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March 2018, Volume XXII, Number I
Getting to Know You
ADA New Dentist News is prepared by the ADA New Dentist Committee
Why dentistry? I got interested in dentistry at an early age. My mom, now a retired dentist, is my role model. She helped me see the importance of education and serving people. As more research confirm the importance of oral health to overall systemic health, I can’t think of a better profession to be a part of.
Why are you an ADA member? I believe the ADA is truly helping all dentists succeed in their career no matter their practice model or where they practice. I believe the ADA is the leading oral health advocate and has the ability to be the authority in oral health. I believe we are stronger together than apart. I believe the future of dentistry can be great and the ADA can help shape that future to the benefit of dentists and the public that we serve.
What was your first job? My first real job was being a teacher’s assistant for a biology class at the University of California, Irvine, my alma mater (Zot! Zot!).
What has been the best time of your career so far? I don’t have a singular best time of my career so far. I enjoy dentistry and the people I meet through it. It is challenging but also equally rewarding. I suppose it is a good thing to not have a “best time of my career so far” because that means greater things are yet to come.
When I’m not practicing: I’m either enjoying my time with my husband, my 2-year-old daughter and our fur baby, Frisco, or I am out and about training for my next race.
One fun fact about me: I love distance running. I have completed numerous half marathons and a few marathons. I am currently training for the Chicago Marathon in October.
When it comes to the early detection of eating disorders, dentists are in a unique
position for spotting the early warning signs and referring patients to the proper behavioral health professionals.
According to the National Eating Disorders Association, more than 10 million Americans currently are affected by serious eating disorders such as anorexia, bulimia and binge eating. These disorders can develop or re-emerge at any age, regardless of gender, shape or size. They can also adversely impact a person’s oral health, which NEDA estimates affect 89 percent of bulimic patients.
Dr. Jessica Yoo, a dentist working at a community health center in Washington, D.C., said listening is often the best tool when first approaching a patient who may be suffering from an eating disorder.
“Some patients may not even realize they need help,” she said. “Dentists are in a great position to detect the early signs and symptoms of eating disorders and even help the patients recognize the eating disorder. I try to help by listing the clinical findings such as eroded enamel, exposed dentinal layer, caries, trauma on hard palate due to self-induced gag reflex, angular cheilitis, halitosis, etc., so the patients can understand what is going on with their oral health and I answer any questions they may have.”
Oral signs a patient could be suffering from an eating disorder include:
• Loss of tissue and lesions on the teeth.
• Changes in the color, shape and length of teeth.
• Increased tooth sensitivity or decay.
• Enlargement of the salivary glands, dry mouth and reddened, dry, cracked lips.
Dr. Yoo added, “Patients who have symptoms or see change in their teeth are open to discuss about their oral health, possibly more readily
than discussing their behavioral pattern. I think having any medical professional starting a discussion on eating disorders is a great first step for them.”
Dr. Yoo said she
first encountered a patient with an eating disorder as a student at the Temple University Kornberg School of Dentistry. One of her first patients was a part-time model who suffered from bulimia nervosa — a condition NEDA defines as “a serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting.” She spent most of her clinical years in school following up with the patient. The two women later became friends, and helping patients with eating disorders sparked a personal passion in the new dentist.
“In trying to help her as much as I can. I started talking to professors from multiple disciplines, including restorative dentistry and endodontics to a behavioral health science professor. We also had multiple lectures on the early detection of eating disorder, which helped me
correctly diagnose and direct the conversation toward it.”
After graduation, Dr. Yoo joined Mary’s Center, a community health center whose mission is “to build better futures through the delivery of health care, education and social services.” She was introduced to the organization by Dr. Richard Gesker, the former chief dental officer at the facility.
When approaching a patient, Dr. Yoo also stressed the importance of making sure they are comfortable talking about his or her condition and urged providers to consider all risk factors — from the social, demographic and psychiatric perspective — when making their assessment. At the federally qualified health center where she works, she can refer patients to medical, behavioral and nutritional health specialists but when that’s not available, she recommended they find local therapists or clinics that treat patients with eating disorders and make sure the patient gets multidisciplinary help in assessing their nutritional, psychological and medical status.
In 2017, Drs. Gesker and Yoo participated in a Capitol Hill briefing on behalf of the ADA. The briefing, which the Eating Disorders Coalition facilitated, discussed the importance of early detection of eating disorders and stressed the necessity for Congress to fund the 21st Century Cures Act, which aims to accelerate the discovery, development and delivery of new cures and treatments in the way the nation treats disease.
Dentists in good position to spot eating disorders
Dr. Robin Nguyen, an endodontist in Trinity, Fla., at the 2014 Nike Women’s Half Marathon in Washington, D.C.
Making a difference: Dr. Jessica Yoo at work at Mary’s Center, a community health center in Washington, D.C.
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Want more new dentist resources?For more information about other ADA resources especially for new practitioners visit ADA.org/newdentist or reach out to the ADA New Dentist Committee office at 1-800-621-8099 or by email at [email protected]
DisclaimerThis publication of the American Dental Association is offered as information only and does not constitute practice, financial, accounting, legal or other professional advice. Persons need to consult with their own professional advisors for any such advice. Reference herein to any products and/or services of non-ADA resources is not to be construed as an endorsement or approval by the American Dental Association or any of its subsidiaries, councils, commissions or bureaus, or of any state or local New Dentist Committee, of that product or service. Non-ADA resource manufacturers and service providers are solely responsible for the products and/or services they provide. ADA is not responsible in any way for any representation or warranty, guarantee or any claims which may arise from the products or services. The ADA specifically disclaims any and all liability for damages arising out of the use of the services or products, including special and consequential damages, expenses, or other claims or costs.
Dr. Elizabeth Kapral faces what she calls “complex
situations” almost daily. The department she works in at the Erie County Medical Center campus in Buffalo, New York, serves patients with complicated medical conditions and cancer.
More specifically, about half of her patients with cancer have head and neck cancer, she said.
April is Oral Cancer Awareness Month and it is an apt time for dental professionals to consider their role in screening and mediating oral cancers.
The ADA has made combating oropharyngeal cancer a priority. In 2017, the Association and The University of Texas MD Anderson Cancer Center announced a collaboration to focus on increasing human papillomavirus vaccinations for cancer prevention.
Dr. Kapral, 33, who graduated in 2013 from the State University of New York at Buffalo School of Dentistry, said she talks with patients about oropharyngeal cancer on a daily basis. They discuss risk factors
— smoking, alcohol use, medical history and possible viral infections — and she sometimes motivates them to modify their habits or control their medical conditions.
While most of Dr. Kapral’s patients are adults and beyond the eligible age to receive the HPV vaccine, which the Centers for Disease Control and Prevention recommends for youth ages 11-12, she said she still discusses the vaccine with them since “they can share the information with family and friends who may then become vaccinated.”
The Erie County Medical Center saw about 11,000 general dentistry visits in
2017 and 6,000 oncology patient visits. Dr. Kapral and her mentor, Dr. Maureen Sullivan, who is chief of the Department of Dentistry’s Division of Oral Oncology and Maxillofacial Prosthetics, keep pretty busy as two of about a dozen dentists who staff the medical center clinics.
Dr. Kapral said she is seeing more and more younger, healthier patients afflicted by oropharyngeal cancers.
According to the Center for Disease Control and Prevention, HPV is the cause of about 70 percent of oropharyngeal cancers in the U.S.
Dr. Kapral said she sees cancer screening and prevention as “primary responsibilities” in her role, though she acknowledges that when it comes to HPV, it can be uncomfortable to discuss its mode of transmission.
“It is important to remember that the HPV vaccine is primarily cancer prevention,” she said. “This should be the key point on which to focus.”
The ADA has resources for dental professionals when it
comes to this topic.In 2017, the Council on
Scientific Affairs released a clinical practice guideline on the evaluation of potentially malignant disorders in the oral cavity. To download this guideline, visit ADA.org/OralCancer.
In October, the ADA and MD Anderson hosted a first-of-its-kind oropharyngeal cancer symposium. To see presentations information from the speakers, including Erich Sturgis, M.D., professor in the department of head & neck surgery and department of epidemiology at The University of Texas MD Anderson Cancer Center, visit ADA.org/ADA17OralCancer.
The ADA Science Institute regularly updates a webpage on ADA.org about oral cancers, which includes links to ADA resources. To view this page, visit ADA.org, hover over Science/Research and click on “Oral Health Topics.”
Dentists can also refer patients to the ADA’s consumer website, MouthHealthy.org, for information about oral head and neck cancer and HPV.
Oral cancer awareness in the spotlight this spring
Dr. Kapral
ADA Seal of Acceptance provides evidence-based safety, efficacy information
More than 200 over-the-counter dental products sold to consumers carry something highly coveted: the ADA Seal of Acceptance.
Participating companies commit significant resources to test and market products in the Seal program, and these products can be used with
assurance that they are safe and have demonstrated efficacy according to requirements developed by the ADA Council on Scientific Affairs. These products can include toothbrushes, toothpastes, mouth rinses, floss, white strips, water flossers, power brushes, sugar-free chewing gums and denture products, among others.
Not every dental product submitted to the program qualifies for the Seal.
The ADA Seal of Acceptance is designed to help consumers make educated decisions and dentists make informed recommendations about consumer products.
For more than 125 years, the ADA has promoted safety and efficacy of dental products as part of its mission to advance oral health. The ADA’s Seal of Acceptance program launched in 1931, one year after the ADA adopted guidelines to evaluate dental products. In 1984, the Seal program earned commendation from President Ronald Reagan for “outstanding self-regulatory efforts.”
To see a complete list of ADA Seal-accepted over-the-counter products, visit ADA.org/Seal. Dentists can also direct their patients to MouthHealthy.org/Seal, ADA’s consumer website, for evidence-based information about dental care products.
The ADA brochure, Tooth Erosion: The Harmful Effects of Acid (W301), explains why acid is a major cause of tooth erosion and covers how erosion can occur from acidic drinks like soda, acid reflux/gastroesophageal reflux disease, eating disorders and dry mouth. The brochure also reviews
what can happen to teeth if erosion is left unchecked, using real cases to illustrate what it looks like and the damage it can cause. From now until April 30, readers can save 15 percent on this and all ADA Catalog products with promo code 18113. To order, visit ADAcatalog.org or call 1-800-947-4746.
2017-2018 ADA New Dentist CommitteeChairDistrict 3 n PANipa Thakkar, [email protected]
Vice-ChairDistrict 12 n LA, AR, KS, OKRaymond A. Jarvis, [email protected]
Committee MembersDistrict 1 n CT, MA, ME, NH, RI, VTAndrea C. Fallon, [email protected]
District 2 n NYLauren E. Vitkus, [email protected]
District 4 n DE, DC, MD, NJ, PR, VI, Federal Dental ServicesMichael Saba, [email protected]
District 5 n AL, GA, MSBritany F. Matin, [email protected]
District 6 n KY, MO, TN, WVEmily A. Mattingly, [email protected]
District 7 n OH, INLauren M. Czerniak, [email protected]
District 8 n ILBenjamin C. Youel, [email protected]
District 9 n MI, WI Colleen Greene, [email protected]
District 10 n IA, MN, NE, ND, SDSara E. Stuefen, [email protected]
District 11 n AK, ID, MT, OR, WABrittany T. Dean, [email protected]
District 13 n CAJonathan Pascarella, [email protected]
District 14 n AZ, CO, HI, NV, NM, UT, WYLindsay M. Compton, [email protected]
District 15 n TXAdam C. Shisler, [email protected]
District 16 n NC, SC, VADaniel W. Hall, [email protected]
District 17 n FLRobin M. Nguyen, [email protected]
New Dentist Conference in Honolulu filled with compelling, creative speakers, CE
From captivating keynote speakers and continuing education to an opportunity to explore the beauty of Hawaii, for Dr. Raymond Jarvis, this year’s New Dentist
Conference in Honolulu is a can’t-miss event.“We work largely by ourselves or in a small group practice
but as new dentists, we all have many of the same struggles and successes,” he said. “The New Dentist Conference is a way to meet other people and bring home some unexpected ideas to succeed in our practice.”
Dr. Jarvis is vice chair of the ADA New Dentist Committee and the new dentist liaison for the Advisory Committee on Annual Meetings who worked with ADA staff in planning this year’s conference. Registration for the New Dentist Conference, which is held in conjunction with ADA 2018 – America’s Dental Meeting Oct. 18-20, is open at ADA.org/NDC.
For Dr. Jarvis, who will attend his third New Dentist Conference this year, the goal in organizing this year’s event was simple: find speakers and courses that will benefit those attending.
“I’m most excited about our keynote speakers,” he said. “They’ll be discussing topics that really speak to us as new dentists.”
The first day will feature Kindra Hall, a 2014 Storytelling World Award Recipient. Her keynote is designed to equip new dentists with the essential skill of storytelling she believes is necessary to grow their brand and practice.
In addition, Sekou Andrews, a schoolteacher turned actor, musician, entrepreneur and two-time national poetry slam champion, will deliver a keynote on why one must challenge convention to make transformational change and share pivotal
moments and insights from barrier-breaking companies and individuals.
“Some people may not know [Sekou Andrews] beforehand, but they will definitely know him after,” Dr. Jarvis said. “He’s a compelling and creative speaker that rounds out our speaker lineup.”
In addition, this year’s conference includes:
• A customized continuing
education track curated by new dentists. These courses range from Management and Prevention of Dental Erosion (5801) and It’s OK to Celebrate Your Accomplishments (6160) to Wealth Accumulation for Young Dentists (6309) and Your Practice Through Your Patient’s Eyes (7310). ADA 2018 attendees may attend these courses for a fee. New Dentist Conference attendees have access to these courses, while dentists only attending the ADA annual meeting will pay a fee.
• New Dentist Conference attendees receive access to ADA annual meeting courses.
• The New Dentist Reception on Oct. 19 at the Modern Honolulu, a boutique hotel just steps away from the beach. It is also the dedicated new dentist hotel for the conference and where programming for the conference will take place.
• Unlimited access to ADA 2018 – America’s Dental Meeting events, CE and Exhibit Hall.
“One of the things I love about the New Dentist Conference is just hearing the stories of other new dentists from across the country,” Dr. Jarvis said. “We hope the conference can inspire new dentists to use or come up with new concepts they haven’t tried yet.”
This month, a digital version of the New Dentist Conference preliminary program will be available.
The registration fee for ADA 2018 is $115. The New Dentist Conference package is available for an additional $250 registration fee and includes the keynotes, meals, receptions and CE courses. For more information on the conference, ADA annual meeting or to register, visit ADA.org/NDC.Dr. Jarvis
Ms. Hall Mr. Andrews
Visit the Center for Evidence-Based Dentistry page to stay on top of your craftAvailable through the ADA site, the Center for Evidence-Based Dentistry web page provides new dentists with resources that will keep you up-to-date on the latest in clinically relevant scientific evidence at the point of care.
The page features critical summaries and clinical practice guidelines to assist new dentists. You can also sign up for continuing education courses or video tutorials on EBD from the page.
Visit today at ebd.ada.org
Alliance of the ADA conference heads to Texas in AprilRegistration for The Alliance of the ADA conference is now open. The event will take place April 19-21 in Fort Worth, Texas.
The schedule for the conference includes a presentation from Great West Financial, ADA’s sponsored group insurance provider; a talk from Dr. Robert Anderton, past ADA president, about risk management in the dentistry and how to use physical therapy for occupational pains caused by working in the dental profession.
For more information on the Alliance of the ADA or to register for the conference, visit AllianceADA.net.
CDT 2018 among new products available from ADA Catalog
The 49th edition of the Code on Dental Procedures and Nomenclature is now available from the ADA Catalog.
The latest version adds new codes while changing some of the old codes to allow for more accurate reporting of procedures. For example, one of the new codes is about the dentist’s increasing role in determining the possibility of diabetes.
More information about CDT 2018 is available at ADA.org/cdt.
Another book found in the catalogue is The ADA Practical Guide to Substance Use Disorders and Safe Prescribing. This book helps dentists and staff detect and treat substance use disorders; understand federal drug regulations; checklists to help prevent drug diversion; and a chapter on impaired dental professionals.
To order these products and more, visit ADAcatalog.org or call 1-800-947-4746.
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Participating in a Give Kids A Smile event as a practicing dentist is much different than helping out as a dental student. Dr. Maria Wittman would know. As a third-
and fourth-year student at the University of Missouri-Kansas City School of Dentistry and a 2012 graduate, Dr. Wittman, under the supervision of faculty, conducted exams and cleanings during Give Kids A Smile events at the school.
But now that Dr. Wittman, 33, is a practicing dentist in Kansas, the experience is more intense and involved.
“Now that I’m out of school, I have much more clinical knowledge,” Dr. Wittman said. “It’s different than just focusing on one tooth, I’m there to provide an overall assessment of the children and set goals for them in regards to their oral health.”
On Feb. 2 from 8 a.m.-1 p.m., Dr. Wittman was one of three dentists at Salina Dental Arts who provided free oral health care for 50-60 children. It was the first time the office held a GKAS event and the first time Dr. Wittman participated one post-dental school.
The ADA Foundation’s Give Kids A Smile program is in its 16th year and has served more than 5.5 million children. More than 300,000 underserved children are expected to receive dental services this year alone at GKAS events through the country.
Salina Dental Arts’ event was held on the national GKAS day and children only had to be under 13 years old to receive care.
The dentists and team members conducted exams, radiographs, cleanings and sealants, Dr. Wittman said.
Each child was also provided with a treatment plan to take back to their home dentist or to continue their care with Salina Dental Arts, she said.
“This came up as a national day and we thought it would be great for the office to participate,” Dr. Wittman said. “I’m very privileged to work in an office that has such a positive attitude about giving back to the community. We’re always looking for ways to help in the Salina community.”
Each of the four dentists and 18 dental team members donated their time that day with not a single one clocking in for pay, Dr. Wittman said.
“I just think that’s amazing,” Dr. Wittman said. “It’s amazing to work at an office where people want to give back.”
For more information about Give Kids A Smile, visit ADAFoundation.org/GKAS.
From dental school to professional practice: dentist participates in office’s inaugural Give Kids A Smile event
Healthy smiles: Patients at Salina Dental Arts smile during the office’s first Give Kids A Smile event Feb. 2.
Dr. Wittman
