Fall 2026 | Vol. 117, No. 3
Take Action Now!
Contact your members of Congress to support H.R. 7931 If passed, the Improving Dental Administration Act (IDA Act) would close an insurance loophole that impacts coverage for 50% of Oklahoma patients.
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License No. 0C36861 © 2026 Alliant Insurance Services, Inc. journal| CA | Fall 2026 2alliant.com
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ADVERTISERS Thank you to the following businesses who support the Oklahoma Dental Association by advertising in the Journal: Alliant Insurance Services Centene Dental Services Endodontic Associates Endodontic Practice Associates Independent Medical Examiners MedPro MidFirst Bank ODA Rewards Partners Oklahoma Health Professionals Program Suction Solutions Tobacco Settlement Endowment Trust
CONTENTS Fall 2026 | Vol. 117, No. 3
EDITORIAL 6
STATE ASSOCIATION
from the President: Building 6 Message on Our Success by Nicole Nellis, DDS
ODA Calendar
7
Welcome New Members
8
What Oklahoma Dentists Need to Know About Changes Taking Effect This Fall
2 8 You Can Make a Difference with D-DENT 30 ODA Rewards Partners
1 3 ADA Backs Legislation to Make Adult Dental Benefits Mandatory Under Medicaid by Olivia Anderson 1 3 DENPAC 2026 Members 1 5 SB 1942 Bill Signing 1 6 Oklahoma Election Overview by Mark Yates 1 9 ADA Launches New Advocacy Resources to Help
Dentists Host Members of Congress in Communities by Olivia Anderson
Oklahoma Dentists Need to Know 8 What About Changes Taking Effect This Fall
NATIONAL ADA NEWS 2 1 What to Know About CAQH Change to DataSpring,
Periodical postage paid at Oklahoma City, OK and additional mailing offices.
powered by CAQH by Mary Beth Versaci
Subscriptions: Rates for non-members are $56. Single copy rate is $18, payable in advance.
CLINICAL 2 3 Resident Case Study: Conservative Approach to Full-Mouth Reconstruction by Mark DiRusso, DMD
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.
4
LEGISLATIVE LOOP
THE OKLAHOMA DENTAL ASSOCIATION JOURNAL (ISSN 0164-9442) is the official publication of the Oklahoma Dental Association and is published quarterly 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. POSTMASTER: Send address changes to OKLAHOMA DENTAL ASSOCIATION, 317 NE 13th Street Oklahoma City, OK 73104
Message from the President: Building on Our Success by Dr. Nicole Nellis
25 Case Study: Differential Diagnosis of the Palatal Mass by Glen Houston, DDS, MSD
15
Senate Bill 1942 Ceremonial Signing with Governor Kevin Stitt
Copyright © 2026 Oklahoma Dental Association.
CLASSIFIEDS 31 Classifed Ads
Is Your Information Correct? Help the ODA keep you informed about legislative actions, educational opportunities, events, and other important member-only news.
Diagnosis of the Palatal 25 Differential Mass by Glen Houston, DDS, MSD
Contact Ansley Bennett at abennett@okda.org or 800.876.8890 to provide ODA with your current contact information.
www.okda.org
3
ODA JOURNAL STAFF EDITOR Roberta A. Wright, DMD, MDSc, FACP EDITORIAL BOARD MEMBERS AND CONTRIBUTORS Philip Morton, DDS, PhD Stacy Sigler, RDH Mary Hamburg, DDS, MS Glen Houston, DDS, MSD
ODA OFFICERS 2026-2027 PRESIDENT Nicole Nellis, DDS president@okda.org VICE PRESIDENT Tabitha Arias, DDS vicepresident@okda.org SECRETARY/TREASURER Erin Roberts-Svob, DDS treasurer@okda.org SPEAKER OF THE HOUSE Matthew Bridges, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Twana Duncan, DDS pastpresident@okda.org
ADMINISTRATIVE STAFF EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz DIRECTOR OF MEMBERSHIP Ansley Bennett DIRECTOR OF COMMUNICATIONS Jill Johnson DIRECTOR OF EVENTS & EDUCATION Ramsey Tarrant
CALENDAR See more online at OKDA.ORG/CALENDAR September National Office Managers Month National Gum Care Month September 18 Membership Summit September 21 OkMOM Leads Meeting 5:30pm Online
September 25 CE & Component Business Meetings:
Central, Southwest, and Northern 1:00-2:00pm CE 2:00-3:00pm Meetings Online Register at okda.org/events
September 29 Champions of Health Gala 6:00-9:00pm Arvest Convention Center, Tulsa
October National Dental Hygiene Month Orthodontic Health Month October 1 Eastern District Dental Society Annual Meeting and CE Event
6:00pm - 9:00pm Pete's Place - Krebs, OK Register at okda.org/events
October 2 ODA Medicaid Task Force Meeting 8:00am Online
Stay connected with the ODA!
4
journal | Fall 2026
October 2 RDGP Board Meeting 11:00am Online
October 2 ODA Risk Management Webinar
November 7 WIND Women in Dentistry Brunch & CE Event
October 8-13 ADA Scientific Session & 2026 House of Delegates Meeting
November 9 OkMOM Leads Meeting
11:00am-1:00pm Online Register at okda.org/events
Indianapolis, IN Learn more at ada.org
October 12 OkMOM Leads Meeting 5:30pm Online
October 15 OkMOM Volunteer Registration Opens okmom.org
October 16 ODA CPR & BLS CE Course
9:00am-12:00pm ODA Office, OKC Register at okda.org/events
October 19 ODA Success Seminar (DS1-2)
10:00am-12:00pm Innovation Hall, OKC All dentists and staff may attend the event. Register at okda.org/events
5:30pm Online
November 13 ODA Council on Governmental Affairs Meeting
9:00am ODA Office and Online
November 13 ODA Board of Trustees Meeting
1:30pm ODA Office and Online
November 19 ODA New Dentist and Student Happy Hour + CE 5:00-7:00pm The Lume Event Center
12:00pm OU College of Dentistry
December Handwashing Awareness Month
October 23 Council on Budget and Finance
December 4 ODA Clear Aligners Course
9:00am ODA Office and Online
October 27 ODA Success Seminar (DS3-4)
12:00pm OU College of Dentistry
November Mouth Cancer Awareness Month TMJ Awareness Month
Register at okda.org/events
December 4 ODA CE Advisory Committee Meeting 12:00pm ODA Office and Online
December 14 OkMOM Leads Meeting 5:30pm Online
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5
EDITORIAL Message from the President: Building on Our Success The new Oklahoma law applies to only about half of the covered patients in our state. The reason is a loophole created by a federal law known as ERISA, the Employee Retirement Income Security Act. Many insurance companies claim that ERISA prevents states from applying laws like ours when they administer self-funded employer plans.
6
consistent set of rules for dentists and patients while reducing unnecessary administrative barriers that increase health care costs without improving patient care. We should be proud of what we accomplished in Oklahoma, but we cannot stop halfway. We have an opportunity to build on this success and extend these protections to even more patients.
That means two patients with nearly Please scan the QR code and contact identical dental coverage—and even Dr. Nicole Nellis your member of Congress today. Ask ODA President 2026-2027 the same insurance company—can them to cosponsor H.R. 7931, the have very different protections Improving Dental Administration Greetings to my fellow Oklahoma simply because their employers have Act. Our success in Oklahoma is an dentists. structured their plans differently. important first step. Now, let’s finish For dentists and dental practices, For years, Oklahoma dentists have the job. this means insurers may still attempt faced a frustrating problem when it to require in-network fees for comes to noncovered services. Dental noncovered services when treating Help fix yet another insurers could require dentists to patients whose plans fall under the accept in-network fees for services the loophole the insurance ERISA exemption. plans did not actually cover. Although companies have found Oklahoma had a law intended to That is not acceptable. Fortunately, to deny patients provide protection, the law was there is something we can do. coverage. interpreted in a way that provided You may have noticed the QR code little practical relief. As a result, dental on the cover of this journal. Scan insurers could continue to impose Send a customizable fees for services for which they paid the code to send an Oklahomaemail to your Rep in specific message to your member nothing. Congress asking them of Congress asking them to That changed during the 2026 cosponsor the Improving Dental to support the IDA legislative session. Administration Act (H.R. 7931), also Act (Improving Dental known as the IDA Act. Governor Stitt signed an updated Administration). noncovered services law that makes it The IDA Act would close the ERISA clear: dental insurers cannot require loophole that allows insurers to dentists to accept a fee for a service avoid complying with state laws like unless the insurer actually pays a Oklahoma’s noncovered services claim for that service. The new law is law. It would help ensure that an important victory for Oklahoma the protections we fought for in dentists and patients, and it represents Oklahoma apply to more patients years of advocacy by the Oklahoma and more dental practices. Dental Association and our members. www.ada.org/advocacy/grassrootsSupporting the IDA Act is about action-center/ok-ida But our work is not finished. fairness, transparency and access to care. It is about creating a more journal | Fall 2026
Welcome!
NEW MEMBERS Dr. Betty Abbey
Dr. Abby Hacker
Dr. Alexei Oldham
Dr. Salma Abdelrahim
Dr. Morgan Hammock
Dr. Nicolas Pace
Dr. Mohamed Abo-Basha
Dr. Mark Herdade
Dr. Tejal Patel
Dr. Blake Adams
Dr. Mackenzie Holub
Dr. Taylor Peterson
Dr. Leyann Adi
Dr. Angela Jarjoura
Dr. Aubrey Rottschaefer
Dr. Holly Alvey
Dr. Hayden Johnson
Dr. Brooke Smith
Dr. Deepika Anantha
Dr. Landen Keffer
Dr. Peter Sohn
Dr. Hallie Baker
Dr. Reka Kovacs
Dr. Shilpa Sojin
Dr. Jade Bauer
Dr. Joseph Lard
Dr. Abigail Spiers
Dr. Stacey Beard
Dr. Decker Lardner
Dr. Mariah Springwater
Dr. Kruti Bhakta
Dr. Sandra Lee
Dr. Maryam Tangarpour
Dr. Navdeep Bhangu
Dr. Zane Leibhart
Dr. Taylor Terrell
Dr. Jordan Blalock
Dr. Jordan Lundeen
Dr. Tony Titty
Dr. Taylor Bonnewitz
Dr. Patrice Mayo
Dr. Jormi Tomaw
Dr. Chereeka Darling
Dr. Patrice Ann Mayo
Dr. William Ton-That
Dr. Garrett Davis
Dr. Trenton McAreavey
Dr. Joshua Uhunmwangho
Dr. Grant Dick
Dr. Olga Michka
Dr. Rukhsar Ullah
Dr. Emily Drye
Dr. Ryleigh Mills Brackney
Dr. Devin Widick
Dr. Skylar Fogerty
Dr. Robert Moon
Dr. Scott Williams
Dr. Jormi Garcia Tomaw
Dr. Aivi Nguyen
Dr. Bailey Wyatt
Dr. Tommy Nguyen
O K L A H O M A
D E N T A L
A S S O C I A T I O N www.okda.org
7
STATE NEWS What Oklahoma Dentists Need to Know About Changes Taking Effect This Fall Several important changes to Oklahoma law and dental regulations are reshaping how dental professionals can practice, how dental teams may be utilized and how patients can access care. While some changes took effect July 1, others will become effective November 1, 2026. From joining the Dentist and Dental Hygienist Compact to creating new opportunities for extended care dental hygienists, these updates could have a significant impact on dental practices across the state. Here is a look at what Oklahoma dentists need to know.
Oklahoma Joins the Dentist and Dental Hygienist Compact Effective November 1, 2026 Oklahoma has officially joined the Dentist and Dental Hygienist (DDH) Compact through Senate Bill 540, becoming the 13th state to enact the compact. The DDH Compact is designed to make it easier for qualified dentists and dental hygienists to practice across state lines. Rather than navigating a separate, repetitive licensure process every time they move to another participating state, eligible professionals may be able to obtain the compact privilege needed to practice in another member state. The change could be particularly meaningful for dentists and hygienists relocating to Oklahoma, as well as Oklahoma professionals who move or have practice opportunities in other compact states.
military orders can face repeated New Extended Care licensing requirements and delays when moving from state to state. The compact Dental Hygienist is intended to improve professional mobility and reduce barriers associated Permits and Medicaid with those transitions. Opportunities For dental practices, the compact could eventually provide another tool for recruiting qualified professionals from participating states. As workforce challenges continue to affect dentistry, greater interstate mobility may help practices access a broader pool of dentists and hygienists.
Dentists and hygienists should remember that participation in a compact does not mean every licensed professional automatically has permission to practice in every compact state. Eligibility requirements and compact procedures still apply, One group expected to benefit and professionals should review the significantly is military families. Military requirements before relying on a spouses and other dental professionals compact privilege to begin practice. who relocate frequently because of 8
journal | Fall 2026
Effective November 1, 2026 Another significant change taking effect this fall involves the implementation of new extended care dental hygienist permit categories. The law establishes a tiered system of extended care permits—Permit I, Permit II and Permit III—with different qualifications, clinical experience requirements and levels of authorization. The permits are designed to expand access to preventive dental services, particularly in underserved settings. Depending on the permit level and applicable requirements, extended
STATE NEWS continued The changes are designed to increase professional mobility, expand the roles of qualified members of the dental team, and create additional pathways for delivering preventive services to patients. care hygienists may provide authorized services in settings that can include underserved communities, schools and senior facilities. The structure also includes requirements related to dentist sponsorship and the hygienist's qualifications and experience. The changes could create new opportunities for dentists interested in extending the reach of their practices or participating in community-based oral health programs.
Several workforce-related changes already took effect this summer.
As practices continue to look for ways to address workforce shortages and improve efficiency, these changes may Under the updated law, registered dental allow dentists to better utilize the skills hygienists may perform additional of properly trained and credentialed functions under general supervision, team members. including the administration of local anesthesia, nitrous oxide analgesia That flexibility also comes with and use of therapeutic lasers when responsibility. Dentists should verify authorized and properly qualified. that each team member performing an expanded duty holds the necessary General supervision means the education, credentials and permits and dentist does not necessarily have to be that office procedures align with current physically present while the authorized law and Oklahoma Board of Dentistry services are performed, provided rules. the applicable legal and professional requirements are met. A careful review of job descriptions may be worthwhile, particularly for practices For dental practices, this could offer that want to take advantage of the additional flexibility in staffing and expanded roles available to hygienists scheduling. It may also allow dentists to and assistants. make more strategic use of hygienists and expanded-function team members while maintaining appropriate Teledentistry protocols, delegation and oversight.
Expands Options for
However, practices should not Establishing Patients assume that a hygienist may perform every newly authorized function of Record The legislation also expands opportunities simply because the law has changed. for Medicaid coverage of certain Appropriate education, credentials, Effective July 1, 2026 preventive and dental hygiene services permits and compliance with Oklahoma provided by qualified extended care Board of Dentistry requirements remain The new law also creates additional permit holders in authorized settings. essential. opportunities for teledentistry in certain circumstances. For dentists, this development may be Now is a good time for dentists especially relevant when considering to review their office policies and Patients of record for emergency partnerships with schools, senior living procedures to ensure they clearly services or hygiene-related care may be facilities, community organizations and address which team members are established through teledentistry when other sites serving patients who face authorized to perform specific duties the patient is physically located at an barriers to traditional dental care. and under what level of supervision. approved facility. Eligible locations can include certain nonprofit and church Practices interested in participating clinics. should carefully review the specific Changes in How permit requirements, supervision and is change could help dentists sponsorship responsibilities, covered Dental Assistants Can Th and dental teams reach patients services and Medicaid requirements as in communities where access to a Support the Team implementation moves forward. traditional dental office is limited
Expanded Opportunities for Dental Hygienists Under General Supervision Effective July 1, 2026
Effective July 1, 2026
For dentists considering community Oklahoma's recent workforce legislation outreach or partnerships with nonprofit organizations, faith-based clinics or also expands opportunities for other approved facilities, teledentistry dental assistants with the appropriate may become an increasingly valuable qualifications. part of the practice model. Dental assistants who hold the required As with the other changes, dentists expanded duty permits may perform functions including taking radiographs should ensure that their use of and assisting dental hygienists under Continued on page 11 general supervision. www.okda.org
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STATE NEWS continued teledentistry complies with all applicable Consider these steps: A Changing statutory requirements, Board rules, • Review your staffi ng model. documentation standards and patient Landscape for Determine whether expanded care obligations. general supervision opportunities Oklahoma Dentistry could improve scheduling, efficiency Broader Licensure or patient access. The changes taking effect in 2026 represent some of the most significant Eligibility for Canadian • Verify team credentials. Make recent developments affecting sure hygienists and assistants Oklahoma's dental workforce and Graduates performing expanded duties have delivery of care. the appropriate education, permits Effective July 1, 2026 and qualifications. Taken together, they are designed to Oklahoma has also broadened licensure • Update office policies. Review increase professional mobility, expand eligibility for graduates of accredited delegation, supervision and clinical the roles of qualified members of the Canadian dental and dental hygiene dental team and create additional protocols to ensure they reflect programs. pathways for delivering preventive current Oklahoma law and Board services to patients who may have requirements. The change may provide another pathway difficulty accessing traditional dental care. for qualified professionals seeking • Explore new care models. Dentists to become licensed and practice in interested in serving schools, For Oklahoma dentists, the Oklahoma. senior facilities or underserved opportunities are accompanied by an communities may want to learn important responsibility: understanding While the immediate impact may be more about extended care permits exactly what has changed, which limited for many practices, the change is and community-based care requirements apply and how to another example of Oklahoma's efforts to opportunities. implement new options appropriately address workforce access and professional mobility. Over time, additional pathways • Monitor compact implementation. within the practice. for qualified graduates could help Practices recruiting dentists As November approaches, now is expand the pool of potential dentists and or hygienists should watch for the time to review these changes and hygienists available to Oklahoma practices. additional information about DDH Compact eligibility and how prepare for the evolving landscape of dental practice in Oklahoma. professionals can obtain compact What Should Dentists privileges. Learn more online on the Do Now? Oklahoma Board of Dentistry's website: • Stay informed. Statutory changes oklahoma.gov/dentistry are only part of the picture. With several changes already in effect and Oklahoma Board of Dentistry more arriving November 1, Oklahoma rules, implementation guidance dentists should take time to understand and administrative procedures may how the new laws may affect their provide additional details that affect individual practices. how these laws operate in practice.
Oklahoma Dental Association
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12 journal | Fall 2026
LEGISLATIVE LOOP
ADA backs legislation to make adult dental benefits mandatory under Medicaid by Olivia Anderson, ADA Staff
The ADA led a coalition of dental organizations in support of federal legislation that would make dental and oral health services a required benefit for adults enrolled in Medicaid, saying the proposal would help protect access to care for millions of low-income Americans.
places additional pressure on state Medicaid programs and could increase the likelihood that optional benefits, including adult dental coverage, are reduced or eliminated as states respond to budget constraints.
needs among pregnant beneficiaries and individuals with diabetes and coronary artery disease.
Loss of adult dental coverage could undermine preventive care, worsen oral and overall health, increase avoidable Adult dental benefits remain optional medical spending and negatively affect under federal Medicaid law, resulting employment opportunities. According in significant variation among states. to the letter, estimates suggest that The ADA continues its advocacy for According to the letter, coverage may more than 2 million adults could face comprehensive adult dental benefits as challenges finding work because of their a required Medicaid service, saying oral be comprehensive in some states but limited, emergency-only or unavailable oral health if adult Medicaid dental health is integral to overall health and in others, creating barriers to routine benefits were eliminated. that access to dental care should not and preventive dental care for many depend on where a patient lives. "Ensuring comprehensive adult dental adults enrolled in Medicaid. coverage in Medicaid is therefore both In a July 22 letter to Sen. Angela The letter also cited the potential sound health policy and a prudent Alsobrooks, D-Md., and Rep. Nanette consequences of eliminating adult economic investment," the organizations Barragán, D-Calif., the organizations thanked the lawmakers for introducing dental benefits. According to research wrote. The letter, signed by 13 other the Medicaid Dental Benefit Act, which from the ADA Health Policy Institute, dental organizations, concludes by removing coverage could increase U.S. commending the bill's sponsors and would make adult dental coverage a encouraging additional congressional mandatory component of Medicaid in all health care costs by an estimated $1.9 billion in one year and $9.6 billion support. 50 states and the District of Columbia. over five years because of increased According to the letter, the legislation emergency department visits for dental For the ADA’s Medicaid latest advocacy has taken on added importance conditions and unmet periodontal care efforts, visit ADA.org/advocacy. following enactment of H.R. 1, which
Thank you, 2026 DENPAC Members GRAND MEMBERS Dr. Douglas Auld Dr. Tamara Berg Dr. M. Edmund Braly Dr. Matthew Cohlmia Dr. Twana Duncan Dr. Shannon Griffin Lopez Dr. Richard Haught Dr. Juan Lopez Dr. Nicole Nellis Dr. Steffan Sigler Dr. Lindsay Smith CAPITOL CLUB MEMBERS Dr. Jeffrey Ahlert Dr. Clay Anderson Dr. Tabitha Arias Dr. Glenn Ashmore Dr. Brandon Beaver Dr. David Birdwell Dr. Michael Breland Dr. Matthew Bridges Dr. C. Todd Bridges Dr. Nathan Brown
Dr. Adam Bulleigh Dr. Kristen Campbell Dr. Tricia Cannon Dr. John Carletti Dr. Bobby Carmen Dr. Jennifer Chambers Dr. Brian Chastain Dr. Carrie Chastain Dr. Logan Coffee Dr. Larry Coggins Dr. Susan Davis Dr. Brian Drew Dr. Kolton Erickson Dr. Heath Evans Dr. Christopher Fagan Dr. Ryan Fitzgerald Dr. John Folks Dr. Richard Freeman Dr. Sandra Grace Dr. Stephen Gray Dr. John Groves Dr. Jacob Hager Dr. Michael Hansen Dr. Richard Henry
Dr. Marilyn Hiebert Dr. James Hooper Dr. Brad Hoopes Dr. James Hulsey Dr. Benjamin Humphrey Dr. Karl Jobst Dr. Donald Johnson Dr. Krista Jones Dr. Michael Kirk Dr. Jandra Korb Dr. Leslie Ledbetter Dr. Marti Levinson Dr. Shannon Lewis Dr. Heng Lim Dr. Daryn Lu Dr. Edith Lu Dr. David Marks Dr. Stephen Martin Dr. Stephen Mayer Dr. Andrew McGarry Dr. Janna McIntosh Dr. Glenn Mead Dr. Paul Mullasseril Dr. John Phillips
Dr. Ray Plant Dr. Nathan Powell Dr. Dana Price Dr. Christopher Ray Dr. Brant Rouse Dr. Troy Schmitz Dr. Brandon Schultz Dr. Floyd Simon Dr. Lori Smith Dr. Caleb Smith Dr. Sterling Stalder Dr. Adelaide Steed Dr. Clinton Stevens Dr. Ryan Streight Dr. Stephanie Sugg Dr. Carla Sullivan Dr. Jim Taylor Dr. Ryan Theobald Dr. Kara Tims Dr. Jonah Vandiver Dr. Daniel Wilguess Dr. Brian Wilson Dr. Roberta Wright Dr. Kendra Yandell www.okda.org
13
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14 journal | Fall 2026
LEGISLATIVE LOOP SB 1942 Bill Signing
Dr. Matt Cohlmia, ODA Executive Director Lynn Means, Susan Cohlmia, ODA President Dr. Nicole Nellis, Senator Kristen Thompson, Dr. Robert Lamb, Governor Kevin Stitt, Dr. Steffan Sigler, Dr. Lindsay Smith, Brooke Smith, and Dr. Todd Bridges attended the ceremonial bill signing for SB 1942 on August 11 at the Oklahoma State Capitol building.
Gov. Stitt Ceremonially Signs SB 1942, Strengthening Protections for Noncovered Dental Services
running your business. That makes reviewing dentist, including the dentist’s perfect sense. We're not going to let the license number, state of licensure and a government dictate and manage what telephone number where the dentist can you can charge when you run your own be contacted during business hours. business.” SB 1942 was officially signed into law by Authored by Sen. Kristen Thompson of Stitt on April 14 and will take effect Nov. Edmond and Rep. Anthony Moore of 1, 2026. Oklahoma dentists and dental practices Clinton, SB 1942 clarifies Oklahoma’s The law represents a significant step will have greater control over fees for existing protections concerning fees noncovered services beginning Nov. 1, for noncovered dental services. Under in protecting dentists’ ability to make 2026, following the signing of Senate Bill the law, a dental plan may not require independent business decisions while giving patients and providers greater 1942. a dentist to provide a service at a fee control over the cost of services that fall established by the plan unless the Gov. Kevin Stitt held a ceremonial outside their insurance coverage. service is a covered service under the signing of SB 1942 on Aug. 11 in the Blue patient’s dental plan. Read the full text of the bill on the ODA Room at the Oklahoma State Capitol, website at www.okda.org/ncs/ calling the legislation “common-sense” The legislation also makes changes and emphasizing its free-market nature. related to claims denied for lack of medical necessity. Health and dental “This is a free-market approach,” Stitt plans must establish appeal procedures said. “If you're a dentist and your patient for these denials, which must be based comes in for services that are not covered on a determination by a dentist with by insurance, you should be able to a nonrestricted U.S. license. Written charge whatever you want, whether denial notices must identify the it’s lower or higher — that's just you www.okda.org
15
OKLAHOMA ELECTION OVERVIEW The 2026 general election marks a major reset in state government across the board. Republican supermajorities in the Legislature remain incredibly strong, with the primary runoff results below supporting that strength. The winners noted below will advance to the General Election on November 3, 2026.
OKLAHOMA SENATE REPUBLICAN
OKLAHOMA HOUSE OF REPRESENTATIVES - REPUBLICAN
BALLOT INITIATIVES SQ844 - Property Tax Exemption Reimbursements For
26.25%
Against
73.75%
SQ846 - Voter Proof of Identity
OKLAHOMA HOUSE OF REPRESENTATIVES - DEMOCRAT
For
54.61%
Against
45.39%
Endodontic Practice Associates
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www.endodonticpracticeassociates.com 18 journal | Fall 2026
LEGISLATIVE LOOP
ADA launches new advocacy resources to help dentists host members of Congress in communities by Olivia Anderson, ADA Staff
In District Lobby Day webpage offers toolkits, guidance for practice and dental school visits The ADA has launched a new In District Lobby Day webpage designed to help dentists, dental students and dental schools strengthen relationships with federal lawmakers by inviting members of Congress to visit dental practices and campuses in their home districts. These online resources complement the Association's annual Lobby Day in Washington, D.C., offering year-round guidance for members interested in hosting lawmakers at dental practices and schools to advance oral health in their home districts. "When policymakers see firsthand how dental teams are trained and how care is delivered, the importance of oral health becomes real," the webpage states. "These in-office visits highlight the challenges you face, the innovations you're advancing, and the critical role dentistry plays in overall health helping drive smarter, more informed decisions in Congress." The new resource includes separate sections for hosting members of Congress at dental schools, dental practices, and at community events along with downloadable toolkits, sample invitation letters, a congressional calendar identifying district work periods, a recorded webinar and frequently asked questions. The Dental Office Visit Toolkit walks dentists through planning and hosting a successful congressional visit, from extending an invitation to following up afterward. It encourages participants to focus on personal experiences and examples from their own practices rather than relying heavily on scripted messages or formal data.
"Use your professional experience to help illustrate the importance of oral health and provide real-world examples of the challenges and successes patients and providers encounter," the toolkit reads. "Focus on your personal perspective and experiences rather than memorizing data and statistics. Your firsthand insights are often the most compelling part of the conversation." For dental schools, the webpage provides similar planning resources, including guidance on engaging students and coordinating with organizations such as the American Student Dental Association and the American Dental Education Association. It also offers recommendations for working with congressional staff, coordinating communications and determining advocacy topics with input from state dental associations and ADA Government Affairs staff.
Following a visit, the toolkit recommends thanking the member of Congress, providing any promised information, sharing photos with the lawmaker and ADA Government Affairs staff, and reporting the visit to the ADA Washington office and state and local dental societies. "You are not simply sharing your experience as a health care provider and small business owner; you are also helping shape the policies that affect your profession, your patients, and your practice," the toolkit states. For more information, visit ADA.org/ advocacy/ada-lobby-day/in-districtlobby-day.
The dental office toolkit emphasizes that congressional visits are intended to build long-term relationships between dentists and lawmakers.
www.okda.org
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20 journal | Fall 2026
NATIONAL ADA NEWS What to know about CAQH change to DataSpring, powered by CAQH by Mary Beth Versaci, ADA Staff
Since 2017, the American Dental Association has worked with the Council for Affordable Quality Healthcare — the healthcare industry stakeholder group better known as CAQH — to help reduce administrative burdens associated with credentialing. Through the ADA Credentialing Service, powered by CAQH, dentists can store their credentialing information for free in the CAQH Provider Data Portal, where multiple dental plans can access it, instead of submitting the same information repeatedly to different plans This week, CAQH rebranded to DataSpring, powered by CAQH. ADA members who use the ADA Credentialing Service, powered by CAQH, can continue to do so with no interruption in service. CAQH is in the process of contacting providers to inform them of its rebrand.
Q: Following the business model change, do the payer owners have any additional access or rights to dentist Q: Will use of the ADA Credentialing Service, powered data stored within the CAQH by CAQH, continue to be free Provider Data Portal aside from what each payer may have to dentists? as a portal user, as authorized A: Yes. The ADA Credentialing by dentist users and subject to Service and use of the CAQH CAQH’s terms of use? Below are answers to questions dentists may have about the rebrand and business model change.
Provider Data Portal continue to be A: No. The same data access, privacy free to all dentists, both members and security policies, processes, and and nonmembers. While there is no compliance frameworks remain in indication DataSpring, powered by CAQH, plans on changing its business place. There is no impact to current model to begin charging providers, the services, service level agreements, ADA will monitor this issue and hold contracts, pricing, points of contact, or the company to its agreement with the security and privacy commitments. ADA to offer its services for free. Q: What are the current terms
Q: What should dentists expect of use that outline how dentist data is governed? Have there with this change? been any updates or changes in A: Dentists should expect to see this area?
communications from DataSpring, powered by CAQH, under the new branding. Aside from this, dentists In January, CAQH also transitioned from a not-for-profit organization to should not perceive other changes. In a for-profit entity. CAQH was formed case there are unanticipated issues, members are encouraged to reach out by health plans more than 25 years to the ADA at msc@ada.org. ago as a collaborative initiative to solve challenges around administrative Q: What control do dentists processes, data quality and access have over their information constraints. It is now owned by 12 within the CAQH Provider shareholder companies affiliated with Data Portal? health plans. A: Dentists currently have the The ADA has reviewed public-facing ability to select or limit the plans or materials, including website content, organizations with which they share to ensure they remain accurate their information. Any dentist with a and aligned with any confirmed CAQH profile can choose to review organizational changes, and it will every health plan that requests access continue to monitor developments to their information. More common and assess potential implications is the alternative, where dentists and for ADA members and other all other providers select "global" stakeholders. authorization, and any organization that requests access can review the data.
A: The terms of use align with what is in CAQH’s privacy policy and terms of service, both of which are on the company’s website. The privacy policy language was updated in 2025 to comply with laws and more accurately describe the company’s services. The terms are consistent for all providers.
Q: What are the next steps for the ADA? A: The Association will continue to communicate with the executive leadership at DataSpring, powered by CAQH, to ensure that the operations of the ADA Credentialing Service, powered by CAQH, remain free and continue as expected for dentists.
www.okda.org
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22 journal | Fall 2026
RESIDENT CASE STUDY
Conservative Approach to Full-Mouth Reconstruction Patients suffering from malocclusion typically find themselves with myriad symptoms both physiological and psychological. As a result of excessive tooth wear over years of function, patients find themselves with a collapsed vertical dimension of occlusion, supra-eruption, and, ultimately, an undesirable intraoral and extraoral appearance. Patients seeking to restore their appearance commonly find themselves in a dental chair looking for answers.
by Mark DiRusso, DMD
One treatment option is full-mouth reconstruction, in which all teeth are prepared and restored to the appropriate vertical dimension of occlusion, improving both function and overall esthetics. The use of partial coverage restorations to facilitate full-mouth reconstruction allows for the achievement of both desired outcomes while preserving as much healthy tooth structure as possible. In this case, a 68-year-old female presented with a severely worn dentition and collapsed facial profile due to years of malocclusion and parafunctional habits. After undergoing years of unsuccessful orthodontic treatment in another country, the patient elected to seek treatment for a full-mouth reconstruction. A thorough examination was conducted to identify the cause of the patient’s presentation, existing findings were documented, and a plan for moving forward was developed. Records were taken consisting of a full mouth radiograph series, intra-oral and extra-oral photos, as well as intra-oral impressions. Records were assessed, and communications were made with the laboratory to fabricate a waxup. When the patient returned, the wax-up was tried in, and she was dismissed for a two-week trial period to evaluate her tolerance to the increased vertical dimension of occlusion. Upon the patient's return, she explained that her jaw pain had decreased, she noticed better facial esthetics, and confidence in her smile had been restored. With all of these factors considered, treatment was initiated consisting of a combination of full coverage and partial coverage restorations. Partial coverage restorations (occlusal-buccal onlays) in the posterior allow for enhanced esthetics and proper functional needs of the patient. These preparations were designed with great attention to detail and consideration of minimum material thickness. Lithium disilicate restorations were fabricated by the laboratory and bonded in place following proper protocols. At the conclusion of treatment, the patient was satisfied with both the esthetic and functional outcome of the procedure and was placed in a night guard to protect the restorations and address parafunctional habits.
ABOUT THE AUTHOR Dr. Mark DiRusso is a resident dentist in the Advanced Education in General Dentistry (AEGD) program at the University of Oklahoma College of Dentistry. He studies advanced dental procedures, including implant dentistry, endodontics, and prosthodontics. Through this residency, he provides comprehensive, highquality patient care while learning the latest clinical technologies.
www.okda.org
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24 journal | Fall 2026
CASE STUDY Differential Diagnosis of the Palatal Mass by Glen D. Houston, DDS, MSD
bone. Intense pain or paresthesia of the mid face or maxilla may also be observed. The abscess (d) may also present as an ulcerated palatal mass. The usual source of the abscess is typically a nonvital tooth in the area, a localized periodontal defect, or a combination of both of these conditions. The traumatic or irritation fibroma (e) is the most common "tumor" of the oral cavity. The lesion typically presents as a pink, firm mass or nodule with a broad, sessile base that may exhibit surface ulceration.
CLINICAL HISTORY A 52 year old male presents with a painful, slowly growing soft tissue “swelling” involving the palate. The patient is referred from the emergency department of a local health care facility and he notes the lesion has been present for “several months”. A large area of ulceration is apparent and the patient also comments that the area of concern was initially painless but is now quite painful. He has a history of hypertension, type II diabetes mellitus, chronic obstructive pulmonary disease, and a significant history of alcohol and tobacco abuse.
QUESTION #1 Your clinical differential diagnosis for a mass involving the palate might include: a. Salivary gland neoplasm b. Neurofibroma c. Carcinoma of the maxillary sinus (antrum) d. Palatal abscess e. Fibroma
ANSWER #1 Your clinical differential diagnosis
should include all of the conditions noted above because they may all present as a "palatal mass”. The palatal mucosa contains numerous lobules of minor salivary gland tissue. Benign, as well as malignant, salivary gland neoplasms (a) must be considered in the differential diagnosis for this case. Benign salivary gland neoplasms such as pleomorphic adenoma (benign mixed tumor), canalicular and basal cell adenoma, and oncocytoma should be included. Mucoepidermoid carcinoma and adenoid cystic carcinoma may also present as a palatal mass. These are specific examples of adenocarcinomas arising from minor salivary gland tissue.
QUESTION #2 Which of the following should be performed to yield a definitive diagnosis? a. Biopsy of the lesion (incision) b. Radiographic survey c. Periodontal evaluation d. Observe the patient closely for 10-14 days to evaluate any changes in the lesion e. Vitality tests of the teeth in the area
ANSWER #2
The procedures to yield a definitive The neurofibroma (b) is the most diagnosis should include: common type of peripheral nerve sheath neoplasm. It arises from a proliferation of a. Biopsy of the lesion (incision) Schwann cells and perineural fibroblasts. b. Radiographic survey This neoplasm is common in young adults and presents as a slowly growing, c. Periodontal evaluation soft, painless mass. Although the skin e. Vitality tests of the teeth in the area is the most common location for the neurofibroma, it has also been observed The vitality tests of the teeth in the with some frequency in the oral cavity. region (e) and a radiographic survey (b) in conjunction with the periodontal Carcinoma of the maxillary sinus evaluation (c) and clinical examination (antrum) (c) is typically a disease of are indicated in order to complete a the elderly patient. There is a male comprehensive oral examination. An predilection for this malignant neoplastic incisional biopsy (a) is indicated in process and the patient generally order to render a definitive diagnosis complains of a chronic, unilateral, nasal concerning the observed palatal mass. stuffiness or notices an ulceration or mass of the hard palate or the alveolar Continued on page 27 www.okda.org
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CASE STUDY continued Observation of the patient for 10-14 days to evaluate any changes in the lesion (d) is of little or no benefit in the management of an ulcerated palatal mass. An incisional biopsy, as mentioned, is warranted in order to establish a definitive microscopic diagnosis and treatment plan.
QUESTION #3 A radiographic survey reveals an ill-defined, radiolucent area in the underlying osseous tissue adjacent to the palatal mass. A fine needle aspiration was performed and was inconclusive. Biopsy of the lesion yielded the following microscopic features: the tumor lacks encapsulation and invades the adjacent soft tissue; it is composed of small, deeply-staining, cuboidal cells arranged in islands exhibiting a "Swiss-cheese" pattern; neoplastic cells are observed in the perineural lymphatic spaces, as well as involving adjacent peripheral nerve fibers. The correct diagnosis for this lesion is: a. Carcinoma of the maxillary sinus (antrum) b. Pleomorphic adenoma c. Adenoid cystic carcinoma d. Basal cell carcinoma e. Neurofibroma
ANSWER #3 The correct diagnosis is (c) adenoid cystic carcinoma. See "Discussion" section.
of cuboidal cells arranged in duct-like structures. Loose myxomatous stroma, hyalinized connective tissue, cartilage, and even bone may be observed. (d) Basal cell carcinoma is a malignant neoplasm composed of islands of hyperchromatic, basaloid epithelial cells that demonstrate palisaded peripheral nuclei. These islands arise from the basal cell layer of actinically damaged skin. (e) Neurofibroma is a benign neural neoplasm that is composed of a proliferation of Schwann cells and perineural fibroblasts. This tumor exhibits interlacing bundles of spindleshaped cells that exhibit wavy nuclei and are associated with delicate collagen bundles and variable amounts of myxoid matrix. This pattern is not observed in the present case.
DISCUSSION Adenoid cystic carcinoma was first reported in the German literature by Theodore Bilroth in 1859. It is the most common intraoral malignant salivary gland neoplasm and is most commonly observed involving the palate. This neoplasm represents 15%25% of all minor salivary gland tumors and 8%-15% of all palatal salivary gland neoplasms. In addition to being observed arising in the major and minor salivary glands, it has also been reported involving the glandular tissue of the pharynx, larynx, trachea, bronchus, nose, antrum, lacrimal glands, breast, ceruminous glands of the ear, and Bartholin's glands of the vulva.
The adenoid cystic carcinoma is The other possibilities are not considered characteristically seen during the fifth here because: and sixth decades of life. There is no sex predilection. This neoplasm typically (a) Carcinoma of the maxillary sinus presents as a swelling of the palate (antrum) is usually a squamous cell lateral to the midline and frequently carcinoma, moderately-to-poorly differentiated, but occasionally may be an demonstrates surface ulceration. Pain is adenocarcinoma. The various histologic not uncommon and despite its malignant behavior, it may demonstrate a lengthy features that are characteristic of this neoplasm are not observed in the present growth progression. Because of this clinical presentation, it may mimic other case. malignant or benign salivary gland tumors, neural lesions, mesenchymal (b) Pleomorphic adenoma (benign mixed tumor) is an encapsulated salivary tumors, carcinoma of the maxillary sinus (antrum) with palatal extension, and gland neoplasm composed of islands
even a palatal abscess. The microscopic features of adenoid cystic carcinoma yield a glandular tumor that lacks encapsulation and is composed of small, basophilic cells arranged in islands producing a "Swiss cheese" pattern. These tumor cells characteristically invade the perineural lymphatic vessels and extend great distances along peripheral nerve sheaths. Adenoid cystic carcinoma is a relentless tumor that is generally treated by radical surgical resection. In the palate, wide excision with partial maxillectomy may be necessary. Neck dissection is indicated when cervical lymph nodes are palpable. Post-surgical adjunctive radiation therapy may provide suppression of tumor growth, but is contraindicated as a primary mode of treatment. This neoplasm pursues a slow rate of growth and many years may pass before recurrence and distant metastasis become detectable. The 5-year survival rate for palatal lesions may be as high as 75%-80%; the 20-year survival rate is below 50%. Metastases to the cervical lymph nodes is uncommon, however, distant spread to the lungs, skeletal system, and central nervous system is apparent in approximately one third of patients.
REFERENCES Spiro RH. Distant metastasis in adenoid cystic carcinoma of salivary origin. Am J Surg 1997;174:495-498. Bradley PJ. Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg 2004;12:127-132. Ellington CL, Goodman M, Kono SA, et al. Adenoid cystic carcinoma of the head and neck: incidence and survival trends based on the 1973-2007 Surveillance, Epidemiology, and End Results data. Cancer 2012;118:4444-4451.
ABOUT THE AUTHOR Glen D. Houston, DDS, MSD serves as a Consultant of Oral, Head, and Neck Pathology at Heartland Pathology Consultants. He can be reached via email at gdhdds@heartlandpath.com www.okda.org
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ONE PATIENT, ONE SMILE You Can Make a Difference with D-DENT
For 40 years, D-DENT (Dentists Donating Smiles to Oklahomans) has relied on the generosity of Oklahoma dental professionals to provide lifechanging dental care to individuals who otherwise may have nowhere else to turn.
Oklahoma. However, our volunteer network is changing. Longtime volunteer dentists are retiring, more dentists are transitioning to corporate practices, and some providers are reducing the number of charitable cases they are able to accept each year.
D-DENT is not a dental clinic. Instead, we coordinate charitable care through a statewide network of volunteer dental professionals who provide treatment from their own practices. Our mission is to improve the oral health of Oklahomans in need by providing preventative dental education and free, comprehensive dental care through a network of volunteer dental professionals.
How Does the D-DENT Program Work?
D-DENT serves uninsured, lowincome Oklahomans who are age 60 and older, Veterans without VA dental benefits, and adults with intellectual or developmental disabilities.
We Need Your Help Over the years, D-DENT has been fortunate to work with hundreds of compassionate dentists across 28 journal | Fall 2026
D-DENT is a one-pass program for eligible patients. Our goal is to restore a patient's oral health through a comprehensive treatment plan—not to place an ongoing responsibility for that patient's future dental care on the volunteer dentist. D-DENT screens each applicant for eligibility before matching the patient with a volunteer dentist based on geographic location and preferred donated dental services, dental needs and provider availability. Once matched, the patient visits the volunteer dentist. The volunteer dentist donates professional services that may include exams, X-rays, cleanings, fillings and extractions. If laboratory work is necessary to complete the treatment
plan, D-DENT pays the associated lab costs, including dentures, partials, crowns and bridges. Unlike a one-day or single-procedure program, a D-DENT patient may have multiple appointments with the volunteer dentist until the treatment plan is completed. Once treatment is complete, the patient exits the program. D-DENT does not expect the volunteer dentist to provide ongoing routine or maintenance care beyond the patient's treatment plan. Our staff coordinates the process and works with both the patient and dental office along the way so our volunteer dentists can focus on providing dental care. There is no expectation that a dentist accepts a certain number of patients each year. Take one patient. See how the program works for you and your practice. If you are able to take another patient in the future, that's wonderful. If every participating dentist across Oklahoma accepted just one additional patient, the collective impact would be significant.
D-DENT continued Another Way to Help: Community Dental Days We also understand that accepting a patient into your private practice may not work for every dentist. Dentists can also volunteer at a D-DENT Community Dental Day (CDD). Community Dental Days are designated days of charitable dental care held at participating dental clinics across Oklahoma. D-DENT coordinates eligible patients, dental professionals and event logistics. Depending on the event and facility, dentists may provide one or more dental procedures, including exams, X-rays, fillings, extractions or other types of treatment. A Community Dental Day is a great opportunity for dentists who want
network for the next generation of to give back but may not be able to incorporate charitable patients into their patients. regular practice schedule. It is also an opportunity to volunteer alongside other Together, Oklahoma's dental community dental professionals and see D-DENT's can continue a 40-year tradition of restoring smiles, dignity and quality of mission in action. life for Oklahomans in need.
Will You Say Yes to One?
For a D-DENT patient, receiving dental care can mean relief from years of pain. It can mean being able to eat comfortably again, smiling without embarrassment, or being able to gain employment.
Interested in becoming a D-DENT volunteer dentist or learning more? Visit our website at www.d-dentok.org or contact us at (405) 424-8092 or info@d-dentok.org.
As an added benefit, volunteer dentists receive Continuing Education (CE) credits for D-DENT patients you treat. As D-DENT celebrates 40 years of serving Oklahoma, we hope you will help us strengthen our volunteer
Volunteer with us to provide free dental care to our neighbors in need!
OKLAHOMA CITY
FEBRUARY 5, 2027 Registration opens October 15 at okmom.org www.okda.org
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30 journal | Fall 2026
CLASSIFIEDS ASSOCIATE DENTIST NEEDED - PERRY, OK
PRACTICE FOR SALE OKLAHOMA CITY
PART TIME ASSOCIATE DENTIST - MOORE, OK
Feeling stuck or looking for a more fulfilling opportunity? At Perry Smiles in Perry, OK, you'll find the autonomy and support you need to truly thrive. Located in a rural town, our practice has 9 operatories and brings in 30+ new patients per month, ensuring a strong flow of opportunities to grow your skills and income. As part of our privately owned dental group, you’ll enjoy advanced technology, including CBCT, iTero, intraoral cameras, and digital radiographs, alongside a dedicated team of hygienists and clinical staff. We welcome new graduates and provide hands-on mentorship and real earning potential— $250K+ in your first year, with experienced doctors earning $400K–$600K+. If you're seeking meaningful growth, balance, and a place where your input matters, this is the change you've been waiting for.
Oklahoma City general dental practice with five equipped operatories and two additional plumbed rooms for expansion. The practice serves approximately 1,070 active patients, averages 25 new patients per month, and supports both the ownerdoctor and an associate. Collections total $1.911 million with nearly $630,000 in EBITDA. Real estate is available for purchase. The owner is seeking a dentist buyer and plans to transition out following a successful handoff. Contact PTS: bailey@theptsgroup.com and reference #OKC102225.
OKC Smiles is seeking a personable and clinically skilled part-time associate dentist to join our established private practice in Moore, Oklahoma.
Contact: Candice Davis, RDH 405-365-1448 candice.d@pidental.org
To submit a classified ad for online or print publication, visit okda.org/classifieds
PRACTICE FOR SALE LAWTON, OK Lawton, OK. Annual Collections of $2.4M in Southwest Oklahoma. Active patient base of 3,446 with a payor mix of 85% PPO and 15% FFS. The 2,400 square foot, free standing dental office features 6 operatories. Real estate available for purchase. Contact Paula for more info at Paula@WatsonBrownSales.com or 469-222-3200.
Women in Dentistry Brunch & CE Saturday, November 7, 2026 10:00am - 12:00pm Innovation Hall, Oklahoma City
Learn more and register online at okda.org/events
We offer: • Consistent patient flow and a busy hygiene department • Experienced support team and modern technology • Clinical autonomy with mentorship available • Competitive compensation • No evenings or weekends Applicants must have an Oklahoma dental license. Experienced dentists are welcome Please submit your résumé, availability, and a brief description of your clinical experience. Email: Kevintm526@yahoo.com Phone: 405-535-6976
PRACTICE FOR SALE SE OKLAHOMA CITY 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.
Invisalign Treatment Planning Workshop with Dr. Brian Amy, Orthodontist
Friday, December 4, 2026 Oklahoma City, OK
Learn more at okda.org/events www.okda.org
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ODAANNUALMEETING.ORG 32 journal | Fall 2026