ODA Journal: Sept/Oct 2018

September/October 2018 | Vol. 109, No. 5

ODA Rewards Partners Catalog

www.okda.org

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Contents

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

September/October 2018 | Vol. 109, No. 5

Inside Front Cover Valliance Bank Back Cover Delta Dental of Oklahoma

EDITORIAL 0 6 Guest Editorial: Mary Martin, DDS

ASSOCIATION 04 Calendar of Events

Advertisers 3000 Insurance Group Commerce Bank DentalPost Endodontic Associates Lewis Health Profession Services Mid Continent Dental Congress OK Tobacco Settlement Endowment Trust Paragon Dental Practice Transitions Patterson Dental ProSites

Oklahoma Dental Association

07 ODA Rewards Partners 10 ODA Marketing Coach 11 ODA Members Trending on Social Media 1 2 Oklahoma Mission of Mercy 2019

32

Increased Incidence of Exposure to Fentanyl

1 4 ODA Member Benefit Corner 1 5 ODA Council Meeting Briefs 1 6 Important Information For Your Public Employee Patients 1 8 ODA Annual Awards - Nominations Open!

2 0 More Than Dentistry - Did You Know?

2 2 The Association of Retiring Dentists 2 3 Component CE Opportunities

THE OKLAHOMA DENTAL ASSOCIATION JOURNAL (ISSN 0164-9442) is the official publication of the Oklahoma Dental Association and is published bimonthly by the Oklahoma Dental Association, 317 NE 13th Street, Oklahoma City, OK 73104, Phone: (405) 848-8873; (800) 876-8890.

Fax: (405) 848-8875. Email: information@ okda.org. Annual subscription rate of $39 for ODA members is included in their annual membership dues.

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

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

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

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

Opinions and statements expressed in the OKLAHOMA DENTAL ASSOCIATION JOURNAL are those of the author and are not necessarily those of the Oklahoma Dental Association. Neither the Editors nor the Oklahoma Dental Association are in any way responsible for the articles or views published in the OKLAHOMA DENTAL ASSOCIATION JOURNAL. Copyright © 2018 Oklahoma Dental Association.

54 Finally, Five (not so) FAQs

LEGISLATIVE LOOP 24 Grassroots Lobbying / ODA ATLs 2 6 ADA Advocacy News 27 OKCapitol Club Members & DENPAC Grand Level

28

Dr. Dennis Morehart

Cover Photo: See the full ODA Rewards Partners catalog to discover savings for your office and home.

Page 39

MEMBER SPOTLIGHT 28 Dr. Dennis Morehart

FEATURES 32 An Increased Incidence of Exposure to Fentanyl Contaminated Heroin Among Illicit Opioid Users and

the Craniofacial Manifestations of Heroin Use 34 Canal Transportation: An Examination of Three

Ni-Ti Rotary Systems 39 ODA Rewards Partners Catalog 52 Rediscovering Life After Addiction

CLASSIFIEDS 53 ODA Classified Listings

OKLAHOMA DENTAL FOUNDATION Is Your Information Correct?

54 Help Us Welcome New Team Members

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

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

12 www.okda.org

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ODA JOURNAL STAFF EDITOR Phoebe Vaughan,DDS ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Mary Hamburg, DDS, MS Somer Heim, DDS Daryn Lu, DDS Mary Martin, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans MEMBER COMMUNICATIONS MANAGER Madison Huffines OFFICERS 2018-2019 PRESIDENT Shannon Griffin, DMD president@okda.org PRESIDENT-ELECT Daniel Wilguess, DDS presidentelect@okda.org VICE PRESIDENT Paul Mullasseril, DDS vicepresident@okda.org SECRETARY/TREASURER Robert Herman, DDS treasurer@okda.org SPEAKER OF THE HOUSE Doug Auld, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Juan Lopez, DDS pastpresident@okda.org ADMINISTRATIVE STAFF EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans DIRECTOR OF MEMBERSHIP Kylie Ethridge OPERATIONS MANAGER Cerissa Frazier

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

September 21 ODA Risk Management Seminar (page 5) 8:30 a.m. - 12:00 p.m.

Sheraton Hotel, Downtown OKC

September 3 ODA Building Closed September 7 OkMOM Steering Committee 8:00 a.m. - 9:30 a.m.

ODA Building

Tulsa County New Dentist Party 7:00 p.m. - 9:00 p.m.

Home of Drs. Ben and Eugenia Johnson

Annual Meeting Planning Committee 10:00 a.m. - 11:00 a.m.

ODA Building

September 25 ODA Mentor Meet & Greet 5:00 p.m. - 7:00 p.m.

ODA Building

September 11 Tulsa County Dental Society Meeting 5:30 p.m. - 8:00 p.m.

Ti Amo Ristorante September 13 ODA Progressive Office Tour Oklahoma City September 14 Southwest District Dental Society Meeting & CE 9:00 a.m. - 4:00 p.m.

Fairfield Inn and Suites Yukon

September 27 Champions of Health Gala 6:00 p.m. - 9:00 p.m.

National Cowboy & Western Heritage Museum, Oklahoma City September 28 Northwest District Dental Society CE & Meeting 8:30 a.m. - 3:00 p.m.

Oakwood Country Club Enid

Oklahoma Dental Foundation Board Meeting 1:30 p.m. - 4:00 p.m.

ODA Building September 15 DENPAC Wine Tasting 6:30 p.m. - 10:00 p.m.

Home of Dr. Robert Herman, Tulsa

October 9 Tulsa County Dental Society Meeting 5:30 p.m. - 8:00 p.m.

Ti Amo Ristorante October 11 Oklahoma County Dental Society Annual Party Mama Rojas, Oklahoma City October 12 Standing Committee on ODA Rewards Partners 9:00 a.m. - 11:00 a.m.

ODA Building Relief and Disaster Grant Program Board 11:00 a.m.- 12:00 p.m.

ODA Building Women in Dentistry Luncheon (page 5) 12:00 p.m.- 2:00 p.m.

Inspirations Tea Room, Edmond ODA Council on Budget and Finance 2:30 p.m. - 4:00 p.m.

ODA Building October 18 -22 ADA Annual Session Honolulu, Hawaii October 18 Tulsa County Dental Society Fall Picnic at OktoberFest 5:00 p.m. - 11:00 p.m.

River West Festival Park

MEMBER COMMUNICATIONS MANAGER Madison Huffines SPECIAL PROJECTS MANAGER Abby Sholar

Stay connected with the ODA!

The ODA Journal Editorial Board is interested in your ideas and original articles. Do you have a unique case study you wisth to share with your colleagues? Do you have a concern or particular interest in dentistry that you want to know more about?

Visit www.okda.org/members-only to complete a simple form and the Journal Editorial Board will take it from there.

Thank you for your ideas!

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journal | Sept/Oct 2018

oklahoma dental association

RISK MANAGEMENT Friday, september 21 8:30 a.m. - 12:00 p.m.

Sheraton Hotel - Downtown OKC

earn 3 hours of ce!

register: okda.org/education odA Member Dentists: $89 Registration fee

Women in Dentistry Tea New Techniques in Laser Dentistry, Mary Hamburg, DDS Recognizing Depression in You and Your Team, Speaker TBD

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October

12 p.m.

Inspirations Tea Room

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ODA Members...$29.00 Non-Members...$41.00 Price includes lunch and 1.5 hours of CE Register online at okda.org/education www.okda.org

5

ODA GUEST EDITORIAL

ODA Rewards Program Lower Practice Expenses Lower Association Dues The cost of practicing dentistry goes up every day mainly due to the price of supplies and new technology, but thanks to the ODA Rewards Program our dues have remained constant for several years.

Not only that, but if you use the Rewards Program to purchase endorsed products, you can also lower your practice expenses.

In 2017, the ODA received more than $140,000 in non-dues related income because our members used products and services that had been evaluated and endorsed by the ODA, saving each member the equivalent of $133 in membership dues!

The ODA Rewards Program seeks to endorse companies with a broad-based appeal to its members and their staffs.

It is comprised of products and services that provide you with real savings (both professional and personal) – such as office services, insurance, financial services and travel. Every partnership is evaluated on an individual basis and compared to similar industries available to us as practicing dentists. The companies chosen by the ODA Board of Trustees are thoroughly researched, and must meet a list of criteria before being selected as an ODA Rewards Partner, including being available to our membership statewide.

The Board’s Standing Committee on ODA Rewards Partners compares each company’s proposal to a minimum of two of their biggest competitors before ultimately referring the company to the full Board, which makes the final decision to name and endorse an “ODA Rewards Partner.” Each relationship is re-evaluated twice a year. New companies are added and less effective ones are removed.

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journal | Sept/Oct 2018

The ODA Rewards Program seeks to endorse companies with a broad-based appeal to its members and their staffs.

Mary E. Martin, DDS Beginning on page 39 you will have the opportunity to learn about our Rewards Partners and what they offer. We are confident in our promotion of each one and we hope you will take advantage of the great opportunity to work with them to save both you and your practice money.

This program is the ultimate WINWIN-WIN relationship: a win for the company, a win for the ODA and, most importantly, a win for you, the ODA member!

If you have any questions or observations about any of our ODA Rewards Partners, we want to know that also. Contact Cerissa Frazier at cfrazier@okda.org or any of the members of our Rewards Committee:

Last year the Awards Committee began a great collaboration by partnering with the OU College of Dentistry. In keeping with the theme of inclusiveness in our dental family, our committee now also includes one representative each from the Oklahoma Dental Hygienists’ Association and the Oklahoma County Dental Assistants Society. These new members have already contributed ideas from the staff perspective, which are invaluable when making important decisions for you.

Dr. Douglas Auld

Dr. David Birdwell

Dr. Beth Bohanon

Dr. Matt Bridges

Dr. Seth M. Evetts

Dr. Shannon Griffin

Dr. Edward Harroz III

Dr. Krista Jones

Dr. Malori Mills

For this issue of the ODA Journal, we are once again spotlighting all of the Partners in our Rewards Program. We feel it is vital that our members know and trust the companies we ultimately endorse and promote, and we encourage you to take advantage of the great members-only savings these Partners have to offer us.

Please take a moment to review them all and then pass this information on to your staff responsible for ordering products, as well as to your family who might take advantage of the personal services offered.

Dr. Paul Mullasseril

Dr. Dan Wilguess

Staci Wekenborg, RDH

Amy Warren, DA

Sincerely, Dr. Mary E. Martin Chair, ODA Standing Committee on ODA Rewards Partners

These are endorsed companies of the ODA that save ODA members money while keeping dues lower by providing royalties to the ODA.

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

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TRAVEL

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

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Preferred pricing and waived set-up fees 855.932.4232 pbhs.com/securemail

FINANCIAL SERVICES Sign up for a convenient patient financing solution for only $25.00 (800) 300-3046 www.carecredit.com/dental

Discounts on digital video services & on-hold messaging (800) 460-4653 www.works24.com

INSURANCE

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

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

FOR MORE INFORMATION VISIT:

OKDA.ORG/REWARDS-PROGRAM www.okda.org

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We proudly serve and support the

Oklahoma Dental Association

PLANS FOR ODA MEMBERS: • • • • • • • • • • • • • •

405.521.1600 info@3000ig.com

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journal | Sept/Oct 2018

Professional Liability Business Owner’s Policy Workers’ Compensation Employment Practices Liability Cyber Liability Business Overhead Expense Disability Income Bonds Health Dental Life Home Auto Umbrella

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Contact us for all of your insurance needs!

Online Marketing and Website Design

DENTAL WEBSITE DESIGN SEARCH ENGINE OPTIMIZATION

PAY-PER-CLICK

Learn why 7,500 dentists trust ProSites for their online marketing needs.

www.ProSites.com/ODA or call (888) 932-3644

SOCIAL MEDIA MANAGEMENT PATIENT COMMUNICATIONS

Website Design and Marketing www.okda.org

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ODA MARKETING COACH

6 Mistakes Dental Practices Are Making With Pay-Per-Click Advertising Pay-per-click (PPC) advertising can quickly attract more potential dental patients to your website. Tools like Google AdWords and Bing Ads help dentists appear on the top of search results, but they only pay when a searcher clicks the ad (instead of paying each time the ad is shown).

However, PPC can quickly become ineffective when not executed correctly – and if common mistakes are made, dental practices risk spending a lot of money without attracting new patients like they had hoped.

Below are the top costly and common mistakes to avoid when it comes to dental pay-per-click ads: Mistake #1: Wasting precious ad copy real estate. PPC ads have character limits which force the message to be brief.

most revenue for your practice (i.e. veneers, replacing amalgam fillings with composite ones, etc.).

Mistake #4: Sending visitors to your homepage or contact page. While this may seem like a good idea, it may actually hurt your conversion rate (the number of people who click your ad, and then ultimately contact your practice). Why? Visitors need to get the information they initially searched for, immediately. If they click an ad about teeth whitening, but land on a contact page with no information about that service, they won’t be pleased. Instead, send visitors to a page that correlates with the PPC ads you are running. Be sure these landing pages include information about the service and provide a strong callto-action near the top and bottom of the page.

Mistake #5: Failing to split-test your ad text. Part of improving your ROI on PPC campaigns requires ad copy testing. By testing your ads, you can learn which ad copy resonates most with searchers and you can continually improve your ads. For example, you can test if showing a price in ad copy is more effective than not: Test A

Therefore, instead of repeating the same exact message in the headline (blue text) and description (gray text), have the copy complement and build off one another to provide more information.

Test B

Mistake #2: Mispellings [Sic]. Misspelling ad copy can signal carelessness to potential patients (even if it’s not true!) which may skew them away from your practice. Make sure to thoroughly review your ads and run a spell check to ensure correct spelling and grammar. Grammarly.com is a helpful tool to check all of your communications, including ad copy.

Mistake #3: Bidding on keywords for services you don’t offer. Targeting every single dental keyword can be tempting, but it won’t be an effective use of your budget because those visitors are not likely to convert into patients. Instead, prioritize targeting keywords for services that you do offer and create the

10 journal | Sept/Oct 2018

By testing the headlines only (“teeth whitening special” vs. “$99 teeth whitening”) you will be able to track the difference in results directly back to the change of headline. (If you change more than one part of the ad, it would be hard to pinpoint the exact reason one ad outperformed the other.) After a period of time, you’ll see that one of the ads outperforms the other – from there, use the winning headline and try testing something different (like the description).

Continued on next page

ODA Members Trending on Social Media ODA Member Dr. Mathew Hookom hosted his 5th annual free dental clinic on Friday, July 6. Dr. Hookom and his office staff provided 150 free services on 80 patients that included cleanings, fillings and extractions. Their event was a luau-themed party with a live radio DJ, games, free food and prizes.

To see more photos and videos of this event, search for Custom Dental of Atoka on Facebook.

If you post photos of your philanthropic work on social media, use the hashtag #ODACARES and you could be the next practice highlighted in the ODA Journal.

Mistake #6: Not using negative keywords. Negative keywords are keywords that you do not want to appear your ads, such as “free cleanings.� By setting negative keywords, you limit unwanted clicks and traffic which saves money and helps you maximize your budget.

By using ad copy real estate wisely, checking spelling and grammar, monitoring keywords, testing, and creating landing pages are all ways to get more from your PPC budget, improve your return on investment, and win new patients quickly online.

To learn how ProSites can help you attract qualified search traffic quickly, visit www.ProSites.com or call (888) 932-3644 to speak to an Internet Marketing Advisor.

Article written by Fanny Barrientos, a digital marketing expert at ProSites.

ProSites helps thousands of dentists attract, engage, and retain loyal patients through industry-leading dental website solutions and a comprehensive range of additional marketing services including search engine optimization, pay-per-click advertising, social media management, and automated patient communications. To learn more, visit www.ProSites.com or call (888) 9323644.

www.okda.org

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866-365-9346 commercebank.com Š 2018 Commerce Bancshares, Inc.

www.okda.org

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ODA MEMBER BENEFIT CORNER Why is a membership with the ODA/ADA so valuable?

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

ODA Speakers Bureau

David, Wong, DDS Chair of the ODA Council on Dental Education and Public Information (DE/PI) I am extremely proud to introduce the launch of the ODA Speakers Bureau!

It will be an exciting opportunity for our members to showcase their knowledge, experience, and expertise on a wide range

of topics at various continuing education events. Oklahoma is home to many outstanding dentists who would make great presenters and the ODA Speakers Bureau will provide us with a built-in database and talent pool to give our gifted members a chance to shine.

If you've ever wanted to teach or give a presentation, join our Speakers Bureau today!

Registration is quick and easy, and it's free to join.

Dr. David Wong presenting a CE course at the ODA CE Getaway in Santa Fe, NM in 2016.

For more information or questions, contact the ODA Director of Communications and Education at tevans@okda.org or 800.876.8890.

If you have comments or suggestions for the Council on DE/PI, please contact me at david@tulsagums.com.

Visit www.okda.org/members-only to link to the registration form.

Stay Connected to ODA News

M N P

www.Facebook.com/Okdentalassoc @OklaDentalAssoc @OkDentAssoc

OKDA.org 14 journal | Sept/Oct 2018

ODA COUNCIL MEETING BRIEFS ODA Council on Dental Education and Public Information Dr. David Wong, Chair

The Council on Dental Education and Public Information met on June 15, 2018. The Council discussed creating an ODA Speakers Bureau that would include ODA members in good standing. An online form will be created for speakers to submit their information and ‘apply’ to be a speaker. The Council agreed to create a private Facebook group. Staff will write the policy and disclaimers for the group and will be an administrator, along with the current ODA President, President-elect, Vice President and the Council on DE/PI Chair.

The Council decided to use funds from the public relations campaign to purchase an advertisement in the August issue of TulsaKids Magazine and with the online Resource Guide. Dr. David Wong recommended that staff create a press release template for members to use when writing their own releases. It will be made available on the members-only website. The next Council on Dental Education and Public Information meeting will be held at the Oklahoma Dental Association on January 11, 2019 at 11:00 a.m.

ODA Council on Governmental Affairs Dr. Lindsay Smith, Chair

The ODA Governmental Affairs Council met on July 20, 2018 and discussed the current ODA legislative priorities which include requesting an updated opinion from the Attorney General on non-covered services, OHCA Program Integrity Audit reform, changes to the State Dental Act that will increase licensure portability, and changing the Oklahoma State Board of Health’s definition of “physician” to include dentists in their medical marijuana rules. Additionally, the ODA will be running legislation that enables health care providers to choose the method by which they are reimbursed by insurers for health services and prohibits insurance companies from requiring electronic payments/virtual credit cards as the only way to receive a claims payment. The next Council on Governmental Affairs meeting is scheduled for November 9, 2018, at 9:00 a.m.

ODA Council on Membership and Membership Services Dr. Edward Harroz III, Chair

The Membership and Membership Services (MMS) Council met on Friday, July 27, 2018. The Council reviewed its initiatives in the 2018-2021 Strategic Plan before reporting on the New Dentist and dental student events. The Council also discussed reports on overall membership and non-renews after the Tripartite membership cut-off date of July 6. The Council was presented the new okda.org webpage regarding practice planning and webinar series with dental industry leaders. The Council determined its 2019 Budget Request which will go before the Budget and Finance Council later this year. Lastly, the Council discussed Fall 2018 and Spring 2019 membership events. The next Council on MMS meeting is scheduled for January 11, 2019 at 1:00 p.m. at the ODA Building.

ODA Council on Dental Care Dr. Brian Molloy, Chair

The Council on Dental Care met on August 3, 2018 and recommended educating ODA members on oropharyngeal cancer and HPV prevention in children. The Council plans to facilitate a partnership between the OU College of Dentistry and the Pediatric and Family Medicine Residency programs at OU to provide pediatric dental health care education to residents. In the meantime, it was recommended that the ODA submit an article on pediatric dental health care, authored by a member dentist, to publications of the Oklahoma State Medical Association and the Oklahoma Chapter of the American Academy of Pediatrics. The Council learned that the ADA is scheduled to meet with the Chickasaw Nation Medical Clinic in Ada to discuss implementing a CDHC program. The Council continues to work with the Oklahoma Health Care Authority on new rules for program integrity audits and educating its members on diagnosis and treatment coding compliance. The next Council on Dental Care meeting is scheduled for February 15, 2019 at 1:00 p.m.

Want more information? All ODA Council meeting minutes are posted online. Log in to the Members Only website at okda.org and click on Your Association on the left-hand side for the complete list of Councils.

www.okda.org

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Important Information for Your Public Employee Patients The ODA recommends that you display a poster in your waiting area or at your front-desk checkout window to help better inform your patients who are public employees about dental insurance and options that may be available to them and their families. Below are some “talking points” that may assist you and your office staff when discussing dental insurance with your public employee patients: •

•

DENTAL INSURANCE IS NOT LIKE MEDICAL INSURANCE. Dental insurance is more like a prepaid gift card or phone card – your dental insurance has a maximum allowable per year and when it is spent, it is spent. So it is very important to familiarize yourself with all of the dental insurance options available to you in order to get the most “bang for your buck”.

LOOK CLOSELY AT ALL OF YOUR OPTIONS! Sometimes, for just a few dollars more, you can get $500 or $1,000 more in benefits per year. Ask questions and make an informed decision!

•

BE SURE AND MAKE THE RIGHT CHOICE REGARDING COVERAGE FOR YOU AND YOUR FAMILY. For example, regarding referrals to specialists for orthodontics or root canals, some dental insurance plans don’t cover these services and some do.

•

MAKE SURE YOU EVALUATE YOUR COVERAGE EVERY YEAR. Your enrollment/renewal period is in October and you can make changes during that time. Benefits and coverage within the same plan may change from year to year, and if you don’t stay informed, your benefits could decrease or even change so much that they no longer meet your and your family’s dental needs.

•

STAY INFORMED ABOUT HOW MUCH OF YOUR DENTAL INSURANCE YOU HAVE USED. Don’t let your dental benefits go to waste by not using it all before the year ends. Your oral health is just as important as your overall health.

Dental insurance is a benefit to you as a public employee and you should use 100% of it every year in order to maintain your and your family’s oral health.

This information will help your patients make educated decisions about their health insurance. If you need help making a poster, contact the ODA at 800.876.8890

Sample Poster

If you are a Public Employee, please ask me about your insurance options!

16 journal | Sept/Oct 2018

Put your best face forward

The new Find-A-Dentist is live — and it’s a hit with patients.

1MM visits to Find-a-Dentist 348K member profile views

ADA’s Utilization Campaign Resolution 67H-2016 Results to Date April-September 2017

Patients can see your location, office hours & more

Update your profile in 5 minutes or less!

Photo profiles get 11x more clicks More complete profiles appear higher in search results.

3 $18 19.6 TARGETING

year

million campaign

million U.S. adults

ADA’s Find-a-Dentist® campaign is designed to help bring in new patients.

Don’t have time? Ask a staff member to do it for you.

Learn more about the ADA campaign to help build your practice.

Visit ADA.org/UpdateNow to check your profile and add your photo. www.okda.org

17

ODA Annual Awards Do you know of a colleague that should be recognized for his/her contributions to dentistry or someone who has gone above and beyond the call of duty with charitable and community work?

The ODA looks forward to recognizing members each year for outstanding achievement in the following areas:

DISTINGUISHED DENTIST SERVICE

ROBERT K WYNNE PUBLIC INFORMATION

The dentist selected as having made the greatest contribution to the advancement of dentistry in Oklahoma.

A member dentist who has worked to advance the knowledge of dentistry and dental health through public education and public relations efforts.

YOUNG DENTIST OF THE YEAR

DAN E BRANNIN PROFESSIONALISM

A new member dentist who exhibits an active interest in organized dentistry and has enhanced the image of the dental profession. Eligible candidates for this nomination must have been in practice 10 years or less.

The member dentist selected as having made significant contributions to the advancement of the principles and practice of ethics and professionalism in dentistry.

(formerly known as Dentist of the Year)

THOMAS JEFFERSON CITIZENSHIP A member dentist who has made significant contributions to community service and philanthropic works in the area of dentistry.

RICHARD T OLIVER LEGISLATIVE A member dentist who has given outstanding effort and leadership in the Oklahoma legislative process on behalf of the Oklahoma Dental Association.

To see a list of past recipients of each award, visit okda.org/members-only/association.

18 journal | Sept/Oct 2018

Oklahoma Dental Association 2019 AWARDS NOMINATION FORM DEADLINE FOR NOMINATIONS IS DECEMBER 31, 2018.

NOMINEE INFORMATION (please print clearly or type) Name: Award Nomination for: Distinguished Dentist Service Award Young Dentist of the Year Thomas Jefferson (Citizenship) Robert K. Wynne (Public Info) Dan E. Brannin (Professionalism) Richard T. Oliver (Legislative)

Current Address: City: State:

Zip:

Phone:

Fax:

Date of Birth:

ODA Member Since: Email: NOMINATED BY

Name: Address: City:

State:

Phone:

Zip:

Email:

Fax:

NATIONAL, STATE &/or LOCAL POSITIONS HELD Organization/offices held: (please use additional pages as necessary)

Year

List all dental-related work experience in chronological order with dates: (please use additional pages as necessary)

Please attach letters of recommendation, references and other documentation as necessary.

Submitted by:

Signature: DEADLINE FOR NOMINATIONS IS DECEMBER 31, 2018.

Please use a separate form for each award nomination. Photo copies of this original form will be accepted. A letter of nomination must accompany each nomination describing the nominee’s accomplishments and other contributions.

Submit to: ODA, Attention: ODA Annual Awards, 317 NE 13th Street, Oklahoma City, OK 73104 Nomination must be made by an ODA Member Dentist. www.okda.org

19

MORE THAN DENTISTY - DID YOU KNOW? We know that you are more than a dentist! Which is why this new section was created in order to highlight members’ little known talents or major accomplishments outside of dentistry.

Please share these stories with your colleagues. Send an email to Tina Evans at tevans@okda.org, ODA Director of Communications and Education, include a few details, and the ODA Journal Editorial Board will take it from there!

Dr. Hopkins with a Hawksbill Turtle in Cozumel, Mexico.

Did you know that Shawnee dentist Dr. J. Eric Hopkins highly recommends going under the sea for the relief of tension associated with the dental profession? As one of the world’s top scuba instructors he has been applying water bubble therapy to offset the challenges of a full-time general/implant dental practice, finishing up an office renovation, taking on his first associate in 2017, and working to achieve Associate Fellow status with the American Academy of Implant Dentistry (AAID) in 2017 and Diplomate status with the American Board of Oral Implantology (ABOI) in 2018.

20 journal | Sept/Oct 2018

What began as a sport hobby in 1997 has developed into a full-blown second profession that has taken Hopkins all over the world. In 2007 he began working his way up the ranks of instructor development within the Professional Association of Diving Instructors (PADI), through the Oklahoma City dive shop Bluewater Divers.

In 2011 he received the Top Performer for Continuing Education Award, one of PADI’s highest acknowledgments, based on various criteria including having certified among the highest number of divers that year in all the Americas. Not a bad accomplishment for a guy from a landlocked state up against dive instructors from the Atlantic, Pacific, and Caribbean areas! The following year he was one of 39 from around the globe accepted into the PADI Course Director program where he underwent extensive training and skill review in Kota Kinabalu, Malaysia. His

Course Director status places him among the fewer than 1,000 globally who are qualified to teach people who have satisfied specific requirements within PADI to become PADI instructors. In essence, he teaches people to teach people how to blow bubbles.

Hopkins continues to teach primarily out of Bluewater Divers and privately, but occasionally he receives invitations to instruct outside the state from Kansas and Missouri to Pearl Harbor, Oahu. Bluewater Divers partners with the Warriors for Freedom program that has established the positive effect of scuba diving on those suffering from PTSD. Hopkins has been privileged to instruct law enforcement personnel, emergency responders, and firefighters. He values the opportunity to contribute and give back to those who have sacrificed so much to protect our freedoms.

The interpersonal opportunities through dive instruction have proven to be as rich as those of the dental profession.

But one doesn’t have to become an instructor to reap the benefits of exploring the underwater world. Three generations of Hopkins’ family currently dive, with the fourth eagerly nearing the appropriate age to begin. How many sports can offer the ability for such an age range to participate together? Diving has taken Hopkins to some of the world’s most coveted vacation areas, from tropical to frozen -- and to some places that people wouldn’t necessarily consider vacation destinations (but should). Scuba has been a common denominator that has bridged cultural and language barriers and created lasting friendships from every continent. His Facebook birthday wishes start in Asia and work their way around the globe over a 24-hour period. Diving is just technical enough to satisfy a dentist’s techno brain topside, with nothing but beauty, quiet, and open water below to calm an energetic intellect used to focusing in mere millimeters. Hopkins learned from

DENTISTS CAN PLAY A LARGE ROLE IN ENCOURAGING THEIR PATIENTS TO QUIT TOBACCO

a patient/friend (and orthopedic surgeon) that going to pressurized depths condenses the soft tissues of the spine allowing reduced pressure between the vertebrae to make the often dentally problematic neck and lower back areas feel so much better. The fact that scuba is a buoyant Lemon Shark that experiences recurrent tooth exfoliation is in sport means that desperate need of a good hygienist in the Jupiter, Florida coastal as long as there area. Photo taken by Dr. Hopkins. are not severe health issues, one Learning to scuba dive and begin your own can usually participate in diving well into water bubble therapy needs to become a retirement years. Hopkins has also become checked item on your bucket list. an accomplished underwater photographer, capturing pictures of creatures that would This article was written by Loree Hopkins, easily fit within a one-surface amalgam wife and office manager to Dr. J. Eric prep, sharks that were friendlier than the Hopkins, and fellow scuba diver. average dental-phobic patient, and whale sharks as large as his love of dentistry.

NO JUDGMENTS. JUST HELP. THE OKLAHOMA TOBACCO HELPLINE IS HERE TO HELP YOU HELP YOUR PATIENTS BE SUCCESSFUL QUITTERS.

FREE quitting support by phone, online, email and text and FREE patches, gum or lozenges are available to your patients through the Oklahoma Tobacco Helpline.

Order FREE Oklahoma Tobacco Helpline brochures, holders and other materials at OKhelpline.com.

A Program of TSET

www.okda.org

21

THE ASSOCIATION OF RETIRING DENTISTS One of the most frequent questions we hear when talking with dentists contemplating retirement is, “What am I going to do?” The Association of Retiring Dentists (ARD) can help answer this question and make the transition from full-time practice easier.

It is well established that volunteering and serving others is a key component of happiness and longevity.

The ARD is encouraging membership (currently free) for those dentists who want to create a smooth transition and, at the same time, help others.

The ARD is looking to have enough members in each state to help in volunteer clinics or do short-term or per diem work for colleagues who may suddenly become disabled. There are also other part-time opportunities for dentists to earn additional income that also allows them to stay connected to the profession.

We plan to expand our section on opportunities for both paid and volunteer positions. We also will notify members when opportunities arise.

Visit http://retiringdentists.com/volunteering/volunteering-links/ to see what the volunteer page looks like. If you would like to join please visit http://retiringdentists.com/register/.

Membership is open to dentists of all ages because we believe that preparing for retirement should begin very early in one’s career, and not only when one approaches age 65.

You are not alone.

Find your community at the NEW DENTIST CONFERENCE in Honolulu …

To view conference details and to register, visit ADA.org/NDC

22 journal | Sept/Oct 2018

SW

Fr i day, Septem b er 14, 201 8 R eg istrati o n, 8:3 0 a.m.

CE: 9:0 0 a.m. - 12:0 0 p.m. & 1:0 0-4:0 0 P.M. Fa i r fi eld I n n a n d Su ites, Yu ko n 1 520 Ga rth B ro o ks B o u leva r d Yu ko n, O K 73 0 9 9

So uth w est Co m po n ent M eeti n g a n d CE

Spea kers

Dr. Jeannie Bath presents SDF for Skeptics Dr. Kay Beavers presenting on Geriatric Dentistry R eg istrati o n Fees:

Dentist: $125.00 Hygienist: $75.00 Assistant: $40.00

Registration includes breakfast and lunch

R etu r n R eg istrati o n s to:

SWDS c/o Dr. Bridges 2035 W. Elk Ave. Duncan, OK 73533 Spo n so r ed By:

Lea r n m o r e at o kda.o rg/ed u cati o n

NW

Friday, September 28, 2018 8:00 am: Registration 8:30 am - 12:00 pm: CE 12:00 pm: Lunch 12:30 pm: NW Meeting & Elections 1:00 pm - 3:00 pm: CE

N o rth w est D enta l So ci ety M eeti n g a n d CE

Oakwood Country Club 1601 N. Oakwood Road Enid, OK 73703

Dr. Edwin Sutherland Presents:

Peri-Implantitis and Other Aspects of Periodontal Health Return Registrations To: NWDS C/O Dr. Erin Roberts 1402 N. Van Buren Enid, OK 73703

Registration Fees: Dentists: $125.00 Staff Members: $75.00 Registration includes lunch

Lea r n m o r e at o kda.o rg/ed u cati o n www.okda.org

23

LEGISLATIVE LOOP Legislative Overview & Political Update

Grassroots Lobbying The ODA works hard to advocate for you at the State Capitol, but we can’t do it alone! YOU are the key to our legislative success. What you do at the local grassroots level affects what your ODA lobby team can do for you on a statewide grass tops level.

What is Grassroots Lobbying?

way to continue our legacy of success is to lobby at the grassroots level by establishing and maintaining relationships with our elected lawmakers.

Grassroots lobbying occurs when local dentists contact their legislators to express their opinions and request a particular action on a piece of legislation or issue.

Grassroots lobbying is THE MOST effective way to get legislators to act on your behalf!

The ODA has been very successful at the State Capitol protecting you and your patients from governmental intrusions, insurance oversteps, scope of practice attempts and other threats to your practice, your patients and your profession. The best

The ODA Council on Governmental Affairs is working to build a grassroots “army” called Action Team Leaders (ATLs).

The ODA ATLs will be a group of dedicated members who have developed a personal relationship with their State Senator and/or Representative in order to have a positive effect on public policy and to ensure that the integrity of the dental profession stays intact. We often hear from legislators that they need us to provide information to

help them make informed decisions on proposed legislation. Without our input, they’re merely making decisions based on what sounds good, what makes the fewest people angry, or what is easiest for them.

The ODA ATLs, through grassroots lobbying, will be our voice and will keep those lines of communication open.

Because ultimately, we want our lawmakers to come to us for information – not somewhere else. We need a designated ODA ATL for EACH State Senator and Representative (149 total) – a dentist who we know we can call on to contact his/ her legislator to help us communicate our message.

Please consider serving as an ODA Action Team Leader (ATL).

Call the ODA today to volunteer and add your name to the growing list!

REPRESENTATIVE*

DISTRICT

Babinec, Greg 33 Baker, Rhonda 60 Bennett, Forrest 92 Bennett, John 2 Blancett, Meloyde 78 Boles, Brad 51 Bush, Carol 70 Caldwell, Chad 40 Calvey, Kevin 82 Cannaday, Ed 15 Casey, Dennis 35 Cleveland, Bobby 20 Cockroft, Josh 27 Condit, Donnie 18 Coody, Jeff 63 Derby, Dale 74 Dollens, Mickey 93 Downing, Tim 42 Dunlap, Travis 10 Dunnington, Jason 88 Echols, Jon Enns, John Faught, George

24 journal | Sept/Oct 2018

90 41 14

ODA ATL REPRESENTATIVE*

Jeff Lunday Scott Renfrow Doug Auld Todd Bridges

Mark Wilson

DISTRICT

Fetgatter, Scott 16 Ford, Roger 95 Ford, Ross 76 Fourkiller, William 86 Frix, Avery 13

Gaddis, Karen 75 Gann, Tom 8 Goodwin, Regina 73 Griffith, Claudia 45 Hall, Elise 100 Hardin, Tommy 49 Henke, Katie 71 Hilbert, Kyle 29 Hoskin, Chuck 6 Humphrey, Justin 19 Inman, Scott 94 Jordan, John Paul 43 Kannady, Chris 91 Kerbs, Dell 26 Kouplen, Steve 24 Lawson, Mark 30 Lepak, Mark 9

ODA ATL

Dennis Weibel & Robert Livingston

Kevin Haney

Lauren Avery

Tamara Berg Brian Drew

*Subject to change following the November 6, 2018 elections.

REPRESENTATIVE*

DISTRICT

ODA ATL

REPRESENTATIVE*

DISTRICT

Loring, Ben 7 Jamie Branham-Williams Lowe, Jason 97 Shannon Griffin Martinez, Ryan 39 Doug Hall McBride, Mark 53 McCall, Charles 22 McDaniel, Randy 83 Donald Haskins McDugle, Kevin 12 McEachin, Scott 67 McEntire, Marcus 50 Rob Schick Meredith, Matt 4 Brant Rouse Montgomery, John 62 Juan Lopez &

Todd Bridges Moore, Lewis 96 Krista Jones &

Dan McNair Mulready, Glen 68 Munson, Cyndi 85 Lester Cowden &

Matt Cohlmia Murdock, Casey 61 Susan Davis Murphey, Jason 31 Newton, Carl 58 Larry Kiner Nichols, Monroe 72 Nollan, Jadine 66 O'Donnell, Terry 23 Ortega, Charles 52 Osborn, Leslie 47 Osburn, Mike 81 Ownbey, Pat 48 Park, Scooter 65 Todd Bridges Perryman, David 56 Pfeiffer, John 38

Proctor, Eric 77 Renegar, Brian 17 Ritze, Mike 80 Roberts, Dustin 21 Roberts, Sean 36 Rogers, Michael 98 Rosencrants, Jacob 46 Russ, Todd 55 Sanders, Mike 59 Sears, Earl 11 Stone, Shane 89 Strohm, Chuck 69 Tadlock, Johnny 1 Taylor, Zack 28 Teague, Tess 101 Thomsen, Todd 25 Vaughan, Steve 37 Virgin, Emily 44 Walke, Collin 87 Wallace, Kevin 32 Watson, Weldon 79 West, Josh 5 West, Kevin 54 West, Rick 3 West, Tammy 84 Williams, Cory 34 Worthen, Rande 64 Wright, Harold 57 Young, George 99

SENATOR*

SENATOR*

DISTRICT

Allen, Mark 4 Bass, Randy 32 Bergstrom, Micheal 1 Bice, Stephanie 22 Boggs, Larry 7 Brecheen, Josh 6 Brooks, Michael 44 Brown, Bill 36 Dahm, Nathan 33 Daniels, Julie 29 David, Kim 18 Dossett, J.J. 34 Dugger, Tom 21 Fields, Eddie 10 Floyd, Kay 46 Fry, Jack 42 Griffin, A J 20 Holt, David 30 Ikley, Allison 37 Jech, Darcy 26 Kidd, Chris 31 Leewright, James 12 Matthews, Kevin 11 McCortney, Greg 13 Murdock, Casey 27

ODA ATL Juan Lopez Steve Mayer Doug Hall Jana McIntosh

Beau Porter

DISTRICT

ODA ATL Doug Auld

Susan Whiteneck

Michael Gliddon

ODA ATL

Newhouse, Joe 25 Paxton, Lonnie 23 Pederson, Roland 19 Larry Kiner Pemberton, Dewayne 9 Robert Livingston Pittman, Anastasia 48 Pugh, Adam 41 Krista Jones,

Dan McNair & Don Cheatham Quinn, Marty 2 Rader, Dave 39 Rosino, Paul 45 Schulz, Mike 38 Rick Henry Scott, Paul 43 Sharp, Ron 17 Dan Wilguess Shaw, Wayne 3 Silk, Joseph 5 Twana Duncan Simpson, Frank 14 Smalley, Jason 28 Brian Drew Sparks, John 16 Ed Braly Standridge, Rob 15 Kevin Haney Stanislawski, Gary 35 Lauren Avery Sykes, Anthony 24 Thompson, Roger 8 Treat, Greg 47 Yen, Ervin 40 Steven Sullivan, Lester 25 www.okda.org

Cowden & Matt Cohlmia

ADA Advocacy News

US House Passes Multiple Tax Bills Before August Recess In July, the US House of Representatives passed three bills that are beneficial to the dental profession and patients. The bills repeal the current medical device tax and increase the flexibility and dollar amount caps on health savings and flexible savings accounts. The ADA has been advocating for the expansion and increased flexibility of health savings accounts (HSA) and flexible savings accounts (FSA) on Capitol Hill. In multiple letters to House leadership in the House Ways and Means Committee, the ADA stressed the importance of improvements in the tax policy and applauded the House's efforts to explore health care related tax reforms as outlined in the following bills: •

H.R. 6311, the Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018, allows individuals to carry over unspent FSA balances into the following calendar year as long as it does not exceed three times the FSA contributions limit. It will also increase the HSA limits to $6,900 for individuals and $13,300 for families.

•

H.R. 6199, the Restoring Access to Medication Act of 2018 allows certain over-the-counter (OTC) medical products to be paid for through HSA funds. The Affordable Care Act had placed a prohibition on using HSAs for over-the-counter products. The ADA will continue to advocate to ensure that OTC oral health care products will also be allowable for purchase by HSA funds.

Another win for the ADA, is the repeal of the medical device tax in H.R. 184. In a letter of support July 20 to House Speaker Paul Ryan (R-WI), Majority Leader Kevin McCarthy (R-CA) and Majority Whip Steve Scalise (R-LA), the ADA estimated the medical device tax would increase the cost of dental care at over $160 million annually. A way to improve the tax system for health care providers and patients is with the support of H.R. 184, which permanently repeals the 2.3 percent medical device tax created by the Affordable Care Act

Action for Dental Health Bill The ADA's Action for Dental Health Act unanimously passed the Senate Committee on Health, Education, Labor, and Pensions recently, clearing the path for a vote in the full Senate. Action for Dental Health is the ADA's nationwide, community-based movement aimed at enhancing ongoing efforts to reduce the barriers to oral health care facing many Americans. The ADA's next step is to lobby the Senate GOP leadership to get on the calendar for a floor vote. The House bill, led by Representatives Robin Kelly, D-IL, and Mike Simpson, R-ID, passed the House of Representatives in February. It was introduced in the Senate June 6 by Senators Cory Booker, D-NJ, Bill Cassidy R-LA, Mazie Hirono, D-HI, and Tim Scott, R-SC .

With the passage of the Action for Dental Health Act, the ADA hopes the legislation will lead to: •

Improving oral health education and dental disease prevention.

•

Reducing the use of emergency rooms for dental care.

•

Helping patients establish dental homes.

•

Reducing barriers, including language barriers and cultural barriers, to receiving care.

•

Facilitating dental care to nursing home residents.

For more information about the ADA's Action for Dental Health initiative, visit ADA.org/en/advocacy/advocacy-issues/action-fordental-health-act.

26 journal | Sept/Oct 2018

K

WE DON’T FUNDRAISE. WE FRIENDRAISE!

CAPITOL CLUB Dr. Jeffrey Ahlert Dr. Errol Allison Dr. Jim Ambrose Dr. Michael Auld Dr. Douglas Auld Dr. Tamara Berg Dr. Elizabeth Bohanon Dr. Ryan Brackett Dr. M Edmund Braly Dr. George Bridges Dr. Matthew Bridges Dr. C Todd Bridges Dr. Nathan Brown Dr. Steven Brown Dr. Patricia Cannon Dr. Wuse Cara Dr. J Andrew Carletti Dr. Bobby Carmen Dr. Chasity Carper

THANK YOU TO THESE 2018 DENPAC CAPITOL CLUB MEMBERS!

Dr. Jason Carper Dr. Mary Casey-Kelly Dr. Adam Cohlmia Dr. Jeff Cohlmia Dr. Raymond Cohlmia Dr. Matthew Cohlmia Dr. Debbie Corwin Dr. James Corwin Dr. Russell Danner Dr. Susan Davis Dr. David Deason Dr. Steven Deaton Dr. William Deprater Dr. Brian Drew Dr. Heath Evans Dr. Christopher Fagan Dr. Timothy Fagan Dr. Barry Farmer Dr. Michael Gliddon

Dr. Matthew Gray Dr. Shannon Griffin Dr. Clark Grilliot Dr. Mark Hanstein Dr. Leslie Hardy Dr. Aaron Harman Dr. Edward Harroz Dr. Richard Haught Dr. Christina Henry Dr. Robert Herman Dr. Jeffrey Hermen Dr. James Hooper Dr. Brad Hoopes Dr. Moiz Horani Dr. Donald Johnson Dr. Eugenia Johnson Dr. Katherine Johnson Dr. Krista Jones Dr. Thomas Kierl

Dr. Jandra Korb Dr. Robert Lamb Dr. Shannon Lewis Dr. Eric Loper Dr. Juan Lopez Dr. Gary Lott Dr. Jeff Lunday Dr. David Marks Dr. Alan Mauldin Dr. Stephen Mayer Dr. Janna McIntosh Dr. Glenn Mead Dr. Mohsen Moosavi Dr. Paul Mullasseril Dr. Samuel Owens Dr. Karen Reed Dr. Erin Roberts-Svob Dr. Brant Rouse Dr. Miranda Ruleford

Dr. Kyle Serfoss Dr. David Simon Dr. Floyd Simon Dr. Lindsay Smith Dr. Julie Speights Dr. James Strand Dr. Jackson Sullivan Dr. Joe Swink Dr. Jim Taylor Dr. Kara Tims Dr. James Torchia Dr. Vic Trammell Dr. W Scott Waugh Dr. Robert Webb Dr. Susan Whiteneck Dr. Daniel Wilguess Dr. C Rieger Wood Dr. John Wood Dr. William Yadon

DENPAC Grand Level DENPAC funds our voice. Without our input, legislators are merely making decisions based on what sounds good, what makes the fewest people angry, or what is easiest for them.

Whether you like it or not, the campaign contributions we make to dentistry-friendly candidates are what open those lines of communication. It’s what reminds legislators once they’re in office to go directly to the ODA for information, and not somewhere else.

For more information about DENPAC, contact Lynn Means at 800-876-8890 or lmeans@okda.org.

THANK YOU TO THESE 2018 DENPAC GRAND ($1,000) LEVEL MEMBERS! Dr. Robert Herman

Dr. Paul Mullasseril

Dr. Mark Hanstein

Dr. Krista Jones

Dr. Lindsay Smith

Dr. Richard Haught

Dr. Juan Lopez

Dr. Douglas Auld

Dr. Matthew Cohlmia Dr. Shannon Griffin

Dr. Edmund Braly

Dr. Susan Davis

Dr. Todd Bridges

Dr. Michael Gliddon

www.okda.org

27

ODA MEMBER SPOTLIGHT

Dr. Dennis Morehart Enid, OK

By Abby Sholar, ODA Special Projects Manager He may be transitioning into retired life, but don’t let that fool you into thinking Dr. Dennis Morehart is slowing down any time soon. After years of living life according to a schedule and practicing general dentistry in Enid, OK, Morehart is looking forward to living outside the lines. With all this time, he will be able to volunteer in elementary schools, spend time with his family, and even ride an antique Penny Farthing bicycle in parades.

For those who are not familiar with jargon regarding classic, nineteenth century bikes, a Penny Farthing bicycle is a High Wheeled bike. The one Morehart rides in parades is a Columbia Light Weight Roadster with a wheel measuring 55 inches in diameter. He restored this bike mainly for celebrations and comradery.

“I rode it along with maybe 10 other members of the Wheelmen Club in our 1993 Centennial Celebration of the Cherokee Strip Land Run.” Morehart said. “We had several from Oklahoma City, Kansas, and Missouri take part.

I have been riding it every year in the Cherokee Strip parade till lately. In 1999, I completed an international Wheelmensanctioned Century ride in 11 hours and 20 minutes. Needless to say I was one sore puppy!”

Dr. Morehart with his wife, Erlene, and daughter, Dr. Tina Morehart.

Morehart is a self-proclaimed “serious guy that could lighten up a little” and credits the friends he made in the dental profession for the fun times he had at conferences and meetings. With friends such as Dr. Darrell Dedrick, Dr. Walter Coffee, Dr. Bill Blubaugh and Dr. Charlie Tucker, he got to “HAVE SOME FUN!”, which is, appropriately, his best advice to his younger self.

An underlying theme in Morehart’s outlook on a good time is an antique on the open road. Whether that road is traveled by Penny Farthings, classic cars or quick Corvettes, he likes to get around in style. His favorite outdoor activity is a driving trip with the Corvettes of Enid, and his ideal way to “play hooky” from work is cleaning his shop and taking his car collection out for a spin.

One person who is surely enjoying the benefits of Morehart’s new-found free time is his wife of (almost) 52 years, Erlene.

Their daughter, Dr. Tina Morehart, has followed in her father’s footsteps and is practicing dentistry in Oklahoma City. Dr. Dennis Morehart names these two women as his heroes for their love and support of him through his 46 years in Enid and 52 years in dentistry.

One cannot praise Morehart’s devotion to dentistry without crediting the one who inspired him to do something positive with his life. His older brother died in an accident while serving in the US Navy. This had a huge impact on him and his family. Through this tragedy, Morehart developed a determination to do something important with his life. He put all of his effort into school and was accepted into the University of MissouriKansas City School of Dentistry in 1966.

Morehart is doing something bigger with his life through his efforts to help those who are less fortunate. Dr. Bill Taylor came up with the idea that the Garfield Dental Society do screenings of 5thgrade students. From there, volunteer dentists make recommendations for further treatment. This work is similar to

28 journal | Sept/Oct 2018

Dr. Morehart with his high wheeled bike and a young patient.

programs like OkMOM that seek to serve those without access to dental care around the state.

Although he is leaving behind the full-time practice routine, Morehart remembers fondly the highlights of his years in practice.

“We dentists all have special memories of specific times that have given extra satisfaction to outcomes of treatment.

Dentists are uniquely qualified to change unattractive, broken-down mouths into beautiful, natural, spirit-lifting smilea that change how people feel about themselves.”

These patients, especially those advanced in age, have taught Morehart about life.

“I’ve learned that faith and attitude towards life are keys to handling various challenges of having a lot of birthdays,” Morehart said.

With a thankful heart, plenty of antiques, and supportive friends and family, Morehart is heading into retirement confident that these will truly be his golden years.

Barry GLASSMAN, DMD | Jack HADLEY Marco BRINDIS, DDS | Mark E. HYMAN, DDS Lee Ann BRADY, DMD | Martin C. NAGER, DMD David J. LANDWEHR, DDS, MS | Carol A. JAHN, RDH, MS Kimberly SKELTON | Tija HUNTER, CDA, EFDA Leeny HOFFMANN | Sandy PARDUE| Josh WREN, DMD Jason OLITSKY, DMD | Gerard J. CHICHE, DDS Beth BURNS, DDS, RYT 200, CLC Mehrdad FAVAGEHI, DDS, MS | Cynthia FONG, RDH, MS Brain NOVĂ?, DDS | Peter JACOBSEN, PhD, DDS Ron KAMINER, DDS | Roy S. SHELBURNE, DDS

greaterstlouisdentalsociety.org The Greater St. Louis Dental Society is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Greater St. Louis Dental Society designates this activity for up to 13 hours continuing education credits.

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www.okda.org

29

Cloud Practice Management from Patterson Dental.

Every report, every schedule, and every patient.

Connected.

Totally connected Leverage the power of the cloud with Fuse. Centralize and streamline the way you run your practice and access useful reporting that scales with you, even as you expand to additional locations.

Intuitive interface Designed with an easy-to-learn, familiar interface, Fuse makes you feel at home while boosting productivity. View all of your patient’s clinical evidence in a simple, clean, visually engaging timeline.

Work smarter With Fuse, our goal was to create a different kind of practice management solution that could meet the changing needs of an evolving industry. We asked hundreds of dental professionals what they needed, we listened, and we acted. Fuse was uniquely built with the efficiency and convenience of the cloud in mind, with your dental practice and your patient’s experience at heart.

You’ll find our innovative Smart Screens throughout Fuse, everywhere you need them most. With Smart Screens, you can view, filter and act on real-time patient information and practice data on a single screen, in a way that’s never been possible before. They eliminate the need for many of the traditional reports you run today.

Uncommon support Fuse delivers training and support to maximize the software’s impact on your business – in person, online, over the phone, or by taking a selfguided journey through the software. We offer options to fit your practice needs and your lifestyle.

How much more can your practice accomplish with Fuse?

30 journal | Sept/Oct 2018

pattersondental.com/fuse

Flexible eService add-ons No two practices are the same, so there’s no such thing as a one-size-fits-all practice management solution. With that in mind, we designed Fuse to be able to adapt to your practice’s unique needs.

The flexibility you’ll find in Fuse includes additional service offerings that amplify its value. Like adding apps to a smartphone, your software’s core functionality can be enhanced with layers of additional features and functionality. As your needs change over time, you have the freedom to remove or add those layers to Fuse to amplify certain aspects of your business.

Insurance suite Save time and boost productivity by equipping Fuse with insurance feature enhancements. With real-time eligibility, online attachments, and electronic remittance advice, Fuse offers capabilities that let your staff spend less time dealing with insurance hassles and more time growing your business.

Marketing suite Automate your marketing and patient communications to make your office more effective and efficient, create new avenues for your patients to engage with you online, and wow your patients with education resources they can watch from their living room.

Built for innovation Fuse was built to enable ongoing integration with new software and new technology from outside vendors. With Fuse as the foundation, and Patterson as your partner, your practice will be fully empowered to stay on the cutting edge of innovation.

It all starts with the belief that your practice management software should fit your practice, not the other way around.

Connect with your Patterson representative today to learn more.

Dreamed by dentists.

Built by experts.

18T0042 (1/18)

www.okda.org

31

ODA FEATURE

An Increased Incidence of Exposure to Fentanyl Contaminated Heroin Among Illicit Opioid Users and the Craniofacial Manifestations of Heroin Use

By William J. Maloney, DDS The United States is presently experiencing an opioid crisis of epidemic proportions.

Opioid addiction is ubiquitous and affects virtually every neighborhood in America.

The opioid epidemic kills tens of thousands of Americans every year.

Well-meaning legislators and concerned citizen groups have looked for methods to combat the opioid crisis. Legislation has been passed in many states along with valiant efforts of the federal government.

Many of these efforts have exhibited some degree of success. However, there have been some unintended consequences. As various laws and regulations have been enacted and awareness on the part of practitioners has increased, opioid prescriptions have decreased. Unfortunately, these positive actions have not put an end to the crisis.

Rather, it has merely shifted the focus of many opioid abusers from prescription opioids to heroin. This is due to simple principles of human biochemistry. Opiates such as heroin bind to the same receptors in the brain (mu, delta and kappa receptors) as do endorphins, enkephalins and dynorphins, which are produced naturally by the human body.1 Heroin is an opioid drug made from morphine. It can be a white or brown powder, and it also exists in the form of a black sticky substance known as black tar heroin. Heroin can be sniffed, injected, snorted or smoked. It is estimated that 80% of Americans using heroin had misused prescription opioids first.2,3 An added deadly consequence of the resurgence of heroin use is that many drug traffickers routinely lace the heroin with fentanyl, a powerful anesthetic. Oftentimes, this is unknown to the user and has led to many overdose fatalities. Fentanyl was first synthesized in Belgium in the late 1950s and was first introduced into medical practice in the 1960s for use as an intravenous anesthetic.4 It is still used today extensively for medical purposes 32 journal | Sept/Oct 2018

primarily for anesthesia and analgesia. An analogue of fentanyl is carfentanil, used by veterinarians to immobilize certain large animals. Carfentanil has an analgesic potency 10,000 times that of morphine.4 Fentanyl is available in multiple dosage forms including transdermal patches, oral transmucosal lozenges, nasal sprays, effervescent buccal tablets and sublingual tablets,5 and is approximately 75-100 times more potent than morphine6. It is also highly lipophilic and forms strong bonds to plasma proteins.7,8 Fentanyl not only poses a risk to the user but also to public health workers, first responders and law enforcement officers as fentanyl can be absorbed through the skin or inhaled. Symptoms of fentanyl ingestion include drowsiness, clammy skin, disorientation, pinpoint pupils, sedation and respiratory distress.9 Immediate administration of naloxone can reverse the effects of an accidental fentanyl overdose.

The dental professional should be aware that there are a number of systemic manifestations of heroin use. Psychiatric and physical signs and symptoms include euphoria, dissociation, hallucinations, track marks, sedation, delusions and slurred speech. Heroin use and its concurrent treatment with other CNS-depressant drugs (benzodiazepines, barbiturates, MAO inhibitors, tricyclic antidepressants, antihistamines, general anesthetics and hypnotics) present the risk of respiratory depression, hypotension, coma and profound sedation. Some other long-term effects of heroin use include addiction, collapsed veins, abscesses, rheumatologic problems, liver disease, kidney disease, bacterial infections, and infection of the lining and valves of the heart.

The heroin user will likely present to the dental office with an array of signs and symptoms. Rampant caries, missing teeth,

periodontal disease and xerostomia are telltale signs. These symptoms may mimic “meth mouth”, leading some people to believe this term should not be restricted to methamphetamine abuse alone. Poor dental hygiene in the heroin user usually results from a lack of motivation, coupled with an extremely poor diet.

Theories suggest that abusers of heroin and other opioids have increased activity and modulation by the central opioid receptors “k” and “m”, which significantly increases the pleasures and palatability of sweet tasting substances. Dental care is usually sought at a late stage, when the patient is in pain and urgently in need of care.

Xerostomia, along with poor oral hygiene and bad diet, leads to the high incidence of caries, seen especially on the smooth and cervical surfaces of the teeth.10-12 Periodontal disease is more prevalent in the heroin abuser than in nonusers. It is believed that altered microbial flora exist in patients with salivary hypofunction. Nausea and vomiting cause severe erosion of tooth enamel, with deleterious consequences for the oral dentition. Successful patient management, which is complicated by the high anxiety often exhibited by the heroin SYSTEMIC MANIFESTATIONS OF HEROIN USE10-12 •

euphoria

•

track marks

•

sedation

•

liver disease

•

addiction

•

collapsed veins

•

rheumatologic problems

•

•

infection of the lining and valves of the heart lack of motivation

•

extremely poor diet

•

anxiety

•

damage to humoral and cellular immunity

•

slurred speech

•

dissociation

•

hallucinations

•

delusions

•

abscesses

•

kidney disease

•

bacterial infections

patient, requires the practitioner’s patience and skill. For example, heroin use may make it more difficult to achieve profound local anesthesia, making successful treatment more challenging. The heroin abuser may be seen at the dental office at different stages of drug use; therefore, the practitioner needs a keen awareness of the signs and symptoms of a patient in drug crisis. Show patience and encourage a trusting relationship in order to achieve dental compliance and a positive movement towards satisfactory oral hygiene. Also of importance to the dentist is the increased incidence of periodontal disease, oral fungal infections, oral viral infections, and hyperpigmentation of the tongue.

The dentist must be aware that the primary oral effect of heroin use is dental decay, and must incorporate such measures as more frequent recall appointments and constant reinforcement of oral hygiene with the patient.

DENTAL/ORAL SIGNIFICANCE OF HEROIN USE10-14 •

use of heroin and concurrent treatment with other CNS-depressant drugs may lead to respiratory depression, coma, hypotension and profound sedation

•

rampant caries seen primarily on the smooth and cervical surfaces of the teeth

•

xerostomia

•

poor oral hygiene

•

periodontal disease

•

altered oral microbial flora

•

erosion of tooth enamel due to nausea and vomiting

•

hyperpigmentation of the tongue

•

oral fungal infections

•

oral viral infections

•

need for more frequent recalls

•

need to stress importance of oral hygiene

•

need to stress effect of a poor diet on dental and oral health

drug use. The cause of this is multifactorial.

There are local contributing factors such as poor oral hygiene, the presence of bacteria, and dental calculus. The noxious substances of heroin contribute to damage of the oral tissues as well as causing disorders of the endocrine system that may negatively alter the periodontium’s reaction to the drug stimulus thereby leading to its PARAGON has guided thousands of buyers and destruction. Also, sellers with superior dental transition services and periodontal disease support. Our clients are confident their goals are is exacerbated being met with fairness and integrity. due to damage to humoral and cellular Your local PARAGON immunity.13-14

Studies have demonstrated a decline in periodontal health with the duration of

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Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4/1/2016 to 3/31/2020 Provider ID# 302387.

On April 5, 2018 United States Surgeon General Jerome M. Adams issued an advisory urging more individuals to have a supply of naloxone on hand in order to possibly save the lives of people who

are at risk for opioid overdose. Surgeon General Adams stated that “each day we lose 115 Americans to an opioid overdose.

In order to manage opioid addiction and prevent further opioid overdoses, increased naloxone availability must occur in conjunction with expanded access to evidence-based treatment for opioid use disorder.”15 Naloxone is designed to immediately reverse an opioid overdose by blocking the brain’s opioid receptors and restoring breathing in those suffering an overdose of fentanyl, heroin or prescription opioids.16 Naloxone can be administered as a nasal spray or intramuscular injection. It is a safe medication that takes effect 2-5 minutes after administration and has no effect on alcohol or other drugs. It stays in the individual’s system for 30-90 minutes and may cause withdrawal symptoms (vomiting, agitation, chills, nausea and muscle aches) until it wears off.17 Naloxone, an opioid antagonist and a thebaine (paramorphine) derivative, reverses the effects of opioids by binding to the opioid receptors in the central nervous system thus inhibiting the potentially deadly actions of opioid analgesics.18 It is effective against all opioid agonists (i.e. methadone, morphine, heroin, oxycodone)19 and has no psychoactive properties or abuse potential.20 EFFECTS OF USE OF HEROIN DURING PREGNANCY ON NEWBORN22 •

addiction

•

low birth weight

•

breathing difficulties

•

hypoglycemia

•

intracranial hemorrhage

•

infant death

•

irritability (withdrawal symptom)

•

convulsions (withdrawal symptom)

•

joint stiffness (withdrawal symptom)

•

diarrhea (withdrawal symptom)

•

fever (withdrawal symptom)

•

sleep abnormalities (withdrawal symptom)

•

susceptibility to HIV

Dentists must recognize and be vigilant of the many oral and dental manifestations of both prescription opioid misuse and the use of illicit drugs such as heroin in order to provide safe and effective treatment to their patients. It is imperative Continued on page 36

OKLAHOMA – AUGUST 2016 – 1/4 Page 4/C – 3.875”(W) x 5.25”(H)

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33

Canal Transportation: An Examination of Three Ni-Ti Rotary Systems

By Cooper Pasque Root canal transportation is an iatrogenic error in which the original position of a canal is altered during cleaning and shaping.1 Excessive dentin removal occurs due to the restoring force of a bended instrument that is seeking to reacquire its original shape.2 Using an endodontic file on a curved canal can cause transportation to occur on both the outer wall of the canal’s apical segment and the inner wall of the canal segment coronal to the curvature.1 Transportation can have a negative effect on the prognosis of root canal treatment in several ways. The most obvious danger is the potential sequelae of causing alterations in the anatomy of a canal: zips, ledges and perforations. These sequelae can result in a failure to obturate and seal the canal effectively, thus making the final restoration more vulnerable to bacterial insults after treatment.2 Another potential danger involves biological debridement of the canal walls. Excessive force placed on one side of a canal can lead to the removal of comparatively more dentin on that side of the canal, with the opposite side undergoing less debridement. A study by Berber et al. demonstrated that microorganisms inside the root canal are able to penetrate the dentinal tubules at around 200 micrometers. Thus, insufficient dentin removal along even a small segment of a canal wall during cleaning and shaping could leave behind infected dentin.3 Transportation also straightens the canal and thus shortens the working length (distance from orifice to apical foramen).

Failure to recognize this could result in the operator using file lengths that are too long, the consequences of which could include trauma to periapical tissue, increased incidence of post-operative pain, and inability to accomplish a sufficient apical seal.4 At least four factors influence the incidence of transportation. The first is root canal curvature. The more severe the curvature, the more likely it is that transportation will occur.1 The second factor involves

straight-line access to the canal. Using a contracted access (one in which straightline access is not achieved) requires more bending of the files and may result in more apical transportation and less preservation of original canal anatomy.5 Pre-flaring of the orifice achieves greater straight-line access, which decreases the extent to which the file must be bent and thus reduces the likelihood of transportation.1 The third factor is file metallurgy. Stainless steel instruments are intrinsically stiffer than nickel-titanium (Ni-Ti) files and thus produce more transportation.1,6 Proprietary heat treatment methods used by Ni-Ti file manufacturers improve the flexibility of NiTi alloys, thus making these files less likely to cause transportation.7,8 The fourth factor is file design (tip, core, taper, and land area). Files with cutting tips (compared to files with non-cutting safety tips) are more likely to cause apical transportation because they exert an uneven force on the inner and outer aspects of the canal curvature. Files with a thicker core will decrease flexibility, producing a stronger restoring force when the file is bent and increasing the likelihood of transportation. The same principle applies to file taper: the greater the taper, the quicker the core diameter increases, resulting in less flexibility and more transportation.1,9 Files with lands produce less transportation than non-landed files.

This is because non-landed files cause uneven concentrations of cutting edge pressure on the canal.4 Numerous studies have been performed to assess the incidence of canal transportation with different endodontic rotary systems.

Most employ a common methodology: identical resin blocks or extracted human teeth with similar canal curvatures are selected; pre-operative microscopic or radiographic images are taken of the canals; curvatures are measured; canals

are shaped using the rotary system; postoperative images are taken and measured; and pre- and post-operative measurements for each canal are compared to determine degree of transportation.2,4,10 Study Introduction The objective of this study was to investigate the effect of multiple instrumentations with the same rotary file on resin blocks with J-shaped canals and then compare changes in canal curvatures to determine whether an increased number of instrumentations with the same files resulted in greater incidence of transportation. Three nickel-titanium files with similar designs were chosen for this study: Vortex Blue (Dentsply Tulsa Dental Specialties, USA), EdgeSequel Sapphire (EdgeEndo, USA), and Edge Evolve (EdgeEndo, USA).

A design feature shared by these three files is that each generally lacks shape memory. The greater the shape memory (a function of metallurgy and design) the greater the file’s attempt to reacquire its original shape. Files lacking shape memory will theoretically exhibit a relatively even distribution of restoring forces and will thus be more likely to preserve the canal’s original anatomy and prevent transportation.

Materials & Methods Twelve resin blocks with J-shaped canals (Endo Training Bloc, Dentsply Maillefer, Switzerland) with standardized curvatures were assigned to each of the three file groups. Digital images of the blocks were taken with an Olympus SZX-12 stereomicroscope and Spot digital camera. Images were taken before the first instrumentation (I0) and after each of three successive instrumentations (I1, I2, and I3) (Figure 1).

Figure 1

34 journal | Sept/Oct 2018

The images were then imported to PowerPoint, where two lines were drawn on each image according to a modified version of the Schneider Method (Figure 2). This method uses a line scribed parallel to the long axis of the canal and a second line drawn from the center of the apical foramen to intersect with the first line at the point where the canal began to leave the long axis of the tooth. The acute angle formed by the intersection of the lines is then measured.10 The modification involved the first line being scribed vertically along the inner wall of the resin block canal (parallel with the long axis of the canal). This allowed for a more precise identification of the point at which the canal began to deviate from the long axis of the tooth (Figure 3). The acute angle formed by these lines was then measured using Image J software.

Canal length in the resin blocks was determined to be 15.5 mm, so lengths were uniformly set at 15.0 mm on each file. Copious lubrication with RC Prep was applied to each file before insertion.

Canals were irrigated thoroughly with water between each file use. Patency was performed after each instrumentation. A glide path was established by using #8, #10, and #15 hand files in succession. The #10 file was used as the patency file for the remainder of the rotary instrumentations.

Rotary motor settings were kept at a speed of 500 rpm and a torque of 300 g-cm. A crown down method was used for the rotary files: #404 #35 4 #30. For the first instrumentation (I1), a pecking motion (3 pecks) was used with the #40 and #35 files, and then a #30 file was taken to WL0.5 mm. For each of the three groups of instruments, the #30 rotary file was taken to WL-0.5 mm for the second and third instrumentations (I2 and I3, respectively).

Results The following data were recorded during the investigation. The terms in the tables below refer to the following: - Group 1 (G1) = Vortex Blue - Group 2 (G2) = EdgeSequel Sapphire - Group 3 (G3) = Edge Evolve

Figure 2

- I0 = pre-instrumentation measurement of the canal angle - I1 = canal angle measurement after the first instrumentation - I2 = canal angle measurement after the second instrumentation - I3 = canal angle measurement after the third instrumentation - D1 = difference between I1 and I0 - D2 = difference between I2 and I1 - D3 = difference between I3 and I2

Figure 3 Lines on this image were magnified for visual purposes.

Discussion There was no statistically significant difference (p>0.05) when comparing the mean angles of each instrumentation across the three groups. This indicates that the three products examined did not differ significantly in the extent to which they caused transportation in the resin blocks over the course of three instrumentations. There was also no statistically significant difference (p>0.05) when comparing the mean angles of each instrumentation within each group. This shows that successive instrumentations did not produce significantly measurable transportation for any of the three groups of files. However, when the data from each group of files was combined and the mean angles produced by each individual instrumentation were examined without regard to product, there was a statistically significant difference (p<0.0001).

When comparing all the differences (D1, D2, D3) averaged within each group to all the differences averaged within the other groups, there was no statistically significant difference. Moreover, when comparing all the mean differences regardless of group (all D1 vs. all D2 vs. all D3), there was no statistically significant difference. This implies that no significantly measurable transportation occurred when considering average differences, even when product is removed as a factor of consideration.

It should be noted that the subsequent images revealed that some canals were instrumented at WL-0.5 mm while others were instrumented all the way to working length. This discrepancy could have been caused by two possible errors: [1] there might have been slight variations in the lengths of the canals in the different blocks and/or [2] the author may have been

Mean I0

Mean I1

Mean I2

Mean I3

Group 1

28.47°

27.82°

27.15°

26.04°

Group 2

27.56°

27.03°

26.56°

25.30°

Group 3

27.94°

26.87°

26.20°

25.71°

Mean D1

Mean D2

Mean D3

Group 1

-0.65

-0.66

-1.12

Group 2

-0.54

-0.47

-1.26

Group 3

-1.08

-0.67

-0.49

www.okda.org

35

Fentanyl: continued from page 33 for the dental professional to remember that the formidable power of addiction crosses all gender, socio-economic and age boundaries. An explicitly stated or suspected history of substance abuse must be discussed with the patient, in a nonjudgmental fashion, while reviewing the patient’s medical history prior to treatment.

It might then be necessary to modify or postpone the planned dental treatment.

Dr. William J. Maloney has been a member of the faculty at NYU College of Dentistry since 2000 and practices dentistry in New York City. He is the author of over 323 professional publications and has lectured at various locations including the United States Military Academy at West Point and the Baseball Hall of Fame in Cooperstown, NY. He is also the editor-in-chief of the Journal of Dentistry and Orofacial Surgery and is a member of New York City's famed Explorers Club.

3.

Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers. United States, 2002-2004 and 2008-2010. Drug Alcohol Depend 2013; 132 (1-2):95-100

4.

United States Drug Enforcement Administration. Drug Fact Sheets. Accessed on April 4, 2018. Available at: https://www.dea.gov/ druginfo/concern_fentanyl.shtml

5.

Drug Enforcement Administration, Diversion Control Division. Drug & Chemical Evaluation Section. Fentanyl. December 2016

6.

Kuip EJM, Zandvliet MC, Koolen SLW, Mathijssen RHJ and Van Der Rit CCD. A review of factors explaining variability in fentanyl pharmacokinetics; focus on implications for cancer patients. Br J Clin Pharmacol (2017); 83:294-313

7.

Alexander SPH, Fabbro D, Kelly E, Marrion N, Peters JA, Benson HE, Faccenda E, et al.

Transporters. Br J Pharmacol 2015;172:61106202

8.

Oosten AW, Oldenmenger WH, Mathijssen RH, Van Der Rijt CC. A systematic review of prospective studies reporting adverse events of commonly used opioids for cancer- related pain: a call for the use of standardized outcome measures. J Pain 2015;16:935-946

9.

U.S. Department of Justice- Drug Enforcement Administration. DEA targets fentanyl: a real threat to law enforcement. June 2016

References 1.

Centre de Recherche de l’Hospital Douglas.

Accessed on April 13, 2018. Available at: the. brain.mcgill.ca/flash/i/i_03/i_03_m/i_03_m_ par/i_03_m-par_heroine.html

2.

Muhuri PK, Gfroerer JC, Davies MC. Association of nonmedical pain reliever use and initiation of heroin use in the United States.

Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. Accessed on April 19, 2018. Available at: http://archive. samhsa.gov/data/ZK13/DataReview/DR006/ nonmedical-pain- reliever-use-2013.pdf

10. Maloney WJ, Fleisher LR. The Oral and Dental Significance of Heroin and its Resurgence in New York State. New York State Dental Journal.

Aug/Sep 2016, Vol. 82 Issue 5, p52-54.

11. Fazzi M, Vescovi P, Savi A, Manfredi M, Peracchia M. The effects of drugs on the oral cavity. Minerva Stomatol 1999;48(10):485-492.

12. Westerhof WE, Wolters EC, Brookbakker JTW, Boelen RE, Schipper MEI. Pigmented lesions of the tongue in heroin addicts- fixed drug eruption. Br J Dermatol 1983;109605-610.

13. Ma H, Shi X, Hu D, Li X. The poor oral health status of former heroin users treated with methadone in a Chinese city. Med Sci Monitor 2012;18(4);PH51-PH55 14. Kinane DF, Johnston FA, Evans CW. Depressed helper-to-suppressor T-cell ratios in early-onset forms of periodontal disease. J Periodont Res 1989;24:161-164.

15. U.S. Department of Health & Human Services.

April 5, 2018. Surgeon General releases advisory on naloxone, an opioid overdose-reversing drug 16. Dias E, Correal A. What is naloxone and how does it stop opioid overdoses? The New York Times. April 6, 2018 17. NYC Health. Naloxone. Accessed on April 18, 2018. Available at: www.nyc.gov/site/doh/health/ health-topics/naloxone.page 18. U.S. National Library of Medicine- National Center for Biotechnology Information: naloxone. Accessed on April 18, 2018. Available at: https://pubchem.ncbinlm.nih.gov/ compound/naloxone#section=Top 19. Mueller SR, Walley AY, Calcaterra SL, Glanz JM, Binswanger IA. A review of opioid overdose prevention and naloxone prescribing: implications for translating community programming into clinical practice. Subst Abus 2015 Apr-Jun;36(2): 240-253 20. Darke S, Hail W. The distribution of naloxone to heroin users. Addiction. 1997 Sep; 92 (9):11951199

Ni-Ti: continued from page 35 imprecise in canal instrumentation over the course of the experiment. Since the canals were checked for length uniformity before the experiment commenced, the latter appears to be more likely.

Conclusions Three instrumentations of J-shaped resin blocks with Vortex Blue, EdgeSequel Sapphire, and Edge Evolve rotary files did not produce statistically significant differences in canal angle, indicating that the degree of transportation for each file type was too minute to be considered substantial. The only statistically significant difference was found when comparing the mean angles of each individual instrumentation without regard to file product. This finding indicates that minor transportation was occurring over the 36 journal | Sept/Oct 2018

course of three instrumentations, but without a measurable difference between the file products. Further studies are needed to determine whether apical transportation will continue to occur after more than three instrumentations and at which instrumentation there would be no additional transportation.

Acknowledgments The author would like to acknowledge the following individuals and entities: Dr. Suhair Jambi for her generous mentorship of this project; Dr. Sharukh Khajotia for his invaluable oversight of the experimental workflow and statistical analyses; Dr. David Clement for his helpful insights regarding the measurement of canal transportation; Priyanka Agrawal, whose previous study “Multiple Instrumentations of J-Shaped

Canals Using Three Ni-Ti Rotary Systems” (2017), laid the methodological foundation for this study; Dentsply Sirona for donating the resin blocks used in this experiment; and the J. Dean Robertson Society for funding this project.

Cooper Pasque is a fourth-year dental student at OUCOD. He performed his undergraduate training at Colorado Christian University, where he studied history and biology. He and his wife, Hailey, have one son, Luke. Cooper is attending school on the Army Health Professions Scholarship Program. This article is based on a research project performed under the guidance of Dr. Suhair Jambi and Dr. Sharukh Khajotia and was presented at the 2018 OUCOD Scientific Day.

References 1.

B체rklein S, Sch채fer E. Critical evaluation of root canal transportation by instrumentation.

Endodontic Topics 2013; 29: 110-124.

2.

El Batouty KM, Elmallah WE. Comparison of canal transportation and changes in canal curvature of two nickel-titanium rotary instruments. J of Endodontics 2011; 37(9): 12901292.

3.

Berber VB, Gomes BPFA, Sena NT, Vianna ME, Ferraz CCR, Zaia AA, Souza-Filho FJ. Efficacy of various concentrations of NaOCl and instrumentation techniques in reducing Enterococcus faecalis within root canals and dentinal tubules. Int Endod J. 2006; 39(1):10-7.

4.

Hu W, Whitten B, Sedgley C, Svec T. Effect of three NiTi files on transportation and the apical foramen. International Endodontic J 2014; 47: 1064-1071.

5.

Alovisi M, Pasqualini D, Musso E, Bobbio E, Giuliano C, Mancino D, Scotti N, Berutti E. Influence of contracted endodontic access on root canal geometry: an in vitro study.

J. of Endodontics 2018; DOI: https://doi. org/10.1016/j.joen.2017.11.010.

6.

Sch채fer E, B체rklein S. Impact of nickel-titanium instrumentation of the root canal on clinical outcomes: a focused review. Odontology 2012; 100(2):130-136.

7.

Zhou H, Peng B, Zheng Y. An overview of the mechanical properties of nickel-titanium endodontic instruments. Endodontic Topics 2013; 29: 42-54.

8.

Shen Y, Zhou H, Zheng Y, Peng B, Haapasalo M. Current challenges and concepts of the thermomechanical treatment of nickel-titanium instruments. J of Endodontics 2013; 39(2): 163172.

9.

Gergi R, Rjeily JA, Sader J, Naaman A. Comparison of canal transportation and centering ability of twisted files, PathfileProTaper System, and stainless steel hand K-Files using computed tomography. J of Endodontics 2010; 36(5): 904-907.

10. Schneider SW. A comparison of canal preparations in straight and curved root canals.

Oral Surgery, Oral Medicine, Oral Pathology 1971; 32(2): 271-275.

www.okda.org

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E-Claims & Eligibility Connect (EC&EC) offers E-Claims for just 25 cents to ODA Members (nonmembers pay 29 cents each). Across the country, the national average price for E-Claims is 50 cents per claim. This is generally what the practice management software companies charge. With EC&EC there is no set-up fee, no monthly fee and no time frame commitment. We are the exclusive distributor for ClaimX in Oklahoma so request a 60-day free trial which includes unlimited E-Claims - no obligation to continue after the demo.

Our service is compatible with most software programs and NEA attachments.

You can trust HealthFirst emergency medical kits to keep your practice compliant and ready to handle unexpected emergencies. Choose the right fit for your practice from the SM Series for general dentists to the Mobile ACLS for oral surgeons.

Not set up for NEA yet? Regardless of your E-Claim provider use promo code IAPlusRZ1M to save $234 with NEA. Call 866-EClaims to inquire about this low-cost E-Claim alternative.

•

• •

•

AEDs, oxygen, and other safety devices are also available Don’t worry about expiration dates – HealthFirst will track and replenish meds for you Medications can be replenished with single units and low-cost alternatives State Association members save 10% and can access exclusive deals and special offers

HealthFirst representatives will review an emergency preparedness checklist as well as your state’s regulations with you when you call for a FREE consultation on emergency preparedness.

866.EClaims

888-963-6787 healthfirst.com/ada www.okda.org

43

ELECTRONIC CREDIT CARD, CHECK MANAGEMENT & PAYROLL PROCESSING SERVICES

ANSWERS ON EMPLOYER DENTAL PLANS

Tired of Staff on the Phone with Insurance?

Smile! You Have a Trusted Source for Payment Processing, Payroll and Human Resources.

Do you have time to worry about whether your payments are being securely and quickly processed or that your staff is paid on time? Most dentists donâ&#x20AC;&#x2122;t.

Heartland provides secure payment processing including EMV, end-to-end encryption and tokenization. With faster cash deposits and transparent pricing, our services allow you to focus on growing your practice.

By adding our payroll and HR services youâ&#x20AC;&#x2122;ll have everything you need to efficiently pay your staff along with resources to help ensure regulatory compliance and effectively manage general HR needs.

918.809.5471 heartland.us sarah.bippus@e-hps.com 44 journal | Sept/Oct 2018

Patients will always have questions about their insurance. Does this mean your staff will need to spend their day calling insurance companies, surfing websites for information and/or waiting for a carrier faxback? Absolutely not! Dental Systems has found a better solution to this common problem. Insurance Answers Plus (IAPlus) provides dental benefits on thousands of local and national employers' plans, individual dental policies, Medicaid, and Affordable Care Act plans. You can have instant access to 100+ procedures and/ or detailed limitations per plan regardless of the carrier involved. Services include automatic daily plan updates and a free patient eligibility feature for answers in just seconds. For the last 30 years, dental teams have been using this innovative front office tool. ODA Member dentists receive $300 off the initial registration / license fee. An IAPlus monthly subscription is significantly less than the cost of handling insurance verification in-house!

Call 800-683-2501 to streamline front office efficiency and reduce the time your staff spends with insurance carriers!

800.683.2501 iaplus.com

QUALITY APPAREL WITH PRACTICE LOGO

Why Lands' End Business?

Here’s how they help dental practices create custom uniforms that work: • •

•

•

Wear-tested quality clothing with a guarantee that won’t expire.

A range of colors to complement every logo & Colors You Can Count On – ten shades that will stay in their color palette across a variety of styles.

Custom online storefronts let your employees place their own orders, according to the style & budget limitations you specify, branded with your logo throughout.

Clothing that fits every body. You’ll find clothes made just for him. Complementary styles designed to flatter her. Even maternity sizes in some lines.

COMPUTERS AND TECHNOLOGY

The Lenovo Savings Program for ODA Members ODA members save up to 30% off the everyday public web price of Lenovo’s entire product line of laptops, tablets, desktops, servers, accessories and more! Whether you need a technology boost at work, a device to stream your favorite TV show, or a tool to help with homework, Lenovo has you covered. Plus, receive free ground shipping on all web orders and monthly limited-time special offers.

For more information and easy ordering, call 1-800-426-7235, ext. 4886 or visit lenovo.com/ ada, and experience the Lenovo difference today!

As a State Member, you’ll receive up to 10% off products and another 10% off embroidery—with no minimums!

800.990.5407 ada.landsend.com

800.426.7235 ext 4886 ADA.org/Lenovo www.okda.org

45

BIO-HAZARD WASTE REMOVAL AND TREATMENT

MEDICAL EVACUATION

Premier Medical Transport + Travel Security Memberships

Better service. Better pricing.

A Better Choice for Your Red Bag Waste Needs Medical Waste Services provides the transportation, treatment, and disposal of biohazard waste throughout the entire state of Oklahoma. Along with waste disposal, MWS offers Eco-Shred Secure Document Destruction and OSHA compliance.

We have discounted pricing for ODA members which can result in savings of over 20% per month.

Medjet is the premier global air medical transport and travel security membership program for travelers.

MedjetAssist memberships provide coordinated hospital-to-hospital medical transfer if injury or illness occurs during domestic or international travel, for business or pleasure. The Medjet Member is transferred to their home hospital of choice, regardless of medical necessity, for the cost of the membership and nothing more.

Our MedjetHorizon memberships include all the renowned medical transport benefits of MedjetAssist, plus worldwide travel security, crisis response and evacuation services. Members have 24/7 access to an in-country response network for a wide range of safety concerns and threats while traveling.

MedjetAssist Membership: $250 IND/$375 FAM (reg. $270/$395 respectively) MedjetHorizon Membership: $399 IND/$554 FAM (reg. $419/$574 respectively) *Diamond memberships are available for those over

age 75

866.355.7094 medicalwasteservices.org rich@medicalwasteservices.org 46 journal | Sept/Oct 2018

800.527.7478 medjetassist.com/oda

INCENTIVE TOWARD THE PURCHASE/LEASE OF A NEW CAR

A Luxury Offer Guaranteed To Make You Smile Receive Star AccessSM – save up to $5,500 toward the down payment or cash due at signing on a new Mercedes-Benz vehicle.* Membership has its privileges.

Imagine yourself behind the wheel of the sporty, sleek C-Class sedan. Take on tough with the GLC midsize SUV that’s all lean muscle. Experience class-leading safety with the technically brilliant, physically invigorating E-Class Sedan. Or discover the luxury SUV that invented its segment with the GLE. Whatever your heart and driving style desire, you can make it yours at significant savings. Choose from over 80 vehicles for purchase or lease.

Models start at $32,700. View the latest model lineup for member incentives available on each. *Available to qualified customers only

866.628.7232 ada.org/mercedes

PRACTICE OFFICE SUPPLIES

Exclusive Member Benefits Through Office Depot & OfficeMax Exclusive Member Benefits Through Office Depot and OfficeMax Content: You can now shop at Office Depot and OfficeMax or online to receive discounts offered through the Oklahoma Dental Association.

• • • • • •

Up to 80% off preferred products.

3,000 of the most commonly used products at 15% off retail web pricing.

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 and print pricing .

To receive your member’s savings online, go to www. okda.org/officedepot and set up a new account.

To receive your member’s savings at any Office Depot and OfficeMax store, please use your Store Purchasing Card, or provide SPC Account # 80124841970. For a Store Discount Card, please contact the Oklahoma Dental Association at 405.848.8873.

okda.org/officedepot www.okda.org

47

SECURE COMMUNICATIONS SOLUTIONS

The Simplest Way to Send and Receive Secure Email PBHS Secure Mailâ&#x201E;˘ is a simple and powerful HIPAA compliant way to share ePHI (Protected Health Information) between practices and patients.

With no software to install, configure or maintain, itâ&#x20AC;&#x2122;s easy to set up and immediately utilize your account. PBHS Secure Mail starts at $10 per month with options to add robust collaboration and outlook integration.

WEBSITE DESIGN AND MARKETING SERVICES

Attract, Engage and Retain Patients ProSites delivers innovative website design and online marketing solutions that are proven to help dentists accelerate practice growth. Their comprehensive suite of solutions includes readyto-go and custom website design, search engine marketing, social media management, automated patient communications and pay-per-click solutions.

ProSites is trusted by over 7,500 practices, endorsed by 11 state dental associations, a fivetime honoree on Inc. 5000's list of America's Fastest-Growing Private companies and a 2015 and 2016 Dentaltown Townie Choice Award recipient.

ODA Members save on a new ProSites website.

To learn more, call (888) 932-3644 or visit www.

ProSites.com/ODA.

800.840.5383 pbhs.com/securemail 48 journal | Sept/Oct 2018

888.932.3644 prosites.com/ODA

THE LEADER IN AMALGAM SEPARATION

SPECIAL SERVICES & SHIPPING DISCOUNTS

ODA Members Save Big with the UPS® Savings Program We Have Amalgam Separation Down to a Science Solmetex is proud to introduce the newest advancement in Amalgam Separation, the NXT Hg5® • New compact design for easy & flexible installation • “Clear by Design” • ISO 11143:2008 certified at 99% separation rate • OffsetPorts • Internal Manifold for easy & flexible installation • Eco-friendly packaging is 100% recyclable • Includes a complimentary Solmetex Amalgam Bucket

ODA Members save on shipping with UPS. Take advantage of discounts of up to 36%*, plus 50%* off select services for up to four weeks after you enroll!* Save on a broad portfolio of shipping services, including air, international, and ground.

You can receive these discounts even if you already have a UPS account. *See savewithups.com/ada for specific services and discounts.

ODA Members receive a free collection container with recycle kit. Value is $338 retail.

800.216.5505 solmetex.com

800.636.2377 savewithups.com/ada www.okda.org

49

POINT-EARNING CREDIT CARD

The ADA® Preferred Rewards Visa® Card is the card ODA member dentists count on for great benefits and valuable rewards • • • • • • •

Earn 20,000 Bonus Points after you spend $5,000 on the card in 90 days1 Only 25,000 points equals up to a $450 ticket No Annual Fee! No Foreign Transaction Fees!

Earn an additional 20,000 Bonus Points after $125,000 annual net spend2 No travel blackout dates on more than 150 airlines Visa Signature Travel Benefits including Travel Accident Insurance & Auto Rental Insurance3

IMPORTANT INFORMATION: Accounts must be open and in good standing to earn and redeem rewards and benefits. Upon approval, please refer to your Cardmember Agreement for additional information. Net purchases are purchases minus credits and returns. Not all transactions are eligible to earn rewards, such as Advances, Balance Transfers, and Convenience Checks. Upon approval, please refer to your Cardmember Agreement for additional information. Rewards points expire five (5) years from the end of the calendar month during which they were earned.

CONNECT WITH YOUR PATIENTS WHILE THEY WAIT

On-Hold Media Digital Video Overhead Music Waiting time is the perfect time to connect with your patients using on-hold messaging and lobby video from Works24. Custom on-hold messages help you cross-sell additional services. Flatscreen TVs in your lobby or exam area display professional video clips of your latest promotions, as well as news, weather and more. The best part? You can change all of it with our easy online system within minutes.

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

To earn first use bonus, eligible net purchases must be made within 90 days of account open date. Bonus will be credited to your account 6-8 weeks after the end of the promotion period.

1

The $125,000 spend must be on eligible net purchases, and is per calendar year. The annual spend bonus eligibility timeframe is January 1 through December 31. Bonus will be credited to your account 6-8 weeks after the end of the promotion period.

3 Certain limitations and restrictions may apply. Refer to your Visa "Guide to Benefits" terms for details.

2

The creditor and issuer of the ADA® Visa Signature® Card is U.S. Bank National Association, pursuant to a license from Visa U.S.A. Inc. ©2018 U.S. Bank

888.327.2265 ext 36991 ADAVisa.com/36991 50 journal | Sept/Oct 2018

405.517.6900 works24.com rjones@works24.com

“ ” I am a very satisfied customer!

I have purchased my gloves from Association Gloves for over ten years. They sent me many different samples to determine which glove fit my hand the best.

Their customer service and prices can’t be beat! Furthermore, by purchasing my gloves from our Rewards Partner, I am helping the ODA and reducing my dues!

It is a winning combination for everyone!

C. Rieger Wood, DDS

Get Quick & Easy Access to the ODA Rewards Partners

Put an ODA Rewards shortcut on your computer desktop for easy access to all of the savings offered for your home and dental office. Follow these step-by-step instructions on how to create a desktop shortcut to the ODA Rewards website. It’s just a click of the mouse away.

1. Open your favorite Internet browser and visit okda.org/rewards-program.

2. Resize the Internet browser window so both the computer desktop and the browser window are visible.

3. Click and drag the icon (in the address bar to the left of the URL) onto your desktop.

4. The shortcut will be created onto your desktop and ready to click at any time.

Contact the ODA at 800.876.8890 okda.org/rewards-partners www.okda.org

51

Rediscovering Life After Addiction

By Jason Buschman, DDS, MEd Imagine having a disease that is out of control and running rampant through your body and mind. No matter what you try, how hard you try or how many times you try, you can’t control the disease or its symptoms. Even after months of tapping into all of your medical knowledge, intelligence and self-will you can’t seem to make a difference. You’re bewildered that you, a “doctor”, someone who has been in control of every aspect of life in the past can’t seem to gain control of this disease and are just making it worse. Everyone around you is telling you over and over, “It’s just a choice; why can’t you control it?”

You realize the catastrophic consequences of continuing in your disease but that just makes things worse. The fear of losing your profession, your practice, your family, your friends, your financial stability, and possibly your life is overwhelming and only pushes you further into the disease. Then finally you hit rock bottom; your life is truly crumbling before your eyes and you realize that there is nothing you can do on your own to fight this disease and control its symptoms. Who can you turn to, who can you trust, who has a proven successful treatment for your disease?

These are the thoughts that went through my mind seven years ago in 2011. A “pain management” doctor had started me on hydrocodone for my chronic back pain a few years prior to me hitting rock bottom.

I quickly found that hydrocodone not only

helped my back pain but it helped with my emotional pain as well and gave me strength, energy and a positive outlook on life, a feeling I had not had in a long time.

What I did not realize was the destructive effects of the hydrocodone and that it would eventually grip me so tight that I could not free myself from its strong hold.

Eventually hydrocodone controlled my mind, body and soul, and all I wanted was more. Under the control of the narcotic it led me to stealing medications from my own supply cabinet and injecting them intravenously, leading me down a spiraling path of life destruction.

I praise God and am eternally grateful for programs such as OHPP (Oklahoma Health Professionals Program) that could answer the questions that I couldn’t.

OHPP not only knew how to help, but they taught me how to help myself and others with the same disease. Yes, Substance Use Disorder (SUD) is a disease that needs to be diagnosed, treated and controlled like any other disease. Like diabetes SUD is a disease that must be constantly evaluated and monitored; just as diabetics benefit from having an endocrinologist help them control their disease, patients with SUD benefit from addictionologists and programs like OHPP to help them live happy, healthy, fulfilled lives.

I once had prior to living in my disease.

OHPP does so much more than just getting you to the right places; they teach you how to deal with your disease day by day and then walk with you as you recover.

The first step is simple, it’s just a phone call. Actually, the second and third steps are pretty easy as well; all you have to do is let OHPP guide your path back to health.

I can honestly say that without the help of OHPP and Director Dr. Robert Westcott I don’t believe I would be able to write this testimonial. If you are struggling with SUD, you are not alone. There is help and hope for a normal life and career. JUST CALL. Dr. Jason Buschman is a former Associate Professor in the Department of Oral and Maxillofacial Surgery at the OU College of Dentistry.

He is currently an Associate Professor in the Department of Oral and Maxillofacial Surgery at the Southern Illinois University of Dental Medicine.

Buschman founded New Millennium Dental Continuing Education, and currently has several multimedia CE courses, a YouTube channel, and lectures worldwide.

With the guidance of OHPP I learned how to regain my life and career and the joy

National Recovery Month

September is National Recovery Month. This observance highlights individuals who have reclaimed their lives in long-term recovery, but also honors the prevention, treatment, and recovery services that providers are making possible. Recovery Month promotes the message that recovery, in all its forms, is possible and also encourages citizens to take action to help expand and improve the availability of effective prevention, treatment, and recovery services for those in need.

Millions of Americans’ lives have been transformed through recovery programs, including more than 1,000 health care providers in Oklahoma through the Oklahoma Health Professionals Program (OHPP). Since 1983, OHPP has provided services to health care providers who suffer with alcohol and chemical dependence.

If you or a colleague needs help from OHPP, contact them today at okhpp.org or 405.601.2536.

52 journal | Sept/Oct 2018

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 OPENING Seeking Associate/Partner/Owner Solo dentist practice looking for an associate with potential to buy-in. 3400 sq ft. building with 7 operatories. Updated office and technology including Dexis, E4D, cone beam and CO2 laser. Office currently is averaging 45 new patients a month with opportunity for more. The practice is located in western Oklahoma in a town of about 14,000. Starting salary will be competitive with corporate dental offices. Experience is welcome but willing to mentor young dentist in oral surgery, large cosmetic cases and endo. Benefits and incentives can be discussed if interested in position. Please contact us at 580 338-7210 or by email at phippsdentalpractice@gmail.com

OTHER

PRACTICES FOR SALE PRACTICE FOR SALE: EASTERN OKLAHOMA. “Collected” $941,000 in a 32 hour work week, Six chairs and digital X-rays throughout including panoramic. Highly trained staff remaining after the sale. Eleven computer terminals throughout the office. This practice is ready to go for the right buyer. It is located in the most beautiful area of Oklahoma and has excellent amenities in the vicinity. Plus if you like to hunt and fish, it is second only to paradise. Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784.

FINANCING AVAILABLE PRACTICE FOR SALE: SW of Oklahoma City in a short commutable drive. Two part-time satellite practice. Very low overhead. Practice collected $722K in 2015 with very large profit margin. A serious money maker!! Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE THE OFFICES LISTED ABOVE MAY BE SEEN AT www.ppa-brokers.com or call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784.

TIRED OF PAYING RENT when you can own your own ± 5,654 SF building that also provides income? There are 5 plumbed operatories with room to expand. 2821 NW 57th, OKC, 73112.

Owner willing to help with finances. Contact Susan Jordan at 405-607-6208 or susan.jordan@cbre.com.

Treatment of TMJ Dysfunction Helping patients for over 30 years Do your patients have?

• clicking or popping of the TMJ • pain • headaches • limited range of motion • dental wear due to clenching or bruxing • ringing of the ears K. George Elassal, DDS, Elassalortho.com, 405-692-2722

EQUIPMENT FOR SALE Intraoral X-Ray Sensor Repair/Sales Repairs with rapid turnaround. Save thousands over replacement costs. We specialize in Kodak/ Carestream, Dexis Platinum, and Gendex sensors. We also buy/sell dental sensors.

Call us ​919-229-0483​ ​www.repairsensor.com

Place a Classified Ad Placing an ad with the ODA allows you to target your ad to a specific audience.

Unlike other classified ad sources (local newspaper, other online classified sites, etc.), a listing with the ODA gives you exposure to the people who would be most interested in your ad. The online version of the ODA Journal contains active hyperlinks within the advertisement, ensuring you get maximum exposure for your ad.

Pricing ODA Members Online - Free ODA Journal - $40 for first 50 words (additional words $0.15 each)

Non-ODA Members Online or ODA Journal - $83 (>50 words) (additional words $0.32 each)

Bundle (online & journal) $149 (>50 words) (additional words $0.32 each)

Submit a Listing

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

Questions?

Email: advertising@okda.org Call: 800.876.8890

www.okda.org

53

OKLAHOMA DENTAL FOUNDATION

Help Us Welcome New Team Members!

MobileSmiles Oklahoma is thrilled to introduce you to the newest dental assistants to join the team – Sara Martin and Danielle Barker.

Martin is an Oklahoma native, born and raised in Lawton. While her educational background is in mental health, Martin caught the dental bug and is currently finishing up prerequisites to apply to dental school. “Although I didn’t initially start in the dental field, I have been exposed to it throughout my life from friends and family that work in the field,” she said. “I look forward to learning more about dentistry because I love the challenges it throws my way and I hope to one day be on the dentist’s side of the chair.”

Barker was born in Iowa but moved to Oklahoma while in elementary school and considers herself a native. Currently, she is working toward getting accepted into a dental hygiene program; MobileSmiles is the perfect fit for her as she pursues this goal.

“MobileSmiles is really exciting for me because in this job, I’ve found a way to fulfill my desire to help people while gaining knowledge and experience in the dental field,” Barker said. “I can only hope to continue to help people in the dental field once I complete hygiene school.”

Sara Martin

For more information on MobileSmiles, please visit www.MobileSmilesOK.org.

Danielle Barker

Finally, Five (not so) FAQs! Gary Nabors, DDS Noble, OK 1. What is your all-time favorite movie?

Dances with Wolves 2. When "China Grove" by the Doobie Brothers comes on my car radio, I have to crank it up and sing along.

3. Always on time or always late?

Always barely late 4. What is your least favorite thing about humanity?

Discrimination 5. Do you believe there is life on other planets? Yes, absolutely 54 journal | Sept/Oct 2018

Annual Meeting 2019 PARTNERS IN PROGRESS APRIL 25 - 27 DOWNTOWN TULSA: DoubleTree Hotel 616 W 7th St, Tulsa, OK 74127 ODA Group Rate: $116 918.587.8000 Reserve by April 5, 2019

okda.org/annual-meeting www.okda.org

55

405-607-2137 (OKC Metro)

56 journal | Sept/Oct 2018

PR@DeltaDentalOK.org