can - Tufts University School of Dental Medicine
Transcription
can - 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 WINTER 2009 VOL. 13 NO. 1 SPORTS FOR SCHOLARSHIP OPEN DENTAL MEDICINE Come join the Tufts University Dental Alumni Association for the 27th Annual Wide Open Golf & Tennis Tournament Tufts Dental alumni, faculty, family and friends are invited to participate! ARTWORK PROVIDED BY RANDOM HOUSE Wednesday, September 23, 2009 Pine Hills Golf Club 564 Clubhouse Drive Plymouth, Massachusetts SEUSS DOCTOR Long before Horton heard a Who and the Grinch tried to vanquish Christmas, Theodor Geisel’s creatures populated national magazines, hawked bug spray and taught soldiers the do’s and don’ts of military life. Charles Cohen, D87, knows thing one and thing two about those early days of the beloved children’s author. For more, turn to page 10. All proceeds benefit the Dental Alumni Student Loan Fund NONPROFIT ORG. U.S. POSTAGE Schedule of Events Registration Fees Golf Tournament $350/player $1,300/foursome if signed up together Tennis Tournament $200/player 136 Harrison Avenue Boston, ma 02111 Age OF Dentistry THE www.tufts.edu/dental TUFTS UNIVERSITY OFFICE OF PUBLICATIONS 7854 02/09 Golf and Tennis Registration 9:30 a.m. to 2 p.m. Golf Tournament 11 a.m. shotgun start Lunch included Tennis tournament 2 p.m. to 4 p.m. Reception 4 p.m. Awards Dinner 5 p.m. PAID BOSTON, MA PERMIT NO. 1161 What 76 million baby boomers mean for your practice PLUS: MURDER HE WROTE ■ ECONOMIC GRIND ■ H A L F WAY T H E R E 2009 Wide Open Tournament FRONT MATTER Registration Form Name_________________________________________________ SPORTS FOR SCHOLARSHIP WIDE OPEN Come join the Tufts University Dental Alumni Association for the 27th Annual Wide Open Golf & Tennis Tournament Wednesday, September 23, 2009 Pine Hills Golf Club 564 Clubhouse Drive Plymouth, Massachusetts Tufts Dental alumni, faculty, family and friends are invited to participate! Graduation year or affiliation with Tufts Dental___________ Guest(s) name(s)______________________________________ Address_______________________________________________ ______________________________________________________ Daytime phone________________________________________ Email_________________________________________________ My handicap is___________. Cost includes lunch, tournament, reception and awards dinner. Golf Tournament $350/player $1,300/foursome if signed up together My foursome will include: 2. ____________________________________________________ 3. ____________________________________________________ 4. ____________________________________________________ ❒ Please check here if you would like to be placed in a foursome. Tennis Tournament $200/player All proceeds benefit the Dental Alumni Student Loan Fund Reception & Awards Dinner $75 for guests and non-competitors Payment: Schedule of Events A New Day Ibtyhal Al-Amoudi, a third-year postgraduate resident in pediatric dentistry, joined other Tufts health sciences students, faculty and staff in the Sackler Center café on the Boston campus on January 20 to watch the inauguration of Barack Obama as the country’s 44th president. A native of Jeddah, Saudi Arabia, Al-Amoudi is also pursuing a master of science degree at the dental school. Behind her is Preston Stephens, a manager in the dental school’s clinical affairs division. PHOTO: ALONSO NICHOLS _____ golfers @ $__________ each = $_________ _____ tennis @ $__________ each = $_________ Golf and Tennis Registration 9:30 a.m. to 2 p.m. Golf Tournament 11 a.m. shotgun start Lunch included Tennis tournament 2 p.m. to 4 p.m. Reception 4 p.m. Awards Dinner 5 p.m. _____ dinner only @ $__________ each = $_________ Registration Fees 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. Golf Tournament $350/player $1,300/foursome if signed up together Tennis Tournament $200/player _____ I will be unable to attend the 2009 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._______ TOTAL ENCLOSED $__________ Registration confirmation and directions will be mailed to you prior to the tournament. contents WINTER 2009 VOLUME 13 NO. 1 features 10 Creature Comforts Dr. Seuss, who once created a character called the Escardax (half escargot, half dachshund), no doubt would have fancied the work of Charles Cohen, D87, part dentist, part literary scholar. By Julie Flaherty COVER STORY 14 The Age of Dentistry Caring for elderly patients is as much about appreciating the complexities of aging as it is about teeth—a perspective that will become even more critical as 76 million baby boomers enter their 60s. By Julie Flaherty and Jacqueline Mitchell 22 Murder He Wrote What possessed a mild-mannered pediatric dentist to turn to a life of (literary) crime? By Julie Flaherty 26 26 Economic Grind When the stars come out at night, financial meltdown chips away at oral health. By Jacqueline Mitchell 64 Head of the Class Never condescending, always brilliant, H. Spencer Glidden, A12, M31, wasn’t afraid to use the gross-out factor to make his pathology lectures memorable. By Jacqueline Mitchell On the Cover: A resident of the Woodburn House in Jamaica Plain, Mass., discusses her oral health with a Tufts dental student during one of the weekly screenings third-year students conduct in the community. Photo by Laura Barisonzi departments 2 LETTERS 3 FROM THE DEAN 5 WORD OF MOUTH A SCAN OF PEOPLE & EVENTS 29 ON CAMPUS D E N TA L S C H O O L N E W S 46 49 UNIVERSITY NEWS BEYOND BOUNDARIES PROVIDING THE MEANS FOR EXCELLENCE 52 ALUMNI NEWS 63 CONTINUING EDUCATION 6 w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 1 LETTERS TH E J OYS O F MEN TO RIN G I was very glad to read about the mentoring program (“Homegrown Teachers,” Summer 2008) at the school I graduated from in 1975. At that time I felt that there was a general cutthroat mentality in dental schools throughout the country. I found that most part-time teachers were really not truly dedicated teachers, but there for the plaque on the wall and to socialize with peers. After all, their reimbursement was pennies. We as mature dentists and students can probably learn more from others than in any textbook. When I was studying, the two true educators were Dr. Robert Chapman, A63, D67, DG74 [now a professor of prosthodontics and operative dentistry] and Dr. Van Ghugasian, A67, D72, DG74, both postgraduate students dedicated to helping others. I think all dentists should attend residency programs, like physicians do, and there must be some basic education in running a private practice, again through mentoring and some formal education. ken tobin, d75a wayne, new jersey TH E P R O B L E M WITH ‘ STR E E T A RTISA N S’ The article “Oral Piercing Creates a Whole Lot of Trouble” (Summer 2008) reiterates numerous cautions that are of great concern to the health professions. The dental profession may initiate legislation to limit lay persons from placing such ornamental devices under less-thanadequate bio-sterile conditions, for which many of these “street artisans” are poorly trained. These unlicensed and often selfeducated inserters are practicing surgery. Without the requisite medical or dental credentials, their businesses are an assault on their young and unwise clients. The article correctly asks: “Is it professionally and ethically appropriate for dentists to do this? I say not. By forcing the issue of outlawing lay “street surgery” with heavy discipline for such illegal acts, the dentist, as well as the physician, may be put in the position to grant or refuse such requests from the public. The standards of care and some of the various Practice Acts contain explicit language which makes it professional 2 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 misconduct for a dentist to perform treatment or render services that are recognized as harmful and not in the best interest of the patient. Unfortunately, there is no universal clear-cut standard as to the detrimental health effects of the differing body intrusions. It does sometimes become a professional’s choice as to their personal beliefs whether these “body jewelry” insertions violate standards of care. Further, these adorning elective services requested by the public often ask for piercing body parts that are certainly not accepted as within the scope of dental practice. Ears, eyebrows, nasal walls and certainly regions below the neck are clearly outside the scope of dental practice, despite one’s interpretation of patient harm (or lack thereof). As public health overseers, it is our duty to advise our patients appropriately, and to “do no harm.” ronald i. maitland, a60, d64 new york city DENTAL MEDICINE VOLUME 13, NO. 1 WINTER 2009 Executive Editor Lonnie H. Norris Dean, School of Dental Medicine Editor Karen Bailey Alumni Editor Vangel R. Zissi, D62, DG67 Design Director Margot Grisar Designer Betsy Hayes Contributing Writers Deborah Blagg, Julie Flaherty, Leslie Macmillian, Jaqueline Mitchell, Helene Ragovin Contributing Editor Leslie Macmillan Editorial Advisors Maria Tringale, Senior Director Dental Development and Alumni Relaltions 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 John P. Ficarelli, D73, D10P H IG H M ARKS I never really realized how good Tufts actually is until after I graduated. I am currently in a GPR at Mount Sinai in New York, and even though I do like my program very much and I am learning a lot, I now truly appreciate the value of my education at Tufts University School of Dental Medicine. I suppose I took for granted having every dental material and instrument at any given time, along with paperless charts and digital X-rays. After hearing other students’ experiences at their dental schools, I realize now more than ever that Tufts is in the top echelon of dental schools, without a doubt. alex moheban, a04, d08 new york city TA L K T O U S Tufts Dental Medicine welcomes letters, concerns and suggestions from all its readers. Address your correspondence, which may be edited for space, to Karen Bailey, Editor, Tufts Dental Medicine, Tufts University Office of Publications, 80 George St., Medford, MA 02155. You can also fax us at 617.627.3549 or e-mail [email protected]. Vice President Tofigh Raayai, DG77, DI82 Secretary Lisa Vouras, D89 Assistant Secretary Mostafa El-Sherif, DI95 Treasurer Janis B. Moriarty, D94 Directors 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: Robert B. Amato, D80, DG83; Nicholas T. Papapetros II, D91; Lisa Vouras, D89 Dental M Club Chair John P. Ficarelli, D73, D10P Historian Charles B. Millstein, D62, A10P University Liaison Thomas F. Winkler III, A62, D66, D10P Chapter Presidents Steven Dugoni, D79, A08P, A12P, California EJ Bartolazo, D92, New York William N. Pantazes, D90, DG08, Florida 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. FROM THE DEAN Growing Old(er) Gracefully the baby-boom generation is reaching its prime, and this is having an impact on the population that presents for health-care services as well as on the providers of health care and education. With increased awareness about the importance of maintaining a healthy lifestyle, including better nutrition, regular exercise, mental activity and routine medical and dental checkups, the number of American adults over age 65 is growing, and they’re leading active and productive lives. They’re also maintaining more of their dentition. The perceptions surrounding the term “geriatric” today are markedly different than they were in the past. Growing older is less about chronological age and more about health, activity and attitude. Fifty years ago, it was not unusual for the geriatric population to be edentulous, and 50 percent of U.S. adults over age 65 were. I have vivid memories about the notion of losing teeth from my experiences as a resident in oral and maxillofacial surgery doing rotations at Boston City Hospital. Fairly routinely for young adults in their twenties, full-mouth extractions were performed under general anesthesia when they had more than 20 deeply decayed teeth. Families had dentures made for their children in time to celebrate major occasions. At our Chelsea Soldiers Home rotations, vestibuloplasties (lengthening the soft tissue sulcus for denture retention) and complete denture fabrication were the primary procedures we did. Now, dental implants for retention of dentures have essentially replaced extensive vestibuloplasty. And while people are living longer, the good news is that their oral health is improving, too. That also means the number of teeth dentists must care for is increasing. The percentage of the population over age 65 in 1940 was 6.8 percent (roughly 9 million out of a total population of 132.2 million), according to U.S. Census data. By next year, older adults will comprise 13 percent of the U.S. population (40 million people out of 308.9 million), and in 2020, that number is projected to be 16.3 percent, or 55 million out of a projected population of 335.8 million. The number of adults who are edentulous has declined, especially in those ages 65 to 75. The percentage of edentulous elderly in the mid-1970s was 46 percent, compared to 20.5 percent in 2004. As health-care professionals, we can anticipate that the oral health of future generations of older adults will continue to improve because since the 1970s, many children have been receiving better preventive care, including fluoridation and sealants. However, not all children are fortunate enough to receive good dental care. The burden of oral disease continues to be borne most heavily by individuals with low economic status. It is in these highly vulnerable populations that the oral health of the next generation will continue to be compromised without active awareness, assessment and health-education and prevention programs. A report titled “The Oral Health of Massachusetts Children,” released in January 2008 by the Catalyst Institute, revealed that significant numbers of Bay State children suffer from dental caries. More than one in four kindergarteners (19,130 students); more than 40 percent of third-graders (29,110 students) and one-third of sixthgraders (24,575 students) had dental decay. The report also found significant disparities in the status of children’s oral health among racial, ethnic and socio-economic groups. The prevalence of edentulism in the elderly is also strongly related to income, education and race and ethnicity, according to the Centers for Disease Control (see chart, page 4). We are working to change those alarming statistics. Tufts University and four other area universities are collaborating on a program administered by the City of Boston to provide comprehensive services to selected urban schools. Our dental school and the Friedman School of Nutrition Science and Policy at Tufts offer initiatives in healthy eating and physical activity, dental health education and prevention and restorative services. On the other end of the age spectrum, a geriatric outreach program strives to upgrade services and oral health status in the surrounding communities. Both programs have a significant impact on the w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 3 FROM THE DEAN schools, the total number of graduates had dropped to 4,443 PREVALENCE OF by 2001. If these graduates retire at age 65, and the number of TOOTH LOSS IN graduates after 2007 remains in ADULTS AGE 65 + the 4,800 range, it is estimated that the aggregate number of Edentulism Yes No professionally active dentists 20.5% 79.5% will begin to decline around 2014, when fewer dentists will Sex enter the workforce than leave Male 18.8% 81.2% it. The profession will have to Female 21.7% 78.3% evaluate thoroughly the distribution of dentists in underEducation served areas and the effective Less than high school 41.1% 58.9% use of auxiliaries in addressing High school or GED 23.2% 76.8% access-to-care issues. Some post high school 15% 85% Recent data from the College graduate 7.1% 92.9% American Dental Education Association (ADEA) indicates Income that the numbers of older, Less than $15,000 35.9% 64.1% professionally active dentists $15,000–$24,999 25.3% 74.7% will increase over the next de$25,000–$34,999 18.5% 81.4% cade. In 2000, approximately 9 $35,000–$49,999 11.8% 88.2% percent of dentists over age 65 $50,000 + 6.7% 93.3% were still practicing. The number of active practitioners over Ethnicity age 65 is projected to increase White 19.4% 80.6% to 13 percent by 2010, and to 21 Black 28.6% 71.4% percent by 2020. Dentists who Hispanic 21.6% 78.4% delay retiring could help feed a Other 19.8% 80.2% workforce available to provide Multiracial 27.5% 72.5% access to care. The aging of dental faculty SOURCE: CENTERS FOR DISEASE CONTROL, NATIONAL ORAL HEALTH is also of concern. An ADEA SURVEILLANCE SYSTEM, 2004 survey of 11,925 dental faculty (4,620 full-time, 5,062 outcomes of healthy aging. part-time and 2,243 volunteer) found they About 80 percent of the elderly patients ranged in age from 23 to 95. More worriwho are treated in our clinics suffer from some is the graying of leadership at U.S. at least one chronic disease, with hypertendental schools: The average age of deans is sion and diabetes being the most common. 60; associate deans, 58; and chairs, 60. And It is estimated that more than two-thirds so it is imperative that schools have strategic of adults over age 65 are taking at least one plans to recruit, mentor and develop faculty medication (the average, however, is three) for future leadership. Our school has placed that would affect dental treatment or pasignificant emphasis on faculty developtient management. ment and leadership training. Will there be enough dental professionStarting with the Class of 2001, the als to care for a growing elderly population school initiated a Student Teaching Assistant in the future? We need to take steps to enProgram with two students. Now, from the sure that is the case. Class of 2009, 60 students are actively teachIn the early 1980s, at the peak of enrolling with faculty supervision in preclinical ment, U.S. dental schools graduated 5,756 courses, clinics and didactic courses and dentists. However, with the closing of some working in advising/mentoring groups. We 4 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 are making a concerted effort not only to expose our students to academic dentistry, but also nurture a responsibility to give back by providing care to underserved populations. Our hope is that this program will feed the pipeline for future faculty. To achieve our mission of offering an outstanding educational program to develop future dental practitioners and academic leaders who will provide access to highquality patient care, it is essential to support them in top-flight facilities that bolster that mission. The construction project that will add five floors to the dental tower is on target to be completed by November 2009. In this challenging economic climate, the university is continuing to support building projects that are in progress. To address our school’s academic priorities, $28 million has been raised toward our $40 million goal for the Beyond Boundaries capital campaign. Your school needs your commitment now more than ever. I ask that you consider the school a worthy priority for your philanthropy. Tufts University School of Dental Medicine has a history that began in 1868. We’re 140 years old and growing stronger. With your commitment to participate, your school will continue to grow older gracefully as a leader in dental education with all the necessary foundations for success in the future. lonnie h. norris, d.m.d., m.p.h. References: Brown, L.J., “Dental Service Among Elderly Americans: Utilization, Expenditures and Their Determinants,” in Improving Oral Health for the Elderly: An Interdisciplinary Approach, J.C. Takamura, Ira B. Lamster and Mary E. Northridge, eds., 2008. “The Oral Health of Massachusetts’ Children,” Catalyst Institute, January 2008. Eugene L. Anderson, Ph.D., Associate Executive Director and Director, Center for Educational Policy and Research, American Dental Education Association, 2008. word of mouth A SCAN OF PEOPLE & EVENTS Meet Me on Facebook Social networking site builds communities and keeps alumni connected by Jacqueline Mitchell N ine months before they first arrived at one kneeland Street, the Class of 2012 was already getting to know each other on Facebook, the immensely popular online social networking site. Before they met face-to-face, the new classmates started to break the ice, posting their names and hometowns and other basic information on the web page created just for their class. As the school year approached, they began to fret about textbooks and scrubs and, of course, rents in Boston. Members of the Class of 2011, who have their own dedicated Facebook page, weighed in with advice. By August, the new classmates mainly used the site to make plans to meet for dinner. By September, Luddites will be relieved to hear, the online group quieted down as the students’ real-life interactions replaced their virtual ones. “Facebook is a great networking program, and we still use it to contact one another and set up class events,” says Megha Patel, who launched the D12 page ILLUSTRATION: PHILIP ANDERSON as soon as she knew she was going to Tufts. “It helped people find roommates and make connections before we all came to school.” For the uninitiated, Facebook and other social networking sites allow individuals to create an online profile, something like a digital bulletin board. Members can tailor their profiles to suit their needs. New parents might post hundreds of baby pictures, while job-seekers might keep it professional, posting only resumes and contact information. Individuals then link up to Facebook pages created by their friends, families and colleagues and use the site as an easy way to keep in touch with hundreds of people with one keystroke. That’s why this year, the alumni relations team created an official Tufts University School of Dental Medicine Facebook profile. Launched in December, the group acquired 70 members without active recruiting. “A lot of people are already on Facebook,” says Natalie E. Chassaigne, a staff assistant in alumni relations who maintains the school Facebook site. “This is a good way to capture their attention.” Though the school group is still in its early stages, Chassaigne says her office will use it to advertise events, including receptions for alumni at national dental meetings. It also helps the alumni office maintain accurate contact information for younger alumni, who tend to be transient for a few years after graduation. As of January 2009, 150 million people were Facebook users. Almost half log in at least daily. The virtual community represents 170 countries, speaks 35 languages and lives on every continent, including Antarctica. A group of Harvard University students launched the virtual meeting place in 2004 as a fun way to get to know each other. It didn’t take long for Facebook to spread, and by September 2006, anyone with an email address could create a user profile. For the D12s, Facebook helped strangers become friends. For the D08s, who are spending their first year apart after graduating, Facebook is helping old friends stay in touch. Alex Moheban, A04, D08, who is w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 5 WO R D O F M O U T H Continued from page 5 doing a general practice residency in New York City, uses the site to communicate with his classmates who are now scattered in Rhode Island, Florida, Chicago, Los Angeles and Boston. “We’re all over the place, and we have busy schedules and live in different time zones,” says Moheban, who accesses the site on his iPhone several times a day. “Facebook is the most convenient way to keep in touch with a good amount of people.” Facebook has long been a way of life for Moheban, 26, who signed up when he was an undergraduate at Tufts. The site doesn’t replace the way he communicates with his close friends and family, he says, but it is preventing the inevitable drifting apart from people he might not have kept up with otherwise. His dental school class was the first to form a Facebook group before they arrived on campus in fall 2004. While Moheban and his classmates use Facebook entirely for socializing, some alumni are seeking ways to use the site professionally. When Maria Botwin, D91, who practices in West Palm Beach, Fla., needed to find a new dentist for one of her patients who was leaving town, she posted a request to the School of Dental Medicine Facebook site. “Florida is a very transient state, and when my patients move or go off to college, I like to set them up with a Tufts dentist because I know they’ll treat them a certain way,” says Botwin. A working mom of three kids who is married to another Tufts dentist, Todd Botwin, D92, Maria Botwin was already using Facebook to manage her life. “All the moms use it to see who is picking up whom,” she says. Botwin doubts she’d use Facebook to market her practice, however. “It projects a different persona than I want to present to my patients,” she says. But for social networking, the medium can’t be beat. Robert Berg, D03, recently started a Facebook group for Tufts Dental alumni practicing in New York. A prosthodontist with more than 650 Facebook contacts, Berg uses the site to advertise local alumni functions. While still exploring professional applications, he says Facebook is a great way to keep in touch. “I see a photo pop up every time a classmate has a new kid.” 6 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 The Austrian-made microscope that Anna Quincy Churchill presented to her protégé, Vincent Lisanti, in 1951. Anna’s Gift Researcher’s ‘pet’ finds its way back home by Julie Flaherty C leaning out a closet in his North Bergen, N.J., home not long ago, Vincent Lisanti, D42, stumbled across an old friend. It was the familiar black wooden box with a key attached, and inside was the heavy brass microscope that had been a constant companion for much of his research career. Should he give it to a high school, he wondered? To his son? His granddaughter? “You know what?” he said to himself, “this ought to go home.” Home, in this case, is Tufts Dental School, where more than a half-century ago a professor made a gift of the microscope to a young dental researcher. Lisanti was a rising star in the school’s laboratories when Anna Quincy Churchill, the longserving histology professor who was nearing retirement, sent a message asking him to come to her office. Given that he hadn’t been a stellar student in her class, Lisanti was surprised to hear from her, and even more surprised when she said she wanted to make a contribution to his research. She handed him one of her microscopes. “She felt that being one of her students—mediocre or otherwise—I could put the microscope to use,” Lisanti says. The Austrian-made microscope, which was manufactured between 1925 and 1926, was a little outdated when he got it in 1951. “It was like a horse and wagon versus a Cadillac,” Lisanti says. But it served its purpose. Countless slides of tissues, blood and saliva passed beneath its lenses. Perhaps its greatest achievement was helping determine that hyaluronidase, an enzyme found in saliva and associated with the spread of infection, was caused by bacteria. “It was always on my desk,” Lisanti says of the instrument, which he called his “pet.” By the mid-1950s, Lisanti, an associate professor of dental research, had become the largest individual grant and contract holder in biology in the United States. He took the microscope with him when he left Tufts in 1958 to found the Institute of Somatological Research. It stayed close to him until 1973, when he stopped working in the lab and began overseeing grants. That’s when it went in the closet. It waited there patiently until last fall, when Lisanti mailed it to Dean Lonnie Norris “as a reminder that TUSDM was a great dental centerpiece.” Although the microscope probably commanded a good price when new, its value today is primarily sentimental, says Raymond Giordano, an appraiser of scientific instruments and owner of the Antiquarian Scientist in Southampton, Mass. “They were substantial, well-designed, useful instruments of their day,” he says. The microscope still works, despite a couple of missing parts, including the illuminator box that once threw light up through the bottom of the stage. Lisanti hasn’t given up hope of finding that part: “It might turn up in the cellar here somewhere.” PHOTO: VITO ALUIA A Hero and a Saint A ndré st-germain, assistant clinical professor of public health and community service, was honored by the state with an Oral Health Hero citation for his years of service treating individuals with special health-care needs at the Tufts Dental Facility Serving Persons with Special Needs (TDF) at the Wrentham Developmental Center. State Sen. Scott P. Brown, A81, and State Rep. Richard Ross presented the citation. A satellite program of Tufts Dental School, TDF operates eight dental clinics throughout Massachusetts, serving 16,000 special needs patients. St-Germain, D63, fondly known as “The Saint,” says he enjoys working with special needs patients in part because they accept him as he is. Joel Pearlman, D74, director of the Wrentham clinic, recalls first meeting StGermain in the operating room at Lemuel Shattuck Hospital, where some special needs patients are treated because they cannot withstand the stress of a clinic setting. As he prepared to place a stainless steel crown, St-Germain announced, “I’m The Saint, and I’m here to help.” The TDF program was founded in 1976 to identify special needs patients in need of dental treatment and dentists willing to provide that care. Despite St-Germain’s reputation as the consummate bargain hunter—he invites dental students and others who are working at the clinic to spend their lunch hour at the Wrentham outlets—“Saint has always invested heavily in friendship,” Pearlman says. “He generously and unselfishly has committed his spirit, heart and soul to the TDF program and the patients he has treated.” Pearlman notes that as St-Germain looks toward retirement, the word “dinosaur” has come up. “But the real concern here is about extinction. In that context, it’s difficult to picture the clinic without Saint and to also André St-Germain, D63, left, receives his Oral Health Hero certificate from State Sen. Scott P. Brown, A81. question whether it’s the individual who perpetuates the program or the program that perpetuates the individual,” he says. “Saint will always be remembered for his professionalism, wisdom, friendship and perhaps most importantly, for reminding us that although we may be dinosaurs, we won’t be extinct.” GROWTH SPURT The dental school will expand its school-based oral health programs in Lowell and Boston, as well as in Hampden County in western Massachusetts, thanks to a multi-year grant from the Boston-based Oral Health Foundation. The funding will allow the Department of Public Health and Community Service to build on the success of its outreach program, Oral Health Across the Commonwealth, which aims to reduce dental disease in children in preschool through eighth grade, when intervention can be most effective. Kathy Dolan, director of the Tufts Community Dental Programs and an assistant professor of public health and community service, gives an oral health pep talk to a student at the Josiah Quincy Elementary School in Boston. The goal of Oral Health Across the Commonwealth is to create a sustainable community-based program for at-risk children in underserved areas. This kind of outreach improves kids’ oral health status through preventive services, including sealants, oral prophylaxis and fluoride varnish treatments. The Tufts Community Dental Programs also received another infusion of funding when American Dental Partners (ADP), for the fourth consecutive year, donated $5,000 toward those efforts. ADP representatives toured the dental school and visited the school-based clinic at the Josiah Quincy Elementary School in Boston’s Chinatown neighborhood on December 15. PHOTO: JOANIE TOBIN (BOTTOM) w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 7 WO R D O F M O U T H caption_fl Meredith Jones, D09, above, administers Novocain. The student captain of the Tufts team, Monica Rancourt, D10, left, works on a young patient. Mission to Haiti M ore than 750 patients in haiti received free dental care from a Tufts Dental team that traveled to the Caribbean nation, where an estimated 80 percent of the island’s 8.7 million residents live in poverty. “The Haitian people typically started lining up between five and seven in the morning, and sometimes waited up to eight hours for dental care,” says Monica Rancourt, D10, the student captain of the Tufts team that worked at three facilities in Port-au-Prince over eight days last August. “Even then, some of them were asked to return the following day,” she says. The trip was partly funded by the Tisch College of Citizenship and Public Service at Tufts, which awarded the group $5,000 as part of its Tisch Active Citizen Summer Fellows program. The long-term goal of the Tufts mission is to develop a sustainable oral health program in Haiti. The Tufts team performed prophylaxis on more than 500 patients and extractions on 180 people. “We did do multiple restorative procedures,” Rancourt says, “but it depended on whether the air-compression drill worked that day or not.” They often worked without adequate lighting and other equipment that American dentists take for granted. In addition to Rancourt, the Tufts team included faculty members Aidee Herman, associate clinical professor of periodontology; Scott Lightfoot, a periodontist; and Carolyn Cottrell, associate clinical professor of prosthodontics; and students Meredith Jones, D09; Dong-soo Hong, D09; Lee Tran, D09; Samantha Jordan, D10; Ngoc Nguyen, D10; Chelsea Wilson, D10; and Allison Piper, D11. Three Tufts Dental staff members who are natives of Haiti, Ernest Milfort, Renald Joseph and Lysie Osias, provided translation help as well as sterilized instruments. HAIL TO THE TEETH George Washington only had one tooth when he became the nation’s first president. And ill-fitting dentures kept the chief executive from giving an inaugural address when he was elected to a second term, according to the National Museum of Dentistry. 8 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 THE BIG KNOWLEDGE GAP While eight in 10 Americans say that caring for their mouth, teeth and gums is “absolutely needed,” only one-third of them admit to doing an “excellent” job with their oral health. That was one of the findings of an American Dental Association national public opinion survey on oral health care, which was reported on at the ADA’s annual meeting last fall. Perhaps even more troubling, more than one in three Americans: ■ think a little bleeding from brushing is normal, even though it could be a sign of gum disease or something even worse; ■ are unaware that periodontal disease needs to be treated; ■ don’t know that poor oral health is associated with stroke, heart disease and diabetes. The survey helps dentists “address perception versus reality when it comes to oral health,” says Ada Cooper, the ADA’s consumer advisor and a dentist who practices in New York. One thousand Americans, ages 18 and older, responded to the survey, which gauged their perceptions of their oral health care and their knowledge of essential oral healthcare habits as well as the psychological benefits of a healthy smile and oral health habits of the nation’s youth. The study had a particular focus on African Americans, Hispanics and lower-income Americans. More information about the survey, which was done in collaboration with Crest and Oral-B, can be found at www.ada.org/public/media. Principal for a Day M ost days lawrence s. bacow leads a university of 8,500 students. On November 6, the Tufts president went back to grade school as principal for the 300 students at Chittick Elementary School in Boston’s Mattapan neighborhood. Bacow was one of 136 Boston-area business and community leaders to participate in the sixth annual Principal for a Day program, which pairs them with the heads of public schools in Boston. Tufts is one of five area colleges and universities that have partnered with the city schools through the Step Up program, an initiative of Mayor Thomas M. Menino that offers programs and services focusing on academic progress, student and family wellness, art, athletics and citizenship to the city’s schoolchildren. “I was incredibly impressed by the energy and enthusiasm of the principal of the Chittick Elementary School, Michelle Burnett-Herndon,” Bacow says. “She knew the name of virtually every one of her 300 ILLUSTRATION: PHILIP ANDERSON students and greeted each one as they came through the door. Similarly, the teachers were all fabulous—caring, engaged and enthusiastic. I left very optimistic about public education in Boston.” Volunteers from Tufts School of Dental Medicine provide oral health-care services to Boston students as part of the Step-Up partnership. “Many kids at the Chittick have never seen a dentist until they meet a member of the Tufts University School of Dental Medicine team,” Bacow says. The highlight of Bacow’s stint as a gradeschool principal? “Seeing a special needs student successfully solve a math problem in front of the class. I also visited a classroom with five autistic children who were being taught by three very dedicated and skilled teachers,” he adds. “Our society owes much to those who teach in our urban public schools,” Bacow says. “We need to do more to support them. That said, the quality of the teaching I observed and the care and love expressed by the staff for the kids was truly inspiring.” With smiles all around, Tufts President Lawrence S. Bacow and Elaine Conroy, a Tufts dental hygienist, with Yanelee Pimentel, a fourth-grade Chittick student, after her dental check-up. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 9 if dr. seuss had based one of his fantastical characters on Charles Cohen, D87, he might have been the Knowtooth Seussasleuth, or the Amassalot from the island of Dentium. No doubt, the inimitable Pulitzer Prize-winning author would have chosen a more eloquent name. But Seuss, who once created a character called the Escardax (half escargot, half dachshund), probably would have appreciated a man who was part dentist, part literary scholar. Cohen, a general dentist who lives very near Seuss’s birthplace of Springfield, Mass., spends about three-and-a-half days a week caring for patients, and much of the rest of his time collecting, appraising, writing, curating and fielding questions about Seuss, who even after his death in 1991, continues to be the world’s bestselling author of children’s books. Although he never met the author, whose real name was Theodor Seuss Geisel, Cohen knows as much about Seuss’s work as anyone who was acquainted with him, perhaps more so. His collection of Seussiana, which he began a decade ago, is believed to be the largest private anthology of its kind. Along with a wide variety of trade, library and foreign editions of all the beloved Seuss books, he has gathered obscure publications like Geisel’s first poems and drawings for his high school newspaper. There’s a human-sized Sneetch intended for outdoor display at a theme park (and which currently greets visitors to Cohen’s home). And there are larger items, like an advertisement for How the Grinch Stole Christmas designed for the side of a bus. Some of the most valuable pieces are watercolors, pen-and-ink drawings and sculptures Seuss designed and sold through mail-order. Such original works can fetch tens of thousands of dollars. Acquiring the items was really just a byproduct of Cohen’s desire to know more about the genius behind them. It began in 1988, when Cohen saw a traveling exhibit about Seuss that displayed some of his lesser-known work as a political cartoonist and advertising artist. “That was my first exposure to the things that Ted Geisel did outside of his famous Dr. Seuss children’s books, and it piqued my interest,” Cohen says. But when he began looking for more background on the author, he found a dearth of facts. “More distressingly, the things that were written often turned out to be wrong.” A fair amount of the misinformation came from Geisel himself. Asked where he got his ideas, for example, Geisel would describe a Swiss hamlet called Über Gletch, where he purported to go every August 4 to have his cuckoo clock repaired: “While the cuckoo is in the hospital, I wander around and talk to the people in the streets. They are very strange people, and I get my ideas from them.” Surrounded by Grinches and Sneetches and ‘Flit’ stuff lives a dentist named Cohen, the ultimate Seuss buff Creature 10 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 BY J U L I E F L A H E R T Y P H OTO G R A P H BY S T E V E N VOT E Comforts As Cohen says, “Ted was a great storyteller, and it was much more important to him to tell a good and amusing story than to tell the truth.” So the dentist started looking for firsthand sources, combing through the Boston Public Library, the Library of Congress and the Seuss archives at the University of California, San Diego, and at Dartmouth College, Geisel’s alma mater. He became a constant scourer of eBay, too. In doing so, he came to appreciate Geisel’s breadth of experience and his uncanny success in just about any field he chose to pursue. As a young man in the 1920s, selling a funny drawing to the Saturday Evening Post for $25 was all the encouragement Geisel needed to move from Springfield to New York City to make his living drawing cartoons. One of Cohen’s favorites is a 1928 sketch of a man giving a bouquet of fish to a girl, with this caption: “The Height of Deception: Taking Advantage of his Best Girl’s Astigmatism.” “Apparently our senses of humor coincide on that level, since I still find that one particularly funny,” Cohen says. When Geisel decided to try to make some extra money in advertising, he used his witty scenarios and unlimited zoo of characters to help sell “everything from beer to ball bearings, windshield wipers to whisky, sugar to shaving cream, clocks to cosmetics, spark plugs to spot removers, and radios to rifles,” Cohen says. In a 1930s ad for disposable Ajax cups, an unmistakably Seussian crowd of fanciful germs parties on a drinking glass. Geisel, in fact, created one of the most recognizable ad campaigns of the era, for Flit Bug Spray, where the insecticide battled comically oversized mosquitoes. (“Quick, Henry, the Flit!” was the “Got Milk?” of its day.) It wasn’t until Geisel was midway through his career that he decided to try his hand at writing children’s books. He was an unlikely candidate for the job, Cohen points out. He had no children of his own, and his early humor was often inappropriate for kids. One of his cartoons, titled “Making Our Daughters Less Irritating,” featured a spring-loaded mallet called The Pout Extinguisher: “After this apparatus has been securely fastened to daughter’s head by a reliable blacksmith, let her go ahead and pout if she dare!” Yet because books like And to Think That I Saw It on Mulberry Street and The Cat in the Hat were so different from the insipid Dick-and-Jane primers that children were 12 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 used to, kids loved them. Aided by a carefully honed use of anapestic tetrameter (his poetic rhythm of choice), Seuss was able to get children to read at an earlier age than was generally thought possible. “I’m not sure if most people truly understand his contribution to improving children’s literacy,” Cohen says. “Utilizing repetition, rhyme and infectious rhythm to drum his stories into kids’ heads, Ted was able to facilitate memorization and bring the pleasures of reading to children before they could read actual words.” In 1940, Geisel put aside children’s books to focus on the growing threat of Adolf Hitler, whom he lambasted in political cartoons. He later joined the Army, where he got involved with Chuck Jones, Friz Freleng and Mel Blanc (the talents behind Bugs Bunny and others) in writing “Private Snafu” cartoons, which showed enlisted men what not to do as soldiers. His work writing propaganda films led him to try a career as a Hollywood screenwriter. Along the way, productions based on his work have won Oscars, Emmys, Grammys and many other awards. The more Cohen unearthed, the more he saw the evolution of Seuss’s artwork. His research revealed that Geisel was drawing pachyderms in trees and stacking terrapins long before Horton the elephant decided to hatch an egg or Hitler gave Seuss his inspiration for the tyrannical Yertle the Turtle. Cohen also found that Prohibition had a significant influence on Seuss’s work. Where an ordinary alcoholic might see pink elephants, drunkards in Seuss’s early cartoons were treated to wide-eyed, sock-footed beasts with balloons for tails, misplaced horns or rainbow stripes. “That weird menagerie started as the odd animals one would see in the throes of delirium tremens and only later developed into loveably eccentric animals for children to enjoy,” Cohen says. Each find helped separate the truth from the fiction (contrary to persistent myth, Geisel was not opposed to merchandizing his artwork, as his mail-order sculpture business attests) and the real from the counterfeit. “I used to estimate that 80 percent of the ‘original’ Seuss artwork I saw for sale was not authentic,” Cohen says. “We’ve put a substantial dent in that figure over the last couple of years.” All this became fodder for Cohen’s colorful visual biography of Geisel, called The Seuss, the Whole Seuss and Nothing but the Seuss (Random House, 2004), which pays as much homage to his work as a cartoonist and advertising man as it does to his children’s books. “I was hesitant to try to write a biography of a man whom I’d never even seen in person,” Cohen says, “but it actually turned out to be essential to doing it successfully. Not knowing him allowed me not to make the mistake of trusting his version of events.” He later approached Random House with the idea of celebrating the 50th anniversaries of How the Grinch Stole Christmas and Yertle the Turtle and Other Stories with special editions of the books. Cohen provided images and commentary to show, for example, how the Grinch evolved from a pucker-mouthed character in an advertisement for sugar to the familiar green sourpuss with more than a passing dislike for the December holiday. More special editions are in the works. There is not much overlap between his dental practice and his passion for Seuss, although you will find copies of Cohen’s books among the usual magazines in his waiting room, and a couple of cels from the animated production of The Lorax, mounted at kid’s eye level. Cohen fears that a reputation as the “Dr. Seuss dentist” would lead to an exclusively pediatric practice, which he says he would find “too limiting.” And Cohen doesn’t like to be limited. He studied postmodern literature as an undergraduate, but, as later witnessed by his methodical search for empirical data about Seuss, he also had an appreciation for scientific discovery. Dentistry was his father’s suggestion. “I thought he’d gone insane when he mentioned it,” Cohen says. Yet the fit made sense. “Dentistry keeps me grounded in science, in mechanical precision work, and attuned to people’s difficulties and needs— all of which are important to me as a wellrounded and caring person.” Shades of Dr. Seuss’s fantastical creatures were evident in Theodor Geisel’s early work, clockwise from left: part of an Esso campaign for marine motor oil; an ad promoting the anti-knock properties of auto lubricant; an editorial cartoon with an anti-Prohibition slant; and a subway card for Flit Bug Spray. Like Seuss, Cohen finds many outlets for his creativity. When he was doing postgraduate work in orthodontics, a moment of boredom would find him bending wire meant for braces into more elaborate designs. Soon he was selling them as earrings to a jeweler. His interest in the arts has led to several one-man shows of his own paintings, photography and sculptures, and a number of literary and musical compositions. He says he and his wife, Margarita, joke about her putting up with his obsession, which takes a lot of his time and resources. “If there was no money spent on Seussiana, our house would long ago have been repainted, and the hideous linoleum in our kitchen would have disappeared,” Cohen says. But he thinks his wife is also proud of what he has been able to accomplish. “She knows that I’m very seriously touched by the fleetingness of mortality and that it means a great deal to me to have created things that will live on in libraries and potentially be of use to people long after we’re gone.” And so he revels in the acquisition of a paper flyswatter advertising Flit Bug Spray, fascinated that no one had the sense to throw it out back in 1931, and begins a search for the dozen or so Dr. Seuss books he recently learned had been translated into Persian. By the way, if you happen to have a copy of the 1952 Serbo-Croatian edition of Thidwick, The Big-Hearted Moose or a flag from Seuss’s 1937 Esso Marine Navy ad campaign cluttering up your closet, Cohen would like to hear from you. Blame it on an overdose of anapestic tetrameter, but Geisel’s style has certainly drummed its way into Cohen’s brain. Asked how he stores his collection, he responds with a Seuss-worthy tale: “For security reasons, the collection is moved to a new location each day. One day last week, for example, it was kept in a self-storage unit in Havre de Grace, Maryland, carefully watched by a solitary chimney sweep with acromegaly, and the next day it was moved to a quonset hut in Corfu, Greece, guarded by frilled sharks and coelacanths.” Someday, Cohen says, he might like to open a museum for it somewhere. I hear Über Gletch is in the running. TDM Julie Flaherty, a senior health sciences writer in Tufts’ Office of Publications, can be reached at [email protected]. ARTWORK PROVIDED BY RANDOM HOUSE w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 1 3 Age A ge Dentistry With 76 million baby boomers headed into their 60s, the need for geriatric care will only escalate n the late 1970s and early 1980s, professor athena papas went door-to-door in Tufts’ neighboring communities, dragging mobile dental equipment up flights of stairs to provide oral health care to some of the city’s neediest senior citizens. On one of her visits, Papas met a man who needed eight fillings across the front of his upper teeth. The decay had not only affected his appearance, but his demeanor. She suspects that was one reason his children had stopped visiting. “When your teeth aren’t right, you don’t smile as much, and others don’t react as well to you,” she says. “You can become this dour person without realizing it.” Poor oral health can indeed trigger a downward spiral in the elderly, who often become self-conscious about their speech or appearance and withdraw from social situations, including seeking out dental and medical care. With funding from the government and foundations, Papas, J67, established a geriatric outreach program to serve the homebound elderly, hoping to break that cycle and bring her patients out of their apartments. Papas still remembers the broad smile the man flashed after she treated his extensive decay. “It motivated him to go out more.” But when the government money dried up, so did many of the outreach programs. “It was very hard for me,” she says. BY J U L I E F L A H E R T Y & JACQ U E L I N E M I TC H E L L P H OTO S BY L AU R A B A R I S O N Z I 14 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 An important component of caring for the elderly is a detailed medical assessment. Here Amanda Fix, D10, checks her patient’s blood pressure. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 1 5 “Older people are survivors. They have Today, the situation is just as grave, if not more so. With 76 million baby boomers poised to enter their 60s, the need for geriatric dental care will only increase. Since 1990, the proportion of American citizens over age 65 has tripled. And unlike previous generations, nearly three-quarters of today’s senior citizens retain many of their natural teeth. But funding for care is just as scarce as it was 30 years ago. Just 15 percent of people ages 65 and older have dental insurance, with Medicare picking up none of the tab and Medicaid coverage varying widely from state to state. Moreover, misconceptions about aging and teeth persist, among the public as well as dentists. At Tufts University School of Dental Medicine, faculty who focus on geriatric dentistry are banking on a unique combination of education, research and outreach to prepare the next generation of dentists to handle the intricacies of caring for the elderly. NOTIONS ABOUT AG ING At Tufts, the third-year rotation in geriatric dentistry is as much about appreciating the complexities of aging as it is about teeth. Sometimes the dentistry is straightforward. When it isn’t, Professor Hilde Tillman, D49, the course director, is happy to offer advice about treatment planning and management. Perhaps more important to Tillman is teaching students to challenge their assumptions about getting older. She tells them about the geriatric clinic’s oldest patient, who turned 102 during his treatment. “He came to us because he needed new dentures,” Tillman says. “He was in custodial care because he had outlived most of his contemporaries, but he was completely independent. He was very well dressed. Whenever he came to the clinic, he had on a shirt and tie and hat.” She does not hide her pride. Tillman developed Tufts’ geriatric dentistry program nearly three decades ago, building on Papas’ education and outreach efforts with the help of a $1 million grant from the National Institutes of Health. The course includes lectures on nutrition, exercise, cognitive disorders, stroke, cancer, periodontal disease, endodontics and rehabilitation—all as they relate to aging 16 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 and dentistry. The course is a prelude to a rotation in the geriatric clinic and an opportunity to provide dental screenings for senior citizens in the community. “Certainly the program has changed a lot from when we first started it,” says Tillman. “Students used to say, ‘That’s the chance to get a denture patient.’ We know now that with good care and prevention, teeth can be maintained throughout life.” Each week, Tillman and her students go over the cases they have seen in the clinic, discussing radiographs, medical histories and possible drug interactions. They also talk about the patient’s broader life: Does he work? Does he use a cane or a wheelchair? How is his diet? Does he eat alone? The answers can make or break a treatment plan. The students learn about adaptive de- at first—this wasn’t covered in a textbook— but soon realize she is asking them to question what they think they know about how a 60-, 70- or 80-year-old looks and acts. Tillman tells the students not to be intimidated by the long lists of conditions their patients have been treated for, such as high blood pressure, high cholesterol, diabetes or even cancer. “Older people are survivors,” she says. “They have survived many things, medical issues, dental issues.” Students are well prepared for the medical challenges of the aging patient. Professor Kanchan Ganda, who came to Tufts Dental School in 1980 and became the fi rst full-time physician faculty member in 1991, estimates that as many as eight or nine out of every 10 patients at the Tufts clinic are medically compromised. The vices that can help patients with arthritis or stroke-related paralysis hold a toothbrush or use dental f loss. Tillman stresses the team approach, with frequent consultations with physicians, psychiatrists, physiotherapists and occupational and speech therapists. Tillman asks the students if they think their patient’s physiological age matches his chronological age. The students are hesitant clinic cares for many patients with hypertension, diabetes, heart disease, HIV or cancer “because we’re recognized as a hub of optimal care for medically compromised patients,” says Ganda. “Many have one or more disease states; many take one or more medications.” Since 1991, Tufts students have taken medical classes in all four years of dental school. The program, developed by Ganda, survived many things, medical issues, dental issues.” teaches students to recognize the symptoms of common diseases, which lab tests can be used to assess them, and the best anesthetics, analgesics and antibiotics to treat them. Specialists from Tufts Medical Center lecture on subjects as diverse as rheumatology, cardiology, liver disease, emergency medicine, immunology and even domestic violence. Third-year dental students have five weeks of rotation through 26 specialties at Tufts Medical Center and the Joslin Diabetes Center, where they shadow clinicians and learn fi rsthand about caring for the medically compromised patient. “Through all four years, we include pediatric, adult and elderly populations right off the bat,” Ganda says. “No matter what age bracket a student is treating, he or she needs to recognize the needs specific for that population and apply that information to provide optimal patient care. With patients living longer, people are coming in on lots more medications, people who still have viable dentition.” With elderly patients in particular, students need to be aware of the status of the liver, kidneys and heart and the need to alter doses of medications prescribed in the dental setting based on those organs’ functional capacity. Students learn how elderly patients with Alzheimer’s or dementia may have to be managed differently. They learn to coordinate patient care. “All the disciplines have to come together,” says Ganda. “We do not have tunnel vision as far as patient care is concerned.” TH E JOGG ING G R AN NY If dental students remember nothing else from Professor Carole Palmer’s lecture on nutrition and aging, they remember this: Palmer dressed in a white wig, granny glasses and sneakers taking a brisk jog around the classroom. The character, based Opposite page: Seungho Choi, D10, reviews a treatment plan with a patient in Tufts’ geriatric clinic. This page: Nicholas Barone, D10, (top) and Mary Qian, D10, (bottom) with their patients. —hilde tillm a n on her vibrant aunt, who lived to be 93, is a reminder that the aging process varies from person to person. “Please don’t stereotype anybody,” says Palmer, G69, N69. “Some people are very old when they are young; some are young when they are old. Some of it is health issues. Some of it is genetics. Some of it is lifestyle. Some of it is attitude. A lot of it is unknown. “What you don’t want to do is make an assumption based on your knowledge of your grandmother,” she says. “There are senior citizens running marathons today.” Palmer is not surprised when dental students make assumptions about doddering old folks. (“When you’re twenty, fifty is old,” she says.) Yet there are misconceptions on both sides of the age divide. Many senior citizens themselves believe the myths about aging: That your mouth dries up just because you’re old. That you eventually lose all your teeth. That once you get dentures, you no longer need to go to the dentist. Research in recent years has disproved those beliefs and shown how crucial dental care is to the quality of life as we age. Take nutrition. Thanks to Tufts researchers like Papas, we now know that missing teeth or ill-fitting dentures can have a huge impact on dietary quality. In collaboration with researchers from the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts, Papas examined the relationship between tooth loss and nutrition in 691 elderly mostly Caucasian Bostonians. The team asked volunteers to fill out lifestyle surveys, which asked, among other things, whether they wore full or partial dentures. The researchers drew their blood and asked them to keep three-day food diaries. After analyzing the data, Papas and her Tufts colleagues, including Palmer, Maureen Rounds and Robert Russell, found that denture-wearers reported significantly more difficulty eating. Not surprisingly, men who wore dentures consumed far less vitamin A, vitamin C, vitamin B6, folate, protein and calcium than their counterparts, while denture-wearing women took in less calcium and protein than their peers. Worse, a follow-up study six years later showed the denture-wearers were more likely to have died than those without dentures. About w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 1 7 80 percent of denture-wearers survived the six-year span compared with more than 90 percent of the dentate study subjects. Why would this be? After all, “a soft diet can be perfectly healthy,” Palmer says. People who have trouble chewing steak can switch to hamburger; if raw carrots are difficult to chew, cooked carrots will do the job. But too often, older adults fall into the “tea-and-toast” syndrome, where soft foods like toast, muffi ns and donuts become the fallback, washed down with sips of coffee or tea. As their nutrition declines, they may start to feel more fatigued or ill, symptoms they may write off as just another part of getting older. Published in the journal Special Care in Dentistry in 1998, this landmark study underscores the importance of keeping your teeth as long as possible. Papas’ research has also improved our understanding of dry mouth. Once thought to be an inevitable result of aging, dry mouth is most often a side effect of what you’ll fi nd in a senior citizen’s medicine cabinet: prescription drugs. More than 700 medications cause dry mouth, or xerostomia, the decreased salivary flow that puts teeth at higher risk for decay. Among the culprits are the pills commonly taken to manage cholesterol, hypertension, asthma and depression. In her research on medications, dry mouth and oral health in the elderly, Papas often finds it difficult to recruit enough study subjects for her control group. “The hardest population to fi nd is people over 65 on no medications,” she says. Drugs are not the only cause. For about 4 million Americans over age 40, an autoimmune disease known as Sjögren’s syndrome is at the root of the dry mouth. The disease causes the body to attack the tear ducts and salivary glands, producing extreme cases of dry eyes and dry mouth. Ninety percent of sufferers are postmenopausal women, says Papas, who has been researching the disorder for more than 20 years. “Many women go years before they get diagnosed,” she says. “It was almost unheard of when I started.” In a normal mouth, teeth are continuously bathed in saliva, which contains antimicrobial compounds that stave off decay. So whether xerostomia stems from prescription drug use or from Sjögren’s, 18 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 dry mouth leaves teeth at increased risk for decay, especially at the roots. Additionally, Papas says, patients with dry mouth tend to eat more sweets—hard candy, sugared soda or ice cream—to sooth the discomfort associated with xerostomia. To combat this vicious cycle, Papas has been researching ways to prevent cavities and root decay in people suffering from dry mouth, as well as ways to restore damaged teeth. As part of a multi-center research project, Papas and her colleagues tested a varnish for its effectiveness in warding off caries in dry-mouth patients. Though the varnish—containing a chemical called chlorhexidine—had little effect on the crown of the teeth, it did reduce the incidence of root caries by more than 40 percent and overall decay by 25 percent. Their work was published in 2000 in the journal Gerontology. Papas currently has an $11 million grant to further investigate the protective coating. “Root decay is a huge issue in the elderly,” says Papas. “Our studies are among the first to identify early decay and learn how to re-mineralize” problem areas. Since the 1980s, Papas has been investigating ways to restore teeth at risk for decay. In 1999, she and her colleagues at Tufts School of Dental Medicine and at the Forsyth Institute reported in the journal Gerodontology that toothpaste containing soluble calcium and phosphate ions, in addition to fluoride, showed some ability to remineralize teeth at risk for decay. TH E ISSU E OF ACCESS In one of her earliest research projects, Papas screened more than 2,000 residents of 30 Massachusetts nursing homes. She found a “huge, unmet need.” Her resulting report, a position paper for the Commonwealth of Massachusetts, led to legislation requiring Opposite page: Quyen Tran, D10, palpates her patient’s neck, while Jinju Song, D10, makes a notation in her chart. Above: Ju-yong Chung, D10, examines an elderly man in the Tufts clinic. Below: A patient’s smile says it all oral exams for nursing home residents at least once a year. But 25 years later, that great need still exists among Massachusetts’ elderly. Access to dental care is a major issue for older Americans. About 5 percent of the elderly live in long-term care settings, and another 5 to 10 percent of the population is homebound. People who may have had dental insurance through their employers typically lose it when they retire, and Medicare does not cover dental care at all. Too often, senior citizens forego dental visits because of the expense. “We focus a lot of our public health efforts on children, which is important, but we need to focus equally on the older population,” says Catherine Hayes, D87, chair of the dental school’s department of public health and community service. “At least children are in the system—they are in schools, and we do school-based programs. Whereas the elders, they may be living alone. They just may not be in the system at all.” Older adults are also more likely to suffer medical consequences from poor oral health, and vice versa. Diabetics, for example, are more prone to gum disease and abscesses. And although the causal relationship is not known, there is a reported link between periodontal disease and cardiovascular disease. “One mistake that people make—and it’s an understandable mistake—is that if they don’t have teeth, they don’t think they need to go to the dentist,” Hayes says. Yet the golden years are exactly when patients are at increased risk for serious illnesses. Oral cancer has a very low survival rate relative to other types of cancer, specifically because it is often diagnosed at the later stages. Yet if it is detected early enough, it is very treatable. “Even if [elderly patients] have dentures, it is important to go back to the dentist for routine cancer screening, and to have them look under the denture to make sure there are no sores or signs of oral cancer,” she says. Senior citizens often see their physician more than their dentist because they do have medical coverage under Medicare. “What would be wonderful to see is the same coverage for dental care,” Hayes says. But there is little promise of that in the near future. With health issues like HIV and cancer already competing for available resources, “oral health falls to the bottom of the priority list,” she says. Students at Tufts aside, dentists-intraining don’t receive enough instruction in geriatrics, Hayes says. “It’s not a recognized specialty like endodontics or pediatric dentistry or orthodontics. However, there is special training you can have for geriatric patients, which would serve anybody well. I would say Dr. Tillman’s program is one of the most extensive pre-doctoral geriatric programs in a dental school.” The goal is to take the program even farther. Tillman has drawn up plans for a fellowship program that would allow a small number of students to devote a year to geriatric dentistry. The details have all been spelled out. All that’s needed is the funding. In addition, “we need to do a better job of educating the public as a whole,” Hayes says. “We have to have better [health] coverage for seniors. There should be coverage for people to be able to see a dentist on a regular basis for prevention and interventions, and hopefully those interventions will be fewer and less complicated. What other disease do you know that you can completely prevent? If you do adequate home care and make regular visits to your dentist, you could be disease-free.” Is the dental profession as a whole doing a good job of caring for its elders? “Yes, but not enough,” Tillman says. “We could do better”—specifically, more research on geriatric treatment, and more dentists to focus on it. Above all, “programs like this need to continue,” she says. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 1 9 Senior citizens often see their physician more than their dentist “What would be wonderful to see OUT IN TH E WORLD Every Thursday, Tillman takes five thirdyear Tufts students into the community to conduct oral health and cancer screenings on senior citizens. They go to a different location each week, visiting senior centers, churches, homeless shelters and senior day care centers around Greater Boston. They see about 200 patients each year, and 90 percent of them need dental work. “Some have private dentists, but most of them do not,” Tillman says. “And unfortunately, some of the private dentists don’t take the time that should be taken with them.” At an outreach in Roxbury, Mass., on a rainy December day, several men and women have come for the screening. The students feel the lymph nodes in the neck, and check the tongue and palate for sores. They evaluate the dentures and partials, and even demonstrate the right way to brush. One of the seniors takes her dentures out of a handkerchief in her pocket. Although the dentures are less than two years old, she never wears them because they are painful. “I’m ashamed to open my mouth,” she says as she lets one of the students examine her. Bony protrusions in her mouth are causing part of the problem. The possibility of surgery comes up. “Do surgery? I’m too old for that,” she says. But she says she is willing to visit the Tufts clinic, where she can have a full exam and X-rays. “The prosthesis is not as good as the natural dentition,” Tillman says. “It’s important to teach the patient very carefully what to expect, what the limitations are, how to adjust. There are five steps in making a denture, so you have at least five sessions to make the patient aware of what to expect of their denture, just as you have to teach somebody to use an artificial leg.” Another patient knows she needs new dentures: she has had the same false teeth for 20 years. “They are worn down, down, down,” she says. But even with the reduced fees charged by the Tufts clinic, she is afraid she will be unable to afford new ones. Rattanjit Kamboj, D10, screens another woman and finds two decayed molars. “When you lose those, you really lose your ability to chew,” he says later. “It’s a huge quality-of-life problem. I told her to come 20 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 in [to the clinic], and we’ll at least tell her what needs to be done. She says she’s having difficulties right now; she’s taking care of her mother, who is dying. I understand where she is coming from, but … right now it’s a savable tooth. But if she lets it keep going, it’s going to become a hopeless tooth. I gave her my card and a pamphlet. I hope she comes in.” The work can be difficult, even heartbreaking. Tillman remembers an outreach visit to a nursing home, where the Tufts students approached a woman who was clearly edentulous and asked if she would like to have some teeth made. “She looked at us with a straight face and said, ‘I’ve been put here to die. What do I need teeth for?’ ” Tillman says. They continued with their screenings, making plans for several of the other seniors to come to Tufts for treatment. Tillman recalls: “By the time we were ready to go, the woman called to us and said, ‘Where are all these people going?’ I said, ‘They are going to Tufts—would you like to come?’ ‘I think I might.’ Well, she did come to Tufts, and we did make dentures for her. And it was an important point for her. All of a sudden there was light at the end of the tunnel. Because somebody cared, someone thought her life mattered.” B R ACES AT 8 0 Senior citizens today visit the dentist more often than their parents did, so there is the assumption that as the baby boomers age, they will bring with them an awareness of the importance of oral health. Tillman wants to see more patients like the one Caitlin White, D09, worked with in the Professor Hilde Tillman, below right, who developed Tufts’ geriatric dentistry program nearly 30 years ago, says the profession needs more dentists to focus on treating the elderly. With her is Pablo Gonzalez, D10, and his patient. Opposite page: Every Thursday, third-year students go into the community to do oral health and cancer screenings for senior citizens in Greater Boston. because they do have medical coverage under Medicare. is the same coverage for dental care.” — c at h e r i n e h a y e s Tufts clinic. At age 84, he still has 28 of his own teeth and is determined to keep them. “He really takes pride in them,” White says. “He was very curious and wanted to review little things no one had ever gone over with him before.” White, the daughter of two dentists (Charon Brinning White, J74, D78, is her mom) was glad to oblige, and the two struck up a relationship that has lasted long after White’s weeklong rotation in geriatric dentistry. “He brings in newspaper clippings for me and wants to know which mouth rinse is the best,” says White. In addition to discussing medications (he brought her an itemized list), they talked about lifestyle concerns such as diet and nutrition and manual dexterity. Though For Michael Butera, D10, working with an older patient helped him see the meaning of all his years of education. Among Butera’s fi rst patients was a woman in her late 50s with full dentures that weren’t working for her. The lower plate slipped around in her mouth, making it difficult for her to chew her food. Butera thought his patient would be happier with a new set of dentures, with the lower plate supported by implants to keep it fi rmly in place. The patient, who had the implant surgery in January, loves her new teeth. Butera is just as pleased. “We spent the fi rst two years [of dental school] so focused on textbooks,” he says. “It’s nice to see that what we’ve learned can really make a difference in people’s lives.” he was in good overall health, he did have one or two teeth he was in danger of losing. Because of his age, White wanted to avoid putting him through extensive restoration. With her coaching and his careful attention to her hygiene lessons, the pair was able to keep the area of concern healthy. Now when he comes in for his followups, he brings White a detailed list of his oral hygiene routine. “I know he cares about it,” says White, “and that makes me feel good.” A common assumption—among both young and old—is that once the skin starts to sag and the hair starts to gray, people shouldn’t invest time or money in their appearance. “If somebody says to me, ‘I don’t care how I look,’ that’s not what they mean,” Tillman says. “I say, ‘Everybody cares. Why wouldn’t you care?’ And they usually smile. Of course they care. Aesthetics are important, as important as function.” She remembers an Alzheimer’s patient she worked with some years ago, a nursing home resident who needed dentures. Because he rarely spoke, he never said whether he liked or even cared about his new teeth. But then the nursing home staff noticed something unusual: Where he used to take his tray to his room and eat alone, he suddenly began eating his meals in the dining room with the other residents. On some level, Tillman knew, his self-esteem had received a boost. Kanchan Ganda says she has seen more elderly patients go beyond routine care. “These patients feel more comfortable here because they see the depth of patient assessment here, and they feel confident that their needs will be optimally recognized and managed,” she says. An 80-year-old may choose to get braces to straighten a smile; a 90-year-old can opt for implants. If a patient is interested in either, “always get a consult,” Tillman tells her students. “There is no reason why not. Age is not an issue.” Above all, Tillman encourages the students to advocate for their patients. “We can maintain our mouths through our life. That’s very important in relation to nutrition, chronic diseases, cancer. So we have a very important contribution to make,” she tells the students. “You’re a critical member of the health-delivery team. Don’t forget that. Physicians, they cannot give people a new heart that easily, not yet. But even when teeth are lost, we can usually restore oral health.” And even when longevity is in question, dental care should not be neglected. Tillman recalls a geriatric patient who had a malignancy. His prognosis was not good, but he needed new dentures. The student working with him asked Tillman for advice. “I said we’ll make him new dentures,” she says. “Whatever comfort he gets out of that, it’s valuable. None of us can look in the crystal ball and see how long we can live.” She is not sure how long he was able to enjoy the dentures, but that wasn’t the point. “It’s important to have them feel that we think their life has value,” she says, “and that we’re going to fight with them to the end.” TDM Julie Flaherty and Jacqueline Mitchell are senior health sciences writers in Tufts’ Office of Publications. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 2 1 What made a mild-mannered pediatric dentist turn to a life of (literary) crime? He Wrote BY J U L I E F L A H E R T Y P H OTO G R A P H BY M A R K O S TOW Joseph O’Donnell , DG74, goes inspiration grew out of O’Donnell’s successful endeav- by a couple of aliases these days. As “Dr. Joe” he has or in the 1980s, with a group of medical colleagues and compassionately cared for thousands of children in local businessmen, to build a medical office building his more than three decades as a pediatric dentist. But in quiet Winchester, Mass. In the fictional account, grown-ups may soon know him as “JP O’Donnell,” the Jonathan Becker, a pediatrician who is “loved and re- novelist with a taste for murder. spected by the entire community,” is inexplicably shot Fatal Gamble, which he published through iUni- in the building parking lot as he arrives at work early verse.com in December, is a detective story popu- one morning. Then his real estate partners begin dying lated by a corrupt politician, a cynical policeman and mysteriously. Private investigator Daniel Gallagher is some hard-hitting mobsters. The seemingly innocent called in on the case. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 2 3 Dr. Becker bears more than a passing resemblance to O’Donnell. They like the same cereal, drive the same model car, listen to the same radio station and live in the same town of Bedford, Mass. And O’Donnell, an associate clinical professor of pediatric dentistry at Tufts Dental School, is equally esteemed by the community. Prior to founding his thriving practices in Winchester and Reading, he was the chief of pediatric dentistry at Tufts Medical Center, and was lauded for his public service as the first dentist-in-chief of the Tufts Dental Facilities for persons with special needs, a program he helped develop. What would induce a kindhearted children’s dentist to write about hitmen and harlots? Whatever the motivation, it hasn’t gone away. O’Donnell says his second book, Deadly Codes, a sequel published in January, is even spicier than the first. considering the nation’s current financial crisis. You also have a senator who solicits bribes, not unlike what Illinois Governor Rod Blagojevich has been accused of. A: That’s what my editor asked: How did I know all this was going to happen? But I am not clairvoyant. One of the banks that loaned us the money for the building did end up being taken over by the FDIC, but that’s as far as it went. I just made it up. Everything is fiction in the book. None of us got shot, and none of us bribed a congressman, and none of us had a guy from Las Vegas chasing him. TDM: But the book speaks knowingly of mobsters, prostitutes, guns … TDM: Have you always wanted to be a mystery writer? A: I did a lot of writing in my career, but as a dentist. I wrote articles on pediatric oral pathology and a clinical study on sealants. I was the editor of a manual on preventive dentistry for special needs patients. I enjoyed writing those types of articles. But then I wrote an article on the management of pediatric dental trauma for the Journal of the Massachusetts Dental Society, and the International College of Dentists recognized that journal with the Golden Pen award. It was so satisfying to have somebody say I was a good writer. So in 2006, when my wife, Ronney, and I were vacationing at the beach in Florida, I turned to her and said, “I think I’m going to try something different.” And when you’ve been married for 30 years and you tell your wife you’re going to try something different, it gets her attention. TDM: Was she enthusiastic? A: She said, “What do you know about writing a mystery novel?” I said, “Nothing, but I have this story about our building, and I think I could fictionalize it.” She said, “You’re crazy. You don’t even read mystery books.” But she was really very supportive. She was my main editor on the first draft of Fatal Gamble. I started in February of 2006, when I came back from Florida. There are three women working in my office who love mysteries, so I brought in the rough draft of the 24 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 first three chapters. Then it got to the point where I would come into the office, and the three of them would be waiting at the door: “Did you write anything last night?” They couldn’t wait to find out what was happening to the characters. I’d work on it every night for three or four hours. I finished it in about eight months. TDM: Your real estate partnership included a general dentist, a periodontist and yourself, a pediatric dentist. Why did you change them to physicians in the book? A: When I finished my manuscript, I attended a conference on Medical Fiction Writing for Physicians. There were 225 participants. I was the only dentist. There were also several book agents. They all told me the public loves to read about doctors who have problems and doctors in trouble. They said, “Make them all physicians—it’s a much juicier story.” TDM: How do you explain the dichotomy of a cheerful, child-friendly dentist who can also write about murder and mayhem? A: They are separate and distinct. There is no connection. If I was 18 years old, and I had to start all over again, I would be a pediatric dentist. And that’s why I haven’t retired. I just like doing it. The kids are fun, and I still enjoy it. TDM: Part of the book deals with the failure of banks in the savings-and-loan crisis of the 1980s, which is very topical A: I made it all up. But I’ll tell you a funny story about the guns. At one point in the book, I wrote that someone fires a shot at Gallagher and misses him. My editor said, “We can’t buy your line that the bullet hit the ceramic tile and ricocheted into the wall. We think the bullet will pulverize the tile.” Now, I’ve never fired a gun. I don’t know the first thing about guns. But thank God for Google. I went online and I typed, “How do I find out how a .357 Magnum bullet behaves when it hits ceramic tile?” I was referred to the gun forum, and three people got back to me within 24 hours. They referred me to a guy who did not want to be identified, but he is known in the gun forum as a guy who performs underground ballistics tests. He actually went out to his backyard—he must live in a very remote area—and fired .357 Magnum bullets into different objects. And he wrote back to me and said, “You’re right. It’s going to ricochet.” He also shot bullets into plastic jugs full of water so I could see whether, when a bullet hits somebody, it goes through them or explodes out the back. People are remarkably helpful about these things. TDM: In the book’s acknowledgments, you also give credit to Haig Soghigian, a former investigator for the Treasury Department, and to Keith Kaplan of the Boston Police Department. How did they get involved? A: Haig I just happened to meet while playing golf in western Massachusetts. When I found out he was a retired U.S. Customs Service agent, I told him about the novel I was writing, and he offered to help. He read the manuscript when it was really rough and told me a lot of things about police procedure and about guns. And Keith is the son of the woman who gives me my haircut. Whenever I had a question I would call him. He was great. TDM: If you weren’t a fan of mystery books, where did you get your inspiration for the mystery genre? Movies or television shows? A: I’m not a big TV-watcher. I like films like Heat, with Al Pacino and Robert DeNiro. That scene where they are in the diner— that’s one of the great movie scenes. But some other movies, like the Bourne Identity, I find them to be ridiculously absurd. Here he is jumping through windows and into the water. Any normal person would be killed instantly. I tried to make my books believable, although I want the reader to feel they are escapism. Doctors aren’t being shot in Winchester. I don’t want people to worry about going to that building and getting in the elevator. TDM: What did your business partners think when they found out you were writing about them, and that at least some of them would be murder victims? TDM: What do you have in common with your detective, Gallagher? A: I have no gum disease or cavities. I have one line in there for those who know I am a dentist: “His teeth were perfect, and he worked at keeping them that way.” TDM: What comes next? A: I’ve got the idea for the third book, but I’m going to wait and see how the first two go before I start on it. A: I said, “None of you can take offense, because I’m the first one to get bumped off.” They were mostly thrilled. Jerry Murray [a friend and periodontist] was bothered that I named one of the bad guys after him. He said, “Can I be another character in the book? I’ve got grandchildren.” But then he talked it over with his wife, and he decided the book was going to be successful. Now he thinks it’s terrific. TDM: If you don’t hit the big time and you’re just writing for your friends, would that be enough to keep writing? A: Probably, because it was a lot of fun. More information on O’Donnell’s books is available at www.jpodonnell.com. SETTLING THE SCORE This excerpt from JP O’Donnell’s novel, Fatal Gamble, gives a nod to his alma mater: Jimmy’s feet were cold. He squeezed his toes back and forth His initial, defensive instinct was to hold the thick newspaper, to try to keep them warm. A jogger, clad in a light blue hooded full of ads and sale brochures, in front of his face to shield himself sweat suit with a Tufts logo on the front, ran past the Nickerson from the bullets. But his eyes looked past the gun to the face of home and out to the main street. Jimmy took his eyes off Barry’s the man holding it—a face he not seen in many years, but one he house to watch the jogger turn up the street and disappear behind instantly recognized. the hedges. When his gaze returned to the house, the automatic garage door had already opened. Barry Nickerson, wearing a pair of brown work pants and a navy blue winter parka, had emerged “Jimmy, you old fool, what the hell are you doing?” Nickerson blurted out incredulously. “Just gettin’ even, Barry. Just gettin’ even for what you did to from the garage. He walked down the driveway to retrieve the me. I worked my ass off for you guys, and you screwed me. You newspaper. never gave me a chance.” Jimmy’s voice cracked with emotion, Jimmy’s heart was racing as he got out of his car. He left and his body trembled. His finger alternately started to squeeze the door ajar. He walked purposefully across the street toward and release the pressure on the trigger, trying to decide what to Nickerson. As he moved closer, his right hand slowly came out of do, but apparently unable to force himself to discharge the gun. his jacket pocket and lifted the .357 Magnum revolver so that it Barry stood frozen, now helpless to think of any action that could aimed directly at his unsuspecting target. deter his crazed attacker. Barry, oblivious to the approaching danger, bent down to pick Suddenly, a blow of enormous power to his blind side sent up the newspaper. When he straightened up, his first glance Jimmy Nolan’s body crashing to the driveway. His right arm flailed caught the barrel of the gun pointed straight at him. wildly upward. He fired a bullet harmlessly into the air. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 2 5 BY JACQ U E L I N E M I TC H E L L I L LU S T R AT I O N BY DA N PAG E Financial Fi i meltdown l iis setting people’s teeth on edge tock market sent you into a swoon? from causing headaches to heart disease, stress makes us sick. And one of the ways we respond to anxiety is sleep bruxism, the unconscious nighttime tooth grinding or clenching that can cause serious damage to oral and overall health. Though there isn’t yet data documenting an uptick in bruxism related to the recent economic turmoil, “we do know that heightened anxiety and/or depression can affect tooth grinding,” says Noshir Mehta, DG73, DI77, director of the craniofacial pain center at Tufts University School of Dental Medicine. At his Manhattan practice, Andrew Kaplan, D80, a temporomandibular joint (TMJ) specialist, has noticed an increase in bruxism-related complaints, especially in men. Traditionally, women experience bruxism four or five times as often as men. Lately, though, the men are catching up. “It’s anecdotal,” Kaplan says, “but I think it speaks to people who have either lost their jobs or are worried about losing their jobs, and we certainly have a lot of bankers as patients in Manhattan.” w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 2 7 Most people will grind their teeth at some point during their lives, but because the clenching and grating happens mainly during sleep, most patients are unaware they do it. Unless a significant other complains about the nightly noise—which Mehta likens to listening to someone chewing ice chips or chomping on crackers in bed—it’s often a dentist who identifies bruxism, which is categorized as a sleep disorder. “People who wake up with headaches should be examined by a dentist,” says Mehta, who lists neck or jaw pain, tooth sensitivity and ringing of the ears among the other telltale signs of bruxism. A simple visual exam for distinctive patterns of wear on the teeth (the tooth edges actually flatten) and palpating the jaw to detect tight muscles is usually enough to diagnose bruxism. In rare cases, Mehta has used a sound-triggered tape recorder or observed a patient in a sleep lab to confirm the diagnosis. Patients who clench or grind their teeth may exert as much as 250 pounds per square inch of pressure on their teeth, gums and brux in response to a life transition such as moving, getting married or losing a job, and intractable grinders, for whom the behavior seems “hard-wired into the system.” For an episodic grinder, Kaplan, who is also an associate clinical professor at Mount Sinai School of Medicine and an associate attending at Mount Sinai Medical Center, will create an appliance to “get them through this period without hurting themselves.” A custom-fitted night guard will keep the teeth apart during grinding and redistribute the forces that can be so destructive to the teeth, gums and jaw muscles. Nightly use will also help relax clenched jaw muscles in about 80 percent of patients, Kaplan says, reducing further grinding. Night guards are also a first line of defense for intractable grinders. “These people are really destroying their teeth,” he says. “An appliance at the very least prevents that.” Then Kaplan may prescribe a course of physical therapy focused on relaxing the jaw muscles through stretching, massage and ultrasound. Medication, including muscle relaxants to prevent grinding and anti-inflammatories “I think it speaks to people who have either lost their jobs or are worried about losing their jobs, and we certainly have a lot of bankers as patients in Manhattan.” ANDREW KAPLAN, D80 jaws, resulting in chipped or broken teeth, gingivitis and receding gum lines. If the bruxing continues, patients can develop arthritis and inflammation, and the temporomandibular joint in the jaw can start to degenerate. Preventing initial damage to oral tissues is usually a dentist’s first priority. Kaplan, a former president of the American Academy of Orofacial Pain, distinguishes between episodic grinders, who 28 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 like ibuprofen to stave off discomfort and damage to the TMJ, may be in order. While stress is known to trigger bruxism in many people, so are some of the most common remedies for anxiety and depression. Some selective serotonin re-uptake inhibitors (SSRIs) like Prozac have been found to cause grinding, as have some herbal remedies and even small quantities of alcohol. For his patients using SSRIs, Kaplan works closely with the prescribing psychiatrist to find a more suitable medication. Kaplan is treating one patient who grinds to cope with her pre-nuptial jitters with a low dose of Valium. “It’s an old medication, but it works nicely,” he says. Mehta also advocates stress reduction techniques, including biofeedback and relaxation training. However, oral orthopedist Harold Gelb, D47, argues that dentists focus too much on stress as the cause of bruxism. A former president of the American Equilibration Society and the American Academy of Orofacial Pain, Gelb believes that grinding and clenching is orthopedic in nature, resulting from misaligned jaws as well as muscles in the head and neck. The founder of Tufts’ Gelb Craniomandibular and Orofacial Pain Center, Gelb analyzes three-dimensional images of a patient’s jaw to determine the exact misalignment, which he corrects with a specialized night guard invented by his son, Michael, who practices with him in New York City. The appliance was designed to reduce snoring by keeping the tongue and jaw properly aligned. It also relieves TMJ disorders and prevents grinding. “The moment they put it in, they stop hurting, and the muscles become stronger,” says Gelb. But whether orthopedic misalignment or tension is at the root of bruxism, Gelb, Kaplan and Mehta agree that each case demands comprehensive and specific care. “All patients need to be worked up properly, and a proper diagnosis needs to be made,” says Kaplan. “We can’t just label patients as a TMJ case when it might be a much more complex problem.” Mehta agrees: “If you can target a patient’s individual behavior, then you can reduce grinding significantly, if not eliminate it completely.” So if the roller-coaster economy has you gnashing your teeth at night, see your dentist. And then relax. Kaplan recalls a more severe increase in bruxism in his patients in the aftermath of the terrorist attacks on September 11. “It was an extremely stressful time, but complaints died down within three or four months. People tend to adapt to change.” TDM Jacqueline Mitchell, a senior health sciences writer in Tufts University’s Office of Publications, can be reached at jacqueline. [email protected]. on campus DENTAL SCHOOL NEWS Halfway There School expansion project headed to a November dedication by Jacqueline Mitchell H igh over kneeland street, more than 1,700 new window panes gleam in the midwinter sun from the five new floors atop the dental school tower. Although the building is still girdled with staging, and a busy cargo elevator makes dozens of trips each day up and down the Washington Street side of the school, the expansion project is officially halfway done. A dedication ceremony is slated for November 20. Some 1,400 tons of concrete and 1,200 pieces of steel went into the construction of the new floors at Tufts PHOTO: ALONSO NICHOLS University School of Dental Medicine, which now rises 15 stories above the Boston skyline. With the installation of the window panes over winter break, the new space is essentially enclosed. “That transitions the job from one of steel and mechanical systems to one of an interior fit-up job,” says A. Joseph Castellana, executive associate dean. That means the 130 workers on site each day are busy wiring, plumbing and installing sheet rock in the new space, starting on the twelfth floor and making their way up to the fifteenth. Continued on page 30 w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 2 9 ON CAMPUS Continued from page 29 (The building’s mechanical systems are housed on the ninth and tenth floors, while the eleventh floor will remain as shell space to accommodate future growth.) New carpeting, furniture, operatories and other equipment are on order. In February, workers were also scheduled to complete construction on the stairway connecting the new floors to each other and to the rest of the dental tower. Known as Stair 5, the glassed-in staircase at the corner of Kneeland and Washington streets will let lots of light into the school, while lending a more open feeling to that busy urban intersection. At the end of the month, two of the new high-speed elevators were scheduled to begin shuttling to all 15 floors, while the last two old elevators were closed for refitting. All four should be in service late this summer. “Overall, we are slightly ahead of schedule by a couple of weeks,” says Castellana. Meanwhile, renovations are taking place on the old floors as well. The windows on the Kneeland Street side of the building are being replaced to give the front of the dental school a uniform look. The lower floors will also be retrofitted to comply with the Americans with Disabilities Act. The construction “has been a lot less disruptive than I ever imagined for students and for patients,” says Mark Gonthier, associate dean for admissions and student affairs, who acknowledged the real challenges may lie ahead as students, faculty and clinic patients move into the new 95,000-squarefoot space over winter break at the end of this year. To keep the school community informed about the progress of construction, Gonthier has been leading monthly tours, taking small groups of students, faculty, staff and alumni up on the roof of the building. School administrators are also giving thought to how the existing seven floors of the dental tower will be reconfigured once the new addition is ready for occupancy to achieve the best balance of clinics, classrooms, labs and offices. The renovation of the existing space probably will be done over several years because of the economic downturn and to minimize disruption of patient care and the educational process, according to Dean Lonnie H. Norris, DG80. 30 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 The expansion project as seen from the corner of Kneeland and Washington Streets. PHOTO: ALONSO NICHOLS Peter Brodeur says “students know when instructors care.” Well Taught, Well Learned Students say pathologist is a star in the classroom by Leslie Macmillan mmunology might not rank as one of the more scintillating courses a student takes during four years of dental education—unless the class is taught by Peter Brodeur. Immunology is a subject that is “easy to make interesting,” says Brodeur, whom the Class of 2011 honored as Professor of the Semester for his ability to make the science sizzle. The class presented him with a certificate, I PHOTO: JOANIE TOBIN dozens of hand-written notes commending his teaching abilities and a gift certificate for a French restaurant in Boston. “Immunology FINALLY makes sense!” one student wrote. The award “is our attempt to honor a professor who went the extra mile to ensure the students’ mastery of subject material,” says Ross Icyda, the class president. Brodeur, an associate professor of pathology who has been on the Tufts faculty since 1985, says that he is lucky enough to teach a course that is inherently interesting and relevant. “I get a lot of satisfaction out of getting people excited about immunology,” he says. “It has so much relevance to so many different diseases—periodontal and autoimmune diseases, immunizations. It touches on HIV-AIDS. It’s one of those medically important and far-reaching topics. And it’s also pretty neat. It forms a good story.” The “story” comes together easily, says Brodeur, because “in immunology, everything is so connected. As long as the instructor is linking everything, the students get something out of it.” Brodeur, who is vice chair of the curriculum committee at Tufts School of Medicine, says he has worked to reduce the role of rote memorization in his courses and to “provide a concrete framework for students.” He served on the American Dental Association’s Microbiology/Pathology Test Construction Committee from 1996 to 2000, and was responsible for immunology questions on the dental boards. “Dr. Brodeur was a natural choice [for the award] because his excitement for immunology and dedication to inspiring students with the same enthusiasm could be easily seen and felt,” says Farah Assadipour, D11 class secretary. “His willingness and ability to approach the material from multiple angles, dedicating many additional hours in review sessions, bolstered students’ interest in and mastery of immunology.” This is not Brodeur’s first teaching award. In 2003 he received the Dental Dean’s Award for Excellence in Basic Science Teaching. He also runs his own research lab, where he studies antibody genes. The ability of the body to create billions of gene combinations to make antibodies is, Brodeur says, “an interesting genetic trick.” “One of the fundamental questions of immunology is how you can make so many antibodies,” says Brodeur, who uses a combination of gene mapping and transgenic and cell culture models to understand the signaling pathways and transcriptional regulation required to orchestrate the genetic mechanism. He has trained six Ph.D. Continued on page 32 w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 3 1 ON CAMPUS Leaders of the Pack L eadership comes naturally for some people. Meghann Dombroski, D10, was president of her high school class and took on several leadership roles in college. She later vowed, “I am not doing this in dental school.” That promise lasted about two years. And because of her lack of willpower, for the first time in dental school history, two women—Dombroski and Inga Keithly, D12—are serving as class presidents. The women emphasize that they and their executive councils work as teams to represent their classes. The D10 council has helped seniors with their licensing exams; seniors typically have to find their own assistants for the exams. To save reluctant spouses and roommates from being pressed into service, the council came up with a program that pairs seniors with second-year students willing to lend a hand. “Karma is very crucial in dental school,” Dombroski says. “We helped the D08s, hoping that the D12s will do the same for us. It’s trickled down because the D11s are helping the D09s.” That same message is reflected in the fundraising and community service initiatives the class has undertaken. “The more you give, the more you are going to get back. We’ve really been trying to preach that as a class,” she says. Balancing her leadership responsibilities with her class work was not as anxiety-filled as you might think, in part because she saved her deepest concern for her husband, Aaron, a soldier who was deployed in Iraq her entire sophomore year. “It really put things in perspective for me,” she says. “The least of the problems in my life was a 50-question quiz.” If the Class of 2012 has a legacy, Keithly says, it may be as the technology class. They petitioned, with the Class of 2011, to get wireless Internet access in Merritt Auditorium (they got it over the winter break) and are continuing to advocate for video captures of the more difficult classes. With the video capture, “you’re able to ‘pause’ your professor and Continued from page 31 candidates at Tufts and is currently working with his seventh. Brodeur received his Ph.D. in immunology in 1980 from Tufts, where he met fellow immunology student and future wife, Margot O’Toole, an immunologist at Wyeth. The couple has three sons, one who graduated from Tufts in 2003 and is in law school, and two who are currently undergraduates at Tufts. In a note to his students after he won the award, Brodeur wrote: “Margot and I will 32 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 For the first time in school history, two women, Inga Keithly, D12, left, and Meghann Dombroski, D10, are serving as class presidents. write your notes,” she says. At age 35, Keithly had some unique experiences to bring to the role of president. She spent seven years as a high school English teacher in Hawaii before moving to Boston and starting a women’s health network company. It was that job that introduced her to some “very cool dentists,” and sparked her interest in the profession. She sees the presidency as a bonus because she has connected with her classmates in a way she never would have otherwise. But if you want to talk about struggles, Keithly can tell you about training for the 2009 Boston Marathon as part of the Tufts team. For the San Diego native, navigating the glaciers shrouding Boston’s sidewalks—now that’s a challenge. —Julie Flaherty give a hearty toast to D11 when we enjoy dinner at Pigalle with your generous gift card (I am told that it is a very romantic restaurant).” He also thanked them for their personal messages. “The best part of the award was the 80 or so personal notes. That’s what I’ll frame and put up,” Brodeur says. “It’s a nice sentiment—that your hard work has not gone unnoticed. And students know when instructors care,” he says. “They know when you want them to learn, rather than just presenting the material and leaving it up to them.” Brodeur says the students give him a lot in return. “As teachers, we get older every year, but the students are always the same age. Every year I get to look out and see fresh faces.” Brodeur is only the second recipient of the Teacher of the Semester Award, which was established in 2007. The award, he says, not only recognizes that a subject has been well taught, but well learned. PHOTO: ALONSO NICHOLS disorders, methamphetamine is relatively easy to concoct from household items such as cold medicine, iodine and ammonia. Known as “meth,” “ice” or “crank,” the powerfully addictive drug can be snorted, Dentists are among the first health professionals to spot injected, smoked or eaten, and the resultsubstance abuse by Jacqueline Mitchell ing high may last four to 12 hours, during which time the user is unlikely to eat, sleep or hydrate, all of which are needed to mainentists may not seem the tain good oral health. One particularly problematic side effect likeliest of candidates to be on Drug abuse poses other problems in the of stimulants like methamphetamines and the frontlines of identifying drug dentist’s office. Dentists should be aware of cocaine is severe dry mouth, or xerostomia. abuse trends, but that’s what potentially dangerous drug interactions, Without the continual flow of naturally anhappened in the early 2000s, when practiespecially with respect to anesthesia, sedatibacterial saliva, drug users are at increased tioners in the Southwest alerted authorities tives or nitrous oxide. Methamphetamine is risk of developing cavities. To relieve the dry to a potential epidemic of methamphetparticularly problematic because it remains mouth, and to sate attendant sugar cravings, amine addiction. in the system longer than other recreational drug users often drink lots of soda, which Oral health is a strong indicator of overdrugs. Another type of patient dentists may further contributes to decay. And the hyall health, so when the dentists in that reneed to treat with special care is the recovperactivity associated with stimulant drugs gion saw a sudden spike in patients with exering addict, for whom prescription painmay manifest in the form of teeth gnashing treme decay, they had a hunch killers may trigger a relapse. For that the culprit was more than those patients, Vankevich sugbad oral hygiene. gests prescribing non-opiate The onset of decay had painkillers such as ibuprofen. “I been rapid, between six and 12 look at [drug use] from a riskmonths, and they suspected a management perspective,” says dangerous cause: addiction to Vankevich. “If we are going to methamphetamines, a potent, render care to patients, we want cheap and highly addictive to make sure whatever we do is drug, says Paul J. Vankevich, to the benefit of that patient.” D81, an assistant professor of And, Vankevich notes, dengeneral dentistry who gave a tists and dental staffs should lecture at the dental school on be wary of the so-called “drugdrug-abusing patients. shopper,” prescription drug With more than 22 million abusers who obtain multiple Americans struggling with drug prescriptions from multiple or alcohol dependency, dentists health-care providers. Drug are indispensable in spotting shoppers may show up at odd signs of addiction in their pahours, ask for drugs by name tients. “This is relevant to all of and have the potential to beus practicing clinical dentistry come violent if refused. With pau l j . va n k e v i c h today,” says Vankevich. “This is an estimated 2,500 drug shopa special category of patients pers in Massachusetts alone, lowe are going to encounter whether we like cal dentists should be prepared for such an or grinding. All these behaviors often result it or not.” encounter, Vankevich says. in a telltale pattern of extreme decay. Those in the grips of addiction may not While drug use overall is on the decline Despite the attention-grabbing side give priority to routine brushing and flossin the United States, methamphetamine effects of methamphetamine abuse, ing or eating a healthy diet. And when subuse and abuse has surged in recent years. Vankevich notes that far greater numbers stance abusers fall or pass out, they often of people die of tobacco-related illnesses Federal and local statistics describe a public break teeth or damage oral tissues. “The than from drugs each year, and that tobacco health threat marching west to east across addict’s lifestyle is inconsistent with mainthe country. is a gateway to substance abuse. “We need taining human dentition,” Vankevich says. A derivative of amphetamine, a stimuto engage diplomatically with our patients, “We certainly should be aware of what our lant prescribed to combat fatigue, depresconduct thorough exams and apply appropatients are taking.” priate interventions,” he says. sion, obesity, narcolepsy and attention WARNING SIGNS D “The addict’s lifestyle is inconsistent with maintaining human dentition.” PHOTO: ISTOCKPHOTO.COM w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 3 3 ON CAMPUS Welcome to Tufts The School of Dental Medicine hosted its 7th annual Family Welcome Day on August 6, 2008. Tufts President Lawrence S. Bacow brought greetings from the university to the entering students and their families. Because the event has grown in popularity, the morning assembly was moved to the Shubert Theater, followed by lunch at the Courtyard by Marriott on Tremont Street. Then the new students went on to register for classes, while their parents and other family members enjoyed campus tours and participated in the first-ever parentto-parent panel discussion, which featured two sets of parents of currently enrolled students as well as four course directors and a clinic administrator. The day concluded with a reception in Posner Hall. More than 450 attended the event, including 42 Class of 2011 orientation volunteers, which was a record. 34 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 This page, top: Dean Lonnie H. Norris, DG80; Virginia Shahinian, D77, DG79; Rustam DeVitre, DG76, DI77; Adrina DeVitre, D12; and Tufts President Lawrence S. Bacow; middle: Alemtu Hassain and her granddaughter, Helen Fassil, A05, G07, D12; John Ficarelli, D73, president of the Dental Alumni Association; Hirut Fassil, A07; and Tadelech Asfaw, Helen Fassil’s mom; bottom: Sonia Arevalo Vasquez, D12. Opposite page, top: Halina Ogledzka, Marek Ogledzki, D12, Davina Wheeler, and Jerzy Ogledzki; middle: Jessica Pushee, D12, with her parents, Laura and Michael Pushee; bottom: Joanne Ferrick, Bradford Ferrick, Carolyn Ferrick, D12, and David Ferrick. PHOTOS: J.D.SLOAN YOU HAVE ACCESS TO FIRST-RATE BIOPSY SERVICE ufts’ oral pathology services (tops) has always provided a top-notch biopsy service for oral and maxillofacial pathology. But in the past year and a half, according to Dean Lonnie H. Norris, DG80, the number of specimens sent to the service has tripled. One reason for the clinic’s success, says Michael Kahn, professor and chair of oral and maxillofacial pathology and director of TOPS, is that the process is now “clinician-friendly, staff-friendly and client-friendly. We’ve made it as user-friendly as possible.” Kahn has made several key improvements to the service since he became department chair and lab director in July 2006, including contracting with an overnight courier service. “It’s not cool to have a biopsy specimen sitting in the U.S. mail somewhere,” says Kahn. “All you have to do is think of yourself and if you were on the waiting end of a diagnosis. You would want to know.” TOPS now offers free local and nationwide courier pickup of specimens via Federal Express, 24-hour turnaround, diagnosis of radiographs or glass microscope slides submitted from other pathology services and detailed written reports. The level of detail contained in the reports is particularly important, Kahn says, because it enables doctors to convey vital health information to their patients. “The doctors need prompt and accurate support from the pathologist so that when the patient starts firing questions, the doctor can answer them,” says Kahn. TOPS offers biopsy, cytology and culture-sensitivity testing. In addition to processing standard formal and fixed biopsy specimens, TOPS also offers liquid-based cytology procedures (SurePath®) and the rendering of a microscopic diagnosis. Kahn says that the expertise of the clinicians, Lynn Solomon and Michael Hall, has also contributed to the service’s success. TOPS clinicians are diplomates, and as faculty of the dental school, their expertise covers all aspects of oral and maxillofacial pathology, clinical management of oral disease, forensic dentistry, basic science and clinical research. “People appreciate that we’re a resource in our discipline,” says Kahn. “Tufts really does care about the patient and the doctor. And I think that’s why we’ve gained the reputation we have.” To order no-cost biopsy and cytology kits, call 617.636.6510 or toll-free 866.670.8677. Provide your name, address and phone number, and you will receive your kits the next business day. —Leslie Macmillan T w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 3 5 ON CAMPUS DEAN’S MEDAL Thomas F. Winkler III, A62, D66, D10P, received the Dean’s Medal integrity and dedication. His passion for the dental profession is during the annual Toast to Tufts event on September 5. The medal, matched by his passion for the School of Dental Medicine. He gives which was presented by Dean Lonnie H. Norris, DG80, honors those much of himself and inspires and expects others to do the same.” who exemplify the ideals Tufts seeks to instill in its students. Family members who attended included Winkler’s wife, Barbara Kay, D71, Elizabeth Jones, D10, Kevin Jones, Mary Levine, Andy Winkler, David Winkler and Marina Winkler. Since graduating from Tufts Dental School, Winkler has been a faculty member for more than 30 years. He has been a university trustee since 1999 and currently chairs the dental school’s Board of Overseers. The Dean’s Medal citation reads, in part, “A role model to many, he has fostered compassion and professionalism in our students. From left, Dean’s Medal recipient Thomas F. Winkler III, Robert E. Hunter, D63, a dental overseer, and Dean Lonnie H. Norris. Classmates, colleagues and students cite his thoughtfulness, NOTEWORTHY Danielle Christie is the new staff assistant in the School of Dental Medicine’s admissions office. Christie earned her bachelor’s degree in English at Gettysburg College in Pennsylvania, where she worked in the off-campus study office. In her new role at Tufts, she oversees the processing of all applications to the D.M.D. program, as well as provides administrative oversight for the admissions office. More than 60 runners and walkers from Tufts Dental School participated in the 2008 Komen Race for the Cure on September 7, raising more than $3,000 for the fight against breast cancer. Top finishers for the Tufts Dental Team in the 5K race included: Michael Brown Dowling, D09, 17:01 and 5th overall; Nathan Clem, D11, 17:38, 6th overall; Nicholas Gordon, D12, 19:11, 19th overall; Liz Turner, D11, 19:38, 26th overall; and Derek Nobrega, D12, finished the course in 20:49 for 41st overall. Twelve Tufts Dental runners finished in the top 100. Samir Patel, D10, Michael Butera, D10, and Liz Turner, D11, organized the Tufts team. Two Tufts dental students and an alumnus spoke about their research experiences at the National Institutes of Health (NIH) in Bethesda, Md., during a presentation at the dental school in December. Edward Lahey, D00, participated in the Clinical Research Training Program after his third year of dental school. After graduating from Tufts, he went on to complete the six-year 36 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 M.D. Oral Surgery Program at Harvard/Massachusetts General Hospital, where he now serves as an attending on a part-time basis. Samantha Jordan, D11, is in the midst of a yearlong research training program sponsored by the Howard Hughes Medical Institute/ NIH Research Scholars Program, and Hubert Park, D11, participated in the National Institute of Dental and Craniofacial Research (NIDCR) summer program last year. All three of these programs attract applications from the best and brightest students in the country. Todd Walker, D10, received a second-place award for his research on “Effect of Adhesive System and Composite Type on Dentin Bonds” at the 2008 ADA/Dentsply Student Clinician Research Program during the American Dental Association’s annual meeting in San Antonio, Texas, last October. The Student Clinician Research Program provides the opportunity for a student from each accredited dental school in the United States and Puerto Rico to receive an expense-paid trip to participate in the ADA’s scientific session and to compete for awards. Walker was selected to attend the ADA session because his project won the Best Overall Pre-doctoral Table Clinic Award at the School of Dental Medicine’s 2008 Bates-Andrews Research Day. His research mentor for the project was Gerard Kugel, associate dean for research and professor of prosthodontics and operative dentistry. PHOTO: TIFFANY KNIGHT COMMENCEMENT Off and Running on carmichael quad, 174 members of the class of d08 became doctors of dental medicine during commencement ceremonies last May 18. Dean Lonnie H. Norris, DG80, commended the class for its dedication to excellence and for its commitment to deliver care to the underserved, from the neighborhoods of Boston to developing nations around the world. He also urged the new graduates to maintain their ties to Tufts School of Dental Medicine. “We were fortunate to have had you,” he said. “Help us continue to be a leading dental school.” The new graduates also honored their classmate, Edilene Chaves Evangelista, who died in a car accident in December 2006. Evangelista’s husband, Sirlei, and their young daughter accepted her diploma. Aaron Sheinfeld, D09, and Marcelo Suzuki, both assistant professors of prosthodontics and operative dentistry, received the Dean’s Award for Excellence in Clinical Teaching. Anthony Silvestri, E69, a clinical professor of prosthodontics and operative dentistry, shared the Dean’s Award for Excellence in Pre-clinical Teaching with eight-time winner Charles H. Rankin, D79, DG86, D08P, a professor of endodontics. The Dean’s Award for Excellence in Basic Science Teaching went to Alvar Marty R. Montgomery Gustafson, an associate profesreceives his diploma. sor of anatomy, and the Provost’s Award for Outstanding Teaching and Service went to Petros Damoulis, DG91, D05, professor of periodontology. In addition to the new D.M.D.s, 17 students were awarded master’s degrees, and 46 received postgraduate certificates and fellowships. The ceremony ended with James B. Hanley, D75A, DG79, the dental school’s associate dean for clinical affairs, leading the graduates as they recited the dental graduate oath. At the all-university commencement earlier in the day, award-winning journalist and television host Meredith Vieira, J75, urged members of the Class of 2008 to listen to their own voices and to believe in themselves. “You have an internal compass,” she said. “I would urge you to follow it.” Tufts President Lawrence S. Bacow presented honorary degrees to Pulitzer Prize-winning poet Mary Oliver; Steven S. Manos, retired executive vice president of Tufts; Robert S. Schwartz, deputy editor of The New England Journal of Medicine and former professor at Tufts University School of Medicine; Susan Rodgerson, founder of Artists for Humanity; and Donald E. Wilson, M62, senior vice president of health sciences at Howard University. Tufts’ 2009 commencement will take place on Sunday, May 17, starting at 9 a.m. on the Medford/Somerville campus. PHOTO: ALONSO NICHOLS 2008 POSTGRADUATES In addition to the students pursuing their D.M.D. degrees, another 100 students are enrolled in the dental school’s postgraduate certificate and fellowship programs, which prepare them for specialty practice. The 2008 graduates were: CRANIOMANDIBULAR DISORDERS AND OROFACIAL PAIN Khlood A. Arab Georgios Kanavakis Reem H. Nowailaty ENDODONTICS Monaf Alyassi Meghan M. Clark, D06 Zachary T. Dodson Katherine L. Fry Maryanne K. Irwin, D05 Milos R. Janicek ORAL SURGERY AND PROSTHODONTICS Takayoshi Suda, DG07 ORTHODONTICS Mohamad R. Alolabi Michael P. DiMarzio Sara Ghassemi Deborah A. Sorrentino, D06 Kristin L. Huber, D06 Elexis Elon Joffre, D05 Nina S. Khedkar, A02, D06 Shalev Sabari, D06 ESTHETIC DENTISTRY Nurin S. Jaffer, D07 Mamoru Tanaka PEDIATRIC DENTISTRY Hèctor R. Martìnez Hassan Moeinzad, DI03 Gisela M. Velàsquez, DG06 GENERAL PRACTICE RESIDENCY I-Fang Y. Chen Xiaojing Li Yi-Wei Liu Annika Marschall Lidia Tekle Hana Sadi PERIODONTOLOGY Khalid A. Al-Hezaimi Michael Cwiklinski Jonell K. Hopeck, J01 Yong Hur Hiroyasu Shimizu Julia R. Sivitz, D05 IMPLANT DENTISTRY Fadi Alh Rashi Maria Ftouli Jong Il Park ORAL AND MAXILLOFACIAL SURGERY Neophytos Demetriades Amir Naimi Ryan Abdool PROSTHODONTICS Maria Chartzoulakis, D04 Moftah El-Ghadi Hyejin Kwak, D05 Hamilton Hoai Le, D05 Athanasios Stratos w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 3 7 ON CAMPUS WHERE ARE THEY NOW? The post-graduation pursuits of the Class of 2008 ARIZONA Timothy Johnson AEGD, Lutheran Medical Center, Tucson Mark Larsen Private Practice, Tucson Ryan Larsen AEGD, Lutheran Medical Center, Tucson Wendy Muscier AEGD, Indian Health Service Clinic, Winslow Christopher Sandvi AEGD, Indian Health Service Clinic, Winslow CALIFORNIA Pamela Abraham Private Practice, Los Angeles Julia Benson Postgraduate Program in Oral Pathology, University of California, San Francisco Gonzalo Braunthanl Private Practice, Southern California Keumkang Choi Private Practice Franklin Cordero Private Practice Viet Dinh Private Practice, Southern California Brian Green Private Practice, Irvine Lee Hanson Private Practice, San Diego Kevin Huang GPR, West Los Angeles VA Medical Center Steve Huang Private Practice, Los Angeles Sheila Inalou Private Practice Aaron Khaira Private Practice, San Francisco Theresia Laksmana Postgraduate Program in Periodontology, University of Southern California Gregory Le U.S. Army Captain, Fort Irwin Jenny Liang AEGD, U.S. Navy, Camp Pendleton Allan Pang GPR, Sepulveda VA Medical Center, Los Angeles Celine Pham Private Practice, Southern California Michelle Ray Private Practice Bindya Reddy Private Practice John Rezaei Postgraduate Program in Prosthodontics, Loma Linda University Lorie Rivero Private Practice Susana Verbis Private Practice Jennifer Kang Staff Dentist, U.S. Army, Fort Gordon CANADA Gurfateh Sandhu Private Practice, Ontario Matthew Downey AEGD, Lutheran Medical Center, Honolulu COLORADO ILLINOIS Lauren Gulka Postgraduate Program in Pediatrics, Children’s Hospital, Denver Aleksandr Lutskiy Private Practice Matthew Mower AEGD, U.S. Military Stephanie Nelms Private Practice, Fort Collins Young Stebbins-Han Postgraduate Program in Orthodontics, University of Colorado Jade-Lin Wong AEGD, Fort Carson CONNECTICUT Claudia Maiolo Postgraduate Program in Pediatrics/ MPH, Yale-New Haven Hospital Amanda Peer Postgraduate Program in Pediatrics, University of Connecticut DISTRICT OF COLUMBIA Matthew Stratmeyer AEGD, Bolling Air Force Base FLORIDA Eric Appelin GPR, Malcolm Randall VA Hospital, Gainesville Warren Jones Private Practice, South Florida Claudia Martinez National Health Science Corps Scholar Gregory Pette Postgraduate Program in Periodontology/M.S., Nova Southeastern University Austin Webb Private Practice, Gainesville GEORGIA Charles Chung Private Practice, Atlanta Miles Cone Prosthodontics, U.S. Army, Augusta Fields Farrior Private Practice, Atlanta 38 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 GERMANY Susannah Mitchell U.S. Army HAWAII Sumit Chawla GPR, Illinois Masonic Hospital Kelly Wojcicki GPR, Evanston Northwestern Hospital Sahand Zomorrodian Postgraduate Program in Prosthodontics, University of Illinois at Chicago INDIANA Hemjeet Bedi GPR, Indiana University MASSACHUSETTS Jonathan Albaugh AEGD, Lutheran Medical Center, Boston Zeina Armoush Postgraduate Program in Pediatrics, Boston University Nastela Babo Private Practice Marjorie Baptiste Postgraduate Program in Periodontology, Tufts University School of Dental Medicine Patricia Benton GPR, Boston University Heidi Birnbaum Private Practice, Wellesley Maranda Bliss Private Practice Daniel Callahan GPR, University of Massachusetts, Worcester Caroline Ceneviz Faculty, Tufts University School of Dental Medicine Guimy Cesar Private Practice David Chang Postgraduate Program in Oral Surgery, Tufts University School of Dental Medicine Eunis Choi AEGD, Lutheran Medical Center, Boston Kelly Dezura Oral Surgery Fellowship, Boston Medical Center Katayoon Dorosti Postgraduate Program in Pediatrics, Tufts University School of Dental Medicine Susana Ferreira Faculty, Tufts University School of Dental Medicine Gaganpreet Gill Private Practice Joyce Gitangu Private Practice, Boston Winna Goldman Postgraduate Program in Endodontics/ M.S., Tufts University School of Dental Medicine Sophana Hem Postgraduate Program in Prosthodontics, Tufts University School of Dental Medicine Tony Hill Private Practice, Amherst Jennifer Ji-Min Hong Postgraduate Program in Endodontics, Harvard University Matthew Horan Public Health Sarah Hoye Private Practice, Douglas Sookyung Jun GPR, Cambridge Health Alliance/ Harvard University Yoon Henry Kang Private Practice Daniel Kazachkov Private Practice Jin Kim Private Practice Arathi Kumble Private Practice Jung Ho Lee Private Practice Cindy Leung Postgraduate Program in Orthodontics, Tufts University School of Dental Medicine Nancy Machemer Private Practice Britta Magnuson Private Practice Shawn Marsh Oral Surgery Fellowship, Massachusetts General Hospital Lindsey McElligott Private Practice Zuzana Mendez Private Practice Nicholas Miller Private Practice Kanchan Pande Private Practice Jae Yeon Park Private Practice Lily Parsi Private Practice Bhumi Patel Private Practice Parita Patel AEGD, Lutheran Medical Center, Boston Shivani Patel Private Practice Aparna Pathak Private Practice Bradford Pinkos Private Practice Kerith Rankin Private Practice Michelle Roberts Postgraduate Program in Orthodontics, Tufts University School of Dental Medicine Vijitha Sanam Private Practice Moataz Shaban Private Practice Ninaz Shiva Private Practice SeungHee Song Private Practice Sarah Stipho Postgraduate Program in Periodontology, Tufts University School of Dental Medicine Leyla Tabesh Private Practice Aphrodite Tantiras Private Practice Chuanjun Wu Private Practice Tae Rim Yoon Postgraduate Program in Pediatrics, Tufts University School of Dental Medicine Nermine Zaki Private Practice MICHIGAN Joffre Martin Private Practice MISSOURI Suveetha Kavidass GPR, St. John’s Mercy Hospital, St. Louis NORTH CAROLINA Colby Cockrell Private Practice, Wilmington Adam DiVincenzo GPR, Navy Dental Clinic, Camp Lejeune Timothy Swing Private Practice Jeffrey West Private Practice NEW HAMPSHIRE Matthew Anderson Community Health Center, Portsmouth Melissa Dennison Private Practice NEW YORK Jennifer Blair Postgraduate Program in Pediatrics, Montefiore Medical Center Jason Chao GPR, Lutheran Medical Center, Brooklyn Sanjeet Chaudhary GPR, Montefiore Medical Center Sun Hae Choi GPR, Mount Sinai Medical Center Calley Christie GPR, Mary Immaculate Hospital, Jamaica C L A S S O F 20 0 8 D I S T RI BUT I ON FLORIDA 2% MIDWEST 5% MOUNTAIN STATES 6% INTERNATIONAL 1% SOUTH 12% NEW ENGLAND 39% Kathrina Delima GPR, Kings County Hospital, Brooklyn Amit Dogra GPR, Flushing Hospital Medical Center Alison Gomes GPR, SUNY Upstate Medical Center Dilshan Gunawardena Postgraduate Program in Oral Surgery, Long Island Jewish Medical Center Andrew Han Postgraduate Program in Periodontology, Columbia University Amy Honig Postgraduate Program in Pediatrics, New York University Ann Hua GPR, Montefiore Medical Center Angela Ishak AEGD, Lutheran Medical Center, Brooklyn Kanchi Kapadia Postgraduate Program in Pediatrics, Lutheran Medical Center, Brooklyn Benjamin Karabell GPR, Montefiore Medical Center Min Jung Kim AEGD, Columbia University DongJin Lee GPR, New York Presbyterian, Cornell University Elizabeth Lee GPR, Montefiore Medical Center John Lee GPR, Brooklyn Hospital Center Susan Liem GPR, New York Hospital, Queens Jordan Lissauer GPR, Coler-Goldwater Memorial Hospital, New York City Alexander Moheban GPR, Mount Sinai Medical Center Quan Nghiem GPR, Montefiore Medical Center Uchenna Nweze GPR, Jamaica Hospital Medical Center Anthony Palumbo Postgraduate Program in Periodontology, State University of New York, Stony Brook Ameeta Sachdev GPR, Our Lady of Mercy Medical Center, Bronx Arun Singh GPR, New York Hospital, Queens Jennifer Woods AEGD, Lutheran Medical Center OHIO Lily Lee Private Practice Ryan Murphy AEGD, U.S. Air Force, Wright Patterson Air Force Base, Dayton WEST COAST 16% OREGON Paul Brooks Noland Private Practice, Portland Rebecca Seppala Private Practice, Portland PENNSYLVANIA Janice Choi Private Practice, Philadephia Marty Montgomery Postgraduate Program in Pediatrics, Temple University Keyur Patoliya Private Practice RHODE ISLAND Seth Bozarth GPR, Navy Dental Clinic, Newport John Cabrera AEGD, Providence VA Medical Center Teresa Moniz GPR, Rhode Island Hospital, Providence Jordana Werba Private Practice TEXAS Carmen Brambila Private Practice Sukhman Chahal GPR, University of Texas, San Antonio Renee Crittendon Private Practice, Houston Kyle Griffith AEGD, U.S. Army, Fort Hood, Killeen Susan Henson Private Practice, Houston Neerav Jayaswal Private Practice, Dallas John Park Private Practice, Houston Joaquin Sanchez Private Practice Erin Weston Private Practice VIRGINIA Tyler Burningham Private Practice Michael Hull Private Practice WASHINGTON Christopher Helley Postgraduate Program in Prosthodontics, University of Washington Chang-Hyun Na Private Practice, Seattle WISCONSIN Anne Riebau AEGD, Milwaukee VA Medical Center MID ATLANTIC 19% SOURCE: Data reported by 155 members of the D.M.D Class of 2008 and the 18 members of the Dental International Class who graduated in May 2008. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 3 9 ON CAMPUS FACULTY NOTES GENERAL DENTISTRY JAKE CHEN, professor and director of the Division of Oral Biology, has been awarded a research grant from the International Team for Implantology for a study on his hypothesis that bone marrow-derived stem cells are capable of migrating to dental implantation sites and participating in bone-healing processes. He also will examine the role of Satb2, a newly discovered osteogenic transcription factor that promotes bone formation through enhancing the differentiation of bone-forming cells. The co-investigator for the project is TERRENCE GRIFFIN, chair of the department of periodontology. Their work may provide novel insights into cellular and molecular mechanisms of bone-healing processes after dental implants are installed and facilitate the development of approaches to recruit osteoprogenitor cells and to accelerate formation and mineralization at the dental implant surface. Presentations: ■ “The Roles of Zoledronic Acid in Bone Healing and Osteoblast Functions,” Jin Zhang, Qisheng Tu and Jake Chen, American Society for Bone and Mineral Research annual meeting, Montreal, Canada, September 2008. (Zhang, a postdoctoral fellow in Chen’s lab, also won a travel award from the Endocrine Fellows Foundation for this oral health-related work.) ■ “Bone Marrow Stromal Cells and Osterix Contributing to Osseointegration of Dental Implants,” Beiyun Xu, Jin Zhang, Erika Brewer, Qisheng Tu, Marco Wieland and Jake Chen, American Society for Bone and Mineral Research annual meeting, Montreal, Canada, September 2008. ■ “Adiponectin Inhibits Osteoclast Formation Via akt Signaling Pathway,” Q. Tu, J. Zhang, B. Xu, E. Brewer and J. Chen, American Society for Bone and Mineral Research, Montreal, Canada, September 2008. ■ “Satb2 Overexpression Promotes Osteoblast Differentiation and Enhances Regeneration of Bone Defects,” Erika Brewer, Jin Zhang, Qisheng Tu, Jean Tang, and Jake Chen, American Society for Bone and Mineral Research, Montreal, Canada, September 2008. ■ “Bisphosphonate-induced Changes in Bone Wound Healing Processes,” Jin Zhang, Qisheng Tu and Jake Chen, symposium of International Association for Biomedical 40 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 Research, Forsyth Institute, Boston, November 2008. (Presentation won third place in the poster competition). Publications: ■ “Pheonotypic Analysis of Dlx5 Overexpression in Postnatal Bone,” J. Zhang, J. Zhu, P. Valverde, L. Li, J. Zhang, S. Pageau, Q. Tu, R. Nishimura, T. Yoneda, P. Yang and J. Chen, Journal of Dental Research, 87:45–50, 2008. ■ “Systemically Transplanted Bone Marrow Stromal Cells Contributing to Bone Tissue Regeneration,” S. Li, Q. Tu, J. Zhang, G. Stein, J. Lian, P.S. Yang and J. Chen, Journal of Cell Physiology, 215(1):204–9, 2008. ■ “Overexpression of Bone Sialoprotein Leads to an Uncoupling of Bone Formation and Bone Resorption in Mice,” P. Valverde, J. Zhang, A. Fix, J. Zhu, W. Ma, Q. Tu and J. Chen, Journal of Bone and Mineral Research, 23:1775–1788, 2008. ■ “Haploinsufficiency of Runx2 Results in Decrease in Bone Formation,” Qisheng Tu, Jin Zhang, Jeff Paz, Katherine Wade and Jake Chen, Journal of Cell Physiology, 217:40–7, October 2008. ■ “Expression of Osterix in Mechanical Stress-induced Osteogenic Differentiation of Periodontal Ligament Cells in vitro,” Y. Zhao, C. Wang, S. Li, H. Song, F. Wei, K. Pan, K. Zhu, P. Yang, Q. Tu and J. Chen, European Journal of Oral Sciences, 116(3):199–206, 2008. ■ “Targeted Overexpression of BSP in Osteoclasts Promotes Bone Metastasis of Breast Cancer Cells,” Q. Tu, J. Zhang, A. Fix, E. Brewer, Y. Li, Zhi-yuan Zhang and J. Chen, Journal of Cell Physiology, 218:135–45, 2008. WILLIAM LOBEL, D72, assistant clinical professor Presentations: ■ Lectures and hands-on continuing education courses on techniques for impressioning complete and implant-retained overdentures, with JOSEPH MASSAD, adjunct professor of prosthodontics and operative dentistry, 149th annual American Dental Association meeting, San Antonio, Texas, October 17–18, 2008. ■ “Predictable Complete Denture Therapy,” Scottsdale Center for Dentistry, Scottsdale, Ariz., July 30, 31 and August 1, 2008. ■ “New and Improved One Appointment Definitive Impression Making,” 16th Alexandria International Dental Congress, Alexandria, Egypt, October 28, 2008. Publication: ■ “Complete Denture Prosthodontics: Modern Approaches to Old Concerns,” Joseph Massad, David Cagna and William Lobel, Inside Dentistry, 48:84–93, September 2008. ERIC WEINSTOCK, D00, DG02, assistant clinical professor, was inducted into the American College of Dentists during the annual meeting of the American Dental Association last fall in San Antonio, Texas. PROM OTION S DAVID PAUL, D89, to associate professor. SAMUEL SHAMES, D75, to associate clinical professor. ORAL AND MAXILLOFACIAL PATHOLOGY ADDY ALT-HOLLAND, assistant professor Presentations: ■ “Investigating Cancer Progression of Cells in 3D Matrix with Non-Invasive Fluorescent Imaging,” J. Xylas, A. Alt-Holland, J.A. Garlick and I. Georgakoudi, Biomedical Engineering Society annual meeting, St. Louis, Mo., October 2008, and Tufts University Cancer Research Day, October, 17, 2008. ■ “RalA Suppresses Invasion by RasTransformed Keratinocytes in a Bioengineered Human Tissue Model of Squamous Cell Carcinoma,” A. Sowalsky, A. Alt-Holland, Y. Shamis, J.A. Garlick and L. Feig, Tufts University Cancer Research Day, October 17, 2008. ■ “Loss of E-cadherin-mediated Cell-Cell Adhesion Induces the Transition from Precancer to Squamous Cell Carcinoma through Activation of FAK and Src Kinases,” A. Alt-Holland, Y. Szwec-Levin, D. Green and J. Garlick, Tufts University Cancer Research Day, October, 17, 2008. ■ “Reverting the Aggressive Behavior of Squamous Cell Carcinoma: Silencing of FAK and Src Kinases Normalizes Human 3D Bioengineered Tissues Comprised of E-cadherin-deficient Tumor Cells,” A. AltHolland, Y. Szwec-Levine, A. Sowalsky, L. Feig and J. Garlick, 5th International Association for Biomedical & Medical Research, the Forsyth Institute, Boston, November 20, 2008. GAVEL MEDAL HONORS WORK OF WILKINS AND JOHANSEN Esther Wilkins, D49, DG66, clinical professor of periodontology, done it all in her career,’ ” said Mina Nicolle Ulaszek Benjamin, was honored with the 2008 Gavel Medal during the 15th annual who received the 2008 Esther Wilkins Future Leader Award from Dr. J. Murray Gavel Clinical Research Lecture, held November 3 the American Dental Hygienists’ Association. at the Forsyth Institute. Dean Emeritus Erling Wilkins’ involvement with the Forsyth Johansen, D49, received the medal posthubegan in 1938, when she enrolled in the mously, and Dean Lonnie H. Norris, DG80, acForsyth School for Dental Hygienists cepted it on behalf of Tufts University School (now part of the Massachusetts College of Dental Medicine. of Pharmacy and Health Sciences) after The Gavel Medal “commemorates the graduating from Simmons College. She then went to work for Frank Willis, D13, in achievements of a medical or dental researcher, educator or practitioner who has made lastManchester-by-the-Sea, Mass. She decided a dental degree would be the logical next ing and innovative contributions to mankind.” Gavel, D23, H64, who died in 1999 and was step, and enrolled at Tufts. Wilkins was the first director of the dental hygiene program a longtime faculty member at Tufts, served as at the University of Washington School of dean of the dental school from 1962 to 1963 Dentistry in Seattle. and was involved with the Forsyth Institute for Johansen, who died on February 29, more than 30 years. 2008, in his native Norway, was the longestWilkins is the author of Clinical Practice The Gavel Medal, awarded postserving dean of Tufts University School of of the Dental Hygienist (Lippincott Williams & humously to Dean Emeritus Erling Johansen, is on permanent display in Dental Medicine. He was appointed to the Wilkins), which is known as the “bible of denthe Becker Alumni Center. post on January 1, 1979, and retired on tal hygiene.” The tenth edition was published July 1, 1995, exactly 50 years to the day on February 1, and it has been translated into he arrived at Tufts as a first-year dental student. Japanese, Italian, Korean, Portuguese and French Canadian. His pioneering research in preventive dentistry led to the devel“As a student reading chapter after chapter [of the book], I said to opment of an oral health management system for patients with myself, ‘Who is this woman, Dr. Esther Wilkins, a dental hygienhead and neck cancers. ist, a dentist and a periodontist? This is a woman who must have Publications: ■ “E-cadherin Suppression Directs Cytoskeletal Rearrangement and Intraepithelial Tumor Cell Migration in 3D Human Skin Equivalents,” Addy Alt-Holland, Yulia Shamis, Kathleen N. Riley, Teresa M. DesRochers, Norbert E. Fusenig, Ira M. Herman and Jonathan A. Garlick, Journal of Investigative Dermatology, 128(10):2498–507, October 2008. ■ “The Many Microenvironments of Squamous Cell Carcinoma Progression,” Addy Alt-Holland and Jonathan Garlick, International Journal of Cancer (in press). CHRISTOPHE EGLES, assistant professor, will give an invited presentation on the work of Tufts’ Center for Integrated Tissue Engineering at the Society for In Vitro Biology’s 2009 meeting in Charleston, S.C., June 6–10. JONATHAN GARLICK, professor and head PHOTO: ALONSO NICHOLS of the Division of Cancer Biology and Tissue Engineering, will team with colleagues from Tufts’ schools of Arts & Sciences and Engineering and the university chaplain to offer a University Seminar titled “Stem Cells and Society: The Future of Global and Personal Health” in Spring 2010. Founded a year ago by Provost Jamshed Bharucha, the University Seminars bring together faculty and students from all Tufts’ schools for interdisciplinary courses that link scholarship to civic engagement by focusing on issues of national or global importance. Garlick will develop and teach the seminar with Sheldon Krimsky, professor of urban and environmental policy and planning; David Kaplan, professor and chair of biomedical engineering; and the Rev. David O’Leary, university chaplain and professor of religion. The seminar will provide a dynamic forum for students to explore how societies and individuals can balance their desire for progress in personal health with their respect for religious, cultural and societal views that impact the application of human stem cells. Garlick was one of 12 panelists selected to participate in an NIH Round Table Discussion on the new NIH funding program known as “Transformative R01s,” which will allow creative, out-of-the-box projects to be supported in any area of research that falls within the NIH mission, including 3-D tissue models, one of Garlick’s areas of expertise. The roundtable panel included 12 scientists with broad experience in the area of in vitro engineered tissues who provided perspective on strategies to illuminate potential transformative research in this field. Garlick was selected to serve as chair of the Technologies and Resources Component of Tufts Clinical and Translational Sciences Institute and was appointed a faculty member in the Master’s in Biomedical Sciences Program at Tufts w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 4 1 ON CAMPUS School of Medicine. He has been appointed to the scientific advisory boards of the Boston Biomedical Research Institute in Watertown, Mass., and of the Pioneer Valley Life Sciences Institute in Springfield, Mass. Garlick is also serving as an associated faculty member of the Institute for Clinical Research and Health Policy Studies at Tufts Medical Center. TERESA DESROCHERS, a Ph.D. student in Garlick’s laboratory, has been awarded a Sackler Biomedical Travel Fellowship, which provides $500 to travel to a scientific meeting. MARK CARLSON, a postdoctoral fellow in Garlick’s lab, has been awarded a Tufts TEACRS (Training in Education and Critical Research Skills) Fellowship, which gives postdocs the opportunity to conduct high-level research across multiple schools at Tufts and gain teaching skills. Grants: ■ “Generation of 3D Tissues Using Existing Cell Lines,” American Type Culture Collection Inc., $186,594. ■ “Elastin Damage, Repair and Evaluation of Selected Agents for Elastin Modulation in 3D Human Tissue Models,” Johnson & Johnson Inc., $50,000. ■ “Evaluation of New Human Skin Equivalent Grafts,” Organogenesis Inc., $10,000. ■ “Cell Bank Test in 3D,” Organogenesis Inc., $10,000. ■ “3D Human Skin Equivalents to Model Dandruff,” Proctor & Gamble Inc., $50,000. ■ “Development of Novel 3D Tissue Models for Screening,” Proctor & Gamble Inc., $75,000. Presentations: ■ “Human Engineered Tissues for Cancer Discovery and Drug Development,” Tufts University Cancer Research Day, October 2008. ■ “3D Tissue Models of Elastin Biology and UV Response,” Johnson & Johnson Inc., September 2008. ■ “Engineered Human Tissue Models of Oral Squamous Cell Carcinoma,” Tufts Dental School, Oral and Maxillofacial Surgery Rounds, October 2008. ■ “Postgraduate Course in Adult and Embryonic Stem Cells,” University of Siena Dental School, November 2008. MICHAEL HALL, assistant professor, conducted an oral cancer screening at the Norfolk Adult Day Health Center in Norwood, Mass., on November 1. 42 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 MICHAEL A. KAHN, professor and chair, and MICHAEL HALL, assistant professor, were oral cancer screeners at the 2nd annual Walk the Rock for Oral Cancer Awareness, held September 21 in Plymouth, Mass. Presentations: ■ “Embracing Technology to Save Lives: A Review of Oral Cancer Screening Techniques and New Technologies,” AGD Mastership Program, Ohio State University School of Dentistry, Columbus, Ohio, October 3, 2008. ■ “Clinical Cases of Chronic Lip Licking and Papillary Squamous Cell Carcinoma,” Eastern Society of Teachers of Oral Pathology, Columbus, Ohio, October 4, 2008. ■ “Management of Common Oral Soft Tissue Lesions,” Tufts University School of Dental Medicine, October 29, 2008. ■ “Top 10 Oral Soft Tissue Lesions,” Gentle Communications, Waltham, Mass., October 30, 2008. ■ “Top 10 Soft Tissue Oral Pathology,” TriCounty Dental Study Club, Saugus, Mass., November 6, 2008. ■ “Early Detection of Oral Cancer: Screening and Adjunctive Diagnostic Aids,” New England Dental Society, Waltham, Mass., November 8, 2008. ■ “Oral Cancer Early Detection System,” EDIC webinar, Westborough, Mass., November 25, 2008. ■ “Bisphosphonate-related Osteonecrosis of the Jaws Update,” Charles River Dental Study Club, Wellesley, Mass., December 2, 2008. Publication: ■ “Oral Cancer: A Prosthodontic Diagnosis,” M.A. Siegel, M.A. Kahn and M.J. Palazzolo, Journal of Prosthodontics, 1–8, 2008 (bound version in press). LYNN SOLOMON, associate professor, was elected to the Executive Council of the American Academy of Oral and Maxillofacial Pathology (AAOMP) at its 62nd annual meeting in San Francisco. As a member of the committee, she contributed five cases, exam questions and answers, and a literature review for the Continuing Competency Assurance Program of the AAOMP. Solomon attended the AAOMP Executive Council meeting on November 1 in Chicago. Presentations: ■ “After the Diagnosis: Management of Oral Cancer,” Massachusetts Dental Society continuing education course, Southborough, Mass., September 18, 2008. ■ Three clinical cases, Western Society of Teachers of Oral Pathology, Playa Del Carmen, Quintana Roo, Mexico, September 21–23, 2008. ■ “Management of Common Soft Tissue Oral Lesions,” co-presenter with Michael Kahn, professor and chair, Tufts University School of Dental Medicine continuing education course, October 17, 2008. ■ “BRONJ: Separating Fact from Fiction,” Norfolk Parkway Study Club, Dedham, Mass., November 5, 2008. Publications: ■ “Plasma Cell Mucositis of the Oral Cavity: Report of a Case and Review of the Literature,” L.W. Solomon, R.O. Wein, I. Rosenwald and N. Laver, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology & Endodontics, 106(6):853–860, 2008. ■ “Cytokeratin 8, a Potential Marker for Early Oral Cancer Detection,” J. Frustino, R. Cheney, R. Sammarco, L. Solomon, M. Reid and M. Sullivan, Journal of Dental Research (Special Issue A):0768, 2008 (www.dentalresearch.org). ■ “A Clinico-pathologic Correlation (Extramedullary Plasmacytoma),” N. Demetriades, R.K.M. Prabhudev, N. Pokrovskaya, L.W. Solomon and K.A. Shastri, Journal of the Massachusetts Dental Society, 57(3):56–58, Fall 2008. ORAL AND MAXILLOFACIAL SURGERY CONSTANTINOS LASKARIDES, DG03, assistant professor, gave a lunch-andlearn presentation on “Distant Bone Graft Harvesting for Implant Placement in the Ambulatory Outpatient Setting” at the 90th annual meeting of the American Association of Oral and Maxillofacial Surgeons in Seattle in September 2008. MARIA PAPAGEORGE, D82, DG86, G89, professor and chair, hosted an alumni reception at the 89th annual meeting of the American Association of Oral and Maxillofacial Surgeons in Seattle, Wash., on September 18, 2008. She presented a lecture on “Zygoma Implants: A Surgical Alternative for Reconstruction of the Atrophic Maxilla” to a EMERITUS REDUX S. Walter Askinas, left, Tufts Dental School’s executive dean emeritus and professor of restorative dentistry emeritus, was named the first professor emeritus at Nova Southeastern University College of Dental Medicine on December 7. Mark Gonthier, right, associate dean for admissions and student affairs, represented Tufts at the event and spoke about Askinas’ legacy as one of the dental school’s most beloved teachers. Also attending the event in Fort Lauderdale, Fla., was Saulius Drukteinis, A95, D99, assistant professor of periodontology at Nova. At Tufts, Askinas served as professor and chair of restorative dentistry from 1985 to 1997, and as executive dean from 1995 to 1997. Upon his retirement, an endowed Senior Award, the Dr. Walter Askinas Senior Prize Fund for Integrity and Citizenship, was established in his honor. Askinas joined the Nova faculty as chair of the department of restorative dentistry after leaving Tufts. meeting of the Academy of Dental Science at the Harvard Club on October 1, 2008, and on “Dental Disease As a Risk Factor for Systemic Diseases” to the Tufts Medical Center Board of Directors on October 28, 2008. MORTON ROSENBERG, D74, professor and director of anesthesia and pain control, contributed to a chapter titled “Neural Blockade of Oral and Circumoral Structures” in the fourth edition of the classic reference text on anesthesia, Neural Blockade in Clinical Anesthesia and Pain Medicine (Lippincott Williams & Wilkins, 2009). Daniel Carr, adjunct professor of anesthesiology at Tufts School of Medicine, is one of the editors of the book. Presentations: ■ “Nitrous Oxide-Oxygen Certification Course,” continuing education, Tufts University School of Dental Medicine, November 7–8, 2008. ■ “Enteral (Oral) Sedation for the General Dentist,” continuing education, Tufts University School of Dental Medicine, November 21–22, 2008. ■ “Sedation Review,” dental residency programs, U.S. Army, Fort Lewis, Augusta, Ga. ■ “Update and Review of the ADA Sedation Guidelines,” Eastern Dental Insurance Co., Westborough, Mass. ■ “Enteral Sedation Update,” American Dental Society of Anesthesiology, Charleston, S.C., and “Beta Testing ADA Emergency Airway Course,” University of South Carolina Medical Center, Charleston, S.C. ■ “High Fidelity Human Simulation for Medical/ Anesthetic Emergencies,” annual meeting of the American Association of Oral and Maxillofacial Surgeons, Seattle, Wash., September 2008. ■ “Anesthesia Potpourri: Politics and Pediatrics,” New Jersey Society of Dental Anesthesiology. ■ “Certification Course in Nitrous Oxide and Local Anesthesia,” Virginia Commonwealth University School of Dentistry, Richmond, Va. ■ “Anesthesia Update,” Phoenix Society of Oral and Maxillofacial Surgeons and Arizona Society of Dental Anesthesiology, Scottsdale, Ariz. KALPAKAM SHASTRI, DG05, assistant professor, presented a continuing education course on “Surgical Complications in the Office” at Tufts University School of Dental Medicine on November 5, 2008, and attended the 14th annual Northeast Regional Postgraduate Dental Implant Symposium at the University of Pittsburgh on October 17, 2008. Departmental Presentations: Vitro Biomechanical Evaluation of the Use of Conventional and Locking Miniplate/ Screw System for Sagittal Split Ramus Osteotomy,” Osvaldo Magra-Filho, M.B. Papageorge, K. Shastri and Paulo Domingos Ribeiro Jr., 89th annual meeting of the ■ “In American Association of Oral and Maxillofacial Surgeons, Seattle, Wash., September 2008. ■ “In Vitro Biomechanical Evaluation of the Use of Conventional and Locking Miniplate/ Screw system with 4 or 7 Holes for the Treatment of Mandibular Angle Fractures,” Paulo Domingos Ribeiro Jr., M.B. Papageorge, K. Shastri and Osvaldo Magra-Filho, 89th annual meeting of the American Association of Oral and Maxillofacial Surgeons, Seattle, Wash., September 2008. ■ “Frequency of Presentation and Risk Profile for Human Papilloma Virus in Oropharyngeal and Hypopharyngeal Squamous Cell Carcinoma,” James Kraus, Daniel Oreadi, Richard Wein, Nora Laver and Maria Papageorge, Tufts University Cancer Research Day, October 17, 2008. ■ “Quality of Life in Patients with Resected and Reconstructed Mandibles,” Maria Papageorge, Kalpakam Shastri, Robert Chapman and Daniel Oreadi, Tufts University Cancer Research Day, October 17, 2008. ■ “In-office Cranial and Tibia Bone Grafting for Bilateral Maxillary Sinus Augmentation,” M. Lucca and J. Hendi, 14th annual Northeast Regional Postgraduate Dental Implant Symposium, University of Pittsburgh, October 17, 2008. ■ “Anatomical Changes Following SARPE Procedure,” W.S. McKenzie, A. Naimi, L. Suri and M. Papageorge, Greater New York Dental Meeting, November 2008. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 4 3 ON CAMPUS Departmental Publications: ■ “Perioperative Management of a Patient with Short Chain Acyl-CoA Dehydrogenase Deficiency: A Case Report,” J. Kraus, D. Oreadi, K. Shastri and M.B. Rosenberg, Journal of Oral and Maxillofacial Surgery, 66:2164–2165, 2008. ■ “Clinico-pathologic Correlation (Mucoepidermoid Carcinoma),” A. Naimi and M.B. Papageorge, Journal of the Massachusetts Dental Society, 57(2):36–38, 2008. ■ “Clinico-pathologic Correlation (Extramedullary Plasmacytoma),” N. Demetriades, R.K. Prabhudev, N. Pokrovskaya, L. Solomon and K. Shastri, Journal of the Massachusetts Dental Society, 57 (3):56–58, 2008. O RTH O DO N TIC S BARRY BRISS, D66, DG70, D95P, DG97P, professor and chair, attended the inaugural meeting of the Joint Cephalometrics Experts Group, of which he is a member, at Case Western Reserve University in Cleveland, Ohio, on November 21–23, 2008. The group’s mission is to map out a plan for the transition from 2D cephalometrics to 3D cone beam imaging for assessment of orthodontic outcomes as well as diagnosis and treatment planning. LESLIE A. WILL, professor and director of the advanced education program in orthodontics, became the president of the Northeastern Society of Orthodontics in September 2008. She was also appointed a site visitor by the Council on Dental Accreditation of the American Dental Association. Presentations: ■ “Enhancing Patient Care with Cone Beam CT,” Tokyo Medical and Dental University, Tokyo, Japan, September 29, 2008. ■ Nine lectures on growth and development and orthognathic surgery, visiting professor, Department of Orthodontics, Khon Kaen University, Khon Kaen, Thailand, October 2008. ■ “A New Cephalometric Analysis” and “Analyzing the Transverse Dimension Using Cone Beam CT,” Department of Orthodontics, University of Pennsylvania. Publication: ■ “Mandibular Arch Form: The Relationship between Dental and Basal Anatomy,” V. Ronay, 44 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 ASSOCIATE DEAN STEPS DOWN After 20 years of service to Tufts University School of Dental Medicine, David Russell, D87, MPH02, stepped down as associate dean for clinical affairs on November 15. Russell had been a part of the Tufts Dental community since 1983, when he enrolled as a first-year student. He joined the part-time faculty in 1988 as a clinical instructor in restorative dentistry and was promoted to assistant clinical professor in 1990. He became a member of the full-time faculty in 1992 David Russell and was promoted to associate professor in 2001. He was appointed assistant dean in 1995 and promoted to associate dean in 2002. A gifted teacher, one of Russell’s earliest achievements was the establishment of the Preceptor Program, in which students having difficulty in the clinic are given one-on-one supervision until their skills and speed improve. The program became a national model and was recognized by the American Dental Education Association. Russell also helped implement the school’s Group Practice System, and coordinated its transition from 10 practices to eight practices. He was a Robert Wood Johnson Health Policy Fellow in the office of U.S. Sen. Orrin G. Hatch during the 1999–00 academic year. He was a key member of the school’s accreditation self-study committees in 1994, 2001 and 2008. He maintains a part-time faculty appointment at the school as course director for Oral Diagnosis and Treatment Planning. R.M. Miner, L.A. Will and K. Arai, American Journal of Orthodontics and Dentofacial Orthopedics, 134:430–438, 2008. PED IATRIC D ENTISTRY CHEEN LOO, DG10, assistant professor Publication: ■ “The Caries Experience and Behavior of Dental Patients with Autism Spectrum Disorder,” C.Y. Loo, R.M. Graham and C.V. Hughes, Journal of the American Dental Association, 139(11):1518–24, November 2008. PERIOD ONTO LOGY TIMOTHY J. HEMPTON, associate clinical professor and assistant director of postdoctoral periodontology Presentations: ■ “Implant Therapy and the RDH” and “Crown Lengthening Workshop,” American Dental Association annual meeting, San Antonio, Texas, October 2008. ■ “Contemporary Periodontology for the General Dentist,” New England Academy of General Dentistry, Leominster, Mass., September 2008. ■ “Crown Lenghtening Workshop,” University of Washington School of Dentistry, Seattle, Wash., December 2008. 1999 FILE PHOTO: MARK MORELLI AIDEE HERMAN, associate clinical professor, was inducted as a fellow of the American College of Dentists at the American Dental Association meeting in San Antonio, Texas, in October. She was also selected as one of the 100 most influential Hispanics in Massachusetts by El Planeta Poderometro. WALTER H. MEINZER II, DG82, assistant clinical professor, has been awarded diplomate status by the American Board of Periodontology. PROSTHODONTICS AND OP ER ATI V E DE N TISTRY NATHAN S. BIRNBAUM, associate clinical professor, and HEIDI BIRNBAUM AARONSON, D08, clinical instructor, had their article, “Dental Impressions Using 3D Digital Scanners: Virtual Becomes Reality,” published in the October 2008 issue of the Compendium of Continuing Education in Dentistry. Birnbaum was inducted into the American College of Dentists during the annual meeting of the American Dental Association last fall in San Antonio, Texas. AMIT SACHDEO, assistant professor, has been selected to be a manuscript reviewer for the Journal of Dental Research, the official publication of the International and American Associations for Dental Research. AARON SHEINFELD, assistant professor, was elected chair of Tufts Dental Associates and as such is a voting member of the Executive Faculty Committee. Division of Postgraduate Prosthodontics faculty members named as new diplomates of the American Board of Prosthodontics are YONG JEONG KIM, MARIO GATTI, TAKAYOSHI SUDA, GIANLUCA PANIZ, HAMILTON LE and MOFTA ELGHADi. P U BL I C H E A LTH A N D CO MMU N I TY S E RVIC E KANCHAN GANDA, professor and director of medicine, is the author of Dentist’s Guide to Medical Conditions and Complications, published by Wiley-Blackwell in October 2008. It is her first book. She is a recipient of a Ryan White CARE Act Dental Reimbursement Program Grant from the Department of Health and Human Services. Presentations: ■ “Medical Updates for Dentistry: Antibiotics and Premedication,” Merrimack Valley District Dental Society, September 2008. ■ “Medicine in Dentistry,” Norfolk South District Medical Society, Needham, Mass., October 2008. NATALIE HAGEL, assistant professor and director of school-based programs, was elected secretary of the Oral Health Section of the American Association of Public Health. CATHERINE HAYES, D87, professor and chair, is serving as vice president of the American Board of Dental Public Health and chair of the Data Safety and Monitoring Board for the Practice Based Research Networks funded by the National Institute of Dental and Craniofacial Research. She is also the independent monitor overseeing the reform of the Mass Health dental program for children eligible for Medicaid’s child health component, known as the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Publications: ■ “Prospective Study of 5-year Caries Increment among Children Receiving Comprehensive Dental Care in the New England Children’s Amalgam Trial,” N. Maserejian, M. Tavares, C. Hayes, J. Soncini and F. Trachtenberg, Community Dentistry and Oral Epidemiology, September 2008. ■ “Rural and Urban Disparities in Caries Prevalence in Children with Unmet Dental Needs: The New England Children’s Amalgam Trial,” N. Maserejian, M. Tavares, C. Hayes, J. Soncini and F. Trachtenberg, Journal of Public Health Dentistry, 68(1), 2008. ■ “Oral Health Disparities in Children of Immigrants,” Journal of Public Health Dentistry, N. Maserejian, F. Trachtenberg, C. Hayes and M. Tavares, 68(1), 2008. ■ “Dental Caries Experience at Enrollment and during Follow-up in the New England Children’s Amalgam Trial,” F. Trachtenberg, J. Soncini, M. Tavares, C. Hayes and N. Maserejian, Pediatric Dentistry, 5:388–92, 2008. CAROLE A. PALMER, N69, G69, professor and head of the Division of Nutrition and Oral Health, gave a lecture on “Patient Communications: Interviewing and Counseling” to the New Hampshire Technical Institute dental hygiene program on December 10, 2008. On December 16, she was a guest on “Your Health Matters,” a radio program on WKXL 1450 in Concord, N.H. The topic was “Nutrition and Oral Health.” Publication: ■ “Nutrition in Sjögren’s Syndrome,” C. Palmer and M. Singh, a book chapter in Nutrition and Rheumatic Disease (Humana Press, 2008). ATHENA S. PAPAS, J67, professor and head of public health research/oral medicine, is the principal investigator for a multi-center NIDCR-funded clinical study titled “Prevention of Adult Caries.” Presentations: ■ “Oral Care in Sjögren’s Syndrome: More Than Just Managing Your Dry Mouth,” Boston chapter of the Sjögren’s Syndrome Support Group, September 27, 2008. ■ “Diagnosis and Treatment of Sjögren’s,” Tufts Medical Center Rheumatology Grand Rounds, October 2, 2008. ■ “Xerostomia, Primary Sjögren’s and Oral Medicine Issues in Other Rheumatic Conditions,” Massachusetts General Hospital Rheumatology Grand Rounds, November 25, 2008. MEDHA SINGH, DG04, DG05, assistant professor, was accepted to the 2008–09 Massachusetts Dental Society Leadership Institute. She also completed six weeks of volunteer tutor training at the adult education program of the Boston Chinatown Neighborhood Center. Publication: ■ “The Effect of an Omega-3 Supplement on Dry Mouth and Dry Eye in Sjögren’s Patients,” M. Singh, A.S. Papas and J.P. Gilbard, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, Volume 106, Issue 3, Page e7, September 2008. WANDA WRIGHT, assistant professor, gave a presentation on “Careers in Public Health” to Tufts undergraduates on the Medford/ Somerville campus on November 17, 2008. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 4 5 UNIVERSITY NEWS THE WIDER WORLD OF TUFTS “We are asking the question of how biological shape is determined,” says Michael Levin. “Why do organisms look the way they look?” caption_fl fg demi 7.5/10 indent 9pts from photo edges Grow Your Own Tufts biologist’s work could affect treatments for everything from loss of body parts to cancer by Helene Ragovin I n the world where michael levin’s vision has come to life, people who lose a limb in an accident are able to re-grow it. Birth defects can be repaired in the womb. Cancer cells are detected and rendered harmless before they become tumors. Any number of other diseases are conquered as cells are altered and adjusted. It sounds like fantasy. But it’s not, as researchers at Tufts’ Center for Regenerative and Developmental Biology take their studies in innovative and largely unexplored directions. While clinical applications are years away, Levin’s lab is making significant discoveries by seeking the universal principles governing the control of biological growth and formation. “The applications are fairly broad; they touch on almost every problem of interest to us in medicine and biology,” says Levin, A92, a professor of biology who arrived at Tufts in November. Previously, he worked at the Forsyth Institute in Boston and was an associate professor of developmental biology at the Harvard School of Dental Medicine. “We are asking the question of how biological shape is determined,” Levin says. “Why do organisms look the way they look?” His work focuses on 46 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 embryonic asymmetry, biomedical control of regeneration and information storage in cells and organs. All animals and plants develop from single cells into complex, three-dimensional objects. If researchers can understand what drives that process and what signals the cells send to each other to enable them to assume these shapes, then we can take advantage of those signals to change or modulate the shapes, Levin says. Thus, scientists could be able to detect and repair errors in fetal development, curing birth defects. Or when someone loses a body part, “if you know how it was shaped in the first place, you can re-create it,” Levin says. This approach ultimately extends to a solution to the problem of aging, as failing tissues and organs could be replaced through regeneration. The research also applies to cancer treatment. “Cancer can be looked at, in part, as a disease of geometry,” Levin says. “The tissue has escaped the normally tight morphogenetic control of the organism; you have a tumor rather than a nicely patterned structure.” Being able to take command of that “shaping process” and correct it could stop the growth of tumors. The potential significance of this unconventional approach has not gone unnoticed in the scientific world. In 2004, the journal Nature deemed Levin’s work “a milestone in developmental biology in the last century.” While the majority of researchers in the field right now are focusing on stem cells and biochemical factors that function in specific contexts, Levin works on natural bioelectrical signals and the systems-level properties that allow these biophysical mechanisms to create the appropriate complex structure, stop when it is complete and maintain it against injuries during life. “All cells, not just nerve cells, use bioelectrical signals to communicate pattern information to each other,” Levin says. “We have suspected for a long time that this is important.” Levin and his colleagues have made progress in understanding how electrical signals are involved in pattern formation, “and how you can tweak those signals artificially to get them to do what you want them to do.” In other words, it’s a “whole new set of PHOTO: ALONSO NICHOLS control knobs on the cells that we can use to get them to behave,” he says. A spectacular example of this occurred during an experiment led by Levin’s colleague, Dany Adams, in which a tadpole was able to regenerate its tail at a point in its development when it normally would not have been able to do so. “It was a ‘eureka’ moment,” says Adams, who came to Tufts with Levin from the Forsyth Institute. “What we seem to have found was the ‘on-off switch’—it turned on not just the process of making a tail, but the regulation of that process. It made the tail the right size. Then it stopped.” An underlying theme for all his work, Levin says, is how biological systems store and process information. And that comes in at least two aspects, he says. The first, as seen in the tadpole experiment, is morphological, concerning shape and how organisms encode three-dimensional patterning during development. The other involves information learned during an organism’s lifetime—memories. “We have unique way of approaching that as well,” he says. For that work, the lab looks at flatworms, which have impressive powers of regeneration—they can actually regenerate their brain, or a portion of it— and are also capable of learning. “We can look at what happens to the memories when the brain is regenerated,” Levin says. “We’re looking to learn at a very deep and fundamental level what it means to hold memories.” And that question—the relationship between brain tissue and cognitive function—has many implications, not just in the philosophical sense but for basic medicine. For example, there is talk among medical researchers of finding a way to use stem cells to replace damaged brain cells in those with degenerative brain disease. What will it mean to have existing brain cells replaced by “fresh” stem cells in terms of an individual’s memories or personality? “Would it still be the same individual?” Levin wonders. Because memory and behavior can go awry when brain tissue is damaged “doesn’t mean that’s where the memories were,” he says. “That’s the sort of thing our work can shed some light on.” THE BIG BUILD Game-changing facilities construction and renovation projects are taking place on all three Tufts campuses C onstruction crews are not an unusual sight at Tufts these days, with new buildings, additions and renovations under way on all three campuses. Following is a list of current construction projects: M ED FORD/ SOM ERVILLE CAM PUS Packard Hall. The interior and exterior of this building, constructed in 1856 as a dormitory for 26 students, are being completely restored; plans also call for an elevator to provide improved accessibility. “The slate roof is about 50 percent in place now, and work has begun on a very small addition that will accommodate the elevator and a set of stairs,” says John Roberto, vice president for facilities. Completion is set for mid-March. Tisch Library Roof Garden. This project will provide a new roof, an accessible entrance plaza, and the creation of an artistic garden/meditation space with seating areas, landscaping and mosaic tile. The installation of granite and masonry on the roof that will create those seating areas is under way. 51 Winthrop. The interior renovation of the former Sacred Heart Church, which Tufts purchased after the Archdiocese of Boston closed it, will create a large, multipurpose function space, including seating for 175 to 200 for dining and other events. “Work is under way on the exterior for the new front entrance with a handicappedaccessible ramp,” says Roberto. Demolition on the inside is substantially complete, and crews are beginning interior finish work. BOSTON CAMPUS Dental School Vertical Expansion. This proj- ect, which will add five floors and 95,000 square feet to the 10-story building at One Packard Hall on the Academic Quad is being completely renovated, below. Construction is well under way to add five floors and 95,000 square feet to the 10story dental school at One Kneeland Street on the Boston campus, right. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 4 7 UNIVERSITY NEWS Kneeland Street, is well under way. The building is essentially enclosed now, except for one corner stairwell, and the interior fit-out has begun. The expansion of One Kneeland Street, which opened in 1972, will create more teaching and research space, a continuing education suite, and offices and meeting rooms. The project is scheduled to be completed in November 2009. (See related story, page 29). Sackler Campus Center. The project involves the complete interior renovation of the basement and six of the Sackler Center’s eight floors. It is planned as a three-phase project. The project is currently in phase two. A new café, Food 4 Thought, which occupies most of the fourth floor of the Hirsh Health Sciences Library, opened in October. Renovations are ongoing for the eighthfloor administrative offices, classrooms and study rooms. Phase I saw the construction of space for new “learning communities” at the medical school—seven students and their advisor in each group—a configuration that will ensure personal attention for students and build a sense of community. The Class of 2012 is the first to begin their studies in the learning communities, which are housed on the second and third floors of the Sackler Center. Painted with vibrant colors and equipped with comfy chairs, TVs and kitchenettes, the communities provide space for classes, group study, mentoring and socializing. The final phase of the project, which will entail a major renovation of the first floor and the basement, is set to be completed by August 2009. Clinical Skills and Simulation Center. This brand-new 9,000-square-foot facility, which opened last fall on the third floor of 35 Kneeland Street, adds yet another high-tech dimension to the clinical educational program at Tufts School of Medicine. Using computerized mannequins, students TIME TO SERVE In the cover story of the September 22, 2008, issue of Time magazine, “21 Ways to Serve America,” Tufts President Lawrence S. Bacow joined the likes of Colin Powell and Arnold Schwarzenegger in penning suggestions for improving the country. In his article, “Get Your College Involved,” Bacow wrote that colleges and universities “have a special responsibility to educate the next generation of active, engaged citizens” and encourage them to get involved in public service. He argued that to “address this nation’s major challenges, we need people across the political spectrum to serve in government, to run for office and to work to build stronger, more vibrant communities.” Bacow outlined the efforts Tufts has made to encourage graduates to pursue service careers, focusing on the Loan Repayment Assistance Program, believed to be the first university-wide program of its kind in the country. The program, called LRAP, received more than 400 applications for assistance this year. Tufts Dental alums submitted 31 applications, 25 of which were funded. “Helping young people pursue their passion for service is one of the best investments our society can make,” Bacow wrote. 48 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 are able to refine their clinical and physical diagnosis skills, practice commonly performed procedures, and learn how to care for acutely ill patients as part of a team. The 12 patient exam rooms and three simulation rooms are outfitted with video and audio equipment so faculty can observe students interacting with standardized patients from observation rooms equipped with computer monitors. Green Space. A former parking lot adjacent to the Jaharis Center on Harrison Avenue is being converted into open green space for the Boston campus community. “It’s going to have some seating areas, some grass, some landscaping, a place for folks to come and relax, sit and enjoy lunch, or congregate in an informal manner,” says Roberto. G RAFTON CA M P US Agnes Varis Campus Center Auditorium. The addition to the new campus center at the Cummings School will include a 173-seat auditorium, equipped with state-of-the-art acoustics, lighting and audio-visual electronics, and a continuing education facility. “The ability to hold campus-wide meetings, national and international meetings, and community hearings on our campus will broaden our impact on society and academic life, while bringing faculty, students, staff and the local community closer together,” says Andrew Hoffman, associate professor of clinical sciences. “The exterior of the building and the masonry are substantially complete,” Roberto says. Completion is scheduled for February 2009. New England Regional Biosafety Laboratory. The exterior and site work for this facility, which will allow researchers to focus their work on emerging infectious diseases and food- and waterborne illnesses, are substantially complete, and the mechanical systems have been installed. “Then there will be a period when the systems will be commissioned, meaning they will be operated to ensure all the mechanical, electrical and plumbing systems are running as designed,” Roberto says. The construction is being funded with some $20 million from the National Institutes of Health. The new laboratory is scheduled to be dedicated on March 30. PROVIDING THE MEANS FOR EXCELLENCE B E YO N D B O U N D A R I E S Teaching Meets Patient Care To help students where they work, two postdoctoral alums fund new operatories by Deborah Blagg “ I think of operatories as the place where students really go about their business,” says Maurice “Jack” Belden, D76, DG78, E05P, D09P, whose $50,000 gift to the Beyond Boundaries campaign will help build a new orthodontics operatory as part of the expansion project that will add five floors to the dental school. An orthodontist with a thriving practice in northernmost Maine, Belden, a longtime supporter of the school, saw the opportunity to fund an operatory as a way to help others acquire the experience and skills that have brought him satisfaction over his 30-year career. After majoring in math as an undergrad“If you talk uate at the University of Vermont and workwith anyone ing for six years in the computer industry, in dentistry, you find they Belden decided to mirror his father-in-law, know Tufts’ the late George Gales, D47, DG49, and purreputation,” sue a career as an orthodontist. “This aspect says Jack of dental medicine appealed to me because Belden. something so positive comes out of it,” he says. “I watched my father-in-law work and saw how enjoyable it was to have an impact on patients’ lives. I love to see my patients smile.” A friend and Tufts Dental classmate from Maine persuaded Belden to base his practice in the far-northern part of the state, where orthodontists are few and far between. “My patients often drive a hundred miles or more for appointments,” says Belden, who has offices in Presque Isle, Fort Kent, Madawaska and Houlton, and sees patients from both sides of the border with Canada. “If you look at my Presque Isle office on a map,” he notes, “the province of New Brunswick is twelve miles to my right, and to the left through the woods is Quebec.” Although he lives 400 miles north of Boston, Belden returns to Tufts periodically and keeps in close touch with developments at the school, where his daughter, Amanda, is a fourth-year student. As a member of the Tufts Association of Orthodontists, he also enjoys regular contact with faculty and fellow graduates. “Because ortho is a small program, the faculty and alumni are a tightknit group,” he says. “We get together whenever we can to share ideas and keep current on the latest developments in practice.” Belden views the school’s expansion as important for Tufts and for dental education. “If you talk with anyone in dentistry, you find they know Tufts’ reputation,” he says. “The school sets a standard in this field, and having a facility that is as outstanding as the teaching that goes on there is really important.” Operatories in the new postdoctoral clinic will reflect the careful planning and attention to functionality that are the hallmarks of the expansion project. When four postgraduate programs move to the new 12th “Through their passion, hard work, commitment and respect for students, the professors at Tufts demonstrate that learning is a lifelong process,” says Lino Calvani. PHOTO: MATTHEW MARGOLIN (BOTTOM) w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 4 9 B E YO N D B O U N D A R I E S and 13th floors at One Kneeland Street, their collective square footage will double, says Executive Associate Dean Joseph Castellana. The new space, he says, “will invite collaboration and information-sharing.” Rather than retrofitting operatories to fit an existing floor plan, Castellana says the architects “are working with a clean slate. They can design and position workstations that are comfortable and functional for patients, students and faculty and have the flexibility to accommodate new technologies.” Pasquale “Lino” Calvani, DG91, a clinical faculty member who received his postgraduate training in prosthodontics, believes the school’s emphasis on the future has helped maintain its international reputation for excellence. “We know there will always be ways to improve and get better. Our strength is our commitment to providing a high standard of care for our patients and respect for our students,” says Calvani, who is president of the Italy chapter of the Tufts Dental Alumni Association and is a generous donor to the Beyond Boundaries campaign. Calvani hopes his gift of $50,000 to support an operatory for the prosthodontics program will inspire others to appreciate the connection between enhanced facilities and the dental school’s core mission of teaching and patient care. “Plans for the new addition are spectacular,” says Calvani, who practices in Rome and travels to Tufts every three or four months to teach. “But the most exciting aspect is that the improvements will help us become even better at teaching and patient care.” Calvani says that teaching at Tufts is “one PARTNERS FOR PROGRESS For two decades A-dec has been an important institutional partner of the School of Dental Medicine. Last year, the company was selected to equip more than 70 new operatories that will be constructed as part of the project that is adding five floors to One Kneeland Street. A-dec, a supplier of dental chairs, lights, cabinets, delivery systems, handpieces and sterilization systems, has also provided a gift-in-kind of seven full operatories that will be installed in the research clinic on the new 14th floor. Last September, Dean Lonnie H. Norris, DG80, Executive Associate Dean A. Joseph Castellana and Susan Peecher of University Advancement toured the A-dec plant in Newburg, Oregon. Here, A-dec founder Ken Austin shows Norris, far left, and Castellana an equipment prototype that launched the company in 1966. 50 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 of the most gratifying aspects” of a career that has followed a family tradition. During his childhood in Italy with his dentist-mother and his father, a pediatrician, he says he “understood that I could never be an architect or an astronaut. In our family we didn’t have lunches or dinners. We had professional meetings.” He chose prosthodontics because he has always loved to “paint, shape, create, develop and assemble things. Prosthetic science requires dexterity and practical skills as well as knowledge of all dental disciplines,” he notes. “I love that challenge.” Calvani’s career choice also was influenced by former Tufts faculty member Michele Gaillard, DG76, DI77, one of a long list of current and former faculty—including Gino Passamonti, D58; Lloyd Miller, A54, D58; Maurice Martel; William Heggerick, DG73; Paul Cammarata, D79, DG81; Francis Ursoleo; Tom Vergo; Van Zissi, D62, DG67; Julian Osorio; Ken Malament; Konstantinos Michalakis, DG93; and Hiroshi Hirayama, DG90, DI93, DG94—whom he credits with making Tufts School of Dental Medicine a center for “learning opportunities.” “In the same way that many of us born outside the country see America as a land of opportunity,” Calvani says, “through their passion, hard work, commitment and respect for students, the professors at Tufts demonstrate that learning is a lifelong process that helps you grow as a human being and as a professional.” In his own teaching, Calvani says, “I follow the wisdom of Socrates, who said that teaching is beautiful, because when you communicate your knowledge, you are giving the best of yourself.” When he is at Tufts, Calvani says, “I always spend long days and weekends at the school, and I am thrilled when I see students absorbing new knowledge like sponges. “Along with providing superb instruction in dental skills, this institution is able to engender enthusiasm, dedication and excitement for the profession,” he says. “I know I am a better person because of what I learned here, and I am proud to be able to invest, through my teaching and financial support, in the lives and careers of future generations of Tufts dentists.” PHOTO: RICHARD RAY Steve O’Loughlin, Kathy O’Loughlin, D81, a university trustee; Lorenzo Lepore, A74, D77, A03P, A05P; and Nelida Lepore, A03P, A05P Barry Briss, D66, DG70, D95P, DG97P, professor and chair of orthodontics; James Kane III, D04, DG06; Krista Kane, D04; David Pereira; and Jauna Souza, D07 Toast to Tufts Lisa Vouras and George Mantikas, both D89 Karen Bejian and Alex Bejian, D85 nearly 250 alumni, faculty and friends gathered at the Ritz-Carlton Boston Common for a celebration as Tufts University School of Dental Medicine expressed its appreciation to its generous volunteers and donors at the annual Toast to Tufts event on September 5, 2008. Guest arrived to a slideshow presentation, streaming photos documenting the progress of the school’s expansion project. John Ficarelli, D73, D10P, and Jess Kane, D74, DG76, G78, DG79, D04P, DG06P, thanked the group for their philanthropy and volunteerism. Each volunteer wore a Jumbo pin in recognition of his or her efforts. Provost Jamshed Bharucha brought greetings from the university administration and praised the dental school community and Dean Lonnie H. Norris, DG80, for their accomplishments over the last year. Guests also watched a video about the importance of annual giving at Tufts. To view the video, go to dental.tufts. edu/giveback. Also during the event, Thomas F. Winkler III, A62, D66, D10P, a university trustee and chair of the dental school’s Board of Overseers, received the Dean’s Medal (see story, page 36). TOP OF THE WORLD A tour of the expansion project at One Kneeland Street was a highlight of the School of Dental Medicine’s Campus Visit on September 4–5, 2008. Twenty friends and alumni of the school also had an opportunity to spend time with residents in the postgraduate clinics and hear an address on leadership by Jack Connors Jr., chair emeritus of Hill, Holliday, Connors, Cosmopulos Inc. From left: Lisa Emirzian, D82, and her husband, Vincent Mariano, D82, DG84; Janis Moriarty, D94; William Sellers, A56, D60, J84P, a dental school overseer; and Jean Fiore, with Dean Lonnie H. Norris, DG80, on the rooftop of the school. PHOTOS: TIFFANY KNIGHT (TOP); BETHANY VERSOY (BOTTOM) w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 5 1 CONNECTED WIDER WORLD OF TUFTS U AN LU IV MENRIS INTEYWN S E WSTAYING S THE A Remarkable Place and Time the tufts university school of dental Medicine Alumni Association continues to be strong and vigorous, and I have the privilege of serving as your president during this exciting time for our school. Tufts continues to attract record numbers of extremely qualified candidates even as the number of dental school applications nationwide seems to be slowing. Our students are enthusiastic about their education and look forward to successful careers. Our faculty continues to provide the foundation for an exceptional dental education with a stellar reputation worldwide. Dean Lonnie Norris is a respected and motivational leader, and the university is indeed fortunate to have him. Dr. Norris looks to the alumni association for support so that his vision for the school can be realized. Your participation in this effort has been remarkable and continues to be vital to the success of Tufts Dental School. The vertical expansion project to add five floors to One Kneeland Street is on schedule, and interior construction will be ongoing throughout the winter. This expanded facility will allow Tufts Dental School to maintain its position as the best dental school in the world. During my tenure as president of your alumni association I have had the opportunity to meet many alumni from all over the country. I look forward to meeting many more of you and encourage you to continue in your dedicated support of 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 PLEASE PRINT CLEARLY Name ............................................................................................... Year of Graduation ................................... Telephone .......................... Mailing Address ................................................................................ way to continue the Tufts experience for both City/State/Zip ................................................................................. job-seekers and dental alumni/ae practitioners. 1. I am seeking a Tufts dental alum to work in my office: full-time As one of the many benefits of attending Tufts part-time University School of Dental Medicine, the alumni 2. What is the nature of your practice? (e.g. general practice, mostly network serves as a means of introduction and adults, prosthodontics)? .................................................................... communication with alumni/ae who are looking ........................................................................................................ for associates. Those who have been involved 3. Additional comments: ................................................................... recognize that this program creates mutually ........................................................................................................ beneficial relationships. ........................................................................................................ To place a Tufts graduate in your office, fill out the form above and mail it to 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. 52 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 Mail to: Tufts University Dental Alumni Association 136 Harrison Ave., Boston, MA 02111 PHOTO: TRAVIS DOVE CALENDAR 2009 Commencement ceremonies take place on Sunday May 17. MAR C H 8 MA RC H 1 4 M AY 1 7 Spring training with the Boston Red Sox. Email dental-alumni@ tufts.edu or call 617.636.6772 for more information. City of Palms Park Fort Myers, Florida Alumni reception in conjunction with the annual meeting of the American Dental Education Association Phoenix, Arizona Tufts University’s 153rd Commencement Academic Quad Medford/Somerville campus 9 a.m. M AY 1–3 A PRIL 7 MAR C H 1 0 Student/Alumni Networking Session, sponsored by the Dental Alumni Association for second-, third- and fourth-year students. Alumni volunteers are needed. Email dental-alumni@ tufts.edu for more information. Tufts School of Dental Medicine One Kneeland Street, 7th floor Boston, Massachusetts 5:30–7:30 p.m. Greater New York Alumni Chapter Spring Meeting Penn Club New York City 6 p.m. Dental Homecoming and Reunion Weekend Tufts School of Dental Medicine and Langham Hotel Boston, Massachusetts M AY 2 A PRIL 3 0 Alumni reception in conjunction with the annual session of the American Association of Endodontists Orlando, Florida Alumni reception in conjunction with the annual session of the American Association of Orthodontists Boston, Massachusetts For more information on these and other events, please contact the Office of Dental Alumni Relations at 617.636.6773 or email [email protected]. M AY 11–14 Alumni reception in conjunction with the spring meeting of the California Dental Association Anaheim, California PHOTO: ALONSO NICHOLS w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 5 3 UN A LU IV MENRIS INTEYWN SEWS THE WIDER WORLD OF TUFTS Happy Customers Alumni say Tufts is the place to go for a dental education by Leslie Macmillan A survey of dental alumni who graduated in 2003 and 2006 found they were happy and engaged during their time at Tufts. Not only was the response rate of 54.7 percent (the industry standard is 30 percent) the highest since the survey was initiated in 1996, but an overwhelming majority said they would again choose Tufts for their dental education. More than 91 percent said they would pursue the D.M.D. degree again, and of those, 94.4 percent said they would enroll at Tufts Dental School. Sixty-four percent said that over time, they have come to value their Tufts education even more. The high response rate reflects the school’s efforts to increase participation in the annual survey of recent graduates, says Mark Gonthier, associate dean of admissions and student affairs, but it is primarily a referendum on student satisfaction. “If you look at the arc of time in dental education, there was a period during the ’60s and ’70s when students in general found the dental school experience challenging,” says Gonthier. Attitudes began to change when more emphasis was put on the quality of interactions between students and faculty, he says. For example, in the latest survey, 57 percent of alumni in the classes of D03 and D06 reported that they were mentored at Tufts by a dean, professor or staff member. “This percentage has been rising slowly over the last seven years that we’ve asked this question,” says Gonthier. “And the Class of 2006 reported the highest level of mentoring to date—60.6 percent.” In addition, nearly 40 percent of the survey respondents said they were interested in teaching at the dental school. The survey gauges graduates’ impressions of how well their training prepared them for practice by having them respond to 26 competency statements in areas such as diagnosis and treatment planning, communicating with patients, using various dental materials and how well prepared they were for licensure exams. A L U M N I S U R V E Y R E S P O N S E R AT E S 0 2001–02 2002–03 2003–04 2004–05 2006–07 YEAR OF SURVEY 54 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 54.7% 2005–06 43.8% 48.4% 10 26.3% 20 30.4% 40 30 46.8% 50 23.8% PERCENTAGE RESPONDING 60 2007–08 Gonthier says the positive responses are a reflection of the leadership of Dean Lonnie H. Norris, DG80, who has headed the school since 1996. “He’s really put the emphasis on creating a more positive experience.” OTHER FIND I N G S I N C LUD E D : ■ 93 percent indicated that their preclinical education prepared them well to provide patient care in the school clinics. ■ 69.3 percent noted that what they learned in their basic science courses has been helpful in the practice of dentistry. Gonthier says the findings show that “the linkages between areas of instruction and practice are robust and effective.” One particularly positive outcome, Gonthier notes, has been recent graduates’ favorable responses when asked to assess their preparation for determining career options and their ability to manage and market a dental practice. “In less than 10 years, the percentage of graduates reporting being prepared in practice management rose from 25 percent of the Class of 1999 to 81 percent of the Class of 2006,” he says, noting that this reflects the school’s efforts to include practice management as a lecture, seminar and elective offering throughout all four years. “In virtually all areas of academic and clinical instruction,” he says, “our alumni felt well prepared.” For example, graduates said their education suitably prepped them for the North East Regional Board licensure exam (92.2%); the National Board Part I (86.6%) and the National Board Part II (76.1%). “We put a lot of energy into the survey, and we take the results very seriously,” says Gonthier. “We also would like older alums to know how happy our recent graduates are,” he says. SOURCE: TUFTS OFFICE OF INSTITUTIONAL RESEARCH & EVALUATION AWARDS Team Gross Champions (Score 70): Frank Coppola, D64, D82P, J97P; Peter McAllister, D82; Joseph O’Donnell, DG74; and Gary Warrington, D81 Team Net Champions (Score 55): Jeff Blair, Sullivan Schein Dental; Dave Cox, Sybronendo; Al Dube, Solmetex; and Tom Picone, 3M Tennis Champion: Lee Wills Thach, D98 THE 2008 SPONSORS Clockwise from top left: The tourney gets under way with a shotgun start; John Murphy, D81, lines up his putt; May Mu, D81, taps one toward the hole; and John Millette, D91, and Bernie Daly, D71, watch as Peiman Mahdavi, D91, DG94, takes his shot down the fairway. Wide Open Nets $15,000 for Student Loan Fund More than 80 alumni and friends of the School of Dental Medicine participated in the 26th annual Wide Open Golf and Tennis Tournament on September 22, 2008, at the Mount Pleasant Country Club in Boylston, Mass. The tournament, which is supported by alumni and corporate sponsors, raised $15,147 for the Dental Student Loan Fund, bringing the 26-year cumulative total to $258,183. The 2009 tournament will take place on September 23 at the Pinehills Golf Club in Plymouth, Mass. PHOTOS: JOANIE TOBIN Awards Dinner and Raffle Sponsors ($6,000) 3M Unitek Solmetex Sullivan Schein Dental Sybron Endo Hole-in-One Sponsor Wagner Motors Standard Golf Foursome ($2,000) Dental Associates of Walpole Gentle Dental Associates Rosen and Associates Tee Hole Sponsors ($1,000) Patterson Companies Inc. Tufts Dentists of Medford and Winchester Gold Level Sponsors ($500) Astra Tech Dental Implants Barr and Barr Inc. Glidewell Laboratories Gene Greystone, E72, D75A Ivoclar Vivadent MDS Insurance Services Inc. Silver Level Sponsors ($250) Eastern Dental Insurance Co. Hammond Pond Dental Associates Par Club ($100 and/or prizes) Boris Bacunurschi, D06 Cherie Bishop, D94 Joseph DiPietro, D54, D81P, A86P, D87P Eagle Strategies Clifton Grayer Jr., D75, DG78 Halfway Café The Langham Hotel Massachusetts Dental Society Charles Millstein, D62, D10P Janis Moriarty, D94 Mount Pleasant Country Club Orinoco Restaurant Nicholas Papapetros, D91 Prezza Restaurant Proctor and Gamble/Oral-B Seaport Hotel Sports Auction for Charity Sullivan Schein Dental Tofigh Raayai, DG77, DI82 The Ritz-Carlton, Boston Common Tufts Health Sciences Campus Bookstore TUSDM Division of Continuing Education TUSDM Office of Development & Alumni Relations TUSDM Alumni Association Executive Board Ultradent Products Wagner Motors w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 5 5 out&about ALUMNI NEWS ORAL SURGEONS IN SEATTLE More than 20 alumni and friends gathered at the Sheraton Seattle Hotel on September 18, 2008, for an alumni reception in conjunction with the annual meeting of the American Association of Oral and Maxillofacial Surgeons. Maria Papageorge, D82, DG86, G89, professor and chair of oral and maxillofacial surgery at Tufts, hosted the reception. FALL IN ’FRISCO Mark Gonthier, associate dean of admissions and student affairs, joined 20 alumni and friends for a reception at the San Francisco Marriott last September during the California Dental Association’s fall meeting. Steven Dugoni, D79, A08P, A12P, serves as president of the Dental Alumni Association’s California/ West Coast Chapter, which represents more than 800 alumni. PROSTHODONTISTS IN OPRYLAND More than 25 alumni and friends gathered at Gaylord Opryland in Nashville, Tenn., on October 30, 2008, for a reception held in conjunction with the annual meeting of the American College of Prosthodontists. Attendees included, from left: Moftah El-Ghadi, DG08; Hiroshi Hirayama, DG90, DI93, DG94, professor and director of postgraduate prosthodontics; former prostho faculty member Tom Vergo; Candice Zemnick, D02; Ann Vergo and Lino Calvani, DG91. UPDATE IN THE BIG APPLE The Greater New York Dental Alumni Chapter hosted its fall meeting on December 2 at the Penn Club in New York City. Andy Verdier, A96, D03, DG06, welcomed the young alumni.The event featured a panel discussion with Dean Lonnie H. Norris, DG80, and associate deans A. Joseph Castellana, Mark Gonthier and James Hanley, D75A, DG79, who briefed alumni on how the school’s expansion project will enhance dental education at Tufts. The panel fielded questions about the project’s financing, clinical enhancements and the student body. More than 50 alumni attended the event, including, from left: Maria Chartzoulakis, D04, DG08; Robert Berg, D03, the chapter’s Young Alumni Chair; Michael Cafarella, D05; Dana Marzocco, D05; and Caroline Barsoum, D05. 56 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 PERIO RECEPTION HEART OF TEXAS A reception for alumni and friends was held on October 17, 2008, in conjunction with the American Dental Association’s annual session in San Antonio, Texas. More than 40 alumni and friends mingled at the Hyatt Regency San Antonio. Dean Lonnie H. Norris, DG80, welcomed the group and spoke briefly on the progress of the project that is building five floors on top of the dental tower. Perio reception attendees, from left: Ancy Verdier, A96, D03, DG06; Etienne LaCrampe, D03; and David Au-Yeung, D03. Alumni and friends got together in Seattle on September 8, 2008, for a reception, held in conjunction with the annual meeting of the American Academy of Periodontology. Guests enjoyed cocktails and hors d’oeuvres while learning about the new clinic at the dental school from Terrence Griffin, D71, DG75, associate professor and chair of periodontology. MAINLY ABOUT TUFTS WE ARE FAMILY The Office of Dental Development and Alumni Relations hosted the second annual Tufts University Dental Legacy Reception at Maggiano’s Little Italy restaurant in Boston on August 25, 2008. All incoming and current students with a family relation to a dental alum were invited with their families. More than 80 students and alumni gathered to celebrate the Tufts Dental family. Of the 171 students in the Class of 2012, 40 have a relative who graduated from the school. Back row, from left: Dean Lonnie H. Norris, DG80, M99P, A01P; William Fiore, D76, DG78, E05P, D09P; David Fiore, E05, D09; Jeffrey Benecchi, D09; John Benecchi, D76, D09P; Paul Cogliano, D76, D09P; and John Cogliano, D09; front row, from left: Amanda Belden, D09; Mary Anne Fiore, E05P, D09P; Elizabeth Benecchi, D09P; and Rosemarie Cogliano, D09P. PHOTO: ALONSO NICHOLS (BOTTOM) Paul Desjardins, D75A, senior vice president of Wyeth Pharmaceutical Consumer Healthcare Division in Madison, N.J., and a dental school overseer, and his wife, Catherine, hosted a “friend-raising” alumni gathering at their lakeside home in Belgrade Lakes, Maine, last August. Alumni and friends in attendance included Philip and Jamie Desjardins; George Manter, D75, D10P; Doug Laliberte, D09; Peter Laliberte, D75A, D09P; Rebecca Parnell, D09; Joseph Kenneally, D91; Lisa Howard; Dean Lonnie H. Norris, DG80, M99P, A01P; Susan Manter, D10P; Maria Gove Tringale, director of development and alumni relations; and Donna Norris, M99P, A01P. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 5 7 ALUMNI NEWS A Life of Service A fter more than 15 years of service to the tufts university Dental Alumni Association, Norman Diamond, D57, DG64, A90P, is stepping down as secretary of the Executive Board. After receiving his undergraduate degree from Brandeis University, Diamond enrolled at Tufts University School of Dental Medicine. He served in the U.S. Navy, and then returned to Tufts, earning a postgraduate certificate in orthodontics in 1964. From 1965 to 2002, he ran a private practice in West Roxbury, Mass., while serving on the orthodontics faculty at Tufts, where he currently is an associate clinical professor. The orthodontic residents presented him with the 2008 Everett Shapiro Treatment Award, named in honor of the former longtime faculty member. Diamond has served Tufts and the dental school in countless ways—as a founding member of Tufts Association of Orthodontists, reunion co-chair for the Class of 1957, longtime member of the Dental M Club Executive Committee and as a member of the alumni association’s Executive Board since 1993. He is also a former president of the Massachusetts Dental Society, which presented him with its Dr. Frederick Moynihan Memorial Award in 2007. He has been involved with Yankee Dental Congress since its inception 34 years ago. Reflecting on his involvement in the Dental Alumni Association, Diamond says, “If you want to get something done, do it yourself. If you don’t, then don’t complain. Norman It’s important to be involved in the Diamond process.” NEW TO TUFTS Susan Ahearn has joined the Office of Dental Development and Alumni Relations as associate director for alumni relations. Prior to coming to Tufts, she was an event planner at the Wellesley College Club, the alumni, faculty and staff club at Wellesley College, for five years. She also worked for a dozen years planning and organizing events at Jillians Boston, an entertainment club near Fenway Park. She earned a B.S. in business from Skidmore College. Ahearn’s father, Carl Perlmutter, D64, DG70, is a retired orthodontist. At Tufts, Ahearn works with the Dental Alumni Association and its chapters, overseeing all local and regional alumni events, including Homecoming & Reunion, and helping to manage more than 60 volunteers. PAYING IT FORWARD Share your pride, your affiliation and your support of Tufts University Dental Alumni Association by renewing your membership today. Programs your dues support include: ■ One of the largest student scholarship loan funds at Tufts Dental School ■ Tufts Dental Medicine, your award-winning alumni magazine ■ Alumni receptions at national dental meetings ■ Annual Homecoming and Reunion programs ■ Regional alumni chapters in California, New York, Florida and Greece ■ Annual Wide Open Golf and Tennis Tournament 58 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 Annual dues are $75, and $85 for alumni in California, Florida and New York, for July 2008–June 2009. PLEASE MAKE CHECKS PAYABLE TO: Tufts University Dental Alumni Association and mail to: Tufts University Dental Alumni Association 136 Harrison Avenue Boston, MA 02111 To learn more about services and programs for Tufts Dental alumni visit http://dental.tufts.edu/alumni. PHOTO: JOANIE TOBIN (TOP) CLASS NOTES THE WIDER WORLD OF TUFTS UNIVERSITY NEWS REUNION 2009, MAY 1–3 D54 Richard A. Winer, who passed away in July 2008, was memorialized by the Jewish Historical Society of the North Shore with the first Dr. Richard A. Winer Annual Memorial Lecture Series on November 23, 2008, during the society’s annual meeting in Marblehead, Mass. Winer was fascinated by his Lithuanian background, completed his first family tree and was doing research on a second volume before his death. The first speaker in the annual lecture series was Joel Ratner, Vilna District coordinator for the LitvakSIG Vilna District Research Group from 1998 to 2006. Ratner has been involved with the acquisition, translation and distribution of the entire 1858 Vilna City Revision List, as well as other genealogical records for the Vilna District. For more on LitvakSIG, go to www.litvaksig.org. D61 S. George Colt, A57, DG70, gave a presentation on “Site Development in the Placement of Dental Implants” at the 2nd Global Hellenic Medical Network conference that was organized by the combined Ministries of Health of Cyprus and Greece last fall in Paphos, Cyprus. Physicians and dentists from the Diaspora with Greek ethnic roots were invited to give presentations on their specialty areas. The first conference of the Global Hellenic Medical Network was held on the Greek island of Kos in June 2007, when Colt gave a presentation on “The Impact of Titanium Root Form Implants in Dentistry Today.” Colt, a diplomate of the American Board of Prosthodontics, practices in Boston. ARMENIAN SERVICE MEDAL Vartan Ghugasian, A67, D72, DG74, was awarded the St. Nersess Shnorhali (The Grateful) Medal and Pontifical Encyclical by His Eminence Archbishop Khajag Barsamian, primate of the Diocese of the Armenian Church, in recognition of his humanitarian contributions and service to the Armenian Church, community and Republic of Armenia. It is one of the highest honors the Armenian Church bestows on an individual. A former clinical faculty member at Tufts Dental School, Ghugasian was a founder of the Armenian American Dental Society in 1976, and served as its president from 1988 to 1994. A parishioner of St. James Armenian Church in Watertown, Mass., Ghugasian has provided dental care to residents of the Armenian Nursing Home in Jamaica Plain, Mass., assisted the victims of the 1988 earthquake in Armenia and was integral in raising funds to build six pediatric dental clinics in Armenia. D62 Richard Ferraro has been honored by the Oral Health Foundation for his role in establishing the nation’s first dental clinic in a community health center—a concept that began in 1967 at the Columbia Point Community Health Center in Dorchester and was quickly replicated across the United States. Long before access to care became a priority for the dental profession, Ferraro was the first to provide underserved communities with comprehensive oral health services and emergency treatment in what is now known as the Geiger-Gibson Community Health Center in Dorchester. The pioneering community health center was founded in 1965 by Count Gibson and Jack Geiger, both Vartan Ghugasian with the St. Nersess Medal and Pontifical Encyclical faculty members at Tufts School of Medicine, in response to President Lyndon Johnson’s “War on Poverty.” They established a second community health center in rural Mound Bayou, Miss. Ferraro “not only provided a model for providing critical, comprehensive care but also encouraged hundreds of dental students and dentists to move into urban communities to treat vulnerable populations,” said Dennis Leonard of Delta Dental of Massachusetts, which funds the Oral Health Foundation. Ferraro was the first to incorporate oral health records into medical records, establishing a critical link between oral health and overall health. U.S. Sen. Edward M. Kennedy, D-Mass., wrote, “It was Dr. Ferraro’s compassion that drove him to create the clinic in the face of overwhelming odds. It was his compassion that helped him see that oral health is fundamental to a person’s dignity and sense of self-worth. Through the force of Dr. Ferraro’s compassion and conviction that health care is a fundamental right for all people, thousands of people today receive high quality dental care at community health centers across the country.” D63 Art Hotchkiss won the men’s 70-plus age group title at the 2007 World Senior Racquetball Championships, held at New Mexico Sports & Wellness in Albuquerque, N.M. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 5 9 ALUMNI NEWS D66 Shepard Goldstein completed his term as president of the American Association of Endodontists on April 12, 2008. REUNION 2009, MAY 1–3 D69 Bill Green and his wife, Bonny, have relocated to Vermont. Green retired in September 2008 after 35 years as a practicing dentist and community volunteer in Manchester and Milford, N.H. D70 William Mehan, A01P, has been elected a fellow of District 1 of the International College of Dentists. D71 Paul Danielson has been elected a fellow of District 1 of the International College of Dentists. D73 Gerald Maher of Mahercor Laboratories of South Weymouth, Mass., has developed an innovative mouth guard, the Maher Mouth Guard, which helps prevent concussions for athletes participating in contact sports. Maher, the team dentist for the New England Patriots football team for more than 25 years, designed the patent-pending mouth guard to allow players to breathe, speak and drink with ease. Steven Tunick is serving as president of the New York State Society of Oral and Maxillofacial Surgeons, chair of the Professional Liability Claims Committee of the New York County Dental Society, a member of the New York County Dental Society Board of Directors, presiding chair of the Greater New York Dental Meeting, District 1 representative on the Committee for Professional Conduct and a delegate of the American Association of Oral and Maxillofacial Surgeons. REUNION 2009, MAY 1–3 D74 Ira Cheifetz is serving as presidentelect of the American Association of Oral and Maxillofacial Surgeons for 2008–09. D75 Samuel Shames was inducted into the American College of Dentists at the annual meeting of the American Dental Association in San Antonio in October 2008. D76 Jon Davis has been elected a fellow of District 1 of the International College of Dentists. DG76 Hilton Israelson is serving as president of the 7,500-member Texas Dental Association for 2008–09. He is the first foreign dental graduate to be elected to the position. Born in South Africa, he received his bachelor of dental science degree in 1973 from the School of Dental Medicine at the University of Witwatersrand in Johannesburg and his postgraduate certificate in periodontics from Tufts School of Dental Medicine in 1976. A diplomate of the American Board of Periodontology, Israelson previously served as president of the Dallas County Dental Society. He practices periodontics and implantology in Richardson, Texas, and is an associate clinical professor in the department of periodontics at the Baylor College of Dentistry. 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. 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 60 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 D77 Clifford Salm is the current general chair of the Greater New York Dental Meeting. Franson K.S. Tom says “aloha” and has recently opened a cosmetic dentistry practice in Las Vegas, doing implants and Invisalign. He was appointed founding chair of the Southern Nevada Dentists Health and Wellness Committee and received the 2008 Mentor of the Year award from the Southern Nevada Dental Society for his work with the first-year program at the University of Nevada–Las Vegas School of Dental Medicine. If you want to be in touch: [email protected]. Richard Vachon, D10P, has been elected a fellow of District 1 of the International College of Dentists. D78 Douglas Kinney and his wife, Lyliane Van Gijseghem, joined Tufts alumni and friends at the Belgium Tufts Alliance holiday party in Brussels in December 2008. D80 Tim Crowe, A75, has relocated to his downtown Chicago office. He is accepting new patients for maxillofacial plane film imaging, TMJ therapy, implant surgery and joint-based restorative dentistry. To learn more, visit www.dentalmedicinechicago.com. Larry Wolinsky has been appointed associate dean for academic programs and personnel at the UCLA School of Dentistry. DG82 Walter H. Meinzer II has been awarded diplomate status by the American Board of Periodontology. He has a private practice in West Yarmouth, Mass., and is an assistant clinical professor of periodontology at Tufts School of Dental Medicine. D85 Douglas Moll, A81, DG91, has been elected a fellow of District 1 of the International College of Dentists. D87 Michael Schneider lives in California, where he does dental makeovers for the Style Network. WE MEET AGAIN Morton B. Rosenberg, D74, center, professor of oral and maxillofacial surgery and director of anesthesia and pain control, had a chance to catch up with Army dentists Kimberly Inouye, D05, and Ed Montoya, D07, when they attended a continuing education course he gave at Fort Gordon in Augusta, Ga. Development Committee for the past two years. Remmes, who lives in Saco, has offices in Portland and Biddeford. His four children attend Thornton. REUNION 2009, MAY 1–3 D88 Paul Remmes, DG90, has been appointed to the Board of Trustees at Thornton Academy in Saco, Maine. He is a 1980 graduate of the private school and has served on Thornton’s D89 Lisa Vouras has been elected a District 1 fellow of the International College of Dentists. D90 Bruce Doyle bought his second 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: [email protected] fax: 617.636.4052 Name Class Street City State Zip Email address practice in April 2007 in his hometown of Stoneham, Mass. His other office is located in Avon, Mass. His wife, Jill, is a part-time hygienist at both offices as well as part-time faculty at the Forsyth School of Dental Hygiene. D91 Steven Brown has been elected a District 1 fellow of the International College of Dentists. Paul Heroux has become a partner at University Dental Group in Worcester, Mass. Nicholas Papapetros II has been elected a District 1 fellow of the International College of Dentists. REUNION 2009, MAY 1–3 D94 Cherie Bishop was elected a guest board member on the Board of Trustees of the Massachusetts Dental Society. She has been an active member of MDS since 1995. She was chosen for the 2007–08 MDS Leadership Institute and volunteers for the Yankee Dental Congress. w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 6 1 ALUMNI NEWS D95 Karl-Martin Wiklund has been elected a fellow of District 1 of the International College of Dentists. D97 Arathi Tiruvur is living in Saratoga, Calif., where he opened a new state-of-the-art practice. He has two daughters, ages nine and five. D98 Lauren (Ratner) Lazar and her husband, Michael, welcomed a son, Robert Andrew, on January 31, 2008. He joins big sisters Caroline, 3, and Penelope, 2. David Mitchell Singer, DG00, has been elected a fellow of District 1 of the International College of Dentists. REUNION 2009, MAY 1–3 D99 Alec Yen, DG03, and Sylvia Suaverdez, D06, welcomed a daughter, Emily Alexia, on August 16, 2008. D02 Carla Blain opened a practice in Westbury, N.Y. Blain dedicates her spare time as a Nassau County emergency medical volunteer and is an active member of her local community. Visit her website: www.westburydental. com. Mariela Lung-Compton was married in 2005 to Kenneth (Casey) Compton, who is a tax attorney. In 2006, she took over a busy practice in Lakeland, Fla. Lung-Compton and her husband are active with the Productive Dentist Academy (www.productivedentist.com), and she is a founding member of the Dental Organization for Sleep Apnea (www.apneadocs.com). D03 Tracey Osborn Pike opened a practice in New Hampshire in 2005. Tom Montemurno, who recently bought a practice in Manchester, is joining her on Friday afternoons for orthodontics. Fellow classmates John Palazzo, Nii Lokko and Cheryl Ogden are also practicing in New Hampshire. REUNION 2009, MAY 1–3 D04 Michael Oppedisano was profiled in the 2008 issue of Childtimes, a publication of the Children’s Medical Center in Dallas, Texas, where Oppedisano is a prosthodontist and pediatric dentist. D05 Petros Damoulis, DG91, has been elected a fellow of District 1 of the International College of Dentists. Julia Rebecca Sivitz, DG08, married Matthew Bieber on November 1, 2008, at the RitzCarlton in Philadelphia. D06 D07 Sylvia Suaverdez, see D99. Seema Chawla and Joshua Miranda were married in 2008. Marcin Jarmoc and Christine Rosato were married on June 8, 2008. Jarmoc is a second-year postgraduate in oral and maxillofacial surgery at Tufts, and Rosato is in private practice. IN MEMORIAM Eugene J. Tillman, D37 August 16, 2008 Dover, Massachusetts Henry E. Snell, A44, D48, A83P December 11, 2008 Brookline, Massachusetts Alvin B. Stone, D54 September 18, 2008 Delray Beach, Florida Anthony M. Giambalvo, D58 November 18, 2008 Commack, New York Paul Lazzaro, A37, D39 October 16, 2008 Largo, Florida Alfred I. Dean, D49 November 15, 2008 Newtown, Pennsylvania Richard A. Winer, D54 July 17, 2008 Marblehead, Massachusetts Sigmund D. Fleck, D59 July 31, 2008 Richmond, Massachusetts Marshall J. Brickell, D40 September 11, 2008 Stoughton, Massachusetts Leslie M. Curtis, D51 June 27, 2008 Winchester, Massachusetts Albert F. Allaire, D56, D83P May 16, 2008 Foxborough, Massachusetts Young H. Kim, D60 November 25, 2008 Weston, Massachusetts James J. Mulligan, D42 June 20, 2008 Natick, Massachusetts David Schreiber, D51 October 5, 2008 Old Saybrook, Connecticut Norman A. Freeman, DG56 October 1, 2008 Avon, Connecticut Irving Carl Mayhew, D61 September 25, 2008 Gardiner, Maine Norman Cetlin, D43B, DG48 November 20, 2008 Chestnut Hill, Massachusetts C. Warren Brodrick, D52 November 2, 2008 Wolfeboro, New Hampshire Clyde C. Lewis, D56 November 14, 2008 Stowe, Vermont Harlan L. Goodwin Jr., D62 August 22, 2008 Rye, New Hampshire James H. Siegel, D43B June 15, 2008 Ashburn, Virginia Paul M. Meymaris, D52 December 4, 2008 Yarmouthport, Massachusetts Harold H. Hookway Jr., A54, D57 June 28, 2008 Acton, Massachusetts Gerard A. Jernegan, D68 July 6, 2008 Braintree, Massachusetts Albert E. Cangiano, D45, D86P October 6, 2008 Medford, Massachusetts Guy Guarnaccia, D54 June 20, 2008 Riverside, Connecticut John E. Horton, D57 October 28, 2008 Columbus, Ohio Sheryl A. Jacobson, D76 September 4, 2008 Providence, Rhode Island 62 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 CONTINUING EDUCATION MAR C H 1 3 –14 A PRIL 17 M AY 13 Nitrous Oxide Certification Course Drs. Morton B. Rosenberg and C.S. Maller The Biologic Imperatives of Endodontics and Implantology: Fashioning a Risk Assessment Algorithm Dr. Kenneth S. Serota The Fully Integrated Digital Dental Practice Dr. Charles D. Samaras MAR C H 1 8 Dental Update for the Entire Team: Medical Emergencies Dr. Morton B. Rosenberg MAR C H 2 0 Cone Beam CT-guided Implant Planning Dr. Robert Angorn MAR C H 2 1 New Advances in Implant Overdentures: Happiness Through Simplification Dr. Allen L. Schneider MAR C H 2 5 Pain and Anxiety Control for the General Practitioner Drs. Morton B. Rosenberg and Michael Thompson MAR C H 27 Six Clinical Habits of Highly Effective Dentists Dr. Brian B. Novy A PRIL 18 Lasers in Periodontics and Restorative Dentistry Dr. Robert A. Convissar A PRIL 2 2 Everyday Periodontics for the General Dentist–Dental Hygienist Team Dr. Marty Nager A PRIL 24 Recipes for Predictable Anterior Esthetics Dr. Gerard J. Chiche Non-invasive Facial Cosmetic Procedures Dr. Constantinos Laskarides Current Concepts, Issues and Controversies in Clinical Dentistry: Commonsense Answers and Approaches for a More Efficacious Dental Practice Dr. Paul J. Vankevich Legal Information Every Dentist Needs to Know Carol A. Coakley MAY 6 AP R I L 4 Dental Update for the Entire Team: Medical Emergencies Dr. Morton B. Rosenberg M AY 22 Prosthetic Updates for the 21st Century Dr. William Lobel M AY 27 Implant Restorations in Everyday Dentistry: Making Decisions about Successful Use of Implants Drs. Nopsaran Chaimattayompol, Ali Muftu and Ekaterini Antonellou DIVISION OF CONTINUING EDUCATION TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE One Kneeland Street Boston, MA 02111 Telephone: 617.636.6629 Fax: 617.636.0800 Email: [email protected] M AY 29 A PRIL 2 9 MAY 1 AP R I L 1 M AY 20 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: Crown Lengthening Workshop Drs. Emilio Arguello and Catherine Moshirfar Full Arch Rehabilitations: How to Create Complete Dentures – From Basics to Current Standards Dr. Lino Calvani AP R I L 1 5 MAY 8 Treating Medical Emergencies in the Dental Office Dr. Robert R. Edwab Technology and Implant Treatment Planning Dr. Jerome Haber AP R I L 1 5 MAY 9 Oral Surgery Workshop for the General Practitioner Dr. Robert R. Edwab The Art and Science of Porcelain Laminate Veneers Drs. Alaaeddin Alwazzan and Yong Jeong Kim Management of the Medically Compromised Dental Patient Dr. Kanchan Ganda M AY 29–3 0 Enteral (Oral) Sedation for the General Practitioner Drs. Morton B. Rosenberg, C.S. Maller and William A. MacDonnell and Carol A. Coakley JUNE 3 Risk Management: Record Keeping and Informed Consent Barry Regan JUNE 5 Fourth Annual Oral Cancer Symposium Drs. Michael A. Kahn, Mark W. Lingen, Brad K. Rodu and David T.W. Wong and Brian R. Hill JUNE 6 Real World Endo® Presents the Endo-Restorative Continuum Drs. Ken Koch and Lynne Brock w i n t e r 2 0 0 9 t u f t s d e n ta l m e d i c i n e 6 3 THE PEOPLE’S PATHOLOGIST HEAD OF THE CLASS A lmost by definition, pathology is one of the more challenging classes on a dental student’s schedule. For 46 years, from 1932 to 1978, H. Spencer Glidden, A27, M31, G62P, brought the subject to life for Tufts dental students. Glidden, his former students recall, never forgot the human stories behind the slides. “About eighty-five percent of each lecture was hard-core science—histology, cell biology, how things go wrong,” says Paul J. Desjardins, D75A, senior vice president of the Wyeth Consumer Healthcare Division and an overseer to the dental school. “But for the rest of the class, he told us about the people behind the disease, and our fear of pathology disappeared.” Unless, of course, the subject matter hit too close to home. Jess Kane remembers attending a lecture on skin lesions. Glidden showed slide after slide of moles and markings, some of which were cancerous. After the lecture, Kane says, half the class walked up to their professor and took their shirts off, concerned about the moles and other blemishes on their torsos. “The guy had the patience of a saint,” says Kane, D74, DG76, G78, DG79, D04P, DG06P. “He examined every single one of his paranoid students.” Glidden also had a dry sense of humor and wasn’t afraid to use the gross-out factor to make his lessons memorable. Desjardins still remembers a lecture about a rare kind of tumor. Because ovaries and teeth develop from the same primordial tissues, ovarian tumors occasionally contain tooth-like calcifications. This concept so fascinated Desjardins’ 64 t u f t s d e n ta l m e d i c i n e w i n t e r 2 0 0 9 class, that at the end of the course, they presented Glidden with a plastic model of just such a tumor. Embedded inside, the students had planted a tooth from a typodont, complete with gold filling. “Well, [Glidden] roared with laughter,” says Desjardins. “He had the broadest smile. There was a lot of humanity in this man.” His students also remember him as equally modest. “He never flaunted his credentials,” says Kane. “He was never condescending, even though he was obviously brilliant. He left a lasting impression on all the students he taught.” Glidden was so understated that Kane recalls seeing his professor making an appointment at the Tufts dental clinic. Glidden, a physician, taught only in the classroom, so he went unrecognized in the clinic. “I had to step in and say, ‘Do you know who this is?’ ” Kane says. “I think he’d be very proud of the school today,” Kane adds. “Like Dean [Lonnie] Norris, he was a very warm person. I think they would have hit it off.” —Jacqueline Mitchell Tell us about a memorable teacher during your time at Tufts Dental School: [email protected]. PHOTO: 1951 EXPLORER YEARBOOK 2009 Wide Open Tournament FRONT MATTER Registration Form Name_________________________________________________ SPORTS FOR SCHOLARSHIP WIDE OPEN Come join the Tufts University Dental Alumni Association for the 27th Annual Wide Open Golf & Tennis Tournament Wednesday, September 23, 2009 Pine Hills Golf Club 564 Clubhouse Drive Plymouth, Massachusetts Tufts Dental alumni, faculty, family and friends are invited to participate! Graduation year or affiliation with Tufts Dental___________ Guest(s) name(s)______________________________________ Address_______________________________________________ ______________________________________________________ Daytime phone________________________________________ Email_________________________________________________ My handicap is___________. Cost includes lunch, tournament, reception and awards dinner. Golf Tournament $350/player $1,300/foursome if signed up together My foursome will include: 2. ____________________________________________________ 3. ____________________________________________________ 4. ____________________________________________________ ❒ Please check here if you would like to be placed in a foursome. Tennis Tournament $200/player All proceeds benefit the Dental Alumni Student Loan Fund Reception & Awards Dinner $75 for guests and non-competitors Payment: Schedule of Events A New Day Ibtyhal Al-Amoudi, a third-year postgraduate resident in pediatric dentistry, joined other Tufts health sciences students, faculty and staff in the Sackler Center café on the Boston campus on January 20 to watch the inauguration of Barack Obama as the country’s 44th president. A native of Jeddah, Saudi Arabia, Al-Amoudi is also pursuing a master of science degree at the dental school. Behind her is Preston Stephens, a manager in the dental school’s clinical affairs division. PHOTO: ALONSO NICHOLS _____ golfers @ $__________ each = $_________ _____ tennis @ $__________ each = $_________ Golf and Tennis Registration 9:30 a.m. to 2 p.m. Golf Tournament 11 a.m. shotgun start Lunch included Tennis tournament 2 p.m. to 4 p.m. Reception 4 p.m. Awards Dinner 5 p.m. _____ dinner only @ $__________ each = $_________ Registration Fees 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. Golf Tournament $350/player $1,300/foursome if signed up together Tennis Tournament $200/player _____ I will be unable to attend the 2009 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._______ TOTAL ENCLOSED $__________ Registration confirmation and directions will be mailed to you prior to the tournament. 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 WINTER 2009 VOL. 13 NO. 1 SPORTS FOR SCHOLARSHIP OPEN DENTAL MEDICINE Come join the Tufts University Dental Alumni Association for the 27th Annual Wide Open Golf & Tennis Tournament Tufts Dental alumni, faculty, family and friends are invited to participate! ARTWORK PROVIDED BY RANDOM HOUSE Wednesday, September 23, 2009 Pine Hills Golf Club 564 Clubhouse Drive Plymouth, Massachusetts SEUSS DOCTOR Long before Horton heard a Who and the Grinch tried to vanquish Christmas, Theodor Geisel’s creatures populated national magazines, hawked bug spray and taught soldiers the do’s and don’ts of military life. Charles Cohen, D87, knows thing one and thing two about those early days of the beloved children’s author. For more, turn to page 10. All proceeds benefit the Dental Alumni Student Loan Fund NONPROFIT ORG. U.S. POSTAGE Schedule of Events Registration Fees Golf Tournament $350/player $1,300/foursome if signed up together Tennis Tournament $200/player 136 Harrison Avenue Boston, ma 02111 Age OF Dentistry THE www.tufts.edu/dental TUFTS UNIVERSITY OFFICE OF PUBLICATIONS 7854 02/09 Golf and Tennis Registration 9:30 a.m. to 2 p.m. Golf Tournament 11 a.m. shotgun start Lunch included Tennis tournament 2 p.m. to 4 p.m. Reception 4 p.m. Awards Dinner 5 p.m. PAID BOSTON, MA PERMIT NO. 1161 What 76 million baby boomers mean for your practice PLUS: MURDER HE WROTE ■ ECONOMIC GRIND ■ H A L F WAY T H E R E