Dentistry is just the beginning
The mission of the Case Western Reserve University School of Dental Medicine is to provide outstanding programs in oral health education, patient care, focused research and scholarship, and service that are of value to our constituents. We accomplish this in an environment that fosters collegiality and professionalism and that enables a diverse group of students to become competent oral health care providers and contribute to the health and well-being of individuals and communities.
The School of Dental Medicine's core values are: collegiality; a culture of inquiry; diversity; innovation; integrity; and responsible stewardship.
Orthodontics' Dr. Hans Wins Fulbright to Develop Cleft Lip and Palate Center in Greece
Mark Hans’ interest in treating craniofacial deformities was sparked when his mentor, B. Holly Broadbent, invited him on a shadowing experience at the Craniofacial Clinic at Rainbow Babies and Children’s Hospital. It was 1982, and he’d just joined the faculty at Case Western Reserve University School of Dental Medicine. More than 30 years later, Hans, professor and chair of the Department of Orthodontics, has taken the knowledge he’s gained researching and treating such deformities as a Fulbright Specialist Award recipient.
The Fulbright Specialist program offers top faculty and professionals the opportunity to engage in short-term academic opportunities around the world to support curricular and faculty development. From mid-November to early December, Hans worked with faculty at the University of Athens in Greece to establish the brand-new Cleft Lip and Palate Center. His project seeks to improve the overall care patients in Greece receive. While Hans noted that there are many talented doctors there, they often work in silos, rarely consulting with each other—so they may not reach the best treatment decisions.
To address that concern, he used the Rainbow team as a model to show doctors in Greece how they can coordinate care. By instituting a protocol that would have all doctors meet with patients at the same time and discuss treatment plans, Hans believes they can reduce the number of operations required.
Hans returned home Dec. 7. Though the grant period will have ended, he will conduct a follow-up visit to check in on the program next fall.
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School Receives Up to $4.6 million to Reduce Cavities in Primary Care Settings
Convincing more parents and caregivers to take young children to the dentist begins with persuasive pediatricians—that’s the belief behind a new research project testing a novel approach to reduce cavities and improve the oral health of low-income children. Studies show only one in three children from low-income and some ethnic backgrounds visit a dentist in their early years and are more susceptible to oral diseases, including tooth decay. African-American children and Hispanic/Latino children are nearly twice as likely to have untreated tooth decay in baby teeth, according to the National Center for Health Statistics.
“Many parents believe, since baby teeth fall out, there’s no need to take kids to a dentist,” said Suchitra Nelson, a community dentistry professor. “But cavity-causing bacteria remains even after losing baby teeth and can lead to problems persisting beyond childhood. By drawing on the influence of pediatricians, we believe there’s tremendous potential to eventually reduce oral health disparities.”
The National Institute of Dental and Craniofacial Research (NIDCR), a branch of the U.S. National Institutes of Health (NIH), awarded the project up to $4.6 million over the next five years. The grant is one of 10 the NIH recently awarded with the goal of reducing inequalities in access to dental care and improving the oral health of children.
During routine well-child visits, nearly 90 Northeast Ohio-area pediatricians will apply a fluoride varnish to the teeth of more than 1,500 participating children. They also will deliver core oral-health messages to parents and guardians, including the importance of baby teeth and information on how untreated cavities can lead to problems in the permanent teeth, serious infections and pain, trouble with eating and speaking, loss of time in school and other negative effects. Pediatricians also will give prescriptions for children to visit local dentists that accept Medicaid, which will cover basic dental expenses.
By the project’s end, researchers hope to pinpoint messages that most effectively sway parents and caregivers to take their children to the dentist. They then will translate their findings into a scalable model that could be adopted by pediatricians across the country.
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Lifelong Smiles Initiative Trains Students in Geriatric Dentistry
In the five years since Anita Stone last saw a dentist, she lost teeth and struggled to chew food. But recently, dentists came to her, traveling to a suburban Cleveland senior citizen health center, where they provided the 74-year-old retiree with a cleaning, X-rays and hope for a less painful future—all within a customized van that is the first of its kind in Northeast Ohio. The "Lifelong Smiles" van's goal is to train dental students to treat older patients and, at the same time, offer needed services to residents of Cleveland-area nursing and assisted-living facilities.
"Everything done in a dental office, we can do in the van," said Nicole Harris, DDS, MPH (DEN '01), a visiting assistant professor in the school's Department of Community Dentistry and co-director of the program, "We are training our students to treat a population that often does not receive adequate dental care." The 38-foot van is equipped with two dental areas, known as operatories, for oral exams, cleanings, fillings, extractions, denture fittings and other services. In addition, two mobile dental chairs can be set up within a facility to serve more patients.
The dental school launched the program in January, hiring Harris and Suparna Argekar Mahalaha, DDS, MPH (CWR '98, DEN '01, GRS '04, public health), as codirectors. They're now teaching third-year students to assess and treat older patients, and are directing clinical rotations on the van for fourth-year students. The new program also includes interdisciplinary training, in which dental students assess patients alongside students from other fields including medicine, nursing and social work. Completing the program is a new requirement for the dental school's students.
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Study Finds Dental Implants Result in Better Quality of Life for Osteoporotic Women Than Other Treatment Options
With age, postmenopausal women with osteoporosis are at greater risk of losing their teeth. But what treatment for tooth loss provides women with the highest degree of satisfaction in their work and social lives? A new study by CWRU School of Dental Medicine researchers suggests dental implants may be the best route to take, according to Leena Palomo, associate professor of periodontics and corresponding author. The research is part of a series of studies analyzing dental outcomes for women with osteoporosis.
In one of the first studies to examine quality of life after treatment to replace missing teeth in osteoporotic women, the researchers surveyed 237 women about their satisfaction with replacement teeth and how it improved their lives at work and in social situations. The 23-question survey rated satisfaction with their work, health, emotional and sexual aspects of their lives.
The women had restoration work done that included implants (64 women), fixed partial denture, which is a false tooth cemented to crowns of two teeth (60), a removal denture, better known as false teeth (47), or had no restoration work done (66). Women with dental implants reported a higher overall satisfaction with their lives, including emotional and sexual areas, while those without restorations scored the lowest in those two areas.
As health professions move to a patient-centered form of delivering dental service, understanding the patient’s outcomes for satisfaction of the treatment’s esthetics is as important as chewing function, said Christine DeBaz, third-year dental student and lead researcher on the project.
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CWRU and Cleveland Clinic Collaborate with Microsoft on Mixed-Reality Technology
Microsoft HoloLens is the first fully untethered, see-through holographic computer, enabling high-definition holograms to come to life, seamlessly integrating with physical places, spaces, and things. Holograms mixed with the real world (mixed-reality) will unlock all-new ways to create, communicate, work, and play. CWRU Radiology Professor Mark Griswold spoke at Microsoft’s annual Build conference about how Microsoft’s HoloLens program can transform learning across countless subjects, from art to engineering, but began with a demonstration of a holographic heart. With HoloLens, students can, “see it truly in 3D. You can take parts in and out. You can turn it around. You can see the blood pumping—the entire system.” In other words, it can improve upon existing educational methods, and will do so for CWRU students at the new Health Education Campus.
After deciding to move forward with the new Health Education Campus, Cleveland Clinic CEO Toby Cosgrove approached Microsoft for a collaboration so that the state-of-the-art structure will also have pioneering technology and cutting-edge teaching techniques. Though the program has potential applications for engineering, astronomy, art history, and any number of other programs, the priority is on creating a full digital anatomy curriculum that students will experience at the new Health Education Campus.
Read more and watch the video here and visit hololens.com.