Issuu

January/February 2016 | Vol. 107, No. 1

Oklahoma Mission of Mercy page 16

Features

30 Building a Community of Dental Homes for Children Program 34 Dental Sealant 1 www.okda.org

UNIQUE

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journal | January/February 2016

OKLAHOMA CITY I 405.286.5700 I PRIVATEVBANK.COM I NORMAN I 405.286.5750

Oklahoma Dental Association

ODA JOURNAL STAFF

EDITOR Randy White, DDS, editor@okda.org ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Somer Heim, DDS

January/February 2016 | Vol. 107, No. 1

Starting Oklahoma Children off with Proper Dental Care

EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans COMMUNICATIONS MANAGER Chelsea Canada PRESIDENT Lindsay Smith, DDS, president@okda.org

DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz DIRECTOR OF MEMBERSHIP & IT Jerrell Welch

1 8 Recap from ADA Annual Meeting

Building a Community of Dental Homes for Children

2 1 Pittsburg County Dental Days 2 2 ODF Board Members

Make plans to attend the 2016 ODA Annual Meeting!

LEGISLATIVE LOOP 2 3 Dentist Day at the Capitol 24 DENPAC Update 2 6 Protecting Seniors Access to Proper Care Act

COMMUNICATIONS MANAGER Chelsea Canada

Stay connected with the ODA!

MEMBERSHIP SERVICES MANAGER Kylie Ethridge SPECIAL PROJECTS MANAGER Tori Dennis THE OKLAHOMA DENTAL ASSOCIATION JOURNAL (ISSN 0164-9442) is published bimonthly by the Oklahoma Dental Association, 317 NE 13th Street, Oklahoma City, OK 73104, (405) 848-8873. Annual subscription rate of $39 for ODA members is included in their annual membership dues. Rates for nonmembers are $52. Single copy rate is $14, payable in advance. Periodical postage paid at Oklahoma City, OK AND additional mailing offices. POSTMASTER: Send address changes to OKLAHOMA DENTAL ASSOCIATION JOURNAL, 317 NE 13th Street, Oklahoma City, OK 73104. 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.

OKLAHOMA DENTAL FOUNDATION 2 0 Happy New Year from the ODF

DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans

OPERATIONS MANAGER Britney Morris

07 Welcome New Members, CORD and ODA Membership Button

1 6 Oklahoma Mission of Mercy

SECRETARY/TREASURER Daniel Wilguess, DDS, treasurer@okda.org

EXECUTIVE DIRECTOR F. Lynn Means

0 5 Update your ODA Profile 0 6 Calendar of Events

1 2 2016 ODA Annual Meeting Preview

VICE PRESIDENT Juan Lopez, DDS, vicepresident@okda.org

ADMINISTRATIVE STAFF

ASSOCIATION

10 ODA Benefit Corner and National Children’s Dental Health Month

PRESIDENT-ELECT M. Edmund Braly, DDS, presidentelect@okda.org

IMMEDIATE PAST PRESIDENT Matthew Cohlmia, DDS, pastpresident@okda.org

04 Is Your Dentist an ODA Member?

08 ODA Rewards Partners 09 ODA Reward Partner Column

OFFICERS 2015-2016

SPEAKER OF THE HOUSE Krista Jones, DDS, speaker@okda.org

EDITORIAL

SPOTLIGHT 2 8 ODA Member: Dr. Creed Cardon

www.okda.org Do you receive the ODA Member e-newsletter? If not, send your e-mail address to jwelch@okda.org and stay informed!

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

Inside Front Cover Valliance Bank Back Cover Dental Practice Support

AFTCO Delta Dental of Oklahoma Dental Credentialing Specialists, Inc. Dental Systems, Inc. DSG Dental Services Group Endodontic Associates Green Dental Laboratories Paragon Dental Practice Transitions Warschaw Learning Institute

Member Spotlight: Dr. Creed Cardon

FEATURES 30 Building a Community of Dental Homes for Children 32 The Hygienist’s Role in Comprehensive Case Presentation & Patient Education 34 Dental Sealant Pilot Program

CLASSIFIEDS 37 ODA Classified Listings

www.okda.org

GUEST EDITORIAL

The ODA is asking Oklahomans: Is Your Dentist an ODA Member? Happy 2016! The ODA wishes you, along with your personal and professional families, a very wonderful and prosperous year! We want to support you this year in a new and exciting way. Your ODA is gearing up to launch a comprehensive three-year public awareness campaign in March. This campaign is one of the highest priorities within the ODA’s 2015-2018 Strategic Plan created by the members and approved by the House of Delegates last April. ODA staff and Third Degree Advertising, a firm based in Oklahoma City, are developing the campaign. The ODA Council on Dental Education and Public Information (DE/PI), chaired by Dr. David Wong of Tulsa, will review and oversee the campaign with staff facilitating the efforts.

Campaign Goals

This multifaceted campaign has two main goals: 1. To encourage Oklahomans to visit a dentist, but not just any dentist - an ADA/ODA member dentist. All promotions will lead patients to the ODA website where they will see a Find-a Dentist button in multiple places. That will lead them to the ADA’s member directory where they can search for dentists within their zip code. Only member dentists are listed in the directory.

journal | January/February 2016

2. To educate patients on how a healthy mouth will lead to a healthier body. Of the more than one million Delta Dental of Oklahoma members, 59 percent did not use their dental insurance for preventive care in 2014. This campaign will stress that preventive care is key to avoiding oral health problems that lead to unnecessary ER visits.

Target Audience

According to the U.S. Department of Labor, women make approximately 80 percent of family health care decisions. Therefore, this campaign will target mothers. It will also target young people, ages 20-34, to educate them on the importance of a lifelong habit of visiting a dentist. “This campaign will be a statewide initiative benefiting all ODA members,” said Wong. “But due to a very limited budget, the staff is being very creative with some out-of-the-box ideas that are sure to reach the identified target audiences.” The ODA Board of Trustees approved earmarking a portion of Association reserves for this campaign. All monies donated to the Smile Section, a voluntary dues item, will be used for the campaign, as well.

What You Can Do

The ADA Find-a-Dentist member directory includes all ADA members, but how do you stand out? It is more likely that a new patient will click to learn more about dentists that have additional information available, such as photos, practice websites and insurance information. The ODA will direct the public to find a dentist near them by searching the ADA’s online member listing, so it’s vital that you update your profile. It only takes a few minutes to do. Watch a short video at okda.org/ members-only to learn how or follow the steps listed on the next page. If you have ideas to contribute to YOUR campaign, please contact Dr. Wong at david@tulsagums.com or Tina Evans, ODA Director of Communications and Education, at tevans@okda.org. If you would like to make a contribution to help support this campaign, please contact the ODA Membership Team at 800.876.8890. Thank you for your continued membership in the ADA, ODA and your Component. We look forward to an exciting year alongside you. Sincerely,

Tina Evans ODA Director of Communications and Education

Brought to you by the

Which Dentist Would You Choose? Update your profile today at ADA.org/MyADA

To get started: 1. Go to ADA.org/MyADA. 2. Click on the link “Log in”. 3. To sign in, enter your member number and password. If you’re not sure of your member number and password, call the ADA Member Service Center at 800.621.8099.

Update your ADA® Find-a-Dentist™ profile and give potential patients reasons to choose you. Nearly 20,000 potential patients search every month for a dentist on ADA Find-a-Dentist* which is featured on the ADA’s consumer website MouthHealthy.org. But your profile is only as good as you make it. Help the residents in your community see the information they need to select you as their dentist. Your updated profile will also be included in ADA.org’s membersonly directory which is an easy way for your colleagues to find and contact you.

4. Once you are logged in you will be directed to the main menu where you can choose the information you would like to update. • Address and Phone Information (Office Hours, Office Address**, etc.) • Photo (.jpg only; 4 MB max) • Practice Information (Practice Website, Languages Spoken, Type of Payments Accepted, etc.) • Social Media (Office Website, Facebook, Twitter) 5. After you have updated your information, click on save changes in each section and exit the main menu when finished.

*Only ADA active licensed members will be displayed on ADA Find-a-Dentist. **Only your office address and contact info will display in your profile on MouthHealthy.org, not your personal contact info.

For more information about ADA Find-a-Dentist and your other ADA benefits, call the Member Service Center at 800.621.8099.

www.okda.org

CALENDAR OF EVENTS Visit ODA’s online calendar at OKDA.ORG to view more meetings and events. JANUARY 1 ODA Closed JANUARY 8 OkMOM Steering Committee 8:30 am - 10:00 am ODA ODA Annual Meeting Planning Committee 10:00 am - 12:00 pm ODA ODA Journal Editorial Board 12:30 pm - 1:00 pm ODA FEBRUARY 5-6 Oklahoma Mission of Mercy Cox Convention Center Oklahoma City FEBRUARY 8 ODA Closed

Council on Dental Education & Public Information 1:00 pm - 3:00 pm ODA Council on Membership & Membership Services 3:00 pm - 4:30 pm ODA ODA Cocktails & Convo Happy Hour 4:00 pm - 6:00 pm ODA

FEBRUARY 9 TCDS Meeting 5:30 pm TiAmo’s Restaurant FEBRUARY 12 Relief & Disaster Grant Program 10:00 am - 11:00 pm ODA

JANUARY 15 Council on Nominations 9:00 am - 10:00 am ODA

Tulsa New Dentist After Hours 6:00 pm - 7:30 pm Tulsa

Council on Governmental Affairs 10:00 am - 12:00 pm ODA

JANUARY 22 ODA Rewards Committee 8:30 am - 10:30 am ODA

OkMOM Leads 3:00 pm - 5:00 pm ODA

OkMOM Press Conference 10:30 am -11:00 am Cox Convention Center

JANUARY 21 Rural Dentistry Panel 6:00 pm - 8:00 pm ODA

JANUARY 29 TCDS All Day CE 8:00 am - 4:00 pm Tulsa Renaissance Hotel

Council on Dental Care 1:00 pm - 2:00 pm ODA

FEBRUARY 19 ODA Annual Meeting Planning Committee 10:00 am - 12:00 pm ODA

FEBRUARY 18 OKC New Dentist After Hours 6:00 pm - 7:30 pm ODA

Get Involved with the ODA Are you interested in becoming active in YOUR ODA? Board of Trustees or House of Delegates? What about your local dental society? Below are the many ways that you can get more involved in organized dentistry in Oklahoma. To learn about each Committee, visit www.okda.org/members-only/committees or contact the ODA at 800.876.8890 for more information about volunteering.

Annual Meeting Planning Committee Board of Trustees Component (District) Office Continuing Education Advisory Committee DENPAC Board of Directors House of Delegates 6

journal | January/February 2016

Investments Committee Rewards Partners Committee OHCA and DHS Committee Oklahoma Mission of Mercy (OkMOM) Planning Committee

New ODA Members Joined October 11 - December 2, 2015 Please join the ODA in welcoming our new members into Oklahomaâ€™s community of organized dentistry. Maricruz Martinez

Central

Reham El-Hennawey Tulsa County

Karen Luce

Oklahoma County

Jarom Burbank

Southwest

Sherman Menser

Oklahoma County

Jarett Turney

Southwest

Brandon Schultz

Oklahoma County

Marcia Tarter

Oklahoma County

Thank you for keeping dentistry STRONG in Oklahoma!

Coalition of Rural Dentists (CORD) Caucus & Luncheon Thursday, April14, 2016 ODA Annual Meeting Cox Convention Center Room 16 11:30 a.m. - 1:00 p.m.

2016 Membership Button is Available The 2016 membership website button is now available to members who have paid their 2016 dues! Log in to the ODA Members Only website to download a copy or contact Kylie Ethridge, ODA Membership Services Manager, at kethridge@okda.org or 800.876.8890.

If you are a member dentist of the Central, Eastern, Northern, Northwest, or Southwest Component, this lunch is for you! This is your opportunity to voice your opinion and discuss current issues that will be presented to the ODA House of Delegates that afternoon. Kindly RSVP by April 5th to Kylie Ethridge, ODA Membership Services Manager, at kethridge@okda.org or call 405-848-8873.

Your membership button is a great tool to share on social media, too! www.okda.org

REWARDS Researched. Proven. Endorsed. These products and services can help manage your practice more smoothly and efficiently, and save you money. You can make your choice with confidence knowing each one has been thoroughly researched and endorsed for ODA Members. Begin taking advantage of these ODA member discounts today by contacting the company directly or visit okda.org/rewards-program.

INSURANCE Reduced premiums on a variety of insurance plans (800) 375-8356 www.3000ig.com

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Discounted annual rates for individuals & families (800) 527-7478 www.medjetassist.com

Savings on more than 75 vehicles for purchase or lease (866) 628-7232 www.ada.org/mercedes

Point earning credit card for all your personal & business needs (888) 327-2265 www.adavisacard.com

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Setup fee is waived (800) 246-9853 www.demandforce.com

Discounts on HealthCheck services (405) 242-1200 www.advancedbodyscan.com

Receive e-claims for only .25 cents (866) eclaims (325-2467) www.1866eclaims.com

Save up to 10% on products and logo applications (800) 990-5407 www.landsend.com/business

Special pricing for waste pickup (870) 427-6017 www.medicalwasteservices.org

Flat-fee affordable collections system (800) 711-0023 www.americanprofit.net Discounts on home & office filtration services (956) 631-5440 www.betterwatersolution.com Discounts on gloves and masks (877) 484-6149 www.dentalassociationgloves.com

Special pricing and a three-year rate guarantee (918) 809-5471 www.heartlandpaymentsystems.com

Receive 85-97% of the current market price (800) 741-3174 www.easyrefine.com

journal | January/February 2016

Discount of $125 off enrollment (800) 683-2501 www.iaplus.com

HIPPA/HITECH Training Licensing & Privacy Officer License Discount (469) 342-8300 ext.507 www.SmartTrainingLLC.com

Free Container with recycling with SolmeteX Hg5速 amalgam separator purchase (800) 216-5505 www.solmetex.com

Discounted office supply program www.okda.ctcshares.com Discounts on Shipping Services (800) 636-2377 www.savewithups.com/ada 25% discount on a new website (888)433-1747 www.prosites.com/oda

Name brand uniforms at a great price www.okda.org/rewards-program

Discounts on Digital Video Services & On-Hold Messaging (800) 460-4653 www.works24.com

ODA PARTNER COLUMN

This column is about ODA Rewards Partners’ products and services. These are endorsed companies of the ODA that save ODA members money while keeping dues lower by providing royalties to the ODA.

Save on Office Supplies    

NO COST NO APPLICATION NO OBLIGATION SHOP ONLINE OR IN-STORE

EXCLUSIVE BENEFITS You can now shop at Office Depot and OfficeMax or online to receive discounts offered through Oklahoma Dental Association.

Up to 80% Off Preferred Products 3,000 of the Most Commonly Used Products at 15% off Retail Web Pricing

Store Discount Card

Receive your discounts at any Office Depot and OfficeMax® stores. Retain This Card For Future Purchases.

96,000 Products Discounted Below Retail Next-Day Delivery with Free Shipping on Orders over $50 (excludes furniture) Additional 15% OFF First-Time Online Orders Terrific Copy & Print Pricing

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Lamination of your Discount Card

Valid in store only. Must present this original coupon to cashier at time of purchase. Photocopies/reproductions not valid. Not valid for purchases made in Office Depot outlet/clearance stores. Cannot be combined with Store Purchasing or Procurement Cards. Coupon is good for one-time use only, is not transferable, is not for resale or auction and cannot be combined with other offers or promotions. While supplies last. No rain checks. No cash back. Void where prohibited. Limit 1 coupon per household/business.

Coupon Code 82677141

Store Purchasing Card

SPC Account # 80124841970 CARDHOLDER INSTRUCTIONS: Present this card to an associate at your local Office Depot and OfficeMax Store. You must pre pay when using self service copiers. To order online, go to http://okda.ctcshares.com and click Shop Online.

OFFICE DEPOT ASSOCIATE INSTRUCTIONS:

1. Begin sale transaction as normal. Self Service copy transactions must be paid for at the register. 2. Press, “Total” and then select, “Charge” or, “F1>SPC Account” (touch screen only). 3. Enter SPC# and wait for register to re-price. 4. Purchases made using the card do not qualify for Worklife Rewards®. Office Products = Pricing adjustments in accordance to national program’s contract terms Version 10/10

To receive your savings online, go to: http://okda.ctcshares.com

Black & White copies = 2.5¢, Color copies = 22¢, Binding, Folding, Cutting 35% off retail.

Clip & Go!

1) Payment options for purchases made with Cards issued by a BSD Client to Cardholders through a group or employee purchasing organization are cash, check and credit card only. 2) Office Depot coupons valid at retail stores and used in conjunction with a Card will provide the Cardholder with a discount off of the retail store price only. The Card will permit the Cardholder to receive either its custom discount pricing or the retail store price after discounts, whichever is lower. 3) The Card must be presented at the point of sale in order for the Cardholder to receive its custom discounted pricing. 4) Office Depot reserves the right to unilaterally revoke or terminate the Card for any reason. Upon the receipt of notice that the card has been terminated, the Cardholder must destroy the Card. 5) If the BSD Client is issued more than one (1) Card, all Cards issued shall be subject to these Terms and Conditions. 6) Office Depot reserves the right, at any time, to revise these Terms and Conditions. Any modifications to these Terms and Conditions shall be effective upon posting the modified terms and conditions at business.officedepot.com or any successor website.

Start saving today! To order online, go to http://okda.ctcshares.com and click Shop Online. For more information contact info@itppurchasingpower.com

www.okda.org

ODA MEMBER BENEFIT CORNER Why is a membership with the ODA/ADA so valuable? The ODA/ADA supports all members at the national, state and local levels. From helping you manage your practice more efficiently and advocating on your behalf to offering you tools and resources that help you find the answers for which you’re looking, we’re there every step of the way.

Ethics Are you ever in need of some advice when it comes to treatment for your patients? The ADA Ethics Hotline is here to help you. This member service is designed to assist new and seasoned dentists in managing ethical challenges that may arise in day-to-day practice. The Ethics Hotline is not a legal resource but rather a service for helping to resolve ethical dilemmas much like an ethics consult service. Callers will be matched with a member of the Council on Ethics, Bylaws and Judicial Affairs (CEBJA) who will arrange to call the member at a mutually agreeable time to discuss the dilemma and offer resources that may assist in resolving the problem. Calling the Ethics Hotline To reach the Ethics Hotline, simply call the ADA Member Service Center at 800.621.8099 and ask to be connected to the Hotline. An ADA Member Service Advisor will connect you to a confidential voicemail system that can only be accessed by specific CEBJA staff. These staff members will forward your information to a CEBJA member, who will contact you

within 2-3 business days to arrange a mutually agreeable time to discuss your dilemma with you. If you have a very timesensitive issues, please say so in your message and CEBJA staff and members will do their best to accommodate your needs. Please note The Ethics Hotline is designed to assist members in identifying possible ethical issues and appropriate responses to those issues. The Hotline does not and cannot provide definitive advice with regard to whether any given situation or particular course of conduct violates the Code of Ethics. Likewise, responding volunteers do not, and cannot, provide callers with legal advice. Callers are encouraged to consult with a knowledgeable attorney as appropriate. To preserve the integrity of the process and foster open and frank communications between callers and ADA staff and volunteers, the Hotline will endeavor to keep your identity and the specific details of your questions or concerns confidential, and will disclose such information only if required to do so by subpoena or other legal process.

Celebrate National Children’s Dental Health Month in February! This month-long national health observance brings together thousands of dedicated dental professionals, healthcare providers, and educators to promote the benefits of good oral health to children, their caregivers, teachers and many others. The American Dental Association, along with the ADA Foundation, has multiple tools to help you promote National Children’s Dental Health Month! This year’s campaign slogan is “Sugar Wars”. The ADA has many resources that you can use in your practice such as free posters, easy-to-do activities, and more! These tools can help you relate to children in your office, schools or health fairs. To promote National Children’s Dental Health Month and download the free resources, visit www.ada.org/ncdhm. Also, don’t forget that the ODA has resources available to you every month of the year to teach good oral health habits on the members-only website located under resources! If you’re doing something special to recognize this observance or need help accessing the free resources, make sure to let the ODA know by contacting Chelsea Canada, ODA Communications Manager at ccanada@okda.org or 405.848.8873.

10 journal | January/February 2016

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The Spirit of Oklahoma City The ODA invites you to come to our 109th Annual Meeting at the Cox Convention Center, located in the heart of downtown Oklahoma City. Our vibrant city offers a fun, energetic atmosphere with a Southern charm. Discover the fantastic dining, night spots and surrounding attractions that it has to offer guests and locals. Don’t forget the many Annual Meeting social activities where you can connect with friends and colleagues.

Cocktails with Colleagues

ODA President’s Dinner

Celebrate the end of the weekend with Havana Nights on Saturday evening

The ODA Happy Hour is a great way to mingle with other annual meeting attendees over a drink at the Park House

Downtown Eats

Oklahoma City National Memorial

OKC offers a variety of great, new restaurants and bistros such as Mahogany, FLINT, Broadway 10, Vast, and KD’s Southern Cuisine

Visit the museum and memorial dedicated to the victims of the 1995 Oklahoma City bombing

Exhibit Hall

Bring your product order list to the exhibit hall and use your free drink ticket at Friday’s reception

A Night in Midtown

Packard’s New American Kitchen, Sidecar, Bleu Garten and Fassler Hall are just a few ideal spots for a nightcap in Midtown

Myriad Botanical Gardens Take a stroll through this interactive urban park to see plants from around the world in the heart of OKC

Oklahoma City. Not your average City.

visit www.okda.org/annual-meeting

12 journal | January/February 2016

2016 Annual Meeting Social Events Visit okda.org/annual-meeting to view a full list of events to attend with your colleagues.

All Attendees Are Invited to a

Cocktail Cocktail

Hour Hour

Friday, April 15 5-6:30 PM

nd a n o i ct u a e e liv g a a y r ve he Enjo e b t lt y u o j n d a ue o y ll! s a a H t i Exhib Sponsored by:

Havana Nights Under Cit y Lights!

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Surgical Concepts and Solutions Every Dentist Needs to Know Saturday, April 16, 2016 9:00 AM - 12:00 PM Three (3) Hours of CE

The prerequisites for achieving successful esthetic and functional outcomes include: (1) knowledge of the biology of the implantprosthesis-tissue interface and their post-treatment alterations; (2) careful pre-operative treatment planning; (3) augmentation of hard and soft tissues when deficiencies exist; and (4) attention to details in execution of surgical and prosthetic techniques. This presentation will review the biological fundamentals, as well as the clinical surgical and prosthetic techniques involved.

Annual Meeting Hotel

OKC Renaissance Convention Center Hotel ODA Group Rate: $154 Single/Double Room Book by March 13, 2016 800.468.3571

Meeting Registration opens in February! www.okda.org

BE A part Of SOmething Bigger than yOurself!

We have a place fOr YOu! Dentists Hygienists Dental Assistants Front Office Staff Clerks X-Ray Technicians Dental Equipment Maintenance Licensed Practical Nurses Registered Nurses Nursing Students Physicians

Physician Assistants Pharmacists Pharmacy Techs Patient Escorts Patient Exit Interviewers Translators Patient Registration Hospitality Entertainment Waste Management Attendee Management

OkmOm: OkC! On February 5 and 6, the Oklahoma Mission of Mercy will return to the Cox Convention Center in downtown Oklahoma City for the seventh annual event. The Oklahoma Dental Association, Oklahoma Dental Foundation and Delta Dental of Oklahoma Oral Health Foundation are excited to host what is sure to be another successful Mission offering free dental care to thousands of Oklahomans in need.

Patients attending OkMOM are offered cleanings, fillings, extractions, and anterior root canals. Additionally, eligible patients have the opportunity to receive limited denture services including partials and existing denture repairs. To date, OkMOM lab volunteers have provided 146 partial dentures, 15 repairs and four full sets. Although the Mission is not a solution to the declining state of Oklahoma’s oral health status, OkMOM is continually evolving, year after year, to better meet patient needs. This year, Dr. Matt Cohlmia is heading OkMOM’s newest venture in advancing our clinic: CEREC crown technology. Applicable patients who have had endodontic treatment performed on one or more teeth will be streamlined to this service to improve the future stability of the treated tooth. By incorporating CEREC crowns into our clinic, OkMOM hopes to preserve these salvageable teeth much longer after successful endodontic treatment considering that some of our patients solely rely on OkMOM to receive dental treatment. “Utilizing donated CEREC units and porcelain ovens, we will be able to fabricate full porcelain crowns in approximately 30 minutes per CEREC unit, greatly enhancing the life span of those endodontically treated teeth,” explains Dr. Cohlmia, 2016 CEREC Lead. By incorporating this technology, OkMOM hopes to decrease the number of patients who return to OkMOM.

Let's talk abOut It!

#okmomokc F

@okdentalmission

View

BOOk a rOOM with OkMOM! Courtyard by Marriott 2 W Reno Ave OKC, OK 73102 1-888-236-2427 Code: ODAR $104 per night within WALKING DISTANCE To THE CoNvENTIoN CENTEr!

www.okda.org

Recap from the 156th ADA Annual Meeting Washington, D.C. Nov 4-10, 2015

Dr. Raymond Cohlmia Installed as ADA Trustee Raymond A. Cohlmia, D.D.S., an Oklahoma City general dentist and Dean of the University of Oklahoma College of Dentistry, was installed as a trustee of the American Dental Association at the ADA Annual Meeting. Dr. Cohlmia will serve on the ADA Board of Trustees as the trustee from the Twelfth District, which encompasses Arkansas, Kansas, Louisiana and Oklahoma. The ADA Board of Trustees formulates and reviews policies and programs and makes recommendations to the members of the ADA’s House of Delegates. As a member of the ADA Board of Trustees, Dr. Cohlmia will play a major role in the organization’s objective of being America’s leading advocate for oral health. “I am very excited and grateful to serve as the District XII Representative to the American Dental Association Board of Trustees,” said Dr. Cohlmia. “The profession of dentistry is the greatest profession in the world, and I have been looking forward to this opportunity and its responsibilities. I assure all that I represent, I will work hard to provide you with the representation you expect from me each and every day as Trustee.”

12th District Trustee, Dr. Gary Roberts of Louisiana, elected ADA President-elect Dr. Gary Roberts, a general dentist based in Shreveport, Louisiana, is the new president-elect of the American Dental Association. He will assume the role of president of the ADA in October 2016, when he will lead the 158,000-member organization. Dr. Roberts, an ADA member for 41 years, served as the Twelfth District trustee to the ADA House of Delegates. He served on the ADA Council on Ethics, Bylaws and Judicial Affairs and the Council on Government Affairs, and was chair of the Committee on Budget and Finance. He served as a trustee liaison to the Council on Dental Practice, the Council on Annual Sessions, and the Council on Dental Education and Licensure. Dr. Roberts is a past-president of both the Louisiana Dental Association (LDA) and the Northwest Louisiana Dental Association. He was speaker of the LDA House of Delegates for six years and editor of the Journal of the Louisiana Dental Association for eight years. In addition, he served on numerous committees at the LDA including the Council on Government Affairs and the Political Action Committee, and served on the Board of Directors of Louisiana Dental Services. In 2007, he received the Louisiana Dental Association’s highest honor, the Distinguished Service Award.

Highlights from the ADA Annual Meeting

ODA Members being inducted into the American College of Dentistry.

18 journal | January/February 2016

ODA Members and staff took a fun segway tour around Washington, D.C.

ODA Delegates and Alternate Delegates to the ADA with Dr. Gary Roberts, the newly elected ADA President-elect.

OK-SEP-2015.pdf

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OKLAHOMA DENTAL FOUNDATION

Happy New Year from the ODF

Top Row, Left to Right: Melissa Reese, MobileSmiles Program Director, Stacey Bonham, Executive Operations Manager, Emma Brito, MobileSmiles Program Coordinator, Megan Wilkinson, Registered Dental Assistant, Dr. Linda Otis, MobileSmiles Staff Dentist â€˜ Registered Dental Assistant, John Wilguess, Executive Director, Bottom Row, Left to Right: Michael Bogran, TJ Lauxman, MobileSmiles Community Coordinator

Make a New Yearâ€™s Resolution to Volunteer More! MobileSmiles has site partners all across the state of Oklahoma, each serving their own unique population. Whether you have a heart for veterans, children, women in transition or people in recovery, there is a site partner that needs YOU to help change lives.

Ready to volunteer? Visit MobileSmilesOK.org for a statewide list of opportunities! A partnership program of

20 journal | January/February 2016

Pittsburg County Dental Days Four partner agencies came together recently to hold the first ever Pittsburg County Dental Days event. The McAlester Health Department hosted the free five-day clinic, which provided preventive and restorative oral health services, education, oral health supplies, and immunizations to a total of 111 area residents, aged 18 and over. The event was a team effort, with each of the following partner agencies serving a vital role: Pittsburg County Health Department; McAlester Regional Foundation; Oklahoma State Department of Health; and MobileSmiles Oklahoma (MSO), a partnership program of the Oklahoma Dental Foundation and Delta Dental of Oklahoma Oral Health Foundation. Michael Echelle, Administrative Director for Pittsburg, Coal, Atoka and Pontotoc County Health Departments, along with Dr. Michael Auld, were key organizers of the event, coordinating the many local providers volunteering time and services in the Pittsburg County Health Department dental clinic. Dr. Jana Winfree, Director of Dental Health Services, Oklahoma State Department of Health, contributed greatly, as well, serving in both clinical and advisory capacities.

Brooke James; Denise Whipkey; Karlita Lott; Robert Walker; Dawn Edwards; Lesa Curry; Greg McCann; Natasha Brown; the PCHD nurses and clerks; Laurie Martin; Cheryl McElhany; Stoney Wainscott; David Miner; Teresa Hendricks; Sheryl Ronck; Tina Johnson; Deborah Sustaire; Sonya Anderson; Cynthia Borrenkott; Tiffany Busby; Margaret Key; Diana Courts; Camille Lalli; Shandy Schmitt; Connie Herron; Les Williams; Rick Ketchum; and the MSO team: Dr. Linda Otis, Michael Bográn, Megan Wilkinson, TJ Lauxman, Emma Brito, and Melissa Reese.

Patient Testimonials “Seeing the staff and having the treatment I received today was a Godsend. Had a lot of dental work done and needed a good checkup and cleaning to save what I had. Thanks!” “These guys went above and beyond what was needed to save my tooth and for that I am grateful. Everyone was awesome. Thanks so much.” “They did great. They had to work hard to pull my tooth, but did a great job. I am very thankful for all their hard work.” “Thank you so much. The courtesy and care by the dentist was amazing and the overall quality of care received was amazing.”

Dr. Terry Cline, Oklahoma Commissioner of Health, Secretary of Health and Human Services, deemed it “an amazing event striving to address the unmet dental and oral health needs in our state. A prime example of Oklahomans rising to the challenge!” Many thanks to the following individuals who contributed time and effort: the entire Pittsburg County Health Department team; Ross Riddel and Will Porter, fourth-year dental students from the OU College of Dentistry, who provided oral health services to patients on board the MobileSmiles unit under the guidance of MSO preceptor, Dr. Linda Otis; Renee Amason; Mary DeLeon; Linda Boykin; Melody Taylor;

OUCOD senior students Will Porter and Ross Riddel, Dr. Linda Otis, Michael Bográn, Melissa Reese, Emma Brito, and Megan Wilkinson

www.okda.org

Board Members Dr. Bernie Wynn – President

Dr. Wynn is a second-generation dentist and the owner of Eastern Oklahoma Periodontics. In 2006, he was named the Oklahoma Dental Association’s “Young Dentist of the Year,” and also received the “James Saddoris Award” from the Tulsa County Dental Society in 2013. He became a board member because he wanted the chance to help improve the oral health of his fellow Oklahomans after witnessing first-hand the effects of poor oral health. He is also a past-president of the Tulsa County Dental Society and Tulsa Endodontics Study Club.

Jesse Cowan - Treasurer

Mr. Cowan is Senior Vice President of Commercial Lending for Valliance working with many dentists while seeing the impact the profession has on Oklahomans during the annual Oklahoma Mission of Mercy. He was honored in 2013 to be named one of Association board.

Terry Saunders – Secretary

Mr. Saunders has been a sales representative for Patterson Dental’s Oklahoma City branch for more than 20 years. He became an ODF board member to give back to the dental community that provided him with a career he loves. Saunders feels it is important to educate children and their families about oral health and provide them a way to receive dental care.

Ed Harroz, DDS

Mitch Kramer, DDS

Immediate Past President Orthodontist Edmond

General Dentist Midwest City

Dunn Cumby, DDS

Kathy Henry, DDS

Robert Lamb, DDS

General Dentist - OU College of Dentistry Faculty Oklahoma City

General Dentist Tulsa

Amy Hall

Grace Holden, CDA

J. Michael Steffen, DDS

Bank SNB - Assistant VP, Commercial Lending Oklahoma City

Oklahoma City

Kevin Haney, DDS

Eugenia Johnson, DDS

Pediatric Dentist – OU College of Dentistry Faculty Norman

22 journal | January/February 2016

Endodontist Tulsa

General Dentist Edmond

Oral Surgeon Edmond

Greg Wedel, CPA

Wedel, Rahill and Associates Edmond

Mark your calendar for Dentist Day at the Capitol March 1, 2016 RSVP at www.okda.org!

YOU be the voice of YOUR legislative district!

Wear your white coat and support your profession!

www.okda.org

LEGISLATIVE LOOP Legislative Session Overview & Political Update Dr. Matthew Cohlmia

Oklahoma Dental Political Action Committee Update

Do you enjoy the way you practice dentistry? Would you love to see your children or grandchildren in the profession? Do you have physician friends that say, “I should have been a dentist” or “I want my child to be a dentist”? My own answer is yes to all of these questions. The ODA, with the help of DENPAC memberships, works on our behalf every year, protecting our profession, our practices and our patients. The 2016 legislative session will be no different and may be one of our most uphill battles yet. This coming year the ODA will tackle the new practice of “network leasing”. Did you know that many insurance carriers are now selling (sometimes referred to as leasing, assigning, transferring, and/or conveying) their lists of contracted dental providers and their contracted reimbursement rates to other insurance companies? What does that mean for you and me? If you are a contracted Blue Cross/Blue Shield provider, for example, and they decide to “lease” their list of dental providers and rates to Guardian (for which you are not a contracted provider), you may then be required to accept the lower reimbursement rates set by Guardian.

24 journal | January/February 2016

This practice is also known as a “most favored nation” clause that may be included in some or all of your provider contracts. The clause allows the plan to pay the lowest fee of all the participating plans. The ODA strongly advises that you review all your contracts before signing them because the new most favored nation clause could be included. If so, you should contact the insurance company and ask that this particular clause be removed. In the meantime, the ODA is planning to run a bill requiring third-party payers to disclose to the provider at the time of initial signing, renewal or amendment of the contract whether its list of contracted dental providers may be sold, leased, transferred, or otherwise conveyed to other entities. The bill will also enact several other requirements of thirdparty payers regarding the practice of network leasing. This is just one of the issues dentistry will be facing in 2016 and the Oklahoma Dental Political Action Committee (DENPAC) is asking for your help. We need your contribution and voice now more than ever before. DENPAC works to elect state legislative and official candidates who understand the importance of dentistry and have proven through their support of our initiatives that they are friends of our profession. Regardless of party affiliation, DENPAC supports candidates and subsequent legislators who will be strong advocates for us and for the patients we serve. Our DENPAC Board, in consultation with our ODA lobbyist Scott Adkins, carefully reviews and determines which Oklahoma legislators receive

our DENPAC contributions. The distributions are provided to those legislators who hold key policy-making positions on committees of importance to our profession. If you have ever played on a sports team, you have a real understanding of what can ultimately happen to a team when everyone does not step up and do their part. In the end, everyone loses. That same principle applies to our political power at the State Capitol through DENPAC. It is simply not fair for just a few of our dentists to carry the load and the team. Only 333 dentists out of 1,592 ODA members made a contribution to DENPAC in 2015 – that is only 21%. And the average DENPAC contribution of each dentist was only $200.30. Surely, our profession is worth more to each of us!

“The ODA, with the help of DENPAC memberships, works on our behalf every year, protecting our profession, our practices and our patients. The 2016 legislative session will be no different and may be one of our most uphill battles yet.”

We can do better. Your support makes a difference. Please send in a contribution to DENPAC with your 2016 membership dues. Please pay your 2016 DENPAC/ADPAC dues of $170 ($50 to ADPAC) and please consider increasing your contribution to the OKCapitol Club level ($470 total). If you’ve already paid your dues but did not make your contribution to DENPAC, please call the ODA today to make a contribution over the phone. Together, we can work to preserve, protect and improve our profession for ourselves, as well as for the next generation. Sincerely,

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P.S. Please mark your calendar now and make plans to attend ODA’s Dentist Day at the Capitol on Tuesday, March 1. We will come together and represent our profession that day to our elected officials, sharing dentistry’s message. Isn’t the future of our profession worth one day out of your office? We need you – We need your voice – We need your active participation. I hope to see you there.

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Protecting Seniors Access to Proper Care Act / H.R. 4062 Section 6405 of the Affordable Care Act (ACA) requires physicians and other eligible healthcare professionals to be enrolled in the Medicare program to order or refer items or services for Medicare beneficiaries. Recent guidance by the Centers for Medicare & Medicaid Services (CMS) has further clarified that all healthcare providers who prescribe to a Part D beneficiary must be enrolled in the Medicare program in order for the pharmacist to be reimbursed for the prescription. These two enrollment requirements apply to all physicians and prescribers—even those professionals whose services are not typically included in the Medicare program. Enforcement of this provision has been delayed until June 1, 2016. Non-Medicare participating physicians currently have 3 options under this provision: •

Enroll in Medicare: CMS has created a special enrollment form stating that – although the provider will still receive no benefit from the program -- he or she must abide by the rules, regulations, and guidelines of Medicare.

•

Opt out of Medicare: By opting out of the program, the physician will no longer be able to be a provider in Medicare Advantage plans where certain coverage is offered by the private insurer.

•

Do nothing: There is little incentive to take action regarding participating in Medicare, as the physician will not be directly affected. The pharmacist and the patient, however, will have a decision to make when a prescription is set to be filled.

Without a change to the statute, some non-Medicare physicians will find themselves subject to duplicative and unnecessary compliance costs and burdens. Dentists, for example, generally write three prescriptions: a mouthwash, an antibiotic, and a painkiller. Currently, the prescribing practices of dentists are overseen by the Drug Enforcement Agency (DEA) and state licensing boards. Requiring an additional layer of CMS oversight will lead to unnecessary burdens on dentists and their Medicare-eligible patients, without addressing the underlying rationale of the provision, which is to stop fraud and abuse in the Medicare program. Solution: In late November, Congressmen Kenny Marchant (R-TX) and Earl Blumenauer (D-OR) introduced H.R. 4062, the Protecting Seniors Access to Proper Care Act, which exempts dentists and other non-physicians who write prescriptions for Part D beneficiaries from the enrollment mandate. This legislation is good for dentists and their patients. Many dentists have contacted their Members of Congress to urge them to support H.R. 4062.

Add your voice today and urge your Congressman to co-sponsor H.R. 4062 to tear down the barriers to quality care for senior patients and allow dentists to continue prescribing necessary medication to their Medicare beneficiary patients. Thank you for your continued action and support!

Congressman

Washington Office Phone

Local Office Phone

Jim Bridenstine (1st District)

202.225.2211

918.935.3222 (Tulsa)

Markwayne Mullin (2nd District)

202.225.2701

918.423.5951 (McAlester)

Frank Lucas (3rd District)

202.225.5565

405.373.1958 (Yukon)

Tom Cole (4th District)

202.225.6165

580.357.2131 (Lawton)

Steve Russell (5th District)

202.225.2132

405.602.3074 (Del City)

26 journal | January/February 2016

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www.okda.org

SPOTLIGHTS

ODA Hero of Dentistry Creed Cardon, Tulsa, OK Claudia, a 23-year-old woman living in a remote village in the Dominican Republic, suffered from low self-esteem due to losing her front teeth in a traumatic accident. Claudia lost a part of herself when she lost her smile, and for many years she was self-conscious and afraid to smile. Imagine how she must have felt when she heard that a team of dentists was coming near her village to repair teeth and, more important to her, hopefully restore her ability to smile with confidence. Claudia traveled three hours to see Dr. Creed Cardon. The outcome was dramatic.

Dr. Cardon expected this volunteer mission to be rewarding, but it turned out to be extra special. He and his team spent a great deal of time treating Claudia. In addition to her missing front teeth, she needed several teeth extracted and many others repaired. After her initial treatment was completed, Claudia received a partial denture -and a brand new, gorgeous smile. “Her confidence soared,” said Cardon. “She was so grateful for the opportunity and thrilled with the results. She told us she would have been forever self-conscious of her appearance had she not met us.” Cardon is

a true hero of dentistry. He returns patients from a place of despair to a place of hopefulness, from anguish to contentment. In addition to the Dominican Republic, he has volunteered in Peru, Tonga, and the Appalachian mountains. Depending on circumstances and accessibility, his team provides basic preventive work, restorative care, extractions and, if possible, dentures. Locally, Cardon volunteers with Broken Arrow Neighbors and Eastern Oklahoma Donated Dental Services (EODDS). “Dentistry is needed everywhere and most definitely in Third World countries where education and prevention is lacking,” said Cardon. “However, some people make excuses that they don’t have the time or money to do dental missions. You don’t need to go anywhere exotic to do dentistry and have life-changing experiences. Some of my most memorable experiences were volunteer trips with Remote Area Medical in the Tennessee Appalachians. There are needs all around us.”

Claudia’s before picture

Claudia’s new smile after treatment

Every Wednesday at Dr. Wong’s office is Breast Cancer Awareness Day. Pink shirts and gloves are encouraged!

28 journal | January/February 2016

Dr. Cardon at an orphanage in Peru.

“If service was easy, it wouldn’t be so rewarding,” said Cardon. “Several of my friends thought I was crazy for taking my children with me on a dental mission. Don’t get me wrong…it added stress and work. But it was so incredibly rewarding to watch my kids give service and play with the local Dominican children. They put together hygiene kits and gathered toys and clothes that they wanted to donate. That may have been better than the actual dental work I was doing.”

Cardon knows that life is full of decisions and it’s too short to look back with regret. He doesn’t miss an opportunity to give back because he’s most satisfied when serving others. Cardon is a 2011 graduate of the State University of New York at Buffalo School of Dental Medicine. After one year as an associate in an Albuquerque, NM practice, he moved to Tulsa to start his own practice (Spring Dental). Tiffany, his wife of more than 10 years, is “the rock of my life. Our greatest blessings are our three children, Maddie, Boyd and Ezra.” When asked what he would do if he found he had six months to live, his response was immediate: “I would move my family to a country in Central or South America and donate my time in a free dental clinic.”

Thank you, Dr. Cardon, for being an ODA Hero of Dentistry!

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Dr. Cardon and his family.

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ODA FEATURE

Building a Community of Dental Homes for Children By Dr. Paul S. Casamassimo and Dr. Robin Wright

The Affordable Care Act (ACA) promised to provide American children with a legacy of access to oral health. It has fallen short. Its application varies with different states and according to interpretations of the statute by the Supreme Court and other governmental agencies. Medicaid expansion also offered brief hope for children’s oral health, but the reluctance of most states to improve reimbursement rates makes this promise of change in pediatric oral health care hollow as well. As with many aspects of life, positive change for pediatric oral health must arise from local action. States and municipalities must decide that oral health disparity is unacceptable, and that with modest investment the most common childhood illness can be brought under better control. In addition, our main sources of care – dental practices – may need to look differently at how to best effect change. This article offers suggestions for local action to economically and comprehensively try to address the significant public health problem of early childhood caries. These suggestions won’t eliminate dental caries in children, but they should help optimize a community’s pediatric oral health. Learning from Other’s Mistakes Today’s emphasis on evidence-based care ties benefit with risk. In other words, any therapeutic approach must be assessed in terms of its beneficial outcomes as well as any risks entailed in its application.

30 journal | January/February 2016

(One illustration of that duality is fluoride: it has caries reduction benefits, yet can cause fluorosis.) With these considerations in mind, let’s look at a system that failed. In 2015, the Royal College of Surgeons of the United Kingdom issued a scathing report on the failure of the National Health Service (NHS) to address pediatric dental caries. They pointed out that the underfunded socialized system, restorative-heavy and prevention-light, was failing the UK’s children. Their recommendations for change included a greater emphasis on prevention, an increased use of systemic fluoride, earlier and more frequent access to care, greater reliance on pediatric specialists, and greater awareness of the danger of dietary sugars. Overriding all these factors was the need for the country to prioritize oral health for children. Does this death knell for the NHS sound familiar? It should, as we face challenges to water fluoridation, poor public funding for oral health, and the delusion that more or different “fixers” will improve pediatric oral health. The recommendations should also sound familiar. They describe characteristics of communities that enjoy a high level of oral health and are pillars of prevention.

Going All In on Pediatric Oral Health The decision to tackle dental caries in children begins with a community’s resolve. It might be from the top down, initiated by community leaders, but is often from the bottom up, launched by neighborhood dentists seeing the effects of early childhood caries in their patients. Meaningful Medicaid change in states like Michigan and Virginia began with local effort and was perpetuated by elected leadership. In states like Texas and Connecticut, advocates for children had to fight to raise Medicaid reimbursement rates; one tangible outcome was a utilization rate for services by Medicaid-covered children that equaled or surpassed that of children in the general population. Oklahoma enjoys some of the best Medicaid reimbursement in the US, so the stage is already set to enhance access to care for children. Every community is different, and change often means collaboration by children’s health providers, advocates and governmental agencies to reach a goal. That unity of purpose leading to action is the first step leading to a community of dental homes. Table 1 suggests a checklist of strategies for communities to maximize the

provision of relief from dental caries and effect improved outcomes for children. Most of these offer increased benefits over time, are achievable with minimal cost, and should lead to reduced dental need and disparities Broadening Skill Beyond the Drill The second piece required for change is the provider network – each dentist’s contribution to a preventive orientation in their practices and the communities they serve. We remain a loosely knit network of individual practices and so rely on a consistency across those practices to achieve oral health for children. It is the individual clinician who has the ability to diagnose disparities in a practice population. Much can be accomplished without a drill or curing light. Think of this new effort as caries risk assessment (CRA) on both an individual and community scale. This means not only the inclusion of CRA to individualize prevention, but also getting involved in advocacy for children to increase awareness within a community with significant pediatric dental caries. For example, do community leaders, health officials and medical providers in your practice area understand the level of disease and oral health literacy of its children and families? Are family practice physicians and pediatricians identifying children for referrals to dental homes? Taking dental expertise to the streets and the halls of government can yield a tremendous payoff for children. It is often said, for example, that fluoridating a community exceeds any number of dentists drilling and filling in that community. Table 2 is a checklist for individual dental practices to address larger issues of oral health disparities and dental caries. A greater awareness of the oral health needs in your community, knowledge of the resources available to improve health, and a willingness to assist families in achieving optimal outcomes are dimensions often missing from dental homes. Continued on page 33

Table 1. Healthy Community Characteristics and Getting There Charactertistic

Evidence of Community Presence

Access to Dental Home

Maximal Fluoride Benefit Sealants Community Oral Health Literacy

Community Ethos

• • •

Dentists who will treat children Clinics, FQHCs, educational facilities to serve children Non-dental pediatric health providers who perform oral health services

• •

Public health programs incorporating oral health School-based dental programs/clinics

•

Oral health benefits in community and workplace health coverage

•

Enabling services (transport, care coordination) to include oral health care

•

Infant oral health in both medical and dental primary care settings

• •

Community water fluoridation Access to and use of fluoride toothpaste

•

Fluoride varnish programs for young children

• •

School-based sealant programs (See page 34) Sealant promotion in dental offices

•

Oral health promotion in all health-related activities

•

Oral health in school curricula

•

OB-GYN awareness and promotion of oral health in pregnancy

•

Oral health in daycare and preschool programs

•

Oral health on the table in any health discussion

•

Champion(s) for oral health in community health infrastructure

•

Commitment to oral health in public health programs including funding

•

Programs to reduce disparities in oral health inclusion

•

Dietary awareness relative to oral health in food access programs and school meal programs

•

Surveillance of oral health issues

Table 2. Broader Skills for Better Care by the Dental Practice Community Charactertistic

Assesment of Caries Risk of both the Individual and the Community

• • •

What It Does for Families and Children

Promotes efficient use of resources and focused advice for families Provides communities and other local health professionals with information and motivation to address this health need Encourages both practice and community surveillance of oral health needs of children

A Broad Understanding of Resources within the Community

• •

Family Engagement

•

Provides appropriate materials on oral health for different levels of health literacy

•

Makes a practice able to deal with cultural, economic and medical issues

•

Helps families get care in your practice or elsewhere Assists families in obtaining enabling resources like transportation and case management Helps ensure overall health care for non-related health issues like immunizations and prenatal care

www.okda.org

ODA FEATURE

The Hygienist’s Role In Comprehensive Case Presentation & Patient Education By Becky Speer, RDH Comprehensive thinking is the key to educating our patients. As dental professionals our goal should be to raise the dental IQ of all patients under our care, informing them not only of their restorative needs but also the status of their periodontal health. Patients also rely on us for information about available cosmetic options (whitening, veneers, etc.), the latest advances in products on the market, and the links between their oral and systemic health. In short, it is our responsibility to keep them abreast of what is changing in the dental industry while building a relationship of trust that will create “forever” patients in our practices. Part of the patient education process is to give them all the information necessary to make excellent decisions concerning their dental health. People will buy what they want long before they buy what they need. We see this every day in the cars our patients drive and the accessories they have, but they say they can’t afford the crown their dentist recommends. But is it that they can’t afford it, or that they don’t want it? I believe it is the latter. So, one of our goals should be to turn their needs into desires. So, how do we, as hygienists, accomplish this with our patients during the relatively short appointment time we have with them? We can start by asking them what goals they have for their teeth, their mouths and their smiles, and follow up by implementing the following four steps: Motive Once we know our patients’ goals and what motivates them, we can present treatment recommendations to help them meet those goals.

32 journal | January/February 2016

If, for example, the goal is to keep their teeth for a lifetime, I would present my plan for active periodontal therapy by ensuring their understanding that such treatment will return their mouth to a state of health more conducive to retaining their teeth. If the goal is to have a great smile, I might recommend esthetic crowns and discuss how they could eliminate the unsightly grayish hue of existing amalgam restorations, thereby improving the appearance of the teeth and hence the overall smile. Once we know and document our patients’ goals, we can move forward with optimal patient education. Use Visual Aids Over the years, many new and different visual aids have become available to enhance our patient education endeavors. The intraoral camera, patient education video systems, and informative brochures have all made our jobs a little easier.

Research has shown that 80 percent of the population are visual learners; therefore, utilizing these improved tools will increase case acceptance. They do not replace patient education – rather, they support and enhance the process. Discuss the Benefits and Risks Our patients have to see what currently exists in their mouths, hear what they need, and understand why those needs exist. We have to explain the benefits of the proposed treatment and the risk of not moving forward with that treatment. This is a key factor in good case presentation. If the patient does not understand what might happen if they delay treatment, they are more likely to do just that -- delay treatment. Once they fully understand that putting off proposed treatment will ultimately result in more expensive (and extensive) treatment, they will be more likely to move forward in a proactive manner and complete the needed treatment.

Unfortunately, some patients will engage in “false acceptance” -- scheduling the treatment appointment, but failing to show up. Utilizing our educational tools properly and completely will prevent the incidence of “false acceptance.” Ask for Commitment Asking for a commitment is the only way to ensure you have answered all your patient’s questions and overcome every objection. You know they are ready to schedule an appointment and return their mouth to a state of health. An example of asking for a commitment: “Mr. Jones, is there anything that would prevent you from scheduling this appointment today?” The doctor should pose this question prior to leaving the treatment room. Many fear that this approach would change the conversation from treatment to money, delaying the doctor for another ten minutes or longer. However, any objection you get from the patient

is actually a gift. If they give you an objection you then have the opportunity to address a specific issue. If the doctor fails to ask for the commitment, the hygienist or assistant should feel comfortable taking on that task. Once the patient is ready to schedule the treatment appointment, he/she should be given “an alternative of choice” – for example, a morning or afternoon appointment. Understanding what motivates our patients, implementing the use of visual aids, stating the benefits and risks of the needed treatment, and asking for a commitment will change the way your patients feel about their oral health. Getting them to “own” their oral health takes the strain off the provider and puts it back on the patient where it belongs. If you are diligent and thorough in using these verbal skills you will see an increase in case acceptance by your patients. It is not what you say, but how you say it.

Becky Speer, RDH, empowers practices using her hands-on expertise and guidance as a Jameson advisor and Chief of Hygiene System Development. She is a registered dental hygienist who has seen the benefits of the Jameson method from inside a dental practice. Her client-based insight gives her an edge as a business and clinical advisor, focused on improving work flow and making practices more profitable. Speer’s goal is to help others experience practice growth and personal fulfillment. Becky also works in-depth with the Jameson team on enhancing and developing the clinical and hygiene coaching services available to Jameson clients. For more information on Becky or on Jameson’s services, contact 877.369.5558 or info@jamesonmanagement.com.

Building a Community of Dental Homes continued from page 31 Taking the Next Step Towards Freedom from Dental Caries So, for Children’s Dental Health Month in Oklahoma this year, ice the cake of donated care programs. Create a community of dental homes year round and achieve lasting contributions to the oral health of children in Oklahoma. As one of your favorite sons, Will Rogers, said, “Even if you are on the right track, you’ll get run over if you just sit there.” We encourage you to take Oklahoma’s oral health care to the next level, and the “Sooner” the better!

Paul S. Casamassimo is Director of the Pediatric Oral Health Research and Policy Center of the American Academy of Pediatric Dentistry and practices at Nationwide Children’s Hospital in Columbus, Ohio. He received his dental degree from Georgetown and a Master of Science and Certificate in Pediatric Dentistry from the University of Iowa. He has taught at the University of Iowa College of Dentistry and the University of Colorado School of Dentistry. The author of over 300 publications, Dr. Casamassimo is former editor-in-chief and past president of the AAPD.

Robin Wright is Assistant Director of the Pediatric Oral Health Research and Policy Center. She holds a master’s degree from the University of Illinois and a doctorate in communication studies from Northwestern University. Dr. Wright is a nationally recognized speaker on healthcare communication and practice management. She is the author of over 80 publications, including the book, “Tough Questions, Great Answers: Responding to Patient Concerns about Today’s Dentistry.”

“We encourage you to take Oklahoma’s oral health care to the next level, and the “Sooner” the better!” www.okda.org

ODA FEATURE

Dental Sealant Pilot Program Serves At-Risk Students On-site By Terrisa Singleton, Foundation Director at Delta Dental of OK Oral Health Foundation

Authorizing Dentist Dr. Erin Sexson (standing) observes procedures at the recent Monroe Elementary sealant clinic.

School-based dental sealant delivery programs are an evidence-based public health strategy for preventing tooth decay among school-aged children, particularly those at highest risk. The Delta Dental of Oklahoma Oral Health Foundation has launched a school-based sealant pilot program for the 2015-16 school year with the purpose of developing a scalable, sustainable model that can be replicated throughout the state. The goal of the program is two-pronged: To seal the new molars of at-risk second and sixth-graders, and to help connect them to nearby dental homes. Sealant clinics are conducted on-site by registered dental hygienists utilizing portable dental equipment, under the authorization of Erin Sexson, DDS, of Oklahoma City. “I’m excited to be a part of this pilot,” said Sexson. “Helping to create a program that undeniably impacts the future oral health 34 journal | January/February 2016

of children has been very rewarding.” The DDOK Oral Health Foundation is coordinating with the Oklahoma City County Health Department’s (OCCHD) Health at School program to reach children attending schools with 80 percent or higher rates of participation in the Federal Free and Reduced Meals Program. These children are statistically at higher risk for dental decay. “Preventive care in this group is significantly beneficial to the families in our school communities,” said Jessica McLemore, RN, BSN, OCCHD School Health Case Manager. “The school principals, nurses, and other staff members realize this and are enthusiastic to be able to host the clinic and provide the students with sealants at no charge.” Even when cost is not an issue, such as with SoonerCare recipients, there are

“The unfortunate fact is, many of the children we serve at these schools are not going to be taken to a dentist until they are in pain, unless we intercede,” said John Gladden, president and CEO of Delta Dental of Oklahoma and chairman of its Oral Health Foundation.

barriers to dental sealants for children in lower-income homes. Many parents do not know the importance of preventive dental care. Others cannot afford to take off work for a dental visit. Delivering sealants on-site helps eliminate this barrier and ensures the sealants are placed before decay sets in. “The unfortunate fact is, many of the children we serve at these schools are not going to be taken to a dentist until they are in pain, unless we intercede,” said John Gladden, president and CEO of Delta Dental of Oklahoma and chairman of its Oral Health Foundation. “Besides sealing teeth at this critical time in the children’s development, we are also committed to helping bridge the gap between them and a nearby dental home for ongoing dental care.” A packet of information is sent home to the parents of each child, which includes

an assessment, a treatment report, and a list of dental offices within a five-mile radius of the school. “Through our take-home materials, parents are strongly advised to take their children to a dentist for an exam and regular checkups,” said Terrisa Singleton, director of the Delta Dental of Oklahoma Oral Health Foundation. “We also have a process in place to follow up with parents of children with dental issues that need immediate attention.”

A second-grader receives sealants at an on-site cavity prevention clinic.

The lessons learned are expected to pay off long after the pilot concludes in May. “School-based sealant programs are common throughout the country, but the laws and needs of each state are unique,” Singleton said. “We hope the experience gained from the pilot can be used to expand this important service across Oklahoma.” The pilot program is fully funded by Delta Dental of Oklahoma and no insurance or SoonerCare reimbursement is being claimed. For more information about Delta Dental of Oklahoma and its Oral Health Foundation, please visit www.DeltaDentalOK.org.

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Oklahoma Dental Association Co-Hosts 2016 Big Sky Ski & Learn Seminar The Tennessee Dental Association will join several other states in hosting the 2016 Ski and Learn Seminar at Big Sky Resort in Big Sky, Montana. The meeting begins on Wednesday, March 16 and continues through Wednesday, March 23. Other state dental associations who have cosponsored the trip include Alabama, Indiana, Kentucky, Maryland, Missouri, Montana, Tennessee, Virginia and South Dakota. This will be our twelfth consecutive trip to Big Sky. Nearly fifty dentists from fourteen states participated in the 2015 trip. Montana is known for its vast, beautiful landscapes and at Big Sky, there’s no exception. Big Sky is one of the largest and most compelling mountain resort experiences in North America. With recent acquisitions of the Moonlight Basin and Spanish Peaks resort areas, Big Sky Resort boasts more than 5,750 acres of skiable terrain with 4,350 vertical feet, 23 chair lifts and 10 surface lifts. Annual snowfall averages 400 inches and there are no lift lines. Big Sky is truly the “Biggest Skiing in America.” Continuing Education Sixteen hours of continuing education will be held on Thursday and Friday (March 17-18) and Monday and Tuesday (March 21-22). Morning sessions will be 7:30 until 9:30 a.m. and afternoon sessions will be 4:30 until 6:30 p.m. This schedule will allow you to enjoy skiing on program days! Speakers and topics will be announced soon. Complimentary daily breakfast is included with group lodging, and will also be provided for registered attendees staying off-site on seminar days.

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Skiing and Recreation The skiing at Big Sky is truly legendary. The experience is based on huge vertical, tremendous elbow room and breathtaking scenery. The facts tell the story -- two mountains, 3,600 acres, seventeen lifts, 400 inches of light, dry snow annually, no lift lines and the nation’s 2nd largest vertical drop of 4,350 feet. Group ski rates will be available for registered attendees. And when you’re not skiing, the Big Sky area offers plenty of winter activities like snowmobiling and wildlife viewing in Yellowstone National Park, snowshoeing, sleigh

ride dinners, ice skating, free children’s aprés ski activities, or relaxing with a spa treatment from the Solace Spa. How To Register For registration information contact the Alabama Dental Association by calling (800) 489-2532, fax (334) 262-6218, or email niel@aldaonline.org. For lodging information and rates call Big Sky Resort at 800-548-4486 and tell them you are with the Alabama Dental Group.

CLASSIFIEDS Looking to fill an open position in your office, need to sell dental equipment or a practice? Check out the latest listings below and visit okda.org/classifieds for additional listings. JOB OPENINGS

OFFICE FOR SALE /LEASE

We are looking for a qualified, confident dentist to partner with us to open a new office in Ponca City, OK. No buy-in necessary and incredible earning potential. Average income for FT general practitioners in our rural areas are $350k+. Competence in surgery is a must and implants experience is preferred but not necessary. Pays the greater of 150k base OR 25% of production. Offices take off quickly do to staff training, exceptional marketing, and quality WOM. Digital X-rays, charts, and implant systems already in place. Large 5000 sq ft building. Contact 918.473.2233 or heath@oksupportgroup.com.

Great opportunity to buy a growing practice in a small town less than 30 minutes from OKC. Beautiful 2800 square feet stand alone building with all brand new equipment. 6 operatories, 32 inch TVâ€™s, computers, intraoral cameras and electric handpieces in each operatory. 2 private surgical suites for implant or sedation cases. Digital intraoral radiography as well as a digital panoramic/ceph machine. Practice produced over 500k in first year of business! Part time hygienist, and 2 full time staff members already in place to help you with the transition. Practice has all equipment for implant placement as well as providing orthodontic care. Open to full buy out or 50% partnership if buyer would prefer a partnership or phased buy out. This is the perfect opportunity to get in on the ground floor of a growing practice without going through all the headaches of starting from scratch! Contact 405-570-2521 or brentamaya@ gmail.com for more information.

7300 South Western. Established dental office for rent. Excellent area with high traffic. Utilities are free. Completely remodeled with a reasonable rent. Four operatories, lab, private and business office, record room. Easy access from all areas of town. Will rent with or without equipment. Dr. Buddy Shadid 405.833.4684 or 405.843.1709. Mixed FFS/PPO, established general dentistry practice with very limited area competition available for immediate purchase. Community of 10,000+ near a large city. Located in single-story, free-standing professional building with 4 operatories fully equipped. Real estate available for purchase. Over $700K collections. Call Lewis Health Profession Services at (972) 437-1180 or e-mail Info@lewishealth.com.

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What is the first thing you would do if OSHA calls your office?

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Did you know, 1 out of 20 people have Hepatitis B in the U.S.?

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Safety doesnâ€™t happen by accident. Make OSHA a top priority for you and your staff. Contact Dental Practice Support by Delta Dental of Oklahoma to schedule your training today.

40 journal | January/February 2016

Deb Rathbun HIPAA & OSHA Training 405-607-2111 (OKC Metro) 800-522-0188, Ext. 111 (Toll Free) 405-615-6259 (Cell) DRathburn@DeltaDentalOK.org