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Contents Balancing the Mind, Body and Conflict
A Holistic Approach to Wellness
Being healthy and staying well are critical to dentists so that they can provide optimal care for their patients. However, there are no single definitions of “healthy” and “well.” Dentists must maintain mental, physical and relational aspects of wellness — and the balance between each. With this in mind, AGD Impact asked three dentists who are experts in each aspect to chronicle how dentists can hone each skill set to achieve optimal mind, body and relational wellness.
Oral Cancer: Updates from AGD and Around the World
As part of April as Oral Cancer Awareness Month, this issue of AGD Impact features an update from the AGD Foundation on its mission to bring awareness to oral cancer. It also includes the latest in oral cancer research from around the world.
At AGD2025, the focus is on continuing education that you can implement Monday when you return to your practice. Learn new techniques, hone your skills, and return to your practice refreshed and ready to put your new tricks to work right away.
Exercise Is the Ultimate Therapy
At 8:45 p.m. on a Tuesday evening, I received a text from my senior hygienist. She had been in bed since 8 p.m. but awakened when she remembered that she had forgotten to report a positive comment from one of her patients. She profusely apologized for texting me so late in the evening, and I told her it was no problem since I was at the gym for my usual workout. She found it incredulous how I could work out so late at night with the work we do every day. My response: It’s therapy!
As dental professionals, we get a daily mental workout. The problems we solve and the solutions we find are continuous during the workday, taxing many of us to our limits. This creates tremendous stress on us physically and mentally. Throw in the responsibility of running a business, and we may very likely be at the limits of our ability to cope with stress.
Many studies have shown a link between mental and physical health. One study observed over 7 million patients. If you are experiencing mental health issues, you are twice as likely to have multiple physical ailments. Multimorbidity includes hypertension, epilepsy and cancer, as well as metabolic, respiratory, vascular, kidney and gastrointestinal diseases.
Dentists might have it even worse than the general population. According to a 2022 Healthcare Management Forum study published in ADA News, more than 40% of dentists have experienced a mental health issue, including burnout, mood disorders or serious thoughts of suicide. Dentists are also less likely than other healthcare professionals to consider taking a leave of absence. The results may relate somewhat to the end of the COVID-19 pandemic, but they are still relevant today.
According to the American Dental Association’s “2021 Dentist Health and Well-Being Survey Report,” of all dentists, 63% reported that they had experienced a medical condition. The most common conditions were back problems (27%), elevated cholesterol (16%) and anxiety (16%).
While there are many self-destructive ways to deal with stress, from denial to drug and alcohol abuse to taking it out on family and friends, what’s an optimal positive solution?
I don’t purport to have a one-size-fits-all remedy to all mental and physical disorders, but one self-help solution can’t possibly hurt — physical exercise. I firmly believe this is a solution for most dentists, and I call it my “therapy.”
When you exercise, your body releases endorphins — hormones that interact with receptors in your brain to reduce pain and trigger a positive feeling. The health benefits of regular exercise and physical activity are hard to ignore. Everyone benefits from exercise, regardless of age, sex or physical ability. According to the Mayo Clinic, there are seven benefits to regular exercise: controlling weight; combatting health conditions such as stroke, high blood pressure and Type 2 diabetes; improving mood; boosting energy; promoting better sleep; improving confidence; and providing social benefits.
I hope you enjoy our cover story this month that highlights some of the many aspects of wellness — from physical to mental to social. Dentists know full well about the oral-systemic connection, so we should all be aware that these types of wellness are connected. Not one of them exists in isolation, and improving one improves them all.
My journey reflects many of our members’ struggles with anxiety and depression, which can lead to physical ailments. About 15 years ago, my cousin, who holds a PhD in psychology, affectionately pointed out that I had become very sedentary after 20 years of coaching Little League, youth basketball and high school baseball. It was time to get back into physical action, starting with group exercise. Peer pressure to perform and engage in physical activities was the solution for me. For those of you just starting your exercise regimen, my advice is to start slow and work up to your comfort zone for the ultimate relief. If I can do it, so can you — probably better than me.
Bruce L. Cassis, DDS, MAGD Associate Editor
Editor
Timothy F. Kosinski, DDS, MAGD
Associate Editor
Bruce L. Cassis, DDS, MAGD Director, Communications
Kristin S. Gover, CAE
Executive Editor
Tiffany Nicole Slade, MFA Managing Editor
Leland Humbertson, MA
Associate Editor
Caitlin Davis
Manager, Production/Design
Tim Henney Graphic Designer Eric Grawe
of General Dentistry
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AGD Representatives to Attend Dental Anesthesia Provider Summit
By Cindy Kluck-Nygren, AGD manager, Dental Practice
Two AGD members will attend the May 8, 2025, Dental Anesthesia Provider Summit, hosted by the American Dental Association’s (ADA’s) Council on Dental Education and Licensure (CDEL) and its Anesthesiology Committee. Brooke Elmore, DDS, MAGD, vice chair of AGD’s Dental Practice Council (DPC), and Bryan T. Moore, DDS, AGD’s representative to CDEL’s Anesthesiology Committee and a consultant to the DPC’s Subcommittee on Anesthesia, will participate in the summit.
The summit will include a review of the 2016 “ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists.” According to the ADA, the Dental Anesthesia Provider Summit is intended to “bring together key stakeholders and members of the anesthesia community to engage in meaningful discussions, foster collaboration, and achieve consensus on the ADA Guidelines.”
The DPC and its Subcommittee on Anesthesia review AGD’s policy on sedation annually to ensure that it safeguards patients, protects the rights of the general dentist to perform these procedures, and is aligned with the profession’s guidelines and best practices. The issue was among the topics covered during AGD’s 2024 Virtual Advocacy Conference, where Elmore presented the session, “Protecting the General Dentist’s Right to Perform Anesthesia.” AGD members may view the program, as well as all other presentations from the Virtual Advocacy Conference, on demand at no cost by logging into AGD’s Online Learning Center.
“AGD has historically had an integral part and strong voice surrounding anesthesia services provided in dental offices,” said Elmore. “We will continue to represent our members and, most importantly, protect our patients’ right to receive sedation and anesthesia services for dental procedures. AGD supports the ADA’s Guidelines and will ensure that they continue to allow our members to provide these services safely to our patients.”
Other organizations invited to participate in the Dental Anesthesia Provider Summit include the American Dental Society of Anesthesiology, American Society of Anesthesiology, American Association of Pediatric Dentistry, American Society of Dentist Anesthesiologists, American Academy of Periodontology, and American Association of Oral and Maxillofacial Surgeons.
Representatives Discuss Key Issues with AGD Dental Practice Council
By Cindy Kluck-Nygren, AGD manager, Dental Practice
Representatives of two organizations joined members of AGD’s Dental Practice Council (DPC) on Jan. 17, 2025, to deliver presentations on topics of critical importance to practicing dentists: artificial intelligence (AI) and safety/infection control in the dental practice.
Reza Khosravi, DDS, chief executive officer of the Dental Artificial Intelligence Association (DAIA; dentalaia.org), highlighted DAIA’s mission and commitment to setting ethical standards and spearheading education, innovation and research, all while fostering collaboration within the dental and AI communities.
AGD’s 2023 House of Delegates adopted a statement on “Artificial Intelligence in Dentistry” that had been developed by the DPC’s Subcommittee on Artificial Intelligence. At the time, Callan D. White, DDS, FAGD, then chair of the subcommittee and the current chair of the DPC, said, “The DPC recognizes that the use of AI/AuI is trending upwards, and it was important to us to have a statement that established guardrails for this technology that has the potential to shift how we provide care for our patients and how outside entities assess whether that care was appropriate. The most crucial element of AGD’s policy is the position that AI should never supersede or replace the dental practitioner in clinical decisions or in any way erode the patient/practitioner relationship.”
Michelle Lee, executive director of the Association for Dental Safety (ADS; myads.org) (previously known as the Organization for Safety, Asepsis and Prevention, or OSAP), shared information about ADS’ resources and toolkits, which were developed to help dental practices more easily implement guidance and regulations focused on infection prevention and safety.
AGD members may select programs for on-demand viewing on both AI and safety/infection control by browsing programs in AGD’s Online Learning Center.
AGD Hosts Webinar for Members Impacted by Claims Issues Due to 2024 Data Breach
By Cindy Kluck-Nygren, AGD manager, Dental Practice
AGD, in collaboration with Henry Schein One, hosted a webinar, “Navigating the Change Healthcare Recovery: An Open Discussion with Henry Schein One,” Dec. 11, 2024.
The program was developed in response to a member complaint reporting problems filing electronic claims that began soon after the February 2024 Change Healthcare data breach. After researching the issue, AGD’s Dental Practice Council (DPC) directed AGD headquarters staff to contact the company to discuss what had happened. During a virtual meeting to discuss the issue, leaders of Henry Schein One offered to present a webinar to provide information about the Change Healthcare data breach, the company’s shift to a different clearinghouse partner and the current status of the recovery. According to company data presented during the webinar, in February 2024, the initial claim rejection rate was 11.5%; by December 2024, that number had dropped to 3.5%.
The program was introduced by Callan D. White, DDS, FAGD, chair of the DPC, and moderated by Ryan Hungate, DDS, MS, Henry Schein One’s chief clinical and strategy officer. Panelists included: Ali Hyatt, Henry Schein One’s chief customer and growth officer; Martin Kearns, Henry Schein One’s general manager of revenue cycle management; Paul Kaiser, chief executive officer of DentalXChange; and Debra Bafia, office manager of Ethos Dental Group.
“This program was a first-of-its-kind collaboration between AGD and Henry Schein One,” said White. “AGD is the primary advocate exclusively for general dentists, and we’re committed to representing our members across a broad community of stakeholders, from those within organized dentistry to the vendors many of us use in our practices every day.”
“Our customers are at the heart of everything we do. When the Change Healthcare incident first happened, helping our customers
recover became our top priority, and it remains just as important today as we work to strengthen their practices for long-term success,” said Hyatt. “This collaboration with AGD helped us to bring this important conversation to dentists so they can move forward and navigate challenges with confidence.”
“When challenges like this arise, it’s easy to feel overwhelmed,” said Bafia. “But having the right support makes all the difference. Henry Schein One was there for us every step of the way, and I’m grateful to AGD for hosting this important conversation. Discussions like this help practices stay informed, adapt and focus on what matters most: caring for patients.”
Responses to the post-event survey of attendees revealed that nearly 96% of program attendees self-reported their position in the practice as “dentist.” The program received high scores for being informative and relevant and for improving overall knowledge. It is available for on-demand viewing at AGD’s Online Learning Center. The program is available at no cost and does not award continuing education credits.
Fellowship Fellowship Exam Blueprint Revisions for 2025
Buksa Named AGD Executive Director
Daniel J. Buksa, JD, CAE, was named AGD executive director March 3. He has been interim executive director since October and has held the title of associate executive director, public affairs, since 2006. He has been interim executive director four separate times between 2008 and 2025, for a cumulative total of 39 months. Buksa has worked at AGD since 1997. He was advocacy manager from 1997 to 2003 and director, general dentistry representation, from 2003 to 2006. Buksa received his JD from Valparaiso University in 1993 and served in the U.S. Army from 1984 to 1988.
Outside of AGD, Buksa serves as an elected trustee on the board of the Catholic Order of Foresters, a midsize fraternal life insurance company. He is active in the American Legion, currently serving as post judge advocate. He was previously commander, among various other positions. Buksa and his wife have five children.
In 2024, a job task analysis (JTA) was carried out in conjunction with the AGD Fellowship Exam program. JTA is a process that aims to describe the physical actions and cognitive activities involved with or required to complete a task. Conducting a JTA with the exam program helps to ensure that the Fellowship Exam is on track with the current practices and procedures in all fields of dentistry today.
In Memoriam
Robert L. Ramus, DDS, MAGD
Robert “Bob” L. Ramus, DDS, MAGD, longtime dentist, supporter of education, Ohio State Buckeye and former AGD trustee from Hicksville, Ohio, died Jan. 8, 2025. Ramus was born in Jewell, Ohio, in 1942 to H. Maxwell and E. Elaine (Winkler) Ramus. He graduated from North Richland Adams (Jewell) High School in 1960 before continuing his studies at Ohio University in Athens, where he met his loving wife, Janet. Ramus later attended Ohio State University (OSU) and earned his DDS in 1968. The couple then returned to Hicksville, where he began his 51-year career practicing dentistry. Ramus’ quest for knowledge and love of learning never stopped. He was passionate about his profession and continued his education, earning first a Fellowship and later Mastership in AGD. Bob was the first dentist in the state of Ohio to earn this designation. He served at all levels on the Ohio AGD Board. He was instrumental in developing the MasterTrack curriculum for AGD accreditation to help others further their education, and his format is still widely used today. He also served the national AGD board as a trustee. Later, he served the Academy of Dentistry International Board of Regents on all levels, eventually serving 19 years as the executive director. He spent countless hours volunteering for organizations and clubs. His
As a result of the JTA, revisions have been made to the blueprint of the 2025 Fellowship Exam, study materials and content outline regarding question count per discipline and updated subcategories per discipline. For more information about the updated content outline for the 2025 Fellowship Exam, visit agd.org/2/ education/ce/studyguide/studyguidelist.asp and click the content outline link at the top of the page.
favorite mission trip was with Thousand Smiles, an organization that travels to underprivileged countries to perform dentistry and cleft palate surgeries. Ramus was a member of and earned fellowship in numerous dental and civic organizations.
Ramus loved his small-town Northwest Ohio roots. He helped coach the Hicksville Connie Mack Baseball league and sang with the Northwesternaires Barbershop Chorus for a few years. He was a longtime member of the Hicksville Rotary Club, heading up the annual pancake supper for 44 years. He was humbled to be named the Hicksville Rotary Citizen of the Year in 2010. He also served with the Hicksville Development Corporation, the First Federal Bank advisory board and the Hicksville Rifle & Pistol Club. Other memberships included the National Rifle Association, OSU College of Dentistry Alumni and OSU Alumni Association, to name a few.
Ramus is survived by his wife of 60 years, Janet (Bilger) Ramus, and their daughters, Jennifer (David) Batiato and Stephanie (Tony) Wilhelm; grandchildren, Bryson (Ali) Batiato, Peyton Batiato, Ethan (Caitlin) Wilhelm, Kyle Batiato, Gavin Wilhelm and Isaac Wilhelm; great-grandchildren, Parker, Calvin and Maddox; his brother, Bill (Eileen) Ramus; nephew, Michael (Sarah) Ramus, and niece, Sarah (Charles) Bruorton; and great nieces and nephews, Emma, Liam, Callie and Aiden. He was preceded in death by his parents, Max and Elaine Ramus, and his parents-in-law, Bob and Ruth Bilger.
Why Whole-Health Dentistry Matters to Your Patients — and Your Practice
By Jackie Ulasewich Cullen
Patients today are savvier than ever. They’re asking better questions, doing their research and making more intentional choices about their health. They want providers who think beyond quick fixes and who understand that what happens in one part of the body can impact the rest.
This growing demand for whole-health care is an opportunity for dental practices — but it’s also a challenge.
Simply saying, “We focus on overall wellness,” isn’t always enough to help patients connect the dots. You have to show them — consistently and authentically — what that philosophy looks like in practice.
For practices that already embrace whole-health dentistry, the good news is you’re ahead of the curve. But if your messaging doesn’t make this focus clear, you might be missing out on patients who are looking for exactly what you offer. Let’s talk about why this approach resonates with patients and how to market it in a way that feels natural, not forced.
“A vague mention of ‘wellness’ or ‘whole health’ on your website isn’t enough. Patients need to see how this philosophy shapes every aspect of your practice.”
Why Patients Are Prioritizing Whole Health
Patients’ priorities are shifting. Here’s what we know:
• They’re thinking long term. Patients are paying more attention to prevention, and they want care that helps them stay healthy for years — not just treatments that patch up problems.
• They’re curious. While not everyone fully understands the connection between oral and overall health, many are starting to ask questions. They’re open to learning if someone takes the time to explain.
• They want more than a dentist. Patients who value wellness are looking for providers who feel like partners in their health journey. They want someone who listens, educates and shares their commitment to well-being.
For these patients, your approach to dentistry can make a big impression — if they know about it. And that’s where many practices miss the mark. A vague mention of “wellness” or “whole health” on your website isn’t enough. Patients need to see how this philosophy shapes every aspect of your practice.
Bringing Your Philosophy to Life
If you want to stand out as a whole-health provider, you need to connect with patients on their level. Here’s how:
1. Use real stories. Patients trust stories more than slogans. Highlight real-life examples of how your approach has made a difference for others. Did you help someone identify an oral health issue that was impacting their overall wellness? Have patients shared how much they appreciate your focus on education or prevention? Testimonials, before-and-after photos or even quick video clips can all help paint a clearer picture of what your practice stands for. These stories make your philosophy relatable and memorable.
2. Speak their language. Skip the jargon, and focus on what matters most to patients. For example, instead of “oral-systemic health,” talk about how healthy gums can support heart health. Instead of “preventive care,” explain how staying ahead of small issues can save patients time, money and stress in the future. The more relatable your messaging, the easier it is for patients to understand why your approach matters.
“For practices that already embrace whole-health dentistry, the good news is you’re ahead of the curve. But if your messaging doesn’t make this focus clear, you might be missing out on patients who are looking for exactly what you offer.”
3. Make it consistent. Your whole-health message shouldn’t live in just one place. It should be woven throughout your website, social media and even in-office conversations.
• On your website: Dedicate a section to explaining your philosophy in patient-friendly terms.
• On social media: Share practical tips, like healthy habits that support oral and overall wellness.
• In office: Make wellness part of the conversation, whether you’re discussing preventive care or walking patients through treatment plans.
When patients see the same message reinforced across every touchpoint, it builds trust and credibility.
Why Whole-Health Dentistry Benefits Your Practice
Marketing your practice as a whole-health provider doesn’t just attract new patients — it helps you connect with the right ones. People who value wellness are often intentional about their choices. When they connect with a provider who aligns with their health goals, they’re more likely to remain loyal and engaged and share their positive experience with others.
This approach also sets your practice apart. While many dentists focus solely on treating oral issues, emphasizing whole health shows that you see the bigger picture — and that can resonate deeply with patients who want more from their care.
If your practice already focuses on whole health, don’t leave it up to patients to guess what that means. Show them through your stories, your messaging and the way you communicate every day. By doing so, you’ll build trust, attract the patients you want and grow a practice that reflects your values. ♦
Jackie Ulasewich Cullen is co-founder and CEO of My Dental Agency, a dental marketing agency. An experienced speaker and writer, Cullen is passionate about helping dentists attract the patients they want and build thriving practices. To comment on this article, email impact@agd.org
Educate Your Patients with the Facts!
Take advantage of a great member benefit!
As an adviser to your patients and an advocate for optimal oral health and hygiene, you need to provide resources to your patients that educate them on various health topics. That is why AGD has prepared these onepage AGD Oral Health Fact Sheets for download and use in your office.
Share the AGD Oral Health Fact Sheets with your patients in two great ways — either print them for your office or embed them on your website. Both options allow you to offer your patients customized fact sheets that feature your name and practice address.
Download AGD Oral Health Fact Sheets agd.org/factsheets
Lt. Cmdr. Joshua W. Johnson Shares What Dentistry Aboard a Naval Ship Is Like
General dentistry can often feel like the wild west, where every day is different in terms of what might show up in your office. But what if you took that alreadyexciting atmosphere and intensified it even further, such as with a controlled supply of resources, no specialists within a 100-mile radius and… on a boat? These are the circumstances under which Lt. Cmdr. Joshua W. Johnson, DMD, MS, practices as the sole dentist serving 1,000–2,000 military personnel aboard a naval amphibious assault ship, which is a type of ship designed to take Marines and their aircraft into battle. While there is no shortage of challenges in this kind of practice environment, there is also no shortage of professional fulfillment.
AGD Impact: What made you decide to become a dentist? What inspired you to join the Navy?
Johnson: I graduated from high school in May 2001. As a graduation gift, I went on a trip to Washington, D.C., and New York City. I was fortunate to be able to see the iconic New York skyline, including the World Trade Center, from the top of the Empire State Building. Three months later, I watched on the news as those two towers came down. I realized that what would be called the Global War on Terror would be fought by the youth of my generation. I felt the pull to contribute to this struggle, and, at the same time, I knew that I wanted a college education, though I didn’t yet know for what purpose. After visiting with several military recruiters, I enlisted in the Marine Corps Reserve and spent the next six years completing my bachelor’s degree in between military assignments and deployments. During my time as a Marine, I had several interactions with Navy dentists, and I was always impressed with their calm professionalism in the intense Marine Corps military setting. At that point in my life, I knew that I wanted a career path that would offer professional longevity and fulfillment while allowing me to continue serving alongside our country’s warfighters. I decided that a career as a Navy dental officer would accomplish both of these desires.
What did you imagine your career as a dentist would be while you were in dental school, and how has your service in the military changed and broadened that image?
While I was in dental school, I tried not to have many set expectations for my impending career in Navy dentistry. I knew that the Navy assigned dental officers to serve with the Marines and on some ships, but that was as far as my knowledge extended. Since graduating dental school in 2017, I have learned that a career as a Navy dentist can be much more rewarding than I expected. Military dentistry offers a ready-made system for postgraduate specialty education and continuing education (CE) opportunities. Every young general dentist coming out of school has access to a vast network of mentors and specialists to whom they can turn for guidance. A career in military dentistry gives my family the opportunity to experience new places and cultures all over the world. And yes, as expected, it has also given me the opportunity to have very professionally rewarding experiences serving with Marines and on Navy ships.
What is it like to practice dentistry on a ship? What does your day-to-day schedule look like?
I practiced dentistry on board the USS Bataan during a seven-month deployment at sea in 2020, and I am currently assigned as the dental officer on board the USS Tripoli. The Tripoli is an amphibious assault ship whose primary mission is to deliver the Air Combat Element of the Marine Air-Ground Task Force in support of our nation’s national security objectives. The Tripoli also has a robust medical capability that can respond to mass casualty events as well as humanitarian disasters around the world.
As the sole dentist on board, I am responsible for the oral health of all 1,100 crew members, along with the other tasks related to operating a dental clinic, such as supply, sterilization, administration and equipment maintenance, to name a few. As part of the integrated medical team, the dental department is also responsible for casualty triage and operating the walking blood bank — so-named because crewmembers who match the needed blood type “walk” themselves to the blood draw location on the ship — during mass casualty events.
When the Marines come on board during deployments, the ship’s population more than doubles. Thankfully, I’ve been blessed with an oral hygienist and an outstanding team that really make my job enjoyable. What’s exciting about practicing dentistry on a ship is that, while I’m at sea, there are no specialty providers to whom I can refer my patients. I truly get to operate in a vacuum in which I am the go-to expert for all things dental. It has really helped me to diagnose and treatment-plan more comprehensively. Also, prepping teeth while the ship is rocking with the waves can be quite an adventure!
How do you keep your skills sharp between deployments?
As I mentioned earlier, the military has a large educational network. Several CE courses are offered throughout the year all over the country. The Army, Air Force and
Lt. Cmdr. Johnson.
Navy all have one- and two-year advanced education in general dentistry (AEGD) and general practice residency (GPR) programs that all general dentists are encouraged to apply for. I was fortunate enough to complete a one-year AEGD with the Navy and, later, a two-year AEGD with the Air Force.
What disadvantages are there to practicing dentistry on a ship, and how do you overcome them?
Because ships are so vital to national security, every item of supply and piece of equipment in the clinic must be approved
at a higher level. For example, many things used in dentistry are flammable or contain hazardous material. These items must be tightly controlled and regulated to minimize risk to the ship. Most of the disadvantages to ship dentistry are resource-related. I have to be innovative in each clinical scenario to give each patient the best treatment I can with the resources I have available. However, I love that I have the freedom to offer the best treatment I can personally give, as opposed to only providing treatment that the patient can afford or that their insurance will reimburse. ♦
Lt. Cmdr. Johnson completing an exam on a patient.
Lt. Cmdr. Johnson with the other members of the USS Tripoli dental team. Lt. Cmdr. Johnson and his family.
The USS Tripoli, aboard which Lt. Cmdr. Johnson currently serves. (Photo credit: Sgt. Samuel Ruiz.)
Balancing the Mind, Body and Conflict
A Holistic Approach to Wellness
Being healthy and staying well are critical to dentists so that they can provide optimal care for their patients. However, there are no single definitions of “healthy” and “well.” Dentists must maintain peak mental wellness to be able to perform complex procedures. With its propensity for awkward positions and repetitive motions, dentistry is also a physically demanding profession, so dentists must maintain physical wellness. They also interact with both patients and staff members on a daily basis, so communication and conflict-resolution skills are also necessary. These various facets of wellness do not exist in isolation, and they all constantly influence the others. Being able to improve all of them and find a balance is key. With this in mind, AGD Impact asked three dentists who are experts in each aspect of wellness to chronicle how dentists can hone each skill set to achieve optimal mind, body and conflict wellness.
Elevating Mental Resilience: Cultivating Calm and Excellence Through Wellness
By Sweta Shah, DDS, FAGD
As I begin to write this article, I am reminded of a profound quote shared by my fifth-grade teacher, a sentiment attributed to Mahatma Gandhi that resonates even more deeply today: “Happiness is when what you think, what you say and what you do are in harmony.”
Dentistry is one of the greatest professions in the field of healthcare, and now is the most exciting time in the history of dentistry due to its evolution in innovation and technology. This exciting era, however, demands a unique blend of precision and empathy for dentists and dental professionals. Dental training fosters a strong emphasis on perfectionism, challenging practitioners to excel in both meticulous procedures and complex human interactions. Ultimately, the demanding nature of dentistry necessitates exceptional organizational skills, empathy and an unwavering attention to detail.1 Dentists are typically intelligent and well-rounded and possess strong organizational skills, crucial for managing the daily challenges inherent in their profession.
Dentists are responsible for ensuring flawless work, such as achieving precise margins, and prioritizing patient comfort. Vigilance against potential complications is paramount. During procedures, practitioners must simultaneously manage numerous factors, including the procedure itself, patient exams, emergencies, laboratory case management, adherence to schedules, financials, optimal patient comfort, pain management, staff training and team coordination.2 Maintaining mental fortitude is essential in this demanding environment. While dental education provides a foundation in both the art and science of the field, the core of successful practice lies in meticulous attention to detail and the pursuit of perfection. The percentage of dentists with anxiety more than tripled in 2021 compared to 2003, according to the American Dental Association’s “2021 Dentist Health and Well Being Survey Report.”3 While the COVID-19 pandemic was surely a major force in 2021, other factors have been influencing dentists’ mental wellbeing for decades.
Dentistry, like many industries, is undergoing rapid technological evolution. Dentists are constantly presented with new research, techniques, materials and digital advances, requiring them to allocate significant time outside of clinical practice to remain current.4 While technology propels the field forward, the sheer volume of information — from research and trends to social media and artificial intelligence — presents a formidable challenge. Dentists
must adapt to a pace of knowledge acquisition far exceeding historical norms in addition to the fast-paced environment of daily practice demands. This constant influx, while stimulating, requires a dedication to lifelong learning and a mastery of new technologies. While striving for excellence is important, too much perfectionism can hurt well-being if left unchecked. It can also affect one’s personal life, making practitioners feel unconsciously that they must be perfect in everything.
This constant need to process and integrate new information, coupled with the inherent pursuit of perfection, can lead to a
persistent state of “fight or flight,” activating the sympathetic nervous system and hindering the parasympathetic nervous system’s ability to promote rest and relaxation. This sustained hypervigilance places immense pressure on bodily systems and can result in emotional dysregulation — potentially manifesting as various forms of unease — and burnout.2 To counter this, a mindful approach and a revolution are needed to manage cognitive load. The ability to effectively navigate this mental landscape is not just a personal benefit, but also a professional imperative for dentists seeking to provide the highest standard of care in an increasingly complex environment.
To that end, it’s essential to delve into the intricate workings of the brain, specifically the interplay between the prefrontal cortex (PFC) and the limbic system. These two interconnected regions play pivotal roles in how we process and react to stress, emotions and decision-making.5,6
• Your thinking brain (PFC): This part helps you think clearly, control your feelings and plan things. It’s like the boss of your brain.5 This brain region is responsible for higher-order cognitive functions like:
• Rational thought: Logical reasoning, problem-solving and decision-making.
• Emotional regulation: Managing and controlling emotional responses.
• Executive functions: Planning, organization, working memory and attention.
• Your emotional brain (limbic system): This part handles your feelings, like fear and memory. When you’re stressed, it can take over, making you feel overwhelmed and unable to think straight.5
This is the brain’s emotional center, including structures like the amygdala (fear and emotional responses) and hippocampus (memory and emotional connection). In a stressed state, the limbic system can become overactive, leading to:
• Increased emotional reactivity: Feeling overwhelmed, anxious or irritable.
• Difficulty thinking clearly: Impaired focus, concentration and decision-making.
Rather than resorting to suppression or internalization, how can we effectively navigate challenging emotions as they arise? What strategies can facilitate a shift from stress-induced thought patterns to a state of tranquility? And how can we harness the brain’s inherent capacity to activate its relaxation response?
Fortunately, there are ways for optimizing brain function, empowering the PFC while diminishing the dominance of the limbic system. Priming your brain for calm means getting your thinking brain (PFC) to work better and calming down your emotional brain (limbic system).7
How do we actually calm our emotional brain and boost our thinking brain? There are simple activities that can really help.
Research suggests that practices such as yoga, meditation, tai chi, swimming and other exercise, as well as engaging in activities like knitting, crocheting, playing board games or spending time in nature, can effectively foster calm and relaxation.
• Move and breathe: Yoga and tai chi are mind-body practices that combine physical postures, controlled breathing, movement, meditation and focus, which lowers stress and helps you manage your feelings.8 This can also help with promoting present moment awareness (mindfulness), flexibility and ergonomics.9
• Focus and create: Activities like drawing, painting, crossword puzzles, Sudoku, knitting, photography, pottery, gardening, crocheting or playing board games can give your mind something to focus and ground on, which reduces tension and anxiety, helps you relax and feel good about what you’re doing, and enhances creativity. It can provide a sense of focus and accomplishment, shifting attention away from worries and offering a positive outlet for self-expression.
• Disconnect to reconnect: Disconnecting from technology and spending time in nature while engaging with your senses mindfully can lower stress hormones, cortisol levels and blood pressure, which in turn improves your mood, enhances cognitive function, and boosts attention and memory. These activities help shift your brain from being overwhelmed by emotions to being calm and in control, essentially helping your thinking brain take charge again.
Research shows that by embracing practices that cultivate mindfulness and regulate emotions, individuals can actively reshape their brain’s response to stress, transitioning from reactive impulses to thoughtful control.10 Developing a structured personal wellness plan offers a pathway to sustained well-being and resilience.
Cultivating Inner Harmony: Actionable Practices for a Balanced Life
In the pursuit of a more centered and fulfilling work life with a calmer mind, consider integrating these actionable practices into your daily life:
1. Establish rituals of gratitude and reflection: Begin each day by nurturing a sense of appreciation. Actionable item: Dedicate a few minutes to journaling, spiritual practice or prayer, noting three things for which you are grateful.7
2. Embrace moments of silent contemplation: Conclude your day with a period of tranquil reflection, fostering mental clarity and self-awareness. Actionable item: Set a timer for 5–10 minutes of silent meditation, acknowledging your daily accomplishments.
3. Harness the power of breath: In moments of stress, anchor yourself in the present through conscious breathing.8 Actionable item: Practice deep, diaphragmatic breathing — inhale deeply, hold for a few seconds, and exhale slowly — until you feel a sense of calm.
4. Incorporate movement into your daily commute: Transform mundane tasks into opportunities for physical activity.8 Actionable item: Park farther from your destination, embracing the chance to walk and increase your daily steps.
5. Prioritize restful sleep: Minimize exposure to stimulating screens before bedtime, promoting a more restorative sleep cycle.9 Actionable item: Establish a “digital curfew” at least an hour before bed, opting for reading or other relaxing activities.
6. Design a personalized digital detox: Reclaim your time and attention by intentionally disconnecting from digital distractions. Actionable item: Identify specific times or days for a digital detox, tailoring it to your individual schedule and needs.
7. Invest in self-care: Nurture your physical and emotional wellbeing through intentional acts of self-care and nutritious meals. Actionable item: Schedule regular activities that bring you joy and relaxation, such as a taking a warm bath, eating a healthy meal, taking a walk in nature or engaging in a hobby.
8. Cultivate emotional detachment through mindfulness: Embrace the wisdom of mindfulness, grounding yourself in the present moment. Actionable item: Practice mindful awareness throughout your day, paying attention to your thoughts and feelings without judgment and focusing on the task at hand.
9. Embrace the joy of laughter, and smile: Infuse your days with moments of smiles. After all, that is our job! Actionable item: Seek out opportunities for laughter, whether through humor, joyful activities or connecting with loved ones.
10. Honor your human self, and release perfectionism: Acknowledge your inherent worth, and let go of the pursuit
of unattainable perfection. Actionable item: Practice selfcompassion. Think or journal about how you can be kind to yourself, accept your imperfections, learn from mistakes and celebrate your strengths.
11. Seek professional support when overwhelmed: Recognize the importance of seeking professional help when challenges become overwhelming. Actionable item: Reach out to a therapist, counselor or mental health professional when needed, prioritizing your mental and emotional well-being.
By acknowledging the inherent challenges and anticipating the evolving demands of the dental profession, and prioritizing dentists’ and dental professionals’ well-being, we can proactively cultivate a culture of wellness that transforms dentistry into an exemplary field. You can spread the benefits of the strategies listed above to your team by implementing organizational practices and comprehensive wellness initiatives, such as dedicated mental health days that include yoga and meditation, engaging daily step challenges, and fostering “smile from the inside out” activities — those that elicit smiles from your soul — within the workplace. Integrating mental fitness and resilience training, including techniques for rapid stress response regulation for dentists, into workplace programs and dental school education will enhance wellness and organizational sustainability.
These efforts will create a positive environment that prioritizes calm and well-being. This, in turn, will yield increased productivity, enhanced collaboration and, ultimately, greater fulfillment and sustainable success for all involved. ♦
Sweta Shah, DDS, FAGD, is passionate about lifelong learning and preventive health. She came across meditation a few years ago and has been practicing it ever since. She has found meditation and mindfulness to be very helpful tools and would like to share the message of the power of meditation and mindfulness to help the dental team in stress management, self-care and fulfillment.
References
1. Walker, ShaLyse. “Beneath the Smile: Mental Health Struggles in Dentistry.” The Arch: An Ultradent Blog, 30 May 2023, blog.ultradent.com/beneath-the-smile-mental-health-struggles-in-dentistry.
2. Claytor, J. William, Jr. “Managing Burnout & Perfectionism in Dentistry.” Decisions in Dentistry, 14 May 2021, decisionsindentistry.com/article/managing-burnout-perfectionism-dentistry/.
3. Burger, David. “Dentist Health and Well-Being Survey Report Finds Dentists Struggle with Anxiety, Discomfort at Work.” ADA News, 23 Feb. 2022, adanews.ada.org/ada-news/2022/february/dentist-health-andwell-being-survey-report-finds-dentists-struggle-with-anxiety.
4. Spagnuolo, Gianrico, and Roberto Sorrentino. “The Role of Digital Devices in Dentistry: Clinical Trends and Scientific Evidences.” Journal of Clinical Medicine, vol. 9, no. 6, 2020, p. 1692.
5. “Brain: Parts, Function, How It Works & Conditions.” Cleveland Clinic, 25 Jan. 2025, my.clevelandclinic.org/ health/body/22638-brain.
6. Del Arco, Alberto, and Francisco Mora. “Neurotransmitters and Prefrontal Cortex-Limbic System Interactions: Implications for Plasticity and Psychiatric Disorders.” Journal of Neural Transmission (Vienna, Austria), vol. 10, no. 4, 1999, pp. 273-290.
7. Sanderson, Catherine A. “How to Prime Your Mind for Optimism.” Greater Good Magazine, 23 Sept. 2019, greatergood.berkeley.edu/article/item/how_to_prime_your_mind_for_optimism.
8. Mayo Clinic Staff. “Mindfulness Exercises.” Mayo Clinic, 11 Oct. 2022, mayoclinic.org/healthy-lifestyle/ consumer-health/in-depth/mindfulness-exercises/art-20046356.
9. “How to Look After Your Mental Health Using Mindfulness.” Mental Health Foundation, mentalhealth.org. uk/explore-mental-health/publications/how-look-after-your-mental-health-using-mindfulness. Accessed 28 Feb. 2025.
10. Farb, Norman A. S., et al. “The Mindful Brain and Emotion Regulation in Mood Disorders.” Canadian Journal of Psychiatry, vol. 57, no. 2, 2012, pp. 70-77.
The Wellness Advantage: Unlocking Peak Performance in Your Dental Career
After reading this list, you might be thinking one of the following:
• “That sounds like a lifetime’s worth of athletic challenges.”
• “Game on! I’m inspired to take on a challenge myself!”
• “Oof… just reading those makes me sweat.”
• “Been there, done that.”
Whatever your reaction, my goal with this article is simple: to show you how wellness can be your greatest advantage in performing dentistry at your highest level.
While I completed all three of these events within a 14-month span, this isn’t about boasting or “flexing.” My purpose is to share the lessons I’ve learned and demonstrate how exercise, nutrition and recovery are not just for elite athletes — they are the foundation for thriving in dentistry. These habits create a supercharged version of yourself — one that shows up every day energized, focused and ready to perform at the highest level.
Wellness Principle No. 1: Exercise
Case Study: Marathon (26.2-Mile Run)
On June 1, 2024, I ran my best marathon yet — 3:32:41 at the Fargo Marathon. I came up just short of my goal to break 3:30:00, but I was still proud of the accomplishment.
The biggest component of training for this event? Running. A lot of running. My longer runs came on the weekends, but many shorter ones and interval sessions happened in the mornings before my days as a dentist. While the purpose of logging the miles was to perform well on marathon day, my runs started providing unexpected benefits in my day-to-day work.
You might be thinking:
• “I don’t have time to exercise before work.”
• “I don’t get enough sleep as it is.”
• “If I train in the morning, I’ll be exhausted by the end of the day.”
But here’s what I found — morning exercise is my secret weapon to showing up to work in a peak state. Here are the three biggest benefits I’ve experienced from training before a day of practicing dentistry.
1. Enhanced Alertness
• Morning workouts wake up both your body and brain, improving focus, reaction time and decision-making — critical skills for patient care and complex procedures.
• Increased blood flow and oxygen to the brain help you stay sharp and alert.
• Exercise primes your nervous system for a day of high performance.
2. Improved Mood
• Physical activity releases endorphins, reducing stress and improving mood. This isn’t just about personal well-being — it impacts your entire practice.
• You’ll be more composed, patient and positive in your interactions with both your team and your patients.
• Regular exercise builds mental toughness — a key asset in handling the pressures of a demanding career.
3. Increased Physical Stamina
• Dentistry is physically demanding — long hours standing, awkward positions and repetitive motions take a toll. Morning training helps counteract these challenges.
• Strength and endurance training improve posture, core stability and overall stamina, making it easier to handle the physical demands of dentistry.
• Increased stamina reduces the likelihood of midday energy crashes, keeping you engaged and effective throughout the day.
Dr. Trent’s Top Tech and Tools: Exercise
• Echelon treadmill: Ideal for consistent winter training without the Minnesota frostbite.
• BowFlex SelectTech 1090 dumbbells: Versatile, space-saving dumbbells ranging from 10 to 90 lbs.
• Beats Bluetooth headphones: Doubles as a tool for audiobooks and mindset training during workouts.
Wellness Principle No. 2: Nutrition
Case Study: Ironman 70.3 (70.3-Mile Triathlon)
In May 2023, I was a complete newbie to triathlon. By September, I crossed the finish line five minutes under my 6:00:00 goal. The race — a 1.2-mile swim, 56-mile bike ride and a 13.1-mile run — was as much a test of fueling as it was of fitness.
I quickly learned that endurance wasn’t just about training hard; it was about fueling smart. You wouldn’t set off on a cross-country drive without filling the gas tank, and the same principle applies to both triathlon and dentistry. How you fuel your body directly affects your energy, focus and resilience throughout the workday. Here’s how nutrition can become your performance advantage in dentistry:
1. Sustained Energy
• Balanced meals with protein, healthy fats and complex carbs provide steady, long-lasting energy.
• Steady blood sugar levels help prevent midday crashes, keeping you sharp and engaged rather than sluggish and distracted.
2. Mental Clarity and Cognitive Function
• Consuming nutrient-dense foods at consistent intervals helps prevent mental fog that can impact performance.
• Staying hydrated prevents headaches, fatigue and loss of concentration.
3. Longevity and Injury Prevention
• Maintaining a healthy body weight minimizes strain on your back, neck and joints, reducing injury risk.
• Adequate protein intake supports muscle recovery and tissue repair.
Dr. Trent’s Top Tech and Tools: Nutrition
• LifeSum app: Tracks calories and even estimates them from a photo — accurate and easy to use.
• Fuel Meals: A meal prep delivery service providing convenience and high-quality meals.
• 1st Phorm supplements: Supplements to fill in the gaps where whole foods may fall short.
Wellness Principle No. 3: Recovery
Case Study: World’s Toughest Mudder (24-Hour Obstacle Race)
On Nov. 9, 2024, I toed the line at the World’s Toughest Mudder, a grueling 24-hour obstacle race. My goal? Earn the coveted 75-mile bib. Training got me to 50 miles. Grit got me to 75. I collapsed in tears as I crossed the finish line, overwhelmed with pride.
But here’s the thing — pushing your limits means nothing if you don’t allow your body and mind to recover. Whether it’s training for a grueling 24-hour race or performing precise, high-stakes dental procedures day in and day out, recovery is what allows you to show up at your best.
1. Better Sleep = Better Performance
• Deep sleep enhances memory and skill retention, crucial for dentists learning new techniques or improving their craft.
• Sleep improves hand-eye coordination and reaction time, essential for precise dental procedures.
2. Maximizing Performance Through Active Recovery
• Stretching and mobility work improve flexibility and reduce pain from prolonged static postures.
• Mindfulness, meditation and deep breathing help reset your nervous system, reducing daily stress.
• Intentional relaxation — whether through reading, mindfulness or a TV episode — helps reset your mind and body.
Dr. Trent’s Top Tech and Tools: Recovery
• Garmin Fenix Watch: Tracks sleep quality and recovery readiness.
• Hot tub/cold plunge: Heat and cold therapy for muscle recovery and inflammation reduction.
• Five-minute journal: Cultivating gratitude and clarity improves overall mindset.
Conclusion
Each of these challenges — the marathon, the Ironman 70.3 and the World’s Toughest Mudder — pushed me to my limits. But what I discovered along the way wasn’t just about endurance, speed or grit. The real lesson was how the same principles of exercise, nutrition and recovery became a powerful advantage in my career as a dentist.
The energy and focus I built through training carried over into my work. The discipline of fueling my body properly kept me sharp during long procedures. The commitment to recovery made me more resilient to the physical and mental demands of dentistry.
At first, I saw these events as physical challenges that would require time and effort just to complete. What I didn’t expect was the realization that prioritizing wellness isn’t just about excelling in sport — it’s the foundation for peak performance in life and dentistry.
So, whether you’re inspired to take on your own challenge or simply looking for ways to feel better and perform at a higher level, I encourage you to invest in your well-being. The greatest competitive advantage in dentistry isn’t just skill or knowledge — it’s also the health, energy and resilience you bring to your practice every single day.
To learn more wellness tips, follow me on my social channels. Search for “DRVN Dentist” — DRVN stands for dedication, remarkability, vitality and nobility. ♦
Trent J. Neisen, DDS, FAGD, FICOI, is a graduate of the University of Minnesota School of Dentistry and completed his advanced education in general dentistry residency at A.T. Still University in Mesa, Arizona. Neisen owns Authentic Dental of Willmar - Dentistry and Implants, in Willmar, Minnesota.
Relational Wellness: Addressing Conflict in the Professional and Personal Lives of Dental Professionals
By Shahram “Sean” Shekib, JD, DDS, FAGD, and Martin Applebaum, JD, MA
One of your patients, Alice Smith, is very unhappy. You have performed several procedures on Alice over the years, and more work is needed. Two weeks ago, you restored her tooth No. 19 with a crown. Alice came in three days later, complaining of pain. After examining the No. 19 crown and radiograph, you told her that there was just some inflammation, and you gave her medication to ease the discomfort. You let her know that she should be fine in a week.
Alice has now come back with the crown you made in her hand, wearing another crown in her mouth made by a different dentist that she also says doesn’t fit right. Looking at the other dentist’s work, you see that the crown is very poorly made — the contacts are wide open, and the bite is high. You also fear that there is new damage to Alice’s teeth and gums.
Alice — angry, frustrated and upset — has come to demand her money back for a crown that she says you did not do right. Yes, one of your patients is unhappy, and now you are also unhappy and perhaps quite stressed and frustrated over Alice’s accusations and demands.
How Do You Handle Conflict?
Conflicts like this arise as a matter of course in the professional lives of dentists and their staff (and sometimes between dentists and their staff, as well as between dentists in their partnerships). Conflict also arises in our personal lives, taking myriad forms: a car accident or other civil complaint; decisions regarding the care of an elderly loved one or the disposition of their estate; a divorce or child custody issue; a dispute between neighbors or with a landlord; and many other situations that may come up.
How do you handle conflict when it comes your way? Do you react heatedly? Do you obsess over what happened? Do you just
give in? Or do you simply turn off? Does how you react to conflict address it, avoid it or aggravate it? Does your response to conflict lead to pragmatic solutions that are satisfactory to all? Or does it lead to your reputation being impugned and cast you down the long, winding and emotionally draining road of costly litigation?
Your health and wellness — and that of others you encounter — may depend on how you respond to conflict. As trained mediators practicing in a wide range of areas, we have developed a deep expertise in conflict resolution. And we would like to share some tips with you.
First, what exactly do mediators do? Mediation is a voluntary process in which trained, neutral professionals facilitate conversations between the participants in a dispute, empowering the participants to come to their own resolution of the issues. Mediators do not act like judges or arbitrators who decide the issues as they see fit; rather, the participants fashion their own outcome. The mediation process is also confidential. What is said in mediation stays in mediation, and this creates a safe and open space for discussion.
How Do Mediators Facilitate Discussion of the Issues?
First, the mediator restates to each participant what they have said. This simple technique has the effect of ensuring that each participant feels heard. It also allows each participant to hear what others have to say from a fresh voice, since very often people in conflict have difficulty listening to one another.
Next, the mediator reframes and summarizes what each participant has said, bringing the focus down to the underlying values, needs and interests that are driving the conflict. For example, in a
noise complaint, what does sound mean to each participant? Well, the downstairs neighbor may want quiet enjoyment of their apartment while the upstairs neighbor may want the freedom to express themselves, perhaps by playing music.
Then, once issues are addressed at this level (quiet vs. freedom, in our example), the participants are encouraged to brainstorm solutions to their deeply held concerns. In our noise complaint, perhaps the time of day the music is played can be adjusted, or the location in the apartment where it is played can be changed, or a carpet can be put down. Or the sound may not be the real issue at all, with something personal coming between the neighbors — and this too may be uncovered and addressed.
These techniques create openness and empathy between the participants so that they may listen past their positions to what lies below — to their values, needs and interests. This is where resolution of the conflict will take place, with participants crafting their own viable resolution by mutually fashioning win-win responses to participant needs.
Finally, to create security between the participants, a mediated agreement may be written that memorializes the resolution and serves as proof.
The mediation process is typically initiated in either of two ways. In private mediation, those in conflict may agree on their own to retain a neutral mediation firm to facilitate the voluntary process. In presumptive mediation, a court may mandate that the parties in dispute first try to resolve the issue through mediation before a trial may proceed, though they are free to withdraw at any point and return to the litigation process. Participants, if they are represented, may choose to have their attorneys attend the mediation with them or not.
Mediating Everyday Disputes
Having undertaken hundreds of mediations, we have compiled nine takeaways that dentists can use in their professional and personal lives for everyday disputes:
1. See conflict not as a bitter fight between adversaries, but as an opportunity to creatively work through often-difficult issues in order to reach workable solutions and find mutual understanding.
2. Breathe. Don’t get caught up in reactivity to another’s words and demeanor. Be mindful of your feelings, your biases, how your shoulders tighten, etc. Noticing your mental and physical reactivity, you are already beginning to distance yourself from them so that you can listen and respond with greater clarity. Your calm spaciousness sets the table for all. It is hard for others to maintain anger and defensiveness when none comes back at them.
3. Listen to what others have to say. Please take care. There are different kinds of listening. Don’t just listen to win the argument; instead, listen empathetically, trying to understand where the other person is coming from and how they ended up where they are. Also listen below the speakers’ positions to the values, interests and needs that matter to them — that is where mutual understanding lies.
4. Use restating, reframing and summarizing techniques that acknowledge the person you are speaking with so that they will relax and listen. Use the same techniques described above that the professionals use. Scientific studies indicate that anger can dissipate after only 90 seconds, so employing these “slowing down” techniques calms down the person you are speaking with and may make them less defensive.
5. Frame consideration of the problem in terms of underlying interests/needs/values. Goals may differ, but often the values underlying the problem (e.g., quiet vs. freedom) are values both sides can understand as worthwhile.
6. In discussions, avoid attack and accusation, and use “I” phrases (e.g., “I feel”) instead of “you” phrases (e.g., “you did”). Blaming causes people to shut down and put up walls in defensiveness. Try to move matters forward in deeds and words.
7. Place the conflict within the context of your venture’s purpose. Let the other person know the best of your intentions and what you do as a professional and who you are as a person.
8. Brainstorm. This involves carefully listening to both the facts and the values inherent in the situation in order to work together to generate creative, win-win solutions.
9. Remember relationship. Where there is a positive shared history, place the dispute within its larger context. Where there is no strong relationship, envision how you wish it to be going forward.
These simple mediation and meditation techniques can help turn what would otherwise be painful and unproductive conflicts into opportunities to meet the needs of all those involved in positive and skillful ways. And where conflict is complex or entrenched, please consider mediation as a beneficial alternative to more adversarial dispute resolution processes.
In conflict, you can only make yourself and those around you fulfilled and at ease by doing so together. But the people around you need your help. Why not take the lead and become a healer of conflict? ♦
Shahram “Sean” Shekib, JD, DDS, FAGD, FICD, FAADS, FPFA, FACD, is the immediate past president of the New York State AGD and has also received his Juris Doctor from Mitchell Hamline School of Law. Serving as a member of the peer review committee of the Second District Dental Society, Shekib helped to resolve disputes between healthcare providers and patients and, in the course of obtaining his legal degree, has become a certified mediator.
Martin Applebaum, MA, JD, graduated from Georgetown Law Center. Looking to get to the heart of the matter of conflict, he took up the practice of mediation and has since mediated over 300 cases in areas involving family issues, contract and business disputes, and other matters. Applebaum frequently presents seminars on mediation and mediation techniques. To comment on this article, email impact@agd.org
April Is Oral Cancer Awareness Month
The Latest in Oral Cancer Research
The battle against oral cancer is long and gradual. While major breakthroughs may be years away, scientists around the world are still making progress learning about the disease and the best treatments to recommend. Below is the latest research from around the world.
UNITED STATES
Certain Oral Bacteria Linked to Increased Risk of Head & Neck Cancer
Researchers at NYU Langone Health have connected certain bacteria linked to gum disease with an elevated risk of head and neck cancers. Researchers identified higher levels of Fusobacterium nucleatum, a type of bacteria often found in periodontal disease, in cancer patients. This finding suggests that the bacteria may contribute to cancer development by driving inflammation and altering immune system responses. The research offers new insights into how oral health might influence cancer risk, potentially paving the way for novel approaches to prevention or treatment by targeting these oral bacteria to help reduce the risk of cancer.
Source: “Bacteria Involved in Gum Disease Linked to Increased Risk of Head & Neck Cancer.” NYU Langhone Health NewsHub, 26 Sept. 2024, nyulangone.org/news/bacteria-involved-gumdisease-linked-increased-risk-head-neck-cancer.
Tea and Coffee May Cut Cancer Risk
A new study published in the journal Cancer suggests that drinking tea and coffee may reduce the risk of developing head and neck cancer. According to the team, people who drank more than four cups of caffeinated coffee a day “had 17% lower odds of having head and neck cancer overall, 30% lower odds of having cancer of the oral cavity, and 22% lower odds of having throat cancer.” The study even found that decaffeinated coffee had some beneficial effects.
Source: “Scientists and Doctors Say Tea and Coffee Could Cut Cancer Risk.” MSN, 2 Jan. 2025, msn. com/en-ca/health/other/scientists-and-doctors-say-tea-and-coffee-could-cut-cancer-risk/ar-AA1wRHOf.
Oral Cancer Drug Gets FDA Priority Review
Merck’s oral cancer drug, Welireg, has received priority review from the U.S. Food and Drug Administration (FDA) for the treatment of advanced, unresectable or metastatic pheochromocytoma and paraganglioma, rare tumors that form in and around the adrenal glands. The priority review status accelerates the FDA’s evaluation process, potentially leading to a faster approval and availability for patients. If approved, Welireg could become the only available therapy for pheochromocytoma and paraganglioma.
Source: “Merck’s Welireg Oral Cancer Drug Gets FDA Priority Review.” Investing.com, 27 Jan. 2025, investing.com/news/stock-market-news/mercks-welireg-oral-cancer-drug-gets-fda-priority-review93CH-3831791.
AUSTRALIA
How Oral Cancer Cells May Block the Body’s Immune Response
CHINA
Macquarie University researchers have discovered new information about how oral cancer cells may block the body’s immune response. Researchers found that cancer cells in the mouth release certain molecules that disrupt immune cell activity, particularly by preventing T-cells from effectively targeting and destroying tumor cells. These molecules impair the immune system’s ability to recognize and respond to cancer, allowing the tumor to grow. Understanding this mechanism offers new insights into how oral cancer evades the immune system and could lead to the development of treatments aimed at enhancing immune responses to fight the disease more effectively.
Source: “Researchers Discover How Oral Cancer Cells May Block the Body’s Immune Response.” News Medical, 18 Sept. 2024, news-medical.net/news/20240918/Researchers-discover-how-oral-cancercells-may-block-the-bodys-immune-response.aspx.
New Treatment with Iron Nanoparticles and Nitric Oxide Gas Shows Promise in Destroying Oral Cancer Cells
A recent study from the Shanghai Jiaotong University School of Medicine, China, explores the potential of combining of nitric oxide gas therapy and iron nanoparticles. Researchers developed microscopic iron particles designed to interact with hydrogen peroxide, a substance present in tumor cells. These iron particles are equipped with molecules that release nitric oxide gas when activated by laser, initiating a controlled cell death process to treat cancer.
“This treatment is highly specific to cancer cells, reducing damage to healthy tissues and minimizing side effects, which makes it both more efficient and better tolerated by the body,” said Yuting Xie, one of the study’s authors.
Source: “Iron and Gas Therapy for Oral Cancer.” Asia Research News, 24 Jan. 2025, asiaresearchnews. com/content/iron-and-gas-therapy-oral-cancer.
Nanosystem Offers Improved Tongue Cancer Diagnosis and Treatment
A study from Jilin University, China, has unveiled the Au-HN-1 nanosystem, an approach that could transform the diagnosis and treatment of tongue squamous cell carcinoma, an aggressive cancer that is notoriously difficult to treat. The Au-HN-1 links gold nanodots with the HN-1 peptide, achieving highly selective targeting of tongue squamous cell carcinoma cells, significantly improving the accumulation of photosensitizers at tumor sites. In mouse models, the system reduced tumor volumes without causing systemic toxicity.
Source: “New Nanosystem Offers Hope for Improved Diagnosis and Treatment of Tongue Cancer.” News Medical, 27 Jan. 2025, news-medical.net/news/20250127/New-nanosystem-offers-hope-forimproved-diagnosis-and-treatment-of-tongue-cancer.aspx.
April Is Oral Cancer Awareness Month
2025 AGD Foundation Update
By Michael Kaner, DMD, JD, MAGD, president, AGD Foundation
2024 was a year of continued change, growth and rapid forward movement for the AGD Foundation. We worked to expand awareness of oral and oropharyngeal cancers and improve access to education and screening. Our accomplishments included:
• Development of the AGD Foundation Oral Cancer Toolkit, a free comprehensive resource for patients and providers on our website.
• Consistent distribution of a monthly e-newsletter, the “AGDF eBulletin.”
• Consistent postings on all of our social media channels, including X (formerly Twitter), LinkedIn, Instagram and Facebook.
• Expanding awareness of our grant program and funding five grants for 2025 totaling $20,941.
2025 Strategic Goals
In 2024, the AGD Foundation board convened to define its strategic goals for 2025 and beyond, including:
• Create a sound financial infrastructure through effective fundraising efforts.
• Expand the reach of the Foundation through social media and other communications.
• Engage larger and more diverse populations.
• Continue to develop the Foundation as the trusted charitable arm of AGD.
AGD Foundation 2025 Grant Recipients
Colorado AGD
Aurora, Colorado
Dash for Detection: Oral Cancer Awareness 5K
University of Minnesota Mobile Health Initiative
Minneapolis, Minnesota
University of Minnesota Mobile Health Initiative
Omni Family Health
Bakersfield, California
Omni Family Health’s Oral Cancer Prevention Program
Oregon AGD
Tigard, Oregon
Oral Cancer Screenings at Oregon AGD IV Sedation Clinic
University of South Dakota Foundation
Vermillion, South Dakota
University of South Dakota
Department of Dental Hygiene
Our work to educate dentists and the general public about the importance of human papillomavirus (HPV) vaccination continues to be at the forefront of our efforts. Our oral cancer screening programs at the AGD scientific session and other venues remain a centerpiece of our efforts. We are in the planning stages of the oral cancer screening program that will be held at AGD2025 in Montréal this July. If you are interested in volunteering for this program, we encourage you to contact us directly at admin@agdfoundation.com.
We are revamping and updating our annual silent auction. Many of you visited our booth at AGD2024 in Minneapolis. You suggested some items and brands you’d like to see available in future silent auctions — and we listened. In 2025, we are working hard to include new items that appeal to our growing and increasingly diverse constituency. And we are bringing back some old favorites, too. We hope you will visit our booth at AGD2025 and come ready to bid! We will once again be using the online silent auction app, so you can bid from anywhere.
Our educational print materials and public service announcements with compelling testimony from oral cancer survivors will be offered at AGD2025 and the House of Delegates annual meeting. If you are interested in receiving materials to distribute in your practice, please contact admin@agdfoundation.com
How Can I Support the Work of the AGD Foundation?
There are many ways you can support our work:
• Host an oral cancer screening event at your institution or practice.
• Donate to the AGD Foundation by visiting agdfoundation.org/ donation-form.
• Make the AGD Foundation a beneficiary of your philanthropic legacy giving.
• Donate in-kind items to the electronic silent auction held during AGD2025 in Montreal.
• Get involved! Do you want to be part of the AGD Foundation governing body or volunteer on a committee? Contact us at admin@agdfoundation.com.
• Follow us on LinkedIn, Facebook and X.
We appreciate the support of our AGD members, sponsors and the larger dental community for more than 50 years, and we look forward to your continued support. ♦
Michael Kaner, DMD, JD, MAGD, is the president of the AGD Foundation. He is a trained forensic dentist and is part of the Pennsylvania State Dental Identification Team as well as DMORT — the Disaster Mortuary Operational Response Team — the federal response team. He is a longtime AGD member and a member of the AGD Foundation Board of Trustees. To comment on this article, email impact@agd.org
AGD Foundation at AGD2025
Stop By for a Free Oral Cancer Screening
To raise awareness of oral and oropharyngeal cancer, the AGD Foundation will host free oral cancer screenings for registered AGD2025 attendees and exhibitors. Take advantage of this opportunity to help protect your health — five minutes could save your life. Screenings may help prevent oral and oropharyngeal cancer through early detection and referral for suspicious lesions. Interested in helping provide screenings? Contact us directly at admin@agdfoundation. com for volunteer information.
Join the QR Code Queue
Stop by the AGD Foundation booth and hop on the QR Code “Queue.” Conference attendees can scan a variety of QR codes to receive AGD Foundation’s complimentary waiting room flyer on Oral Cancer Awareness, access our Donations page on our new website (agdfoundation.org), become an eBulletin subscriber, and access the latest resource for patients and practitioners — the Oral Cancer Toolkit.
Bid, Win, Make a Difference: Participate in the Silent Auction Fundraiser
A major part of our fundraising efforts includes the AGD Foundation Electronic Silent Auction Fundraiser. The electronic silent auction will be open 24/7 during AGD2025 to AGD’s 40,000 members as well as their friends and family members. Text ADGF2025 to 76278, and follow the prompts to sign up and begin bidding! Use your smartphone, iPad or laptop to bid on hotel getaway packages, state-of-the-art dental equipment and dental instruments, continuing education courses, artwork, jewelry and more. Want to support the work of the AGD Foundation? It’s not too late to submit an item to the fundraiser!
Re-energize Your Practice with New Knowledge and Skills at AGD2025
When was the last time you learned something new that you could implement in your practice immediately, without first having to buy costly new products or technology? At AGD2025, the focus is on continuing education (CE) that you can implement Monday when you return to your practice. Learn new techniques, hone your skills, and return to your practice refreshed and ready to put your new tricks to work right away.
Hands-On Learning
AGD's scientific sessions are always known for exceptional hands-on courses that specifically relate to the needs of general dentists. After learning from world-renowned experts in lecture courses, attendees are able to immediately practice what they've learned in one of the Learning Labs.
Learn from Your Peers
Celebrate AGD’s spirit of camaraderie and collaboration and learn from your peers with AGD2025’s Take the Floor series, where speakers will present symposium-style sessions featuring timely
and relevant topics in dentistry. These 45-minute presentations (35 minutes of lecture, followed by 10 minutes for Q&A) allow experts to explore clinical topics and innovations as well as mental and physical well-being. Participants will gain invaluable insights into the field’s most pressing challenges, enhancing their professional growth. Speakers consist primarily of your fellow AGD members, including FAGD and MAGD awardees.
A Conference Experience Crafted for New Dentists
Calling all students, residents and new grads! If you are a student enrolled in dental school or a residency program, or a dentist who graduated within the last five years, AGD2025 has extra benefits tailored to your needs.
The New Dentist Lounge provides students, residents and new grads with a dedicated space to connect, learn and grow. Highlights of the lounge include dedicated CE sessions, collaborative workshops, mentorship events and networking opportunities. Make the New Dentist Lounge your home base for maximizing your meeting experience. For more information, visit agd.org/agd-meeting/newdentists
AGD2025 THE PREMIER MEETING FOR GENERAL DENTISTRY MONTRÉAL, QC JULY 9 - 12
Featured Speakers and Subject Areas
010 Basic Sciences
Thomas Viola, RPh, CCP, CDE, CPMP
070 Endodontics
Brett E. Gilbert, DDS, FICD
149 Multidisciplinary Topics
Fellowship Review Course e-Poster Presentations
157 Substance Abuse
Thomas Viola, RPh, CCP, CDE, CPMP
180 Myofacial Pain/Occlusion
Alain Aubé, DMD
Michael J. Melkers, DDS, MAGD, FACD
250 Operative (Restorative) Dentistry
Joshua Austin, DDS, MAGD
David K. Chan, DMD, AAACD
David James Clark, DDS
Adamo E. Notarantonio, DDS, FICOI, FAACD
Melissa Seibert, DMD, MS, FAGD, ABGD
Social Events
In addition to attending cutting-edge hands-on courses and lectures, network with colleagues, students and dental team members at the following special events:
Thursday, July 10
President’s Reception Exhibit Hall
4–5:30 p.m.
Friday, July 11
Student & New Dentist Reception New Dentist Lounge 3:30–5 p.m.
Refer your colleagues to join AGD and you’ll both earn $50 in Referral Rewards once they join!
Learn More
“AGD has been pivotal in shaping my career through its quality education and relationships among the members. I wouldn’t be where I am today without AGD!”
