U-M School of Dentistry Summer & Fall Calendar of Events National Dental Association Reception Saturday, August 5 Washington, D.C. Homecoming Weekend Friday, September 8 Continuing Dental Education 9:00 a.m. - Noon Dental and Dental Hygiene Reunions. Years ending in 0 and 5 Kellogg Building Dedication Ceremony 4:00 - 6:00 p.m. Saturday, September 9 Michigan vs. Rice Football Game Dental Reunions. Years ending in 0 and 5 Annual Golf Outing Thursday, October 12 U-M Golf Course 10:00 a.m. - 6:00 p.m. American Dental Association Reception Saturday, October 14 Reva Restaurant (Chicago) 6:30 - 8:30 p.m. For additional information please contact: Debbie Montague at the School of Dentistry Office of Alumni Relations Phone: (734) 764-6856 e-mail: dmont@umich.edu or visit our Website at: www.dent.umich.edu DentalUM Spring & Summer 2000 Volume 16, Number 1 Helping Others...Serving Communities DentalUM magazine is published twice a year by the University of Michigan School of Dentistry, Office of Alumni Relations and Continuing Dental Education. Mail letters and updates to: Jerry Mastey, Editor, School of Dentistry, Room 1218, 1011 N. University Ave., Ann Arbor, MI 48109-1078. Or you may send your letters and updates via email to: jmastey@umich.edu. Dean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . William E. Kotowicz Assistant Dean for Alumni Relations & Continuing Dental Education . . . . . . . Arnold P. Morawa Writer & Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jerry Mastey Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chris A. Jung Photography . . . . . . . . . . . Per H. Kjeldsen, Keary Campbell Contributing reporter . . . . . . . . . .. . . Nancy Ross-Flanigan Member publication of the American Association of Dental Editors The Regents of the University: David A. Brandon, Laurence B. Deitch, Daniel D. Horning, Olivia P. Maynard, Rebecca McGowan, Andrea Fischer Newman, S. Martin Taylor, Katherine E. White, Lee C. Bollinger, ex officio. University of Michigan School of Dentistry Alumni Society Board of Governors Terms Expire 2000: William J. Costello, ‘70 , East Lansing, MI Daniel H. Cox, ‘70, Ypsilanti, MI (chair) John R. English, ‘66, Grand Rapids, MI Mary Gilson Layher, DH ‘81, Ann Arbor, MI Terms Expire 2001: Gerald T. Charbeneau, ‘48, Ann Arbor, MI Anthony E. Dietz, MS ‘67, West Bloomfield, MI Timothy H. Gietzen, ‘76, Grand Rapids, MI (chair-elect) Karen Roth, DH ‘81, East Lansing, MI Harry S. Thomson, ‘72, Jackson, MI Terms Expire 2002: Michael J. Crete, DDS ‘86, Grand Rapids, MI Gary Dwight, DDS ‘72, East Lansing, MI Leon Herschfus, DDS ‘45, Southfield, MI Susan Pritzel, DH ‘67, Ann Arbor, MI Ex Officio Members: K. Michelle Henry, Alumni Association Steve C. Grafton, Exec. Director, Alumni Association Arnold P. Morawa, ‘64, Assistant Dean for Alumni Relations & Continuing Dental Education Thomas C. Pink, ‘69, Alumni Association Liaison William E. Kotowicz, Dean The University of Michigan, as an Equal Opportunity/ Affirmative Action employer, complies with all applicable federal and state laws regarding nondiscriminatory and affirmative action, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. The University of Michigan is committed to a policy of nondiscrimination and equal opportunity for all persons regardless of race, sex, color, religion, creed, national origin or ancestry, age, marital status, sexual orientation, disability, or Vietnam-era veteran status in employment, educational programs and activities, and admissions. Inquiries or complaints may be addressed to the University’s Director of Affirmative Action and Title IX, Section 504 Coordinator, 4005 Wolverine Tower, Ann Arbor, MI 48109-1281. (734) 763-0235, T.D.D. (734) 747- 1388. For other University of Michigan information, call (734) 764-1817. Printed on recycled paper DentalUM Spring & Summer 2000 It has been praised by patients and their families. It has won the respect of faculty, students, staff, and government officials. It has even inspired some to pursue careers in dentistry. The “it,” in this case, is the University of Michigan School of Dentistry’s community outreach initiative. This issue of DentalUM describes our partnerships, profiles faculty members who have helped to make the programs possible, and provides significant information about the scope of those programs. You may be pleasantly surprised. Our community outreach efforts began in 1972 with summer migrant dental clinics in Adrian and Stockbridge, Michigan. The following year, we launched our summer migrant dental clinic program in the Traverse City area. The program is now in its 27 th year. In recent years our community outreach curriculum has expanded. Because of the help and cooperation we have received from many, the School of Dentistry’s community outreach initiative now spans the state. From clinics at the School of Dentistry here in Ann Arbor…to Bay Cliff in the Upper Peninsula…to Battle Creek… to Monroe and elsewhere, dental and dental hygiene students are providing oral health care services to patients of all ages and ethnic backgrounds, particularly the underserved. In today’s world, many often ask, “What difference do I make?” But when you talk to dental or dental hygiene students and faculty from the School of Dentistry who participate in our outreach programs, that question becomes a statement – “I do make a difference.” Sincerely, William E. Kotowicz, Dean 1 In This Issue... COVER STORY 12 Community Outreach – 5 New Partnerships Announced A new agreement has major implications for dental and dental hygiene students, residents or postgraduates, and faculty at the School of Dentistry and thousands of patients across Michigan. The agreement is the result of a major program held late last year. The School of Dentistry is expanding its community outreach programs in Michigan that provide oral health care services to the underserved. Dr. Jed Jacobson, assistant dean for community and outreach programs (front), directs the programs. Pictured with him at the Michigan League are the School’s new outreach partners (left to right) – Dr. James Hayward, director, Marquette County Health Department Dental Clinic; Dr. Melanie Mayberry, Health Delivery, Inc., Saginaw; Dr. Robert Russell, dental director, Hackley Community Care Center, Muskegon Heights; and Dr. A.J. Jones, president and chief executive officer, Family Health Center, Battle Creek. (Photo by Per Kjeldsen) 16 Community Outreach – How We Make a Difference Thousands in communities across Michigan receive quality oral health services from U-M School of Dentistry dental and dental hygiene students, postgraduates or residents, and faculty. Read about… 16 – 18 – 20 – 22 – 23 – 25 – 26 – 26 – 27 – 28 – 30 – 32 – 33 – 34 – Traverse City, Migrant Dental Clinic Migrant Dental Clinic (Student Perspectives) Battle Creek, The Family Health Center Flint, Mott Children’s Health Center Ann Arbor, Community Dental Center Ypsilanti, Hope Dental Clinic Spring Arbor, Arbor Manor Care Center Marquette, Bay Cliff Health Camp Southeast Michigan Dental Hygiene’s Outreach Mouth Guard Clinic Helping U-M Sports Teams The Future of Community Dentistry Outreach Sites (maps and table) 16 36 Faculty Profiles – Drs. Jed Jacobson, Robert Bagramian, and Marilyn Woolfolk All have played important roles in the School of Dentistry’s community outreach initiatives. 2 28 DentalUM Spring & Summer 2000 Spring & Summer 2000... FEATURES 5 Future of Oral Health Care Discussed at Major Seminar The School of Dentistry was the first dental school in the country to host the Scientific Frontiers in Clinical Dentistry program. The two-day program attracted more than 1,500 oral health care professionals to Hill Auditorium. 40 School Rankings 5 Here’s why the nation’s dental schools don’t participate in ranking surveys. 41 Dr. Peter Ma Wins Prestigious Award For the first time, DuPont has given its Young Professor Award to a faculty member at a dental school – the School of Dentistry’s Dr. Peter X. Ma. 42 Research Table Clinic Day The second year of this full-day program was better than the first. Also, learn more about last year’s grand prize winner who was at the ADA’s annual convention. 44 Research 41 Research of Drs. Walter Loesche and David Mooney is featured. 46 Alumni Profile – Daniel Cox, D.D.S. This School of Dentistry alumnus says his father’s enthusiasm and love of dentistry influenced his career and involvement with professional organizations and the community. 51 Golf Outing 66 Dental Hygiene This new feature highlights some of the activities of U-M dental hygienists. 68 Retiring Faculty 51 DentalUM Spring & Summer 2000 3 Spring & Summer 2000 DEPARTMENTS 48 Department Updates 48 – 58 – Dr. Lysle Johnston, Department of Orthodontics and Pediatric Dentistry Dr. Martha Somerman, Department of Periodontics, Prevention, and Geriatrics 52 Development 52 – 52 – 53 – 53 – 54 – Dr. Norman Dahn Provides $2.6 Million for Scholarships Dr. Nathaniel Rowe makes Gift-in-Kind Dr. Edward Cheney Undergraduate Orthodontics Fund Created Dr. Walter & Mrs. Lavonne Stewart Gift Alumni Board Nominations 48 71 Alumni News Vermont Legislature Honors School of Dentistry Graduate Dr. Joseph E. Marceau (’38). 58 Outstanding NERB Results The U-M School of Dentistry ranked #1 in the percentage of candidates who passed all parts of the NERB examination during 1999. Percent of Candidates Who Passed The 1999 NERB Examination in Dentistry Percent U-M Dental Schools 4 DentalUM Spring & Summer 2000 Scientific Frontiers in Clinical Dentistry Major Program A Hit “It seems every dentist in Michigan is here.” The comment of one dentist, heard in the lobby of Hill Auditorium in early January, may have been exaggerated…but only slightly. A ll of us who are involved with Delta Dental and the Delta Dental Fund were extremely pleased with this seminar. The quality of the speakers was exceptional and we thought the program offered a thought-provoking blend of both the theoretical and practical. It was truly an honor to work with Dr. Harold Slavkin and Dr. Isabel Garcia of the National Institute of Dental and Craniofacial Research for the first time. Our sincere thanks also goes to the University of Michigan School of Dentistry, particularly Dean William Kotowicz and Dr. Arnold Morawa. The long-standing partnership between our organi-zations to offer quality continuing dental education has been a significant benefit to all of the dentists in our state and is a source of great pride to us. More than 1,500 dentists from across the state came to the U-M campus for a historic program that brought together nationally-renowned clinicians and researchers who discussed the future of dentistry and presented a wealth of information about the latest advances in dentistry and clinical research. The two-day continuing dental education program was hosted by the U-M School of Dentistry and sponsored by the Delta Dental Fund and the National Institute of Dental and Craniofacial Research (NIDCR). It was the first time NIDCR conducted its Scientific Frontiers in Clinical Dentistry program on a university campus. “It was our greatest program ever,” said Dr. Arnold Morawa, assistant dean for alumni relations and continuing dental education. “I’m enormously pleased and want to thank everyone who took time to be a part of this event.” Richard Stilwill, D.D.S. Per Kjeldsen Chair, Delta Dental Fund DentalUM Spring & Summer 2000 DentalUM Spring 5 5 Scientific Frontiers “A Great Privilege…” In his welcoming remarks, U-M president Lee Bollinger outlined the Life Sciences Initiative. “It’s a great privilege for us to host this historic event. There is incredible interest surrounding the field of health and life sciences,” he said. “I have not seen in the academic world the kinds of intellectual and professional excitement that surrounds the biological and technical revolution that you are a part of.” Bollinger gave an overview of the $200 million initiative that calls for building a state-of-the-art facility designed to foster greater interdisciplinary collaboration in the life sciences and reposition the University as a leader in health and life sciences research and education. “We are in the midst of one of the most significant advancements in knowledge that will revolutionize learning,” he said. Last year, the Board of Regents approved a proposal calling for the University to pursue promising new opportunities in biotechnology, genetics, neurosciences, and biology. “We in the Dental Profession Need to Re-tool…” Dr. Harold Slavkin The dental profession is changing. To succeed in the 21 st century, dentists and other oral health care professionals must be flexible and adaptable, not only to advances in science and medicine, but also to advances in technology, changes in demographics, and an increasingly educated population. In keynote remarks at Hill Auditorium, Dr. Harold Slavkin, director of the National Institute of Dental and Craniofacial Research (NIDCR), said he eagerly accepted the invitation to speak “because this state holds a special place in the heart and mind of NIDCR.” Commenting about the first clinical trials of fluoridated drinking water in Grand Rapids more than 50 years ago, he said, “fluoridated drinking water was one of the greatest public health interventions of the past century.” However, that was only the beginning. “During the past half century,” Dr. Slavkin said, “many scientific seeds were planted, nurtured, and cultivated at schools around the country, including here at the University of Michigan School of Dentistry. They blossomed and are now being harvested in what will become the century of biotechnology.” Collaboration Crucial Per Kjeldsen With growing realization that oral health affects systemic health, Dr. Slavkin urged health care professionals to expand their knowledge base, share information, and work together. “We in the dental Lee Bollinger, president, University of Michigan 6 6 Drs. Martha Somerman and Harold Slavkin DentalUM Spring & Summer 2000 in Clinical Dentistry profession need to re-tool to be a successful profession in the new century,” he said. “Dentistry needs more medical knowledge and medicine needs more dental knowledge,” he said. Universities, particularly research universities such as U-M, are uniquely positioned to do that. “But we need partnerships and we need to nurture and sustain those partnerships until the fruits of that research blossoms,” he added. Technology’s Role Technology is playing a major role in redefining the profession. Noting the growth of the Internet and the increasing speed at which information is delivered, Dr. Slavkin said, “Textbooks are becoming arcane. We need rapid access to advances in knowledge…in fact, there are some Web sites where scientific knowledge is regularly updated, every 12 hours, seven days a week.” Nonetheless, Dr. Slavkin said not everyone has participated in many of the advances in science and oral health care. “Despite what some may say about declines in dental caries for some of the population, there are pockets of incredible disparity in this country. As good as oral health is, it must be better and include all people,” he said. Dr. Slavkin challenged oral health care professionals “to raise the bar. Good health is not an absence of disease,” he said. “It’s also about the quality of life and being fully engaged.” Changing Dental Practices Dr. Stephen Eklund Baby boomers have been and will continue to be major consumers of dental care. However, instead of being treated for caries as they were as children, baby boomers in the years ahead will be treated for other problems, such as receding gums, or having old fillings replaced. Dr. Stephen Eklund, adjunct professor at the School of Dentistry and associate professor at the School of Public Health, based his conclusions on an examination of insurance and survey data from the past half-century. Major Trends “Years ago, total tooth loss was the norm,” he said. For example, slightly more than one-third of adults who were born in 1910 lost all their teeth by the time they reached 60 years of age. “However, for those born in 1930, that was down to one in five. For those born more recently, the numbers will be even lower. Clearly, there has been substantial Total Tooth Loss in 60-Year-Olds Percent 1910 1930 Year of Birth DentalUM Spring & Summer 2000 7 Scientific Frontiers improvement in one’s ability to retain teeth,” he said. Dr. Eklund said because adults currently in their thirties and forties now have more intact teeth, the nature of their treatments is changing. “As young adults bring fewer decayed and filled teeth into adulthood, they require fewer replacement restorations, extractions, and endodontic procedures,” he said. “In addition, fewer missing teeth also means there will be less need for complex prosthetic services.” The Future However, Dr. Eklund said the need for dentists is not diminishing. “Despite what some may believe, there will still be disease and a need for high quality dental care. So there will continue to be a need for dentists well into the future,” he said. For example, dental caries in early childhood will still remain a problem for some children, especially those in communities where water is not fluoridated or whose parents lack financial resources to have their children treated for oral health disease. “There is a possibility of a 20 to 40 percent reduction in the per capita cost of oral health care between 1980 and 2010 for younger patients,” he said. “By the time today’s children are 30 years of age, they will have even fewer teeth to restore.” Since some dentists believe there is a link between periodontal disease and systemic health, Generation X’ers and other post baby boomers may also have fewer gum problems. Consequently, Dr. Eklund said, it’s possible dentists may be able to help more patients in the future than in the past. Or specialists may handle some of the care that general dentists now provide. Whatever changes occur, Dr. Eklund said, they are likely to spark discussion throughout the oral health care profession about how dentists should be trained, what services dentists should provide, and how often patients should be seen. 8 Bone Regeneration Through Tissue (Re)engineering Dr. Martha Somerman Research at the U-M School of Dentistr y is seeking new ways to regenerate tissues lost to periodontal disease. Current technologies are based on the principle of guided tissue regeneration, where various materials, such as bone/ bone-like agents and membranes are being used to rebuild oral tissues lost as a consequence of the disease. Dr. Martha Somerman, the William K. and Mary Anne Najjar professor of dentistry and chair of the Department of Periodontics, Prevention, and Geriatrics, said success with these new materials is often unpredictable and expensive. “The current procedures are often expensive,” she said, “and it bothers me that I can’t guarantee patients that they will be successful.” To develop a more predictable system, Dr. Somerman and members of her team have isolated cells that naturally function to repair damaged tissues surrounding and supporting the teeth. Having isolated these cells, they are now characterizing the properties of these cells under various conditions comparable to those in vivo. Such an approach is critical for determining the regulators of cell function, Dr. Somerman said. Data obtained from these studies will be used to design regenerative therapies based on sound biological principles. Once the regulators have been identified, a next step will be to equip the cells with these regulators and then implant the engineered cells into diseased tissue. A rat model is being used to test this hypothesis. DentalUM Spring & Summer 2000 in Clinical Dentistry Links Between Oral Health and Systemic Disease Dr. Steven Offenbacher In recent years a growing body of evidence has found links between good oral health, or the lack thereof, and overall health problems facing certain segments of the population. According to Dr. Steven Offenbacher, professor and director of the Center for Oral and Systemic Diseases at the University of North Carolina School of Dentistry, those health problems include the low birth weight of premature infants, cardiovascular disease, and diabetes. He offered hope that early treatment of periodontitis could mitigate those systemic problems. “Periodontal disease as a potential risk factor in pregnant women has been under appreciated,” Dr. Offenbacher said. He noted the effect of periodontal disease in pregnant women parallels the impact of rubella on an unborn child. “If we treat periodontal disease early in a woman’s pregnancy, we can lower the incidence of premature low birth weight babies.” Impact on Cardiovascular Disease and Diabetes Dr. Offenbacher also spoke “as a clinician who sees patients every Friday morning.” From this combined perspective, “periodontal disease has as much of an impact on health as heart disease and smoking,” he said. The observation of a link between oral health and cardiovascular disease, including stroke, heart attacks, and atherosclerosis “will change our profession in the decades DentalUM Spring & Summer 2000 ahead.” Similarly, periodontal disease can contribute to diabetes. Dr. Offenbacher said oral health professionals in the future will increasingly need to partner with physicians to understand the implications of the links between poor oral health and systemic disease. A new wave of diagnostic tests “will help and enable oral health care professionals to define patients that are most at risk,” he said. “Good Science, Not Opinions, Must Prevail” Dr. Harald Heymann Advances in science and technology have resulted in an explosion of information available to dentists on an array of matters, including materials and techniques for conservative restorative dentistry. How do dentists and oral health practitioners sort through this information? Is there a way to resolve conflicting claims and recommendations? There is, according to Dr. Harald Heymann, professor and chair of the Department of Operative Dentistry at the University of North Carolina School of Dentistry in Chapel Hill. “ There has been an alarming trend for us to rely on anecdote, opinion, and hype,” he said. “Instead, we need to rely on evidence-based science and research information that is presented in peer- reviewed journals.” Dr. Heymann said, “good science, not opinions, must prevail, if practitioners and the ultimate consumer, our patients, are to benefit.” 9 Scientific Frontiers Change to Help Your Patients Dr. Stanley Malamed According to a prominent anesthesiologist, dentists need to make some changes in the way they practice. Dr. Stanley Malamed, professor of anesthesia and medicine at the University of Southern California in Los Angeles, suggested four areas. The first, he said, is recording a patient’s vital signs. The second, is closely listening to patients. The third, is learning to administer life support. The fourth, is reading product labels. “Asking patients ‘How do you feel?’ is not enough,” Dr. Malamed said. He cited one study that showed 95 percent of dental patients responded affirmatively when asked if they were in good health. But upon closer examination, 32 percent were medically compromised. Blood pressure is one way to gauge a patient’s health. Taking a patient’s pulse is another. “Both rate and regularity of the heartbeat are important,” he said. These measures and a complete medical history provide the dentist with baseline information that can be invaluable later. Learn CPR 10 Per Kjeldsen “Listen closely to your patients. More than three- quarters of medical emergencies in the dental office are related to stress and anxiety,” he said. “If a patient feels stress, anxiety, or pain never deny their pain.” One way to help patients deal with pain is using a local anes- thetic. However, dentists should be prepared to handle complications that may arise. Dentists and members of their staff must know how to administer basic life support. “Having a card that says you passed a CPR course is not enough,” Dr. Malamed said. “You must be prepared to administer CPR when a life-threatening situation arises.” Although many states mandate basic life support (BLS) certification for dental licensure, fewer than 50 percent of dentists are BLS-certified in states where it is not mandated. Knowing basic life support includes learning to use a defibrillator. Dr. Malamed urged dentists to purchase one for their office and learn to use it. “CPR alone is not enough,” he said. Being able to effectively use a defribillator can restore the heart’s rhythm and increase a patient’s chances for survival, especially during the critical first three minutes. Finally, dentists need to know more about the drugs they use. “Read the package insert! Know the pharmacology, contraindications, and the side effects,” he said. “And do not use any drug unless you can manage any adverse reactions that may develop.” Understanding Pain to Help Patients Dr. Christian Stohler A better understanding of pain and what it is, and an increasingly educated population that can access information using new technology, are major factors that are changing the definition of pain and how it should be managed. Dr. Christian Stohler, chair of the School of Dentistry’s Department of Biologic and Materials Sciences, said that in the past, dentists frequently treated all pain as one condition. “But now we know there are two kinds of pain, acute and chronic,” he said. Acute pain is a temporary condition that occurs, for example, when one is pinched or burned. Chronic pain, like the persistent facial pain that affects some patients for years, is different. Trying to determine the cause of chronic pain is more difficult and a growing challenge, he said. DentalUM Spring & Summer 2000 in Clinical Dentistry The best approach to treating persistent craniofacial pain, Dr. Stohler said, is “low-tech.” Extreme measures, such as temporomandibular implants, have not been shown to help patients significantly and may leave them in worse shape than before, he said. “For the chronic pain patient, safety is first,” he said. “But in an acute pain patient, the benefit is of utmost concern.” Dr. Stohler said the World Wide Web is giving patients an opportunity to compare notes and treatments. “Patients with pain now communicate in ways that are drastically different than they were just a few years ago,” he said. Because of the information that is now available on the Web, “patients have access to information you may not have been aware of.” Dr. Stohler urged dentists “to partner with your patients. The journey will be easier if you work together.” Per Kjeldsen Response to Pain Dr. Christian Stohler New Materials and Treatments to Change Dentistry Per Kjeldsen Dr. Frederick Eichmiller With the development of new dental materials and treatment methods, dentists in the years ahead will find themselves using a new approach to treat patients for oral diseases. According to Dr. Frederick Eichmiller, instead of replacing damaged oral tissues, dentists are instead more likely to find themselves doing more repairs to existing tissues. The traditional “wait and see” approach will be transformed into one where the new watchwords will be “treat and repair.” Dr. Eichmiller, director of the Paffenbarger Research Center, said there would continue to be an evolution of improved restorative materials of all types – composite resins, adhesives, glass ionomers, ceramics, and metals. He also foresees the development of controlled release devices, treatments, and materials that will prevent caries and promote early repair. “Dinosaurs may be extinct, but caries are not,” he said. In evaluating new technologies, Dr. Eichmiller said, dentists will need to focus not just on their efficacy, but also on other areas including patient comfort, health, safety, and cost. Dr. Frederick Eichmiller DentalUM Spring & Summer 2000 11 Community Outreach Five New Partnerships Will Provide Care for Thousands Across State T he University of Michigan School of Dentistry is expanding its community outreach programs that provide oral health care services to thousands across Michigan. With help from the public and private sectors, the School of Dentistry will partner with five community-based organizations to provide oral health care services primarily to the underserved – those who lack the means and/ or access to receive quality oral health care. The five are: • Family Health Center of Battle Creek • Cherry Street Health Services, Grand Rapids • Hackley Community Care Center, Muskegon Heights • Marquette County Health Department, Marquette • Health Delivery, Inc., Saginaw Helping to make the partnerships a reality were the Michigan Department of Community Health, the Delta Dental Fund, the Michigan Dental Association and its member district dental societies, and the Michigan Primary Care Association. (See p. 13 for more details.) Dr. Jed Jacobson “Historic Development” “This is a historic development for the University of Michigan School of Dentistry,” said Dean William Kotowicz. “These new partnerships are a major step forward in our efforts to expand the community-based education we now offer students in our dental and dental hygiene programs and to our postgraduate residents. And it offers significant, tangible benefits to thousands of underserved patients.” Dr. Jed Jacobson, assistant dean for community and outreach programs, said, “These new community-based programs are a logical extension of what dental, dental hygiene, and graduate students learn in our clinics at the School of Dentistry. The classroom and clinic instruction they receive from our campus-based faculty will be complemented with first-hand experience in these communities.” Per Kjeldsen Community Benefits 12 Dr. Jacobson said, “This is a win-win opportunity for everyone. Our new partners win because with our help they can now treat more underserved patients and deliver more services in their clinics. Patients win because the partners will help them achieve maximum oral health care. Our students win because they will experience, first-hand, the interrelationship and complexity of oral health care issues in a patient-centered primary health care facility. DentalUM Spring & Summer 2000 Programs Take Major Step Forward And the community wins with healthy citizens not missing work or school or visiting a hospital emergency room due to an untreated dental problem.” While treating patients in the School’s clinics is a significant element in gaining proficiency, Dr. Jacobson said, “what students learn in these communities will give them first-hand experience and knowledge on how socioeconomic issues affect total health in general and oral health in particular.” Examples include interrelationships between oral health, systemic health, living conditions, education, annual income, age, and cultural factors. “By living and working in these communities, we anticipate students will gain a better understanding and appreciation of problems in communities outside Ann Arbor and how those problems can be solved with the resources available,” Dr. Jacobson said. “When you live and work in a community, you tend to take ownership of problems, become more involved, and look for solutions both in a professional setting and in your interactions with others in the community. Ultimately, some students may enjoy their experiences so much that they decide to take up residence in one of these communities after they graduate,” he said. How It Will Work The program in the five communities will resemble the successful pilot outreach program in Battle Creek. Approximately 100 fourth-year dental students will participate. Two fourth-year dental students will travel and remain at each site for a total of three weeks. During the year, about 24 pairs of dental students will deliver care at each site. One dental hygiene student will visit two of the sites periodically. A postgraduate student, who will be at each site for a total of four months, will provide more extensive oral health services to those in need. Students will receive academic credit for their community work. Dean Kotowicz added, “I am grateful for the support we have received from each new partner, the help from organizations in the public and private sectors, and our School of Dentistry task force that helped make this a reality.” Instrumental in forging the agreement were members of the School’s Community- Based Education Task Force of Drs. Robert Feigal, Dennis Turner, Fred Burgett, Amid Ismail, and Jed Jacobson. “Since Dr. Jacobson became assistant dean for community and outreach programs in 1997, he has worked tirelessly to expand the scope of our collaboration with agencies across the State of Michigan,” Dean Kotowicz said. “Over the years, he planted the seeds during his initial contacts and follow-up meetings with officials from these organizations. Now we’re seeing the fruits of those efforts.” DentalUM Spring & Summer 2000 Public & Private Sector Collaboration Several public and private sector organizations collaborated with the School of Dentistry to make the five new partnerships a reality. They are: • The Michigan Department of Community Health will provide funds both for direct oral health services and related costs for the community-based educational partnerships. • The Delta Dental Fund, the dental philanthropic arm of Delta Dental Plan of Michigan, will provide funds for the next two years to help expand the program to outreach sites that include children, geriatric nursing homes, and adult Medicaid recipients. • The Michigan Dental Association, through its member district dental societies, supports the partnership as member dentists volunteer to supervise dental students at selected sites. • The Michigan Primary Care Association will help through its SEARCH program to secure student housing. • The Michigan Campus Compact, the Josiah Macy Jr. Foundation, and the W.K. Kellogg Foundation’s Civic Engagement Program provided funds for the development of this model. 13 Commitments Grow from Forum T he decision of the five community organizations to partner with the U-M School of Dentistry followed a forum late last year at the Michigan League. Organized and directed by Dr. Jed Jacobson, the forum was the first community-based dental education program of its kind in Michigan. More than two dozen oral health care professionals, including current and prospective community outreach partners, attended as did School of Dentistry faculty and administrators. Helping More Underserved Addressing the group, Dean William Kotowicz said, “Community-based education has a future in dental education. We want to use our resources, along with those available to you, to treat more of the state’s underserved patients.” However, doing that, he said, “would require a long-term commitment on your part and ours.” Dr. Jacobson emphasized the benefits. “Although dental schools do an admirable job of instructing students on treating patients, they can not replicate a private practice or a community practice,” he said. “We’re looking for an opportunity to build those experiences into our curriculum and, in turn, help you to help your patients.” Forum participants talked in detail about their programs and communities. “We see a partnership with the U-M School of Dentistry as a prime way to meet the needs of those in our community.” Dr. Robert Russell, dental director, Hackley Community Care Center, Muskegon Heights Per Kjeldsen Community Commitment Essential 14 “It takes an entire community to wrap their arms around the concept of community dentistry,” said Dr. A.J. Jones, president of the Family Health Center of Battle Creek. “The cooperation we’ve received from the City of Battle Creek, Calhoun County, the hospital, and others has been magnificent.” Dr. Robert Russell, dental director of the Hackley Community Care Center in Muskegon Heights, said, “we see a partnership with the U-M School of Dentistry as a prime way to meet the needs of those in our community.” Dr. Russell said more than 80 percent of Medicaid patients in the Muskegon Heights area lack access to dental care. “We have the facilities to do more, but we need someone to do the work because we don’t have enough help.” He said the U-M School of Dentistry could play a role. Linda Yaroch, planning director for the Northwest Michigan Community Health Agency, discussed the summer migrant dental program. Dr. Robert Dennison cited the need for oral health services in the Saginaw/ Bay City area. “It’s not only the adults who need it, but the kids as well,” he said. DentalUM Spring & Summer 2000 Community Outreach Per Kjeldsen Educating the Medical Community Dr. Trish Eggers “Many in medicine don’t under- stand dentistry, but yet they’re health care providers. So it’s up to us to educate them.” Dr. Trish Eggers Access is also an urgent need in the Baldwin area said Dr. Hayley Harvey, dental director of the Baldwin Family Health Center. She said patients now wait about three months to receive care. “We tell them, up front, that because we have a long waiting list, we will dismiss them if they miss three appointments,” she said. That doesn’t happen often. She cited one patient who hitchhiked to the facility to keep his appointment after his car broke down. Clinical dental director of the Cherry Street Clinic in Grand Rapids, Dr. Trish Eggers, emphasized the interrelationship between oral health and systemic health. “I’m not just a dentist, I’m a health care professional,” she said. “Many in medicine don’t understand dentistry, but yet they’re health care providers. So it’s up to us to educate them,” she said. “The only way to do that is to work with them.” Dr. Fred Burgett, professor of dentistry, said, “We wouldn’t have considered doing this if we didn’t think you could do a good job when our students are with you. They will get far more out of this than anyone can imagine.” “If students are enthused, they may want to stay for a year or two to help repay their student loans.” Linda Yaroch, planning director, Northwest Michigan Community Health Agency DentalUM Spring & Summer 2000 15 Migrant Dental Clinic – Traverse City Program Well Received by Kids and Dental Students “Can I go see the dentist? Can I, please?” When was the last time you heard a child asking that question? Youngsters repeatedly posed that question to teachers during summer school in communities in northern lower Michigan where the School of Dentistry ran dental clinics for migrant workers and their families. The migrant workers who came to northern Michigan brought their children from Texas, Florida, and Mexico. While parents were in the field, the children were in elementary schools in Suttons Bay, Kaleva, and Elk Rapids learning English, math, and other subjects. They also received dental care. In the three communities, a classroom was converted into a temporary dental clinic equipped with portable dental chairs, overhead lights, and other equipment. Children were treated during the day. Their parents were treated at the Northwest Michigan Health Services facility in Traverse City after working in the fields. The dental students, who were housed in a dormitory at Northwestern Michigan College in Traverse City, worked in groups of eight for two-week periods. The Michigan Primary Care Association helped defray the costs of transportation, room, and board. Children Love the Dentist As he walked into the Suttons Bay Middle School classroom of Sally Abney, Dr. Robert Bagramian, professor of dentistry and director of the migrant clinic program, asked the children, “How many of you like to go to the dentist?” About two dozen students immediately raised their hands. Abney said, “The response was not a surprise. Visiting the student dentists has been a positive experience for them.” Candi Sheffer, another teacher at the school, agreed. “The kids love the dentists. They’re excited to see them and disappointed when they can’t.” The feeling was the same in Kaleva. First grade teacher Pam Tompke, said, “I can’t keep them out of the dental room. It’s not unusual to hear them say ‘I love the dentist,’ or to see them walking around with a latex glove telling their classmates, ‘I’m a dentist.’ ” Nabil Fehmi and a patient. Jerry Mastey Mr. Whistle and Other Nicknames 16 16 Hadley Thurmon, a D4, said there was a method to treating the children. “Since this is probably their first trip to the dentist, we usually do simple things first, like cleaning their teeth. That way, they get to know us and some of the instruments we use.” Many children wrote about their experiences in journals, often giving each dental tool a nickname. The high-speed drill was dubbed “Mr. Whistle” because of its sound; the tooth polisher, “Mr. Bumpy.” Fillings were called “silver stars.” Injections were DentalUM Spring & Summer 2000 Community Outreach The Ability to Connect known as “mosquito bites.” After their treatments, the children received a toothbrush and a demonstration of how to use it. Communication didn’t seem to be a problem. Many parents who brought their children to the clinics were bilingual. So were some of the student dentists. Tammy Finder, a D4, grew up in Bogota, Columbia, and moved to Miami with her family about 13 years ago. “It was pretty easy for me to communicate with the kids and their Spanish-speaking parents,” she said. DeAvlin (“Dee”) Olguin, a D4, said, “You don’t realize how much you talk to patients until you try communicating with them in another language.” Although he studied Spanish for four years in high school and one year in college, Olguin said, “I have learned there is a need to learn a second language.” DentalUM Spring & Summer 2000 Why are School of Dentistry student dentists so popular with children? Teachers say it’s the ability of the dental students to connect with the kids both in the clinic and outside the school. At lunch, before school, or after school, dental students and the children often played soccer, baseball, or basketball. But it’s more than sports, said Wakeshi Scott, a D4. “The kids look up to you as a role model. So we try to provide not only good care, but do other things for them.” Scott said she often braided the hair of some of the girls she treated in the clinics. Dr. Bagramian noted the empathy. “The students are appreciated by the kids. You see it in their interaction. For most of these students, if not all of them, this is the experience of a lifetime. So they’re determined to make the most of it,” he said. DENTAL HYGIENE’S VITAL ROLE The School’s dental hygiene program conducted an oral health survey of migrant families last summer to document the status of their oral health. The results? Lower levels of caries and improved health in the population compared to previous years. The survey also found a reduced need for all types of restorative care and extractions, and increases in preventive procedures, such as sealants. The results are significant because they point to a positive impact of the outreach program. Since many of the same children have been treated for several years, the reduction in dental disease can be attributed to the program’s strong emphasis on prevention. A Parent’s Perspective David Rendon brought all six members of his family to the migrant dental clinic in Kaleva – his wife, two sons, and three daughters. “They all needed care and this seemed like the place to bring them,” he said. Rendon said one of his daughters, seven-year-old Consuelo, cried the first time she visited the clinic. “But now, when I ask her if she wants to go to the dentist, she replies ‘Yes’ right away.” Rendon praised the student dentists. “I’m sure they will keep up their good work and do well after they graduate,” he said. 17 Migrant Dental Clinic Partnership “A Tremendously Positive Experience” D irected by Dr. Robert Bagramian, the migrant dental program in northern lower Michigan, lasts six weeks. This summer’s program, now in its 27 th year, begins June 19 and ends July 28. Reflecting on the program’s early years, Dr. Bagramian said, “Under the direction of Dr. Marilyn Woolfolk, we provided oral health care services from two vans in the early ’70s. Since then, the program evolved and because of help from our partners we have been able to broaden our outreach.” Long-Term Partnerships The School of Dentistry and Northwest Michigan Health Services (NMHS) have been partners in the program for 22 years. NMHS executive director Dale Reimer said his agency offers a range of medical and dental services to migrant workers and members of their family. Services provided by students from the School of Dentistry include comprehensive oral health care – extractions, restorations, emer- gency treatment, and prevention. “We also want those who come to the clinics to learn good oral health care habits so they don’t need to return for emergency services,” Reimer said. He said about 15,000 migrant workers come to northwest Michigan each summer. Of that number, about 4,000 receive medical and dental care. The program also receives financial support from the Michigan Primary Care Association (MPCA). For five years, MPCA has provided limited funds to help pay for housing, transportation, and food for dental students. Beginning Anew Each Year Dr. Bagramian said most migrant patients have received little, if any, dental care. “So our primary objective is to provide preventive services the children and parents need and instruct them on simple things they can do, like brushing and flossing, to improve their oral health to minimize future potential problems,” he said. 18 “We have to do our best all the time because, in most instances, we may never see these children or their parents again,” Dr. Bagramian said. Since about one-third of the workers return the following year for follow-up treatment, “we’re basically beginning anew each year.” Local Decision Making One or two graduate students address any concerns. Until about eight years ago, that was the responsibility of a faculty member. Drs. Diwakar Kinra and Nabil Fehmi supervised last summer’s program. “We want students to realize that this setting, in many ways, reflects what they would likely encounter in the ‘real world’ when they have to make independent decisions. The migrant program boosts their confidence,” Dr. Bagramian said. Mutually Beneficial Reimer said his organization’s partnership with the School of Dentistry “has been a tremendously positive experience. Without the help and long-term cooperation we’ve received from the School of Dentistry, we could not provide the range of services that we have.” Bagramian concurs. “We are extremely fortunate to have Northwest Michigan Health Services as our partner and Dale Reimer’s leadership.” DentalUM Spring & Summer 2000 Community Outreach “A Valuable Education” Dr. Diwakar Kinra Dental students who have participated in the migrant dental clinic program say it was perhaps their most memorable and rewarding experience. Dr. Diwakar Kinra, one of two clinical instructors for last summer’s program, agreed. “I learned more in the field in two months than in one semester,” Dr. Kinra said. “More importantly, the education I received at the School of Dentistry, of which the summer migrant clinic was a part, prepared me better than I ever thought possible,” he said. Dr. Kinra’s first experience as a dental student in the Traverse City area was in 1997. Two years later, he gained new perspective as instructor, clinician, and administrator. “Going from student to instructor was one of my biggest challenges,” he said. “Over time, my patience improved and I learned that, as an instructor, I could improve my clinical skills using both explanation and guidance.” Memorable Experiences The end of the program was memorable. “As we prepared to leave, the children came up and hugged each of us, put up banners, and gave us cards. It was emotional for many of us,” Dr. Kinra said. “I still have more than 100 cards the children gave me. That’s why I participated in the program, to help the kids.” Dr. Kinra said his dental school education prepared him to handle pediatric cases at his practice in Birch Run, Michigan, just north of Flint. “I feel confident with all types of dentistry,” he said, “and my experiences in Traverse City certainly gave my clinical practice a kick start.” DentalUM Spring & Summer 2000 “This Program Attracted Me to the U-M School of Dentistry” Ken Zouhary What attracts prospective dental students to the U-M School of Dentistry? In Ken Zouhary’s case, the summer migrant dental program played a pivotal role. “I wanted to be a part of it as soon as possible,” said the D2 from Perrysburg, Ohio. He was. Although students are selected for the clinic following their third year of dental school, Zouhary was selected after his first year to volunteer as a dental assistant. Previous experience helped. “My interest began as a high school junior when I traveled with my father on a medical mission to Mexico,” Zouhary said. “I also helped at clinics in other countries providing free dental and medical care to the underserved.” During those trips he learned Spanish which was helpful in the Traverse City area. That was one way to communicate. There was another. “I also made animal balloons to communicate with the children,” Zouhary said. “It helped build trust and was a great way to entertain the children as they waited. The balloons helped the kids to relax and were both a distraction and a reward for a successful visit.” Future Plans After graduation Zouhary said he plans to help underser ved Spanish speaking populations in Central and South America. “I want to help design and implement preventive programs that relieve some of the pain and treat oral diseases. Traverse City will give me a model to work from in developing those programs.” 19 The Family Health Center of Battle Creek The Shape of Things to Come That proximity, in turn, enables student rotations to be scheduled for an entire academic year (beginning in September and ending the first week of April). With supervision from FHC dentists and local volunteer dentists, School of Dentistry students, all D4s, help provide a range of oral health services. Students also learn what it’s like to run a community practice. Jerry Mastey “For Those with No Choices” Staff and School of Dentistry students at the Family Health Center of Battle Creek he School of Dentistry’s outreach program in Battle Creek is shaping up as a prototype of what community- based dental education programs will look like in the future. Launched in February 1997, Battle Creek is a model of cooperation among many agencies – the Family Health Center, the City of Battle Creek, the Nursing Clinic of Battle Creek, Battle Creek public schools, Calhoun County Communities and Schools, the Calhoun County Health Improvement Program, the Battle Creek Health System, the Southwest District Dental Society, and the Delta Dental Fund. A Major Change “We created this program applying what we have learned from our summer migrant dental program in Traverse City and other outreach programs,” said Dr. Jed Jacobson, assistant dean for community and outreach programs. “But what makes this program click,” he said, “is our relationship with the Family Health Center (FHC) of Battle Creek and their network of relationships with these community organizations.” Battle Creek offers several major advantages. The first is location. Only 90 miles from Ann Arbor, compared to 230 for Traverse City, less time is spent traveling. 20 A federally qualified non-profit primary health care center, the FHC is one of 27 such facilities in Michigan and the only one in Calhoun County. While federal mandates state 51 percent of FHC’s board members be patients, nearly all are. Board members also reflect the area’s diverse population. “We provide both medical and dental care for those who have no choices,” said Dr. A. J. Jones, FHC president and chief executive officer. About 70 percent of the patients are children or young adults whose ages range from 1 to 19. Thirty percent are adults. Most patients receive Medicaid. According to Dr. Jones, about 14,000 Medicaid recipients in Calhoun County have limited access to dental care, “so the School of Dentistry is helping us fill a crucial need in the community.” For many patients, including children, “this is their first visit to a dentist and they’re not aware of some basic things they can do to promote proper oral health care. So we treat and educate,” he said. Last year, more than 7,500 patients, including more than 800 new patients, received dental care at the FHC. How it Works Since nearly three-quarters of the patients who visit the FHC’s dental clinic are children, students prepare with a one- month rotation in the pediatric clinic at the School of Dentistry. Kari Gould, R.D.H., M.P.H., in DentalUM Spring & Summer 2000 Community Outreach the Department of Periodontics, Prevention, and Geriatrics, discusses logistics and ways to deliver services efficiently. After student rotations, she meets with them to discuss opportunities for improvement. Students work Monday through Friday with the Center’s dentists, hygienists, and staff providing services from seven operatories in the new two-story structure. Equipment compatibility makes it easy to promptly treat patients when students begin their rotation. “Students hit the ground running because our equipment is identical to what they use at the School of Dentistry,” Dr. Jones said. “That’s important because there are only so many patients we can see each day.” The students live in two fully-furnished homes within walking distance of the Center. The homes are provided by the city of Battle Creek. The nearby Battle Creek Health System provides food vouchers for breakfast, lunch, and dinner. A leased automobile from the University’s fleet of vehicles provides transportation. Midweek offers a break in the routine. Wednesday night is pizza night. “The students, dental staff, and I get together for pizza and we share our experiences,” Dr. Jones said. “I also ask for their suggestions on ways to improve the program. One of the most heard is to increase the length of the program to two or three weeks.” “This is a great program,” Dr. Jones said. “Because of the efforts of Jed Jacobson and Dean Kotowicz, as well as the outstanding support we’ve received from various agencies and organizations in Battle Creek and Calhoun County, I think our collaboration will serve as a model for what can be done across the State of Michigan.” A Golden Welcome When was the last time you visited a dentist and were greeted in the lobby by a golden retriever? It happens every day at the Family Health Center. The golden retriever, named “C.J.,” is one way Dr. Jones and his staff make patients feel welcome. ‘C.J.’ stands for ‘Comfort and Joy.’ “He provides comfort and joy to children who may be stressed or anxious,” Dr. Jones said. “When that happens, we call for C.J. He is the most frequently paged member of our staff.” The one-year-old canine also helps adults. He frequently sits alongside staff members at work in administrative offices. Students Enthused Jerry Mastey Students are overwhelmingly enthusiastic. “I love it,” said DeAvlin Olguin. “This is like being in a real practice. You get up in the morning and go to the office in a nice community. And the two-block commute isn’t too bad either,” he said. “Battle Creek was a great opportunity for me to see how a dental office is run as well as serve patients of all ages,” said Jessica Davis. Other students agree. “I enjoyed the friendly learning environment, being able to perform different procedures in a short time, meeting some wonderful children, and learning from very good clinicians,” said Sandra Menezes- Shrimankar. Dr. A.J. Jones with one of the Center’s young patients and C.J. DentalUM Spring & Summer 2000 21 Mott Children’s Health Center – Flint Kid Friendly hose words best describe the dentists, hygienists, staff, and facilities at Mott Children’s Health Center in Flint. Children feel welcome the moment they arrive. In a waiting area on the fourth floor, they can sit at tables less than two feet high and draw, read, or write before their appointment. They can observe fish swimming in an aquarium, watch cartoons on overhead television sets, or see how they look standing in front of a curved mirror. county. Dr. Leslie Lawrence, a 1996 graduate of the program, directs the program. “We’re always looking for new ways to extend our outreach. Our partnership with the University of Michigan School of Dentistry and the School of Public Health allows us to grow and expand the oral health care services we offer,” he said. Five pediatric dentists, four pediatric dentistr y graduate students, five hygienists, and 16 assistants provide oral health care from 24 operatories. More than 24,000 patient visits were recorded last year. Long-Term Presence “Our relationship with the City of Flint and Genesee County has been mutually beneficial for more than 60 years,” said Dr. Daniel Briskie, director of Mott Children’s Health Center (MCHC) department of pediatric dentistry since 1993. The Center provides a full range of health services, including oral health care, to children (from birth to age 18) whose families fall within 200 percent of the federal government’s poverty guideline (annual income of less than $34,000 for a family of four). According to Dr. Briskie, Genesee County has the second highest Medicaid caseload in the state, about 38,000. About 10,000 are children who do not receive proper oral health care. “We stress how important proper oral health care is and connect children who have unmet dental needs with providers, including the School of Dentistry,” he said. “To raise awareness, we reach out to schools, child advocacy groups, and other organizations,” Dr. Briskie continued. “And since we are one of the few facilities in the country fully funded by our own foundation, originating from the Charles Stewart Mott Foundation, we can provide children with ideal treatment and not worry about cost.” Extensive Outreach Through its school-based screening and prevention program, Dr. Briskie said the MCHC reaches about 7,000 children in 375 classrooms in 10 school districts in the 22 Pediatric Dentistry Program Four graduate students from the School of Dentistry’s department of pediatric dentistry participate. The graduate program is a unique partnership between U-M, the MCHC, and the Hurley Medical Center. Beginning each July, second-year graduate students are permanently assigned to MCHC as part of the 30-month pediatric dentistry program. About 50 annually apply for the four positions. “We look at their grades and we’re also interested in the applicant’s personality,” Dr. Briskie said. “That includes how he or she relates to their peers, how they relate to kids, and even their ability to have fun because sometimes they will have to find ways to take a child’s mind away from what’s going on, even if it means being silly.” Dr. Daniel Bolt, a second-year graduate student who earned his D.D.S. from the U-M School of Dentistry in 1998, said, “This is a great experience. The kids are great to work with and the staff and facilities are first-rate.” High on Trust Perhaps the most telling statistic that demonstrates the Center’s effectiveness and stature was in a community survey conducted in 1998. The results showed the Center ranked second in terms of public trust – just behind the fire department. DentalUM Spring & Summer 2000 Community Outreach Community Dental Center – Ann Arbor Renovations Showcased at Open House “What Can Be Achieved When We Work Together” Per Kjeldsen Ann Arbor Mayor Ingrid Sheldon Darlene Jones, dental hygienist at the Community Dental Center (right), discusses the services provided by the Center to Ann Arbor Mayor Ingrid Sheldon. here was great interest in the Community Dental Center’s recent open house. Among those attending included Ann Arbor Mayor Ingrid Sheldon, other city officials, current patients, and prospective patients. Located in downtown Ann Arbor, the Center is a cooperative venture between the U-M School of Dentistry and the City of Ann Arbor. Since 1981, the Center’s staff has provided quality, comprehensive oral health care services to Washtenaw County residents, including patients with limited financial resources. Services provided include cleaning, crown and bridge work, periodontics, and oral surgery. Last year, the Center recorded nearly 3,300 patient visits. Dr. Doris Allen, director of the Center said, “Patients who visited were impressed. The open house was an opportunity to meet our friendly, professional staff, see the improvements we made, and learn more about what we can do for them.” DentalUM Spring & Summer 2000 DentalUM Spring Summer 2000 Ann Arbor Mayor Ingrid Sheldon is impressed with the Community Dental Center. “I have known about the Center and its fine reputation over the years because of my contacts with Bob Bagramian and several members of the board,” she said. “This is an example of what can be achieved when the City and the university work together.” (The Center is a cooperative venture between the city and the School of Dentistry.) “There probably aren’t as many of these ventures as perhaps there should be,” the Mayor said. “However, the Center is one piece of evidence that shows what can be achieved when we work together. I applaud the School of Dentistry and those within our city who are working together to address some of the needs in our community and society.” 23 Community Dental Center – Ann Arbor Claude Curry’s Gift Recognized Per Kjeldsen O Dennis Turner, assistant dean for patient services (right), thanks Claude Curry for donating a new vinyl canopy. ne of many improvements at the Community Dental Center was the installation of a new vinyl canopy that shields patients from inclement weather as they enter and leave the facility. A flap at the entrance, that can be raised or lowered by pulling a cord, provides extra protection. Claude Curry of Ypsilanti, a patient at the Center since 1991, donated the covering. “We have a lot of bad weather and I thought it would help patients,” said Curry who was partially paralyzed following a 1982 auto accident. “I also wanted to show my appreciation for all that the Center has done for me since I became a patient.” Dr. Doris Allen, the Center’s director, embraced Curry’s idea and presented it to School of Dentistry administrators who approved. Curry’s son, Kenneth, a draftsman, designed the canopy which was installed about two weeks later. Accident After his vehicle was struck from behind by a hit-and-run driver, Curry said, “I was pronounced dead on arrival at a Detroit hospital. But I showed them,” he said with a laugh. Hospitalized for 16 months, Curry was paralyzed from the neck down. He now gets around with help from a friend, Denis Renaud. Born and raised in Augusta, Georgia, the 78-year-old Curry said as a youngster he passed out handbills at the legendary golf course in that city. “One day, golfing great Bobby Jones asked me if I liked to golf. When I told him I did, he gave me a new club, golf ball, and tee.” During the 1930s, Curry moved to Michigan and drove a truck delivering fruits and vegetables. He also was a cook in the Civilian Conservation Corps during the Depression. He later drove a bus for the City of Detroit for 34 years until he retired in 1976. “An Inspiration to All” “Claude’s spunk and determination are an inspiration to all of us,” Dr. Allen said. “We always enjoy seeing him and talking to him when he’s here.” During one visit to the Center, Curry saw someone he had not seen in more than 20 years – his godchild, Josie Davis. Ms. Davis said she became a patient in 1972 when her son needed braces. “My son was treated so kindly and the braces fit so well that I have been coming back ever since,” she said. 24 DentalUM Spring & Summer 2000 Community Outreach Hope Dental Clinic – Ypsilanti he Hope Dental Clinic in downtown Ypsilanti provides general dentistry services to individuals and families who do not have dental insurance or Medicaid or those who can’t afford to pay for the care they need. “As a non-denominational, Christian organization, we minister to the whole person, providing compassionate and practical help,” said Dr. Ali Nikoo, the Clinic’s staff dentist. The Hope Dental Clinic is part of a larger organization that provides medical services, free meals, and emergency food to the needy. Dental services include periodontal, restorative, and surgical procedures. School of Dentistry Involvement “Because of limited resources, we can not provide emergency services to those who are not Clinic patients,” Dr. Nikoo said. Patients who need specialized care are referred to a network of volunteer specialists who donate their services. School of Dentistry alumni helped establish the clinic in 1994. “Many graduates donated instruments and other equipment we have used,” Dr. Nikoo said. Under the supervision of dental hygiene faculty members Karen Ridley, R.D.H., and Susan Pritzel, R.D.H., dental hygiene students inform patients of routine dental treatments and oral hygiene care. Two School of Dentistry students treat patients at the Clinic each Monday and Friday. Some volunteer and help during the summer. Patient Profile The Clinic designates certain days individuals can register as new patients. Registration is on a first-come, first-served basis until all openings are filled. New patients are then given a date and time for their first appointment. Because of a long waiting list, a patient who misses three appointments is not treated for six months. About three-quarters of the clinic’s patients are adults. The others are children and young adults ranging in age DentalUM Spring & Summer 2000 from 3 to 17. “We also treat the homeless and patients recovering from drug or alcohol abuse,” Dr. Nikoo said. Most adults are treated for periodontal disease; children for tooth decay. “For every ten children we see, two or three have ‘gross decay,’ that is, two or more primary teeth in varying stages of decay,” he said. “Although we do our best to help with the resources available, sometimes we have to refer some patients elsewhere, including the School of Dentistry, or to our network of dentists who have agreed to treat these patients,” Dr. Nikoo said. Dr. Nikoo, who earned his D.D.S. from the U-M School of Dentistry in 1994, also visits several elementary schools to emphasize the importance of proper oral health care. Last year Hope Dental Clinic recorded about 2,300 patient visits. This year, the facility will be open five days a week, instead of four, to accommodate the growing demand for services. 25 Arbor Manor Care Center Bay Cliff Health Camp – Spring Arbor ast spring, Dr. Elisa Ghezzi, lecturer in geriatric dentistry in the Department of Oral Medicine, Pathology, and Oncology, launched the geriatric dentistry outreach program at the Arbor Manor Care Center in Spring Arbor. Since then, the program has served approximately 100 residents. About 40 miles west of Ann Arbor, the Center is one of several similar residences owned and operated by the Ganton family. It serves about 700 elderly in the Jackson area, has long-term care facilities including 128 beds, assisted living facilities, and apartments for seniors. Financial assistance is available to those needing it. The dental clinic has a permanent dental chair and portable equipment stored on site. Geriatric dentistry faculty, fellows, and a dental assistant see patients. Fourth- year dental and dental hygiene students will begin rotations at the site, possibly as early as this fall. Treatment for patients, most of whom receive Medicaid, include head and neck screenings, oral examinations, cleanings, and denture construction and adjustment. Patients who need restorative, endodontic, and oral surgery procedures are currently treated at the U-M Geriatrics Center in Ann Arbor by fourth-year dental students, geriatric dentistry faculty, and fellows. Administrators at Arbor Manor who established the dental clinic at the Jackson Family Health Care facility expect it will open this fall. Once opened, there will be less need to transport patients to Ann Arbor for specialized treatment and care. The new arrangement will also provide an additional rotation for dental students to treat patients in an outreach setting. 26 – Marquette t’s described as “a place where dreams come true.” Located on the southern shores of Lake Superior near Marquette, Bay Cliff Health Camp is a private, non-profit, non-denominational summer therapy center licensed by the Michigan Department of Social Services for children with physical, occupational, speech, vision, or hearing disabilities. The camp, a former dairy farm, was founded in 1934 and purchased with money from the Rackham Foundation and Couzens Fund which provided operating funds for many years. The camp serves about 200 children for seven weeks each summer. Therapists, teachers, and physicians refer children, ranging in age from preschool to their teens. The camp’s staff selects those who eventually attend. School of Dentistry’s Role The dental needs of the children are determined when camp begins. Treatments, ranging from cleaning to restorations, are offered with parental approval. Dental and dental hygiene students and faculty from the U-M School of Dentistry have provided oral health care for almost 20 years. Key support during the early years came from Dr. Henry Kanar and his wife, Dr. Nancy Gurney, who was executive director of the Michigan Academy of Dentistry for the Handicapped. Dr. Bud Kipka has been a long-time local supporter. Students attend one of three sessions which begin in late June and run through mid-August. Four dental students, a faculty or senior resident in pediatric dentistry, and a camp hygienist are involved in the rotations. Local dentists also volunteer time, help, and back-up emergency services. DentalUM Spring & Summer 2000 Community Outreach Southeast Michigan AEGD Residency Program Helps Geriatric Patients Through its Advanced Education in General Dentistry (AEGD) residency program, the School of Dentistry provides geriatric dentistry services at several sites in southeast Michigan. Established in 1993, AEGD provides one year of advanced training to recently graduated dentists who plan to practice general dentistry in communities with various dental needs. When director Dr. Dennis Fasbinder established the program that year, one dental assistant and one AEGD resident provided oral health care at single site – a nursing home in Saline. In 1997, new funding was received allowing the program to expand its outreach efforts. In addition to providing oral health care services at sites listed, AEGD residents attend lectures on dentistry, pharmacology, and other subjects designed to help them with their on-site visits. Saline – Evangelical Home AEGD residents provide services from an exam room equipped with dental instruments and materials. The dental operatory has a dental unit, chair, light, water, and compressed air. A portable x-ray unit and developer are also available. Since the equipment belongs to the Saline Evangelical Home, it assumes responsibility for storage, security, and maintenance. Hand instruments are sterilized at the Saline Community Hospital nearby. Ann Arbor – Heartland Health Care Center A dental chair and light loaned by the School of Dentistry allows AEGD residents to provide preventive care, DentalUM Spring & Summer 2000 limited restorative care, and removable prosthodontics. The center has 145 beds available to patients needing subacute care, long-term care, and care for Alzheimer’s/ dementia. Monroe – St. Mary’s Nursing Home This nursing home for retired nuns has a full-service dental operatory which includes a dental chair and light, a mobile self-contained dental unit, an x-ray machine, a steam sterilizer, and various dental instruments, equipment, and materials. A second chair and light accommodate hygiene patients. This unit supports slow- and high-speed hand pieces, an ultrasonic scaler, and high- and low-volume evacuation. This facility has 165 skilled nursing beds and 200 beds in the Home for the Aged. Monroe – Mercy Memorial Nursing Center AEGD residents provide preventative care, limited restorative care, and removable prosthodontics. The School of Dentistry furnishes, on an extended loan basis, a dental chair with a light. The facility has 70 skilled nursing beds. Patients include those covered by Medicaid and private insurance. Monroe – Beach Nursing Home Using a dental chair and light loaned by the School of Dentistry, AEGD residents provide preventive care, limited restorative care, and removable prosthodontics. This facility has 180 skilled nursing beds consisting of both Medicaid and private pay patients. 27 3,500+ Hours DH Hygiene Students Actively Serve Communities ental hygiene students from the U-M School of Dentistry have been active in outreach programs locally, statewide, and nationally for many years. During the 1998-1999 academic year, dental hygiene (DH) students collectively served more than 3,500 hours in these programs. Local and statewide programs included Hope Clinic in Ypsilanti, Mott Children’s Health Center in Flint, Family Health Center of Battle Creek, and Turner Geriatric Silver Club in Ann Arbor. Nationally, dental hygiene students worked at four Indian Health Service sites in South Dakota. Other programs are described below. Detroit Children’s Hospital Children up to three years of age requiring medical and dental treatment for special needs receive care at Detroit Children’s Hospital. Once admitted, a child receives care as long as required. Under the supervision of pediatric dentists, fourth- year DH students provide oral health services. They also observe and assist with dental procedures on patients under general anesthesia in the operating room. Follow-up visits to patients in their rooms and attending rounds with dentists provide DH students with an opportunity to advise patients and parents about appropriate oral hygiene. U-M Hospital The U-M Hospital operates a dental clinic for in-patients and out-patients with special needs. The patients are medically compromised and their medical and dental needs demand close attention. Third- and fourth-year DH students provide oral health services to patients under the supervision of Dr. Samuel Zwetchkenbaum and Kari Gould, R.D.H. Students observe dental procedures on patients under general anesthesia in the operating room, visit patients in hospital rooms, attend rounds with dentists, and advise patients and parents about appropriate oral hygiene procedures a patient can use after leaving the hospital. 28 Photo courtesy of Dr. Joan McGowan Dr. Joan McGowan, R.D.H., and “The Invisible Man,” address groups about the dangers of using spit tobacco. Karmanos Cancer Institute DH students from the School of Dentistry are a valuable resource for staff at the Barbara Ann Karmanos Cancer Institute. Students were trained in the Hazards of Tobacco program and the Breast Cancer Awareness program. Subsequently, trained volunteers presented information about breast cancer to community groups in Washtenaw County. They also informed adolescents at area schools about the hazards of tobacco use. Helping Veterans At the Veterans’ Administration Hospital in Ann Arbor, third- and fourth-year DH students provide dental treatments to medically compromised patients at the hospital’s dental clinic under the supervision of Dr. Kenneth Shay and D. Guyton-Hannah, R.D.H. Follow-up visits and the provision of support services to other departments by DH students provide a well-rounded view of dental procedures. Alzheimer’s Dental hygiene students help those who care for friends and relatives suffering from Alzheimer’s. Under the auspices of Help Source, an Alzheimer’s respite program, caregivers take patients to a local center where they are supervised for six hours. Third- and fourth-year DH students also provide oral health education for the patients and staff. DentalUM Spring & Summer 2000 Community Outreach Uninsured Children During the 1998-1999 academic year, dental hygiene (DH) students collectively served more than 3,500 hours in outreach programs. Under the supervision of Dr. Joan McGowan, R.D.H., dental hygiene students provide routine dental treatment, with an emphasis on educating the child and parents at the Washtenaw Children’s Dental Clinic. The Ann Arbor-based facility, which serves only needy children in Washtenaw County, is staffed by all volunteer dentists, dental hygienists, and a paid clinic manager. Dental Hygiene student Kristine Dallas cleans a patient’s teeth at St. Mary’s Health Center in Monroe while dental hygiene student Lesley Correll is ready to assist. Indian Health Service DH students provide oral health services to Native Americans in tribal clinics in Michigan and South Dakota. Last summer, 11 senior dental hygiene students traveled to South Dakota for a three-week internship with the Indian Health Service. They provided dental hygiene care and conducted educational programs and lived in communities to become familiar with native culture. Volunteering Jerry Mastey Third-year DH students are required to volunteer 10 hours at an agency approved by an instructor. Students provide health education, support services, and staff in-service programs at various agencies such as the American Cancer Society, Dental Health Day at the School of Dentistry, Habitat for Humanity, Multiple Sclerosis Walk, Hot Meal Program, Ronald McDonald House, and the Salvation Army Soup Kitchen. DentalUM Spring & Summer 2000 29 29 Students, Faculty “Team Up” for Athletes hey waited...some for as long as an hour before the doors opened…to get fitted for mouth guards. More than 130 athletes…from Ann Arbor, Southgate, Belleville, and elsewhere…came to the School of Dentistry to receive the custom-fitted equipment. Although most students were in middle school or high school, some as young as six and seven were also fitted. So were several adults. More than 50 student dentists, dental hygiene students, and faculty members teamed up to take impressions and manufacture the mouth guards so the athletes could play football, basketball, ice hockey, soccer, and other sports. Comfortable Fit John Rogers, a sophomore at Ann Arbor Pioneer High School who plays ice hockey, said this was his second visit to the School of Dentistry’s mouth guard clinic. “I was here three years ago and returned because the mouth guard is free and the fit is more comfortable than what you get when one you buy at the store,” he said. “I also like being able to choose from a variety of colors.” Six-year-old Emma Boyd was one of the youngest a t h l e t e s fitted. Her mother, Marilyn McDermott, said, “I saw an item in the paper about the clinic and came because it was free. I also like that these are customized for a comfortable fit.” 30 Dan Madion Annual Mouth Guard Clinic Center: Derrick Darty. Left to right: Clarence Darty, Antoine Jordan, and Christy Darty. Personal Attention Christy Darty brought three members of her family from nearby Belleville. She said her 15-year-old son, Clarence, needed a mouth guard for high school football as did 10-year-old Derrick and 16-year-old Antoine Jordan, her nephew. “The personalized attention they received was great,” Christy said. “The students and staff were very enjoyable to talk to.” Coach Cites Other Benefits One adult who was fitted was Norberto Matt, an ice hockey coach in Southgate. Three of his players were also fitted – his daughter, Gabrielle, a 13-year-old who plays goalie for a travel team; Cameron Loope, a 9-year-old goalie; and Cody Loope, a 7-year-old winger. “I’ve read about the benefits of wearing both a helmet and mouth guard. Of course, the helmet is important but the mouth guards are too because they serve as a shock absorber to minimize concussions,” Matt said. DentalUM Spring & Summer 2000 Community Outreach Students Praised Keary Campbell Polly Buckey, senior dental class president, said, “the success of the clinic was obvious even before it began as some patients arrived around eight o’clock, even though the clinic was not scheduled to begin for another hour.” She told students, “I was impressed with your participation. I appreciate your help and the help of the faculty who volunteered their Saturday to make the mouth guards.” What the Students say: Why did they participate in the annual mouth guard clinic? School of Dentistry students and dental hygiene students cited several reasons… Keary Campbell D3 Amy Kim prepares to take an impression from the mouth of ice hockey coach Norberto Matt. Kari Gould, R.D.H. and lecturer, prepares to retrieve a model. Athletes could choose the color of their mouth guard. Kathi Wilson, D4 “It was fun, offered an opportunity to meet people outside the dental school, and was an opportunity to meet some of the faculty and fellow students on a more relaxed, personal level. It’s a great service for the community. And it felt good to give something back.” Keary Campbell Courtney Francis, D3 “I wanted to give something back to the community using the skills I have acquired. I also got involved because I want to provide this as a free service for my patients when I have my own practice.” Lainie Margulis, D4 “I participated in one of these clinics previously and enjoyed it. It’s fun, you’re relaxed, and it’s a great opportunity to make friends.” Dr. Bill Godwin supervises the popular mouth guard clinic conducted each summer at the School of Dentistry. DentalUM Spring & Summer 2000 DentalUM Spring Summer 2000 31 31 Helping U-M Sports Teams Per Kkjeldsen Per Kjeldsen he School of Dentistry also makes customized mouth guards for men and women who participate in many U-M athletic programs. A seven-member team of dentists creates customized mouth guards for football players during “Media Day” in mid-August. The dental team is led by Dr. Dennis Fasbinder, clinical associate professor and director of the Advanced Education in General Dentistry program. Other members are Drs. Ron Heys, Don Heys, Richard Fisher, Josef Kolling, Daniel Balbach, and Donald Peterson. “Making impressions is just one part of our year- round commitment to U-M athletes,” Dr. Fasbinder said. “While Media Day is certainly a high-profile occasion for us, we always work closely with the athletic training staff to address any routine or urgent dental concerns an athlete may have while they are here.” This includes treating broken teeth and abscesses, providing routine dental fillings, cleanings, doing endodontic and other work. Paul Schmidt, U-M supervisor of athletic training, said, “the dentists who work with us and the athletes have repeatedly gone the extra mile, whether in football or other sports, to provide a very crucial service that may not be apparent to fans, but helps prevent injuries to players.” Dr. Dennis Fasbinder 32 DentalUM Spring & & Summer 2000 DentalUM Spring Summer 2000 Community Outreach The Future of Community Dentistry he University of Michigan School of Dentistry is a leader in shaping the future of oral health care. Dr. Jed Jacobson, assistant dean for community and outreach programs, said the need for a fundamental change in the clinical education of dental students has been cited in several reports. “Historically, dental education has largely been conducted behind the walls of dental schools with limited interaction by students, faculty, or staff in the communities they serve,” he said. “That approach tends to isolate them from the community because they don’t see the bigger picture. We want to change that.” Dr. Jacobson added, “With support from Dean Kotowicz, the faculty, staff, and students, we are gradually shifting how we educate students.” An Evolving Approach A composite approach is evolving. “Our dental education model incorporates the best elements of clinic and classroom instruction with an approach that places students in communities where students can apply their knowledge in a setting more reflective of what they are likely to encounter after graduation,” he said. Several forces are shaping this new approach. They include: • Increasing dental education costs. • Decreasing public (federal and state) financial support for dental education. • Student and alumni expectations that dental education change from a campus-based model to one offering more “real world” experience. • Growing public expectations that publicly supported universities address…or assume greater responsibility for addressing…the oral health needs of those closed out of the traditional health care delivery system. DentalUM Spring & Summer 2000 Dr. Jacobson said while school-based clinics provide excellent grounding in the principles of dentistry and insights into the needs of patients, they are only a part of a student’s education. “In an academic setting it’s difficult to completely comprehend the context of the care delivered, such as economic resources and community or cultural influences, as well as managing in a patient-centered, cost effective environment,” he said. “Our community-based dental education programs give them those connections,” Dr. Jacobson said. “These programs bridge classroom theory and foundational knowledge so students can apply what they have learned in the communities where they will practice.” Benefits That approach, he said “is win-win for everyone.” Underserved patients receive the services they need and students gain real world experience. Many students say their community experiences boosted their confidence; gave them a better understanding of economic, cultural, ethnic, and societal factors affecting oral health; and spawned more positive attitudes and behaviors about serving those in need. There is another major benefit. “By including community outreach programs in our curriculum, we demonstrate to the public, the University, legislators, profit and non-profit agencies and others that dentistry is important, that oral health is relevant to overall health, and that we make a difference when we provide those services,” Dr. Jacobson said. Hopefully, there will be other favorable outcomes in the future. Dr. Jacobson said one of the highlights of his career recently occurred when an entering dental student said, “The treatment I received at the Family Health Center of Battle Creek inspired me to pursue a career in oral health.” 33 School of Dentistry SITE C OMMUNITY Dental Dental Hygiene Ann Arbor Community Dental Center Heartland Health Care Help Source Turner Geriatric Silver Club U-M Hospital U-M School of Dentistry Veterans Administration Hospital Washtenaw Children’s Dental Clinic Battle Creek - Family Health Center Bloomfield - Orchard Villa Nursing Home Detroit Children’s Hospital Karmanos Cancer Institute Elk Rapids - Migrant Clinic (summer) Flint - Mott Children’s Health Center Grand Rapids - Cherry Street Health Services Highland - Integrated Health Services Kaleva - Migrant Clinic (summer) Livonia - Heartland Nursing Home Marquette - Bay Cliff Health Camp Monroe Head Start Program Beach Nursing Home Mercy Memorial Nursing Center St. Mary’s Nursing Home Muskegon Heights - Hackley Community Care Center Novi - Our Lady of Providence School & Residence Plymouth - Heartland Nursing Home Redford - Head Start Program Saginaw - Health Delivery Inc. Saline - Evangelical Home Spring Arbor - Arbor Manor Care Center Suttons Bay - Migrant Clinic (summer) Traverse City - Migrant Clinic (summer) U.S.A. (various) - Indian Health Service Ypsilanti - Hope Dental Clinic ✔ ✔ ✔ - - ✔ - ✔ ✔ ✔ ✔ ✔ ✔ ✔ - ✔ ✔ ✔ - ✔ ✔ - ✔ ✔ ✔ ✔ ✔ - ✔ - - ✔ ✔ - - ✔ ✔ ✔ - ✔ ✔ - ✔ - ✔ ✔ ✔ ✔ - ✔ - ✔ - ✔ ✔ ✔ ✔ - ✔ ❉ ✔ - ✔ - ✔ ✔ ✔ ✔ ❉ To be provided beginning this fall. 34 DentalUM Spring & Summer 2000 O UTREACH P ARTNERSHIPS Dental students (pre- and post-doctoral) and dental hygiene students from the University of Michigan School of Dentistry currently provide oral health care services at more than 30 sites. Marquette Suttons Bay Elk Rapids Traverse City Kaleva Saginaw Muskegon Heights Flint Grand Rapids Spring Arbor Detroit U of M (Ann Arbor) Ypsilanti Battle Creek New Partners Saline Monroe DentalUM Spring & Summer 2000 35 Faculty Profiles Dr. Jed Jacobson I t wasn’t a single event that inspired Dr. Jed Jacobson to a career in academic and community dentistry. In retrospect, there were many. “My parents and five brothers were certainly a major influence in my life,” he said. “My mother ran the family grocery store in Ishpeming in the Upper Peninsula while my father worked for an iron ore mining company. At night and on weekends, he ran the store while my brothers and I helped after school.” The family dentist, Dr. Stanley Holman, also played a role. Per Kjeldsen Other Early Influences “Dr. Holman was a kind and gentle man,” Dr. Jacobson said. “He took an interest in his patients, including me. He planted the seeds that prompted me to consider a dental career.” Another event also shaped young Jed Jacobson’s life. “One cold winter morning I walked with my father to open our store. When we arrived, the front plate glass window was broken and snow covered virtually everything inside. This was the third or fourth break-in,” he said. “I remember the look of despair and heartbreak on my dad’s face. It was a stark contrast to the satisfaction that was so obvious on Dr. Holman’s when he helped others. My family’s hard work and Dr. Holman’s inspiration guided me to dentistry.” After receiving his bachelor’s degree from Michigan Tech in 1974 and his D.D.S. from U-M in 1978, Dr. Jacobson opened a private practice. While pursuing his master’s degree, he was also a clinical instructor. H. Dean Millard’s Influence “My clinical and teaching skills were nurtured and developed by Dr. H. Dean Millard,” Dr. Jacobson said. “If Dr. Holman sparked my interest in the profession, Dr. Millard shepherded my interest in academic dentistry and was personally involved in my growth and development in teaching, research, service, and life.” Dr. Millard’s ability to work with diverse groups – students, faculty, and staff – impressed Dr. Jacobson. “By his example, he demonstrated the importance of integrity, professional ethics, and treating everyone with dignity.” Dr. Jacobson’s private practice continued to flourish. However, since teaching was consuming more of his time, he had to decide whether to apply for a full- time teaching position and forsake his private practice. Crossroads and Advice Dr. Millard offered some advice. “He said I would not earn in academic dentistry what I would in private practice but that the rewards would be far greater. He was right,” Dr. Jacobson said. “There is nothing like those ‘eureka 36 DentalUM Spring & Summer 2000 “You need to have a vision, but you have to be flexible to play the hand of cards destiny deals you.” Dr. Jed Jacobson moments,’ when you see a student succeed or grasp a difficult to understand concept.” Three years after becoming an assistant professor in what was then the oral diagnosis and radiology department, Dr. Jacobson received a Robert Wood Johnson postdoctoral fellowship in 1986 to study health services at UCLA. Two years later he returned to the School of Dentistry with a M.P.H. in Health Service Administration. Dr. Jacobson was also assistant dean for admissions (1989-1991) and director of admissions (1991-1997), named associate professor at the School of Dentistry (1992), and coordinator of managed patient care (1996), a position he still holds. Three years ago, Dr. Jacobson was named assistant dean for community and outreach programs. Fundamental Change “With guidance from Dean Kotowicz, the faculty, staff, and students, this administrative appointment is an opportunity to make a fundamental change in the education oral health care students receive,” Dr. Jacobson said. “There are limits to what dental or dental hygiene students can experience and learn in a campus-based dental school environment,” he continued. “This approach places students in the community to deliver care to underserved populations closed out of the traditional health care system.” He sees other benefits. Working collaboratively at a primary care site, dental health care students will learn and train with others including those in medicine, nursing, and social services. “We hope to increase their skill set; improve their knowledge, beliefs, behaviors, and skills in serving the underserved; and make a positive difference in the community.” “When I left the Upper Peninsula, my vision was to graduate from the School of Dentistry, return home, and practice with Dr. Holman,” Dr. Jacobson said. “But a funny thing happened along the way – life. You need to have a vision, but you have to be flexible to play the hand of cards destiny deals you.” Dr. Robert Bagramian Keary Campbell H is calling to serve others began as a dental missionary in Taiwan. As the first western- trained dentist to the island, Dr. Robert Bagramian established a two-chair dental clinic in a hospital in Taiwan in 1963. Today, the Changua Christian Hospital is a major medical and dental facility. Two years ago, Dr. Bagramian returned to the 35-chair clinic to deliver a keynote address celebrating the hospital’s founding. From the time he worked in his father’s shoe repair store in Philadelphia to finance his undergraduate and dental education, Dr. Bagramian always wanted to help others. After two years with the U.S. Army Dental Corps and a year as a dentist with the South Carolina State Health Department, that opportunity arose in Taiwan. DentalUM Spring & Summer 2000 37 Faculty Profiles Making a Difference His three years there forever changed Dr. Bagramian’s life. “My experiences in Taiwan had a major impact on me personally, professionally, and socially,” he said. “I could see that what I was doing mattered and profoundly affected the lives of those I helped. In turn, the patients made me feel appreciated. Together, that convinced me that this is what I wanted to do for the rest of my life.” However, it wasn’t all work all the time. Dr. Bagramian recalled that occasionally he and other young American college graduates played pick-up basketball outside their dormitories. One participant invited his friend, a Princeton graduate, to visit following the 1964 Olympics in Tokyo. Bill Bradley, former Senator and presidential candidate, accepted that invitation. Michigan Career After returning to the States, Dr. Bagramian worked with the City of Philadelphia’s health department, ran his own practice, earned a master’s degree and his doctorate, and became an assistant professor at the U-M Schools of Dentistry and Public Health. From 1971 to 1988, he was professor and chair of the Department of Community Dentistry and was director of the Community Dental Center in Ann Arbor (1981-1997). In 1972, Dr. Bagramian established the summer migrant dental program in northern lower Michigan. Dr. Marilyn Woolfolk administered the program from 1979 to 1990. Recognition Dr. Bagramian recently received two major awards for his work and community service. One was the Michigan Campus Compact Faculty Award for Community Service Learning. In a letter thanking him for his “inspiring example and outstanding contributions to the School of Dentistry,” U-M president Lee Bollinger, said, “you have taught students not only the practice of dentistry, but also the importance of professional responsibility.” Dr. Bagramian also received the ADA/Colgate Award for Outstanding Service to the Public and the Profession at the American Dental Association’s annual convention in Hawaii last fall. During his 30-year career, Dr. Bagramian has conducted research in dental caries, periodontal disease, and fluorosis; delivered keynote speeches at dental conferences worldwide; has published more than 60 articles in peer- reviewed publications; authored more than 50 abstracts; co-authored two books; and has served on more than a dozen dental school committees. “you have taught students not only the practice of dentistry, but also the importance of professional responsibility.” Lee Bolinger, President University of Michigan 38 DentalUM Spring & Summer 2000 Dr. Marilyn Woolfolk O ne of the plaques on a wall in Dr. Marilyn Woolfolk’s office reads: In recognition of her twelve years, 1979 to 1990, of dedicated work in advancing the mission of improved dental care for migratory farm workers. “I’m proud to display that service award which I received from Northern Michigan Health Services,” she said. “It has special meaning because the summer migrant dental program embodies the essence of public health.” Dr. Woolfolk, assistant dean for student services, became involved with the program shortly after earning her D.D.S. from the U-M School of Dentistry in 1978. Keary Campbell On-Site Faculty Administration “I began working with Dr. Robert Bagramian on the program that fall helping plan the program for the following summer,” she said. “It was hard work directing and administering the program. I was on the go from sunrise to well past sunset, managing students, resolving patient issues and concerns, and on occasion repairing equipment,” Dr. Woolfolk said. “But it was fun and rewarding,” she continued. “I combined my research interest in health behavior and epidemiology of oral disease in special population groups with patient care and developed a network of professional relationships I continue to rely on.” During the program’s early years, oral health services were provided by students from two fully-equipped vans. Portable equipment was also used at several schools in the area. Memories “I was struck by the severity of the oral health care needs of some children and parents,” Dr. Woolfolk said. “For many, their visit to the summer migrant dental clinic was the first time they had visited a dentist.” As the on-site faculty administrator, she was impressed with the caliber and dedication of the students who participated. Dr. Woolfolk still has many of the hand- made thank you cards the children made for her and the student dentists. Other Achievements While administering the program, Dr. Woolfolk also pursued a graduate degree, earning a M.P.H. from the School of Public Health in 1982. After earning a master’s degree, she was an assistant professor of community health programs at the School of Public Health (1983-1998); assistant professor of dentistry (1982-1990); and has been an associate professor of dentistry in the Department of Periodontics, Prevention, and Geriatrics since 1990. Dr. Woolfolk was director of student affairs (1990-1997) and has been assistant dean for student services since the fall of 1997. She is also Chi Chapter president of Omicron Kappa Upsilon; serves on several School of Dentistry, University, and national committees; is a reviewer for the Journal of Public Health Dentistry and Journal of Dental Education; and is a curriculum consultant for the ADA’s Commission on Dental Accreditation. DentalUM Spring & Summer 2000 39 Ranking the School of Dentistry Why Dental Schools Don’t Participate t’s as predictable as the swallows returning to Capistrano. Every spring and every autumn, U.S. News & World Report publishes its rankings of the nation’s public and private colleges and universities. The spring issue, which typically appears in mid-March, focuses on graduate school rankings. The fall issue, which usually appears in mid-August, ranks the nation’s undergraduate schools. For several years, the School of Dentistry has not been ranked. Is there a reason? No Dental School Participation “The fact is, dental schools are no longer ranked,” said Dean William Kotowicz. “The last time dental schools participated was in 1993 and the U-M School of Dentistry was the only dental school in the nation ranked among the top three by both U.S. News and The Gourman Report,” he said. The following year, there was a consensus agreement among deans of the nation’s dental schools not to participate in ranking surveys. 40 The deans were concerned about the lack of objective criteria to measure and rank dental schools. Dean Kotowicz said initial surveys were based on subjective criteria and faculty survey design. Another objection raised by many deans was summarized by Dean Kotowicz this way, “How does one compare and rank dental schools that place strong emphasis on classroom instruction, clinical experience, and a commitment to research, like the U-M School of Dentistry, against another school that may not have a strong research component in its mission statement?” Caution Voiced Others have voiced caution about attaching too much significance to the rankings. U-M Provost Nancy Cantor has been gratified with the University’s overall rankings in previous surveys, but warns, “we don’t believe it is possible for the U.S. News measures to capture all the factors that contribute to a world-class education. Rankings methodologies,” she continued, “do not take into account the broad array of offerings or variety of interconnections available at research universities.” An official with U.S. News recently made a similar concession. Missing Factors The publication’s deputy director of data research, Robert J. Morse, told academic public relations officials at a seminar in Savannah, Georgia, last fall that some important and hard-to- measure indicators were not a part of the survey. These included access to faculty, quality of facilities (such as laboratories and libraries), and the rigor of course offerings. However, he added, “the rankings are here to stay because those in higher education will remain highly interested.” A Strong Commitment Dean Kotowicz emphasized, “The quality of programs at the University of Michigan School of Dentistry, the quality of our faculty, our commitment to quality patient care and quality research remain strong.” Dean Kotowicz continued, “That is one reason we recommend prospective students talk to faculty and students, read about our course offerings, talk to our alumni, and visit our campus to see our facilities before they decide to apply.” DentalUM Spring & Summer 2000 RESEARCH News Dr. Peter Ma Wins Prestigious DuPont Award First Time Award Given to a Dental School r. Peter X. Ma, an assistant professor in the Department of Biologic and Materials Sciences at the University of Michigan School of Dentistr y, has won a prestigious DuPont Young Professor Award. It’s the first time in the 25-year history of the award that it has been presented to a faculty member at a dental school. Dr. Ma was one of only 14 faculty members in the nation chosen by the DuPont Fellows Forum to receive the award. The $25,000 award, which will be considered for renewal for up to three years, is designed to help young faculty members launch their research careers within five years of becoming a full-time faculty member. The funds may also be used to obtain matching funds through the National Science Foundation’s Young Investigator Award program. Importance of Our Research “Considering there were so many excellent nominees, I’m honored to be one of those receiving this prestigious award,” Dr. Ma said. “This recognition demonstrates the importance of the research being conducted at the U-M School of Dentistry and the potential our research has to create new products that could affect everyday life.” The primary focus of Dr. Ma’s research is developing materials that have dental and medical applications. Some of these materials, such as restorative dental materials, are developed to directly replace the structure and function of damaged or diseased tissues or organs. Some are developed as scaffolding (matrix materials) for cells to grow on and develop into new tissues. As the new tissue develops, the special materials (scaffolds) degrade and resorb, leading to completely “natural” tissue replacement and/or regeneration. Impact Beyond Dentistry Dr. Christian Stohler, chair of the Department of Biologic and Materials Sciences, said, “This is an exceptional achievement. It vividly demonstrates that a research scientist in a dental school can have a major impact beyond the scope of dentistry.” Dean William Kotowicz said, “By winning this prestigious award, Dr. DentalUM Spring & Summer 2000 Ma has demonstrated the importance of the oral health research we are conducting. The award clearly shows that the School of Dentistry is a school of many talents – in classrooms, clinics, and laboratories. It shows our faculty is in the vanguard of conducting pioneering research that seeks to discover and apply new knowledge that can help patients worldwide.” Dr. Ma earned his bachelor’s degree in polymer chemistry at Tsinghua University in Beijing, China. In 1992, he earned a Ph.D. in polymer science and engineering at Rutgers University and then became a postdoctoral research associate at the Massachusetts Institute of Tech- nology. Since 1996, he has been an assistant professor in the Department of Biologic and Materials Sciences. In addition to his teaching and research, Dr. Ma last year alone participated on two National Science Foundation panels, was an ad hoc reviewer for the Swiss National Science Foundation, and was a reviewer for the Society of Biomaterials. He has also presented papers at more than 70 scientific conferences worldwide, authored or coauthored more than 30 articles that have appeared in peer-reviewed publi- cations, and has been invited to give two dozen lectures and seminars. 41 RESEARCH News Jahromi and Hamouda Win Grand Prizes at Research Table Clinic Day Keary Campbell Marjon Jahromi is awarded the grand prize in basic science research by Dean William Kotowicz. Nadia Hamouda, grand prize winner in the current topics area, discusses her poster presentation with Dr. Michael Ignelzi. Keary Campbell About 400 viewed table clinics and posters during the full-day program. Dr. Bruce Baum, chief of the gene therapy and therapeutics branch of the National Institute of Dental and Craniofacial Research, delivered the keynote address. Grand prize winner in the basic science research area was D3, Marjon Jahromi for her poster presentation, Gene Delivery of Platelet-Derived Growth Factors Stimulates Osteoblastic Activity. She received the grand prize from Dentsply to attend the annual ADA convention in Chicago this October. Her faculty mentor was Dr. Willliam Giannobile. Grand prize winner in the current topics area was D4, Nadia Hamouda for her poster presentation, Comparison of Different Radiographic Examinations for the Evaluation of Condyles. Her faculty mentor was Dr. Jack Gobetti. First place winner among doctoral, postdoctoral, and staff went to research assistant Jennifer Dreier. Her faculty mentor was Dr. Michael Ignelzi. Keary Campbell he second year of the expanded Research Table Clinic Day was more successful than last year’s. Jennifer Dreier 42 DentalUM Spring & Summer 2000 School of Dentistry Student Presents Research at ADA Annual Meeting AT T SL AVEN WILL NEVER FORGET last year’s annual ADA convention in Honolulu. As the grand prize winner of the School of Dentistry’s Research Table Clinic Day last year, he won the opportunity to showcase his research during the dental group’s annual session. His research, Splice Variants of Nestin in Dental Pulp Tissue, focused on the expression of nestin, which is a protein normally found in stem cells of the central nervous system. “I showed that nestin is specifically expressed in the odontoblast layer of human pulp tissue,” he said. “The significance of that is that nestin can be used as a cell-specific marker for odontoblasts which will allow researchers to further characterize odontoblasts.” Slaven said his research focuses on molecules which play a role in dentinogenesis. “My interest in the subject was sparked by a paper I read about nestin expression in DentalUM Spring & Summer 2000 developing teeth in rodents,” he said. “So I decided to see if nestin is also expressed in human teeth and what role, if any, it may play in the formation of dentin.” In Hawaii, Slaven showcased his research to a group of judges, a format similar to the School of Dentistry’s competition. “Two different panels of judges visited all of the presenters. We spent about 10 minutes talking about our projects.” Other dentists attending the ADA convention later reviewed the research and discussed it with Slaven and other exhibitors. “Although I did not finish in the top three, I was happy to have had the opportunity to conduct the research, win the School of Dentistry’s grand prize, and present my work at the ADA’s annual convention. I’m grateful to everyone, including my mentor, Dr. Rutherford, the School of Dentistry, the ADA, and Dentsply.” Keary Campbell Matt Slaven’s interest in medical science began as a senior at Washington Uni- versity in St. Louis. That interest led to a conversation with his family’s dentist about his future. Following the discussion Slaven reviewed his career goals and aspirations, and chose dentistry “because it would allow me more control and freedom in my profes- sional career and more time with my family.” He chose the U-M School of Dentistry because “I liked the Ann Arbor area and the integrated clinical curriculum.” After receiving his D.D.S. in 2002, Slaven said he wants to pursue endodontics training or enter an oral sciences doc- toral program. 43 RESEARCH News Changing Approaches to Treating Periodontal Disease THE NOT SO GOOD NEWS – the longer people keep their teeth, the more likely they are to develop periodontal (gum) problems. But armed with the knowledge that most cases of periodontal disease are actually treatable bacterial infections, dental researchers and clinicians are changing their ideas about how to deal with the problem, according to professor Walter L. Loesche in Critical Reviews of Oral Biology and Medicine (Volume 10, issue 3). Using Microbes to Avoid Surgery? T h e u s u a l t re a t m e n t s f o r periodontal disease involve removing plaque and tartar deposits below the gum line and sometimes planing the tooth roots. Surgery also may be necessary when deep pockets have developed between the teeth and gums. But with new, antimicrobial a p p ro a c h e s , m a n y t e e t h t h a t p re v i o u s l y w o u l d h a v e b e e n considered “hopeless” can be saved from extraction. As many as 75 to 44 Per Kjeldsen THE GOOD NEWS – more people than ever are keeping their natural teeth into old age. Dr. Walter Loesche “Keeping periodontal bacteria in check may be a simple way of reducing one’s risk for heart disease and stroke.” 80 percent of patients may be spared the discomfort of periodontal surgery, professor Loesche said at a dental symposium in Brazil last fall. He noted that about 90 percent of periodontal disease cases are caused by the overgrowth of anaerobic bacteria on the teeth. These bacteria produce toxins that can damage the gums. For some patients, the best approach may be to combine the traditional scraping and planing with short-term use of systemic antibiotics such as metronidazole or doxycycline, which are effective against anaerobic bacteria. Because these systemic drugs, taken orally in the form of pills and tablets, travel throughout the body, they should be used for no more than one or two weeks at a time, to reduce the chance of side effects or the development of antibiotic resistance. When only a few teeth are involved, systemic antibiotics are not needed; clinicians can apply antibiotic gels, chips or films directly to the pockets between the teeth and gums. Not for Everyone As helpful as they may be, antibiotics are not a “magic bullet” to be used on everyone with gum disease, Dr. Loesche warned. They should be used only when a bacterial infection has been diagnosed and the condition is serious enough to need treatment. Finding ways to deal directly with the bacteria that cause periodontal disease has become increasingly important as researchers have discovered links between periodontal disease and cardiovascular diseases, he said. Keeping periodontal bacteria in check may be a simple way of reducing one’s risk for heart disease and stroke. DentalUM Spring & Summer 2000 Strain Makes for Stronger Engineered Tissues Even when tissues are successfully grown in the lab, the engineered tissues are not as strong as the ones nature makes. But new research by a U-M team suggests ways of enhancing the mechanical properties of engineered tissues. The work was described in last October’s Nature Biotechnology. By repeatedly applying strain while engineered tissues were developing, the researchers were able to increase both the expression of key structural protein genes and the organization of the cells making up the tissues. This, in turn, led to significant enhancement of the tissues’ strength. Dr. David Mooney, associate professor of dentistry and engineering who directed the project, said the approach was logical. It has long been known that mechanical forces influence development of many natural tissues in the body – bone and cartilage, for example. Other research groups have shown that engineered smooth muscle tissue responds to mechanical stimuli as well. But the U-M research provides a clearer understanding of exactly how mechanical stimulation leads to increased strength. Molecules as Conductors “The major contribution of this paper is that it demonstrates an interaction between the chemistry and the mechanics,” Dr. Mooney said. “It was not a great leap on our part to say that strain would alter the development of tissue,” he added. “What was novel was that we were able to demonstrate that mechanical signals must come through certain molecules to which the cells attach. Both from a basic science perspective and as a potential application, that’s very important.” tissues, whether you’re talking about bone, cartilage or muscle,” he said. Other members of the research team were chemical engineering graduate student Byung-Soo Kim, biomedical engineering graduate student Janeta Nikolovski, and Jeffrey Bonadio formerly in the pathology department of the Medical School. Dr. David Mooney Strengthening Tissues Although the engineered tissues still were not as strong as natural smooth muscle tissue, the results suggest it may be possible to further improve their strength, an essential step in developing tissue to be used in repairing or replacing blood vessels, intestines, and bladders. The method could also be used to investigate how mechanical stimuli contribute to disease in natural tissue, Dr. Mooney said. In blood vessels, for example, changes in shear forces have been associated with atherosclerosis (hardening of the arteries). Though the work focused on smooth muscle, the conclusions may have broader implications. “The idea of chemistry determining how a tissue responds to a mechanical signal is an important idea that potentially applies across all Per Kjeldsen A s scientists work to develop engineered tissues that someday may be used to replace diseased or damaged body parts, they face some daunting challenges. Polymer matrix DentalUM Spring & Summer 2000 DentalUM Spring Summer 2000 45 45 Alumni Profile Dr. Daniel Cox “F rom an early age, I knew what I wanted to do with my life,” said Dr. Daniel Cox (D.D.S. ’70). “I wanted to follow in the footsteps of my father who was a dentist. His enthusiasm and love of the profession rubbed off on me at a very early age and continued the 11 years we worked together.” His father, Dr. Olin Cox (D.D.S. ’45), had a 36-year career (1945-81) that was devoted primarily to private practice in Ypsilanti, Michigan. It also included two terms in the Navy (1945-47 and 1952-54). A Two-Way Street After earning a bachelor’s degree from Albion College in 1966, Dr. Dan Cox earned his D.D.S. from the U-M School of Dentistry in 1970. He immediately went to work with his father. Together they practiced general dentistry until 1981. “It was a wonderful relationship, both professionally and personally,” Dr. Cox said. “My father helped me get started, offered his business insights, and provided helpful advice on other matters.” The relationship was mutually beneficial. “Since I was new to the profession, I introduced him to some of the new materials and techniques I learned in dental school. Working together helped both of us,” Dr. Cox said. Then and Now Several faculty members made a big impression on Dr. Dan Cox, especially Drs. Sigurd Ramfjord, Joseph Clayton, Bob Lorey, Mark Gilson, and Gerald Charbeneau. 46 46 Reflecting on his experiences as a student and comparing them to what he has encountered in his current role as chair of the School’s Alumni Society Board of Governors, Dr. Cox cited two big differences. “The first is that we were probably one of the last classes that had to wear coats and ties to lectures and labs,” he said with a laugh. “Today, that’s not the case, and I think that has resulted in another big difference; namely, a less formal atmosphere that has fostered better communication between students and faculty.” During his days as a student, Dr. Cox said several faculty members made a big impression on him, especially Drs. Sigurd Ramfjord, Joseph Clayton, Bob Lorey, and Mark Gilson. “I don’t want to forget Dr. Gerald Charbeneau either,” he said. “Not long after I graduated, I became a part-time clinical instructor and his valuable insights helped me as I went from one side of the lecture hall, as a student, to the other side, as an instructor.” DentalUM Spring & & Summer 2000 DentalUM Spring Summer 2000 Pizza Mixer Offers Insights Throughout his career, Dr. Cox has been active with professional organizations, in the community, and with the School of Dentistry. His professional memberships include the ADA, Michigan Dental Association, and the Washtenaw District Dental Society. As a member of the ADA, he served on several committees and was a delegate and alternate to the House of Delegates. As a member of the MDA, Dr. Cox served six years (1990-96) on the Board of Trustees, including three years as Secretary (1993-96). He also served and chaired the Strategic Planning Committee. “It was fun,” Dr. Cox said. “I especially enjoyed working with people who had similar interests and were focused on the goal of making the organization more member-driven and responsive.” Dr. Cox has also served in leadership roles with the Washtenaw District Dental Society (WDDS) including president, secretary, and treasurer. He belongs to several professional organizations including the Chi Chapter of Omicron Kappa Upsilon, the Russell Bunting Periodontal Study Club, and the Francis Vedder Society of Crown and Bridge Prosthodontics. He is a Fellow of the International College of Dentists and the Pierre Fauchard Academy. His community memberships include the Ypsilanti Area Chamber of Commerce and the First Presbyterian Church of Ypsilanti. Dr. Cox is also a volunteer, part-time instructor for the Washtenaw Community College Dental Assisting program, and coordinates WDDS screenings of children at the Perry Child Development Center in Ypsilanti. An Exciting Future Dr. Cox said he’s excited about the future of dentistry. “When you see the advances in technology, new techniques being developed, the expansion of the scientific knowledge base, and the shift in demographics, I believe students earning their dental degrees are entering the profession at a wonderful time.” However, Dr. Cox said two concerns still linger – managed care and the high levels of student debt. “After twenty years of hearing predictions that DentalUM Spring & & Summer 2000 Spring Summer 2000 Per Kjeldsen Professional and Community Involvement As chair of the School’s Alumni Board of Governors, Dr. Dan Cox welcomed students to the School and the oral health care profession at the School’s annual pizza mixer last fall. The mixer, which included delivery of 60 pizzas and more than a dozen two-liter bottles of soft drinks, was underwritten by Dr. John English. “It was quite an event,” Dr. Cox said. “Talking to the students, I know they appreciated it. I learned a lot.” He said, “students are very proud of the School of Dentistry and the education they’re receiving. But what struck me the most was how relaxed the atmosphere is. I think that is in large part due to the efforts of Dean Kotowicz and his predecessor to find ways to encourage dialogue.” Dr. Cox also noted that curriculum changes have fostered more cooperation and collaboration among students and faculty. “And newer faculty members see their role more broadly, not just as instructors, but also as helpers,” he said. Dr. Dan Cox addresses dental and dental hygiene students at the annual pizza mixer. managed care would adversely affect the profession, it hasn’t happened to a great extent yet. I think the reason has to do with the patients. They’re incredibly loyal to their dentists. We appreciate that,” he said. Dr. Cox said the issue of student debt can’t be ignored. “But given the shift we’re seeing in demographics, the dentist-to-patient ratio gives new dentists a greater opportunity to build a practice. The future is fantastic.” 47 DEPARTMENT UPDATE Orthodontics and Pediatric Dentistry s has been the case for several years, the news from the Department is dominated by our portion of the $12 million Kellogg renovation. Under construction for well over a year, the new pediatric dental and orthodontic clinics promise to keep our two graduate programs at the forefront of specialty educa­tion. Keary Campbell They also will provide a state-of-the-art base of opera­tions for our expanding predoctoral clinical activities. The two clinics feature a price tag of well over $4 million and occupy the first and second floors of an addition ­­— the Robert W. Browne Wing — that fills in the “dogleg” of the Kellogg Building. By moving the pediatric dental clinic to Kellogg from the dental building, the Department’s two programs now occupy contiguous facilities. Dedication is scheduled for September 8. In a separate remodeling project, the Department’s administrative suite has undergone an extensive cosmetic upgrade. It is important to note that these important projects have been made possible by generous contributions and pledges from our many alumni. This ongoing support is one of the Department’s greatest strength­s. You may be sure that it is appreciated. The old clinics served us well; the new clinics will be even better. Bricks and boards, however, are only part of the story. Dr. Lysle Johnston, Chair Major Honors Both the orthodontic and pediatric dental master’s theses continue to gain high honors in national research competitions. Jacques Nör (M.S., pediatric dentistry, ’94; Ph.D., oral health sciences, ’99) won the Hatton Award Competition in both the International and American Associations for Dental Research. Of eight prizes conferred by the American Academy of Pediatric Dentistry, three went to Michigan graduates: Jon Dallman, Courtney College, and Andreina Castro. On the orthodontic side, two of four American Association of Orthodontists research awards for 1999 went to Michigan: Michael Hardy re­ceived the Sicher Award; Jack Chu, an Award of Special Merit. Fred Fenderson will receive an Award of Special Merit at this year’s meeting in Chicago. I am proud to note that, since 1993, Michigan orthodontic residents have won about a quarter of all the American Association of Orthodontists research prizes; a similar claim can be made for the residents in pediatric dentistry. Predoctoral Program During the past few years, the undergraduate program in orthodontics and pediatric dentistry has undergone a series of profound changes, especially at 48 DentalUM Spring & Summer 2000 the D1 and D2 levels. This evolution continues. For example, the first- and second- year orthodontic foundation courses now employ a “problem solving” format that features a well-rounded repertoire of learning activities that include: • Active, in-class learning with small-group, case-based exercises replacing traditional “fact-based” lectures. • Small-group, patient-centered simulations as laboratory projects. • Seminars and discussion groups to supplement class exercises. • Clinical problem solving aided by an evolving depart­mental diagnostic Web site. • Early clinical experience in pairs. In pediatric dentistr y, the D2 clinical experience involves cariology, hygiene, and pediatric den­tistry collaboration. Goals include enhancing both the D2 students’ experience in rendering clinic­al care for children and their perception of the role of the hygienist on the dental team. In this context, Angela Wandera’s Infant Oral Health Program provides an opportuni­ty for all of our D4 students to examine, counsel, and treat patients ages one to four. In this respect, it is perhaps unique in American dental education. Graduate Studies and Research As you may know, the graduate DentalUM Spring & & Summer 2000 Spring Summer 2000 classes in both our disciplines are now chosen by a binding computerized matching program. With this process, we rank the applicants, and the applicants, in turn, rank the schools. The computer then comes up with the best possible match. Presently, orthodontics and pediatric dentistr y are popular dentistry completed the fund raising for the Dr. Samuel D. Harris Collegiate Professorship. As would be expected from so exciting a cast of characters, the Department continues to conduct a wide variety of funded research programs, both on its own and in collaboration with other departments Since 1993, Michigan orthodontic residents have won about a quarter of all the American Association of Orthodontists research prizes; a similar claim can be made for the residents in pediatric dentistry. specialties; both have a surfeit of superb applicants. As a result, although we sacrifice a bit of flexibility, the match seems always to provide us with excellent classes and it does so at a great saving of time and effort. All in all, it is a wonderful time to be a teacher at Michigan. In addition to talented students, we have a nucleus of internationally respected full-time teachers and a large contingent of experienced, dedicated, and exceptionally skillful clinical faculty. This synergistic combination of full- and part-time expertise produces the kind of balanced excellence we have all come to expect from the University of Michigan. It has also produced several signal honors. Last year, Dr. Jim McNamara was named the first Drs. Thomas M. and Doris Graber Endowed Professor of Dentistry; this year, pediatric and schools. These research programs include: distraction osteogenesis, sealants, cleft lip/palate mechanisms, bonding agents, prospective studies of basal expansion/arch development, comparative studies of treatment outcomes for both fixed and functional appliances, decision analysis, indices of malocclusion, to name but a few. Our portfolio of research is not only diverse, but also of great potential significance to dentistry and to our two specialties. New Faculty The past year has seen a number of important personnel change­s. Dr. Katherine Kelly has joined the full-time faculty and will be responsible for the craniofacial program. Although D­r. Kelly has family ties to Michigan, not to mention a Michigan State microbiology bachelor’s degree, 49 Awards and Honors Fred Fenderson – Received an Award of Special Merit from the American Association of Orthodontists (advisor, J. McNamara). her entire professional education — D.D.S., Ph.D., and, most recently, an Orthodontic M.S. — is from the University of Oklahom­a . Dr. Kelly is a bone biologist whose research involves the differentiation of osteoblasts, osteoclasts, and adipocytes. It is also a pleasure to announce that Drs. Burcu Bayirli, Gary Cook, Steven Davenport, Fernanda Fontes, Mary Elizabeth Moensse­n, Deborah P riesta­p , Stanley Smith, and Josephine Weeden have joined the adjunct clinical faculty. Welcome to all! I am sorry to note, however, that Drs. Jim Clark, Josimeri Hebling Costa, and Mary Tierney, have left the adjunct faculty. All made great contributions to the School and to the Department. They will be hard to replace. Finally, after nearly 20 years of service to the University, Dick Christiansen has begun a well- earned phased retirement. It won’t be the same around here without Dick’s good humor and level head. He promises, however, to look in every now and then and to maintain some involvement with our teaching program. A half a loaf, it would seem, is better than nothing. We wish him all the best. 50 Tom Gebeck – President, President’s Award, Charles H. Tweed International Foundation for Orthodontic Research. Rich Johnson – Faculty Service Award, D4 Class, March 1999. Lysle Johnston – E.H. Angle Memorial Lecture, Angle Society Biennial Meeting, Redmond, Oregon; named Associate Editor, Progress in Orthodontics (Societa Italiana di Ortodonzia); essayist, San Diego A.A.O. Meeting; Director, E.H. Angle Society of Orthodontists (Eastern Component). Jim McNamara – Keynote Address, Societa Italiana di Ortodonzia (SIDO); Planning Committee, Orthodontic Computer Technology Conference, San Diego A.A.O. Meeting; essayist, San Diego A.A.O. Meeting; Vice President, E.H. Angle Society of Orthodontists (Midwest Component). Jim Vaden – Director, member of executive committee, liaison to AJO/DO, and President-elect, American Board of Orthodontics. Dr. Johnston, Let Me Help You With glee in their voices and a twinkle in their eyes, Drs. Lysle Johnston and Norm Betts removed an eyesore from the U-M School of Dentistry last fall. Following U-M’s football victory over Ohio State, the two removed an Ohio State pennant prominently displayed in the orthodontic library and replaced it with the University of Michigan’s. The removal was especially sweet for Dr. Betts, who played tight end for U-M from 1978 through 1981. Not only was the blemish removed, but as part of an agreement, the chair of OSU’s oral and maxillofacial surgery department had to wear a U-M tie while making a speech during the AAOMS midwinter meeting earlier this year. For eight years, the directors of the orthodontic programs at the two schools have had an agreement – the losing school has to display the winning school’s pennant in their department library for a year. “Fortunately,” Dr. Johnston said, “we’ve had their pennant up for only two of the past eight years.” DentalUM Spring & Summer 2000 DEVELOPMENT Golf Outing a Success Per Kjeldsen I Jerry Mastey Dean William Kotowicz (left) and Don Vanitvelt (Left to right) Mike Comar, Dick Sietz, Tom Fleszar and Terrance Comar. 1 8 2 9 3 10 4 11 5 15 16 17 18 6 12 13 19 22 23 24 25 26 29 30 31 Sat 7 14 12 Golf Outing 2000 DentalUM Spring & & Summer 2000 DentalUM Spring Summer 2000 Jerry Mastery OCTOBER Sun Mon Tues Wed Thurs Fri t was a great day for golf – temperatures in the 60s, a gentle breeze, and leaves on trees beginning to turn yellow, orange, and red. Despite steady rain less than a day earlier, skies turned sunny just in time for the second annual U-M School of Dentistry alumni golf outing last September. More than 120 alumni gathered at the U-M Golf Course to participate in the event which marked the start of Homecoming Weekend. As participants checked in, they received a goodie bag that included a sleeve of School of Dentistry golf balls, a U-M golf towel, and a bag of tees. After a buffet, players got into their carts and drove to their respective holes for the shotgun start. Dean William Kotowicz greeted members of each team at the eighth hole. Despite valiant efforts, no one won the “American Hole in One” par three on the eighth hole. Had someone aced it, a new car would have been theirs. Don’t despair, there will be another opportunity later this year. Planning for this year’s golf outing – Thursday, October 12 – is now underway. Mark your calendar. CAPTURING FIRST PLACE for the lowest score was the team of (left to right) Michael Razzoog, Peter Yaman, Michael Girard, and Brien Lang. 51 DEVELOPMENT Dr. Dahn Provides Over $2.6 Million for Scholarships Dr. Nathaniel Rowe Makes $82,000 Gift-in-Kind G enerations of Michigan dental students will benefit D r. Nathaniel Rowe, the from the foresight and generosity of an endowment gift from Dr. Norman J. Dahn. The value of his gift is expected to range between $2.6 million and $3 million. Dr. Dahn used his estate to fund a unitrust designed to first take care of his sister for the rest of her life and then to benefit dental students at the School of Dentistry. Dr. Dahn’s gift to the U-M School of Dentistry includes more than $2 million in cash and securities; property in Salem Township, Michigan, and rural property in Arizona. “Dr. Dahn clearly demonstrated his concern for future dental students by creating this endowed scholarship fund,” said Dean William Kotowicz. “We are extremely gratified to have received this significant gift from the estate of one of our most generous alumni. This gift will help us meet one of our most pressing needs, support for deserving dental students.” Born and raised in Imlay City, Michigan, Dr. Dahn attended what is now Eastern Michigan University prior to entering the School of Dentistry in 1926. After receiving his D.D.S. in 1930, he practiced in central Michigan, serving children of very poor families under the auspices of the Couzens Fund. He established a practice in Detroit in 1933, served in the Army during World War II, returned to his practice in 1945, and remained there until his retirement in 1965. The Norman J. Dahn Endowed Fund will function in perpetuity as a need-based scholarship for deserving dental students. For years to come, Dahn Dental Scholars will be a fitting legacy and tribute to one of the School’s most generous benefactors. 52 William R. Mann professor emeritus, has gifted a valuable collection of oral pathology teaching slides to the Department of Oral Medicine, Pathology, and Oncology. The gift includes an illuminated slide cabinet and a collection of nearly 5,500 color transparencies (slides). The slides contain valuable information including disease, patient’s age, and date of acquisition. Most are glass sandwich mounted. “Over a 45-year career in academic dentistry, I assembled an extensive collection of teaching slides,” Dr. Rowe said. “I know they will be a valuable resource for dental instruction and am thrilled that they will benefit Michigan faculty and students.” Dr. Rowe retired from the School of Dentistry faculty in 1997 after 30 years of service. He distinguished himself nationally and internationally as a dental scholar, researcher, and teacher. He was associate director of the Dental Research Institute from 1970 to 1989; served as a consultant to numerous professional groups, associations, and agencies; and authored numerous articles about oral pathology in journals and textbooks. Upon his retirement, the Regents acknowledged Dr. Rowe’s status as a distinguished health sciences educator by naming him the William R. Mann professor emeritus of dentistry and professor emeritus of oral pathology, Medical School. DentalUM Spring & Summer 2000 Mrs. Margaret Cheney Makes $10,000 Memorial Gift M rs. Margaret Cheney, of Lansing, Michigan, recently made a $10,000 gift to the School of Dentistry in memory of her late husband, Dr. Edward A. Cheney. “Ed was deeply devoted to his profession of orthodontics and extremely committed to his teaching at the School of Dentistry,” Mrs. Cheney said. “I am delighted to be able to make this gift to the undergraduate orthodontics program in Ed’s memory.” Mrs. Cheney’s gift is being used to create the “Edward A. Cheney Undergraduate Orthodontics Fund.” Dr. Richard Johnson, who trained under Dr. Cheney and is the current director of the predoctoral orthodontics program, will monitor the fund. A Popular Teacher and Mentor During his 31 years at the School of Dentistry, Dr. Cheney played an important role in developing and nurturing the orthodontic program. In addition to serving as curriculum coordinator, he authored numerous articles focusing on undergraduate orthodontics education. Because of his ability to synthesize complex ideas and present them effectively, he was a popular teacher. As an educator and mentor he was a role model for generations of students. Dr. Cheney earned his D.D.S. from the U-M School of Dentistry in 1942 and became a clinical instructor the same year. He received his master’s degree in orthodontics two years later, was named an assistant professor in 1948, and an associate professor in 1953. He went into private practice in 1957, but returned to the School of Dentistry 11 years later as a full professor. He retired in 1984. DentalUM Spring & Summer 2000 During his career, Dr. Cheney was active in many dental organizations. He was president and a member of the board of the Michigan Dental Association; served as trustee for the Ninth District of the American Dental Association; was president of the Michigan Society of Orthodontics (an organization he co-founded) and the Great Lakes Society of Orthodontists; chairman of the Michigan Orthodontic Forum; and director and chairman of the American Board of Orthodontics. He was also a Diplomate of the American Board, a Fellow of the American College of Dentists, and a member of Omicron Kappa Upsilon. In 1998, Dr. Cheney received the School of Dentistry’s Distinguished Service Award. To make a gift to the Cheney Undergraduate Orthodontics Fund, please make your check payable to the “School of Dentistry.” Send it to the Office of Development, 1011 N. University Ave., Ann Arbor, MI 48109. Include a note on the check designating the Cheney Fund. Dr. Walter and Mrs. Lavonne Stewart Give $10,000 D r. Walter Stewart (D.D.S. ’56) and his wife, Lavonne, have gifted $10,000 to the University’s Donor Pooled Income Fund. In making their gift, Dr. and Mrs. Stewart named the School of Dentistry as the final beneficiary, designating the gift be used to support programs in dental genetics and operative dentistry. The Donor Pooled Income Fund consists of a diversified portfolio of stocks, bonds, and other marketable securities. Donors pool their gifts with those of others to minimize investment risk and overhead costs. Donors receive the tax benefits of a charitable gift, including a charitable income tax deduction. They minimize capital gains taxes and receive a modest return on assets contributed to the fund. Gifts to the fund are irrevocable. Minimum investment is $10,000. Assets from the fund are used as a donor directs following the death of all beneficiaries. 53 53 Alumni Board Nominations School of Dentistry Alumni Society Board of Governors It’s time to vote for five candidates to serve on the School’s Alumni Society Board of Governors. Using the ballot on p. 55, please choose four dentists and one dental hygienist to serve a three-year term. Ballots must be postmarked by June 30. Dr. Kamal Asgar received his Ph.D. from the University of Michigan School of Dentistry in 1959 in metallurgy and dental materials. He was a member of the research and teaching faculty at the U-M School of Dentistry (1949-1988) and retired as professor emeritus. In the field of technique he developed water-added casting technique, dual wax technique and method of condensing spherical amalgams. In the field of materials he developed and patented two partial denture alloys, and six patented amalgams. He has delivered over 275 lectures worldwide and has chaired over 50 thesis for master’s and doctoral degrees. Dr. Asgar resides in Park Ridge, New Jersey. Dr. Joseph T. Barss is a graduate of Vanderbilt University (1975) and the University of Michigan School of Dentistry (1980). He practiced general dentistry in Port Huron, Michigan for two years and Vancouver, British Columbia, for 12 years. He returned to specialize in 1994 and was granted a certificate in endodontics and a M.S. in biomaterials from Northwestern University. Dr. Barss is currently a clinical assistant professor in the Department of Endodontics at Northwestern and in his last year of Ph.D. studies in oral biology. He is a member of the American Association of Endodontics (board eligible), ADA, Canadian Dental Association, Chicago Dental Society, Coolidge Endodontic Study Club and Delta Sigma Delta. Dr. Barss resides in Chicago. Dr. Michael M. Belenky is a graduate of the University of Michigan School of Dentistry (1961 D.D.S.), and the Johns Hopkins University School of Hygiene and Public Health (1975 M.P.H.). He is an associate professor in the Department of Oral Health Care Delivery at the Baltimore College of Dental Surgery, Dental School, University of Maryland at Baltimore. He is a Fellow of the American College of Dentists, a Fellow of the Pierre Fauchard Academy, a member of the ADA, the 54 Maryland State Dental Association, the Baltimore City Dental Society, and the American Association of Dental Schools. He is licensed to practice dentistry in Maryland and Michigan. Dr. Belenky resides in Arnold, Maryland. served on the Board of Delta Dental Plan of Michigan and as 1998 MDA Annual Session chairperson. She is currently on the Board for the MDA Foundation and the PRAC committee for Delta. Dr. Carron resides in Farmington Hills, Michigan. Dr. Eli Berger is a graduate of the University of Michigan School of Dentistry (1957 D.D.S. and 1961 M.S.). He served in the U. S. Army Dental Corps (1957–1959). A faculty member at the U-M School of Dentistry’s Department of Orthodontics for 35 years, he was a teaching fellow (1960), instructor (1961-1964), and assistant professor (1965–1996). He is active in organized dentistry; served as President of the Michigan Orthodontic Alumni Association, the Michigan Association of Orthodontics, and the Great Lake Association of Orthodontics. He is a life member of the American Association of Orthodontics, the ADA, the Michigan Dental Association, and the Oakland County Dental Society. Dr. Berger has a private practice in Birmingham, Michigan and resides in West Bloomfield. Dr. William J. Costello is a graduate from the University of Michigan School of Dentistry (1970 D.D.S.). He currently is the CEO of Accu Bite Dental, a member of the ADA Accredited Standards Committee, has authored several articles for various dental publications, has been a panelist on educational forums, and for the past three years has been the President of the Dental Dealers of America. Dr. William E. Brownscombe is a University of Michigan graduate (B.A. and 1974 D.D.S.). He has a private practice in general dentistry in St. Clair Shores. He is a member of the Macomb Dental Society, the Michigan Dental Association and the ADA and previously chaired three Michigan Dental Association committees. He resides in St. Clair Shores. Dr. Susan H. Carron is a graduate of the University of Michigan School of Dentistry (1977 D.D.S. and 1979 M.S.). She is a Diplomate of the American Board of Pediatric Dentistry, organized reunions for the dental class of 1977, a former clinical professor, and maintains a private practice in Novi, Michigan. She is a past president of the Michigan Academy of Pediatric Dentistry, western component of Detroit District Dental Society and the Detroit Alumni Chapter of Alpha Omega fraternity. Recently she Dr. Daniel N. Kreager is a graduate of Ferris State College of Pharmacy (1981) and a graduate from the University of Michigan School of Dentistry (1988). Since graduation from U-M, he has owned and operated a general dental practice in Warsaw, Indiana. He wants to be involved in shaping the direction the School of Dentistry and molding the minds of newly educated dentists. He believes the School of Dentistry’s Alumni Society Board of Governors would be a great place to start. Dr. Kreager resides in Warsaw, Indiana. Dr. W.R. (Ted) Kuball is a graduate of the University of Michigan School of Dentistry (1971 D.D.S.). After graduation he served two years in the Air Force as a dentist. During that time, he received additional training in a prosthetic dentistry residency at Randolph Air Force Base in San Antonio. He runs a general practice in St. Joseph, Michigan. He is a charter member of the American Association for Functional Orthodontics. He is a member and past president of the Lakeland Valley District Dental Society, a component of the Michigan and American Dental Associations. He is a member of the Academy of General Dentistry and received its Fellowship Award in 1995. Dr. Kuball resides in St. Joseph, Michigan. Dr. Walter Ormes is a graduate of the University of Michigan School of DentalUM Spring & Summer 2000 Please mark, clip, and mail Ballot for the Alumni Society Board of Governors Vote for four dentists: ____ Dr. Kamal Asgar Dentistry (1978 D.D.S.). He owned and operated a dental practice in Detroit (1979-1987) and is currently a regional dental director and clinician with the Michigan Department of Corrections. Dr. Ormes is actively involved in a mentoring program with inner city youths with developmental disabilities. He resides in East Grand Rapids, Michigan. Dr. Thomas Osborn is a graduate of the University of Michigan School of Dentistry (1968 D.D.S.) and has practiced oral and maxillofacial surgery in Bloomfield Hills for 25 years. He has served on numerous committees of the Oakland County Dental Society and been a delegate to the Michigan Dental Association House of Delegates. He was president of the Chalmers J. Lyons Academy of Oral and Maxillofacial Surgery, the Detroit Academy of Oral and Maxillofacial Surgery, the Michigan Society of Oral and Maxillofacial Surgery, and the American Association of Oral and Maxillofacial Surgeons. He is currently an adjunct associate professor with the U-M Department of Oral and Maxillofacial Surgery. Dr. Osborn resides in Birmingham, Michigan. Dr. Robert Rosema is a graduate of the University of Michigan School of Dentistry (1976 D.D.S.) and received his oral maxillofacial surgery certificate in 1980. He is a member of the ADA and component societies – AAOMS, MSOMS, C.J. Lyons Academy of OMS. He is currently director of the Grand Valley Dental Forum, Seattle Study Club Network, and ICOI. Dr. Rosema is a member of the National Registry of Who’s Who (Feb. 2000). He resides in Grand Rapids, Michigan. Dr. Frederic N. Smith is a graduate from the University of Michigan School of Dentistry (1966 D.D.S. and 1979 M.S. in periodontics). He was a part- time instructor at the U-M School of Dentistry (1970-1999). He currently has a periodontal practice in Livonia. He remains active despite retirement from DentalUM Spring & Summer 2000 teaching. Dr. Smith resides in Ann Arbor, Michigan. Dr. Terry A. Timm is a graduate of the University of Michigan (1964). He graduated from the University of Tennessee School of Dentistry and received his M.S. in orthodontics from the University of Michigan School of Dentistry (1971). After graduation he immediately began teaching in the Department of Orthodontics chaired by Dr. Major Ash. In May 1988 he accepted a position to teach graduate students in the Department of Orthodontics. Two years ago he retired from teaching to devote more time to his family. Dr. Timm resides in Saline, Michigan. Dr. Alizia Westfall is a graduate of the University of Michigan School of Dentistry (1996 D.D.S.). After further training in the U-M graduate restorative program, she remained in Ann Arbor to assume an established general practice. While caring for patients 30 hours a week, she also teaches two days in the undergraduate clinic. Dr. Westfall resides in Tecumseh, Michigan. Ms. Anne Diederich Gwozdek a graduate of the University of Michigan School of Dentistry (1973 D.H.) and a 1992 graduate from Madonna University. She has remained active in clinical practice since graduating from U-M. As current president of the Michigan Dental Hygienists’ Association, Anne has interacted with dental hygiene program directors, students, and members of the dental and dental hygiene profession. She resides in Ann Arbor, Michigan. ____ Dr. Joseph T. Barss ____ Dr. Michael M. Belenky ____ Dr. Eli Berger ____ Dr. William E. Brownscombe ____ Dr. Susan H. Carron ____ Dr. William J. Costello* ____ Dr. Daniel N. Kreager ____ Dr. W.R. (Ted) Kuball ____ Dr. Walter Ormes ____ Dr. Thomas Osborn ____ Dr. Robert Rosema ____ Dr. Frederic N. Smith ____ Dr. Terry A. Timm ____ Dr. Alizia Westfall Vote for one hygienist: ____ Anne Diederich Gwozdek * Current member seeking a second term. Envelope with ballot must be postmarked by 6/30/2000 University of Michigan School of Dentistry Office of Alumni Relations 1011 N. University Ann Arbor, Michigan 48109-1078 55 Honor Roll of Donors A Correction Per Kjeldsen We extend a sincere apology. Because of a software glitch, the following donors were not appropriately recognized in the 1998-1999 the School of Dentistry’s Honor Roll of Donors and Volunteers publication for their support of the Alpha Omega Student Forum. The donors are: Dr. Jeffrey Adler Dr. Gary Berman Holiday Giving Dr. Sanford Birnholtz Dr. George Feldman Dr. Bruce Luria S Dr. Harold Luria Dr. John David Marx Dr. Marvin Sonne Dr. Samuel Stulberg Dr. Jerome Superstine Dr. Jeffrey Weiss tudents, faculty, and staff made last year’s holiday season a little brighter for families in Washtenaw County. Kim Allain (left) and Debbie Stambaugh in grad ortho organized the School’s first Holiday Toy Drive and collected more than 100 new toys. The toys were distributed to area families and Safe House, a domestic violence shelter. Dr. Murray Yoffee C ORRECTION The picture on p. 38 of last fall’s DentalUM incorrectly identified the new residents in the Oral and Maxillofacial Surgery program. The picture showed Flora O’Campo and Andrew Abela, who completed the program last June. The two new residents who should have been pictured are those you see here – Kelly Cottrell and Jeff Wasielewski. 56 DentalUM Spring & Summer 2000 School of Dentistry and MDA Join Forces to Develop Business Education Program Per Kjeldsen n addition to acquiring the skills and scientific knowledge needed to properly treat patients, it is important dentists be well versed in financial, technical, and administrative matters. To help dentists in those areas, the U-M School of Dentistry and the Michigan Dental Association have created the Center for Practice Administration. The MDA recently presented a $20,000 check to Dean William Kotowicz to create the Center which is developing and offering a wide-ranging business education program for MDA members and their staffs. The program’s foundation is a series of continuing dental education courses known as Pathways to Productivity. Courses focus on topics critical to maintaining and growing a viable, productive dental practice. Courses are taught by Dr. Thomas Veryser, clinical associate professor in the Department of Cariology, Restorative Sciences, and Endodontics, and Dr. Thomas McLellan, adjunct assistant professor and MDA assistant executive director. Dean Kotowicz said, “The MDA’s support makes a difference as we strive for continued excellence in the on-going education of dental professionals.” McLellan said, “The unique alliance we have forged with the School of Dentistry will provide the MDA with the resources we need to help our members maintain healthy and productive practices.” The Center is also developing a CD-ROM business reference disk, workbooks, and other course materials. Dean William Kotowicz (second from left) receives a check from the Michigan Dental Association’s Thomas McLellan (third from left) to establish the Center for Practice Administration at the School of Dentistry. Director of the Center, Dr. Thomas Veryser (far left), and Dr. Brian Clarkson (far right), look on. DentalUM Spring & Summer 2000 57 DEPARTMENT UPDATE Periodontics, Prevention, Geriatrics Per Kjeldsen s I look at the department’s accomplishments over the past decade, I am extremely proud and excited to have been a part of its growth and development since my appointment in 1991. Dr. Martha Somerman, Chair 58 We have made great strides in all our activities – service, teaching, research and clinical programs. These developments position us to meet the challenges and opportunities ahead. We have also gained international recognition for our academic excellence and for our research achievements. We continue to take on significant new projects. These include studies targeted at improving the predictability of implants, improving oral health for all communities using evidence-based approaches for treating patients, developing better database profiles for our patients, enhancing our understanding of the relationship between periodontal disease and systemic conditions, and designing and implementing new outreach programs to reach underserved populations. Overview We have recruited a diverse faculty possessing expertise in all areas expected for an academic program. New faculty members include Drs. Stephen Meraw, David Sarment, and Scott Pelok. All are excellent teachers, strong clinicians, and bring independent research projects. [See biographies on pages 63 & 64.] Drs. Meraw and Sarment focus on clinical issues in periodontics. Dr. Pelok’s project is dental informatics. The talents of these individuals are important in advancing our research, providing new opportunities for our students, and improving the quality of patient care. Dr. Robert Eber recently moved from his position as one of four predoctoral directors in the vertically integrated clinics to assume research and teaching responsibilities in the graduate/predoctoral periodontics program. He did a superb job as a clinical director. At the biological level, we made significant advances last year toward understanding the nature and function of genes regulating mineralized tissues, including those of the periodontium. Our successes allow us to proceed with initial studies to reengineer oral-facial components. For educational programs with clinical relevance, with Dr. Marita Inglehart joining our department full time, we have developed strategies to strengthen our behavioral sciences programs to ensure the treatment plans developed are consistent with the best clinical interests of our patients. Our department also has developed new continuing education programs, including a one-day program on women’s health issues and a workshop on research and quality of life issues. [See p. 63, col. 2, last paragraph.] Our achievements are possible because of the efforts of many individuals who DentalUM Spring & Summer 2000 are the backbone of our department. They keep us on target, make sure we have the tools we need, and allow us to advance. Without them, our programs would not exist. On behalf of our faculty, I want to thank Alicia Baker, Jeffrey Bargeon, Jan Berry, Lisa Dodge, Andrew Fribley, Sandra Hahn, Brenda Hoelzer, Di Jiang, Amy Koh-Paige, Margaret Labadie, Mary Layher, Caroline Lee, Bonnie Loepke, Hetty Pate, Bev Sutton, Kristina Tejeda, Michelle Unterman-Mack, Barb Wolfgang, Dian Wang and Guozhi Xiao. I also want to thank our alumni/ ae. Once again, your energy and support have been instrumental in making our progress possible. With your continued involvement and help we can look forward with confidence to continued excellence throughout our department. Academics Predoctoral Periodontics This program continues to provide dental students with a broad exposure to science and theory and also offers significant practical experience. Students receive the tools they need to plan, coordinate, and deliver contemporary, biologically based, patient-centered periodontal care in a general practice setting. They also obtain a solid foundation in basic science to help them keep abreast of current developments and to adapt relevant new clinical procedures in their practices. DentalUM Spring & Summer 2000 To make their early classroom courses more meaningful, students are involved in direct patient care in clinics during their D1 year. Didactic learning opportunities are provided in case-based presentations. Seminars focusing on specific clinical topics complement the core academic curriculum so students can enhance their clinical skills. Concentrated classroom exposure to periodontics begins in the D2 year. Initial courses describing causes and management of periodontal diseases have been updated to reflect current knowledge about the strong connection between oral health and general health. In clinics, D2 students are assigned patient care families for whom they will provide care until graduation. The D3 curriculum includes an expanded, comprehensive discussion of the broad scope of periodontal treatment strategies. D3 and D4 students are required to provide complete periodontal care for patients in clinics. This includes developing and supervising preventive and maintenance regimens. Periodontal care is woven into dental care in the predoctoral clinics. In addition to formal clinical competency exams during the D2, D3, and D4 years, students are required to complete formal patient and self- assessments that involve the daily care of periodontal patients. Graduate Periodontics I encourage you to stop by to see our improved facilities in Room 1324. When we moved to the room last year, we purchased and installed 17 new dental chairs, and built and updated two surgical suites to enhance learning. At the clinical level, we have successfully introduced several new procedures including sinus lift, bone grafting (chin and ramus), and IV sedation. Students are also being trained for cross-disciplinary treatment approaches, especially in esthetic dentistry. Our three outstanding graduating seniors this year, Pintippa Bunyaratavej, Taylor Hoang and Kenneth Kimble, were each awarded the Sigurd P. Ramfjord Award for Excellence. Dr. Bunyaratavej remains at U-M to focus on clinical research with Dr. Wang and will return to Chiang Mai University in Thailand. Dr. Hoang and her husband Dr. Jeff Liu, who just completed graduate orthodontics at U-M, are returning to California to practice their respective specialties. Dr. Kimble, recently married Dr. Mozhgan Hajbandej, practices in Arizona with Dr. Mark Passell. Dr. Man-Young Soh, our only post- graduate this year, has returned to his private dental clinic in Korea after spending two years with us. New Class The class that joined us last fall is impressive. Jeffrey Korsnes, who graduated from U-M in 1988, spent nine years in the U. S. Navy. In private general 59 practice since 1997, he is the husband of Maria Korsnes (’98). Paulo Mascarenhas L opez, from Portugal, received his dental education at the Faculdade de Lisboa da Universidade de Lisboa, graduating in 1997. Rodrigo Neiva, a 1997 graduate of the Univali Itajai/PR/Brazil, was in private practice for a year before coming here. Allan D. Padbury, Jr., a 1998 U-M graduate, is the son of alumnus Allan Padbury (’68). During his undergraduate training at the Laboratories for Restoration of Oral Health, the younger Dr. Padbury conducted research investigating parathyroid hormone effects on secondary messenger systems in osteoblastic cells. Manal Trabulsi, who graduated from King Saud University in Saudi Arabia in 1994, completed an AEGD program at Tufts University and a GPR program at Harvard before joining the Aramco Dental Services in 1997. Several other dentists from different parts of the world have joined us for a one-year experience in graduate periodontics. While we offer dentists an opportunity to acquire knowledge in periodontics and other disciplines, we benefit from their past experiences. They include Ricardo Gapski, Yi-Hao Huang, Nanhee Im, Keita Ishiwata, Ilwoong Koh, Do Yang Park, and Ali-Reza Givehchian. 60 Other Changes In January, Dr. Henry Temple agreed to become a Vertical Integrated Clinic director. Congratulations to Dr. Nivedita Kumar, a 1997 graduate of our program and part-time faculty, and to Dr. Jeffery Johnston, a 1986 graduate and Dean’s Faculty. Both recently passed the American Academy of Periodontology examination and are now Board Certified Diplomats. Dr. Nancy Chang, visiting professor from Taiwan, joined the faculty for one year and will help during Dr. Wang’s six-month sabbatical that began in April. Dr. Wang is at the University of Berne (Switzerland) conducting research with Professor Klaus Lang, a 1975 graduate of our program. Dr. Manabu Morita, visiting researcher from Japan, has joined our department for 10 months to work on a project involved with oral malodor. Drs. Stephen Soehren and Clifford Thomas continue to teach two days a week and one day a week, respectively. We also have a group of talented and loyal alumni and private practitioners who have donated their time and expertise to the graduate clinic. Teaching on a weekly or monthly basis are Drs. Michael Baity, William Carroll, R. Craig Diederich, Phillip Doyle, Nicholas Gersch, Roger Hill, Salah Huwais, Jeffery Johnston, Carl Misch, Allan Padbury, Douglas Sweeney, and Patrick Sweeney. Over 60 alumni/ae practitioners shared their practice knowledge with our enthusiastic students during Monday seminars and Wednesday night case conferences. We appreciate their support and dedication. Dental Hygiene As noted elsewhere throughout this issue of DentalUM, our dental hygienist students and faculty are involved in a multitude of community outreach programs. As the story on p. 28 notes, during the 1998- 1999 academic year, dental hygiene students collectively served more than 3,500 hours in outreach programs at local, state, and national levels. New Program Our dental hygienists have new opportunities to be more involved in clinics. One opportunity, a joint program for dental and hygiene students, prepares students for pediatric dental experiences, enhances the dental student’s awareness of the hygienist’s role, and provides additional clinical experience. Supervised by dental hygiene and pediatric dentistr y faculty, students provide preventive care in the pediatric dentistry clinic. Junior and senior dental hygiene students are paired with sophomore dental students. During the first day of these two-day clinics, the hygiene student is the clinician with the dental student assisting. The next day the roles are reversed. Response to this program is positive. The most frequent suggestion is for “more rotation times.” DentalUM Spring & Summer 2000 M-Dent Another opportunity finds senior dental hygiene students participating in the School’s M-Dent program, a dental insurance program available to all U-M students. For an annual fee, participants can receive comprehensive preventive services (prophylaxis, exam, fluoride, sealants, and radiographs) and some restorative and emergency procedures. Dental hygienist Carla Harrel and Drs. David Jacobson, Vernon Rife, and Juan Johnson staff the program. Dental Informatics The School’s dental informatics Web site offers information about research, teaching, and service as well as U-M alumni features. Students can access course syllabi, lecture notes, and assignments. Course files containing audio, video, slides, and quizzes can also be retrieved. Faculty members who do not have programming knowledge can use templates to insert their course material for inclusion on the Web site. The dental informatics group is assisting faculty in other departments developing Web-based teaching materials. New technology enables courses to be presented anywhere to anyone who has Web access. This year, as part of Information Management Issues of Dentistry (Course 815), seniors are required to access educational material, including digital video and illustrated lectures, from the Web. DentalUM Spring & Summer 2000 Dr. Scott Pelok, who took over Webmaster duties last spring, is the webmaster of our Web site (www.dent.umich.edu), the dental informatics servers (informatics.dent. umich.edu), and our intranet. He is also helping to create a digital library that will allow faculty and students to access information from their homes, offices, or any location with Web access. Community Outreach As prominently noted throughout this issue, our dental and dental hygiene students are involved in a multitude of programs that help the underserved. Research Department Research Priorities Our researchers continue to focus their efforts in three areas – basic science, clinical periodontics, and health promotion research. The department continues to be a major center for mineralized and soft tissue research at U-M and is committed to translating basic science discoveries into clinical practice whenever possible. Priority 1 – Basic Science. To understand mechanisms controlling the formation, regeneration, and repair of oral hard and soft tissues with emphasis on those tissues important for periodontal healing such as bone, periodontal ligament, and cementum. Our research focuses on understanding the basic mechanisms involved in the repair and regeneration of bone and cementum. Some of the faculty members listed below belong to the newly established Center for Biorestoration of Oral Health (CBOH), a School resource dedicated to developing novel therapies to regenerate oral mineralized tissues. One theme is comparing genetic control mechanisms shown to be important in bone formation by Dr. Franceschi’s laboratory with those of the highly related cells that produce cementum. Experiments are using homogeneous cementoblast cell lines developed in Dr. Somerman’s laboratory and regulatory regions of the bone sialoprotein gene identified by Dr. Franceschi’s group. These studies will provide important new information about the control of cementoblast development. A second area of shared interest involves using gene therapy to stimulate the regeneration of periodontal and other oral tissues. The general approach uses viral and other vectors to deliver genes encoding growth factors and/ or morphogens (molecules that stimulate cell differentiation) to tissue sites requiring regeneration. Dr. Franceschi’s laboratory…in collaboration with Dr. Rutherford in the Department of Cariology, Restorative Sciences, and Endodontics and Dr. Krebsbach in the Department of Oral Medicine, Pathology, and Oncology…has developed viral vectors capable of inducing the synthesis of bone morphogenetic 61 proteins. These vectors can also be used to repair cranial defects. Similar approaches are being developed by Drs. Giannobile and Somerman, using bone morpho- genetic proteins and growth factors to stimulate periodontal regeneration. Taking a slightly different approach, Dr. McCauley’s laboratory is using the direct delivery of DNA encoding regenerative molecules to stimulate mandibular regeneration. In molecular diagnostics, Dr. Giannobile’s group is exploring the use of specific bone markers as tools to measure active bone loss in patients with periodontal and peri-implant disease. Dr. McCauley’s laboratory, which has been investigating the mechanism of action of parathyroid hormone-related protein for several years, recently demonstrated this molecule plays an important role in the metastasis of prostate tumors to bone. Recently, her group initiated a new project to explore the role of selective estrogen receptor modifiers (SERMs) in bone formation using a transgenic mouse model. Dr. Taichman’s laboratory continues to examine interactions between hematopoeitic and osteogenic cells. He and Dr. Krebsbach are also exploring using marrow stromal cells as agents for bone regeneration. Priority 2 – Clinical Periodontics. To apply discoveries in the basic sciences relating to the repair, regeneration, and healing of oral 62 tissues to the clinical arena, and to evaluate the efficacy of specific treatment modalities. Consistent with our mission to apply recent discoveries on the cellular and molecular mechanisms of bone and cementum formation in clinics, faculty members have been involved in several clinical research projects designed to improve treatment of periodontal disease. Drs. Somerman and Giannobile are testing the efficacy of specific growth factor delivery systems in stimulating periodontal regeneration in a rat periodontal defect model. A resorbable collagen membrane has been successfully used as an alternative to tissue grafts in clinical root coverage procedures (Drs. Wang and Eber). As noted earlier, as part of the CBOH, gene therapy approaches are being developed to deliver specific growth factors/morphogens to sites of periodontal healing. These and related approaches are anticipated to improve the natural regenerative response to make possible tooth retention, even in patients diagnosed with severe periodontal disease and bone loss. Drs. Sarment and Meraw are establishing a center that will focus on optimizing implant procedures using animal models. Studies are also underway to confirm data suggesting relationships between oral diseases and systemic diseases and to identify new links between oral and systemic pathologies. Priority 3 – Health Promotion Research. To define psychosocial, dietary, systemic, and behavioral risk factors for periodontal and other oral diseases, to develop ways to enhance dental health care delivery and outcomes. Dr. Inglehart is part of an interdisciplinary team (principal investigator Dr. Walter Loesche) which is exploring the oral health of older adults. As a behavioral scientist she is interested in understanding how the effects of psychosocial factors, such as stress and coping, affect oral health. Longitudinal data from over 600 older adults show a clear relationship between the amount of stress they experience, their perceived oral health, and the quality of their oral health. Drs. Wenche Borgnakke and Scott Pelok are exploring the use of the Internet to disseminate research findings to practicing dental professionals. Changes in knowledge, attitudes, and behaviors of participating dentists are being evaluated to increase our understanding of how dental professionals acquire and use information. They are also looking at how dentists use Internet-based information resources. Internet- based educational programs for teaching students are also in place. Courses taught by Dr. Phil Richards have been highly praised. DentalUM Spring & Summer 2000 Continuing Dental Education Dr. Bob Eber stepped down a s d i re c t o r t o a s s u m e o t h e r responsibilities. His commitment to the standards of pertinent, diverse, high-quality programs will be maintained under the leadership of our new director, Dr. Stephen Meraw. The past year saw many of our highly-popular programs continued and the launching of several exciting new ones. The third Sigurd Ramfjord Symposium held last fall was well received. The favorable reaction to the program, Integration of Biologic Science with the Clinical Arena, with presentations by Drs. Lorne Golub and Maurizio Tonetti, reflected the hard work of Dr. Russ Taichman. The Periodontal Therapy I-IV series remains a mainstay of the periodontal CE program. Because of the great interest in Courses I and II, we will continue to offer these courses annually. Course I is an overview of contemporary periodontal treatment in the general dental office. Course II examines new diagnostic aides, the role of occlusion in periodontal health and disease, and the interrelationship of systemic diseases with periodontal diseases. Advanced surgical courses, Periodontal Therapy III and IV, will be presented every other year. Dr. Marita Inglehart received outstanding reviews for her course, Interactions with Difficult Patients and Dental Patients with Mental Disorders. Upcoming courses include the ever-popular Helping Patients Become Tobacco Free (June 7 th ), and Ultrasonic Instrumentation (August 10 th ). We will offer new courses that capitalize on diverse talents of our faculty. One example, Symposium on Women & Oral Health, to be held July 15 th , is a national program focusing on the latest research and treatment recommendations concerning female patients. Several nationally renowned experts will participate. Dr. Meraw will direct this program. Funding Sources for Research Grants/Contracts 7/98 - 6/99 New Faculty Stephen J. Meraw, D.D.S., M.S., joined the department last July as an assistant p r o f e s s o r. H e received his dental d e g re e f ro m t h e University of Detroit Mercy in 1995 and completed a general practice residency at the Johns Hopkins Hospital in 1996. Afterwards, he entered a combined periodontics residency and master’s program at the Mayo Clinic and Mayo Graduate School of Medicine and received a certificate in periodontology and his master’s degree in biomedical sciences in 1999. Dr. Meraw has clinical and didactic responsibilities in the predoctoral dental and graduate programs. His research interest is in dental implants and peri-implant osseous healing. He was recently named the recipient of the Dr. and Mrs. Gerald M. Kramer Scholarship for Excellence Award by the Direct Costs Awarded Per Year NIH Corporations Non-profit Agencies Direct Costs Indirect Costs Univ/Research Ctr. 11% 11% 49% 29% 1992 Fig. 1 DentalUM Spring & Summer 2000 1993 FY 1998-99 Fig. 2 63 Making Our American Academy of Periodontology Foundation for his excellence in service, academic achievement, and clinical practice. David Sarment, D.D.S., M.S., joined us as a clinical assistant professor last August. He received his D.D.S. from the University of Paris in 1994. He obtained degrees in periodontics, periodontal prosthesis, and a master’s degree in oral biology from the University of Pennsylvania. Dr. Sarment received the Veterans Affairs Dental Research Fellowship in 1998 for his research on proteases. His work, involving clinical and animal research, focuses on dental implants and esthetic issues in periodontics. Dr. Sarment teaches both dental and graduate students, with a special interest in comprehensive treatment planning and execution of advanced cases. Scott Pelok, D.D.S., M.S., a clinical assistant professor, joined the faculty in March 1999. He received his dental degree from Ohio State University in 1994 and completed an AEGD residency at U-M in 1995. Dr. Pelok earned a master’s degree in biology for work with electron microscopy and image analysis. After several years in private practice, he returned here full time to assume responsibility for the School’s primary and dental informatics Web sites. Dr. Pelok, who has a split appointment with the Department of Biologic and Materials Sciences, teaches prosthodontics in predoctoral dental clinics. He also lectures on informational aspects and societal issues of dentistry. Marita Inglehart, Ph.D., became a full-time member of the department last fall as an associate professor. During the previous six years, she spent half of her time at the dental school teaching behavioral sciences and participating in research and service activities. Dr. Inglehart received her Ph.D. in psychology from the University of Mannheim in the former West Germany. She joined the U-M Department of Psychology as a visiting assistant professor in the fall of 1983, continued as an adjunct assistant professor, and then an associate professor of psychology. Dr. Inglehart teaches behavioral science courses at the undergraduate level at the School of Dentistry and assists with several other undergraduate and graduate programs. She is responsible for developing educational programs to improve the quality of service our patients receive. Her research focuses on the role of psychosocial factors of oral health, oral health related quality of life issues, and oral health promotion. She was the primary author on two papers that won the Best New Program in Dental Education Award from AADS in 1995 and in 1999. 64 e continue to make sure our efforts and the School’s are recognized. The list below offers a glimpse of faculty presentations and achievements. In addition, to provide a snapshot of the range and scope of our research activities, our funding resources and support are summarized in Fig. 1 and Fig. 2 on page 63. If you would like detailed information on specific-funded research projects, please contact Pat Schultz in our research office or visit our Web site. Renny Franceschi: Regulation of Osteoblast-Specific Gene Expression: Role of the Extracellular Matrix and BMPs. Department of Periodon- tology and Oral Biology, Boston University, Goldman School of Dental Medicine. William Giannobile: Participant and co-moderator for the NIH/ NIDCR sponsored workshop, Development of New Technologies for Saliva and Other Oral Fluid-based Diagnostics. DentalUM Spring & & Summer 2000 Spring Summer 2000 Honors & Awards selves Heard Laurie McCauley: Anabolic Agents in Bone: Basic Science for Clinical Practice, Ohio State University, 50 th Anniversary Celebration of the Graduate Periodontics program. Joan McGowan: The Role of the Dental Hygienist in Tobacco Cessation, Hadassah School of Dental Medicine, Hebrew University, Jerusalem. Phil Richards: Lecture, Periodontal Chemotherapy: Are We There Yet?, Muskegon County Dental Society, Muskegon, Michigan. Martha Somerman: Wound Healing- Biological Concepts with Impact on Periodontal Regeneration. Evolution of Periodontal Regener-ation: From the Roots’ Point of View. The 11 th International Conference on Periodontal Research, Göteborg, Sweden. Hom-L ay Wang: Periodontal Therapy Enhanced Esthetic Outcomes (keynote speaker), First Thai International Convention of Periodontology, Bangkok. Robert Bagramian: Recipient, American Dental Association/ Colgate Award for Service to Society and the Profession, annual ADA meeting; recipient, Annual Award for Community Service, University of Michigan from the Michigan Campus Compact. William Giannobile: Elected to the Research Submissions Committee, American Academy of Periodontology. Laurie McCauley: Elected to the Professional Practice Committee, American Society for Bone and Mineral Research, 1999-2002. Joan McGowan: Reappointed (three-year term) as curriculum consultant to the Commission on Dental Accreditation, American Dental Association. Steve Meraw: Recipient, Dr. and Mrs. Gerald Kramer Scholarship Award for Excellence. Third place Saul Kamen Award American Society for Geriatric Dentistry, an annual award for original scientific contributions regarding oral health in the elderly. Susan Pritzel: Elected to the School of Dentistry’s Alumni Society Board of Governors (three-year term); appointed to Search Committee for the Director of the Office of Student Conflict Resolution for the University (Office of Vice President for Student Affairs); treasurer, Washtenaw District Dental Hygienists’ Society, and a delegate to their state house meeting. Phil Richards: Dr. Paul Gibbons Award from U-M School of Dentistry Dental Class of 1999 for outstanding educational contributions during four years of dental school. He has received this award for six consecutive years. Martha Somerman: Editorial board, Journal of Periodontology; elected Vice President, American Association for Dental Research. Hom-Lay Wang: Elected (three-year term) to Executive Council of the Midwest Society of Periodontology; appointed program chair, Midwest Society of Periodontology 2000 annual meeting; 3 rd place table clinic, American Academy of Implant Dentistry, 48 th annual meeting. Marilyn Woolfolk: Chair, American Association of Dental Schools’ Minority Affairs Advisory Committee (1999-2001); appointed, President’s Council of Cornell Women (1999-2002); first place award, Best New Educational Program, American Association of Dental Schools Oral Competition: Creating motivation for dental school – a systematic approach to the recruitment of disadvantaged students. (With Inglehart, Tedesco and others). DentalUM Spring & Summer 2000 DentalUM Spring Summer 2000 65 65 DENTAL HYGIENE Editor’s note: In an on-going effort to better serve our readers, this issue introduces you to a new feature, Dental Hygiene. This feature, which will be a part of future issues, highlights some of the activities of dental hygiene graduates. Homecoming September 8 The annual homecoming banquet of the Dental Hygienist’s Alumnae Association will be held at Weber’s Inn Friday, September 8. The reception begins at 6:30 p.m.; the dinner at 7:00. All U-M dental hygiene alumnae and their guests are welcome to attend. Hygienists who graduated in years ending in 0 and 5 will be honored at this year’s event. Plan to attend…and invite a former classmate! It will be an opportunity to catch up with your fellow U-M dental hygiene alums. You can choose from a dinner entrée of chicken or fish. A vegetarian option is also available. Tickets are $27 per person with cash bar. The deadline to make reservations is August 1. Please contact Debbie Montague at the U-M School of Dentistry, 1011 N. University, Room 1204, Ann Arbor, MI 48109-1078. Or phone (734) 764-6856. You may also send an e-mail: dmont@umich.edu. You will be asked to give your name and year of graduation. Please make your check payable to the Dental Hygienist Alumnae Association. Join the DHAA Board The Dental Hygienist Alumnae Association (DHAA) asks you to consider serving on its executive board. In addition to arranging homecoming activities (see previous story), the DHAA stays current on dental hygiene issues at the School of Dentistry and sponsors various functions for DH students. The DHAA also selects the outstanding DH alum and contributes important information to DentalUM readers. DHAA meetings are held quarterly, generally at the School of Dentistry. For more information, please contact Wendy Kerschbaum at the U-M School of Dentistry. 66 Members of the DHAA executive board are: Terms expire 2000 Janet Cook, ’81 Juana Gissendanner, ’88 (President) Jennifer Schade, ’88 (Secretary) Barbara Weid, ’66 Terms expire 2001 Angela S. Daniel, ’81 (Treasurer) Lisa Moyers, ’92 Linda M. Gray Whalen, ’81 RDH, ’92 BS Candy Maxwell, ’99 Terms expire 2002 Donna Davis, ’73 Kathleen Early-Burk, ’77 Barb Kolling, ’83 Alita Marlowe, ’81 Call for Nominations – Outstanding DH Alumni The U-M Dental Hygienists Alumnae Association would like to recognize alumni who have contributed significantly to the dental hygiene profession — in the practice of dental hygiene, education, research, or professional associations. Outstanding alumni are named by the DHAA board. Candidates must have been in the profession at least 30 years. If you have a person in mind, please provide some background information about that person demonstrating their qualifications for this honor. Send the information to Wendy Kerschbaum at the U-M School of Dentistry. Dues Notice Have you renewed your DHAA dues? Dues are $15 annually or $150 lifetime. Please make checks payable to the University of Michigan Dental Hygienists Alumnae Association and mail to Wendy Kerschbaum at the School of Dentistry. DentalUM Spring & Summer 2000 Faculty NEWS RETIRING FACULTY – Richard Zillich, Sally Holden, Charles Kelsey, Frederic Smith 122 years. Photo courtesy of Dr. Richard Zillich Collectively, that was the duration of the teaching careers of Richard Zillich, Sally Holden, Charles Kelsey, and Frederic Smith. The four retired last year following distinguished careers. Each has fond memories of their time here. As for what they plan to do with their newly found “free time,” some will pursue new interests. Others see retirement as a plan to continue delving into life-long pastimes. Richard Zillich Will Dr. Richard Zillich apply his knowledge of endodontics overseas during his retirement? Only time will tell. But a two-week trip he took last summer to Bosnia with his wife, Monica, and son, Chad, left an indelible impression. “We went there to help and also had an opportunity to see a youth we were guardians for while he was here in Ann Arbor,” Dr. Zillich said. Although he did not hear gunfire, Dr. Zillich said his family traveled to some areas to see some of the destruction and help some of the war victims. In Medjugorie, Dr. Zillich performed general dentistry, endodontic procedures, and removed some teeth. His wife, a hygienist who graduated from U-M in 1970, assisted, cleaning teeth and educating patients in oral procedures. “Our son, Chad, was a bit apprehensive initially, but really came through as our assistant and instrument sterilizer,” he said. “Maybe that will spark a career in a health profession.” The Zillich family also visited refugee camps. For his son, the saddest part was seeing four generations living in one room as he distributed food to needy families. At one camp families lived in old railroad cars. “We gave them some coffee, which was a real treat for them,” Dr. Zillich said. “As their only way of communicating and giving thanks they gave us hugs.” DentalUM Spring & Summer 2000 Dr. Richard Zillich works in a clinical lab in Medjugorie, Bosnia. Dr. Zillich earned his dental degree from the U-M School of Dentistry in 1970 and joined the faculty the same year as a clinical instructor in operative dentistry and endodontics. In 1973, he received his master’s degree in endodontics, was appointed assistant professor in 1976, associate professor in 1982, and professor in 1987, and professor emeritus last year. Reflecting on his career, Dr. Zillich said several peers including Ray Hayes, John Corcoran, and Bob Ellison played an important part in his success. “I’m going to miss the camaraderie I shared with them and others, including the Heys brothers, Pete Yaman, and the support staff,” he said. Dr. Zillich provided both didactic and clinical instruction to predoctoral, graduate, and postgraduate students; developed several teaching manuals on endodontics for the School of Dentistry; served as a member of several committees; and was a member or chaired several master’s thesis committees. In 1970, he was selected for the Ralph Sommer and American Association of Endodontists Award for Proficiency in Endodontics. Dr. Zillich received the Instructor of the Year Award in 1989, 1991, and 1996. 67 Faculty NEWS Sally Holden Sally Holden will spend a lot of time during her retirement going through boxes of materials accumulated during her 30- year career. “There’s quite a bit,” she said with a laugh. “I’ll be reviewing, editing, and pitching items I will no longer use,” she said. However, some home remodeling, gardening, sewing, and “reading books I haven’t had time to read will also occupy my time.” After receiving her dental hygiene degree in 1955, Sally Holden returned to Colorado to work with the Denver public schools for two years as a dental hygienist. She earned a bachelor’s degree in 1965, a master’s degree from U-M in 1970, and a certificate in dental auxiliary faculty training in 1977 from the University of Washington. She joined the U-M as a research associate in 1969, became an instructor two years later, and was named an associate professor in 1977. Professor Holden said she will miss the day-to-day interaction with the students. “They certainly kept me on my toes and enthusiastic,” she said. One of her fondest memories was a 1969 trip to Aswan, Egypt as a member of the Nubian expedition directed by Dr. Jim Harris. “We went to investigate the oral health of the Nubians in Ballana. There were few incidents of caries among this population. “But once sugar cane was brought into the area in an effort to boost the economy, caries were rampant.” Professor Holden, who also mentored students at the U-M School of Nursing and at Kalamazoo College, is proud of publishing two workbooks for the School of Dentistry. “Dr. Richard Charlick and I, with the help of Educational Resources, developed a Dental Anatomy Workbook, published in 1974. I revised it in 1993 and it is still being used,” she said. The workbook was part of a pilot project in dentistry. “It was a success because other workbooks were published in subsequent years that were modeled after ours.” 68 In 1985, she published Head and Neck Anatomy, a 400-page workbook. “Since I authored this myself, it was a different challenge,” she said. It was revised in 1995. Professor Holden has served as a consultant to the Michigan State Board of Dental Examiners, the Michigan Dental Hygienist Association, and the New York Public Health Department (Buffalo). She has also been active in organized dentistry as a member of the Michigan Registered Dental Assistant Examination Committee since 1978 and holds professional memberships in the American and Michigan Dental Hygienists’ Associations and the Michigan Association of Dental Hygiene Educators. Charles Kelsey “Since my retirement, I have spent long hours in my study at home learning more about my literary hero, Mark Twain,” said Dr. Charles Kelsey. “Now that I have retired, I continue to devote even more time to that pursuit.” As a long-time Samuel Clemens aficionado, Dr. Kelsey’s study contains an extensive collection of rare books, pamphlets, and artifacts that focus on what he calls “the country’s greatest literary genius.” Dr. Kelsey has self- published several books, the latest a facsimile by Twain entitled, English As She Is Taught. Dr. Kelsey’s 35-year career at the School of Dentistry began in 1964, the year he earned his dental degree from the U-M School of Dentistry, when he joined the faculty as a clinical instructor. In 1967, he earned his M.S. degree in prosthodontics and was appointed assistant professor. Dr. Kelsey was a leader in the department’s teaching and clinical activities at the predoctoral and graduate levels and in the continuing education programs. When Dr. William Mann, the Dean of the School at that time, asked him to photograph and document changes as the new building was being planned in 1969, Dr. Kelsey became known as “the School’s historian.” He was also DentalUM Spring & Summer 2000 named editor of the School’s Alumni Bulletin. During his tenure, Dr. Kelsey was elected to serve two terms on the School’s e xe c u t i v e committee, and was a member of the graduate studies and ad- mission com- mittees. He also chaired the library committee and was an integral part of the Gordon H. Sindecuse Museum of Dentistry committee during its development. At the University level, he was a member of the Senate Assembly (1973-1976), served as secretary to the Senate Assembly (1979-1982), and was appointed to the Senate Advisory Committee on University Affairs, the Library Council, and the Civil Liberties Board. Dr. Kelsey became a Diplomate of the American Board of Prosthodontics and received his State of Michigan certification in prosthodontics in 1982. He maintained memberships in the American Association of University Professors, the American Association of Dental Schools, the American Association of Dental Editors, and several other dental organizations and honorary societies. Frederic Smith “After many years at the School of Dentistry, it’s difficult to pick out one or two ‘shining moments’ that were the most memorable,” Dr. Frederic Smith said. “But my most gratifying experiences probably occurred during my interactions with many DentalUM Spring & Summer 2000 graduate students during the last part of my teaching career.” Dr. Smith, who earned his D.D.S. from the School of Dentistry in 1966, is also proud of the contributions his class has made to the School citing Drs. William Kotowicz, Dennis Turner, John Lilly, and George Upton who have been on the staff for many years. Prior to dental school, Dr. Smith graduated with a bachelor’s degree in aeronautical engineering in 1958. Asked what prompted the switch to dentistry, he said, “I was influenced by a ship’s dentist while in the Navy and was looking for an opportunity to be my own boss.” After earning his dental degree, Dr. Smith received a master’s in periodontics in 1971 and a Ph.D. in pathology in 1972. He joined the U-M faculty in 1971 as a lecturer, was appointed assistant professor a year later, was named an associate professor in 1975, and professor in 1979. Dr. Smith was acting department chair of periodontics in 1975 and acting director of the graduate periodontics program in 1993. In 1976, he launched a private practice in periodontics and reduced his professorial appointment to half time in 1980. Noting that he continues to work four days a week at his offices in Livonia and Brighton, Dr. Smith said, “I plan to take more time off to travel and enjoy a more relaxed schedule. But since I still enjoy private practice, I’m not ready to hang it up just yet.” Dr. Smith served the School as a member of the executive, library, and curriculum committees. He has been active in organized dentistry with committee assignments locally and nationally. He has published several articles in juried journals. Dr. Smith has been a member of the ADA, MDA, Washtenaw District Dental Society, American Academy of Periodontology, the Western and Midwestern Societies of Periodontology, a n d t h e M i c h i g a n Pe r i o d o n t a l Association. 69 VETERANS HONORED Dr. Emerson Robinson Receives Ida Gray Award Staff Members Lead Program he School of Dentistry has not forgotten the nation’s veterans. Those who served their country in the armed forces during the past 50 years, including a dozen current and former faculty members, were honored during a Veterans’ Day program last fall in the Faculty Alumni Lounge. The program was organized by Joan Shores, manager of clinic support services. Diane McFarland, Cara Voss, Cathy Kraus, and Tina Pryor provided entertainment. Dressed as Rosie the Riveter, they paid tribute to veterans in a program that featured music from eras past and a retrospective look at language, technology, and lifestyle changes that occurred, such as women entering the workforce. Dressed as Rosie the Riveter (front row, left to right) Tina Pryor, Diane McFarland, Cara Voss, and Cathy Kraus paid tribute last fall to veterans who served their country, including some from the School of Dentistry. Per Kjeldsen Per Kjeldsen he School of Dentistry was among the schools and colleges on the U-M campus celebrating Martin Luther King Jr. Day earlier this year. About 90 students, faculty, and staff attended the School’s program which included performances by a choir and stringed quartet, remarks by Dean William Kotowicz, and the presentation of the Ida Gray Award to Dr. Emerson Robinson. Dean Kotowicz reaffirmed support for the University’s defense of affirmative action, and stressed the importance of diversity to the University and the School of Dentistry. Dr. Robinson, interim director of minority affairs at the School of Dentistry from 1997- 1999, said he was “overwhelmed to receive this award.” He emphasized the importance of “working together, not just for minority students, but for all students.” Dr. Gray was the first black woman to graduate from the U-M School of Dentistry, the first black woman in the country to earn a D.D.S. degree, and the first black woman to practice dentistry in Chicago. Previous recipients of the award include Drs. Marita Inglehart and Lisa Tedesco. 70 DentalUM Spring & Summer 2000 Alumni News Dr. Joseph Marceau Honored by Vermont Legislature ’38 Grad Retires After 61-year Career hat do you say to someone who… • Was one of only seven dentists licensed to practice in Vermont in 1938… • Helped establish a school for dental hygienists… • Traveled across the state distributing toothbrushes and educating youngsters on the importance of fighting tooth decay… • Succeeded in convincing communities to introduce fluoridation into their water systems… • Created the “Tooth Fairy program” which paid for oral health care of the state’s children… • Taught himself to fly so he could treat his patients? Thank you…and more. Dr. Joseph Edward Marceau (D.D.S. ’38) was recently honored by the State of Vermont’s legislature congratulating him “on the completion of an extraordinary career that has profoundly improved the dental health of Vermonters.” After receiving his dental degree from the U-M School of Dentistry, Dr. Marceau volunteered to serve as an Army dentist in World War II. He returned to the U-M and received a master’s degree in orthodontics in 1946. After returning to Vermont, Dr. Marceau relocated his dental practice to Burlington. In the words of the resolution, “Dr. Marceau, quickly recognizing Vermonters’ teeth were badly neglected, was motivated to lead a spirited crusade for improved dental care.” Now 88-years-old, Dr. Marceau and his wife, Jacqueline, tend their 1,400-tree apple orchard in South Burlington they have been cultivating for 30 years. “My dad said his goal was to put himself out of business,” said daughter, Michelle (U-M, Ph.D., biochemistry ’88), “but, that was probably the only thing he never got around to doing.” Photo courtesy of Michelle Marceau Dr. Joseph Marceau and some of his patients in his office in Winooski, Vermont DentalUM Spring & Summer 2000 DentalUM Spring Summer 2000 71 71 Alumni News Silent Bell Award Presented to Dr. Arnold Baker and Dr. Robert Mitus The West Michigan District Dental Society presented its annual Distinguished Service Award, also known as the Silent Bell Award, to two U-M School of Dentistry alumni late last year. Dr. Robert Mitus Dr. Arnold Baker D r. A r n o l d B a k e r, o f Hol l and , w as hon ore d for his contributions to the profession and the community. Dr. Baker earned his D.D.S. in 1968 and his master’s degree in fixed prosthodontics in 1976. He became a clinical instructor at the School of Dentistry in 1971 and was named an adjunct assistant professor in 1976. A member of the Michigan Dental Association since 1977, Dr. Baker has served in several leadership positions, including a term as MDA president (1995-1996) and chair (1991-1997). He has also been active in the West Michigan Dental Society for more than twenty years and was the organization’s president in 1985. Dr. Baker has also held several leadership positions with the American Dental Association including chair of the continuing education registration program (1997-1999), co-chair of the special committee on minority recruitment and retention (1998 to present), and chair of the Midstates Conference of Dental Leaders (1995). Dr. Baker ser ved on the School of Dentistry’s Alumni Visiting Committee (1987- 1990). 72 72 Dr. Robert Mitus, who earned his dental degree from the U-M School of Dentistry in 1978, was honored for what he gave to his family, his profession, and his community. Dr. Mitus was a member of the ADA, the MDA, and the West Michigan District Dental Society (WMDDS). As president of the WMDDS (1995-1996), he implemented a strategic plan that allowed members to have a direct say in the organization’s priorities. Active in civic groups, including the American Cancer Society, North Grand Rapids Rotary Club, and his church, Dr. Mitus was also a Fellow in the American College of Dentists and in the Academy of General Dentistry. Dr. Mitus succumbed to cancer last June at age 47. Before his death, he was aware he would receive the award. His wife, Brenda, accepted the award while his son, Robert, and daughters, Erin and Amy, looked on. DentalUM Spring & & Summer 2000 Spring Summer 2000 Brian Klym (D.D.S. ’96), received a fellowship from the International Congress of Oral Implantologists last February in New Orleans. One month later, he was named to a two-year term as president-elect of the Resort District Dental Society in Traverse City, Michigan. Dr. Klym, who established his dental practice in Glen Arbor, Michigan, in January 1998, is also the father of a two-year-old son, Patrick. After practicing dentistry in Grand Rapids, Michigan, for three years, Deric A. Lembree (D.D.S. ’95), purchased a dental practice last August in Livonia, Michigan. Dr. Lembree, who was in the School’s AEGD program in 1996, is practicing general and cosmetic dentistry. Marvin Strohschein, Jr., (D.D.S. ’96), is now an assistant professor at the University of New Mexico Health Sciences Center in Albuquerque. Before taking the position, he served for three years with the Indian Health Service. Celeste Abraham (M.S. ’91), recently became an adjunct faculty member teaching pharmacology at Texas Woman’s University in Denton. Also an adjunct faculty member at Collin County Community College in McKinney, Texas, Dr. Abraham has been teaching pharmacology and oral pathology since 1998. She also teaches periodontal histopathology at the Baylor College of Dentistry in Dallas and is a fellow in the Stomatology/Oral Medicine clinic. Anthony Bielkie (D.D.S. ’91), was recently elected to a one-year term as vice president of the Michigan Academy of General Dentistry. He was a member of the House of Delegates from 1996-1999, has served on numerous committees, and has been the public information officer for the Academy since 1995. Dr. Bielkie was recently appointed to the Prevent Abuse and Neglect through Dental Awareness (PANDA) coalition. Eros Chaves (M.S. ’84), has joined Hill Top Research, one of the world’s largest consumer products testing companies, as director of oral care. Based in West Palm Beach, Dr. Chaves is responsible for all aspects of Hill Top’s worldwide oral health DentalUM Spring & Summer 2000 DentalUM Spring Summer 2000 care business and serves as principal investigator for clinical studies. Bill Hoffman (D.D.S. ’81), was recently elected president of the Minnesota Society of Oral and Maxillofacial Surgeons. He is also a partner and current president of his group practice, Metropolitan Oral and Maxillofacial Surgeons, P.A. Daniel Dietz (D.D.S. ’80), has opened an endodontic practice in Bonita Springs, Florida. He also completed a residency and received a master’s degree from Northwestern University. After 22 years at the University of Oklahoma College of Dentistry, Michael Rohrer (D.D.S. ’70, M.S. ’78) is moving to the University of Minnesota School of Dentistry to become director of the Division of Oral and Maxillofacial Pathology. At the University of Oklahoma, he was a Presidential Professor and Assistant Dean for Research. Inducted as a Fellow of the American College of Dentists last fall, he is also a director of the American Board of Oral and Maxillofacial Pathology. A fractured back and paraplegia caused by falling off an extension ladder at his home resulted in Eric Appleberry (M.S. ’75) taking early retirement from his clinical practice. “I now have time to be treasurer of the First Unitarian Universality Church of Ann Arbor. I also do weekly volunteer work with graduate perio student case presentation seminars,” he wrote. Dr. Appleberry was appointed to the Institutional Review Board (Medical) at the University of Michigan Hospital as a community member last fall. “I would not have had time for either of these while still practicing,” he added. Upon his retirement, Donald Allen (M.S. ’62), was designated Dean Emeritus at the University of Texas dental branch in Houston. Dr. Allen and his wife, Winnie, will do some international travel this year to fulfill several international, professional obligations. They also plan to visit family and friends in North Carolina and Florida where they lived before moving to Texas nearly 20 years ago. 73 73 Dr. John G. Nolen Dr. John G. Nolen, who served as executive director of the Michigan Dental Association for 21 years, died April 2 in East Lansing. He was 79. Dr. Nolen earned his D.D.S. from the U-M School of Dentistry in 1944 and served as a dentist with the U.S. Navy. After he was discharged, Dr. Nolen purchased a practice and became actively involved in professional and civic issues at local, state, and national levels. His major achievements included persuading officials to add fluoride to the state’s drinking water, launching the Michigan Dental Association’s legislative program that built long-term relationships with lawmakers in Lansing and Washington, D.C., and creating the Michigan Dental Service Corporation, the forerunner of today’s Delta Dental. In 1961, Dr. Nolen was elected to the MDA’s board of trustees and became executive director eight years later. As executive director he played a major role that resulted in the MDA having its own building headquartered in downtown Lansing. Dr. Nolen received the MDA’s Meritorious Service Award in 1985. Three years later, the University of Michigan presented him with its Distinguished Alumnus Award. From October 1989 to October 1990, he served a one-year term as second vice president of the American Dental Association. Dr. Nolen is survived by his wife, Dorothy, three daughters, a brother, a sister, and five grandchildren. Dr. Charles Jaslow Professor emeritus Dr. Charles Jaslow died March 19, 2000, in Sun City, Arizona where he and his wife, Carol, moved following his retirement in 1982. Dr. Jaslow earned his bachelor’s degree in 1941. Nearly a year following his graduation, he graduated from flight school and then joined the 65 th fighter squadron. During his four years as a fighter pilot with the U.S. Army Air Corps during World War II, he flew 80 missions. He received the Distinguished Flying Cross, Air Medal with eight oak leaf clusters, a Presidential Unit Citation, and other honors. In 1945, he wrote to Dr. Russell Bunting, then Dean of the School of Dentistry, asking to have his admission reactivated. Four years later, he graduated at the top of his class, receiving the Alpha Omega Award. He returned to active duty as a dental intern in the U.S. Air Force. In 1956, Dr. Jaslow received his master’s degree in prosthodontics from Iowa State University. In 1964, he retired with the rank of lieutenant colonel and joined the faculty at the School of Dentistry as an assistant professor teaching courses in prosthetics. He was promoted to associate professor in 1969. Three years later, he was named full professor. In addition to serving on numerous committees at the School of Dentistry, he was also assistant chair of the Department of Prosthodontics. He directed the Graduate Clinic in Removable Partial Denture Prosthodontics. In 1981, Dr. Jaslow and his wife, Carol, retired to Sun City, Arizona. A year later, he was named professor emeritus of dentistry. 74 DentalUM Spring & Summer 2000 In Memoriam ’24 Dr. Gilbert C. Ely, Montpelier, OH April 5, 1999 ’27 Elsie Bertha Nuttila Moore, Marquette, MI August 6, 1999 ’28 Dr. Clifford Hood, Adrian, MI September 11, 1999 ’29 Dr. Clare E. Hutchins, East Lansing, MI January 25, 1999 ’33 Grace E. Miller, Gainsville, FL ’35 Louise Nisen (nee Muenchow), Evanston, IL June 28, 1999 ’36 Dr. G. Wayne Oglestone October 6, 1999 ’42 Dr. James Riley, Birmingham, MI January 31, 2000 ’45 Dr. Norman Larzelere, Anna Maria, FL January 2000 ’47 Dr. Paul Body, Flint, MI November 30, 1999 ’51 Dr. Francis J. Hanagan, Geneva, IL May 28, 1999 ’51 Dr. Douglas M. Leonard, Leesburg, FL January 22, 2000 ‘52 Dr. Charles S. Henderson, Holt, MI April 4, 2000 ’52 Dr. Harry Wax, Flint, MI March 1, 1999 ’54 Dr. Jack Vickers, Vellevue, WA December 5, 1999 ’85 Dr. Richard Lenzi, Bloomfield Hills, MI November 19, 1999 DentalUM Spring & Summer 2000 ‘32 Genevieve Wozniak Grosse Pointe, MI March 14, 1999 Genevieve was a former president of the Detroit Dental Hygienist Society and worked as a dental hygienist for more than 30 years at Children’s Hospital of Michigan. ‘79 Dr. Edward P. Strach St. Joseph, MI September 5, 1999 Dr. Strach practiced in St. Joseph for nearly 20 years before retiring. In addition to his membership and leadership with the Lakeland Valley Dental Society, he was also president of the board of the Curious Kids’ Museum in St. Joseph. 75 What’s New in Your Life? Tell Us About It! If you recently received an award or an honor, whether professional or civic…been involved in community service projects…taken on a leadership role in a professional or academic organization…started a new practice…moved to a new city…found novel ways to use technology…let us know! Send your news, along with a black and white photograph, if you have one, to: Jerry Mastey, Editor, DentalUM, University of Michigan, School of Dentistry, 1011 N. University Avenue, Room 1218, Ann Arbor, MI 48109-1078. Name __________________________________________________________________ Address _________________________________________________________________ City ________________________________ State ______ Zip Code ________________ Telephone __________________________Fax (if available) _________________________ e-mail __________________________________________________________________ Is this an address change? What type of address change? ____ Yes ____ Home ____ No ____ Office (Please list only University of Michigan degrees and the year earned) D.D.S. ________ D.H. Certificate ________ B.S. ________ M.S. ________ Ph.D. ________ Specialization ________________________________________________________ News: ___________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 76 DentalUM Spring & & Summer 2000 DentalUM Spring Summer 2000 Please clip and mail The Community Dental Center’s open house had its share of lighter moments. In jest, Ann Arbor Mayor Ingrid Sheldon (right) prepares Dr. Dennis Turner, assistant dean for patient services (seated), for an exam while Dean William Kotowicz and Dr. Doris Allen, Center director, look on. DentalUM School of Dentistry University of Michigan Ann Arbor, Michigan 48109-1078 Address Service Requested Non-Profit Organization U.S. Postage PA I D Ann Arbor, MI Permit No. 144