Monday, August 31, 2020

Overcoming hurdles as an international student

I was 17 when I left my family behind in the Philippines. I vividly remember tirelessly crying on the plane, only to wake up 14 hours later to the starry lights that lit up the San Francisco hills. By the time I got out of the terminal, it was 3 a.m. I anxiously waited for my ride, clutching onto the two bulky suitcases I packed my entire life into. It was terrifying but strangely exhilarating to move to a new country alone without any friends or family. 

My journey that started that night seven years ago has been filled with challenges most international students will experience. 

The dental school application process was grueling. I didn’t know of any F-1 international students who had been accepted and was even warned by one of my career advisors that I would not get into dental school as an international student. To make matters worse, I found that I could not apply to the same institutions my other peers were applying to, all because I lacked a green card. I remember frantically perusing the pages of ADEA’s list of dental schools, only to discover that zero to two international students are accepted into schools that do take international applicants. However, it was not until I was deep into my gap year that the impact of being an international student sank in. 

International students are given only one year (an extra two years for STEM majors) to stay in the states after graduating college. With limited time, I had to not only rush my application but also balance three part-time jobs (limited to my major’s field) to be eligible to stay, as companies were hesitant to sponsor a work visa for someone with merely an undergraduate degree in biology. But I had to make all ends meet in order to avoid deportation and flying expensive 14-hour international flights to attend dental school interviews. 

After facing such huge obstacles, I can confidently say that getting into dental school as an international student was a huge accomplishment for me. However, this new chapter in my life has opened a door to a new set of hurdles. The academic workload and extracurricular activities definitely take their toll, and at times, I can’t help wishing I was back home gobbling my mom’s homemade kimbap or picnicking with my family at the Han River. I still cry every time my parents drop me off at the airport to fly back to school. 

The fear and anxiety during it all is a whole other story. Every day, I am constantly under stress about my immigration status and employment after graduation. Recent efforts from ICE have reflected my fears, attempting to oust international students taking online classes during the pandemic. Without a green card, I will also be limited to lower pay and job opportunities. Furthermore, international students are barred from applying to many scholarships, which require citizenship, and the scholarships that are available typically come in small amounts. These factors, along with lack of resources and support during the pandemic, make dental school difficult. 

All things said, it’s easy to focus on the limitations, not the opportunities that arose from them. Although I’m oceans away from my family, a series of formative moments and dynamic encounters has brought me to find a keen sense of purpose and arrive at my own sense of home in dentistry. I’ve made deep connections with faculty members and colleagues who are as passionate as I am about giving back to the community and providing care to those in need. I also found great classmates who inspire me to aim higher and supportive friends who make me feel at home with delicious potlucks and fun holiday celebrations. 

Because of my situation, I aim to work harder and smarter, to show myself and my family that my immigration status does not determine what I can accomplish or how far I go in my career. The biggest lesson I learned through this ongoing journey is to believe in myself. I often found myself putting up my own boundaries, whether it was saying that I couldn’t get into dental school or that I couldn’t overcome the pressure. But now I know there is no “maybe” or “I don’t think I can.” I can and I will. 

~So Hee “Shelly” Kim, Arizona ’22, ASDA Council on Advocacy District 10-11 Legislative Coordinator

Do's and don'ts for business operations

Your entire team should understand that we have entered a new or next normal. Teamwork, cross-training, and focusing on the most important recovery factors will help the practice rebound faster and be well-positioned to remain stable in the future, explains Dr. Roger P. Levin.


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The top 6 reasons dentists have cash flow problems

Cash flow issues, unfortunately, are common in dental practices, especially these days. Dental consultant Sally McKenzie has put together a list of the six most common reasons dentists struggle with cash flow, along with tips to help readers bring more money into their practices.


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Friday, August 28, 2020

3 must-haves when it comes to dental implant impression materials

Dr. David Rice, clinical editor for DrBicuspid.com, has a simple message in this article: If your practice is like his, you are passionate about quality, and you value your chair time, make sure your impression materials have these three important qualities.


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The benefits of outsourcing and more: 'You don't know what you don't know'

What lies ahead for the dental industry for the rest of this year and beyond? Should dental practices take more advantage of outsourcing, even in times when finances might be tight? These are just two of the topics we discussed with regular DrBicuspid.com contributors Dr. James Anderson and Lois Banta.


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Can dental scalers, drills be used without spraying aerosols?

Adding a polymer to a dental office's water system can completely eliminate aerosols generated by ultrasonic scalers and drills, reducing the transmission risk of pathogens such as SARS-CoV-2, according to a study published online August 25 in Physics of Fluids.


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Thursday, August 27, 2020

Chicago Midwinter Meeting will be virtual in 2021

The 2021 Chicago Dental Society Midwinter Meeting will transition into a virtual event. Set for late February each year, the Midwinter Meeting has become not only one of the industry's biggest meetings but also a launching point for product innovations and updates.


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Dentists are in denial when it comes to their pandemic role

Dr. Marc Cooper has a simple message for his colleagues: Wake up and be responsible. With dentists and dental team members facing the threat of infection from the novel coronavirus every day, now is the time to prepare for the "what if," should it become a reality.


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3 tips to fill your scheduling gaps

As if 2020 hasn't been hard enough, many practices are facing an increase in same-day cancellations since a recent recommendation that people delay routine dental care. When you combine that with fewer hygiene recare appointments, it can leave your schedule looking bleak. Amol Nirgudkar gives three tips to fill your scheduling gaps with high-value patients.


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What COVID-19 revealed about dental x-rays

The recommendation to avoid intraoral x-rays during the COVID-19 pandemic due to potential aerosolization had an unexpected upside -- it showcased the usefulness of extraoral bitewings, according to a recent clinical article published in the British Dental Journal.


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Wednesday, August 26, 2020

Women’s Equality Day and progress in dentistry

One hundred years ago, the 19th Amendment was adopted. Women were finally given the right to vote, which was a centerpiece of the first women’s rights movement. Today, this milestone is commemorated as Women’s Equality Day, celebrated every year on Aug. 26 since 1971. Albeit difficult, women have risen to achievements beyond our wildest dreams. We’ve reached for the stars, literally, making an impact in all industries and professions, from engineering, science and technology, publishing, health care and so much more.

For me, dentistry provides a career that allows me to make an impact by fostering meaningful relationships with my patients, thus improving their health, and many women are choosing this field with the same mindset. According to the ADA Health Policy Institute, in 2018, nearly 50% of dental school graduates were women; this number was a mere 11% in 1978. When asked why she chose dentistry, Brianne Schmiegelow (Missouri-Kansas City ’21) stated, “I wanted the freedom to spend time with my family and friends and to have a life outside of my career, while still being able to make a lasting impact on my community through my work.” 

While so many women have paved the way for us and made great strides in dentistry, such as Lucy Hobbs Taylor, Ida Gray, M. Evangeline Jordon and so many others, there are still times when we encounter people who challenge or doubt our abilities. On her external rotation, Taylor Little (Missouri-Kirksville ’21) experienced a patient who left the office because she was not a male provider. While most reactions are usually not this strong, Little says she recognizes she may be the first female provider some patients have ever had. To her, this presents a unique opportunity to bond with the patient and showcase her skills. For a fellow classmate of mine, she shared the experience of having interviewers ask her questions about family style and time commitment — all based on her gender. Sometimes it feels as if women can be shamed for desiring a powerful career or that some of society assumes we all want to be wives and mothers and do not think we could have time for both if we do. Progress is progress, but it has been slow, and while this can be discouraging, we can remember our advocates and support systems.

When asked what Women’s Equality Day means to him, Dr. Dylan Weber (Missouri-Kansas City ’20) stated that it’s the “recognition and celebration of the unique and innate power of all women. As a male dentist, I strive to contribute to a practice environment where my co-doc and mentor receives the same level of respect I do for merely being born male. This carries to the collective of our all-women staff who have been incredible in my introduction to dentistry in private practice.”

Women’s Equality Day means a lot of different things to a lot of people. For some, it’s a celebration of how far we’ve come; it is a remembrance of those who have paved the way to create these vast opportunities we sometimes take for granted. For others, it’s a reminder of how far we still have to go. The world isn’t perfect — and it won’t ever be — but we can take this time to remember those who came before us and to continue to push for equality, justice and peace.

~Alyssa Kieschnick, Missouri-Kansas City ’21, District 8 Wellness Chair

Gum disease-causing germ may be linked to bacterial vaginosis

A bacterium linked to gum disease may promote the growth of a pathogen that causes bacterial vaginosis. The bacterium is likely introduced to the vagina during oral sex, according to a study published on August 13 in PLOS Biology.


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Ideas to help build a cohesive team in your practice

With his 33 years of experience in the operatory, Dr. Dennis Pezzolesi has seen many different kinds of leadership techniques in the dental practice. In this article, he shares some techniques that he believes will allow you to have productive meetings, get the most out of your team, and create success in your practice.


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4 tips on hiring for your dental practice during a pandemic

After working with practices throughout the mid-Atlantic region, dental consultant Malika Azargoon has discovered what is working for dental practices that are hiring right now -- and what isn't. She gives four pieces of advice that can help dental practices overcome some of the hurdles in the hiring process.


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Tuesday, August 25, 2020

Study finds vaping leads to increased COVID-19 risk among teens, young adults

A recent study found that vaping is linked to a substantially increased risk of COVID-19 among teenagers and young adults. The study, led by researchers at Stanford University, showed that young people who vaped were five times more likely to be diagnosed with COVID-19 than those who didn't vape.


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The benefits of hypochlorous acid in the battle against COVID-19

Many dentists, including one of the article's authors, Dr. Yolanda Mangrum, have started using hypochlorous acid as a way of sterilizing their operatories and practices because of the COVID-19 pandemic. Dr. Mangrum and Fred Joyal dive into its benefits and why dental practices are looking to it as an answer.


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Monday, August 24, 2020

Dental students’ role in the fight for racial equality

The appalling death of George Floyd put a national and international spotlight on the racial injustices rampant throughout the United States. Millions of protesters all over the world have come out on the streets and online to support the Black Lives Matter movement in the months since. Protestors’ voices call for the defunding of police departments, for the end of mass incarceration and prison labor, for equity in Black communities and for so much more — all inequalities and disparities that our country needs to unpack to begin healing from centuries of oppression.

The focus of this movement is on ending police brutality and other racially motivated violence against those in the Black community, such as the deaths of Breonna Taylor, Ahmaud Arbery, Tamir Rice, Michael Brown and a devastating number of others. With so much pain and violence surrounding both the current events and entire history of these topics, it’s often difficult for us to know how to respond in our everyday lives, especially when feelings of helplessness or futility arise. As dental students who are overwhelmed with the everyday stresses of exams, patient care, loan debt, etc., and as Americans living through an uncontrolled pandemic and economic recession, we often don’t see how we could possibly create an impact in a society with issues so deeply rooted and elaborately compounded.

In these times, I believe it’s imperative we widen our lens of focus to the many ways racism is prevalent in our everyday lives as students with the privilege of attaining higher education in dental school. The word “racism” here isn’t referring to Merriam Webster’s dictionary definition regarding prejudice against any race — what I mean is societal, or structural, racism. Societal racism is rooted in the historically charged societal disparities between white people and those of other races, especially Black people, and to be racist means to consciously or subconsciously uphold a system that disenfranchises and marginalizes people based on their race. In this definition, to disregard the way our society treats Black people is be complicit; thus, this inaction is racist.

Here’s a thought experiment: When you looked around your classes on the first day of dental school, did you ever notice the lack of people who look, spoke and had the same culture as you? For the majority of us, the answer is no. However, for just a handful of people at almost every dental school, this answer may feel disheartening and isolating. If you are reading this, it is more likely that you may be white or Asian than any other race, especially Black or Indigenous.

The American Dental Education Association’s 2018 Applicants and First Time Enrollees by Race and Ethnicity report states that of dental school enrollees in 2018, only 0.2% were Indigenous and 5.3% were Black. Furthermore, of all the dentists in the United States, the American Dental Association reports that in 2015, only 3.8% were Black. With Black and Indigenous people making up more than 15% of the U.S. population, according to the U.S. Census Bureau, we can see that the underrepresentation of this group in dentistry is extraordinary.

In my own 2022 class of 150 students at University of the Pacific, there is only one black person. Recently, I posted a spotlight of her on our Pacific ASDA Instagram to help tell her story of the barriers she faced throughout her education, in her journey applying to dental school and now as the sole Black person in our class. The response was tremendous, with many people applauding her bravery for retelling her experiences, and many people realizing for the first time the true lack of diversity among our peers. While it is true that she is incredibly courageous, as the only Black person in our class, she cannot change this issue alone or with only our applause.

Though it may seem like eradicating social injustice is so out of our reach as dental students and American citizens, it is precisely these roles that grant us the opportunity to create a difference. We often say we don’t have the financial means, political status or even free time to rally for Black Lives Matter, to advocate for health care reform, to speak to our representatives and so on. However, to speak on the ways we cannot make a difference neglects the privileges and capabilities we do have.

As students of higher education, future health care providers and citizens of the world, we have a responsibility to our peers, colleagues, patients and every person or child who suffers from the historical pain and suffering that majority of us in this field are currently benefitting from. We have a responsibility to create a profession that ethically upholds the quality of care for all people. We must start by asking ourselves: What more can we do to check our privilege? How else can we educate ourselves on racism and the best way to be an ally? How can we, as non-BIPOC students, show up for those who are BIPOC?

I am an Asian woman, and though I have faced discrimination in other ways, I am writing this post because I recognize my privilege as a part of the majority in this field. I hope to amplify the voices of Black women and men who do not always have the ability to speak freely in our dental school classrooms. Moreover, I believe it should not be the responsibility of the oppressed to educate their oppressor. Part of my allyship is a commitment to speaking out for those who are BIPOC in whatever ways on whichever platforms I have the ability to.

No one individual can radicalize the racist structures on which our country was built but what we can do is join the fight. We can confront the ways we are perpetuating a structure built on racism. We can go into community health and help service BIPOC communities that are low income. We can advocate for more diverse recruiting practices. We can create safe spaces for, listen to and learn from our Black patients and colleagues to understand and help alleviate their hardships. We can share their stories. And as we fight for them, we can also facilitate the healing and reconciliation it takes to make amends for our history and the pain it still causes today.

~Winna Pham, Pacific ’22

Do's and don'ts for infection control

Dental practices have always had strict infection control protocols. However, in these times, the stakes have never been higher. Practices must stay aware of all the latest rules, regulations, and resources, writes Dr. Roger P. Levin.


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FDA: Some types of PPE in low supply in the U.S.

The U.S. Food and Drug Administration (FDA), which is tasked with monitoring supply chains during public health emergencies, has announced that supplies of personal protective equipment (PPE), including surgical respirators, are limited due to the pandemic.


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RDHs give advice on coping with PPE in the age of COVID-19

How are dental hygienists dealing with additional personal protective equipment (PPE) requirements in the dental practice? We asked hygienists across the U.S. for their thoughts and the advice they would share with their colleagues. From North Carolina to Washington state, they answered our question with some interesting tips.


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Friday, August 21, 2020

Photos: Rare mouth-filling cysts cause extreme issues for infant

An infant born with multiple rare dermoid cysts in the floor of her mouth, forcing her tongue backwards and causing dysphagia, underwent two surgeries before she turned 1 year old due to doctors missing smaller cysts, according to a recent case report.


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Polarized lenses and productive treatment planning

As he continues his series on the seven deadly sins of smile design, Dr. David Rice, clinical editor of DrBicuspid.com, gives his thoughts on the importance of the right vision (for the dentist and the team) when it comes to treatment planning.


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A dentist's hard lessons and how he overcame them

Everybody has a story. Everybody has had their ups and downs. And those who say they haven't aren't being honest, writes Dr. Alvin Danenberg. In this article, he explains how challenges resulted in his life's detours and how he was uplifted by abundance.


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AI-based test diagnoses dental infection-related brain abscess

A pathogen detection test based on artificial intelligence (AI) was used to diagnose a patient's rare progressive brain abscess caused by a dental infection. Details were published on July 26 in a case report in the World Journal of Clinical Cases.


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Thursday, August 20, 2020

Guardian Life relaxes twice-a-year dental cleaning policy

With many patients still anxious about visiting the dentist since the novel coronavirus outbreak, Guardian Life Insurance Company of America has revised its policy for covering dental hygiene to encourage more patients to come in for treatment.


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How an open CAD/CAM system and the digital workflow benefits this Calif. dentist

A user of CAD/CAM technology for nine years, Dr. Chris Petrush discusses how a recent switch in technology benefited his practice and expanded his digital workflow. He also shares how same-day dentistry sets him apart from other dentists in his area.


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Are you and/or your team on the road to burnout?

After weeks of delivering dentistry in the COVID-19 ecosystem, Dr. Marc Cooper is finding from many of his dental clients that they and their staffs are feeling stressed, fatigued, and exhausted. It's the perfect recipe for burnout, which can lead to personal and professional struggles.


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Wednesday, August 19, 2020

#WorldPhotoDay: Sharing our world

The aim of #WorldPhotoDay is to inspire positive change across the world, connecting people and places through the use of photography. In honor of #WorldPhotoDay and missing being able to travel, here are some pictures from around the world, taken by ASDA’s Editorial Board.

New Zealand. Photo credit: Steph Jaipaul, Electronic Editor

Kaikoura, New Zealand
Kaikoura, New Zealand
Mount Cook
Doubtful Sound
Sheep farm

Masada National Park in Israel. Photo credit: David Alpert, Contributing Editor

“My first year finished with an unforgettable week-long trip through Israel. After a quick 5 a.m. hike up this mountain, I can safely say this sunrise was worth it.”

Australia. Photo credit: Steph Jaipaul

Aboriginal cave art
Scuba diving in the Great Barrier Reef off of Lady Elliot Island
Sydney Opera House

Galveston, Texas, United States. Photo credit: Ryan Lee, Contributing Editor

South Africa. Photo credit: Steph Jaipaul

Cape Town, Western Cape

Hawaii, United States. Photo credit: Sophia Oak, Contributing Editor

Phoenix, Arizona, United States. Photo credit: Sophia Oak

Big Big Mac at the Phoenix Art Museum

Nicaragua. Photo credit: Steph Jaipaul

Masaya, Nicaragua
La Laguna de Apoyo

~Stephanie Jaipaul, Georgia ’22, ASDA Electronic Editor, Chapter President

Dental practice valuations during COVID-19

What has the interruption to the dental industry caused by COVID-19 done to the value of your dental practice? It's a simple question but a complex answer, writes Bruce Bryen, CPA, CVA. He believes having a current valuation to compare with the last valuation is important as it represents where the practice was and where it may return once things are normalized.


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5 tips to get your medical insurance claims paid faster

Are you billing medical insurance in your practice? Are you doing it correctly? If you're unsure about either, this is the article for you. Laurie Owens gives tips and needed advice about the proper way to bill medical insurance and give a boost to your patients and your practice's bottom line.


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Will capturing droplets at the source make dental offices safer?

Wearing personal protective equipment, sending sick employees home, and integrating indoor air quality control strategies, such as air cleaning, can reduce exposure to SARS-CoV-2. However, installing extraction arms can take safety to the next level at dental offices.


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Tuesday, August 18, 2020

Questions to ask when looking for a job

Dental students of all ages and from every school have at least one thing in common: They know they want to work as dentists. What many don’t know, however, is where they want to work or if they’re making the right decisions as they shop around for career options. The key to a successful job hunt and an informed decision is so simple that it can be summarized in two words: Ask questions.

Dental students should assemble a list of critical questions and pose them to every job opportunity they consider. Take note of the responses and compare them. The importance of asking the same questions during each recruiting discussion or interview cannot be understated. A dental student might be inclined to pose different questions in conversation with a DSO-supported practice versus a private practice, but doing so will prevent that student from performing an accurate apples-to-apples comparison on which they can base a decision.

Both practices might offer professional development and mentorship, for example, but a detailed question such as “What exactly does your mentorship program look like?” may yield vastly different responses that warrant comparison. One practice may offer, “Dr. Singh will look over your shoulder during your first extraction,” whereas another practice might have a formal, organized and in-depth growth program.

One popular question posed during many recruiting interviews is often phrased incorrectly. Dental students regularly ask, “Am I paid based on production?” This is a crucial question, but the question should be: “If I’m paid based on production, am I paid based on my production or total office production?” An offer that might appear superior may yield significantly less earnings if the providers’ earnings or profit-sharing are based on individual production. This is especially concerning for a young dentist, who may be kept away from performing lucrative procedures for purely financial reasons. (That’s an excellent question to ask, too.)

Even simple questions may yield crucial information that can push a decision one way or another. Most students know of the possibility of a restrictive covenant in a job offer, but not every student truly understands the impact of such a restriction. If a dentist accepts an offer with a restrictive covenant, that dentist may be legally obligated to work outside a designated geographical area for a potentially lengthy period should that dentist leave the practice. The implications of this question could restrict future decisions regarding home and office location, commuting, transportation and even state licensure. Ask about and compare restrictive covenant details.

To best understand a potential work environment, dental students should consider asking about relevant policies regarding other team members. For example, “How are hygienists compensated?” might reveal more about the practice’s methods than reviewing a profit and loss statement. If one practice guarantees hygienists’ hours and another practice does not, this could be indicative of an ownership mindset or office culture that conflicts with your preferences.

Aspen Dental has opened its doors to dental student questions and made immediate, direct and accessible communication with clinicians a simple reality. With over 20 live Ask-Me-Anything sessions per week, Aspen Dental is actively encouraging dental students to ask any questions regarding working within the Aspen network, live (non-video) and anonymously (if desired). Dental students are never more than a day or two away from posing questions to an Aspen Dental dentist. Simply register for a live Ask-Me-Anything session and bombard the doctor with questions. No question is off-limits, and responses will be immediate and genuine. Just be sure to ask those same questions in conversations with other opportunities.

Review a recent student-oriented session, “I’m a 2020 grad, and I chose Aspen Dental. Ask me why!” here.

~Dr. Joel Lowsky, Ed.D., Aspen Dental Management

This blog post was sponsored by Aspen Dental Management.