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  1. 1. University of California, San Francisco School of Dentistry magazine Inaugural Issue / FALL 2004 Makeover! Inside the New Preclinical Lab Emerging Talent Ten Up-and-Coming Faculty Researchers UCSF Alumnus Phil Borges Shoots from the Heart
  2. 2. University of California, San Francisco School of Dentistry Editorial Advisory Board: Charles J. Alexander, Associate Dean magazine for Student Affairs FALL 2004 / VOLUME 1 James A. Anderson, Assistant Dean for Community Relations and Continuing Education news Charles N. Bertolami, Professor and Dean Barbara Gerbert, Professor and > RWJ FOUNDATION GRANT AFFECTS Chair, Division of Behavioral Sciences SCHOOL OF DENTISTRY — A $1.4 David Graham, Clinical Professor million grant from the Robert Wood John S. Greenspan, Professor, Johnson Foundation improves the Dean for Research way the school recruits, teaches Mark Kirkland, Assistant Dean, Clinic Administration and cares for patients. Richard McKenzie, Director of PAGE 2 Development & Alumni Relations Dorothy A. Perry, Assistant Dean for Curricular Affairs > ACCREDITATION: WHY WE Jane Weintraub, Lee Hysan Professor TAKE IT SO SERIOUSLY — Every and Chair, Division of Oral Epidemiology seven years, the School must be and Dental Public Health accredited by the Commission on Mission Statement Dental Accreditation. This process The UCSF School of Dentistry seeks to improve of self-examination has a positive public health through excellence in teaching, effect on everything we do. research, patient care, and public service in the dental and craniofacial sciences. We foster PAGE 4 an inspired environment where individuals identify themselves as scholars and realize updates their scholarship through service as clinicians, educators, and scientists. The goal of the School of Dentistry Magazine is to advance the mission of the School of Dentistry. The magazine is published annually for the alumni, > SPECIALTY SPOTLIGHT: ORAL students, faculty, staff and friends of the UCSF School of Dentistry. AND MAXILLOFACIAL SURGERY — Dedication of the Khosla Surgical The School of Dentistry Magazine is produced by: Suite; naming of the Scott School of Dentistry Communications University of California, San Francisco Lambert Memorial Oral and 513 Parnassus Avenue Maxillofacial Surgery Library. San Francisco, CA 94143-0430 PAGE 26 Editor/Writer: Cameron Heffernan Contributing Writers: Charles Bertolami, > CLASS OF 2004 STATISTICS — Phil Borges, Richard McKenzie Postgraduate educational Design: Laura Myers Design and practice plans; educational Photography: David M. Allen, Chris T. Anderson, debt rankings. Phil Borges, Margot Hartford, Cameron Heffernan, PAGE 27 Getty Images, Richard McKenzie © 2004 UC Regents University of California profile BACK COVER San Francisco Oral and Maxillofacial Surgery Clinical Professor Newton Gordon gives to the School to widen access to oral health care. School of Dentistry ON THE COVER: Clinical Professor Dave Graham (D’71) and son Mark Graham (D3).
  3. 3. Welcome Greetings, It is my pleasure to welcome you features to this inaugural issue of the UCSF School of Dentistry Magazine. This annual publication will update Dean Charles Bertolami and inform the friends of the TEACHING School — faculty, staff, students, alumni, parents — Renovated Preclinical Lab about the many outstanding programs taking place at Changes DDS Experience our institution. The School of Dentistry is in the midst of a modern- We hope that by sharing news and information ization of its preclinical lab that, when completed, will about the components of our mission — education, take more than three years and cost nearly $3 million. Generous alumni have made the initial equipment scientific exploration and service to the community — enhancements possible, but more funds are required we can further enhance our relationship with our to complete the job. internal and external constituents, and continue to PAGE 5 make a difference in the lives of the patients and students we serve, while promoting the advancement of the dental and craniofacial arts and sciences. Aspiring to excellence in every aspect of our mission is a continual challenge. And yet, excellence is COMMUNITY precisely what has been achieved — in part because In Focus: Phil Borges, of the judicious allocation of the funds we have. We UCSF Medal Winner have leveraged resources by collaborating with the Orthodontist Phil Borges (D’69) left a lucrative other schools on campus, other dental schools, the practice in Northern California to pursue his UCSF Medical Center, the National Institutes of Health dream of becoming a professional photographer. (NIH), and other friends and affiliated organizations. We talked with him to find out why, and to see what he’s up to next. We have tried to ferret out every entrepreneurial opportunity open to us. Most importantly, we have PAGE 12 asked for, and consistently received, the financial help of constituencies that care about what happens in the School — especially our alumni, faculty and grateful patients. We have relied heavily on the extraordinary generosity of those who have entered the dental and oral health care professions. RESEARCH This publication is one way we can thank you, our Emerging Talent generous benefactors, for all that you have given and Ten up-and-coming, young faculty members are continuing to give. discuss their research, motivations and background. They’re just part of the reason that the School of Best regards, Dentistry has earned the most NIH awards of any dental school annually for the past 13 years. Charles N. Bertolami, DDS, DMedSc PAGE 18 Professor, Dean 1
  4. 4. newsGrant Improves Student Recruitment, Cultural Awareness and Patient Treatment The School of Dentistry is The grant allows the School who had completed the currently in the second year of to increase the number of Post Bac program went on to a $1.4 million, five-year grant students (from 10 to 15) graduate from a U.S. dental from the Robert Wood Johnson accepted into the one-year school. According to (RWJ) Foundation to recruit Post Bac Program, the first of Alexander, the majority of disadvantaged students to oral its kind nationwide in dentistry. those graduates are practicing health professions, enhance the The goal of the Post Bac in dentally underserved areas amount of cultural competency Program is to better prepare of California. economically and educationally “The Post Bac program disadvantaged students, gives students from disadvan- who had initially failed to gain taged backgrounds the same admission, for re-application opportunity that students from to a U.S. dental school. more privileged backgrounds Participants receive mentor- have,” Alexander said. “It ship, preparation for the hopefully opens doors to Dental Admissions test, careers for students who housing, and a stipend for previously would not have been study, allowing them to extended this opportunity.” enhance their academic competitiveness for admission Multi-Cultural Curriculum to dental school. Another component of the training in the curriculum, and RWJ grant involves preparing increase access to care for Strong Track Record dental students and faculty to members of underserved Over the six years of the provide culturally sensitive populations. program’s existence, 99% of health care for the patients With respect to recruitment, participants (69 of 70) in the they will be treating, both at the funding from the RWJ grant program have successfully Parnassus Student Dental allows the School greater gained admission to at least Clinics (at 707 Parnassus) and contact with prospective dental one U.S. dental school. on externships in community students, according to Charles By the end of the academic clinics that treat underserved Alexander, Associate Dean year in 2004, 22 students communities. for Student Affairs. Visits by prospective students to the UCSF campus and recruitment trips by School of Dentistry staff to undergraduate campuses have both been increased due to the funding. Unique Recruitment Program Money from the RWJ grant is also being used to expand a supplementary recruitment endeavor — UCSF’s successful Post Baccalaureate (Post Bac) Program, which assists college graduates in gaining accept- ance into a U.S. dental school. 2
  5. 5. 4 1 2 19 8 6 18 10 5 16 15 7,9,11 12,14 17 13 Students will learn about many different dimensions of culture, such as verbal and non-verbal greetings, health and illness beliefs, traditional healing, attitudes toward prevention, barriers to care, and guidelines for working with Where in 3 interpreters. “We assist students in developing a culturally informed approach to patient California is the care,” said Linda Centore, Associate Clinical Professor, and curriculum advisor for the grant. UCSF School of Dentistry? Putting it into Practice Last year, all fourth-year dental students contributed 15 days of dental care at community externship clinics, completing 9,113 The final component of the RWJ grant involves patient visits and providing $748,070 worth of dental care — primar- expanding the number of community clinics ily for people on limited incomes. In 2003, 47 percent of Denti-Cal with which the school has affiliations from five procedures done at all California dental schools were done at UCSF. to 19 (see “Where in California is the UCSF School of Dentistry?” at right). The first year Starting with the 2004-2005 academic year, D4 students will of the expanded curriculum commenced with work 25 days at 19 clinics scattered around California. From the the 2003-2004 academic year. All fourth-year Mountain Valley Health Center in Alpine County to the San Ysidro DDS students contributed 15 days of dental Health Center in San Diego County, School of Dentistry students care at one of the 19 externship clinics. Next cover much of the state. year, the number of days of community-based care will increase to 25. By the end of the 1. Shasta Community Health Center / Redding 2004 academic year in June, UCSF students 2. Anderson Dental Clinic / Anderson had completed 9,113 patient visits at the 3. San Ysidro Health Center / San Ysidro externship sites, and provided $748,070 4. Mountain Valley Health Center / Bieber worth of dental care, based on the UCSF 5. St. Joseph Foundation Dental Clinic / Santa Rosa pre-doctoral fee schedule. 6. Chico Family Dentistry / Chico 7. Asian Health Services, Inc. / Oakland “The partnering community clinics have 8. Orland Family Dentistry / Orland been very pleased with the UCSF relationship 9. Native American Health Center / Oakland in its first year,” said Bill Bird, Clinical Professor, 10. Oroville Family Dentistry / Oroville Associate Dean for Clinic Administration, 11. Fruitvale Dental / Oakland and Principal Investigator on the RWJ grant. 12. La Clinica De La Raza / Oakland “The externships prepare students to 13. Dientes! Community Dental Clinic / Santa Cruz improve treatment for patients in underserved 14. Transit Village / Oakland areas, including those on public assistance 15. Native American Health Center / San Francisco and fixed incomes and the working poor. 16. Marin County Dental Clinic / San Rafael A long-term goal is for some students to 17. Sonrisas Community Dental Clinic / Half Moon Bay locate their practices in these underserved 18. Dr. Yolanda Mangrum’s office / Sonoma areas after graduation,” Bird concluded. s 19. Red Bluff Dental / Red Bluff 3
  6. 6. news Dental Accreditation: dental and dental-related education and reflect the evolving practice of dentistry.” Why We Take It The site visit allows the CODA-appointed So Seriously team to assess the school’s compliance with both the accreditation standards as well as At this writing, the School of Dentistry’s with our own stated goals and objectives. The accreditation site visit — scheduled for April site visit complements the information that we 12-14, 2005 — is fast approaching. Dorothy will present to CODA in the comprehensive Perry, Assistant Dean for Curricular Affairs, is self-study document. leading the school’s accreditation preparation. She heads the Accreditation Steering Positive Outcomes of the Committee, which is preparing the self-study Accreditation Process documents. Members of the committee will The entire process of preparing for accredita- meet with a pair of consultants this coming fall tion has a positive impact on the school. to finalize those documents. The consultants This is a time for self-examination, during will also tour school facilities, review patient which we review our approaches to teaching, care services, analyze goals and outcome patient care, outcomes and facilities, and measures, and help the committee strategize ensure that we are maintaining fidelity to our on the best approach for the final few months mission. For this reason, we take the leading up to the site visit. accreditation process very seriously, and view the current phase of self-study as one in CODA’s Charge which we can honestly review our performance Every seven years, the Commission on Dental and strategize for the future. Accreditation (CODA) visits each U.S. dental school to ensure that it is meeting established Benefits of a Positive Site Visit standards for dental education institutions. Areas resulting in a commendation from CODA According to the website of the American have a positive impact on the school for years. Dental Association (ADA), CODA’s mission There are several fortuitous results that can “ to serve the public by establishing, arise from a favorable site visit: maintaining and applying standards that ensure Positive public perception. The American the quality and continuous improvement of Dental Association website lists the current accreditation status of all dental schools. Being listed as an accredited institution engenders confidence among not only current faculty, staff and students, but also prospective faculty, students, patients and alumni. Morale boost. Commendations are a positive reflection on the school, and should be celebrated by all faculty, staff, students and alumni. Positive effects on alumni/donors. A successfully accredited institution sends a signal to alumni and other donors that they are in full compliance with nationwide standards, and that they are doing a wonderful job of educating the next generation of oral health care practitioners. I truly feel that the accreditation process should be viewed as a positive exercise. It gives us the opportunity to reflect on our accomplishments and promote change and growth. If you have questions about accreditation, please contact Dr. Perry or me. — Dean Charles Bertolami 4
  7. 7. feature > > > TEACHING Makeover Extensive equipment upgrades comprising the first two phases of the Preclinical Lab Modernization have changed the DDS learning experience. But the modifications are not complete, and the School must raise an additional $2 million to finish the job. Second-year dental student* Mark Graham sits among more than 75 of his Class of 2006 classmates in the Preclinical Lab in the Dental Clinics Building (at 707 Parnassus Avenue) for their Removable Partial Denture Design class, RD 125.10c. The course is led by Associate Clinical Professor Mark Dellinges (D’81) with help from six other professors. Over the next four hours, Mark Graham and the other D2s will survey and design two casts of partially edentulous arches requiring removable partial dentures. > > > *Mark Graham (inset above) was still a D2 student when this article was researched. He, along with the rest of the Class of 2006, has since moved on to his third year as a DDS student. 5
  8. 8. T he goal of the course is to pre- — similar to an overhead projector, but with the images being pare each student to diagnose transmitted to the student monitors — and a touchscreen annotation patients, develop a treatment monitor that allows the professor to highlight components s/he plan and prescribe removable wants to emphasize. The professor uses the presentation camera to partial dentures that will be fabricated illustrate specific techniques to students. “If a student asks me a by the lab. Before they start their question about a procedure, I can hold the typodont up to the design work today, Dellinges will presenter camera, and walk them through an explanation of what present an introductory lecture and they should be doing,” Dellinges said. “That way, I can make the instructions on the procedure. same point to all 80 students, instead of just to one at a time.” Up until 2003 in the preclinical lab, High-quality audio and video are also integrated into the central students had to jockey for position teaching station. According to Dellinges, the presenter station near one of several monitors displaying greatly enhances the quality of his lectures. “I’ve been in situations Dellinges’ presentation, and strain to [prior to the renovation] in which an instructor doesn’t hear hear the lecture through an old, something and circulates contradictory information amongst the poor-quality audio system. But thanks students,” Dellinges said. “Now, with the central stage, professors to equipment upgrades that are a part all speak from the same podium, and this enhances our ability to of the ongoing modernization of the give the same information to students. It makes for more consistent preclinical facilities, the entire learning teaching with less confusion,” Dellinges concluded. and teaching experience in the lab State-of-the-art A-dec lights at each student’s workstation and a has changed. The overall renovation dedicated lecture computer, built into the presenter station, were (see pages 10-11) is estimated to take also installed in the first two phases of the renovation. “The use of a more than three years altogether, cost- personal computer during lectures brings a great deal of consistency ing between $2.77 million and $2.98 million. The work will be completed in four phases, with funding and construction of the first two phases The monitors already finished, at a cost of $869,200. Phases 1 and 2: Equipment Modernization allow each The first two phases of the moderniza- tion entailed completely overhauling and upgrading the lab’s audio and video equipment and installing new dental lights for each student (Phases 3 and 4 entail asbestos removal and the installation of new workstations, as detailed on page 9). Each student station was equipped with full-color, 15-inch, flat-panel Sharp monitors. The monitors allow each student to follow the professor’s instructions far better than they were able to previously. The other significant difference is that the instructors now have an elevated presenter station at one side of the room from which they deliver lectures to students. This stage-like station (pictured at right) is equipped with a presentation camera 6
  9. 9. student to follow the professor’s instructions far better than they were able to previously. to teaching,” Dellinges said. “All of my lectures are readily accessi- Dellinges and the other six faculty ble because they are right on the hard drive. I think it illustrates members teaching the course circulate how the School is making better use of resources available on among the students, answering campus. I can switch from the PC monitor to the presenter camera questions and assisting students. “Don’t or annotation screen during a lecture. I can’t do that in a a lecture forget to cut rest seat preparations hall. I can display websites that students can see on their screens, into the designed casts and fill out the and access old lectures for their reference. It’s invaluable,” treatment planning forms,” Dellinges Dellinges said. reminds the students from the Before or after class, students can access previously delivered professor’s station. The students have lectures on their own home PC thanks to WebCT, UCSF’s virtual approximately two hours to prepare online learning environment. the designs. Many ask questions of the instructors during their design work. Leading by Example “How wide should we make the mid- After Dellinges completes his lecture in today’s Removable Partial palatal strap for this RPD?” one student Denture Design class, the students are ready to start their design asks from the middle of the room. work. They refer to their printed syllabi, which include pictures of “Eight to twelve millimeters,” Dellinges the design work in various stages, or refer to the completed den- responds over the microphone, after ture model that Dellinges leaves displayed on the student monitors. repeating the question. Clinical Professor Dave Graham (at left) with new presentation camera in the preclinical lab. Up to seven classes per week use the lab and its facilities (above). 7
  10. 10. B oth first- and second-year DDS students take classes in the preclinical lab before moving on to the clinical phase of their education. International students also study in the lab to refresh and improve their technical skills prior to seeing patients in the clinic. With the first two phases of the preclinical lab modernization completed between the first and second years of their education, the Class of 2006 was uniquely positioned to witness the dramatic difference that the new “We have to give students experience with real world they will see in the tools and technology brought to the classroom. “With the new equipment in the lab, things are much clearer, both in procedural techniques and the visual aspect of learning dentistry,” Mark Graham said. “Last year, as D1 stu- dents, we sat at our chairs and looked at a few monitors for the whole class. We had to move around to get good views of the old, run-down screens mounted from the ceiling. Now we sit at our individual workstation and each of us has a very clear shot of the image. The clarity and ease of viewing professors’ presentations was greatly enhanced,” he added. Jin Kim, a fellow member of the class of 2006, appreciates the range of options that the new technology provides. “This year, preclinical lab professors were able to use different methods of presenting classroom materials using the new equipment,” Kim said. “Different professors made use of the multimedia technology in different ways. That made class that much more engaging. For example, Dr. Dellinges used his DVD to show 8
  11. 11. us his demonstration. Dr. Lloyd used information to the students in so many different ways, which PowerPoint and a morphology CD increases our students’ ability to retain it.” very efficiently in endodontics lectures. Renovation Not Yet Complete And Dr. Mendoza occasionally used a video camera to demonstrate how to Yet for all of the amazing differences the new technology has do intra- and extraoral exams. I saw a brought to the preclinical lab, professors, students and visitors can’t dramatic improvement between my help but notice how outdated the rest of the room and the student first and second year because of this workstations appear. The floors and workstations contain asbestos technology,” Kim concluded. and must be replaced. Neither have been upgraded since the room was originally built in 1979. Effect on Teaching The third and fourth phases of the modernization, estimated Mark Dellinges graduated from to cost between $1.9 and $2.11 million, will remove all asbestos UCSF in 1981 and practiced general material in the lab, and will also include the installation of dentistry for four years before modern workstations for each student. The new workstations returning to the School of Dentistry will be designed to better simulate work done at a dental chair, and participating in the prosthodontics in comparison to the current workstations, which are comprised residency certificate program. Like of a mannequin attached to a lab bench (see “Preclinical the students, he finds the impact of Modernization: Phases 3 and 4,” page 11). The campaign for the new equipment remarkable. these remaining two phases is currently underway, according to School of Dentistry Director of Development & Alumni Relations equipment that Richard McKenzie. “Fundraising for the preclinical lab has gone faster than I expected,” McKenzie commented. “In fact, donations when they graduate.” for the first two phases exceeded the goal, putting us ten percent toward our goal of $2 million for the third and fourth phases. Alumni really care about this project because they know how “I feel lucky to be able to teach critical it is to the success of dental students, and what a this course with all of the wonderful lasting impact it can have on their entire dental education.” technology now at our disposal, and According to Bill Bird, Clinical Professor and Associate Dean the consistency within it,” Dellinges for Clinic Administration, the remaining construction work is just said. “Compared to when I took lab as important as the installation of the equipment from the first back in 1979, the difference is night two phases. “It’s essential that we complete the final two phases of and day. It is a pleasure to work in the the renovation in order to give our DDS students a truly modern new environment, and see students dental education experience,” Bird said. “Furthermore, much of learning these procedures that much the equipment has rusted out or is so old that parts are no longer more quickly,” he said. available; casting machines, for example, are not functioning Dave Graham (D’71), has been a properly. We have to give students experience with tools and Clinical Professor at the School for equipment that they will see in the real world when they graduate. 31 years. He teaches restorative, and Finally, some of the facilities in the lab are obsolete, and repairs crown and bridge components in five require expensive custom-made parts. By upgrading the entire D1 and D2 courses in the preclinical facility, we save money in the long run,” Bird continued. lab, as well as clinical general dentistry to the third- and fourth-year students. Grateful Students Dave Graham agrees that the equip- Although fundraising for the third and fourth phases of the ment upgrades have revolutionized the renovation is still ongoing, students we spoke with for this article teaching experience. “There is so expressed gratitude for donations already made by generous much information and terminology to alumni. absorb, especially in the first four to “I’d like to let all of those who gave toward the restoration of five weeks of the year,” Dave Graham our lab know how much we appreciate their support,” said said. “The range of multimedia Helen Kim, also a member of the Class of 2006. “The new lab equipment that we now have access to greatly enhances the level of education that we receive, and better gives us the ability to present that prepares us for the clinical work still to come. Thank you.” s 9
  12. 12. UCSF School of Dentistry Completed Construction Projects and Renovations,1995-2004 PROJECT NAME CONSTRUCTED COST IMPROVEMENTS Preclinical Lab Modernization 2003 $869,200 Complete overhaul planned in three phases. (Phases 1 and 2) Phases 1 and 2: installation of individual student monitors; touch-screens for faculty; fully integrated audio-video system; teaching presentation cameras and dedicated lecture PC; modern dental unit lights, dentist operating stools and handpiece controls. Khosla Surgical Suite (Phase I) 2004 $50,000 Installed new sink, surgical lights, fiber optic headlight — Oral and Maxillofacial Surgery with built-in video camera, surgical drills, cabinetry. Axium Information System Installation 2000-04 $920,000 Integrated patient management system. Goal is for paperless/chartless patient records by 2006; clinics being phased in over six-year period. Stomatology Lab Renovation (HSW-6) 2002-04 $6,183,111 Upgrading of faculty research labs in craniofacial, cell and molecular biology; (pictured below) addition of multidisciplinary conference room; 20% increase in space. Faculty Group Practice Renovation1 2003 $413,481 Installed 31 patient chairs (including five multimedia special operatory units); replaced all 62 doctor/assistant stools (including high and low-speed handpieces). Scott Lambert Memorial Oral 2002-03 $80,000 Installed new carpeting, A/V system with plasma TV, Internet/Intranet access; and Maxillofacial Surgery Library integrated with UCSF Medical Center network. Buchanan Dental Center Upgrade 2003 $237,000 Dental equipment upgrades and clinical facility modernization. Periodontic Clinic Renovation 2003 $239,073 Replaced dental units and chairs, including privacy screen risers. Orthodontics/Periodontics Research 1998-2001 $983,022 Installed special tissue culture facilities, new lab benches; Labs and Clinics Renovation renovation of imaging equipment and imaging rooms. Faculty Incubation Lab Modernization2 1999-2000 $873,642 Complete renovation of the suite. Old lab was razed, and new lab was designed and built. New service rooms, offices and lab facilities installed. Predoctoral Clinics Modernization 1997-99 $2,867,819 Complete clinic modernization: new roof for Clinics Building; extensive remodelling; (Clinics A&B, 707 Parnassus) lighting retrofit; upgrading of facilities, chairs, equipment and waiting rooms. Oral and Maxillofacial Surgery Clinic 1997-99 $180,372 Brought existing clinic up to standard for Accreditation Association for (D1201) Ambulatory Health Care; installed changing room for patients, restroom, sinks, surgical sinks, upgraded facilities. PRDS Research Laboratory Upgrade 1995-96 $123,338 Replaced and upgraded lab benches and equipment. Growth & Development Research 1995-96 $549,550 Complete overhaul of former pediatric dental clinic into lab facility for Lab Renovation (MSB 704) pediatric dentistry. Craniofacial Anomalies Clinic 1996 $42,663 Expanded waiting room, expanded/enhanced consultation rooms; Upgrades (S747) created more efficient appointment desk configuration. Prosthodontic Resident Room 1995 $129,453 Renovated study carrels, including A/V presentation equipment and computer Renovation (D4307) terminals for residents. Grand Total $14,741,724 Source of Funds For completed construction projects and renovations, 1995-2004. School of Dentistry 6% Federal Government 14% Campus 29% Alumni / Friends 51% 1 includes Graduate Prosthodontics and University of California Prosthodontics Faculty Practice 2 10 C-415 (aka Bertolami Lab)
  13. 13. Preclinical Modernization: Phases 3 and 4 The preclinical lab renovation is taking place in phases. Construction and fundraising for the first two phases are complete. The School is currently raising funds for the construction of phases three and four. PHASE 3 Estimated Cost: $1.4 million ENHANCEMENTS / REPLACEMENTS: Replacement of the current lab benches with modern laboratory workstations (benches). Workstations will be equipped with internal vacuum suction. In the preclinical lab, existing student workstations Removal of current asbestos flooring and replacement and the floor contain asbestos and must be replaced. with new floor. Updating of simulation lab handpiece controls (both Future Projects air-driven and electric) to modern equipment. FUNDRAISING REQUIRED Replacement of current dust collectors and vacuum Preclinical Lab Modernization systems, which are not functioning optimally. (Phase 3 and 4) — details at right > > > BENEFITS: Currently any repairs to drawer modules have to be Pediatric Dental Clinic Renovation $225,000 — $1 million custom made, because the parts are obsolete. Thus, $225,000 for equipment replacement; $1 million for the renovated workstations will save the school in the infrastructure remodeling, including reception area. long run. Implant Center $1,000,000 Modern equipment for students. Creation of Implant Center in Dental Clinics Building. Safe, asbestos-free work area. Oral and Maxillofacial Surgery Suite (Phase 2) $23,000 For renovation of second surgical suite. PHASE 4 Endodontic Graduate Clinic $400,000 (est.) Estimated Cost: $500,000-600,000 Clinic reconfiguration, equipment upgrade, including addition of endodontic microscopes. ENHANCEMENTS / REPLACEMENTS: Health Sciences East, 15th Floor Complete renovation of the wet lab/plaster lab. $6.8 million — $7.1 million Construction of labs, offices, research Replacement of burnout ovens, casting lab equipment, area for Craniofacial and Mesenchymal ceramic ovens and workstations. Biology Program. BENEFITS: Current equipment rusting out and parts are unavailable. Casting machines not functioning. Gives students up-to-date equipment. To make a donation to the preclinical lab, phone the School of Dentistry Director of Development & Alumni Relations at (415) 476-3645, or use the donor envelope inserted in this magazine. 11
  14. 14. feature > > > COMMUNITY UCSF Chancellor J. Michael Bishop (left) presents the UCSF Medal to Phil Borges (D’69). In Focus School of Dentistry Graduate Phil Borges Wins UCSF Medal Phil Borges graduated from the UCSF School of Dentistry as a Regents Scholar in 1969 with a specialization in Orthodontics. He practiced dentistry in Northern California for 18 years before deciding, in 1989, to leave his lucrative practice and become a professional photographer. He and his family moved to Seattle, where he still lives with his wife and 18-year-old son, who will attend college this fall and aspires to a career in digital media studies. In a 15-year career as a photographer, Borges has published five books documenting indigenous and tribal people worldwide, contributed to television documentaries for the Discovery Channel and National Geographic, and strives to promote and preserve the cultural diversity of the many different peoples and tribal groups he portrays. > > > 12
  15. 15. n 1996, he published the award-winning book I SCHOOL OF DENTISTRY: How long have you had Tibetan Portrait: the Power of Compassion, that an interest in photography? included a photograph of, and text by, the Dalai PHIL BORGES: I fell in love with photography Lama (pictured below). In 1998 he published when I was in dental school at UCSF from 1965-69. Enduring Spirit for Amnesty International in I lived in the Haight-Ashbury district while going observance of the 50th anniversary of the Universal to school. I had a work-study job for a UCSF Declaration of Human Rights. In 2000, he published sociologist, and they asked me to go down to The Gift, a book that documents the work of Haight Street and survey people as to why they Interplast, a non-profit organization that partners were sharing needles. Eventually, I started taking with physicians pictures of to provide free my interview reconstructive subjects because surgery to they were so needy children wild looking. and adults It was a very throughout the unusual and third world. interesting time By his own to be there, estimation, so there were Borges has plenty of things traveled to to photograph more than 35 around the countries. He city. I would is currently do the inter- working on a views and book on alterna- photography, tive medicines then take the and shamanism N-Judah to photographed a Parks and during visits to Recreation Mongolia, the department Philippines and darkroom to the Amazon develop the basin. In 2000, pictures. he founded a What was your non-profit first camera? organization, A Minolta BRIDGES SRT-101. to Understanding (see “Building Bridges,” page 17), Were there components to your training as an to which he currently devotes a great deal of time, orthodontist that prepared you for a successful energy and personal funds. career in photography? In April 2004, Borges was presented with the The type of photography I do is very people UCSF Medal, the University’s highest honor, by oriented; I don’t just do landscapes. What you do Chancellor J. Michael Bishop at the annual Founders as a dentist is get people to feel comfortable in Day banquet. This honor is bestowed on individuals an awkward situation. As an orthodontist, you who have made outstanding personal contributions have to get kids to do terrible things like wear to the health sciences and whose efforts mirror the headgear or put rubber bands in their mouths to goals and values of the University. get the job done. Winning people over and We caught up with Borges recently by phone establishing rapport quickly is very useful when from Seattle, on a rare respite between trips. going into a tribe. 13
  16. 16. How did your orthodontist career lead to your individual. I would advise that it’s important to have current career as a photographer and something [that you’re passionate about]. In my case, philanthropist? I didn’t do photography while I was practicing den- It enabled me to make a change. It took me four tistry. My renewed interest in photography came years to get started in photography. I had built up about due to the birth of our son. I took a bunch of a savings account that allowed me to get into black and white pictures after he was born — this photography. I found when I would take a break was before the advent of those one-hour photo from my practice I would travel to remote areas. developers — and got access to a community college I did some volunteer work in Mexico with some darkroom to develop them. I took a photography traveling doctors, and I would also do some class and reestablished my love for photography. photography while I was there. I wanted to do it more, and realized that I couldn’t A lot of the alumni of our school struggle with do justice to the dental practice because I was in wanting to change careers in mid-life. What love with something else. If something like that prompted your decision to leave orthodontics, grabs me, I have to make the change. I’m a one-track and what advice would you give to someone in person. If I love something, everything else suffers. dentistry who is contemplating a career change? I had a practice with a partner in Benicia and Vallejo In my case, I had this whole side of myself that that would have suffered due to my newfound love wasn’t being fulfilled. I wanted to travel and to of photography. create something that communicated. It’s something Can you touch briefly on what changes you had that went a long way to making me whole, the to make in your lifestyle to pursue your dreams communication arts. The desire to change varies by outside of dentistry? World-renowned photographer Phil Borges’ work has taken him to remote destinations all over the world, including Irian Jaya (above, at left) and Thailand. 14
  17. 17. I needed to move to a city with others already How did you get into that? involved in the business of photography to learn Well, I would get on my bike and ride to Chinatown it. I was living in Sonoma at the time, and San in Oakland and buy fireworks and then bring Francisco was too expensive, so we moved to Seattle, them back to the neighborhood and sell them at a bought an inexpensive house in a lower middle-class considerable markup.That sounds very enterprising. neighborhood. I cut down on my expenses as much But when the kids got caught with them, it obviously as possible and started a new career. came back to me. So it wasn’t long before I had How did you first get interested in photographing a record. indigenous peoples? What have you learned from the indigenous My interest comes from when I was a kid. I grew up peoples you photographed? in San Lorenzo, and in the summers, my mother How strong and tight their community is. They have would send me to a ranch that some relatives owned to share when they farm fields, build homes and in Utah in the middle of nowhere. People living raise kids. It’s all done communally. Mothers take on the ranch were highly subsistent; they grew turns nursing each other’s children. Men put up new their own food and lived a life close to the land. houses with each other. There is less emphasis on the I worked the ranch and fell in love with the lifestyle. individual and more emphasis on the community. Living close to the land was always attractive to me. They have time to sit and be with each other, It was very different from my life in California of share a joke. I remember when I was visiting Irian tract developments. [In Utah] I put my energy into Jaya, there was a great-grandmother of a family working on the ranch. That was certainly better who was dying. She died during the three days I was than in California where I put my energy into there. The extended family took turns staying in selling firecrackers. her hut, holding her, rubbing her legs, visiting her. 15
  18. 18. I thought it would be a wonderful way to make that they had done in Vietnam. I opened the packet transition, in contrast to how it happens here many and that film was in there and it was very moving. times, in a nursing home. Also, I had had a lot of cleft palate patients when What sort of challenges do these tribes live with I practiced and had seen a lot of untreated cleft lips every day? in the developing world. In the third world this kind While the tribes that I visited are tight and of affliction goes untreated, unless there is a team connected, they are also very distrusting of neighbor- like Interplast that takes care of it. So I decided to ing tribes. For example, there are 14 tribes in the donate my services to them. Lower Omo Valley in Ethiopia, and they’re all For your 1996 book Tibetan Portrait, you at war. You can’t raise your voice to anyone in the photographed the Dalai Lama. What was it like, tribe, or you’ll be ostracized. But if you kill someone meeting him? in a neighboring Well on that tribe, you’re a hero. shoot, it was just They’re very loyal like any other to their own group, portrait because but very distrustful I had limited of other groups. time and was Plus everything that losing my light; technology has the sun was going brought us — down. I was on medicines, labor- task to get the saving devices image. But before, and niceties we I had spent three have — they don’t hours standing have. They have next to him when to live with a he was meeting cleft palate or go new arrivals blind from easily fleeing to India curable infections. from Tibet. It was They lack access like a wedding that we take for receiving line. granted. As people came Interplast has a lot by he would of support in the shake their hands. Bay Area. How did Since he’s like you get involved a god to them, with them? some fainted and I had a photography fell to the ground. exhibit in San Francisco around 1998, and their He would kneel to the ground and speak to each of PR Director came to the show and gave me a packet them individually to encourage them, even though of information on them, and asked me to do a book his handlers were nervously trying to have him for them. I was very busy at that time, and didn’t keep the line moving. I noticed how he put his total have time to review the packet. A couple weeks attention and care into each person he met. I had an later, I was watching the Academy Awards and they admiration seeing how he treated other people. announced that the winner of the short documentary How difficult was it to travel to remote places in category was a film about Interplast and the work Irian Jaya, Ethiopia, Kenya, Peru and Siberia? Lan (above, this page and facing page) is from Tinh Chau, a tiny village near My Lai, Vietnam, the site of one of the war’s most infamous massacres. Born with a cleft lip, Lan was ostracized from her community. Interplast visited Lan when she was 22, performing the surgery that is routine in the developed world, giving Lan a new face and outlook on life (facing page, bottom). Borges photographed Interplast’s work for his book The Gift. 16
  19. 19. crew: holding the lights, opening Building and closing my pack as I move around. They get involved and it integrates me into the community. I saw in your book Enduring Bridges Spirit that you had eaten beetles Editor’s Note: Phil Borges started the nonprofit BRIDGES to Understanding in Thailand. What are some in 2000. While the organization of the other strange things has since expanded to 12 sites you’ve eaten while traveling? worldwide, the goal remains the Did you have people helping you, How were the beetles? same — facilitating interaction and translators? They were great — crunchy and the sharing of knowledge between It was easy to get to the little towns salty. I hosted a couple of shows children of different cultures and outside of the areas where I was nations. Borges, a humanitarian for the Discovery Channel, and and world-renowned photographer, shooting. There I would find the in one there is a tribe in the encourages others to become guides who would lead me into the Ecuadorian Amazon where the ambassadors to indigenous cultures jungles or more remote areas and women take a root vegetable, like through travel and collaboration. interpret for me. I generally want a potato, and cook it then grind to get [a guide] from the same it and mix it around in a pot. P hotography is an extraordinary tribe that I’ll be photographing. They then take a handful [of the medium for communication and I’m more concerned with their food], put it in their mouth, artistic expression; it is an people skills than their command chew it and spit it back into the equally powerful tool for of English. They have to know pot and it ferments. It tasted pretty advocacy. I would like to invite my some English, but it can be good. Generally, I’m not eating fellow photographers — amateur and broken. I go into the jungle for too exotically. In most places I professional alike — to join me on up to four weeks, and stay in town bring my own food because they international digital storytelling only three or four days hiring have so little. Sometimes I bring workshops to sites in Kenya, India, guides and porters for my gear. food for them as well. Peru and Nepal. With instruction from On the shoot, I usually start with Have you ever encountered any me and the BRIDGES team, partici- the kids. I give them Polaroids and danger on a shoot? pants are able to connect one-on-one soon they become a production with students, helping them create Once on a visit to Kenya, there documentaries about their cultures, was tribal violence between the while developing meaningful relation- Turkana and the Samburu tribes. ships with the communities they visit. This fighting is traditionally based BRIDGES sites are located in some on cattle raiding, and in the past of the most interesting, scenic and they used to do it with spears. out-of-the-way corners of the world. But now, with so much warring There’s something about volunteer- going on in these regions, ing, something about being able to they’re equipped with Russian say to yourself, ‘I’m here to give, not Kalashnikov rifles and it can be to get.’ This is what I want to give to very dangerous. I was in a village BRIDGES workshop attendees — where a rumor was going around to allow them to have a vehicle to that there was going to be a raid connect with people in the culture the next morning. So I got out of they visit, and to make a real impact, there and spent the night in the instead of just quickly passing hills. The raid never happened. s through a place with their cameras, clicking away. — Phil Borges, DDS For more information on BRIDGES workshops, call 206-275-3247 or visit the website at 17
  20. 20. feature > > > RESEARCH Emerging Talent They come from different countries with diverse Recently the UCSF News Service disseminated a press release* proclaiming that the UCSF scientific School of Dentistry had again distinguished interests and unique itself as the largest recipient of total National backgrounds. Institutes of Health research funds among But each U.S. dental schools, having received 51 awards of these ten totaling $28 million for the 2003 fiscal year. young faculty The School has maintained this top researchers distinction over the past 13 years, thanks to the contributes hard work of faculty investigators and their to the UCSF staffs in diverse areas of oral health care and School of craniofacial sciences. Some of the School’s Dentistry’s most recognized researchers have been here for reputation years, and their work is well known on the as a premier UCSF campus and among dental educators scientific and researchers worldwide. research For this article, we chose instead to profile institution. ten individuals with divergent interests who are at relatively early phases in their careers, and who therefore don’t have the same level of Researchers (from top left, name recognition among the alumni, members top to bottom): Tamara Alliston, Stefan Habelitz, of the UCSF community, or other oral health Brian Schmidt, Umo Isong, researchers. Here, then, are some of our new Richard Jordan, Janice Lee, up-and-coming faculty researchers. > > > Daniel Fried, John Huang, Caroline Shiboski, *To see the press release, go to Dusko Ilic. 18
  21. 21. single or multiphoton excitation, can be used for optical biopsy, identification and detection of microorganisms, as well as the detection of dental caries. It is likely that these new spectroscopic methods can be coupled with novel methods of optical imaging and laser surgery for the development of minimally invasive diagnostic tools that will revolutionize the way dentistry is practiced in the future. Tamara Alliston Mesenchymal Stem Cells and Bone Biology Tamara Alliston earned her Daniel Fried with staff research associate Patara Ngaotheppitak. PhD from Baylor College of Medicine. She is an Assistant Daniel Fried Recent findings with clinical implica- tions by my group in our Optical Adjunct Professor in the Biomedical Optics, Imaging and Diagnostic and Therapeutic Laser forthcoming department of Laser-tissue Interactions Laboratories include: Cell and Tissue Biology1. the development of a low-cost Alliston is also the mother of Daniel Fried earned his PhD multipurpose laser for dentistry that two sons, ages 3 and 1. can be used for both hard- and soft- in physical chemistry with a What is your research tissue applications; minor in physics from Wayne specialty? the development of a selective, State University in Michigan. nondestructive laser-based method I study the control of osteoblast An associate professor in the for removal of composite resin (bone cell) differentiation. I explore Department of Preventive and sealants, adhesives and restorations Restorative Dental Sciences without peripheral damage to tooth Tamara Alliston and her three-year old son, Gabe, structure; at the Lucia Child Care Center on Parnassus campus. (PRDS), Fried did postdoctoral work in biomedical optics and and the development of near- infrared-based imaging systems for cariology in Rochester, N.Y. the early detection and diagnosis of What is your research dental caries. Such systems offer specialty? enhanced sensitivity for early caries It focuses on the diagnosis, detection, and do not require the use detection and treatment of dental of ionizing radiation. caries. A spectroscopist by training, What are your future research I am interested in the development plans? of spectroscopic methods and tools I hope to eventually explore other for use in medicine and dentistry. areas of oral medicine in which recent Spectroscopy is the physics that technological developments in optical deals with the theory and interpreta- technology may provide significant tion of interactions between matter advantages, such as the optical and radiation. biopsy of oral lesions and the laser What are some of your recent processing of bone for dental research accomplishments? implants. Fluorescence, with either 1 The School of Dentistry is currently undergoing a departmental re-organization and consolidation that will result in a basic sciences department and a clinical/translational sciences department. The proposed name for the former department is Cell and Tissue Biology; Orofacial Sciences for the latter. Both proposed department names await approval from the Chancellor’s Office. These newly named departments join the existing departments of Preventive and Restorative Dental Sciences, and Oral and Maxillofacial Surgery. 19
  22. 22. how extracellular signals turn osteoblast genes on and off, and the impact of these cellular decisions on bone tissue formation and turnover. What specific research questions are you attempting to answer in your current work? I’m examining the ability of growth factor signaling to improve bone strength and ability to resist fracture. I am also studying the role of bone quality in hearing loss. How did you become drawn to your field of research? In addition to the scientific interest of studying the role of bone in ear development and function, I am undoubtedly motivated by my brother-in-law and my graduate Caroline Shiboski directs the Stomatology Clinical Center. mentor, both of whom struggle with severe hearing loss. then a PhD in Epidemiology, What does your work with the also at Cal Berkeley. Shiboski SEER Program entail? Who do you see benefiting from your research? completed residency programs Analyses of the SEER Program data provide the opportunity to identify I am hopeful that by better at UCSF in Advanced site-specific and age-specific trends understanding bone formation and Education in General Dentistry, in incidence rate and relative survival composition, therapies may be Dental Public Health and Oral rate among people with cancer. From designed to prevent fractures caused Medicine. Currently Director of these analyses, I identified a recent by osteoporosis, or to better repair the Stomatology Clinical increase in the incidence of tongue tissues damaged by osteoarthritis or Center at UCSF, Shiboski both and tonsil squamous cell carcinoma bone fracture. among young adults (20-44 years practices and teaches oral What is it like balancing a old). Ultimately, my goal is to design a demanding scientific career medicine. Shiboski has been study to identify specific risk factors with raising two young boys? married to her husband, Steve, that may explain this recent increase. Challenging but possible, thanks an associate professor of Tell us about your work in to excellent childcare, strong Epidemiology and Biostatistics Sub-Saharan Africa. professional support at UCSF, and at the UCSF School of great personal support at home. As a co-investigator in the UCSF Medicine, for 19 years. They Oral AIDS Center, I designed a collab- have two sons, ages 9 and 11. orative project with Zimbabwean Caroline Shiboski Tell us about your research and colleagues to explore the feasibility of Oral Medicine/Epidemiology training nurses in the diagnosis of scientific specialty. HIV-related oral lesions and of using As an epidemiologist and oral medi- these lesions as surrogate markers cine specialist I conduct clinical Caroline Shiboski, an associate for HIV disease progression. As the research on oral diseases that affect monitoring of HIV disease progression professor in the forthcoming patients with immunosuppression due department of Orofacial through CD4 count testing is prohibi- to various causes (HIV disease, solid tively expensive in sub-Saharan Sciences2, earned her DDS organ transplantation, hematopoietic Africa, a visual inspection of the degree at Université René stem cell transplantation). Part of mouth may be an affordable way of Descartes in Paris, France, my current work focuses on oral determining when anti-retroviral cancer epidemiology, in particular on followed by a Masters in Public therapy should begin — assuming exploring trends in oral cancer inci- that such drugs will one day become Health from the University of dence among younger populations California, Berkeley, and both available and affordable in that through national cancer registry data part of the world. (the SEER Program). 2 See footnote 1, page 19. 20