mindful - Tufts University School of Dental Medicine
Transcription
mindful - Tufts University School of Dental Medicine
M A G A Z I N E O F T H E T U F T S U N I V E R S I T Y D E N TA L A L U M N I A S S O C I AT I O N OPEN VOL. 12 NO. 2 SUMMER 2008 DENTAL MEDICINE MONDAY, SEPTEMBER 22, 2008 Mount Pleasant Country Club 369 Cross Street Boylston, Massachusetts Tufts Dental alumni, faculty, family, and friends are invited to participate! ALL PROCEEDS BENEFIT THE DENTAL ALUMNI STUDENT LOAN FUND. For more information, call the Office of Dental Alumni Relations at 617.636.6773 or email dental-alumni@tufts.edu. If you are unable to play in this year’s tournament, consider a $100 donation to help future students of Tufts Dental and be listed as a tournament sponsor in the Tufts Dental Medicine magazine. PRACTICE IN WONDERLAND Winthrop Harrington’s office, built on a rocky outcropping of the 200-acre family homestead in Lincoln, Mass., serves up an eye-popping panorama of the best of nature. “I am happier here,” he says, “than anyplace else.” Take a walk in the wild, page 8. Please complete the registration form and enclose your check, made payable to Tufts University Dental Alumni Association, and mail to: Office of Alumni Relations Tufts University School of Dental Medicine 136 Harrison Avenue Boston, MA 02111 PHOTO: MELODY KO School of Dental Medicine SCHEDULE OF EVENTS ■ GOLF AND TENNIS REGISTRATION 9:30 a.m. to 2:00 p.m. ■ GOLF TOURNAMENT 11:00 a.m. shotgun start Lunch included TENNIS TOURNAMENT 2:00 p.m. to 4:00 p.m. ■ RECEPTION 4:00 p.m. ■ AWARDS DINNER 5:00 p.m. REGISTRATION FEES Golf Tournament $350/player $1,200/foursome if signed up together Tennis Tournament $200/player PA I D 136 Harrison Avenue Boston, ma 02111 BOSTON, MA PERMIT NO. 1161 www.tufts.edu/dental TUFTS UNIVERSITY OFFICE OF PUBLICATIONS 7740 08/08 ■ NONPROFIT ORG. U.S. POSTAGE MINDFUL Getting inside your patient’s head makes treatment easier, and better P L U S : B A R E F O O T D E N T I S T RY ■ HOMEGROWN TEACHERS ■ REUNION 2008 2008 WIDE OPEN Tournament SPORTS FOR SCHOLARSHIP Registration Form WIDE OPEN BEAM ME UP Come join the Tufts University Dental Alumni Association for the The structural “topping-off” ceremony for the dental school’s five-story expansion took place on July 17. The topping off marks a significant milestone because it is the final piece of the steel framework—and this one was installed three weeks ahead of schedule. Faculty, staff, students, alumni, university administrators and the construction team signed the steel beam as a commemorative piece of the expansion. Following ancient Scandinavian tradition, an evergreen tree is mounted on the last beam for a large construction project to symbolize growth and bring luck. For more on the project, turn to page 48. 26 TH Annual WIDE OPEN Tournament MONDAY, SEPTEMBER 22, 2008 Mount Pleasant Country Club 369 Cross Street Boylston, Massachusetts Tufts Dental alumni, faculty, family, and friends are invited to participate! ALL PROCEEDS BENEFIT THE DENTAL ALUMNI STUDENT LOAN FUND. Name______________________________________________ Graduation year or affiliation with Tufts Dental___________ Guest(s) name(s)____________________________________ Address____________________________________________ ____________________________________________ Daytime phone______________________________________ E-mail______________________________________________ Cost includes lunch, tournament, reception, and awards dinner. GOLF TOURNAMENT $350/player $1,200/foursome if signed up together For more information, call the Office of Dental Alumni Relations at 617.636.6773 or email dental-alumni@tufts.edu. My foursome will include: If you are unable to play in this year’s tournament, consider a $100 donation to help future students of Tufts Dental and be listed as a tournament sponsor in the Tufts Dental Medicine magazine. 3. _________________________________________________ Please complete the registration form and enclose your check, made payable to Tufts University Dental Alumni Association, and mail to: Office of Alumni Relations Tufts University School of Dental Medicine 136 Harrison Avenue Boston, MA 02111 2. _________________________________________________ 4. _________________________________________________ ❒ Please check here if you would like to be placed in a foursome. My handicap is______. TENNIS TOURNAMENT $200/player RECEPTION & AWARDS DINNER Cost is $75 for guests and non-competitors PAYMENT : SCHEDULE OF EVENTS ■ GOLF AND TENNIS REGISTRATION 9:30 a.m. to 2:00 p.m. ■ GOLF TOURNAMENT 11:00 a.m. shotgun start Lunch included ■ TENNIS TOURNAMENT 2:00 p.m. to 4:00 p.m. ■ ■ PHOTO: ALONSO NICHOLS RECEPTION 4:00 p.m. AWARDS DINNER 5:00 p.m. _____ golfers @ $__________ each = $_________ _____ tennis @ $__________ each = $_________ _____ dinner only @ $__________ each = $_________ _____ I will be unable to attend the 2008 WIDE OPEN, but I’d be proud to be listed as a sponsor for my $100 donation to the Student Loan Fund. ❒ My check for $__________ is enclosed. ❒ Please charge $__________ to my ❒ MasterCard ❒ VISA ❒ Discover Card #______________________________________________ Exp.________ Signature___________________________________________ REGISTRATION FEES TOTAL ENCLOSED Golf Tournament $350/player $1,200/foursome if signed up together Please mail this form and your check, payable to Tufts University Dental Alumni Association, to Office of Alumni Relations, Tufts University School of Dental Medicine, 136 Harrison Ave., Boston, MA 02111. Tennis Tournament $200/player Registration confirmation and directions will be mailed to you prior to the tournament. $__________ CONTENTS SUMMER 2008 I VOLUME 12, N O. 2 F E AT U R E S 8 Winty’s Garden by Jacqueline Mitchell What’s it like practicing dentistry in the middle of 200 acres of lush woodlands populated by all manner of flora and fauna? Heaven on earth, says Winthrop Harrington, D60. 18 Homegrown Teachers by Jacqueline Mitchell The nationwide shortage of dental faculty looms large as baby-boomers head for retirement. Here’s one way to replenish the ranks. 18 COVER STORY 12 Heads Up by Julie Flaherty If every mouth is different, every brain is certainly unique. A good understanding of behavioral science may be the key to happy patients and a healthy practice. ON THE COVER Illustration by Leigh Wells 22 Lost City Charles Rankin, D79, DG86, takes us on a photographic tour of Machu Picchu. 72 Hub of the Dental Universe by H. Martin Deranian A Puritan minister, Paul Revere, George Washington’s favorite dentist—all had a role in the early days of dentistry in Boston. D E PA R T M E N T S 2 3 4 28 30 48 53 54 71 Letters From the Dean Word of Mouth University News On Campus Beyond Boundaries Calendar of Events Alumni News Continuing Education summer 2008 t u f t s d e n ta l m e d i c i n e 1 LETTERS A MENTOR REMEMBERED TUSKEGEE’S LEGACY Thanks for the informative article about Ralph Katz (“The Color of Research,” Winter 2008). He was my mentor in the late 1980s when I was doing epidemiological research as part of the MPH program at the University of Connecticut. His rapid-fire brilliance was intimidating at first, I must admit, but by the time I finished, I really appreciated his vast knowledge of the field, his dedication to his students and his wild sense of humor. He was one of three or four of the most memorable professors I’ve ever known, and I wish I could have studied with him for a much longer period of time. One minor point: I remember that Ralph was interested in the Tuskegee study in 1988 or ’89, and possibly earlier. I believe he had planned to spend some time during a sabbatical researching that tragic affair. john w. stahl, d75 ledyard, conn. I want to express my concern about the article “The Color of Research.” I would hope that those who produce Tufts Dental Medicine and the university website [where the story also appeared] realize the controversial nature of such research. The impact of the Tuskegee syphilis study has been tremendous in the African-American communities across the United States. Most accredited researchers would argue that the study continues to manifest in African-American perceptions of medicine, help-seeking behavior and the willingness to participate in research. Ralph Katz’s study perpetuates the ideology that birthed the Tuskegee study in 1932. I am not suggesting that we ignore Dr. Katz’s contributions, but I am suggesting that we publicize it in the context of more wellknown research. The way in which this article was presented is one-sided and biased. amanda richardson, a08 richmond, virginia 5 1 2 4 3 FOR THE RECORD I think the 1950 clinic photograph that appeared in the article “Sky-High Aspirations” (Winter 2008) actually was taken in either late 1959 or early 1960. Being a camera buff at that time, I went around and took many of the candid pictures for the school yearbook. Although I didn’t take the one published in the magazine, I do believe it was taken with my camera. That is probably why I am facing the photographer, even though my patient is sitting behind me. I can identify some of the students in the photograph: 1) that’s me; 2) Marvin Pinn, D60; 3) Wilbur Blackey, D60; 4) Glenn Perry, D60; and 5) Burton Altholz, D60. stephen m. sheppard, d60 new york city DENTAL MEDICINE volume 12, no. 2 summer 2008 Executive Editor Dr. Lonnie H. Norris, Dean School of Dental Medicine Editor Karen Bailey Alumni Editor Dr. Vangel R. Zissi, D62, DG67 Design Director Margot Grisar Designer Betsy Hayes University Photographer Melody Ko Contributing Writers H. Martin Deranian, Marjorie Howard, Lauren Katims, Julie Flaherty, Jacqueline Mitchell Contributing Editor Leslie Macmillan Editorial Advisors Maria Tringale, Senior Director Dental Development and Alumni Relations Allison Norton, Director Dental Fund and Alumni Relations Mark Gonthier, Associate Dean Admissions and Student Affairs Mary-Ellen Marks, Faculty Secretary Dental Alumni Association President Dr. John P. Ficarelli, D73, D10P Vice President Dr. Tofigh Raayai, DG77, DI82 Secretary Dr. Lisa Vouras, D89 Assistant Secretary Dr. Mostafa El-Sherif, DI95 Treasurer Dr. Janis B. Moriarty, D94 Directors Drs. Cherie Cahillane Bishop, D94; Peter A. Delli Colli, A69, D73; Joseph P. Giordano, D79, DG84; Catherine Hayes, D87; John J. Milette, D91; Derek Wolkowicz, D97, DG00 Ex-Officio Past Presidents: Drs. Robert B. Amato, D80, DG83; Nicholas T. Papapetros II, D91; Lisa Vouras, D89 Dental M Club Chair Dr. John P. Ficarelli, D73, D10P Historian Dr. Charles B. Millstein, D62, A10P University Liaison Dr. Thomas F. Winkler III, A62, D66, D10P Chapter Presidents Dr. Steven Dugoni, D79, A08P, A12P, California Dr. EJ Bartolazo, D92, New York Dr. William N. Pantazes, D90, DG08, Florida Dr. John A. Vrotsos, DG82, Greece Tufts Dental Medicine is published twice annually by Tufts University School of Dental Medicine, the Tufts University Dental Alumni Association and the Tufts University Office of Publications. The magazine is a publication member of the American Association of Dental Editors. Send correspondence to: Editor, Tufts Dental Medicine, Tufts University Office of Publications, 80 George St., Medford, MA 02155. Telephone: 617.627.2126 Fax: 617.627.3549 Printed on recycled paper. 2 t u f t s d e n ta l m e d i c i n e summer 2008 FROM THE DEAN A boundless future i am pleased to report that our d.m.d. program and advanced education programs in general dentistry, endodontics, orthodontics, pediatric dentistry, periodontology and prosthodontics have achieved a successful accreditation. Following two years of internal review of the school’s educational programs, and the preparation of a self-study document, an 18-member site visit team from the American Dental Association’s Commission on Dental Accreditation visited Tufts this spring. In addition, our new Advanced Education in General Dentistry program underwent a preliminary site visit approval. ADA accreditation evaluation occurs every seven years for the pre-doctoral programs and advanced education programs, except oral and maxillofacial surgery, which is on a five-year accreditation cycle. (That program was fully accredited in July 2006.) The entire Tufts Dental community— staff, students and faculty—worked together during the accreditation process to lay the foundation that will enrich our school’s core mission to provide an exceptional educational experience for our students; the best care for our patients; a research enterprise that will advance the boundaries of dental medicine and robust community outreach endeavors to serve those most in need of oral health care. During the accreditation review, all aspects of the school’s admissions process, curriculum, operations and services were reviewed according to competencies outlined in six standards: Institutional Effectiveness, Educational Program, Faculty and Staff, Educational Support Services, Patient Care Services and Research. Associate Dean for Academic Affairs Nancy Arbree, DG96, and Associate Dean for Clinical Affairs David Russell, D87, MPH02, served as co-chairs of our Accreditation Steering Committee. Medicine and behavioral science are valuable components of our curriculum, as you’ll learn in this issue’s cover story, which begins on page 12. Understanding unhealthy dietary habits; promoting oral health and preventive dentistry; managing medically compromised and special needs patients and using a menu of treatment options to address phobias, pain and anxiety are essential to the delivery of quality oral health care. The body of evidence that oral health is a sentinel of overall health continues to grow. In a study reported in the June 2008 issue of The Lancet Oncology, 14 percent of 48,375 men with periodontal disease were found to have a higher risk for cancer than those with no history of gum disease. The same study, reported in the July 2008 issue of the Journal of the American Dental Association, found significant correlations between periodontal disease and lung, kidney, pancreatic and hematologic cancers. Thus, behavioral science encompasses a broad scope of patient management and behavior modification designed to circumvent chronic disease. In the behavioral sciences and in medicine, our faculty has been exceedingly productive. Arthur Weiner, D58, and Albert Forgione are co-editors of the book Behavioral Dentistry. Carole Palmer edited the book Diet and Nutrition in Oral Health, and Morton Rosenberg, D74, was a co-editor for Medical Emergencies in Dentistry. Noshir Mehta, DG73, DI77, George Maloney, Dhirendra Bana and Steven Scrivani are working on a new book, Head, Face and Neck Pain. Due out this fall is Kanchan Ganda’s book, A Dentist’s Guide to Medical Conditions and Complications. The vigorous scholarly activities of our faculty are showcased in the Faculty Notes section, which begins on page 42. In addition, our faculty mentors have stimulated increased student interest in public service and research. Two students were awarded Schweitzer Fellowships; two were accepted to the NIH Summer Dental Student Award Program, and Samantha Jordan, D10, was the only dental student in the country selected for the Howard Hughes Medical Institute/NIH Research Scholars Program. Finally, the school’s vertical expansion project is on target for completion by November 2009. You can track the evolution of the project by going to http://dental.tufts.edu and clicking on “View the progress of the vertical expansion.” The expansion will provide the needed space for our school to fulfill its strategic goals of creating an environment in which faculty have the opportunity to be the best educators, students have exceptional experiences to support their transition to the next phases of their careers, and patients receive high-quality, evidence-based care. It is people who will sustain Tufts Dental School as a leader in education. The high caliber of our pre-doctoral and postgraduate students, a dedicated staff and faculty, a collaborative university and loyal alumni are the true foundation of our bright future. lonnie h. norris, d.m.d., m.p.h. summer 2008 t u f t s d e n ta l m e d i c i n e 3 WORD OF MOUTH A SCAN OF PEOPLE & EVENTS Barefoot Dentistry Doug Leung trains villagers to provide care in the poorest regions of the world by Jacqueline Mitchell give a man a fish and you feed him for a day. teach a man to fish and you feed him for a lifetime. That’s the idea behind Medical Dental Community Groups, a nonprofit that is creating a homegrown network to provide basic oral health care to some of the world’s poorest people. Founded in 2006 by Doug Leung, A78, D81, the group is teaching residents of impoverished regions of Southeast Asia how to perform simple dental procedures. In turn, the trainees provide their neighbors with these basic oral health services. By instituting a training continuum, Leung hopes to establish a sustainable cadre of oral health-care providers throughout the region. “In my travels, I’ve been to a lot of places where you can really see how underserved these people are,” says Leung. “The only way they can get help is through the government or nonprofit organizations, and these are often pretty sparse offerings.” In 2004, the World Health Organization (WHO) reported that dental caries, gingivitis and oral cancers—all preventable ailments—remain global health problems that disproportionately affect the poor in industrialized and developing nations alike. In Vietnam, the WHO found that more than 80 percent of six-year-olds suffer from tooth decay, compared to about half of American Doug Leung is establishing sustainable oral health-care programs in underserved regions of Southeast Asia. 4 t u f t s d e n ta l m e d i c i n e summer 2008 PHOTO: MELODY KO kids that age. A reason behind that statistic could be that Asians are increasingly eating western-style diets, high in refined sugars and carbohydrates, without the benefit of western-style oral health care. “You can see when you travel that so many people in their twenties have missing front teeth and rampant caries,” says Leung. So Leung is approaching the oral health problem abroad using the same strategy that public health officials employed in the United States in the 1950s and 1960s. “We already learned in the U.S. that prevention is the best way,” says Leung. “In many parts of the world people say, ‘My teeth don’t hurt, so why do I need to go to the dentist?’ So we don’t see them until they have a crisis event.” Emphasizing education and prevention, Leung developed a three-day course to teach nondentist volunteers how to perform exams and cleanings, do simple fillings, apply fluoride and sealants and offer homecare instruction. Using his basic curriculum, Leung trained 22 Vietnamese volunteers from two organizations—Love of Vietnam Expressed (LOVE) and the Da Nang-based Street Children Program, an NGO that works with that city’s homeless children—in 2006 and 2007. To make his project work in very rural places, Leung pared down a dental tool kit to just headlamps, some hand instruments, composite material and a light curing wand. He tinkered with jury-rigged headrests, but these proved difficult to carry on the motorcycles commonly used to get around in Vietnam. In the end, school chairs and benches cushioned with pillows worked just fine. “We can do this in schools, churches, clinics—any place poor people go,” says Leung. “We just need volunteers and local supplies.” After several visits to Da Nang, Leung says the program is up and running, though in need of both funding and a permanent local administrator. By training locals, rather than visiting volunteers, Leung’s group leaves a permanent legacy behind. And training locals neatly avoids language barriers and cultural Left: Medical Dental Community Groups offers locals the opportunity “to have leadership over the program and their destiny,” says Leung. Bottom: Doug Leung, A78, D81, left, trains volunteers from the Street Children Program, an NGO based in Da Nang, Vietnam, in the basics of oral health care. “You can see when you travel that so many people in their twenties have missing front teeth and rampant caries.” PHOTOS: COURTESY OF DOUG LEUNG —DOUG LEUNG misunderstandings. It offers a better model than most foreign aid, he says. “When we hear about natural disasters, people go in to help,” says Leung. “But the need persists after the outside aid stops. I want the locals to continue to have leadership over the program and their destiny.” Leung grew up poor in Somerville, Mass., in the shadow of the university he would one day attend as an undergraduate. Always good at science, he knew he wanted to help people and decided to become a dentist while he was still in high school. After graduating from Tufts Dental School in 1981, he set up a general dentistry practice in Brookline, Mass., where he lives and works today. But, as a religious Christian, he’s looking to broaden his impact. “My kids are grown now, so I have time to go out and do what’s really needed,” he says. Right now he believes he’s really needed in the Philippines, where he has been invited to establish two more homegrown dental-care programs in Bacolod City and Mindanao, places far from the capital, Manila, where people often live on top of garbage mounds on infertile land. Working with International Care Ministries (ICM), an aid organization already established in the Philippines, Leung hopes to bring a group of volunteers from a Vancouver church group to the island nation in January 2009. He would also like to get programs up and running in Haiti, Cambodia and Myanmar. Aid groups in China have also expressed an interest in having Leung train locals to take care of their neighbors. “I would go wherever there are poor people,” he says. “We just want to help as many people as we can.” For more information about Medical Dental Community Groups, visit www.mdcg.org or email Doug Leung at drdwleung@yahoo.com. summer 2008 t u f t s d e n ta l m e d i c i n e 5 WORD OF MOUTH A SCAN OF PEOPLE & EVENTS Oral piercing creates a whole lot of trouble by Jacqueline Mitchell he lizardman, as he calls himself, has spent more than 10 years and $250,000 transforming his appearance from human to reptile. A former philosophy student and current sideshow attraction, the 34-year-old Lizardman has embarked on a lifelong body modification project involving extensive tattoos on his face and body, Teflon horns implanted above his eyebrows, multiple piercings, a surgically bifurcated tongue and four front teeth filed into sharp points. Though the Lizardman may be an extreme case, dentists are seeing more and more patients with piercings of the tongue, lips or face. These patients present special problems that oral health-care providers may need to address, from systemic disease to excess wear on the teeth and gums. “These modifications are now culturally acceptable,” says Paul J. Vankevich, D81, T assistant professor of general dentistry, “but they are inconsistent with optimal oral health.” The side effects of oral piercing range from ludicrous—drooling, spitting while speaking, difficulty pronouncing words clearly—to life-threatening infections and blood-borne illnesses. The human mouth is home to 600 species of bacteria, and each square millimeter of the tongue’s surface contains 108 of the little buggers. Piercing the tongue or lips (normally done without benefit of anesthetic) gives these pathogens easy entry into the bloodstream, which may cause local or systemic infection. This is especially dangerous with respect to infective endocarditis, an infection that may occur when bacteria in the bloodstream lodge in the heart. Before performing oral surgery, dentists often prescribe antibiotics to patients at risk for the condition. A 2008 study published in the Journal of Adolescent Health found that among the 51 percent of U.S. college students who have body piercings, 19 percent reported medical complications, including infections ranging from common bacteria like staphylococcus and streptococcus—both of which can be deadly if left untreated—to viruses like hepatitis and HIV. Oral piercing also poses a risk for nerve damage, a buildup of scar tissue and an OVERHEARD ROOTING OUT DECAY Adding a touch of licorice root to toothpaste and other dental products may help prevent dental caries, according to researchers at the University of California. In Finland, researchers arrived at similar results. According to Eva Söderling of the Institute of Dentistry at the University of Turku, the sugar in licorice extract cancels out the beneficial effects, but using the chemicals found in licorice root, which is used to make licorice, in dental products would make sense. 6 t u f t s d e n ta l m e d i c i n e summer 2008 Some patients “aren’t happy until their teeth look like a porcelain toilet bowl,” when actually, the rule of thumb is that your teeth should be no brighter than the whites of your eyes. MARTY ZASE, D71, PAST PRESENT OF THE AMERICAN ACADEMY OF COSMETIC DENTISTRY, IN A BOSTON GLOBE STORY ON AMERICANS’ OBSESSION WITH TEETH WHITENING ILLUSTRATION (OPPOSITE PAGE): USED WITH PERMISSION OF P.F. ANDERSON, THE UNIVERSITY OF MICHIGAN LIBRARIES AND THE REGENTS OF THE UNIVERSITY OF MICHIGAN allergic reaction to the metal jewelry. The jewelry itself can cause myriad problems. People who wear barbells—a double-ended piece of jewelry worn through the midline of the tongue—often tap or rub the metal ball against the teeth, causing excess wear to the enamel. This behavior can also irritate the gums and cause them to recede. Moreover, patients might bite down on the barbell accidentally, especially while chewing or sleeping. Vankevich estimates up to 80 percent of patients with a tongue barbell will crack or break a tooth. One study found a link between body piercing and other risky behaviors such as smoking, drinking and recreational drug use. Just as dentists routinely advise patients to avoid smoking and chewing tobacco, dentists should warn their younger patients about the dangers of oral piercing. “Wouldn’t it be nice if someone preemptively told them not to do it?” asks Vankevich, who overheard his own son’s pediatrician advise the boy against body piercing. However, not all health-care providers take the same stand against these modifications. In the Lizardman’s case, an oral surgeon split his tongue, and another dentist filed his otherwise-healthy teeth into sharp points. “Is it professionally and ethically appropriate for dentists to do this? I don’t think so,” says Vankevich. Still, the bulk of oral piercings are not done by dentists or physicians but by lay people who are often self-taught or who informally apprentice in tattoo and piercing studios. A 2003 survey found that 35 states regulated tattoo and piercing studios. These regulations vary widely; some enforce only a minimum age for piercing, while others emphasize business practices over hygiene and safety. Only Massachusetts and Alaska require knowledge of anatomy and physiology. Only Texas and Florida prohibit the practice of tongue splitting. Vankevich wonders if professional piercers all practice state-of-the art infection control — particularly with respect to infective endocarditis—and if they are qualified to handle intra- or post-operative complications. The American Dental Association has officially opposed intraoral piercing and tongue splitting since 1998. But that doesn’t mean dentists can ignore the trend. “One way or another,” says Vankevich, “these patients are going to end up on our doorstep.” WHO KNEW? The first book devoted entirely to dentistry, the Little Medicinal Book for All Kinds of Diseases and Infirmities of the Teeth, by Artzney Buchlein, was published in 1530 in Germany. Written for anyone who treated the mouth, it covered practical topics such as oral hygiene, tooth extraction, drilling teeth and the placement of gold fillings. Puff Stuff Question: If you start smoking a pack a day at age 18, how many teeth will you lose by age 35? Answer: between four and five. In addition to all the other health risks smokers face, a packa-day habit can cost you at least two teeth every 10 years (actually 2.9 teeth for men and 1.5 teeth for women), according to two 30-year studies done by Tufts nutrition researchers. Smoking unleashes a chain of events—plaque buildup, tartar buildup, gingivitis and then periodontal disease—that leads to tooth loss. “The good news is that the risk of tooth loss decreases after you quit smoking,” says Fred Magaziner of the Academy of General Dentistry. “But the bad news is that tooth loss was still higher among the quitters than among those who never smoked.” ILLUSTRATION: TRAVIS FOSTER summer 2008 t u f t s d e n ta l m e d i c i n e 7 8 t u f t s d e n ta l m e d i c i n e summer 2008 winty’s garden Embraced by the twitter of bluebirds and a profusion of forsythia, rhododendron, roses and berries, Winthrop Harrington lives— and practices—in paradise it’s lunchtime at winthrop harrington’s dental clinic bluebirds, that is. A hygienist flings open a window and calls to the birds as she dumps —lunchtime for the mealworms into a feeder suction-cupped to the outside of the operatory’s glass wall. Overlooking more than 200 acres of New England woodland, Harrington’s home-based office in Lincoln, Mass., may offer the best natural panorama From the dental chair, a of any dental clinic in the world. ■ patient might spy a bright red cardinal perched in pine boughs or a heron stalking fish in the stream that flows behind the clinic. Outside, just past the chicken coop, a water fountain trickles into a man-made frog pond where patients often picnic and sometimes swim after visiting the dentist. “Everybody’s amazed” the first time they come for treatment, says Harrington, D60, whom everyone calls “Winty.” ■ “Number one, it’s just a big piece of property,” he says. “Most people have an acre or so. I’m just fortunate to have more than that.” ■ Winty inherited this parcel of land from his father and his love of birds from his mother. BY JACQUELINE MITCHELL PHOTOS BY MELODY KO Winty Harrington chats with a patient in his home office with a mega-view. Below and right, the houses he built for his beloved bluebirds; the “deckhouse,” lapped by the broad leaves of petasite, also known as bog rhubarb; a statue Harrington’s wife, Andrea, sculpted 20 years ago overlooks a stand of iris; and Biscuit, one of the couple’s two Pomeranians. the harrington family has deep roots in this part of the world, just 20 miles west of Boston. A descendant of Jonathan Harrington, the first man killed in the Battle of Lexington in 1775, Harrington grew up near the house where his patriot-ancestor died. His father practiced medicine in an office next door. His sister, Nancy, still owns those buildings. Harrington thought about following his father into medicine— though his mother encouraged him to become a veterinarian—and he took his pre-medical courses as an undergraduate at Stanford University. But a loose filling changed the course of his life when the dentist who treated him asked if he was good with his hands. A veteran builder of birdhouses, Winty replied that he was. After shadowing the dentist in his office for a few days, Harrington decided to head back east to attend Tufts. “It was the best thing I ever did,” he says. “Tufts was just perfect for me.” During dental school, a visiting lecturer from Colorado told Harrington’s class that they should practice where they want to live. He showed slides of his practice and its view of Pike’s Peak. Harrington thought about the rocky outcropping on his family homestead, where he first considered building a house when he was just 12 years old. The “deckhouse,” as he calls his home and office, was custom-built in 1964 as soon as he completed a two-year stint with the Army. He served as a dentist at Fort Gordon in Georgia, where he met 10 t u f t s d e n ta l m e d i c i n e summer 2008 his wife, Andrea, then a hygienist. He has lived and practiced in the deckhouse ever since. “I am happier in my office,” he says, “than anyplace else.” Walking out back behind the home he shares with Andrea—orbited by the couple’s Pomeranians, Biscuit and Pepper, and a Westie named Daisy— Winty points out deer tracks in the mud and picks up sticks scattered about by the beavers that have a dam under construction on the far side of the stream. Like the beavers, Winty has also built dams in the stream, and he carefully monitors their levels, opening and closing the dams as necessary to make impoundment ponds for the birds. Though he calls in professional help from time to time, he likes to do most of the landscaping and upkeep himself. Transforming the backyard’s rocky terrain into a waterfall and frog pond was a 12-year endeavor. “It’s all sort of seat-of-the-pants,” he says. “It’s not manicured like lots of places in Newton and Wellesley. It’s more rough-cut.” Spring, when everything comes alive again, is Harrington’s favorite time of year. He’s planted banks of forsythia, rhododendron, roses and blueberries so something is in bloom from April to August. In stark contrast, a blackened dead tree reaches into the azure summer sky. “I left it there for the birds to sit in,” he says. Birds were his first interest, and he has been participating in the Audubon Society’s annual Christmas Bird Count— a volunteer-run census of North America’s birds first done in 1900—since he was just eight years old. Today, he coordinates the Bird Count for the town of Lincoln’s volunteers, and the group reports to his house to tally up their results. These days, the numbers are dwindling. Off the top of his head, Winty lists a half-dozen birds he sees fewer of each year: peewees, small flycatchers, warblers, Ovenbirds. “Probably others, too,” he says. “A lot of things slip away without you noticing it.” A self-described conservationist, Harrington builds houses for the Eastern Bluebird, his favorite, a native New Englander forced to compete for housing with the invasive European house sparrow. He avoids using chemical pesticides on his land, opting instead for plant-based repellents. He recently sold more than 50 acres to the Lincoln Conservation Commission. He could have made a bundle if he sold it to a developer, but “I don’t want to see it built up too much around here,” he says. But Harrington is pleased with one recent addition to the neighborhood, the house his daughter, Wendy, built using wood culled from this very land. It’s a spacious tree house of sorts, perched above the house she grew up in. There’s another plot of land reserved for her sister, who has not yet begun construction. Wendy and her newborn daughter, Eden, drive up the long driveway in the late afternoon. Standing in the sun’s long rays, Winty waves at his offspring and hoots a hello, sounding something like a bird himself. Last winter, Harrington hired a new associate, Lisa Elder, to help him with his busy practice. She joined a staff of three hygienists and three assistants, some of whom have worked there for 25 years. (And feeding the birds, laughs Maureen, the office manager, from behind the front desk, “is in all of our job descriptions.”) Winty has patients who have been coming for that long, too, and some travel from as far away as Germany to see him. It’s his skill and his kindness—and maybe even the view—that keep them, like the bluebirds, coming back year after year. TDM Jacqueline Mitchell is a senior health sciences writer in Tufts’ Office of Publications. She can be reached at jacqueline.mitchell@tufts.edu. summer 2008 t u f t s d e n ta l m e d i c i n e 11 12 t u f t s d e n ta l m e d i c i n e summer 2008 Heads The way to your patient’s mouth is through his mind UP it’s 10 a.m. in the dental school’s third floor clinic, and arthur Weiner, D58, is called in to assist on an emergency case. Not a dental crisis, but an emotional one. ■ The patient, a woman in her 40s, wants a cosmetic fix for a recently broken incisor. Following established treatment protocol to address periodontal health before doing restorative work, the student dentist assigned to her says that having her teeth scaled is more vital to her oral health and should be done first. ■ Weiner quickly steps in. He listens to the patient, who tells him that she is out of work and can’t find employment with a cracked smile. “She wanted to go look for a job,” Weiner says. “It’s what motivated her to come to the clinic.” He changes the protocol to make the front tooth the priority, knowing that he’s taking a step toward gaining the patient’s trust. BY JULIE FLAHERTY I L L U S T R AT I O N S B Y L E I G H W E L L S ■ “You can’t just look a patient in the mouth and look for a filling,” says Weiner, a professor of general den- tistry who teaches a two-part seminar on patient behavior to all thirdyear students and routinely advises them on the clinic floor. “That mouth is inside a whole person who has physical needs, psychological needs. You have to treat the whole patient.” summer 2008 t u f t s d e n ta l m e d i c i n e 13 understanding why patients act and react the way they do is part of the field known as behavioral science. It is about more than coping with “difficult” patients or helping a phobic overcome his fear of the drill (although those are both part of it). If every mouth is different, every brain is certainly unique. Yet dentists who would never drill without first taking an X-ray routinely neglect to get a snapshot of what’s going on inside the patient’s mind. Doing so can be the key to a successful dental procedure, a practice with a full appointment book, and even avoiding malpractice lawsuits. “A good understanding of a few behavioral science theories can enhance our ability to assess and treat our patients,” says Ronald Kulich, an attending psychologist at the Craniofacial Pain Center who lectures in the general dentistry department. While medicine has incorporated behavioral science for decades, only in recent years has dentistry begun to embrace the full scope of its applications, he says. At Tufts, behavioral science principles are taught throughout the four years of the dental school curriculum. In addition to Weiner’s seminar, classes on nutrition, oral health promotion, ethics and professionalism, medicine, the clinical experience, pediatric dentistry, practice management, anesthesiology and pharmacology, and geriatric dentistry all emphasize pieces of the patient-doctor relationship. No, it’s not just common sense, or just something that comes naturally, says Elaine Davis, an associate professor at the University at Buffalo School of Dental Medicine and councilor for the behavioral sciences section of the American Dental Education Association. “These are skills, communication skills, and being skills, they can be taught,” she says. “Patients can’t judge the quality of your restorations. They’re going to judge you by the way you treat them, and if you treat them well, they will come back.” Today, all U.S. dental schools are required to have a behavioral science program to maintain their accreditation. Part II of the National Board Dental Examination, a graduation requirement, is peppered with behavior science problems and has a portion on patient management. At Tufts, every clinical area has a behavioral competency question on its student assessment, so whether the student is doing a filling or a root canal, he is critiqued 14 t u f t s d e n ta l m e d i c i n e summer 2008 on his chair-side manner. Through a questionnaire Weiner developed, clinic patients also have the chance to evaluate the student dentists on things like whether they listened to their concerns and encouraged questions or mumbled and left them sitting for long periods of time without explanation. “ALL THE FANCY EQUIPMENT, ALL THE MODALITIES— they’re all useless if you can’t get the patient in the chair.” —ARTHUR WEINER Understanding a patient’s needs and goals not only puts the patient at ease, Weiner says, it inevitably makes the treatment easier for the dentist. It also means the patient will make future appointments—and keep them. “All the fancy equipment, all the modalities—they’re all useless if you can’t get the patient in the chair,” he says. TECHNIQUE—AND MORE When Weiner was a young dentist, a successful practice could be based strictly on technical virtuosity. “Dentists in those days did not have to be overly concerned about whether a patient developed a relationship or whether a patient followed post-op instructions and good oral hygiene,” he says. Being a good dentist meant putting in a good restoration, doing no harm and not overcharging. “And if you did that you were home free,” he says. Today, the profession expects more from its practitioners. The key, Weiner says, is communication and more specifically, asking questions. With each new patient in the clinic, the student dentists go through a nine-page list of questions covering everything from the medications patients take to the recreational drugs they may have abused. Something as simple as whether a person gets her flu shot each year may hint at whether she tends to follow through on doctor’s orders. “We ask them a ton of questions,” Weiner says. “Most of them have nothing to do with dentistry, but they let me know who I can build a trusting relationship with. Does this person diet a lot? Is there alcoholism? Does he like his physician? Does he take the drugs that the physician prescribes? I want to know.” Weiner became interested in patient behavior some three decades ago, when he noticed patients in his waiting room suddenly jump up and flee the office. Since then, he has conducted many studies on fear and anxiety and become an expert on agoraphobia. He has published several papers on the topic, perhaps most notably ones on differentiating panic disorders, which may require medication, from psychological dental anxiety. Anxiety of all kinds abounds in the dental office. In a survey of patients at the general dentistry clinic at Tufts, Weiner found 65 percent had high levels of dental fear. He also found five scenarios that most often aggravate that fear: when the dentist seems rushed; when the patient feels uninformed; when the patient worries that the anesthetic will be ineffective; when the patient thinks the office and instruments have not been properly disinfected; and when the patient thinks his feelings are being neglected. “Then we began to think, gee it’s not just the sound of the drill and the smell of the office,” Weiner says. Albert Forgione, a psychologist, professor and head of the clinical research section at the Craniofacial Pain Center, has studied the role of behavior in clinical practice for nearly three decades and is co-editor of the book Behavioral Dentistry. He has worked with hundreds of phobic patients, be it for fear of flying, fear of public speaking or fear of the dentist. Phobics are generally “very astute, highly imaginative people,” he says. In fact it is that imagination that leads to the sweating palms, palpating heart and heavy breathing. “If they can get the images in their mind, the body will act as if that were happening,” he says. There are many behavioral techniques for treating a frightened or anxious patient, including minimizing cues (hiding the dental hardware), positive reinforcement (praising the patient during simple procedures like cleaning), learning by attribution and appraisal (talking the patient through every step of the procedure), distraction (how about those Red Sox?), systematic desensitization (getting the patient to look at the needle, sit next to the needle, hold the needle) and promoting relaxation. Forgione is a pioneer in the use of biofeedback, where patients are hooked up to electronic instruments that measure changes in heart rate, breathing, muscle movements, etc., and alert the patient through sounds or other signals. By working with a dentist or psychologist, a patient can learn to slow his heart rate and relax certain muscles, in turn gaining a sense of control, which seems to alleviate anxiety and even pain. Many dentists have successfully used hypnosis with their anxious patients. Forgione recalls a case of a mail carrier whose fear of the The whole point of behavioral science, says Arthur Weiner, D58, is to have your patients feel at home, understood and unafraid when they come in for treatment. dentist had kept him away from treatment his whole life, leaving his mouth full of blackened, broken teeth, some of which he had tried to extract himself.“His pain was so bad he would bang his head against the postal truck,” Forgione says. Yet the man was very receptive to hypnosis, and after a few sessions, became such a compliant patient that the dentist who finally got to work on his teeth declared the man was “not phobic at all.” Yet Forgione is less interested in miraculous cures than he is in dentists who exacerbate a patient’s anxiety. “It’s the negative that I’m concerned about,” he says. He relates a common scenario of the dentist who is chatting with his assistant about the day’s events or weekend plans, “and the patient is out of the picture.” Just talking to the patient makes her part of the treatment, and can lessen anxiety. A dentist can care for frightened patients in other simple ways, such as not scheduling a phobic patient late in the day, when he might be running late. “A significant portion of people are going to have peaks of anxiety while waiting,” he says. Body language can also do a lot to set a patient at ease. While a dentist can do many things to help the panic-stricken, psychologists stress that a patient doesn’t have to have a diagnosed phobia to warrant a dentist’s sensitivity. “All patients are anxious sometimes,” Kulich says. SUBTLE CLUES, SERIOUS ISSUES Over the years, some of Weiner’s patients have had bizarre ideas about why their teeth are in disrepair. One blamed an allergy to strawberries. One said God was punishing him for his sins by making his teeth fall out. “I’ve had someone come in and tell me his last dentist put a microphone in his filling so he could hear his telephone conversations,” Weiner says. In such cases, a referral to a psychologist takes precedence over the filling. But few cases are that overt, so dentists-intraining must learn the subtle signs that a patient has depression, narcissism, obsession or a somatic delusion. Depression, for example, plays tricks on a person’s perception, which means a depressed patient may have an unduly downbeat impression of what the dental visit will entail. “They begin to lose faith in their dentist; they begin to interfere with the dentist, and they try to direct treatment,” Weiner says. “And soon you’re wondering, who’s the boss PHOTO: MELODY KO summer 2008 t u f t s d e n ta l m e d i c i n e 15 Provide a well-lit, private, comfortable place to talk. Keep your eyes focused on her face and eyes. Keep your shoulders and legs turned toward him. Lean into the conversation (about 20 degrees). Focus on the content of what the patient is saying, even if anxiety or a speech defect mean he has trouble saying it. Interrupt the patient. Instead, give him time to formulate his thoughts. Distract the patient by tapping a pencil, playing with something on the desk, or glancing at your wristwatch while he talks. Stand closer than three feet to the patient, which may seem intrusive, or farther than four feet, which implies you are not interested. Ignore the patient’s tone of voice or body actions. Overlook off-hand remarks and by-the-ways, which may reveal a lot about the patient’s true feelings. HOW TO TALK TO YOUR PATIENT here? You have to know how to set limits and define the terms of treatment.” A person with a somatic over-concern may obsess over a tiny flaw, like a misaligned bite. Kulich tells of a patient who complained of chronic tooth pain, although nothing seemed wrong with her teeth. She underwent a series of root canals, and eventually had all her teeth removed. It wasn’t until the patient was referred to Tufts’ Craniofacial Pain Center that Kulich found that psychosocial factors were influencing her behavior.“By doing a full medical history, the dentist can pick up on these patients and not just send them to have three more root canals,” he says. THE LEGAL RAMIFICATIONS To prepare dental students for the challenges they eventually will face in practice, Weiner shows them a video with a variety of patient scenarios. “Let’s say a patient says, ‘I thought you were the very best dentist around here so I spent all my savings and let you make my dentures, and I’m not happy, and I’m not satisfied.’ What would you say to the patient?” “You have to ask yourself, can I meet this patient’s goals? Everybody has limits. You don’t want to finish the procedure and have the patient unhappy. They may end up chang- 16 t u f t s d e n ta l m e d i c i n e summer 2008 ing dentists; they may end up suing you.” Kulich has seen dentists who ignore the warning signs of a patient’s irregular behavior run into malpractice issues.“Dentists are being increasingly bound from a medical-legal standpoint to follow the same standards as physicians,” he says.“That includes identifying at-risk patients. Dentists who fail to recognize personality coping issues and establish boundaries, those dentists have run into trouble.” Kulich offers the case of a dentist whose new patient had nothing but praise for him. Flattering him all the while, she asked for special favors, like setting last-minute appointments at her convenience and writing prescriptions for pain medication to save her a trip to her physician’s office. Claiming financial woes, she asked if she could do some work for him to pay her bill, which he agreed to. But when he could no longer keep up with her requests and need for attention, she became increasingly angry. The dentist might have prevented the situation, Kulich says, by setting limits on favors, asking his colleagues for another opinion, and conducting a comprehensive assessment of the patient early on, which would have revealed that her relationships with past dentists were equally problematic. Kulich emphasizes that all patients, even those who appear difficult, deserve the best of care, but had the dentist better understood the manner of the patient’s distress, he could have managed better. As powerful as a thorough patient interview can be, Kulich still finds that many dentists are reluctant to ask the most important questions.“They don’t want to ask about anxiety; they definitely don’t want to ask about depression, and few clinicians ever ask about alcohol use, which is amazing because chronic alcohol use can be one of the best predictors of a bad outcome with dental and medical procedures,” he says. In many cases, the dentist is in a much better position than the patient’s primary physician to screen for many of these symptoms, because he sees the dentist more frequently. “The patient is not going to tell you everything,” Kulich says. “That doesn’t mean you’re not obliged to ask. That doesn’t mean that you shouldn’t document the patient’s behavior.” Knowing a patient’s psychosocial history can prepare a dentist for the erratic behavior he may encounter. But the dentist shouldn’t assume the patient will be difficult to handle. In his most recent article, published in the May issue of the Journal of the Massachusetts Dental Society, Weiner reports that patients ILLUSTRATION: Adapted from The Difficult Patient: A Guide to Understanding and Managing Dental Anxiety, by Arthur A. Weiner who take antidepressant drugs for their psychological disorders are usually less anxious and more receptive to dental visits than they were before treatment. WHAT THE PATIENT TAKES AWAY When you ask a student why he applied to dental school, he inevitably says he wants to help people. “They say I’m good with my hands, and I’m good with people,” says Carole Palmer, a professor in the department of public health and community service. “I think they do understand it’s a people business. They don’t necessarily understand the depth or breadth of the communication skills necessary to be effective.” Most young dentists assume that when they ask a patient to do something, he will do it. Yet about 50 percent of patients who leave a clinician’s office don’t follow doctor’s orders. Getting someone to change his habits outside the dental office takes some behavioral science in the chair. Palmer talks about behavior modification as part of her class in oral health promotion. Getting people to brush their teeth, for example, takes more than commanding it. “You don’t ask people who never brush their teeth to start brushing ten times a day,” she says. “Start small but be targeted, personalized. Find out what motivates the patient. If his problem is cavities, ask wouldn’t it be nice to not have any more? He may say yes, of course I don’t want any more cavities. Or yes, of course I don’t want to keep paying you more money. Psychology tells us that when they make a verbal commitment, they are much more likely to follow through.” “Ask him to brush his teeth, and see what he’s doing right and what he’s doing wrong,” she says. “You always ask the patient to come up with the solution; that’s called clientcentered non-directive counseling. How could you do better, without making it too difficult for you?” “There is not just one way to do something when it comes to behavioral change,” Palmer says. “You work with the patient to decide whether a fixed or removable dental appliance would be better, whether an implant or a denture would be better for him. And then you make sure you have educated the patient on what causes his disease—not anyone’s disease, his disease—so he understands what’s happening in his mouth.” Palmer points out that behavioral science applies to public health endeavors as well. How do you get a whole population to brush their teeth if you don’t understand motivation? How can you convince legislators that the public needs toothbrushes if you don’t understand their attitudes toward oral health? “Many students don’t think beyond the patient,” Palmer says. “It is important for their success to be involved in the community, to be seen as an ally, to be a supportive community member. It works on many levels. How do you deal with your community leaders on issues related to dental health financing? How do you deal effectively with the legislature? Your dental society has to have good communication skills in order to have any power or authority rather than to be considered an opponent.” MORE THAN “GOOD HANDS” “Working with your hands is easy,” says John Lee, D08. “The hard part is dealing with patients.” “In the beginning, it’s kind of awkward because it seems really personal,” he says. But it is important, he says, because the social, psychological and physical elements interrelate. “If you can’t analyze the patient in the beginning, most likely it’s not going to work out too well,” Lee says. Michelle Ray, D08, found Weiner’s patient questionnaire a good starting point. “You can get people talking a lot during that. You can tell when people want to be interested. You can tell how they speak; you can pick up clues. You can see how they react to certain situations.” Ray may have an advantage in her chairside manner, having studied psychology as an undergraduate. She didn’t know how handy those skills would be in dentistry until she started working with patients in the Tufts clinics. Other students are surprised, too. She says that students may excel in the lab or pre-clin, but if they don’t know how to work with a patient, their craftsmanship may not be fully appreciated. “The patients don’t care if you have good hands. They can’t really tell what you’re doing in their mouth,” Ray says. “How you speak to them and how you interact is all they base it off of.” With one patient, who has bipolar disorder, she learned to talk through the steps of each procedure, and always make requests, not demands, such as “could you please open your mouth now?” With another patient, a recovering drug addict, she found it better not to give a running account of the dental treatment, but to distract him with other conversation. Sometimes both the dentist and the patient need to overcome their anxieties. Min Kim, D08, was truly frightened of her first bipolar patient, an elderly man who didn’t smile, who seemed decidedly unfriendly and stand-offish. He was anxious as well. “I had no idea how to talk to him,” she says. But he needed both upper and lower dentures, which meant they would be spending some time together.“It was a nightmare for me,” she says. But she soon got him talking about his family, and they both opened their minds a little. “Then I noticed as long as I can explain to him what I’m going to do, then he’s OK with that,” she says. In the end, she says, “he was great, and he was satisfied with the dentures.” The point, Weiner says, is that dentists should take the extra five minutes to find out what mental baggage the patient is bringing to the office. “You also have to know yourself,” he says. “Do you have the patience? And the willingness to take the time to understand the patient? And be empathetic to their problems? It’s going to impact whether or not you can restore teeth.” “We’re trying to teach the dentist to recognize all these things,” Weiner says. “We do this everyday in life; we psychoanalyze our friends, our colleagues. You don’t have to be a psychology major. I’m not. All my experience is on-the-job training.” With dentists in such demand, do they really need to know so much about each and every patient? “Oh, I hope so,” Weiner says. “I would hate for anyone to look at me as a machine. To put in a good filling, that’s what you’re being paid for…. But to have the patients say thanks, you made me feel at home, you understood me, I’m not afraid to come here. That’s the real thing. That’s what I want the students to understand. You’re dealing with a human being. The effort has always been to make dentistry a kinder and more gentle profession than it was when I found it as a student some 50 odd years ago.” TDM Julie Flaherty is a senior health sciences writer in Tufts’ Office of Publications. She can be reached at julie.flaherty@tufts.edu. summer 2008 t u f t s d e n ta l m e d i c i n e 17 HOMEGROWN Here’s one way to solve the shortage of dentists in academia after “open wide,” the most important words in tufts’ dental clinics might be these: “Let me help.” This summer, volunteer third-year dental students took to the clinic floors to impart their hard-won knowledge to the anxious second-years working with patients for the first time. And this fall, new postdocs in periodontology embark on a different kind of mentoring program designed to foster a cooperative spirit among residents. This emphasis on mentoring and teaching is one way that Tufts is confronting the nationwide shortage of dental faculty that looms large as the baby-boom generation heads toward retirement. But the pre-doctoral teaching assistant and postdoctoral mentoring programs have more immediate benefits as well. “In the pre-clin courses, there are 165 students in one room at the same time, and they all could use some help at some point,” says Michael Thompson, associate professor of general dentistry. He established the teaching assistant (TA) program seven years ago as a way to keep students who meet their clinical requirements for graduation early engaged with the school and with learning new things. That first year, Thompson paired two students with less-experienced peers in the clinic and let the TAs “stand next to them and watch them step by step.” Today, thanks to popular demand by faculty and students alike, some 50 third-year students are helping the D10s, who are caring for patients for the first time, get their bearings. “I remember when I first started in the clinic I was scared and clueless when it came to the correct clinical procedure,” says Whitney Carraway, D09, now a TA in radiology and in one of the school’s group practices. “I remember bombarding the TAs with questions, and they always had time to help me.” Students intern as TAs over the summer. Then, once they demonstrate their interest and ability, they may become full, paid TAs in the fall. Responsibilities vary by department, depending on the needs of the faculty the TAs assist. Their domain is not limited to the clinic; Terrence Griffin, chair of periodontology, and periodontology residents in the clinic. 18 t u f t s d e n ta l m e d i c i n e summer 2008 TAs help out in the classroom, too. Thompson challenges student teachers to teach in the classroom and encourages other professors to do the same. Morton Rosenberg, D74, professor of oral and maxillofacial surgery, had his TAs lecture for the first time this year. “The beauty of it is by teaching, you figure out what you yourself don’t know,” says Thompson. N TEACHERS BY JACQUELINE MITCHELL PHOTOS BY JOHN SOARES summer 2008 t u f t s d e n ta l m e d i c i n e 19 Or in some cases, the student teachers discover strengths they didn’t know they had. “This experience has taught me that I know more than I think I know,” Eric G. Piascik, D09, wrote to Thompson. “I said to myself,‘Wow, I am thinking and acting like a doctor.’ I guess I didn’t see my potential until I was teaching.” One goal of the program is that at least some of the TAs will get bitten by the teaching bug. According to a 2005 survey by the American Dental Education Association (ADEA), there were close to 300 vacant faculty positions at U.S. dental schools, most of them in clinical disciplines. An older ADEA report found that fewer than 2 percent of fourthyear dental students were interested in teaching, a rate too low to replace older faculty as they retire. Though it’s too early to know how many former pre-doctoral TAs have gone into academia, anecdotal evidence suggests the program is planting seeds that will bear fruit in coming years. After graduating next spring, Carraway wants to return to her hometown, Greenville, N.C., where her undergraduate alma mater, East Carolina University, plans to open a dental school in a few years. She’s already considering teaching part-time in the clinic there some day. Piascik echoes that goal: “I never thought of myself as being a teacher, but after this experience,” he says, “I will not hesitate at the thought of teaching at Tufts after I graduate.” Whether they go into teaching careers or not, the TA program has already changed the way students think about dental education. All current Tufts dental students have “grown up in this system, so they were helped, and now they want to help,” says Thompson. “The experience brings the school together. It means more people are working toward a common goal. It’s part of what makes Tufts unique as a school.” A POSTDOCTORAL FAMILY “We run a different kind of program here. We are the Tufts Periodontal Family,” Terrence J. Griffin, D71, DG75, chair of periodontology and director of the postdoctoral program, says of the four-year-old mentoring program that prepares postdocs for private practice and grooms them to become ambassadors for the profession. “We stress cooperation right off the bat.” Tufts’ three-year postgraduate program in periodontology enrolls six to eight students each year. Since 2004, each first-year has been paired with a third-year mentor, who helps the new student get his or her feet wet in the clinic during patient exams and surgical procedures. The benefits to the first-years are obvious, but to maintain high-quality mentoring relationships, Griffin and Timothy J. Hempton, associate clinical professor, agreed they had to make explicit to the third-years what they get out of it, too. “We recognize that our postgraduates arrive here from competitive environments, but once they get here, they are in a cooperative one,” says Hempton, who details the success of the perio mentoring program in an article published in the May 2008 issue of the Journal of Dental Education. His co-authors were Griffin, Paul A. Levi Jr., D66, “Wow, I am thinking I didn’t see my potential Above: Michael Thompson, associate professor of general dentistry, observes students’ work in the Simulation Clinic; center: Timothy Hempton reviews a case with periodontology residents; opposite page: Sarah Stipho, D08, consults on an X-ray with faculty members James Hanley and Paul Levi Jr. 20 t u f t s d e n ta l m e d i c i n e summer 2008 DG71, associate clinical professor of periodontology, and James B. Hanley, D75A, DG79, associate dean for clinical affairs. “You can work toward a goal without competing with each other, which is the way science moves forward,” Hempton says. The son of a salesman who accompanied his father on sales calls as a boy, Hempton suspected the business world might offer lessons that could apply to academia. Influenced especially by the Dale Carnegie classic How to Win Friends and Influence People, Ken Blanchard’s series on leadership and James Collins’ Built to Last: Successful Habits of Visionary Companies, Hempton developed a seminar on mentoring and leadership. At the initial lecture, first- and second-year residents learn about the symbiotic benefits of a successful mentor/mentee relationship. Those upsides have become obvious to third-year resident Eduardo Marcuschamer: To teach others,“you have to have all the concepts fresh in your mind all the time. And you get the opportunity to study cases you’re not working on personally.” In addition to first-year/third-year mentoring, perio residents also interact with pre-doctoral students who attend mandatory oneweek rotations in the periodontology clinic. Pre-docs working in Tufts’ clinics also frequently consult with residents on perio cases. With the mantra “cooperative is synonymous with profitable,” Hempton and Griffin encourage their residents to treat all predocs as future colleagues and potential referring dentists. “We mirror a private-practice scenario,” says Griffin. “The better the students interact with colleagues, the more cases and referrals they get.” Perio residents also work with pre-doctoral students in Griffin’s Periodontal Study Club, an informal bimonthly meeting at which predocs and residents pair up to present a clinical case to their peers. The club simulates the professional meetings and conferences Griffin and Hempton encourage their residents to attend. “We accepted them into the program to become leaders,” says Hempton. Through their mentoring program, Griffin and Hempton hope to inspire their postdocs to consider academic careers. Even those graduates who become full-time clinicians can serve as diplomats for the profession, they say. But Hempton recognizes that mentoring —ERIC G. PIASCIK, D09 and teaching may not come naturally to everyone. That’s something he keeps in mind when he’s teaching. “I try to explain concepts on two levels—first, how to understand it themselves, and second, how to explain it to the pre-docs.” That’s been useful to Maria Leticia Rodriguez-Varo, another third-year resident, who confesses she once thought of teaching as a bit of a chore.“Without noticing, I became involved in it,” she says.“I never thought about being a teacher before, but maybe now I will.” Though the periodontology mentoring program is still an infant, the numbers are already trending in the right direction. “It started with a problem,” says Hempton. In their course evaluations, pre-doctoral students were vociferous about the lack of instruction they were getting from the perio residents. In 2003, the number of negative comments exceeded the positive ones, 2 to 1, prompting Griffin and Hempton to launch the mentoring program the following year. By the end of the 2006–07 school year, the positive comments outweighed the negative, 10 to 1. What does this encouraging turnaround mean for dental education? The sample size is small, but the numbers are still promising. The perio classes that graduated between 1997 and 2003 yielded just two part-time teachers, but the classes of 2004 through 2007 produced two full-time teachers at Tufts and six part-time teachers at other dental schools. Hempton is pleased with the early results. “We felt the disengagement, which has now become engagement,” he says. “The desire to share is more compelling now.” TDM and acting like a doctor. I guess until I was teaching.” Jacqueline Mitchell is a senior health sciences writer in Tufts’ Office of Publications. She can be reached at jacqueline.mitchell@tufts.edu. summer 2008 t u f t s d e n ta l m e d i c i n e 21 Lost City A dental mission team encounters the wonders of Peru BY JULIE FLAHERTY PHOTOS BY CHARLES RANKIN 22 t u f t s d e n ta l m e d i c i n e summer 2008 THE INCAN CITY of Machu Picchu was built around 1450 and abandoned a century later, remaining largely forgotten until American explorer Hiram Bingham brought it to worldwide attention in 1911. Its terraced farms, temples and fountains are constructed on a narrow ridge between two mountains above the Urubamba Valley. THE ORPHANAGE IN LIMATAMBO, where the Tufts dental team set up a temporary clinic, was built recently. You can see where children pressed their hands into the fresh cement where they’re sitting, underneath this stairwell. The equipment the dentists found was less contemporary. The one portable dental unit had a broken light and a malfunctioning chair and had to be jury-rigged to a compressor outside the building. “But it kept us going for four days,” Rankin says, during which they performed cleanings, extractions, restorations and pulpotomies on infected baby teeth. I n april, aidee n. herman, a tufts periodontist, led a group of 22 dentists, students and other volunteers on a humanitarian trip to Limatambo, Peru, sponsored by the School of Dental Medicine’s Hispanic Dental Association. They were based at the orphanage of Casa del Aguila, where they provided dental care to the orphans and the villagers, mostly children, who trekked in from the surrounding mountains. Some of the 240 patients they treated walked for hours to have a tooth extracted or a filling put in—and then walked hours more for the return trip home. As memorable as the mission work the Tufts volunteers did was their visit to the spellbinding site of Machu Picchu, the legendary lost city of the Incas. Charles Rankin, D79, DG86, D08P, a professor of endodontics and a compulsive photographer with more than 80 photo albums to his name, documented their journey. “I hope it wasn’t a once-in-a-lifetime trip,” he says. 24 t u f t s d e n ta l m e d i c i n e summer 2008 CHARLES RANKIN, left, and seven of the dental students decided to hike the steep trail to Huayna Picchu, which overlooks the ancient city. It was a heart-racing climb to 8,922 feet. Although his perch looks precarious, a terrace 10 feet below would have truncated his fall. More imposing was the switch-back highway, to the left, which carries tour buses to the Incan city. “The bus ride up, with no guard rails—that was really scary,” Rankin says. Below, the tapered tower of The Temple of the Sun, one of several ceremonial sites in Machu Picchu, is indicative of the careful, mortar-free stonework of the Incas. This building honored Inti, the Sun, an important deity. AMONG THE 140 edifices in Machu Picchu are houses that were once covered with thatched roofs. Based on the number of residences, some experts estimate the regular population to have been about 300 people, growing to 1,000 when the emperor was in town. A MOTHER and her two children in Cusco, once the ancient Incan capital. “The people are just the salt of the earth,” Rankin says. THIS FLAT CARVED ROCK on the floor of the Temple of the Condor is said to resemble South America’s largest bird, with its bald head and collar of white feathers. Two natural stone formations which sweep up and out behind the photo give the appearance of wings. THE DOORS and windows throughout Machu Picchu slant in at the top, maximizing stability, which may help explain why the city has survived for centuries in the earthquake-prone Andes. The trapezoidal shape also creates a perfect frame for the view of Huayna Picchu. As the archeologist Richard Burger describes it, the Incas were “connoisseurs of highland panoramas,” and the emperor well may have created this place as “the Inca equivalent to Camp David.” UNIVERSITY NEWS THE WIDER WORLD OF TUFTS In the Public Interest Loan repayment assistance program helps alums who help others by Marjorie Howard second-year dental student julie cooper grew up in a very rural community in the Adirondack Mountains where oral health care was just not available to the majority of people she knew. “When I went away to college and saw that this lack of access to dental health services was not the norm, and that the suffering caused by dental disease was completely preventable, I decided I wanted to become a dentist so I could be part of the solution to this problem,” she says. “Ultimately, I would like to end up practicing in a rural community, in a clinic if one is already established there, or build my own practice there if not.” Now, thanks to a program believed to be the first of its kind in the country, Cooper may be able to pursue that dream without worrying about onerous student loan debt. Tufts University has launched a new initiative that will help all undergraduates, graduate students and those with professional degrees pay off their loans if they work in public service or at a nonprofit organization after graduation. The Tufts Loan Repayment Assistance Program, known as LRAP, is aimed at encouraging alumni to pursue careers that may not necessarily be lucrative but will serve the public good. Graduates in fields such as teaching, health care in regions lacking medical resources and social work would be eligible. Julie Cooper, D11 28 t u f t s d e n ta l m e d i c i n e summer 2008 “Of course, no matter how much you want to be in a position to help people who really need it, you still need to keep your own financial situation in mind and make sure that your career will allow you to meet your own basic needs and responsibilities,” says Cooper, who estimates she will have amassed $300,000 in loans by the time she graduates from dental school. “Having some of the burden of my debt lifted would make it much more feasible for me to work in a clinic or an underserved area right out of dental school.” “Every student who graduates with a loan worries about how to pay it off,” says Tufts President Lawrence S. Bacow. “We would like alumni to be able to pursue their passions—to do what they really want to do—without being unduly focused on the need to retire a student loan. It is especially appropriate for Tufts to make this commitment, since as an institution we seek to encourage a spirit of public service in our students.” “Without a program like this, I might need to wait years for my loans to be paid off before I could afford to go into public service,” says Cooper, who earned her undergraduate degrees in biology and geography from the State University of New York at Oneonta. The number of awards will depend on the total number of applicants to the program and the funding that is available, as well as an individual’s income and level of indebtedness. The program is being funded annually with $500,000 from the OmidyarTufts Microfinance Fund, which was established with a $100 million gift from Pierre Omidyar, A88, the founder of eBay, and his wife, Pamela Omidyar, J89. Alumni will need to reapply each year for assistance. They must complete an application and provide other documentation, including a pay stub and tax return. Application materials and other information are available at http://activecitizen.tufts.edu/ LRAP. Alumni must currently be repaying education loans or be in a grace period. The goal of the program is not to cover the entire debt for a small group but to help as many alumni as possible with a portion of their loans. Debt for graduates of Tufts Dental School averages $175,000. PHOTO: NATALIE STULTZ Frank C. Doble tests his invention, the Doble Safety Portable Telephone system, circa 1920. A legacy of innovation Tufts receives $136 million, the largest gift in university history, from charitable trust established by alumnus n act of philanthropy by Boston technology pioneer and Tufts alumnus Frank C. Doble more than 40 years ago has resulted in a gift of $136 million, the largest in Tufts’ history. Doble’s generosity will allow the university to begin development of an interdisciplinary laboratory that will advance research and collaboration in biology and engineering, while also supporting financial aid, faculty and other critical needs. Doble, who earned a degree in electrical engineering from Tufts in 1911 and founded Doble Engineering Co. in 1920, died in 1969. His legacy included generous trusts that will now yield approximately $272 million, divided equally between Tufts and Lesley University, where he served as a trustee for two decades. “Frank Doble was a true innovator who foresaw the potential of the electric power industry when it was still in its infancy. A The technologies that he developed made the industry safer and more productive,” said Tufts President Lawrence S. Bacow. “In founding Doble Engineering, Frank Doble pushed the boundaries of science and technology, just as our faculty and students do today. We are grateful that his legacy will help future generations to attend Tufts and enable us to create a new laboratory, named in his honor, to advance collaboration among our biologists and engineers.” The new integrated laboratory, planned for Tufts-owned property on Boston Avenue in Medford, will allow scientists from the School of Engineering and the biology department in the School of Arts and Sciences to pursue cooperative research. “New laboratories are needed in order to recruit the best faculty and enable them to thrive at Tufts as teachers and scholars,” Provost and Senior Vice President Jamshed Bharucha said. Tufts has not constructed a new laboratory building on the Medford/ Somerville campus in almost 20 years. “A new facility will also provide expanded opportunities for our students to get involved in research,” Bharucha said. Putting biologists and engineers in the same building will also spark multidisciplinary collaboration. “The pace of development today is so rapid that inquiry should not be limited by department and school boundaries,” said Bharucha. Doble Engineering Co’s. high-end diagnostic test solutions for the electric utility industry were designed to enhance the safety and reliability of power systems. Currently based in Watertown, Mass., the company leased its former Medford, Mass., headquarters from Tufts from 1925 to 1947, and Doble and his enterprise were closely connected with the university for many years. Doble was born in South Paris, Maine, in 1886, as the age of electricity was dawning. Westinghouse Electric Co. was founded in the same year, and General Electric emerged six years later. He entered Tufts in 1907 and financed his education by installing a new telephone system at the college. Doble regularly invited Tufts engineering students to tour his plant and sought out Tufts graduates for his company. Tufts Professor Amos L. Dolbear, inventor of the condenser microphone; Alvin Howell, chair of Tufts’ electrical engineering department; and Tufts presidents Leonard Mead and Nils Y. Wessell were among those with whom Doble and his company maintained close relationships. A staunch supporter of education, Doble also developed close ties with Lesley University and its founder, Edith Lesley Wolfard. In addition to engineering and education, Doble’s passions included the works of William Shakespeare. In 1962, Tufts awarded Doble an honorary doctor of science degree. Doble died on December 30, 1969. He had named Tufts and Lesley in his estate plans in 1960. The two universities were the primary beneficiaries of two irrevocable trusts that together owned 87 percent of Doble Engineering. In November 2007, ESCO Technologies of St. Louis purchased Doble Engineering. The trusts have been dissolved and the assets distributed. summer 2008 t u f t s d e n ta l m e d i c i n e 29 ON CAMPUS DENTAL SCHOOL NEWS The distance degree graduates, clockwise from far left: David Peters, Jamison Spencer, Nino Fraulini, Sandesh Mayekar, Peter Currie, Jean-Guy Violette and Bill Pantazes, D90. From India to Indiana, a smooth commute by Julie Flaherty jamison spencer’s thesis defense for his master’s degree followed convention. He wore the expected jacket and tie. He adroitly answered the questions put to him by his thesis committee. But at the point when, traditionally, the student is asked to leave the room while the committee makes its decision, the faculty thought it best if they stepped outside instead. “We didn’t want to lose the connection,” explains Dara Mehta, the school’s coordinator of dental distance education, who stayed and chatted with Spencer—or rather, his image—on a videoconferencing system. The real Spencer was 2,260 miles away, in Idaho, where he lives and practices. Spencer was one of seven students—now graduates—from around the world who this spring successfully completed the inaugural Tufts Dental Distance Learning Master of Science Program, which began in September 2005. For many of them, enrolling in a more traditional master’s program would have meant selling their practices and uprooting their families. For Spencer, a father of six (the two youngest born during the master’s program) with an established practice, it would have been more than a little impractical. Although Spencer, the president-elect of the American Academy of Craniofacial Pain, has worked on some small research projects before, he credits the Tufts program with giving him important research skills, from conducting scientific literature reviews to compiling data. “That’s not 30 t u f t s d e n ta l m e d i c i n e summer 2008 something we learned in our dental school training,” he says. The course work was timeconsuming, perhaps even more than he anticipated. “I would spend hours and hours and hours on those statistics problems,” he says. He also took away some “clinical pearls” that he has already incorporated into his practice, such as checking the thickness of a patient’s bite guard, which he learned can affect neck pain. Defending his thesis by videoconference was Spencer’s idea. Yes, there was the time difference to deal with, but taking questions at 6:30 a.m. Boise-time was a small price to pay for avoiding a cross-country flight. And after three years of long-distance course work and email-based class discussions, he thought a defense-by-video was only fitting. Sandesh Mayekar, who has been practicing in Mumbai, India, for 25 years, enrolled in the program not so much to further his PHOTO: DAVID CARMACK own career as to share current knowledge on craniofacial pain treatment with his colleagues in India. “There is no education on this subject in India—none at all,” he says. “Dentists don’t know anything about it.” Yet in research he conducted for his thesis, he found that 54 percent of patients experience symptoms of temporomandibular joint disorders. To spread the word back home, he plans to lecture on the topic, and perhaps even start a public awareness campaign. “This will solve a major problem in India,” he says. Having the flexibility of completing his course work on his own schedule was useful, but it was still a challenge. There were nights he slept only two hours. No matter where you are in the world, he says, there are still only 24 hours in a day. Distance learning was the only master’s degree option for Dave Peters, who practices in Michigan City, Ind., a long drive from the nearest dental school in Chicago. “This was the only chance I had to ever do anything like this,” said the father of five, who would often do his course work on his laptop from the passenger seat while his wife drove the family on errands. His thesis research looked at the ways gender, anxiety and occlusion affect facial pain. Anxious women with a bad bite have the highest risk, he found. By all accounts, the distance-learning technology worked flawlessly. (The students were issued laptops loaded with everything they needed to use interactive web course work and lectures on CD.) But one student in Florida did have the distance-learning equivalent of “the dog ate my homework” when a hurricane roared through his city. “He said, ‘I’m going to be a little late getting my work in because they’re evacuating us,’ ” Mehta says. Despite the distance between them, and the handful of weeks they spent together in Boston during the program, the dentists came to bond as a class. Although it wasn’t a requirement, all seven graduates came to Tufts’ commencement on May 18 to receive their diplomas. As for the next class, which starts in September, the school had more than 100 applicants, Mehta says. Two of the 11 who were accepted are in their late 50s. NOTEWORTHY Marjan Askari, D09, presented a poster from her summer research project on understanding the cellular basis for osteoclast formation in bone remodeling during a Yankee Dental session featuring postgraduates, dental students and dental hygienists from the Boston area. Her poster was selected as tops in the dental student category, besting entries from the New England dental schools. She received a plaque and a $500 prize. Other Tufts contributors to Askari’s poster, titled “Development of Antibodies in Chickens to Elucidate the Complex Role of WW45 in Rankl-induced Osteoclast Differentiation,” were Paul Leavis, a lecturer in the department of occupational therapy, and Paloma Valverde, assistant professor of general dentistry. Marjana Braho, dispensar y assistant, and Christine Robertson, administrative assistant to Executive Associate Dean Joe Castellana, were chosen by their colleagues to receive this year’s Golden Crown Award for outstanding per formance by a staff member. The criteria for the award, now in its 13th year, includes expertise, exceptional interaction with others, continuous improvement, resourcefulness and results and leadership. The dental school and its satellite facilities employ about 200 non-faculty staff members. About 100 staff members attended the Golden Crown luncheon on June 27 in the Becker Alumni Center. Benjamin Goldstein, D11, and Hubert Park, D11, were recipients of the 2008 NIDCR Summer Dental Student Award and spent the summer conducting research at the National Institutes of Health in Bethesda, Md. The awards are designed to give talented dental students hands-on research experience and exposure to the latest advances in oral health research. Michael Hull, president of the Class of 2008, received the American College of Dentists’ Outstanding Student Leader Award at its luncheon February 2, held during the Yankee Dental Congress in Boston. Nancy Johnson, a hygienist with the Tufts Dental Facilities for Persons with Special Needs, was named a Massachusetts Oral Health Hero during a ceremony at the State House in Boston in February. All five third-year postgraduate prosthodontics residents successfully passed part 4 of the American Board of Prosthodontics exam, which assesses candidates’ knowledge of complete dentures. It is the final step in a resident’s progression toward achieving diplomate status. The milestone was reached by Hamilton Le, D05, Maria Chartzoulakis, D04, Athanasios Stratos, Hyejin Kwak, D05, and Moftah El-Ghadi. William Stuart McKenzie, D10, and Elizabeth Escarria, D10, were selected to receive American Dental Association Foundation Minority Dental Student Scholarships. Liz Turner, D11, won the women’s division at the Smuttynose 5K road race on June 22 in Newmarket, N.H. A former standout runner at York High School in Maine and at Colby College, Turner clocked a time of 20 minutes and 27 seconds, even though she was coming off a nagging foot injury. She is scheduled to compete in her first marathon, in Chicago, in October. summer 2008 t u f t s d e n ta l m e d i c i n e 31 ON CAMPUS DENTAL SCHOOL NEWS Clockwise from top: Min Kim, D10, with Hilde Tillman, D49, professor of public health and community service; keynote speaker Harry Selker; Wai Cheung, assistant professor of periodontology; and Peter Shin, D10, at the annual Bates-Andrews Research Day. Bench to Bedside Tufts joins NIH push to put research into practice by Jacqueline Mitchell moving innovations from the lab to the doctor’s office is the future of medical research. That’s the message from the National Institutes of Health, and Tufts is ready to take advantage of it, Harry P. Selker told an audience in March at the dental school’s Bates-Andrews Day, an annual student research fair. Referring to the increasing emphasis on bringing advances in biomedical science out of the lab and into the clinic, Selker, a professor of medicine at Tufts and director of the clinical research program at the Sackler School of Graduate Biomedical Sciences, said the NIH “wants to leverage its spending to really make an impact on people’s health.” It is, he added, “a total change in focus of the NIH. This is a very different message than we’ve ever heard before.” The NIH’s definition of research historically did not include studies like assessments of best clinical practices. But as federal funding for medical research has leveled off over the past several years, and as the public and Congress increasingly have been looking for a return on their large investment (about $30 billion to fund biomedical research), the NIH leadership has recognized that “what has been learned in the research setting often is not implemented into daily clinical practice,” said Selker, who studies factors that affect clinical care and its outcomes, including socioeconomic status and gender. Recent studies have shown that research often does not translate into 32 t u f t s d e n ta l m e d i c i n e summer 2008 clinical applications. For instance, a study by John P.A. Ioannidis, an adjunct professor of medicine at Tufts, noted that of 101 research publications promising such applications, just five had come to fruition after 20 years. This kind of insight led the NIH to establish the Clinical and Translational Science Awards (CTSA), intended, by 2012, to support up to 60 academic health-care centers in streamlining the process of turning laboratory discoveries into real-world treatments for patients. Tufts University and Tufts Medical Center were awarded a $20 million CTSA grant in May that will provide funding over five years for the new Tufts Clinical and Translational Science Institute. Selker, a cardiologist, is the principal investigator for the Tufts institute. With the institute as a resource, researchers from across the university will work with health-care organizations, community groups and medical companies to translate scien- tific breakthroughs into widely used drugs, therapies and good clinical practices. The institute will “have an impact on the future of every dental student and faculty member interested in research,” says Jonathan Garlick, director of the dental school’s Division of Cancer Biology and Tissue Engineering. He is already collaborating with scientists at Tufts School of Engineering. The Tufts institute will serve as a “virtual home,” where scientists can get help with their research, as well as an education program for the next generation of biomedical scientists. “If we’re going to change the way research is done, we have to, in fact, transform the way we train researchers,” Selker says. Part of that training involves collaboration. In addition to the School of Dental Medicine, the institute will assist researchers at Tufts’ other health sciences schools: the School of Medicine, the Sackler School of Graduate Biomedical Sciences, the Cummings School of Veterinary Medicine and the Friedman School of Nutrition Science and Policy. The School of Arts and Sciences, the School of Engineering and the Jonathan M. Tisch College of Citizenship and Public Service are also included in the award. The institute has also partnered with eight other Tufts-affiliated hospitals, two health plans, a score of community and academic organizations (from the Framingham Heart Study to the Boston Museum of Science) and a handful of private-sector companies, including Pfizer Inc. and Millennium Pharmaceuticals. Tufts’ history of working across disciplines and with local communities— “we’re much more the extrovert,” Selker says—makes it stand out among the other CTSA recipients. “We can be innovative in pulling together researchers from different schools, from different affiliated hospitals, and draw in people from other institutions outside of Tufts,” says Provost and Senior Vice President Jamshed Bharucha. Bates Day Science From work with survivors of domestic violence, to fluoride studies in Ethiopia, to growing pulp cells, students learn the ropes of research by Jacqueline Mitchell rowing up in saudi arabia, Daliah Salem, D10, always knew she wanted to go into health care. A biology major at St. Louis University in Missouri, she did some basic research. But it wasn’t until she spent a year after college at the University of Illinois at Chicago’s College of Dentistry that she found the process of doing research “fascinating.” At Chicago, Salem analyzed videotapes documenting dental students’ interactions with their patients, assessing the impact of the students’ demeanor (the pitch of the voice, the amount of eye contact) on their patients’ compliance. “These things are subjective, but I made it as objective as possible,” she says. When she arrived at Tufts, Salem knew she wanted to do more research. A lecture by Kanchan Ganda, a professor of public health and community service, about treating victims of domestic violence, inspired G Salem’s Bates-Andrews research project. She wanted to find out if patients with a history of domestic violence are any less likely to keep appointments and return phone calls than those in the general population. Ganda and Paul Stark, an associate professor, were her mentors. Salem dug in, combing through hundreds of dental records from the Tufts clinics. Some of her findings surprised her. For one thing, she found no statistically significant difference in compliance between the domestic violence group and the general population. “That means students here know how to treat these patients,” she concludes. “Careful and sensitive students are less likely to trigger some painful past memories, which could stop patients from coming to their appointments.” Salem did discover, however, that domestic violence survivors did have more oral Daliah Salem, D10, found that “careful and sensitive” treatment promotes compliance among survivors of domestic violence. Senior health sciences writer Julie Flaherty also contributed to this story. PHOTOS: ALONSO NICHOLS summer 2008 t u f t s d e n ta l m e d i c i n e 33 ON CAMPUS DENTAL SCHOOL NEWS health complaints than the general population, and she’d like to do a follow-up study to find out why. She won the third-place award for her pre-doctoral table clinic, “A Comparative Assessment of Oral Health Status of Non-Compliant Domestic Violence Patients.” Juggling her Bates Day research project and her duties as co-chair of the Muslim Student Association’s continental conference, which drew students from the United States and Canada to Chicago in the summer of 2007, wasn’t always easy. But Salem urges other students considering research to “go ahead and start something right now. It was an awesome experience.” A FUTURE FOR LAB-GROWN TEETH Dean Tiboris, D09, comes from a long line of dentists. Knowing that he wanted to go into the family business, he studied mouse teeth as a zoology student at the University of Wisconsin at Madison. That project foreshadowed what was to come. One of the first class of Dean’s Research Honor Scholars—five incoming students who commit to doing research while at Tufts—Tiboris worked with human teeth in the lab of former full-time faculty member Petros Damoulis, DG91, D05. Often working seven days a week in the lab, Tiboris extracted human pulp cells and grew them on three-dimensional silk scaffolds under different conditions. Though other researchers have run similar experiments, Tiboris’s was unique in its use of the 3D scaffolding. “That’s important,” he says, “because that’s how cells grow in real life.” Tiboris’s project sought to understand the “genetic cascade” involved in cell growth and differentiation, but his ultimate goal was to contribute to current research efforts to grow whole human teeth in the lab. In all, Tiboris examined 14 specific genes and identified “a few genes of interest” related to cell differentiation and mineralization. His six-week-long experiments didn’t always turn out the way he anticipated. “But 34 t u f t s d e n ta l m e d i c i n e summer 2008 the unexpected is still useful,” he says, “because you can tweak your next experiment based on what you found.” Still, he amassed so much data that he’s working on publishing not one, but two scientific articles from his project. He also received the Omicron Kappa Upsilon (OKU) Hilde Tillman Award for his project,“Dental Pulp Cell Gene Expression in Three-Dimensional Mineralizing Cultures.” While he plans to go into clinical practice—oral surgery is a possibility—Tiboris believes his experience in the lab has honed his ability to think critically and pay attention to detail. He encourages other dental students to follow in his footsteps. “Your project doesn’t have to be profound, but you’ll gain an appreciation for the thought process.” Dean Tiboris, D09, is working on two scientific articles based on his Bates Day research, which could contribute to efforts to grow human teeth in the lab. Mestire Solomon, D10, tried to figure out a way to reduce excessive levels of naturally occurring fluoride in the drinking water in her native Ethiopia. PHOTOS: ALONSO NICHOLS A DOWNSIDE OF FLUORIDE You can have too much of a good thing. While the benefits of fluoride are well known, high levels of the naturally occurring mineral can damage and discolor the teeth. The condition, known as fluorosis, is characterized by white spots or brown streaks on the teeth. Beyond the cosmetic, fluorosis can weaken the teeth, making them prone to decay. In the town of Nazareth, Ethiopia, naturally high levels of fluoride in the drinking water mean fluorosis is an all-too-common condition. Mestire Solomon, D10, a native of Ethiopia, wanted to know how much her countrymen know about fluorosis and how much the condition bothers them. Working with a professor at Addis Ababa University in Ethiopia’s capital, Solomon assessed the prevalence of fluorosis in Nazareth and people’s attitudes about their oral health and how their teeth looked. She found that nearly a third of her 215 study subjects suffered from severe fluorosis. And women were disproportionately affected, although she cannot determine why. Despite the prevalence of the condition, Solomon found that most people don’t know what causes it. “That shows we have a big educational barrier to get through,” she says. Most people were tolerant of the cosmetic downsides of fluorosis and reported overall satisfaction with their appearance. However, Solomon found that younger men and women, between the ages of 16 and 25, were the most self-conscious about the discoloration fluorosis causes. She theorizes that’s because this age group is the most concerned with dating. Now Solomon is interested in finding ways to lower the fluoride content in Nazareth’s drinking water. In the 1960s, public health officials mounted an effort to filter the water through bone meal, which is effective in reducing fluoride levels. But the process made the water taste bad. Now she is investigating storing drinking water in pots made of a kind of clay that would lower fluoride levels to a therapeutic dose of less than 1 milligram per liter. Her Bates Day project was titled “Fluorosis: Knowledge, Perception and Attitude of Populations Living in High Fluoride Regions of Ethiopia.” SKILLED SCIENTISTS The winning projects for the 2008 edition of Bates-Andrews Day were: First-Place Award for Oral Presentation by an M.S. student: Naif Bindayel, “The Association between Temporomandibular Disorders and Anterior Facial Height in Saudi Population.” Second-Place Award for Oral Presentation by an M.S. student: Mohammed Raghid Alolabi, “Accuracy of Photogrammetry in 3D Reconstruction of Teeth.” Best Postgraduate Poster Presentation (tie): Khalid Al-Hezaimi (periodontics), “Clinical Evaluation of Novel Buccoadhesive Film Containing Ketorolac in Periodontal Surgery Pain Management,” and Wesam Damanhouri (pediatric dentistry), “Evaluation of Microleakage between Partially Set Mineral Trioxide Aggregate (MTA) and Different Restorative Materials.” Best Scientific Research Presentation by a Senior (Andrews Society Award): David Joey Chang, D08, “Effects of Mandibular Retro-Positioning, with or without Maxillary Advancement, on Oro-Naso-Pharyngeal Airway and the Development of Sleep-related Breathing Disorders.” ADA/Dentsply Student Clinician Award for Best Overall Pre-doctoral Table Clinic: Todd Walker, D10, “Effect of Adhesive System and Composite Type on Dentin Bonds,” with faculty mentor Gerard Kugel. Second-Place Award for Pre-doctoral Table Clinic (cash prize donated by Jess Kane, David Tesini and Nancy Jo Soporowski): Samantha Jordan, D10, “A Role for Ralb in E-Cadherin-deficient Cells during Squamous Cell Carcinoma Progression,” with faculty mentor Jonathan Garlick. Third-Place Award for Pre-doctoral Table Clinic (cash prize donated by Jess Kane, David Tesini and Nancy Jo Soporowski): Daliah Salem, D10, “A Comparative Assessment of Oral Health Status of Non-compliant Domestic Violence Patients,” done with faculty mentors Kanchan Ganda and Paul Stark. Research Committee Award for Basic Science Research: Paul Ala, D10, “3-D Chemical Cross-Linking Map of Yeast Cleavage/Polyadenylate Complex,” with faculty mentor Andrew Bohm, associate professor of biochemistry, Tufts School of Medicine. Massachusetts Dental Society and ASDA Public Health Award: Amanda Jones, D09, “A Comparative Assessment of Nutrition Risk Scores of Patients with Intimate Partner Violence History,” with faculty mentor Gulsun Gul. Omicron Kappa Upsilon (OKU) Hilde Tillman Award: Dean Tiboris, D09, “Dental Pulp Cell Gene Expression in Three-dimensional Mineralizing Cultures,” done with faculty mentor Petros Damoulis. Procter & Gamble Traveling Fellowship Award: Matthew Wimmer, D09, “Shear Strength of Dental Composite versus Mineralized Silk-based Biomaterial,” with faculty mentor Gerard Kugel. Dr. Chad Anderson Family Award for Innovative Methodology and Research Design: Richard Dickinson, D09, and Sarah Stipho, D08, “Compressive Modulus Testing of Mineralized Silk-based Biomaterial,” with faculty mentor Gerard Kugel. summer 2008 t u f t s d e n ta l m e d i c i n e 35 ON CAMPUS DENTAL SCHOOL NEWS Above: Michael Winkelman gives his first shot of local anesthesia to fellow student Kyungsuk Yoo. At left: James Murphy, D09, injects his “patient,” Marc Tully, D10, under the watchful eyes of Ann Elizabeth Thompson, D10; Courtney Rubin, D10; and Monica Rancourt, D10. Booster Shots Students give their first injections of local anesthetic— to each other by Julie Flaherty o one likes a shot in the mouth, but can it be harder to give than to receive? Each January, second-year students at the School of Dental Medicine take a gentle stab at injecting their first local anesthetic, facing what Professor Morton Rosenberg calls the “most fearful procedure in dentistry.” The upside? They practice these injections on the most empathetic guinea pigs—each other. N 36 t u f t s d e n ta l m e d i c i n e summer 2008 This singular rite of passage marks the students’ transition from classroom courses to hands-on clinical training, which means it is the final hurdle before treating real patients. It can be a first in other ways, as well. “For maybe 30 percent of students, they have never had a local anesthetic, their teeth are so perfect,” says Rosenberg, D74, who has directed the local anesthesia clinic for eight years. As the Class of 2010 takes its turn, you might expect the clinic to be so quiet you could hear a needle drop. But the fifth floor of the dental school hums with nervous laughter and words of encouragement, an advantage of trying out newfound skills on a pal’s mouth. When one injection falls short of its mark, the “patient,” Courtney Rubin, D10, urges her classmate to try again. “Get back on the horse,” she says. “Just do it, seriously. I have a high pain threshold.” Pablo Gonzalez, D10, is determined to be extra tactful with his clinic partner, Laleh Sotoodeh, D10. “She knows where I live,” he says. She later gives him high marks. Assistant Professor David Paul, D89, appreciates their apprehension, remembering the first local injection he gave as a student, on this same floor, some two decades ago. “You’re doing it to your friend,” he says, adding, “You hope they’re your friend.” PHOTOS: ALONSO NICHOLS Rosenberg is grateful for the dozen teaching assistants who help guide the 70 sophomores in the session through the task, which is more than just pushing a plunger. The slower the injection, the less the patient will feel it. But hover too long with the needle, and the patient gets unnerved. As one student starts his injection, teaching assistant Gregory Pette, D08, suggests some patient distraction: “Now would be a good time to talk about how the Patriots are going to do.” Students learn there is more than one way to give a shot. Should you bend the needle a little first to make the approach easier? Should you close the mouth slightly and aim high, or keep the mouth open and aim lower? Because each mouth is different, no one method necessarily works for every patient, says Yoon Kang, D08, a teaching assistant. “During my two years in clinic, I sort of developed my own method,” he says. “I can show them that, and they can have it as part of their arsenal.” Paul Trombly, D85, an associate clinical professor, says the second-year students receive understanding guidance from the teaching assistants, and the fourth-year students get a confidence boost. “You don’t know how much you’ve learned until you try to teach something,” he says. The school’s head of infection control, Shannon Balletto, is also on hand to reinforce safety precautions, like gloves and face protection. What better moment to teach safety than when students are learning to recap needles without sticking themselves? Some claim to sweat bullets. Some are stoic. The one thing they have in common is the fervent desire not to be the one who needs 20 tries to get it right. Teaching assistant Jennifer Blair, D08, later says the students were shaking a little, but once they had given and gotten their allotment of Carbocaine, the dental anesthesia of choice, they were happy to find it had been a fairly simple procedure. Even so, she says, “they were embarrassed to smile because they thought their lips were drooping.” EMPLOYEES OF DISTINCTION PRESIDENT LAWRENCE S. BACOW HOSTED THE INAUGURAL TUFTS DISTINCTION AWARDS ceremony at the Granoff Music Center on the Medford/Somerville campus on June 3 to honor exceptional members Tufts President Lawrence S. Bacow and Aidee N. Herman of the Tufts community. More than 200 nominations were received, and 13 awards were given in four categories. Four members of the Tufts Dental community were recognized: Aidee N. Herman, associate clinical professor of periodontology, received the Bridge Builder Award, for bringing out the best in others; the Extra Mile Award, for exceptional customer service, went to Mark Gonthier, associate dean for admissions and student affairs, and Robin Graham, dental practice administrator; and Danny Dicicco, senior IT support specialist, received the Unsung Hero Award, for accomplishing the extraordinary, every day. Charles Rankin, D79, DG86, D08P, professor of endodontics, represented the dental school on the Awards Committee. Back On Campus Catch up on the latest news from your school and Tufts University in the Tufts Journal, the online publication for the university community. We’re keeping you informed at tuftsjournal.tufts.edu. You’ll also find more news and events at news.tufts.edu. summer 2008 t u f t s d e n ta l m e d i c i n e 37 ON CAMPUS DENTAL SCHOOL NEWS Lifesaver “We have to do better at finding it early,” says Kahn. “Eva suffered so much, mostly because of the delayed diagnosis. Every month that clicked by, that cancer was growThe importance of oral cancer screening can’t be ing bigger, deeper and spreading.” Annual emphasized enough, says a survivor by Jacqueline Mitchell dental screenings, says Kahn, should include a visual and physical exam of the entire y the time eva grayzel got an accurate diagnosis of mouth, as well as checking the lymph nodes oral cancer, she had a 15 percent chance of survival. Over in the neck for any abnormality or swelling. the course of two years, a general dentist, two oral surgeons One possible reason Grayzel’s dentist and an ear specialist all failed to recognize the painful, missed her diagnosis is that she didn’t fit the recurring lesion on Grayzel’s tongue as a deadly cancer. Following hartraditional profile of an oral cancer patient. rowing surgeries and radiation therapy that sapped her will to live, Tobacco use—either in the form of cigaGrayzel overcame the disease and has been rettes or chewing tobacco —is cancer-free for 10 years. a clear risk factor for oral canNow she is on a mission to tell her story, cer, especially when combined particularly to dental students and practicing with alcohol use. Grayzel diddentists, and this spring took her message to n’t smoke and was only a light the School of Dental Medicine. Screen everydrinker. Most patients are over body who comes though the door for signs of age 40; Grayzel was 31 when cancer, she says, and you might save a life. she first complained of sympThree Americans are diagnosed with oral toms. Men are disproportioncancer each hour, and one dies of the disease ately affected by the disease every day. Global rates are even higher, espe—though women seem to be cially in countries where tobacco use is percatching up—as are African vasive. Of the 27,000 patients in this country Americans. diagnosed annually with oral cancer, only Still, the biopsy ordered half will live five years. While not as common originally by Grayzel’s oral suras breast or lung cancer, oral cancer’s death geon came back clean. What toll “is like a small plane going down every went wrong? “The problem is day,” a direct result of late diagnoses, says too many biopsies never make “I had no idea this was potentially Michael Kahn, professor and chair of oral it to oral pathologists, who are dangerous,” Eva Grayzel says of and maxillofacial pathology. much more likely to accurately the small bump in her mouth that Grayzel first noticed a slight sore on the diagnose oral cancer early in eventually was diagnosed as cancer. side of her tongue in 1996. A busy 31-year-old the game,” says Kahn. working mother with two small children, she didn’t get to her local denGrayzel, a professional storyteller, spoke tist in Bethlehem, Pa., until six weeks later. That dentist sent her to an to Kahn’s second-year oral pathology class oral surgeon, who told her the lesion didn’t look like anything to last year, and “tons of students went up to worry about. He removed the small bump to relieve her discomfort. A her and profusely thanked her and said it week later, Grayzel got a phone call telling her the biopsy had come back would really make a difference in their clean. The call came as something of a surprise. “I had no idea this was careers,” he says. This year he scheduled potentially dangerous,” she says. her for a lunchtime lecture and opened it to Two years later, the sore came back. The oral surgeon told her it was the entire dental school community. just a callous. Rinse with salt, he suggested. But the ulceration refused to “It really hit home,” says Laleh Sotoodeh, clear up. Soon the sore on her tongue interfered with her speech. After D10, whose childhood friend’s life was bouncing back and forth between the oral surgeon and dentist, her consaved when a savvy dentist diagnosed her dition only worsened. She called a family friend, a plastic surgeon, who aplastic anemia. Grayzel’s take-home mesurged her to seek help at a medical center. Three weeks later, a doctor at sage, that it’s important to do careful Mount Sinai Medical Center in Manhattan felt her lymph nodes, looked screening of all patients, was not new to at the ulcer on her tongue, performed another biopsy and told Grayzel she Sotoodeh. That lesson already has been had stage IV oral cancer. ingrained in her by her Tufts professors, but “The shock alone could have killed me,” she says. “Why didn’t [my she says, Grayzel’s story is one she “won’t dentist and oral surgeon] know what they were looking at?” ever forget.” B 38 t u f t s d e n ta l m e d i c i n e summer 2008 PHOTO: MELODY KO THIRD-YEAR DENTAL STUDENT NAMED NIH RESEARCH SCHOLAR Tufts Dental Class of 2012 WHO THEY ARE SAMANTHA JORDAN, A06, D10, IS ONE OF 110 HEALTH SCIENCES STUDENTS IN THE COUNTRY Applications 4,344 who will get the chance to conduct biomedical research full time for a year as part Interviewed 456 of a $4 million venture by the Howard Hughes Medical Institute (HHMI). Accepted 323 Total GPA 3.43 Science GPA 3.37 Men 50% Women 50% Jordan is the only dental student among the 42 students—from 26 medical schools, three veterinary schools and an osteopathic school—who will take part in the HHMI-NIH Research Scholars Program, which brings top health sciences students to the National Institutes of Health campus to conduct hands-on biomedical research. Students in the program are also known as Cloister Scholars because they live at a refurbished cloister on the NIH campus in Bethesda, Md. They will visit several NIH labs before choosing the research project they will pursue with an NIH mentor. Cedar Fowler, a second-year student at Tufts School of Medicine, also has been selected as a Cloister Scholar. TOP FEEDER SCHOOLS Tufts University Boston University Adelphi University University of Michigan–Ann Arbor Boston College “I am thinking of doing a public health program once I graduate, so I would Brandeis University like to work in an epidemiology lab,” says Jordan, who earned her undergraduate Cornell University degree in biochemistry from Tufts. “One of the great things about the research Northeastern University program is that you can do almost anything that interests you.” University of Florida In a separate HHMI program, another 68 students have been awarded University of Massachusetts–Amherst Research Training Fellowships for Medical Students, which allow them to work University of Washington at a lab anywhere in the United States, except the NIH. Arizona State University “These students will one day be on the frontlines between biomedical research and the public,” says Peter J. Bruns, HHMI’s vice president for grants and special programs. “We want them to have a strong background in research and then pur- College of the Holy Cross Providence College University of New Hampshire University of South Florida sue it as a career.” University of Virginia As an undergraduate, Jordan worked in the lab of Larry Feig, a professor of biochemistry at Tufts School of Medicine and director of the biochemistry program at the Sackler School of Graduate Biomedical Sciences. She studied the Ras protein, which communicates with other cells, and its relation to cancer WHERE THEY COME FROM 4% Mountain States progression, looking specifically at how cells convert from their pre-cancerous 7% Midwest state to malignant, invasive cancer cells. 8% South Jordan continued her work with the Ras protein last summer, in collaboration 6% Florida 4% International 39% New England with Jonathan Garlick, director of the dental school’s Division of Cancer Biology and Tissue Engineering. “Dr. Garlick’s lab had developed a 3-D tissue model that allowed us to study the Ras protein in 3-D, letting us look at the protein from a whole new perspective,” she says. —Kaitlin Melanson 12% West Coast 20% Mid Atlantic SOURCE: OFFICE OF ADMISSIONS AND STUDENT AFFAIRS summer 2008 t u f t s d e n ta l m e d i c i n e 39 ON CAMPUS DENTAL SCHOOL NEWS Senior Awards MEMBERS OF THE CLASS OF 2008 RECEIVED 67 NATIONAL AND alumni awards during the Graduation Awards Dinner, held on May 9 at the Westin Copley Place. Of the 168 graduating seniors, 156 attended the event. The annual dinner, sponsored by the Tufts Dental Alumni Association, continues to increase in popularity, with more than 450 students, faculty, staff and guests attending this year. Two students in the Class of 2009 also received awards. BASIC SCIENCES Association of Tufts Alumnae Senior Award: Nancy Perkins Machemer Jack Frommer Award for Excellence in the Morphological Sciences: Jordan Ross Lissauer Class of D2002 Endowed Prize Fund for Peer Support and Leadership: Rebecca Elizabeth Seppala ENDODONTICS American Academy of Dental Practice Administration and AADPA Endowment & Memorial Foundation 18th Annual Award in Four-Handed Dentistry: Jonathan D. Albaugh Alumni Clinical Excellence Award in Endodontics: Amanda Blood Kopacz Peer American Association of Endodontists Student Achievement Award: Jordan Ross Lissauer Lester P. Goldsmith Endowed Prize Fund in Endodontics: Winna E. Goldman GENERAL DENTISTRY Alumni Clinical Excellence Award in General Dentistry: Kerith Rankin ETHICS, PROFESSIONALISM AND CITIZENSHIP Presidential Award for Citizenship and Public Service: Allan Y. Pang Dr. Justin Lee Altshuler, D46, and Bernice Lee Altshuler Family Prize Fund for Community Service: Susana Yessenia Verbis Alumni Clinical Excellence Award in Geriatric Dentistry: Heidi Sarah Birnbaum Academy of General Dentistry Senior Student Dental Award: Janice Ming San Choi American Academy of Oral and Maxillofacial Radiology Achievement Award: Ann T. Hua Dr. Justin Lee Altshuler, D46, and Bernice Lee Altshuler Family Prize Fund for Ethics: Melissa M. Dennison American Academy of Orofacial Pain Outstanding Senior Award: Joffre Martin Dr. S. Walter Askinas Endowed Prize Fund for Integrity and Citizenship: Timothy Michael Johnson American Academy of Craniofacial Pain Award: Michael Allen Hull 40 t u f t s d e n ta l m e d i c i n e summer 2008 Gentle Dental Senior Endowed Prize Fund for Exceptional Chair-side Manner: Rebecca Elizabeth Seppala Dean’s Award for Distinguished Performance in Pharmacology: Gregory Asher Pette American Equilibration Society Senior Award: Susannah Martha Cornelia Mitchell IMPLANTOLOGY American Association of Oral and Maxillofacial Surgeons Dental Implant Student Award: David Joey Chang International Congress of Oral Implantologists ICOI/SullivanSchein Dental Pre-doctoral Achievement Award: Miles Reed Cone ORAL AND MAXILLOFACIAL SURGERY Alumni Clinical Excellence Award in Oral and Maxillofacial Surgery: David Joey Chang American Association of Oral and Maxillofacial Surgeons Dental Student Award: Michelle K. Roberts American Dental Society of Anesthesiology Horace Wells Senior Student Award: Jordan Ross Lissauer Robert E. O’Neil, D51, Prize in Oral Surgery: Dilshan N. Gunawardena ORAL PATHOLOGY Alumni Clinical Excellence Award in Oral Pathology: Alison E. Gomes American Academy of Implant Dentistry Dental Student Award: Kelly Sara Wojcicki American Academy of Oral and Maxillofacial Pathology Senior Student Award: Claudia E. Maiolo Academy of Osseointegration Outstanding Dental Student in Implant Dentistry Award: Anthony John Palumbo American Academy of Oral Medicine Certificate of Merit and Award: Timothy Michael Johnson LEADERSHIP ORTHODONTICS American Association of Women Dentists Dr. Eleanor J. Bushee Senior Dental Student Award: Joyce Soinda Gitangu American Association of Orthodontists Award: Cindy Leung American Student Dental Association Award for Excellence: Jenny L. Liang Pierre Fauchard Academy Senior Student Award: Teresa Silva Moniz American College of Dentists Award: Michael Allen Hull Everett Shapiro, DG49, Endowed Prize Fund in Orthodontics: Michelle K. Roberts PEDIATRIC DENTISTRY Alumni Clinical Excellence Award in Pediatric Dentistry: Katayoon Dorosti American Academy of Pediatric Dentistry Certificate of Merit Pre-doctoral Student Award: Jennifer R. Blair Dean Lonnie H. Norris, left and Mark Gonthier, associate dean for admissions and student affairs, right, with senior class officers at commencement, from left: Timothy Johnson, vice president; Dilshan N. Gunawardena, treasurer; Michael A. Hull, president of D08; Rebecca E. Seppala, secretary; and Ameeta Sachdev, president of DI08. PERIODONTOLOGY Alumni Clinical Excellence Award in Periodontology: Kelly A. Dezura American Academy of Periodontology Dental Student Achievement Award: Amanda Blood Kopacz Peer Quintessence Award for Clinical Achievement in Periodontics: Theresia Sianita Laksmana Northeastern Society of Periodontists Award: Marjorie Baptiste PERSONAL AND PROFESSIONAL GROWTH Alpha Omega Graduating Senior Student Award: Amanda Blood Kopacz Peer Dean Lonnie H. Norris, DG80, and Dr. Donna M. Norris Senior Endowed Prize Fund for Achievement, Professionalism and Strength of Character: Matthew Scott Mower Delta Sigma Delta Dental Senior Award for Academic Achievement: Jade-Lin Mew Sun Wong PHOTO: J.D. SLOAN Dr. Frank Susi, DG67, Endowed Prize Fund: Yoon H. Kang Dr. Frederick A. Romberg, D29, Endowed Prize Fund Recognizing Outstanding Personal and Professional Growth during the Four Years of Dental Education: Guimy Cesar International College of Dentists Student Leadership Award: Rebecca Elizabeth Seppala PUBLIC HEALTH DENTISTRY Academy of Dentistry for Persons with Disabilities Student Award: Britta E. Magnuson Alumni Clinical Excellence Award in Public Health Dentistry: Uchenna Lena Nweze American Association of Public Health Dentistry Dental Student Recognition Award for Achievement in Community Dentistry and Dental Public Health: Franklin Antonio Cordero Dr. Esther Kaplan Colchamiro, D42, and Ralph Colchamiro Endowed Prize Fund for Community and Public Health: Allan Y. Pang and Parita J. Patel RESEARCH Dr. Harold Berk Endowed Prize Fund for Excellence in Research: Winna E. Goldman Erling Johansen, D49, Senior Student Research Endowed Prize Fund: Lauren Catherine Gulka Quintessence Award for Research Achievement: Brian M. Green Academy of Operative Dentistry Award: Nicholas Edward Miller American Academy of Esthetic Dentistry Student Award of Merit: Eunis Choi Rudolph Hanau Award for Excellence in Prosthodontics: Jin Koo Kim A. Albert Yurkstas, D49, Endowed Prize Fund in Complete Denture Prosthodontics: Gaganpreet S. Gill Dr. and Mrs. Albert J. Kazis Endowed Prize Fund in Crown and Bridge: John Lee and Nastela Babo American Association of Oral Biologists Award: Dong Jin Lee Joseph R. Evans Endowed Prize Fund in Clinical Operative Dentistry: Mark Allen Larsen RESTORATIVE DENTISTRY Quintessence Award for Clinical Achievement in Restorative Dentistry: Shivani H. Patel Alumni Clinical Excellence Award in Restorative Dentistry: Paul Brooks Noland Academy of Dental Materials Annual Student Award: Kyle Ryan Griffith Dr. Joseph E. Primack, D42, Endowed Prize Fund in Prosthodontics: Sophana Hem summer 2008 t u f t s d e n ta l m e d i c i n e 41 ON CAMPUS ENDODONTICS Virginia Karapanou, DG94, DI01, DG07, associate professor Publications: ■ “Interleukin-8 Is Increased in Gingival Crevicular Fluid from Patients with Acute Pulpitis,” Virginia Karapanou, Duraisamy Kempuraj and Theoharis C. Theoharides, Journal of Endodontics, February 2008. ■ “Tridimensional Response of Human Dental Follicular Stem Cells onto a Synthetic Hydroxyapatite Scaffold,” Filiberto Mastrangelo, Elena Nargi, Luigi Carone, Marco Dolcia, Francesco Caciagli, Renata Ciccarelli, Maria Anna De Lutiis, Virginia Karapanou, Basha Y. Shaik, Pio Conti and Stefano Tete, Journal of Health Sciences, 54(2), 1–8, 2008. ■ “Autogenous Attachment Technique with Esthetics in Mind: A Trauma Management Case Report,” Virginia Karapanou and Ekaterini Antonellou, Journal of the Massachusetts Dental Society, Winter 2008. FACULTY NOTES stem cells and tissue engineering. The program, which Garlick arranged with the Gann Academy in Waltham, Mass., gives seniors an opportunity to experience a research lab environment. They are assigned projects in tissue engineering, tissue culture and cancer biology. Garlick, who mentored the students, was assisted on the project by his postdoctoral associate, Mark Carlson. Garlick is serving as a scientific adviser to the Pioneer Valley Life Sciences Institute in Springfield, Mass., and the Boston Biological Research Institute in Watertown, Mass. He is also an affiliated faculty member with the Institute for Clinical Research and Health Policy Studies at Tufts Medical Center. Olivier Etienne, an assistant professor at Louis Pasteur University’s School of Dentistry in Strasbourg, France, has joined Garlick’s lab for three months to work on the development of hybrid biomaterials for dentistry. Presentations: “Stem Cells and the Future of Dentistry,” New York Chapter of the Tufts Dental Alumni Association, New York City, March 19. ■ “The Many Microenvironments of Squamous Cell Carcinoma Progression,” Timberline Symposium of Cancer, Stem Cells and the Microenvironment, Oregon, February 2008. ■ “Engineered Human 3D Tissue Platforms for Drug and Product Screening,” New York Skin Club, Columbia University, November 29, 2007. ■ GENERAL DENTISTRY Leopoldo P. Correa, assistant professor, gave a lecture on “Dental Sleep Medicine: The Use of Oral Appliances for the Treatment of Obstructive Sleep Apnea” at the University of Florida on May 10. PROMOTION Steven Scrivani to professor of general dentistry in the Craniofacial Pain Center ORAL AND MAXILLOFACIAL PATHOLOGY Christophe Egles, assistant professor, has been appointed academic editor of the journal PLoS ONE. Jonathan Garlick, professor and head of the Division of Cancer Biology and Tissue Engineering, had seven high school students in his research lab for a onemonth externship experience in 42 t u f t s d e n ta l m e d i c i n e DIVISION OF CANCER BIOLOGY PRESENTATIONS: ■ “Into the Third Dimension: Identifying Potential Targets for Cancer Therapy in 3D, Human Tissue Models of Squamous Cell Carcinoma,” A. Alt-Holland, first annual International Association for Biological and Medical Research Symposium, the Forsyth Institute, Boston, June 7. summer 2008 ■ “Abrogation of E-cadherin and Loss of Cell-cell Adhesion Directs the Transition to Individual Carcinoma Cell Invasion through Activation of FAK and Src kinases,” poster presentation by A. Alt-Holland, Y. Szwec-Levine, T.M. DesRochers, Y. Shamis, D. Green and J.A. Garlick, fourth annual International Association for Biological and Medical Research (IABMR) Symposium, Boston, December 2007. (The presentation won second place in the IABMR awards competition, for excellence in scientific study presentation.) ■ “A Role for RalB in E-cadherindeficient Cells during Squamous Cell Carcinoma Progression,” a poster presentation by Samantha Jordan, Addy AltHolland, Adam Sowalsky, Yonit Szwec-Levine, Larry Feig and Jonathan Garlick, Tufts University School of Dental Medicine, Bates-Andrews Research Day, March 12. (The presentation won second place for pre-doctoral table clinic.) ■ “RalA Suppresses Invasion by Ras-transformed Keratinocytes in a Bioengineered Human Tissue Model of Squamous Cell Carcinoma,” a poster presentation by Adam Sowalsky, Addy Alt-Holland, Jonathan Garlick and Larry Feig, Tufts University, Charlton Poster Competition, May 2008. (Poster received a second-place award.) ■ “RalB Loss in E-cadherindeficient Tumor Cells Promotes 3D Tissue Hyperproliferation,” a poster presentation by Samantha Jordan, Addy Alt-Holland, Adam Sowalsky, Yonit Szwec-Levine, Larry Feig and Jonathan Garlick, International Association for Dental Research 86th general session, Toronto, Canada, July 2008. ■ “RalA Suppresses Invasion by Ras-transformed Keratinocytes in a Bioengineered Human Tissue Model of Squamous Cell Carcinoma,” a poster presentation by Adam Sowalsky, Addy Alt-Holland, Jonathan Garlick and Larr y Feig, FASEB Summer Research Conference, Saxton River, Vt., July 2008. DIVISION OF CANCER BIOLOGY PUBLICATIONS: ■ “E-cadherin Suppression Directs Cytoskeletal Rearrangement and Intraepithelial Tumor Cell Migration in 3D Human Skin Equivalents,” A. Alt-Holland, Y. Shamis, K.M. Riley, T.M. DesRochers, N.E. Fusenig, I.M. Herman and J.A. Garlick, Journal of Investigative Dermatology, June 5, 2008. ■ “Denatured Collagen Modulates the Phenotype of Normal and Wounded Human Skin Equivalents,” C. Egles, Y. Shamis, J. Mauney, V. Volloch, D. Kaplan and J. Garlick, Journal of Investigative Dermatology, 128(7): 1830–1837, 2008. ■ “The Basement Membrane Microenvironment Directs the Normalization and Survival of Bioengineered Human Skin Equivalents,” N. Segal, F. Andriani, L. Pfeiffer, P. Kamath, N. Lin, K. Satyamurthy, C. Egles and J. Garlick, Matrix Biology, 27(3): 163–170, 2008. ■ “Self-assembling Peptide Nanofiber Scaffolds Accelerate Wound Healing,” A. Schneider, J.A. Garlick and C. Egles, PLoS ONE, 3(1): e1410, 2008. ■ “Denatured Collagen Prevents Aging of Primary Human Fibroblasts Resulting in Accelerated Wound Closure in Human Skin Equivalents,” C. Egles, Y. Shamis, J.R. Mauney, V. Volloch, D.L. Kaplan and J.A. Garlick, Journal of Investigative Dermatology (in press). ■ “Three-dimensional Tissue Models of Normal and Diseased Skin,” M.W. Carlson, A. AltHolland, C. Egles and J.A. Garlick, Current Protocols in Cell Biology (in press). Michael A. Kahn, professor and chair, was appointed a full professor in the pathology department of Tufts University ■ Toothbrush and lip balm disposal, Men’s Health, April 2008. ■ “Dental Calamities That Can Truly Hurt—Oral Cancer,” New York Times, May 13. HEAVY MEDAL DEAN LONNIE H. NORRIS, DG80, FRONT, STANDS awash in applause after learning that he was the recipient of a Tufts University Provost’s Medal, presented on May 3 in recognition of his embodiment of many of the values the university seeks to instill in its students— leadership, humanitarianism and compassion. Behind the dean are Jess Kane, left, D74, DG76, DG79, D04P, DG06P, and Tufts President Lawrence S. Bacow. The medal presentation caught the dean by surprise during Reunion Weekend. His wife, Donna Norris, flew in from a medical conference she was attending in Washington, D.C., and their children, Marlaina, M99, and Michael, A01, found “excuses” to be in Boston that weekend. Norris joined the dental school faculty in 1977 as a postgraduate resident in oral and School of Medicine on January 1. He was the first oral pathologist to give a lecture to Tufts medical students in the second-year gastrointestinal system course titled “Oral Pathology for the Family Physician” on March 3. Kahn attended the National Board Dental Examination Part 1 Test Construction Committee meeting for the Microbiology–Pathology PHOTO: ALONSO NICHOLS maxillofacial surgery. He served as interim dean in 1995 and has been dean since 1996. The Provost’s Medal certificate reads, in part: “Dr. Norris has distinguished himself through his deep personal commitment to the university. Under his administration, the dental school has achieved sound management and outstanding fundraising achievement. Dr. Norris addressed the challenges facing dental education, ushered the school to the forefront of clinical training and implemented programs critical to ser ve those most in need of oral health care. The current Vertical Expansion Initiative, a physical transformation of the school that ensures that Tufts’ leadership in dental education will endure, is a direct result of Dr. Norris’ tireless efforts and careful leadership.” Section in Chicago June 11–13. He published part 2 of the basic human pathology course as part of the Tufts OpenCourseWare project, which provides free access to course content for everyone online (http://ocw.tufts.edu). Regional Technical School, Medfield, Mass., April 12. ■ Special Olympics Special Smiles Dental Health Program, Harvard University, Cambridge, Mass., June 14. Community Outreach: ■ Oral Cancer Screening, Elder Dental Program, Blue Hills ■ Media Interviews: “Oral Cancer,” Australian Broadcasting Corporation, “The Health Report,” February 2008. Presentations: ■ “The Case of the Bitten Cheek: Mock Malpractice Trial (Oral Cancer),” Yankee Dental Congress, Boston, January 31. ■ “Thinking and Doing Oral Pathology,” a workshop, Yankee Dental Congress, Boston, February 1. ■ “Treating Fever Blisters and Canker Sores,” Yankee Dental Congress, Boston, February 2. ■ “Screening and Early Detection of Oral Cancer,” Craniofacial Pain Center, Tufts School of Dental Medicine, February 13. ■ “Histological Diagnostic Pitfalls and Dilemmas of Oral and Maxillofacial Pathology,” co-presented with Craig Fowler, United States and Canadian Academy of Pathology annual meeting, Denver, Colo., March 6. ■ “Faculty Perspectives on Teaching with Audience Response Systems in the Health Sciences,” Health Sciences Mini-Symposium, Boston, March 6. ■ “The Benefits of Comprehensive Oral Cancer Screening,” LockeOber Restaurant, Boston, April 9. ■ “Short Stories and Tales of Oral Pathology,” Tufts University School of Dental Medicine, April 30. ■ “Oral Cancer Screening and Early Adjunctive Detection Devices,” TriCounty Study Club, Boston, Mass., May 1. ■ “Oral Cancer and Pre-malignancy Screening,” Massachusetts Dental Society, Southborough, Mass., May 8. ■ “The Use of Audience Response System in Oral Pathology,” UIT Summer Institute, Medford, Mass., May 21. ■ “Update on Etiologic Factors, Proper Conventional Oral Examination, Pre-malignant Lesions and Suggested Follow-up Protocol” summer 2008 t u f t s d e n ta l m e d i c i n e 43 ON CAMPUS FACULTY NOTES and “Liquid-based Brush Cytology,” third annual Oral Cancer Symposium, Boston, May 21. ■ “Current Topics in Oral Pathology,” a guest editorial, Alpha Omegan, 100(4):174–175. Publications: ■ Your Pocket-Size Dental Drug Reference, 13th edition, January 2008. ■ “Dental Management and Therapeutic Considerations in Patients with Specific Oral Conditions and Other Medicine Topics,” Drug Information Handbook for Dentistry, 13th edition, Lexi-Comp Inc. Pamela C. Yelick, G89, has been promoted to professor, with tenure. She also has been appointed to the board of directors for the journal Tissue Engineering for a term that ends in December 2011. ORAL AND MAXILLOFACIAL SURGERY Constantinos Laskarides, DG03, assistant professor Lynn W. Solomon has been promoted to associate professor in the department. She was one of 14 faculty fellows who this year participated in the Tufts University Center for the Enhancement of Learning and Teaching (CELT) program, a 45-hour seminar series designed to strengthen teaching skills. She also served as the scientific editor for the December 2007 oral pathology issue of the Alpha Omegan, the journal of Alpha Omega International dental fraternity. Presentations: ■ “Systemic Influences on Oral Health,” Pioneer Valley Dental Society, Holyoke, Mass., April 16. ■ “Immunology of Oral Mucosal Lesions,” European Research Group of Oral Biology meeting, Fislisbach, Switzerland, May 31. Publications: ■ “Chronic Ulcerative Stomatitis,” Oral Diseases, 14:383–389, 2008. ■ “A Clinico-Pathologic Correlation: Sebaceous Lymphadenoma,” R.A. Abdool, L.W. Solomon and M.A. Papageorge, Journal of the Massachusetts Dental Society, Spring 2008. ■ “Ewing’s Sarcoma of the Mandibular Condyle: Multidisciplinary Management Optimizes Outcome,” L.W. Solomon, J. Frustino, T. Loree, M.L. Brecher and M. Sullivan, Head & Neck, 30(3):405–410, 2008. 44 t u f t s d e n ta l m e d i c i n e Presentations: ■ “Bisphosphonate-related Osteonecrosis of the Jaws,” Metro-North Dental District, Peabody, Mass., November 2007. ■ “Non-invasive Facial Cosmetic Procedures,” South Shore Dental District, Randolph Mass., December 2007. ■ “Management of Medically Compromised Patients,” a lecture for Tufts postgraduate prosthodontic students, January 10 and January 17. ■ “Odontogenic Cysts” and “Facial Skeletal Surgery,” lectures for the otolaryngology departments at Tufts and Boston University, March 2008. Paul Marino, A55, associate clinical professor, notes that his son, Joseph Marino, D88, DG92, is the immediate past president of the Massachusetts Society of Oral and Maxillofacial Surgery (MSOMS). A former MSOMS president himself, Paul Marino says they are the only father and son to have led the organization. Amir Naimi, DG08, chief resident, traveled to Darward, India, for a three-week rotation at the Sri Dharmatsala Manjunath Eswara (SDME) College of Dental Sciences. Lonnie H. Norris, DG80, dean and professor, received a crystal award from Young-Chel Park, dean of the Yonsei University College of Den- summer 2008 tistry in Seoul, South Korea, on May 23 for his participation in the eighth Yonsei International Symposium, held in commemoration of the 93rd anniversary of Yonsei Clinical Dentistry and the 40th anniversary of Yonsei University College of Dentistry. Maria Papageorge, D82, DG86, G89, professor and chair, gave three presentations at the University of Sao Paulo in Brazil in May: “Reconstruction of the Edentulous Maxilla with Zygoma Implants,” “Orthognathic Surgery” and “Oral and Maxillofacial Surgery Residency Programs in the USA.” Morton Rosenberg, D74, professor and director of anesthesia and pain control, along with three other members of the Anesthesia Research Foundation, was awarded a $100,000 grant from the American Dental Association Foundation to develop an emergency airway course for dental providers of moderate sedation. Presentations: ■ “Sedation for the Special Needs Patient,” a two-day course, New York State Department of Mental Retardation and Disabilities, Albany, N.Y., January 2008. ■ “Anesthesia Potpourri, Politics and Pediatrics,” Kentucky State Society of Oral and Maxillofacial Surgeons and Kentucky Dental Society of Anesthesiology, Louisville, Ky., January 2008. ■ “Preparing Your Office for a Medical Emergency,” South Shore District Dental Society. Randolph, Mass., January 2008. ■ “High Fidelity Human Simulation: Respiratory and Cardiovascular Emergencies,” “Practical, Effective and Safe Enteral Sedation for Dentistry” and “Extremes of Age: Pediatric and Geriatric Considerations: Anesthesia/Sedation Assistant’s Course,” American Dental Society of Anesthesiology, Las Vegas, Nev., February 2008. ■ “Medical and Sedative Emergencies for the Dental Assistant,” Florida Dental Society of Anesthesiology, Orlando, Fla., February 2008. ■ “Pediatric Sedative Emergencies Using High Fidelity Human Simulation,” American Academy of Pediatric Dentistry, Cincinnati, Ohio, February 2008. ■ “Ambulatory Anesthesia Issues and Answers,” Maryland Society of Oral and Maxillofacial Surgeons and Maryland Society of Dental Anesthesiology, Baltimore, Md., March 2008. ■ “Anesthesia for the Ambulatory Patient,” Delaware Society of Oral and Maxillofacial Surgeons, Valley Forge, Pa., March 2008. ■ “Practical, Effective and Safe Enteral Sedation for the General Dentist” and “The Team Approach to Treating Medical Emergencies: Advanced Dental Assistant’s Course,” American Dental Society of Anesthesiology, Puerto Rico, April 2008. Publications: ■ “What Every Dentist Should Know about Malignant Hyperthermia,” A. Nami, K. Shastri and M.B. Rosenberg, Journal of the Massachusetts Dental Society, 55:4, 34–36, 2007. ■ “The 2007 American Heart Association Guidelines for the Prescription of Antibiotic Prophylaxis: A Brief Overview,” R. Khader and M. Rosenberg, Journal of the Massachusetts Dental Society, 56:3, 34–36, 2007. ■ “What Every Dentist Should Know about the Z-Sedatives,” S. McKenzie and M. Rosenberg, Journal of the Massachusetts Dental Society, 56:3, 44–45, 2007. Kalpakam Shastri, DG05, assistant professor, lectured on “Management of the Head and Neck Cancer Patient” at the University of Sao Paulo in Brazil in May. Departmental Presentations: and Skeletal Changes following SARPE,” A. Naimi, ■ “Dental M. Papageorge and K. Shastri, International Association of Oral and Maxillofacial Surgeons, Bangalore, India, November 2007. ■ “The Effects of Mandibular Retropositioning with or without Maxillary Advancement on the Oro-Naso-Pharyngeal Airway and the Development of Sleeprelated Breathing Disorders,” N. Demetriades, combined Grand Rounds for Tufts, Massachusetts General Hospital and Boston University, January 2008. ■ “Zygoma Implants for Reconstruction of the Severely Atrophic Maxilla,” N. Demetriades, A. Stratos, R. Chapman and M.B. Papageorge, 23rd annual meeting of the Academy of Osseointegration, Boston, February 2008. ■ “Retrospective Analysis of Implant Success in Irradiated Patients,” D. Oreadi, K. Shastri and M.B. Papageorge, 23rd annual meeting of the Academy of Osseointegration, Boston, February 2008. ■ “Alternative Bone Expansion Technique for Implant Placement in Atrophic Edentulous Maxilla and Mandible,” N. Demetriades, C. Laskarides, M. Papageorge, L. Rissin and D. Park, 23rd annual meeting of the Academy of Osseointegration, Boston, February 2008. Departmental Publications: ■ “Clinico-pathologic Correlation (Sebaceous Lymphadenoma),” R.A. Abdool, L. Solomon and M.B. Papageorge, Journal of the Massachusetts Dental Society, 57(1):36–37, 2008. ■ “Vesiculo-bullous Disease Suggestive of Pemphigus Vulgaris,” M. Singh, N. Demetriades, A. Papas and E. Gagari, Journal of the Massachusetts Dental Society, 56(4):42–44, 2008. ORTHODONTICS Barry Briss, D66, DG70, professor and chair, gave a presentation titled “An Update on Technology” at the Thomas Graber Leadership Conference at a meeting of the American Association of Orthodontists in Denver in May. He was a contributing author for a new orthodontic textbook, the 2008 Mosby’s Orthodontic Review. His topic was “Thirty-five Years of Change in a Pre-doctoral Orthodontics Program.” Publications: Assisted Rapid Palatal Expansion: A Literature Review,” L. Suri and P. Taneja, American Journal of Orthodontics and Dentofacial Orthopedics, 133(2):290–302, February 2008. ■ “Eruption Disturbances of the Maxillary Incisors: A Literature Review,” K.L. Huber, L. Suri and P. Taneja, Journal of Clinical Pediatric Dentistry, 32(3):221–30, 2008. ■ “Long-term Stability of Maxillary Expansion,” S.D. Marshall, J. English, G.J. Huang, M.L. Messersmith, H. Nah, M.L. Riolo, B. Shroff, T.E. Southard, L. Suri and D.L. Turpin, American Journal of Orthodontics and Dentofacial Orthopedics, 133(6):780–1, June 2008. Laura Camacho-Castro, DG83, associate professor and director of the postdoctoral program in pediatric dentistry, and Virginia Burns, pediatric hygienist, organized Give Kids A Smile Day in February for 100 children who attend a child-care center and school in Boston’s Chinatown neighborhood. Pre-doctoral and postdoctoral dental students gave an oral health presentation, and the children received “dental goody bags.” In April, Camacho-Castro and Burns gave oral health workshops for 43 teens who received dental care through the Massachusetts Dental Society mobile dental van, which spent four days at Youth Essential Ser vices on Harrison Avenue in Boston. Also in April, pediatric dentistr y postdoctoral residents participated in the Wang YMCA Health Fair, where they gave oral health presentations to parents and children. In May, David Tesini, D75, DG77, G79, associate clinical professor of public health and community ser vice, Camacho-Castro, Burns and pediatric dentistr y postdoctoral residents per formed dental screenings on children, teens and adults who have PKU (phenylketonuria), a genetic disorder that can cause problems with brain development, leading to mental retardation and seizures. The screenings were done in cooperation with a PKU conference and Tufts Floating Hospital for Children. Camacho-Castro lectured on “Dental Management of Children with Autism” at the Second International Dental Congress at King Abdulaziz University in Saudi Arabia on March 13. PEDIATRIC DENTISTRY Stanley Alexander, D75A, professor and chair, gave a presentation at the Alumni Dinner Meeting at Stony Brook University on May 17. Meletia Laskou, DG95, DI01, associate clinical professor, has achieved diplomate status with the American Board of Pediatric Dentistry. Vassiliki Cartsos, DG94, assistant professor, was co-author of “Bisphosphonate Use and the Risk of Adverse Jaw Outcomes: A Medical Claims Study of 714,217 People,” which was the cover story in the Journal of the American Dental Association, 139(1):23–30, 2008. Cartsos is the recipient of the 2008 Faculty Fellowship Award from the American Association of Orthodontists. Lokesh Suri, DI01, DG03, DG04, assistant professor and director of pre-doctoral orthodontics, received the 2008 Anthony A. Gianelly Teaching Fellowship Award from the American Association of Orthodontists Foundation. ■ “Surgically PERIODONTOLOGY Wai Cheung, DG02, DI06, assistant professor, received the Faculty Award from the American Academy of Periodontology Foundation in May. Terrence J. Griffin, D71, DG75, associate professor and chair Presentations: ■ “Periodontal Plastic Surgery,” South Shore Dental Hygiene Society, Norwood, Mass., February 5. ■ “New Advances in Periodontics and Implantology,” Midwest Society of Periodontists, Chicago, Ill., February 23. ■ “New Developments in Periodontal Plastic Surgery,” Burlington Periodontal and Implant Study Club, Burlington, Mass., February 27. ■ “Ridge Preservation Using a Flapless Technique with the Membrane Exposed,” J. Kim, T. Griffin and W. Cheung, American Association for Dental Research annual session, Dallas, Texas, March 2008. ■ “New Advances in Periodontal Plastic Surgery” and “Surgical Principles to Enhance Esthetics in Implantology,” Saudi Arabian Dental Society/King Abdulaziz University Faculty of Dentistry Symposium, Jeddah, Saudi Arabia, March 11. ■ “New Developments in Periodontal Plastic Surgery” and “Surgical Procedures to Enhance Esthetics in Implantology,” Kuwait Dental Society, Kuwait City, Kuwait, March 16–18. ■ “New Developments in Regeneration and Implant Therapy,” “Recent Advances in Esthetic Periodontal Surgery” and “Suture Materials and Techniques: Lecture and Hands-on Workshop,” King Faisal University Symposium, Dammam, Saudi Arabia, May 7–8. ■ “Surgical Principles to Enhance Esthetics in Implantology,” Korea University, Seoul, Korea, May 24. ■ “Surgical Procedures to Enhance Esthetics in Implantology” and summer 2008 t u f t s d e n ta l m e d i c i n e 45 ON CAMPUS FACULTY NOTES “Recent Advances in Esthetic Periodontal Surgery,” International College of Oral Implantology Symposium, Cheungju, Korea, May 25. ■ “Advanced Surgical Implant Therapy,” University of Rome, Italy, June 13. Publications: ■ “Preservacion del reborde alveolar. Por que y cuandro,” J. Nart, E. Marcushamer, J. Rumeu, A. Santos and T.J. Griffin, Periodoncia y Osteointegracion, 11:229-237, 2007. ■ “Nahtmaterialen im Vergleich: Eigenshaften und Anwendugsbereiche,” D. Engler-Hamm and T. Griffin, Dental Kompakt, 508-511, 2008. Rory O'Neill, associate clinical professor Timothy J. Hempton, associate clinical professor and assistant director of postdoctoral periodontology Presentations: ■ “The Periodontal Co-therapist,” Rocky Mountain Dental Convention, Denver, Colo., January 2008. ■ “Crown Lengthening Workshop,” given with James Hanratty, DG88, Yankee Dental Congress, Boston, February 2008. ■ “Implant Therapy and the RDH,” Star of the North Meeting, Minneapolis, Minn., May 2008. ■ “Implant Therapy and the RDH” and “Crown Lengthening Workshop,” Texas Dental Association annual meeting, San Antonio, Texas, May 2008. Publication: ■ “Strategies for Developing a Culture of Mentoring in Postdoctoral Periodontology,” Timothy J. Hempton, Dimitrios Drakos, Vikram Likhari, James B. Hanley, Lonnie Johnson, Paul Levi and Terrence J. Griffin, Journal of Dental Education, May 2008. Aidee Nieto Herman, associate clinical professor, was a judge for the Health Careers Academy 12th annual Science Fair, held 46 t u f t s d e n ta l m e d i c i n e on Februar y 4 at Northeastern University. The academy is a college preparator y high school for Boston students exploring careers in the health professions and related fields. Herman judged four posters of the 170 posters that were presented by students in grades 9 to 12. Presentations: ■ “Occlusion ... What to Know and What to Do,” Yankee Dental Congress, Boston, February 2008. ■ “Interdisciplinary Treatment Planning,” University College Cork Dental School and Hospital, Ireland, March 2008. ■ “When to Refer to the Periodontist,” Southeastern Branch, Irish Dental Association, Kilkenny, Ireland, March 2008. ■ “Periodontal Diseases... Occlusion and Implants,” Portuguese First Annual Interdisciplinary Dental Congress, Lisbon, Portugal, April 2. ■ “Implant Interface ... Soft and Hard Tissues and Occlusion,” Colombian Regional Periodontal Society, Medellin, Colombia, April 19. Publication: ■ “Bisphosphonates and Osteonecrosis of the Jaws: A Primer for Physicians for Management and Risk Identification,” Rory O'Neill and Jonell Hopeck, J01, senior resident in periodontology, Irish Medical Journal, March 2008. Esther M. Wilkins, D49, DG66, clinical professor Presentations: ■ “Rethinking Dental Caries,” Utah Dental Society, Salt Lake City, February 15. ■ “New Research about Dental Caries,” Rhapsody Dental Conference, Banff, Alberta, Canada, March 14. ■ “Rethinking Dental Caries: summer 2008 New Terminology,” Texas Dental Hygienists Association, Austin and Dallas, Texas, March 29 and April 11. ■ “Rethinking Dental Caries: Research and Clinical Applications for Practice,” University of North Carolina, 12th annual Dental Hygiene Lecture, Chapel Hill, N.C., April 25. ■ “Reminiscences: History of Tufts University School of Dental Medicine and the Forsyth School for Dental Hygienists,” annual meeting of the American Academy of the History of Dentistry, Boston, May 1. Publications: ■ Clinical Practice of the Dental Hygienist, 10th edition (Wolters Kluwer: Lippincott Williams & Wilkins, 2008). ■ Student Workbook for Clinical Practice of the Dental Hygienist, 2nd edition, Charlotte J. Wyche and Esther M. Wilkins (Wolters Kluwer: Lippincott Williams & Wilkins, 2008). PROSTHODONTICS AND OPERATIVE DENTISTRY Robert J. Chapman, A63, D67, DG74, professor and chair, participated in the 8th Yonsei International Symposium on May 23, held in commemoration of the 93rd anniversary of Yonsei Clinical Dentistry and the 40th anniversary of Yonsei University College of Dentistry. He presented a lecture on “Implant Esthetics and Oral Health-related Quality of Life” at the symposium. Hiroshi Hirayama, DG90, DI93, DG94, professor and director of postgraduate prosthodontics, was a site visit consultant for the University of Southern California Graduate Prosthodontics Program on April 8–9. Presentations: of Esthetic and Function: Anterior Tooth Position,” University of Connecticut Health Science Center Graduate ■ “Integration Prosthodontics Program, Farmington, Conn., March 14. ■ “Failures: Guide to Success” and “Fixed Prosthodontics: How to Prevent Functional and Aesthetic Failures,” 16th annual symposium of the Hellenic Society of Odontostomatological Research, Athens, Greece, May 17. ■ “Interface between Esthetic Dentistry and Implant Dentistry: Integration of Esthetic and Function for Successful Treatment Outcome,” Catalonian Dental College, Barcelona, Spain, June 6–7. Publications: ■ “The Effect of Different Investment Techniques on the Surface Roughness and Irregularities of Gold Palladium Alloy Castings,” A. Bedi, K.X. Michalakis, H. Hirayama and P.C. Stark, Journal of Prosthetic Dentistry, 99(4):282–6, April 2008. ■ “Effect of Relining Method on Dimensional Accuracy of Posterior Palatal Seal: An in vitro Study,” Y. Kim, K.X. Michalakis, H. Hirayama, Journal of Prosthodontics, 17(3):211–8, April 2008. Gerard Kugel, D85, MG93, associate dean for research and professor, was named Clinician of the Year at the Massachusetts Dental Society's Presidential Awards Ceremony and Reception on January 30. This award is given to an MDS-member dentist who volunteers for the Yankee Dental Congress, not only as a speaker but in other roles. Presentations: ■ Two-day, hands-on esthetic dentistry course, California Dental Association, May 2–3. ■ “Esthetic Dentistry Update,” Connecticut Dental Society, May 9. ■ “Digital Impressioning: In Vitro Experiments/In Vivo Experience,” 3M Global Symposium, May 20. ■ “Esthetic Materials & Techniques,” Saratoga Dental Congress,” May 24. ■ “All Ceramic Crowns & Digital Impressioning,” Montreal Dental Meeting, May 26. Publications/AADR Abstracts: ■ 1119: “Comparison of Digital vs. Conventional Impression Systems for Marginal Accuracy,” G. Kugel, N. Chaimattayompol, R. Perry, S. Ferreira, S. Sharma, J. Towers and P. Stark. ■ 0545: “Shear Strength of Dental Composite Versus Mineralized Silk-based Biomaterial,” M.R. Wimmer, J.R. Plourde, R.A. Dickinson, G. Kugel, E.H. Doherty, S. Ferreira and D. Kaplan. ■ 0371: “Selected Mechanical Properties of Temporary Crown and Bridge,” a study that examined an experimental provisional material, V. Babcic, R. Perry and G. Kugel. ■ 1107: “Flow under Pressure of Fifteen Impression Materials,” a study comparing flow of 15 different impression materials using a shark-fin apparatus, E.H. Doherty, G. Chao, G. Kugel and P. Stark. ■ 0215: “Comparison Study between Two Different Mixing Ratios of Polyethers,” K. Aurbach, R. Perry and G. Kugel. ■ 1085: “Two-year Clinical Evaluation of Zirconia Bridges,” R. Perry, S. Sharma, S. Ferreira, G. Kugel and J. Orfanidis. ■ 1019: “Photoelastic Stress Comparison of Three Different Post Systems,” S. Sharma, G. Kugel, G. Greystone and P. Stark. ■ 0684: “Microleakage in Class V Restorations In Vitro,” Q.N.T. Bui, R. Perry and G. Kugel. Amit Sachdeo, assistant professor, spoke at an international dental meeting in Florence, Italy, May 9–10, when he gave a presentation on “Biofilm Formation in the Edentulous Oral Cavity.” His manuscript of the same title was published in the March 2008 issue of the Journal of Prosthodontics; co-authors were Anne D. Haffajee and Sigmund S. Socransky of the Forsyth Institute. Sachdeo was selected as a manuscript reviewer for the Journal of Dental Research, the journal of the International and American Associations for Dental Research. Anthony Silvestri, E69, clinical professor, was honored for teaching excellence by the Class of D11 on March 14. In addition, he was interviewed for articles on wisdom teeth by U.S. News & World Report (February 25) and National Geographic (March). Marcelo Suzuki, assistant professor Presentations: ■ “The Effect of Implant Bulk Design on Bone Healing at Early Implantation Times: A Study in Dogs,” P.G. Coelho, M.V.M. Guimaraes, R.J. Miller, M.C. Bottino and M. Suzuki, Academy of Osseointegration annual meeting, Boston, March 2008. ■ “Histomorphologic/Histomorphometric Evaluation of 37 Retrieved Plateau Design Root Form Implants,” M. Suzuki and P.G. Coelho, Academy of Osseointegration annual meeting, Boston, March 2008. ■ “Histomorphometric Evaluation of Alumina-blasted/Acid-etched and Nanotite TM Sur faces at Early Implantation Times: An Experimental Study in Dogs,” M. Suzuki, M.V.M. Guimaraes, M.C. Bottino and P.G. Coelho, Academy of Osseointegration annual meeting, Boston, March 2008. ■ “In Vivo Evaluation of Implant Length and Sur face Physico /Chemistry Characteristics in Biomechanical Anchorage in Plateau Root Form Implants: An Experimental Study in Beagle Dogs,” R. Granato, C. Marin, M. Suzuki, J.N. Gil and P.G. Coelho, Academy of Osseointegration annual meeting, Boston, March 2008. Publications: ■ “Early Healing of Nanothickness Bioceramic Coatings Dental Implants: An Experimental Study in Dogs,” P.G. Coelho, G. Cardaropoli, M. Suzuki and J.E. Lemons, Journal of Biomedical Materials Research, April 2008. ■ “Characterization and In Vivo Studies of Nanothickness Caand P-based Coatings,” P.G. Coelho, M. Suzuki, C.A.O. Fernandes and G. Cardaropoli, Key Engineering Materials, Vols. 361–363, pp. 649–652, 2008. Roya Zandparsa, DI04, associate professor, wrote a chapter on “Dental Biomaterials” in the Standard Handbook of Biomedical Engineering & Design, 2nd edition, edited by Myer Kutz and published by McGraw-Hill. Zandparsa gave a presentation on “Implant Dentistry, Development and Current Focus” at Yankee Dental Congress 33 in Boston in February. PROMOTIONS Ronald Perry, DG99, to clinical professor Frank Shin to associate clinical professor. PUBLIC HEALTH AND COMMUNITY SERVICE Carole Palmer, N69, G69, professor and head of the Division of Nutrition and Oral Health, has been appointed by the governor to the New Hampshire Board of Licensed Dietitians. Nutrition and Oral Health Connections from the Very Youngest to the Very Oldest,” Massachusetts Dietetic Association, March 28. ■ “Nutrition Implications in Aging,” Boston Area Joint Dietetic Internship Class Day on Geriatrics, November 26, 2007. Medha Singh, DG04, DG05, assistant professor Presentations: ■ “The Effect of an Omega-3 Supplement on Dry Mouth and Dry Eye in Sjögren's Patients,” 62nd American Academy of Oral Medicine annual meeting, Scottsdale, Ariz., April 2008. ■ “Effect of Sialagogues on the Periodontal Status in Sjögren's Patients,” 37th American Association for Dental Research annual meeting, Dallas, Texas, April 2008. Publication: ■ “Effect of Sialagogues on the Periodontal Status in Sjögren's Patients,” M. Singh, P. Stark and A.S. Papas, Journal of Dental Research, 87 (Special Issue A): Presentation #551, 2008. ■ “Nutrition Wanda G. Wright has been appointed an assistant professor in the department and leads the Division of Education, Outreach and Advocacy, overseeing all community outreach and education activities. She is a diplomate of the American Board of Dental Public Health and has expertise in health disparities and quality-of-life research. Presentations: ■ “Are You Missing Something? Presentations: Water Fluoridation,” Partners for a Healthier Community, Springfield, Mass., March 27. ■ “Evaluation of the BEST Oral Health Project,” National Oral Health Conference, Miami, Fla., April 29, and Better Oral Health for Massachusetts, Sturbridge, Mass., June 4. Book Chapters: in Sjögren’s Syndrome,” C. Palmer and M. Singh, in Nutrition and Rheumatic Disease (Humana Press, Totawa N.J., 2008). ■ “Nutrition in the Plaque Diseases,” C. Palmer and L. Boyd, in Primary Preventive Dentistry, 7th edition (Appleton and Lange, in press). ■ “Community summer 2008 t u f t s d e n ta l m e d i c i n e 47 BEYOND BOUNDARIES PROVIDING THE MEANS FOR EXCELLENCE Boston High–Rise Upward goes the dental school expansion project by Lauren Katims Opposite page: Steel beams for the addition rise in the Boston skyline. This page, clockwise from left: A beacon signaling the official start of construction is hoisted to the roof of One Kneeland Street; Richard Chin, a leader in Boston’s Chinatown community; and guests sign a banner that will hang outside the school during construction. he school of dental medicine’s vertical expansion project had its official liftoff at a “skybreaking” ceremony on May 2 at One Kneeland Street, where five stories will be added to the 10-story building over the next two years. “We are standing here at one of the finest dental schools in the world,” Provost and Senior Vice President Jamshed Bharucha told 80 guests, including students, alumni and faculty from all the Tufts schools, university trustees, overseers and representatives from the Chinatown community. “Let’s celebrate the expansion, not just for the dental school, but for the university.” Dean Lonnie H. Norris, DG80, spoke enthusiastically of these exciting times for the school. “We’ve become a school that is renowned internationally and nationally,” he said. “I am extremely proud to be in this leadership position at this time in the T PHOTOS: ALONSO NICHOLS AND MELODY KO school’s history.” He said the $65 million project, $16 million of which will be funded through private philanthropy, will have positive corollaries in the community, the City of Boston and the New England region. In keeping with the dental school’s longstanding commitment to provide oral health care to the underserved, the expansion will add 71 new treatment areas to the school clinics to better serve the 18,000 patients, many of whom either have MassHealth or no dental insurance, treated each year. John Palmieri, director of the Boston Redevelopment Authority, speaking on behalf of Mayor Thomas M. Menino, praised the school’s dedication to the community. “This has been a great working relationship, and we’re happy that with this new project, Tufts is bringing a number of benefits to the surrounding community,” he said. The five-floor addition will create more teaching and research space, a continuing education suite and offices and meeting rooms. The existing building opened in 1972. “This is the beginning of a new era for the dental school,” said Kathleen M. O’Loughlin, D81, a university trustee. “We have worldclass people, but now we will have a worldclass facility to host them in.” When the speeches ended, guests donned hardhats and signed a banner that will be displayed on the front of the building throughout the construction. Norris then “lit” a blue beacon that was raised to the roof by a crane. In Chinese culture, the dean noted, a crane (the bird) in the clouds represents longevity, wisdom and nobility. “It is our hope that our ‘crane’ in the clouds brings these gifts to our community,” he said. (Besides signaling the official start of the expansion project, the beacon has a more utilitarian job: alerting planes taking off and landing at Logan Airport to steer clear of the high-rise construction crane.) summer 2008 t u f t s d e n ta l m e d i c i n e 49 BEYOND BOUNDARIES PROVIDING THE MEANS FOR EXCELLENCE Louis Fiore at the Boston Red Sox spring training facility in Fort Myers, Fla., where the Dental Alumni Association hosts an annual gathering. A DECADE OF COMMITMENT THE DEAN’S INNER CIRCLE, CREATED IN 1998, IS A GIVING LEVEL OF the Dental M Club composed of alumni, friends and students who show a special level of generosity through their annual support of the School of Dental Medicine. Gifts from alumni at this level represent $100 x the number of years since graduation. Because these gifts grow each year, they help Tufts keep pace with the rising cost of a dental education. Listed here are those who have been members of the Dean’s Inner Circle since its inception 10 years ago. The school is grateful for their continued support. Nancy S. Arbree, DG96 Marc S. Lemchen, D70 M. Christine Benoit, D77, D09P Durwin Y. Libby, D90 William B. Chan, D75A, DG82, D10P Ira D. Cheifetz, D74, Steven P. Chung, D74, A07P Carolyn Cottrell, D.D.S. Peter A. Delli Colli, A69, D73 Mary C. DeMello, D86 Chris Doku, D58, DG60, J84P James F. Drew, D88 Mostafa H. El-Sherif, DI95 Perfect Pitch Alumnus Louis Fiore supports school expansion ever since the seventh grade, louis fiore, d62, wanted to be a dentist. He saved money for dental school by playing the saxophone in a polka band and later hit the nightclub circuit, playing “anything and everything” he could to set aside some cash. Combined with his mother’s wages from the carpet mill where she worked near Fiore’s hometown of Thompsonville, Conn., the money he earned from his music and from painting houses during the summer was enough to get him through two years at Tufts Dental School. Then the money ran out. “When I realized I couldn’t pay for school any longer and would have to drop out, I went to see some people in the financial aid office,” Fiore recalls. “They helped me get a scholarship and find some good loans so that I could complete my studies. With all that in mind, how could I not give back to Tufts?” With his wife, Jean, Fiore has made a significant donation for the expansion project that will add five floors to the dental school. The couple’s gift will name the dean’s suite on the 15th floor. “It has always been my ambition to give something back to Tufts as a token of appreciation for the opportunity that the school gave me,” says Fiore. He ran a private practice for 20 years in Old Lyme, Conn., before retiring after he was diagnosed with multiple sclerosis. The morning after he made his gift to Tufts, he told his wife, “I feel really good today.” 50 t u f t s d e n ta l m e d i c i n e summer 2008 Howard I. Lieb, D73, M04P Peiman Mahdavi, D91, DG94 Patricia P. Mahoney, D80 George M. Mantikas, D89 Robert N. Marshall, D79 Richard J. McNulty, D79 Noshir R. Mehta, DG73, DI77, J01P, A07P John J. Millette, D91 Janis B. Moriarty, D94 Richard M. Farina, D83 Lonnie H. Norris, DG80, M99P, A01P John P. Ficarelli, D73, D10P Kathleen M. O’Loughlin, D81 Timothy M. Gabe, D83, DG85 Carole A. Palmer, G69, N69 Lisa M. Giarrusso, J86, D90, DG92 Nicholas T. Papapetros II, D91 Joseph P. Giordano, D79, DG84 Seth C. Paparian, D86 Bruce D. Gouin, D78, D09P Helyne Hander Hamelburg, D91 Stephen M. Hamelburg, D91 Richard P. Harrison, D77, A06P, D12P, M12P David B. Harte, A75, D78, A02P Rachel A. Perlitsh, J87, D91, DG94 Tofigh Raayai, DG77, DI82 Richard M. Rothstein, D75 Martin P. Sachs, D56 Nicholas P. Senzamici, D74 Samuel M. Shames, D75 R. Scott Smith, D76, DG79 Jeffrey C. Hoos, D78 David P. Solomon, D79, D10P Stephen S. Hsu, DI89 Joseph W. Solomon, D96 James F. Kane, D74, DG76, G78, DG79, D04P, DG06P Alan C. Tan, D90, DG92 Barbara Clark Kay, D71, D10P J. Steven Tonelli, D80, A04P, A06P, A10P Ian Turner, DG93 David San-Te Ko, DI80, D11P Lisa Vouras, D89 Edward C. Larkin, D73 Tina Lee Wang, D86 John B. Lem, A77, D80, DG84 Thomas F. Winkler III, A62, D66, D10P PHOTO: ALEX BOERNER “I hope that my annual gifts help students attain their dream of becoming dentists. My continued participation has also inspired other graduates to join the Dean’s Inner Circle.” “I was raised on the belief that education should be a right, not a privilege. By giving to Tufts, I hope to give that right to someone who has worked hard for it.” RICHARD MCNNULTY, D 79, WELLESLEY, MASS . STEVE HSU, DI 89, WINDHAM , N . H . 10 “I walked away from Tufts with great memories and friends, and a career that has been wonderful to me! Giving back is the natural thing to do.” years, reasons To commemorate the tenth anniversary of the Dean’s Inner Circle, 10 individuals who have been members since the giving club’s inception say why they continue to support Tufts School of Dental Medicine every year. ALAN TAN , D 90, DG 92, ROSEVILLE , CALIF. “Our patients know our Tufts education is top quality. It is our responsibility and an honor to support Tufts so the next generation of dentists can receive that same gift.” STEPHEN AND HELYNE HAMELBURG , D 91, MARBLEHEAD, MASS “It all began with Tufts. I believe we all must give back. “Being a member of the Dean’s Inner Circle is just another sign of my appreciation and gratitude for what Tufts has done for me.” MARTIN SACHS , D 56, WESTPORT, CONN . “When Georgetown’s dental school closed, I adopted Tufts as my dental school, and it has been so good to me. I enjoy coming to work each day and, in turn, enjoy giving something back every year.” DAVID SOLOMON , D 79, D 10 P, NANCY ARBREE , DG 96, ASSOCIATE DEAN , LYNNFIELD, MASS . ACADEMIC AFFAIRS TUFTS SCHOOL OF DENTAL MEDICINE ”It is my duty to help leave the school stronger and better for my young colleagues—tomorrow’s leaders.” NOSHIR R . MEHTA , DG 73, DI 77, JO 1 P, AO 7 P PROFESSOR AND CHAIR OF GENERAL DENTISTRY AND DIRECTOR , CRANIOFACIAL PAIN CENTER , TUFTS SCHOOL OF DENTAL MEDICINE “Tufts Dental provided me with the education I needed for , 83, , . . achieving success.” RICHARD FARINA D “When interviewing during the admissions process, “I was told, ‘If you come to Tufts, we will work as hard as we can to make you successful as a person and as a dentist. If you are successful, we will be, too.’ And they did just that. I thank Tufts every day for four great years of education.” MARC LEMCHEN , D 70, NEW YORK , N . Y. BARRINGTON N H Thank you! Tufts Dental School would not be what it is today without you and your support. More than 2,150 alumni, parents, friends, and students gave $1,395,652 between July 1, 2007 and June 30, 2008, making this the best year yet for the Tufts Dental Fund. C O M M U N I T Y. C A R I N G . C O M M I T M E N T. s u m m e r 2 0 0 8 t u f t s d e n ta l m e d i c i n e 51 BEYOND BOUNDARIES PROVIDING THE MEANS FOR EXCELLENCE MARGOLIS LECTURE At the Margolis Lecture, from left: Dean Lonnie H. Norris, DG80; James A. McNamara, this year’s lecturer; Eleanor Holman, Margolis’ daughter; Paul Sawyier, Margolis’ great-grandson; family friend Evelyn Malkin; Ralph W. Galen, DG54, a former student of Margolis; and Barry S. Briss, D66, DG70, D95P, DG97P, professor and chair of orthodontics at Tufts. james a. mcnamara, a researcher at the university of Michigan’s Center for Human Growth and Development and the Thomas M. and Doris Graber Endowed Professor of Dentistry, gave the fourth annual Herbert I. Margolis Lecture in Orthodontics on April 12. His topic was “The Changing Face of Growth Modification: An Evidence-based Approach to Treatment Timing.” More than 75 Tufts orthodontic faculty and residents and orthodontists attended. Ralph W. Galen, DG54, talked about Margolis’s leadership and achievements in orthodontics. The endowed lecture is named for Tufts’ first chair of orthodontics; Margolis died in 1984. He had the vision of making orthodontic treatment available to all. His research led to the development of the Margolis Cephalostat, an instrument used to diagnose malocclusion, and he also designed original orthodontic procedures that shortened treatment time. Even before Medicaid, Margolis established standards and means for Massachusetts to provide dental treatment to the disadvantaged. Paying It Forward The Class of 2008 dedicated its legacy to future dental students by using its class gift to start a scholarship for fourth-year students. The Dental Alumni Association and the administration each matched the contribution of the graduating class, and, along with $500 from the class activities fund, the total gift came to $5,350. The eight practice groups within the senior class competed for the highest participation rate. Practice Group Five won the challenge. Class officers Michael Hull, Timothy Johnson, Becky Seppala, Dilshan Gunawardena and Ameeta Sachdev presented the class gift to Dean Lonnie H. Norris at the Seniors Awards Dinner on May 9. 52 t u f t s d e n ta l m e d i c i n e Practice Group 5, the winners of the class gift participation challenge, at the Senior Awards Dinner on May 9. summer 2008 PHOTO: J.D. SLOAN CALENDAR OF EVENTS SEPTEMBER 8 MAY 1–3, 2009 Alumni reception in conjunction with the annual meeting of the American Academy of Periodontology Grand Hyatt Seattle Seattle, Washington 6–7:30 p.m. Dental Homecoming and Reunion Weekend Tufts School of Dental Medicine and Langham Hotel Boston, Massachusetts MAY 1–5, 2009 Alumni reception in conjunction with the annual session of the American Association of Orthodontists Boston, Massachusetts SEPTEMBER 12 Alumni reception in conjunction with the annual meeting of the New England Society of Orthodontists Westin Providence Providence, Rhode Island 6:15–7:15 p.m. SEPTEMBER 12 Alumni reception in conjunction with the fall meeting of the California Dental Association Marriott San Francisco San Francisco, California 5–7 p.m. SEPTEMBER 18 Alumni reception in conjunction with the annual meeting of the American Association of Oral and Maxillofacial Surgeons Seattle Sheraton Seattle, Washington 6–7:30 p.m. OCTOBER 17 MARCH 14–18, 2009 Alumni reception in conjunction with the annual meeting of the American Dental Association Hyatt Regency San Antonio, Texas 5:30–7 p.m. Alumni reception in conjunction with the annual meeting of the American Dental Education Association Phoenix, Arizona MAY 17, 2009 Tufts University’s 153rd Commencement Academic Quad Medford/Somerville campus 9 a.m. APRIL 29–MAY 2, 2009 OCTOBER 30 Alumni reception in conjunction with the annual meeting of the American College of Prosthodontists Gaylord Opryland Nashville, Tennessee 6:30–8 p.m. Alumni reception in conjunction with the annual session of the American Association of Endodontists Orlando, Florida For more information on these and other events, contact the Office of Dental Alumni Relations at 617.636.6773 or email: dental-alumni@tufts.edu. DECEMBER 2 Alumni reception in conjunction with the annual Greater New York Dental Meeting New York City SEPTEMBER 22 Dental Alumni Association’s 26th annual Wide Open Golf and Tennis Tournament Mount Pleasant Country Club Boylston, Massachusetts 11 a.m. shotgun start; tennis tournament, 2 p.m.; reception, 4 p.m.; dinner, 5 p.m. JANUARY 30, 2009 Alumni reception in conjunction with Yankee Dental Congress 34 Westin Waterfront Boston, Massachusetts 5:30–7 p.m. JANUARY 30, 2009 GLBT alumni reception in conjunction with Yankee Dental Congress 34 Westin Waterfront Boston, Massachusetts 7–8:30 p.m. PHOTO: ALONSO NICHOLS Elizabeth Lee, D08, celebrates receiving her D.M.D. Commencement 2009 is on May 17. summer 2008 t u f t s d e n ta l m e d i c i n e 53 ALUMNI NEWS STAYING CONNECTED Adding value to your dental degree i am writing to you as the 2008‒09 president of the Tufts University Dental Alumni Association. I want to thank all past officers and directors of the alumni association who have provided such dedicated leadership and enthusiasm. Alumni participation is the lifeblood of our organization. It is a very exciting time for the dental school. The steel is being put in place for five new floors at One Kneeland Street, which will provide plenty of space for us to continue to grow Tufts’ reputation. There will be additional undergraduate clinic space, relocated and improved postgraduate clinics, expanded facilities for continuing education and much-needed offices and meeting rooms for students and faculty. The additional space is allowing Tufts to increase enrollment by 61 undergraduate, advanced standing and postgraduate students between 2007 and 2012, and add 11 new faculty members. The target date for completion of the project is late 2009. Be sure to visit! The dental school had a very successful seven-year accreditation review. This level of excellence only enhances your already-prestigious Tufts University School of Dental Medicine degree. Our undergraduate students continue to arrive with higher GPAs and board scores than ever before, and the school had another record year in the number of applications for admission. Our alumni association is a vital part of the level of excellence our school has achieved. I encourage all of you to participate in alumni events such as the Wide Open Golf and Tennis Tournament (on Monday, September 22, at Mount Pleasant Country Club), the Tufts reception at the Yankee Dental Congress, and of course, Reunion Weekend in May 2009. I am honored to be president of your alumni association and look forward to another exciting and successful year for Tufts Dental School. Yours truly, John Ficarelli, D73 President, Tufts University Dental Alumni Association LOOKING FOR AN ASSOCIATE? THE TUFTS ALUMNI ASSOCIATES PROGRAM (TAAP) assists recent dental school graduates in finding associateships with practicing alumni/ae. A continuing effort of the Dental Alumni Association and the Alumni Office, the program is a unique way to continue the Tufts experience for both job-seekers and dental alumni/ae practitioners. As one of the many benefits of attending Tufts University School of Dental Medicine, the alumni/ae network serves as a means of introduction and communication with alumni/ae who are looking for associates. Those who have been involved recognize that this program creates mutually beneficial relationships. PLEASE PRINT CLEARLY Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Year of Graduation . . . . . . . . . . . . . . . . . . . . . . Mailing Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City/State/Zip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. I am seeking a Tufts dental alum to work in my office: part-time 3. Additional comments: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . the Tufts University Dental Alumni Association, 136 Harrison Ave., Boston, MA 02111. For more information, contact the Office of Dental Alumni Relations at 617.636.6773 or fax 617.636.4052. summer 2008 full-time 2. What is the nature of your practice (e.g., general practice, mostly adults, prosthodontics)? ........................................................ To place a Tufts graduate in your office, fill out the form above and mail it to 54 t u f t s d e n ta l m e d i c i n e Telephone . . . . . . . . . . . . Mail to: Tufts University Dental Alumni Association 136 Harrison Ave., Boston, MA 02111 PHOTO: TRAVIS DOVE 1 At Yankee Dental, (1) Dean Lonnie Norris, DG80, Vicktor Senat, D05, Joseph Nelson, D04, and Robert Chapman, A63, D67, DG74; (2) Dara Chira, J89, D93, Grace Dickinson Branon, D02, and Lynn Dickinson, D02P, D09P; (3) Robert Guen, D77, DG78, and Lily Guen 2 YANKEE DENTAL RECEPTION DRAWS 1,000 ALUMS nearly 6,500 dentists were among the 9,000 participants at Yankee Dental Congress 33, which took place January 31 through February 2 in Boston. The annual dental meeting is New England’s largest. Dean Lonnie H. Norris, DG80, and Nicholas Papapetros, D91, president of the Tufts University Dental Alumni Association, welcomed nearly 1,000 alumni at the Tufts reception on February 1 at the Westin Waterfront. A wonderful addition to Yankee this year was the Tufts Alumni Lounge on the exhibit hall floor. The venue provided alumni with a place to relax, chat with classmates and grab a 3 PHOTOS: J.D. SLOAN; ALONSO NICHOLS snack between courses. The lounge was also the site for two presentations by A. Joseph Castellana, executive associate dean, on the project that will add five floors to the One Kneeland Street building. The 2009 Yankee Dental Congress will take place at the Boston Convention and Exhibition Center from January 28 to February 1. You can register and make your hotel reservations beginning September 24 at noon. For more information, go to www.yankeedental.com. The Tufts dental alumni reception will be held on Friday, January 30, at the Westin Waterfront. PROMOTED Lauren Kane, a coordinator with the Dental Development and Alumni Relations team, has been promoted to assistant director of the Tufts Dental Fund. She holds a B.A. in communications from the University of Maryland and a master’s degree in higher education administration from the University of Massachusetts. In her new role, Lauren is working with alumni volunteers, developing new initiatives for recent graduates, leading the senior class gift campaign and is involved with all aspects of the annual fund. NEW DIRECTOR Derek Wolkowicz, D97, DG00, has been elected the newest director on the Executive Council of the Tufts University Dental Alumni Association. He earned his undergraduate degree from Providence College and his D.M.D. and postgraduate certificate in orthodontics from Tufts. He is a partner with Orthodontic Specialists of Southeastern Massachusetts, which has offices in New Bedford and Mattapoisett. In addition to his memberships in the American Association of Orthodontists, Massachusetts Association of Orthodontists and American Dental Association, he is a Southeastern District delegate for the Massachusetts Dental Society. Wolkowicz is a member of the Dental M Club Executive Committee and also serves on the dental school committee for the university’s ongoing Beyond Boundaries capital campaign. He lives in Lakeville, Mass., with his wife Candace, D98, and their daughter, Brooke. summer 2008 t u f t s d e n ta l m e d i c i n e 55 ALUMNI NEWS STAYING CONNECTED 4 3 1 5 Alumni networkers (1) Steve Rubin, D75; (2) Natalie Jeong, D97, DG00, Ronit Smolyar, DI99, DG02, and Tofigh Raayai, DG77, DI82; (3) Mary Jane Hanlon-Rogers, D97; (4) some hallway career advice; and (5) Cherie Bishop, D94, Mary Jane Hanlon-Rogers, D97, Joy Kasparian-Federico, J92, D97, DG01; Steve Rubin, D75, and Sam Shames, D75, standing at right. 2 Dental Careers 101 so, you’re on the road to getting your dental degree. Then what? How do you go about landing that first job? What do you need to know about furthering your career? And then there’s the money… what does it take to run a successful dental practice? Tufts dental students got the answers to these questions and more from those in the know—alumni who once walked in their shoes—during the ninth annual Student/Alumni Networking Session, sponsored in March by the Tufts University Dental Alumni Association. Twenty-five Tufts alumni working in private practice, 56 t u f t s d e n ta l m e d i c i n e summer 2008 academia, organized dentistry and public service jobs offered their best advice to students about how to launch their own dental careers. The program also featured experts on practice management, financial nuts and bolts and running a business. The annual event is an “opportunity to connect alumni and students to share personal and professional experiences that cannot be taught in the classroom,” says Dr. Nicholas Papapetros, D91, immediate past president of the alumni association. “It is this kind of experience that fosters a spirit of community among Tufts School of Dental Medicine, our students and the alumni association.” PHOTOS: ALONSO NICHOLS out&about BIG APPLE LEADERS Jonathan Garlick, director of the Division of Cancer Biology and Tissue Engineering, was the keynote speaker at a meeting of the Greater New York Dental Alumni Chapter at the Penn Club in New York City on March 19. His topic was “Embryonic Stem Cells and the Future of Dentistry.” The chapter also introduced its new leadership: President E.J. Bartolazo, D92; Vice President Hiroshi Kimura, D93, DG95; Secretary Anita Omidi, D94; Treasurer Michael Dill, D88; and Young Alumni Chair Victor Grazina, DG06. Secretary Anita Omidi and President E.J. Bartolazo SPRING SOX One hundred Tufts Dental alumni, family and friends watched the Red Sox take on the Florida Marlins during a spring training game on March 8 in Fort Myers, Fla. Attendees enjoyed a picnic cookout before watching the World Champions in a sold-out game during which the Marlins beat the Sox, 5–2. Left: Addrian and Lilly Correa, D11P Top: Linda Segelman, Allyn Segelman, D73, DG77, and Dean Lonnie H. Norris, DG80, M99P, A01P PAR TNERS IN SEOUL At the dinner hosted by the Tufts Alumni Study Club, front row from left: Yongjeong Kim, DG97, DI03, associate professor of prosthodontics; Robert Chapman, A63, D67, DG74, professor of prosthodontics; Dara Mehta, Noshir Mehta, Dean Norris and Donna Norris; middle row, from left: Euibin Im, DG00; Mijeong Kim, DG02; Jeongwon Shin, DG03; Eunsook Kim, D11P; Heekyung Kim, DG05; Yonsoo Shim, DG91; Myungho Maeng, DG04; Terrence Griffin, D71, DG75, chair of periodontology; and Kyuho Lee, former Tufts Dental faculty member; back row from left: Jeongtae Yoon, DG94; Wanhoi Koo, DG04; Il Cho, DG06; Hyunki Cho, DG03; Sunhong Hwang, DG01; Younghoon Woo, D01; and Eungkyung Cho, D02. Dean Lonnie H. Norris, DG80; Noshir Mehta, DG73, DI77, assistant dean for international relations; and faculty members Robert Chapman, A63, D67, DG74, and Terrence Griffin, D71, DG75, traveled to Seoul, South Korea, in late May to execute a memorandum of understanding with Yonsei University College of Dentistry that will pave the way for student exchanges, continuing education and research collaborations between the two institutions. Mehta notes that this is the third collaboration agreement between Tufts and dental schools overseas (the other two are with dental schools in India and China). While in Seoul, the Tufts Alumni Study Club, a group of graduates from Tufts’ postdoctoral programs who practice and teach in South Korea, hosted a dinner for the Tufts visitors, during which the dean updated them on the expansion of One Kneeland Street as well as the school’s international outreach efforts. summer 2008 t u f t s d e n ta l m e d i c i n e 57 ALUMNI NEWS REUNION A time to remember the 2008 edition of reunion and homecoming weekend opened with a “Time Flies” party at the Boston Harbor Hotel on May 2, featuring themed décor from decades past and a jazz trio that reconnected old friends and classmates who graduated in years ending in 3 and 8. More than 550 alumni and their guests enjoyed a weekend of fun and reminiscing, which included a tour of Fenway Park and a cooking class on brunch favorites. During the continuing education program, Kanchan Ganda, J00P, M04P, professor of public health and community service, lectured on “Medical Updates for Dentistry: Antibiotics and Pre-medication Prophylaxis,” and Teri-Ross Icyda, D78, J01P, A04P, D11P, gave a presentation on “Advanced Comprehensive Dentistry: Lessons I Wish I Had Learned Earlier.” Highlights came on Saturday, at the luncheon with a presentation by ADA President Mark Feldman, D73, and at the leadership reception, when Dean Lonnie H. Norris, DG80, received the Tufts University Provost’s Medal for exemplifying the values Tufts seeks to instill in its students: leadership, humanitarianism and passion. (See story, page 43.) The reunioners enjoyed individual class dinners and dancing on Saturday night at the Langham Hotel. 1 Each year, 30 percent of the gifts made to the Tufts Dental Fund come from reunion classes. This year was no exception: Reunion gifts to the Tufts Dental Fund totaled more than $385,000 this year, and since their last reunion in 2003, this group of alumni has donated $1.35 million. The 25th reunion class, D83, won both the Cusp of Excellence and Golden Crown awards for their achievements in reunion giving to the Tufts Dental Fund and cumulative giving over the past five years. The Porcelain Bridge Award for the highest rate of participation among all reunion classes went to the Class of D73; 48 percent contributed to the 35th reunion class gift. New reunion giving records were set by the 35th (D73) and 50th (D58) reunion classes. 2 3 (1) Celebrating their 60th reunion, Arthur Fantaci, D48, DG53, Francine Reed, D48, Alfred Peters, D48, and Kenneth Fried, D48, A51, DG51, A75P, D78P, DG80P; (2) Thomas Montemurno, D03, DG05, Alexander Athanasiou, D03, DG05, Lee Willis Thach, D98, and Caterina Athanasiou, D03; (3) Gerilyn Alfe, J89, D93, Hiroshi Kimura, D93, DG95, Anna Berik, D93, Danielle Stratton, D93, Winnie Yu, D93, and Eric Prechtel 58 t u f t s d e n ta l m e d i c i n e summer 2008 PHOTOS: J.D. SLOAN (4) Thirty-fifth reunioners Richard Brown, D73, Mark Feldman, D73, Myron Fishbein, D73, Robert Harelick, E69, D73, A05P, D10P, Leonard Schiffman, D73, D11P, and Peter Delli Colli, A69, D73; (5) Philip Solomon, D53, D79P, D96P, D10GP, celebrating his 55th reunion, and David Solomon, D79, D10P; (6) Jim Lonborg, D83, Rosemary Lonborg, Karen Capraro, A07P, and John Gentuso, A80, D83, A07P; (7) Grace Odimayo, DI03, Timi Odimayo, Suzanne Baaqee, D78, and Mikal Baaqee; (8) Lisa Levesque, Faith Cornick, Peter Cornick, D88, Michael Dill, D88, Matthew Boynton, D88, and Belinda Forbes, D88, and front, Robert Levesque, D88 4 5 7 6 8 summer 2008 t u f t s d e n ta l m e d i c i n e 59 ALUMNI NEWS REUNION Lifetimes of service THE TUFTS DENTAL ALUMNI ASSOCIATION HONORED two alumni—David B. Harte and Robert Hunter—and Lee Ann Gant, associate director of student services, during its annual meeting at the Langham Hotel on May 3. Nicholas Papapetros, D91, president of the alumni association, presented the awards, which recognized the recipients’ aggregate 97 years of service to Tufts, the dental school and the profession. Harte, A75, D78, A02P, founded and serves as national spokesman for the Comprehensive Masonic Child Identification Program (CHIP), which uses a tooth print, a simple dental impression, to help identify missing children. “Through publications, presentations and years of hard work, Dr. Harte has been a tireless advocate for missing and exploited children,” his award citation reads. Harte is a member of the Dental M Club executive committee and co-chair of his class reunion committee. Mary Catherine Talmo, D10, the second-year student who is the top academic achiever in the basic sciences, received a cash prize, given in Harte’s name, from the alumni association. Hunter, D63, a longtime member of the dental school’s Board of Overseers, “has set a standard that is an inspiration for our current and future alumni,” his citation reads. He co-chairs his class reunion committee and is a leadership-level donor to the school. The former president and CEO of DentaQuest Ventures Inc., Hunter was instrumental in securing corporate funding for the school from Delta Dental of Massachusetts. He and his sister, Ruth since 1985, initially as a registration and financial aid assistant. Two years ago, she was promoted to associate director of student records and services. She is a member of the Student Promotions Committee and provides administrative leadership From left, Dean Lonnie Norris, Robert Hunter, David Harte, Lee Ann Gant and Nicholas Papapetros Gould, created a scholarship for dental students in need of financial assistance. Jordan Lissauer, D08, the top student in the fourth-year class, received a cash award, given in Hunter’s name, during commencement ceremonies on May 18. Gant has worked at the dental school to the Tufts chapter of the Student National Dental Association. Gant’s “energy and enthusiasm inspire fellow staff and colleagues… [and she] works diligently to promote community at the School of Dental Medicine,” her citation reads. DEAN’S MEDAL MARK FELDMAN, D73, FAR LEFT, PRESIDENT OF THE AMERICAN DENTAL ASSOCIATION, received the school’s highest honor, the Dean’s Medal, during Reunion and Homecoming Weekend. Dean Lonnie H. Norris, DG80, right, presented the medal in recognition of Feldman’s embodiment of the ideals Tufts seeks to instill in its students. When Feldman began his tenure last fall as the ADA’s 144th president, he identified access to care as the top priority for the organization. The Dean’s Medal citation reads, in part: “His passion for the dental profession is matched by his passion for Tufts… Many individuals have been, and will be, the beneficiaries of his leadership, commitment and passion.” 60 t u f t s d e n ta l m e d i c i n e summer 2008 PHOTOS: J.D. SLOAN REUNION ALBUM D58 FRONT ROW: Gerard Kass, Henry Diversi, Tony Benison, Arthur Weiner, Herbert Hoddess, Stuart Abrams MIDDLE ROW: Bernard MacDonald, Richard Brown, Paul Canney, Donald Lynch, Bernie Schwartz, Stanley Weiss, Paul Thomas BACK ROW: William Leavitt, George Biron, Stefan Wittner, Chris Doku, Robert Edlund, A. William Buckley Jr. FRONT ROW: Bill Patterson, Art Hotchkiss, Bob Hunter, Francis Scimone, Bob Pelosi, Jerry Shapiro D63 BACK ROW: Andre St. Germain, Donald Oasis, Jason Tanzer, Harold Kaplan, Don Johnson, Paul Desmarais, Jerry Sheehan, Ron Resnick D68 PHOTOS: FAYPHOTO Lawrence Devore, John Coakley, Peter Cyr, Ron Weiner summer 2008 t u f t s d e n ta l m e d i c i n e 61 ALUMNI NEWS REUNION ALBUM D73 Marc Zauderer, Peter Delli Colli, Robert Ray, William Myones, John Ficarelli, Bob Harelick, Tomas Frankel, Harvey Cohen FRONT ROW: MIDDLE ROW: Richard Brown, Ugy Horowitz, Howard Lieb, Myron Fishbein, Leonard Schiffman, Mark Feldman, Bruce Wyman, Mitchell Block, Allyn Segelman, Ken Morris, Harold Seplowitz Jeffrey Stevens, Stuart Merle, Stephen Zonies, Richard Varnerin, Len Radin, Michael Stein, Ron Burakoff, Steven Tunick, Robert Aronoff, Paul Epstein, Brian Fitzgerald BACK ROW: D78 FRONT ROW: Paul Sheeran, Kevin Sullivan, Paul DiCamillo, Teri-Ross Icyda, Gary Mikels, Susanne Baaqee, Andrea Richman MIDDLE ROW: Charles Ruff, Jim Royer, Paul Heller, Brian Homer, Joseph Feinsod, Warren Woods BACK ROW: Bert Rouleau, Richard Brown, Stuart Cushner, Bruce Gouin, David Harte 62 t u f t s d e n ta l m e d i c i n e summer 2008 D83 Marcia Stern Greb, Carol Sandquist, Janet Levine, Rhonda Friedmann, Karen Ablow, Vicki Spanos-Kyriakos, Helen Chiu, Nancy Hamburger Starr, Janet Allaire, Joy O’Keeffe FRONT ROW: MIDDLE ROW: Tom Mohr, Bruce Sims, Brad Watterworth, Tim Gabe, John Gentuso, John Ricci, Tom Russo, John Annese, Marc Greer, Ron Chenette Angelo Guerrera, Joseph Nelson, Bruce Houghton, Carl Levy, Steve Kerr, Walter Loh, Frank McCarthy, Don Theriault, Richard Neal, William Hardee, Kevin Coughlin, Michael Arrigo, Jay Knoller, Dan Adler, Jim Lonborg, Michael Boschetti BACK ROW: D88 FRONT ROW: Roshanak Ghazinouri, Lisa Wendell, Diane Bonanni, Robert Levesque, Dorothy Rooney, Peggy Lessig, Barbara Preussner-Bryant MIDDLE ROW: Peter Cornick, Nina Giambro, Gary Williams, Rob Passloff, Belinda Forbes, Joanne Marian, Patty Regan, Lisa Tiberi, J.R. Courtman, Terry Rumas, Rob Brookings BACK ROW: Richard Simons, John Tam, Chi-Yun Sham, Shih Ming Tang, Tracy Maloney, Matthew Boynton, Michael Dill, Patti Carolan, Sue Rodis summer 2008 t u f t s d e n ta l m e d i c i n e 63 ALUMNI NEWS REUNION ALBUM D93 FRONT ROW: Danielle Stratton, Gerilyn Alfe, Anna Berik, Kahkshan Ali, Dara Chira, Ema Cabral Burke, Jennifer Muldorf Klein, Sydney Frasca MIDDLE ROW: Rennie Cheung, Hiroshi Kimura, Victor Ho, Gerard Centrella, David Ochola, Peter Veale BACK ROW: Tony Bellucci, Patrick Calalang FRONT ROW: Elke Cheung Tatum, Hilary Dalton-Cubillos, Candace Wolkowicz, Tara Plansky, Kimberly Lin, Amrita Grover, Ruhi Khanna D98 BACK ROW: Donald Johnson, Andrew Marcus, Lee Wills Thach D03 FRONT ROW: Grace Odimayo, Satoko Ono, Caterina Athanasiou, Anokhi Bock, Julie Beasley, Shandra Lee, Diana Pardo, Siema Hassan BACK ROW: Thomas Montemurno, Ancy Verdier, Heidi Sichelman, Alexander Athanasiou, Laurie Brown, Derek Bock, Anthony Elgohary, Matthew Fox, Nathan Smith 64 t u f t s d e n ta l m e d i c i n e summer 2008 CLASS NOTES Howard Glazer is retired and living in University Park, Fla. D48 John E. Horton received a Distinguished Alumnus Award from the Advanced Training Program in Periodontics at the Baylor College of Dentistry at Texas A&M University Health Science Center. Horton was cited for his “remarkable career as an educator, clinician and researcher.” D57 His research established a role for cell-mediated reactions in the pathophysiology of periodontal disease and provided initial clinical and histological evidence on the use of ultrasonic instrumentation in bone surgery. Horton is the former head of periodontics and professor emeritus at Ohio State University College of Dentistry. He is also a retired colonel in the U.S. Army Dental Corps. He lives in Columbus, Ohio. ALUMNI NEWS Bob Segal is retired after practicing periodontics in Belmont, Mass., for 42 years. He and his wife, Jan, live in Sarasota, Fla., where he volunteers at the Senior Friendship Dental Clinic. The couple has one son who is a mechanical engineer and lives in Boston. Herbert Hodess divides his time between living in West Palm Beach, Fla., for six months of D58 the year and in Quincy, Mass., for the rest of the year. Robert E. Howard practiced general dentistr y in Manchester, Mass., where he also lives, since graduating from dental school. He retired in 2000. Howard and his wife, Jo, have enjoyed a fulfilling life with their three children and seven grandchildren, including many visits to Christmas Cove, Maine. They are sorr y to have Alumnus honored for distinguished service Tufts Alumni Admissions Program and is an emeritus member of Dental Medicine for a half-century, was among the seven of the Tufts University Alumni Association. For the Tufts Dental university graduates to receive a 2008 Distinguished Service Alumni Association, he served as a director from 1983 to 1988 Award, the highest honor of the Tufts University Alumni Associand president in 1989. He has co-chaired all of his class ation. They were honored on April 12 at an reunions and has been a member of the awards dinner on the Medford/Somerville Dental M Club for more than 30 years. Zissi campus. and his wife of 32 years, Barbara, have two The annual awards recognize alumni who sons, Jonathan, A02, and Christopher. have demonstrated outstanding service to The other Distinguished Service Award Tufts, their professions or their communities. recipients were: Lawrence K. Altman, M62, Zissi, D62, DG67, A02P, enrolled at the a member of the science news staff at dental school in 1958. He remains a devoted the New York Times since 1969 and one of few physicians working as a full-time faculty member and generous supporter of daily newspaper reporter; Bruce M. Male, the school. He received his D.M.D. in 1962. A63, A94P, chair of Tufts’ International Following his service in the U.S. Navy, includBoard of Overseers and a former university ing a tour in Vietnam, he was a member of trustee; Elizabeth H. Prodromou, J81, F83, the first class to complete the two-year postassociate director of the Institute on graduate program in endodontics in 1967. Culture, Regional and World Affairs and Today he is a clinical professor of endodonassistant director of international affairs at tics, director of continuing education, alumni Boston University; John C. Richmond, M76, editor for Tufts Dental Medicine and a valued mentor to postgraduate endodontic students. an orthopedist who specializes in treating Since 1966, Zissi has been a principal in athletic injuries and is on the faculties of a Boston-area group practice, Limited to Vangel R. Zissi accepts his Tufts schools of Medicine and Engineering; Distinguished Service Award. Endodontics. He is a fellow and past presiand Diane M. Wilcox, J82, residential coundent of the International College of Dentists (ICD), USA Section, selor for Communities for People in Somerville, Mass., and an and is currently deputy secretary general of ICD. His honors independent living adviser for the Threshold Program of Lesley include the ICD’s Spark Plug of the Year Award and the DistinUniversity. Eric J. Brum, A99, V04, received the Young Alumni guished Alumni Achievement Award from Tufts University School of Achievement Award for his work as the chief technical adviser Dental Medicine. for a Tufts team working in Indonesia on a United Nations avian Zissi has interviewed prospective students as part of the influenza control project. VANGEL R. ZISSI, AN ALUMNUS WHO HAS BEEN A FIXTURE AT TUFTS SCHOOL PHOTO: ALONSO NICHOLS summer 2008 t u f t s d e n ta l m e d i c i n e 65 ALUMNI NEWS CLASS NOTES missed Reunion 2008, which was Howard’s 50th reunion. D66 Arthur Weiner is a professor, director of behavioral sciences and a clinic practice coordinator at Tufts School of Dental Medicine. He is the current secretar y/treasurer of Omicron Kappa Upsilon, the national dental honor society, and is a former president of OKU. He and his wife recently celebrated their 51st wedding anniversar y. Melvin Goldfine retired from the practice of general dentistry in March 2008. He says he is ready to enjoy winters in Florida. D65 Shepard S. Goldstein completed his term as president of the American Association of Endodontists this past spring. He has been active in the association for more than two decades and ser ved on the editorial board of the Journal of Endodontics from 1987 to 1991. “The association does more than represent endodontists across the world,” he says. “We have an obligation to provide the latest in research, education and leadership to the dental community. Without that knowledgesharing, we cannot continue to thrive as a specialty.” Goldstein has been a diplomate of the American Board of Endodontics since 1976. He is also a member of the American Dental Association, Metropolitan District Dental Society, Massachusetts Association of Endodontists and the Massachusetts Dental Society, for which he ser ved as president from 2002–03. He maintains full-time practices limited to endodontics in Framingham and Marlboro, Mass. Steward Perlow is an adjunct faculty member in the department of cariology and restorative dentistry at Nova Southeastern University’s College of Dental Medicine in Davie, Fla. D68 REUNION 2009, MAY 1–3 Burt Sackett has retired from the practice of prosthetic dentistry. D69 Robert Harelick and his wife enjoy traveling, playing hard and working. Their son, Dave, graduated from MIT’s Sloan School of Management and is a senior vice president at CRIC Capitol in Boston (and still single). Son Scott, A05, is a second-year student at Tufts Dental and really loves it. He met classmate Natalie at orientation, and it was love at first sight. Scott’s “big brother” at Tufts is Doug Delli Colli, D09, the nephew of Peter Delli Colli, A69, D73, and his D73 T R AV E L T O E X T R AO R D I N A R Y P L AC E S W I T H E XC E P T I O N A L P E O P L E TRAVEL-LEARN Available ONLINE: our exciting new line-up of 2009 destinations! From the Baltic to Bora Bora, from Greece to Peru, our journeys feature intellectual inquiry with lectures and exploration. There’s a perfect trip for every taste! Call Usha Sellers, Program Director, at 800-843-2586 for our brochure or visit our website for itineraries. 66 t u f t s d e n ta l m e d i c i n e w w w. t u f t s . e d u / a l u m n i / e d - t ra v e l - l e a r n . h t m l summer 2008 “little brother” is Michael Schiffman, D11, the son of Leonard Schiffman, D73. “Life is great,” Robert writes. “Call me if you’re in the Dartmouth /Fairhaven area.” Allyn Segelman married Linda Shoulberg of Wellington, Fla., on November 11, 2007. She is a graduate of Brooklyn College and is the educational/disabilities coordinator for the Palm Beach County Early Head Start. Marc Zauderer writes, “You know, the usual. Amazed that I’ve been doing this for 35 years (a young guy like me) and still enjoying the dentistry, still playing basketball and tennis. Rachel is finishing her junior year at Clark University and looking toward a master’s in education, and Joel is swimming and ‘cello-ing’ his way through tenth grade. Joan, a recovering (recovered?) attorney, teaches writing, among other things, at Bentley College.” Harris Contos says he regrets that he was unable to attend his 30th reunion in May. He was busy urging voters to support fluoridation for the town of Yarmouth, Mass. Harris writes, “I have been following this issue since Januar y 2007, when I was first astonished to find out that Yarmouth was not fluoridated, then dumbfounded to learn that none of the other 14 towns on the Cape is fluoridated either … In my last year at Tufts, I was involved, albeit in a small way, in the effort to get what was then the MDC fluoridated. I never thought that thirty years later I’d again be involved, only much more deeply. So that is how I will D78 be obser ving my 30th reunion, somewhat where I left off thirty years prior. Who would have figured? We have a website: www.moresmilesaroundyarmouth.org. Your interest and support would be much appreciated.” (Editor’s note: Yarmouth overwhelmingly rejected the fluoridation measure by a vote of 4,891 to 1,599 on May 6. Under Massachusetts law, the question cannot be brought before voters again for two more years.) D82 Lisa Emirzian, see D07. Vincent Mariano, DG84, see D07. Kevin Coughlin has presented several seminars on practice management at Tufts School of Dental Medicine. D83 Timothy Gabe is happily married to his wife, Deborah. They have two daughters, Jenna (18 years old, accepted to George Washington University) and Mara (16 years old, Swampscott High School). Gabe specializes in endodontics and practices in Boston and Lynnfield. He is a member of the American Dental Association, American Association of Endodontists, North Shore Perio-Pros Study Club and the American Academy of Dental Sciences. He has lectured at various study clubs as well as at Yankee Dental on “Surgical Endodontics: The New Success Rate.” In his spare time, Gabe enjoys karate, skiing and Zen gardening. He says he enjoys dentistry because he is able to provide “immediate pain relief and painless treatment to all my patients and implement cutting-edge techniques.” Mark Whalen writes, “Can’t talk my sons into dental school, so my ‘solo’ practice will remain just that. We live in Downey, Calif. I teach part time at the University of Southern California and continue to brag about my Tufts education and experiences. Keep smiling!” Steven Frimtzis writes that his wife, Mia, has completed her third master’s degree, in psychology, and is scheduled to complete her Ph.D. in psychology in May 2009. D87 Diane Bonanni has moved her private practice to a state-ofthe-art facility at 2 Main St., Suite 210, in Stoneham, Mass. She is a member of the American Dental Association, the Autism Support Center and the Arc of East Middlesex and the North Shore Arc, both of which provide ser vices and support to people with developmental disabilities and their families. In addition to working as a family and cosmetic dentist, she promotes dental care for the autistic population. D88 Bob Levesque writes, “My two girls are now seven and ten years of age, Catherine and Hayley. My wife and I celebrated twenty years in April 2007; she is working at Fidelity Investments. We have three dogs (Labs), one of every color, and we live in Foxboro, Mass. (Go Pats!)” Lisa Giarrusso, J86, DG92, and Gregory Livanos, DG95, announced the birth of their son, Peter Gregory, who was born on June 12 at Memorial Hospital in Worcester, Mass. D90 William Pantazes graduated with the first dental distance education class at Tufts School of Dental Medicine in May with an M.S. in craniofacial pain management. (See story, page 30.) Kelly ScanlonChase has opened a new general dentistry practice in Wilbraham, Mass. D91 Gerilyn Alfe moved to Chicago in 2004 and established Chicago Smile Spa. She also teaches in the Hornbrook Group, which provides continuing education for cosmetic dentists, and is a board member of the Academy of Comprehensive Esthetics. She was a speaker at the 2008 session of the American Academy of Cosmetic Dentistry in New Orleans. D93 Anthony Bellucci of West Haven, Conn., reports being busy with his free-maze rock band, Chewing Glass, and working on their latest CD, “On Camera.” His solo practice celebrated five years in June. He practices Bikram yoga and travels “all around the world all the time.” Jinny (Bang) Bender and husband Tom announced the birth of their daughter, Isabella Dale, on February 25, 2008. She weighed 7 pounds, 6 ounces, and was 21 inches D95 summer 2008 t u f t s d e n ta l m e d i c i n e 67 ALUMNI NEWS CLASS NOTES long. She joins older sister, Allyson, 4. Jinny practices in her hometown of Tustin, Calif., and Tom works for Canon USA, selling HD lenses to the broadcast TV and motion picture industry. Elana, have a daughter, Sigalle, 91⁄2, and three sons, Betzalel, 8, Arishye, 5, and Azriel, 2. He has a thriving perio practice with an associate and works four days a week. “Obviously the last ten years have been busy and productive!,” Ari writes. Hector Prieto and his wife are proud parents of a baby boy, Constantinos Hector Prieto, who was born on Februar y 6, 2008. He is their third child, joining Nicholas and Sophia. Noelle Wong and her husband, Ron Chen, announced the birth of their second child, Tyler Aidan, on August 24, 2007. After 12 years as a dental surgeon associate with Dental Ser vice Centre Ltd. in Hong Kong, Noelle joined another practice in Hong Kong in May. Ari Moskowitz is a boardcertified periodontist in Baltimore. He and his wife, D98 Tara (Fiorello) Plansky is living in New Jersey with her husband and two daughters, Madelyn and Jordan. She has joined a group practice, the Randolph Center for Oral & Maxillofacial Surgery, in Randolph, N.J. REUNION 2009, MAY 1–3 Leonard Tau and his wife, Risa, announced the birth of their first child, Aidan Ilan, on May 8, 2007. D99 D03 Kristi Crispin, see D04. Anthony Elgohary married Dina Farouk Elgohary in 2005, and moved to Suffolk, Va. He has owned a private practice since October 2006. Maria Ferriol completed her residency in periodontology at Tufts in 2006 and then moved back to San Juan, Puerto Rico, where she is the staff periodontist at the VA Caribbean Healthcare System and also works in private practice. “Hope all is well, D03!” Alan Pan has acquired the practice of Thomas P. Kelleher, D.M.D., in Portsmouth, N.H. Kevin Silva and Kristen Zitterell welcomed a son, Dylan James Silva, on November 13, 2007. The baby weighed 6 pounds, 13 ounces, and looks just like his mom! The couple relocated from Columbus, Ohio, to North Smithfield, R.I., in September 2007. WE WANT TO HEAR FROM YOU! Have you opened a practice? Gotten married? Changed jobs? Fulfilled a lifelong dream? Keep your fellow alumni/ae up to date by filling out this form. CHECK HERE IF ADDRESS IS NEW. Send to: Natalie Chassaigne Tufts Dental Alumni Relations 136 Harrison Avenue Boston, MA 02111 email: dental-alumni@tufts.edu fax: 617.636.4052 Name Class Street City State Zip Email addres 68 t u f t s d e n ta l m e d i c i n e summer 2008 REUNION 2009, MAY 1–3 Monica Garnache relocated to San Diego in June 2007. She is looking for a practice to purchase while working as an associate. She is finishing an esthetics program at Esthetics Professionals in Tarzana, Calif., taught by Bruce and Kristi Crispin, D03. Monica says she highly recommends the program: “Many thanks to Kristi for her continued support and mentorship!” D04 Laura Randazzo and Romey Sabnani, DG07, were married on October 26, 2007, on Long Island, New York. Many Tufts Dental classmates attended. Laura is in a pediatric dental residency program at St. Joseph Hospital in Providence, R.I., and will be graduating in June 2009. Romey completed his orthodontic residency at Tufts in June 2007, and is an orthodontic associate at Orthodontic Partners in Rhode Island. David Merrill and Jill Merrill welcomed their first child, Evelyn Rose, who was born in December 2007, and weighed 9 pounds, 3 ounces. They are completing their naval assignment in North Chicago and preparing to move to Virginia. D07 Renee Osofsky has returned to her hometown of East Longmeadow, Mass., joining Lisa Emirzian, D82, and Vincent Mariano, D82, DG84, at EM&A Dental of East Longmeadow. OBITUARIES ERLING JOHANSEN, D49 TUFTS’ LONGEST-SERVING DENTAL DEAN since the six-year-old dental building at One Kneeland Street September 26 for Erling Johansen, D49, the longest-serving had been designed for a three-year program. Johansen noted dean of Tufts University School of Dental Medicine, who died on that with the three-year program, “research more or less disapFebruary 29 in his native Norway after a long illness. He was 84. peared.” The services will take place at 3 p.m. in the dental school’s A prodigious fundraiser, Johansen embarked on a campaign Merritt Auditorium on the seventh floor of One Kneeland Street. to elevate the dental school to the high level of clinical and Johansen was teaching high school in his native Overhalla, experimental research for which it was known from the midNorway, in 1945, when Tufts invited 22 Norwegians to enroll 1940s through the mid-1960s. at the dental school after the Nazis had closed the Norwegian Under his leadership, the dental school established an universities during World War II. In his younger years, Johansen impressive array of new specialty clinics and laboratories, includhad been active in Norway’s underground Nazi resistance ing the Harold Gelb Craniomandibular Pain Center; the Lawrence movement. After graduating cum laude from Tufts in 1949 J. and Anne Cable Rubenstein Oral Health Clinic, which specialand ser ving for a year as a lieutenant in the ized in caring for patients with serious medical Nor wegian Armed Forces Dental Corps in the conditions; the Herbert Margolis Clinical Allied occupation army in Germany, Johansen Research Laboratory for orthodontics; the Harold was awarded a Fulbright Scholarship to pursue Berk Dental Health Research Laboratory for doctoral studies at the University of Rochester pediatric dentistry; the Rudel Clinical Research School of Medicine and Dentistry. Johansen was Laboratory for patient care; the Anthony L. Clark appointed chair of Rochester’s department of Oral and Maxillofacial Surgery Research Laboratodentistry and dental research after he completed ry; the Dr. J. Murray Gavel Center for Restorative his Ph.D. in pathology in January 1955. In 1966, Dental Research; the Maury Massler Geriatric Rochester appointed him the Margaret and Cy Clinic; the Philip Williams Library in prosthodonWelcher Professor of Dental Research. tics; the Everett Shapiro Library in orthodontics; His pioneering research in preventive dena refurbished Irving Glickman Library for periodontistry led to the development of an oral health tics and the Dr. H. Martin Deranian Museum of management system for cancer patients. Head Dental History on the seventh floor. Dean Emeritus Erling Johansen and neck cancer patients and others around the With expanded space and the infusion of new world benefited from his dental remineralizing solution and funding, Johansen recruited talented scientists who helped raise other research. Johansen published extensively in professional the dental school’s research profile. journals, and he edited the Journal of Dental Education from He also believed that alumni were critical to achieving the 1974 to 1976. school’s mission. In recognition of the generosity of alumni who When Tufts sought a successor to retiring dental school enabled the school’s strong growth, the school dedicated the Dean Robert B. Shira, H81, the university was intent on hiring Dr. Edward Becker, D34, Alumni Center on the seventh floor of a top-flight researcher who could reinvigorate the dental school’s the dental school on April 28, 1989. Johansen was named a research enterprise. The natural choice was Johansen, who, Distinguished Professor in 1994, the same year he received the during his 24 years on the Rochester faculty, had supervised Tufts University Alumni Association’s highest honor, the Distinthe training of more dental researchers than anyone else in the guished Service Award. That year also saw Johansen honored country. He became dean of Tufts School of Dental Medicine on by Becker, the alumnus who established the school’s first January 1, 1979. endowed faculty chair, the Dr. Erling Johansen, D49, Endowed “When I graduated from this school in 1949, I didn’t Professorship in Dental Research, in honor of his friend. believe in my wildest dreams that I’d ever come back as When Johansen retired on July 1, 1995, he had been at the dean,” Johansen said in a 1995 inter view published in the dental school’s helm for 16 1 ⁄ 2 years—still the longest tenure of any dean in the school’s 140-year history. His retirement came university newspaper, the Tufts Journal. “When I did, I found six or seven of my classmates on the faculty. It was like exactly 50 years to the day he arrived at Tufts as a first-year coming back to my family.” dental student. He was named dean emeritus and professor One of his first tasks as dean was to engineer the switch of general dentistry emeritus. Continued on next page from a three-year to a four-year curriculum, a tricky proposition MEMORIAL SERVICES WILL BE HELD ON THE BOSTON CAMPUS ON PHOTO: MARK MORELLI summer 2008 t u f t s d e n ta l m e d i c i n e 69 ALUMNI NEWS OBITUARIES JOHANSEN, continued from previous page At the time of his retirement, nearly half of the dental school’s 6,000 living alumni had attended Tufts while Johansen was dean. “I really do believe in the power of education,” he said at the time. “And I think a dental education is about the best anyone can get.” Johansen was passionate about dental students and their success. He met often with students to hear their thoughts about what the school could do to support their studies and professional success. Johansen traveled extensively thoughout his career and was typically accompanied by his wife, Inger, and often his three sons when they were young. He lectured and consulted for both active and developing dental programs in Asia, the Middle East and South America. He was a consultant for the AMA Council on Drugs, the U.S. Public Health Service, the National Institute of Dental Research, King Abdulaziz University in Saudi Arabia and the Kuwaiti Ministry of Health, among others. The Dental Society of Norway, the Korean Dental Association and other professional organizations honored his contributions to the profession. Though primarily a dental researcher, Johansen decided to obtain his dental license later in his career because he believed it was important since licensure was the goal of many Tufts Dental students. Johansen was a member of many professional organizations, including the Massachusetts Dental Society, American Dental Association, International Association of Dental Research, American Association for the Advancement of Science, American Association of Dental Schools, American College of Dentists and the Pierre Fauchard Dental Honor Society, among others. He served in leadership positions and on committees for many of those organizations. An avid fisherman throughout his life, Johansen enjoyed trolling for lake and rainbow trout, walleye and land-locked salmon on the Finger Lakes in upstate New York, and fishing for salmon and halibut in Alaska. He treasured his time fishing on Europe’s famous salmon river, the Namsen, which flows through Overhalla, Norway. He also enjoyed downhill and cross-country skiing, photography and historical research, especially European and World War II history. In retirement, Johansen was active in a number of community causes. As president of the board of directors and chief fundraiser for the Scandinavian Charitable Society of Greater Boston, he was instrumental in the establishment of the Scandinavian Living Center, a retirement home and Scandinavian cultural center in West Newton, Mass. He was a member of the Norumbega Lodge 3-506 of the Sons of Norway, and in 2004, he received the Sons of Norway District 3 Leif Erikson Day Citation in recognition of a lifetime of achievement. Johansen is survived by his wife of 55 years, Inger; three sons, Erling T. Johansen of Alaska, Erik B. Johansen of Australia and Steven D. Johansen of Norway; three grandchildren, Elias and ElliAnne of Alaska and Erik of Norway; and his sisters, Laila Voie of Norway and Randi Jakobsen of Sweden. IN MEMORIAM T. Way McDonald, D39 January 2, 2008 Tenants Harbor, Maine Philip J. Boyne, D47 June 9, 2008 Loma Linda, California Sidney Shernin, D50 February 1, 2008 Malden, Massachusetts Elliot D. Winograd, D60 September 17, 2007 York, Maine Spencer C. Taylor, A34, D39 January 15, 2008 Palm Coast, Florida John S. Coughlan, D47 May 20, 2008 East Longmeadow, Massachusetts Charles Jenkins, D51, DG62 March 29, 2008 Tucson, Arizona James W. Brown, D62 May 7, 2008 Barnet, Vermont Alexander Colt, D54, DG56 March 31, 2008 Belmont, Massachusetts Marcus Arthur, D70 March 3, 2008 Henry N. Iacovelli, D41 March 6, 2008 Milford, Massachusetts Gerald Rogers, D44 April 19, 2008 Middletown, Rhode Island Horace Brayshaw, DG47 March 23, 2007 Denver, Colorado Salvatore Oddo, D47 March 28, 2008 Bakersfield, California Sebastian Bruno, D48 March 31, 2008 Scarsdale, New York James E. Cassidy, D48 January 26, 2008 Boston, Massachusetts Leonard Cushner, A47, D48, DG51 June 12, 2008 Brookline, Massachusetts 70 t u f t s d e n ta l m e d i c i n e summer 2008 Gilberto Rivera, D55 April 12, 2008 DeFuniak Springs, Florida John Hayes Topham, D55 June 6, 2008 Dover, New Hampshire Marvin Pinn, D60 May 8, 2008 Newark, New Jersey Douglas Greenlaw, D74 May 23, 2008 Glastonbury, Connecticut David Knight, D78 November 24, 2007 Nelson, New Hampshire Yimin Sung, D88 2007 Fort Lee, New Jersey CONTINUING EDUCATION SEPTEMBER 17 OCTOBER 18 NOVEMBER 7–8 DECEMBER 5–7 Taking In or Becoming an Associate or Partner Dr. Bernard B. Fink New Advances in Implant Overdentures: Happiness through Simplification Dr. Allen L. Schneider Nitrous Oxide Certification Course Dr. Morton B. Rosenberg, Dr. C.S. Maller, Dr. William A. MacDonnell Orthodontics, Reconnecting the Old with the New Dr. Marcel Korn SEPTEMBER 19 Lasers in Periodontal Therapy Dr. Raymond A. Yukna SEPTEMBER 24 The Triad Approach to Diagnosis and Treatment of TM Disorders: The Missing Link Dr. Harold Gelb OCTOBER 24 Pediatric Dentistry: An Overview of Selected Topics Dr. Steven M. Adair OCTOBER 25 Bone Grafting: Sockets, Ridges, Sinuses…and More Dr. Dennis Thompson SEPTEMBER 27 Crown Lengthening Workshop Dr. Emilio Arguello, Dr. Catherine Moshirfar OCTOBER 3 Clinical Success from A to Z (Adhesives to Zirconium) Dr. Robert G. Ritter OCTOBER 4 Increase Your Endodontic Efficiency and Profitability Dr. Richard E. Mounce OCTOBER 8 Dental Update for the Entire Team: Medical Emergencies Dr. Morton B. Rosenberg Optimize the Application of Preventive Dentistry in Your Everyday Dental Practice Dr. Paul J. Vankevich OCTOBER 17 The Phantom of the Opera-tory: Let Your Pharmacology Inner Voice Guide You to Great Patient Management! An Overview and Update in Pharmacology for Dental Professionals Thomas Viola Are You Prepared for a New Associate? What You Should Know About Their Information Technology Expectations as They Relate to Patient Care Dr. David A. Russell, Dr. James B. Hanley, Kevin O’Dea OCTOBER 29 Management of Common Soft Tissue Oral Lesions Dr. Michael A. Kahn, Dr. Lynn W. Solomon Direct Posterior Composites: The Next Level (lecture) Dr. Simone Deliperi, Dr. David N. Bardwell Dental Update: Medical Emergencies and the Prevention and Management of Surgical Complications for the Non-oral Surgeon in the General Office Dr. Morton B. Rosenberg, Dr. Kalpakam Shastri NOVEMBER 7 I’m About to Retire… Now What? Smart Ways to Handle Your Money Dr. James B. Jackson DECEMBER 13 Lasers in Periodontics and Restorative Dentistry Dr. Robert A. Convissar NOVEMBER 15 NobelGuide™: Computer-based Guided Surgery with Software and Model Workshops Dr. Robert M. Bagoff DIVISION OF CONTINUING EDUCATION TUFTS UNIVERSITY NOVEMBER 14 The Restorative Dentist’s Role in Implant Prosthodontics/ Team Approach Dr. Allen L. Schneider NOVEMBER 1 Direct Posterior Composites: The Next Level (workshop) Dr. Simone Deliperi, Dr. David N. Bardwell Surgical vs. Non-surgical Management of Hard and Soft Tissue Defects Dr. Mario Gatti All Continuing Education courses are held on Tufts University School of Dental Medicine’s Boston campus, unless otherwise noted. For more information about these and other upcoming courses, contact: OCTOBER 31 NOVEMBER 5 OCTOBER 15 NOVEMBER 12 DECEMBER 6 SCHOOL OF DENTAL MEDICINE One Kneeland Street Boston, MA 02111 Telephone: 617.636.6629 Fax: 617.636.0800 Email: paige.ambrose@tufts.edu NOVEMBER 19 Complications of Dentoalveolar Surgery: Recognizing, Managing and Most Importantly, Avoiding Problems Dr. Stuart E. Lieblich NOVEMBER 21–22 Enteral (Oral) Sedation for the General Practitioner Dr. Morton B. Rosenberg, Dr. C.S. Maller, Dr. William A. MacDonnell, Carol A. Coakley DECEMBER 3 How to Avoid Meeting Your State Dental Board “Up Close and Personal” Dr. Robert DeFrancesco, Dr. David A. Russell summer 2008 t u f t s d e n ta l m e d i c i n e 71 E S S AY Hub of the dental universe by H. Martin Deranian although it was not until 1867‒68 that formal academic dental education was established in Boston, the city’s rich dental history goes back to 1630, when three barber-surgeons were sent to Plymouth Colony. One, William Dinly, is known more for his misfortune than his clinical skills. He died on an errand of mercy during a violent snowstorm on December 15, 1638, as he was traveling to Roxbury to relieve a colonist of a toothache. He goes down in history as the first American “dental martyr.” Treatment in those days was rendered by craftsmen such as ivory turners, wigmakers, clocksmiths, goldsmiths, silversmiths and blacksmiths, who applied their manual dexterity to dentistry. The well-known Puritan minister Cotton Mather even broached the subject of dental treatment in his book, The Angel of Bethesda: “A Thigh-bone of a Toad, applied unto an aking Tooth, rarely fail of easing the Pain.” Even Paul Revere practiced dentistry. He was trained by John Baker, described as the earliest medically trained dentist to practice in America. When Baker left Boston, he entrusted Revere with the care of his patients. Revere is also remembered as a pioneer in forensic dentistry. He was able to identify, by means of a dental appliance he had made for him, the body of Dr. Joseph Warren, who had been killed in the Battle of Bunker Hill. It wasn’t until around 1760 that European-trained dentists arrived in the colony. Around that time, two of Paul Revere’s neighbors in Boston’s North End, Isaac Greenwood Sr. and Josiah Flagg, established dental dynasties that were to influence the course of American dentistry. Four of Greenwood’s sons became dentists. The most famous was John Greenwood, who was George Washington’s favorite dentist. Flagg’s son, Josiah Jr., is remembered as a pioneering oral surgeon. His son, Josiah Foster Flagg, an 1821 graduate of Harvard Medical School, published a book, The Family Dentist, in 1822. Flagg and his book are said to mark the turning point when dentistry “passed from a tangle of colonial conjecture” to an actual science. Another early practitioner, Nathan Cooley Keep, began his dental career in 1821, and thereafter labored constantly to establish dentistry as a specialty of medicine. He was one of the first manufacturers of porcelain teeth in America, and in 1846 he attained considerable notoriety in connection with the infamous Webster-Parkman murder case. His identification of Dr. George Parkman’s remains, by means of the dentures that he had made, sealed the fate of Harvard chemistry professor John White Webster, who was hanged in 1850 for killing Parkman, reportedly to avoid repaying a loan. In 1820, there were no more than 100 dentists in the entire country. During the depression of the 1830s, however, many unemployed mechanics took up dentistry, doubling the number of practitioners. By 1860, the number of dentists in the U.S. had swelled to 6,000. “Thousands of rude, ignorant men,” Harvard President Charles Elliot lamented, “called themselves dentists at the time of the Civil War.” In the waning years of the Civil War, however, the dental profession took a dramatic upswing with the establishment of the Harvard Dental School and the Massachusetts Dental Society by 1864. A second dental school, Boston Dental College, opened in 1868. At the annual meeting of the state dental society in 1866, it was resolved that dentists should no longer receive apprentices for less than two years and then only if the student would agree to be graduated from a dental school. This was the first decisive step away “Thousands of rude, ignorant men called themselves dentists at the time of the Civil War.” 72 t u f t s d e n ta l m e d i c i n e summer 2008 —CHARLES ELLIOT from the ancient guild or apprentice type of training in Massachusetts. In 1899, the Boston Dental College, under a special act of the Massachusetts legislature, became Tufts College Dental School, awarding the Doctor of Dental Medicine degree after three years. (The school was renamed Tufts University School of Dental Medicine in 1955). Thus came into being two outstanding schools, the Harvard Dental School, allied to an older institution and emphasizing theory, and the other, the Tufts College Dental School, emphasizing the practical, each with its place in the development of dental education and in the history of dentistry in Boston. H. Martin Deranian taught dental history at Tufts School of Dental Medicine for more than four decades. This article is based on a talk he gave at the annual meeting of the American Academy of the History of Dentistry.