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Journal of the Louisiana Dental Association Journal of the Louisiana ...

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LDA<br />

lsu school <strong>of</strong> dentistry<br />

Dr. Henry A. Gremillion<br />

Dean, LSU School <strong>of</strong> Dentistry<br />

Serving <strong>the</strong> Greater Good<br />

One <strong>of</strong> <strong>the</strong> advantages <strong>of</strong> attending national<br />

conferences is that we have <strong>the</strong> opportunity<br />

to gain a broad perspective regarding major issues<br />

that challenge our pr<strong>of</strong>ession. This happened<br />

recently when I attended meetings in San Diego for<br />

<strong>the</strong> deans <strong>of</strong> <strong>the</strong> 58 dental schools in <strong>the</strong> United<br />

States. The meetings, sponsored by <strong>the</strong> American<br />

<strong>Dental</strong> Education <strong>Association</strong> (ADEA), provided a<br />

valuable forum at which vital issues were targeted for<br />

meaningful discussion.<br />

One <strong>of</strong> <strong>the</strong> primary topics addressed during <strong>the</strong><br />

deans’ meeting was access to care in <strong>the</strong> United States.<br />

While this issue is not new, it was most interesting to<br />

hear <strong>the</strong> varied opinions on <strong>the</strong> scope <strong>of</strong> <strong>the</strong> problem<br />

and suggested solutions. It was sobering to learn<br />

about shortages in <strong>the</strong> oral health workforce that<br />

plague our country today.<br />

In <strong>Louisiana</strong>, 50 <strong>of</strong> <strong>the</strong> 64 parishes are designated<br />

as dental health pr<strong>of</strong>essional shortage areas by <strong>the</strong><br />

federal government. In practical terms, this means an<br />

estimated 1.5 million people may not have adequate<br />

access to dental care.<br />

The federal agency that keeps track <strong>of</strong> health care<br />

data reports that <strong>Louisiana</strong> needs a minimum <strong>of</strong> 235<br />

new dentists to address <strong>the</strong> current shortage. However,<br />

numbers alone don’t tell <strong>the</strong> whole story. The issue,<br />

far more complicated than just absolute numbers,<br />

is a question <strong>of</strong> adequate distribution. Last May, <strong>the</strong><br />

LSU School <strong>of</strong> Dentistry graduated 60 new dentists.<br />

The majority stayed in <strong>Louisiana</strong> and entered general<br />

dentistry practice in five major suburban/urban areas.<br />

The result <strong>of</strong> this longstanding trend is that much <strong>of</strong><br />

rural <strong>Louisiana</strong>, 85% <strong>of</strong> <strong>the</strong> state’s geographic area, is<br />

without sufficient access to dental care.<br />

Adding to <strong>the</strong> shortage issue is <strong>the</strong> aging <strong>of</strong> <strong>the</strong> dental<br />

workforce. According to <strong>the</strong> records <strong>of</strong> <strong>the</strong> <strong>Louisiana</strong> State<br />

Board <strong>of</strong> Dentistry, 27% <strong>of</strong> licensed dentists are 60 years<br />

and older and 56% are over age 50.<br />

After attending <strong>the</strong> national meeting, I would like<br />

to share my “take away” message:<br />

Dr. Henry Gremillion, center, at <strong>the</strong> Wirth Ceremony with first-year<br />

students, from left, Daniel Antee, Jonni Kumar, Joshua Reaves, Colton<br />

Ducote, Blaine Calahan, Bonnie Muro and Vanessa Castillo.<br />

<br />

<strong>the</strong> table all <strong>of</strong> <strong>the</strong> interested parties to develop<br />

amicable solutions so that oral health care can<br />

be available for all who desire it,<br />

<br />

great that solutions will likely be regional and<br />

not universal, and<br />

<br />

recognize <strong>the</strong> importance <strong>of</strong> giving back.<br />

On November 19, a special ceremony was held<br />

at <strong>the</strong> dental school for our first-year dental, dental<br />

hygiene and dental laboratory technology students to<br />

welcome <strong>the</strong>m to <strong>the</strong> pr<strong>of</strong>ession. The F. Harold Wirth<br />

Pr<strong>of</strong>essionalism and Ethics Ceremony was developed<br />

as a means <strong>of</strong> charging our incoming students to<br />

develop an honor code and publicly pledge to uphold<br />

<strong>the</strong> highest standards <strong>of</strong> ethics and pr<strong>of</strong>essionalism.<br />

Every one <strong>of</strong> <strong>the</strong> speakers who addressed <strong>the</strong> students<br />

during <strong>the</strong> ceremony talked about <strong>the</strong> fact that,<br />

year after year, dentistry is one <strong>of</strong> <strong>the</strong> most trusted<br />

pr<strong>of</strong>essions in America. I believe and I trust that as<br />

a pr<strong>of</strong>ession we will invite everyone to <strong>the</strong> table and<br />

arrive at a satisfactory solution so that <strong>the</strong> greater<br />

good will be served.<br />

20 LDA <strong>Journal</strong>

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