ODA Journal: Fall 2025

Fall 2025 | Vol. 116, No. 3

The Fight for Fluoride How Oklahoma dentists are promoting the benefits of community water fluoridation. page 19

ODA Rewards Partner Catalog inside! page 29

www.okda.org

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journal | Fall 2025

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

CONTENTS

Oklahoma Dental Association

Fall 2025 | Vol. 116, No. 3

EDITORIAL 5

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 17 Actions of the ODA Board of Trustees 17 ODA's Newest Team Member 2 6 Welcome New Members 4 7

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Editorial: Making the Most of Your ODA Rewards Program

LEGISLATIVE LOOP

1 5 Summary of Oklahoma SB 669 1 6 ADA Urges HHS to Reduce Dental Regulations

that Burden Providers

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.

COVER STORY 1 9 The Fight for Fluoride: Preserving Community Water Fluoridation in Oklahoma

CLINICAL

7

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

2 3 Case Study: Restorative Management of Esthetics and Structural Loss

by Tzu Yi (Clement) Hsu, DDS

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

25 Case Study: Severe Attrition Rehabilitation

by Sriteja Gummadi, DMD

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

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

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

FEATURES

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.

1 2 The Silent 7: Early Diagnoses Hiding in Plain Sight

by Stacy Sigler, RDH

2 8 Rewards Partners List

19

Cover Story: The Fight for Fluoride

2 9 Rewards Partners Catalog

CLASSIFIEDS 47 Classifed Ads

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

Email editor@okda.org with story ideas.

Copyright © 2025 Oklahoma Dental Association.

Is Your Information Correct?

Silent 7: Early Diagnoses Hiding 1 2 The in Plain Sight

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.

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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 Office Manager Appreciation Month & National Gum Care Month

September 26 ODA Workforce Task Force Meeting ODA Office 11:00am - 1:00pm

September 2 OK County Dental Society Board Meeting ODA Office 6:00pm - 7:00pm

September 27 OK County Dental Society Annual Party The Jones Assembly 1:00pm - 4:00pm

September 12 OkMOM Leads Meeting Online via Zoom 6:00pm

October Dental Hygiene Month

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

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 Office 6:00pm November TMJ Awareness & Mouth Cancer Awareness Month

November 1 Women in Dentistry Champagne Brunch & CE (2 hrs CE) The Lume, OKC 10:00am - 12:00pm November 7-8 ODA Botox and Dermal Fillers Course (24 hrs CE) Online + ODA Office November 7 ODA Council on Governmental Affairs 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 Offices Closed for Thanksgiving

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

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journal | Fall 2025

EDITORIAL Making the Most of Your ODA Rewards Program

by Whitney Yeates, DMD

member dues stable and focus resources Are there companies or services you on the programs and advocacy efforts wish were part of ODA Rewards? Is that matter most to you. In other words, there a product you purchase regularly the more our members use the Rewards that you think other members would Program, the stronger the ODA benefit from having discounted? We becomes. are constantly looking to expand the program with new partners that Let’s be honest: running a dental bring real value to our members. Your practice is expensive. Overhead costs feedback is essential in making sure we can feel relentless, and every bit of continue to grow in the right direction. savings adds up. If you could reduce costs on supplies, equipment, or even In my own work, I’ve seen firsthand the everyday business purchases simply benefit of using ODA Rewards Partners. by taking advantage of a program you What excites me even more, however, already have access to, why wouldn’t is knowing that every time I do, I’m you? The ODA Rewards Program is one helping support the ODA’s mission to Dr. Whitney Yeates is chair of the ODA Council of the easiest ways to do just that. The advocate for dentistry and improve oral on Membership and Member Services. discounts are negotiated specifically for health in Oklahoma. It’s a win-win—my our members, meaning you’re likely office saves money, and my professional As dentists, we are constantly looking for getting pricing that wouldn’t otherwise association gains resources to keep ways to bring value to our practices, our be available. working on my behalf and on behalf of teams, and our patients. The same should our patients. be true for our professional memberships. What I hear most often from members That is why the Oklahoma Dental who actively use the program is surprise So, I encourage you: if you haven’t taken Association works hard to ensure that at how quickly the savings add up. A few advantage of ODA Rewards yet, start the investment you make in membership dollars off here, a discount there—it may today. Explore the list of 33 partners on comes back to you many times over. One not seem like much at first. But over the ODA website or in the catalog in this of the most tangible ways we accomplish the course of a year, many members issue (page 29). Look for the products this is through the ODA Rewards report saving hundreds, even thousands, and services you already use. Try out the Program. of dollars. For some, those savings discounts. And most importantly, know alone can more than cover the cost of that every time you do, you are making If you are not yet familiar with ODA their ODA membership. That’s real, your membership work harder for you Rewards, this is the perfect time to take measurable value that goes straight back while also strengthening the Association a closer look. The program currently has into your practice and your bottom line. we all depend on.

33 partners, and each one offers discounts and benefits on products and services that Beyond the financial impact, the Organized dentistry is at its best when most of us already purchase. From office Rewards Program also builds members are engaged and active. ODA supplies and technology to continuing connections. Each partner is vetted and Rewards is one simple, practical way education and personal services, ODA selected because they understand the to make sure you’re getting the most Rewards makes it easier to save money on unique needs of dental professionals. out of your membership. I invite you to the things you use every day.

These are companies who want to be part of that effort—and if you have support dentists in Oklahoma and who suggestions for how we can grow the The program is designed with two key recognize the importance of organized program, please reach out to me directly. goals in mind: to help our members dentistry. When you choose to work Together, we can continue building a save money and to strengthen the with our Rewards Partners, you are stronger, more valuable ODA for all.

Association’s ability to serve you. Many engaging with businesses that actively Find more information about the ODA of our Rewards Partners provide royalties want to see your practice succeed.

Rewards Program on the ODA website. or commissions back to the ODA. That means when you choose to buy through Of course, we also know that no single these trusted vendors, you are not only program is perfect, and that’s where saving on your expenses—you are also you come in. As chair of the ODA directly helping the Association offset Council on Membership and Member operating costs. This allows us to keep Services, I want to hear from you. www.okda.org

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journal | Fall 2025

STATE ASSOCIATION NEWS ADA President Dr. Brett Kessler visits Oklahoma for OU College of Dentistry's White Coat Ceremony Content provided by OU College of Dentistry and Dr. Brett Kessler

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

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

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

Hello, Oklahoma! It’s my absolute honor generations. And today, that trust On July 18, 2025, the University of Oklahoma Health Sciences hosted White to join you today as ADA President.

— the trust of our profession and of Coat Ceremonies for both the Colleges of To the distinguished faculty, proud the communities we serve — is being families, friends, and most importantly, passed on to you. You are the next Medicine and Dentistry. our honored students — thank you for stewards of that legacy. And I cannot The College of Dentistry welcomed 66 your warm welcome. And many thanks think of a more capable, passionate second-year dental students into their to Dr. Paul Mullasseril for the kind group to carry it forward. clinical journey. The event included invitation. a keynote from Brett Kessler, DDS, It’s a privilege. And it’s a responsibility.

Students, I’d like to begin by president of the American Dental One that is just as real today as it was congratulating you as you mark this Association, who spoke on patientwhen I first put on my white coat. focused care and leadership in dentistry. incredible milestone. Today is a big day. Although, let’s be honest, dentistry You’ve poured your time, your talents, looked very different back then.

Following the presentation, students and your heart into this journey. And Technology has reshaped everything. received their white coats and took now, you step into a new chapter — an Oath of Commitment, pledging When I was in your shoes, I couldn’t not just as clinicians, but as leaders in to uphold professionalism and high have imagined things like artificial health. standards in patient care—a tradition that intelligence, salivary diagnostics, 3D This day symbolizes more than an also signifies their shift from academic printing, and milling. Today, we can academic achievement. It’s a reminder provide better results for our patients learning to hands-on clinical practice. of your readiness to serve others than ever before. And we’re finally The ceremony highlights OU's ongoing through the art and science of dentistry. reconnecting the mouth to the body — dedication to preparing graduates who As you don your white coat, you’re proving what we’ve known all along: will enhance healthcare accessibility and embracing more than a profession. oral health is health. outcomes across Oklahoma, as many of You’re joining a legacy — one built on these students are expected to eventually So you’re not just stepping into practice; trust, compassion, and service. serve local communities. you’re stepping into a profession that is You are pledging to uphold the ethics, redefining the future of healthcare.

Below is Dr. Kessler's speech from the integrity, and patient-centered values ceremony: Continued on page 9 that have defined our profession for www.okda.org

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journal | Fall 2025

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STATE ASSOCIATION NEWS, continued But I’d be remiss not to acknowledge using my story to help others do the every day — staying curious, being something important: the road ahead same. Eventually, my wife Gina — who a lifelong learner, reading articles, won’t always be easy. We’re living through I met in dental school and married listening to podcasts, and keeping your a time of immense change — politically, during our fourth year — and I moved brain sharp. socially, in our profession, and across the to Colorado.

Emotional wellness means allowing entire healthcare landscape.

There, I started volunteering at yourself to feel the full range of But here’s the thing: you were made Sobriety House, providing dental care emotions this work brings: joy, for this moment. Now more than ever, to people in recovery with nowhere frustration, empathy, grief, awe. If you dentistry needs your voice, your passion, else to turn. That led to the creation of can’t, seek help. Social wellness means and your purpose. the Smile Again program, a nonprofit building community, talking to your that mobilized more than 800 dental colleagues, and asking for help. You The great Mark Twain once said, “The professionals to serve people in recovery are not in this alone. You are part of a two most important days of your life are across Denver. community of colleagues, mentors, and the day you were born and the day you leaders who believe in your potential. find out why.” Dentistry is what we do. It That work took me places I never is a big part of who we are, but it is not imagined: testifying before Congress, And finally, spiritual wellness. You’re the only part of who we are. doing national interviews, and answering a calling. When you becoming president of the Colorado approach this work with purpose, it Perhaps your path will lead you to Dental Association. One of my proudest becomes so much more than a job. You private practice. Or maybe public health, moments was helping to develop will change the lives of your patients — academia, or specialty training. Wherever and pass a Medicaid dental benefit in and your community. Remember, your your path takes you, remember this: Colorado, giving 300,000 adults access path will evolve, just as mine did, and your degree is more than a symbol. It’s a to care. That included the very people I even 30 years into practice, I am still reminder of your “why.” Why you chose was serving through Smile Again, plus learning. The key is balance. this path. Why you show up. Why you many, many more. care.

The ADA is here to support your Now, as ADA President, I have wellness journey, too. Members and For me, my “why” is clear: to be a catalyst the privilege of giving back to the students have access to tools like the for positive change in the world. But profession that gave me a second chance Mayo Clinic Well-Being Index and finding my purpose wasn’t always easy.

— to an organization that, in many Talkspace apps for mental health If you had told me years ago that I’d be ways, saved my life. And now, I also support. standing here today as ADA President, I have the privilege of supporting, and wouldn’t have believed you.

My second pillar is creating a culture of hopefully inspiring, all of you — the respect. I believe in a profession where next generation of dentists — as you Yet here I am. I went from rock bottom everyone feels seen, heard, and valued begin your journey. to living what I consider my best life — regardless of how you look, think, possible. And that is possible for any It’s in that spirit that I want to share the or practice. Dentistry needs all of you. and all of us. I credit that to the power three pillars guiding my presidential Leaders from every background and of doing the next right thing — a year — pillars I hope will inspire and every corner of our field. Together, we are philosophy that shaped my journey guide your journey, too. creating a future that reflects the richness through the years. of our diversity and the communities we The first is wellness. Dentistry is hard serve. Together, we are stronger.

I entered dental school with a substance work. You are your most valuable asset, use problem, and I graduated with a and you must take care of yourselves And finally, my third pillar: worse one. In my third year of practice, as such. I encourage you to think of reconnecting the mouth to the body.

I hit rock bottom. That’s when I made a wellness across five key areas: physical, For too long, dentistry has been call to the Michigan Dental Association mental, emotional, social, and spiritual. separated from medicine. But we know, — and that call saved my life. My own and science shows, that oral health is professional community gave me the Physical wellness means moving your health. The future of dentistry depends support I needed to begin recovery. body, paying attention to posture and on our ability to integrate fully into the ergonomics, investing in your health, healthcare system.

That was my turning point. From there, sleeping well, and eating well. Mental I committed to living my best life — and wellness means feeding your mind Continued on page 11 www.okda.org

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STATE ASSOCIATION NEWS, continued That’s why the ADA is advocating for Now, place your hands on your change — improving access and dental- forehead. This is your prefrontal cortex medical integration, championing fair — where your executive function insurance practices, supporting those lives. Grow your mental capacity in burdened by student debt, and advancing everything you do, so you can put these science through the ADA Forsyth hands to good use.

Institute. From regenerative dentistry to Next, place your hands above your breakthroughs in oral-systemic health, ears. This is where your hippocampus we are shaping the future of care. and medulla are located — where your You’re not just entering the profession emotions and memories live. Feel — you’re helping shape what it becomes. your emotions fully, and make good And we are just getting started. memories every single day.

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.

The 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 Before I go, I’d like everyone to join me Finally, take your hands and raise them in good hands. in a quick exercise. Take your hands and up. And if you feel comfortable, hold Go forward with purpose. Lead with hold them in front of you. These hands hands with the person next to you. your heart. And never forget why you are your instruments — your tools to Remember, you are part of something are here. change lives. Care for them and use them bigger than yourself — a profession, wisely, always in the best interest of your a community, a calling. Lean on your patients. colleagues and let them lean on you.

Dayna S. Duke D.D.S.

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

Brandon Schultz D.D.S.

Zane Dubberstein Brent Haynes D.D.S., M.S.D. D.D.S.

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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

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

Addison’s Disease

Systemic Lupus Erythematosus (SLE)

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 often 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. This review highlights systemic conditions that may first manifest as subtle oral or craniofacial signs, and it provides follow-up questions and clinical observations to guide differential diagnoses and timely medical referral.

AUTOIMMUNE

Scleroderma (Systemic Sclerosis)

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 Thyroid Disease

More common in women and often autoimmune in origin, thyroid disorders More common in women and often present with mild, ambiguous symptoms autoimmune in origin, thyroid disorders that are easily overlooked. Palpation present with mild, ambiguous symptoms during EIE should be standard but may An autoimmune disease characterized by that are easily overlooked. Palpation not reveal all cases. Orofacial signs excess collagen deposition, scleroderma during EIE should be standard but may include macroglossia (patient may report produces thickened, hardened skin not reveal all cases. Orofacial signs speech or swallowing difficulties), delayed and fibrosis of masticatory muscles. include macroglossia (patient may report eruption, delayed wound healing, salivary Manifestations can include trismus, atrophy, speech or swallowing difficulties), delayed gland enlargement, increased caries, perioral tightening, telangiectasia, Raynaud’s eruption, delayed wound healing, salivary facial puffiness, hyperpigmentation, phenomenon, trigeminal neuralgia, and gland enlargement, increased caries, exophthalmos, and lymphoid hyperplasia mandibular resorption. Patients often miss facial puffiness, hyperpigmentation, in the oropharynx.4 Unrecognized thyroid or dismiss the more "minor" changes to exophthalmos, and lymphoid hyperplasia disease can lead to metabolic imbalance, their bodies, which is a common theme in in the oropharynx.4 Unrecognized thyroid cardiovascular complications, compromised underdiagnosis. Condylar or mandibular disease can lead to metabolic imbalance, airway, hormone disruption, and even resorption occurs in 20–33% of cases and cardiovascular complications, compromised thyroid malignancy. may be first detected on dental radiographs, airway, hormone disruption, and even often before patients recognize systemic thyroid malignancy.

12 journal | Fall 2025

BEYOND THE ARCH, continued GASTROINTESTINAL (GI)

Celiac disease

Crohn’s Disease

Oral granulomatous inflammation can precede GI onset. Oral manifestations can include cobblestoning, linear ulcerations, angular cheilitis, or nodular swelling.

Though xerostomia is commonly reported in GI diseases, it is a ubiquitous symptom with diverse etiologies, limiting its utility in differential diagnoses. Similarly, ulcers and cobblestoning can appear in many diseases hallmarked by inflammation, but they are far more reported in Crohn's than vegetative pyostomatitis (VP), a highlyspecific IBD marker. VP often 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 Though angular cheilitis and nodular swelling are more common, 44% of oral manifestations are cobblestoning (44%), oral ulcers (25%), and mucogingival inflammation. Salivary diagnostics may detect Crohn’s with 70% accuracy, offering a less invasive option than colonoscopy.8

Oral signs may precede gastrointestinal symptoms by years. A specific marker of malabsorption syndromes is deficiencies— 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 This statistic aligns with a recent systematic review of 18 qualifying studies, which confirmed 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, often 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 after gluten consumption. Early diagnosis can prevent more serious complications and comorbidities.

NUTRITIONAL Malnutrition often 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 deficiency may cause dementia.

•

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

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

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

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

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Vitamin D: Mandibular osteopenia, enamel hypoplasia.

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Zinc deficiency: Burning mouth, lichen planus, dysgeusia, alopecia, dermatitis.12

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Zinc toxicity: Acute signs include metallic taste, GI distress, dyspnea, fever, and chills; chronic exposure can cause copper deficiency, 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 deficiency presents with similar symptoms, and those with malabsorption syndromes are further at risk.

•

Iron-deficiency anemia: Glossitis, angular cheilitis, pallor, pica, fatigue, tachycardia, dyspnea, koilonychia (spoon nails). Severe or chronic anemia increases risk for atrial fibrillation, 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 difficult to have than others, but as with our first periodontal diagnosis or biopsy recommendation, skill improves with practice—and patients benefit 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 often see patients more regularly than their physicians and examine tissues that may hold the first 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 www.okda.org

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BEYOND THE ARCH, continued REFERENCES 1.

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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.

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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.

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9.

Patil S, Rao RS, Sanketh DS, enamel defects in children: a controlled Warnakulasuriya S. Oral manifestations study. Med Oral Patol Oral Cir Bucal. of Addison’s disease: a systematic 2018;23(3):e326-e332. review. Indian J Dermatol.

10. Farahmand F, et al. Dental enamel 2024;69(1):14-20. defects in celiac disease: a systematic Betterle C, Dal Pra C, Mantero F, review and meta-analysis. J Clin Med. Zanchetta R. Autoimmune adrenal 2024;13(1):112. insufficiency and autoimmune 11. Ertekin V, Selimoğlu MA, Tanyeri B, et polyendocrine syndromes: al. Delayed dental eruption and enamel autoantibodies, autoantigens, and defects in children with celiac disease. their applicability in diagnosis and Eur Oral Res. 2018;52(2):59-64. disease prediction. J Autoimmun.

1995;8(3):401-410.

12. Hamissi J, Hamissi H, Najafi S. Oral manifestations of zinc deficiency: a Kämpe J, et al. Oral manifestations in systematic review. Med Oral Patol Oral Crohn’s disease: a systematic review. J Cir Bucal. 2016;21(3):e320-e326.

Clin Med. 2023;12(5):1220.

13. Koca T, Arslan D, Arslan H. Plummer– Zhang X, et al. Salivary biomarkers Vinson syndrome: an overlooked in the diagnosis of Crohn’s disease: a cause of dysphagia. Balkan Med systematic review and meta-analysis. J J.2025;42(1):45-50.

Crohns Colitis. 2022;16(2):200-211.

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

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LEGISLATIVE LOOP Summary of Oklahoma SB 669

by Krista Jones, DDS

Key Additions in SB 669 Definition Added:

Faculty Permits: The bill clarifies permits for research faculty at the dental school.

• “Dental appliance” means a dental Occasionally, the school collaborates appliance, prosthetic denture, with dentists from other institutions bridge, restoration, or other device who are conducting federally or made for an individual patient for a corporate-sponsored research. SB purpose listed in Section 328.19 of 669 distinguishes this permit from this title. the faculty specialty license (Section 328.27).

Patient Records Requirement: Before prescribing, diagnosing, or Military Benefits: overseeing treatment for any dental Two provisions add benefits for military appliance, a dentist must establish licensees (Section 328.21): the patient as a patient of record and conduct an in-person examination. 1. Spouses of service members with valid licenses from another state Dr. Krista Jones serves as the Secretary/ • The name of the dentist(s) providing can obtain licensure in Oklahoma Treasurer on the Oklahoma Board of Dentistry services must appear on all when their family is relocated under and is the liaison from the board to the ODA. insurance claim forms, invoices, permanent change of station orders. billing statements, and receipts.

2. Dentists, hygienists, or assistants Each year, the Oklahoma Board Bill Summary on military orders overseas will of Dentistry works with several not be required to pay renewal fees • No Change to Scope of Practice: organizations to update language in or complete continuing education state statutes. These updates help reflect This bill does not expand the scope of while away. current dental and medical practice practice. Instead, it consolidates two License Reinstatement: standards, as well as address workforce types of dental assistant permits: shortages and other issues that arise.

SB 669 extends the timeframe for 1. Dental assistants with up to eight reinstating a previous license from This year’s bill, SB 669, included requests expanded functions. one year to five years (Section 328.41). from the Oklahoma College of Dentistry, This provides flexibility and efficiency 2.

Oral and maxillofacial surgery the Oklahoma Dental Association, the for dental professionals returning to (OMS) assistants who help with Oklahoma Orthodontic Association, the Oklahoma. Continuing education anesthesia.

Oklahoma Oral and Maxillofacial Surgery completed while out of state may be Association, and the Board itself.

Currently, assistants who change jobs required.

Background on the AAO’s Involvement may have to obtain a second permit.

Clean-Up Language: SB 669 streamlines the process by The American Association of eliminating the separate OMS permit The bill also included several updates to Orthodontists (AAO) has introduced and adding anesthesia assistance as an align statutes with rule changes made legislation in several states in response expanded function. This saves money last year. to issues with Smile Direct Club. In and increases efficiency.

Oklahoma, SB 669, authored by Senator These changes will be effective Gillespie and Representative Roe, Addressing Workforce Shortages: November 1, 2025. addressed the AAO’s concerns without Oklahoma faces shortages of dentists, requiring a separate bill. hygienists, and assistants. SB 669 allows You may find copies of SB 669 and the AAO's letter of support on the ODA website: The AAO’s goal was to require in-person second-year dental and dental hygiene visits before a patient could be prescribed students to practice outside the school retainers, bite guards, or other appliances clinic, performing the same procedures they are already trained and permitted often marketed online. By adding two sections to SB 669, the bill resolved those to do in the clinic. They must remain concerns. The AAO even issued a letter of under the supervision of a licensed dentist (Section 328.26). support for the bill to Governor Stitt.

•

www.okda.org

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LEGISLATIVE LOOP ADA urges HHS to reduce dental regulations that burden providers

by Olivia Anderson

Dentists often face inconsistent and redundant credentialing processes across Medicare Advantage plans, the letter stated. The ADA urged CMS to encourage centralized or reciprocal credentialing systems and standardize the use of the ADA dental claim form. The Association criticized prior authorization rules in Medicare Advantage dental benefits as “complex” and “unpredictable,” advocating for ADA President Brett Kessler, D.D.S., uniform and transparent standards, and Interim Executive Director as well as an exemption for preventive Elizabeth Shapiro, D.D.S., J.D., expressed services. support for the agency’s deregulatory The letter also raised concerns about initiative, emphasizing the need to eliminate duplicative processes, promote overlapping credentialing for dentists in uniformity and lower compliance costs. Medicaid managed care organizations, One of the ADA’s key recommendations recommending that low-risk providers be screened by managed care calls on the Centers for Medicare organizations rather than separately by & Medicaid Services to simplify state Medicaid agencies. administrative requirements for dental providers who participate in Medicare Several proposals addressed Advantage plans. administrative compliance challenges for small practices. The ADA “We offer the following recommendations, each of which meets recommended modifying Section 1557 coordination and language access one or more of the criteria outlined in [Executive Order] 14219 for identifying mandates by raising the employee threshold for compliance or allowing and modifying regulations that impose alternative options for small providers. undue burdens, lack clear statutory authority or unnecessarily hinder private It also urged HHS to revise good faith estimate requirements under the No sector innovation and efficiency,” Drs. Surprises Act to allow use of standard Kessler and Shapiro wrote. dental treatment plans.

The 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 affecting dental providers and improving access to oral health care.

16 journal | Fall 2025

“Dental offices 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 finalizing Health Insurance Portability and Accountability Act electronic attachment standards; clarifying or exempting dental providers from certain No Surprises Act rules; and updating definitions under information blocking regulations to include dental software vendors.

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

“These 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

August 1, 2025 Meeting

August 8, 2025 Electronic Vote

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

The Board of Trustees voted to set up a The Board of Trustees voted to name 501(c)(4) organization to promote social the 501c4 entity SHIFT, or Shaping welfare and engage in more political Health Initiatives For Tomorrow, which activities, including lobbying and encompasses all issues we might face campaign involvement. The startup fee in the future (i.e. insurance reform, of $5,000 will be paid by the Oklahoma fluoride, work force, scope of practice Dental Association. challenges, etc), the idea being that our work through the c4 will be “shifting” Upon recommendation of the Annual mindsets, health outcomes, legislative It was the consensus of the Board Meeting Task Force the Board of outcomes, etc. that further messaging can be Trustees voted to continue hosting the communicated by the ODA using ADA ODA Annual Meeting in its current The Board of Trustees is scheduled to and internal resources through social format through the 2027 event and meet at the OU College of Dentistry media and other electronic media reevaluate again after the 2027 meeting. on November 7, 2025, and at the ODA without expending additional funds at Building on February 13, 2026.

Upon recommendation of the this time. It was recommended that Investment Committee, the Board FAQs be sent to all legislators and to dentists to distribute to their patients. It adopted several changes to the ODA investments and operating accounts to was also recommended that the ODA encourage dentists to educate members maximize interest rate income. of their local municipalities about the importance of systemic fluoridation to children and adults.

STATE ASSOCIATION NEWS 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 nonprofit event planning and fundraising. She holds a degree in Sports Management from Oklahoma State University.

Outside of work, you’ll often find 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

www.okda.org

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18 journal | Fall 2025

COVER STORY 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 fluoridation. 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 fluoridation. Despite decades of scientific evidence, local water boards and state leaders are increasingly pressured by misinformation and political rhetoric. The result? One of the most cost-effective and equitable public health tools ever devised is under threat.

by Jill Johnson, ODA Staff

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

Fluoridation soon spread nationwide, no adjustment, while others must finebolstered by endorsements from the U.S. tune their levels to meet the standard.

The History of Fluoridation: From Public Health Service, the Centers for Fluoridation is monitored with Discovery to National Policy Disease Control and Prevention (CDC), precision and safety by water engineers the American Dental Association using federally approved additives and Community water fluoridation began (ADA), and the World Health equipment. with a mystery. In the early 1900s, Dr. Organization. In 1999, the CDC named Frederick McKay, a dentist in Colorado As the American Dental Association Springs, noticed a strange brown staining water fluoridation one of the “Ten Great explains, fluoride’s cavity-fighting Public Health Achievements of the 20th on his patients’ teeth — but those teeth, power comes from its ability to Century.” surprisingly, were unusually resistant strengthen tooth enamel and prevent to decay. He and other researchers How Community Water Fluoridation the demineralization caused by plaque eventually discovered that high levels of Works acids. It also aids in the remineralization naturally occurring fluoride in the local process, making teeth more resistant to water supply were the cause of both the Fluoride is a naturally occurring mineral decay over time. staining and the improved dental health. found in water, soil, and various foods.

Community water fluoridation is the The Cost of Fluoridation vs. the Cost By the 1940s, rigorous studies led by Dr. process of adjusting the fluoride content of Tooth Decay H. Trendley Dean confirmed that low of a water supply to the optimal level to levels of fluoride in drinking water could Water fluoridation is one of the most prevent tooth decay, which is currently significantly reduce cavities without cost-effective public health interventions set at 0.7 milligrams per liter by the U.S. causing noticeable staining, known as available. According to the CDC, every Public Health Service. dental fluorosis. In 1945, Grand Rapids, dollar spent on fluoridation saves Michigan, became the first U.S. city to Importantly, fluoride is not “added” approximately $38 in dental treatment fluoridate its water supply as a public in the same way every time; water costs. For communities with more than health experiment. The results were systems measure the existing fluoride 1,000 residents, the benefits striking — tooth decay in children levels and only adjust as necessary. dramatically outweigh the costs. dropped more than 60% over the Some Oklahoma water systems have Continued on next page following years. naturally occurring fluoride and need www.okda.org

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COVER STORY, continued

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

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

Studies from communities that discontinued fluoridation offer stark warnings. In Juneau, Alaska, after stopping fluoridation in 2007, a study found that children’s cavity rates rose significantly within five years. In Calgary, Alberta, cavity rates increased dramatically after fluoridation was discontinued in 2011. After Flint, Michigan, stopped fluoridating its water (followed by the lead contamination crisis,) the city's residents suffered not only from lead poisoning but also a spike in dental decay. In many of these places, officials later reversed course and reinstated fluoridation.

20 journal | Fall 2025

The Situation in Oklahoma

Claim: Fluoride is toxic.

Oklahoma’s water infrastructure is vast, Truth: Like many substances with over 1,100 public water systems. Of (including vitamins and minerals), the 900 systems for which fluoride data fluoride is safe and effective at proper is available, 271 currently adjust fluoride levels. The optimal level of 0.7 mg/L levels to optimal standards. These is far below any threshold associated systems serve both urban and rural populations and have made enormous with harm. The Environmental Protection Agency (EPA) sets a strides in preventing tooth decay, maximum contaminant level of 4.0 especially in underserved areas.

However, that progress is now under threat.

mg/L for safety.

This past June, Governor Stitt issued the Claim: Fluoride causes executive order directing state agencies cancer or lowers IQ. to stop recommending community water fluoridation, and though the order Truth: No credible peer-reviewed did not ban the practice outright, it sent studies have proven a causal link a message to municipalities across the between fluoride at recommended state, emboldening anti-fluoride activists levels and cancer or lowered and putting pressure on local officials. intelligence. Claims to the contrary The Oklahoma Dental Association (ODA) responded swiftly. On their public awareness webpage (www. okda.org/public/fluoride), the ODA outlines the overwhelming evidence supporting fluoridation, debunks common myths, and provides resources for residents to contact local leaders and advocate for evidence-based decisions. The association has also coordinated with national partners and other local organizations to support the municipalities who currently fluoridate.

often cite flawed 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 fluoridation as a lawful and reasonable public health measure.

“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 fluoride, it’s the kids, the elderly, and the uninsured who Claim: Toothpaste already suffer first and most.”

contains fluoride — why add

Why People Oppose Fluoridation, it to water? and Why They’re Wrong Truth: Not everyone uses fluoride Opposition to water fluoridation is toothpaste or brushes twice daily. not new. Critics often raise concerns about “mass medication,” government Fluoridated water reaches everyone, overreach, potential health risks, or the regardless of income, age, or dental “toxicity” of fluoride. But these claims habits, making it uniquely equitable do not hold up under scientific scrutiny. and effective.

COVER STORY, continued The Role of the Oklahoma Dental The Benefits of Community Water Association Fluoridation Even in a modern dental era, tooth decay Through legislative advocacy, public remains the most common chronic disease education campaigns via social media, among children and adults. Fluoride and grassroots mobilization, the ODA is continues to reduce cavities by over 25% ensuring that science—not fear—guides across populations, even in communities public health policy. with widespread toothpaste use.

On its fluoride web page, the ODA Other benefits include: shares fact sheets, videos, and links to • Health equity: Fluoridation reduces research on safety and effectiveness. disparities in oral health by benefiting Dentists across Oklahoma are encouraged to share this information those with limited access to dental with their patients, state legislators, and care. city leaders.

• Cost savings: Lower rates of dental emergencies, fillings, and extractions Other state dental associations have reduce Medicaid and insurance costs. successfully helped reverse fluoridation bans by providing testimony from local • School and work attendance: Fewer dentists and public health officials. missed school days and work hours In 2026, ODA plans to ramp up its due to dental problems. efforts, urging residents to contact the Governor’s office, share ODA social • Systemic health improvement: media content, and speak out in favor of Preventing oral infections helps fluoridation. reduce complications from chronic diseases like diabetes and heart disease.

Without fluoride, all of this progress is at risk.

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

What’s Next for Oklahoma?

The future of community water fluoridation 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.

The science is clear. The benefits are proven. The cost savings are immense.

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

Oklahoma Dental Association is leading the charge to protect fluoride in public water systems.

Visit okda.org/fluoride to learn more, download resources, and join the effort to protect community water fluoridation in Oklahoma.

Yet, in the wake of Governor Stitt’s executive order, some communities may be reconsidering their programs, Oklahoma’s health, especially its and legislative action at the state level children’s health, deserves that may emerge next year. The Oklahoma protection.

Dental Association is closely tracking any potential changes and working to provide local and state policy makers with accurate information and support.

www.okda.org

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22 journal | Fall 2025

CASE STUDY

Restorative Management of Esthetics and Structural Loss

by Tzu Yi (Clement) Hsu, DDS

Pre-op model of the patient’s dentition

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 left teeth.” His medical history was significant 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.

The 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 left 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 financial considerations.

Comprehensive clinical evaluation revealed generalized attrition, abfraction, and tooth rotation, particularly in the maxillary left quadrant. Radiographic and intraoral findings, 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. The finalized plan consisted of:

After prep photo

•

Result at the delivery appointment

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

a protocol of porcelain etch, Ivoclean™, Monobond™, and Panavia Veneer LC™.

The corresponding enamel surfaces were • Core build-up and full-coverage etched and treated with bonding agent zirconia crown on tooth #11 prior to cementation. Margins were • Extraction of tooth #12 due to a nonrestorable fracture prior to treatment polished and flossed using knotted floss.

The zirconia crown for #11 was also initiation delivered at the same appointment. The To aid in visualization and ensure patient area of recession on tooth #10 was airsatisfaction, a diagnostic wax-up was abraded and prepared with a retention fabricated following intraoral scanning. groove at the cementoenamel junction The wax-up emphasized symmetry (CEJ) before being restored with resin with the existing right-side bridge while composite, completing the esthetic addressing the esthetic concerns of rehabilitation. rotation and abfraction on the left. Upon This case demonstrates a conservative, patient approval, restorative treatment esthetic approach to managing commenced. abfraction, recession, and alignment Teeth #9 and #10 were prepared concerns in a medically and financially conservatively, with approximately complex patient. The combination 2 mm incisal reduction and 0.3 mm of bonded ceramic veneers and fullbuccal reduction. Interproximal contacts coverage zirconia restoration achieved were preserved. Notably, tooth #10 excellent functional and esthetic results exhibited 2 mm of gingival recession while preserving tooth structure. The with cementum exposure. To maintain patient expressed high satisfaction with optimal bond strength, preparation was the outcome. confined to enamel, and the recession area was reserved for future composite ABOUT THE AUTHOR restoration. Tooth #11 was reinforced Dr. Tzu Yi (Clement) with a composite core before crown Hsu completed preparation. A definitive scan was his Advanced obtained via iTero, and shade was Education in General selected to match the patient’s existing Dentistry residency prosthesis. Provisional restorations were at the University of fabricated with Integrity composite using Oklahoma College a suck-down matrix from the waxup. Temporaries were cemented with of Dentistry. He Temp-Bond™ for #11 and a combination earned his Doctor of Dental Medicine of flowable resin and bonding agent from Tufts University School of Dental (Scotchbond™) for #9 and #10.

Medicine in 2024 and has a strong interest At the delivery appointment, the e.max veneers for teeth #9 and #10 were individually tried in and cemented using

in comprehensive restorative care. Dr. Hsu will be joining a private practice in Keene, New Hampshire. www.okda.org

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Endodontic Practice Associates

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Norman, Oklahoma 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 n

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

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www.endodonticpracticeassociates.com 24 journal | Fall 2025

CASE STUDY

Severe Attrition Rehabilitation

by Sriteja Gummadi, DMD

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, identified severe generalized attrition on maxillary and mandibular arches. The patient is symptomatic with moderate to severe pain in his maxillary arch. The patient had a collapsed bite and his ability to chew and speak was compromised.

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 first due to being symptomatic. Scans and intraoral photos alongside the diagnostic wax-up were utilized to design the maxillary healing prosthesis.

After reviewing multiple treatment options, the patient elected to have all

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. The 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. The patient elected to not have the edentulous #22 space restored.

Pre-Op Photos

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. The 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. The 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. The new maxillary prosthesis, in combination with the restored mandibular arch, re-established

the patient with a proper occlusion. The patient was elated to be able to chew properly again and finally be confident in his smile. He’s incredibly excited as he awaits the fabrication of his final 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 affable demeanor and inquisitive spirit, he is committed to continual learning and clinical excellence. www.okda.org

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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.

The crown had fractured at the gum line, rendering the tooth non restorable.

Immediate implant placement using the Astra Prime Taper™ implant system was

A1

planned. The osteotomy was carefully prepared between the mesial and distal roots after sectioning them at the furcation.

Immediate implant placement has become a routine treatment, particularly following tooth extraction. After 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 (left molar), with a CBCT of the mandible confirming the treatment plan. Based on the CBCT results, a 4.8x8 mm Astra Prime

placement of the 4.8x8 mm implant was successful, and the socket was filled with bone graft material and sutured. The 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 significant clinical or radiographic abnormalities and we can move forward with restoring the implant.

F

C G

A2

D ABOUT THE AUTHOR

B

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

E

Taper implant was chosen. The procedure began with administering 2 carpules of 4% articaine with 1:100,000 epinephrine.

After 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. The final

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.

www.okda.org

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www.okda.org

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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 • 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

405.521.1600 alliant.com 30 journal | Fall 2025

TOURS AND CRUISES

Journeys Of A Lifetime 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) 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.

844.205.1171 ada.ahitravel.com

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!

800.711.0023 americanprofit.net

CYBERSECURITY

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

blacktalonsecurity.com www.okda.org

31

PAYMENT PROCESSING

PATIENT PAYMENT PLANS

Payment Solutions for Your Practice Built for Dental.

Backed by Saving.

Financing Simplified

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:

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

• 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

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

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

It’s financing simplified.

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

877.739.3952 bestcardteam.com 32 journal | Fall 2025

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

FITNESS ON YOUR TERMS

HIPAA COMPLIANCE SOFTWARE

On Demand Or In-Person Fitness Options To Get You Moving

Compliance Dentists Can Trust: HIPAA and OSHA Built for You

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

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 www.okda.org

33

INTERPRETATION SERVICES

IN-HOUSE DENTAL MEMBERSHIP PLAN

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!

844.737.0781 cyracom.com/ada 34 journal | Fall 2025

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.

833-222-4748 dentalhq.com

AN AFFORDABLE E-CLAIM OPTION

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.

800.207.8665 ada.org/GE www.okda.org

35

DENTAL REFINING

EMERGENCY MEDICAL KITS

EXCLUSIVE BONUS FOR ODA MEMBERS

Keeping You Up To Date & Ready For Medical Emergencies

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.*

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.

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.

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.

Perks of refining with Garfield:

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

• 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.

garfieldrefining.com 36 journal | Fall 2025

888.963.6787 healthfirst.com/ada

ANSWERS TO YOUR PATIENT’S DENTAL PLAN

QUALITY APPAREL WITH PRACTICE LOGO

Plan Details you Need Without Staff on Carrier Websites

Always Save 10% With Lands’ End

• 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 • 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.

800.683.2501 IAPlus.com

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.

800.990.5407 ada.landsend.com www.okda.org

37

STUDENT LOAN REFINANCING

MORTGAGE LENDING

Refinance Your Student Loans And Save Thousands

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

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 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.

855.277.6771 laurelroad.com/ada 38 journal | Fall 2025

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/#Disclaimers 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 KeyBank N.A. Member FDIC. NMLS # 399797. Equal Housing Lender. © 2022 KeyCorp® All Rights Reserved. Laurel Road is a federally registered service mark of KeyCorp.

COMPUTERS AND TECHNOLOGY

BIO-HAZARD WASTE REMOVAL AND TREATMENT

Save Up To 30% On Computers & Technology

Trusted. Reliable. Secure.

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!

1.800.426.7235 ada.org/lenovo

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!

866.355.7094 medicalwasteservices.org info@medicalwasteservices.org www.okda.org

39

EXCLUSIVE SAVINGS TOWARD THE PURCHASE OR LEASE OF A NEW VEHICLE

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.

866.628.7232 ada.org/mercedes 40 journal | Fall 2025

DENTAL AND OFFICE SUPPLIES

You Can Save On More Than 65,000 Products!

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

877.659.7310 ODASupplySource.com support@ODASupplySource.com

PRACTICE FINANCING

SECURE COMMUNICATIONS SOLUTIONS

Fast, Simple, Secure

Encrypted Email For Dentists

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.

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.

panaceafinancial.com/ada

888.840.0739 pbhs.com/securemail www.okda.org

41

WEBSITE DESIGN AND DIGITAL MARKETING

Your All-in-One Website, Marketing, and Patient Communications Solution

BRANDED DRINKWARE

Refresh Your Routine

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.

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.

Whether you’re looking for:

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!

• 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.

888.932.3644 ProSites.com/ODA 42 journal | Fall 2025

888.310.4675 custom.simplemodern.com

SCRUBS AND LAB COATS

BRANDED APPAREL

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.

Market your practice with a logo on the right products!

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

Now offering curbside pickup - Just ask!

•

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

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!

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

theuniformshoppe.com/discount/ODA19

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!

844.313.7005 threadfellows.com/ADA www.okda.org

43

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.

POINTS-EARNING CREDIT CARD

The ADA® Business Rewards Visa® 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 IMPORTANT INFORMATION: 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.

1.800.636.2377 savewithups.com/ada 44 journal | Fall 2025

866.472.6423 ext 37385 ADAvisa.com

LUXURY VEHICLES

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.

800.550.5658 ADA.org/Volvo

ON-HOLD MESSAGING & LOBBY VIDEO

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!

405.517.6900 works24.com rjones@works24.com www.okda.org

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Fall 2025 2024 46 journal | September/October

CLASSIFIEDS PRACTICE FOR SALE

OFFICE FOR LEASE

Tulsa, Oklahoma

Edmond, 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. Softdent software, 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 staff 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.

Dental Office for Lease in West Edmond/NW Oklahoma City. Busy Intersection with 800 new homes within a mile. The Office 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.

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 ft.

Current Dr. can stay at least 1 year. Better than new.

Call 405-650-0945

PRACTICE FOR SALE

See more classified ads and place your own

ADVERTISE WITH ODA See our full list of advertising options for the ODA Journal, ODA Classifieds online and in print, event sponsorships, website banners, and e-newsletter advertising online at:

okda.org/advertising

ad online at okda.org/classifieds

North Texas North Texas is a hub of economic growth, strong communities, and a high quality of life, offering the perfect blend of opportunity and accessibility. This well-established oral surgery practice, located between Oklahoma City and Dallas, has been serving the community for 20 years. The 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 efficiency and patient comfort.

With nearly 500 new patients seen in 2024 – averaging 40 per month – growth potential is substantial, even with minimal advertising. The 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

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! www.okda.org

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48 journal | Fall 2025