EIOH a Leader in Dental Care for Older Patients Story on Page 6 Nn Director’S Message

Summer 2013

EIOH a Leader in Dental Care for Older Patients Story on page 6 nn Director’s Message

I live my life following a series of principles. One that I faithfully employ is “waste no opportunity.” Three simple words, but they cannot be taken without caution. To follow that credo, one takes on the responsibility of identifying the opportunity and then realistically evaluating both the risks and benefits. In July 2012, I had an opportunity presented to me. I was asked to be the Acting Director of the Eastman Institute for Oral Health (EIOH). The prospect intrigued me as I was the President of the Eastman Dental Foundation Board and therefore was familiar with many of the issues and individuals at EIOH. Then the evaluation of the risks and benefits began. The downside…my plate was full. I was the President of the American Dental Association and still maintaining my role as a partner in a very busy general practice in Rochester. The upside…a chance to use my leadership skills and make a difference. So, based on two true beliefs… (there truly are more than 24 hours in a day and that you can learn how to sleep fast…), I embraced the opportunity. Ten months later, I can honestly tell you that I made the right choice. I have thoroughly enjoyed the position. I could not have done it, however, without the unbelievable support given me by wonderfully loyal and committed administrators, division chairs, faculty, alumni, staff and residents… all truly special people. In the week surrounding my writing this message, two young adults, both 26 years old, and very close family friends have died. On the positive side, I have been to a graduation and a baptism. During this week I have witnessed myriad human emotions. The common denominator for both coping and celebration was family. I raise this point, because in my tenure Dr. Calnon posed with Dr. Emmanuel as Acting Director, I have experienced the Puddicome (Gen Den’ 01, GPR ’03) family atmosphere that is so present during the recent Handelman Conference.

nn On the Cover nn Contents Summer 2013

Monroe Community Hospital resident Virginia 4 Special Announcement 16 EIOH News Weller smiles at her dentist, Eastman Dental’s 6 Cover Story 23 News & Notes Ralph ‘Lin’ Saunders, DDS. Story, page 6. 10 Hot Seat – Then and Now 28 Faculty Publications 14 Economic Outlook for Photo by Keith Bullis Dentistry

2 eioh | university of rochester medical center at EIOH. Whether it is with current residents, loyal alumni around the world, faculty or staff, there is a sense of belonging to a bigger unit…a family. Like all family structures, the EIOH family has some issues. Some members feel like distant cousins. Some might not feel comfortable attending a family reunion. Some may choose to change their last name. Those issues are part of any family. In my short time at EIOH, I have tried to reach out to all parts of the family and show them that they are indeed important in the bigger structure. I have actively listened to concerns and interacted with groups all over this country. I have seen a renewed sense of reunion and think this is only the beginning. During my extensive domestic and international travel as ADA President, I constantly encountered EIOH alumni. All were aware of the search for a new Director and expressed interest in maintaining EIOH’s stature in the profession. Many were surprised by my reaction. I shared my belief that no institution, EIOH or any other should be willing to simply maintain the status quo. Vision and innovation should be the hallmarks of planning for William R. Calnon, DDS (GPR ’79) the future. Acting Director On May 13, Eli Eliav, DMD, MSc, PhD, was named as the next director Eastman Institute for Oral Health of EIOH and vice dean for Oral Health within the School of Medicine and Dentistry. A widely published expert in oral medicine and orofacial pain, Dr. Eliav has been serving as the chair of the Department of Diagnostic Sciences, director of the Center for Temporomandibular Disorders and Orofacial Pain and is the Carmel Endowed chair in Algesiology at the New Jersey Dental School, part of the University of Medicine and Dentistry at New Jersey. Dr. Eliav possesses the skills and vision necessary to move EIOH to new heights and to create an environment in which all can excel. Dr. Eliav begins September 1 and I look forward to working closely with him during the transition. We are about to enter a new chapter for EIOH, a chapter in which we all must work together to accomplish what is best for the institution as a whole. I am proud to have had a chance to reach this new chapter. Going forward we must assess risks and rewards and “waste no opportunity.”

Eastman Institute for Oral Health Editor Karen Black 625 Elmwood Avenue, Box 683 [email protected] Rochester, New York 14620-2989 Art Director Kathleen Mannix www.urmc.rochester.edu/dentistry/ Photography Keith Bullis

Momentum is published by the University of Rochester Medical Center.

momentum | summer 2013 3 nnnn Special Announcement

4 eioh | university of rochester medical center Eli Eliav Named Director of Eastman Institute for Oral Health

Eli’s career path as an academician, researcher and clinician make him an outstanding choice... —Mark B. Taubman, MD, dean, School of Medicine and Dentistry

li Eliav, DMD, MSc, PhD, has been clinical and research advances related to all “The blend of teaching, esearchr and named director of the Eastman Institute for dentistry disciplines. clinical components with Eastman Institute Oral Health at the University of Rochester “When I was a resident in Jerusalem in presents unique challenges, and Dr. Eliav Medical Center and vice dean for Oral the early ‘90’s, I heard great things about has addressed them by offering a solid vision Health within the School of Medicine and Eastman and its excellence in postgraduate for Eastman, with some innovative and Dentistry. A widely published expert in education, research and clinical care,” exciting ideas to maximize our potential in oral medicine and orofacial pain, Eliav has said Eliav. “I would have never believed all three areas,” said William Calnon, DDS, been serving as the chair of the Department it if someone told me then that one day I acting EIOH director and president of the of Diagnostic Sciences, director of the would be director of this fine institution. Eastman Dental Center Foundation Board. Center for Temporomandibular Disorders I’m excited about what the future holds for and Orofacial Pain, and is the Carmel Eastman Institute and the Medical Center.” Eliav begins September 1. Endowed chair in Algesiology at the New Eliav earned his dental and post graduate Jersey Dental School, part of University of degrees and completed his residency training Medicine and Dentistry at New Jersey. in Oral Medicine at Hebrew University “Dr. Eliav’s demonstrated leadership in his native Israel. He then completed a abilities, combined with his extensive research fellowship at the National Institute academic, clinical and research experience of Dental and Craniofacial Research related make him a perfect fit to lead the entire to pain and neurosensory mechanisms. He oral health enterprise within the medical joined the New Jersey Dental School as an center,” said Bradford C. Berk, MD, PhD, associate professor in 2004. chief executive officer of the University of “Eli’s career path as an academician, Rochester Medical Center. researcher and clinician make him an Among many career highlights, Eliav has outstanding choice to continue the a longstanding history for gaining support momentum that the Eastman Institute for from National Institutes of Health, as well Oral Health has gained through its recent as funding for industry research and service clinical re-engineering initiative and other grants. He has served on the editorial and efforts to expand and enhance its education, scientific boards for several major journals, clinical and research programs,” said Mark presently serving as editor-in-chief of B. Taubman, MD, dean of the School of Quintessence International, which provides Medicine and Dentistry, who served as chair vital information and special reports on of the search committee.

momentum | summer 2013 5 nnnn Cover Story

Dental Care for Older Adults a Growing Concern Eastman at the Forefront in Education, Clinical Care and Research

If I had known I was going to be Center for Health Statistics, confirms here this long I wouldn’t have let my dentist that the prevalence of edentulism among pull all my teeth when I was 50.” older adults continues to fall. The report This was the lament of an 86 ear-oldy states that older Americans are retaining resident of the nursing home at Monroe their teeth more than ever before and will Community Hospital (MCH) in Rochester. remain susceptible to oral diseases and Her comment has come to be familiar disorders. That means retired baby boomers, to Director of Dentistry at MCH and (Americans born during the 18 years EIOH Professor Ralph H. Saunders, Jr., following World War II between 1946 and DDS, MS (Gen Den ’80), who, along with 1964) will require more dental services and other faculty, dental residents and fellows, likely purchase more advanced services than Dr. Saunders and Virginia Weller share a is working to learn how to best maintain younger patients. laugh after her dental appointment at Monroe and improve oral health for the growing Although Eastman Dental has always Community Hospital. population of elderly, who are retaining provided care for older adults, a more their teeth longer. focused effort in clinical care, education, A recent report from the American and research in geriatrics began in the early Prosthodontic Resident Hai Qing, DDS, Dental Association’s Health Policy Resources 1980’s, when all health professions were treats a patient at MCH while Dr. Saunders Center quoting data from the National becoming increasingly aware of the rapid supervises.

6 eioh | university of rochester medical center “ I am so grateful to General Dentistry at Eastman. Many doors were opened to me because I was a part of the Eastman family. Thank you for your caring

support.” —Ann Slaughter, DDS, MPH (Gen Den '94)

growth of the elderly population with its Office for Aging and several other local attendant needs and challenges. Saunders, organizations serving older adults joined working with Stanley Handelman, DDS, to form Eastman’s Geriatric Dentistry Task former chairman of General Dentistry, Force which was essential for developing Dental Issues Facing received one of the new (at the time) and promoting early activities. Older Adults National Institutes of Health (NIH) A sequence of other training grants Geriatric Dentistry Academic Awards, followed which have greatly enhanced Susceptibility to Cavities which provided for early personnel opportunities for dental geriatrics in This was of minimal concern development and program growth. Rochester. At this time Saunders serves as to previous generations of “Dr. Handelman’s foresight and guidance dental director in the UR Interdisciplinary older adults, because few teeth were invaluable in initiating geriatrics activi- Geriatric Fellowship Training Program remained. Today, the prevalence of ties here,” said Saunders, who is also a pro- for Dentists, Mental Health Professionals, crown caries is about the same as fessor and the first dentist in the Division and Physicians; this program is funded by for other adults, but much higher of Geriatrics and Aging in the UR School the NIH Health Resources and Services for root surface caries. of Medicine and Dentistry’s Department Administration and is in its third renewal of Medicine. Other faculty and also leaders period, currently funded through 2015. Dry Mouth from the Monroe County Another key factor in the development Estimates vary, but some say up and growth of geriatric dentistry education to half of all older adults will get has been the opportunity for patient- dry mouth, which facilities getting centered clinical training and also research cavities and is uncomfortable. at MCH, a 566-bed academic long-term care facility. Because about 70 percent of the More Prevention patients are age 65 or older, rich possibilities Because of more physical and exist for learning about interacting with cognitive disabilities, older adults older adults and their caregivers. About four have the poorest oral hygiene years ago, Saunders worked with dental and greatest need for creative office professionals to re-design the MCH preventive strategies. Encourage dental clinic, incorporating state-of-the-art older patients to use topical features for comprehensive oral care for fluoride every day. older adults with disabilities. All residents in Eastman’s General Dentistry and Age is Relative Prosthodontics programs complete rotations Unless specific medical conditions to MCH. exist, consider the full range “We are very pleased and fortunate that of options when planning. those who have trained in dental geriatrics in Rochester are making contributions of their own in this field,” said Saunders, who serves on the board of the American Society initiated by Handelman, to provide Ann Slaughter, DDS, MPH (Gen Den ’94) for Geriatric Dentistry and is a diplomate in advanced training to graduates who may not Special Care Dentistry. otherwise have the opportunity. Like Ann Slaughter, DDS, MPH (Gen “I always had a specific interest in Den ’94) for example, who chose Eastman caring for older adults, but this subject had because of a partnership with the Meharry only a minor place in my dental school Medical College School of Dentistry, curriculum,” Slaughter explained.

momentum | summer 2013 7 nnnn Cover Story

“My second year at Eastman provided a comprehensive clinical experience targeted to functionally dependent older adults. I also gained experience working with portable equipment in nursing homes, learning to treat patients with a broad range of cognitive and physical deficiencies with compassion and maintaining their dignity.” After she left Eastman, Slaughter pursued additional training and completed a Fellowship in Geriatric Dentistry at the University of Connecticut and then completed her MPH at the University of Michigan School of Public Health. “Dr. Saunders’ guidance and expertise and support played a pivotal role in my career beyond the walls of Eastman,” she said. “I have never had a better mentor than Dr. Saunders throughout my formal training and academic career. He has the unique ability, through his gentle and humble manner to want you to build beyond your expectations for yourself.” For 10 years, Slaughter was on the faculty at the University of Pennsylvania’s School This lift allows increased access to care and of Dental Medicine as course director for comfort for older patients who are wheelchair- Geriatric Dentistry. There she developed bound, such as Mary Jane Thompson, and tested evidence-based, culturally pictured above. relevant health promotion programs tailored to older African-Americans. Presently, she is working in Philadelphia providing Huerta-Andrade, who now practices care to nursing homes as an independent locally at Ultimate Smile Dental, notes that contractor. She also holds the distinction dentists around the world must be prepared since 2008 of serving as the only dentist on now to care for seniors, because of the the City of Philadelphia Board of Health. explosion in growth of the 65+ segment of Ricardo Huerta-Andrade, DDS, (Gen the population. Den ’02 and Prostho ’05) completed the Other EIOH alumni who today Geriatric Dentistry Fellowship in 2007 continue to make a difference by caring for and said the program allowed him to grow older adults include Kevin Hendler, DDS personally and professionally. (GPR ’88, Gen Den ’89), past president “Other than meeting wonderful people of the American Society for Geriatric and building lifetime relationships, I was Dentistry and now director of Dentistry at glad the experience allowed me to serve the Wesley Woods Geriatric Care Center in Atlanta. Lauren Doss, DDS (GPR ’04) the community and to contribute to the Ricardo Huerta-Andrade, DDS increase of scientific knowledge through (Gen Den ’02, Prostho ’05) is the Dental director at Canandaigua’s research,” he said. Veterans’ Administration Medical Center, and Jennifer Calnon, DDS (GPR ’11, Fellowship ’12) serves as a VA staff dentist.

8 eioh | university of rochester medical center Research Geriatrics and Aging and medical drector at Many needs exist for research in The Highlands of Pittsford. geriatric dentistry because older adults have Walpole is researching the value of a historically been studied less than children new protocol for educating and motivating and other age groups. Saunders has had nursing assistants toward effective daily both leadership and participatory roles in mouthcare for nursing home residents. a variety of geriatric research activities. Early on, he worked with mentor Stanley Future of Geriatric Dentistry Handelman investigating older adults’ Education at EIOH verbal and nonverbal communication “Although funding for training grants for during initial dental visits. His master’s leaders in education in this non-specialty research helped establish the role, now field of dentistry will remain competitive for widely accepted, of medications in reducing the foreseeable future,” Saunders predicted, saliva flow and increasing risk of root surface “continuing to educate our residents in the caries among nursing home elderly. basics of the theory and practice of geriatric Working with Eastman Dental care remains essential, and is now firmly Community Dentistry investigators Dennis established in the basic EIOH curriculum.” Leverett, DDS, MPH, and Ronald Billings, The history of innovative geriatrics DDS, Saunders has served as an NIH- education and clinical care in Rochester and Adina Jucan, DDS (GPR ’11, Gen Den ’12) calibrated examiner for surveys of older at Eastman combined with the demographic adults’ oral health and later led an oral imperative of new generations of older health evaluation of a Medicare-supported adults, continue to point toward a bright Tenderness and compassion are a regular intervention of homebound elderly. His future for geriatric dentistry education. part of treatment at Eastman Dental at most recent projects focus on oral health- Monroe Community Hospital. related quality of life of older adults and also education of dentists and dental hygienists in dental geriatrics. In his chapter in a new text, Geriatric Dentistry, Caring for an Aging Population, (ed. Paula K. Friedman, Wiley- Blackwell, Inc.), to be published in January, Saunders reports on progress in geriatrics education of dental students over the past 25 years.

Training the Future Experts Current Geriatric Dentistry Fellow Adina C. Jucan, DDS (GPR ’11, GenDen ’12) recently presented her and Saunders’ evaluation of the effect of a nursing home rotation on attitudes of dental hygiene students toward older adults at the American Geriatrics Society annual meeting. “Caring for older adult is in my heart and this is the fastest growing segment of the population,” said Jucan, whose work has received kudos from Tom Caprio, MD, UR’s director of Geriatrics Training and the Finger Lakes Geriatric Education Center, and Annette Walpole, MD, professor of

momentum | summer 2013 9 nnnn Feature Story

Still Sizzling After 58 Years

J. Daniel Subtelny, DDS, MS, doesn’t recall exactly how Hot Seat got its name, but the famous class has been making an indelible impact for the last 58 years, ever since he first arrived at the Dental Dispensary on Main Street in 1955. “One graduating class actually purchased a Fishman, DDS (Pedo ’59, Ortho ‘61), who “Again, he asks, ‘and what else?’ Now you red chair to go in the Orthodontic Seminar has been teaching part time at Eastman know you have to attempt your best vault, room as a symbol to the individual who is in since 1963. “When I was a resident, once even though you just learned it a week ago, the Hot Seat,” he said. you started in the Hot Seat, at the very and you’re not too sure about the outcome. “We all know the term means that least you had an upset stomach and were a Only now does the fact that you are one person, in particular, is in the line of nervous wreck. But unlike today, you never performing at the international level become fire,” explained Subtelny, who has served knew when Dr. Subtelny would let you go. consciously apparent.” as the Orthodontics Program chair for It felt like a zillion weeks later!” “Hot Seat is unique in that it has most more than half a century. “For Hot Seat in Assistant Professor and alum Michael likely remained unchanged in its structure Orthodontics, that means one resident is Spoon, DDS (Ortho ’91) likens the and content over the 50+ year period,” lined up to take the direct questions and Hot Seat experience to a gymnast preparing observed Assistant Professor Edward answer them as best as he or she can.” to vault. Sommers, DMD (Ortho ’78), who has been Sounds easy enough, except he’s never sat “You’ve practiced the run up, the mid- teaching part time at Eastman Dental for in that red chair. What he didn’t mention is air twists and the landing hundreds of 31 years. “Not once during my attendance that the student is in the Hot Seat for three times,” he said. “You take your first pass do I recall Dr. Subtelny being absent from or four straight hours, once a week, for five and think you’ve nailed the landing, but a Hot Seat seminar. Only a vacation or weeks in a row. then you hear those infamous words, an important orthodontic event would “The otH Seat for my class wasn’t just hot ‘and what else?’ necessitate canceling.” – it was burning,” recalled Professor Leonard “So you take a second pass and you Current resident Jeremiah Juson, DMD, increase the level of difficulty,” he continued. can testify to having a similar experience to

10 eioh | university of rochester medical center “Hot Seat makes you aware that you don’t know it all and that there is more than one way to approach a problem.” – Michael Spoon, DDS (Ortho ’91)

that of his older colleagues. While in the Three Major Segments “But the multiplicity of cephalometric TMJD Fellowship, he became friends with Hot Seat starts when Ortho residents analysis would sometimes lead to confusion the ortho residents and interacted with the begin their second semester of their first in the early training of an orthodontic faculty, who inspired him. He spent several year and runs weekly until they graduate resident,” Sommers explained. “In the Hot weeks preparing for his first Hot Seat. the two-year program. It covers three major Seat, Dr. Subtelny is able to sort out all of Confidently prepared, Juson, who never topics: patient history and examination, the confusion and tie all of the information imagined he would be accepted into the cephalometric (x-rays) examination, together in a meaningful way.” highly competitive ortho residency program, and treatment. Subtelny emphasizes teaching of the was ready. fundamental principles “On that first of orthodontic day, Dr. Subtelny treatment, including asked me to go to principles of tooth the board instead movement and the of reading off my basic methods of presentation from biomechanics. “Dr. my Mac,” Juson Subtelny was more said. “I was stunned. interested that we I was so nervous become well-versed in I was sweating the basic fundamentals everywhere! of orthodontics “I was on the than the ever- board drawing a changing techniques facial profile and he of orthodontics,” was asking question Sommers said. after question,” Fishman agrees. he said. “I know I “The strength of had the answer in our program is my head because that Dr. Subtelny they were in my And What Else? Over the years, Dr. Subtelny (center) has made a positive impact in the minds of has always based presentation; but many. (l to r) Dr. Fishman (Pedo ’59, Ortho ’61), Dr. Sommers (Ortho ’78), Dr. Juson, current patient diagnosis and without my Mac, resident, and Dr. Spoon (Ortho ’91). treatment planning in I was paralyzed.” a biologic context,” he Juson quickly realized that he cared too “The firstot H Seat always starts the said. “It is emphasized over and over much about not missing anything rather same: ‘Why did you take a history from that the mechanics of treatment must be than really understanding. your patient in dental school?’” Sommers based on an individualized evaluation “Throughout the whole thing, though, recalled. “It would start from the birth of the patient’s patterns of growth and Dr. Subtelny never intimidated me nor did process of a human, leading into involved development. he make me feel stupid,” he added. “He was discussions of anatomy and physiology that “Not all orthodontic programs are like gentle and kind when asking his questions. pertain to the orthodontic case.” this,” he added. “Academics are essential and He asked in different ways and in different The next major topic is images of subsequently stressed so that a treatment manners, because he wants me to think. He the skull. In class, residents and faculty plan can be individualized relative to his or was trying to knock some sense to my head thoroughly discuss and review many her unique developmental patterns.” and he did!” analyses of x-rays.

momentum | summer 2013 11 nnnn Feature Story

“For all the stress Hot Seat generated, in retrospect it was a gift that allowed you to rise to the occasion and gave you lots of confidence.” – Leonard Fishman, DDS (Pedo ’59, Ortho ‘61)

Teaching Style simply replied, ‘If you had stayed up until find what he knows in PubMed or on the “My goal is to help them build a base of 3 a.m., would you have had time to do the internet. He is intimately familiar with the knowledge that is unforgettable personally growth estimate?’” developmental foundation of many of the and professionally,” explained Subtelny. “If And when a different resident replied to techniques we use today.” a student in the Hot Seat does not have an one of Dr. Subtelny’s questions by saying Like the hundreds of residents before answer, then I go around the room until I that only 2 mm were lacking for a tooth, him, Juson now knows that Hot Seat is not have an answer – this way everyone has to Sommers said Subtelny would reply by just about orthodontics. be on their toes!” saying ‘have you heard of the man who “Hot Seat is about how you should look Hot Seat reflects Subtelny’s preferred drowned because the water was just 2mm at things. Hot Seat is about how to make method of teaching – the Socratic Method, over his nose?’ things happen effectively or how to prevent which focuses on making students think on “Dr. Subtelny, like any good coach, them from happening. It is a learning their own, rather than repeating what they is trying to tease the best out of you, to experience that I will be proud to pass on to have read and “regurgitating” it back to the make you think about your task from the next generation,” he said. professor. many different perspectives, and to consider Graham recently introduced the Journal’s “We started with embryogenesis the myriad of techniques that will lead to a newest feature, The Hot Seat, named after and progressed through non-nutritive solution for your patients,” Spoon said. “The Subtelny’s infamous program that will sucking patterns of the fetus, any and synaptic sweating and mental gymnastics highlight, Graham writes, “some of the best all parafunctional habits, nutritional of his teaching method are designed to make clinicians and educators in the orthodontic considerations, and every phase of growth you consider all the possibilities—that he specialty. Each installment will be based and development,” wrote John Graham, knows and that you have yet to learn.” on a single, often controversial topic and DDS, MD, (Ortho ’04) contributing editor will have a new set of contributors. The of Journal of Clinical Orthodontics. He said Lasting Impact challenge to each respondent is to be brief, Subtelny is one of the greatest influences in “I think Hot Seat prepared many of the sometimes pithy.” his career. “The actual treatment plan would EIOH graduates to go on to be leaders in be proffered by the beaten and humbled the orthodontic profession,” said Deborah Hot Seat’s Future resident around hour 15 or 16. In Dr. New, DDS, MS, PhD (Ortho ’94, MS So what will happen to Hot Seat when Subtelny’s Socratic method, every question ’96 PhD ‘98), a part-time instructor at Subtelny retires? was answered by another question until Eastman. “Many Eastman graduates have “It absolutely could never be the same!” utter exhaustion settled in.” gone on to lead in orthodontics, throughout Fishman said. “It is likely that the format Some might say it was as if Subtelny had the world. We are a global family!” will probably continue. I am confident a sixth sense, always asking for the one thing “For all the stress Hot Seat generated, that another chair can also be very effective, the resident had not prepared. in retrospect it was a gift that allowed you but the very extensive knowledge and the Sommers recalled when Subtelny once to ‘rise to the occasion and gave you lots of positive effectiveness of Dr. Subtelny’s asked a resident for the result of his growth confidence,” reflected Fishman. leadership as a teacher is too unique.” prediction, an estimate of how the patient “Hot Seat makes you aware that you will grow, which plays an important role don’t know it all and that there is more in treatment planning. “And of course the than one way to approach a problem,” resident had prepared everything but the Spoon added. “What Dr. Subtelny growth prediction,” he said. “The resident uniquely contributes is a historical said to Dr. Subtelny that he had been awake perspective and knowledge base that is until 1 a.m. preparing the case. Dr. Subtelny shared by almost no one else. You won’t

12 eioh | university of rochester medical center Two Grants Established

The Ortho Alumni Association established two research grants to benefit patients with clefts and craniofacial anomalies. The J. Daniel and Joanne Subtelny Orthodontic and Speech Pathology Clinical Research Grants Hot Seat in Action Ortho residents ponder a question presented by Dr. Subtelny. honor their lifetime commitment to clinical care, research and education in the cleft/ craniofacial fields. Dear Dr. Subtelny, One will be given Faculty and Family at to a current or future Eastman Orthodontics Division: orthodontist and the other to a speech and Thank you for your endless support, language pathologist guidance and mentorship. Thank and/or audiologist. Both you for providing me with the winning applicants knowledge and insight necessary will be chosen for their to be a successful orthodontist. significant project that I humbly thank you for your will benefit the care commitment, passion and generosity. of patients with cleft Because of you, I have gained or other craniofacial the confidence necessary to meet deformities. the demands that lie ahead and To contribute to the maintain the high standard expected fund or to learn more, of an Eastman Ortho graduate. contact Alvaro Figueroa

Thank you for the Hotseat!!!! I at Alvaro_Figueroa@ took the ABO board two weeks ago rush.edu and I was well prepared to answer all questions by a few prominent Orthodontists. I successfully passed the examination. It goes without saying that the Hot Seat gives solid foundation and provides necessary elements to think and then talk especially when seated across the table of our peers.

Nader Ehsani (Ortho ’07)

momentum | summer 2013 13 nnnn EIOH NEWS

Economic Outlook for Dentistry

he American Dental Association Momentum asked Marko Vujicic, PhD, of a team responsible for policy research Health Policy Resources Center is a thought managing vice president, Health Policy and support to Ministries of Health in leader and recognized authority on critical Resource Center’s Dental Practice and developing countries. He has also worked policy issues facing the dental profession. Professional Affairs Division, to answer a extensively on broader health systems and TThrough unbiased, innovative, empirical few questions about the future economics health financing issues in Africa, East Asia, research, HPRC helps dentists and policy of dentistry. South Asia and the Caribbean as well as makers make informed decisions that Before joining ADA, Vujicic was a Eastern Europe and Central Asia. affect dental practices, the public and the senior economist with the World Bank in profession. Recently, HPRC reported their Washington, D.C., and a health economist Q. Many people think the downturn findings, which reveal some interesting with the World Health Organization in consumer spending on dental services trends. in Geneva, Switzerland, where he was part began in 2008 with the recession. The research you and the HPRC team completed says otherwise. Please elaborate.

A. Using the most reliable data sources from CMS, we have shown that when you adjust for population and inflation, dental spending in the United States has been flat since 2008. More importantly, it began to slow in 2002, well before the economic downturn. This is after years of steady growth in the range of about 4% per year through previous decades. It is clear from our analysis that some type of structural shift in the dental economy occurred in the early 2000s and what we are seeing now is not simply cyclical effects related to a recession. This time is clearly different.

Q. Treating underserved children is a large part of our mission at EIOH, and it’s fantastic news to see that the last decade saw remarkable gains in the percentage of children in the US who visit a dentist. & However, you report that there has been Q A a decline in adult utilization. Do you see both trends continuing?

A. It is encouraging to see the gains in dental care utilization among low-income children. In fact, 47 out of 50 states saw an increase the past decade in the percent

14 eioh | university of rochester medical center A. This is a complicated question. opportunities for dental schools and dental Nationally, I can tell you that our data show organizations, including the ADA, to really a steady increase in the share of dentists who expand their global reach. say they are not busy enough and can treat more patients. In 2011, almost 2 out of 5 Q. The HPRC reports that average dentists told us this. This clearly indicates dentist earnings have been declining since there is capacity in the system and there the mid 2000’s and have not recovered. is no shortage of dentists. Our research You attribute lack of insurance coverage, also shows that more and more adults, dental fees and an increased number particularly young adults, are not able to get of those insured through Medicaid as the care they need but the main reason is possible reasons. Will earnings continue not lack of providers, but cost. Emergency to be flat, increase or decrease over the room use is up for dental conditions as next several years? well, but again a lot of that has to do with eroding dental benefits, both private and on A. This depends on a lot of factors. At the Medicaid side with states cutting back. the most macro level, the future trajectory All this points to a coordination failure, of dental care utilization is a critical factor and the need for policy makers to focus on with enormous implications. Preliminary solutions that leverage existing capacity. research we are doing suggests that while the Looking forward, our latest projections of aging population could very well provide Marko Vujicic, PhD, managing vice president, the future dental workforce basically show a big stimulus to the dental economy, the Health Policy Resource Center’s Dental steady dentist per capita levels, but on the decline in utilization and spending among Practice and Professional Affairs Division demand side, if things continue, utilization younger adults could offset this. We could might keep declining. This is something my be heading for a ‘new normal’ in terms of of children on Medicaid who had a dental team is diving into now with some novel per capita dental spending, with very little visit in a year. For adults, thought, the story analysis, so stay tuned. growth over the next decades. That would is totally different. Since the early 2000s, suggest slow or little growth in earnings. dental care utilization among adults has Q. We have alumni working in almost At the same time health reform, with its been falling – most severely among the poor, every country in the world. Are there emphasis on increased coordination of but across all income groups, actually. With economic trends that will affect dentistry care among providers, and the increasing the Affordable Care Act, research we just around the globe? evidence of the impact oral health has released shows that there will be a significant on whole-body health and medical costs, expansion of dental benefits among A. This is something that we have not there could be opportunities opening children. This would suggest continued really looked at since we obviously have up for dentists within this new health increases in dental care utilization among our hands full understanding the absolute care environment that we have not even children. For adults, however, the Affordable transformation of the dental market that is considered. It is a challenging time for the Care Act did little to reverse the trends. occurring domestically. I can tell you that profession but at the same time there are as countries like India and China see rapid opportunities for strategic action. Some media reports claim there is a Q. growth in their middle class, that will likely shortage of dentists in this country. What spur significant increases in demand for For more information visit the does your research estimate the numbers dental care. There could be many ADA Health Policy Resources of dentists to be in the future and how Center at http://www.ada. does that compare to today? org/1442.aspx.

momentum | summer 2013 15 nnnn EIOH News

New Guidelines Now Available to Manage Oral Mucositis

Oral mucositis, a Society of Oral Oncology (MASCC/ in respect to light therapy, cryotherapy, ISOO), comprised of some 250 members cytokines and growth factors, common, debilitating involved with health care of oncologic antimicrobials, anesthetics, analgesics, patients. coating agents, anti-inflammatory agents, complication of Working closely with MSG chair, Raj natural and miscellaneous agents, as well Lalla, DDS, PhD, CCRP, and MSG co- as the management of gastro-intestinal cancer chemotherapy chair Joanne Bowen, PhD, Elad coordinated mucositis are all included in the updates.” a multi-disciplinary professional team of Based on the new scientific evidence, and radiation and almost 100 international members of the numerous new guidelines are available at group to develop the method planning either the recommendation or suggestion hematopoietic stem cell and platform organization and assist with level. To view the latest guidelines, visit the content building of the guidelines. www.mascc.org/mucositis. transplantation, occurs These efforts culminated in a series of MSG of MASCC/ISOO will meet systematic reviews. this summer to plan the future steps in up to 80 percent of “All publications are now available on regarding the multi-disciplinary efforts PubMed, and have been attracting a lot of to develop better oral health care and the patients, and ranges attention,” Elad said. “Information dissemination of the guidelines. from inflammation and redness to severe ulceration.

“Symptoms of mucositis vary from pain and discomfort to an inability to tolerate food or fluids. Mucositis may also limit the patient’s ability to tolerate either chemo or radiation, and can be so severe as to delay treatment and therefore possibly limit the effectiveness of cancer therapy,” explained Sharon Elad, DMD, MSc, chair of EIOH’s new Oral Medicine Division. “Oral mucositis was associated with increased narcotics consumption and increased risk for systemic infection. “It is therefore extremely important that mucositis be prevented whenever possible, or at least treated to reduce its severity,” added Elad, who recently co-chaired a complex project to update Clinical Practice Guidelines for oral mucositis management. All of the updated guidelines have now been released. The project was carried out by the Mucositis Study Group (MSG) of The Multinational Association of Supportive Care in Cancer / International Dr. Elad (left) with Dr. Lalla

16 eioh | university of rochester medical center nn Resident Profile

An AEGD resident, Balu Krishna Balu Krishna, DDS earned his dental degree and studied as a maxillofacial surgeon in his native India. He was awarded a Fellowship in Urgent Care, and worked there for one year.

Q. Favorite aspect of working at Eastman so far? A. I loved working in Urgent Care. It’s an ideal setting for me. They are well organized and the staff and faculty are amazing.

Q. What are your plans following graduation next year? A. To pursue my career as an oral maxillofacial surgeon, and spend more time with my wife and son.

Q. Favorite things to do in Rochester? A. I love the jazz festival, parties in the park and all the live music bands in and around Rochester.

Q. Proudest professional achievement? A. When one of my patients was so happy that she blessed my parents for long life.

Q. Is there a person who has inspired you? A. Dr. David P. Tauro (oral maxillofacial surgeon), who has been my mentor and is the best surgeon I’ve worked with. He inspires me every day to be a perfectionist.

Q. Favorite phone app? A. Shezam for iPhone

Q. Do you have any hidden talents? A. Painting, carving and cooking

Q. Do you have a bad habit you’d like to break? A. I shall confess my bad habit once I break it!

momentum | summer 2013 17 nnnn EIOH News You can play an important role in improving dental care across the nation! Plenty of Ideas and Energy at First Meeting

The National Dental PBRN is a non-profit research network. Its major source of funding is from the National Institute of Dental and Craniofacial Research (NIDCR), which is part of the National Institutes of Health (NIH).

OUR MISSION: To improve oral health by conducting dental practice- based research and by serving dental professionals with education and collegiality

Attendees worked in small groups to develop ideas for future research

Practitioners who attended the first annual After Paul meeting of the Northeast Region of the Benjamin, DDS, National Dental Practice Based Research a NDPBRN Network felt there should be a closer practitioner from collaboration with medical colleagues Miami, FL, gave related to smoking cessation therapy and the keynote address, (l to r) Drs. Donald DeNucci, Dena Fischer and Paul Benjamin NIDCR’s Donald a study as such could be carried on in the developed and presented relevant clinical DeNucci, DDS, director, Dental Practice- dental offices across the U.S. questions that may become research studies Based Research Networks and Dena Fischer, Other study ideas some of the 76 dentists in the National Dental PBRN. DDS, MSD, director, Clinical Research and hygienists who attended the inaugural Finding time to fit a study into a busy and Epidemiology Program presented an March meeting developed were related to daily practice was the subject of another overview of the national network’s history the treatment outcomes of the cracked tooth The National Dental Practice-Based Researchbreak Network out session.(National DentalThere, PBRN) practitioners is comprised ofwho and its future importance to NIDCR, syndrome, management of Class V caries practitioners who are committed to advancinghave oral participated health knowledge in byprevious participating studies in research. shared because the results from this research will lesions, which whitening products are most tips from their experiences. dramatically improveThe Northeast care to patients.Region encompasses Connecticut, Delaware, District of Columbia, Maine, Maryland, effective, how they should be used, most Massachusetts, New Hampshire, New Jersey, NewParticipants York, Pennsylvania, learned Puerto about Rico, beneficial Rhode Island, US “They erew pleasedVirgin Islands,to see andthe Vermont. level of common side effects, and which ones have strategies like engaging office staff into the practitioner engagement and the progress the highest rating among patients. Staff at Regional Centers across the nationprocess, will be your as connection it helped to tothe identifynetwork. Central potential the network has madeadministration in recruiting of the network is provided by the University of Alabama at Birmingham under the The practitioners erew also interested study patients, obtain the consent and practitioners and developingdirection of Gregg studies,” Gilbert, DDS, MBA, FAAHD, FICD. in learning more about what placement follow the study procedures. Morning team said Cyril Meyerowitz, DDS, principal technique is the most successful when huddles were also helpful, to strategize investigator for the Northeast region. restoring dental implants. Visit the National Dentalthe enrollment Practice process Based for Research the day. The Practitioners broke into small groups and Network website for more information: www.nationaldentalpbrn.org

WHAT ARE THE BENEFITS OF HOW DO I BECOME A JOINING? MEMBER?

Conduct research in your practice Enroll in the network by completing the enrollment questionnaire 18 eioh | university of rochester medical center Expand your knowledge base for making clinical decisions at: www.nationaldentalpbrn.org Enhance the image of your practice Participation in the network is at one of Engage staff in the excitement of discovery and quality three levels: improvement Informational-receive newsletters and correspondence

Achieve continuing education credits Limited-receive newsletters, correspondence, and participate in surveys Receive financial remuneration for the time spent doing studies Full-receive newsletters, correspondence, participate in surveys,

Meet and interact with other practitioners involved in the network

Participate in the dissemination of study results

Contribute to the development of knowledge that improves oral health nn EIOH News

Living the Eastman Mission

Bob Malloy, Jr., DMD, (Ortho ‘00) he said. “The orthodontic and dental who were very excited to get a chance to recently traveled to Dar es Salaam, supplies were limited at MUHAS and bond cases. He has kept in touch to help Tanazania at Muhimbili University of most of their orthodontics were removable the interns through e-mail and photos. Health and Applied Sciences through appliances. But I lectured, did hands on Malloy is also working to help upgrade Health Volunteers Overseas, a secular laboratories, consulted and treated patients their equipment. “Every time I reached organization that sends health care workers in the clinic.” for something I realized I would have to all over the world. Malloy worked with 5th year interns improvise,” he said. “Unaware of exactly “I cannot say enough about what the orthodontic the kindness of the people I needs would be in worked with at the school and the this country, I realized Tanzanian people in general,” he immediately my first day said. “Their dedication to their in clinic that they were no patients and the profession were different than the U.S.,” admirable.

Dr. Malloy (right) worked with interns in Tanzania.

practitioners felt that dental hygienists, in the pipeline, including cracked teeth dental assistants and front desk staff were registry, suspicious occlusal lesion activity usually very enthusiastic to participate in and isolation methods used during the root research study once the study was explained canal treatment, expected to be launched to them, they learned the study objectives later this summer. and were reassured that the study itself will “All the participants who came to not infringe on the routine operation of the this meeting brought a high level of practice. enthusiasm and depth of experience,” added The last session of the day comprised Meyerowitz. “They generated a fantastic of three interesting presentations about Kathy Bohn, Research Administrator (left) and list of clinical questions that will lead to previous studies conducted in the PEARL Dr. Dorota Kopycka-Kedzierawski, Northeast studies. This network offers an unparalleled network and their results. Benjamin Regional Deputy Director opportunity for meaningful research and presented the results of the study about Allan Horowitz, DMD, described the study enhancing the attention on going evidence “Replacement or Repairing Dental “Outcomes of Endodontic Therapy in based clinical care in dental offices while Restorations.” General Practice.” increasing the body of evidence about oral Aaron Rosen, DDS, and John Gregg Gilbert, DDS, MBS, director health care.” Martin, DDS, presented the study titled of the National Dental PBRN, concluded The next NDPBRN meeting is planned “Periodontal Diagnosis Affected the meeting by describing the current for March 14-15, 2014 in Rochester, by Variation in Terminology.” research and studies that are currently New York.

momentum | summer 2013 19 nnnn EIOH News

First Handelman Fellowship Awarded

Dr. Alexis Ghanem (second in from left), was awarded the very first Handelman Fellowship during the recent Handelman Conference. He is with (l to r) Drs. Calnon, Handelman and Malmström.

Training future leaders in dentistry is friends have contributed to the fund in faculty there, Ghanem served in a number at the very core of Eastman Institute for recognition of Dr. Handelman’s long of increasingly responsible roles, including Oral Health’s mission. But the challenge career at Eastman and his exceptional head director of the Department of Oral facing Eastman and other dental training contributions to teaching. Surgery and coordinator of the Dental institutions has been the steady decrease Hans Malmström, DDS, professor Implants Course. of graduates entering academic dentistry and chair, General Dentistry and AEGD “Since his arrival, Dr. Ghanem as a career. program director, formally recognized has quickly stood out as a leader and Stanley L. Handelman, DDS, the world- Handelman for his vision, and all the mentor – serving as Ombudsman Class renowned ‘father of postdoctoral general donors for their generous support at the Representative,” Malmström said. “He is dentistry’ has dedicated his career to the recent Handelman Conference. much admired by his co-residents, faculty education of outstanding general dentists, “Today marks a special moment in the and staff, all who enjoy working with and in 2001 established the Stanley L. evolution of the Handelman Fellowship him. Like Dr. Handelman, he exemplifies Handelman Fellowship Fund to provide because we are presenting the first award the traits of the best teachers – clinical support to students and residents who have to a General Dentistry resident, Dr. Alexis excellence, patience, humility and loyalty.” an interest in a dental academic career. Ghanem,” Malmström announced to the Malmström added that the Handelman Handelman’s personal philanthropic 275 attendees. Fellowship will be awarded only when an leadership has ensured the success of Before Alexis Ghanem, DDS, MS, exemplary resident who truly embodies the this effort, with more than $100,000 joined Eastman as an AEGD resident in spirit of the Handelman Fund is identified. contributed to date and an additional 2011, received his training in dentistry and $900,000 in his estate. In addition, more oral surgery from the Central University of than 100 Eastman alumni, faculty and Venezuela in Caracas. While on the

20 eioh | university of rochester medical center nn EIOH News

New Bibby Librarian Named

Lorraine Porcello joins EIOH as the new Bringing extensive knowledge of She then served as Liaison Services Bibby Library librarian, replacing Elizabeth technical and teaching support at an Librarian for Primary Care at URMC, Mamo, who after 13 years of service, academic library to the position, Porcello working at both Miner Library at the resigned to take a position with advanced said she is delighted to pick up where Beth School of Medicine and Dentistry and responsibilities. left off to assist faculty and alumni with Williams Health Sciences Library at Mamo developed and delivered many literature searches and teaching. “And I Highland Hospital. educational programs, including searching, am committed to maintaining the library’s Porcello is a member of the Medical literature review, reference management, reputation for superior customer service,” Librarians Association, Upstate New York and Evidence Based Dentistry, which is now she added. & Ontario Chapter of MLA, Special required for all first year students She joined the University of Rochester in Libraries Association, and Beta Phi Mu, an and residents. 2002 as a full-time library assistant at Rush international library and information studies Mamo enjoyed many career Rhees Library’s Reference Department, honor society. accomplishments, including extensive while going to graduate school from 2006 Porcello and Branch Libraries Assistant literature searches, she managed the to 2010. Bonnie Archer will share their time between digitization of all print materials in the She earned two master’s degrees Bibby and William Libraries. Porcello can Eastman Dental historical collection, and from Syracuse University, one in Library & be reached at Lorraine_porcello@urmc. assisted author and historian Betsy Brayer Information Science and one in Information rochester.edu. with research and image selection for Management. Leading the Way.

Lorraine Porcello (center) replaces Beth Mamo (left) as Eastman Institute for Oral Health’s librarian. Also pictured is Bonnie Archer, Branch Libraries assistant.

momentum | summer 2013 21 nnnn EIOH News

U.S. - Chinese Exchange Program a Success

Lin Wang

A TV crew from China was at Eastman Dental recently to learn more about the exchange program.

China’s pre- and post-doctoral dental Oral and Maxillofacial Surgery program will schools have never had a fully qualified or soon send their senior residents to PKUSS developed General Dentistry program. But for a one-month rotation. thanks to the clinical and research collabora- “On the research side, two faculty mem- tive agreement between PKUSS and EIOH, bers and one graduate student from PKUSS established a couple years ago, that’s about are participating in joint research projects to change. with us,” added Ren. “We welcome all our Tongkai Xu “We have two guest professors, Dr. Jie faculty members and residents in EIOH Pan, an endodontist, and Dr. Yong Jiang, to explore the opportunities for collabora- a prosthodontist, who could be considered tion with PKUSS as the school is very well pioneers of general dentistry in China,” said equipped and has vast clinical resources.” YanFang Ren, DDS, PhD. “They have been Sharon Elad, DMD, MSc, professor and visiting us for the purpose of learning how chair of EIOH’s Oral Medicine Division, an official general dentistry program is run. worked with her cohort Professor Hong They have expressed that they have Hua, BDS, MDS, PHD, chair of Oral Med- achieved their goals and have gained much icine at PKUSS, to recently host a Beijing- insights into the concept of general dentistry Rochester Oral Medicine Seminar, where and the operation of an advanced general an intriguing oral medicine clinical case dentistry training program.” was presented, providing a diagnostic chal- Di Le In addition, EIOH has welcomed three lenge to the listeners. After great discussion faculty members from PKUSS, Drs. Lin among presenters and listeners, the enigma Wang, Tongkai Xu and Di Le as residents was solved. in the EIOH AEGD program. The EIOH

22 eioh | university of rochester medical center nn News & Notes

This Alum Traveled the a great class and all the best from Dr. Subtelny and all Farthest for Reunion memories are connected the other lecturers were The main easonr Gisli to time spent with my doing a good job, too.” Einar Arnason, DDS classmates – at meetings or Arnason, who has (Ortho ’07), traveled during different projects or a private practice in from Iceland to attend the classes...not to forget Dr. Akureyri, Iceland, said reunion was to meet up Subtelny’s Christmas party he will definitely be with Eastman people, ‘the and our very own mustache attending future reunions. Ortho family,’ classmates competition!” “I can without a hesitation and faculty. “I had a great The second easonr he recommend the same thing time in Rochester, both attended was that he found to everyone else!” he added. on residency level and the courses interesting. “You personally,” he said. “I had always pick up some pearls

Kudos to all the faculty who participated Paul Romano, Shiva Khatami, DDS (Ortho ’09) won in the meaningful use of certified electronic DDS, MS, (Gen the 2013 American Dental Education health records incentive program, allowing Den ’81 Perio ’97) Association Olav Alvares Award. EIOH to re-coup some of its major associate professor, investment, and re-invest it in information was named Bibby Library was recently selected, technology and other technological advances president of the among 1000 nominations, as an Honorable to keep residents’ education current and 7th District Dental Mention Library in the Rochester Regional state-of-the-art and enrich their experience. Society. Library Council 2013 Academic Library of the Year contest. The collection of the annual faculty/ Paul Romano resident photos is now available online! Check it out at: https://tinyurl.com/ Bryan Frantz, EastmanPhoto DMD (Perio ’87) was elected a trustee of the American Academy of Periodontology.

José Lemos and Jacqueline Abranches Bryan Frantz Jacqueline Abranches, PhD and Jose Sean McLaren, Lemos, PhD were recently awarded a DDS (GPR ’03 $1.25 million, 5-year RO1 grant, titled Pedo ’06) was Intracellular Invasion by Streptococcus Albert Guay with his wife Carolyn named program mutans: Significance in Disease from director of the NIDCR. Albert H. Guay, DMD (Ortho ’66) Pediatric Dentistry received the American Dental Association residency program. Distinguished Service Award, the highest honor conferred by the ADA’s Board of Trustees. Guay served as the ADA chief Sean McLaren policy advisor for many years, and the Board noted that he “monitored the dental and general health environment and identified Get Eastman Institute for Oral Health news delivered to your inbox! Send an email to [email protected] to subscribe. and researched emerging and potential future issues of concern to the profession and the Association.”

momentum | summer 2013 23 nn News & Notes

Maricelle Abayon, DDS, (Gen Den ’09, GPR ’10), assistant professor, and Lisa DeLucia, DDS, assistant professor, won the Golisano Foundation 2012 Healthcare Leadership Award for Exemplary Healthcare Services

Maricelle Abayon Lisa DeLucia

Erin Shope, DMD, Jingyuan Fan, Marlise Klein, (Pedo ’12) was DDS, PhD, DDS, MSc, PhD, honored twice at Periodontics Research assistant the 2013 American resident, won professor, won the Academy of the $25,000 GlaxoSmithKline Pediatric Dentistry AAP Educator International meeting in Orlando Scholarship from Association for for having the the American Dental Research highest score overall Academy of (IADR) Young Erin Shope on the Qualifying Periodontology Marlise Klein Investigator Award Board Examination. She received the James Jingyuan Fan Foundation R. Roche Award of Excellence given by the Isabelle Chase, DDS (Pedo ’02) is the Foundation of the College of Diplomates of Alessandro Geminiani, DDS, (Perio new program director at Boston Children’s the American Board of Pediatric Dentistry, ’12) won Best Poster in Clinical Research Hospital/Harvard School of Dental and the Richard C. Pugh Achievement at the annual American Academy of Medicine Award. Periodontology Meeting

nn In Sympathy

The Eastman Institute for Dr. David Stanley Richardson Making a Gift in Memory (Pedo ’78, MS ‘80) March 14, 2012 of a Loved One Oral Health expresses A nice way to honor a beloved friend, sympathy to the loved ones Dr. Stanley P. Hazen colleague or classmate is to make a gift (Perio ’60, MS ’60) April 12, 2013 in their memory to a favorite charity. of our deceased alumni EIOH and Eastman Dental appreciate and friends Robert Hurlbut March 4, 2013 gifts in memoriam and acknowledge Eastman Dental Center Foundation the donors as well as provide the Board member since 1997 family a list of contributors. Contact Carol Vanini at 585-275-2767 or email [email protected]

24 eioh | university of rochester medical center nn News & Notes

Elias Michael Chatah, DMD, AEGD resident, welcomed daughter Danielle Marie, born April 12, 2012.

Dedicated to all who are willing to help children and solve malocclusion before it becomes complicated and costly, Ali Bahreman, DDS (Ortho ’67), authored Lauren Hood Olson, DDS (Ortho ’08) Early Age Orthodontic Treatment, a new welcomed son Watkin Alec Olson book presenting all the information Oct. 16. necessary to understand the morphogenesis of orthodontic problems, to differentiate among various conditions and to apply early intervention approaches to optimal effect. Seventeen years in the making, the book is derived from Bahreman’s 45 years of practice, teaching and review of hundreds of Jeff Toothman, DDS (TMJ ’07, articles and books. Ortho ’09) and his wife Cathy welcomed Charlotte Grace January 2.

Fanrui Zeng, AEGD resident, and his wife Fei Shi, welcomed daughter Mengdi (Mendy) Zeng on January 28.

Patra Ong and Matthew Eppright

Patra Ong, DDS (Ortho ’13) Ortho resident, and Matthew Eppright, DDS were married on September 2, 2012 in Reading, PA. Balu Krishna, AEGD resident, and Ritu Sethi welcomed son Ayaan K. Nair on February 19.

momentum | summer 2013 25 nnnn Conferences

Snapshots from the Brewer Conference... Ms. Cynthia Welch

Dr. Carlo Ercoli (Prostho ’96, TMJ ’97, Gen Den ’98, Perio ’12), Dr. Jane Brewer, Dr. Jennifer Kuracina and Mr. Anthony Alexander

Dr. Christine Joseph, Dr. Elyce Link, Dr. Bin Yang and Dr. Audrey McNamara

Dr. Michele Carrabba, Dr. Luis Rivera Torres and Dr. Konstantinos Chochlidakis

Dr. Eufemia Carolina Pelaez Acosta, Dr. Hayleen Moran and Dr. Alejandro Sanchez-Lara Ms. Linda Edmunds and Dr. Ronald Jarvis

26 eioh | university of rochester medical center

... and the

Ms. Cynthia Welch Handelman Conference

Dr. Michael Mayer (Gen Den ’92), Dr. Barbara Gruchalska (Gen Den ’11) and Ms. Mona Fine

Ms. Carol Redanty Dr. Howard Weiner (Gen Den ’85) and Dr. Hans Malmström

Dr. Nirmala Tasgaonkar (Gen Den ’08, GPR ’09) and Dr. Gerard Chiche

Ms. Sandra Jackson, Ms. Jasmina Salkic and Ms. Kim Hampton

momentum | summer 2013 27 99 nnnn Faculty Publications

Recent EIOH Publications

Abdel-Azim, T., Fantuzzo, J., Batalocco, G., Cedro, M., Moles, D. R., & Hodges, S. Derr, A. M., Faustoferri, R. C., Cho, S., Ercoli, C., & Morton, D. (2013). (2012). Adult orthodontics in the absence Betzenhauser, M. J., Gonzalez, K., Marquis, Oral rehabilitation of an edentulous patient of orthognathic treatment: A hospital R. E., & Quivey, R. G.,Jr. (2012). Mutation using two-segment le fort I repositioning perspective. Journal of Orthodontics. of the NADH oxidase gene (nox) reveals an and implant-supported fixed prostheses. overlap of the oxygen- and acid-mediated The International Journal of Oral & Cheng, T., Sun, G., Huo, J., He, X., Wang, stress responses in streptococcus mutans. Maxillofacial Implants. Y., & Ren, Y. (2012). Patient satisfaction Applied and Environmental Microbiology. and masticatory efficiency of single implant- Arany, S., Benoit, D. S., Dewhurst, S., & retained mandibular overdentures using the Dhima, M., Arce, K., Moore, E. J., Rieck, Ovitt, C. E. (2013). Nanoparticle-mediated stud and magnetic attachments. Journal of K. L., & Salinas, T. J. (2013). Novel gene silencing confers radioprotection to Dentistry. oncologic, surgical, and prosthetic treatment salivary glands in vivo. Molecular Therapy: of high-grade surface osteosarcoma, The Journal of the American Society of Cordaro, L. (2012). Alveolar reconstruction osteoblastic mandible type. Journal of Oral Gene Therapy. for implant placement: Different techniques and Maxillofacial Surgery: Official Journal for different defects. Zhonghua Kou Qiang of the American Association of Oral and Batalocco, G., Lee, H., Ercoli, C., Feng, Yi Xue Za Zhi = Zhonghua Kouqiang Yixue Maxillofacial Surgeons. C., & Malmstrom, H. (2012). Fracture Zazhi = Chinese Journal of Stomatology. resistance of composite resin restorations Dhima, M., Petropoulos, V. C., Salinas, and porcelain veneers in relation to residual Cordaro, L., Boghi, F., Mirisola di T. J., & Wright, R. F. (2013). Predoctoral tooth structure in fractured incisors. Torresanto, V., & Torsello, F. (2012). dental students’ perceptions and Dental Traumatology: Official Publication Reconstruction of the moderately atrophic experiences with prosthodontics. Journal of International Association for Dental edentulous maxilla with mandibular bone of Prosthodontics : Official Journal of the Traumatology. grafts. Clinical Oral Implants Research. American College of Prosthodontists.

Bowen, W. H. (2013). Rodent model in Cordaro, L., di Torresanto, V. M., Elad, S., Bowen, J., Zadik, Y., Lalla, R. caries research. Odontology / the Society of the Petricevic, N., Jornet, P. R., & Torsello, F. V., & Mucositis Study Group of the Nippon Dental University. (2013). Single unit attachments improve Multinational Association of Supportive peri-implant soft tissue conditions in Care in Cancer/International Society of Bowen, W. H. (2013). The stephan curve mandibular overdentures supported by four Oral Oncology (MASCC/ISOO). (2013). revisited. Odontology / the Society of the implants. Clinical Oral Implants Research. Development of the MASCC/ISOO Nippon Dental University. clinical practice guidelines for mucositis: Cordaro, L., Torsello, F., Chen, S., Ganeles, Considerations underlying the process. Bowen, W. H. (2013). Xylitol for adult J., Bragger, U., & Hammerle, C. (2012). Supportive Care in Cancer: Official Journal caries. Journal of the American Dental Implant-supported single tooth restoration of the Multinational Association of Supportive Association. in the aesthetic zone: Transmucosal and Care in Cancer. submerged healing provide similar outcome Buddula, A., Assad, D. A., Salinas, T. J., when simultaneous bone augmentation is Elad, S., Bowen, J., Zadik, Y., Lalla, R. Garces, Y. I., Volz, J. E., & Weaver, A. needed. Clinical Oral Implants Research. V., & On behalf of the Mucositis Study L. (2012). Survival of dental implants in Group of the Multinational Association of irradiated head and neck cancer patients: Cordaro, L., Torsello, F., Mirisola di Supportive Care in Cancer/International A retrospective analysis. Clinical Implant Torresanto, V., & Baricevic, M. (2013). Society of Oral Oncology (MASCC/ISOO). Dentistry and Related Research. Rehabilitation of an edentulous atrophic (2012). Development of the MASCC/ maxilla with four unsplinted narrow ISOO clinical practice guidelines for Calnon, W. R. (2012). Shortcomings of diameter titanium-zirconium implants mucositis: Considerations underlying the study on dental x-rays and risk of supporting an overdenture. Quintessence process. Supportive Care in Cancer: Official meningioma. Cancer. International. Journal of the Multinational Association of

Supportive Care in Cancer.

28 eioh | university of rochester medical center

Elad, S., Zadik, Y., Yarom, N., Or, R., Gaca, A. O., Abranches, J., Kajfasz, J. K., & failure. The & Shapira, M. (2012). Hematopoietic Lemos, J. A. (2012). Global transcriptional International Journal stem cells and bisphosphonate-related analysis of the stringent response in of Prosthodontics. osteonecrosis of the jaw. Oral Diseases. enterococcus faecalis. Microbiology. Leja, C., Geminiani, A., Caton, Ercoli, C., Geminiani, A., Feng, C., & Lee, Huang, H., Shank, G., Ma, L., Tallents, J., & Romanos, G. E. (2012). H. (2012). The influence of verification R., & Kyrkanides, S. (2012). Nerve growth Thermodynamic effects of laser jig on framework fit for nonsegmented factor induced after temporomandibular irradiation of implants placed in bone: fixed implant-supported complete denture. joint inflammation decelerates chondrocyte An in vitro study. Lasers in Medical Science. Clinical Implant Dentistry and Related differentiation. Oral Diseases. Research. Lemos, J. A., Quivey, R. G., Koo, H., Javed, F., Al-Rasheed, A., Almas, K., & Abranches, J. (2013). Streptococcus Ercoli, C., Geminiani, A., Lee, H., Feng, Romanos, G. E., & Al-Hezaimi, K. mutans: A new gram-positive paradigm? C., & Poggio, C. E. (2012). Restoration of (2012). Effect of cigarette smoking on the Microbiology. immediately loaded implants in a minimal clinical outcomes of periodontal surgical number of appointments: A retrospective procedures. The American Journal of the Levisianos, I. (2013). The john kay williams study of clinical effectiveness. The Medical Sciences. gold medal of the royal colleges of england International Journal of Oral & Maxillofacial and glasgow 2011. Journal of Orthodontics. Implants. Kajfasz, J. K., Mendoza, J. E., Gaca, A. O., Miller, J. H., Koselny, K. A., Giambiagi- Lopez-Cepero, M., Amini, H., Pagano, Falsetta, M. L., Klein, M. I., Lemos, J. Demarval, M., Wellington, M., Abranches, G., Casamassimo, P., & Rashid, R. (2013). A., Silva, B. B., Agidi, S., Scott-Anne, K. J., Lemos, J. A. (2012). The spx regulator Advocacy practices among u. S. pediatric K., & Koo, H. (2012). Novel anti-biofilm modulates stress responses and virulence dentists. Pediatric Dentistry. chemotherapy targets exopolysaccharide in enterococcus faecalis. Infection and synthesis and stress tolerance in Immunity. Maruyama, E. O., Yu, H. M., Jiang, M., Fu, streptococcus mutans to modulate virulence J., & Hsu, W. (2013). Gpr177 deficiency expression in vivo. Antimicrobial Agents and Keating-Biltucci, M. (2012). Network of impairs mammary development and Chemotherapy. researchers. RDH. prohibits wnt-induced tumorigenesis. PloS One. Fernando, H. R., Pollan, L. D., & Zhou, Z. Klein, M. I., Scott-Anne, K. M., Gregoire, (2012). Floor of mouth mass. Oral Surgery, S., Rosalen, P. L., & Koo, H. (2012). Maruyama, T., Jiang, M., & Hsu, W. Oral Medicine, Oral Pathology and Molecular approaches for viable bacterial (2012). Gpr177, a novel locus for bone- Oral Radiology. population and transcriptional analyses in mineral-density and osteoporosis, regulates a rodent model of dental caries. Molecular osteogenesis and chondrogenesis in skeletal Fillmore, W. J., Teeples, T. J., Cha, S., Oral Microbiology. development. Journal of Bone and Mineral Viozzi, C. F., & Arce, K. (2013). Chief Research: The Official Journal of the American resident case experience and autonomy Klein, M. I., Xiao, J., Lu, B., Delahunty, Society for Bone and Mineral Research. are associated with resident confidence C. M., Yates, J. R.,3rd, & Koo, H. (2012). and future practice plans. Journal of Oral Streptococcus mutans protein synthesis Noar, J. H., & Pabari, S. (2013). Cone and Maxillofacial Surgery: Official Journal during mixed-species biofilm development beam computed tomography--current of the American Association of Oral and by high-throughput quantitative understanding and evidence for its Maxillofacial Surgeons. proteomics. PloS One. orthodontic applications. Journal of Orthodontics. Findler, M., Elad, S., Kaufman, E., & Kochman, D. (2013). Oral and facial Garfunkel, A., A. (2013). Dental treatment trauma how to proceed in an emergency. Papadimitriou, D. E., Geminiani, for high-risk patients with refractory Contemporary Pediatrics. A., Zahavi, T., & Ercoli, C. (2012). heart failure: A retrospective observational Sonosurgery for atraumatic tooth extraction: comparison study. Quintessence Koka, S., & Zarb, G. (2012). On A clinical report. The Journal of Prosthetic International. osseointegration: The healing adaptation Dentistry. principle in the context of osseosufficiency, osseoseparation, and dental implant

momentum | summer 2013 29 nnnn Faculty Publications

Recent EIOH Publications

Supportive Care in Cancer.

30 eioh | university of rochester medical center

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Dr. J. Antonio Bello (Prostho ’84) and Mr. Roger Friedlander catch up at a recent Eastman Dental Center Foundation Board meeting.

A warm welcome to Dr. Bruce Tandy (left), a general dentist from Vernon, CT, and Dr. Michael Grassi, an endodontist from Pittsford, NY, who have recently joined the Eastman Dental Center Foundation Board. You will learn more about them in the next issue.