Why Dentistry?Jose Alamo, DMD

Neo Dentistry - Dentist/OwnerVeMiDoc, LLC - Co-Founder

Austin Hispanic Dental Association - Founding President

Dr. Jose Alamo2001 - St Mary’s University, San Antonio, TX - Biology, B.S.

2006 - Boston University, Boston, MA - Doctor of Dental Medicine (DMD)

2007 - King’s County Hospital, Brooklyn, NY - Resident

2008 - New York Hospital - Cornell University, Manhattan, NY - Senior Resident

2009-12 - Family Health Center, Waco, TX - Dentist

2012-Present - Neo Dentistry, Kyle and Austin, TX - Dentist/Owner

2013-Present - VeMiDoc, LLC - Co-Founder - Healthcare Efficiency Technology

2014 - Founded Austin Hispanic Dental Association (local) - Founding president

2019 - Hispanic Dental Association (national)- Treasurer

US by the Numbers - Population Projection

http://www.statista.com/statistics/183481/united-states-population-projection/

US by the NumbersNationally, increases in supply will not meet the increases in demand for dentists, which will exacerbate the existing shortage. Approximately 190,800 dentists were estimated to be active in 2012. By 2025 we expect 202,600, a 6% increase.

The national demand for dentists is projected to grow from 197,800 in 2012 to 218,200 in 2025 - a 10% increase.

US Department of Health and Human Service February 2015 - http://bhpr.hrsa.gov/healthworkforce/supplydemand/dentistry/nationalstatelevelprojectionsdentists.pdf

US by the Numbers

U.S. Census Bureau 2013 - 54 million Hispanics living in the U.S., representing 17% of the total population, making people of Hispanic origin the nation's largest ethnic or race minority.

The U.S. Hispanic population for 2060 is estimated to reach 128.8 million, constituting approximately 31% of the population.

http://www.cdc.gov/minorityhealth/populations/REMP/hispanic.html#10

http://www.census.gov/content/dam/Census/newsroom/releases/2015/cb15-tps16_graphic.pdf

Hispanic Representation in Dentistry

The 2010 US census reported 161,305 active dentists in America, with 8,650 being Hispanic.

Hispanic dentists represent only 5.36% of active dentists as compared to the 16.3% Hispanic population.

http://www.hdassoc.org/wp-content/uploads/2013/09/HDA-White-Paper-FINAL.pdf

Disparities in Oral Health

Blacks (non-hispanic), Hispanics, and American-Indians and Alaska Natives generally have the poorest oral health of any racial and ethnic groups in the United States.

Blacks (non-Hispanic) and Mexican-Americans aged 35–44 years experience untreated tooth decay nearly twice as much as white (non-Hispanic).

Cultural Competency Study Health Resources and Services Administration (HRSA)

-Greater health professions diversity will likely lead to improved public health

-Increasing access to care for underserved populations, and by increasing opportunities for minority patients to see practitioners with whom they share a common race, ethnicity or language.

-Race, ethnicity, and language concordance, which is associated with better patient-practitioner relationships and communication, may increase patients’ likelihood of receiving and accepting appropriate medical care.

http://bhpr.hrsa.gov/healthworkforce/reports/diversityreviewevidence.pdf

The U.S. New & World Report listed Dentist as the #1 profession in its “100 Best Jobs” list in 2015 and 2017

http://money.usnews.com/careers/best-jobs/rankings/the-100-best-jobs

1.Dentist 2.Nurse Practitioner 3.Physicians Assistant 4.Statistician 5.Orthodontist 6.Nurse Anesthetist 7.Pediatrician 8.Computer Systems Analyst 9.OB/GYN 10. Oral Surgeon

Why Dentistry?

http://www.ada.org/~/media/ADA/Education%20and%20Careers/Files/01_caries_in_primary_dentition-caufield_b/dentistry_fact.ashx

Why Dentistry?

http://www.ada.org/~/media/ADA/Education%20and%20Careers/Files/01_caries_in_primary_dentition-caufield_b/dentistry_fact.ashx

What does a Dentist do?

Caries detection, removal, and restorations

Evaluate and treat periodontal disease

Treat oral infections

Restore edentulism

Move teeth into better positions

Change worn or unaesthetic dentition

Educate on ways to keep teeth forever

Restore occlusion

Improve patient confidence

Perform research studies

Diagnose oral cancer

Diagnose oral manifestations of medical conditions

Many types of surgeries, ie implants, tissue grafts, wisdom tooth removal

Cavities

Dental caries is the most common infectious disease affecting humans. Aust Dent J. 2000 Dec;45(4):235-45.

What can be done?

Educate on prevention and diet. But if it’s too late, we need a dentist.

Among adults aged 20–64, 91% had dental caries and 27% had untreated tooth decay.Untreated tooth decay was higher for Hispanic (36%) and non-Hispanic black (42%) adults compared with non-Hispanic white (22%) and non-Hispanic Asian (17%) adults aged 20–64.

http://www.cdc.gov/nchs/data/databriefs/db197.htm

http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm

Heart Disease

Heart disease is the leading cause of death for both men and women. More than half of the deaths due to heart disease in 2009 were in men.

1 in every 4 American deaths are from heart disease each year

Heart disease is the leading cause of death for people of most racial/ethnic groups in the United States, including African Americans, Hispanics, and whites. For Asian Americans or Pacific Islanders and American Indians or Alaska Natives, heart disease is second only to cancer.http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_heart_disease.htm

Oral Cancer

Oral cancer rates are significantly higher for males than for females.

Oral cancer rates are higher for Hispanic and Black males than for white males.

Oral cancer rates increase with age. The increase becomes more rapid after age 50 and peaks between ages 60 and 70.

Why is Dentistry Important? -Oral Healthcare - traditional dentistry, prevention and treatment.

-Frontline Healthcare - The mouth is frequently involved in conditions that affect the skin or other multiorgan diseases. In many instances, oral involvement precedes the appearance of other symptoms or lesions at other locations. Cancer, hypertension, heart disease, diabetes, eating disorder, neurological disorders, nicotine use, drug use, among others can be detected in the dental chair.

- GI diseases - Crohns D, ulcerative colitis, GERD, chronic liver disease.

- Hematologic disorders - Anemias, Langerhans cell histiocytosis

- Connective tissue disorders - Sjogren's syndrome, Kawasaki disease

- HIV, leukemia, psoriasis, nutritional deficiencies, dehydrations, etc.

http://emedicine.medscape.com/article/1081029-overview

Dentistry Career Options - FLEXIBILITY

Private Practice

Community Health

Public Health

Academic Dentistry

Research

Dental Consulting

Military

Specialty

Hospital Dentistry

International Organizations

Combinations Part/Full time

Business/Entrepreneurship

Lecturing

Advocacy/Policy

More Information

American Dental Education Association - http://www.adea.org/

Hispanic Dental Association - http://www.hdassoc.org/

Academy of General Dentistry - http://www.agd.org/

American Dental Association - http://www.ada.org/

American Student Dental Associtation - http://www.asdanet.org

Others : Centers for Disease Control, World Health Organization, each specialty in dentistry has their own website,

DAT

GPA

Applicants vs First-Year Enrollement 2017-18

Debt and Repayment

- In state - $38,826, Out of state - $53,774 ave tuition/year

- 80% of dental school grads left college with < $100k debt; 30% with < $300K

-2017 ave dental school debt - $240K (public) vs $292K (private)

Repayment options

-Private loans, scholarship, grants, National Health Service Corps, National Institute of Health, Indian Health Services, State repayment programs, and 4 military branches

https://www.studentdebtrelief.us/news/average-dental-school-debt/

Post-Doc Tuition

http://www.ada.org/~/media/ADA/Member%20Center/FIles/survey_advanced_ed.ashx

“It is good to have an end to journey toward; but it is the journey that matters, in the end.” ― Ernest Hemingway