ECU ASDA First Impression 7th Edition Spring 2021

School of Dental Medicine

Our School

The East Carolina University School of Dental Medicine educates North Carolinians to be tomorrow’s solution
to the oral healthcare shortfall in our state. We prepare students who are inclined to serve rural and underserved
populations, and we teach them using a national model that includes the most modern technology, intensive
classroom instruction and hands-on experience at our statewide community service learning centers.
Faculty, students, and residents strive to meet patients where they are, to provide access to care close to their
home communities. Our clinics at ECU and centers across the state offer solutions to patients who might other-
wise not have access to dental care.

The State of North Carolina has funded the ECU School of Dental Medicine in building stand-alone dental
facilities called community service learning centers (CSLCs) in eight rural and underserved locations, including
Ahoskie, Brunswick County, Elizabeth City, Davidson County, Lillington, Robeson County, Spruce Pine, and
Sylva.
The centers are staffed by full-time and part-time faculty, residents, fourth-year students, dental hygienists, den-
tal assistants, and business staff. The centers provide hands-on experience for advanced students and residents
while also providing access to oral health care for more North Carolinians.

2 ECU ASDA Adapted from https://dental.ecu.edu/
Seventh Edition

American Dental Student Association

FIRST

IMPRESSION
Spring 2021, Seventh Edition
First Impression is the premiere Newsletter of the ECU Chapter of the American Dental Student Association and reports
on current dental trends, daily student life, and all the amazing happenings around the School of Dental Medicine.

Table of Contents @ecuasda @ecuasda ecuasda.org

Featured Articles MESSAGE FROM THE FIRST DELEGATE
4 Welcome and Greetings from First Delegate,
BEAUTY 36 Victoria Hardy
AND 38
THE LETTER FROM THE EDITOR
TEETH 5 Meet the new guy in town sailing the editor
ship
PATH TO
ACADEMIC MEET THE EDITORIAL BOARD
DENTISTRY 6 A new editor means a new crew helping to
sail the high seas
40
ECU ASDA LEADERSHIP BOARD
BREAKING 8 Meet the ECU ASDA Leadership Team
BARRIERS &
CREATING ABOUT THE COVER
CONNECTIONS 9 "Oh that glorious cover!" Read more about it
here
42
COVID-19 UPDATE
Spring 2021 10 Has it been a year of COVID already? Time
really does fly

WELLNESS
12 Mitigating burnout among dental students

DIET AND DENTITION
14 Food. Delicious Food. Shall I say more?

ORAL CANCER
16 April is Oral Cancer Awareness Month

STUDY, STUDY, STUDY
17 Tips on studying for the INBDE

TEN STRANGE THINGS
18 Stranger things in Dentistry

FIRST IMPRESSION 3

Message from the First Delegate

Victoria Hardy

Hi! I am Victoria Hardy and it is my honor to serve as ECU ASDA’s First Delegate for 2021.

At my first semester at ECU SoDM, I stumbled across ECU ASDA's Wellness week celebrations that first
September, and it piqued my interest into what the organization could offer not only just services but as
a possible leadership role as well. I was lucky enough to be selected as one of the first-year students
who were allowed to travel to Chicago and experience ASDA's National Leadership Conference. After
that incredible experience, I was hooked. Not only did I get a chance to interact and learn from students
at ECU ASDA, but I also had the opportunity to converse with dental student leaders across the nation.
Since then, I've held various positions within our leadership board and have learned so many valuable
life lessons. It's been an honor to follow in the footsteps of our most recent leaders; Amir Taha '21,
Jordan Brunson '20, and Ryan Le '19. Although this year looked different from years past, I am excited
to continue working with this amazing leadership board and proud (but not surprised) how much we've
accomplished so far in such a short amount of time. I hope to continue to bring the creativity, peristence,
and passion to this organization as I serve as your ECU ASDA First Delegate.

Victoria Hardy
Class of 2022
ECU ASDA First Delegate

4 ECU ASDA Seventh Edition

Letter from the Editor

Cody Phen

Ahoy there, Pirates!
What’s it called when you see a pirate captain sailing a ship? Pirate leaderSHIP. Hahaha. I am so
excited to share our Anniversary Edition of ECU ASDA’s First Impression Newsletter with you.
It’s the Anniversary Edition because it has been exactly 10 years since the inaugural class began
their dental journey in Ross Hall. With all the hustle and bustle of everyday life, we wanted to
remind everyone why the East Carolina University School of Dental Medicine was established; to
create leaders, serve the underserved, and to make a postive impact in our communities. That is
why the theme of this newsletter is “Re-affirming the Mission, Vision, and Values” of our school.
Throughout these pages, you will see how students, staff, and faculty all live up to the mission of
our school every day. I hope you enjoy this Newsletter as much as we enjoyed making it!
Cody C. Phen
Class of 2023
ECU ASDA First Impression, Editor-in-Chief

Spring 2021 FIRST IMPRESSION 5

Meet the Editorial Board

Editorial Board

Abigail Callahan Ricky Ghai Will Grine Victoria Hardy
Class of 2024 Class of 2023 Class of 2022 Class of 2022

Abigail is from Mecklen- Ricky is from Wake Will is from Pinehurst, Victoria is from Rocky
burg County, NC and ma- County and attended NC and double majored Mount, NC and grad-
jored in Biology at UNC - ECU for his undergradu- in Exercise and Sport uated from ECU with
Chapel Hill. Her favorite ate studies. Ricky is very Science and Anthro- dual degrees in Biology
topic so far has been end- talented and writes, re- pology. He is currently and Economics. She also
odontics, because she was cords, and produces his the Presdient of Den- holds a Master’s in Biol-
an endodontic assistant own music. He already tal School Government ogy and is involved in a
for 2 years before start- dropped his first album and active in a lot of lot of organizations and
ing dental school. In her and has a second one in organizations. He en- projects. She has two
free time, she loves run- the works. He made a rap joys playing golf and beautiful dogs, Jefferson
ning and listening to true for the Class of 2023 and tutoring at Sandhills and Franklin, that she
crime podcasts. She has gained a couple hundred Community College. loves to spoil. Victoria
a pet dog named Stella new followers. In his free is very active and cre-
that has more personal- time, he likes exercs- ative. In her free time,
ity than most people she ing, playing sports, and she likes to exercise,
knows. Being part of the watching documenta- work on block printing,
Newsletter Committee ries, becasue he is a big drawing and reading.
has given her an opportu- history buff. He is pas-
nity to meet new people sionate about advocacy
and explore unique top- and dental equity for all.
ics related to dentistry.

Table of 23 The ECU 24 Learn
Contents Institue for about the
Healthcare mission,
SONRIE CLINIC Improvement vision, and
ECU AGD is the best values of
ECU IHI ECU School
interprofessional of Dental
ECU - SoDMgroup on Medicine
SCHWEITZERcampus
20 ECU 22 ECU 32 Read an
HSDA Academy op-ed from
provided free of General a past fellow
care to local Dentistry can and meet the
migrant farm help you max new 2021-
workers out your CE 2022 Fellows
credits
6 ECU ASDA
Seventh Edition

Brittanie Height Scarlett Walston Yifei Wu Toothy
Class of 2022 Class of 2022 Class of 2024 The Pirate Tooth

Brittanie is from the Scarlett is from Pitt Yifei is from Forsyth Toothy is our newest mas-
Class of 2022 and used to County, NC, and gradu- County and majored in cot for our First Impres-
be an art historian. She ated from George Mason Biology at Wake For- sion Newsletter. Toothy’s
is very active in various University with a degree est University. Before pronuouns are they/
organizations in dental in Biology and a minor starting dental school them. Toothy’s interests
school and is a big ad- in Business. Scarlett en- she worked as a den- include shadowing den-
vocate for service. In joys reading and has a tal assistant for 2 years tal students, participat-
her free time, she enjoys focus on special-care and was a professional ing in school events, and
cooking, traveling, read- dentistry. Between her, NFL cheerleader. Yifie randomly saying “Arrgh”
ing, photography, and her mom, and her fiancé, doesn’t have any pets in conversations. A fun
visiting art museums. they have four dogs: Gus, but is Stella’s aunt. Her fact about Toothy is that
Sadie, Stella, and Thor. hobbies include “in- they suffered a carious
She loves being part of haling food like it’s no- lesion as a developing
the Newsletter because body’s business and molar and is therefore
“because it is a great cre- learning random Tik- missing a piece of their
ative outlet and allows Tok choreography in my “leg” (apex of their root).
myself and others to ex- shoebox apartment.” Toothy is positive and-
plore different aspects of loves to eat sweets. Keep
dentistry that we might an eye out for Toothy,
not otherwise encoun- they might pop up in the
ter in the curriculum.” most unexpected places!

CSLC - AHOSKIE42 Read44 Students45 A book 46 An update 47 Student 60 There's
ASDA DISTRICT 4more aboutattend thereview onon all the and class more to
the very first ASDA dental entre- progress and features. Greenville
BOOK REVIEWCommunityD4 virtualpreneurshippolicy passed Learn more than meets
ADVOCACY UPDATEServiceconferencein dentistry about your the eye
Learning classmates
SPOTLIGHTSCenter and faculty!
GREENVILLE
Spring 2021
FIRST IMPRESSION 7

ASDA Leadership Board

The American Student Dental Association is a national
student-run organization that protects and advances the rights,
interests and welfare of dental students. It introduces students
to lifelong involvement in organized dentistry and provides
services, information, education, representation and advocacy.

Our Vision

To advance the dental profession by developing exemplary leaders
and inspiring member advocacy.

Executive Committee

Victoria Hardy Joel Anil Bradley Schmidt Corey Winkler

First Delegate Second Delegate Treasurer Secretary

Team Coordinators

Octavia Miller Morgan Phillips Hieu Nguyen

Fundraising/Marketing Wellness Pre-Dental

Scarlett Walston Jasmine Boota Cody Phen
ADPAC Social Media Newsletter
Class Representatives

Omar Taha Rebecca Agner Shailey Aghera Amir Taha

Class of 2024 Class of 2023 Class of 2022 Class of 2021
Seventh Edition
8 ECU ASDA

About the Cover...

The special cover of the First Impression Newsletter was designed by Cody
Phen. A total of 188 unique images were used to create this magnificent mosiac
cover in honor of over 10 years of excellence from the ECU - School of Dental
Medicine. The thought process behind it went a little like this: First, I want-
ed this to be a two-page spread where opening up the front and back covers
of the physical edition of the Newsletter would create a single unified image.
Second, the size of a standard letter paper is 8.5 x 11 inches. Since the length
of the paper would double if I had placed two pages next to each other, that
meant I would have a working canvas size of 17 x 11 inches. Now, how would
I decide on how many images to use? I wanted the pictures to be both small
but still clear and legible so that people can see everything clearly. With a work-
ing space of 17 x 11 inches meant that I had 187 square inches to work with.
Therefore, I decided to go with 1 inch square images with 11 rows of 17 images
each. The 188th image is the picture of Ross Hall. Then I did some “Photoshop”
magic and boom, we have our cover! Besides being aesthetically pleasing, the
cover is also symbolic, becasue it’s the Faculty, Staff, Residents, and Students
that make up our wonderful school.

Spring 2021 FIRST IMPRESSION 9

COVID Update

365DaysofCOVID

By Cody Phen ‘23

On March 11th, 2020, the COVID-19 epidemic was so globally
widespread, the World Health Organization (WHO), declared
that we had officially entered a pandemic. It’s kind of crazy to
think how a year has already passed. The COVID-19 pandemic
shed light on so many health inequities and disparities in our com-
munities, which helped healthcare workers and policy makers to
innovate and fast track ways in which we can address and close
these gaps. We’ve come so far in terms of vaccines and yet we still
have a ways to go, such as finding avenues to efficiently distrib-
ute vaccines, breakdown barriers of medical mistrust and mis-
information, and address various social determinants of health.

3 Currently, there are three vaccines available to use in the United States: Cody Phen ‘23

Vaccine Type Number of Shots

Pfizer-BioNTech mRNA 2 shots, 21 days apart

Moderna mRNA 2 shots, one month (28 days) apart

Johnson & Johnson’s Janssen Viral Vector 1 shot
There has been a lot of misconceptions regarding efficacy, but

one cannot really compare Pfizer and Moderna’s vaccines to
the J&J vaccine. As stated in a Nature article, the vaccines
were developed and studied at different points in time, “Each
trial can only offer a snapshot of protection against the vi-
ral variants that were dominant in that time or place.”1 There-
fore, how this information translates to real-world scenari-
os may not be reflective of the vaccines’ true efficacy due to
possible variants in time.1 What’s important to note is that
all vaccines are effective in preventing hospitalizations.2

Will Grine ‘22 One of the biggest challenges for North Carolina is vaccine dis-

tribution in rural parts of the state. There has definitely been a strong effort to vaccinate rural North Carolinians, but it
mostly comes in small drips. The problem stems from three main parts. One part of the issue is supply. Vaccination events
such as the one in the Asheville-based Mountain Area Health Education Center, can only occur with availability of sup-
plies. The second issue is tied to a common social determinant of health found across rural NC, access to transportation.
Vaccines from Pfizer and Moderna require 2 doses. If some pa-
tients without access to transportation are somehow able to at
least make the first appointment, then what about the second
appointment? Those without reliable transportation may not
be able to make their second appointment. Lastly, what about
seniors with poor health that have to stay isolated at home?
So far we have done a great job with vaccine distribution, but
we still need to continue to work hard and find effective ways
to connect and reach out to rural populations efficiently.3
Check out your local stars here!

https://youtu.be/LRZRShcFHR8

10 ECU ASDA Sarah Vossers ‘22 Seventh Edition

COVID Update

Impacts on Dentistry THINGS I LEARNEDThe COVID-19 pandemic has been a terrible and traumatic

experience for everyone. However, the silver lining to this pan-

6 5demic is that it changed the workflow and processes for many
and dentistry. • A New York Times article titled, “The Workers Who Face the
Telehealth has Greatest Coronavirus Risk,” stated that dentists ranked 95 in
terms of risk of exposure to disease. This makes sense since we
•diAffdevreanntciensdiunstTreileesd, eesnptiesctirayl4ly–inThheeapluthshcaforer are in close proximity to patients and utilize procedures that
been accelerated due to the pandemic. Being able to physically generate lots of aerosols. However, just a few months later, the
American Dental Association reported that less “than 1% of
distance and still be able to check-in and follow up with patients dentists n2a0t2i0o8n.wTihdies were estimated to be COVID-19 positive as
allowed the dental industry to recognize the importance of of June” also makes sense because dentists have some
Teledentistry. So much so, that Medicaid began reimbursements of the best PPE and sterilization protocols.
for asynchronous visits, allowing another way for providers to • I learned how important oral health is among vulnerable and
continue optimal care for patients. underserved populations. Patients who live in geographically
• Advances in dentists being able to administer the vaccine5 isolated areas and lack access to care had their issues exacerbated
– Another significant change is allowing dentists to administer due to the pandemic. I’m hoping we can find effective ways to
vaccinations. This shift makes sense because dentists already approach and connect with these patients, because doing so will
have the skillset to administer complicated anesthesia in the oral not only benefit them, but also their families.
cavity, so being able to administer the vaccine intramuscular- • With lectures moving online, I actually enjoyed and learned
ly in the arm should be a relatively simple task. Already we’ve better with the hybrid education system. I liked having to stay
seen other states allowing dental students to administer the in and watch lectures, but also see my friends in school for lab
COVID-19 vaccines. I find this very interesting, be- days. There were definitely many pros and cons to
cause this implication means that as dentists, we’ll virtual learning, but I found that it is important
be able to administer the flu vaccine in the to hold yourself accountable and be proac-
future. Imagine having a patient come in tive in learning.
for a routine prophy and also be able to • Being quarantined and isolated for
get their annual flu vaccine. It’s win-win so long taught me the importance of
situation for all of us, especially public self-care and reaching out to others.
health. There are some students who just
• New administrative protocols7 – need someone to talk to and to
With the emphasis of physical let them know that we’re all here
distancing, new administrative to support each other. Going on
processes have been pushed to the daily walks and being able to
forefront, such as contactless pay- actually read my backlog of books
ment options. for pleasure actually helped clear
• Changes in Medicaid – Insurance my mind and lowered my anxiety.
changes especially in Medicaid actually It also allowed me to reorient and
helped improve dental care for patients, re-energize myself to not burn out
such as allowing the use and reimburse- from studying all day.
ment for Silver Diamine Fluoride. This type • Lastly, the most important thing I
of non-aerosol generating procedure is essential learned over this past year about myself and
during the COVID era in which viral particles can life in general is that sometimes, “It is perfectly
spread very easily through the air if more invasive proce- okay, to not be okay.” Seeing how the pandemic affect-
dures are utilized. ed so many people globally and feeling completely helpless can
• Collaboration and social impact9 – There has been a positive definitely dampen anyone’s mood. I realized that sometimes, we
increase in healthcare collaboration especially since meetings can have to let go of control and just be. I think being an empath was
be done virtually now. Being able to directly communicate with completely disadvantageous for me during this time, and that it’s
other health professionals across the state and nation has fostered okay to feel a bit blue. Finding ways to boost my mood such as
a culture of health collaboration, effective patient management, exercise, meditation, listening to music, and eating a healthy diet
and creating a significant social impact. definitely helped me a lot.
• Oral health inequalities are being created and exacerbated10 – The
last big impact we’ve seen COVID have on the dental industry is Although the pandemic brought on many challenges, we also saw
how the pandemic disproportionately affects older patients, mi- many success stories. Strangers banding together to make masks,
norities, and those with physical or mental conditions. Patients alcohol factories churning out hand sanitizer, and healthcare work-
who have chronic health problems and comorbidities do not seek ers delivering over 200 million doses of the vaccine. Things are defi-
out dental care unless it’s an absolute emergency. As healthcare nitely starting to look up. Let’s continue this positive momentum,
professionals, we need to think about how to approach these working and supporting each other. Together, we can beat COVID.
patients and emphasize that oral health is just as important as
systemic wellbeing. 5 https://www.ada.org/en/publications/ada-news/2021-archive/march/dentists-dental-students-among-providers-now-autho-
rized-to-administer-covid-19-vaccine-nationwide?utm_source=adaorg&utm_medium=virus-lp-widget-button&utm_content=cv-
covid-vaccine-prep-act
6. tine https://pages.ada.org/covid-19-and-dentistry-timeline?utm_source=adaorg&utm_medium=virus-lp&utm_content=-
covid-dentistry-timeline&_ga=2.161596796.1165050541.1619044068-2127632346.1607449460imel

References 7 https://www.osha.gov/coronavirus/control-prevention/dentistry

0. https://www.cdc.gov/media/subtopic/images.htm The newsroom image library is home to the images journalists request most 8 https://www.ada.org/en/publications/ada-news/2020-archive/october/ada-study-finds-covid-19-rate-among-dentists-less-than-

often. These high-resolution, public domain images are ready to print in your publication. 1-percent

1 https://www.nature.com/articles/d41586-021-00409-0 9 https://www.dentistryiq.com/dental-jobs/article/14188330/covid19-the-unintentional-accelerator-for-dental-industry-transfor-

2 https://www.ucsf.edu/news/2021/03/420071/how-effective-johnson-johnson-covid-19-vaccine-heres-what-you-should-know mation

3 https://www.northcarolinahealthnews.org/2021/02/10/in-the-rural-race-to-distribute-covid-vaccines-a-piecemeal-approach/ 10 https://www.gdc-uk.org/information-standards-guidance/covid-19/the-impacts-of-covid-19 11
4 https://oralhealthnc.org/proposed-legislation-would-formalize-teledentistry-and-allow-hygienists-to-administer-local-den-

tal-anesthesia/

Wellness By Carolyn Kleffman, MS, LCMHCA, NCC
12 ECU ASDA
Are you feeling burnt out? Not sure?
Let’s take a moment to evaluate. Do you feel
exhausted all the time? Having a hard time
focusing? Are you generally unmotivated?
Chances are you are experiencing common
symptoms associated with professional
burnout. Some call it inevitable as dental
school is one of the most rigorous professional
programs in the medical field. However,
symptoms of burnout can be prevented and
alleviated with the right tools and methods.
Self-care is something that most
dental students neglect and understandably
so. Time is a precious and coveted entity
in dental school. Self-care, as the media
portrays, takes much time and in most cases,
money. Some may object to the idea of self-
care and think, “Ok, Carol. Yes, we understand
self-care is necessary, but I am just focused
on getting through school and sleeping
more than a few hours per night. I don’t have
time to go buy a candle, get a massage, and
take a two-hour bubble bath.” I 100% agree.
I believe dental students should have the
resources to care for themselves in ways
that are conducive to class schedules and
day-to-day life activities. Therefore, I have
created a simple and realistic self-care list.

Seventh Edition

Wellness

• Add 5 drops of essential oil to shower to create • List 5 things you are looking forward to
a spa experience • Text or email a friend
• Do pushups, lunges, squats, or jumping jacks
• Take 5 minutes to do a body scan • Massage your jaw, temples, and face muscles
• Use a scented lotion that relaxes the senses
• Give yourself a forearm and hand massage 1. Lower your shoulders
2. Lower your tongue from the roof of your
(you use these body parts repetitively all day
long) mouth
• Prepare a comforting breakfast 3. Relax your jaw
• Play soft music while you get ready for the day 4. Deep breath
• Create a morning hygiene routine Self-care does not have to be glamorous or
• Listen to a podcast expensive. Self-care at its core means providing
• Create a list of 10 things you are grateful for
that morning support for the person in need of care.
• Make a smoothie or fruit bowl and nourish Remember that.
your body
• Stretch your muscles while listening to music
• Practice some imagery - close your eyes and
imagine a safe space such as an island or a
beach or the mountains. Cultivate that mental
space and remember it so you can refer to it
during times of stress
• Clean your space and create organization

• Call a friend while eating dinner Graphic by Cody Phen ‘23
• Journal about your day
• Set 90-day goals and list your dreams FIRST IMPRESSION 13
• Move your body through exercise
• Drink tea or a warm drink and lower the lights
• Create a nighttime routine to wind down
Spring 2021

BAKED OATS By Yifei Wu ‘24
Ever want dessert for breakfast?? This social-media viral
BREAKFAST recipe is packed with fiber to keep you full throughout the
day and tastes like cake. You can prep the batter the night
before and throw it in the oven in the morning as you’re
getting ready! It also makes for a healthy dessert to satisfy a
late night sweet tooth!

Ingredients
½ cup rolled oats or quick oats
1 ripe banana
1 egg
1 tbs maple syrup
½ teaspoon baking powder
Pinch salt
Cooking spray
1 tbsp cocoa powder optional (if making chocolate one)

Instructions
Preheat the oven to 350°F. Grease a ramekin or oven-safe
pan with cooking spray.
In a blender, combine all the ingredients until smooth and
well-blended- about 1 minute.
Transfer the batter into the prepared ramekin. Bake for
20-25 minutes. Top with chocolate chips, coconut shreds,
blueberries, anything you desire, and ENJOY!!

By Yifei Wu ‘24
Here is a quick vegetarian recipe to whip up for dinner after a long
day of lectures or clinic! Feel free to add meat if you’re not plant-
based for some extra protein!

Ingredients (Per quesadilla)
1 whole-grain flour tortilla (about 8″ diameter)
½ cup freshly grated cheddar cheese
¼ cup cooked black beans or pinto beans, rinsed and drained
1 tbsp chopped red bell pepper or jarred roasted bell pepper or a
few thinly sliced cherry tomatoes
1 tbsp chopped red onion or green onion
1 tbsp chopped pickled jalapeño (if you like heat)
1 tsp avocado oil, melted butter or extra-virgin olive oil, for brush-
ing
Any toppings you’d like: Salsa, pico de gallo, guacamole or strips of
avocado, sour cream, hot sauce, chopped fresh cilantro…

Instructions DINNER
Heat a skillet on Medium. Warm your tortilla for about 30 seconds, 10 Min. Quesadillas
flipping halfway. Flip again, then sprinkle one-half of the tortilla
with about half of the cheese. Cover the cheese evenly with your
fillings: beans, bell pepper, onion, jalapeño, etc.
Sprinkle the remaining cheese over the fillings, and fold the tortilla.
Brush a little oil on the quesadilla, then carefully flip it with a spat-
ula. Let the quesadilla cook until golden and crispy on the bottom.
Brush with oil and flip again until both sides are golden.
Plate up your ‘dilla and cut into slices. Top with salsa, garnishes,
etc! 14

Wellness

Little Italy Chicken Pitas

LUNCH

Photographs by Yifei Wu ‘24 By Yifei Wu ‘24
This recipe is like an elevated
caprese! You can make the fill-
ing beforehand and store in the
fridge- then just assemble into
the pita during your lunch break
for a quick and satisfying meal!
Yield: 6 servings (serving size: 2
stuffed pita halves)
You can use leftover filling to put
in pitas during next day, or put in
pasta or salad for dinner
Ingredients
2 tbsp balsamic vinegar
1 ½ tbsp sun-dried tomato oil
1 tbsp chopped drained oil-packed
sun-dried tomatoes
¼ tsp freshly ground black pepper
1 garlic clove, minced
4 cups shredded cooked chicken
breast (about 3/4 pound)
1 cup chopped tomato (about 1
medium)
½ cup (2 ounces) grated Asiago
cheese
¼ cup thinly sliced fresh basil
6 (6-inch) pitas, cut in half
3 cups mixed baby greens
Instructions
Combine the first 5 ingredients in a
large bowl. Stir in chicken, tomato,
cheese, and basil. Line each pita half
with 1/4 cup greens. Divide chicken
mixture evenly among pita halves.

FIRST IMPRESSION 15

April is Oral Cancer Awareness Month

By Will Grine ‘22 What is Oral Cancer? What to look for in the
mouth:
What to listen for from patients: Oral cancer is a type of head
and neck cancer that can ap- - Sores or ulcerations that do not
1. Patient reports sensation that something pear anywhere in the mouth. heal within 14 days
is stuck in their throat when swallowing or More than 90% of oral cancers - Red, white, or black tissue dis-
other difficulty in swallowing are squamous cell carcinoma colorations in tissues
2. Patient reports ear pain that occurs on which commonly begin on the - Any abnormality which easily
one side only floor of the mouth, the edges bleeds when touched
3. Patient reports unexplained numbness in or underside of the tongue, - A lump, thickening, or hard
the mouth or lips and the lower lip. What makes spot, frequently seen on the bor-
4. Patient reports hoarseness, sore throat, cancer of the mouth partic- der of the tongue
or constant coughing that does not resolve ularly dangerous is that in -Tissue that is raised above sur-
within a few weeks its early stages it often goes rounding tissue; a growth
unrecognized by the patient. - A sore spot under a denture
This is because it frequent- which does not heal even after
ly grows without producing denture adjustment
pain or drastic symptoms. As - A painless, firm, fixated lump
a consequence, the death rate felt on the outside of the neck,
associated with oral cancer is present for at least 2 weeks
especially high. This is not be-
cause oral cancer is difficult to How to encourage pa-
discover or diagnose, but rath- tients to be proactive:
er that this type of cancer is of-
ten discovered late in its devel- Ask that patients conduct a
opment after metastasis when self-exam once a month. Find
practical means of treatment a good light source and a mir-
are too late. Here are some tips ror and look and feel around the
for how to be proactive when lips and in front of the gums, the
it comes to identifying what is roof of the mouth, cheeks, floor of
and is not normal in the mouth. mouth and tongue. If you feel any
lumps or enlarged lymph nodes
or notice any spots that look out
of place, call your dentist’s office
immediately. At your next dental
appointment, ask your dentist to
perform an oral exam. Early de-
tection significantly improves the
chance of successful treatment!

16 ECU ASDA Graphics Sourced from www.aaoms.org
Seventh Edition

Studying for Boards

By Scarlett Walston ‘22
The Integrated National Dental Board Examination, or INDBE, is the new format of the prior National Den-
tal Board Examination Part 1 and Part 2. According to the JCNDE, “the INBDE was designed to integrate the
biomedical, clinical, and behavioral sciences in its evaluation of candidate dental cognitive skills for licen-
sure purposes.” This is done by assessing knowledge in all aspects of dentistry, including but not limited to,
anatomy, biochemistry, pharmacology, diagnosis and treatment planning, dental specialties, and patholo-
gy. The format of the exam consists of 500 multiple choice questions spread across a two-day testing period.

Studying for this exam will look different, but this article will aim to provide some information to get you
started. The first thing you need to do is set your schedule. Decide how many weeks/months you plan
to give yourself to study and how many hours a day you can dedicate to studying. This will help you be effi-
cient with your time and have a dedicated outline for what you need to accomplish each day. Second, use
a variety of study material and sources, as they each can offer something different. The sources that were
most used by the class of 2022 were Mental Dental YouTube videos, Dental Decks, and Dental Mastery.

If you are a collaborative studier, get some friends together and make a google doc to use as a
study guide. If you learn better via application, watch videos to understand more in-depth top-
ics and then answer practice questions to reinforce the knowledge that you have learned. As you
can see, there are numerous ways to study for boards, so find the way that works best for you!

Studying for boards is an extremely important aspect of your dental career; however, you have to
take care of yourself mentally, physically, and emotionally. Make sure that you are leaving time in
your schedule for things that you enjoy. Taking a 30-minute study break to grab a healthy snack, ex-
ercise, listen to music, etc. can be so helpful for your overall performance. And of course, make sure
you are hydrating and getting enough sleep. I have full confidence that you all will do an amazing job!

Studying with

Music
Toothy
By Cody Phen

One of Toothy’s favorite ways to study is by listening to
a genre of music called Lo-fi. Lo-fi stands for low fidel-
ity music and is created by using audio imperfections
as a deliberate aesthetic choice for sound. Lo-fi hip-
hop music is relaxing and calms the mind as it gives
the brain just enough stimulation to be alert, stress free
and allow productivity to occur. The reason why Lo-fi
is the best study music is because it allows one to play
it on an endless loop. On the left, Toothy has shared
their sample of songs that you should check out. Prom-
ise, once you give it a listen, it’ll help you study effec-
tively and maybe even help you pass the boards. :D

Spring 2021 FIRST IMPRESSION 17

TEN STRANGE THINGS THAT HAPPEN

By Jasmine Boota ‘24 You start to notice aches you never had
before
You begin to notice symmetry a lot
more than before

Wait, Tom Cruise’s perfect- You’re not just training your mus-

ly symmetrical smile has cles, you find yourself training

an asymmetry? And you go muscles you never even had be-

googling his pictures, zooming fore, metaphorically speaking.

in and there it is! You would You’ll notice new aches in your

have never thought you’d be back and shoulders, and even

focusing on the actor’s teeth during Top Gun, the little sharp jabs in your hands that sudden-

but now you can’t “unsee” it now. Your friends ly make you overprotective of your upper limbs.

and family are convinced you’re obsessing A back and shoulder massage were common in

over moving the furniture or wall hanging, your day’s past, but now, a proper hand massage

just a couple more millimeters to make it in underrated and suddenly a priority. Remem-

perfectly aligned, but your new dentist eyes ber when you first started using the hand piec-

can’t ignore it. At first, you won’t be sure why es, who would have thought those were “heavy?”

your professor is hypercritical of that ½ mm You begin to notice your own
on your preps, and wait, what’s a line angle? subconscious habits a lot more
But slowly, the world of teeth starts to take

a geometrical exactitude, and you can’t be- Whether that’s your ergonomics,
lieve you’ve never seen the world this way. how you hold a pen or a spoon,

You become a better “color detector” how little thought you put into
on the white spectrum details or organizing – sudden-
ly, it’s all a mirror. Everything

Cream, white, ivory, porce- you are and everything you cre-
lain, snow . . . oh boy. You’re ate is reflecting back a part of you that you took
still unsure of all the names of extensive years of your life to develop or just
white, but all the way from A1 completely negated. When your professor calls
to D4 you’re a master white you out on your bad posture, you find yourself
color detector. Just a 5-10% thinking, do I really sit like that? When you find
change in white on the shade guide may not yourself scrambling to look for tools or oth-
have been easily detectible before, and you’re er necessities, you ask yourself, have I always
surprised at how well you can notice this now. been this disorganized? And sure enough, your
Mr.Habit subconscious mind is going to need

some adjusting as you build healthier habits.

You become hyperaware of your own oral health

Dietary decisions have dramatically changed for you. You catch yourself buying can-
dy at the checkout lane, but now the conversation in your mind won’t just stop at,
“Do I like almonds in my chocolate bar?” You’ll be thinking when you last brushed
your teeth, whether you have floss with you and is it even worth eating the candy
bar if you won’t have the energy to clean your teeth later. White wine or red? Prob-
ably white, since it won’t stain teeth in the long run. Almost midnight and you’re
exhausted? Nope. You find yourself crawling out of bed and making your way to your toothbrush.

18 ECU ASDA Seventh Edition

TO YOU WHEN YOU START DENTISTRY

You become an obsessive cleaner You find yourself calling teeth
everyday aesthetic adjectives
If millimeters suddenly matter,
than imagine what that OCD does You extract a molar or see an
to your cleaning habits. You’ve be- x-ray and find yourself call-
come accustomed to working on a ing the tooth “cute.” Memo-
station that is organized, clean, me- ries from your dental anat-
thodical and just the way you like omy class kick in and it’s an
it. This transitions into your home life in a way it anatomically perfect tooth.
didn’t before. Things are placed exactly where you Everyone who is not in dentistry finds it bi-
want and how you like them, probably in an order zarre why you think a molar is cute, or that
you will use since that’s your brain’s “new norm.” restoration is pretty, but when you’ve spent
months learning and obsessing over line an-
You find your new “eye contact level” to gles, and fossa’s and cusps, you can’t help
subconsciously rest at people’s teeth but think of it as aesthetically pleasing.

Teeth are the new eyes and this is Your new skills open avenues to new
now your subconcious eye contact talents
level. You catch yourself looking
at people’s teeth longer than their You’ve had a nice short break
eyes when talking, and conscious- from all things dentistry, but
ly move your gaze away. Then you suddenly have an itch to
somewhere in the midst of that conversation, create something. Your hands
you’re suddenly looking at their teeth again. Hel- now have a mind and mood of
lo! Earth to self! Move gaze away now. Cycle con- its own, and you branch out into
tinues. Congrats, you’ve made the speaker hyper- other skills that are so much easier to build
aware of their teeth now. “Nice teeth” are also one now. Jewelry making? Easy. You play with tools,
of the first compliments you happen to give now. wires and burs every day, this is your play-
ground. Carpentry? Sure! Your life revolves
around a drill, what’s a slightly bigger one?

You find that you can’t escape “dentistry”

Whether it’s thanksgiving, a hangout with your non-dental friends or even a date,
somehow teeth find their way in the conversation. Some commonly asked questions
are obviously about their dental issues, pediatric advice, complaining about their re-
cent dental visit, how nightmarish a root canal is, how terrible dental insurance is or
how you’re brave but strange you are to want to look into people’s mouth all day. Your
date is trying to impress with their regimented oral habits and how their dentist said
they have “perfect, pretty teeth without cavities.” In the midst of all this, you find yourself taking a
peak in whatever they are showing you anyway and being sucked into another dental conversation.

Luckily, this is your field of interest, and in spite all the strange new things happening to and
around you, you’re deep down so content thinking, you actually make people smile for a living.

Spring 2021 FIRST IMPRESSION 19

SONRíE CLINIC
FOR
MIGRANT FARM WORKERS

By Raul Garcia '23, Luz Lopez '23, Morgan Phillips '23,
Taylor Davenport '23, and Lee Dickinson '22

The idea for the Sonríe Clinic started in 2019, During the COVID-19 pandemic, the program
when Access East approached our organization. was put on hold until the new HSDA Executive
The goal was to establish a program to provide Board took over. This includes Co-Presidents
care for Hispanic farmworkers in Eastern North Raul Garcia and Luz Lopez (Class of 2023), Vice
Carolina. Finding a trusted provider and estab- President Morgan Phillips (Class of 2023), Trea-
lishing a dental home is key to maintaining oral surer Taylor Davenport (Class of 2023), Social
health. For farmworkers, particularly migrant Media/Marketing Chair Melissa Sepulveda (Class
farmworkers, this is not always an easy task. of 2024) and Volunteer Coordinator Lee Dickin-
There are many hardships and obstacles ob- son (Class of 2022). In late 2020, the new HSDA
taining health care, especially during a global Executive Board joined by their faculty mentors,
pandemic. Some of the challenges they face Dr. Acela Martinez-Luna, Dr. Alex Gillone, Dr.
include a language barrier, lack of transportation, Isabel Gay, and Dr. Andres Flores, resumed ob-
no insurance, not understanding how to navigate taining necessary documentation from Student
the health care system and often having to share Affairs and Extramural Clinical Practices with
a living space with multiple people. One of the the help of Dr. Tempel with Extramural Clinical
reasons many of us joined ECU SoDM is be- Practices, Dr. Connelly with Clinical Affairs, Ms.
cause of the mission and vision to provide health Nicole Alley with Faculty and Staff Personnel,
services for the underserved in NC. At ECU we Ms. Beth Simpson with Student Involvement,
do have faculty, staff, and students that speak and Mr. Tommy Bunton with Supplies. While
other languages. ECU also accepts insurance documentation was being finalized, our treasurer
and Medicaid (for those that qualify) and offers obtained the necessary funds by publicizing the
payment plans. And our partner Access East event, applying for grants, and organizing fund-
provides the farmworkers with transportation to raising. Thanks to the generosity of our mem-
their appointments. With this support, we knew bers, community, and supporters combined with
we were capable of bringing this vision and mis- the diligence and expertise of our treasurer; a
sion to life. special fund has now been created to help serve
this population and support the Sonríe Clinic in
the future.

20 ECU ASDA Seventh Edition

Organizations

Once much of the preparation was completed, we With the clinic date being May 16th, the final
needed to meet the farm workers to do their initial requirement was to get student volunteers to
screening appointments. To eliminate any barriers run the clinic! An email was sent to the entire
to transportation, HSDA hosted the screening day SoDM student body, faculty, and staff. We
out on the farms in April. We checked out dental also sent information to our sponsors and the
chairs from the school, brought mobile radiology ECU pre-dental clubs should anyone like to
equipment, and set up a mini clinic outside on the volunteer and support the mission with us.
farms. On screening day, we were able to obtain Within 2 weeks, every position was filled which
all the information we needed to plan the needed included 45 dental students, 4 residents, and
treatments, which would be completed on May 12 faculty and staff members. While many
16th at the ECU School of Dental Medicine. others continued to offer to help. The day of the
Inaugural Sonríe Clinic was a great success.
All our volunteers arrived with a great attitude
and an incredible willingness to serve. All the
supplies were ready, and the day ran smoothly.
We were able to provide $6700 worth of
treatment to 13 patients in a little under 8 hours.
We were also able to send each of the patients
away with months worth of oral hygiene
products that were generously donated. We
hope that this is just the beginning of a great
project and to have more clinics in the near
future.

Photos Courtesy of HSDA Pleae contact Raul Garcia or Luz Lopez to
Spring 2021 get involved with ECU HSDA at garciara19@
students.ecu.edu or lopezl19@students.
ecu.edu!

FIRST IMPRESSION 21

Organizations

By Brianna Horne ‘24 IHI OPEN SCHOOL CHAPTER AT ECU PRESENTS

My name is Brianna Horne and I am a first year PROMOTING TRUST IN
dental student and currently serve as Vice COVID VACCINES
President of ECU AGD. The missions of the
Academy of General Dentistry is to “advance Wednesday, Feb 24, 2021 @5:30
general dentistry and oral health through https://ecu.webex.com/meet/yedurir15
quality continuing education and advocacy.”
The ECU Chapter of the Academy of General FIRST 100 THAT SIGN UP AND ATTEND
Dentistry allows students to broaden their RECEIVE A
knowledge of all things that occur in the realm
of dentistry. More importantly, the different $5 SCULLERY GIFT CARD
types of learning sessions provide students HTTPS://FORMS.GLE/YVWLQ1C6DUXXEGU37
with various amounts of CE credits that
can go towards their Fellowship programs. PANELISTS:
Throughout this past year ECU AGD held
several virtual learning sessions ranging from DR. LISA MANSFIELD
learning about new dental technology to
practice management and associateships. The POSTDOC SCHOLAR AT UCLA
highlight for this year was our collaboration
with UNC where the executive board of NC- DR. JOHN SILVERNAIL
AGD came and spoke to us about these topics.
It was fun, engaing, and we learned a lot about PITT COUNTY HEALTH DIRECTOR
things to look forward to after we graduate.
Furthermore, the ECU AGD provides students DR. POONAM DESAI
with insights and knowledge of how to run
a practice, education concerning financial EMERGENCY DEPARTMENT PHYSICIAN AND INSTA INFLUENCER
responsibilities as a dentist, and how to
effectively adapt to dynamic changes in our DR. BRIAN SOUTHWELL
field. We hope many students join this wonderful
organization for opportunities of growth, DIRECTOR FOR SCIENCE IN PUBLIC SPHERE AT RTI
networking, and being a succesful dentist.
IHI OPEN SCHOOL ECU CHAPTER PRESENTS
Please contact Brianna Horne to get involved
with ECU AGD at horneb12@students.ecu.edu! INTEGRATED
HEALTHCARE:
22 ECU ASDA BRIDGE BETWEEN
DENTISTRY AND

MEDICNE

Panelists:

Dr. Amna Hasan BDS, ABOP

Clinical Professor at ECU Dental Medicine

Dr. Bruce Donoff MD, DMD

Dean of Harvard Dental School

Dr. Bill Milner, DDS

Director of Access Dental Care

FIRST 100 THAT SIGN UP AND ATTEND RECEIVE A
$5 SCULLERY GIFT CARD
SIGN UP:

HTTPS://FORMS.GLE/MAEFCHFXTIERKWJY6

March 24, 2021 | 5:30p.m.-7p.m
https://ecu.webex.com/meet/yedurir15

IHI OPEN SCHOOL
ECU CHAPTER
PRESENTS

GENDER DR. SAMANTHA HOOVER
AFFIRMING PT, DPT-
CARE ACROSS RAINBOW EMBRACE
DISCIPLINES PHYSICAL THERAPY
FOUNDER

Tuesday, April 27 DR. BRANDON KYLE PH.D
ASSISTANT PROFESSOR,
5:30-7 DEPARTMENT OF
PSYCHIATRY AND
Webex link: BEHAVIORAL MEDICINE
https://ecu.webex.com/meet/yedurir15
DR. BRITTANY BATE PH.D
Sign up for here for a $5 BE BOLD PSYCHOLOGY
Scullery gift card! AND CONSULTING
FOUNDER
https://forms.gle/5Qw21aeXQti9qd1JA

Seventh Edition

Organizations

ECU Institute for
Healthcare
Improvement

By Cody Phen ‘23

ECU IHI is an interprofessional organization on the
health sciences campus that consists of medical,
dental, occupational therapy, nursing, and various
allied professional students dedicated to working
together collaboratively to improve healthcare for
all. Part of being a healthcare professional is man-
aging patients and sharing decision-making across
disciplines to provide a holistic patient-centered ap-
proach to care. This year ECU IHI held various virtual
events that included topics such as promoting vac-
cine trust, bridging the gap between medicine and
dentistry, and providing gender affirming care.
Our service event for the term was volunteer-
ing with the Greenvile Rotary Club. We made a
positive impact in the community by delivering
250 boxes of food and hand sanitizer to resi-
dents in Bethel, North Carolina.

ECU IHI 2021-2022 Leadership Team The mayor of Bethel, NC,
Gloristine Brown.
Spring 2021
FIRST IMPRESSION 23

Prepare leaders with outstanding clinical skills, an ethical bearing, sound judgment, and a passion to serve.
Provide educational opportunities for academically qualified individuals from historically underrepresented groups,
disadvantaged backgrounds, and underserved areas.
Provide and enhance oral health services for underserved North Carolinians through implementation of community-
oriented service learning and interprofessional collaborations.
Foster a learning environment where collaboration, creativity, diversity and professionalism are embraced.
Influence future clinical practice and dental education through research, innovation and discovery.

Improving the health and quality of life of all North Carolinians by creating leaders with a passion
to care for the underserved and by leading the nation in community-based, service learning oral
health education.

Excellence Service
Set the highest standard in achievement and performance Show compassion in all interactions
Delight all those we serve Contribute to the betterment of society
Realize our full potential through continuous self-assessment Diversity
and lifelong learning Embrace the value and strength of diversity
Leadership Build trust within our relationships and among all
Demonstrate responsibility, initiative, and accountability constituencies
Seek collaborations to make transformative change
Promote resourcefulness and stewardship Seventh Edition
Professionalism
Promote the highest ideals of our profession
Demonstrate integrity and the courage to do what is right
Model ethical behavior, using trust, fairness, and honesty
24 ECU ASDA

Diversity

Photograph Courtesy of Photographs Courtesy of Fiondra Baldwin ‘21 and Mr. Jon Jones
James Rudolph Parker, Jr ‘21
What is Unity Day and why is it so special?
Photograph Courtesy of The Day of Unity is a day designated to promoting a culture of diversity,
Vivian Nguyen ‘21 equity and inclusion. As our school’s mission is to amplify diverse voices
while serving the underserved, ECU SNDA thought that having this day,
amongst the entire ECU SoDM, would be a great initiative and a step in the
right direction! It is important to us as students that ECU SoDM sets an
example on campus and beyond in honoring diversity and pursuing equity
and inclusion for all because representation matters! Being able to foster a
culture of unity amongst students by celebrating diversity allows everyone
to strive for a brighter future while feeling a sense of hope and confidence.
Having proper representation for all demographics demonstrates unity and
equity and creates a much-needed space for underrepresented populations
to thrive.

Spring 2021 What is the significance of diversity and inclusion? And why
is it important to recruit students from diverse backgrounds?
The significance of diversity and inclusion is having collective voices and opinions at
the table. It is important that when making a decision that impacts the whole that all
is considered. When diversity and inclusion is not part of a conversation it becomes
one sided and the impact is limited. The recruitment of students from diverse back-
grounds is critical because of the mission of ECU SoDM. If our goal is to educate and
provide oral health care to the underserved, it is important to recruit individuals who
either come from those communities or ones who have served in those communities.
These individuals could make a greater impact when providing care and service.

Mr. Tarrick Cox

FIRST IMPRESSION 25

Excellence

Interview with Dean Gregory Chadwick by Scarlett Walston ‘22

DMD Degree) at East Carolina University. July 8, 2008 the North
Carolina Legislature passed the budget that included funding for a
dental school at ECU.

The first class began taking courses on campus in 2011, and since
they graduated in 2015, the School of Dental Medicine has just
over 300 alumni, the vast majority of whom are practicing in
North Carolina while others are completing residencies.

What was the process of establishing the ECU We were granted provisional CODA accreditation prior to the
SoDM, and what entities had to work together acceptance of our first class. Then in the Spring of 2015, prior
to make this a reality (NCDS, NC Board of Edu- to the graduaton of that first class, we were granted full CODA
cation, CODA, etc.)? accreditation.
In summary, there were countless numbers of individuals and
The process to establish the ECU School of Dental Medicine organizations, over many years, who played a role in our present
began years before the school opened its doors to students. dental school.
Conversations around the need for more dentists, especially in
rural areas, the idea of another dental school for North Carolina What were some challenges you faced in re-
began to gain ground in the early and mid-2000s. During an Oral cruiting students to a brand-new dental school?
Health Summit in Raleigh in 2005, Dr. Michael Lewis, who was
then ECU’s vice chancellor for health sciences, formally shared Before the ECU School of Dental Medicine could recruit students
with those gathered that ECU would be exploring the feasibility of we had to gain CODA accreditation which meant that we had to
establishing a new dental school. secure a high-quality, knowledgable and experienced faculty who
believed in the school’s mission. It turned out that talented den-
From there, many groups were involved, from local supporters tists from all over were willing to be a part of a new school that
and stakeholders and university leaders to the UNC System to the would address immediate problems in North Carolina, including
N.C. General Assembly. Dentists with state and national leader- a dentist shortage on the horizon and the lack of access to oral
ship experience were included in the planning stages, which is health care for a high number of people living across the state.
when I became involved. ECU’s Health Sciences Campus and the With the help and support of faculty who had a background in
enthusiastic support within the community helped other deci- dentistry and academia, the school designed an integrated curric-
sion-makers, including the NCDS, rally around the possibility ulum different than those offered at other schools. The curriculum
of a dental school located in eastern North Carolina that would included tools for skills assessment that went beyond textbook
help address the dentist shortage across the state, as well as, the instruction and simulation skills practice. It also unveiled a daring
obstacles to oral health care for people in rural areas and counties model of education and patient care through the creation and
without access to practicing dentists. building of the eight service learning centers, across the state,
over the first several years after its official opening. These centers
Over time, more feasibility studies, including those ordered by would provide an extended clinical experience in real practice
the UNC Board of Governors, came to the conclusion that a new settings for students, as well as opportunities for immersion in
dental school was not only feasible, but necessary. On November different rural communities across the state. This design allowed
10, 2006, the UNC Board of Governors unanimously approved students to become more familiar with the social determinants of
the Doctor of Dental Surgery Degree (this was later changed to a health that impact patients’ abilities to receive care. They would be
able to immerse themselves in a variety of diverse cultures within
their own home state.

26 ECU ASDA Seventh Edition

Excellence

When the school’s leaders set out to recruit students, they looked Can you provide some statistics for the past
for students who had not only the potential to be talented doctors classes such as residency placements, number
of dental medicine, but also ones who had the desire to make a still practicing in NC, etc.?
difference through service and leadership. The school’s model and
its affordability were also selling points in attracting students and Currently, we have 302 graduates and in June will have approxi-
opening doors to access for them to achieve a dental education. mately fifty-three more. More than 92% of ECU School of Medi-
The opening of the dental school also gave potential students an- cine graduates who are practicing are practicing general dentistry
other option for education within North Carolina; many of these in North Carolina. We now have graduates in 52 of N.C.’s 100
students were already dedicated to practicing in their home state, counties.
a characteristic the dental school’s curriculum and design both
attracted and nurtured. Do you see ECU adding any additional residen-
cies? Do you see ECU increasing the class size
Do you feel like being a relatively new school or accepting out of state applicants?
was helpful in navigating the COVID-19 Pandem-
ic? Our focus is on educating the next generation of primary care
dentists for rural and under-resourced areas of North Carolina.
Yes. The ECU School of Dental Medicine was created on a Recruiting only North Carolina residents, very similar to the
foundation of innovation and flexibility. Because of its roots, the BSOM, was one of the original strengths that set the SoDM apart.
school and its leaders, faculty, staff and students have always been The mission, affordability and model of education were designed
resilient and open to pivoting in new directions and altering the to attract students who were inclined to remain in North Carolina
way we do things. Part of our mission and vision include being re- to practice dentistry in line with their desire to serve. That feature
ceptive to unexpected situations and opportunities—not just fixed of our model is working well, and I can think of so many exam-
on our current path—and prepared to respond to circumstances ples that span each of our graduating classes who illustrate that
as they arise. That includes adjusting not only to minor changes willingness to dedicate their talents and knowledge to their home
but also to world-altering one like the COVID-19 pandemic. state.

Our response to the pandemic was partly driven by being resil- There are no current plans to significantly expand class size, add
ient, but also because our faculty, experts in dental care, also have residency programs or extend recruitment to out-of-state stu-
expertise in areas including public health, research, business, dents.
emergency response and academia. These came into play in major
ways as we molded our crisis response from national, state, uni- What do you see as future expansion for the
versity and local guidelines. school? (a possible topic would be inter-collab-
While a pandemic was certainly unexpected, we had to be able to oration with Brody)
quickly assess the situation, understand its impact on our school’s Because of its place in ECU’s Division of Health Sciences, the
operations, education, curriculum and patient care. We did this expertise and interests of our faculty and our social mission, the
by creating a Covid Response Team to rapidly operationalize our School of Dental Medicine has many opportunities for collab-
leadership decision making. This proved to be very effective in oration and interprofessional research and practice. Our focus
a crisis. Dental professionals have seen some of the more subtle on dental care as part of primary care also positions us to take
changes in PPE and operations. For example, as we paused patient advantage of work that improves the health outcomes of our pa-
care except for emergency care, in all ten locations, we quickly tients and provide education and resources in their communities.
made changes including adding extra sneeze guards in clinics, In those ways, expansion is not only welcome but inevitable as we
new face shields for added protection, new patient screening, refine our ability to reach and care for more patients in primary
check-in and waiting room procedures in anticipation of reopen- care settings.
ing.

Because of the modern and innovative design of our curriculum, The next frontier for the SoDM will likely involve more school-
we were also able to more quickly shift to remote learning until based/community projects (i.e. like Bertie County) and increasing
we could get students into the learning laboratories and to some emphasis on Special Needs populations.
degree lean little more heavily on our networking and teledentist-
ry capablilities across the state.

Spring 2021 FIRST IMPRESSION 27

LEADERSHIP The
Leadership
Experience

By Beth Simpson

Director of Student Services

Leadership is a crucial aspect of the School of Dental Medicine’s mission state-
ment and is embedded into the fabric of everything we do here. Because of this,
the Office of Student Affairs thought it was important to establish a leadership
development program specific to dental students. The Leadership Experience
was piloted this past academic year, a result of collaboration between Student
Services, Financial Education, and Counseling and Student Development.

The Leadership Experience is a program open to D2s and D3s by application.
The program is based off the tenants of leadership as described in The Leader-
ship Challenge by Kouzes and Posner. This widely accepted and studied book
on leadership breaks down the concept into five principles:

Model the Way Inspire a Shared Vision Challenge the Process Enable Others to Act Encourage the Heart

The program is ten months long and meetings take place once per month. We
spend two months on each of the 5 principles above. The first month of each
principle, we hold discussions, workshops, or activities to help participants gain
a better practical understanding of the tenant in question. For the second meet-
ing of each principle, we invite a guest speaker who is a demonstrated leader
in that particular area. The program is still being piloted and developed but we
have had a wonderful time exploring these leadership concepts with our inaugu-
ral participants! We are really excited to start this program over next year with a
new group! If you are interested in learning more or applying for next year, stop by
Student Affairs!

28 ECU ASDA Seventh Edition

Leadership

McKenzie Blackwell ‘23

What does Leadership mean to you?
Leadership is the act of guiding and motivat-
ing others toward a common goal. Leadership
involves constantly cultivating your skills to
inspire, empower, and encourage others.

What are some qualities you believe are
important in a Leader?
Good leadership comes in many forms however
always maintains the same core principles to
me. What must remain true is a good leader
should be purposeful, ethical and motivating.

How has the SoDM Leadership Experience
helped you as a Leader?
The leadership experience has changed my mindset of believing leader-
ship is merely an innate personal quality. I now realize the abstract con-
cept of leadership can be learned and practiced by anyone willing to rise
to the challenge. Effective leadership is a set of observable and learnable
skills, and in this program, we get to actively discuss these behaviors and
how to implement them into our lives as future dental practitioners. I’m
excited to participate in an experience that has helped me lay the foun-
dation from which I can launch.

Trandon Jefferson ‘23

What does Leadership mean to you?
Leadership is having the ability to successfully get others to work to-
ward a common goal. It is getting everyone to believe that their role is
essential in achieving these goals. It is getting people to push through
even when they’re not in the best mood or out of energy. Leadership is
making a place or culture better than when you first arrived.

What are some qualities you believe are important in a Leader?
Respect is the most important because you have to be willing to listen
to others and not think you are better than the people you lead. You
have to be hardworking and willing to do the work of the people under
you. Nothing gains more respect than a leader willing to work alongside
others. The last important quality is being optimistic, because things will
not always go as planned, but you have to keep a positive outlook, so
everyone else will.

How has the SoDM Leadership Experience helped you as a Leader?
The program has opened my eyes to many different leadership styles that I did not know previously existed. The
guest speakers sharing their stories allow us to see what leadership can look at in all different aspects of life. I
think the most important thing I learned is the importance to listen to others around you and getting everyone to
share the same vision.

Spring 2021 FIRST IMPRESSION 29

Professionalism

Professionalism

The ADA Principles of Ethics and Code of Conduct

The dental profession holds a special position SECTION 1 — Principle: Patient Autonomy
of trust within society. As a consequence, (“self-governance”)
society affords the profession certain The dentist has a duty to respect the patient’s rights to self-determi-
privileges that are not available to members of nation and confidentiality.
the public-at-large. In return, the profession This principle expresses the concept that professionals have a duty
makes a commitment to society that its to treat the patient according to the patient’s desires, within the
members will adhere to high ethical standards bounds of accepted treatment, and to protect the patient’s confi-
of conduct. dentiality. Under this principle, the dentist’s primary obligations
include involving patients in treatment decisions in a meaningful
Adapted from ada.org way, with due consideration being given to the patient’s needs,
SECTION 2 — Principle: Nonmalefi- desires and abilities, and safeguarding the patient’s privacy.
cence (“do no harm”).
SECTION 3 — Principle: Beneficence
The dentist has a duty to refrain from harming the patient. (“do good”)
This principle expresses the concept that professionals have a duty
to protect the patient from harm. Under this principle, the dentist’s The dentist has a duty to promote the patient’s welfare.
primary obligations include keeping knowledge and skills current, This principle expresses the concept that professionals have a duty
knowing one’s own limitations and when to refer to a specialist or to act for the benefit of others. Under this principle, the dentist’s
other professional, and knowing when and under what circum- primary obligation is service to the patient and the public-at-large.
stances delegation of patient care to auxiliaries is appropriate. The most important aspect of this obligation is the competent and
timely delivery of dental care within the bounds of clinical circum-
SECTION 4 — Principle: Justice (“fair- stances presented by the patient, with due consideration being giv-
ness”) en to the needs, desires and values of the patient. The same ethical
considerations apply whether the dentist engages in fee-for-service,
The dentist has a duty to treat people fairly. managed care or some other practice arrangement. Dentists may
This principle expresses the concept that professionals have a duty choose to enter into contracts governing the provision of care to
to be fair in their dealings with patients, colleagues and society. a group of patients; however, contract obligations do not excuse
Under this principle, the dentist’s primary obligations include deal- dentists from their ethical duty to put the patient’s welfare first.
ing with people justly and delivering dental care without prejudice.
In its broadest sense, this principle expresses the concept that the SECTION 5 — Principle: Veracity
dental profession should actively seek allies throughout society on (“truthfulness”)
specific activities that will help improve access to care for all.
The dentist has a duty to communicate truthfully.
This principle expresses the concept that professionals have a duty
to be honest and trustworthy in their dealings with people. Under
this principle, the dentist’s primary obligations include respecting
the position of trust inherent in the dentist-patient relationship,
communicating truthfully and without deception, and maintaining
intellectual integrity.

“Our integrity and ethical standards define who we are as a profession. As dentists, our patients
trust that we will act in their best interests, and that we will place their interests ahead of our
own. That same trust-based relationship must extend to the relationship between the members
of our profession and society as a whole. In establishing the ECU School of Dental Medicine,
we made a commitment to prepare leaders who will serve within communities of need across
the State of North Carolina. Our faculty, staff, students and residents play a vital role in fulfill-
ing our promises to the people of our state.”

Dr. Margaret Wilson, Vice Dean

30 ECU ASDA Seventh Edition

Service

Graphic Adapted from asdanet.org SERVICE

By Will Grine ‘22

On an early Saturday morning, April 10th, 31 low-income patients were seen for resto- “
2021, an impassioned group of 28 ECU rations, cleanings, alveoloplasties, lingual
School of Dental Medicine students, res- tori reductions, and a total of 255 extractions.
idents, and faculty amassed to participate From 7AM-6PM, the day was filled with
in the 13th Missions of Mercy Clinic at the learning, clinical experience, compassion, a
James D. Bernstein Community Health tasty lunch provided by Dr. Serio, and, most
Center. The Bernstein Clinic is a federal- importantly, grateful patients. The strong
ly qualified health center dedicated to pro- presence of ECU SoDM students, residents
viding high-quality primary medical and and faculty at events such as the Mini-MOM
dental services to principally low-income Bernstein Clinic, shows the heart of the
and uninsured patients from Pitt and neigh- School of Dental Medicine, a community
boring counties. To address the current dis- which cultivates leaders with a passion to
parity seen in access to dental needs, care is care for the underserved. It is at events such
offered on a sliding fee scale for those who as these in which we are reminded what an
qualify under federal poverty guidelines. honor it is to be able to represent our school,
Through the collective, patient-centered ef- profession and state of North Carolina in pos-

“forts demonstrated by the SoDM community, itively impacting the communities we serve.
“ We always love our mini-MOM clinics because of what they accomplish, and how we unite in a common
purpose with the students & faculty of SoDM. The comments heard from patients after the clinic were not
so much about the considerable care provided as they were about the kindness, respect, and genuine compas-
sion shown by “those wonderful young dentists”. On behalf of our patients and staff, thanks so much for a
productive and meaningful day! ”

Dr. Rob Doherty, Greene County Health Care’s Chief Dental Officer
Why is service important and what does it means to you?
Spring 2021 To serve is an act of selflessness and kindness that we all should be able to per-
form. As healthcare professionals, I feel that it is even more important for us to
be representatives of our communities to promote representation and diversity.
We all have a story to tell and engaging with others allows us to become more
open-minded and inclusive towards one another.

James Rudolph Parker, Jr ‘21

FIRST IMPRESSION 31

Op-Ed

When the World of Dentistry
Came to a Halt

By Rachel Cantrell '22

As a rising third-year dental student, my world was shift- symptoms and checking their temperature as standard
ing 180 degrees. As I was entering the clinic floor as a new operating procedure. If the patients are symptom-free,
student provider, COVID-19 tilted the axis another 180 they may proceed with a sterile pre-treatment mouth
degreesbyabruptlyshuttingdownthedentalfieldentirely. rinse. Personal protective equipment is worn by all
The uncertainty of a new viral infection spreading across healthcare workers as a barrier to preventing the spread
the globe is unsettling to say the least. Statistics showed and protecting all individuals involved from contami-
that one of the most vulnerable careers to be in during nation. Sanitizing operatory rooms and equipment pri-
the pandemic was dentistry. The American Dental As- or to treatment and at the end of treatment is essential.
sociation (ADA) spoke out immediately, recommend- The new normal may certainly become just that:
ing guidelines to follow during the crisis: urging all den- the norm -- affecting short- and long-term dentist-
tal offices to limit appointments to emergency care only. ry, not only in the dental practice itself but in den-
Safety of the healthcare workers in the dental setting, tal education. Dental students are not able to attend
along with the patients being treated, was of utmost in-person classes anymore and almost all academ-
importance. Emergency dental procedures were the ic material is given virtually. As a dental student, I
only supported treatment during the pandemic crisis. understand the importance of following the guide-
And just like that, the world of dentistry came to a halt. lines and protocols to keep me and my patients safe.
There were many unanswered questions. As a dental It’s important that we all do our part during these
student with only two years remaining, I questioned times to keep you and those around you safe and
the timeframe of uncertainty and the unknown of com- to prevent further spread of COVD-19. The world
pleting my degree as planned. Dentists were concerned of dentistry is no longer at a standstill. The field
about their practices and paying their bills. Patients continues to evolve and adapt. Even, and espe-
were left in the middle of treatments without know- cially, during a pandemic – we are here for you!
ing when they’d fully be seen again by their provider.

Fast forward three months and dental offices are adapt- Rachel Cantrell is a third-year dental student in the
ing to the ‘new normal’ and practicing with increased School of Dental Medicine at East Carolina Uni-
infection control protocols in place – something me versity, and a 2020-2021 N.C. J Bradley Wilson
and my fellow dental students are grateful for. Screening Schweitzer Fellow. She is from Washington, NC.
all patients prior to entering the dental setting is criti-
cal in preventing the spread of the virus. Dentists are Graphic by Roa Saleh ‘24
also asking patients a list of questions regarding their
recent travel, if they are experiencing any COVID-19

32 ECU ASDA Seventh Edition

Schweitzer

“Founded in 1994, the NC Albert Schweitzer Fellowship is one of
thirteen currently active Schweitzer program sites across the U.S.
dedicated to developing a pipeline of emerging professionals who
enter the workforce with the skills and commitment necessary to ad-
dress unmet health needs. NC Schweitzer Fellows are competitively
chosen from graduate health professional students enrolled at major
NC universities. They come from a variety of academic disciplines
and, as Schweitzer Fellows, they work tirelessly to address existing
health disparities throughout the state.”
(adapted from ncschweitzerfellowship.org)

As J. Bradley Wilson Schweitzer Fellows, Kari Wordsworth and Richa
Vyas are helping cancer patients with the complex challenges they
face. By partnering with ECU School of Dental Medicine, they are
accelerating the dental clearance process so they can begin medical
treatment earlier. They are also providing follow up care to ensure
they receive the more frequent cleanings cancer patients need to
help avoid serious problems and infections and to manage any dental
issues that arise.

Academic Mentor: Matt Causey, DDS
Site Mentor: Iquebal Hasan, BDS
Site: ECU School of Dental Medicine, ECU ENT, ECU Department of Radiation Oncology

Ricky Ghai and Cody Phen are J. Bradley Wilson Schweitzer Fellows from
the ECU School of Dental Medicine. Due to the lack of dental care and
prevalence of oral disease in rural eastern North Carolina; they are working
to address social determinants of health and access to care for families in
Bertie County, NC by utilizing Teledentistry to connect this population to a
dental home, at our Community Service Learning Center in Ahoskie, NC.

Academic Mentors: Thomas Tempel, DDS, MSS and Andres Flores, DDS, MS and Wanda Wright, RN, DDS, MS, MSD
Site Mentor: Ford Grant, DMD
Site: Bertie County School-Based Oral Prevention Program (BCSBOPP) and ECU Community Service Learning Center
(CSLC) Ahoskie

Spring 2021 Photograph by Cody Phen ‘23

FIRST IMPRESSION 33

The

Path to By Ricky Ghai ‘23

Academic As we know, the dental field encompasses many career
Dentistry pathways that lead to serving our communities. Some of those
pathways include hygienist, dental assistants, and dentists.
But what is less known is careers that dentists can pursue
after receiving their degree. Careers that conduct the distinct
work which allows the dental field to constantly evolve and
grow technologically as well as procedurally. In essence, the
reason for the level innovation seen in our field is because of
these careers that live in academia. While there are numerous
within dentistry, some of the major pathways include Clinical
Professors, public health dentist, Dental Researchers, and
much more.

If a dentist wishes to explore some of these professions as an
academic dentist one of the major steps would be to consider
combined DDS/PH.D programs. Nowadays this is a typical path
to a research focused career. Previously, these programs were
in shorter supply and as a result a clear fluid path to academia
was not always clear. In the past gaining entry into this niche
field required learning and gaining experience slowly while
working in a dental school that was hiring dentist. As most
of you know, everything from individual case reports to me-
ta-analysis is peer reviewed. Seminars and conferences serve
as the major conduits in this field. These events allow scientif-
ic communication across dental academia. Additionally, read-
ing papers published via various journals is crucial to keeping
up with current findings. Although this aspect is shared with
the dental field as a whole, advancement and discovery are
more so concentrated within this sect of the dentistry.

34 ECU ASDA Seventh Edition

Feature

While your typical practicing dentist may need to keep up with
techniques and technology that may be only recently feasible
in private practice (a process that takes years if not decades)
Dentists within academia are well acquainted with the emer-
gence of new techniques, technology, or materials regardless
of their applicability to the common practice. In fact, it is the
constant research of these dentist that allow technology, tech-
niques, and materials to become more common practice and
used in private practice.

A key part of being an academic dentist is having the right
skill set. Unfortunately, this is harder than it seems. As a
dentist enters academia there are unique skills that are need-
ed depending on which fields of research is the focus. From
dental material to oral cancer, a dental researcher will need a
specific skill set that is directly determined by the topic that is
being researched. This aspect of dental research is the reason
historically it has been difficult to have a determined path into
dental academia. A typical day as an academic dentist entails
balancing a wide variety of tasks. Some of these responsi-
bilities include conducting research whether it be laboratory
based or clinical based. Writing papers to be published, par-
ticipating in grant reviews, lecturing in seminars whether it be
too fellow colleagues or dental students. Many of those that
are currently in academia have mentioned that the best parts
of being in this type of field is being a part of multiple endeav-
ors. Specifically, it never feels like this is one career path but
a combination of different responsibilities that are not neces-
sarily connected. For those of you that enjoy new challenges
and honing a wide variety of skills not only in research but in
communication and leadership this is definitely a career worth
consideration.

Spring 2021 FIRST IMPRESSION 35

36 ECU ASDA Seventh Edition

Feature

Spring 2021 FIRST IMPRESSION 37

Beauty &

the Teeth
By Yifei Wu ‘24 and Abby Callahan ‘24
What led you to a career in cosmetic dentistry
“Cosmetics” and “aesthetics” are some trending words within the and how did your experience bring you to ECU
field of dentistry that can be seen all over websites, magazines, SoDM?
and social media-- so what is cosmetic dentistry? Cosmetic den-
tistry is dentistry aimed at creating a positive change to your teeth I have been involved in the arts and enjoyed drawing ever since I
and to your smile. Most think of tooth whitening or porcelain was in high school. I always received top scores for my art grades
veneers, but a cosmetic dentist can provide much more. A skilled, and was one of the only students in my school who passed the arts
experienced cosmetic dentist can help to improve your appear- exam. My father pushed for me to be a doctor, but I knew I want-
ance, your smile, even your self-esteem and confidence. Today, ed to continue doing art on the side because it was my passion.
cosmetic dentistry has continued to evolve to where cosmetic The only medical profession that I had a desire to go into was den-
dentists can address functional and aesthetic patient concerns. tistry because it allowed me to combine art and science. I got my
BDS (Bachelor of Dental Surgery) in Egypt and decided to stay
Dr. Hanan Elgendy, BDS, MS is currently a Clinical Assistant there after graduating to work with some renowned names in the
Professor in the Department of Operative Dentistry at ECU field of aesthetic dentistry. I got hired to work in one of the best
SoDM. She is a member of the Academy of Operative Dentistry, cosmetic offices which worked with Middle Eastern celebrities.
the American Academy of Cosmetic Dentistry, the American After that, I decided to continue to work in cosmetic dentistry in
Dental Education Association and the Egyptian Dental Associ- the US. I spent the first three years here getting my residency in
ation. Some of her interests include CAD/CAM and cosmetic operative because I knew I enjoyed doing veneers and compos-
dentistry, as well as comparison of light propagation in dental tis- ite restorations. I completed a cosmetic course which included
sues and resin-based composite. She recently presented her work veneers, smile design, and everything else related to aesthetic den-
at the 2021 ADEA Annual Session and Exhibition on Enhancing tistry. Today, in addition to teaching, I see patients in the faculty
Student Learning in Dental Anatomy Using Teeth Drawings. practice that are interested in all cosmetic services.
We interviewed Dr. Elgendy to learn more about her experience
with popular cosmetic procedures and their clinical benefits in
patients.

38 ECU ASDA All Photographs Courtesy of Dr. Hanan Elgendy
Seventh Edition

Feature

Do you see cosmetic dentistry becoming a
certified specialty in the near future?

No, I don’t think this will happen in the near future. Some pro- What are some advantages and disadvantages
viders see it as a way of marketing themselves rather than as a of invisalign vs. traditional braces? How would
necessity. Right now, there is no specialty for cosmetics because it you know which is right for your patient?
is considered a part of what a general dentist offers. Yes, all gen-
eral dentists can do it. However, my opinion is that you should be The main advantage for Invisalign is that people can smile with-
trained and have to get a Masters in it so that you can achieve the out having any metal in the mouth. People can eat without getting
best results for the patient. I was able to learn more through my food stuck in the mouth and don’t have to worry about their
Masters and residency, where I recognized the importance of aes- appearance in social settings. It is also very easy to place and can
thetics for the entire restoration. It requires experience and skill to be done by a general dentist with the certification. Disadvantages
see the smile, color, and translucency. There are special materi- of Invisalign include the specific case selections, maintenance,
als that are different from what general dentists use. Color and and compliance of the patient. Invisalign cannot treat all of the
translucency are particularly difficult issues for general dentists, cases that traditional braces can. For example, molar crossbites,
and the artistry of smile design requires an entirely different side discrepancy in arches, and open bites larger than 2 mm must all
of the brain. Although the American Dental Association doesn’t be referred for traditional braces. There is also more maintenance
recognize cosmetic dentistry as a specialty, it does take skill and required on the patient’s part. They must clean the trays and wear
continued education. I’m currently trying to get accredited by the them regularly, otherwise, the trays become discolored and the
American Academy of Aesthetic Dentistry which provides you treatment takes more time. Regular braces are great because they
with the training to be called a cosmetic dentist. This cosmetic align the teeth very well and align them faster due to easier com-
training also overlaps with prosthodontic training. Because cos- pliance for the patient. It does require visiting an orthodontist,
metics have become so relevant in all fields of dentistry, I am still but the prices of traditional braces and Invisalign are about the
unsure about it being recognized by the ADA as its own specialty. same. Overall, Invisalign is a great option for patients with minor
crowding and aesthetic concerns, but they are not recommended
for everyone.

Do you think dental schools can do more to What are your opinions on patients seeking
prepare students for cosmetic dentistry? cheekbone reduction or dimpleplasty? Is this
something dentists should provide, or should it
Yes, patients are now very aware that it’s not just a restoration- be limited to plastic surgeons?
they want a perfect one. They can look up providers and results
online. Many schools are getting courses for dental students. Now I haven’t seen any general or cosmetic dentists doing these proce-
that more people are seeking these results, it could be on the path dures. Dimpleplasty may be possible because only local infiltra-
of becoming accredited. tion is needed. I feel like these procedures are more for plastic
surgeons because they know the measurements required.
What are some ways dentists use botox for both
cosmetic and clinical purposes?

Usually in the United States, you have to receive the certification
to be legally administering the Botox. In some states, general
dentists can administer botox for cosmetic purposes. They can
use botox and dermal fillers for functional and cosmetic rea-
sons. There are some cases in which I recommend Botox for my
patient. I advise my patients to get it if they are concerned about a
gummy smile. It is also beneficial for TMJ issues or bruxism, so it
is a good option for patients that frequently clench. If you have a
black triangle in between the teeth, it is an option to use it to close
the interdental papilla. If there are big depressions in their smile
lines, it can be helpful as well.

Spring 2021 FIRST IMPRESSION 39

By Scarlett Walston ‘22

Barriers to care is a phrase that is common- “I lost insurance, so I haven’t been to the
place within the healthcare field. But what dentist in 12 years.” “I thought your gums
does it mean? And how can we break those had to bleed every time you brushed your
barriers down? In simple terms, a barrier to teeth but now, I feel like my gums are
care is any obstacle that impedes a patient going away.” “I didn’t realize he wasn’t
from receiving care. This can include finan- supposed to go to bed with a bottle.” All of
cial constraints, limitations in transporta- these statements, and I’m sure others like
tion, few providers in a geographic location, them, have been said within the walls of
inadequate oral health literacy, etc. Where Ross Hall clinics. Patients come to us each
do we as dental students fit in to this? and every day in order to improve their
Let’s focus on the education portion of this oral health. How we choose to respond to
issue. these statements and educate our patients
greatly impacts their future dental experi-
ences.

40 ECU ASDA Seventh Edition

Feature

When talking with patients, it is important When we look at the model of ECU School
to remember that the intricate details of of Dental Medicine, one of our standout
the oral cavity that we all know are a result features are the Community Service Learn-
of countless hours of studying and training. ing Centers, or CSLCs. These centers were
Therefore, it is our duty to ensure that we strategically placed in 8 locations across
provide quality education to the patients the state that needed comprehensive
and their caretakers. It is also imperative dental care. The fact that the CSLCs are
that this information comes from an em- directly linked to Ross Hall made it easy
powering and uplifting place rather than for students to have synchronous consults
one of judgement and disdain. I have heard with specialties such as Oral Pathology and
remarks from so many patients that they Endodontics. This improves patient out-
appreciate how they are treated at the comes as well as the overall learning expe-
dental school because they have felt de- rience for the students. The patient is able
meaned at private practice. While that is a to have specialist care provided remotely
compliment to the students at the school, so that they do not have to incur the bur-
we must remember that we are the ones den of extra travel expenses. Meanwhile,
that will be out in private practice soon, the student is able to expand their skills in
and thus, we need to bring that same em- order to better serve their future patients.
powerment to our future practices.
Through classes such as COHP and Practice
Art by Roa Saleh ‘24 Management, as well as clinical experience
and faculty anecdotes, ECU SoDM provides
the blueprint for us to address these bar-
riers in the school setting as well as carry
these lessons into private practice. It is
imperative that we continue to grow and
learn so that we can provide the best pos-
sible care for our patients. It is up to us as
the next generation of dental professionals
to continue to break down these barriers to
care.

Spring 2021 FIRST IMPRESSION 41

AHOSKIE The First

Community Service
Learning Center

Interview with Dr. Ford Grant each other and share successful approaches
by Scarlett Walston ‘22 to solving challenges that come up from
time to time. It is as close to private practice
1. How did Ahoskie set the as I have seen in an educational environ-
blueprint for other CSLC to ment.
follow? Students at the CSLC will more than dou-
ble their clinical experience compared to a
The ECU SoDM approach to predoc clinical traditional predoc clinic. They are allowed
education is unique and difficult to fully to gain speed as they gain confidence. It
appreciate without spending time in a CSLC is amazing to see the difference from the
practice. I joined the faculty in July of 2012 beginning of the first CSLC rotation and the
with a building nearly ready to open. So, end of rotation. It is a compressed experi-
my part in the plan was small. ence, but at the individual’s pace.
It is fitting that the first patient treated at
Preplanning was key to a successful open- ECU SoDM was in our rural location in
ing. This fully equipped dental center was Ahoskie. The clinic at main campus opened
planned and prepared with input from the a few months later.
full ECU SoDM team. A strong relationship Two things early on in creating the culture
with the local medical community was near- for the Ahoskie CSLC:
ly in place. The vision of Dean Greg Chad- 1. Every patient is a VIP!
wick and Dr. Michael Scholtz, the Director The environment we strive for is one where
of Community Practice shaped the mission every patient would be treated like a VIP.
for the Community Service Learning Center If a patient is a professional, farm worker
concept for new school. I describe my role or from an underserved population they
to be similar to a driver on a racing team should all be treated with equal respect and
who has been trusted with a multimillion be offered the highest quality of care.
dollar machine and all I had to do was drive. 2. Have fun every day!
A large portion of the population has a fear
We organized the clinic to be a standard of the dental office. Having a welcoming at-
that we hoped could be replicated in each mosphere where everyone welcomes you in
new site so students would feel a familiarity and treats you with kindness can help calm
when rotating at any CSLC. As the next a patient. When a patient sees everyone get-
CSLC’s came on line, the faculty and staff ting along and enjoying the day, it becomes
would spend time in Ahoskie for training. contagious. I hope we have laughter in our
As things spread out over the state, we still clinic every day.
had business managers and full time faculty
come to Ahoskie for orientation. As faculty
were hired for the new CSLC’s, they were
able to use this template and still have free-
dom to go with individual strengths. The
Directors and Assistant Directors learn from

42 ECU ASDA Seventh Edition

2. What is your relationship like with CSLC Highlight
the neighboring FQHC and how has col- orthodontic practice. The next closest specialist is an hour’s
laboration with your medical colleagues drive from our location. This means you prepare yourself to
helped improve comprehensive care for provide specialty treatment that can be delivered in a gener-
the patients? al practice. Referrals are made knowing that a person will
need to travel at least an hour one way to see the specialist.
The relationship has been one of mutual support and How can you make that person’s interaction with you a little
collaboration that simplifies medical consultation and the better? In Ahoskie we have a great team, mostly from the
flow of information needed to evaluate and treat patients. area. Respect comes from understanding a patient’s needs
The FQHC is comprehensive, treating patients of all ages. and life situation.
There is a strong Pediatric practice that has grown since we
opened. Other benefits:
You become somewhat of a “celebrity” in Ahoskie as your
The leadership provided by Kim Schwartz, CEO of the patients may see you in a local business or restaurant. We
Roanoke Chowan Community Health Center (RCCHC) has are in a region known for hunting and fishing.
created an atmosphere that encourages mutual cooperation Since the entertainment option are slim, we try to have
with the ECU SoDM. ECU is the only dental school I am social opportunities during the year for students and resi-
aware of that is the primary dental provider for an FQHC. dents.
Most FQHC’s have their own dental clinic and host dental
students and residents from other schools for clinical rota- 4. Do you frequently collaborate with
tions, but Ahoskie CSLC is the dental provider for RCCHC. the other dentists in Ahoskie/Hertford
County and the surrounding areas?
A major issue with most dental practices and clinical sites is There are only 3 dentists in our area at this time. We have
access to medical evaluation for patients. Even in a hospital specialists who will visit to cover our complex cases.
practice, finding a medical provider for an outpatient can
be an issue. From Day One the partnership we have with 5. Can you take us through a normal day
RCCHC eliminated that issue. If a new patient or emer- at the Ahoskie CSLC?
gency patient presents without a physician of record in the Two days a week we start at 7:30 am with resident seminars
area, RCCHC will evaluate the patient and offer to become that are on VTC. This allows all residents throughout our
the primary medical care provider. If the patient qualifies system to meet together on a regular basis.
financially, they may be eligible for some assistance with Moring huddle is at 8 am, and shortly after we bring in our
the cost of dental treatment. This has been a successful first patients. We have 2 AEGD residents, 4 fourth year
model for Medical-Dental Cooperation. Ongoing efforts dental students, 2 dental hygienists, 5 dental assistants at
are bringing our residents and students interaction with this time, a front desk team, business manager and two full
medical residents and health professions trainees. time faculty. Students may see two patients in the morning
depending on the treatment and 2 or three in the after-
This level of communication has allowed predoc students noon. A faculty member may see patients a few sessions a
to treat many of our patients with special needs. In most week. We have a break for lunch at noon then start back in
dental school settings, these patients would only be treated the afternoon. We try to dismiss patients by 4:45 to allow
by faculty or residents. the clinic to get prepared for the next day. Seminars for
students may be arranged as needed. There are occasion-
3. What do you think makes Ahoskie al meetings for the full SoDM that are attended via VTC.
unique and a great place to be at/work/ Community service activities include trips to local schools
etc. and to a school base oral health project in a nearby under-
served county.
Great question! You may think, “What can I learn or expe-
rience in a small town like Ahoskie that I couldn’t get in a
larger city?” Teledentistry was a normal part of the school
before the pandemic.

Some negatives become positives if you focus on providing
the best experience you can for others. For example, the
only dental specialty with an office in Ahoskie is a part time

Spring 2021 FIRST IMPRESSION 43

ASDA District 4

The “I
ASDA really
District 4 enjoyed
Conference listening
was held to Dr. La-
online this Joi Wiggins
year. Students and Dr. Eliza-
enjoyed a variety beth Ottey tell
of presentations us about their
and were able to unique non-tradi-
connect and network tional journeys into
with other students their respective Pedi-
across the district. atrics and Orthodontics
specialties. They talked
about what they love about
their jobs and shared helpful
insightful on how to become
a competitive residency appli-
cant.”

“I Digital Painting by Cody Phen ‘23
defi- Seventh Edition
nitely
missed
the social
aspects of
a conference
but I commend
the organizers
and presenters for
doing a great job
with being engaging.
I learned a great deal,
the topics were relevant
and it was beautiful to see
diverse speakers.”
- Octavia Miller

44 ECU ASDA

Book Review

By Geremy Medlock ‘23

The Entrepreneur Dentist

How to exit your dental business rich

Dr. Jerry Lanier’s autobiography entitled He provides questions in each chapter to
The Entrepreneur Dentist is a must read help readers outline their long and short-
for inspiring dental practice owners. This term goals, develop strategic plans, and
book reads like a strategic field manual set milestones for their careers. Questions
directing future dental entrepreneurs how such as, “Do you want to build a business
to take the right steps to carve out suc- and sell it to your associates or partners?”
cessful long-term enterprises. Dr. Lanier’s provides an essential foundation upon
writing is coherent, relevant, and organized which business decision making is built.
as he shares his thoughts on establishing Dr. Lanier stated that your future “depends
profitable dental practices. He keeps his on you defining the destination, which
autobiography concise using it as a tool to should be your exit plan.”
validate his motivation, but never to evoke Reading this book will allow readers to
emotion. learn through Dr. Lanier’s experiences and
In 1994, Dr. Lanier opened his first Kids leverage the incredible potential of the den-
Dental Kare office. By 2017 he had 14 tal field to build the wealth and future they
offices, employing close to 150 staff and want. We as dental students are just now
auxiliaries, 25 associate dentists, and was beginning our careers, so it is prime time
generating $20 million per year in revenue. to make sure each of us has chosen a clear
After 20 years of building a successful busi- and appropriate destination. This book will
ness, he sold his company to pursue other get you started.
entrepreneurial ventures.

Spring 2021 FIRST IMPRESSION 45

Advocacy

46 ECU ASDA Infographic Adapted from asdanet.org
Seventh Edition

Student
Spotlights
&
Class
Features

Spring 2021 Graphic by Roa Saleh ‘24

FIRST IMPRESSION 47

Student Spotlight

Class of 2024 Dalia
Nashed

Pitt County, NC

What has been your favorite part of dental What’s your future goal with dentistry?
school? My goal is to fulfill the ECU SoDM by serving the
My favorite part about dental school is that I am underserved groups of NC. Earning the DMD
finally on the path to become a dentist. degree opens doors for serving whether through
And I am not doing it alone. I am sharing the next working as an associate or owning a private practice.
4 years with people who have similar goals and
dreams and have the passion to serve. My dental What did you do before dental school?
school experience wouldn’t be the same if I am in a After graduating and earning my bachelor’s
different class. We face challenges together, we learn degrees from ECU, I worked at Mayne Pharma
together, we all are in this together. (pharmaceutical company in Greenville). I worked
there for a little bit less than a year before I got
What has been your biggest challenge? accepted at ECU SoDM.
I find it very hard to give myself a break and slow
down. Dental school is tough, and it requires hard What advice would you give yourself on the
work, and I found myself wanting to work harder first day of dental school?
and harder to make sure I succeed, but I often After spending a few months in dental school, I
forget to take a break or a day off. I am working think I’ve become wiser. And if I am to give myself a
on implementing breaks throughout the week, so I piece of advice, I would tell myself “Dental school is
won’t burn out and recharge to keep going. a marathon not a sprint. Don’t rush through things.
There will be ups and downs along the way. Give
What organizations have you been involved yourself a pat on the shoulder when you perform
in? well but don’t beat yourself up for not performing
I have been a member in the Interdisciplinary Oral so well. Both success and failure are part of growing
Medicine Study Club, Academy of General Den- and maturing.”
tistry, American Student Dental Association, and I
recently joined Women in Dentistry. What are some hobbies/things you like to
do in your free time?
I enjoy baking cakes and breads. It is a great way to
be creative and innovative. I enjoy going for walks in
the afternoons as well.

48 ECU ASDA Seventh Edition

Student Spotlight

Sahil Class of 2023
Vasa

UNION County, NC

What has been your favorite part of dental What did you do before dental school?
school? Before dental school I attended UNC Chapel Hill
My favorite part of dental school is the relationships for my undergrad degree. I graduated in 2019 and
I have formed with both my classmates and the shortly after started here at the ECU SODM.
professors at the school. My favorite module so far
has been prosthodontics! What advice would you give yourself on the
first day of dental school?
What has been your biggest challenge? I would tell myself take things day by day.
The biggest challenge has been having to balance Everything here is manageable as long as you
studying with practicing for skills assessments. At schedule your time properly.
times, it gets busy and tough but in the end it is very
rewarding to see hard work paying off! What are some hobbies/things you like to
do in your free time?
What organizations have you been involved In my free time I love to play tennis, relax by the
in? pool, or play some Settlers of Catan!
I am currently the Vice President of DMD, the
President of ADEA and I am also an active member
of ASDA and the Teledentistry club.

What’s your future goal with dentistry?

I hope to be able to give back to the community and
serve in my local town after graduation. We have a
large population that does not have great access to
care their and it is my goal to be able to serve them.
I also hope to be an inspiration for other pre-dents
in my hometown.

Spring 2021 FIRST IMPRESSION 49

Student Spotlight

Class of 2022 Will
Grine

Moore County, NC

What has been your favorite part of dental always had an interest in others’ well-being, and bridging the
school? gap between rural and urban, between states, and between
My favorite moments in dental school so far have been when socioeconomic classes is the fuel behind my interest in
I am interacting with faculty, staff, classmates, and patients on pursuing dentistry. A goal of mine is to be active within the
the Comprehensive Care clinic floor. Providing dental care to NC Dental Society and the ADA and to promote compassion
patients in clinic has reinforced everything that my class has and the will to help those in need within the field of dentistry.
learned so far in school while also offering an opportunity
to meet new people and form relationships within the What did you do before dental school?
community. Prior to dental school, I spent my time working as a research
assistant testing the tensile strengths of different composites at
What has been your biggest challenge? the UNC Adams School of Dentistry, and volunteering at Wake
Smiles in Raleigh. Once the research project was complete, I
The biggest and most exciting challenge has been stepping divided my remaining free time between hiking sections of
up to the plate and adapting to serve the different needs of the Appalachian Trail, working as a bartender, and restoring
my patients. Each day brings something new whether it’s a historic houses as a carpenter’s assistant.
toothpick sized crown prep on a mandibular central incisor,
navigating 14mm pocket depths with Gracey Curettes, What advice would you give yourself on the
diagnosing osteomyelitis in emergency clinic, or performing a first day of dental school?
pulpectomy on a 6-year-old. The good news is that if you ever My advice would be to recognize what it is that drives you
feel like you’re in over your head (which everyone experiences forward in your goal of pursuing dentistry. Once you can
at one point or another) faculty are always available for advice. clearly articulate what your motivation is, lock on to it—write
Under the guidance of adept faculty, every case in clinic is an it down if you have to. Dental school is full of highs and lows,
opportunity to explore one’s interests and fine tune one’s skills. and the most important thing is to stay true to yourself during
the process.
What organizations have you been involved in?
During my time at ECU SoDM, I have been involved in Dental What are some hobbies/things you like to do in
Student Government, both on the class and on the school level, your free time?
ASDA, DMD, SAAPD, SNDA, ADEA, SPEA, and the Albert Whether it’s being on the boat, hiking or playing tennis, when
Schweitzer Fellowship. Joining student organizations provides I’m not in clinic, I enjoy spending as much of my time out-
unique experiences during dental school and is a great way to side as possible. I also enjoy traveling, going to the gym, and
become well-rounded. Serving in different capacities in each of reading a good book. Since Sturdevant and Carranza have
these organizations has helped me to develop friendships and been monopolizing my book time during dental school, I am
find my footing in dental school. temporarily counting audiobooks as pleasure reading.

What’s your future goal with dentistry?
Some of my earliest memories are of summer days with my
grandfather, riding on the back roads of Wilson County.
Growing up, I saw how family and friends living in rural areas
in the South lack access to oral healthcare due to a number
of barriers, including knowledge, availability, and cost. I have

50 ECU ASDA Seventh Edition