DentalUM Fall 2006
Transcript of DentalUM Fall 2006
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For more information about
this and other continuing
dental education courses
contact:
University o Michigan
School o Dentistry
Ofce o ContinuingDental Education
1011 N. University Avenue
Room G508
Ann Arbor, MI 48109-1078
www.dent.umich.edu.Update in Oral MedicineBeginning March 24 and continuing through March
31, 2007, this seven-day cruise will feature ve
continuing dental education courses taught by the
School of Dentistrys Dr. Jack Gobetti. Participants
can receive up to 18 hours of CE credits.
To learn more about the courses being offered and
course feesand to take advantage of special cruise
ratesyou must book your reservations through
Cruise and Travel Partners by November 24, 2006.
You must make your cruise reservation at
www.cruiseandtravelpartners.com
To register for courses, call the School of
Dentistrys Ofce of Continuing Dental Educationat (734) 763-5070 or (734) 763-5171.
More information is available on the Schools Web
site: www.dent.umich.edu. On the homepage, put
your cursor on alumni and then click continuing
dental education.
Youre Invited...
to Cruise and Learn
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Over the years, the University o Michigan School o Dentistry has
pointed with pride to the many ways it serves the oral health care
proession and communities.
Two examples include our general dentistry and specialty clinics
here at the School as well as our outreach programs at community
dental clinics across Michigan.
The cover story o this issue oDentalUM showcases another
example our oral pathology biopsy service.
Started in the 1940s by Dr. Donald Kerr who developed a globalreputation or his expertise in the ield, more dentists and specialists
view our biopsy service as an advantage, a valuable resource or
themselves and their patients.
The evidence is in the numbers. The service has grown more than
30 percent in recent years.
That may not be surprising to some given increased attention to
possible interrelationships between oral health and systemic health.
However, I think there are other reasons or the increase.
One was cited by Dr. Fred Bonine who earned his dental degree
and a masters degree in oral and maxilloacial surgery rom U-M.
Because theyre specialists, he said, oral pathologists are oten
aware o subtleties and nuances that may oten escape the attentiono a general pathologist. That expertise, he added, can help an oral
health care proessional provide a patient with peace o mind i, or
example, a patient is worried about oral cancer.
Another reason is due to the leadership o those in charge o our
service, Drs. Nisha DSilva and Kitrina Cordell.
As others have noted, both are very customer ocused and
proactive. That oten leads to those using the service to mention it
to their peers.
Finally, case-based inormation and lesion samples, in turn,
contribute to the body o knowledge that is a part o our educational
curriculum.
In the end, the service is win-win-winor oral health care
providers, their patients, and our students. Clearly, the oral pathology
biopsy service is just another example o how the School o Dentistry
continues to make a dierence.
Sincerely,
Peter J. Polverini, Dean
DentalUM magazine is published twice a year by the
University o Michigan School o Dentistry, Oice o
Alumni Relations and Continuing Dental Education.
Mail letters and updates to: Jerry Mastey, Editor, Schoolo Dentistry, Room G532, 1011 N. University Ave., Ann
Arbor, MI 48109-1078. Or you may send your letters and
updates via email to: [email protected].
Dean . . . . . . . . . . . . . . . . . . . . . Peter Polv erini
Director o External Relations and
Continuing Dental Education . . . . . Richard Fetchiet
Writ er & Editor . . . . . . . . . . . . . . . . . Jerry Mastey
Design . . . . . . . . . . . . . . . . . . . . . . Chr is Jung
Photogr aphy . . . . . . Kear y Campbell, Per H. Kjelds en
Member publication o the American
Association o Dental Editors
The Regents o the University:
David A. Brandon, Laurence B. Deitch, Olivia P. Maynard,
Rebecca McGowan, Andrea Fischer New man, Andrew C.Richner, S. Martin Taylor, Katherine E. White, Mary Sue
Coleman, ex oicio.
University o Michigan School o Dentistry
Alumni Society Board o Governors
Terms Expire 2006:Daniel L. Edwards, 97, Ann Arbor, MI
Gerald L. Howe, 61, Monroe, MI
Gary R. Hubbard, 78, Okemos, MI
Michel S. Nasi, 72, Lansing, MI
Janet Souder Wilson, 73 DH, Northville, MI
Terms Expire 2007:Samuel Bander, 81, Grand Rapids, MI
Richard L. Pascoe, 70, Traverse City, MI
Susan Pritzel, 67 DH, Ann Arbor, MITerry Timm, 71, Saline, MI
Josephine Weeden, 96, 99, Saline, MI
Terms Expire 2008:William E. Brownscombe, 74, St. Clair Shores, MI (chair )
John R. McMahon, 82, Grand Rapids, MI
George M. Yellich, 72, Los Gatos, CA
Harold Zald, 79, West Bloomield, MI
Jemma Allor, 00, Dental Hygiene, Mt. Clemens, MI
Student Representative: Casey Tenniswood (D4)
Ex Oicio Members:Peter Polverini, Dean
Janet Souder Wilson, 73, DH, Northville, MI
Alumni Association Liaison
Steve C. Graton , Executive Director, Alumni Assoc.
Richard R. Fetchiet, Director o External Relations andContinuing Dental Education
The University o Michigan, as an equal opportunity/a irmative actionemployer, complies with all applicable ederal and state laws regardingnondiscrimination and airmative action, including Title IX o theEducation Amendments o 1972 and Section 504 o the RehabilitationAct o 1973. The University o Michigan is committed to a policy onondiscrimination and equal opportunity or all persons regardless orace, sex*, color, religion, creed, national origin or ancestry, age, maritalstatus, sexual orientation, disability, or Vietnam-e ra veteran status inemployment, educational programs and activities, and admissions.Inquiries or complaints may be addressed to the Senior Director orInstitutional Equity and Title IX/Section 504 Coordinator, Oice orInstitutional Equity, 2072 Administrative Services Building, Ann Arbor,Michigan, 48109-1432. (734) 763-0235, T.T.Y. (734) 647-1388. For otherUniversity o Michigan inormation, call (734) 764-1817.
* Includes discrimination based on gender identity and gender expression.
DentalUMFall 2006 Volume 22, Number 2
Making a Dierence
in Oral Health Care
and Education
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COVER STORY
FEATURES
In This Issue . . .
18 The Advantage How the Oral Pathology Biopsy Service Gives
Oral Health Providers, Patients, and Educators The EdgeA service oered by the U-M School o Dentistry to oral health careproessionals or more than 60 years has been enjoying a renewedsurge o interest in recent years. Under the leadership o Drs. KitrinaCordell (let) and Nisha DSilva, dentists and specialists receive valuableinormation that helps their patients. In addition, dental, dental hygiene,and graduate students become more skilled at recognizing and moreprocient in diagnosing a range o oral lesions, and the inormationis leveraged to enhance oral health care education at the School oDentistry.
The images behind Drs. Cordell and DSilva are histologic images recentlytaken rom the mouth o a patient showing possible oral cancer cells.
18 What it IsWhy the Renewed InterestMajor Benefts
23 Dean Polverini: Its Something I Enjoy Doing24 Oral Surgeon Brings Sta to Learn More about Oral Path Service
25 Drs. Bonine, Fear, Hill, Flamenbaum, and Ward Laud Service
Design by Chris Jung, photos by Keary Campbell.
4 Making the Case or ChangeDental schools across the country, including Michigans, must makeundamental changes to survive and prosper in the uture, accordingto the Macy Group which presented the case or change to U-M Schoolo Dentistry administrators, aculty, sta, and students as a part o the
Schools strategic sel-assessment process.
7 Dental School Launches Mentoring ProgramThe U-M School o Dentistry recently launched a mentoring programthat oers everyone alumni, students, aculty, and sta anopportunity or proessional and personal growth and development.
10 Dentistrys Vital RoleEvery year or 16 years, about one dozen members o the NormanMette Foundation visit U-M to learn more about some o the innovativeprograms and clinical research activities taking place at both the Schoolo Dentistry and the Medical School. This year, they heard aboutsome o those now underway at the Michigan Center or Oral HealthResearch.
13 Sindecuse Museum Artiacts Show Pioneering Role oDentistsAs I look at the many artiacts we have in our museumIm amazedand impressed with how dentists helped to shape both the proessionand society as we know it today, said Sindecuse Museum CuratorShannon ODell.
27 Two Familiar Faces RetiringAter careers at the U-M School o Dentistry that spanned more than 30years, Dr. Jack Gobetti and chie photographer Per Kjeldsen are retiring.
10
13
27
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PARTMENTS
Fall 2006
34 Faculty Prole Dr. Samuel ZwetchkenbaumSinger and songwriter Paul Anka may have played a role, albeit a remote
and indirect one, in infuencing Sam Zwetchkenbaum to become adentist. Playing a major role, however, was a study break he took whilein college that, in retrospect, orever changed his lie and, in the process,has improved the lives o countless patients.
45 Alumnus Prole: Dr. Steven GeiermannI now treat communities instead o individuals, says Dr. StevenGeiermann. I bring people together rom all walks o lie to try toincrease access to oral health care and reduce oral health care disparities.
50 Dental Students Help in Dominican Republic, ThailandSome School o Dentistry students used their spring break to provide oralhealth care to the needy in the Dominican Republic and Thailand.
53 Graduation 2006
The Class o 2006 was advised at spring commencement to live a liethat matters by Dr. Arthur Dugoni, one o the dental proessions mostrespected gures. Ceremonies were especially memorable or sevendental students who were hooded by a parent who also graduated romthe School o Dentistry.
39 Faculty News
41 Department Update: Cariology, Restorative Sciences, Endodontics
61 Dental Hygiene61 35 Receive Bachelors Degree62 SDHA Active in the Community63 Kerschbaum Receives Major Honor64 Going the Distance(s)Early-Burk Wins State Title, 4th at Nationals
For the past three years, Kathleen Early-Burk has competedin swimming contests or a national organization and, in theprocess, won several medals in state and national competitions.
66 Development66 New Gits: Roberts Family Foundation, Dr. George Yellich,
Dr. Gerald and Phyllis Krause, Dr. Leo Weiss, Dr. John andDalores Burau
71 Reerence Library Named or Dr. Joseph Cabot
72 Werschky New Campaign Chair
75 Research News 75 Dental School Administrators, Faculty in IADR/AADR
Leadership Roles79 Stem Cells: Why the Interest?
88 Alumni News
90 In Memoriam - Dr. Carl Thomas Hanks
50
53
64
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schoolnews
Macy Group Offers Suggestions and Support fo
Making the Case for Change...
The message was direct.
You cant stand sti l l . You have to
change.
The case or change was presented to
University o Michigan School o Dentistry
administrators, aculty, sta, and students by
members o the Macy Group in late July as a
part o the Schools strategic sel-assessment
process. [DentalUM, Spring & Summer 2006,
pages 8-14.]
Established two years ago with a grant rom
the Josiah Macy, Jr. Foundation, the Group consists
o educators and scholars (see sidebar, page 5) who
have been closely examining the educational and
nancial challenges acing the nations dental
schools. It is also suggesting possible changes
they can consider to strengthen their educational,
clinical, research, or other programs.The Group said that i the U-M School o
Dentistry and other dental schools across the
country are to survive and prosper in the uture,
undamental changes must be made in many
areas.
These include how the schools are organized
and unded, their educational programs, their
approach to patient care, how their clinics are
structured, how dental students and residents
are trained, and levels o aculty compensation,
to name a ew.
How One Dental School Beneted
Dr. Howard Bailit, a member o the Macy
Group who made the remarks about change noted
at the beginning o this story, said, Organizations
dont like to change. But dental education must
make some undamental changes, otherwise
there will be dire consequences.
Another member o the group, Dr. Allan
Formicola, who was dean or 23 years at the
School o Dental and Oral Surgery at Columbia
University, empathized with the U-M School o
Dentistrys strategic sel-assessment process.
Its a very hard and diicult one, he said, but
its worth it.
Formicola said a strategic sel-assessment
his school conducted during his early tenure as
dean enabled it to survive a 28 percent cut in
state unding during a two-year period. I we
did not do any strategic planning, our school
wouldnt exist today, he said.
Dr. George Taylor (right),leader o the School oDentistrys StrategicAssessment FacilitatingCommittee, and Dr. AllanFormicola o the Macy Group,discuss some o the challengesdental schools are acing and
possible solutions ollowinga presentation members othe Macy Group made at theSchool in late July.
JerryMastey
Youre the leaders. Other dental schools have
enormous respect or you. The task ahead o you is
to make this a better Michigan.
Dr. Allan Formicola, the Macy Group
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The process is not only challenging, italso takes time or change to be embraced and
permeate an organization.
Strategic change takes about a decade,
Formicola said in response to a question. And
you need to have a sense o direction and an idea
o what you want to become, as an organization,
or change to succeed.
Why Change is Imperative
Bailit and other members o the Group
said decreased state unding or dental schoolsis the primary actor leading to the need or
undamental change in dental education.
Other actors cited include increased levels
o debt among graduating dental students, low
salaries or those in academic dentistry, and a
widening salary gap between aculty dentists
and general practice dentists and specialists in
private practice.
Citing statistics showing the average aculty
salary in 2005 was about $100,000 compared
to upwards o $350,000 or those in private
practice, Bailit said aculty salaries may have
to rise to 70 percent o the level o what those
in private practice are earning to attract more
into academic dentistry. With that would come
a commitment rom aculty to devote at least
50 percent o their time to teaching and clinical
practice.
The Groups examination o dental schools
showed various steps have been underway or
some time to adapt to this changing environment.They include raising tuition and ees, increasing
student/aculty ratios, increasing the number o
international students in programs, increasing
the number o oreign-trained aculty members
with dental degrees who can teach dental
students, deerring needed maintenance, and
postponing investments in new technology.
The adverse trends may continue.
the Schools Strategic Self-Assessment Initiative
Macy Group
Members
Allan J. Formicola, DDS
ProfessorofDentist
andformerDean(2
ColumbiaUniversit
SchoolofDentalan
OralSurgery
ViceDean,Center
forCommunityHea
Partnerships,Colum
Univers ity
Howard Bailit, DMD, P
ProfessorEmeritus,
UniversityofConne
Director,HealthPol
andPrimaryCare
ResearchCenter,
UniversityofConne
HealthCenter
Lisa Tedesco, PhD
Dean,GraduateSch
ArtsandSciences;
ProfessorofPublic
Health,EmoryUniv
Previously,VicePre
andSecretary,Univ
ofMichigan;associ
deanforacademic affairs,U-MSchool
Dent ist ry
Tryfon Beazoglou, Ph
Professor,Schoolof
DentalMedicine,
UniversityofConne
Citing the closing o seven dental schools,including ive in research universities, during the
past twenty years, the Group said new thinking
and new approaches should be considered.
Programs now underway at dental schools
at the University o Maryland, the University
o Louisville, and Columbia University have
elements that Michigan may want to consider.
12 Weeks o Outreach
To help ind money to address the challenges
just cited, Formicola said dental schools must
closely examine how they run their cash cows,
that is, their dental clinics.
Something to consider, he advised, is
separating the academic role rom clinical
operations. Placing clinics under a corporate
umbrella, he said, could help them to better
manage and track their costs as well as lead to
better personnel management.
Another idea suggested was reorganizing
clinics so they could include residents or
advanced education in general dentistrystudents guiding third- and ourth-year dental
students.
Noting that dental students receive an
average o 2,000 hours o education, another
suggestion was to have inal-year dental students
spend as much as 12 weeks at community dental
clinics. At the University o Michigan School o
Dentistry, ourth-year dental students spend
Citing the closing o seven
dental schools, includingve in research universities,
during the past twenty years,
the Group said new thinking
and new approaches should
be considered.
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three weeks practicing in community clinics,typically in one-week rotations.
This longer period o time, Formicola said,
would enhance a dental students clinical
eiciency leading to more revenues. It would
also, he added, expose them to a range o
oral health care problems they typically dont
encounter in dental school clinics, and help
them become more amiliar with the unique
oral health care needs o communities and the
dierent groups in those communities.
Citing several reports in the past decadeabout oral health care disparities in the country,
including the U.S. Surgeon Generals report in
2000, Formicola said having inal-year dental
students practicing in communities would be
a step in helping dental schools move rom a
student-centered system o education to one that
is more patient-centered.
He said that would also complement the
dental schools mission as a research university
where aculty scholars advance the sciences that
include dentistry and, in turn, pass along that
knowledge to residents, students, and others.
A inal suggestion was having a dental
school become more closely ailiated with
medicine. But that wont save much money,
as ar as we can determine, he said.
Theres no perect system. There is no
problem-ree solution, Bailit said. Instead, you
have to ask yoursel, What problems do we want
to deal with?
Pointing to similar challenges pharmacy,nursing, and medicine have aced previously,
the Macy Group expressed optimism.
Youre the leaders. Other dental schools
have enormous respect or you, Formicola said.
The task ahead o you is to make this a better
Michigan.
Establishedin1930tohonorthememory
ofJosiahMacy,Jr.whodiedofyellowfever
in1876atage38,theFoundationfunds
variousprojectsthatimprovemedicaland
healthprofessionaleducation,increase
diversityamonghealthcareprofessionals,
enhanceteamworkbetweenandamong
healthcareprofessionals,anddevelop
educationalstrategiestoboostcareto
underservedpopulations.
Sincethemid-1970s,theFoundationhas
awardedmorethan70percentofitsgrants
toprojectsthatbroadenandimprovethe
educationofphysiciansandthoseinother
healthcareprofessions.
TheMacyfamilywasamongthef i rst
EuropeansettlersonNantucketIslandin
thelate1630s.Almosttwocenturieslater,
prosperousmaritimemerchantCaptain
JosiahMacy, his sonsandgrandsons
establishedabusinessinNewYorkCity
andlateropenedthecitysfirstoilrefinery,
eventuallysellingittotheStandardOil
Company.
Source:
JosiahMacy,Jr.FoundationWebsite.
Foundation
The Josiah Macy, Jr.
schoolnews
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t s an opportunity or anyoneandeveryoneto make a dierence.
The University o Michigan School o
Dentistry recently launched a mentoring
program that oers everyone alumni,
students, aculty, and sta an opportunity
or proessional and personal growth and
development.
The hundreds o students, aculty, and sta
here at this School, along with the thousands
o alumni we have in this country and around
the world, are a rich resource o experienceand expertise that all members o our School o
Dentistry should be able to access, Dr. Marilyn
Lantz said during the spring meeting o the
Schools Alumni Society Board o Governors.
Lantz, associate dean or academic aairs
who spearheaded the mentoring program,
said the Schools initiative is not conined
geographically to southeast Michigan.
Since nearly everyone has a personal
computer and access to the Internet, this
program is one that can become national and
even international in nature, she said.
One-Year Pilot Program Begins
Although the School has a tradition o
encouraging and supporting mentoring and
mentoring relationships, some students, sta,
and aculty members experience diiculty
inding mentors.
In an eort to address the issue, the School
has been considering trying an online mentoringprogram or some time.
It received a boost more than a year ago
when a group o dental students told the Schools
Board o Governors that they were looking or
ways to connect with the Schools alumni. We
need the help o dental school alumni to serve
as mentors and to help us develop networks
Dental School Launches Mentoring Program
with other proessional colleagues, said dentalstudent Rajeev Prasher. [DentalUM, Fall 2005, p.
53].
Now, the School is involved in a one-year
pilot program with Triple Creek Associates, a
suburban Denver-based company that designs
sotware to enhance mentoring.
Although used extensively in the corporate
world, the U-M School o Dentistry is the rst
academic organization in the country to use
the companys sotware that allows students,
aculty, sta, and alumni to participate by helping
mentees nd mentors. It can also support both
new and ongoing mentoring relationships.
Lantz said there was no cost to participate
and that registering was easy.
How it Works
Interested individuals visit a Web site,
www.3creekmentoring.com/umich, register
as a mentor, mentee, or both, and then ill out a
brie biographical orm.To register and retrieve inormation, mentors
and mentees must enter a six-digit code. For
mentors, its 420110; or mentees, its 650121.
Mentors use dialogue boxes to identiy their
skills or competencies which are grouped into
areas o proessional development, interpersonal
issues, and personal development.
For Alumni, Students, Faculty, and Staff
The University o Michigan School o
Dentistry recently launched a mentoring
program that oers everyone alumni,
students, aculty, and sta an opportunity
or proessional and personal growth and
development.
I
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Dental Students Seeking Mentors
You Can Be a Mentor
Yourname:___________________________
Degree(s)and
year(s)received:_______________________
Address:____________________________
E-Mail:_____________________________
Preferreddaytime
telephonenumber:______________________
Iamwillingto....
Allowstudentstoshadowmeatmyoffice.
Talktostudentsonthetelephoneaboutcareers.
O ther _________________________
_________________________
Pleasereturnto:
Univers ityo fMichigan
SchoolofDentistr y
Off iceof AlumniRelations
540E.Liberty
Suite204
AnnArbor,MI 48104-2210
Highlights
Individualscan
be a mentor or
mentee.
Mentorsshare
their expertise.
Mentorscan
choose to mentor
students, aculty,sta, or alumni.
Menteescanbe
students, aculty,
sta, or alumni.
Menteeslearn
rom mentors
about proessional
and personal
development.
Beneits Lifetimepersonal
and proessional
development.
Canhelpstudents
make critical
career decisions.
Canhelp
aculty and sta
successully
navigate career
paths.
Canhelpalumni
reconnect with
each other and
the School o
Dentistry.
Individuals seeking to developcertain skills, or enhance those they
already have, can become mentees.
Depending on their goals and
objectives, mentees then receive a list o
mentors along with their proiles. The
mentees can talk to potential mentors,
make their decisions, and then pursue
the mentoring relationship with deined
goals and timelines. Mentees can have
more than one mentor.
Participants Decide
The process is mentee driven,
Lantz said. Its up to the mentee to
tell their mentor what theyre trying to
achieve.
Mentoring interactions can take
place ace-to-ace, on the telephone, or
by using e-mail. It can be short term,
several months, or, i necessary, longer
term. Thats decided by individual
mentor/mentee pairs. It can also take
dierent orms, rom inormational to
advocacy.
Typically, we think o aculty
members mentoring students, Lantz
said. But very eective, less traditional
mentoring relationships might also be
developed, or example, between a sta
member mentoring a aculty member
on a particular subject or topic. We
just have to assist mentees in indingappropriate mentors.
Relecting on her experiences as
both a mentor and mentee, Lantz said,
Ive had some incredible mentors. Its
very rewarding to be a mentor because
you grow and develop proessionally
and personally while helping someone
develop and succeed.
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Its a mini-GPS system in the clinic.
Many o us are amiliar with the Global
Positioning Satellite system eature commonly
used in many o todays automobiles.
Orbiting hundreds or even thousands o
miles above the earth, a network o satellites
relays inormation to motorists that helps them
to precisely determine their location as theytravel.
Imagine using that same approach in a
dental clinic.
Its now being done at the University o
Michigan School o Dentistry.
In recent months, Dr. David Sarment has
been using a surgical navigation machine,
also reerred to as a mini-GPS device, to assist
in implant placement.
Its a pretty amazing piece o equipment,
he said. Not only is it easy to use, but it alsogives me a better view o a patients oral
cavity since digital images are projected onto a
computer monitor.
Sarment, a clinical assistant proessor in the
Department o Periodontics and Oral Medicine,
said patients beneit rom the greater precision
and minimal risk.
The mini-GPS system may also be used
with an iCAT scanner that gives clinicians 3-D
images o a patients head and neck. Installed
in the Schools Radiology Clinic in early 2004,
iCAT has a smaller ootprint than conventional
CT scanners that allows a patient to sit upright
in a chair in a more open environment instead
o laying on their back beore being pulled into
a narrow tunnel. [DentalUM, Spring & Summer
2004, page 46.]
High Tech in the Clinic
Although the unit was initially used at the
Michigan Center or Oral Health Research, it is
now in the graduate periodontics clinic where
more grad perio residents and other clinic
instructors can learn to use the system. Sarment
hopes to oer continuing dental education
courses so others can also become amiliar
with the unit. Use o the mini-GP S system
or implants is only the beginning, according
to Sarment. This new system opens the door
or other possible uses, including the removal o
lesions, he said.
Sarment hopes to help up to 20 patients
annually. But once others are trained, we will,
obviously, be able to help many more, he said.
New Mini-GPS System Enhances Implant Precision
When working on a patient, the semi-circular wand in Dr. David Sarments right hand transmits da
overhead tracking camera that enables him to adjust the position o the drill (in his let hand) based odimensional visual cues or location, angulation, and depth.
Kear
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schoolnews
hey learned a lot.
They were also surprised with much o
what they heard.
This year, as they have or the past 16
years, about one dozen members o the Norman
Mette Foundation came to the University o
Michigan campus in the spring to learn more
about some o the innovative programs and
clinical and research activities taking place at
both the School o Dentistry and the Medical
School.For nearly three hours, dental school aculty
members described some o the innovative
research taking place at the Michigan Center or
Oral Health Research located at Dominos Farms.
[DentalUM, Fall 2004, pages 12-14.]
They also heard about challenges dentistry
is acing as it tries to provide oral health care
to a growing number o the elderly as geriatric
care was the theme o day-long presentations at
both schools.
From the Laboratory to Chairside
Opened in January 2005, the Center takes
knowledge that has been discovered in research
laboratories and attempts to apply it at chairside
to help patients improve their oral, dental,
and cranioacial health, said Dr. Carol Anne
Murdoch-Kinch, a clinical associate proessor.
The resources at this acility, however, are
not just or those in dentistry, she added, they
are also or those in medicine, public health, andother units on campus.
Among Center activities Murdoch-Kinch
described included: developing a saliva test
kit that might be able to detect periodontal
disease and even biotoxins in patients, tissue
engineering, and a new high tech system that
allows or more precise placement o dental
implants.
Dentistrys Vital Role
MCOHR An Important Link
Karl Schettenhelm, the attorney or the
Foundation, said he and other members were
impressed.
The Michigan Center or Oral Health
Research is an important link to allow those
in education, science, and medicine to provide
medical and scientiic answers to address a
range o oral health care needs, he said.
Inormation about the Centers activitiesand tour o acilities gave board members an
intense understanding o practical solutions and
critical thinking that, when addressed properly,
can lead business to see research, in collaboration
with the University, providing real solutions to
develop real products to help pressing health care
needs, he added.
Mette Foundation Board
T
During a tour o MCOHR acilities, Dr. Carol Anne Murdoch-Kinch described thedigital technology being used to Karl Schettenhelm, a member o the MetteFoundations Board o Directors.
Jerry Mastey
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Oral Health Needs o Seniors
Equally impressive, Schettenhelm said,
was the inormation presented by two School
o Dentistry aculty members about the oral
health care needs o a growing segment o the
population the elderly.
There is a critical need to train dentists
today and tomorrow about how to treat the oral
health care needs o senior citizens, said Dr.
Barbara Smith, assistant proessor and director
o the Schools geriatric dental program.The need, she said, is due to demographics.
Although about 35 million people in this
country are now 65 or older, their numbers will
double by the year 2030. But there arent enough
practitioners who are able, or will be able, to
treat this segment o the population, she said.
In addition, instead o wearing dentures as
past generations have, these older adults will
have most o their natural teeth.
Smith said that although some programs,
such as General Practice Residency, Advanced
Education in General Dentistry, and graduate
prosthodontics, do touch on the dental needs
o the elderly, geriatric dentistry needs to be a
part o the curriculum i we as a proession are
going to be able to treat this growing number o
elderly patients in the uture.
Dr. Elisa Ghezzi, an adjunct clinical proessor,
said eorts are underway to help both oral
health care proessionals and the elderly.
She cited a grant rom the National Instituteso Health allowing students using computers to
use evidence-based skills to locate and critique
inormation that will help dentists answer
questions about care or elderly patients with
varying needs.
Although education is one actor, Ghezzi said
that signicant barriers to reaching and treating
those patients included their physical condition.
Many are rail or unctionally dependent
on others to help meet their needs, she said.
In addition, you also have to consider how the
role o nursing homes has changed in the past
twenty or thirty years, the rise o assisted living
centers, the knowledge o sta at these acilities,
and attitudes among amily members. Its a very
complex set o interrelated issues.
Planning Now Underway
Ater talking to dentists, dental hygienists,oral health care organizations, insurance
companies, and others across the state, Ghezzi said
she and Smith have developed an inormational
network called the Michigan Geriatric Dentistry
Network, a resource that attempts to enhance
clinical care or the elderly and educate oral
health care proessionals throughout the state.
For more inormation, contact Ghezzi by e-mail:
[email protected] or by telephone (734) 358-
0275.
This is our way o taking action now so
that we create greater awareness o what those
in the oral health community can expect and
what resources are available to better meet the
current and uture needs, she added.
Letting Others Know
Schettenhelm said he and other members o
the Foundation were unaware o the magnitude
o providing oral health care or seniors unti l we
heard the presentations rom the dental schoolaculty members.
He said the Foundations role is not just
to provide scholarships, although that is our
most tangible role. We also see ourselves as a
resource to tell others about the great things the
University o Michigan School o Dentistry and
the Health System are doing or many in our
community and the world at large.
Gets Insights into Present and Future
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Hehadninedifferentoperationsforcancerandseveralvisitswithhisdentistunrelatedtohisoperations.
Throughitall,NormanMettewassoimpressedwiththephysiciansanddentists,thequalityofcaretheygavehim,and
theconcernthattheyexpressedforhim,thathewantedtodomorethansaythankyou.
Withastuteinvestingandprudentestateplanning,MettecreatedafoundationthatcontinuestoprovidescholarshipstodentalandmedicalstudentsattheUniversityofMichigan.
WhenaskedWhyMichigan?andWhyscholarships?,hisresponsewas,Theyarepart ofthesymbol.
ToMette,theUniversityofMichiganrepresentedtheenvironmentthroughwhichexcellencewasachieved.Hewasa
studentforonesemesterintheCollegeofLiterature,Sciences,andArtsduringthe1930s,butwasforcedtodropout
becauseoftheGreatDepression.
Lateinhislife,allofhiseffortswerefocusedoncreatingtheFoundationandestablishingitsfunding.
Today,theNormanMetteFoundationprovidesscholarshipstooutstandingdentalschoolandmedicalschoolstudents
andalsohelpsthemandothersunderstandandappreciatetheMichiganeducationalexperience.
Mettesvisionwastoinspiredentalandmedicalscholarstofocustheirgiftsandtalentstobecomeleadersintheirfields
aswellasprovideuncommoncaretoindividuals.
Mettelivedinasmall,singleroomapartmentinDetroit.Whenheneedednursingcarelaterinlife,Mettewasfrugalto
thepointwhereherefusedtobuyaneasychairifthepurchasewouldjeopardizetheFoundationor,moreimportantly,
itsmissionofprovidingscholarships.
Hebelievedindreamsandinsharing.
Hismotto,Nevergiveupyourdreams,istheFoundationscornerstone.Ifyouhaveadream,youcanmakeit
happen,hebelieved.
Notwantingdentistsanddoctorstolosesightofthegoodtheycoulddoforothersandtheawetheycouldinspire,Mette
didnotwantthemtogiveuptheirdreamsbecausetheycouldnotaffordtoparticipate.Hewantedthemtocreate
MiraclesatMichiganforyearstocome.
Todate,morethan200MetteScholarshavebenefitedfromthevisionofNormanMette.
Since1991,theMetteFoundationhasgifted$510,000forscholarshipsfordentalstudents.TheFoundationstotalgiving
toU-Mis$2.25million.
Dr. Amy Kim (right),MCOHR research
program manager,leads Mette Foundation
members on a tour oMCOHR acilities. In the
2,000 square oot acilityare our operatories,
state-o-the-art digitalradiography (x-ray)
equipment, a patient
consultation area, andsix oces. The Center
can handle as many as7,800 patient visits and15 to 20 clinical studies
annually.
JerryMastey
Norman Mettes Legacy:Scholarships for Dental and Medical Students
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schoolnews
at MDAs 150th Anniversary Celebration
Im sure they will also marvel at the beauty o
many o these instruments and appreciate theircratsmanship.
For more than a year, ODell worked with
Dr. Michael Maihoer, chair o the MDAs 150th
Anniversary Task Force, reviewing countless
artiacts in the Schools Sindecuse Museum.
[DentalUM, Fall 2005, page 78.]
From May 17 to 20, a loor display o a
typical dental oice rom around 1900 and
19th century artiacts were displayed during
the MDAs sesquicentennial celebration at the
Lansing Center.The School o Dentistry assisted the MDA in
not only providing access to collections in the
Sindecuse Museum, but also oered historical
background inormation about the artiacts and
various photographs. The Museum also loaned
23 photographs and documents it received more
than a decade earlier rom the MDA.
Three previously unpublished photos were
also unveiled.
Because o the age and condition o the
artiacts, viewers could not touch any o themwhen they were publicly displayed. Smaller
items were easily viewable behind exhibit
cases.
Some o the items rom the Sindecuse
Museum that were displayed are also on pages
14 and 15.
Sindecuse Museum Artiacts Displayed
I think every dentist who will see these artiacts will appreciate what their
predecessors had to work with one hundred or more years ago, said Sindecuse
Museum Curator Shannon ODell as she prepared exhibit cases or the Michigan
Dental Associations 150th anniversary celebration this spring.
DentalUM Fall 2006 13
These dental instruments, from the School of Dentistrys
Sindecuse Museum, were displayed during the Michigan
Dental Associations 150th anniversary celebration this
summer.
Photo courtesy o the Michigan Dental Association
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These portable dental instruments
were used mostly or extractions
rom about 1820 to 1860.
These tools, rom 1860-1880, were
used by the School o Dentistry s rstDean, Dr. Jonathan Tat.
This oak instrument case, used by U-M dental
students in the early 20th century, was used by
Dr. Bion L. Bates who received his dental degree in
1905 rom what was then known as the College o
Dental Surgery at the University o Michigan. Bions
brother, Clare, graduated with a dental degree
rom Michigan in 1897. Bions son, Jack, earned his
dental degree in 1941.
KearyCampbell
KearyCamp
bell
KearyCampbell
DentalUM Fall 200614
150th Anniversary Celebration
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The Git rom Dr.Gordon Sindecuse
Housed in the Schoo l o
Dentistry, the Sindecuse Museum
is one o on ly a handul o
museums in the world devotedto preserving the history o the
dental proession.
A substantial git in the early
1990s rom the late Dr. Gordon
Sindecuse (DDS 1921) made it
possible to renovate areas in
the Kellogg Building, purchase
collections, and establish an
endowment to ensure perpetual
support.
Oicially opened in September
1992, the Gordon H. Sindecuse
Museum o Dentistry holds more
than 12,000 items that showcase
the evo lut ion o the denta l
proession rom the late 1700s
through the 1960s.
A r e n o v a t i o n p r o j e c t
completed in September 2000,
allowed the Museum to expand
space or exhibitions and storage.C l i m a t e c o n t r o l s we r e a l s o
installed to help preserve dental
equipment, photographs, and
other memorabilia. [DentalUM,
Fall 2000, page 11.]
These ivory-handled
instruments rom the
School o DentistrysSindecuse Museum
were part o a
general dentists kit
that was used in the
19th century.
Dr. Alred Baldwin, an 1898
graduate o the University
o Michigan College o
Dental Surgery, shows the
equipment in his dentaloce in Calumet, Michigan.
KearyCampbell
DentalUM Fall 2006 15
Manuactured around 1901 by the
S.S. White Dental Manuacturing
Company, this chair was used in the
Hillsdale, Michigan dental oce o
Dr. Stanley Kirby, a 1902 graduate o
the U-M College o Dental Surgery
(as it was known then).
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schoolnews
Museum Artia cts
Dentists were pioneersclinically, scientiically, and how they used what wa
Show
As I look at the many artiacts we have in
our museum and think about the inal years o
the nineteenth century and early years o the
twentieth century, Im amazed and impressed
with how dentists helped to shape both the
proession and society as we know it today, said
Sindecuse Museum Curator Shannon ODell.That story is one that ODell is more than
happy to tell.
As she prepared two exhibit cases with 19th
century artiacts rom the Museum that were
shipped to Lansing and displayed during the
Michigan Dental Associations 150th anniversary
celebration in May, ODell spoke nostalgically and
enthusiastically about that pioneering role.
Dentists were trying to change what people
thought about the proession back then, she
said. Dentistry was considered a trade, sodentists worked hard to establish its credibility
with a skeptical public and establish a sense o
respect or what they could do.
Electricity, the Big Breakthrough
One o the largest displays in the Museum
recreates operatories rom the late 19th century
complete with dental chairs, a oot-powered
engine and lathe, homemade instruments, and
a spittoon that was used beore running water.
The big breakthrough came when dentistsbegan using electricity, ODell said. It had a
huge impact on the proession and also changed
society.
Although Thomas Edison used a direct
current generator that provided electricity to
illuminate his laboratory and, later, streets in
New York City in the 1880s, dentists were among
the irst to see the potential beneits o this new
technology, according to ODell.
For example, in 1896, six years ater the
Schools graduate dentistry program began, U-M
Regents approved spending $60 to install electric
lights in the dental clinic.Until then, dentists had to do most o their
work during daylight hours.
Once dentists began using electricity to
illuminate their oices, they were able to treat
a greater number o patients and accommodate
those who needed care, especially those who
couldnt make it to an oice until later in the
Shannon ODell, Sindecuse Museum Curator
Per Kjeldsen
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coverstory
During that time, dentists and specialists
have received valuable inormation about
their patients.
At the same time, dental, dental hygiene,
and graduate students have beneited too,
becoming more skilled at recognizing and more
proicient in diagnosing a range o oral lesions,
suspicious ones that may cause oral cancer.In recent years, the oral pathology biopsy
service has been enjoying a renewed surge in
interest.
Background
Launched in the 1940s by Dr. Donald Kerr, a
worldwide authority who chaired the Schools
Department o Oral Biology, he also used the
oral pathology service as a vehicle to develop
specialized dental programs or patients with
oral cancer.
Since 2002, the total number o biopsies
handled by the School o Dentistry has risen
more than 34 percent, to more than 2,200 cases
through 2005. Through September the number
o biopsies handled has surpassed 1,753.
Te Advantage
Reasons or Renewed Interest
I think one o the reasons or the increase,
not only in interest but in use o the service,
comes rom many who were students here at
Michigan, who knew about the service when
they were here, and who are now turning to us
or help as they run their own practices, said
Dr. Nisha DSilva, director o the oral pathologybiopsy service.
Associate director, Dr. Kitrina Cordell,
agrees. She believes other actors are also
responsible.
Word o mouth advertising among
dentists and specialists about what were
doing and what we oer is another reason or
the increase in activity, she said.
Also helping to generate additional interest
in the service were eorts by two School
o Dentistry aculty members, departmentchair, Dr. Laurie McCauley, and Dr. Robert
Bagramian. DSilva said both played a major
role in upgrading equipment being used and
in centralizing the services location.
There are other reasons too, she
added, including awareness created by our
continuing education courses, collaboration
with the U-M Hospital and the addition o
clinical services previously not available at
the dental school.
Both DSilva and Cordell add that Dean
Peter Polverinis interest and participation are
also helping.
Hes an oral pathologist at heart, DSilva
said with a smile. I think his involvement and
personal contact with clinicians contributes
to the visibility o the service and how we can
help.
Its a service that has been offered by the U-M School of Dentistryto oral health care professionals for more than 60 years.
How the Oral Pathology Biopsy Servic
* Annualized estimate based on cases handled through September.
The number o biopsies handled by the School o Dentistry has
risen more than 30 percent since 2002.
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Polverini agreed, saying the service enables me
to continue participating in patient care, helping
patients, and being o service to the community.
[See sidebar, page 23.]
Cordell and DSilva said that specimens
they examine are sent not only rom Ann Arbor
and southeast Michigan, but also Grand Rapids,
Kalamazoo, Marquette, Saginaw, and otherparts o the state. Additional specimens are also
received rom nearby states and distant states
including Colorado and Arizona.
Major Benets
The service oers ive major beneits.
First and oremost is the knowledge and the
expertise o those who are in charge.
Dr. Nisha DSilva, who is the director o the
oral biopsy service and an assistant proessor,
has been at U-M since 1998. A MagnusonScholar rom the University o Washington
and an AADR/IADR Hatton Award winner in
1996, she has conducted extensive research in
oral carcinogenesis and has collaborated with
clinicians and basic scientists throughout the
dental school and the U-M Hospital.
Dr. Kitrina Cordell, the programs associate
director, joined U-M in 2002 ater receiving the
Gorlin Award that same year. Presented by the
American Academy o Oral and Maxilloacial
Pathology during its annual meeting, the Gorlin
Award recognizes a resident with the best
research project. Cordell received the award as
a third-year resident at Ohio State.
A clinical assistant proessor who teaches
both didactically and clinically, Cordell treats
patients with oral pathology needs in the
Schools Dental Faculty Associates clinic.
Te Edge
Gives Oral Health Providers, Patients, and Educators
Cordell, DSilva, and Polverini are allDiplomates o the American Board o Oral and
Maxilloacial Pathology. As a team, they teach
all aspects o oral and maxilloacial pathology
to students at all levels, including predoctoral
dental students, dental hygiene students, and
residents in all specialty programs.
Cordell said her expertise as a clinician, and
DSilvas expertise in research, oers dentists and
specialists the best o both worlds. We oten use
our strengths in our areas or the beneit o the
patient and the provider, she said.
I would not hesitate to say that they are,
without a doubt, the most knowledgeable oral
pathologists around, said Dr. Dalbert Fear (DDS
1982; MS, oral and maxilloacial surgery, 1986),
an Ann Arbor oral surgeon who has used the
oral pathology service or about twenty years.
Periodically, I have a chance to talk to other
Drs. Nisha DSilva (let) andKitrina Cordell examine oral
tissue specimens under a
microscope that gives them an
opportunity to view the same
specimen simultaneously. I
necessary, images can also be
projected onto a screen.
Keary
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coverstory
oral surgeons, and when I do, I will tell themabout my very positive experiences with the
dental schools oral pathology biopsy service
and suggest they use it, i theyre not already
doing so, he added.
Designed or Oral Health Care
Proessionals
A second major beneit is that the service
is designed and customized to meet the needs
o oral health care proessionals and their
patients.Dr. Fred Bonine (DDS 1979; MS, oral and
maxilloacial surgery, 1984), an oral and
maxilloacial surgeon in Brighton, Michigan,
has been using the service since 1984. It
has proven its useulness time and again,
he said.
Because theyre spec ia l i s ts , ora l
pathologists are oten aware o subtleties and
nuances that may oten escape the attention
o a general pathologist, he said. That puts
them in a position to oer a very accurate
diagnosis and a thorough report which, many
times, goes a long way in providing a patient
with peace o mind, especially i theyre
worried, or example, about something like
oral cancer.
Dr. Melvin Flamenbaum o Flint, agreed.
Its comorting to me to send biopsies to the
dental schools oral pathology service or
analysis and review because I know there are
expertly-trained oral pathologists looking atwhat I sent, said Flamenbaum who taught
oral surgery at U-M Hospital rom September
2001 to June 2003.
Detailed Reports
A third major beneit is a detailed report
that is axed or mailed, and soon will be
available electronically.
The report includes not only the diagnosis,but also a complete histologic description o
the specimen which can help the clinician
provide more inormation and a better quality
o service to his or her patient, Cordell said.
Prior to issuing a inal report, DSilva
and Cordell may contact the oral health care
proessional to obtain additional inormation
to aid in diagnosis.
I theres something unusual about the
specimen, or i they have questions about the
patients, they will call me prior to sending areport, said Flamenbaum. This occurs only
occasionally, but when it does, its reassuring
to know that theyre trying to get all the acts
beore they send their written report to me.
Accessibility
Included with every detailed report comes
accessibility, the ourth major beneit. DSilva,
Cordell, and even Polverini discuss their
indings and answer questions.
Dr. Roger Hill (MS, periodontics, 1974), a
periodontist in Saginaw, Michigan said, Its
a very interactive process. I Nisha or Kitrina
have questions beore they issue their report,
they will call me. When I have questions, they
take the time to explain something which, in
turn, allows me to better explain to a patient
what is going on.
Fear said, their approach is not take it
or leave it. Theres a lot o give and take. He
added, its an unusual month or me i I donttalk to Nisha or Kitrina at least once about a
case or a specimen.
Brent Ward (cert i icate , ora l and
maxilloacial surgery, 2000; certiicate,
oral and maxilloacial oncology, 2003) an
assistant proessor o oral surgery, went a step
urther.
They are willing to review the entire
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DentalUM Fall 2006 21
case, including radiographs and clinical photosto help develop an accurate diagnosis, he
said.
A patients lie is deeply aected by
pathology, so a decision on whether to take a
radical or a conservative approach to treatment
is based on clinical, radiographic, and pathologic
diagnoses, he added.
New Technology
A ith beneit o the Schools oral pathology
service is its use o new technology.New equipment, including a ive-head
microscope, gives students and clinicians
an opportunity to see the same specimen
simultaneously. I necessary, images can also
be projected onto a nearby screen.
There are times when dentists or specialists,
such Bonine, visit the School o Dentistry
themselves or bring members o their sta to
Ann Arbor to learn more about the service. [See
page 24.]
A recently renovated room, dedicated solely
to the biopsy service, is adjacent to the main
oice and laboratory to enhance communication
between pathologists, the lab, and oice
personnel.
The room has a computer and projector that
can be used to show pictures, radiographs, and
microscopic images.
This can be especially useul when we
are discussing a case with several people
simultaneously, or teaching small groups,DSilva said. The new attached camera, in
conjunction with computer sotware, allows us
to project live images onto a screen. We can also
add a measure bar to an image to emphasize
a pathologic eature including, or example,
the depth o invasion o a carcinoma i one is
present, she added.
Using todays technology not only beneits
oral health proessionals and their patients,
it also enhances education in classrooms
throughout the School o Dentistry.
Digital Microscopes, Virtual Textbooks
The digital images examined by the oral
pathology biopsy service are a gold mine o
inormation or instructors and students.
In recent years, dental, dental hygiene, and
graduate students have been using the Internet
instead o conventional light microscopes to
learn about oral diseases.
About ive years ago, DSilva and the late Dr.Carl (Tom) Hanks used the Internet and the World
Wide Web to create a digital microscope that
allows students to use their computers to access
and view tissues with various pathologies.
Tissues collected rom patients who have
been treated in School o Dentistry clinics since
the 1940s have been digitized.
Over time, glass-mounted sections o actual
The digital images examined by the oral pathology
biopsy service are a gold mine o inormation or
instructors and students.Keary Campbell
Dr. Nisha DSilva explains to Dr. Fred Bonine and some members o his sta that the Schools oral pathology
biopsy service will become interactive allowing or two-way image viewing and communication between the
School and a dental oce.
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In eect, the School o Dentistry realizes aneducational beneit.
The oral pathology biopsy service leverages
images o lesion samples, along with the
inormation provided by dentists and specialists,
to enhance oral health care education. The
unusual cases we review, and even the routine
ones or that matter, all contribute to the body o
knowledge we use in our educational courses,
DSilva said.
Relecting on the increased interest in the
oral pathology biopsy service in recent years,and the contributions it has made to oral health
care proessionals, their patients, and even
education, DSilva said, We have taken a huge
leap orward consistent with our commitment
to providing quality service to the patients and
the clinicians we serve, as well as helping to
expand the growing body o knowledge on the
subject. Its a service that will continue to play
a vital role, not just here, but across Michigan
and, hopeully, across the rest o the country,
she said.
coverstory
tissues, which demonstrate the appearanceo oral diseases, ade, crack, break, and dry
out.
But digital images do not.
Using their laptop computers as surrogate
microscopes, students can view images using
low-, medium-, or high-power resolution. This
allows all students to view the same quality
image and enhances classroom discussion.
This approach not only enhances learning,
it saves hundreds o thousands o dollars that
would have been spent to update microscopes.In addition, thousands o square eet o
laboratory and storage space are now used
or other purposes.
Digital microscopes are just the beginning,
however.
Combined with a case-based approach to
learning, the high tech approach is used to
guide students through a series o questions
in a virtual textbook. Students navigate
computer-assisted decision trees to diagnose
and treat patients.
Dr. Kitrina Cordell explains to members o Dr. Fred Bonines sta how tissue samples are handled once they are received by the oral pathology
laboratory.
Keary Campbell
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Hes an oral pathologist at heart, said Dr. Nisha DSilva o
Dean Peter Polverini.
One day a week, Polverini participates in the Schools
oral pathology biopsy service diagnosing specimens that are
submitted by clinicians within the School and mailed by those
in private practice. The specimens are processed in the oral
pathology laboratory in the Kellogg Building.
Extensively involved with the service when he chaired
the Department o Oral Medicine, Pathology, and Oncology
rom 1996 to 2000, Polverini said he remains involved, even as
dean, because its something I enjoy doing. It also allows me
to continue my participation in patient care and to provide a
service to patients and those in the practicing community.
However, he also cited other beneits.
Polverini said that since he also teaches pathology, I
can see diseases irst-hand and up close. That helps me to
expand my knowledge base as a teacher and a scientist. Italso reinorces my belie in the value o scientiic discovery
and how it can help in diagnosis and treatment.
Polverini wants the service to continue growing and
eventually become part o a larger eort at the School to
develop a graduate training program in oral and maxilloacial
pathology. I would like to participate more in the biopsy
service and play an active role in that graduate level training
program, he said.
Dean Polverini:Its Something I Enjoy Doing.
For More Information,
Contact:
U-MSchoolofDentistryOralPathologyBiopsyService1011N.UniversityAvenueRoomG018AnnArbor,MI48109-1078Phone:(734)764-1535or
(800)358-1011
NishaDSilva,BDS,MSD,PhDDirector,AssistantProfessore-mail:[email protected]
KitrinaCordell,DDS,MSAssociateDirector,ClinicalAssistantProfessore-mail:[email protected]
Keary Campbell
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It was an impressive irst.In late July, a Brighton, Michigan oral
surgeon brought his sta o 13 to Ann Arbor
to see and learn more about the School oDentistrys oral pathology biopsy service.
When it ended, Dr. Fred Bonine was gladhe did.
So too were those who accompaniedhim.
For more than an hour, Dr. Nisha DSilvaand Dr. Kitrina Cordell, along with oral
pathology laboratory supervisor JohnWestman, demonstrated what happens atera dentist sends a patients oral tissue to theSchool or analysis.
Each explained the importance o correct
sample labeling; tissue measuring, cutting,and staining; as well as compiling a inalreport and sharing the diagnosis with thedentist or dental specialist who sent the tissue
sample.Dean Peter Polverini emphasized the
importance o accuracy.Accurate diagnosis o each and every
specimen we receive is vitally importantbecause a patients lie is at stake, he said.So its up to us to make that accuratediagnosis or you and your patient and then,
i necessary, provide some direction or thedentist and patient about what might happennext.
In a specially equipped conerence room,
DSilva and Cordell displayed images rom abiopsy on a computer monitor, explained their
diagnosis, and answered questions.
Whats AheadThe questions Dr. Bonines sta asked
were very thoughtul and gave us a teachingopportunity in the diagnostic, specimenprocessing, and reporting processes o theoral pathology biopsy service, which we
hope made an interesting experience or our
Unique Field TripOral Surgeon Brings Sta to Learn More aboutOral Path Service
guests, DSilva said.Within the next year or two, DSilva said,
the oral pathology biopsy service will become
interactive.Someone rom the School o Dentistry and
a dental specialist will be able to visit a secureWeb site that will have a patients complete
oral history, tissue samples, and diagnosisso that you and other dentists can downloadreports, i you choose, she told the group.
DSilva told Bonine that using a computer
with Internet access, both o us couldsimultaneously view a biopsy slide rom themicroscope without leaving your oice. Youcould see the margins o a cancer and wecould discuss whether it has been completely
removed or requires urther surgery, shesaid.
A special microscope will be loaned to theSchool or evaluation. The microscope could
also be used or slide review prior to specialtyboard examinations and or discussions with
other pathologists.As he and members o his sta let
the School, Bonine said, The word doctormeans teacher. What you have taught ushere today will help us to give our patients abetter understanding o what you do so that
all o us, in turn, can be teachers and bettercommunicate with and serve our patients.
Aterwards, Kathy Bird, a senior surgicalassistant, said she was interested in the
preparation process prior to the reading o theslides. She added she was looking orward
to the new technology o viewing a specimenon a computer with the pathologists in Ann
Arbor.Ater Polverini and Cordell thanked them
or coming to Ann Arbor, DSilva said, This isthe irst time we have given a tour o our lab
and new acilities. I think this is somethingwe will have to do again.
John Westman, oral pathology laboratory
supervisor, explains to members o Dr.
Fred Bonines sta what happens to
tissue samples ater they are received by
the Schools oral pathology laboratory.
Keary Campbell
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Oral Pathology Biopsy Service Lauded
Dr. Fred Bonine DDS1979;MS,oralandmaxillofacial
surgery,1984
I hav e se nt hundr e ds o t i s sue
specimens to the School o Dentistrys
oral pathology service or diagnosis
and I can say that it has proven its
useulness time and again. Because
theyre specialists, oral pathologists like
Nisha and Kitrina are oten aware o
subtleties and nuances that may escape
the attention o a general pathologist.
That puts them in a position to oer a
very accurate diagnosis and thoroughreport which, many times, goes a long
way in providing a patient with peace
o mind, especially i theyre worried,
or example, about something like oral
cancer.
Their reports have a high degree o
accuracy and they are very eicient,
m any t im e s p r o v id ing 2 4 -ho ur
turnaround rom the time a biopsy
specimen is received to issuing a inal
report. The proximity to Ann Arboris also a major beneit. Sometimes I
oer a patient the option to personally
deliver a sample to the School or
analysis so they can get the results
quicker. Many times that can be very
therapeutic since a patient wont then
have to wait one or two weeks to get
the results.
Dr. Dalbert FearDDS1982;MS,oralandmaxillofacial
surgery,1986
I have sent several hundred biopsies
to the dental schools oral pathology
biopsy service since 1986. They have
ranged rom small, simple lesions to
those that may have been malignant
requiring more aggressive surgery.
I like the give and take. Not only do
I receive a report, I also talk to them
about what is in the report. Ater I get a
report, I will review it with my patientsand discuss whats in it with them. Its
an unusual month or me i I dont talk
to Nisha and Kitrina at least once about
a case or a specimen.
I would not hesitate to say that
they are, without a doubt, the most
knowledgeable oral pathologists
around. Periodically, I have a chance
to talk to other oral surgeons, and when
I do, I will tell them about my very
positive experiences with the dental
schools oral pathology biopsy service
and suggest they use it, i theyre not
already doing so.
Dr. Roger HillMS,periodontics,1974
My experience with the oral pathology
biopsy service is that its been a very
interactive process. I Nisha or Kitrina
have questions beore they issue their
report, they will call me. When I have
questions, they take the time to explain
something which, in turn, allows me
to better explain to a patient what is
going on.
Theyre very attentive to our needs andoten help with patient diagnosis and
treatment plans. And thats important
in periodontics because sometimes
there can be dierent implications with
a treatment plan and how a plan may
aect tissues involved.
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coverstory
Dr. Brent WardAssistantProfessor,oraland
maxillofacialsurgery
Patients who have biopsies at the
dental school and who need surgical
treatment at U-M Hospital are sent to
us. In these cases, we always review
the indings rom the oral pathology
b io p sy se r v ice , which p r o v ide s
excellent diagnostic inormation. The
service is also a resource Hospital
pathologists use, consulting with
oral pathologists, on occasion, orinteresting and rare odontogenic
pathology and sometimes routine cases
too. When this occurs, the standard
report we receive speciically states the
pathologist sought consultation with
Nisha, Kitrina, or Dean Polverini. They
are willing to review the entire case,
including radiographs and clinical
photos to help develop an accurate
diagnosis.
When one stops to think about it, apatients lie is deeply aected by
pathology. A decision to do a radical
or conservative treatment is based on
clinical, radiographic, and pathologic
diagnoses.
Dr. Melvin FlamenbaumAdjunctClinicalInstructor,oraland
maxillofacialsurgery,U-MHospital,September2001toJune2003
Its comorting to me to send biopsies
to the dental schools oral pathology
biopsy service or analysis and review
because I know there are expertly-
trained oral pathologists looking
at what I sent. That specialized
expertise can be especially helpul
with borderline cases because I get
inormation or a perspective that helps
me with a recommendation I will make
to a patient.
I theres something unusual about the
specimen, or i they have questions
about the patients, they will call me
prior to sending a report. This occurs
only occasionally, but when it does, its
reassuring to know that theyre trying
to get all the acts beore they send
their written report to me. The level o
detail and accuracy in all their reports
is consistently excellent.
Drs. DSilva and Cordell are always
available i I have questions and get
back to me in a timely manner. Every
once in a while even the dean, Dr. Peter
Polverini, will review one o my cases
and get back to me.
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t u d e n t s , a c u l t y , s t a , a n dadministrators are going to miss his
two trademarks his always-upbeat
personality and the whistling as he
walked the hallways.
On January 1, 2007, Dr. Jack Gobetti will
oicially retire rom the School o Dentistry
ollowing a 42-year ailiation with the University
o Michigan.
Thirty-eight o those years were as an
instructor whose teaching career began shortly
ater receiving his dental degree rom U-M in 1968ollowing two-and-a-hal years o undergraduate
study in the College o Literature, Science, and
the Arts.
Im glad Ive had a year to prepare or my
retirement. It would have been too traumatic
to begin my retirement so quickly, Gobetti said
with a laugh.
Even though hes in phased retirement, he
has had plenty to keep him busy since the irst
o this year.
Gobetti has continued to teach graduate
and continuing dental education courses, oers
advice to students when asked, and is making
plans or a six-week trip to Italy next spring.
Preparing or Dental Education Cruise
But what seems to be occupying a signiicant
amount o Gobettis time is transerring a
lietime o visual data inormation on more
than 8,000 slides onto a computer. Im still
using slides in my CE courses and will convertabout 750 or 800 o them into PowerPoint ormat
or the dental schools one-week continuing
dental education cruise next March, he said.
Thousands o the slides have been used
in lectures he has given across the U.S. and
around the world, including more than 500
academic lectures at local, regional, national,
and international scientiic meetings.
Dr. Jack Gobetti to Retire
Relecting on his career, Gobetti said he
is proud and grateul to have been named
Outstanding Teaching o the Yearby dental and
dental hygiene students 21 times.
Its the Students
Gobetti taught dental students during
their our years o education, dental hygiene
students during their three years o study,
presented most o the lectures on oral diagnosis
and oral medicine, and directed oral diagnosis
clinic rotations. He also lectured and added
clinical examples to other courses including the
Integrated Medical Sciences and pharmacology.
The students have enriched my lie more
than I ever imagined, he said. I have absolutely
loved teaching them and sharing my knowledge
and my passion or oral medicine with themwhether it was in a lecture hall or one-on-one
in the clinics.
Saying he has been awed by their curiosity,
their enthusiasm, and their passion or learning,
Gobetti said that when you get that kind o
combination, you cant help but want to whistle
walking down the hallways or even in the
oice.
S
Dr. Jack Gobetti and third-yeardental student Lindsay Philpdiscuss a patients dentalrecord during a review oa radiograph in a School oDentistry clinic.
Keary Campbell
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What has made teaching even morerewarding, Gobetti said, was seeing many
o his ormer students making their mark in
dentistry.
In addition to being recognized by students,
Gobetti has also received the Distinguished
Faculty Award presented by the Organization
o Teachers o Oral Diagnosis (1996) and the
International Association o Student Clinicians
American Dental Associations Faculty Advisor
Award (1997).
He was also inducted into the InternationalCollege o Dentists, Michigan Chapter, and
the Michigan International College o Dental
Scholars in 2001. The ollowing year, Gobetti
was given honorary membership in the Michigan
Dental Hygienists Association or his generous
support and teaching dental hygiene students.
Major Changes
As he relected on his years at Michigan,
Gobetti said he was struck at how much
dentistry and dental education have changed.
Implants werent around orty years ago.
Materials today are unbelievably great, he said.
And when you look at technology, I think its saeto say it has revolutionized dental education.
Instead o books, paper, and telephone calls,
you now have computers, Web-based materials,
e-mails, and iPods that are being used.
Despite the technology, he said, there will
always be a need or that person-to-person
interaction. Thats the critical element in
education.
I the past is any indication, Dr. Jack Gobettiwill continue to be a teacher.
He plans to continue teaching continuing
dental education courses; will be involved in
orensic dentistry malpractice cases, both as an
expert witness or the deense and prosecution;
and may, i the past is any indication, ind himsel
in a role as a teacher when on vacation.
In 1994, Gobetti ound that even though he
was thousands o miles away rom a classroom,
he really wasnt.
When he, his wie, and son were touringItaly that summer, Gobetti said he explained
to them the historical signiicance o sites they
were visiting.
Ater about ten minutes, his son said, Dad,
just give me the Cli Notes that explains what
happened.
However, by then, Gobetti had drawn a
crowd. He said he was surprised to learn that
about thirty other people were behind me
listening to what I was saying. But they wanted
me to continue my remarks.
Next spring, Gobetti and his wie o 26
years, Nini, will make their ith trip to Italy. In
addition to sightseeing, they will spend some
time with her amily.
Back in Ann Arbor, dont be surprised to see
Gobetti and his wie having dinner outdoors at
one o the citys restaurants during the summer
or early all. You may hear him whistling
between meal courses or walking up and down
the streets ater leaving the restaurant.Whistling is a part o who I am, its my
way o showing how much I enjoy lie and how
blessed I have been to be associated with the
dental school and to be in dental education. One
o the highest callings I think anyone can have
is to teach othersand thats something I have
always enjoyed, he said.
The students have enriched my lie more than I
ever imagined. I have absolutely loved teaching
them and sharing my knowledge and my passionor oral medicine with them whether it was in a
lecture hall or one-on-one in the clinics.
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Per Kjeldsen,the man behind the lens,
Retires Following 32-Year Career
Its a claim ew can make.As chie photographer at the U-M School
o Dentistry or nearly thirty-two years, Per
Kjeldsen has probably met, even i or only a
ew moments, every dental and dental hygiene
student as he was taking their individual
portraits or a composite class picture.
Its sae to say that he has met every dean,administrator, aculty member, and nearly every
sta member as well.
On June 30, Kjeldsen retired ollowing a
career that began in August 1974.
What may surprise some is that Kjeldsen
was once a dental student. More about that in
a moment.
His ascination with photography began
in Denmark. My grandather gave me a box
camera when I was seven or eight years old,
and I enjoyed it so much as a hobby that, over
time, it evolved to become both a passion and a
proession, he said.
Kjeldsen, whos Danish, irst came to the
U.S. in 1962 as an exchange student with the
American Field Services program.
The highlight o his years stay occurred
in August 1963 when he and other students
were at the White House to hear President John
Kennedy address them in the Rose Garden.
However, the euphoria o the experience abruptlychanged three months later when Kennedy was
assassinated.
My True Passion Was Photography
Ater returning to Denmark, Kjeldsen
resumed his studies and attended the Royal
Dental College in Copenhagen. But ater a year,
he decided to ocus his attention elsewhere.
Keary Campbell
I continue to get
as much o a thrill
rom photography
today as I
did when my
grandathergave me that box
camera many
years ago.
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I started in dentistry, but realized my truepassion was photography, he said.
In 1971, he returned to the U.S. to attend the
Rochester (New York) Institute o Technology.
It was the best school o photography in the
world, he said. It oered Kjeldsen a biomedical
program that allowed him to combine his
passion or photography with an interest in
biomedicine he developed as a dental student.
Ater graduating at the top o his class,
Kjeldsen visited three campuses. But he chose the
University o Michigan because the dental schoolhad received a grant to develop sel-instructional
materials. He wanted to be involved in that
initiative.
Kjeldsen also became ascinated with
something else, U-M ootball.
I didnt know much about the game, but I
was hooked when someone took me to the Big
House, he said. It was just awesome walking
onto the ield, looking around, and getting a
sense o the sheer size o the place.
The Big Break
Saturday aternoons, Kjeldsen requently
took pictures rom his seat in the stands. But
his big break came in 1981 when he went to
the Rose Bowl in Pasadena with a group o U-M
students.
It was the irst Rose Bowl win or Michigan
since Bo Schembechler became coach, so I
picked the right game to attend, he said with
a smile.As he did Saturday aternoons in Ann
Arbor, Kjeldsen also took some pictures rom his
stadium seat in Pasadena and later put together
a collage o some o his best photos.
It was such a success, at a time when the
ootball team was looking or greater recognition,
that the M Club got word o what I did and asked
me to make several others, he said.
He did. Then the Athletic Department heardabout it, saw my work, and liked it. A short
time later, he was on the sidelines taking pictures
on Saturday aternoons.
Successes and Awards
Kjeldsen said he is proud that his eorts,
and those o e l low photographer Keary
Campbell, have contributed to the School o
Dentistrys mission o educating oral health
care proessionals and the Schools reputation
or excellence.He is also proud to have won three awards
rom Nikon in worldwide photography contests
or three consecutive years in the 1980s.
Although he ondly remembers many aculty
members, Kjeldsen ormed a special bond with
Dr. Robert Lorey (DDS 1957).
During a career that spanned nearly ity
years until his death in 2004, Lorey was not only
actively involved in proessional organizations,
he also produced approximately 70 videotapes
or undergraduate, graduate, and postgraduate
education, and also won many honors or his
photography.
Its as though he and I were opposite
sides o the same coin, Kjeldsen said. I
began my education as a dentist and became a
photographer, and he was a photographer who
became a dentist.
In recent years, Kjeldsen said his biggest
challenge has been trying to do more with less
without sacriicing the quality o services.Technology, however, has revolutionized his
crat.
Since the days o Civil War photographer
Matthew Brady, photography has basically been
a ilm medium. But that abruptly changed with
digital photography, Kjeldsen said. Images
are still being captured as they were in Bradys
day, he said, but now its a lens attached to
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a computer, and post-processing
o the image, rom transer to
optimization, and ormatting, has
changed photography more in the
last decade than in the past one
hundred years.
Kjeldsen said he hopes to returnto Denmark a little more requently,
not just during the summer as
he has in years past, to visit his
parents who are now in their
eighties.
O course, he will still continue
taking pictures.
Ater all these years, I still
enjoy the challenge o conveying
a message or an emotion with my
images, he said. Looking at theworld through a viewinder not
only ocuses my own creativity, it
also allows me to ultimately share
what I see with others. So, yes, I
continue to get as much o a thrill
rom photography today as I did
when my grandather gave me that
box camera many years ago.
I a picture is worth a thousand words, the photographers value is somuch greater. In the case o Per Kjeldsen, it is priceless.
With technical expertise and an enviable artistic ability, Per has
captured School o Dentistry history on ilm or years, and more recently,
has captured it digitally. The man behind the lens, Per has provided
much more than just the essential photos o peoples teeth.
In the 1980s, the on-ield action shot by a sideline photographer
was the dominant ormat or Michigan sports program covers. Photos
by Per Kjeldsen were ar and away the most requently used. He has
photographed the greats o Michigan athletics such as Glen Rice, Rumeal
Robinson, Charles Woodson, Desmond Howard, as well as the leaders
including Bo Schembechler, Lloyd Carr, and Michigans own Bob Uer.His work was not limited to the University o Michigan as he is also
an accomplished reelance photographer. He has traveled to Japan and
Europe and has photographed the Iditarod race in Alaska.
A multitude o publications have highlighted his work. Many o
his photos have graced the cover o the University directory. His work
is recognized by ans and alumni, such as the memorable photograph