Mark Your Calendar: Upcoming Continuing Dental Education Courses

December 7, 2007 (Friday) Evidence-Based Dentistry and Dental Practice
This coursewill defineandcritiquetheconcept of “evidence-baseddentistry.” Aprotocol for practicingevidence-baseddentistry (EBD ) will bedescribedand howit canbeusedtoprovideinform ationtopatients. Thecoursewill focus on theprocess of conductingevidence-basedpractice, howtoprevent theabuseof EBDina clinical practice, sources of critical inform ation, thenewAD ANational Library of Medicineproject, andhowpractitioners caninteract toprovide feedback andask questions onbest evidencefor clinical care. Location: U-MSchool of D entistry, AnnArbor

January 25, 2008 (Friday) Innovative Strategies for the Prevention, Early Detection, and Treatment of Oral Cancer
Inthis course, D eanPeter Polverini will present them ost current inform ation about thecauses of oral cancer, describenewchairsidem ethods torapidly detect prem alignant oral lesions, anddiscuss som eexcitingnewstrategies designedtoprevent recurrent oral cancer. Thedevelopm ent of som enew therapies for this diseasewill alsobediscussed. Location: U-MSchool of D entistry, AnnArbor

For more information about these and other continuing dental education courses contact: University of Michigan School of Dentistry Office of Continuing Dental Education 1011 N. University Avenue Room G508 Ann Arbor, MI 48109-1078 www.dent.umich.edu.

March 28, 2008 (Friday) Dialogues in Orthodontics: Mini-Pins and Mini-Plates as Skeletal Anchorage
D r. Axel Bum annandD r. HugoD eC lerck, whowerewell receivedat the School of D entistry’s Moyers Sym posiumearlier this year andspokeabout m icroim plants as tem porary anchorageinorthodontics, arereturningtoAnn Arbor topresent their m aterial ingreater detail. D r. Bum annwill focus onthefundam entals of m ini-pinanchorageinthe correctionof a variety of m alocclusiontypes, discussingsiteselectionand theuseof self-tappingvs. self-drillingscrews. D r. D eC lerck will focus onthe useof m odifiedm ini-plates for skeletal anchorage, includingthedetails of orthodonticandsurgical m anagem ent. Location: TheMichiganLeague, U-MC entral C am pus, AnnArbor

Fall 2007

DentalUM
Volume 23, Number 2

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 G532, 1011 N. University Ave., Ann Arbor, MI 48109-1078. Or you may send your letters and updates via email to: jmastey@umich.edu. Dean . . . . . . . . . . . . . . . . . . . . . . . . Peter Polverini Director of External Relations and Continuing Dental Education . . . . . . Richard Fetchiet Writer & Editor . . . . . . . . . . . . . . . . . . Jerry Mastey Design . . . . . . . . . . . . . . . . . . . . . . . . . Chris Jung Contributing Photographers . . . . . . . . . Per Kjeldsen, Russell Taichman, Jerr y Mastey, Wanda Snyder, Diane McFarland Member publication of the American Association of Dental Editors

Our School’s Gateway to Better Oral Health
In recent years, more than 11,000 patients have annually been to our Patient Admitting and Emergency Services (PAES) Clinic as their first step toward better oral health. About 5,000 have received emergency care. In fact, we often refer to the PAES Clinic as the dental school’s version of a hospital emergency room. For another 6,000 patients, the PAES Clinic is their first stop to receiving longer-term comprehensive care and treatment in our School’s clinics. As you will learn reading this issue of DentalUM, the Clinic serves many patients who live within a 30- or 40-mile radius of Ann Arbor. However, others drive two, three, four, and sometimes five hours – from western Michigan, northern lower Michigan, and even the Upper Peninsula – to receive care here. Dr. Stephen Stefanac, our associate dean for patient services who oversees the Clinic’s activities, says that with the state of Michigan’s economy being what it is, “we are now seeing more patients than ever who have no where else to be treated for their conditions. In many instances, we’re the providers of last resort.” The PAES Clinic, however, is not just a treatment facility. Since it is an essential part of our School, it provides our dental students with learning opportunities and gives them chances to educate patients about proper oral health care. The Clinic’s three staff dentists – Drs. David Jacobson, Juan Johnson, and Vernon Rife – work with the dental students to help them develop their skills, increase their comfort level in dealing with emergency situations and, ultimately, develop their own style. I think Dr. Jacobson summarizes what the Clinic means to all of us when he says, “For me, it’s incredibly gratifying when you can both help a patient and teach a student something new about the art and science of dentistry.”
Sincerely,

The Regents of the University: Julia Donovan Darlow, Laurence B. Deitch, Olivia P. Maynard, Rebecca McGowan, Andrea Fischer Newman, Andrew C. Richner, S. Martin Taylor, Katherine E. White, Mary Sue Coleman, ex officio. University of Michigan School of Dentistry Alumni Society Board of Governors Terms Expire 2007: Samuel Bander, ’81, Grand Rapids, MI Richard L. Pascoe, ’70, Traverse City, MI Susan Pritzel, ’67 DH, Ann Arbor, MI (chair) Terry Timm, ’71, Saline, MI Josephine Weeden, ’96, ’99, Saline, MI Terms Expire 2008: William E. Brownscombe, ‘74, St. Clair Shores, MI John R. McMahon, ‘82, Grand Rapids, MI George M. Yellich, ‘72, Los Gatos, CA Harold Zald, ‘79, West Bloomfield, MI Jemma Allor, ‘00, Dental Hygiene, Mt. Clemens, MI Terms Expire 2009: Charles Caldwell, ‘77, Grand Rapids, MI Daniel Edwards, ‘97, Ann Arbor, MI Gary Hubbard, ‘78, Okemos, MI Metodi Pogoncheff, ‘76, Lansing, MI Janet Souder Wilson, ‘73, Dental Hygiene, Northville, MI Student Representative: Jamie Luria (D4) Ex Officio Members: Peter Polverini, Dean Janet Souder Wilson, ‘73, DH, Northville, MI Alumni Association Liaison Steve C. Grafton , Executive Director, Alumni Assoc. Richard R. Fetchiet, Director of External Relations and Continuing Dental Education
The University of Michigan, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination 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, gender identity, gender expression, disability, or Vietnam-era veteran status in employment, educational programs and activities, and admissions. Inquiries or complaints may be addressed to the Senior Director for Institutional Equity and Title IX/Section 504 Coordinator, Office of Institutional Equity, 2072 Administrative Services Building, Ann Arbor, Michigan 48109-1432, 734-763-0235, TTY 734-647-1388. For other University of Michigan information call 734-764-1817.
* Includes discrimination based on gender identity and gender expression.

Peter J. Polverini, Dean

DentalUM Fall 2007 1

In This Issue ...

COVER STORY
16
The PAES Clinic…the Gateway to Better Oral Health The School of Dentistry’s Patient Admitting and Emergency Services (PAES) Clinic is the gateway to better oral health that serves the public in two vital ways. One is providing emergency care. The other is screening patients who will receive long-term comprehensive care. More than 11,000 patients have been treated annually at the Clinic in recent years. Many live within a 30- or 40-mile radius of Ann Arbor. However, others drive two, three, and sometimes four hours to receive care. Pictured are: Dr. Stephen Stefanac (seated), associate dean for Patient Services, who oversees the Clinic’s activities; Dr. Vernon Rife (left), staff dentist; Dr. David Jacobson (center), Clinic director; and Dr. Juan Johnson, staff dentist. 22 – Fourth-Year Dental Students Say Clinic “A Very Valuable Experience” 26 – On the Front Line – Drs. David Jacobson, Juan Johnson, Vernon Rife 29 – Adjunct Faculty Teach Students, Help Patients
Design by Chris Jung. Photo by Per Kjeldsen.

FEATURES

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Deans Speak of Importance of Transforming Health Care Education Dean Peter Polverini spoke of the School of Dentistry’s commitment to developing alternatives to educating oral health professionals of the future at the annual convocation ceremony. Guest speaker Dr. James Woolliscroft, dean of the U-M Medical School, spoke of the need for an integrated approach to professional health care education. Paperless Records a Reality in Browne Orthodontics Clinic In late July, the Robert W. Browne Orthodontics Clinic completed a transition from an environment where patient information had been stored on paper to one that is now completely electronic. New Pain Clinic Extends Dental-Medical Collaboration Dental Scholars Help Area School U-M School of Dentistry Dental Scholars made a major difference at an Ann Arbor School this summer. Their community service helped the Perry Nursery School save about $1,800. U-M Dentist Invents Product for Clinics Dr. Louie Khouri (DDS 1989) has invented a product he believes can help oral health care professionals and their patients. Faculty Profile — Dr. Stephen Stefanac, Associate Dean for Patient Services He supervises one of the School’s largest departments with more than 80 employees. But when he told his high school guidance counselor about his plans to become a dentist, the counselor told Stephen Stefanac that he should first take a pottery or ceramics class.

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38 Alumna Profile — Dr. Patricia Lucas
“My parents were strict, wanted us to go to college, earn a degree, and become professionals,” says Dr. Patricia Lucas. “They firmly believed and told us often that hard work and a good education were the keys to success.” Graduation 2007 School of Dentistry graduates were reminded of the School’s tradition of excellence and innovation and also urged to advance that tradition to benefit society. 41

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DEPARTMENTS
36 46 51 Faculty News Development Dental Hygiene 51 - Online Degree Program Begins in January A new program…this one online…leading to a Bachelor of Science degree in dental hygiene will be offered by the School of Dentistry beginning in January. 52 - Alumna Urges Congress to Expand Healthy Kids Dental Program Dental hygiene alumna Christine Farrell recently appeared before a Congressional committee urging lawmakers to help the State of Michigan expand the Healthy Kids Dental Program. Research News 57 – Saliva Test Kit Advances in Testing New test results show a portable device developed by a School of Dentistry professor could tell patients in just minutes if they have periodontal disease, which would be a major improvement over current methods. 58 – New Programs Put Money in Students’ Pockets Two new programs designed to attract more dental students to careers in clinical research offers them opportunities to learn and earn. A one-year program offers a year of fully-paid tuition and a stipend of about $20,000. A three-month program includes a stipend of nearly $5,200. 66 – “Research Fulfilling, I Want to Stay Involved” “It seemed the Michigan Center for Oral Health Research was my home away from home,” said dental hygienist Janet Kinney as she talked about her 18 months of clinical research. Department Update: Orthodontics and Pediatric Dentistry Alumni News In Memoriam – Dr. Thomas Graber, Keary Campbell

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Completing Strategic Self-Assessment
Dean Outlines New Initiatives During Annual Ceremony
ome of the School of Dentistry’s most important achievements during the past year, and a hint of things to come, were presented by Dean Peter Polverini during the School’s fourth convocation ceremony in August. During the annual ceremony, which celebrates the start of the new academic year, he highlighted some of the achievements of the past 12 months and identified future challenges and opportunities for the School. “Perhaps the single most important accomplishment this past year was the completion of our strategic selfassessment,” Polverini told students, faculty, and staff. Beginning in March 2005, a 21-member committee of faculty, students, and staff performed a critical introspective analysis of the School’s strengths and weaknesses. [DentalUM, Spring & Summer 2006, pages 8 to 13.] “As part of the process, we defined a vision for the future that included developing a new clinical education model, a major investment in technology to support our education and patient care programs, targeted growth of our research enterprise, and a commitment to revitalize our research and patient care facilities,” he said. In late August, a team of external reviewers visited the School to review

S

and discuss the self-assessment. The findings from the visit will be submitted in the fall to U-M President Mary Sue Coleman and Provost Teresa Sullivan.
Educational Programs

them to explore and participate in developing new, innovative educational collaboration,” he added.
Research and Discovery

“A m o n g t h e m a n y re c o m mendations developed during our strategic assessment was the key conclusion that we must explore alternatives to our current predoctoral clinical education program,” Polverini said. “We must transform the predoctoral, hygiene, and graduate educational programs so they serve as role models for dental education in terms of innovation and financial sustainability.” He added that the programs must continue to emphasize the School’s commitment to educating the oral health professional of the future, encouraging exploration and discovery, and creating excitement about academic dentistry as a career choice. To help ease an impending national shortage of dentists-scientists, while seeking to improve the public’s oral health, “we will expand our emphasis on educating dental specialists, master’s, and doctoral level dental scholars,” he said. “We will consider more selfdirected forms of education that will enable students to take more control of their learning. We will challenge

Polverini said research and discover y “continues to be the centerpiece of the School of Dentistry. The work we do in our research laboratories and clinics distinguishes us from our peers and enables us to attract some of the best faculty and students from around the world.” He noted that during 2006, the School ranked first in research and training award grants from the National Institute of Dental and Craniofacial Research, a part of the National Institutes of Health, totaling more than $10.6 million. During the same time, the School was second among the nation’s dental schools receiving more than $13 million in research and training awards from NIH. In addition to laboratory research, Polverini highlighted the leading role the School is playing in addressing the problem of access to care. Under the leadership of Dr. Amid Ismail, the Detroit Center for Research on Oral Health Disparities is investigating the social, economic, environmental, and biological causes of disparities in oral health.
External Impact

Polverini said the School of Dentistry

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our “Most Important Accomplishment”
Jerry Mastey

Dean Peter Polverini spoke of the School of Dentistry’s commitment to developing alternatives to educating oral health professionals at the School’s annual convocation ceremony. Guest speaker, Dr. James Woolliscroft, dean of the U-M Medical School, spoke of the need for an integrated approach to professional health care education.

will continue to establish “unique interdisciplinary collaborations” with other U-M schools and colleges and other institutions of higher learning around the world. The creation of new knowledge and the advancement of best practices will be the guiding principles in establishing new educational and research partnerships locally and globally. “The learning curve will be steep as we come to grips with the cultural, economic, and political realities both here and abroad,” he said. “We have little choice but to move this agenda forward if we hope to expand our global presence.”
Global Collaboration

Polverini said that during the

past year, the School established memoranda of understanding with dental schools in England, Brazil, and China. [See sidebar.] In the months ahead, he continued, U-M and the School of Dentistry will explore emerging global opportunities. Working with other U-M units, the School of Dentistr y will develop cultural immersion programs that that will support faculty and students in this effort. “As we begin the new academic year, we will continue to face significant challenges that, if not addressed, will impede our vision to become a school of the future,” he said. “I am confident, however, that we have the people in place who have the ingenuity and creativity to shepherd our School through these trying times.”

Memoranda of Understanding The School of Dentistry established memoranda of understanding with these dental schools around the world during the past year: • • • • • • • University of Leeds (England) University of Sao Paulo (Brazil) Federal Universidade Rio Grande do Sul (Brazil) Shanghai Jiaotong University (China) Peking University (China) Fourth Military Medical University-Xi’an (China) Xi’an Jiaotong University (China)

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Urgently Needed:

An Integrated Approach to Professional Health Care Education
“By 2015 or 2020, there will only be a few global educational institutions of higher learning. Others will become regional, specialty education institutions or relegated to oblivion.”
Dr. James Woolliscroft, Dean, University of Michigan Medical School Remarks at School of Dentistry Convocation, August 2007

A compelling need exists among health care faculty and administrators to develop a new approach to educating students in dentistry, medicine, public health, nursing, and other health care professions. The approach must be integrated, encompassing all disciplines. That was the message from the Dean of the University of Michigan Medical School, Dr. James Woolliscroft, to administrators, faculty, staff, and students during the School of Dentistry’s fourth annual convocation ceremony in August. The event celebrates the start of a new academic year. In developing a new model of educating health care professionals, Woolliscroft emphasized the importance of being proactive. “Society is demanding change,” he said. “Those involved in health care must take the lead because if we don’t, government will mandate change, and mandates may not be what any of us will be happy about.” Tracing the evolution of health care education and treatment, he said the Civil War was a major turning point that affected educators and the public. “There was an incredible outcry then about deplorable medical conditions because of the way soldiers were treated for their wounds,” he said. The outcry led to a handful of the nation’s institutions of higher learning, including the University of Michigan, to pioneer what turned

out to be major reforms in health care education and training in medicine, dentistry, and other professions. “Those reforms were things that we as educators now take for granted, including educational prerequisites, clinical training, more classroom training, and research,” he continued. Because U-M and the other colleges and universities responded, they survived and thrived. For those that didn’t, the future was bleak. “The colleges and universities that did not embrace change then, including many that were prominent at the time, are now historical asterisks because they didn’t respond or they didn’t have a vision,” Woolliscroft said. That lesson from the past is the lesson for today. However, today, medical and dental schools and other health care professionals must be in the vanguard. A confluence of events, he said, is driving the need for an integrated approach to health care at colleges and universities. They include changing demographics, globalization, higher levels of education, an explosion of knowledge fueled by advances in technology, and a growing need to provide health care that is affordable. “The schools of higher learning were the drivers of change then, and those of us here at University of Michigan must be in the lead today,” Woolliscroft said.

“Michigan is better positioned than most institutions of higher learning in the nation or the world to be a leader in a new, integrated approach to health care education.”

iPod Initiative Lauded
During remarks, Woolliscroft applauded the School of Dentistry’s iPod initiative that allows dental and dental hygiene students opportunities to listen to classroom lectures on their iPods or other portable listening devices. “We at the Medical School have copied what you here at the School of Dentistry have done in making our classroom lectures available to our students,” he said. “It’s a fundamental change in how students learn that, I think, will continue for the foreseeable future.” Woolliscroft said he frequently has students tell him that they listen to lectures and other presentations on their iPods, but usually at a higher speed. They’ll say, “I’ll listen at speeds between one-and-a-half to two times normal because it forces me to pay closer attention to what’s being said. But if there’s something I don’t understand, I’ll go back and listen again.”

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Paperless Records, Patient Information Now a Reality in Ortho Clinic
“Paperless” is now a reality in one School of Dentistry clinic. In late July, the Robert W. Browne Orthodontics Clinic completed a transition from an environment where patient information, for decades, had been stored on paper to one that is now completely electronic. The move is one of many technological initiatives in recent years [ Dental UM, Fall 2005, pages 4-31]. “This is a major milestone for the School,” said Dr. Sunil Kapila, chair of the Department of Orthodontics and Pediatric Dentistry, who said the paperless clinic would be a model as other clinics throughout the dental school become paperless in the future. “Our faculty, residents, and staff are now able to electronically retrieve a wealth of information about our patients instead of having to sift through mounds of paper,” he said. “Every necessary piece of information about each patient,” Kapila continued, “including his or her dental history, appointments, treatments, radiographs (x-rays), photographs, payment history, and more is now available at chairside.” The information is accessible at 27 computers in the clinic. Being able to instantly retrieve information, Kapila added, will save valuable time, benefit patients, and help those providing oral health care. Dr. Scott Conley, clinical assistant professor of dentistry, coordinated the Department’s efforts with the School’s
Jerry Mastey

TheRobertW . Bro w neO rthodontics C linicis thefirst of theSchool’s clinics w herep atient inform ationis no wavailab leelectronically at chairside. D r. Sunil Kap ila(right), chair of theD ep artm ent of O rthodontics andPediatricD entistry ,w atches D r. Scott C onley(left), w hocoordinatedthedep artm ent’stransitiontoap aperlessen vironm ent,retrieveap atient’srecords. RogerG illie(center) ledaD ental Inform aticsteamthat installedthehardw areandsoftw areintheclinic.

Department of Dental Informatics.
Another Important “First” for U-M

H o w e v e r, t h e re i s a n o t h e r important “first” worth noting about the paperless clinic. According to Roger Gillie, director of programming services in the School’s Department of Dental Informatics, the School of Dentistry has become the first and only unit in the entire University of Michigan system that allows faculty members, since they have final authority for patient care, to access patient records using their university-approved identification card. “They swipe the card in a slot near the computer monitor the same way they do when buying something at a store using a credit card,” he

said. “However, it’s important to emphasize that there are security measures in place designed to prohibit unauthorized access.” Gillie and members of his team installed the hardware during a weekend in May and then tested the hardware and software, MiDent, for several weeks. They also took advantage of new technology to minimize costs. Behind each computer monitor is a “Mac mini” from Apple Inc. About seven inches square and two inches deep, the unit is the smallest desktop computer marketed by the company and can be used as a Mac or a Windows personal computer. “Their small size cuts down the need for counter space or storage space and cables too,” Gillie said.

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New Pain Clinic Extends Dental-Medical Collaboration
To Better Serve Patients with TMD & Orofacial Pain
Jerry Mastey

Dental patients suffering from facial pain and TMD can get help at a new facility now being run by the School of Dentistry in partnership with the U-M Health System. The TMD and Orofacial Pain Clinic, at 325 E. Eisenhower, just north of Briarwood Mall, is a collaborative venture that involves the School and units from the U-M Health System including Physical Medicine and Rehabilitation, the Spine Clinic, and Oral and Maxillofacial Surgery. The U-M Hospital’s Medical Pain Clinic and the Headache Clinic will be at the same location in the near future. Other specialty units from the Taubman Center, including neurology, otorhinolaryngology, and psychiatry, will also be involved.
Benefits to Patients

Patients experiencing TMD and orofacial pain will have better access to care and treatment and will find it easier for them to be seen, evaluated, and treated by oral health care and medical professionals under one roof. “The Clinic opened earlier this year to address an unmet need for treatment among a segment of the population experiencing TMD and orofacial pain,” said Dr. Paul Krebsbach, chair of the Department of Biologic and Materials Sciences. The Department oversees the Clinic’s operations. He credited Dean Peter Polverini for launching the new facility and fostering greater collaboration with other U-M units.

said, “temporomandibular disorders and other orofacial pain disorders are complex clinical problems that often involve both dentistry and medicine.” Because these conditions are complex, he added, “that is why we need to work closely, not just with our dental colleagues, but those in the medical community if we want our patients to have the best possible treatment for their pain and favorable outcomes.” Ashman said the clinic “will always be focused on patient care. D r. Lawrence Ashm an is the director of the TM Dand But because of the information we will O rofacial Pain C linic. The C linic is a collaborative venture be gathering as we help patients, we that in volves the School of D entistry andunits fromthe may find, over time, that the Clinic’s U -MH ealthSystem . mission could evolve to encompass teaching, education, and research,” he A Complex Problem said. “Because of the complexity in When he was at the U-M School of understanding and treating such Dentistry, Dr. Christian Stohler ran a complicated conditions, a team pain clinic that sought to gain further approach that utilizes expertise in insights into the reasons for a patient’s both medicine and dentistry will likely pain. The new clinic is more focused have the best opportunity for success,” on managing a patient’s pain. Krebsbach added. Dr. Lawrence Ashman is the director of the new clinic. For nearly thirty years, his general dentistry The TMD and practice focused on evaluating and Orofacial Pain Clinic managing TMD and orofacial pain. 325 E. Eisenhower He will collaborate with Dr. George Upton in the Department of Oral and Suite 100 Maxillofacial Surgery who has a long Ann Arbor, Michigan 48108 history of treating TMD patients. Telephone: (734) 936-7175 Noting that approximately twenty percent of the population experiences some kind of facial pain, Ashman

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Dental Scholars Begin 2nd Year with Community Service
Jerry Mastey Jerry Mastey

U-M School of Dentistry Dental Scholars made a major difference at an Ann Arbor School this summer. Their community service — painting classrooms, cleaning facilities, and scrubbing cots — helped the Perry Nursery School save about $1,800. “We can now use those funds for our program to purchase educational supplies and for instructional purposes,” said Heavenly Jackson, the school’s development director. Jackson said she and others at Perry “feel fortunate to have such caring partners. We’re deeply thankful the dental students were here. Their generosity and enthusiasm was something to behold. We’d love to have them back again,” she said with a smile. Established in 1934 to help children from impoverished families, Perry provides affordable high quality schooling, on a sliding fee scale, to approximately 100 children throughout Washtenaw County ranging in age from 30 months to four years. The state-licensed school is one of only seven percent nationwide to be accredited by the National Association for the Education of Young Children.
Students Enthused

(left): Jam esSkousen,ThaoLe,andH annahBudzinski painta hallw ayoutsideaclassroomat thePerryN urserySchool. (above): D ental hygiene students M aria Alspaugh (left) and A udrey Stratz cleaned do zens of sleep ing cots. In the b ackgroundisAnneG w o zdek,adjunctdental hygieneclinical lecturer andaD ental Scholarsm entor.

Dental Scholars:

Overview

In late August, a second class of 14 Dental Scholars joined their colleagues from last summer’s inaugural class with a Friday evening dinner followed by the Saturday morning work at Perry. The experience was one dental students and faculty members and Perry administrators will always remember. “This is great, I really enjoyed being here and doing this,” said Eric Skulsky a second-year dental student and member of the first class of Dental Scholars. Ben Anderson, another second-year Dental Scholar agreed. “This was cool,” he said. “I really enjoyed being able to help.” Dr. Robert Eber, who was one of several School of Dentistry faculty members who helped, was surprised with how much was accomplished in three hours.

Launched in 2006, the Scholars Programin D ental Leadership , as it’s form ally known, brings together a select num ber of exceptional students with diverse backgrounds to help them develop a leadership m indset andtheskills theycanusetoprom ote change in dentistry, dental hygiene, education research, or academia. More inform ation is on the School of D entistry W eb site: www.dent. umich.edu/prospective/spdl.

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Jerry Mastey

Jerry Mastey

“It’s amazing how much you can do when so many people are working together at one time,” he said.
Outdoor Team Building Exercises

After lunch, boarding a bus, and traveling to the U-M Recreation Area, Dental Scholars participated in several outdoor activities that challenged them to reach a goal through communication, collaboration, adapting to change, and leadership. Most of the time, students participated in groups of eight or nine. A Transformation In one activity they were challenged The work of Dental Scholars impressed Perry Nursery School administrators, to cross an imaginary river, hemmed including family services director, Mary Fabirkiewicz. The photos above show a in by electric fences, using only two crates, two boards, and a small pole. room before bookcases were moved from the center of a room to walls so children However, their final outdoor could move about freely. The results of their work are evident in the photo on the activity challenged all of them. right. “Wow! What a transformation!” Fabirkiewicz exclaimed as she walked into One by one, the Scholars stepped the room. “I can’t believe we have so much space again. It’s wonderful!” onto a long plank that represented a boat. Beneath the plank in the center, was a board that made the “boat” teeter when it was unbalanced. At each of the four corners were small, air-filled balls that would squeak when that occurred. When the Dental Scholars heard a squeak, all of them had to get off the plank, reassess their strategy, and then reboard. They had just 30 minutes to develop a successful plan. Even more challenging was that they were not allowed to speak as they approached the plank or once they were on it. Communicating was done using hand signals. After several false Dental Scholars also found ways to have some fun. After cleaning one classroom, some found sunglasses and posed for this photo. starts and subsequent collaboration Pictured left to right are: Robert Wiesen, Darlene Occimio, Sara Arnold, Keith Dobracki, Julia Latham, Eric Skulsky, Megan Dubois, the Scholars succeeded in reaching Lindsay Rayburn, and Karen Janusz. their goal.
Jerry Mastey

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These photos, taken by Dr. Russell Taichman, director of the Dental Scholars program, show some of them at work and having fun at the Perry Nursery School.
Dr. Russell Taichman

Christie Springstead Eric Skulsky

N ewD ental Scho larJuliaLathamb alancesherselfo no neb o ardassheb eginsp lacingaseco ndacro ss anim aginaryriver duringD ental Scholarschallengeactivities. M ansi G o yal (left) andSarahM iller (right), w iththeU -MC hallengeProgram , arereadytocatchLathamshouldshefall.
Jerry Mastey

Irene Haddock

Robert Wiesen

Jam esSkousen(left) andJasonSchro tenb oerusehandsignalstocom m unicatew ithD ental Scholars onho wtopositionthem selvessothep lank, rep resentinga“boat, ” didnot cap size.

New Dental Scholars
StephanieN uñez (D 1) M eghanD ubois (D 1) Julia Latham(D 1) Lindsay Rayburn(D 1) Javana C osner (D 1) Victoria Lucas-Perry (D 1) ElizabethC aplis (D 1) StephanieM unz (D 1) KarenJanusz (D 1) Michael Barber (D 2) Sara Arnold(D 2) Robert Wiesen(D 2) M alijeO nwuem e(D 3) M aria Alspaugh(D H 3)

Zahid Ahmed

Malije Onwueme Maciak Dolata

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New Field, New Opportunities – Biodontics
Blending Dentistry, Business, Innovation, and Technology
Personal computers. The World Wide Web. The Internet. When these words and phrases were spoken or appeared in print for the first time, most people scratched their heads wondering what PCs, the Web, and the ’Net were all about. Is history repeating itself? Maybe. Consider the early years of the Twenty-First Century. Here’s a word you probably haven’t seen in print or heard about before – “biodontics.” What is “biodontics,” you ask? Basically, it’s an emerging field of study that encompasses several disciplines – clinical dentistry, research, business, entrepreneurship, and technology. The goal of biodontics is to try to determine what innovations from a biological research laboratory may one day be combined with technology. The ultimate goal of biodontics is to commercialize products that dentists can use in their clinics and, in the process, improve the oral health of the population at large. Earlier this year, a number of U-M School of Dentistr y faculty, administrators, and Dental Scholars met to learn more about the emerging field and even come up with some new ideas of their own. Biodontics is a relatively new field. It was created only six years ago by Dr. Edward Rossomando, a professor at the University of Connecticut School
Dr. William Giannobile

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of Dental Medicine. He spoke during a spring weekend program at the Michigan Center for Oral Health Research. During the program, the Dental Scholars and others worked in small groups to brainstorm and develop ideas that, someday, could become reality in the dental profession. “The groups were pretty creative,” said Dr. William Giannobile, professor of dentistry and MCOHR director. Some of the ideas included using the Internet to deliver instant messages in the handle of a toothbrush to remind patients of dental appointments or give them important oral health information. “It was an interesting program that was designed to spur creativity and a sense of business entrepreneurship in the students,” said Dr. Russell Taichman, director of the Dental Scholars program.

Biodontics: Primary Goals
• Develop educational, translational research, and clinical trials programs designed to integrate basic science discoveries with clinical applications. • Encourage the development of novel approaches to clinical and translational training. • Provide a university-based, objective testing and evaluation program for dental manufacturers, distributors, and laboratories performed in state-of-the-art facilities to ensure the highest standards of evaluation through its product testing division. • Provide a unique opportunity for dental manufacturing and distribution companies to present products to dental students, residents, and faculty in a focused, structured setting. • Provide dental manufacturing and distribution companies access to multiple programs through its associate membership program. Source: www.biodontics.org

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U-M Dentist Invents Product for Clinics
Jerry Mastey

Talk with Dr. Louie Khouri and you quickly feel his passion and energy about a product he has invented that, he believes, can improve the lives of oral health care professionals and their patients. Khouri, who earned his dental degree from Michigan in 1989, invented a product he calls “QwikStrip.” He said “dentists, dental students, orthodontists, and dental hygienists will find it user friendly and safe to use. It’s designed to help reduce, if not eliminate, any lacerations to a patient’s lips or gums.” The product, which is held between a dentist’s thumb and index finger, is about the size of a quarter. Before the QwikStrip was launched last summer, general dentists and orthodontists used a raw steel six-inch serrated blade and abrasive strip to remove cement or other debris between a patient’s teeth. Often cumbersome for a dentist, and frequently dangerous for the patient because of the risk of cuts to the lips and cheeks, Khouri thought there had to be a better way. He decided to do something about it. Three years ago, he began sketching what a new device might look like and discussed his idea with designers and engineers.
What’s Different

Khouri, who practices in Manhattan, New York, and Farmington Hills, Michigan, took the original raw steel blades, reduced their length from

The serrated strips remove debris after cementation of crowns, veneers, bridges, inlays, or onlays. The abrasive strips can be used to smoothen and finish an interproximal restoration or create needed space interproximally (IPR) for tooth movement during orthodontic procedures. The abrasive strips have four grits and thicknesses – coarse (0.15 mm), medium (0.10 mm), fine (0.09 mm), and superfine (0.07 mm). Another benefit of the QwikStrip is that they can be sterilized and used again, so they’re cost effective. Manufactured in New Haven, Michigan, about 500,000 QwikStrips D r. Louie Khouri shows how his Q wikStrip can be used on a have been sold, a number Khouri patient, in this case, dental assistant M ichelle H ughes, in one hopes will triple in the next two of theSchool’sclinics. years. six inches to one, and encased them in plastic for safety and ease of use in What’s Next both the anterior or posterior sections Recently, two new versions of the QwikStrip abrasives were introduced. of a patient’s mouth. Last summer he finalized the The original strips are straight product he is now marketing – a and single sided. The new strips series of color-coded devices, both include a curved abrasive strip and a double-sided abrasive strip. The serrated and abrasive. curved version enables the user to maintain the contour of the posterior teeth. The double-sided version can be used to create larger spaces, up to 0.4 mm or more, when needed, during orthodontic procedures. Khouri said he plans to introduce all three versions “as a much-needed, complete system for doing IPR in the near future.” Khouri can be reached by phone (646) 643-1100 or by e-mail mynydoc@ aol.com.

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Mette Foundation Board Learns More During Dental School Visit
Jerry Mastey

Oral Health-Systemic Health Links Described

D r. KitrinaC ordell outlineslinksbetw eenoral andsystem ichealthtom em bersof theN orm anM etteF oundation duringtheir annual visit totheSchool of D entistry .

Evidence is growing that the dentist’s role as a health care provider has become increasingly important to their patients. “Oral health and general wellbeing are inextricably linked as noted by the fact that many conditions plaguing the body are manifested in the mouth,” Dr. Kitrina Cordell told members of the Norman Mette Foundation Board of Directors during their annual spring meeting at the School of Dentistry. The group’s meeting marked the 17th consecutive year that more than a dozen members of the board came to the University of Michigan School of Dentistry and the U-M Health System to learn more about advances in oral health care, medicine, classroom and

clinical education, and research. Cordell, an oral and maxillofacial pathologist, clinical assistant professor, and associate director of the School’s oral pathology biopsy service, briefed the group about the growing awareness of relationships between oral health and systemic disease. [See sidebar, page 15.] Dr. Russell Taichman, professor of dentistry and director of the Scholars Program in Dental Leadership, also addressed the group, describing discoveries about links between periodontal disease and heart disease and diabetes.
The Mouth as an “ Early Warning” System

“We constantly emphasize to

our students, in both classrooms and clinics, that they are not just dentists, they’re also health care providers,” Cordell said. Underscoring that point, she cited a report from the U.S. Surgeon General’s 2000 Report on Oral Health that noted the mouth can function as an “early warning” system for some diseases and that early identification of oral disease can contribute to diagnosis and treatment of systemic diseases. “The general dentist is on the frontline of the defense of oral disease,” she said. “Since not all patients receive regular medical care, the dentist may be the first to diagnose a systemic disease based on oral findings.” She said that diseases can be diagnosed during clinical, radiographic, microscopic, biochemical, or other examinations. Taking a patient’s blood pressure was cited as one example. In response to a board member’s question, Cordell said all dental and dental hygiene students routinely take a patient’s blood pressure and ask about the health history of patients treated in the School’s clinics. Pointing to research cited by the National Institute of Dental and Craniofacial Research, Cordell said that periodontal disease may exacerbate existing heart conditions and that people with periodontitis m a y b e m o re l i ke l y t o d e v e l o p cardiovascular disease than those

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“We constantly emphasize to our students, in both classrooms and clinics, that they are not just dentists, they’re also health care providers.”
Dr. Kitrina Cordell

without periodontal infection. Cordell also noted that systemic lupus erythematosus has cardiovascular implications such as increased atherosclerosis, as well as other systemic implications that can be potentially life threatening.
From Early Suspicions to Today’s Research

Association Between Dental and Systemic Disease
Studies have shown a relationship between dental disease and: • Systemic infections • Cardiovascular disease • Diabetes • Osteoporosis Part of the observed associations may be compounded by: • Smoking • Stress • Dietary intake • Behavioral factors (self care, professional care)

Taichman discussed some of the oral/systemic links, including diabetes and periodontal disease. One observation he shared with board members was from a sailor’s diary nearly four hundred years ago as he circumnavigated the globe with Ferdinand Magellan in 1520: We entered the Pacific Ocean, 3 months and 20 days without fresh food of any kind. …The gums of the upper and lower teeth of some of our men were so swollen that they could not eat under any condition. 19 of our men died. “Even back then, we had some early suspicions about possible connections between oral and systemic health,” Taichman said, “because the condition described then, compared to what we know now, was most likely due to a lack of sufficient vitamin C.”

Taichman said he believes the “Rosetta Stone” that points to possible dental and systemic links was discovered more than a decade ago, in 1994, by the School of Dentistry’s Dr. Walter Loesche. Loesche and others investigated the oral and systemic health of more than five hundred individuals at the Veterans Administration Hospital in Ann Arbor. “In a nutshell, the research showed that those with periodontitis were about three times as likely to have coronary disease,” he said.

“This is a key study that shows how periodontal disease may affect systemic health.” Taichman added, “Other clinical studies and some laboratory studies are showing that diabetes seems to be a major risk factor for periodontal disease. I’m emphasizing the word ‘seems’ because we have yet to prove a link between the two. It’s difficult to do because research is both time consuming and expensive.”

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The Gateway to Better Oral Health

Begins Here…the PAES Clinic
Jerry Mastey

D e n t a l S c h o o l ’s “ H o s p i t a l E m e r g e n c y Room” Helps Patients from across M ichigan
“Here is a sound I know you’re looking forward to hearing,” Dr. David Jacobson says jokingly, drill in hand, to patient Amanda Shaffer as she settles into a dental chair in the School of Dentistry’s Patient Admitting and Emergency Services (PAES) Clinic. Shaffer has come to the Clinic for treatment of a fractured tooth. “My mother told me about what the dentists and dental students do here to help patients and urged me to come to get this taken care of. So here I am,” she says with a smile. A few minutes earlier, Jacobson, the Clinic’s director, introduced himself, asked Shaffer questions about her condition, and explained what he would be doing to help. Moments later, Shaffer hears the whirring sound of a drill as Jacobson begins his work. During the next twenty minutes, he frequently pauses to ask questions, usually to determine if Shaffer is feeling any pain and if she’s comfortable. He also takes time to explain what will happen next. When he finishes, Jacobson asks Shaffer to look at a hand-held mirror he gives her. She looks into the mirror, opens her mouth, checks her teeth, smiles, returns the mirror, and thanks Jacobson for his help as she gets up and leaves the Clinic.
“A Very Busy Place”

Am anda Shaffer looks at a m irror tocheckthew ork D r. D avidJacob sondidfor her intheP AESC linic.

Shaffer is one of thousands of patients who come to the PAES Clinic each year for oral health care. In recent years, the number of patients seen at the Clinic has consistently exceeded 11,000 annually. [See chart page 17.] Dr. Stephen Stefanac, associate dean for patient services who oversees the Clinic’s activities, says the Clinic, “more often than not, is a very busy place.” Between 50 and 60 patients are seen daily. However, there have been times when those numbers have been higher. A record 99 patients were seen on a single day in late February 2003. Although he doesn’t remember the reasons for the surge, Jacobson says, “because of the work of the staff, their commitment, and the loyalty of the students, we were able to help every one of the patients who came here that day.”

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PAES Clinic Patient Visits
It is not uncommon during the course of an emergency examination for a patient to be told that he or she will need comprehensive care that will have to be provided over an extended period of time.
Comprehensive Care

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It’s a demanding environment, even in the best of times, for Jacobson and two other full-time staff dentists – Drs. Vernon Rife and Juan Johnson – and part-time dentists Drs. Justin Dugas, Aaron Ford, and John Seago. Located on the first floor of the dental school, the Clinic is the gateway to better oral health that serves the public in two important ways. One is to help patients who need emergency care, typically walk-in patients who do not have a scheduled appointment, but need prompt attention to alleviate pain. As the chart shows, the PAES Clinic has treated more than 5,000 patients annually in this category for the past four years. The other is to screen patients seeking comprehensive care who are interested in receiving longer-term, ongoing treatment at the dental school. More than 6,000 patients annually are in this category.

Emergency Care

When a patient needing emergency care arrives, Jacobson, or two other staff dentists, and fourth-year dental students, spend time listening to the patient and asking questions about their condition. In emergency situations, patients are told that only their particular problem will be addressed. “Our objective is to get the patient out of pain,” Jacobson says. But on any given day, he adds, “about half of our walk-ins are referred to oral surgery for extractions.” Some of these patients, Jacobson says, involve “an alarming number of young people with rampant caries due to their consumption of soda pop and other soft drinks.” [See sidebar, page 21.] Other patients, however, may be referred to other clinics such as periodontics or orthodontics or endodontics for specific procedures.

The PAES Clinic screens every new patient who makes an appointment to receive long-term comprehensive care. Although many of these individuals are new patients, there are some who have not been to a dentist for some time, in some instances, five or even ten years. When first-time patients arrive, they watch a new six-minute video that describes what they will experience and how the Clinic works. A significant portion of the initial screening amounts to what Jacobson describes as “a free consultation.” Each patient receives a cursory examination to see if there are any problems that might require immediate treatment and a screening examination for oral cancer. If there are no immediate problems, the information that is gathered is used to assess the patient’s needs and discuss what needs to be done. Emergency radiographs are also ordered, when necessary, for the PAES Clinic. However, these new patients do not receive any preliminary treatment. Instead, they are assigned to a dental student in one of the School’s four comprehensive care clinics.

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Jerry Mastey

The clinics give students in all four dental classes and the three dental hygiene classes opportunities to work together, with faculty supervision, to achieve high levels of clinical experience and competence. Also known as Vertically Integrated Clinics, students obtain basic clinical training that prepares them for more advanced clinical experiences during their final years in the dental and dental hygiene programs. However, patients may also be referred to a specialty clinic. Regardless of whether a patient is treated in a specialty clinic or a comprehensive care clinic, they are told about the major differences between being treated at the School and a private practice. “We emphasize to patients that because we are a teaching facility, everything will take longer than it would in a private office,” Jacobson says. “However, they are happy to learn that the School’s fees are approximately one-half of what area dentists and specialists charge for the same procedures,” he adds.
“ Providers of Last Resort”

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Many patients who come to the PAES Clinic live within a 30- or 40-mile radius of Ann Arbor. However, others drive two, three, four, and sometimes five hours to receive care. Those patients typically come from the western part of the state, the Upper Peninsula, and

northern lower Michigan. A few even come from outside Michigan. “ Wi t h M i c h i g a n’ s e c o n o m y what it is now because of corporate downsizings, especially in the automobile and automotive supply industries, we’re seeing more patients than ever who have nowhere else to go to be treated for their conditions,” Stefanac says. “In many instances, we’re the providers of last resort.” Compounding the problem is that, in recent years, many oral health care providers have decided not to offer dental care to Medicaid patients because their cost to do so, including supplies, substantially exceeds reimbursement from the state. Ac c o rd i n g t o t h e M i c h i g a n Department of Community Health, the number of Michigan dentists accepting Medicaid payments has

declined 39 percent, from 1,578 in 2000 to 961 currently. Only about 15 percent of the state’s 6,500 dentists take Medicaid. The state currently spends about $8 billion on Medicaid, nearly twenty percent of its budget, to provide health care coverage, including dental care, to about 1.46 million low-income children, adults, and seniors. Of that amount, approximately $80 million, or one percent of the budget, is for dental-related services. Given this confluence of developments, it is common for patients scheduling their first appointment to wait six to eight weeks for initial visits that are required prior to receiving comprehensive care.
Student/Staff Dentist Teamwork

The PAES Clinic, though, is not just a treatment facility. It provides dental

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Jerry Mastey

D r. JuanJohnsonandfourth-year dental student N atheraBalachandranreviewradiographsanddiscussoptions totreat apatient receivingcare.

students with learning opportunities while offering services to patients, many of whom feel they have no where else to go. Fourth-year dental students are required to be in the Clinic for at least 10 half-day sessions. They triage, examine, and administer emergency care to walk-in patients. However, dental students in other classes may visit and observe as often as they wish. “We want the fourth-year students to see as much pathology as possible,” Jacobson says. “In fact, the sheer volume of patients who are treated here insures students will see cases they generally don’t experience in one of our comprehensive care clinics.” Dental students agree. [See story, page 22.] Staff dentists attempt to frame each experience in the context of

how it might be handled in a private practice. Ja cob s o n w il l o ft e n pre s e n t students with this situation: “Suppose you’re in the middle of a crown prep and a patient walks in…” at which point he describes other activities occurring in the dental office that need resolution. “We want students to look at these urgencies with a creative problem solving mindset,” he says. “It’s not a case where there are necessarily right answers. Instead, we would like them to consider a number of options from which to choose,” he says. Jacobson, Rife, and Johnson work with the dental students. More often than not, however, they keep a low profile so the dental student learns how to manage the psychology of a patient’s pain from the moment they greet the patient. The reason for this

approach is to allow each student to develop their skills, increase their comfort level with difficult issues, and, ultimately develop their own style. But when a procedure is beyond the scope of a student’s training, staff dentists are there to perform the treatment. In these instances, the student will watch, or perhaps assist a staff dentist. However, in similar future cases, they are expected to do more. “We’re there as a safety net for the dental students and we know when to intervene,” Jacobson says, “but we want each to develop their own style and their own way of working with a patient.” That includes explaining their findings, diagnoses, and discussing treatment options with each patient. The staff dentists say all of these experiences make it easy to remain enthusiastic. “I thoroughly enjoy the opportunity to practice dentistry here at Michigan, teaching students in the Clinic, working with faculty, and handling a large variety of patient cases,” Dr. Juan Johnson says. D r. Ve r n o n R i f e , w h o i s i n private practice, but once thought about becoming a teacher as an undergraduate, says, “the opportunities I have daily to educate new patients who come to our Clinic for treatment, as well as mentoring the dental students who help here, is the best of both worlds.”

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Located on the first floor of the dental school, the PAES Clinic is the gateway to better oral health that serves the public in two important ways. One is to help patients who need emergency care. The other is to screen patients seeking comprehensive care who are interested in receiving longer-term, on-going treatment at the dental school.
Crucial Collaboration

Jerry Mastey

Playing a major role in the success of the PAES Clinic are the School’s patient care coordinators (PCCs). These individuals are intermediaries between the students and the patients. They work with the clinic directors to ensure that all patients receive the care they need, and that the students get the support and experiences they need to become competent and are prepared to take state-required licensing examinations prior to graduation. Jacobson, Rife, and Johnson frequently work with the coordinators to help patients and dental students. Dental students who learn of an appointment cancellation by one of their patients have an opportunity to “fill” their empty chair. Working with the PCCs, the PAES staff matches those students looking for work with patients needing help. “That dental student may be able to proceed immediately with a comprehensive oral exam and treatment plan that otherwise would occur during the patient’s next visit,” Jacobson says. “It’s a win-win situation. We save the patient a visit

and provide a student with a learning and treatment opportunity.” The PAES Clinic maintains an open door policy. Anytime a dental student has free time and is looking for something to do, they can stop at the PAES Clinic. “The patient care coordinators have allowed us to try this out, and it works,” Jacobson says. With all the activity in the Clinic, Jacobson says, “we are constantly measuring and trying to improve what we are doing here.” “It’s an exciting time to be here in the PAES Clinic,” he adds. “We have received a lot of support from Dean Peter Polverini, patients tell us they appreciate receiving the quality of care they’re getting, and the interaction with the students continues to be highly rewarding. For me, it’s incredibly gratifying when you can both help a patient and teach a student something new about the art and science of dentistry.”

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Accommodating Special Needs Patients
Soda + Caries =
Although most patients seen at the PAES Clinic can walk into the Clinic without assistance, there are those who can’t, primarily patients in wheelchairs. Their special needs are being accommodated. A special cubicle is available for those patients. In addition, a device is being used that makes it easier for both the patient and the dentist. The new device is a dental headrest. It’s clamped to the handles of a wheelchair so these patients don’t have to be physically transferred from their wheelchair to a conventional dental chair. The headrest allows patients to comfortably tilt their heads backwards. “We want our students to get more experience treating special needs patients so they develop a sense of comfort and acceptance that will carry over to their private practice,” says Dr. David Jacobson. In May, 48-year-old Michael Flynn arrived in a wheelchair needing emergency treatment. When he was 16, Flynn broke his neck and severed his spinal cord in a diving accident. Jacobson performed a pulpectomy on Flynn, much to his relief. When it was over, Flynn thanked Jacobson telling him, “that was a very painless procedure. Very well done.” “You’ve made my day, I appreciate that,” Jacobson said as Flynn left the Clinic.
Jerry Mastey Jerry Mastey

“An Alarming Problem”

“An alarming problem we see in patients that come to us for care is caries caused by the excessive consumption of soda and other soft drinks,” says Clinic director Dr. David Jacobson. Jacobson says that he and dental students in the Clinic still hear a prevalent myth from patients that low-calorie or no-calorie soft drinks do not cause cavities. “Many believe that if there is no sugar in the diet soda, it’s like drinking water,” he adds. “ When we hear that, we tell the patient, ‘That definitely is not the case’.” In these instances, the culprits are citric acid and the phosphoric acid in the drinks. When it comes to causing caries, Jacobson says that on a scale of zero to five, with water being zero,“regular soda pop is five, but patients are really surprised to learn diet soda is three.” “We tell patients that they will get caries, but that it will take longer than if they drink a sugar-laden beverage,” he says. In their role as educators, PAES Clinic dentists and dental students encourage all patients to read soft drink labels.

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Fourth-Year Dental Students Say PAES Clinic “A Very Valuable Experience”
Fourth-year dental student Sarah Miller says she feels more confident diagnosing and dealing with patients who have emergency dental needs following her experiences in the PAES Clinic. Instead of taking a month off between the end of her third year and the start of her fourth year in the predoctoral program, Miller chose to work in the PAES Clinic two days a week. She did so to learn more about the types of cases the Clinic handles and also learn more about the admitting process for new patients. “The Clinic was much faster paced, and I saw more patients than usual, sometimes about ten a day,” she said. Fourth-year dental student Nathera Balachandran agreed, adding the range of treatments patients needed was revealing.
“More Variety”
Jerry Mastey

F ourth-year dental student SarahM iller andP AESC linicstaff dentist D r. JuanJohnsonreviewapatient’s radiographstotrytolocatethesourceof thepatient’soral pain.

“There’s a lot more variety in the PAES Clinic that you don’t see in the comprehensive care clinics,” she said. Balachandran said she often came to the Clinic as a third-year student when some of her patients didn’t show up for their appointments in the comprehensive care clinics. In addition to learning more about emergency dental situations, Miller said she too observed and helped patients with a range of dental problems. “Some were minor, like questions about bruxism or temporaries falling

off, but there were some major trauma cases,” she said. One major trauma case involved two anterior tooth avulsions with maxillary alveolar fracture and nasal fracture. “I learned there are many ways of dealing with a case like this, as well as many factors that go into the prognosis of an avulsed tooth,” she said. Because of the severity of the case, the patient was ultimately referred to the hospital for follow-up treatment and care. Mostly, however, Miller said she saw and treated patients with a range of endodontic problems. Some had reversible pulpitis. Others were irreversible. And there were many patients with cases of pulpal necrosis. “Up to this point, I had not seen an

endodontic case within my patient pool in the comprehensive care clinic, and had no real dental emergencies to speak of,” she said. Miller’s experiences with dental emergencies in the PAES Clinic instilled confidence. “I’m much more confident in testing, diagnosing, and giving a patient all the options available about their specific problem,” she said. Her PAES Clinic experiences were beneficial for another reason. “It also allowed me to see what it was like to be in a more ‘real life’ setting with numerous patients to examine and care for,” she said. “I feel much more confident of my skills diagnosing and dealing with emergency dental problems as a result.”

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Medical Residents Learning About Dentistry First-Hand
The medical profession is gaining a better understanding and appreciation of the importance oral health plays in a patient’s overall health and well being. For the past year, several medical residents from the U-M Hospital have come to the dental school to learn more about how to deal with common dental emergencies they often see in the hospital’s emergency room. “This is an elective for them, so it’s totally voluntary if they want to be here, and they’re free to come and go as they please,” said PAES Clinic director Dr. David Jacobson. “However,” he continued, “most find the time they spend with dental students in our clinic and with specialists in our oral surgery clinic is very informative and helpful.” Jacobson said he, along with Drs. Vernon Rife and Juan Johnson and dental students, try to help the medical residents recognize the reasons for a patient’s pain and offer advice on choosing the proper medication when necessary. “We’re focused on the basics, primarily, how to help the patient and get him or her out of pain,” Jacobson said.

Brett Russell, MD
Now in the third year of his fouryear residency program at U-M Hospital, Dr. Brett Russell said, “We see just about everything in the hospital’s emergency room, but having this opportunity to focus on dental-related emergencies was very helpful to me.” Russell said he “was surprised at just how awesome the PAES Clinic is and what the staff dentists and dental students do to help patients in pain.” In addition to observing what takes place in the Clinic, Russell also spent time in the School’s oral surgery clinic. The experiences, he said, helped him recently evaluate a patient who came to the hospital’s emergency room complaining of pain. Russell said that probably the most important thing he learned during his two weeks at the dental school “was becoming familiar with the dental blocks that are used to help patients in pain.” He said he also learned important lessons about distinguishing between patients “who are truly in pain and need some kind of medication to lessen that pain and those who may be complaining of pain but, upon further questioning and examination, are not in pain and may be trying to obtain a prescription for other purposes.”

Kurt Hessen, MD
Dr. Kurt Hessen, now in the second year of his fouryear residency program at U-M Hospital, spent about two weeks at the dental school earlier this year. “It was a great learning experience,” he said, “not just in the PAES Clinic, but also in the oral surgery clinics at the hospital and the dental school.” Hessen said he and others “see a fair amount of pain with patients who come to the U-M Hospital, problems like fractured teeth, pain from cavities, and things like that. So learning more about these conditions and what we as physicians might be able to do in these cases was a great learning experience,” he said. Hessen said he also learned, from watching dental students and their clinical supervisors, how important it is for emergency room physicians to ask patients about their oral history and any medications they may be taking.

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2 New Videos Produced for PAES Clinic
“It gives us more time to devote to the other functions of the PAES Clinic while also precisely conveying the same information to everyone who seeks comprehensive care as a new or returning patient,” said Dr. David Jacobson of a video all new patients see moments after arriving at the PAES Clinic. Produced by Jacobson with help from the School’s Digital Learning Laboratory, the six-minute video includes still photos with Jacobson explaining in detail what patients can expect. He begins with an overview of the School’s dental education program and how the dental students in the PAES Clinic work with patients, under faculty supervision, to provide care; the process of treatment, that begins with a comprehensive oral exam; the treatment options that are available to a patient following their visit; and information about fees and payment options.
Time vs. Cost Tradeoffs

First Video Offers Patients Valuable Information
Jerry Mastey

Krystal G oreandher father, Larry ,w atchavideothat explains w hat takes placeintheP AESC linicandw hat patientscanexpect w hentheyaretreated .

“Everything a student does must be evaluated and approved by a clinical instructor,” Jacobson says in the video. He notes that students are required to stop at prescribed points and ask an instructor to check and evaluate their work. As a result, he adds, “this is a time-consuming process where appointments can often last up to three hours.” However, in return for their time, Jacobson says that patients are compensated with lower fees “that

are about half of what a private dentist in this region would charge for the same procedure.” Before their treatment begins, patients are told a comprehensive oral examination is required. It includes taking blood pressure and radiographs, if necessary; compiling information about the patient’s medical and dental history; checking the patient’s head and neck; conducting an oral cancer screening; and assessing the patient’s oral hygiene. I n t h e v i d e o, J a c o b s o n t e l l s patients there is no charge for a brief screening exam or a limited consultation with a staff dentist they will receive.

T h e s c re e n i n g , w h i c h t a ke s less than five minutes in most cases, determines the patient’s overall needs and treatment options. The vast majority of patients are assigned to predoctoral students i n t h e S c h o o l ’ s c o m p re h e n s i v e care clinics. However, others may be referred to one of the School’s graduate specialty programs, such as orthodontics or periodontics, or to the Dental Faculty Associates Clinic, a facility in the School where faculty members with dental or specialty degrees treat patients.

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Second Video Tells Dental Students What to Expect
“We want all of our fourth-year dental students to get an idea of how closely the PAES Clinic mimics what goes on in a private practice while also giving them an idea of what to expect before actually setting foot in this Clinic.” That’s how Dr. David Jacobson, PAES Clinic director, describes a new half-hour video fourth-year dental students must watch before beginning their rotation in the clinic on the main floor at the School of Dentistry. Crediting Dr. Stephen Stefanac “with bringing us into the Twenty First Century as dental educators,” Jacobson says the video, now being used for a second year, has been beneficial. “Previously, we would present an orientation to each new group of fourthyear dental students,” he adds, “but that slowed down taking care of patients and also raised the possibility of omitting some vital information.” As part of their video orientation, dental students also receive a list of questions to answer before their first rotation. The video has been so well received that Jacobson also sends it to third-year dental students to encourage them to stop by the Clinic to observe or lend a hand.
Words of Wisdom and Suggestions
Jerry Mastey

“The psychology of the patient in pain is something you will be managing from the moment you say ‘hello’,” Jacobson tells the students in the video. “These patients will pick up on your cues. …They are looking for a sense that

you have seen their distress before, that you know what it is, that you know what you’re going to do about it, that they are in good hands, and that you’re going to get them out of pain,” he adds. S t u d e n t s a re t o l d t h a t t h e i r responsibilities involve data gathering, including information about a patient’s medical and dental histories, conducting diagnostic tests, making a diagnosis, explaining the diagnosis, and discussing treatment options. However, before explaining their findings to a patient, Jacobson advises students to choose their words carefully. Because they will not treat most of those patients themselves, students are advised not to make any promises that other students or departments have to keep. Although three staff dentists are available to help, Jacobson says, “As time goes on, we hope that you will gain an awareness of your progress and development. Ultimately, we want you to be able to refer to yourself as ‘doctor’ with confidence.”

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Per Kjeldsen

Dr. David Jacobson
PAES Clinic Director
“My father practiced dentistry in New York City for nearly forty years and I grew up thinking I would become a dentist like him,” said Dr. David Jacobson. “But a funny thing happened to me on my way to dental school...I became interested in other things I didn’t want to preclude.” After earning a bachelor’s degree from U-C Berkeley, Jacobson came to U-M and earned a master’s degree in environmental education. He worked for non-profit organizations on projects that included recycling, food production and nutrition, and “doing my part to save the planet while working toward dentistry,” he said. In Ann Arbor, he found outlets for his other interests. A stained glass artist who displayed at the annual Ann Arbor Art Fairs, he has maintained a glass studio for 30 years, is a self-taught musician, plays in a local band, and builds instruments. Hired as a clinical instructor in prosthodontics and periodontics after earning his DDS from U-M in 1988, Jacobson has been PAES Clinic director since 1995. He enjoys being an educator. “Every case is a learning opportunity for the student. I hope to challenge them to draw upon everything they’ve learned, and set it in a context of their own office someday,”he said. “When students learn something new while helping patients in pain, that’s a good day for me.” Jacobson plans to leave dentistry and pursue his other creative passions in three years when he turns 56. “Meanwhile, I’m having a fabulous time while looking forward to the next chapter of my life.”

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Per Kjeldsen

Dr. Juan Johnson
Staff Dentist
“I thought I would be here for a year, perhaps two at most, but now it’s been ten years and I’m still enjoying myself,” said Dr. Juan Johnson (DDS 1991). “I enjoy the opportunity to practice dentistry at Michigan, teach students in the Clinic, work with faculty, and handle a large variety of patient cases,” he added. Although he works forty hours a week in the PAES Clinic, Johnson also has a part-time private practice in Ann Arbor. Raised on the island of Okinawa and fluent in Japanese, Johnson said his interest in dentistry began in high school. “On Okinawa, I talked to many military dentists and liked the fact they had a level of autonomy while practicing,” he said. Johnson also thought about becoming a fighter pilot, but “they flew where and when they were told,” he said. “When I told them I was also considering dentistry, they suggested becoming a dentist and earning a private pilot’s license so I could fly whenever I wanted.” Johnson hasn’t obtained a private pilot’s license, but does return to Okinawa every year to spend time with his family. Johnson came to U-M for his bachelor’s degree and then a dental degree. For the first two years, he practiced dentistry in a public health clinic and then learned about the need for a staff dentist in the PAES Clinic. “I was very interested in working in PAES, especially since I knew the director, Dr. David Jacobson,” Johnson said. “We have many similar interests and that makes being in the Clinic even more enjoyable.” When he’s not practicing dentistry, Johnson enjoys running, playing basketball, chess, and his biggest passion, golf. “You might say dentistry supports my golf habit,” he said.

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Per Kjeldsen

Dr. Vernon Rife
PAES Clinic Dentist
“I’ve been a dentist here in the PAES Clinic since 1993 and continue to enjoy the interaction with the patients, helping them understand their dental condition, discussing optimal treatment plans, and referring them to those in the School who can best help them,” says Dr. Vernon Rife. After earning his dental degree from U-M in 1975, Rife practiced dentistry for 18 years in Hartland, Michigan, before returning to his alma mater. “I enjoyed dentistry, but disliked doing the paperwork, making the hiring decisions, and all the other things that are a part of a private practice,”he said,“so when I learned of the need for a staff dentist here, I applied and sold my practice once I accepted the job here.” Rife said he enjoys another part of his work in the PAES Clinic, teaching. “I thought about becoming a teacher when I was an undergraduate, or perhaps working in medicine or dentistry,” he said. “The opportunity I have daily to educate new patients who come to our clinic for treatment, as well as mentoring the dental students who help the patients in the PAES Clinic, is the best of both worlds.” When he’s not at the School of Dentistry, Rife works part-time at a private practice in Belleville and directs a men’s chorus at his church in Highland, Michigan. “I also direct a volunteer choir at Christmastime. I’ve been singing since I was in grade school and still have a lot of fun doing it,” he said.

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Adjunct Faculty Teach Students, Help Patients
In addition to three staff dentists in the PAES Clinic, several private practice dentists return to the Clinic one day a week to teach students and help patients.

Justin Dugas, DDS
“I had some amazing instructors when I was a dental student, especially Drs. Joe Kolling and Dan Edwards,” said Dr. Justin Dugas (DDS 2005). “They wanted me to succeed, to understand what I was doing and why. They took the time, even after hours, to explain procedures or techniques when I had questions. I’m trying to emulate them, so that’s why, since January, I have been here one day a week,” he added. Dugas, who practices in Dearborn four days a week, spends Tuesdays in the Clinic helping patients, when needed, but mostly supervising dental students and guiding them. But his counsel extends beyond dental plans and treatment. “Because I’m so close in age to the fourth-year dental students, I often find that I’m a resource for career advice,” he said. Many students, he said, have questions about being in a private practice or whether they should enter an AEGD or GPR program, “so I’m glad to answer those questions too. I want to make the same difference in their lives that Drs. Kolling and Edwards made in mine.”

John Seago, DDS
“It’s a great honor to give something back to this School and this University for the great education I received,” said Dr. John Seago (DDS 1986). “Being here in the PAES Clinic every Wednesday is my way of showing my appreciation and, I hope, will inspire some dental students to think about also doing this as their way of giving back in the future.” Seago, who runs a private practice in St. Clair Shores four days a week, has been an adjunct instructor in the Clinic for nearly two years. “I keep returning because it seems there’s something new everyday,” he said. “This is also a great learning environment for the students and I enjoy the many opportunities I have during the day to pass along some of what I have learned to help them.”

Aaron Ford, DDS
Unlike his two other adjunct colleagues, Drs. Justin Dugas and John Seago, Dr. Aaron Ford is “the new kid on the block.” After earning his dental degree in May, he began working in the PAES Clinic a month later. “It feels a bit strange seeing and talking to some of my former dental classmates,” he said. “But I’m excited to be here at the School and helping patients.” Ford, who is in the Clinic on Thursdays, spends his other four days providing oral health care in downtown Detroit as a part of Dr. Amid Ismail’s oral health disparities program. Eventually, Ford said he would like to work in a private practice after his wife completes her emergency residency program at Henry Ford Health System in Detroit. From November 2000 to May 2001, Ford was with the U.S. Army as a medical platoon leader at Camp Doha, Kuwait, where he oversaw the treatment of over 900 patients and 20 MEDEVAC situations.

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FA C U LT Y P R O F I L E

Per Kjeldsen

Stephen Stefanac, DDS, MS
Associate Dean for Patient Services Clinical Professor of Dentistry
e supervises one of the School’s largest departments with more than 80 employees working in 11 different areas. So there’s plenty to keep Dr. Stephen Stefanac busy on any given day. However, away from the School of Dentistry, there’s another side not many see. His hobbies…as a potter and restorer of old pinball machines…are activities that help him “to get away from it all” when he’s not at the School of Dentistry. Stefanac returned to the U-M School of Dentistry in the summer of 2004 as associate dean for patient services, a position similar to the one he held for six years at the College of Dentistry at the University of Iowa. He earned a bachelor’s degree in biological sciences from U-M in 1976 and a master’s degree in oral diagnosis and radiology 11 years later.
The Influence of a U-M Dentist

H

“Family and friends are here, and some of my fondest memories are of my days here as a student, as well as when I was living here in Ann Arbor and running my own practice in South Lyon and practicing part time in Detroit. So it was natural to want to return,” he said. What Stefanac seems to especially cherish, now that he’s back in Ann Arbor and at the School of Dentistry in a leadership role, are the opportunities to meet and talk to Dr. William Gregory (DDS 1953, MS 1983), an adjunct clinical professor.

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“Sometimes I’m a clinical administrator, but minutes later I can be wearing a different hat that finds me dealing with complaints or issues of quality control or a host of other factors. But that’s to be expected because this department is so large.”

Office of Patient Services
• Four Comprehensive Care Clinics • Patient Admitting and Emergency Services (PAES) Clinic • Patient/Student Monitors • Patient Business Office • Sterilization and Dispensing • Dental Stores • Records Room • Information Desks • Phone Room • Dental Faculty Associates • Community Dental Center

What’s Involved...

Stefanac said it was Gregory, and others in his office, who sparked his interest in dentistry. “It seemed whenever I went to his office for my annual checkup when I was in grade school, he and everyone who worked for him enjoyed what they were doing and helping others,” Stefanac said. “After seeing this several times, I decided when I was in sixth or seventh grade that I wanted to become a dentist.” Gregory said Stefanac was about eight or nine years old when he first came to his office for oral health care and probably began to consider the profession as a possible career not long afterwards. “There were also a couple of conversations with his parents about Steve’s interest,” he said. In high school, Stefanac told his guidance counselor about his career plans.

But the counselor told him to try something else before pursuing his plans. “She told me to do something that I thought was pretty unusual at the time – taking a pottery and ceramics class. She said since dentists work with their hands, this would be a way for me determine if I would feel the same way,” Stefanac said. “I enjoyed it then and still do today.” A member of the Ann Arbor Potters Guild, Stefanac is often at the organization’s booth demonstrating pottery making during the annual Ann Arbor Art Fairs each July (page 34). Stefanac’s teaching career, as a part-time clinical instructor, began at U-M in 1984, at the time he was starting to pursue his master’s degree. For the next two years, he was also a research associate in biomaterials and an adjunct lecturer in the Department of Oral Diagnosis and Radiology. What he remembers most about his teaching experiences was the o ppo rtun it y t o w o rk a l o n gs ide Gregory. “I had a lot of fun teaching with Bill during my first year as a grad student in the preclinic,” Stefanac said. “Even though I never shadowed him when I was in high school or college, like many others do, he taught me something very important that has remained with me throughout my career, ‘Put the patient first.’ Along with that was another important lesson, ‘Be good to your patients and they’ll be good to you’,” he said. “If I conveyed these ideas to Steve,

I am more than gratified,” Gregory said. “But I would bet, though, that the foundation for his personal philosophy began at home and that I and others merely supported it.” From 1987 to 1998, Stefanac taught at the University of Detroit Mercy dental school, was acting director of clinics, and also served as director and acting associate dean for patient care. His academic and administrative credentials and private practice experience led to his appointment at Iowa, first, as assistant dean for patient care in 1998, and, three years later, as associate dean.
Michigan Differences

Insights gained and lessons learned have been applied at Michigan where Stefanac has supervised the production of videos shown to dental students, staff, and clinical faculty on topics ranging from infection control, to preparing a cubicle for a patient visit, to communicating with patients. Two videos are described in the story about the Patient Admitting and Emergency Services Clinic (pages 24 and 25). Stefanac’s six years at Iowa prepared him for his current role at the U-M School of Dentistry. B u t t h e re a re s o m e m a j o r differences. “Here, at Michigan, we have about thirty percent more dental students and a staff of about eighty compared to a staff of about fifty at Iowa,” he said.

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FA C U LT Y P R O F I L E

The greater number of students, patients, and staff at Michigan “means things are faster paced and that my role often changes from day to day, if not hour to hour,” he continued. “Sometimes I’m a clinical administrator, but minutes later I can be wearing a different hat that finds me dealing with complaints or issues of quality control or a host of other factors. But that’s to be expected because this department is so large.” As a result, Stefanac said his approach is straightforward. “When faced with an issue or challenge, I want to address it immediately, look at all the angles, and see what we could have done better or what we need to improve instead of letting an issue fester and become more of a problem later,” he said. Another major difference in patient care and education at Michigan, Stefanac said, is the School’s Vertically Integrated Clinics (VICs) program. Launched in the summer of 1997, VICs combine classroom and “real world” experience by offering students – in all four dental classes and all three hygiene classes – an opportunity to work together, with faculty supervision, to achieve high levels of clinical competence. With VICs, first-year dental and dental hygiene students are in clinics almost from the moment they arrive on campus. They obtain basic clinical training that prepares them for more advanced clinical experiences during their final two years at Michigan. Because they work as a team, dental

Jerry Mastey

D r. StephenStefanacsupervisesoneof theSchool’slargest departm entsw ithabout 80em plo yeesw how orkin11 different areas.

and dental hygiene students get an idea of what to expect in a clinical setting long before they graduate. In addition, VICs are patientcentered, a departure from an earlier approach to dental care and education which was procedure oriented. This approach, Stefanac said, sets the University of Michigan School of Dentistry apart from other dental schools around the country. “One of the reasons we are a toptier dental school is because of the VICs,” he said. “When problems or concerns arise, I spend time with my staff to review an issue and see what we can do to improve the experiences of our students and our patients.” One can hear Gregory’s advice being voiced as Stefanac discusses clinical education and patient care. “I care a lot about our patients and how they are treated by our students

when they are in our clinics,” Stefanac said. “So I’m willing to take the time and make the effort to see that things are done right as well as trying to make their experiences here even better the next time.” Gregory added that Stefanac’s openness to ideas from others, and willingness “to consider ideas from the clinic floor,” enhances his effectiveness.
Outreach and Access to Care

In his role as associate dean for patient services, Stefanac said the job requires him “to look at the big picture. That’s why I get involved with other U-M units on campus, state governmental agencies, and our outreach partners.” One of Stefanac’s early roles involved the School’s community o u t re a c h p ro g r a m u n t i l t h o s e

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Jerry Mastey

responsibilities were assumed by Dr. Bill Piskorowski last summer. [Dental UM, Spring & Summer 2006, page 33.] “Bill’s contributions to the outreach program and the School have been significant in the short time he’s been here,” Stefanac said. “Outreach is an important mission for us, and it will continue to be an important part of our curriculum because of the access to care issue that many across our state are facing given today’s economy.” There is another reason for his interest in the access to care issue. “I’m afraid that if we, as dentists, don’t make a concerted and longterm effort to improve access to oral health care to the least fortunate in our communities, that we could wind up losing a significant amount of our autonomy,” he said. “No one wants that to happen.” Despite his schedule, Stefanac still makes it a point to see patients. For one-half day each week, he’s practicing in the Dentistry Faculty Associates clinic at the School. In retrospect, it’s understandable why Stefanac enjoys taking clay and shaping it…and taking an old pinball machine apart and seeing how it can be restored. There seems to be symmetry between his hobbies and interests and what he does at the dental school. Perhaps Gregory put it best when he said, “Steve has demonstrated his considerable skill in many facets of dentistry. We here at Michigan are fortunate to have him.”

Assupervisor of oneof theSchool’slargest departm ents, D r. StephenStefanacm eetsregularlyw iththoseresponsible for ensuringthesm oothoperationof variousunitsw ithintheO fficeof Patient Services. H ere, heleadsabiw eekly m eetingof hisdepartm ent’sadm inistrativestaff.

Stefanac Authors Book
Dr. Stephen Stefanac recently authored the second edition of Treatment Planning in Dentistry, a 490-page publication that offers general practitioners useful information about creating treatment plans for adolescent and adult patients. Stefanac and coauthor Dr. Samuel Nesbit offer practitioners suggestions for devising treatment plans that blend the “ideal” and the “practical.” But they’re emphatic about one point. “We continue to emphasize the central role of the patient, whose needs and informed choices should drive the treatment planning process,” they write. A CD-ROM that accompanies the book gives readers opportunities to practice applying what they read. The exercises become more complex as you progress. At the end, users learn whether the authors agree or disagree and why. The book, priced at $69.95 and which can be ordered online, is being used by over two-thirds of the dental schools in the U.S.

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FA C U LT Y P R O F I L E Teaching Outdoors…at the Art Fairs
Jerry Mastey

“Would you make something?” a young girl asks Steve Stefanac as he sits on a stool behind a pottery wheel at the Ann Arbor Art Fairs. “Sure,” he replies with a smile. “What would you like me to make?” “A cup,” the girl replies. “OK, I can do that,” he says. “Oh, wait, can you make a bowl or a vase?” she asks. “Sure, I can do that,” he says. “Which would you like?” “A vase,” she replies. After gathering about a pound of clay in his hands and shaping it into a ball, Stefanac places the material onto the wheel and presses a footpad on an electric pedal that makes a wheel rotate. The girl, and others around her, watch in fascination as the clay gradually takes shape. After finishing, Stefanac looks up, smiles, and asks the girl, “What do you think?” “Nice,” she replies.
Jerry Mastey

Evenw henheisnot inaclinic, D r. Step henStefanacisteaching . H ere, hedem onstratesand answ ersquestionsabout m aking potteryduringtheannual Ann Arbor Art F airs. Stefanacisa m em ber of thePottersG uild w hichhadaboothoutsideH ill A uditorium .

After shapingthe clay ,D r. Stephen Stefanaccon veys hisexhilarationto youngstersw ho w erethenallo w ed totouchthevase hem ade.

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Dr. Stephen Stefanac
Professional Achievements Selected Highlights
Education
• MS, Oral Diagnosis and Radiology, University of Michigan School of Dentistry (1987) • DDS, University of Detroit School of Dentistry (1980)

Academic Appointments & Private Practice
• • • • • • • • • • • • • • • • • • • • • • • • Associate Dean for Patient Services, U-M School of Dentistry (2004 to present) Faculty practice, U-M School of Dentistry (2004 to present) Associate Dean for Patient Care, College of Dentistry, University of Iowa (2001-2004) Assistant Dean for Patient Care, College of Dentistry, University of Iowa (1998-2001) Faculty practice and clinical professor of dentistry, University of Iowa (1998-2004) Associate, general dentistry, Plymouth, Michigan (1996-1998, 1984-1990) Associate/assistant professor and director of oral medicine, University of Detroit School of Dentistry (1987-1998) Adjunct lecturer/clinical instructor, Department of Oral Diagnosis and Radiology, U-M School of Dentistry (1985-1987) Associate, general dentistry, Detroit (1982-1984) Owner, general dentistry practice, South Lyon, Michigan (1981-1984) Omicron Kappa Upsilon (2000 to present) American Academy of Oral Medicine (1994 to present) American Association of Dental Schools (1987 to present) International Association of Dental Research (1986 to present) American Dental Association (1976 to present) Detroit District Dental Society (1976 to present) Michigan Dental Association (1976 to present) Site visitor, Council on Dental Accreditation, American Dental Association (2002 to present) Chair, Material and Instruments Committee, U-M School of Dentistry (2006 to present) Chair, Clinic Issues Committee, U-M School of Dentistry (2004 to present) Chair, Quality Assurance Committee, U-M School of Dentistry (2004 to present) Member, Examination Review Committee, Central Regional Dental Testing Service (1999-2002) Oral Diagnosis and Medicine Section, American Association of Dental Schools - Chair (1999-2000) - Chair-elect (1998-1999) - Secretary (1997-1998) Organization of Teachers of Oral Diagnosis - President (1996-1997) - President-elect (1995-1996) - Secretary-Treasurer (1993-1995)

Professional Affiliations

Professional & U-M Dental School Leadership

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FA C U LT Y N E W S
Dr. Dan Edwards Receives MDA’s New Dentist Leadership Award
Dr. Daniel Edwards (DDS 1997), an adjunct clinical l e c t u re r i n t h e Department o f C a r i o l o g y, Restorative Sciences, and D r. D anEdw ards Endodontics, and a member of the School of Dentistry’s Alumni Society Board of Governors, recently received a major award from the Michigan Dental Association during its annual session. Edwards received the organization’s New Dentist Leadership Award that recognizes new dentists who demonstrate leadership and serve as role models for other new dentists. In addition to working in two private practices and teaching part time at U-M, his activities include assisting dental students during Dental Health Day and the annual Mouth Guard Clinic. In presenting the award, the MDA noted, “he is a new dentist who really possesses leadership qualities, ethics, volunteerism, and a commitment to professionalism.” In 2004, Edwards created a Board of Governors-sponsored Lunch & Learn Program to help dental students
Per Kjeldsen

become more familiar with some of the professional experiences they are likely to encounter after graduation. [DentalUM, Fall 2005, page 55.] Edwards also chairs the MDA’s Membership Committee, is active in the Chicago Dental Society, and is a host to visiting lecturers at the annual Chicago Midwinter Meeting.

Dr. Sunil Kapila Featured in AAO Bulletin
Dr. Sunil Kapila, chair of the Department of Orthodontics and Pediatric Dentistry, was featured in the July issue of the American D r. Sunil Kap ila Association of Orthodontists publication, The Bulletin. He discussed the major influence a research grant he received from the AAO Foundation in setting the stage for his academic career. The award was one of thirteen the Foundation presented for the first time in 1994. Kapila, the Robert W. Browne Endowed Professor of Dentistry, said in the article, “To date, every single grant that I have obtained from the NIH, now totaling several million dollars, is directly connected to an initial
Per Kjeldsen

investment made by the AAOF.” Characterizing the grant as “a great return on investment for members’ contributions to the AAOF,” Kapila added that the research activities and knowledge generated from those studies that have been funded by the Foundation “helps in the understanding of other medical and craniofacial conditions, including craniofacial anomalies, osteoporosis, and arthritis, among others” and will eventually result in a better quality of life for patients.

AAP Award to Dr. T.J. Oh
Dr. T.J. Oh, clinical associate professor in the Department of Periodontics and Oral Medicine, is the recipient of the American Academy of Periodontology’s D r.T ae-JuO h Award for Outstanding Teaching and Mentoring in Periodontics. Announcement of the award was made at graduation ceremonies in May. Dr. Laurie McCauley, chair of the department, said the award is presented annually to a periodontal educator at each dental school “who has demonstrated a commitment to excellence in providing education in the full scope of clinical periodontics and
Jerry Mastey

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relays that enthusiasm to students.” Oh, who has been at the School of Dentistry since 1996, co-directs the predoctoral implant program. “ We a re f o r t u n a t e t o h a v e outstanding faculty members like T.J. Oh who are dedicated to excellence in teaching periodontics and who can connect with students in a positive and lasting way,” she said. Previous School of Dentistry award recipients include Dr. Phil Richards and Dr. Rodrigo Neiva.

Nör “Honorary Professor” in England
“It was totally unexpected,” said Dr. Jacques Nör when he was asked to become an honorary professor at the University of Birmingham D r. JacquesN ör (England). Nör, a professor in the Department of Cariology, Restorative Sciences, and Endodontics, said Dr. Anthony Smith, a professor at the university and editor of the Journal of Dental Research , extended the offer about a year ago. As an honorary professor, Nör said that once a year for the next three years he will travel to the university and, during the course of one or two weeks, will present lectures and talk to faculty members about his research and learn more about theirs, exploring opportunities for future collaboration. He said Smith, a pulp biology researcher and lecturer, “also has a strong interest in angiogenesis, my field of study and research.” Since 2005, Nör has been a “visiting professor” at the Universidade de Sao Paulo and Universidade Federal do Rio Grande do Sul in Brazil.
Keary Campbell

Snyder New 3-Blue Clinic Director
Dr. Mark Snyder is the new director of the School’s 3-Blue clinic. Snyder, a clinical assistant professor in the Department of Biologic and Materials Sciences, will be responsible for oversight of the work done by dental students in the clinic, meet with them to review patient care needs, and work with both students and faculty in the clinic. Snyder received his DDS from the University of Nebraska Medical Center, College of Dentistry in 1988. After earning the degree, he taught at U-M, worked in a private practice, and with a county health department in Nebraska. In 1990, Snyder returned to Michigan and practiced full time in Grandville until becoming a fulltime faculty member at the School of Dentistry in August 1996. Snyder succeeds Dr. Jeffrey Shotwell who will retire next spring. The 3-Blue clinic, and three other comprehensive care clinics, are a part of the School’s Vertically Integrated Clinics (VICs) which combine classroom and real world experience by offering students in all four dental classes and all three dental hygiene classes an opportunity to work together, with faculty supervision, to achieve high levels of clinical competence. Other VIC directors are Drs. Donald Heys (2-Blue), Ronald Heys (2-Green), and Henry Temple (3-Green).

Marunick Receives Writing Award
Dr. Mark Marunick, an adjunct clinical professor in the Department of Biologic and Materials Sciences, recently received the Judson C. Hickey Scientific Writing Award from the editorial council of the Journal of Prosthetic Dentistry for his article that appeared in the publication’s July 2006 issue. H i s a r t i c l e , “ P ro s t h o d o n t i c Treatment During Active Osteonecrosis,” offers suggestions to prosthodontists as to how they might approach a treatment plan for patients with osteonecrosis in the jaws secondary to treatment with oral bisphosphonates and radiation therapy.

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Alumna Profile Dr. Patricia Lucas, DDS 1981
Photo courtesy of Dr. Patricia Lucas

• Daughter Crystal, a sophomore, earned a theater scholarship at Western Michigan University. • Son Laval is a freshman at Arizona who earned a scholarship to play basketball for Lute Olson and was “All State” in the sport as a junior and senior at Flint Powers High School. • Son Patrick, now a high school freshman in Grand Blanc, was a straight-A student in grade school who played ice hockey, football, basketball, and now runs track. “H ighachieversall”m aybethebestw aytodescribeD r.PatriciaLucas(seatedrightonthesofa), her husband , • Husband Laval Perry, who Laval Perry , andtheir fivechildren: (left toright) Patrick, Laval, Victoria, Evelyn(standing), andC rystal. “M y played basketball for Dick p arentsw erestrict, w antedustogotocollege, earnadegree, andbecom eprofessionals,”Lucassaid . Vitale when he was at the University of Detroit and “She comes from a family that has ‘success’ written all over it,” said graduated with an engineering Dr. Lee Jones as he talked about a School of Dentistry student he degree, is a retired auto dealer who owns and operates real remembers very well – Dr. Patricia Lucas. estate companies in Michigan His comment is no exaggeration. Consider the following: and Florida. • Lucas has been practicing dentistry in Detroit for 28 years. • Her sister, Stephenie Lucas-Oney, is a physician in Detroit. Parents Very Influential • Another sister, Jo-Ann Narcisse, is a college instructor. “My parents were strict, wanted • Her brother, William R. Lucas, is an ophthalmologist in Detroit. us to go to college, earn a degree, and • Another brother, Richard Lucas, is an investigator for the Detroit become professionals,” Lucas said. Police Department. “They firmly believed and told us often • Her 79-year-old father, William, was Wayne County Sheriff, the first that hard work and a good education Wayne County Executive, and is currently a visiting judge in Wayne were the keys to success that would County Circuit Court. allow you to control your own destiny • Her 79-year-old mother, Evelyn, recently earned a degree with high instead of working for someone else,” honors from Wayne County Community College in gerontology. she added. “ H e a r i n g t h a t w h e n y o u ’ re “Success” and “achievement” are also in the DNA of the Lucas-Perry family: growing up, you realize as you get • Daughter Evelyn is now a second-year dental student at U-M. • Daughter Victoria is a first-year U-M dental student and Dental Scholar older that there is truth in their advice, who received a women’s basketball scholarship to attend Michigan so it’s only natural when you become a parent that you, in turn, pass those State University.

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words of wisdom on to your children as well,” she said. Growing up in Detroit, Lucas wasn’t sure what kind of professional she wanted to become. Looking at others in her family, she already had several options to consider. “Dad was an attorney when I was younger and suggested I consider a profession where I could get satisfaction in helping others while also being my own boss,” she said. For two summers, following her senior year in high school and f re s h m a n y e a r a t Wa y n e S t a t e University in Detroit, Lucas worked summers at Hutzel Women’s Hospital. Medicine, however, didn’t seem to fit her personality or interests. Her sister, Stephenie, offered a suggestion that, in retrospect, was prophetic. “Stephenie seemed to know early in life what she wanted to do, that is, become a physician, and she suggested I consider working in a dental office,” Lucas said. She took the advice to heart and worked part time for Dr. Fred Cuthrell and Dr. Robert Cline. Lucas was an early admissions student who caught the attention of Dr. Lee Jones (DDS 1961), a member of the U-M School of Dentistry’s faculty as an adjunct lecturer and director of the Office of Minority Affairs for 25 years.
Anonymity Didn’t Work

be interested in coming to the School of Dentistry,” he said. “It turned out to be a good fit for her and for Michigan.” Reflecting on her four years in the predoctoral program at U-M, Lucas said “I tried to make it through dental school as anonymously as possible. But I was tall, a black female, and lefthanded, so that didn’t work,” she said with a laugh. Lucas gave much of the credit for her success in the dental program to Jones. “He was always in my corner, offering encouragement when I needed it and always prodding me to do my best,” she said. “Dr. Jones was a safety net, not just for me, but for other minority dental students, since there were about ten percent of us in a class of about two hundred. So having someone who understood what you were going through, who could relate to you, and be a liaison for you with staff or faculty members was something I will always be grateful for,” she added. Lucas’ first job after receiving her dental degree in 1981 was as an associate in a Detroit dental practice.
Building a Practice

handing out a lot of business cards regardless of where I was,” Lucas said. “I never thought of it as ‘networking,’ to use today’s popular word. I just did what came natural to me, meeting people, introducing myself, telling them a little about me, and most important, taking an interest in them.” For the last 26 years, Lucas has practiced general dentistry in the Harper Professional Building on John R in Detroit with her siblings, Dr. Stephenie Lucas-Oney and Dr. William Lucas. The staff she began working with remains with her today. Many of her patients, who she treated when they were children, now bring their children to her to receive oral health care. “I suppose I could have a bigger practice, but I enjoy the relationships I have with my staff and my patients, and I don’t ever want to lose that ‘patient-friendly’ atmosphere we have,” she said. Asked if she encouraged her daughters Evelyn and Victoria to become dentists, Lucas said she “encouraged them to consider all their options.”
Two Daughters at U-M Dental School

“I thought she had a lot of potential and contacted her to see if she would

About two years later, she opened her own office in a medical building she shared with several others. “Space was tight,” she said. “I remember bringing my files to work in a small crate because we were so crowded.” Building the practice from the ground up was, as she described it, “hard work, but natural. I remember

They did, working not only for her, but also for her husband when he ran his automobile dealership, learning valuable lessons from both mother and father. “Evelyn is a creative and talented young woman, and dentistry seems to be a natural for her,” Lucas said.

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Jerry Mastey

Jerry Mastey

“Victoria, who earned a degree in finance and worked with my husband at his dealership, is very analytical and talks about opening dental facilities.” When asked if she would pass along her dental practice to one or both daughters when she retires, Lucas said she wants them “to have other professional experiences. But nothing will be given to them, they will have to buy me out,” she said with a smile in her voice. As proud as she is of her two daughters studying dentistry at Michigan, Lucas also takes pride in the achievements of her other daughter, Crystal, and two sons, Laval and Patrick. “Every one of them, without exception, is intelligent, wholesome, decent, and inspiring in their own right. That is what matters most to me,” she said. Lucas attributes the successes her five children have achieved to her husband, Laval. “He’s had a major influence on their growth and development and so much of what our children have achieved and become in life is because of Laval,” she said. “But I think it really gets back to my parents and their influence on us when we were growing up. They were trailblazers who set the bar high for all of us.”

Evelyn Lucas-Perry, D2
“I have so much respect for my mother – what she does and the person she is. I admire her tremendously for the way she helps her patients and the way she works with her staff,” said Evelyn Lucas-Perry. “When she talks to people, she has an uncanny ability to make them the center of attention and make them feel important. I aspire to be the person she is.” Evelyn said her mother “never pushed me to enter dentistry. Rather, she encouraged me to consider a profession where I could make a difference in people’s lives. She once told me, ‘You have the compassion, you have the empathy, you can do it,’ which is something I still remember.” Evelyn said she also remembers the encouragement she received from her father, Laval, and his “bedtime stories.” “These stories, though, were about his work and his job,” she said with a laugh. “We loved hearing them when we were young because they gave us insights about what we could do when we were older.” She also remembers some important advice she received. “Dad always told us, ‘You can’t stay complacent in life, you have to keep learning new things and reinventing yourself’,” she said. Although currently unsure what she would like to do after earning her dental degree, Evelyn said eventually she would like to practice somewhere in the Detroit area.

Victoria Lucas-Perry, D1
“My mother is my best friend and my role model, and she’s such a well-rounded individual to have raised five kids and run her own business. She’s phenomenal,” said Victoria Lucas-Perry. Like her sister, Evelyn, Victoria said her mother never pushed her to study dentistry. “I wanted to be an entrepreneur and run a business like my father, but then Evelyn told me about the Pipeline program at the School of Dentistry and encouraged me to give it a try,” she said. “When I saw dentistry had a business angle to it, I decided between my sophomore and junior year of college to study dentistry.” Her mother offered encouragement. “She told me that dentistry is something I could always do, that it was a profession and not a job, and that I could be my own boss. That appealed to me.” Victoria, who attended Michigan State University on a women’s basketball scholarship, said she’s noticed at least one similarity between basketball and her first few weeks of dental studies. “In both instances, I was exhausted,” she said with a smile. “In basketball, it’s because of the physical strain; in the case of dental studies, it’s the mental strain. But, like basketball, that goes with the territory and you make adjustments if you want to succeed.” As one of 14 new Dental Scholars, Victoria said she enjoys being a part of that program. “I’ve learned that if you want to lead that there are times when you will have to follow, you just can’t always give orders. I think what I learn in the Dental Scholars program will help me here and after I graduate.”

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Graduation Friday, May 4, 2007

Per Kjeldsen

Graduates Challenged: “Use Oral Health to Improve Overall Health”
You’re graduates of a dental school that has a longstanding tradition of excellence and innovation, so you have a responsibility to advance that tradition to benefit society.
THE CLASS OF 2007
• 111 Doctor of Dental Surgery degrees • 27 Bachelor of Science degrees indental hygiene • 28 Master of Science degrees (dental hygiene, orthodontics, periodontics, restorativedentistry, pediatric dentistry, prosthodontics) • 3 certificates (endodontics)
Includes those who com pleted form al requirem ents and those who received degrees or certificates after com pleting form al requirem ents.

That was the theme of the message delivered to U-M School of Dentistry graduates by this year’s commencement speaker, Dr. Dushanka Kleinman. An associate dean for research and academic affairs at the University of Maryland, Kleinman served in government for nearly three decades in roles that included chief dental officer with the U.S. Public Health Service and deputy director of the National Institute of Dental and Craniofacial Research.
“An Incredible Legacy”

“The State of Michigan, this University, this dental school, and the practitioners in this state are all indelibly linked to health promotion and disease prevention,” she said. “They have created an incredible legacy for dentistry and for dental public health.” She cited examples that included the beginning of community water fluoridation in Grand Rapids in 1945, the launching of dental epidemiology and public health, and more recently, recognition as a “best practices” model of the State of Michigan’s Children’s Health Insurance Program’s dental program. Kleinman told students that excellence continued during their years of education at U-M, citing their exposure to “cutting-edge research, studies by

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Graduation on the Web
You can listen to graduation remarks on the School of Dentistry’s Web site: www.dent.umich.edu. On the homepage, under “Features,” click the headline, “Listen to graduation remarks.” You then see a Web page listing the names of speakers and the time of their remarks. You can listen in any order you choose.
Keary Campbel

Ben Wickstra, Dental Class of 2007 president; Kathleen Gazsi, Dental Hygiene Class of 2007 president; and Prof. Wendy Kerschbaum , director of thedental hygienep rogram , ap p laudgraduatesastheyw alkdo w ntheaislesat H ill A uditorium totaketheir seatsat graduationcerem onies.

your faculty in expanding our understanding of health disparities,” as well as participation in outreach programs to serve the underserved. “It’s clear to me that you are a class with heart and soul,” she added. “I know there are enormous benefits each of you will bring to the profession,” she said. “We must make this a better place.”
Don’t Wait to Act

Citing the Surgeon General’s 2000 report on oral health that focused on oral health disparities, a report which Kleinman helped write, she told students oral health care professionals can’t wait to act. “The dental profession did not wait in 1945 (to begin water fluoridation), and I know it is not going to wait now (to deal with oral health disparities). We have the skills to lead others in promoting the public’s oral health.” She told the students, “your challenge and your opportunity is to use oral health to improve overall health and to integrate oral health services and research into overall health care investigations. …Your efforts will build on dentistry, but will take you beyond dentistry into social services, education programs, and other areas.” “With your passion and your dedication to oral health, I know we’re in good hands,” she concluded. “I know you will carry on and expand the public health legacy of this School, this University, and this State with renewed innovation and courage.”

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Posthumous DDS Awarded to Ryan Turner
Ryan E. Turner was posthumously presented with his Doctor of Dental Surgery degree during graduation ceremonies. Turner unexpectedly passed away at the U-M Medical Center on January 17 after working out at the Central Campus Recreational Building. He was 27. In presenting the degree, Dean Peter Polverini said, “Ryan was an individual of great integrity, Ryan Turner (1980-2007) honesty, and professionalism. He was devoted to his family, loyal to his friends, and he was most proud of his commitment in service to his country.” Polverini cited Turner’s membership in the Delta Sigma Delta dental fraternity, membership on the Board of Trustees with the American Student Dental Association, and service in the U.S. Army. “Ryan’s passion for dentistry and life was exemplary,” he added, “and his passing was a great loss to all who knew him.” Walking to the stage to receive his dental degree were Turner’s mother, Kim Humble, and stepfather, Brian Humble. Following the program, both expressed their gratitude to the School of Dentistry and the University of Michigan. “If it was ever possible for this circumstance to be made easier, the University of Michigan, the dental school, the staff, and the students made that possible for us,” Brian Humble said. “There is no way we could have handled this without their help, their love, and their support. The graciousness of this University and this School is overwhelming. It is something we will never forget.” The Humbles traveled from Eugene, Oregon to attend the ceremony and receive Ryan’s dental degree. “I have never missed any of my kid’s functions (Ryan, Eric, Jeff, and Sarah),” Kim Humble said, “and I wasn’t going to miss this, even though the circumstances were not what we had hoped. It was good to be here.” Brian Humble said it was difficult for Ryan’s father, Gene Turner, to attend, “but he wants everyone to know that he appreciates everything the University and this School did for him.” A memorial award has been established in Turner’s name. Beginning next spring, each graduating dental class will recognize and honor a student who best exemplifies Turner’s character, compassion for patients, his passion for life, and enthusiastic approach to the dental profession. The student’s name will be placed on the Ryan Eugene Turner Award plaque that will hang in the Student Forum.

Karam Receives Paul Gibbons Award
Keary Campbell

D r. LinaKaramspeakstostudentsafter beingp resentedw ith thePaul Gibbons Award for teachingexcellence.

Graduating dental students presented the Paul Gibbons Award to Dr. Lina Karam this spring. The annual award bestowed by students recognizes a faculty member who, in their opinion, contributes the most to their learning during their four years in the School’s predoctoral program. Gibbons was a nationally known expert in prosthetic dentistry and cleft palate treatment and surgery until his untimely death in 1964 at the age of 44. Karam, a clinical assistant professor in the Department of Oral and Maxillofacial Surgery and Hospital Dentistry, said after receiving the award, “Dr. Gibbons set the standard for teaching with the respect he had for students as individuals, and I hope to continue in his footsteps.” Telling students their education isn’t over, she said, “I challenge you to further your education with continuing education courses in the future. …And remember, when doing surgery, stand up straight, save your back…pretend I’m watching you, and you’ll be just fine.”

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Graduation
Alumni Hood Sons, Daughters at Graduation
Nine fathers and a mother had the honor of hooding a son or daughter onstage at Hill Auditorium during the School’s commencement program. Until last year, only a faculty member whose son or daughter was graduating from the School of Dentistry had the opportunity to do so. But Dean Peter Polverini broke with tradition last year allowing a parent who graduated from the School of Dentistry, even if they are not a faculty member, to hood their son or daughter prior to being called to receiving their dental degree and walking across the stage. This year’s participants were: • Katie Easton and her father, Jeffrey Easton (DDS 1983). • Andrew Green and his father, Robert Green (DDS 1977). • David Heys and his father, Ronald Heys (DDS 1972). • Michael McCoy and his father, Steven McCoy (DDS 1981). • Kathryn (Casey) Morley and her father, Marshall Morley (DDS 1976). • Kristina Santini and her father, Dennis Santini (DDS 1979). • Brooke Schulz and her father, Wesson Schulz II (DDS 1972). • Brett Walcott and his father, Wayne (DDS 1975), and mother, Ann (DDS 1975). • Joelle Werschky and her father, Jay Werschky (DDS 1976).
• • • • • • • • •

Future Plans The Dental Class of 2007
T otal: 111 students Private Practice/General Practice/Associate: 52 (46.8%) Specialty Training: 19 (17.1%) - Periodontics: 6 - Pedodontics: 5 -O rthodontics: 4 -O ral Surgery: 3 - Endodontics: 1 Military: 11 (9.9%) - Army: 5 -N avy: 4 - Air Force: 2 General Practice Residency: 10 (9.0%) AEGD: 9 (8.1%) Community/Public Health: 5 (4.5%) No answer: 2 (1.8%) Not sure: 2 (1.8%) Teaching: 1 (1.0%)

Brett W alcott w as hoodedb y his p arents, D r. W ayneandD r. AnnW alcott, who received their dental degrees from U-M in 1975.
Keary Campbell

Dr. Jay Werschky (DDS 1976) beams with pride after hooding his daughter, Joelle. O ntheright isD r. D onaldH eys.
Keary Campbell

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Distinguished Service Awards to Christiansen, Bednarsh
Dr. Richard Christiansen
A former dean of the School of Dentistry and director of the W.K. Kellogg Foundation Institute, Dr. Richard Christiansen, received the School’s Distinguished Ser vice Award Jeffrey Freshcorn, director of developm ent, presents D r. RichardC hristiansenw iththeDistinguished Service Award. at graduation. P re s e n t i n g t h e award, Jeffrey Freshcorn, the School’s director of development, said Christiansen “is a gentleman who is well known in dentistry, both nationally and internationally.” The Distinguished Service Award is presented each year at graduation by the School’s Alumni Society Board of Governors to a living person who has made significant contributions to the U-M School of Dentistry, the dental profession, or to the School’s Alumni Society. Christiansen’s career spanned more than twenty years at U-M and nearly twenty years at the National Institute of Dental and Craniofacial Research. After receiving the award, Christiansen told graduates, “Congratulations to you, and wherever you go, Go Blue!” Reflecting on his career, Christiansen said he had “many wonderful memories of my years at the School of Dentistry.” Among the achievements he said he was proudest of included helping to realign the size of the School’s dental classes “to better reflect the professional services demanded by the citizens of Michigan” during the early 1980s, the growing recognition for the School’s research program, and increased international cooperation and worldwide recognition of the School. In her opening remarks, commencement speaker Dr. Dushanka Kleinman acknowledged Christiansen’s presence on the stage and said, “It is a pleasure to have known you before you came here to Michigan and to see you again.”

Helene Bednarsh
A School of Dentistry alumna who has been involved with dozens of local, state, and federal public health programs also received the School’s Distinguished Service Award. Helene Bednarsh, H eleneBednarsh w h o re c e i v e d h e r dental hygiene certificate in 1974, was unable to attend, but was recognized for her outstanding achievements and dedication to the dental hygiene profession. Currently, she is the director of the Boston Public Health Commission’s HIV Dental Ombudsman program, consultant for the U.S. Public Health Service’s Region I Head Start program, and consultant for the Indian Health Service’s Indian and Migrant Head Start programs. Two years ago, Bednarsh received the Alfred Fones Award from the American Dental Hygienists’ Association recognizing her outstanding achievements and dedication to the dental hygiene profession. In 1998, she received the School’s Outstanding Dental Hygienist Alumnae Award (DentalUM, Spring & Summer 1999, pages 16-18). Besides participating in local, regional, national, and international programs on infection control and HIV/AIDS, Bednarsh has coauthored articles for Access, a publication of ADHA; lectured at colleges and universities; published chapters for textbooks and book reviews; and has made more than 70 presentations at colleges, universities, seminars, and conferences.

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Dr. Jerry and Mrs. Jacquelyn Booth Make “Significant Gift” to School of Dentistry

“T

his has been in the back of my mind for a while, and with a greater appreciation for the University of Michigan and the School of Dentistry, my wife and I have decided to give away our entire estate to several worthy organizations that are important to both of us,” said Dr. Jerry Booth (DDS 1961, MS oral surgery 1964). Booth and his wife, Jacquelyn, who earned a bachelor’s degree and a certificate in education from U-M in 1962, have made a “significant bequest to insure that our gift will sustain a number of programs at the School of Dentistry.” Included are gifts for the Department of Oral and Maxillofacial Surgery and an unrestricted gift to the School of Dentistry Fund to support an array of needs. “There are three or four entities that have been important to us, and Michigan is at the top of our list,” Booth said. “I haven’t found anything more gratifying than serving in a philanthropic role. It makes you feel good to be able to give back.” Among the other personal rewards that come from including U-M in their estate plan is the opportunity to build on their maize and blue legacy. Their son, Michael, and his wife, Marla, are double U-M alumni. Michael earned a bachelor’s degree in 1994 and an MBA in 1998; Marla earned a bachelor’s in 1995 and an MBA in 2003.

Photo courtesy of Dr. Jerry and Mrs. Jacquelyn Booth

D r. JerryandM rs. JacquelynBooth

Booth said one of the reasons for gifting to the dental school is because of the influence of Dr. James Hayward. “He was an outstanding educator and great role model for all of us when we were students.” Another excellent role model and instructor, Booth said, was Dr. Donald Kerr. “I hope that our gift will help to establish an endowed professorship that will have his name attached to it,” he said. The Booths’ gift builds on the support they have given as annual donors and as reception hosts at the Michigan Difference seminars in Naples, Florida. Booth said the School of Dentistry’s development officer, Marty Bailey, has also played a role in developing their plans. “Marty deserves a lot of credit for his efforts and the help he gave Jackie

and me as we were considering our options.” A resident of Jackson, Michigan with a full-service oral and maxillofacial practice in that community, Booth was chief of surgery at Foote Hospital in Jackson, chaired the hospital’s finance committee, serves on the finance committee of the Jackson Community Foundation, and has been active in numerous professional organizations, including serving as president of the Michigan Society of Oral Surgeons and the Dental Society. “This was an easy decision for us to make. I hope it will inspire others to reflect on their education, what it has meant to them personally and professionally, and give back so that others will benefit in the future,” Booth said.

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“He Wanted All of Us to Be Critical Thinkers”
Dr. Timothy Hanigan Explains His Johnston Professorship Pledge

“He was the master of the hard question. He knew what to ask in class to determine if you really understood what he was teaching,” said Dr. Timothy Hanigan of Dr. Lysle Johnston. Hanigan earned a master’s degree in orthodontics in 1995 and has pledged $50,000 to the professorship that will bear Johnston’s name. “It’s because of him and what Lysle represents, namely excellence, and what he did for me while I was a student that I am making this gift to the University of Michigan School of Dentistry,” he said. Arriving in Ann Arbor in 1992, Hanigan said he “wanted to graduate from an orthodontics program that was one of the most prestigious in the country.” To do so would require plenty of hard work. What Hanigan remembers most about his three years at U-M was Johnston’s statistics course. Saying he struggled in math, Hanigan said “I spent a lot of time memorizing course material, thinking that would help in the statistics class. But Lysle had a way of quickly determining who really understood what he was teaching and who didn’t.” Johnston did that with frequent questions in the classroom. “I dreaded

Photo courtesy of Dr. Timothy Hanigan

D r.Tim othyH anigan

it,” Hanigan said. “Being called on in class to answer a question was always intimidating, especially if you didn’t know an answer or couldn’t explain it,” he said. Exams were equally challenging. Hanigan said Johnston often told students they could bring in textbooks to help them with an exam. But it rarely worked. “He wrote his questions in such a way that whatever you brought in to help you, it didn’t do any good if you didn’t know the rationale or the reasoning behind the material.” Realizing his quandary, Hanigan asked Johnston for help. “He spent one night a week helping me, away from family and friends, for about eight weeks until I understood the material and got it right,” Hanigan said. “He did it because he wanted me, and everyone else, to not just pass

his course, but to take what he was teaching us and apply it in our lives once we left the classroom. He wanted all of us to be critical thinkers.” Hanigan said what Johnston taught him has remained with him. “He taught us to critically analyze statistics that were being used to support an argument or position,” Hanigan said. “It was what I call ‘pure drive’ on his part to want to accurately answer a question regardless of where the answer might take you,” he continued. “I want to see that approach to education and critical thinking continued by the person who becomes the Lysle Johnston professor.” Hanigan practices orthodontics in Garden City, Kansas.

Dr. Eric Hannapel Gifts $25,000 for Johnston Professorship
“Being a student of Dr. Lysle Johnston holds a lot more weight in the orthodontic community as a practicing professional than I thought it would when I was at Michigan studying and working for my degree in orthodontics,” said Dr. Eric Hannapel (DDS 1992, orthodontics 1996). Hannapel said he has pledged $25,000 for the Lysle Johnston Collegiate Professorship “because I want to see the School of Dentistry continue the excellence that Lysle established scientifically and didactically. And

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Photo courtesy of Dr. Eric Hannapel

D r. EricH annapel

although he was not a clinical instructor, per se, his instruction helped us in clinics, along with nationallyrecognized leaders in orthodontics he would bring to Michigan.” Recalling his three years of study in the orthodontics program, Hannapel said, “Lysle had high standards and if you didn’t live up to them, you felt it. He really was a beacon that all of us tried to follow, and sometimes we hated it, but we didn’t want to let him down or the department down.” Hannapel recalled once traveling to St. Louis for data collection for his thesis with Johnston. “He was meeting some of his former colleagues while I was measuring models for three consecutive days for twelve hours a day,” Hannapel said with a laugh. “But if that’s what you needed to do, you did it.” Now in private practice in Caledonia, Michigan, near Grand Rapids, Hannapel said his interest in dentistry, ironically, began with his family’s orthodontist. “I’m the son of a printer, but my orthodontist knew of my interest in dentistry at an early age and

encouraged me to pursue dentistry as a career,” he said. After earning his dental degree, Hannapel did a general practice residency for 16 months at U-M Hospital. “I think those experiences gave me a step up in getting into Michigan’s ortho program because I was involved with a lot of facial surgeries and reconstructions,” he said. Being involved in the orofacial cleft department at U-M Hospital “was also a great experience that gave me the confidence and experience that I have been able to use in my private practice,” Hannapel said. Last year, he joined the Grand Rapids Cleft Lip and Palate Clinic that serves patients in western Michigan. Hannapel said he is urging others to participate in the Lysle Johnston Collegiate Professorship. “I’ve told my classmates when I see them that ‘this is something you have to do because none of us would be where we are without Lysle’,” he said.

Photo courtesy of Dr. Colin Mayers

D r. C olinM ayers

Dr. Colin Mayers Pledges $25,000 for Johnston Professorship
“I don’t consider my ‘gift’ as a gift. Instead, I think it’s our duty, our responsibility, as oral health care professionals to give back to the profession so we can continue to have outstanding teachers like Dr. Lysle Johnston,” said Dr. Colin Mayers (DDS 1975).

Mayers has gifted $25,000 for the endowed collegiate professorship that will bear Johnston’s name. After earning his dental degree at Michigan, Mayers went to Case Western Reserve University where he earned his master’s degree in orthodontics in 1977. The chair of the department at the time was Dr. Lysle Johnston. “He was one of the best teachers I ever had,” Mayers said. “He was a great lecturer, made subject matter clear and understandable, and, as others have said, was difficult, but fair.” Mayers, who practices in Hillsdale, Michigan and is an adjunct clinical associate professor in the Department of Orthodontics and Pediatric Dentistry at U-M, said Johnston taught him valuable lessons. “He stressed the importance of being a critical thinker, especially scientifically, in how we practice and the techniques we use that I, in turn, have tried to pass along to students when I’m in the clinic,” Mayers said.

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Looking For Leaders!
Alumni Society Board of Governors
Here’s your chance to make a difference. In September 2008, five new members will be elected to the U-M School of Dentistry’s Alumni Society Board of Governors. The group will include four dentistry graduates and one dental hygiene graduate. All will serve a three-year term. This is a perfect opportunity for you to become involved with the School, build relationships with students, faculty, and staff, and perform a worthwhile and satisfying public service. If you’re interested in serving, or if you would like to nominate someone, send in the form below. In the event more than 10 individuals are nominated, the Board’s nominating committee will select a representative slate.

Nomination Ballot
Please clip and mail

I nominate for the Board: __________________________________________________ Class Year(s) ________________________________________________________ Address (if known) _____________________________________________________ __________________________________________________________________ 2nd Name ___________________________________________________________ Class Year(s) _________________________________________________________ Address (if known) ______________________________________________________ ___________________________________________________________________ If you nominate yourself, please send your biography (45 words or less) on a separate sheet of paper. However, because of time constraints on our staff and limited space in the magazine, we cannot accept a CV. Instead, please take a few moments to highlight what you consider are major achievements, whether personal or professional. Return the ballot, and your biography if you’re nominating yourself, to: Mary Jo Grand Office of Alumni Relations University of Michigan School of Dentistry 540 E. Liberty, Suite 204 Ann Arbor, MI 48104 Nominations must be received at the School of Dentistry by December 31, 2007.

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Teaching on the High Seas Cruise with CE
Dr. Jack Gobetti has presented hundreds of continuing dental education courses during his career [ Dental UM, Fall 2006, pages 27-28]. But teaching on a cruise ship in the eastern Caribbean was, as he de scri b e d i t, “ a u n i q u e a n d d i f f e re n t experience. I loved it!” Fro m M a rc h 2 4 - 3 1 , Gobetti taught five courses in oral medicine, ranging from cardiovascular disease updates to evaluation and control of pain. “It was an excellent educational environment that made for a great learning experience,” he said. “Everyone was relaxed, people were not rushing to get to class from their office, cell phones weren’t ringing, and beepers weren’t going off, so the setting allowed everyone to focus more than they probably could have otherwise.” Gobetti taught in the morning between 7:30 and 11:30 and from two o’clock until six o’clock in the afternoon. That scheduling, he said, allowed for more one-on-one interaction after class was over. “I saw people after teaching a course and, in every instance, we had opportunities for further discussion about many of the topics I presented,” he said. “I think the opportunity for give-andtake in a more relaxed environment enhanced their educational experience.” Preparation for each class was time consuming, Gobetti said. “I spent anywhere between 35 and 40 hours updating information, organizing it, and reviewing thousands of slides for the presentations.” Debbie Montague, continuing dental education administrative manager who was on the cruise, played a significant role in the success of the initiative. In addition to spending more than a year coordinating all the “behind the scenes” activities including class registration and accommodations, she was busy several hours before classes began, following-up on earlier arrangements. There were a few pleasant surprises along the way. Montague said a dental hygiene graduate from Ohio State, who works for a dentist in Michigan, learned about the CE courses and asked to attend. She was admitted and attended all of the lectures. Several dentists also brought members of their staff. Work is already underway on next year’s program. “Cruise with CE in 2008,” scheduled for February 21-25, will include courses taught by Dr. L. George Upton dealing with medical emergencies in the dental office and TMJ and its relationship to TMD. To register for next spring’s cruise, contact the School of Dentistry’s Office of Continuing Dental Education by phone at (734) 763-5070 or by e-mail: cde.umich@umich.edu.

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DH Online Degree Program Begins in January
Program to Fill a Critical Need
new program leading to a Bachelor of Science degree in dental hygiene will be offered by the School of Dentistry beginning in January. What’s new about this program is that it will be offered online. Dental hygiene students from around the country who have earned an associate’s degree or certificate will be able to take the online courses, formally called “Degree Completion E-Learning Program,” at home or elsewhere and at their convenience.
Filling a Critical Need

A

A c c o rd i n g t o P r o f . We n d y Kerschbaum, director of the School’s dental hygiene curriculum who advocated the online initiative, there is a critical need for the program. “There are 285 dental hygiene programs now being offered around the country, mostly at community colleges,” she said. “Approximately 6,000 graduate from these programs annually, but only 12 percent confer a bachelor’s degree.” Yet, Kerschbaum said, studies show that more than 70 percent of those receiving an associate’s degree or certificate are interested in pursuing coursework that leads to a bachelor’s degree. But there are significant barriers t h ese in terested stude nts face , geographical and financial. “Most of these students are unable to travel to a college or university campus to take a course, and also

don’t want to quit their jobs to earn that degree,” she said. “Our program is set up to give them the best of both worlds – the opportunity to learn from home or other location, to keep their jobs, and to study at times that are convenient for them.” Currently, about 15 dental hygiene degree completion programs in the U.S. are offered exclusively online. The School of Dentistry’s would be the first online program offered by U-M that leads to a bachelor’s degree.
Bachelor’s Degree Vital

the traditional private practice, such as providing care to the underserved.” The School of Dentistry’s online dental hygiene education program begins with a two-day orientation in December. “Those who wish to participate will have to come here to learn more about the program, meet our dental hygiene faculty members who will be teaching the eleven courses, and also meet their colleagues,” Kerschbaum said. “Meeting their online colleagues will be an important part of developing that sense of community with their peers and our faculty,” she added. Students will also be required to purchase a laptop computer. The cost of the laptop, approximately $2,000, is included in the student’s fees. In-state tuition will be approximately $3,000 per term, or approximately $17,000 for the entire program. Out-of-state residents will pay approximately $8,000 per term or about $44,000 for the entire program.

Dental Hygiene E-Learning
• Mini-semester format • 33 credit hour program • 2-year program • January 2008 (1st entering class begins) • Fall 2008 (2nd entering class beings)

There is a growing need for dental hygienists with a bachelor’s degree. “ The bachelor’s degree is a cornerstone requirement for dental hygienists who may also want to become educators,” Kerschbaum said. “But the degree also gives dental hygienists career options other than

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Curriculum: 11 Classes
• • • • • • • • • • • Leadership & Professional Development Oral Diseases: Prevention & Management Health Promotion & Risk Reduction Research & Evidence-Based Practice Community I Special Populations Dental Hygiene Education (teaching) Community II – Practice Contemporary Dental Hygiene Practice Practicum Mentored Professional Experience (ePortfolio)

Dental Hygiene Alumna Urges Congress to Expand Healthy Kids Dental Program
A U-M School of dentistry dental hygiene alumna, who is in a leadership role with the Michigan Department of Community Health, appeared before a Congressional committee in April urging lawmakers to help the State of Michigan expand the Healthy Kids Dental program. Christine Farrell, a Medicaid policy specialist who was chosen by Gov. Jennifer Granholm to represent Michigan Medicaid, was one of six persons invited to testify before the U.S. House Energy and Commerce Committee’s Subcommittee on Health. The full committee is chaired by Rep. John Dingell (D-Michigan).
Improved Access to Care Needed
Photo courtesy of Christine Farrell

Kerschbaum advised interested students that they should plan on spending at least 18 hours per week on coursework. At the most recent meeting of the American Dental Hygienists’ Association, several presentations on the subject of Web-based education leading to an undergraduate degree were presented, Kerschbaum said. She said that a program launched by St. Petersburg College in Florida in 2004 has graduated 70 students, with 150 currently enrolled. Two other programs, established the following year by two other universities, enrolled 18 and 40 students in their respective first-year classes. Kerschbaum hopes that perhaps 10 students will enroll in U-M’s first online dental hygiene program that begins in January. For more information, visit the School of Dentistry Web site: www. dent.umich.edu/depts/pom/hygiene/ dconline.html. Or you can send an e-mail to: hygiene.info@umich.edu, or call (734) 763-3392

“We are in challenging economic times in Michigan, and we continue to look at innovative ways to improve access to oral health care,” Farrell told the legislators. “Additional federal support would assist Michigan and other states in crafting solutions to improve and expand access to this critical benefit for children.” Healthy Kids Dental is a partnership that involves Michigan Medicaid and Delta Dental. The program has been identified by the American Dental Association and the American Association of Pediatric Dentists as a successful model for

C hristineF arrell (BSD H1981), M edicaidPolicySpecialist for theStateof M ichigan(right) andM argeG reen, Am ericanD ental H ygienists’ Associationp resident, in front of theH ouseO fficeBuildinginW ashington, D .C . F arrell spoketoaH ouseAp p rop riationsSubcom m ittee onLabor, H ealth, andH um anServicesabout the im portanceof im p ro vingaccesstooral healthcarein theU .S.

other states to emulate. Under the program, Medicaid dental benefits are offered through Delta Dental in 59 of the state’s 83 counties to low-income children less than 21 years of age. When the program was created in 2000, the Michigan legislature appropriated nearly $11 million to increase access to children’s oral health care in rural counties. Currently, the appropriation is approximately $34 million.

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The subcommittee’s hearings brought attention to the problem of access to dental care for underserved children. The hearings were sparked by the death of a 12-year-old in Maryland who died from complications from an abscessed tooth.
A First…and an Honor

Janet Kinney – 2 Master’s Degrees “A Great Role Model”
Jerry Mastey

In April, Dingell introduced the Children’s Dental Health Improvement Act of 2007, designed to expand dental coverage to more low-income children, ensure access to qualified dentists, and improve the reporting and tracking of dental diseases among children. He also introduced the Children’s First Health Act (HR 1535). “This was the first time I testified before a Congressional committee,” Farrell said. “But I didn’t learn until after I completed my testimony that not many state Medicaid directors have ever been invited to talk about their state’s program, so it was an honor for me to describe the Michigan program to federal legislators.” Farrell earned a bachelor’s degree in dental hygiene from U-M in 1981 and a master’s degree in public administration from U-M Flint in 2006. She was president of the Michigan Dental Hygienists’ Association from 1993-1994 and national chair of the Medicaid/State Child Health Improvement Program from 2004 to this year.

Janet Kinney

“It’s quite an achievement to earn a master’s degree from the University of Michigan. But to earn two, and almost at the same time? That’s a major achievement, and I’m so proud of what Janet Kinney has accomplished,” said Prof. Wendy Kerschbaum, director of the School of Dentistry’s dental hygiene program. This spring, Kinney received her master’s degree in dental hygiene. This summer, she received a master’s degree in clinical research design and statistical analysis from the School of Public Health.
Studies Interrupted

Kinney was accepted into the School’s dental hygiene master’s degree program in 1997. But a short

time later, she had to postpone her studies and moved with her husband, Steve, who began an overseas work assignment in Switzerland and later in England. Although she was a dental professional in both countries, Kinney said she had a desire to finish working on her master’s degree when she returned to Ann Arbor. Returning to U-M in 2004, Kinney learned the master’s program had been modified to include a clinical research component. To fulfill that requirement, she worked with Dr. William Giannobile at the School’s Michigan Center for Oral Health Research. At MCOHR , Kinney recr uited patients with possible periodontal

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disease for a saliva test kit Giannobile was developing. Those efforts fit nicely with what she needed to do to earn a master’s degree from the School of Public Health. Her work was funded with a K30 grant from the National Institutes of Health. The K30 program is designed to attract talented individuals to the challenges of clinical research and to provide them with the critical skills they need to translate basic discoveries into clinical treatments for patients.
No Regrets

Karen Essel (DH 1969) – Outstanding Alumnae Award
Keary Campbell

Kinney was not only involved in patient-oriented research, but also conducting epidemiologic studies, collecting data, and doing statistical analysis. “It was total immersion,” she said with a laugh. Looking back on her two years in both programs, Kinney said she had no regrets. Although she jokingly referred to herself as “the guinea pig” for the dental school’s clinical research component of the master’s program, Kerschbaum described Kinney as “the dental school’s poster child.” “Janet’s a great role model,” Kerschbaum continued. “She has given our dental hygiene students an even better idea of what kinds of possibilities are available to them should they decide to pursue a master’s degree.”

KarenEssel sho w sher delight after beingpresentedw iththeOutstanding Dental Hygiene Alumnae Award.

“When I think of outstanding dental hygiene alumnae, I think of people who are authors or instructors or program directors or presidents of professional organizations. I don’t think of someone like myself,” said Karen Essel after receiving the Outstanding Dental Hygiene Alumnae Award during the School’s commencement program in May. Jemma Allor, president of the U-M Dental Hygiene Alumnae Association, presented the award. “Karen has proven to be a brilliant representative and true champion for the University of Michigan dental school,” Allor said.

She cited Essel’s involvement in dental hygiene organizations and her leadership roles, including serving as president of Sigma Phi Alpha, the U-M honorary society, and the Washtenaw District Dental Hygienists’ Society. Essel also represented Michigan during the American Dental Hygiene Association’s annual meeting in 2005. A clinical dental hygienist since graduating in 1969, Essel told graduates, “Participate in your professional organization. It is your voice and your network.” She also urged volunteering. “There is a huge access to care crisis that only the profession can begin to solve.”

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Ridley Honored by DH Class of ’07
Keary Campbell

Gwozdek Receives AHDA Student Advisor Award
Keary Campbell

Anne Gwozdek was recently chosen by the American Dental Hygienists’ Association to receive that organization’s Student Advisor Award. The award honors student advisors who exhibit excellence and dedication in encouraging student involvement in dental hygiene. Gwozdek, a dental hygiene faculty member and advisor to the Student American Dental Hygienists’ Association, received the award at the ADHA’s annual session in June. ADHA is the nation’s largest organization representing the professional interests of more than 120,000 dental hygienists. Gwozdek earned a certificate in dental hygiene D ental H ygieneC lassPresidentKathleenG azsi listsreasonsKaren from U-M in 1973.
RidleyreceivedtheOutstanding Instructor Award.

Sigma Phi Alpha Inducts 4

Graduating dental hygiene students presented the Outstanding Instructor Award to Karen Ridley. Kathleen Gazsi, class president, said Ridley received the award because “we wanted to recognize her and thank her for being so tough.” Unable to attend because she was at the Bay Cliff Health Camp just outside of Marquette, Ridley wrote remarks read by Prof. Wendy Kerschbaum, director of the dental hygiene program. Ridley said that every time she will look at the award, “I will be reminded of how we worked together. …I will remember a wonderful group of young women who found a way to reach their goal and I will always be proud to have helped you get there.”

Thelocal chapter of Sigm aPhi Alpha, thenational dental hygienehonorarysociety , inductedfour new m em bersthisspring . Inductedw eredental hygienestudentsC ourtnayG reen(left), KellyW agner (right), and Kristen Hubbs (not pictured). Sue Garbarini (center, DH 1953) was inducted as an honorary member andrecognizedfor her contributionstotheadvancem ent of thedental hygieneprofession.

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DH Class of ’07 Pledges $3,500
Keary Campbell

The dental hygiene Class of 2007 pledged more than $3,500 to the School’s Michigan Difference fundraising drive. AlsointhephotoisProf.W endyKerschbaum , director of thedental hygieneprogram(secondro w , right), D eanPeter Polverini, andD r. M arilynLantz, associatedeanfor academ icaffairs.

This spring, the dental hygiene class of 2007 was praised for pledging to the School of Dentistry’s fundraising drive that is a part of the University’s Michigan Difference campaign. Twenty-six of the 28 members of the class, 93 percent, made a financial commitment. At a celebration luncheon in the Sindecuse Atrium one month before graduation, Prof. Wendy Kerschbaum thanked the students who collectively pledged more than $3,500. She told the students, “you have received a very special education here at Michigan, but I don’t think you will realize just how special it has been until after you graduate and are practicing in the communities where you will work and live.” “Your achievement is very special, and I, along with Dean Peter Polverini and Dr. Marilyn Lantz, appreciate your commitment,” Kerschbaum added. Polverini also thanked the students, saying, “Your pledge is an investment in the future of the School and the dental hygiene program. I’m sure, for many of you, it wasn’t easy, but the fact that you did pledge is impressive, and we appreciate the example you have set for others to follow.” Fourth-year dental hygiene student Jessica Betson, chair of the fundraising effort, said, “We were more than happy to make a pledge because of all that we have learned and received during the past three years of our education.”

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R e s u l t s i n M i n u t e s i n a n O f f i ce, n o t H o u r s o f f - s i t e
ew test results show a portable saliva test device developed by a U-M School of Dentistry professor could tell patients in just minutes if they have periodontal disease, which would be a major improvement over current methods which require hours of analysis at an off-site lab. The School of Dentistry’s Dr. William Giannobile and Dr. Anup Singh of Sandia National Laboratories jointly developed the saliva test device. Testing with the device has progressed to the point where a dentist would need only a drop of saliva from a patient and less than five minutes of time to analyze the sample in his or her office. Current sample analysis requires hours of time at a laboratory away from a dental office. Giannobile, who also directs the Michigan Center for Oral Health Research, said that in recent months the Center has been conducting tests that are adaptable to using microfluidic technology. “Using a miniaturized lab-on-achip approach, we have been able to separate and analyze proteins quickly, typically, within minutes of sample separation,” he said. Established in 2003, the Center takes discoveries from research laboratories and attempts to

Saliva Test Kit Advances in Testing
find ways to use them to benefit oral health care professionals and their patients. The saliva test kit measures a tissue-destructive enzyme, matrix metalloproteinase-8, a molecule which is released from cells that tend to migrate to periodontal lesions.
How it Works

N

There are four different methods used to collect a patient’s saliva. In the first, patients provide a saliva sample in a collector tube until about a tablespoon of fluid has been collected. In the second, known as gingival crevicular fluid rinse, patients are asked to rinse with tap water for 30 seconds. They then rise with sterile saline solution for another 30 seconds, and then spit the saline into a collector tube, and finally rinse with tap water. The third method requires patients to keep a saliva collection device in their mouth for 10 minutes. A cotton pad will soak fluid from the oral cavity as well as from the mucosa since the pad is enriched with salt solution. Afterwards, the collector is placed into a fabricated tube, broken in half, and is prepared for a centrifuge. Afterwards, fluids extracted from the cotton pad are analyzed.

O neof four m ethodsusedto collect ap atient’s salivain volvesa p atient p ro viding asam p leina tubeuntil about atab lespoonof fluidhasbeen collected .

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In the final method, oral fluid samples are collected with paper strips which are placed into the gingival crevice for 30 seconds. The strips are then removed and put into a freezer at -80 degrees Celsius for storage and are later analyzed in a lab.
Highly Accurate Results

Two New Programs
Put Money in Students’ Pockets,
Full-Year (12-Month) Training Program
Basic Information • Deadline to apply: December 21, 2007 • Accepts 9 full-time trainees • Each receives a Master of Science degreeinclinical research • Participants focus on one of 5 personalized specialty tracks • Stipend: $20,772 + full tuition support andhealthcareco verage • All participants must be either a U.S. citizenornon-U .S.citizen,p erm anent resident (N IHrequirem ent) • Online application available at linkbelo w 5 Specialty Tracks • Drug Development and Discovery • Genomics and Proteomics • Tissue, Device, and Regenerative M edicine • Health Care Delivery and Outcomes • Clinical Translation and Community- BasedResearch M oreinform ationontheW eb: www.med.umich.edu/cacr/ mcrit/year.htm

“Using just a very small sample of saliva, we found our tests to be highly accurate in identifying patients with periodontal disease, without the need for a more time consuming and comprehensive clinical examination,” Giannobile said. “This method could one day be used to screen large patient populations which could have major implications for oral health.” From late 2005 through 2006, 130 patients were tested at MCOHR clinics in northeast Ann Arbor. Collaborating with Giannobile are Dr. Mark Burns, professor with the U-M School of Chemical Engineering, and Dr. Christoph Ramseier and Janet Kinney, both MCOHR research fellows. The National Institutes of Health provided funding for the test studies. The lab-on-a-chip technology was developed and manufactured by Sandia National Laboratories, which has major research and developmental interests in national security, energy, and environmental technologies. The results of an analytical test appeared in the March 27th issue of the Proceedings of the National Academy of Sciences of the United States .

Summer Practicum (12-Week) Training Program
Basic Information • Deadline to apply: F ebruary1, 2008 • Accepts 10 trainees (predoctoral students) • Program has four components • Stipend: $5,193 • Online application available at linkbelo w 4 Components • Orientation and required training inprotectinghum ansubjectsand responsibleconduct of research • Mentored participation in an ongoingresearchproject • Group project in clinical research • Weekly structured programs on different stagesof clinical research M oreinform ationontheW eb: www.med.umich.edu/cacr/ mcrit/summer.htm

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Provide Clinical Research Experiences and Insights
Here are two opportunities dental students may wish to seriously consider. The first — one year of dental school tuition fully paid for and a stipend of about $20,000; total value, approximately $50,000. The second — a three-month program offering a stipend of nearly $5,200. The full-year and three-month opportunities are part of the U-M Multidisciplinary Clinical Researchers in Training Program (MCRiT) that is designed to attract more students to careers in clinical research. At U-M, dental students…along with those in medicine, nursing, pharmacy, and kinesiology…are eligible to participate. The two programs began in the summer of 2006. The second year of the programs began in August.
Deadlines Approaching

However, to be considered for the full-year, 20082009 program, students must apply before December 21, 2007. For next summer’s program, the deadline to apply is February 1, 2008. “Both programs are great opportunities for dental students who are giving serious consideration to a career in clinical research or have already decided to pursue clinical research as a career after graduation,” said Dr. William Giannobile, director of the Michigan Center for Oral Health Research (MCOHR). Giannobile is

a member of the Executive Committee for both training programs. In addition to receiving a full-year stipend of approximately $50,000, Giannobile said the opportunity to earn a master’s degree and focus on one of five clinical tracks are other reasons for strong interest in the program. Giannobile talked about the two programs during a meeting with the School’s Board of Governors this spring. Several board members said they wished they had these opportunities when they were in dental school, adding they thought there would be considerable interest among dental students. Nine students participated in the 12week summer practicum last year. T h i s s u m m e r, t e n s t u d e n t s participated including two who are now first-year dental students at U-M, Lindsay Rayburn and Meghan Dubois. [See page 60.] Giannobile said that in addition to the clinical research experiences the students receive, the multidisciplinary elements of the program give them exposure in areas they might not otherwise receive including statistical analysis, data quality, and how to design a clinical research study. The programs are a part of the National Institutes of Health’s “Roadmap Initiative for the Reengineering of the Clinical Research Enterprise” launched by Elias Zerhouni, NIH director since 2002.

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Multidisciplinary Clinical Researchers in Training Program Two Dental Student Perspectives Lindsay Rayburn Meghan Dubois
First-year dental student Lindsay Rayburn sees several Meghan Dubois, who has been working at the Michigan benefits from participating in the three-month summer Center for Oral Health Research for a little more than a year, clinical research program. said Center director, Dr. William Giannobile, urged her to Foremost is the opportunity to observe the impact apply for the three-month summer research program. She’s clinical research has on patients. glad she did. During the two years she worked in Dr. William “I’m beginning my first year as a dental student at U-M G i a n n o b i l e ’ s l a b o r a t o r y, in August and I think the three Rayburn said she “enjoyed months I will be participating the opportunity to see what’s in the summer program will involved in planning and help me determine if clinical conducting clinical research research is something I want studies.” to do after I get my dental What she learned there degree,” she said. and what she is learning in the Dubois already has had summer program, she added, some experience in a dental will produce another benefit, environment. In high school, “a head start in my dental she worked for her father, Dr. studies,” as she described it. Matthew Dubois, in his dental Rayburn, who earned a office in Southgate, Michigan. LindsayRayburn(left) andM eghanD ubois bachelor’s degree in cellular “From those experiences, I and molecular biology from knew I wanted to help people U-M two years ago, said the summer program may also in some way, and I thought dentistry would be the way to help her determine if she wants to pursue clinical research do it,” she said. as a career after earning her dental degree. Since earning a bachelor’s degree from U-M with a “Ultimately, I’d like to see if I can combine clinical concentration in biology and economics, Dubois has been research with my dental studies and, in some way, reach working with Giannobile, Janet Kinney, and Dr. Christoph out to help the underserved,” she said. Ramseier to develop the oral saliva test kit. “My mother, Suzanne Johnston Rayburn, received her “It’s been interesting to see what takes place in doing dental hygiene certificate from U-M in 1972, so I knew this kind of research, and all of the patients have been very from an early age I wanted to be involved in health care in cooperative, especially since it’s a noninvasive experience some way. But after volunteering at a local hospital and for them providing the saliva samples,” she said with a observing what goes on in a dental practice, dentistry has laugh. all the characteristics of a career I’m looking for. Clinical research, I think, will be a bonus, not just for me, but for those I help.”
Jerry Mastey

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Dr. Darnell Kaigler Among 20 Nationwide to Receive New Award Only Dentist to be Recognized
A U-M School of Dentistry postdoctoral fellow is the first and only dentist in the nation to receive a new award presented by a foundation committed to fostering and developing the next generation of faculty members and research scientists. Dr. Darnell Kaigler, who simultaneously pursued and earned a dental degree and a PhD degree in the School’s Oral Health Sciences DDS/PhD program, was the only dentist…and one of just 20 persons nationwide…to receive a Career Award for Medical Scientists (CAMS) from the Burroughs Wellcome Fund. Nationwide, 153 individuals applied. Winning the award means Kaigler will receive $700,000 during the next five years to help him make the transition from postdoctoral researcher to becoming a junior faculty member. “I’m very honored to have been selected because it was a very competitive process,” he said. Kaigler said each university and college, including the University of Michigan, had an opportunity to nominate five individuals before being selected to advance to a second level of consideration. In the second phase of competition, Kaigler had to submit detailed information about his research, academic achievements, and career plans, as well as agreeing to be interviewed. “Being the only dentist in the nation to receive the award speaks highly of this University and for the profession of dentistry,” Kaigler said. “It illustrates just how much of an impact dentistry is having on research, and to a great degree, the high regard others have of the research that is being conducted here at this School.” Kaigler’s research interests include cell therapy approaches to treat alveolar bone defects. In one approach, cells are taken from a patient, treated, multiplied in a laboratory environment, and eventually reimplanted in the patient’s oral cavity. “Many times, when a person has a tooth extracted, there is insufficient bone remaining in the jaw to restore the area with a dental implant,” he said. “So I’m trying to determine if there is a way that a small number of bone cells from a patient can be cultured externally and then transplanted back into the jaw so those cells grow and form new bone to replace the bone that has been lost.” Taking the research knowledge he gained during his postdoctoral studies, Kaigler hopes to begin preliminary clinical studies at the Michigan Center for Oral Health Research within a year. Before any clinical trials can begin, however, the U.S. Food and Drug Administration, which regulates new therapies and treatments, will have to review and give its approval.

Per Kjeldsen

Kaigler Receives William Gies Award
Dr. Darnell Kaigler, a research fellow in the Department of Periodontics and Oral Medicine and adjunct clinical lecturer, received the William Gies Award for the best paper published in 2006 in the Journal of Dental Research. Presented during the IADR’s annual session, Kaigler was recognized for his article, “Transplanted Endothelial Cells Enhance Orthotopic Bone Regeneration.” Kaigler described a study where he examined the influence of blood vessel precursor cells (endothelial cells) on bone precursor cells (bone marrow stromal cells) when both types of cells were simultaneously transplanted. The major finding was that the endothelial cells enhance the activity of bone marrow stromal cells by increasing their ability to regenerate and reconstruct bone. “By discovering a new mechanism that controls and modulates bone regeneration, we’re not only strengthening our understanding of the role blood vessel formation plays in bone regeneration, but we’re also bringing the novel tissue engineering approach of cell transplantation a step closer to clinical reality,” he said.

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Grad Perio Resident Earns 1st Place in International Competition
A resident in the School of Dentistry’s graduate periodontics program whose post-doctoral training focuses on regenerative sciences, recently won a first place award during the 9th International Symposium on Periodontics and Restorative Dentistry. Dr. Hector Rios received the top honor in research competition in June in Boston for his poster presentation. The poster competition recognizes innovative clinical and translational research in periodontics, restorative dentistry, and implant dentistry. Mentored by Dr. William Giannobile, Rios’s work focuses on the molecular mechanism that allows the periodontal ligament (PDL) to absorb and distribute the mechanical forces, as well as regulate overall periodontal homeostasis. Their work suggests that this adaptive response may be due to the influence of key molecules that control the integrity of the PDL during occlusal function. Periostin, an extracellular matrix protein that is primarily expressed in PDL, is likely to be one of these key molecules. Their research shows that the cementum, alveolar bone, and PDL of mice lacking this gene dramatically deteriorate after the teeth erupt. The symposium is held every three years to allow for the testing and evaluation of new treatments.

Nan Hatch Wins National & International
Dr. Nan Hatch, a postdoctoral research fellow and a junior faculty member in the School’s Department of Orthodontics and Pediatric Dentistry, won two first-place Hatton Awards earlier this year for her work at the U-M School of Dentistry. The award is the preeminent dental research award given annually to students and postdoctoral fellows. Hatch won first prize in the postdoctoral category for her research presentation during the annual session of the American Association for Dental Research. She also qualified to compete in the international competition against researchers from around the world, and then won first place during the International Association for Dental Research. This was the first time in eight years that someone from the U-M School of Dentistry won both first-place awards. Dr. Jacques Nör won both awards in 1999. Hatch’s research focuses on fibroblast growth factor (FGF) signaling in bone mineralization and craniofacial development. FGF signaling has long been known to play a crucial role in skeletal and craniofacial development, yet the mechanism by which these factors cause changes in bone formation has yet to be fully understood. It’s associated with craniosynostosis, a debilitating clinical condition characterized by abnormal
Keary Campbell

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Hatton Awards
craniofacial development of the facial skeleton and skull. “ The long-term goal of this research is to try and develop novel diagnostic approaches and biologic therapeutics to treat patients with craniofacial abnormalities,” she said. Hatch received her DMD from Harvard in 1999, an orthodontic certificate from the University of Washington three years later, and a PhD in molecular and cell biology from U-W in 2005. She then came to Michigan for a full-time academic position as a junior faculty member and postdoctoral research fellow. She also treats patients one-half day each week in the orthodontic clinic.

Simmer Receives IADR Award for Basic Research
Per Kjeldsen

Dr. Nan Hatch (left) won two first-place Hatton Awards earlier this year for her research. The award is the preeminent dental research award given annually to students and postdoctoral fellows.

Dr. James Simmer, a professor in the Department of Biologic and Materials Sciences, received IADR’s 2 0 0 7 Aw a rd f o r B a s i c Research in Biological Mineralization during the group’s annual meeting this spring. The award is designed to recognize and encourage basic research in biological mineralization. S i m m e r ’ s re s e a rc h , featured in the School of Dentistry’s 2005 annual D r. Jam es Sim m er re p o r t , f o c u s e s o n t h e cellular and molecular biology of tooth enamel formation. He has identified some of the factors that lead to genetic defects that cause nearly one in 8,000 people to be born with bad teeth. IADR noted that Simmer’s research led to basic science advances that “led directly to improvements in our understanding of the genetic etiologies of inherited enamel defects grouped under the designation of amelogenesis imperfecta.” Patients with this condition have difficulty brushing, breathing, or even drinking cold water without experiencing pain in their teeth. The burden is not only physical, it’s also psychological since disfigured teeth often affect a patient’s quality of life. Comprehensive dental work to correct these difficulties is often a major expense since many, if not all, of a patient’s bad teeth must be restored over an extended period of time. Both the cost of restoration and the amount of time spent in dental clinics can be considerable. Understanding the gene mutations and identifying the protein molecules that result in bad teeth being passed from generation to generation may one day help dentists develop customized treatment plans for their patients.

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Wanda Snyder

Jamie Luria Junior Hatton Award Winner
Second-year dental student Jamie Luria received a second place Junior Hatton Award during the AADR’s annual meeting. Under the mentorship of Dr. Paul Krebsbach, Luria is using bone morphogenetic proteins (BMPs) to reconstruct craniomaxillofacial and mandibular defects due to ablative cancer surgery. These proteins have powerful bone-forming activity and have led to dramatic improvements in treating patients with orthopedic problems. In addition, Luria said BMP use in oral cancer defects is currently contraindicated due to uncertainties about whether the proteins have adverse biologic effects on human oral squamous cell carcinoma or contribute to tumorigenesis. Luria’s research is involved in testing the hypothesis that BMPs do not produce adverse biologic effects on oral squamous cell carcinoma or enhance the growth of residual tumor cells. He also received an AADR Student Fellowship Award to fund an additional year of research on the impact BMP exposure has on oral cancer’s ability to spread from its primary site of development.

Jam ieLuria, asecond-year dental student, receivedasecond placeJunior Hatton Award at thissp ring ’sAAD Rm eetingfor his research. W ithhimishism entor, D r. Paul Kreb sb ach.

Research May Offer Insight into Stimulating Bone Formation
Research at the U-M School of Dentistry may offer some new insights into explaining how mechanical forces stimulate bone formation. In a paper published in the February 26th issue of The Journal of Cell Biology, Dr. Renny Franceschi and his team reported that the mechanical forces are transmitted to the bone-forming cells, or osteoblasts, by cell surface receptors (integrins) that directly link osteoblasts to the surrounding bone cellular matrix. In studies with transgenic mice, Franceschi’s group showed that integrins stimulate bone formation by activating the extracellular signal regulated mitogen-activated protein kinase pathway (ERK/MAPK pathway) leading to the expression of boneforming genes. They also showed that the ERK/MAPK functions by specifically phosphorylating a nuclear transcription factor, Runx2. “Bone is known to be highly responsive to mechanical forces. In fact, weight-bearing exercise is one of the most dramatic ways to stimulate bone formation,” Franceschi said. “But our research is the first demonstration that this pathway can stimulate bone formation in animals.” Franceschi said the work also suggests that pharmacological manipulation of the ERK/MAPK pathway in bone may be a way of stimulating bone formation to treat osteoporosis and periodontal disease. Others participating in the study were Dr. Chunxi Ge, the lead author and research fellow in the School’s Department of Periodontics and Oral Medicine, and Drs. Guozhi Xiao, assistant research scientist in POM, and Di Jiang, student research assistant.

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Two Receive Dziewiatkowski Award for Their Research
A fourth-year candidate in the School of Dentistry’s Oral Health Sciences/PhD program, and a fifth-year PhD candidate in the Department of Biomedical Engineering who is working in School of Dentistry laboratories, were the recipients of this year’s Dziewiatkowski Award. Yong-Hee Chun and Joseph Wallace were presented with Y ong-H eeC hunandJosep hW allacerecip ientsof thisyear’s the award this spring by Jane Dziewiatkowski Award. Damren, daughter of the late Dr. Dominic Dziewiatkowski, for whom the in the human body, but the mechanism award is named. of the mineralization process itself is “Dr. J,” as he was affectionately unknown,” Chun said. “By identifying known, taught at the School of Dentistry the proteins in the enamel matrix that for 18 years and directed the Dental are secreted by ameloblasts, and by Research Institute from 1967 to 1972. analyzing their biochemical structure, Damren and her husband, Samuel, eventually their biological function established the Dziewiatkowski Award might become clear.” in 1988 to recognize dental students for Chun is analyzing ameloblastin their excellence in research. [DentalUM, to try to determine if that protein is Fall 2005, pages 74-75.] essential for enamel formation. She said that understanding both Yong-Hee Chun the structure and function of enamel For the past two years, Chun, who proteins “allows dentists to appreciate earned a master’s degree in periodontics the complexity of enamel formation. from U-M in 2003, has been studying Knowledge gained from the research enamel formation under the mentorship may help counseling and treating of Drs. Jan Hu and James Simmer. patients with enamel malformations, C h u n’ s re s e a rc h f o c u s e s o n such as amelogenesis imperfecta, an ameloblastin, one of the three enamel inherited enamel defect.” matrix major proteins (the two others Chun, a clinical instructor in one of are amelogenin and enamelin) that are the School’s comprehensive care clinics secreted by ameloblasts during dental from 2001 to 2003 and from 2005 to the enamel formation. present, hopes her research will lead to a “Mature enamel is the hardest tissue better understanding by patients about
Wanda Snyder

the etiology of their condition and the possibility of passing this along to their children. “If we know the components of enamel and its mineralization processes, we may be able to develop biomaterials to replace lost enamel,” she said.
Joseph Wallace

For the last five years, Wallace has been researching the influences of genetic and mechanical factors on the composition and structure of mineralized tissues under the mentorship of Dr. David Kohn in the School’s biomimetic and biomechanics laboratory. “My investigations are focused on understanding changes that occur in bone in response to the addition and removal of the extracellular matrix protein, biglycan,” he said. “Bones that lack biglycan develop deficiencies in quality and strength and fail to acquire normal peak bone mass, similar to what patients with osteoporosis experience.” Wallace said that his investigations have led to a discovery that exercise of moderate intensity and duration can lead to changes in pre-existing tissue without adding new bone. “I’m seeking to learn if exercise can compensate for deficiencies caused by the absence of biglycan,” he said. “If further research shows that to be the case, perhaps this could provide a unique and noninvasive way of preventing or treating bone diseases in humans.”

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“Research Fulfilling, I Want to Stay Involved” Dental Hygienist Janet Kinney Describes
Jerry Mastey

Researchw asoneof several requirem ents Janet Kinneyhadtocom pletebefore earningam aster’sdegreeindental hygienefromtheSchool of D entistryand asecondfromtheSchool of Public H ealththisyear.

t seemed the Michigan Center for Oral Health Research was my home away from home,” Janet Kinney said jokingly as she talked about her 18 months of clinical research. “I found research fulfilling, and I want to remain involved with it now that I have earned my master’s degrees.” Research was one of several requirements Kinney had to complete before earning two master’s degrees – one in dental hygiene from the School of Dentistry, the other in public health from the School of Public Health. [See story, pages 53-54.] Kinney played an important role in the clinical research part of Dr. William Giannobile’s efforts to develop a saliva test kit designed to detect periodontal disease in patients. “I gained a considerable amount of experience at MCOHR, almost from the moment I arrived,” Kinney said. Her work included patient recruiting conducted during outreach efforts at the dental school, elsewhere in Ann Arbor, in Ypsilanti and other communities in a three county area of southeast Michigan, and telephone contacts with directors of various dental hygiene programs in the state advising them of MCOHR’s role and

“I

how patients could participate in a dental clinic research study.
Applying What’s Learned in the Classroom

B e s i d e s s c re e n i n g p o t e n t i a l patients on the telephone to determine if they might qualify for Giannobile’s clinical trial, Kinney was involved in countless other ways after a patient was enrolled in the study. During each patient’s visit, she obtained their medical histories, conducted oral health examinations that included oral cancer screenings, completed extensive clinical periodontal charting information; collected and cataloged sample fluids for the study, provided intervention therapy such as scaling and root planing, took standardized digital radiographs, and arranged patient follow-up visits. Each study visit lasted between two and four hours, which did not include time needed to complete study paperwork and clinical research forms. Kinney said she probably collected “thousands of vials of fluids. But doing that, and the other experiences I had, gave me great opportunities to apply in a clinical environment what I learned in the classroom,” she said. “My clinical research experiences at MCOHR taught

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MCOHR Experiences
me a lot about patient management, data collection, and more.” Giannobile, who was Kinney’s advisor for her master’s thesis awarded by the School of Dentistry, agreed. “Janet had a full plate during the time she was here,” he said. “She collected approximately 860,000 data points for the saliva test kit study. That alone was a lot of work, but she was dedicated to gaining the experiences she needed to successfully complete the requirements for her two master’s degrees.” However, the saliva test kit clinical research was not the only study in which Kinney was involved. Another research project she assisted with was Dr. Laurie McCauley’s research investigating the impact of parathyroid hormone on regeneration in the oral cavity.
Other Research Efforts

Janet Kinneyp layedanim portant roleinD r.W illiamG iannob ile’s efforts todevelopasalivatest kit todetect periodontal disease inp atients.

McCauley, chair of the Department of Periodontics and Oral Medicine, is attempting to determine if the drug Fortero, which has been approved by the U.S. Food and Drug Administration for use in patients with osteoporosis, can increase the build-up of bone and the strengthening of bone over an extended period of time. It is not known, however, if Fortero

will have the same bone-building and bone-strengthening effects for patients with periodontal disease. [DentalUM, Spring & Summer 2007, page 77.] Kinney also assisted Dr. Tae-ju Oh with his research to determine if the local delivery of the antibiotic periocline, combined with scaling and root planing, helps reduce pocket depths in teeth with periodontal disease. The gel has not yet been approved for use by the FDA, but results from the clinical laboratory research could help determine the effectiveness of antibacterial treatment of periodontal disease. [DentalUM, Spring & Summer 2007, page 77.]
Consider Research as a Career

Kinney praised many at the dental school for encouraging her research at MCOHR. “Professor Kerschbaum, Karen R i d l e y, D r. G i a n n o b i l e , a n d D r.

McCauley all played significant roles in my professional growth and development as a dental hygienist with their encouragement to get as involved as I did in clinical research,” she said. “One of my goals is to offer dental hygiene students a glimpse of what a clinical research dental hygienist does and how he or she can contribute to the overall success of a research project,” she added. “It’s both exciting and rewarding to see how one’s individual efforts, combined with the efforts from other members of the study team, converge into interesting study results that could, ultimately, change the course of clinical practice.” As for her future plans, Kinney hopes to use her classroom knowledge, clinical education and research skills in a combined teaching and research position in the School’s dental hygiene program.

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Tooth Whiteners Work, Short Term
U-M Clinical Associate Professor Evaluates Studies
You see commercials for them on television and ads in newspapers and magazines. Tooth whiteners — whitening strips, guards filled with gel placed over the teeth, and paint-on films — are available at almost every drug and food store as well as from many dental offices. But how effective are they? Tooth whiteners appear to be effective, short term. But their longterm effectiveness has yet to be determined. Those are the findings of a review of all published studies through 2006 by Dr. Hana Hasson, a clinical associate professor at the U-M School of Dentistry. More than 400 studies about the effectiveness of the whiteners have been published in recent years. Hasson reviewed 25 of the higherquality studies and evaluated their effectiveness after two weeks. Studies encompassed controlled and semicontrolled situations that involved products recommended by dentists and products that could be purchased over the counter. Tooth-whitening toothpastes were not included in the assessment. Her conclusion of the review is that there is evidence whitening products work. However, there are differences in
Jerry Mastey

Attitudes
Jared Wadley, U-M News Service
ral health disparities are common among preschool aged children, but more needs to be done to combat the prevalence of tooth decay among low-income and minority populations where the problem is severe, according to a new study that involved two School of Dentistry faculty members. In an analysis of low-income, African-American households in Detroit, U-M researchers found that children ages 4 and 5, and those who had restorative dental visits, were more likely to develop tooth decay or early childhood caries. The study looked at maternal health beliefs, behaviors, and p s y c h o s o c i a l f a c t o r s re l a t e d t o African-American children with tooth decay living in low-income homes. Sugar exposure and mouth bacteria can trigger severe tooth decay. Cavities can result from inappropriate bottle or sippy cup use, and sugary snack foods. Tracy Finlayson, who analyzed the first wave of a longitudinal study as a U-M doctoral student, was the

O

D r. H anaH assondiscussestheresultsof her evaluationsof toothw hiteningstudiesw ithareporter fromIvanhoeTV at theSchool of D entistry . IvanhoeTVhasbeenp ro viding televisionstationsw ithnew sstoriesabout m edicineand dentistrysince1982.

the efficacy of products, due primarily to the levels of active ingredients, including hydrogen peroxide and carbamide peroxide. All trials were short term and involved high-risk bias since they were sponsored or conducted by the manufacturers of the products. Hasson said there is a need for long-term and independent clinical studies that include participants from various groups, as well as a need to better measure common side effects of tooth sensitivity and gingival irritation. The result of the research appeared last fall in The Cochrane Library, a publication produced by The Cochrane Collaboration , an international organization that evaluates research.

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May Affect Prevalence of Tooth Decay in Children

lead author. Now a scholar at the University of California-Berkeley, she wrote the study with Drs. Amid Ismail and Woosung Sohn, both with the U-M School of Dentistry, and Kristin Siefert with the U-M School of Social Work. S u b s e q u e n t t o F i n l a y s o n’ s analysis and using data from two time periods, researchers at the Detroit Dental Health Project found that when parents and caregivers believe that tooth decay is inevitable, the children are more likely to suffer from it. Data were collected by the Detroit Dental Health Project (DDHP), a National Institutes of Health-funded study of more than 1,000 AfricanAmerican families with at least one child 5 years or younger and living in 39 low-income communities. The DDHP project seeks to investigate the association between childhood cavities and tooth decay later in life. Finlayson’s analysis was limited to 719 children between the ages of 1 and 5 whose mothers were examined in the first of the three-wave cycle of the study.

Trained staff conducted personal interviews with caregivers in Detroit. All children and caregivers received dental examinations in the DDHP’s Dental Assessment Center. C a re g i v e r s w e re a s ke d h o w confident they were about ensuring children’s teeth were brushed before bedtime, including situations where a child was tired. Mothers reported relatively high levels of understanding appropriate bottle use and children’s oral hygiene needs. However, more than three quarters of the sample endorsed a fatalistic oral health belief, as indicated in one sample item: “Cavities in baby teeth don’t matter since they fall out anyway.” I s m a i l s a i d , “C h i l d re n w h o suffer from early childhood cavities, a condition more common than asthma, most likely will end up being treated under sedation or even general anesthesia. This negative experience early in life may have a significant impact on children’s dental experience.” Researchers examined three factors potentially influencing

mothers’ behaviors toward oral health: symptoms of depression, parenting stress, and social support. Maternal symptoms of depression were highly prevalent, but were not directly related to early childhood cavities. Parents stressing the need for proper oral health had a positive influence on preventing cavities, they found. “Parenting stress was inversely associated with children’s (oral health) status. For each unit increase on the stress scale, the odds of the child having cavities reduced by about one-third,” Siefert said. “It may be that parents who are more conscientious about their children’s health habits are also those who worry more and are more stressed. This is an important area for future research.” The income level of parents, employment, and education play a role in the outcomes, they added. The findings appeared in the May issue of Community Dentistry and Oral Epidemiology.

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School of Dentistry Honoring Pioneering Researcher
Exhibits Mark 100 Year Anniversary of Death of Dr. Willoughby Miller
More than 100 years ago, Dr. Willoughby Dayton Miller advanced a novel theory that dental caries was an infectious process caused by bacteria. At the time, 1890, he also suggested the mouth harbors bacteria that may influence not just oral health but general health too. Those ideas, based on his extensive research, were radical at the time. Over time, however, they profoundly affected how biologists, dentists, and medical professionals worldwide viewed disease. Dr. Miller’s pioneering research and international reputation led to an offer from the University of Michigan Dental College, as it was known in the early 20th century, to become its dean. Dr. Miller arrived in Ann Arbor in July 1907 and met with dental faculty to discuss his plans for the fall. But he died on July 27, following an attack of appendicitis before he could assume his duties as dean. He was 54. To m a r k t h e c e n t e n n i a l anniversary of Miller’s death, the U-M School of Dentistry is sponsoring an exhibition, W.D. Miller: Scientific Pioneer of Dentistry (1853-1907) , that focuses on his pioneering research and contributions to oral health. One exhibit case is on display in the School’s Sindecuse Museum on the from the 1880s, according to Sindecuse Museum curator Shannon O’Dell, gave Miller a clear stereoscopic view of his specimens. As visitors look at the artifacts and displays in the Museum, O’Dell said, “they will gain a better understanding of how Miller set up his laboratory in Germany, where he worked for 28 years, and learn more about who he was and why he is still so highly regarded.” O’Dell added that the Museum expects to show pages from Miller’s laboratory notebook (ca. 1900) which are now housed at the Bentley Library on the U-M campus. The notebook, she said, includes information about litmus samples of saliva and mucous tests. For more information about the exhibit, contact Sindecuse Museum Curator Shannon O’Dell at (734) 7630767 or by e-mail: dentalmuseum@ umich.edu. More information about the Museum is available at: www. dent.umich.edu/museum.
Dental Library Collection

first floor lobby of the Kellogg Institute Building. Another is in the School’s library.
Sindecuse Museum Exhibit

Among the items being displayed in the Museum through December are Miller’s microscope, which was donated to the School of Dentistry by his widow, Caroline Miller, after his death, and other laboratory artifacts including an English Bunsen burner, hand instruments, tweezers, litmus vials, bottles, and test tubes. The English binocular microscope dating

Miller’s work is also on display at the School of Dentistry library. Patricia Anderson, senior associate librarian, notes that Miller’s original research is still a valuable resource for

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Jerry Mastey

Am onum ent honoringtheachievem ents of D r. W illoughb yM iller is inthe front of the KelloggBuildingat N orthU niversityA venue.

researchers worldwide with over 50 articles published in the past decade citing his book, The Micro-organisms of the Human Mouth , where he advanced his theory. “Miller’s research is so well known and so pioneering that requests come from researchers and historians around the world to use Miller’s personal library which is housed here in the U-M Dentistry Library,” Anderson said. “These requests,” she continued, “inspired the University Libraries to make Miller’s personal library collection available online.” The scanning portion of the project was recently completed by University Libraries Digital Library’s production services. It is now available as a part of the Dental Historic Collections

at http://quod.lib.umich.edu/d/ dentalj. Information about Miller and his work is online www.lib.umich.edu/ dentlib/about/other/WDMiller/
Other Recognition

Although he never assumed the deanship at Michigan, Miller’s achievements have been recognized by the School of Dentistry in two notable ways. In 1940, a monument honoring him was unveiled in front of the Kellogg Building just off of North University Avenue. Around the same time, a bust of Miller was unveiled. It currently sits atop a pedestal in the lobby of the Kellogg Building at the base of a glass brick wall.

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DEPARTMENT UPDATE
Per Kjeldsen

Orthodontics and Pediatric Dentistry
h e re h a v e b e e n m a n y noteworthy achievements among faculty, residents, and staff in the Department of Orthodontics and Pediatric Dentistry since my last report in the Spring & Summer 2005 issue of DentalUM. The arrival of new faculty members and significant accomplishments in a range of endeavors continue to fuel our progress. Our department’s clinical operations also continue to improve to enhance the clinical experiences of our students.

T

Dr. Sunil Kapila, chair

Faculty Updates
Several new faculty members have recently joined us. Dr. Nan E. Hatch arrived as a full-time faculty member in October 2005 after completing her orthodontics and PhD studies at the University of Washington. She has focused on establishing her research in the first two years of her appointment and has also begun her faculty practice. Dr. R. Scott Conley joined us as a full-time clinical assistant professor last July. Formerly an assistant professor in orthodontics at Vanderbilt University Medical Center, Dr. Conley’s expertise is in orthodontic management of orthognathic surgery, distraction osteogenesis, craniofacial anomalies, and sleep apnea patients. He is a member of the Angle Society and will add tremendous strength to our curriculum in orthognathic surgery.

New ABPD Diplomates from U-M Program
This year, 13 U-M pediatric dentistry alumni became Diplomates of the Am erican Board of Pediatric D entistry. Their names and the year they com pleted our programare listed below . • • • • • • • • • • • • • James R. Boynton (2004) Jon A. Dallman (1997) AnnaMarie (Malavolti) Defeo (2003) Heather E. Gormley (2004) Catherine H. Hong (2003) Jennifer L. MacLellan (2005) Shonna L. Masse (2000) Steven K. Rayes (2003) Daniela R. Silva (2002) Michelle J. (Opalka) Tiberia (2001) Aleco Tujios (2005) James M. VanWingen (2000) Vanessa Q. Velilla (2002)

Drs. Eric S. DeVries and YuJu (Rita) Yang were appointed as clinical lecturers early this year after completing their pediatric dentistry training at the University of Michigan last December. Their primar y responsibilities include predoctoral clinical teaching and patient care both at the U-M School of Dentistry and hospital clinics. Additionally, Dr. Thomas Pink has become pediatric dentistry clinic director. His goal is to expand patient care activities and refine the clinic’s business procedures. Considering that there is a severe shortage of full-time academics, recruiting these capable individuals to our faculty is a major feat for us. A number of new part-time faculty have also joined our department including Drs. Andre Haérian and Ulla Crouse in orthodontics and Drs. Kevin L. Boyd, Suzanne K. Port, and Toral Gandhi in pediatric dentistry.

Awards & Recognition
Faculty

Dr. James R. Boynton successfully completed the American Board of Pediatric Dentistry certification process despite a very busy year managing the predoctoral program and sustaining a practice. In addition to Dr. Boynton, twelve other U-M pediatric dental alumni were also “Board certified” within the last year. [See Col. 1, this page.] O n e o f D r. S c o t t C o n l e y ’ s manuscripts published in the

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American Journal of Orthodontics and Dentofacial Orthopedics was recognized by the College of Diplomates of the American Board of Orthodontics as the best case report published last year. Dr. Nan Hatch received the Robert E. Gaylord Teaching Fellowship Award from the AAOF last year and postdoctoral fellowship grant. Nan was also awarded the first-place Hatton Award in the postdoctoral categories from both the American and International Associations for Dental Research. [See story, pages 62-63.] Dr. Lysle E. Johnston Jr. received the Louise Ada Jarabak Memorial Orthodontic Teachers and Research Award at the recently concluded AAO meeting. This prestigious award recognizes an individual who has made significant contributions to orthodontic education and research. Dr. Sunil D. Kapila received a $1.2 million five-year research grant from the National Institute for Dental and Craniofacial Research to study the contribution of periodontal ligament cells and osteoblasts to periodontal bone breakdown. Dr. James A. McNamara was selected to receive the 2007 World Prize from the Italian Society of Orthodontists and the 2008 Ketcham Award from the American Board of Orthodontics. Dr. Josephine C. Weeden, Dr. H. Ludia Kim, and six of our alumni from the class of 2005 – Drs. Jerome B. Schuman, Heather L. Zablocki, Laurie M. McClatchey, Marsha L. Beattie, Jason F. Hall, and Steven W. Charchut – successfully completed the

American Board of Orthodontics exams to become Diplomates of the ABO.
Residents

Two of our 2005 orthodontic graduates, Dr. Jerome Schuman and Dr. Heather Zablocki, were awarded the Thomas M. Graber Award of Special Merit at the 2006 AAO Meeting for their master’s thesis research. Dr. Matthew D. Dunn (Ortho 2006) received an award in the Resident Scholars Research Competition for his master’s thesis: “Local Delivery of Osteoprotegerin for Orthodontic Anchorage.” Matt was also awarded the Thomas Graber Award of Special Merit for this research at this year’s AAO meeting. Dr. Orest J. Pilipowicz (Ped Dent 2006) received a graduate student research award from the American Academy of Pediatric Dentistry to attend this year’s annual meeting and compete for the Ralph MacDonald Award for outstanding resident research. Among the competitors from many different programs, Orest’s project received the top award, the Ralph MacDonald Award . This is the same award that Dr. Heather E. Gormley (Ped Dent 2004) received two years ago. The title of Orest’s presentation was “The Effects of Nitrous Oxide During Pediatric Dental Sedation with Oral Transmucosal Fentanyl Citrate and Hydroxyzine Pamoate.” His chief mentor is Dr. Daniel M. Briskie and advisory mentors are Drs. Robert F. Majewski, Jan C. Hu and Paul Reynolds. Dr. Yu-Ju (Rita)Yang (Ped Dent 2006) also received a graduate student

research award to attend the 2007 AAPD meeting and present her research entitled “Long Term Success of Fissure Sealant Placement on Newly Erupted Hypoplastic First Permanent Molars.” Her chief mentor is Dr. Ruwaida Tootla, and thesis advisors are Drs. Lloyd Straffon, Steve Eckland, and Kathy Welch.

Program News
Graduate Orthodontics

In the past year, the Lysle E. Johnston Jr. Endowed Collegiate Professorship was launched and has received strong support from several of Lysle’s former students, colleagues, and friends. [See pages 47-48.] S i m i l a r l y, t h e c o l l e g i a t e professorship in honor of James E. Harris needs a final boost to make it a reality. These endowments will help us maintain our competitiveness in recruiting and retaining top-notch faculty in this era of faculty shortages. It would be wonderful to bring these two collegiate professorships to fruition in the near future. Your support is needed to achieve these goals. I am very thankful to so many of our loyal alumni who continue to support us in these times of dwindling state support.
Launching the “Paperless Clinic”

Since 2004, we have been working to implement a paperless clinic in graduate orthodontics. Our efforts began with digital photography and radiography, and continued with the streamlining of the software management programs from two to one. In the past two years, we laid

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the groundwork to go to electronic charting. This involved selecting the hardware through trials with a number of systems and the development of appropriate modules in the MiDent software. The computers were purchased and installed in our clinic in May this year [See story, page 7]. Most of the modules including patient health histor y, clinical findings, treatment planning, and daily treatment notes, are now ready for use. The business and scheduling modules of this software program have been used since last summer. Final components of a totally electronic chart, that include the incorporation of extraction and retainer prescriptions, will begin shortly. The graduate orthodontics clinic is now the first in the school to convert to completely paperless records. The pioneering of electronic charting in orthodontics is an excellent “pilot” for other clinics in the School as they move towards the same goal. We are extremely proud of the lead taken by graduate orthodontics in this endeavor. Our goal is to similarly transition the graduate pediatric dentistry clinic to electronic charts.
Graduate Pediatric Dentistry

The graduate pediatric dentistry program admitted six from a large pool of competitive applicants. They are Dr. Amy Buehler and Dr. Oshmi Dutta from the University of Southern California, Dr. Damien Kaiser and Dr. Michelle Kurkowski from the University of Michigan, Dr. Elizabeth Miller from the University of Virginia,

and Dr. Shirim Sheiny from Azad University, Iran. Our current graduate students, Drs. Beth Nelson, Sam Malcheff, and Tim Seto were successful in obtaining Delta Dental funds to support their research projects investigating issues related to access to dental care, infant oral health care provider education, and incidence of pneumonia among children with cerebral palsy. Dr. Rita Yang (2006) and Dr. Eric DeVries (2006) stayed on to serve as clinical lecturers, which greatly stabilized our teaching program and filled the gaps left by Drs. Davenport and Kaiser. Dr. Yang also maintained the level of patient care at the Hospital Dentistry Clinic while Dr. Ruwaida Tootla was on maternity leave. The Kenneth A. Easlick Society sponsored a well-attended alumni reception during the American Academy of Pediatric Dentistry in May in San Antonio. Many of our alumni are doing well and looking for associates to expand their practices. In addition, we were happy to note that four of our alumni in academia are involved in directing either graduate or predoctoral programs. The program continues to carry out the mission of educating excellent clinicians and nurturing academicians in the field of pediatric dentistry. Dr. Hu and I expressed our sincerest thanks to the alumni who attended for joining the program faculty at this event and for making themselves available to our residents as excellent role models.

Research
The Department continues its sound research program with a strong record of publication, grant funding, and continued recognition of the work done by our faculty and students through research awards. These accomplishments, besides enhancing the scientific basis of orthodontic practice, bring prestige and recognition to our program, the faculty, and the students. Research objectives for our department include an emphasis on understanding novel clinical issues utilizing contemporary scientific approaches and technologies that will help advance our profession. Interdepartmental and intradepartmental collaborative research is also being encouraged. Drs. Jan Hu, Nan Hatch, and I maintain actively funded basic and translational research activities in topics ranging from dental dysplasias, craniosynostosis, TMJ pathobiology, tissue engineering and bone, dentine, and enamel biology. Dr. Hu’s research and mine are funded by the National Institute of Health while Dr. Hatch has grant funding from the AAO Foundation. Drs. Conley, McNamara, Arruda, Boynton and Tootla continue to perform clinical studies on various topics and to mentor many master’s theses and dental student research projects.

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Classroom Lecture Podcasts Top 1,100... New Initiatives Underway
see how active the different classes have been,” said Dr. Lynn Johnson, the School’s director of Dental Informatics. For example, by August, the Class of 2008 had created 286 different podcasts for downloading and listening; the Class of 2009, 431 tracks; and the Class of 2010, 388 tracks, bringing the total to 1,105. Add to that 26 dental hygiene podcasts, and the number increases to 1,131. Among class lectures recorded by the Class of 2008 that are available for listening include 66 in Integrated Medical Sciences III. In that category, a student can scroll down and see the list of all 66 lectures by School of Dentistry faculty members and the time of each lecture. When a student finds a lecture of interest, he or she simply clicks, waits for the material to be downloaded, and then clicks “start” on their listening device. Students listen to the lectures anywhere and at any time – in their apartments, automobiles, while walking on campus, or even working out. Johnson, however, continues to be emphatic about one point. “These recordings are not designed to replace going to class,” she said. “Instead, they’re to be considered a ‘safety net’ allowing students to hone in on any topic they may have missed while in the classroom or want to review prior to taking a test.”

There’s been plenty of “buzz” in the media the past two years following the School of Dentistry’s partnership with Apple, Inc. that enables students to listen to classroom lectures on their iPods or other portable listening devices. The School was the first professional school in the nation that partnered with the company to offer education-related content. [DentalUM, Fall 2005, pages 6-7.] A milestone was reached this spring when the number of dental and dental hygiene classroom lectures recorded and available as podcasts for review surpassed 1,000. At press time, the number exceeded 1,130. The audio recordings, or podcasts, are available at a special School of Dentistry Web site, “Learning via iTunes U.” Dental and dental hygiene

and graduate students can listen by logging on to the site using their valid U-M names and passwords. Downloading of classroom lectures has steadily increased. Since course lectures have been available for downloading beginning two years ago, School of Dentistry students have been to the Web site approximately 30,000 times to listen to lectures. Recently, a new feature was added – videos. Building on the success of the audio-only files, the videos are very short, typically three or four minutes, and focus on a specific topic that is clinically relevant. By comparison, the audio-only files can be 30, 60, or even 90 minutes in length. “Because this process is entirely student driven, it’s impressive to

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I-P Video Conferencing Enhancing Dental School Communications
The role evolving Internet technology might play in education was noted in the School of Dentistry’s 2003 annual report, New Beginnings. In a simulation, two U-M dental students were depicted “attending class” in Ann Arbor as they were presented with information by a faculty member from the University of Iowa. With the advances in Internet speeds that have occurred since then, the School has found a way to make that idea of four years ago become reality. Recently, Dr. Paul Krebsbach used the School’s new Internet protocol (IP) video conferencing unit to participate in the thesis defense of one of his graduate students living in Switzerland. The student conducted her research in Krebsbach’s lab in Ann Arbor but completed her coursework in Lausanne. Instead of traveling to Switzerland, Krebsbach used IP video conferencing technology (H.323) that allows users to exchange audio, video, and data communications across networks such as the Internet. “Doing this saved a lot of time and expense since he didn’t have to travel,” said Sharon Grayden, faculty development coordinator in the Department of Dental Informatics.
What Makes This Different

How then, you might ask, does this technology differ from video conferencing which has been in use for decades? There are some notable differences, Grayden said. IP video conferencing eliminates

costs to either senders or receivers. Think of an e-mail you send to a friend in another part of the world. You or your friend do not pay to send or receive that long-distance message. Or, think of instant messaging (IM) where individuals can “chat” as long as they want while online and not incur any costs. “My parents, who are both in their mid eighties, frequently IM with their friends, as do my friends who have college-age kids. They use instant messaging technology instead of the telephone to stay connected. And it doesn’t cost them a thing,” Grayden said. The IP video conferencing technology is different and better compared to the desktop and Web-cam technology that many now use. Web cam technology, she explained, offers limited image quality and is primarily designed to allow one individual, sitting in front of his or her computer, to share information with one or more individuals who are sitting in front of their computer monitors. The IP video conferencing is different and better. “This technology we are now starting to use delivers high-quality images and sound, and is better for groups, seminars, or classes in small-, medium-, or large-size lecture halls,” she said. “It’s an extremely efficient and cost effective way of doing business in an academic setting.” What makes the communications possible is a portable device, about the size of an office desk phone, that sits atop

a 32-inch monitor on a cart which can be easily transported.
Other Dental School Applications

The School has used the technology and device in interesting ways in recent months. Dr. Lynn Johnson, dental informatics director, was the first to use the system to bring an expert guest lecturer from the University of Pittsburgh to graduate students. In another, Dr. Marilyn Lantz, associate dean for academic affairs, made a presentation to colleagues in Minnesota and the U.S. Health Services in Washington, D.C. Multiple locations are also involved. Dr. Amid Ismail, director of the Detroit Oral Cancer Project, used the system to test potential collaboration with a group that allows AEGD residents to take dental courses and participate in case and project discussions with individuals at ten other sites across the country. This is just a start, Grayden said, because future applications are unlimited. “As Internet technology continues to evolve, along with advances in hardware and software, I think we could see other potential uses in our dental, dental hygiene, and graduate programs; in research; by those in study clubs or continuing dental education,” she said. “The capabilities and uses are infinite in terms of tapping into the wealth of knowledge we have here and accessing the expertise of others, anywhere in the world.”

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New Director of Desktop Support
Jerry Mastey

KerryFlynn

appy to be back on campus. That’s how Kerry Flynn feels about her new position as director of I-T infrastructure and desktop support at the U-M School of Dentistry. She joined the team in June. Though Flynn graduated from college planning to teach high school biology, she quickly found a job as a software trainer instead. She brings to the position I-T experience from several Ann Arbor companies, including three and a half years as a network administrator at the Ross School of Business. Flynn will be responsible for desktop support activities and projects that support hundreds of faculty, staff, and students. “One of my goals is to streamline our internal work processes to enhance our productivity and effectiveness,” she said. Flynn will also be responsible for the installation of an offsite data center, improving and upgrading the School’s communications network, working to support the electronic storage and distribution of patient dental records, and supervising a staff of seven who support the daily operations of the School’s computing activities. She also hopes to enhance wireless transmission and reception of data throughout the School. “Overall, my goal is to provide sound, state-ofthe-art services and technology, yet remain nimble enough to respond to growing needs and demands. To begin doing this, we will need to enhance our network infrastructure by increasing the speed at which data is transmitted and received throughout the School, as well as make our network even more reliable,” Flynn said. “This is a great group,” she added. “Lynn Johnson, director of Dental Informatics, has done a fantastic job, and I’m looking forward to building on her successes.”

H

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Alpha Omega International President Impressed with U-M School of Dentistry
Diane McFarland

Dental School
The School of Dentistry thanked 22 employees for at least ten years of service to the University during an awards ceremony this spring. “We are grateful for all you do for our School,” said Dean Peter Polverini during the Staff Service Awards ceremony.

Left to right: Dr. Mark Luria, president of the Detroit chapter of Alpha Omega; Dean Peter Polverini; Linda Wolffe; Dr. John Wolffe, president of Alma Omega International; and Dr. Marvin Sonne, secretary.

The University of Michigan School of Dentistry had quite an impact on them. Executives from the Alpha Omega International dental fraternity were impressed with what they heard and observed during a visit to the School in July when they met with Dean Peter Polverini, other administrators, students, and toured the School’s facilities. President, Dr. John Wolffe; his wife, Linda; Secretary, Dr. Marvin Sonne (DDS 1973); and Dr. Mark Luria (DDS 1978), president of the Detroit chapter of Alpha Omega, visited the School as part of the organization’s centennial celebration. “The time we spent visiting with you privately, viewing the spectacular video on the School, and touring the School, left everyone with an outstanding feeling of warmth and keenly aware of the dedication and devotion you have to our profession,” Sonne wrote in a message to Polverini. “Even more obvious,” he added, “is the professionalism displayed by those involved with educating our future dental professionals.”

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Staff Employees Honored, Lauded

Recognized for their 10 years of service were (left to right): • Thalia Jaimez, Office of Development and Alumni Relations • Wanda Modica, Patient Services • Amy Jackson, Clinical Billing Office • Nancy Damberg, Cariology, Restorative Sciences, and Endodontics • Mary Zizza, Periodontics and Oral Medicine N ot picturedandalsorecognizedfor 10yearsof servicew ere: T raci C ooper, O ral and Maxillofacial Surgery & Hospital Dentistry; Juan Johnson, Patient Services; Michelle Krebs, Financial Services; Maureen O’Reilly, Patient Services; and Teresa Patterson, Patient Services.

20 Year Award recipients included (left to right): • Deborah Keedy, Biologic and Materials Sciences • Gail Baumgarten, Orthodontics and Pediatric Dentistry • Richard Fetchiet, External Relations and Continuing Dental Education • Sythinia Pryor, Human Resources • Randall Ainley, Patient Services • Ann Somppi, Patient Services Not pictured, but also recognized were Michelle Jones, Continuing Education; andRui-F engW ang , Prosthodontics.

D eanPeter Polverini congratulatedJon Sniderm an, w ith theO fficeof Patient Services, for his40 yearsof serviceto U -M , including33 at theSchool of D entistry . 30 Year Award recipients were (left to right): • John Squires, Dental Informatics • Nancy Kooperman, Endodontics • Valerie Etchison, Patient Services

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News
Howard Golan (DDS 1998) of Hyde
Park, New York, said he has graduated from Concord Law School and passed the California bar examination this spring. He was also appointed chief of laser dentistry at North Shore University Hospital in Manhasset, New York, and is a faculty member at Biolase University training dentists in laser-assisted dentistry.

Joanne Dawley
(DDS 1980) of Northville, Michigan, was recently elected president-elect of the Michigan Dental Association during the organization’s annual meeting in Detroit. She was elected to the 5,800 member group’s Board of Trustees in 2001 and served three years as secretary and one year as vice president before becoming president-elect. She also serves on the MDA’s executive committee. A past president of the Detroit District Dental Society and member of the ADA and delegate to the ADA’s House of Delegates, Dawley is a fellow of the Academy of General Dentistry, the American College of Dentists, the Academy of Dentistry International, and the International College of Dentists.

George Goodis
(DDS 1964) of Grosse P o i n t e Wo o d s , Michigan, was one of four members of the American Association of Endodontists appointed to the organization’s Board of Directors in April. Founded in 1943, the organization represents more than 6,900 members worldwide, including approximately 95 percent of all eligible endodontists in the U.S. Goodis, speaker at the School of Dentistry’s White Coat ceremony in the fall of 2004, represents AAE District IV, which includes Michigan, Illinois, Indiana, Kentucky, Ohio, West Virginia, and Wisconsin. He also was the first recipient of the organization’s Lifetime Spirit of Service Award bestowed earlier this year. Goodis, who has held numerous positions with the ADA and the Michigan Dental Association, is chair of the AAE’s continuing education committee.

Ray Sanai (DDS
1992) of Highland Park, Illinois, recently became a Diplomate of the American Board of Periodontology. After completing his oral and maxillofacial surgery internship at Northwestern University, he opened two general practices in the Chicago area and also taught at the University of IllinoisChicago (UIC) dental college until 2003. He entered the UIC periodontal program and passed the NERB periodontics examination in 2005. His wife, Nina, is a dentist.

Alita Marlowe
(DH certificate 1980), of Farmington Hills, Michigan, recently received a consulting contract with Ameriprise Financial Advisory in Farmington Hills. She is president of Marlowe & Associates, a consulting firm she founded that works with dentists and their staff to increase their efficiency and profitability. Since he retired about two years ago,

Elizabeth (Betsy) Bakeman (DDS
1983) of Grand Rapids, Michigan, has achieved Fellowship status in the American Academy of Cosmetic Dentistry. She’s the first dentist in Michigan to have attained the designation, the group’s highest level of clinical achievement. Only 40 others worldwide have achieved the designation.

George Missias (DDS 1965) of Ocean
View, Hawaii, said he’s enjoying living in a rural part of the state “on two acres of land with trees and lava.”

Verne P rimack (DDS 1956) of Greenwood Village, Colorado, wrote to say he’s keeping busy in his new environment. In addition to teaching adults how to read, he’s been a courtappointed advocate for abused children, and teaches immigrants how to study for and pass their citizenship exam. He also participates in children’s Dental Health Week by visiting schools in the area and teaching good dental health habits. “I enjoy traveling, cycling, and being with my family,” he added.

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In Memoriam
Jack Bates (DDS 1941) [ Dental UM, Fall 2001, p. 20-25] and his wife, Janet, recently moved to a retirement home in Grand Rapids. “I’m keeping the computer humming with my e-mails and the work I do here,” he wrote. “I suggested, and received approval, to write the many stories that people here were anxious to tell me about events during their early days. They publish five in their monthly newsletter, and I have enough to get published into the fall.” He continued, “As an extra, I suggested they start a pictorial directory, and guess who is chairman of that? I’ve done six of them for various churches, so I know the ropes.” “I’m still keeping track of my Class of ’41 and not happy that the count is continually diminishing. One classmate, at 92, is still playing bridge, plays golf, and drives a car. He should outlast the rest of us.” In addition to writing the newsletter, he also wrote, “I’m still doing nearly a quarter mile a day jog every morning as I have been doing for the past sixty years. Gotta keep the rust out of my pipes. In July, I hit the big 9-0.”
’36 Dr. Leo O. Beldo Marquette, Michigan April 26, 2007 ’40 Dr. Robert Glaesner Stuart, Florida May 7, 2007 ’48 Dr. Thomas S. Bander Dr. Thomas S. Bander, whose dental career spanned more than 50 years and served as a mentor to his son, Samuel (DDS 1981), died July 21, 2007, in Grand Rapids, Michigan. He was 83. During his career, Bander served as president of the Kent County Dental Society and the West Michigan Dental Society. ’50 Roslyn Tamler (Dental Hygiene certificate) Los Angeles April 29, 2007 ’51 Dr. Paul T. DeWitt Delta Township, Michigan August 18, 2007 Dr. Winfield Scott, Jr.
DDS 1981, MS 1985

Dr. Winfield Scott, Jr., who earned four degrees from the University of Michigan, died July 15, 2007. He was 55. After receiving both a bachelor’s degree in zoology and a master’s in biology in 1977, he earned his DDS from U-M in 1981. Four years later, Dr. Scott received a master’s degree in orthodontics from U-M.

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In Memoriam
Dr. Thomas M. Graber (1917-2007)
Internationally renowned orthodontics researcher and clinician, Dr. Thomas M. Graber, who was the only person from the U-M School of Dentistry to receive an honorary degree from the University of Michigan, died at the age of 90 on June 26. Dr. Graber’s affiliation with the U-M School of Dentistry began in 1958 when he was asked by Dr. Robert E. Moyers, then chair of the Department of Orthodontics, to serve as a visiting faculty member. He served as a visiting faculty member under two successive chairs, including Dr. Lysle Johnston, Jr. For nearly 20 years, Dr. Graber was a participant in the annual Moyers Symposium, sponsored jointly by the School of Dentistry and the Center for Human Growth and Development, which he helped found, and the School of Dentistry. In 1994, he delivered the Jarabak Lecture, one of the School’s most prestigious named lectures. In December of that year, he received an honorary Doctor of Science degree at the University’s Winter Commencement ceremonies. In 1995, Dr. Graber formalized a $1.2 million commitment to the School of Dentistry to fund the Thomas M. Graber Professorship in Orthodontics. Dr. James McNamara holds that professorship. When he made the gift to fund the professorship in his name, Dr. Graber, in an interview in the Summer/Fall 1995 issue of the School of Dentistry’s alumni magazine, DentalUM, said, “I’m not trying to leave a monument in my name. … Despite the fact that I’m affiliated with the University of Illinois, I consider Michigan’s Department of Orthodontics to be the best in the country. …Very few schools in the entire country can say they have people the caliber of Lysle Johnston and Jim McNamara.” McNamara, the Thomas M. and Doris Graber Endowed Professor of Dentistry, said, “Tom was a tireless worker, a personal friend, and a great role model for all of us. We’ll miss him.”

Keary Campbell (1952-2007)
School of Dentistr y photographer for 32 years, Keary Campbell, died on his way to work May 8. He was 55. Born in Detroit, he lived and attended college in San Francisco, and later returned to southeast Michigan to study biology at the University of Michigan. He excelled as a darkroom technician and later was involved extensively in scientific photography. “I feel like I’ve lost a brother, rather than a coworker,” said Per Kjeldsen, who worked with Campbell for more than 30 years. “He was an excellent technician, and a perfectionist to boot. But he was also a quick study, and it didn’t take him long to bring the same perfectionism from the darkroom (before digital photography) to the clinic.” Aside from a passion for photography, Kjeldsen said “we shared a multitude of tastes and interests. It was a good thing, too, because he liked a steady diet of Bach, Debussy, and Shostakovich, and he liked it loud.” Jerry Mastey, editor, who worked with Campbell on many occasions, said, “Keary had a great work ethic. He knew what I was hoping to achieve with photos, yet he was flexible and always on the lookout for a different angle that would make a picture pop. His photo composition was outstanding, especially his marvelous full-page photos that appeared in our annual report about the Dental Scholars program. Those were probably his best that I had ever seen.”

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The School of Dentistry on the Web… www.dent.umich.edu
Be sure to visit the U-M School of Dentistry Web site to learn more about news and events taking place.

When you click “more news” on the homepage, you have an opportunity to review other news and publications that will be of interest.

DentalUM Fall 2007 83

What’s New with You?
Your Classmates Want to Know!
Send news about your latest personal or professional achievement, award, or honor, along with a picture (black and white or color) to: Jerry Mastey, editor DentalUM, University of Michigan, School of Dentistry, 1011 N. University Avenue, Room G532, Ann Arbor, MI 48109-1078. Name ___________________________________________________________________ Address __________________________________________________________________ City ________________________________ State ______ Zip Code __________________ Telephone __________________________Fax (if available) ___________________________ e-mail __________________________________________________________________ Can we use your email address in our publications? ____ Yes ____ No Is this an address change? ____ Yes What type of address change? ____ Home ____ No ____ Office

Please clip and mail

(Please list only University of Michigan degrees and the year earned.) DDS ________ DH Certificate ________ BS ________ MS ________ PhD ________ Specialization __________________________________________________________ News: ___________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Get Involved! _____ I would like to help plan my next reunion. _____ I would like to be considered for the Alumni Society Board of Governors.

DentalUM Spring Dental & Summer UM Fall 2007 8484

Jerry Mastey

Student Athletes Fitted for Free Mouth Guards
N ine-year-old Alex H errero of Ann Arbor, who p lays for his school’s soccer team, the Leop ards, will be using his new blue mouth guard this season. H e was among 50 student athletes from across southeast Michigan who came to the School’s annual mouth guard clinic in July to be fitted for the free, customized p rotective p iece of equipment. D r. Kenneth May made sure the mouth guard fitted properly before Alex left.

Jerry Mastey

Books For Armenia
More than 1,160 boxes containing 22,514 items, mostly academic journals and some texts, were stacked in two hallways on the ground floor of the Kellogg Building this summer. The publications were donated to the N ational Institute of H ealth of Armenia. N early all were dup licates, a subset of items that were given to the dentistry library in recent years. Also included were some volumes no longer needed. Preparing the items for donation took nine months. W hitney Field, operations coordinator for U -M’s H ealth Sciences Libraries, said,“D r. Robert Bagramian p layed a crucial role in ensuring this material could be donated to an institution that could make good use of them.” N oting that Armenia, a small country of about 3million is attempting to modernize, Bagramian, a p rofessor of dentistry, said, “ The contribution of books and journals will make available a wealth of materials for academic health institutions in Armenia.”

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