OHP Success Story – Summer 2021

Matt, age 40, has lost two hundred and twenty-three pounds in the last 10 months. These days, he’s all about positivity and making good things happen. Recently, Matt was excited to see his daughter graduate and become a nurse. He also credits his health improvements with making it easier to feel comfortable forming interpersonal relationships.
Matt was first seen by an Exceptional Needs Dentist (ENDS), Dr. James P. Hayden, Jr., shortly after the pandemic began. At the time, he was bed bound and struggling with acute dental pain. “Dr. Hayden saved my mouth from major infection. He and his assistant, Heather, have done an absolutely fantastic job for me.” 

The ENDS program is a partnership established by four Oregon Dental Care Organizations:
-Capitol Dental Care
-CareOregon Dental
-Managed Dental Care of Oregon
-Willamette Dental
Another ENDS provider, Lori Killen Aus, Expanded Practice Dental Hygienist (EPDH), has also been out to see Matt . “Lori, who does the cleaning, is fantastic too! And really good company,” he recalls of her visits. Lori, who has been practicing hygiene since 1980, has mastered the art of communicating just how vital a role oral health has in our overall health.
In recent months, Matt has been learning to walk again and reclaim his mobility. He describes his diet as “ninety-percent vegetables, ten-percent meat,” embracing the relationship between his oral health and nutrition. “When I first met Dr. Hayden, I couldn’t even sit up and the providers with ENDS have done an incredible job. “
Matt and I spoke about the bittersweet possibility of no longer needing mobile dentist services in the future, “Dr. Hayden is professional and so personable; I love talking to him. I wouldn’t switch dentists for anything!”. The ENDS Program connects patients with providers like Dr. Hayden and Lori, thanks to the dental care benefits made possible by Oregon Health Plan (OHP).

OHP Success Story – Spring 2021

Jen, age 32, has struggled with disabilities since an early age. As she got older, her schizophrenia became more apparent, as did its impact on her overall health. Jen has lived on the coast for most of her life and, when she’s able to, enjoys going for walks by the beach. Jen has had serious fears stemmed from adverse dental experiences in the past.  Jen’s life-long caregiver, Pearl, has always been concerned about maintaining Jen’s oral health. “If you can’t eat and you can’t see, it’s your main crest of living. It really is a big barrier. It affects your total health.”
After unsuccessful attempts in a traditional dental office, Jen was referred to Exceptional Needs Dental Services (ENDS) for dental treatment. ENDS provides dental care access to individuals with exceptional needs, serving those who are functionally impaired, requiring assistance with Activities of Daily Living (ADL), and are unable to obtain treatment in a traditional office setting.
The ENDS program is a partnership established by four Oregon Dental Care Organizations:
 – Capitol Dental Care
– CareOregon Dental
– Managed Dental Care of Oregon
– Willamette Dental
One of ENDS’ providers, Lori Killen Aus, EPDH, worked very slowly to gain Jen’s trust. On their first visit, Lori was able to get Jen to talk about those bad experiences and assured her that such ordeals would not happen with her. Jen responded to Lori’s calming expertise by opening her mouth enough for Lori to brush her teeth. Six months later, Jen was still very hesitant, but Lori was able to calm her down by reminding her that she was not there to create a dreadful visit. The next time Lori visited, Jen was practically jumping up and down with her arms open for a hug.

As time has gone on, Jen has grown to trust Lori so much with her dental care that she recently asked Lori if she could take a photo of the two of them for her to cherish. The ENDS program is fortunate to work with providers like Lori Killen Aus, EPDH, who has been practicing dental hygiene for over 40 years. Because of the dental care benefits made possible by Oregon Health Plan (OHP), and providers like Lori, Jen is having her dental needs met and couldn’t be happier.

OHP Success Story – Winter 2021

Peggy, age 98, has led a very active life. She grew up in the coal-mining region of Pennsylvania, worked for the Office of Strategic Services (O.S.S.) during WWII, then made a career at the Telephone Company before retiring to Oregon. Peggy has always enjoyed hiking, bird-watching, traveling, volunteering, and getting together with family and friends. Health issues led her to an assisted living facility, where she enjoys exercise, reading, and doing all kinds of puzzles.

Despite the COVID-19 pandemic, Peggy was doing well until recently when she began to experience unremitting tooth pain. Peggy’s son got her in touch with Dr. James Hayden at Exceptional Needs Dental Services (ENDS). The ENDS program is a partnership established by four Oregon dental care organizations:
-Capitol Dental Care
-CareOregon Dental
-Managed Dental Care of Oregon
-Willamette Dental

Dr. Hayden and his dental assistant, Candice, visited Peggy at her assisted living facility and successfully removed the diseased tooth. “What a relief!” Peggy stated after the extraction. “And they were nice, too.” Peggy’s son also commented “They did a great job”. “My mom is not the easiest dental patient. I was impressed with every aspect of ENDS, from the timely communications with their scheduler, Debbie, to the compassionate and professional care by James and Candice. I don’t know what we would have done without them.”

Because of the dental care benefits made possible by Oregon Health Plan (OHP), and providers like Dr. Hayden, Peggy has had all her dental needs met and she couldn’t be happier.

OHP Success Story – Autumn 2020

Charlie, age 70, lives happily in Oregon near his children. He was diagnosed with Parkinson’s Disease over 10 years ago. Growing up, Charlie was an athlete and that competitive drive has helped him push forward and keep a positive outlook in life. Charlie played High School and College Football. He also received an internship at university for an Engineering degree. He later became a marathon runner and even completed a 74-floor stair climb!

Charlie’s favorite things to do are hanging out with his family and dogs, and barbequing in the backyard. He tries to go for a stroll once or twice a day, with the aid of his walker. Parkinson’s Disease has affected almost every aspect of Charlie’s life, but he says he has a great support system.  Walking and talking has become hard for him.  He has to think about each step he takes and has to focus on how to vocalize his words when he speaks.

When Charlie met with Dr. John Aspros, an Exceptional Needs Dental Services (ENDS) mobile dentist, he discovered that his teeth were not in good condition and that he would need immediate oral care. Parkinson’s Disease had made it difficult for him to understand the severity of his oral health condition. Dr. Aspros realized this and had extensive calls with Charlie’s family to make sure they understood the work that needed to be done. His family says that Dr. Aspros did an excellent job of keeping Charlie apprised of his treatment plan.

Although Charlie was very apprehensive of the dental procedures, his family reported that the care Charlie received was incredible! The family said, “Charlie’s recovery was great!  He has a huge appetite and has had a much easier time eating.  The ENDS program has helped Charlie and the family get control of his dental health and set him up for future success.” Because of the dental care benefits made possible by ENDS through the Oregon Health Plan (OHP) and providers like Dr. Aspros, Charlie is having all of his dental needs and concerns met. Charlie and his family have said that they are so thankful for this program. “We are so glad Oregon has amazing programs like this set-in place for our aging seniors and people with disabilities.  THANK YOU!”


OHP Success Story – Summer 2020

Shane, age 31, resides in a group home due to Autism, language impairment, and intellectual developmental disorder. Shane enjoys expressing himself through many art forms, including drawing, sculpting, and making figurines out of whatever materials are available to him. He also finds happiness in watching YouTube videos, playing games on his tablet, and collecting Furbies.

All of these activities help Shane to relax but at the end of March he was struggling to enjoy his usual hobbies. Shane had begun to wince in pain whenever he ate. He was so distressed by the aching in his mouth that he would aggressively act out towards his caregivers whenever he felt this pain. Shane’s caregivers contacted ENDS, who scheduled an emergency dental exam with a mobile dentist, Dr. James Hayden, and his assistant, Candice.

The caregivers reached out to ENDS and reported that Shane’s behaviors improved immediately after Dr. Hayden completed his treatment with Shane. During these trying times it is vital to maintain the ability to care for our fellow Oregonians, especially the vulnerable population.

ENDS providers have strived to keep emergency care available the COVID-19 global pandemic. These crucial services are available thanks to benefits provided through the Oregon Health Plan and ENDS’ four partnering dental care organizations:

  • Capitol Dental Care
  • CareOregon Dental
  • Managed Dental Care of Oregon
  • Willamette Dental

OHP Success Story – Spring 2020

Harry, age 38, lives with Down syndrome and type two diabetes. His mother says that Harry does not let his syndromes get him down. He enjoys spending time watching movies and caring for the family pug, Penny. Although Harry is generally a happy person, sometimes dental pain and infection can get in the way of that.

An Exceptional Needs Dental Services (ENDS) dentist, Dr. James P. Hayden Jr., saw Harry for an emergency exam. Harry could not verbalize what was wrong when he began refusing food, but he held the left side of his face to show that he was in pain. Because Harry had difficulty making sense of why someone would try to put their hands on in his mouth, he initially would not allow Dr. Hayden to touch him. Through encouragement from his parents though, Harry eventually approved of the doctor to look at his teeth and take some diagnostic pictures. Dr. Hayden determined Harry had an abscess and referred him for treatment at the hospital under general anesthesia.

The ENDS office coordinated hospital dentistry under general anesthesia with Dr. Brian Summers. Dr. Summers was able to add Harry as an urgent case to the hospital schedule for the following Friday. To make the most of the opportunity, Harry’s parents asked that he have his fingernails and toenails clipped while he was undergoing surgery, as it was quite a struggle to trim them due to his behaviors. Due to Harry’s diabetes, the ENDS surgery scheduler coordinated a special diabetic clinic provider to come and clip his nails.

Thanks to the benefits provided through the Oregon Health Plan (OHP), Dr. Summers treated Harry in the hospital just four days after he was referred for treatment. The appointment prevented the spread of the infection and significantly eased Harry’s pain. The ENDS program helps to ensure that Oregonians’ have access to the oral health care they need.

OHP Success Story – Winter 2020

Judi, age 79, was referred to Exceptional Needs Dental Services (ENDS) in 2015. She suffers from Alzheimer’s dementia and depression. She is also bedbound and unable to leave her facility for dental or medical treatment.

Judi is extremely passionate about home-style cooking. She has always enjoyed preparing meals for her children. Their usual requests were meatloaf, potato salad, as well as chicken and dumplings. Judi learned how to cook from her family and was never one to follow a recipe, but preferred “cooking to taste.”

As time has gone on, Judi has developed extremely limited physical coordination and has become unable to care for her teeth on her own. The nursing staff would help her by providing assistance with brushing her teeth regularly. When Dr. James Hayden, an ENDS mobile dentist, visited Judi at her facility it, was apparent that she had periodontal disease in her remaining teeth. Dr. Hayden took x-rays that confirmed this and set up a treatment plan for Judi to have several extractions.

Prior to being seen by Dr. Hayden, Judi was experiencing a loss of appetite and she would rarely smile. She was so relieved that Dr. Hayden and his assistant were able to see her at the nursing home. She said they were wonderfully knowledgeable and very kind.

After receiving her new dentures, Judi’s care provider went to ask how she was doing and found that Judi was so excited and happy that her smile filled the room. Judi was thrilled with how comfortable and pretty her new teeth were. She said that it was a “dream come true.”

Because of the dental care benefits made possible by Oregon Health Plan (OHP), and providers like Dr. Hayden, Judi has had all her dental needs met and she couldn’t be happier.

OHP Success Story – Autumn 2019

Exceptional Needs Dental Services (ENDS) provides dental care access to individuals with exceptional needs, serving those who are functionally impaired, requiring assistance with Activities of Daily Living (ADL), and are unable to obtain treatment in a traditional office setting. Dr. James P. Hayden, Jr., has been delivering mobile dental care through the ENDS program for over twenty-four years.

ENDS contracts with over twenty providers to deliver mobile dentistry services to Oregonians residing in long-term care facilities throughout western Oregon, including the Portland Metropolitan Area, the Mid-Valley, and Southern Oregon. Dr. Hayden sees all of ENDS’ special needs patients throughout the entire Mid-Valley, from Newberg to Eugene, along the coast, and everywhere in between.

Many of Dr. Hayden’s patients, their families, caregivers, and other support staff have spoken highly about the service he delivers. “I can’t imagine many people that would take on what he does.” One of the biggest things they appreciate is his promptness. “He is quick to respond with a friendly attitude to patients in pain and will phone in prescriptions on the weekend, if the need arises.”

Caregivers have also told us that after an unsuccessful visit in a traditional office, some patients feel discouraged. Fortunately, Dr. Hayden’s experience working with patients who have advanced dementia have taught him how to perform exams when even patients’ family members did not think it possible. “We don’t know what our residents would do without his services, because they can’t go out to see a dentist.” ENDS would like to take this time to honor and thank Dr. Hayden for his many years of hard work and dedication. 

The ENDS program is a partnership established by four Oregon dental care organizations:

Capitol Dental Care
CareOregon Dental
Managed Dental Care of Oregon
Willamette Dental

The ENDS Program connects providers, like Dr. Hayden, throughout Oregon to those that need it most through the dental care benefits made possible through Oregon Health Plan.


OHP Success Story – Summer 2019

Danny, age 24, has severe autism and is happily living a quiet life in southern Oregon. On days when the weather is nice, Danny enjoys going for car rides with his Mom, taking walks, and swimming. He also enjoys listening to jazz and watching Baby Einstein videos. Danny is typically a relaxed person, although he has never been able to tolerate treatment in a dentist’s office.

Before Danny’s family moved from California to Oregon three years ago, Danny had always needed to be sent to the hospital for dental treatment under general anesthesia. That all changed when he was referred from Capitol Dental Care to Dr. Jim Hales, an Exceptional Needs Dental Services (ENDS) provider. Dr. Hales has been working with the special needs population through the ENDS program since 1995, and he has been working as a dentist for over 50 years. After being assigned to Dr. Hales, Danny allowed a dentist to look at his teeth without the need of sedation for the first time.

Dr. Hales believed that he could treat Danny even further, and decided that he could achieve this by having Danny come to the office frequently. He invited Danny back to the office often, even if it was just to sit and get comfortable with being in the dentist’s office. With every visit, Danny was smiling more and more and, as time went on, he allowed the doctor to perform more intensive treatment. Over a few appointments, Dr. Hales was able to completely clean all of Danny’s teeth and even got a full set of x-rays! Danny’s mom says that having Dr. Hales as her son’s dentist is a relief to her, and she is so happy that the doctor was able to create an environment that helped Danny to receive much-needed treatment without being sedated. Danny’s mother has continued to be “astounded” by Dr. Hales’ ability to treat her son.

Danny’s mother says that Dr. Hales is a dentist with a special touch, and she is so thankful that Danny is able to receive treatment through the ENDS program. All of this is a result of the continued support for the dental benefits provided to members of the Oregon Health Plan. Because of that ongoing support, our special needs communities can continue to grow and improve from the unique talents and expertise of providers like Dr. Hales.

OHP Success Story – Spring 2019

Diana, age 27, was diagnosed with autism at the age of three. She has lived with her grandmother nearly her whole life. Growing up, Diana attended a Portland public school as a student in the special education program. After she completed her education she was connected to Trellis (trellis-or.com), a special education program that uses a team model in which families and professionals work together to develop social and independent life skills.

The Trellis program pairs Diana with a direct support provider for therapeutic integration into the community twice a week. They accompany her on numerous outings which include shopping malls, art classes, dance lessons, volunteer opportunities, and other group activities. Diana spends much of her free time on the computer, engaged with YouTube or watching her favorite cartoon characters. She loves to breathe new life into her cartoons by writing short stories about the characters.

Diana is able to visit a traditional dental office for exams and cleanings, but she is unable to tolerate more extensive dental treatments. It was for that reason that she was referred to Exceptional Needs Dental Services (ENDS) for hospital dentistry before being referred back to her primary care dentist.  

Diana’s grandmother said the ENDS staff were extremely caring and supportive towards Diana and she is grateful that ENDS was able to coordinate the necessary oral procedure for Diana. “The treatment was not as traumatic as she had feared and now Diana has taken a special interest in her dental hygiene.” The care and compassion delivered by ENDS’ providers, along with the dental benefits provided by the Oregon Health Plan, ensure patients receive the treatment they need to continue living a happy and healthy life.