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MAGAZINE OF THE TuFTs uNIvErsITy dENTAl AluMNI AssOcIATION<br />

<strong>Dental</strong> meDicine<br />

PLUS: tooth tattoo raiSing a Stink Life in baLance<br />

fa faLL LL 2012 VVoL.<br />

16 no. 2<br />

CAUGHT<br />

bacteria on <strong>the</strong> run with no place to hide


Tough Going<br />

The obstacle course known as <strong>the</strong> Tough Mudder, in Stow, Vt.,<br />

is billed as “probably <strong>the</strong> toughest event on <strong>the</strong> planet,” and while<br />

<strong>the</strong> organizers may be engaging in a bit <strong>of</strong> hyperbole, it’s certainly<br />

no walk in <strong>the</strong> park. The 12- to 15-mile trail run, featuring more<br />

than 20 military-style obstacles, was designed by <strong>the</strong> British<br />

Special Forces and has been compared to Marine Corps basic<br />

training. Participants submit to <strong>the</strong> grueling race to raise money<br />

for <strong>the</strong> Wounded Warrior Project, which provides assistance to<br />

severely injured veterans returning from active duty.<br />

This past May, James Koehler, right, and Rachel Misuraca,<br />

center, both D13 students in <strong>the</strong> military’s Health Pr<strong>of</strong>essions<br />

Scholarship Program (HPSP), took on <strong>the</strong> Tough Mudder, finishing in<br />

four hours, accompanied by Koehler’s childhood friend (and soon-tobe<br />

best man) Adam Gaudreau, left. Both Koehler and Misuraca will<br />

be commissioned as U.S. Army <strong>of</strong>ficers upon graduation next spring.<br />

“Everybody wants to show up at basic training and be able to run<br />

whatever <strong>the</strong>y tell you,” says Koehler. “[In this photo], we’re helping<br />

Rachel, but <strong>the</strong>re were plenty <strong>of</strong> times when we were helping o<strong>the</strong>r<br />

people, and o<strong>the</strong>r people were helping us. It’s not really a race—<br />

it was all about <strong>the</strong> cause, and <strong>the</strong> teamwork.”<br />

photo: rob mattson


contents<br />

8<br />

features<br />

14 Uncommon Scents<br />

In his New Hampshire greenhouse, Louis Ricciardiello, D78,<br />

DG82, tends to 300 corpse flowers, a blossom that can reach<br />

10 feet tall and smells like rotting flesh. By Julie Flaherty<br />

CoVER SToRy<br />

18 Caught<br />

While researching <strong>the</strong> effectiveness <strong>of</strong> environment-friendly<br />

disinfectants, dental researchers discovered a new way<br />

to detect bacteria. Their findings could have a significant<br />

impact in <strong>the</strong> operatory, and beyond. By Gail Bambrick<br />

22 Ringside Seat<br />

After retiring from his oral surgery practice, Clark<br />

Sammartino, D64, DG66, pursued a pastime that packs<br />

a punch. He became a pr<strong>of</strong>essional boxing judge.<br />

By Julie Flaherty<br />

25 Will <strong>the</strong> Safety Net Hold?<br />

Hospital-based dental residents have long provided care for<br />

those who have no place else to go. As Congress debates cuts<br />

in Graduate Medical Education funding, we explore what<br />

will happen to <strong>the</strong>se programs and <strong>the</strong>ir patients.<br />

By Gail Bambrick<br />

14<br />

FA FAll ll 2012 Vol olUME UME 16 no. 2<br />

departments<br />

2 leTTeRS<br />

3 FRom THe DeaN<br />

4 WoRD oF moUTH<br />

A SCAn oF PEoPlE, PlACES & EVEnTS<br />

8 lab NoTeS<br />

A REPoRT on lEADInG-EDGE SCIEnCE<br />

28 oN CampUS<br />

DEnTAl SCHool nEWS<br />

42 aDvaNCemeNT<br />

GIVInG. GRoWTH. GRATITUDE.<br />

45 UNiveRSiTy NeWS<br />

THE WIDER WoRlD oF TUFTS<br />

46 alUmNi NeWS<br />

STAyInG ConnECTED<br />

Cover illustration: Iker Ayestaran


letters<br />

lasting impressions<br />

Just wanted to let you know how much<br />

I loved <strong>the</strong> article on Dr. Es<strong>the</strong>r Wilkins<br />

(“By <strong>the</strong> Book,” Spring 2012). I can appreciate<br />

how she molds students’ lives! She<br />

encouraged me as a student to spend part<br />

<strong>of</strong> my career treating <strong>the</strong> geriatric population<br />

and <strong>the</strong> pediatric population since I<br />

had a gentle touch. I have a private practice<br />

but still find time to go into nursing<br />

homes, practice on <strong>the</strong> Molar Express<br />

(Ronald McDonald charities) and teach<br />

dental hygiene. I credit all <strong>of</strong> this to Dr.<br />

Wilkins. I am glad to see she is getting her<br />

much-deserved award.<br />

david mastrostefano, d96<br />

cranston, r.i.<br />

Congratulations to Dr. Es<strong>the</strong>r Wilkins on<br />

receiving <strong>the</strong> Gies Award for Achievement<br />

by a <strong>Dental</strong> Educator this year during <strong>the</strong><br />

annual meeting <strong>of</strong> <strong>the</strong> American <strong>Dental</strong><br />

Education Association. It is a well-deserved<br />

validation <strong>of</strong> her contributions to dental<br />

education and to <strong>Tufts</strong> over many years.<br />

As a colleague <strong>of</strong> Es<strong>the</strong>r’s at <strong>Tufts</strong>, whenever<br />

I made a presentation to hygienists,<br />

I would always mention that my claim to<br />

fame was that my <strong>of</strong>fice was directly across<br />

<strong>the</strong> hall from Es<strong>the</strong>r’s <strong>of</strong>fice. This would give<br />

me instant celebrity status, and usually, in<br />

<strong>the</strong> postpresentation question time, most<br />

<strong>of</strong> <strong>the</strong> interest expressed revolved around<br />

Es<strong>the</strong>r ra<strong>the</strong>r than on <strong>the</strong> material I had<br />

presented. This encapsulation <strong>of</strong> a long and<br />

outstanding career was very well done by<br />

Julie Flaherty and is a real credit to <strong>the</strong> <strong>Tufts</strong><br />

<strong>Dental</strong> Medicine magazine.<br />

ed cataldo, g63, a83p<br />

pr<strong>of</strong>essor <strong>of</strong> oral pathology emeritus<br />

tufts school <strong>of</strong> dental medicine<br />

teamwork<br />

The article titled “Unbroken” (Spring 2012)<br />

was a nice review <strong>of</strong> <strong>the</strong> care provided<br />

at <strong>Tufts</strong> Medical Center for cleft palate<br />

patients. It points out <strong>the</strong> wonderful things<br />

that can be done for <strong>the</strong>se difficult cases.<br />

Let’s not forget, however, <strong>the</strong> roles played by<br />

<strong>the</strong> orthodontist and <strong>the</strong> oral and maxill<strong>of</strong>acial<br />

surgeon. They are important members<br />

2 tufts dental medicine fall 2012<br />

<strong>of</strong> <strong>the</strong> team who contribute <strong>the</strong>ir considerable<br />

knowledge and expertise to <strong>the</strong> successful<br />

treatment <strong>of</strong> <strong>the</strong>se patients. With regard<br />

to <strong>the</strong> role <strong>of</strong> <strong>the</strong> orthodontist, in particular,<br />

it is important to remember that this aspect<br />

<strong>of</strong> <strong>the</strong> treatment can last up to two decades.<br />

The orthodontist receives little or no remuneration<br />

for services rendered, o<strong>the</strong>r than<br />

having <strong>the</strong> satisfaction and reward <strong>of</strong> knowing<br />

that <strong>the</strong> quality <strong>of</strong> life for <strong>the</strong>se patients<br />

has been made immeasurably better.<br />

barry briss, d66, dg70<br />

pr<strong>of</strong>essor and chair <strong>of</strong> orthodontics<br />

tufts school <strong>of</strong> dental medicine<br />

award winner<br />

Your school magazine, Tuf ts <strong>Dental</strong><br />

Medicine, received a national Gold Medal<br />

for Periodical Staff Writing for External<br />

Audiences in <strong>the</strong> 2012 National Council for<br />

Advancement and Support <strong>of</strong> Education<br />

(CASE) Circle <strong>of</strong> Excellence Awards<br />

Program. It is <strong>the</strong> second time in five years<br />

that <strong>the</strong> magazine has received CASE’s top<br />

writing award. An excerpt from <strong>the</strong> judges’<br />

report: “With an audience as narrow as that<br />

<strong>of</strong> <strong>Tufts</strong> <strong>Dental</strong> Medicine, it’s quite an accomplishment<br />

to engage casual readers, but<br />

<strong>Tufts</strong>’ stories did just that. We were beyond<br />

impressed with <strong>the</strong> unique story angles,<br />

especially “Life After Death” [Spring 2012],<br />

which may have been <strong>the</strong> strongest selection<br />

we read all day. Most <strong>of</strong> <strong>the</strong> stories kept us<br />

wanting more. The authors did a tremendous<br />

job <strong>of</strong> lending human narratives to<br />

o<strong>the</strong>rwise-dry topics. It was storytelling<br />

where we least expected it.”<br />

The magazine also was awarded <strong>the</strong><br />

International College <strong>of</strong> Dentists’ Platinum<br />

Pencil for Outstanding Graphic Design for<br />

<strong>the</strong> issues published in Spring 2011 and Fall<br />

2011.<br />

Correction: The gift in honor <strong>of</strong> John R.<br />

Saunders, D52, from <strong>the</strong> Narragansett (R.I.)<br />

<strong>School</strong> System, was listed incorrectly in <strong>the</strong><br />

2011-12 Record <strong>of</strong> Giving, a separate publication<br />

<strong>of</strong> <strong>the</strong> Office <strong>of</strong> <strong>Dental</strong> Development<br />

and Alumni Relations that was distributed<br />

earlier this fall.<br />

dental medicine<br />

volume 16, no. 2 FA FAll ll 2012<br />

executive xecutive eeditor<br />

ditor huw f. thomas<br />

dean, <strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine<br />

editor helene ragovin<br />

editorial ditorial Director Karen Bailey<br />

Alumni editor Vangel r. Zissi, d62, dg67<br />

Design Director margot grisar<br />

Senior Designer Betsy hayes<br />

Contributing Writers<br />

gail Bambrick, Julie flaherty, david levin,<br />

taylor mcneil, Jacqueline mitchell<br />

Contributing editor Bob sprague<br />

editorial ditorial Advisors<br />

mark gonthier, executive associate dean<br />

maria gove tringale, senior director,<br />

<strong>Dental</strong> Development and Alumni Relations<br />

mary-ellen marks, academic affairs<br />

administrator<br />

susan ahearn, senior associate director,<br />

Alumni Relations<br />

<strong>Dental</strong> Alumni Association<br />

President John J. millette, d91, a15p<br />

vice ice President<br />

Joseph p. giordano, d79, dg84<br />

Assistant Secretary/Treasurer<br />

cherie c. Bishop, d94<br />

Treasurer nicholas t. papapetros ii, d91<br />

Secretary Janis moriarty, d94<br />

Directors<br />

michelle anderson, d07, dg09; rustam<br />

K. deVitre, dg76, di77, d12p; Joanne<br />

falzone-cherubini, d80; peiman mahdavi,<br />

d91, dg94; raina a. trilokekar, dg88, di91;<br />

derek a. Wolkowicz, d97, dg00<br />

Past Presidents<br />

peter a. delli colli, a69, d73; mostafa h.<br />

el-sherif, di95; t<strong>of</strong>igh raayai, dg77, di82<br />

<strong>Dental</strong> m Club<br />

mary Jane hanlon, d97, chair<br />

mary c. demello, d86, vice chair<br />

Historian charles B. millstein, d62, a10p<br />

Chapter and Club Presidents<br />

steven dugoni, d79, a08p, a12p, California<br />

robert Berg, d03, New York<br />

William n. pantazes, d90, dg08, Florida<br />

John a. Vrotsos, dg82, Greece<br />

lino calvani, dg91, Italy<br />

<strong>Tufts</strong> <strong>Dental</strong> Medicine is published twice<br />

annually by tufts university school <strong>of</strong> dental<br />

medicine, <strong>the</strong> tufts university dental alumni<br />

association and <strong>the</strong> tufts university <strong>of</strong>fice<br />

<strong>of</strong> publications. <strong>the</strong> magazine is a publication<br />

member <strong>of</strong> <strong>the</strong> american association<br />

<strong>of</strong> dental editors.<br />

send correspondence to:<br />

editor, <strong>Tufts</strong> <strong>Dental</strong> Medicine<br />

tufts university <strong>of</strong>fice <strong>of</strong> publications<br />

80 george st., medford, ma 02155<br />

© 2012 trustees <strong>of</strong> tufts uniVersity<br />

<strong>Tufts</strong> Prints Green<br />

printed on 25% post-consumer waste<br />

recycled paper. please recycle.


<strong>the</strong> path Forward<br />

greetings! <strong>the</strong> events <strong>of</strong><br />

<strong>the</strong> past several weeks have<br />

had a significant impact<br />

on <strong>the</strong> lives <strong>of</strong> <strong>the</strong> citizens<br />

<strong>of</strong> our great nation, from<br />

<strong>the</strong> presidential election to<br />

<strong>the</strong> devastation caused by<br />

Hurricane Sandy. I trust<br />

that those <strong>of</strong> you who were<br />

affected by <strong>the</strong> storm are<br />

enjoying some degree <strong>of</strong> return to normalcy. As<br />

you will read in <strong>the</strong> following pages, <strong>Tufts</strong> <strong>School</strong> <strong>of</strong><br />

<strong>Dental</strong> Medicine is thriving, and while we have our<br />

own challenges, it is so encouraging that our wonderful<br />

students, staff, faculty and alumni all share<br />

in <strong>the</strong> family spirit that defines this institution.<br />

As usual, <strong>the</strong> stories and news highlights contained<br />

within <strong>the</strong>se pages represent our family in <strong>the</strong><br />

broadest possible terms, from bacteria to boxing to<br />

bizarre plants. The most poignant story, <strong>of</strong> <strong>the</strong> family<br />

<strong>of</strong> Martin Deranian, who taught at our school for<br />

40 years, brings to mind articles in <strong>the</strong> previous two<br />

issues <strong>of</strong> this magazine relating to <strong>the</strong> inhumanity<br />

<strong>of</strong> mankind, while at <strong>the</strong> same time attesting to <strong>the</strong><br />

resiliency <strong>of</strong> <strong>the</strong> human spirit.<br />

You will read also <strong>of</strong> <strong>the</strong> strategic-planning initiative<br />

President Anthony Monaco has launched for<br />

<strong>Tufts</strong> <strong>University</strong>—an effort that parallels our own<br />

from <strong>the</strong> dean<br />

planning process that began last spring. Our strategic-planning<br />

committee has been hard at work<br />

developing a series <strong>of</strong> strategic briefs that have been<br />

distributed to all faculty, staff and students for comment<br />

and input. This effort will shape our path for<br />

<strong>the</strong> future and will allow us to identify and address<br />

<strong>the</strong> significant challenges that are facing our pr<strong>of</strong>ession<br />

and <strong>the</strong> inevitable changes in <strong>the</strong> educational<br />

paradigm. The next issue <strong>of</strong> this magazine will<br />

report on our progress. Some <strong>of</strong> <strong>the</strong>se challenges are<br />

discussed in this magazine, including issues related<br />

to access to care and funding. Two new faculty<br />

members, Rob Kasberg and Nadeem Karimbux,<br />

are highlighted, as are our graduation ceremonies,<br />

Wide Open golf tournament and some innovative<br />

research advancements.<br />

Perhaps you will also notice <strong>the</strong> number <strong>of</strong><br />

women students in <strong>the</strong> photos. I am delighted<br />

to report that this year’s entering class contains a<br />

majority <strong>of</strong> women (53 percent). Compare this with<br />

our D96 class (33 percent) and our D76 class (13<br />

percent)—an increase that is reflected across all<br />

U.S. dental schools—and you will appreciate <strong>the</strong><br />

gender shift that has occurred over <strong>the</strong> past 40 years.<br />

How do you think this will affect our pr<strong>of</strong>ession in<br />

<strong>the</strong> future?<br />

I can be reached at huw.thomas@tufts.edu. I want<br />

to hear what you have to say.<br />

huw f. thomas, b.d.s., m.s., ph.d.<br />

dean and pr<strong>of</strong>essor <strong>of</strong> pediatric dentistry<br />

photo: alonso nichols fall 2012 tufts dental medicine 3


word <strong>of</strong> mouth<br />

a scan <strong>of</strong> people, places & events<br />

Resilient Women<br />

Stage drama recounts <strong>the</strong> horror and <strong>the</strong> hope that defined two families by Gail Bambrick<br />

pril 24, 1915, was a day like any o<strong>the</strong>r in turkish armenia.<br />

Then night fell, and hundreds <strong>of</strong> Armenian intellectuals in <strong>the</strong><br />

Ottoman capital <strong>of</strong> Constantinople were rousted from <strong>the</strong>ir<br />

sleep, tortured and killed.<br />

The slaughter continued for months across <strong>the</strong> Ottoman Empire. Without<br />

warning, <strong>the</strong> government ordered Armenian men to abandon <strong>the</strong>ir shops, desert<br />

<strong>the</strong>ir plows in <strong>the</strong> fields and leave <strong>the</strong>ir beds without dressing and executed <strong>the</strong>m.<br />

Then it was <strong>the</strong> women’s turn. Their husbands gone, girlhood friends Varter<br />

Nazarian and Elmas Sarajian and <strong>the</strong>ir nine children were among <strong>the</strong> hundreds<br />

<strong>of</strong> thousands taken from <strong>the</strong>ir homes and forced to march through <strong>the</strong> desert<br />

to relocation centers in Syria and Mesopotamia. By some estimates, more than<br />

half a million men, women and children perished in death marches across that<br />

summer. Elmas and Varter lost all <strong>of</strong> <strong>the</strong>ir children.<br />

The event that has been called “<strong>the</strong> murder <strong>of</strong> a nation”—an estimated 1.5<br />

million Armenians died—was like an earthquake that reverberated across time,<br />

says Sarajian’s granddaughter, <strong>the</strong> playwright Joyce Van Dyke. The story <strong>of</strong> <strong>the</strong><br />

two women’s friendship, deportation and survival is <strong>the</strong> inspiration for Van<br />

Dyke’s <strong>latest</strong> work, Deported, A Dream Play, which played to sold-out houses at <strong>the</strong><br />

Modern Theater in Boston earlier this year and is scheduled to be performed as<br />

Martin Deranian’s mo<strong>the</strong>r was <strong>the</strong> sole survivor. The lost family members are shaded out.<br />

4 tufts dental medicine fall 2012<br />

part <strong>of</strong> Salon Mashup: Armenian Perspectives<br />

<strong>of</strong> Displacement and Regeneration in East<br />

London’s Shoreditch Town Hall from<br />

January 31 to February 3, 2013.<br />

Van Dyke knew little <strong>of</strong> her grandmo<strong>the</strong>r’s<br />

deportation story until she met<br />

Martin Deranian, Varter’s son from her<br />

second marriage in America. “They would<br />

never speak <strong>of</strong> it, you see,” says Deranian,<br />

who taught dental history at <strong>Tufts</strong> <strong>School</strong> <strong>of</strong><br />

<strong>Dental</strong> Medicine for 40 years and has a practice<br />

in Worcester, Mass.<br />

Deranian introduced himself to Van<br />

Dyke when he saw ano<strong>the</strong>r <strong>of</strong> her plays, a<br />

love story titled A Girl’s War, in Boston in<br />

2003. Some 50 years before, he had uncovered<br />

<strong>the</strong> story <strong>of</strong> his mo<strong>the</strong>r and her grandmo<strong>the</strong>r.<br />

“I knew <strong>of</strong> [Van Dyke], but we had<br />

never met, so I introduced myself to her in<br />

<strong>the</strong> <strong>the</strong>ater lobby and said I had some interesting<br />

material on her grandmo<strong>the</strong>r, and she<br />

should write a play about it,” Deranian says.<br />

Personal histories <strong>of</strong>ten remain hidden,<br />

and <strong>the</strong>n surface in sudden and surprising<br />

ways. Such was <strong>the</strong> case with <strong>the</strong> story<br />

<strong>of</strong> Deranian’s mo<strong>the</strong>r and Elmas, her longtime<br />

friend. “I remember playing with [Van<br />

Dyke’s] mo<strong>the</strong>r when I was about 5 years old,<br />

can you imagine that? And now we’re working<br />

on this play toge<strong>the</strong>r,” Deranian says.<br />

Sharing c<strong>of</strong>fee one sunny morning at<br />

<strong>Tufts</strong> <strong>Dental</strong> <strong>School</strong>, <strong>the</strong> horrors endured in<br />

Armenia nearly a century ago seemed but<br />

a breath away as Van Dyke and Deranian<br />

talked about <strong>the</strong>ir lifelong struggle to come<br />

to terms with <strong>the</strong>ir past.<br />

“I am still on a daily basis trying to understand<br />

it,” Van Dyke says. “I’m shocked anew<br />

at what it shows me about myself, about my<br />

mo<strong>the</strong>r, my relationship with my mo<strong>the</strong>r,


“In my desperate, hopeless and<br />

sad days let this photograph be<br />

a living memorial <strong>of</strong> my days<br />

<strong>of</strong> death. I had died, but my life<br />

was saved through Christ.”<br />

how she struggled to escape <strong>the</strong> shadow <strong>of</strong><br />

her [own] mo<strong>the</strong>r’s experience <strong>of</strong> <strong>the</strong> genocide.<br />

The natural impulse is to flee it, to not<br />

be marked by it.”<br />

Varter and Elmas left for America on<br />

<strong>the</strong> same ship after spending five years in<br />

Aleppo, Syria, where <strong>the</strong>y helped o<strong>the</strong>r<br />

Armenian survivors: Elmas worked in<br />

an orphanage and Varter for Near East<br />

Relief. They continued to share <strong>the</strong>ir lives<br />

in America; Elmas settled in Providence<br />

R.I., and Varter in Worcester, where she<br />

eventually married Mardiros Deranian.<br />

They had one child, Martin.<br />

In 1929, when Martin Deranian was 7<br />

Photos: courtesy <strong>of</strong> martin deranian<br />

—Varter Nazarian, in aleppo in 1919<br />

years old, Varter died after a long illness. As<br />

he grew older, Deranian was determined to<br />

learn about his mo<strong>the</strong>r’s life before she came<br />

to America. In <strong>the</strong> early 1960s, he discovered<br />

that Elmas, <strong>the</strong>n living in Fresno, Calif., was<br />

<strong>the</strong> only one still alive who had been with his<br />

mo<strong>the</strong>r on <strong>the</strong> march. He also learned that<br />

<strong>the</strong> Rev. Ephraim K. Jernazian, who met his<br />

mo<strong>the</strong>r in Syria, lived in Los Angeles.<br />

“I contacted him and asked if he could<br />

interview Elmas and record her first-hand<br />

account,” Deranian recalls. “She told him<br />

what she had told no one else, because he was<br />

<strong>the</strong>re and he had helped her friend survive.”<br />

Jernazian is <strong>the</strong> author <strong>of</strong> Judgment unto<br />

Truth: Witnessing <strong>the</strong> Armenian Genocide<br />

(1990), published after his death in 1971.<br />

Elmas died in her sleep in 1977.<br />

Deranian says <strong>the</strong> full knowledge <strong>of</strong> his<br />

mo<strong>the</strong>r’s past has changed him. “To witness<br />

it and face it is what gives us freedom,” he<br />

says. “It tore my guts out, but it made me<br />

a better human being, more compassionate.<br />

Without knowing this, I would not be a<br />

complete human being.”<br />

Van Dyke’s play spans a century, chronicling<br />

<strong>the</strong> events that shaped <strong>the</strong> lives <strong>of</strong><br />

Elmas and Varter and <strong>the</strong>ir descendants.<br />

Horror and hope are evoked through<br />

dreams and characters that appear and disappear<br />

from <strong>the</strong> stage.<br />

“I didn’t want <strong>the</strong> play to be just about<br />

buried, long-ago events,” Van Dyke says,<br />

“because <strong>the</strong> repercussions <strong>of</strong> <strong>the</strong> genocide<br />

are just enormous and are passed down<br />

through generations. I wanted to show <strong>the</strong><br />

multiple kinds <strong>of</strong> impact, how people’s lives<br />

get shaped by this thing that happened.”<br />

Horrific events—when Varter’s children<br />

were left in a dry well to die <strong>of</strong> heat<br />

and dehydration—are retold on stage, as<br />

are <strong>the</strong> children’s cries for <strong>the</strong>ir mo<strong>the</strong>r that<br />

“haunted her all <strong>the</strong> days and nights <strong>of</strong> her<br />

life,” Deranian says.<br />

But <strong>the</strong> play rises up and beyond despair<br />

to reveal a story <strong>of</strong> rebirth that began <strong>the</strong><br />

day Varter and Elmas boarded <strong>the</strong> ship to<br />

America. Van Dyke opens <strong>the</strong> play with<br />

Varter and Elmas hiding in an attic as a<br />

hurricane rages outside. From this dark,<br />

enclosed place, <strong>the</strong> stage walls literally<br />

expand with each act, eventually revealing<br />

an open garden brimming with life, much<br />

like <strong>the</strong> one Elmas tended in Fresno, and<br />

finally to a dream world <strong>of</strong> <strong>the</strong> future.<br />

“They are tremendously resilient,” Van<br />

Dyke says <strong>of</strong> her main characters. “They<br />

are, to me, heroic figures. They are people<br />

in whom life surges so powerfully that it<br />

simply cannot be extinguished.”<br />

Gail Bambrick, a senior writer in <strong>Tufts</strong>’<br />

Office <strong>of</strong> Publications, can be reached at<br />

gail.bambrick@tufts.edu.<br />

fall 2012 tufts dental medicine 5


word <strong>of</strong> mouth<br />

decade ago, <strong>the</strong> institute <strong>of</strong><br />

Medicine released a comprehensive<br />

report about racial<br />

and ethnic disparities in U.S.<br />

health care, suggesting that “clinical uncertainty”<br />

on <strong>the</strong> part <strong>of</strong> health-care providers<br />

treating patients from an unfamiliar background<br />

could lead to lower quality care.<br />

Training providers how to communicate<br />

with and care for <strong>the</strong>se patients—a skill<br />

now known as cultural competency—was<br />

one proposed solution.<br />

But dentistry trails far behind medicine<br />

in cultural competency training, says Yusuf<br />

Bhatti, D14, who assessed state licensing<br />

board policies for dentists and physicians.<br />

The research, which Bhatti presented at<br />

<strong>the</strong> 2012 annual meeting <strong>of</strong> <strong>the</strong> American<br />

Association for <strong>Dental</strong> Research, found that<br />

Yusuf Bhatti, D14<br />

Culture <strong>of</strong> Understanding<br />

Health-care providers should have specialized training on caring for<br />

patients from diverse backgrounds by Jacqueline Mitchell<br />

no state dental board required continuing<br />

education courses in cultural competency,<br />

and only two states, New Jersey and<br />

California, granted CE credit for such training.<br />

By comparison, three states require cultural<br />

competency training for physicians,<br />

and all 50 states award physicians CE credit<br />

for cultural competency courses.<br />

“At <strong>the</strong> practice level, even if you wanted<br />

to pursue [cultural competency training],<br />

<strong>the</strong>re’s not any incentive, and <strong>the</strong>re are hurdles<br />

to getting CE credit approved by state<br />

boards,” says Bhatti.<br />

When he looked at <strong>the</strong> racial makeup <strong>of</strong><br />

physicians and dentists practicing in each<br />

state, Bhatti found that minorities were<br />

underrepresented in both pr<strong>of</strong>essions,<br />

though more dramatically so among dentists.<br />

To Bhatti, that’s all <strong>the</strong> more reason<br />

to emphasize cultural competency training<br />

for practicing dentists.<br />

“It would be great to increase <strong>the</strong> [number<br />

<strong>of</strong> dentists from] underrepresented<br />

minorities,” he says, “but if you really want<br />

to rectify <strong>the</strong> situation, we need to focus<br />

on <strong>the</strong> general population <strong>of</strong> dentists and<br />

increase <strong>the</strong>ir cultural competency.”<br />

<strong>Tufts</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine has<br />

taken on that challenge, <strong>of</strong>fering a series<br />

<strong>of</strong> six seminars on cultural competency to<br />

faculty on topics ranging from cross-cultural<br />

health communication to poverty’s<br />

relationship to oral health disparities. “The<br />

series is really formalizing what people<br />

have developed over <strong>the</strong> last decade,” says<br />

Robert Kasberg, associate dean <strong>of</strong> admissions<br />

and student affairs, who developed<br />

<strong>the</strong> program with Yun Saksena, DI00, associate<br />

clinical pr<strong>of</strong>essor <strong>of</strong> prosthodontics<br />

and operative dentistry.<br />

Kasberg plans to launch a similar series<br />

for students next year, while a school advisory<br />

group will take steps to infuse cultural<br />

competency into <strong>the</strong> dental curriculum. In<br />

<strong>the</strong> United States, six dental schools <strong>of</strong>fer<br />

a specific course in cultural competency;<br />

however, just one school makes <strong>the</strong> course<br />

a requirement, according to a 2006 survey<br />

<strong>of</strong> 34 dental schools published by <strong>the</strong><br />

American <strong>Dental</strong> Education Association.<br />

But squeezing ano<strong>the</strong>r requirement into<br />

<strong>the</strong> already jam-packed dental curriculum<br />

is not necessarily <strong>the</strong> goal at <strong>Tufts</strong>. “I’d<br />

much ra<strong>the</strong>r see it integrated throughout<br />

<strong>the</strong> curriculum and make it part <strong>of</strong> <strong>Tufts</strong>’<br />

culture,” says Kasberg.<br />

While Bhatti’s research focused on<br />

race and ethnicity, he includes religion,<br />

socioeconomic status and health status—<br />

including patients with HIV/AIDS or special<br />

needs—among groups cultural competency<br />

training should address. He defines<br />

such training as “<strong>the</strong> set <strong>of</strong> skills by which<br />

a health-care provider, or anyone really,<br />

relates to people from diverse backgrounds.<br />

It’s something that you utilize to provide<br />

effective care.”<br />

Kasberg echoes <strong>the</strong> simplicity <strong>of</strong> that<br />

statement. “We can’t teach about every cultural<br />

group in <strong>the</strong> world,” he says, “but we<br />

can treat everyone with dignity and respect<br />

and [create] a healthy climate in which all<br />

people feel welcome.”<br />

6 tufts dental medicine fall 2012 Photo: kelvin ma


<strong>the</strong><br />

$2.10<br />

<strong>the</strong> national average,<br />

per tooth, left by <strong>the</strong> tooth<br />

fairy in 2011, according<br />

to delta dental.<br />

(still in doubt about<br />

how much to leave?<br />

<strong>the</strong>re’s an app for that,<br />

available from itunes.)<br />

200<br />

number <strong>of</strong> tufts dental<br />

towels that inga keithly,<br />

president <strong>of</strong> <strong>the</strong> class <strong>of</strong><br />

d12, stuffed into her car<br />

and hauled to <strong>the</strong> medford/<br />

somerville campus for<br />

commencement in may.<br />

<strong>the</strong> towels were gifts to<br />

<strong>the</strong> graduates from<br />

<strong>the</strong> class <strong>of</strong>ficers.<br />

+<br />

A smattering<br />

<strong>of</strong> dentistry tidbits<br />

to inform, amuse<br />

and amaze<br />

dlist<br />

6,500 Years<br />

Age <strong>of</strong> a human jaw bone, with a tooth<br />

showing traces <strong>of</strong> beeswax filling,<br />

discovered in Slovenia. “This finding is<br />

perhaps <strong>the</strong> most ancient evidence <strong>of</strong><br />

prehistoric dentistry in Europe,” reports<br />

one <strong>of</strong> <strong>the</strong> researchers who discovered it.<br />

1,240<br />

Number <strong>of</strong> videos<br />

<strong>of</strong> spontaneous<br />

and posed smiles<br />

in <strong>the</strong> <strong>University</strong><br />

<strong>of</strong> Amsterdam<br />

Smile Database<br />

(www.uva-nemo.<br />

org/index.html),<br />

<strong>the</strong> most<br />

comprehensive<br />

such collection<br />

assembled.<br />

81%<br />

Percentage <strong>of</strong> respondents<br />

to a quiz on <strong>the</strong> ADA website<br />

Mouthhealthy.org who<br />

mistakenly believe that<br />

sugar causes cavities.<br />

Photo: doi:10.1371/journal.Pone.0044904 (jaw bone); illustration: betsy hayes<br />

The jaw bone<br />

from a cave in<br />

sou<strong>the</strong>rn Slovenia.<br />

31%<br />

Percentage <strong>of</strong> parents who<br />

reported arguing with <strong>the</strong>ir kids<br />

at least once a week about<br />

brushing <strong>the</strong>ir teeth, according<br />

to an ad council survey.<br />

$39<br />

million<br />

amount <strong>the</strong> american dental<br />

association and its state<br />

chapters have spent since<br />

1999 on political lobbying,<br />

according to <strong>the</strong> national<br />

institute on money in state<br />

Politics.<br />

3:21Running<br />

time for “D12 Dynamite,”<br />

a music video, set to <strong>the</strong> tune<br />

<strong>of</strong> Taio Cruz’s “Dynamite,”<br />

made by 2012 graduates.<br />

The lyrics refer to graduation<br />

requirements.<br />

st<br />

Place that <strong>the</strong><br />

<strong>Tufts</strong> team <strong>of</strong> <strong>the</strong><br />

American Student<br />

<strong>Dental</strong> Association (ASDA)<br />

took at <strong>the</strong> first 2011–12<br />

ASDA district debate.<br />

The trophy now resides in<br />

<strong>the</strong> seventh-floor lounge.<br />

Number <strong>of</strong> astronauts it took to replace<br />

a power unit on <strong>the</strong> International Space<br />

Station during a spacewalk in<br />

September. They improvised<br />

tools from spare parts<br />

and a toothbrush.


tooth tattoo<br />

tiny sensor may one day help dentists assess <strong>the</strong>ir patients’<br />

oral and overall health by david levin<br />

gold, silk and graphite<br />

may not be <strong>the</strong> first materials<br />

that come to mind when you<br />

think <strong>of</strong> cutting-edge technology.<br />

Put <strong>the</strong>m toge<strong>the</strong>r,<br />

though, and you’ve got <strong>the</strong><br />

basic components <strong>of</strong> a new<br />

ultrathin, flexible oral sensor<br />

that can measure bacteria<br />

levels in <strong>the</strong> mouth. The<br />

device, attached temporarily<br />

to a tooth, could one day help<br />

dentists fine-tune treatments<br />

for patients with chronic<br />

periodontitis, for example, or<br />

even provide a window on a<br />

patient’s overall health.<br />

The sensor, dubbed a<br />

“tooth tattoo,” was developed<br />

by Princeton nanoscientist<br />

Michael McAlpine and<br />

<strong>Tufts</strong> bioengineers Fiorenzo<br />

Omenetto, David Kaplan and<br />

Hu Tao. The team published<br />

its research last spring in<br />

Nature Communications.<br />

The sensor is relatively<br />

simple in its construction,<br />

says McAlpine. It’s made up<br />

<strong>of</strong> three layers: a sheet <strong>of</strong> thin<br />

gold foil electrodes, an atomthick<br />

layer <strong>of</strong> graphite known<br />

as graphene and a layer <strong>of</strong><br />

specially engineered peptides,<br />

chemical structures that<br />

“sense” bacteria by binding to<br />

parts <strong>of</strong> <strong>the</strong>ir cell membranes.<br />

“We created a new type<br />

<strong>of</strong> peptide that can serve as<br />

an intermediary between<br />

bacteria and <strong>the</strong> sensor,” says<br />

McAlpine. “At one end is a<br />

8 tufts dental medicine fall 2012<br />

molecule that can bond with<br />

<strong>the</strong> graphene, and at <strong>the</strong> o<strong>the</strong>r<br />

is a molecule that bonds with<br />

bacteria,” he says.<br />

Because <strong>the</strong> layers <strong>of</strong> <strong>the</strong><br />

device are so thin and fragile,<br />

<strong>the</strong>y need to be mounted atop<br />

a tough but flexible backing<br />

in order to affix <strong>the</strong>m to a<br />

tooth. The ideal foundation,<br />

McAlpine says, turns out to be<br />

silk—a substance with which<br />

Kaplan and Omenetto have<br />

been working for years.<br />

By manipulating <strong>the</strong><br />

proteins that make up a single<br />

strand <strong>of</strong> silk, it’s possible<br />

to create silk structures in<br />

just about any shape, says<br />

Omenetto, a pr<strong>of</strong>essor <strong>of</strong> biomedical<br />

engineering at <strong>Tufts</strong>.<br />

Silk is “kind <strong>of</strong> like plastic,<br />

in that we can make [it] do<br />

almost anything,” he says.<br />

Omenetto, Kaplan and Tao<br />

created a thin, water-soluble<br />

silk backing for McAlpine’s<br />

bacterial sensor—a film that’s<br />

strong enough to hold <strong>the</strong><br />

leading-edge science<br />

sensor components in place,<br />

but s<strong>of</strong>t and pliable enough to<br />

wrap easily around <strong>the</strong> irregular<br />

contours <strong>of</strong> a tooth.<br />

To apply <strong>the</strong> sensor,<br />

McAlpine says, you need only<br />

to wet <strong>the</strong> surface <strong>of</strong> <strong>the</strong> assembly—silk,<br />

sensor and all—and<br />

<strong>the</strong>n press it onto <strong>the</strong> tooth.<br />

Once <strong>the</strong>re, <strong>the</strong> silk backing<br />

will dissolve within 15 or 20<br />

minutes, leaving behind <strong>the</strong><br />

sensor, a rectangle <strong>of</strong> interwoven<br />

gold and black electrodes<br />

about half <strong>the</strong> size <strong>of</strong> a postage<br />

stamp and about as thick as a<br />

sheet <strong>of</strong> paper. The advantage<br />

<strong>of</strong> being attached directly to a<br />

tooth means that <strong>the</strong> sensor is<br />

in direct contact with bacteria—an<br />

ideal way to monitor<br />

oral health.<br />

Because <strong>the</strong> sensor doesn’t<br />

carry any onboard batteries,<br />

it must be both read and<br />

powered simultaneously by<br />

a built-in antenna. Using a<br />

handheld device about <strong>the</strong> size<br />

<strong>of</strong> a TV remote, McAlpine’s<br />

a B c d<br />

team can “ping” that antenna<br />

with radio waves, causing it<br />

to resonate electronically and<br />

send back information that <strong>the</strong><br />

device <strong>the</strong>n uses to determine<br />

whe<strong>the</strong>r bacteria are present.<br />

Right now <strong>the</strong> sensor can<br />

detect only gram-negative bacteria,<br />

<strong>the</strong> general class <strong>of</strong> bacteria<br />

responsible for periodontal<br />

disease. Once its detection ability<br />

is honed, it eventually might<br />

help dentists track exactly when<br />

and where certain bacteria are<br />

present and develop customized<br />

treatment plans.<br />

“A sensor like this could<br />

give you a panoramic view<br />

<strong>of</strong> what’s happening over<br />

a number <strong>of</strong> hours or even<br />

days,” says Gerard Kugel,<br />

D85, M.S.93, a pr<strong>of</strong>essor <strong>of</strong><br />

prosthodontics and operative<br />

dentistry and associate dean<br />

for research at <strong>Tufts</strong> <strong>School</strong><br />

<strong>of</strong> <strong>Dental</strong> Medicine. “If you<br />

could tell when bacteria levels<br />

are spiking, you could shape<br />

your course <strong>of</strong> treatment<br />

accordingly. For example, if I<br />

saw a patient had a high caries<br />

rate and <strong>the</strong>ir bacteria level<br />

was high for an entire week,<br />

I might put <strong>the</strong>m on fluoride<br />

rinses and cavity varnishes, or<br />

even prescribe an antibiotic.”<br />

a graphene is printed onto bioresorbable silk and contacts are formed containing a wireless coil. B Biotransfer <strong>of</strong><br />

<strong>the</strong> sensor onto <strong>the</strong> surface <strong>of</strong> a tooth. c Magnified schematic <strong>of</strong> <strong>the</strong> sensing element, illustrating wireless readout.<br />

d Binding <strong>of</strong> pathogenic bacteria by peptides on <strong>the</strong> graphene.<br />

illustration: manu mannoor/Nature commuNicatioNs


In addition to monitoring<br />

oral health, Kugel believes <strong>the</strong><br />

tooth tattoo might be useful for<br />

monitoring a patient’s overall<br />

health. Biological markers for<br />

many diseases—from stomach<br />

ulcers to AIDS—appear in<br />

saliva, he says. So if a sensor<br />

could be modified to react to<br />

those markers, it potentially<br />

could help dentists identify<br />

problems early on. “The mouth<br />

is a window to <strong>the</strong> rest <strong>of</strong> <strong>the</strong><br />

body,” Kugel says. “You can<br />

spot a lot <strong>of</strong> potential health<br />

problems through saliva, and<br />

it’s a much less invasive way to<br />

do diagnostic tests than drawing<br />

blood.”<br />

Before <strong>the</strong> tooth tattoos<br />

can undergo clinical testing,<br />

however, researchers will have<br />

to overcome some limitations.<br />

In order for <strong>the</strong> sensor to detect<br />

specific strains <strong>of</strong> bacteria,<br />

McAlpine says, his team will<br />

need to create new peptides or<br />

similar molecules that bond<br />

with only one particular strain.<br />

The sensor’s physical size is<br />

also a consideration: The prototype<br />

is a bit too large for use<br />

in humans (<strong>the</strong> team tested it<br />

on a cow tooth). And, Kugel<br />

notes, thickness is a factor, too.<br />

It’ll be important to determine<br />

if patients will accept having a<br />

foreign object, no matter how<br />

thin, attached to <strong>the</strong>ir teeth.<br />

“People are very sensitive,”<br />

Kugel says. “If it’s at all<br />

irritating to a patient, he or she<br />

will complain about it. You’d<br />

need to make sure it’s actually<br />

comfortable enough to leave in<br />

place for long periods <strong>of</strong> time.”<br />

David Levin is a freelance<br />

science writer based in Boston.<br />

photo: photo researchers inc.<br />

<strong>the</strong> ‘o<strong>the</strong>r’<br />

fluoride<br />

For millions with dry mouth, this cousin keeps<br />

decay at bay by jacqueline Mitchell<br />

just 40 years ago, more<br />

than half <strong>of</strong> American kids<br />

had at least one untreated<br />

cavity. That statistic now<br />

stands at less than 25 percent,<br />

according to <strong>the</strong> Centers for<br />

Disease Control and Prevention<br />

(CDC). Most kids today can<br />

expect to keep <strong>the</strong>ir teeth well<br />

into <strong>the</strong>ir retirement years.<br />

“The major reason for <strong>the</strong><br />

drop in caries throughout<br />

<strong>the</strong> world has been <strong>the</strong> use <strong>of</strong><br />

fluoride in toothpaste,” says<br />

A<strong>the</strong>na Papas, J66, <strong>the</strong> Erling<br />

Johansen Pr<strong>of</strong>essor <strong>of</strong> <strong>Dental</strong><br />

Research at <strong>Tufts</strong>. Fluoride<br />

prevents decay by attaching<br />

onto <strong>the</strong> tooth surface and<br />

fortifying <strong>the</strong> enamel against<br />

acid erosion produced by<br />

bacteria in <strong>the</strong> mouth. It also<br />

repairs and remineralizes weak<br />

spots caused by acid damage.<br />

But for cancer patients and<br />

o<strong>the</strong>rs with complex medical<br />

issues, <strong>the</strong> sodium fluoride<br />

found in most toothpastes<br />

isn’t enough to prevent decay,<br />

says Papas, who specializes in<br />

treating medically compromised<br />

patients, including those<br />

undergoing radiation treatment<br />

for cancer and those with<br />

a tooth beset by<br />

erosion. Fluoride can<br />

help repair damage.<br />

dry mouth, or xerostomia.<br />

For <strong>the</strong>se patients, Papas<br />

recommends toothpaste or<br />

mouthwash containing stannous<br />

fluoride, first introduced<br />

in <strong>the</strong> 1950s and later replaced<br />

by <strong>the</strong> better-tasting and lessexpensive<br />

sodium fluoride.<br />

Both kinds <strong>of</strong> fluoride prevent<br />

decay by streng<strong>the</strong>ning and<br />

repairing enamel weakened by<br />

acids. But stannous fluoride has<br />

a major advantage over its more<br />

common cousin, Papas says,<br />

because it’s also antimicrobial:<br />

It kills bacteria in <strong>the</strong> mouth by<br />

interfering with <strong>the</strong> microbes’<br />

metabolic processes, <strong>of</strong> which<br />

cavity-causing acid is <strong>the</strong> main<br />

byproduct. Fewer bacteria<br />

mean less acid.<br />

Any time you eat or drink<br />

something containing sugar,<br />

Papas says, “you produce acid<br />

for at least five minutes.” With<br />

stannous fluoride, however,<br />

“<strong>the</strong> pH in <strong>the</strong> mouth doesn’t<br />

drop as low and comes back up<br />

sooner,” she says. “You can see<br />

it even in my high-risk xerostomic<br />

patients.”<br />

Patients with xerostomia<br />

don’t produce a lot <strong>of</strong> saliva,<br />

which helps neutralize acid<br />

and mitigate any damage it<br />

causes. That’s why people who<br />

suffer from dry mouth are<br />

at increased risk for cavities.<br />

That includes <strong>the</strong> 3.1 million<br />

Americans who, according to<br />

a 2008 CDC study, suffer from<br />

Sjögren’s syndrome, an autoimmune<br />

disease that causes <strong>the</strong><br />

salivary glands to malfunction.<br />

FLuorIDe, continued on page 10<br />

fall 2012 tufts dental medicine 9


lab notes<br />

Fluoride, continued from page 9<br />

It also includes head- and neckcancer<br />

patients whose salivary<br />

glands stop working as a result<br />

<strong>of</strong> radiation treatment—as<br />

many as 34,000 people per year,<br />

according to Papas.<br />

Many prescription drugs<br />

also cause dry mouth, including<br />

medications for high blood<br />

pressure, high cholesterol,<br />

depression and attention deficit<br />

disorder. Nearly half <strong>of</strong> all<br />

Americans take prescription<br />

medicine, and more than three<br />

quarters <strong>of</strong> <strong>the</strong>m take at least<br />

one that lists dry mouth as a<br />

potential side effect, according<br />

to a 2010 CDC report.<br />

Patients with dry mouth are<br />

also more prone to developing<br />

periodontitis, <strong>the</strong> chronic<br />

bacterial infection <strong>of</strong> <strong>the</strong><br />

gum tissue. Again, stannous<br />

fluoride appears to help. In a<br />

two-year randomized clinical<br />

trial, Papas and her colleagues,<br />

including Mabi Singh, DI07,<br />

an associate pr<strong>of</strong>essor in <strong>the</strong><br />

department <strong>of</strong> public health<br />

research and oral medicine,<br />

found that stannous fluoride<br />

performed as well as toothpaste<br />

containing <strong>the</strong> antibiotic<br />

triclosan in preventing gum<br />

disease in people with medication-induced<br />

dry mouth.<br />

The study evaluated 334<br />

patients with progressive<br />

periodontitis. Over <strong>the</strong> course<br />

<strong>of</strong> <strong>the</strong> first year, participants’<br />

gum recession increased by<br />

nearly a millimeter. During<br />

<strong>the</strong> second year, both substances<br />

reversed gum recession<br />

by about three-quarters<br />

<strong>of</strong> a millimeter. The research,<br />

funded by Procter & Gamble,<br />

which makes toothpaste<br />

containing stannous fluoride,<br />

appeared in <strong>the</strong> Journal <strong>of</strong><br />

Periodontology in 2007.<br />

“You can see my patients<br />

aren’t <strong>the</strong> healthiest <strong>of</strong> people.<br />

10 tufts dental medicine fall 2012<br />

They have very dry mouths,<br />

a lot <strong>of</strong> gum recession, but<br />

<strong>the</strong>y certainly did improve,”<br />

Papas said.<br />

If stannous fluoride can<br />

stave <strong>of</strong>f cavities, reverse<br />

gingivitis and prevent plaque<br />

buildup, why haven’t most<br />

consumers heard <strong>of</strong> it? The<br />

first formulations <strong>of</strong> stannous<br />

fluoride toothpaste contained<br />

tin and were chemically unstable,<br />

degrading when exposed<br />

to water. The toothpaste had a<br />

metallic taste and a gritty feel.<br />

Worse, <strong>the</strong> tin would <strong>of</strong>ten<br />

stain teeth, so dentists used<br />

stannous fluoride as a lastresort<br />

treatment for patients<br />

at high risk for tooth loss.<br />

“For some 20 years, dentistry<br />

walked away from stannous<br />

fluoride, even though it had<br />

been very efficacious,” says<br />

Papas. “I remember having<br />

to mix stannous fluoride and<br />

<strong>the</strong>n use it right away on my<br />

radiation patients.”<br />

Then Procter & Gamble<br />

developed a new way to<br />

formulate <strong>the</strong> stannous<br />

fluoride molecule, which it<br />

patented in 2004. While <strong>the</strong><br />

specifics are proprietary, <strong>the</strong><br />

novel technique produces<br />

stannous fluoride that is<br />

more palatable and less likely<br />

to cause staining. Several<br />

over-<strong>the</strong>-counter products<br />

containing <strong>the</strong> new stannous<br />

fluoride received FDA approval<br />

for <strong>the</strong>ir ability to prevent<br />

cavities and reduce plaque<br />

and gingivitis and have been<br />

widely available since 2006.<br />

But that doesn’t mean<br />

you should toss your sodium<br />

fluoride toothpaste. For most,<br />

sodium fluoride will help<br />

prevent cavities. Brushing<br />

regularly at all ages is what’s<br />

important, says Papas, because<br />

“you never outgrow your need<br />

for fluoride.”<br />

more care,<br />

more disease<br />

Maintaining <strong>the</strong> oral health <strong>of</strong> patients with special<br />

needs proves problematic by jacqueline Mitchell<br />

despite receiving oral<br />

health care twice as <strong>of</strong>ten as<br />

most Americans with dental<br />

insurance, people with intellectual<br />

and developmental<br />

disabilities tend to lose <strong>the</strong>ir<br />

teeth at an earlier age and<br />

have more severe gum disease,<br />

according to a <strong>Tufts</strong> study that<br />

takes an unprecedented look at<br />

this understudied population.<br />

The research, published in <strong>the</strong><br />

Journal <strong>of</strong> <strong>the</strong> American <strong>Dental</strong><br />

Association in August, analyzed<br />

electronic patient records <strong>of</strong><br />

nearly 5,000 intellectually<br />

and developmentally disabled<br />

adults who visited <strong>the</strong> clinics <strong>of</strong><br />

<strong>Tufts</strong> <strong>Dental</strong> Facilities Serving<br />

Persons with Special Needs<br />

between 2009 and 2010.<br />

“The fact that <strong>the</strong>y still have<br />

a patient undergoes<br />

treatment at a tdF clinic.<br />

a high prevalence <strong>of</strong> disease<br />

would indicate to us that <strong>the</strong>re<br />

is something about this population<br />

that puts <strong>the</strong>m at a higher<br />

risk for dental problems,” says<br />

<strong>the</strong> study’s lead author, John<br />

Morgan, an associate pr<strong>of</strong>essor<br />

<strong>of</strong> public health and community<br />

service at <strong>Tufts</strong> <strong>School</strong><br />

<strong>of</strong> <strong>Dental</strong> Medicine. Paula<br />

Minihan, an assistant pr<strong>of</strong>essor<br />

<strong>of</strong> public health and community<br />

medicine at <strong>Tufts</strong> Medical<br />

<strong>School</strong>, is <strong>the</strong> co-principal<br />

investigator on <strong>the</strong> study.<br />

<strong>Tufts</strong> <strong>Dental</strong> Facilities<br />

(TDF), a 36-year-old partnership<br />

between <strong>the</strong> dental school<br />

and <strong>the</strong> Massachusetts departments<br />

<strong>of</strong> Developmental<br />

Services and Public Health,<br />

is a network <strong>of</strong> seven clinics


“a PersoN miGht haVe <strong>the</strong> freedom to liVe<br />

someWhat iNdePeNdeNtlY, But miGht Not uNderstaNd<br />

<strong>the</strong> relatioNshiP BetWeeN lifestYle aNd its effect<br />

oN <strong>the</strong> teeth.” —john morgan<br />

throughout <strong>the</strong> state that<br />

provides oral health care to<br />

7,000 patients with intellectual,<br />

developmental and<br />

physical disabilities each year.<br />

A gift from Delta <strong>Dental</strong> <strong>of</strong><br />

Massachusetts in 2006 funded<br />

<strong>the</strong> con<strong>version</strong> to electronic<br />

record keeping in <strong>the</strong> TDF<br />

system, allowing Morgan and<br />

his research colleagues to mine<br />

<strong>the</strong> extensive data contained in<br />

patient records. “We thought<br />

it made sense to try to assess<br />

<strong>the</strong> oral health status <strong>of</strong> such<br />

a large number <strong>of</strong> adults with<br />

intellectual disabilities because<br />

that information is very difficult<br />

to obtain anywhere else,”<br />

Morgan said.<br />

Five million Americans live<br />

with intellectual disabilities,<br />

according to <strong>the</strong> Centers for<br />

Disease Control and Prevention<br />

(CDC). Prior to <strong>the</strong> <strong>Tufts</strong><br />

study, which was funded by <strong>the</strong><br />

National Institute <strong>of</strong> <strong>Dental</strong><br />

and Crani<strong>of</strong>acial Research<br />

(NIDCR), what little was<br />

known about <strong>the</strong> oral health<br />

<strong>of</strong> people with disabilities<br />

came from surveys <strong>of</strong> Special<br />

Olympians or <strong>of</strong> those living<br />

full time in care facilities.<br />

Because Special Olympians<br />

tend to be higher-functioning<br />

and are <strong>of</strong>ten from wealthier<br />

families, and those living in<br />

nursing homes are usually<br />

more pr<strong>of</strong>oundly disabled,<br />

Morgan says nei<strong>the</strong>r group<br />

truly represents <strong>the</strong> intellectually<br />

and developmentally<br />

disabled population.<br />

TDF, however, treats people<br />

<strong>of</strong> all ages with a wide range<br />

photo: kelvin ma<br />

<strong>of</strong> disabilities who live in<br />

diverse settings. The study<br />

examined <strong>the</strong> dental records<br />

<strong>of</strong> 4,732 patients, ages 20 to<br />

98, with mild, moderate and<br />

pr<strong>of</strong>ound levels <strong>of</strong> disability.<br />

The patients live on <strong>the</strong>ir<br />

own, with <strong>the</strong>ir families, in<br />

long-term nursing homes or in<br />

state-run or state-contracted<br />

residential communities.<br />

Morgan surmises <strong>the</strong> study<br />

represents a broad cross section<br />

<strong>of</strong> people with intellectual<br />

disabilities, but <strong>the</strong>re is one<br />

important way TDF patients<br />

may differ from <strong>the</strong>ir peers<br />

in o<strong>the</strong>r states: “They all have<br />

access to dental care,” he says.<br />

Through <strong>the</strong> public<br />

MassHealth Medicaid<br />

program, Massachusetts<br />

is among 28 states that<br />

cover dental care for adults.<br />

Twenty-two states provide no<br />

Medicaid coverage for regular,<br />

preventative dental services<br />

for adults. Even in states that<br />

provide coverage, many private<br />

dentists don’t accept Medicaid<br />

because <strong>of</strong> low reimbursement<br />

rates and cumbersome<br />

paperwork. About a third <strong>of</strong><br />

<strong>the</strong> 5,522 licensed dentists<br />

practicing in Massachusetts<br />

accept Medicaid, according<br />

to 2009 data from <strong>the</strong> state<br />

Department <strong>of</strong> Public Health.<br />

That’s where TDF comes in.<br />

“We’re a safety net, so we<br />

do provide care for a broad<br />

pr<strong>of</strong>ile <strong>of</strong> this population,”<br />

says Morgan.<br />

On average, TDF patients<br />

visit <strong>the</strong> dentist four times<br />

a year. That’s about twice<br />

as <strong>of</strong>ten as most insured<br />

Americans, and far more <strong>of</strong>ten<br />

than those with no coverage.<br />

In 2008, for example, a<br />

little more than two-thirds <strong>of</strong><br />

Americans reported seeing a<br />

dentist even once that year,<br />

according to <strong>the</strong> CDC.<br />

Yet even though TDF<br />

patients receive regular care,<br />

<strong>the</strong> study found that <strong>the</strong>y still<br />

had disproportionately high<br />

rates <strong>of</strong> decay, periodontal<br />

disease and tooth loss. The<br />

researchers’ examination <strong>of</strong><br />

TDF dental records between<br />

April 1, 2009, and March 31,<br />

2010, found that like most<br />

Americans, <strong>the</strong> vast majority<br />

<strong>of</strong> TDF patients—88 percent—<br />

had experienced dental decay.<br />

However, nearly a third <strong>of</strong> TDF<br />

patients had untreated caries.<br />

(Twenty-five percent <strong>of</strong> <strong>the</strong> general<br />

population has untreated<br />

decay, according to <strong>the</strong> 2004<br />

National Health and Nutrition<br />

Examination Survey).<br />

The <strong>Tufts</strong> patients in <strong>the</strong><br />

study also had a high prevalence<br />

<strong>of</strong> toothlessness. Among<br />

those over age 60, nearly 30<br />

percent had no teeth at all. In<br />

comparison, in <strong>the</strong> same age<br />

group in <strong>the</strong> general population,<br />

<strong>the</strong> rate <strong>of</strong> complete tooth<br />

loss is 22 percent.<br />

The <strong>Tufts</strong> patients also<br />

had dramatically more severe<br />

gum disease. More than 80<br />

percent <strong>of</strong> TDF patients were<br />

diagnosed with periodontitis,<br />

compared to about 47 percent<br />

in <strong>the</strong> general population,<br />

according to <strong>the</strong> CDC. The<br />

disease also struck <strong>the</strong> study<br />

group earlier. While about a<br />

quarter <strong>of</strong> all adults in <strong>the</strong>ir<br />

30s have gum disease, <strong>the</strong><br />

<strong>Tufts</strong> researchers found periodontitis<br />

in more than half <strong>of</strong><br />

TDF patients ages 20 to 39.<br />

Prescription medications<br />

that cause dry mouth could be<br />

one reason behind this population’s<br />

poor oral health, Morgan<br />

says. For example, 33 percent <strong>of</strong><br />

TDF patients took medication<br />

for epilepsy or seizures. This<br />

population also tends to take<br />

drugs for high blood pressure,<br />

diabetes and asthma.<br />

Additionally, <strong>the</strong> study<br />

showed that TDF patients who<br />

live independently have <strong>the</strong><br />

most tooth decay. Morgan<br />

suspects <strong>the</strong>se patients could<br />

be opting for sugary snacks or<br />

forgetting to brush. “A person<br />

might have <strong>the</strong> freedom to<br />

live somewhat independently,<br />

but might not understand <strong>the</strong><br />

relationship between lifestyle<br />

and its effect on <strong>the</strong> teeth,”<br />

he says.<br />

To determine why patients<br />

who receive so much dental<br />

care continue to experience<br />

poor oral health, Morgan and<br />

his colleagues are expanding<br />

<strong>the</strong> scope <strong>of</strong> <strong>the</strong>ir research.<br />

They recently surveyed 800<br />

caregivers <strong>of</strong> TDF patients<br />

about <strong>the</strong>ir knowledge and<br />

attitudes about oral health.<br />

Once those results are analyzed,<br />

Morgan says, <strong>the</strong>y’ll<br />

look at both studies “to come<br />

up with what we think would<br />

be a fairly strategic intervention<br />

to improve <strong>the</strong> oral health<br />

<strong>of</strong> this population.”<br />

fall 2012 tufts dental medicine 11


lab notes<br />

a mouthful <strong>of</strong> iNfo<br />

electronic patient records are a data gold mine for a new generation<br />

<strong>of</strong> oral health research by julie Flaherty<br />

where soMe dentists<br />

might see a patient’s oral health<br />

record as an important diagnostic<br />

tool, dental researchers<br />

see something else: golden<br />

nuggets <strong>of</strong> data just waiting<br />

to be mined.<br />

As dental schools have<br />

switched from paper to electronic<br />

medical records, <strong>the</strong><br />

potential for using patients’<br />

case notes, prescription histories,<br />

X-rays and test results<br />

as research data has opened<br />

new doors for scientists. That<br />

means every time patients<br />

visit <strong>the</strong> dentist, <strong>the</strong>y could be<br />

contributing to <strong>the</strong> next big<br />

breakthrough in <strong>the</strong> relationship<br />

between gum disease and<br />

heart disease or helping prevent<br />

implant failures.<br />

Already, <strong>Tufts</strong> has partnered<br />

with three o<strong>the</strong>r dental<br />

schools—Harvard, <strong>the</strong><br />

<strong>University</strong> <strong>of</strong> California at San<br />

Francisco and <strong>the</strong> <strong>University</strong><br />

<strong>of</strong> Houston at Texas—to create<br />

a warehouse <strong>of</strong> patient information<br />

that is being used for<br />

research. In just two years,<br />

<strong>the</strong> schools have ga<strong>the</strong>red and<br />

stored data from 1.2 million<br />

patients.<br />

Paul Stark, director <strong>of</strong><br />

advanced and graduate education<br />

at <strong>Tufts</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong><br />

Medicine and a creator <strong>of</strong> <strong>the</strong><br />

warehouse, envisions this data<br />

gold mine eventually shedding<br />

light on problems that<br />

commonly vex clinicians,<br />

such as why 5 to 10 percent <strong>of</strong><br />

restorations fail every year.<br />

“What are <strong>the</strong> factors that<br />

contributed to <strong>the</strong> failure?<br />

Was it operator error? Was it<br />

patient compliance? Was it<br />

behavioral?” he asks.<br />

The data can be used retrospectively.<br />

In August, Stark and<br />

colleagues published a study<br />

in <strong>the</strong> Journal <strong>of</strong> <strong>the</strong> American<br />

<strong>Dental</strong> Association based on<br />

electronic health records that<br />

found adults with intellectual<br />

and developmental disabilities<br />

aren’t getting enough specialized<br />

dental care to meet <strong>the</strong>ir<br />

needs. (see “More Care, More<br />

Disease,” page 10).<br />

Scientists can also use<br />

<strong>the</strong> database to efficiently<br />

recruit participants for<br />

intervention studies because<br />

it can easily identify patients<br />

who fit a certain pr<strong>of</strong>ile. It<br />

can be especially useful for<br />

investigating rare diseases,<br />

such as Sjögren’s syndrome, an<br />

autoimmune illness that causes<br />

dry mouth. “Even if only 2<br />

percent <strong>of</strong> <strong>the</strong> patients have it,<br />

you have 500 or 1,000 patients<br />

in your database,” said Stark.<br />

To build <strong>the</strong> data warehouse,<br />

“patient confidentiality<br />

is paramount,” Stark said.<br />

When any treatment is done<br />

in <strong>the</strong> dental school clinics,<br />

patients have to give <strong>the</strong>ir<br />

consent, and a part <strong>of</strong> <strong>the</strong><br />

consent form states that <strong>the</strong>ir<br />

information might be used for<br />

research.<br />

Patient data is stripped <strong>of</strong><br />

identifying information, and<br />

each school holds a decryption<br />

key that is separate from<br />

<strong>the</strong> database. Researchers<br />

who wish to identify patients,<br />

to recruit <strong>the</strong>m for a clinical<br />

trial, for example, must seek<br />

approval from an institutional<br />

review board, as is <strong>the</strong> case<br />

with any o<strong>the</strong>r study involving<br />

human subjects.<br />

As soon as electronic<br />

health records systems became<br />

available to dental schools<br />

in <strong>the</strong> early 1990s, Pr<strong>of</strong>essor<br />

Emeritus Robert Chapman,<br />

A63, D67, DG74, <strong>the</strong>n chair <strong>of</strong><br />

prosthodontics and operative<br />

dentistry, became intrigued<br />

by <strong>the</strong>ir promise for research.<br />

Currently most dental researchers<br />

rely on data from insurance<br />

companies. But less than half<br />

<strong>of</strong> American adults have dental<br />

insurance. “He definitely saw<br />

<strong>the</strong> value in patient care, but he<br />

also saw <strong>the</strong> wealth <strong>of</strong> data that<br />

was <strong>the</strong>re and <strong>the</strong> utility <strong>of</strong> <strong>the</strong><br />

data,” Stark said.<br />

Soon after <strong>Tufts</strong> moved to<br />

an electronic records system<br />

in 2004, <strong>the</strong> dental school<br />

hired Stark, a biostatistician<br />

who had been trained<br />

at Cornell and <strong>the</strong> Harvard<br />

<strong>School</strong> <strong>of</strong> Public Health, and<br />

most recently worked at <strong>Tufts</strong><br />

Medical Center, researching<br />

cancer rates.<br />

Chapman and Stark came<br />

up with <strong>the</strong> idea <strong>of</strong> bringing<br />

dental schools toge<strong>the</strong>r to share<br />

data. In June 2007 <strong>the</strong>y invited<br />

representatives from interested<br />

schools to come to Boston for<br />

two days <strong>of</strong> meetings. By <strong>the</strong><br />

end, representatives from 14<br />

dental schools in <strong>the</strong> United<br />

States, Canada and Europe had<br />

12 tufts dental medicine fall 2012 photo: photo researchers inc.


usiNG electroNic health records for research<br />

maY Become aN ecoNomic imPeratiVe.<br />

outlined <strong>the</strong> beginnings <strong>of</strong> <strong>the</strong><br />

Consortium <strong>of</strong> Oral Health<br />

Research and Informatics, or<br />

COHRI. The consortium now<br />

has 52 members from 20 dental<br />

schools, all <strong>of</strong> which intend to<br />

contribute to <strong>the</strong> data warehouse<br />

in <strong>the</strong> coming years.<br />

COHRI members—who<br />

include clinicians, researchers,<br />

epidemiologists, statisticians<br />

and informaticians (who deal<br />

with <strong>the</strong> collection, cataloging<br />

and dissemination <strong>of</strong> digitized<br />

data)—meet twice annually<br />

and on conference calls<br />

throughout <strong>the</strong> year. They work<br />

on developing standardized<br />

medical and dental history<br />

forms, constructing uniform<br />

dental diagnostic terms and<br />

establishing research objectives.<br />

“Everyone checks <strong>the</strong>ir<br />

egos at <strong>the</strong> door when <strong>the</strong>y<br />

come to <strong>the</strong>se meetings,” said<br />

Stark, who will chair <strong>the</strong> consortium<br />

in <strong>the</strong> coming year.<br />

“That helps us accomplish as<br />

much as we have.”<br />

At <strong>the</strong> COHRI national<br />

meeting in July, hosted by<br />

<strong>Tufts</strong>, members were thinking<br />

a lot about what <strong>the</strong>y could<br />

learn from hospitals—or more<br />

specifically, what missteps<br />

<strong>the</strong>y could avoid. Medicine’s<br />

countless specialties and<br />

tests—from bloodwork to<br />

MRIs to CAT scans—have<br />

made extracting data from<br />

electronic health records fairly<br />

complicated.<br />

Ross Koppel, an adjunct<br />

pr<strong>of</strong>essor at <strong>the</strong> <strong>University</strong><br />

<strong>of</strong> Pennsylvania who studies<br />

health-care information<br />

technology, estimates that on<br />

average, a hospital has between<br />

100 and 400 information<br />

technology systems <strong>of</strong> various<br />

sorts, and none <strong>of</strong> <strong>the</strong>m talks<br />

to each o<strong>the</strong>r. “They are really<br />

a Tower <strong>of</strong> Babel,” he said. This<br />

lack <strong>of</strong> interoperability makes<br />

data collection for research<br />

extremely difficult.<br />

“As dental IT becomes more<br />

popular, you are going to face<br />

<strong>the</strong> same monstrosities <strong>of</strong> this<br />

data wild west,” he told <strong>the</strong><br />

group, while applauding <strong>the</strong>m<br />

for having <strong>the</strong> forethought to<br />

form a consortium early on.<br />

“You have an opportunity to<br />

help define <strong>the</strong> debate, and<br />

that’s what I’m begging you to<br />

do. Don’t let it go <strong>the</strong> way <strong>of</strong><br />

our cousins in health care.”<br />

<strong>Dental</strong> schools are in a much<br />

better position, Koppel said.<br />

Most U.S. dental schools are<br />

already using digital records,<br />

and 85 percent <strong>of</strong> <strong>the</strong>m use <strong>the</strong><br />

same electronic health records<br />

s<strong>of</strong>tware system, which makes<br />

sharing data much easier.<br />

Using electronic health<br />

records for research may<br />

become an economic imperative.<br />

Shawn Murphy, an associate<br />

pr<strong>of</strong>essor <strong>of</strong> neurology<br />

at Harvard Medical <strong>School</strong><br />

and medical director <strong>of</strong><br />

research computing for<br />

Partners Healthcare, has been<br />

working with medical information<br />

technology since 1995.<br />

“Especially with genomic<br />

studies, we need larger and<br />

larger cohorts <strong>of</strong> patients to<br />

show significance,” he told <strong>the</strong><br />

COHRI group. “The problem<br />

is that doing <strong>the</strong>m <strong>the</strong><br />

old way—which is recruiting<br />

patients for clinical trials, signing<br />

<strong>the</strong>m up and getting <strong>the</strong>ir<br />

blood and so forth—is just too<br />

expensive.” He noted that <strong>the</strong><br />

U.S. Department <strong>of</strong> Health and<br />

Human Services estimates a<br />

study involving 500,000 to<br />

1 million participants would<br />

cost $3 billion.<br />

But not every physician and<br />

dentist is rushing to embrace<br />

this new method <strong>of</strong> research.<br />

“Inevitably, I’ll give this talk,<br />

and <strong>the</strong>re will be people in <strong>the</strong><br />

room who just hate this whole<br />

concept,” Murphy said. For<br />

starters, doctors worry that<br />

asking extra questions and<br />

filling in boxes on a computer<br />

screen may keep <strong>the</strong>m from<br />

even looking up at <strong>the</strong> patient.<br />

“The time it would take to<br />

collect five minutes <strong>of</strong> research,<br />

when you only have a 10-minute<br />

urgent-care slot in <strong>the</strong> first<br />

place, isn’t going to work,”<br />

Murphy said. He has found that<br />

doctors need to be assured that<br />

every click <strong>of</strong> <strong>the</strong> mouse has a<br />

clinical purpose, or “<strong>the</strong>y just<br />

won’t to do it.”<br />

Some researchers also balk<br />

at <strong>the</strong> idea <strong>of</strong> substituting<br />

electronic health-record data<br />

for actual clinical trials, where<br />

patients are enrolled, questions<br />

are standardized and forms are<br />

completed in full.<br />

“The [electronic medical<br />

record] is not like that at all,”<br />

admits Murphy. “Patients<br />

are coming in and out <strong>of</strong> <strong>the</strong><br />

system. Some data is being<br />

collected, but some data is not.”<br />

To balance that, researchers<br />

who use health-record data<br />

must do a much more rigorous<br />

statistical analysis <strong>of</strong> <strong>the</strong>ir capture<br />

rate and potential biases<br />

<strong>of</strong> <strong>the</strong> data. (For example, did<br />

several patients at one clinic<br />

receive <strong>the</strong> same medication<br />

because that clinic was visited<br />

by a persuasive drug rep?)<br />

To demonstrate that dental<br />

records are a viable source <strong>of</strong><br />

data, Stark and his team are<br />

comparing COHRI data to<br />

that <strong>of</strong> <strong>the</strong> National Health<br />

and Nutrition Examination<br />

Survey (NHANES), a large<br />

population survey that is <strong>the</strong><br />

cornerstone for many biomedical<br />

research studies. “It’s<br />

pro<strong>of</strong> <strong>of</strong> concept to show that<br />

<strong>the</strong> same relationships that<br />

are being found in <strong>the</strong>se o<strong>the</strong>r<br />

data sources can be found in<br />

<strong>the</strong> data we have,” he said.<br />

Robert Gellin, pr<strong>of</strong>essor<br />

and chair <strong>of</strong> <strong>the</strong> stomatology<br />

department at <strong>the</strong> Medical<br />

<strong>University</strong> <strong>of</strong> South Carolina<br />

College <strong>of</strong> <strong>Dental</strong> Medicine,<br />

said that as a periodontist,<br />

he hopes <strong>the</strong> COHRI database<br />

will one day elucidate<br />

<strong>the</strong> numerous links between<br />

gum disease and systemic<br />

illnesses—including heart<br />

disease and diabetes.<br />

“There are a lot <strong>of</strong><br />

correlations, but cause and<br />

effect has not really been<br />

established,” he said. “The<br />

studies we have right now<br />

are maybe 100 to 500 people,<br />

which isn’t millions <strong>of</strong> people.<br />

So by pooling <strong>the</strong> data from<br />

all <strong>the</strong>se schools, we get really<br />

big numbers—and <strong>the</strong>n it<br />

becomes meaningful.”<br />

fall 2012 tufts dental medicine 13


Louis Ricciardiello is<br />

dwarfed by <strong>the</strong> spadex,<br />

<strong>the</strong> chimney-like center <strong>of</strong><br />

one <strong>of</strong> his corpse flowers.


Horticulturist Louis Ricciardiello,<br />

D78, DG82, tends a noisome niche:<br />

<strong>the</strong> night-stalking corpse flower<br />

Uncommon<br />

By Julie Flaherty PhotoGRAPhY bY John SoAReS<br />

it’s hard to predict when an amorphophallus titanum will make its move.<br />

It could take a couple years; <strong>the</strong>n again, it could be decades. But it is almost always—<br />

appropriately—at night. Then <strong>the</strong> single, giant bloom, which can tower over a fullgrown<br />

man, summons <strong>the</strong> energy it has stored from <strong>the</strong> sun over many months,<br />

unfurls its blood-red single petal and sends wafting <strong>the</strong> unmistakable stench <strong>of</strong> death.<br />

Some have likened <strong>the</strong> smell to dog vomit, mashed-up old fish or rotten sauerkraut.<br />

Louis Ricciardiello, D78, DG82, an oral surgeon in Gilford, N.H., who has raised hundreds<br />

<strong>of</strong> <strong>the</strong> so-called “corpse flowers,” shakes his head. “It smells like decaying flesh,<br />

like a dead animal,” he says with finality. The odor does have a purpose: to attract<br />

beetles, bees and o<strong>the</strong>r carrion-loving insects to pollinate <strong>the</strong> plant. The corpse flower’s<br />

motive is less gruesome than that <strong>of</strong> a Venus fly trap, despite its macabre name.<br />

Ricciardiello started raising <strong>the</strong>se rare and spectacular flowers 10 years ago. He<br />

had been growing orchids since 1984 and was looking for something a little more<br />

adventuresome. In scanning horticulture books and websites, he read about <strong>the</strong><br />

corpse flower, which grows wild only in Sumatra and was notorious for being hard<br />

to cultivate, even at botanical gardens.<br />

He was drawn to <strong>the</strong> flower’s weirdness. But more important, “I liked <strong>the</strong> challenge<br />

<strong>of</strong> seeing if I could make it grow,” says <strong>the</strong> shy but quick-to-smile 59-year-old.<br />

fall 2012 tufts dental medicine 15


After some patient searching, he managed to purchase a dozen<br />

almond-sized seeds from a bloom in Wisconsin. Adding to <strong>the</strong> mystery<br />

<strong>of</strong> <strong>the</strong> flower was that <strong>the</strong>re was not that much solid information<br />

out <strong>the</strong>re about how to care for it. Even with 8,000 feet <strong>of</strong> greenhouse<br />

space he had built to raise orchids—featuring computer-controlled<br />

temperature and humidity and shades that respond to signals from<br />

a wea<strong>the</strong>r station on <strong>the</strong> ro<strong>of</strong>—Ricciardiello faced a good deal <strong>of</strong><br />

trial and error. Some experts said conditions had to perfectly mimic<br />

Sumatra, where <strong>the</strong> temperature rarely strays from 80 degrees. That<br />

would be prohibitively expensive for Ricciardiello’s oil-heated greenhouses<br />

on cold New Hampshire nights.<br />

“So I picked 65 degrees, and it has worked out OK,” he says, with<br />

typical understatement.<br />

Indeed, from that handful <strong>of</strong><br />

seeds he now has 300 plants in<br />

various stages <strong>of</strong> growth. When<br />

<strong>the</strong>y are not preparing to bloom,<br />

<strong>the</strong> plants look like trees, with<br />

smooth green trunks and thick<br />

leaves. Some reach to <strong>the</strong> ceiling <strong>of</strong><br />

<strong>the</strong> greenhouse. As Ricciardiello<br />

walks through <strong>the</strong> lush grove, a<br />

heavy mist jets from <strong>the</strong> ceiling,<br />

drenching him like a head <strong>of</strong> lettuce<br />

in a grocery store produce<br />

section. He doesn’t seem to notice<br />

it or <strong>the</strong> water he wades through on<br />

<strong>the</strong> floor. He just cleaned, he says,<br />

but with 90 to 95 percent humidity,<br />

<strong>the</strong> place will be covered with<br />

algae again in a few days.<br />

Every four or five months, <strong>the</strong><br />

treelike foliage dies <strong>of</strong>f, and <strong>the</strong><br />

plant looks like little more than a<br />

pot <strong>of</strong> dirt. But beneath <strong>the</strong> soil,<br />

<strong>the</strong> plant’s tuber is working. “During each <strong>of</strong> <strong>the</strong>se cycles, those<br />

bulbs are getting larger and larger,” he says. “That bulb is storing<br />

energy. And one day, if it has enough energy, it will flower.”<br />

He maintains most <strong>of</strong> <strong>the</strong> plants himself, working 20 hours a<br />

week and hand-watering all 300 <strong>of</strong> his macabre charges. He has a<br />

few men he calls in when he has to move <strong>the</strong> largest tubers, which<br />

can weigh hundreds <strong>of</strong> pounds, and <strong>the</strong>ir enormous pots, which<br />

can measure four feet in diameter. Ricciardiello shrugs <strong>of</strong>f a treesized<br />

plant that has fallen over, its huge pot spilling soil onto <strong>the</strong><br />

floor. It will go dormant again soon, he says, making it easier to<br />

handle.<br />

When a plant decides it is time to flower, it sends up a chimneylike<br />

tube surrounded by what looks like a single petal, called a spa<strong>the</strong>,<br />

green on <strong>the</strong> outside and deep crimson inside. “In England, when <strong>the</strong><br />

Kew Gardens were first opened up, women were not allowed to view<br />

<strong>the</strong> flower,” Ricciardiello says. After all, its scientific name translates<br />

roughly to “giant, misshapen penis.”<br />

The first <strong>of</strong> Ricciardiello’s plants bloomed in 2006. He put it on<br />

display at <strong>the</strong> town fire station to raise money for local charities,<br />

16 tufts dental medicine fall 2012<br />

A botanical<br />

garden<br />

in beijing<br />

owns two<br />

150-pound<br />

tubers<br />

Ricciardiello<br />

r a i s e d .<br />

“<strong>the</strong>y are<br />

like rock<br />

stars in<br />

China,”<br />

he notes.<br />

including a program that provides reduced-price dental care for those<br />

in need. Some 3,000 people came—half to see it, half just to smell it.<br />

To release <strong>the</strong> smell, <strong>the</strong> flower first needs to raise its temperature—one<br />

was documented to reach 96 degrees. That allows it to<br />

volatize <strong>the</strong> sulfur compounds that produce <strong>the</strong> nasty odor. The heat<br />

also causes <strong>the</strong> scent to rise so it can better travel through <strong>the</strong> rainforest,<br />

attracting those desirable pollinating insects. The bloom lasts<br />

only two or three days.<br />

The fine print is that although <strong>the</strong> bloom looks like a hibiscus that<br />

a Hawaiian giantess might tuck behind her ear, <strong>the</strong> plant’s true flowers,<br />

<strong>of</strong> which <strong>the</strong>re are hundreds, are actually inside <strong>the</strong> base <strong>of</strong> <strong>the</strong><br />

tube. Still, <strong>the</strong> corpse flower takes <strong>the</strong> prize for tallest bloom in <strong>the</strong><br />

world, because “all <strong>the</strong> units work toge<strong>the</strong>r to accomplish its purpose<br />

<strong>of</strong> pollination,” Ricciardiello explains.<br />

He knows something about records. In 2010, <strong>the</strong> Guinness Book<br />

<strong>of</strong> World Records recognized one <strong>of</strong> his blooms as <strong>the</strong> tallest corpse<br />

flower ever recorded, at 10 feet, 2.25 inches.<br />

He’s also been able to clear up a few misconceptions about <strong>the</strong>


plant. Ten years ago, he read repeatedly that <strong>the</strong> plant would die after<br />

flowering, but he has had encores. “O<strong>the</strong>rs will say it takes 10 years<br />

to bloom; that’s not true,” he says. “They will bloom every two years,<br />

every three years.” They also tend to bloom in clusters: last spring, he<br />

had about 30 blooming at once. (And yes, you do get used to <strong>the</strong> smell<br />

after a while.)<br />

He’s disproved <strong>the</strong> claim that corpse flowers need to be handled<br />

like soufflés. They are not nearly as persnickety as some orchids.<br />

When one plant looked ready, he uprooted <strong>the</strong> tuber, put it in a<br />

manageable pot and transported it for display to a local high school,<br />

where it bloomed happily in one <strong>of</strong> <strong>the</strong> bathrooms.<br />

The plants have been so fruitful, in fact, that Ricciardiello is<br />

trying to divest a bit. He donated one to <strong>the</strong> Franklin Park Zoo<br />

in Boston, where more than 11,900 visitors came to see it when it<br />

bloomed last spring. He gave two to <strong>the</strong> Niagara Parks Commission;<br />

<strong>the</strong>y are believed to be <strong>the</strong> first in Canada. A botanical garden in<br />

Beijing owns two 150-pound tubers Ricciardiello raised. “They are<br />

like rock stars in China,” he notes.<br />

But that is as close as he comes to bragging. As he moves through<br />

<strong>the</strong> greenhouses, it becomes clear <strong>the</strong> self-effacing botanist would<br />

ra<strong>the</strong>r talk about plants than himself. One former neighbor says she<br />

PHOTO (OPPOSITE PAGE): SuPPlIEd by lOuIS RIccIARdIEllO<br />

Above and left: Louis Ricciardiello cuts open <strong>the</strong><br />

base <strong>of</strong> a corpse flower to reveal <strong>the</strong> real flowers,<br />

which, if pollinated, will produce red fruit with s<strong>of</strong>t<br />

seeds that are only viable for a short time. Opposite<br />

page: his niece, Michelina Coppolino, admires <strong>the</strong><br />

record-setting corpse flower that measured more<br />

than 10 feet, 2 inches from base to tip.<br />

went through some effort just to get him to look up at her whenever<br />

<strong>the</strong>y passed on <strong>the</strong> street. She succeeded, however, and <strong>the</strong>y’ve been<br />

married five years now.<br />

Not that he doesn’t have a sense <strong>of</strong> drama, especially when it comes<br />

to nature. His corpse flowers share space with a Madagascar palm,<br />

which if cut, will drip out a couple gallons <strong>of</strong> water in an emergency,<br />

and an Australian grass tree, blackened by wildfires in its native land,<br />

that can serve as a compass as it only blooms facing north. He used to<br />

raise giant pumpkins.<br />

His <strong>latest</strong> obsession is remarkable geology, for which he is considering<br />

going back to school. He recently returned from Iceland, where<br />

he walked across lava fields and was lowered 400 feet into <strong>the</strong> magma<br />

chamber <strong>of</strong> a volcano.<br />

So it’s a safe bet Ricciardiello’s greenhouses will never be filled<br />

with roses, however sweet <strong>the</strong>y may smell. He points to a Dorstenia<br />

gigas, a Dr. Seuss-like succulent that grows wild only on one small<br />

island in <strong>the</strong> Indian Ocean. “I like something like this,” he says,<br />

“something unusual.” tDm<br />

Julie Flaherty, a senior health sciences writer in <strong>Tufts</strong>’ Office <strong>of</strong><br />

Publications, can be reached at julie.flaherty@tufts.edu.<br />

fall 2012 tufts dental medicine 17


Infection-causing bacteria are <strong>the</strong> bad guys<br />

<strong>of</strong> <strong>the</strong> health-care world. These dental detectives<br />

found a new way to track <strong>the</strong>m down<br />

UGHT<br />

it began as a routine investigation. <strong>the</strong>re were five disinfectants in<br />

town—ec<strong>of</strong>riendly types. Claimed <strong>the</strong>y could wipe out bacteria in dental<br />

clinics. <strong>Tufts</strong> researchers had to figure out whe<strong>the</strong>r <strong>the</strong> cleaners were on <strong>the</strong><br />

up-and-up.<br />

The case appeared straightforward enough. Addy Alt-Holland and<br />

Ronald Perry, scientists at <strong>Tufts</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine, rounded up<br />

bacteria from <strong>the</strong> protective plastic barriers used to cover surfaces in dental<br />

operatories, from chairs to instrument palettes to lamps, to evaluate <strong>the</strong><br />

killing power <strong>of</strong> <strong>the</strong> green disinfectants. The barriers, which are discarded<br />

after each patient, should have been teeming with bacteria.<br />

But <strong>the</strong> bacteria had gone missing. Something was fishy.<br />

“It just didn’t make any sense,” says Alt-Holland, an assistant pr<strong>of</strong>essor <strong>of</strong><br />

endodontics and a co-principal investigator on <strong>the</strong> study. “You should find all<br />

kinds <strong>of</strong> bacteria on <strong>the</strong>se barriers after a dental treatment.”<br />

In solving <strong>the</strong> mystery <strong>of</strong> <strong>the</strong> elusive bacteria, Alt-Holland and Perry,<br />

DG99, bagged an even bigger prize—a way to ferret out some <strong>of</strong> <strong>the</strong> most<br />

serious bacteria that infect patients in hospitals and o<strong>the</strong>r health-care settings.<br />

The discovery could have wide-ranging implications for <strong>the</strong> health<br />

and safety <strong>of</strong> all <strong>of</strong> us.<br />

Scientists traditionally use a technique known as swabbing to collect and<br />

identify bacteria. They swipe a cotton swab across a surface and culture what’s<br />

ga<strong>the</strong>red on an agar plate in an incubator for 48 hours. In trying to hunt<br />

down <strong>the</strong> missing bacteria, Alt-Holland methodically eliminated all possible<br />

suspects along <strong>the</strong> testing chain: flaws in <strong>the</strong> agar plates used to grow <strong>the</strong> bacteria,<br />

<strong>the</strong> swabs, <strong>the</strong> swab solution, <strong>the</strong> incubation process. All came up clean.<br />

by GAil bAmbriCk illustration by iker ayestaran<br />

fall 2012 tufts dental medicine 19


The conclusion was troubling. Swabbing—<strong>the</strong><br />

universally accepted method—<br />

must be <strong>the</strong> culprit. Had she overlooked<br />

something? And <strong>the</strong>n it hit her: eliminate<br />

<strong>the</strong> middleman, <strong>the</strong> swab itself. She cut a<br />

piece <strong>of</strong>f a discarded plastic barrier and<br />

pressed it directly on an agar plate. In 48<br />

hours, multiple bacteria grew.<br />

“It was such an easy idea, so simple, you<br />

wonder why no one thought <strong>of</strong> it earlier,”<br />

says Alt-Holland, who named her bacteriadetection<br />

technique “stamping.”<br />

To confirm <strong>the</strong> reliability <strong>of</strong> stamping,<br />

Alt-Holland and Ramesh Thondapu and<br />

Kasun Rajapaksha, both D14, tested sets <strong>of</strong><br />

barriers from five different operatories—<br />

half <strong>of</strong> each barrier was swabbed, <strong>the</strong> o<strong>the</strong>r<br />

half stamped. The results were nothing<br />

short <strong>of</strong> stunning: Swabbing turned up 294<br />

bacteria colonies, while stamping identified<br />

1,517 colonies—about five times as many.<br />

In seven subsequent tests, <strong>the</strong> researchers<br />

used stamping to isolate and identify<br />

three harmless bugs—Staphylococcus<br />

haemolyticus, a common oral and skin<br />

bacteria; Pantoea calida, found in infant<br />

formula and Bacillus infantis, a common<br />

ingredient in probiotics to aid digestion<br />

and boost immunity. “With swabbing, we<br />

likely would have detected none <strong>of</strong> <strong>the</strong>m,”<br />

Alt-Holland says.<br />

“This is a very significant result,” she<br />

adds. “If we think we have cleaned 300 bacteria,<br />

but <strong>the</strong>re are 1,000 still waiting for<br />

us—and we don’t even know about <strong>the</strong>m—<br />

that may put patients at risk.”<br />

The implications are clearly unsettling.<br />

“What this means is that we cannot be 100<br />

percent sure if <strong>the</strong> disinfectants we depend<br />

on to keep clinics, hospitals or public bathrooms<br />

clean and safe are working on all <strong>the</strong><br />

bacteria,” Perry says.<br />

20 tufts dental medicine fall 2012<br />

GaMe-CHanGer<br />

The potential applications for stamping<br />

are enormous. It could be an important<br />

new weapon against antibiotic-resistant<br />

infections that are increasingly common in<br />

hospital patients. And <strong>the</strong> discovery could<br />

change infection-control protocols across<br />

<strong>the</strong> entire health-care industry.<br />

“The stamping method is a breakthrough,”<br />

says Toshihisa Kawai, chair <strong>of</strong> <strong>the</strong><br />

immunology and infectious diseases department<br />

at <strong>the</strong> Forsyth Institute in Cambridge,<br />

Mass., who collaborated with Alt-Holland<br />

on <strong>the</strong> research. “The study clearly demon-<br />

“if We tHink We Have Cleaned<br />

300 baCteria, but tHere are<br />

1,000 still WaitinG for us—<br />

And We don’T even knoW AboUT THem—<br />

tHat May Put Patients at risk.”<br />

—Addy Alt-Holland<br />

strated that this method is remarkably more<br />

sensitive in detecting bacterial contamination<br />

than swabbing, although understanding<br />

why will take fur<strong>the</strong>r study.<br />

“Because we are always under threat<br />

<strong>of</strong> a potential pandemic infection, such as<br />

<strong>the</strong> E. coli strain that caused <strong>the</strong> deadliest<br />

outbreak on record, in 2011,” Kawai says,<br />

“<strong>the</strong> stamping method allows us to detect<br />

sufficient bacteria to prevent <strong>the</strong> transmission<br />

<strong>of</strong> possible pandemic-causing germs<br />

in clinical settings.” (The food-borne E.<br />

coli outbreak killed 53 people and sickened<br />

3,950 o<strong>the</strong>rs, primarily in Germany,<br />

but also in o<strong>the</strong>r countries, including <strong>the</strong><br />

United States.)<br />

Roughly one in 20 hospitalized patients<br />

acquires an infection, according to <strong>the</strong><br />

Centers for Disease Control and Prevention<br />

(CDC). And approximately 1.7 million <strong>of</strong><br />

<strong>the</strong>se infections from bacteria and o<strong>the</strong>r<br />

microorganisms cause or contribute to<br />

99,000 deaths in <strong>the</strong> United States each year.<br />

Antibiotic-resistant bacteria, <strong>the</strong> socalled<br />

superbugs, are <strong>the</strong> most difficult<br />

to treat, and so can spread wildly. Among<br />

<strong>the</strong>m is methicillin-resistant staphylococcus<br />

aureus (MRSA), which causes a<br />

life-threatening infection that accounts for<br />

8 percent <strong>of</strong> all bugs patients pick up in <strong>the</strong><br />

hospital, according to <strong>the</strong> CDC.<br />

While more rigorous infection-control<br />

procedures have resulted in a decline<br />

in MRSA infections, ano<strong>the</strong>r superbug,<br />

Clostridium difficile, which causes severe<br />

diarrhea, remains at historically high levels—linked<br />

to 14,000 deaths each year in<br />

<strong>the</strong> United States alone. Ano<strong>the</strong>r problem<br />

bacterium is vancomycin resistant enterococcus<br />

(VRE), which can result in urinary tract<br />

infections, bacteremia, bacterial endocarditis,<br />

diverticulitis and meningitis. In one study,<br />

<strong>the</strong> VRE strain E. faecalis was<br />

found in seven out <strong>of</strong> 21 root<br />

canal-treated teeth involving<br />

an abscess at <strong>the</strong> root.<br />

Bacteria flourish in all<br />

kinds <strong>of</strong> places. MRSA, for<br />

example, has been found on<br />

cabinets, counter tops, bed<br />

rails, bedside tables and o<strong>the</strong>r<br />

surfaces in most hospital<br />

patient rooms, according to<br />

<strong>the</strong> Committee to Reduce<br />

Infection Deaths (RID), a national advocacy<br />

and education group. Moreover, a nurse who<br />

has no direct patient contact, but touches<br />

objects in a hospital room, will have surgical<br />

gloves contaminated by bacteria 42 percent <strong>of</strong><br />

<strong>the</strong> time, RID reports.<br />

Clothing can also transmit bacteria.<br />

When doctors and nurses lean over a patient<br />

infected with MRSA, <strong>the</strong>ir white coats and<br />

uniforms pick up <strong>the</strong> bacteria 65 percent <strong>of</strong><br />

<strong>the</strong> time—providing a free ride to ano<strong>the</strong>r<br />

patient’s room, according to RID. Perry and<br />

Alt-Holland suspect that <strong>the</strong> infant formula<br />

bacteria <strong>the</strong>y found in <strong>the</strong>ir study probably<br />

hitched a ride to <strong>the</strong> dental clinic on a<br />

patient’s jacket or shirt.<br />

So far, Alt-Holland and Perry have used<br />

stamping only to evaluate <strong>the</strong> ability <strong>of</strong> environmentally<br />

friendly disinfectants to kill<br />

harmless bacteria, not <strong>the</strong> superbugs.<br />

“With stamping, we may be able to identify<br />

solutions that can protect us in our<br />

cars, in our <strong>of</strong>fices, where we eat,” Perry<br />

says, “not to mention helping to lower risks<br />

for those in hospitals and clinics at greater<br />

peril due to surgical incisions, intravenous<br />

needles or just lowered immunity due to<br />

illness.”


environmental practice<br />

Stamping has allowed <strong>the</strong> <strong>Tufts</strong> researchers<br />

to return to <strong>the</strong>ir initial investigation <strong>of</strong><br />

<strong>the</strong> dental operatory cleaners. They include<br />

<strong>the</strong> most common clinic disinfectant, isopropanol-based<br />

Cavicide, as well as some<br />

greener options containing ethanol, hydrogen<br />

peroxide and citric acid. After each<br />

patient visit in <strong>the</strong> <strong>Tufts</strong> clinics, all surfaces<br />

are sprayed with Cavicide, wiped down and<br />

<strong>the</strong>n sprayed again, notes Shannon Balletto,<br />

<strong>the</strong> school’s infection control administrator.<br />

Perry, a clinical pr<strong>of</strong>essor and director <strong>of</strong><br />

<strong>the</strong> Gavel Center for Restorative Research<br />

at <strong>Tufts</strong>, was <strong>the</strong> o<strong>the</strong>r co-principal investigator<br />

on <strong>the</strong> eco-friendly cleaner research,<br />

which was funded by PureLife <strong>Dental</strong>, a<br />

dental supply distributor that is looking to<br />

add green cleaners to its product line. He’s<br />

an advocate for green dentistry, a range <strong>of</strong><br />

environmentally friendly practices now<br />

gaining national support among dental<br />

practitioners and pr<strong>of</strong>essional organizations.<br />

(see “It’s Easy Being Green,” below).<br />

“I am looking for something to use in my<br />

private practice that kills <strong>the</strong> bacteria, but<br />

that I can use frequently and repeatedly over<br />

many years that will not corrode my equipment,<br />

be toxic to <strong>the</strong> environment or have<br />

fumes that endanger my health and that <strong>of</strong><br />

my patients,” he says.<br />

Two <strong>of</strong> <strong>the</strong> green cleaners Perry and<br />

Alt-Holland evaluated proved as effective<br />

as isopropanol on all three <strong>of</strong> <strong>the</strong> harmless<br />

bacteria <strong>the</strong>y tested using stamping. They<br />

presented <strong>the</strong>ir research during <strong>the</strong> annual<br />

meeting <strong>of</strong> <strong>the</strong> American Association for<br />

<strong>Dental</strong> Research earlier this year.<br />

There has been very little research on<br />

disinfectants, says Perry, so most healthcare<br />

providers choose one with isopropanol.<br />

While exposure to small amounts <strong>of</strong><br />

it’s easy being green<br />

“Going green saves green,” proclaims <strong>the</strong> Eco-Dentistry<br />

Association (EDA) website. <strong>Tufts</strong> dentist Ronald Perry is<br />

proving just that in his private practice in Weymouth, Mass.<br />

A longtime member <strong>of</strong> EDA, Perry wants to spread <strong>the</strong><br />

word that what is good for health and <strong>the</strong> environment is also<br />

good for a dentist’s bottom line.<br />

“Most people don’t realize that being environmentally<br />

responsible really comes down to dollars and cents,” says<br />

Perry, DG99, clinical pr<strong>of</strong>essor and director<br />

<strong>of</strong> <strong>the</strong> Gavel Center for Restorative Research at <strong>Tufts</strong>.<br />

“With just a few small changes, I provided a healthier<br />

treatment facility for me and my patients that was also more<br />

financially efficient.”<br />

Some <strong>of</strong> <strong>the</strong> changes Perry made were as simple as<br />

switching to energy-efficient light bulbs and reducing paper<br />

use in favor <strong>of</strong> more digital communication with patients.<br />

But <strong>the</strong>y also include moving to digital X-rays that eliminate<br />

exposure to radiation, while decreasing staff time and costs<br />

for chemicals and processing traditional radiographs.<br />

The initial investment in digital X-rays pays for itself in 10<br />

months, according to <strong>the</strong> EDA. And <strong>the</strong> digital images can be<br />

emailed to consulting physicians or a specialty clinic.<br />

Perry’s practice has transitioned to digital X-rays, billing<br />

and charting, resulting in an annual savings <strong>of</strong> more than<br />

$8,700, he says. Recycling is ano<strong>the</strong>r way to steward <strong>the</strong><br />

isopropanol fumes is relatively harmless to<br />

humans, acute overexposure may affect <strong>the</strong><br />

central nervous system, liver, kidneys, brain<br />

and cardiovascular system, according to <strong>the</strong><br />

World Health Organization. Studies on longterm,<br />

low-level exposure are needed to determine<br />

if <strong>the</strong>re are risks, Perry says. Stamping,<br />

he notes, will provide a more accurate evaluation<br />

<strong>of</strong> <strong>the</strong> effectiveness <strong>of</strong> isopropanol as well<br />

as eco-friendly disinfectants.<br />

“In terms <strong>of</strong> infection control and choosing<br />

<strong>the</strong> right kind <strong>of</strong> environmental solutions<br />

to work with, this research is super<br />

important,” Alt-Holland says. “It will contribute<br />

greatly to protecting both our health<br />

and <strong>the</strong> environment.” tDm<br />

Gail Bambrick, a senior writer in <strong>Tufts</strong>’<br />

Office <strong>of</strong> Publications, can be reached at<br />

gail.bambrick@tufts.edu.<br />

environment and can save more than $2,000 a year,<br />

according to <strong>the</strong> EDA. Keeping 3.7 tons <strong>of</strong> mercury<br />

waste out <strong>of</strong> <strong>the</strong> environment by using resin or<br />

o<strong>the</strong>r silver amalgam restorations can drop costs by<br />

$37,000 per year, according to <strong>the</strong> EDA.<br />

It is no wonder that green dentistry is on <strong>the</strong><br />

rise. Founded in 2008, <strong>the</strong> EDA has more than 600<br />

members in 42 states and 11 countries.<br />

But it is <strong>the</strong> health <strong>of</strong> his patients and <strong>the</strong> planet that<br />

are his real motivators, says Perry, <strong>the</strong> co-principal<br />

investigator on a study to assess whe<strong>the</strong>r eco-disinfectants<br />

are as effective as an isopropanol-based<br />

cleaner for killing bacteria<br />

in <strong>the</strong> operatory. There has been very<br />

little research on disinfectants, he says,<br />

so most health-care providers choose<br />

one with isopropanol, a proven bacteria<br />

killer, but a potential health hazard.<br />

“I don’t want to be inhaling it day in and<br />

day out, and I don’t want my patients<br />

exposed to it.”<br />

—gail bambrick<br />

Learn more about green dentistry at<br />

www.ecodentistry.org.<br />

fall 2012 tufts dental medicine 21


Ringside<br />

22 tufts dental medicine fall 2012<br />

At <strong>the</strong> WBA super welterweight title<br />

fight in Las Vegas in 2009, Clark<br />

Sammartino watches a bout between<br />

Daniel Santos and Yuri Foreman.


Seat Se<br />

By Julie Flaherty<br />

CCLArk<br />

LArk SSAmm<br />

mmArtino’ Artino’S hhAr<br />

ArD-hitting -hitting<br />

AV AVoCA CAtion hAS tAken ken him AAroun<br />

rounD D <strong>the</strong> WWor<br />

orLD LD WWith<br />

ith<br />

let’s get <strong>the</strong> obvious question out <strong>of</strong> <strong>the</strong> way:<br />

No, Clark Sammartino, D64, DG66, doesn’t see any<br />

irony in being a retired oral surgeon with a pas-<br />

sion for a sport where people hit each o<strong>the</strong>r in <strong>the</strong><br />

kisser. Teeth rarely get knocked out, he says, because<br />

mouthguards have been a part <strong>of</strong> boxing for nearly<br />

a century. He has, however, had a couple <strong>of</strong> referees<br />

lean over <strong>the</strong> ropes to consult him when <strong>the</strong>y thought<br />

a boxer might have a broken jaw.<br />

“Both times <strong>the</strong>y had a good diagnosis,” he notes.<br />

Sammartino has been judging pr<strong>of</strong>essional box-<br />

ing matches since 1984. He <strong>of</strong>ficiates at more than<br />

100 fights and 10 world championships each year.<br />

Oscar De La Hoya, Mike Tyson, Evander Holyfield,<br />

Julio Caesar Chavez—he has scored just about every<br />

big name in <strong>the</strong> game.<br />

Long before he was a judge, though, he was a fan.<br />

He grew up in Providence, R.I., <strong>the</strong>n <strong>the</strong> world head-<br />

quarters for <strong>the</strong> National Boxing Association. He<br />

Photo: aaP<br />

P PPhoto/eric<br />

hoto/eric jamison<br />

Some ome ooF<br />

F <strong>the</strong> BBigge<br />

iggeSt t nnAme<br />

meS S in <strong>the</strong> ggAme<br />

me<br />

learned to box at <strong>the</strong> local Police Athletic League,<br />

which held matches for kids on Saturday mornings.<br />

He also had a cousin who was a pr<strong>of</strong>essional boxer<br />

and would let him work in his corner. “I carried <strong>the</strong><br />

little bucket <strong>of</strong> water up,” Sammartino says. “So I<br />

saw boxing up close. I really liked it. He used to help<br />

me a lot—show me how not to get hit and all <strong>the</strong><br />

important things. So I had a great start.”<br />

When Sammartino went <strong>of</strong>f to Brown <strong>University</strong><br />

for college and later <strong>Tufts</strong> for dental school, he didn’t<br />

have much time to spar. But he tried to see as many<br />

fights as he could. Rocky Marciano, <strong>the</strong> “Brockton<br />

Blockbuster” who held <strong>the</strong> heavyweight title for four<br />

years in <strong>the</strong> 1950s, fought 23 <strong>of</strong> his early bouts in<br />

Providence; Sammartino was <strong>the</strong>re for all <strong>of</strong> <strong>the</strong>m.<br />

A highlight <strong>of</strong> his medical training at Boston City<br />

Hospital was getting to talk with Muhammad Ali,<br />

who had come in for an emergency appendectomy.<br />

The next several years were devoted to his oral<br />

fall 2012 tufts dental medicine 23


surgery practice, but he briefly got back in <strong>the</strong> game in <strong>the</strong> 1970s<br />

and had one fight as a pr<strong>of</strong>essional. He won. That same night, he<br />

watched a boxer named Bruno Schultz. “He punched somebody in<br />

<strong>the</strong> stomach. You could hear <strong>the</strong> thud in Detroit,” Sammartino says.<br />

“My manager says, ‘Clark, I can match you with that guy!’ I said,<br />

‘No way are you gonna ever see me in a ring with Bruno Schultz. I’m<br />

done. I’m out <strong>of</strong> here.’ ”<br />

After many years <strong>of</strong> following boxing from a safe distance,<br />

Sammartino was approached by a neighbor who worked for <strong>the</strong><br />

Rhode Island Department <strong>of</strong> Business Regulation. “He asked me<br />

if I would like to become a judge and help straighten out <strong>the</strong> way<br />

<strong>the</strong> scoring is done here, because <strong>the</strong>y had had some really bad<br />

decisions.” At <strong>the</strong> time, boxing judges weren’t given any particu-<br />

Sammartino iS known for being<br />

impartial: “<strong>the</strong>y aRe both equal<br />

when <strong>the</strong> bell ringS.”<br />

lar training. That was a problem, because if a fight isn’t decided by<br />

knockout—and only a small percentage are—<strong>the</strong> judges’ scores<br />

determine who wins. “You would hate to have one judge say this guy<br />

won 10 rounds and ano<strong>the</strong>r judge say <strong>the</strong> o<strong>the</strong>r guy won 10 rounds,”<br />

Sammartino says. “And that happens.”<br />

He helped train <strong>the</strong> o<strong>the</strong>r judges by bringing in films <strong>of</strong> fights and<br />

drilling <strong>the</strong> four criteria for scoring a round.<br />

“The biggest item is clean, hard hitting,” he says. “There is<br />

24 tufts dental medicine fall 2012<br />

Sammartino has been a pr<strong>of</strong>essional<br />

boxing judge for 28 years.<br />

no substitute for that.” Boxers also get credit for putting up a<br />

good defense and for a quality called ring generalship. Sugar Ray<br />

Robinson—Sammartino’s personal favorite—epitomized it: “He<br />

makes you do what he wants you to do,” he says. “He sets you up<br />

for his revenge.”<br />

Finally, <strong>the</strong>re is effective aggressiveness. Why “effective”? Being a<br />

bulldozer, it seems, isn’t enough to win over <strong>the</strong> judges. Sammartino<br />

gives <strong>the</strong> example <strong>of</strong> heavyweight Tex Cobb. “He would just come<br />

at you and let you hit him right in his face because he never went<br />

down,” Sammartino says. “He was <strong>the</strong> aggressor, but you are not<br />

going to give him points for what he is doing.”<br />

Although both Providence and boxing have colorfully shady<br />

pasts, Sammartino says no one has ever tried to bribe or coerce<br />

him. He is known for being impartial,<br />

even when a favored champion is facing<br />

a contender with a spotty record. “They<br />

are both equal when <strong>the</strong> bell rings,” he<br />

says. “You have to think that way.”<br />

Being unbiased has its dangers,<br />

though. His most nervewracking job was<br />

in Nor<strong>the</strong>rn Ireland, where <strong>the</strong> hometown<br />

favorite, Ray Close, fought a championship bout with an English<br />

boxer. It was a very close match. But when Sammartino called it for <strong>the</strong><br />

Englishman, <strong>the</strong> crowd got angry. Very angry. He pulled <strong>of</strong>f his badge<br />

and shot out <strong>of</strong> <strong>the</strong> hall, catching <strong>the</strong> first cab back to his hotel. That<br />

night he slept with <strong>the</strong> bureau pushed in front <strong>of</strong> <strong>the</strong> door.<br />

“The next morning I went down to breakfast and <strong>the</strong> waitress<br />

said, ‘Wasn’t it awful <strong>the</strong> way <strong>the</strong>y robbed poor Ray Close?’ ” he<br />

recalls. “I said, ‘Oh, it was awful.’ ”<br />

He’s not easily ruffled. As an oral surgeon, he once asked <strong>the</strong><br />

head operating room nurse why he always seemed to be paired with<br />

nurses who had never assisted in surgery before. “She said, ‘Because<br />

you don’t throw things.’ ” He retired from his practice in 1993, and<br />

now puts his cool head to running his own investment-advising<br />

firm in Providence, called Blue Fin Capital.<br />

His composure also helps him tune out <strong>the</strong> crowd and its insults,<br />

many <strong>of</strong> which are directed at <strong>the</strong> judges, who routinely have <strong>the</strong>ir<br />

age and eyesight brought into question. The 75-year-old points out<br />

that judges undergo a yearly physical and vision test. That said, he<br />

can picture himself retiring in <strong>the</strong> next year, not because he feels<br />

he is slipping, but because traveling all over <strong>the</strong> world—Las Vegas,<br />

Monaco, Argentina, Germany—takes its toll. Once he flew to Kiev,<br />

Ukraine, where a driver was supposed to pick him up for a fight<br />

in Odessa. No one showed. “I figured Odessa must be a suburb <strong>of</strong><br />

Kiev,” he says, recalling his shock when he learned it was on <strong>the</strong><br />

o<strong>the</strong>r side <strong>of</strong> <strong>the</strong> country.<br />

Not wanting to shirk his duty, he spent <strong>the</strong> night on a harrowing<br />

eight-hour ride in a bald-tire taxi with a teenaged driver who<br />

refused to go less than 90 miles an hour. He made it to <strong>the</strong> fight.<br />

“My wife doesn’t know that story,” he says. “She would kill me.”<br />

Lucky for him, he knows every defensive move in <strong>the</strong> book. tDm<br />

Julie Flaherty, a senior health sciences writer in <strong>Tufts</strong>’ Office <strong>of</strong><br />

Publications, can be reached at julie.flaherty@tufts.edu.<br />

Photo: ray Bailey


Will <strong>the</strong><br />

Safety Net<br />

When <strong>the</strong>re’s no o<strong>the</strong>r care,<br />

hospital-based dental residents pick up <strong>the</strong> slack, but<br />

federal cuts could diminish <strong>the</strong>ir numbers<br />

your child has never seen a dentist<br />

because you can’t afford to pay outright, and<br />

none <strong>of</strong> <strong>the</strong> practitioners in your area accepts<br />

<strong>the</strong> only insurance you have, Medicaid. Now<br />

she has a toothache and is in so much pain<br />

she can’t chew solid food and has missed<br />

school. You have just one choice: go to <strong>the</strong><br />

hospital emergency room and pray <strong>the</strong>re’s a<br />

Hold ?<br />

dental resident on staff to treat her.<br />

Across <strong>the</strong> country, this scenario is far<br />

too common. In 2009, for example, more<br />

than 830,500 Americans sought hospital<br />

treatment for preventable dental conditions,<br />

according to a Pew Center study (see “The<br />

Cost <strong>of</strong> ER Dentistry,” page 26). Now even<br />

this stop-gap emergency care could be at risk.<br />

By gail BamBrick illustration by richard mia<br />

fall 2012 tufts dental medicine 25


The portion <strong>of</strong> Medicare that finances<br />

residencies for both medical and dental students—<strong>the</strong><br />

Graduate Medical Education<br />

(GME) fund—is in <strong>the</strong> line <strong>of</strong> fire as<br />

Congress determines how to cut $1.2 trillion<br />

from <strong>the</strong> federal budget over 10 years.<br />

The cuts were mandated when <strong>the</strong> congressional<br />

Joint Select Committee on Deficit<br />

Reduction, known as <strong>the</strong> “super committee,”<br />

failed in 2011 to agree on its own costcutting<br />

plan. Washington’s verdict on what<br />

will be axed will come in January 2013.<br />

Should GME lose funding, <strong>the</strong> dental<br />

pr<strong>of</strong>ession could be hard hit, because its slice<br />

<strong>of</strong> <strong>the</strong> approximately 98,000 total healthcare<br />

residency positions funded each year<br />

is about 2,000 spots, says Huw F. Thomas,<br />

dean <strong>of</strong> <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong><br />

Medicine.<br />

“<strong>Dental</strong> residencies are serving those who<br />

are uninsured or on Medicare and Medicaid<br />

who have had limited or no preventative<br />

care,” says Thomas. “And residents also provide<br />

care for people with complicated medical<br />

conditions that must be treated ei<strong>the</strong>r in<br />

26 tufts dental medicine fall 2012<br />

a hospital on an outpatient basis.”<br />

One hint as to what may be in store is<br />

a recommendation from <strong>the</strong> Simpson-<br />

Bowles Commission, a bipartisan panel<br />

created in February 2010 to recommend<br />

ways to reduce <strong>the</strong> federal deficit. That<br />

panel suggested a $60 billion cut in GME<br />

funding over 10 years. That could translate<br />

into <strong>the</strong> loss <strong>of</strong> 1,749 residency programs,<br />

representing 22,441 individual slots,<br />

according to a 2011 survey <strong>of</strong> hospitals that<br />

sponsor about two-thirds <strong>of</strong> all accredited<br />

U.S. residency programs. At least 12 states,<br />

including Massachusetts, would lose more<br />

than 500 residency positions, according to<br />

<strong>the</strong> survey, conducted by <strong>the</strong> Accreditation<br />

Council for Graduate Medical Education.<br />

Reductions in <strong>the</strong> number <strong>of</strong> dental residencies<br />

could affect up to 48 percent <strong>of</strong> <strong>the</strong><br />

U.S. population—some 152 million people<br />

whose access to dental care is already limited,<br />

according to a 2011 Census Bureau survey.<br />

That includes 50.7 million uninsured,<br />

46 million on Medicare and 56 million on<br />

Medicaid, <strong>the</strong> Census report said.<br />

The Cost <strong>of</strong> ER Dentistry<br />

on any given day a typical hospital emergency room will see its fair<br />

share <strong>of</strong> broken bones, chest pain or cuts and bruises. increasingly,<br />

<strong>the</strong> er will also treat an adult or child with a toothache.<br />

in just one three-year period, from 2006 to 2009, <strong>the</strong> number <strong>of</strong><br />

emergency room visits in <strong>the</strong> u.S. for preventable dental conditions<br />

rose 16 percent, according to a study released earlier this year by<br />

<strong>the</strong> Pew Center on <strong>the</strong> States, a nonpartisan research and advocacy<br />

organization. in 2009, 830,590 people visited <strong>the</strong> er for preventable<br />

dental problems, at a cost running into <strong>the</strong> hundreds <strong>of</strong> millions<br />

<strong>of</strong> dollars, much <strong>of</strong> which ends up being charged to medicaid and<br />

o<strong>the</strong>r public insurance programs.<br />

most patients who seek relief from oral pain at <strong>the</strong> er do so<br />

because <strong>the</strong>y have no o<strong>the</strong>r access to dental care: <strong>the</strong>y lack dental<br />

insurance or <strong>the</strong> means to pay out-<strong>of</strong>-pocket, cannot find a dentist<br />

who will accept medicaid or live too far from a health center that<br />

<strong>of</strong>fers dental services, <strong>the</strong> Pew study says.<br />

A ThreAT To CAre for All<br />

It is also anticipated that 7.9 million children<br />

who are currently uninsured will become<br />

eligible for pediatric dental benefits under<br />

<strong>the</strong> Affordable Care Act, <strong>the</strong> landmark federal<br />

health-care reform law. “A reduction in<br />

federal funding for <strong>the</strong>se residencies could<br />

become a major impediment to extending<br />

care to all Americans as <strong>the</strong> Affordable<br />

Care Act envisions,” Richard Valachovic,<br />

executive director <strong>of</strong> <strong>the</strong> American <strong>Dental</strong><br />

Education Association (ADEA), wrote in<br />

<strong>the</strong> December 2011 edition <strong>of</strong> <strong>the</strong> organization’s<br />

newsletter. <strong>Dental</strong> educators must<br />

remain alert to changes that may be coming<br />

down <strong>the</strong> pike, he wrote.<br />

In addition to providing care to patients<br />

with nowhere else to go but <strong>the</strong> ER, dental<br />

residents are equally critical to o<strong>the</strong>r kinds <strong>of</strong><br />

dental emergencies that require specialized<br />

care in a hospital, says Mark Gonthier, executive<br />

associate dean at <strong>Tufts</strong> <strong>Dental</strong> <strong>School</strong>.<br />

“Imagine you were hit in <strong>the</strong> face by a bat<br />

during a baseball game. You need to align<br />

<strong>the</strong> medical and dental responses to provide<br />

Lack <strong>of</strong> access to care is not a new phenomenon, says<br />

mark nehring, <strong>the</strong> Delta <strong>Dental</strong> <strong>of</strong> massachusetts Pr<strong>of</strong>essor<br />

in Public health and Community Service at tufts <strong>Dental</strong> <strong>School</strong><br />

and a 30-year veteran <strong>of</strong> <strong>the</strong> federal public health system.<br />

he remembers cases such as <strong>the</strong> man who, unable to stand <strong>the</strong><br />

pain <strong>of</strong> an infected tooth and unable to afford treatment, tried<br />

to extract <strong>the</strong> tooth himself with a pair <strong>of</strong> automotive pliers,<br />

breaking it <strong>of</strong>f at <strong>the</strong> gum line.<br />

“<strong>the</strong>re has been an access issue for some time,” he says.<br />

“But it’s <strong>the</strong> severity <strong>of</strong> <strong>the</strong> disease—<strong>the</strong> pain and <strong>the</strong> quality-<strong>of</strong>life<br />

issues—that are bringing more people to <strong>the</strong> er.” Among<br />

very young children, for example, <strong>the</strong>re has been an increase in<br />

untreated tooth decay, he says. in children and adults, a combination<br />

<strong>of</strong> factors, including poor oral hygiene and excessive<br />

consumption <strong>of</strong> highly refined starchy foods, carbonated or acidic<br />

beverages and highly sweetened, gummy snacks are <strong>the</strong> likely


Reductions in <strong>the</strong> number <strong>of</strong> dental<br />

residencies could affect up to<br />

48 percent <strong>of</strong> <strong>the</strong> U.S. population—<br />

some 152 million people whose<br />

access to care is already limited.<br />

adequate treatment,” he says. And <strong>the</strong>re are<br />

complex illnesses that require hospitalization,<br />

crani<strong>of</strong>acial surgery and o<strong>the</strong>r treatments, he<br />

notes. These might include patients with cancer,<br />

fibrous dysplasia (abnormal swelling <strong>of</strong><br />

<strong>the</strong> bones) or any condition that might cause<br />

calcium deficiencies or hormonal imbalances<br />

that can lead to gum disease and weakened<br />

teeth and bones.<br />

Each year about 30 percent <strong>of</strong> <strong>the</strong> 5,000<br />

U.S. dental school graduates pursue a<br />

residency. (With <strong>the</strong> exception <strong>of</strong> New<br />

York state, residencies for dentists are not<br />

required.) About half <strong>of</strong> <strong>the</strong>m choose <strong>the</strong><br />

culprits for <strong>the</strong> rise in severe disease, he says.<br />

With more severe oral disease comes a greater chance <strong>of</strong><br />

infection. “it’s this type <strong>of</strong> pain that results in a swollen face,<br />

pain to <strong>the</strong> point where you have to find some solution, and <strong>the</strong>n<br />

<strong>the</strong> only place to go is <strong>the</strong> hospital.”<br />

regrettably, “<strong>the</strong> emergency room is not a very good place<br />

to go for tooth pain,” nehring says. <strong>of</strong>ten <strong>the</strong> underlying dental<br />

problems cannot be addressed, especially if <strong>the</strong> hospital does<br />

not have a dental residency program. “All <strong>the</strong> er doctors can do<br />

is <strong>of</strong>fer some medication to ease pain and antibiotics to combat<br />

infection, but that’s just relief,” nehring says. “in <strong>the</strong> absence <strong>of</strong><br />

treatment, once <strong>the</strong> medication regimes are completed, <strong>the</strong> pain<br />

and infection will come back, and it’s an ongoing cycle. And while<br />

uncommon, it can be life-threatening.”<br />

<strong>the</strong> cycle is also costly. in new York state, for example, <strong>the</strong><br />

cost <strong>of</strong> treating young children for decay-related ailments in ers or<br />

General Practice Residency (GPR), working<br />

in hospitals with ER patients or those<br />

with conditions requiring hospital services.<br />

At <strong>Tufts</strong>, 41 percent <strong>of</strong> <strong>the</strong> class <strong>of</strong><br />

2012 chose to pursue residency training,<br />

with 17 percent opting for <strong>the</strong> one-year<br />

GPR program.<br />

The cuts mandated by <strong>the</strong> 2011 Budget<br />

Control Act that resulted from <strong>the</strong> failure<br />

<strong>of</strong> <strong>the</strong> super committee will go into effect<br />

on January 2. Even after that, <strong>the</strong>re will be<br />

a flurry <strong>of</strong> legislative activity to remove or<br />

alter all or parts <strong>of</strong> <strong>the</strong> bill for as long as a<br />

year, predicts Yvonne Knight, senior vice<br />

president for <strong>the</strong> Advocacy and Governmental<br />

Relations Policy Center at ADEA.<br />

How ADEA will proceed to lobby against<br />

GME funding cuts will depend on <strong>the</strong> outcome<br />

<strong>of</strong> <strong>the</strong> November elections, <strong>the</strong> party<br />

makeup <strong>of</strong> <strong>the</strong> House and Senate and what<br />

kinds <strong>of</strong> legislation are proposed, Knight says.<br />

“Pronouncements as to what will happen at<br />

this point would be pure speculation,” she<br />

said in an interview before to <strong>the</strong> elections.<br />

It’s still too early to assess <strong>the</strong> impact <strong>of</strong><br />

any GME reductions on dental residencies<br />

because hospitals receive GME funding and<br />

decide how many residencies to <strong>of</strong>fer and in<br />

which health-care specialties, Knight said.<br />

She did note, however, that ADEA is working<br />

with <strong>the</strong> American <strong>Dental</strong> Association<br />

and o<strong>the</strong>r health organizations, including<br />

<strong>the</strong> large and powerful hospital lobbies,<br />

to assess all <strong>the</strong> possible scenarios. “Right<br />

now, it is just wait-and-see,” she says. tDm<br />

Gail Bambrick, a senior writer in <strong>Tufts</strong>’<br />

Office <strong>of</strong> Publications, can be reached at gail.<br />

bambrick@tufts.edu.<br />

ambulatory surgery centers increased from $18.5 million in<br />

2004 to $31 million in 2008, according to <strong>the</strong> Pew report.<br />

Florida recorded 115,000 er visits for children and adults<br />

with dental problems in 2010, at a cost <strong>of</strong> $88 million.<br />

er treatment for an abscessed tooth costs medicaid an<br />

average <strong>of</strong> $236, while <strong>the</strong> same problem treated in a dental<br />

<strong>of</strong>fice would cost medicaid $107, according to <strong>the</strong> American<br />

<strong>Dental</strong> Association’s South Carolina affiliate. And if patients<br />

can receive preventive care so that an abscess never develops<br />

in <strong>the</strong> first place, it would cost approximately one-tenth <strong>of</strong><br />

what er care does, according to a 2000 study in <strong>the</strong> journal<br />

Pediatric Dentistry.<br />

“Delaying care only results in higher expenses later on,”<br />

nehring says, not to mention <strong>the</strong> human costs. “For children,<br />

in particular, we’re talking about school days missed and<br />

compromising <strong>the</strong>ir readiness to learn.” —helene ragovin<br />

fall 2012 tufts dental medicine 27


on campus<br />

dental school news<br />

Call to Action<br />

Dentistry must rise to <strong>the</strong> challenge <strong>of</strong> providing care for all by Helene Ragovin<br />

The pr<strong>of</strong>ession and organized dentistry have been tepid, nonresponsive<br />

and/or hostile to <strong>the</strong> challenges <strong>of</strong> access to care and<br />

health disparities, with a few exceptions. The status <strong>of</strong> <strong>the</strong> pr<strong>of</strong>ession<br />

and <strong>the</strong> ongoing relevance <strong>of</strong> <strong>the</strong> pr<strong>of</strong>ession are in jeopardy.”<br />

With those strong words—albeit delivered in a gentle manner—Caswell<br />

Evans, a distinguished voice in public health dentistry, issued a clarion call to<br />

<strong>Tufts</strong> <strong>Dental</strong> <strong>School</strong> faculty and administrators, alumni, donors and o<strong>the</strong>rs in<br />

May in a lecture titled “Access to Care, Health Disparities and Social Justice: Is<br />

<strong>the</strong> Pr<strong>of</strong>ession Up to <strong>the</strong> Challenge?” The lecture marked <strong>the</strong> appointment <strong>of</strong><br />

Mark Nehring as <strong>the</strong> Delta <strong>Dental</strong> <strong>of</strong> Massachusetts Pr<strong>of</strong>essor in Public Health<br />

and Community Service and chair <strong>of</strong> <strong>the</strong> department <strong>of</strong> public health and community<br />

service.<br />

Evans, <strong>the</strong> associate dean <strong>of</strong> prevention and public health sciences at <strong>the</strong><br />

<strong>University</strong> <strong>of</strong> Illinois, Chicago College <strong>of</strong> Dentistry, was <strong>the</strong> executive editor<br />

and project director <strong>of</strong> <strong>the</strong> 2002 U.S. Surgeon General’s report on oral health in<br />

America and a member <strong>of</strong> <strong>the</strong> Institute <strong>of</strong> Medicine’s Committee on Improving<br />

Access to Oral Health Care for Vulnerable and Underserved Populations.<br />

From left: Dean Huw Thomas; Caswell Evans; Faye Donohue, president and CEO <strong>of</strong> Delta<br />

<strong>Dental</strong> <strong>of</strong> Massachusetts; Massachusetts State Rep. John Scibak, D-South Hadley, chair<br />

<strong>of</strong> <strong>the</strong> Legislative Oral Health Caucus; and Mark Nehring, <strong>the</strong> Delta <strong>Dental</strong> <strong>of</strong> Massachusetts<br />

Pr<strong>of</strong>essor in Public Health and Community Service.<br />

28 tufts dental medicine fall 2012<br />

Organized dentistry, Evans said, has<br />

failed mightily in responding to <strong>the</strong> growing<br />

crisis <strong>of</strong> health disparities and access to<br />

care. Far too few dentists treat Medicaid<br />

patients, and <strong>the</strong> pr<strong>of</strong>ession has a record <strong>of</strong><br />

fighting against policies that could increase<br />

access to care for <strong>the</strong> poor, <strong>the</strong> elderly,<br />

those living in rural communities or o<strong>the</strong>r<br />

underserved groups.<br />

“The oral health-care system in America<br />

is currently designed around <strong>the</strong> needs <strong>of</strong><br />

<strong>the</strong> dentist, not <strong>the</strong> needs <strong>of</strong> those who are<br />

underserved,” he said. While <strong>the</strong> pr<strong>of</strong>ession<br />

still has an opportunity to step forward, he<br />

said, “<strong>the</strong> window is closing.”<br />

The problem, Evans continued, has<br />

evolved from <strong>the</strong> traditional training and<br />

outlook <strong>of</strong> dental schools: Dentists historically<br />

were not educated to see <strong>the</strong>mselves as<br />

an integral part <strong>of</strong> <strong>the</strong> broader health pr<strong>of</strong>ession.<br />

And <strong>the</strong>n <strong>the</strong>re is <strong>the</strong> “tug and pull” <strong>of</strong><br />

dentistry as a business, alongside its pr<strong>of</strong>essional<br />

mission. “That is a scenario we have<br />

not fully come to terms with,” he said.<br />

The access issue has been percolating<br />

for decades. The stage was set when <strong>the</strong><br />

dental establishment fought to have dental<br />

care excluded from <strong>the</strong> Medicaid and<br />

Medicare programs when <strong>the</strong>y were created<br />

in <strong>the</strong> 1960s—successfully, in <strong>the</strong> case<br />

<strong>of</strong> Medicare. But it came to wider attention<br />

with <strong>the</strong> release in 2000 <strong>of</strong> <strong>the</strong> surgeon<br />

general’s first-ever report on oral health,<br />

which stated: “There are pr<strong>of</strong>ound and<br />

consequential oral heath disparities in <strong>the</strong><br />

American population.”<br />

“That began to really get that ball rolling,”<br />

Evans said. In 2003, <strong>the</strong> surgeon general’s<br />

<strong>of</strong>fice issued its National Call to Action<br />

to Promote Oral Health. Then in 2007, a<br />

PHOTO: MaTTHew B. MOdOOnO


12-year-old Maryland boy, Deamonte<br />

Driver, died <strong>of</strong> an infection triggered by an<br />

untreated dental abscess. A lack <strong>of</strong> dentists<br />

willing to accept Medicaid patients, along<br />

with glitches in Medicaid paperwork, meant<br />

he did not receive care until <strong>the</strong> infection<br />

had spread to his brain. His death, reported<br />

in The Washington Post, put a human face on<br />

<strong>the</strong> problem for Congress.<br />

Concurrently, <strong>the</strong> issue <strong>of</strong> mid-level providers—dental<br />

<strong>the</strong>rapists who can do procedures<br />

such as cleanings, restorations or<br />

uncomplicated extractions under <strong>the</strong> supervision<br />

<strong>of</strong> a D.M.D. or D.D.S.—surfaced.<br />

Such a model has existed since 2005 on<br />

tribal lands in Alaska, despite an unsuccessful<br />

legal challenge by <strong>the</strong> American <strong>Dental</strong><br />

Association and <strong>the</strong> Alaska <strong>Dental</strong> Society.<br />

“Part <strong>of</strong> <strong>the</strong> argument in that suit,” Evans<br />

said, “was that no care is better than some<br />

care. And so here I ask: is that our message?”<br />

One positive recent step, he said, was<br />

<strong>the</strong> formation in 2009 <strong>of</strong> <strong>the</strong> U.S. National<br />

Oral Health Alliance, a collaboration <strong>of</strong><br />

dentists, educators, insurers, <strong>the</strong> dental<br />

products industry, physicians and policymakers.<br />

The group focuses on prevention<br />

and public-health infrastructure,<br />

oral health literacy, collaboration between<br />

dentists and physicians in providing care,<br />

financing models and streng<strong>the</strong>ning <strong>the</strong><br />

oral health delivery system.<br />

In response to an audience question,<br />

Evans acknowledged that for recent graduates<br />

entering dental practice, <strong>the</strong> need to<br />

repay student loans plays a key role in career<br />

decisions. “The increasing indebtedness <strong>of</strong><br />

students is a huge problem, and it certainly<br />

limits options,” he said. “What I share with<br />

students is that we’re not necessarily expecting<br />

any student to singled-handedly take<br />

on this problem, or even go into a public<br />

health position. Even if <strong>the</strong>y are in private<br />

practice, that is public service, in <strong>the</strong> sense<br />

that <strong>the</strong>y should be available to all <strong>of</strong> <strong>the</strong><br />

public. Everyone has an opportunity to<br />

find something <strong>the</strong>y can do to ameliorate<br />

<strong>the</strong> problem, and <strong>the</strong>y should look for those<br />

opportunities.”<br />

<strong>the</strong> issue that won't go away<br />

among <strong>the</strong> statistics brandished by dental educator Caswell evans during his talk<br />

at <strong>Tufts</strong> <strong>School</strong> <strong>of</strong> dental Medicine was this: approximately 80 percent <strong>of</strong> all dental<br />

disease in <strong>the</strong> U.S. occurs in 20 percent <strong>of</strong> <strong>the</strong> population. as a young dentist working<br />

in remote communities and on Indian reservations in <strong>the</strong> 1980s, Mark nehring<br />

witnessed <strong>the</strong> human stories behind those numbers.<br />

“I saw more disease than you could ever imagine,” he says <strong>of</strong> his time working<br />

with <strong>the</strong> U.S. Public Health Service’s national Health Service Corps and Indian<br />

Health Service in Illinois, Montana and north dakota. In remote regions <strong>of</strong> <strong>the</strong>se<br />

states, generally beset by poverty, he saw patients whose oral health had <strong>of</strong>ten been<br />

neglected for years, “I did procedures and treatments for chronic conditions that<br />

I would never have seen in a suburban practice,” he says. “and I began to question<br />

<strong>the</strong> existing attempts to contain oral disease. I developed more and more interest<br />

in approaches to preventing <strong>the</strong> disease that I was seeing in such large amounts.”<br />

So he made <strong>the</strong> jump from rural clinician to public health administrator, serving<br />

with <strong>the</strong> federal government during <strong>the</strong> 1990s and 2000s, when <strong>the</strong> dental pr<strong>of</strong>ession<br />

slowly became aware <strong>of</strong> what is now called oral health-care disparities. In his new<br />

role at <strong>Tufts</strong>, as <strong>the</strong> delta dental <strong>of</strong> Massachusetts Pr<strong>of</strong>essor in Public Health and<br />

Community Service and chair <strong>of</strong> public health and community service, nehring wants<br />

to marshal <strong>the</strong> ideas <strong>of</strong> students and faculty to address access to care, now <strong>the</strong> most<br />

daunting challenge in dentistry.<br />

“all <strong>of</strong> us in <strong>the</strong> pr<strong>of</strong>ession—academia, <strong>the</strong> private sector, <strong>the</strong> public sector, policymakers—we’re<br />

all part <strong>of</strong> <strong>the</strong> solution,” he says.<br />

From 1988 until his arrival at <strong>Tufts</strong> in February, nehring worked for <strong>the</strong> Public<br />

Health Service and <strong>the</strong> Health Resources and Services administration (HRSa) in<br />

Rockville, Md., most recently as <strong>the</strong> acting chief dental <strong>of</strong>ficer for HRSa and chief<br />

dental <strong>of</strong>ficer for HRSa’s Maternal and Child Health Bureau. during that time, he says,<br />

public health dentistry was forced to shift its emphasis and approach.<br />

“In <strong>the</strong> past 30 to 40 years, public health dentists were trying to focus on prevention,”<br />

he says. However, <strong>the</strong> existing structure within dentistry compensated private<br />

practitioners primarily for treatment. “My take was that public health dentists were<br />

kind <strong>of</strong> challenging <strong>the</strong> rest <strong>of</strong> <strong>the</strong> pr<strong>of</strong>ession to do it <strong>the</strong>ir way by applying guilt, appealing<br />

to social responsibility. But those kinds <strong>of</strong> pleas from <strong>the</strong> public health side<br />

didn’t necessarily fit <strong>the</strong> private-practice models,” he said.<br />

now public health specialists have begun to focus on ways that access to care<br />

can be expanded and integrated into <strong>the</strong> private-practice model, nehring says. “The<br />

private practice is <strong>the</strong> 900-pound gorilla, and you cannot make a difference without<br />

that participation,” he says.<br />

Change will come, nehring says, only if <strong>the</strong> pr<strong>of</strong>ession can take full advantage <strong>of</strong><br />

<strong>the</strong> existing workforce. That includes looking at “adequate or fair reimbursement”<br />

by public insurance programs such as Medicaid for private practitioners, he notes.<br />

O<strong>the</strong>r approaches include educating physicians—especially those who treat pregnant<br />

women and children—about <strong>the</strong> relationship between oral health and overall health;<br />

expanding oral health services to schools and community health clinics and continuing<br />

to assess <strong>the</strong> role <strong>of</strong> nontraditional providers, such as dental <strong>the</strong>rapists and hygienists,<br />

in treating underserved patients. “There’s no silver bullet to solve <strong>the</strong> access<br />

issues,” he says. —helene ragovin<br />

fall 2012 tufts dental medicine 29


on campus<br />

A Life in Balance<br />

Dean Robert Kasberg says dental students must tend to <strong>the</strong>ir pr<strong>of</strong>essional and personal lives<br />

by Helene Ragovin<br />

Robert kasberg grew up in <strong>the</strong><br />

Midwest, graduating high school<br />

when <strong>the</strong> country was fractured<br />

by <strong>the</strong> war in Vietnam. College<br />

admittance in hand, he could have avoided<br />

<strong>the</strong> draft, at least for a while. Instead he<br />

chose to enlist, but not, he says, because he<br />

necessarily supported <strong>the</strong> war. “I wanted<br />

to go to Vietnam because I wanted to see<br />

for myself whe<strong>the</strong>r what we were doing was<br />

right or wrong,” he says.<br />

30 tufts dental medicine fall 2012<br />

He volunteered for <strong>the</strong> Navy Hospital<br />

Corps—“I thought I would not be killing; I<br />

would be healing”—and was assigned to a<br />

Marine unit. While he never saw Vietnam,<br />

that youthful decision was <strong>the</strong> start <strong>of</strong> an<br />

unconventional career path, with stops in<br />

rural Filipino villages, Yale <strong>University</strong>, his<br />

hometown <strong>of</strong> Indianapolis and now, <strong>Tufts</strong><br />

<strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine, as associate<br />

dean <strong>of</strong> admissions and student affairs.<br />

What is woven through his pr<strong>of</strong>essional<br />

Robert Kasberg,<br />

<strong>the</strong> dental school’s<br />

new associate dean<br />

<strong>of</strong> admissions and<br />

student affairs<br />

journey is a deep belief in making life better<br />

and fairer for o<strong>the</strong>rs and in bridging borders<br />

<strong>of</strong> geography and culture. “When you<br />

try to understand a person on <strong>the</strong>ir own<br />

terms and in <strong>the</strong>ir own cultural context,<br />

you come away with a deeper appreciation<br />

<strong>of</strong> who <strong>the</strong>y are,” he says.<br />

Kasberg credits his mo<strong>the</strong>r, and <strong>the</strong><br />

nuns and bro<strong>the</strong>rs <strong>of</strong> his parochial school<br />

education, for establishing his early outlook.<br />

A key influence was <strong>the</strong> Rev. Dennis<br />

PHOTO: alOnSO nICHOlS


Flynn, a missionary priest whom he met<br />

when his Marine battalion was conducting<br />

war games on <strong>the</strong> island <strong>of</strong> Mindoro in <strong>the</strong><br />

Philippines. It was Flynn who led Kasberg<br />

to <strong>the</strong> next bend in <strong>the</strong> road—a six-year<br />

stint as a Peace Corps volunteer working<br />

with tribal people on Mindoro, where<br />

he helped run health clinics and establish<br />

schools. He became fluent in two Filipino<br />

languages. “I probably learned more than<br />

I taught,” he says. “It was such a far stretch<br />

from <strong>the</strong> lily-white environment I came<br />

from. It challenged all sorts <strong>of</strong> assumptions,<br />

and I found it liberating that you<br />

can interact with people as equals in many<br />

different ways. All <strong>of</strong> our<br />

artificial divisions <strong>of</strong> ‘more<br />

advanced/less advanced;<br />

more sophisticated/less<br />

sophisticated’ are really<br />

quite ethnocentric.”<br />

Back in <strong>the</strong> U.S., he<br />

started college at age 30 at<br />

Indiana <strong>University</strong>-Purdue<br />

<strong>University</strong> Indianapolis<br />

(IUPUI), and eventually earned a Ph.D.<br />

in anthropology from Yale, returning to<br />

<strong>the</strong> Philippines to write his dissertation<br />

on religion, illness and healing in Filipino<br />

society. While religion and health are <strong>of</strong>ten<br />

regarded as radically separate domains in<br />

<strong>the</strong> West, “it’s fascinating how those areas<br />

interact within Filipino society,” he says.<br />

Kasberg’s original intent in choosing<br />

anthropology was a career in international<br />

development, but family circumstances<br />

brought him back to Indianapolis, where<br />

he joined <strong>the</strong> Indiana <strong>University</strong> Center<br />

on Philanthropy. Among o<strong>the</strong>r projects,<br />

he conducted a study on <strong>the</strong> African-<br />

American tradition <strong>of</strong> giving and serving.<br />

His findings—that <strong>the</strong> practice <strong>of</strong><br />

helping o<strong>the</strong>rs was so tightly woven into<br />

<strong>the</strong> African-American community that<br />

it literally “went without saying”—were<br />

pioneering.<br />

“There was almost no literature on <strong>the</strong><br />

subject,” he says. “Anything you wanted<br />

about this group regarding drop-out rates,<br />

incarceration rates, all <strong>the</strong> derogatory<br />

aspects, <strong>the</strong>re was tons <strong>of</strong> it—but something<br />

positive, almost nothing. What we<br />

found was <strong>the</strong> tradition <strong>of</strong> giving and serving<br />

are indeed deep and meaningful and<br />

so commonplace that African Americans<br />

do not even see it as philanthropy.”<br />

He moved into academic administration<br />

in 1996, first as assistant dean <strong>of</strong> <strong>the</strong> graduate<br />

<strong>of</strong>fice at IUPUI, and in 2002, as director<br />

<strong>of</strong> admissions for Indiana <strong>University</strong> <strong>School</strong><br />

<strong>of</strong> Dentistry; he became assistant dean for<br />

student affairs <strong>the</strong>re in 2005. “I loved it,” he<br />

says. “My forte was just being able to sit and<br />

listen and understand <strong>the</strong> students. I was a<br />

very strong student advocate.”<br />

Kasberg says he tries to impress upon<br />

dental students <strong>the</strong> importance <strong>of</strong> balancing<br />

“your obligations to your work, to your<br />

family and to yourself.” As a man who raised<br />

nine children, now ranging in age from 14<br />

to 28, he takes that balancing act quite seriously.<br />

He has always made time to coach his<br />

kids’ teams, work with <strong>the</strong>m on <strong>the</strong>ir studies<br />

and volunteer for <strong>the</strong> PTO. And, he notes,<br />

he does not carry a cell phone: “I give my<br />

employer and I give my family so much <strong>of</strong><br />

my time that when I have a free moment, I<br />

want to be able to read and think.”<br />

We sat down with Kasberg recently to<br />

talk about his new job at <strong>Tufts</strong>.<br />

At Indiana, you worked in both admissions<br />

and student affairs. What lessons did you<br />

take from those positions?<br />

My job is being a student advocate and<br />

maintaining <strong>the</strong> school’s [academic and<br />

ethical] standards. That’s not an easy line to<br />

walk. I tell <strong>the</strong> students that being a student<br />

advocate doesn’t always mean doing what<br />

<strong>the</strong> students want me to do. At Indiana, my<br />

mantra was always to do what was in <strong>the</strong><br />

student’s best interest. Sometimes that’s<br />

a difficult decision. My o<strong>the</strong>r mantra was<br />

never to make our standard <strong>the</strong> exception.<br />

If a school <strong>of</strong> dentistry has standards, our<br />

job is to make sure students meet that standard.<br />

Only every once in a while do you<br />

need to make an exception.<br />

Those two principles served me well. I<br />

can’t say all <strong>the</strong> students liked me; I can say<br />

most respected me.<br />

At this year’s dental commencement<br />

ceremony, you <strong>of</strong>fered a few pieces <strong>of</strong><br />

advice: take ownership <strong>of</strong> your mistakes<br />

and develop a healthy respect for doubt.<br />

Anything to add?<br />

You have to admit when you’re wrong and<br />

be able to say, ‘I don’t know.’ Transparency<br />

is so important. I hope people appreciate<br />

that I’m honest.<br />

I also hope students leave here understanding<br />

<strong>the</strong> limits <strong>of</strong> what <strong>the</strong>y’ve been<br />

“I live diversity every day. My family is multiracial<br />

and multicultural. I hope to add to <strong>the</strong> wonderful<br />

diversity that <strong>Tufts</strong> already has.” —Robert Kasberg<br />

taught. [My] Ph.D. is an accomplishment,<br />

but it’s kind <strong>of</strong> finite. That D.M.D. degree<br />

is indeed an accomplishment, but we<br />

have a thing called continuing education,<br />

and <strong>the</strong>re is a reason for that. I hope our<br />

students leave here realizing that D.M.D.<br />

degree represents that <strong>the</strong>y have reached<br />

competency and now are working toward<br />

pr<strong>of</strong>iciency. There are going to be times<br />

when <strong>the</strong>y are going to have patients <strong>the</strong>y<br />

don’t have an answer for, whom <strong>the</strong>y don’t<br />

have a treatment plan for. And hopefully,<br />

<strong>the</strong>y will have a mentor or somebody <strong>the</strong>y<br />

can rely upon.<br />

What are your goals here at <strong>Tufts</strong>?<br />

Dean Huw Thomas has given me two<br />

charges: student wellness and diversity.<br />

At Indiana, my track record on diversity<br />

was impeccable. As assistant dean at<br />

<strong>the</strong> graduate school at IUPUI, I focused<br />

on African-American and Latino graduate<br />

student recruitment, and helped increase<br />

<strong>the</strong> number <strong>of</strong> African-American<br />

and Latino doctoral students in biomedical<br />

science programs from one African<br />

American and no Latinos in 1997, to more<br />

than 25 by 2003. As director <strong>of</strong> admissions<br />

BALANCE, continued on next page<br />

fall 2012 tufts dental medicine 31


on campus<br />

BALANCE, continued from preceding page<br />

at Indiana’s <strong>School</strong> <strong>of</strong> Dentistry, I helped<br />

implement strategies that, by 2005, resulted<br />

in <strong>the</strong> most diverse D.D.S. student<br />

body in <strong>the</strong> history <strong>of</strong> <strong>the</strong> school, a mark<br />

we eclipsed in 2012.<br />

I live diversity every day. My family<br />

is multiracial and multicultural. I hope<br />

to add to <strong>the</strong> wonderful diversity that<br />

<strong>Tufts</strong> already has. My focus will be more<br />

on African Americans and Puerto Rican<br />

Americans and Mexican Americans, but<br />

also on working-class white kids. I’d like<br />

to see if we could do more with kids coming<br />

from rural areas and urban areas.<br />

<strong>Dental</strong> school graduates who hail from<br />

rural or urban neighborhoods are more<br />

likely to practice in an underserved area<br />

than graduates who were raised in more<br />

affluent communities.<br />

Wellness and mental health are issues<br />

that are kind <strong>of</strong> hard to wrap your hands<br />

around. I have an open door. I understand<br />

that everyone at times runs into some<br />

kind <strong>of</strong> adversity. No one is a superhero.<br />

Especially for guys, <strong>the</strong>y’ll say, ‘I can work<br />

things out on my own.’ At Indiana, one <strong>of</strong><br />

my strategies was to tell <strong>the</strong>m: If someone<br />

at psychological services said <strong>the</strong>y were<br />

going to pull a tooth by <strong>the</strong>mselves, you’d<br />

say, ‘No, we’re <strong>the</strong> pr<strong>of</strong>essionals.’ Just like<br />

you’re a pr<strong>of</strong>essional at oral health, <strong>the</strong>re<br />

are people who are pr<strong>of</strong>essionals at handling<br />

emotional trauma.<br />

I have two pieces <strong>of</strong> advice for first-year<br />

students: Earning a dental degree is not<br />

worth sacrificing your family. If you get<br />

<strong>the</strong> degree, but go through a divorce, <strong>the</strong><br />

price was too great. Give your spouse some<br />

sacred time, where nothing interferes. If<br />

you spend a day with your spouse, you will<br />

not flunk out <strong>of</strong> dental school.<br />

The o<strong>the</strong>r is that you have a sacred duty<br />

to take care <strong>of</strong> yourself. Being in dental<br />

school does not mean you need to study<br />

20 out <strong>of</strong> 24 hours. You are foolish if you<br />

don’t take time to decompress. For some<br />

people that means working out, listening<br />

to music, whatever helps you reenergize or<br />

relax. Make sure you carve that into your<br />

schedule. After two-and-a-half hours, <strong>the</strong><br />

brain’s ability to take in information drastically<br />

declines anyway. Take a break; <strong>the</strong>n go<br />

back to studying.<br />

32 tufts dental medicine fall 2012<br />

Renaissance Man<br />

D.M.D./M.S. student takes on <strong>the</strong> roles <strong>of</strong> researcher, inventor,<br />

teacher, advocate by Jacqueline Mitchell<br />

When nicholas bello<br />

was a high school sophomore,<br />

he founded a<br />

science club whose 40<br />

members built rockets. Their ships never<br />

left <strong>the</strong> ground, though—it was post-9/11<br />

New York, and <strong>the</strong> students couldn’t get<br />

FAA clearance to launch <strong>the</strong>ir craft over<br />

<strong>the</strong>ir school on Long Island. Still, none<br />

<strong>of</strong> <strong>the</strong> amateur rocket scientists took <strong>the</strong><br />

disappointment too hard, says Bello, D13,<br />

M.S.14, <strong>the</strong> first student in <strong>Tufts</strong>’ combined<br />

D.M.D./M.S. in dental research<br />

degree program. “We had a blast building<br />

<strong>the</strong>m anyway.”<br />

Nicholas Bello, D13, M.S.14<br />

Bello brings that same enthusiasm<br />

to his master’s project, for which he<br />

will modify a tool already used to make<br />

dentures and bridges to achieve even<br />

greater precision—and perhaps <strong>of</strong>fer a<br />

way to expand access to care for patients<br />

living in remote or underserved areas.<br />

The computer numerical-controlled<br />

(CNC) router is a shaping machine that<br />

is guided by data fed into its computer.<br />

Manufacturers use <strong>the</strong> milling machines<br />

to cut and trim wood, metal or plastic<br />

into precise, three-dimensional shapes.<br />

Bello’s fa<strong>the</strong>r, a sculptor and woodworker,<br />

used one to carve letters into<br />

PHOTO: kelvIn Ma


signs he made. “I always thought you could<br />

use it on people’s teeth,” he says.<br />

Bello is trying to develop a CNC router<br />

that can be fitted onto a dental handpiece<br />

and used like any instrument in a patient’s<br />

mouth. With images from <strong>the</strong> mouth<br />

scanned into <strong>the</strong> computer, a dentist could<br />

prepare teeth for fillings or crowns with<br />

even greater exactitude. “You’d have tremendous<br />

control over <strong>the</strong> execution, so<br />

you’d deliver better care,” Bello predicts.<br />

But maybe more important, <strong>the</strong> modified<br />

device could someday allow dentists<br />

to deliver more care to more patients in<br />

more places. Bello imagines a world where<br />

ano<strong>the</strong>r trained provider—<br />

perhaps a medical pr<strong>of</strong>essional<br />

or dental assistant—<br />

could prep and assist with<br />

<strong>the</strong> patient onsite while a<br />

dentist maneuvers <strong>the</strong> CNC<br />

router from afar.<br />

“Currently, if you want to<br />

go to a world-class prosthodontist,<br />

you have to go to <strong>the</strong> prosthodontist,”<br />

Bello explains. “Say you’re on an oil rig,<br />

and <strong>the</strong>re’s an accident. [With <strong>the</strong> router]<br />

you wouldn’t have to fly <strong>the</strong> dentist to you or<br />

you to <strong>the</strong> dentist. Or you could set one up in<br />

public health clinics. The router would allow<br />

one dentist to do several preparations at <strong>the</strong><br />

same time.”<br />

Is Bello’s idea far-fetched? “Today <strong>the</strong>re’s<br />

a rover on Mars, so I don’t think so,” says<br />

Peter Arsenault, D94, associate pr<strong>of</strong>essor<br />

and head <strong>of</strong> operative dentistry, who is<br />

Bello’s faculty advisor for <strong>the</strong> project. “This<br />

could be <strong>the</strong> future <strong>of</strong> dentistry. We could<br />

solve some access-to-care issues.”<br />

And it is caring for patients—not <strong>the</strong><br />

tools involved—that matters most to<br />

Bello. Having spent <strong>the</strong> summer treating<br />

patients in <strong>the</strong> <strong>Tufts</strong> clinics, Bello recalls<br />

one woman whose dentures fit so poorly<br />

that she couldn’t pronounce S sounds.<br />

After he made <strong>the</strong> needed adjustments by<br />

hand, “she went home very, very happy,” he<br />

says. “I get a lot <strong>of</strong> satisfaction from being<br />

able to make serious changes in people’s<br />

day-to-day lives like that.”<br />

Bello knows what it’s like to go without<br />

oral health care. The son <strong>of</strong> two artists, his<br />

family didn’t always have dental insurance.<br />

Bello was in high school when his family<br />

again had dental coverage after a decade<br />

without it. At his first dental visit in 10 years,<br />

he was surprised to learn he had no cavities—<strong>the</strong><br />

tight family budget also meant no<br />

soda, sweets or junk food.<br />

Despite his clean bill <strong>of</strong> health, Bello<br />

felt <strong>the</strong> injustice deeply: “Do we have <strong>the</strong><br />

right not to treat someone’s need if that<br />

someone cannot pay? If you ask me, my<br />

answer is no.”<br />

Bello spent most <strong>of</strong> his childhood on<br />

Long Island, attending an academically rigorous,<br />

all-boys’ parochial school where he<br />

took advanced math and played <strong>the</strong> tuba.<br />

The Society <strong>of</strong> Mary, which runs <strong>the</strong> school,<br />

is now supporting Bello’s scientific endeavors<br />

by lending him use <strong>of</strong> a CNC router<br />

for his research. An Eagle Scout, he credits<br />

<strong>the</strong> time he spent in <strong>the</strong> woods hiking and<br />

camping with sparking his interest in science<br />

and biology.<br />

Beyond his own insatiable curiosity,<br />

Bello says he loves to teach, a talent he<br />

honed leading Boy Scout excursions. Few<br />

people meet Bello without coming away<br />

with at least one new survival skill—how<br />

to build a shelter in <strong>the</strong> woods during a torrential<br />

downpour, for example. (“Look for<br />

branches about <strong>the</strong> size <strong>of</strong> your wrist that<br />

have a split. Put three <strong>of</strong> <strong>the</strong>se toge<strong>the</strong>r, and<br />

you get a tripod that holds itself toge<strong>the</strong>r.<br />

Make two and run a pole between <strong>the</strong>m;<br />

now you’ve got something resembling a<br />

lean-to.”)<br />

Most mornings Bello tutors undergraduate<br />

students applying to dental school on<br />

subjects on <strong>the</strong> DAT, <strong>the</strong> dental school<br />

admissions exam. He teaches o<strong>the</strong>rs in<br />

<strong>the</strong> same methodical way he thinks about<br />

complicated subjects—breaking <strong>the</strong>m into<br />

palatable bites and grounding <strong>the</strong>m in <strong>the</strong><br />

real world. “I noticed a lot <strong>of</strong> people have<br />

trouble with math,” Bello says. “A lot <strong>of</strong><br />

times textbooks give a pro<strong>of</strong> and say ‘This<br />

is why it works,’ but <strong>the</strong>y don’t provide<br />

anything that a student can relate to.”<br />

That’s why he wants to produce a series<br />

<strong>of</strong> math texts filled with problems and <strong>the</strong>ir<br />

solutions worked out step-by-step. He’s<br />

also interested in writing a better test-prep<br />

book for <strong>the</strong> DAT. Eventually, he says he’d<br />

like to practice dentistry at a low-cost or<br />

free clinic and teach and conduct research<br />

at a dental school.<br />

Until <strong>the</strong>n, though, Bello is concentrating<br />

on finishing his final year <strong>of</strong> dental<br />

school as well as <strong>the</strong> seven core courses—<br />

including biostatistics, technical writing<br />

and evaluating scientific literature—that<br />

<strong>the</strong> master’s program requires.<br />

“I get a lot <strong>of</strong> satisfaction from being able to make<br />

serious changes in people’s day-to-day lives.”<br />

—Nicholas Bello<br />

<strong>Tufts</strong> launched <strong>the</strong> program in 2011,<br />

says Paul Stark, director <strong>of</strong> <strong>the</strong> division <strong>of</strong><br />

advanced and graduate education at <strong>Tufts</strong><br />

<strong>Dental</strong> <strong>School</strong>, to give undergraduate dental<br />

students <strong>the</strong> chance to earn a master’s<br />

degree without having to pay for ano<strong>the</strong>r<br />

year in school.<br />

“The quality <strong>of</strong> <strong>the</strong> research being done<br />

by dental students here has been really<br />

high,” says Stark. “It seemed unfair that<br />

<strong>the</strong>y had been working on <strong>the</strong>se very rigorous<br />

projects and not getting anything but<br />

a single publication out <strong>of</strong> it.” Stark hopes<br />

more students will consider <strong>the</strong> D.M.D./<br />

M.S. program.<br />

“As dentistry becomes more evidencebased,<br />

<strong>the</strong> ability to perform and evaluate<br />

research becomes more valuable,” he says.<br />

Those are certainly skills Bello will hone<br />

as he perfects his dental router. His master’s<br />

degree project could result in a patent, says<br />

Arsenault, his advisor, who worked as an<br />

engineer before becoming a dentist. “This<br />

could parlay into many things,” Arsenault<br />

adds. “You know what? Keep your eye on<br />

Nick Bello.”<br />

Jacqueline Mitchell, a senior health sciences<br />

writer in <strong>Tufts</strong>’ Office <strong>of</strong> Publications, can be<br />

reached at jacqueline.mitchell@tufts.edu.<br />

fall 2012 tufts dental medicine 33


on campus<br />

onekneeland<br />

In case you hadn’t heard...<br />

distinctive team<br />

dental students and faculty know full well that <strong>the</strong><br />

crew that staffs <strong>the</strong> dispensary is vital to keeping <strong>the</strong> clinics running<br />

smoothly. Staff members issue instruments, organize inventory<br />

and maintain <strong>the</strong> security <strong>of</strong> <strong>the</strong> equipment. But more than<br />

that, everyone knows <strong>the</strong> dispensary workers do <strong>the</strong>ir jobs with<br />

courtesy, care and a smile. And so <strong>the</strong> team was honored with<br />

<strong>the</strong> “Extra Mile Award” for exceptional customer service at <strong>Tufts</strong><br />

<strong>University</strong>’s 2012 Distinction Awards ceremony. Sponsored by<br />

<strong>the</strong> President’s Office and Human Resources, <strong>the</strong> Distinction<br />

Awards celebrate outstanding staff and faculty accomplishments<br />

outside <strong>of</strong> teaching and research. The award was presented at a<br />

ceremony on <strong>the</strong> Medford/Somerville campus on June 12 by Eric<br />

Johnson, vice president for university advancement. The winners<br />

included Sandra Armand, Nadine Benjamin, Mariana Boci, Gary<br />

Bolles, Bashkim Braho, Marjana Braho, Paula Callahan, Annette<br />

Clooney, Renald Joseph, Nikolete Kasuli, Branden Kohlman,<br />

Mary Kyle, Kerline Jean Louis, Aeron L. Luy, Berthine Paul,<br />

Lediana Rami, Keri Rogers, Denny Tran, Nga Tran and Stephen<br />

Witkus.<br />

34 tufts dental medicine fall 2012<br />

Eric Johnson, vice<br />

president for university<br />

advancement, praises<br />

<strong>the</strong> assembled<br />

dispensary team for<br />

its outstanding effort<br />

during a ceremony<br />

in Distler Auditorium<br />

on <strong>the</strong> Medford/<br />

Somerville campus.<br />

Joining <strong>the</strong> team was<br />

President Anthony<br />

P. Monaco.<br />

we are family<br />

The <strong>Tufts</strong> <strong>Dental</strong> “family tree” grew a<br />

little higher as D16 students with ties to<br />

<strong>the</strong> school arrived on campus. The Office<br />

<strong>of</strong> Development and Alumni Relations<br />

hosted its sixth annual <strong>Dental</strong> Legacy<br />

reception on August 26 at <strong>the</strong> W Hotel in<br />

Boston for incoming and current dental<br />

students with a family relation to a dental<br />

alum. More than 90 students and alumni<br />

attended. This year a number <strong>of</strong> returning<br />

students helped welcome <strong>the</strong> first-year<br />

students as did members <strong>of</strong> <strong>the</strong> <strong>Dental</strong><br />

Alumni Association board.<br />

Madeline Samaha, Sara Samaha, D16, and<br />

Alissa Mariano, D16.<br />

Robert Buchanan, D46, visits with Christopher<br />

Ford, D16, third from left, who hails from<br />

Buchanan’s neck <strong>of</strong> <strong>the</strong> woods in Presque Isle,<br />

Maine. With <strong>the</strong>m are Henry Clayton Ford,<br />

D88, D16P, left, and Steven Ford, right.<br />

John Garnache, D16P, Michelle Garnache,<br />

D16, and Monica Garnache, D04, D16P.<br />

PHOTOS: kelvIn Ma


a room <strong>of</strong> <strong>the</strong>ir own<br />

for four years, <strong>the</strong> building at one<br />

Kneeland street is a home-away-fromhome<br />

for <strong>Tufts</strong> dental students.<br />

The recently renovated Dr. Edward<br />

Becker Student Living Room, on <strong>the</strong> seventh<br />

floor, provides students with cozier<br />

and more functional space to inhabit during<br />

breaks from classes and lunch. The<br />

room, which features an expanded kitchen<br />

area, more extensive cafeteria-like seating<br />

and a separate area for relaxing, conversation<br />

and watching TV, reopened at <strong>the</strong><br />

start <strong>of</strong> <strong>the</strong> fall semester.<br />

It’s expected that <strong>the</strong> space also will<br />

be used for receptions. A substantial portion<br />

<strong>of</strong> <strong>the</strong> funding for <strong>the</strong> project came<br />

from <strong>the</strong> Dr. Edward Becker, D34, Center<br />

Endowment.<br />

<strong>Dental</strong> students<br />

in <strong>the</strong> renovated<br />

Dr. Edward Becker<br />

Student Living Room.<br />

new dean for<br />

academic affairs<br />

Nadeem Karimbux,<br />

<strong>the</strong> former assistant<br />

dean for dental<br />

education at Harvard<br />

<strong>School</strong> <strong>of</strong> <strong>Dental</strong><br />

Medicine, joined<br />

<strong>Tufts</strong> <strong>School</strong> <strong>of</strong><br />

<strong>Dental</strong> Medicine<br />

Nadeem Karimbux<br />

on October 1 as<br />

associate dean for academic affairs. He<br />

succeeds Nancy Arbree, who retired after<br />

31 years at <strong>Tufts</strong>.<br />

A periodontist, Karimbux’s academic<br />

career has focused on dental curriculum<br />

development and <strong>the</strong> scholarship <strong>of</strong><br />

teaching and learning. Before being named<br />

assistant dean at Harvard in 1998, he was<br />

director <strong>of</strong> predoctoral periodontology.<br />

He directed Harvard’s advanced graduate<br />

education program in periodontology since<br />

2010, and was an associate pr<strong>of</strong>essor <strong>of</strong><br />

oral medicine, infection and immunity.<br />

At <strong>Tufts</strong>, Karimbux’s academic<br />

appointment is in <strong>the</strong> department <strong>of</strong><br />

periodontology. His research interests<br />

include <strong>the</strong> relationship between oral<br />

health and systemic disease, periodontal<br />

wound healing, <strong>the</strong> use <strong>of</strong> haptics, a<br />

tactile feedback technology, for training<br />

dental students and problem-based<br />

learning in dental education.<br />

A native <strong>of</strong> Nakuru, Kenya, Karimbux<br />

received his undergraduate degree from<br />

<strong>the</strong> <strong>University</strong> <strong>of</strong> Massachusetts at<br />

Amherst and a D.M.D. from Harvard <strong>School</strong><br />

<strong>of</strong> <strong>Dental</strong> Medicine in 1991. He earned an<br />

M.M.Sc. in oral biology and certificate in<br />

periodontology, also from Harvard.<br />

An accomplished researcher,<br />

Karimbux has published more than 80<br />

papers, written textbooks and lectured<br />

worldwide. He is <strong>the</strong> editor <strong>of</strong> <strong>the</strong> Journal<br />

<strong>of</strong> <strong>Dental</strong> Education (JDE), published<br />

by <strong>the</strong> American <strong>Dental</strong> Education<br />

Association (ADEA). He served for four<br />

years on <strong>the</strong> ADEA Council <strong>of</strong> Faculties,<br />

was a member <strong>of</strong> <strong>the</strong> JDE editorial review<br />

board and served as an associate editor<br />

<strong>of</strong> <strong>the</strong> Journal <strong>of</strong> Periodontology and<br />

MedEdPORTAL.<br />

fall 2012 tufts dental medicine 35


on campus<br />

Grateful Graduates<br />

hatever you do, do<br />

it with real emotional<br />

energy and vitality and<br />

passion,” Dean Huw F.<br />

Thomas urged <strong>the</strong> members <strong>of</strong> <strong>the</strong> class <strong>of</strong><br />

2012, in his first commencement address<br />

since arriving at <strong>Tufts</strong> <strong>Dental</strong> <strong>School</strong> in<br />

summer 2011. Let those you treat know<br />

that dentistry is about “feelings, not just<br />

fillings,” he added.<br />

The May 20 ceremony was indeed one <strong>of</strong><br />

deep feeling, as graduates poured out <strong>the</strong>ir<br />

heartfelt gratitude to <strong>the</strong>ir mentors, teachers,<br />

dental school staff, <strong>the</strong>ir friends and<br />

classmates, and with special appreciation,<br />

<strong>the</strong>ir families.<br />

“I especially want to thank <strong>the</strong> families—<strong>the</strong><br />

wives, husbands, kids, parents—<br />

who were always <strong>the</strong>re,” said Jhon Giraldo,<br />

president <strong>of</strong> <strong>the</strong> international student class.<br />

“Some <strong>of</strong> <strong>the</strong>m are here with us today, and<br />

some <strong>of</strong> <strong>the</strong>m are still far away,” but <strong>the</strong>y<br />

all helped us realize our dream <strong>of</strong> earning a<br />

dental degree.<br />

Thomas commended <strong>the</strong> 179 students<br />

who earned <strong>the</strong>ir D.M.D. degrees, including<br />

13 graduates <strong>of</strong> <strong>the</strong> International<br />

Student Program, two in <strong>the</strong> Faculty Track<br />

International Student Program and 20 students<br />

who earned <strong>the</strong> M.S., for <strong>the</strong>ir commitment<br />

to excellence and <strong>the</strong>ir devotion to<br />

<strong>the</strong> underserved. He reminded <strong>the</strong>m more<br />

than once <strong>of</strong> <strong>the</strong> importance <strong>of</strong> supporting<br />

access to care for all segments <strong>of</strong> society.<br />

1 2<br />

Class <strong>of</strong> 2012 urged to be mindful <strong>of</strong> its responsibilities to <strong>the</strong> underserved by Helene Ragovin<br />

Echoing that <strong>the</strong>me, Robert Kasberg,<br />

associate dean for admissions and student<br />

affairs, lauded <strong>the</strong> class for its record <strong>of</strong> service<br />

to <strong>the</strong> school, in <strong>the</strong> local community<br />

and throughout <strong>the</strong> world. He urged <strong>the</strong> students<br />

to commit <strong>the</strong>mselves to two values.<br />

“Be generous,” he urged, not just by giving<br />

money to worthwhile causes, but “more<br />

importantly, be generous with your time, to<br />

your families and to those you love.” And<br />

1 Graduates Andrew De<br />

La Rosa, Mary Kathryn<br />

DeLoach, Lindsay DeNonno,<br />

Adrina DeVitre, Shubhpreet<br />

Dhillon and Jessica Dillon.<br />

2 Greg Anderson, D82, hugs<br />

<strong>the</strong> newest D.M.D. in <strong>the</strong><br />

family, his son Ryan.<br />

3 Lena Elbadawi, a graduate<br />

<strong>of</strong> <strong>the</strong> periodontology<br />

certificate program,<br />

with her family at <strong>the</strong><br />

postgraduate ceremony in<br />

Boston on June 9.<br />

36 tufts dental medicine fall 2012 photos: kelvin ma<br />

3


Lisa Yanushefski, A10, chats with<br />

Charles Rankin, D79, DG86, D08P,<br />

DG11P, pr<strong>of</strong>essor <strong>of</strong> endodontics,<br />

at <strong>the</strong> postgraduate ceremony.<br />

“be respectful <strong>of</strong> your intellectual potential,”<br />

he added. “You are among <strong>the</strong> most capable<br />

<strong>of</strong> advancing and sharing knowledge.”<br />

But it was D12 class president Inga<br />

Keithly who captured <strong>the</strong> emotion <strong>of</strong> <strong>the</strong><br />

day with a moving expression <strong>of</strong> personal<br />

gratitude to two <strong>of</strong> her friends and pr<strong>of</strong>essional<br />

mentors, Elizabeth Greenberg<br />

Rooney and Rebecca Paglia, both D00, and<br />

a tribute to classmate Ca<strong>the</strong>rine Dahl. For<br />

its class gift, <strong>the</strong> D12s established a scholarship<br />

in honor <strong>of</strong> Dahl, who was diagnosed<br />

with breast cancer and went on to become<br />

a leader, mentor and friend to many in <strong>the</strong><br />

class. Dahl was greeted with a standing<br />

ovation as she came on stage to receive her<br />

diploma and lavender doctoral hood. (see<br />

related story, page 42.)<br />

Nancy Arbree, associate dean for academic<br />

affairs and pr<strong>of</strong>essor <strong>of</strong> prosthodontics<br />

and operative dentistry, received emerita<br />

status upon her retirement.<br />

This year’s teaching awards were<br />

announced in <strong>the</strong> Commencement program<br />

and formally presented at <strong>the</strong> Faculty<br />

Recognition Luncheon on July 31. The<br />

honorees were James Hanley, D75A, DG79,<br />

associate dean for clinical affairs and associate<br />

pr<strong>of</strong>essor <strong>of</strong> periodontology, Provost’s<br />

Award for Outstanding Teaching and<br />

Service; Hamasat Gheddaf Dam, assistant<br />

pr<strong>of</strong>essor <strong>of</strong> prosthodontics and operative<br />

Above: The parents <strong>of</strong> graduate<br />

Jonathan Ip, and Christine Cao, D13,<br />

cheer during <strong>the</strong> commencement<br />

exercises. Left: Kanchan Ganda,<br />

pr<strong>of</strong>essor <strong>of</strong> public health and community<br />

service, and Charles Rankin, pr<strong>of</strong>essor<br />

<strong>of</strong> endodontics, award Alana Bednarz<br />

her doctoral hood.<br />

dentistry, Dean’s Award for Excellence in<br />

Clinical Teaching; and Kanchan Ganda,<br />

pr<strong>of</strong>essor <strong>of</strong> public health and community<br />

service, Dean’s Award for Excellence in<br />

Preclinical Teaching. Peter Brodeur, associate<br />

pr<strong>of</strong>essor <strong>of</strong> pathology, and Paul Leavis,<br />

associate pr<strong>of</strong>essor <strong>of</strong> physiology, received<br />

<strong>the</strong> Dean’s Award for Excellence in Basic<br />

Science Teaching.<br />

The <strong>Tufts</strong> <strong>Dental</strong> Alumni Association<br />

presented <strong>the</strong> Academic Excellence Award<br />

in honor <strong>of</strong> Christine Benoit, D77, to Shin<br />

Huh. Benoit, who practices in Charlestown,<br />

R.I., was honored for her 35 years <strong>of</strong> service<br />

to <strong>the</strong> alumni association and public<br />

service activities, including Dentistry from<br />

<strong>the</strong> Heart, which provides free dental care<br />

to those who need it.<br />

Graduates <strong>of</strong> <strong>the</strong> school’s postgraduate<br />

certificate and fellowship programs<br />

were honored at a separate ceremony, on<br />

June 9 at <strong>the</strong> Westin Copley Place Hotel in<br />

Boston. Fifty-four students received <strong>the</strong>ir<br />

certificates.<br />

fall 2012 tufts dental medicine 37


on campus<br />

senior awards<br />

Members <strong>of</strong> <strong>the</strong> Class <strong>of</strong> 2012 received 74<br />

alumni, pr<strong>of</strong>essional, organization, endowed or<br />

university awards this year<br />

BASIC SCIENCES<br />

Jack Frommer Award for<br />

Excellence in <strong>the</strong> Morphological<br />

Sciences: William R. Trahan<br />

ENDODONTICS<br />

Alumni Clinical Excellence Award<br />

in Endodontics: Shin Huh<br />

American Association <strong>of</strong><br />

Endodontists Student<br />

Achievement Award:<br />

Jessica Ruth Dillon<br />

Lester P. Goldsmith Endowed<br />

Prize Fund in Endodontics:<br />

Fernando Velasquez<br />

ETHICS, PROFESSIONALISM<br />

AND CITIZENSHIP<br />

Presidential Award for Citizenship<br />

and Public Service: Inga Keithly<br />

and Nicholas Barrington Gordon<br />

Dr. Justin Lee Altshuler, D46,<br />

and Bernice Lee Altshuler<br />

Family Prize Fund for<br />

Community Service:<br />

Nicholas Barrington Gordon<br />

Dr. Justin Lee Altshuler, D46,<br />

and Bernice Lee Altshuler Family<br />

Prize Fund for Ethics:<br />

Alyse Grant Dason<br />

Dr. S. Walter Askinas Endowed<br />

Prize Fund for Integrity and<br />

Citizenship: Ashley Rose Leavell<br />

Mark Gonthier Endowed Senior<br />

Prize Fund in Outstanding<br />

Service: Inga Keithly<br />

Association <strong>of</strong> <strong>Tufts</strong> Alumnae<br />

Senior Award: Sheina Jean-Marie<br />

Class <strong>of</strong> D2002 Endowed Prize<br />

Fund for Peer Support and<br />

Leadership: Inga Keithly<br />

38 tufts dental medicine fall 2012<br />

GENERAL DENTISTRY<br />

Alumni Clinical Excellence Award<br />

in General Dentistry:<br />

Hawazin Khedher<br />

Alumni Clinical Excellence Award<br />

in Geriatric Dentistry:<br />

Akiva Y. Bersson<br />

Academy <strong>of</strong> General Dentistry<br />

Senior Student <strong>Dental</strong> Award:<br />

Nikki Golbarg Shakourian<br />

American Academy <strong>of</strong> Oral<br />

and Maxill<strong>of</strong>acial Radiology<br />

Achievement Award:<br />

Alyse Grant Dason<br />

American Academy <strong>of</strong> Or<strong>of</strong>acial<br />

Pain Outstanding Senior Award:<br />

Gaurang M. Patel<br />

American Academy <strong>of</strong><br />

Crani<strong>of</strong>acial Pain Award:<br />

Meghan R. Toland<br />

Gentle <strong>Dental</strong> Senior Endowed<br />

Prize Fund for Exceptional<br />

Chairside Manner: Ramya Bhat<br />

Rao and Le Xuan Nguyen<br />

Dean’s Award for Distinguished<br />

Performance in Pharmacology:<br />

Corey Fredrick Decoteau<br />

American Equilibration Society<br />

Senior Award: Camille K. Secor<br />

IMPLANTOLOGY<br />

American Association <strong>of</strong> Oral and<br />

Maxill<strong>of</strong>acial Surgeons <strong>Dental</strong><br />

Implant Student Award:<br />

Kimberly Marie Newton<br />

International Congress <strong>of</strong> Oral<br />

Implantologists ICOI/Sullivan-<br />

Schein <strong>Dental</strong> Predoctoral<br />

Achievement Award:<br />

Danielle Marie Leonardi<br />

American Academy <strong>of</strong> Implant<br />

Dentistry <strong>Dental</strong> Student Award:<br />

Sushen Sharma<br />

Academy <strong>of</strong> Osseointegration<br />

Outstanding <strong>Dental</strong> Student<br />

in Implant Dentistry Award:<br />

Nicholas Joseph DiNinno III<br />

LEADERSHIP<br />

American Association <strong>of</strong> Women<br />

Dentists Dr. Eleanor J. Bushee<br />

Senior <strong>Dental</strong> Student Award:<br />

Marina Ca<strong>the</strong>rine Stakes<br />

American Student<br />

<strong>Dental</strong> Association Award<br />

for Excellence:<br />

Namrata Gupte Hardy<br />

Pierre Fauchard Academy<br />

Senior Student Award:<br />

Anna Emily Abrahamian<br />

American College <strong>of</strong> Dentists<br />

Award: Inga Keithly<br />

ORAL AND MAXILLOFACIAL<br />

SURGERY<br />

Alumni Clinical Excellence Award<br />

in Oral and Maxill<strong>of</strong>acial Surgery:<br />

Marek J. Ogledzki<br />

American Association <strong>of</strong> Oral<br />

and Maxill<strong>of</strong>acial Surgeons<br />

<strong>Dental</strong> Student Award:<br />

Corey Fredrick Decoteau<br />

American <strong>Dental</strong> Society <strong>of</strong><br />

Anes<strong>the</strong>siology Horace Wells<br />

Senior Student Award:<br />

Gloria Chen-Fang Chao<br />

Robert E. O’Neil, D51, Prize in<br />

Oral Surgery:<br />

William R. Trahan<br />

ORAL PATHOLOGY<br />

Alumni Clinical Excellence Award<br />

in Oral Pathology:<br />

Albert Francis Lewicki II<br />

American Academy <strong>of</strong> Oral<br />

and Maxill<strong>of</strong>acial Pathology<br />

Senior Student Award:<br />

Anna Emily Abrahamian<br />

American Academy <strong>of</strong> Oral<br />

Medicine Certificate <strong>of</strong> Merit and<br />

Award: Adrina DeVitre<br />

ORTHODONTICS<br />

American Association <strong>of</strong><br />

Orthodontists Award:<br />

Bryan Francis Foley<br />

Everett Shapiro, DG49, Endowed<br />

Prize Fund in Orthodontics:<br />

Kirk Stuart Round<br />

PEDIATRIC DENTISTRY<br />

Alumni Clinical Excellence Award<br />

in Pediatric Dentistry:<br />

Eunice Dongyoon Lee<br />

Jack and Anne Rubin, D75P,<br />

Endowed Senior Prize Fund in<br />

Pediatric Dentistry:<br />

Devina S. Shah<br />

American Academy <strong>of</strong> Pediatric<br />

Dentistry Certificate <strong>of</strong><br />

Merit Pre-doctoral Student<br />

Award:<br />

Marina Ca<strong>the</strong>rine Stakes<br />

PERIODONTOLOGY<br />

Alumni Clinical Excellence Award<br />

in Periodontology: Shin Huh<br />

American Academy <strong>of</strong><br />

Periodontology <strong>Dental</strong> Student<br />

Achievement Award:<br />

William R. Trahan<br />

Quintessence Award for Clinical<br />

Achievement in Periodontics:<br />

Maureen Bucken Timmeny<br />

Nor<strong>the</strong>astern Society <strong>of</strong><br />

Periodontists Award:<br />

Isabella Terrassa Reyes<br />

Dr. Richard Delson, D70,<br />

Endowed Prize Fund for<br />

Excellence in Periodontology<br />

and Prosthodontics:<br />

George Paul Mitrogogos<br />

Robert, D51, and Eleanor Levin<br />

Endowed Senior Prize Fund<br />

in Periodontics:<br />

Krista Alana Stolch<br />

PERSONAL AND<br />

PROFESSIONAL GROWTH<br />

Dr. Frederick A. Romberg, D29,<br />

Endowed Prize Fund Recognizing<br />

Outstanding Personal and<br />

Pr<strong>of</strong>essional Growth During <strong>the</strong><br />

Four Years <strong>of</strong> <strong>Dental</strong> Education:<br />

Jesse Earlon Snow


Dr. Frank Susi, DG67, Endowed<br />

Prize Fund: Marek J. Ogledzki<br />

Dean Lonnie H. Norris, DG80,<br />

and Dr. Donna M. Norris<br />

Senior Endowed Prize Fund for<br />

Achievement, Pr<strong>of</strong>essionalism<br />

and Strength <strong>of</strong> Character:<br />

Ca<strong>the</strong>rine Marie Dahl<br />

International College <strong>of</strong> Dentists<br />

Student Leadership Award:<br />

Inga Keithly<br />

Delta Sigma Delta <strong>Dental</strong><br />

Senior Award for Academic<br />

Achievement:<br />

Corey Fredrick Decoteau<br />

Alpha Omega Graduating<br />

Senior Student Award:<br />

Marina Ca<strong>the</strong>rine Stakes<br />

PUBLIC HEALTH DENTISTRY<br />

Academy <strong>of</strong> Dentistry for Persons<br />

with Disabilities Student Award:<br />

Marion Jennifer Hernon<br />

Alumni Clinical Excellence Award<br />

in Public Health Dentistry:<br />

Arlene Souza Pimentel<br />

American Association <strong>of</strong><br />

Public Health Dentistry<br />

<strong>Dental</strong> Student Recognition<br />

Award for Achievement in<br />

Community Dentistry and<br />

<strong>Dental</strong> Public Health:<br />

Jonathan Leslie Czerepak<br />

Dr. Es<strong>the</strong>r Kaplan Colchamiro,<br />

D42, and Ralph Colchamiro<br />

Endowed Prize Fund for<br />

Community and Public Health:<br />

Vanessa Coupet<br />

Special Care in Dentistry Award<br />

for Outstanding Performance at<br />

<strong>the</strong> Glavin Rotation Site:<br />

Jai-ik Cho<br />

Special Care in Dentistry Award<br />

for Outstanding Performance at<br />

<strong>the</strong> Northwoods Rotation Site:<br />

David Thomas Miller<br />

Special Care in Dentistry Award<br />

for Outstanding Performance<br />

at <strong>the</strong> Wrentham Rotation Site:<br />

Hoang Lisa Do<br />

RESEARCH<br />

Dr. Harold Berk Endowed Prize<br />

Fund for Excellence in Research:<br />

Eunice Dongyoon Lee<br />

Erling Johansen, D49, Senior<br />

Student Research Endowed Prize<br />

Fund: Carolyn Joanne Ferrick<br />

Quintessence Award for<br />

Research Achievement:<br />

Ca<strong>the</strong>rine M. DeFuria<br />

American Association <strong>of</strong><br />

Oral Biologists Award:<br />

Alana Jean Bednarz<br />

RESTORATIVE DENTISTRY<br />

Alumni Clinical Excellence Award<br />

in Restorative Dentistry:<br />

Kirk Stuart Round<br />

Academy <strong>of</strong> <strong>Dental</strong> Materials<br />

Annual Student Award:<br />

William Patrick Eisdell Moore<br />

Academy <strong>of</strong> Operative<br />

Dentistry Award:<br />

Ernest Edward James Holden<br />

American Academy <strong>of</strong> Es<strong>the</strong>tic<br />

Dentistry Student Award <strong>of</strong> Merit:<br />

Andrew David De La Rosa<br />

Rudolph Hanau Award for<br />

Excellence in Prosthodontics:<br />

Jhon O. Giraldo<br />

A. Albert Yurkstas, D49,<br />

Endowed Prize Fund in Complete<br />

Denture Prosthodontics:<br />

Jonathan Blaze Negron<br />

Dr. and Mrs. Albert J. Kazis<br />

Endowed Prize Fund in Crown<br />

and Bridge: Ann Radoslav<br />

Budovalcev Nicholas<br />

Joseph R. Evans Endowed<br />

Prize Fund in Clinical<br />

Operative Dentistry:<br />

Michael Joseph Costello<br />

Quintessence Award for Clinical<br />

Achievement in Restorative<br />

Dentistry:<br />

Michael Gregory Ambra<br />

Dr. Joseph E. Primack,<br />

D42, Endowed Prize Fund in<br />

Prosthodontics:<br />

George Paul Mitrogogos<br />

2012 Postgraduates<br />

In addition to those pursuing <strong>the</strong>ir D.M.D. degrees,<br />

100 students are enrolled in <strong>the</strong> dental school’s<br />

postgraduate certificate and fellowship programs,<br />

which prepare <strong>the</strong>m for specialty practice. The 2012<br />

graduates were:<br />

ADVANCED DENTAL<br />

TECHNOLOGY AND<br />

RESEARCH<br />

Abdalah Abdulrhman<br />

Albosefi<br />

Wagdi Alfitouri Hemali<br />

ENDODONTICS<br />

Kara Rebecca Aurbach<br />

Arielle Chassen Jacobs<br />

Elizabeth Curtis Winkler<br />

Jones<br />

Eric Jordan Novison<br />

Julee Christine Plastow<br />

Andrea Leigh Hayano<br />

Chung Shah<br />

Tony Kyungsik Yoon<br />

GENERAL PRACTICE<br />

RESIDENCY<br />

Fatima Maarouf<br />

Krista L. Pauly<br />

Lauren Yasuda Rainey<br />

J. Camila Rasner<br />

Nelson Ruiz Febo<br />

IMPLANT DENTISTRY<br />

FELLOWSHIP<br />

Yahya A.M. Elzarug<br />

Gabriela Lagreca<br />

Kesinee Pattanachareon<br />

Chien-Huei Yang<br />

ORAL AND<br />

MAXILLOFACIAL<br />

SURGERY<br />

David Joey Chang<br />

Daniel M. Plank<br />

ORAL AND<br />

MAXILLOFACIAL<br />

SURGERY INTERNSHIP<br />

Abdul Basit Karim<br />

ORAL AND<br />

PROSTHODONTICS<br />

FELLOWSHIP<br />

Mamoru Tanaka<br />

ORTHODONTICS<br />

AND DENTOFACIAL<br />

ORTHOPEDICS<br />

Hala Alawami<br />

Nicholas Paul Barone<br />

Karen Milkosky Curran<br />

Timothy Charles Hardy<br />

Amanda Gales Belden<br />

Kramer<br />

Douglas Peter Laliberte<br />

Moonyoung Lee<br />

Sreedevi Srinivasan<br />

PEDIATRIC DENTISTRY<br />

Elizabeth A. Ackerman<br />

Muhanad S. Alhareky<br />

David C. Ching<br />

Angela J. Choi<br />

Eunis Choi<br />

Andrew V.<br />

Danberg-Ficarelli<br />

Ninus Ebrahimi<br />

Danielle C. Hinton<br />

Jenna M. Khoury<br />

PERIODONTOLOGY<br />

Ahmed Ali Alhassani<br />

Li-Fan Chen<br />

Lena Saad Baher Elbadawi<br />

Mei-Hsuan He<br />

Michail Th. Koulianos<br />

Maud Lassonde<br />

Joseph Emanuel Pechter<br />

Hana Tenzer<br />

PERIODONTOLOGY<br />

ADVANCED SURGICAL<br />

FELLOWSHIP<br />

Fatema Al-Rayes<br />

PROSTHODONTICS<br />

Abdulaziz Al-Ben Ali<br />

Abdulaziz M. Alrasheed<br />

Altamimi<br />

Jeffery R. Damon<br />

Sophana Hem<br />

Paul Chung Wang Leung<br />

Hisham Abdullah Mously<br />

fall 2012 tufts dental medicine 39


on campus<br />

into <strong>the</strong> future<br />

What <strong>the</strong> Class <strong>of</strong> 2012 is doing now<br />

ARIZONA<br />

Pourya Shahnaz<br />

Private Practice, Phoenix<br />

CALIFORNIA<br />

Peter Chang<br />

Private Practice<br />

Nam Dang<br />

Private Practice<br />

Laura David<br />

Private Practice<br />

Jessica Dillon<br />

aeGd, U.S. navy, Camp Pendleton<br />

Andrew Ellis<br />

aeGd, U.S. air Force, Travis air<br />

Force Base<br />

Meenu Giri<br />

Private Practice<br />

Jonathan Ip<br />

GPR, Rancho los amigos national<br />

Rehabilitation Center<br />

Katarzyna Kalka<br />

GPR, Palo alto veterans Medical<br />

Center<br />

Behrod Khankhanian<br />

aeGd, <strong>University</strong> <strong>of</strong> California,<br />

San Francisco<br />

Christopher Tung<br />

Private Practice<br />

Fernando Velasquez<br />

GPR, va nor<strong>the</strong>rn California,<br />

Mare Island<br />

CANADA<br />

Samantha Amaro<br />

Private Practice, Toronto<br />

COLORADO<br />

Patrick Carroll<br />

aeGd, Grand Junction lu<strong>the</strong>ran<br />

Medical Center<br />

CONNECTICUT<br />

Nina Kim<br />

Private Practice, derby<br />

Eunice Lee<br />

Postgraduate Program in Pediatric<br />

dentistry, Yale-new Haven Hospital<br />

Tori Saferin<br />

GPR, Hartford Hospital<br />

Saranya Sakhamuri<br />

Private Practice<br />

Paul Singh<br />

GPR, St. Francis Hospital<br />

40 tufts dental medicine fall 2012<br />

DISTRICT OF COLUMBIA<br />

Sarah Massoud<br />

Private Practice<br />

Noelle Neill<br />

Private Practice<br />

Jacob Nix<br />

Private Practice<br />

FLORIDA<br />

Alexandra Bravoco<br />

U.S. navy, naval Station Mayport,<br />

Jacksonville<br />

Jeffrey J. Brown<br />

Postgraduate Program in<br />

Periodontology, <strong>University</strong> <strong>of</strong> Florida<br />

Andrew De La Rosa<br />

Private Practice<br />

Ashley Leavell<br />

Postgraduate Program in<br />

endodontics, <strong>University</strong> <strong>of</strong> Florida<br />

Marek Ogledzki<br />

Six-year M.d. Program in Oral and<br />

Maxill<strong>of</strong>acial Surgery,<br />

<strong>University</strong> <strong>of</strong> Florida<br />

Binita Patel<br />

Private Practice<br />

Elizabeth Stamps<br />

U.S. air Force,<br />

Tyndall air Force Base<br />

GEORGIA<br />

Nicholas Bland<br />

U.S. army, Fort Stewart<br />

George Mitrogogos<br />

aeGd, U.S. army, Fort Benning<br />

GERMANY<br />

John Welnak<br />

U.S. army<br />

Thomas Welnak<br />

U.S. army<br />

GREECE<br />

Dimitri Tripodakis<br />

Private Practice<br />

HAWAII<br />

Isabella Terrassa Reyes<br />

GPR, northwestern<br />

Memorial Hospital<br />

Serena Yu<br />

Postgraduate Program in Pediatric<br />

dentistry, lu<strong>the</strong>ran Medical Center,<br />

Oahu<br />

ILLINOIS<br />

Jose Gil<br />

GPR, OSF St. Francis Medical<br />

Center, Peoria<br />

Camille Secor<br />

aeGd, U.S. navy, Great lakes naval<br />

Base<br />

Dhaval Shah<br />

Private Practice, Chicago<br />

INDIANA<br />

Mandana Milani<br />

Private Practice<br />

JAPAN<br />

Ma<strong>the</strong>w Burdick<br />

U.S. navy, Iwakuni<br />

LOUISIANA<br />

Jai-ik Cho<br />

U.S. army<br />

MAINE<br />

Michael Ambra<br />

aeGd, Togus va Medical Center<br />

Paul Beaudoin<br />

Private Practice, Sanford<br />

Daniel Figueiredo<br />

Private Practice<br />

Manpreet Kaur<br />

aeGd, Togus va Medical Center<br />

Jill Kollar<br />

GPR, Penobscot Community Health<br />

Center<br />

David Miller<br />

GPR, Penobscot Community Health<br />

Center<br />

Meghan Toland<br />

aeGd, Togus va Medical Center<br />

MARYLAND<br />

Jonathan Blaze Negron<br />

Comprehensive dentistry Program,<br />

U.S. navy, naval dental <strong>School</strong>,<br />

Be<strong>the</strong>sda<br />

MASSACHUSETTS<br />

Diran Balekian<br />

GPR, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Alana Bednarz<br />

Postgraduate Program in<br />

Orthodontics, <strong>Tufts</strong> <strong>University</strong><br />

<strong>School</strong> <strong>of</strong> dental Medicine<br />

Elizabeth Brachowicz<br />

Private Practice, Boston<br />

Gloria Chao<br />

Private Practice, Boston<br />

Simita Chikersal<br />

Private Practice<br />

Seung Kee Choi<br />

Private Practice<br />

Jennifer Chon<br />

Postgraduate Program in Pediatric<br />

dentistry, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Meaghan Hyde Collamore<br />

Private Practice<br />

Michael Costello<br />

Private Practice, Swampscott<br />

Adam Darvish<br />

Private Practice<br />

Mark Dawoud<br />

Private Practice<br />

Corey Decoteau<br />

Postgraduate Program in Oral<br />

and Maxill<strong>of</strong>acial Surgery, <strong>Tufts</strong><br />

<strong>University</strong> <strong>School</strong> <strong>of</strong> dental<br />

Medicine<br />

Ca<strong>the</strong>rine DeFuria<br />

Postgraduate Program in<br />

Prosthodontics, <strong>Tufts</strong> <strong>University</strong><br />

<strong>School</strong> <strong>of</strong> dental Medicine<br />

Adrina DeVitre<br />

aeGd, Boston <strong>University</strong><br />

Nicholas DiNinno<br />

Private Practice, leominster<br />

Hoang Do<br />

Private Practice<br />

Carla Dukas<br />

Private Practice<br />

Kevin Duong<br />

Private Practice<br />

Carolyn Ferrick<br />

Postgraduate Program in<br />

Orthodontics, <strong>Tufts</strong> <strong>University</strong><br />

<strong>School</strong> <strong>of</strong> dental Medicine<br />

Gregory Fredette<br />

Private Practice<br />

Jhon Giraldo<br />

Private Practice<br />

Nicholas Gordon<br />

Master’s <strong>of</strong> Public Health Program,<br />

<strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong> dental<br />

Medicine<br />

Jeffrey Greenberg<br />

Private Practice, Boston<br />

Marion Hernon<br />

GPR, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Ernest Holden<br />

GPR, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Ly Hopkins<br />

Private Practice<br />

David Hornung<br />

Private Practice, wilmington<br />

Yong Hur<br />

Faculty, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Sheina Jean-Marie<br />

GPR, Berkshire Medical Center<br />

Stephanie Kang<br />

Private Practice<br />

Roy Kim<br />

Private Practice<br />

Danielle Leonardi<br />

Private Practice<br />

Albert Lewicki II<br />

Private Practice, Hyannis<br />

Kirsten Lui<br />

Private Practice, Medford


Treasa Ma<strong>the</strong>w<br />

Private Practice<br />

Alana McCarthy<br />

Private Practice<br />

Brian McPartland<br />

aeGd, lu<strong>the</strong>ran Medical Center<br />

Mary Jane Mello<br />

Private Practice, westport<br />

Christopher Moriarty<br />

Private Practice<br />

Paulina Muller<br />

Public Health Clinic, national Health<br />

Services Corps<br />

Roopa Nama<br />

aeGd, lu<strong>the</strong>ran Medical Center<br />

Esin Narli-Trangaris<br />

Private Practice, Saugus<br />

Vi Ngo<br />

Private Practice<br />

Le Nguyen<br />

Private Practice<br />

Ann Nicholas<br />

Private Practice<br />

Emily Pakula<br />

Private Practice, Boston<br />

Elizabeth Ashley Paré<br />

Private Practice<br />

Jill Park<br />

Private Practice<br />

Arlene Pimentel<br />

Private Practice, Milford<br />

Jonila Pishtari<br />

Private Practice<br />

Lauren Price<br />

Private Practice<br />

Jessica Pushee<br />

Community Health Clinic<br />

Hana Sadi<br />

Faculty, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Muhanad Salem<br />

Private Practice<br />

Devina Shah<br />

Postgraduate Program in Pediatric<br />

dentistry, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Marina Stakes<br />

Postgraduate Program in Pediatric<br />

dentistry, <strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

dental Medicine<br />

Marko Stevanovic<br />

Private Practice<br />

Krista Stolch<br />

Private Practice<br />

Maureen Timmeny<br />

Postgraduate Program in<br />

Orthodontics, <strong>Tufts</strong> <strong>University</strong><br />

<strong>School</strong> <strong>of</strong> dental Medicine<br />

Phu Tran<br />

aeGd, lu<strong>the</strong>ran Medical Center<br />

Thien Tran<br />

Private Practice<br />

Scott Yunes<br />

Private Practice, north easton<br />

MICHIGAN<br />

Shubhpreet Dhillon<br />

Private Practice<br />

Hawazin Khedher<br />

Private Practice<br />

Allyson Mulder<br />

Private Practice<br />

Nikki Shakourian<br />

Postgraduate Program in<br />

Orthodontics, <strong>University</strong> <strong>of</strong><br />

detroit-Mercy<br />

NEW HAMPSHIRE<br />

Victor Stetsyuk<br />

Private Practice<br />

NEW JERSEY<br />

Ryan Forney<br />

Postgraduate Internship in Oral and<br />

Maxill<strong>of</strong>acial Surgery, <strong>University</strong><br />

<strong>of</strong> Medicine and dentistry <strong>of</strong> new<br />

Jersey<br />

James Park<br />

GPR, <strong>University</strong> <strong>of</strong> Medicine and<br />

dentistry <strong>of</strong> new Jersey<br />

Steven Slomovitz<br />

Private Practice, ewing<br />

NEW YORK<br />

Sonia Arevalo<br />

GPR, Bronx lebanon Hospital<br />

Akiva Bersson<br />

Postgraduate Program in Pediatric<br />

dentistry, Jacobi Medical Center<br />

Nirmol Chandhoke<br />

GPR, Jamaica Hospital<br />

Grace Cholakian<br />

GPR, St. Charles Hospital, Port<br />

Jefferson<br />

Vanessa Coupet<br />

GPR, Bronx lebanon Hospital<br />

Lindsay DeNonno<br />

GPR, long Island College Hospital<br />

Daniel Goldweit<br />

aeGd, Columbia <strong>University</strong><br />

Namrata Gupte Hardy<br />

Postgraduate Program in Pediatric<br />

dentistry, Brookdale <strong>University</strong><br />

Hospital<br />

Omar Hassani<br />

GPR, lincoln Medical Center<br />

Lily Hu<br />

dental anes<strong>the</strong>siology Residency<br />

Program, Stony Brook Medical<br />

Center<br />

Shin Huh<br />

GPR, Cornell-new York Presbyterian<br />

Hospital<br />

Nikhat Khan<br />

aeGd, Columbia <strong>University</strong><br />

Allison Kumata<br />

GPR, Coler-Goldwater Specialty<br />

Hospital<br />

David Lazzara<br />

Postgraduate Program in<br />

Orthodontics, State <strong>University</strong> <strong>of</strong><br />

new York at Buffalo<br />

Mitchell Loo<br />

Internship in Oral and Maxill<strong>of</strong>acial<br />

Surgery, Harlem Hospital<br />

Kimberly Newton<br />

GPR, Bronx lebanon Hospital<br />

Amy Nguyen<br />

GPR, State <strong>University</strong> <strong>of</strong> new York<br />

Upstate Medical Center<br />

Jin Sub Oh<br />

Postgraduate Program in<br />

Prosthodontics, Columbia <strong>University</strong><br />

Megha Patel<br />

GPR, lu<strong>the</strong>ran Medical Center<br />

Mauro Perdomo Jr.<br />

GPR, kings County Hospital Center<br />

Ramya Bhat Rao<br />

Postgraduate Residency in Pediatric<br />

dentistry, Montefiore Medical<br />

Center<br />

Kirk Round<br />

Postgraduate Residency in<br />

Orthodontics, <strong>University</strong> <strong>of</strong><br />

Rochester<br />

Raquel Rozdolski<br />

GPR, Mount Sinai Medical Center<br />

Sagar Shah<br />

GPR, lu<strong>the</strong>ran Medical Center<br />

Nicole Skalina<br />

GPR, Mount Sinai Medical Center<br />

Marlayna Sosna<br />

GPR, long Island College Hospital<br />

Eileen Xie<br />

GPR, Brookdale <strong>University</strong> Hospital<br />

NORTH CAROLINA<br />

Jonathan Czerepak<br />

U.S. army, Postgraduate Program<br />

in Oral and Maxill<strong>of</strong>acial Surgery,<br />

womach army Medical Center, Fort<br />

Bragg<br />

Inga Keithly<br />

U.S. navy, Camp lejeune<br />

Colin Pedersen<br />

aeGd, <strong>University</strong> <strong>of</strong> north Carolina,<br />

Chapel Hill<br />

OHIO<br />

Christopher Ban<br />

Postgraduate Program in Oral and<br />

Maxill<strong>of</strong>acial Surgery, <strong>University</strong> <strong>of</strong><br />

Cincinnati<br />

Sushen Sharma<br />

Private Practice<br />

Baljinder Singh<br />

Private Practice<br />

OREGON<br />

Patra Alatsis<br />

Postgraduate Program in<br />

Orthodontics, Oregon Health and<br />

Science <strong>University</strong><br />

William Moore<br />

Postgraduate Program in Pediatric<br />

dentistry, Oregon Health and<br />

Science <strong>University</strong><br />

PENNSYLVANIA<br />

Eva Chen<br />

Private Practice<br />

Bryan Foley<br />

Combined Postgraduate Program<br />

in Orthodontics and Master <strong>of</strong><br />

Science, Temple <strong>University</strong><br />

Jesse Snow<br />

Postgraduate Program in Oral and<br />

Maxill<strong>of</strong>acial Surgery, Thomas<br />

Jefferson <strong>University</strong> Hospital<br />

Lee Wasserman<br />

GPR, albert einstein Medical Center<br />

RHODE ISLAND<br />

Anna Abrahamian<br />

GPR, Rhode Island Hospital<br />

Derek Nobrega<br />

Postgraduate Residency in Pediatric<br />

dentistry, St. Joseph’s Hospital<br />

SOUTH CAROLINA<br />

John Plumley<br />

U.S. navy, Parris Island Marine<br />

Base<br />

TEXAS<br />

Ryan Anderson<br />

Private Practice, dallas<br />

Michael Castle<br />

Private Practice, dallas<br />

Julie Covino<br />

Private Practice, dallas<br />

Patrick Lam<br />

Private Practice<br />

Martin Nunes<br />

Private Practice<br />

VERMONT<br />

Mary Kathryn DeLoach<br />

GPR, Fletcher allen Medical Center<br />

John Munsey<br />

GPR, <strong>University</strong> <strong>of</strong> vermont<br />

VIRGINIA<br />

Michael Batcheller<br />

GPR, U.S. navy, Portsmouth<br />

Alyse Dason<br />

aeGd, U.S. navy, naval Station<br />

norfolk<br />

Tyler Fleming<br />

aeGd, U.S. navy, naval Station<br />

norfolk<br />

William Trahan<br />

Combined Postgraduate Residency<br />

in Periodontology and Master <strong>of</strong><br />

Science, virginia Commonwealth<br />

<strong>University</strong><br />

WASHINGTON<br />

Ca<strong>the</strong>rine Dahl<br />

aeGd, U.S. army, Fort lewis<br />

Ka<strong>the</strong>rine Dubois<br />

GPR, <strong>University</strong> <strong>of</strong> washington<br />

Lindsey Lambalot<br />

GPR, va Puget Sound<br />

Health Care System<br />

Urvi Ruparelia<br />

GPR, <strong>University</strong> <strong>of</strong> washington<br />

fall 2012 tufts dental medicine 41


advancement<br />

42 tufts dental medicine fall 2012<br />

giving. growth. gratitude.<br />

Head <strong>of</strong> <strong>the</strong> Class<br />

Ca<strong>the</strong>rine Dahl, D12, was <strong>the</strong> inspiration behind record participation in giving<br />

Any tufts dental alum will tell you that navigating four<br />

years <strong>of</strong> rigorous classes and clinical work is a challenge under<br />

<strong>the</strong> best <strong>of</strong> circumstances. To graduate at <strong>the</strong> top <strong>of</strong> <strong>the</strong> class<br />

while battling cancer, “that takes enormous spirit,” says Inga<br />

Keithly, president <strong>of</strong> <strong>the</strong> 2012 class. “And Ca<strong>the</strong>rine did it.”<br />

Ca<strong>the</strong>rine Dahl, D12, did indeed inspire her entire class. In turn, 175 <strong>of</strong><br />

<strong>the</strong>m—more than 99 percent—contributed to a record-breaking class gift<br />

before <strong>the</strong>y graduated in May.<br />

Keithly says she felt a kinship with Dahl from <strong>the</strong> first day <strong>of</strong> dental school.<br />

The majority <strong>of</strong> first-year students are in <strong>the</strong>ir mid-20s. Keithly was 34, and<br />

Dahl, a dental hygienist from a farm in Oregon, was 43. Both felt <strong>the</strong> age gap<br />

and bonded over <strong>the</strong> shared adventure <strong>of</strong> pursuing a new career.<br />

Ca<strong>the</strong>rine Dahl received a standing<br />

ovation during commencement<br />

ceremonies in May.<br />

“I remember distinctly coming down<br />

<strong>the</strong> steps after a tour, and Ca<strong>the</strong>rine tapped<br />

me on <strong>the</strong> shoulder and said, ‘Hey, are you<br />

in <strong>the</strong> dental class, too?’ I said, ‘I am,’ and<br />

she said, ‘I’m so relieved!’ ” They spent <strong>the</strong><br />

rest <strong>of</strong> orientation learning each o<strong>the</strong>r’s<br />

stories. “We were both very nontraditional<br />

students,” Keithly notes.<br />

Before coming to <strong>Tufts</strong>, Keithly taught<br />

surfing in Hawaii and skiing in Aspen;<br />

she started a Ph.D. program in education.<br />

She earned her dental degree with <strong>the</strong><br />

help <strong>of</strong> <strong>the</strong> military’s Health Pr<strong>of</strong>essions<br />

Scholarship Program (HPSP) and is now<br />

stationed at Camp Lejeune in North<br />

Carolina. Dahl also financed her education<br />

through <strong>the</strong> HPSP and is an Army<br />

dentist at Fort Lewis in Washington State.<br />

The mo<strong>the</strong>r <strong>of</strong> two, Dahl became a grandmo<strong>the</strong>r<br />

last year.<br />

Her maternal instinct and her “natural,<br />

nice and honest” way with people extended<br />

to <strong>the</strong> D12 class, says Keithly. “She was like<br />

a mo<strong>the</strong>r hen.”<br />

Dahl <strong>of</strong>ten took students under her<br />

wing—and before long, <strong>the</strong> nurturing<br />

swung both ways. “I remember we were<br />

walking in for our third or fourth exam for<br />

gross anatomy,” says Keithly, “and <strong>the</strong>re’s<br />

this moment when you’re in <strong>the</strong> locker<br />

room, putting on your scrubs and looking<br />

at your notes. You know you’re going to be<br />

faced with 26 dead bodies. And I look over,<br />

and <strong>the</strong>re is Anna, holding Ca<strong>the</strong>rine in her<br />

arms, and <strong>the</strong>y’re both bawling.”<br />

Dahl had just shared <strong>the</strong> news with<br />

Anna Abrahamian, D12, that she had been<br />

diagnosed with stage-three breast cancer.<br />

Dahl would spend <strong>the</strong> next three and half<br />

years in and out <strong>of</strong> clinics and hospitals, as<br />

a patient and a dental student. Every setback<br />

and every win—such as <strong>the</strong> day her<br />

chest port was removed—propelled her<br />

classmates forward.<br />

Dahl’s presence among <strong>the</strong>m was a


constant reminder that a canceled clinic<br />

appointment or a denture that needed<br />

resetting yet again wasn’t so bad. “I’d think<br />

to myself, ‘Who cares?’ ” says Keithly. “I’m<br />

healthy. I’m going to be a dentist when I<br />

graduate. How lucky am I?”<br />

Keithly gets emotional as she describes<br />

her friend’s inner strength. Dahl wasn’t<br />

able to come to class while undergoing chemo<strong>the</strong>rapy<br />

treatment, so she studied during<br />

her chemo appointments, biochemistry<br />

books on her lap—and scored higher<br />

than her peers on exams. “I sat through<br />

every class, took all <strong>the</strong> notes, and she<br />

scored higher,” Keithly laughs. “She’s awesome.<br />

She’s a brave individual, and she’s an<br />

achiever, and <strong>the</strong>re isn’t a reason why we<br />

wouldn’t all want to ga<strong>the</strong>r behind her.”<br />

A HigH BAr<br />

The last dental school class to break <strong>the</strong><br />

participation rate for <strong>the</strong>ir gift graduated<br />

in 2010; 96 percent contributed. When<br />

Keithly and Jhon Giraldo, DI12, president<br />

<strong>of</strong> <strong>the</strong> international student class,<br />

Living <strong>the</strong> dream<br />

The first woman to co-chair <strong>the</strong> <strong>Dental</strong> M Club, Mary Jane<br />

Hanlon, D97, always knew she wanted to be a dentist. When<br />

she was 14, she started working parttime at a dentist’s<br />

<strong>of</strong>fice and continued to do so throughout high<br />

school. “I was hooked,” she says.<br />

photos: kelvin ma<br />

“Senior year I went to my guidance coun-<br />

selor to see about college options. He asked<br />

me, ‘Don’t you think you should become a<br />

dental hygienist?’ ” It was 1970, a time when<br />

women weren’t <strong>of</strong>ten steered toward careers<br />

as doctors or dentists.<br />

But Hanlon was determined, even though<br />

her path to dental school was a circuitous<br />

one. She did indeed become a dental hygien-<br />

ist. She married and started a family.<br />

And <strong>the</strong>n, on <strong>the</strong> day that her daughter, Courtney, started<br />

met to talk about <strong>the</strong>ir class gift, <strong>the</strong> goal<br />

was clear: Go for <strong>the</strong> gold—100 percent<br />

participation.<br />

The cause was also a no-brainer. “We<br />

had someone in our class who just stood<br />

out <strong>the</strong> very day we started,” says Keithly.<br />

“To know and work with somebody who<br />

was putting it all on <strong>the</strong> line, saying ‘I want<br />

to achieve something remarkable’—and<br />

<strong>the</strong>n has this large medical setback and still<br />

rocks it—it wasn’t too difficult to get <strong>the</strong><br />

class behind her.”<br />

When Dahl received <strong>the</strong> Dean Lonnie<br />

H. Norris, DG80, and Dr. Donna M.<br />

Norris Senior Endowed Prize Fund for<br />

Achievement, Pr<strong>of</strong>essionalism and Strength<br />

<strong>of</strong> Character at <strong>the</strong> Senior Awards Dinner<br />

in May, she immediately donated <strong>the</strong> prize<br />

funds back to <strong>the</strong> school, to <strong>the</strong> <strong>Dental</strong><br />

Outreach to Survivors program, which<br />

treats victims <strong>of</strong> domestic abuse for free.<br />

“Ca<strong>the</strong>rine’s a phenomenal person,”<br />

says Keithly. “Even though I know that she<br />

is too humble to ever do this, I really hope<br />

at <strong>the</strong> end <strong>of</strong> every day that she can say to<br />

Mary Jane Hanlon<br />

kindergarten, Hanlon stepped through <strong>the</strong> doors <strong>of</strong> <strong>Tufts</strong><br />

<strong>University</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine for her first class.<br />

It wasn’t easy—balancing <strong>the</strong> roles <strong>of</strong> mo<strong>the</strong>r, wife and<br />

student—but she made it work. And best<br />

<strong>of</strong> all, she says, was <strong>the</strong> example she set for<br />

her daughter. “I never had to tell Courtney<br />

to study because she saw me doing it while<br />

she grew up. She even helped me study for<br />

my M.B.A. while she was in college.”<br />

Now Hanlon is ready to rally her fellow<br />

alumni to <strong>the</strong> cause <strong>of</strong> <strong>the</strong> dental school that<br />

helped her achieve a lifelong dream. “<strong>Tufts</strong><br />

has given me more than anything I’ve ever<br />

expected,” she says. “Like so many <strong>of</strong> my<br />

fellow graduates, I feel very fortunate to have finally made it,<br />

and to have a career I love every day.”<br />

herself, ‘I am so proud <strong>of</strong> <strong>the</strong> example I set<br />

for o<strong>the</strong>r people.’ ”<br />

Dahl says she cannot express how important<br />

her classmates were during her treatment<br />

and recovery. “I am so proud to be a<br />

member <strong>of</strong> <strong>the</strong> <strong>Tufts</strong> <strong>Dental</strong> Class <strong>of</strong> 2012.<br />

When <strong>the</strong>y found out about my diagnosis,<br />

<strong>the</strong>y organized a fund-raiser to help pay<br />

medical and house-cleaning bills, and took<br />

turns cooking and delivering meals to my<br />

home. I just couldn’t let <strong>the</strong>m down after<br />

everything <strong>the</strong>y were doing for me.”<br />

Her classmates have made sure that her<br />

imprint on <strong>the</strong> school will be an indelible<br />

one. Fifty-five percent <strong>of</strong> <strong>the</strong>m donated<br />

to <strong>the</strong> class gift at <strong>the</strong> Dean’s Inner Circle<br />

level, which will create a scholarship in<br />

Dahl’s honor for ano<strong>the</strong>r nontraditional<br />

student who has faced adversity.<br />

And while <strong>the</strong> class fell a bit short <strong>of</strong> <strong>the</strong><br />

100 percent participation rate, “99 percent<br />

was perfect,” says Keithly. “If you look at it<br />

from a different standpoint, it sets <strong>the</strong> bar<br />

for <strong>the</strong> next class. Go ahead, it says, get a<br />

hundred percent.”<br />

fall 2012 tufts dental medicine 43


advancement<br />

From left, Mark Weinberg, D87, DG89,<br />

Karen Weinberg and Dean Huw Thomas.<br />

A ToAsT To TufTs<br />

emcee paul desjardins, d75a, <strong>of</strong>fered <strong>the</strong> toast:<br />

“welcome back.” punctuating <strong>the</strong> chorus <strong>of</strong> “hear,<br />

hear!” was <strong>the</strong> sound <strong>of</strong> 350 glasses clinking toge<strong>the</strong>r.<br />

It was a fitting end to <strong>the</strong> toast to tufts reception,<br />

which opened <strong>the</strong> tufts dental school reunion weekend<br />

on May 4. Both tufts president anthony p. Monaco and<br />

dental school dean huw F. thomas reflected on having<br />

completed <strong>the</strong> first year in <strong>the</strong>ir respective positions,<br />

and each expressed <strong>the</strong>ir gratitude for <strong>the</strong> warm<br />

welcome from <strong>the</strong> tufts community. Inga Keithly,<br />

president <strong>of</strong> <strong>the</strong> class <strong>of</strong> 2012, toasted <strong>the</strong> more than<br />

99 percent <strong>of</strong> her classmates who made gifts to <strong>the</strong><br />

school—a record-breaking number—as 55 joined <strong>the</strong><br />

dean’s Inner Circle with donations <strong>of</strong> $25 or more.<br />

she also took a moment to honor Ca<strong>the</strong>rine dahl, d12,<br />

a good friend who battled breast cancer and still<br />

graduated at <strong>the</strong> top <strong>of</strong> her class (see story, page 42).<br />

44 tufts dental medicine fall 2012<br />

D12 classmates,<br />

from left, Amy<br />

Nguyen, Kimberly<br />

Newton, Noelle<br />

Neill, Urvi Ruparelia<br />

and Carolyn Ferrick.<br />

Above, Dean Thomas with D77 classmates Marie Holliday<br />

and Sterling Beasley. Left, back row, from left: Tom Varden,<br />

D92; Walter Kostrzewski, D92; Ruby Ghaffari, D92; and Reza<br />

Ghaffari; front row, from left: Tim McAlindon; Sandra Cove,<br />

D92; Debbie Dobbs, D92, DG94; and Kristen Kostrzewski.<br />

Above, from left, Nikki<br />

Shakourian, D12; Diba<br />

Dastjerdi, DI07, A13P; and<br />

Hamid Golkari, A13P. At right,<br />

<strong>Tufts</strong> <strong>University</strong> President<br />

Anthony P. Monaco with<br />

Violeta Arboleda, DG51.<br />

photos: Mat<strong>the</strong>w B. Modoono


<strong>the</strong> wider world <strong>of</strong> tufts<br />

<strong>Tufts</strong>: The Next 10 Years<br />

President Monaco launches strategic planning initiative by Taylor McNeil<br />

ufts has launched a strategic<br />

planning initiative that will<br />

identify priorities and create a<br />

road map for where <strong>the</strong> university<br />

aspires to be in 10 years.<br />

“This is an opportunity for us, as a community,<br />

to envision a trajectory for <strong>Tufts</strong>—<br />

where it needs to be, and should be, in a<br />

decade’s time,” said President Anthony P.<br />

Monaco, who has asked Provost David R.<br />

Harris to lead <strong>the</strong> initiative.<br />

“The process <strong>of</strong> creating a strategic plan<br />

allows you to learn more about yourself<br />

as an institution,” said Monaco. “We will<br />

engage with <strong>the</strong> community—faculty, students,<br />

staff, alumni, trustees, advisors and<br />

friends—to come up with a direction we<br />

believe is important and meaningful for<br />

<strong>Tufts</strong>. More broadly, strategic planning is<br />

an opportunity for us to think about <strong>Tufts</strong>’<br />

mission, its role in <strong>the</strong> world and our values<br />

and priorities.”<br />

Monaco and Harris sat down with <strong>Tufts</strong><br />

<strong>Dental</strong> Medicine to talk about <strong>the</strong> role <strong>of</strong><br />

strategic planning in advancing <strong>Tufts</strong>.<br />

What is <strong>the</strong> purpose <strong>of</strong> strategic planning?<br />

Provost Harris: This process will explore<br />

what <strong>the</strong> <strong>Tufts</strong> community sees as our core<br />

opportunities, our core challenges and <strong>the</strong><br />

barriers to our success. A strategic plan<br />

will enable us to make decisions that are<br />

aligned with shared goals instead <strong>of</strong> what<br />

any one <strong>of</strong> us might think is an appropriate<br />

direction for <strong>Tufts</strong>.<br />

President Monaco: If <strong>the</strong> planning process<br />

indicates that it’s important for <strong>Tufts</strong> to<br />

increase its impact on society, for example,<br />

<strong>the</strong>n it will be up to <strong>the</strong> leadership and faculty<br />

at each <strong>of</strong> our schools to consider how<br />

<strong>the</strong>y can contribute to that objective.<br />

Why is it important to do this now?<br />

Harris: We have a relatively new administration,<br />

and it is important for <strong>the</strong> president<br />

and me to hear from <strong>the</strong> community<br />

about <strong>the</strong> opportunities and challenges<br />

that face us and for <strong>the</strong> community to hear<br />

photo: alonso niChols<br />

from us about how we will syn<strong>the</strong>size <strong>the</strong>ir<br />

input and develop aspirational goals for<br />

<strong>Tufts</strong> <strong>University</strong>.<br />

Why have you named <strong>the</strong> initiative<br />

“<strong>Tufts</strong>: The Next 10 Years”?<br />

Harris: It reflects <strong>the</strong> idea that we are always<br />

looking 10 years out, and regularly asking<br />

whe<strong>the</strong>r we are on <strong>the</strong> path to achieving<br />

our goals. Strategic planning is not something<br />

we do once and <strong>the</strong>n move on. This<br />

will be an ongoing activity.<br />

What o<strong>the</strong>r areas will <strong>the</strong><br />

strategic plan address?<br />

Monaco: Many strategic<br />

plans focus on core values,<br />

and so will ours. The<br />

plan will contain sections<br />

on teaching and learning,<br />

research and scholarship<br />

and <strong>Tufts</strong>’ impact on society.<br />

We will look at our<br />

civic engagement mission<br />

and our role in economic<br />

development through applications<br />

<strong>of</strong> our research.<br />

Then <strong>the</strong>re are what I call<br />

challenging areas for <strong>the</strong> future, things<br />

like online learning, entrepreneurship and<br />

innovation, interdisciplinary and o<strong>the</strong>r<br />

modes <strong>of</strong> research and <strong>the</strong> student experience.<br />

We need to think about <strong>the</strong> direction<br />

we are going to take as an institution to<br />

make us stronger in <strong>the</strong>se areas.<br />

How was <strong>the</strong> groundwork laid for this?<br />

Monaco: During my first year, I spent a<br />

lot <strong>of</strong> time listening and meeting faculty,<br />

alumni, students and staff to understand<br />

<strong>the</strong>ir perspectives on <strong>Tufts</strong>. Out <strong>of</strong> that<br />

came issues I thought were essential to<br />

laying <strong>the</strong> groundwork. One was diversity—recruiting<br />

and retaining students,<br />

faculty and staff <strong>of</strong> diverse backgrounds<br />

and creating an environment <strong>of</strong> inclusion.<br />

Ano<strong>the</strong>r was being good stewards <strong>of</strong> <strong>the</strong><br />

environment. And finally was thinking<br />

university news<br />

how <strong>Tufts</strong> can have a larger impact in <strong>the</strong><br />

world, in particular how collaborative research,<br />

teaching and learning across all<br />

our schools can help solve some <strong>of</strong> society’s<br />

greatest challenges.<br />

How long will this take?<br />

Harris: On <strong>the</strong> one hand, we want <strong>the</strong> plan<br />

done as quickly as possible, because <strong>the</strong> absence<br />

<strong>of</strong> a plan means that we are making<br />

decisions without <strong>the</strong> benefit <strong>of</strong> a shared<br />

<strong>Tufts</strong> President<br />

Anthony Monaco and<br />

Provost David Harris<br />

vision. On <strong>the</strong> o<strong>the</strong>r hand, we want to proceed<br />

slowly enough so that everyone has an<br />

opportunity to be heard. That said, we’re<br />

aiming to complete <strong>the</strong> plan by <strong>the</strong> fall <strong>of</strong><br />

2013. But this is a living document. Once a<br />

year we will revisit <strong>the</strong> plan, systematically<br />

asking what is working, what isn’t, what<br />

new challenges have arisen and how we can<br />

more effectively pursue our goals.<br />

How can <strong>the</strong> <strong>Tufts</strong> community get involved<br />

and stay informed?<br />

Monaco: Once <strong>the</strong> plan gets to a certain<br />

draft level, we will put it online so everyone<br />

can tell us what <strong>the</strong>y think. We will also be<br />

engaging with our trustees and alumni and<br />

listening to <strong>the</strong>ir perspectives. We want everyone<br />

to have <strong>the</strong>ir say.<br />

Learn more at strategicplan.tufts.edu.<br />

fall 2012 tufts dental medicine 45


alumni news<br />

The Perks <strong>of</strong><br />

Me MeMbershi MbershiP<br />

It is time to renew your mem-<br />

bership in <strong>the</strong> <strong>Tufts</strong> <strong>University</strong><br />

<strong>Dental</strong> Alumni Association.<br />

With so many organizations<br />

seeking your membership,<br />

why should you join this one?<br />

This is your organization,<br />

and it represents your school.<br />

We speak with pride when we<br />

say we are graduates <strong>of</strong> <strong>Tufts</strong><br />

<strong>University</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong><br />

Medicine. We are proud <strong>of</strong> its<br />

reputation as a world leader<br />

in research, education and<br />

patient care. A <strong>Tufts</strong> diploma<br />

is a mark <strong>of</strong> excellence.<br />

staying connected<br />

A strategy for <strong>the</strong> future<br />

j<br />

i am honored to be writing you as president <strong>of</strong><br />

<strong>the</strong> <strong>Tufts</strong> <strong>University</strong> <strong>Dental</strong> Alumni Association<br />

(TUDAA). I would like to thank Peter Delli Colli<br />

for his hard work as our former president and his 10<br />

years <strong>of</strong> dedicated service as a member <strong>of</strong> <strong>the</strong> TUDAA<br />

Executive Board. I would also like to thank Susan<br />

Ahearn, associate director <strong>of</strong> alumni relations, and<br />

her dedicated staff who make programming possible.<br />

Under <strong>the</strong> direction <strong>of</strong> Dean Huw Thomas,<br />

<strong>Tufts</strong> <strong>Dental</strong> <strong>School</strong> will continue its leadership<br />

role in clinical training, research and promoting scholarship. The executive<br />

board believes it is important that we support <strong>the</strong> goals <strong>of</strong> <strong>the</strong> school and is<br />

developing a long-term strategic plan to do so.<br />

First, we will look to expand continuing education during <strong>the</strong> annual reunion<br />

weekend. In <strong>the</strong> future, we hope to sponsor a symposium-style program, where a<br />

variety <strong>of</strong> topics would be covered, and registration would be open to all alumni.<br />

Second, we plan to expand our annual alumni-student networking event,<br />

which enables current dental students to meet with alumni. Moving forward,<br />

<strong>the</strong> program will include sessions on topics <strong>of</strong> importance to first- and secondyear<br />

students.<br />

46 tufts dental medicine fall 2012<br />

j<br />

Did You Know?<br />

Dues support <strong>the</strong> <strong>Tufts</strong> <strong>Dental</strong> Alumni Association,<br />

which has raised more than $325,000 for student loan funds. Dues<br />

subsidize Homecoming & Reunion Weekend. Dues help<br />

produce <strong>the</strong> award-winning <strong>Tufts</strong> <strong>Dental</strong> Medicine magazine. Dues<br />

sponsor <strong>the</strong> Student/Alumni Networking Event every<br />

March, as well as o<strong>the</strong>r student/alumni programming. Dues support<br />

regional receptions and activities in New York, Boston, California and<br />

Florida. Dues payers receive a $75 credit toward a <strong>Tufts</strong><br />

j<br />

Continuing Education course.<br />

An Annual nual Du Dues es for July 1, 2012, through<br />

June 30, 2013, are $125.<br />

j<br />

To pAy onlIne: http://dental.tufts.edu/dues.<br />

or, pleASe SenD checkS pAyAble To: j<br />

<strong>Tufts</strong> <strong>University</strong> <strong>Dental</strong> Alumni Association, to:<br />

<strong>Tufts</strong> <strong>Dental</strong> Alumni Relations j<br />

j<br />

136 Harrison Avenue<br />

Boston, MA 02111<br />

Last, dental education requires a large<br />

investment <strong>of</strong> capital. We are working to<br />

enhance student financial support through<br />

scholarships and student loans.<br />

It has been a great experience getting to<br />

meet so many <strong>of</strong> you. Our budget is fully<br />

supported by your dues, so I encourage every<br />

alum to take an active role by becoming a<br />

registered, dues-paying member. We will<br />

continue to pursue excellence alongside this<br />

great institution.<br />

john j. millette, d91, a15p<br />

president, tufts university<br />

dental alumni association<br />

jmilldmd@gmail.com<br />

j<br />

pHoTo: kelvin MA


calendar<br />

agrarian landscaPe. A panel <strong>of</strong> <strong>the</strong> oil painting Farm and Field Triptych (24 x 72 inches), by <strong>the</strong><br />

Vermont artist craig Mooney, is one <strong>of</strong> a number <strong>of</strong> artworks installed in <strong>the</strong> five-story expansion <strong>of</strong><br />

<strong>the</strong> dental school. This piece hangs in <strong>the</strong> <strong>of</strong>fice <strong>of</strong> <strong>the</strong> executive associate dean on <strong>the</strong> 15th floor.<br />

noVeMber 27<br />

Alumni Reception in<br />

conjunction with <strong>the</strong><br />

greater new york<br />

<strong>Dental</strong> Meeting<br />

Marriott Marquis<br />

Times Square<br />

New York City<br />

7:15 p.m. cocktails;<br />

8 p.m. dinner<br />

FebrUAry 1, 2013<br />

Alumni reception in<br />

conjunction with yankee<br />

<strong>Dental</strong> Congress<br />

Westin Waterfront<br />

Boston, Massachusetts<br />

Senior reception,<br />

3:30-5:30 p.m.<br />

Alumni receptions,<br />

6-7:30 p.m.<br />

MAy 3–5, 2013<br />

<strong>Dental</strong> Homecoming and<br />

Reunion Weekend<br />

<strong>Tufts</strong> <strong>University</strong> <strong>School</strong><br />

<strong>of</strong> <strong>Dental</strong> Medicine and<br />

Langham Hotel<br />

Boston, Massachusetts<br />

MAy 3–7, 2013<br />

Alumni reception in<br />

conjunction with <strong>the</strong> annual<br />

session <strong>of</strong> <strong>the</strong> American<br />

Association <strong>of</strong> orthodontists<br />

Philadelphia, Pennsylvania<br />

MAy 19, 2013<br />

<strong>Tufts</strong> <strong>University</strong>’s 157th<br />

Commencement<br />

Academic Quad<br />

Medford/Somerville campus<br />

9 a.m.<br />

pHoTo: CRAig Mooney pAinTing CURATeD By JUles plACe gAlleRy, BosTon, MA<br />

MAy 23–26, 2013<br />

Alumni reception in<br />

conjunction with <strong>the</strong><br />

66th annual session <strong>of</strong><br />

<strong>the</strong> American Academy <strong>of</strong><br />

pediatric Dentistry<br />

Orlando, Florida<br />

For <strong>the</strong> most current information,<br />

contact <strong>the</strong> <strong>of</strong>fice <strong>of</strong><br />

<strong>Dental</strong> Alumni relations at<br />

617.636.6773; email dentalalumni@tufts.edu<br />

or visit<br />

go.tufts.edu/dentalalums.<br />

Alumni<br />

Toge<strong>the</strong>r, we begin...<br />

During a time <strong>of</strong> transition<br />

and expanding horizons for<br />

<strong>the</strong> university, <strong>Tufts</strong> Alumni is<br />

pleased to invite you to meet<br />

with <strong>Tufts</strong> President Anthony P.<br />

Monaco to hear about his plan<br />

for developing a road map for<br />

where <strong>Tufts</strong> aspires to be in <strong>the</strong><br />

next 10 years.<br />

During <strong>the</strong> first year <strong>of</strong> his<br />

tenure, <strong>Tufts</strong> Alumni hosted<br />

15 receptions to introduce <strong>the</strong><br />

university’s 13th president to<br />

alumni and friends around<br />

<strong>the</strong> world. This year, President<br />

Monaco will be visiting a number<br />

<strong>of</strong> European cities as well as<br />

cities in Arizona, Colorado,<br />

Connecticut, Maine, New Jersey,<br />

Pennsylvania and Rhode Island.<br />

All members <strong>of</strong> <strong>the</strong> <strong>Tufts</strong><br />

community are invited to attend<br />

any <strong>of</strong> <strong>the</strong>se special events to<br />

meet President Monaco and hear<br />

his thoughts on <strong>Tufts</strong> today and<br />

his vision for <strong>the</strong> future.<br />

As <strong>the</strong> president’s itinerary<br />

is developed, you can find<br />

event dates and locations at<br />

tuftsalumni.org/president.<br />

fall 2012 tufts dental medicine 47


alumni news<br />

swing time<br />

2012 Wide Open raises $28,000<br />

for Student Loan Fund<br />

more than 130 alumni and friends <strong>of</strong> <strong>the</strong> school <strong>of</strong><br />

<strong>Dental</strong> Medicine ga<strong>the</strong>red at <strong>the</strong> Wellesley Country Club<br />

on September 24 to participate in <strong>the</strong> 30th annual Wide<br />

Open Golf and Tennis Tournament. The annual tourney,<br />

which is supported by dental alumni and corporate sponsors,<br />

raised $28,211 for <strong>the</strong> Student Loan Fund, bringing<br />

<strong>the</strong> 30-year cumulative total to $348,360. The 2013 tournament<br />

will take place on September 23 at Wellesley Country<br />

Club. All are welcome.<br />

Daniella Phillis, D13,<br />

winner <strong>of</strong> <strong>the</strong> tennis<br />

round robin.<br />

48 tufts dental medicine fall 2012<br />

Above, Moonyoung Lee, A06, D09, DG12,<br />

and Benjamin Chan, D10, DG13, at <strong>the</strong><br />

post-tournament reception. Left, golfers take<br />

some practice shots at <strong>the</strong> driving range.<br />

Above, <strong>the</strong> Team Net<br />

Champions, with a score <strong>of</strong><br />

58, from left: Steve Tonelli,<br />

D80, A04P, A06P, A10P,<br />

D14P; Michael Gooding,<br />

D82; Robert Amato, D80,<br />

DG83 and Mark Mizner, D80.<br />

Left, with a score <strong>of</strong> 69,<br />

<strong>the</strong> Team Gross Champions,<br />

from left, Neil Oliveira,<br />

D03; Derek Wolkowicz,<br />

D97, DG00, cochair <strong>of</strong> <strong>the</strong><br />

tournament; Dave Askew<br />

and Rick DeRochea.<br />

PHOTOS: KELVIN MA (TOURNAMENT); MATTHEW MODOONO (RECEPTION)


tournament sponsors<br />

Gift Sponsor<br />

($6,000)<br />

EDic<br />

Awards Dinner Sponsors<br />

($6,000)<br />

henry schein <strong>Dental</strong><br />

3M<br />

Midmark<br />

solmetex<br />

Hole in One Sponsor<br />

Wagner Motors<br />

Reception Sponsor<br />

($4,000)<br />

Gentle <strong>Dental</strong><br />

associates<br />

Standard Golf Foursome<br />

($2,500)<br />

Designs for Vision inc.<br />

Rosen & associates llp<br />

<strong>Dental</strong> associates <strong>of</strong><br />

Walpole<br />

crown health care<br />

apparel<br />

3M Unitek<br />

Tee Hole Sponsors<br />

Gold Level ($650)<br />

invoclar Vivadent<br />

Keystone <strong>Dental</strong><br />

aspen <strong>Dental</strong><br />

Dickerman <strong>Dental</strong><br />

pros<strong>the</strong>tics<br />

Silver Level<br />

($475)<br />

Glidewell laboratories<br />

Barr & Barr inc.<br />

photo: alonso nichols<br />

Par Club<br />

($100 and/or prizes)<br />

William accomando, D67<br />

all-star charity<br />

Fundraising<br />

cherie Bishop, D94<br />

chaba Florists<br />

courtyard Marriott<br />

Blaise Eckert, D.D.s.<br />

Joanne Falzone, D80<br />

John Ficarelli, D73,<br />

D10p, DG12p<br />

Four seasons hotel<br />

l. Michael Gouveia, D78<br />

intercontinental hotel<br />

Boston<br />

J.p. licks<br />

langham hotel<br />

Michelle Bento lavall,<br />

D96, DG98<br />

peiman Mahdavi, D91,<br />

DG94<br />

shibly Malouf, DG64<br />

Massachusetts<br />

<strong>Dental</strong> society<br />

John Millette, D91, a15p<br />

charles Millstein, D62,<br />

a96p, a10p<br />

new England aquarium<br />

orinoco Restaurant<br />

pediatric <strong>Dental</strong><br />

associates <strong>of</strong><br />

Winchester<br />

Rock Bottom Restaurant<br />

strecker Eye center<br />

tufts <strong>Dental</strong> alumni<br />

association<br />

tufts <strong>Dental</strong> school,<br />

alumni Relations and<br />

Development<br />

tufts <strong>Dental</strong> school,<br />

Division <strong>of</strong> continuing<br />

Education<br />

tufts <strong>Dental</strong> school,<br />

<strong>of</strong>fice <strong>of</strong> <strong>the</strong> Dean<br />

tufts health sciences<br />

Bookstore<br />

peter Veale, D93<br />

Vineyard Vines<br />

Wellesley country club<br />

Westin hotel<br />

W hotel<br />

Derek Wolkowicz, D97,<br />

DG00<br />

new director<br />

Michelle Anderson<br />

The <strong>Tufts</strong> <strong>University</strong> <strong>Dental</strong> Alumni<br />

Association has elected Michelle<br />

Anderson, D07, DG09, as a new<br />

director on <strong>the</strong> Executive Board.<br />

A native <strong>of</strong> Toronto, Anderson<br />

received her undergraduate degrees<br />

from Kingsborough College and<br />

Brooklyn College, both <strong>of</strong> <strong>the</strong> City<br />

<strong>University</strong> <strong>of</strong> New York.<br />

A specialist in pediatric dentistry,<br />

Anderson has clinical interests that<br />

include oral health education, dental injury management, early child-<br />

hood caries, dentistry for medically compromised and special-needs<br />

children and hospital-based dentistry. She strives to establish a dental<br />

home for every child.<br />

Anderson serves on staff with hospital privileges at Mass General<br />

<strong>Dental</strong> Group-Danvers/North Shore Center for Outpatient Care. She also<br />

works part time as an associate for Eugene Mickey in Stoneham, Mass.<br />

She is a member <strong>of</strong> <strong>the</strong> American Academy <strong>of</strong> Pediatric Dentistry, <strong>the</strong><br />

American <strong>Dental</strong> Association and <strong>the</strong> Massachusetts <strong>Dental</strong> Society.<br />

register now!<br />

tufts <strong>Dental</strong><br />

Career Link<br />

• Search job openings and practices for sale or rent.<br />

(Searches can only be made by members <strong>of</strong> <strong>the</strong> <strong>Tufts</strong> <strong>Dental</strong> community.<br />

Postings are available to nonalumni and multiple members <strong>of</strong> an <strong>of</strong>fice.)<br />

• Use <strong>the</strong> Alumni Advisors Network, an opt-in directory<br />

that connects <strong>Tufts</strong> students and alumni for advising,<br />

networking, referrals or just keeping in touch.<br />

• Create or enhance résumés with templates<br />

from Resume Builder.<br />

dental.tufts.edu/careerlink<br />

fall 2012 tufts dental medicine 49


alumni news<br />

saluti dall’italia<br />

50 tufts dental medicine fall 2012<br />

out&about &<br />

The italian <strong>Tufts</strong> Alumni and <strong>the</strong> Boston <strong>University</strong> italian<br />

Association ga<strong>the</strong>red at <strong>the</strong> beautiful villa Tramonti in<br />

Monastier di Treviso in nor<strong>the</strong>rn italy in June.<br />

Front row, from left: Federica berlucchi; Ignazio berlucchi, DG98;<br />

luigi Gallo, DG94; roberto pellecchia, DG03; Fabio Mazzocco, DG07;<br />

Arturo Imbelloni; roberto rossi; Gianluca paniz, DG06; Ugo Macca;<br />

Sherry bloomfield capri; Diego capri; claire eusebio ori; Giacomo ori;<br />

Simone Deliperi, DG00; paolo brotto; Thomas bianchi; Astrid hacquin<br />

bianchi, DG11; caterina Venuleo; chabrel Zalloum; piero casavecchia;<br />

Francesca Alessandrini calvani; and lino calvani, DG91, president <strong>of</strong><br />

<strong>the</strong> Italian <strong>Tufts</strong> Alumni. back row, from left: Andrea chierico; Tommaso<br />

cantoni; luca Gobbato, DG10; Alfonso caiazzo, DG97; Francesco<br />

olivieri, DG96; and Federico brugnami, DG95.<br />

tufts president visits<br />

greek alums<br />

<strong>Tufts</strong> <strong>University</strong> president Anthony p. Monaco met with alumni in<br />

greece on May 31 at <strong>the</strong> konstantinos karamanlis Foundation in<br />

A<strong>the</strong>ns. Monaco, front row, center, who just finished <strong>the</strong> first year <strong>of</strong><br />

his tenure, has been meeting with <strong>Tufts</strong> alumni and friends around<br />

<strong>the</strong> world to share his vision for <strong>the</strong> university’s future.<br />

Front row, from left: George papanikolaou, e01, e02, president <strong>of</strong> <strong>the</strong> <strong>Tufts</strong><br />

club <strong>of</strong> Greece; alumni relations staffer Gretchen Dobson; constantina<br />

Dalassou, DG83; president Monaco; Maria-Gabriella Jaco papaioannou,<br />

DG95; christina Zervou, DG99, DI07; Anna papadogeorgaki, DG90; and Anna<br />

lagou, DG98. Second row, from left: George Goumenos, DG90; panayiota<br />

hatzi; DG98; hercules Goussias, DG87; petros Damoulis, DG91, DI05;<br />

Alexander Grous, DG83; Fotios Tzerbos, D90; and Fokion Iatridis, DG02. Third<br />

row, from left: Ioannis Fakitsas, DG89; nikolaos Grambas, DG97; Antonios<br />

lampropoulos, DG02; and konstantinos Michalakis, DG93. back row, from<br />

left: efthymios Skaribas, DG04; konstantinos papaioannou, DG98; nickos<br />

pantazis, DG92; and panagiotis Andritsakis, DG96.<br />

rich leblanc,<br />

department<br />

administrator in<br />

pediatric dentistry<br />

and Joseph<br />

Anwah, DG06.<br />

west coast<br />

state <strong>of</strong> mind<br />

ninus ebrahimi,<br />

D10, DG12;<br />

elizabeth<br />

Ackerman, DG12;<br />

and David ching,<br />

D05, DG12.<br />

More than 70 alumni and guests ga<strong>the</strong>red in<br />

san Diego on May 26 to attend an alumni reception<br />

held in conjunction with <strong>the</strong> annual session <strong>of</strong> <strong>the</strong><br />

American Academy <strong>of</strong> pediatric Dentistry. stanley<br />

Alexander, D75A, pr<strong>of</strong>essor and chair <strong>of</strong> pediatric<br />

dentistry, provided <strong>the</strong> group with an update on<br />

happenings at one kneeland street.


Bella Batsevitsky,<br />

D09, DG11; Daniel<br />

Green, pr<strong>of</strong>essor<br />

and chair <strong>of</strong><br />

endodontics; Emily<br />

Tyler, DG11; and<br />

Kerith Rankin, D08,<br />

DG11<br />

Ian Glick, DG06;<br />

Carla Webb, DG03;<br />

David Butler, DG04;<br />

and Mike Lowery,<br />

DG06.<br />

springtime at<br />

<strong>the</strong> ballpark<br />

On March 24, <strong>Tufts</strong> dental alumni, family<br />

and friends took in a game at <strong>the</strong> new<br />

spring training facility <strong>of</strong> <strong>the</strong> Boston Red<br />

Sox, JetBlue Park at Fenway South in Fort<br />

Myers, Fla., where <strong>the</strong> hometown team lost<br />

to <strong>the</strong> Philadelphia Phillies, 10-5. Before<br />

<strong>the</strong> game, <strong>the</strong> 125 attendees enjoyed a<br />

picnic buffet and visited with Dean Huw F.<br />

Thomas. A number <strong>of</strong> features in <strong>the</strong> new<br />

ballpark mirror those <strong>of</strong> its considerably<br />

older nor<strong>the</strong>rn sibling, including a Green<br />

Monster and a manual scoreboard.<br />

all over florida<br />

Tony Yoon, DG12; Andrea Shah, DG12; Charles<br />

Rankin, D79, DG86, D08P, DG11P, pr<strong>of</strong>essor <strong>of</strong> endodontics;<br />

Elizabeth Jones, D10, DG12; Kara Aurbach,<br />

D10, DG12; and Eric Novison, DG12.<br />

Paul McKenna, A46, D49,<br />

DG81P, D87P, DG90P; Paul<br />

Scola, DG71; Howard Libby,<br />

D41; Dean Huw F. Thomas;<br />

Walter Askinas, A73P, M77P,<br />

M80P; Teri-Ross Icyda, D78,<br />

J01P, A04P, D11P; Mayer<br />

Liebman, DG72; Harris<br />

Holstien, D54, M84P; Francis<br />

Conroy, DI91; and Robert<br />

Sainato, A53, D57.<br />

Shawn Record, D89,<br />

DG93; Jorge Vera,<br />

DG93; and Phil<br />

Cabrera, DG93.<br />

The Office <strong>of</strong> <strong>Dental</strong> Development and Alumni Relations partnered with Corporate<br />

Foundations and Relations this spring to host a reception in Tampa, Fla., in conjunction<br />

with <strong>the</strong> annual session <strong>of</strong> <strong>the</strong> American Association <strong>of</strong> <strong>Dental</strong> Research/International<br />

Association. <strong>Dental</strong> Alumni Relations also held a reception in Palm Beach, where more<br />

than 50 alumni ga<strong>the</strong>red at <strong>the</strong> Colony Hotel met with Dean Huw F. Thomas.<br />

endodontists<br />

return to boston<br />

Daniel Green, pr<strong>of</strong>essor and chair <strong>of</strong><br />

endodontics, welcomed alumni and friends<br />

back to Boston and hosted a reception<br />

at <strong>the</strong> dental school in conjunction with<br />

<strong>the</strong> annual session <strong>of</strong> <strong>the</strong> American<br />

Association <strong>of</strong> Endodontists in April.<br />

Those in attendance toured <strong>the</strong> new top<br />

floors at One Kneeland Street and caught<br />

up with classmates and colleagues.<br />

Left: Carl Perlmutter, D64, DG70; Peter<br />

Delli Colli, A69, D73; and Paul Shamirian,<br />

D81, in front <strong>of</strong> <strong>the</strong> statue <strong>of</strong> Ted Williams,<br />

one <strong>of</strong> <strong>the</strong> game’s greatest hitters. The<br />

3,500-pound bronze statue was moved from<br />

<strong>the</strong> team’s former Grapefruit League home in<br />

City <strong>of</strong> Palms Park.<br />

Above: Joseph, D44,<br />

and Ros Block<br />

Left: At <strong>the</strong> pregame<br />

picnic, Ken DiCarlo,<br />

D75; Zeno Chicarilli,<br />

D75, M77; and Steve<br />

Rubin, D75.<br />

Leila Sousa,<br />

Justin Altshuler,<br />

D46, and<br />

Dean Huw F.<br />

Thomas.<br />

In Palm Beach, Paul<br />

Brown, D12P; Suzi<br />

Brown, D12P; Dean<br />

Huw F. Thomas;<br />

Barbara Icyda, J01P,<br />

A04P, D11P; and Teri-<br />

Ross Icyda, D78, J01P,<br />

A04P, D11P.<br />

fall 2012 tufts dental medicine 51


alumni news<br />

Above: Jeffrey Leonard,<br />

D96, DG98; Angelic<br />

Gangoy, D97, DG99; Derek<br />

Wolkowicz, D97, DG00; and<br />

Candace Wolkowicz, D98.<br />

Right: John Millette, D91,<br />

A15P, <strong>the</strong> new president<br />

<strong>of</strong> <strong>the</strong> <strong>Tufts</strong> <strong>University</strong><br />

<strong>Dental</strong> Alumni Association;<br />

Dean Huw F. Thomas and<br />

Steve McKenna, D87,<br />

DG90, presented a $6,000<br />

donation from Eastern<br />

<strong>Dental</strong> Insurance to<br />

support reunion.<br />

52 tufts dental medicine fall 2012<br />

Left: Gail Frick, D77;<br />

Rustam DeVitre, DG76,<br />

DI77, D12P; and<br />

Virginia Shahinian,<br />

D77, DG79, D12P.


Toge<strong>the</strong>r Again<br />

Reunioners pack a lot into <strong>the</strong>ir weekend back in town<br />

he 2012 dental homecoming and reunion weekend kicked<br />

into high gear on May 4 with <strong>the</strong> Toast to <strong>Tufts</strong> gala at <strong>the</strong><br />

Intercontinental Hotel. Board <strong>of</strong> Advisors Chair Paul DesJardins,<br />

D75A, was master <strong>of</strong> ceremonies, introducing <strong>Tufts</strong> President<br />

Anthony P. Monaco, Dean Huw Thomas and Inga Keithly, president <strong>of</strong> <strong>the</strong> class<br />

<strong>of</strong> 2012, to <strong>the</strong> school’s 350 leadership donors and volunteers.<br />

Saturday morning featured a continuing education program with wildlife<br />

painter Richard Goodkind, D62, who presented one <strong>of</strong> his paintings to <strong>the</strong><br />

dean, and a lecture on “Non-invasive Facial Cosmetic Procedures in <strong>the</strong> Office<br />

Setting,” by Constantinos Laskarides, DG03, DI09, an assistant pr<strong>of</strong>essor <strong>of</strong><br />

oral and maxill<strong>of</strong>acial surgery. Family and friends had <strong>the</strong> opportunity to tour<br />

Fenway Park and its Green Monster and <strong>the</strong> five-story addition to <strong>the</strong> dental<br />

school.<br />

The <strong>Dental</strong> Alumni Association held its annual meeting on Saturday afternoon,<br />

followed by a processional to honor alumni who had returned to <strong>Tufts</strong><br />

for <strong>the</strong>ir 50th reunion. The association presented achievement awards to M.<br />

Christine Benoit, D77, D09P, and Louis A. Fiore, D62, and Susan Ahearn,<br />

senior associate director <strong>of</strong> alumni relations, received <strong>the</strong> staff award. Thomas,<br />

<strong>the</strong> keynote speaker, shared his thoughts on leading <strong>Tufts</strong> dental school since<br />

Above: Ge<strong>of</strong>frey Gonzales, D07, DG10,<br />

and Farbod Parvinjah, D07.<br />

Fiftieth reunioners Arthur Goren,<br />

A55, Richard Goodkind, who presented<br />

a continuing education lecture on art<br />

and dentistry, Louis Fiore, Philip Conti<br />

and Stuart Barr.<br />

his arrival in summer 2011. The meeting<br />

concluded with voting in <strong>the</strong> slate <strong>of</strong> <strong>of</strong>ficers,<br />

including <strong>the</strong> election <strong>of</strong> Michelle<br />

Anderson, D07, DG09, as a director on <strong>the</strong><br />

Executive Council (see story, page 49).<br />

Returning alumni ga<strong>the</strong>red at Café<br />

Fleuri in <strong>the</strong> Langham Hotel on Saturday<br />

night for a reception and individual reunion<br />

class dinners. Thomas visited <strong>the</strong> private<br />

class dinners and reunioners presented<br />

class gifts totaling more than $325,000.<br />

The reunion classes came toge<strong>the</strong>r again<br />

for dancing to music that spanned every<br />

reunion year.<br />

Thirty percent <strong>of</strong> gifts made to <strong>the</strong> <strong>Tufts</strong><br />

<strong>Dental</strong> Fund each year come from reunion<br />

classes. This year, nearly 500 alumni celebrating<br />

a reunion made a gift to <strong>the</strong> fund<br />

See TOGETHER, page 55<br />

fall 2012 tufts dental medicine 53


alumni news<br />

Richard Vachon, D77, D10P; Bobby Guen, D77, DG78;<br />

and Noshir Mehta, DG73, DI77, A10P, A07P, pr<strong>of</strong>essor and<br />

associate dean for international relations.<br />

Celebrating <strong>the</strong>ir 25th reunion, Vicki Petropoulos,<br />

Jerry Guss, Carmen Rahimi and Jamie Diament-Golub.<br />

Peter Delli Colli, A69, D73, second from right,<br />

outgoing president <strong>of</strong> <strong>the</strong> <strong>Dental</strong> Alumni Association,<br />

with this year’s recipients <strong>of</strong> alumni achievement<br />

awards, Susan Ahearn, senior associate<br />

director <strong>of</strong> alumni relations, Louis<br />

Fiore, D62, and Christine Benoit,<br />

54 tufts dental medicine fall 2012<br />

Above: Constantino Laskarides,<br />

DG03, DI09, gives a continuing<br />

education lecture on noninvasive<br />

facial cosmetic procedures.


Above: Neil Greenberg, D62, A86P, Dean Huw<br />

F. Thomas and Sheldon Sullaway, D62.<br />

TOGETHER, continued from page 53<br />

between July 1, 2011, and June 30, 2012, for<br />

a total <strong>of</strong> $325,283. The cumulative total <strong>of</strong><br />

annual gifts and capital gifts made since<br />

<strong>the</strong>se classes held <strong>the</strong>ir last reunion in 2007<br />

is $2,567,857.<br />

The class <strong>of</strong> 1962, which celebrated its<br />

50th reunion, won <strong>the</strong> Porcelain Bridge<br />

Award for <strong>the</strong> highest philanthropic participation;<br />

40 percent <strong>of</strong> <strong>the</strong> class made a<br />

gift to <strong>the</strong> <strong>Tufts</strong> <strong>Dental</strong> Fund. The 50th<br />

reunioners also received <strong>the</strong> Golden<br />

Crown Award for <strong>the</strong> greatest overall giving<br />

(annual gifts and capital gifts) since<br />

2007, totaling $1,364,981. The award for<br />

largest <strong>Dental</strong> Fund reunion gift total went<br />

to <strong>the</strong> class <strong>of</strong> 1977, which raised $63,554,<br />

breaking <strong>the</strong> previous record for <strong>the</strong> 35th<br />

reunion class gift. The newest giving award,<br />

<strong>the</strong> Impression Award, which is presented<br />

to <strong>the</strong> fifth or 10th reunion class with <strong>the</strong><br />

highest participation, was given to D07;<br />

16 percent <strong>of</strong> <strong>the</strong> class made a gift to <strong>the</strong><br />

<strong>Dental</strong> Fund.<br />

The new president <strong>of</strong> <strong>the</strong> <strong>Dental</strong> Alumni Association, John Millette, D91, A15P, left, confers<br />

with Joe Giordano, D79, DG80, DG84, <strong>the</strong> new vice president, before <strong>the</strong> association’s annual<br />

meeting.<br />

Peter Delli Colli, A69, D73, right, outgoing alumni association president,<br />

presents <strong>the</strong> association’s gift <strong>of</strong> $8,000 to support <strong>the</strong> <strong>Dental</strong> Student Loan<br />

Fund to Dean Huw F. Thomas.<br />

fall 2012 tufts dental medicine 55


alumni news<br />

D62<br />

D52<br />

REuNION ALBuM<br />

Robert J. Welch, Ivers Rifkin and Ralph Snyder<br />

FRONT ROW: Bernard Kramer, Philip Millstein, Anthony Tolentino, Louis A. Fiore,<br />

William T. Sherman, Edmund Russell, Philip Conti, Julika Ambrose<br />

MIDDLE ROW: Charles B. Millstein, Gerald Forman, Arthur Goren, E. David Appelbaum,<br />

Joseph T. Siracuse, Frederick White, Howard Bailit, Jack Doykos<br />

BACK ROW: Bob Watson, Harold Litvak, Skip Sozio, Van Zissi, Sheldon Sullaway,<br />

Neil Greenberg, Ray Jarvis, Joel Wyner, Clem Schoenebeck<br />

56 tufts dental medicine fall 2012 photos: fayphoto/boston


D67<br />

FRONT ROW: Abraham Haddad, Bill Accomando, John Dreslin,<br />

Dan Roseman, Chuck Rounds<br />

BACK ROW: John O’Brien, Charles Hoye, Jay Schwab, Shaun Dowd<br />

D77<br />

FRONT ROW: Noshir Mehta, Jan Conrad, Barbara Hauschka, Sterling Beasley,<br />

Marie Holliday, Franson Tom, Franklin E. Bailey<br />

MIDDLE ROW: Richard E. Vachon, Charles E. Albee, Eliot Paisner, John E. Duhaime,<br />

Carl Manikian, Christine Benoit<br />

BACK ROW: Lorenzo Lepore, Richard Marchand, Isaac Hakim, Gail Frick,<br />

Edward Ledden, Mark Lausier, Robert Guen, Melvin Hanzel<br />

D72<br />

FRONT ROW: James P. Scialabba, Arnold K. Kaplan, William A.<br />

Lobel, Edward Walk, Robert Swan, Philip R. Melnick<br />

MIDDLE ROW: Paul S. Bobinski, John B. Corey, John A. Schrader,<br />

Henry Talberth, Dennis Scharer, Michael Wolfman<br />

BACK ROW: David Keller, Marc Chase<br />

fall 2012 tufts dental medicine 57


alumni news<br />

D87<br />

FRONT ROW: Christina DiComes, Mary Karish-Dodge, Marisol Ruiz, Jane Darviche, Carmen Rahimi,<br />

Vicki Petropoulos, Alice Deutsch, Jamie Diament-Golub<br />

SECOND ROW: Danny Ravin, Greg Chotkowski, Genevieve Kinney, Ca<strong>the</strong>rine Hayes, Anthony Stefanou,<br />

David Samuels, Phira Sithiamnuai, Stephen McKenna, John Lanzetta, Mark Weinberg, Sal Guerriero<br />

THIRD ROW: Steven Andreasen, Peter Simone, Michael Schneider, Jerry Guss, Warren Lee, Jay Reznick,<br />

Dennis Pezzolesi, Louis Stylos, Steven Frimtzis, Tony Broccoli, Stephen Reichheld, Glen Goleburn<br />

BACK ROW: Robert Sorrentino, Michael F. Fitzpatrick<br />

58 tufts dental medicine fall 2012<br />

D82<br />

FRONT ROW: Maria<br />

Papageorge, Naida<br />

Henriquez, Lisa Emirzian,<br />

Gail Bodzioch, T<strong>of</strong>igh Raayai,<br />

Lynne Marshall, Marguerite<br />

Fallon, Karen Aborjaily<br />

SECOND ROW: Tom Orent,<br />

Michael Strassberg, Gerard<br />

Kinahan, Peter McAllister,<br />

Michael Tosatti, Vincent<br />

Mariano, David Mayer, Robert<br />

Harrington, Robert Shpunt<strong>of</strong>f,<br />

Peter Toyias, Constantin<br />

Darzenta<br />

THIRD ROW: Ed Drysgula<br />

Jr., Mike Truscott, Steven<br />

Demetriou, David Frost,<br />

Paul Bocciarelli, Alan<br />

Avtges, Andy Molak, Charles<br />

Samaras, Edwin Helitzer,<br />

Steve Morse<br />

BACK ROW: Gregory<br />

Morando, John Carpenter,<br />

Neal Rogol, Michael Gooding,<br />

Henry Seemann


D92<br />

FRONT ROW: Debra Dobbs, Mary Ellen Lukaswitz, Sandra Cove, Marilyn Rivero,<br />

Ruby Ghaffari, Mira Zinger, Barbara Lewis, Leslie Olton, Rosie Angelakis<br />

MIDDLE ROW: Soheil Samiei, Paul Dobrin, Tom Varden, Tal Morr, Hamid Esbah,<br />

Chris McCartin, Keith Russell<br />

BACK ROW: Vincent Mastronardi, Ramesh Izedian, Paul Lennon Jr., Stephen Cohen,<br />

Bob DeFrancesco, David Beanland, Paul Talkov<br />

D97<br />

FRONT ROW: Joy Kasparian-Federico, Mary Jane Hanlon, Shelagh Kavanagh,<br />

Femina Ali, Gloria Barredo, Anna McGuire, Natalie Jeong, Angelic Gangoy<br />

BACK ROW: George Pelayo, Timothy McSweeney, Ben Hadar, Kallen Hull,<br />

Jack O’Horo, Laura Sullivan, Michael Putt, Derek Wolkowicz<br />

fall 2012 tufts dental medicine 59


alumni news<br />

D07<br />

60 tufts dental medicine fall 2012<br />

FRONT ROW: Shailaja Thaker, Caroline Young, Minh-Phuong Bui, Diba Dastjerdi,<br />

Renee Os<strong>of</strong>sky, Valerie Martins, Whitney Goode, Shruti Gonzales, Michelle Anderson<br />

MIDDLE ROW: Michael Cooper, Richard Bolduc, Jeff Segnere, Viraj Gadkar,<br />

Farbod Parvinjah, Ge<strong>of</strong>frey Gonzales, Ian Fessler<br />

D02<br />

BACK ROW: Arvinder Sawhney, Peter T. Phan, Brendan Loehr, Durgesh Kudchadkar,<br />

Sam Shamardi, Justin Griffee, Kenneth Blais, Jared Geller<br />

FRONT ROW: Glenn Thompson,<br />

Danielle Nedwetzky, Ca<strong>the</strong>rine<br />

Moshirfar, Abhayjit Bedi,<br />

Shahrzad Haghayegh-Askarian,<br />

Fontini Dionisopoulos, Dawn<br />

Thatcher, Brian Maguire<br />

MIDDLE ROW: Grace Branon,<br />

Lisa Cusson, Ann Kennon,<br />

Dana Mandel, Monique Yuan,<br />

Abdullaibrahim Abdulwaheed,<br />

Blair Bradford, Ka<strong>the</strong>rine<br />

Mantzikos, Sandeep Cheema,<br />

Kendall Burns<br />

BACK ROW: Angela Karogiannis,<br />

Melissa Rodgers, Kamar Baloul,<br />

Matt Ginsburg, Steve Lim,<br />

Mariela Lung, Zhana Krasyuk,<br />

Kistama Naidu, Natalia<br />

Khrustcheva H<strong>of</strong>fmann,<br />

Justin Mull, Don Lucca,<br />

Edgar Heil


class notes<br />

John Meade, A54,<br />

D56 A90P, F98P, was<br />

honored by <strong>the</strong> St. Boniface Haiti<br />

Foundation on September 13 for<br />

his 41 years <strong>of</strong> volunteer work in<br />

Haiti. A former faculty member at<br />

<strong>Tufts</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine,<br />

Meade first began traveling to<br />

Haiti after he responded to an ad<br />

looking for doctors and dentists<br />

to volunteer <strong>the</strong>ir services in <strong>the</strong><br />

Caribbean nation. He has a dental<br />

practice in Medford, Mass.,<br />

and travels to Haiti at least once<br />

a year. For more information<br />

about <strong>the</strong> foundation’s work in<br />

Haiti, go to www.haitihealth.org.<br />

Allan C. Johnson<br />

D65 is happily retiring<br />

to Bethany Beach on <strong>the</strong><br />

Delaware shore after 47 years<br />

<strong>of</strong> solo practice serving <strong>the</strong> D.C.<br />

suburbs in Maryland. He will be<br />

joined by his wife <strong>of</strong> 41 years,<br />

Jan Johnson, and will be seeking<br />

a new puppy and time on <strong>the</strong><br />

beach and golf course.<br />

Lou Bartimmo<br />

D70 was installed as<br />

president <strong>of</strong> <strong>the</strong> New York State<br />

Academy <strong>of</strong> General Dentistry on<br />

May 20.<br />

DG73 Noshir<br />

Mehta,<br />

DI77, J01P, A07P, pr<strong>of</strong>essor<br />

and associate dean for international<br />

relations at <strong>Tufts</strong>, has<br />

achieved diplomate status on<br />

<strong>the</strong> American Board <strong>of</strong> <strong>Dental</strong><br />

Sleep Medicine.<br />

Katz Family <strong>Dental</strong><br />

D74 <strong>of</strong> West Hartford,<br />

Conn., was well represented at<br />

<strong>the</strong> Connecticut Foundation for<br />

<strong>Dental</strong> Outreach’s Mission <strong>of</strong><br />

Mercy last spring. Peter Katz<br />

and Stephanie Katz, D09, were<br />

among 1,600 volunteer dentists,<br />

dental assistants, hygienists and<br />

o<strong>the</strong>rs who provided free care<br />

to more than 2,000 people over<br />

<strong>the</strong> course <strong>of</strong> a weekend. The<br />

Katzes assisted with triage and<br />

restorative work, during a day<br />

that stretched from 5 a.m. to 4<br />

p.m. The foundation estimates<br />

that more than $1.3 million in<br />

dental treatment was provided<br />

during <strong>the</strong> mission, which was<br />

held at Western Connecticut<br />

State <strong>University</strong> in Danbury.<br />

Carl F. Driscoll<br />

D77 is a pr<strong>of</strong>essor<br />

and director <strong>of</strong> <strong>the</strong> prosthodontics<br />

residency program at <strong>the</strong><br />

<strong>University</strong> <strong>of</strong> Maryland, where he<br />

has worked for 15 years. Prior<br />

to that, he spent 20 years in<br />

<strong>the</strong> U.S. Army. He has served as<br />

president <strong>of</strong> <strong>the</strong> American Board<br />

<strong>of</strong> Prosthodontics, president<br />

<strong>of</strong> <strong>the</strong> American Academy <strong>of</strong><br />

Fixed Prosthodontics and treasurer<br />

<strong>of</strong> <strong>the</strong> American College <strong>of</strong><br />

Prosthodontics.<br />

Howard Cooper,<br />

D79 see D07.<br />

Richard S. Harold,<br />

D80 A00P, D06P, assistant<br />

clinical pr<strong>of</strong>essor <strong>of</strong> general<br />

dentistry at <strong>Tufts</strong>, has been appointed<br />

associate director <strong>of</strong> <strong>the</strong><br />

school’s oral diagnosis course.<br />

He gave a lecture on “Ethical<br />

Guidelines for Prescription<br />

Writing” at <strong>the</strong> annual meeting<br />

<strong>of</strong> <strong>the</strong> American College <strong>of</strong> Legal<br />

Medicine, held in New Orleans<br />

earlier this year. His article,<br />

“Prescription Writing for Dentists:<br />

Ethical and Legal Guidelines,”<br />

appeared in <strong>the</strong> winter 2012<br />

edition <strong>of</strong> <strong>the</strong> Journal <strong>of</strong> <strong>the</strong><br />

Massachusetts <strong>Dental</strong> Society.<br />

John Giordano was<br />

D96 promoted to <strong>the</strong><br />

rank <strong>of</strong> major in <strong>the</strong> Army National<br />

Guard <strong>Dental</strong> Corps, where he<br />

serves as a Massachusetts state<br />

dental <strong>of</strong>ficer. Giordano continues<br />

to maintain his dental practice<br />

on Park Avenue in Worcester and<br />

his forensic practice, <strong>the</strong> Forensic<br />

Dentistry Resource Center, also<br />

in Worcester.<br />

DG97 Zuzana<br />

Mendez,<br />

DI08, was recognized as<br />

one <strong>of</strong> “Ten Under 10,” a<br />

Massachusetts <strong>Dental</strong> Society<br />

award that honors dentists who<br />

have graduated in <strong>the</strong> past 10<br />

years and have made a significant<br />

contribution to <strong>the</strong> pr<strong>of</strong>ession,<br />

<strong>the</strong>ir community and/or<br />

organized dentistry. Mendez<br />

also has a dental degree from<br />

<strong>the</strong> Universidad Autónoma de<br />

Santo Domingo in <strong>the</strong> Dominican<br />

Republic. She is <strong>the</strong> dental director<br />

at <strong>the</strong> Upham’s Corner Health<br />

Center in Dorchester, Mass.,<br />

where she also resides.<br />

Yun Saksena,<br />

DI00 an associate<br />

clinical pr<strong>of</strong>essor <strong>of</strong> prosthodontics<br />

and operative dentistry at<br />

<strong>Tufts</strong>, has been appointed to <strong>the</strong><br />

faculty advisory board <strong>of</strong> <strong>the</strong> <strong>Tufts</strong><br />

Center for <strong>the</strong> Enhancement <strong>of</strong><br />

Learning and Teaching, which assists<br />

faculty across <strong>the</strong> university<br />

in promoting teaching innovation<br />

and <strong>of</strong>fers pr<strong>of</strong>essional development<br />

opportunities. Saksena was<br />

elected secretary <strong>of</strong> <strong>the</strong> American<br />

<strong>Dental</strong> Education Association<br />

Special Interest Group on <strong>the</strong><br />

Scholarship <strong>of</strong> Teaching and<br />

Learning, a forum in which members<br />

learn and build upon <strong>the</strong><br />

experiences <strong>of</strong> <strong>the</strong>ir peers.<br />

D02<br />

Abe Abdulwaheed,<br />

E97, and Shahrzad<br />

Haghayegh-Askarian were<br />

recognized as two <strong>of</strong> “Ten Under<br />

we want to hear from you!<br />

Keep your fellow alumni/ae up to date about your<br />

personal and pr<strong>of</strong>essional news by filling out this form.<br />

CHECK HERE IF ADDRESS IS NEW.<br />

Name Class<br />

Street<br />

City State Zip<br />

Email address<br />

Send to:<br />

Susan Ahearn, <strong>Tufts</strong> <strong>Dental</strong> Alumni Relations<br />

1 Kneeland St., Floor 7, Boston, MA 02111<br />

email: dental-alumni@tufts.edu or fax: 617.636.4052<br />

fall 2012 tufts dental medicine 61


alumnI news<br />

10” by <strong>the</strong> Massachusetts<br />

<strong>Dental</strong> Society. The award<br />

honors dentists who have<br />

graduated in <strong>the</strong> past 10 years<br />

and have made a significant<br />

contribution to <strong>the</strong> pr<strong>of</strong>ession,<br />

<strong>the</strong>ir community and/or organized<br />

dentistry. Abdulwaheed<br />

completed his general dentistry<br />

residency at Harvard <strong>School</strong> <strong>of</strong><br />

<strong>Dental</strong> Medicine/Brigham and<br />

Women’s Hospital. He maintains<br />

private practices in Quincy<br />

and Cambridge, and lives in<br />

Quincy. Haghayegh-Askarian<br />

completed her general dentistry<br />

residency through Lu<strong>the</strong>ran<br />

Medical Center at both Codman<br />

Square Health Center and<br />

Boston <strong>University</strong>. She maintains<br />

a private practice in <strong>the</strong><br />

Wollaston section <strong>of</strong> Quincy and<br />

lives in Norwell.<br />

Amy Ala, a<br />

D05 pediatric dentist,<br />

has joined <strong>the</strong> DentaQuest Oral<br />

62 tufts dental medicine fall 2012<br />

Health Center in Westborough,<br />

Mass. She earned a certificate<br />

in pediatric dentistry from <strong>the</strong><br />

<strong>University</strong> <strong>of</strong> Connecticut and<br />

teaches pediatric dentistry at<br />

<strong>Tufts</strong>. She is also on staff at <strong>the</strong><br />

Franciscan Hospital for Children<br />

in Boston.<br />

DG06 Aaron<br />

DeMaio was<br />

recognized as one <strong>of</strong> “Ten Under<br />

10,” a Massachusetts <strong>Dental</strong><br />

Society award honoring dentists<br />

who have graduated in <strong>the</strong> past<br />

10 years and have made a significant<br />

contribution to <strong>the</strong> pr<strong>of</strong>ession,<br />

<strong>the</strong>ir community and/<br />

or organized dentistry. DeMaio<br />

received his dental degree from<br />

<strong>the</strong> <strong>University</strong> <strong>of</strong> Connecticut<br />

<strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine and a<br />

certificate in orthodontics from<br />

<strong>Tufts</strong>. He maintains orthodontic<br />

practices in Northampton and<br />

Amherst and lives in Conway,<br />

Mass.<br />

Michael Cooper<br />

D07 and his wife,<br />

Wendy, welcomed a daughter,<br />

Kelsey, born on May 12. Kelsey<br />

is <strong>the</strong> granddaughter <strong>of</strong> Howard<br />

Cooper, D79.<br />

Christine Jarmoc and Marcin<br />

“Marty” Jarmoc, DG11, opened<br />

<strong>the</strong>ir new dental practice,<br />

Nor<strong>the</strong>rn Star <strong>Dental</strong> Group, in<br />

Danvers, Mass., this summer.<br />

Peter T. Phan, DG11, was<br />

recognized as one <strong>of</strong> “Ten Under<br />

10” by <strong>the</strong> Massachusetts<br />

<strong>Dental</strong> Society. The award honors<br />

dentists who have graduated in<br />

<strong>the</strong> past decade and have made<br />

a significant contribution to <strong>the</strong><br />

pr<strong>of</strong>ession, <strong>the</strong>ir community<br />

and/or organized dentistry.<br />

He maintains orthodontic<br />

practices in Norwell, Natick<br />

and Sudbury, and resides in<br />

Braintree. He teaches at <strong>Tufts</strong><br />

<strong>Dental</strong> <strong>School</strong>.<br />

Jauna Souza presented her<br />

research at <strong>the</strong> Charley Schultz<br />

Resident Scholar Award Program<br />

during <strong>the</strong> 2012 annual session<br />

Travel To exTraordinary places wiTh excepTional people<br />

TufTs<br />

Travel-learn<br />

visit: www.tuftstravellearn.org<br />

Follow <strong>Tufts</strong> <strong>Dental</strong> aalumni<br />

lumni<br />

facebook.com/tuftsdentalalumni<br />

@tuftsdental<br />

Visit our<br />

website to see<br />

<strong>the</strong> exciting<br />

lineup <strong>of</strong> 2013<br />

destinations!<br />

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From Peru to Provence, from<br />

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Contact usha sellers, ed.d.,<br />

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or 617-627-5323 for our catalog<br />

or specific brochure, or visit our<br />

website for itineraries.


<strong>of</strong> <strong>the</strong> American Association <strong>of</strong><br />

Orthodontists in Honolulu in May.<br />

She completed her orthodontic<br />

residency program in June as<br />

chief resident at Montefiore<br />

Medical Center in New York. She<br />

has joined Baarsvik Orthodontics<br />

in Dartmouth, Mass., as an<br />

associate orthodontist. Before<br />

pursuing her residency, Souza,<br />

a native <strong>of</strong> New Bedford, Mass.,<br />

practiced general dentistry in<br />

her hometown for two years,<br />

exclusively treating children and<br />

adolescents.<br />

Mabi Singh,<br />

DI07 an associate<br />

pr<strong>of</strong>essor <strong>of</strong> geriatric dentistry at<br />

<strong>Tufts</strong>, has been named a fellow<br />

<strong>of</strong> <strong>the</strong> American Academy <strong>of</strong> Oral<br />

Medicine.<br />

D08<br />

Mat<strong>the</strong>w Horan<br />

was recognized<br />

as one <strong>of</strong> “Ten Under 10” by <strong>the</strong><br />

Massachusetts <strong>Dental</strong> Society.<br />

The award honors dentists<br />

who have graduated during <strong>the</strong><br />

past decade and have made a<br />

significant contribution to <strong>the</strong><br />

pr<strong>of</strong>ession, <strong>the</strong>ir community,<br />

and/or organized dentistry. He<br />

is <strong>the</strong> dental director at <strong>the</strong><br />

Codman Square Health Center<br />

in Dorchester, Mass.<br />

Paul Brooks Noland, <strong>of</strong><br />

Beaverton, Ore., received <strong>the</strong><br />

Award for Clinical Excellence in<br />

Restorative Dentistry from <strong>the</strong><br />

<strong>Tufts</strong> <strong>University</strong> <strong>Dental</strong> Alumni<br />

Association.<br />

Rebecca Seppala and her<br />

husband, Jayme Seppala,<br />

welcomed Carter Daniel Seppala<br />

on March 28. He weighed 8<br />

pounds, 2 ounces.<br />

Corinne Zamaitis<br />

D09 Coughlin and<br />

her husband, Kevin Coughlin,<br />

welcomed son Rhyan Edward on<br />

September 29, 2011.<br />

Stephanie Katz, see D74.<br />

D12<br />

Inger Johansen,<br />

wife <strong>of</strong> former dean<br />

Eunice Lee<br />

was one <strong>of</strong> 10<br />

dental students nationwide<br />

to receive a 2012 American<br />

Association <strong>of</strong> Women Dentists<br />

Colgate Research Scholarship,<br />

presented to junior or senior<br />

dental students who have<br />

shown academic distinction<br />

and excellence in research.<br />

Inger Marie Nordback Johansen, <strong>the</strong> widow <strong>of</strong> Dean<br />

Emeritus Erling Johansen, D49, died in Nordli, Norway,<br />

on July 8 after a brief illness. She was active in <strong>the</strong><br />

<strong>Tufts</strong> <strong>Dental</strong> community from 1979 to 1995, during<br />

her husband’s tenure as dean. She founded and led <strong>the</strong><br />

W Club (Women’s Club), which supported <strong>the</strong> dental<br />

school in spirit and raised funds for scholarships. She<br />

is remembered as a bright and charming woman with a<br />

well-developed sense <strong>of</strong> humor. She is survived by three<br />

sons, Erling Trygve, Erik Bjarne and Steven Douglas,<br />

and four grandchildren.<br />

IN MEMORIAM<br />

Samuel R. Siegel, D33<br />

April 21, 2012<br />

Chevy Chase, Maryland<br />

Alex N. Cohen, D37<br />

March 19, 2012<br />

Palms Beach Gardens, Florida<br />

Sumner H. Willens, D43B<br />

April 25, 2012<br />

Lake Worth, Florida<br />

Sumner Gefen, D44<br />

June 25, 2012<br />

Boynton Beach, Florida<br />

Sidney S. Mizner, A43, D45,<br />

DG49, J75P<br />

April 4, 2012<br />

Lexington, Massachusetts<br />

John H. Seidel, A43, D45<br />

April 21, 2012<br />

Scituate, Massachusetts<br />

James Springer, D45, J85P<br />

June 1, 2012<br />

New York, New York<br />

George P. Gunn, D46<br />

February 8, 2012<br />

Boothbay, Maine<br />

Joseph P. Gentile, D47<br />

April 17, 2012<br />

Newton Center, Massachusetts<br />

J. Wain Baker, D49<br />

January 27, 2012<br />

Rockport, Massachusetts<br />

Robert Leikin, D49<br />

May 7, 2012<br />

Longmeadow, Massachusetts<br />

Costas Poulios, D52<br />

April 2, 2012<br />

Port Saint Lucie, Florida<br />

Ronald B. Singleton, D54, J85P<br />

February 9, 2012<br />

Framingham, Massachusetts<br />

Robert L. Bunnen, DG54<br />

July 15, 2012<br />

Atlanta, Georgia<br />

Gerald S. Camann, D56<br />

February 20, 2012<br />

Brookline, Massachusetts<br />

John S. Ingari, A55, D57<br />

January 10, 2012<br />

Melbourne, Florida<br />

Dale B. Montgomery, D59<br />

June 8, 2012<br />

Colchester, Vermont<br />

Ira S. H<strong>of</strong>fman, D60<br />

June 8, 2012<br />

Stamford, Connecticut<br />

Garry T. Moushegian, D61<br />

March 22, 2012<br />

Norwood, Massachusetts<br />

Francis P. Millette, D62<br />

May 9, 2012<br />

Northampton, Massachusetts<br />

Daniel A Garcia, DG66, J86P<br />

January 14, 2012<br />

Bainbridge Island, Washington<br />

John E. Bullock, DG73<br />

February 23, 2012<br />

Framingham, Massachusetts<br />

Lewis C. Trusheim, D75A<br />

March 18, 2012<br />

Ridgefield, Connecticut<br />

Clifford Wachtel, DG78<br />

January 7, 2012<br />

Kingston, Pennsylvania<br />

Susan Kinder Haake, D79<br />

May 1, 2012<br />

Culver City, California<br />

James A. Edmond, D87<br />

March 3, 2012<br />

Manchester, New Hampshire<br />

Jody Senora Rossetti, D87,<br />

DG89<br />

January 14, 2012<br />

Suffield, Connecticut<br />

Nayeli Velez-McCaskey, DI89,<br />

DG89<br />

August 14, 2012<br />

Boston, Massachusetts<br />

fall 2012 tufts dental medicine 63


CoNtINUINg EdUCAtIoN<br />

MARCH 1–2<br />

Nitrous Oxide Certification Course<br />

Morton B. Rosenberg, D.M.D.; C.S. Maller,<br />

D.M.D.; Patrick McCarty, D.D.S.<br />

MARCH 1<br />

Lecture, Radiology Certification Course<br />

Clinical Sessions, March 2, March 16 and<br />

March 23<br />

MARCH 15–16<br />

Essential Oral Appliances including Mouth<br />

Guards, A Hands-on Class<br />

Noshir R. Mehta, B.D.S., D.M.D., M.D.S., M.S.<br />

MARCH 22–23<br />

<strong>Dental</strong> Sleep Medicine Annual Symposium<br />

Noshir R. Mehta, B.D.S., D.M.D., M.D.S., M.S.;<br />

Leopoldo P. Correa, B.D.S., M.S.; Noah Siegel,<br />

M.D., E.N.T.<br />

APRIL 5–6<br />

4 on <strong>the</strong> Floor Implant Overdentures, Nobel<br />

Clinician<br />

Hans-Peter Weber, D.M.D., Dr.Med.Dent.<br />

APRIL 10<br />

Everything You Always Wanted to Know<br />

about Removables, But Were Afraid to Ask<br />

William A. Lobel, D.M.D., F.A.C.D.; David R.<br />

Cagna, D.M.D., M.S.<br />

APRIL 10<br />

Best Practices for a Tough Economy:<br />

Stay on Top in an Economic Downturn<br />

Penny Reed Limoli; Tom Limoli<br />

APRIL 18–20<br />

Module III, Conclusion <strong>of</strong> <strong>Dental</strong> Sleep<br />

Medicine Mini-Residency (in collaboration with<br />

<strong>the</strong> American Academy <strong>of</strong> Crani<strong>of</strong>acial Pain)<br />

Please call for dates for upcoming Modules<br />

I, II and III<br />

MAY 3–4<br />

Nitrous Oxide Certification Course<br />

Morton B. Rosenberg, D.M.D.; C.S. Maller,<br />

D.M.D.; Patrick McCarty, D.D.S.<br />

M AY 3<br />

Es<strong>the</strong>tics and Implants<br />

Hans-Peter Weber, D.M.D., Dr.Med.Dent.<br />

MAY 17–18<br />

Digital Implant Dentistry<br />

Hans-Peter Weber, D.M.D., Dr.Med.Dent.;<br />

German Galucci, D.M.D., Dr.Med.Dent.<br />

MAY 31<br />

Dr. Waldemar Brehm Continuing Education<br />

Lectureship on <strong>the</strong> Early Treatment <strong>of</strong><br />

Malocclusion in Pediatric Dentistry: The<br />

Use <strong>of</strong> Technology to Enhance Care in<br />

Orthodontics and Dent<strong>of</strong>acial Deformities<br />

Chung How Kau, D.D.S.<br />

Courses fill quiCkly!<br />

register early!<br />

For registration information and<br />

course details, please contact us:<br />

Online: dental.tufts.edu/ce<br />

Email: <strong>Dental</strong>ce@tufts.edu<br />

Phone: 617.636.6629<br />

Fax: 617.636.0800<br />

DiVisioN <strong>of</strong> CoNtiNuiNg eDuCatioN<br />

tufts uNiVersity<br />

sCHool <strong>of</strong> DeNtal MeDiCiNe<br />

oNe kNeelaND street<br />

BostoN, Ma 02111<br />

JUNE 5<br />

Direct Posterior Composites: The Next Level,<br />

a Comprehensive Hands-on Course<br />

Simone Deliperi, D.D.S.; David N. Bardwell,<br />

D.M.D., M.S.<br />

JUNE 7<br />

Eighth Annual Oral Cancer Symposium:<br />

Now Encompassing Head and Neck Cancers<br />

Michael A. Kahn, D.D.S.; Scott Benjamin,<br />

D.D.S.; J. Michael Hall, D.D.S.; Nora Laver,<br />

M.D.; Adele Moreland, M.D.; Richard O. Wein,<br />

M.D.; Sook-Bin Woo, D.M.D.<br />

JUNE 14–15<br />

Participation Course with Multiple Hard-<br />

and S<strong>of</strong>t-tissue Lasers<br />

Robert A. Convissar, D.D.S.<br />

<strong>Tufts</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong> <strong>Dental</strong><br />

Medicine is an ADA CERP-recognized<br />

provider. Approval dates: 11/11–12/15.<br />

ADA CERP does not approve or endorse<br />

individual courses or instructors, nor<br />

does it imply acceptance <strong>of</strong> credit hours<br />

by boards <strong>of</strong> dentistry. Concerns or<br />

complaints about a CE provider may be<br />

directed to <strong>the</strong> provider or to ADA CERP<br />

or ada.org/goto/cerp.


“ I have a strong belief<br />

in doing <strong>the</strong> greatest<br />

good I can possibly do.<br />

I’m leaving a portion<br />

<strong>of</strong> my estate to <strong>Tufts</strong><br />

because I want to give<br />

back for <strong>the</strong> great<br />

education I received<br />

in dental school.”<br />

During her 23 years in <strong>the</strong> U.S. Army,<br />

JUDith CAll MMCCollUM,<br />

CollUM, D80, golfed<br />

in Augusta, Georgia, skied in Germany,<br />

and learned to scuba dive in Panama.<br />

Yet, for Judy, who has been committed<br />

to volunteering and service since high<br />

school, <strong>the</strong> greatest thrill came from<br />

helping o<strong>the</strong>rs.<br />

After completing periodontal training,<br />

Judy made a career out <strong>of</strong> caring<br />

for soldiers and <strong>the</strong>ir families. her<br />

assignments included managing a clinic<br />

in Panama and teaching at Fort Bragg.<br />

Now retired and living in Brunswick,<br />

Maine, Judy is on <strong>the</strong> board <strong>of</strong> <strong>the</strong><br />

Cathance River Education Alliance,<br />

a group that promotes ecological<br />

awareness. Judy’s desire to improve<br />

education drives her philanthropy and<br />

has culminated in a bequest in her will<br />

to support <strong>the</strong> dental school.<br />

“When i was growing up, tufts was<br />

<strong>the</strong> school to go to if you wanted to<br />

become a dentist,” she says. “i’d like<br />

to help it stay that way.”<br />

For more information<br />

please contact<br />

<strong>Tufts</strong>’ Gift Planning Office<br />

888.748.8387<br />

giftplanning@ tufts.edu<br />

www.tufts.edu/giftplanning<br />

<strong>School</strong> <strong>of</strong><br />

<strong>Dental</strong> Medicine<br />

www.facebook.com/Charles<strong>Tufts</strong>Society


<strong>School</strong> <strong>of</strong> <strong>Dental</strong> Medicine<br />

136 Harrison Avenue<br />

Boston, ma 02111<br />

www.tufts.edu/dental<br />

<strong>of</strong> horror and hope<br />

<strong>Dental</strong> historian Martin Deranian’s own family story <strong>of</strong> loss<br />

in armenia was <strong>the</strong> inspiration for <strong>the</strong> play Deported,<br />

A Dream Play, which will be staged in London early next year.<br />

for more, turn to page 4.<br />

NONprOFIT OrG.<br />

u.s. pOsTAGE<br />

pAId<br />

BOsTON, MA<br />

pErMIT NO. 1161<br />

TuFTs uNIvErsITy OFFIcE OF puBlIcATIONs 8384 11/12; pHOTO: © jErry N. uElsMANN

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