District 9 — Summer 2019 Michigan Newsletter

U of M and UDM Student Awards University of Michigan

University of Detroit Mercy

Dr. Ron Paler presenting $3,000 toward support of the student Global Initiatives Program to Dr. Carlos Gonzalez and Dr. Cristine Squarize.

Dean Mert Aksu and Michelle Tra receiving the ICD Leadership Award

Michelle Tra is currently the President of the Dental Class of 2019 and is involved in multiple student organizations at Detroit Mercy Dental, including holding leadership roles in the Canadian Student Association and the Asian Student Association. She was born and raised in Vancouver, British Columbia, Canada. She received her Bachelor of Medical Laboratory Sciences in 2013 from the University of British Columbia. In 2015, Michelle received her Master of Craniofacial Science, also from UBC. Michelle has recently been accepted as a member of the OKU Nu Nu Chapter and is excited to begin her career in dentistry.

4

SUMMER ISSUE 2019 MICHIGAN ICD Global Initiatives Program

Amanda Robertson is from Standish, MI, and She completed her undergraduate studies at Saginaw Valley State University. She has been interested in dentistry for as long as she can remember. Spending nearly 12 years working in a dental office as a dental assistant and front desk personnel prior to finishing her undergraduate requirements at Saginaw Steve Sulfaro and Amanda Valley State University. She Robertson receiving the will be joining the Lakeshore ICD Leadership Award Family Dental Care in Whitehall, MI and look forward to providing care to the community. I am ecstatic to have received the International College of Dentists Leadership award!

Carl Buchanon is originally from South Bend Indiana. As an undergraduate he attended the University of Michigan on a track scholarship. He was team captain for two years and garnished a Big Ten championship his sophomore year. He then attended Texas A&M and Steve Sulfaro and Carl Buchanon received a received the ICD Humanitarian Award Master of Public Health. He recently graduated from the University of Michigan School of Dentistry. There he was a member of the Student National Dental Association, Hispanic Student Dental Association, American Student Dental Association. Alliance for Inclusion, the Multicultural Affairs Committee, and the Taft Honorary Society. He is currently at the University of California – San Francisco in a pediatric residency program.

International College of Dentists

The UM Global Initiatives program has expanded from having two global initiatives programs for dental students in 2015 to eight programs in 2018 (Kenya, Ethiopia, Brazil, Mexico, Guatemala, Greece, Israel, China). While all programs offer learning opportunities in some common themes such as global health, International health education models and health care systems, interprofessional care, development of sustainable and responsible community-based preventive programs, cultural competency, etc., each of these programs is unique and offers a different set of additional learning opportunities that might be of specific interest for the participating student. For example, interprofessional care for patients with craniofacial anomalies (Brazil) or how to influence local government and organizations to increase access to care for special needs groups (Greece). The number of students participating each year in global initiatives has expanded to close to 40 students. The program now also include a small number of dental hygiene students. The program is an excellent example of diversity with a high participation of minority groups.

Deputy Regent Report Greeting Fellows of ICD Michigan Chapter! We have had an interesting 2019 so far within our chapter. Currently we have 12 candidates in the process to complete their induction into ICD. The next Convocation will be in San Francisco September 3rd, followed by Orlando in 2020 where we will be celebrating the 100th year Anniversary of ICD! Keep in mind that we all can and should sponsor our colleagues for Steve Harris fellowship into ICD. If you know of someone that exemplifies our core values of Leadership and Service, don’t hesitate to be a sponsor.

Remember how special it made you feel that someone took the time to recognize you for your accomplishments. Pass it on!

We continue to sponsor student awards, the White Coat Ceremonies at both UM and UDM Dental Schools and the Student Exchange Program at UM. The next MDAF Mission of Mercy is in the works for May 29-30, 2020 in Flint Michigan. Be sure to mark your calendar as we will need your help. It’s a heartwarming event and a great opportunity to give back to a needy community.

This is the last year that Dr. Julio Rodriguez from Wisconsin, will be our District 9 Regent. With the completion of his 4 year term, it is Michigan’s turn to elect a Regent. At our annual breakfast board meeting last April, Dr. Steve Harris was elected to become the Regent at the start of 2020. Dr. Steve Sulfaro was appointed as Deputy Regent and Wisconsin’s Dr. Ned

Murphy will become the Vice Regent. I have completed the Regent training session and am looking forward to serving all of you in this new capacity. Thank you Julio for all you have done for District 9 and Michigan.

U of M STUDENTS VISIT UNIVERSITY of SAO PAULO

ICD Michigan 2019 Executive Board

DEPUTY REGENT Steve Harris DDS 34024 W. 8 Mile Rd. Suite 106 Farmington Hills, MI 48335 (O) 248-478-4755 (F) 248-478-1139 Steve@stephenharrisdds.com VICE REGENT Steve Sulfaro DDS 607 N. Saginaw Street Holly, MI 48442 (O) 248-634-4671 Fax: 248-634-6424 drsulfaro@comcast.net TREASURER Irene Tseng 29626 Ann Arbor Trail Westland, MI 48185 734-422-4900 doc@orenetsengdds.com EDITOR/SECRETARY Dan Murphy DDS 1680 Kingsway Ct. Trenton, MI 48183 (O) 734-676-5656 danielmurphy327@gmail.com DISTRICT IX REGENT Julio Rodriguez DDS 702 23rd Street Brodhead, WI 53520 608-897-8646 jrodriguez@wda.org ICD CAL SECRETARY GENERAL Jack Hinterman DDS 3535 Beecher Rd. Flint, MI 48532 (O) 810-820-3087 Jhinte5635@aol.com

BAURU, Brazil—Arthur arrived for his dental appointment and eagerly climbed into the familiar dental chair. At just 5 years old, the smiling boy seemed comfortable with the process. It was clear he’d been here many times before. During his checkup, the dentist joked with her young patient, and soon, she was smiling herself: Arthur had no cavities, which is quite rare for a child like him. He was born prematurely and underweight, with an extensive cleft lip and palate.

The pediatric team at Centrinho, the Craniofacial Anomalies Rehabilitation Hospital at the University of São Paulo, congratulated the boy and his mother, Maria da Conceição Rocha, while a visiting team of students from the University of Michigan observed the joyful interaction. "He was born early, at six-and-a-half months,” Rocha said. “He was six inches long and less than a pound. So to gain weight, he ended up ingesting a lot of calories and sugar. But I never neglected his teeth.”

Founded 50 years ago, Centrinho is a world reference center for the treatment of congenital craniofacial anomalies, especially cleft lip and palate, or FLP. In Brazil, one in every 650 children is born with FLP. Worldwide, one in every thousand children is born with the condition.Expanding educational opportunities and promoting a global vision of dentistry are some of the goals of the U-M Global Initiatives in Oral and Craniofacial Health program, which since 2012 has sent students from the School of Dentistry to selected countries to work, train and learn from dentists, doctors and local patients. "The access to care is practically the same in Brazil as in the U.S. or India, but the way procedures are done is very different.” We want to improve global oral health and promote equality through research, education and services,” said Cristiane Squarize, a professor in the U-M Department of Periodontology and Oral Medicine and one of the program’s coordinators.

“This partnership is very important because it is an interchange between internationally prestigious dentistry faculties.”

This year for two weeks, U.S. students shadowed the clinical faculty and staff at the Bauru School of Dentistry at the University of São Paulo, one of the best dental schools in Brazil and a U-M partner since 2012. “The possibility of meeting the needs of a global community will be better if we use the physical and human resources of the two universities,” said Guilherme Janson, professor and deputy director of faculty at Bauru. Neha Vazirani, a visiting U-M student who was born in India, graduated as a dentist in Mumbai and completed a master’s program in public health at Tulane University. She is now in her third year of dentistry at U-M. “The access to care (or diagnosis or treatment recommendations) is practically the same in Brazil as in the U.S. or India,” she said. “But the way procedures are done is very different. It is a privilege to be able to have a global understanding of dentistry and to get to know the integrated treatment offered to patients from all over Brazil.”

2

GREAT SUCCESS STORY, GREAT LEARNING EXPERIENCE At this young age, Arthur has endured five surgeries to correct the cleft lip and palate. The first one, usually done at 3 months of age, was delayed, however, until he was 2 years old due to his low weight. “Arthur is a success story, so it’s important for you to understand his treatment,” said Gisele Dalben, a pediatric dentist. “His mother even managed to breastfeed him and then followed our guidelines, which has greatly facilitated the treatment.”

Rocha, dedicated to her son’s oral health, brings him for a dental cleaning every month.

“We’re already part of this family,” she said. “Our goal is to avoid any cavities to facilitate the treatment.” A student of the Internationally Trained Dentist program at the U-M School of Dentistry, Mythili Ramakrishna Bhat learned about Arthur’s case with enthusiasm. She knew the complexity of the treatment, the interdisciplinary work required and the long process of integral rehabilitation. “We are following how dentists, physicians, speech therapists, local clinics and even the distant clinics coordinate care to get the best result possible,” Bhat said. “It’s a great learning experience.”

Orthodontist Mônica Moraes Lopes and speech therapist Maria Daniela Borro Pinto reviewed three cases of patients born with a cleft lip and palate. Ranging in age from 10 to 42, none were eligible for surgery, so each would be fitted with a special palatal prosthesis to correct speech problems. The device corrects velopharyngeal dysfunction, which affects a muscular valve located between the nose and the mouth. Its function is to control the air passage.

“This problem can affect a person’s speech in such a way they can not communicate normally,” Borro Pinto said. “If not treated, the patient can endure a negative psychological impact and even quit social life.” The consequences can go further, according to Centrinho’s researchers, who developed the prosthesis. The distress of being misunderstood and unable to express oneself can stifle creativity and limit one’s ability to learn, they said. U-M student Vazirani wants to specialize in orthodontics and was fascinated by the speech and hearing clinics, where prosthetics for the mouth, ears, nose and eyes are produced. “These clinics are a totally new concept for me,” she said. “The teachers explained how the process of speech production works in the patients using these prostheses, and we could see the results during the clinic tests.”

Rita de Cassia Lauris, chief of the Division of Dentistry at Centrinho, also emphasized the importance of interdisciplinarity for a successful rehabilitation treatment that includes mastication, speech, breathing and esthetics. “Here, an orthodontist, for example, does not live without the plastic surgeon, without the speech therapist or the physiotherapist,” she said. “We also do not achieve the expected success if we do not work with our psychologists.

“Our patients don’t want to look better. They want to fit in, they want to look like their peers and call no attention to themselves.” The most common procedures of the dentistry clinic also drew the U-M students’ attention. In a collective clinic, some 50 fourth-year USP dental students worked in pairs to expedite different types of treatment—from basic calculus and dental cleaning to complex implants and surgeries. “It’s really cool to see the students working in pairs and helping each other,” said Tamara Mackie, a fourth-year U-M student who wants to specialize in orthodontics. “Here they use different types of composites. They are very precise, sensitive to the techniques and highly attentive to aesthetics.” “This program offered me a wonderful opportunity to get familiarized with one of the best dental schools in Brazil,” said U-M student Ehsan Mostaghni. “It provided the opportunity to enhance my knowledge and skills in collaborative care and interprofessional education.” More than learning about USP’s interdisciplinary education and Centrinho’s comprehensive rehabilitation process, Arthur’s mother, Rocha, hopes U-M students can take home something even more precious.

“The emotional side means a lot throughout the process,” she said. “I hope future Michigan professionals can really understand the importance of humanized dentistry so other patients like Arthur can successfully complete their treatments.”

3

U of M STUDENTS VISIT UNIVERSITY of SAO PAULO

ICD Michigan 2019 Executive Board

DEPUTY REGENT Steve Harris DDS 34024 W. 8 Mile Rd. Suite 106 Farmington Hills, MI 48335 (O) 248-478-4755 (F) 248-478-1139 Steve@stephenharrisdds.com VICE REGENT Steve Sulfaro DDS 607 N. Saginaw Street Holly, MI 48442 (O) 248-634-4671 Fax: 248-634-6424 drsulfaro@comcast.net TREASURER Irene Tseng 29626 Ann Arbor Trail Westland, MI 48185 734-422-4900 doc@orenetsengdds.com EDITOR/SECRETARY Dan Murphy DDS 1680 Kingsway Ct. Trenton, MI 48183 (O) 734-676-5656 danielmurphy327@gmail.com DISTRICT IX REGENT Julio Rodriguez DDS 702 23rd Street Brodhead, WI 53520 608-897-8646 jrodriguez@wda.org ICD CAL SECRETARY GENERAL Jack Hinterman DDS 3535 Beecher Rd. Flint, MI 48532 (O) 810-820-3087 Jhinte5635@aol.com

BAURU, Brazil—Arthur arrived for his dental appointment and eagerly climbed into the familiar dental chair. At just 5 years old, the smiling boy seemed comfortable with the process. It was clear he’d been here many times before. During his checkup, the dentist joked with her young patient, and soon, she was smiling herself: Arthur had no cavities, which is quite rare for a child like him. He was born prematurely and underweight, with an extensive cleft lip and palate.

The pediatric team at Centrinho, the Craniofacial Anomalies Rehabilitation Hospital at the University of São Paulo, congratulated the boy and his mother, Maria da Conceição Rocha, while a visiting team of students from the University of Michigan observed the joyful interaction. "He was born early, at six-and-a-half months,” Rocha said. “He was six inches long and less than a pound. So to gain weight, he ended up ingesting a lot of calories and sugar. But I never neglected his teeth.”

Founded 50 years ago, Centrinho is a world reference center for the treatment of congenital craniofacial anomalies, especially cleft lip and palate, or FLP. In Brazil, one in every 650 children is born with FLP. Worldwide, one in every thousand children is born with the condition.Expanding educational opportunities and promoting a global vision of dentistry are some of the goals of the U-M Global Initiatives in Oral and Craniofacial Health program, which since 2012 has sent students from the School of Dentistry to selected countries to work, train and learn from dentists, doctors and local patients. "The access to care is practically the same in Brazil as in the U.S. or India, but the way procedures are done is very different.” We want to improve global oral health and promote equality through research, education and services,” said Cristiane Squarize, a professor in the U-M Department of Periodontology and Oral Medicine and one of the program’s coordinators.

“This partnership is very important because it is an interchange between internationally prestigious dentistry faculties.”

This year for two weeks, U.S. students shadowed the clinical faculty and staff at the Bauru School of Dentistry at the University of São Paulo, one of the best dental schools in Brazil and a U-M partner since 2012. “The possibility of meeting the needs of a global community will be better if we use the physical and human resources of the two universities,” said Guilherme Janson, professor and deputy director of faculty at Bauru. Neha Vazirani, a visiting U-M student who was born in India, graduated as a dentist in Mumbai and completed a master’s program in public health at Tulane University. She is now in her third year of dentistry at U-M. “The access to care (or diagnosis or treatment recommendations) is practically the same in Brazil as in the U.S. or India,” she said. “But the way procedures are done is very different. It is a privilege to be able to have a global understanding of dentistry and to get to know the integrated treatment offered to patients from all over Brazil.”

2

GREAT SUCCESS STORY, GREAT LEARNING EXPERIENCE At this young age, Arthur has endured five surgeries to correct the cleft lip and palate. The first one, usually done at 3 months of age, was delayed, however, until he was 2 years old due to his low weight. “Arthur is a success story, so it’s important for you to understand his treatment,” said Gisele Dalben, a pediatric dentist. “His mother even managed to breastfeed him and then followed our guidelines, which has greatly facilitated the treatment.”

Rocha, dedicated to her son’s oral health, brings him for a dental cleaning every month.

“We’re already part of this family,” she said. “Our goal is to avoid any cavities to facilitate the treatment.” A student of the Internationally Trained Dentist program at the U-M School of Dentistry, Mythili Ramakrishna Bhat learned about Arthur’s case with enthusiasm. She knew the complexity of the treatment, the interdisciplinary work required and the long process of integral rehabilitation. “We are following how dentists, physicians, speech therapists, local clinics and even the distant clinics coordinate care to get the best result possible,” Bhat said. “It’s a great learning experience.”

Orthodontist Mônica Moraes Lopes and speech therapist Maria Daniela Borro Pinto reviewed three cases of patients born with a cleft lip and palate. Ranging in age from 10 to 42, none were eligible for surgery, so each would be fitted with a special palatal prosthesis to correct speech problems. The device corrects velopharyngeal dysfunction, which affects a muscular valve located between the nose and the mouth. Its function is to control the air passage.

“This problem can affect a person’s speech in such a way they can not communicate normally,” Borro Pinto said. “If not treated, the patient can endure a negative psychological impact and even quit social life.” The consequences can go further, according to Centrinho’s researchers, who developed the prosthesis. The distress of being misunderstood and unable to express oneself can stifle creativity and limit one’s ability to learn, they said. U-M student Vazirani wants to specialize in orthodontics and was fascinated by the speech and hearing clinics, where prosthetics for the mouth, ears, nose and eyes are produced. “These clinics are a totally new concept for me,” she said. “The teachers explained how the process of speech production works in the patients using these prostheses, and we could see the results during the clinic tests.”

Rita de Cassia Lauris, chief of the Division of Dentistry at Centrinho, also emphasized the importance of interdisciplinarity for a successful rehabilitation treatment that includes mastication, speech, breathing and esthetics. “Here, an orthodontist, for example, does not live without the plastic surgeon, without the speech therapist or the physiotherapist,” she said. “We also do not achieve the expected success if we do not work with our psychologists.

“Our patients don’t want to look better. They want to fit in, they want to look like their peers and call no attention to themselves.” The most common procedures of the dentistry clinic also drew the U-M students’ attention. In a collective clinic, some 50 fourth-year USP dental students worked in pairs to expedite different types of treatment—from basic calculus and dental cleaning to complex implants and surgeries. “It’s really cool to see the students working in pairs and helping each other,” said Tamara Mackie, a fourth-year U-M student who wants to specialize in orthodontics. “Here they use different types of composites. They are very precise, sensitive to the techniques and highly attentive to aesthetics.” “This program offered me a wonderful opportunity to get familiarized with one of the best dental schools in Brazil,” said U-M student Ehsan Mostaghni. “It provided the opportunity to enhance my knowledge and skills in collaborative care and interprofessional education.” More than learning about USP’s interdisciplinary education and Centrinho’s comprehensive rehabilitation process, Arthur’s mother, Rocha, hopes U-M students can take home something even more precious.

“The emotional side means a lot throughout the process,” she said. “I hope future Michigan professionals can really understand the importance of humanized dentistry so other patients like Arthur can successfully complete their treatments.”

3

U of M and UDM Student Awards University of Michigan

University of Detroit Mercy

Dr. Ron Paler presenting $3,000 toward support of the student Global Initiatives Program to Dr. Carlos Gonzalez and Dr. Cristine Squarize.

Dean Mert Aksu and Michelle Tra receiving the ICD Leadership Award

Michelle Tra is currently the President of the Dental Class of 2019 and is involved in multiple student organizations at Detroit Mercy Dental, including holding leadership roles in the Canadian Student Association and the Asian Student Association. She was born and raised in Vancouver, British Columbia, Canada. She received her Bachelor of Medical Laboratory Sciences in 2013 from the University of British Columbia. In 2015, Michelle received her Master of Craniofacial Science, also from UBC. Michelle has recently been accepted as a member of the OKU Nu Nu Chapter and is excited to begin her career in dentistry.

4

SUMMER ISSUE 2019 MICHIGAN ICD Global Initiatives Program

Amanda Robertson is from Standish, MI, and She completed her undergraduate studies at Saginaw Valley State University. She has been interested in dentistry for as long as she can remember. Spending nearly 12 years working in a dental office as a dental assistant and front desk personnel prior to finishing her undergraduate requirements at Saginaw Steve Sulfaro and Amanda Valley State University. She Robertson receiving the will be joining the Lakeshore ICD Leadership Award Family Dental Care in Whitehall, MI and look forward to providing care to the community. I am ecstatic to have received the International College of Dentists Leadership award!

Carl Buchanon is originally from South Bend Indiana. As an undergraduate he attended the University of Michigan on a track scholarship. He was team captain for two years and garnished a Big Ten championship his sophomore year. He then attended Texas A&M and Steve Sulfaro and Carl Buchanon received a received the ICD Humanitarian Award Master of Public Health. He recently graduated from the University of Michigan School of Dentistry. There he was a member of the Student National Dental Association, Hispanic Student Dental Association, American Student Dental Association. Alliance for Inclusion, the Multicultural Affairs Committee, and the Taft Honorary Society. He is currently at the University of California – San Francisco in a pediatric residency program.

International College of Dentists

The UM Global Initiatives program has expanded from having two global initiatives programs for dental students in 2015 to eight programs in 2018 (Kenya, Ethiopia, Brazil, Mexico, Guatemala, Greece, Israel, China). While all programs offer learning opportunities in some common themes such as global health, International health education models and health care systems, interprofessional care, development of sustainable and responsible community-based preventive programs, cultural competency, etc., each of these programs is unique and offers a different set of additional learning opportunities that might be of specific interest for the participating student. For example, interprofessional care for patients with craniofacial anomalies (Brazil) or how to influence local government and organizations to increase access to care for special needs groups (Greece). The number of students participating each year in global initiatives has expanded to close to 40 students. The program now also include a small number of dental hygiene students. The program is an excellent example of diversity with a high participation of minority groups.

Deputy Regent Report Greeting Fellows of ICD Michigan Chapter! We have had an interesting 2019 so far within our chapter. Currently we have 12 candidates in the process to complete their induction into ICD. The next Convocation will be in San Francisco September 3rd, followed by Orlando in 2020 where we will be celebrating the 100th year Anniversary of ICD! Keep in mind that we all can and should sponsor our colleagues for Steve Harris fellowship into ICD. If you know of someone that exemplifies our core values of Leadership and Service, don’t hesitate to be a sponsor.

Remember how special it made you feel that someone took the time to recognize you for your accomplishments. Pass it on!

We continue to sponsor student awards, the White Coat Ceremonies at both UM and UDM Dental Schools and the Student Exchange Program at UM. The next MDAF Mission of Mercy is in the works for May 29-30, 2020 in Flint Michigan. Be sure to mark your calendar as we will need your help. It’s a heartwarming event and a great opportunity to give back to a needy community.

This is the last year that Dr. Julio Rodriguez from Wisconsin, will be our District 9 Regent. With the completion of his 4 year term, it is Michigan’s turn to elect a Regent. At our annual breakfast board meeting last April, Dr. Steve Harris was elected to become the Regent at the start of 2020. Dr. Steve Sulfaro was appointed as Deputy Regent and Wisconsin’s Dr. Ned

Murphy will become the Vice Regent. I have completed the Regent training session and am looking forward to serving all of you in this new capacity. Thank you Julio for all you have done for District 9 and Michigan.