Monday, December 30, 2019

Surviving an injury in dental school

At the sound of three bones breaking in perfect sequence as my ski-boot-covered foot slammed onto the ground, my adventure day at Squaw Valley turned disastrous. I was never the student to break the “no skiing, no snowboarding” rule of dental school. Now, one surgery later, I found myself in excruciating pain and unable to walk.

Major injuries can pose many challenges, but the additional pressure of dental school makes balancing everything seem impossible. While my injury put me out of commission for months, I found five ways to survive an accident while in dental school. 

1. Work with your administration early.

In the time I had to miss school, I missed nine finals and three practicals. I wanted to downplay the injury as much as possible, but I found myself overwhelmed by the amount of work I needed to finish.

The best thing you can do is have your doctor write a letter to the administration at school detailing the extensiveness of your injury, the typical recovery time, pain levels and what will be within your ability during recovery. Work with the administration on your individual needs.

You may feel tempted to rush and finish the work, but remember that you are in school to learn. Take your time and honestly communicate to faculty where you are. After all, you are paying to be there. My biggest mistake was trying to wing my schedule. I regret not making a schedule early and then studying accordingly. Schedule early and prevent the looming sense of panic when navigating your personal and academic life.

2. Lean on your colleagues.

I did not want to be that person who kept asking for help. It was hard to remember that no one wanted me to do this alone. Almost two years out from my injury, I still remember the classmates that were there for me during a difficult time. Those are the people I know to count on and hope to someday refer patients to!

Remember that the people in dental school are studying to become health care providers. Most of your classmates will offer to help in some way, and it is OK to take them up on their offers. From grabbing extra medicine to helping carry your stuff, this will strengthen your bond with your peers.

3. Manage your pain.

Proper pain management is essential to recovery. The first thing that may come to your mind post-injury is mobility, but I found that pain is much harder to manage. Factor in your need to ween off pain medications if prescribed them, factor in how you will carry your medications around and plan what regimen you will stick to. Put yourself back in the doctor’s shoes: What would you want your ideal patient to do?

Pain can be debilitating. It will make it hard to focus, and it is downright exhausting. Often it’s not just the injury, but how your body is adjusting to new methods of mobility that will be one of the biggest challenges. Plan plenty of time for rest and recovery from the pain of each day.

Try not to be discouraged by the pain because it eventually helps with patient management. I found that the medications I was prescribed mirrored my own patients’ regimens. Patients feel relieved when their doctors understand what they are going through.

4.  Find someone going through the same thing.

While it was unfortunate that I and another ASDA member had similar injuries, it was nice having someone to commiserate with. We both shared our frustration with not being able to attend lobby day or even sharing our day-to-day struggles. It was always fun to swap tips on managing clinic one-legged, too! There is a reason peer groups are so effective, and an injury should never preclude you from one.

5. Redefine your purpose.

The ups and downs of dental school will always challenge your “why.” An injury will rock that “why” to its core. If that injury prevents you from doing dentistry, it can make it even harder to get through the recovery process. Maybe you went into dentistry to help people, maybe you went into dentistry to fix problems. Whatever the reason is, examine it from many angles to reshape your new life to your values.

If you are having trouble remembering, read your personal statement, talk to a faculty mentor or ask your family and friends. All of these insights are important to remember your “why” and finishing off this injury better than you started.

~Alysia Mascolo, Pacific ’20

Do's and don'ts for boosting revenue

Just like in any business, your practice's success is defined by the amount of revenue that you bring in. Revenue can be affected by a variety of factors, so you must be proactive when it declines or stagnates, advises Dr. Roger P. Levin.


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Top tips for financial success in 2020

With 2020 now only a couple days away, this is the time to reflect on the last 12 months and start thinking about the improvements you'd like to make in the year ahead. This includes establishing realistic financial goals for your practice, writes practice management consultant Sally McKenzie. She shares some tips for financial success in the new year.


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Top 10 DrBicuspid stories for 2019

Breaking news and legal actions dominated the headlines in 2019. The year's last few months, specifically, served up some of the hottest stories involving everything from direct-to-consumer orthodontics to clinicians behaving badly, according to the articles most read by DrBicuspid.com members.


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Friday, December 27, 2019

Oral surgeon accused of using patients' opioids has license suspended

The Iowa Dental Board has suspended the license and the general anesthesia permit for an oral surgeon who allegedly diverted patients' opioids for his own personal use, according to a settlement agreement and final order.


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Why the 'list' is becoming the hacker's new weapon

Ransomware continues to impact the dental community. But with more companies refusing to pay the ransoms, hackers are stepping up their game by creating a list of those that have failed to pay. Cybersecurity and privacy expert Debi Carr explains why this list is the hacker's new weapon and how you can prepare ahead of time to minimize the effects of these attacks on your practice.


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Latest beauty trend for lips may come with demonic twist

Devil lips, a look allegedly achieved when lip fillers add pointed edges to the rim of a mouth, is the latest must-have beauty treatment in Russia. Though the method has gotten many likes and shares on social media, it also has gotten its fair share of criticism and skepticism.


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Monday, December 23, 2019

Do's and don'ts for ending team conflict

When it comes to workplace conflict, it's always a matter of when and not if it will happen. Although you may want to avoid it, the best way to address conflict is to do it immediately, advises Dr. Roger P. Levin in his latest Practice Success tip.


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ELSA: Promoting change for children with dental congenital anomalies

This past April, as part of the ADA Dentist and Student Lobby Day in Washington D.C, 1,000 dentists and dental students went to Capitol Hill to lobby for the Ensuring Lasting Smiles Act (ELSA), legislation that would help children with congenital anomalies. First- and second-year dental students learn about dental congenital anomalies such as ectodermal dysplasia, cleft lip and palate, skeletal and maxillofacial deformities, hypodontia and enamel hypoplasia. Third- and fourth-year students may even have the opportunity to treat patients with these anomalies.

Despite the prevalence of these congenital anomalies in the population, a lack of insurance coverage often prevents these patients from receiving oral maxillofacial care. Many families with children with congenital anomalies are often denied insurance coverage for corrective procedures, as insurance companies consider them to be cosmetic. ELSA would help change this.

This past February, Senators Tammy Baldwin (D-Wis.), Joni Ernst (R-Iowa), Sherrod Brown (D-Ohio) and Lisa Murkowski (R-Alaska) reintroduced this bipartisan legislation. ELSA requires health insurance plans to cover medically necessary services resulting from congenital abnormalities. It also stipulates that such coverage includes services and procedures that functionally repair or restore any missing or abnormal body part that is medically necessary to achieve normal body functioning or appearance, and clarifies that this includes adjunctive dental, orthodontic or prosthodontic support.

Read the rest of the article in the November/December 2019 issue of Contour magazine.

~Patrick Campbell, Marquette ’20

When is it OK to give 'healthy' gifts, like toothbrushes?

Go ahead, wrap that toothbrush and give it for your upcoming holiday celebration. Just make sure the recipient is about 24 years old. By that age, people in the U.S. are tickled to receive toothbrushes, books, or underwear as gifts, according to the results of a new survey.


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New HPV saliva test may speed detection of mouth, throat cancers

Scientists have fused acoustics and microfluidics in a novel saliva test designed to show within minutes whether a person has a high-risk strain of HPV associated with mouth and throat cancers. Results were published online December 13 in the Journal of Molecular Diagnostics.


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Perio disease linked to worse maternal, newborn outcomes

A recent study has linked periodontal disease during pregnancy to worse health outcomes for both mothers and their children. The authors called for more oral health outreach efforts to address this preventable and treatable health-related pregnancy risk.


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Friday, December 20, 2019

Dentist gunned down in front of Fla. practice dies

A Florida dentist who was shot outside her office in November has died. One of the accused shooters is the brother of a man she was set to testify against about a theft at her practice, according to news reports.


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6 ways to improve your practice's web presence

Having a strong internet presence is pivotal to the financial well-being of your practice. Mike Monfredi, the practice manager at Monfredi Family Dentistry, details six ways you can improve your practice's internet presence and also build connections with your patients.


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9 ways your patients will benefit from low-level laser therapy

Dr. Mel Burchman, president of the Academy of Laser Dentistry, explains how low-level laser therapy, or photobiomodulation, can offer your patients many therapeutic benefits, including reduction of pain and inflammation, immunomodulation, and promotion of wound healing and tissue regeneration, as well as being an alternative to addictive opioid drugs.


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5,700-year-old 'chewing gum' offers snapshot of ancient people

A complete human genome, oral microbes, and human pathogens were retrieved from a 5,700-year-old type of "chewing gum," untapping a new source of ancient DNA and shedding light on the person who chewed it, according to research published on December 17 in Nature Communications.


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Thursday, December 19, 2019

Ex-dentist pleads not guilty to threatening 3 judges

A former Missouri dentist has pleaded not guilty to threatening three court judges as part of a divorce and child custody, according to news reports. The dentist was arrested after a standoff with police earlier this month.


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New Calif. law requires lactation accommodations at work

A new California law takes effect on January 1 that requires workplaces to provide certain lactation accommodations for employees. The law also expands protections for nursing mothers and increases penalties for those businesses that fail to comply with the requirements.


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DrBicuspid Dental Excellence Awards 2019 finalists

DrBicuspid.com is pleased to announce the finalists for the 2019 Dental Excellence Awards. Voting for the final round is now open, and it's up to you to determine the winners in our 10 categories, ranging from Best New CAD/CAM Product to Best New Toothpaste.


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Ergonomics: What makes dentistry such a pain in the neck?

Whether you're a dentist, team member, or dental student, you probably already know the physical strains of our profession. But dentistry doesn't have to be a pain in the neck. Dr. David Rice offers some simple strategies for staying healthy and happy as we ring in the holidays and head into the new year.


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Wednesday, December 18, 2019

How pass/fail grading can impact the dental school experience

During my undergraduate years, I would dwell on my grades. Getting an 89% on an exam would leave me feeling defeated and frustrated — I was so close to an “A,” after all! Now that I am a third-year attending a pass/fail dental school, I feel as though I’m able to perform at the best of my intellectual abilities with minimal academic stress. This can be considered one of the biggest benefits of attending a pass/fail dental school, but are there drawbacks, too?

Several students at pass/fail institutions say that this particular grading system seems to halt competition between peers because everyone is working toward a common goal.

Taylor Fisher, a D3 at LECOM, feels the benefits of a more universal assessment measure is exemplified through the pass/fail grading system. She explains, “It allows for a more cohesive and supportive class.” The fixation on obtaining every point possible on an exam or practical can be mentally draining. The pass/fail grading system can help ease this worry.

There are challenges, too, though. A student who did not give as much effort and got a 78% would receive the same “P” on their transcript as a student who received a 94%. Plus, a 74% is reported as an “F” on one’s transcript, as opposed to the “C” that would be reported on the transcript of a student attending a school using the traditional letter grading system.

This could fail to instill motivation, as some may only strive to pass. As future dentists, we have a responsibility to learn as much as we can and practice as much as possible, not simply get by. How do we alleviate concerns of a well-performing student who desires to stand out on their transcript receiving an identical grade to that of another student who is only technically passing? Mark Zmiyiwsky, a predoctoral and postdoctoral faculty member at LECOM stated, “For those who aim to specialize following graduation, LECOM attempts to prepare students to sit for the ADAT examination, allowing specialty program directors to attest to each candidate’s academic and clinical abilities using a numerical standardized test score.”

Furthermore, without letter grades and with the NBDE Part I and II exams reporting pass/fail results, the task of specializing can be daunting. Without letter grades and percentages, it can be more difficult to differentiate yourself as a candidate. Therefore, students with an incredibly high GPA and aspirations of specializing upon graduation may not support the pass/fail grading system.

Second-year student Stanley John is a member of the first LECOM class assessed with letter grades (its first five classes were pass/fail). As a predoctoral student hoping to specialize in endodontics, John says he’s in favor of LECOM’s transition to a numerical grading system. “It would be like applying to dental school without a GPA or DAT score,” he says. “You can do all the extracurriculars in the world, but you won’t get anywhere without numbers.”

There are many qualifications beyond grades, though, and these attributes can help one transition from student to resident. Leadership opportunities, patient interactions, research involvement and volunteerism are aspects that program directors often focus on over class rank and GPA, according the ADEA’s Charting Progress.

As a student at a pass/fail institution, I admire our class’ ability to work as a cohesive unit that consistently strives toward a common goal. I see that there is minimal competition between one another, and exam scores do not define us. I also have faith that if I choose to specialize later on in my career, it is possible. The debate of which curriculum holds more merit will continue, but I would not trade my experience at a pass/fail dental school for anything else. This alteration in grading philosophy has allowed me to make astonishing strides on my mental health, self-confidence, as well as career aspirations following graduation.

~ Lauren Cuculino, LECOM ’21

Mich. sues 4 opioid distributors under drug dealer act

Michigan has filed a lawsuit against Cardinal Health, McKesson, AmerisourceBergen Drug, and Walgreens, alleging the four major opioid distributors are liable under the state's Drug Dealer Liability Act.


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Dental care may be crucial for patients on dialysis

Poor oral health may be linked to worse heart health for patients with end-stage renal disease. A study found that patients on hemodialysis had significantly worse oral health than their peers and that these patients may also be at risk for arteriosclerosis.


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Tenn. practice may have exposed patients to HIV, hepatitis

Patients may have been exposed to bloodborne infectious diseases, including HIV and hepatitis B and C, at a Tennessee dental practice that failed to properly sterilize tools and equipment. The state recommends patients who were treated at the practice's two offices during the last three years get tested, according to news reports.


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Tuesday, December 17, 2019

Dentist ordered to pay $1.7M for Medicaid fraud

A dentist in Connecticut was ordered to pay $1.7 million for engaging in a long-term, extensive scheme of creating fake patient records for dental work he never completed to defraud the state's Medicaid program.


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Fast-tracked oral mucositis drug shows promise

A drug intended to reduce the severity and incidence of radiation- and chemotherapy-induced oral mucositis showed promising results in a recent clinical trial. Patients treated with the drug had reduced duration, incidence, and severity of severe oral mucositis.


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Another dentist sues Delta Dental, following ADA's lead

A dentist in Mississippi has filed a class-action suit against Delta Dental plans and the Delta Dental Plans Association, accusing the largest dental insurer in the U.S. of fixing prices and conspiring to reduce the amounts paid to clinicians.


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Monday, December 16, 2019

ADA calls for ban on vaping products not OK'd by FDA

The ADA took a new, more aggressive stance against vaping and electronic cigarettes (e-cigarettes) on December 16, calling for a total ban on any products that have not been approved for tobacco cessation purposes by the U.S. Food and Drug Administration (FDA).


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Meharry ASDA: Impacting the community in a big way

As dentists, serving the greater community through health care is not just our job but an incredible opportunity. Meharry is a historically black college located in Nashville, Tennessee, and as Meharrians, we are pilot leaders not only within our communities but globally as well. We understand that seeing someone who looks like you in a professional field matters. Every day we treat patients, but our focus is on healing the entire community, which can be affected by lack of resources and barriers to care. From volunteering at local youth centers after class to providing free dental treatment at community events, we enjoy providing quality outreach in our community and are determined to make a difference.

During ASDA’s 2019 Annual Session, Meharry ASDA received the “Outstanding Community Outreach” Gold Crown Award. One of the largest and most influential programs our student leaders have implemented on campus is our Meharry Oral Health Day. Four years ago, ASDA alumna Dr. Audrey Fields wanted to provide oral health treatment at no cost to the community. Today, Oral Health Day is one of our most anticipated events of the year. 

Servicing more than 600 patients at an event this large takes a full year of planning and about 300 volunteers from the community. The event starts at 7 a.m. each year and lasts for about nine hours, although most volunteers arrive much earlier and stay later. Our patients are medically triaged before presenting for treatment. This year during Meharry’s third annual event, the dental school collaborated with students in our medical college, as well as students from several other universities in the area. 

During Oral Health Day, a complete medical history is taken and vital signs are recorded as the patients are screened for treatment. If a patient is deemed unable to receive treatment based on our findings, we explain that the treatment is not the best option for them at this time and provide referrals to the hospital if necessary. 

Based on the patient’s chief complaint, we put them into three groups: prophylaxis, fillings or extractions. Extractions are further broken down into simple or surgical, and each patient is sent to receive their specific treatment. Because this event involves the entire community, we partner with local grocery stores, restaurants, dental offices, and a plethora of other vendors and organizations. We plan for many variables, including medical interpreters we may need, overnight security and traffic guides, inclement weather and entire meals to feed our volunteers and the community. 

At the 2018 ASDA National Leadership Conference, Meharry ASDA alumna Dr. Mirna Azer and student dentist Jordan Pierre presented “32 Problems but a Tooth Ain’t One,” which highlighted the planning of and involvement in Oral Health Day. It was an honor to be recognized at the national level and a wonderful opportunity that allowed us to help guide other students who may be interested in planning a large community event at their schools. 

As Meharry’s Fourth Annual Oral Health Day approaches and gains more national recognition, it is our hope that other chapters that have dreams of starting events like this do not feel limited by the lack of experience in the field. 

In January 2020, as a part of ASDA’s Week of Service, Meharry students will kick off activities by participating in a community service event in honor of the Dr. Martin Luther King Jr. Day of Service holiday. The remainder of the week will be filled with events targeting low socioeconomic, geriatric and pediatric populations, as well as environmentally friendly events.

As Meharrians, we support one another and are excited that we can be pioneers in dental students taking on such large feats. As we continue to matriculate through school, we are constantly reminded of our purpose. Becoming a part of something bigger than ourselves and leaving a legacy is something Meharrians take great pride in as we continue to make an impact.

~Rayna Turner, Meharry ’21

ASDA’s Week of Service is Jan. 17-25, 2020. Start working with your chapter leaders now to organize an event that serves your community. You also can participate in the national canned food drive challenge. Visit ASDAnet.org for challenge details, event ideas and resources.

Time to play 'Would You Rather' dental edition

Holiday time is the perfect time to play some "Would You Rather," the party game that forces participants to reveal surprising facts about themselves, providing insight into what they value most. DrBicuspid.com presents the dental edition of the game, featuring questions involving dental hygiene.


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Do's and don'ts for strategic planning: Take charge of your practice

When it comes to building a successful dental practice, "winging it" rarely works, notes Dr. Roger P. Levin. To be successful, most companies engage in strategic planning, which can help them identify the direction that they will go and what new concepts, expertise, and skill sets will be necessary to head in that direction.


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How to keep your dental team from dreading Mondays

In dental practices, Mondays are typically busy for various reasons, such as dental emergencies or patients remembering over the weekend to schedule appointments. Team members may dread returning to work after a restful weekend and starting the busy workweek. Dr. James Anderson offers some suggestions to ease the Monday blues.


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Friday, December 13, 2019

How to turn a retirement plan into a transition vehicle

When a dental practice consistently reports high earnings, it is the most opportune time to adopt an employer-sponsored, qualified retirement plan. And the end of the fiscal year for a dental practice is the perfect time to make this transition, according to certified public accountant Bruce Bryen. He explains how to determine if this type of benefit plan is right for your practice.


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The biggest challenges DSOs are facing

Anthony Stefanou and Connect the Dents spoke with top executives and business development directors from emerging and midmarket dental service organizations (DSOs) to determine the biggest challenges DSOs are facing.


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