University of California, San Francisco
School of Dentistry
magazine Inaugural Issue / FALL 2004
Inside the New Preclinical Lab
UCSF Alumnus Phil Borges
Shoots from the Heart
It is my pleasure to welcome you
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
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
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.
This publication is one way we can thank you, our
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
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
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.
Money from the RWJ grant is
also being used to expand a
endeavor — UCSF’s successful
Post Baccalaureate (Post Bac)
Program, which assists college
graduates in gaining accept-
ance into a U.S. dental school.
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
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
“...is 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
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
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
feature > > > TEACHING
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.
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:
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
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).
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
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
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
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
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
School of Dentistry 6%
Federal Government 14%
Alumni / Friends 51%
includes Graduate Prosthodontics and University of California Prosthodontics Faculty Practice
10 C-415 (aka Bertolami Lab)
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.
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.
$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)
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.
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.
feature > > > COMMUNITY
UCSF Chancellor J. Michael
Bishop (left) presents the UCSF
Medal to Phil Borges (D’69).
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. > > >
n 1996, he published the award-winning book
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
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.
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.
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.
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.
crew: holding the lights, opening
and closing my pack as I move
around. They get involved and it
integrates me into the community.
I saw in your book Enduring
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.
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,
— Phil Borges, DDS
For more information on BRIDGES workshops, call 206-275-3247
or visit the website at www.bridgesworkshops.org.
feature > > > RESEARCH
Talent They come
Recently the UCSF News Service disseminated
a press release* proclaiming that the UCSF
School of Dentistry had again distinguished
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.
For this article, we chose instead to proﬁle
ten individuals with divergent interests who are
at relatively early phases in their careers, and
who therefore don’t have the same level of
(from top left, name recognition among the alumni, members
top to bottom):
of the UCSF community, or other oral health
Umo Isong, researchers. Here, then, are some of our new
Janice Lee, up-and-coming faculty researchers. > > >
Caroline Shiboski, *To see the press release, go to http://pub.ucsf.edu/newsservices
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.
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
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
biopsy of oral lesions and the laser
What are some of your recent processing of bone for dental
research accomplishments? implants. Fluorescence, with either
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
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
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
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).
See footnote 1, page 19.