Volume IX, Issue 2                                                                                               August 20...
Page 2                       USPHS Dental Newsletter    August 2009

Lewins at lewinss@usmma.edu




 GREETINGS FROM THE C...
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  1. 1. Volume IX, Issue 2 August 2009 In this issue of The USPHS Dental Category Newsletter CONTINUING PROMISE 2009 * DAMON A. SMITH, MPH, LIEUTENANT, USPHS New This Issue! SENIOR RESPONSE PROGRAM MANAGEMENT OFFICER, OFRD Bringing it back to the chair – Clinical Page 16 Column Educational Resources & CE Page 24 Opportunities COVER STORY Continuing Promise 2009……. …….1 FEATURES CPO Column………………….. …….2 DePAC Chair Column ……….. …….3 DePAC Vice Chair Column ……….4 Dental Category Day………… …….6 Dental Category Awards…….. …….7 Front Row (L to R): LT Derek Sakris (CDC); LT Mivoyel Jean Paul (ACF); CAPT Dental Officers at NIH………..…..14 Carol Lindsey (HRSA); LCDR Gayle Kostyack (IHS); LT Alia Legaux (CDC); LT Clinical Column………………. …....16 Timothy McCreary (IHS); CAPT Arturo Bravo, OIC (HRSA) Back Row (L to R): Senior Officer Spotlight……….........19 LCDR Steven Sauer (IHS); LCDR Alexis Mosquera (FDA); LCDR Bryan Buss Junior Officer Spotlight……….. …22 … (CDC); CAPT David Robbins (DHS) Not Pictured: LT Beth Carr (FDA) Associate Recruiter Program.. ……23 ITEMS OF INTEREST Last summer, the U.S. Public Health Service (USPHS) Commissioned 2010 DePAC Nominations……. ……14 Corps supported three components of an inter-service, interagency Health Welcome CAPT Belcher……………18 Diplomacy initiative utilizing U.S. Navy ships in missions designed to ‘Click’ FAQ…………………… ……20 increase the operational capacity of U.S. government personnel to deliver Dental Coin Order Form…….. ……21 humanitarian assistance, perform public health assessments, conduct public Educational Resources………..……24 health infrastructure repair and provide health care training of indigenous Upcoming Events……………….……25 health care workers. The USPHS Commissioned Corps has again been NEWSLETTER STAFF Co-Editor CDR Shani Lewins specifically requested to participate in similar training missions, the first of Co-Editor CAPT Todd Tovarek which is the Continuing Promise 2009 mission, which began 01 April 2009. Consultant CAPT Coleman Palmertree Consultant CAPT Hsiao Peng Continuing Promise 2009 is utilizing the USNS Comfort (T-AH20), a U.S. The USPHS Dental Newsletter is published Navy hospital ship, which will sail for a 120-day period to the Dominican 2-3 times annually, and is distributed electronically through the USPHS Dental Republic, Antigua, Colombia, Panama, El Salvador and Nicaragua. Bulletin Board, agency distribution lists, and the USPHS Dental Directory. The next issue Aside from personnel from the Commissioned Corps, the U.S. Navy has of the newsletter will be published in the fall engaged partners from other uniformed services and from other partner of 2009. If you have suggestions or nations as well as from partner non-governmental organizations. comments about the newsletter, or would like to submit an article, please contact the co-editors CAPT Todd Tovarek at Continued on page 13 todd.tovarek@dhs.gov or CDR Shani
  2. 2. Page 2 USPHS Dental Newsletter August 2009 Lewins at lewinss@usmma.edu GREETINGS FROM THE CHIEF PROFESSIONAL OFFICER FOR THE DENTAL CATEGORY
  3. 3. Page 3 USPHS Dental Newsletter August 2009 RADM CHRISTOPHER HALLIDAY As calendar year 2009 briskly marches on, I hope that everyone is enjoying the summer. It has been a busy summer for the Commissioned Corps and for the Dental Category. We started the summer with the 2009 Commissioned Officer Foundation (COF) Scientific and Training Symposium on June 1 – 4 in Atlanta, GA. Since September 2008, the Category Day co-coordinators and the members of the planning committee were busy selecting lecture topics, inviting guest speakers and developing the agenda for the dental category day. The agenda was a combination of clinical, research and dental public health topics such as dentistry based on evidence vs. evidence-based dentistry, photo-curing in dental procedures, early childhood caries, a panel comprised of CDC oral health providers, and a presentation based upon complications resulting from dento- alveolar surgery. Fostering strong relations with organized dentistry, dental academic institutions and promoting the public-private interface, the category day coordinators contacted the leadership of the private sector dental programs and educational institutions to join the PHS Dental Officers for the day. Honored guests included representatives from national, state and local dental associations as well as executive leadership and faculty from dental academic institutions. The combination of clinical, community-based and research lecture topics pertinent to the practice of public health dentistry, coupled with an impressive turnout of dental providers, resulted in a category day session which fostered an atmosphere of collaboration and promoted participant interaction during each lecture topic. Thank you to all who participated in the planning process of the 2009 COF Category Day. The day was a great success and I would like to encourage anyone interested in helping with the planning of the 2010 COF Category Day to please contact CAPT Coleman Palmertree soon – it’s never too early to start the planning process! On June 19, 2009, Dr. Howard Koh was confirmed as the Assistant Secretary for Health (ASH). Dr. Koh, the former Massachusetts Public Health Commissioner and an Associate Dean for Public Health Practice and Director of the Division of Public Health Practice at the Harvard School of Public Health, will oversee major health agencies under the Department of Health and Human Services (DHHS). Dr. Koh will also serve as the leading health adviser to the HHS Secretary, Kathleen Sebelius. In an effort to facilitate communication between Office of Commissioned Corps Force Management (OCCFM) and the PACs, OCCFM has assigned a staff member to serve as liaisons to the PACs. The OCCFM liaison for the DePAC is CDR Paul Wong, a dental officer, who will provide general policy related information to the DePAC as well as provide OCCFM Leadership with information from the dental category. CDR Wong is a strong advocate for the dental category and has worked on numerous dental pay related policies with RADM Halliday. CDR Wong will be joining us periodically on our monthly DePAC conference calls and will be a point of contact on policies matters impacting the Commissioned Corps as well as our category. According to the June 30 readiness report issued by the Officer of Force Readiness and Deployment (OFRD), dental was 94.82%, down slight from our category’s Mach 30, 2009 readiness of 95. 62%. While I would have liked to have seen our readiness numbers rise to an all-time high with the last report, the dental category still commands an admirably high number of members meeting readiness. Thank you to all who maintained your readiness status and a special note of thanks to the Readiness and Deployment Workgroup for the quarterly savvy readiness reminders. On June 23rd, I met with American Dental Association Council on Access, Prevention and Interprofessional Relations (CAPIR). During the meeting, the Council and I discussed the challenges facing the dental programs under Department of Health and Human Services, Department of Justice and the Department of Homeland Security, and I was encouraged by the showing of support from the members of the CAPIR. During the visit to Chicago I was also able to meet with the new Executive Director of the ADA, Dr. Kathy O’Loughlin, and I was excited by the enthusiasm and energy that she is brining to the ADA. The ADA continues to be a strong
  4. 4. Page 4 USPHS Dental Newsletter August 2009 advocate for our dental public health programs and I am grateful for the support that the Association has provided. I was recently honored to co-teach at the Gorgas Institute, in Panama, a train-the-trainers workshop on caries prevention for communities in Central America. The three-day long course was offered in cooperation with the Pan American Health Organization (PAHO) and the Department of Health and Human Services, and was an adaption of techniques and curricula developed by the Indian Health Service on oral health promotion/disease prevention methodologies. A key aspect of the training was discussion about community-based oral health programs and the goal was that at the completion of the course, those trained would be able to apply skills learned during the training in their own communities. Thirty-eight dentists attended the training and PAHO has indicated that they would like to offer the course again in South America as well as in the Caribbean. I am optimistic that there will be future opportunities for dentists from our category to assist in such training, and the materials have great potential for use during Health Diplomacy deployments. I would like to express my sincere appreciation to each and every one of you for your contributions and dedication to the Dental Category and to the U.S. Public Health Service. Thank you for all that you do to protect, promote and advance the health and safety of our nation! Have a safe and wonderful summer! DENTAL PROFESSIONAL ADVISORY COMMITTEE CHAIRPERSON COLUMN, CAPTAIN COLEMAN PALMERTREE Hello and welcome to all dental officers in the PHS, both active duty and retired Commissioned Corps officers as well the dedicated civil servants and contract dentists who are giving care in many agency sites and facilities across the country and world. Where is the year going? It seems like we just started and yet, here it is summertime. First let me extend a very big thank you to all of the officers and leadership who support each other and our mission in the field. RADM Halliday has shown great patience and mentoring abilities by helping me this year and CDR Phillip Woods, DePAC vice char, CAPT Bill Stenberg, DePAC secretary, and our past chairs have also been invaluable resources with their insight and vast institutional knowledge. Each of the voting members of DePAC, Ex-Officios and Guests are steadfastly committed to improving our category and advancing the mission of the PHS. It is a very humbling experience to see the dedication and selflessness of the dental officers in our organization. There is not a day that goes by that I am not reminded of the hard work and extra hours given freely by our dental officers to further the mission of their local program and the PHS mission at large, “Protecting, Promoting, and Advancing the Health and Safety of the Nation.” This year DePAC is attempting to reach out to more dental officers. Our goal is to make communications more open, both into and back from the field in an effort to facilitate support and encourage resource sharing. Our efforts this year include active involvement of all dental category agency leadership with invites extended to each of the DePAC meetings with time allotted for their input and discussion. The PAC also intends to broaden the Newsletter to include more information than ever concerning relative and timely events, updates that dental officers may need for their local missions, and opportunities that exist regarding continuing education and pertinent dental conventions. The Inactive Reserve Commission is being assisted by DePAC in organizing and
  5. 5. Page 5 USPHS Dental Newsletter August 2009 obtaining contact information for its membership in an effort to make a readily available pool of officers to meet emergent and urgent needs in the field when they arise. A Career and Development Guide for officers is under construction, with the new officer portion nearing completion. Work on national level awards for deserving officers is a continual process all year. The Dental Category website has been constantly undergoing changes and with the migration of new website formats will undergo extensive changes under new Web Masters in the months ahead. Minority and Women Issues are constantly being reviewed and new avenues to assist officers continue to develop related to awards through increased collaborations with similar stakeholders and the development of training modules. A new Gold CAM group from OCCO is working closely with DePAC to aid new dental officers and agencies make smooth transitions into PHS. A new mentoring system as well as a new Associate Recruiter Program have been developed to assist prospective new officers prior to and after their entry into the PHS dental category. I’m looking forward to a productive year and I’m honored to serve with such a dedicated cadre of professionals. DENTAL PROFESSIONAL ADVISORY COMMITTEE VICE CHAIRPERSON COLUMN PHILLIP WOODS, DDS, MPH, BOP NATIONAL PERIODONTAL CONSULTANT When I started this year, I knew it would be an adventurous, “full out” one for me. I’d need to work hard to learn as much as possible about the policies, procedures, and diverse components of the DePAC; I’d also do my best to support CAPT Palmertree as his Vice-Chair, often conversing daily - all while maintaining my daily responsibilities at my BOP PHS duty station. Some six months later I must admit it's really been a great year for me thus far. I’ve had the unique opportunity to meet many of you through our monthly DePAC teleconferences, through our Work Group and Subcommittee meetings, and as part of planning for regional and national meetings. I'm proud of the work DePAC is doing and I certainly realize none of this work would be possible without your! In the spirit of a more focused effort to disseminate important clinical information to the Dental category, I’ve enclosed a brief synopsis of an emerging discipline in the field of periodontics. Perhaps it will whet your appetite sufficiently to seek a more detailed discussion of the topic. THE EMERGING DISCIPLINE OF PERIODONTAL MEDICINE* BY PHILLIP WOODS, DDS, MPH,BOP NATIONAL PERIODONTAL CONSULTANT As a dental specialty, Periodontics has come a long nomenclature systems emerged for classifying the way in recent decades. Significant research has shed periodontal diseases.[ii] All of this growth is light on the pathogenesis, risk factors, and the notable when one considers the fact that as recently impact of systemic conditions on periodontal as the 1960s, bacteria still had not been widely diseases. Several World Workshops in Periodontics recognized as the cause of what was then known as were convened in the last two decades, providing periodontal disease, or pyorrhea.[iii] the profession an opportunity to re-evaluate the art and science of Periodontics, and to support only A landmark 1989 paper introduced the association evidenced-based periodontal therapies.[i] New between oral infection and systemic disease,
  6. 6. Page 6 USPHS Dental Newsletter August 2009 supported by sound, scientific methods.[iv] • Eighteen percent of all pre-term, low-birth- Subsequent studies by DeStefano, Neck, weight births may be attributable to Offenbacher and others supported the idea that periodontal disease. Periodontitis might confer independent risks for • People with severe periodontal disease may systemic conditions. At the 1996 World Workshop be twice as likely to have the type of stroke in Periodontics Offenbacher introduced the term caused by blocked arteries as those with “Periodontal Medicine”, describing it as a good oral health. “discipline focused on validating this disease relationship and its biological plausibility in human • People with severe periodontitis may be populations and animal models”.[v] more than six times as likely to have poor glycemic control as those without We’re all aware that Periodontitis is an oral disease periodontal disease. for which risk factors include smoking, specific plaques bacteria and diabetes mellitus. Earlier • Decreased bone mineral density and thinking supported the notion that the link between osteoporosis appear to be related to tooth systemic disease and periodontitis was loss. Hormone replacement therapy seems to unidirectional, that the diabetes caused periodontitis be effective in saving teeth. in certain diabetics. However, recent studies have Where are we now? revealed that this relationship may be bi-directional, such that improving a patient’s periodontal health Since the introduction of periodontal medicine, might lead to improved glycemic control in many in the field have moved quickly to assign diabetics. Certain cross-sectional and case control “causation” to these systemic conditions - for studies demonstrate that periodontal diseases may example, describing periodontitis as the cause of increase risks for a number of systemic conditions. pre-term, low-birth weight. However, most studies [vi] have only been able to demonstrate that these conditions are “associated with”, versus “caused What systemic conditions have been associated by” periodontitis. Future research will indeed shed with periodontal diseases? more light in this area. Key researchers in periodontal medicine have What can we expect from future described the following[vii]: research? • Tobacco use is a major risk factor for periodontal disease. A smoker's risk of In the future we can expect to see physicians developing periodontal disease is increased working more intimately with dental professionals anywhere from 2 to 10 percent, depending as they treat periodontal conditions and the systemic on the amount that person smokes. conditions to which they have been linked, such as diabetes, cardiac disease, adverse pregnancy • A person’s genetics can amplify or reduce outcomes and osteoporosis. Through their the severity of periodontal disease. High collaborative treatment efforts, we can expect to see production levels of interleukin-1 (IL-1) – not only improved oral health but systemic health as which indicate that people may be more well in our patients. susceptible to severe periodontal disease – run in families. A genetic test now can As dental professionals it is our job to stay informed determine if a person has this genetic on the latest advances in this emerging area of marker, and this knowledge could provide periodontal medicine. Rest assured that our patients further information about a patient's will have questions to ask about it. Only by keeping prognosis. informed and providing our patients with science- based therapies will we be able to provide the best care possible, and ensure that we indeed “do no harm”.
  7. 7. Page 7 USPHS Dental Newsletter August 2009 These are exciting times for our profession. For [iv] Mattila K et al. Association between dental more information, please visit the website of the health and acute myocardial infarctiion. Br Med J American Academy of Periodontology at 1989;298: 779-782. www.Perio.org Stay tuned! [v] Offenbacher S, Katz V, Fertik G et al. J [i] Annals of Periodontology Volume 1: 1996 Periodontal infection as a possible risk factor for World Workshop in Periodontics. preterm low birth weight. J Periodontol 1996:67: 1103-1113. [ii] Annals of Periodontology1999; Volume 4:1-6. [vi] Paquette DW, Madianos P, Offenbacher S, et. [iii]"Periodontal Medicine in the Next Millennium: al. The Concept of "Risk" and the Emerging Implications for Clinical Practice," Dr. D. Walter Discipline of Periodontal Medicine. J Contemp Cohen; 1999 Harvard/AAP Symposium. Dent Pract 1999 Oct;(1)1: 001-008. [vii] "Periodontal Medicine in the Next Millennium: Implications for Clinical Practice," Dr. D. Walter Cohen; 1999 Harvard/AAP Symposium. USPHS DENTAL CATEGORY DAY BY CDR ROBERT C. LLOYD JR., SUPERVISORY DENTAL OFFICER (CLINICAL PROGRAMS) FORT DEFIANCE INDIAN HOSPITAL, FORT DEFIANCE, AZ “Leading a Strong Public Health Workforce for a described the role of Public Healthy America” was the theme for this year’s Health Service programs in USPHS Scientific and Training Symposium in promoting evidence-based Atlanta, GA. The Dental Category Day was a approaches. tremendous experience for everyone in the audience and began with a call to order by the DePAC Chair Dr. Fred Rueggeberg, from CAPT Coleman Palmertree and Chief Dental the Medical College of Officer, RADM Chris Halliday. They Georgia School of Dentistry enthusiastically welcomed all of the dental officers presented on “Photocuring and guests from organized dentistry and dental in Dentistry - Providing schools and reminded everyone about the unique Optimal Results”. Dr. opportunity this meeting offered to network with Rueggeberg is currently a colleagues, obtain valuable dental public health and tenured Professor and Section Director of Dental clinical knowledge, and ultimately improve Materials in the Department of Oral Rehabilitation themselves as dentists while strengthening the at the Medical College of Georgia School of Dental Category. Dentistry. He provided information about the successful use of a light-curing unit in dentistry and The Dental Category Day started with a a range of clinically useful techniques to optimize presentation by RADM Isabel Garcia entitled chair side results. He explained the light tip “Dentistry Based on Evidence vs. Evidence-Based positioning during exposure with a light-curing unit, Dentistry”. She is the Deputy Director of the minimizing intrapulpal temperatures when a tooth is National Institute of Dental and Craniofacial exposed to a light-curing unit and proper evaluation Research (NIDCR), one of the Institutes of the of light unit output. National Institutes of Health. RADM Garcia (pictured right) described the basic elements for evidence-based dentistry, gave examples of selected clinical procedures and their level of evidence and
  8. 8. Page 8 USPHS Dental Newsletter August 2009 The Dental Category was The afternoon session started with a panel of five honored to have Dr. Gary dentists from the Centers for Disease Control and Rozier (pictured left) deliver Prevention from this host city (Atlanta, GA) the David Satcher Keynote discussing some topics of significance. The Lecture. Dr. Rozier is a moderator for this session was CAPT Carolyn Professor of Health Policy Tylenda. The five dentists provided their subject and Management at the matter expertise in their focus areas with the CDC. University of North Carolina The five dentists and their subject matter were: at Chapel Hill Gillings CAPT William Bailey, School Based Sealants; School of Global Public CAPT Monina Klevens, Hepatitis; CAPT Michael Health where he directs the Campsmith, HIV; Dr. Valerie Robison, program in dental public health. He finished the Tuberculosis and Dr. Jennifer Cleveland, Influenza morning session with a review of scientific (H1N1). evidence in supporting early childhood caries (ECC) prevention programs. He described the The afternoon session concluded with Dr. Steven effectiveness of individual and community based Roser providing information about “Complications programs in helping to reverse national trends with with Dentoalveolar Surgery”. Dr. Roser is the early childhood caries. Chief for the Division of Oral and Maxillofacial Surgery at the Emory University School of Lunch provided an opportunity for everyone to met Medicine in Atlanta, GA. He lectured about the and reunite with old friends. During lunch, the management of displaced teeth and oral-antral entire Dental Category went outside the meeting communications (sinus exposures). room to have several pictures taken with Acting Surgeon General RADM Steven Galson. RADM All participants really enjoyed themselves for the Galson congratulated the entire Dental Category for entire 2009 Dental Category Day. Please remember their achievements as a category since the last to make a note on your calendar for the May 2010 Symposium. Following lunch, officers from the USPHS Symposium in San Diego, CA. Updates on Dental Category were recognized at the awards meeting dates and location will be posted at: http:// presentation (see following article). www.phscofevents.org DENTAL CATEGORY AWARD RECIPIENTS THE DENTAL CATEGORY AWARDS WERE PRESENTED AT THE 2009 USPHS SCIENTIFIC AND TRAINING SYMPOSIUM HELD IN ATLANTA, GEORGE. CONGRATULATIONS TO THE DESERVING DENTAL OFFICERS WHO WERE RECIPIENTS OF THE AWARDS! Ernest E. Buell Dental Award knowledge and experiences in a trauma level 1 hospital at the Wake Forest University Baptist CDR Shani Lewins is the Medical Center (USMMA). In 2004, she joined the recipient of the 2009 Ernest U.S. Public Health Service Commissioned Corps Eugene Buell Dental Award. and was assigned to the U.S. Coast Guard at the CDR Lewins is a 2000 U.S. Merchant Marine Academy to provide graduate of the State comprehensive dental care and after-hour University of NY at Buffalo. emergency care to over 900 Midshipman. A strong Following graduation, she advocate for preventive traumatic dental injury, she spent two years in a dental collaborated with the Department of Athletics at general practice residency USMMA to provide custom mouth guards for both program and expanded her varsity and club sports. Despite the demands of her
  9. 9. Page 9 USPHS Dental Newsletter August 2009 position she has continued to participate in DePAC CAPT William Stenberg is the co-recipient of the activities and serve as the Co-Editor of the DePAC 2009 Ruth Lashley Mid- Newsletter helping bring a fresh and exciting new Career Dental Award and has look to the publication. She exemplifies the made exceptional characteristics of a Junior Officer in the USPHS. contributions to improving the oral health care for American Ruth Lashley Mid-Career Indians/Alaska Natives and USPHS Dental Award Coast Guard personnel. CAPT Stenberg is board CAPT Gary Pannabecker certified by the American is the co-recipient of the Board of Periodontology, a 2009 Ruth Lashley Mid rigorous certification process Career Award. CAPT that only about 33% of periodontists accomplish in Pannabecker received his their careers. CAPT Stenberg completed a Masters commission with the United in Public Health degree, and he is currently enrolled States Public Health Service at the Northeastern State University for a Masters (USPHS) in 1995 to began Degree in Education/ Biology to further enhance his an exceptional career with teaching skills. After serving with the US Navy for the Indian Health Service (IHS) at Browning, MT. three years and teaching Periodontology at the His efforts to promote fluoridation in the new University of the Pacific for 12 years, CAPT community water system serving the 5000 residents Stenberg joined the USPHS with his first of the Blackfeet Reservation will have a long term assignment with the Indian Health Service (IHS) at impact on public health. He collaborated with the Tahlequah, OK. At Tahlequah, he served as an Montana Special Health Services agency on the instructor in the Advanced General Practice Northwest Montana Cleft Palate Clinic at the Residency program at Hastings Indian Medical Blackfeet Community Hospital. In addition to his Center (HIMC). He developed a comprehensive clinical responsibilities, he also serves as adjunct periodontal curriculum to allow each resident to clinical professor at the University of Louisville improve a variety of surgical and non-surgical School of Dentistry, University of Texas Health periodontal skills thereby increasing the periodontal Science Center at San Antonio, and Boston services available to the IHS patients. He has also University School of Dentistry. He is not only a taught in the Navy Periodontal Short Course in dedicated clinician and administrator; but he is also Bethesda, MD and is currently on the team a motivated Public Health Service officer. He developing the Navy Periodontal Correspondence served as the Chair of DePAC in 2005 and as the Course. His involvement with DePAC to include Vice Chair in 2004. In 2005, he was deployed to but not limited to – served as a mentor on the New Orleans after Hurricane Katrina to ensure Mentoring Workgroup, served as the Executive civilian hospitals remained operational and served Secretary for two years, and was selected to serve as on the Katrina Dental Response Group. In 2004, he voting member since 2007. He has served as an represented the USPHS in a deployment with the Associate Recruiter and participated in recruiting Department of Defense to Camp Pendleton booths at national meetings and dental schools. He providing comprehensive exams and routine has also served on the Commissioned Corps Music treatment for Marines being deployed to Iraq. He Ensemble for three years, performing at multiple earned the Field Medical Readiness Badge and two national meetings. He has received the Field Crisis Response Ribbons in recognition of his Medical Readiness Badge and served as the Admin/ deployment contributions. His efforts have Finance chief of the Rapid Deployment Force Team consistently resulted in exceptional performance #4. He volunteered with the Cherokee County and have led to a positive impact on the USPHS and Oklahoma Emergency Management team during his the IHS. tenure at Tahlequah, OK. In his current billet with the U.S. Coast Guard, he is responsible for maintaining the dental readiness of Coast Guard
  10. 10. Page 10 USPHS Dental Newsletter August 2009 personnel in the Kodiak area which he has clinical duties, he also served as the Acting Area maintained at or near the 90% threshold since his Dental Officer for Alaska and provided support to arrival in 2008. He also serves as the Infection all the Alaska service units. He has received Control Committee chairman and Radiology Safety numerous PHS awards throughout his career for his officer. In 2008, he volunteered for an international accomplishments and contributions to the exchange/ Japanese language academic program in Commissioned Corps. He was selected to serve as a Japan in preparation for Asian deployments which voting member of the DePAC from 2005 to 2007 proved to be valuable as he recently completed an and served as the Executive Secretary for the International Engagement/Enforcement Patrol DePAC in 2005. His exemplary career reflects his aboard the USCG Cutter Munro. Throughout his tremendous personal drive and deep dedication to career, he has responded to challenging situations the mission of the USPHS. with creativity and innovation. His efforts have consistently resulted in exceptional performance and have had a positive impact on the USPHS. He Hershel S. Horowitz Oral Health is a highly motivated officer who is looked up to by Research and Policy Award his peers as a leader and a role model. CAPT Rosemary Duffy is Senior Clinician Award the recipient of the 2009 Hershel S. Horowitz Oral CAPT George Bird is the Health Research and Policy recipient for the 2009 Award. CAPT Duffy Senior Clinician Award. began her distinguished Upon graduation from the career as an officer in the University of TX San US Public Health Service Antonio, he entered the Commissioned Corps in USPHS in 1989 with the 1990 with the Health Indian Health Service Resources and Services and Administration (IHS) at the Yukon (HRSA) as a dental officer in the Dental Education Kuskokwim Health and Special Initiatives (DESI) Branch, Division of Corporation in Bethel, Associated, Dental, and Public Health Professions AK. In 2004, he completed the IHS Advanced (DADPHP), Bureau of Health Professions. While in General Practice Residency at Gallup, New Mexico. DESI branch, she developed, implemented and Upon completion of the residency program, he was conducted the Ryan White HIV/AIDS Dental selected as the Deputy Chief of the Tanana Chiefs Reimbursement Program which was then a new Conference in Fairbanks, Alaska and two years later legislated program. This Program supported access was selected as the Chief. As a senior officer with to oral health care for individuals with HIV sixteen years of experience, he exhibits program infection by reimbursing dental education programs accomplishment through the exceptional for non-reimbursed costs incurred in providing such management of a large, complex IHS clinic. His care. She also managed the Advanced General management of the dental program includes the Dentistry Grant program which supported the supervision and mentoring of twenty nine tribal development of new programs and first-year employees and five commissioned officers. Also, positions in postdoctoral general dentistry he is able to utilize skills acquired in the residency education. As Deputy and Acting Director she program to make notable improvement in clinical provided expertise and leadership in planning, areas. Due to the cost of referral from a remote developing, coordinating and, evaluating location, he functions as a de facto pediatric nationwide programs for health professions specialist for the service unit of 16,000 patients and resource in the dental, allied, chiropractic, medical, provides all aspects of dental care including one geriatric and public health fields. In 1997, she was month of field travel per year. In addition to his assigned to the CDC in Atlanta, GA where she
  11. 11. Page 11 USPHS Dental Newsletter August 2009 began her training as an Epidemic Intelligence herself and represented the PHS with the highest Service Officer (EIS) in the National Center for standards. She takes pride in her work and Infectious Diseases, Division of Healthcare Quality continues everyday to try and improve the health of and Promotion. As an EIS Officer, Captain Duffy the Nation. worked with the Food and Drug Administration (FDA) to identify defective tubing as the cause of a Dental Responder of The Year series of serious illnesses and deaths among patients receiving dialysis treatment in three states. The CAPT Bob Smith is the defective tubing was recalled by the FDA and recipient of the 2009 further cases of illness were averted. Dental Responder of the CAPT Duffy was involved in the Romania hepatitis Year Award. CAPT Smith B study, and the surveillance data suggested that a is the Deputy Area Dental substantial proportion of acute hepatitis B cases Officer for the Oklahoma were attributed to dental care. She was asked to Area responsible for the work with the CDC Divisions of Oral Health and day to day operation of the Hepatitis and the Romania Ministry of Health to dental branch in the Office evaluate infection control knowledge and practices, of Health Care Systems. to provide training on universal/standard In addition to his duties, precautions, and to develop strategies to improve he is the primary infection control knowledge and practices among consultant for the Medical Imaging Program and dental healthcare personnel in Romania. Each of Women’s and Children’s Health. CAPT Smith these investigations has had far reaching public provides consultation services to the federal, tribal health effects not only in the United States but in and urban dental programs in the Oklahoma area. other countries as well. All these studies have been He is a model PHS officer and has represented the published and have contributed greatly to dental category on numerous deployments and has decreasing mortality and morbidity. In1999, she served in the capacity of the Director of Operations was assigned to the Division of Prevention (DOP), for the Gold Team of RDF #4. During his time with Ohio Department of Health (ODH) to assist the the RDF #4 team, he was involved in creating the state health department in the use of population- Standard Operating Procedures for the Planning based health data to plan and evaluate health Section. These documents are still being used by all promotion and disease prevention efforts, set of the RDF team for deployments. He was deployed priorities, and to develop sound public policy while to South Florida for Hurricane Wilma in 2005 and helping to strengthen the state's chronic disease was selected to serve as Officer in Charge of a epidemiology capacity in the long term. She has Medical team. The mission of teams is to establish helped develop and implement a plan to train medical units in areas without medical service. He epidemiologists to develop dataset-specific was deployed with the US Navy on the USNS expertise and then share that expertise across Comfort in 2007 (Partnership of the Americas). chronic categorical (i.e., diabetes, asthma, injury, During his time on the USNS Comfort, he was CV) programs. She assisted with several reports selected as the Dental Officer in Charge at the describing the burden of chronic disease on treatment sites and utilized his proficiency in Ohioans. She also has a wide variety of other duties Spanish to enable the US Naval Seabees to contract such as assisting the state in preparing for the with a local contractor to drill and build a well to pandemic flu, working with the Data/Research supply a Health Clinic with running water for the Committee, and serving on the Director's Advisory first time in 5 years. He was again deployed with Committee on Emerging Infections and supervising the US Navy on the USNS Mercy in 2008 (Pacific Ohio’s EIS officer. Partnership 2008). During this deployment, he was selected to participate in the first Remain Overnight Her career in PHS spans the gamut of management/ mission authorized. His team was flown to the administration of federal programs, health service Island of Samar in the Republic of the Philippines research and epidemiology. She has distinguished
  12. 12. Page 12 USPHS Dental Newsletter August 2009 and stayed for 16 days providing treatment to the North Carolina in 1992 and completed a Dental people of the Island. CAPT Bob Smith is Public Health Residency in 2003. He completed recognized for his dedication and contribution to these programs while continuing to work full time further the mission of the U.S. Public Health in demanding billets. His thorough mastery of Service. requisite knowledge was demonstrated by attaining Board Certification in 2004. Additionally, his Jack D. Robertson Dental Award abilities as a leader in the PHS are illustrated in job accomplishments across a wide variety of CAPT William Bailey is assignments. Recently, in special assignments to the recipient for the 2009 DHHS outside of his regular CDC billet, he has Jack D. Robertson Dental demonstrated great initiative and judgment in Award. His distinguished difficult circumstances. In 2005, he deployed to career spans five Baton Rouge, Louisiana in response to Hurricane geographic and Katrina as part of the Secretary’s Emergency programmatically diverse Response Team. In 2007, he was hand-picked to assignments where his serve as a key member of a ten-person pre- superior performance and deployment site survey team to make arrangements willingness to assume for the USNS Comfort’s 120-day humanitarian additional responsibilities mission to 12 Latin American and Caribbean ports. has been recognized. CAPT Bailey’s unwavering In this role he provided advice directly to the commitment to the mission of the PHS is evidenced Navy’s Southern Command, and met with local through his work with four agencies: the Health officials in Columbia, Peru, Ecuador, Guyana, Resources and Services Administration, Bureau of Trinidad, and Tobago to assess potential sites and Prisons, Indian Health Service (IHS) and Centers recommend appropriate dental procedures. His for Disease Control and Prevention (CDC). These excellent planning of this complex endeavor assignments have demonstrated a progression in resulted in a very successful mission of “health complexity and scope that should serve as the diplomacy”. model for young leaders serving in the PHS. He began at the staff level with local responsibilities For the past year, he has served as acting team lead and progressed to the position of Area Dental for CDC’s oral health program services, even as he Officer, managing twenty-two dental programs and continues to serve as the agency’s primary official one hundred fifty personnel across a four state responsible for reviewing scientific reports and region. His current assignment at CDC’s National translating their findings into information used by Center for Chronic Disease Prevention and Health health advocates across the nation to promote Promotion affects public health systems serving community water fluoridation. These citizens of every state across the nation, building accomplishments would not be possible without his infrastructure for state oral health programs and dedication, compassion, humility, and sense of extending the reach of community preventive humor. He has brought great credit upon himself strategies to improve oral health. He earned a and the U. S. Public Health Service. Masters degree in Public Health at the University of ADDITIONALLY, THE DENTAL OFFICERS LISTED BELOW WERE RECOGNIZED FOR THEIR SERVICE AND EXEMPLARY PERFORMANCE BY THE USPHS, HISPANIC OFFICERS ADVISORY COMMITTEE AND ASIAN PACIFIC OFFICERS COMMITTEE RESPECTIVELY: USPHS Special Assignment Award • CAPT David LaBadie
  13. 13. Page 13 USPHS Dental Newsletter August 2009 • CAPT Hsiao Peng • CDR Lynn Van Pelt Hispanic Officers Advisory Committee Award • CDR Reginald Ballard - Juan Carlos Finlay Award for career dedication to the mission of the Division of Immigration Health Services • CDR Maria-Paz Smith - Juan Carlos Finlay Award for support of humanitarian missions. Asian Pacific American Officers Committee Award • LCDR Minh Kevin Lee - RADM Kenneth Moritsugu Junior Officer Award On Behalf of RADM Christopher Halliday and the DePAC - Congratulations to all the 2009 Awards Recipients! ANNOUNCEMENT OF THE 2010 DENTAL PROFESSIONAL ADVISORY COMMITTEE AWARDS NOMINATION CYCLE The DePAC is pleased to announce the 2010 DePAC Awards Cycle. Nominations for the Dental Category awards are now being accepted. The DePAC requests that you nominate a fellow dentist in the USPHS, either Commissioned Corps or Civil Service. Please pass this information along to colleagues and to supervisors from all agencies so they can recognize deserving candidates. Detailed nomination information including application, checklist, and example narrative can be found on the Dental Professional Advisory Committee Awards webpage at: http://www.phs-dental.org/depac/newfile30.html Important points to remember: • Deadline for submission is September 15, 2009 • Submit early to ensure all documents have adequate review time • Maintain OFRD readiness status throughout the nomination process • Submit all documents electronically in Microsoft word rich text format • Supervisor’s approval required (e-mail from supervisor with signature block) • If you have questions, contact Awards Workgroup Co-Chairs CDR Darla Whitfield (Darla.Whitfield@dhs.gov ) or CDR Angie Roach (Aroach@bop.gov ). Anyone can nominate! Recognize your colleagues!!! CONTINUING PROMISE 2009 – CONTINUED FROM PAGE 1 The Office of Force Readiness and Deployment NALO flight to the ship and remain associated with (OFRD) has provided significant planning input on it for the duration of their rotations. The U.S. Navy behalf of the USPHS. The plan is to provide is paying all travel costs associated with deploying sequential detachments of Corps officers for USPHS Commissioned Corps officers. Thus, rotations lasting roughly 28-35 days aboard the ship Agencies in which Corps officers are assigned will who will travel to Miami, FL, board a U.S. Navy NOT have to pay these travel expenses. As with
  14. 14. Page 14 USPHS Dental Newsletter August 2009 other uniformed personnel, once embarked on the countries. Officers filling these roles may include ship, USPHS commissioned officers will need to optometrists, epidemiologists, physical therapists, turn over their monthly subsistence pay to the ship dieticians, and scientists. in order to offset the cost of the meals provided. Each officer selected for Continuing Promise 2009 OFRD intends to provide 4 successive, pre- is expected to meet specific pre-mission configured teams of USPHS officers for this requirements, including: mission. Below is a breakdown of the types of officers needed for each of these teams:  Meeting and maintaining Basic Readiness standards;  Physicians (Primary Care/Preventive  Supervisor/Agency consent; Medicine/Infectious Disease)  Possession of an Official (Maroon) Passport  Nurse Practitioners/Physician Assistants in time to obtain any required visas;  Health Educators (multi-disciplinary)  The absence of any current or pending including Dietitians, Therapists, Nurses adverse actions;  Environmental Health Officers  Submission to OFRD of a full-body digital  Engineers photograph in with the officer is standing in  Dentists Service Khaki uniform, Summer White or  Dental Hygienists BDU’s, and;  Pharmacists  CPO concurrence (obtained by OFRD once  Veterinarians other requirements are submitted).  Epidemiologists In addition to the above requirements, officers In addition to the pre-configured public health selected for these missions will have to complete detachments, CAPT Arturo Bravo, a dental officer some additional web-based modules specific for with the Health Resources and Service ship-based missions in international environments. Administration is serving as the USPHS Office-in- The uniforms for this mission are based on the Charge (OIC) for the duration of the 120-day operational needs of the mission. mission. CAPT Bravo previously deployed as a dentist aboard the USNS Comfort (T-AH20) for The countries involved require visiting health care Continuing Promise 2007. In addition, each providers to submit credentials for in-country detachment will also include a junior officer (O-2 to review prior to an intended visit. Some of the O-4) to serve as the executive assistant/public countries require this to be done 45 days in advance. information officer (EA/PIO) to assist the USPHS Other countries are less stringent. OIC. LT Mivoyel Jean Paul, a health services officer with the Administration for Children and After reviewing appropriately cleared officers and Families is currently serving as the EA/PIO for consulting with their respective CPOs, OFRD will Detachment 1. Both the OIC and the EA/PIO may make the final decision regarding which of the be from any category within the Commissioned selected officers will participate in these training Corps. deployments. If you have are interested in deploying for Finally, the U.S. Navy may also request additional Continuing Promise 2009, please send questions or officers to augment ship personnel for specific concerns to the OFRD Response Operations mission legs to meet identified needs in certain mailbox at ofrd-response@hhs.gov.
  15. 15. Page 15 USPHS Dental Newsletter August 2009 NOMINATIONS FOR THE 2010 USPHS DENTAL PROFESSIONAL ADVISORY COMMITTEE (DEPAC) Approximately four slots for voting members (3-year terms) are available. Those not selected to voting membership will be encouraged to participate in one of the DePAC subcommittees or workgroups. The Dental Professional Advisory Committee (DePAC) provides advice and consultation to the Surgeon General and the Chief Dental Officer on professional and personnel issues related to the Dental Category. Members are required to attend the scheduled meetings during the three-year term. Meetings are typically held in Rockville, Maryland, and members in the field connect via teleconference if they are unable to travel to attend. Qualified candidates will be identified primarily through nominations by the DePAC, the Chief Dental Officer, and self-nominations. Candidates may be Commissioned Corps officers (CC) and Civil Service (CS) Dentists working within DHHS/DHS/DOJ. Candidates must receive initial approval and subsequent support from their immediate supervisor and agency liaison. DePAC members are selected to represent Public Health Service agencies, field and headquarters locations, CS employees and CC, and based upon the nominee's commitment to public health activities. The Surgeon General makes final approval for DePAC membership. All CC candidates must meet current Corps policies to include, but not limited to, Corps-wide readiness requirements from the time of the application deadline through appointment and subsequent three-year DePAC term. DePAC may request OFRD to check member basic readiness status at any time during a term. Nominees, by virtue of their application, agree to attend monthly DePAC meetings (in person or by phone) and actively participate in ongoing DePAC activities, including membership and leadership of one or more subcommittees or workgroups. For more information visit the DePAC Website: http://www.phs-dental.org/depac/newfile27.html . Officers are encouraged to self-nominate using the application form found at the following link: http://www.phs- dental.org/depac/DePAC%20Self%20nomination%20form2009%203-yr.doc PHS DENTAL OFFICERS AT THE NATIONAL INSTITUTES OF HEALTH BY CAPTAIN KATHY L. HAYES, DMD, MPH OFFICE OF SCIENCE POLICY AND ANALYSIS, NIDCR Overview The National Institutes of Health (NIH) together make up the nation’s premier health research agency. Comprised of 27 Institutes and Centers, the NIH supports research grants to many organizations. The agency also pursues basic and The NIDCR pursues its mission through research, clinical research through intramural programs on research training, and dissemination of health NIH campuses. The main NIH campus is located in information to the public and health care Bethesda, Maryland. The NIH community includes professionals. Since 1948 NIDCR leadership has PHS commissioned officers, civil servants, and helped establish prevention as a cornerstone of visiting scientists from the US and abroad. The American oral health. The founding director of the (then) NIDR was H. Trendley Dean, a PHS National Institute of Dental and Craniofacial commissioned officer who led early investigations Research (NIDCR) leads the nation’s ongoing effort regarding the effect of fluoride on both the to improve oral, dental, and craniofacial health.
  16. 16. Page 16 USPHS Dental Newsletter August 2009 development of fluorosis and protection against ---As the NIDCR Planning Officer, CAPT Kathy dental decay. Hayes helps coordinate the annual NIDCR budget planning cycle. These policy and planning Roles of Dental Officers activities communicate the Institute’s As of April 3, 2009, the majority of the 355 PHS accomplishments and future plans to NIH, HHS, commissioned officers assigned to the NIH are and other offices within the executive branch. She physicians or nurses. Currently five dental officers also co-directs the dental public health residency serve at the NIH performing a variety of duties. mentioned above. Dr. Hayes entered the PHS Four are trained in dental public health, and one in through the IHS, and served with HRSA working in oral medicine. health training, rural health, and policy. ---LCDR Demetrio Domingo is the most recent NIH Four of the officers are assigned to the NIDCR: dental officer to come aboard. As the Acting ---RADM Isabel Garcia is the Deputy Director of Clinical Director in the Clinical Research Core of L-R: CAPT Kevin Hardwick, CAPT Renee of Intramural Research, he conducts the NIDCR. Dr. Garcia provides both the Division Joskow, RADM Isabel Garcia, CAPT Kathy Hayes, LCDR administrative and policy leadership. She Demetrio Domingo, and CDR patient evaluation(DPH treatment in the NIH Clinical Michael Johnson and spearheaded the development of the last two Center, collaborates in protocols within the NIDCR Resident) NIDCR Strategic Plans. Dr. Garcia also is and in other Institute Centers, directs the Clinical President of the American Board of Dental Public Research Fellowship Program, advises the NIDCR Health, and directs the NIDCR Residency Program Intramural Review Board, and represents NIDCR in in Dental Public Health, an the Medical Executive accredited dental specialty Committee. Prior to training program. One coming to NIDCR, Dr. current resident, CDR Domingo served as a dental Michael Johnson, is a PHS officer in the U.S. Navy. officer sponsored for training by the Federal The fifth, CAPT Renée Bureau of Prisons. Prior to Joskow, works in the joining NIH RADM Garcia National Center for served at the AHRQ and in Research Resources state and local government L-R: CAPT Kevin Hardwick, CAPT Renee Joskow, (NCRR). She is a program RADM Isabel Garcia, CAPT Kathy Hayes, LCDR dental public health. Demetrio Domingo, and CDR Michael Johnson (DPH official who manages Resident) Clinical and Translational ---CAPT Kevin Hardwick is Science Awards, which Chief of NIDCR’s Research Training and Career provide funds to accelerate the development of Development Branch. As such, he leads NIDCR’s “bench” or basic science discoveries and translate extramural research career training efforts. Several them into clinical applications for the “bedside” and NIDCR training grant programs provide in turn, the community to improve public health. infrastructure and resources to developing oral She serves as the dental liaison for her program to health researchers and the institutions that train the NIDCR and makes a special effort to encourage them. Dr. Hardwick is a critical lynchpin dental school and dental researcher participation in communicating to young researchers and their NCRR funded programs. Dr. Joskow has served in mentors the different types of training grants and the CDC’s Epidemic Intelligence Service, the loan repayment opportunities available through the Department of Homeland Security, and in the Institute. He travels to schools and conferences and OFRD. works closely with professional associations. His prior career experiences include assignments to the This synopsis of current officers provides only a Health Resources and Services Administration snapshot of the variety of assignments available at (HRSA) and the World Health Organization in the NIH. In recent years dental officers have also Geneva. served in the NIH Office of the Director, in the
  17. 17. Page 17 USPHS Dental Newsletter August 2009 Center for Scientific Review, and as intramural to the DePAC and/or its subcommittees. At least Scientists and Scientific Directors. five of the NIH dental officers who are active duty or retired within the last three years have served as Officership at the NIH DePAC chair, an impressive proportion considering NIH dental officers carry a history of service to the the relatively small number of officers. All are category and a sound sense of officership. All readiness qualified, and LCDR Domingo helps lead current NIH dental officers have a record of service the quarterly fitness tests for NIH office. BRINGING IT BACK TO THE CHAIR - THIS ISSUE’S CLINIC CONTRIBUTION GUIDELINES FOR THE MANAGEMENT OF PATIENTS WITH PERIODONTAL DISEASE LIEUTENANT COMMANDER RAYNESE S. FIKES, DC, USN, CAPTAIN THU P. GETKA, DC, USN AND CAPTAIN MARY E. NEILL, DC, USN REFERENCE: CLINICAL UPDATE - NAVAL POSTGRADUATE DENTAL SCHOOL, NATIONAL NAVAL DENTAL CENTER, BETHESDA, MARYLAND, VOL. 30, NO. 1, 2008 Introduction An explanation of terms may enable a better Recently the American Academy of Periodontology understanding of the stratification of the level of published guidelines for the co management of care. “Should” merely means the recommendation patients with periodontal disease.1 These guidelines is a highly desirable direction, but not mandatory. are intended to facilitate communication and serve “May” provides a choice to act or not, giving the as recommendations for the identification of practitioner the freedom to follow a suggested patients who would benefit from co-management by alternative. The general dentist remains the primary the referring dentist and the periodontist. Risk care provider. assessment and risk management have become an increasingly important component of dental Level 3: Patients who should be treated by a examination and treatment. Periodontal disease can periodontist be a challenge to manage and is a major cause of Any patient with: tooth loss in adults. By using the guidelines as a  Severe chronic periodontitis communication tool, a dentist can make an earlier  Furcation involvement identification of patients who would benefit from  Vertical/angular bony defect(s) specialty care.  Aggressive periodontitis (formerly known as juvenile, early-onset, or rapidly progressive The guidelines are divided into four main sections: periodontitis narrative introduction, three levels of patient  Periodontal abscess and other acute conditions, definitions of terms, and frequently periodontal conditions asked questions. Clinical, medical and behavioral  Significant root surface exposure and/or conditions are used to identify and triage a patient progressive gingival recession according to the level of risk and the severity of  Peri-implant disease disease. The recommendations are intended to improve communication between the general Any patient with periodontal disease, regardless of practitioner and the specialist; not limit the scope of severity, whom the referring dentist prefers not to practice of experienced practitioners. treat.
  18. 18. Page 18 USPHS Dental Newsletter August 2009 Level 2: Patients who would likely benefit from  Joint-replacement surgery comanagement by the referring dentist and the  Organ transplantation periodontist* Any patient with periodontitis who demonstrates at As prefaced in the ninth edition of the text book reevaluation or any dental examination one or more “Carranza’s Clinical Periodontology” by Newman, of the following risk factors/indicators* known to Takei, and Carranza, “The periodontal care of the contribute to the progression of periodontal disease: public is primarily the concern of the general dentist, who cannot disregard his or her Periodontal Risk Factors/Indicators responsibility to examine, treat, or refer all  Early onset of periodontal disease (prior to periodontal problems. The high incidence of the age of 35 years) periodontal problems and the close relationship  Unresolved inflammation at any site (e.g., between periodontal and restorative dental therapies bleeding upon probing, pus, and/or redness) make this an incontrovertible point. A well-trained  Pocket depths > 5 mm group of periodontists who specialize in the  Vertical bone defects diagnosis and treatment of severe or unusual  Radiographic evidence of progressive bone problems should serve to supplement the general loss dental care available to our population.”2  Progressive tooth mobility  Progressive attachment loss In cases where the presentation is so severe or  Anatomic gingival deformities unusual or cases where optimal results occur after  Exposed root surfaces initial periodontal therapy, the decision to refer or  A deteriorating risk profile not to refer may be less ambiguous.2 For the patients who do not fall into either of these Medical or Behavioral Risk Factors/Indicators categories, the guidelines should serve as an aid in  Smoking/tobacco use making the determination when a referral or co-  Diabetes management would be beneficial for the patient.  Osteoporosis/osteopenia  Drug-induced gingival conditions (e.g., These recommendations are intended to serve as phenytoins, calcium channel blockers, guidelines for the dental team in managing patients immunosuppressants, and long-term with periodontal diseases and serve to facilitate systemic steroids) effective communication between referring dentists  Compromised immune system, either and periodontists. They are intended to assist the acquired or drug induced general practitioner in quickly identifying patients  A deteriorating risk profile who are at greatest risk and most appropriately suited for specialty care. These guidelines are not Level 1: Patients who may benefit from intended to serve as a medico-legal standard of care comanagement by the referring dentist and the and do not replace the knowledge, skill, and periodontist abilities of the practitioner.3 Ultimately, it is the Any patient with periodontal inflammation/infection patient who will benefit the most through risk and the following systemic conditions: assessment and appropriate management.  Diabetes  Pregnancy For more information and updates please visit the  Cardiovascular disease American Academy of Periodontics website,  Chronic respiratory disease www.perio.org. Any patient who is a candidate for the following * therapies who might be exposed to risk from It should be noted that a combination of two or periodontal infection, including but not limited to more of these risk factors/indicators may make even the following treatments: slight to moderate periodontitis particularly  Cancer therapy challenging to manage (e.g., patient under 35 years  Cardiovascular surgery of age who smokes).
  19. 19. Page 19 USPHS Dental Newsletter August 2009 Lieutenant Commander Fikes is a resident in the References: Periodontal Department. Captain Getka is the 1. Academy Report. Guidelines for the Periodontics Department Residency Director and management of patients with periodontal diseases. Captain Neill is Chairman of the Periodontics J Periodontol 2006; 77(9):1-3. Department at the Naval Postgraduate Dental 2. Newman MG, Takei HH, Carranza FA. Clinical School. Periodontology, ed 9. Philadelphia, Saunders, 2002. 3. AAP clarifies the guidelines for the management The opinions or assertions contained in this article of patients with periodontal disease. Media/Press are those of the authors and should not be construed Release Nov 28, 2006. as official or as reflecting the views of the Department of the Navy or the USPHS. SPECIAL THANKS TO THE NAVAL POST GRADUATE DENTAL SCHOOL FOR USE OF THEIR “CLINIC UPDATE” PUBLICATION THIS ISSUE! USPHS DENTAL OFFICERS INTERESTED IN SUBMITTING CINICAL PUBLICAITONS ARE ENCOURAGED TO CONTACT ONE OF THE NEWSLETTER’S CO-EDITORS: CAPTAIN TODD TOVAREK AT TODD.TOVAREK@DHS.GOV OR LCDR SHANI LEWINS AT LEWINSS@USMMA.EDU WELCOME CAPTAIN DONALD BELCHER! U.S. COAST GUARD’S NEW CHIEF DENTAL OFFICER BY CO-EDITOR CDR SHANI N. LEWINS Captain Belcher will be assuming the position of Chief Dental Officer (CDO) for the U.S. Coast Guard (USCG) at Headquarters in Washington, DC on 22 June 2009. We wish Captain Suzanne Saville, the outgoing USCG CDO, the best as she assumes her new duties as the D11 Field Office Senior Dental Executive and Senior Health Services Officer in Alameda, California. We are quite privileged to have an Officer with Captain Belcher’s diverse background and professional demeanor assume command of the CG dental corps. He received his DMD in 1984 and subsequently completed a 1 year AEGD Certificate program in 1985 from the University of Pennsylvania. After working eight years in private practice Captain Belcher accepted a commission into the US Public Health Service. He has served across the nation both clinically and administratively. In Kodiak, Alaska he was a staff dental officer and in Petaluma, California the Health Services Dental Technician Liaison and Clinical Instructor at the training center. Captain Belcher has served as Senior Dental Officer at Integrated Support Command in Portsmouth, Virginia and following that Chief, Health Services Division at Air Station Clearwater, Florida. He brings additional training to the position with a Master’s degree in Quality Assurance from California State University and was recently selected as the CDO for USCG. In addition to his lengthy professional qualifications Captain Belcher presents himself as approachable to junior Officers and has the utmost respect for his piers. We very much look forward to working with him! SENIOR OFFICER SPOTLIGHT: CAPTAIN DANIEL HICKEY
  20. 20. Page 20 USPHS Dental Newsletter August 2009 CHIEF DENTAL OFFICER, BUFFALO FEDERAL DETENTION FACILITY, DIVISION OF IMMIGRATION HEALTH SERVICES 1) Can you please provide a brief summary of your training and education? I attended the University of Pittsburgh School of Dental Medicine on a National Health Service Corps (NHSC) scholarship. After graduation, the NHSC provided me ample opportunities to further my education through CE both within and outside PHS. I became hooked on CE, and joined the Academy of General Dentistry to expand my knowledge base. Perhaps my best move was signing on with the Pennsylvania AGD PEAK program. In PEAK we have meetings twice a year; have cutting-edge speakers present on 18 different dental disciplines; present cases which are peer reviewed; and are prepared for Fellowship and Mastership in the Academy. I also take full advantage of the many opportunities federal service offers. For example, when I was in the BOP I was able to take the three-tiered Spanish Immersion language program, which I have put to good use many times. 2) Can you tell our readers how long you have been a USPHS officer and what agency (agencies) you have been assigned to during your tenure? I started out in the NHSC in 1982 in the Upper Peninsula of Michigan, where I also helped out at the Indian Health Service site at Kincheloe, MI. I transferred to the BOP and did service at facilities in Central Pennsylvania and West Virginia. Currently I am with the Division of Immigration Health Services (Department of Homeland Security) in Batavia, NY. 3) What led you to consider a career in the PHS dental program? Prior to Dental School I was looking at various options available to students and came across the NHSC scholarship program. PHS was in the background during my student years at Pitt, but upon my call to active duty my first commanding officer, CAPT William Hall, was a huge influence on my professional outlook. He mentored me into the PHS and became a great friend. His positive insights and guidance sold me on a PHS career. 4) What do feel has been the most significant change in the evolution of the Corps during your Commission? Two events come to mind. First, in the 1980s the elevation of Dr. C. Everett Koop to Surgeon General gave immense credibility and visibility to the Commissioned Corps. This event cannot be underestimated. Second, the announcement on July 1, 2003 by HHS Secretary Tommy Thompson regarding the Transformation of the Corps was the necessary driving force to guide and modernize the Corps into the 21st century. Hopefully we will continue to see the Corps expand and more opportunities arise for our officers as the Transformation evolves. 5) What have you found to be the most rewarding part of your career with PHS (personal or professional)? The most rewarding aspects of a PHS career are the many talented and extraordinary people you meet on the way and the deep friendships PHS engenders. I truly have met some exceptional and brilliant clinicians, as well as some truly creative and adventurous individuals who have influenced me and provided many memorable moments. Let the good times continue to roll! 6) What have you found to been the most challenging part of your career with PHS (personal or professional)? Perhaps the most challenging professional aspect in PHS dentistry is dealing with individuals who do not understand dentistry! Non-dental personnel do not always have an appreciation of the rules and regulations we
  21. 21. Page 21 USPHS Dental Newsletter August 2009 have to deal with, no do they understand other issues such as adequate staffing, scheduling patterns, invasive procedures, etc. I am extremely confident every PHS dental officer has dealt with these frustrations at one time or other in their career. 7) If a new Dental Officer asked you “why should I make PHS my career” what would you tell him/her? I would suggest if the new officer has a sense of adventure, is flexible in outlook and willing to accept new challenges, desires to have the opportunity to custom-tailor your career, wants to see the country and the world, and does not want to be stuck in the same office for the next 30 years, then perhaps the PHS is for you! It certainly has been a fruitful and fulfilling career for me. 8) What motivates you to stay in the Public Health Service? Years ago, in my NHSC days, I was called to Chicago to attend an awards ceremony. At that event I received my first PHS medal. The director of the NHSC, a PHS Captain, presented it to me and, after the ceremony, took the time to speak and engage in a dialogue about what I wanted out of my career and of life. I was most impressed with his bearing and professionalism; obviously he was greatly concerned about the officers under his watch. His name was Kenneth Moritsugu. He said something to me I have never forgotten and every new officer should hear. "The Public Health Service" he said, "offers you a career rich in opportunity and challenge." His words continue to motivate me to this day and still ring true. Xxxx DePAC ‘click’ FAQs How do I get more • Having trouble finding something on a Commissioned involved in DePAC? Corps or PHS website? • Found that page once but can’t seem to find it again? • Just not enough hours in the day to surf the PHS web? • Let our editors provide you with the one click solution! Ctrl+click on the Send your inquiries to one of our co-editors at lewinss@usmma.edu or mouse todd.tovarek@dhs.gov ; we’ll email you back the link and may even include your FAQ in the next DePAC Newsletter.
  22. 22. Page 22 USPHS Dental Newsletter August 2009
  23. 23. Page 23 USPHS Dental Newsletter August 2009 Dental PAC Coin Order Form Price: $10 Name: _____________________________________________________________ Address (for shipment):_______________________________________________ City/State/Zip Code: _________________________________________________ Quantity:_________ Total Enclosed:__________ (including S&H) (Please make the check payable to: Shipping and Handling: Commissioned Officers Foundation Less than 5 coins = $2.50 5 to 10 coins = $3.50 More than 10 coins = $5.00 Send your check and this form to: Mary Beth Kinney – Dental Coins 5125 Alberta NE Ave. Rio Rancho, NM 87144 QUESTIONS: Contact Mary Beth Kinney at phone number: 602-364-7747 or email Marybeth.kinney@comcast.net
  24. 24. Page 24 USPHS Dental Newsletter August 2009 JUNIOR OFFICER SPOTLIGHT: LIEUTENANT COMMANDER VICKY OTTMERS CHIEF DENTAL OFFICER, PEARSALL, DIVISION OF IMMIGRATION HEALTH SERVICES 1) Can you please provide a brief summary of your training and education? • Texas A&M University, BS, 1995 • San Antonio Dental School, DDS, 2000 • Houston Dental School, Two-Year General Practice Residency, 2002 • Clinical research 2001-2003 • Conducted clinical care and research at the Bering Dental Center, Houston focusing on HIV patients and related care, 2002-2007 2) Can you tell our readers how long you’ve been a PHS officer and describe your duties at your present site? I was called to active duty in September 2008 and I’m stationed at the South Texas Detention Complex in Pearsall, TX. This is a Division of Immigration Health Services site and I provide supportive dental care for approximately 1600 detained illegal immigrants awaiting adjudication of their immigration cases. This is a solo, two chair clinic and the focus of my practice is emergency dental services. 3) What led you to consider a career in the PHS dental program? I’ve always leaned towards community service and the Public Health Service seemed like a good fit for me. Public Health allowed me to be a part of something bigger, and I was attracted by the mission and wide array of opportunities available with a Public Health Service career. 4) What did you find to be the most challenging aspect of your transition into the Public Health Service? The transition from private practice mode to the more structured uniformed service protocols has been an interesting change. I’m always vigilant to respect the chain of command and I’m learning new acronyms on a daily basis. Getting used to daily uniform wear and proper military protocols has been a big change for me as well and I really enjoyed the opportunity to attend the BOTC training. Clinically the transition has been less challenging as my previous experience and training prepared me for this type of practice. 5) What has been the most rewarding aspect of your service thus far? I enjoy the opportunity to help those in need who otherwise wouldn’t have access to dental care. Many of my patients have had little or no access to dental care and I feel as though I’m having a positive impact on their oral health. I’m also pleased to have the opportunity to work with such committed and focused health care providers. 6) Describe some of your hobbies and activities outside of the PHS? I like to travel and I’m an avid reader. Family is very important to me and I spend as much quality time with them as possible. This includes my three faithful companions, a sheep dog, black lab and Jack Russell terrier.
  25. 25. Page 25 USPHS Dental Newsletter August 2009 7) Has your experience in the PHS thus far lived up to your expectations? I expected that this career track would be challenging and the daily, frenetic pace of my clinic has not disappointed. I’m very happy with the decision I made and I’m looking forward to a rewarding career with the Public Health Service. The quality of individuals that I’ve encountered thus far has impressed me and I have a new appreciation for the PHS dental officer after serving in the Corps for about a year. ASSOCIATE RECRUITER PROGRAM BY CAPTAIN SUZANNE SAVILLE, CHIEF DENTAL OFFICER, US COAST GUARD Call it modernization or transformation, either way of materials was created that serve a variety of the Associate Recruiter Program (ARP) will be purposes and that complement one another to create experiencing some exciting new changes in the near a new “brand identity” for the Corps. The new future. Stay tuned for more detailed information as brand debuted with the launch of the revamped Web it becomes available. The current dental category site last spring: leads, CAPT Renée Joskow, CAPT Tim Owen and http://www.usphs.gov/RecruitmentMaterials/ myself, CAPT Suzanne Saville would like to acknowledge and personally thank every dental The brand includes a new recruitment campaign category Associate Recruiter past and present for logo that features the tagline “America’s Health the time, energy and contribution to this valuable Responders,” which is based on extensive audience program. research conducted with potential recruits. This logo does not replace the HHS logo or the PHS seal. Current proposals in works for the ARP include reducing each category to two leads and providing Presenting a Unified Image two designated Associate Recruiters for each of the Corps officers are encouraged to use the new ten (10) federal districts. The current dental materials whenever possible to ensure that we category leads are working closely with the present a cohesive, consistent image to the outside Recruitment work group of the DePAC to ensure a world, including our future officers. The materials smooth transition. include a recruitment PowerPoint presentation, category-specific fact sheets and/or flyers and As a reminder to all Associate Recruiters: please posters for the following professions: Physician, make sure you submit all required documentation Nurse, Dentist, Pharmacist, Mental Health, to DCCR and the Associate Recruiter Leads** to Scientist, Engineer, Veterinarian, Public Health remain active in the Associate Recruiter Program. (multi-category), and Student Opportunities. You must have completed at least two qualifying events during your qualifying period and the To request materials, please contact CAPT Tim annual training; as an officer it is your Owen a minimum of four to six weeks prior to your responsibility to track your status. event at jxowen@bop.gov Materials Available to Support You in Your Reminder to send activities to Leads and ARP Recruitment Activities! **Please send qualified recruitment activities on the A New Look for Corps Materials correct form to: CAPT Renee Joskow, CAPT Tim As you may be aware, several years ago the Corps Owen or CAPT Suzanne Saville AND also send to: engaged the services of a communications ARP@hhs.gov, one event per form. Go to CCMIS contractor to develop a new “look” for our main page, click on Services, Official Forms, scroll recruitment materials. Through this contract, a suite down to Recruitment and use PHS 7052. A fillable
  26. 26. Page 26 USPHS Dental Newsletter August 2009 PDF version is available: CAPT Suzanne Saville http://dcp.psc.gov/PDF_docs/FillablePHS-7052.pdf Suzanne.K.Saville@uscg.mil as well as a fillable word document: CAPT Renée Joskow http://dcp.psc.gov/cc_forms.asp (see “recruitment” Renee.Joskow@nih.hhs.gov section). If you have changed duty stations and we Or CAPT Tim Owen may not have your current address, please up-date it jxowen@bop.gov with one of the Associate Recruiter Leads. EDUCATIONAL RESOURCES & ONLINE CE OPPORTUNITIES ADA/CERP Description/Topics Link CDE Hours Fees Recognized Series of online courses in dental ethics https://www.dentalethics. 15 org/index.shtml No Yes and professionalism (1 hr per course) 10 Yes for CDE Organization for Safety and Asepsis Available for free credits: Procedures(OSAP) interactive guide to http://osaplms.ts.karta.co study or fee for Yes m/ $85 members/$100 CDC infection control guidelines online CDE credits non-members http://www.nidcr.nih.gov Practical oral health care for patients w/ /EducationalResources/H ealthCareProviders/POC 2 No Yes developmental disabilities PDD.htm http://www.henryschein.c Yes for CDE credit Home study courses available from om/us-en/dental/services/ 15+ Available free for Yes Henry Schein on variety of topics cehp/HomeStudy.aspx reference use http://www.nidcr.nih.gov Dental Providers Oncology pocket /NR/rdonlyres/AA5DF3 guide. Quick reference on treating pts DD-5DB7-47D4-9F09-4 No No - before, during and after cancer treatment 61F242C471F/0/DentalP ocketGuide.pdf http://www.nidcr.nih.gov Presentation explaining the clinical trial /EducationalResources/D entalHealthProf/ClinicalT No No - process rialsSlideShow.htm http://www.bethesda.med .navy.mil/Careers/Postgra Naval Postgraduate Dental School duate_Dental_School/Ed Numerous No Yes Correspondence Course Program ucational_Resources/Corr es_Brochure_Jan09.doc Dental Evaluation and Consultation Service(DECS): Continuing education Air Force/DECS/CDE Numerous No Yes lectures and handouts and a wide variety of topics http://www.uiowa.edu/~o Oral Pathology Image database prm/AtlasHome.html No No - Naval post –graduate dental school http://www.bethesda.med .navy.mil/Careers/Postgra continuing education clinical updates duate_Dental_School/Res No No - archives. Vast array of topics. earch/Clinical_Updates/ http://www.insidedentistr Inside Dentistry online continuing y.net/continuingeducatio Multiple No AGD/PACE education opportunities. Many topics n.php

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