NEW YORK UNIVERSITY COLLEGE OF DENTISTRY 2 No. 5, Vol. 2003

Summer

DIABETES Special Guest Editorial Diabetes and Oral Health: A Call to Action Dr. D. Walter Cohen Global Health Nexus College of Dentistry New York University

Elyse Bloom Editor in Chief Director of Public Relations

Amiad Finkelthal Assistant Editor Marketing Manager

Michael C. Alfano, D.M.D., Ph.D. Dean

Stuart M. Hirsch, D.D.S. Associate Dean for Development and International Programs

Rita A. Startup Assistant Dean for Development and Alumni Programs

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Global Health Nexus is produced in part through the generous support of Leonard and Adele Block, and Richard and Peggy Danziger. Global Health Nexus is distributed internationally through the generous assistance of the Colgate­Palmolive Company. Dear Dental Professionals: As you may know, recent research has shown an association between oral health and systemic health. The implications of these findings make it as important as ever for dental professionals to recognize how systemic diseases manifest orally in their patients. Colgate is pleased to help bring you this excellent publication in partnership with the NYU College of Dentistry to further an understanding of this connection in the practicing community. This issue of NEXUS includes an article on the link between periodontal disease and diabetes, and offers treatment considerations for your patients with diabetes. This is an area of significant interest to Colgate because Colgate® Total® is the only toothpaste with an antibacterial ingredient, triclosan, and a copolymer that offers your patients 12 hour protection against gingivitis, plaque, calculus build­up and bad breath. Colgate is committed to providing the very best technology, products and education to the dental community and their patients. We hope you enjoy this publication, and we look forward to bringing you future issues of this informative and timely bulletin. Sincerely,

NEW YORK UNIVERSITY Marsha Butler, D.D.S. COLLEGE OF DENTISTRY Vice President, DAVID B. KRISER DENTAL CENTER Global Professional Office of the Dean Relations & Marketing

Dear Colleagues: This issue of Global Health Nexus, is one example of a new, cooperative relationship that the NYU College of Dentistry and Colgate have forged with the aim of improving health both locally and globally. In addition, Colgate is sponsoring a forthcoming supplement to the Journal of the American Dental Association (JADA) on diabetes, which is edited by Dr. Jonathan Ship and several other authors from NYUCD. This JADA supplement promises to be a major additional contribution to a better understanding of the link between oral health and diabetes. Another goal of our relationship is to leverage our distinctive strengths in order to enhance the services we provide to the public. We recently concluded a five­day free health screening program, in collaboration with a third partner, ABC 7, and we look forward to partnering with our respective mobile dental vans to provide care for greater numbers of needy youngsters. Colgate has also become a primary supplier of a broad range of preventive health care supplies that are being used throughout the College, including free oral home care products and oral pharmaceuticals. We look forward to sharing future joint accomplishments with you. Sincerely,

Michael C. Alfano, D.M.D., Ph.D. Dean contents Summer 2003 Vol. 5, No. 2 4 Message from the Dean page 6 6 Special Guest Editorial: Diabetes and Oral Health: A Call to Action Dr. D. Walter Cohen 12 Systemic Effects of Destructive Periodontal Diseases Dr. Ron G. Craig 16 Practicing for Life SM The Dentist’s Role in Managing the Diabetic Patient Dr. Anthony T. Vernillo 18 News from the College Dean Alfano Appoints Advisory Council 19 Thousands Cheer the Class of 2003: Honorees Include Dr. Dominick P. DePaola, page 20 Keynote Speaker, and Legendary Actor Ossie Davis, Strusser Award Recipient 20 Bioterrorism Preparedness Update: NYUCD Hosts Army Training Course on Chemical, Biological, and Nuclear Agent Threats page 24 22 ABC 7 and Colgate­Palmolive Join NYUCD in Cosponsoring Free Oral Health Screenings for 3,500 New Yorkers 23 Oral Cancer Consortium Screenings Move to April 24 “Take Two and Call Me in the Morning” Noted Analgesic Researcher, Dr. Paul Desjardins, Presents Sackler Distinguished Lecture Giving Kids a Smile: NYUCD Helps Kick Off National Access to Care Day 25 Dental Assisting Program Celebrates Final Graduation 26 CE at NYUCD: The Strategic Choice for Lifelong Learning 27 Just Around the Corner: Accreditation 2003 Smiling Faces, Going Places Visits City Hall 28 International Partners in Health International Perspectives on Advanced Study at NYUCD 30 Caribbean Outreach 32 A Spring Break With a Difference: NYUCD Students and Faculty Set Up page 28 Free Clinic in Honduras 33 Live From New York: NYUCD Broadcasts First Dental Videoconference to Saudi Arabia page 34 34 A Visit to Guyana Inspires a How­To Guide for Dentists in Remote Regions 35 The Oral Health System Next Door: A First­Hand Look at Dental Care in Cuba Dr. Yihong Li 36 Grants and Philanthropy $1 Million Gift From Dr. Jonathan and Maxine Ferencz Establishes the Jonathan and Maxine Ferencz Advanced Education Program in Prosthodontics 37 NYUCD Awarded $488,000 to Improve Head and Neck Cancer Treatments and Reduce Side Effects 38 Support From Senator Clinton Brings NYUCD $250,000 in Federal Funds for Facilities Renovation page 35 A Gift from the Quade Foundation Extends Scholarship Support 39 New York State and The Starr Foundation Award Major Grants in Support of Smiling Faces, Going Places Seniors Build Support for Alma Mater 40 NYUCD in the News 42 Applause! Applause! Faculty, Student, and Staff News NYUCD Unveils Monolith Honoring Recipients page 40 of All­University Distinguished Teaching and Administrator Awards 43 Part­Time Faculty Honored for the First Time at Longer­Service Awards Ceremony 44 Dr. Jonathan L. Ferencz Installed as President of the American College of Prosthodontics 45 Dr. Farhad Vahidi Appointed Acting Director of the Jonathan and Maxine Ferencz Advanced Education page 44 Program in Prosthodontics Dr. Daniel Schweitzer Receives Fifth Annual Litvak Fellowship 46 Research Day 2003: In Search of Answers 47 ADEA Preventive Dentistry Awards Go to Brian Houston and Thomas Kolodge, Class of 2004 Drs. Joan Phelan and Denise Murphy Appointed to Bioterrorism and Catastrophe Response Task Force 48 ICOI Supports Bioterrorism Preparedness Initiative Administrators and Staff Retreats: A New Tradition Takes Root 49 Bashes, Barbecues, and Beat­the­Blah Blasts NYUCD Students, Faculty, and Staff Build Camaraderie and Community page 49 50 Celebrating Our Community 51 Focus on Alumni 52 Another Chance to Say “Thank You” 53 Looking for a Way to Increase Your Investment Income and Make a Gift to Alma Mater? L H E O B A A L T G L H

Our goal is to persuade dentists to pay interact more readily and actively with

Message from the Dean Dean Michael C. Alfano Despite evidence of a growing link This gap in monitoring has between diabetes and periodontal disease, staggering public health implications, along with recent studies confirming since nearly one­third of the 17 million that treatment of periodontal disease Americans with diabetes also have is one of the most important things severe periodontal disease, with loss of that can be done for diabetes patients, attachment measuring five millimeters or dentists generally do not screen their more. While it’s true that, until recently, patients for diabetes. Similarly, physicians there has been little understanding of generally do not monitor a variety the mechanisms by which periodontal of signs to determine whether their infections can contribute to diabetes diabetic patients are at risk for oral and other significant systemic conditions, health problems and do not generally the past five to ten years have brought refer their diabetic patients to dentists. promising investigations in this area. As a result, most diabetic patients are There is now mounting evidence that not aware of the oral health implications dentists need to be much more aggressive associated with their disease and the in treating periodontal disease in people 4 importance of preventive care. with diabetes, and in educating their L H E O B A A L T G L H

medical colleagues on the importance Indeed, in our “Practicing for LifeSM” of consulting and referring diabetic column, Dr. Vernillo brings to bear his patients to dentists. unique perspective as a dentist, basic In this issue of Global Health Nexus, science researcher, and a diabetic. I we shine a much­needed light on the am pleased to report that Drs. Vernillo relationship between diabetes and and Craig have also been invited to periodontal disease. Our goal is to write feature articles for a forthcoming persuade dentists to pay more attention supplement on diabetes to the Journal to diabetes in their patients, and to of the American Dental Association Advanced Education Program interact more readily and actively (JADA), which is being cosponsored in Prosthodontics. Their pledge with their physician­colleagues in the by Colgate­Palmolive. Among the ensures the financial support needed management of diabetes. An added goal many promising developments in to catapult an already distinguished is that this enhanced understanding diabetes research that Tony plans to program into the ranks of the world’s among professionals will lead to greater cover in his article is the therapeutic leading prosthodontics specialty knowledge about the importance of cloning of stem cells to make them training programs.

more attention to diabetes in their patients, and to their physician­colleagues in the management of diabetes.

oral health among people who suffer into mature, insulin­producing cells, Enterprises That Span with diabetes. an event that will likely provide a Borders and Cultures Joining us in this endeavor is one definitive cure for diabetes. This issue’s “International Partners in of our nation’s most distinguished Health” section provides a number of researchers and educators, Dr. D. Walter Residency Program dramatic examples of the depth and Cohen, Dean Emeritus of the University Transformation breadth of NYUCD’s commitment to of Pennsylvania School of Dental Thanks to the generosity and vision of bring the oral and craniofacial health Medicine and Chancellor Emeritus Dr. Jonathan Ferencz, a distinguished needs of nations across the globe into of the Drexel University College of alumnus, prosthodontist, and faculty sharp focus, including a report from Medicine. Among the highlights of member at NYU, and his wife Maxine, Dr. Yihong Li, Director of International Dr. Cohen’s article is a case study of a their dream of helping to build the 21st Research, on the oral health status diabetic patient whom he treated for century’s definitive specialty training of Cubans and NYUCD’s first­ever 39 years! We are also privileged to program in prosthodontics is now dental videoconference broadcast to have two outstanding NYU College guaranteed to become a reality. Saudi Arabia. These initiatives and of Dentistry faculty contributors, Dr. In recognition of a $1 million pledge others that you will read about in Ron G. Craig, Associate Professor of from Jonathan and Maxine, our this issue all share the same goal: to Basic Science and Craniofacial Biology Advanced Education Program in illuminate new directions and new and of Periodontics, and Dr. Anthony Prosthodontics has been named the opportunities for optimizing dental

T. Vernillo, Professor of Oral Pathology. Dr. Jonathan and Maxine Ferencz education, research, and patient care. 5 L H E O B A A L T G L H

by D. Walter Cohen, D.D.S. Dean Emeritus, University of Pennsylvania School of Dental Medicine, Chancellor Emeritus, Drexel University College of Medicine Diabetes and Oral Health:

back as the 1930s, Isadore Hirschfeld described a triad of periodontal manifestations associated with diabetes, which consisted of multiple periodontal abscesses, advanced alveolar bone destruction, and fungating masses of granulomatous tissue growing out of periodontal pockets. Michael Cohen showed similar oral changes in young patients and Cheraskin later suggested that gingival tenderness, dry mouth, and burning tongue may also be associated with hyperglycemia. As similar reports appeared, dental researchers iabetes mellitus is a devastating disease began to suggest that periodontal changes that affects 17 million Americans and may be a sixth major complication of diabetes. Dkills 210,000 people each year, making Most recently, a conference supported by the

it the sixth leading cause of death in the National Institute of Dental and Craniofacial United States. According to the American Research and the American Academy of Diabetes Association, approximately one­third Periodontology reached the conclusion that of the millions affected by the disease, or nearly dentists and physicians need to work more six million people, are not aware that they have collaboratively in light of increasing evidence it, while at least another 16 million people connecting oral diseases with preterm, low are at increased risk for type 2 diabetes. In birth­weight infants, cardiovascular diseases, and New York City alone, 8 percent of adults are diabetes mellitus. Such findings place a great affected—double the rate of eight years ago. responsibility on the dental team to recognize Each year research yields more information oral problems that may have important on the links between oral and systemic health. relationships to systemic manifestations, and Indeed, over the past decade, researchers have on the physician to increase his or her knowledge noted that in addition to such traditional of oral diseases. Indeed, we can expect to see complications of diabetes as retinopathy, an end to the era when the physician took a nephropathy, neuropathy, cardiovascular tongue blade and looked past the oral structures disease, and obstetrical complications, there into the pharynx of his or her patient and the 6 may be oral manifestations associated with beginning of a new era when physicians and diabetes, especially if the glycemic regulation dentists are united in their care of patients is not well controlled (table 1). But even as far with systemic diseases, such as diabetes. L H E O B A A L T G L H

A CALL TO ACTION

Types of Diabetes Type 1 diabetes constitutes about 10 percent of all diabetic cases and is most common in Caucasians. Since it frequently occurs before age 30, it was once known as “juvenile ” diabetes. TABLE 1 Type 1 diabetes is caused by cell ­mediated CLASSIC COMPLICATIONS autoimmune destruction of the insulin ­ OF DIABETES MELLITUS producing BETA cell in the pancreas. Individuals with type 1 diabetes are highly Retinopathy susceptible to ketoacidosis. Diabetic ketoacidosis • Blindness Nephropathy frequently results from accumulation of • Renal failure ketones in body fluids, increased loss of Neuropathy electrolytes in the urine, and subsequent • Sensory alteration in the bicarbonate buffer system. • Autonomic Ketoacidosis usually occurs in a type 1 diabetic Macrovascular disease who has not been diagnosed, or in a known (accelerated atherosclerosis) diabetic who is poorly controlled for his or • Peripheral her glycemic state. If not recognized and • Cardiovascular treated properly, severe cases of acidosis (coronary artery disease) may lead to coma and death (tables 2 and 3). • Cerebrovascular (stroke) Type 2 diabetes is the much more Altered wound healing common form of the disease, accounting for 90 percent of all cases. Type 2 is not characterized by autoimmune destruction of the BETA cells, but it does demonstrate peripheral resistance to insulin in muscle, also impaired pancreatic insulin secretion, and increased glucose production by the liver. 7 It is frequently referred to as “insulin resistance syndrome” and results in hyperglycemia, which is similar to type 1 diabetes. L H E O B A A L T G L H

TABLE 2 CHARACTERISTICS OF TYPE 1 AND TYPE 2 DIABETES

Type 1 Diabetes Type 2 Diabetes Age at onset Generally < 30 years Generally in adulthood Most common body type Thin or normal stature Obese Race most commonly affected White African Americans, (in the United States) Hispanics, American Indians, Pacific Islanders Family history Common More common Rapidity of clinical onset Abrupt Slow Pathogenisis Autoimmune ß cell Insulin resistance, impaired destruction insulin secretion, increased liver glucose production Endogenous insulin production None Decreased, normal, or elevated Susceptibility to ketoacidosis High Low Treatment may include Diet, exercise, insulin Diet, exercise, oral agents, insulin

The Dental Team’s Responsibility It is also important to ask what medications in Treating the Diabetic Patient the type 2 diabetic patient is receiving. It In taking a patient’s medical history, the is advisable as well for dental offices to be dental team needs to know which patients are equipped with glucose­monitoring devices, insulin dependent, what type of insulin they which can give a reading in less than 30 are taking, and when it is being administered. seconds after a drop of blood from a finger prick is placed on a strip and then entered into the glucometer. Recently the health insurer Ameri­Choice began encouraging dentists to use the hemoglobin A1C device, which also utilizes a drop of blood, but takes about nine minutes to indicate the level of glucose control during the preceding 60 to 90 days (figure 1). Less than a 7 percent reading is desirable, and the test can be performed by the dental team with minimum inconvenience to the patient (table 4). The HbA1C reading is much more informative, since it provides a broader time perspective on glucose control in contrast 8 to a glucometer, which measures only the instant of the finger prick. If diabetes is suspected based Figure 1. A disposable hemoglobin A1C device on oral findings or history given by the patient, L H E O B A A L T G L H

or HbA1C data, the dental team has is no longer exclusively mechanical. lesion will become even more prevalent. an obligation to tell the physician that the Although scaling and root planing have This is another development that oral status of the patient suggests the long been the cornerstone of periodontal requires close collaboration between the possibility of an underlying undiagnosed treatment, chemotherapeutics, recently dentist and the physician, especially or poorly controlled diabetic condition, coined “ periceutics, ” are beginning to since certain cardiologists are prohibiting but the diagnosis is ultimately the play a role in therapy. Pharmacology is scaling and root planing procedures on physician’ s responsibility. becoming a much more important part patients who are at risk for coronary of the dental curriculum and the use heart disease. The Impact of of drugs to detoxify the periodontal We may also see an increase in oral Periodontal Research microbiology testing for patients with on the Health of Society periodontal disease because one of TABLE 3 While some of the early studies on SIGNS AND SYMPTOMS, AND the advantages of using this testing, diabetes and periodontal diseases in addition to the identification of the LABORATORY FINDINGS IN indicate that reducing or eliminating flora, is learning which drugs they DIABETIC KETOACIDOSIS oral infections can result in reduced are sensitive to. And now that a drop insulin requirement in diabetic of blood from a finger prick will patients, the means of eliminating Nausea and vomiting provide results in 9 to 10 minutes,

the oral infection in most cases were Abdominal pain more dentists will be doing glucose to extract the involved teeth. Today, Dehydration testing and hemoglobin A1C • Dry mucous membranes all that has changed and we have evaluations in their practices. With • Tachycardia evidence dating from the studies physicians and dentists working more of Hirschfeld and Wasserman in • Hypotension closely together, more patients with • Abnormal skin turgor 1978 and others, that periodontal systemic disease will be managed Kussmaul’s respiration therapy is effective in allowing more successfully and will retain Altered mental state Americans, who are living longer their dentition longer. As though Possible coma than ever before, to retain their in anticipation of the new emphasis Hyperglycemia natural dentition as they grow older. on the role of medicine in dental Increased blood urea nitrogen This is pretty amazing, considering education, numerous dental institutions (BUN) and serum creatinine that one of the first departments of have elected to change the degree Decreased serum potassium periodontics at a U.S. dental school they offer from D.D.S. to D.M.D. and phosphorus was established at NYU in 1924, Acidosis (arterial pH < 7.3) only 79 years ago, and that most dental schools did not start to teach TABLE 4 the subject until after World War II. LABORATORY EVALUATION We have made great progress in a OF DIABETES CONTROL relatively short time, but it took a major revision in the way dental education Glycated Hemoglobin Assay (HbA1C): was taught. For many decades, most dental school curricula addressed only 4 to 6% Normal one disease —dental caries. Today, the <7% Good diabetes control other major dental disease, periodontitis, 7 to 8% Moderate diabetes control has taken its rightful place in the >8% Action suggested to 9 dental curriculum. improve diabetes control We now know that the antimicrobial therapy involved in periodontal treatment L H E O B A A L T G L H

A Retrospective Case Study in 1984. Tragically, she died from The case of a patient with diabetes kidney failure in 1995 at age 58. mellitus whom I treated over a period The clinical photos taken one year of 39 years illustrates the success of before her death show that despite periodontal therapy and also supports taking the immunosuppressant drug the conclusion that periodontal disease cyclosporine she was maintaining should be viewed as a sixth major her oral health extremely well Figure 2. An 18 ­year ­old type I diabetic complication of diabetes mellitus. (figure 4). (juvenile) with periodontal breakdown most advanced in the maxillary lateral This 18­year­old juvenile diabetic It is interesting, as well as unusual, incisor region (October 1955). Note the presented in 1955 with several of the to follow a patient for more than granulomatous tissue at the gingival margin of the lateral incisor area. periodontal manifestations of diabetes 39 years with this type of systemic described by Hirschfeld in the 1930s. involvement and to note that the The patient had advanced alveolar periodontal destruction was arrested bone loss in the maxillary right lateral (figure 5) despite the deterioration of incisor region along with a fungating other organ systems as a result of the mass of granulomatous tissue diabetes. The patient was extremely emerging from a 10 mm suprabony TABLE 5 pocket. Her diabetologist was concerned about her being extremely SIGNS AND SYMPTOMS OF HYPOGLYCEMIA brittle and suggested prophylactic use of penicillin in association with Confusion each periodontic visit (figure 2). Shakiness, tremors Initial treatment consisted of Figure 3. Same patient in 1957 after Agitation scaling and root planing and therapy consisting of scaling and root Anxiety planing, instruction in personal oral instruction in personal hygiene. hygiene, and tooth movement with a Sweating Her mouth responded well and removable Hawley appliance. Dizziness occlusal adjustment was followed Tachycardia by the use of a removable maxillary Feeling of “impending doom” appliance to close the diastema in Seizures the maxillary lateral incisor areas. Loss of consciousness In 1957, at age 20, the patient was delighted with the cosmetic appearance of her mouth and was extremely diligent careful, using self­monitoring glucose with her oral hygiene (figure 3). extract devices to help her keep her During the period 1957 through blood sugar as close to the normal 1994, the patient was seen quarterly range as possible. on a maintenance program and This story illustrates that when well continued to be conscientious about informed of a patient’s medical history Figure 4. Clinical photo of same patient her personal care. During these three and possible oral symptoms at each taken at recall maintenance visit 39 years later at age 57 showing absence of any decades, she developed the major maintenance visit, the dental team further destruction or inflammation despite of dentist, dental hygienist, dental severe complications of diabetes (1994). complications of diabetes, including nephropathy, neuropathy retinopathy, assistant, and other staff may be in a and cardiovascular disease. She had a position to identify undiagnosed diabetes kidney transplant, which was rejected in their patients and, ultimately, help L H E O B A A L T G L H

Figure 5. The maxillary anterior radiographs 39 years apart. The upper films show the bone loss in the lateral incisor region. The lower radiographs show the appearance of this diabetic patient 39 years later. Note there is no further bone loss.

to reduce the figure of six million the dental team needs to interact more undiagnosed diabetics in the U.S. Another frequently with diabetologists, endocrinologists, important reason for the dental team to be and internists who treat diabetics, so that knowledgeable about the management the quality of care provided to the diabetic of known diabetics is to reduce possible patient continues to improve. The results hyper­ and hypoglycemic reactions of information sharing among dentists and during dental treatment (table 5). physicians will benefit both patients and How does the team keep current in the dental profession, which will achieve yet the area of diagnosis and therapy of another advance in the area of prevention. diabetics? The dental literature is one method. Other opportunities include study Acknowledgments clubs that frequently review significant Tables 1 through 5, courtesy of Dr. Brian Mealey, Periodontal Medicine, B.C. Decker, publisher. articles and lectures and postdoctoral continuing education courses. Figures 2 through 5, courtesy of Dr. D.W. Cohen, in Compendium of Continuing Education in Understanding the role of nutrition in Dentistry, Dental Learning Systems, Publisher. the care of diabetics is also important, and L H E O B A A L T G L H

SYSTEMIC EFFECTS

glycemic control has been reported for diabetic patients who also have moderate to severe periodontitis. Increased incidence of atherosclerotic complications including myocardial infarction and stroke has been reported for individuals with destructive periodontal diseases, and pregnant women with periodontitis have been reported to be at increased risk to give birth to preterm, low birth­weight babies.

What Causes the Link? While no single underlying mechanism has been found to explain the association Ron G. Craig, D.M.D., Ph.D. between destructive periodontal disease and the systemic conditions mentioned Associate Professor of Basic Science and Craniofacial Biology and of Periodontics above, intensive investigations are under way to determine if such a mechanism exists, lthough dentistry has long insisted and several working hypotheses have been Aon the concept of oral health as put forward. One potential mechanism essential to general health, as a involves the direct seeding of oral bacteria profession we are just beginning to realize or bacterial products into the blood with the specific role that oral diseases can play subsequent vascular dissemination to distant in systemic disease. The past decade has sites such as atheromatous plaques or fetal seen a growing body of studies reporting that tissues. Another potential mechanism inflammation arising from oral infections, suggests that inflammatory cells, including and, in particular, those associated with polymorphonuclear leukocytes and monoctyes, destructive periodontal diseases, need not assume a hyper­responsive phenotype as they be limited to the oral cavity, but can also pass through inflamed periodontal tissues. have significant systemic effects. These same cells then exhibit increased To date, the majority of studies have destructive activity at distant inflammatory focused on three systemic conditions: sites. Yet another study has suggested diabetes, atherosclerosis, and delivery that the association between destructive of preterm, low birth­weight babies. For periodontal diseases and systemic diseases

12 example, the presence of periodontitis has may actually be due to failure to adequately been associated with an increased incidence control for confounding variables that of type 2 diabestes mellitus, formerly termed would confer increased risk for both diseases, adult onset diabetes. In addition, decreased such as current or past cigarette smoking. L H E O B A A L T G L H

of Destructive Periodontal Diseases

The NYUCD Research Focus inflammatory status. Greatly elevated ESRD populations; instead, elevated At NYUCD we are focusing on a CRP values (greater than 100 mg/L) CRP is the single best predictor fourth possible mechanism that are indicative of acute bacterial of all causes of death, including may account for the systemic effects infections. Recently, CRP values those arising from atherosclerotic of periodontitis: the induction of an previously regarded as “high normal” complications. However, many ESRD acute phase response by destructive (2­10 mg/L), which may possibly patients exhibit elevated CRP values periodontal diseases. The acute reflect an underlying inflammatory without clinically apparent sources of phase response is a general systemic process, have been found to be a infection or inflammation. Since an response triggered by infection, major risk factor for atherosclerotic analysis of the third National Health trauma, or malignancy. A more complications, including heart attack and Nutrition Survey (NHANES III) primitive host response than cellular and stroke. As a group, end stage reported that subjects with destructive or humoral immunity, the acute periodontal disease had higher phase response functions to facilitate CRP values than subjects who were the removal of the inciting agent, AT NYUCD WE ARE FOCUSING periodontally healthy, we investigated whether destructive periodontal such as bacterial infection, and ON A FOURTH POSSIBLE promote healing. Components of diseases could contribute to elevated MECHANISM THAT MAY the acute phase response include CRP values for a subset of this ACCOUNT FOR THE SYSTEMIC fever, neutrophilia, altered serum population. Serum samples from EFFECTS OF PERIODONTITIS: lipids, decreased serum iron, increased 120 consecutive ESRD patients were THE INDUCTION OF AN serum glucose, and induction of analyzed for serum antibody levels ACUTE PHASE RESPONSE acute phase proteins. Acute phase to six periodontal pathogens as well BY DESTRUCTIVE proteins are synthesized mainly by as a battery of acute phase proteins. the liver under the regulations of PERIODONTAL DISEASES. Subjects with elevated CRP pro­inflammatory cytokines, such values (greater than 10 mg/ml) as IL­1, IL­6, and TNF­a that are were found to have changes in released locally by inflammatory renal disease (ESRD) patients on serum components consistent with cells recruited to sites of infection hemodialysis maintenance therapy an acute phase response including or inflammation. In humans, the suffer one of the highest rates of decreased hemoglobin, iron, and major acute phase proteins are C­ atherosclerotic complications known. albumin values. Elevated CRP values reactive protein (CRP), serum amyloid A 25 percent mortality rate was were also associated with elevated A, fibrinogen and haptoglobin, whose reported nationally in 1998 with antibody levels to P. gingivalis but not serum concentration increases with 50 percent of all deaths attributed to B. forsythus, A. actinomycetemcomitans inflammation, and albumin and to atherosclerotic complications. serotypes a or b, C rectus or P. intermedia. In contrast to the general population, These associations remained significant transferrin, whose concentration 13 decreases with inflammation. altered serum lipids, including after adjustment for age, duration CRP values are routinely monitored cholesterol or LDL, are not predictive of dialysis, ethnic/racial group, in hospital settings as a marker of of atherosclerotic complications in smoking, and route of vascular L H E O B A A L T G L H

access. Since elevated antibody to ESRD Patient Responses found to have increased glucose, P. gingivalis had been associated and the General Population cholesterol and LDL, and decreased with chronic adult periodontitis Could destructive periodontal disease HDL and iron values when compared by our laboratory and others, this also induce an acute phase response to periodontally healthy subjects. In study suggests that an acute phase in the general population? To address addition, elevated CRP, glucose, and response including elevated CRP this possibility, we measured the serum cholesterol values were found in subjects values was associated with destructive concentration of several acute phase whose periodontal disease progressed, periodontal diseases for a subset of proteins in samples from an earlier as evidenced by the loss of periodontal the ESRD population. It’s worth noting risk assessment study that examines connective tissue attachment over that a primary cause for renal disease a group of clinical, demographic, the two­month study protocol. These in the U.S. is type 2 diabetes, and, immunologic, and microbiologic results suggest that in the general as recently, elevated CRP values have variables for destructive periodontal well as ESRD populations, destructive been identified as a risk factor for the disease status and progression. periodontal diseases are associated with development of type 2 diabetes. Periodontally diseased subjects were changes in serum components that are ORAL DISEASE CAN CONTRIBUTE TO

14 L H E O B A A L T G L H PRETERM BIRTH

HEART DISEASE

DIABETES

consistent with an acute phase response, the Eastman Dental Institute in London, including the elevation of CRP values. the University of Connecticut Health Center, and Additional prospective and interceptive the Washington, D.C., Veterans Administration studies will be required to determine whether Hospital. Outcome variables to be measured the induction of an acute phase response in this study include several markers of is the mechanistic link between destructive glycemic control, such as glycosylated periodontal diseases and systemic diseases. hemoglobin, fructosamine, and fasting At present we are conducting a multicenter blood glucose, as well as serum antibody study to determine whether initial periodontal to subgingival species and acute phase therapy, consisting of oral hygiene instruction, proteins including CRP. The results of this scaling, and root planing and the local multicenter study will suggest whether application of antibiotics will increase diabetic treatment of periodontal infections can control in type 2 diabetic subjects who also decrease a systemic acute phase response 15 have moderate to severe chronic adult and provide the foundation for larger periodontitis. Our collaborators include interception studies in the future. L H E O B A A L T G L H

Practicing for LifeSM The Dentist’s Role in Managing the Diabetic Patient

ship is not yet clear, it has been for assessing even tighter metabolic shown that dental infections in dia­ control, particularly in the management betics may exacerbate problems with of type 1, or insulin­dependent metabolic control, leading to elevated diabetes, is testing the blood sugar blood sugar (hyperglycemia) and level one hour after a meal (one hour acidosis, the loss of teeth, and the postprandial glucose) to assure that inability to wear dental prostheses. it falls within an acceptable range. The dentist plays a pivotal role in Type 1 diabetics test blood sugar managing the diabetic patient. As part at least two to four times a day with of the health care team, along with a glucometer. Such an aggressive the patient’s physician and nutritionist, approach has become a mainstay in the dentist’s goal is controlling the the medical management of insulin­ patient’s diabetes through prevention. dependent diabetes, especially for The patient’s physical examination patients controlled with an insulin should therefore include an oral pump. Walking this metabolic tightrope, examination and the management however, is not without risks. The plan should include consultation for patient may fall into profound low Anthony T. Vernillo, D.D.S., Ph.D., dental services and dental hygiene. blood sugar or hypoglycemia (insulin Professor of Oral Pathology Oral exams should be provided shock) while using multiple insulin The oral complications of diabetes every six months. injections or into severe hyperglycemia mellitus, particularly from poorly It is now well established that the with ketoacidosis (diabetic coma) controlled disease, are numerous control of blood sugar (glycemic control) while using an insulin pump. and devastating. They include is most critical in possibly preventing, xerostomia (dry mouth), an increased or delaying progression of, systemic Steps the Dentist susceptibility to bacterial, viral, and complications. Moreover, patients with Should Take fungal infections (oral candidiasis), marginal control, as opposed to tight There are important reasons why a poor wound healing, increased control of their diabetes, are at higher dentist should consider purchasing a incidence and severity of caries, risk of oral disease progression as glucometer for his or her practice. In gingivitis, and periodontal disease, well as systemic problems. those patients with diagnosed diabetes, periapical abscesses, taste impairment, Accordingly, the dentist must insulin shock or diabetic coma may be and burning mouth syndrome. motivate the patient to maintain averted. Furthermore, if the diabetic Periodontal disease is the most glycemic control in order to minimize patient has hyperglycemia, the dentist common oral complication of diabetes the occurrence of oral complications, and can consult with the patient’s physician and has been labeled the “sixth can assess this control in consultation to determine if antibiotics are needed complication of diabetes mellitus.” with the patient’s physician. For or whether additional medication There is evidence that a history of example, glycosylated hemoglobin should be administered to the patient chronic periodontal disease can (HbA1c) values provide a marker for before and after surgery. Finally, testing disrupt diabetic control, suggesting metabolic control over a three­ to patients’ blood sugar, particularly those 16 that periodontal infections may have four­month period. The goal of with a family history of diabetes, systemic repercussions. Although medical therapy is to lower this value or those with signs and symptoms the exact nature of this complex relation­ to less than 7.0%. Another parameter suggestive of diabetes mellitus, would L H E O B A A L T G L H

be an enormous public service. Patients oral fungal disease (candidiasis), (two to three months) because there who may have undiagnosed diabetes and recommend the use of fluoride­ is a persistent tendency to progressive can then be referred to their physician containing mouth rinses and toothpaste. periodontal destruction, despite for further evaluation. effective metabolic control. It is also The dentist must educate the patient Managing Oral Infections in extremely important for the dentist to on how to perform effective oral hygiene the Diabetic Patient make sure that the patient maintains that includes flossing and brushing While the comprehensive management a normal, sound diet following surgery after every meal. For those patients of oral infections in diabetic patients in order to avoid low blood sugar wearing dentures, the dentist must is beyond the scope of this article, some episodes (hypoglycemia) and to inform them to clean dentures and final comments on the treatment of promote effective healing and repair. perform oral hygiene daily (including common oral infections are in order. Carious lesions may be managed brushing the tongue); to remove In general, well­controlled diabetics, differently in diabetics, depending dentures at nighttime; and to notify type 1 (insulin­dependent) or type 2 primarily on the degree of the patient’s the dentist if the denture is ill fitting (non­insulin dependent), may have glycemic control. For example, a or causes an irritation or injury. Given coronal carious lesion that has not yet the increased risk for infection in penetrated dentin in a well­controlled AS PART OF diabetics, it is particularly important diabetic may require no immediate THE HEALTH CARE TEAM, for the dentist to remove fibromas due intervention, whereas a similar lesion to irritation or treat ulcers related to ALONG WITH THE PATIENT’S in a poorly controlled diabetic trauma from poorly fitting prostheses, PHYSICIAN AND NUTRITIONIST, (moderate to severe hyperglycemia) as well as to treat traumatic ulcers THE DENTIST’S GOAL may need immediate operative with antibiotics to prevent secondary IS CONTROLLING THE treatment, given its higher risk of infections, especially in poorly or progression. Oral candidiasis, an PATIENT’S DIABETES marginally controlled diabetics. opportunistic fungal infection, THROUGH PREVENTION. In addition, the dentist should be is commonly associated with prepared to use behavior modification hyperglycemia and is a frequent techniques. For example, since smokers no more significant risk for oral complication of diabetes. The dentist with diabetes are five times more likely disease progression than their non­ therefore must carefully evaluate than non­smokers to have gingivitis, diabetic counterparts and, hence, his or her choice of antifungal it is the dentist’s obligation to refer can be treated similarly. The well­ agents. Some of these drugs have the diabetic patient to smoking controlled diabetic generally does a significant sugar content (e.g., cessation programs and to provide not require antibiotics following Clotrimazole troches), whereas support and follow up. In consultation surgical procedures. However, the others (e.g., Ketoconazole) can cause with the patient’s nutritionist, the administration of antibiotics following liver damage and, therefore, require dentist can also help develop an surgery is appropriate, particularly the dentist to monitor the patient’s effective prevention plan, and can if there is significant infection, pain, liver function tests in consultation encourage the patient to eat healthful and stress. Several published papers with the patient’s physician. snacks that are low in sugar. have reported an additional therapeutic The author has had type 1, or insulin­ In the diabetic patient with benefit from tetracyclines, independent dependent diabetes, for the past 31 years xerostomia or reduced salivary flow, of their antimicrobial action, thereby and, for the past two years, has been on the insulin pump. To date, he has had the risk progression for oral disease adding another dimension to no significant complications from diabetes. is moderate to high. Accordingly, the therapeutic management of 17 the dentist can prescribe saliva periodontal disease. Supportive substitutes to minimize discomfort, periodontal therapy should also be monitor for caries, periodontal, and provided at relatively close intervals L H E O B A A L T G L H

News from the College

Dean Alfano Appoints Advisory Council

From left: Mr. Stanley Bergman, Dean Alfano, Mrs. Peggy Danziger, Mr. Stephen Cooper, Dr. Larry Rosenthal, and Dr. Kenneth Judy. Not pictured: Mr. Burton Borgelt and Mr. Ian Cook.

Dean Alfano has appointed an Advisory Stephen Cooper, Senior Vice President of Council composed of distinguished business Wyeth Consumer Products; Larry Rosenthal, leaders, alumni, and friends of the College an alumnus and the principal benefactor to advise him on advancing NYUCD’s impact of the new Rosenthal Institute for Aesthetic on oral and systemic health and its ability Dentistry; and Kenneth Judy, an alumnus to attract major philanthropy. and cofounder of the International Congress Stanley L. Bergman, CEO and President of Oral Implantologists (ICOI). of Henry Schein, Inc., has been appointed “As we chart an ever more important role to chair the Advisory Council. Members for NYUCD in both the profession and the include Burton Borgelt, Chairman Emeritus public sector, we are blessed to have such a of Dentsply, Inc.; Ian Cook, Executive talented, dedicated group of individuals to Vice President of Colgate­Palmolive, Inc.; guide me in shaping the College’s future,” 1188 Peggy Danziger, a private philanthropist; said Dean Alfano. L H E O B A A L T G L H

Thousands Cheer the Class of 2003: Honorees Include Dr. Dominick P. DePaola, Keynote Speaker, and Legendary Actor Ossie Davis, Strusser Award Recipient

Nearly 3,000 guests turned out on May 16 to celebrate the academic achievements of over 400 candidates for the D.D.S. degree, the A.A.S. degree in dental hygiene, the B.S. degree in dental health education, the M.S. degree in clinical research, the M.S. degree in biomaterials, and certificates in the postgraduate dental specialties. Dr. Dominick P. DePaola, President and CEO of The Forsyth Institute, received the David B. Kriser Medal, NYUCD’s highest honor, in recognition of lifetime contributions to the public good. Dr. DePaola delivered a rousing keynote address in which he called on the graduates to connect to a larger purpose and to the global community, focus on the importance of lifelong learning and dreaming, and commit to the primacy of ethics and integrity in all their endeavors. Above Photo: (left to right) An added highlight of the event was the Dean Alfano, Mr. Ossie Davis, Dr. Dominick P. DePaola, and presentation of the Strusser Award for out­ NYU’s Senior Vice President standing public health contributions to Ossie for Health, Dr. Robert Berne. Davis, the celebrated actor, writer, producer, and director. Mr. Davis was honored for his powerful activism on behalf of MESAB, a collaborative partnership of South Africans and Americans dedicated to improving the health 19 of South Africa’s Black majority by training Black medical and dental professionals. L H E O B A A L T G L H

Bioterrorism Preparedness Update: NYUCD Hosts Army Training Course on Chemical, Biological, and Nuclear Agent Threats

From April 26 through April 28, 2003, the program in New York NYU College of Dentistry, in association with City. The goal was to the Associated Medical Schools of New York, the give participants the Medical Society of New York State, the New opportunity to educate and York State Academic Dental Centers, and the prepare themselves to respond appropriately Photos on this page and the New York City Department of Health, hosted in the event of a catastrophic public health following page show procedures used by the Army to decontaminate a training course, “The Medical Management crisis. Training included classroom lectures people exposed to chemical and of Chemical, Biological, and Nuclear Agent and demonstrations, as well as hands­on biological agents. Threats,” taught by experts from the U.S. Army demonstrations of triage and decontamination Medical Research Institute for Chemical of people exposed to chemical and Defense. Nearly 100 people completed the biological agents. course, and many more expressed interest or Dean Alfano said, “NYU as well as other stopped by over the three­day period. The course, medical and dental centers in the New York which was free, was open to faculty and students City area have been working together on this from medical and dental institutions across particular issue of terrorism preparedness, the city and state. Faculty received CME/CDE and we are pleased that the Army agreed to credits, and students received a certificate of produce this course for medical and dental participation upon completion of the course. faculty and students in the NYC/NYS area. As 2200 The event marked the first time that dentists 9/11 demonstrated, it is important, as health have participated in such a comprehensive care providers, that we educate ourselves for L H E O B A A L T G L H

potential catastrophic events, such of an emergency, thereby greatly w Dr. Rekow was part as a chemical attack.” expanding access to care for the of an all­university Dr. Dianne Rekow, Director of general public and sparing physicians group that traveled Translational Research at the NYU and other health professionals to do to Washington, College of Dentistry and Chairperson other things in times of crisis. His D.C., to brief of NYUCD’s Bioterrorism and presentation led to the inclusion of the New York Catastrophe Response Task Force, dentists in the NYC emergency plan Congressional who helped organize the course, for mass inoculations for smallpox. delegation on said, “Experts from disparate The plan calls for about 2,000 dentists activities in disciplines, such as academic and to receive certification to deliver the progress at the clinical dentistry, medicine and public vaccine, along with other health care NYU Center health, emergency management, providers. This action makes NYC for Catastrophe fire departments, and the military, the first city to officially “sanction” Preparedness. had the opportunity to engage in dentists to do these inoculations. discussions that we hope will set w Under Dr. Rekow’s direction, the stage for future collaboration. NYUCD is implementing the creation The outcomes of such collaboration of educational modules related to should further strengthen New York terrorism preparedness and response City’s ability to respond to threats as part of the overall curriculum. This and reaffirm its innovation and initiative has garnered support from leadership in catastrophe prepared­ state and national dental organizations ness principles and policy.” and academic dental centers. Recent months have seen a great w The University of Medicine deal of activity surrounding the issue and Dentistry of New Jersey Dental of a role for dentistry in bioterrorism School (UMDNJ) and NYUCD have preparedness. Here are some highlights: independently developed catastrophe w The ADEA annual meeting included preparedness plans, including a a symposium on dentistry and terrorism “shelter in place” component. The preparedness. The featured speaker two schools will get together soon at the annual meeting, New York State to compare notes. Health Commissioner Dr. Antonia C. Novello, subsequently invited Dean Alfano to meet with her in Albany to present his ideas on this issue. w The ADA and HHS cosponsored a major conference on bioterrorism and dentistry’s response at which Dean Alfano and Dr. Rekow were featured speakers. w Dean Alfano made a presentation to Dr. Thomas Frieden, NYC’s Health Commissioner, about using dentists’ 21 offices as inoculation sites or places to dispense medications in the event L H E O B A A L T G L H

ABC 7 and Colgate­Palmolive Join NYUCD in Cosponsoring

From Tuesday, April 22, through diabetic patient Saturday, April 26, NYUCD opened and the link its doors to more than 3,500 New between periodontal York adults and children for five days disease and preterm, of free oral health screenings, plus low birth­weight oral cancer exams, sealants and infants. This year, mouth guards for children, and full for the first time, denture replacements for senior NYUCD and ABC 7 citizens. Two new services were also were joined by a added to the screening program: new partner, Colgate­ blood glucose testing and an on­ Palmolive, which flawless event. Indeed, everyone site panel of experts, who provided provided complimentary at NYUCD worked very hard to screening participants the opportunity oral health products. make it successful and should to “Ask the Experts” any question “With so many people in need,” feel extremely proud of their about oral health. said Dean Alfano, NYUCD, ABC 7, and contribution to increased access NYUCD’s long time screening Colgate­Palmolive felt it essential to to health care for New Yorkers.” partner, ABC 7, once again led a join forces in order to offer as much vigorous campaign of public service free care as possible to the people announcements in advance of the of New York. The screening week screening week, and popular ABC 7 was a massive undertaking, and in meteorologist Sam Champion hosted addition to thanking our media and the screenings and broadcast stories corporate partners, I also want directly from the College on cutting­ to recognize Associate Dean for 22 edge issues in dentistry, including Clinical Affairs Dr. Francis V. Panno the dentist’s role in monitoring the and his team, who coordinated a L H E O B A A L T G L H Oral Cancer Consortium Screenings Move to April Move Will Bolster Efforts to Raise Awareness of Oral Cancer Free Oral Health Screenings The Oral Cancer Consortium, for 3,500 New Yorkers cofounded by NYUCD in 1998, has moved its annual, free screening day from November to April to coincide with Oral, Head, and Neck Cancer Awareness Week, an international event sponsored annually in April by the Yul Brynner Head and Neck Cancer Foundation. “We hope that health care institutions and organizations everywhere through ­ out the United States who conduct free oral cancer screenings will join us in scheduling them during Oral, Head, and Neck Cancer Awareness Week,” said Dr. Hillel Ephros, the 2003 ­2004 Consortium Chairman. He noted that since the Charleston, South Carolina ­based Yul Brynner Foundation had already gotten sites throughout the southeastern U.S. to conduct screenings during this week, the Oral Cancer Consortium’s move to April has virtually doubled its reach. The Oral Cancer Consortium, which began in 1998 as a local and regional effort by five founding partners — NYUCD, Columbia University School of Dental and Oral Surgery, the SUNY Stony Brook School of Dental Medicine, the UMDNJ New Jersey Dental School, and the New York City Health and Hospitals Corporation — now includes more than 30 institutions and professional societies. The Consortium’s success spurred Boston ­area hospitals and colleges to form a similar organization, and also catalyzed a national oral cancer awareness campaign sponsored by the American Dental Association in 2001. Dr. Ephros said he hoped that the ADA would soon sponsor an annual national oral cancer screening day as part of Oral, Head, and Neck Cancer Awareness Week. L H E O B A A L T G L H

“Take Two And Call Me in the Morning” Noted Analgesic Researcher, Dr. Paul Desjardins, Presents Sackler Distinguished Lecture

Dr. Paul Desjardins, Senior Vice Dr. Desjardins holds a dental degree President for clinical analgesic research from Tufts University and a Ph.D. Dr. Paul Desjardins at the SCIREX Corporation in Austin, in pharmacology from Georgetown Texas, presented the sixth Dr. Alvin University. Dr. Desjardins is a world­ staff performs over 40 clinical M. Sackler Distinguished Lecture in renowned investigator in the field trials of analgesic drugs per year. Oral Medicine at NYUCD on Monday, of clinical pharmacology and, in The Dr. Alvin M. Sackler April 21, 2003. Entitled “Advances in particular, the human pharmacology Distinguished Lectures in Oral Acute Pain Research: From Dental of pain­relieving drugs. Medicine are supported by an Pain to Foot Pain,” the lecture was In his current position as Senior endowment from the Raymond and held in the new Rosenthal Institute Vice President at the SCIREX Beverly Sackler Foundation in for Aesthetic Dentistry. Corporation, Dr. Desjardins is honor of Dr. Alvin Sackler, a noted A former Professor of Diagnostic responsible for five clinical research periodontist and researcher in the Sciences and of Oral and Maxillofacial centers throughout the United States field of oral medicine. Previous surgery and Associate Dean for and one new center in London, Sackler Distinguished Lecturers have Academic Affairs at the University England. His research team of over included Dr. Israel Kleinberg, Dr. of Medicine and Dentistry of New 135 physicians, dentists, nurses, S. Sigmund Socransky, Dr. Harold Jersey (UMDNJ) Dental School, clinical coordinators, and research Slavkin, and Dr. Robert Genco.

Giving Kids a Smile: NYUCD Helps Kick Off National Access to Care Day

On February 21, NYUCD joined forces with the New York County Dental Society and industry sponsor Sullivan­Schein Dental to help kick off the American Dental Association’s first­annual “Give Kids a Smile Day,” to help increase access nationwide to oral health care and offer free dental services to underserved and low­income children. The day marked the culmination of a weeklong effort by NYUCD to provide free educational, preventive, and restorative services to children, including free sealants and custom­fitted mouth guards. During the event, a total of 39 volunteers, students, residents, and faculty treated 127 children, who were entertained by a magician, face painting, and sing­a­longs at NYUCD’s pediatric dentistry clinic. Joining the group were a number of dental dignitaries, including Dean 24 Alfano, New York County Dental Society (NYCDS) Executive Director Ellen Gerber, NYCDS Vice President Dr. Lawrence Bailey, and Henry Schein Chief Executive Officer and President Stanley Bergman. L H E O B A A L T G L H

Dental Assisting Program Celebrates Final Graduation

On February 11, 2003, more than 400 guests in Saklad Auditorium cheered the achievements of the 80 men and women who represent the Dental Assisting Program’s final graduating class. After more than 30 years, NYUCD’s dental assisting certificate program has closed its doors as a result of cutbacks in government support, changing trends in health care employment opportunities, and the growth of inexpensive community college programs in dental assisting. According to Judith L. Above: Dean Alfano congratulates Cleary, a Clinical Associate a graduate. Left: (From left) NYU Professor of Dental Hygiene Provost David W. McLaughlin, Professor Judith Cleary, and Dean Alfano. and the program’s Director since 1980, “In the program’s early or GED, it proved very attractive to the late 1990s, with a consequent years, before the elimination of gender people who were eager to improve drain on the College’s budget. barriers—and a public becoming their status by learning a marketable Reluctantly, NYUCD was forced to accustomed to the presence of skill that would lead to steady make the decision to terminate the women in all spheres of activity— employment in a professional setting, program. Happily, however, all the majority of Dental Assisting and in a relatively short period program faculty and staff have been students were women seeking of time. Indeed, some graduates offered new positions at the College. careers in one of the few health went on to pursue higher education “The Dental Assisting Program’s professions which actively welcomed opportunities, including dental spirit of personal advancement them at the time. Later, after the hygiene and D.D.S. programs.” through education lives on,” said explosion in career opportunities In recent years, however, dramatic Dean Alfano. “We at NYUCD for women in the late 1970s, that reductions in government aid and owe a debt of gratitude to all dental demographic declined and the new regulations requiring public assisting faculty through the years, program began to target primarily assistance recipients to work 20 hours but in particular to Professor Cleary. people on public assistance and in a week combined to discourage Judy Cleary is an outstanding leader, government­sponsored education many potential applicants from a tireless recruiter, and an exemplary programs for New Americans. entering the program. As a result, role model for the thousands of Because the program could be from a high of 120 students per class young people who entered the 25 completed in under a year and in the 1970s and 1980s, the numbers dental assisting profession over required only a high school diploma dropped to as low as 80 per class in these many years.” L H E O B A A L T G L H

CE at NYUCD: The Strategic Choice for Lifelong Learning

Global Reach. In recent months, the CE program has broadcast two live, interactive international CE videoconferences—to Riyadh, Saudi Arabia, and Florence, Italy. This innovation, which other CE programs cannot offer, is geared toward the sharing of information technology at the global level. The videoconferences offer opportunities to view stimulating cases being performed live in another country, learn about emerging dental techniques around the world, and engage in illuminating question­and­ CE courses are taught in the Rosenthal Institute’s amphitheater. answer sessions conducted in real time Now, more than ever, knowledge is w Further taking advantage of its among participants in several countries. power. The participants in NYUCD’s New York City location, which attracts What the Future Holds. Look for Continuing Education (CE) program the world’s top professionals in all fields, more “hands­on” clinical participation are successful before they arrive. But the program draws on the expertise courses in implant dentistry, aesthetic they know that NYUCD’s CE program of the best, most competitive, and dentistry, and periodontics. will give them the tools to go farther most successful CE faculty. and perform even better. It’s about Also: Specially Designed Courses leadership. Making things happen. Then there are the facilities. for Study Clubs. The CE program is Putting your stamp on the future With the opening last fall of the now offering customized courses for of dentistry. Rosenthal Institute for Aesthetic dental study clubs. If you belong to a Dentistry, NYUCD’s CE program study club and would like to arrange Choosing the Right CE Program. gained educational resources that a CE course tailored to your members’ How do you choose the right CE are unparalleled in the world: special interests, it’s now easy to do. program? By selecting a program w 8,500 square feet of space For more information about this or that has the resources, expertise, featuring an elegant mahogany other aspects of the NYU Continuing and experience to help you build and marble reception area, Education program, please call H. your future. w 16 state­of­the­art patient Kendall Beacham, Assistant Dean w NYUCD’s CE program attracts treatment areas, for Continuing Education, at over 4,000 dental health professionals w a corporate­style executive board room 212­998­9971, or email him at from more than 20 countries each with remote broadcasting capabilities, [email protected]. year, making it the largest program w a modern dental laboratory, of its type in the world. w a 52­seat amphitheater with global w Set in the most diverse and exciting videoconferencing reach, and city in the world, the program offers w an “operatory under glass,” access to the single largest, most outfitted with multiple cameras 26 diversified site­based pool of dental to permit live, interactive clinical patients anywhere. demonstrations around the world. L H E O B A A L T G L H

Just Around the Corner: Accreditation 2003 During the visit, a committee from the ADA NYUCD is deep into preparations for the council will meet with subgroups of faculty, upcoming site visit by the American students, and staff. To help ensure that the Dental Association’s Commission on Dental NYUCD community will be fully prepared to Accreditation, scheduled for November 4 to 6, answer questions and provide input, Dean 2003. Like all U.S. dental schools, NYUCD Alfano hosted a full­day faculty retreat at the undergoes an extensive on­site survey of College on May 5, 2003. The event featured a its facilities and programs every seven years talk by Dr. Frank Licari, a former Director of in order to be accredited by the Commission the Dental Education Staff for the Commission on Dental Accreditation, a specialized on Accreditation and the Associate Dean for body recognized by the Commission on Patient Care and Clinical Education at the Recognition of Postsecondary Accreditation University of Illinois at Chicago Circle. and the U.S. Department of Education. “The dedication and effort necessary to Since the site visitors will examine every achieve reaccreditation are substantial,” said aspect of our education and patient care Dean Alfano. Everyone has a vital role to play in programs, the main thrust of preparation for articulating the College’s mission, vision, and the past several years has been conducting values to the site visitors. The fact that nearly a required self­study. Under the leadership 500 members of our community elected to of Executive Associate Dean for Academic participate in the retreat assures me that the Programs Richard I. Vogel, teams of faculty site visit’s success is the highest priority for and administrators have carefully reviewed our College.” every aspect of the College’s operation, and a final document will be submitted this summer.

Smiling Faces, Going Places Visits City Hall On March 26, NYUCD’s Smiling Faces, Going Places dental van was on site at New York City’s City Hall to draw attention to the important community outreach and dental services the van provides for the city’s neediest individuals. City Council members, staff, and city hall employees received free oral cancer screenings.

From left to right: City Council members David Weprin, Christine Quinn, and Simcha Felder. L H E O B A A L T G L H International Partners in Health International Perspectives on Advanced Study at NYUCD An Italian Dentist Looks Back Over the Past Four Years

I had no idea how significantly my are expected to devote significant career goals would change when I amounts of time to training in the enrolled in the Advanced Study Program College’ s clinics. The bustling clinics in Comprehensive Care General Dentistry were a world away from La Sapienza ’s in 1999, one year after receiving my dental serene libraries, where I had spent degree from La Sapienza University long hours preparing for the rigorous Faculty of Medicine and Surgery in theoretical examinations that are a Rome, Italy. When I arrived at NYUCD, mainstay of Italian dental education. I saw myself as a student on a narrowly Patients from the seemingly limitless focused, one ­year mission to improve my range of ethnic and racial backgrounds Dr. Giuseppe Bianco is a Clinical clinical skills and then return immediately found in New York City streamed into Assistant Fellow at NYUCD. He to Italy to enter general practice. But I the NYUCD clinics with an extensive has completed two Advanced Study ended up staying for three additional array of problems unlike anything I ’d Programs for International Dentists, years, during which I added specialty seen before. Each passing day brought the first in Comprehensive Care training in implant dentistry and esthetic new challenges and increased self ­ General Dentistry in 2000; the second dentistry, became a Clinical Assistant confidence. I began to feel that I could in Implant Dentistry in 2002. He Fellow who helped train other international go even beyond my program ’ s goals, expects to complete the Advanced students, and was a front ­line responder which are to train generalists to provide Study Program in Esthetic Dentistry helping victims of the September 11 quality comprehensive care with in summer 2003. terrorist attacks. This summer I am specialist support. I became increasingly finally ready to make that return trip to interested in specializing, and spent a Rome— with a broader, more ambitious good deal of time observing students career path carved out for myself. and faculty in the College ’s specialty care clinics. The advanced techniques First Impressions taught in the implant dentistry clinic, When I began the Comprehensive and the attractive prospects for implant Care General Dentistry program, I specialists in Italy, led me to decide quickly found that NYUCD students to postpone my return to Rome and

28 to enroll instead in the two ­year Advanced Learning More Than Study Program in Implant Dentistry. Dentistry as an Led by Dr. Dennis P. Tarnow, Chairman of the Ashman Department of Implant Advanced Study Student Dentistry, and Dr. Nicholas Elian, Director of the Implant Dentistry Program, implant Dr. Luigi DeCarolis is completing a Clinical faculty members all treat students as equals Assistant Fellowship at NYUCD. He completed and encourage us to take on challenging the Advanced Study Programs for International cases. I was thrilled to have the opportunity Dentists in Comprehensive Care General to help Dr. Tarnow treat endentulous Dr. Luigi DeCarolis Dentistry (2000), and Implant Dentistry (2002). patients needing full ­mouth rehabilitation— a process that produces dramatic improve ­ When I graduated from La Sapienza University Faculty of Medicine and Surgery in Rome in 1999, it seemed that there was little that ments in the patient ’s quality of life. my father, who had practiced dentistry for 40 years, could learn The September 11 attacks struck shortly from a young dentist like me. But this summer, I am returning to after I had finished the first half of the implant take over my father’s Rome practice as an implant specialist, with program. After watching the Twin Towers knowledge and experience gained from completing NYUCD’s Advanced crumble, I grabbed some basic medical supplies, Study Program for International Dentists in Implant Dentistry. such as eye drops and bandages, and, at Dr. I performed some 80 operations during the two ­year program, Tarnow’ s suggestion, rode down on a bicycle including a dozen complex sinus lifts. I became confident enough to the disaster site, where I helped set up an in my knowledge of implant technology to be able to present emergency hospital in a damaged building. a literature review and case study on short implants at Italy’s When the implant program ended, Dr. leading dental education congress, the Tenth Annual Congresso Tarnow asked me to stay on to become a Clinical Nacionale Del “Collegio Dei Docenti Di Odontoiatria,” held at La Assistant Fellow. He wanted me to assist Sapienza University in April 2003. My presentation was part of with lectures and help incoming international NYUCD’s first ­ever symposium at the Congress, which was organized students make the same successful transition by Mr. John Nissen, the College’s recruiter in Italy, and Ms. Dolores I had made from a theoretical, textbook ­based Spinelli, Director of International Programs, and which featured learning style to a hands ­on clinical approach. presentations by Dr. Paul Rosenberg, Director of the Advanced I agreed to remain at NYUCD for an additional Education Program in Endodontics, Dr. Samuel Waknine, President year, during which I also helped coordinate of DRM Laboratories in Connecticut and a graduate of NYUCD’s M.S. the College ’s 2002 annual implant symposium, Program in Biomaterials, and three Italian graduates of NYUCD’s which brings alumni from around the world Advanced Study Program in Implant Dentistry: Dr. Emiliano Zanaboni, ’01; Dr. Roberto Luongo,’02; and Dr. Sergio Buda, ’97. to NYUCD to learn about advances in implant During my time at NYUCD I also participated in relief efforts at dentistry. I also took advantage of the additional Ground Zero on September 11 and in the days following the terrorist year to enroll in the Advanced Study Program in attack. We put drops in the eyes of rescue workers and helped them Esthetic Dentistry, which uses the technologically suture wounds. But there were very few survivors to aid. That sophisticated new Rosenthal Institute for experience taught me a lesson about the precariousness of life that Aesthetic Dentistry as its prime training site. has strengthened my desire to put my stamp on the future of dentistry. When I finish the program this Once back in Italy, I expect to play an active role in future summer and finally head back to Italy, implant research by forming a clinical research group with other I plan to pursue my dream of NYUCD implant program graduates who are moving back to creating an advanced dental Europe. I believe the bonds we forged at NYUCD will help us to study program modeled on facilitate the development and implementation of clinical research NYUCD’ s hands ­on approach projects across borders, allowing us to make the world a smaller, to clinical training. more cohesive, healthier place. Meanwhile, my father has acknowledged the advances I made at NYUCD. When I returned to Italy for a recent family visit, he asked me to perform several implant procedures in his office. As a testament to his faith in me, he offered to be my first patient. L H E O B A A L T G L H

Caribbean nine sites, including schools, shelters, I was only going to look and tell her infirmaries, and a resort hotel where how well she has been brushing, and Outreach locals work without medical or dental if she needed to improve. She was so benefits. The team distributed dental happy she gave me a big hug, and I Return to Jamaica care products, provided training in basic remember thinking, ‘Lord, please In January 2003, a delegation of 12 oral health care, and performed over 630 let her mouth be OK. ’ I think I was students from the NYUCD chapter of the extractions and a variety of other dental happier than she was when I told her Student National Dental Association, procedures at no cost to the patients. that her mouth was in great condition accompanied by Dr. Ralph Cunningham, The trip had special meaning for and she should continue to brush Group Practice Director and Clinical Dionne Finlay, a third ­year student well. She left with a big smile and Associate Professor of General Dentistry who is also a native of Jamaica. “I later brought her friend back to see and Management Science, and Dr. have been anxiously waiting to get me. Moments like those made me William Maloney, Instructor in General to my third year of training so that I realize that my goal of becoming a Dentistry and Management Science, could participate. I extracted teeth on a pediatric dentist is very valid and joined a 34 ­member team of dental and number of young patients, and found worth pursuing. ” medical volunteers from HealthCare myself treating the children who were At several sites, the team was International for NYUCD ’s twelfth afraid to see a dentist. One day a accompanied by the Colgate Mobile annual trip to provide dental care to six­ year ­old girl came to me crying. Dental Van, which enabled them Jamaica’ s underserved communities. When I asked her why she was crying to perform operative procedures During their six ­day stay, the dental she said she was afraid I was going to in the van ’ s fully furnished team screened over 4,000 patients at hurt her. I felt a bit sad to hear her dental unit. Other sites featured say that, so I assured her impromptu clinic set ­ups in that it would be OK, that classrooms and lounges. The

Above: Dionne Finlay. ’04, tends to a patient. Right: Donita Dyalram, ’03, with local schoolchildren waiting to be treated.

30 L H E O B A A L T G L H

emphasis of the dental clinics was as Dominican Republic, where the need the community. Johanna Camilo and much on education and prevention for dental care is more desperate Gilberto Nunez, both Class of 2003, as treatment. Children were treated than in even the most underserved made the trip as an expression of to brushing demonstrations on “the parts of the U.S., one woman walked solidarity with their native country. big mouth, ” a visual teaching tool, all night to get to NYUCD ’s temporary Ms. Camilo, who is Past President and taught to sing “The Brushing clinic. A patient seen on a previous of the NYUCD student chapter of Song” to make the oral hygiene trip returned to the clinic to thank our the Hispanic Dental Association said, instruction fun. students and faculty for saving his life “While I ’ve organized many outreach The dental delegation was hosted after they identified oral cancer. programs during my years at NYU, by Jamaica ’s May Pen Rotary Club, While the demand for care far I’ ve never experienced one that so including Dr. Noel Brown, ’88, now exceeded available resources, the trip directly and immediately impacts practicing in Jamaica, and Dr. Patrick did achieve significant results. The health and the quality of life for so Brown, ’ 93, president of HealthCare outreach team provided over 2,000 many people of all ages. ” Sponsors International. treatments, including exams, extractions, included Colgate, which provided its fillings, and sealants, and diagnosed mobile dental van and donated gift A Continuing Commitment cases of leukoplakia and fibroosseous bags; American Airlines and Cabarete to the Dominican Republic lesions, according to team leaders Dr. Palm Beach Condos, which donated Last November, during NYUCD ’s Lidia Kiremidijian­ Schumacher, discount airfare and accommodations; seventh annual outreach trip to the Professor of Basic Science and and the Dominican Air Force, which Craniofacial Biology, and Dr. Stan provided 24 ­hour security. A Dominican Dawkins, Associate Professor of television station and newspaper General Dentistry and Management reported on the trip, and local Science and Director of Advanced residents wrote letters expressing Education in General Dentistry. love, gratitude, and the hope that the The team of 10 students, three team would return again next year. general dentistry residents, and six faculty members bonded well with

Above: NYUCD’s team at work in the Dominican Republic. Right: Patients wait to be seen at the clinic.

31 L H E O B A A L T G L H

A Spring Break With a Difference: NYUCD Students and Faculty Set Up Free Clinic in Honduras

The outreach team focused its efforts in and around Copan, a town of 6,000 people that includes a large number of local laborers from the coffee plantations that dot this lush, mountainous region where dental care is a luxury few can afford. The team provided basic oral health care education and performed approxi ­ mately 300 extractions and 240 fillings. Since Copan has no public dental facilities, the Spring break may be team transformed its city hall into a clinic, a time for kicking back hanging bed sheets from the walls to create for many students, but separate areas for screenings, fillings, and for 10 NYUCD students extractions. In place of dental chairs, patients and four faculty members, sat on white plastic lounge chairs as the tropical The Honduras team and community service was the priority this year. sun streamed through the wood ­framed windows some of their patients. During the March break, Dr. Stuart M. Hirsch, of the Spanish colonial ­style building. NYUCD’ s Associate Dean for Development The team also visited several outlying and International Programs, led the group areas in an old dental van donated years ago on the College ’s first outreach mission to to Copan by a U.S. church group, but never Honduras. There they teamed up with used due to a lack of supplies and qualified local dentists and dental students from the staff. NYUCD faculty stocked the van with Autonomous University of Honduras to supplies they brought from New York, and, screen and treat 531 patients in an under ­ since the van had no generator to power its served area of this Central American nation. operatories, they hired a local electrician to Third­ year NYUCD student Aneta connect it to utility poles at each stop. Kozyra­ Mejia proposed the eight ­day trip Associate Dean Hirsch said he hoped to send to Dr. Hirsch after learning about the needs of another mission to Honduras next year. underserved Hondurans from her brother ­ and “The need was so great, ” he said, “we could sister­ in ­law, both of whom practice have worked there forever. And now that our dentistry in Honduras. Ms. Kozyra ­Mejia students know the opportunity exists, I expect 32 worked closely with the Honduran that many of them will be interested in going government to plan the trip. back next spring. ”

“Thanks to today ’s extraordinary technology, it’ s possible to share resources instantly with people around the globe, ” said Dr. Hirsch. “ The Riyadh event was a landmark advance in international continuing Live From New York: dental education, and one that we look forward to replicating in many NYUCD Broadcasts First other countries around the world. ” Dental Videoconference to Saudi Arabia

On March 17, the Rosenthal At the same time, 65 people in Institute for Aesthetic Dentistry Riyadh watched the same procedure broadcast its first, live, interactive being performed via satellite. dental videoconference— to Riyadh, They included alumni of NYUCD ’s Saudi Arabia. Dr. Stuart M. Hirsch, postgraduate specialty training Associate Dean for Development and programs and advanced study International Programs, and Dr. programs for international dentists Nicholas Elian, Director of the Implant now practicing privately in Saudi Dentistry Program, traveled to Saudi Arabia; the entire dental faculty of Arabia to host the event, provide King Saud University; Dr. Hassan commentary, and moderate a question ­ M. Abdelwassie, Director and and­ answer session among participants Chief Dental Officer of the Saudi in New York and Riyadh. Ministry of Health; Dr. Khalid A. In New York, 52 NYUCD students Al­ Ruhaimi, Dean of King Saud and faculty filled the Rosenthal Institute University College of Dentistry; amphitheater to watch an implant Dr. Youssef Fouad Talec, Director procedure performed by four Saudi ­ of Postgraduate Dental Education born students enrolled in NYUCD ’s at King Saud University College Advanced Study Program in Implant of Dentistry; Dr. Abdulrahman Dentistry for International Dentists. Al­ Dawood, Chairman of the All four are graduates of King Saud Department of Dentistry at King University College of Dentistry in Riyadh. Faisal Specialist Hospital; and Dr. Clockwise from top: Dr. Hassan M. Abdelwassie, They are Drs. Mohammed Al ­Garni, Fawzi AlGhamdi, a 2001 graduate Director and Chief Dental Officer of the Saud’s Ministry of Health, with Dr. Stuart Hirsch; Dr. Abdullah Alkeraidis, Khalil Al ­Ali, and of the advanced study programs in Khalid A. Al­Ruhaimi, Dean of the College of Mohammed Al ­Harbi. Dr. Brian Ehrlich, implant dentistry and prosthodontics, Dentistry, King Saud University, receiving a gift Clinical Assistant Professor of Implant who was instrumental in coordinating from Dr. Hirsch; Dr. Khaled Bin Saleh Al Sultan, Saudi Under Secretary of Educational Affairs, Dentistry, oversaw the procedure. the event. with Dr. Nicolas Elian. L H E O B A A L T G L H

A Visit to Guyana Inspires a How­To Guide for Dentists in Remote Regions Dr. Meredith Glen, Class of 2000, clinics set up deep inside Guyana ’s on a glass ionomer sealed with a is a first ­year postdoctoral student in rain forest by Rural Area Medical, self­ adhesive bonding agent donated pediatric dentistry. an organization founded by Stan by 3M ESPE. Brock, former host of TV ’s Wild We also learned first ­hand about Although many people living in Kingdom, and a local Rotary Club. the effects of the villagers ’ longstanding Guyana’ s jungle villages rarely use At our first stop, we found dozens poor oral hygiene. There were many a toothbrush or see a dentist, they of people of all ages waiting for cases of hypoplastic teeth apparently nevertheless consider dental care a us. Given our time constraints, we caused by childhood malnutrition good thing. So last October, when the decided to focus on extractions to progressing to more serious decay local villagers learned that Dr. Page relieve the most acute decay. Second, in adulthood. Children and adults Caufield, Professor and Head of the we figured out how to use our scant alike consumed large quantities of Division of Diagnostics, Infectious resources most efficiently. Lacking tropical cassava root and refined Disease, and Health Promotion, and plumbing, we used buckets instead sugar, but few bothered to brush I were scheduled of spittoons. We made fidgety away the sweet, starchy residue. to visit their homeland in South children comfortable by placing And there were many instances America’ s Amazon Basin, they them in a chair borrowed from the in which we had to apply extensive waited for hours in the oppressive schoolhouse. This enabled a child sutures and pressure to stop excessive equatorial heat outside local health to lean back and relax his or her bleeding caused by extractions in clinics hoping to be seen. When head in my lap. No electricity? I had people with severe decay. we discovered that the clinics were brought along a solar ­powered drill I quickly realized that we could little more than bare ­walled rooms that worked wonders in the tropical make a bigger impact on long ­term with no electricity, I wondered sun and helped us replace the standard health by shifting our focus from how we could possibly meet their amalgam filling with a rapid atraumatic extractions and fillings to preventive expectations. True, we had brought restorative treatment (ART) based sealants. So our goal became to place some instruments from New York, but how could we efficiently treat a range of chronic conditions when we didn ’ t even have a dental chair at our disposal? Before long, I was busy adapting techniques I had learned at NYUCD to this strange new environment. But it was a trial and error process that left me wishing that I could simply open a book for advice on working in a remote, isolated setting. Amazingly, by the conclusion of our two­ week trip, I felt I had learned enough to write such a guide myself. 3344 Dr. Caufield and I began our trip by visiting a series of rudimentary Dr. Meredith Glen with a patient. The Oral Health System Next Door: A First­Hand Look at Dental Care in Cuba Yihong Li, D.D.S., M.P.H., Dr.P.H., Director of International Research and Associate Professor of Basic Science and Craniofacial Biology adult oral health as well, including oral cancer screenings for 71 percent of adults over age 60. sealants on as many people ’s teeth as Preventive efforts center on a network possible, while continuing to relieve of primary care clinics throughout this acute pain. Once again, we found island nation, where 9,877 dentists a way around limited resources. We serve 11 million people (a ratio of set the liquid sealant with a battery ­ approximately 1:1,100). The clinics care operated 1,000 ­watt handheld curing for an average of 700 to 900 local light, also donated by 3M ESPE. residents from cradle to grave. They By the time we left, we had placed provide annual dental examinations sealants on 500 villagers, and I for all Cubans (twice annually for returned to New York feeling like we had made a lasting difference in people ’s lives. Back home, I began to write my Dr. Yihong Li, right, and Dr. Gregory Stoute, guide for dentists working in remote Associate Professor of Health Policy and Health regions. When it ’s completed, it will Services Research and include advice on everything from Director of Minority Affairs at Boston University.

Last April I was part of the first ­ever United States public health delegation to travel to Cuba to assess the state of oral health in A street scene in Old Havana. a nation with a system of free, universal access to health care. those under four years old or over Although Cuba ’s ability to provide 60), pre ­ and postnatal infant oral technologically advanced therapies health instruction, and 16 annual has been hampered by a 40 ­year fluoride mouth rinse treatments U.S. trade embargo, I can report for all school ­age children. that the nation has developed some Since returning to the U.S. my The outreach team’s surprisingly effective approaches to overnight accommodations. colleagues and I have been discussing preventive care. ways to help Cuban dentists learn packing equipment to comfortably For example, the percentage about advanced dental technologies positioning patients in ordinary of caries ­free five ­year ­old Cuban and therapies. Just how far our efforts chairs. It ’s my hope that it will children increased from 30 percent will go remains to be seen, given encourage other dentists to reach in 1984 to 55 percent in 1998, the trade embargo ’ s continuing out to people in medically under ­ according to the World Health restrictions. But those of us who served areas of the world. Organization. And between 1973 made the trip remain hopeful that and 1999, the mean number of our mission has laid the groundwork carious teeth in 12 ­year ­old Cuban for an ongoing productive relationship children dropped from 6.0 to 1.4. with the Cuban dental community. There have been achievements in L H E O B A A L T G L H

Grants and Philanthropy

$1 Million Gift From Dr. Jonathan and Maxine Ferencz Establishes the Jonathan and Maxine Ferencz Advanced Education Program in Prosthodontics

Dean Alfano has announced the naming of and its Advanced Education Program in the Jonathan and Maxine Ferencz Advanced Prosthodontics, a Clinical Professor of Education Program in Prosthodontics in Prosthodontics at NYUCD, and the current recognition of a $1 million pledge to fund President of the American College of the program from Dr. and Mrs. Ferencz. Prosthodontists, has always given generously “There can be no more fitting name of both his time and his financial support for this program,” said Dean Alfano. “Dr. to his alma mater. This wonderful, new Ferencz, a prominent prosthodontist in philanthropic act ensures that our postdoctoral New York City, a graduate of both NYUCD program in prosthodontics will not only maintain its preeminence far into the future, but that it will also become the model of a 21st­century specialty training program. Jonathan and Maxine’s gift truly exemplifies our goal of transformation.” “I envision a future in which NYU’s Advanced Education Program in Prosthodontics reaches new heights of greatness,” said Dr. Ferencz, “and Maxine and I have made it our personal mission to ensure that this vision becomes reality. Although my predoctoral education at NYU prepared me well for my early years in private practice, it was my graduate training in prosthodontics at NYU that truly shaped my career over the past 20 years. The program has a long history of outstanding scholarly activity coupled with clinical excellence and has produced some of the great leaders in our specialty. We are hopeful that this gift will enable Dean Alfano to move ahead more rapidly in transforming NYUCD into the dental institution with the greatest impact in the world on the health of society.” Dr. Jonathan and Mrs. Maxine Ferencz

36 “I envision a future in which NYU’s Advanced Education Program in Prosthodontics reaches new heights of greatness.” L H E O B A A L T G L H

NYUCD Awarded $488,000 to Improve Head and Neck Cancer Treatments and Reduce Side Effects

Investigators theorize that by adding tumor­ bed radiation, they can reduce the time needed for external­ beam radiation by 25 percent...

Biotechology developer MedImmune, Inc., and Ortho­ McNeil Pharmaceutical, Inc., a Johnson & Johnson company, have awarded NYUCD two separate grants totaling $488,888 to conduct two head and neck cancer studies in collaboration with New York’s Beth Israel Hospital Medical Center. The principal investigators are Dr. Jonathan Ship, Professor of Dr. Jonathan Ship Oral Medicine and Director of the Bluestone Center for Clinical Research (BCCR), and Dr. Kenneth beam radiation therapy later in the The second, one­year, double­blind, Hu, an Attending Physician in the post­surgical period. They theorize placebo­controlled investigation will Department of Radiation Oncology at that by adding tumor­bed radiation, determine whether a medicated Beth Israel Hospital Medical Center. they can reduce the time needed mouth rinse reduces the incidence The first study, a two­and­a­half­ for external­beam radiation by 25 and severity of oral mucositis in year investigation, will evaluate percent, to four to five weeks instead head and neck cancer patients whether a new head and neck cancer of six to seven, while decreasing receiving radiation therapy. Drs. treatment regimen can increase life tumor recurrence and increasing Ship and Hu anticipate that the expectancy and reduce treatment life expectancy. They also believe mouth rinse will reduce mucous side effects. The investigators want to that they can reduce the incidence membrane inflammation and establish if applying a dose of radiation of two common side effects— improve oral function and quality intraoperatively—that is, directly to xerostomia and oral mucositis— of life for cancer patients. the tumor bed—immediately after by giving subjects daily injections 37 surgery reduces the need for external of a radioprotectant. L H E O B A A L T G L H

Support From Senator Clinton Brings NYUCD $250,000 In Federal Funds for Facilities Renovation

NYUCD has received a U.S. Congressional grant of $250,000 for facilities renovation, thanks to the staunch advocacy of Senator Hillary Rodham Clinton (D­NY). Dean Alfano praised Senator Clinton for her legislative leadership, saying, “It’s very clear to me that Senator Clinton understands the urgency of our need to renovate NYUCD’s treatment facilities in order to preserve quality, affordable care for poor and low­income New Yorkers. While we are raising some of this money privately, we cannot raise it all. We are grateful to Senator Clinton for enabling this legislation, and hopeful that as we continue to make our case, she and her colleagues will provide additional support to help us maintain and expand New York’s oral health safety net.”

Senator Hillary Rodham Clinton

A Gift from the Quade Foundation Extends Scholarship Support

NYUCD has received a grant of In announcing the gift, Dean $10,000 from the Henry and Henrietta Alfano commended the efforts of Quade Foundation to increase Dr. Donna J. Rumberger, Class of scholarship funds at the College. The 1980, who serves as an officer of the gift extends the resources of the Henry Quade Foundation. “Dr. Rumberger and Henrietta Quade Scholarship epitomizes the caring dentist,” said Fund, which was established in Dean Alfano, “and the vitality of 1998 with a gift of $250,000 from the Henry and Henrietta Quade the Quade Foundation. The Quade Scholarship Fund is a tribute both scholarships provide financial support to her great devotion to the memory for outstanding applicants to encourage of the Quades, who were her them to make NYUCD their dental patients, and to her commitment school of choice. to alma mater.” 38 Dr. Donna J. Rumberger O B A L H E A L G L T H

New York State and The Starr Foundation Award Major Grants in Support of Smiling Faces, Going Places

The Smiling Faces, Going Places and comprehensive care to 5,162 mobile dental care program, which children ages 2 to 14. Eighty percent brings dental care to underserved of those children lacked dental populations in New York City and insurance and were treated for free. State, has received grants of $250,000 Dean Alfano commended the each from New York State and public­private sector philanthropic The Starr Foundation. Each grant partnership represented by New represents the third consecutive York State and The Starr Foundation, time that New York State and The and added, “We express profound Starr Foundation have awarded gratitude to New York State Assembly major support for the program. Speaker Sheldon Silver and the The van was launched in January New York State Legislature, and to 2000, and each year performs over the officers and trustees of The Starr 7,000 pediatric procedures on Foundation, one of the most respected children who have no other means philanthropies in the world, for of obtaining dental care. Last year sending a clear message that alone, the dental van program helping to improve the oral health Dr. Anthony Johnson (right), supervising dentist of provided a total of 10,324 visits and well­being of underserved New the Smiling Faces, Going Places program, with a participating dental student and a young patient. for screenings, preventive services, York youngsters is a priority.”

Seniors Build Support for Alma Mater

In a show of support for Dean Alfano and his leadership of the College, members of the graduating class of 2003 turned out on April 29 and April 30, 2003, for NYUCD’s first­annual senior fund­raising phonathon. “This is a celebration,” said Matthew Chang, president of the Class of 2003, who spearheaded the event. “During our years at NYU, the Class of 2003 and the faculty have been engaged in an active, productive partnership. It is only natural that as we assume the role of alumni, we continue to build this relationship by helping to build support for alma mater.” 39 Olya Gordin, ’03, works the phones to raise money from alumni. L H E O B A A L T G L H

NYUCD in the News:

WNBC­TV Health and Science Editor Dr. Max Gomez broadcast an interview with Dr. Dennis P. Tarnow, Professor and Chairman of the Ashman Department of Implant Dentistry, on the effects of bone resorption on dentures. The broadcast showed Dr. Tarnow performing an implant procedure on a senior citizen with this condition, and Dr. Tarnow made a powerful case for every patient with a lower denture having at least two implants placed to preserve the bone so that the denture can be retained for many years.

In a separate broadcast to promote the April 2003 free oral cancer screening sponsored by the Oral Cancer Consortium, Dr. Gomez interviewed Dr. Jonathan Ship, Professor of Oral Medicine and Director of the Bluestone Center for Clinical Research, on the risk factors for oral cancer and the importance of early detection.

Fox 5­TV News interviewed Dr. Rima Bachiman Sehl, Associate Professor and Associate Chairwoman, Department of Epidemiology & Health Promotion, on when people should visit a dentist.

Fox 5­TV News showed a videoclip of the Smiling Faces, Going Places van at City Hall to lobby for funding. L H E O B A A L T G L H

The Discovery Channel videotaped a corrective surgery procedure on a woman with an upper and lower jaw deformity performed by Dr. Stuart Super, Director of the Dr. Stuart and Tibby Super Center for Dento ­Facial Deformities and Corrective Jaw Surgery.

The Discovery Channel’s Canadian affiliate broadcast a program featuring Dr. Page Caufield, Head of the Division of Diagnostics, Infectious Disease, and Health Promotion, on how oral bacteria foster immunization in infants.

ABC7 Eyewitness News Medical Reporter Dr. Jay Adlersberg interviewed Dr. Andrew Spielman, Associate Dean for Academic Affairs, about trimethylaminuria, or TMA, a condition in which people emit a strong body odor as the result of damage to an enzyme that normally gets rid of the smelly byproducts of food breakdown.

ABC 7 interviewed Dr. Anthony Vernillo, Professor of Oral Pathology, on the link between oral health and diabetes, and Dr. David Sirois, Head of the Division of Reconstructive and Comprehensive Care, on the relationship between periodontal disease and preterm, low birth ­weight deliveries. Both stories were broadcast during the free oral health screening week for New Yorkers cosponsored in April by NYUCD, ABC 7, and Colgate ­Palmolive. L H E O B A A L T G L H

Applause! Applause! Faculty, Student, and Staff News NYUCD Unveils Monolith Honoring Recipients of All­University Distinguished Teaching and Administrator Awards

From left: Mr. Glenn Marrus, Assistant Dean Novella Jones, Dr. Herbert Frommer, Associate Dean Paul A. Rosenberg, Dr. Anthony T. Vernillo, and Dr. Lidia Kiremidjian­Schumacher.

Saying that he wanted to provide group on their home turf,” said Dean Dean for Graduate Programs and a formal place of honor for NYUCD Alfano. With the unveiling of this Professor and Chairman of the Dr. recipients of the University’s highest monolith, we will rectify that omission.” I.N. and Sally Quartararo Department teaching and administrative awards The Distinguished Teaching of Endodontics (1999); and Dr. over the past 10 years, Dean Alfano Award recognizes faculty members Anthony T. Vernillo, Professor recently unveiled a 70­inch­high who have contributed significantly of Oral Pathology (2002). by 24­inch­wide monolith made to the intellectual life of New York The Distinguished Administrator of stainless steel. The monolith, University through their teaching. award recognizes outstanding inscribed with the awardees’ names The Distinguished Teaching Medalists achievements as an administrator and and set atop a black marbleized base, from NYUCD over the past decade dedicated service to faculty, students, is on permanent display in the are: Dr. Herbert Frommer, Professor and staff. In recent years, NYUCD Arnold Schwartz Memorial Lobby. of Diagnostic Science and Urgent has been represented in this category “Although these outstanding Care and Director of Radiology by Ms. Novella Jones, Assistant Dean individuals were honored by NYU the (1984); Dr. Lidia Kiremidjian­ for Student Affairs and Admissions 4422 year they received their all­University Schumacher, Professor of Basic (1999), and Mr. Glenn Marrus, awards, until now no formal recognition Science and Craniofacial Biology (1998); Director of Quality Assurance (2002). has been provided to them as a Dr. Paul A. Rosenberg, Associate L H E O B A A L T G L H

30­Year Service Awards Oral and Maxillofacial Surgery Part­Time Faculty Prosthodontics Dr. Paul S. Kaufman Dr. Juliet Y. Kafka­Bergen Orthodontics Honored for the General Dentistry and Management Science Dr. Gustave Lasoff Dr. Richard A. Kiman Dr. Rolland Rogers First Time at Dr. Anthony A. Sirianni Implant Dentistry Longer­Service 25­Year Faculty Service Awards Dr. Leonard I. Linkow General Dentistry and Management Science Oral Medicine Awards Ceremony Dr. Gabriel Fulop Dr. Steven R. Rosenblith Prosthodontics Last February, for the first time, Endodontics Dr. Steven Lee NYUCD’s part­time faculty participated Dr. Howard A. Weiner in the College’s annual Longer­Service 20­Year Faculty Service Awards 10­Year Faculty Service Awards Awards Program, which recognizes Oral and Maxillofacial Surgery General Dentistry and Management Science Dr. Jack P. Barak individuals for a job well done over Mr. Vincent Alleluia Prosthodontics extended periods of time. In the past, Mr. Paul Federico Dr. Marvin Carmen Dr. Dolores M. Franklin Longer­Service Awards had gone Oral Pathology Dr. George L. Hoffman exclusively to full­time faculty, Dr. Paul D. Freedman Dr. Nahid Javahery­Maroff General Dentistry and Management Science administrators, and staff. Dr. David Korris Dr. Stanley H. Heller Dr. Martin J. Lapidus “We owe our part­time faculty a huge Hospital Dentistry Mr. Patrick E. Reid debt of gratitude,” said Dean Alfano, Dr. William F. Ward Dr. Frank Resillez­Urioste “and we are now using multiple vehicles Dr. Stewart Rosenblatt 15­Year Faculty Service Awards to express our appreciation. Part­time Oral and Maxillofacial Surgery Periodontics faculty are invited to the annual graduation Dr. Philip Artenberg Dr. Sanford J. Bier Dr. Morton Brod ceremony; they serve on all major Dr. Richard Sheinblatt Dr. Clarence Calman Cariology and Operative Dentistry committees at the College; they have Dr. Regina Landesberg Dr. Barnett Bucklan their own Advisory Committee to the Dr. Gayle T. Miranda Orthodontics and Implant Dentistry Endodontics Dean; they are invited to all College­ Dr. Frank Celenza, Jr. Dr. Peter Babick wide parties; they are granted pro rata General Dentistry and Management Science Dr. Les Muldorf Dr. Terencia S. Conejero voting rights; and now they are honored Prosthodontics Dr. Robert A. Danti both in Global Health Nexus and at Dr. Debra H. Cohn Dr. Samuel T. Jung Dr. Caroline Grasso our service awards ceremony. But we Dr. Irving L. Shapiro Dr. Alexander Kmeta Dr. Stanley A. Small can never do enough to thank them.” Dr. Todd H. Lerner Epidemiology & Health Promotion Ms. Nancy F. Fink Periodontics Dr. Luis Fujimoto Orthodontics Dr. Trevor R. Gottfried Dr. Robert H. Harris Pediatric Dentistry Dr. Steven R. Grossman Dental Hygiene Ms. Rosemary Hays Ms. Susan H. Schroeder­Davide Diagnostic Science and Urgent Care Dr. Thomas G. Jacoby Oral Medicine 4433 Dr. Ram D. Phull From left: Dr. Stanley Heller, Dr. Marvin Carmen, Dr. David Korris, Dr. Irving Shapiro, and Dr. Richard Kiman. L H E O B A A L T G L H

Dr. Jonathan L. Ferencz Installed as President of the American College of Prosthodontics

an international reputation. He is a leader in redefining the breadth and scope of prosthodontics for a new century, and the perfect person to lead the ACP at this time.” A Board­certified prosthodontist, Dr. Ferencz has a long history of service and leadership within the ACP as well as other leading professional organizations. He has served as President of the Greater New York Academy of Prosthodontics and the Northeastern Gnathologial Society. He is a Fellow of the Academy of Prosthodontics and the New York Academy of Dentistry, and a member of the American Academy of Restorative Dentistry and the American Academy of Fixed Prosthodontics. As a Board member, Secretary, Vice President, and President­Elect of the ACP, Dr. Ferencz has been responsible for Annual Sessions, revamping the American Board of Prosthodontics examiner selection process, Jonathan L. Ferencz, D.D.S. Class of 1971 and and strategic planning for the future of the Advanced Education in Prosthodontics Program specialty. During the past year, he has focused Class of 1984, has been installed as his energies on advancing the ACP Education Foundation President of the American College HE IS A LEADER IN of Prosthodontics (ACP), the as cochair of its fund­raising REDEFINING THE BREADTH official sponsoring organization campaign. The campaign AND SCOPE OF for the specialty of prosthodontics. exceeded its $5 million PROSTHODONTICS FOR Dr. Ferencz will serve as President goal when it concluded in A NEW CENTURY, AND through October 2003. November 2002. THE PERFECT PERSON Dr. Francis V. Panno, Associate Since 1990, Dr. Ferencz TO LEAD THE ACP Dean for Clinical Affairs, Ira E. has served as a Clinical AT THIS TIME. Klein Professor Professor of Prosthodontics of Prosthodontics, and a Past at NYUCD. “We’re proud that President of the Greater New York Academy of a graduate of both our D.D.S. and Advanced Prosthodontics, has been Dr. Ferencz’s mentor Education in Prosthodontics Programs, and and friend for 34 years, and influenced his choice a distinguished faculty member, has become of specialty training. Associate Dean Panno the articulate spokesperson for his specialty describes Dr. Ferencz as the “right person for organization as it moves forward in the new 4444 the job at the right time.” “Jonathan Ferencz century,” said Dean Alfano. is an outstanding clinician and lecturer with L H E O B A A L T G L H

Dr. Farhad Vahidi Appointed Acting Director of the Jonathan and Maxine Ferencz Advanced Education Program in Prosthodontics

Dr. Farhad Vahidi, an Associate Professor of Prosthodontics, has recently been named Acting Director of the Jonathan and Maxine Ferencz Dr. Harold Litvak (left) and Dr. Daniel Schweitzer Advanced Education Program in Prosthodontics. Dr. Vahidi succeeds Dr. Gary R. Goldstein, Dr. Daniel Schweitzer who had been Program Director since 1995. Dr. Vahidi, along with Dr. Goldstein and Receives Fifth Annual other colleagues, has been a major force in Litvak Fellowship the program’s rise to become one of the nation’s Dr. Daniel Schweitzer, a second­year top prosthodontics specialty training programs. student in the Advanced Education Program Dr. Vahidi joined NYUCD as a full­time fac­ in Prosthodontics, has become the fifth ulty member in 1984, and has been a highly recipient of the annual Dr. Harold Litvak effective educator, clinician, and researcher. Junior Fellowship in Prosthodontics. “We thank Dr. Goldstein for his many years A 1996 graduate of NYUCD, Dr. Schweitzer of service and productivity at the helm of practiced privately for six years before returning the Jonathan and Maxine Ferencz Advanced to the College for postdoctoral studies. After Education Program in Prosthodontics,” said completing his specialty training, he plans to Dean Alfano, “and we wish Dr. Vahidi success return to private practice and may also pursue a as he strives to add additional luster to the career in teaching. Dr. Farhad Vahidi, Acting program’s reputation.” Director of the Jonathan and Maxine Ferencz Advanced Education Program in Prosthodontics, calls Dr. Schweitzer’s achievement particularly impressive. “The majority of postdoctoral students come to us directly from dental school, when they are most familiar with academic rigors. But despite Dr. Schweitzer’s six­year absence from academia, he returned to win top honors for his performance.” The Litvak Fellowship was established in 1999 through a generous grant from Mrs. Adele Block in honor of her dentist, Dr. Litvak, a clinical professor of prosthodontics at NYUCD. Mrs. Block is a member of the family that owned 4455 the Block Drug Company, Inc., a major producer of oral and general health care products, which is now a division of Glaxo Smith Kline. L H E O B A A L T G L H

Research Day 2003: Student Research Day Winners In Search of Answers Renowned Geneticist Shares Spotlight With Students

This year’s Student Research Day took on added significance with the presentation of NYUCD’s first annual Distinguished Scientist Award to Dr. Bruce Baum, Chief of the Gene Front row: (left to right) Fahad Al­Kahtani, Ana Alegre, Yaniv Ravee, Shujie Lin, Chia­Yu Sherry Ku, Philip Zaveloff, Wentao Yan. Back row: (left to right) Claudia Karkia, Hong Sik Therapy and Therapeutics Branch of Yoon, Nuno Pereira, Giuseppe Grasso, Dr. Louis Terracio, Ashraf Estafan, Jasdeep Sagoo. the National Institute of Dental and Not pictured: Chaninah Zweihorn, Maria Kuriakose, Serguei Grigoriev, Larissa Artemieva. Craniofacial Research of the National ADA/Dentsply Student Postgraduate Resident Institutes of Health (NIH), in recognition Research Table Clinic Award Research Award of significant and sustained research Chia­Yu Sherry Ku, D.D.S., ’06 Maria Kuriakose, PG Orthodontics, ’03 Apoptosis and the Transmission of Apoptotic accomplishments and a proven record Denaturing Gradient Gel Electrophoresis (DGGE) Analysis of 16S rDNA Signal Through Gap Junctions in Osteoblasts. of training students for successful Amplicon Mobility of Oral Bacteria. Mentor: Dr. Kathleen Kinnally research careers. Dr. Baum was Mentors: Dr. Yihong Li and Dr. Page Caufield cited for increasing the relevance of Master of Science biological science in dental education Omicron Kappa Upsilon, Research Award Omega Chapter Award Claudia Karkia, MS in Biomaterials and for developing novel applications Chia­Yu Sherry Ku, D.D.S., ’06 and Biomimetics, ’03 of gene transfer technology and Denaturing Gradient Gel Electrophoresis Tissue Engineering of Endochondral Bone. tissue engineering for the repair of (DGGE) Analysis of 16S rDNA Amplicon Mentors: Dr. Cristina Teixeira, severely damaged salivary glands. Mobility of Oral Bacteria. and Dr. Racquel Z. LeGeros The names of the 2003 Mentors: Dr. Yihong Li and Dr. Page Caufield Research Day winners and their Postdoctoral Resident Jasdeep Sagoo, D.D.S., ’05 mentors are listed at the right. Research Award Analysis of Gene Expression Alterations by Shujie Lin, Department of Biomaterials Subtractive Cloning in the Spinal Cord and Biomimetics During Inflammatory Hyperalgesia. Biphasic Calcium Phosphate (BCP) Mentors: Dr. Hsiu­Ying Yang and Dr. Bioceramics: Preparation and Properties. Michael Iadarola, Pain and Neurosensory Mentors: Dr. Racquel Z. LeGeros, Mechanisms Branch, National Institute of Dr. Ramin Rohanizadeh, Dr. Dindo Dental and Craniofacial Research, NIH. Mijares, and Dr. John LeGeros. Dean’s Research Award Dental Hygiene Philip Zaveloff, D.D.S., ’03 Student Research Award The Use of Heteroduplex Analysis to Find Ana Alegre, A.A.S., ’03, Bacterial Transmission in the Oral Cavity. and Larissa Artemieva, A.A.S., ’03 Mentors: Dr. Mea Weinberg, Dr. Upinder Oral Manifestations of Vitamin Fotadar, Dr. Peter Di Fiore, Dr. Louis Inadequacies and Nutritional Counseling. Terracio, and Dr. Robert Boylan. Mentor: Eva Lupovici From left: Dr. Jonathan Ship, Director Chaninah Zweihorn, D.D.S., ’03 4466 of the Bluestone Center for Clinical Ion Selectivity Switch Is a Permeability Gating Research, Dr. Bruce Baum, and Dr. Louis Mechanism With Physiological Relevance. Terracio, Associate Dean for Research. Mentor: Dr. Kathleen Kinnally L H E O B A A L T G L H

ADEA Preventive Dentistry Awards Go to Brian Houston and Thomas Kolodge, Class of 2004

Brian Houston and Thomas Kolodge, both Class of 2004, were the only students from the same dental school to win American Dental Education Association (ADEA)/Listerine® Preventive Dentistry Scholarships in 2003. A total of 12 students nationwide received the scholarships, which are sponsored by Pfizer Consumer Healthcare. Each scholarship provides a grant of $2,500 to predoctoral students who demonstrate academic excellence in preventive dentistry. The awards were presented at the 2003 ADEA Annual Session in San Antonio, Texas, in March.

Brian Houston (left) and Thomas Kolodge.

Drs. Joan Phelan and Denise Murphy Appointed to Bioterrorism and Catastrophe Response Task Force

NYUCD’s Bioterrorism and Catastrophe Response Task Force has gained two new members: Dr. Joan Phelan, Professor and Chairperson of the Department of Oral Pathology, and Dr. Denise Murphy, Clinical Associate Professor of General Dentistry and Management Science. “With the addition of these two individuals,” said Dr. Dianne Rekow, Director of Translational Research and the Task Force Chairperson, “NYUCD’s Bioterrorism and Catastrophe Response Task Force gains substantial Dr. Denise Murphy expertise that will add to our ability to develop strategies and a structure for a coordinated, collaborative response effort to deal with the Dr. Joan Phelan threat of terrorism, including bioterrorism 4477 and other catastrophes.” L H E O B A A L T G L H

ICOI Supports Bioterrorism Preparedness Initiative ICOI Cofounder is NYUCD Alumnus

Top left to right: Rosalie Macaluso, Lauren Siegel, Shirley Wilmers, Jennifer Alter, The officers of the International Brenda Dawkins, Diane Rollins. Bottom left to right: Joanne Carey, Emily Lamb, Novella Jones, Glenn Marrus. Congress of Oral Implantologists, who include Dr. Kenneth W. Judy, the Administrators and Staff Retreats: ICOI’s Cofounder and Cochairman, a member of the Class of 1968, A New Tradition Takes Root and a Clinical Professor of Implant Wouldn’t it be nice if NYUCD Administrators Retreat, where the Dentistry at NYUCD, have sent their patients were always welcomed with a focus was on new ways to foster a membership copies of the AMA’s smile whenever they visited our clinics? sense of community among the updated Quick Reference Guide to This was one of the suggestions made College’s 146 administrators. One Biological Weapons, along with at NYUCD’s first annual Staff Retreat, idea was to create a listserve, or e­mail their endorsement of bioterrorism which drew 71 people to Hilton network, on which administrators preparedness education for dentists. Woodcliff Lake in Woodcliff Lake, could pose questions and get advice Their letter cited Dean Alfano for his New Jersey, on March 11. Two days on issues of concern from a broad help in making the guide available. later, 43 administrators gathered cross­section of their peers. Dean Alfano had earlier sent copies for their second annual retreat at “We wanted both staff and of the guide to all NYUCD alumni. the Harrison Conference Center administrators to have their own “I congratulate Dr. Judy and his in Glen Cove, Long Island. At getaway to allow them to build team colleagues on their initiative and both sites a professional facilitator spirit and brainstorm solutions to leadership,” said Dean Alfano. encouraged participants to imagine problems,” said Tracy E. Kamens, “Having the support of the prestigious creative ways to defuse tense Director of the Faculty & Staff ICOI in raising awareness of the situations, such as an encounter Development Center, who organized potential role of dentists in bioterrorism with an argumentative patient. both events. “Because taking people preparedness sets an example for “We had fun letting our imaginations out of their everyday environment other organizations to get involved run wild,” said Alecia Lewis Dore, a gives them a fresh perspective,” Ms. 4488 and help educate their own members participating staff member. Kamens said, “I expect the staff and about what dentists can do to make our Networking and problem­solving administrator retreats to deliver many world a safer place in which to live.” issues topped the agenda at the more good ideas in the years to come.” L H E O B A A L T G L H

Bashes, Barbecues, and Beat­the­Blah Blasts NYUCD Students, Faculty, and Staff Build Camaraderie and Community For the past five years, NYUCD has commitment to make a difference by pursued an ambitious agenda designed to working together has never mattered more. take innovation in dental education, research, And part of the reason for the growing spirit and clinical care to a new level. Anyone who of camaraderie comes from the campus­wide has spent time at NYUCD during this period, social events that Dean Alfano introduced or has been reading Global Health Nexus, to bring us all together at various times knows that we are making amazing progress throughout the academic year. In addition toward our goal. One reason is the profoundly to the annual winter holiday bash, and the intertwined community of students, faculty, beginning of summer barbecue, last March and staff that has developed on campus. there was an added opportunity to party NYUCD has become a place where the at a “beat the winter blahs” event held at the famed Copacabana in New York City.

Clockwise form left: The ticket to the Graduation Ball at The Ritz Carlton; the summer barbecue sports a Hawaiian theme; the invitation to the Beat­the­Blahs gala at the Copacabana; students celebrate with hugs and 4949 hula hoops. L H E O B A A L T G L H

Celebrating Our Community Congratulations to: 2004. Fellowship in the American College of Dentists. DR. MICHAEL C. ALFANO, PROFESSOR JILL B. Dean of NYUCD, on authoring FERNANDEZ­WILSON, DR. HARALD A.B. LINKE, an article entitled “Titanium and Clinical Associate Professor of Pediatric Professor Emeritus of Basic Science Terrorism: The Role of the Implant Dentistry, on presenting a session (Microbiology), on coauthoring an Dentist,” for the International Magazine entitled “Growing Up Caries­Free—The article entitled “Black Tea Extract and of Oral Implantology. Early Years” and “Disparities Among Dental Caries Formation in Hamsters,” Hispanic Children” during the national for the International Journal of Food DR. STEPHEN J. CHU, Hispanic Dental Association’s annual Sciences and Nutrition. Dr. Linke’s Clinical Assistant Professor of Implant meeting in San Diego. coauthor was Dr. Racquel Z. LeGeros, Dentistry, on coauthoring an article Professor of Biomaterials and entitled “Light Dynamic Properties DR. DONALD B. GIDDON, Biomimetics and Linkow Professor of a Synthetic, Low­Fusing, Quartz Clinical Professor of Epidemiology of Implant Dentistry. Dr. Linke also Glass­Ceramic Material,” for Practical & Health Promotion, on coauthoring coauthored an article entitled “Microbial Procedures & Aesthetic Dentistry. an article entitled “Investigation of Composition of Whole Saliva and Caries Previously Reported Mucosal Swellings Experience in Minority Populations,” for Dental Clinics of North America. His coauthors included Dr. LeGeros; Dr. Esther O. Kuyinu, ’94, Clinical Associate Professor of Prosthodontics; Dr. Bolaji O. Ogundare, ’98, Instructor in Oral and Maxillofacial Surgery; Dr. Mohammed M. Imam, Clinical Assistant Professor of Oral DR. GUSTAVO D. CRUZ, Assistant Professor of Epidemiology & Health Promotion and Director, Public Health and Health Promotion, on serving as Scientific Chair of the After Injection With Citanest® Forte,” Hispanic Dental Association’s 2002 for Anesthesia Progress. Annual Meeting. DR. HERBERT FROMMER, DR. DENISE J. ESTAFAN, (second from right) Professor of Associate Professor of General Diagnostic Science and Urgent Care Dentistry and Management Science and Director of Radiology, on the and of Biomaterials and Biomimetics, dedication of “The Herb Frommer,” a and Maxillofacial Surgery; and Dr. on coauthoring an abstract entitled rowing shell presented by the Frommer Shahzad M. Khan, Clinical Assistant “Integrating CAD/CAM Technology Family and Friends to NYU Crew in Professor of Periodontics. Into the Dental School Esthetics honor of Dr. Frommer’s birthday. DR. IVY PELTZ, 50 Curriculum,” which was presented at DR. ANDERSON T. HUANG, ’83, Clinical Assistant Professor of the ADEA annual meeting. Her coau­ ’90, Clinical Associate Professor General Dentistry and Management thor was Claudine Agosta, Class of of Orthodontics, on being awarded Science, on coauthoring an article L H E O B A A L T G L H

Focus on Alumni THE PRIDE OF NYUCD entitled “Bleaching: Lightening the Dental School Curriculum,” which DR. TOVA (LEVI) WEINBERG, was presented at the ADEA annual Congratulations to: Class of 1981, on a Keesport Daily meeting. Her coauthors included Dr. News article about her as Pittsburgh’s Eric S. Studley, ’85, Clinical Assistant 50’s DR. ALAN H. BROOKMAN, premier Jewish matchmaker. Professor of General Dentistry and Class of 1952, on being honored for Management Science; Dr. Ralph P. 50 years of dedicated service to Cunningham, ’72, Clinical Associate 90’s Newark Beth Israel Medical Center’s DR. GRACE CHIN, Professor of General Dentistry and Department of Dentistry. Class of 1999, on joining the pediatric Management Science; and Dr. Alan dentistry practice of Dr. Donald G. H. Rattet, ’61, Clinical Associate DR. RICHARD R. KARLEN, Greiner, Dr. W. Fred Thal, and Dr. Professor of General Dentistry Class of 1957, on teaching a course Eddie Rostenberg in Sanibel, Florida. and Management Science. entitled “Fiction Writing, Short Story, Novel and Memoir,” at the South DR. KEITH H. KANER, DR. JEANINE STABULAS, Plainfield Adult School in New Jersey. Class of 1990, on his appointment as Instructor in Diagnostics and a Clinical Assistant Professor in the Urgent Care, on authoring “Vertical Department of Oral and Maxillofacial Bitewings: The Other Option ” for 60’s DR. SIDNEY A. WHITMAN, Surgery at Nova Southeastern the Journal of Practical Hygiene. Class of 1968, on a Trenton Times University College of Dental Medicine. article recognizing his more than DR. SAMSON SOLOMON 30 years of service to Trenton Head (SULEYMANOV), Start children. Class of 1998, and Dr. Simkha 70’s Solomon (Suleymanov), Class of 1998, on the publication of a New York DR. G. KIRK GLEASON, Daily News article profiling their Forest Class of 1970, on his installation as Hills dental practice, where patients ADA Second District Trustee. sometimes have trouble telling the two 80’s identical twins apart. DR. HAROLD I. SUSSMAN, DR. MICHAEL L. CALI, DR. MAYER C. SINENSKY, (at left) ’42, Clinical Associate Class of 1985, on being elected Class of 1995, on coauthoring an Professor of Periodontics, and his President­Elect of the Second article entitled “Acellular Dermal wife Jackie, on producing a set of District Dental Society. Matrix Allograft in the Treatment storybooks and videotapes entitled DR. DAVID J. SHUCH, of Mucogingival Defects in Children: “A Smile for Samarra Comes to Your Class of 1983, on the publication of Illustrative Case Report,” for the School,” which are designed to increase his book, Doctor, Be Well: Integrating Journal of Dentistry for Children. His the oral hygiene understanding the Spirit of Healing With Scientific coauthors were Dr. Sara B. Babich, and skills of New York City special Medicine. Class of 1996, and Dr. Eli A. Wagshall, education schoolchildren. Funding Class of 1994. for the project was made possible 51 through a grant from the ADA Health Foundation’s Harris Fund Another Chance to Say “Thank You” to alumni, faculty, friends, and organizations for their generous support of the College.

$500,000 + O’Neill Family Charitable Trust Judith L. Cleary Lewis I. Samson Pfizer Inc Esther Kaplan Colchamiro Arthur Schackman Estate of Marie D. Young Lawrence Salman Martin H. Cornick Warren I. Scherer $250,000 – $499,999 Herbert Schilder Rosalie and Steven David Norman J. Schneider Gilbert H. Schulenberg Joseph D. DeMaio Robert S. Schoor Mr. and Mrs. Leonard N. Block Soheil Shahmiri Dominick P. DePaola Abraham Sherer Mr. and Mrs. Richard M. Danziger Estate of Saul Shapiro John J. DiGregorio Shore Pediatric Dental Group New York Community Trust Barnet B. Shulman Anthony S. Donofrio Jay K. Silverstein The Starr Foundation Bernard E. Small Parviz Edalat Walter Silverstein Joseph K. Spector James M. Eisdorfer David Sirois $100,000 – $249,999 S. Sigmund Stahl Leonard I. Ellis Dolores Spinelli Healthplex Inc. Sultan Dental Products LTD Denise J. Estafan Straumann U.S.A. Maurice J. Oringer Michael A. Steinle Jeffrey P. 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Green JoAnn and Michael Alfano George Cisneros Elyse Bloom Greenfield $500 – $999 Brasseler USA Vincent P. D’Ascoli Kurosh Haghighi Richard Boneville Margot Durrer Dentsply Ceramed Dental Michael R. Herman Annmarie B. Brennan Foremost Dental Manufacturing Inc. Designing Smiles, P.S.C. Gerald S. Hoch Gregory Browne Samuel & Hannah Holzman Trust Thomas E. Dudney Michael C. Iott Martin M. Brownstein Henry C. Immes East End Temple Morton Julius Leigh R. Busch J.P. Morgan Chase and Co. Harold G. Edwards James M. Kaim Allan H. Cashman Trust Jurim Dental Studio, Inc. Jonathan L. Ferencz Sathya P. Kallur Dr. and Mrs. Paul K. Chu Kings Plaza Dental PC Kenneth M. Hamlett Shin Kaneko Paul S. Cohen The Family of Ignatius N. James E. Jacobs Munzer B. Kara Richard T. Cullari and Sally Quartararo Frederick H. Kahn Vasiliki Karlis Stephen P. Dallow Perri Zweifler Michael A. Katz Ralph S. Kaslick Dentatus USA Ltd. Abraham H. Kedeshian Larry Kawa John A. DeVoy $5,000 – $9,999 Roma and David L. 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Askinas Arthur Mahler Stephen I. Hudis Innova Corp. Ghassan S. Atalla Paul J Matrullo HV & P Patel Dental Corp. George Kane Trevor Bavar Gayle T. Miranda Bharat C. Joshi Kathryn Karpinski H. Kendall Beacham Jose Morales­Diaz Parimal Kansagra Mark Kuo Richard S. Berk Oliver Nicolay Kerr Corporation Charles Y. Lien Gerald Borell Joan and Francis Panno Leonard B. Kobren Harry A. Long Diane and Ronald Broth Ivy D. Peltz Raymond S Krietchman 52 M. John Matos John R. Calamia Peter M. Perimenis Neil O. Lawner George W. Mazzei Henry C. Chiu Jean and John Poulos Joel E. Leizer NYU Implant Alumni Aida A. Chohayeb Alan H. Rattet Jeffrey Lemler Association in Korea Stephen Chu E. Dianne Rekow Harold Litvak Looking for a Way to Increase Your Investment Income and Make a Gift to Alma Mater? Livingston Endodontic Richard J. Giarrusso In these days of low market interest rates, you can do both Associates PA Jon Evan Glaser with the NYU Charitable Gift Annuity. How? It’s simple. For a Michael A. Markson Jon D. Globerson Edward C. Michaud, Jr. Robert H. Goldberg gift of as little as $5,000, the University will pay annual Mohender Narula Barry M. Goldstein income to you and/or your designee for life, after which North Shore Dental Group LLP Gary R. Goldstein the University will use the remaining gift assets for the Susan and Ralph Pernick Martin Gorin Punjabi Dental Society David O. Habib purpose you specify. And it’s a tax ­wise strategy —you Ignatius N. Quartararo Alfred Hallarman obtain an income tax deduction, and if you make your gift Albert E. Roland Neal G. Herman Linda R. Rosenberg Herbert Hoffer with appreciated stock you avoid up ­front capital gains tax. Bruce Rosenzweig Jed S. Jultak The NYU Charitable Gift Annuity can help you accomplish Kenneth Saccaro Jack L. Kabcenell personal and family financial objectives. Your gift can pay Lloyd M. Sara Arnold Komisar Daniel D. Schube A. Stanley Kosan income to you alone, or to your spouse or another individual Marshall L. Seidman Michael G. Landy as well. Your income can begin immediately, or you can direct Sandeep Shah Alan M. Lee that the income begin at a specified date in the future, such Michael L. Sinkin Peter W.C. Lee Martha J. Somerman Stanley Lotzkar as your retirement. It’s rewarding tax ­wise and simple, and Carol Mumma Stanton Jerome Margolin it adds up to an intelligent investment for you and NYU. Anthony G. Terra Gary J. Markovits Carlos M. Valdes Stuart R. Marvin Representative Gift Annuity Rates Kenneth R. Vogelson Craig John McLaughlin Westchester Putnam Yogish P. Mehta (Immediate Payment of Income – One ­Life) Endodontic Associates Malcolm Meister Age at Date Rate Sidney A. Whitman Irving M. Mender of Gift Xelan Foundation Christina Mercurio Koszalka Jay Ziffer Harry P. Meyers 65 6.3% Cathy Prairie Michael 70 6.7% $250 – $499 Nino A. Mignone 75 7.3% Mohammad Afzal Leonard P. Morse 80 8.3% Michael A. Alfano Kevin M. Murphy Michael J. Andolina Daniel J. Palermo 85 9.7% Keith B. Annapolen Philip Person 90+ 11.5% Charles S. Axelrad Vijay Pharar Michael S. Preston Peter J. Babick The Right Choice—For the Right Reasons Bruce R. Baral Howard S. Rock David M. Barish Jon Rogers The NYU Charitable Gift Annuity expands the range of choices Joe Bastadjian Bruce T. Sallen for donors like you who want to support New York University Jed Berman Mark A. Schachman and its College of Dentistry. With your contribution of $5,000 Mitchell Bloom Scott Schechter Samuel I. Botkin Leon Schertzer or more, you can take advantage of the following benefits: John J. Browne Sidney Schwartz w A high level of income for life Roger M. Casulli Stephen J. Silhan An immediate income tax deduction Stephen R. Cohen Morris Sobel w Shiraz A. Damji South Jersey Prosthodontic w Unlock appreciated and low ­yielding assets while Jaime De Jesus­Abreu Associates avoiding capital gains tax Patrick A. Delgrande Aleksandr Soyfer Partially tax ­free income Dental Care of Anaheim Jay Steinberg w East Fordham Management Joel M. Storm w Freedom from asset management concerns Group, Inc. Tartell Family Foundation w Choose income to begin immediately or in the future Leon Eisenbud Warren R. Tessler Seymour Evans Jay S. Wagner w Choose to have income paid to yourself and/or a loved one Stanley Fellman Richard M. Weintraub w Membership in the NYU Society of the Torch James S. Fishbein Ted R. Weiselberg Herbert Freedner Robert Weller Take the Next Step The Fremont Group Foundation Stephen L. Winn It’s simple to establish your own NYU Charitable Gift Alan E. Friedel Constance P. Winslow Mr. and Mrs. Frederick W. Alan A. Winter Annuity. Call Rita Startup, Assistant Dean for Development Fuller IV Barry R. Wolinsky and Alumni Programs, at (212) 998 ­9920, or email her Frank J. Galtieri Jadwiga Kisielew Zanolin Martin D. Gelender Alan S. Zwillinger at [email protected], and she will provide specific Mark D. Geller information about the income and tax advantages of Terry M. Geller the gift annuity based on your own circumstances. New York University NONPROFIT ORG. College of Dentistry U.S. POSTAGE David B. Kriser Dental Center PAID 345 East 24th Street New York NY New York, NY 10010­4086 PERMIT NO. 7931