ASDA District 6 &7 Meeting

By | Advocacy, events | No Comments

by: Dominic Hohman, Case Western

Advocacy; A simple word that now holds so much meaning to the hundreds of dental students that attended the ASDA district 6 and 7 meeting this year. Many dentists, student and graduate alike, are unaware of the crucial role that we can play in changing our profession in the many years to come. At the ASDA district 6 and 7 meeting we were not only encouraged to reach out to our senators, we were given the opportunity to meet many of the men and women that fight for our profession every day. This included speeches from the ODA, the ASDA national executive board, and testimonies from a few of the students that have actually sat down with their senator and educated them about the dental profession. Seeing the dedication that all of these people had to us, and our profession, was enough to encourage everyone there to get involved and do whatever we could to help dentistry continue to grow and evolve in a way which is advantageous for us and our patients.

The energy at the ASDA district meeting brought us together. From learning about job opportunities to tailgating for the Ohio State game we came together as a group and learned more about each other than we ever imagined we could in two days. Many of us were shocked at how many similarities we saw between the different dental schools. We began to realize that even though we were far away from each other and were going through a completely different program, we really were all working toward the same goal: to be the best dentist we could be and to make sure that our patients were treated to the best of our capability. It was refreshing to see so many people that had a passion for dentistry and it’s future.

Though the meeting was short, the experience was second to none. The 2015 ASDA district 6 and 7 meeting invigorated every member that attended and challenged each person to advocate for dentistry and push our profession to heights it’s never been to before. I know that we all left with a better understanding of our career and better relationship with our district and friends.

Dentists May Be the First to Diagnose Systemic Health Issues

By | Food for thought | No Comments

by Mudita Agrawal, University of Michigan (2016)

 

A few weeks ago, a patient of mine walked into the clinic panting and puffing. As a general protocol followed here at school, I took his blood pressure and was shocked to see 220/110 mmHg. Upon asking, the patient reported never having visited a physician, so I requested that he get a consultation done with one as soon as possible. This is a perfect example of ways in which dentists are the first to diagnose not just oral health issues but systemic health issues as well.

During oral examination if we see white or red patches with oral ulcers that do not heal. This could be signs of cancer.  Similarly, HIV or AIDS can present with with unexplained sores or white patches as well as oral yeast infection. Changes in oral healthcare habits and poor oral hygiene can be signs of mental diseases such as dementia.

“Inflamed gums and loose teeth can be warnings of heart disease,” says Alyson Hope Koslow, DDS, a clinical assistant professor of restorative dentistry at the University of Illinois Chicago. “That’s because if you have a gum disease like periodontitis, the bacteria in your gums could travel to your heart and contribute to coronary artery disease.”

Gum disease, bad breath, bleeding gums, and loose teeth may be warning signs of other systemic diseases such as diabetes. These patients may also tend to have a slower healing time. Osteoporosis can cause changes in the bone that supports the teeth, too. This may be seen clinically as receding gum line and loose teeth.

Erosion on the teeth could be signs of gastroesophageal reflux or forced vomiting in a young person with bulimia. The stomach acid wears away at enamel and it makes the teeth more sensitive. Erosion in bulimia tends to occur on the tongue side of the incisors whereas GERD often presents on the upper back molars.  Reflux disease can cause erosion of the esophagus and may even lead to esophageal cancer.

Dry mouth may be caused by medications or it may be a sign of a disease such as diabetes or Parkinson’s disease. Pale oral tissue may appear in anemic patients, and they may also have a swollen and inflamed tongue (termed glossitis).

Infectious Diseases such as herpangina may present with white sores in the mouth and throat. Renal disease may also contribute to soft tissue ulcers and possibly a metallic taste.

There are a lot more diseases which can be diagnosed by a dentist while doing oral examinations. I feel blessed to be a dentist as we could be the ones to diagnose diseases, even before the family physician does. We can save so many lives with some awareness and vigilance to our patients.

Casting Off the D3 Jadedness

By | Food for thought | No Comments

by Riley Schaff, University of Michigan (2017)

As the Class of 2019 donned their white coats for the first time, I couldn’t help but think back two years to my own White Coat Ceremony.  Bright-eyed and smiling, I remember as we posed for photos with the eager anticipation of being one step closer to that prefix “Dr.”  As I’m sure could be easily surmised, I have not been bright-eyed and smiling every day since then.  Getting through each day in dental school can be an arduous task at times, and, as I’m now entering full-time clinical care, school has a whole new set of stressors and challenges.  I, like many of my classmates and third-year counterparts at other dental schools, often feel a little wearied.
Seeing patients full time has been something I’ve looked forward to since I decided I wanted to become a healthcare professional.  Being able to interact with people while helping them achieve better health is an incredibly rewarding experience, and, even after just a few months in the clinic, I have already had my fair share of hugs and thank you notes from my patients.  However, as every third-year (and fourth-year) dental student knows, those experiences are balanced by long days in clinic when things don’t go as planned and patients who don’t show up.  As I reflect on the experiences of both the last few months and the last few years, I do see how I’ve grown both as a person and as a professional. There are many days indeed I feel jaded and dread heading into school, but I am coming to realize those days are balanced by seeing grateful patients that reminds me why I chose dentistry.  Those tough days go a little smoother as I have begun to feel more comfortable and confident in my skin as a clinician.
This halfway milestone, beginning my third year, reminds me why I began dental school bright-eyed and smiling, wearing my white coat free of PVS stains and die stone on my sleeves.  I want to regain my optimism and positivity and cast off this jadedness. Two years closer to my DDS with two years to go, I’m focusing on this contagious excitement to be a member of this profession.  The white coat-donning eagerness of the new D1s is reinvigorating, and I hope I can continue tackling the challenges and triumphs ahead with the D1-esque smile.

Invisalign vs: Fixed Appliances: What’s the Difference?

By | Food for thought | No Comments

by Mudita Agrawal, University of Michigan (2016)

 

Cosmetic dentistry is becoming increasingly common as people focus on improving their smiles.  Orthodontic treatment is just one facet of this increased attention to cosmetics.  Orthodontics, with its prefix coming from the Greek word meaning “straight,” is the specialty of dentistry that deals with straightening teeth.   Dental professionals use various techniques to straighten teeth. Teeth are moved to give them an ideal position, improve esthetics, and to promote better function of the patient’s bite. Dental professionals improve the patient’s smile while also focusing on his or her oral health.

Most commonly, either braces or Invisalign are used to straighten teeth. Invisalign is a great tool to improve the malocclusion of teeth though it does not work in every case. It uses a series of clear plastic trays to move teeth one step at a time. On the other hand, braces usually use metal wires and brackets to position the teeth.

Invisalign is a great method of doing tooth movements that are not very complicated.  It also works better for esthetic purposes than metallic wires and brackets. These are a set of clear, computer-generated plastic trays ideally worn 24 hours a day and are changed every two weeks. There are certain retention trays given to patients after tooth movement is complete. One of Invisalign’s main advantages is that the trays are thin and unnoticeable. It also offers some degree of comfort because it does not affect the patient’s speech much and also may make him or her feel comfortable in social situations.

Treatment with braces uses brackets which are attached to teeth and subsequently to a wire. An orthodontist or any other trained dental professional is responsible for fixing the dental braces onto the teeth. This supports slight teeth movements that, over time, provide proper alignment and straightening of the teeth. One benefit of dental braces over Invisalign is that these are not removable so patient compliance would not be as great an issue.  Dental braces also afford more precise control of a tooth’s movement compared to Invisalign.  Braces work much more efficiently for complicated tooth movements, and they can also be expected to act faster at closing gaps and aligning the teeth.

Choosing between various orthodontic treatment ultimately is based on the patient’s expectations, desires, and severity of malocclusion.  Considering these three things, the patient and his or her dental professional can decide on an avenue that will give them the smile they have always wanted!

Welcoming our District 6 Cabinet VP’s

By | News | No Comments

Name: Riley Schaff

Cabinet position: Communications Chair and U-M Chapter Vice President

School and Year: University of Michigan, Class of 2017

  1. If you weren’t studying dentistry, what would you want to study?

I would want to study music if I weren’t studying dentistry. I have played piano since I was young and have always loved it.

  1. What is your favorite hobby?

My favorite hobby is watching Netflix in my bed.

Name: Eli William

Cabinet Position: CWRU Chapter Vice President

School and Year: Case Western Reserve University School of Dental Medicine, Class of 2017

  1. If you weren’t studying dentistry, what would you want to study?

I would still be studying biology. I love learning about why things happen on a physiological level and what we are made of on a cellular/molecular level. I took almost every biology class possible in university (from genetics/evolution to plant biology). As for a job, I’d love to flip houses on the side. It’s awesome to think that you can take a “helpless” project and turn it into someone’s dream home! Science + Esthetics have always been my interests, I guess (hello dentistry!).

  1. What is your favorite hobby?

I need a break from the stress of school sometimes, so when I can I turn to reality television + popular culture. Please don’t judge.

Name: Kelli Brooks

Cabinet position: WVU Chapter Vice President

School and year: West Virginia University, Class of 2017

  1. If you weren’t studying dentistry, what would you want to study?

If I weren’t studying dentistry I would most likely be in another medical field like oncology, pathology, or maybe even teaching.

  1. What is your favorite hobby?

My favorite hobby is probably golfing, although it is hard to choose just one! I love being outdoors whether it’s golfing, hiking, spending time with friends on the lake, or snowboarding in the winter. Golf is my favorite because it gives me a chance enjoy the quiet and clear my head after a stressful day at school!

Name: Kathryn Dickmann

Cabinet position: District 6 Fundraising Chair and UDM Chapter Vice President

School and year: University of Detroit Mercy, Class of 2017

  1. If you weren’t studying dentistry, what would you want to study?

I would be studying nutrition and food science. It fascinates me and I think it is important to be conscious of what we put in our bodies and how it affects us!

  1. What is your favorite hobby?

Being active!

Name: David Gorenz

Cabinet position: OSU Chapter Vice President

School and year: The Ohio State University, Class of 2017

  1. If you weren’t studying dentistry, what would you want to study?

If I weren’t studying dentistry, I would want to study and teach history. American History and European history were two of my favorite classes in high school, and I really enjoyed learning about Ancient Rome in my Latin courses. I still enjoy reading books and articles about these things and visiting history museums when I’m on vacation.

  1. What is your favorite hobby?

My current favorite hobbies are playing beach volleyball and kickball in local sports leagues here in Columbus! I’ve been playing weekly volleyball games with 5 of my fellow classmates over the last two summers and we have built some great team skills in the process. We just joined a weekly kickball league for the second straight summer as well, so my Mondays and Tuesdays are now two of my favorite days of the week because they are our kickball and volleyball days.

Green Dentistry

By | Food for thought | No Comments

by Mudita Agrawal, University of Michigan (2016)

It was a beautiful Sunday morning in Kolkata, India when I went to the market to get vegetables with my husband. There was the usual chaos of everyone trying to get their hands on the freshest vegetables for the best deal. Suddenly, something caught my attention.  I saw a huge pile of plastic, boxes, and leftovers stacked in the corner of the alley that were covered with animals trying to find their early morning breakfast. It struck me then that we are living in a world where climatic changes have begun to hammer our ecosystems and compromise our living conditions. While undoing past damage is not possible, bettering the situation for future generations is still within our reach. It is then that I realized that we as dentists should go green, too!

Soon enough, I learned about green dentistry and came to know of innovative and easy ways to reduce waste, conserve energy and water, and to reduce pollution. A green dental practice is one that reflects our commitment to the well-being of our patients, team members, community, and the environment. Through diligent planning we can create high-performance green facilities that are a healthy, productive place to work, are less costly to operate and maintain, and would reduce our environmental footprint.

Dental clinic infection control and sterilization processes can be a major source of pollution. These plastic-containing products that do not decompose are used for a short time and end up in landfills. They can jeopardize employee health and can pollute our community’s water systems.  One possible alternative is the use of steam sterilization.  This method can replace more toxic chemical-based sterilization. The use of cloth lab coats, re-usable cloth patient barriers, and FDA-registered re-usable pouches and wraps all reduce the use of disposables in the dental office.

Traditional x-ray fixers contain chemicals such as ammonium thiocyanate and boric anhydride which can be hazardous if ingested or inhaled. Another by-product of traditional x-rays would be lead which is a deadly neurotoxin. Digital imaging is a solution to this issue. If traditional x-rays are taken, fixer and developer solutions can be recycled.

Amalgam filling material contains mercury, silver, tin and copper. Mercury in our drinking, irrigation, and fishing waters can be a serious environmental concern. Nowadays, most dental offices are equipped with amalgam separators.  These are a method of filtration that are readily available, relatively inexpensive, and low-maintenance pieces of equipment.

Clean water is one of the most undervalued dental supplies, considering the worldwide water crisis threatens human health and stability in many areas of the globe. Suction systems, also known as dental vacuum systems, are an important piece of machinery for any dental office. Unfortunately, these systems use a tremendous amount of water. With the world facing such a serious water crisis, we shouldn’t be pouring this precious resource down the drain. High-tech, dry vacuum systems are a green alternative that accomplish the same results while using no water at all.  Green dental practices can also implement water-saving initiatives such as encouraging patients to turn off the water while they brush.

We can take small steps that have the possibility to bring about a huge difference to the ecosystem as a whole.  Recycling materials such as aluminum, glass, plastic, paper, and steel reduces office waste. Dental clinics can also go paperless! We can utilize a virtual office for patient charting, billing and radiography. We can also send appointment reminders through email or text message only. We can save electricity by installing solar electric panels and solar water heaters, using LCD computer screens instead of CRT displays screens, installing skylights to enhance lighting and keeping it energy free, and installing motion detectors and timers for lights.

Contrary to the perception that eco-friendly methods cost more, we now know that, in the long run, going green saves green! Green dentistry lowers supply costs, integrates high-tech innovations, and makes efficient use of staff time, reducing the overhead and increasing productivity for a dental practice.  With cognizance toward how we treat both our patients and our environment, we can all transform how we practice dentistry for the good of all.

A Word from our Legislative Liaison

By | Advocacy, Dental School Advice | No Comments
by Spencer Tepe, Ohio State University (2017)
This year I inherited the Legislative Liaison position of Ohio State. We had a successful year at Ohio State in regards to advocacy and are very proud of our achievements. We have many things now to which we can strive in the coming year and I’m the one to see that it happens. But this post does not concern what we may or may not do in regards to advocacy efforts. In fact, I believe my last post entailed much of that. Rather, this post is about ASDA in its whole and what it has offered to me personally thus far.
To date, I’ve had the pleasure and good fortune to serve in a variety of roles within ASDA. In my position now, I make executive decisions, manage others, delegate tasks and hold people accountable. My responsibilities have increased both on the local and district level. In this process I have learned a lot about my peers and myself. I have been able to refine my leadership skills via interaction with those who are more experienced and through self-reflection. My tenure in ASDA has been very rewarding and this post speaks merely to one aspect of what ASDA has offered me.
And so, my advice is simple. Get involved. Challenge yourself to do more. Don’t be discouraged by a loss in an election. And when you’ve secured the role you’ve desired, recruit as many as you’re able. Sometimes, the most significant contributions come from places you’d least expect.

Back and Neck Pain, and How to Avoid It!

By | Dental School Advice, Food for thought | No Comments

by Mudita Agrawal, University of Michigan (2016)

During the first year of dental school, we are taught the importance of patient and operator positioning. However, when we enter the simulation lab, it’s easy to adopt a mindset of learning the dental skills first and the ergonomics later. Soon enough, we feel more comfortable and confident doing those dental procedures in wrong positions. After a few years, these wrong positions start taking a toll on our neck and back muscles. A 2005 study by Dr. David has proven that 46-71% of the students  at dental school experienced neck, shoulder, and back pain with more than 70% reporting pain by their 3rd year.

When the head, neck, and back are tilted to one side while working, the muscles in use on one side become shorter and stronger and the other side becomes lengthened and weakened. The overall effect is muscle imbalance.  On top of that, the shortened muscles getting poorer blood supply. Unequal tension on the spine can cause pain, too, starting as infrequent back and neck pain and developing into chronic pain.  This ultimately can lead to a severe muskoloskeletal disorder which may require surgery or early retirement.

A sobering analogy shows that maintaining your head position in a full upper body lean or tilt of 30 degrees from the pelvis for 10 minutes requires muscular exertion equivalent to curling a 20-pound dumbbell 266 times or curling a 100-pound barbell 53 times!

So what do we do to prevent this chronic pain?  Weightlifting and resistance training can be great exercise with many physiologic benefits. Exercise and physical therapy should be part of every dentist’s routine.  Operator stool selection can help with right positioning as well. Good chair selection can promote healthier ergonomic operator positions.

As dental students, we must break habits that promote poor ergonomics.  With some focus and a mindset of future pain prevention, we can all develop good habits and have long, healthy, pain-free careers.

 

Citation link- http://jada.ada.org/article/S0002-8177(14)65544-6/abstract

 

DAVID W. RISING, BRADFORD C. BENNETT, KEVIN HURSH, OCTAVIA PLESH. Reports of body pain in a dental student population: JADA; Jan 2005; 136(1) ,81-86

WVU’s First Annual AMALGALA

By | events | No Comments

By: Megan Borak

Every spring WVU ASDA hosts a formal event for students at the usual spot: the upstairs of a downtown Morgantown venue. Every year, no one really knows what to call this event. Looking on past Instagram posts, the name had ranged from “Dental School Formal” to “Dental School Prom” to “Dental School Semi- Formal” and even “Dental School Dance.” We would all get super dressed up to just go downtown and try our best not to bore our dates by talking about teeth the entire night (we ALL do it- and we all can’t help it).

This year, when I was supposed to be cramming for my Principles of Medicine exam and was on Facebook instead, I came across OSU’s MandiBall. Green with envy, I decided the most important thing to do for the rest of my Sunday study session was to re-name the formal ASDA puts on. After polling all the students I could find in the library, “Exocytosted” was considered not-so-appropriate and “The AMALGALA” was deemed the official WVU ASDA formal name! With huge organization and planning of our social chair, Christa, we gave the event a much-needed revamp and changed the affair to a sit down dinner followed by dancing at a local country club to match the snazzy new name.

The turnout ended up fantastic! The students looked great! And one of our D2’s with the second-best moves on the dance floor put together an awesome playlist at a weeks’ notice. The best part is that only one table was broken, and we were officially invited back next year! So, if you want to see what fun was had by the West Virginia ASDA chapter, just check the #Amalgala hashtag on Facebook or Instagram to see our trademarked event! I may end up taking a B or a C in Principles of Medicine, but it was worth it listening to everyone struggling to pronounce “Amalgala” as they talked about how much fun they had weeks later!