J, et al. Oral manifestations in Crohn’s disease: a systematic review. J Clin Med. 2023;12(5):1220.

8. Zhang X, et al. Salivary biomarkers in the diagnosis of Crohn’s disease: a systematic review and meta-analysis. J Crohns Colitis. 2022;16(2):200-211.

9. Ertekin V, Selimoğlu MA, Kardaş F, Akçay F. Celiac disease and dental

enamel defects in children: a controlled study. Med Oral Patol Oral Cir Bucal. 2018;23(3):e326-e332.

10. Farahmand F, et al. Dental enamel defects in celiac disease: a systematic review and meta-analysis. J Clin Med. 2024;13(1):112.

11. Ertekin V, Selimoğlu MA, Tanyeri B, et al. Delayed dental eruption and enamel defects in children with celiac disease. Eur Oral Res. 2018;52(2):59-64.

12. Hamissi J, Hamissi H, Naja S. Oral manifestations of zinc de ciency: a systematic review. Med Oral Patol Oral Cir Bucal. 2016;21(3):e320-e326.

13. Koca T, Arslan D, Arslan H. Plummer–Vinson syndrome: an overlooked cause of dysphagia. Balkan Med J.2025;42(1):45-50.

LEGISLATIVE LOOP

Summary of Oklahoma SB 669

Each year, the Oklahoma Board of Dentistry works with several organizations to update language in state statutes. ese updates help re ect current dental and medical practice standards, as well as address workforce shortages and other issues that arise.

is year’s bill, SB 669, included requests from the Oklahoma College of Dentistry, the Oklahoma Dental Association, the Oklahoma Orthodontic Association, the Oklahoma Oral and Maxillofacial Surgery Association, and the Board itself.

Background on the AAO’s Involvement

e American Association of Orthodontists (AAO) has introduced legislation in several states in response to issues with Smile Direct Club. In Oklahoma, SB 669, authored by Senator Gillespie and Representative Roe, addressed the AAO’s concerns without requiring a separate bill.

e AAO’s goal was to require in-person visits before a patient could be prescribed retainers, bite guards, or other appliances o en marketed online. By adding two sections to SB 669, the bill resolved those concerns. e AAO even issued a letter of support for the bill to Governor Stitt.

Key Additions in SB 669

De nition Added:

• “Dental appliance” means a dental appliance, prosthetic denture, bridge, restoration, or other device made for an individual patient for a purpose listed in Section 328.19 of this title.

Patient Records Requirement:

• Before prescribing, diagnosing, or overseeing treatment for any dental appliance, a dentist must establish the patient as a patient of record and conduct an in-person examination.

• e name of the dentist(s) providing services must appear on all insurance claim forms, invoices, billing statements, and receipts.

Bill Summary

• No Change to Scope of Practice: is bill does not expand the scope of practice. Instead, it consolidates two types of dental assistant permits:

1. Dental assistants with up to eight expanded functions.

2. Oral and maxillofacial surgery (OMS) assistants who help with anesthesia.

Currently, assistants who change jobs may have to obtain a second permit. SB 669 streamlines the process by eliminating the separate OMS permit and adding anesthesia assistance as an expanded function. is saves money and increases e ciency.

Addressing Workforce Shortages: Oklahoma faces shortages of dentists, hygienists, and assistants. SB 669 allows second-year dental and dental hygiene students to practice outside the school clinic, performing the same procedures they are already trained and permitted to do in the clinic. ey must remain under the supervision of a licensed dentist (Section 328.26).

Faculty Permits:

by Krista Jones, DDS

e bill clari es permits for research faculty at the dental school. Occasionally, the school collaborates with dentists from other institutions who are conducting federally or corporate-sponsored research. SB 669 distinguishes this permit from the faculty specialty license (Section 328.27).

Military Bene ts:

Two provisions add bene ts for military licensees (Section 328.21):

1. Spouses of service members with valid licenses from another state can obtain licensure in Oklahoma when their family is relocated under permanent change of station orders.

2. Dentists, hygienists, or assistants on military orders overseas will not be required to pay renewal fees or complete continuing education while away.

License Reinstatement:

SB 669 extends the timeframe for reinstating a previous license from one year to ve years (Section 328.41). is provides exibility and e ciency for dental professionals returning to Oklahoma. Continuing education completed while out of state may be required.

Clean-Up Language:

e bill also included several updates to align statutes with rule changes made last year.

ese changes will be e ective November 1, 2025.

You may nd copies of SB 669 and the AAO's letter of support on the ODA website:

Dr. Krista Jones serves as the Secretary/ Treasurer on the Oklahoma Board of Dentistry and is the liaison from the board to the ODA.

ADA urges HHS to reduce dental regulations that burden providers

by Olivia Anderson

e ADA submitted formal recommendations to the Department of Health and Human Services, or HHS, in response to its request for information on reducing regulatory burdens in health care. In a July 14 letter to Secretary Robert F. Kennedy Jr., the ADA outlined nine reforms aimed at streamlining federal rules a ecting dental providers and improving access to oral health care.

ADA President Brett Kessler, D.D.S., and Interim Executive Director Elizabeth Shapiro, D.D.S., J.D., expressed support for the agency’s deregulatory initiative, emphasizing the need to eliminate duplicative processes, promote uniformity and lower compliance costs. One of the ADA’s key recommendations calls on the Centers for Medicare & Medicaid Services to simplify administrative requirements for dental providers who participate in Medicare Advantage plans.

“We o er the following recommendations, each of which meets one or more of the criteria outlined in [Executive Order] 14219 for identifying and modifying regulations that impose undue burdens, lack clear statutory authority or unnecessarily hinder private sector innovation and e ciency,” Drs. Kessler and Shapiro wrote.

Dentists o en face inconsistent and redundant credentialing processes across Medicare Advantage plans, the letter stated. e ADA urged CMS to encourage centralized or reciprocal credentialing systems and standardize the use of the ADA dental claim form. e Association criticized prior authorization rules in Medicare Advantage dental bene ts as “complex” and “unpredictable,” advocating for uniform and transparent standards, as well as an exemption for preventive services.

e letter also raised concerns about overlapping credentialing for dentists in Medicaid managed care organizations, recommending that low-risk providers be screened by managed care organizations rather than separately by state Medicaid agencies.

Several proposals addressed administrative compliance challenges for small practices. e ADA recommended modifying Section 1557 coordination and language access mandates by raising the employee threshold for compliance or allowing alternative options for small providers. It also urged HHS to revise good faith estimate requirements under the No Surprises Act to allow use of standard dental treatment plans.

“Dental o ces already practice price transparency and should not be required to implement duplicative federal templates. Streamlining the [good faith estimate] requirement will allow small dental practices to continue serving patients without diverting resources to unnecessary paperwork,” Drs. Kessler and Shapiro wrote.

Other reform proposals included nalizing Health Insurance Portability and Accountability Act electronic attachment standards; clarifying or exempting dental providers from certain No Surprises Act rules; and updating de nitions under information blocking regulations to include dental so ware vendors.

“We appreciate HHS’ commitment to meaningful regulatory reform that protects public health while eliminating unnecessary administrative burdens,” the letter concluded.

“ ese recommended changes will not compromise patient care but will enhance provider participation, reduce overhead, and allow dentists to focus on delivering needed services in communities nationwide.”

To see more national ADA News, visit ada.org/publications/ada-news

STATE ASSOCIATION NEWS

Actions of the ODA Board of Trustees

July 1, 2025 Meeting

e ODA is implementing a prouoride educational communications plan to the membership and the public. e ODA retained a public relations rm to address immediate communications, following the announcement of the Governor’s executive order.

It was the consensus of the Board that further messaging can be communicated by the ODA using ADA and internal resources through social media and other electronic media without expending additional funds at this time. It was recommended that FAQs be sent to all legislators and to dentists to distribute to their patients. It was also recommended that the ODA encourage dentists to educate members of their local municipalities about the importance of systemic uoridation to children and adults.

August 1, 2025 Meeting

e Board of Trustees voted to set up a 501(c)(4) organization to promote social welfare and engage in more political activities, including lobbying and campaign involvement. e startup fee of $5,000 will be paid by the Oklahoma Dental Association.

Upon recommendation of the Annual Meeting Task Force the Board of Trustees voted to continue hosting the ODA Annual Meeting in its current format through the 2027 event and reevaluate again a er the 2027 meeting.

Upon recommendation of the Investment Committee, the Board adopted several changes to the ODA investments and operating accounts to maximize interest rate income.

STATE ASSOCIATION NEWS

August

8, 2025

Electronic Vote

e Board of Trustees voted to name the 501c4 entity SHIFT, or Shaping Health Initiatives For Tomorrow, which encompasses all issues we might face in the future (i.e. insurance reform, uoride, work force, scope of practice challenges, etc), the idea being that our work through the c4 will be “shi ing” mindsets, health outcomes, legislative outcomes, etc.

e Board of Trustees is scheduled to meet at the OU College of Dentistry on November 7, 2025, and at the ODA Building on February 13, 2026.

Welcome ODA's Newest Team Member

Oklahoma Dental Association is happy to welcome Ramsey Tarrant to the team! Ramsey started with the ODA on July 1 and serves as the Director of Education and Events at the ODA, overseeing the planning and execution of key events including the Annual Meeting, Mission of Mercy, and our ongoing continuing education programs. Prior to joining the ODA, Ramsey built a strong foundation in nonpro t event planning and fundraising. She holds a degree in Sports Management from Oklahoma State University. Outside of work, you’ll o en nd her exploring local spots around OKC, hanging out with friends and family, and planning her next great trip.

Ramsey Tarrant Director of Events and Education Oklahoma Dental Association

The Fight for Fluoride: Preserving Community Water

Fluoridation in Oklahoma

In recent years, a growing movement across the country has threatened a foundational pillar of public health: community water uoridation. In Oklahoma, the debate has become a hot topic following a June 2025 executive order by Governor Kevin Stitt that abruptly halted state recommendations in favor of water uoridation. Despite decades of scienti c evidence, local water boards and state leaders are increasingly pressured by misinformation and political rhetoric. e result? One of the most cost-e ective and equitable public health tools ever devised is under threat.

is article explores the science, history, economic value, and ongoing battle over uoride in Oklahoma’s water systems — and why the ght to protect this practice is more critical than ever.

e History of Fluoridation: From Discovery to National Policy

Community water uoridation began with a mystery. In the early 1900s, Dr. Frederick McKay, a dentist in Colorado Springs, noticed a strange brown staining on his patients’ teeth — but those teeth, surprisingly, were unusually resistant to decay. He and other researchers eventually discovered that high levels of naturally occurring uoride in the local water supply were the cause of both the staining and the improved dental health.

by Jill Johnson, ODA Staff

Fluoridation soon spread nationwide, bolstered by endorsements from the U.S. Public Health Service, the Centers for Disease Control and Prevention (CDC), the American Dental Association (ADA), and the World Health Organization. In 1999, the CDC named water uoridation one of the “Ten Great Public Health Achievements of the 20th Century.”

By the 1940s, rigorous studies led by Dr. H. Trendley Dean con rmed that low levels of uoride in drinking water could signi cantly reduce cavities without causing noticeable staining, known as dental uorosis. In 1945, Grand Rapids, Michigan, became the rst U.S. city to uoridate its water supply as a public health experiment. e results were striking — tooth decay in children dropped more than 60% over the following years.

How

Community Water Fluoridation Works

Fluoride is a naturally occurring mineral found in water, soil, and various foods. Community water uoridation is the process of adjusting the uoride content of a water supply to the optimal level to prevent tooth decay, which is currently set at 0.7 milligrams per liter by the U.S. Public Health Service.

Importantly, uoride is not “added” in the same way every time; water systems measure the existing uoride levels and only adjust as necessary. Some Oklahoma water systems have naturally occurring uoride and need

no adjustment, while others must netune their levels to meet the standard. Fluoridation is monitored with precision and safety by water engineers using federally approved additives and equipment.

As the American Dental Association explains, uoride’s cavity- ghting power comes from its ability to strengthen tooth enamel and prevent the demineralization caused by plaque acids. It also aids in the remineralization process, making teeth more resistant to decay over time.

e Cost of Fluoridation vs. the Cost of Tooth Decay

Water uoridation is one of the most cost-e ective public health interventions available. According to the CDC, every dollar spent on uoridation saves approximately $38 in dental treatment costs. For communities with more than 1,000 residents, the bene ts dramatically outweigh the costs.

Continued on next page

e Situation in Oklahoma

The lifetime cost to fluoridate water for one person is less than the cost of one dental filling.

Oklahoma’s water infrastructure is vast, with over 1,100 public water systems. Of the 900 systems for which uoride data is available, 271 currently adjust uoride levels to optimal standards. ese systems serve both urban and rural populations and have made enormous strides in preventing tooth decay, especially in underserved areas.

However, that progress is now under threat.

In contrast, the absence of uoride can lead to a surge in untreated cavities, dental emergencies, lost workdays, and systemic health problems, all of which disproportionately a ect low-income families and rural communities. e lifetime cost to uoridate water for one person is less than the cost of one dental lling.

Claim: Fluoride is toxic.

Truth: Like many substances (including vitamins and minerals), uoride is safe and e ective at proper levels. e optimal level of 0.7 mg/L is far below any threshold associated with harm. e Environmental Protection Agency (EPA) sets a maximum contaminant level of 4.0 mg/L for safety.

is past June, Governor Stitt issued the executive order directing state agencies to stop recommending community water uoridation, and though the order did not ban the practice outright, it sent a message to municipalities across the state, emboldening anti- uoride activists and putting pressure on local o cials.

e Oklahoma Dental Association (ODA) responded swi ly. On their public awareness webpage (www. okda.org/public/ uoride), the ODA outlines the overwhelming evidence supporting uoridation, debunks common myths, and provides resources for residents to contact local leaders and advocate for evidence-based decisions. e association has also coordinated with national partners and other local organizations to support the municipalities who currently uoridate.

Studies from communities that discontinued uoridation o er stark warnings. In Juneau, Alaska, a er stopping uoridation in 2007, a study found that children’s cavity rates rose signi cantly within ve years. In Calgary, Alberta, cavity rates increased dramatically a er uoridation was discontinued in 2011. A er Flint, Michigan, stopped uoridating its water (followed by the lead contamination crisis,) the city's residents su ered not only from lead poisoning but also a spike in dental decay. In many of these places, o cials later reversed course and reinstated uoridation.

“Fluoridation isn’t just a dental issue. It’s a public health and equity issue,” said Dr. Stephanie Brown, a pediatric dentist from Jenks, Oklahoma. “When communities remove uoride, it’s the kids, the elderly, and the uninsured who su er rst and most.”

Why People Oppose Fluoridation, and Why ey’re Wrong

Opposition to water uoridation is not new. Critics o en raise concerns about “mass medication,” government overreach, potential health risks, or the “toxicity” of uoride. But these claims do not hold up under scienti c scrutiny.

Claim: Fluoride causes cancer or lowers IQ.

Truth: No credible peer-reviewed studies have proven a causal link between uoride at recommended levels and cancer or lowered intelligence. Claims to the contrary o en cite awed or outdated studies that have been refuted by national and international health agencies.

Claim: Fluoride is forced medication.

Truth: Fluoride is a nutrient, not a drug. Like iodized salt or vitamin D in milk, its inclusion in water is intended to prevent disease — not treat it. Courts across the United States have upheld uoridation as a lawful and reasonable public health measure.

Claim: Toothpaste already contains uoride — why add it to water?

Truth: Not everyone uses uoride toothpaste or brushes twice daily. Fluoridated water reaches everyone, regardless of income, age, or dental habits, making it uniquely equitable and e ective.

COVER STORY,

e Bene ts of Community Water Fluoridation

Even in a modern dental era, tooth decay remains the most common chronic disease among children and adults. Fluoride continues to reduce cavities by over 25% across populations, even in communities with widespread toothpaste use.

Other bene ts include:

• Health equity: Fluoridation reduces disparities in oral health by bene ting those with limited access to dental care.

• Cost savings: Lower rates of dental emergencies, llings, and extractions reduce Medicaid and insurance costs.

• School and work attendance: Fewer missed school days and work hours due to dental problems.

• Systemic health improvement: Preventing oral infections helps reduce complications from chronic diseases like diabetes and heart disease.

Without uoride, all of this progress is at risk.

Oklahoma Communities at Fluoridate

Across the state, 271 water systems currently adjust uoride levels. ese include communities of all sizes, from Tulsa and Oklahoma City to smaller municipalities like Ada, Enid, and Durant. Many of these systems have maintained uoridation programs for decades, supported by local health departments and dental professionals.

Yet, in the wake of Governor Stitt’s executive order, some communities may be reconsidering their programs, and legislative action at the state level may emerge next year. e Oklahoma Dental Association is closely tracking any potential changes and working to provide local and state policy makers with accurate information and support.

e Role of the Oklahoma Dental Association

rough legislative advocacy, public education campaigns via social media, and grassroots mobilization, the ODA is ensuring that science—not fear—guides public health policy.

On its uoride web page, the ODA shares fact sheets, videos, and links to research on safety and e ectiveness. Dentists across Oklahoma are encouraged to share this information with their patients, state legislators, and city leaders.

Other state dental associations have successfully helped reverse uoridation bans by providing testimony from local dentists and public health o cials.

In 2026, ODA plans to ramp up its e orts, urging residents to contact the Governor’s o ce, share ODA social media content, and speak out in favor of uoridation.

What’s Next for Oklahoma?

e future of community water uoridation in Oklahoma hangs in the balance. With some top state and national leadership no longer advocating for this vital measure, the responsibility now falls to local citizens, city councils, and public health professionals.

e science is clear. e bene ts are proven. e cost savings are immense.

In the words of U.S. Surgeon General Dr. Vivek Murthy, “Community water uoridation is one of the most practical, cost-e ective, equitable, and safe measures communities can take to prevent tooth decay and improve oral health.”

Oklahoma’s health, especially its children’s health, deserves that protection.

CASE STUDY

Restorative Management of Esthetics and Structural Loss

A 67-year-old male presented with his spouse to the Advanced Education in General Dentistry (AEGD) program at the University of Oklahoma College of Dentistry with the chief complaint: “I want to evaluate my options for my upper le teeth.” His medical history was signi cant for hypertension, managed with losartan potassium 12.5 mg daily, and a history of neck surgery in 2020 that involved the placement of two titanium plates and eight screws.

e patient had previously received a 7-unit bridge (#2-x-x-x-6-7-8) fabricated elsewhere. He was advised to undergo similar bridge treatment on the le side and so he wanted a second opinion through the AEGD program. He expressed an interest in improving both function and esthetics but declined removable prostheses or implant therapy due to personal and nancial considerations.

Comprehensive clinical evaluation revealed generalized attrition, abfraction, and tooth rotation, particularly in the maxillary le quadrant. Radiographic and intraoral ndings, including an FMX and iTero scans, revealed:

• A 7-unit bridge (#2–8) with recurrent caries (patient elected to monitor)

• Esthetic concerns involving teeth #9 and #10

• Severe buccal abfraction on tooth #11

• Buccal-lingual abfraction on tooth #12

A treatment plan was developed that prioritized conservative yet esthetic restorative options. e nalized plan consisted of:

• Minimal-preparation e.max veneers for teeth #9 and #10

• Core build-up and full-coverage zirconia crown on tooth #11

• Extraction of tooth #12 due to a nonrestorable fracture prior to treatment initiation

To aid in visualization and ensure patient satisfaction, a diagnostic wax-up was fabricated following intraoral scanning. e wax-up emphasized symmetry with the existing right-side bridge while addressing the esthetic concerns of rotation and abfraction on the le . Upon patient approval, restorative treatment commenced.

Teeth #9 and #10 were prepared conservatively, with approximately 2 mm incisal reduction and 0.3 mm buccal reduction. Interproximal contacts were preserved. Notably, tooth #10 exhibited 2 mm of gingival recession with cementum exposure. To maintain optimal bond strength, preparation was con ned to enamel, and the recession area was reserved for future composite restoration. Tooth #11 was reinforced with a composite core before crown preparation. A de nitive scan was obtained via iTero, and shade was selected to match the patient’s existing prosthesis. Provisional restorations were fabricated with Integrity composite using a suck-down matrix from the waxup. Temporaries were cemented with Temp-Bond™ for #11 and a combination of owable resin and bonding agent (Scotchbond™) for #9 and #10.

At the delivery appointment, the e.max veneers for teeth #9 and #10 were individually tried in and cemented using

by Tzu Yi (Clement) Hsu, DDS

a protocol of porcelain etch, Ivoclean™, Monobond™, and Panavia Veneer LC™. e corresponding enamel surfaces were etched and treated with bonding agent prior to cementation. Margins were polished and ossed using knotted oss. e zirconia crown for #11 was also delivered at the same appointment. e area of recession on tooth #10 was airabraded and prepared with a retention groove at the cementoenamel junction (CEJ) before being restored with resin composite, completing the esthetic rehabilitation.

is case demonstrates a conservative, esthetic approach to managing abfraction, recession, and alignment concerns in a medically and nancially complex patient. e combination of bonded ceramic veneers and fullcoverage zirconia restoration achieved excellent functional and esthetic results while preserving tooth structure. e patient expressed high satisfaction with the outcome.

ABOUT THE AUTHOR

Dr. Tzu Yi (Clement) Hsu completed his Advanced Education in General Dentistry residency at the University of Oklahoma College of Dentistry. He earned his Doctor of Dental Medicine from Tu s University School of Dental Medicine in 2024 and has a strong interest in comprehensive restorative care. Dr. Hsu will be joining a private practice in Keene, New Hampshire.

Pre-op model of the patient’s dentition

After prep photo

Result at the delivery appointment

n Serving the OKC Metro for 43 years - since 1977

n Your patient’s experience is top priority

n 3D CBCT scanning for improved diagnosis

n Complex endodontic cases welcomed

n Complex and “heroic” teeth salvage

n Build-up and post & core placement available

n Cutting edge instrumentation and disinfection

n Zeiss microscopes used on every case

n Specializing in finding 4+ canals in molars

n Surgical and nonsurgical retreatment

n General anesthesia and oral sedation

We 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.

Dr. Spencer Hinckley and Dr. Percy Bolen

CASE STUDY Severe Attrition Rehabilitation

A 60-year-old male presented to the OU College of Dentistry AEGD clinic with the chief complaint of being unable to smile anymore due to having worn down his teeth. Upon clinical examination, identi ed severe generalized attrition on maxillary and mandibular arches. e patient is symptomatic with moderate to severe pain in his maxillary arch. e patient had a collapsed bite and his ability to chew and speak was compromised.

A er reviewing multiple treatment options, the patient elected to have all

maxillary teeth extracted and restored with a hybrid prosthesis and for the mandibular teeth to be preserved and restored with full coverage crowns. A diagnostic wax-up was initially conducted to restore the patient to proper occlusion and verify aesthetics. Maxillary arch treatment was completed rst due to being symptomatic. Scans and intraoral photos alongside the diagnostic wax-up were utilized to design the maxillary healing prosthesis.

All the maxillary teeth were extracted and six Straumann™ BLT implants with multi-unit abutments were placed at sites #4, #7, #8, #9, #11, and #13. e maxillary healing prosthesis was torqued and delivered at this time. While the maxillary arch was healing, treatment was initiated for the mandibular arch. All existing mandibular teeth were prepared and restored with zirconia crowns to match the aesthetics of the diagnostic waxup. e patient elected to not have the edentulous #22 space restored.

Following the mandibular treatment, healing of the maxillary implants was completed. Multiple scans and images were taken with Express Dental Lab™. An intraoral scan of the patient in his healing prosthesis and with his new mandibular crowns was initially taken. e healing prosthesis was then removed, and the edentulous ridge was scanned. Scanbodies were placed on the maxillary multi-unit abutments, and another scan was captured. Finally, iCam scanbodies were placed on the maxillary-unit abutments and an iCam photogrammetry scan was taken. e photogrammetry scan was essential in accurately capturing and verifying the implant positions for prosthesis fabrication.

Utilizing these scans and photos, a maxillary Polymethyl Methacrylate was fabricated for the patient to try in. Occlusion was checked and adjusted accordingly. e new maxillary prosthesis, in combination with the restored mandibular arch, re-established

by Sriteja Gummadi, DMD

the patient with a proper occlusion. e patient was elated to be able to chew properly again and nally be con dent in his smile. He’s incredibly excited as he awaits the fabrication of his nal maxillary zirconia hybrid prosthesis.

Current Progress

ABOUT THE AUTHOR

Dr. Sriteja Gummadi was raised in Austin, Texas and completed both his undergraduate and dental education at the University of Pittsburgh. He pursued advanced clinical training through a postgraduate residency at the University of Oklahoma and is excited to continue his education at the Pankey Institute. Dr. Gummadi is preparing to join a private practice in the Quad Cities, where he looks forward to building long-term relationships with patients and contributing to the dental community. Known for his a able demeanor and inquisitive spirit, he is committed to continual learning and clinical excellence.

Pre-Op Photos

Our mission is to empower dental practices through tailored, strategic consulting that drives growth, efﬁciency, and long-term success. We specialize in supporting newer practices and emerging dental professionals.

One Size Fits All approach, but rather a custom approach built to suit your unique needs. Whether it’s insurance issues, scheduling, collections, personnel issues, we cater to you and what concerns you most. suit every budget! We offer a Free Planning Process to see how we can help. No pressure, no obligation.

Let’s meet and have a conversation to see if PDC can serve you.

CASE STUDY

Residual Roots as an Anatomical Guide for Implant Placement

by Dorna Akhavain, DDS

Immediate implant placement is a widely practiced procedure, involving the insertion of an implant directly into a freshly extracted socket. When residual root structures, such as the mesial and distal roots, are preserved, they serve as natural guides for osteotomy preparation, ensuring precise implant positioning and minimizing the risk of drill slippage. Once the osteotomy is completed, the remaining root fragments are extracted, and the surrounding socket facilitates bone formation, which enhances osseointegration and contributes to implant success.

In this case, a 79-year-old female patient presented with a fractured molar that had previously undergone root canal treatment. e crown had fractured at the gum line, rendering the tooth non restorable. Immediate implant placement using the Astra Prime Taper™ implant system was

A1 & A2) Pre-op radiograph of the fractured off crown of tooth #19. B) sectioning vertically and separation in between mesial and distal roots C) After osteotomy, checking for center point in between mesial and distal roots D) extractions of the mesial and distal root E) Implant placement in the desired area after removing roots F) Immediately after immediate placement, bone graft and sutured G) 6 weeks post op

planned. e osteotomy was carefully prepared between the mesial and distal roots a er sectioning them at the furcation.

Immediate implant placement has become a routine treatment, particularly following tooth extraction. A er evaluation with Cone Beam Computed Tomography (CBCT), immediate implant placement was selected as the preferred treatment approach. For this case where only the roots remained, the osteotomy was prepared between the mesial and distal roots, while the crown was sectioned in the furcation in cases involving the entire tooth, leading to improved osseointegration.

For this patient, immediate implant placement was planned for tooth #19 (le molar), with a CBCT of the mandible con rming the treatment plan. Based on the CBCT results, a 4.8x8 mm Astra Prime

Taper implant was chosen. e procedure began with administering 2 carpules of 4% articaine with 1:100,000 epinephrine. A er sectioning the mesial and distal roots at the furcation area, drilling started at the center point, followed by the use of a pilot drill and twisted drill. A parallel pin was placed to verify alignment, and an intraoral periapical radiograph was taken. e nal

placement of the 4.8x8 mm implant was successful, and the socket was lled with bone gra material and sutured. e patient was prescribed amoxicillin and a Medrol Dospak™ for post-operative care.

Patient was then scheduled for a 2-week and 6-week recall, periapical radiographs were taken at the appointments, and the patient will be scheduled for her second stage surgery at the 4-month mark if there are no signi cant clinical or radiographic abnormalities and we can move forward with restoring the implant.

ABOUT THE AUTHOR

Dr. Dorna Akhavain was born and raised in Iran and has called Edmond, Oklahoma home since 2010. She earned her Doctor of Dental Surgery degree and completed a one-year Advanced Education in General Dentistry (AEGD)

residency at the University of Oklahoma College of Dentistry. During her residency, she gained advanced training in implant dentistry, surgical extractions, and managing complex restorative cases. She is a dedicated member of the Academy of General Dentistry (AGD), the American Academy of Cosmetic Dentistry (AACD), and the Oklahoma Dental Association (ODA). With a passion for lifelong learning, Dr. Akhavain has pursued advanced continuing education through programs such as the Pankey Institute and the Kois Center, with a focus on comprehensive, patient-centered dentistry.

ODA REWARDS PARTNERS CATALOG

More than 50 Years as ODA’s Preferred & Endorsed Insurance Provider!

We at Alliant Insurance Services are grateful for the ODA members’ support over the last 50 years. We look forward to giving you peace of mind with any of the coverages below:

• Professional Liability (Malprac�ce, Errors & Omissions)

• Commercial Property, Flood, Earthquake

• Business Owners Policy – Property, General Liability, Business Income Package

• General Liability – Standalone

• Cyber Liability and Data Breach Protec�on

• Workers’ Compensa�on

• Business Auto

• Commercial Umbrella

• Directors and Oﬃcers Liability

• Employment Prac�ces Liability

TOURS AND CRUISES

Journeys Of A Lifetim e

Thrill your senses on an inspiring 2025 journey with AHI Travel. Experience en�cing cuisine, stunning landmarks, enriching cultures, welcoming locals and so much more!

All of AHI’s programs feature a strong educa�onal component and the goal of presen�ng worry-free travel experiences that foster a deeper understanding of diverse cultures and natural phenomena by pu�ng travelers in direct touch with local people and cultures.

2025 Dates:

• Dutch Waterways (Apr 1-9)

• Cultural Capitals of Spain: Madrid & Barcelona (Apr 22-May 1)

• Croa�a & the Dalma�on Coast (Apr 25-May 6)

• Normandy ~ France (May 24-June 1)

• The Charm of the Amalﬁ Coast (June 25-July 3)

• Wonders of Peru (Aug 23-Sept 3)

• Cruise the Rhine & Moselle Rivers (Aug 25-Sept 2)

• Switzerland's Alpine Majesty (Aug 27-Sept 5)

• Coastal Gems of the Emerald Isle (Aug 31-Sept 12)

• Pleasures of Provence (Sept 9-17)

• Health, Dental, Vision Insurance – Group and Individual

• Life, Disability, Business Overhead Expense, Long Term Care

• Home and Auto – Earthquake, Flood, RV, Boat, Motorcycle

• Personal Umbrella

• Istanbul & the Turquoise Coast (Sept 10-20)

• Journey to Southern Africa (Sept 14-29)

• Grand Danube Passage (Oct 6-20)

• Malta & Sicily (Oct 16-26)

• Chilean Wonders ~ Lake District & Patagonia (Oct 27-Nov 7)

• Legends of the Nile (Dec 9-20)

With over 50 years of experience, AHI Travel is proud to have become one of the leading group travel companies in the world by establishing a reputa�on for excellence in service, quality and value.

DEBT COLLECTION SERVICES

A Collection Agency That Keeps Your Practice Healthy

If your pa�ents are en�tled to full recovery...aren’t you? If you’re a prac�ce looking for a collec�on agency that understand your needs and the delicate nature of collec�ons, then look no further than American Proﬁt Recovery.

We are eﬀec�ve in resolving debt issues for any size prac�ce. There is a ﬁne line between care and collec�ons and we understand how sensi�ve the rela�onship is between doctor and pa�ent.

Our consultants provide insight and tailored solu�ons u�lizing our popular low cost aﬀordable collec�on system. Our diploma�c approach is designed to collect and keep pa�ents coming back to your prac�ce. All of this is managed via our custom web portal allowing 24/7 account updates and management!

Protect Your Practice from Cyber Risk

We’ve got your back to protect your cri�cal pa�ent data, network infrastructure, and the hard-earned reputa�on of the prac�ce you have built over the years. Cybersecurity is a vital service, no longer just a “nice to have” but a “MUST HAVE” for your peace of mind.

For nearly a decade, Black Talon Security has specialized in providing advanced cybersecurity solu�ons tailored speciﬁcally for dental prac�ces. With an impressive track record of securing over 50,000 devices in the industry, we work closely with your IT resources to for�fy your network against poten�al ransomware a�acks and data breaches.

Our mul�-layered oﬀense and defense strategies include:

• EAGLEi – Designed and engineered by Black Talon to provide a clear picture of the current state of your security risks

• Black Talon Academy – Cybersecurity Awareness Training modules, paired with simulated phishing campaigns to educate staﬀ and help mi�gate the chance of a social engineering a�ack against your prac�ce

• Real-Time Vulnerability Management – Computers are scanned 6x per day to ﬁnd vulnerabili�es hackers will use to gain access

• Daily Firewall Scanning – Determines suscep�bility to a cybera�ack or exploita�on

• Threat Hun�ng – Our security engineers proac�vely search for threats lurking in your network

• Email Security – Protect against malicious emails and prevent account takeovers

• Penetra�on Tes�ng – Biannual tests by ethical hackers to breach your network

PAYMENT PROCESSING

Payment Solutions for Your Practice Built for Dental.

Backed by Saving.

Save an average of $6,671 or 28% annually with ODA – Endorsed Payment Processor Best Card –built for den�st.

Whether you’re collec�ng co-pays or managing balances, BCPay makes it easy with tools designed for dental prac�ces:

• Website payments + QR Codes

• Test-to-Pay links

• Automa�c-Pos�ng with many dental so�ware systems

• Recurring payments + card vault

• Detailed repor�ng with no inac�vity �meouts

You’ll also get unmatched support from our small, responsive U.S.-based team that den�sts love working with.

Interested in passing on credit card fees? Best Card oﬀers state compliant surcharging solu�ons as well.

Financing Simpliﬁed

Adding CareCredit as a payment op�on is easy to do, then just two simple steps may help pa�ents get care.

Step 1

Simply let pa�ents know you accept the CareCredit credit card and provide them with your custom link, available as a:

• QR code

• custom URL to text* or email

• website banner or bu�on

Step 2

Encourage pa�ents to scan the QR code or click your custom link to:

• learn about CareCredit

• see if they prequalify (with no impact to their credit bureau score)

• apply privately

It’s ﬁnancing simpliﬁed.

Ready to enroll? Call 800.300.3046 (op�on 5) or visit carecredit.com/dental.

Already accept CareCredit? Get connected to free resources by calling your Prac�ce Development Team at 800-859-9975, op�on 1, then 6. 800.300.3046, Option 5 carecredit.com/dental

On Demand Or In-Person

Fitness Options To Get You Moving

Class Pass is the world’s largest fitness membership, bringing the world’s best fitness classes, gym �me and wellness experiences to your finger�ps in a way that is more fully customizable and flexible than any single gym membership.

• Get free, unlimited access to over 20,000

• on-demand audio and video workouts including strength, cardio, stretching, medita�on and more

• Receive a 15% discount on credit packages that can be applied to in-person classes at top studios and gyms across the country

• Credits can also be used for wellness experiences including massages, facials, manicures, and more

• Search for the network in your area or review

• on-demand oﬀerings at classpass.com

To get started, visit ADA.org/ClassPass and sign up using “Company Code,” ADACP.

Available ADA Member plans include:

$0 per month for free digital programs

$20 for 10 credits

$42 for 23 credits

$67 for 38 credits

$136 for 80 credits

ADA.org/ClassPass

Compliance Dentists Can Trust: HIPAA and OSHA Built for You

Need help mee�ng your HIPAA and OSHA requirements? Compliancy Group’s so�ware provides you with materials to fulfill your compliance requirements effec�vely. Protect your prac�ce while giving your employees the confidence to do their job safely.

• Simpliﬁed— Instruc�ons, recommended processes, and templates.

• Automated— Training and audits that fulﬁll your compliance requirements.

• Guided— Get guidance on how to use the so�ware and templated material.

ODA Members Save 15% on Compliance So�ware Don’t let compliance overwhelm you. Simplify compliance today!

Contact Director of Dental Rela�ons, Kelly Koch to learn more.

855-854-4722 ext 514 or visit compliancy-group.com/ada

855.854.4722 ext 514 compliancy-group.com/ada

Be Compliant With The Section 1557 Regulation

CyraCom provides phone and video interpreta�on, enabling den�sts to communicate with their non-English-speaking pa�ents in seconds. CyraCom services are fully compliant with Sec�on 1557 of the Aﬀordable Care Act.

CyraCom supports hundreds of languages, including ASL. Employee interpreters complete extensive training where they learn medical terminology, anatomy & physiology, and other topics essen�al for healthcare-related calls.

CyraCom provides dental oﬃces:

• Easy online sign-up with no startup costs or minimum fees

• Compliance with Sec�on 1557 language service requirements

• Access to qualiﬁed interpreters in hundreds of languages through phones, laptops, or even an interpreta�on app

ODA members receive preferred pricing oﬀ of interpreta�on services. There’s also no minimums and no set-up fees!

Take your practice to the next level with DentalHQ

At DentalHQ, we empower dental prac�ces by providing a membership pla�orm that caters to insured and uninsured pa�ents, ensuring everyone has access to quality oral health care.

We help prac�ce owners achieve consistent, reliable revenue with our Guaranteed Plan Payments, transforming the financial stability of your prac�ce. For office managers, DentalHQ streamlines opera�ons, making it easier to provide top-notch care. And, most importantly, your pa�ents get to enjoy hassle-free, affordable dental care, enhancing their overall experience. We help you help your pa�ents, and that's what ma�ers most.

Ready to elevate your prac�ce? Set up a demo with us to see how we can get you started: h�ps://www.dentalhq. com/demo. It's �me to take your prac�ce to the next level. DentalHQ can get you there.

AN AFFORDABLE E-CLAIM OPTION

Tired of Paying the Na�onal Average of 50 Cents per Claim?

With EC&EC (E-Claims & Eligibility Connect), ODA Members pay just 25 cents per claim! Our E-Claims so�ware is an interface with most prac�ce management systems. There is no set up fee, no monthly fee for claims and no �meframe commitment! You’ll have easy access to daily reports and claims tracking with one of the largest clearinghouses. Call 866-EClaims today to get started or request our FREE 60 day demo of unlimited E-Claims. Tech support/training is included.

Op�onal: Claim A�achments and Pa�ent Eligibility are available for $25 a month/per op�on. We can provide a remote service for Aging Claims FollowUp! Rather than charging a percentage of the claim like most billing companies, we have a ﬂat rate per hour with no contract commitment. This means addi�onal savings for your prac�ce?

866.EClaims

1866EClaims.com

APPLIANCES

Save With Members-Only Access To The GE Appliances Store

EVERYDAY SAVINGS

• Access to members-only savings on select GE appliances

• Exclusive savings with promo�onal and rebate oﬀers

• Financing available

• Convenient in-home delivery, installa�on and haul-away services oﬀered

EXCLUSIVE PROMOTIONS

Sign up for the GE Appliances Store e-newsle�er and be the first to know about limited-�me offers and rebates. In addi�on, special promo�onal financing is also available.

TOP BRANDS

Find great deals on the latest Proﬁle™, Cafe™, GE®, Monogram® Haier, and Hotpoint® appliances.

ODA members can refer staﬀ, family and friends once you have set up an account and are in the site. Visit ADA.org/GE to get your authoriza�on code to set up an account and start shopping.

EXCLUSIVE BONUS FOR ODA MEMBERS

Earn an extra $50 when you reﬁne with Garﬁeld!

Garfield Refining is proud to be the Oklahoma Dental Associa�on’s preferred refining partner! ODA members get a $50 bonus when refining with us. Use promo code ODA-25 to qualify.*

Established in 1892, Garﬁeld gets den�sts the most for their gold, silver, pla�num, and palladium dental scrap. We’ve been voted North America’s “Best Dental Reﬁner” for 14 years straight thanks to our high payments and unmatched service.

Perks of reﬁning with Garﬁeld:

EMERGENCY MEDICAL KITS

• Highest Payments - We oﬀer the industry’s highest payments through in-house reﬁning and maximum metal recovery.

• Experts in Reﬁning and Assaying – with over 130 years of experience, our process delivers high metal yields shown in your repor�ng and payments.

• Superior Service – A dedicated account specialist will keep you informed every step of the way.

• Free In-Office Service – Garfield offers FREE door-todoor service. Call today to schedule a pickup!

See why we’re trusted by over a million clients worldwide –get started today!

*This offer is only available for dental material. Dental scrap value must exceed $350. Client must self-iden�fy as an ODA member using promo code ODA-25. Cannot be combined with any other offers. Limit 1 per customer. Offer expires 12/31/2025.

Keeping You Up To Date & Ready For

Medical Emergencies

You can trust HealthFirst emergency medical kits to help keep your prac�ce compliant and ready for unexpected emergencies. Over 40,000 dental oﬃces already rely on HealthFirst, the leader in emergency preparedness for over 40 years. Their kits meet today’s standard of care and help your prac�ce comply with state regula�ons.

Take advantage of enhanced beneﬁts by purchasing your emergency medical kit through HealthFirst’s Prac�ce Partner Program. A ﬂat annual fee covers all medica�on replenishments throughout the year, online CE training, and more.

HealthFirst representa�ves will review an emergency preparedness checklist with you when you call for a FREE consulta�on on emergency preparedness. Find the right ﬁt for your prac�ce from a range of kits like the SM Series for general den�sts or the Mobile ACLS for oral surgeons.

• ODA members save 10% on kits and AEDs, and can access exclusive deals

• Oxygen, and other safety devices are available

• Don’t worry about expira�on dates – HealthFirst will track and replenish meds for you

• Medica�ons can be replenished with single units and low-cost alterna�ves

Plan

Details you Need Without Staff on Carrier Websites

• Complete insurance verifica�on, streamlines front office efficiency & helps manage your insurance verifica�on process

• IAPlus has 130+ detailed beneﬁt limita�ons per plan, regardless of the carrier; automa�c daily plan updates

• Thousands of local & na�onal employer’s plans, ACA, Medicaid/Medicare, and individual dental policies included

• ‘Real Time’ pa�ent eligibility feature included for a conﬁrma�on of coverage in seconds on most major carriers

• 24/7 access on all computers, staﬀ support & training, no contract/�me frame commitment

• We’ll ﬁght/appeal any claim processed diﬀerent than indicated; there’s less than a 1% error rate

• Requests accepted for addi�onal plans to be researched/ added to the program-IAPlus guidelines apply

QUALITY APPAREL WITH PRACTICE LOGO

• 35 years in the insurance veriﬁca�on industry; our program is endorsed by the Oklahoma Dental Associa�on

• Discounted license for ODA Members - Start for $295 per oﬃce (not $595); Regular monthly subscrip�on applies.

Demos available via GoToMee�ng. Call to schedule one for your front oﬃce team-takes 20-30 minutes. Addi�onal Add-On Op�ons: Veriﬁca�on of past history for new pa�ents, remote help with aging claims or recall/scheduling appts.

Always Save 10% With Lands’ End

Lands’ End provides team apparel that meets some of the highest quality standards in the industry, as well as hundreds of customized products that help your prac�ce stand out in the marketplace.

ODA members qualify for an automa�c program discount of 10% oﬀ logos, promo�onal products and Lands’ End labeled products.

Lands’ End creates products that help brands succeed and works �relessly to sa�sfy the needs of their business customers and their employees.

Lands’ End helps your brand succeed with quality business and uniform apparel, legendary service and real value.

WHY LANDS’ END

• NO MINIMUMS, NO INVENTORY: Need 1 or 1,000? Not a problem. They maintain the inventory so you have less risk – and no investment up front.

• ON-DEMAND EMBROIDERY: Their expert designers accurately reproduce your logo with state-of-the-art technology. Feature your logo on polos, sweaters, hats and more!

• PROGRAM MANAGEMENT: Theirs is a turnkey experience, convenient for your employees and easy for you. They manage the program, so you don’t have to. Calls are answered fast, by real people.

• INNOVATIVE ONLINE SHOPPING: They can customize an e-store for you that exclusively features your apparel assortment and your choice of logos.

• LANDS’ END FITS EVERY BODY: With sizes from XXL to 5XL, Big and Tall, Plus, Maternity, and Adap�ve Clothing. And if they don’t carry the size you need, ask them about a custom order.

STUDENT LOAN REFINANCING

Reﬁnance Your Student Loans And Save Thousands

Join thousands of den�sts that have taken control of their student loan debt by reﬁnancing through Laurel Road. Highlights of the Laurel Road Student Loan Reﬁnance program include:

• An exclusive 0.25% rate reduc�on1 on loans for ODA Members

• No applica�on or origina�on fees, and no payment penal�es

• Flexible repayment op�ons for residents during training

• Concierge-level customer service from dedicated representa�ves

• Check rates in 5 minutes – no hard credit pull required2

855.277.6771

Laurelroad.com/ada

MORTGAGE LENDING

Laurel Road Offers Savings To ODA Members Looking To Purchase A New Home Or Reﬁnance

1The 0.25% American Dental Associa�on (ADA) member rate discount is offered for applica�ons from (ADA) members in good standing. The rate discount will end if (ADA) no�fies Laurel Road that borrower is no longer in good standing. Offer cannot be combined with other offers, including the Referral Program.

2Checking your rate with Laurel Road only requires a so� credit pull, which will not aﬀect your credit score. To proceed with an applica�on, a hard credit pull will be required, which may aﬀect your credit score.

An Existing Mortgage

Laurel Road oﬀers savings to ODA Members looking to purchase a new home or reﬁnance an exis�ng mortgage.

Open the door to a new home with a Laurel Road Mortgage. Laurel Road’s digital mortgage solu�on was designed with den�sts in mind – oﬀering a streamlined approval process, compe��ve low rates, and special ﬁnancing op�ons.

Mortgage Beneﬁts Include:

• Special savings with a 0.25% rate discount as a ODA member1

• Save up to $650 on your closing costs2

• Up to 100% ﬁnancing3

• No monthly mortgage insurance payments (PMI)4

• Human support when you need it

NOTICE: This is not a commitment to lend or extend credit. Condi�ons and restric�ons may apply. All credit products are subject to credit approval. Mortgage products are also subject to collateral approval. Mortgage products are available in all 50 U.S. states and Washington, D.C. Hazard insurance and, if applicable, ﬂood insurance are required on collateral property. Actual rates, fees, and terms are based on those oﬀered as of the date of applica�on and are subject to change without no�ce.

1The rate discount of 0.25% is oﬀered to borrowers that are an ac�ve ADA member at the �me of closing. This 0.25% interest rate discount cannot be combined with other oﬀers, except the Rewards Program.

For Fixed-rate mortgages, the 0.25% rate discount is a permanent interest rate reduc- �on that will be reﬂected in the Promissory Note interest rate. For adjustable-rate mortgages, the 0.25% rate discount will apply to the ini�al Fixed interest rate period and will be reﬂected in the maximum amount the interest rate can increase over the term of the loan, subject to the minimum interest rate that may be charged per the terms of the Promissory Note.

2Laurel Road oﬀers up to $650 in lender’s credit towards your mortgage closing costs.

Credits cannot exceed borrowers actual costs to close. For more informa�on refer to the Rewards Program below. h�p://www.laurelroad.com/partnerships/ada/#Dis- claimers

3100% ﬁnancing is only available to interns, residents, fellows, doctors, den�sts, clinical professors, researchers, or managing physicians with a current license and a degree of Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), Doctor of Podiatric Medicine (DPM), Doctor of Dental Surgery (DDS), or Doctor of Dental Medicine (DMD). Only available when purchasing or reﬁnancing with no cash out on a primary residence and loan amount does not exceed $1,000,000. Re�red den�sts are not eligible. Addi�onal condi�ons and restric�ons may apply.

4Only available to interns, residents, fellows, doctors, clinical professors, researchers, or managing physicians with a current license and a degree of Doctor of Medicine in Den�stry or Doctor of Dental Medicine (DMD), Doctor of Dental Surgery (DDS). Re�red den�sts are not eligible. Addi�onal condi�ons and restric�ons apply.

Laurel Road is a brand of KeyBank Na�onal Associa�on. All products oﬀered by Key- Bank N.A. Member FDIC. NMLS # 399797. Equal Housing Lender. © 2022 KeyCorp® All Rights Reserved. Laurel Road is a federally registered service mark of KeyCorp.

Save Up To 30% On Computers & Technology

ODA members are eligible to save up to 30% oﬀ the everyday public web price of Lenovo’s en�re product line. Take advantage of great deals on everything you need for your oﬃce and home, including all laptops, tablets, desktops, all-in-ones, worksta�ons, servers, and accessories. This includes savings on top products, such as the award-winning ThinkPad laptops and innova�ve YOGA tablets.

ODA members also receive free ground shipping on all web orders, monthly limited�me special offers, access to energy-efficient green technologies, and award-winning service and support. Experience the Lenovo difference! For more informa�on and easy ordering, call 1.800.426.7235 or visit ada.org/lenovo. Be sure to check the website o�en - special offers change frequently!

Trusted. Reliable. Secure.

For the past 11 years, Medical Waste Services has been providing services to Oklahoma and neighboring states for their bio-hazard waste disposal needs. For a number of those years we have been blessed to work with the Oklahoma Dental Associa�on by becoming a Rewards Vendor.

As a Rewards Vendor we have established special discounted pricing for ODA members. We oﬀer numerous pickup schedules that will certainly ﬁt your needs.

Our services include cradle-to-grave bio-hazard waste disposal, ECO-Shred Secure Document Destruc�on, and OSHA compliance training. Just men�on you are an ODA member to take advantage of our discounts and start saving today!

Members Savings Start at $5001 On A New Mercedes-Benz

The vehicles are all-electric. The quality is allencompassing. The cra�smanship, intelligence and performance that you expect from a MercedesBenz vehicle is exactly what you get with the EQ lineup. Mercedes-Benz con�nues its long legacy of excellence and pushes the level of commitment even further. Learn how ODA Members can enjoy savings star�ng at $5001 towards the purchase or lease of a new 2023 or 2024 Mercedes-Benz, including the EQ lineup.

1Fleet incen�ves available only for qualified customers on certain MY23 and MY24 Mercedes-Benz models. Incen�ve amounts are subject to change on a monthly basis and should be confirmed with your dealer at the �me of transac�on. Amount of actual savings may vary depending on model selected. Offer expires December 31, 2023.

ODA SUPPLY SOURCE oﬀers:

• FDA approved PPE products

• Only products from direct manufacturers or authorized distributors

• More than 65,000 products from more than 500 brands (most available through dealers)

• No gray market, expired or counterfeit items

• FREE ground shipping on any order, regardless of size

To Order:

Order your discounted supplies through ODASupplySource.com, or via email, phone or fax. Your ADA membership number is required. Don’t know it? Call the ODA membership department at 800.876.8890.

To Contact:

Contact customer support Monday - Friday from 8:00 a.m. to 7:00 p.m.

Call: 877.659.7310

Email: support@ODASupplySource.com

Banking Built for Doctors

Accelerate your prac�ce through specialized credit structures, compe��ve pricing, and experienced advice as you start, build, and grow your prac�ce with ADA member-exclusive discounts from Panacea Financial.

0.25% interest rate discount and $0 origina�on fees

• Acquire or start a dental prac�ce

• Become a partner in an exis�ng prac�ce

• Expand your prac�ce or conduct a remodel

• Secure working capital or a line of credit

• Reﬁnance or consolidate your prac�ce’s exis�ng debt

Find prac�ce ﬁnancing �ps, ar�cles and other helpful resources at panaceaﬁnancial.com/ada.

Fast, Simple, Secure Encrypted Email For Dentists

It’s �me to join the thousands of prac�ces who’ve already discovered the power and simplicity of PBHS SecureMail – the easiest way to share PHI (protected health informa�on) between pa�ents and providers. Seamlessly transmit and store messages, documents and radiographs and help your prac�ce avoid a costly data breach with military-grade encryp�on from start to recep�on.

Your member account is pre-cer�ﬁed and setup. Account ini�a�on is as easy as entering your ODA Membership ID number, verifying your prac�ce, and crea�ng your ﬁrst secure email.

• Easily achieve HIPAA data privacy compliance

• No so�ware to install, conﬁgure or maintain

• Works on any device

• Mul�-doctor collabora�on

• Just $10/month per oﬃce account!

“Our oﬃce saves thousands of hours a year by streamlining communica�ons via PBHS. Not to men�on all of our communica�ons are secure. We are elimina�ng liability not only for our prac�ce, but for our colleagues as well. Over half of the prac�ces I work with interact with SecureMail on a weekly basis!” – Dr. A.A., Walnut Creek, CA

Even use the op�onal Outlook Plug-in to send and receive messages directly through MS Outlook on your PC. Your treatment le�ers and private communica�ons delivered from your prac�ce so�ware to Outlook and your radiographs delivered from your digital imaging system to Outlook are all completely encrypted.

PBHS SecureMail starts at $10 per month with op�ons to add robust case collabora�on. ODA members are pre-registered. Just sign in with your ADA ID number and get started today.

WEBSITE DESIGN AND DIGITAL MARKETING

No ma�er if you’re just star�ng your prac�ce, focused on ﬁlling your schedule, expansion and growth, or working on improving pa�ent communica�on, ProSites has a solu�on for you.

Whether you’re looking for:

• A beau�fully designed, func�onal website that’s easily found on search engines,

• An automated pa�ent communica�ons solu�on that decreases your cancella�ons and noshows, or

• An online pa�ent reviews pla�orm to capture those happy pa�ent experiences

…We’ve got you covered.

We’re your one-stop-shop for all things websites, digital marke�ng, and pa�ent communica�ons.

ODA members save up to 70% on ProSites solutions.

BRANDED DRINKWARE

Refresh Your Routine

Explore SimpleModern's latest drinkware available for customiza�on, where style meets func�on. Whether it’s a sleek tumbler or a cozy mug, each piece is cra�ed to enhance every sip.

As an ODA member, you will receive 15% oﬀ your order with code ODA15. So go ahead and treat your staﬀ to a new tumbler to rep your brand!

Scrubs, Shoes, Stethoscopes & More!

The Uniform Shoppe is locally owned, doing business for 60 years. Since 1962 we have con�nued to oﬀer top-notch service, customer sa�sfac�on and quality apparel at aﬀordable prices. We can help you design a special uniform program in your choice of colors and styles. Select from scrubs, shoes, colorfully decorated socks, stethoscopes and all kinds of fun medical accessories.

We are pleased to oﬀer a 15% discount to ODA members. Come into our stores in Oklahoma City and Tulsa or shop our website and let us give you the royal service that you deserve.

Now oﬀering curbside pickup - Just ask!

Threadfellows is proud to oﬀer a curated collec�on of gear ranging from jacket sand water bo�les to scrubs and ﬂeece; all chosen to elevate your brand.

• Gear up your staﬀ, give referral gi�s, or rep your prac�ce around town

• Brands include Patagonia, Cotopaxi, Nike, Travis Mathew, Fjallraven, Gap, The North Face, Vineyard Vines, Under Armor, Adidas, Columbia, and more

• Enhance your brans with ease from product selec�on to logo set-up

OKC Loca�on 10503 N. May OKC, OK 73120 405.755.6600

Tulsa Loca�on 6044 S. Sheridan Tulsa, OK 74145 918.494.7692

The Threadfellows experience is one of simplicity. Shop the site, pick your gear, upload your logo, and check out – they take care of the rest!

Want help ﬁnding exactly what you need?

We can put you in touch with your own personal Threadfellow to walk you through the process and answer any ques�ons you may have. Call any�me!

SPECIAL SERVICES AND SHIPPING DISCOUNTS

Members Save Up To 50% Every Time You Ship

ODA members now have access to new ﬂat discounts – no ma�er how much you ship, when you ship, or where it’s going. UPS can provide the reliability, scalability and security that your dental prac�ce needs, so you can focus on what’s most important – your pa�ents.

Members-Only Savings Include:

• 10%* on UPS Next Day Air® Early

• 50% on Domes�c Next Day / Deferred

• 30% on Ground Commercial / Residen�al

• Interna�onal: 50% on Export / 40% on Import / 25% Canada Standard

• In addi�on, members can take advantage of UPS Smart Pickup® service for free

Open a new account, or if you are already taking advantage of our UPS savings program, re-enroll and apply the new discounts to your exis�ng account by visi�ng: savewithups.com/ada or calling 1.800.

MEMBERS (636.2377)

*Visit savewithups.com/ada for speciﬁc services and discounts.

The ADA® Business Rewards

® Signature Card

The ADA® Visa® Business Rewards Card has the perks of a business card designed with ODA member den�sts in mind.

• Earn up to 50,000 Bonus Points in the ﬁrst year!¹

• Earn valuable points on your biggest expenses—5X POINTS on dues payments with ODA and on ADA purchases,² 2X POINTS at dental supply providers³ like Benco, Schein, Pa�erson, TDSC and more, and 1X POINT everywhere else Visa is accepted.4

• No Annual Fee and No Foreign Transac�on Fees

• Complimentary employee cards with spending control

• Redeem points for your choice of rewards—Award travel on 150+ airlines with no blackout dates, hotel stays and travel packages, plus gi� cards and cash back in the form of a statement credit

We may change APRs, fees and other Account Terms in the future based on your experience with U.S. Bank Na�onal Associa�on and its affiliates as provided under the Cardmember Agreement and applicable law. Rewards points are earned on eligible net purchases. Net purchases are purchases minus credits and returns. Accounts must be open and in good standing to earn and redeem rewards and benefits. Not all transac�ons are eligible to earn rewards, such as Advances, Balance Transfers, and Convenience Checks. Purchases qualify for Points based on how merchants choose to classify their business and we reserve the right to determine which purchases qualify. See your Cardmember Agreement for details. Points will expire five years from the end of the calendar quarter in which they were earned.

1. Earn up to an addi�onal 50,000 bonus points in the first 365 days a�er account opening. Accounts will earn 1 bonus point in addi�on to the standard amount earned for each $1 of eligible net purchases, up to 50,000 bonus points. Addi�onal bonus points are only earned on purchases made using the Authorized Officer’s Card. The Authorized Officer’s Card is the card assigned to the ini�al applicant of the Account and would not include cards used by authorized employees. These bonus points will be awarded on your monthly billing statement. This offer may not be combined with any other bonus offer.

2. You will earn four 4 addi�onal Points above base earn (for a total of 5 points) for every $1 in eligible Net Purchases. In order to qualify for the 4 addi�onal points on ADA purchases, the purchases must be from designated ADA Member Advantage endorsed providers, as determined by the provider. Some restric�ons apply.

3. U.S. Bank cannot control how merchants choose to classify their business and reserves the right to determine which purchases qualify.

4. Reward points are earned with your ADA Visa credit card. Refer to your Program Rules at adavisa.com/ faqs for addi�onal informa�on. Some restric�ons apply.

Exclusive Member Offer from Volvo

Volvo is proud to offer Oklahoma Dental Associa�on members $1,000* off the purchase or lease of any vehicle. Commi�ed to becoming a fully electric car company by 2030, Volvo is one of the world’s premier automo�ve brands and a leader in safety and sustainability. Take $1,000* off any vehicle, including:

• Pure electric, plug-in hybrid or mild hybrid Volvos

• Cer�ﬁed by Volvo pre-owned vehicle purchases

• Overseas Delivery purchases

• This oﬀer is combinable with other Volvo oﬀers

To access your discount you must sign up to receive a pin number. Members will need to have their member number handy in order to log in and request a pin number that is then presented to the dealer. Members are allowed two pin numbers per year, as well as three more to share with family and friends.

On-Hold Media, Digital Video & Overhead Music

Wai�ng �me is the perfect �me to connect with your pa�ents using on-hold messaging and lobby video from Works24. Custom onhold messages help you cross-sell addi�onal services. Flat-screen TVs in your lobby or exam area display professional video clips of your latest promo�ons, as well as news, weather and more. The best part? You can change all of it with our easy online system within minutes.

Call today - you’ll be amazed by how easy it is!

CLASSIFIEDS

PRACTICE FOR SALE

Tulsa, Oklahoma

Single doctor practice for sale in good location in Tulsa. 3.75 days per week, collecting approximately 1.3 ml per year on less than 50% overhead. So dent so ware, digital radiographs, one complete new dental op equip, new digital pan that can be upgraded to 3D, Nomad xray units, IO cameras, 6ops. Great long term coheseve pt. focused sta create a fun and enjoyable environment. Refer most speciality procedures including implant placements. Take 4 to 5 weeks vacation/yr. Doctor retiring. Call (918)698-4258 for more information.

PRACTICE FOR SALE

Oklahoma City, Oklahoma

General Practice for Sale: Great location by I-240 / Tinker, Boeing, Northrop Grumman, South Mercy hospital. Room for 4 ops, lease building, 1500 sq . Current Dr. can stay at least 1 year. Better than new. Call 405-650-0945

PRACTICE FOR SALE

North Texas

OFFICE FOR LEASE

Edmond, Oklahoma

Dental O ce for Lease in West Edmond/NW Oklahoma City. Busy Intersection with 800 new homes within a mile. e O ce has 3 Operatories, specialized plumbing, cabinets, Lab Area, Reception Area. Ready for immediate opening. Call 1-405-850-0532 for more information or a showing.

North Texas is a hub of economic growth, strong communities, and a high quality of life, o ering the perfect blend of opportunity and accessibility. is well-established oral surgery practice, located between Oklahoma City and Dallas, has been serving the community for 20 years. e doctor is now seeking a successor to take over the thriving practice while they transition into retirement. Equipped with three surgical suites and two consult rooms, the practice is designed for e ciency and patient comfort.

With nearly 500 new patients seen in 2024 – averaging 40 per month – growth potential is substantial, even with minimal advertising. e real estate is available for purchase, providing an opportunity to secure long-term sta-bility. With nearly $600,000 in seller’s discretionary earnings, this is an outstanding opportunity for an oral sur-geon looking for a turnkey practice in North Texas.

North Texas OMS practice highlights:

• 3 surgical suites and 2 consult rooms

• Collections of $1.117 million

• SDE of $600,000

• Real estate available

• 40 new patients/month

ADVERTISE WITH ODA

Interested in learning more about this OMS practice in North Texas? Contact Professional Transition Strategies to learn more – email Bailey Jones: bailey@ professionaltransition.com or call: 719.694.8320. Reference #TX30625. We look forward to speaking with you!

ODA Journal: Fall 2025

ADVERTISERS

CONTENTS

EDITORIAL

STATE ASSOCIATION

LEGISLATIVE LOOP

COVER STORY

CLINICAL

FEATURES

CLASSIFIEDS

CALENDAR

SAVE THE DATE

Making the Most of Your ODA Rewards Program

Malpractice insurance that’s all about you.

STATE ASSOCIATION NEWS

ADA President Dr. Brett Kessler visits Oklahoma for OU College of Dentistry's White Coat Ceremony

STATE ASSOCIATION NEWS,

STATE ASSOCIATION NEWS,

BEYOND THE ARCH

The Silent 7: Early Diagnoses Hiding in Plain Sight

Spotting Underrecognized Symptoms for Life-Changing Intervention

ABOUT THE AUTHOR

AUTOIMMUNE

ENDOCRINE

yroid Disease

BEYOND THE ARCH,

GASTROINTESTINAL (GI)

NUTRITIONAL

CONCLUSION

BEYOND THE ARCH,

REFERENCES

LEGISLATIVE LOOP

Summary of Oklahoma SB 669

ADA urges HHS to reduce dental regulations that burden providers

STATE ASSOCIATION NEWS

Actions of the ODA Board of Trustees

STATE ASSOCIATION NEWS

August

Electronic Vote

Welcome ODA's Newest Team Member

The Fight for Fluoride: Preserving Community Water

Fluoridation in Oklahoma

How

e Cost of Fluoridation vs. the Cost of Tooth Decay

Why People Oppose Fluoridation, and Why ey’re Wrong

COVER STORY,

CASE STUDY

Restorative Management of Esthetics and Structural Loss

ABOUT THE AUTHOR

CASE STUDY Severe Attrition Rehabilitation

ABOUT THE AUTHOR

CASE STUDY

Residual Roots as an Anatomical Guide for Implant Placement

ABOUT THE AUTHOR

ODA REWARDS PARTNERS CATALOG

More than 50 Years as ODA’s Preferred & Endorsed Insurance Provider!

TOURS AND CRUISES

Journeys Of A Lifetim e

DEBT COLLECTION SERVICES

A Collection Agency That Keeps Your Practice Healthy

Protect Your Practice from Cyber Risk

PAYMENT PROCESSING

Payment Solutions for Your Practice Built for Dental.

Backed by Saving.

Financing Simpliﬁed

On Demand Or In-Person

Fitness Options To Get You Moving

Compliance Dentists Can Trust: HIPAA and OSHA Built for You

Be Compliant With The Section 1557 Regulation

Take your practice to the next level with DentalHQ

AN AFFORDABLE E-CLAIM OPTION

APPLIANCES

Save With Members-Only Access To The GE Appliances Store

EVERYDAY SAVINGS

EXCLUSIVE PROMOTIONS

TOP BRANDS

EXCLUSIVE BONUS FOR ODA MEMBERS

EMERGENCY MEDICAL KITS

Keeping You Up To Date & Ready For

Medical Emergencies