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SUMMER 2012 | VOLUME 9 | ISSUE 1
“GOING UNDER” REVIEW: DENTAL ANESTHESIOLOGY
By John Nguyen (2015)
ASDA Presidential Address “Going Under” Review: Dental Anesthesiology Organizing all those Drawers and Lockers Remembering Dr. Susan Kinder Haake Overtreatment in Dentistry Teen Oral Health Committee Health Tips for the Summer Budget Bites
In June 2011, the American Society of Dentist Anesthesiologists (the other ASDA) submitted an application to American Dental Association (ADA) for Dental Anesthesiology to be recognized as an official dental specialty. Authored primarily by Dr. Steven Ganzberg, Clinical Professor and Section Chair of Anesthesiology at UCLA School of Dentistry, this application is ASDA’s fourth attempt to achieve official recognition by ADA. The last attempt was in 1999. The practice of dental anesthesiology can be traced far back to the beginning of dentistry. Pain and anxiety have always plagued dental treatment. The need for adequate pain control drove Horace Wells to develop nitrous oxide and William T. G. Morton to develop ether for anesthetic uses. These discoveries sparked the frenzy of research and development in anesthesia that advanced both the fields of dentistry and medicine. The significant involvement and effect of anesthesia in dentistry cannot be denied. The need for advanced anesthesia services is still prevalent in the practice of dentistry today. Unlike when Wells and Morgan experimented with anesthetics during procedures, the administration of sedatives and general anesthetics today requires extensive education and research. Both are provided by dental anesthesiologists. Despite the long-standing relationship between dentistry and anesthesiology, as well as the numerous CODA (Commission on Dental Accreditation) accredited dental anesthesiology residency programs and hundreds of practicing dental anesthesiologists, Dental Anesthesiology has yet to be recognized as an official specialty by ADA. For any field to be recognized as a specialty, a sponsoring organization must submit an application to ADA’s Council on Dental Education and Licensure (CDEL). This council then
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ASDA Welcome Address
Welcome Class of 2016! 2012 is an exciting year for ASDA because we are working with lawmakers on many issues that have a direct impact on dental students here at UCLA. One of my goals as president is to instill in the students of UCLA awareness and passion for these critical issues that have inspired me to take a leadership role in ASDA. Across the country, dental student debt is rapidly increasing due to rising tuition and decreased government loan subsidies. ASDA supports bills that would lower student loan interest rates and bills that would introduce more debt forgiveness programs for community outreach. This past April, over 300 dental students from around the country traveled to Washington D.C. to talk to their congressmen about these important issues. ASDA also supports the transition to a licensure process that would eliminate live patient exams. These exams should be replaced with assessments that are more ethical and better evaluate competency. California is leading the way in this regard, with its upcoming licensure by portfolio. As it stands, this system would only grant licensure within California. Hopefully this is just the first step toward a portfolio licensure process that is recognized nationwide. Another important issue is that too many people in this country are unable to get the dental care they need, due to a variety of reasons including financial, geographic, language, and personal. ASDA is trying to break down some of these barriers to care without the use of midlevel providers. I encourage all of us to give back to our communities both during and after dental school. ASDA’s official stance is that diagnosis, treatment planning, and irreversible procedures should be performed only by licensed dentists. However, if dentists cannot work together to provide dental care to more people in California, then lawmakers will step in with a system that dentists may or may not find acceptable. ASDA is the collective voice of dental students in the political arena, and right now it represents 88% of dental students in California. The more of us who join ASDA, the stronger that voice becomes. Thank you for your continued involvement in ASDA, and I look forward to an eventful year ahead! Sincerely, Barrett Nordstrom UCLA ASDA President UCLA School of Dentistry Class of 2014
Table of Contents
ASDA Welcome Address.............................................................................................................................................................................................2 Cover Story: “Going Under” Reivew: Dental Anesthesiology.......................................................................................................................3 Organizing All Those Drawers and Lockers.........................................................................................................................................................4 Remembering Dr. Susan Kinder Haake.................................................................................................................................................................6 SB 694 aka “Mid-Level Provider Bill”........................................................................................................................................................................6 Orofacial Pain Study Club........................................................................................................................................................................................6 Overtreatment in Dentistry.......................................................................................................................................................................................7 Teen Oral Health Committee....................................................................................................................................................................................8 Six for Success! Health & Fitness Tips ....................................................................................................................................................................9 Budget Bites: Pulled Pork Recipe...........................................................................................................................................................................10
UCLA School of Dentistry | ASDA
“GOING UNDER” REVIEW: DENTAL ANESTHESIOLOGY
sends the application to its Committee on Recognition of Specialties and Interest Areas in General Dentistry. The committee rigorously reviews the application and discusses all the provided information. On completion of the review, the committee sends a written report to the council on its findings. If the council decides that the application has complied with all the requirements, the council will recommend the application to the ADA House of Delegates for specialty recognition. The votes of ADA House of Delegates determine whether or not the field becomes an official dental specialty. In ASDA’s previous three applications, each was identified as fulfilling all of ADA’s requirements for specialty recognition and each received the necessary recommendation from CDEL for official recognition. However, each time the application fell short on the number of votes to pass as an official specialty in the ADA House of Delegates – as few as 7 more votes were needed for the most recently struck down application! The application’s failure to pass reflects a process which is highly political since few, if any, of the ADA delegates actually read the application. Rather, efforts are made by groups opposed to the specialty to counter the objectivity of CDEL and its committee. A group of dentists, led by ASDA, argue for the need for an established dental
Continued from Page 1 anesthesiology specialty. On the other hand, another group, led by the American Association of Oral and Maxillofacial Surgeons (AAOMS), argues that the establishment of a dental anesthesiol- Dr. Steven Ganzberg ogy specialty is unnecessary and detrimental. Below are a few points from each side.
Arguments against dental anesthesiology:
–There is no need or demand for a dental anesthesiology specialty in dental practice. –A dental anesthesiology specialty would limit current oral surgeons’ abilities to administer anesthetics in the operator anesthetist model. In the model, the operating surgeon provides the deep sedation or general anesthesia care at the same time they are doing the surgery. Opponents to the application believe the specialty would take away the rights of oral surgeons to perform both the anesthesia and surgery at the same time. The vast majority of U.S. dental anesthesiologists provide only the anesthesia and monitor while the dentist or oral surgeon performs the surgery. –The AAOMS also claims that a specialty in dental anesthesiology will stop dentists from providing IV moderate sedation. Currently, dentists may take continuing education courses or receive training in some residency programs (e.g., general practice residency, periodontics) to receive a permit to administer IV moderate sedation where patients are conscious throughout the procedure. It is common in both dentistry and medicine for the operating surgeon to also administer moderate sedation since patients are always conscious.
Arguments supporting dental anesthesiology:
–Dental anesthesiology would help address the barrier to care facing many Americans with special needs including: the elderly with diseases such as Alzheimer’s or Parkinson’s, patients with Down syndrome, or children who cannot sit for complicated and extensive dental treatment or those with extreme phobias about dentistry. –ASDA publicly supports the operator anesthetist model with proper education and training. The American Society of Anesthesiologists, the physician anesthesia organization, has already publicly come out against the operator-anesthetist model used by oral surgeons. Dental anesthesiologists argue that recognizing Dental Anesthesiology as an official specialty cements anesthesia as part of the dental profession. Establishment of the specialty would allow a dental organization to regulate the practice of anesthesia within the dental setting, rather than allowing regulation by an external organization. –ASDA hopes that establishing the specialty will help set up many educational programs across the country to train all graduating dentists in sedation. –A dental anesthesiology specialty would accelerate research and education in the area allowing dentistry to provide a safer and higher standard of care for patients.
Again this year, the application received the council’s recommendation and will be considered by ADA 2012 House of Delegates in San Francisco. ASDA is hoping that its continued efforts to edu-
cate the dental community and to dispel certain misconceptions will be enough for it to be officially recognized this year. Look out for the result of the voting this October!
Organizing All Those Drawers and Lockers
By Khushbu Aggarwal (2014)
One Thursday afternoon, after several trips back and forth between my bench in the fourth floor lab and my two lockers, I decided enough was enough. Much of second year is spent in the fourth floor lab, and I realized quickly that I needed to come up with an organizational scheme to keep myself sane and to avoid wasting precious time digging through boxes upon boxes of equipment. Here is how I decided to organize my drawers and lockers. In my fourth floor drawers, I essentially kept items that I needed for multiple classes so that these items would be readily available to me at all times. In my top drawer, I stored: -Hand pieces -Bur blocks -Interproximal finishing strips -Wedges -Floss -Articulating paper -Red-blue pencil -Lighter -Base formers -Old casts and stents (you never know when these come in handy) In my bottom drawer, I stored: -All my typodonts (even the pediatric and periodontal ones) -Commonly used instruments from the restorative kit (including the cleoid discoid, beavertail burnisher, and articulating paper forceps) and the RGS instruments in the white rectangular boxes that our handpieces were originally in -Teeth that I radiographed and selected for endodontic class projects and clinical stimulations in a see-through container with sections (which came in our kit) -And, since we are on the subject of extracted teeth, I personally found digging through jars of teeth inefficient and unpleasant, so I separated the teeth into anteriors, premolars, maxillary molars, mandibular molars, and possible endodontic teeth and put them in the sectioned box that our bur blocks were originally in. That way, I knew which kinds of teeth I had and could easily pick out whichever one I needed without dumping the entire jar onto aluminum foil to sort through every couple weeks. -Extra typodont teeth, organized by tooth number, in another see-through, sectioned container In my fourth floor locker, I primarily stored class-specific equipment in see-through shoe boxes that I bought at Walmart. In the top, smaller section, I kept: -My articulator (with extra mounting rings) -Facebow -Blood pressure cuff and stethoscope -Drug handbook -Vacuum mixers -One box with my loupes, loupe light, safety glasses, and extra gowns
4 UCLA School of Dentistry | ASDA
Drawing by Jessica Zhu (2015) In the bottom, larger section, I maintained two stacks of shoe boxes on top of one another. I had boxes for operative amalgam, operative composite, fixed, impressions, dentures, and waxing. In the operative amalgam box, I was easily able to fit: -Rubber dam materials -Extra burs -Jar of amalgam capsules In the operative composite box, I placed: -Composite curing light -Flowable composite -Composite gun -Etchant -Primer and adhesive -Mylar strips -#12 scalpel blades In the fixed box, I kept: -Extra burs -Fuji and heavy/ light body guns -Sprues -Yeti lube, thinner, and die spacer -Jet acrylic supplies (including mixing cups and brushes)
In the impressions box, I fit: -Alginate bowl -Some trays -Adhesive -Emulsion spray -Spatulas and lab knives -Alginate packets that came in our kit In the dentures box, I put: -Various rulers -Sets of denture teeth -Bottles of acrylic and pink base plate material -Denture polishing supplies -Denture polishing supplies
Finally, in the waxing box, I had: -Different kinds of waxes -Wax master and tips I was also able to stack my pindex saw, restorative cassette, gold and porcelain polishing kits, and box of different shades of composite on top of these boxes. In addition, on the side, I kept one box of light body, one box of heavy body, one box of blue mousse, and my Hanau torch. So, if for fixed, we were prepping a PFM and making a jet acrylic temporary, I would grab my loupes box and my fixed box from my locker; everything else I needed (hand pieces, burs, and the like) were already in my fourth floor drawer. For dentures, I would grab my dentures box, waxing box, and Hanau torch; all my smaller instruments (like the cleioid discoid) were in my fourth floor drawer as well. Finally, in my A floor locker, I primarily stored equipment that I we had not yet used in class or that I only used once or twice a week. In the top, smaller section, I stored: -Surveyor -Blue and yellow lab containers -Box of extra mounting rings -Past denture projects (for future reference) In the bottom, larger section, I was able to consolidate all the equipment that we had not opened yet in one white box. I kept another white box for endodontics, where I stored: -Rotary instruments -Files -Gutta percha -Sealant material -Apex locator -Radiography armamentarium -Stapler and hairdryer (which, I learned quickly, are useful when you have five minutes left to turn in your project) I also kept my organized box of extracted teeth here. Finally, I kept all the extra heavy and light body lined against the side of the locker, next to the two white boxes. I even have room to store my backpack here, on top of the two white boxes, so it does not clutter my cubicle, especially during blocks. Although I do not encourage keeping any equipment at home (since this could be problematic if you suddenly need something that you realize is under your couch), I do keep my (empty) tackle box and extra gowns at home, but these should be able to fit in your A floor locker as well. Lastly, as I venture into clinic, I realize that my organizational scheme must change. However, for my fellow third years, I recommend keeping your patient mirror, chairside instructor, blood pressure cuff, stethoscope, patient safety glasses, gloves, and loupes all together, since these items are needed for almost every appointment. I also recommend sterilizing all your instruments (including burs, handpieces, hand instruments, and polishing supplies) and keeping them in a readily accessible shoe box, since you never know what you may need during an appointment. But of course, keep in mind that this is only one way of many to organize your equipment!
Remembering Dr. Susan Kinder Haake
By Lindsay Graves (2014)
On May 1st of this year, UCLA School of Dentistry lost one of its premier researchers and educators, Dr. Susan Kinder Haake, to pancreatic cancer. Dr. Kinder Haake was a professor in the Sections of Periodontics and Oral Biology. She studied periodontal microbes extensively, earning two NIH grants for her research. The first, part of the NIH’s Human Microbiome Project, was to characterize the microbiome of the periodontium, including all species and genetic variants. The second aimed to identify unique characteristics of the periodontal flora in patients with type II diabetes, who are twice as likely to have periodontal disease. Her passion for research was second only to her passion for teaching. “Teaching is a pleasure because it provides me with the rewarding opportunity to help others who want to learn,” she once said. While Dr. Haake’s presence will be missed, she lives on through her contributions to research and in the minds of those who benefitted from her mentorship.
SB 694 aka “Mid-Level Provider Bill”
By Adrien Hamedi-Sangsari (2015) and Jennifer Sun (2015)
A unanimous approval on July 3, 2012 by the Business, Professions, and Consumer Protection Committee has made Senate Bill 694, informally known as the Mid-Level Provider Bill, closer to becoming a reality in California than ever before. Few steps remain for SB 694 to be signed into California law. The bill, authored by California State Sen. Alex Padilla (D-Pacoima), outlines a workforce study to be performed at institutes of higher education to examine the safety, quality of care, cost-effectiveness, and patient satisfaction of a mid-level dental provider model. This study would be the preliminary step in allowing an individual who is not a dentist, and who has not received the same years of training, to perform potentially irreversible dental procedures. Legislators contend SB 694 will solve California’s access to care problem, making dental healthcare available in rural, agricultural, and remote towns. The American Student Dental Association, Hispanic Dental Association, and California Academy of General Dentistry have all expressed their opposition for this bill. These dental organizations believe the bill is unethical and will not ameliorate the access to care problem. SB 694 not only fails to include a requirement for new mid-level providers to practice in underserved areas, but also does not guarantee mid-level provider services at a lower cost. As the bill does not address these key barriers to care, dental organizations argue SB 694 only guarantees patients will be treated by practitioners with less training and education. Sen. Padilla is currently working with the California Dental Association on the final wording of the bill. The CDA is one of the few dental organizations in favor of the bill under the condition that key elements of the association’s policy parameters be included. Padilla has complied with many of the CDA’s requests and has expressed the desire to work with various dental organizations before final passing of the bill. Projects added onto the bill include the establishment of an Office of Oral Health to be run by a state Dental Director. Concerns over funding for this specific project could lead to the bill’s rejection by the Senate’s budget committees. If approved by these budget committees, the bill only needs to be amended and sent to the Governor’s desk for approval into law. The final wording of the bill will determine what procedures mid-level providers will be able to perform in California. It is a critical period for dental organizations to voice their stance on the mid-level provider controversy as the bill undergoes amendment. This topic will certainly be a hot button issue at this year’s ASDA District 11 meeting in October and CDA’s House of Delegates in November.
Orofacial Pain Study Club
Orofacial Pain (OFP) is a field in dentistry that focuses on the diagnosis, treatment, and prevention of orofacial pain disorders. Not too long ago, dentists practicing OFP did not have a formal organization to voice their concerns or exchange knowledge in an easily accessible and constructive forum. The field was growing, but not fast enough to meet the needs of those suffering complex pain syndromes, surprisingly more common than one would think. According to recent data, over 7% of the population, approximately 13 million people, in the past year have experienced chronic orofacial pain disorders and is in need of treatment. The staggering number and great need for health providers who specialize in treating these complex pain syndromes underscore the importance of recognizing OFP as a specialty of dentistry. Since the inception of OFP as a recognized specialty in dentistry
6 UCLA School of Dentistry | ASDA
By Rishal Ambaram (2015)
in 1993, with UCLA having one of the first postdoctoral programs, the standard of care and treatment of patients with acute and chronic orofacial pain have dramatically improved, especially with the strong rise in funding for research and training of dentists in the field. The mission of UCLA Orofacial Pain Study Club is to advance the art and science of orofacial pain by increasing dental students’ awareness of the various non-odontogenic pain conditions experienced by patients. Dental students will have the opportunity to enhance their learning experience and competency with information that will be beneficial in patient treatment. The study club aims to increase awareness of the Graduate Orofacial Pain Residency Program and hopes to expose students to its vast opportunities.
Overtreatment in Dentistry
By Jared Kenney (2014)
“From behind a door comes the whine of a high-speed drill. When my name is called, I am ushered into an examining room and welcomed with a nutcracker handshake by the dentist, a graying-atthe-temples man. Soon I am staring toward the white cork ceiling while my teeth are probed, poked, tapped, and tugged. The numbers of my teeth are called out to an assistant, who jots the information on a chart: ‘No. 11, crown; No. 13, M-O-D; No. 14, M-O…’ A few minutes later comes the verdict: I need 11 crowns, plus other work. It will cost $8347. ‘Do this and you will have no worries about your teeth for the next 30 years,’ the dentist purrs. Somehow I doubt that. Then he adds, ‘You and I are going to become great friends.’” So begins a startling Readers’ Digest article by William Ecenbarger in which he reports his experiment visiting fifty random dental offices across the country with his introduction to each that he just moved into the area, and his “dental expenses were covered through a direct reimbursement program with [his] employer.” Before embarking on this study, he was examined by a panel of dentists, with no financial interest in his teeth, who concluded that he only needed one, arguably two crowns. As he traveled the country visiting dentists, proposed treatment plans ranged from a single crown to 21 crowns and six veneers for a cost of $29,850. His experiment ended at a dental school where, after a painstakingly long exam, the dental student concluded that he needed two crowns—on the same teeth that the original panelists agreed on. What happens after dental school that causes so many dentists to overdiagnose the dental needs of their patients? Some genuinely advocate that treating aggressively is the best course of action; others are heavily influenced by ideals of photoshopped beauty and sincerely feel this is an ideal to strive for. The most common reason, however, is simply financial gain (“Fear of Unnecessary”; Hartshorne). Economic self-interest and emphasis in training alike favor restoring teeth, not preventing disease. Traditionally, dentists have been highly regarded and trusted professionals. In a Gallup poll for Honesty/Ethics in Professions, dentists were ranked the third most trusted profession in 1994, slipped to ninth in 2001, and most recently, placed sixth in 2009 with 57% of Americans (Christensen, “Elective”). Commonly, patients presented with huge treatment plans without elective procedures properly explained as such, will visit another dentist for a second opinion. Upon finding out from the second dentist that many of the procedures in the first plan are elective, they commonly develop ill feelings for their previous dentist and it generally demeans the profession. Most importantly, we can decide now to be perfectly honest. As dental students, we are developing the skills, habits, and style in which we will practice dentistry the rest of our lives. Ethical dilemmas will arise, and the stress of these situations clouds one’s judgment. Now is the time to decide to be completely honest and ethical in all that you do, because this decision is much easier to make before a difficult situation presents itself. A great philosophy is to treat your patient the same way you would a family member or close friend. Being ethical in your practice will help develop your patients’ trust in you. This increase in trust translates to more accepted treatment plans and more referrals to your office. Lastly, having integrity will bring you peace of mind and a greater satisfaction in the work you are doing.
placing high trust in dentists. (“Honesty/ Ethics”). As discussed in the most recent ADA Annual Session, scandals—more frequently reported from dentists than any other healthcare profession—lawsuits, overtreatment, and dentists’ excessive self-promotion and commercialization are tainting the profession’s image. What can we do? One important idea is to improve patient communication. Dr. Gordon Christensen suggests that we should always have all possible treatment options explained to our patients and clearly delineate between “mandatory treatment” and “elective treatment”
[References] Christensen, GJ. “The Credibility of Dentists.” JADA 2001;132;1163-1165 J. Christensen, GJ. “Elective Vs. Mandatory Dentistry.” JADA, Vol. 131, October 2000. Domino, Donna. “Is Dentistry Facing an Ethical Dilemma?” Oct. 2011. http://www.drbicuspid.com/index.aspx?sec=sup &sub=pmt&pag=dis&ItemID=308952 (7/2012). “Fear of Unnecessary or Wrong Dental Treatment.” http:// www.dentalfearcentral.org/fears/unnecessary-dental-work/ (7/2012). Hartshorne, J. Hasegawa TK Jr. “Overservicing in dental practice—ethrical perspectives.” SADJ. 2003 Oct;58(9):364-9. “Honesty/Ethics in Professions.” Gallup. 1995, 2002, 2011. http://www.gallup.com/Search/Default.aspx?q=most+truste d+professions&s=date&i=&t=&p=2&a=0 (7/2012). Schoen, MH. “Does dentistry as we know it have a future?” J Public Health Dent. 1985 Summer; 45(3): 130-2.
By Jessica Zhu (2015)
Teen Oral Health Committee
By Lawrence Lin (2015)
The Teen Oral Health Committee, one of the newest UCLA ASDA committees, was designed to meet the oral health education needs of Los Angeles middle school and high school students. UCLA has done an excellent job providing oral health instruction to elementary school children in the years past, and the purpose of this committee is to extend this education to adolescents and young adults. The goal of the the teen oral health committee is to conduct regular visits to middle schools and high schools to instruct students on proper oral hygiene methods and hand out free dental supplies. Moreover, since teen8 UCLA School of Dentistry | ASDA
agers are at an age when they are developing habits and becoming more independent, it is an opportune time to instruct them on healthy eating habits and nutrition. Our objective is to provide education and supplies to these students in order to help them establish a lifelong pattern of healthy habits that will prevent oral health problems. This committee will provide UCLA’s dental students the opportunity to work with people of this particular age range. As future dentists, it is important for us to handle the young, the old and adolescents alike. Teenagers are especially unique in that they can present a different set of challenges to the den-
tist with regards to behavior and compliance. It is important for us as future professionals to develop the skills to effectively work with patients of all ages. As a brand new committee within the UCLA ASDA chapter, the Teen Oral Health Committee’s success depends on the support of our student body through active participation. We’re confident this committee will not only shape the lives of numerous Los Angeles youth for the better, but also enrich its participating dental students with new experiences and strategies to connect with their patients.
Six for Success! Health & Fitness Tips
By Kavita Sainanee (2015)
In the midst of lab projects, midterms, and other dental school anxieties, it can be easy to put fitness on the backburner. Whether your objective is fat loss or muscle building, these tips provide healthy ways to help you achieve your fitness goals. You may have heard some of these tips before, but read on to learn why these basic rules of thumb can help you attain your ideal physique. gurts, bananas, or granola bars, for the days you are running late and do not have time to make breakfast. 3. Protein is key. Many fitness professionals recommend eating at least 1 gram of protein per pound of body weight. Whether you are trying to bulk up or lean out, eating enough protein ensures that your body is not breaking down your muscles as a source of energy. This is especially important if you are trying to lose weight, because when you have a calorie deficit, you want to make sure your body is getting fuel by burning fat, not muscle! sweat. If you do not replenish this water, you may cause a decrease in blood volume, which makes it more difficult for oxygen to get to your working muscles. Do not substitute anything for water, even juice or sports drinks—these drinks have a high sugar content, which can actually make you thirstier! 6. Sleep well. Sleep is important for muscle growth and recovery because your body releases most of its growth hormone during sleep. Without this recovery, you will not get the most out of your next workout. In addition, inadequate sleep is correlated with increased cortisol levels. This stress hormone increases catabolism, which can lead to muscle mass loss. Commit to a Healthier Lifestyle—Do not make these changes just to look good for summer, or for that Vegas trip you have planned in 2 weeks—do it because you want to be healthy for life! That means you are making reasonable changes that are sustainable long-term. Your lifestyle changes should not make you feel unhappy or deprived; rather, they should make you feel healthy and happy!
1. Lift heavy (girls too!) Lifting helps build lean muscle mass that will help you burn calories long after you have left the gym. Your body uses more calories to maintain muscle, so lifting is important whether you are trying to bulk up or slim down! Girls, we don’t consume enough calories to “get big” from lifting—rather, lifting will help you achieve a more toned physique. So 4. Eat 5-6 meals per day. Eating every 2.5take a break from the endless cardio, and 3 hours helps keep your metabolism high try picking up a pair of dumbbells! throughout the day. Additionally, our bodies can only absorb around 25g of protein in 2. Eat within the first hour of waking up. one sitting, so it is best to consume smaller With an 8 a.m. class, it is easy to sacrifice meals, each with a good amount of protein, eating breakfast to get those extra 15 min- several times a day. Of course, we know that utes of sleep. However, eating soon after eating more frequently can make you more waking up helps kick-start your metabo- susceptible to caries—so be sure to stay on lism. Keep things at home that are easy to top of your oral hygiene routine and use a grab-and-go, like individually packaged yo- fluoride rinse! 5. Drink water! There are so many benefits to drinking plenty of water—including losing weight and getting the most out of your workout. When you exercise, you lose fluid as you
PULLED PORK RECIPE
By David Lindsey (2015)
After filling out the Student Statement of Expenses form for Financial Aid, I realized one thing: dental school is expensive! That probably does not come as the biggest news flash to all of you. With our level of indebtedness increasing exponentially each quarter, saving money costs has truly become a necessity. The amount of required purchases for Dental School (new laptop, First Year Dental Kit, replacement teeth for typodonts, coffee, Second Year Dental Kit, energy drinks, gold, more replacement teeth...) seems to grow daily; but there are a few areas where we can substantially cut costs. For most of us, the easiest area to save money is by monitoring how much we spend on food. During 2011, I spent $5,198.25 on food related expenses. Yes, that is almost accurate to the penny, since I procrastinated on studying Systems for a night to calculate this figure. My food costs surpassed all other expenses except school related expenses (tuition, kit payments), even rent. The first step to reduce overall food expenses is to cook more and eat out less. The price of the daily lunch special in the Medical cafeteria is $7.04, which over the course of an entire week accounts for $35.20. For the same price of a week’s worth of lunches, you could easily spend that money at the grocery store and cook yourself enough meals (breakfast, lunch, and dinner) for two weeks. My goal is to provide inexpensive, versatile, and delicious recipes that even the most novice cook can follow. Each article will provide quick, easy meals that can work for lunch or dinner with hopes of reducing the amount of money spent at restaurants. Let me preface that the extent of my experience in the restaurant business extends only three weeks, when I worked as a busboy at a Japanese Teppan steakhouse the summer between high school and college. Instead, my passion and skill in the kitchen was honed from countless hours watching Foodnetwork, Top Chef, Anthony Bourdain: No Reservation, Man vs Food, and any other food related television program. For this edition of Budget Bites, I am detailing one of my favorite and most versatile recipes: Pulled Pork. Besides chicken, pork shoulders are one of the least expensive meats you can buy. I bought a bone-in pork shoulder last week for $1.87/lb. The amount of meat from one 5 pound pork shoulder easily makes 15-20 meals. The dry rub I make uses nine common seasoning/spices (recipe below). Half the fun of cooking is experimenting with new ingredients, so please feel free to make substitutions. Coat the entire pork shoulder generously with the dry rub and massage the spices into the meat. Allow the meat to marinate in the spice mixture for at least 15 minutes. Preheat the oven to 325° F. Place pork in a small roasting pan. For best results, allow the meat to come to room temperature before placing it in the oven. Cook pork at 325° F for 4 – 5 hours or until tender enough to shred with a fork. Use two forks to shred the meat into bite size pieces. After the meat is completely shredded, sprinkle a few more pinches of dry rub and add 1 – 2 cap fills of apple cider vinegar. The apple cider vinegar pairs well with the pork helping to balance the spices from the rub by providing some acidity, as well as a touch of sweetness. Although the cooking time may seem long, the results are well worth the wait. Pulled pork is a versatile meat and can be used in a variety of meals: carnitas taco/burritos/quesadillas/nachos; eaten over rice; sautéed with onions and egg to eat for breakfast; used to make pork fried rice; eaten in a salad with onion, tomatoes, cilantro, and a lime vinaigrette; mixed with corn, black beans, onion and served over rice; or
UCLA School of Dentistry | ASDA
my personal favorite, served in a pulled pork and pear coleslaw sandwich smothered in BBQ sauce mixed with Tapatio hot sauce. RecipeDry Rub: 1.5 Tbls 1 Tbls 1 tsp 1 tsp .5 Tbls 1 tsp 1.25 tsp .25 tsp 1 tsp
Salt Granulated Garlic Cumin Crushed Red Pepper Dried Oregano Chili Powder Brown Sugar Cayenne Pepper Black Pepper
Mix all ingredients thoroughly with a fork or whisk in a small bowl. Heavily coat a 5 – 8 lb pork shoulder, massaging the rub to cover each surface. Cook at 325° F for 4 – 5 hours. Shred meat and enjoy!
UCLA ASDA The Diastema Staff
SUMMER 2012 | VOLUME 9 | ISSUE 1
The Diastema 2012-2013 Staff E D I TO RS - I N - C H I E F Catherine Kim l 2015 Kavita Sainanee l 2015 L AYO U T E D I TO R Vickie Lai l 2014 S EC T I O N E D I TO RS Lindsay Graves l 2014 Jennifer Sun | 2015
W R I T E RS & C O N T R I B U T I N G W R I T E RS Khushbu Aggrawal l 2014 Rishal Ambaram l 2015 Lindsay Graves | 2014 Adrien Hamedi-Sangsari l 2015 Jared Kenney | 2014 Lawrence Lin l 2015 David Lindsey | 2015 John Nguyen l 2015 Barrett Nordstrom l 2014 Kavita Sainanee l 2015 Jennifer Sun l 2015
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SUBMISSIONS If you would like to submit an article and/or photos for The Diastema or have suggestions, please email the editors at email@example.com or firstname.lastname@example.org. EDITORIAL DISCLAIMER The opinions contained herein do not necessarily reflect those of UCLA or of the UCLA School of Dentistry in particular. SPECIAL THANK YOU We would like to thank the following faculty for their support and mentorship in this issue of The Diastema: Dr. Carol Bibb, Dr. Steven Ganzberg.
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